[Analysis of resident trauma education].
BACKGROUND
Training in major trauma management is increasingly important in our country and throughout the world in general, but there is great uncertainty about who treats these patients in our country and how do surgical residents obtain experience in evaluation, diagnosis and treatment of these patients.


OBJECTIVE
To find out, from surgery residents, the current state of their training and knowledge of major trauma patient care in our country, and their opinions on how to improve it. At the same time, to analyse whether major trauma patient care in our hospitals has changed in recent years, along with the factors that may influence teaching in how to manage these patients.


METHODS
A survey was sent with a pre-paid envelope to 78 university hospitals accredited for resident training, during the period from March to October 2005.


RESULTS
When comparing traditional care of major trauma patients with that of the last 5 years there were no statistically significant differences (p = 0.77). The fact that the hospital is a referral centre for trauma care of trauma does not significantly affect whether the resident feels well-trained (p = 0.7), or well-informed (p = 0.33).


CONCLUSIONS
General surgery residents do not feel well-trained or well-informed on the management of major trauma patients despite working in hospitals that treat these patients and an increasing number of surgeons are involved in the trauma. There are few lines of research into multiple trauma, despite the linkage with university centres.
Morales García
Dieter
D
Sección de Politrauma y Cuidados Intensivos Quirúrgicos, Asociación Española de Cirujanos, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Marqués de Valdecilla, Santander, España. dms@mundivia.es
Jover Navalon
José María
JM
Miguelena Bobadilla
José María
JM
Navarro Soto
Salvador
S
D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D011795:Surveys and Questionnaires; D014194:Traumatology / Q000193:education*