Abstract
Background: Injuries account for an estimated 9% of global mortality. Health professionals worldwide receive little formal injury prevention training, especially in developing countries.
Objective: To identify injury prevention training topics taught in a sample of medical schools throughout the world.
Design and setting: Cross sectional survey of 82 medical schools from 31 countries. Based on a convenience sample, respondents recalled the injury prevention concepts they were taught, estimated the time dedicated to these topics, specified the courses and rotations where these concepts were taught, and noted whether they were compulsory or elective sessions.
Participants: Medical students in their last year of medical training.
Main exposure measures: Student recall of classes and rotations where topics of injury prevention and control were discussed.
Results: Basic injury prevention concepts including risk factors for injuries and injury classification systems were not covered in 60% of medical schools. Concepts related to child abuse and neglect and emergency care were more commonly taught than others such as traffic injury prevention and youth violence prevention. In general, injury prevention and control concepts were less frequently taught in Middle Eastern and African universities compared with other regions and some topics such as violence prevention were more frequently taught in medical schools in the Americas. Injury prevention concepts were taught most frequently in preventive medicine, forensic medicine, emergency medicine, surgery and pediatrics courses, and rotations.
Conclusions: Injury prevention and control education is infrequent and fragmented in medical schools around the world. Inclusion or further development of curricula on this subject could benefit prevention and control efforts.
Full Text
The Full Text of this article is available as a PDF (74.6 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Alpert E. J. Making a place for teaching about family violence in medical school. Acad Med. 1995 Nov;70(11):974–978. doi: 10.1097/00001888-199511000-00014. [DOI] [PubMed] [Google Scholar]
- Alpert E. J., Sege R. D., Bradshaw Y. S. Interpersonal violence and the education of physicians. Acad Med. 1997 Jan;72(1 Suppl):S41–S50. [PubMed] [Google Scholar]
- Alpert E. J., Tonkin A. E., Seeherman A. M., Holtz H. A. Family violence curricula in U.S. medical schools. Am J Prev Med. 1998 May;14(4):273–282. doi: 10.1016/s0749-3797(98)00008-7. [DOI] [PubMed] [Google Scholar]
- Anglin D., Hutson H. R., Antosia R. Injury prevention education of emergency medicine residency applicants while in medical school. Acad Emerg Med. 1997 Apr;4(4):333–335. doi: 10.1111/j.1553-2712.1997.tb03560.x. [DOI] [PubMed] [Google Scholar]
- Anglin D., Hutson H. R., Kyriacou D. N. Emergency medicine residents' perspectives on injury prevention. Ann Emerg Med. 1996 Jul;28(1):31–33. doi: 10.1016/s0196-0644(96)70135-x. [DOI] [PubMed] [Google Scholar]
- Baker N. J. Strategic footholds for medical education about domestic violence. Acad Med. 1995 Nov;70(11):982–988. doi: 10.1097/00001888-199511000-00016. [DOI] [PubMed] [Google Scholar]
- Bernstein E., Goldfrank L. R., Kellerman A. L., Hargarten S. W., Jui J., Fish S. S., Herbert B. H., Flores C., Caravati M. E., Krishel S. A public health approach to emergency medicine: preparing for the twenty-first century. Acad Emerg Med. 1994 May-Jun;1(3):277–286. doi: 10.1111/j.1553-2712.1994.tb02446.x. [DOI] [PubMed] [Google Scholar]
- Brill John R., Jackson Thomas C., Stearns Marjorie A. Community medicine in action: an integrated, fourth-year urban continuity preceptorship. Acad Med. 2002 Jul;77(7):739–739. doi: 10.1097/00001888-200207000-00025. [DOI] [PubMed] [Google Scholar]
