TY - JOUR
T1 - Hemorrhage Control Training Promotes Resilience-Associated Traits in Medical Students
AU - Levy-Carrick, Nomi C.
AU - McCarty, Justin C.
AU - Chaudhary, Muhammad Ali
AU - Caterson, Edward J.
AU - Haider, Adil H.
AU - Eyre, Andrew J.
AU - Mahon, Pamela B.
AU - Goralnick, Eric
N1 - Publisher Copyright:
© 2018 Association of Program Directors in Surgery
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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.
KW - Burnout
KW - First Response
KW - Hemorrhage control
KW - Medical Knowledge
KW - Medical education
KW - Patient Care
KW - Practice-Based Learning and Improvement
KW - Resilience
KW - Systems-Based Practice
UR - http://www.scopus.com/inward/record.url?scp=85050925685&partnerID=8YFLogxK
U2 - 10.1016/j.jsurg.2018.06.007
DO - 10.1016/j.jsurg.2018.06.007
M3 - Article
C2 - 30082240
AN - SCOPUS:85050925685
SN - 1931-7204
VL - 76
SP - 77
EP - 82
JO - Journal of Surgical Education
JF - Journal of Surgical Education
IS - 1
ER -
