Gallagher E J, Henneman P L
Department of Emergency Medicine, Albert Einstein College of Medicine, Bronx, NY 10467, USA.
Acad Emerg Med. 1998 Nov;5(11):1091-5. doi: 10.1111/j.1553-2712.1998.tb02668.x.
To test the hypothesis that establishment of academic departments of emergency medicine (EM) is associated with improvements in attributes valued by traditional academic medicine.
Cross-sectional, observational analysis of academic departments of EM at all accredited allopathic medical schools, as of July 1, 1996. Nonrespondents were mailed questionnaires three times, followed by phone contact. All variables were examined as before-after comparisons associated with department formation. Findings were reported as absolute differences, bounded by 99% confidence intervals (99% CIs), adjusted for multiple comparisons.
Of 50 departments, 49 responded. Department formation was associated with a 25% (99% CI 5% to 46%) increase in accredited EM residencies, a 33% (99% CI 9% to 56%) increase in extramural grant funding, and 46% (99% CI 23% to 69%) and 34% (99% CI 8% to 58%) increases in departmental representation on medical school curriculum and promotions committees, respectively. The mean increase in academic faculty full-time equivalents (FTEs) was 6.7 (99% CI 3.3 to 10.1). There were average increments of 2.1 FTEs (99% CI 1.4 to 2.7) and 0.8 FTEs (99% CI 0.4 to 1.1) attaining senior ranks of associate professor and professor, respectively. With a top possible Likert scale score of 3, departmental status was associated with essentially identical improvements in the quality of faculty [2.6 (99% CI 2.4 to 2.8)], EM residents [2.6 (99% CI 2.4 to 2.8)], student teaching [2.7 (99% CI 2.5 to 2.9)], and overall academic productivity [2.8 (99% CI 2.7 to 3.0)].
Establishment of academic departments of EM at medical schools is associated with quantitatively and statistically significant improvements in many academic attributes that are mutually beneficial for both the institution and the specialty.
检验以下假设，即急诊医学学术部门的设立与传统学术医学所重视的属性的改善相关。
对截至1996年7月1日所有获得认证的全科医学医学院校的急诊医学学术部门进行横断面观察性分析。未回复者被邮寄问卷三次，随后进行电话联系。所有变量均作为与部门成立相关的前后比较进行检验。结果以绝对差异报告，由99%置信区间（99%CI）界定，并针对多重比较进行调整。
50个部门中有49个回复。部门成立与获得认证的急诊医学住院医师培训项目增加25%（99%CI 5%至46%）、校外资助资金增加33%（99%CI 9%至56%）以及医学院课程和晋升委员会中部门代表分别增加46%（99%CI 23%至69%）和34%（99%CI 8%至58%）相关。学术教员全职等效人员（FTE）的平均增加量为6.7（99%CI 3.3至10.1）。分别有平均2.1个FTE（99%CI 1.4至2.7）和0.8个FTE（99%CI 0.4至1.1）晋升至副教授和教授的高级职级。在最高可能得分为3的李克特量表上，部门地位与教员质量[2.6（99%CI 2.4至2.8）]、急诊医学住院医师[2.6（99%CI 2.4至2.8）]、学生教学[2.7（99%CI 2.5至2.9）]和整体学术生产力[2.8（99%CI 2.7至3.0）]的基本相同的改善相关。
医学院校急诊医学学术部门的设立与许多学术属性在数量和统计学上的显著改善相关，这些改善对机构和该专业都是互利的。
