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 EducationReliability of a Measure of Admission Intensity for Emergency Physicians
Janke A, Oskvarek J, Zocchi M, Cai A, Litvak O, Pines J, Venkatesh A. Reliability of a Measure of Admission Intensity for Emergency Physicians. Annals Of Emergency Medicine 2024, 84: 295-304. PMID: 38430082, DOI: 10.1016/j.annemergmed.2024.02.002.Peer-Reviewed Original ResearchED admission ratesIntraclass correlation coefficientAdmission ratesEmergency departmentAverage admission rateMeasures of emergency departmentValue-based care programsInternational Classification of DiseasesClassification of DiseasesLinear probability modelsMultilevel linear probability modelsCare programED visitsInternational ClassificationEmergency physiciansDiagnosis codesCorrelation coefficientPhysiciansIdentifying high-Reduce variationIntraclassStandard deviationAdmissionClinical conditionsAssess stabilityThe Clinical Emergency Data Registry: Structure, Use, and Limitations for Research
Lin M, Sharma D, Venkatesh A, Epstein S, Janke A, Genes N, Mehrotra A, Augustine J, Malcolm B, Goyal P, Griffey R. The Clinical Emergency Data Registry: Structure, Use, and Limitations for Research. Annals Of Emergency Medicine 2024, 83: 467-476. PMID: 38276937, DOI: 10.1016/j.annemergmed.2023.12.014.Peer-Reviewed Original ResearchConceptsEmergency departmentData elementsAmerican College of Emergency PhysiciansData RegistryParticipating emergency departmentsElectronic health recordsClinical data registryEmergency careHealth recordsEmergency medicineEmergency physiciansDe-identifiedBilling dataAmerican CollegeImprove data qualityCompletion of data elementsRegistryMultiple data elementsDemographic dataResearch usePatient demographicsReporting purposesData collectionCentral databaseClinical characteristics
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 lossReimbursementDevelopment and Internal Validation of an Emergency Department Admission Intensity Measure Using Data From a National Group
Oskvarek J, Zocchi M, Cai A, Venkat A, Janke A, Venkatesh A, Pines J, Group A. Development and Internal Validation of an Emergency Department Admission Intensity Measure Using Data From a National Group. Annals Of Emergency Medicine 2023, 82: 316-325. PMID: 36669915, DOI: 10.1016/j.annemergmed.2022.12.011.Peer-Reviewed Original ResearchConceptsAdmission ratesSeparate technical panelEvidence-based protocolsICD-10 diagnosisValue-based payment modelsPhysician's discretionED diagnosisEmergency physiciansInternational ClassificationPhysician levelFacility levelPhysiciansInternal validationQuarterly ratesAdministrative dataFace validityDiagnosisPayment modelsLinear probability modelsICC
2022
Development and testing of data infrastructure in the American College of Emergency Physicians’ Clinical Emergency Data Registry for opioid‐related research
Taylor A, Kinsman J, Hawk K, D'Onofrio G, Malicki C, Malcom B, Goyal P, Venkatesh A. Development and testing of data infrastructure in the American College of Emergency Physicians’ Clinical Emergency Data Registry for opioid‐related research. Journal Of The American College Of Emergency Physicians Open 2022, 3: e12816. PMID: 36311336, PMCID: PMC9597093, DOI: 10.1002/emp2.12816.Peer-Reviewed Original ResearchElectronic health recordsEmergency departmentAmerican CollegeData registryEmergency care visitsOpioid use disorderStructured data collection toolNational clinical quality registryUrine drug testingClinical quality registryManual chart reviewValidity testingStandardized documentation templateOpioid medicationsCare visitsChart reviewEnvironmental scanPhysician reviewersMedicines RegistryModerate feasibilityQuality registryEmergency physiciansHospital careUse disordersCommon data elementsA Quality Framework to Address Racial and Ethnic Disparities in Emergency Department Care
Khidir H, Salhi R, Sabbatini AK, Franks NM, Green A, Richardson LD, Terry A, Vasquez N, Goyal P, Kocher K, Venkatesh AK, Lin MP. A Quality Framework to Address Racial and Ethnic Disparities in Emergency Department Care. Annals Of Emergency Medicine 2022, 81: 47-56. PMID: 36257864, PMCID: PMC9780164, DOI: 10.1016/j.annemergmed.2022.08.010.Peer-Reviewed Original ResearchConceptsEmergency careEthnic disparitiesHealth disparitiesCare deliveryHealth equityEmergency department careTransitions of careQuality improvement initiativesHealth care servicesEmergency care deliveryHealth care systemWhite patientsEmergency departmentEmergency physiciansAmerican CollegeCare servicesCare systemCareDisproportionate barriersHealth careImprovement initiativesQuality measuresPatientsEthnic groupsIterative discussionsThe 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 proportionImproving patient and clinician safety during COVID-19 through rapidly adaptive simulation and a randomised controlled trial: a study protocol
