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Comment & Response |

Presence of Medical Students and Length of Stay in the Emergency Department—Reply

Kimon L. H. Ioannides, BS1; Benjamin S. Abella, MD, MPhil2; Kevin R. Scott, MD2
[+] Author Affiliations
1Perelman School of Medicine, University of Pennsylvania, Philadelphia
2Department of Emergency Medicine, University of Pennsylvania, Philadelphia
JAMA. 2016;315(18):2019-2020. doi:10.1001/jama.2016.1585.
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In Reply The setting of Drs McGettigan and McKendree’s study evaluating the association between the presence of students and outcomes was a rehabilitation unit,1 which is a very different setting from the EDs of our study. The ED comprises inherently dissimilar patient encounters requiring rapid evaluation, decision making, and intervention for undifferentiated acute complaints.

The role of medical students in this core emergency medicine rotation followed a basic philosophy of early, direct engagement with patients throughout the study period, even as the exact duration and number of shifts varied from year to year. Students were expected to see several patients per shift, performing an independent history and physical examination, and presenting the case to a supervising physician.


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May 10, 2016
Patricia McGettigan, MD; Jean McKendree, PhD
1William Harvey Research Institute, Queen Mary University of London, London, England
2University of York, York, England
JAMA. 2016;315(18):2019. doi:10.1001/jama.2016.1577.
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