A national survey of board-certified emergency physicians: Quality of care and practice structure issues

Scott H. Plantz, Lance W. Kreplick, Edward A Panacek, Tejas Mehta, Jon Adler, Robert M. Mcnamara

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

The opinions and experiences of board-certified emergency physicians regarding employment structure and finances, professional society policies, and quality of patient care have never been formally studied. A survey questionnaire was sent to a random sample of 1,050 emergency physicians certified by the American Board of Emergency Medicine. The survey contained 29 multiple choice questions. Of the 1,050, 465 (44.3%) of the surveys were returned. Respondents averaged 13.5 years of emergency medicine practice, 83% were members of the American College of Emergency Physicians, and 44% were emergency medicine residency trained. Seventy-five percent felt they had been financially exploited by the emergency department contract holder and 49% considered leaving their employer because of unfair business practices. Fifteen percent have been terminated without due process/peer review, and 11% have been forced to leave a position, move, or pay compensation because of noncompete clauses. The majority reported encountering instances of substandard emergency medical care, most commonly in settings with multihospital contract company coverage. The majority also believe their specialty societies should address issues of employment structure and quality of patient care standards.

Original languageEnglish (US)
Pages (from-to)1-4
Number of pages4
JournalAmerican Journal of Emergency Medicine
Volume16
Issue number1
DOIs
StatePublished - 1998

Keywords

  • Emergency physicians
  • Group practice
  • Politics
  • Quality of care
  • Survey

ASJC Scopus subject areas

  • Emergency Medicine

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