Emergency medicine resident anesthesia training in a private vs. academic setting

Update item information
Publication Type pre-print
School or College School of Medicine
Department Surgery
Creator Madsen, Troy Edward
Other Author Fix, Megan L.; Enslow, Michael S.; Blankenship, Jay F.; Horne, Benjamin D.; Stroud, Susan K.; Barton, Erik D.; Davis, Virgil
Title Emergency medicine resident anesthesia training in a private vs. academic setting
Date 2012-01-01
Description Airway management is an essential part of any Emergency Medicine (EM) training program. Academic centers typically provide training to many learners at various training levels in a number of medical specialties during anesthesiology rotations. This potentially creates competition for intubation procedures that may negatively impact individual experiences. Objectives: We hypothesized that residents would report higher numbers of intubations and improved educational value in a private practice, rather than an academic, anesthesiology rotation. Methods: EM residents' anesthesiology training was evaluated pre and post a change in training setting from an academic institution to a private practice institution. Outcome measures included the number of self-reported intubations, resident ratings of the rotation, and the number of positive comments. Residents' evaluation was measured with: a 14-item evaluation; subjective comments, which two blinded reviewers rated as positive, negative, or neutral; and transcripts from structured interviews to identify themes related to training settings. Results: The number of intubations increased significantly in the private practice setting (4.6 intubations/day vs. 1.5 intubations/day, p < 0.001). Resident evaluations improved significantly with the private practice experience (mean scores of 3.83 vs. 2.23, p-values <0.05). Residents' impressions were also significantly higher for the private practice setting with respect to increased educational value, greater use of adjunct airway devices, and directed teaching. Conclusions: Number of intubations performed and residents' rating of the educational value were more favorable for a private practice anesthesiology rotation. Alternative settings may provide benefit for training in areas that have competition among trainees.
Type Text
Publisher Elsevier
First Page 1
Last Page 6
Language eng
Bibliographic Citation Fix, M. L., Enslow, M. S., Blankenship, J. F., Horne, B. D., Stroud, S. K., Madsen, T. E., Barton, E.D., & Davis, V. (2012). Emergency medicine resident anesthesia training in a private vs. academic setting. Journal of Emergency Medicine, 1-6.
Rights Management (c) Elsevier ; Authors pre-print from Fix, M. L., Enslow, M. S., Blankenship, J. F., Horne, B. D., Stroud, S. K., Madsen, T. E., Barton, E.D., & Davis, V. (2012). Emergency medicine resident anesthesia training in a private vs. academic setting. Journal of Emergency Medicine. doi.: 10.1016/j.jemermed.2012.08.031.
Format Medium application/pdf
Format Extent 598,320 bytes
Identifier uspace,18035
ARK ark:/87278/s6j39bc0
Setname ir_uspace
Date Created 2013-03-05
Date Modified 2013-03-05
ID 708324
Reference URL https://collections.lib.utah.edu/ark:/87278/s6j39bc0
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