Abstract
Purpose
Trauma leagues (TLs) are extracurricular programs that offer medical students supervised exposure to trauma and acute care surgery, mentorship, and participation in other academic activities. TLs are fully approved medical schools, and currently, over 100 TLs exist in Brazil. We hypothesized that the performance/competence of medical students who participated in TLs was superior compared to non-participants. This study evaluated and compared the cognitive performance and technical skills of the two groups.
Methods
This retrospective cohort study evaluated the performance of TL medical students to non-TL alumni from 2005 to 2017, using the students’ academic performance coefficient, Clinical Competence Assessment, and Progress Test results. SigmaPlot 12.0 software was used to perform statistical analyses, including Mann–Whitney comparison tests and the Kruskal–Wallis test to confirm the data.
Results
Of the 1366 medical students who graduated from a Brazilian university, 966 were included, with 17.9% having participated in TL. Compared to non-TL participants, TL students demonstrated better cognitive performance according to the performance coefficient (p = 0.017) and Progress Test result (p < 0.001), and higher achievement in the Clinical Competence Assessment (p < 0.001).
Conclusion
The academic performance of TL students was superior to that of non-TL students at the University of Campinas (Unicamp), suggesting a positive impact of TL in the preparation of future doctors. The study findings suggest that participation in TL at Unicamp was beneficial in preparing better doctors and should be considered by medical schools worldwide.
Evidence level: II (Retrospective cohort).
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Data availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
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Acknowledgements
We thank Prof. Denise Coelho de Queiroz for assisting with the statistical analysis of this study. We particularly thank all trauma league (UTL) alumni. We also thank our mentors, Admar Concon Filho and Prof. Mario Mantovani (in memoriam).
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This study received no funding from any agency.
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by RLS, GPF. The first draft of the manuscript was written by RL, GPF, SR and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Ethical approval
This study was registered with the National Research Ethics Committee, via Plataforma Brasil, under CAAE number 99805218.5.0000.5404, and approved by the Unicamp Research Ethics Committee under opinion no. 3.177.726. The need for informed consent was waived.
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Simões, R.L., Bicudo, A.M., Passeri, S.M.R.R. et al. Can trauma leagues contribute to better cognitive performance and technical skills of medical students? The experience of the Unicamp trauma league. Eur J Trauma Emerg Surg 49, 1909–1916 (2023). https://doi.org/10.1007/s00068-023-02283-z
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DOI: https://doi.org/10.1007/s00068-023-02283-z