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National evaluation of trauma teaching for students (NETTS)
Jamie Large1, Prakrit R Kumar1,2, Nagarjun N Konda3,4
1University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Postgraduate Medical Journal
|June 15, 2023
Summary
Junior doctors report insufficient trauma education during medical school, leading to low confidence in patient care. A standardized, blended learning approach is recommended to improve undergraduate trauma teaching.
Area of Science:
- Medical Education
- Trauma Care
- Surgical Training
Background:
- Junior doctors frequently manage trauma patients despite feeling unprepared.
- Existing research on junior doctor preparedness in acute care is limited, with a specific gap in trauma-specific studies.
- A national investigation into current undergraduate trauma teaching is necessary to identify improvement areas.
Purpose of the Study:
- To assess the current state of undergraduate trauma teaching in UK medical schools.
- To identify deficiencies in trauma education and confidence levels among recent medical graduates.
- To explore potential improvements in trauma training delivery.
Main Methods:
- A national study conducted between August and September 2020.
- A 35-item structured questionnaire distributed to UK medical graduates from the last 4 years.
- Retrospective assessment of trauma teaching experiences and confidence in trauma management.
Main Results:
- 398 responses were collected from graduates of 39 UK medical schools.
- A significant majority (79.6%) received 0-5 hours of bedside trauma teaching, and 51.8% had less than 20 hours in the Accident and Emergency department.
- 72.9% of graduates lacked confidence in initial trauma patient assessment, with 93.7% finding a short trauma course beneficial.
Conclusions:
- Undergraduate trauma teaching lacks national standardization, leaving graduates unprepared.
- Recent graduates strongly support formal undergraduate trauma teaching to ensure competence.
- A blended learning approach combining e-learning, traditional methods, and clinical experience is likely to be well-received and effective.
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