Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-27T08:12:20.370Z Has data issue: false hasContentIssue false
  • English
  • Français

Resource contribution by Canadian faculties of medicine to the discipline of emergency medicine

Published online by Cambridge University Press:  21 May 2015

Ivan P. Steiner ,
Philip W. Yoon ,
George Goldsand  and
Brian H. Rowe
Ivan P. Steiner*
Affiliation:
Department of Family Medicine, University of Alberta, Edmonton, Alta
Philip W. Yoon
Affiliation:
Department of Family Medicine, University of Alberta, Edmonton, Alta
George Goldsand
Affiliation:
Department of Medicine, University of Alberta, Edmonton, Alta
Brian H. Rowe
Affiliation:
Division of Emergency Medicine, University of Alberta, Edmonton, Alta
*
Division of Emergency Medicine, University of Alberta, Rm. 1G1.64, 8440 112 St., Edmonton AB T6G 2B7; 780 407-7047, fax 780 407-3314, [email protected]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective:

Undergraduate and postgraduate emergency medicine (EM) education has developed rapidly over the last 20 years. Our objective was to establish a national educational inventory, cataloguing the human and financial resources provided to EM programs by Canadian faculties of medicine.

Methods:

A 17-question survey was distributed to all 27 Canadian EM program directors, representing 11 Royal College of Physicians and Surgeons of Canada (RCPSC) programs and 16 College of Family Physicians of Canada (CFPC-EM) programs. The questionnaire addressed teaching responsibilities, teaching support and academic support in each program.

Results:

All 27 program directors returned valid questionnaires. Annually, an estimated 3,049 students and residents participate in EM learning. This includes 1,369 undergraduates (45%), 1,621 postgraduates (53%) and 59 others (2%). Of the postgraduates, 173 are EM residents — 92 (53%) in RCPSC programs and 81 (47%) in CFPC-EM programs. Overall, 587 EM faculty teach residents and students, but only 36 (6%) of these hold academic geographical full time positions. At the university level, all 16 CFPC-EM programs are administered by departments of family medicine. Of 11 RCPSC programs, 1 has full departmental status, 2 are free-standing divisions, 3 are administered through family medicine, 3 through medicine, 1 through surgery and 1 by other arrangements. Currently 8 programs (30%) have associate faculty, 14 (52%) have designated research directors and 10 (37%) describe other human resources. Sixteen (59%) programs receive direct financial and administrative support and 17 (63%) receive financial support for resident initiatives. Only 8 program directors (30%) perceive that they are receiving adequate support.

Conclusions:

Despite major teaching and clinical responsibilities within the faculties of medicine, Canadian EM programs are poorly supported. Further investment of human and financial and human resources is required.

Keywords

postgraduateeducationemergency medicinetraining programsfinancial support
Type
Em Advances • Progrès De La MU
Information
Canadian Journal of Emergency Medicine , Volume 3 , Issue 1 , January 2001 , pp. 13 - 18
Copyright
Copyright © Canadian Association of Emergency Physicians 2001

