Murray Monica L, Woolridge Dale P, Colletti James E
University of Arizona, College of Medicine, Tucson, Arizona 85724-5057, USA.
J Emerg Med. 2009 Nov;37(4):425-9. doi: 10.1016/j.jemermed.2007.09.037. Epub 2008 Mar 19.
The objective of this study was to evaluate the faculty and graduate training profiles of Pediatric Emergency Medicine (PEM) fellowship training programs. An electronic 10-point questionnaire was sent to 57 PEM fellowship directors, with a 70% response rate. Analysis of the individual certification of faculty members in PEM training programs demonstrated that the largest represented training types were general pediatricians and pediatricians with PEM sub-certification (29% and 62% representation, respectively). The remaining faculty types consistently showed < 5% overall involvement. Reported estimates on faculty delivery of clinical training, didactic training, and procedural skills demonstrated that pediatricians sub-board certified in PEM consistently administered the highest percentage of these skill sets (74%, 68%, and 68%, respectively). Emergency Medicine-trained physicians showed a relative increase of involvement in fellowship programs administered by Emergency Medicine departments and in those programs located within adult hospitals. Yet, this involvement still remained substantially lower than that of the pediatric-type faculty. Program directors of fellowships within pediatric hospitals and those administered by Pediatric programs demonstrated a preference for general pediatricians with sub-board certification in PEM to improve their faculty pools. Program directors of fellowship programs located in adult hospitals and those administered by departments of EM demonstrated no preference in training type. Lastly, program directors report that 95% of past graduates received their primary board certification through Pediatrics and only 5% received their primary board certification through Emergency Medicine. There are currently many more pediatric-trained physicians among PEM fellowship faculty and graduates. This survey has demonstrated that there has been a decline in EM-trained physicians involved in PEM fellowships since 2000.
本研究的目的是评估儿科急诊医学（PEM）专科培训项目的教员和研究生培训概况。向57位PEM专科培训主任发送了一份10分的电子问卷，回复率为70%。对PEM培训项目中教员的个人认证分析表明，占比最大的培训类型是普通儿科医生和具有PEM亚专业认证的儿科医生（分别占29%和62%）。其余教员类型的总体参与率始终低于5%。关于教员提供临床培训、理论培训和操作技能的报告估计表明，获得PEM亚专业认证的儿科医生在这些技能集的管理中所占比例始终最高（分别为74%、68%和68%）。接受过急诊医学培训的医生在由急诊医学部门管理的专科项目以及位于成人医院的项目中的参与度相对有所增加。然而，这种参与度仍远低于儿科类型的教员。儿童医院内专科项目的主任以及由儿科项目管理的项目主任倾向于选择具有PEM亚专业认证的普通儿科医生来改善他们的教员队伍。位于成人医院的专科项目主任以及由急诊医学部门管理的项目主任在培训类型上没有偏好。最后，项目主任报告称，95%的往届毕业生通过儿科学获得了他们的初级专业认证，只有5%通过急诊医学获得了初级专业认证。目前，PEM专科教员和毕业生中接受儿科培训的医生要多得多。这项调查表明，自2000年以来，参与PEM专科培训的接受过急诊医学培训的医生数量有所下降。
