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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 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.
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.
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