Statements
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Statement of Support for Legal Transparency in the Emergency Care of Pregnant Patients in Texas
The following statement was created by the Women in Emergency Medicine Section (WiEMS-AAEM). It was approved by the American Academy of Emergency Medicine (AAEM) Board of Directors on Monday, September 30, 2024. In the two years since the Dobbs vs. Jackson decision, the ability to care for pregn …
Healthcare Delivery, Position Statements
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AAEM Statement on Revised Version of AB 3129
The American Academy of Emergency Medicine (AAEM) and the AAEM Resident and Student Association notes that AB 3129, a California bill which limits health system consolidation, was recently amended in the Senate. The AAEM strongly supported the original version of AB 3129. The bill, as firs …
EM Workforce, Position Statements
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AAEM Letter in Response to RFI on the 21st Century Cures Act
Dear Representatives DeGette and Buchson, The American Academy of Emergency Medicine (AAEM) is the specialty society of board-certified emergency physicians. We are committed to the principle of fair and equitable practice environments to allow emergency physicians to provide the highest quality …
AAEM Letters, Other Issues
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AMA Federation Letter on MACRA Reform VI
Dear Speaker Johnson, Majority Leader Schumer, Minority Leader McConnell, and Minority Leader Jeffries: The undersigned national medical societies and state medical associations write to collectively urge Congress to prioritize and advance several key bills and legislative proposals that provide …
Joint Letters, Medicare/Medicaid
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Joint Opposition Letter on the Equitable Community Access to Pharmacist Services Act
Dear Speaker Johnson, Majority Leader Schumer, Minority Leader McConnell, and Minority Leader Jeffries: The undersigned physician organizations representing national and state medical societies write in opposition to H.R. 1770/S. 2477, the “Equitable Community Access to Pharmacist Services Act …
Joint Letters, Other Issues
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Statement on ACEP’s Emergency Department Accreditation Program
The American College of Emergency Physicians (ACEP) has recently announced an accreditation program to recognize emergency departments (EDs) that adhere to independently developed standards, with applications opening soon. While establishing an ED accreditation program is commendable, its dual goal …
Credentialing & Qualifications, Position Statements
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Joint EMS Response to Senate Finance on Drug Shortages
Dear Chairman Wyden and Ranking Member Crapo: Thank you for the opportunity to respond to your recent proposal to provide a long-term solution to drug shortages. We sincerely appreciate the efforts of this Committee, Congress and the U.S. Food and Drug Administration (FDA) to mitigate this arduo …
Joint Letters, Other Issues
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Emergency Patient Access to Specialty Consultation in the Rural and Critical Access Emergency Department
The following statement was created by the AAEM Rural Medicine Interest Group (RMIG). It was approved by the American Academy of Emergency Medicine (AAEM) Board of Directors on Saturday, April 27, 2024. Critical access and rural hospitals serve as a lifeline for the communities that they serve. …
Crowding, Position Statements
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Diversity, Equity, and Inclusion Programming in Medical Education
The following statement was created by the AAEM Justice, Equity, Diversity, and Inclusion (JEDI-AAEM) and Women in Emergency Medicine (WiEM-AAEM) Sections. It was approved by the American Academy of Emergency Medicine (AAEM) Board of Directors on Saturday, April 27, 2024. The American Academy of …
Other Issues, Position Statements
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Statement Supporting the Greater Detroit Association of Emergency Physicians Right to Strike
The American Academy of Emergency Medicine affirms the right to strike by emergency physicians at Ascension St John’s Hospital in Detroit and supports the physicians in their attempts to bargain for a fair contract that addresses their concerns about their clinical practice environment created by t …
Position Statements, Practice Rights
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Leading Medical Organizations Urge the Supreme Court Not to Weaken EMTALA Protections
The American College of Obstetricians and Gynecologists, joined by the following leading medical organizations, released the following statement: American Academy of Emergency Medicine | American Academy of Family Physicians | American Academy of Nursing | American Academy of Pediatrics | Amer …
EMTALA, Joint Statements
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AAEM & AAEM/RSA Oppose the EDUCATE Act
Last year, The American Academy of Emergency Medicine (AAEM) and the AAEM Resident and Student Association (AAEM/RSA) proudly signed on, with eight other emergency medicine organizations, to the All EM DEI Vision Statement. In the wake of the Anti-DEI Medical Education Legislation, the Embracing …
