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Four- and Three-year Emergency Medicine Residency Graduates Perform Similarly in Their First Year of Practice Compared to Experienced Physicians by Dhimitri A. Nikolla; Mark S. Zocchi; Jesse M. Pines; Amy H. Kaji; Arvind Venkat; Michael S. Beeson; Jestin N. Carlson is a Medicine article available to read on EtoBox.
What is Four- and Three-year Emergency Medicine Residency Graduates Perform Similarly in Their First Year of Practice Compared to Experienced Physicians about?
Introduction United States emergency medicine (EM) post-graduate training programs vary in training length, either 4 or 3 years. However, it is unknown if clinical care by graduates from the two curricula differs in the early post-residency period. Methods We performed a retrospective observational study comparing measures of clinical care and practice patterns between new graduates from 4- and 3-year EM programs with experienced new physician hires as a reference group. We included emergency department (ED) encounters from a national EM group (2016–19) between newly hired physicians from 4- and 3- year programs and experienced new hires (>2 years' experience) during their first year of practice with the group. Primary outcomes were at the physician-shift level (patients per hour and relative value units [RVUs] per hour) and encounter-level (72-h return visits with admission/transfer and discharge length of stay [LOS]). Secondary outcomes included discharge opioid prescription rates, test ordering, computer tomography (CT) use, and admission/transfer rate. We compared outcomes using multivariable linear regression models that included patient, shift, and facility-day characteristic
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- Author
- Dhimitri A. Nikolla; Mark S. Zocchi; Jesse M. Pines; Amy H. Kaji; Arvind Venkat; Michael S. Beeson; Jestin N. Carlson
- Publisher
- Elsevier BV
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)