SAEM Podcasts

Graduate medical education (GME) bodies are beginning to mandate coaching as an integral part of the learning process, in addition to current requirements for mentorship. Once an Emergency Medicine physician transitions beyond graduate training, there is no requirement and little focus on coaching as a method of improving or maintaining clinical practice. Our objective was to understand and describe the current state of the published literature with regards to the use of coaching and mentorship for both GME and practicing physicians. 

The American Board of Emergency Medicine Model of the Clinical Practice of Emergency Medicine (ABEM Model) serves as a guide for resident education and the basis for the resident In-training Examination (ITE) and the Emergency Medicine Board Qualification Examinations. The purpose of this study was to determine how closely resident–patient encounters in the authors' emergency departments (EDs) matched the ABEM Model as presented in the specifications of the content outline for the ITE.

Freestanding emergency departments (FrEDs) could reduce wait times in overcrowded emergency departments, but they might also increase usage and overall spending for emergency care. We investigate the relationship between the number of FrEDs entering a local market and overall spending on emergency care.

The ED imaging h‐index allows identification of patients who undergo significant ED imaging, based on a single‐digit patient‐specific metric that incorporates both annual ED visit number and medical imaging resource intensity per visit. While ED patients with an ED imaging h‐index ≥ 2 represented a minuscule fraction of privately insured individuals, they were associated with one‐fifth of all ED imaging resources.