scholarly journals LO089: Out of province elective restrictions: implications for Royal College Emergency Medicine training

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S61-S61
Author(s):  
J.K. Khangura ◽  
S. Gupta ◽  
K. Pardhan
Keyword(s):  
Emergency Medicine ◽  
Health Reform ◽  
Test Cases ◽  
Graduate Degree ◽  
Training And Education ◽  
Competency Training ◽  
Stakeholder Perspectives ◽  
Resident Physicians ◽  
Specific Career ◽  
Training Opportunities

Introduction / Innovation Concept: Several provinces (AB, SK and QC) have recently introduced restrictions to out of province (OOP) electives. Concurrently, enhanced competency training is a prominent part of RCPSC Emergency Medicine (EM) programs (Thoma et al., 2015). We present the implications of OOP elective restrictions on RCPSC-EM training and education. The revised 2008 RCPSC-EM requirements specify a minimum of 6 months devoted to achieving a particular expertise pertinent to the practice of EM. The most restrictive policies permit up to 3 months OOP during the 5-year residency. This limits residents’ ability to pursue enhanced competency training opportunities outside their training site. Enhanced training might be a graduate degree, fellowship or clinical year designed by the resident and program director. Enhanced training can help achieve specific career goals, meet the needs of the institution where the resident will practice, and contribute to the growth and development of EM in Canada. Methods: New OOP policies are evaluated using the Health Reform Analysis (HRA) and SWOT (Strengths, Weaknesses, Opportunities and Threats) analysis methodologies. Stated and implied reasons for reform are evaluated and stakeholder perspectives (health system authorities, partner universities, resident physicians and the general public) provided. Curriculum, Tool, or Material: The material includes previous out of province elective policies and recent reforms. Conclusion: Policies for the 4th year EM elective time are variable across universities. This has resulted in inconsistent approval of residents’ requests for OOP enhanced training. Thus, enhanced training that might be approved at one site, may not be at another. Several test cases already exist and will be presented. This data has not been previously collated or reported to our knowledge. Varied interpretation of newly emerging policies has implications for the consistency, equity, and future of EM residency training in Canada.

scholarly journals Creation of a national emergency medicine enhanced competency directory for residency training

CJEM ◽  
2018 ◽  
Vol 20 (4) ◽  
pp. 634-637
Author(s):  
Niran Argintaru ◽  
Jared Baylis ◽  
Jodie Pritchard ◽  
Ali Mulla ◽  
Alice Gray ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Residency Training ◽  
Working Group ◽  
Competency Training ◽  
Canadian Association ◽  
Recent Graduates ◽  
The Right ◽  
Survey Responses ◽  
National Emergency ◽  
Training Opportunities

AbstractCanadian emergency medicine Royal College residency training allows for pursuing extra training in enhanced competency areas. A wealth of enhanced competency training opportunities exist nationally. However, the search for the right fit is a challenging one because there is no centralized resource that catalogues all of these opportunities. A working group of the Canadian Association of Emergency Physicians (CAEP) Resident Section was assembled in 2016 to create a freely accessible and comprehensive directory of Canadian enhanced competency areas. The working group used stakeholder surveys (of residents, recent graduates, and faculty members), social media engagement, and program website searches. Information was collated into the first edition of a national enhanced competency directory, which is available at no cost at http://caep.ca/sites/caep.ca/files/enhancedcompdoc.pdf. Limitations include the scope defined by the working group and survey responses. A biannual update is also incorporated into the CAEP Resident Section portfolio to ensure it remains up-to-date.

scholarly journals Changes in Sex, Race, and Ethnic Origin of Emergency Medicine Resident Physicians From 2007 to 2017

2019 ◽  
Vol 26 (3) ◽  
pp. 331-334 ◽  
Author(s):  
Christopher L. Bennett ◽  
David A. McDonald ◽  
Shelley Hurwitz ◽  
Hui Zheng ◽  
Eric Nadel ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Ethnic Origin ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians

scholarly journals The training of neonatologists and the paradigms implied in their relationship with the parents of babies in the Neonatal Intensive Care Unit

2014 ◽  
Vol 32 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Ethel Cukierkorn Battikha ◽  
Maria Teresa de M. Carvalho ◽  
Benjamin Israel Kopelman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Professional Practice ◽  
Neonatal Intensive Care ◽  
Structured Interview ◽  
Public Institutions ◽  
Training And Education ◽  
Resident Physicians ◽  
Child's Death

Objective: To analyze and to interpret the psychological repercussions generated by the presence of parents in the Neonatal Intensive Care Unit for residents in Neonatology. Methods: Study based on the psychoanalytic theory, involving a methodological interface with qualitative surveys in Health Sciences. Twenty resident physicians in Neonatology, from five public institutions of São Paulo state, responded to a single semi-structured interview. Based on several readings of the material, achieving the core of emergent meanings that would be significant to the object of the survey, six categories were elected for analysis and interpretation: parents' staying at the Neonatal Intensive Care Unit and its effects on the neonatologists' professional practice; communication of the diagnosis and what parents should know; impasses between parents and doctors when the diagnosis is being communicated; doctor's identification with parents; communication of the child's death and their participation in the interview. Results: The interpretation of the categories provided an understanding of the psychic mechanisms mobilized in doctors in their relationships with the children's parents, showing that the residents experience anguish and suffering when they provide medical care and during their training process, and also that they lack psychological support to handle these feelings. Conclusions: There is a need of intervention in neonatologists training and education, which may favor the elaboration of daily experiences in the Unit, providing a less anguishing and defensive way out for young doctors, especially in their relationship with patients and parents.

