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.
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
.
DOI: 10.3760/cma.j.cn115259-20250312-00264
[1] Zhou M, Wang H, Zeng X, et al. Mortality, morbidity, and risk factors in China and its provinces, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017[J]. Lancet, 2019,394(10204):1145-1158. DOI: 10.1016/S0140-6736(19)30427-1.
[2] Moore L, Champion H, Tardif PA, etal. Impact of trauma system structure on injury outcomes: a systematic review and meta-analysis[J]. World J Surg, 2018,42(5):1327-1339. DOI: 10.1007/s00268-017-4292-0.
[3] Wang T, Yin X, Zhang P, et al. Road traffic injury and rescue system in China[J]. Lancet, 2015,385(9978):1622. DOI: 10.1016/S0140-6736(15)60794-2.
[4] Jiang B, Liang S, Peng ZR, et al. Transport and public health in China: the road to a healthy future[J]. Lancet, 2017,390(10104):1781-1791. DOI: 10.1016/S0140-6736(17)31958-X.
[5] Zhou J, Wang T, Belenkiy I, et al. Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa[J]. Crit Care, 2021,25(1):286. DOI: 10.1186/s13054-021-03681-8.
[6] 朱莉, 徐英, 陈燕昀, 等. 上海市创伤救治医师规范培训现状调查[J].中华创伤骨科杂志,2020,22(11):983-988. DOI: 10.3760/cma.j.cn115530-20200529-00352.
[7] 杜哲, 黄伟, 王志伟, 等. 多学科协作诊疗模式在严重创伤患者救治中的应用[J].北京大学学报(医学版),2020,52(2):298-301. DOI: 10.19723/j.issn.1671-167X.2020.02.017.
[8] Zhong XM, Wen XH, Ji CH, et al. A temporary-sustainable team: a new multidisciplinary team model for severe trauma[J]. Chin J Traumatol, 2020,23(6):363-366. DOI: 10.1016/j.cjtee.2020.09.007.
[9] 周靖, 王天兵, 姜保国. 中国创伤救治体系的现状与发展[J].中华外科杂志,2022,60(12):1045-1048. DOI: 10.3760/cma.j.cn112139-20220429-00192.
[10] Zong ZW, Li N, Cheng TM, et al. Current state and future perspectives of trauma care system in mainland China[J]. Injury, 2011,42(9):874-878. DOI: 10.1016/j.injury.2010.09.034.
[11] Navarro S, Montmany S, Rebasa P, et al. Impact of ATLS training on preventableand potentially preventable deaths[J]. World J Surg, 2014,38(9):2273-2278. DOI: 10.1007/s00268-014-2587-y.
[12] AlQorashi S, Kabli A, Alwithenani SI, et al. The effectiveness of the international trauma life support (ITLS) course on multidisciplinary healthcare providers[J]. Cureus, 2025,17(1):e77886. DOI: 10.7759/cureus.77886.
[13] 许永安,张茂,赵小纲,等. 中国创伤救治培训课程培训效果评价[J]. 中华创伤杂志,2019,35(12):1130-1137. DOI:10.3760/cma.j.issn.1001-8050.2019.12.013.
[14] 许永安,张茂,赵小纲,等. 基于中国创伤救治培训(主任版)首期学员的创伤救治现状调查[J]. 创伤外科杂志,2020,22(2):87-93. DOI: 10.3969j.issn.1009-4237.2020.02.002.
[15] Aldarsouni FG, Alkhulaiwi H, Alruwaite H, et al. Advanced trauma life support training outcomes in Saudi Arabia: a four-year multicenter analysis of influential characteristics and factors (2019-2023)[J]. Ann Saudi Med, 2024,44(6):394-407. DOI: 10.5144/0256-4947.2024.394.