Ethics, Position Statements, Statement Topic
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The Involvement of Payers in Clinical Practice and Continuing Medical Education
April 20, 2024 The American Academy of Emergency Medicine (AAEM) supports the independent judgment of emergency physicians and their specialty societies, including AAEM, American College of Emergency Physicians (ACEP), and Society of Academic Emergency Medicine (SAEM), to determine appropriate …
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AAEM Letter in Response to the Wall Street Journal’s Article Entitled ‘The Biden ‘Strike Force’ Is Coming for You’
Re: The Biden ‘Strike Force’ Is Coming for You (March 6, 2024) As a practicing Emergency Physician and President of the American Academy of Emergency Medicine (AAEM), I am disappointed at the immediate and misinformed response from this publication to the announcement that the Federal Trade …
AAEM Letters, EM Workforce
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Joint Statement on the Emergency Medicine 2024 Match Results
In the 2024 Match, we enthusiastically welcomed over 3000 new residents to Emergency Medicine! Much has been said about the EM Match of the last 2 years. This year’s results are a testament to the resilience of our specialty, an acknowledgment of the critical role EM holds in the House of Medi …
Joint Statements, Other Issues
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Statement on Scheduling Recommendations During Pregnancy, the Postpartum Period, and Parental Leave
The following statement was created by the AAEM Young Physicians (YPS-AAEM) and Women in Emergency Medicine (WiEM-AAEM) Sections. It was approved by the American Academy of Emergency Medicine (AAEM) Board of Directors on Thursday, February 22, 2024. Background: Emergency physicians work in h …
EM Workforce, Position Statements
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Addressing Social Risks and Needs in the Emergency Department
Contrary to popular beliefs, health outcomes are driven only to a small degree by healthcare, and driven far more by what are called the “social determinants of health” (SDOH). Emergency physicians (EPs) are perfectly situated to provide both local and national leadership to recognize and addre …
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Should Ketamine be Used to Treat Prehospital Agitation?
Ketamine is a medication that can be utilized in the emergency department and prehospital setting for the sedation of the severely agitated patient. After an incident involving the misuse of prehospital ketamine received attention in the lay press, the safety and appropriateness of the prehospital …
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Joint Letter on Recent Medicare Physician Payment Cuts
Dear Speaker Johnson, Leader Schumer, Leader McConnell, and Leader Jeffries: The undersigned national medical organizations and state medical societies write to strongly urge Congress to quickly pass legislation to reverse the 3.37 percent Medicare physician payment cuts that took effect on Janu …
Joint Letters, Medicare/Medicaid
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Signed on Letter: 2024 Medicare Payment Cuts
Dear Majority Leader Schumer, Minority Leader McConnell, Speaker Johnson, and Minority Leader Jeffries:The undersigned national medical organizations and state medical societies write to strongly urge Congress to quickly pass legislation to stop another impending round of Medicare payment cuts. Abs …
Joint Letters, Medicare/Medicaid
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Statement on Preserving Educational and Career Opportunities for Physicians in Emergency Medicine
The American Academy of Emergency Medicine (AAEM) recently released a public statement in response to an announcement that a nurse practitioner was accepted into an Emergency Medicine Ultrasound Fellowship program. We were specifically responding to the original statement by the program which whe …
Credentialing & Qualifications, Healthcare Delivery, Position Statements
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2024 Medicare Physician Fee Schedule Coalition Letter
Dear Majority Leader Schumer, Minority Leader McConnell, Speaker Johnson, and Minority Leader Jeffries:On behalf of the 54 organizations representing physicians and other health care providers across the United States, we write to urge Congress to stop the 3.4% cut in Medicare physician payment tha …
EM Workforce, Joint Letters, Medicare/Medicaid
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Statement on Bias
The American Academy of Emergency Medicine strives daily to live our mission statement. Multiple parts of this statement refer to our strong and unwavering belief that all people must be treated equally with respect and without discrimination in any form. Current geopolitical events, most rece …
Ethics, Other Issues, Position Statements
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CMS NSA Market Share Letter
