满足我们的需求:农村培训 紧急医疗住院的培训经验
Melody Campbell1, Doug Franzen2, Jason Heiner2
1School of Medicine University of Washington Seattle Washington USA.
AEM education and training
|June 27, 2025
概括
农村紧急医疗在住院的轮换增加了医生在农村地区执业的可能性. 强制轮换在加强农村医生劳动力方面比选修更有效.
科学领域:
- 紧急医疗 紧急医疗
- 医学教育 医学教育
- 农村医疗卫生工作人员
背景情况:
- 经过董事会认证的急诊医学 (BCEM) 医生在农村急诊部 (ED) 代表人数不足.
- 进入农村ED的BCEM医生人数正在下降,这一趋势预计将恶化.
- 需要确定居民级干预措施来解决这一短缺问题.
研究的目的:
- 调查美国紧急医疗 (EM) 住院农村轮流的现状.
- 确定提供农村轮换的障碍.
- 为潜在的住院级干预提供信息,以增加农村ED的BCEM医生.
主要方法:
- 调查分发给美国所有290家ACGME认可的EM住院的项目主管.
- 收集的数据包括农村轮流的可用性和建立以及最近的毕业生工作选择.
- 使用IBM SPSS统计进行了描述性统计和分析.
主要成果:
- 收到的答案来自174个 (60%) 的EM住院,覆盖了两年的3411名毕业生.
- 48%的计划没有提供农村轮流; 52%提供了 (47%的要求,52%的可选).
- 农村轮流课程的毕业生更有可能进入农村EDs (15%vs. 8%),特别是如果需要轮流 (21%vs. 11%).
结论:
- 在居住期间的农村ED轮换经验与毕业生进入农村劳动力的可能性更高有关.
- 强制性农村轮换与农村实践相比,与可选轮换相比,与农村实践更为密切相关.
- 在EM住院计划中实施或要求农村轮换可能会提高农村环境中BCEM医生的供应.
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