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leadership in EM

Roberta Meneses Oliveira, Lucilane Maria Sales da Silva, Maria Vilani Cavalcante Guedes, Adriana Catarina de Souza Oliveira, Rosario Gómez Sánchez, Raimundo Augusto Martins Torres
OBJECTIVE: To analyze the concept of disruptive behavior in healthcare work. METHOD: An integrative review carried out in the theoretical phase of a qualitative research substantiated by the theoretical framework of the Hybrid Model of Concept Development. The search for articles was conducted in the CINAHL, LILACS, PsycINFO, PubMed and SciVerse Scopus databases in 2013. RESULTS: 70 scientific articles answered the guiding question and lead to attributes of disruptive behavior, being: incivility, psychological violence and physical/sexual violence; with their main antecedents (intrapersonal, interpersonal and organizational) being: personality characteristics, stress and work overload; and consequences of: workers' moral/mental distress, compromised patient safety, labor loss, and disruption of communication, collaboration and teamwork...
July 2016: Revista da Escola de Enfermagem da U S P
Esther K Choo, Dara Kass, Mary Westergaard, Susan H Watts, Nicole Berwald, Linda Regan, Susan B Promes, Kathleen J Clem, Sandra M Schneider, Gloria J Kuhn, Stephanie Abbuhl, Flavia Nobay
BACKGROUND: Women in medicine continue to experience disparities in earnings, promotion, and leadership roles. There are few guidelines in place defining organization-level factors that promote a supportive workplace environment beneficial to women in emergency medicine (EM). We assembled a working group with the goal of developing specific and feasible recommendations to support women's professional development in both community and academic EM settings. METHODS: We formed a working group from the leadership of two EM women's organizations, the Academy of Women in Academic Emergency Medicine (AWAEM) and the American Association of Women Emergency Physicians (AAWEP)...
November 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Rita N Bakhru, David J McWilliams, Douglas J Wiebe, Vicki J Spuhler, William D Schweickert
RATIONALE: Early mobilization (EM) improves outcomes for mechanically ventilated patients. Variation in structure and organizational characteristics may affect implementation of EM practices. OBJECTIVES: We queried intensive care unit (ICU) environment and standardized ICU practices to evaluate organizational characteristics that enable EM practice. METHODS: We recruited 151 ICUs in France, 150 in Germany, 150 in the United Kingdom, and 500 in the United States by telephone...
September 2016: Annals of the American Thoracic Society
Trent Reed, Matthew Pirotte, Mary McHugh, Laura Oh, Shannon Lovett, Amy E Hoyt, Donna Quinones, William Adams, Gregory Gruener, William C McGaghie
INTRODUCTION: Simulation-based mastery learning (SBML) improves procedural skills among medical trainees. We employed an SBML method that includes an asynchronous knowledge acquisition portion and a hands-on skill acquisition portion with simulation to assess senior medical student performance and retention of the following 6 core clinical skills: (a) ultrasound-guided peripheral intravenous placement, (b) basic skin laceration repair, (c) chest compressions, (d) bag-valve mask ventilation, (e) defibrillator management, and (f) code leadership...
June 2016: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Eddy S Lang, Jennifer D Artz, Ryan D Wilkie, Ian G Stiell, Claude Topping, François P Belanger, Marc Afilalo, Tia Renouf, Anthony Crocco, Kelly Wyatt, Jim Christenson
OBJECTIVES: To describe the current state of academic emergency medicine (EM) funding in Canada and develop recommendations to grow and establish sustainable funding. METHODS: A panel of eight leaders from different EM academic units was assembled. Using mixed methods (including a literature review, sharing of professional experiences, a survey of current EM academic heads, and data previously collected from an environmental scan), 10 recommendations were drafted and presented at an academic symposium...
May 2016: CJEM
Doug Sinclair, James R Worthington, Gary Joubert, Brian R Holroyd, James Stempien, Eric Letovsky, Tim Rutledge, Constance LeBlanc, Carrol Pitters, Andrew McCallum, Brendan Carr, Rocco Gerace, Ian G Stiell, Jennifer D Artz, Jim Christenson
OBJECTIVES: A panel of emergency medicine (EM) leaders endeavoured to define the key elements of leadership and its models, as well as to formulate consensus recommendations to build and strengthen academic leadership in the Canadian EM community in the areas of mentorship, education, and resources. METHODS: The expert panel comprised EM leaders from across Canada and met regularly by teleconference over the course of 9 months. From the breadth of backgrounds and experience, as well as a literature review and the development of a leadership video series, broad themes for recommendations around the building and strengthening of EM leadership were presented at the CAEP 2015 Academic Symposium held in Edmonton, Alberta...
