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International Journal of Emergency Medicine

, 6:30

First Online: 26 July 2013Received: 19 February 2013Accepted: 08 July 2013


BackgroundThe Netherlands’ 3-year training in Emergency Medicine EM was formally approved and introduced in November 2008. To identify areas for improvement, we conducted the first evaluation of this curriculum from the residents’ perspective.

MethodsA questionnaire was composed on ten aspects of the curriculum. It contained multiple-choice, open and opinion questions; answers to the latter were classified using the Likert scale. The questionnaires were mailed to all enrolled residents.

ResultsWe mailed questionnaires to all 189 enrolled residents, and 105 responded 55.6%. Although they were satisfied with their training overall, 96.2% thought it was currently too short: 18.3% desired extension to 4 years, 76.0% to 5 and 1.9% to 6 years. Nevertheless, residents expected that they would function effectively as emergency physicians EPs after finishing their 3-year training program. Bedside teaching was assessed positively by 35.2%. All rotations were assessed positively, with the general practice rotation seen as contributing the least to the program. According to 43.7%, supervising EPs were available for consultation; 40.7% thought that, in a clinical capacity, the EP was sufficiently present during residents’ shifts. When EPs were present, 82.5% found them to be easily accessible, and 66.6% viewed them as role models. In the Emergency Medicine Departments EDs with a higher number of EPs employed, residents tended to perceive better supervision and were more likely to see their EPs as role models. While residents were stimulated to do research, actual support and assistance needed to be improved.

ConclusionAlthough overall, the current training program was evaluated positively, the residents identified four areas for improvement: 1 in training hospitals, trained EPs should be present more continuously for clinical supervision; 2 bedside teaching should be improved, 3 scientific research should be facilitated more and 4 the training program should be extended.

KeywordsEducation MESH Emergency medicine MESH The Netherlands MESH Medical staff Hospital MESH Evaluation studies as topic MESH AbbreviationsCanMEDCanadian Medical Education Directives for Specialists

CATCritical appraisal of a topic

EDEmergency department

EMEmergency medicine

EPEmergency physician

EuSEMEuropean Society for Emergency Medicine

FASTFocused assessment with sonography in trauma

KNMGRoyal Dutch Medical Association

MSRCMedical Specialist Registration Committee

NVSHANetherlands Society of Emergency Physicians

OSATObjective structured assessment of technical skill

PSAProcedural sedation and analgesia.

Electronic supplementary materialThe online version of this article doi:10.1186-1865-1380-6-30 contains supplementary material, which is available to authorized users.

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Autor: Salomon Willem Koning - Menno Iskander Gaakeer - Rebekka Veugelers


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