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# When the American College of Surgeons (ACS) first published progressiv

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When the American College of Surgeons (ACS) first published progressiv  [#permalink]

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Updated on: 30 Sep 2019, 05:22
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When the American College of Surgeons (ACS) first published progressive recommendations about the importance of and need for organized emergency services, no medical specialties were willing to endorse these suggestions. The notion of a comprehensive emergency medicine (EM) discipline did not fit within the scope of any established conventional specialty, but members of the medical community continued their efforts to define EM as a legitimate specialty. In 1968, as patient demand for quality emergency care grew, a group of concerned physicians joined forces to found the American College of Emergency Physicians (ACEP). By 1970, the University of Cincinnati opened its doors to the first EM residency and during the decade, ACEP worked relentlessly to gain specialty status for these new graduates. Soon a core framework of knowledge and skills for EM was created; Annals of Emergency Medicine was launched; and an Interim Review Committee (IRC) was formed. Finally in 1979, the American Board of Medical Specialties recognized EM as medicine’s newest specialty.

In 1980, the American Board of Emergency Medicine (ABEM) oversaw its first certification examination. At first, ABEM delineated two tracks that new doctors could follow to become certified in EM: graduation from an IRC-approved residency program, or interim practice for those who were not formally trained but had experience in EM. (The interim practice track was phased out in 1988.) Today, to maintain qualifying standards, ABEM requires recertification every ten years and has recently established continuous certification that involves annual education updates for EM physicians.

Since the establishment of the EM specialty, utilization of emergency services has steadily grown, increasing, for example, 23% from 1992 to 2002. Public awareness of EM as a specialty, consumer expectations of rapid and comprehensive emergency care, difficulty accessing primary care, lack of medical insurance, and federal mandates requiring emergency rooms to treat all patients regardless of status have all contributed to this increase.
1. The passage suggests which of the following about medical professionals who wanted to practice emergency medicine after 1990?

(A) They could not fill the demand as utilization of emergency services increased.
(B) They, unlike their counterparts in other medical specialties, had to go through certification to be properly qualified to perform their duties.
(C) They could only become board-certified through an accredited residency program.
(D) They may have worked in emergency rooms, but they were not necessarily educated in an approved residency program.
(E) They face some of the most challenging and life-threatening situations, which is why they need to be highly prepared and qualified.

2. According to information contained within the passage, all of the following were efforts that helped sway opinion about the specialty status of emergency medicine EXCEPT

(A) A coalition of doctors united to voice their concerns.
(B) A specialty journal was published.
(C) Guidelines and criteria were outlined for emergency practitioners.
(D) Medical schools nationwide introduced EM residency programs.
(E) A review committee was established.

3. In the passage, the author is primarily concerned with

(A) outlining an unconventional approach to resolve a concern
(B) discussing the steps taken to accomplish an objective
(C) advocating the importance of challenging convention
(D) evaluating methods used to legitimize a specialty service
(E) explaining why a new specialty is needed for effective patient care

4. The final paragraph functions in the context of the entire passage to

(A) discuss what that influenced emergency medicine as it became its own specialty
(B) present reasons that contributed to patients’ increased use of emergency health care
(C) introduce a new subject that is not relevant to what was discussed earlier
(D) point out issues that physicians who are deciding whether to practice emergency medicine as a specialty need to consider
(E) outline some of the factors that many physicians cited when they campaigned for emergency medicine to be its own specialty

Originally posted by AVRonaldo on 26 May 2015, 18:46.
Last edited by SajjadAhmad on 30 Sep 2019, 05:22, edited 1 time in total.
Updated - Complete topic (748).
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Re: When the American College of Surgeons (ACS) first published progressiv  [#permalink]

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01 May 2016, 19:05
dixitraghav wrote:
Why is B wrong in Q2?

Soon a core framework of knowledge and skills for EM was created; Annals of Emergency Medicine was launched; and an Interim Review Committee (IRC) was formed. Finally in 1979, the American Board of Medical Specialties recognized EM as medicine’s newest specialty.

annals means journals
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Re: When the American College of Surgeons (ACS) first published progressiv  [#permalink]

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12 Apr 2018, 00:43
Can anyone explain the answer for this question #1? basically why C over B?
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Re: When the American College of Surgeons (ACS) first published progressiv  [#permalink]

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12 Apr 2018, 08:55
1
pikolo2510 wrote:
Can anyone explain the answer for this question #1? basically why C over B?

Hi pikolo2510,

This is Based on Passgae question so the fact should be stated in the passage.

Nowhere in the passage the author talks about what track is required for Non-EM practioners
so B’s statement could not be verified based on what’s in the passage.

In C however it is explicitly stated that since 1980 ABEM allowed certification via 2 tracks one through residency and other through interim training which was phased out in 1988.

So as per the question only fact valid as per the passage is that EM track for residency program is the only way to get certified by the board to be an EM specialist.

Hope it helps.

