A case‐study of the experiences of junior medical officers in the emergency departments of a metropolitan hospital and rural hospital
Objective Increased exposure to post‐graduate rural medical training is associated with increased likelihood of future rural practice. Training rotations in rural emergency departments provide a possible avenue for such exposure, but have been under‐investigated. This study aimed to compare junior m...
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| Veröffentlicht in: | The Australian journal of rural health 2019-12, Vol.27 (6), p.476-481 |
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| container_title | The Australian journal of rural health |
| container_volume | 27 |
| creator | Bonney, Andrew Mullan, Judy Hammond, Athena Burns, Pippa Yeo, Georgia Thomson, Brett Flynn, Sharon Carrigan, Tom |
| description | Objective
Increased exposure to post‐graduate rural medical training is associated with increased likelihood of future rural practice. Training rotations in rural emergency departments provide a possible avenue for such exposure, but have been under‐investigated. This study aimed to compare junior medical officers' emergency department experiences in a metropolitan and a rural hospital to inform rural health workforce initiatives.
Design
Mixed‐method case‐study design.
Setting
Two 10‐week periods in the respective emergency departments.
Participants
Four junior medical officers at the rural site and 22 junior medical officers at the metropolitan hospital.
Main outcome measures
Caseloads extracted from electronic medical records and training experience.
Results
Data were collected over 142 days. The average number of patients seen per day, per junior medical officer, was significantly higher at the rural hospital emergency department (7.2 patients per day) in comparison with the metropolitan hospital (4.3 patients per day). Junior medical officers at the rural hospital saw relatively more lower acuity patients. The seven junior medical officers who were interviewed provided consistently positive responses regarding their training experiences in both locations. This was particularly evident in the rural hospital and was attributed to one‐on‐one supervision.
Conclusions
Most junior medical officers agreed that their expectations for support and learning opportunities were met and/or exceeded. However, junior medical officers reported feeling more supported at the rural hospital due to direct contact and communication with senior medical officers. Placement in a smaller hospital emergency department did not disadvantage the junior medical officers' training in this case‐study and provided a positive rural training experience. These findings support workforce policies which encourage rural hospital emergency department training. |
| doi_str_mv | 10.1111/ajr.12526 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2312548735</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2312548735</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3536-2dc265e59171d5e1e54173e8a66c2f23d3ff4ad827868f1b5453601e225475523</originalsourceid><addsrcrecordid>eNp1kc1O3DAUha0KVOi0i75AZakbusjg38RZjhDlR0hIqF1HxrkpHiVxaieC2bFj22fkSbiQgUUlvPHV0XeOrXsI-crZkuM5tOu45EKL_APZ50qxjGujdnBm0mRaGLFHPqW0ZoyVjKuPZE_yvOSKs33ysKLOJni8_5fGqd7Q0NDxBijcDRA99A7Ss7Seeh8i7aD2zraoNN5BTNT3M91B_IPwhtYw2Dh20I8vPouWMYYhtH60Pb0JacChpbavaZwiTq_SZ7Lb2DbBl-29IL9_Hv86Os0uLk_OjlYXmZNa5pmoncg16JIXvNbAQSteSDA2z51ohKxl0yhbG1GY3DT8Wit0MQ5CaFVoLeSCHMy5Qwx_J0hj1fnkoG1tD2FKlZC4SGUKfG1Bvv-HrsMUe_wdUpIVQpWlQerHTLkYUorQVEP0nY2birPquZ0K26le2kH22zZxusZdvpGvdSBwOAO3voXN-0nV6vxqjnwCwZmaHg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2330724998</pqid></control><display><type>article</type><title>A case‐study of the experiences of junior medical officers in the emergency departments of a metropolitan hospital and rural hospital</title><source>MEDLINE</source><source>Wiley Journals</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Bonney, Andrew ; Mullan, Judy ; Hammond, Athena ; Burns, Pippa ; Yeo, Georgia ; Thomson, Brett ; Flynn, Sharon ; Carrigan, Tom</creator><creatorcontrib>Bonney, Andrew ; Mullan, Judy ; Hammond, Athena ; Burns, Pippa ; Yeo, Georgia ; Thomson, Brett ; Flynn, Sharon ; Carrigan, Tom</creatorcontrib><description>Objective
Increased exposure to post‐graduate rural medical training is associated with increased likelihood of future rural practice. Training rotations in rural emergency departments provide a possible avenue for such exposure, but have been under‐investigated. This study aimed to compare junior medical officers' emergency department experiences in a metropolitan and a rural hospital to inform rural health workforce initiatives.
