Aim: To create a non-clinical care education alternative for
low-middle-income country (LMIC) medical students in an acute
care surgery (ACS) service in the United States.
Materials and methods: An observational 30-day rotation with
retrospective evaluation for an international medical student
occurred at a level one trauma center in the United States. Trauma
morning report was used as an educational model based on some
elements of the American College of Surgeons Committee on
Trauma, Resources for Optimal Care of the Injured.
Results: Trauma morning report was held daily for the
student’s 30-day experience. The trauma patients’ primary
and secondary survey, images, trauma bay, and operative
management were all reviewed daily. Patients’ prehospital and
hospital courses were completely evaluated by the performance
improvement team. The functional status, physical therapy,
familial support networks, economic and health insurance
record, and rehabilitation disposition were reviewed. Prior to
discharge, socioeconomic barrier analysis was conducted to
provide safe outpatient care plans. Education by attending
surgeons for the multidisciplinary team, which was integrated
by students, residents, fellows, faculty, social workers, physical
therapists, advanced nurse practitioners, performance
improvement coordinator, and nurse trauma manager, was
conducted daily on a selected topic.
Conclusion: Trauma morning report served as an observa-
tional education in multidisciplinary trauma systems (TS) for
international students. The experience in the United States
provides a new perspective on systems-based trauma care
for international students.
Clinical significance: The educational alternative exposed
is a pathway for medical students from LMIC to increase their
clinical experience, ACS knowledge, and trauma care system-
based understanding. The students who opt for this kind of
experience may choose a specialization in surgery, increase
their research productivity, and improve the development of
emergency medical services TS in their respective countries.
Keywords: Acute care surgery education, Emergency medical
services, Global health, International experience, Low-middle-
income countries, Medical, Observational study, Students,
Trauma systems development.
How to cite this article: Silva JCR, Gupta R, Gracias V, Peck G.
Nonclinical, Observational Trauma Rotations in the United
States provide International Students Multidisciplinary Trauma
Program and Systems Education. Panam J Trauma Crit Care
Emerg Surg 2017;6(1):8-12.
Source of support: Nil
Conflict of interest: None