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—I appreciate the opportunity to respond to Dr Johnson and Dr Radecki.As far as the accuracy of the emergency physician numbers, we believe there are two main explanations. It is my understanding that the ACEP estimate of 27000 is on a full-time-equivalent (FTE) basis, and there may be circumstances where individuals do more than one shift, making the FTE contribution greater than the master file head counts. In addition, it is likely that some of those FTEs are provided by physicians of other specialties in the emergency service setting. I would welcome ACEP validation of these suggestions, as well as elaboration of the range of appropriate emergency service staffing models with emergency physicians, other generalist and specialist physicians, and nonphysician providers.I could not agree more with Radecki on the issue of refinements to using head counts as the primary basis for research and analysis and indicated
Kindig DA. Workforce Planning: Estimating Emergency Physicians and Uncovering Primary Care-Reply. JAMA. 1994;272(24):1900. doi:10.1001/jama.1994.03520240027031