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Quality of care in emergency medicine was measured using 26 questions on treatment choices for various clinical conditions. Each question had six responses, including a single correct choice. Effect size was obtained by dividing the total difference in score by the standard deviation of the score distribution. Confidence in emergency medicine was rated using four self-reported items on the level of confidence in treating acute illnesses in various emergency medicine settings.\nResults\n\nThe mean score for quality of care was significantly higher in the new PGME group (15.3) compared to the old PGME group (12.8). The difference in scores was 2.5 (p \u003c 0.01) and the effect size (0.47) indicated a moderate difference. Linear regression of total scores adjusted for physician covariates produced similar results of an adjusted score difference of 2.5 (p \u003c 0.01) and an adjusted effect size of 0.47. 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Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. 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The New Japanese Postgraduate Medical Education and Quality of Emergency Medical Care
http://hdl.handle.net/2241/117838
http://hdl.handle.net/2241/117838b442cc20-c0e9-40a2-af1d-922c6b87e05a
名前 / ファイル | ライセンス | アクション |
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JEM_43-3.pdf (74.0 kB)
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Item type | Journal Article(1) | |||||
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公開日 | 2012-11-09 | |||||
タイトル | ||||||
タイトル | The New Japanese Postgraduate Medical Education and Quality of Emergency Medical Care | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Tokuda, Yasuharu
× Tokuda, Yasuharu× Goto, Eiji× Otaki, Junji× Omata, Fumio× Shapiro, Mina× Soejima, Kumiko× Ishida, Yasushi× Ohde, Sachiko× Takahashi, Osamu× Fukui, Tsuguya |
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著者別名 |
徳田, 安春
× 徳田, 安春 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background The new postgraduate medical education (PGME) was recently introduced to improve quality of emergency care in Japan. Objectives To compare the quality of care and confidence in provision of emergency medicine between physicians who completed the old and new PGME programs. Methods A cross-sectional survey was sent to 279 physicians of postgraduate years 4–9, and 208 responses (75%) were received. Quality of care in emergency medicine was measured using 26 questions on treatment choices for various clinical conditions. Each question had six responses, including a single correct choice. Effect size was obtained by dividing the total difference in score by the standard deviation of the score distribution. Confidence in emergency medicine was rated using four self-reported items on the level of confidence in treating acute illnesses in various emergency medicine settings. Results The mean score for quality of care was significantly higher in the new PGME group (15.3) compared to the old PGME group (12.8). The difference in scores was 2.5 (p < 0.01) and the effect size (0.47) indicated a moderate difference. Linear regression of total scores adjusted for physician covariates produced similar results of an adjusted score difference of 2.5 (p < 0.01) and an adjusted effect size of 0.47. The new PGME group also had significantly greater confidence in provision of emergency medicine based on significant differences between the groups for all four self-reported items (all p < 0.05). Conclusions Japanese physicians who complete the new PGME program are likely to provide higher quality of care and have greater confidence in emergency medicine compared to those who completed the old PGME program. |
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書誌情報 |
The Journal of emergency medicine 巻 43, 号 3, p. 494-501, 発行日 2012-09 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0736-4679 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA10629806 | |||||
PubMed番号 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 21397433 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.jemermed.2011.01.020 | |||||
権利 | ||||||
権利情報 | © 2012 Elsevier Inc. NOTICE: this is the author’s version of a work that was accepted for publication in The Journal of emergency medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in PUBLICATION, Volume 43, Issue 3, September 2012, DOI:10.1016/j.jemermed.2011.01.020 |
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著者版フラグ | ||||||
値 | author | |||||
出版者 | ||||||
出版者 | Elsevier Inc. | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2241/117838 | |||||
識別子タイプ | HDL |