Certification by the applicable board. Training and certification in general pediatrics would be considered for those physicians restricting their practice to pediatric emergency medicine. The successful applicant must also be able to demonstrate that he or she has two years' experience in general emergency medicine within the last three years in an ED with a volume of over 15,000 visits per year. An emergency physician is expected to provide those services necessary to ameliorate minor illnesses or injuries, provide stabilizing treatment to patients who present major illnesses or injuries, and assess all patients in order to determine whether more definitive services are necessary. Privileges do not include provision of definitive long-term care for patients on an inpatient basis.
Consultation is required for all patients who present major trauma, cardiac, or psychiatric illness.
Consultation also required for all patients admitted to the institution. It is presented to provide ED physicians and other members of the medical staff with a broad outline of the types of procedures and techniques expected of an ED physician. Emergency thoracostomy Emergent pericardiocentesis Foreign body removal Gastric lavage Incision and drainage of abscess Wound management and repair Initial ordering of imaging studies and evaluation of the results to the degree that a plan of action can be formulated Special requests for emergency medicine For each special request, threshold criteria must be established. Three letters of reference must come from physicians acquainted with the applicant's current professional status, medical practice, and involvement in the field of emergency medicine. Reappointment should be based on unbiased, objective results of care according to the hospital's quality assurance mechanisms.