Design
Mixed‐method case‐study design.
Setting
Two 10‐week periods in the respective emergency departments.
Participants
Four junior medical officers at the rural site and 22 junior medical officers at the metropolitan hospital.
Main outcome measures
Caseloads extracted from electronic medical records and training experience.
Results
Data were collected over 142 days. The average number of patients seen per day, per junior medical officer, was significantly higher at the rural hospital emergency department (7.2 patients per day) in comparison with the metropolitan hospital (4.3 patients per day). Junior medical officers at the rural hospital saw relatively more lower acuity patients. The seven junior medical officers who were interviewed provided consistently positive responses regarding their training experiences in both locations. This was particularly evident in the rural hospital and was attributed to one‐on‐one supervision.
Conclusions
Most junior medical officers agreed that their expectations for support and learning opportunities were met and/or exceeded. However, junior medical officers reported feeling more supported at the rural hospital due to direct contact and communication with senior medical officers. Placement in a smaller hospital emergency department did not disadvantage the junior medical officers' training in this case‐study and provided a positive rural training experience. These findings support workforce policies which encourage rural hospital emergency department training.</description><identifier>ISSN: 1038-5282</identifier><identifier>EISSN: 1440-1584</identifier><identifier>DOI: 10.1111/ajr.12526</identifier><identifier>PMID: 31691410</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Acuity ; Australia ; Caseloads ; Computerized medical records ; Departments ; Electronic health records ; Electronic medical records ; emergency department ; Emergency medical services ; Emergency Service, Hospital ; Emergency services ; Exposure ; Female ; Health initiatives ; Hospitals, Rural ; Hospitals, Urban ; Humans ; Interviews as Topic ; junior doctors ; Linear Models ; Male ; Medical education ; Medical records ; Medical Staff, Hospital - psychology ; medical workforce ; Middle Aged ; Nursing ; Organizational Case Studies ; Patients ; Qualitative Research ; Rural areas ; Rural communities ; rural health ; Training ; Workforce</subject><ispartof>The Australian journal of rural health, 2019-12, Vol.27 (6), p.476-481</ispartof><rights>2019 National Rural Health Alliance Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3536-2dc265e59171d5e1e54173e8a66c2f23d3ff4ad827868f1b5453601e225475523</citedby><cites>FETCH-LOGICAL-c3536-2dc265e59171d5e1e54173e8a66c2f23d3ff4ad827868f1b5453601e225475523</cites><orcidid>0000-0003-2477-1646</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fajr.12526$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fajr.12526$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31691410$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bonney, Andrew</creatorcontrib><creatorcontrib>Mullan, Judy</creatorcontrib><creatorcontrib>Hammond, Athena</creatorcontrib><creatorcontrib>Burns, Pippa</creatorcontrib><creatorcontrib>Yeo, Georgia</creatorcontrib><creatorcontrib>Thomson, Brett</creatorcontrib><creatorcontrib>Flynn, Sharon</creatorcontrib><creatorcontrib>Carrigan, Tom</creatorcontrib><title>A case‐study of the experiences of junior medical officers in the emergency departments of a metropolitan hospital and rural hospital</title><title>The Australian journal of rural health</title><addtitle>Aust J Rural Health</addtitle><description>Objective
Increased exposure to post‐graduate rural medical training is associated with increased likelihood of future rural practice. Training rotations in rural emergency departments provide a possible avenue for such exposure, but have been under‐investigated. This study aimed to compare junior medical officers' emergency department experiences in a metropolitan and a rural hospital to inform rural health workforce initiatives.
Design
Mixed‐method case‐study design.
Setting
Two 10‐week periods in the respective emergency departments.
Participants
Four junior medical officers at the rural site and 22 junior medical officers at the metropolitan hospital.
