Family Medicine Physicians Discuss “Protecting Emergency Department Positions”

From the AAFP:

Gerald Banks, M.D., M.S., of Corpus Christi, Texas, a member of the IMG constituency, introduced a resolution regarding ER physicians. Banks, who also chairs the AAFP member interest group on emergency medicine/urgent care, testified that family physicians are losing their jobs.

“There’s been a pervasive workforce issue where family doctors who’ve been practicing emergency medicine and urgent care have been getting displaced from their jobs and replaced by new ER grads,” said Banks.

“Family docs who’ve been working in emergency rooms for 10-15 years have been private-messaging me saying, ‘What’s going on? I just lost my job to a recently graduated ER resident. Can you help us? What can we do?'”

Banks referred to the AAFP’s policy on privileging, which states that physicians should be granted clinical privileges based on training and competency rather than board certification. Banks argued for “a little more teeth” in addition to that policy and urged the AAFP to create a sample legal opinion on the issue “so we can cement our status as broad-scope-of-practice physicians.”

Christopher Buelvas, M.D., M.B.A., M.H.A., an IMG delegate from Altamonte Springs, Fla., co-authored the resolution. “I work in a city where I’m not allowed to work in the emergency department because I’m a family medicine physician — although I was trained and spent extensive time in the emergency department,” he told the reference committee. He called for the AAFP to “take a stand” against those who oppose family physicians in the ER.

Bystander CPR, defibrillation cuts long-term odds of brain damage, death

From Reuters:

When a bystander gives CPR or applies an automatic defibrillator to someone who has collapsed from cardiac arrest, the benefits persist for at least a year.

A Danish study has concluded that the two techniques lower the long-term risk of death from any cause, brain damage or nursing home admission by one third in people who are still alive 30 days after their cardiac arrest.

Most previous studies have looked at whether people who get CPR or defibrillation manage to survive or escape serious injury by the 30-day mark.

“This science provides the linkage to show that resuscitation is not just important in the immediate cardiac arrest phase, but it’s an important factor into whether they go back to their lives intact,” said Dr. Michael Kurz, associate professor of emergency medicine at the University of Alabama-Birmingham Medicine, who was not involved in the study.