Emergency Medicine Milestones

Beeson, Michael S.; Carter, Wallace A.; Christopher, Theodore A.; Heidt, Jonathan; Jones, James H.; Meyer, Lynne; Promes, Susan B.; Rodgers, Kevin; Shayne, Philip; Wagner, Mary Jo; Swing, Susan R.

doi:10.4300/jgme-05-01s1-02

Cited by 69 publications

(60 citation statements)

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“…Medical education, including Emergency Medicine, is undergoing a significant transition towards competency based learning. 14 The general concept of competency based learning is that the critical outcome of education is competency in the domains needed for practice, rather than number of hours or months spent pursuing education. 15 These results could be used to identify important pediatric competencies.…”

Section: Discussionmentioning

confidence: 99%

Children's Safety Initiative: A National Assessment of Pediatric Educational Needs among Emergency Medical Services Providers

Hansen¹,

Meckler²,

Dickinson³

et al. 2014

Prehospital Emergency Care

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Objective Emergency Medical Services (EMS) providers may have critical knowledge gaps in pediatric care due to lack of exposure and training. There is currently little evidence to guide educators to the knowledge gaps most likely to improve patient safety. The objective of this study was to identify educational needs of EMS providers related to pediatric care in various domains in order to inform development of curricula. Methods The Children’s Safety Initiative-EMS performed a three-phase Delphi survey on patient safety in pediatric emergencies among providers and content experts in pediatric emergency care including physicians, nurses and pre-hospital providers of all levels. Each round included questions related to educational needs of providers or the effect of training on patient safety events. We identified knowledge gaps in the following domains: case exposure, competency and knowledge, assessment and decision making, and critical thinking and proficiency. Individual knowledge gaps were ranked by portion of respondents who ranked them “highly likely” (likert-type score 7–10 out of 10) to contribute to safety events. Results There were 737 respondents who were included in analysis of the first phase of the survey. Paramedics were 50.8% of respondents; EMT-Basics/first responders were 22% and physicians 11.4%. The top educational priorities identified in the final round of the survey include: pediatric airway management, responder anxiety when working with children, and general pediatric skills among providers. The top three needs in decision-making include knowing when to alter plans mid-course, knowing when to perform and advanced airway, and assessing pain in children. The top 3 technical or procedural skills needs were pediatric advanced airway, neonatal resuscitation, and intravenous/intraosseos access. For neonates, specific educational needs identified included knowing appropriate vital signs and preventing hypothermia. Conclusions This is the first large-scale Delphi survey related to pediatric pre-hospital education. Our results provide foundational information related to the educational needs of pre-hospital providers. Medical directors and educators can use the results to shape future curricular development.

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Section: Discussionmentioning

confidence: 99%

Children's Safety Initiative: A National Assessment of Pediatric Educational Needs among Emergency Medical Services Providers

Hansen¹,

Meckler²,

Dickinson³

et al. 2014

Prehospital Emergency Care

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“…Specifically, it is stipulated that residents must gain experience in "acute and chronic musculoskeletal syndromes, including sports-related injuries, occupational injuries, rheumatologic disorders, and use of musculoskeletal ultrasound" [9]. Other specialties, such as emergency medicine (EM), have already made ultrasound a core competency and require a formal curriculum for their residents as one of its 23 residency milestones [10][11][12][13]. Although PM&R residencies are not yet required to establish a formal curriculum, it is only a matter of time until this requirement is established.…”

Section: Introductionmentioning

confidence: 99%

The Current State of Musculoskeletal Ultrasound Education in Physical Medicine and Rehabilitation Residency Programs

Siddiqui

Luz

Borg‐Stein

et al. 2015

PM&R

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“…3 As a program director and member of the committee who created the Emergency Medicine Milestones, I have been struck by the incredible diversity of approaches during the Milestone rollout process. 4,5 Given this diversity, inevitably some applications of the Milestone framework may not result in the lofty aspirational goals that we hoped for. The Milestones, along with other elements of the NAS, are intended to promote program improvements via self-study driven by objective data.…”

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confidence: 99%

Milestone Myths and Misperceptions

Carter¹

2014

Journal of Graduate Medical Education

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Emergency Medicine Milestones

Cited by 69 publications

References 0 publications

Children's Safety Initiative: A National Assessment of Pediatric Educational Needs among Emergency Medical Services Providers

Children's Safety Initiative: A National Assessment of Pediatric Educational Needs among Emergency Medical Services Providers

The Current State of Musculoskeletal Ultrasound Education in Physical Medicine and Rehabilitation Residency Programs

Milestone Myths and Misperceptions

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