The relative value of education of emergency physicians in patient outcome: A retrospective analysis at a single center in developing India

doi:10.5847/wjem.j.1920-8642.2018.02.008

Abstract

Abstract:

BACKGROUND: There is a considerable paucity with regards to the research available on the quality and quantity of clinical teaching in the national emergency department (ED) setups. With the onset of the age of modern medicine, the outlook towards to the time worn tradition of triage and detailed medical evaluation must be revoked. Despite the variety of programs being conducted in the country, a comparable entity common to all is patients’ clinical outcomes which can be measured using simple parameters which can be easily acquired compiling hospital registry entries.
METHODS: A retrospective observational study was conducted in the emergency department of Max Hospital, Saket, New Delhi. A period of 22 months prior to the start of the program and like-wise 22 months after initiation of the program was collected from the hospital registry. The Emergency Medicine program in consideration was the Masters in emergency Medicine (MEM) Program affiliated with George Washington University, NY, USA. Patients of all age groups and gender registering in the Emergency Department and so were all the doctors working in the ED before and after initiation of the program.
RESULTS: An improvement was noted in terms of total admissions through the ED per month, average length of stay of admitted as well as discharged patients; return to ED within 24 hours; leave against medical advice and patient complaints. A reduction was noted in number of discharges from the ED. Despite a numerical worsening on the patient’s death in ED a graphical improvement can be noted considering the month wise representation of data.
CONCLUSION: We can make a coherent conclusion that there is an improvement in the outcome of the entire patient related aspects in the Emergency Department considering the all two time frames included in the study. The difference can be very well attributed to the integration of the structural Academic Program in the development of the Emergency Physicians. This leads us to make a conclusive analysis regarding a positive impact of the Relative Value of Education of Emergency Physicians not only in patient outcome but also in physicians and administrative outlook towards an overall better emergency care.

Key words: Education, Emergency physicians

Shastri Vandana, Singh Shubnum, Kole Tamorish. The relative value of education of emergency physicians in patient outcome: A retrospective analysis at a single center in developing India[J]. World Journal of Emergency Medicine, 2018, 9(2): 130-135.

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References 6

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Time frame	Months	Number	Mean	SD	SD of mean
2009-2010	22	36,145	1,642.95	368.29	78.52
2012-2013	22	36,440	1,656.36	295.203	62.938

Time frame	Months	Number	Mean	SD	SD of mean
2009-2010	22	15,021	682.77	145.731	31.07
2012-2013	22	18,940	860.91	140.307	29.914

Time frame	Months	Number	Mean	SD	SD of mean
2009-2010	22	20,476	930.73	247.666	52.803
2012-2013	22	18,991	863.23	189.054	40.307

Parameters	Time frame	Number
ALOS admitted patients	2009-2010	22	2:55:35	1:46:33	0:22:43
ALOS admitted patients	2012-2013	22	4:40:08	4:29:32	0:57:28
ALOS discharged patients	2009-2010	22	2:22:46	1:30:13	0:19:14
ALOS discharged patients	2012-2013	22	3:58:10	2:18:28	0:29:31

Time frame	Months	Number	Mean	SD	SD of mean
2009-2010	22	72	3.27	3.807	0.812
2012-2013	22	31	1.41	1.681	0.358