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Evaluation of a Prehospital Rotation by Senior Residents: A Web-Based Survey.
Laurent Suppan1, Michèle Chan1, Birgit Gartner1
1Division of Emergency Medicine, Department of Anaesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine, Faculty of Medicine University of Geneva, Geneva University Hospitals, CH-1211 Geneva, Switzerland.
Senior residents perceive prehospital rotations as highly valuable for developing technical and non-technical skills. However, anesthesiology residents reported fewer benefits in pharmacological knowledge and emergency management compared to other specialties.
Area of Science:
- Emergency Medicine
- Medical Education
Background:
- Prehospital emergency medicine's value is typically measured by patient outcomes.
- Prehospital rotations may offer unique skill development opportunities for senior residents.
Purpose of the Study:
- To evaluate the perceived added value of prehospital rotations compared to other rotations for senior residents.
- To assess resident satisfaction with prehospital rotations and supervision.
Main Methods:
- Web-based questionnaires were distributed to senior residents from September 2011 to August 2020.
- Analysis included 91 completed surveys, with a 71.5% response rate.
- Subgroup analysis examined differences based on residency specialty (anesthesiology, emergency medicine, internal medicine).
Main Results:
- The majority of residents found prehospital rotations more beneficial for acquiring technical and non-technical skills than other rotations.
- Anesthesiology residents reported lower perceived benefits in pharmacological knowledge and confidence in managing emergencies.
- Overall resident satisfaction with the rotation and supervision was assessed.
Conclusions:
- Prehospital rotations are perceived as beneficial for skill acquisition by most senior residents.
- Anesthesiology residents may benefit less from prehospital rotations regarding specific knowledge and confidence.
- Further simulation studies are recommended to validate these findings.
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