Motivations for a career in emergency medicine: a profile of the 1996 US applicant pool

Kazzi, Amin; Langdorf, Mark I.; Ghadishah, Delaram; Handly, Neal

doi:10.1017/s1481803500005327

Cited by 25 publications

(40 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…EM is a specialty that comes with unique challenges and rewards for practitioners in the field. (3,6,7,15) EM specialists are expected to be quick at formulating accurate diagnoses with little information at hand, possess excellent dexterity for performing a wide range of procedures, and be comfortable with dealing with trauma and deaths on a daily basis. Hence, it comes as no surprise that internal factors such as 'personality fit' turned out to be more important than external factors, such as salary and working hours, in influencing one's decision to pursue EM.…”

Section: Discussionmentioning

confidence: 99%

“…(6)(7)(8)(9)(10)(11)(12) We then collected feedback on the questionnaire from a group of National University Health System EM residents on whether the instructions and questions were clear, whether the length of the questionnaire was appropriate, and whether there were questions that they objected to answering. The final version of the questionnaire, which was revised based on the feedback of EM residents from the pilot study, contained 35 items.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Factors influencing the decision to pursue emergency medicine as a career among medical students in Singapore

Chew

Ibrahim

Yong³

et al. 2018

smedj

View full text Add to dashboard Cite

INTRODUCTIONThe emergency medicine (EM) residency programme was introduced in Singapore in 2010 as part of a nationwide effort by the Ministry of Health Holdings (MOHH) to improve existing postgraduate training systems across all medical and surgical specialties.(1,2) It is modelled after the American residency system and replaces the old specialty training programme, which involved rotating apprenticeships of varying duration with different governing bodies for employment, accreditation and evaluation of training. The need to generate specialists at a faster rate to meet the rising demand for healthcare services in Singapore served as another driver for transition to the residency programme system. The EM residency programme achieves this by means of a seamless progression structure and earlier enrolment into specialist training, by allowing medical students to apply for a residency programme in their graduating year.For EM residency programme directors, it is challenging to select residents from a pool of medical students with whom they have limited interaction. It is difficult to gauge applicants' aptitude, attitude and work ethos without direct observation of their work experience. Medical school test results are not always reliable indicators of future success in EM.(3) By denying medical student applicants and restricting resident recruitment to older medical officers who have rotated to the EM department, they may risk losing top performing graduating students to other training specialties. For graduating medical students, choosing and applying for a residency can often result in considerable anxiety, as application for a residency programme is competitive and unpredictable, and requires a significant investment of time and commitment. (4,5) This demanding situation is compounded by the shorter exposure to EM in the residency programme as compared to the old system, in which applicants typically had six months to two years of work experience in EM. The introduction of the residency programme meant that the duration of training will be shortened, the pace of knowledge acquisition will be accelerated, and EM trainees consequently become consultants at a younger age and with less experience. As such, careful selection of EM applicants is important to the future development of EM in Singapore. (3,5) Our study team aimed to determine the interest levels and motivating factors for pursuing EM as a career among medical students in Singapore.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Factors influencing the decision to pursue emergency medicine as a career among medical students in Singapore

Chew

Ibrahim

Yong³

et al. 2018

smedj

View full text Add to dashboard Cite

show abstract

“…[1] Previous studies have revealed that variety in clinical pathology, emphasis on acute care, previous work in an emergency setting, and fl exibility both in terms of practice location and work schedule are the main factors in EPs' career selection. [2] Career longevity, job satisfaction, and burnout among EPs are areas of debate. [3,4] Recent studies have reported various problems in the fi eld of emergency medicine, especially in relation to night shifts, emergency department (ED) overcrowding, limited resources, job stresses, litigation concerns, and miscommunication between patients and physicians.…”

