PRP077: Skills and Training Required for Physicians to Decrease Wait Times in Emergency Departments: A Scoping Review

Christina Young, PhD; Christopher Patey, MD, BSc, CCFP; Paul Norman, RN; Michelle Swab, MA, MLIS; Oliver Hurley, M. Env.Sc.; Shabnam Asghari, MD, PhD, MPH

Abstract

Context: Emergency departments (EDs) often act as an alternative point of care for people who do not have access to a family physician. In many areas EDs are staffed by family physicians without additional training or certification in emergency medicine beyond a family practice residency. As a result, many of these physicians do not have comprehensive training in ED efficiency. With increasing wait times and patient overcrowding occurring in EDs around the world, there is a need to develop training programs for practicing physicians to improve efficiency. However, there has been limited inquiry into the skills physicians require to decrease ED wait times or the training strategies that are effective in developing these competencies. Objective: To summarize evidence identifying the skills and training required for physicians working in EDs to decrease wait times. This review asks: (1) What skills do physicians require to decrease wait times? (2) What training strategies are effective in developing these skills? Study Design: Scoping review. The research question was developed as one component of the needs assessment to aid the development of a training program for physicians to improve wait times in EDs. Setting or Dataset: Electronic databases including Ovid MEDLINE, Embase, etc., conducted by a librarian. Articles are stored and managed in Covidence. All citations retrieved by the database searches were considered, including peer-reviewed journals, unpublished PhD dissertations, conference abstracts, and commentaries. Population studied: Articles focusing on physicians practicing in EDs. 40 articles were selected for extraction. Intervention: Training physicians working in EDs to decrease wait times. Outcome measures: The primary outcome is skills and training strategies aimed at decreasing patient wait times. The secondary outcome is content relevant to the proposed course content (e.g. patient flow, teamwork, etc.). Results: This research is in progress. A content analysis is conducted on the qualitative data extracted from all articles. The results will be available for presentation at the conference. Outcomes to be reported: This review will offer insight into the skills and training physicians require to decrease ED wait times.
Leave a Comment
Diane Harper
harperdi@med.umich.edu 11/21/2021

Good topic! It is pretty standard for us to tell patients that there will be an 8 hour weight before they are seen in an ED! Anything to change this would be great!

Jack Westfall
jwestfall@aafp.org 11/22/2021

Terrific project. Great poster and abstract. Thanks for sharing at NAPCRG

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