St Vincent's Hospital, Melbourne, Vic. 3065, Australia.
Emerg Med Australas. 2009 Dec;21(6):497-502. doi: 10.1111/j.1742-6723.2009.01233.x.
The objective of the present study was to determine emergency physicians' training, experience and perceptions as expert witnesses. Emergency physicians of an adult tertiary referral and teaching hospital participated in a pilot survey regarding their experiences in report writing and in court as expert witnesses. The 28-item survey also examined the amount of formalized forensic medical teaching that emergency physicians had received during their training. Of the participants, 41% (95% CI 21.6-64.1; 7/17) had never received any undergraduate or postgraduate training in forensic medicine, 11/17 (65%, 95% CI 41.2-82.8) had provided a written expert opinion for court, and 12/17 (71%, 95% CI 46.6-87.0) had attended court as an expert witness. All participants considered themselves 'skilled in attending an emergency resuscitation', whereas 3/13 (23%, 95% CI 7.5-50.9) considered themselves 'skilled in attending a courtroom trial'. Nearly 90% (95% CI 64.7-98.0; 15/17) thought that medical evidence training should be a requirement of emergency speciality training. The most commonly preferred forms of medical evidence training were mock court sessions (76%, 95% CI 52.2-91.0; 13/17) and forensic workshops (76%, 95% CI 52.2-91.0; 13/17). From 10 non-technical skills required of an EP, 'appearing in court as an expert witness' was perceived to be the second most difficult skill by most respondents. Emergency physicians in this pilot study have limited training for the role of expert witness and see it as one of the most difficult non-technical skills they have to perform. Further research is required regarding the current and future scope of forensic training.
本研究的目的是确定急诊医师作为专家证人的培训、经验和看法。一家成人三级转诊和教学医院的急诊医师参与了一项试点调查，内容是关于他们在报告撰写和法庭作证方面的经验。这份 28 项的调查问卷还考察了急诊医师在培训中接受的正式法医教学的数量。在参与者中，41%（95%CI21.6-64.1；7/17）从未接受过任何本科或研究生阶段的法医学培训，11/17（65%，95%CI41.2-82.8）曾为法庭提供过书面专家意见，12/17（71%，95%CI46.6-87.0）曾作为专家证人出庭。所有参与者都认为自己“擅长参加急诊复苏”，而 3/13（23%，95%CI7.5-50.9）认为自己“擅长参加法庭审判”。近 90%（95%CI64.7-98.0；15/17）的人认为医疗证据培训应该成为急诊专业培训的要求。最受欢迎的医疗证据培训形式是模拟法庭（76%，95%CI52.2-91.0；13/17）和法医研讨会（76%，95%CI52.2-91.0；13/17）。在急诊医师需要的 10 项非技术技能中，“作为专家证人出庭”是大多数受访者认为第二难的技能。这项试点研究中的急诊医师在担任专家证人方面的培训有限，他们认为这是他们必须具备的最困难的非技术技能之一。需要进一步研究当前和未来法医培训的范围。
