Reference articles on history, science, culture and more
Encyclopedia

Emergency physician

Physician specialized in emergency medicine

Image credit is listed at the end of this article.

An emergency physician is a physician who specializes in emergency medicine. They typically work in the emergency department of a hospital and provide care to patients requiring urgent medical attention. Their scope of practice includes advanced cardiac life support (or advanced life support in Europe), resuscitation, trauma care (such as treatment of fractures and soft tissue injuries), and management of other life-threatening conditions. Alternative titles for this role include emergency medicine physician, emergentologist, ER physician, or ER doctor (with ER standing for an emergency room, primarily used in the United States).

In some European countries (e.g. Germany, Belgium, Poland, Austria, Denmark and Sweden), emergency physicians or anaesthetists are also part of the emergency medical service. They are dispatched together with emergency medical technicians and paramedics in cases of potentially life-threatening situations such as serious accident or injury, unconsciousness, heart attack, cardiac arrest, stroke, anaphylaxis, or drug overdose. In the United States, emergency physicians are mostly hospital-based, but also work on air ambulances and mobile intensive care units.

Patients who are brought in the emergency department are usually sent to triage first. The patient may be triaged by an emergency physician, a paramedic, or a nurse; in the United States, triage is usually performed by a registered nurse.The Emergency department is full of ER providers who also engage in regular continuing education to stay current with new clinical guidelines and developments in emergency medicine and patient care. Common responsibilities include reviewing diagnostic tests, like labs, CT scans, and X-rays. They also manage airway complications, perform complex procedures and initiate care for severe infections or acute neurological problems. In many hospitals worldwide emergency physicians also participate in educating medical students or residents during their shifts, helping maintain consistent standards of practice within the emergency department. Emergency medicine is a different breed, these residents and physicians have short hour shifts compared to other specialties, working usually 8 hour shifts compared to an admitting doctor who may work 12 hours or more. If the patient requires admission to the hospital, another physician, such as an internal medicine physician, cardiologist, or neurologist takes over from the emergency physician.

01Training in the United States

The standard training route of emergency physicians in the United States is four years of college, four years of an approved medical school, and then a three- or four-year residency in emergency medicine. After completion of residency it is common for American emergency physicians to work in a hospital's emergency department and take the board certification necessary to become certified in emergency medicine. This includes a 300+ question written exam followed by an oral examination.

02Role in healthcare

Emergency physicians in the United States typically work in emergency departments. Patients come in for a variety of reasons, including severe, life-threatening complaints such as strokes and heart attacks, potentially life-threatening complaints like severe abdominal pain, and less severe complaints such as mild injuries. The emergency physician is expected to oversee their care, rule out life-threatening diseases, stabilize the patient if necessary, and decide if the patient needs to be admitted to the hospital for further care or discharged home to follow up as an outpatient. Emergency physicians work with a large number of other professionals, including physician assistants/nurse practitioners, registered nurses, pharmacists, respiratory therapists, medical technicians, medical scribes, and more. For more information on what the practice of an emergency physician looks like, see Emergency medicine.

03Fellowship

Some additional training paths after becoming an emergency physician include:

These training paths are recognized by the American Academy of Emergency Medicine and are anywhere from 1-2 years in length.

Watch videos about Emergency physicianExplainers and documentaries on YouTube (opens in a new tab)

Sources and credits

This article is adapted from the Wikipedia article Emergency physician, written by its contributors and licensed under CC BY-SA 4.0. Fathomly has changed the layout, removed citation markers, navigation and maintenance notices, and adjusted punctuation. This adapted version is shared under the same license. For references, see the original article.

Images, from Wikimedia Commons:

Fathomly is not affiliated with or endorsed by the Wikimedia Foundation. Spotted a problem? Tell us.