Dear Deputy Administrator and Director Montz:As the Centers for Medicare & Medicaid Services (CMS), working on behalf of the Department of Health and Human Services and together with the Departments of Labor and Treasury (collectively “the Departments”), continues to refine federal Independ …
AAEM Letters, Joint Letters, Medicare/Medicaid
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Statement on the Planned Closure of CHRISTUS Spohn Emergency Medicine Residency Program
The American Academy of Emergency Medicine (AAEM) is dismayed to hear the news of the planned closure of the CHRISTUS Spohn Emergency Medicine Residency Program in Texas. Reports are that this decision was made by the CHRISTUS Spohn administration for financial reasons and without the involvement o …
Other Issues, Position Statements
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Statement on GME Response to Resident Discrimination
The following statement was approved by the American Academy of Emergency Medicine (AAEM) Board of Directors concerning the graduate medical education (GME) response to resident discrimination on Thursday, September 7, 2023. The American Academy of Emergency Medicine (AAEM) believes that increas …
Other Issues, Position Statements
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Statement in Response to the FTC Suing Private Equity Backed Anesthesia Staffing Firm
On September 21, 2023, The Federal Trade Commission (FTC) announced that they filled suit against private-equity backed, physician-staffing company U.S. Anesthesia Partners, Inc. (USAP) in Texas. The FTC’s complaint alleges that USAP and Welsh Carson’s “multi-year anticompetitive scheme to …
EM Workforce, Position Statements
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AAEM Comments on Draft Merger Guidelines
Dear Attorney General Garland and Chair Khan: On behalf of the American Academy of Emergency Medicine (AAEM), thank you for the opportunity to comment on the draft update of the Merger Guidelines, issued on July 19, 2023. AAEM was established in 1993 to promote fair and equitable practice enviro …
AAEM Letters, Healthcare Delivery
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AAEM’s Statement in Response to American Physician Partners (APP)
American Physician Partners (APP) recently announced they are ceasing business operations by the end of the month. Their announcement on July 17th gives hospitals and physicians only two weeks to ensure continued care for patients. This is reckless, unethical, and simply dangerous. This is on …
Healthcare Delivery, Other
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Joint Statement from EM Organizations on Efforts to Diversify Health Care Professionals in the United States
Following the recent U.S. Supreme Court decisions on the consideration of an applicant’s racial or ethnic background in the higher education admissions process, our emergency medicine organizations stand together in our efforts to diversify health care professionals, including physicians, in the Un …
Joint Statements, Other Issues
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Joint Letter to Dr. Sreekanth Chaguturu on Recent Clinical Policy Bulletin
Dear Dr. Chaguturu, It has come to our attention that Aetna has published a clinical policy bulletin (Policy #0952, www.aetna.com/cpb/medical/data/900_999/0952.html) on the medical necessity for ultrasound guidance on certain procedures. We have many concerns about the document as outlined below …
Healthcare Delivery, Joint Letters
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Joint Letter to Secretary Pete Buttigieg regarding Hot Car Regulation
Dear Secretary Buttigieg: With America facing another long hot summer, the undersigned urge the U.S. Department of Transportation (U.S. DOT) to take immediate action to prevent deaths and serious, lifelong injuries resulting from children who may have entered or been left unattended in motor veh …
Joint Letters, Other Issues
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Can Application of Artificial Intelligence Improve ED Triage Performance?
Emergency Department (ED) overcrowding and resulting delayed patient care is a rapidly growing worldwide problem leading to increased mortality and morbidity. (39,40,41) ED triage presents the first opportunity to promptly identify high-risk patients and efficiently allocate ED resources. Current E …
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EM Match Week 2023
Each year the emergency medicine (EM) community celebrates Match week, as we welcome another group of talented EM residents to our specialty. The 2022 EM Match saw an unprecedented initial 219 unmatched positions affecting one in four residency programs. The 2023 Match will see 555 initially unm …
Joint Statements, Other Issues
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AAEM Letter in Support of the FTC Proposed Rule to Ban Noncompete Clauses
The American Academy of Emergency Medicine (AAEM) fully supports the Federal Trade Committee’s (FTC) proposed rule to ban noncompete clauses and appreciates the opportunity to comment. AAEM is the specialty society for board-certified emergency physicians, representing over 8,000 members across t …
AAEM Letters, EM Workforce
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Do Steroids Improve Clinically Relevant Outcomes in Patients with Septic Shock?
