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Self-reported priorities and resources of academic emergency physicians for the maintenance of clinical competence: a pilot study

Published online by Cambridge University Press:  21 May 2015

Jonathan Sherbino ,
Suneel Upadhye  and
Andrew Worster
Jonathan Sherbino*
Affiliation:
Division of Emergency Medicine, McMaster University, Hamilton, Ont. Royal College of Physicians and Surgeons of Canada, Ottawa, Ont.
Suneel Upadhye
Affiliation:
Division of Emergency Medicine, McMaster University, Hamilton, Ont.
Andrew Worster
Affiliation:
Division of Emergency Medicine, McMaster University, Hamilton, Ont. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ont.
*
Emergency Department, Hamilton Health Sciences, 237 Barton St. E., Hamilton ON L8L 2X2; sherbino@mcmaster.ca

Abstract

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Objectives:

Medical licensing bodies and professional colleges require their members to maintain a broad spectrum of knowledge, skills and attitudes, which, when taken together, define a competent emergency physician (EP). The objectives of this pilot study were: 1) to determine the resources used by academic EPs to maintain competence and 2) to determine academic EPs' learning priorities.

Methods:

Using a modified Dillman method, we surveyed EPs from 2 Canadian academic tertiary health sciences centres.

Results:

Thirty-seven (68.5%) of 54 EPs responded. Of those responding, 14 (37.8%) attended grand rounds 3 times or more annually, and 34 (91.7%) attended a medical conference or course at least once annually. Thirty-three (89.2%) respondents read journal articles at least once monthly, with 22 (59.5%) of those reading synopses of original articles. Twenty-three (62.1%) received clinical updates via email, and 11 (29.7%) subscribed to an audio journal or podcast of reviews of original research. Among the CanMEDS roles, Medical Expert, Scholar and Manager were selected as top professional development priorities by more than one-third of respondents. The topics that were not selected as priorities by respondents included patient communication and charting (Communicator); conflict resolution skills and teamwork abilities (Collaborator); advocate for patient and promote health in emergency department populations (Health Advocate) and ethical conflict resolution (Professional).

Conclusion:

The results of this pilot study suggest that in order to maintain clinical competence in emergency medicine, traditional formats of professional development (e.g., grand rounds, print media and original research) are being substituted for independent study, online media and reviews of original research. This study also suggests a strong preference for Medical Expert topics, while Professional, Health Advocate, Collaborator and Communicator topics are not a reported priority for professional development.

Keywords

professional developmentemergency physiciancompetenceCanMEDS
Type
Education • Enseignement
Information
Canadian Journal of Emergency Medicine , Volume 11 , Issue 3 , May 2009 , pp. 230 - 234
Copyright
Copyright © Canadian Association of Emergency Physicians 2009

References

REFERENCES

1.CanMEDS 2005 Framework. Ottawa (ON): The Royal College of Physicians and Surgeons of Canada; 2005. Available: http://rcpsc.medical.org/canmeds/CanMEDS2005/index.php (accessed 2009 Mar 16).Google Scholar
2.Four principles of family medicine. Ottawa (ON): The College of Family Physicians of Canada. Available: www.cfpc.ca/English/cfpc/about%20us/principles/default.asp?s=1 (accessed 2009 Apr 2).Google Scholar
3.Schrock, JW, Cydulka, RK. Lifelong learning. Emerg Med Clin North Am 2006;24:785–95.Google Scholar
4.McCabe, JB. Emergency medicine continuous certification: Why, why now, why me? Ann Emerg Med 2002;40:342–6.Google Scholar
5.Hojat, M, Nasca, TJ, Erdmann, JB, et al. An operational measure of physician lifelong learning: its development, components and preliminary psychometric data. Med Teach 2003;25:433–7.CrossRefGoogle ScholarPubMed
6.O’Brien, AIA, Freemantle, N, Oxman, AD, et al. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database of Syst Rev 2001:CD003030Google Scholar
7.Bloom, BS. Effects of continuing medical education on improving physician clinical care and patient health: a review of systematic reviews. Int J Technol Assess Health Care 2005;21:380–5.Google Scholar
8.Dillman, DA. Mail and internet surveys: the tailored design method. 2nd ed. New York (NY): John Wiley & Sons; 2000.Google Scholar
9.Bandiera, GW, Morrison, LJ. Emergency medicine teaching faculty perceptions about formal academic sessions: –What’s in it for us? CJEM 2005;7:36–41.Google Scholar
10.Davis, DA, Thomson, MA, Oxman, AD, et al. Changing physician performance: a systematic review of the effect of continuing medical education strategies. JAMA 1995;274:700–5.CrossRefGoogle ScholarPubMed
11.Mamary, EM, Charles, P. On-site to on-line: barriers to the use of computers for continuing education. J Contin Educ Health Prof 2000;20:171–5.Google Scholar
12.Jerin, JM, Rea, TD. Web-based training for EMT continuing education. Prehosp Emerg Care 2005;9:333–7.Google Scholar
13.Haynes, RB, Cotoi, C, Holland, J, et al. Second-order peer review of the medical literature for clinical practitioners. JAMA 2006;295:1801–8.Google Scholar
14.Bandiera, G, Lendrum, D. Daily encounter cards facilitate competency-based feedback while leniency bias persists. CJEM 2008;10:44–50.Google Scholar