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> Recently our adult colleagues...
--> Some of your colleagues are NOT adult?
> ... requesting the PEM docs see young adults (under 30)
--> Before I get into the rest of it, this strikes me as quite strange. Why stop at 30? An adult is an adult until quite an advanced age, when one might make a case for a person being old enough to need a "different kind of medicine". I.e. it would make less sense to have you treat a 28 YO with, say, a sub-arach h'ge than an 82 YO with, say, an allergic reaction. It makes more sense to send you patients with the presentations PEPs usually see rather than the most numerically-approximate age group... The triage criterion for diversion should not be age, but clinical.
> ...when their volume becomes unbearable. Any PEM docs seeing young adults in your practice and legally how are you handling this (separate hospital privileges?)
--> I can't comment on the legalities, but when someone eventually does, perhaps they can comment also on how this differs (if it does) from the situation in many parts of the USA where hospitals are unable to staff EDs at all times with only board-certified EM docs and they have to use those who are boarded in IM or FP or not boarded in any specialty. In those places too, patients would be seen by docs who are NOT BCEM - would this be the case for your ED, or are all your docs also BCEM as well as PEM? Why I ask is that I am not aware of there having to be any "legal" rules at those other places...
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