Division of Emergency Medicine, University of Cape Town, Cape town, South Africa.
Emerg Med J. 2011 Nov;28(11):955-8. doi: 10.1136/emj.2010.104018. Epub 2010 Oct 23.
The aim of this study was to determine whether the current South African Emergency Medicine Curriculum is appropriate for the burden of disease seen by registrars in Cape Town Emergency Centres.
This is a cross-sectional retrospective audit of patients presenting to a range of secondary level emergency centres (ECs) in Cape Town. The type of clinical presentations, investigations done and procedures performed were analysed. Basic descriptive statistics are presented.
A total of 1283 clinical presentations from three secondary level ECs in Cape Town were collated. Of these clinical presentations, 47 were not included in the South African Emergency Medicine curriculum; in addition, two were only included in the paediatrics section. 115 procedures were tabled, of these, 11 were not included in the curriculum. 730 investigations were tabled; 527 were not included in the curriculum.
The curriculum did not cover all the clinical conditions, procedures and investigations encountered by emergency medicine (EM) registrars in Cape Town. In addition, there were multiple categories in the curriculum that were not encountered in EM practice at all. The investigations section of the curriculum correlated particularly poorly with the skills needed for the burden of disease seen in ECs in Cape Town. The curriculum should be redrafted guided by a practice analysis of EM.
本研究旨在确定南非急诊医学课程是否适用于开普敦急诊中心注册医师所面临的疾病负担。
这是一项对开普敦一系列二级急诊中心（EC）就诊患者的横断面回顾性审计。分析了临床表现、进行的检查和实施的操作。呈现了基本的描述性统计数据。
共收集了来自开普敦三家二级 EC 的 1283 例临床病例。其中 47 例临床病例未包含在南非急诊医学课程中；此外，其中 2 例仅包含在儿科部分。共提出了 115 项操作，其中 11 项未包含在课程中。提出了 730 项检查；其中 527 项未包含在课程中。
该课程并未涵盖开普敦急诊医学注册医师所遇到的所有临床情况、操作和检查。此外，课程中有多个类别根本未在急诊医学实践中遇到。课程中的检查部分与 EC 中所见疾病负担所需的技能特别不相关。应根据急诊医学的实践分析重新起草课程。
