%0 Journal Article
%T A National Survey of Turkish Emergency Residents¡¯ Perspectives Regarding Interventional Skills
%A Adnan B£¿LGE
%A Feriyde £¿ALI£¿KAN T¨¹R
%A Sava£¿ SEZ£¿K
%A Ersin AKSAY
%J Turkish Journal of Emergency Medicine
%D 2012
%I KARE Publishing
%X Objectives: The aim of our study was to investigate the perceptions of the emergency medicine residents regarding their skill level for interventional procedures. Methods: A questionnaire with 17 questions was given between June 2011 and October 2011 to all emergency medicine residents who had been working in university hospitals (UHs) and training and educational hospitals (ETHs). A visual analogous scale was used to determine perception of skills, where closed-end questions were used in order to determine the number of skills made during the education. Results: A total of 493 residents were enrolled in the study which included subjects from 31 UHs and 18 ETHs. Emergency medicine residents in UHs indicated that the number of interventions performed for acquiring skills during the education of emergency medical proficiency (UH VAS=5.60¡À2.86, ETH VAS=4.55¡À2.99, p<0.001), and the skill level for performing these interventions (UH VAS=6.61¡À2.40, ETH VAS=6.01¡À2.83, p=0.01) were superior when compared to the emergency medicine residents in ETHs. The three most successful interventions for all emergency medicine residents were found to be defibrillation/cardioversion (VAS=6.85¡À3.07), endotracheal intubation (VAS=6.80¡À3.19) and paracentesis (VAS=6.31¡À3.78) respectively. Measurement of intraocular pressure (VAS=0.91¡À1.93), emergent thoracotomy (VAS=1.10¡À2.09), extracting foreign body with biomicroscope (VAS=1.18¡À2.41), cricothyrotomy (VAS=1.44¡À3.36), retrograde intubation (VAS=1.46¡À2.57), repairing of extensor tendon (VAS=1.80¡À2.56), emergent labor (VAS=1.89¡À2.65), administration of thrombolytic treatment (VAS=2.44¡À3.26) and arthrocentesis (VAS=2.61¡À3.34) were determined as the most inadequate interventional procedures. Conclusions: It was discovered that emergency medicine residents feel incompetent for many interventions in the training program for emergeny medicine. The number of interventions performed for acquiring the adequate skills during the education of emergency medical proficiency and the skill level for performing these interventions for the emergency medicine residents in UHs were superior compared to the emergency medicine residents in ETHs.
%K Training for emergency medicine
%K emergency medicine resident training
%K interventional skills
%K effectiveness of interventional skills
%K visual analog scale.
%U http://dx.doi.org/10.5505/1304.7361.2012.78790