Strategies to Enhance Wellness in Emergency Medicine Residency Training Programs

ABSTRACT Objectives: We sought to determine the emergency medicine training demographics of physicians working in rural and regional emergency departments (EDs) in southwestern Ontario. Methods: A confidential 8-item survey was mailed to ED chiefs in 32 community EDs in southwestern Ontario during the month of March 2005. This study was limited to nonacademic centres. Results: Responses were received from 25 (78.1%) of the surveyed EDs, and demographic information on 256 physicians working in those EDs was obtained. Of this total, 181 (70.1%) physicians had no formal emergency medicine (EM) training. Most were members of the College of Family Physicians of Canada (CCFPs). The minimum qualification to work in the surveyed EDs was a CCFP in 8 EDs (32.0%) and a CCFP with Advanced Cardiac and Trauma Resuscitation Courses (ACLS and ATLS) in 17 EDs (68.0%). None of the surveyed EDs required a CCFP(EM) or FRCP(EM) certification, even in population centres larger than 50 000. Conclusion: The majority of physicians working in southwestern Ontario community EDs graduated from family medicine residencies, and most have no formal EM training or certification. This information is of relevance to both family medicine and emergency medicine residency training programs. It should be considered in the determination of curriculum content and the appropriate number of residency positions.

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A Comparison between Emergency Medicine Residency Training Programs in the United States and Saudi Arabia from the Residents’ Perception

Emergency Medicine International ◽

10.1155/2014/362624 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Khaled Alghamdi ◽

Abdulaziz Alburaih ◽

Mary Jo Wagner

Keyword(s):

United States ◽

Emergency Medicine ◽

Saudi Arabia ◽

Residency Training ◽

Training Programs ◽

The United States ◽

Training Techniques ◽

Academic Activities ◽

The Usa ◽

Strongly Agree

Objectives. This study was designed to compare the trainees’ perception of emergency medicine (EM) training in the United States (US) and Saudi Arabia (SA) and to identify residents’ levels of confidence and points of satisfaction in education, procedural skills, and work environment.Method. An IRB-exempt anonymous web-based survey was distributed to five EM residency training programs in the USA and three residency regions in SA.Results. 342 residents were polled with a 20% response rate (16.8% USA and 25.8% SA). The Saudi residents responded less positively to the questions about preparation for their boards’ examinations, access to multiple educational resources, and weekly academic activities. The Saudi trainees felt less competent in less common procedures than US trainees. American trainees also more strongly agree that they have more faculty interest in their education compared to the Saudi trainees. The Saudi residents see more patients per hour compared to their US peers.Conclusion. These findings may be due to the differences in training techniques including less formal didactics and simulation experience in SA and more duty hour regulations in the USA.

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What is the impact of the COVID-19 Pandemic on Emergency Medicine Residency Training: An observational study

10.21203/rs.3.rs-42333/v2 ◽

2020 ◽

Author(s):

Hsiang-Yun Lo ◽

Shen-Che Lin ◽

Chung-Hsien Chaou ◽

Yu-Che Chang ◽

Chip-Jin Ng ◽

...

Keyword(s):

Emergency Medicine ◽

Residency Training ◽

Training Programs ◽

Primary Objective ◽

Clinical Exposure ◽

Number Of Patients ◽

Tertiary Teaching ◽

Epidemic Period ◽

Methods Of Learning ◽

The Impact

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic has engendered difficulties for health systems globally; however, the effect of the pandemic on emergency medicine (EM) residency training programs is unknown. The pandemic has caused reduced volumes of emergency department (ED) patients, except for those with COVID-19 infections, and this may reduce the case exposure of EM residents. The primary objective of this study was to compare the clinical exposure of EM residents between the prepandemic and pandemic periods. Methods This was a retrospective study of EM resident physicians’ training in a tertiary teaching hospital with two branch regional hospitals in Taiwan. We retrieved data regarding patients seen by EM residents in the ED between September 1, 2019, and April 30, 2020. The first confirmed COVID-19 case in Taiwan was reported on January 11, so the pandemic period in our study was defined as spanning from February 1, 2020, to April 30, 2020. The number and characteristics of patients seen by residents were recorded. We compared the data between the prepandemic and pandemic periods.Results The mean number of patients per hour (PPH) seen by EM residents in the adult ED decreased in all three hospitals during the pandemic. The average PPH of critical area of medical ED was 1.68 in the pre-epidemic period and decreased to 1.33 in the epidemic period (p value < 0.001). The average number of patients managed by residents decreased from 1.24 to 0.82 in the trauma ED (p value= 0.01) and 1.56 to 0.51 in the pediatric ED (p value=0.003) during the pandemic, respectively. The severity of patient illness did not change significantly between the periods. Conclusions The COVID-19 pandemic engendered a reduced ED volume and decreased EM residents’ clinical exposure. All portion of EM residency training were affected by the pandemic, with pediatric EM being the most affected. The patient volume reduction may persist and in turn reduce patients’ case exposure until the pandemic subsides. Adjustment of the training programs may be necessary and ancillary methods of learning should be used to ensure adequate EM residency training.

