What percentage of ER docs are actually BC/BE in ER?

[countryboy75]

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This is partially an observation as well as a thought. What percentage of ER docs are actually board certified in ER?

The reason I am asking is that in my experience working as an EMT transporting patients to many different hospitals throughout my area many of the physicians that I have been able to befriend are not ER board certified but actually FP or IM. In fact one of the attendings/directors at a big ER (level 1 trauma center) that I took patients to told me he just had his D.O. and only did a years internship.

With that said, another physician pointed out to me that the ER residencies are not turning out enough ER docs to fill the ER's of america and FP and IM docs will still be filling in the huge gap.

Speak amongst yourselves wel at least so I can see and learn from your knowledge😉

 

[EM_Rebuilder]

This is partially an observation as well as a thought. What percentage of ER docs are actually board certified in ER?

The reason I am asking is that in my experience working as an EMT transporting patients to many different hospitals throughout my area many of the physicians that I have been able to befriend are not ER board certified but actually FP or IM. In fact one of the attendings/directors at a big ER (level 1 trauma center) that I took patients to told me he just had his D.O. and only did a years internship.

With that said, another physician pointed out to me that the ER residencies are not turning out enough ER docs to fill the ER's of america and FP and IM docs will still be filling in the huge gap.

Speak amongst yourselves wel at least so I can see and learn from your knowledge😉

Whats your 20? (i.e. what state and part of the country did the above occur?)

I do not know percentages, but you are correct, many of the nations EDs are still staffed by FP, IM, and internship only (GPs) physicians. EM is a very young speciality but we are growing fast and adding more residents and new residency programs every year.

We still have some to go as far as EM BE/BC staffing every decent sized ED in America, but I certainly think we will see that day within our lifetime....

 

[docB]

No one is board certified in ER. Those of us who are boarded in Emergency Medicine think that it is the gold standard of training for anyone who practices EM. It is likely that opportunities to practice EM without being residency trained or boarded will decline although there will continue to be a shortage of BC EM docs for many years. Here are a few of the many threads that have covered this topic in the past:

http://forums.studentdoctor.net/showthread.php?t=450571
http://forums.studentdoctor.net/showthread.php?t=381970
http://forums.studentdoctor.net/showthread.php?t=300708

 

[zinjanthropus]

No one is board certified in ER. Those of us who are boarded in Emergency Medicine think that it is the gold standard of training for anyone who practices EM. It is likely that opportunities to practice EM without being residency trained or boarded will decline although there will continue to be a shortage of BC EM docs for many years. Here are a few of the many threads that have covered this topic in the past:

http://forums.studentdoctor.net/showthread.php?t=450571
http://forums.studentdoctor.net/showthread.php?t=381970
http://forums.studentdoctor.net/showthread.php?t=300708

actually, I've seen the BC vs non-BC debate covered many times but I haven't seen the numbers for where EM stands right now. It's actually a pretty interesting question that provides insight into the job market for those of us who will be residency trained. Anyway, TeamHealth had some numbers at one point - I wish I wrote them down.

 

[devildoc2]

My guess is that nationwide less than 50% of EM docs are board-certified in EM.

In the urban areas its probably over 90%, but most of America is rural areas and in those parts of the country I'd bet less than 20% of EM docs are boarded.

 

[countryboy75]

I am located in Northern Ohio. Pretty rural area (for instance I graduated high school with 42 kids and we drove tractors to school on the last day of senior year..just for fun)

But the hospital I was talking about with the D.O. attending is a major Level 1 trauma center with a 3 chopper heliport.

I understand this has been addressed before, but I think this is still a valid topic.

Thanks for all your replies

 

[EM_Rebuilder]

I am located in Northern Ohio. Pretty rural area (for instance I graduated high school with 42 kids and we drove tractors to school on the last day of senior year..just for fun)

But the hospital I was talking about with the D.O. attending is a major Level 1 trauma center with a 3 chopper heliport.

I understand this has been addressed before, but I think this is still a valid topic.

Thanks for all your replies

Lubbock, TX (where I went to medical school) is a Level I major trauma center with helicopters in house (and others based hours away) yet less than 20% of the EM physicians there are BE/BC.... they are mainly FP with a few IM... Its changing though, the last two hires have been EM.. and they would sure love to have myself and some of my EM classmates come back to town...

 

[NSAIDAllergy]

Its changing though, the last two hires have been EM.. and they would sure love to have myself and some of my EM classmates come back to town...

It looks like the job market will be sweet for those of us who actually want to work in some of these rural EDs after residency!

 

[DrQuinn]

Most of the major EDs that you see will become all "BCEM" soon, just because, well, as everyone said, a full EM residency trained physician is better than the rest. you can debate this all you want, but we all know its true.

The rural EDs, and those staffed by Teamhealth (I trained with TeamHealth in my residency), tend to have more non BCEM. They also tend to pay lower.

Q

 

[brgotch]

I am located in Northern Ohio. Pretty rural area (for instance I graduated high school with 42 kids and we drove tractors to school on the last day of senior year..just for fun)

But the hospital I was talking about with the D.O. attending is a major Level 1 trauma center with a 3 chopper heliport.

I understand this has been addressed before, but I think this is still a valid topic.

Thanks for all your replies

Do you realize that DO's are physicians with all the same training as MDs?
you seem a bit confused on that point.

 

[pseudoknot]

Do you realize that DO's are physicians with all the same training as MDs?
you seem a bit confused on that point.

No, I think you are the one who is confused. The OP was saying that the physician in question had not done an EM residency (or any other). That was what the discussion was about, not what degree the guy had.

I don't think there's any disagreement in this forum about the functional equivalency of DOs and MDs.

 

[brgotch]

ah, when I read his first post where he said "he just had his DO" or something to that affect I assumed he meant it like "he was only a DO," but I guess he meant he had recently become a DO.
my mistake.

 

[Hercules]

Parts of the southeast are particularly hurting for EM physicians. In my state (Alabama) we still only have under 20% of the positions filled by boarded EM guys.

 

[deleted6669]

Most of the major EDs that you see will become all "BCEM" soon, just because, well, as everyone said, a full EM residency trained physician is better than the rest. you can debate this all you want, but we all know its true.

The rural EDs, and those staffed by Teamhealth (I trained with TeamHealth in my residency), tend to have more non BCEM. They also tend to pay lower.

Q

in my neck of the woods team health pays em docs or primary care docs working in em 145/hr...not too shabby....

 

[EM2BE]

Do you realize that DO's are physicians with all the same training as MDs?
you seem a bit confused on that point.

Did a pre-med actually just correct a med student? Props to you! (yes the above is an accurate statement)