Welp, EM docs, it's happening...With CMGs opening their own EM residencies, the proliferation of NPP "residencies" and "fellowships" and ignoring the warning by the American Academy of Emergency Physicians(AAEM) in 2016 about the threat of an oversupply of EPs, we finally did it. 
2)Created a glut. We already knew compensation was dropping. We witnessed all the EPs being terminated in favor of NPPs who were perceived as saving costs and increasing revenue. IMO, the CMGs developed their own programs for two reasons:
-To control physicians whom they would
-To control physicians whom they would
3)would train to prioritize metrics and thus increase revenue(thereby engaging in the illegal practice of medicine).
-They needed medical licenses for liability purposes so as not to incur full ownership of NPP malpractice/negligence that would occur because of our failure to
-They needed medical licenses for liability purposes so as not to incur full ownership of NPP malpractice/negligence that would occur because of our failure to
4)supervise appropriately. I left ACEP in 2018, after 23 years in the organization, after discovering they funded the Emergency Nurse Practitioner certification exam. I wrote to the then president at that time and expressed my displeasure. I believed it to be a slap in the face
5)to EPs who were not only being replaced by NPs, but had also complained about forced supervision when we barely had enough time to see our own patients. They were oblivious to scope creep at that time and still blathering about a shortage of EPs and how much NPs were needed
6)in the ED. Again, all of us had been warned in 2016 by AAEM about the upcoming glut. So not only do we not need any more ABEM docs, we don't need NPPs in EM. Jobs today, gone tomorrow. We did this to ourselves by allowing everybody and their pet dog to open EM residencies willy
7)nilly while training gads of NPPs, because we listened to the ridiculous rhetoric of a "physician shortage" in EM while turning a blind eye to what was happening on the ground. We didn't believe our lying eyes. This is why we should never listen to the businesspeople running
8)medicine. They are saving money all right. And laughing all the way to the bank.
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