scholarly journals Building and strengthening relationships between academic departments/divisions of emergency medicine and rural and regional emergency departments

CJEM ◽  
2019 ◽  
Vol 21 (5) ◽  
pp. 595-599 ◽  
Author(s):  
Aaron Johnston ◽  
Kylie Booth ◽  
Jim Christenson ◽  
David Fu ◽  
Shirley Lee ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Emergency Departments ◽  
Academic Departments ◽  
List Type ◽  
Emergency Physicians ◽  
Common Value ◽  
Rural And Urban ◽  
Canadian Association ◽  
Rural Physicians ◽  
Training Opportunities

ABSTRACTObjectivesMake recommendations on approaches to building and strengthening relationships between academic departments or divisions of Emergency Medicine and rural and regional emergency departments.MethodsA panel of leaders from both rural and urban/academic practice environments met over 8 months. Draft recommendations were developed from panel expertise as well as survey data and presented at the 2018 Canadian Association of Emergency Physicians (CAEP) Academic Symposium. Symposium feedback was incorporated into final recommendations.ResultsSeven recommendations emerged and are summarized below: 1)CAEP should ensure engagement with other rural stakeholder organizations such as the College of Family Physicians of Canada and the Society of Rural Physicians of Canada.2)Engagement efforts require adequate financial and manpower resources.3)Training opportunities should be promoted.4)The current operational interface between the academic department of Emergency Medicine and the emergency departments in the catchment area must be examined and gaps addressed as part of building and strengthening relationships.5)Initial engagement efforts should be around projects with common value.6)Academic Departments should partner with and support rural scholars.7)Academic departments seeking to build or strengthen relationships should consider successful examples from elsewhere in the country as well as considering local culture and challenges.ConclusionThese recommendations serve as guidance for building and strengthening mutually beneficial relationships between academic departments or divisions of Emergency Medicine and rural and regional emergency departments.

scholarly journals Emergency Medicine Resident Physicians’ Perceptions of Electronic Documentation and Workflow

2015 ◽  
Vol 06 (01) ◽  
pp. 27-41 ◽  
Author(s):  
P.M. Neri ◽  
L. Redden ◽  
S. Poole ◽  
C.N. Pozner ◽  
J. Horsky ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Mixed Methods ◽  
Comparative Method ◽  
Mixed Methods Study ◽  
Standardized Patient ◽  
Electronic Documentation ◽  
Patient Acuity ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians

SummaryObjective: To understand emergency department (ED) physicians’ use of electronic documentation in order to identify usability and workflow considerations for the design of future ED information system (EDIS) physician documentation modules.Methods: We invited emergency medicine resident physicians to participate in a mixed methods study using task analysis and qualitative interviews. Participants completed a simulated, standardized patient encounter in a medical simulation center while documenting in the test environment of a currently used EDIS. We recorded the time on task, type and sequence of tasks performed by the participants (including tasks performed in parallel). We then conducted semi-structured interviews with each participant. We analyzed these qualitative data using the constant comparative method to generate themes.Results: Eight resident physicians participated. The simulation session averaged 17 minutes and participants spent 11 minutes on average on tasks that included electronic documentation. Participants performed tasks in parallel, such as history taking and electronic documentation. Five of the 8 participants performed a similar workflow sequence during the first part of the session while the remaining three used different workflows. Three themes characterize electronic documentation: (1) physicians report that location and timing of documentation varies based on patient acuity and workload, (2) physicians report a need for features that support improved efficiency; and (3) physicians like viewing available patient data but struggle with integration of the EDIS with other information sources.Conclusion: We confirmed that physicians spend much of their time on documentation (65%) during an ED patient visit. Further, we found that resident physicians did not all use the same work-flow and approach even when presented with an identical standardized patient scenario. Future EHR design should consider these varied workflows while trying to optimize efficiency, such as improving integration of clinical data. These findings should be tested quantitatively in a larger, representative study.Citation: Neri PM, Redden L, Poole S, Pozner CN, Horsky J, Raja AS, Poon E, Schiff G, Landman A. Emergency medicine resident physicians’ perceptions of electronic documentation and workflow – a mixed methods study. Appl Clin Inf 2015; 6: 27–41http://dx.doi.org/10.4338/ACI-2014-08-RA-0065

Determination of the Level of Emergency Medicine Resident Physicians to Recognize the Electrocardiography Findings

2014 ◽  
Author(s):  
Asliddin Ahmedali ◽  
Alp Sener ◽  
Havva Sahin Kavakli ◽  
Gulhan Kurtoglu Celik ◽  
Ferhat Icme ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians
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