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Whether or not the ATLS is difficult depends on your own level of preparation and dedication. Most students report that the 3-day course was helpful and not taxing to complete. The most challenging section of the program is reported to be the written exam.
Course Format Before the course, you will be required to complete the pre-course online learning consisting of an Overview chapter, ATLS student course manual, 13 modules and quizzes, pre and post module MCQs and it takes approximately 1-2 hrs to complete each module (this could take you 26+ hours).
Conclusions: A failure rate of 10.5% was demonstrated among the course participants. Age greater than 55, English as second language, pretest score less than 75, and non-Trauma/SCC and non-Emergency Medicine backgrounds were associated with failure. These subgroups may benefit from performance improvement measures.
The written posttest is a 40 MCQ examination that assesses test takers medical knowledge of ATLS concepts and must be passed with a minimum 75% score. ATLS participants are allowed to retake both assessments on the day of the course if needed.
Multiple-choice questions We have 402 Multiple-choice 1st, 2nd, and 3rd order questions with four detailed teaching points linked to 185 PubMed indexed review articles related to the ATLS Examination.
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New to the 10th edition are: Completely revised skills stations based on unfolding scenarios. Emphasis on the trauma team, including a new Teamwork section at the end of each chapter and a new appendix focusing on Team Resource Management in ATLS.

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