Confidence and knowledge in emergency management among medical students across Colombia: A role for the WHO basic emergency care course

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Confidence and knowledge in emergency management among medical students across Colombia: A role for the WHO basic emergency care course


Journalplos one
Article typeJournal research article – Clinical research
Publication date – Jan – 2022
Authors – Katelyn Moretti, Adam R. Aluisio, Benjamin Gallo Marin, Chuan-Jay Jeffrey Chen, Catalina González Marqués, Francesca L. Beaudoin, Melissa Clark, Andrés Patiño, Heidy Carranza, Andres Duarte, Atilio Moreno, Leonar G. Aguiar, Christian Arbelaez
KeywordsBasic Emergency Care (BEC), Colombia, medical students, World Health Organization (WHO)
Open access – Yes
SpecialityEmergency surgery, Surgical education, Trauma surgery
World region South America
Country: Colombia
Language – English
Submitted to the One Surgery Index on January 31, 2022 at 12:14 am
Abstract:

Introduction
Globally, medical students have demonstrated knowledge gaps in emergency care and acute stabilization. In Colombia, new graduates provide care for vulnerable populations. The World Health Organization (WHO) Basic Emergency Care (BEC) course trains frontline providers with limited resources in the management of acute illness and injury. While this course may serve medical students as adjunct to current curriculum, its utility in this learner group has not been investigated. This study performs a baseline assessment of knowledge and confidence in emergency management taught in the BEC amongst medical students in Colombia.

Methods
A validated, cross-sectional survey assessing knowledge and confidence of emergency care congruent with BEC content was electronically administered to graduating medical students across Colombia. Knowledge was evaluated via 15 multiple choice questions and confidence via 13 questions using 100 mm visual analog scales. Mean knowledge and confidence scores were compared across demographics, geography and prior training using Chi-Squared or one-way ANOVA analyses.

Results
Data were gathered from 468 graduating medical students at 36 institutions. The mean knowledge score was 59.9% ± 23% (95% CI 57.8–62.0%); the mean confidence score was 59.6 mm ±16.7 mm (95% CI 58.1–61.2). Increasing knowledge and confidence scores were associated with prior completion of emergency management training courses (p<0.0001).

Conclusion
Knowledge and confidence levels of emergency care management for graduating medical students across Colombia demonstrated room for additional, specialized training. Higher scores were seen in groups that had completed emergency care courses. Implementation of the BEC as an adjunct to current curriculum may serve a valuable addition.

OSI Number – 21466

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