Ross Teresa M, Wolfe Richard E, Murano Tiffany, Alleyne Paul, Dyne Pam L, Cheaito Mohamad Ali, Lotfipour Shahram, Kazzi Amin
Virginia Hospital Center, Arlington, Virginia; Georgetown University School of Medicine, Washington, DC.
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
J Emerg Med. 2019 Nov;57(5):e161-e165. doi: 10.1016/j.jemermed.2019.07.013. Epub 2019 Oct 5.
Postgraduate training in emergency medicine (EM) varies in length among different programs. This fact creates a dilemma for applicants to the specialty of EM and prevents EM educators from reaching a consensus regarding the optimal length of training. Historically, EM training existed in the postgraduate year (PGY) 1-3, 2-4, and 1-4 formats, until the PGY 2-4 program became obsolete in 2011-2012. Currently, three-quarters of EM programs follow the PGY 1-3 format. In this article, we clarify for the applicants the main differences between the PGY 1-3 and PGY 1-4 formats. We also discuss the institutional, personal, and graduate considerations that explain why an institution or an individual would choose one format over the other.
急诊医学（EM）的研究生培训在不同项目中的时长各不相同。这一情况给急诊医学专业的申请者带来了两难困境，也使得急诊医学教育工作者无法就最佳培训时长达成共识。从历史上看，急诊医学培训存在于住院医师第一年（PGY）至第三年、第二年至第四年以及第一年至第四年的模式中，直到2011 - 2012年第二年至第四年的模式被淘汰。目前，四分之三的急诊医学项目采用第一年至第三年的模式。在本文中，我们向申请者阐明第一年至第三年模式和第一年至第四年模式的主要区别。我们还讨论了机构、个人以及毕业生方面的考量因素，这些因素解释了为何一个机构或个人会选择一种模式而非另一种。
