Characteristics of Emergency Medicine Residency Programs in Colombia

Patiño, Andrés; Alcalde, Víctor; Gutierrez, Camilo; Romero, M.G.; Carrillo, Atilio Moreno; Vargas, Luis; Vallejo-Bocanumen, Carlos E.; Zarama, Virginia; Rodríguez, José Luis; Bustos, Yury; Granada, Juliana; Aguiar, Leonar G.; Menendez, Salvador; Cohen, Jorge Iván; Saavedra, Miguel Ángel; Rodriguez, Juan; Roldan, Tatiana; Arbelaez, Christian

doi:10.5811/westjem.2017.7.34668

Cited by 7 publications

(8 citation statements)

References 2 publications

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“…From above data, the difference of pediatric patient number seen by EM residents between these two training systems is not significant, especially in the pre-epidemic period. Nevertheless, Taiwan has the lowest fertility rate in the world and decreased child population [ 28 ]. The impact of the pandemic on pediatric ED volume may further reduced pediatric case exposure of EM residents in Taiwan if the pandemic persisted.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Training Crisis of Emergency Medicine Residency during the COVID-19 Pandemic

et al. 2022

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Coronavirus disease 2019 (COVID-19) is an emerging viral disease that has caused a global pandemic. Among emergency department (ED) patients, pediatric patient volume mostly and continuously decreased during the pandemic period. Decreased pediatric patient volume in a prolonged period could results in inadequate pediatric training of Emergency Medicine (EM) residents. We collected data regarding pediatric patients who were first seen by EM resident physicians between 1 February 2019, and 31 January 2021, which was divided into pre-epidemic and epidemic periods by 1 February 2020. A significant reduction in pediatric patients per hour (PPH) of EM residents was noted in the epidemic period (from 1.55 to 0.81, p < 0.001). The average patient number was reduced significantly in the classification of infection (from 9.50 to 4.00, p < 0.001), respiratory system (from 84.00 to 22.00, p < 0.001), gastrointestinal system (from 52.00 to 34.00, p = 0.007), otolaryngology (from 4.00 to 2.00, p = 0.022). Among the diagnoses of infectious disease, the most obvious drop was noted in the diagnosis of influenza and enterovirus infection. Reduced pediatric patient volume affected clinical exposure to pediatric EM training of EM residency. Changes in the proportion of pediatric diseases presented in the ED may induce inadequate experience with common and specific pediatric diseases.

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Section: Discussionmentioning

confidence: 99%

Pediatric Training Crisis of Emergency Medicine Residency during the COVID-19 Pandemic

et al. 2022

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“…Despite this, there is not a law stating that emergency departments (EDs) should preferably be staffed with EM specialists, potentially affecting the quality of care provided to RTC patients. 40,41 Other ED staff, including nurses, should be trained in trauma care also.…”

Section: Discussionmentioning

confidence: 99%

Effect of Road Safety Laws on Deaths and Injuries from Road Traffic Collisions in Colombia

Argote-Araméndiz

Molloy

Hart

et al. 2020

Prehosp. Disaster med.

