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Perceived impact of physician-in-triage on resident education

Published:November 24, 2018DOI:https://doi.org/10.1016/j.ajem.2018.11.036
      Emergency department (ED) overcrowding is a problem that has deleterious consequences for both patients and providers. Complications from such a burden on the ED include prolonged wait times, patient dissatisfaction, decreased productivity, and increased patient mortality [
      • Rowe B.
      • Guo X.
      • Villa-Roel C.
      • et al.
      The role of triage liaison physicians on mitigating overcrowding in emergency departments: a systematic review.
      ,
      • Imperato J.
      • Morris D.S.
      • Binder D.
      • et al.
      Physician in triage improves emergency department patient throughput.
      ]. The physician-in-triage (PIT) model has become increasingly popular in ED settings with results suggestive of a positive impact on ED throughput [
      • Weston V.
      • Aldeen A.
      • Gravenor S.
      • Jain S.
      • Schmidt M.
      • Malik S.
      Effectiveness of resident physicians as triage liaison providers in an academic emergency department.
      ,
      • Wiler J.
      • Gentle C.
      • Halfpenny J.
      • et al.
      Optimizing emergency department front-end operations.
      ,
      • Choi Y.
      Triage rapid initial assessment by doctor (TRIAD) improves waiting time and processing time of the emergency department.
      ,
      • Bullard M.J.
      • Villa-Roel C.
      • Guo X.
      • et al.
      The role of a rapid assessment zone/pod on reducing overcrowding in emergency departments: a systematic review.
      ]. Our ED implemented a novel PIT, termed the Rapid Assessment Team (RAT), exclusively for patients arriving via emergency medical services (EMS). The objective of this study is to explore the impact of our PIT model on resident and attending perceptions of EM resident education and patient care.
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      References

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