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Published on: January 15, 2017
Emergency medicine resident involvement in EMS
1Department of Emergency Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA.
The Journal of Emergency Medicine
|November 3, 2007
Summary
Most emergency medicine residencies require ground Emergency Medical Services (EMS) observation, but few mandate EMS provider roles or helicopter involvement. Insufficient time limits resident EMS activities, despite frequent medical command and lecturing requirements.
Area of Science:
- Medical Education
- Emergency Medicine
- Public Health
Background:
- Emergency Medical Services (EMS) activities are integral to Emergency Medicine (EM) residency training.
- Understanding resident involvement in EMS is crucial for curriculum development.
Purpose of the Study:
- To survey EM residency programs on required EMS activities for residents.
- To identify the extent of resident participation in various EMS roles and training.
Main Methods:
- A survey was distributed to all Accreditation Council for Graduate Medical Education and American Osteopathic Association-accredited EM residencies in June 2005.
- 112 surveys were completed, yielding a 66% response rate.
Main Results:
- 88% of residencies require ground EMS observation, while 28% require working as an EMS provider.
- Helicopter EMS involvement is uncommon; only 16% require observation and 21% require working as a provider.
- Residents routinely provide on-line medical command (79%) and lecturing to prehospital personnel (72%). Disaster training is required for 73%, but mass gathering medical care is less common (28%). Quality improvement activities and medical director roles are rarely required.
Conclusions:
- Most EM residents engage in ground EMS activities and medical command, but opportunities for helicopter EMS and leadership roles are limited.
- Insufficient time is a primary barrier to expanding EMS training components in EM residencies.
- Further emphasis on diverse EMS experiences, including quality improvement and medical direction, could enhance resident preparedness.
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