scholarly journals CAEP 2016 Academic Symposium: How to have an impact as an emergency medicine educator and scholar

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S16-S21 ◽  
Author(s):  
Jason R. Frank ◽  
Warren J. Cheung ◽  
Jonathan Sherbino ◽  
Robert Primavesi ◽  
Robert A. Woods ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Career Pathways ◽  
High Impact ◽  
Early Career ◽  
Snowball Sampling ◽  
Educational Mission ◽  
Education Practice ◽  
Protected Time ◽  
Area Of Interest ◽  
Canadian Association

Abstract Background In a time of major medical education transformation, emergency medicine (EM) needs to nurture education scholars who will influence EM education practice. However, the essential ingredients to ensure a career with impact in EM education are not clear. Objective To describe how to prepare EM educators for a high-impact career. Methods The Canadian Association of Emergency Physicians (CAEP) Academic Section commissioned an “Education Impact” working group (IWG) to guide the creation of consensus recommendations from the EM community. EM educators from across Canada were initially recruited from the networks of the IWG members, and additional educators were recruited via snowball sampling. “High impact educators” were nominated by this network. The high impact educators were then interviewed using a structured question guide. These interviews were transcribed and coded for themes using qualitative methods. The process continued until no new themes were identified. Proposed themes and recommendations were presented to the EM community at the CAEP 2016 Academic Symposium. Feedback was then incorporated into a final set of recommendations. Results Fifty-five (71%) of 77 of identified Canadian EM educators participated, and 170 names of high impact educators were submitted and ranked by frequency. The IWG achieved sufficiency of themes after nine interviews. Five recommendations were made: 1) EM educators can pursue a high impact career by leveraging either traditional or innovative career pathways; 2) EM educators starting their education careers should have multiple senior mentors; 3) Early-career EM educators should immerse themselves in their area of interest and cultivate a community of practice, not limited to EM; 4) Every academic EM department and EM teaching site should have access to an EM educator with protected time and recognition for their EM education scholarship; and 5) Educators at all stages should continuously compile an impact portfolio. Conclusions We describe a unique set of recommendations to develop educators who will influence EM, derived from a consensus from the EM community. EM leaders, educators, and aspiring educational scholars should consider how to implement this guide towards enhancing our specialty’s educational mission.

scholarly journals Early career choices for emergency medicine and later career destinations: national surveys of UK medical graduates

JRSM Open ◽  
2020 ◽  
Vol 11 (8) ◽  
pp. 205427042096159
Author(s):  
Trevor W Lambert ◽  
Fay Smith ◽  
Michael J Goldacre
Keyword(s):  
Emergency Medicine ◽  
Career Pathways ◽  
Specialty Choice ◽  
Early Career ◽  
Medical Graduates ◽  
Large Numbers ◽  
Questionnaire Surveys ◽  
Career Preferences ◽  
Self Administered Questionnaire

Objective To report doctors’ early career preferences for emergency medicine, their eventual career destinations and factors influencing their career pathways. Design Self-administered questionnaire surveys. Setting United Kingdom. Participants All graduates from all UK medical schools in selected graduation years between 1993 and 2015. Main outcome measures Choices for preferred eventual specialty; eventual career destinations; certainty about choice of specialty; correspondence between early specialty choice for emergency medicine and eventually working in emergency medicine. Results Emergency medicine was chosen by 5.6% of graduates of 2015 when surveyed in 2016, and 7.1% of graduates of 2012 surveyed in 2015. These figures represent a modest increase compared with other recent cohorts, but there is no evidence of a sustained long-term trend of an increase. More men than women specified emergency medicine – in 2016 6.6% vs. 5.0%, and in 2015 7.9% vs. 6.5%. Doctors choosing emergency medicine were less certain about their choice than doctors choosing other specialties. Of graduates of 2005 who chose emergency medicine in year 1, only 18% were working in emergency medicine in year 10. Looking backwards, from destinations to early choices, 46% of 2005 graduates working in emergency medicine in 2015 had specified emergency medicine as their choice of eventual specialty in year 1. Conclusions There was no substantial increase across the cohorts in choices for emergency medicine. Policy should address how to encourage more doctors to choose the specialty, and to create a future UK health service environment in which those who choose emergency medicine early on do not later change their minds in large numbers.

scholarly journals Scientific output of Brazilian dermatologists during the last 25 years in the five highest impact factor journals in dermatology

