Cooperation in emergency medicine in Europe: the bright side of the medal

Stroobants, Jan; Arafat, Raed; Leach, Robert; Halpern, Pinchas; Golea, Adela; Heyworth, John; Petrino, Roberta; Hogan, Benedikt

doi:10.1097/mej.0000000000000521

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Germany is taking actions to foster emergency medicine by creating academic units and establishing a subspecialty. Multiple skills, such as coordination of emergency department flow to minimise overcrowding, correct triage of patients, leadership in large multidisciplinary teams and advanced skills to correctly diagnose and treat critically ill patients are particularly important in emergency physicians [3,4]. In recognition of the specific skills required, the European Society of Emergency Medicine (EUSEM) has created a European curriculum for emergency physicians including a European board examination [3].…”

Section: Introductionmentioning

confidence: 99%

“…Multiple skills, such as coordination of emergency department flow to minimise overcrowding, correct triage of patients, leadership in large multidisciplinary teams and advanced skills to correctly diagnose and treat critically ill patients are particularly important in emergency physicians [3,4]. In recognition of the specific skills required, the European Society of Emergency Medicine (EUSEM) has created a European curriculum for emergency physicians including a European board examination [3]. Similar to the standing of clinical emer-gency training, research in emergency medicine is still young and in many countries, academic expertise such as full professorships are rare compared with other medical specialties.…”

Section: Introductionmentioning

confidence: 99%

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Emergency medicine in Switzerland: an analysis of physician workforce, gender equality and academics

Ravioli¹,

Haidinger²,

Exadaktylos³

et al. 2022

Swiss Med Wkly

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BACKGROUND: Globally, emergency medicine is continuously evolving and in numerous countries, societies and colleges help develop the specialty on a professional and academic level. However, there are countries, including Switzerland, where emergency medicine is not a fully recognised specialty and there is a historical gender gap.AIMS OF THE STUDY: It was the aim of this study to investigate the trends and developments in Swiss emergency medicine in terms of physician workforce, gender equality and academic posts over time.METHODS: In this observational longitudinal analysis, the number and gender distribution of Swiss Society of Emergency and Rescue Medicine (SSERM) members as well as SSERM-certified physicians were analysed in 2011, 2016 and 2021. Additionally, head and leading physicians of SSERM-certified emergency departments of category 1 and 2 were analysed in 2021 with special regard to gender distribution. Finally, an analysis of Swiss academic emergency medicine including Swiss academic tracks, professors in emergency medicine as well as committees, chairs and speakers of the annual SSERM conference was performed.RESULTS: From 2011 to 2021, there was an increase in SSERM members of 52% and a growing proportion of women from 26% to 35%. Similarly, there was a rise of 66% in physicians certified in in-hospital and 79% certified in prehospital emergency medicine. The proportion of women increased by 153% and 131%, respectively. In the analysed emergency departments, 69% of all head physicians were men whereas 50% of senior consultants and consultants with extended responsibility were women in 2021. Concerning academics, emergency medicine was a mandatory subject at all Swiss universities offering a master's degree in medical studies in 2021. However, 11 Swiss universities reported only six full professors, of whom only one was a woman, and three associate professors in emergency medicine in 2021. The analysis of the annual SSERM conferences from 2016 to 2019 revealed that men outnumbered women at every conference in terms of committees, chairs and speakers.CONCLUSIONS: The number of SSERM members and board-certified emergency physicians, women in particular, remarkably increased in 10 years. Equality appears to be within reach for clinical emergency physicians, but women continue to be underrepresented in academic positions, at scientific conferences and among professors. In Switzerland, academic emergency medicine appears to be lagging behind in view of the growing emergency physician and women workforce, which might complicate further progress in and development of Swiss emergency medicine on a scientific and professional level.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Emergency medicine in Switzerland: an analysis of physician workforce, gender equality and academics

Ravioli¹,

Haidinger²,

Exadaktylos³

et al. 2022

Swiss Med Wkly

View full text Add to dashboard Cite

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Emergency medical staff’s perceptions on cultural value difference‐based teamwork issues: A phenomenological study in China

Zhang

Peng

et al. 2020

J Nurs Manag

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Aim:To explore how different cultural values are connected to teamwork between doctors and nurses in emergency departments (EDs) in China.Background: China is a multicultural society, which leads to different cultural values being represented within its population. Doctors and nurses from different cultural backgrounds bring their own cultural values to their workplaces that influence teamwork. EDs are medical treatment facilities designed to provide episodic care to patients suffering from acute injuries and illnesses. Doctors and nurses in EDs should not only be highly skilled but also be able to work as a team. Studies have shown that different cultural values are often the cause of poor teamwork. However, there has been little focus on this phenomenon in the literature on ED. Therefore, this study aimed to identify how cultural values are connected to teamwork in EDs.Design: Phenomenological study. Methods:In-depth interviews were conducted with 10 doctors and 10 nurses in EDs from September to December 2018 in three large general hospitals in Shanghai. Results: Four major themes emerged from the data: leadership, communication, mutual support and staffing. Twelve sub-themes were identified (a) hierarchy between superiors and subordinates; (b) doctors as superiors; (c) Northerners are more powerful; (d) emphasizing etiquette; (e) traditionally feminine traits; (f) face-to-face communication; (g) collectivism; (h) being open-minded; (i) tense doctor-patient relationships; (j) clique culture; (k) high pressure; and (l) home culture. Conclusions: Teamwork between doctors and nurses inEDs is influenced by different cultural values. Future research should be carried out to identify which factors are essential to improving teamwork among doctors and nurses in hospital EDs. Implications for Nursing Management: It is important to develop strategies to foster teamwork between doctors and nurses with different cultural values. K E Y W O R D S different cultural values, emergency department, teamwork | 25 HAI-PING et Al.

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