THE 2019 MODEL OF THE CLINICAL PRACTICE OF EMERGENCY MEDICINE

Michael S. Beeson, MD, MBA, Felix Ankel, MD, Rahul Bhat, MD, Joshua S. Broder, MD, Sara Paradise Dimeo, MD, Diane L. Gorgas, MD, Jonathan S. Jones, MD, Viral Patel, MD, Elizabeth Schiller, MD, FACEP, Jacob W. Ufberg, MD,, for the 2019 EM Model Review Task Force; and Julia N. Keehbauch*, for the American Board of Emergency Medicine

Emergency Medicine has a scientifically derived and commonly accepted description of the domain of its clin- ical practice. That document, The Model of the Clinical
Practice of Emergency Medicine (EM Model), was devel-
oped through the collaboration of six organizations: the American Board of Emergency Medicine (ABEM), the administrative organization for the project, the American College of Emergency Physicians (ACEP), the Council of Emergency Medicine Residency Directors (CORD), the Emergency Medicine Residents’ Association (EMRA), the Residency Review Committee for Emergency Medi- cine (RRC-EM), and the Society for Academic Emer- gency Medicine (SAEM). Development of the EM Model was based on an extensive practice analysis of
the specialty. The practice analysis relied on both empiric data gathered from actual emergency department visits and several expert panels (1). The resulting product was first published in 2001, and has successfully served as the common source document for all emergency medi- cine organizations (2,3). One of its strengths is incorpo- rating the reality that emergency medicine is a specialty driven by symptoms not diagnoses, requiring simulta- neous therapeutic and diagnostic interventions.
The task force that developed the EM Model recom- mended that a new task force, composed of representa- tives from all six organizations, be formed every 2 years to assess the success of the document in accom- plishing its objective of supporting the ongoing develop- ment of the specialty of emergency medicine; to consider alterations to the EM Model suggested by the collabo- rating organizations; and to recommend changes to the six sponsoring organizations.

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