Letter of Concern from the Association of Academic Chairs of Emergency Medicine Regarding ACGME Proposed Changes.

IF 2 3区医学 Q2 EMERGENCY MEDICINE

Western Journal of Emergency Medicine Pub Date : 2025-06-27 DOI:10.5811/westjem.48840

Richard J Hamilton, Lance B Becker, Richard E Wolfe, D Adam Algren, Thomas Arnold, Michael Baumann, Ross P Berkeley, Terrell S Caffery, Chad M Cannon, Theodore J Corbin, Michael E Chansky, Harinder S Dhindsa, Charles L Emerman, David A Farcy, Chris Fox, Michael A Gibbs, Christopher S Goode, Steven Andy Godwin, Dietrich Jehle, David Johnson, Samuel M Keim, Babak Khazaeni, Barry J Knapp, Clint Hawthorne, John D Hoyle, Michael Christopher Kurz, Evan Leibner, Robert McNamara, Robert F McCormack, Edward A Michelson, Chadwick Miller, Ashley Norse, Andrew Nugent, Brian J O'Neil, David T Overton, Edward A Panacek, William F Paolo, Denis R Pauzé, Amanda L Perez, Ralph J Riviello, Scott W Rodi, Peter S Pang, Juan A Gonzalez Sanchez, David Seaberg, Adam Schwartz, Stephen A Shiver, David P Sklar, Ben C Smith, Jeffrey R Stowell, Marc D Squillante, J Jeremy Thomas, Terry Vanden Hoek, Gregory A Volturo, E Lea Walters, Thomas E Wyatt, Donald M Yealy

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引用次数: 0

Abstract

This letter, signed by over 50 academic chairs of emergency medicine, urges the ACGME to reconsider a proposed mandate requiring all emergency medicine residency programs to adopt a four-year training model. The authors argue that current three-year programs are supported by data demonstrating equivalent educational and clinical outcomes compared to four-year formats. They criticize the flawed survey methodology underpinning the proposal, note the loss of milestone-based training flexibility, and highlight the lack of added scholarly or clinical value in the fourth year. The letter also outlines negative consequences for fellowship participation, workforce development, trainee debt, and diversity. The signatories advocate for maintaining the current flexible training model to preserve excellence, equity, and innovation in emergency medicine education.

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急诊医学学术主席协会关于ACGME建议变更的关注信。

这封由50多位急诊医学学术主席签署的信敦促ACGME重新考虑一项拟议的授权，该授权要求所有急诊医学住院医师项目采用四年培训模式。作者认为，与四年制课程相比，目前的三年制课程得到了数据支持，证明了同等的教育和临床结果。他们批评了支持该提议的有缺陷的调查方法，指出了基于里程碑的培训灵活性的丧失，并强调在第四年缺乏额外的学术或临床价值。这封信还概述了对奖学金参与、劳动力发展、学员债务和多样性的负面影响。签署者主张维持当前灵活的培训模式，以保持急诊医学教育的卓越、公平和创新。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Western Journal of Emergency Medicine Medicine-Emergency Medicine

CiteScore

5.30

自引率

3.20%

发文量

125

审稿时长

16 weeks

期刊介绍： WestJEM focuses on how the systems and delivery of emergency care affects health, health disparities, and health outcomes in communities and populations worldwide, including the impact of social conditions on the composition of patients seeking care in emergency departments.