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The History and Evolution of the Trauma Program Manager/Coordinator.
Amy Koestner1, Madonna Walters, Mican DeBoer
1Spectrum Health, Grand Rapids, Michigan (Ms Koestner); Allegiance Health, Jackson, Michigan (Ms Walters); and Bronson Lakeview Hospital, Paw Paw, Michigan (Ms DeBoer).
The trauma program manager (TPM) role has evolved, with varying duties based on hospital volume. Higher-volume centers focus on administration, while lower-volume centers emphasize registry and clinical tasks, indicating persistent role diversity.
Area of Science:
- Trauma surgery
- Healthcare administration
- Medical program management
Background:
- The trauma program manager (TPM) role has significantly evolved since the 1980s.
- Historically, TPMs managed diverse responsibilities including education, data collection, clinical activities, research, and quality assurance.
Purpose of the Study:
- To evaluate the self-perceived functions and scope of work of TPMs in the United States.
- To understand how the TPM role varies across different healthcare settings.
Main Methods:
- Survey sampling methodology was employed.
- Data was collected from TPMs across the United States.
Main Results:
- TPMs at higher-volume trauma centers dedicate more time to program administration.
- TPMs at lower-volume trauma centers concentrate more on registry and clinical duties.
- Significant variability in the TPM role persists despite evolution.
Conclusions:
- The TPM role is dynamic, expanding and refining over time.
- Hospital volume is a key factor influencing the scope of TPM responsibilities.
- Standardization of the TPM role remains a challenge due to ongoing variability.
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