Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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To assess the reliability of faculty evaluations of non-emergency medicine (non-EM) residents during clinical ED rotations and to determine the effect that the "leniency" of grading by these evaluators had on the residents' final evaluations. ⋯ There is significant variability in the scoring patterns of individual evaluators. The evaluators in this study showed large variations in both leniency (as measured by their mean score) and range restriction (as measured by their SD). The differences in evaluator scoring leniency have a moderate correlation with the overall score received by the resident.
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Review
Burnout and its correlates in emergency physicians: four years' experience with a wellness booth.
To measure the degree of burnout among emergency physicians (EPs) and to identify and rank predictive factors. ⋯ Elevated levels of burnout exist among a substantial percentage of surveyed EPs. However, there is evidence for a "survivor" category of practitioners for whom burnout either does not develop or is a reversible process. The projected attrition rate over 5 and 10 years appears to be no greater than that of the average medical specialty.
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Randomized Controlled Trial Clinical Trial
Intravenous morphine for early pain relief in patients with acute abdominal pain.
To determine whether morphine affects evaluation or outcome for patients with acute abdominal pain. ⋯ When compared with saline placebo, the administration of MS to patients with acute abdominal pain effectively relieved pain and did not alter the ability of physicians to accurately evaluate and treat patients.
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Comparative Study
A model for an integrated emergency medicine/trauma service.
To describe a model for an integrated multidisciplinary trauma service and to compare survival outcomes for patients resuscitated by either emergency medicine (EM) or surgical housestaff assigned to the trauma service. ⋯ These results suggest that in this model of integrated EM/trauma service, equivalent survival outcomes occur whether EM or surgery housestaff act as team leaders.