The development of emergency medicine in Europe: from childhood to adulthood

mentioning

confidence: 99%

Emergency Medicine in Europe ??? Time constraints may be universal, but are we seeing the same patients?

Travers

Lee²

2006

“…These activities reshape existing organizational structures, and help to establish the role and position of EPs in acute hospital care. On the basis of our findings we argue that the role and status of EPs in acute care cannot only be encouraged by enhancing training programs and strengthening regulations as is often argued [24,25], but attention should be paid to the more subtle and microprocesses of role development and the negotiations on work that takes place in everyday acute care delivery as well -both in practice and in research.…”

Section: Discussionmentioning

confidence: 57%

The role of emergency physicians in the institutionalization of emergency medicine

Schothorst

Brand²,

Gaakeer

2017

“…Over recent years, pursuit of this objective has moved slowly but steadily forward [27][28][29][30]. Over recent years, pursuit of this objective has moved slowly but steadily forward [27][28][29][30].…”

mentioning

confidence: 99%

From Spain, to Europe

Armengol

Miró

Graham

2013

The Spanish Society for Emergency Medicine (SEMES) was founded 25 years ago [1]. Currently, it has 8264 affiliates (including more than 6500 doctors) and it is a national society member of the European Society of Emergency Medicine (EuSEM). During this time, SEMES has carried out scientific, organizational and professional work exclusively dedicated to Emergency Medicine (EM), activities that have not been done by any other society or organization in Spain. The scenario in Spain is similar to that of any other country in the European Union: increasing use of Emergency Departments (ED) and Emergency Medical Systems (EMS) by citizens who consider emergency medical care as one of the pillars of the public health system [2]; high levels of satisfaction with the services provided, with surveys repeatedly placing EM among the best medical specialties [3]; and a vast number of professionals exclusively devoted to providing this service which, at present, surpasses 10 000 physicians [4].Despite this, there is an absence of specialist training in EM in Spain. SEMES has worked intensively for many years to cover this deficiency. SEMES has pioneered the implementation of quality standards in the ED and EMS, the development of Spanish accreditation of EDs and EMS based on these standards, the implementation of triage systems in Spanish EDs, specific training for emergency physicians, nurses and technicians, the evaluation and certification of these skills with an examination, and the organization of an annual Spanish congress dedicated to EM with more than 1000 attendees. SEMES has done well and this has been externally recognized [5,6].Emergencias was also created 25 years ago [7] and has been a window on the scientific activity of SEMES and studies completed by emergency physicians, first Spanish, then Spanish-speaking, and now of non Spanish speaking countries as well [8][9][10]. During recent years, Emergencias has introduced changes to strengthen its content, improve its quality and increase its exposure to emergency physicians, particularly those involved in research. Of note are the translation of all the articles into English, the high quality papers based on rigorous peer review, the improvements in access to and the content of the webpage, and the collaboration with Academic Emergency Medicine, leading to the abstracts of its articles being translated into Spanish, a unique feature for an American indexed journal [11,12]. Emergencias plays a central role in EM studies carried out in Spain, around which multidisciplinary groups and investigative EM networks are beginning to be formed [13]. Emergencias has been recognized by its inclusion in the Journal Citation Reports in 2010 and the publication of its impact factor [14], which has remained within the first quartile for EM since then [15,16].However, SEMES has failed in one of its foundation principles: that to achieve the creation of the specialty of EM in Spain with both an independent College and a specific residency training program for EM registrars. SEMES has...