紧急医疗的流行前和流行后趋势 住院人员 attrition
Andrew R Ketterer1, Anne V Grossestreuer2, Jason J Lewis2
1Department of Emergency Medicine Northwestern University Feinberg School of Medicine Chicago Illinois USA.
AEM education and training
|October 1, 2025
概括
紧急医疗 (EM) 居民 attrition 在2021-22年增加,反映出与滞后的临床医生 attrition. 较低的EM居留申请人数与2021年后较高的居民 attrition相关.
科学领域:
- 医学教育 医学教育
- 医生劳动力研究 医生劳动力研究
- 紧急医疗 紧急医疗
背景情况:
- 住院计划的强度和专业的增长取决于成功完成培训.
- 了解居民消耗对于计划领导,招聘和整体专业健康至关重要.
- COVID-19大流行对紧急医疗 (EM) 住院 attrition的影响仍然是一个调查领域.
研究的目的:
- 为了分析COVID-19大流行后的EM居民消耗率的变化.
- 调查EM住院人员消耗率与主治医师消耗率之间的相关性.
- 为了确定EM居留申请人数和居民退休率之间的关系.
主要方法:
- 使用公开可用的数据 (ACGME,NRMP,Medicare) 的回顾性横截面研究.
- 分析范围为2013-2023年居民数据和2014-2024年应用数据.
- 使用线性回归来比较每年消耗率,为主治医生数据带来两年的滞后.
主要成果:
- 在2014-2021年,新兴市场居民的消耗率下降,然后在2021-22年增加.
- 居民消耗趋势反映了医生消耗趋势,延迟了两年.
- 在2021年之后,高于基线的居住者消耗率与低于基线的EM居住申请率相吻合.
结论:
- 在2021-22学年,EM居民 attrition显著增加.
- 美国中东地区居民的消耗趋势似乎与主治医生的消耗模式有关.
- 减少EM居留申请可能与居民 attrition增加有关,这需要进一步调查.
相关概念视频
01:28Current Trends in Nursing I
5.3K
Current trends in nursing include:
5.3K
01:30Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K
01:29Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
01:30Methods of Documentation VII: EMR
1.4K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.4K
01:26Methods of Documentation II: POMR
1.4K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.4K
01:08Prevalence and Incidence
1.5K
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
1.5K