The training status and influencing factors of training achievements among trainees of China Advanced Trauma Care Training Course

doi:10.3760/cma.j.cn115259-20250312-00264

Abstract

Abstract: Objective To investigate the current status of trauma care training in China and assess the effectiveness of the China Advanced Trauma Care Training Course (hereinafter referred to as the training course), with analysis of factors influencing trainees′ performance. Methods A questionnaire survey was conducted among 846 trainees who participated in the training course between January 2024 and January 2025, and the results were analyzed using descriptive statistics and multiple linear regression analysis. Results (1) The main departments of the trainees were the emergency department [220 (34.87%)] and the orthopedic department [145 (22.98%)]. It was found that 424 (67.19%) trainees had been engaged in trauma care for more than 5 years, 495 (78.45%) reported regular internal departmental study, 470 (74.48%) had participated in case discussions and training organized by their hospitals, and 401 (63.55%) had previously attended trauma care training courses. (2) More than half of the trainees were from hospitals with over 1 000 beds [327 (51.82%)]. The primary trauma care model in their hospitals was the emergency department + multidisciplinary consultation + surgical treatment approach [406 (64.34%)], while a minority were from independent trauma centers [81 (12.84%)]. (3) Post-training scores were significantly higher than pre-training scores [(74.95±10.41) vs. (60.59±11.95), P<0.001]. (4) Independent influencing factors for pre-training scores included in the department of emergency and ICU (β=3.267, P=0.001), more than 2 years of engagement in trauma care (β=2.909, P=0.018), hospital bed capacity exceeding 1 000 (β=3.028, P=0.001), and prior participation in hospital-organized case discussions and training (β=2.997, P=0.005). For post-training scores, independent influencing factors included hospital bed capacity exceeding 1 000 (β=3.858, P<0.001) and prior participation in regular in-department learning (β=3.130, P=0.002). (5) Overall satisfaction with the Advanced Trauma Care Training Course was high [629 (99.68%)]. Conclusions The majority of trainees in the training course were core clinical staff of trauma care related disciplines and departments. The training course can effectively improve the trainees′ scores in trauma care training, especially those who have participated in various levels of trauma training in the past. The vast majority of trainees expressed satisfaction with the training course.

Key words: Wounds and injuries, Training, Questionnaire survey, Continuing medical education, Influencing factors

CLC Number:

R-05

Zhao Xiujuan, Liu Zhongdi, Li Shu, Wang Zhenzhou, Wang Tianbing, Zhu Fengxue. The training status and influencing factors of training achievements among trainees of China Advanced Trauma Care Training Course[J]. Chinese Journal of Medical Education, 2025, 45(12): 922-928.

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