为什么我们的医生要离开爱尔兰急诊医学培训。

Why our doctors are leaving Irish emergency medicine training.

机构信息

Krankenhaus Neuwerk, St Augustinus Gruppe, Dünner Straße 214-216, 41066, Mönchengladbach, Germany.

Emergency Department, Mater Misericordiae University Hospital, Dublin, Ireland.

出版信息

Ir J Med Sci. 2019 Nov;188(4):1397-1399. doi: 10.1007/s11845-019-01976-y. Epub 2019 Feb 18.

DOI:10.1007/s11845-019-01976-y

PMID:30778849

Abstract

BACKGROUND

In recent years, attrition from Emergency Medicine (EM) training in Ireland has increased. Australian data illustrates that increasing numbers of Irish-trained doctors are embarking on EM training in Australia. This has implications for EM in Ireland, particularly for Emergency Departments already under strain. An adequate supply of qualified specialist EM doctors is essential to provide high-quality patient care.

AIMS

The aim of this study is to gain insights into the reasons for attrition from EM training in Ireland.

METHODS

EM trainees who exited EM training in Ireland 2011-2016 were invited to complete a survey which included quantitative and free-text questions.

RESULTS

Of 43 doctors who had exited EM training, 71% responded and although some respondents spoke positively about the speciality, overall, their feedback illustrated levels of frustration and dissatisfaction with EM training in Ireland. Respondents exited their EM training programme due to a lack of training received, despite being formally registered on an Irish EM training scheme. The other factors raised included dissatisfaction with the general working conditions in EM in Ireland with respondents highlighting heavy workloads, high work intensity, stress, staff shortages, and poor work-life balance.

CONCLUSIONS

Our findings indicate the need to improve training and working conditions in Emergency Medicine in Ireland. These improvements are necessary to reduce attrition and improve retention of EM staff.

摘要

背景

近年来，爱尔兰的急诊医学（EM）培训流失率有所增加。澳大利亚的数据表明，越来越多的爱尔兰培训医生开始在澳大利亚接受 EM 培训。这对爱尔兰的 EM 产生了影响，尤其是对已经承受压力的急诊部门。充足的合格专科 EM 医生供应对于提供高质量的患者护理至关重要。

目的

本研究旨在深入了解爱尔兰 EM 培训流失的原因。

方法

邀请 2011-2016 年从爱尔兰 EM 培训中退出的 EM 受训者完成一项调查，该调查包括定量和自由文本问题。

结果

在 43 名退出 EM 培训的医生中，有 71%的人做出了回应，尽管一些受访者对该专业评价积极，但总的来说，他们的反馈表明对爱尔兰 EM 培训存在挫折感和不满。受访者退出 EM 培训计划是因为他们缺乏培训，尽管他们已正式注册爱尔兰 EM 培训计划。其他提出的因素包括对爱尔兰 EM 工作条件的不满，受访者强调工作量大、工作强度高、压力大、人员短缺和工作生活平衡差。