ACGME Clinical and Educational Work Hour Standards: Perspectives and Recommendations from Emergency Medicine Educators
| Autor: | Jonathan Fisher, Hans R. House, Stephen J. Wolf, Michael L. Epter, Saadia Akhtar, Eric Gross, David Barnes, Maria E. Moreira, Michael Smith |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
020205 medical informatics education Graduate medical education MEDLINE Personnel Staffing and Scheduling lcsh:Medicine 02 engineering and technology Workload Accreditation Physician Executives 03 medical and health sciences Patient safety 0302 clinical medicine Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering Medicine Humans 030212 general & internal medicine Original Research Response rate (survey) business.industry Learning environment lcsh:R lcsh:Medical emergencies. Critical care. Intensive care. First aid Internship and Residency General Medicine lcsh:RC86-88.9 Congresses as Topic United States Medical Education ACGME Work Hours Education Medical Graduate Emergency medicine Emergency Medicine Survey data collection Patient Safety business |
| Zdroj: | Western Journal of Emergency Medicine Wolf, Stephen J.; Akhtar, Saadia; Gross, Eric; Barnes, David; Epter, Michael; Fisher, Jonathan; et al.(2018). ACGME Clinical and Educational Work Hour Standards: Perspectives and Recommendations from Emergency Medicine Educators. Western Journal of Emergency Medicine, 19(1). doi: 10.5811/westjem.2017.11.35265. Retrieved from: http://www.escholarship.org/uc/item/5gv2k42k Western Journal of Emergency Medicine, Vol 19, Iss 1 (2017) |
| ISSN: | 1936-9018 1936-900X |
| DOI: | 10.5811/westjem.2017.11.35265. |
| Popis: | Introduction: The American College of Emergency Physicians (ACEP) and the Council of Emergency Medicine Residency Directors (CORD) were invited to contribute to the 2016 Accreditation Council for Graduate Medical Education’s (ACGME) Second Resident Duty Hours in the Learning and Working Environment Congress. We describe the joint process used by ACEP and CORD to capture the opinions of emergency medicine (EM) educators on the ACGME clinical and educational work hour standards, formulate recommendations, and inform subsequent congressional testimony. Methods: In 2016 our joint working group of experts in EM medical education conducted a consensus-based, mixed-methods process using survey data from medical education stakeholders in EM and expert iterative discussions to create organizational position statements and recommendations for revisions of work hour standards. A 19-item survey was administered to a convenience sample of 199 EM residency training programs using a national EM educational listserv. Results: A total of 157 educational leaders responded to the survey; 92 of 157 could be linked to specific programs, yielding a targeted response rate of 46.2% (92/199) of programs. Respondents commented on the impact of clinical and educational work-hour standards on patient safety, programmatic and personnel costs, resident caseload, and educational experience. Using survey results, comments, and iterative discussions, organizational recommendations were crafted and submitted to the ACGME. Conclusion: EM educators believe that ACGME clinical and educational work hour standards negatively impact the learning environment and are not optimal for promoting patient safety or the development of resident professional citizenship. |
| Databáze: | OpenAIRE |
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