Sepsis is a dysregulated host response to infection that may progress to septic shock, a state of global hypoperfusion that often requires fluid resuscitation and vasopressors to support adequate oxygen delivery. Septic shock results in both macro- and microcirculatory failure, which ultimately pro …
Clinical Practice Statements, Other Issues
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All EM DEI Vision Statement
This joint statement was created through the collaboration of a task force including representatives from AAEM Resident and Student Association (AAEM/RSA), American Academy of Emergency Medicine (AAEM), American Board of Emergency Medicine (ABEM), American College of Emergency Physicians (ACEP), Am …
Joint Statements, Other Issues
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AHRQ Report on Diagnostic Errors in the Emergency Department
As experts in emergency medicine, our organizations are committed to improving patient care in the practice of emergency medicine. Yet, we are deeply concerned about the recently released report and systematic review by Dr. David Newman-Toker, et. al., entitled Diagnostic Errors in the Emergen …
Joint Letters, Joint Statements
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AAEM Statement on the Corporate Practice of Medicine
The prohibition on the corporate practice of medicine is intended to prevent non-physicians from interfering with or influencing the physician’s professional judgment*. The intent is to keep the business interest out of the patient-physician relationship. In Emergency Medicine the need for these co …
EM Workforce, Position Statements
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Joint Letter to the White House on Emergency Department Boarding
There is no question that Americans have suffered great loss of life and endured financial hardships, across all sectors, over the past 32 months due to the COVID-19 pandemic. Frontline healthcare workers risked their lives, provided care during physically and emotionally demanding situations, and …
Crowding, Joint Letters
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Letter to Wellstar Health System CEO: Not Enforcing Non-Compete Clause in Contracts as they Prepare to Close
Dear Ms. Saunders,On behalf of the American Academy of Emergency Medicine (AAEM), we write in support of Senator Warnock’s letter to encourage you to remove the non-compete clauses within physician contracts due to the closing of Wellstar Health System. AAEM is the specialty society of board-c …
EM Workforce, Public Policy Statements
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Transparency of Billing for Emergency Care
The American Academy of Emergency Medicine (AAEM) believes that emergency department (ED) physicians should have timely and unencumbered access to services collected in their name. The code of federal regulations (CFR) §424.80 mandates that, in such circumstances when a physician assigns the respo …
EM Workforce, Position Statements
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Transparency of Emergency Care
The American Academy of Emergency Medicine (AAEM) believes that emergency department (ED) patients should have timely and unencumbered access to care led by board certified emergency physicians (ABEM or AOBEM). AAEM and AAEM/RSA advocate for and support federal and state policy change to ensure tha …
Other Issues, Position Statements
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The Practice of Observation Medicine
AAEM Position Statement on the Practice of Observation Medicine Observation units and the use observation status have increased in utilization over the past several years. The “two-midnight rule” combined with ED overcrowding, more complicated care coordination work, and the payer pressures hav …
Other Issues, Position Statements
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AAEM Revised Excited Delirium Statement
AAEM Excited Delirium Statement AAEM recognizes that current emergency medicine literature does not support scientific evidence for “excited delirium” or “excited delirium syndrome” being applied as a medical diagnosis. AAEM recognizes that there are multiple possible underlying medical c …
Other Issues, Position Statements
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Statement from the EMSS-AAEM Council in response to the National Registry of EMT Eligibility Requirements
The American Academy of Emergency Medicine Emergency Medical Services Section (EMSS-AAEM) strongly opposes the proposed changes to the current National Registry of EMTs (NREMT) accreditation requirements. The current proposal, as written, would allow state agencies to determine eligibility criteria …
EM Workforce, Position Statements
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Statement on Supreme Court Decision Regarding Dobbs v. Jackson Women’s Health Organization
The following statement was approved by the American Academy of Emergency Medicine (AAEM) and the American Academy of Emergency Medicine Resident and Student Association (AAEM/RSA) Board of Directors concerning the United States Supreme Court decision in the case of Dobbs v. Jackson Women’s Healt …
Other Issues, Position Statements
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Doximity “reviews” of emergency medicine residency training programs
Dear Colleagues,It has come to our attention that Doximity is, once again, working to create “reviews” of emergency medicine residency training programs with biased, opinion-based methodology. This flawed data approach does not benefit students applying to emergency medicine or emergency medici …
Joint Statements, Other Issues
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AAEM Board of Directors response to DOJ/FTC on merger guidelines
DOJ/FTC Request for Information on Merger EnforcementComments from the American Academy of Emergency MedicineThank you for looking into this important issue. In 2018, the AMA conducted their yearly Physician Practices Benchmark Survey and concluded that for the first time, more physicians were empl …
Other Issues, Public Policy Statements
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Joint Statement following the recent shootings in Uvalde, Texas.
