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Emergency Medicine

Emergency Medicine. Training in the USA Gloria Kuhn, DO, Ph.D. Need. Patch work of care Knowledge Training Experience. Need. Needs of Patients Unique body of knowledge Training Experience. Current. Standardization Trained in EM Equivalent training. Current.

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Emergency Medicine

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  1. Emergency Medicine Training in the USA Gloria Kuhn, DO, Ph.D

  2. Need • Patch work of care • Knowledge • Training • Experience

  3. Need • Needs of Patients • Unique body of knowledge • Training • Experience

  4. Current • Standardization • Trained in EM • Equivalent training

  5. Current • Certified by the American Board of Emergency Medicine (ABEM) • Written exam • Oral exam • Continuing certification

  6. Structure of Training • Total Number 127 • Three year 95 • four year programs • 2-4 16 • 1-4 16

  7. ABEM Exam • Fellowships • Toxicology • Sports medicine • Pediatric EM • Undersea and Hyperbaric

  8. No Exam • Fellowships • Research • Administrative • Education

  9. Training Certification • Accreditation Council for Graduate Medical Education (ACGME) • General Essentials • Residency Review Committee

  10. Training Certification • Residency Review Committee • Special Requirements • Determines concepts of training • Evaluates program, personnel, institution

  11. ABEM • Administers board exam and certification • Competency to practice

  12. Implications • Practice • Hospital credentials • Academic credentials • Financial • Reimbursement • Recertification

  13. Road to Current Status • Political • American College of Emergency Physicians (ACEP) • Training • Liaison Residency Endorsement Committee (LREC) • Certification • ABEM

  14. 15 Years of Negotiation • American Medical Association (AMA) • American Board of Medical Specialties (ABMS) • ABEM • ACGME • RRC

  15. Conjoint Board • Co-sponsors • Shared responsibilities • Shared powers

  16. Conjoint Board • Family Practice • Internal Medicine • Obstetrics and Gynecology • Otolaryngology • Pediatrics • Psychiatry and Neurology • Surgery

  17. Other Representatives • AMA • ACEP • UA/EMS

  18. Challenges to Existence • Recognition of unique body of • Information • Skills • Experience

  19. Financial Challenges • Definition of emergency • Financial • Right to practice • Reimbursement • Control of care

  20. Training Challenges • Equal status (Mutual needs) • Supervision • Autonomy • Access to patients

  21. Future Continuing Negotiations • Recognition of specialty • Political issues • Financial • Training

  22. Keys to SuccessConquer from Within • Negotiation • Inclusion • Persistence • Demonstration • Unique body of information • Training • Research

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