Annals of Emergency Medicine
Volume 54, Issue 3 , Pages 349-359 , September 2009

National Study of the Emergency Physician Workforce, 2008

  • Adit A. Ginde, MD, MPH

      Affiliations

    • Department of Emergency Medicine, University of Colorado Denver School of Medicine, Aurora, CO
    • Corresponding Author InformationAddress for correspondence: Adit A. Ginde, MD, MPH, Department of Emergency Medicine, University of Colorado Denver School of Medicine, 12401 E 17th Ave, B-215, Aurora, CO 80045; 720-848-6777, fax 720-848-7374
  • ,
  • Ashley F. Sullivan, MS, MPH

      Affiliations

    • Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA
  • ,
  • Carlos A. Camargo Jr, MD, DrPH

      Affiliations

    • Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA

Received 5 February 2009 ,Revised 2 March 2009 ,Accepted 11 March 2009.

References 

  1. Epstein SK, Burstein JL, Case RB, et al. The national report card on the state of emergency medicine: evaluating the emergency care environment state by state 2009 edition. Ann Emerg Med. 2009;53:4–148
  2. Kirsch DG, Vernon DJ. Confronting the complexity of the physician workforce equation. JAMA. 2008;299:1680–2680
  3. Pitts SR, Niska RW, Xu J, et al. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. Natl Health Stat Rep. 2008;6:1–38
  4. American College of Emergency Physicians. The role of the legacy emergency physician in the 21st century. Ann Emerg Med. 2006;48:511
  5. American College of Emergency Physicians. Emergency medicine workforce. Ann Emerg Med. 2006;48:510
  6. Camargo CA, Ginde AA, Singer AH, et al. Assessment of emergency physician workforce needs in the United States, 2005. Acad Emerg Med. 2008;15:1317–1320
  7. Emergency Medicine Network. National Emergency Department Inventories (Emergency Medicine Network Web site). http://www.emnet-usa.org/nedi/nedi.htmAccessed February 1, 2009
  8. Sullivan AF, Richman IB, Ahn CJ, et al. A profile of US emergency departments in 2001. Ann Emerg Med. 2006;48:694–701
  9. Handel DA, Hedges JR SAEM IOM Task Force. Improving rural access to emergency physicians. Acad Emerg Med. 2007;14:562–565
  10. Peterson LE, Dodoo M, Bennett KJ, et al. Nonemergency medicine-trained physician coverage in rural emergency departments. J Rural Health. 2008;24:183–188
  11. Casey MM, Wholey D, Moscovice IS. Rural emergency department staffing and participation in emergency certification and training programs. J Rural Health. 2008;24:253–262
  12. Institute of Medicine Committee on the Future of Emergency Care in the US Health System. Hospital-Based Emergency Care: At the Breaking Point. Washington, DC: National Academies Press; 2006;
  13. Wadman MC, Muelleman RL, Hall D, et al. Qualification discrepancies between urban and rural emergency department physicians. J Emerg Med. 2005;28:273–276
  14. Williams JM, Ehrlich PF, Prescott JE. Emergency medical care in rural America. Ann Emerg Med. 2001;38:323–327
  15. Moorhead JC, Gallery ME, Hirshkoren C, et al. A study of the workforce in emergency medicine: 1999. Ann Emerg Med. 2002;40:3–15
  16. Ginde AA, Espinola JA, Sullivan AF, et al. Use of physician assistants and nurse practitioner in US emergency departments, 1993-2005: implications for the workforce. Am J Emerg Med. 2009;In press
  17. Carter DL, Ruiz E, Lappe K. Comprehensive advanced life support (A course for rural emergency care teams). JAMA. 2008;299:2680–2682
  18. Moorhead JC, Gallery ME, Mannie T, et al. A study of workforce in emergency medicine. Ann Emerg Med. 1998;31:595–607
  19. Augustine JJ, Kellerman AL. The emergency medicine workforce study: more questions than answers. Ann Emerg Med. 2002;20:16–18