- Butler R. N., Todd K. H., Kellermann A. L., Runyan C. W., Lynn S. G., Rodriguez M. A., Zwerling C., Rivara F. P. Injury-control education in six U.S. medical schools. Acad Med. 1998 May;73(5):524–528. doi: 10.1097/00001888-199805000-00020. [DOI] [PubMed] [Google Scholar]
- Cohen E. Suicide and self-assault: an introductory course for medical students. J Med Educ. 1974 Apr;49(4):383–385. [PubMed] [Google Scholar]
- Denninghoff Kurt R., Knox Lyndee, Cunningham Rebecca, Partain Sandi. Emergency medicine: competencies for youth violence prevention and control. Acad Emerg Med. 2002 Sep;9(9):947–956. doi: 10.1111/j.1553-2712.2002.tb02197.x. [DOI] [PubMed] [Google Scholar]
- Ernst A. A., Houry D., Weiss S. J., Szerlip H. Domestic violence awareness in a medical school class: 2-year follow-up. South Med J. 2000 Aug;93(8):772–776. [PubMed] [Google Scholar]
- Gallmeier T. M., Bonner B. L. University-based interdisciplinary training in child abuse and neglect. Child Abuse Negl. 1992 Jul-Aug;16(4):513–521. doi: 10.1016/0145-2134(92)90067-2. [DOI] [PubMed] [Google Scholar]
- Guerrero Anthony P. S. The role of violence prevention education at the University of Hawaii John A. Burns School of Medicine (UH-JABSOM). Hawaii Med J. 2003 Apr;62(4):83–89. [PubMed] [Google Scholar]
- Hargarten S. Injury prevention in medical school curriculums. Ann Emerg Med. 1986 Feb;15(2):226–226. doi: 10.1016/s0196-0644(86)80050-6. [DOI] [PubMed] [Google Scholar]
- Hendricks-Matthews M. K. A survey of family-violence curricula in Virginia medical schools and residencies at university medical centers. Acad Med. 1997 Jan;72(1):54–56. [PubMed] [Google Scholar]
- Johnson Charles Felzen. Child maltreatment 2002: recognition, reporting and risk. Pediatr Int. 2002 Oct;44(5):554–560. doi: 10.1046/j.1442-200x.2002.01642.x. [DOI] [PubMed] [Google Scholar]
- Leone R. J., Hammond J. S. Surgical residents' knowledge of injury prevention principles. Am J Surg. 2000 Sep;180(3):223–226. doi: 10.1016/s0002-9610(00)00471-2. [DOI] [PubMed] [Google Scholar]
- Meyer R. J. Childhood injury and pediatric education: a critique. Pediatrics. 1969 Nov;44(5 Suppl):865–869. [PubMed] [Google Scholar]
- Rosenberg M. L., Fenley M. A., Johnson D., Short L. Bridging prevention and practice: public health and family violence. Acad Med. 1997 Jan;72(1 Suppl):S13–S18. [PubMed] [Google Scholar]
- Schreier A., Danilewitz D. Sexual abuse in the family. Suggestions for medical curricula. S Afr Med J. 1986 Nov 8;70(10):613–614. [PubMed] [Google Scholar]
- Short L. M., Cotton D., Hodgson C. S. Evaluation of the module on domestic violence at the UCLA School of Medicine. Acad Med. 1997 Jan;72(1 Suppl):S75–S92. [PubMed] [Google Scholar]
- Sleet David A., Hopkins Krista N., Olson Sarah J. From discovery to delivery: injury prevention at CDC. Health Promot Pract. 2003 Apr;4(2):98–102. doi: 10.1177/1524839902250750. [DOI] [PubMed] [Google Scholar]
- Thurston W. E., McLeod L. Teaching second-year medical students about wife battering. Womens Health Issues. 1997 Mar-Apr;7(2):92–98. doi: 10.1016/s1049-3867(96)00114-4. [DOI] [PubMed] [Google Scholar]
- Toker Asaf, Urkin Jacob, Bloch Yuval. Role of a medical students' association in improving the curriculum at a faculty of health sciences. Med Teach. 2002 Nov;24(6):634–636. doi: 10.1080/0142159021000063961. [DOI] [PubMed] [Google Scholar]
- Wright M. S., Litaker D. G. Injury prevention education in United States medical school curricula. J Trauma. 1998 Jan;44(1):161–165. doi: 10.1097/00005373-199801000-00022. [DOI] [PubMed] [Google Scholar]
- Wright M. S. Pediatric injury prevention. Preparing residents for patient counseling. Arch Pediatr Adolesc Med. 1997 Oct;151(10):1039–1043. doi: 10.1001/archpedi.1997.02170470073013. [DOI] [PubMed] [Google Scholar]