Complete Story
11/09/2024
My First Experience at the ACEP Council: A Journey of Learning and Engagement
Cpt Michael Ramirez, MD
My First Experience at the ACEP Council: A Journey of Learning and Engagement
As a 2nd year emergency medicine resident, attending the ACEP Council for the first time was both a privilege and a transformative experience. As one of the councilors representing the Government Services Chapter, I was introduced to the world of professional advocacy and leadership, shaping the future of emergency medicine.
First Impressions
Arriving in Las Vegas, I was immediately struck by the energy and enthusiasm of the participants. The atmosphere buzzed with discussions about pressing issues in emergency medicine, from healthcare policies to the latest advancements in clinical practices.
Engaging in conversations with those who had been advocates for years was both inspiring and enlightening. Their stories of challenges and triumphs in the realm of emergency medicine fostered a sense of camaraderie and a commitment to our shared goals.
Understanding the Role of the Council
The ACEP Council serves as a vital platform for members to voice their opinions, propose resolutions, and influence the direction of the organization. Each councilor represents their respective state chapter or specialty interest group, voting on proposed resolutions, debating amendments, and electing ACEP officials. Council is a space where emergency physicians come together to discuss critical issues, share experiences, and strategize on how to address the evolving landscape of healthcare. The discussions are not just procedural; they shape the policies that affect our training, our practices, and ultimately, our patients.
Key Issues & Resolutions
- Boarding
We know the issue of ED Boarding is one of the greatest challenges our specialty faces. The 2024 Council specifically addressed this issue, resolving to collaborate with the Arizona and Connecticut Chapters to develop model state policy, regulation and legislation that requires reporting of ED Hospital Crowding & Inter-Hospital Transfer data to a relevant state entity (e.g. State Dept of Health) and develop a state-wide system to facilitate inter-facility transfers.
- Scope Creep
The importance of maintaining the physician as the leader of the emergency medicine team was reiterated and resolutions passed involving language to re-affirm and extend this priority to the expanding telehealth landscape. Additionally, clearly delineating the difference between emergency and urgent care centers, and whether they were physician-staffed, were important topics of discussion.
- Reimbursement
Overall discussion on concern for declining physician reimbursement and its effects on emergency medicine specifically. Resolutions passed to address out-of-hospital emergency medicine reimbursement to investigate ways to establish EMS physician reimbursement pathways.
- Advocacy
Another significant theme was the importance of advocacy at both the state and national levels. The council highlighted the need for emergency physicians to engage in advocacy efforts, whether through legislative outreach, education, or public awareness campaigns. I was inspired by the organizations and individuals actively engaged in lobbying for the Council's resolutions to become policy changes that positively impacted their communities and the practice of emergency medicine.
- Partnership
Numerous discussions were had about the importance of the relationship between ACEP and EMRA, which saw resolutions passed at both ACEP and EMRA council meetings reaffirming this relationship.
Engaging in the Process
As a first-time councilor, I participated actively in the discussions. I learned the nuances of parliamentary procedure, how to navigate debates, and the importance of respectful discourse. It was impactful to see how each voice had the power to completely alter the course of a given resolution and therefore the stance of the entire ACEP body on a given issue.
Networking and Building Relationships
Beyond the formal sessions, the opportunity to network was invaluable. I was introduced to countless experienced physicians, leaders of the field, mentors, and fellow residents. Beyond the obvious opportunity for career development, these relationships reinforced the idea that we are all facing similar challenges and underlined the sense of belonging within the larger emergency medicine community.
Learning from the Experts
Throughout the week, I had the privilege of attending talks by prominent leaders in emergency medicine. These sessions covered a range of topics, from clinical advancements to leadership skills. Each speaker brought a unique perspective, highlighting the importance of continuous learning and adaptation in our ever-evolving field.
Reflection and Takeaways
As I reflect on my experience at the ACEP Council, several key takeaways stand out:
- Empowerment through advocacy: Advocacy is not just a responsibility of seasoned professionals. As residents, we have a vital role in shaping the future of our field. Our voices matter, and we must engage actively in discussions that influence policy and practice.
- The Importance of Community: The connections I made reinforced the idea that emergency medicine is a community. We share common challenges, and by supporting one another, we can create a more resilient workforce. Even when we disagree and debate, we are all coming from a common place.
- Commitment to Lifelong Learning: The dynamic nature of emergency medicine requires us to remain adaptable and open to new ideas. The insights gained from leaders in the field reminded me of the importance of continuous education and professional development.
Moving Forward
As I return to my residency program, I have a renewed sense of purpose and commitment to the field of emergency medicine. I am motivated to share what I learned with my colleagues and to encourage fellow residents to engage in advocacy efforts and get involved in Organizations within our specialty at every level. The ACEP Council is not just an event; it is a call to action for all of us to participate in shaping the future of our profession.
I encourage every emergency medicine resident to consider attending the ACEP Council. It is an opportunity to not only learn and grow but also to contribute to a vital conversation that affects our practice and our patients.