Medical direction is a system of physician-directed quality control that encompasses
all aspects of pre-hospital medicine from protocol development to the actual provision
of patient care by pre-hospital providers. ‘Medical command’ refers to direct or on-line
medical direction, the type of medical direction where crews contact a base station
provider directly via radio or telephone [
[1]
]. Training residents to give medical command
1Of note, the ACGME program requirements document referred to medical command as ‘direct
medical command’ prior to July of 2017 when the phrase was then updated to ‘direct
medical oversight’.
to prehospital EMS is a requirement of the Accreditation Council for Graduate Medical
Education (ACGME) for emergency medicine (EM) residency accreditation, but little
literature exists regarding what training residents receive on this topic [
[2]
,
[3]
].Keywords
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References
- Medical oversight of EMS systems.in: Cone D.B. Emergency medical services: clinical practice and oversight. 2nd ed. Vol. 2. John Wiley & Sons, Ltd, Chichester, UK2015: 71-83
- ACGME program requirements for graduate medical education in emergency medicine.2016
- ACGME program requirements for graduate medical education in emergency medicine.https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/110_emergency_medicine_2017-07-01.pdf([accessed 27 January 2018])Date: 2017
- Basic standards for residency training in emergency medicine.([accessed 27 January 27 2018])
- Research electronic data capture (REDCap) - a metadata-driven methodology and workflow process for providing translational research informatics support.J Biomed Inform. 2009 Apr; 42: 377-381https://doi.org/10.1016/j.jbi.2008.08.010
- Emergency medicine resident involvement in EMS.Emerg Med J. 2007; 33 (doi: 10.1111/j.1553-2712.2011.01274): 385-394
- Educational feedback in the operating room: a gap between resident and faculty perceptions.Am J Surg. 2012; 204: 248-255https://doi.org/10.1016/j.amjsurg.2011.08.019
- Attending and resident satisfaction with feedback in the emergency department.Acad Emerg Med. 2009; 16 (doi: 10.1111/j.1553-2712.2009.00592): S76-81
- Burnout and satisfaction with work-life balance among US physicians relative to the general US population.Arch Intern Med. 2012; 172: 1377-1385https://doi.org/10.1001/archinternmed.2012.3199
Article Info
Publication History
Published online: April 18, 2018
Accepted:
April 17,
2018
Received in revised form:
April 16,
2018
Received:
March 21,
2018
Footnotes
☆Preliminary results were presented as a poster at the NAEMSP Annual Meeting in San Diego, CA, January 2018 and corresponding abstract was published in the January 2018 issue of Prehospital Emergency Care.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
