The Successes and Challenges of Integrating Emergency Medicine With Critical Care Medicine

During the past 40 years, significant progress has been made with integrating the practice of emergency medicine and critical care medicine. Since 1976, a small number of US emergency physicians have pursued training in critical care medicine.1 Growth has been steady and relatively slow, mostly because of a lack of fellowship opportunities and board certification. In 2005, the neurocritical care board certification pathway was opened to emergency physicians2; in 2013, the American Board of Emergency Medicine negotiated a board certification pathway through agreements with internal medicine, surgery, and anesthesia.

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