School of Medicine, Cardiff University, Cardiff, UK.
Emerg Med J. 2017 Jul;34(7):436-440. doi: 10.1136/emermed-2016-205833. Epub 2017 Mar 29.
EDs are currently under intense pressure due to increased patient demand. There are major issues with retention of senior personnel, making the specialty a less attractive choice for junior doctors. This study aims to explore what attracted EM consultants to their career and keeps them there. It is hoped this can inform recruitment strategies to increase the popularity of EM to medical students and junior doctors, many of whom have very limited EM exposure.
Semistructured interviews were conducted with 10 consultants from Welsh EDs using a narrative approach.
Three main themes emerged that influenced the career choice of the consultants interviewed: (1) early exposure to positive EM role models; (2) non-hierarchical team structure; (3) suitability of EM for flexible working. The main reason for consultants leaving was the pressure of work impacting on patient care.
The study findings suggest that EM consultants in post are positive about their careers despite the high volume of consultant attrition. This study reinforces the need for dedicated undergraduate EM placements to stimulate interest and encourage medical student EM aspirations. Consultants identified that improving the physical working environment, including organisation, would increase their effectiveness and the attractiveness of EM as a long-term career.
由于患者需求增加，急诊科目前面临巨大压力。资深人员流失问题严重，使得该专业对初级医生的吸引力降低。本研究旨在探讨吸引急诊医学顾问从事该职业并留住他们的因素。希望这可以为招聘策略提供信息，增加医学生和初级医生对急诊医学的兴趣，因为他们对急诊医学的接触非常有限。
采用叙事方法对威尔士急诊科的 10 名顾问进行了半结构化访谈。
出现了三个主要主题，影响了接受采访的顾问的职业选择：（1）早期接触积极的急诊医学榜样；（2）非层级团队结构；（3）急诊医学适合灵活工作。顾问离职的主要原因是工作压力对患者护理的影响。
尽管顾问大量流失，但该研究结果表明，急诊科顾问对自己的职业持积极态度。本研究强调需要进行专门的本科急诊医学实习，以激发兴趣并鼓励医学生从事急诊医学工作。顾问们认为，改善物理工作环境，包括组织，将提高他们的工作效率和急诊医学作为长期职业的吸引力。
