introduction to emergency medicine l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Introduction to Emergency Medicine PowerPoint Presentation
Download Presentation
Introduction to Emergency Medicine

Loading in 2 Seconds...

play fullscreen
1 / 35

Introduction to Emergency Medicine - PowerPoint PPT Presentation


  • 297 Views
  • Uploaded on

Introduction to Emergency Medicine . American College of Emergency Physicians. Lecture Objectives. Convey an understanding of the field of Emergency Medicine Discuss pros and cons of specialty Describe emergency medicine residency training Introduce EMRA and EM interest groups.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Introduction to Emergency Medicine' - limei


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
introduction to emergency medicine

Introduction to Emergency Medicine

American College of Emergency Physicians

lecture objectives
Lecture Objectives
  • Convey an understanding of the field of Emergency Medicine
  • Discuss pros and cons of specialty
  • Describe emergency medicine residency training
  • Introduce EMRA and EM interest groups
history of emergency medicine
History of Emergency Medicine
  • Emergency Departments
    • Staffed by physicians of various backgrounds
    • No specialty training
  • American College of Emergency Physicians
    • Established 1968
  • American Board of Emergency Medicine
    • Formed 1979
    • Independent specialty 1988
emergency medicine residency
Emergency Medicine Residency
  • First “resident” - 1969
  • First residencies - 1970
    • University of Cincinnati
  • Emergency Medicine Residents’ Association - 1974
emergency medicine residency5
Emergency Medicine Residency
  • Emergency Medicine Residencies
    • 1983 - 66 programs
    • 1990 - 84 programs
    • 2000 - 122 allopathic programs; 25 AOA programs
  • Resident Positions in NRMP
    • 1990 - 440 positions
    • 2000 - 971 positions
specialty selection top ten leading causes of death in the u s
Specialty Selection Top Ten Leading Causes of Death in the U.S.
  • Heart Disease: 726,974
  • Cancer: 539,577
  • Stroke: 159,791
  • Chronic Obstructive Pulmonary Disease: 109,029
  • Accidents: 95,644
  • Pneumonia/Influenza: 86,449
  • Diabetes: 62,636
  • Suicide: 30,535
  • Nephritis, Nephrotic Syndrome, and Nephrosis 25,331
  • Chronic Liver Disease and Cirrhosis: 25,175
patient encounters
Patient Encounters
  • Motor vehicle versus pedestrian accident
  • Acute myocardial infarction
  • 24 yo with GSW to chest
  • 66 yo with CPR in progress
patient encounters9
Patient Encounters
  • 5 yo with Asthma
  • 75 yo with Emphysema
  • 45 yo alcoholic vomiting blood
  • 3 week old with fever of 104
  • 37 week pregnant female with vaginal bleeding
patient encounters11
Patient Encounters
  • 25 yo with a rash
  • Spousal abuse
  • Homeless patient with no other physician
  • Back pain for 3 months
  • Migraine headache
employment opportunities
Employment Opportunities
  • Urban, rural, or suburban hospitals
  • Teaching or community hospitals
  • Traveling (Locum tenens) physicians
  • International opportunities
  • Third world opportunities
  • Cruise ship
appeal of emergency medicine
Appeal of Emergency Medicine
  • Make an immediate difference
  • Life threatening injuries and illnesses
  • Undifferentiated patient population
  • Challenge of “anything” coming in
  • Emergency / invasive procedures
  • Safety net of healthcare
appeal of emergency medicine14
Appeal of Emergency Medicine
  • Team approach
  • Patient advocacy
  • Open job market
  • Academic opportunities
  • Shift work / set hours
  • Evolving specialty
downside to emergency medicine
Downside to Emergency Medicine
  • Interaction with difficult, intoxicated, or violent patients
  • Finding follow-up or care for uninsured
  • Work in a “fishbowl” without 20/20 hindsight
  • Working as a patient advocate
the lifestyle two sides of a coin
The Lifestyle:Two Sides of A Coin
  • Well defined shifts
  • Usually not on call
  • Part time employment possible
  • Evenings and nights
  • Weekends
  • Holidays
