Evidence map›Paper›PMID 40795015›Full record

ArticleThe western journal of emergency medicine2025

Letter of Concern from the Association of Academic Chairs of Emergency Medicine Regarding ACGME Proposed Changes.

Richard J Hamilton, Lance B Becker, Richard E Wolfe, D Adam Algren, Thomas Arnold, Michael Baumann, Ross P Berkeley, Terrell S Caffery, Chad M Cannon, Theodore J Corbin and 46 more

Abstract readLetter
PubMed Full text at PMC Publisher
In one paragraph

Article in The western journal of emergency medicine, 2025. 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. Fellowship Training After Four-year Emergency Medicine Residency.The western journal of emergency medicine · 2026
    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

56 authors.

Richard J HamiltonCrozer Keystone Health System, Department of Emergency Medicine.
Lance B BeckerNorth Shore University Hospital and Long Island Jewish Medical Center, Department of Emergency Medicine.
Richard E WolfeHarvard Medical School, Department of Emergency Medicine.
D Adam AlgrenUniversity Health, Department of Emergency Medicine, Division of Clinical Pharmacology, Toxicology, Therapeutic Innovation.
Thomas ArnoldLSU Health Shreveport, Department of Emergency Medicine.
Michael BaumannMainhealth, Maine Medical Center, Department of Emergency Medicine.
Ross P BerkeleyUniversity of Nevada, Las Vegas, Kirk Kerkorian School of Medicine at UNLV, Department of Emergency Medicine.
Terrell S CafferyLSU, Department of Emergency Medicine.
Chad M CannonUniversity of Kansas Medical Center, University of Kansas Health System, Department of Emergency Medicine.
Theodore J CorbinRush Medical College, Rush University Hospital, Department of Emergency Medicine.
Michael E ChanskyCooper Medical School of Rowan University, Cooper University Health Care, Department of Emergency Medicine.
Harinder S DhindsaCooper Medical School of Rowan University, Cooper University Health Care, Department of Emergency Medicine.
Charles L EmermanCase Western Reserve, University School Medicine MetroHealth Medical Center, Department of Emergency Medicine.
David A FarcyMount Sinai Medical Center, Department of Emergency Medicine.
Chris FoxUniversity of California, Irvine, Department of Emergency Medicine.
Michael A GibbsCarolinas Medical Center and Levine Children's Hospital, Department of Emergency Medicine.
Christopher S GoodeWVU Medicine, Department of Emergency Medicine.
Steven Andy GodwinUniversity of Florida College of Medicine - Jacksonville, UF Health Jacksonville, Department of Emergency Medicine.
Dietrich JehleUniversity of Texas Medical Branch, Department of Emergency Medicine.
David JohnsonMercy St. Vincents Medical Center, Department of Emergency Medicine.
Samuel M KeimMel and Enid Zuckerman College of Public Health, Department of Emergency Medicine.
Babak KhazaeniDesert Regional Medical Center, Department of Emergency Medicine.
Barry J KnappEastern Virgina Medical School at Old Dominion University, Department of Emergency Medicine.
Clint HawthorneUnityPoint Health Des Moines, Department of Emergency Medicine.
John D HoyleWestern Michigan University Homer Stryker, MD School of Medicine, Department of Emergency Medicine and Pediatrics and Adolescent Medicine.
Michael Christopher KurzUniversity of Chicago, Department of Emergency Medicine.
Evan LeibnerCreighton University School of Medicine, Dignity Health Medical Group Chandler, Department of Emergency Medicine.
Robert McNamaraLewis Katz School of Medicine at Temple University, Temple University Health System, Department of Emergency Medicine.
Robert F McCormackJacobs School of Medicine and Biomedical Science, University at Buffalo, Department of Emergency Medicine.
Edward A MichelsonPaul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, Department of Emergency Medicine.
Chadwick MillerWake Forest University School of Medicine, Department of Emergency.
Ashley NorseUniversity of Arkansas Medical Center, Department of Emergency Medicine.
Andrew NugentUniversity Of Iowa Health Care, Department of Emergency Medicine.
Brian J O'NeilAlbany Medical Center, Department of Emergency Medicine.
David T OvertonWestern Michigan University Homer Stryker, MD School of Medicine, Department of Emergency Medicine and Pediatrics and Adolescent Medicine.
Edward A PanacekUniversity of South Alabama, Department of Emergency Medicine.
William F PaoloUpstate Medical University Syracuse NY, Department of Emergency Medicine.
Denis R PauzéAlbany Medical Center, Department of Emergency Medicine.
Amanda L PerezThe Permanente Medical Group, Department of Emergency Medicine.
Ralph J RivielloJoe R. and Teresa Lozano Long School of Medicine, UT Health San Antonio University Health System, Department of Emergency Medicine.
Scott W RodiGeisel school of Medicine at Dartmouth, Dartmouth Hitchcock Medical Center, Department of Emergency Medicine.
Peter S PangIndiana University School of Medicine, Department of Emergency Medicine.
Juan A Gonzalez SanchezUPR School of Medicine, Department of Emergency Medicine.
David SeabergUS Acute Care Solutions, Academic Division.
Adam SchwartzSouthern California Permanente Medical Group, Department of Emergency Medicine.
Stephen A ShiverMedical University of GA at Augusta University, Department of Emergency Medicine.
David P SklarUniversity of New Mexico, Department of Emergency Medicine.
Ben C SmithUniversity of Tennessee College of Medicine, Department of Emergency Medicine.
Jeffrey R StowellThe University of Arizona, College of Medicine - Phoenix, Department of Emergency Medicine.
Marc D SquillanteUniversity of Illinois College of Medicine Peoria, Department of Emergency Medicine.
J Jeremy ThomasUniversity of Louisville School of Medicine, University of Louisville Health, Department of Emergency Medicine.
Terry Vanden HoekUniversity of Illinois College of Medicine, University of Illinois Health, Department of Emergency Medicine.
Gregory A VolturoUMass Chan Medical School, UMass Memorial Health, Department of Emergency Medicine.
E Lea WaltersLoma Linda University Health, Department of Emergency Medicine.
Thomas E WyattU of Minnesota Medical School, Department of Emergency Medicine.
Donald M YealyUniversity of Pittsburgh School of Medicine, Department of Emergency Medicine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This letter, signed by over 50 academic chairs of emergency medicine, urges the ACGME to reconsider a proposed mandate requiring all emergency medicine residency programs to adopt a four-year training model. The authors argue that current three-year programs are supported by data demonstrating equivalent educational and clinical outcomes compared to four-year formats. They criticize the flawed survey methodology underpinning the proposal, note the loss of milestone-based training flexibility, and highlight the lack of added scholarly or clinical value in the fourth year. The letter also outlines negative consequences for fellowship participation, workforce development, trainee debt, and diversity. The signatories advocate for maintaining the current flexible training model to preserve excellence, equity, and innovation in emergency medicine education.

Indexed as

Education, Medical, GraduateEmergency MedicineInternship and ResidencyHumansUnited States

Identifiers

PMID40795015
PMCPMC12342429

What OpenQuestion holds

Textmetadata
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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.