The shortage of on-call surgical specialist coverage: A national survey of emergency department directors

Academic Emergency Medicine

Volumn 17, Issue 12, 2010, Pages 1374-1382

  Rao, Mitesh B ^a,b   Lerro, Catherine ^c   Gross, Cary P ^a  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b VA CONNECTICUT HEALTHCARE SYSTEM   (United States)

^c YALE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; EMERGENCY PHYSICIAN; EMERGENCY WARD; GEOGRAPHIC DISTRIBUTION; HEALTH CARE PERSONNEL MANAGEMENT; HOSPITAL ADMINISTRATOR; HUMAN; MEDICAL SPECIALIST; PRIORITY JOURNAL; RELIABILITY; SURGEON; UNITED STATES;

CROSS-SECTIONAL STUDIES; EMERGENCY SERVICE, HOSPITAL; GENERAL SURGERY; HEALTH MANPOWER; HEALTH SERVICES RESEARCH; HUMANS; MEDICAL STAFF, HOSPITAL; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 78650034746     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2010.00927.x     Document Type: Article

References (36)

1. Center for Studying Health Systems Change. Hospital Emergency On-call Coverage: Is There a Doctor in the House? Available at:. http://www.hschange. com/CONTENT/956/956.pdf Accessed Aug 28, 2010.
2. Clinical Advisory Board. Call Coverage Strategies: Best Practices for Securing Cost-Effective Call Coverage. Washington, DC: The Advisory Board Company, 2007.
3. Institute of Medicine Committee on the Future of Emergency Care in the U.S. Health System. Hospital-based Emergency Care: At the Breaking Point. Washington DC: National Academies Press, 2006.
4. The American College of Surgeons. A Growing Crisis in Patient Access to Emergency Surgical Care. The American College of Surgeons, Division of Health Advocacy and Health Policy. Available at:. Accessed Aug 28, 2010.
5. McConnell KJ, Johnson LA, Arab N, et al., The on-call crisis: a statewide assessment of the costs of providing on-call specialist coverage. Ann Emerg Med. 2007; 49: 727-33.
6. Mohanty SA, Washington DL, Lambe S, et al., Predictors of on-call specialist response times in California emergency departments. Acad Emerg Med. 2006; 13: 505-512.
7. Rudkin SE, Oman J, Langdorf MI, et al., The state of ED on-call coverage in California. Am J Emerg Med. 2004; 22: 575-81.
8. McConnell KJ, Newgard CD, Lee R,. Changes in the cost and management of emergency department on-call coverage: evidence from a longitudinal statewide survey. Ann Emerg Med. 2008; 52: 635-42.
9. The Joint Commission. Sentinel Event Alert, No. 26. The Joint Commission, 2002. Delays in Treatment. Available at:. http://www.jointcommission.org/ SentinelEvents/SentinelEventAlert/sea-26.htm. Accessed Aug 28, 2010.
10. American Hospital Association. Hospital Statistics 2006. Chicago, IL: Health Forum LLC, 2006.
11. Southard P,. 2003 "clarification" of controversial EMTALA requirement for 24/7 coverage of emergency departments by on-call specialists, significant impact on trauma centers. J Emerg Nurs. 2004; 30: 582-3.
12. Derlet R, Richards J, Kravitz R,. Frequent overcrowding in U.S. emergency departments. Acad Emerg Med. 2001; 8: 151-5.
13. Weiss SJ, Ernst AA, Derlet R, et al., Relationship between the National ED Overcrowding Scale and the number of patients who leave without being seen in an academic ED. Am J Emerg Med. 2005; 23: 288-94.
14. Weiss SJ, Derlet R, Arndahl J, et al., Estimating the degree of emergency department overcrowding in academic medical centers: results of the National ED Overcrowding Study (NEDOCS). Acad Emerg Med. 2004; 11: 38-50.
15. American Hospital Directory, Inc. Free Hospital Information. Available at:. http://www.ahd.com/freesearch.php3 Accessed Sep 12, 2010.
16. AmeraScope Media. Homepage. Available at:. http://www.amerascope.com/ Accessed Aug 28, 2010.
17. Vanlandingham B,. On-call Specialist Coverage in U.S. Emergency Departments. Irving, TX: American College of Emergency Physicians, 2004.
18. Dillman DA,. Mail and Internet Surveys: The Tailored Design Method. 2nd ed. New York, NY: Wiley, 2000.
19. Kellerman SE, Herold J,. Physician response to surveys. A review of the literature. Am J Prev Med. 2001; 20: 61-7.
20. Spain DA, Bellino M, Kopelman A, et al., Requests for 692 transfers to an academic level I trauma center: implications of the emergency medical treatment and active labor act. J Trauma. 2007; 62: 63-7.
21. Nawar EW, Niska RW, Xu J,. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary. Adv Data. 2007; (386): 1-32.
22. Baker DW, Stevens CD, Brook RH,. Patients who leave a public hospital emergency department without being seen by a physician. Causes and consequences. JAMA. 1991; 266: 1085-90.
23. Institute of Medicine. America's Health Care Safety Net: Intact but Endangered. Washington, DC: National Academies Press, 2000.
24. Kane CK,. Physician Marketplace Report: The Impact of EMTALA on Physician Practices. American Medical Association, 2003. Available at:. Accessed Aug 28, 2010.
25. Billings J, Weinick RM,. Tools for Monitoring the Health Care Safety Net. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 2003.
26. Walker KO, Calmes D, Hanna N, et al., The impact of public hospital closure on medical and residency education: implications and recommendations. J Natl Med Assoc. 2008; 100: 1377-83.
27. Cofer JB, Burns RP,. The developing crisis in the national general surgery workforce. J Am Coll Surg. 2008; 206: 790-5.
28. Hedges JR, Newgard CD, Mullins RJ,. Emergency Medical Treatment and Active Labor Act and trauma triage. Prehosp Emerg Care. 2006; 10: 332-9.
29. United States General Accounting Office. Medical Malpractice: Implications of Rising Premiums and Access to Health Care. Available at:. http://www.gao.gov/new.items/d03836.pdf Accessed Aug 28, 2010.
30. American College of Surgeons. FAQ for Resources for Optimal Care of the Injured Patient. 2006. Available at:. http://www.facs.org/trauma/faq-answers. html Accessed Aug 28, 2010.
31. Ciesla DJ,. The acute care surgeon and emergency specialty procedures. J Am Coll Surg. 2007; 205: 187-9.
32. Ciesla DJ, Moore EE, Cothren CC, et al., Has the trauma surgeon become house staff for the surgical subspecialist? Am J Surg. 2006; 192: 732-7.
33. Esposito TJ, Leon L, Jurkovich GJ,. The shape of things to come: results from a national survey of trauma surgeons on issues concerning their future. J Trauma. 2006; 60: 8-16.
34. Studdert DM, Mello MM, Sage WM, et al., Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005; 293: 2609-17.
35. Landon BE, Reschovsky J, Blumenthal D,. Changes in career satisfaction among primary care and specialist physicians, 1997-2001. JAMA. 2003; 289: 442-9.
36. American College of Surgeons. A Growing Crisis in Patient Access to Emergency Surgical Care. The American College of Surgeons, Division of Health Advocacy and Health Policy, 2006. Available at:. Accessed Aug 28, 2010.