Early Evaluation of a New French Surgery Course in the Best Practice of Dealing With Major Incidents and Mass Casualty Events.

Mass casualty damage control educational measurement efficacy of training surgery training traumatology

Journal

Journal of surgical education
ISSN: 1878-7452
Titre abrégé: J Surg Educ
Pays: United States
ID NLM: 101303204

Informations de publication

Date de publication:
09 2023
Historique:
received: 03 01 2023
revised: 11 05 2023
accepted: 11 06 2023
medline: 11 8 2023
pubmed: 11 7 2023
entrez: 10 7 2023
Statut: ppublish

Résumé

The main objective of this study is to evaluate the impact of a nationwide 5-month course aimed to prepare surgeons for Major Incidents through the acquisition of key knowledge and competencies. Learners' satisfaction was also measured as a secondary objective. This course was evaluated thanks to various teaching efficacy metrics, mainly based on Kirkpatrick's hierarchy in medical education. Gain in knowledge of participants was evaluated by multiple-choice tests. Self-reported confidence was measured with 2 detailed pre and post training questionnaires. Creation in 2020 of a nationwide, optional and comprehensive Surgical Training in War and Disaster Situation as part of the French surgery residency program. In 2021, data was gathered regarding the impact of the course on participants' knowledge and competencies. The study included 26 students in the 2021 cohort (13 residents and 13 practitioners). Mean scores were significantly higher in the post-test compared to the pre-test, showing significant increase in participants' knowledge during the course: 73,3% vs. 47,3% respectively (p ≤ 0.001). Average learners' confidence scores to perform technical procedures showed at least a +1-point increase on the Likert scale for 65% of items tested (p ≤ 0.001). 89% of items showed at least a +1-point increase on the Likert scale when it came to average learners' confidence score on dealing with complicated situations (p ≤ 0.001). Our post-training satisfaction survey showed that 92% of all participants have noticed the impact of the course on their daily practice. Our study shows that the third level of Kirkpatrick's hierarchy in medical education was reached. This course therefore appears to be meeting the objectives set by the Ministry of Health. Being only 2 years old, it is on the road to gathering momentum and further development.

Identifiants

pubmed: 37429782
pii: S1931-7204(23)00214-3
doi: 10.1016/j.jsurg.2023.06.011
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1253-1267

Informations de copyright

Copyright © 2023 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Auteurs

Juliette Fischer (J)

Department of Digestive and Emergency Surgery, Grenoble Alpes University Hospital, Grenoble, France. Electronic address: jfischer@chu-grenoble.fr.

Sandrine Barbois (S)

Inria, CNRS, Grenoble INP, LJK, University Grenoble Alpes, Grenoble, France; Department Of Digestive and Acute Care Surgery, Edouard Herriot Hospital, Hospices Civils de Lyon, Claude Bernard Lyon 1 university, Lyon, France.

Jean-Louis Quesada (JL)

Clinical Pharmacology Unit, INSERM CIC1406, Grenoble Alpes University Hospital, Grenoble, France.

Guillaume Boddaert (G)

Department of Thoracic and Vascular Surgery, Percy Military Academic Hospital, Clamart Cedex, France.

Pierre Haen (P)

Department of Maxillofacial Surgery, Laveran Military and Academic Hospital, Marseille, France.

Antoine Bertani (A)

Department of Orthopaedics and Trauma, Edouard Herriot Hospital, Lyon, France.

Patrick Duhamel (P)

Department of Plastic surgery, Percy Military Academic Hospital, Clamart, France.

Jean-Marc Delmas (JM)

Department of Neurosurgery, Percy Military Academic Hospital, Clamart, France.

Eric Lechevallier (E)

Department of Urology and Kidney Transplantation, Aix-Marseille University, AP-HM, Conception Academic Hospital, Marseille, France.

Christian Piolat (C)

Department of Paediatric surgery, Grenoble Alpes University Hospital, Grenoble , France.

Frédéric Rongieras (F)

Department of Orthopaedics and Trauma, Edouard Herriot Hospital, Lyon, France.

Christophe Tresallet (C)

Department of Digestive, Bariatric and Endocrine Surgery, APHP, Avicenne Academic Hospital, Sorbonne Paris Nord University, Bobigny France.

Paul Balandraud (P)

Department of General Surgery, Sainte-Anne Military Academic Hospital, Toulon, France.

Catherine Arvieux (C)

Department of Digestive and Emergency Surgery, Grenoble Alpes University Hospital, Grenoble, France.

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