AAEM HistoryofEM

Welcome Back - from the American Academy of Emergency Medicine: 

Welcome Back - from the American Academy of Emergency Medicine A history of EM & How we work for you!

The History of Emergency Medicine: 

The History of Emergency Medicine Chapter 1

Ancient History: 

Ancient History French military surgeon Dominique Jean Larrey applied the idea of flying ambulances for rapid transport of wounded soldiers during the French Revolution. Larrey had these early-ambulances bring the wounded to field hospitals, the predecessor of MASH units. According to Wikipedia, D. Jean Larrey is sometimes called the father of Emergency Medicine.

In to the 20th Century…: 

In to the 20th Century… MASH (mobile army surgical hospitals) were conceived by surgeon Michael E. DeBakey in the 1940s. By the Korean war, MASH units fully deployed to the battle front and were a part of US conflict until October of 2006 when the last unit was decommissioned At Pontiac General Hospital in 1961, 23 community physicians began working full time to staff their ED around-the-clock “Alexandria Plan” - a group of physicians left their private patients in order to work full time in an Alexandria, Virginia ED

The ball gets rolling…: 

The ball gets rolling… In 1966 the AMA recognized the need for qualified physicians to staff EDs In 1968 the American College of Emergency Physicians was founded - soon after the University Association for Emergency Medicine was established. By 1975, it merged with the Society of Teachers of EM to become the Society for Academic Emergency Medicine.

The History of Emergency Medicine: 

The History of Emergency Medicine Chapter 2 - the 70s!

The wheels are turning…: 

The wheels are turning… 1970 - Bruce Janiak is the first EM resident at Univ of Cincinnati 1971 - First academic emergency department at USC 1972 - First peer-reviewed journal (JACEP) 1973 - AMA recognizes EM 1976 - The American Board of Emergency Medicine is established as the certifying board of the field

1979: The Big Year : 

1979: The Big Year The American Board of Medical Specialties recognizes Emergency Medicine as the nation’s 23rd medical specialty!

The History of Emergency Medicine: 

The History of Emergency Medicine Chapter 3 - the 80s!

A decade of rapid growth…: 

A decade of rapid growth… In 1981 there are 56 EM Residency Programs There are three major journals (JACEP, AJEM, JEM) 1989 is a big year… By now, there are 17 independent academic departments The American Board of Emergency Medicine achieves primary board status - meaning there is one main road to become an emergency physician The Council of Emergency Medicine Residency Directors (or CORD) is established

The History of Emergency Medicine: 

The History of Emergency Medicine Chapter 4

A time of explosive growth…: 

A time of explosive growth… By the turn of the century, there were more than 110 million ED visits a year! In 2003, there were 25,000 board certified practicing EPs In 2008, there are 144 residency programs that graduate approximately 1,400 new EPs a year

…and public interest: 

…and public interest ER, Third Watch, and Trauma: Life in the ER The show ER debuted in 1994 and draws hundreds of millions of viewers annually

Number in Specialty: 

Number in Specialty

Growth: 

Growth

Number of residents: 

Number of residents

Growth in residencies: 

Growth in residencies

US vs Foreign Medical Grads: 

US vs Foreign Medical Grads

AAEM: 

AAEM Founded in 1993 to uniquely emphasize the importance of board certification and fairness in the workplace To be a member of the "main" AAEM organization, you must be either board certified or board eligible for certification in Emergency Medicine AAEM believes that board certification is the only way of becoming an emergency specialist!

AAEM: 

AAEM It is the 2nd largest EM organization with over 5,000 members. The Resident/Student Section was established in 1999 and is now known as the Resident and Student Association (RSA) Governed by a resident board and a medical student council (President, VP, and at-large board members) The organization’s official journal is the Journal of Emergency Medicine, and AAEM holds the AAEM Scientific Assembly each Spring

AAEM Mission: 

AAEM Mission Every individual should have access to quality emergency care provided by a specialist in EM The practice of EM is best conducted by a specialist in EM A specialist in emergency medicine is a physician who has achieved, through personal dedication and sacrifice, certification by either the American Board of Emergency Medicine (ABEM) or the American Osteopathic Board of EM (AOBEM).

AAEM Mission: 

AAEM Mission The personal and professional welfare of the individual specialist in emergency medicine is a primary concern to the AAEM. The Academy supports fair and equitable practice environments necessary to allow the specialist in emergency medicine to deliver the highest quality of patient care. Such an environment includes provisions for due process and the absence of restrictive covenants.

AAEM Mission: 

AAEM Mission The Academy supports residency programs and graduate medical education, which are essential to the continued enrichment of emergency medicine, and to ensure a high quality of care for the patient. The Academy is committed to providing affordable high quality continuing medical education in emergency medicine for its members.

AAEM - Publications: 

AAEM - Publications Common Sense - our bi-monthly newsletter Journal of Emergency Medicine Western Journal of Emergency Medicine Resident Rules of the Road Rules of the Road for Medical Students RSA Toxicology Handbook The Washington Sentinel AAEM Dollars and Sense

AAEM Benefits: 

AAEM Benefits Free Student Benefits: FREE for 1st year Online access to Common Sense Online access to AAEM's Rules of the Road for Medical Students

AAEM Benefits: 

AAEM Benefits Paying Student Benefits: $20/year - FREE registration at the Scientific Assembly - Paperback version of AAEM’s Rules of the Road for Medical Students - Discounts on the most popular EM books and products from McGraw-Hill,Lippincott Williams and Wilkins, Elsevier, Kaplan Medical and Galen Press - Voting privileges in AAEM Student Elections - Access to EM Select

AAEM Benefits: 

AAEM Benefits Paying Student with JEM Benefits: $50/year - FREE registration at the Scientific Assembly - Subscription to the Journal of Emergency Medicine - Paperback version of AAEM's Rules of the Road for Medical Students - Discounts on the most popular EM books and products from McGraw-Hill,Lippincott Williams and Wilkins, Elsevier, Kaplan Medical and GalenPress - Voting privileges in AAEM Student Elections - Access to EM Select

AAEM: 

AAEM What we do for YOU!

Fighting for our future!: 

Fighting for our future! Due process in contracts and employment disputes Restrictive covenants - a legal obligation imposed in contracts by an employer upon employee Open books Board certification Stopping financial exploitation of clinicians Limiting excessive management fees Limiting required undesirable shifts Improving practice conditions

Fighting for our future!: 

Fighting for our future! Why is this important? Due process is important in employment disputes - a 1998 study in AJEM reported 15% of EPs contracts were terminated without review

Fighting for our future!: 

Fighting for our future! Why is this important? Practice conditions - in the same study, 75% of EPs reported feeling financially exploited by their employer and 49% have considered leaving practice for undesirable work conditions

Fighting for our future!: 

Fighting for our future! Why is this important? Board certification - California, Florida, North Carolina and Oklahoma have considered recognizing other boards (BCEM) as equivalent to ABEM or AOBEM, making our residency training less valuable

Fighting for our future!: 

Fighting for our future! Why is this important? Restrictive covenants - the “big three” large contract management groups (such as EmCare and Team Health) are owned by venture capitalists are control the contracts for approximately 9,300 EPs (31% of the workforce)

Why AAEM?: 

Why AAEM? Money Career longevity Job security Family security Financial empowerment (open books) Pure voice for Board Certification Fighting for the “little guy”

Join AAEM!: 

Join AAEM! For the future of our specialty!