I agree with Marty's comments about their being a big difference between being board certified and being residency or fellowship trained. I am not at all certain that three years of pediatric training and three years of EM training (not to mention 10 years of pediatric practice) is not sufficient. In Texas, a large number of EM physicians are board certified but not residency trained. I do not feel that this is the same as someone who is both residency trained and boarded in emergency medicine, but ABEM allowed this. I know several EM physicians in our area who are board certified by ABEM but not residency trained AND YET provide outstanding care. I cannot say that these physicians are inferior because they are not residency trained. What I can say is that residency trained EM physicians who are board certified are a more homogenous group with respect to EM practice.
Without knowing me, or how I practice, I don't think Marty or anyone else can tell me that I am not capable of caring for the "5% or so who have conditions that test our fund of knowledge and our training".
Wm Gibson, LtCol, USAF, MC, FS
Associate Program Director
SAUSHEC Emergency Medicine Residency
Cell Phone: 210.365.6707
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