ArticleAnnals of emergency medicine2025
Clinical Practice Patterns of the Emergency Physician Workforce Before and After Attrition.
Article in Annals of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- 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 · 2026Article
- Emergency physician burnout and attrition in Canada: a longitudinal study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
STUDY
objectivePractice patterns of the emergency physician workforce have garnered increasing attention in recent years. Our objective was to assess the clinical service volume preceding and settings practiced following emergency physician workforce attrition.
methodsWe performed a repeated cross-sectional analysis using 2013-2021 Medicare data. Emergency physician workforce attrition was defined as not billing for emergency department (ED) services in the year after having billed at least 50 services in the prior year. Outcomes included the following: (1) the quantity of ED-based clinical services in the years prior to attrition and (2) the observed non-ED practice settings billed after attrition.
resultsBetween 2013 and 2021, 60,140 unique emergency physicians billed Medicare for more than 50 ED services in one or more years. Of these, 13,888 exhibited workforce attrition, with annual attrition rates ranging from 3.1% to 6.6% during the study period. Compared with those who remained in practice, those who exhibited attrition delivered 12.3% fewer ED services in the year immediately preceding attrition (602.2 versus 687.0 services). Notably, 27.9% of those exhibiting attrition reduced their services by more than 50% in the year before leaving, compared with 3.5% among nonattrition physicians. After leaving emergency medicine practice, 23.7% continued billing Medicare in non-ED settings, most commonly in urgent care and office-based settings.
conclusionEmergency physicians reduce clinical service volume in the year preceding attrition from the workforce. After leaving the emergency medicine workforce, the minority transitioned to other clinical settings, with those remaining in the broader health care workforce commonly practicing in urgent care and office-based settings that bill Medicare.
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Registered trials
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