scholarly journals Incentives and barriers to pursuing pediatric emergency medicine fellowship: A cross‐sectional survey of emergency residents

2020 ◽  
Vol 1 (6) ◽  
pp. 1505-1511
Author(s):  
Jessica J. Wall ◽  
Emily MacNeill ◽  
Sean M. Fox ◽  
Maybelle Kou ◽  
Paul Ishimine
Keyword(s):  
Emergency Medicine ◽  
Pediatric Emergency ◽  
Pediatric Emergency Medicine ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals P078: Handover education in Canadian adult and pediatric emergency medicine residencies: a national survey and needs assessment

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S104-S105
Author(s):  
P. Lee ◽  
I. Rigby ◽  
S.J. McPherson
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Patient Care ◽  
Pediatric Emergency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Risk Period ◽  
Hand Off ◽  
Pediatric Inpatient ◽  
Didactic Lecture

Introduction: Emergency department handover is a high-risk period for patient safety. A recent study showed a decreased rate of preventable adverse events and errors after implementation of a resident hand-off bundle on pediatric inpatient wards. In a 2013 survey by the Canadian Associations of Internes and Residents, only 11% of residents in any discipline stated they received a formal teaching session on handover. Recently, the CanMEDS 2015 Physician Competency Framework has added safe and skillful transfer of patient care as a new proficiency within the collaborator role. We hypothesize that significant variation exists in the current delivery and evaluation of handover education in Canadian EM residencies. Methods: We conducted a descriptive, cross-sectional survey of Canadian residents enrolled in the three main training streams of Emergency Medicine (FRCP CCFP-EM, PEM). The primary outcome was to determine which educational modalities are used to teach and assess handover proficiency. Secondarily, we described current sign-over practices and perceived competency at patient handover. Results: 130 residents completed the survey (73% FRCP, 19% CCFP-EM, 8% PEM). 6% of residents were aware of handover proficiency objectives within their curriculum, while 15% acknowledged formal evaluation in this area. 98% of respondents were taught handover by observation of staff or residents on shift, while 55% had direct teaching on the job. Less than 10% of respondents received formal sessions in didactic lecture, small group or simulation formats. Evaluation of handover skills occurred primarily by on shift observation (100% of respondents), while 3% of residents had received assessment through simulation. Local centre handover practices were variable; less than half of residents used mnemonic tools, written or electronic adjuncts. Conclusion: Canadian EM residents receive variable and sparse formal training and assessment on emergency department handover. The majority of training occurs by on shift observation and few trainees receive instruction on objective tools or explicit patient care standards. There exists potential for further development of standardized objectives, utilization of other educational modalities and formal assessments to better prepare residents to conduct safer patient handoffs.

Milestones Comparisons from Residency to Pediatric Emergency Medicine Fellowship: Resetting Expectations

2021 ◽  
Author(s):  
Tien T. Vu ◽  
Jerri A. Rose ◽  
Veronika Shabanova ◽  
Maybelle Kou ◽  
Noel S. Zuckerbraun ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Pediatric Emergency ◽  
Pediatric Emergency Medicine

Pediatric Emergency Medicine Fellows’ Milestone Evaluations: Do they all meet the targets for graduation?

2021 ◽  
Author(s):  
Cindy G. Roskind ◽  
Kathryn Leonard ◽  
Aline Baghdassarian ◽  
Maybelle Kou ◽  
Kelly Levasseur ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Pediatric Emergency ◽  
Pediatric Emergency Medicine

scholarly journals P033: Procedural skills training in emergency medicine physicians within the Edmonton zone: a needs assessment

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S76-S76
Author(s):  
R. Schonnop ◽  
B. Stauffer ◽  
A. Gauri ◽  
D. Ha
Keyword(s):  
Emergency Medicine ◽  
Emergency Departments ◽  
Continuing Professional Development ◽  
Skills Training ◽  
Procedural Skill ◽  
Cross Sectional Survey ◽  
Procedural Skills ◽  
Cross Sectional ◽  
Health Region ◽  
Perceived Importance

Introduction: Procedural skills are a key component of an emergency physician's practice. The Edmonton Zone is a health region that comprises twelve tertiary, urban community and rural community emergency departments (EDs) and represents over three hundred emergency physicians. This study describes the current attitudes toward procedural skill competency, current procedural skill practices, and the role for educational skills training sessions among emergency medicine physicians within a geographical health region. Methods: Multicenter descriptive cross-sectional survey of all emergency medicine physicians working at 12 emergency departments within the Edmonton Zone in 2019 (n = 274). The survey underwent several phases of systematic review; including item generation and reduction, pilot testing, and clinical sensibility testing. Survey items addressed current procedural skill performance frequency, perceived importance and confidence, current methods to maintain competence, barriers and facilitating factors to participation in a curriculum, preferred teaching methods, and desired frequency of practice for each procedural skill. Results: Survey response rate was 53.6%. Variability in frequency of performed procedures was apparent across the type of hospital sites. For majority of skills, there was a significantly positive correlation between the frequency at which a skill was performed and the perceived confidence performing said skill. There was inconsistency and no significant correlation with perceived importance, perceived confidence, or frequency performing a given skill and the desired frequency of training for that skill. Course availability (76.2%) and time (72.8%) are the most common identified barriers to participation in procedural skills training. Conclusion: This study summarized the current emergency department procedural skill practices and attitudes toward procedural skill competency and an educational curriculum among emergency medicine physicians in Edmonton. This represents a step towards targeted continuing professional development in the growing realm of competency-based medical education.

Essentials of Pediatric Emergency Medicine Fellowship

2016 ◽  
Vol 32 (10) ◽  
pp. 726-730 ◽  
Author(s):  
In K. Kim ◽  
Noel Zuckerbraun ◽  
Maybelle Kou ◽  
Tien Vu ◽  
Kelly Levasseur ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Pediatric Emergency ◽  
Pediatric Emergency Medicine

scholarly journals Pediatric Emergency Medicine Training

1995 ◽  
Vol 2 (7) ◽  
pp. 665-665 ◽  
Author(s):  
R. W. Schafermeyer ◽  
Stephen Ludwig
Keyword(s):  
Emergency Medicine ◽  
Pediatric Emergency ◽  
Pediatric Emergency Medicine
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