SELF-CONFIDENCE ON ACQUIRED SURGICAL SKILLS TO DEAL WITH SEVERE TRAUMA PATIENTS IN RECENTLY GRADUATED SURGEONS
ABSTRACT Background: Trauma is one of the leading causes of death in the world and proper surgical care is critical to impact mortality. In Chile, trauma associated death ranks first as mortality cause in population between 20 and 59 years old. Appropriate surgical skills are required to deal with...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgia Digestiva
2021-05-01
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| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202021000100304&tlng=en |
| _version_ | 1828131731521142784 |
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| author | Javier VELA Leonardo CÁRCAMO Caterina Contreras Claudia ARENAS Juan Pablo RAMOS Rolando REBOLLEDO Julián VARAS Jorge MARTÍNEZ Nicolas JARUFE Pablo ACHURRA |
| author_facet | Javier VELA Leonardo CÁRCAMO Caterina Contreras Claudia ARENAS Juan Pablo RAMOS Rolando REBOLLEDO Julián VARAS Jorge MARTÍNEZ Nicolas JARUFE Pablo ACHURRA |
| author_sort | Javier VELA |
| collection | DOAJ |
| description | ABSTRACT Background: Trauma is one of the leading causes of death in the world and proper surgical care is critical to impact mortality. In Chile, trauma associated death ranks first as mortality cause in population between 20 and 59 years old. Appropriate surgical skills are required to deal with these complex patients. Self-confidence to practice trauma procedures after the General Surgery Residency have not been reported in our country. Aim: Describe the level of self-confidence to deal with trauma procedures of surgeons who recently graduated from a General Surgery Residency. Method: Descriptive cross-sectional study. We designed and applied a survey in 2015, 2016 and 2017 to recently graduated surgeons, to inquire about self-confidence of surgical skills to deal with trauma scenarios. Eighteen trauma surgery procedures (including cervical, thoracic, abdominal and vascular procedures) were evaluated using a 5-grade Likert scale. The number of procedures performed during the residency was also queried. Results: Eighty-eight recently graduated surgeons from 11 different training programs in Chile were included. The report of competencies was high in procedures such as intestinal injuries, were 98% felt competent or very competent in their repair. On the other hand, in complex traumas such as major vessel injury, up to 76% reported not being competent. Self-confidence on procedures was directly associated with the number of procedures performed during residency. Conclusions: Recently graduated surgeons from General Surgery Programs report high levels of confidence to deal with low and intermediate complexity traumas, but a lower level of confidence to treat high complexity cases. |
| first_indexed | 2024-04-11T16:51:36Z |
| format | Article |
| id | doaj.art-efc80c359c19439ab353bac9456e355e |
| institution | Directory Open Access Journal |
| issn | 0102-6720 |
| language | English |
| last_indexed | 2024-04-11T16:51:36Z |
| publishDate | 2021-05-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj.art-efc80c359c19439ab353bac9456e355e2022-12-22T04:13:25ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202021-05-0134110.1590/0102-672020210001e1561SELF-CONFIDENCE ON ACQUIRED SURGICAL SKILLS TO DEAL WITH SEVERE TRAUMA PATIENTS IN RECENTLY GRADUATED SURGEONSJavier VELAhttps://orcid.org/0000-0002-0624-0940Leonardo CÁRCAMOhttps://orcid.org/0000-0002-2635-9367Caterina Contrerashttps://orcid.org/0000-0002-1261-6844Claudia ARENAShttps://orcid.org/0000-0002-2909-3760Juan Pablo RAMOShttps://orcid.org/0000-0001-9698-7572Rolando REBOLLEDOhttps://orcid.org/0000-0003-3501-4042Julián VARAShttps://orcid.org/0000-0003-4890-9937Jorge MARTÍNEZhttps://orcid.org/0000-0001-5823-7308Nicolas JARUFEhttps://orcid.org/0000-0002-9944-786XPablo ACHURRAhttps://orcid.org/0000-0001-6803-423XABSTRACT Background: Trauma is one of the leading causes of death in the world and proper surgical care is critical to impact mortality. In Chile, trauma associated death ranks first as mortality cause in population between 20 and 59 years old. Appropriate surgical skills are required to deal with these complex patients. Self-confidence to practice trauma procedures after the General Surgery Residency have not been reported in our country. Aim: Describe the level of self-confidence to deal with trauma procedures of surgeons who recently graduated from a General Surgery Residency. Method: Descriptive cross-sectional study. We designed and applied a survey in 2015, 2016 and 2017 to recently graduated surgeons, to inquire about self-confidence of surgical skills to deal with trauma scenarios. Eighteen trauma surgery procedures (including cervical, thoracic, abdominal and vascular procedures) were evaluated using a 5-grade Likert scale. The number of procedures performed during the residency was also queried. Results: Eighty-eight recently graduated surgeons from 11 different training programs in Chile were included. The report of competencies was high in procedures such as intestinal injuries, were 98% felt competent or very competent in their repair. On the other hand, in complex traumas such as major vessel injury, up to 76% reported not being competent. Self-confidence on procedures was directly associated with the number of procedures performed during residency. Conclusions: Recently graduated surgeons from General Surgery Programs report high levels of confidence to deal with low and intermediate complexity traumas, but a lower level of confidence to treat high complexity cases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202021000100304&tlng=enGeneral surgeryInternship and residencyClinical competenceAdvanced Trauma Life Support CareWounds and injuries |
| spellingShingle | Javier VELA Leonardo CÁRCAMO Caterina Contreras Claudia ARENAS Juan Pablo RAMOS Rolando REBOLLEDO Julián VARAS Jorge MARTÍNEZ Nicolas JARUFE Pablo ACHURRA SELF-CONFIDENCE ON ACQUIRED SURGICAL SKILLS TO DEAL WITH SEVERE TRAUMA PATIENTS IN RECENTLY GRADUATED SURGEONS ABCD: Arquivos Brasileiros de Cirurgia Digestiva General surgery Internship and residency Clinical competence Advanced Trauma Life Support Care Wounds and injuries |
| title | SELF-CONFIDENCE ON ACQUIRED SURGICAL SKILLS TO DEAL WITH SEVERE TRAUMA PATIENTS IN RECENTLY GRADUATED SURGEONS |
| title_full | SELF-CONFIDENCE ON ACQUIRED SURGICAL SKILLS TO DEAL WITH SEVERE TRAUMA PATIENTS IN RECENTLY GRADUATED SURGEONS |
| title_fullStr | SELF-CONFIDENCE ON ACQUIRED SURGICAL SKILLS TO DEAL WITH SEVERE TRAUMA PATIENTS IN RECENTLY GRADUATED SURGEONS |
| title_full_unstemmed | SELF-CONFIDENCE ON ACQUIRED SURGICAL SKILLS TO DEAL WITH SEVERE TRAUMA PATIENTS IN RECENTLY GRADUATED SURGEONS |
| title_short | SELF-CONFIDENCE ON ACQUIRED SURGICAL SKILLS TO DEAL WITH SEVERE TRAUMA PATIENTS IN RECENTLY GRADUATED SURGEONS |
| title_sort | self confidence on acquired surgical skills to deal with severe trauma patients in recently graduated surgeons |
| topic | General surgery Internship and residency Clinical competence Advanced Trauma Life Support Care Wounds and injuries |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202021000100304&tlng=en |
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