Main outcome measures
Caseloads extracted from electronic medical records and training experience.
Results
Data were collected over 142 days. The average number of patients seen per day, per junior medical officer, was significantly higher at the rural hospital emergency department (7.2 patients per day) in comparison with the metropolitan hospital (4.3 patients per day). Junior medical officers at the rural hospital saw relatively more lower acuity patients. The seven junior medical officers who were interviewed provided consistently positive responses regarding their training experiences in both locations. This was particularly evident in the rural hospital and was attributed to one‐on‐one supervision.
Conclusions
Most junior medical officers agreed that their expectations for support and learning opportunities were met and/or exceeded. However, junior medical officers reported feeling more supported at the rural hospital due to direct contact and communication with senior medical officers. Placement in a smaller hospital emergency department did not disadvantage the junior medical officers' training in this case‐study and provided a positive rural training experience. These findings support workforce policies which encourage rural hospital emergency department training.</description><subject>Acuity</subject><subject>Australia</subject><subject>Caseloads</subject><subject>Computerized medical records</subject><subject>Departments</subject><subject>Electronic health records</subject><subject>Electronic medical records</subject><subject>emergency department</subject><subject>Emergency medical services</subject><subject>Emergency Service, Hospital</subject><subject>Emergency services</subject><subject>Exposure</subject><subject>Female</subject><subject>Health initiatives</subject><subject>Hospitals, Rural</subject><subject>Hospitals, Urban</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>junior doctors</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medical education</subject><subject>Medical records</subject><subject>Medical Staff, Hospital - psychology</subject><subject>medical workforce</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Organizational Case Studies</subject><subject>Patients</subject><subject>Qualitative Research</subject><subject>Rural areas</subject><subject>Rural communities</subject><subject>rural health</subject><subject>Training</subject><subject>Workforce</subject><issn>1038-5282</issn><issn>1440-1584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kc1O3DAUha0KVOi0i75AZakbusjg38RZjhDlR0hIqF1HxrkpHiVxaieC2bFj22fkSbiQgUUlvPHV0XeOrXsI-crZkuM5tOu45EKL_APZ50qxjGujdnBm0mRaGLFHPqW0ZoyVjKuPZE_yvOSKs33ysKLOJni8_5fGqd7Q0NDxBijcDRA99A7Ss7Seeh8i7aD2zraoNN5BTNT3M91B_IPwhtYw2Dh20I8vPouWMYYhtH60Pb0JacChpbavaZwiTq_SZ7Lb2DbBl-29IL9_Hv86Os0uLk_OjlYXmZNa5pmoncg16JIXvNbAQSteSDA2z51ohKxl0yhbG1GY3DT8Wit0MQ5CaFVoLeSCHMy5Qwx_J0hj1fnkoG1tD2FKlZC4SGUKfG1Bvv-HrsMUe_wdUpIVQpWlQerHTLkYUorQVEP0nY2birPquZ0K26le2kH22zZxusZdvpGvdSBwOAO3voXN-0nV6vxqjnwCwZmaHg</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Bonney, Andrew</creator><creator>Mullan, Judy</creator><creator>Hammond, Athena</creator><creator>Burns, Pippa</creator><creator>Yeo, Georgia</creator><creator>Thomson, Brett</creator><creator>Flynn, Sharon</creator><creator>Carrigan, Tom</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2477-1646</orcidid></search><sort><creationdate>201912</creationdate><title>A case‐study of the experiences of junior medical officers in the emergency departments of a metropolitan hospital and rural hospital</title><author>Bonney, Andrew ; Mullan, Judy ; Hammond, Athena ; Burns, Pippa ; Yeo, Georgia ; Thomson, Brett ; Flynn, Sharon ; Carrigan, Tom</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3536-2dc265e59171d5e1e54173e8a66c2f23d3ff4ad827868f1b5453601e225475523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acuity</topic><topic>Australia</topic><topic>Caseloads</topic><topic>Computerized medical records</topic><topic>Departments</topic><topic>Electronic health records</topic><topic>Electronic medical records</topic><topic>emergency department</topic><topic>Emergency medical services</topic><topic>Emergency Service, Hospital</topic><topic>Emergency services</topic><topic>Exposure</topic><topic>Female</topic><topic>Health initiatives</topic><topic>Hospitals, Rural</topic><topic>Hospitals, Urban</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>junior doctors</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical education</topic><topic>Medical records</topic><topic>Medical Staff, Hospital - psychology</topic><topic>medical