BACKGROUND Emergency Department (ED) medical officers are often the first medical responders to emergencies in Jamaica because pre-hospital emergency response services are not universally available. Over the past decade, several new ED training opportunities have been introduced locally. Their precise impact on the health care system in Jamaica has not yet been evaluated. We sought to determine the level of training, qualifications and experience of medical officers employed in public hospital EDs across the nation. METHODS A database of all medical officers employed in public hospital EDs was created from records maintained by the Ministry of Health in Jamaica. A specially designed questionnaire was administered to all medical officers in this database. Data was analyzed using SPSS Version 10.0. RESULTS There were 160 ED medical officers across Jamaica, of which 47.5% were males and the mean age was 32.3 years (SD +/- 7.1; Range 23-57). These physicians were employed in the EDs for a mean of 2.2 years (SD +/- 2.5; Range 0-15; Median 2.5) and were recent graduates of medical schools (Mean 5.1; SD +/- 5.9; Median 3 years).Only 5.5% of the medical officers had specialist qualifications (grade III/IV), 12.8% were grade II medical officers and 80.5% were grade I house officers or interns. The majority of medical officers had no additional training qualifications: 20.9% were exposed to post-graduate training, 27.9% had current ACLS certification and 10.3% had current ATLS certification. CONCLUSION The majority of medical officers in public hospital EDs across Jamaica are relatively inexperienced and inadequately trained. Consultant supervision is not available in most public hospital EDs. With the injury epidemic that exists in Jamaica, it is logical that increased training opportunities and resources are required to meet the needs of the population.

中文翻译：

---

牙买加急诊科医师培训：国家公立医院调查。

背景技术急诊部（ED）的医务人员通常是牙买加紧急情况下的第一批医疗响应者，因为院前紧急响应服务并不普遍。在过去的十年中，本地引入了一些新的ED培训机会。它们对牙买加卫生保健系统的确切影响尚未得到评估。我们试图确定全国公立医院急诊室中医务人员的培训水平，资历和经验。方法根据牙买加卫生部保存的记录创建一个在公立医院急诊室就医的所有医务人员的数据库。对数据库中的所有医务人员进行了专门设计的问卷调查。使用SPSS 10.0版分析数据。结果牙买加共有160名ED医务人员，其中47.5％为男性，平均年龄为32.3岁（SD +/- 7.1；范围23-57）。这些医生在急诊室受雇的平均年限为2.2年（SD +/- 2.5；范围0-15；中位数2.5），并且是刚毕业的医学院（平均5.1； SD +/- 5.9；中位数3年）。只有5.5％的医务人员具有专家资格（III / IV级），12.8％是II级医务人员，80.5％是I级内务人员或实习生。大多数医务人员没有额外的培训资格：20.9％的人接受了研究生培训，27.9％的人具有当前的ACLS认证，10.3％的人具有当前的ATLS认证。结论牙买加整个公立医院急诊室的大多数医务人员都相对缺乏经验和培训不足。大多数公立医院急诊室都没有顾问监督。鉴于牙买加存在伤害流行病，合乎逻辑的是，需要更多的培训机会和资源来满足民众的需求。