Environmental scan of trauma education characteristics by study site*
| Characteristic | A | B | C | D | E | F | G | H1 | H2 | J | Summary |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Staff surgeons on trauma or combined trauma and ACS service | |||||||||||
| No. of surgeons in the pool that rotate on trauma and ACS services | 13 | 7 | 5 | 3 | 5 | 11 | 11 | 5 | 6 | 6 | Range 3–13 |
| No. (%) of surgeons who have completed a trauma fellowship | 1 (8) | 3 (43) | 3 (60) | 0 | 5 (100) | 3 (27) | 0 | 3 (60) | 5 (83) | 5 (83) | Range 0–5 |
| No. of surgeons who have completed a critical care fellowship | 0 | 1 | 4 | 1 | 4 | 1 | 2 | 3 | 3 | 4 | Range 0–4 |
| No. of surgeons who participate in TTL call schedule | 0 | 6 | 0 | 3 | 5 | 5 | 1 | 5 | 6 | 6 | Range 0–6 |
| General surgery resident rotation on trauma service | |||||||||||
| Junior resident rotation on trauma or combined trauma and ACS service | Y | Y | Y | Y | Y | Y | Y | Y | 8 of 9 | ||
| On-call resident formally scheduled as TTL or sub-TTL | Y | Y | 2 of 9 | ||||||||
| ≥ 1 senior resident on call for trauma patients at all times | Y | Y | Y | Y | Y | Y | Y | Y | Y | 9 of 9 | |
| Trauma service on-call coverage model | |||||||||||
| Junior resident on-call every night, home call | Y | 1 of 10 | |||||||||
| Junior resident on-call every night, in-house | Y | Y | Y | Y | Y | Y | Y | Y | Y | 9 of 10 | |
| Junior resident attends trauma activations | Y | Y | Y | Y | Y | Y | Y | Y | Y | Y | 10 of 10 |
| Senior resident on-call every night, home call | Y | Y | Y | Y | Y | 5 of 10 | |||||
| Senior resident on-call every night, in-house | Y | Y | Y | Y | Y | 5 of 10 | |||||
| Senior resident attends trauma activations | Y | Y | Y | Y | Y | Y | Y | Y | Y | 9 of 10 | |
| Emergency medicine residents rotate on trauma service† | 8 of 9 | ||||||||||
| Orthopedic surgery residents rotate on trauma service† | 7 of 9 | ||||||||||
| Neurosurgery residents rotate on trauma service† | 6 of 9 | ||||||||||
| Plastic surgery residents rotate on trauma service† | 6 of 9 | ||||||||||
| On-call staff TTL roster filled 100% of time | Y | Y | Y | Y | Y | Y | Y | 7 of 10 | |||
| Trauma education for medical students | |||||||||||
| Formal preclinical teaching about trauma care | Y | Y | Y | Y | Y | 5 of 9 | |||||
| Formal clerkship teaching about trauma care | Y | Y | Y | Y | Y | Y | Y | Y | Y | 9 of 9 | |
| Trauma education for residents | |||||||||||
| No. of academic half-days dedicated to trauma | 3 | 1 | 4 | 3 | Y | 3 | Y | 4 | 1 | Range 1–4 | |
| Ssessions taught by a trauma fellowship–trained surgeon | Y | Y | Y | Y | Y | Y | Y | 7 of 9 | |||
| Mandatory completion of ATLS during PGY-1 | Y | Y | Y | Y | Y | Y | Y | Y | Y | 9 of 9 | |
| Mandatory completion of ATOM during PGY3–5 | Y | Y | Y | 3 of 9 | |||||||
| Mandatory completion of ASSET during PGY-5 | Y | 1 of 9 | |||||||||
| Mandatory completion of DSTC during PGY-5 | Y | 1 of 9 | |||||||||
| Formal FAST training during residency | Y | Y | Y | Y | 5 of 9 | ||||||
| Fellowship training | |||||||||||
| Local presence of a trauma care, trauma surgery, or traumatology fellowship program | Y | Y | Y | 3 of 10 | |||||||
| No. of residents pursuing trauma fellowship after residency during study period | 4 | 2 | 4 | 4 | 7 | 2 | 4 | 7 | 3 | Range 2–7 | |
ACS = Acute Care Surgery; ASSET = Advanced Surgical Skills for Exposure in Trauma; ATLS = Advanced Trauma Life Support; ATOM = Advanced Trauma Operative Management; DSTC = Definitive Surgical Trauma Care; FAST = Focused Assessment with Sonography in Trauma; REB = research ethics board; TTL = trauma team leader; Y = yes.
↵* No data reported for Site K because of local research ethics board limitations. One of the residency programs (H) has 2 sites of trauma service; where appropriate, that residency program has been represented by either a single response or separate response according to the details of each site, hence the variable denominator of 9 residency programs or 10 trauma service sites.
↵† Only aggregate information is provided, as per REB requirements.