Trauma leagues: an alternative way to teach trauma surgery to medical students

Simões, Romeo Lages; Bermudes, Fernando Antônio Martins; Andrade, Hudson Silva; Barcelos, Filipe Machado; Rossoni, Breno Pinheiro; Miguel, Gustavo Peixoto Soares; Fagundes, Carlos Alberto de Castro; Fraga, Gustavo Pereira

doi:10.1590/0100-699120140040013

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Learning • Rev. Col. Bras. Cir. 41 (4) • Jul-Aug 2014 • https://doi.org/10.1590/0100-699120140040013 copy

Trauma leagues: an alternative way to teach trauma surgery to medical students

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

to compare the knowledge of medical students between those who are members of the Trauma League (TL) and those from a non-Trauma League (NTL) group of the Federal University of Espírito Santo (UFES).

METHODS:

cross-sectional, analytical and descriptive study. Two knowledge tests, with 30 questions each, were applied to students from 3^rd to 12^th period, randomly selecting five students per period, with 50 students in the TL group and 50 in NTL. The questionnaire topics were: pre-hospital care, the mnemonic ABCDE trauma sequence, advanced trauma and imaging. The students' performances were evaluated by graduation-period group: basic (3^rd-5^th period), intermediary/clinical (6^th-8^th) and internship (9^th-12^th).

RESULTS:

in the first test the average accuracy of the TL group was 20.64 ± 3.17, while for the NTL group, it was 14.76 ± 5.28 (p<0.005). In the second test the average accuracy for the TL group was 21.52 ± 3.64, while for the NTL group, the average was 15.36 ± 29.5 (p<0.005). When divided into graduation periods, it was observed that the TL group showed a higher average across all three groups (p<0.05) in both tests.

CONCLUSION:

the students who attended the academic league activities have greater knowledge of the issues that are considered relevant to patient trauma care. In all periods of undergraduate academic training, the TL group had greater knowledge of the subject than the NTL group.

Trauma; Students, Medical; Teaching; General Surgery

Theme group	G r o u p	M e a n	Standard deviation	p - Value

Pre-hospital care	TL	2.58	0.81	0.000*
	NTL	1.52	0.89
Airways and cervical protection	TL	3.48	0.79	0.001*
	NTL	2.82	1.14
Breathing	TL	2.30	0.99	0.024*
	NTL	1.84	1.02
Circulation	TL	2.60	0.93	0.002*
	NTL	1.96	1.07
Neurology	TL	2.56	0.91	0.000*
	NTL	1.70	1.11
Exposure and hypothermia control	TL	3.38	0.67	0.000*
	NTL	2.04	1.24
Advanced trauma procedures	TL	2.54	0.89	0.014*
	NTL	2.04	1.11
Trauma imaging	TL	1.20	0.81	0.022*
	NTL	0.84	0.74

Theme group	G r o u p	M e a n	Standard deviation	p - Value

Pre-hospital care	TL	2.16	0.91	0.000*
	NTL	1.36	1.14
Airways and cervical protection	TL	3.66	0.59	0.475
	NTL	3.56	0.79
Breathing	TL	2.98	0.98	0.017*
	NTL	2.46	1.15
Circulation	TL	2.96	0.83	0.000*
	NTL	1.84	1.06
Neurology	TL	2.96	0.86	0.000*
	NTL	1.88	1.41
Exposure and hypothermia control	TL	3.02	0.89	0.000*
	NTL	2.00	1.31
Advanced trauma procedures	TL	2.62	1.05	0.000*
	NTL	1.30	0.91
Trauma imaging	TL	1.16	0.96	0.306
	NTL	0.96	0.99

						G r o u p
Stage				T L				NTL
			Mean (std. dev.)				Mean (std. dev.)			p - Value
		Test	1	Test	2	Test 1		Test 2		Test 1	Test 2
Basic	19.5		(2.1)	18.9	(2.1)	9.3	(3.4)	10.7	(3.5)	0.000*	0.000*
Intermediary	19.3		(3.6)	22.3	(4.0)	13.7	(3.6)	14.5	(5.0)	0.000*	0.000*
Internship	22.5		(2.8)	22.9	(3.3)	19.6	(2.2)	19.4	(3.2)	0.001*	0.002*

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[1] Corresponding author: Romeo Lages Simões E-mail: romeolages@hotmail.com