We join with other EM organizations in the following statement:To the Emergency Medicine community, We were all devastated to hear of the tragic shooting in Uvalde, Texas. Unfortunately, this comes on the heels of recent shootings in Buffalo, New York City and Laguna Woods, California. Our or …
Joint Statements, Other Issues
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Joint Statement Against Criminalization of Medical Errors
Like all members of the medical community, we at the American College of Medical Toxicology, American Academy of Emergency Medicine, and American Academy of Clinical Toxicology were saddened to learn of the tragic death of a patient in Tennessee due to a medical error. A nurse at Vanderbilt Univers …
EM Workforce, Healthcare Delivery, Joint Statements
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ECMO in ED for Out of Hospital Cardiac Arrest
Statement reviewed and approved by AAEM Board of Directors. (4/23/2022)Executive SummaryEmergency departments (ED) and emergency medical services (EMS) are motivated to increase survival following sudden out of hospital cardiac arrest (OHCA).1 Extracorporeal cardiopulmonary resuscitation (ECPR) has …
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Interruptions in the Emergency Department
Statement reviewed and approved by the AAEM Board of Directors. (4/23/2022)Every day, we manage many complicated patients in the fast-paced environment of the Emergency Department (ED). This work includes making phone calls, answering questions (from physicians, students, patients, and families), c …
Clinical Practice Statements, Wellness
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The 2022 Emergency Medicine Residency Match
Each year, the National Resident Matching Program is an exciting, yet anxious time for those involved. Together, we enthusiastically welcome the 2,702 newly matched residents into the emergency medicine family and commit to supporting each of our nation’s future emergency physicians. Coupled w …
Joint Statements, Other Issues
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AAEM Endorses Position Statement on Transducer Disinfection after Percutaneous Procedures
Disinfection of Ultrasound Transducers Used for Percutaneous ProceduresIntersocietal Position Statement We, the undersigned organizations, wish to address the issue of disinfection of transcutaneous ultrasound transducers used for percutaneous procedures or forthe purpose of monitoring other inv …
Endorsed Statements, Other Issues
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AAEM and Take EM Back on the termination of Kristin Carmody, MD MHPE
Take Medicine Back and AAEM are aware that Kristin Carmody, M.D. has filed a complaint for wrongful termination by NYU. While the substance of the accusations will be determined via the legal process, we are deeply concerned that Dr. Carmody may not have been afforded due process in this matter. Du …
EM Workforce, Joint Statements
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Can Risk Stratification Tools be Utilized to Safely Discharge Low-Risk Febrile Neutropenic Patients from the Emergency Department?
Statement reviewed and approved by AAEM Board of Directors. (11/10/2021)Summary Recommendation: Febrile Neutropenia risk stratifications tools, such as the Multinational Association of Supportive Care inCancer (MASCC) and Clinical Index of Stable Febrile Neutropenia (CISNE) scores, are suppor …
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Introduction of SCD Medicaid Demo Bill
Dear Senators Booker and Scott and Representatives Davis and Burgess:The undersigned organizations, all committed to improving outcomes for individuals with sickle cell disease (SCD), look to you for needed leadership in addressing the needs of this community. As we recognize the SCD patient and pr …
Medicare/Medicaid, Public Policy Statements
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Rep. Stevens Leads Effort to Designate September 17th as National Physician Suicide Awareness Day
Livonia, Mi– Today, Congresswoman Haley Stevens (D-MI) and Senator Stabenow (D-MI) introduced a bipartisan, bicameral resolution designating today, September 17th as National Physician Suicide Awareness Day. This resolution is co-led by; Rep. Susan Wild (D-PA), Rep. Brian Fitzpatrick (R-PA), Rep. …
Other Issues, Public Policy Statements
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Palliative Care in the Emergency Department: Recognizing and Meeting the Needs of Seriously Ill Patients
Statement reviewed and approved by AAEM Board of Directors. (9/16/2021)What is Palliative Care?The Center to Advance Palliative Care has provided the following definition: Palliative care is specialized medical care for people living with a serious illness. This type of care is focused on pro …
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Sanctity of the Doctor-Patient Relationship
AAEM supports the sanctity of the doctor-patient relationship and object to any interference in thatrelationship.Approved 9.16.21
Other Issues, Public Policy Statements
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Mental Health Care Stigma in EM
EM Physician Organizations Form Mental Health Collaborative, Issue Joint Statement and Call to Action Regarding Mental Health Care Stigma in EM Each year in the U.S., roughly 300 to 400 physicians die by suicide1 — approximately double the suicide rate in the general population.2 More than hal …
Joint Statements, Other Issues, Wellness
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Support of COVID-19 Vaccine Mandates for All EMS Clinicians Including Paramedics, EMS Physicians & Other EMS Providers
Emergency medicine is more than just a ride to the hospital, it is a system of coordinated response and emergency medical care, involving multiple people and agencies. With the current surge in COVID-19 and the highly contagious Delta variant causing a national emergency medical crisis, six of the …
COVID-19, Joint Statements
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How Should Native Crotalid Envenomation Be Managed in the Emergency Department?
