Rural Emergency Medicine

Patient Volume and Training Opportunities

Jeff Reames, Daniel A. Handel, A. Al-Assaf, Jerris R. Hedges

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: A paucity of board-certified Emergency Physicians practice in rural Emergency Departments (EDs). One proposed solution has been to train residents in rural EDs to increase the likelihood that they would continue to practice in rural EDs. Some within academic Emergency Medicine question whether rural hospital EDs can provide adequate patient volume for training an Emergency Medicine (EM) resident. Study Objectives: To compare per-physician patient-volumes in rural vs. urban hospital EDs in Oklahoma (OK) and the proportion of board-certified EM physicians in these two ED settings. Methods: A 21-question survey was distributed to all OK hospital ED directors. Analysis was limited to non-military hospitals with EDs having an annual census > 15,000 patient visits. Comparisons were made between rural and urban EDs. Results: There were 37 hospitals included in the analysis. Urban EDs had a higher proportion of board-certified EM physicians than rural EDs (80% vs. 28%). There were 4359 vs. 4470 patients seen per physician FTE (full-time equivalent) in the rural vs. urban ED settings, respectively (p = 0.84). Conclusions: Patient volumes per physician FTE do not differ in rural vs. urban OK hospital EDs, suggesting that an adequate volume of patients exists in rural EDs to support EM resident education. Proportionately fewer board-certified Emergency Physicians staff rural EDs. Opportunities to increase rural ED-based EM resident training should be explored.

Original languageEnglish (US)
Pages (from-to)172-176
Number of pages5
JournalJournal of Emergency Medicine
Volume37
Issue number2
DOIs
StatePublished - Aug 2009

Fingerprint

Emergency Medicine
Hospital Emergency Service
Physicians
Hospital Departments
Urban Hospitals
Emergencies
Rural Hospitals
Censuses

Keywords

  • emergency medicine
  • Oklahoma
  • physician workforce
  • residency training
  • rural emergency medicine

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Rural Emergency Medicine : Patient Volume and Training Opportunities. / Reames, Jeff; Handel, Daniel A.; Al-Assaf, A.; Hedges, Jerris R.

In: Journal of Emergency Medicine, Vol. 37, No. 2, 08.2009, p. 172-176.

Research output: Contribution to journalArticle

Reames, Jeff ; Handel, Daniel A. ; Al-Assaf, A. ; Hedges, Jerris R. / Rural Emergency Medicine : Patient Volume and Training Opportunities. In: Journal of Emergency Medicine. 2009 ; Vol. 37, No. 2. pp. 172-176.
@article{7e3e90b346604510a0e1eada67ff40c2,
title = "Rural Emergency Medicine: Patient Volume and Training Opportunities",
abstract = "Background: A paucity of board-certified Emergency Physicians practice in rural Emergency Departments (EDs). One proposed solution has been to train residents in rural EDs to increase the likelihood that they would continue to practice in rural EDs. Some within academic Emergency Medicine question whether rural hospital EDs can provide adequate patient volume for training an Emergency Medicine (EM) resident. Study Objectives: To compare per-physician patient-volumes in rural vs. urban hospital EDs in Oklahoma (OK) and the proportion of board-certified EM physicians in these two ED settings. Methods: A 21-question survey was distributed to all OK hospital ED directors. Analysis was limited to non-military hospitals with EDs having an annual census > 15,000 patient visits. Comparisons were made between rural and urban EDs. Results: There were 37 hospitals included in the analysis. Urban EDs had a higher proportion of board-certified EM physicians than rural EDs (80{\%} vs. 28{\%}). There were 4359 vs. 4470 patients seen per physician FTE (full-time equivalent) in the rural vs. urban ED settings, respectively (p = 0.84). Conclusions: Patient volumes per physician FTE do not differ in rural vs. urban OK hospital EDs, suggesting that an adequate volume of patients exists in rural EDs to support EM resident education. Proportionately fewer board-certified Emergency Physicians staff rural EDs. Opportunities to increase rural ED-based EM resident training should be explored.",
keywords = "emergency medicine, Oklahoma, physician workforce, residency training, rural emergency medicine",
author = "Jeff Reames and Handel, {Daniel A.} and A. Al-Assaf and Hedges, {Jerris R.}",
year = "2009",
month = "8",
doi = "10.1016/j.jemermed.2007.12.040",
language = "English (US)",
volume = "37",
pages = "172--176",
journal = "Journal of Emergency Medicine",
issn = "0736-4679",
publisher = "Elsevier USA",
number = "2",

