Kroboth F J, Brown F H, Stewart R, Karpt R, Karpf M, Levey G S
Ann Emerg Med. 1982 Apr;11(4):192-6. doi: 10.1016/s0196-0644(82)80496-4.
Medical experiences encountered in the activities of an emergency department are important for the development of a well-trained internist. Therefore, a rotation in the emergency department must remain an integral part of any program in internal medicine. At the University of Pittsburgh, faculty members from both the internal medicine and emergency medicine departments worked together in order to develop the emergency department to its fullest capacity as part of a broad educational program. The faculty attendings provide supervision, immediately available consultation, and an on-going curriculum, including daily lectures and chart review. The results of their programmatic change have been the following: 1) enthusiasm and satisfaction on the part of the housestaff; 2) a 20+ increase in admissions to the hospital from the emergency department; 3) decreased utilization of the observation unit; and 4) fewer patients leaving without being examined.
急诊科活动中积累的医疗经验对于培养训练有素的内科医生至关重要。因此，急诊科轮转必须始终是任何内科项目不可或缺的一部分。在匹兹堡大学，内科和急诊科的教员共同努力，将急诊科发展到最大容量，作为广泛教育项目的一部分。教员主治医师提供监督、即时咨询以及持续的课程，包括每日讲座和病历审查。他们项目变革的成果如下：1）住院医师表现出热情和满意度；2）急诊科收治入院的患者增加了20多名；3）观察病房的使用率降低；4）未经检查就离开的患者减少。
