The Case for Observation Medicine Education and Training in Emergency Medicine.


Journal

AEM education and training
ISSN: 2472-5390
Titre abrégé: AEM Educ Train
Pays: United States
ID NLM: 101722142

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 02 09 2019
revised: 08 11 2019
accepted: 13 11 2019
entrez: 20 2 2020
pubmed: 20 2 2020
medline: 20 2 2020
Statut: epublish

Résumé

Many hospitals have or will be opening an observation unit (OU), the majority managed by the emergency department (ED). Graduating emergency medicine (EM) residents will be expected to have the knowledge and skills necessary to appropriately identify and manage patients in this setting. Our objective is to examine the current state of observation medicine (OM) education and prevalence in EM training. In a follow-up to the 2019 Society for Academic Emergency Medicine (SAEM) OM Interest Group meeting, we convened an expert panel of OM physicians who are members of both the SAEM OM Interest Group and the American College of Emergency Physicians Section of OM. The panel of six emergency physicians representing geographic diversity was formed. A structured literature review was performed yielding 16 educational publications and sources pertaining to OM education and training across all specialties. Only a small number of EM residencies have a required or elective OM rotation in an OU. An OM rotation in a protocol-driven ED OU gives residents experience managing patients in this setting and improves skills integral to EM and part of the EM milestones and Accreditation Council for Graduate Medical Education (ACGME) core competencies: reassessment, disposition decision making, risk stratification, team management, and practicing cost-appropriate care. Even without a formal rotation, multiple OM educational resources can be incorporated into EM resident education and didactics. Education research opportunity exists. This panel believes that OM is an important component of EM that should be incorporated into EM residency as the knowledge and skills learned such as risk stratification, disposition decision making, and team management augment those needed for the practice of EM. There is a distinct opportunity for EM educators to better equip their trainees for a career in EM by including OM education and experience in EM residency training.

Sections du résumé

BACKGROUND BACKGROUND
Many hospitals have or will be opening an observation unit (OU), the majority managed by the emergency department (ED). Graduating emergency medicine (EM) residents will be expected to have the knowledge and skills necessary to appropriately identify and manage patients in this setting. Our objective is to examine the current state of observation medicine (OM) education and prevalence in EM training.
METHODS METHODS
In a follow-up to the 2019 Society for Academic Emergency Medicine (SAEM) OM Interest Group meeting, we convened an expert panel of OM physicians who are members of both the SAEM OM Interest Group and the American College of Emergency Physicians Section of OM. The panel of six emergency physicians representing geographic diversity was formed. A structured literature review was performed yielding 16 educational publications and sources pertaining to OM education and training across all specialties.
REPORT ON THE EXISTING LITERATURE UNASSIGNED
Only a small number of EM residencies have a required or elective OM rotation in an OU. An OM rotation in a protocol-driven ED OU gives residents experience managing patients in this setting and improves skills integral to EM and part of the EM milestones and Accreditation Council for Graduate Medical Education (ACGME) core competencies: reassessment, disposition decision making, risk stratification, team management, and practicing cost-appropriate care. Even without a formal rotation, multiple OM educational resources can be incorporated into EM resident education and didactics. Education research opportunity exists.
CONCLUSIONS CONCLUSIONS
This panel believes that OM is an important component of EM that should be incorporated into EM residency as the knowledge and skills learned such as risk stratification, disposition decision making, and team management augment those needed for the practice of EM. There is a distinct opportunity for EM educators to better equip their trainees for a career in EM by including OM education and experience in EM residency training.

Identifiants

pubmed: 32072107
doi: 10.1002/aet2.10413
pii: AET210413
pmc: PMC7011447
doi:

Types de publication

Journal Article

Langues

eng

Pagination

S47-S56

Informations de copyright

© 2019 by the Society for Academic Emergency Medicine.

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Auteurs

Margarita E Pena (ME)

Department of Emergency Medicine Ascension St. John Hospital Wayne State University School of Medicine Detroit MI.

Matthew A Wheatley (MA)

Department of Emergency Medicine Grady Memorial Hospital Emory University School of Medicine Atlanta GA.

Pawan Suri (P)

Department of Emergency Medicine Virginia Commonwealth University Medical Center Virginia Commonwealth University School of Medicine Richmond GA.

Sharon E Mace (SE)

Department of Emergency Medicine Cleveland Clinic Cleveland Clinic Lerner College of Medicine at Case Western Reserve University Cleveland OH.

Elizabeth Kwan (E)

Department of Emergency Medicine UCSF Helen Diller Medical Center at Parnassus Heights UCSF School of Medicine San Francisco CA.

Christopher W Baugh (CW)

Department of Emergency Medicine Brigham and Women's Hospital Harvard Medical School Boston MA.

Classifications MeSH