Training in paediatric trauma: the problem of safer societies.

Full Abstract

BACKGROUND:
Trauma remains the most common cause of child death worldwide but the incidence of major trauma is declining in many developed countries:
this has implications for training.

METHODS:
A survey of paediatric surgeons and paediatric surgical trainees was undertaken to evaluate perceptions of the relative importance of various forms of trauma training. A questionnaire was e-mailed to Australasian paediatric surgeons and trainees to determine trauma courses they had undertaken, operative and non-operative paediatric trauma experience and attitudes towards trauma training.

RESULTS:
The overall response rate was 49% (40 of 83 consultants and 11 of 22 trainees). The Early Management of Severe Trauma course had been undertaken by 82% of consultants and all trainees. The Definitive Surgical Trauma Care course had been undertaken by 22% of consultants and one trainee. The number of trauma laparotomies carried out in the previous year was in the one to five range for 71% of responders. Greater emphasis was placed on the value of adult trauma experience by consultants who had a general surgical fellowship.

CONCLUSION:
In societies where major trauma in children is relatively rare (fortunately) and the opportunities for training are limited, it is important to ensure that advanced trainees in paediatric surgery gain sufficient skills from a variety of sources to enable them to treat competently the severely injured child with multiple injuries.

Learn Faster Today Improve your study skills

Author information

Author/s: Hamill, James (J); Beasley, Spencer W (SW);

Affiliation: Department of Paediatric Surgery, Starship Children's Hospital, Auckland, New Zealand. jamesh(-atsign-)adhb.govt.nz

Journal and publication information

Publication Type: Comparative Study; Journal Article

Journal: ANZ journal of surgery (ANZ J Surg), published in Australia. (Language: eng)

Reference: 2006-Jul; vol 76 (issue 7) : pp 596-9

Dates: Created 2006/07/03; Completed 2006/09/14; Revised 2008/11/21;

PMID: 16813625, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: ANZ J Surg. 2006 Jul;76(7):541. (PMID: 16813614)

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Australia
Child
Education, Medical, Graduate
General Surgery - education
Humans

Humans
New Zealand
Pediatrics - education
Questionnaires
Traumatology - education
Wounds and Injuries - surgery

These are the highest related articles currently in the database:

See 100+ related articles.