Joint Statement Regarding Post-Graduate Training of Nurse Practitioners and Physician Assistants

Released September 3, 2020

The undersigned representatives of Emergency Medicine physicians are unified in their support of physician-led patient care and training. Although all who provide care in the Emergency Department setting must be appropriately trained, education of emergency medicine resident physicians and medical students must not be compromised or diluted. The terms “resident,” “residency,” “fellow,” and “fellowship” in a medical setting must be limited to postgraduate clinical training of medical school physician graduates within GME training programs. Physicians must lead patient care teams and actively shape standards for education and scope of practice of non-physician providers. Hospitals or employers should not create or advertise post-graduate training of nurse practitioners or physician assistants in the emergency department without explicit involvement and approval of the emergency medicine departmental and residency leadership.

Lisa A. Moreno, MD, MS, MSCR, FAAEM, FIFEM

President

American Academy of Emergency Medicine [AAEM]

Fiona E. Gallahue, MD

President

Council of Residency Directors in Emergency Medicine [CORD]

Haig Aintablian, MD

President

AAEM Resident and Student Association [AAEM/RSA]

Hannah R. Hughes, MD, MBA

President

Emergency Medicine Residents’ Association [EMRA]

Robert E. Suter, DO, MHA

President

American College of Osteopathic Emergency Physicians [ACOEP]

James F. Holmes, Jr., MD, MPH

President

Society of Academic Emergency Medicine [SAEM]

Christina L. Hornack, DO

President

ACOEP-Resident Student Organization [ACOEP-RSO]

Andrew B. Starnes, MD, MPH

President

SAEM-Residents and Medical Students [SAEM-RAMS]

Bill Jaquis, MD

President

American College of Emergency Physicians [ACEP]