Study Objective: To obtain current demographic data and information regarding the opinion of a stratified random sample of emergency physicians about the greatest current challenges facing emergency medicine.
Methods: An annual survey was conducted by the American Board of Emergency Medicine (ABEM) using a stratified random sample of 1,004 emergency physicians selected from four cohorts, 1979, 1984, 1988, and 1993. These samples were further divided between diplomates who had completed emergency medicine residency training and those who had not. The 1993 non-residency-trained panel was replaced by a random sample of American College of Emergency Physicians members who were full-time emergency physicians, were not ABEM diplomates, and had not completed a residency in emergency medicine. The interim survey instrument is a one-page collection of relevant demographic items selected from the comprehensive 5-year questionnaire with the addition of the open-ended question, "What are the greatest challenges facing emergency medicine today?"
Results: Of the interim surveys distributed, 95% (n = 956) were returned. Because the 1995 interim survey was the first distributed after the initial 1994 comprehensive survey, the demographic data had changed little. Such data will become increasingly important and useful as changes are reported over subsequent years. The main challenge identified by participants was the impact of managed care (31%), followed by economic and financial issues (23%). Personal impact issues, such as individual stress and malpractice, accounted for a smaller number of responses (18%).
Conclusion: Overall, the ABEM Longitudinal Study participant responses to the 1995 interim survey describe a committed group of emergency physicians who are struggling and coping with the needs of a maturing specialty and with the crosscurrents and changes in American medicine.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/s0196-0644(97)70249-x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Association between the hemoglobin A1c/High-density lipoprotein cholesterol ratio and stroke incidence: a prospective nationwide cohort study in China.
Lipids Health Dis
January 2025
Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, 213000, China.
Background: Stroke has emerged as an escalating public health challenge among middle-aged and older individuals in China, closely linked to glycolipid metabolic abnormalities. The Hemoglobin A1c/High-Density Lipoprotein Cholesterol (HbA1c/HDL-C) ratio, an integrated marker of glycolipid homeostasis, may serve as a novel predictor of stroke risk.
Methods: Our investigation utilized data from the China Health and Retirement Longitudinal Study cohort (2011-2018).
What's the bug?: An unusual cause of bacterial meningitis in a patient with history of transsphenoidal surgery.
Am J Emerg Med
January 2025
Department of Emergency Medicine, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, United States of America. Electronic address:
Bacterial meningitis is an increasingly rare disease that carries significant morbidity and mortality. We describe the case of a 38-year-old male with a past medical history of pituitary macroadenoma with prior endonasal surgeries on prednisone therapy daily for resultant hypopituitarism and juvenile myoclonic epilepsy on lamotrigine daily who was transferred to an academic tertiary emergency department due to concern for developing pituitary apoplexy. At the outside emergency department, the patient presented complaining of sudden onset severe headache.
View Article and Find Full Text PDFEmergency physician ultrasound diagnosis of pneumoperitoneum in intraoperative patients with peritoneal insufflation.
Am J Emerg Med
January 2025
Maimonides Medical Center, Department of Emergency Medicine, 965 48th Street, Brooklyn, NY 11219, United States. Electronic address:
Objectives: To determine the accuracy of emergency physicians (EPs) in diagnosing pneumoperitoneum with POCUS, and if the volume of pneumoperitoneum affects accuracy.
Methods: POCUS clips were obtained from patients undergoing intraperitoneal insufflation for an elective laparoscopic procedure. Video clips of the right upper quadrant and epigastric regions were obtained prior to insufflation and then after 500 ml, 1000 ml, and 1500 ml of insufflation.
Emerging Healthcare Trends in Prosthetic Treatment of Hand Osteoarthritis.
J Clin Med
January 2025
Department of Plastic, Hand, and Reconstructive Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.
: For many years, advancements in hand joint replacement (JR) were relatively minor compared to those for large joints. However, the caution previously exercised due to high complication rates is gradually being replaced by the expanding use of JR therapies for small joints in the hand. Despite this progress, there is a lack of comprehensive data on the outcomes of hand JR and on the optimal infrastructure required to meet the growing demand for these therapies.
View Article and Find Full Text PDFA Comprehensive Approach to Neoadjuvant Treatment of Locally Advanced Rectal Cancer.
Cancers (Basel)
January 2025
Medical Oncology Unit 1, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
At the end of the past century, the introduction of Total Mesorectal Excision (TME), preceded by either short-course radiotherapy (SCRT) or chemoradiation (CRT), established the new standard of care for locally advanced rectal cancer (LARC). Recently, significant advancements were achieved for both dMMR/MSI and pMMR/MSS LARC patients. For the 2-3% of dMMR/MSI LARCs, ablative immunotherapy emerged as a curative approach, offering the possibility of avoiding chemotherapy (CT), radiotherapy, and surgery altogether.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!