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Re: When the American College of Surgeons (ACS) first published progressiv  [#permalink]

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22 Apr 2018, 07:16
in my opionion, none of option is correct of below queation

3. In the passage, the author is primarily concerned with

(A) outlining an unconventional approach to resolve a concern
(B) discussing the steps taken to accomplish an objective
(C) advocating the importance of challenging convention
(D) evaluating methods used to legitimize a specialty service
(E) explaining why a new specialty is needed for effective patient care

Author hassn't discussed but explained "the steps taken to accomplish an objective"

Can anyone please explain how option B is correct
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Re: When the American College of Surgeons (ACS) first published progressiv  [#permalink]

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22 Apr 2018, 08:06

Thanks.
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Re: When the American College of Surgeons (ACS) first published progressiv  [#permalink]

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23 Apr 2018, 13:52
1
TaN1213 wrote:

Thanks.

Contenders for the right answer are B and D.

Relevant passage to preclude B:

Quote:
Soon a core framework of knowledge and skills for EM was created; Annals of Emergency Medicine was launched; and an Interim Review Committee (IRC) was formed. Finally in 1979, the American Board of Medical Specialties recognized EM as medicine’s newest specialty.

Annals are some kind of journal, hence its mentioned in the passage.

Only that there was a nationwide of EM programs at universities isnt stated in the passage so the correct answer is D.

Hope that helps
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Re: When the American College of Surgeons (ACS) first published progressiv  [#permalink]

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13 Aug 2018, 21:19
ammuseeru wrote:
in my opionion, none of option is correct of below queation

3. In the passage, the author is primarily concerned with

(A) outlining an unconventional approach to resolve a concern
(B) discussing the steps taken to accomplish an objective
(C) advocating the importance of challenging convention
(D) evaluating methods used to legitimize a specialty service
(E) explaining why a new specialty is needed for effective patient care

Author hassn't discussed but explained "the steps taken to accomplish an objective"

Can anyone please explain how option B is correct

Hi ammuseeru

IMO, here accomplishing an objective means establishing emergency medicine as medicine’s newest specialty and the majority of the passage deals with the same.
So option B is the best here which encapsulates this info.

HTH!
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Re: When the American College of Surgeons (ACS) first published progressiv  [#permalink]

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13 Oct 2018, 21:20
P1 - initial challenges but later they found their way.
P2 - how EM works
P3 - after effects.

1. The passage suggests which of the following about medical professionals who wanted to practice emergency medicine after 1990?

P2- two ways
1. graduation from an IRC-approved residency program,
2. interim practice for those who were not formally trained but had experience in EM. This one was ended in 1988. So only 1st option left.

(C) They could only become board-certified through an accredited residency program.
----------------------------------------------

2. According to information contained within the passage, all of the following were efforts that helped sway opinion about the specialty status of emergency medicine EXCEPT

(D) Medical schools nationwide introduced EM residency programs.

----------------------------------------------

3. In the passage, the author is primarily concerned with

(B) discussing the steps taken to accomplish an objective

-------------------------------------------

4. The final paragraph functions in the context of the entire passage to

(B) present reasons that contributed to patients’ increased use of emergency health care
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When the American College of Surgeons (ACS) first published progressiv  [#permalink]

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05 Dec 2019, 05:56
Official solution

1. The passage suggests which of the following about medical professionals who wanted to practice emergency medicine after 1990?

(A) They could not fill the demand as utilization of emergency services increased.
(B) They, unlike their counterparts in other medical specialties, had to go through certification to be properly qualified to perform their duties.
(C) They could only become board-certified through an accredited residency program.
(D) They may have worked in emergency rooms, but they were not necessarily educated in an approved residency program.
(E) They face some of the most challenging and life-threatening situations, which is why they need to be highly prepared and qualified.

2. According to information contained within the passage, all of the following were efforts that helped sway opinion about the specialty status of emergency medicine EXCEPT

(A) A coalition of doctors united to voice their concerns.
(B) A specialty journal was published.
(C) Guidelines and criteria were outlined for emergency practitioners.
(D) Medical schools nationwide introduced EM residency programs.
(E) A review committee was established.

Solution: This is a Specific question in which four of the answers will be found within the passage. The one that cannot be found from information in the passage is the answer to this EXCEPT question. (A) is mentioned. “...as patient demand for quality emergency care grew, a group of concerned physicians joined forces to found the American College of Emergency Physicians (ACEP).” (B) is mentioned. “...Annals of Emergency Medicine was launched;” (C) is mentioned. “Soon a core framework of knowledge and skills for EM was created;” (E) is mentioned. “...and an Interim Review Committee (IRC) was formed.” (D) is not mentioned in the passage. The passage claims that the University of Cincinnati started a residency program in emergency medicine, but nothing about other schools following this path, making (D) the EXCEPTION and the correct answer.

3. In the passage, the author is primarily concerned with

(A) outlining an unconventional approach to resolve a concern
(B) discussing the steps taken to accomplish an objective
(C) advocating the importance of challenging convention
(D) evaluating methods used to legitimize a specialty service
(E) explaining why a new specialty is needed for effective patient care

Solution: The passage lays out the steps that were taken to make emergency medicine a recognized specialty. Answer (B) reflects this main purpose. (A) is incorrect because while an approach is delineated to address a concern, there is no indication that the approach was unconventional. (C) is incorrect because the author of the passage is not advocating anything. (D) is incorrect because no evaluation is occurring. “Evaluate” means to determine or judge the worth of something. (E) is incorrect because while the opening sentence states that ACS published recommendations about the need for emergency medicine, it never explains why such a need existed.

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When the American College of Surgeons (ACS) first published progressiv   [#permalink] 05 Dec 2019, 05:56
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