Table 2. PEM faculty responses to questions about factors that faculty employ to regulate the participation of an EM resident in patient care during rotations in a PED.
EM: emergency medicine; PGY: postgraduate year; PEM: pediatric emergency medicine; PED: pediatric emergency department
Decision to see patients, n (%) | Decision to allow procedures, n (%) | Decision to offer autonomy, n (%) | |
Patient-related factors | |||
Patient acuity | 19 (61.3) | 29 (93.5) | |
Procedural difficulty | 25 (83.3) | ||
Parent consent | 0 (0) | 3 (9.7) | 1 (3.2) |
Resident-related factors | |||
Attending assessment of the resident’s ability | 22 (71.0) | 28 (90.3) | 30 (96.8) |
Resident’s level of training (PGY) | 19 (61.3) | 25 (80.6) | 29 (93.5) |
Resident’s confidence | 13 (41.9) | 23 (74.2) | 21 (67.7) |
Resident’s personality | 6 (19.4) | 8 (26.7) | 14 (45.2) |
Resident’s program affiliation | 11 (35.5) | 7 (23.3) | 10 (32.3) |
Environmental related factors | |||
Presence of an EM Fellow | 16 (51.6) | 20 (66.7) | 14 (45.2) |
Conditions of the department (flow) | 1 (3.2) | 4 (13) | 2 (6.5) |
Competition between learners | 0 (0) | 8 (25.8) | 0 (0.0) |
Faculty-related factors | |||
How well attending faculty knows the resident | 21 (67.7) | 23 (74.2) | 31 (100) |
Resident’s education needs as determined by the faculty | 3 (9.7) | 3 (9.7) | 0 (0.0) |