紧急医疗住院的项目主管长寿:40年的分析分析
Arlene S Chung1, Katherine L Pattee1, Rachel Bass2
1Department of Emergency Medicine Maimonides Medical Center Brooklyn New York USA.
AEM education and training
|March 21, 2024
概括
紧急医疗住院课程主任的服务年限正在减少,开始年和课程认证年会显著影响主任任期. 需要进一步的研究来了解和改善节目总监的寿命.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 研究生医学教育研究生医学教育
背景情况:
- 项目主任 (PD) 的作用对于紧急医疗住院计划的成功和质量至关重要.
- 了解PD任期的趋势对于计划的稳定性和领导的连续性很重要.
研究的目的:
- 在过去的40年中,分析紧急医疗住院计划主任的服务长度趋势.
- 确定影响PD服务持续时间的因素,包括PD开始年,地理区域和程序认证年.
主要方法:
- 来自美国医学协会 (AMA) 研究生医学教育目录和紧急医疗住院协会 (EMRA) 匹配数据库的项目数据的回顾性分析.
- 描述性统计数据的计算和使用线性回归来评估PD服务时间的预测因素.
主要成果:
- 从783个独特的PD (1983-2023) 的数据显示,平均±SD服务时间为6.19±4.72年.
- 近几十年来,PD服务持续时间大幅下降,从20世纪80年代的6.49年降至20世纪20年代的2年.
- 无论是PD开始年 (p=0.002) 和计划初始认证年 (p=0.001) 都是服务持续时间的重要预测因素,而地区则不是 (p=0.225).
结论:
- 紧急医疗住院项目主任的服务时间正在下降.
- PD开始年和程序初始认证年是影响PD服务时间的重要因素.
- 需要进一步的研究来了解这一趋势,并制定提高PD寿命的策略.
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