加拿大医学院对急诊医学学科的资源贡献。

Resource contribution by Canadian faculties of medicine to the discipline of emergency medicine.

机构信息

Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada.

出版信息

CJEM. 2001 Jan;3(1):13-8. doi: 10.1017/s1481803500005091.

DOI:10.1017/s1481803500005091

PMID:17612435

Abstract

OBJECTIVE

Undergraduate and postgraduate emergency medicine (EM) education has developed rapidly over the last 20 years. Our objective was to establish a national educational inventory, cataloguing the human and financial resources provided to EM programs by Canadian faculties of medicine.

METHODS

A 17-question survey was distributed to all 27 Canadian EM program directors, representing 11 Royal College of Physicians and Surgeons of Canada (RCPSC) programs and 16 College of Family Physicians of Canada (CFPC-EM) programs. The questionnaire addressed teaching responsibilities, teaching support and academic support in each program.

RESULTS

All 27 program directors returned valid questionnaires. Annually, an estimated 3,049 students and residents participate in EM learning. This includes 1,369 undergraduates (45%), 1,621 postgraduates (53%) and 59 others (2%). Of the postgraduates, 173 are EM residents -- 92 (53%) in RCPSC programs and 81 (47%) in CFPC-EM programs. Overall, 587 EM faculty teach residents and students, but only 36 (6%) of these hold academic geographical full time positions. At the university level, all 16 CFPC-EM programs are administered by departments of family medicine. Of 11 RCPSC programs, 1 has full departmental status, 2 are free-standing divisions, 3 are administered through family medicine, 3 through medicine, 1 through surgery and 1 by other arrangements. Currently 8 programs (30%) have associate faculty, 14 (52%) have designated research directors and 10 (37%) describe other human resources. Sixteen (59%) programs receive direct financial and administrative support and 17 (63%) receive financial support for resident initiatives. Only 8 program directors (30%) perceive that they are receiving adequate support.

CONCLUSIONS

Despite major teaching and clinical responsibilities within the faculties of medicine, Canadian EM programs are poorly supported. Further investment of human and financial and human resources is required.

摘要

目的

在过去的 20 年中，本科和研究生急诊医学（EM）教育发展迅速。我们的目标是建立一个国家教育资源库，对加拿大医学院提供给 EM 项目的人力和财力资源进行编目。

方法

向所有 27 名加拿大 EM 项目主任分发了一份包含 17 个问题的调查问卷，他们代表了 11 个加拿大皇家内科医师和外科医师学院（RCPSC）项目和 16 个加拿大家庭医师学院（CFPC-EM）项目。该问卷涉及每个项目的教学职责、教学支持和学术支持。

结果

27 名项目主任全部返回了有效问卷。每年，估计有 3049 名学生和住院医师参加 EM 学习。这包括 1369 名本科生（45%）、1621 名研究生（53%）和 59 名其他学生（2%）。在研究生中，有 173 名是急诊住院医师——92 名（53%）在 RCPSC 项目中，81 名（47%）在 CFPC-EM 项目中。总的来说，有 587 名 EM 教师为住院医师和学生授课，但只有 36 名（6%）拥有学术地理全职职位。在大学层面，所有 16 个 CFPC-EM 项目均由家庭医学系管理。在 11 个 RCPSC 项目中，1 个具有完整的部门地位，2 个是独立的部门，3 个通过家庭医学管理，3 个通过医学管理，1 个通过手术管理，1 个通过其他安排管理。目前，有 8 个项目（30%）有副教职员工，14 个项目（52%）有指定的研究主任，10 个项目（37%）有其他人力资源描述。16 个项目（59%）获得直接的财务和行政支持，17 个项目（63%）获得住院医师计划的财务支持。只有 8 位项目主任（30%）认为他们得到了足够的支持。