Statement reviewed and approved by AAEM Board of Directors. (9/14/2020)Updated 4/26/2021 and 8/16/2021. Recommendations: Address airway, breathing, circulation, then assess for local, hematologic, and/or systemic toxicity indicative of envenomation. Assess and determine the antivenom dosa …
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Support of COVID-19 Vaccine Mandates for All Workers in Health and Long-Term Care
Updated statement as of 8.6.21 AAEM recently signed onto the joint statement supporting COVID-19 vaccine mandates for all workers in health and long-term care (provided below). However, in addition as evidence continues to accumulate and we come to a greater understanding of COVID-19 infection, …
COVID-19, Joint Statements
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Joint Letter to US Department of Veterans Affairs Supremacy Project
Dear Secretary McDonough:The undersigned physician organizations have recently learned of the Department of Veterans Affairs (VA) Supremacy Project. We are writing to express our serious concerns with the VA’s efforts to develop National Standards of Practice for physicians and other health profe …
EM Workforce, Joint Letters, Public Policy Statements
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The EM Workforce
Our specialty has been working for decades to meet the growing emergency medicine needs of our country. The recent research is critical to identifying and understanding the challenges we face about the future workforce for both academic and community emergency physicians. Market consolidation, f …
EM Workforce, Joint Statements
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Joint Statement on the EM Workforce
Our specialty has been working for decades to meet the growing emergency medicine needs of our country. Therecent research is critical to identifying and understanding the challenges we face about the future workforce for bothacademic and community emergency physicians. Market consolidation, fra …
EM Workforce, Joint Statements
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Raising Emergency Medicine Residency Standards
Introduction AAEM has received much feedback from our members regarding concerns that the rapid proliferation in the number of emergency medicine resident positions, and increased utilization of non-physician practitioners at emergency department training sites has negatively impacted the qualit …
EM Workforce, Position Statements
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UnitedHealthcare Retroactive Denial of Emergency Care and the Prudent Layperson Standard
Vicki Norton MD FAAEM, AAEM Board of DirectorsSaba Rizvi, MD FAAEM AAEM recognizes UnitedHealthcare’s deferment of their dangerous and ill-advised policy to limit patients seeking emergency care. Patients who fear they are having a true emergency should not be deterred from going to the eme …
Healthcare Delivery, Public Policy Statements
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UnitedHealthcare Retroactive Denial of Emergency Care and the Prudent Layperson Standard
Vicki Norton MD FAAEM, AAEM Board of DirectorsSaba Rizvi, MD FAAEM AAEM recognizes UnitedHealthcare’s deferment of their dangerous and ill-advised policy to limit patients seeking emergency care. Patients who fear they are having a true emergency should not be deterred from going to the eme …
Medicare/Medicaid, Public Policy Statements
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AAEM Position Statement on the State of Emergency Medicine
The American Academy of Emergency Medicine (AAEM) is gratified that the House of Emergency Medicine is discussing the workforce issue in our specialty. On Friday morning, the American College of Emergency Physicians (ACEP) hosted a virtual meeting, “EM Physician Workforce of the Future,” in w …
EM Workforce, Position Statements
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Do patients on Direct Oral Anticoagulants (DOACs) require repeat imaging and a period of observation after a head injury with an initial negative CT?
