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  • NLM标题： Cal J Emerg Med
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  • 1.

    【2hr】Teaching Endotracheal Intubation Using a Cadaver Versus a Manikin-based Model: a Randomized Controlled Trial

    包量

    机译 教气管插管使用尸体对人体模型的模型：随机对照试验。
    摘要：The optimal method to train novice learners to perform endotracheal intubation (ETI) is unknown. The study objective was to compare two models: unembalmed cadaver vs simulation manikin.
  • 2.

    【2hr】A Multimodal Curriculum With Patient Feedback to Improve Medical Student Communication: Pilot Study

    包量

    机译 具有患者反馈以改善医学生交流的多模式课程：先导研究
    摘要：Despite the extraordinary amount of time physicians spend communicating with patients, dedicated education strategies on this topic are lacking. The objective of this study was to develop a multimodal curriculum including direct patient feedback and assess whether it improves communication skills as measured by the Communication Assessment Tool (CAT) in fourth-year medical students during an emergency medicine (EM) clerkship.
  • 3.

    【2hr】The End of the Accidental Academician

    包量

    机译 偶然院士的终结
    • 作者：Christine R. Stehman
    • 刊名：The California Journal of Emergency Medicine
    • 2020年第1期
    摘要：Many medical education scholars form their careers through a unique blend of planning and accident. Although these academicians initially worked hard with focus, once they achieve the clinician part of “clinical educator,” it is as if they lack a conceptual framework for the rest of their career. They have become accidental academicians with the educator part succeeding eventually, cobbled together from satisfying mandates and falling into opportunities with little of the meticulous planning that led to being a clinician. Albeit successful, the resulting career may seem disjointed, unplanned, and possibly less fulfilling than it could have been. It is hard to mentor others to achieve success using this model, resulting in more generations of accidental academicians.
  • 4.

    【2hr】The Impact of Anonymity in Emergency Medicine Morbidity and Mortality Conferences: Findings from a National Survey of Resident Physicians

    包量

    机译 匿名在急诊医学发病率和死亡率会议中的影响：一项来自全国住院医师调查的结果
    摘要：Although the Accreditation Council for Graduate Medical Education mandates structured case review and discussion as a part of residency training, there remains little guidance on how best to structure these conferences to cultivate a culture of safety, promote learning, and ensure that system-based improvements can be made. We hypothesized that anonymous case discussion was associated with a more effective, and less punitive, morbidity and mortality (M&M) conference. Secondarily, we were interested in determining whether this core structural element was correlated with the culture of safety at an institution.
  • 5.

    【2hr】Effectiveness of a Pediatric Emergency Medicine Curriculum in a Public Tanzanian Referral Hospital

    包量

    机译 坦桑尼亚公立转诊医院的儿科急诊医学课程的有效性
    摘要：The World Health Organization recently recognized the importance of emergency and trauma care in reducing morbidity and mortality. Training programs are essential to improving emergency care in low-resource settings; however, a paucity of comprehensive curricula focusing specifically on pediatric emergency medicine (PEM) currently exists. The African Federation for Emergency Medicine (AFEM) developed a PEM curriculum that was pilot-tested in a non-randomized, controlled study to evaluate its effectiveness in nurses working in a public Tanzanian referral hospital.
  • 6.

    【2hr】When the Learner Is the Expert: A Simulation-Based Curriculum for Emergency Medicine Faculty

    包量

    机译 当学习者是专家时：急诊医学系基于模拟的课程
    摘要：Emergency physicians supervise residents performing rare clinical procedures, but they infrequently perform those procedures independently. Simulation offers a forum to practice procedural skills, but simulation labs often target resident learners, and barriers exist to faculty as learners in simulation-based training. Simulation-based curricula focused on improving emergency medicine (EM) faculty’s rare procedure skills were not discovered on review of published literature. Our objective was to create a sustainable, simulation-based faculty education curriculum for rare procedural skills in EM. Between 2012 and 2019, most EM teaching faculty at a single, urban, Level 1 trauma center completed an annual two-hour simulation-based rare procedure lab with small-group learning and guided hands-on instruction, covering 30 different procedural education sessions for faculty learners. A questionnaire administered before and after each session assessed EM faculty physicians’ self-perceived ability to perform these rare procedures. Participants’ self-reported confidence in their performance improved for all procedures, regardless of prior procedural experience. Faculty participation was initially mandatory, but is now voluntary. Diverse strategies were used to address barriers in this learner group including eliciting learner feedback, offering continuing medical education credits, gradual roll-out of checklist assessments, and welcoming expertise of faculty leaders from EM and other specialties and professions. Participants perceived training to be most helpful for the most rarely-encountered clinical procedures. Similar curricula could be implemented with minimal risk at other institutions.
  • 7.

    【2hr】Standardized Video Interview Scores Correlate Poorly with Faculty and Patient Ratings

    包量

    机译 标准化的视频采访评分与教职员工和患者评分之间的相关性很差
    摘要：
  • 8.