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What is the Impact of the COVID-19 Pandemic on Emergency Medicine Residency Training: An Observation Study

10.21203/rs.3.rs-42333/v1 ◽

2020 ◽

Author(s):

Hsiang-Yun Lo ◽

Shen-Che Lin ◽

Chung-Hsien Chaou ◽

Yu-Che Chang ◽

Chip-Jin Ng ◽

...

Keyword(s):

Emergency Medicine ◽

Residency Training ◽

Training Programs ◽

Working Hours ◽

Primary Objective ◽

Observation Study ◽

Clinical Exposure ◽

Number Of Patients ◽

Methods Of Learning ◽

The Impact

Abstract BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has engendered difficulties for health systems globally; however, the effect of the pandemic on emergency medicine (EM) residency training programs is unknown. The pandemic has engendered reduced volumes of emergency department (ED) patients, except for those with COVID-19 infections, and this may reduce the case exposure of EM residents. The primary objective of this study was to compare the clinical exposure of EM residents between the prepandemic and pandemic periods. MethodsThis was a retrospective study of EM resident physicians in Taiwan. We performed a medical record review and retrieved data regarding patients seen by EM residents in the ED between September 1, 2019, and April 30, 2020. The number and characteristics of patients seen by residents were recorded, and the training schedules, including clinical working hours, of EM residents were determined. We compared the data between the prepandemic and pandemic periods.ResultsA total of 51,337 patients were managed by 36 EM residents during the 8-month study period. The mean number of patients per hour (PPH) seen by EM residents decreased significantly during the pandemic period. The PPH seen by residents in the adult ED decreased in all three hospitals during the pandemic. The average number of patients managed by residents decreased by 50% and 70% in the trauma ED and pediatric ED during the pandemic, respectively. The severity of patient illness did not change significantly between the periods. ConclusionsThe COVID-19 pandemic engendered a reduced ED volume and decreased EM residents’ clinical exposure. All portion of EM residency training were affected by the pandemic, with pediatric EM being the most affected. The patient volume reduction may persist and in turn reduce patients’ case exposure until the pandemic subsides. Adjustment of the training programs may be necessary and ancillary methods of learning should be used to ensure adequate EM residency training.

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363 A National Survey of Workflow Efficiency Education among Emergency Medicine Residency Training Programs

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2020.09.379 ◽

2020 ◽

Vol 76 (4) ◽

pp. S140-S141

Author(s):

G. Carmelli ◽

E. Watson ◽

N.A. Villarroel ◽

W. Dixon ◽

S.O. Clarke

Keyword(s):

Emergency Medicine ◽

Residency Training ◽

National Survey ◽

Training Programs ◽

Workflow Efficiency

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Assessing the effectiveness of pediatric emergency medicine education in emergency medicine residency training: A national survey

Hong Kong Journal of Emergency Medicine ◽

10.1177/1024907920926312 ◽

2020 ◽

pp. 102490792092631

Author(s):

Wei-Chen Chen ◽

Chung-Hsien Chaou ◽

Chip-Jin Ng ◽

Yueh-Ping Liu ◽

Yu-Che Chang

Keyword(s):

