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ATLS: are we training the wrong people?

G Hughes1, A Price

  • 1Emergency and Trauma Services, Wellington Hospital, New Zealand. wemgh@mash.wnhealth.co.nz

The Australian and New Zealand Journal of Surgery
|September 3, 1999
PubMed
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Emergency medicine departments in the UK are understaffed by senior house officers, and Advanced Trauma Life Support (ATLS) training is not reaching enough of these crucial doctors. This study examines why and offers solutions for better training dissemination.

Area of Science:

  • Emergency Medicine
  • Medical Education
  • Trauma Care Training

Background:

  • Emergency medicine is a popular specialty in the UK, yet departments often rely on junior doctors, especially during off-peak hours.
  • This staffing model raises concerns about the quality and accessibility of advanced trauma care training for frontline medical professionals.

Purpose of the Study:

  • To investigate the effectiveness of Advanced Trauma Life Support (ATLS) training dissemination among senior house officers in UK emergency departments.
  • To identify reasons for inadequate training reach and propose actionable solutions for improving ATLS education.

Main Methods:

  • A combined telephone and postal survey was conducted.
  • The survey focused on the completion rates of Advanced Trauma Life Support (ATLS) training among senior house officers in emergency medicine.

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Main Results:

  • UK-based ATLS courses are not training a sufficient number of doctors in emergency medicine.
  • The current dissemination of ATLS training is not reaching the essential 'grass-roots' level of medical care where it is most needed.

Conclusions:

  • The study identifies potential barriers to effective ATLS training dissemination within the UK.
  • Constructive solutions are proposed to enhance training reach, with relevance also considered for Australasian medical practitioners and their Emergency Management of Severe Trauma (EMST) courses.