How Do Emergency Medicine Residency Programs Structure Their Clinical Competency Committees? A Survey

Doty, Christopher; Roppolo, Lynn P.; Asher, Shellie; Seamon, Jason P.; Bhat, Rahul; Taft, S.; Graham, Autumn; Willis, James

doi:10.1111/acem.12804

Cited by 19 publications

(14 citation statements)

References 4 publications

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“…Our analysis showed that only the presence of handoff training during clinical setting was associated with competency. Currently, there is no universally accepted competency assessment 36. As the program requirement includes the milestones for resident education, the level of competency needs to be accurately evaluated.…”

Section: Discussionmentioning

confidence: 99%

Transition of Care Practices from Emergency Department to Inpatient: Survey Data and Development of Algorithm

Lee¹,

Jordan²,

Hern³

et al. 2017

WestJEM

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IntroductionWe aimed to assess the current scope of handoff education and practice among resident physicians in academic centers and to propose a standardized handoff algorithm for the transition of care from the emergency department (ED) to an inpatient setting.MethodsThis was a cross-sectional survey targeted at the program directors, associate or assistant program directors, and faculty members of emergency medicine (EM) residency programs in the United States (U.S.). The web-based survey was distributed to potential subjects through a listserv. A panel of experts used a modified Delphi approach to develop a standardized algorithm for ED to inpatient handoff.Results121 of 172 programs responded to the survey for an overall response rate of 70.3%. Our survey showed that most EM programs in the U.S. have some form of handoff training, and the majority of them occur either during orientation or in the clinical setting. The handoff structure from ED to inpatient is not well standardized, and in those places with a formalized handoff system, over 70% of residents do not uniformly follow it. Approximately half of responding programs felt that their current handoff system was safe and effective. About half of the programs did not formally assess the handoff proficiency of trainees. Handoffs most commonly take place over the phone, though respondents disagree about the ideal place for a handoff to occur, with nearly equivalent responses between programs favoring the bedside over the phone or face-to-face on a computer. Approximately two-thirds of responding programs reported that their residents were competent in performing ED to inpatient handoffs. Based on this survey and on the review of the literature, we developed a five-step algorithm for the transition of care from the ED to the inpatient setting.ConclusionOur results identified the current trends of education and practice in transitions of care, from the ED to the inpatient setting in U.S. academic medical centers. An algorithm, which guides this process, is proposed to address the current gap in the standardized approach to ED to inpatient handoffs that were identified in the survey’s assessment of needs.

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Section: Discussionmentioning

confidence: 99%

Transition of Care Practices from Emergency Department to Inpatient: Survey Data and Development of Algorithm

Lee¹,

Jordan²,

Hern³

et al. 2017

WestJEM

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“…A total of 434 papers and abstracts satisfied the search criteria, and 61 papers met the inclusion criteria . The authors scored these 61 manuscripts, and the 10 highest scoring quantitative and two qualitative articles are reviewed below, in alphabetical order by first author's last name.…”

Section: Resultsmentioning

confidence: 99%

“…Six studies (10%) involved qualitative methodology of which two were highlighted . There were 10 papers (16%) that employed survey methodology but none met the criteria for a highlighted article . The remaining 36 papers (59%) were observational studies and accounted for 50% of the highlighted articles .…”

Section: Discussionmentioning

confidence: 99%

“…The study populations included medical students (36%), residents (54%), and a variety of others (attending physicians, nurses, interprofessional teams, fellows, midlevel providers, paramedics, validity evidence, and department flow).…”

Section: Discussionmentioning

confidence: 99%

“…Studies that are conducted at multiple institutions are important since they demonstrate that the intervention is effective in a variety of settings and may be more generalizable to others who wish to implement a similar program. This year, 10 (16%) studies were conducted at more than two sites . Researchers in EM can be more confident in the value of their interventions if they produce excellent results when applied to many different types of learners and taught by a variety of instructors.…”

Section: Discussionmentioning

confidence: 99%

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Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2015

Heitz

Coates

Farrell

et al. 2017

Academic Emergency Medicine

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Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2015

Heitz

Coates

Farrell

et al. 2017

AEM Education and Training

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Objective: The objectives were to critically appraise the medical education research literature of 2015 and review the highest-quality quantitative and qualitative examples.Methods: A total of 434 emergency medicine (EM)-related articles were discovered upon a search of ERIC, PsychINFO, PubMED, and SCOPUS. These were both quantitative and qualitative in nature. All were screened by two of the authors using previously published exclusion criteria, and the remaining were appraised by all authors using a previously published scoring system. The highest scoring articles were then reviewed.Results: Sixty-one manuscripts were scored, and 10 quantitative and two qualitative papers were the highest scoring and are reviewed and summarized in this article.Conclusions: This installment in this critical appraisal series reviews 12 of the highest-quality EM-related medical education research manuscripts published in 2015.I n 2012, the Academic Emergency Medicine consensus conference called for an increase in high-quality, hypothesis-driven education research.1 The intervening years have seen a growth in education research, as described in prior articles in this series.2-9 Highlighting this trend, beginning in 2017, Academic Emergency Medicine journal devoted an entire separate publication to emergency medicine educational research, Academic Emergency Medicine Education and Training (AEM E&T). 10Prior installments of this series were published in Academic Emergency Medicine Journal, 2-9 using modifications of methodology for medical education literature review as described by the Alliance for Clinical Education for other specialties and based on that used for bench and clinical research. 11,12 In this eighth installment of the annual critical appraisal series, reviewers have critically analyzed and ranked the emergency medicine (EM) education research from 2015. This article will highlight and summarize the most highly rated studies of 2015, which pertain to teaching and education in EM. Of note the focus is on research that advances the science of EM education, not necessarily research that uses education to affect patient care. Current trends in EM education research, as they can be inferred from this review, are summarized and compared to the previous year's trends. It is hoped that this article will serve as a valuable resource for EM educators and researchers invested in educational scholarship. 13 METHODS Article IdentificationA medical librarian reproduced a previously used Boolean search strategy to identify all education research publications relevant to EM education. 2 Medical subject heading (MeSH) and keyword terms, including keyword variations to ensure completeness, were used. MeSH and keywords incorporated the following: emergency medicine and medical education, medical student, residents, continuing medical education, academic medical center and teaching hospital, to search MEDLINE through PubMed. Other databases searched included Scopus, Education Resources Information Center (ERIC), and PsychInfo. Pu...

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How Do Emergency Medicine Residency Programs Structure Their Clinical Competency Committees? A Survey

Cited by 19 publications

References 4 publications

Transition of Care Practices from Emergency Department to Inpatient: Survey Data and Development of Algorithm

Transition of Care Practices from Emergency Department to Inpatient: Survey Data and Development of Algorithm

Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2015

Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2015

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