A Community Emergency Department Rotation for Pediatric Emergency Medicine Fellows: Development and Evaluation.
Journal
Pediatric emergency care
ISSN: 1535-1815
Titre abrégé: Pediatr Emerg Care
Pays: United States
ID NLM: 8507560
Informations de publication
Date de publication:
01 Dec 2021
01 Dec 2021
Historique:
pubmed:
18
9
2020
medline:
18
12
2021
entrez:
17
9
2020
Statut:
ppublish
Résumé
There have been increasing job opportunities for pediatric emergency medicine (PEM) specialists within community emergency departments (CEDs), where 90% of children receive emergency care. The majority of training for PEM fellows occurs in academic children's hospitals, which may expose fellows to different resources than CEDs. Our goals were to develop and to evaluate a CED rotation aimed at improving exposure to this care environment for PEM fellows. Kern's 6 steps of curriculum development served as our framework to identify the problem, conduct a needs assessment, develop goals and objectives, formulate an educational strategy, and then plan the implementation and evaluation. Discussion and buy-in among trainees and hospital leadership took place during rotation development. Informal and web-based surveys of PEM fellows and CED attendings evaluated the rotation and assessed participants' reactions, changes in knowledge, and changes in behavior. The CED rotation was piloted at 1 PEM fellowship program over 2 years. Nine PEM fellows participated in the month-long rotation. The majority of participants reported that the rotation goals and objectives were met and that they acquired new skills and rated the CED rotation as good or excellent. Challenges to the CED rotation included lower patient acuity and distance to the CED. A new CED rotation was developed, piloted, and well received by participants. Given the potential differences in practice between tertiary care children's emergency departments and CEDs, as well as increasing job opportunities in CEDs, program directors should consider incorporating a CED rotation for their PEM fellows.
Identifiants
pubmed: 32941360
pii: 00006565-202112000-00150
doi: 10.1097/PEC.0000000000002103
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1521-e1523Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure: The authors declare no conflict of interest.
Références
Mittiga MR, Nagler J, Eldridge CD, et al. Essentials of pediatric emergency medicine fellowship: part 3: clinical education and experience. Pediatr Emerg Care . 2016;32:479–485.
Bourgeois FT, Shannon MW. Emergency care for children in pediatric and general emergency departments. Pediatr Emerg Care . 2007;23:94–102.
Chime NO, Katznelson J, Gangadharan S, et al. Comparing practice patterns between pediatric and general emergency medicine physicians: a scoping review. Pediatr Emerg Care . 2017;33:278–286.
Merritt C, Dietrich AM, Bogie AL, et al. 2018 Academic Emergency Medicine Consensus Conference: a workforce development research agenda for pediatric care in the emergency department. Acad Emerg Med . 2019;26:1063–1073.
Vu TT, Hampers LC, Joseph MM, et al. Job market survey of recent pediatric emergency medicine fellowship graduates. Pediatr Emerg Care . 2007;23:304–307.
Marchese RF, Gala PK, Seiden JA, et al. Clinical experience in a community setting during pediatric emergency medicine fellowship training. Pediatr Emerg Care . 2017.
Kern D, Thomas P, Hughes M. Curriculum Development for Medical Education: A Six-Step Approach . 2nd ed. Baltimore, MD: Johns Hopkins University Press; 2009.
Zackoff MW, Real FJ, Abramson EL, et al. Enhancing educational scholarship through conceptual frameworks: a challenge and roadmap for medical educators. Acad Pediatr . 2019;19:135–141.
Kirkpatrick D, Kirkpatrick J. Evaluating Training Programs: The Four Levels . 3rd ed. San Francisco, CA: Berrett-Koehler Publishers; 2006.