Qualification discrepancies between urban and rural emergency department physicians

Qualification discrepancies between urban and rural emergency department physicians
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DOI:
10.1016/j.jemermed.2004.11.020
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发表时间:
2005-04-01
影响因子:
1.5
通讯作者:
Walker, RA
Walker, RA
中科院分区:
医学4区
文献类型:
--
作者:
Wadman, MC;Muelleman, RL;Walker, RA

文献摘要

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本研究的目的是描述和比较中西部北部主要农村州农村和城市急诊科 (ED) 医生的住院医师培训和委员会认证资格。内布拉斯加州、北达科他州和南达科他州的急诊室年患者量超过 10,000 人,符合该研究的纳入标准。急诊室管理人员通过邮件回复调查,讨论医生培训和委员会认证状态以及急诊室描述性统计数据。 34 名 ED 符合该研究的纳入标准,其中 26 名做出回应 (76%)。急诊科医师报告 50.6% 获得美国急诊医学委员会 (ABEM) 认证,33.1% 接受急诊医学 (EM) 住院医师培训。城市(大都市统计区,MSA)急诊科的医生比农村(非 MSA)急诊科的医生更频繁地报告获得 ABEM 认证和住院医师培训(分别为 65.2% vs. 30.8% 和 48.3% vs. 12.3%)。这项研究的结果揭示了城市和农村急诊室在医师委员会认证和住院医师培训方面存在显着差异。 (c) 2005 年爱思唯尔公司。
The purpose of this study was to describe and compare the residency training and board certification credentials of physicians staffing rural and urban emergency departments (EDs) in the predominately rural states of the upper Midwest. EDs in Nebraska, North Dakota, and South Dakota with annual patient volumes greater than 10,000 met inclusion criteria for the study. ED administrators responded to surveys via mail, addressing physician training and board certification status and ED descriptive statistics. Thirty-four EDs met the inclusion criteria for the study with 26 responding (76%). ED physicians reported 50.6% American Board of Emergency Medicine (ABEM) certification and 33.1% residency training in Emergency Medicine (EM). Physicians staffing urban (metropolitan statistical area, MSA) EDs reported ABEM certification and residency training more frequently than those working in rural (non-MSA) EDs (65.2% vs. 30.8% and 48.3% vs. 12.3%, respectively). The results of this study reveal significant discrepancies between urban and rural EDs in physician board certification and residency training. (c) 2005 Elsevier Inc.