Evidence map›Paper›PMID 37313983›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2023

Emergency medicine physician workforce attrition differences by age and gender.

Cameron J Gettel, D Mark Courtney, Pooja Agrawal, Tracy E Madsen, Craig Rothenberg, Angela M Mills, Michelle D Lall, Samuel M Keim, Chadd K Kraus, Megan L Ranney and 1 more

Abstract read
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Reimagining Hospital Medicine for Long-Term Sustainability.Journal of general internal medicine · 2026
    Article
  3. Racial and Ethnic Composition of the U.S. Emergency Medicine Workforce, Change From 2013 to 2023.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  4. Observational
  5. Emergency physician burnout and attrition in Canada: a longitudinal study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Financial Compensation of Academic Emergency Medicine Physicians in the United States.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  11. Review
  12. Article
  13. Article
  14. Parental Stress in Academic Emergency Medicine Physicians.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

11 authors.

Cameron J GettelDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-6249-1023
D Mark CourtneyDepartment of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-0905-465X
Pooja AgrawalDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Tracy E MadsenDepartment of Emergency Medicine, Alpert Medical School at Brown University, Providence, Rhode Island, USA.ORCID 0000-0001-5101-0776
Craig RothenbergDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Angela M MillsDepartment of Emergency Medicine, Columbia University College of Physicians and Surgeons, New York, New York, USA.ORCID 0000-0003-0798-6848
Michelle D LallDepartment of Emergency Medicine, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-5622-1705
Samuel M KeimDepartment of Emergency Medicine, University of Arizona College of Medicine, Tucson, Arizona, USA.
Chadd K KrausAmerican Board of Emergency Medicine (ABEM), East Lansing, Michigan, USA.ORCID 0000-0003-3628-2073
Megan L RanneyDepartment of Emergency Medicine, Alpert Medical School at Brown University, Providence, Rhode Island, USA.
Arjun K VenkateshDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-8248-0567

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
The development of a family navigator intervention and prevention protocol to reduce risk of suicide and self-injurious behavior for youth aged 10 to 14 years.P20GM139664 · NIGMS · RHODE ISLAND HOSPITAL · PI Michael J Mello · 2022 to 2026
$13.3M
Yale University Clinical and Translational Science Award ProgramKL2TR000140 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$2.9M
Development and validation of the Patient-Reported Outcome Measure - Older adult care Transitions from the Emergency Department (PROM-OTED) toolR03AG073988 · NIA · YALE UNIVERSITY · PI GETTEL, CAMERON · 2021 to 2022
$335k
NCATS NIH HHS KL2 TR000140NIA NIH HHS P30 AG021342NIA NIH HHS R03 AG073988NIA NIH HHS R03AG073988NIGMS NIH HHS P20 GM139664
6 · The paper itself

Abstract

backgroundEmergency care workforce concerns have gained national prominence given recent data suggesting higher than previously estimated attrition. With little known regarding characteristics of physicians leaving the workforce, we sought to investigate the age and number of years since residency graduation at which male and female emergency physicians (EPs) exhibited workforce attrition.

methodsWe performed a repeated cross-sectional analysis of EPs reimbursed by Medicare linked to date of birth and residency graduation date data from the American Board of Emergency Medicine for the years 2013-2020. Stratified by gender, our primary outcomes were the median age and number of years since residency graduation at the time of attrition, defined as the last year during the study time frame that an EP provided clinical services. We constructed a multivariate logistic regression model to examine the association between gender and EP workforce attrition.

resultsA total of 25,839 (70.2%) male and 10,954 (29.8%) female EPs were included. During the study years, 5905 male EPs exhibited attrition at a median (interquartile range [IQR]) age of 56.4 (44.5-65.4) years, and 2463 female EPs exhibited attrition at a median (IQR) age of 44.0 (38.0-53.9) years. Female gender (adjusted odds ratio 2.30, 95% confidence interval 1.82-2.91) was significantly associated with attrition from the workforce. Male and female EPs had respective median (IQR) post-residency graduation times in the workforce of 17.5 (9.5-25.5) years and 10.5 (5.5-18.5) years among those who exhibited attrition and one in 13 males and one in 10 females exited clinical practice within 5 years of residency graduation.

conclusionsFemale physicians exhibited attrition from the EM workforce at an age approximately 12 years younger than male physicians. These data identify widespread disparities regarding EM workforce attrition that are critical to address to ensure stability, longevity, and diversity in the EP workforce.

Indexed as

Emergency MedicinePhysiciansAdultAgedChildCross-Sectional StudiesFemaleHumansMaleMedicareMiddle AgedUnited StatesWorkforceageattritionemergency medicinegenderworkforce

Identifiers

PMID37313983
PMCPMC10973949

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Registered trials

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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.