Effect of the Trauma Evaluation and Management module on the knowledge of senior medical students: a prospective cohort study

Effect of the Trauma Evaluation and Management module on the knowledge of senior medical students: a prospective cohort study

Can J Surg 2019;62(3):157-161 | PDF

Yahya Almarhabi, MD, MPH; Ahmed Subki, MBBS; Mohammed Alsallum, MBBS; Marwan Albeshri, MBBS; Abdel Moniem Mukhtar, MPH, DrPH

Abstract

Background: Despite the high incidence of motor vehicle collisions and associated mortality rates in Saudi Arabia, formal trauma training and management for undergraduate medical students is not optimal. The aim of our study was to assess the effect of the Trauma Evaluation and Management (TEAM) module on trauma knowledge among senior medical students.

Methods: Final-year medical students were recruited between September 2016 and May 2017 at King Abdulaziz University, Jeddah. They were allocated to 1 of 2 groups: 1 group was exposed to the TEAM module, and the other was not (control group). We employed a widely used 20-item multiple-choice standardized questionnaire to assess trauma-related knowledge of both groups.

Results: Our study included 136 participants, 68 in the TEAM module group and 68 in the control group. The mean scores for trauma-related knowledge were 68.4% (standard deviation [SD] 15.63%) and 45.4% (SD 19.52%), respectively. Linear regression analysis showed that the TEAM module participants scored 23% higher on the test than the control participants (β = 22.94%, 95% confidence interval 16.94%–28.94%).

Conclusion: Mean test scores were significantly higher for those who completed the TEAM module than for those who did not. We highly recommend incorporating the TEAM module into the formal medical curriculum at all Saudi universities.

Résumé

Contexte : Malgré la forte incidence des accidents de la route et la mortalité qui y est associée en Arabie saoudite, la formation formelle au traitement et à la prise en charge en traumatologie chez les étudiants en médecine de premier cycle laisse à désirer. Notre étude avait pour but d’évaluer l’effet du module TEAM (Trauma Evaluation and Management) sur les connaissances en matière de traumatologie acquises par les étudiants en médecine de niveau avancé.

Méthodes : Durant leur dernière année de formation, des étudiants en médecine ont été recrutés entre septembre 2016 et mai 2017 à l’Université du roi Abdulaziz, à Djeddah. On les a assignés à 1 de 2 groupes : un groupe a été exposé au module TEAM, et l’autre non (groupe témoin). Nous avons utilisé un questionnaire à choix multiples standardisé en 20 points pour évaluer les connaissances des 2 groupes en matière de traumatologie.

Résultats : Notre étude a regroupé 136 participants, 68 dans le groupe exposé au module TEAM et 68 dans le groupe témoin. Les scores moyens en ce qui concerne les connaissances en traumatologie ont été de 68,4 % (écart-type [É.-T.] 15,63 %) et de 45,4 % (É.-T. 19,52 %), respectivement. L’analyse de régression linéaire a révélé que les participants exposés au module TEAM ont obtenu des résultats de 23 % supérieurs aux participants du groupe témoin (β = 22,94 %, intervalle de confiance à 95 % 16,94 %–28,94 %).

Conclusion : Les scores moyens aux tests ont été significativement plus élevés chez les participants ayant complété le module TEAM que chez les autres. Nous recommandons fortement d’intégrer le module TEAM au programme de formation médicale dans toutes les universités de l’Arabie saoudite.


Accepted Sept. 7, 2018

Acknowledgements: This project was funded by the Deanship of Scientific Research (DSR) at King Abdulaziz University, Jeddah, under grant no. RG-3-140-38. The authors acknowledge with thanks DSR for technical and financial support.

Affiliations: From the Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia (Yahya); the Center of Excellence in Trauma and Accidents, King Abdulaziz University, Jeddah, Saudi Arabia (Yahya); the Clinical Skills and Simulation Center, King Abdulaziz University, Jeddah, Saudi Arabia (Yahya); the Medical Students, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia (Ahmed, Mohammed, Marwan); and the Department of Family and Community Medicine, Rabigh Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia (Moniem).

Competing interests: None declared.

Contributors: Y. Almarhabi designed the study and acquired the data, which all authors analyzed. All authors wrote and reviewed the article, approved the final version to be published and can certify that no other individuals not listed as authors have made substantial contributions to the paper.

DOI: 10.1503/cjs.018517

Correspondence to: Y. Almarhabi, Department of Surgery, Faculty of Medicine, King Abdulaziz University, PO Box 80215, Jeddah 21589, Saudi Arabia, yalmarhabi@kau.edu.sa