How To Become An Emergency Room Doctor: Training, Licensing, and Certification Requirements | International Medical Aid (2023)

What Is an ER Doctor?

An emergency medicine doctor or “ER doctor” typically works in an emergency department in a hospital or an urgent care facility. ER doctor’s main job is to first stabilize a patient. After a patient becomes stable, the doctor can then pinpoint the source of the injury and begin the treatment process.

An ER doctor treats a wide variety of issues from acute medical problems to larger, traumatic injuries. It is the final call of the ER doctor whether or not the emergency treatment is sufficient enough for the injury at hand, or if further appointments should be made with specialists.

The scope of treatment an emergency medical doctor provides is vast. Their demographics include women and children of any age with illnesses at every stage of severity and progression.An ER doctor will be very familiar with the treatment of issues in the categories of pulmonology, cardiology, neurology, dermatology, psychiatry, and many others. Typically their job is to assess the injury or illness to produce one of two outcomes.

With smaller, less serious cases they will treat a patient and discharge them. In more serious, chronic situations, the ER doctor will refer a patient to a specialist for more in-depth, long term treatment.In the most severe cases of trauma such as heart attack, stroke, or other life-threatening injuries, an ER doctor will begin treatment instantly. Life or death situations present themselves to doctors in emergency units on a daily basis.Many times an ER doctor will find themselves as the only doctor present on a shift in an emergency unit. These situations can be very hectic. It is very important that the doctor is able to quickly triage patients and separate cases based on severity.

The most life-threatening cases will be a top priority. Patients are triaged and seen in an order based on the importance of the medical emergency. If you’ve ever experienced a long wait in an urgent care facility or hospital emergency room, chances are your illness or injury wasn’t as serious as others patients that may have been seen before you.

Different Types of Emergency Doctors

Normally ER doctors are the most common types of practicing physicians in the category of emergency medicine. However, there are normally two distinct positions available for practicing physicians that enter the field of emergency medicine. One example is anorthopedic trauma surgeon. There are several different types of trauma surgeons. Let’s examine the differences between the position of trauma surgeon and actual ER doctor.

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Difference in Skills and Job Demands

ER Doctor

Although the goals for the end result of a patient are the same when it comes to a trauma surgeon and ER doctor, the job description is what separates them. These jobs require two entirely different skill sets.An ER doctor will visit each and every patient that walks through the doors of an emergency room or urgent care facility. Regardless of the injury, each patient will be seen at some point by the ER doctor in order to classify them and determine the best course of treatment.

In cases of severe trauma, an ER doctor will intubate a patient, begin blood transfusions, or order rounds of testing. The ER doctors job is to stabilize a patient.

Trauma Surgeon

A trauma surgeon typically is not stationed in the emergency room at all times. If patients fall into certain emergency categories, a trauma surgeon will be called in to perform an emergency procedure. Some of the situations that require a trauma surgeon may include:

  • Low blood pressure after trauma
  • Gunshot wounds
  • Imaplement and severe lacerations

If a patient enters the emergency room and the extent of the injuries are already known to be quite severe, the trauma surgeon may join the ER doctor from the start of the treatment. If a patient is admitted for their trauma and surgery is required, the trauma surgeon becomes their primary care provider for the visit. They will assume all care and order return visits if they are required.

Differences in Educational Demands

ER doctors and surgeons undergo the same level of education throughout their college career. The two will follow the same path all the way through medical school until they graduate.The differences in training do not arrive until after they graduate. Upon entering their residency, the two will take a completely different path when it comes to their hands-on training.An ER doctor will undergo a three or four year residency program. Upon completion, typically they will be ready to enter the workfield.

The demands for a trauma surgeon are much higher. Any surgeon will undergo a five or six year residency regardless of the type of surgery they decide to specialize in. Surgeons electing to specialize in trauma will incur an additional one or two years critical care and trauma training.

Contact and Journey With Patients

Another critical difference in the job description is the contact an ER doctor or trauma surgeon will have with patients. Normally an ER doctor will see the patient during the initial emergency room visit. Upon their discharge or transfer, the ER doctor’s interaction with that patient is over.

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A trauma surgeon will often complete a much longer journey with each respective patient. A trauma surgeon will often follow a patient well after the surgical process.It is not uncommon for a trauma surgeon to continue their interaction with a patient all the way through to the rehabilitation process.

Practice Opportunities for an ER Doctor

Once a student receives their degree and completes their residency, there are several options available when it comes to practice models. At this stage, an emergency doctor will decide what type of organization they will work for.

There are three main types of organizations a doctor can decide to work for.

