TY - JOUR
T1 - Beyond the Four Walls
T2 - The American College of Emergency Physicians 2022 New Practice Models Task Force Report
AU - members of the New Practice Models Task Force
AU - Oskvarek, Jonathan J.
AU - Blutinger, Erik J.
AU - Pilgrim, Randy
AU - Joshi, Aditi U.
AU - Lin, Michelle P.
AU - Mazer-Amirshahi, Maryann
AU - Miller, Gregg
AU - Smiley, Abbey
AU - Becker, Carol Wright
AU - Pines, Jesse M.
AU - Biese, Kevin
AU - Counselman, Francis
AU - Courtney, D. Mark
AU - Finnell, J. T.
AU - Fisher, Jonathan
AU - Geria, Rajesh
AU - Heyboer, Marvin
AU - Joshi, Aditi
AU - Kivela, Paul
AU - Lin, Michelle
AU - Martinez, Ricardo
AU - Schneider, Sandra
AU - Wadman, Michael
AU - Wright, Carol
AU - Yiadom, Maame Yaa A.B.
AU - Davis, Jeffrey
AU - Grossmann, Erin
N1 - Publisher Copyright:
© 2023 American College of Emergency Physicians
PY - 2024/3
Y1 - 2024/3
N2 - Emergency physicians are highly trained to deliver acute unscheduled care. The emergency physician core skillset gained during emergency medicine residency can be applied to many other roles that benefit patients and extend and diversify emergency physician careers. In 2022, the American College of Emergency Physicians (ACEP) convened the New Practice Models Task Force to describe new care models and emergency physician opportunities outside the 4 walls of the emergency department. The Task Force consisted of 21 emergency physicians with broad experience and 2 ACEP staff. Fifty-nine emergency physician roles were identified (21 established clinical roles, 16 emerging clinical roles, 9 established nonclinical roles, and 13 emerging nonclinical roles). A strength-weakness-opportunity-threat (SWOT) analysis was performed for each role. Using the analysis, the Task Force made recommendations for guiding ACEP internal actions, advocacy, education, and research opportunities. Emphasis was placed on urgent care, rural medicine, telehealth/virtual care, mobile integrated health care, home-based services, emergency psychiatry, pain medicine, addiction medicine, and palliative care as roles with high or rising demand that draw on the emergency physician skillset. Advocacy recommendations focused on removing state and federal regulatory and legislative barriers to the expansion of new and emerging roles. Educational recommendations focused on aggregating available resources, developing a centralized resource for career guidance, and new educational content for emerging roles. The Task Force also recommended promoting research on potential advantages (eg, improved outcomes, lower cost) of emergency physicians in certain roles and new care models (eg, emergency physician remote supervision in rural settings).
AB - Emergency physicians are highly trained to deliver acute unscheduled care. The emergency physician core skillset gained during emergency medicine residency can be applied to many other roles that benefit patients and extend and diversify emergency physician careers. In 2022, the American College of Emergency Physicians (ACEP) convened the New Practice Models Task Force to describe new care models and emergency physician opportunities outside the 4 walls of the emergency department. The Task Force consisted of 21 emergency physicians with broad experience and 2 ACEP staff. Fifty-nine emergency physician roles were identified (21 established clinical roles, 16 emerging clinical roles, 9 established nonclinical roles, and 13 emerging nonclinical roles). A strength-weakness-opportunity-threat (SWOT) analysis was performed for each role. Using the analysis, the Task Force made recommendations for guiding ACEP internal actions, advocacy, education, and research opportunities. Emphasis was placed on urgent care, rural medicine, telehealth/virtual care, mobile integrated health care, home-based services, emergency psychiatry, pain medicine, addiction medicine, and palliative care as roles with high or rising demand that draw on the emergency physician skillset. Advocacy recommendations focused on removing state and federal regulatory and legislative barriers to the expansion of new and emerging roles. Educational recommendations focused on aggregating available resources, developing a centralized resource for career guidance, and new educational content for emerging roles. The Task Force also recommended promoting research on potential advantages (eg, improved outcomes, lower cost) of emergency physicians in certain roles and new care models (eg, emergency physician remote supervision in rural settings).
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U2 - 10.1016/j.annemergmed.2023.08.488
DO - 10.1016/j.annemergmed.2023.08.488
M3 - Article
C2 - 37777937
AN - SCOPUS:85174035407
SN - 0196-0644
VL - 83
SP - 250
EP - 271
JO - Annals of emergency medicine
JF - Annals of emergency medicine
IS - 3
ER -