Evaluation of neurosurgical training of French military surgeons prior to their deployment |
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| Affiliation: | 1. Department of Neurosurgery, Sainte-Anne Military Hospital, 1, Boulevard Sainte Anne, BP 600, 8800 Toulon cedex 9, France;2. Department of Visceral Surgery, Sainte-Anne Military Hospital, Toulon, France;3. 9th Army Medical Center, 144th medical unit, French Military Health Service, Canjuers, France;4. French Military Health Service Academy – École du Val-de-Grâce, Paris, France;1. Department of Neurological Surgery, The Ohio State University, Wexner Medical Center, 410W. 10th Ave., N-1049 Doan Hall, Columbus, OH 43210, United States;2. Department of Otolaryngology–Head and Neck Surgery, The Ohio State University, Wexner Medical Center, Columbus, OH, United States;1. Department of Neurosurgery, Strasbourg University Hospital, Strasbourg, France;2. ICU, Strasbourg University Hospital, Strasbourg, France;1. Neurosurgery department, Holy Family Red Crescent Medical College, 1, Eskaton Garden road, 1000 Dhaka, Bangladesh;2. Faculty of medicine, University of Cartagena, Center for biomedical research (CIB), Cartagena, Colombia;1. Neurosurgery department, Aix-Marseille University, APHM, CHU Timone, Marseille, France;2. Endovascular neuroradiology department, Aix-Marseille University, APHM, CHU Timone, Marseille, France;3. Anesthesiology–intensive care department, Aix-Marseille University, APHM, CHU Timone, Marseille, France;1. CHU de l’université de Montréal, Montréal, Canada;2. Université de Montréal, Montréal, Canada |
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| Abstract: | BackgroundA specific training course was formalized in 2007 in order to facilitate the management of cranio-encephalic injuries by French military general surgeons during deployment, within the Advanced Course for Deployment Surgery (ACDS). The objective is to evaluate the neurosurgical pre-deployment training course attended by the military surgeons.MethodsFrom June 2019 to September 2019, we conducted a cross-sectional survey in the form of a digital self-completed questionnaire, addressed to all graduated military surgeons working in the French Military Training Hospitals. The survey included: (1) a knowledge assessment; and (2) a self-assessment of the training course. The participating surgeons were classified into two groups according to their participation (group 1) or not (group 2) in the neurosurgical module. The main outcome was the score received on the knowledge assessment.ResultsAmong the 145 military surgeons currently in service, 76 participated in our study (53%), of which 49 were classified in group 1 (64%) and 27 in group 2 (36%). Group 1 surgeons had a significantly higher score than Group 2 at the knowledge assessment (mean 21.0 ± 7.1 vs. 17.8 ± 6.0, P = 0.041). The most successful questions were related to TBI diagnosis and surgical technique, while the least successful questions dealt with “beyond emergency care” and surgical indications.ConclusionThe French pre-deployment neurosurgical training course provides a strong neurosurgical background, sufficient to perform life-saving procedures in a modern conflict situation. However, neurosurgical specialized advice should be solicited whenever possible to assist the in-theatre surgeon in surgical decisions. |
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| Keywords: | Traumatic brain injury Decompressive craniectomy War surgery Surgical training Pre-deployment training Neurosurgical damage control Traumatisme crânien Craniectomie décompressive Chirurgie de guerre Formation chirurgicale Damage control neurochirurgical |
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