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{
    "pk": 61845,
    "title": "Bridging the Gap Towards Developing Emergency Medicine: ED-based and -trained Attendings Outperform Attendings from Hospital Departments Rotating in the ED",
    "subtitle": null,
    "abstract": "<p>Introduction: In Greece, Emergency Departments (EDs) are currently staffed with medical personnel without formal training in Emergency Medicine (EM). These attendings come from various medical specialty training backgrounds. The aim of the study was how ED-based attendings who have been trained in the ED for more than a year, can handle medical emergency cases compared to attendings from other medical department in terms of ED length of stay (ED-LOS). </p>\n<p>Methods: This is a retrospective observational study. We examined the “waiting time “(Time between ED arrival/triage and Time first seen by a Physician?) and the duration between when patients were first cared for in the ED by a physician until the decision to admit or discharge (“Care Time”) (Time between Seen by physician AND Disposition). We recorded time periods from 18 different days from the EMR dataset. The study was conducted in a large ED in Athens, Greece, with 120,000 ED visits per year. We enrolled 5572 medical patients who visited the ED. The IBM SPSS v.27.0 statistic program was used for statistical analysis. </p>\n<p>Results: The total “waiting time” of patients was 164.1±255.9 min and the “care time” of patients was 41.3±74.1 min. The ED-based attendings had significantly less patient waiting time (126.4±264.7 vs. 199.1±243.2, p=0.008) and fewer patients were waiting to be seen (2.1±1.9 vs. 4.6±4.1, p=0.001) than attendings from other medical department rotating in the ED. The ED-based attendings had significantly less time investigating and treating patients in the ED than the attendings from other medical departments (37.3±76.8 vs. 45.6±70.9, p=0.048). </p>\n<p>Conclusion: Our study confirms that EM training can improve the quality of care, by decreasing waiting time, workup and management time in the ED. Greater benefits should be expected as Greece develops formal EM residency training. </p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Emergency Physicians"
        },
        {
            "word": "medical attendings"
        },
        {
            "word": "Emergency Departments"
        },
        {
            "word": "Length of Stay"
        },
        {
            "word": "Waiting time"
        }
    ],
    "section": "Original Research",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0f03s04t",
    "frozenauthors": [
        {
            "first_name": "George",
            "middle_name": "",
            "last_name": "Intas",
            "name_suffix": "",
            "institution": "Other",
            "department": ""
        },
        {
            "first_name": "Mairi",
            "middle_name": "",
            "last_name": "Agrogianni",
            "name_suffix": "MD, ED",
            "institution": "General hospital of Nikaia, Agios Panteleimon",
            "department": ""
        },
        {
            "first_name": "Xanthi",
            "middle_name": "",
            "last_name": "Koufomichali",
            "name_suffix": "MD, ED",
            "institution": "General hospital of Nikaia, Agios Panteleimon",
            "department": ""
        },
        {
            "first_name": "Napoleon",
            "middle_name": "",
            "last_name": "Tsogas",
            "name_suffix": "MD, ED",
            "institution": "General hospital of Nikaia, Agios Panteleimon",
            "department": ""
        },
        {
            "first_name": "Christina",
            "middle_name": "",
            "last_name": "Lithari",
            "name_suffix": "MD, ED",
            "institution": "General hospital of Nikaia, Agios Panteleimon",
            "department": ""
        },
        {
            "first_name": "George",
            "middle_name": "",
            "last_name": "Karagiannis",
            "name_suffix": "MD, ED",
            "institution": "General hospital of Nikaia, Agios Panteleimon",
            "department": ""
        },
        {
            "first_name": "Charikleia",
            "middle_name": "",
            "last_name": "Asiki",
            "name_suffix": "MD, ED",
            "institution": "General hospital of Nikaia, Agios Panteleimon",
            "department": ""
        },
        {
            "first_name": "Dimitrios",
            "middle_name": "",
            "last_name": "Tsiftsis",
            "name_suffix": "MD, ED",
            "institution": "General hospital of Nikaia, Agios Panteleimon",
            "department": ""
        }
    ],
    "date_submitted": "2025-01-09T13:44:46+02:00",
    "date_accepted": null,
    "date_published": "2025-07-15T00:00:00+03:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_medjem/article/61845/galley/48708/download/"
        }
    ]
}