An empirical analysis of the effect of residents on emergency department treatment times

Anderson, David; Golden, Bruce L.; Silberholz, John; Harrington, Michael; Hirshon, Jon Mark

doi:10.1080/19488300.2013.820240

Cited by 3 publications

(5 citation statements)

References 17 publications

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“…tracked EPs’ time expenditures on direct/indirect patient care and personal activities in academic versus community EDs, but did not specify the time spent supervising residents or performing other care‐related activities. Other studies only assessed aggregate effect of residents on departmental throughput . To the best of our knowledge, this is the first study to comprehensively quantify and compare the time EPs spend on resident supervision and care‐related activities in CAEDs versus community EDs.…”

Section: Introductionmentioning

confidence: 99%

Resident Supervision and Patient Care: A Comparative Time Study in a Community‐Academic Versus a Community Emergency Department

Wang

Yin

Gurvich

et al. 2019

AEM Education and Training

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Objective: The objective was to compare attending emergency physician (EP) time spent on direct and indirect patient care activities in emergency departments (EDs) with and without emergency medicine (EM) residents. Methods:We performed an observational, time-motion study on 25 EPs who worked in a community-academic ED and a nonacademic community ED. Two observations of each EP were performed at each site. Average time spent per 240-minute observation on main-category activities are illustrated in percentages. We report descriptive statistics (median and interquartile ranges) for the number of minutes EPs spent per subcategory activity, in total and per patient. We performed a Wilcoxon two-sample test to assess differences between time spent across two EDs.Results: The 25 observed EPs executed 34,358 tasks in the two EDs. At the community-academic ED, EPs spent 14.2% of their time supervising EM residents. Supervision activities included data presentation, medical decision making, and treatment. The time spent on supervision was offset by a decrease in time spent by EPs on indirect patient care (specifically communication and electronic health record work) at the community academic ED compared to the nonacademic community ED. There was no statistical difference with respect to direct patient care time expenditure between the two EDs. There was a nonstatistically significant difference in attending patient load between sites.Conclusions: EPs in our study spent 14.2% of their time (8.5 minutes/hour) supervising residents. The time spent supervising residents was largely offset by time savings related to indirect patient care activities rather than compromising direct patient care.From the

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Section: Introductionmentioning

confidence: 99%

Resident Supervision and Patient Care: A Comparative Time Study in a Community‐Academic Versus a Community Emergency Department

Wang

Yin

Gurvich

et al. 2019

AEM Education and Training

View full text Add to dashboard Cite

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“…However, the other hypothesis shows that with the presence of residents, education and treatment happen simultaneously; so residents can increase the work output (27,28). Therefore, it can be inferred that the influence of post graduate numbers on the number of needed faculty is the exact opposite (29).…”

Section: Discussionmentioning

confidence: 99%

A Conceptual Model to Estimate Staffing Requirements of Medical Faculties of Medical Sciences Universities in Iran

Kashkalani

Maleki

Tabibi

et al. 2017

Iran Red Crescent Med J

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Background: No specific model has been developed so far to determine the number of clinical faculty members required for medical schools as the most important and most costly workforce. Objectives: Since any action in this regard needs to understand the current status, this study aimed to identify the factors and variables involved in staffing of medical schools in Iran. Methods:This was an analytical descriptive study conducted with qualitative approach in early 2016. Participants included 15 educational deputies of Medical Sciences Universities in Iran who were selected through purposeful intensity sampling. Data were collected using in-depth interviews and analyzed using inductive qualitative content analysis via seven-stage framework analysis. Results: Five categories of factors were identified to affect the number of clinical faculties in Medical Sciences Universities of Iran, namely "faculties' functions and range of work", "characteristics of faculty members", "features of the faculties' service delivery location", "department/major properties", and "dominating objectives and policies". Conclusions: A variety of subjective and inaccurate factors are considered for estimating the required number of clinical faculties in Iran among which only a few are the same as criteria for other faculties. The prerequisites that organize the factors and components in the form of a system are: clearly determining the responsibility of clinical education space and then, defining relatively identical financial incentives for various functions of faculty members.

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“…Il ressort dans quatre études que la durée de diverses chirurgies est plus longue avec la participation des résidents ou des stagiaires [13,15,22,23] , alors que trois autres affirment que leur collaboration permet de diminuer le temps opératoire [17,24,25] . Certaines études ont également mis en évidence des durées d'intervention significativement plus longues en présence de résidents pour le temps de décision et la durée du séjour au service d'urgence avant d'admettre un patient [19] , ainsi que le temps global de traitement à l'urgence [26] .…”

Section: Impact Sur Les Processusunclassified

“…Cette dernière étude, réalisée par Lammers et al [24] , a consisté à analyser les soins fournis à quelque 36 000 à 43 000 patients par année au cours des cinq années qui ont suivi l'introduction d'un programme de résidence au service d'urgence de leur hôpital universitaire. Les auteurs ont conclu que l'introduction d'un programme de résidence à l'urgence avait occasionné une augmentation significative de la durée de séjour des patients au service d'urgence.…”

Section: Impact Sur Les Processusunclassified

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Impact de l’offre de stages sur la performance des établissements de santé et de services sociaux

et al. 2015

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An empirical analysis of the effect of residents on emergency department treatment times

Cited by 3 publications

References 17 publications

Resident Supervision and Patient Care: A Comparative Time Study in a Community‐Academic Versus a Community Emergency Department

Resident Supervision and Patient Care: A Comparative Time Study in a Community‐Academic Versus a Community Emergency Department

A Conceptual Model to Estimate Staffing Requirements of Medical Faculties of Medical Sciences Universities in Iran

Impact de l’offre de stages sur la performance des établissements de santé et de services sociaux

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