Emergency Medicine resident anesthesia training in a private vs. academic setting.
J Emerg Med
; 44(3): 676-81, 2013 Mar.
Article
in En
| MEDLINE
| ID: mdl-23116930
ABSTRACT
BACKGROUND:
Airway management is an essential part of any Emergency Medicine (EM) training program. Academic centers typically provide training to many learners at various training levels in a number of medical specialties during anesthesiology rotations. This potentially creates competition for intubation procedures that may negatively impact individual experiences.OBJECTIVES:
We hypothesized that residents would report higher numbers of intubations and improved educational value in a private practice, rather than an academic, anesthesiology rotation.METHODS:
EM residents' anesthesiology training was evaluated pre and post a change in training setting from an academic institution to a private practice institution. Outcome measures included the number of self-reported intubations, resident ratings of the rotation, and the number of positive comments. Residents' evaluation was measured with a 14-item evaluation; subjective comments, which two blinded reviewers rated as positive, negative, or neutral; and transcripts from structured interviews to identify themes related to training settings.RESULTS:
The number of intubations increased significantly in the private practice setting (4.6 intubations/day vs. 1.5 intubations/day, p < 0.001). Resident evaluations improved significantly with the private practice experience (mean scores of 3.83 vs. 2.23, p-values <0.05). Residents' impressions were also significantly higher for the private practice setting with respect to increased educational value, greater use of adjunct airway devices, and directed teaching.CONCLUSIONS:
Number of intubations performed and residents' rating of the educational value were more favorable for a private practice anesthesiology rotation. Alternative settings may provide benefit for training in areas that have competition among trainees.
Full text:
1
Database:
MEDLINE
Main subject:
Private Practice
/
Clinical Competence
/
Emergency Medicine
/
Hospitals, University
/
Internship and Residency
/
Anesthesiology
Type of study:
Prognostic_studies
/
Qualitative_research
Limits:
Humans
Language:
En
Year:
2013
Type:
Article