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Related Experiment Videos

Do estimates of emergency physician workforce underestimate current needs?

C E Haase1, L M Lewis, B Kao

  • 1Washington University School of Medicine, St Louis, Missouri, USA.

Annals of Emergency Medicine
|December 1, 1996
PubMed
Summary

Current formulas underestimate the number of practicing emergency physicians (EPs). This study found actual EP staffing needs in Missouri are significantly higher than estimates, highlighting a shortage and unequal distribution of board-certified EPs.

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Area of Science:

  • Emergency Medicine
  • Health Workforce Analysis

Background:

  • Existing formulas for estimating practicing emergency physicians (EPs) rely on hospital and patient visit data.
  • These formulas may not accurately reflect the true number of EPs or the staffing needs in emergency departments (EDs).

Purpose of the Study:

  • To evaluate the accuracy of two common formulas in predicting the number of practicing EPs.
  • To determine the actual number of EPs and their board certification status in Missouri.
  • To assess the distribution and adequacy of EP staffing in Missouri.

Main Methods:

  • A survey of emergency departments (EDs) in Missouri hospitals was conducted.
  • Data collected included the number of full-time and part-time EPs, their board certification status, and full-time equivalents (FTEs) for adequate staffing.

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  • Survey data was compared to 1994 estimates derived from two established calculation methods.

    • Main Results:

    • 118 of 134 (88%) hospitals surveyed provided data on 458 full-time and 690 part-time EPs.
    • Adequate staffing required 677 FTEs, while formulas estimated 358 (47% underestimate) and 555 (18% underestimate).
    • Board-certified EPs were concentrated in urban and university settings, with limited presence in rural areas.

    Conclusions:

    • Current methods significantly underestimate the actual number of practicing EPs and staffing needs in Missouri.
    • A shortage and unequal distribution of board-certified EPs exist in Missouri.
    • National extrapolation of these underestimations could adversely impact funding and residency program development for emergency medicine.