Evidence map›Paper›PMID 38769602›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2024

Estimating the size and scope of the academic emergency physician workforce.

Cameron J Gettel, Carlos A Camargo, Christopher L Bennett, D Mark Courtney, Amy H Kaji, Gregory J Fermann, Fiona E Gallahue, Lewis S Nelson, Carleigh F Hebbard, Craig Rothenberg and 2 more

Abstract read
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

12 authors.

Cameron J GettelDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-6249-1023
Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Christopher L BennettDepartment of Emergency Medicine, Stanford University School of Medicine, Stanford, California, USA.
D Mark CourtneyDepartment of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-0905-465X
Amy H KajiDepartment of Emergency Medicine, David Geffen School of Medicine at UCLA, Torrance, California, USA.ORCID 0000-0003-4588-7939
Gregory J FermannDepartment of Emergency Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Fiona E GallahueDepartment of Emergency Medicine, The University of Washington, Seattle, Washington, USA.
Lewis S NelsonDepartment of Emergency Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Carleigh F HebbardDepartment of Emergency Medicine, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Craig RothenbergDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Ali S RajaDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Arjun K VenkateshDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-8248-0567

Funding

Institutional Career Development Core (KL2)KL2TR003143 · NCATS · STANFORD UNIVERSITY · PI ASCH, STEVEN M. · 2019 to 2023
$8.7M
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
CA Office of Traffic and SafetyMTEC Medical Technology Enterprise ConsortiumNational Academy of Medicine of the National Academy of Sciences SCON-10000824National Institute of Allergy and Infectious Diseases L30AI178800NCATS NIH HHS KL2 TR003143NCATS NIH HHS KL2TR003143NIAID NIH HHS L30 AI178800NIA NIH HHS R03 AG073988NIA NIH HHS R03AG073988
6 · The paper itself

Abstract

backgroundAcademic emergency medicine (EM) is foundational to the EM specialty through the development of new knowledge and clinical training of resident physicians. Despite recent increased attention to the future of the EM workforce, no evaluations have specifically characterized the U.S. academic EM workforce. We sought to estimate the national proportion of emergency physicians (EPs) identified as academic and the proportion of emergency department (ED) visits that take place at academic sites.

methodsWe performed a cross-sectional analysis of EPs and EDs using data from the American Hospital Association, the Centers for Medicare & Medicaid Services, and Doximity's Residency Navigator. EPs were identified as "academic" if they were affiliated with at least one facility determined to be academic, defined as EDs officially designated by the Accreditation Council for Graduate Medical Education (ACGME) as clinical training sites at accredited EM residency programs. Our primary outcomes were to estimate the national proportion of EPs identified as academic and the proportion of ED visits performed at academic sites.

resultsOur analytic sample included 26,937 EPs practicing clinically across 4920 EDs and providing care during 130,471,386 ED visits. Among EPs, 11,720 (43.5%) were identified as academic, and among EDs, 635 (12.9%) were identified as academic sites, including 585 adult/general sites, 45 pediatric-specific sites, and 10 sites affiliated with the Department of Veterans Affairs. In 2021, academic EDs provided care for 42,794,106 ED visits or 32.8% of all ED visits nationally.

conclusionsApproximately four in 10 EPs practice in at least one clinical training site affiliated with an ACGME-accredited EM residency program, and approximately one in three ED visits nationally occur in these academic EDs. We encourage further work using alternative definitions of an academic EPs and EDs, along with longitudinal research to identify trends in the workforce's composition.

Indexed as

Emergency MedicineEmergency Service, HospitalPhysiciansAcademic Medical CentersCross-Sectional StudiesHumansInternship and ResidencyUnited StatesWorkforceacademicemergency departmentemergency physicianworkforce

Identifiers

PMID38769602
PMCPMC13006081

What OpenQuestion holds

Textmetadata
LicenceTDM
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.