Present Status of the US-Style Emergency Medicine Training for the Post Graduates in Accredited Training Institutions for Fellowship of the Japanese Association for Acute Medicine

• Published in: Nihon Kyukyu Igakukai Zasshi 2009/11/15, Vol.20(11), pp.871-881
• Main Authors: Suzuki, Masaru, Hori, Shingo, Yamashita, Masatomo, Takino, Masaya, Minowa, Yoshiyuki, Honda, Hideki, Ohta, Bon, Hayashi, Hiroyuki, Terasawa, Hidekazu, Taki, Kenji, Yamada, Yoshiyasu, Akashi, Katsuya, Yamamoto, Yasuhiro
• Format: Article
• Language: English
• Subjects: medical resource; new compulsory post graduate training system; questionnaire survey
• ISSN: 0915-924X; 1883-3772
• DOI: 10.3893/jjaam.20.871

Objectives: The US-style emergency medicine (ER-style) has been considered to provide a suitable educational environment in which to complete the emergency medicine training curriculum under the new compulsory post graduate training system. However, the present status of the training for post graduates in accredited training institutions for Fellowship of the Japanese Association for Acute Medicine (JAAM) remains unclarified. The objectives were to estimate the percentage of the institute providing the ER-style training and to clarify the characteristics of those. Methods and Results: We reanalyzed the Questionnaire survey conducted by the ER Committee of the JAAM to the institutions who put forward candidates for JAAM Fellowship in 2007. Of the 408 institutes, 269 replied and those answers were analyzed. Of those, 70% provided ER-style training. Factor analysis for categorical data extracted two principal factors to characterize the ER-style training institutes. The first factor was regarded as preparation of resources for severe emergency patients, and the second factor was regarded as preparation of resources for emergency patient volume. The institutes providing the ER-style training were characterized as the hospitals that were able to accept many emergency patients but had limited resources for critical patients. Conclusions: Of the accredited training institutions for Fellowship of the JAAM, 70% provided ER-style training for post graduates. Those institutions had resources for large volume of emergency patients, but their resources had limitations to provide critical care.