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The Royal College of Surgeons of England Damage Control Orthopaedic Trauma Skills course (DCOTS): resuscitative knowledge and confidence in surgical skills are reliably maintained at six months post course

P Parker, Owen Bodger Orcid Logo, Ian Pallister

The Annals of The Royal College of Surgeons of England, Volume: 105, Issue: 6, Pages: 548 - 553

Swansea University Authors: Owen Bodger Orcid Logo, Ian Pallister

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DOI (Published version): 10.1308/rcsann.2023.0030

Abstract

Introduction: Since 2012, the Damage Control Orthopaedic Trauma Skills course (DCOTS) has trained more than 250 surgeons in the principles and practice of damage control orthopaedics and early appropriate care. This Royal College of Surgeons of England (RCS England) course takes place at the RCS Eng...

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Published in: The Annals of The Royal College of Surgeons of England
ISSN: 0035-8843 1478-7083
Published: Royal College of Surgeons of England 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa63884
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spelling v2 63884 2023-07-14 The Royal College of Surgeons of England Damage Control Orthopaedic Trauma Skills course (DCOTS): resuscitative knowledge and confidence in surgical skills are reliably maintained at six months post course 8096440ab42b60a86e6aba678fe2695a 0000-0002-4022-9964 Owen Bodger Owen Bodger true false 8ddd73971cbb1d06f5ee3a0ce8a90e58 Ian Pallister Ian Pallister true false 2023-07-14 HDAT Introduction: Since 2012, the Damage Control Orthopaedic Trauma Skills course (DCOTS) has trained more than 250 surgeons in the principles and practice of damage control orthopaedics and early appropriate care. This Royal College of Surgeons of England (RCS England) course takes place at the RCS England Partner cadaver laboratory at Brighton and Sussex Medical School. Trauma is a leading cause of morbidity and mortality in the UK, and the course has tried to pass on the lessons of war and conflict from its military faculty and hard-won lessons of “developed world” trauma from its experienced civilian faculty. Methods: Participating surgeons were invited to score their self-reported confidence before attending the DCOTS course, immediately afterwards and again 6 months later. A modified four-point Likert scale was used, with responses from 1 = No Confidence to 4 = Very Confident. Damage control resuscitation principles with damage control surgery showed the greatest retained increase at 6 months – 100% – which is extremely satisfying. Results: Self-reported confidence in pelvic external fixation was initially 93% dropping to 85%, which is also considered good to excellent. For pelvic packing, confidence was 90% at the end of the course, up from 19% precourse. This dropped to 62%, which was still considered good but low for the high standards of the course. This may relate to UK trainees’ lack of familiarity with the concept. Conclusions: Three of the main skills taught on the DCOTS are effectively retained at 6 months post course. Journal Article The Annals of The Royal College of Surgeons of England 105 6 548 553 Royal College of Surgeons of England 0035-8843 1478-7083 Trauma, cadaver teaching, surgical skills, pelvic trauma, damage control 31 7 2023 2023-07-31 10.1308/rcsann.2023.0030 http://dx.doi.org/10.1308/rcsann.2023.0030 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University 2023-09-07T12:54:41.6275373 2023-07-14T11:39:07.1233276 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine P Parker 1 Owen Bodger 0000-0002-4022-9964 2 Ian Pallister 3 63884__28409__95e8d49f5f064bf6b17ec4be4b1bb9bb.pdf 63884.pdf 2023-08-31T11:38:21.9021972 Output 425507 application/pdf Accepted Manuscript true true eng
title The Royal College of Surgeons of England Damage Control Orthopaedic Trauma Skills course (DCOTS): resuscitative knowledge and confidence in surgical skills are reliably maintained at six months post course
spellingShingle The Royal College of Surgeons of England Damage Control Orthopaedic Trauma Skills course (DCOTS): resuscitative knowledge and confidence in surgical skills are reliably maintained at six months post course
Owen Bodger
Ian Pallister
title_short The Royal College of Surgeons of England Damage Control Orthopaedic Trauma Skills course (DCOTS): resuscitative knowledge and confidence in surgical skills are reliably maintained at six months post course
title_full The Royal College of Surgeons of England Damage Control Orthopaedic Trauma Skills course (DCOTS): resuscitative knowledge and confidence in surgical skills are reliably maintained at six months post course
title_fullStr The Royal College of Surgeons of England Damage Control Orthopaedic Trauma Skills course (DCOTS): resuscitative knowledge and confidence in surgical skills are reliably maintained at six months post course
title_full_unstemmed The Royal College of Surgeons of England Damage Control Orthopaedic Trauma Skills course (DCOTS): resuscitative knowledge and confidence in surgical skills are reliably maintained at six months post course
title_sort The Royal College of Surgeons of England Damage Control Orthopaedic Trauma Skills course (DCOTS): resuscitative knowledge and confidence in surgical skills are reliably maintained at six months post course
author_id_str_mv 8096440ab42b60a86e6aba678fe2695a
8ddd73971cbb1d06f5ee3a0ce8a90e58
author_id_fullname_str_mv 8096440ab42b60a86e6aba678fe2695a_***_Owen Bodger
8ddd73971cbb1d06f5ee3a0ce8a90e58_***_Ian Pallister
author Owen Bodger
Ian Pallister
author2 P Parker
Owen Bodger
Ian Pallister
format Journal article
container_title The Annals of The Royal College of Surgeons of England
container_volume 105
container_issue 6
container_start_page 548
publishDate 2023
institution Swansea University
issn 0035-8843
1478-7083
doi_str_mv 10.1308/rcsann.2023.0030
publisher Royal College of Surgeons of England
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
url http://dx.doi.org/10.1308/rcsann.2023.0030
document_store_str 1
active_str 0
description Introduction: Since 2012, the Damage Control Orthopaedic Trauma Skills course (DCOTS) has trained more than 250 surgeons in the principles and practice of damage control orthopaedics and early appropriate care. This Royal College of Surgeons of England (RCS England) course takes place at the RCS England Partner cadaver laboratory at Brighton and Sussex Medical School. Trauma is a leading cause of morbidity and mortality in the UK, and the course has tried to pass on the lessons of war and conflict from its military faculty and hard-won lessons of “developed world” trauma from its experienced civilian faculty. Methods: Participating surgeons were invited to score their self-reported confidence before attending the DCOTS course, immediately afterwards and again 6 months later. A modified four-point Likert scale was used, with responses from 1 = No Confidence to 4 = Very Confident. Damage control resuscitation principles with damage control surgery showed the greatest retained increase at 6 months – 100% – which is extremely satisfying. Results: Self-reported confidence in pelvic external fixation was initially 93% dropping to 85%, which is also considered good to excellent. For pelvic packing, confidence was 90% at the end of the course, up from 19% precourse. This dropped to 62%, which was still considered good but low for the high standards of the course. This may relate to UK trainees’ lack of familiarity with the concept. Conclusions: Three of the main skills taught on the DCOTS are effectively retained at 6 months post course.
published_date 2023-07-31T12:54:43Z
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