Emergency Medicine

[Neuro27]

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Is ER doc considered primary or specialized?

With D.O. background, do you practice osteopathic manipulations in emergency medicine?

Or do you practice osteopathic manipulation in any kind of spcialization for that matter?

 

[OSUdoc08]

Is ER doc considered primary or specialized?

With D.O. background, do you practice osteopathic manipulations in emergency medicine?

Or do you practice osteopathic manipulation in any kind of spcialization for that matter?

1. Emergency medicine is considered primary care. It is also a medical specialty.

2. It is rare to use manipulation in the emergency department, since most patients that need OMM have chronic problems and not acute.

3. OMM is common in family practice, physical medicine/rehab, and sports medicine

 

[Raven Feather]

1. Emergency medicine is considered primary care. It is also a medical specialty.

2. It is rare to use manipulation in the emergency department, since most patients that need OMM have chronic problems and not acute.

3. OMM is common in family practice, physical medicine/rehab, and sports medicine

Emergency Medicine is not considered primary care--at least not according to any of the primary care service obligation scholarships. Am I missing something? I was told primary care is: FP, IM, OB/GYN, Peds, and Psych.

 

[JohnnyOU]

Emergency Medicine is not considered primary care--at least not according to any of the primary care service obligation scholarships. Am I missing something? I was told primary care is: FP, IM, OB/GYN, Peds, and Psych.

Lots of programs consider EM to be primary care. Oklahoma's rural practice incentive loan programs for instance.

...matched by PMTC, to any qualified primary care physician (FP, IM, Ped, OB, ER) in establishing a full-time practice...etc etc

 

[Raven Feather]

Lots of programs consider EM to be primary care. Oklahoma's rural practice incentive loan programs for instance.

...matched by PMTC, to any qualified primary care physician (FP, IM, Ped, OB, ER) in establishing a full-time practice...etc etc

Hmmm, really? I guess I am surprised. I am interested in EM, so I have researched it a bit as far as what category it falls under, anyway, The NHSC says it is not....as do many of the Indiana primary care scholarships. It must vary. I have always thought, however, EM should be considered primary care period.

 

[Faraaz23]

There may be differences as to what organizations and agencies regard EM as "primary" or "specialized", but after working in a few different ED's, I'll definitely say that I consider it primary care more than anything. Out of the 120 average patients we get through our ED everyday, I'd say 90+ are patients who could/should be seen at a PCP office or an urgent care clinic.

I was asking a DO who works there about OMM, and in addition to saying some of the things above posters have mentioned, he told me allopathic hospitals generally do not grant privelages to doctors or groups with a practice scope that includes OMM.

 

[Raven Feather]

There may be differences as to what organizations and agencies regard EM as "primary" or "specialized", but after working in a few different ED's, I'll definitely say that I consider it primary care more than anything. Out of the 120 average patients we get through our ED everyday, I'd say 90+ are patients who could/should be seen at a PCP office or an urgent care clinic.
I was asking a DO who works there about OMM, and in addition to saying some of the things above posters have mentioned, he told me allopathic hospitals generally do not grant privelages to doctors or groups with a practice scope that includes OMM.

Yeah and you gotta love it when a patient arrives to the ED via EMS with a toothache!

 

[Nate]

Emergency Medicine is not considered primary care--at least not according to any of the primary care service obligation scholarships. Am I missing something? I was told primary care is: FP, IM, OB/GYN, Peds, and Psych.

Although it makes sense, Psych is not considered primary care either.

 

[Jamers]

Although it makes sense, Psych is not considered primary care either.

It is if you go by National Health Service Corps :"Deferments of service are granted physicians to complete residencies in family practice, internal medicine, pediatrics, psychiatry, and OB/GYN. "

 

[OSUdoc08]

Emergency Medicine is not considered primary care--at least not according to any of the primary care service obligation scholarships. Am I missing something? I was told primary care is: FP, IM, OB/GYN, Peds, and Psych.

The primary care service obligation scholarships in the state of Oklahoma consider EM as primary care. It varies from state-to-state.

People with actual experience in the ER KNOW that EM is primary care.

 

[Canuck99]

i work in an ER in TX as a physician tech. the docs that i work with have told me that EM is considered primary care.

 

[Raven Feather]

It is if you go by National Health Service Corps :"Deferments of service are granted physicians to complete residencies in family practice, internal medicine, pediatrics, psychiatry, and OB/GYN. "

That is what the Indiana Primary Care Scholarships classify primary care also.

 

[Raven Feather]

The primary care service obligation scholarships in the state of Oklahoma consider EM as primary care. It varies from state-to-state.

People with actual experience in the ER KNOW that EM is primary care.

I agree. It is too bad the NHSC doesn't consider it that way. Maybe it is because there isn't as much as a shortage of EM physicians that they don't bother to include them.

 

[JakeHarley]

I thought I read somewhere that the Indian Health Service considers EM to be a primary care field, or at least qualified for their loan repayment program.

Also, notice the interesting statement in bold face regarding osteopathic physicians:

Related Programs
93.162, National Health Service Corps Loan Repayment Program.

Information Contacts
Regional or Local Office
See Appendix IV of the Catalog for IHS Area Offices.
Headquarters Office
Program Contact: Ms. Jackie Sanitago, Chief, Loan Repayment Program, Indian Health Service, 801 Thompson Avenue, Suite 120, Rockville, MD 20852. Telephone: (301) 443-3396. Use the same number for FTS.
Web Site Address
http://www.ihs.gov

Examples of Funded Projects
Physicians, nurses, mental health, and other health professionals who have agreed to provide full-time clinical services at an appropriate site for an applicable period of time (2 years) in return for repayment of their health profession education loans.

Criteria for Selecting Proposals
The IHS defined "Health Profession" to mean family medicine, internal medicine, pediatrics, geriatric medicine, obstetrics and gynecology, podiatric medicine, nursing, public health nursing, dentistry, psychiatry, osteopathy, optometry, pharmacy, psychology, public health, social work, marriage and family therapy, chiropractic medicine, environmental health and engineering, and allied professions. Indian Health Service will give priority in funding among health professionals to physicians in the following priority specialties: anesthesiology, emergency room medicine, general surgery, otolaryngology/otorhinolaryngology, obstetrics/gynecology, ophthalmology, orthopedic surgery, psychiatry, and radiology. Osteopathic physicians may be funded regardless of specialty, provided that the IHS has a need for that specialty. Allopathic physicians may be funded only if they are board certified/eligible in family medicine, internal medicine, pediatrics, geriatric medicine, obstetrics/gynecology and psychiatry. Other factors that will be employed to determine which applicant is selected for awards include: (a) An applicant's length of current employment in the IHS, tribal or urban program; (b) availability for service earlier than other applicants (first come, first served); and (c) date the completed application was received.

 

[JohnUC33]

With D.O. background, do you practice osteopathic manipulations in emergency medicine?

A D.O. FP works at my emergency room. He said that he is able to use OMM sometimes while here in the ER.