Evaluating Proficiency in Trauma Surgery: A Nationwide Survey of Trainees and Surgeons.

Abstract

The limited exposure of Malaysian surgical trainees and junior general surgeons to trauma surgery poses multifaceted challenges within surgical education and healthcare delivery. With the nascent state of the trauma surgery subspecialty and a scarcity of trauma surgeons, addressing deficiencies in trauma surgery training is imperative. This study assesses the confidence levels of individuals in general emergency trauma surgery and gauges the interest of trainees and junior general surgeons in pursuing a career in trauma surgery. Data were collected through an online survey of surgical trainees and experienced surgeons. Data included demographics, training levels, and participation in trauma-related courses. Self-reported competencies were assessed using a 1-10 confidence rating scale. Of the 400 surgical trainees and surgeons contacted, 169 (42.3%) responded. Only 32% of trainees and 63.9% of surgeons had experience with trauma thoracotomies. The comprehensive study evaluated 32 self-reported competencies in trauma surgery, revealing significant deficiencies across both trainees and experienced surgeons. Although trainees displayed lower confidence levels, even experienced surgeons reported suboptimal scores, falling below 5, in several key competencies. Limited participation in trauma courses and a lack of access to specific courses were also observed. The study highlights the pressing need for comprehensive trauma surgery training in Malaysia, emphasizing the establishment of dedicated training pathways, curriculum enhancements and increased engagement in trauma courses. The enthusiasm of trainees can be harnessed to cultivate competent trauma surgeons, and continuous professional development is crucial for sustaining and enhancing trauma surgery competencies.