The emergency medicine workforce is an important issue with ramifications for physicians relocating or retiring, medical students considering the specialty, and graduating residents seeking their first jobs.
Explore This Issue
ACEP Now: Vol 42 – No 11 – November 2023In August 2021, an article published in the Annals of Emergency Medicine projected a surplus of more than 7,800 emergency physicians in 2030 based on multiple scenarios, including patterns of supply and demand for emergency physicians at that time.1 The workforce in emergency medicine is constantly in flux, and dependent on numerous factors. It is important to monitor key issues, including annual emergency department (ED) visits, geographic distribution of physicians, and the equilibrium between new entrants and retirees in the workforce. This report provides information on the 2023 job search for the most recent residency graduates.
Survey Results
The American Board of Emergency Medicine (ABEM) provides an opportunity for residents to express their experience and insights annually through an optional anonymous survey distributed at the same time as the annual in-training examination. This report is from the most recent survey administered in February 2023.
Study participants included 9,202 emergency medicine residents from 275 emergency medicine residency programs. Residents from combined programs were not included. The survey sampled 2,711 residents in the final year of their training.
The majority of respondents (84.4 percent) had been offered positions in emergency medicine. Most respondents (72.7 percent) reported no difficulty in finding positions. Graduating residents varied significantly in the number of jobs they applied to with the highest percentage of respondents (42.7 percent) noted that they had applied for between one to three positions (range: one to ten). 295 respondents answered “N/A” which approximates to the 295 individuals matching into Accreditation Council for Graduate Medical Education (ACGME) accredited emergency medicine fellowships.2
Respondents were spread across the full range of educational debt, ranging from none to greater than $400,000, and with 62.6 percent of respondents reporting debt burdens of $200,000 or above.
Warranted Concerns?
While there is growing concern that emergency medicine graduates will have difficulty finding employment, the results of this survey show that the vast majority of graduates have already been offered a job and only a small percentage (three percent) have not received any job offer, four months prior to graduation.
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