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Hemorrhage Control Training Promotes Resilience-Associated Traits in Medical Students.

Abstract：

OBJECTIVE:Given rising rates of physician burnout, the potential for clinical skills training programs to develop and reinforce resilience-associated traits in medical students warrants investigation. The primary objective of this study was to examine the impact of a hemorrhage control training program on resilience-associated traits (role-clarity, self-efficacy, and empowerment) in medical students. A secondary objective was to examine the differential impact of additional hands-on skills training. DESIGN:This was a prospective study of medical students participating in an established hemorrhage control training program, utilizing pre-, mid-, and post-training questionnaires. The program included both an in-person lecture and hands-on skills training. Primary endpoints were self-reported increases in role clarity (when the hemorrhage control skills would and would not be applicable), self-efficacy (confidence in ability to use the skill), and empowerment (to act in a situation where the skill was needed). SETTING:Harvard Medical School, Boston, Massachusetts. PARTICIPANTS:One hundred and twenty-six Harvard Medical School students participated. RESULTS:There was a significant increase at each stage of training in self-reported role clarity about when to apply hemorrhage control skills (p < 0.01) and when not to apply them (p < 0.01); confidence in application of the skill (p < 0.01); as well as empowerment to apply the skill when appropriate (p < 0.01). CONCLUSIONS:Hemorrhage control training, a first response-related clinical skills program, is a promising domain for development and reinforcement of resilience-associated traits in medical students, particularly when the program includes hands-on skills training. Providing experiential learning opportunities that are designed not only for skills-specific outcomes, but also to reinforce such resilience-associated traits as role-clarity, self-efficacy, and empowerment provides an essential integrated perspective.

journal_name

J Surg Educ

journal_title

Journal of surgical education

authors

Levy-Carrick NC,McCarty JC,Chaudhary MA,Caterson EJ,Haider AH,Eyre AJ,Mahon PB,Goralnick E

doi

10.1016/j.jsurg.2018.06.007

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

77-82

issue

eissn

1931-7204

issn

1878-7452

pii

S1931-7204(18)30162-4

journal_volume

pub_type

杂志文章

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Hemorrhage Control Training Promotes Resilience-Associated Traits in Medical Students.