Why Speciality in Emergency Medicine is not Preferred?

Satar, Salim; Cander, Başar; Avcı, Akkan; Açıkalın, Ayça; Orak, Murat; Açin, Mustafa; Cinar, Hayri; Karakilic, Muhammet Evvah

doi:10.5152/jaem.2013.21548

Cited by 9 publications

(11 citation statements)

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“…The lack of security for ED physicians and the high rates of violence directed at them are cited as some of the most important reasons for why new physicians do not choose to practise this branch of medicine. 19 Looking at the age and experience of the physicians in our sample, we found that most were under the age of 40 and had been working at an ED for less than 10 years. This result likely arises from the fact that the emergency medicine specialisation is only 22 years old in Turkey.…”

Section: Discussionmentioning

confidence: 94%

Workplace violence against physicians in Turkey’s emergency departments: a cross-sectional survey

et al. 2017

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ObjectiveWe aimed to determine the prevalence of violence directed at emergency department (ED) physicians in Turkey and confirm the factors influencing such violence.DesignCross-sectional survey study.SettingCountry of Turkey.ParticipantsPhysicians currently practising in EDs in Turkey.Main outcome measuresThe prevalence of violence directed at physicians and factors that may influence it, such as physicians’ personal characteristics, ED characteristics and physicians’ opinions regarding the causes of and suggested methods of preventing violence.ResultsA total of 713 physicians participated. Of these, 78.1% reported being subjected to violence in the past year and 65.9% reported more than one such incident. Being subjected to violence was related to age (p=0.008), working in an ED with a high patient admission rate (p=0.018), current position (p<0.001), working outside regular work hours (p<0.001), working in a state hospital (p<0.001) and level of experience (p<0.001). Gender, type of patient typically seen, region and patient waiting period did not influence subjection to violence. The present safety precautions against violence do not appear to influence the prevalence of violence.ConclusionsOur results indicated that ED physicians’ experience of violence is related to personal characteristics such as age and level of expertise, and hospital and ED characteristics such as high patient admission rates. Presently, no measures taken to reduce this violence have been proven effective.

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Section: Discussionmentioning

confidence: 94%

Workplace violence against physicians in Turkey’s emergency departments: a cross-sectional survey

et al. 2017

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“…18,19 Rate of reporting of violence was reported very low in study conducted in Turkey. 20 The lack of security in emergency for HCWs and the high rates of violence are some of the most important reasons why new generation is now getting attracted to choose to practice this branch of medicine. 21 Educational interventions especially in ED that aim to promote effective communication skills and use of de-escalation techniques to prevent patient aggression are certainly a useful strategy.…”

Section: Discussionmentioning

confidence: 99%

Illness profile of the patients and risk factors for violence against health care workers working in emergency department

Gupta¹,

Singh²,

Agarwal³

et al. 2020

Int J Community Med Public Health

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Background: Emergency services are the back bone of the every hospital, providing 24×7 health care services. Health care workers (HCWs) working in emergency department are always at a greater risk of violence. Factors leading to violence against HCWs need to be addressed to curb these incidents. Aim and objective: To study illness profile of admitted patients through emergency, find out factors leading to violence against health care workers (HCWs) working in emergency, and to recommend development of optimum skills and measures for minimizing violence.Methods: It was a cross-sectional retrospective record and focus group discussion based study. Study included patient of all age group admitted through emergency department in a tertiary care hospital in Uttar Pradesh between 01 August 2019 to 31October 2019. Data was taken from the hospital record and focal group discussion held with casualty medical officers, consultants, senior residents, junior residents, PG students, intern nursing staff and quality department. The information collected was analysed using SPSS version 20.0.Results: Out of 7094 participants, 50.4% were female. Majority of the participants (33%) were 17-32 years of the age group. Most common factor responsible for the violence was poor communication skills followed by harsh voice, poor behavior and death of the patient.Conclusions: Large number of the HCWs working in the emergency department are victims of violence by patients and their relatives. Most of the cases are underreported. There is a need to train doctors in soft skills and handling sensitive situations through appropriate measures for the safety of staff.

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“…Burnout level are directly related to the severity of the stress exposure on the individual. Therefore, burnout syndrome is more prevalent in professionals known to work under higher than “normal” levels of stress, including hospitals, and especially EDs …”

Section: Discussionmentioning

confidence: 99%

Serum S100B as a Surrogate Biomarker in the Diagnoses of Burnout and Depression in Emergency Medicine Residents

Gülen

Serinken

Eken

et al. 2016

Academic Emergency Medicine

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Objectives: Burnout syndrome is recognized as a major global problem among emergency healthcare workers as it causes prevalent fatigue, job separations, and disappointment. The objective of this study was to investigate the relationship of the glial marker S100B in sera of emergency physicians with burnout syndrome and depression.Methods: This was a prospective observational study of emergency medicine residents in three distinct university-based departments of emergency medicine. S100B levels were measured before and after the shifts. In addition, the resident completed the Maslach Burnout Inventory (MBI) and the Beck Depression Inventory (BDI) prior to starting the shift. S100B levels were compared to the occurrence of burnout syndrome and depression as measured by the MBI and BDI.Results: Forty-eight of 53 emergency medicine residents actively working in the three university-based EDs participated in the study. The majority of the sample had BDI scores compatible with severe depression (n = 37, 77.1%). The median scores of MBI for emotional exhaustion, depersonalization, and personal accomplishment were 29 (interquartile range [IQR] = 25 to 33), 14 (IQR = 12 to 18), and 26.5 (IQR = 22 to 31), respectively. S100B levels were found to correlate best with scores of BDI and emotional exhaustion in burnout syndrome. The difference between median S100B levels recorded in the residents with severe depression and moderate depression was found statistically significant ( Conclusions: S100B levels correlate with depression scores and emotional exhaustion in burnout syndrome. The findings suggest that S100B can be used as a marker to screen emergency medicine residents and detect individuals with high risk for depression and burnout syndrome.ACADEMIC EMERGENCY MEDICINE 2016;23:786-789

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Why Speciality in Emergency Medicine is not Preferred?

Abstract: Bu toplantı raporu Sağlık Bakanlığı Sağlık Hizmetleri Genel Müdürlüğü'nün talebi üzerine ATUDER tarafından kurulan bir komisyon tarafından hazırlanmıştır.

Cited by 9 publications

References 0 publications

Workplace violence against physicians in Turkey’s emergency departments: a cross-sectional survey

Workplace violence against physicians in Turkey’s emergency departments: a cross-sectional survey

Illness profile of the patients and risk factors for violence against health care workers working in emergency department

Serum S100B as a Surrogate Biomarker in the Diagnoses of Burnout and Depression in Emergency Medicine Residents

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