TABLE 2.
Comparative frequency of selected clinical and procedural experiences encountered by EM residents at rural versus academic training locations.
| Rural ED patients | Academic ED patients | p‐value | |||
|---|---|---|---|---|---|
| Experiences/100 h a | N shifts for one exposure b | Experiences/100 h a | N shifts for one exposure b | ||
| Clinical/procedural experience | |||||
| Ambulance form | 9.32 | 0.9 | 0.07 | 118.8 | <0.0001 |
| Critical care | 4.97 | 1.7 | 11.4 | 0.73 | <0.0001 |
| Laceration repair | 3.39 | 2.5 | 2.0 | 4.2 | 0.0004 |
| Splint/cast application | 1.53 | 5.5 | 0.07 | 118.8 | <0.0001 |
| Trauma evaluation | 1.19 | 7.02 | 6.72 | 1.24 | <0.0001 |
| Stroke diagnosis | 0.68 | 12.3 | 1.66 | 5.01 | 0.005 |
| Incision & drainage | 0.68 | 12.3 | 0.2 | 41.1 | 0.0002 |
| Fracture reduction | 0.4 | 21 | 0.17 | 50.4 | 0.05 |
| Procedural sedation | 0.4 | 21 | 0.55 | 15.1 | 0.44 |
| Intubation | 0.23 | 37 | 0.52 | 15.9 | 0.13 |
| STEMI diagnosis | 0.17 | 49 | 0.33 | 25.6 | 0.3 |
| Arthrocentesis | 0.17 | 49 | 0.17 | 48.9 | 0.99 |
| Cardiac arrest diagnosis | 0.11 | 73 | 0.38 | 22.2 | 0.11 |
| Complex laceration repair | 0.11 | 73 | 0.15 | 57.4 | 0.73 |
| Lumbar puncture | 0.06 | 147.5 | 0.26 | 32.3 | 0.20 |
| Vaginal delivery | 0 | — | 0.0002 | 4436 | — |
| Chest tube | 0 | — | 0.11 | 75.6 | 0.21 |
| Lateral canthotomy | 0 | — | 0 | — | — |
a
The frequency of a given clinical or procedural experience being encountered per 100 clinical hours worked by a resident.
b
The number of shifts expected to be needed to predict one exposure to a given experience. Assumes a shift length of 12 h.