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Emergency physicians in critical care: where are we now?
Samantha S Strickler1, Daisi J Choi2, Daniel J Singer3
1Department of Emergency Medicine and Department of Anesthesia Division of Critical Care Medicine Emory University Atlanta Georgia USA.
Journal of the American College of Emergency Physicians Open
|November 4, 2020
Summary
Emergency physicians can now pursue critical care board certification, leading to diverse practice models. However, these dual-trained physicians face unique challenges in their combined emergency and critical care roles.
Area of Science:
- Medical Education
- Critical Care Medicine
- Emergency Medicine
Background:
- Emergency physicians previously could not obtain critical care board certification in the US.
- New pathways for critical care board certification have been established since 2011.
- This study investigates the experiences of emergency physicians in critical care fellowships and practice.
Purpose of the Study:
- To explore the training, practice, and challenges of emergency medicine/critical care fellows and physicians.
- To understand the evolving landscape of dual-specialty practice in critical care.
Main Methods:
- Anonymous online survey distributed to emergency physicians in critical care fellowship or practice.
- Participants recruited through national organizations and interest groups.
- Data collected from April to December 2016.
Main Results:
- 152 respondents included (92 physicians, 60 fellows), primarily aged 31-50.
- 90% of fellows desired dual practice; 63% of physicians split time between ED and ICU.
- Physicians often work in academic institutions, facing challenges in dual practice.
Conclusions:
- Increasing numbers of emergency physicians are pursuing critical care board certification.
- Emergency medicine/critical care physicians adopt varied practice models.
- Duality in practice presents inherent challenges for these physicians.
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