Statements
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AAEM Statement on National Emergency Services Health’s Failure to Pay its Physicians
AAEM believes that National Emergency Services Health’s (NES) failure to pay its physicians for the past month constitutes contract abandonment, significantly disrupting safe patient care. To prevent ED closures, hospital CEOs are advised to pay the physician and provide professional liability i …
Other Issues, 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 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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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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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 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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AAEM Statement of the Death of Dr Breen
We are all deeply saddened when we lose a colleague. Dr. Breen is a hero who served her patients and the NYC community during the COVID pandemic. She risked her life, her health and ultimately her death is a loss for her family, community, institution, and all of us as emergency physicians. Prac …
Other Issues, Position Statements
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Background
Emergency physicians and other frontline clinicians are facing shortages of adequate PPE around the country amidst the COVID-19 pandemic.1 In response, they are addressing this through non-traditional means by self-supplying industrial devices meeting NIOSH standards. Unfortunately, there are numero …
Other Issues, Position Statements
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Management of Opioid Use Disorder in the Emergency Department: A White Paper Prepared for AAEM
Over 2 million Americans misuse prescription or illicitly-obtained opioids, and opioid overdose deaths rose to a record 47,600 in 2017, representing a nearly 600% increase in 18 years. (NCHS 2019, NIH 2019) Because patients with opioid use disorder (OUD) are often socioeconomically and functionally …
Other Issues, Pain & Addiction, Position Statements
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Emergency Departments Utilizing a “Provider in Triage”
Emergency departments utilizing a “provider in triage” model should: Ensure that providers have an opportunity to perform an appropriate history and physical prior to ordering diagnostic testing; Conduct appropriate reviews to verify that over-testing is not occurring from triage bas …
Other Issues, Position Statements
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Position Statement on Electronic Medical Records (EMRs)
The introduction of the electronic medical records system into the practice of medicine has brought great benefits and presented great challenges to the doctor patient relationship. &nbs …
Other Issues, Position Statements
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Position Statement on Oversight and Management of Emergency Medicine Residency Programs by Contract Management Groups
AAEM opposes the oversight and management of emergency medicine residency programs by contract management groups with lay ownership. AAEM is concerned that this arrangement raises significant conflicts of interests between a residency program's educational mission and the contract managemen …
Other Issues, Position Statements
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Psychiatric Boarders in the Emergency Department
The number of psychiatric patients who present to emergency departments (EDs) has increased in the last few years; many of these patients will need to be admitted to an inpatient bed. The care of psychiatric patients in the ED is commonly delayed by limited involvement of psychiatric specialty perso …
Other Issues, Position Statements
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Routine Laboratory Testing of Psychiatric Patients in the Emergency Department is Unnecessary
AAEM believes that evidence for testing psychiatric patients as part of medical clearance process clearly states that the testing should be clinically based, similar to other patients in the ED, and, individually based upon the particular patient presentation. Consistent with the literature on …
Other Issues, Position Statements
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Prescription Drug Monitoring Programs
AAEM encourages prescriber and pharmacist access to prescription drug monitoring programs (PDMPs), which can be a useful tool to identify possible prescription drug abuse. AAEM supports the interstate data sharing between state PDMPs and calls for standardization between states and the eventual crea …
Other Issues, Position Statements
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Joint Ventures between a Hospital/Hospital System & CMG
The American Academy of Emergency Medicine (AAEM) opposes joint ventures between a hospital or hospital system and a corporate emergency medicine contract management group (CMG) whereby a portion of the emergency physician professional fee is distributed to the hospital or hospital system …
Other Issues, Position Statements
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The Pulmonary Embolism Rule-Out Criteria (PERC) meets the standard of care for Emergency Medicine (EM)
It is the position of the American Academy of Emergency Medicine that, when properly applied to an individual patient for whom the clinician already has a low clinical suspicion for PE, based on a gestalt impression, the Pulmonary Embolism Rule-Out Criteria (PERC) meets the standard of care for EM. …
Other Issues, Position Statements
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AAEM Position Statement on Screening and Redirection of Emergency Department Patients
Emergency departments and emergency physician’s primary directive is to care for ill and traumatized patients presenting in an unscheduled fashion. This is constructed without regard for ability to pay and with a high expectation for accurate and timely evaluation and management to exclude and …
Other Issues, Position Statements
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American Academy of Emergency Medicine Statement on Access to Emergency Care
The American Academy of Emergency Medicine, recognizing recent international reports of governmental interference with emergency care and at the request of our emergency physician colleagues in some of the affected countries, condemns any activities by governmental or non-governmental agencies tha …
Other Issues, Position Statements
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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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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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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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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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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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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