当前位置： SCI文献检索 > ANNALS OF EMERGENCY MEDICINE期刊下所有文献 > Role of emergency medicine residency programs in determining emergency medicine career choice among medical students.

Role of emergency medicine residency programs in determining emergency medicine career choice among medical students.

Abstract：

STUDY OBJECTIVE:To characterize the role of emergency medicine residency programs in determining emergency medicine career choice among medical students. DESIGN:Observational, cross-sectional, descriptive study. Information on student career choice was obtained through a targeted query of the National Resident Matching Program data base, simultaneously stratified by specialty and school, and adjusted for class size. PARTICIPANTS:All accredited emergency medicine residency programs and four-year allopathic medical schools. RESULTS:Fifty-two schools (42%) had a closely affiliated emergency medicine residency program, ie, one based primarily at the institution's main teaching hospital(s). This configuration was associated with a 70% increase in the median proportion of students choosing emergency medicine as a career when compared to the 73 schools with no closely affiliated emergency medicine residency (5.1% vs 3.0%, P < .0001). When institutions were stratified by overall commitment to emergency medicine, the median proportion of students choosing emergency medicine as a career was 2.9% for institutions with a minimal commitment to emergency medicine (neither an academic department of emergency medicine nor a closely affiliated emergency medicine residency), 4.1% for institutions with a moderate commitment to emergency medicine (either a department of emergency medicine or an emergency medicine residency, but not both), and 5.7% for institutions with a substantial commitment to emergency medicine (a department of emergency medicine and an emergency medicine residency) (P < .0001). When institutional commitment to emergency medicine was examined in a simple multivariate model, only the presence of an emergency medicine residency was associated independently with student career choice (P < .001). CONCLUSION:An emergency medicine residency program that is closely affiliated with a medical school is strongly and independently associated with a quantitatively and statistically significant increase in the proportion of students from that school who choose a career in emergency medicine. These data support the proposition that, if emergency medicine is to meet national manpower shortage needs by attracting students to the specialty, it must establish residency programs within the primary teaching hospital(s) of medical schools. Such a configuration does not currently exist in the majority of schools.

journal_name

Ann Emerg Med

journal_title

Annals of emergency medicine

authors

Gallagher EJ,Goldfrank LR,Anderson GV Jr,Barsan WG,Levy RC,Sanders AB,Strange GR,Trott AT

doi

10.1016/s0196-0644(94)70104-0

subject

Has Abstract

pub_date

1994-05-01 00:00:00

pages

1062-7

issue

5

eissn

0196-0644

issn

1097-6760

pii

S0196064494000764

journal_volume

23

pub_type

杂志文章

相关文献

ANNALS OF EMERGENCY MEDICINE文献大全
  • Comparative Effectiveness of Patient-Controlled Analgesia for Treating Acute Pain in the Emergency Department.

    abstract：STUDY OBJECTIVE:We assess the effectiveness of patient-controlled analgesia in the emergency department (ED). We hypothesized that decline in pain intensity from 30 to 120 minutes after initial intravenous opioid administration is greater in patients receiving morphine by patient-controlled analgesia compared with usua...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.annemergmed.2017.03.064

    authors： Bijur PE,Mills AM,Chang AK,White D,Restivo A,Persaud S,Schechter CB,Gallagher EJ,Birnbaum AJ

    更新日期：2017-12-01 00:00:00

  • What are you waiting for? A study of resident physician-parent communication in a pediatric emergency department.

    abstract：STUDY OBJECTIVE:This study measures the degree to which parents of patients, in the course of evaluation and treatment in a pediatric emergency department (ED), could report what they were waiting for. METHODS:Brief in-person interviews were conducted with parents of nonemergency patients during an ED visit. After the...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2007.09.032

    authors： Cramm KJ,Dowd MD

    更新日期：2008-04-01 00:00:00

  • Do reminder signs promote use of safety belts?

    abstract：STUDY OBJECTIVE:To determine whether reminder signs placed at the exits to parking decks increase the rate of safety belt use. METHODS:The subjects in this study were drivers of automobiles with permits to park in campus decks at a major university. Volunteer observers were positioned near the exits of 5 parking decks...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1067/mem.2000.111059

    authors： Clack ZA,Pitts SR,Kellermann AL

    更新日期：2000-12-01 00:00:00

  • Emergency intravenous access through the femoral vein.

    abstract：:A study was undertaken to assess the efficacy and safety of femoral venous catheterization for resuscitation of critically ill patients in the emergency department setting. From May 1982 to April 1983, 100 attempts were made at percutaneous insertion of a large-bore catheter into the femoral veins of patients presenti...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(84)80471-0

    authors： Swanson RS,Uhlig PN,Gross PL,McCabe CJ

    更新日期：1984-04-01 00:00:00

  • Risk factors for apnea in pediatric patients transported by paramedics for out-of-hospital seizure.

