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Emergency Medicine, Emergency Medicine

While not usually providing long-term or continuing care, emergency medicine physicians diagnose a variety of illnesses and undertake acute interventions to stabilize the patient. Emergency medicine physicians practice in hospital emergency departments, in pre-hospital settings via emergency medical service, other locations where initial medical treatment of illness takes place, and recently the Intensive-care unit.

In 1993, Intercollegiate Faculty of Accident and Emergency Medicine (FAEM) was formed at the Royal College of Surgeons of England, London. In 2005, the BAEM and the FAEM were merged to form College of Emergency Medicine (CEM).

It conducts its fellowship and membership exams, publishes guidelines and standards for the practise of Emergency Medicine, and has its own journal, called Emergency Medicine Journal (EMJ) Emergency Medicine Journal http://emj.bmj.com/.

In 2005 , the two organizations initiated steps, and have applied for a royal seal, to merge as the Royal College of Emergency Medicine.

However, more than two-thirds of the physicians currently practicing emergency medicine across Canada have no specific emergency medicine residency training or certification. Emergency physicians who tend to work in more community-based settings complete a residency specializing in Family Medicine and then proceed to obtain an additional year of training in emergency medicine to obtain a Certificate of Special Competence in Emergency Medicine from the College of Family Physicians of Canada (CCFP-EM). Physicians wanting to practice in major urban/tertiary care hospitals will often pursue a 5 year specialist residency in Emergency Medicine, certified by the Royal College of Physicians and Surgeons of Canada. These members typically spend more time in academic and leadership roles within emergency medicine, EMS, research, and other avenues. There is no significant difference in remuneration or clinical practice type between physicians certified via either route.

Originally founded in 1968, ACEP was the first Emergency Medicine society formed in the United States. Fellows use the designation FACEP.

Emergency Medicine training in the UK is emerging. Traditionally emergency medics have been drawn from anaesthesia, medicine and surgery. The majority of A&E consultants are surgically trained; some hold the Fellowship of Royal College of Surgeons of Edinburgh in Accident and Emergency - FRCSEd(A&E). Some of these consultants will be referred to as 'Mister' whilst others choose either not to change from 'Doctor' or to change back to 'Doctor' after passing the FCEM exam. Medical consultants will be holders of the MRCP and anaesthetic trained consultants will hold the FRCA and some may hold both FRCA and MRCP. A&E Consultants may dual accredit in Intensive Care Medicine.

As emergency medicine practitioners often act as primary care providers for those who are uninsured, they are expected to be competent in treating, diagnosing, and managing a wide array of illnesses and conditions, both chronic and acute.Emergency department physicians experience a high rate of patient death, more than any other group except oncologists. As a result, burn-out and depression are not uncommon.

Source: Wikipedia > Emergency Medicine





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