Schwab R A, Kuhlmann T P, Fan Y H
Division of Emergency Medicine, School of Medicine, University of Virginia, Charlottesville.
Ann Emerg Med. 1993 Aug;22(8):1314-8. doi: 10.1016/s0196-0644(05)80116-7.
To assess the perceived impact of emergency medicine residency programs on other program directors' perceptions of emergency medicine as a distinct service and educational entity.
Self-administered questionnaire.
Residency directors in medicine, surgery, pediatrics, and obstetrics and gynecology at sites containing emergency medicine residency programs.
Two hundred twenty-four of 372 questionnaires (60.1%) were returned completed, with equal distributions among all specialties. Respondents stated that the presence of the emergency medicine training program has positively influenced their attitude toward emergency medicine as a specialty (61% agree, 26% neutral), improved their residents' training in emergency medicine (47% agree, 31% neutral), and improved emergency care at their institution (65% agree, 26% neutral). Fifty-seven percent think emergency physicians should teach emergency medicine (27% were neutral). There were statistically significant associations between age of the emergency medicine program and perceived improvement in rotating residents' education and institutional delivery of emergency care.
Residency directors in other specialties have a generally positive view of emergency medicine as a specialty and as an important component of their residents' education. The presence of an emergency medicine training program appears to have positively influenced their attitudes, improved their residents' education, and improved emergency care. Older programs have positively influenced attitudes to a greater degree than have newer programs.
评估急诊医学住院医师培训项目对其他项目主任将急诊医学视为一种独特服务和教育实体的认知的影响。
自行填写问卷。
设有急诊医学住院医师培训项目的机构中,内科、外科、儿科以及妇产科的住院医师培训主任。
372份问卷中有224份(60.1%)填好并返回,各专业分布均衡。受访者表示,急诊医学培训项目的存在对他们将急诊医学视为一门专科的态度产生了积极影响(61%同意,26%中立),改善了他们的住院医师在急诊医学方面的培训(47%同意,31%中立),并改善了他们所在机构的急诊护理(65%同意,26%中立)。57%的人认为急诊医生应该教授急诊医学(27%持中立态度)。急诊医学项目的时长与轮转住院医师教育和机构急诊护理的感知改善之间存在统计学上的显著关联。
其他专科的住院医师培训主任对急诊医学作为一门专科以及作为其住院医师教育的重要组成部分总体持积极看法。急诊医学培训项目的存在似乎对他们的态度产生了积极影响,改善了他们住院医师的教育,并改善了急诊护理。较老的项目比较新的项目在更大程度上对态度产生了积极影响。