• Logo
  • SBMUJournals

Specialist Physicians’ Attitude towards Emergency Medicine; a Semi-Structured Qualitative Study

Shahrooz Tabrizi, Amir Nejati, Saharnaz Nedjat, Seyed Mojtaba Aghili
394

Views

PDF

Abstract

Introduction: The present study is a survey to assess the pros and cons of emergency medicine (EM) from the viewpoint of the scholars from other medicine disciplines to improve the efficiency of EM in the healthcare system. Methods: This is a semi-structured qualitative study. Face-to-face interviews with various physicians with different specialties were performed to gather information on their viewpoints. Study population was selected mainly based on their history of collaboration with emergency medicine specialists in several educational hospitals in Tehran, Iran. All interviews were recorded and then transcribed to paper. Data were mainly categorized and reported into four themes: 1) general aspects of emergency medicine, goals and policies 2) Management of emergency department 3) Educational aspects 4) therapeutic aspects. Results: 22 specialist physicians with the mean age of 47.3±7.6 years were studied (77.3% male). The average of their work experience as a specialist was 13.6±7.5 years. From the viewpoint of other experts, the establishment of EM and training of EM specialists is accompanied with relative disadvantages and advantages regarding goals and policies, patient management, therapeutic interventions and student education in the emergency department. Initiating resuscitation and maintaining hemodynamic stability and appropriate triage of the patients can add to the benefits of EM by preventing unreasonable hospitalization, and reducing the workload and difficulty of the work of other professionals working in the hospital. Conclusions: Based on the results of the current study, it seems that most Iranian specialist physicians have a positive attitude towards emergency medicine and think that emergency medicine could have beneficial effects for the health system and hospital management system.


Keywords

Emergency medicine; emergency service, hospital; attitude of health personnel

References

Alagappan K, Holliman C. History of the development of international emergency medicine. Emergency medicine clinics of North America. 2005;23(1):1-10.

Sklar D, Handel D, Hoekstra J, Baren J, Zink B, Hedges J. The future of emergency medicine: an evolutionary perspective. Academic medicine: journal of the Association of American Medical Colleges. 2010;85(3):490-5.

Smith J, Shokoohi H, Holliman J. The search for common ground: developing emergency medicine in Iran. Academic emergency medicine: official journal of the Society for Academic Emergency Medicine. 2007;14(5):457-62.

MEMBERS WG, Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, et al. Heart disease and stroke statistics—2014 update: a report from the American Heart Association. circulation. 2014;129(3):e28.

Carande-Kulis V, Stevens J, Florence C, Beattie B, Arias I. A cost-benefit analysis of three older adult fall prevention interventions. Journal of safety research. 2015;52:65-70.

Anderson P, Petrino R, Halpern P, Tintinalli J. The globalization of emergency medicine and its importance for public health. Bulletin of the World Health Organization. 2006;84(10):835-9.

Hirshon J, Morris D. Emergency medicine and the health of the public: the critical role of emergency departments in US public health. Emergency medicine clinics of North America. 2006;24(4):815-9.

Morrison A, Roman B, Borges N. Psychiatry and emergency medicine: medical student and physician attitudes toward homeless persons. Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry. 2012;36(3):211-5.

Hogan T, Chan S, Hansoti B. Multidimensional attitudes of emergency medicine residents toward older adults. The western journal of emergency medicine. 2014;15(4):511-7.

Yordanov Y, Sobotka J, Dahan B, Jacquin L, Kalpokdjian A, Pateron D. Emergency medicine as a primary specialty-French emergency medicine residents' attitudes. CJEM. 2015;17(6):689-91.

Jelinek G, Weiland T, Mackinlay C. Supervision and feedback for junior medical staff in Australian emergency departments: findings from the emergency medicine capacity assessment study. BMC medical education. 2010;10:74-.

Nelson K, Connor M, Wensley C, Moss C, Pack M, Hussey T. People who present on multiple occasions to emergency departments. Emergency medicine Australasia: EMA. 2011;23(5):532-40.

Pollock DA, Lowery DW, O'brien PM. Emergency medicine and public health: new steps in old directions. Annals of emergency medicine. 2001;38(6):675-83.

Baratloo A, Maleki M. Iranian emergency department overcrowding. Journal of Emergency Practice and Trauma. 2015;1(2):39.

Baratloo A, Maleki M. Description of a Working Day as a Senior Emergency Medicine Resident; Burning Candle at Both Ends! Emergency (Tehran, Iran). 2015;3(1):1-.

Chartier LB, Cheng AH, Stang AS, Vaillancourt S. Quality improvement primer part 1: Preparing for a quality improvement project in the emergency department. Canadian Journal of Emergency Medicine. 2017:1-8.

Chang AM, Lin A, Fu R, McConnell KJ, Sun B. Associations of Emergency Department Length of Stay With Publicly Reported Quality‐of‐care Measures. Academic Emergency Medicine. 2017;24(2):246-50.

Hashemi B, Baratloo A, Rahmati F, Forouzanfar M, Motamedi M, Safari S. Emergency Department Performance Indexes Before and After Establishment of Emergency Medicine. Emergency (Tehran, Iran). 2013;1(1):20-3.

Baratloo A, Rahmati F, Forouzanfar MM, Hashemi B, Motamedi M, Safari S. Evaluation of Performance Indexes of Emergency Department. Iranian Journal of Emergency Medicine. 2015;2(1):33-8.

Ten Eyck RP, Tews M, Ballester JM. Improved medical student satisfaction and test performance with a simulation-based emergency medicine curriculum: a randomized controlled trial. Annals of emergency medicine. 2009;54(5):684-91.

Shapiro M, Morey J, Small S, Langford V, Kaylor C, Jagminas L, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Quality and Safety in Health Care. 2004;13(6):417-21.

Reznek M, Smith‐Coggins R, Howard S, Kiran K, Harter P, Sowb Y, et al. Emergency Medicine Crisis Resource Management (EMCRM): Pilot study of a simulation‐based crisis management course for emergency medicine. Academic Emergency Medicine. 2003;10(4):386-9.

Mirzazadeh A, Mortaz HS, Jalili M, Asghari F, Labaf A, Sedaghat SM, et al. Defining a competency framework: the first step toward competency-based medical education. Acta medica Iranica. 2013;52(9):710-6.

King A, Matheson E, San Miguel C, Greenberger S, Barrie M, McGrath J, et al. Novel Emergency Medicine Curriculum Utilizing Self-Directed Learning and the Flipped Classroom Method: Gastrointestinal Emergencies Small Group Module. Journal of Education and Teaching in Emergency Medicine. 2017;2(1).

Dagnone JD, McGraw R, Howes D, Messenger D, Bruder E, Hall A, et al. How we developed a comprehensive resuscitation-based simulation curriculum in emergency medicine. Medical teacher. 2016;38(1):30-5.




DOI: https://doi.org/10.22037/emergency.v6i1.17006

Refbacks

  • There are currently no refbacks.