Evidence map›Paper›PMID 40107711›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Trauma surgical educational opportunities in Canada: a week in the life of a trauma service.

Kevin Verhoeff, Logan Richard, Matt Guttman, Barbara Haas, Chad G Ball, Nawaf Al Shahwan, Kosar Ali Khwaja, Paul Engels, Emilie Joos, Kelly Vogt and 3 more

Erratum issuedAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Canadian journal of surgery. Journal canadien de chirurgie
    Article
  3. Is Canadian trauma care still salvageable?Canadian journal of surgery. Journal canadien de chirurgie
    Article
  4. Building stronger trauma systems in Canada.Canadian journal of surgery. Journal canadien de chirurgie
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Kevin VerhoeffFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor) verhoeff@ualberta.ca.
Logan RichardFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).
Matt GuttmanFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).
Barbara HaasFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).
Chad G BallFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).
Nawaf Al ShahwanFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).
Kosar Ali KhwajaFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).
Paul EngelsFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).
Emilie JoosFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).
Kelly VogtFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).
Matt StricklandFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).
Samuel MinorFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).
Nori BradleyFrom the Department of Surgery, University of Alberta, Edmonton, Alta. (Verhoeff, Strickland, Bradley); Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Richard); Department of Surgery, University of Toronto, Toronto, Ont. (Guttman, Haas); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ont. (Haas); Department of Surgery, University of Calgary, Calgary, Alta. (Ball); Department of Surgery, McGill University, Montréal, Que. (Al Shahwan, Khwaja); Department of Surgery, McMaster University, Hamilton, Ont. (Engels); Department of Surgery, University of British Columbia, Vancouver, BC (Joos); Department of Surgery, Western University, London, Ont. (Vogt); Department of Surgery, Dalhousie University, Halifax, N.S. (Minor).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrauma educational opportunities for general surgery residents in Canada are uncharacterized. We aimed to characterize these opportunities for and identify factors associated with such opportunities.

methodsWe performed a prospective cross-sectional study characterizing trauma educational opportunities within Canadian trauma programs. Data were collected during 1 summer week and 1 winter week. We summarized educational opportunities by trauma site and season and used multivariable modelling to evaluate factors associated with increased likelihood of procedure opportunities.

resultsNine academic trauma centres participated. Most consults (93.9%) and trauma team activations (TTAs) (72.3%) were for blunt injuries, and most presentations were during the summer (67.2% TTAs + consults, 69.3% TTAs). Trauma services cared for a median of 14 (interquartile range [IQR] 10-20) inpatients, 4 (IQR 1-6) patients in the intensive care unit, and 0 (IQR 0-2) patients admitted to another service but subsequently followed by a trauma physician (i.e., consulting patients), which varied across hospitals (

conclusionTrauma educational opportunities remain heterogeneous across Canada. Higher volumes of patients with trauma were seen during the summer. Penetrating mechanism and TTAs with a trauma surgeon present appear to increase opportunities to perform procedures. Our results can inform general surgery training programs to optimize resident trauma training in Canada.

Indexed as

General SurgeryInternship and ResidencyTrauma CentersTraumatologyWounds and InjuriesAdultCanadaCross-Sectional StudiesFemaleHumansMaleProspective Studies

Identifiers

PMID40107711
PMCPMC11928075

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.