Determination of [ldquo ]futility[rdquo ] in emergency medicine

2000 ◽  
Vol 35 (6) ◽  
pp. 0604-0612 ◽  
Author(s):  
James Ducharme ◽  
Catherine A. Marco ◽  
Gregory L. Larkin ◽  
John C. Moskop
Keyword(s):  
CJEM ◽  
2007 ◽  
Vol 9 (06) ◽  
pp. 449-452 ◽  
Author(s):  
Munsif Bhimani ◽  
Gordon Dickie ◽  
Shelley McLeod ◽  
Daniel Kim

ABSTRACT Objectives: We sought to determine the emergency medicine training demographics of physicians working in rural and regional emergency departments (EDs) in southwestern Ontario. Methods: A confidential 8-item survey was mailed to ED chiefs in 32 community EDs in southwestern Ontario during the month of March 2005. This study was limited to nonacademic centres. Results: Responses were received from 25 (78.1%) of the surveyed EDs, and demographic information on 256 physicians working in those EDs was obtained. Of this total, 181 (70.1%) physicians had no formal emergency medicine (EM) training. Most were members of the College of Family Physicians of Canada (CCFPs). The minimum qualification to work in the surveyed EDs was a CCFP in 8 EDs (32.0%) and a CCFP with Advanced Cardiac and Trauma Resuscitation Courses (ACLS and ATLS) in 17 EDs (68.0%). None of the surveyed EDs required a CCFP(EM) or FRCP(EM) certification, even in population centres larger than 50 000. Conclusion: The majority of physicians working in southwestern Ontario community EDs graduated from family medicine residencies, and most have no formal EM training or certification. This information is of relevance to both family medicine and emergency medicine residency training programs. It should be considered in the determination of curriculum content and the appropriate number of residency positions.


Author(s):  
Asliddin Ahmedali ◽  
Alp Sener ◽  
Havva Sahin Kavakli ◽  
Gulhan Kurtoglu Celik ◽  
Ferhat Icme ◽  
...  

2020 ◽  
Vol 7 (3) ◽  
pp. 201-208
Author(s):  
Tomasz Męcik-Kronenberg ◽  
Aleksandra Joanna Kuć ◽  
Katarzyna Krzyżak ◽  
Daria Małgorzata Kubik ◽  
Klaudia Ewa Kościelecka

Introduction: Thanks to more and more modern devices, the intraosseous (IO) access is not difficult, however, the proper determination of the place to effectively obtain this route of drug administration without elementary knowledge may be problematic. In case of any sudden health threat, it is necessary to establish vascular access. However, it is not always possible, or it is very time-consuming, and both factors may worsen the patient’s health. In this case, IO access should be considered. This article presents the results of the examination and comparison of the knowledge of students of medicine and emergency medicine about the IO access. The aim: The study aimed to assess the knowledge about IO access and its comparison among students of medicine and emergency medicine. Material and methods: 107 students of medicine and 51 students of emergency medicine participated in the study. The original questionnaire containing 16 questions, including 11 scored, was used as the research tool. Results: Mean percentage of correct answers in students of medicine was 42%, while in students of emergency medicine - 40% correct answers. Conclusions: Both groups of respondents in the conducted study showed a low level of knowledge about IO access. The article draws attention to significant gaps in the education of both groups in the field of basic information of particular practical importance for the performance of the future professional practice.


Author(s):  
Charlotte Derr ◽  
Alan Shteyman ◽  
Saundra A. Jackson ◽  
Yuanyuan Lu ◽  
Tabitha Campbell ◽  
...  

2010 ◽  
Vol 2 (4) ◽  
pp. 523-529 ◽  
Author(s):  
Deborah C. Hsu ◽  
Charles G. Macias

Abstract Objectives To develop and validate a rubric assessment instrument for use by pediatric emergency medicine (PEM) faculty to evaluate PEM fellows and for fellows to use to self-assess. Methods This is a prospective study at a PEM fellowship program. The assessment instrument was developed through a multistep process: (1) development of rubric format items, scaled on the modified Dreyfus model proficiency levels, corresponding to the 6 Accreditation Council for Graduate Medical Education core competencies; (2) determination of content and construct validity of the items through structured input and item refinement by subject matter experts and focus group review; (3) collection of data using a 61-item form; (4) evaluation of psychometrics; (5) selection of items for use in the final instrument. Results A total of 261 evaluations were collected from 2006 to 2007; exploratory factor analysis yielded 5 factors with Eigenvalues >1.0; each contained ≥4 items, with factor loadings >0.4 corresponding with the following competencies: (1) medical knowledge and practice-based learning and improvement, (2) patient care and systems-based practice, (3) interpersonal skills, (4) communication skills, and (5) professionalism. Cronbach α for the final 53-item instrument was 0.989. There was also significant responsiveness of the tool to the year of training. Conclusion A substantively and statistically validated rubric evaluation of PEM fellows is a reliable tool for formative and summative evaluation.


2000 ◽  
Vol 35 (6) ◽  
pp. 604-612 ◽  
Author(s):  
Catherine A. Marco ◽  
Gregory L. Larkin ◽  
John C. Moskop ◽  
Arthur R. Derse
Keyword(s):  

2020 ◽  
Vol 31 (4) ◽  
pp. 506-520
Author(s):  
Corinna A. Schön ◽  
Les Gordon ◽  
Natalie Hölzl ◽  
Mario Milani ◽  
Peter Paal ◽  
...  

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