PMID- 26823136
DCOM- 20170103
LR  - 20170104
IS  - 0736-4679 (Print)
IS  - 0736-4679 (Linking)
VI  - 50
IP  - 4
DP  - 2016 Apr
TI  - The Emergency Medicine Workforce: Profile and Projections.
PG  - 690-3
LID - 10.1016/j.jemermed.2015.09.022 [doi]
LID - S0736-4679(15)00952-X [pii]
AB  - BACKGROUND: The landscape of the emergency medicine workforce has changed
      dramatically over the last few decades. The growth in emergency medicine
      residency programs has significantly increased the number of emergency medicine
      specialists now staffing emergency departments (EDs) throughout the country.
      Despite this increase in available providers, rising patient volumes, an aging
      population, ED overcrowding and inefficiency, increased regulation, and other
      factors have resulted in the continued need for additional emergency physicians. 
      OBJECTIVES: To review current available data on patient volumes and
      characteristics, the overall physician workforce, the current emergency physician
      workforce, the impact of physician extenders and scribes on the practice of
      emergency medicine, and project emergency physician staffing needs into the
      future. DISCUSSION AND PROJECTIONS: We project that within the next 5 to 10
      years, there will be enough board-certified or -eligible emergency physicians to 
      provide care to all patients in the U.S. EDs. However, low-volume rural EDs will 
      continue to have difficulty attracting emergency medicine specialists without
      significant incentives. CONCLUSIONS: There remains a shortage of board-certified 
      emergency physicians, but it is decreasing every year. The use of physicians from
      other specialties to staff EDs has long been based on the theory that there is a 
      long-standing shortage of available American Board of Emergency Medicine/American
      Osteopathic Board of Emergency Medicine physicians, both now and in the future.
      Our investigation shows that this is not supported by current data. Although
      there will always be regional and rural physician shortages, these are mirrored
      by all other specialties and are even more pressing in primary care.
CI  - Copyright (c) 2016 Elsevier Inc. All rights reserved.
FAU - Reiter, Mark
AU  - Reiter M
AD  - University of Tennessee-Murfreesboro, Murfreesboro, Tennessee; American Academy
      of Emergency Medicine, Milwaukee, Wisconsin; Emergency Excellence, LLC,
      Brentwood, Tennessee.
FAU - Wen, Leana S
AU  - Wen LS
AD  - Patient-Centered Care Research, The George Washington University, Washington, DC;
      Department of Emergency Medicine, The George Washington University, Washington,
FAU - Allen, Brady W
AU  - Allen BW
AD  - University of Tennessee-Murfreesboro, Murfreesboro, Tennessee; Physicians' Urgent
      Care, PLLC, Brentwood, Tennessee.
LA  - eng
PT  - Journal Article
DEP - 20160125
PL  - United States
TA  - J Emerg Med
JT  - The Journal of emergency medicine
JID - 8412174
SB  - IM
MH  - Certification
MH  - Education, Medical, Graduate
MH  - Emergency Medicine/*education
MH  - Emergency Service, Hospital/*manpower
MH  - Forecasting
MH  - Humans
MH  - Internship and Residency
MH  - *Personnel Staffing and Scheduling
MH  - United States
OT  - board certification in emergency medicine
OT  - emergency department staffing
OT  - emergency medicine shortage
OT  - emergency medicine staffing
OT  - emergency medicine workforce
EDAT- 2016/01/30 06:00
MHDA- 2017/01/04 06:00
CRDT- 2016/01/30 06:00
PHST- 2015/08/18 00:00 [received]
PHST- 2015/09/17 00:00 [accepted]
PHST- 2016/01/30 06:00 [entrez]
PHST- 2016/01/30 06:00 [pubmed]
PHST- 2017/01/04 06:00 [medline]
AID - S0736-4679(15)00952-X [pii]
AID - 10.1016/j.jemermed.2015.09.022 [doi]
PST - ppublish
SO  - J Emerg Med. 2016 Apr;50(4):690-3. doi: 10.1016/j.jemermed.2015.09.022. Epub 2016
      Jan 25.