New Delivery Model for Rural Care Proposed

Rural CareEmergency physicians in Michigan have proposed a new way of delivering healthcare to rural areas that the American Board of Physician Specialties® (ABPS ) finds particularly noteworthy. The new model foresees a partnership between emergency and primary care clinicians to reverse the trend of declining health for people in underserved parts of the country.

The proposal published online in the Annals of Emergency Medicine argues that the traditional healthcare model of serving rural population has proven ineffective, with rural residents facing higher mortality rates than urban residents for emergency medical conditions. Social, environmental, and economic factors all play significant roles. Besides being more socially and geographically isolated, rural residents are older, poorer, more affected by alcoholism and drug abuse, and engage in more high risk behaviors than their urban counterparts. Add to that the increasing hospital closures and doctor shortages in rural areas and the problem of delivering adequate medical care to rural Americans becomes acute.

To address these challenges, the proposal calls for improved coordination of care between emergency and primary care doctors. According to the plan, because many rural emergency departments already provide primary care, rural hospitals can serve as a hub for emergency care, primary care, preventive care, and social services that improve residents’ health. The model would supplement, not replace, the existing outpatient rural safety net, the paper’s authors say. Their plan envisions an emergency medicine-primary care model similar to that of Carolinas HealthCare System Anson in Wadesboro, NC, where a final hospital design has no physical walls between the emergency and primary care areas.

The ABPS recognizes the challenges of delivering healthcare, specifically emergency medicine, to rural areas. Through the Board of Certification in Emergency Medicine (BCEM), the ABPS makes it possible for primary care trained physicians with substantial and identifiable emergency medicine training to become board certified in EM. Right now, almost half of the emergency department physicians in the country are not trained or board certified in EM. While many of them are certified in family medicine or another primary care specialty, they have been practicing in hospital emergency departments for several years. Emergency departments, including those in rural communities, can stand out by seeking to hire doctors who are certified through the BCEM. Having a BCEM Diplomate on staff would serve as a testament to a hospital’s commitment to providing comprehensive emergency medical care. When you consider that any BCEM applicant must complete a minimum of five years and 7,000 hours of emergency department casework, it’s easy to see how board certification allows a physician to demonstrate the kind of emergency medicine mastery that would inspire a hospital’s confidence and patients’ trust.

To learn more about the eligibility requirements for certification in Emergency Medicine through the BCEM, click here. The BCEM is a Member Board of the ABPS, which is the official certifying body of the American Association of Physician Specialists, Inc.®

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Medical organizations throughout North America understand that our rigorous certification standards prove that ABPS Diplomates are capable of delivering the best patient care possible.

I feel truly blessed and grateful to be an internal medicine board-certified diplomate with the American Board of Physician Specialties. Their ongoing, steadfast commitment to physician board(s) enhancement, forward focused vision, and tenacity is second to none. ABPS has become a recognized choice in Physician Board Certification.

Adam Rench, MD
Internal Medicine
To be the best, you must measure yourself against the best. Achieving Board Certification in Emergency Medicine by the ABPS gave me the opportunity to demonstrate mastery of the art of EM in an objective way. The high bar that ABPS sets for candidates to be allowed to take both the written and oral exam is a testament to ABPS's rigorous vetting of one's ability to practice Emergency Medicine at a high level. By maintaining these credentials, I've been able to instill confidence in my abilities at the department/employer level and ultimately with the patients that choose to seek emergency care at the facilities at which I practice.

Royce Mathew Joseph, MD
Emergency Medicine
The American Board of Physician Specialties has supported the entire field of Integrative Medicine in sponsoring our board. It has been so validating of the importance of prevention-oriented and holistic approaches to care while emphasizing the scientific basis of this specialty to have it recognized by ABPS. I am proud to have been one of the first groups to be board certified by ABPS in Integrative Medicine, leading the way for others committed to training in this specialty.

Myles Spar, MD
Integrative Medicine