}

TY - JOUR

T1 - Rural Emergency Medicine

T2 - Patient Volume and Training Opportunities

AU - Reames, Jeff

AU - Handel, Daniel A.

AU - Al-Assaf, A.

AU - Hedges, Jerris R.

PY - 2009/8

Y1 - 2009/8

N2 - Background: A paucity of board-certified Emergency Physicians practice in rural Emergency Departments (EDs). One proposed solution has been to train residents in rural EDs to increase the likelihood that they would continue to practice in rural EDs. Some within academic Emergency Medicine question whether rural hospital EDs can provide adequate patient volume for training an Emergency Medicine (EM) resident. Study Objectives: To compare per-physician patient-volumes in rural vs. urban hospital EDs in Oklahoma (OK) and the proportion of board-certified EM physicians in these two ED settings. Methods: A 21-question survey was distributed to all OK hospital ED directors. Analysis was limited to non-military hospitals with EDs having an annual census > 15,000 patient visits. Comparisons were made between rural and urban EDs. Results: There were 37 hospitals included in the analysis. Urban EDs had a higher proportion of board-certified EM physicians than rural EDs (80% vs. 28%). There were 4359 vs. 4470 patients seen per physician FTE (full-time equivalent) in the rural vs. urban ED settings, respectively (p = 0.84). Conclusions: Patient volumes per physician FTE do not differ in rural vs. urban OK hospital EDs, suggesting that an adequate volume of patients exists in rural EDs to support EM resident education. Proportionately fewer board-certified Emergency Physicians staff rural EDs. Opportunities to increase rural ED-based EM resident training should be explored.

AB - Background: A paucity of board-certified Emergency Physicians practice in rural Emergency Departments (EDs). One proposed solution has been to train residents in rural EDs to increase the likelihood that they would continue to practice in rural EDs. Some within academic Emergency Medicine question whether rural hospital EDs can provide adequate patient volume for training an Emergency Medicine (EM) resident. Study Objectives: To compare per-physician patient-volumes in rural vs. urban hospital EDs in Oklahoma (OK) and the proportion of board-certified EM physicians in these two ED settings. Methods: A 21-question survey was distributed to all OK hospital ED directors. Analysis was limited to non-military hospitals with EDs having an annual census > 15,000 patient visits. Comparisons were made between rural and urban EDs. Results: There were 37 hospitals included in the analysis. Urban EDs had a higher proportion of board-certified EM physicians than rural EDs (80% vs. 28%). There were 4359 vs. 4470 patients seen per physician FTE (full-time equivalent) in the rural vs. urban ED settings, respectively (p = 0.84). Conclusions: Patient volumes per physician FTE do not differ in rural vs. urban OK hospital EDs, suggesting that an adequate volume of patients exists in rural EDs to support EM resident education. Proportionately fewer board-certified Emergency Physicians staff rural EDs. Opportunities to increase rural ED-based EM resident training should be explored.

KW - emergency medicine

KW - Oklahoma

KW - physician workforce

KW - residency training

KW - rural emergency medicine

UR - http://www.scopus.com/inward/record.url?scp=67651165374&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67651165374&partnerID=8YFLogxK

U2 - 10.1016/j.jemermed.2007.12.040

DO - 10.1016/j.jemermed.2007.12.040

M3 - Article

VL - 37

SP - 172

EP - 176

JO - Journal of Emergency Medicine

JF - Journal of Emergency Medicine

SN - 0736-4679

IS - 2

ER -