Lin Michelle, Taira Taku, Promes Susan, Regan Linda
J Grad Med Educ. 2011 Jun;3(2):249-52. doi: 10.4300/JGME-D-10-00137.1.
Emergency Department (ED) crowding is a major public health problem and one that has not been well studied for its effects on education. The objective of this article was to identify best-practice, consensus recommendations to help emergency medicine (EM) residency programs and faculty maintain educational excellence in an era of ED crowding.
A geographically diverse group of 37 clinician-educator leaders in EM convened at the 2010 Council of Emergency Medicine Residency Directors Academic Assembly. The participants discussed innovative ideas and solutions to address the many educational challenges that ED crowding poses.
To cope with crowding, the consensus group identified 3 educational domains, focusing on the educator, the learner, and the institutional system. Core subthemes included optimizing teaching opportunities, providing alternative teaching approaches, and redefining what faculty and learners traditionally think of as teaching. An ED rotation provides ample opportunities for teaching not only about patient care and medical knowledge but also other Accreditation Council for Graduate Medical Education competencies, such as interpersonal and communication skills, professionalism, and system-based practice.
Crowding in EDs poses educational challenges, but with some creativity, flexibility, and desire to make the most of a challenging situation, educational excellence is an achievable goal.
急诊科拥挤是一个重大的公共卫生问题，而其对教育的影响尚未得到充分研究。本文的目的是确定最佳实践和共识性建议，以帮助急诊医学住院医师培训项目及其教员在急诊科拥挤的时代保持卓越的教育水平。
2010年急诊医学住院医师培训主任理事会学术会议召集了37位来自不同地区的急诊医学临床教育领导者。参与者们讨论了应对急诊科拥挤所带来的诸多教育挑战的创新理念和解决方案。
为应对拥挤问题，共识小组确定了3个教育领域，分别聚焦于教育者、学习者和机构系统。核心子主题包括优化教学机会、提供替代教学方法以及重新定义教员和学习者传统上对教学的认知。急诊科轮转不仅为讲授患者护理和医学知识提供了充足机会，还为讲授其他研究生医学教育认证委员会规定的能力提供了机会，如人际沟通技能、职业素养和基于系统的实践。
急诊科拥挤带来了教育挑战，但凭借一定的创造力、灵活性以及充分利用具有挑战性局面的意愿，卓越的教育是一个可以实现的目标。
