Dataset Information

Implementation of Scribes in an Academic Emergency Department: The Resident Perspective.

ABSTRACT:

Background?

Medical scribes have been shown to improve emergency department (ED) throughput, physician productivity metrics, and patient satisfaction by fulfilling primary documentation and nonclinical functions. Little research has been done to date to study the effect of implementing a scribe program in a residency setting.

Objective?

Our goal was to investigate emergency medicine residents' perception of their educational experience, including interactions with faculty, before and after the implementation of an ED scribe program.

Methods?

We used a pre-post design to assess residents' perceptions of their educational experience before and after implementation of the scribe program. Residents at a large, urban academic medical center with an Accreditation Council for Graduate Medical Education-accredited, 4-year emergency medicine residency program were surveyed during August 2015 (prior to the implementation of the scribe program) and April 2016 (6 months after implementation).

Results?

Residents reported improved educational experiences with statistically significant changes in the following areas: increased interaction with faculty due to fewer documentation requirements (P?=?.012); more face-to-face teaching with faculty (P?P?=?.016); and a decrease of delays in patient disposition due to incomplete documentation (P?=?.029).

Conclusions?

Implementation of an ED scribe program in an urban 4-year emergency medicine residency program led to improvements in residents' perceptions of their education.

SUBMITTER: Ou E

PROVIDER: S-EPMC5559251 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Publications

Implementation of Scribes in an Academic Emergency Department: The Resident Perspective.

Ou Evan E Mulcare Mary M Clark Sunday S Sharma Rahul R

Journal of graduate medical education 20170801 4

<h4>Background</h4>Medical scribes have been shown to improve emergency department (ED) throughput, physician productivity metrics, and patient satisfaction by fulfilling primary documentation and nonclinical functions. Little research has been done to date to study the effect of implementing a scribe program in a residency setting.<h4>Objective</h4>Our goal was to investigate emergency medicine residents' perception of their educational experience, including interactions with faculty, before an ...[more]

PMID: 28824769

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Project description:BackgroundAcademic and non-academic emergency departments (EDs) are regularly compared in clinical operations benchmarking despite suggestion that the two groups may differ in their clinical operations characteristics. and outcomes. We sought to describe and compare clinical operations characteristics of academic versus non-academic EDs.MethodsWe performed a descriptive, comparative analysis of academic and non-academic adult and general EDs with 40,000+ annual encounters, using the Academy of Academic Administrators of Emergency Medicine (AAAEM)/Association of Academic Chairs of Emergency Medicine (AACEM) and Emergency Department Benchmarking Alliance (EDBA) survey results. We defined academic EDs as primary teaching sites for emergency medicine (EM) residencies and non-academic EDs as sites with minimal resident involvement. We constructed the academic and non-academic cohorts from the AAAEM/AACEM and EDBA surveys, respectively, and analyzed metrics common to both surveys.ResultsEighty and 454 EDs met inclusion criteria for academic and non-academic EDs, respectively. Academic EDs had more median annual patient encounters (73,001 vs 54,393), lower median proportion of pediatric patients (6.3% vs 14.5%), higher median proportion of EMS patients (27% vs 19%), and were more commonly designated as Level I or II Trauma Centers (94% vs 24%). Median patient arrival-to-provider times did not differ (26 vs 25 min). Median length-of-stay was longer (277 vs 190 min) for academic EDs, and left-before-treatment-complete was higher (5.7% vs 2.9%). MRI utilization was higher for academic EDs (2.2% patients with at least one MRI vs 1.0 MRIs performed per 100 patients). Patients-per-hour of provider coverage was lower for academic EDs with and without consideration for advanced practice providers and residents.ConclusionsDemographic and operational performance measures differ between academic and non-academic EDs, suggesting that the two groups may be inappropriate operational performance comparators. Causes for the differences remain unclear but the differences appear not to be attributed solely to the academic mission.

Dataset Information

Implementation of Scribes in an Academic Emergency Department: The Resident Perspective.

Background?

Objective?

Methods?

Results?

Conclusions?

Publications

Implementation of Scribes in an Academic Emergency Department: The Resident Perspective.

Similar Datasets

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