caa a22 4500 477036023 CHVBK 20180405111305.0 cr unu---uuuuu 170330e19961001xx s 000 0 eng 10.1007/s002689900171 doi (NATIONALLICENCE)springer-10.1007/s002689900171 Teaching Effectiveness of the Advanced Trauma Life Support Program as Demonstrated by an Objective Structured Clinical Examination for Practicing Physicians [Elektronische Daten] [Jameel Ali, Robert Cohen, Rasheed Adam, Theophilus J. Gana, Ian Pierre, Henry Bedaysie, Ernest Ali, Undine West, Jennifer Winn] Abstract. Although the Advanced Trauma Life Support (ATLS) course is now taught internationally, its teaching effectiveness still requires confirmation. The Objective Structured Clinical Examination (OSCE) reliably assesses clinical performance by utilizing standardized patients. An OSCE of eight 15 minute trauma patient stations and two 40 item MCQ tests were used to test the teaching effectiveness of the ATLS program in 32 practicing physicians who applied for an ATLS program in Trinidad and Tobago. The physicians were randomly assigned to an ATLS group (: n = 16) that completed the ATLS course and a non-ATLS group ( n = 16). Before and after the ATLS course, all physicians completed MCQ tests and trauma OSCE. Mean (± SD) OSCE scores (standardized to 20) ranged from 9.8 ± 1.7 to 10.0 ± 1.7 and 9.5 ± 1.8 to 10.8 ± 1.3 in the ATLS and non-ATLS groups, respectively, prior to the ATLS course (NS). Post-ATLS OSCE scores ranged from 15.9 ± 1.7 to 17.6 ± 1.7 in the ATLS group ( p < 0.05 compared to pre-ATLS) and 9.5 ± 1.4 to 10.1 ± 1.3 in the non-ATLS group, which did not improve their OSCE scores. Adherence to priorities was graded 1 to 7 with the pre-ATLS grades of 1.7 ± 0.6 (ATLS) and 1.8 ± 0.7 (non-ATLS) and post-ATLS grades of 6.4 ± 1.1 (ATLS) and 2.1 ± 0.6 (non-ATLS). Organized approach to trauma was graded 1 to 5 with pre-ATLS grades of 1.6 ± 0.5 (ATLS) and 1.7 ± 0.6 (non-ATLS) and post-ATLS grades of 4.5 ± 0.6 (ATLS) and 1.9 ± 0.6 (non-ATLS). Pre-ATLS MCQ scores (%) were similar: 53.1 ± 8.4 (ATLS) and 57.3 ± 5.4 (non-ATLS), but post-ATLS scores were greater in the ATLS group: 85.8 ± 7.1 (ATLS) and 64.2 ± 3.6 (non-ATLS). Our data support the teaching effectiveness of the ATLS program among practicing physicians as measured by improvement in OSCE scores, adherence to trauma priorities, maintenance of an organized approach to trauma care, and cognitive performance in MCQ examinations. 1996 by the Société Internationale de Chir, ugie Ali Jameel Department of Surgery, The Banting Institute, University of Toronto, 100 College Street, Toronto, Ontario, Canada, CA aut Cohen Robert Department of Surgery, The Banting Institute, University of Toronto, 100 College Street, Toronto, Ontario, Canada, CA aut Adam Rasheed Department of Neurosurgery, San Fernando General Hospital, San Fernando, 23 Lucknow Street, St. James, Republic of Trinadad and Tobago, TT aut Gana Theophilus J. Department of Surgery, St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, Ontario, Canada, CA aut Pierre Ian Department of Surgery, University of West Indies, Republic of Trinadad and Tobago, TT aut Bedaysie Henry Department of Surgery, University of West Indies, Republic of Trinadad and Tobago, TT aut Ali Ernest Department of Surgery, Port of Spain General Hospital, Port of Spain, Republic of Trinadad and Tobago, TT aut West Undine Department of Surgery, San Fernando General Hospital, San Fernando, Republic of Trinadad and Tobago, TT aut Winn Jennifer Department of Nursing, Advanced Trauma Life Support, Mount Hope Medical Sciences Complex, Uriah Butler Highway, Republic of Trinadad and Tobago, TT aut https://doi.org/10.1007/s002689900171 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900171 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ali Jameel Department of Surgery, The Banting Institute, University of Toronto, 100 College Street, Toronto, Ontario, Canada, CA aut NATIONALLICENCE 700 1- Cohen Robert Department of Surgery, The Banting Institute, University of Toronto, 100 College Street, Toronto, Ontario, Canada, CA aut NATIONALLICENCE 700 1- Adam Rasheed Department of Neurosurgery, San Fernando General Hospital, San Fernando, 23 Lucknow Street, St. James, Republic of Trinadad and Tobago, TT aut NATIONALLICENCE 700 1- Gana Theophilus J. Department of Surgery, St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, Ontario, Canada, CA aut NATIONALLICENCE 700 1- Pierre Ian Department of Surgery, University of West Indies, Republic of Trinadad and Tobago, TT aut NATIONALLICENCE 700 1- Bedaysie Henry Department of Surgery, University of West Indies, Republic of Trinadad and Tobago, TT aut NATIONALLICENCE 700 1- Ali Ernest Department of Surgery, Port of Spain General Hospital, Port of Spain, Republic of Trinadad and Tobago, TT aut NATIONALLICENCE 700 1- West Undine Department of Surgery, San Fernando General Hospital, San Fernando, Republic of Trinadad and Tobago, TT aut NATIONALLICENCE 700 1- Winn Jennifer Department of Nursing, Advanced Trauma Life Support, Mount Hope Medical Sciences Complex, Uriah Butler Highway, Republic of Trinadad and Tobago, TT aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer