Articles: emergency-medicine.
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Changing health care markets have threatened academic health centers and their traditional focus on teaching and research. ⋯ Academic EM departments are often affiliated with nonacademic ED sites. These additional sites are commonly staffed by academic EM faculty and EM residents. Academic productivity does not appear to decrease when additional ED sites are added. Reimbursement monies from these ED sites commonly supports academic activities.
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Comparative Study
Ambulance services: could the UK learn from the French?
Ambulance services, as part of Accident and Emergency provision, are once again under scrutiny. This article reflects on a recent visit to a SAMU (Service d'Aide Medicale Urgente) unit in France, and considers those issues that could be explored in terms of effective UK provision. Recommendations will be proposed for future provision.
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To determine whether a course in emergency medical services (EMS) impacts on the perceived ability of medical students to render care in emergencies such as choking and cardiac arrest, and affects their choice of emergency medicine as a career. ⋯ A course in EMS has significant impact on the perceived ability and career choice of medical students. Further study of an EMS curriculum design is needed to determine what information is critical to medical students' education and valuable in their career choice decisions.
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The ACGME and RRCs help to establish and maintain a fertile environment for scholarly activity in residency programs. A role in education of academicians is a byproduct of the requirements describing characteristics of educational institutions and residency programs. The decision of an individual graduate of a program to enter an academic or other career is the outcome of a multifactorial process involving individual preferences, environment, mentoring, experiences, and opportunity. The RRC-EM is happy to play a part in this complex process.
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Emergency physicians (EPs) have long been de-facto providers of trauma resuscitation and critical care in academic and community hospital settings, and are significantly involved in out-of-hospital trauma care and trauma research. A one-year fellowship has been developed and implemented to provide advanced training in trauma resuscitation and critical care to EPs with a special interest in the field. This fellowship provides additional depth and breadth of training to prepare graduates for leadership roles in academic and specialized trauma centers. This is the first fellowship of its kind for EPs, and may serve as a model for fellowships at other institutions.