Faculty, Staff and Student Publications

Language

English

Publication Date

6-27-2025

Journal

Western Journal of Emergency Medicine

DOI

10.5811/westjem.48840

PMID

40795015

PMCID

PMC12342429

PubMedCentral® Posted Date

6-27-2025

PubMedCentral® Full Text Version

Post-print

Abstract

This letter, signed by over 50 academic chairs of emergency medicine, urges the ACGME to reconsider a proposed mandate requiring all emergency medicine residency programs to adopt a four-year training model. The authors argue that current three-year programs are supported by data demonstrating equivalent educational and clinical outcomes compared to four-year formats. They criticize the flawed survey methodology underpinning the proposal, note the loss of milestone-based training flexibility, and highlight the lack of added scholarly or clinical value in the fourth year. The letter also outlines negative consequences for fellowship participation, workforce development, trainee debt, and diversity. The signatories advocate for maintaining the current flexible training model to preserve excellence, equity, and innovation in emergency medicine education.

Keywords

Emergency Medicine, Humans, Internship and Residency, Education, Medical, Graduate, United States

Published Open-Access

yes

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