2010, Number 2
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Gac Med Mex 2010; 146 (2)
Procedimientos realizados por residentes de la especialidad de urgencias en una sede de México
Loría-Castellanos J, Márquez-Ávila G, Valladares-Aranda MÁ
Language: Spanish
References: 21
Page: 103-107
PDF size: 86.59 Kb.
ABSTRACT
Objective: To determine the amount and type of procedures performed by three groups of emergency medicine residents in an emergency service in a Mexico City campus.
Methods: We carried out an observational study using a sampling type census with the authorization of the local internal review board (IRB). We followed 33 emergency medicine residents working in Mexico City during the 2007-2008 academic year. We registered the procedures performed and skills displayed by participants in a daily, weekly and monthly format. We included age, gender, academic degree and rotation service. Using descriptive statistics we calculated frequencies, means and standard deviations.
Results: All 33 residents (100%) participated in the study; 33.36% were first year, 33.36% second and 27.27% third year resident. Mean age was of 26.2 ± 3.5 year and 81.81% were male. Eighteen services where residents carried out their duties were assessed. We recorded a total of 12,075 different procedures and grouped skills under 20 subtypes. 33.30% were performed by first-year, 38.29% by second-year, and 28.42% by third-year. The most common procedures included advanced handling of the aerial route (2,376), central venous accesses (2,307), and resuscitation maneuvers (1,624).
Conclusions: The number of procedures carried out at this medical facility is high with a heavier work load than the one reported in the international literature. We should monitor and compare data among different sites in order to have a clearer picture of the status of emergency medicine specialists in Mexico.
REFERENCES
DeBehnke D, O’Brien S, Leschke R. Emergency medicine resident work productivity in an academic emergency department. Acad Emerg Med 2000;7:90-92.
Dire DJ, Kietzman LI. A prospective survey of procedures performed by emergency medicine residents during a 36-month residency. J Emerg Med 1995;13:831-837.
Hayden SR, Panacek EA. Procedural competency in emergency medicine: the current range of resident experience. Acad Emerg Med 1999;6:728-735.
Jasani NB, O’Connor RE. An analysis of emergency medicine resident productivity by patient load, relative value units, and level of training. Acad Emerg Med 1999;6:409.
Langdorf MI, Montague BJ, Bearie B, Sobel CS. Quantification of procedures and resuscitations in an emergency medicine residency. J Emerg Med 1998;16:121-127.
Langdorf MI, Strange G. Computerized tracking of emergency medicine resident clinical experience. Ann Emerg Med 1990;19:63-72.
Residency Review Committee for Emergency Medicine. Program Information Forms. Chicago, Ill: American Board of Emergency Medicine; 1995.
Tintinalli JE, Vissers RJ, Larson JL, Rabinovich S, Cline C. Quantifying the emergency department clinical experience of emergency residents. Acad Emerg Med 1998:443. [Abstract].
Instituto Mexicano del Seguro Social. Programa de Especializaciones Médicas. México: IMSS; 1999.
Instituto Politécnico Nacional. Programa de Estudios de Posgrado. Escuela Superior de Medicina. México: IPN; 2000.
American Osteopathic Association. Requirements for Certification: bureau of osteopathic specialists and boards of certification. Chicago, Ill: American Osteopathic Association; 1996.
American Osteopathic Association and the American College of Osteopathic Emergency Physicians. Basic Standards for Approval of Residency Training Programs in Emergency Medicine. Chicago, Ill: American Osteopathic Association; 1999.
Residency Review Committee for Emergency Medicine. Program Information Forms. Chicago, Ill: American Board of Emergency Medicine; 1995.
Ray VG, Garrison HG. Clinical procedures performed by emergency medicine resident physicians: A computer-based model for documentation. J Emerg Med 1991;9:157-159.
Gallagher CB, Kline JA, Marx JA, Baylor MR. Emergency procedures important to the training of emergency medicine residents: who performs them in the emergency department. Emerg Med 2001;8(7):731.8.
Farion K, Morrison LJ. Redefining emergency medicine procedures: Canadian competente and frecuency survey. Acad Emerg Med 2001;8(7):731-738.
Deveau JP, Lorenz JE, Hughes MJ. Emergency medicine resident work productivity and procedural accomplishment. Medical education. JAOA 2003;103(6)291-296.
Loría-Castellanos J, Rocha-Luna JM, Márquez-Ávila G. Reanimation unit experience of a second-level hospital in Mexico City. Prehosp Disast Med 2006;21(4):242–248.
Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado. Programa operativo de la especialidad de urgencias. México: ISSSTE; 2006.
Secretaría de Salud del Gobierno del Distrito Federal. Hospital General Balbuena. Programa operativo de la especialidad de urgencias. México: SS; 2006.
Instituto Mexicano del Seguro Social. Programa operativo de la especialidad de urgencias. México: IMSS; 2006.