Statement reviewed and approved by AAEM Board of Directors. (4/8/2021)Summary Recommendation:There is substantial clinical uncertainty regarding the management of head injured patients taking DOACs for delayed intracranial hemorrhage (ICH) as there are no high-quality studies evaluating this questi …
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The 2021-2022 Emergency Medicine Residency Application Cycle
Part I: Emergency Medicine Rotations and LettersOn January 25, 2021, the Coalition for Physician Accountability (CoPA) released guidelines regarding away rotations for students participating in the upcoming residency application cycle in light of the ongoing COVID19 pandemic. The primary recommenda …
Joint Statements, Other Issues
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Support of COVID-19 Vaccines
March 19, 2021 As experts in toxicology, pharmacology, emergency medicine, and public health, the American College of Medical Toxicology (ACMT), American Academy of Emergency Medicine(AAEM), and the American College of Emergency Medicine (ACEP) highly recommend vaccination against COVID-19 with …
COVID-19, Joint Statements
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Recommendations for the Navigation of Moral Dilemmas during the COVID Pandemic
Emergency Physicians are at potential risk for moral conflict and burnout when trying to accommodate the many challenges for caring for seriously ill patients in the ED. The patient care needs and what the physician “feels is right” have become more apparent with the large volume of patients re …
COVID-19, Ethics, Other, Palliative Care
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Joint Letter to the Secretary of the Department of Veterans Affairs
Re: RIN 2900–AQ94—Authority of VA Professionals to Practice Health Care AAEM signed on to a joint statement via email to to the Secretary of the Department of Veterans Affairs opposing the Interim Final Rule (IFR) NPPs are an integral part of physician-led health care teams. However, NPP …
EM Workforce, Joint Letters
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Joint Letter to President-Elect Biden regarding FTC Action on Non-Compete Clauses
Dear President-elect Biden, Due to the fiscal and public health crisis caused by the COVID-19 pandemic, millions of workers remain unemployed and workers who have jobs face increasing precarity and coercive practices in the labor market. Employers’ use of non-compete clauses is an example of a …
EM Workforce, Joint Letters
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Joint Letter to the Texas COVID-19 Expert Vaccine Allocation Panel
Distinguished Members of the COVID-19 Expert Vaccine Allocation Panel, We first want to thank you for your time and dedication to our great state during this health care crisis. The work your panel is tasked with is critical in how our state moves forward from this pandemic. On behalf of a co …
Joint Letters, Joint Statements
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Emergency Department Visitation Policies during the COVID-19 Pandemic
As the COVID-19 pandemic continues, many EDs have instituted policies that limit or prevent family members and/or loved ones from visiting patients who are being treated for COVID-19. While the initial intent was to limit the exposure of visitors to the virus, the practice has instead led to argume …
COVID-19, Position Statements
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Overcoming Barriers to Promotion of Women and Underrepresented in Medicine (URiM) Faculty in Academic EM
The American College of Emergency Physicians (ACEP), American Academy of Emergency Medicine (AAEM), the Association of Academic Chairs of Emergency Medicine (AACEM), and the Society for Academic Emergency Medicine (SAEM) are committed to supporting women and underrepresented in medicine (URiM) facu …
Joint Statements, Other Issues
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AAEM Ethics Committee Position Statement
Chair: Al Giwa, MD MBA MBE FAAEMVice Chair: Jennifer Gemmill, MD FAAEM Position Statement Subgroup:Alfredo Urdaneta, MD FAAEM (Lead)Al Giwa, MD MBA MBE FAAEMDan Mayer, MD FAAEMMatthew Turney, MD FAAEM AAEM Ethics Committee Position Statement As professionals, physicians must aspire to live …
Ethics, Position Statements
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What is the Emergency Department Management of Patients with Angioedema Secondary to an ACE-inhibitor?
Statement reviewed and approved by AAEM Board of Directors. (11/12/2020)Recommendations: The primary focus of emergency treatment is airway evaluation and stabilization. A careful history and physical exam must be performed to differentiate ACE inhibitor-induced angioedema (ACE-I-AE) from …
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Joint Letter to the Allopathic and Osteopathic Medical Board members Regarding the Chapter 2 Reproposal in Portland, ME
Dear Allopathic and Osteopathic Medical Board members, Thank you for reviewing our comments to the Chapter 2 reproposal. As physicians representing various medical specialties, and an organization representing 12,000 physicians, residents, medical students, and assistant physicians interested in …
Joint Letters, Other Issues
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Osteopathic Physicians and Emergency Medicine
The entire Emergency Medicine community, as represented by the undersigned organizations, is disheartened to see recent comments and national news stories that might confuse the public about the training and scope of practice of osteopathic physicians and emergency medicine specialists. Doctors …
Joint Statements, Other Issues
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Joint Letter to Oppose H.R. 884 / S. 2772 — The Medicare Mental Health Access Act
Dear Committee Leaders: The undersigned medical professional organizations write to you with an urgent request that impacts the quality of care that our nation’s patients receive. H.R. 884 / S. 2772, the “Medicare Mental Health Access Act,” would change the definition of “physician” un …
Joint Letters, Medicare/Medicaid, Wellness
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AAEM Position Statement on the Term “Provider”
The American Academy of Emergency Medicine (AAEM) recognizes and advocates for the patient’s right to know the credentials of all clinicians being trusted with his/her well-being. Studies repeatedly show that patients in the US healthcare system want to know these credentials and are confused whe …
EM Workforce, Position Statements
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Doximity
Dear Colleagues, It has come to our attention that Doximity is, once again, surveying emergency physicians to create “rankings” of emergency medicine residency training programs with a biased methodology. This type of flawed data approach does not benefit students applying to emergency medic …
Joint Letters, Other Issues
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Does Early and Appropriate Antibiotic Administration Improve Mortality in Emergency Department Patients with Severe Sepsis or Septic Shock?