Emergency Medicine ◽

Residency Training ◽

Clinical Supervision ◽

Pediatric Patients ◽

Training Programs ◽

Demographic Data ◽

Pediatric Emergency ◽

Point Of Care Ultrasound ◽

Pediatric Emergency Medicine ◽

Emergency Physicians

Background: Evaluating the effectiveness of pediatric emergency medicine training is essential to ensure that emergency physicians and emergency medicine residents have sufficient knowledge, skill, and confidence in optimizing care for acute pediatric visits. Although the field of pediatric emergency medicine has experienced phenomenal growth in past decades, it still faces challenges in how to best implement the curriculums in emergency medicine residency training programs. Objectives: Exploring emergency physicians’ and emergency residents’ perspectives on pediatric emergency medicine training in emergency residency training programs in Taiwan through a nationwide survey. Methods: The survey was distributed to 1281 emergency physicians and emergency medicine residents in 43 teaching hospitals. The survey inquired about demographic data, hospital type, rank of proctored trainers and assessors, and the setting of pediatric emergency medicine training. Participants’ confidence in managing acute pediatric visits and their satisfaction and reflections of their pediatric emergency medicine training were explored. Results: In all, 258 responses were received from 117 residents and 141 emergency physicians. Seventy-seven percent reported working in medical centers. Clinical supervision was primarily performed by pediatric attending physicians and emergency physicians. Fifty-eight percent of participants felt satisfied with their pediatric emergency medicine training. However, only 52.3% felt confident managing acute pediatric visits, which was attributed to inadequate exposure to pediatric patients. Residents noted lack of confidence in managing newborns, infants, and clinical procedures. Therefore, simulation training and point-of-care ultrasound learning were considered advantageous. Conclusion: The pediatric emergency medicine training in emergency medicine residency programs is diverse in intensive care training, supervisors, and assessors. Surveys demonstrate that learning experience in pediatric wards and emergency department rotations is associated with overall satisfaction with pediatric emergency medicine training; inadequate exposure to pediatric patients contributed to learners having less confidence. Emergency medicine residency program reform might focus on adequate hands-on pediatric patient care.

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Substance abuse education in residency training programs in emergency medicine

Annals of Emergency Medicine ◽

10.1016/s0196-0644(89)80273-2 ◽

1989 ◽

Vol 18 (12) ◽

pp. 1344-1347 ◽

Cited By ~ 3

Author(s):

Ellen H Taliaferro ◽

Douglas A Rund ◽

Charles G Brown ◽

Lewis R Goldfrank ◽

Robert C Jorden ◽

...

Keyword(s):

Emergency Medicine ◽

Substance Abuse ◽

Residency Training ◽

Training Programs ◽

Substance Abuse Education

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Guidelines for combined emergency medicine-internal medicine residency training programs

Annals of Emergency Medicine ◽

10.1016/s0196-0644(05)81135-7 ◽

1991 ◽

Vol 20 (1) ◽

pp. 101-103 ◽

Cited By ~ 2

Author(s):

Keyword(s):

Internal Medicine ◽

Emergency Medicine ◽

Residency Training ◽

Training Programs ◽

Internal Medicine Residency ◽

Internal Medicine Residency Training

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What is the impact of the COVID-19 pandemic on emergency medicine residency training: an observational study

BMC Medical Education ◽

10.1186/s12909-020-02267-2 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Hsiang-Yun Lo ◽

Shen-Che Lin ◽

Chung-Hsien Chaou ◽

Yu-Che Chang ◽

Chip-Jin Ng ◽

...

Keyword(s):

Emergency Medicine ◽

Residency Training ◽

Training Programs ◽

Primary Objective ◽

Clinical Exposure ◽

Number Of Patients ◽

Tertiary Teaching ◽

Epidemic Period ◽

Methods Of Learning ◽

The Impact

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic has engendered difficulties for health systems globally; however, the effect of the pandemic on emergency medicine (EM) residency training programs is unknown. The pandemic has caused reduced volumes of emergency department (ED) patients, except for those with COVID-19 infections, and this may reduce the case exposure of EM residents. The primary objective of this study was to compare the clinical exposure of EM residents between the prepandemic and pandemic periods. Methods This was a retrospective study of EM resident physicians’ training in a tertiary teaching hospital with two branch regional hospitals in Taiwan. We retrieved data regarding patients seen by EM residents in the ED between September 1, 2019, and April 30, 2020. The first confirmed COVID-19 case in Taiwan was reported on January 11, so the pandemic period in our study was defined as spanning from February 1, 2020, to April 30, 2020. The number and characteristics of patients seen by residents were recorded. We compared the data between the prepandemic and pandemic periods. Results The mean number of patients per hour (PPH) seen by EM residents in the adult ED decreased in all three hospitals during the pandemic. The average PPH of critical area of medical ED was 1.68 in the pre-epidemic period and decreased to 1.33 in the epidemic period (p value < 0.001). The average number of patients managed by residents decreased from 1.24 to 0.82 in the trauma ED (p value = 0.01) and 1.56 to 0.51 in the pediatric ED (p value = 0.003) during the pandemic, respectively. The severity of patient illness did not change significantly between the periods. Conclusions The COVID-19 pandemic engendered a reduced ED volume and decreased EM residents’ clinical exposure. All portion of EM residency training were affected by the pandemic, with pediatric EM being the most affected. The patient volume reduction may persist and in turn reduce patients’ case exposure until the pandemic subsides. Adjustment of the training programs may be necessary and ancillary methods of learning should be used to ensure adequate EM residency training.

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