Articles: emergency-medicine.
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The purpose of this study was to analyze the demographics, practice characteristics, and job satisfaction of physicians who completed emergency medicine residencies. A questionnaire was mailed to 858 physicians who graduated from residencies between 1978 and 1982. A 62.8% response rate (n = 539) was achieved. ⋯ The results of survey indicate that emergency medicine physicians are engaged primarily in clinical practice, but that administrative duties increase rapidly in the years following residency graduation. Emergency medicine physicians are still highly concentrated in states in which emergency medicine residencies are located. The percentage of graduates choosing academic careers is smaller than reported in studies of earlier graduates.
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The objective of this study was to evaluate the impact of a simple educational intervention on the prescribing habits of internal medicine residents in the treatment of acute asthma in a busy emergency department (ED). Prescribing habits for 16 residents were documented for 4 months. The first 2 months served as a control period during which eight residents managed asthma patients without the benefit of any specific educational intervention beyond standard department protocols. ⋯ The 10-minute verbal presentation given in conjunction with a three-page handout was found to be highly effective for eliciting improvement in treatment practices during short clinical rotations. The duration of this effect beyond each rotation is unknown. This educational intervention should be presented by the ED medical director, clinical pharmacist, or other appropriate clinician in virtually any ED as quality of patient care can be dramatically improved.
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To compare the diagnostic processes of experienced emergency physicians with those of novices. ⋯ Expertise in medical decision making is characterized by a moderate initial level of certainty concerning a diagnosis that significantly increases as the experienced clinician follows a flexible strategy of testing to arrive at a final diagnosis.
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Investigative radiology · Sep 1991
In-house testing in emergency radiology. A method for teaching and credentialling radiology residents.
Residents frequently learn emergency radiology simply by on-the-job experience. As an educational tool and as a credentialling vehicle, the authors developed an examination consisting of imaging unknowns as well as written questions. ⋯ They now regard the follow-up conferences as the best-organized instruction in emergency radiology in the training program. The authors' experiences suggest that in-house examinations can serve as an important means for teaching and credentialling in emergency radiology.