2012 ◽  
Vol 87 (5) ◽  
pp. 714-716
Author(s):  
Mariane Da Cas de Aquim Martins ◽  
Marília Gabriela Linné Netto Carneiro ◽  
Joyce Benck Utzig ◽  
Eleolina Lara Kaled Neta ◽  
Majenna Andrade Pachnicki ◽  
...  
Keyword(s):  
Impact Factor ◽  
Scientific Output ◽  
High Impact ◽  
Pemphigus Foliaceus ◽  
High Impact Factor ◽  
Controlled Clinical Trials ◽  
Cross Sectional ◽  
Qualitative And Quantitative ◽  
Area Of Interest ◽  
Number Of Publications

BACKGROUND: The qualitative and quantitative scientific output of Brazilian dermatologists in journals of high impact factor is little known. OBJECTIVE: To describe the scientific output of dermatologists from Brazilian institutions in journals of high impact factor. METHODS: The five journals with the highest impact factor in dermatology were analyzed. All articles produced from Brazilian institutions between 1986 and 2010 were compiled and the following aspects were analyzed: position of Brazilian researchers in the list of authors, selected theme, experimental design, studied disease, area of interest and year of publication. RESULTS: Seventy-four articles written with the participation of Brazilian dermatologists have been identified. Upon grouping the articles in five-year periods, an important increase was observed in the Brazilian production from the year 2006 onwards. The dermatologists were placed as second authors in the majority of cases (53.66%). According to the selected theme to be studied, the majority of the articles had a laboratory focus (45.95%). The majority of the articles reported cross-sectional studies or non-controlled clinical trials (both at 17.57%), and pemphigus foliaceus was the most studied disease (29.73%). CONCLUSION: The increase in the number of publications by Brazilian dermatologists over the last years is encouraging, but it is still small in comparison to the total number of articles published in these five periodicals.

scholarly journals Recommendations for patient engagement in patient-oriented emergency medicine research

CJEM ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 435-442 ◽  
Author(s):  
Patrick M. Archambault ◽  
Colleen McGavin ◽  
Katie N. Dainty ◽  
Shelley L. McLeod ◽  
Christian Vaillancourt ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Literature Review ◽  
Patient Engagement ◽  
Qualitative Interviews ◽  
Future Research ◽  
Translation Strategies ◽  
Medicine Research ◽  
Canadian Association ◽  
Knowledge Translation Strategies ◽  
National Patient

AbstractObjectiveTo make pragmatic recommendations on best practices for the engagement of patients in emergency medicine (EM) research.MethodsWe created a panel of expert Canadian EM researchers, physicians, and a patient partner to develop our recommendations. We used mixed methods consisting of 1) a literature review; 2) a survey of Canadian EM researchers; 3) qualitative interviews with key informants; and 4) feedback during the 2017 Canadian Association of Emergency Physicians (CAEP) Academic Symposium.ResultsWe synthesized our literature review into categories including identification and engagement, patients’ roles, perceived benefits, harms, and barriers to patient engagement; 40/75 (53% response rate) invited researchers completed our survey. Among respondents, 58% had engaged patients in research, and 83% intended to engage patients in future research. However, 95% stated that they need further guidance to engage patients. Our qualitative interviews revealed barriers to patient engagement, including the need for training and patient partner recruitment.Our panel recommends 1) an overarching positive recommendation to support patient engagement in EM research; 2) seven policy-level recommendations for CAEP to support the creation of a national patient council, to develop, adopt and adapt training material, guidelines, and tools for patient engagement, and to support increased patient engagement in EM research; and 3) nine pragmatic recommendations about engaging patients in the preparatory, execution, and translational phases of EM research.ConclusionPatient engagement can improve EM research by helping researchers select meaningful outcomes, increase social acceptability of studies, and design knowledge translation strategies that target patients’ needs.

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 P144: Assessment of the quality of evidence presented at the Canadian Association of Emergency Physicians annual meeting over a five-year period (2013-2017)

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S108-S108
Author(s):  
V. Srivatsav ◽  
B. Zhang ◽  
I. Nadeem ◽  
S. Upadhye ◽  
Michael G. Degroote
Keyword(s):  
Emergency Medicine ◽  
Annual Meeting ◽  
Data Extraction ◽  
Level Of Evidence ◽  
Canadian Association ◽  
Predominant Type ◽  
Significant Difference ◽  
Chi Squared ◽  
Level I ◽  
Economic Analyses

