Any ABEM-boarded guys here believe that non-ER residency trained docs should be able to attain a certification (not specialist/consultant-level certification but a competency-based certificate)?
Not looking for a snide remarks, only interested in sympathetic ears.
We all know that FPs, internists, surgeons provided ER care in many critical access regions without siphoning off jobs from ABEM docs. I recently graduated from an FM-residency and would like to work in the ER but I get pushback even from very rural places with high need for ER docs because their by-laws only allow for board-certified ER docs. I wish that there is a way for non-ER residency trained physicians to get a competency-based, non-specialist level certificate so we can get credentialed to work in the ER. I am talking about something similar to an ABIM and ABFM certificate called RFPHM (Recognition of Focused Practice in Hospital Medicine). It's a certificate that FPs get after working full-time for 3 years as a hospitalist, passed a written exam, get endorsement from the chief of staff from the hospital, and log of 3000 pt encounters.
The Europeans allow ER board certification if boarded in non-ER specialty + 3 yrs of ER experience (EBEEM exam by EuSEM), Canada has the CCFP-EM certification, and Australia has multiple pathways/levels including ACEM/ACRRM/ER certificate/ER diploma. I think that residency training and med school education is evolving so rapidly since the education materials are so widespread and easily attainable that many non-ER residency trained docs can become proficient in ER-centric procedures like chest tubes, intubations, emergency vaginal delivery, central lines, resuscitation that a competency-based certificate should be available to docs who are competent in delivering emergency care.
I am not advancing the case for ABPS BCEM certificate. I am just trying to see if any ABEM docs here would be willing to collaborate with FP, IM, Peds, Surgeons working in the ER for an ABMS-sponsored certification called "Recognition of Focused Practice in Emergency Medicine". A sample eligibility criteria would be: docs who have worked in the ER for 36 months full-time, have at least 3000 pt encounters, procedure logs, and have passed a written exam and OSCE similar to ABEM-material. Again, this may help hospitals gain competent docs and competent docs gain employment in places that need ER care.
thanks