Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Acad Emerg Med. 2010 Oct;17 Suppl 2:S49-53. doi: 10.1111/j.1553-2712.2010.00852.x.
Rotating (non-emergency medicine [EM]) residents perform clinical rotations in many academic emergency departments (EDs). The primary objective of this work was to quantify characteristics of rotating residents and the didactic curricula offered to them during their EM rotations. Secondary objectives were to identify barriers to instituting such didactics and to establish ideal curricular contents.
A Web-based survey was administered by e-mail to residency directors of all U.S. allopathic EM residency programs. Consent was obtained in the first part of the survey, and the study was deemed exempt from full review by the institutional review board. Questions solicited information regarding type and quantity of rotating residents in their main EDs, the "didactic educational format" available to rotating residents, and ideal and actual didactic curricular contents. Statistics were reported as proportions and means with 95% confidence intervals (CIs) and medians with interquartile ranges (IQRs).
Surveys were sent to 143 programs, and the response rate was 71%. Ninety-nine percent of respondents had rotating residents in their EDs, and the median number per month was 4 (IQR = 3-6). Five percent of respondents had established didactic curricula specifically for rotating residents, and 64% sent them to either EM resident or medical student lectures. Thirty-one percent of programs reported no didactics, and 65% of these felt there was no need for such education. Resuscitation, trauma, and toxicology were cited as the most important subjects for actual and ideal curricula.
Most academic EDs have rotating residents, but very few provide didactic education specific to their learning needs and almost a third provide no didactics.
轮转（非急诊医学[EM]）住院医师在许多学术急诊部（ED）进行临床轮转。这项工作的主要目的是量化轮转住院医师的特征以及在他们的 EM 轮转期间为他们提供的教学课程。次要目标是确定实施此类教学的障碍，并确定理想的课程内容。
通过电子邮件向美国所有的急诊医学住院医师培训计划的住院医师主任进行了基于网络的调查。在调查的第一部分获得了同意，机构审查委员会认为该研究无需进行全面审查。问题征求了有关主要 ED 中轮转住院医师的类型和数量、提供给轮转住院医师的“教学教育形式”以及理想和实际教学课程内容的信息。统计数据以比例和 95%置信区间（CI）的平均值以及中位数和四分位间距（IQR）报告。
共向 143 个计划发送了调查，回复率为 71%。99%的受访者在 ED 中有轮转住院医师，每月中位数为 4 人（IQR = 3-6）。5%的受访者为轮转住院医师制定了专门的教学课程，64%的受访者将他们送到 EM 住院医师或医学生讲座。31%的计划没有教学内容，其中 65%的人认为不需要这种教育。复苏、创伤和毒理学被认为是实际和理想课程中最重要的科目。
大多数学术 ED 都有轮转住院医师，但很少有提供针对其学习需求的专门教学，几乎三分之一的计划没有提供教学内容。
