A provisional Section Council in emergency medicine was established in the AMA House of Delegates in 1973 and became permanent in 1975. The road to specialty recognition was particularly challenging. The Emergency Medicine Residents Association (EMRA) was formed in 1974 to unite the initial residents in our field. Hannas established the first community hospital emergency medicine residency in 1973 at Evanston Hospital (IL). Other sentinel university programs include those at Los Angeles County/University of Southern California Medical Center (1971), the Medical College of Pennsylvania (1972), the University of Chicago (1972), and the University of Louisville (1973). The first university emergency medicine residency arose at the University of Cincinnati in 1970 where Bruce Janiak became the initial resident. Prior to its establishment, medical students were already choosing emergency medicine as a career path. In 1970, the University Association for Emergency Medical Services (UAEMS) was formed for scientific and educational purposes by medical school faculty practicing emergency medicine. ACEP's first Scientific Assembly was held in 1969.

In 1967, the American Medical Association (AMA) established a committee on emergency medicine, and in 1968 John Wiegenstein and seven colleagues founded the American College of Emergency Physicians (ACEP). Though physicians began devoting varying degrees of their practices to emergency medicine, there was still a need for specialized training. In Alexandria (VA), another group of physicians left their private patients to become full-time emergency physicians. At Pontiac General Hospital (MI), 23 community physicians began working part-time to staff their emergency department around-the-clock. In response, the Pontiac and Alexandria Plans were enacted in 1961. Physicians lacked the necessary emergency medical skills to properly care for these patients and were frustrated by the growing demand. By 1960, it became clear that the number of emergency department visits was rising across the United States.

The field of emergency medicine evolved out of the necessity of caring for a rapidly growing population of patients seeking immediate and unscheduled medical care for emergency conditions. ED Operations Certificate Course (EDOCC).ED Management Solutions: Principles and Practice.Justice, Equity, Diversity, and Inclusion.

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