References

1.American Medical Association Accreditation Council for Graduate Medical Education (ACGME). ACGME requirements for certification of emergency medicine residency programs. Graduate medical education directory 1998–1999. Chicago: The Association; 1999. p. 57–62.Google Scholar
2.College of Family Physicians of Canada. Residency program accreditation and certification. Ottawa: The Association; July 1997. p. 11–27.Google Scholar
3.American Board of Emergency Medicine. Report of the Task Force on Residency Training Information (1998–1999). Ann Emerg Med 1999;33:529–45.CrossRefGoogle Scholar
4.Bullard, MJ, Shiumn-Jen, L, Jin-Chang, C.Emergency medicine development in Taiwan. Ann Emerg Med 1996; 28:542–8.CrossRefGoogle ScholarPubMed
5.Society for Academic Emergency Medicine. Research directions in emergency medicine [position paper]. Acad Emerg Med 1996;3:274–6.CrossRefGoogle Scholar
6.Biros, M.Emergency medicine research: Where are we now and where do we need to be? Acad Emerg Med 1997;4:1101–3.CrossRefGoogle ScholarPubMed
7.Carden, DL, Dronen, SC, Gehrig, G, Zalenski, RJ.Funding strategies for emergency medicine. Acad Emerg Med 1998;5:168–76.CrossRefGoogle ScholarPubMed
8.Handler, TA, Freid, CF.The state of emergency medicine research. Acad Emerg Med 1998;5:745.CrossRefGoogle ScholarPubMed
9.Ling, L.Proceedings of the future of emergency medicine research conference. Part I: executive summary. Ann Emerg Med 1998;31:155–9.CrossRefGoogle ScholarPubMed
10.Rowe, BH, Sukhrani, N, Sher A: CAEP/AMUQ 1999 scientific abstract competition: results and future directions. CJEM 1999;1(3):165–8.CrossRefGoogle ScholarPubMed
11.Royal College of Physicians and Surgeons of Canada. General standards of accreditation. Ottawa: The Association; Sept 1997. p. 2–13.Google Scholar
12.Shea, S, Nickerson, KG, Tenenbaum, J, Morris, TQ, Rabinowitz, D, O’Donnell, K, et al. Compensation to a department of medicine and its faculty members for the teaching of medical students and house staff. N Engl J Med 1996;334:162–7.CrossRefGoogle ScholarPubMed
13.Association of Canadian Medical Colleges. Canadian post-MD educational registry (CAPER); annual census of post MD trainees. Ottawa: The Association. 1998–1999. p. 22.Google Scholar
14.McHugh, DF, Driscoll, PA.Accident and emergency medicine in the United Kingdom. Ann Emerg Med 1999;33:702–9.Google ScholarPubMed
15.David, SS, Selvaranjini, S, Thoma, M.Incorporation of emergency medicine in the undergraduate curriculum. Natl Med J India 1997;10:80–1.Google ScholarPubMed
16.Klausner, JM, Rozin, RR.Undergraduate education in emergency medicine and initial management of trauma causalities in Israel. Mil Med 1987;152:458–61.Google Scholar
17.Burdick, WP, Jouriles, NJ, D’Onofrio, G, Kass, LE, Mahoney, JF, Restifo, KM.SAEM. Emergency medicine in undergraduate education. Acad Emerg Med 1998;11:1105–10.CrossRefGoogle Scholar
18.De Behnke, DJ, Restifo, KM, Mahoney, JF, Coates, WC.SAEM Undergraduate Curriculum Committee: Undergraduate curriculum. Acad Emerg Med 1998;11:1110–3.CrossRefGoogle Scholar
19.ACEP. Guidelines for undergraduate education in emergency medicine. Ann Emerg Med 1997;29:835.Google Scholar
20.Binder, L, Colohan, D, Dick, W, Nimitz, B, Donchin, J, Ohashi, N.Postgraduate training in emergency medicine. Prehospital Disaster Med 1993;8:69–75.CrossRefGoogle Scholar
21.Sanders, AB, Spaite, DW, Smith, R, Criss, E.Allocation of time in three academic specialties. J Emerg Med 1988;6:435–7.CrossRefGoogle ScholarPubMed
22.Meislin, HW, Spaite, DW, Valenzuela, TD.Meeting the goals of academia: characteristics of emergency medicine faculty academic work styles. Ann Emerg Med 1992;21:298–302.CrossRefGoogle ScholarPubMed
23.Wright, SW, Slovis, CM.Tenure track in emergency medicine. Ann Emerg Med 1997;30:622–5.CrossRefGoogle ScholarPubMed
24.Bernstein, E, James, T, Bernstein, J.Sabbatical programs and the status of academic emergency medicine: a survey. Acad Emerg Med 1999;6:932–8.CrossRefGoogle ScholarPubMed
25.Gerace, R, McCauley, W.Emergency medicine: progress, frustration and controversy. CMAJ 1997;157:1683–4.Google ScholarPubMed
26.Steiner, IP, Yoon, PW, Holroyd, BR.Manpower crisis in emergency medicine: Can residency programs make a difference? CJEM 2000;2(2):103–5.CrossRefGoogle Scholar
27.Gallagher, EJ, Schropp, MA, Henneman, PL.Changing status of academic emergency medicine. Acad Emerg Med 1997;4:746–51.CrossRefGoogle ScholarPubMed
28.Gallagher, EJ, Henneman, PL.Changes in academic attributes associated with establishment of departments of emergency medicine. Acad Emerg Med 1998;5:1091–5.CrossRefGoogle ScholarPubMed
29.Iserson, KV, Adams, J, Cordell, WH, Graff, L, Halamka, J, Ling, L, et al. Academic emergency medicine’s future: the SAEM Task Force on emergency medicine’s future. Acad Emerg Med 1999;6:137–44.Google ScholarPubMed