  20. Thompson MJ, Lynge DC, Larson EH, et al. Characterizing the general surgery workforce in rural America. Arch Surg. 2005;140:74–79
  21. Lynge DC, Larson EH, Thompson MJ, et al. Longitudinal analysis of the general surgery workforce in the United Status, 1981-2005. Arch Surg. 2008;143:345–350
  22. United States Census Bureau. United States Census Bureau Web site (Population estimates). http://www.census.govAccessed February 1, 2009
  23. Office of Management and Budget. Metropolitan Statistical Areas (Office of Management and Budget Web site). http://www.whitehouse.gov/omb/inforeg/statpolicy.html#msAccessed February 1, 2009
  24. Measuring rurality: Urban Influence Codes. United States Department of Agriculture website. http://www.ers.usda.gov/Briefing/rurality/UrbanInf/Accessed February 1, 2009
  25. Hart LG, Larson EH, Lishner DM. Rural definitions for health policy and research. Am J Public Health. 2005;95:1149–1155
  26. American Board of Emergency Medicine. Who is ABEM certified? (American Board of Emergency Medicine Web site). http://www.abem.org/PUBLIC/portal/alias_Rainbow/lang_en-US/tabID_3432/DesktopDefault.aspxAccessed February 1, 2009
  27. Lew E, Fagnan LJ, Mattek N, et al. Emergency department coverage by family physicians in a rural practice-based research network: incentives, confidence, and training. J Rural Health. 2009;In press
  28. Jeffe DB, Andriole DA, Hageman HL, et al. The changing paradigm of contemporary U.S. allopathic medical school graduates' career paths: analysis of the 1997-2004 national AAMC Graduation Questionnaire database. Acad Med. 2007;82:888–894
  29. McKenna M. IOM report ignites new debate on who should practice emergency medicine. Ann Emerg Med. 2007;29:614–622
  30. American Board of Emergency Medicine. Examination and diplomate statistics (American Board of Emergency Medicine Web site). http://www.abem.org/PUBLIC/portal/alias_Rainbow/lang_en-US/tabID_3373/DesktopDefault.aspxAccessed February 1, 2009
  31. Kazzi A, Langdorf MI, Brillman J, et al. Emergency medicine residency applicant educational debt: relationship with attitude toward training and moonlighting. Acad Emerg Med. 2000;7:1399–1407
  32. Krist AH, Johnson RE, Callahan D, et al. Title VII funding and physician practice in rural or low-income areas. J Rural Health. 2005;21:3–11
  33. Wadman MC, Hoffman LH, Erickson T, et al. The impact of a rural emergency department rotation on applicant ranking of a US emergency medicine residency program. Rural Remote Health. 2007;7:686
  34. Chan BT, Degani N, Crichton T, et al. Factors influencing family physicians to enter rural practice: does rural or urban background make a difference?. Can Fam Physician. 2005;51:1246–1247
  35. Steele MT, Schwab RA, McNamara RM, et al. Emergency medicine resident choice of practice location. Ann Emerg Med. 1998;31:351–357
  36. Hart LG, Skillman SM, Fordyce M, et al. International medical graduate physicians in the United States: changes since 1981. Health Aff (Millwood). 2007;26:1159–1169

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 Supervising editor: Donald M. Yealy, MD

 Author contributions: AAG, AFS, and CAC conceived and designed the study. AAG provided statistical advice, acquired the data, and performed the analysis. All authors contributed to data interpretation, and AAG drafted the article. All authors contributed substantially to article revision and approved the final version. AAG takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.

 Reprints not available from the authors.

 Publication date: Available online April 24, 2009.

PII: S0196-0644(09)00274-1

doi: 10.1016/j.annemergmed.2009.03.016

Annals of Emergency Medicine
Volume 54, Issue 3 , Pages 349-359 , September 2009