Department of Emergency Medicine, University of Massachusetts Medical School, Worcester, MA.
Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Acad Emerg Med. 2018 Apr;25(4):444-452. doi: 10.1111/acem.13337. Epub 2017 Nov 13.
The societal contribution of emergency care in the United States has been described. The role and impact of academic emergency departments (EDs) has been less clear. Our report summarizes the results of a benchmarking effort specifically focused on academic emergency medicine (EM) practices.
From October through December 2016, the Academy of Academic Administrators of Emergency Medicine (AAAEM) and the Association of Academic Chairs of Emergency Medicine (AACEM) jointly administered a benchmarking survey to allopathic, academic departments and divisions of emergency medicine. Participation was voluntary and nonanonymous. The survey queried various aspects of the three components of the tripartite academic mission: clinical care, education and research, and faculty effort and compensation. Responses reflected a calendar year from July 1, 2015, to June 30, 2016.
Of 107 eligible U.S. allopathic, academic departments and divisions of emergency medicine, 79 (74%) responded to the survey overall, although individual questions were not always answered by all responding programs. The 79 responding programs reported 6,876,189 patient visits at 97 primary and affiliated academic clinical sites. A number of clinical operations metrics related to the care of these patients at these sites are reported in this study. All responding programs had active educational programs for EM residents, with a median of 37 residents per program. Nearly half of the overall respondents reported responsibility for teaching medical students in mandatory EM clerkships. Fifty-two programs reported research and publication activity, with a total of $129,494,676 of grant funding and 3,059 publications. Median faculty effort distribution was clinical effort, 66.9%; education effort, 12.7%; administrative effort, 12.0%; and research effort, 6.9%. Median faculty salary was $277,045.
Academic EM programs are characterized by significant productivity in clinical operations, education, and research. The survey results reported in this investigation provide appropriate benchmarking for academic EM programs because they allow for comparison of academic programs to each other, rather than nonacademic programs that do not necessarily share the additional missions of research and education and may have dissimilar working environments.
描述了美国急诊护理的社会贡献。学术急诊部（ED）的角色和影响则不太明确。我们的报告总结了一项专门针对急诊医学学术实践的基准测试结果。
2016 年 10 月至 12 月，学术急诊医学管理者协会（AAAEM）和急诊医学学术主席协会（AACEM）联合向所有的、学术的急诊医学部门和分部管理部门进行了基准测试调查。参与是自愿和非匿名的。该调查询问了学术三重使命的三个组成部分的各个方面：临床护理、教育和研究以及教师的努力和薪酬。答复反映了 2015 年 7 月 1 日至 2016 年 6 月 30 日的一个历年。
在 107 个符合条件的美国、学术急诊医学部门和分部中，有 79 个（74%）对调查做出了总体回应，尽管并非所有回应项目都回答了个别问题。这 79 个回应项目报告了在 97 个主要和附属学术临床地点的 6876189 名患者就诊。本研究报告了与这些患者在这些地点接受护理相关的一些临床运营指标。所有回应项目都有针对急诊医学住院医师的活跃教育计划，每个项目平均有 37 名住院医师。近一半的总回应者报告负责教授医学生必修的急诊医学实习课程。52 个项目报告了研究和出版活动，总拨款额为 129494676 美元，出版物 3059 份。教师努力分配中位数为临床努力 66.9%；教育努力 12.7%；行政努力 12.0%；研究努力 6.9%。教师工资中位数为 277045 美元。
学术急诊医学项目以临床运营、教育和研究方面的显著生产力为特征。本研究报告的调查结果为学术急诊医学项目提供了适当的基准测试，因为它们允许将学术项目相互比较，而不是与非学术项目进行比较，非学术项目不一定具有研究和教育的额外使命，并且可能具有不同的工作环境。
