The Effect of Emergency Department Overcrowding on Efficiency of Emergency Medicine Residents’ Education
EMERGENCY ,
Vol. 3 No. 4 (2015),
15 August 2015
,
Page pp. 146-149
https://doi.org/10.22037/emergency.v3i4.7998
Abstract
Introduction: Creating a calm and stress-free environment affects education significantly. The effects of the emergency department overcrowding (EDO) on the training of emergency medicine residents (EMR) is a highly debated subject. Therefore, this study aimed to evaluate the effect of EDO on efficiency of EMR’s education. Methods: In this cross-sectional study, the effects of overcrowding on EMR’s education in the resuscitation room and acute care unit. Data collection was done using a questionnaire, which was filled out by the second year EMRs. The crowding level was calculated based on the national emergency department overcrowding scale (NEDOCS). The relationship between the two studied variables was evaluated using independent sample t-test and SPSS 21 statistical software. Results: 130 questionnaires were filled out during 61 shifts. 47 (77.05%) shifts were overcrowded. The attend’s ability to teach was not affected by overcrowding in the resuscitation room (p=0.008). The similar results were seen regarding the attend’s training ability in the acute care unit. Conclusion: It seems that the emergency department overcrowding has no effect on the quality of education to the EMRs.- Crowding
- emergency department
- education
- resistance training
References
Biggs J, Tang C. Teaching for quality learning at university: McGraw-Hill International; 2011. 23-7 p.
Heydari GR, Ramezankhani A, Hosseini M, Yousefifard M, Masjedi MR. Evaluation of knowledge, attitude and practice about smoking among male teachers in Tehran, Iran. Payesh. 2010;10(4):355-61. [In Persian].
Bishop K, Denley P. Learning science teaching: McGraw-Hill International; 2007. 33-5 p.
Hosseini M, Bekry G, Mozaffari HR, et al. Effect of Educational Intervention on Oral Health Behaviour based on Health Belief Model in Female Secondary School Students of Paveh in 2011. Ed Res Med Sci J. 2014;2(3):2-9.
Kariman H, Joorabian J, Shahrami A, Alimohammadi H, Noori Z, Safari S. Accuracy of emergency severity index of triage in Imam Hossein hospital-Tehran, Iran (2011). J Gorgan Uni Med Sci. 2013;15(1):115-20. [In Persian].
Baratloo A, Maleki M. Description of a Working Day as a Senior Emergency Medicine Resident; Burning Candle at Both Ends! Emergency. 2015;3(1):pp. 1.
Nath B, Kumari R, Kamboj N. National Social Service Scheme: Integration in Medical Education. Ind J Commun Health. 2014;26(1):1-2.
Mann KV. Theoretical perspectives in medical education: past experience and future possibilities. Med Educ. 2011;45(1):60-8.
Baratloo A, Maleki M. Iranian emergency department overcrowding. Journal of Emergency Practice and Trauma. 2015;1(2).
van Dinther M, Dochy F, Segers M. Factors affecting students’ self-efficacy in higher education. Educ Res Revi. 2011;6(2):95-108.
Pines JM, Hilton JA, Weber EJ, et al. International perspectives on emergency department crowding. Acad Emerg Med. 2011;18(12):1358-70.
Esmaeilpour M, Salsali M, Ahmadi F. Workplace violence against Iranian nurses working in emergency departments. Int Nurs Rev. 2011;58(1):130-7.
Smith JP, Shokoohi H, Holliman JC. The search for common ground: developing emergency medicine in Iran. Acad Emerg Med. 2007;14(5):457-62.
Atzema C, Bandiera G, Schull MJ, Coon TP, Milling Jr TJ. Emergency department crowding: the effect on resident education. Ann Emerg Med. 2005;45(3):276-81.
Sabbah S. The impact of hospital overcrowding on postgraduate education: an emergency medicine resident’s perspective through the lens of CanMEDS. CJEM. 2009;11(3):247-9.
Warden G, Griffin R, Erickson S, et al. Hospital-based emergency care: at the breaking point. Washington, DC, USA: National Academies Press; 2006. 65 p.
Schull MJ, Slaughter PM, Redelmeier D. Urban emergency department overcrowding: defining the problem and eliminating misconceptions. Can J Emerg Med. 2002;4(2):76-83.
Weiss SJ, Derlet R, Arndahl J, et al. Estimating the degree of emergency department overcrowding in academic medical centers: results of the National ED Overcrowding Study (NEDOCS). Acad Emerg Med. 2004;11(1):38-50.
Aldeen AZ, Gisondi MA. Bedside teaching in the emergency department. Acad Emerg Med. 2006;13(8):860-6.
Pines JM, Prabhu A, McCusker CM, Hollander JE. The effect of ED crowding on education. Am J Emerg Med. 2010;28(2):217-20.
Skeff KM, Bowen JL, Irby DM. Protecting time for teaching in the ambulatory care setting. Acad Med. 1997;72(8):694-7.
Mahler SA, McCartney JR, Swoboda TK, Yorek L, Arnold TC. The Impact of Emergency Department Overcrowding on Resident Education. J Emerg Med. 2012;42(1):69-73.
McCoy S, Emer S. Higher education expansion and differentiation in the Republic of Ireland. High Educ. 2011;61(3):243-60.
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