Pediatric residents in the emergency department: what is their experience?

Annals of Emergency Medicine
M A Del Beccaro, R P Shugerman

Abstract

We sought to describe the spectrum of illness and number of patients seen by pediatric residents rotating through a pediatric ED. Our study was set in the ED of a 200-bed referral children's hospital providing services exclusive of major trauma. We conducted a retrospective review of the database of all visits to the ED between July 1992 and June 1995. Our subjects were 19 pediatric residents who started residency in July 1992 and ended residency in June 1995. Ninety-one other pediatric residents completed individual ED rotations during the same period. The study ED had 70,129 visits between July 1, 1992, and June 30, 1995. The study residents saw a median of 467 patients per resident (range, 290 to 604) during their 3-year residencies. The range of patients seen per resident for the diagnosis of asthma was 35 to 86, that for otitis media was 16 to 110, and that for fever or sepsis was 17 to 62. Similarly large ranges were seen for other diagnoses evaluated and procedures performed by residents. The proportions of the study residents who never saw a case of pyloric stenosis, intussusception, or diabetic ketoacidosis in the ED were 37%, 32%, and 32%, respectively. The number and type of patients seen by individual residents in t...Continue Reading

References

Jul 1, 1990·Annals of Emergency Medicine·M I LangdorfP Macneil
Jul 1, 1986·Annals of Emergency Medicine·G C HamiltonJ Wiegenstein
May 27, 1968·JAMA : the Journal of the American Medical Association·E F LenoskiW A Wingert

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Citations

Feb 20, 2003·Pediatric Emergency Care·Derek S WheelerW Bradley Poss
Apr 17, 2003·Pediatric Emergency Care·Kathryn A Bowen, Thomas M Ball
May 26, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Joshua NaglerRichard G Bachur
Dec 2, 2011·Journal of Graduate Medical Education·Matthew R MittigaJavier A Gonzalez Del Rey
Jul 23, 2014·Journal of Paediatrics and Child Health·Jeevani Ranaweera, Simon Craig
Dec 1, 2003·Medical Education Online·Joseph V DobsonRollin Nagel
Mar 24, 2017·AEM Education and Training·Heather HouseJoshua Nagler
Sep 19, 1998·Current Problems in Pediatrics·J T Kanegaye
Aug 17, 2021·Pediatric Emergency Care·Shannon S WaiChristopher Cannavino

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