CRASH Course

Surgical Competencies in Resuscitation and Stabilization of Hospital Patients

The Surgical CRASH Course

Departments of Surgery, Orthopedics and Urology, University of British Columbia

BACKGROUND: Surgical residents are expected to rapidly acquire knowledge and cognitive and technical skills in the first months of training. Although these residents shoulder the immense responsibility of providing care to the hospital’s most complex and unstable patients, competencies in resuscitation and stabilization are not always provided in a comprehensively and early in training.

OBJECTIVE: To design and implement a modular 1-month curriculum that emphasizes key cognitive and technical competencies in caring for unstable patients. These include in-depth comprehension of essential scientific literature, critical appraisal skills, fluency in resuscitation algorithms in trauma and critical care, familiarity with technical aspects of resuscitation, and effective communication and management skills in high intensity situations. The course will incorporate a CanMEDS competency-based training platform and will be designed to integrate with existing activities of the Core Surgery Program and the General Surgery Program and residents will complete 2-3 relevant Fundamentals of Surgical Care (FSC) modules per week. Residents will be excused from regular service activities but will still have nominal call responsibilities (which will allow immediate application and reinforcement of acquired competencies). Call will preferably be taken on Friday nights or Saturdays.