From the Division of Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.
Pediatr Emerg Care. 2020 Oct;36(10):477-480. doi: 10.1097/PEC.0000000000001349.
The aim of this study is to explore current community emergency department (ED) experiences available to pediatric emergency medicine (PEM) trainees and estimate the proportion of graduates taking positions that involve working in a community ED setting.
We conducted an e-mail-based survey among PEM fellowship directors and assistant directors.
There were 55 program director respondents (74% response rate). Thirty-one percent of the surveyed PEM fellowship programs provide training exposure to a community ED setting. Twenty-nine percent of the surveyed programs reported that 25% to 49% of graduating trainees accepted positions that involve working in a community hospital ED setting, 13% responded 50% to 74%, and 4% report 75% to 100% from 2012 to 2016.
There is an overall paucity of a dedicated community rotation for PEM trainees, yet many graduates are seeking employment in community-based EDs. Because the need for community-based PEM physicians continues to rise and to adequately prepare the PEM workforce, PEM fellowship training should consider a curriculum that includes community-based ED clinical experiences.
本研究旨在探讨目前可供儿科急诊医学（PEM）培训生使用的社区急诊部（ED）体验，并估计从事社区 ED 工作的毕业生比例。
我们对 PEM 研究员主任和副主任进行了电子邮件调查。
有 55 名项目主任回应（响应率为 74%）。31%的调查 PEM 研究员项目提供了社区 ED 培训机会。29%的调查项目报告称，2012 年至 2016 年，25%至 49%的毕业培训生接受了在社区医院 ED 工作的职位，13%的项目回应为 50%至 74%，4%的项目回应为 75%至 100%。
总体而言，PEM 培训生缺乏专门的社区轮转机会，但许多毕业生都在寻求在社区 ED 工作。由于对基于社区的 PEM 医生的需求持续增加，为了充分准备 PEM 劳动力，PEM 研究员培训应考虑包括社区 ED 临床经验的课程。
