Medical toxicology education in US emergency medicine residencies.
Medical toxicology education in US emergency medicine residencies.
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美国急诊医学住院医师的医学毒理学教育。
DOI：
10.1016/j.ajem.2018.03.007
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
S. Thornton
中科院分区：
文献类型：
--
作者：
M. Darracq;P. Armenian;J. Comes;S. Thornton
医学毒理学（TOX）是美国急诊医学委员会[1]的核心内容领域，也是美国医学专业委员会（ABMS）认可的急诊医学（EM）、儿科和预防医学[2]的亚专业，重点是“药物、职业和环境毒物和生物制剂引起的中毒和其他不良反应的诊断、管理和预防”[3]。1983年，美国急诊医师学会（American College of Emergency Physicians）宣布：“急诊医师应该具备提供毒理学治疗的资格，他们应该通过培训和医疗机构的培训来完成这一职能。”关于美国急诊医学（EM）住院医师TOX教育和培训的文献有限。我们试图通过对急诊住院医师项目主任的调查来描述这种教育。在2015-2016学年，研究生医学教育认证委员会（ACGME）批准的美国医学硕士住院医师项目的项目主任和助理项目主任被要求描述tox课程；轮转的持续时间和性质（强制性/选择性，活动），轮转的地点（从家里开车到学校），与该项目相关的全职委员会认证/合格的TOX教员的数量，每年在TOX轮转之外为住院医生提供的TOX讲座的数量，以及在前5年攻读TOX奖学金的毕业生数量。回答是匿名的，除了程序识别，以防止重复的回答。对于非受访者，住院医师网站询问了强制性或选择性轮转是否是课程的一部分，轮转的持续时间，以及与住院医师计划相关的董事会认证/合格的全职TOX教师的数量。获得了所有164个acgme批准的em住院医师项目的信息。
Medical toxicology (TOX), a core content area of the American Board of Emergency Medicine [1] and an American Board of Medical Specialties (ABMS) recognized subspecialty of Emergency Medicine (EM), Pediatrics, and Preventive Medicine [2] focuses on the “diagnosis, management, and prevention of poisoning and other adverse effects due to medications, occupational and environmental toxicants and biological agents”[3] The importance of TOX training has long been recognized. In 1983, the American College of Emergency Physicians declared that “Emergency physicians should be qualified to render toxicologic care, and that they should be prepared by training and by facility organizations to fulfill this function.”[4] There is limited literature describing US-emergency medicine (EM)-resident TOX education and training. We sought to describe this education through a survey of EM-residencyprogram directors.Program and assistant program directors of the 164 Accreditation Council for Graduate Medical Education (ACGME)-approved US-EM-residency programs in the 2015–2016 academic year were asked to describe TOX-curriculum; the duration and nature of the rotation (mandatory/elective, activities), location of the rotation (b1 h. drive from home institution), the number of full-time-board-certified/eligible TOX faculty affiliated with the program, the number of TOX lectures given to residents each year outside of a TOX rotation, and the number of graduates pursuing TOX fellowship in the preceding 5 years. Responses were anonymous with the exception of program identification to prevent duplication of responses. For non-respondents, the residency website was queried whether a mandatory or elective rotation was part of the curriculum, the duration of the rotation, and the number of board-certified/eligible-full-time TOX faculty affiliated with the residency program. Information was obtained for all 164 ACGME-approved-EM-residency programs.