Introduction: The CAEP annual meeting presents the latest evidence for clinical practice, but there has not yet been an appraisal of the abstracts presented at this conference. Therefore, we sought to evaluate the level of evidence of research presented at the annual meeting, and assess for trends over a five-year period (2013-2017). Methods: We conducted a scoping review that included all CAEP abstracts from 2013-2017, obtained through the Canadian Journal of Emergency Medicine. Two reviewers assessed eligibility and extracted data from abstracts individually, with conflicts resolved by a third reviewer. Qualitative research was excluded. Extracted data included type of presentation (ex. oral, poster), sample size, study design and type of study (therapeutic, prognostic, diagnostic, education, quality improvement, or systems-wide/economic analyses research). A level of evidence (LOE) was assigned using the 2011 Oxford Centre for Evidence-Based Medicine criteria. Results: Abstracts from 2014-2017 have been analyzed thus far, 1090 of which were eligible and 990 included. Inter-rater agreement for screening and data extraction was high ( value 0.87 and 0.84 respectively). Systems-wide/economic analyses research was the predominant type of study (28.6%, 283/990), followed by therapeutic (19.9%, 197/990) and education (19.9%, 195/990). The mean LOE was 2.81 (95% CI 2.77,2.85). The highest proportion of studies were of level III evidence (77.7%, 769/990), followed by level II (9.6%, 95/990) and level I evidence (7.8%, 77/990). 72.1% (124/172) of all level I and II abstracts were presented in 2016 and 2017. A significant change in LOE between years was evident (p<0.0001, chi-squared). The greatest proportion of level I and II abstracts were lightning oral (41.9%, 72/172), followed by posters (36.0%, 62/172). The best average LOE was observed for lightning oral (2.64, 95% CI 2.56, 2.72), with the poorest average LOE witnessed for moderated posters (2.90, 95% CI 2.83, 2.97). A significant difference was present in mean LOE between types of presentations (p<0.0001, one-sided ANOVA). Conclusion: The majority of abstracts were level III evidence. The lightning oral sessions had the greatest proportion of level I and II evidence presented. Recent years of the conference have also seen the presentation of a greater number of level I and II evidence, which may suggest a shift towards generating and disseminating higher level evidence in emergency medicine.

scholarly journals Important returns on investment: an evaluation of a national research grants competition in emergency medicine

CJEM ◽  
2010 ◽  
Vol 12 (01) ◽  
pp. 33-38 ◽  
Author(s):  
Jaime Bawden ◽  
Namdar Manouchehri ◽  
Cristina Villa-Roel ◽  
Eric Grafstein ◽  
Brian H. Rowe
Keyword(s):  
Emergency Medicine ◽  
Research Funding ◽  
Emergency Physicians ◽  
Research Grants ◽  
Annual Basis ◽  
Canadian Association ◽  
Additional Funding ◽  
Study Completion ◽  
Returns On Investment ◽  
Median Amount

ABSTRACTObjective:We sought to examine scholarly outcomes of the projects receiving research grants from the Canadian Association of Emergency Physicians (CAEP) during the first 10 years of national funding (i.e., between 1996 and 2005).Methods:We sent email surveys to 62 emergency medicine (EM) researchers who received funding from CAEP. We focused our data collection on grant deliverables and opinions using a 1–7 Likert scale with regard to the value of the award.Results:Fifty-eight recipients responded to our survey. Grants were most commonly awarded to residents (21 [36%]), followed by senior (16 [28%]) and junior (13 [22%]) emergency staff. Twenty-six applicants from Ontario and 11 from Quebec received the majority of the grants. Overall, 51 projects were completed at the time of contact and, from these, 39 manuscripts were published or in press. Abstract presentations were more common, with a median of 2 abstracts presented per completed project. Abstract presentations for the completed projects were documented locally (23), nationally (39) and internationally (37). Overall, 19 projects received additional funding. The median amount funded was Can$4700 with an interquartile range of $3250–$5000. Respondents felt CAEP funding was critical to completing their projects and felt strongly that dedicated EM research funding should be continued to stimulate productivity.Conclusion:Overall, the CAEP Research Grants Competition has produced impressive results. Despite the small sums available, the grants have been important for ensuring study completion and for securing additional funding. CAEP and similar EM organizations need to develop a more robust funding approach so that larger grant awards and more researchers can be supported on an annual basis.

Do "High-Impact" College Experiences Affect Early Career Outcomes?

2019 ◽  
Vol 42 (3) ◽  
pp. 825-858 ◽  
Author(s):  
Gregory C. Wolniak ◽  
Mark E. Engberg
Keyword(s):  
High Impact ◽  
Early Career ◽  
College Experiences ◽  
Career Outcomes

scholarly journals CAEP 2015 Academic Symposium: Current State and Recommendations to Achieve Adequate and Sustainable Funding for Emergency Medicine Academic Units

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S10-S17 ◽  
Author(s):  
Eddy S. Lang ◽  
Jennifer D. Artz ◽  
Ryan D. Wilkie ◽  
Ian G. Stiell ◽  
Claude Topping ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Leadership Development ◽  
Financial Stability ◽  
Multiple Stakeholders ◽  
Academic Mission ◽  
Professional Experiences ◽  
Shared Experiences ◽  
Current State ◽  
Canadian Association ◽  
Academic Units