    abstract：STUDY OBJECTIVE:Apnea is a known complication of pediatric seizures, but patient factors that predispose children are unclear. We seek to quantify the risk of apnea attributable to midazolam and identify additional risk factors for apnea in children transported by paramedics for out-of-hospital seizure. METHODS:This i...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2013.09.015

    authors： Bosson N,Santillanes G,Kaji AH,Fang A,Fernando T,Huang M,Lee J,Gausche-Hill M

    更新日期：2014-03-01 00:00:00

  • Clinical Policy: Critical Issues Related to Opioids in Adult Patients Presenting to the Emergency Department.

    abstract：:This clinical policy from the American College of Emergency Physicians addresses key issues in opioid management in adult patients presenting to the emergency department. A writing subcommittee conducted a systematic review of the literature to derive evidence-based recommendations to answer the following clinical que...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,实务指引

    doi：10.1016/j.annemergmed.2020.06.049

    authors： American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Opioids.,Hatten BW,Cantrill SV,Dubin JS,Ketcham EM,Runde DP,Wall SP,Wolf SJ

    更新日期：2020-09-01 00:00:00

  • Acoustic otoscopy in the diagnosis of otitis media.

    abstract：:Acoustic otoscopy detects middle ear pathology by measuring the ability of the tympanic membrane to reflect sound. Fluid or thickening of the tympanic membrane increases sound reflection. We conducted a study to compare acoustic otoscopy with pneumatic otoscopy in identifying middle ear pathology in 80 children (160 e...

    journal_title：Annals of emergency medicine

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0196-0644(89)80578-5

    authors： Jehle D,Cottington E

    更新日期：1989-04-01 00:00:00

  • Cool Running Water First Aid Decreases Skin Grafting Requirements in Pediatric Burns: A Cohort Study of Two Thousand Four Hundred Ninety-five Children.

    abstract：STUDY OBJECTIVE:First-aid guidelines recommend the administration of cool running water in the early management of thermal injury. Our objective is to analyze the associations between first aid and skin-grafting requirements in children with burns. METHODS:This cohort study used a prospectively collected registry of p...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2019.06.028

    authors： Griffin BR,Frear CC,Babl F,Oakley E,Kimble RM

    更新日期：2020-01-01 00:00:00

  • Catatonia in the emergency department.

    abstract：:The catatonic syndrome has a wide differential diagnosis that includes both psychiatric and organic disorders. We present the cases of two patients with catatonia seen acutely in the emergency department. In these cases, the striking clinical picture proved to be secondary to psychiatric disturbances, and were accompa...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(85)80105-0

    authors： Valenstein M,Maltbie A,Kaplan P

    更新日期：1985-04-01 00:00:00

  • Influence of ethanol and ambient temperature on skin blood flow.

    abstract：:Patients frequently arrive in the emergency department under the influence of alcohol after exposure to extreme conditions of heat or cold. While ethanol ingestion and ambient heat are recognized to have vasodilatory action, previous studies of their interactive effect are limited and guidelines for patient care are v...

    journal_title：Annals of emergency medicine

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0196-0644(84)80282-6

    authors： Hughes JH,Henry RE,Daly MJ

    更新日期：1984-08-01 00:00:00

  • Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children.

    abstract：STUDY OBJECTIVE:Epinephrine autoinjector use for anaphylaxis is increasing. There are reports of digit injections because of incorrect autoinjector use, but no previous reports of lacerations, to our knowledge. We report complications of epinephrine autoinjector use in children and discuss features of these devices, an...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2015.07.011

    authors： Brown JC,Tuuri RE,Akhter S,Guerra LD,Goodman IS,Myers SR,Nozicka C,Manzi S,Long K,Turner T,Conners GP,Thompson RW,Park E

    更新日期：2016-03-01 00:00:00

  • Concomitant use of activated charcoal and N-acetylcysteine.

    abstract：:Activated charcoal is a safe, effective, inexpensive adjunct in the management of most toxic ingestions. It has the ability to adsorb a wide variety of drugs and chemicals, one of which is acetaminophen. N-acetylcysteine (NAC) is the specific antidote available for serious overdoses of acetaminophen. Current managemen...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(85)80781-2

    authors： Renzi FP,Donovan JW,Martin TG,Morgan L,Harrison EF

    更新日期：1985-06-01 00:00:00

  • Experience with the use of tPA in the treatment of acute myocardial infarction.

