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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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A Delphi consensus study for teaching "Basic Trauma Management" to third-year medical students.

Joana Berger-Estilita1, Sabine Nabecker2, Robert Greif2

  • 1Department of Anaesthesiology and Pain Therapy, Inselspital, Bern University Hospital, Freiburgstrasse 8-10, 8010, Bern, Switzerland. Joana.berger-estilita@insel.ch.

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Summary
This summary is machine-generated.

A revised Basic-Trauma Management (BTM) course identified 29 core competencies for medical students. Human Factors emerged as a key area, alongside tourniquet use, aligning with new Swiss learning outcomes.

Keywords:
CurriculumDelphiSkillsTeachingTraumaUndergraduate

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Area of Science:

  • Medical Education
  • Trauma Management
  • Curriculum Development

Background:

  • The Basic-Trauma Management (BTM) course for third-year medical students required revision due to a new Swiss curriculum.
  • Existing BTM content had remained largely unchanged for many years.

Purpose of the Study:

  • To identify and establish core competencies for a revised Basic-Trauma Management (BTM) course.
  • To re-align BTM content with new Swiss undergraduate medical education learning outcomes.

Main Methods:

  • A three-round Delphi consensus method was employed.
  • Stakeholders with extensive experience in BTM teaching and trauma patient management were selected.
  • Initial open-ended questions were followed by Likert scale assessments and a final consensus round.

Main Results:

  • Consensus was reached on 29 competencies from an initial 130 proposals.
  • "Human Factors" was identified as a significant competency, accounting for 22% of the consensus, despite not being previously taught.
  • The use of tourniquets was the only specific trauma skill agreed upon.

Conclusions:

  • This study exemplifies curricular revision in response to regulatory changes in undergraduate medical education.
  • The revised BTM course effectively integrates stakeholder-identified needs and aligns with new Swiss learning outcomes for trauma care.
  • The process highlights the importance of consensus-building in defining essential clinical skills for medical training.