Hayward Alison Schroth, Lee Sean S, Douglass Katherine, Jacquet Gabrielle A, Hudspeth James, Walrath Jessica, Dreifuss Bradley A, Baird Janette, Tupesis Janis P
Department of Emergency Medicine, Brown University Warren Alpert School of Medicine, Providence, RI, USA.
Department of Emergency Medicine, The George Washington University, Washington, DC, USA.
J Med Educ Curric Dev. 2022 May 11;9:23821205221083755. doi: 10.1177/23821205221083755. eCollection 2022 Jan-Dec.
Identify the impact of experiences in global health (GH) on the Accreditation Council for Graduate Medical Education (ACGME) competencies in emergency medicine (EM) residents and describe the individual characteristics of EM residents with global health experience compared to those without.
From 2015 to 2018, 117 residents from 13 nationally accredited United States EM residency training programs were surveyed. Specifically, the survey gathered demographic data and information regarding timing, type, location and duration of short term experiences in global health (STEGH). The survey collected both qualitative and quantitative data regarding resident experiences, including number of procedures performed and self-assessment of the impact on their residency milestones. ACGME milestone data from survey respondents was collected from each resident's training program coordinators. Chi-squared analysis and t-tests were conducted to assess differences between residents with STEGH and those without. A generalized linear model (GLM) was utilized to assess the effects of time and experience with interaction on achieving milestones in each of the competency domains, to compare milestone achievement over time between residents with STEGH and those without.
Out of 117 EM residents, 60 were female (44%), the mean age was 30 years (standard deviation = 3.1), and 84 (71.8%) reported STEGH in general, including prior to residency (64.5%). 33 (28.2%) reported having completed STEGH during residency. The results of the GLM analysis showed that residents with STEGH during residency had significantly higher scores compared to those without the experience or STEGH pre-residency across all six competencies.
STEGH in EM residents was associated with higher milestone achievement in certain ACGME competency domains including medical knowledge, practice-based learning and improvement, and professionalism. Participation in STEGH during residency appeared to show the strongest effect, with higher scores across all six competencies.
确定全球健康（GH）经历对急诊医学（EM）住院医师研究生医学教育认证委员会（ACGME）能力的影响，并描述有全球健康经历的EM住院医师与没有此类经历的住院医师相比的个体特征。
2015年至2018年，对来自美国13个国家认可的EM住院医师培训项目的117名住院医师进行了调查。具体而言，该调查收集了人口统计学数据以及有关全球健康短期经历（STEGH）的时间、类型、地点和持续时间的信息。该调查收集了有关住院医师经历的定性和定量数据，包括所执行程序的数量以及对其住院医师培训里程碑影响的自我评估。调查对象的ACGME里程碑数据是从每个住院医师的培训项目协调员处收集的。进行卡方分析和t检验以评估有STEGH的住院医师与没有的住院医师之间的差异。使用广义线性模型（GLM）来评估时间和经历的相互作用对每个能力领域实现里程碑的影响，以比较有STEGH的住院医师和没有的住院医师随时间推移的里程碑达成情况。
在117名EM住院医师中，60名是女性（44%），平均年龄为30岁（标准差=3.1），总体上有84名（71.8%）报告有STEGH，包括住院前（64.5%）。33名（28.2%）报告在住院期间完成了STEGH。GLM分析结果表明，与没有该经历或住院前没有STEGH的住院医师相比，住院期间有STEGH的住院医师在所有六项能力方面的得分显著更高。
EM住院医师的STEGH与在某些ACGME能力领域取得更高的里程碑成就相关，包括医学知识、基于实践的学习与改进以及专业精神。住院期间参与STEGH似乎显示出最强的效果，在所有六项能力方面得分更高。
