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The Emergency Medicine Workforce: Profile and Projections.

Mark Reiter1, Leana S Wen2, Brady W Allen3

  • 1University of Tennessee-Murfreesboro, Murfreesboro, Tennessee; American Academy of Emergency Medicine, Milwaukee, Wisconsin; Emergency Excellence, LLC, Brentwood, Tennessee.

The Journal of Emergency Medicine
|January 30, 2016
PubMed
Summary

The number of emergency physicians is increasing, and a shortage is projected to resolve within 5-10 years. However, rural emergency departments will likely continue to face staffing challenges.

Keywords:
board certification in emergency medicineemergency department staffingemergency medicine shortageemergency medicine staffingemergency medicine workforce

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Area of Science:

  • Emergency Medicine
  • Healthcare Workforce Analysis
  • Physician Staffing

Background:

  • The emergency medicine workforce has expanded due to increased residency programs.
  • Despite growth, factors like rising patient volumes and ED overcrowding persist, creating a continued need for emergency physicians.

Purpose of the Study:

  • To analyze patient volumes and characteristics.
  • To assess the overall and emergency physician workforce.
  • To project future emergency physician staffing needs.

Main Methods:

  • Review of current data on physician workforce and patient demographics.
  • Analysis of the impact of physician extenders and scribes.
  • Forecasting of future emergency physician staffing requirements.

Main Results:

  • Projections indicate sufficient board-certified emergency physicians for U.S. EDs within 5-10 years.
  • Low-volume rural EDs are expected to struggle with specialist recruitment without incentives.
  • The data does not support a long-standing shortage of American Board of Emergency Medicine/American Osteopathic Board of Emergency Medicine physicians.

Conclusions:

  • The shortage of board-certified emergency physicians is diminishing annually.
  • Regional and rural physician shortages exist but are not unique to emergency medicine.
  • Reliance on physicians from other specialties for ED staffing is not supported by current data.