Advanced surgical skills for exposure in trauma (ASSET)

The first 25 courses

Mark W. Bowyer, Deborah A. Kuhls, Danielle Haskin, Richard A. Sallee, Sharon M. Henry, George Garcia, Frederick A. Luchette

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background: The Advanced Surgical Skills for Exposure in Trauma (ASSET) course was developed to address limited experience of residents and practicing surgeons (PS) in rapid exposure of major blood vessels for trauma. This one day, case based, scenario driven, fresh cadaver dissection course emphasizes rapid surgical exposure of the vasculature of the neck, chest, abdomen, pelvis and extremities with additional focus on fasciotomies and pelvic packing. Contained herein are the results of the first 25 courses. Methods: Data collected from 25 ASSET courses conducted between September 2010 and February 2012 included self-reported comfort level (5 point Likert scale) with each of 25 specific skills before and upon completion of the course, and evaluation of the course content. Statistical analysis was accomplished using the Student t-test with α set at P < 0.05. Results: Ninety-one surgical trainees and 123 PS were taught at 11 ASSET sites. Self-assessed comfort levels for all 25 queried skills and exposures improved significantly over baseline with P values ranging from 1.6 × 10-7 to 3.9 × 10-41. Participants gained new knowledge (4.83 on 5 point scale); learned new techniques (4.83), felt better prepared to expose traumatically injured vessels (4.88), and would recommend the course to a colleague (4.92). Conclusions: The ASSET course was well received and significantly improved self-reported confidence in the exposures needed to care for trauma in both surgical trainees and PS. Ongoing experience with this course will enable more comprehensive psychometric analysis and further validation of this curriculum.

Original languageEnglish
Pages (from-to)553-558
Number of pages6
JournalJournal of Surgical Research
Volume183
Issue number2
DOIs
StatePublished - Aug 1 2013

Fingerprint

Wounds and Injuries
Pelvis
Cadaver
Psychometrics
Abdomen
Curriculum
Blood Vessels
Dissection
Neck
Thorax
Extremities
Students
Surgeons

Keywords

  • Cadaver course
  • Surgical education
  • Surgical skills course
  • Trauma
  • Vascular exposure

ASJC Scopus subject areas

  • Surgery

Cite this

Bowyer, M. W., Kuhls, D. A., Haskin, D., Sallee, R. A., Henry, S. M., Garcia, G., & Luchette, F. A. (2013). Advanced surgical skills for exposure in trauma (ASSET): The first 25 courses. Journal of Surgical Research, 183(2), 553-558. https://doi.org/10.1016/j.jss.2013.02.005

Advanced surgical skills for exposure in trauma (ASSET) : The first 25 courses. / Bowyer, Mark W.; Kuhls, Deborah A.; Haskin, Danielle; Sallee, Richard A.; Henry, Sharon M.; Garcia, George; Luchette, Frederick A.

In: Journal of Surgical Research, Vol. 183, No. 2, 01.08.2013, p. 553-558.

Research output: Contribution to journalArticle

Bowyer, MW, Kuhls, DA, Haskin, D, Sallee, RA, Henry, SM, Garcia, G & Luchette, FA 2013, 'Advanced surgical skills for exposure in trauma (ASSET): The first 25 courses', Journal of Surgical Research, vol. 183, no. 2, pp. 553-558. https://doi.org/10.1016/j.jss.2013.02.005
Bowyer, Mark W. ; Kuhls, Deborah A. ; Haskin, Danielle ; Sallee, Richard A. ; Henry, Sharon M. ; Garcia, George ; Luchette, Frederick A. / Advanced surgical skills for exposure in trauma (ASSET) : The first 25 courses. In: Journal of Surgical Research. 2013 ; Vol. 183, No. 2. pp. 553-558.
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