IntroductionManagement of emergency department (ED) patients with severe sepsis and septic shock focuses on early identification, hemodynamic resuscitation, and appropriate antibiotic administration.[1] The 2012 Surviving Sepsis Campaign guidelines for the management of patients with severe sepsis …
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Post-Graduate Training of Nurse Practitioners and Physician Assistants
The undersigned representatives of Emergency Medicine physicians are unified in their support of physician-led patient care and training. Although all who provide care in the Emergency Department setting must be appropriately trained, education of emergency medicine resident physicians and medical …
EM Workforce, Joint Statements
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Joint Letter to Congress regarding Surprise Medical Billing in COVID-19 Relief Package
Dear Speaker Pelosi, Leader McConnell, Leader McCarthy, and Leader Schumer:The undersigned state and national medical societies, representing hundreds of thousands of frontline physicians, thank you for your continued efforts to respond to the COVID-19 pandemic. As you know, this public health cris …
COVID-19, Joint Letters, Public Policy Statements
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Excuses from Mask Compliance
The American College of Emergency Physicians (ACEP), the American Academy of Emergency Medicine (AAEM), the American Academy of Emergency Medicine Resident and Student Association (AAEM/RSA), the Emergency Medicine Residents’ Association (EMRA), the Council of Residency Directors in Emergency …
COVID-19, Joint Statements
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Joint Letter to CMS to Sunset Waivers When PHE Concludes
Dear Administrator Verma:The undersigned organizations represent the hundreds of thousands of physicians who provide care for our nation’s Medicare patients every day. We are writing to strongly support the Centers for Medicare & Medicaid Services (CMS) decision to temporarily waive certain r …
COVID-19, Public Policy Statements
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Joint Letter to Veterans Health Administration on CRNA Oversight
Dear Dr. Stone:The undersigned medical associations and medical specialty societies are writing to register serious concerns with the Health Care Professional Practice in VA Memorandum (Memorandum) issued by the Office of the Under Secretary of Health on April 21, 2020, and underlying Directive 189 …
EM Workforce, Joint Letters, Public Policy Statements
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Joint Letter Urging Congress to Extend Eligibility for the PPP Loan Program
Dear Speaker Pelosi, Leader McConnell, Leader McCarthy, and Leader Schumer:The undersigned state, specialty, and national medical associations collectively employ thousands of employees and represent hundreds of thousands of physician members across the country. We greatly appreciate the actions ta …
COVID-19, Public Policy Statements
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AAEM and AAEM/RSA Position Statement Against Federal Regulation
On Friday, the Trump administration issued a regulation that excludes transgender status from the legal definition of sex discrimination in healthcare. This regulation allows institutions and individual professionals who provide healthcare services to legally exclude transgender people from receivi …
Joint Statements, Position Statements, Tort Reform
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Joint Letter to Congress Urging inclusion of the Targeted and Limited Liability Protections in Bipartisan Bill, H.R. 7059, the “Coronavirus Provider Protection Act”
Dear Speaker Pelosi, Leader McConnell, Leader McCarthy, and Leader Schumer:The undersigned state, specialty, and national medical associations represent hundreds of thousands of frontline medical and mental health physicians who are diagnosing, testing, treating, and counseling millions of our nati …
COVID-19, Public Policy Statements, Wellness
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Emergency Medicine Organizations Call for End to Pediatric Merit Badges
East Lansing, MI (June 9, 2020)— The American Board of Emergency Medicine (ABEM) and the American Osteopathic Board of Emergency Medicine (AOBEM) will now provide letters of support that may be submitted to hospital credentialers to forego the need for additional short courses or certifications i …
Joint Statements, Other Issues
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Triage Nurse-Ordered Testing in the Emergency Department Setting
Reviewed and approved by the AAEM Board of Directors. (June 5, 2020)Recommendations:1) Triage nurse-ordered testing reduces Emergency Department length of stay, though the overalldecrease in time is small. The decision to utilize triage nurse-ordered testing should weigh thepotential time saved ver …
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Joint Letter Encouraging the Passage of the Mainstreaming Addiction Treatment Act
Dear Speaker Pelosi, Majority Leader McConnell, Congressman McCarthy, and Senator Schumer:In response to the coronavirus pandemic, the twelve undersigned organizations representing behavioral health and substance use disorder treatment providers and public health advocates write to encourage Congre …
COVID-19, Public Policy Statements