title: Medical education for emergency physician focused on basic competence (Focused Assessment with Sonography in Trauma). Evaluation of the Romanian national program: "Regional Emergency Medical Services Systems".
abstract: Focused Assessment with Sonography in Trauma (FAST), a type of training for unique ultrasonography competence, represents a necessity in the emergency assistance of the trauma patient. The principal OBJECTIVE of this prospective study was to evaluate the teaching performance and to identify the training necessities related to the curriculum of the unique ultrasonography competence--FAST--used in the frame of the national program of rehabilitation of the emergency system in Romania.
  
  
  METHODS
  The study was performed on a number of 164 emergency medicine physicians, trained following a unique theoretical and practical curriculum, between April and December 2006 in 4 Romanian university centers.
  
  
  RESULTS
  The assessment of the theoretical knowledge acquired during the training program revealed a significant (p<0.0001) improvement. The comparative analysis of the theoretical evaluation results between the center in Cluj and the other three training centers did not show statistically significant differences. The differences were noticed at the level of the practical evaluation (p<0.005). The attendees observed the need for supplementing the practical activities in trauma emergency situations (57.38% -72.08%).
  
  
  CONCLUSIONS
  The implementation of a national training program, with a unitary curriculum, creates premises for a standardized training process. The first national training program in FAST, a unique competence in emergency ultrasonography, identified the necessity for curricular remodeling.
authors: The Department for Health Politics of The Health and Family Ministry, Bucharest, and Emergency Medicine Discipline of the Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Romania.
authors: Raed
authors: R
authors: Arafat
authors: Adela
authors: A
authors: Golea
authors: Ioana
authors: I
authors: Dărămuş
authors: Radu
authors: R
authors: Badea
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D003937:Diagnosis, Differential; D004521:Educational Measurement; D004632:Emergency Medical Services / Q000458:organization & administration*; D004635:Emergency Medicine / Q000193:education*; D006801:Humans; D007318:Inservice Training; D009313:National Health Programs / Q000458:organization & administration*; D015397:Program Evaluation; D011446:Prospective Studies; D012383:Romania; D014463:Ultrasonography / Q000592:standards*; D014947:Wounds and Injuries / Q000000981:diagnostic imaging*