workforce</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Organizational Case Studies</topic><topic>Patients</topic><topic>Qualitative Research</topic><topic>Rural areas</topic><topic>Rural communities</topic><topic>rural health</topic><topic>Training</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bonney, Andrew</creatorcontrib><creatorcontrib>Mullan, Judy</creatorcontrib><creatorcontrib>Hammond, Athena</creatorcontrib><creatorcontrib>Burns, Pippa</creatorcontrib><creatorcontrib>Yeo, Georgia</creatorcontrib><creatorcontrib>Thomson, Brett</creatorcontrib><creatorcontrib>Flynn, Sharon</creatorcontrib><creatorcontrib>Carrigan, Tom</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The Australian journal of rural health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bonney, Andrew</au><au>Mullan, Judy</au><au>Hammond, Athena</au><au>Burns, Pippa</au><au>Yeo, Georgia</au><au>Thomson, Brett</au><au>Flynn, Sharon</au><au>Carrigan, Tom</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case‐study of the experiences of junior medical officers in the emergency departments of a metropolitan hospital and rural hospital</atitle><jtitle>The Australian journal of rural health</jtitle><addtitle>Aust J Rural Health</addtitle><date>2019-12</date><risdate>2019</risdate><volume>27</volume><issue>6</issue><spage>476</spage><epage>481</epage><pages>476-481</pages><issn>1038-5282</issn><eissn>1440-1584</eissn><abstract>Objective
Increased exposure to post‐graduate rural medical training is associated with increased likelihood of future rural practice. Training rotations in rural emergency departments provide a possible avenue for such exposure, but have been under‐investigated. This study aimed to compare junior medical officers' emergency department experiences in a metropolitan and a rural hospital to inform rural health workforce initiatives.
Design
Mixed‐method case‐study design.
Setting
Two 10‐week periods in the respective emergency departments.
Participants
Four junior medical officers at the rural site and 22 junior medical officers at the metropolitan hospital.
Main outcome measures
Caseloads extracted from electronic medical records and training experience.
Results
Data were collected over 142 days. The average number of patients seen per day, per junior medical officer, was significantly higher at the rural hospital emergency department (7.2 patients per day) in comparison with the metropolitan hospital (4.3 patients per day). Junior medical officers at the rural hospital saw relatively more lower acuity patients. The seven junior medical officers who were interviewed provided consistently positive responses regarding their training experiences in both locations. This was particularly evident in the rural hospital and was attributed to one‐on‐one supervision.
Conclusions
Most junior medical officers agreed that their expectations for support and learning opportunities were met and/or exceeded. However, junior medical officers reported feeling more supported at the rural hospital due to direct contact and communication with senior medical officers. Placement in a smaller hospital emergency department did not disadvantage the junior medical officers' training in this case‐study and provided a positive rural training experience. These findings support workforce policies which encourage rural hospital emergency department training.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31691410</pmid><doi>10.1111/ajr.12526</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-2477-1646</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1038-5282 |
| ispartof | The Australian journal of rural health, 2019-12, Vol.27 (6), p.476-481 |
| issn | 1038-5282 1440-1584 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2312548735 |
| source | MEDLINE; Wiley Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Acuity Australia Caseloads Computerized medical records Departments Electronic health records Electronic medical records emergency department Emergency medical services Emergency Service, Hospital Emergency services Exposure Female Health initiatives Hospitals, Rural Hospitals, Urban Humans Interviews as Topic junior doctors Linear Models Male Medical education Medical records Medical Staff, Hospital - psychology medical workforce Middle Aged Nursing Organizational Case Studies Patients Qualitative Research Rural areas Rural communities rural health Training Workforce |
| title | A case‐study of the experiences of junior medical officers in the emergency departments of a metropolitan hospital and rural hospital |
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