Emergency Medicine, St. Vincent's Hospital Melbourne, and Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Emerg Med Australas. 2010 Apr;22(2):100-7. doi: 10.1111/j.1742-6723.2010.01268.x.
As a reaction to the medical workforce shortage in Australia, a large expansion of undergraduate medical education has occurred through the provision of funding of additional medical student places. As a consequence, the number of medical graduates is anticipated to increase by as much as 90% with a peak in numbers anticipated in 2012. With ED already under pressure, this increase has serious implications for ED, particularly the delivery of intern and student teaching. This integrated review describes potential challenges that might arise from the predicted increase in intern numbers working in ED. A structured literature search was conducted from which 44 directly relevant articles were identified. We discuss the possible impact of an increased number of medical graduates on emergency medical staff, education, supervision and feedback to interns, and given the potential impacts on the education of junior doctors; we review the purpose and implementation of the Australian Curriculum framework for Junior Doctors in relation to their learning requirements. Although there is consensus by most postgraduate bodies that the core emergency term in emergency medicine should be retained, the impact of increased intern numbers might dramatically affect the clinical experiences, supervision and educational resources in the ED. This might necessitate cultural changes in medical education and ED function.
针对澳大利亚医疗人员短缺的问题，通过提供额外的医学生名额，本科医学教育得到了大规模的扩张。因此，预计医学毕业生的数量将增加多达 90%，预计人数峰值将出现在 2012 年。由于 ED 已经面临压力，这种增长对 ED 产生了严重影响，特别是对实习医生和学生教学的影响。本综合评论描述了预计在 ED 工作的实习医生人数增加可能带来的潜在挑战。我们进行了结构化文献检索，从中确定了 44 篇直接相关的文章。我们讨论了增加的医学毕业生数量对急诊医务人员、教育、监督和对实习医生的反馈可能产生的影响，并考虑到这对初级医生教育的潜在影响；我们回顾了澳大利亚初级医生课程框架的目的和实施情况，以了解他们的学习需求。尽管大多数研究生机构都认为应该保留急诊医学的核心急诊任期，但实习医生人数的增加可能会极大地影响 ED 的临床经验、监督和教育资源。这可能需要在医学教育和 ED 功能方面进行文化变革。
