Statements
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Use of Non-Emergency Medicine Specialists in the Emergency Department
1) The American Academy of Emergency Medicine, believing that emergency department care is best provided by physicians properly board certified in emergency medicine, reiterates the relevant portions of its Mission Statement: Every individual should have unencumbered access to quality emergency …
Board Certification, Position Statements
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Freestanding Emergency Departments
Freestanding emergency departments (FSED) have the potential to address several intractable problems in emergency medicine, especially overcrowding and lack of access to emergency care, a loss of autonomy for emergency physicians, and widespread violation of emergency physician practice rights at ho …
Healthcare Delivery, Position Statements
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The Measurement of Time to Antibiotics for Admitted Patients with Community-Acquired Pneumonia (CAP) in the ED
Reviewed and approved by the AAEM Board of Directors 3/1/2009. Define the Issue and State the Question A. Topic Area: The measurement of time to antibiotics for admitted patients with community-acquired pneumonia (CAP) in the ED. B. General Issue: Unintended consequences of the implementati …
Clinical Practice Statements, Other Issues
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Emergency Care Psychiatric Clinical Framework
SUMMARY DEVELOPMENT OF EMERGENCY CARE PSYCHIATRIC CLINICAL FRAMEWORK By default, the emergency department (ED) has become the "portal to the community" and the entry point where most patients are introduced to the health care system. It is also a logical place to expedite needed reform t …
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Restrictive Covenant White Paper
AAEM WHITE PAPER ON RESTRICTIVE COVENANTS A Policy Paper of the American Academy of Emergency Medicine J Emerg Med 2006; 30:473-475 Larry D. Weiss, MD, JD, FAAEM Professor of Emergency Medicine University of Maryland School of Medicine Approved with revisions by the American Academy of Emergen …
Position Statements, Practice Rights
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Procedural Sedation Consensus Statement
The immediate availability of interventions including procedural sedation is critical to serving the needs of our patients. Preserving life, restoring health, and alleviating suffering have been fundamental to the practice of nursing and medicine for centuries. We are challenged as health care profe …
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Due Process White Paper
AAEM WHITE PAPER ON DUE PROCESS RIGHTS FOR PHYSICIANS J Emerg Med 2007; 33:439-440 Larry D. Weiss, MD, JD, FAAEM Professor of Emergency Medicine University of Maryland School of Medicine Approved with revisions by the American Academy of Emergency Medicine Board of Directors, May 15, 2007 INTR …
Due Process, Position Statements, Practice Rights
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AAEM Position Statement on ED Boarding
The practice of boarding patients in the ED is defined as holding admitted patients in the ED until a staffed, in-patient bed becomes available and this period usually lasts several hours (and sometimes days). Boarding is not in the best interest of the patient being boarded as it compromises their …
Crowding, Position Statements
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AAEM Position Statement Opposing the Creation or Recognition of an American Board of Disaster Medicine (ABDM) under the auspices of the American Board of Physician Specialists (ABPS)
The American Academy of Emergency Medicine (AAEM), a national professional society of board-certified emergency physicians, has serious concerns about the creation of the American Board of Disaster Medicine (ABDM) by the American Board of Physician Specialists (ABPS). We note that: A. The creation …
Board Certification, Position Statements
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Clinical Practice Guideline: Initial Evaluation and Management of Patients Presenting with Acute Urticaria or Angioedema
AAEM statements are not to be construed as dictating an exclusive course of action nor are they intended to replace the medical judgment of healthcare professionals. The unique circumstances of individual patients and environments are to be taken into account in any diagnosis and treatment plan. AAE …
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Compact Between Resident Physicians and Their Teachers
January 2006 (endorsed 5/17/06) www.aamc.org/residentcompact The Compact Between Resident Physicians and Their Teachers is a declaration of the fundamental principles of graduate medical education (GME) and the major commitments of both residents and faculty to the educational process, to each oth …
Endorsed Statements, Other Issues
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AAEM Position Statement on Patient Satisfaction Surveys in the Emergency Department
The American Academy of Emergency Medicine believes that a healthy physician-patient relationship is a core principle of the practice of emergency medicine. There is a growing trend to use patient satisfaction surveys as a tool to assess the quality of this interaction. As more organizations are usi …
Other Issues, Position Statements
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Emergency Nurses Association and American Academy of Emergency Medicine Joint Position on a Code of Professional Conduct
