title: Nurse-Led Competency Model for Emergency Physicians: A Qualitative Study.
abstract: OBJECTIVE
  To develop a competency model for emergency physicians from the perspective of nurses, juxtapose this model with the widely adopted Accreditation Council for Graduate Medical Education (ACGME) model, and identify competencies that might be unique to the nurses' perspective.
  
  
  METHODS
  The study relied on secondary data originally collected as part of nurses' assessment of emergency physicians' nonclinical skills in the emergency department (ED) of an academic medical center in the Middle East. Participants were 36 registered nurses who had worked in the ED for at least 2 years and had worked for at least 2 shifts per month with the physician being evaluated.
  
  
  RESULTS
  Through content analysis, a nurse-led competency model was identified, including 8 core competencies encompassing 33 subcompetencies. The 8 core competencies were emotional intelligence; problem-solving and decisionmaking skills; operations management; patient focus; patient care, procedural skills, and medical knowledge; professionalism; communication skills; and team leadership and management. When the developed model was compared with the ACGME model, the 2 models diverged more than they converged.
  
  
  CONCLUSIONS
  The nurses' perspective offered distinctive insight into the competencies needed for physicians in an emergency medicine environment, indicating the value of nurses' perspective and shedding light on the need for more systematic and more methodologically sound studies to examine the issue further. The differences between the models highlighted the competencies that were unique to the nurse perspective, and the similarities were indicative of the influence of different perspectives and organizational context on how competencies manifest.
authors.affiliation: Suliman S. Olayan School of Business, American University of Beirut, Beirut, Lebanon.
authors.forename: Lina
authors.initials: L
authors.lastname: Daouk-Öyry
authors.affiliation: Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
authors.forename: Afif
authors.initials: A
authors.lastname: Mufarrij
authors.affiliation: Suliman S. Olayan School of Business, American University of Beirut, Beirut, Lebanon.
authors.forename: Maya
authors.initials: M
authors.lastname: Khalil
authors.affiliation: Evidence-based Healthcare Management Unit, American University of Beirut Medical Center, Beirut, Lebanon.
authors.forename: Tina
authors.initials: T
authors.lastname: Sahakian
authors.affiliation: Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
authors.forename: Miriam
authors.initials: M
authors.lastname: Saliba
authors.affiliation: Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
authors.forename: Rima
authors.initials: R
authors.lastname: Jabbour
authors.affiliation: Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon. Electronic address: eh16@aub.edu.lb.
authors.forename: Eveline
authors.initials: E
authors.lastname: Hitti
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D003142:Communication; D003657:Decision Making; D004635:Emergency Medicine / Q000193:education / Q000592:standards*; D004636:Emergency Service, Hospital / Q000458:organization & administration* / Q000592:standards*; D019983:Guideline Adherence / Q000592:standards*; D006801:Humans; D007857:Leadership; D008877:Middle East / Q000453:epidemiology; D009726:Nurses / Q000523:psychology; D005791:Patient Care / Q000592:standards; D010819:Physician's Role; D010820:Physicians; D011361:Professional Competence / Q000592:standards; D036301:Qualitative Research