From the Children's Hospital of Philadelphia, Philadelphia, PA.
Boston Children's Hospital, Boston, MA.
Pediatr Emerg Care. 2024 Oct 1;40(10):688-693. doi: 10.1097/PEC.0000000000003235. Epub 2024 Jul 15.
General emergency medicine (EM) physicians provide most pediatric emergency care in the United States, yet EM physicians feel underprepared to manage pediatric emergencies. Pediatric emergency medicine (PEM) education during EM residency is variable, and learner preferences regarding educational experiences have not been widely explored through a qualitative lens. We aimed to better describe EM physicians' PEM educational needs and preferred teaching methods.
In 2021, as part of a survey querying senior EM residents and recent graduates from 8 diverse EM programs regarding perceived preparedness for PEM emergencies, educational needs and content delivery methods were assessed using 2 free-text questions. Qualitative analysis included deidentification and iterative coding of the data with double coding of 100% of the comments. We performed conventional content analysis of responses to identify emerging themes.
The overall response rate for the survey was 53% (N = 129 out of 242 eligible participants) with 84 distinct free-text responses. Major themes included: 1) desire for education regarding neonates, infants, and critically ill children, especially airway management and 2) need for help translating lessons from PEM rotations to community EM practice. Respondents desired more autonomy during training. Their preferred PEM educational modality was simulation, and they appreciated online clinical pathways for just-in-time decision support.
This qualitative study of EM physicians proximal to training adds to a prior needs assessment by describing in detail desired pediatric content and preferred delivery. The findings can be used to better inform the development of PEM curricula for this group of EM physicians.
在美国，普通急诊医学（EM）医师提供大多数儿科急诊医疗服务，但 EM 医师觉得自己处理儿科急症的准备不足。EM 住院医师培训期间的儿科急诊医学（PEM）教育各不相同，并且尚未通过定性视角广泛探讨学习者对教育体验的偏好。我们旨在更好地描述 EM 医师的 PEM 教育需求和首选教学方法。
在 2021 年，作为一项调查的一部分，该调查询问了来自 8 个不同 EM 项目的资深 EM 住院医师和应届毕业生对 PEM 急症准备情况的看法，使用 2 个自由文本问题评估了教育需求和内容传递方法。定性分析包括对数据进行去识别和迭代编码，并对 100%的评论进行双重编码。我们对回复进行了常规内容分析，以确定新出现的主题。
该调查的总体回复率为 53%（129 名符合条件的参与者中有 84 名有独特的自由文本回复），有 84 个独特的自由文本回复。主要主题包括：1）希望接受关于新生儿、婴儿和危重病儿童的教育，特别是气道管理，以及 2）需要帮助将 PEM 轮转中的经验教训转化为社区 EM 实践。受访者希望在培训期间拥有更大的自主权。他们首选的 PEM 教育模式是模拟，他们赞赏在线临床路径，以获得即时决策支持。
这项对接近培训的 EM 医师的定性研究通过详细描述所需的儿科内容和首选的交付方式，补充了之前的需求评估。研究结果可用于更好地为这组 EM 医师的 PEM 课程开发提供信息。
