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Updated: Jun 27, 2026

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
[Analysis of resident trauma education]
Dieter Morales García1, José María Jover Navalon, José María Miguelena Bobadilla
1Sección de Politrauma y Cuidados Intensivos Quirúrgicos, Asociación Española de Cirujanos, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Marqués de Valdecilla, Santander, España. dms@mundivia.es
General surgery residents report inadequate training and knowledge in major trauma patient care. Despite increased involvement, there
Area of Science:
- Trauma Surgery
- Surgical Education
- Medical Training
Context:
- Major trauma patient care is critical globally, yet training and experience acquisition for surgical residents remain uncertain.
- There's a growing need to understand the current state of surgical resident education in managing major trauma patients.
Purpose:
- To assess surgical residents' current training and knowledge in major trauma patient care.
- To gather residents' opinions on improving trauma management education.
- To analyze changes in major trauma care and influencing teaching factors over recent years.
Summary:
- A survey of 78 university hospitals revealed no significant changes in major trauma patient care over the last five years.
- Hospital trauma referral status did not correlate with residents feeling well-trained or informed.
- General surgery residents expressed feeling ill-equipped to manage major trauma patients.
Impact:
- Highlights a critical gap in surgical resident preparedness for major trauma cases.
- Suggests a need for enhanced trauma management curricula and training protocols.
- Indicates limited research in multiple trauma despite its clinical significance and university affiliations.
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