The Future of Emergency Medicine

Schneider, Sandra; Gardner, Angela F.; Weiss, Leon; Wood, Joseph P.; Ybarra, Michael; Beck, Dennis; Stauffer, Arlen R.; Wilkerson, Dean; Brabson, Thomas; Jennings, A.M.C.; Mitchell, Mark; McGrath, Roland B.; Christopher, Theodore A.; King, Brent R.; Muelleman, Robert L.; Wagner, Mary Jo; Char, Douglas; McGee, Douglas L.; Pilgrim, Randy; Moskovitz, Joshua B.; Zinkel, Andrew R.; Byers, Michele; Briggs, William T.; Hobgood, Cherri; Kupas, Douglas F.; Kruger, Jennifer; Stratford, Cary J.; Jourıles, Nicholas

doi:10.1016/j.annemergmed.2010.04.011

Cited by 12 publications

(8 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 Supporting this model, prior studies have demonstrated similar quality of care for patient from PAs with direct physician supervision compared to physicians.…”

Section: Discussionmentioning

confidence: 64%

“…[1][2][3]12,13 Lower patient volumes in rural areas make staffing EDs with multiple providers financially difficult, and increasing PA staffing may improve department cost-efficiency. 7 As our data suggest, these issues have likely influenced the reported higher scopes of practice and less physician supervision among rural EM PAs.…”

Section: Discussionmentioning

confidence: 99%

“…T here are not enough emergency medicine (EM) board-certified emergency physicians (EPs) available to staff our emergency departments (EDs) in the United States, [1][2][3] particularly in rural areas. [4][5][6] Furthermore, the limited access to medical care in rural settings mandates that providers be comfortable with increased levels of care.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Scope of Practice and Autonomy of Physician Assistants in Rural Versus Urban Emergency Departments

Sawyer

Ginde

2014

Acad Emerg Med

View full text Add to dashboard Cite

Objectives: This was a study of the scope of practice and autonomy of emergency medicine (EM) physician assistants (PAs) practicing in rural versus urban emergency departments (EDs).Methods: Using the American Academy of Physician Assistants (AAPA) Masterfile, a random sample of 200 U.S. EM PAs were surveyed, with oversampling of an additional 200 rural PAs. Location was classified by zip code-based rural-urban commuting area codes, and responses were compared about conditions managed, procedures performed, and physician supervision between rural versus urban groups.Results: A total of 237 responses were received from PAs in 44 U.S. states, of which (201) were valid responses (105 rural, 96 urban) from PAs currently practicing in EDs (59.3% exclusion-adjusted response rate). Compared to urban PAs, rural PAs more frequently managed cardiac arrest (67% vs. 44%), stroke (86% vs. 72%), multisystem trauma (83% vs. 70%), active labor (44% vs. 23%), and critically ill children (82% vs. 65%) in the past year. They were more likely to have performed intubation (65% vs. 44%), needle thoracostomy (21% vs. 8%), and tube thoracostomy (46% vs. 26%). Rural PAs more often reported never having a physician present in the ED (38% vs. 0%) and less often reported always having a physician present (50% vs. 98%). Rural PAs were also less likely to report that a physician evaluates more than 75% of their patients (8% vs. 18%) and more likely that a physician never evaluates all of their patients (19% vs. 7%).Conclusions: Rural PAs reported a broader scope of practice, more autonomy, and less access to physician supervision than urban PAs.ACADEMIC EMERGENCY MEDICINE 2014;21:520-525

show abstract

“…2 Supporting this model, prior studies have demonstrated similar quality of care for patient from PAs with direct physician supervision compared to physicians.…”

Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Scope of Practice and Autonomy of Physician Assistants in Rural Versus Urban Emergency Departments

Sawyer

Ginde

2014

Acad Emerg Med

View full text Add to dashboard Cite

show abstract

“…[ limitations in being able to accurately identify non-emergent visits. [16] In 2010, a policy statement from the American College of Emergency Physicians (ACEP) endorsed the idea of regional emergency care planning and suggested that "an initial step toward de facto regionalization could be categorization of emergency facilities" [17] Recently, the focus of categorization has shifted to capabilities -an effort supported by the Emergency Care Coordination Center (ECCC) -the policy home for the emergency community within the federal government. [18] The ECCC has recently funded initiatives to develop and employ an improved capabilities framework for emergency medicine.…”

Section: Patientsmentioning

confidence: 99%

Creating an Acute Care Inventory

Elder

Carr

2017

MRAJ

View full text Add to dashboard Cite

Acute care visits account for 354 million outpatient visits annually. While a robust acute care infrastructure exists in the US (i.e. emergency departments (ED), emergency medical services (EMS), urgent care centers, primary care offices, etc.), the system is difficult to navigate when urgent, episodic health services are required. Multiple stakeholders including patients, providers, and payers rely on this acute care infrastructure that currently functions without sufficient transparency of the capabilities and services that are offered. We outline and describe a conceptual model for an inventory of acute care resources that empowers patients, providers, payers, and others to be better consumers of acute care services.

show abstract

“…Although 4 years was determined for the education time length of emergency residency, there is no time limit for this issue; emergency doctors should improve and renew themselves in medical knowledge, experience, and gear, which are changing fast. It has been reported that an insufficient emergency doctor is a potential threat for patient security, so emergency doctors should undergo continuous education (10).…”

Section: No Should Be Selective Total N % (Line) % (Colon) N % (Line)mentioning

confidence: 99%

Investigation of Rotations in Emergency Resident Education Programs by Emergency Physicians

Denizlioğlu¹,

Parlak²,

Yolcu³

et al. 2014

JAEM

View full text Add to dashboard Cite

Objective: In our study, we wanted emergency medicine physicians who were working in several cities in our country to investigate the number, time, variety, and content of compulsory rotations of emergency medicine physician student (EMPS) education. We aimed to find out the beneficial factors about rotations in EMPS education. Material and Methods:A questionnaire form (28 questions) was applied to emergency physicians about rotations of EMPS. Results:We included 294 physicians into the study. We found that time period of all rotations except cardiology and radiology should stay the same; the time period of these two rotations should be longer. When we asked if 'this rotation should be removed or elective?' , participants' answers were chest disease, neurology, gynecology, surgery, and anesthesiology consecutively. Conclusion:For reaching the real aims of rotations, suitable rotations should be provided to emergency residents, and they should be able to improve themselves at the educational point. (JAEM 2014; 13: 75-81)

show abstract

The Future of Emergency Medicine

Cited by 12 publications

References 8 publications

Scope of Practice and Autonomy of Physician Assistants in Rural Versus Urban Emergency Departments

Scope of Practice and Autonomy of Physician Assistants in Rural Versus Urban Emergency Departments

Creating an Acute Care Inventory

Investigation of Rotations in Emergency Resident Education Programs by Emergency Physicians

Contact Info

Product

Resources

About