title: A major trauma course based on posters, audio-guides and simulation improves the management skills of medical students: Evaluation via medical simulator.
abstract: BACKGROUND
  Medical competence requires the acquisition of theoretical knowledge and technical skills. Severe trauma management teaching is poorly developed during internship. Nevertheless, the basics of major trauma management should be acquired by every future physician. For this reason, the major trauma course (MTC), an educational course in major traumatology, has been developed for medical students. Our objective was to evaluate, via a high fidelity medical simulator, the impact of the MTC on medical student skills concerning major trauma management.
  
  
  METHODS
  The MTC contains 3 teaching modalities: posters with associated audio-guides, a procedural workshop on airway management and a teaching session using a medical simulator. Skills evaluation was performed 1 month before (step 1) and 1 month after (step 3) the MTC (step 2). Nineteen students were individually evaluated on 2 different major trauma scenarios. The primary endpoint was the difference between steps 1 and 3, in a combined score evaluating: admission, equipment, monitoring and safety (skill set 1) and systematic clinical examinations (skill set 2).
  
  
  RESULTS
  After the course, the combined primary outcome score improved by 47% (P<0.01). Scenario choice or the order of use had no significant influence on the skill set evaluations.
  
  
  CONCLUSIONS
  This study shows improvement in student skills for major trauma management, which we attribute mainly to the major trauma course developed in our institution.
authors.affiliation: Anaesthesiology and Intensive Care Department, Grenoble University Hospital, Grenoble, France.
authors.forename: Adrien
authors.initials: A
authors.lastname: Cuisinier
authors.affiliation: Anaesthesiology and Intensive Care Department, Grenoble University Hospital, Grenoble, France.
authors.forename: Clotilde
authors.initials: C
authors.lastname: Schilte
authors.affiliation: Anaesthesiology and Intensive Care Department, Grenoble University Hospital, Grenoble, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Declety
authors.affiliation: Anaesthesiology and Intensive Care Department, Grenoble University Hospital, Grenoble, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Picard
authors.affiliation: Anaesthesiology and Intensive Care Department, Grenoble University Hospital, Grenoble, France.
authors.forename: Karine
authors.initials: K
authors.lastname: Berger
authors.affiliation: Anaesthesiology and Intensive Care Department, Grenoble University Hospital, Grenoble, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Bouzat
authors.affiliation: Anaesthesiology and Intensive Care Department, Grenoble University Hospital, Grenoble, France.
authors.forename: Dominique
authors.initials: D
authors.lastname: Falcon
authors.affiliation: Université Grenoble-Alpes, CNRS-TIMC-IMAG UMR, 5525-Themas, Grenoble, France.
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Bosson
authors.affiliation: Anaesthesiology and Intensive Care Department, Grenoble University Hospital, Grenoble, France.
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Payen
authors.affiliation: Anaesthesiology and Intensive Care Department, Grenoble University Hospital, Grenoble, France; Université Grenoble-Alpes, CNRS-TIMC-IMAG UMR, 5525-Themas, Grenoble, France. Electronic address: palbaladejo@chu-grenoble.fr.
authors.forename: Pierre
authors.initials: P
authors.lastname: Albaladejo
mesh_terms: D001296:Audiovisual Aids; D002983:Clinical Competence; D003479:Curriculum; D004504:Education, Medical, Undergraduate; D004521:Educational Measurement; D023381:Endpoint Determination; D006801:Humans; D008991:Monitoring, Physiologic; D061214:Patient Safety; D016544:Patient Simulation; D011446:Prospective Studies; D013337:Students, Medical; D014194:Traumatology / Q000193:education*; D014947:Wounds and Injuries / Q000628:therapy*
keywords: Audio-guides; Medical pedagogy; Medical posters; Medical simulation; Severe trauma; Students; Training course