May 2016: CJEM
Katja Goldflam, Jessica Bod, David Della-Giustina, Alina Tsyrulnik
INTRODUCTION: In 2012 the Accreditation Council for Graduate Medical Education (ACGME) introduced the Next Accreditation System (NAS), which implemented milestones to assess the competency of residents and fellows. While attending evaluation and feedback is crucial for resident development, perhaps equally important is a resident's self-assessment. If a resident does not accurately self-assess, clinical and professional progress may be compromised. The objective of our study was to compare emergency medicine (EM) resident milestone evaluation by EM faculty with the same resident's self-assessment...
November 2015: Western Journal of Emergency Medicine
Rahul Bhat, Katrin Takenaka, Brian Levine, Nikhil Goyal, Manish Garg, Annette Visconti, Leslie Oyama, Edward Castillo, Joshua Broder, Rodney Omron, Stephen Hayden
BACKGROUND: Emergency Medicine (EM) residency program directors and faculty spend significant time and effort creating a residency rank list. To date, however, there have been few studies to assist program directors in determining which pre-residency variables best predict performance during EM residency. OBJECTIVE: To evaluate which pre-residency variables best correlated with an applicant's performance during residency. METHODS: This was a retrospective multicenter sample of all residents in the three most recent graduating classes from nine participating EM residency programs...
October 2015: Journal of Emergency Medicine
Sarah D Rominski, Jamila Yakubu, Rockefeller A Oteng, Matt Peterson, Nadia Tagoe, Sue Anne Bell
BACKGROUND: Increasingly, medical students and practicing clinicians are showing interest in traveling to low-income settings to conduct research and engage in clinical rotations. While global health activities have the potential to benefit both the individual and the host, there can be challenges. We describe one way to harmonize the desire of volunteers to have a meaningful impact on the health care delivery system in a developing country with the needs of that country. METHODS: The Project Health Opportunities for People Everywhere (HOPE)-Ghana Emergency Medicine Collaborative (GEMC) Partnership has successfully integrated short-term volunteer physicians and nurses to facilitate the training of emergency medicine (EM) residents and specialist nurses in Kumasi, Ghana...
2015: International Journal of Emergency Medicine
Brent Thoma, Julien Poitras, Rick Penciner, Jonathan Sherbino, Brian R Holroyd, Robert A Woods
INTRODUCTION: The Royal College of Physicians and Surgeons of Canada requires emergency medicine (EM) residency programs to meet training objectives relating to administration and leadership. The purpose of this study was to establish a national consensus on the competencies for inclusion in an EM administration and leadership curriculum. METHODS: A modified Delphi process involving two iterative rounds of an electronic survey was used to achieve consensus on competencies for inclusion in an EM administration and leadership curriculum...
March 2015: CJEM
Ramsey Ataya, Rahul Dasgupta, Rachel Blanda, Yasmin Moftakhar, Patrick G Hughes, Rami Ahmed
INTRODUCTION: Establishing a boot camp curriculum is pertinent for emergency medicine (EM) residents in order to develop proficiency in a large scope of procedures and leadership skills. In this article, we describe our program's EM boot camp curriculum as well as measure the confidence levels of resident physicians through a pre- and post-boot camp survey. METHODS: We designed a one-month boot camp curriculum with the intention of improving the confidence, procedural performance, leadership, communication and resource management of EM interns...
March 2015: Western Journal of Emergency Medicine
Aklilu Azazh, Lori Di Prete Brown, Roman Aydiko Ayele, Sisay Teklu, Assefu W/Tsadik, Muluwork Tefera, Tigist Bacha, Haymanot Geremew, Girma Tefera, Heidi Busse
INTRODUCTION: A Twinning Partnership between the University of Wisconsin-Madison (UW) and Addis Ababa University (AAU) in Addis Ababa, Ethiopia was formed to strengthen the development of emergency medical services at AAU's Tikur Anbessa Specialized Hospital (TASHI) through medical education and exchanges. The Twinning philosophy which emphasizes collaboration and joint learning was an ideal program in which QI program was incorporated to maximize success, promote sustainability, and reinforce basic principles for effective healthcare service delivery...
July 2014: Ethiopian Medical Journal
Bret A Nicks, Darrell Nelson
BACKGROUND: This study was undertaken to examine the current level of operations and management education within US-based Emergency Medicine Residency programs. METHODS: Residency program directors at all US-based Emergency Medicine Residency programs were anonymously surveyed via a web-based instrument. Participants indicated their levels of residency education dedicated to documentation, billing/coding, core measure/quality indicator compliance, and operations management...
