An evaluation of the professional, social and demographic profile and quality of life of physicians working at the Prehospital Emergency Medical System (SAMU) in Brazil

Show simple item record

dc.contributor.author Tallo, Fernando Sabia [UNIFESP]
dc.contributor.author Abib, Simone de Campos Vieira [UNIFESP]
dc.contributor.author Baitello, André Luciano
dc.contributor.author Lopes, Renato Delascio [UNIFESP]
dc.date.accessioned 2015-06-14T13:47:18Z
dc.date.available 2015-06-14T13:47:18Z
dc.date.issued 2014-09-01
dc.identifier http://dx.doi.org/10.6061/clinics/2014(09)05
dc.identifier.citation Clinics. Faculdade de Medicina / USP, v. 69, n. 9, p. 601-607, 2014.
dc.identifier.issn 1807-5932
dc.identifier.issn 1980-5322
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/8597
dc.description.abstract OBJECTIVE: To describe the profile of physicians working at the Prehospital Emergency Medical System (SAMU) in Brazil and to evaluate their quality of life.METHODS: Both a semi-structured questionnaire with 57 questions and the SF-36 questionnaire were sent to research departments within SAMU in the Brazilian state capitals, the Federal District and inland towns in Brazil.RESULTS: Of a total of 902 physicians, including 644 (71.4%) males, 533 (59.1%) were between 30 and 45 years of age and 562 (62.4%) worked in a state capital. Regarding education level, 45.1% had graduated less than five years before and only 43% were specialists recognized by the Brazilian Medical Association. Regarding training, 95% did not report any specific training for their work at SAMU. The main weaknesses identified were psychiatric care and surgical emergencies in 57.2 and 42.9% of cases, respectively; traumatic pediatric emergencies, 48.9%; and medical emergencies, 42.9%. As for procedure-related skills, the physicians reported difficulties in pediatric advanced support (62.4%), airway surgical access (45.6%), pericardiocentesis (64.4%) and thoracentesis (29.9%). Difficulties in using an artificial ventilator (43.3%) and in transcutaneous pacing (42.2%) were also reported. Higher percentages of young physicians, aged 25-30 years (26.7 vs 19.0%; p<0.01), worked exclusively in prehospital care (18.0 vs 7.7%; p<0.001), with workloads >48 h per week (12.8 vs 8.6%; p<0.001), and were non-specialists with the shortest length of service (<1 year) at SAMU (30.1 vs 18.2%; p<0.001) who were hired without having to pass public service exams* (i.e., for a temporary job) (61.8 vs 46.2%; p<0.001). Regarding quality of life, the pain domain yielded the worst result among physicians at SAMU.CONCLUSIONS: The doctors in this sample were young and within a few years of graduation, and they had no specific training in prehospital emergencies. Deficiencies were mostly found in pediatrics and psychiatry, with specific deficiencies in the handling of essential equipment and in the skills necessary to adequately attend to prehospital emergencies. A disrespectful labor scenario was also found; the evaluation of quality of life showed a notable presence of pain on the SF-36 among physicians at SAMU and especially among doctors who had worked for a longer length of time at SAMU. en
dc.format.extent 601-607
dc.language.iso eng
dc.publisher Faculdade de Medicina / USP
dc.relation.ispartof Clinics
dc.rights Acesso aberto
dc.subject Emergency Medicine en
dc.subject Mobile Units en
dc.subject Role of Physician en
dc.subject Emergency Medical System en
dc.title An evaluation of the professional, social and demographic profile and quality of life of physicians working at the Prehospital Emergency Medical System (SAMU) in Brazil en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Faculdade de Medicina de São José do Rio Preto Departamento de Cirurgia
dc.contributor.institution Duke University School of Medicine Division of Cardiology
dc.description.affiliation Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina (UNIFESP/EPM) Departamento de Cirurgia
dc.description.affiliation Faculdade de Medicina de São José do Rio Preto Departamento de Cirurgia
dc.description.affiliation Duke University School of Medicine Division of Cardiology
dc.description.affiliationUnifesp UNIFESP, EPM, (UNIFESP/EPM) Depto. de Cirurgia
dc.identifier.file S1807-59322014000900601.pdf
dc.identifier.scielo S1807-59322014000900601
dc.identifier.doi 10.6061/clinics/2014(09)05
dc.description.source SciELO
dc.identifier.wos WOS:000343983100005



File

Name: S1807-59322014000900601.pdf
Size: 891.6Kb
Format: PDF
Description:
Open file

This item appears in the following Collection(s)

Show simple item record

Search


Browse

Statistics

My Account