title: Does ATLS trauma training fit into Western countries: evaluation of the first 8 years of ATLS in Germany.
abstract: BACKGROUND
  With over 2 million certified physicians worldwide, the Advanced Trauma Life Support (ATLS) program is one of the most successful international medical education programs. Germany joined the ATLS program in 2003. Before implementation of the program, there was a controversial discussion as to whether a country like Germany with a long history of trauma care needed ATLS at all. 197 courses with nearly 3,000 providers were performed until December 2010.
  
  
  OBJECTIVE
  We assessed the course evaluations since the implementation of ATLS in Germany using the participants' systematic feedback.
  
  
  METHODS
  During the course, each participant evaluated each presentation, skill station, and simulation on a rating scale from 1 to 4 (1 being the best, 4 being the worst). The participants completed the evaluation forms during the course and before they received their results. The course coordinator made sure that all forms were returned. The feedback forms were collected anonymously and were entered into a database. Statistical analysis was performed using frequencies and mean values.
  
  
  RESULTS
  The cumulative evaluation of all courses revealed an average performance score of 1.39 (1.06-1.86; n = 197). The lectures, skill stations, and simulations were individually evaluated as follows: lectures 1.61 (1.00-2.81; n = 197), skill stations 1.40 (1.00-2.40; n = 197), and surgical skill stations 1.35 (1.00-2.38; n = 197). Practical skills simulation (case scenarios) received the highest grade of 1.24 (1.00-1.57; n = 197). There were no significant changes during the time concerning the results of the evaluation.
  
  
  CONCLUSIONS
  The overall assessment showed constantly good and excellent evaluations by the participants over the years. In general, skill stations and simulations performed better than lectures. According to these results, the course format is well accepted by the participants and, therefore, can be recommended to all physicians treating trauma patients. Our results also underline the value of such a course format in an industrial country with an already established trauma system.
authors.affiliation: Department of Orthopedic and Trauma Surgery, BG Klinik Ludwigshafen, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen am Rhein, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Muenzberg
authors.affiliation: Department of Orthopedic and Trauma Surgery, Cologne Merheim Medical Center (CMMC), University of Witten/Herdecke, Ostmerheimer Straße 200, 51109, Cologne, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Paffrath
authors.affiliation: Department of Orthopedic and Trauma Surgery, BG Klinik Berlin, Warener Straße 7, 12683, Berlinv, Germany.
authors.forename: G
authors.initials: G
authors.lastname: Matthes
authors.affiliation: Department of Orthopedic and Trauma Surgery, St. Vincenz Hospital Paderborn, Am Busdorf 2, 33098, Paderborn, Germany.
authors.forename: L
authors.initials: L
authors.lastname: Mahlke
authors.affiliation: Department of Orthopedic and Trauma Surgery, BG Klinik Ludwigshafen, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen am Rhein, Germany.
authors.forename: B
authors.initials: B
authors.lastname: Swartman
authors.affiliation: Institution for Didactics and Education Sciences in Health Care, University Witten/Herdecke, Alfred-Herrhausen-Straße 50, 58448, Witten, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Hoffman
authors.affiliation: Institute for Research in Operative Medicine (IFOM), University of Witten/Herdecke, Ostmerheimer Straße 200, Haus 38, 51109, Cologne, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Lefering
authors.affiliation: Department of Orthopedic and Trauma Surgery, BG Klinik Ludwigshafen, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen am Rhein, Germany. christoph.woelfl@bgu-ludwigshafen.de.
authors.forename: C G
authors.initials: CG
authors.lastname: Wölfl
keywords: ATLS; Golden hour; Polytrauma; Trauma management; Trauma training
references.citation: Resuscitation. 2001 Jan;48(1):47-56
references.pmid: 11162882
references.citation: Unfallchirurg. 2002 Nov;105(11):1027-32
references.pmid: 12528671
references.citation: Unfallchirurg. 2009 Oct;112(10):846-53
references.pmid: 19756451
references.citation: Unfallchirurg. 1997 Nov;100(11):859-66
references.pmid: 9480555
references.citation: Am Surg. 1991 Dec;57(12):737-46
references.pmid: 1746786
references.citation: Med Educ. 1994 Nov;28(6):524-7
references.pmid: 7862015
references.citation: Injury. 2008 Jun;39(6):681-5
references.pmid: 18502425
references.citation: J Trauma. 1993 Jun;34(6):890-8; discussion 898-9
references.pmid: 8315686
references.citation: Am J Surg. 1999 Feb;177(2):167-70
references.pmid: 10204564
references.citation: Unfallchirurg. 2008 Sep;111(9):688-94
references.pmid: 18584141
references.citation: Anaesthesist. 2007 Nov;56(11):1142-6
references.pmid: 17726585
references.citation: Unfallchirurg. 1987 Dec;90(12):529-38
references.pmid: 3324344
references.citation: Swiss Surg. 2003;9(6):263-7
references.pmid: 14725094
references.citation: Am J Emerg Med. 2004 Nov;22(7):522-5
references.pmid: 15666253
references.citation: J Trauma Nurs. 2006 Apr-Jun;13(2):41-4
references.pmid: 16884131
references.citation: Emerg Med J. 2001 Jan;18(1):55-8
references.pmid: 11310464
references.citation: J Trauma. 1992 Oct;33(4):491-4
references.pmid: 1433392
references.citation: J Trauma. 2007 Jun;62(6):1416-20
references.pmid: 17563658
references.citation: Arch Surg. 1992 Jun;127(6):721-5; discussion 726
references.pmid: 1596174
references.citation: J Trauma. 1993 Jan;34(1):133-8
references.pmid: 7679741
references.citation: Anaesthesist. 2007 Nov;56(11):1147-54
references.pmid: 17882389
references.citation: J Trauma. 1992 May;32(5):660-5; discussion 665-6
references.pmid: 1588657
references.citation: Am J Surg. 2003 Apr;185(4):378-85
references.pmid: 12657394
references.citation: Surgeon. 2006 Jun;4(3):163-5
references.pmid: 16764202
references.citation: Unfallchirurg. 2004 Oct;107(10):844-50
references.pmid: 15452655