    abstract：:Early experience with the use of tissue plasminogen activator (tPA) in acute myocardial infarction is reviewed, including comparisons with other thrombolytic agents, a summary of hemorrhagic complications associated with its use, and the rationale for adjunctive therapeutic strategies. The use of tPA has been associat...

    journal_title：Annals of emergency medicine

    pub_type： 临床试验,杂志文章,评审

    doi：10.1016/s0196-0644(88)80064-7

    authors： Califf RM,Mantell S,Westawski C,Bride W,Honan MB,Bellinger RL,Wall TC

    更新日期：1988-11-01 00:00:00

  • Implementation of a computerized management information system in an urban fire department.

    abstract：:An important aspect in the effective management of an emergency medical services system is the ability to monitor system performance. To provide this information on a timely basis, a comprehensive data collection system is required. We describe the design, implementation, use, and effect of a comprehensive, computeriz...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(89)80847-9

    authors： Valenzuela TD,Keeley KT,Criss EA,Spaite DW,Meislin HW

    更新日期：1989-05-01 00:00:00

  • Antibiotic use for emergency department patients with upper respiratory infections: prescribing practices, patient expectations, and patient satisfaction.

    abstract：STUDY OBJECTIVE:Physicians often prescribe antibiotics to patients even when there is no clear indication for their use. Previous studies examining antibiotic use in acute bronchitis and upper respiratory infections have been conducted in primary care settings. We evaluate the factors that physicians in the emergency d...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.annemergmed.2007.03.026

    authors： Ong S,Nakase J,Moran GJ,Karras DJ,Kuehnert MJ,Talan DA,EMERGEncy ID NET Study Group.

    更新日期：2007-09-01 00:00:00

  • National survey of emergency department alcohol screening and intervention practices.

    abstract：STUDY OBJECTIVE:We describe current alcohol screening and brief intervention practices in emergency departments (EDs) at Level I and Level II trauma centers and characterize ED directors' attitudes and perceived barriers associated with these practices among injured patients in the ED. METHODS:ED directors at Level I ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2010.03.004

    authors： Cunningham RM,Harrison SR,McKay MP,Mello MJ,Sochor M,Shandro JR,Walton MA,D'Onofrio G

    更新日期：2010-06-01 00:00:00

  • Cricoarytenoid arthritis presenting as cardiopulmonary arrest.

    abstract：:We describe a patient with a long history of rheumatoid arthritis who presented in full cardiopulmonary arrest. He was given intracardiac epinephrine. Fibroptic laryngoscopy determined the cause of the arrest to be upper airway obstruction from cricoarytenoid joint ankylosis, a complication of long-standing rheumatoid...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(85)80893-3

    authors： Kandora TF,Gilmore IM,Sorber JA,Rose FB,Matta II

    更新日期：1985-07-01 00:00:00

  • Effect of standing orders on field times.

    abstract：:Because of discontinuation of base hospital participation, paramedics in a large urban zone of a California emergency medical services (EMS) system serving 1.1 million persons went on emergency standing orders for nearly all calls requiring advanced life support. Subsequently, the base hospital resumed medical control...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(89)80944-8

    authors： Pointer JE,Osur MA

    更新日期：1989-10-01 00:00:00

  • Observational studies of patients in the emergency department: a comparison of 4 sampling methods.

    abstract：STUDY OBJECTIVE:We evaluate the ability of 4 sampling methods to generate representative samples of the emergency department (ED) population. METHODS:We analyzed the electronic records of 21,662 consecutive patient visits at an urban, academic ED. From this population, we simulated different models of study recruitmen...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2012.01.016

    authors： Valley MA,Heard KJ,Ginde AA,Lezotte DC,Lowenstein SR

    更新日期：2012-08-01 00:00:00

  • Adolescents and young adults presenting to the emergency department intoxicated from a caffeinated alcoholic beverage: a case series.

    abstract：:We describe a case series of emergency department (ED) visits for intoxication related to the use of the caffeinated alcoholic beverage Four Loko. Medical records from the 4-month period July to November 2010 were hand searched for key words such as "intoxicated," "caffeinated," "Four Loko," "alcohol," and "EtOH." Pat...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2011.06.015

    authors： Cleary K,Levine DA,Hoffman RS

    更新日期：2012-01-01 00:00:00

  • Hemodynamic effects of military anti-shock trousers (MAST) in experimental cardiac tamponade.

