Integrating the Accreditation Council for Graduate Medical Education Core Competencies into the model of the Clinical Practice of Emergency Medicine

Practice Variations between Emergency Physicians and Pediatricians in Treating Acute Bronchiolitis in the Emergency Department: A Nationwide Study

“…In addition, EPs tended to order diagnostic tests for the evaluation of acute bronchiolitis more frequently than did pediatricians. Use of diagnostic testing is one of the competencies during emergency medicine residency training; therefore, EPs tend to require diagnostic testing to rule out other severe conditions as a result of their training (17,18). However, diagnostic testing, such as laboratory tests, plays a limited role in acute bronchiolitis management and may prolong patient's length of stay, leading to ED overcrowding (19).…”

Pediatric Distal Radial Fractures Treated by Emergency Physicians

“…With the current trend toward conservative management of closed forearm fractures in children, it also could be argued that immediate manipulation of these fractures in the ED is not necessary. All fractures in this study met accepted criteria for immediate reduction, and this is still the standard of care for management of displaced or angulated distal forearm fractures (3)(4)(5).…”

“…Immediate closed reduction and cast immobilization is the mainstay of management for most fractures (3)(4)(5). Several long-term follow-up studies have shown that most children treated with closed reduction heal without complications or long-term problems (4,6,7).…”

“…Although focused training in fracture-dislocation reduction techniques is part of the core curriculum of Emergency Medicine training programs, no prior data are available that evaluate the outcomes of pediatric forearm fractures treated with closed reduction and casting by emergency physicians (5).…”

The Model of the Clinical Practice of Emergency Medicine: A 2-Year Update

“…The task force has concluded that the 6 core competencies are indeed embedded in the emergency medicine model and are defined by it. 5,6 In summary, the emergency medicine model appears to be accomplishing the purpose for which it was developed. The first 2-year review of the document resulted in the incorporation of only minor changes, and several emergency medicine organizations are using the emergency medicine model to support the ongoing development of the specialty of emergency medicine.…”