Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec 29;9(1):24.
doi: 10.3390/healthcare9010024.

Evaluation of a Prehospital Rotation by Senior Residents: A Web-Based Survey

Laurent Suppan  1 , Michèle Chan  1 , Birgit Gartner  1 , Simon Regard  1 , Mathieu Campana  1   2 , Ghislaine Chatellard  1   2 , Philippe Cottet  1 , Robert Larribau  1 , François Pierre Sarasin  1 , Marc Niquille  1
Affiliations

Evaluation of a Prehospital Rotation by Senior Residents: A Web-Based Survey

Laurent Suppan et al. Healthcare (Basel). .

Abstract

The added value of prehospital emergency medicine is usually assessed by measuring patient-centered outcomes. Prehospital rotations might however also help senior residents acquire specific skills and knowledge. To assess the perceived added value of the prehospital rotation in comparison with other rotations, we analyzed web-based questionnaires sent between September 2011 and August 2020 to senior residents who had just completed a prehospital rotation. The primary outcome was the perceived benefit of the prehospital rotation in comparison with other rotations regarding technical and non-technical skills. Secondary outcomes included resident satisfaction regarding the prehospital rotation and regarding supervision. A pre-specified subgroup analysis was performed to search for differences according to the participants' service of origin (anesthesiology, emergency medicine, or internal medicine). The completion rate was of 71.5% (113/158), and 91 surveys were analyzed. Most senior residents found the prehospital rotation either more beneficial or much more beneficial than other rotations regarding the acquisition of technical and non-technical skills. Anesthesiology residents reported less benefits than other residents regarding pharmacological knowledge acquisition and confidence as to their ability to manage emergency situations. Simulation studies should now be carried out to confirm these findings.

Keywords: emergency medicine; leadership; non-technical skills; postgraduate medical education; prehospital.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Experimental flowchart.
Figure 2
Figure 2
Added value of the prehospital rotation in comparison with other rotations.
See this image and copyright information in PMC

References

    1. Lockey D. International EMS systems: Geographical lottery and diversity but many common challenges. Resuscitation. 2009;80:722. doi: 10.1016/j.resuscitation.2009.04.006. - DOI - PubMed
    1. Yeguiayan J.M., Garrigue D., Binquet C., Jacquot C., Duranteau J., Martin C., Rayeh F., Riou B., Bonithon-Kopp C., Freysz M. Medical pre-hospital management reduces mortality in severe blunt trauma: A prospective epidemiological study. Crit. Care. 2011;15:R34. doi: 10.1186/cc9982. - DOI - PMC - PubMed
    1. Fukuda T., Ohashi-Fukuda N., Kondo Y., Hayashida K., Kukita I. Association of prehospital advanced life support by physician with survival after out-of-hospital cardiac arrest with blunt trauma following traffic collisions Japanese registry-based study. JAMA Surg. 2018;153 doi: 10.1001/jamasurg.2018.0674. - DOI - PMC - PubMed
    1. Hamilton A., Steinmetz J., Wissenberg M., Torp-Pedersen C., Lippert F.K., Hove L., Lohse N. Association between prehospital physician involvement and survival after out-of-hospital cardiac arrest: A Danish nationwide observational study. Resuscitation. 2016;108:95–101. doi: 10.1016/j.resuscitation.2016.08.007. - DOI - PubMed
    1. Goto Y., Funada A., Goto Y. Impact of prehospital physician-led cardiopulmonary resuscitation on neurologically intact survival after out-of-hospital cardiac arrest: A nationwide population-based observational study. Resuscitation. 2019;136:38–46. doi: 10.1016/j.resuscitation.2018.11.014. - DOI - PubMed

LinkOut - more resources