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Introduction to Emergency Medicine

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American College of Emergency Physicians established 1968 ... Medical Education. Medical Informatics. Neurologic Emergencies. Ultrasound. Wilderness medicine ... – PowerPoint PPT presentation

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Title: Introduction to Emergency Medicine


1
Introduction to Emergency Medicine
  • American College of
  • Emergency Physicians

2
Lecture Objectives
  • Convey an understanding of the field of Emergency
    Medicine
  • Discuss pros and cons of specialty
  • Describe emergency medicine residency training
  • Introduce EMRA and EM interest groups

3
History of Emergency Medicine
  • Emergency Departments 1960s Staffed by
    physicians of various backgrounds with no EM
    training
  • American College of Emergency Physicians
    established 1968
  • American Board of Emergency Medicine formed 1979,
    independent specialty 1988
  • First resident 1969 First residency,
    University of Cincinnati - 1970
  • Emergency Medicine Residents Association formed
    1974

4
Emergency Medicine Residencies
  • Emergency Medicine Residencies
  • 1983 - 66
  • 1990 - 84
  • 2000 - 122 allopathic 25 osteopathic
  • 2005 - 134 allopathic 36 osteopathic
  • Resident Positions in NRMP
  • 1990 - 440
  • 2000 - 971
  • 2005 - 1332

5
Employment Opportunities
  • Urban, suburban, or rural hospitals
  • Teaching university or community hospitals
  • Traveling (locum tenens) physicians
  • International medicine

6
Subspecialty Certification in Emergency Medicine
  • Pediatric Emergency Medicine
  • Toxicology
  • Sports Medicine
  • Undersea and Hyperbaric Medicine

7
Areas of Expertise
  • Administration
  • Cardiovascular Emergencies
  • Clinical Forensic Medicine
  • Critical Care
  • Disaster Medicine
  • Geriatric EM
  • International EM
  • Injury Control
  • Medical Education
  • Medical Informatics
  • Neurologic Emergencies
  • Ultrasound
  • Wilderness medicine

8
Research Opportunities
  • Broad range of subjects
  • Basic Science
  • Clinical Science
  • Health Policy
  • Broad funding opportunities
  • Availability of mentors

9
Appeal of Emergency Medicine
  • Unique opportunity to make a difference
  • Life threatening injuries and illnesses
  • Diverse patient population
  • No shift the same as its predecessor
  • First opportunity to make the diagnosis
  • Teacher for staff and patients
  • Emergency / invasive procedures

10
Appeal of Emergency Medicine
  • Team approach
  • Patient advocacy
  • Open job market
  • Academic opportunities
  • Shift work / set hours
  • Evolving specialty
  • Safety net of healthcare

11
Challenges to Emergency Medicine
  • Interaction with difficult, intoxicated, or
    violent patients or family members
  • Work in a fishbowl without 20/20 hindsight
  • Finding follow-up or care for uninsured
  • Limited resources
  • High stress

12
The Lifestyle Two Sides of A Coin
  • Advantages
  • Shift work
  • Rare or no call
  • Part-time employment possible
  • Changing schedule
  • Disadvantages
  • Nights
  • Weekends
  • Holidays
  • Changing schedule

13
Number of EM Physicians
  • 4,945 Emergency Departments
  • Need 32,000 - 37,000 ED physicians to staff
  • In 2004, 21,452 ABEM Board certified physicians
  • In 2005, 23, 081 ACEP members

14
Emergency Medicine Journals
  • Annals of Emergency Medicine
  • Academic Emergency Medicine
  • Journal of Emergency Medicine
  • American Journal of Emergency Medicine
  • Pediatric Emergency Care

15
Emergency Medicine Residents Association
  • Represents interests of EM residents and medical
    students
  • Approximately 5,750 members
  • Publishes EM Resident, a bi-monthly newsletter
  • Publishes Top Clinical Problems for medical
    students

16
Emergency Medicine Residents Association
  • Publishes antibiotic handbook annually
  • Airway management card
  • Online Medical Student Survival Guide
  • EMRAMatch.org current residency program
    information for students updated by residents

17
EMRAs Medical Student Committee
  • Represents students with interest in EM
  • Promotes awareness of issues facing EM
  • Organizes annual Medical Student Forum
  • Organizes a Residency Fair
  • Aids in organizing EM interest groups
  • Provides a grass-roots network for students
    interested in emergency medicine

18
EM Interest Groups
  • Student run organization
  • Shadow Shifts
  • Journal club
  • Suture clinic
  • Radiology lab
  • EKG clinic
  • Lectures on EM topics

19
Emergency Medicine First and Second Year Students
  • Observe in ED
  • Summer research projects with EM staff
  • EM interest group affiliation
  • Be open to any medical specialty

20
Emergency Medicine Third Year Students
  • See patients in ED on various rotations
  • Obtain EM physician as mentor
  • Start selecting fourth year rotations

21
Emergency Medicine Fourth Year Students
  • Mandatory/Elective EM rotation
  • Consider extramural rotations
  • Community experience
  • Opportunity at a residency program
  • Trauma experience
  • Letters of recommendation

22
Residency Programs
  • Training programs (2005)
  • PGY 1-3 (75) 102
  • PGY 2-4 (12) 15
  • PGY 1-4 (13) 19
  • Combined EM Residency Programs
  • Emergency Medicine / Pediatrics
  • Emergency Medicine / Internal Medicine
  • Emergency Medicine / Internal Medicine / Critical
    Care

23
Choosing A Specialty
  • Fit your personality
  • Decide between general or specialized field
  • Look at all areas of interest
  • Commit to specialty you choose

24
Contact
  • ACEP
  • 1125 Executive Circle Irving, TX 75038-2522
  • 800-798-1822
  • www.acep.org
  • EMRA
  • 1125 Executive Circle Irving, TX 75038-2522
  • 1-972-550-0920
  • www.emra.org
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