AbstractObjectivesTo describe the current state of academic emergency medicine (EM) funding in Canada and develop recommendations to grow and establish sustainable funding.MethodsA panel of eight leaders from different EM academic units was assembled. Using mixed methods (including a literature review, sharing of professional experiences, a survey of current EM academic heads, and data previously collected from an environmental scan), 10 recommendations were drafted and presented at an academic symposium. Attendee feedback was incorporated, and the second set of draft recommendations was further distributed to the Canadian Association Emergency Physicians (CAEP) Academic Section for additional comments before being finalized.ResultsRecommendations were developed around the funding challenges identified and solutions developed by academic EM university-based units across Canada. A strategic plan was seen as integral to achieving strong funding of an EM unit, especially when it aligned with departmental and institutional priorities. A business plan, although occasionally overlooked, was deemed an important component for planning and sustaining the academic mission. A number of recommendations surrounding philanthropy consisted of creating partnerships with existing foundations and engaging multiple stakeholders and communities. Synergy between academic and clinical EM departments was also viewed as an opportunity to ensure integration of common missions. Education and networking for current and future leaders were also viewed as invaluable to ensure that opportunities are optimized through strong leadership development and shared experiences to further the EM academic missions across the country.ConclusionsThese recommendations were designed to improve the financial circumstances for many Canadian EM units. There is a considerable wealth of resources that can contribute to financial stability for an academic unit, and an annual networking meeting and continuing education on these issues will facilitate more rapid implementation of these recommendations.

scholarly journals LO42: Ice Cream Rounds: the adaptation and implementation of a peer-support wellness rounds in an emergency medicine residency training program

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S42
Author(s):  
S.M. Calder-Sprackman ◽  
T. Kumar ◽  
K. Sampsel ◽  
C. Gerin-Lajoie
Keyword(s):  
Emergency Medicine ◽  
Training Program ◽  
Peer Support ◽  
Ethical Issues ◽  
Ice Cream ◽  
Residency Training Program ◽  
Wellness Program ◽  
Difficult Patient ◽  
Protected Time ◽  
Poor Patient

Introduction/Innovation Concept: Emergency Medicine (EM) is a specialty that requires physicians to deal with acutely ill patients in a fast-paced environment, which can create stress, mental exhaustion and burnout. Continually changing working teams in the Emergency Department does not always allow appropriate debriefing for difficult patient encounters and outcomes on shift. To address these challenges, we sought to adapt and implement a peer-support rounds called ‘Ice Cream Rounds’ used in some Pediatric training programs for an EM training program. Methods: CCFP and Royal College EM residents were surveyed to determine interest and need for Ice Cream Rounds. Of the 31/50 respondents, 87% (26/31) identified their co-residents as their main source of support after difficult patient encounters and 71% (22/31) felt that current opportunities to debrief after difficult experiences were only “sometimes” or “rarely” adequate. Overall, 84% (26/31) were interested in attending Ice Cream Rounds. Residents expressed that they did not want staff present for Ice Cream Rounds so two residents (SCS and TK) obtained training to lead peer-support sessions from The Faculty of Medicine Wellness Program. Attendance at rounds was voluntary and the EM program provided funding for refreshments. Two Ice Cream Rounds were piloted. Attendance and feedback was recorded from pilot sessions. Curriculum, Tool, or Material: Resident-only, peer-run confidential debriefing sessions. Sessions were voluntary and lasted one hour. Approximately 20-30/50 residents attended each Ice Cream Rounds. Discussions were confidential but include topics such as difficult patient encounters, poor patient outcomes, challenges in residency, and ethical issues. In response to positive attendance and feedback, the EM program provided 3-4 one-hour protected time slots with a stipend for refreshments for future academic years. Comments from residents consistently reaffirmed that Ice Cream Rounds was a helpful forum to discuss important issues with colleagues and provided a safe and confidential resource to help cope with residency challenges. Conclusion: We adapted, implemented, and evaluated a novel Peer-Support Wellness Rounds for debriefing resident issues and difficult patient encounters in a EM training program. To our knowledge this is the first Canadian initiative to implement such rounds in an EM training program. We believe that this template can be easily adopted by any EM training program and will effectively address wellness challenges faced by residents during their training.

scholarly journals Changes to the ACGME Common Program Requirements and Their Potential Impact on Emergency Medicine Core Faculty Protected Time

2020 ◽  
Vol 4 (3) ◽  
pp. 244-253 ◽  
Author(s):  
Sarah M. Greenberger ◽  
John T. Finnell ◽  
Bernard P. Chang ◽  
Nidhi Garg ◽  
Shawn M. Quinn ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Protected Time ◽  
Core Faculty ◽  
Potential Impact
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