急诊医学住院医生项目主任的寿命:40 年分析

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES AEM Education and Training Pub Date : 2024-02-23 DOI:10.1002/aet2.10951
Arlene S. Chung MD, MACM, Katherine L. Pattee MD, Rachel Bass MD, MPH, Adam N. Frisch MD, MS, Jaime Jordan MD, MAEd
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引用次数: 0

摘要

目的 我们试图评估过去 40 年中急诊医学住院医师项目主任(PD)服务年限的变化趋势,并评估服务年限与 PD 开始年份、地理区域和项目初始认证年份等重要因素之间的关系。 方法 我们回顾性地分析了美国医学会毕业后医学教育目录和急诊医学住院医师协会匹配数据库中的项目数据。我们计算了描述性统计数字,并使用线性回归评估了住院医师培训开始年份、地区和项目初始认证年份对住院医师培训服务时间的影响。 结果 我们收集了 1983 年至 2023 年间 783 个独特 PD 的数据。初级专业人员的总体平均服务年限为 6.19 ± 4.72 年(± 标准差)(1-29 年不等)。按开始日期的十年划分,80 年代的平均服务年限为 6.49 年,90 年代为 7.39 年,2000 年代为 5.92 年,2010 年代为 4.08 年,2020 年代为 2 年。项目开始年份(p = 0.002)和项目初始认证年份(p = 0.001)都能显著预测项目服务的持续时间。地区并不能明显预测 PD 的服务期限 (p = 0.225)。 结论 近几十年来,初级专业人员的服务期限正在缩短。初级专业人员的起始年份和初始项目认证年份都能显著预测初级专业人员的服务期限。未来的研究必须更好地理解这一现象,并找出促进初级专业人员寿命的策略。
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Program director longevity in emergency medicine residencies: A 40-year analysis

Objective

We sought to assess trends in emergency medicine residency program director (PD) length of service over the past 40 years and evaluate relationships between duration of service and important factors such as PD start year, geographic region, and year of program initial accreditation.

Methods

We retrospectively analyzed program data from the American Medical Association Graduate Medical Education Directory and Emergency Medicine Residents’ Association Match database. We calculated descriptive statistics and used linear regression to assess the impact of PD start year, region, and year of program initial accreditation on PD duration of service.

Results

We gathered data on 783 unique PDs between 1983 and 2023. The overall mean ± SD PD duration of service was 6.19 ± 4.72 years (range 1–29 years). The mean duration of service by decade of start date was 6.49 years in the 1980s, 7.39 years in the 1990s, 5.92 years in the 2000s, 4.08 years in the 2010s, and 2 years in the 2020s. Both PD start year (p = 0.002) and program initial accreditation year (p = 0.001) significantly predicted duration of PD service. Region did not significantly predict duration of PD service (p = 0.225).

Conclusions

Duration of service as a PD is decreasing in recent decades. Both PD start year and year of initial program accreditation significantly predict duration of service as PD. Future research must be done to better understand this phenomenon and uncover strategies to promote PD longevity.

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来源期刊
AEM Education and Training
AEM Education and Training Nursing-Emergency Nursing
CiteScore
2.60
自引率
22.20%
发文量
89
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