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  1. General surgeons and the advanced trauma life support course : is it time to refocus ? Discussion.

    Article, Communication - En anglais

    Eastern Association for the Surgery of Trauma. Annual scientific session. Sanibel FL USA, 1995/01/14.


    The aim of this study was to assess Advanced Trauma Life Support (ATLS) training status of general surgeons, its perceived utility, and its relation to clinical trauma practice.


    A national sample of 1300 general surgeons was surveyed by mail about trauma training, ATLS status, trauma call, and confidence in clinical trauma care abilities.


    Response rate was 61%. Respondents most commonly (67%) felt they learned a great deal about trauma care in residency training ; 13% responded similarly regarding ATLS.

    Course participation within 4 years of the survey was reported by 33% of respondents.

    Nearly 75% of those not taking the course cited primary reasons related to relevance (30%), redundancy (29%), and credentialing (15%). Inaccessibility, inconvenience, and cost were lesser factors.

    Of those expressing extreme confidence with trauma resuscitation, 40% had taken ATLS ; 15% of those expressing a lesser degree of confidence had taken ATLS.


    The ATLS course represents a standard of initial trauma care education in which only one-third of surgeons report current participation.

    Many view ATLS as not relevant or useful, yet take trauma call.

    To ensure standard education and patient care, an ATLS course curriculum specifically geared to the general surgeon should be developed and made a mandatory component of residency training or a requirement for board certification and trauma call credentialing.

    Mots-clés Pascal : Etats Unis, Evaluation, Chirurgien, Programme éducatif, Traumatologie, Personnel sanitaire, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : United States, Evaluation, Surgeon, Educational schedule, Traumatology, Health staff, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0069464

    Code Inist : 002B30A09. Création : 199608.