Abstract:

Introduction:
Current undergraduate trauma and life-support training inadequately equips medical students with the knowledge, practical skills and confidence to manage trauma patients. Often first to the scene of medical emergencies, it is imperative junior doctors feel confident and competent from day one. No UK university currently includes advanced trauma and life support (ATLS) in their curriculum. This study piloted an ATLS course for Cardiff final-year medical students to improve confidence and knowledge in management of the trauma patient.

Aim:
To assess the immediate effect of a one-day undergraduate ATLS course on medical students' confidence in management of life-threatening and multiple injuries.

Methods:
Twelve final-year students attended a one-day, practical-skills based and interactive course led by trauma surgeons. Students’ confidence managing a trauma patient were assessed pre and post-course using a six-item-MCQ with a 5-point Likert scale. Paired t-tests were carried out on SPSS for comparison pre- and post-course across the six items. Qualitative feedback was also collected.

Results:
The students’ confidence in managing a trauma patient’s ‘airway and breathing’, ‘circulation’ and ‘C-spine’ all significantly improved after attending the course (p=0.023, p=0.045 and p=000 respectively). Students felt significantly more confident completing practical skills related to trauma (p= 0.001) and their confidence in managing trauma patients overall at the level expected of a Foundation doctor increased significantly (p= 0.003). Qualitative feedback demonstrated high faculty-to-student ratio, practical and interactive teaching methods were particularly helpful.

Conclusion:
Before the course, most students did not feel confident in their ability to manage trauma patients. The content and delivery of this course proved beneficial for final-year medical students imminently becoming Foundation doctors, evidencing the requirement for increased trauma training. We advocate the expansion and continuation of this novel student course to continue improving the trauma training within the undergraduate curriculum.

Keywords:

Trauma, undergraduate, novel, ATLS.