title: Impact of a Dedicated Emergency Medicine Teaching Resident Rotation at a Large Urban Academic Center.
abstract: BACKGROUND
  In the face of declining bedside teaching and increasing emergency department (ED) crowding, balancing education and patient care is a challenge. Dedicated shifts by teaching residents (TRs) in the ED represent an educational intervention to mitigate these difficulties. We aimed to measure the perceived learning and departmental impact created by having TR.
  
  
  METHODS
  TRs were present in the ED from 12 pm-10 pm daily, and their primary roles were to provide the following: assist in teaching procedures, give brief "chalk talks," instruct junior trainees on interesting cases, and answer clinical questions in an evidence-based manner. This observational study included a survey of fourth-year medical students (MSs), residents and faculty at an academic ED. Surveys measured the perceived effect of the TR on teaching, patient flow, ease of procedures, and clinical care.
  
  
  RESULTS
  Survey response rates for medical students, residents, and faculty are 56%, 77%, and 75%, respectively. MSs perceived improved procedure performance with TR presence and the majority agreed that the TR was a valuable educational experience. Residents perceived increased patient flow, procedure performance, and MS learning with TR presence. The majority agreed that the TR improved patient care. Faculty agreed that the TR increased resident and MS learning, as well as improved patient care and procedure performance.
  
  
  CONCLUSIONS
  The presence of a TR increased MS and resident learning, improved patient care and procedure performance as perceived by MSs, residents and faculty. A dedicated TR program can provide a valuable resource in achieving a balance of clinical education and high quality healthcare.
authors.affiliation: University of Chicago, Department of Emergency Medicine, Chicago, Illinois.
authors.forename: James
authors.initials: J
authors.lastname: Ahn
authors.affiliation: Pritzker School of Medicine, Chicago, Illinois.
authors.forename: Andrew
authors.initials: A
authors.lastname: Golden
authors.affiliation: Emory University Hospital, Department of Emergency Medicine, Atlanta, Georgia.
authors.forename: Alyssa
authors.initials: A
authors.lastname: Bryant
authors.affiliation: University of Chicago, Department of Emergency Medicine, Chicago, Illinois.
authors.forename: Christine
authors.initials: C
authors.lastname: Babcock
mesh_terms: D004635:Emergency Medicine / Q000193:education* / Q000592:standards*; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008505:Medical Staff, Hospital; D011787:Quality of Health Care / Q000592:standards*; D013337:Students, Medical; D011795:Surveys and Questionnaires; D014481:United States