ACEP ID:

Fighting for Physician-led Care

Many hospitals are responding to resource constraints and staffing challenges by allowing nonphysicians—like physician assistants or nurse practitioners—to perform complex medical procedures without supervision. 

ACEP believes that an emergency physician should lead every emergency care team in the country. Physician assistants (PAs) and nurse practitioners (NPs) are integral and valued members of the care team. But they do not have the training or expertise of an emergency physician. Regardless of where a patient lives, anyone who goes to the emergency department deserves access to the highest quality care delivered by emergency physician-led teams.

Campaigns

ACEP is making it clear: there is no substitute for a licensed, trained, and board-certified emergency physician. ACEP has launched a campaign to educate patients and policymakers about the importance of physician-led care teams.

"What Happens When The Wrong Person
Is Leading Your Care?"

"Who is an Emergency Physician?"
The Importance of Physician-Led Care

Public Education Campaign: Scope of Practice

ACEP Poll Shows Widespread Concern if Physicians Aren’t There to Lead Care (March 2022)

ACEP Poll Shows Adults Prefer Physician-Led Care in Crisis (August 2021)

Infographic: The Cost of Removing the Physician from the Care Team

Fighting for Physician-Led Care

ACEP is leading efforts to make sure that policymakers and health care leaders know that emergency physicians should lead every emergency care team.

Fighting for physician-led care is one of many ways ACEP has your back.

Learn More

Physician Staff Requirement in Emergency Departments

ACEP is a staunch supporter of physician-led team-based care that ensures that every patient has access to high quality medical care from an educated and trained physician.

Learn More

Communication Resources

Sample Op-Ed: Scope of Practice

Social Media Posts: Scope of Practice

Talking Points: Scope of Practice

Partnerships

In 2021, ACEP joined the American Medical Association (AMA) Scope of Practice Partnership (SOPP), a group of more than 100 national, state and specialty medical associations that share the belief that patients deserve care led by physicians. The resources and advocacy of this partnership are frequently deployed in states where troubling scope of practice legislation surfaces.

more AMA Scope of Practice Partnership

Advocacy

ACEP advocates at the state and federal levels for policies that prioritize emergency physician-led teams in the emergency department. We are working to establish commonsense principles for model state legislation and best practices for scope of practice in the emergency department as we fight back against bills that would expand the scope of nonphysicians.

There have been more than 70 bills introduced in state legislatures seeking to expand scope of practice for nonphysician health care professionals across medical specialties and functions, according to the National Conference of State Legislatures.

Colorado

Indiana

Kentucky

Louisiana

South Dakota

Virginia

Wisconsin

Education Resources

Webinar: “The Changing Role of PAs and NPs in the ED” (ACEP Democratic Group Section, May 2022)

Workforce Minute - Dr. Gillian Schmitz - Scope of Practice

Workforce Considerations: ACEPs Commitment to You and Emergency Medicine (ACEPNow, April 2021)

YPS Addresses EM Workforce Questions in Webinar

Navigating the Workplace with Advanced Practice Providers

Research

  1. Advanced practice providers proficiency-based model of ultrasound training and practice in the ED (Journal of the American College of Emergency Physicians Open, January 11, 2022 doi.org/10.1002/emp2.12645)
  2. Evaluation of an advanced practice provider emergency department critical care step-down unit (Journal of the American College of Emergency Physicians Open, June 11, 2020 doi.org/10.1002/emp2.12094)
  3. Opioid Prescribing by Primary Care Providers: a Cross-Sectional Analysis of Nurse Practitioner, Physician Assistant, and Physician Prescribing Patterns (General Internal Medicine, September, 2020, 35(9):2584-2592. doi: 10.1007/s11606-020-05823-0. Epub 2020 Apr 24.)
  4. National Trends in the Utilization of Skeletal Radiography From 2003 to 2015 (American College of Radiology, October 15, 2018, (10):1408-1414. doi: 10.1016/j.jacr.2017.10.007. Epub 2018 Mar 23.)
[ Feedback → ]