Many non-emergency medicine trained physicians in ER care

July 13, 2018

(HealthDay)—The emergency medicine workforce comprises many non-emergency medicine trained physicians, according to a study recently published in the Annals of Emergency Medicine.

M. Kennedy Hall, M.D., from the University of Washington School of Medicine in Seattle, and colleagues performed a cross-sectional study of all clinicians receiving reimbursement for evaluation and management services to Medicare fee-for-service beneficiaries in the department using the 2014 Medicare Public Use Files. Providers were classified as emergency physicians, non-emergency physicians, and advanced practice providers.

The researchers found that of the 58,641 unique emergency clinicians, 61.1, 14.3, and 24.5 percent were classified as emergency physicians, non-emergency physicians, and advanced practice providers, respectively. Family practice and internal medicine predominated among non-emergency physicians categorized as emergency medicine clinicians (41.7 and 19.9 percent, respectively). Physician assistants and nurse practitioners (68.4 and 31.5 percent, respectively) predominated among advanced practice providers. Overall, 58,565 emergency medicine clinicians were mapped to 2,291 U.S. counties. The proportion of emergency physicians was higher in urban versus rural counties (63.9 versus 44.8 percent); 27.1 and 41.4 percent of counties, respectively, had no emergency medicine clinicians and no emergency physicians reimbursed by Medicare fee-for-service Part B.

"This work establishes a new baseline estimate of the emergency care workforce, encompassing nearly 60,000 emergency medicine clinicians, of whom fewer than two in three were ," the authors write.

Explore further: Emergency department patients want to be invited to share in medical decision-making

More information: Abstract/Full Text (subscription or payment may be required)

Related Stories

Emergency department patients want to be invited to share in medical decision-making

June 20, 2018
Most emergency department patients want to be involved in some aspects of medical decision-making, but they need to be invited. These are the primary findings of a study to be published in the July 2018 issue of Academic ...

When to go to the emergency room vs. urgent care

April 17, 2018
When injury or sickness strikes, it can be hard to know where to go for proper care and treatment and if the situation is urgent enough to call 911.

Confirmatory testing follows ER use of ultrasound

May 18, 2018
(HealthDay)—Emergency room physicians report that their use of point-of-care ultrasound (POCUS) is usually followed by confirmatory testing, according to a study published online May 8 in the Journal of Clinical Ultrasound.

Providing clinicians feedback on their opioid prescribing data alters future prescribing

May 7, 2018
Asking emergency department (ED) providers to self-identify their opioid prescribing practices and then providing them with timely, clinically relevant, individualized, and actionable feedback on their actual opioid prescribing ...

Physicians report feeling moral distress over hospital policies that force inadequate care based on immigration status

May 21, 2018
Clinicians in safety-net hospitals describe feeling moral distress and being driven toward professional burnout because of policies that prevent them from performing hemodialysis to undocumented immigrants, except in the ...

One in 15 family docs focus time on emergency/urgent care

September 23, 2014
(HealthDay)—Approximately one in 15 family physicians spend at least 80 percent of their time in emergency or urgent care, with higher percentages seen for doctors in rural areas, according to a report published by the ...

Recommended for you

How AI could help veterinarians code their notes

November 19, 2018
A team led by scientists at the School of Medicine has developed an algorithm that can read the typed-out notes from veterinarians and predict specific diseases that the animal may have.

Bullying and violence at work increases the risk of cardiovascular disease

November 19, 2018
People who are bullied at work or experience violence at work are at higher risk of heart and brain blood vessel problems, including heart attacks and stroke, according to the largest prospective study to investigate the ...

A low-gluten, high-fiber diet may be healthier than gluten-free

November 16, 2018
When healthy people eat a low-gluten and fibre-rich diet compared with a high-gluten diet, they experience less intestinal discomfort including less bloating. Researchers at University of Copenhagen show that this is due ...

Youth dating violence shaped by parents' conflict-handling views, study finds

November 16, 2018
Parents who talk to their children about nonviolent ways of resolving conflict may reduce children's likelihood of physically or psychologically abusing their dating partners later—even when parents give contradictory messages ...

Why we shouldn't like coffee, but we do

November 15, 2018
Why do we like the bitter taste of coffee? Bitterness evolved as a natural warning system to protect the body from harmful substances. By evolutionary logic, we should want to spit it out.

Dietary fat is good? Dietary fat is bad? Coming to consensus

November 15, 2018
Which is better, a low-fat/high-carbohydrate diet or a high-fat/low-carbohydrate diet—or is it the type of fat that matters? In a new paper featured on the cover of Science magazine's special issue on nutrition, researchers ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.