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Air-Medical Transport Experience in Emergency Medicine Residencies: Then and Now

Published online by Cambridge University Press:  28 June 2012

Nelson Tang ,
Kim Fredericksen ,
Lauren Sauer ,
Buddy Kozen ,
Horace Liang  and
Arjun S. Chanmugam
Nelson Tang*
Affiliation:
The Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland, USA The Johns Hopkins University Center for Law Enforcement Medicine, Baltimore, Maryland, USA
Kim Fredericksen
Affiliation:
The Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland, USA
Lauren Sauer
Affiliation:
The Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland, USA
Buddy Kozen
Affiliation:
The Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland, USA The Johns Hopkins University Center for Law Enforcement Medicine, Baltimore, Maryland, USA
Horace Liang
Affiliation:
The Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland, USA
Arjun S. Chanmugam
Affiliation:
The Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland, USA
*
Department of Emergency MedicineThe Johns Hopkins Medical Institutions5801 Smith AvenueDavis Building, Suite 3220Baltimore, Maryland 21209USA E-mail: ntang@jhmi.edu
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Abstract

Objective:

The appropriate activation and effective utilization of air-medical transport (AMT) services is an important skill for emergency medicine physicians in the United States.Previous studies have demonstrated variability with regards to emergency medical services (EMS) experience during residency training. This study was designed to evaluate the nature and extent of AMT training of the emergency medicine residency programs in the United States.

Methods:

An identity-unlinked survey of the program directors of all Accreditation Committee for Graduate Medical Education (ACGME) approved emergency medicine residency programs was conducted.The survey focused on EMS and AMT resident training opportunities and was conducted in two phases (1999 and 2006) using near-identical methodologies.

Results:

Response rates of 82% and 84% were achieved in 1999 and 2006, respectively. Percentages of programs offering AMT experiences were similar between the two study phases (76% in 1999 and 65% in 2006). The roles of residents during AMT experiences ranged widely between observer-only, active team member, and medical director/team leader in both 1999 and 2006. Compared to those in 1999, programs in 2006 demonstrated a greater frequency of EMS rotations being provided earlier, by year of training during emergency medicine residency. Residencies located in non-metropolitan centers only were slightly more likely to offer AMT training than were those in metropolitan locations.

Conclusions:

A majority of emergency medicine residency programs offer AMT experience that includes both scene responses and inter-facility transports. The role of residents during AMT training varies widely, as does the timing of their experiences during residency. The geographical locations of programs do not appear to impact the availability of AMT training.

Keywords

air-medical transporteducationemergency medical servicesresidency training
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 24 , Issue 3 , June 2009 , pp. 247 - 252
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2009

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