Assessment and Treatment of Trauma On-Site Module
The On-Site Module consists of four components including lectures, scenarios, skill stations, and a written test.
On-Site LecturesOn-Site ScenariosOn-Site Skills StationOn-Site Written Tests
On-Site Lectures
Each lecture is designed to be presented in 30 minutes.
The Basic ATT Course lectures are as follows:
- Initial Assessment and Resuscitation
- Head and Neck Trauma
- Torso Trauma
The Advanced ATT Course lectures are as follows:
- Initial Assessment and Resuscitation
- Airway Management
- Traumatic Brain Injury
ATT Course Coordinator Note:
The lectures are designed for presentation to the entire group by one of the Faculty members. The ToolKit CD-ROM includes a lecture folder. Inside the folder are ready-to-use basic and advanced PowerPoint presentations and corresponding lecture outlines.
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On-Site Scenarios
The ATT scenarios play an important role in helping trauma students apply information from all aspects of the course. The Faculty presents a scenario, and the students must work through the case as a team, requesting additional information from the Faculty. The Faculty provides supervision and facilitation throughout the process of case development, allowing the group to ask questions and formulate a plan for care. Each scenario is designed with questions that the Faculty can pose to the group. At the end of each scenario, the Faculty provides a case summary to emphasize the major teaching points.
The Basic ATT Course scenarios are as follows:
- Mechanism of Injury
- Shock
- Extremity Trauma
- Special Populations
The Advanced ATT Course scenarios are as follows:
- Mechanism of Injury
- Shock
- Extremity Trauma
- Special Populations
ATT Course Coordinator Note:
The scenarios are designed to promote learning through small-group discussion centered on a trauma case. Ideally, these small groups will comprise four to eight students per Faculty member. Each scenario consists of 3 unique cases designed to cover multiple aspects of the topic. Scenarios for the small-group discussions are in the scenarios folder on the ToolKit CD-ROM. Inside the folder are ready-to-use basic and advanced scenarios. Each one is designed to be presented in 30 minutes (approximately 10 minutes per case).
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On-Site Skills Station
The skill station format is designed to serve two purposes. The case-based ATT skill stations create a critical thinking situation for participants and provide a forum for demonstrating and teaching hands-on skills and allowing participants to practice these skills under the Faculty’s supervision. There are 5 base-based skill stations.
The ATT Course skill stations are as follows:
- Assessment
- Airway
- Spinal Immobilization
- Glasgow Coma Score Assessment
- Mass-Casualty Incident Triage
ATT Course Coordinator Note:
The skill stations are designed to have a 8:1 participant-to-Faculty ratio (or ratio set by the local continuing education accreditation agency). There are 5 skill stations and the teaching materials are found on the ToolKit CD-ROM in the skill station folder. Inside the folder are ready-to-use case-based skill stations.
The skill station teaching materials are the same for the basic and advanced courses. Faculty will require participants to complete the simulated trauma case to their level of training and according to local protocols. For example, in the airway skill station a basic provider who is trained to use an LMA should incorporate it if the simulated patient requires it.
Each skill station begins with general information on setting up the skill station, room, and equipment requirements, and suggestions on how to demonstrate and teach the skills. The Faculty at the skill station should ensure that every participant performs each skill taught at each station.
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On-Site Written Tests
Written testing is an important part of determining whether participants have mastered the information and skills presented in the ATT Course. Each course participant wishing to receive an ATT Course Completion Certificate must successfully complete the ATT post-test for the appropriate course (basic or advanced).
Test Philosophy
The ATT Course is presented in a case-based format. Likewise, most of the questions on the test are case-based. This format tests not only students' knowledge but also their ability to apply that knowledge.
Post-test
The post-test is administered after all other course components are complete. Course participants who participated in the full course by attending all components qualify to take the post-test.
Test |
Number of Questions |
Minimum Score to Successfully Complete the Test |
ATT Basic Course |
25 |
20 (80%) |
ATT Advanced Course |
25 |
20 (80%) |
Remediation
Some course participants will not successfully complete the ATT written test on the first attempt. The participant may have a second attempt to complete the written test successfully. It is advised that this be done on another day. It is unlikely that the participant will improve his or her knowledge and assessment skills enough to pass the test on the same day. If the participant does not pass the alternate version, the student must retake the course to qualify for an ATT Course Completion Certificate.
ATT Course Coordinator Note:
The ATT written test packet is made available to the ATT Course Coordinator when the AAOS receives verification that he or she has successfully completed the ATT Course Coordinator Online Orientation. The ATT written test packet includes the following four tests:
- Advanced Post-test, version I
- Advanced Post-test, version II
- Basic Post-test, version I
- Basic Post-test, version II
The test should be a closed-book test, corrected by the Course Coordinator or an assisting Faculty member.
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