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Emergency medicine training demographics of physicians working in rural and regional southwestern Ontario emergency departments

Published online by Cambridge University Press:  21 May 2015

Munsif Bhimani ,
Gordon Dickie ,
Shelley McLeod  and
Daniel Kim
Munsif Bhimani
Affiliation:
Division of Emergency Medicine, London Health Sciences Centre, and the Division of Emergency Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ont.
Gordon Dickie
Affiliation:
Department of Family Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ont.
Shelley McLeod
Affiliation:
Division of Emergency Medicine, London Health Sciences Centre, London, Ont.
Daniel Kim*
Affiliation:
Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ont., and (at the time of writing) Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ont.
*
1912-633 Bay St., Toronto ON M5G 2G4; [email protected]

Abstract

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Objectives:

We sought to determine the emergency medicine training demographics of physicians working in rural and regional emergency departments (EDs) in southwestern Ontario.

Methods:

A confidential 8-item survey was mailed to ED chiefs in 32 community EDs in southwestern Ontario during the month of March 2005. This study was limited to nonacademic centres.

Results:

Responses were received from 25 (78.1%) of the surveyed EDs, and demographic information on 256 physicians working in those EDs was obtained. Of this total, 181 (70.1%) physicians had no formal emergency medicine (EM) training. Most were members of the College of Family Physicians of Canada (CCFPs). The minimum qualification to work in the surveyed EDs was a CCFP in 8 EDs (32.0%) and a CCFP with Advanced Cardiac and Trauma Resuscitation Courses (ACLS and ATLS) in 17 EDs (68.0%). None of the surveyed EDs required a CCFP(EM) or FRCP(EM) certification, even in population centres larger than 50 000.

Conclusion:

The majority of physicians working in southwestern Ontario community EDs graduated from family medicine residencies, and most have no formal EM training or certification. This information is of relevance to both family medicine and emergency medicine residency training programs. It should be considered in the determination of curriculum content and the appropriate number of residency positions.

Keywords

emergency medicineruralcommunityemergency physician demographicsemergency physician trainingresidency
Type
Original Research • Recherche originale
Information
Canadian Journal of Emergency Medicine , Volume 9 , Issue 6 , November 2007 , pp. 449 - 452
Copyright
Copyright © Canadian Association of Emergency Physicians 2007

References

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