Evaluation of neurosurgical training of French military surgeons prior to their deployment,Neurochirurgie

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Evaluation of neurosurgical training of French military surgeons prior to their deployment
Neurochirurgie ( IF 1.5 ) Pub Date : 2021-03-22 , DOI: 10.1016/j.neuchi.2021.03.005
A Sellier ₁ , N Beucler ₁ , N Desse ₁ , C Julien ₂ , P Tannyeres ₃ , C Bernard ₁ , C Joubert ₁ , A Dagain ₄

Affiliation

Background

A specific training course was formalized in 2007 in order to facilitate the management of cranio-encephalic injuries by French military general surgeons during deployment, within the Advanced Course for Deployment Surgery (ACDS). The objective is to evaluate the neurosurgical pre-deployment training course attended by the military surgeons.

Methods

From June 2019 to September 2019, we conducted a cross-sectional survey in the form of a digital self-completed questionnaire, addressed to all graduated military surgeons working in the French Military Training Hospitals. The survey included: (1) a knowledge assessment; and (2) a self-assessment of the training course. The participating surgeons were classified into two groups according to their participation (group 1) or not (group 2) in the neurosurgical module. The main outcome was the score received on the knowledge assessment.

Results

Among the 145 military surgeons currently in service, 76 participated in our study (53%), of which 49 were classified in group 1 (64%) and 27 in group 2 (36%). Group 1 surgeons had a significantly higher score than Group 2 at the knowledge assessment (mean 21.0 ± 7.1 vs. 17.8 ± 6.0, P = 0.041). The most successful questions were related to TBI diagnosis and surgical technique, while the least successful questions dealt with “beyond emergency care” and surgical indications.

Conclusion

The French pre-deployment neurosurgical training course provides a strong neurosurgical background, sufficient to perform life-saving procedures in a modern conflict situation. However, neurosurgical specialized advice should be solicited whenever possible to assist the in-theatre surgeon in surgical decisions.

中文翻译：

法国军医部署前神经外科培训的评估

背景

2007 年，在部署外科高级课程 (ACDS) 中，正式确定了一个特定的培训课程，以促进法国军事普通外科医生在部署期间对颅脑损伤的管理。目的是评估军事外科医生参加的神经外科部署前培训课程。

方法

从 2019 年 6 月到 2019 年 9 月，我们以数字自填问卷的形式对所有在法国军事训练医院工作的毕业军外科医生进行了横断面调查。调查包括：（1）知识评估；(2) 培训课程的自我评估。参与的外科医生根据他们参与（第 1 组）或不参与（第 2 组）神经外科模块分为两组。主要结果是知识评估的分数。

结果

在现役的 145 名军事外科医生中，有 76 人参与了我们的研究（53%），其中 49 人被归入第 1 组（64%），27 人被归入第 2 组（36%）。在知识评估中，第 1 组外科医生的得分明显高于第 2 组（平均 21.0 ± 7.1 与 17.8 ± 6.0，P = 0.041）。最成功的问题与 TBI 诊断和手术技术有关，而最不成功的问题涉及“超出紧急护理”和手术指征。