Even if you aren't in medical school yet, it's never too early to start thinking about what type of healthcare specialty appeals to you. In this webinar, we chat with AUC graduates about what it's like to specialize in emergency medicine.
1. Choosing a Medical Specialty:
A Look at Emergency Medicine
Presented by American University of the
Caribbean School of Medicine
March 2018
Important information about the educational debt, earnings, and completion rates of students who attended
this program can be found at www.aucmed.edu/gainful-employment.
2. Your Speakers
Adam Johnson (AUC Class of 2015)
Resident Physician in Emergency Medicine
Kern Medical Center, Bakersfield, California
Gino Etta (AUC Class of 2018)
Recently matched in Emergency Medicine
St. John Macomb/Oakland Hospital, Warren, Michigan
Pavel Antonov (Class of 2016)
Resident Physician in Emergency Medicine
Kendall Regional Medical Center, Miami, Florida
3. Agenda
• Overview of Emergency Medicine
• Where Do EM Physicians Work?
• Becoming an EM Physician
• What Makes a Good EM Physician?
• EM Residency Outlook
• Compensation of EM Physicians
• Factors in Specialty Choice
4. Overview of Emergency Medicine
• Emergency medicine is the medical specialty dedicated to the
diagnosis and treatment of unforeseen illness or injury.
• The practice of emergency medicine includes the initial
evaluation, diagnosis, treatment, coordination of care among
multiple providers, and disposition of any patient requiring
expeditious medical, surgical, or psychiatric care.
• Emergency medicine has been recognized as a specialty since
the mid 1970s
5. Where Do Emergency Physicians Work?
Hospital-based
Emergency Departments
Urgent Care Clinics
Free-standing Emergency
Departments
Observation Medicine
Units
Emergency Medical
Response Vehicles
Disaster Sites
6. Becoming an Emergency Physician
Step 1: Earn bachelor’s degree
Step 2: Graduate from Medical School
Step 3: Earn a License
Step 4: Complete Emergency Medicine Residency (3 years)
Step 5: Become Board Certified
Step 6: Consider subspecialty fellowship training and
Board certification
7. What Makes a Good Emergency Physician?
• High emotional IQ
• Team player
• High energy
• Work well with people from all walks
of life
• Able to make decisions based on
limited amounts of information
8. Emergency Medicine Is Growing
1,786 1,821 1,895
2,047
2,278
0
500
1,000
1,500
2,000
2,500
2014 2015 2016 2017 2018
PGY-1 Emergency Medicine Positions Offered in the
NRMP® Match®
*Advance Data Tables: 2018 Main Residency Match®, National Resident Matching Program, available at
http://www.nrmp.org/wp-content/uploads/2018/03/Advance-Data-Tables-2018.pdf. See Table 3.
9. 2018 Residency Results in Emergency Medicine
Emergency medicine residency programs in The MATCH®
Categorical emergency medicine PGY-1 positions offered
(7.5% of all PGY-1 positions in The Match®)
Positions filled
220
2,278
2,265
* Advance Data Tables: 2018 Main Residency Match®, National Resident Matching Program, available at http://www.nrmp.org/wp-content/uploads/2018/03/Advance-Data-Tables-
2018.pdf. (See Table 1)
10. AUC Matches in Emergency Medicine
3 EM matches at St. John Macomb-Oakland Hospital in Michigan
2 EM matches at Wyckoff Heights Medical Center in New York
1 EM match at SUNY Upstate Medical University in New York
1 EM match at University Hospital in Mississippi
7 Total EM Matches in 2018
11. Average Annual Physician Compensation
Source: Medscape Physician Compensation Report, 2017. Average annual full-time compensation in the U.S. among physicians responding to survey. May not reflect local economic conditions. Compensation may
include salary, bonus, and profit-sharing contributions.
12. % of Physicians Who Feel Fairly Compensated
Source: Medscape Physician Compensation Report, 2017
13. What Drives Specialty Choice?
27
33
40.4
41.1
47.5
60
62.6
77.3
78
98.1
98.3
Education debt
Expectations of family
Length of residency
Competitiveness of specialty
Income expectations
Fellowship training options
My future family plans
Work/life balance
Role model influence
Specialty content
Personality fit
Percent indicating “strong” or “moderate” influence
Youngclaus, J., Frense, J., “Physician Education Debt and the Cost to Attend Medical School,” Association of American Medical Colleges, February 2013, available at:
https://members.aamc.org/eweb/upload/Physician%20Education%20Debt%20and%20the%20Cost%20to%20Attend%20Medical%20School,%202012%20Update.pdf
Speaker to lay out the topics to be covered during the webinar
This is a general overview of the specialty of emergency medicine.
Source: American College of Emergency Physicians: https://www.acep.org/Clinical---Practice-Management/Definition-of-Emergency-Medicine/#sm.00000uewwap3eud1js7ipulwc64fm
Emergency physicians practice in many different settings. While we are most familiar with the doctors who practice in ER departments based in hospitals, ER physicians also may choose to practice in these other settings.
Source: American College of Emergency Physicians: https://www.acep.org/Clinical---Practice-Management/Definition-of-Emergency-Medicine/#sm.00000uewwap3eud1js7ipulwc64fm
Brief overview of the steps to becoming an emergency physician
These are a few attributes that good emergency physicians should have.
Source: “What it’s like to specialize in emergency medicine: Shadowing Dr. Clem,” published by AMA Wire: https://wire.ama-assn.org/life-career/what-it-s-specialize-emergency-medicine-shadowing-dr-clem
This table shows the growth in the number of EM residency positions over the last five years.
Data source: http://www.nrmp.org/wp-content/uploads/2018/03/Advance-Data-Tables-2018.pdf (See Table 3)
These data are from the 2018 residency match.
*Advance Data Tables: 2018 Main Residency Match®, National Resident Matching Program, available at http://www.nrmp.org/wp-content/uploads/2018/03/Advance-Data-Tables-2018.pdf. (See Table 1)
These data are from the 2018 residency match.
Please see residency list which was approved by Adtalem on March 16, 2018 at: https://www.aucmed.edu/about/residency-placements/2018-residency-placements/
This graph shows results of an annual survey conducted by AAMC of recent medical school graduates. Source for study is on the slide.
It shows the most important factors are a student’s personal interest in a specialty’s content and/or level of patient care, desire for the “controllable lifestyle” offered by some specialties, and the influence of a role model in a specialty.
It clearly indicates the relative importance of economic factors, which consistently rank toward the bottom of the list for this question every year, according to AAMC.