State of the National Emergency Department Workforce: Who Provides Care Where?

Annals of Emergency Medicine
M Kennedy HallArjun Venkatesh

Abstract

We describe the current US emergency medicine workforce in terms of clinician type and examine rural and urban emergency medicine workforce differences. Using the 2014 Medicare Public Use Files, we performed a cross-sectional study of all clinicians receiving reimbursement for evaluation and management (E/M) services (levels 1 to 5) to Medicare fee-for-service Part B beneficiaries in the emergency department. Providers were defined as emergency physicians, nonemergency physicians, or advanced practice providers, corresponding with the Medicare Public Use Files data set. The primary outcome was the number of clinicians providing greater than 10 E/M claims tabulated as a distinct encounter. Urbanicity data were obtained from the National Bureau of Economic Research. Of 58,641 unique emergency medicine clinicians, 35,856 (61.1%) were classified as emergency physicians, 8,397 (14.3%) as nonemergency physicians, and 14,360 (24.5%) as advanced practice providers. Among nonemergency physicians categorized as emergency medicine clinicians, family practice and internal medicine predominated (41.7% and 19.9%, respectively). Among advanced practice providers, physician assistants (68.4%) and nurse practitioners (31.5%) predominated. A tot...Continue Reading

Citations

May 28, 2019·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Andrew J CohenBenjamin N Breyer
Aug 25, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Marcia M WardNicholas M Mohr
May 28, 2019·The Western Journal of Emergency Medicine·Christine R StehmanAdam R Kellogg
Jun 20, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Xi ZhuMarcia M Ward
May 28, 2019·Emergency Medicine Australasia : EMA·Mike Khoury
Mar 20, 2020·The Western Journal of Emergency Medicine·Shih-Chuan ChouJeremiah D Schuur
Oct 24, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Carson E ClayCarlos A Camargo
Nov 5, 2020·Journal of the American College of Emergency Physicians Open·Joshua J BaughAli S Raja
Feb 19, 2020·The American Journal of Emergency Medicine·Fred Wu, Michael A Darracq
Dec 11, 2020·The American Journal of Emergency Medicine·Cameron J GettelArjun K Venkatesh
Apr 3, 2021·The Urologic Clinics of North America·Ryan Dornbier, Christopher M Gonzalez
Nov 4, 2020·The American Journal of Emergency Medicine·Fred Wu, Michael A Darracq
Jul 20, 2021·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Tener Goodwin VeenemaStella Seal
Aug 7, 2021·Annals of Emergency Medicine·Catherine A MarcoChelsea Richwine
Dec 4, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christopher R CarpenterSharon Chekijian

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