    【2hr】A Structured Curriculum for Interprofessional Training of Emergency Medicine Interns

    包量

    机译 急诊医学实习生跨专业培训的结构化课程
    摘要：Interprofessional education (IPE) has been shown to improve health outcomes and patient satisfaction. IPE is now represented in the Accreditation Council for Graduate Medical Education’s emergency medicine (EM) milestones given the team-based nature of EM. The Highland Allied Health Rotation Program (H-AHRP) was developed by residents to enhance and standardize IPE for EM residents in a single hospital setting. H-AHRP was incorporated into the orientation month for interns starting in the summer of 2016. EM interns were paired with emergency department preceptors in registered nursing (RN), respiratory therapy (RT), pharmacy (PH), laboratory (LAB), and social work (SW) in either a four-hour shadowing experience (RN, RT, PH) or lecture-based overview (LAB, SW). We conducted a survey before and after the program. Overall, the EM interns reported an improved understanding of the scope of practice and day-to-day logistics after working with the preceptors. They found the program helpful to their future as physicians and would recommend it to other residencies. The H-AHRP program allows for the early incorporation of IPE into EM training, enhances interns’ understanding of both the scope and logistics of their colleagues, and is a well-received effort at improving team-based care.
  • 9.

    【2hr】Professionalism Milestones Assessments Used by Emergency Medicine Residency Programs: A Cross-sectional Survey

    包量

    机译 急诊医学住院医师计划使用的专业精神里程碑评估：横断面调查
    摘要：Professionalism is a vital component of quality patient care. While competency in professionalism is Accreditation Council for Graduate Medical Education (ACGME)-mandated, the methods used to evaluate professionalism are not standardized, calling into question the validity of reported measurements. We aimed to determine the type and frequency of methods used by United States (US) -based emergency medicine (EM) residencies to assess accountability (Acc) and professional values (PV), as well as how often graduating residents achieve competency in these areas.
  • 10.

    【2hr】How Well Do Core Faculty Understand The Emergency Medicine Milestones?

    包量

    机译 核心教师对紧急医学里程碑的理解程度如何？
    摘要：It is unclear how emergency medicine (EM) programs educate core faculty about the use of milestones in competency-based evaluations. We conducted a national survey to profile how programs educate core faculty regarding their use and to assess core faculty’s understanding of the milestones.
  • 11.

    【2hr】Increasing Education Research Productivity: A Network Analysis

    包量

    机译 提高教育科研生产率：网络分析
    摘要：Forming effective networks is important for personal productivity and career development. Although critical for success, these networks are not well understood. The objective of this study was to usze a social network analysis tool to demonstrate the growth of institutional publication networks for education researchers and show how a single institution has expanded its publication network over time.
  • 12.

    【2hr】Back in My Day: A Journal Club Using Landmark Articles for Emergency Medicine-Bound Medical Students

    包量

    机译 回顾我的一天：一个使用具有里程碑意义的文章的期刊俱乐部，供急诊医学专业学生使用
    摘要：This journal club style curriculum was developed to advance 4th year medical students in Emergency Medicine (EM) Milestone 19. The curriculum was introduced as part of a longitudinal boot camp course for EM- bound students. Students met monthly with faculty members to critically evaluate landmark articles within the field of EM. The curriculum culminated with student group presentations of two contemporary research articles with opposing conclusions. Discussed articles covered the following topics: stroke care, head trauma, cervical spine trauma, pulmonary embolism, cardiology treatments, syncope, post- cardiac arrest care, pediatrics, sepsis, and fluid resuscitation. The curriculum was evaluated using the institution’s standard student educational session evaluation form. Students rated the quality of the sessions highly, and based on thematic review of comments, the journal club was a beneficial addition to the boot camp curriculum.
  • 13.

    【2hr】Which Emergency Medicine Milestone Sub-competencies are Identified Through Narrative Assessments?

    包量

    机译 通过叙事评估确定了哪些急诊医学里程碑子能力？
    摘要：Evaluators use assessment data to make judgments on resident performance within the Accreditation Council for Graduate Medical Education (ACGME) milestones framework. While workplace-based narrative assessments (WBNA) offer advantages to rating scales, validity evidence for their use in assessing the milestone sub-competencies is lacking. This study aimed to determine the frequency of sub-competencies assessed through WBNAs in an emergency medicine (EM) residency program.
  • 14.

    【2hr】An Inexpensive Conceptual Training Model for Transvenous Pacemaker Placement

    包量

    机译 廉价的概念起搏器，用于静脉起搏器放置
    摘要：Emergent transvenous (TV) pacemaker placement can be life-saving, but it has associated complications. Emergency medicine (EM) educators must be able to teach this infrequent procedure to trainees.
  • 15.

