Portal de Periódicos da CAPES

Resident Efficiency in a Pediatric Emergency Department

2005; Wiley; Volume: 12; Issue: 12 Linguagem: Inglês

10.1111/j.1553-2712.2005.tb01505.x

1553-2712

M. Denise Dowd, Celeste Tarantino, THEODORE M. BARNETT, Laura Fitzmaurice, Jane F. Knapp,

Healthcare Systems and Technology

Academic Emergency MedicineVolume 12, Issue 12 p. 1240-1244 Free Access Resident Efficiency in a Pediatric Emergency Department M. Denise Dowd MD, MPH, Corresponding Author M. Denise Dowd MD, MPH Division of Emergency Medical Services, Children's Mercy Hospital, Kansas City, MO. Division of Emergency Medical Services, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108. Fax: 816-983-6838; e-mail: [email protected].Search for more papers by this authorCeleste Tarantino MD, Celeste Tarantino MD Division of Emergency Medical Services, Children's Mercy Hospital, Kansas City, MO.Search for more papers by this authorTheodore M. Barnett MD, Theodore M. Barnett MD Division of Emergency Medical Services, Children's Mercy Hospital, Kansas City, MO.Search for more papers by this authorLaura Fitzmaurice MD, Laura Fitzmaurice MD Division of Emergency Medical Services, Children's Mercy Hospital, Kansas City, MO.Search for more papers by this authorJane F. Knapp MD, Jane F. Knapp MD Division of Emergency Medical Services, Children's Mercy Hospital, Kansas City, MO.Search for more papers by this author M. Denise Dowd MD, MPH, Corresponding Author M. Denise Dowd MD, MPH Division of Emergency Medical Services, Children's Mercy Hospital, Kansas City, MO. Division of Emergency Medical Services, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108. Fax: 816-983-6838; e-mail: [email protected].Search for more papers by this authorCeleste Tarantino MD, Celeste Tarantino MD Division of Emergency Medical Services, Children's Mercy Hospital, Kansas City, MO.Search for more papers by this authorTheodore M. Barnett MD, Theodore M. Barnett MD Division of Emergency Medical Services, Children's Mercy Hospital, Kansas City, MO.Search for more papers by this authorLaura Fitzmaurice MD, Laura Fitzmaurice MD Division of Emergency Medical Services, Children's Mercy Hospital, Kansas City, MO.Search for more papers by this authorJane F. Knapp MD, Jane F. Knapp MD Division of Emergency Medical Services, Children's Mercy Hospital, Kansas City, MO.Search for more papers by this author First published: 08 January 2008 https://doi.org/10.1197/j.aem.2005.07.025Citations: 16AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Objectives: To measure the hourly rate of patients evaluated and treated by resident physicians in an academic pediatric emergency department (PED) and examine differences in the rate by subspecialty and year of training. Methods: For all residents rotating in an academic, urban children's hospital PED, the rate of patients seen per hour over the course of their rotation was calculated using an electronic tracking system, EmSTAT, for calendar year 2000. Rates are reported as the mean number of patients seen per resident hour worked. Mean differences are reported for resident subspecialties (emergency medicine, pediatrics, and family practice) and postgraduate year (PGY1–PGY3), and subclass comparisons were made with an analysis of variance test with Tukey's post hoc analysis. Results: A total of 153 residents (63.4% pediatric, 18.9% family practice, and 17.7% emergency medicine) saw 24,414 patients during the study period. The makeup of the group by training year was as follows: PGY1, 20.9%; PGY2, 41.2%; and PGY3, 37.9%. For all residents, the mean rate was 1.02 patients seen per hour (pph). Significant differences in the mean number of patients seen per hour by subspecialty existed, with emergency medicine residents seeing a mean of 1.12 pph, pediatrics residents seeing 1.02 pph, and family practice residents seeing 0.93 pph (mean difference, p < 0.05 for all comparisons). Rates increased by year of training, with PGY1 seeing a mean of 0.95 pph, PGY2 seeing 0.99 pph, and PGY3 seeing 1.09 pph (mean difference, p < 0.05 for all comparisons except PGY1 vs. PGY2). Conclusions: Significant differences in the rate of patients evaluated and treated in the PED exist by resident subspecialty and year of training. Knowing these rates is helpful in evaluation of resident performance, because it allows comparison with peers. Additionally, such information may be useful for residency program evaluators to gauge the amount of patient exposure for residents. References Langdorf MI, Strange G Macneil P. Computerized tracking of emergency medicine resident clinical experience. Ann Emerg Med. 1990; 19: 764– 73. DeBehnke D, O'Brien S Leschke R. Emergency medicine resident work productivity in an academic emergency department. Acad Emerg Med. 2000; 7: 90– 2. Deveau JP, Lorenz JE Hughes MJ. Emergency medicine resident work productivity and procedural accomplishment. J Am Osteopath Assoc. 2003; 103: 291– 6. Jasani NB, O'Connor RE. An analysis of emergency medicine resident productivity by patient load, relative value units, and level of training [abstract]. Acad Emerg Med. 1999; 6: 409. Lamb GA, Weinberger HL, Schneiderman H, Goldstein B. Systematic utilization of data for analysis of pediatric emergency room experience. Pediatrics. 1975; 55: 266– 74. Stone KS, Stapczynski S, Thomas SH, Koury SI. Rates of patient workups by non-emergency medicine residents in an academic emergency department. Acad Emerg Med. 1996; 3: 153– 6. EMSTAT-Cyberplus, Inc. Austin , TX . Ryan JG, Mandel FS, Sama A, Ward MF. Reliability of faculty clinical evaluations of non-emergency medicine residents during emergency department rotations. Acad Emerg Med. 1996; 3: 1124– 30. Accreditation Council for Graduate Medical Education. Outcomes project. Available at: http://www.acgme.org. Accessed Apr 24, 2005. Carraccio C, Englander R, Wolfsthal S, Martin C, Ferentz K. Educating the pediatrician of the 21st century: defining and implementing a competency-based system. Pediatrics. 2004; 113: 252– 8. Citing Literature Volume12, Issue12December 2005Pages 1240-1244 ReferencesRelatedInformation