Evidence map›Paper›PMID 29209788›Full record

ReviewDer Anaesthesist2018

[Reform of emergency physician training in Austria : Finally up to date?]

H Trimmel, M Baubin, J Kreutziger, G Frank, G Prause

Abstract readReview
PubMed Publisher
In one paragraph

Review in Der Anaesthesist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Observational
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

H TrimmelAbteilung für Anästhesie, Notfall- und Allgemeine Intensivmedizin, Landesklinikum Wiener Neustadt, Corvinusring 3-5, 2700, Wiener Neustadt, Niederösterreich, Österreich. Helmut.Trimmel@wienerneustadt.lknoe.at.
M BaubinUniversitätsklinik für Anästhesie und Intensivmedizin, Medizinische Universität Innsbruck, Innsbruck, Tirol, Österreich.
J KreutzigerUniversitätsklinik für Anästhesie und Intensivmedizin, Medizinische Universität Innsbruck, Innsbruck, Tirol, Österreich.
G FrankAbteilung für Anästhesiologie und Intensivmedizin, Landesklinikum Horn, Horn, Niederösterreich, Österreich.
G PrauseKlinische Abteilung für Allgemeine Anästhesiologie, Notfall- und Intensivmedizin, Universitätsklinikum Graz, Graz, Österreich.
Innsbruck Medical University · ATDeutsche Gesellschaft für Anästhesiologie und Intensivmedizin · DEFachhochschule Wiener Neustadt · ATFachklinik Hornheide · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the last 20 years Austrian prehospital emergency medical services (EMS) have significantly improved. The structure and organization of Austrian EMS comply with European standards but training requirements for prehospital EMS physicians are insufficient when compared with other countries. Although some EMS systems follow the German or Swiss postgraduate training concepts, the legal requirements in Austria defining the scope of mandatory training for physicians in the prehospital setting are only minimal. Thus, besides board certification as a general practitioner or specialist of any discipline, the only formal requirement is a 1-week theoretical course comprising some manikin simulations. Experience in anesthesia or intensive care medicine is still not mandatory. The Austrian Society of Anesthesiology, Resuscitation and Intensive Care Medicine (ÖGARI) drafted a reform paper in 2009, which was adapted by the Austrian Chamber of Physicians, section of emergency medicine, and subsequently presented to the Austrian Ministry of Health. Due to the slowness of the legislation process, the relevant § 40 of the Austrian Physician 's Act is still unchanged. In the meantime, Austrian specialist training regulations were restructured in 2015 with significant consequences. Due to changes in the residency programs, board certification and subsequent full working permit becomes more difficult to obtain, thus further aggravating the shortage of emergency physicians in Austria. In order to counteract the threatening shortage of prehospital EMS physicians, the ÖGARI section of emergency medicine was requested by the Ministry of Health to develop a reasonable model for how physicians could be qualified and subsequently employed in EMS prior to full board certification. Presently, the Austrian Ministry of Health, the Chamber of Physicians and medical societies are in discussion on whether this approach might fit into the legal framework. This manuscript details the development and present status as well as key points of an ongoing discussion on how high-quality EMS care in Austria can be safeguarded in the future or could even make it impossible.

Indexed as

AnesthesiologyAustriaCertificationEmergency Medical ServicesEmergency MedicineHumansInternship and ResidencyClinical competenciesCurriculumEmergency physicianLegal requirementsTraining

Identifiers

PMID29209788
OpenAlexW2774462104

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.