Feitosa-Filho Gilson Soares, Kirschbaum Marcelo, Neves Yuri Costa Sarno, Loureiro Bruna Melo Coelho, Lima Victor Augusto Camarinha de Castro, Calazans Rafael Marques, Falcão Camila Kruschewsky, Fahl Renata Trindade El, Barreto Bianca Recarey
MD, PhD, Escola Bahiana de Medicina e Saúde Pública, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brazil.
MD, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.
Rev Assoc Med Bras (1992). 2017 Feb;63(2):112-117. doi: 10.1590/1806-9282.63.02.112.
: Emergency medicine is an area in which correct decisions often need to be made fast, thus requiring a well-prepared medical team. There is little information regarding the profile of physicians working at emergency departments in Brazil.
: To describe general characteristics of training and motivation of physicians working in the emergency departments of medium and large hospitals in Salvador, Brazil.
: A cross-sectional study with standardized interviews applied to physicians who work in emergency units in 25 medium and large hospitals in Salvador. At least 75% of the professionals at each hospital were interviewed. One hospital refused to participate in the study.
: A total of 659 physicians were interviewed, with a median age of 34 years (interquartile interval: 29-44 years), 329 (49.9%) were female and 96 (14.6%) were medical residents working at off hours. The percentage of physicians who had been trained with Basic Life Support, Advanced Cardiovascular Life Support and Advanced Trauma Life Support courses was 5.2, 18.4 and 11.0%, respectively, with a greater frequency of Advanced Cardiovascular Life Support training among younger individuals (23.6% versus 13.9%; p<0.001). Thirteen percent said they were completely satisfied with the activity, while 81.3% expressed a desire to stop working in emergency units in the next 15 years, mentioning stress levels as the main reason.
: The physicians interviewed had taken few emergency immersion courses. A low motivational level was registered in physicians who work in the emergency departments of medium and large hospitals in Salvador.
急诊医学是一个常常需要迅速做出正确决策的领域，因此需要一个准备充分的医疗团队。关于巴西急诊科医生的情况，相关信息较少。
描述在巴西萨尔瓦多的大中型医院急诊科工作的医生的培训和动机的一般特征。
采用横断面研究，对萨尔瓦多25家大中型医院急诊科工作的医生进行标准化访谈。每家医院至少75%的专业人员接受了访谈。有一家医院拒绝参与该研究。
共访谈了659名医生，中位年龄为34岁（四分位间距：29 - 44岁），329名（49.9%）为女性，96名（14.6%）为业余工作的住院医生。接受过基础生命支持、高级心血管生命支持和高级创伤生命支持课程培训的医生比例分别为5.2%、18.4%和11.0%，年轻人中接受高级心血管生命支持培训的频率更高（23.6%对13.9%；p<0.001）。13%的人表示对该工作完全满意，而81.3%的人表示希望在未来15年内停止在急诊科工作，主要原因是压力水平。
接受访谈的医生参加的急诊沉浸式课程较少。在巴西萨尔瓦多的大中型医院急诊科工作的医生积极性水平较低。