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Introduction:Colombia is the fourth largest country in South America. It is an upper middle-income country with an estimated population of 49.2 million people, and road traffic collisions (RTCs) are the second most common cause of traumatic death. The United Nations (UN) proclaimed 2011 to 2020 as the “Decade of Action for Road Safety.” In this context, the government of Colombia established the National Road Safety Plan (PNSV) for the period 2011-2021, aiming to reduce RTC-related deaths by 26%. Some road safety laws (RSLs) were implemented before the PNSV, but their impact on deaths and injuries is still not known.Study Objective:The aim of this study was to evaluate whether these RSLs have had a long-term effect on road safety in the country.Methods:Data on RTC casualties, deaths, and injuries from January 1, 2001 through December 31, 2017 were collated from official Colombian governmental publications. Three different periods were considered for analysis: 2001-2010 to evaluate the Transit Code; 2011-2017 to evaluate the PNSV; and 2001-2017 to evaluate a composite of the full study period. Analyses of trends in deaths and injuries were related to dates of new RSLs.Results:A total of 102,723 deaths (12.7%) and 707,778 injuries (87.3%) were reported from 2001 through 2017. The Transit Code period (2001-2010) showed a 10.1% decline in deaths, 16.6% decline in injuries, and rates per 100,000 inhabitants and per 10,000 registered vehicles also declined. During the period of the PNSV (2011-2017), there was an increase in the number of deaths by 16.6%, injuries decreased by 1.7%, and death rates per 100,000 inhabitants also increased. During the total study period, a 12.4% reduction in the total number of casualties was achieved, and death and injury rates per 100,000 inhabitants decreased by 12.4% and 27.5%, respectively.Discussion:Despite the introduction of the PNSV, RTCs remain the second most common cause of preventable death in Colombia. Overall, while the absolute number of RTCs and deaths has been increasing, the rate of RTCs per 10,000 registered vehicles has been decreasing. This suggests that although the goals of the PNSV may not be realized, some of the laws emanating from it may be having a beneficial effect. Further study is required over a protracted period to determine the longer-term impact of these initiatives.

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“…Non-EM specialists were included in the sample given their current role in the provision of emergency care in Ecuador and with the aim of including diverse points of view. Interview questions were developed based on prior experience with EM development research 8 , 9 and focused on the current challenges in the areas of emergency care, EM working conditions, EM education, EM leadership, and prehospital care.…”

Section: Methodsmentioning

confidence: 99%

Emergency Medicine Challenges in Ecuador

Patiño

Cantillo-Campos

Kearney

et al. 2020

WestJEM

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Introduction: Emergency medicine (EM) was recognized as a specialty in Ecuador in 1993. Currently, there are two four-year EM residency programs and an estimated 300 residency-trained emergency physicians countrywide. This study describes the current challenges in EM in Ecuador. Methods: We conducted 25 semi-structured, in-person interviews with residency-trained emergency physicians, general practitioners, public health specialists, prehospital personnel, and physicians from other specialties. The interviewer asked about challenges in the areas of emergency care, working conditions of emergency physicians, EM residency education, EM leadership, and prehospital care. We analyzed data for challenges and registered the number of interviewees who mentioned each challenge. Results: Interviewees worked in the three largest cities in the country: Quito (60%); Guayaquil (20%); and Cuenca (20%). Interviewees included 16 (64%) residency-trained emergency physicians; six (24%) residency-trained physicians from other specialties working in or closely associated with the emergency department (ED); one (4%) general practitioner working in the ED; one (4%) specialist in disasters; and one (4%) paramedic. Shortage of medical supplies, need for better medico-legal protection, lack of EM residencies outside of Quito, and desire for more bedside teaching were the challenges mentioned with the highest frequency (each 44%). The next most frequently mentioned challenges (each 38%) were the need for better access to ultrasound equipment and the low presence of EM outside the capital city. Other challenges mentioned included the low demand for emergency physicians in private institutions, the lack of differential pay for night and weekends, need for more training in administration and leadership, need for a more effective EM national society, and lack of resources and experience in EM research. Conclusion: Emergency medicine has a three-decade history in Ecuador, reaching important milestones such as the establishment of two EM residencies and a national EM society. Challenges remain in medical care, working conditions, residency education, leadership, and prehospital care. Stronger collaboration and advocacy among emergency physicians can help strengthen the specialty and improve emergency care. [

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Characteristics of Emergency Medicine Residency Programs in Colombia

Cited by 7 publications

References 2 publications

Pediatric Training Crisis of Emergency Medicine Residency during the COVID-19 Pandemic

Pediatric Training Crisis of Emergency Medicine Residency during the COVID-19 Pandemic

Effect of Road Safety Laws on Deaths and Injuries from Road Traffic Collisions in Colombia

Emergency Medicine Challenges in Ecuador

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