Cooper M A, Ornato J P
Ann Emerg Med. 1980 Oct;9(10):524-6. doi: 10.1016/s0196-0644(80)80191-0.
There is often misunderstanding and conflict between the emergency physician and paramedic team, particularly as a new system is being implemented. This paper outlines a four-pronged approach to reduce this conflict: 1) community physician involvement in protocol development by means of a Paramedic Policy and Procedures Committee; 2) clinical training of paramedics in community hospitals; 3) involvement of community physicians in primary training and by riding rescue squads; and 4) formulation of a base station physician course to familiarize physicians with radio technique, system operation, and paramedic field work. An outline of the base station physician course is given and discussed. The reactions and outcome of the course and the positive changes it made in both physician and paramedic attitudes are discussed.
急诊医生和护理人员团队之间常常存在误解和冲突，尤其是在新系统实施之际。本文概述了一种减少此类冲突的四管齐下的方法：1）通过护理人员政策与程序委员会让社区医生参与协议制定；2）在社区医院对护理人员进行临床培训；3）让社区医生参与初始培训并随车急救；4）制定基站医生课程，使医生熟悉无线电技术、系统操作和护理人员的现场工作。文中给出并讨论了基站医生课程的大纲。还讨论了该课程的反响和成果，以及它给医生和护理人员态度带来的积极变化。