    abstract：:The ability of military anti-shock trousers (MAST) to increase central venous pressure and improve cardiac filling pressure suggests that they might be useful in the prehospital treatment of pericardial tamponade. This study utilizes a canine model to examine the hemodynamic effects of MAST inflation on experimentally...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(81)80158-8

    authors： Davis JW,McKone TK,Cram AE

    更新日期：1981-04-01 00:00:00

  • Retroperitoneal hemorrhage presenting as a ruptured ectopic pregnancy.

    abstract：:A young woman presented with acute abdominal pain, anemia, and a positive pregnancy test. At surgery a large retroperitoneal hematoma secondary to a ruptured right kidney was found. Pathological examination revealed a hematogenic necrosis of a choriocarcinoma of the kidney. The patient tolerated subsequent chemotherap...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(87)80432-8

    authors： Plaus WJ

    更新日期：1987-12-01 00:00:00

  • Risk of thromboembolism varies, depending on category of immobility in outpatients.

    abstract：STUDY OBJECTIVE:Immobility predisposes to venous thromboembolism, but this risk may vary, depending on the underlying cause of immobility. METHODS:This was a prospective, longitudinal outcome study of self-presenting emergency department (ED) patients who were from 12 hospitals and had suspected venous thromboembolism...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.annemergmed.2008.10.033

    authors： Beam DM,Courtney DM,Kabrhel C,Moore CL,Richman PB,Kline JA

    更新日期：2009-08-01 00:00:00

  • Hyperkalemic ascending paralysis.

    abstract：:Hyperkalemia is a life-threatening electrolyte disturbance. The clinical presentation is most commonly related to its effects on cardiac conductivity and contractility, although weakness and respiratory compromise may occur. We describe what we believe to be the first reported case of life-threatening hyperkalemia pre...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(98)70107-6

    authors： McCarty M,Jagoda A,Fairweather P

    更新日期：1998-07-01 00:00:00

  • Primary varicella in adults: pneumonia, pregnancy, and hospital admission.

    abstract：STUDY OBJECTIVE:To define the rate of complications of adult varicella, including pneumonia, and to determine the association of such complications with pregnancy. METHODS:Retrospective, descriptive case series of consecutive adult emergency department patients with primary varicella seen over a 31-month period in an ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(96)70057-4

    authors： Baren JM,Henneman PL,Lewis RJ

    更新日期：1996-08-01 00:00:00

  • Pediatric head injury: the critical role of the emergency physician.

    abstract：:Neurologic injury is a significant source of morbidity and mortality in pediatric patients. In order to clarify the factors influencing outcome in pediatric patients with severe head injury, we studied 200 consecutive patients with Glasgow Coma Scale (GCS) scores of 8 or less. The following data were collected: age, G...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(85)81025-8

    authors： Mayer TA,Walker ML

    更新日期：1985-12-01 00:00:00

  • Effect of a treatment protocol on the efficiency of care of the adult acute asthmatic.

    abstract：:A treatment protocol for patients with acute bronchospasm was introduced to an adult emergency department in an attempt to decrease treatment time and potentially decrease need for admission. The charts of all patients seen in a control year (before any protocol was in place) and the first three years of the protocol ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(86)80429-2

    authors： Schneider SM

    更新日期：1986-06-01 00:00:00

  • Interposed abdominal compression-CPR: a case study in cardiac arrest research.

    abstract：:When the abdomen is compressed manually in counterpoint to the rhythm of chest compression, in the performance of interposed abdominal compression-CPR, artificial circulation is approximately doubled in animal experiments and in electronic models of the circulatory system. These studies suggest that external manual co...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)80245-8

    authors： Babbs CF

    更新日期：1993-01-01 00:00:00

  • Improved glottic exposure with the Video Macintosh Laryngoscope in adult emergency department tracheal intubations.

    abstract：STUDY OBJECTIVE:Glottic visualization with video is superior to direct laryngoscopy in controlled operating room studies. However, glottic exposure with video laryngoscopy has not been evaluated in the emergency department (ED) setting, where blood, secretions, poor patient positioning, and physiologic derangement can ...

    journal_title：Annals of emergency medicine

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.annemergmed.2010.01.033

    authors： Brown CA 3rd,Bair AE,Pallin DJ,Laurin EG,Walls RM,National Emergency Airway Registry (NEAR) Investigators.

    更新日期：2010-08-01 00:00:00

  • Appropriate suction device in rescue medicine.

    abstract：:In rescue medicine, a suction apparatus must function in a variety of environmental conditions. To find an appropriate device for the Swedish Air Force air rescue service the Laerdal suction device 790,000 was selected for further testing according to international standards for aviation safety. Tests showed that vibr...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(87)80419-5

    authors： Dahlgren BE,Nilsson H,Bjorn P,Skedevik C

    更新日期：1987-12-01 00:00:00