Emergency medicine journal : EMJ
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Editorial Historical Article
Looking back and forward: emergency medicine in its 50th year.
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Observational Study
What do emergency physicians in charge do? A qualitative observational study.
The emergency physician in charge role has developed in many large EDs to assist with patient flow. We aimed to describe and classify the problem-solving actions that this role requires. ⋯ Emergency physicians in charge have a number of problem-solving approaches that can be readily defined. We have described and categorised these. These results are potentially useful for developing decision support software.
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Historical Article
Emergency medicine research: how far have we come and where are we heading?
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Review Historical Article
Brief history of the specialty of emergency medicine.
This is a brief overview of the development of the specialty of Emergency Medicine from small beginnings fifty years ago. It describes how the specialty evolved simultaneously in the UK and the USA and later in Australasia and Europe.
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The Accreditation Council for Graduate Medical Education (ACGME) is the governing body responsible for accrediting graduate medical training programme in the USA. The Emergency Medicine Milestones (EM-Milestones) were developed by the ACGME and American Board of Emergency Medicine as a guide and monitoring tool for the knowledge, skills, abilities and experiences to be acquired during training. Alumni surveys have been reported as a valuable resource for training programme to identify areas for improvement; however, there are few studies regarding programme improvement in emergency medicine. We aimed to use the EM-Milestones, adapted as an alumni self-assessment survey, to identify areas for training programme improvement. ⋯ Alumni self-evaluation of competence using the EM-Milestones provides valuable information concerning confidence to practice independently; these data, coupled with regular milestone evaluation of existing trainees, can identify problem areas and provide a blueprint for targeted programme improvement.