National Study on the Contribution of Family Physicians to the US Emergency Physician Workforce in 2020.

Autor: Bennett CL; From Department of Emergency Medicine, Stanford University Medical Center, Palo Alto, CA (CLB); Staff Emergency Physician, Lebanon, PA (WAG); Providence Valdez Medical Center, Valdez, AK (JSC); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (JAE, AFS, CEC, CAC). christopher.lee.bennett@gmail.com., Gerard WA; From Department of Emergency Medicine, Stanford University Medical Center, Palo Alto, CA (CLB); Staff Emergency Physician, Lebanon, PA (WAG); Providence Valdez Medical Center, Valdez, AK (JSC); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (JAE, AFS, CEC, CAC)., Cullen JS; From Department of Emergency Medicine, Stanford University Medical Center, Palo Alto, CA (CLB); Staff Emergency Physician, Lebanon, PA (WAG); Providence Valdez Medical Center, Valdez, AK (JSC); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (JAE, AFS, CEC, CAC)., Espinola JA; From Department of Emergency Medicine, Stanford University Medical Center, Palo Alto, CA (CLB); Staff Emergency Physician, Lebanon, PA (WAG); Providence Valdez Medical Center, Valdez, AK (JSC); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (JAE, AFS, CEC, CAC)., Sullivan AF; From Department of Emergency Medicine, Stanford University Medical Center, Palo Alto, CA (CLB); Staff Emergency Physician, Lebanon, PA (WAG); Providence Valdez Medical Center, Valdez, AK (JSC); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (JAE, AFS, CEC, CAC)., Clay CE; From Department of Emergency Medicine, Stanford University Medical Center, Palo Alto, CA (CLB); Staff Emergency Physician, Lebanon, PA (WAG); Providence Valdez Medical Center, Valdez, AK (JSC); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (JAE, AFS, CEC, CAC)., Camargo CA Jr; From Department of Emergency Medicine, Stanford University Medical Center, Palo Alto, CA (CLB); Staff Emergency Physician, Lebanon, PA (WAG); Providence Valdez Medical Center, Valdez, AK (JSC); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (JAE, AFS, CEC, CAC).
Jazyk: angličtina
Zdroj: Journal of the American Board of Family Medicine : JABFM [J Am Board Fam Med] 2021 Nov-Dec; Vol. 34 (6), pp. 1221-1228.
DOI: 10.3122/jabfm.2021.06.210166
Abstrakt: Background: Family physicians provide a sizable portion of emergency care in the United States. However, there is limited work characterizing this population.
Methods: We completed a cross-sectional analysis of the 2020 American Medical Association Physician Masterfile that was inclusive of all clinically active physicians who designated emergency medicine as their primary or secondary specialty and had family medicine residency training and/or family medicine board certification. We used Accreditation Council for Graduate Medical Education information to determine family medicine residency training and data from the American Board of Medical Specialties to determine family medicine board certification status. We calculated physician density using US Census Bureau estimates; urban-rural assignments were based on Urban Influence Codes.
Results: We identified 4354 clinically active emergency physicians (9% of the overall emergency physician workforce). Of these, a majority were male (88%) and completed their training at least 20 years ago (84%), and a majority (59%) reported emergency medicine as their primary specialty. There is notable variation in physician density per 100,000 US population, and these densities declined compared with prior estimates from 2008.
Conclusions: We find that family physicians represent a sizable portion of the overall emergency physician workforce despite decreases in physician densities across the United States.
Competing Interests: Conflict of interest: None.
(© Copyright 2021 by the American Board of Family Medicine.)
Databáze: MEDLINE