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Fellowships in international emergency medicine in the USA: a comparative survey of program directors' and fellows' perspectives on the curriculum.
Postgrad Med J. 2014 Jan; 90(1059):3-7.PM

Abstract

OBJECTIVE

Experts have proposed core curriculum components for international emergency medicine (IEM) fellowships. This study examined perceptions of program directors (PDs) and fellows on whether IEM fellowships cover these components, whether their perspectives differ and the barriers preventing fellowships from covering them.

METHODS

From 1 November 2011 to 30 November 2011, a survey was administered to PDs, current fellows and recent graduates of the 34 US IEM fellowships. Respondents quantified their fellowship experience in six proposed core curriculum areas: emergency medicine (EM) systems development, EM education, humanitarian assistance, public health, emergency medical services and disaster medicine. Analysis was performed regarding what per cent of programmes fulfil the six curriculum areas. A paired t test determined the difference between PDs' and fellows' responses. Agreement between PDs and fellows within the same programme was determined using a κ statistic.

RESULTS

Only 1/18 (6%) (according to fellows) to 2/24 (8%) (according to PDs) of programmes expose fellows to all six components. PDs consistently reported higher exposure than fellows. The difference in mean score between PDs and fellows was statistically significant (p<0.05) in three of the 6 (50%) core curriculum elements: humanitarian aid, public health and disaster medicine. Per cent agreement between PDs and fellows within each programmes ranged from poor to fair.

CONCLUSIONS

While IEM fellowships have varying structure, this study highlights the importance of further discussion between PDs and fellows regarding delineation and objectives of core curriculum components. Transparent curricula and open communication between PDs and fellows may reduce differences in reported experiences.

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Authors+Show Affiliations

Jacquet GA
Department of Emergency Medicine, Johns Hopkins University School of Medicine, , Baltimore, Maryland, USA.
Vu A
No affiliation info available
Ewen WB
No affiliation info available
Hansoti B
No affiliation info available
Andescavage S
No affiliation info available
Price D
No affiliation info available
Suter RE
No affiliation info available
Bayram JD
No affiliation info available

MeSH

Career ChoiceCurriculumEmergency MedicineFellowships and ScholarshipsFemaleFocus GroupsHumansMalePhysician ExecutivesSocieties, MedicalUnited States

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23964131

Citation

Jacquet, Gabrielle A., et al. "Fellowships in International Emergency Medicine in the USA: a Comparative Survey of Program Directors' and Fellows' Perspectives On the Curriculum." Postgraduate Medical Journal, vol. 90, no. 1059, 2014, pp. 3-7.
Jacquet GA, Vu A, Ewen WB, et al. Fellowships in international emergency medicine in the USA: a comparative survey of program directors' and fellows' perspectives on the curriculum. Postgrad Med J. 2014;90(1059):3-7.
Jacquet, G. A., Vu, A., Ewen, W. B., Hansoti, B., Andescavage, S., Price, D., Suter, R. E., & Bayram, J. D. (2014). Fellowships in international emergency medicine in the USA: a comparative survey of program directors' and fellows' perspectives on the curriculum. Postgraduate Medical Journal, 90(1059), 3-7. https://doi.org/10.1136/postgradmedj-2012-131714
Jacquet GA, et al. Fellowships in International Emergency Medicine in the USA: a Comparative Survey of Program Directors' and Fellows' Perspectives On the Curriculum. Postgrad Med J. 2014;90(1059):3-7. PubMed PMID: 23964131.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fellowships in international emergency medicine in the USA: a comparative survey of program directors' and fellows' perspectives on the curriculum. AU - Jacquet,Gabrielle A, AU - Vu,Alexander, AU - Ewen,William B, AU - Hansoti,Bhakti, AU - Andescavage,Steven, AU - Price,David, AU - Suter,Robert E, AU - Bayram,Jamil D, Y1 - 2013/08/20/ PY - 2013/8/22/entrez PY - 2013/8/22/pubmed PY - 2014/10/1/medline KW - Accident & Emergency Medicine KW - Education & Training (see Medical Education & Training) KW - Medical Education & Training KW - Public Health SP - 3 EP - 7 JF - Postgraduate medical journal JO - Postgrad Med J VL - 90 IS - 1059 N2 - OBJECTIVE: Experts have proposed core curriculum components for international emergency medicine (IEM) fellowships. This study examined perceptions of program directors (PDs) and fellows on whether IEM fellowships cover these components, whether their perspectives differ and the barriers preventing fellowships from covering them. METHODS: From 1 November 2011 to 30 November 2011, a survey was administered to PDs, current fellows and recent graduates of the 34 US IEM fellowships. Respondents quantified their fellowship experience in six proposed core curriculum areas: emergency medicine (EM) systems development, EM education, humanitarian assistance, public health, emergency medical services and disaster medicine. Analysis was performed regarding what per cent of programmes fulfil the six curriculum areas. A paired t test determined the difference between PDs' and fellows' responses. Agreement between PDs and fellows within the same programme was determined using a κ statistic. RESULTS: Only 1/18 (6%) (according to fellows) to 2/24 (8%) (according to PDs) of programmes expose fellows to all six components. PDs consistently reported higher exposure than fellows. The difference in mean score between PDs and fellows was statistically significant (p<0.05) in three of the 6 (50%) core curriculum elements: humanitarian aid, public health and disaster medicine. Per cent agreement between PDs and fellows within each programmes ranged from poor to fair. CONCLUSIONS: While IEM fellowships have varying structure, this study highlights the importance of further discussion between PDs and fellows regarding delineation and objectives of core curriculum components. Transparent curricula and open communication between PDs and fellows may reduce differences in reported experiences. SN - 1469-0756 UR - https://www.unboundmedicine.com/medline/citation/23964131/Fellowships_in_international_emergency_medicine_in_the_USA:_a_comparative_survey_of_program_directors'_and_fellows'_perspectives_on_the_curriculum_ L2 - https://pmj.bmj.com/lookup/pmidlookup?view=long&amp;pmid=23964131 DB - PRIME DP - Unbound Medicine ER -