2012: World Journal of Emergency Medicine
Mamta Swaroop, Sagar C Galwankar, Stanislaw P A Stawicki, Jayaraj M Balakrishnan, Tamara Worlton, Ravi S Tripathi, David P Bahner, Sanjeev Bhoi, Colin Kaide, Thomas J Papadimos
INDUS-EM is India's only level one conference imparting and exchanging quality knowledge in acute care. Specifically, in general and specialized emergency care and training in trauma, burns, cardiac, stroke, environmental and disaster medicine. It provides a series of exchanges regarding academic development and implementation of training tools related to developing future academic faculty and residents in Emergency Medicine in India. The INDUS-EM leadership and board of directors invited scholars from multiple institutions to participate in this advanced educational symposium that was held in Thrissur, Kerala in October 2013...
2014: Philosophy, Ethics, and Humanities in Medicine: PEHM
Joseph Bednarczyk, Merril Pauls, Jason Fridfinnson, Erin Weldon
BACKGROUND: Recent surveys suggest few emergency medicine (EM) training programs have formal evidence-based medicine (EBM) or journal club curricula. Our primary objective was to describe the methods of EBM training in Royal College of Physicians and Surgeons of Canada (RCPSC) EM residencies. Secondary objectives were to explore attitudes regarding current educational practices including e-learning, investigate barriers to journal club and EBM education, and assess the desire for national collaboration...
2014: BMC Medical Education
Patricia C Henwood, David Beversluis, Alissa A Genthon, Christina N Wilson, Brendan Norwood, Daniel Silva, Mark Foran, Mauricio G Romero, Yury B Martinez, Luis E Vargas, Alejandro C Ocampo, Carlos E Vallejo, Christian Arbelaez
BACKGROUND: Emergency medicine (EM) is a growing specialty in Colombia with five residency programs in the country. EM leadership is interested in incorporating point-of-care (POC) ultrasound into a standardized national EM residency curriculum. This study is a nationwide survey of Colombian EM residents designed to explore the current state of POC ultrasound use within EM residencies and examine specific barriers preventing its expansion. METHODS: We conducted a mix-methodology study of all available current EM residents in the five EM residencies in Colombia...
2014: International Journal of Emergency Medicine
Heidi Busse, Aklilu Azazh, Sisay Teklu, Janis P Tupesis, Assefu Woldetsadik, Ryan J Wubben, Girma Tefera
BACKGROUND: Morbidity and mortality due to the lack of an organized emergency medical care system are currently high in Ethiopia. Doctors, nurses, and other medical staff often have limited or no formal training on how to handle emergencies. Because of insufficient human and resource capacity needed to assess and treat acutely ill patients, many who are injured may die unnecessarily, at the site of injury, during transport, or at the hospital. OBJECTIVES: This article describes the development of a twinning partnership between Addis Ababa University (AAU), the University of Wisconsin-Madison (UW), and the nonprofit organization People to People (P2P), to strengthen emergency care at Tikur Anbessa Specialized Hospital (TASH) and increase the number of trained emergency medical professionals...
December 2013: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Amer Z Aldeen, David H Salzman, Michael A Gisondi, D Mark Courtney
BACKGROUND: The Emergency Medicine In-Training Examination (EMITE) is one of the only valid tools for medical knowledge assessment in current use by emergency medicine (EM) residencies. However, EMITE results return late in the academic year, providing little time to institute potential remediation. OBJECTIVE: The goal of this study was to determine the ability of EM faculty to accurately predict resident EMITE scores prior to results return. METHODS: We asked EM faculty at the study site to predict the 2012 EMITE scores of the 50 EM residents 2 weeks prior to results being available...
March 2014: Journal of Emergency Medicine
Chad Kessler, Faizan Shakeel, H Gene Hern, Jonathan S Jones, Jim Comes, Christine Kulstad, Fiona A Gallahue, Boyd David Burns, Barry J Knapp, Maureen Gang, Moira Davenport, Ben Osborne, Larissa I Velez
OBJECTIVES: The objective of this study is to present an algorithm for improving the safety and effectiveness of transitions of care (ToC) in the emergency department (ED). METHODS: This project was undertaken by the Council of Emergency Medicine Residency Directors (CORD) Transitions of Care Task Force and guided by the six-step Kern model for curriculum development. A targeted needs assessment in survey form was designed using a modified Delphi method among the CORD ToC Task Force...
June 2013: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Craig D Newgard, Michael S Beeson, Chad S Kessler, Nathan Kuppermann, Judith A Linden, Fiona Gallahue, Stephen Wolf, Benjamin Hatten, Saadia Akhtar, Suzanne L Dooley-Hash, Lalena Yarris
This project was developed from the research network track at the 2012 Academic Emergency Medicine consensus conference on education research in emergency medicine (EM). Using a combination of consensus techniques, the modified Delphi method, and qualitative research methods, the authors describe multiple aspects of developing, implementing, managing, and growing an EM education research network. A total of 175 conference attendees and 24 small-group participants contributed to discussions regarding an education research network; participants were experts in research networks, education, and education research...
December 2012: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
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