建立紧急医疗住院的最低患者体积要求
Tiffany Murano1, Douglas McGee2, Felicia Davis3
1Columbia University Vagelos College of Physicians & Surgeons New York New York USA.
AEM education and training
|December 25, 2025
概括
研究生医学教育认证委员会 (ACGME) 正在修订紧急医疗 (EM) 住院要求,以专注于每位住院患者的访问,从基于地点的体积指标转移. 分析显示,大多数项目都达到拟议的3000次访问/居民最低,理想目标为5000次.
科学领域:
- 医学教育 医学教育
- 紧急医疗住院培训培训 紧急医疗住院培训
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 目前的ACGME EM计划要求 (PR) 要求主要临床地点的最低年患者数量为30,000人.
- 本卷作为一个代理,以确保在训练期间住院人员的足够临床暴露.
- 修订建议转向每位住院居民的最低患者访问数量,在所有EM轮换地点汇总.
研究的目的:
- 评估修改ACGME EM程序要求的可行性和影响.
- 根据每位居民的患者访问量来评估当前居民的临床暴露.
- 建立一个以证据为基础的门,在EM住院期间最低限度的患者接触.
主要方法:
- 使用ACGME程序信息计算每个EM程序的每位居民的总体患者访问量.
- 每个地点的每周急诊室 (ED) 量乘以在EM轮换中度过的周数.
- 将患者总访问量除以每项计划的批准住院补充量.
主要成果:
- 在282个项目中,24.1%的患者访问/住院次数少于3000次,平均为4507.8次,中位数为4219.5.5次.
- 近25%的四年制课程低于3000次访问/居民门.
- 对3年计划的调整计算显示,0.9%的访问次数低于3000次/居民.
结论:
- 拟议的最低3000名患者访问/居民,在所有地点汇总,与当前的计划产品和现有的PR一致.
- 这一修订后的指标旨在确保住院人员获得足够的患者体验.
- 虽然目前没有跟踪,但拟议的PR支持患者接触的基础,理想目标是每位居民5000人.
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