Abstract
There is an approach to emergency medicine that is practiced in Japan, called ER-style emergency medicine, which our hospital has adopted. In this approach, emergency-medicine physicians at this hospital are also involved in inpatient care, which is excluded if patients only need organ-specific treatment, such as for a subarachnoid hemorrhage, acute coronary syndrome, etc. Providing care from admission through discharge can provide a suitable educational environment, especially in the care of infectious diseases patients, which involves fundamental concepts such as microbiological diagnosis and de-escalation. As such, this approach by residents can increase their awareness of the many diseases caused by various microorganisms. To investigate this educational methodology, we analyzed a questionnaire survey with residents trained at our hospital. Of the 48 residents, 46 replied, and the answers reflected that training in this ER-style emergency medicine was useful for learning infectious diseases. As such, medical training in ER-style emergency medicine with an infectious diseases specialist can provide an opportunity for residents to learn about common infectious diseases, excluding immunocompromised patients and organ-transplant patients.