Observational studyEmergency medicine Australasia : EMA2026
Trainee Access to Major Procedures in an Academic Emergency Department: Are We Doing Enough?
Observational study in Emergency medicine Australasia : EMA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
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Who cites it
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe Australasian College for Emergency Medicine requires trainee competency in many procedures; however, real-world practicalities may not align with expectations. The objective of this study was to record the number of procedures performed by trainees in an academic emergency department (ED). Any gaps identified in exposure to procedures could help guide alternative forms of training.
methodA prospective observational study was conducted in a tertiary ED in Perth, Western Australia, between 1 February 2024 and 31 January 2025. Data were collected on 14 procedures via self-reporting using a QR code linked to a Microsoft form. Procedure numbers, median per trainee, and range of procedures are reported. Full-time versus part-time rates were compared. Six-monthly sub-analyses were performed to account for changes in personnel mid-year.
resultsOf 1413 procedures, 771 (54.6%) were performed by trainees. The median number performed was 10.5 (IQR = 6-23). There was no significant difference between those working full-time versus part-time (median = 15, IQR = 9-23 vs. median = 8, IQR = 4-16; p = 0.11). There was no significant difference between the two 6-month periods (median = 8.5, IQR = 4.3-13.8 vs. median = 9, IQR = 5.75-15, p = 0.51). Procedures commonly performed were sedation (207/405, 51.1%), intubation (121/193, 62.7%) and arterial lines (90/150, 60%).
conclusionsAccess to procedures is limited. Alternative forms of training should be incorporated into education programmes. A lack of exposure has wider implications for assessing competency in emergency medicine and should be considered in any future curriculum update.
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