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Combined Residency Training in Emergency Medicine and Internal Medicine: An Update on Career Outcomes and Job Satisfaction
Author(s) -
Kessler Chad S.,
Stallings Leonard A.,
Gonzalez Andrew A.,
Templeman Todd A.
Publication year - 2009
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/j.1553-2712.2009.00503.x
Subject(s) - medicine , subspecialty , board certification , accreditation , demographics , residency training , specialty , family medicine , certification , medical education , job satisfaction , emergency medicine , training (meteorology) , graduation (instrument) , psychology , social psychology , demography , continuing education , sociology , political science , law , geometry , mathematics , physics , meteorology
Objectives: This study was designed to provide an update on the career outcomes and experiences of graduates of combined emergency medicine‐internal medicine (EM‐IM) residency programs. Methods: The graduates of the American Board of Emergency Medicine (ABEM) and American Board of Internal Medicine (ABIM)‐accredited EM‐IM residencies from 1998 to 2008 were contacted and asked to complete a survey concerning demographics, board certification, fellowships completed, practice setting, academic affiliation, and perceptions about EM‐IM training and careers. Results: There were 127 respondents of a possible 163 total graduates for a response rate of 78%. Seventy graduates (55%) practice EM only, 47 graduates (37%) practice both EM and IM, and nine graduates (7%) practice IM or an IM subspecialty only. Thirty‐one graduates (24%) pursued formal fellowship training in either EM or IM. Graduates spend the majority of their time practicing clinical EM in an urban (72%) and academic (60%) environment. Eighty‐seven graduates (69%) spend at least 10% of their time in an academic setting. Most graduates (64%) believe it practical to practice both EM and IM. A total of 112 graduates (88%) would complete EM‐IM training again. Conclusions: Dual training in EM‐IM affords a great deal of career opportunities, particularly in academics and clinical practice, in a number of environments. Graduates hold their training in high esteem and would do it again if given the opportunity.