扩张困境:对13年来紧急医疗住院职位增加的批判性看法
Nicole Schnabel1, Donna Okoli1, Julie Calabrese2
1Department of Emergency Medicine University of Michigan Ann Arbor Michigan USA.
AEM education and training
|June 13, 2025
概括
紧急医疗 (EM) 住院职位的数量从2010年到2023年增长了1458个. 这种扩张是由各种程序类型推动的,而不是单一的贡献者,突出显示了EM培训的多样化增长.
科学领域:
- 医疗教育 医学教育
- 研究生医学教育研究生医学教育
- 紧急医疗培训培训 紧急医疗培训
背景情况:
- 在过去的十年中,紧急医疗 (EM) 住院职位的数量显著增加.
- 了解不同类型的程序对这种增长的具体贡献是有限的.
研究的目的:
- 确定各种紧急医疗住院项目类型对职位扩张的相对贡献.
主要方法:
- 使用公开可用的数据编制了认证医学研究生教育认证委员会 (ACGME) 认证的EM住院计划的数据集.
- 分析的计划特征包括长度,培训环境,所有权,新 vs 已建立的状态,先前的美国骨科医生协会 (AOA) 认证和主住所匹配职位.
主要成果:
- 在2010年至2023年期间,紧急医疗住院职位增加了1458个.
- 最大的增长来源于3年制计划 (82%),基于社区的大学附属计划 (48%),卫生系统拥有的计划 (49%) 和新获得ACGME认证的计划 (76%).
- 基于大学 (28%),基于社区 (24%),企业/国家伙伴关系 (33%),区域伙伴关系 (15%),最初获得ACGME认证 (24%),此前获得AOA认证 (23%) 的项目也为此做出了重大贡献.
结论:
- 紧急医疗住院职位的快速增长不能归因于单一的因素.
- 增长分布在各种程序格式和赞助模式中,表明EM培训途径的多方面的扩展.
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