Evidence map›Paper›PMID 37251350›Full record

ArticleJournal of the American College of Emergency Physicians open2023

Evaluating changes in the emergency medical services workforce: A preliminary multistate study.

Jordan D Kurth, Jonathan R Powell, Christopher B Gage, Alix Delamare Fauvel, Remle P Crowe, Rebecca E Cash, Ashish R Panchal

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Preparedness of the Emergency Medical Services Educational System: Pandemic Barriers and Adaptations.Journal of the American College of Emergency Physicians open · 2026
    Article
  2. Agency-Level Turnover Rates of Emergency Medical Service Clinicians and Their Characteristics.Journal of the American College of Emergency Physicians open · 2026
    Article
  3. Article
  4. National Evaluation of Emergency Medical Services Clinician Burnout and Workforce-Reducing Factors.Journal of the American College of Emergency Physicians open · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Evaluating changes in the emergency medical services workforce: A preliminary multistate study.Journal of the American College of Emergency Physicians open · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Jordan D KurthNational Registry of Emergency Medical Technicians Columbus Ohio USA.
Jonathan R PowellNational Registry of Emergency Medical Technicians Columbus Ohio USA.
Christopher B GageNational Registry of Emergency Medical Technicians Columbus Ohio USA.
Alix Delamare FauvelDepartment of Emergency Medicine The Ohio State University Wexner Medical Center Columbus Ohio USA.
Remle P CroweESO Inc Austin Texas USA.
Rebecca E CashDepartment of Emergency Medicine Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.
Ashish R PanchalNational Registry of Emergency Medical Technicians Columbus Ohio USA.
National Registry of Emergency Medical Technicians · USMassachusetts General Hospital · USThe Ohio State University · USThe Ohio State University Wexner Medical Center · USUniversité de Rouen Normandie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: There is growing concern with the strength and stability of the emergency medical services (EMS) workforce with reports of workforce challenges in many communities in the United States. Our objective was to estimate changes in the EMS workforce by evaluating the number of clinicians who enter, stay, and leave. Methods: A 4-year retrospective cohort evaluation of all certified EMS clinicians at the emergency medical technician (EMT) level or higher was conducted for 9 states that require national EMS certification to obtain and maintain EMS licensure. The study spanned 2 recertification cycles (2017-2021) for 2 workforce populations: the certified workforce (all EMS clinicians certified to practice) and the patient care workforce (the subset who reported providing patient care). Descriptive statistics were calculated and classified into 1 of 3 categories: EMS clinicians who entered, stayed in, or left each respective workforce population. Results: There were 62,061 certified EMS clinicians in the 9 included states during the study period, and 52,269 reported providing patient care. For the certified workforce, 80%-82% stayed in and 18%-20% entered the workforce. For the patient care workforce, 74%-77% stayed and 29%-30% entered. State-level rates of leaving each workforce ranged from 16% to 19% (certified) and 19% to 33% (patient care). From 2017 to 2020, there was a net growth of both the certified (8.8%) and patient care workforces (7.6%). Conclusions: This was a comprehensive evaluation of both the certified and patient care EMS workforce dynamics in 9 states. This population-level evaluation serves as the first step for more detailed analyses to better understand workforce dynamics in EMS.

Identifiers

PMID37251350
PMCPMC10211462
OpenAlexW4378212955

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.