DATE: May, 2006 SUBMITTED BY: Nancy Bonalumi, RN, MS, CEN; ENA President Tom Scaletta, MD FAAEM; AAEM President It is ideal for emergency nurses and physicians to practice in an optimal working environment where, working as a team, we can provide safe and excellent emergency patient care. Inappr …
Position Statements, Practice Rights
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AAEM Position Statement on Improving Service Quality
(from White Paper on Improving Service Quality) On behalf the American Academy of Emergency Medicine, we proposed this position statement for consideration by the Board of Directors: It is the mission of emergency medicine to provide continuous access to board certified emergency physicians to p …
Other, Position Statements
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AAEM Position Statement on Ethical Expert Conduct and Testimony
The American Academy of Emergency Medicine believes the following principles to be essential to the ethical conduct of an expert offering opinions or testimony in medical legal matters. Violation of these principles constitutes a violation of the Academy’s Ethics policy and may be subject to sancti …
Ethics, Position Statements, Tort Reform
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AAEM Position Statement on Due Process Reaffirmed
An emergency physician is entitled to Due Process upon unilateral termination by his or her employer (or contracting entity) or upon any other adverse action that otherwise affects his or her job security. Due Process assumes that the following are property rights of an emergency physician, fundame …
Due Process, Position Statements
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AAEM Position Statement on Restrictions on the Right to Practice
WHEREAS covenants-not-to-compete restrict competition, disrupt continuity of care, and potentially deprive the public of medical services,1 and WHEREAS the American Medical Association Council on Ethical and Judicial Affairs discourages such covenants-not-to-compete,1 and WHEREAS covenan …
Position Statements, Practice Rights
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Updated AAEM Position Statement on Emergency Medical Services (2005)
The American Academy of Emergency Medicine believes that patients requiring emergency care need universal access to both high quality pre-hospital and emergency department based medical care. AAEM recognizes the vocation of pre-hospital medicine to include patient advocacy and transportation of pati …
Healthcare Delivery, Position Statements
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AAEM Position Statement on Emergency Department Crowding
Background Annual visit volume to U.S. emergency departments continues to increase, The number of U.S. emergency departments continues to decrease, ED crowding is a serious nationwide problem that has multiple causes, ED crowding is a result of decreasing total hospital and health systems capa …
Crowding, Position Statements
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AAEM White Paper on Tort Reform
AAEM White Paper on Tort Reform A Policy Paper of the American Academy of Emergency Medicine J Emerg Med 2006; 30:473-475 Larry D. Weiss, M.D., J.D. Albert J. Lauro Professor of Medicine Louisiana State University School of Medicine Department of Medicine, Section of Emergency Medicine 15 …
Position Statements, Tort Reform
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AAEM Policy Regarding Other Organizations
AAEM continues to encourage its members to belong to any professional organizations of their choosing; AAEM promotes and defends its policy positions; that AAEM policy positions stand on their own merit; that policy positions of AAEM enhance the work of practicing emergency physicians; AAEM, its …
Joint Statements, Other Issues
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Certificate of Compliance with the AAEM Policy Statements on Fairness in the Workplace
I confirm/certify that all of the following are true: With the provisional period not to exceed one year, our physician group provides our emergency physicians access to predefined due process. Our physician group, or its controlling entity, has a predefined mechanism that regularly and automati …
Position Statements, Practice Rights
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Joint Task Force Resolution
Whereas, many emergency physicians would prefer that the emergency medicine professional societies work closely together for the betterment of emergency medicine; and Whereas, the American Academy of Emergency Medicine has clearly laid out a Vision Statement to advocate for the rights of emergency …
Joint Statements, Other Issues
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Unions in Emergency Medicine
AAEM recognizes the right of employee emergency physicians to organize into collective bargaining units under the auspices of the National Labor Relations Board. AAEM acknowledges the presence of certain practice issues, such as economic exploitation and termination without cause, that may prompt th …
Position Statements, Practice Rights
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AAEM Misleading Advertising Policy
The American Academy of Emergency Medicine firmly opposes misleading advertising of professional expertise in Emergency Medicine by physicians who are not board certified. Therefore, physicians practicing in the United States may not advertise that they are board certified in Emergency Medicine unle …
Board Certification, Position Statements
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AAEM Position Statement on Documentation and Payment for EMTALA Requirements
