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Development of Korean Teaching Model for Surgical Procedures in Trauma -Essential Surgical Procedures in Trauma Course-
Journal of Trauma and Injury 2019;32(1):8-16
Published online March 30, 2019
© 2019 The Korean Society of Trauma.

Hohyun Kim1,2,3, Chan-Yong Park3,4, Hyun-Min Cho1,2,3, Kwang-Hee Yeo1,2,3, Jae Hun Kim1,2,3, Byungchul Yu3,5, Seung-Je Go3,6, Oh Sang Kwon3,7

1Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea, 2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea, 3Korean Association for Research, Procedure and Education on Trauma (KARPET), Seoul, Korea, 4Department of Trauma Surgery, Wonkwang University Hospital, Iksan, Korea, 5Trauma Center, Gachon University Gil Medical Center, Incheon, Korea, 6Department of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea, 7Traumatology, Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea
Correspondence to: Chan-Yong Park, M.D., Department of Trauma Surgery, Wonkwang University Hospital, 895 Muwang-ro, Iksan 54538, Korea, Tel: +82-63-859-0122, Fax: +82-63-859-0125, E-mail:
Received November 14, 2018; Revised January 3, 2019; Accepted January 7, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


The Essential Surgical Procedures in Trauma (ESPIT) course was developed as a model to teach necessary surgical procedures to trauma physicians. Its goals are to improve knowledge, self-confidence, and technical competence.


The ESPIT course consisted of five lectures and a porcine lab operative experience. The ESPIT course has been run seven times between February 2014 and April 2016. ESPIT participants completed a questionnaire to assess self-efficacy regarding essential surgical procedures in trauma before and immediately after taking the ESPIT course. Sixty-three participants who completed both pre- and post-course questionnaires on self-efficacy were enrolled in this study.


The overall post-ESPIT mean self-efficacy score was higher than the pre-ESPIT mean self-efficacy score (8.3±1.30 and 4.5±2.13, respectively) (p<0.001). Self-efficacy was significantly improved after the ESPIT course in general surgeons (p<0.001), thoracic and cardiovascular surgeons (p<0.001), emergency medicine doctors, and others (neurosurgeons, orthopedic surgeons) (p<0.001). The differences in self-efficacy score according to career stage (<1 year, 1–3 years, 3–5 years, and >5 years) were also statistically significant (p<0.001).


The data of the ESPIT participants indicated that they felt that the ESPIT course improved their self-efficacy with regard to essential surgical procedures in trauma. The ESPIT course may be an effective strategy for teaching surgical procedures, thus promoting better management of traumatic injuries.

Keywords : Injuries, Simulation training, Operative procedures

June 2019, 32 (2)
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Funding Information
  • Medtronic Innovation Center
  • Biomedical Research Institute Grant, Pusan National University Hospital