Do estimates of emergency physician workforce underestimate current needs?

Annals of Emergency Medicine
C E HaaseB Kao

Abstract

Two widely used formulas for calculating the number of practicing emergency physicians (EPs) are based on the total number of US emergency departments and patient visits. In this study we hypothesized that the number of physicians now working in EDs is significantly greater than the estimates yielded by these formulas. Therefore we attempted to determine the accuracy of these methods for predicting the true number of practicing EPs. We also examined the training, board certification, and distribution of EPs. The EDs of all hospitals listed by the Missouri Hospital Association (MHA), excluding children's and psychiatric hospitals, were surveyed over a 9-month period in 1994 with regard to the number and board status of all physicians practicing in their EDs and the numbers of full-time equivalents (FTEs) required for adequate staffing. These numbers were compared with 1994 estimates for Missouri based on two common methods of calculation. Of 134 hospitals with EDs, 118 (88%) completed our survey. These EDs employed 458 full-time EPs and 690 part-time EPs, with 41% and 7% board-certified in emergency medicine, respectively. Board-certified emergency physicians were concentrated in large cities and at university hospitals and were...Continue Reading

References

Jul 1, 1990·Annals of Emergency Medicine·M E GalleryR Williams
Jul 20, 1994·JAMA : the Journal of the American Medical Association·J P Weiner
May 18, 1994·JAMA : the Journal of the American Medical Association·D A Kindig

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Citations

Jul 1, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·W C Dalsey, L S Binder
Jun 25, 1998·Journal of Accident & Emergency Medicine·J P WyattC Chudnofsky
Nov 3, 2007·The Journal of Emergency Medicine·Michael J DrescherKobi Peleg
Sep 2, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ashley F SullivanCarlos A Camargo

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