<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Introduction</h3>
<p>Post-traumatic examination methods have been developed for the easier and more efficient management of trauma patients. Performed according to a scheme, post-traumatic examination must be well-learned and repeatedly practised. Training for this has radically changed in recent years in Poland.</p>
<p>The aim of this study was to compare the effectiveness of 2 different forms of physician postgraduate residency training by assessing how well trainee physicians carry out post-traumatic examinations.</p></sec>
<sec><h3>Materials and methods</h3>
<p>The study involved 2 groups of trainee physicians who were tasked with performing a full post-traumatic examination on simulated patients. Group I consisted of 81 physicians who had taken part in postgraduate residency training in 2011, and group II was comprised of 63 trainee physicians who had undergone such training in 2015. A Laerdal MegaCode Kelly manikin was employed in the project. All simulated patients had the same external injuries and vital function parameters.</p></sec>
<sec><h3>Results</h3>
<p>None of the physicians in group I correctly carried out all 4 procedures for preliminary assessment (consciousness, airway patency, breath, and blood circulation), and only 7.14% managed to correctly perform 3 of these procedures. In group II, all 4 procedures were executed correctly by 9.52% of the physicians, and 3 procedures by 14.29% (p &lt; 0.001). Quick post-traumatic examination was performed correctly by 4.76% of the physicians from group II but by none of the physicians from group I (p &lt; 0.05).</p></sec>
<sec><h3>Conclusions</h3>
<p>In both groups of trainee physicians, the ability to recognize a life-threatening situation and to perform a posttraumatic examination was inadequate. Postgraduate residency training in both its previous and present form did not guarantee a satisfactory knowledge in this subject.</p></sec>
</abstract>

Introduction
Post-traumatic examination methods have been developed for the easier and more efficient management of trauma patients. Performed according to a scheme, post-traumatic examination must be well-learned and repeatedly practised. Training for this has radically changed in recent years in Poland.
The aim of this study was to compare the effectiveness of 2 different forms of physician postgraduate residency training by assessing how well trainee physicians carry out post-traumatic examinations.
Materials and methods
The study involved 2 groups of trainee physicians who were tasked with performing a full post-traumatic examination on simulated patients. Group I consisted of 81 physicians who had taken part in postgraduate residency training in 2011, and group II was comprised of 63 trainee physicians who had undergone such training in 2015. A Laerdal MegaCode Kelly manikin was employed in the project. All simulated patients had the same external injuries and vital function parameters.
Results
None of the physicians in group I correctly carried out all 4 procedures for preliminary assessment (consciousness, airway patency, breath, and blood circulation), and only 7.14% managed to correctly perform 3 of these procedures. In group II, all 4 procedures were executed correctly by 9.52% of the physicians, and 3 procedures by 14.29% (p < 0.001). Quick post-traumatic examination was performed correctly by 4.76% of the physicians from group II but by none of the physicians from group I (p < 0.05).
Conclusions
In both groups of trainee physicians, the ability to recognize a life-threatening situation and to perform a posttraumatic examination was inadequate. Postgraduate residency training in both its previous and present form did not guarantee a satisfactory knowledge in this subject.

The influence of changes in the form of physician postgraduate residency training on their ability to perform post-traumatic examination as an emergency procedure

Pomeranian Medical University in Szczecin

Clinic of Anesthesiology, Intensive Therapy and Emergency Medicine

Pomeranian Journal of Life Sciences

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Introduction
Post-traumatic examination methods have been developed for the easier and more efficient management of trauma patients. Performed according to a...

The influence of changes in the form of physician postgraduate residency training on their ability to perform post-traumatic examination as an emergency procedure

Published Online: Jan 07, 2021

Page range: 1 - 5

DOI: https://doi.org/10.21164/pomjlifesci.742

Keywords
emergency medicine, post-traumatic examination, postgraduate trainee physicians, effects of education

© 2020 Maciej Denisiuk et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

The influence of changes in the form of physician postgraduate residency training on their ability to perform post-traumatic examination as an emergency procedure

Published Online: Jan 07, 2021

Page range: 1 - 5

DOI: https://doi.org/10.21164/pomjlifesci.742

Keywordsemergency medicine, post-traumatic examination, postgraduate trainee physicians, effects of education

© 2020 Maciej Denisiuk et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
emergency medicine, post-traumatic examination, postgraduate trainee physicians, effects of education