A Community Emergency Department Rotation for Pediatric Emergency Medicine Fellows
A Community Emergency Department Rotation for Pediatric Emergency Medicine Fellows
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DOI：
10.1097/pec.0000000000002103
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发表时间：
2020-09
影响因子：
1.4
通讯作者：
Melissa L. Langhan;Seth Woolf;Gunjan Tiyyagura
中科院分区：
文献类型：
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作者：
Melissa L. Langhan;Seth Woolf;Gunjan Tiyyagura
目的90%的儿童在社区急诊科接受急诊护理，社区急诊科儿科急诊医学专家的工作机会越来越多。PEM研究员的大部分培训发生在学术儿童医院，这可能会使研究员接触到与CED不同的资源。我们的目标是开发和评估CED轮换，旨在改善PEM研究员在这种护理环境中的暴露。方法以克恩的课程开发6个步骤为框架，从发现问题、进行需求评估、制定目标和目的、制定教育策略、计划实施和评价。在轮换发展期间，学员和医院领导进行了讨论和接受。PEM研究员和CED主治医生的非正式和基于网络的调查评估了轮换，并评估了参与者的反应，知识变化和行为变化。结果CED轮换试点在1 PEM奖学金计划超过2年。9名PEM研究员参加了为期一个月的轮调。大多数参与者报告说，轮换的目标和目的得到了实现，他们获得了新的技能，并将CED轮换评为良好或优秀。对CED旋转的挑战包括较低的患者敏锐度和与CED的距离。结论一个新的CED轮换制的开发，试点，并受到与会者的好评。鉴于三级保健儿童急诊科和CED之间的潜在差异，以及CED的就业机会增加，项目主任应考虑为他们的PEM研究员纳入CED轮换。
Objective There have been increasing job opportunities for pediatric emergency medicine (PEM) specialists within community emergency departments (CEDs), where 90% of children receive emergency care. The majority of training for PEM fellows occurs in academic children's hospitals, which may expose fellows to different resources than CEDs. Our goals were to develop and to evaluate a CED rotation aimed at improving exposure to this care environment for PEM fellows. Methods Kern's 6 steps of curriculum development served as our framework to identify the problem, conduct a needs assessment, develop goals and objectives, formulate an educational strategy, and then plan the implementation and evaluation. Discussion and buy-in among trainees and hospital leadership took place during rotation development. Informal and web-based surveys of PEM fellows and CED attendings evaluated the rotation and assessed participants' reactions, changes in knowledge, and changes in behavior. Results The CED rotation was piloted at 1 PEM fellowship program over 2 years. Nine PEM fellows participated in the month-long rotation. The majority of participants reported that the rotation goals and objectives were met and that they acquired new skills and rated the CED rotation as good or excellent. Challenges to the CED rotation included lower patient acuity and distance to the CED. Conclusions A new CED rotation was developed, piloted, and well received by participants. Given the potential differences in practice between tertiary care children's emergency departments and CEDs, as well as increasing job opportunities in CEDs, program directors should consider incorporating a CED rotation for their PEM fellows.