Abstract-to-publication ratio and predictors for publication success for papers presented at the Italian Emergency Medicine Meeting: an updated cross-sectional study

ABSTRACT Background: Challenges related to the residency programme differ according to residents’ roles, interactions, culture, responsibilities and expectations. Aim: This study aims to explore the challenges faced by emergency medicine physicians during their residency programme. We also aim to investigate the influence of several demographic variables on their training experience. Method: This is a cross-sectional study, conducted in Saudi Arabia from June, 2021 to July 2021, using a survey designed by the author. Results: The total number of participants was 37. Of these, 24.3% (n=9) were R1 residents, 10.8% (n=4) were R2, 35.1% (n=13) were R3, and 29.7% (n=11) were R4. While most of the participants (89%) clearly understood which reference to use for studying, only 56.7% had a clear understanding of how to study for the exams. Reading club was advocated by 72% of participants, and only half the participants had a positive perception of leading, preparing, and discussing topics during academic activity. Of all the residency levels, R3 residents were the most supportive of having expert physician guidance during ED procedures, p=0.04. Other factors given more importance by R3 residents than by other levels were mentorship, p=0.051, and having a course review for the exam, p=0.001. Conclusion: This study uncovers several challenges reported by participants from different residency levels. We noted that the R3 training level, being a period of transition from junior to senior level, is a significant period requiring more attention; more emphasis on mentorship and reading club is advocated.

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SARS-CoV-2 Infection Among Healthcare Workers in Tijuana, Mexico: A cross-sectional study

International Journal of Medical Students ◽

10.5195/ijms.2020.625 ◽

2020 ◽

Author(s):

José Adrián Yamamoto-Moreno ◽

Cecilia Pineda-Aguilar ◽

Samuel Ruiz-Pérez ◽

Gloria Liliana Gortarez-Quintana ◽

Marco Antonio Ruiz-Dorado

Keyword(s):

Emergency Medicine ◽

Healthcare Workers ◽

Close Contact ◽

Cross Sectional Study ◽

High Risk Group ◽

Sectional Study ◽

Cross Sectional ◽

Medical Specialties ◽

Notification System ◽

Epidemiologic Surveillance

Background: Healthcare workers (HCW) are a high-risk group for COVID-19. The aim of this study is to estimate the risk of acquiring COVID-19 among HCW from Mexican Institute of Social Security in Tijuana, Mexico. Methods: A cross-sectional study from Epidemiologic Surveillance Online Notification System database was conducted, including entries from Tijuana, starting March 11th until May 1st 2020. Multiple imputation was performed for the SARS-CoV-2 RT-PCR result variable where data was missing. Chi-squared statistic with Yates correction and OR were calculated to estimate the risk of HCW compared to the general population (GP). Results: From a total of 10,216 entries, only 6,256 patients were included for analysis. Being a HCW was significantly associated with a higher risk of acquiring COVID-19, OR=1.730 (CI 95% 1.459-2.050). Nurses had double the risk (OR=2.339; CI 95% 1.804-3.032) than the GP. The cluster of physicians only had an additional risk for COVID-19 of 2.8% (OR=1.828; CI 95% 0.766-1.380). Resident physicians doubled the risk of the GP (OR=2.166; CI 95% 0.933-5.025). Meanwhile, interns had a possible protecting factor (OR=0.253; CI 95% 0.085-0.758). Among medical specialties, emergency medicine has the highest risk (OR=4.071; CI 95% 1.090-15.208), followed by anesthesiologists (OR=2.806; CI 95% 0.544-14.466). Conclusion: HCW have up to 73% more risk of acquiring COVID-19 than the GP in Tijuana, Mexico. Nurses were the group at highest risk of all HCW, as a result of prolonged and close contact with patients. Emergency medicine and anesthesiology were the medical specialties most at risk because they frequently perform aerosol-generating procedures.

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Comparison of Work-Related Stress between Emergency Medicine and Internal Medicine Doctors: A Single Center Cross-Sectional Study

Medeniyet Medical Journal ◽

10.5222/mmj.2020.06432 ◽

2020 ◽

Author(s):

Kurtulus Açıksarı ◽

◽

Hasan Turan Karatepe

Keyword(s):

Internal Medicine ◽

Emergency Medicine ◽

Cross Sectional Study ◽

Sectional Study ◽

Single Center ◽

Cross Sectional ◽

Work Related Stress ◽

Work Related ◽

Related Stress

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Comparison of professionalism between emergency medicine resident physicians and faculty physicians: A multicenter cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0230186 ◽

2020 ◽

Vol 15 (3) ◽

pp. e0230186

Author(s):

Takashi Shiga ◽

Yoshiyuki Nakashima ◽

Yasuhiro Norisue ◽

Tetsunori Ikegami ◽

Takahiro Uechi ◽

...

Keyword(s):

Emergency Medicine ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Emergency Medicine Resident ◽

Medicine Resident ◽

Resident Physicians

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Use of graded responsibility and common entrustment considerations among United States emergency medicine residency programs

Journal of Educational Evaluation for Health Professions ◽

10.3352/jeehp.2020.17.11 ◽

2020 ◽

Vol 17 ◽

pp. 11

Author(s):

Jason Lai ◽

Benjamin Holden Schnapp ◽

David Simon Tillman ◽

Mary Westergaard ◽

Jamie Hess ◽

...

