Friday, November 12, 2010
ACEP, ABEM, AOBEM, and AAPS Should Work Together
I would like to comment on the article, “NY, OK Thwart AAPS Quest for Certification Recognition.” (EMN 2010;32:1) http://journals.lww.com/em-news/Fulltext/2010/09000/Breaking_News__NY,_OK_Thwart_AAPS_Quest_for.2.aspx
I have been a practiced-trained emergency physician for more than 20 years, having just missed the ABEM window to sit for the boards. I sat for the American Board of Physician Specialties exams in emergency medicine in 1995, and have since re-certified. I am the medical director for a rural ED in North Carolina.
I am continually amazed at the emotion evoked by this subject, especially by residency trained emergency physicians. Are physicians like me taking jobs from the residency trained doctors? I can’t get one of you to even look at my ED; you prefer referral centers and a significantly higher number of patients. There is a crisis out here, and you guys are concerned about advertising? Where are these advertisements? As fellow physicians interested in patient care, wouldn’t you prefer that the rural emergency physicians calling you at least proved their competence in emergency medicine in some credible way? Go ahead, and blow your horn about your residency training; you deserve it. It is a great sacrifice you endured, and it made most of you better emergency physicians, much more so than the testing you do at a computer after a weeklong class.
But take a look outside your bubble of medical center meccas at the shambles that is rural health care secondary to a massive physician shortage. Our ED volume is growing exponentially as primary care disintegrates, and the economics require more physician extenders with less supervision. Wouldn’t it be nice if ACEP, ABEM, AOBEM, and AAPS could come together to show this country that we recognize the problem, that together we are going to ensure that they receive the best possible care no matter what ED they walk into, and that the physician they shake hands with is supported by his peers in the profession?
Meanwhile, I will continue working in the environment I have grown accustomed to and now prefer with the knowledge that there will always be work for me until the day I retire because no one is beating down our doors for a job. Someday soon, no one will want my job unless we work together.
Scott L. Korn, DO