Section: Introductionmentioning

confidence: 99%

Emergency medicine as a growing career in Iran: an Internet-based survey

Farahmand

Karimialavijeh

Vahedi

et al. 2016

World Journal of Emergency Medicine

View full text Add to dashboard Cite

BACKGROUND:In Iran, few studies have evaluated emergency medicine as a career option. In the present study, we aimed to find out how Iranian emergency-medicine specialists view their specialty as a career. METHODS:Following a qualitative study, a Likert-scale questionnaire was developed. Iranian emergency physician specialists who had at least two years' job experience were contacted via email. A uniform link to a Web-based survey and a cover letter that explained the survey were sent to the recipients. We used the Kruskal-Wallis test and post hoc analysis to determine the differences between demographic subgroups. RESULTS:A total of 109 eligible responses were received, a response rate of 72.63%. Of the responders, 57.8% were 30-40 years of age, 86.2% were male, 86.2% were single, 84.4% were faculty members and 90.8% had fewer than 10 years' job experience. The main problems occurring during the career of Iranian emergency physicians were: insuffi cient income, inadequate recognition of the specialty by the community, inadequate union support, insecurity in the emergency wards, overcrowding, job stresses and night shifts. Despite insufficiency of income, Iranian emergency physicians (EPs) did not care about the financial benefits of patient care. Academic activity had positive effects on the perspectives of Iranian emergency physicians regarding their careers. CONCLUSION:Iranian emergency physicians and leaders in emergency medicine should struggle to improve the present situation, aiming at an ideal state.

show abstract

“…To our knowledge, there was no objective measure of lifestyle friendliness or work-related quality of life used in these trials. In other publications, EM is described as a very attractive specialty among medical students, 7 largely because of clinical factors (e.g., diversity of clinical pathology and emphasis on acute care) and because it allows for a controllable lifestyle. 8,9 EM is considered a lifestyle specialty 8,9 with predictable hours and a balance among clinical work, administrative duties, organizational commitments, teaching, and/or research.…”

Section: Discussionmentioning

confidence: 99%

Emergency medicine as a primary specialty—French emergency medicine residents’ attitudes

Yordanov

Sobotka

Dahan

et al. 2015

CJEM

View full text Add to dashboard Cite

Emergency medicine (EM) has been a fellowship program (supra-specialty) in France since 2004. Even though the program can be accessed after completion of one of several primary specialties, the vast majority (97%) of its residents enter the program after having completed training in family medicine. A change to develop a primary EM specialty is being discussed. Our objective was to assess French residents and young EM physicians' attitudes toward EM as a primary specialty. We conducted a brief cross-sectional online survey among young EM physicians and trainees in November and December 2012. There were 288 respondents to the survey. Forty-nine percent (n = 142) of respondents would have chosen EM if it was a primary specialty, but 73% (n = 209) prefer maintaining the status quo, offering EM training as a supra-specialty fellowship program. Workrelated quality of life was the main reason for those not choosing EM as a primary specialty. RÉSUMÉLa médecine d'urgence (MU) est un programme d'études postdoctorales (surspécialité) en France depuis 2004. Bien qu'il soit possible de suivre le programme après la fin des études dans une des nombreuses spécialités de base, la plupart (97 %) des résidents s'inscrivent au programme après avoir terminé leur formation en médecine familiale. Il sera donc question d'un changement visant à faire de la MU une spécialité de base. L'étude avait pour but d'évaluer l'attitude des résidents et de jeunes urgentologues français à l'égard de la MU comme spécialité de base. Une brève enquête transversale a été menée en ligne parmi de jeunes urgentologues et des stagiaires, en novembre et en décembre 2012; il y a eu 288 répondants. Quarante-neuf pour cent (n = 142) d'entre eux ont indiqué qu'ils auraient choisi la MU si elle avait été une spécialité de base; néanmoins, 73 % (n = 209) des répondants ont déclaré préférer la situation actuelle, c'est-à-dire considérer la MU comme une surspécialité et suivre la formation en programme d'études postdoctorales. La qualité de vie liée au travail était le principal motif invoqué pour ne pas choisir la MU comme spécialité de base.

show abstract

Motivations for a career in emergency medicine: a profile of the 1996 US applicant pool

Cited by 25 publications

References 34 publications

Factors influencing the decision to pursue emergency medicine as a career among medical students in Singapore

Factors influencing the decision to pursue emergency medicine as a career among medical students in Singapore

Emergency medicine as a growing career in Iran: an Internet-based survey

Emergency medicine as a primary specialty—French emergency medicine residents’ attitudes

Contact Info

Product

Resources

About