{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:32:13Z","timestamp":1793197933316,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The Australasian College for Emergency Medicine requires trainee competency in many procedures; however, real\u2010world practicalities may not align with expectations. The objective of this study was to record the number of procedures performed by trainees in an academic emergency department (ED). Any gaps identified in exposure to procedures could help guide alternative forms of training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A prospective observational study was conducted in a tertiary ED in Perth, Western Australia, between 1 February 2024 and 31 January 2025. Data were collected on 14 procedures via self\u2010reporting using a QR code linked to a Microsoft form. Procedure numbers, median per trainee, and range of procedures are reported. Full\u2010time versus part\u2010time rates were compared. Six\u2010monthly sub\u2010analyses were performed to account for changes in personnel mid\u2010year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 1413 procedures, 771 (54.6%) were performed by trainees. The median number performed was 10.5 (IQR\u2009=\u20096\u201323). There was no significant difference between those working full\u2010time versus part\u2010time (median\u2009=\u200915, IQR\u2009=\u20099\u201323 vs. median\u2009=\u20098, IQR\u2009=\u20094\u201316;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.11). There was no significant difference between the two 6\u2010month periods (median\u2009=\u20098.5, IQR\u2009=\u20094.3\u201313.8 vs. median\u2009=\u20099, IQR\u2009=\u20095.75\u201315,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.51). Procedures commonly performed were sedation (207\/405, 51.1%), intubation (121\/193, 62.7%) and arterial lines (90\/150, 60%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Access to procedures is limited. Alternative forms of training should be incorporated into education programmes. A lack of exposure has wider implications for assessing competency in emergency medicine and should be considered in any future curriculum update.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70372","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:06:51Z","timestamp":1792562811000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trainee Access to Major Procedures in an Academic Emergency Department: Are We Doing Enough?"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4034-2481","authenticated-orcid":false,"given":"Christopher L.","family":"Jones","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Fiona Stanley Hospital  Perth Western Australia Australia"},{"name":"School of Medicine, the University of Notre Dame Australia  Fremantle Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvia","family":"Rienks","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Fiona Stanley Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Femke","family":"Verbossche","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Fiona Stanley Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,20]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"FACEM Training Program Handbook","author":"Australasian College for Emergency Medicine","year":"2022"},{"key":"e_1_2_9_3_1","unstructured":"J.Carlson \u201cHarvard Medical School Insights \u201d2018 Procedural Competency and Procedural Proficiency https:\/\/learn.hms.harvard.edu\/insights\/all\u2010insights\/procedural\u2010competency\u2010and\u2010procedural\u2010proficiency."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010006\u20100068\u20101"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14592"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed\u20102011\u2010200584"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106920\u20109\u20102"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399\u20106576.2011.02547.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tate.2006.12.021"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2011.558140"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102923.2008.03010.x"},{"key":"e_1_2_9_12_1","unstructured":"Australasian College for Emergency Medicine \u201cAnnual Site Census \u201d2024 https:\/\/acem.org.au\/Content\u2010Sources\/Advancing\u2010Emergency\u2010Medicine\/Research\u2010at\u2010ACEM\/Annual\u2010Site\u2010Census."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bas.2025.104200"},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","unstructured":"J.Morgenstern \u201cSubarachnoid Hemorrhage: What is the Role of LP? 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