Heng Kenneth Wj
Emergency Department, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng 308433, Singapore.
Int J Emerg Med. 2014 Sep 26;7:41. doi: 10.1186/s12245-014-0041-4. eCollection 2014.
Multitasking is an essential skill to develop during Emergency Medicine (EM) residency. Residents who struggle to cope in a multitasking environment risk fatigue, stress, and burnout. Improper management of interruption has been causally linked with medical errors. Formal teaching and evaluation of multitasking is often lacking in EM residency programs. This article reviewed the literature on multitasking in EM to identify best practices for teaching and evaluating multitasking amongst EM residents. With the advancement in understanding of what multitasking is, deliberate attempts should be made to teach residents pitfalls and coping strategies. This can be taught through a formal curriculum, role modeling by faculty, and simulation training. The best way to evaluate multitasking ability in residents is by direct observation. The EM Milestone Project provides a framework by which multitasking can be evaluated. EM residents should be deployed in work environments commiserate with their multitasking ability and their progress should be graduated after identified deficiencies are remediated.
多任务处理能力是急诊医学（EM）住院医师培训期间需要培养的一项基本技能。难以应对多任务环境的住院医师面临疲劳、压力和职业倦怠的风险。对干扰的不当管理与医疗差错存在因果关系。急诊医学住院医师培训项目中通常缺乏对多任务处理的正式教学和评估。本文回顾了急诊医学中关于多任务处理的文献，以确定在急诊医学住院医师中教授和评估多任务处理的最佳实践方法。随着对多任务处理本质理解的不断深入，应该有意地向住院医师传授其中的陷阱和应对策略。这可以通过正式课程、教员的示范以及模拟培训来进行教学。评估住院医师多任务处理能力的最佳方法是直接观察。急诊医学里程碑项目提供了一个评估多任务处理能力的框架。急诊医学住院医师应被安排在与其多任务处理能力相匹配的工作环境中，并且在发现的不足之处得到纠正后，他们的进步应逐步推进。
