2024
Estimating the size and scope of the academic emergency physician workforce
Gettel C, Camargo C, Bennett C, Courtney D, Kaji A, Fermann G, Gallahue F, Nelson L, Hebbard C, Rothenberg C, Raja A, Venkatesh A. Estimating the size and scope of the academic emergency physician workforce. Academic Emergency Medicine 2024, 31: 732-738. PMID: 38769602, DOI: 10.1111/acem.14931.Peer-Reviewed Original ResearchProportion of emergency physiciansAccreditation Council for Graduate Medical EducationClinical training sitesED visitsEM residency programsAcademic emergency departmentEmergency physiciansEmergency departmentEM workforceEmergency medicineACGME-accredited EM residency programsAcademic sitesProportion of emergency departmentCenters for Medicare & Medicaid ServicesEmergency physician workforceResidency programsProportion of ED visitsDepartment of Veterans AffairsAccredited EM residency programsTraining of resident physiciansAmerican Hospital AssociationTraining sitesNational proportionsAcademic Emergency MedicineGraduate Medical Education
2023
Emergency medicine physician workforce attrition differences by age and gender
Gettel C, Courtney D, Agrawal P, Madsen T, Rothenberg C, Mills A, Lall M, Keim S, Kraus C, Ranney M, Venkatesh A. Emergency medicine physician workforce attrition differences by age and gender. Academic Emergency Medicine 2023, 30: 1092-1100. PMID: 37313983, PMCID: PMC10973949, DOI: 10.1111/acem.14764.Peer-Reviewed Original ResearchConceptsFemale emergency physiciansEmergency physiciansMedian ageMultivariate logistic regression modelMale emergency physiciansResidency graduationRepeated cross-sectional analysisCharacteristics of physiciansWorkforce attritionCross-sectional analysisLogistic regression modelsStudy time frameDate of birthPrimary outcomeFemale genderMale physiciansClinical practiceFemale physiciansClinical servicesPhysiciansEmergency medicineAgeNumber of yearsRecent dataWorkforce concernsEstimated reimbursement impact of COVID‐19 on emergency physicians
Venkatesh A, Janke A, Koski‐Vacirca R, Rothenberg C, Parwani V, Granovsky M, Burke L, Li S, Pines J. Estimated reimbursement impact of COVID‐19 on emergency physicians. Academic Emergency Medicine 2023, 30: 636-643. PMID: 36820470, DOI: 10.1111/acem.14700.Peer-Reviewed Original ResearchConceptsNationwide Emergency Department SampleED visitsEmergency physiciansSecondary analysisCOVID-19Acute care utilizationEmergency Department SampleEmergency Department registryCOVID-19 pandemicHealth care servicesEmergency department sitesReimbursement impactCare utilizationBilling codesInsurance payerDepartment registryPrimary analysisCare servicesPhysiciansReimbursement lossHealth careStudy sampleVisitsPandemic-related lossReimbursement
2022
The 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography
Gettel CJ, Courtney DM, Janke AT, Rothenberg C, Mills AM, Sun W, Venkatesh AK. The 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography. Annals Of Emergency Medicine 2022, 80: 260-271. PMID: 35717274, PMCID: PMC9398978, DOI: 10.1016/j.annemergmed.2022.04.031.Peer-Reviewed Original ResearchConceptsAdvanced practice providersEmergency physiciansPractice providersNonemergency physiciansEmergency cliniciansRural designationUrban emergency physiciansRepeated cross-sectional analysisEmergency medicine workforceCross-sectional analysisUnique cliniciansMedicare Part BStudy yearsCliniciansPhysiciansProvider UtilizationPhysician attritionSubstantial state-level variationResidency trainingLongitudinal trendsManagement servicesAttrition ratesState-level changesState-level variationTotal proportion
2021
Improving Emergency Department Throughput Using Audit-and-Feedback With Peer Comparison Among Emergency Department Physicians
