Meislin H W, Spaite D W, Valenzuela T D
Section of Emergency Medicine, University of Arizona Health Sciences Center, Tucson.
Ann Emerg Med. 1992 Mar;21(3):298-302. doi: 10.1016/s0196-0644(05)80891-1.
Emergency medicine faculty have 24-hour clinical responsibilities in addition to the academic requirements of research and administration/teaching. This study was undertaken to determine the existing and ideal work style of such faculty by professional rank, administrative title, and/or tenure versus clinical track.
Data analysis from department or residency directors of Accreditation Council for Graduate Medical Education-approved emergency medicine residency programs.
ACGME-approved emergency medicine residency programs.
Emergency medicine faculty.
Ninety-three percent of programs submitted appropriate data. Programs averaged 11 full- and four part-time faculty. Mean time ranged from 15 to 30 hours per week with an average mean of 23 hours (48% of total work week) for clinical responsibilities, from ten to 32 hours per week with an average mean of 19 hours per week (38%) for administrative/teaching efforts, and from three to 14 hours per week with an average mean of seven hours per week (15%) for research. Total time averaged between 44 and 51 hours per week. Ideal work style emphasized less clinical time and a shorter work week. Responsibilities varied by rank, administrative position, and clinical versus tenure track.
Emergency medicine faculty accomplish the clinical, research, and teaching/administrative demands of academia by increasing the number of faculty, varying the faculty responsibilities by rank and title, and shortening the total work week. Research time is extremely limited.
急诊医学教员除了承担研究及行政/教学等学术要求外,还需承担24小时的临床职责。本研究旨在根据专业职级、行政头衔和/或终身教职与临床职称来确定此类教员现有的和理想的工作方式。
对毕业后医学教育认证委员会批准的急诊医学住院医师培训项目的科室主任或住院医师培训主任进行数据分析。
毕业后医学教育认证委员会批准的急诊医学住院医师培训项目。
急诊医学教员。
93%的项目提交了合适的数据。各项目平均有11名全职教员和4名兼职教员。临床职责的平均时间为每周15至30小时,平均为23小时(占总工作周的48%);行政/教学工作的平均时间为每周10至32小时,平均为每周19小时(占38%);研究工作的平均时间为每周3至14小时,平均为每周7小时(占15%)。每周总工作时间平均在44至51小时之间。理想的工作方式强调减少临床工作时间和缩短工作周。职责因职级、行政职位以及临床职称与终身教职的不同而有所差异。
急诊医学教员通过增加教员数量、根据职级和头衔调整教员职责以及缩短总工作周来完成学术界的临床、研究和教学/行政要求。研究时间极其有限。