AAEM Position Statement on Documentation and Payment for EMTALA Requirements Whereas, The existing system of submitting forms documenting total body medical history and total body examination during time critical and condition specific emergency treatment in order to obtain payment for emergency s …
EMTALA, Position Statements
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Funding for EMTALA Requirements
Whereas, One in five Americans currently does not possess health insurance, Emergency Medicine is experiencing a crisis in overcrowding and inadequate funding, Emergency departments are more than ever before expected to act as the front line for medical services in the event of reg …
EMTALA, Position Statements
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AAEM Critical Care Medicine Resolution
The American Academy of Emergency Medicine believes that ABEM/AOBEM certified emergency physicians who complete an ACGME certified critical care fellowship should be allowed to take an American board examination in critical care medicine. We urge ABMS to strongly consider opening the exam for such e …
Credentialing & Qualifications, Position Statements
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Joint AAEM/CORD/SAEM Pediatric Position Statement
Physicians who have successfully completed an accredited Emergency Medicine residency or are ABEM/AOBEM certified possess the knowledge and skills required to provide quality emergency medical care to children of all ages for a wide variety of illnesses, injuries or poisonings. To provide quality ca …
Credentialing & Qualifications, Joint Statements
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The Primary Responsibility of the Emergency Physician is the Care of Patients within the ED
In some medical institutions, due to limited physician coverage, the emergency physician is required to respond to various in-hospital (out-of-ED) situations. This is particularly true during evenings, nights, weekends, and holidays. In those institutions with single emergency physician coverage, r …
Healthcare Delivery, Position Statements
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Steroids in Acute Spinal Care Injury
On 2/23/03 the board of directors of AAEM voted to endorse the CAEP position statement on the use of steroids in spinal cord trauma. This statement declares that steroids are not the standard of care for spinal cord injury but a treatment option. CAEP did an excellent job in critically reviewing thi …
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Guidelines for Researchers Involved in Manufacturer-Sponsored Trials
Background As medical research of drugs and devices has evolved, the quality of available evidence has benefited from increasing numbers of well designed randomized controlled trials, leading directly to reductions in selection bias. An additional source of potential bias is found when manufacturer …
Other Issues, Position Statements
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Board of Directors to Consider Policy Regarding In-House Coverage
by Howard Blumstein, MD FAAEM and Raymond Roberge MD MPH FAAEM Based on a suggestion from an AAEM member, we have begun to develop a policy statement regarding coverage of emergencies involving patients who are already in the hospital. The reality is that in many small hospitals there is little hig …
Healthcare Delivery, Position Statements
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New AAEM Board Policy Addresses “On-Call” Crisis
The AAEM Board of Directors established the following position statement during its May 18, 2002 Board meeting which was held in conjunction with the SAEM meeting in St. Louis, MO. AAEM On-Call Crisis Position Statement The American Academy of Emergency Medicine believes the crisis in &ldq …
Other Issues, Position Statements
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AAEM Plaintiff Experts Policy
Whereas, membership on the Board of Directors of AAEM requires that the Board members serve the interests of the membership above their own interests, therefore be it RESOLVED that Members of the Board of Directors of AAEM shall refrain from giving expert testimony against a member of AAEM while ser …
Other, Tort Reform
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AAEM Position Statement on tPA: The Use of Intravenous Thrombolytic Therapy in the Treatment of Stroke
AAEM statements are not to be construed as dictating an exclusive course of action nor are they intended to replace the medical judgment of healthcare professionals. The unique circumstances of individual patients and environments are to be taken into account in any diagnosis and treatment plan. AAE …
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Position Statement on Admission Orders
WHEREAS typical emergency physicians do not provide practice inpatient medicine; WHEREAS admitted patients benefit by one primary physician orchestrating a treatment plan and by these orders being scrutinized by the nurse that will initiate those orders; WHEREAS emergency department nurses, due to …
Healthcare Delivery, Position Statements
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Position Statement on the Role of Government in Securing Emergency Medical Care
The AAEM Board of Directors established the following position statement during its September 2001 Board meeting which was held in conjunction with the First Mediterranean Emergency Medicine Congress in Stresa, September 2-5th, 2001. Preamble: Governments have a responsibility for the tota …
Other Issues, Position Statements
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FSMB Consensus Proposal