subspecialties in emergency medicine
Subspecialties in Emergency Medicine
  • Pediatric Emergency Medicine
  • Toxicology
  • Emergency Medical Services
  • Sports Medicine
areas of expertise
Areas of Expertise
  • Toxicology
  • Emergency medical services
  • Mass gatherings
  • Disaster management
  • Wilderness medicine
upcoming areas of emergency medicine
Upcoming Areas of Emergency Medicine
  • Hyperbaric medicine
  • Observation units
  • ED ultrasound
  • International emergency medicine
research opportunities
Research Opportunities
  • Broad range of subjects
  • Limited amount of work published in our relatively new field
  • Limited number of research mentors
  • Limited number of clinical trials
number of em physicians
Number of EM Physicians
  • 4,945 Emergency Departments
  • Need 32,000 - 37,000 ED physicians to staff
  • In 2000, 20,164 ACEP members
  • In 2000, 16,149 EM Board certified physicians
emergency medicine organizations
Emergency Medicine Organizations
  • American College of Emergency Physicians
  • Society for Academic Emergency Medicine
  • American Academy of Emergency Medicine
  • Emergency Medicine Residents’ Association
emergency medicine journals
Emergency Medicine Journals
  • Annals of Emergency Medicine
  • Academic Emergency Medicine
  • Journal of Emergency Medicine
  • American Journal of Emergency Medicine
  • Pediatric Emergency Care
emergency medicine residents association
Emergency Medicine Residents’ Association
  • Represents interests of EM residents and medical students
  • Publishes EM Resident, a bi-monthly newsletter
  • Publishes annual job catalog
  • Publishes handbook for medical students
emergency medicine residents association25
Emergency Medicine Residents’ Association
  • Publishes
    • Antibiotic handbook annually
    • Airway management card
  • Approximately 4,484 members
emra s medical student affiliate
EMRA’s Medical Student Affiliate
  • Represents students with interest in EM
  • Promotes awareness of issues facing EM
  • Organizes annual Medical Student Forum
  • Organizes a Residency Fair
  • Aids in organizing EM interest groups
em interest groups
EM Interest Groups
  • Student run organization
  • “Shadow Shifts”
  • Journal club
  • Suture clinic
  • Radiology lab
  • EKG clinic
  • Lectures on EM topics
emergency medicine first and second year students
Emergency MedicineFirst and Second Year Students
  • Observe in ED
  • Summer research projects with EM staff
  • EM interest group affiliation
  • Be open to any medical specialty
emergency medicine third year students
Emergency MedicineThird Year Students
  • See patients in ED on various rotations
  • Obtain EM physician as mentor
  • Start selecting fourth year rotations
emergency medicine fourth year students
Emergency MedicineFourth Year Students
  • Mandatory/Elective EM rotation
  • Consider extramural rotations
    • Community experience
    • Opportunity at a residency program
  • SAEM maintains list of extramural EM rotations
  • Letters of recommendation
residency programs
Residency Programs
  • As of 2000:
    • 122 allopathic programs; 25 AOA programs
    • 1063 starting positions
    • 971 resident positions in NRMP
  • Training programs:
    • PGY 1-3 (72%)
    • PGY 2-4 (15%)
    • PGY 1-4 (12%)
combined em residency programs
Combined EM Residency Programs
  • Emergency Medicine / Pediatrics
  • Emergency Medicine / Internal Medicine
  • Emergency Medicine / Internal Medicine / Critical Care
choosing a specialty
Choosing A Specialty
  • Fit your personality
  • Decide between general or specialized field
  • Look at all areas of interest
  • Ignore gossip and commentary from outside the specialty you are investigating
  • Commit to specialty you choose
american college of emergency physicians
American College ofEmergency Physicians

Member Services Department

PO Box 619911

Dallas, TX 75261-9911

1-800-798-1822 Touch 5

www.acep.org

emergency medicine residents association35
Emergency MedicineResidents’ Association

1125 Executive Circle

Irving, TX 75038-2522

1-972-550-0920

www.emra.org