Baker M D
Am J Dis Child. 1986 Aug;140(8):755-7. doi: 10.1001/archpedi.1986.02140220037027.
Pediatric emergency services are provided by most pediatric teaching hospitals in the United States. However, little information has been published regarding staffing patterns. The present study assessed the staffing of 155 such residency programs. While two thirds of the programs provide 24-hour on-site resident coverage in their pediatric emergency rooms, only 10% utilize attending pediatricians on a similar basis. Although coverage increases with increasing training-program size and emergency-room patient volume, the majority (79%) of even the largest residency programs do not provide 24-hour attending pediatrician coverage in the emergency room. Administrators of pediatric residency programs are urged to improve the staffing of their emergency rooms to include attending pediatricians on a 24-hour basis.
美国大多数儿科教学医院都提供儿科急诊服务。然而,关于人员配备模式的公开信息很少。本研究评估了155个此类住院医师培训项目的人员配备情况。虽然三分之二的项目在其儿科急诊室提供24小时现场住院医师值班,但只有10%的项目以类似方式配备儿科主治医师。尽管随着培训项目规模和急诊室患者数量的增加,覆盖范围有所扩大,但即使是最大的住院医师培训项目,大多数(79%)也没有在急诊室提供24小时儿科主治医师值班。敦促儿科住院医师培训项目的管理人员改善其急诊室的人员配备,包括配备24小时值班的儿科主治医师。