The Specialty of Emergency Medicine in Chile: 20 Years of History

Mallon, WK; Valenzuela, Rolando; Salway, RJ; Shoenberger, JM; Swadron, SP

doi:10.1016/j.rmclc.2017.04.002

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…Yet, this is still an ongoing process and our findings emphasised the need for collaboration among programmes in order to reach maturity as a well-established specialty. Mallon et al (44) recommends unification of competing societies, coordinating common academic meetings, development of a single certification exam and working towards strengthening current training programmes.…”

Section: Discussionmentioning

confidence: 99%

Multi-source Qualitative Analysis of Emergency Medicine Residency Programmes in Chile: A Case Study

Basauri

Scanlan

Muir

2021

Preprint

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Background: Emergency Medicine (EM) is a developing specialty worldwide. In Chile, it has been developing for 25 years, however, there is a need for further progress. Aim: We aimed to explore the current postgraduate curriculum in Chile and identify ways to standardise and improve it.Methods: A qualitative case study approach was used to explore perspectives on EM curriculum development via interviewing residents, graduates and programme directors and documentary analysis of academic and governmental guidelines. Both data sets were evaluated through Thematic Analysis.Results: Four documents were analysed, and eight interviews conducted. Three main themes emerged from both data sets: curriculum structure, influence of context and expectations of an Emergency Physician. Additionally, interviews offered a fourth theme: perspectives of EM. They convey how current programmes focus on workplace learning and protected time for learning strategies, however, they differ in clinical exposure and quality of training. As a priority, collaboration was identified, emphasising a need for programmes to work together towards ensuring quality Conclusion: Overall, this study identifies similarities and differences among programmes, and common areas for improvement. There is agreement on the need for a standardized curriculum, considering local context and societal needs. This study assesses curriculum development, understanding cultural, social and educational influences.

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Section: Discussionmentioning

confidence: 99%

Multi-source Qualitative Analysis of Emergency Medicine Residency Programmes in Chile: A Case Study

Basauri

Scanlan

Muir

2021

Preprint

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“…In recognition of how difficult it has been for both low-and middle-income countries to formally integrate the prehospital system with hospital level healthcare service delivery and outcomes, calls for action toward important progress in health system strengthening have been made [17][18][19]. From the examples above, access to surgical care in LMICs remains a complex interprofessional agenda still needing further multi-agency development and implementation, as well as specific targets of collaborative evaluation [19][20][21][22]. In Latin America, where the majority of countries are middle income (MIC), prehospital trauma triage avoids time delays to favorably impact outcomes once definitive care is obtained [23,24].…”

Section: Plos Onementioning

confidence: 99%

Publicly funded interfacility ambulance transfers for surgical and obstetrical conditions: A cross sectional analysis in an urban middle-income country setting

et al. 2020

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Introduction Interfacility transfers may reflect a time delay of definitive surgical care, but few studies have examined the prevalence of interfacility transfers in the urban low- and middle-income (LMIC) setting. The aim of this study was to determine the number of interfacility transfers required for surgical and obstetric conditions in an urban MIC setting to better understand access to definitive surgical care among LMIC patients. Methods A retrospective analysis of public interfacility transfer records was conducted from April 2015 to April 2016 in Cali, Colombia. Data were obtained from the single municipal ambulance agency providing publicly funded ambulance transfers in the city. Interfacility transfers were defined as any patient transfer between two healthcare facilities. We identified the number of transfers for patients with surgical conditions and categorized transfers based on patient ICD-9-CM codes. We compared surgical transfers from public vs. private healthcare facilities by condition type (surgical, obstetric, nonsurgical), transferring physician specialty, and transfer acuity (code blue, emergent, urgent and nonurgent) using logistic regression. Results 31,659 patient transports occurred over the 13-month study period. 22250 (70.2%) of all transfers were interfacility transfers and 7777 (35%) of transfers were for patients with surgical conditions with an additional 2,244 (10.3%) for obstetric conditions. 49% (8660/17675) of interfacility transfers from public hospitals were for surgical and obstetric conditions vs 32% (1466/4580) for private facilities (P<0.001). The most common surgical conditions requiring interfacility transfer were fractures (1,227, 5.4%), appendicitis (913, 4.1%), wounds (871, 3.9%), abdominal pain (818, 3.6%), trauma (652, 2.9%), and acute abdomen (271, 1.2%). Conclusion Surgical and obstetric conditions account for nearly half of all urban interfacility ambulance transfers. The most common reasons for transfer are basic surgical conditions with public healthcare facilities transferring a greater proportion of patient with surgical conditions than private facilities. Timely access to an initial healthcare facility may not be a reliable surrogate of definitive surgical care given the substantial need for interfacility transfers.

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The Specialty of Emergency Medicine in Chile: 20 Years of History

Cited by 2 publications

References 11 publications

Multi-source Qualitative Analysis of Emergency Medicine Residency Programmes in Chile: A Case Study

Multi-source Qualitative Analysis of Emergency Medicine Residency Programmes in Chile: A Case Study

Publicly funded interfacility ambulance transfers for surgical and obstetrical conditions: A cross sectional analysis in an urban middle-income country setting

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