Emergency Department, St Vincent's Hospital Department of Medicine, University of Melbourne, Fitzroy, VIC 3065, Australia.
Emerg Med Australas. 2011 Feb;23(1):76-83. doi: 10.1111/j.1742-6723.2010.01377.x.
A 70% increase in graduating interns is projected in Australia from 2007 to 2012. Emergency medicine is a key term in the intern year. There is little information on the preparedness of EDs for this increase, and what resources will be required.
Semistructured telephone interview to senior and junior ED medical staff nationwide with graded responses using a Likert scale or ordinal multi-category scales to enable quantitative analysis.
36 of 37 targeted hospitals were surveyed. 95 of 233 (40.1%) potential interviews were completed, including 61/61 (100%) of ED Directors. Communications systems and human resource adjustments were felt to be critical, including more supervisory staff and more time dedicated for senior medical staff to supervise. Thematic analysis confirmed the priorities were staffing and infrastructure requirements.
We recommend attention to ED communications infrastructure, an increase in rostered supervisory time for senior ED medical staff, and the provision of additional ED medical educators to teach interns.
预计 2007 年至 2012 年期间，澳大利亚的实习医生毕业人数将增加 70%。急诊医学是实习年的一个关键术语。关于急诊科为此增长做好准备的情况以及需要哪些资源的信息很少。
对全国范围内的高级和初级急诊医护人员进行半结构化电话访谈，使用李克特量表或有序多类别量表进行分级应答，以便进行定量分析。
对 37 家目标医院进行了调查。对 233 名潜在受访者中的 95 名（40.1%）进行了采访，其中包括 61/61（100%）的急诊主任。受访者认为沟通系统和人力资源调整至关重要，包括增加监督人员和为高级医务人员提供更多监督时间。主题分析证实了人员配备和基础设施需求是优先事项。
我们建议关注急诊沟通基础设施，增加高级急诊医务人员的排班监督时间，并提供额外的急诊医学教育者来培训实习医生。
