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The Effect of Emergency Department Crowding on Education: Blessing or Curse?
Author(s) -
Shayne Philip,
Lin Michelle,
Ufberg Jacob W.,
Ankel Felix,
Barringer Kelly,
MorganEdwards Sarah,
DeIorio Nicole,
Asplin Brent
Publication year - 2009
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/j.1553-2712.2008.00261.x
Subject(s) - crowding , medicine , blessing , crowding out , graduate medical education , accreditation , emergency department , curse , affect (linguistics) , medical education , nursing , psychology , sociology , archaeology , communication , neuroscience , anthropology , monetary economics , economics , history
Emergency department (ED) crowding is a national crisis that contributes to medical error and system inefficiencies. There is a natural concern that crowding may also adversely affect undergraduate and graduate emergency medicine (EM) education. ED crowding stems from a myriad of factors, and individually these factors can present both challenges and opportunities for education. Review of the medical literature demonstrates a small body of evidence that education can flourish in difficult clinical environments where faculty have a high clinical load and to date does not support a direct deleterious effect of crowding on education. To provide a theoretical framework for discussing the impact of crowding on education, the authors present a conceptual model of the effect of ED crowding on education and review possible positive and negative effects on each of the six recognized Accreditation Council for Graduate Medical Education (ACGME) core competencies.