Scofi J, Parwani V, Rothenberg C, Patel A, Ravi S, Sevilla M, D'Onofrio G, Ulrich A, Venkatesh AK. Improving Emergency Department Throughput Using Audit-and-Feedback With Peer Comparison Among Emergency Department Physicians. Journal For Healthcare Quality 2021, 44: 69-77. PMID: 34570029, DOI: 10.1097/jhq.0000000000000329.Peer-Reviewed Original ResearchConceptsAdmission ratesEmergency department throughputEmergency physiciansMean timeUrban academic EDEmergency department physiciansMean admission rateLower admission ratesFirst study periodED physiciansAcademic EDDepartment physiciansPatient visitsPractice variationAdmissionPeer comparisonPhysiciansPhysician performanceStudy periodPatientsAcademic emergency physiciansReportAuditMinutesHours
2020
Choosing wisely in emergency medicine: Early results and insights from the ACEP emergency quality network (E-QUAL)
Venkatesh AK, Scofi JE, Rothenberg C, Berdahl CT, Tarrant N, Sharma D, Goyal P, Pilgrim R, Klauer K, Schuur JD. Choosing wisely in emergency medicine: Early results and insights from the ACEP emergency quality network (E-QUAL). The American Journal Of Emergency Medicine 2020, 39: 102-108. PMID: 32014376, PMCID: PMC7365747, DOI: 10.1016/j.ajem.2020.01.029.Peer-Reviewed Original ResearchConceptsCT utilization ratesMinor head injuryLow back painBack painHead injuryED sitesAtraumatic back painChoosing Wisely recommendationsQuality improvement dataLow-value careWisely recommendationsEmergency physiciansObservational studyQI interventionsAmerican CollegeClinical targetsPainSyncopeQI practicesInjuryEmergency medicineSignificant decreasePractice improvementImprovement dataMRI
2018
Urban and Rural Emergency Department Performance on National Quality Metrics for Sepsis Care in the United States
Greenwood‐Ericksen M, Rothenberg C, Mohr N, Andrea SD, Slesinger T, Osborn T, Whittle J, Goyal P, Tarrant N, Schuur JD, Yealy DM, Venkatesh A. Urban and Rural Emergency Department Performance on National Quality Metrics for Sepsis Care in the United States. The Journal Of Rural Health 2018, 35: 490-497. PMID: 30488590, DOI: 10.1111/jrh.12339.Peer-Reviewed Original ResearchConceptsSepsis careUrban EDRural EDsHospital-based EDsNational quality measuresManual chart reviewNational quality metricsEmergency department performanceBundle adherenceChart reviewFluid administrationPatient chartsBlood culturesPatient levelEmergency physiciansAmerican CollegeHospital levelRural hospitalsCare qualityCMS measuresMedicaid ServicesCareCMS definitionsManual reviewEDAn appraisal of emergency medicine clinical practice guidelines: Do we agree?
Zupon A, Rothenberg C, Couturier K, Tan T, Siddiqui G, James M, Savage D, Melnick ER, Venkatesh AK. An appraisal of emergency medicine clinical practice guidelines: Do we agree? International Journal Of Clinical Practice 2018, 73: e13289. PMID: 30372798, PMCID: PMC6351191, DOI: 10.1111/ijcp.13289.Peer-Reviewed Original ResearchConceptsACEP clinical policyClinical practice guidelinesStrength of recommendationsClinical policyPractice guidelinesEvidence-based emergency careAGREE II instrumentAppraisal of GuidelinesRigor of developmentAGREE II criteriaOverall qualityPrimary outcomeOverall assessmentEmergency physiciansAmerican CollegeEmergency carePublication dateClarity of presentationSecondary analysisAppraisal instrumentsMean scorePositive associationGuidelinesAppraisal itemsScores
2017
Systematic review of emergency medicine clinical practice guidelines: Implications for research and policy
Venkatesh AK, Savage D, Sandefur B, Bernard KR, Rothenberg C, Schuur JD. Systematic review of emergency medicine clinical practice guidelines: Implications for research and policy. PLOS ONE 2017, 12: e0178456. PMID: 28628660, PMCID: PMC5476239, DOI: 10.1371/journal.pone.0178456.Peer-Reviewed Original ResearchConceptsCurrent clinical policyClinical practice guidelinesPractice guidelinesClinical policyEmergency medicineSystematic reviewClinical practice guideline recommendationsACEP clinical policyPractice guideline recommendationsLow-level evidenceLarge evidence baseLevel of recommendationPrimary outcomeGuideline recommendationsEmergency physiciansAmerican CollegeMajority of recommendationsExpert opinionClass of evidencePrimary analysisEvidence gapsSecondary analysisClass IIEvidence baseClass I