Gallagher E J, Coffey J, Lombardi G, Saef S
Bronx Municipal Hospital, Department of Emergency Medicine, Albert Einstein College of Medicine, New York, NY, USA.
Acad Emerg Med. 1995 Jul;2(7):630-3. doi: 10.1111/j.1553-2712.1995.tb03602.x.
To quantify one aspect of emergency medicine (EM) training by determining the proportion of emergency procedures performed by emergency physicians (EPs) in EDs with EM residency programs (EMRPs).
Cross-sectional descriptive survey of all allopathic EMRPs accredited by the EM Residency Review Committee (RRC-EM) as of July 1, 1993. Using a modified visual analog scale, program directors indicated the proportion of ten index procedures performed in the ED by EPs vs all other physicians.
All 98 EMRPs meeting entry criteria responded to the survey. The medians for the percentage of times index procedures were performed in the ED by an EP were as follows (parentheses following percentages enclose 95% CIs): endotracheal intubation, 97% (95%, 100%); reduction of anterior shoulder dislocation, 93% (88%, 97%); thoracostomy, 63% (50%, 75%); transvenous pacer insertion, 60% (50%, 75%); cricothyrotomy, 50% (50%, 75%); thoracotomy, 50% (25%, 50%); diagnostic peritoneal lavage, 50% (25%, 50%); fiberoptic laryngoscopy, 22% (6%, 25%); sigmoidoscopy, 0% (0%, 6%); and pelvic sonography, 0% (0%, 0%).
EPs in EDs of institutions that have EMRPs perform, on average, 50% of all index procedures (95% CI 47%, 52%). This information may assist EM programs experiencing difficulty in ensuring that their residents receive an equitable share of those procedures that are critical to their training.
通过确定在设有急诊医学住院医师培训项目（EMRPs）的急诊科中，急诊医师（EPs）所执行的急诊程序的比例，来量化急诊医学（EM）培训的一个方面。
对截至1993年7月1日经急诊医学住院医师评审委员会（RRC-EM）认证的所有opathic EMRPs进行横断面描述性调查。项目主任使用改良的视觉模拟量表，指出EPs与所有其他医师在急诊科执行的十项指标程序的比例。
所有98个符合入选标准的EMRPs都对调查做出了回应。EPs在急诊科执行指标程序的时间百分比中位数如下（百分比后的括号内为95%可信区间）：气管插管，97%（95%，100%）；前肩关节脱位复位，93%（88%，97%）；胸廓切开术，63%（50%，75%）；经静脉起搏器置入，60%（50%，75%）；环甲膜切开术，50%（50%，75%）；开胸手术，50%（25%，50%）；诊断性腹腔灌洗，50%（25%，50%）；纤维喉镜检查，22%（6%，25%）；乙状结肠镜检查，0%（0%，6%）；盆腔超声检查，0%（0%，0%）。
设有EMRPs的机构的急诊科中的EPs平均执行所有指标程序的50%（95%可信区间47%，52%）。这些信息可能有助于那些在确保其住院医师获得对其培训至关重要的程序的公平份额方面遇到困难的急诊医学项目。
