The relative value of education of emergency physicians in patient outcome: A retrospective analysis at a single center in developing India

作     者：Shastri Vandana Singh Shubnum Kole Tamorish 

作者机构：Department of Emergency Medicine and Max Institute of Medical Excellence Max Super Specialty Hospital 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2018年第9卷第2期

页      面：130-135页

核心收录：

学科分类：100218[医学-急诊医学] 1002[医学-临床医学] 1010[医学-医学技术（可授医学、理学学位）] 10[医学] 

基　　金：supported by Department of Emergency Medicine and Max Institute of Medical Excellence Max Super Specialty Hospital Saket Delhi 110017 India 

主　　题：Education Emergency physicians 

摘      要：BACKGROUND: There is a considerable paucity with regards to the research available on the quality and quantity of clinical teaching in the national emergency department(ED) setups. With the onset of the age of modern medicine, the outlook towards to the time worn tradition of triage and detailed medical evaluation must be revoked. Despite the variety of programs being conducted in the country, a comparable entity common to all is patients clinical outcomes which can be measured using simple parameters which can be easily acquired compiling hospital registry ***: A retrospective observational study was conducted in the emergency department of Max Hospital, Saket, New Delhi. A period of 22 months prior to the start of the program and like-wise 22 months after initiation of the program was collected from the hospital registry. The Emergency Medicine program in consideration was the Masters in emergency Medicine(MEM) Program affiliated with George Washington University, NY, USA. Patients of all age groups and gender registering in the Emergency Department and so were all the doctors working in the ED before and after initiation of the ***: An improvement was noted in terms of total admissions through the ED per month, average length of stay of admitted as well as discharged patients; return to ED within 24 hours; leave against medical advice and patient complaints. A reduction was noted in number of discharges from the ED. Despite a numerical worsening on the patient s death in ED a graphical improvement can be noted considering the month wise representation of ***: We can make a coherent conclusion that there is an improvement in the outcome of the entire patient related aspects in the Emergency Department considering the all two time frames included in the study. The difference can be very well attributed to the integration of the structural Academic Program in the development of the Emergency Physicians. This leads us to make a co