Emergency medicine Australasia : EMA
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Emerg Med Australas · Apr 2010
Editorial CommentInterns in the ED: the real challenges of increasing numbers.
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Emerg Med Australas · Apr 2010
Investigating moderate to severe paediatric trauma in the Auckland region.
To investigate differences between paediatric patients with moderate to severe trauma admitted from two paediatric ED, with respect to: demographics, patterns of presentation, mechanism of injury, injury severity scores (ISS), interventions and outcome. ⋯ This study suggests that there are no differences in the numbers or severity of paediatric trauma patients admitted from the Starship and KidzFirst ED. This indicates triage is to the closest ED despite having a tertiary referral centre for paediatric trauma available in Auckland City.
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Emerg Med Australas · Apr 2010
Letter Case ReportsAcute appendicitis and cecal diverticulitis in a young woman.
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Emerg Med Australas · Apr 2010
ReviewThe capacity of Australian ED to absorb the projected increase in intern numbers.
As a reaction to the medical workforce shortage in Australia, a large expansion of undergraduate medical education has occurred through the provision of funding of additional medical student places. As a consequence, the number of medical graduates is anticipated to increase by as much as 90% with a peak in numbers anticipated in 2012. With ED already under pressure, this increase has serious implications for ED, particularly the delivery of intern and student teaching. ⋯ We discuss the possible impact of an increased number of medical graduates on emergency medical staff, education, supervision and feedback to interns, and given the potential impacts on the education of junior doctors; we review the purpose and implementation of the Australian Curriculum framework for Junior Doctors in relation to their learning requirements. Although there is consensus by most postgraduate bodies that the core emergency term in emergency medicine should be retained, the impact of increased intern numbers might dramatically affect the clinical experiences, supervision and educational resources in the ED. This might necessitate cultural changes in medical education and ED function.