Popis: |
BACKGROUND: Pakistan has an underdeveloped and overburdened emergency care system, with most emergency departments (EDs) staffed by physicians not formally trained in emergency medicine (EM). As of January 2020, only nine Pakistani institutions were providing formal EM specialty training; therefore, a training program of shorter duration is needed in the interim. METHODS: The Certification Program in Emergency Medicine (CPEM) is a 1‐year training program in EM consisting of two arms: CPEM‐Clinical (CPEM‐C), which includes physicians from The Indus Hospital (TIH) ED, and CPEM‐Didactic (CPEM‐D), including physicians from EDs across Karachi. Both groups participate in weekly conferences, including didactics, small‐group discussions, workshops, and journal clubs. CPEM‐C learners also receive clinical mentorship from visiting international and TIH EM faculty. Both groups were assessed with preprogram, midterm, and final examinations as well as on clinical skills. Additionally, both groups provided regular feedback on program content and administration. RESULTS: Twenty‐five of the 32 initially enrolled learners completed the program in June 2019. Scores on a matched set of 50 questions administered in the pretest and final examination improved by an average of 15.1% (p |