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Trauma Boot Camp: A Simulation-Based Pilot Study.

Fabiana Ortiz Figueroa1, Yasmin Moftakhar2, Arthur L Dobbins Iv3

  • 1Emergency Medicine, Summa Akron City Hospital.

Cureus
|March 2, 2016
PubMed
Summary
This summary is machine-generated.

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An intensive trauma boot camp improved intern confidence in leadership and trauma surveys. However, it did not significantly enhance overall teamwork or specific clinical skills like the Glasgow Coma Scale.

Area of Science:

  • Medical Education
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Interns often lack preparedness for effective communication in acute trauma care.
  • The Advanced Trauma Life Support (ATLS) program has shortcomings in teamwork and leadership training.
  • An interdisciplinary boot camp was developed to assess and improve interns' trauma knowledge, confidence, and teamwork.

Purpose of the Study:

  • To enhance communication and teamwork skills for acute trauma patient management among interns.
  • To assess the impact of a one-day boot camp on interns' trauma knowledge and confidence.
  • To evaluate improvements in leadership and crisis resource management (CRM) skills.

Main Methods:

  • A one-day, 12-hour interdisciplinary boot camp curriculum was designed for interns.
Keywords:
atlsboot campcrisis resource managementsimulationtraumavicarious error management

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  • The curriculum included trauma simulations, expert lectures, video discussions, and skill workstations.
  • Assessments involved confidence surveys, cognitive questionnaires, and a validated teamwork/leadership evaluation tool.

    • Main Results:

    • Fifteen interns showed a significant increase in confidence regarding role delegation, leadership, CRM principles, and trauma surveys.
    • Confidence levels rose from a baseline of 3.2 (1-5 scale) to higher scores post-boot camp.
    • No significant improvements were observed in Glasgow Coma Scale utilization, orthopedic splinting, or closed-loop communication.

    Conclusions:

    • The intensive trauma boot camp significantly boosted interns' self-reported confidence in CRM, leadership, and trauma survey performance.
    • Despite curriculum intensity, overall teamwork and leadership performance during simulations did not significantly improve.
    • The boot camp provides a framework for educators to develop effective leadership and teamwork training for interns.