I. FSMB recommends "3. All applicants for licensure should have satisfactorily completed a minimum of three years of postgraduate training in an ACGME- or AOA-approved postgraduate training program, including completion of PGY3 level training prior to full and unrestricted licensure." Wit …
EM Workforce, Other
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Position Statement on the Use of Amiodarone in Refractory Pulseless VT/VF
AAEM statements are not to be construed as dictating an exclusive course of action nor are they intended to replace the medical judgment of healthcare professionals. The unique circumstances of individual patients and environments are to be taken into account in any diagnosis and treatment plan. AAE …
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Policy on Open Books
Medicare, Medicaid and many third-party health care insurers expect the individual physician to be aware of what is being billed for services on their behalf. The individual physician can be held liable for fraudulent claims even if the claim was submitted on their behalf by an employer or a billing …
Position Statements, Practice Rights
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Position Statement on Emergency Nurse-to-Patient ED Staffing Ratios
Whereas the volume of ED visits continues to rise and now exceeds 100 million in the United States annually; and Whereas the scope of Emergency Medicine requires a high intensity of service for many conditions, especially during the first hour of treatment; and Whereas emergency nursing involves p …
EM Workforce, Position Statements
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Emergency Physician Credentialing
Whereas higher care quality, improved patient safety, and decreased medical legal risk can be directly linked to qualified Emergency Medicine specialists; and Whereas emergency physicians should be involved in the process by which they are credentialed; and Whereas AAEM has become the lead organiz …
Credentialing & Qualifications, Position Statements
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AAEM Non-Discrimination Position Statement on Practice Track vs. Residency Trained EM Physicians
AAEM asserts that board certification through ABEM or AOBEM is recognized as the standard that establishes competence in the diagnosis and management of conditions in Emergency Medicine. The restriction of employment or access to fellowship training programs for board-certified emergency physicians …
Board Certification, Position Statements
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Position Statement on Mandatory Error Reporting
The American Academy of Emergency Medicine (AAEM) supports a national mandatory error reporting system that includes legal liability protections and the following other additional safeguards: 1. Data registry would be managed and analyzed by a non-governmental agency that could be held responsible …
Other Issues, Position Statements
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Position Statement on Due Process
An emergency physician is entitled to due process upon unilateral termination by his or her employer (or contracting entity) or upon any other adverse action that otherwise affects his or her job security. Due process assumes that the following are property rights of an emergency physician, fundame …
Due Process, Position Statements
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AAEM Position Statement on Managed Care
AAEM is committed to provide for all patients needing emergency care by each and every emergency department without regard to economic ability, insurance or payor status. Emergency physicians provide this care 24 hours a day, 365 days a year, and the AAEM calls upon employers, third party payers and …
Healthcare Delivery, Position Statements
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AAEM Takes a Stand Against Moonlighting Residents
The American Academy of Emergency Medicine (AAEM) strongly believes that the independent practice of Emergency Medicine is best conducted by a specialist board certified in Emergency Medicine. Furthermore, it is AAEM's opinion that the independent practice of Emergency Medicine by residents in t …
Other Issues, Position Statements
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Performance of Emergency Screening Ultrasound Examinations
Performance of Emergency Screening Ultrasound Examinations Definition An Emergency Screening Ultrasound Examination (ESUE) is a sonographic imaging procedure performed by an emergency physician on a patient in the emergency department in an effort to detect acute medical problems. Purpose …
Other Issues, Position Statements
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Position Statement on the Advanced Cardiac Life Support Course
AAEM recognizes the value of the ACLS curriculum for non-EM boarded physicians and other health care providers who need to be familiar with the principles of acute cardiac care. However, AAEM believes that board certification in Emergency Medicine establishes expertise in acute cardiac life support …
Credentialing & Qualifications, Position Statements
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Position Statement on the Advanced Trauma Life Support Course
AAEM recognizes the value of the ATLS curriculum for non-EM boarded physicians and other health care providers who need to be familiar with the principles of trauma care. However, AAEM believes that board certification in Emergency Medicine establishes expertise in trauma care beyond that which is t …
Credentialing & Qualifications, Position Statements