Redefining Trauma Training in Canada: A National Delphi Study on Curriculum, Educational Resources, and Training...

Area of Science:

• Medical Education
• Surgical Training
• Trauma Surgery

Background:

• Canadian general surgery residency programs require standardized trauma training.
• Current trauma education may not fully meet the needs of surgical residents.

Purpose of the Study:

• To develop evidence-based curriculum recommendations for trauma training in Canadian general surgery residency.
• To establish a consensus on essential and desirable components for trauma education.

Main Methods:

• A modified Delphi study was conducted with Canadian trauma and surgical education experts.
• Curriculum components were derived from needs assessment data and rated by a national expert panel.
• Consensus was reached on mandatory and exemplary educational elements.

Main Results:

• Nineteen experts achieved consensus on a comprehensive set of curriculum components.
• 71 items were identified as mandatory (e.g., dedicated trauma rotations, resuscitation courses, simulation).
• 21 items were identified as exemplary (e.g., research opportunities, funding for courses).

Conclusions:

• A framework for curricular reform in trauma training for Canadian general surgery residencies was proposed.
• Recommendations emphasize rotations, formal courses, resources, and simulation to augment clinical experience.
• The study provides a roadmap for enhancing the quality and consistency of trauma education.