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An environmental scan of emergency medicine research support, training, and infrastructure across Canada

  • Marcel Émond (a1), Jennifer D. Artz (a2), Laurie J. Morrison (a3), Carolyn E. Snider (a4), Shelley McLeod (a5), Natalie LeSage (a1), Ian G. Stiell (a6) and Jeffrey J. Perry (a6)...

Abstract

Objective

Our study objective was to describe the Canadian emergency medicine (EM) research community landscape prior to the initiation of a nationwide network.

Methods

A two-phase electronic survey was sent to 17 Canadian medical schools. The Phase 1 Environmental Scan was administered to department chairs/hospital EM chiefs, to identify EM physicians conducting clinical or educational research. The Phase 2 Survey was sent to the identified EM researchers to assess four themes: 1) geographic distribution, 2) training/career satisfaction, 3) time/financial compensation, and 4) research facilitators/barriers. Descriptive analyses were conducted, and results were stratified by Canadian regions.

Results

A total of 92 EM researchers were identified in Phase 1; 67 (73%) responded to the Phase 2 Survey. Of those, 42 (63%) reported being clinical researchers, and 19 (45%) had a graduate degree. Three provinces encompassed most of the researchers (n = 35). Of the respondents, 61% had a research degree, 66% felt adequately trained for their research career, 73% had financial support, 83% had access to office spaces, 52% had no mentor during their first years of their career, 69% felt satisfied with their research career, and 82% suggested that they will still be conducting research in 5 years.

Conclusion

EM researchers reported being adequately trained, even though only a little over half had a graduate degree. Only two-thirds had financial support, and mentorship was lacking in one-third of the participants. Not all respondents had a form of infrastructure, but most felt optimistic about their careers. The Canadian EM research environment could be improved to ensure better research capacity.

RésuméObjectif

L’objectif principal de cette étude était de décrire le contexte de la communauté de recherche en médecine d'urgence au Canada avant la mise en place d'un réseau national.

Méthode

Un sondage électronique à deux phases a été envoyé à 17 institutions offrant un programme de formation en médecine. Le sondage de la phase 1 (analyse de l'environnement) a été administré aux directeurs de départements/chefs des services d'urgence des hôpitaux et visait à identifier les médecins d'urgence menant des études cliniques ou pédagogiques. Le sondage de la phase 2 a été envoyé aux chercheurs en médecine d'urgence identifiés dans la phase 1 et évaluait quatre thèmes : 1) la répartition géographique, 2) la formation/satisfaction professionnelle, 3) le temps/compensation financière et 4) les facilitateurs/obstacles de la recherche. Des analyses descriptives ont été effectuées et les résultats ont été stratifiés par régions canadiennes.

Résultats

Au total, 92 chercheurs en médecine d’urgence ont été identifiés lors de la phase 1; 67 (73%) ont répondu au sondage de la phase 2. Parmi ceux-ci, 42 (63%) ont déclaré être des chercheurs cliniciens, et 19 (45%) étaient titulaires d'un diplôme d'études supérieures. Les chercheurs (n = 35) étaient regroupés principalement dans trois provinces. Parmi les répondants, 61% avaient un diplôme en lien avec la recherche, 66% se sentaient suffisamment formés pour leur carrière de chercheur, 73% avaient un soutien financier, 83% avaient accès à des espaces de bureau, 52% n'avaient pas de mentor durant les premières années de leur carrière, 69% se sentaient satisfaits de leur carrière de chercheur et 82% ont suggéré qu'ils feraient encore de la recherche dans 5 ans.

Conclusion

Les chercheurs en médecine d’urgence ont déclaré avoir reçu une formation adéquate, même si seulement un peu plus de la moitié d'entre eux avaient un diplôme d'études supérieures. Deux tiers des participants bénéficiaient d'un soutien financier et un tiers n'avaient pas de mentor. Les répondants ne disposaient pas tous d'une forme d'infrastructure, mais la plupart se sentaient optimistes quant à leur carrière. L'environnement canadien de la recherche en médecine d’urgence pourrait être amélioré pour garantir une meilleure capacité de recherche.

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Copyright

Corresponding author

Correspondence to: Dr. Marcel Émond, CHU de Québec–Université Laval Research Center, 1401, 18e rue Québec, QCG1J 1Z4; Email: marcel.emond@fmed.ulaval.ca

References

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An environmental scan of emergency medicine research support, training, and infrastructure across Canada

  • Marcel Émond (a1), Jennifer D. Artz (a2), Laurie J. Morrison (a3), Carolyn E. Snider (a4), Shelley McLeod (a5), Natalie LeSage (a1), Ian G. Stiell (a6) and Jeffrey J. Perry (a6)...

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