Keyword(s):

United States ◽

Emergency Medicine ◽

Medical Education ◽

Response Rate ◽

Cross Sectional Study ◽

Medical Patients ◽

Sectional Study ◽

Cross Sectional ◽

Residency Programs ◽

Question Survey

Purpose: The Accreditation Council for Graduate Medical Education (ACGME) requires all residency programs to provide increasing autonomy as residents progress through training, known as graded responsibility. However, there is little guidance on how to implement graded responsibility in practice and a paucity of literature on how it is currently implemented in emergency medicine (EM). We sought to determine how EM residency programs apply graded responsibility across a variety of activities and to identify which considerations are important in affording additional responsibilities to trainees.Methods: We conducted a cross-sectional study of EM residency programs using a 23-question survey that was distributed by email to 162 ACGME-accredited EM program directors. Seven different domains of practice were queried.Results: We received 91 responses (56.2% response rate) to the survey. Among all domains of practice except for managing critically ill medical patients, the use of graded responsibility exceeded 50% of surveyed programs. When graded responsibility was applied, post-graduate year (PGY) level was ranked an “extremely important” or “very important” consideration between 80.9% and 100.0% of the time.Conclusion: The majority of EM residency programs are implementing graded responsibility within most domains of practice. When decisions are made surrounding graded responsibility, programs still rely heavily on the time-based model of PGY level to determine advancement.

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Exploring the Feelings of Nurses during Resuscitation—A Cross-Sectional Study

Healthcare ◽

10.3390/healthcare10010005 ◽

2021 ◽

Vol 10 (1) ◽

pp. 5

Author(s):

Anton Koželj ◽

Maja Šikić Pogačar ◽

Sabina Fijan ◽

Maja Strauss ◽

Vita Poštuvan ◽

...

Keyword(s):

Emergency Medicine ◽

Cardiopulmonary Resuscitation ◽

Demographic Data ◽

Young Person ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Stress Scale ◽

Emergency Units ◽

Post Code

Cardiopulmonary resuscitation (CPR) is one of the most stressful situations in emergency medicine. Nurses involved in performing basic and advanced resuscitation procedures are therefore exposed to a certain amount of stress. The purpose of this study was to determine the stressors and the level of stress experienced by nurses during resuscitation. A cross-sectional quantitative study was done. The sample consisted of 457 nurses who worked in emergency units. First demographic data were collected, followed by a questionnaire regarding the effect of different situations that occur during and after resuscitation on nurses including Post-Code Stress Scale questionnaire. The most disturbing situations for respondents were resuscitation of young person (MV = 3.7, SD = 1.4), when they fail to establish an intravenous pathway (MV = 3.5, SD = 1.4), chaotic situation during resuscitation (MV = 3.4, SD = 1.4) and making decision about termination of resuscitation (MV = 3.1, SD = 1.5). Research has shown that nurses are exposed to a certain amount of stress during resuscitation, but most of them manage to compensate for stress effectively.

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Knowledge, attitudes, and practices of Cameroonian physicians with regards to pain management at the emergency department: a multicenter cross-sectional study

10.21203/rs.2.10155/v1 ◽

2019 ◽

Author(s):

Paul Owono Etoundi ◽

Junette Arlette Metogo Mbengono ◽

Ferdinand Ndom Ntock ◽

Joel Noutakdie Tochie ◽

Dominique Christelle Anaba Ndom ◽

...

Keyword(s):

Emergency Department ◽

Emergency Medicine ◽

Pain Management ◽

Acute Pain ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Attitudes And Practices ◽

Level Of Knowledge ◽

Knowledge Attitudes And Practices

Abstract Introduction: Pain is the most frequent presenting complaint in patients consulting or admitted to the emergency department (ED). Thus, its acute management is often done by physicians working in the ED. These practitioners are often general practitioners and not emergency medicine physicians in resource-poor settings. Hence, a mastery of pain management by these physicians may be important in relieving acute pain. We aimed to assess the knowledge, to determine the attitudes and practices of physicians in the management of pain in EDs of Cameroon. Methods: We carried out a prospective analytic cross-sectional study over four months in the year 2018. We enrolled all consenting physicians who were neither emergency medicine doctors nor anesthesiologists working at the EDs of five tertiary hospitals of Cameroon. Using a 30-item structured questionnaire, data on the knowledge, attitudes, and practices of pain management at the ED by these clinicians were studied. We used an externally validated score to assess the knowledge as either poor, insufficient, moderate or good. Results: A total of 58 physicians were included; 18 interns and 39 general practitioners. Their mean age was 28.6 ± 3 years and their average number of years of practice was 2.9 years. The level of knowledge was rated “poor” in 77.6% of physicians. Being a general practitioner was significantly associated with a poor level of knowledge (p=0.02; OR=5.1). We found a negative and significant correlation between knowledge and years of practice (p=0.04; r2= 0.06). More than three-quarter (82.8%) of participants used a pain scale to evaluate the severity of pain. The most used scale being the Visual Analog scale (56.9%). The most frequently used analgesic was paracetamol (98.3%), although only 3.5% of physicians correctly knew its half-life, delay of onset of action and duration of action. Conclusion: These findings suggest that physicians in EDs of Cameroon have poor knowledge and suboptimal practices in pain management. General practice and a greater number of professional experience seemed to favour these attitudes. Overall, there is an urgent need for refresher courses in acute pain management for physicians working in these resource-limited EDs.

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