Attrition From the US Emergency Medicine Workforce During Early Stages of the COVID-19 Pandemic

Summary: This study evaluated the trends in independent emergency care services provided by advanced practice providers (APPs) in the field of emergency medicine from 2013 to 2019. The results showed an increase in the proportion of high-acuity emergency care services billed independently by APPs in rural geographies, while it remained relatively stable in urban geographies. This trend suggests the need for further evaluation of staffing decisions in emergency care.

Summary: This study aims to examine the entry and attrition trends among rural and urban emergency physicians, nonemergency physicians, and advanced practice providers. The results show a decrease in the proportion of emergency physicians and an increase in the proportion of advanced practice providers. The annual entry rate for emergency physicians is 5.9% to 6.8%, while the attrition rate is 3.8% to 4.9%. Additionally, there is a decline in the proportion of clinicians practicing in rural areas and a substantial increase in the proportion of advanced practice providers in rural areas.