Appendix 1.
Content and pre- and postcourse scores of 30 questions
| QUESTION | Mean % Correct (sd) | p value | ||
|---|---|---|---|---|
| PRE | POST | |||
| 1. Initial management of multiple trauma. Case scenario of patient who is unconscious with open fracture. | 89.2 (20.8) | 95.0 (10.2) | 0.02 | |
| 2. Priorities in initial trauma assessment. | 88.4 (17.1) | 95.5 (9.5) | 0.001 | |
| 3. Initial evaluation for airway obstruction. | 65.8 (21.3) | 82.7 (17.2) | < 0.001 | |
| 4. Maneuvers to establish patent airway. | 81.2 (17.8) | 91.4 (16.0) | < 0.001 | |
| 5. Tension pneumothorax, recognition and treatment.* | 59.0 (25.9) | 72.0 (22.0) | < 0.001 | * |
| 6. Treatment for hypotension. | 78.3 (21.9) | 95.5 (12.0) | < 0.001 | |
| 7. Potential sources for bleeding in hypotensive patient. | 78.3 (16.6) | 87.7 (15.0) | < 0.001 | |
| 8. Acute treatment of severe head injury. | 62.9 (25.6) | 92.0 (13.1) | < 0.001 | |
| 9. Management of prolonged unconsciousness.* | 68.7 (20.5) | 77.5 (16.8) | 0.003 | * |
| 10. Chest tubes: indications for, set up of bottle system. | 84.8 (19.2) | 93.9 (12.6) | < 0.001 | |
| 11. General principals of abdominal trauma. | 77.8 (20.2) | 88.2 (15.4) | < 0.001 | |
| 12. Diagnosis and management of ruptured diaphragm.* | 57.1 (25.8) | 72.0 (27.2) | < 0.001 | * |
| 13. Evaluation of stab to anterior abdomen.* | 65.3 (24.6) | 62.3 (23.2) | 0.41 | * |
| 14. Management of severely burned patient. | 78.6 (19.5) | 90.0 (15.5) | < 0.001 | |
| 15. Management of third degree burn wound.* | 61.0 (28.4) | 63.0 (20.9) | 0.60 | * |
| 16. General principals of management of the injured hand. | 84.8 (17.0) | 91.8 (14.4) | 0.004 | |
| 17. Management of hand lacerations.* | 78.6 (22.3) | 79.5 (21.0) | 0.77 | * |
| 18. Management of penile injuries.* | 47.5 (27.9) | 72.0 (20.0) | < 0.001 | * |
| 19. Gun shot with possible urologic injury. | 83.4 (22.0) | 89.1 (19.9) | 0.08 | |
| 20. Causes of bladder injury. | 88.4 (18.0) | 92.0 (12.3) | 0.13 | |
| 21. Causes of urethral injury.* | 72.3 (17.9) | 68.2 (18.6) | 0.14 | * |
| 22. Management of facial wounds after RTA.* | 61.7 (25.2) | 68.2 (20.0) | 0.07 | * |
| 23. Suturing technique for facial wounds.* | 34.7 (25.6) | 55.1 (29.2) | < 0.001 | * |
| 24. Toiletting of open fractures. | 79.5 (26.9) | 86.8 (19.4) | 0.04 | |
| 25. General principals of skeletal traction. | 74.9 (23.8) | 82.3 (18.3) | 0.03 | |
| 26. Fractures especially prone to disability and which should probably be referred to a specialist.* | 60.5 (22.5) | 67.0 (25.2) | 0.07 | * |
| 27. Complications of circular POP, management of numb fingers.* | 70.8 (19.3) | 71.4 (17.9) | 0.86 | * |
| 28. Management of rib fractures.* | 68.9 (21.5) | 79.5 (20.6) | 0.001 | * |
| 29. Characteristics of post-splenectomy sepsis.* | 39.3 (19.6) | 45.2 (21.8) | 0.06 | * |
| 30. Interpretation of Xrays.* | 38.6 (28.4) | 74.0 (36.8) | < 0.001 | * |
* Questions in which there was either no improvement or the post-test scores remained below 80%.