Department of Emergency Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Department of Emergency Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
CJEM. 2023 Jul;25(7):558-567. doi: 10.1007/s43678-023-00534-x. Epub 2023 Jun 30.
Transition from residency to unsupervised practice represents a critical stage in learning and professional identity formation, yet there is a paucity of literature to inform residency curricula and emergency department transition programming for new faculty.
The objective of this study was to develop consensus-based recommendations to optimize the transition to practice phase of emergency medicine training.
A literature review and results of a survey of emergency medicine (EM) residency program directors informed focus groups of recent (within 5 years) EM graduates. Focus group transcripts were analyzed following conventional content analysis. Preliminary recommendations, based on identified themes, were drafted and presented at the 2022 Canadian Association of Emergency Physicians (CAEP) Academic Symposium on Education. Through a live presentation, symposium attendees representing the Canadian national EM community participated in a facilitated discussion of the recommendations. The authors incorporated this feedback to construct a final set of 14 recommendations, 8 targeted toward residency training programs and 6 specific to department leadership.
The Canadian EM community used a structured process to develop 14 best practice recommendations to enhance the transition to practice phase of residency training as well as the transition period in the career of junior attending physicians.
从住院医师向独立行医的转变是学习和职业身份形成的关键阶段,但关于住院医师课程和新教师急诊过渡计划的文献很少。
本研究旨在制定基于共识的建议,以优化急诊医学培训的实践阶段过渡。
文献回顾和对急诊医学(EM)住院医师项目主任的调查结果为最近(5 年内)急诊医学毕业生的焦点小组提供了信息。对焦点小组的转录进行了常规内容分析。根据确定的主题起草初步建议,并在 2022 年加拿大急诊医师协会(CAEP)学术研讨会教育专题上提出。通过现场演示,代表加拿大全国急诊医学社区的研讨会与会者参与了对建议的专题讨论。作者结合这些反馈意见,构建了最后一组 14 项建议,其中 8 项针对住院医师培训计划,6 项针对部门领导。
加拿大急诊医学界使用结构化流程制定了 14 项最佳实践建议,以加强住院医师培训的实践阶段过渡以及初级主治医生职业生涯中的过渡阶段。