title: Combating terror: a new paradigm in student trauma education.
abstract: BACKGROUND
  Other than the Advanced Trauma Life Support course, usually run for postgraduate trainees, there are few trauma courses available for medical students. It has been shown that trauma teaching for medical students is sadly lacking within the undergraduate curriculum. We stated that students following formal teaching, even just theory and some practice in basic skills significantly improved their management of trauma patients.
  
  
  METHODS
  Hadassah-Hebrew University in Israel runs an annual 2-week trauma course for final-year medical students. The focus is on hands-on practice in resuscitation, diagnosis, procedures, and decision making. After engaging a combination of instructional and interactive teaching methods including practice on simulated injuries that students must assess and treat through the 2 weeks, the course culminates in a disaster drill where students work alongside the emergency services to rescue, assess, treat, and transfer patients. The course is evaluated with a written precourse and postcourse test, an Objective Structured Clinical Examination and detailed feedback from the drill.
  
  
  RESULTS
  We analyzed student feedback at the end of each course during a 6-year period from 2007 to 2012. Correct answers for the posttest results were higher each year with good reliability as assessed by Chronbach's α and with significant variation from pretest scores assessed using paired-samples t tests. Best scores were achieved in knowledge acquisition and practical skills gained. Students were also asked whether the course contributed to self-preparedness in treating trauma patients, and this consistently achieved high scores.
  
  
  CONCLUSIONS
  We believe that students benefit substantially from the course and gain lasting skills and confidence in trauma management, decision making, and organizational skills. The course provides students with the opportunity to learn and ingrain trauma principles along Advanced Trauma Life Support guidelines and prepares them for practice as safe doctors. We advocate the global implementation of a student trauma training course as a mandatory educational initiative and propose our course format as a model for similar courses.
authors.affiliation: From the Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Avraham I
authors.initials: AI
authors.lastname: Rivkind
authors.forename: Mouhammad
authors.initials: M
authors.lastname: Faroja
authors.forename: Yoav
authors.initials: Y
authors.lastname: Mintz
authors.forename: Alon J
authors.initials: AJ
authors.lastname: Pikarsky
authors.forename: Gideon
authors.initials: G
authors.lastname: Zamir
authors.forename: Ram
authors.initials: R
authors.lastname: Elazary
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Abu-Gazala
authors.forename: Miklosh
authors.initials: M
authors.lastname: Bala
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003479:Curriculum; D004504:Education, Medical, Undergraduate; D004521:Educational Measurement; D005260:Female; D006801:Humans; D007557:Israel; D008297:Male; D054527:Mass Casualty Incidents; D023481:Terrorism; D014194:Traumatology / Q000193:education*