In March 2007, a supervising physician and two residents provided 24 hours of coverage daily in the acute care area with the additional 12 hours of attending coverage added to the 20 hours of mid-level coverage in the urgent care area. Prior to March 2007, there were 36 hours of attending coverage in the acute care area and 20 hours of mid-level coverage in urgent care. The ED is divided into an acute care area and a designated urgent care area. The study took place at an urban tertiary referral hospital that is a level II trauma center. This study seeks to evaluate the effect of residents upon patient flow, admission rate, and time patients spent in the emergency department (ED) before disposition (either admission or discharge). The classes consisted of four newly matriculated and 12 transfer residents (four interns, eight PGY-2 residents) from a recently closed EM program. The residents represented a class of eight postgraduate year one (PGY-1) and eight postgraduate year two (PGY-2) residents. The creation of a new residency program, along with the incorporation of 16 residents over a single year, allowed us to measure the impact an EM residency on department function. Although there are potential advantages for hospitals to assume training of EM residents, the associated costs and the concern that residents will have a negative effect on patient flow can impact establishing training programs. 3 The hospital that employs EPs trained by EM residency programs may also benefit from lower malpractice cases. suggests that employing EM residency-trained physicians provides benefits, as residency-trained EPs have lower average malpractice claims. 1 The shortage of emergency physicians (EP) supports the need for expansion of EM residencies to increase the availability of residency-trained EPs. concluded that EM is the least-represented of all residency-trained physicians in rural areas. We can also provide direct admission by ambulance to our emergency rooms at Bay Area and Doctors Regional locations.Over the past decade numerous studies have been published concerning physician shortages in the United States, including a shortage of emergency medicine (EM) physicians in rural areas. Staffed with emergency medicine physicians and specialty trained emergency nursesĪccepts most major insurance plans and MedicareĪffiliation with Corpus Christi Medical Center makes direct admission simple and seamlessįor emergency visits requiring inpatient care, ER 24/7 Portland will facilitate your admission to the hospital of your choice. Occupational medicine services including drug testing and screeningsĪccess to on-site lab and imaging services If an employee work-related accident occurs, we provide comprehensive injury or illness care, physicals and workers compensation screenings. Our campus features occupational health services including drug, breath alcohol testing and pre-employment screening services. We offer fast, convenient care, 24 hours a day, seven days a week, including holidays. Serving the surrounding Portland, Aransas Pass and Ingleside community, ER 24/7 Portland, a department of Corpus Christi Medical Center, is a conveniently located, full-service emergency room providing care for all types of acute injuries and illnesses.
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