Title: FOLLOW-UP SURVEY OF ANESTHESIOLOGISTS ATTENDING A TRAUMA COURSE IN SPAIN.

Authors: P. Duque(1), JA.Varela (1),E. Terradillos(1), P. Piñeiro(1), F. Turégano(2), D. Perez(2).
(1) Anesthesia, Surgical Intensive Care and Pain Therapy. Gregorio Marañon General Hospital. Madrid. Spain. (2) General Surgery. Gregorio Marañon General Hospital. Madrid. Spain.
Background and goal of study: The first three editions (2014-2016) of the DATC (Definitive Anesthetic Trauma Care) course were offered along with the surgical version, the Definitive Surgical Trauma Care (DSTC) course, in a combined program on trauma care adapted for surgeons and anaesthesiologists. The course has been highly evaluated each year, making it a good option in trauma training, following initial management principles based on European Society of Anesthesiology ETC course (European Trauma Course). This trauma management course is intended to provide all target groups with an acceptable method of safe management, knowledge and skills, necessary to take care of the critical injured trauma patient. Little is known about the effects of such course on anesthesiologists professional development. The aim of the study was to study the impact of the course on self-efficacy and daily clinical practice by using a self-reported follow- up questionnaire. 
Materials and methods: In these three editions (2014-2016) in Spain, 100% of the DATC participants (n=36) were senior anaesthesiologists coming from all over Spain. Participants were asked to fill in anonymously a follow-up questionnaire sent by email. We obtain 15 responders (41%).
Results and discussion: 
The survay intend to asses two different issues:
A) Self-efficacy in trauma care: 90% of the responders still considered the course quite or very beneficial for their clinical practice. 70 % of participants reported an improvement on their ability to deal with major trauma in a high or very high degree after the course. 80% think the course can help anesthesiologist to improve knowledge in trauma care and would recommen it to a colleague.
B) DATC contents:
−	Technical content: massive transfusion and trauma induced coagulopathy is pointed out by the 80 % of participants against 50% of trauma airway management.
−	Non technical skills: team approach and decision making is highlighted in 90% of the replies against 40% of safety and security topics. Subjective opinion about the role of the surgeons in trauma care has improved in the 90% of the responders.
Conclusions: 
Follow-up data from DATC participants suggests a long term effect on self-efficacy in trauma care. Technical knowledge and non-technical skills practiced together with general surgeons may be beneficial in daily clinical practice and personal relationships.

Follow-up survey of anesthesiologists attending a trauma course in Spain