Evans LV, Ray JM, Bonz JW, Joseph M, Gerwin JN, Dziura JD, Venkatesh AK, Wong AH. Improving patient and clinician safety during COVID-19 through rapidly adaptive simulation and a randomised controlled trial: a study protocol. BMJ Open 2022, 12: e058980. PMID: 35589358, PMCID: PMC9121107, DOI: 10.1136/bmjopen-2021-058980.Peer-Reviewed Original ResearchConceptsRandomised controlled trialsEmergency departmentPhysician stressEmergency physiciansClinician safetySemi-structured qualitative interviewsReturn to the emergency departmentControlled trialsNon-COVID-19-related illnessesState-Trait Anxiety InventoryPersonal safety concernsIncreased work burdenCOVID-19 preparednessUp-to-date careThreat to patientsVirtual telesimulationClinician stressPreparedness interventionsPhysician preparednessHospital administratorsLonger-term outcomesHuman Investigation CommitteeSimulation interventionSimulation educationDissemination efforts
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 physiciansReportAuditMinutesHoursSimulating approaches to emergency department pandemic physician staffing during COVID-19.
Sangal RB, Venkatesh AK, Kinsman J, Dashevsky M, Scofi JE, Ulrich A. Simulating approaches to emergency department pandemic physician staffing during COVID-19. American Journal Of Disaster Medicine 2021, 16: 85-93. PMID: 34392521, DOI: 10.5055/ajdm.2021.0391.Peer-Reviewed Original ResearchConceptsEmergency departmentInfection rateStaffing modelsPercent infection rateCohort modelHigher infection rateInfectious disease outbreaksEmergency physiciansED staffAvailable physiciansThree-teamWeek 5Health systemEM physiciansPhysiciansAdequate staffingImmunityPhysician attritionCOVID-19CohortDisease outbreaksPandemicPandemic disasterWeeksGroup Practice Size Consolidation in Emergency Medicine
Pollock JR, Hogan JS, Venkatesh AK, Sandefur BJ, Weyand JA, Harrington MT, Pisac AM, Lindor RA. Group Practice Size Consolidation in Emergency Medicine. Annals Of Emergency Medicine 2021, 79: 2-6. PMID: 34417071, DOI: 10.1016/j.annemergmed.2021.07.122.Peer-Reviewed Original ResearchImproving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program
Ray JM, Wong AH, Finn EB, Sheth KN, Matouk CC, Sudikoff SN, Auerbach MA, Sather JE, Venkatesh AK. Improving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program. Journal Of Patient Safety 2021, 18: 77-87. PMID: 33852541, DOI: 10.1097/pts.0000000000000808.Peer-Reviewed Original ResearchConceptsInterhospital transferNontraumatic intracranial hemorrhageThematic analysisRates of interhospital transfersQuality improvement initiativesQuality improvement strategiesInterhospital transfer of patientsTransfer of patientsCare handoffsCenter staff membersData saturationComplex handoffsImprovement initiativesInterprofessional debriefingFocus groupsEmergency physiciansQualitative studyEmergency departmentQuality improvementIll populationStaff membersTertiary care centerCare centerCommunication ChecklistSpecialized neurocritical care
2020
Association between patient-physician gender concordance and patient experience scores. Is there gender bias?
Chekijian S, Kinsman J, Taylor RA, Ravi S, Parwani V, Ulrich A, Venkatesh A, Agrawal P. Association between patient-physician gender concordance and patient experience scores. Is there gender bias? The American Journal Of Emergency Medicine 2020, 45: 476-482. PMID: 33069544, DOI: 10.1016/j.ajem.2020.09.090.Peer-Reviewed Original ResearchConceptsPatient satisfaction surveyFemale patientsProvider scoresOverall assessment scoreEmergency departmentPatient satisfactionPhysician genderPatient-physician gender concordanceFemale physiciansAssessment scoresGender concordancePatient satisfaction survey dataSatisfaction surveyEffect of patientFemale emergency physiciansPatient experience scoresLogistic regression modelsCross-sectional analysisElectronic health recordsPatients' oddsAdult patientsPatient genderEmergency physiciansLower oddsEmergency careChoosing 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
An 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