Leadership training in emergency medicine: A national survey

Palmer, Shea ORCID: https://orcid.org/0000-0002-5190-3264, Rodrigues Amorim Adegboye, Amanda, Hooper, Gareth, Khan, Aanika, Leech, Caroline, Moore, Amanda, Pawar, Bhupinder, Szczepura, Ala, Turner, Chris and Kneafsey, Rosie 2024. Leadership training in emergency medicine: A national survey. AEM Education and Training 8 (6) , e11047. 10.1002/aet2.11047

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Abstract

Background: Emergency Medicine (EM) is a uniquely stressful environment in which leadership training could improve individual and team performance, patient outcomes, wellbeing and EM career intentions. The primary aim was to evaluate EM-specific leadership training (EMLeaders) compared to no leadership training. A secondary comparison was with other forms of leadership training. Methods: An online survey was distributed to Royal College of Emergency Medicine (RCEM) members in England. Three groups were recruited: those who reported receiving ‘EMLeaders’ training, ‘No’ training and ‘Other’ training. Information was collected on group demographics, job roles, responses to 14 leadership knowledge and skills items, wellbeing at work and EM career intentions. Results: 417 responders (177 EMLeaders, 148 No, 92 Other training) were largely representative of RCEM members, although the EMLeaders group were at less senior career grades. Although all groups provided generally positive responses, EMLeaders demonstrated more positive ratings for 7/14 leadership items relative to No training (all p<0.05): knowledge about clinical leadership; application of clinical leadership; empowerment to make decisions; managing the emergency department (ED) environment; ability to influence the EM environment; confidence in leadership; and confidence in facilitating teams. The Other training group demonstrated superior ratings for 5/7 of the same items, except empowerment to make decisions and ability to influence the EM environment. Direct comparison of EMLeaders with Other training identified ability to influence the EM environment as a unique benefit of EMLeaders (p<0.05), whilst knowledge about clinical leadership favoured Other training (p<0.05). Conclusions: EMLeaders improved many aspects of perceived leadership knowledge and skills, but there was little evidence of impact on wellbeing or EM career intentions. EMLeaders particularly appears to enhance perceived ability to influence the EM environment. Considering that the EMLeaders group were generally earlier in their career, the findings are promising and can inform the refinement of future EM-specific training.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Subjects:	R Medicine > R Medicine (General)
Uncontrolled Keywords:	Emergency Medicine; Leadership; Education; Learning; Surveys and Questionnaires; Innovation; Specialty Training
Funders:	Health Education England
Date of First Compliant Deposit:	3 December 2024
Date of Acceptance:	11 November 2024
Last Modified:	03 Dec 2024 11:30
URI:	https://orca.cardiff.ac.uk/id/eprint/173882

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