ORIGINAL ARTICLE

Investigating the impact of the Emergency Department's overcrowding on educational indices and emergency deputies' satisfaction with clinical education

Mehdi Yarahmadi , Mehri Ayati

Mehdi Yarahmadi
Department of Emergency Medicine, Imam Khomeini Hospital Complex, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Email: mehdiyarahmadi2018@gmail.com

Mehri Ayati
Children's Medical Center,Faculty of Medicine,Tehran University of Medical Sciences,Tehran, Iran
Online First: April 01, 2019 | Cite this Article
Yarahmadi, M., Ayati, M. 2019. Investigating the impact of the Emergency Department's overcrowding on educational indices and emergency deputies' satisfaction with clinical education. Bali Medical Journal 8(1): 101-106. DOI:10.15562/bmj.v8i1.1230


Background: Emergency department (ED) is a useful place in terms of clinical education opportunities for medical students, residents, and even other hospital staffs. Overcrowding in ED except for the effects on the patients' fate and ED condition, it's may be effective in resident clinical education.

Aims: This study aims to investigate the effect of emergency crowding on the education of residents.

Methods: This cross-sectional study was carried out on the emergency medicine residents for 21 weeks in ED of Imam Khomeini Hospital in Tehran. This hospital is a level-1 trauma center and a training center. The crowding indexes included Occupancy Rate (OR), Residences Work-Load (RWL). The educational indexes included the amount of Trauma Team Participation (TTP), Assistance's Physical Examinations (APE), Assistance's Taken Histories (ATH), Assistance's written orders (AWO), the participation in the clinical scientific discussion, Assistance's Independently Procedures (AIP), and the number of Assistant Ultrasounds (AUS). Educational Indices, Clinical Education Satisfaction, and Residents' Viewpoints were evaluated by using a questionnaire on the amount of crowding in shift works.

Results: A total of 126 Resident Shifts were reviewed. There was a significant relationship between the useful education (UE) with OR (P = 0.006). RWL was a significant statistical relationship with all parameters except for the TTP and AUS. No relevance was found for age and sex with educational indicators. Postgraduate Year (PGY), was strongly associated with educational indicators except for TTP and AUS.

Conclusion: Emergency crowding did not adversely affect the education in term of total OR and RWL. Moreover, it has been useful and effective in educational indicators such as storytelling, conducting procedures, placing orders and physical examination.

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