    【2hr】The Appropriate Use of Testing for COVID-19

    包量

    机译 适当使用COVID-19进行测试
    • 作者：Tony Zitek
    • 刊名：The California Journal of Emergency Medicine
    • 2020年第3期
    摘要：Many public officials are calling for increased testing for the 2019 novel coronavirus disease (COVID-19), and some governments have taken extraordinary measures to increase the availability of testing. However, little has been published about the sensitivity and specificity of the reverse transcriptase-polymerase chain reaction (RT-PCR) nasopharyngeal swabs that are commonly used for testing. This narrative review evaluates the literature regarding the accuracy of these tests, and makes recommendations based on this literature. In brief, a negative RT-PCR nasopharyngeal swab test is insufficient to rule out COVID-19. Thus, over-reliance on the results of the test may be dangerous, and the push for widespread testing may be overstated.
  • 16.

    【2hr】Paradigm Shift for COVID-19 Response: Identifying High-risk Individuals and Treating Inflammation

    包量

    机译 COVID-19反应的范式转变：识别高危人群并治疗炎症
    • 作者：Paul Kivela
    • 刊名：The California Journal of Emergency Medicine
    • 2020年第3期
    摘要：As an emergency and wellness physician, scientist, father, and 55-year-old man, I have a keen interest in the coronavirus and the resulting COVID-19/severe acute respiratory syndrome (SARS) CoV2 illness. Based on all I have heard from the scientific community, a review of the literature, and a review of historical facts related to other epidemics, I believe we are missing some key points, particularly with regard to how we are approaching prevention of morbidity and mortality. My opinion is the virus is not killing people, but rather the immune response to the virus. Perhaps we need to shift our thinking from screening and treating signs and symptoms to add risk stratifying, measuring, and treating inflammation. I think this approach needs to be seriously vetted. It might be used to screen not just our patients, but also our physicians and nurses to determine who should be seeing patients frontline vs remotely, which patients should be admitted, and which should be sent home.
  • 17.

    【2hr】Healthcare Ethics During a Pandemic

    包量

    机译 大流行期间的医疗保健伦理
    • 作者：Kenneth V. Iserson
    • 刊名：The California Journal of Emergency Medicine
    • 2020年第3期
    摘要：As clinicians and support personnel struggle with their responsibilities to treat during the current COVID-19 pandemic, several ethical issues have emerged. Will healthcare workers and support staff fulfill their duty to treat in the face of high risks? Will institutional and government leaders at all levels do the right things to help alleviate healthcare workers risks and fears? Will physicians be willing to make hard, resource-allocation decisions if they cannot first husband or improvise alternatives?
  • 18.

    【2hr】Alternative Care Sites: An Option in Disasters

    包量

    机译 替代性护理地点：灾难中的一种选择
    • 作者：Kenneth V. Iserson
    • 刊名：The California Journal of Emergency Medicine
    • 2020年第3期
    摘要：During the current COVID-19 pandemic, the limited surge capacity of the healthcare system is being quickly overwhelmed. Similar scenarios play out when an institution’s systems fail, or when local or regional disasters occur. In these situations, it becomes necessary to use one or more alternative care sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute, subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves communities from talking to doing. This commitment pays real dividends if a disaster of any magnitude strikes. This paper discusses the basic criteria for selecting, establishing and ultimately closing an ACS, difficulties of administration, staffing, security, and providing basic supplies and equipment.
  • 19.

    【2hr】Augmenting the Disaster Healthcare Workforce

    包量

    机译 增强灾难医疗保健队伍
    • 作者：Kenneth V. Iserson
    • 刊名：The California Journal of Emergency Medicine
    • 2020年第3期
    摘要：In disasters such as the COVID-19 pandemic, we need to use all available resources to bolster our healthcare workforce. Many factors go into this process, including selecting the groups of professionals we will need, streamlining their licensing and credentialing processes, identifying appropriate roles for them, and supporting their health and well-being. The questions we must answer are these: How many staff will we need? How do we provide them with emergency licenses and credentials to practice? What interstate licensing compacts and registration systems exist to facilitate the process? What caveats are there to using retired healthcare professionals and healthcare students? How can we best avoid attrition among and increase the numbers of international medical graduates? Which non-clinical volunteers can we use and in what capacities? The answers to these questions will change as the crisis develops, although the earlier we address them, the smoother will be the process of using augmentees for the healthcare system.
  • 20.

    【2hr】Ibuprofen During the COVID-19 Pandemic: Social Media Precautions and Implications

    包量

    机译 布洛芬在COVID-19大流行期间：社交媒体的预防措施和启示
    摘要：The ongoing spread of COVID-19, also known as the novel coronavirus, has created significant concerns often leading to panic throughout the world as to its virulence and lethality. Regularly published media track newly infected patient rates and deaths further driving public panic, which invariably leads to people seeking information. As the use of social media continues to complement and augment the drive for free, open-access medical education, some have previously highlighted limitations posed by such a largely unregulated online venue. Previously, these opinions targeted much smaller populations, such as the push against electronic cigarettes after vaping-associated pulmonary injury was identified in 2019. With the increasing reach of COVID-19, however, concerns are not isolated to one section of society, but have instead permeated widely.
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