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
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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