  • Private group
  • Corporate group
  • Hospital

Private or Democratic Group

Many private groups offer the potential for a partnership in the long term for a doctor. This means that eventually a doctor could become part owner of the practice. Other types of organizations offer the option for financial equity and the ability to make important decisions in the interest of the practice.

A private group is also known as a democratic group. Doctors have the opportunity to have a major voice in the organization and receive a vote when it comes to major decisions.With ownership as an option in a democratic group, a doctor can benefit from the organizations success. Democratic organizations often have the highest compensation and profit available for doctors.

Corporate Group

Different medical organizations tend to overlap. Corporate groups are sometimes seen as democratic or private groups due to the fact that they are often owned by physicians or a group of physicians. The major difference between the two is normally the size of the emergency departments the two operate.While a private or democratic group would normally operate several emergency departments (upwards of 10), a corporate would typically only be responsible for one or two.


The amount of hospital employees has been on an upward trend in recent years. Doctors who work as employees in a hospital setting have varying degrees of political and financial equity depending on the situation. Hospital positions normally share characteristics more similar to a corporate group. A doctor normally will see his or her position and authority rise with their years employed by the hospital.


One bonus included with a hospital position is job security. Hospitals normally want to avoid situations of liability or wrongful termination, leading to a more secure position by an emergency room doctor.It is often much easier for a board of directors in a corporate group to make the decision to remove a doctor from the schedule than it would be for a hospital to terminate a physician completely.

The type of organization a doctor works for is one of the most important decisions they will face while starting their career. It is important to consider your future and what path you see yourself on before making a final choice on the type of organization to join.Our pre-med advisors can provide you with more information pertaining to this category.Internship programsmay offer information to help you decide on what organization is best to strive towards.

How to Become an Emergency Room Doctor

In the next section, we will examine the steps required in college to become an ER doctor. Read on as we break down in depth what you can expect from each year of school on the journey to receiving your degree.

Earn Your Bachelors Degree

Freshman Year

  • Health Care Systems
  • Biology 1
  • Biology 2
  • Calculus 1
  • Chemistry 1
  • Chemistry 2
  • Humanities Requirement
  • Electives

Sophomore Year

  • Public Health
  • Anatomy and Physiology 1
  • Anatomy and Physiology 2
  • Statistics
  • Organic Chemistry 1
  • Organic Chemistry 2
  • Basic Skills for Healthcare
  • Nutrition
  • Humanities Requirements
  • Electives

Junior Year

  • Healthcare Communication
  • Healthcare Professional Writing
  • Genetics and Microbiology 1
  • Physics 1
  • Physics 2
  • Problems in Healthcare
  • Healthcare Research
  • Biochemistry 1
  • Humanities Requirements
  • Electives

Senior Year

  • Health in the U.S.
  • Health Education and Planning
  • Healthcare Management
  • Health Policy
  • Capstone
  • Remaining Electives

Take the Medical College Admissions Test (MCAT)

Biology and Chemical Foundations of Living Systems

  • 59 questions (multiple choice)
  • 95 minutes allowed
  • Tests for biology, organic chemistry, inorganic chemistry, and biochemistry

Chemical and Physical Foundations of Biological Systems

  • 59 questions (multiple choice)
  • 95 minutes allowed
  • Tests for biochemistry, biology, general chemistry, organic chemistry, and physics

Psychological, Social, and Biological Foundations of Behavior

  • 59 questions (multiple choice)
  • 95 minutes allowed
  • Tests for introductory psychology, sociology, and biology

Critical Analysis and Reasoning Skills

  • 52 questions (multiple choice)
  • 90 minutes allowed
  • Tests for reading comprehension, humanities, and social sciences

Earn a Medical Degree (4 Years)

Medical school consists of four years of studying the basics of science and taking part in clinical rotations. These are real hands-on clinical that take place in a legitimate healthcare setting.

Year 1

  • Cells and Tissues
  • Molecular Foundations of Medicine
  • Applied Biochemistry
  • Genetics
  • Disease Mechanisms and Development
  • Cardiac Life Support
  • The Nervous System
  • Immunology
  • Gross Anatomy of Head and Neck
  • Microbiology
  • Pulmonary Systems
  • Microbiology

Year 2

  • Renal/Genitourinary Systems
  • Gastrointestinal Systems
  • Skin/Endocrine Systems
  • Reproduction and Women’s Health
  • Microbiology
  • Behavior and the Brain
  • Hematology
  • Systemic Diseases
  • Microbiology
  • Clinical Clerkship

Year 3 and 4

  • Internal Medicine
  • Pediactrics
  • Surgery
  • Obstetrics and Gynecology
  • Family Medicine
  • Psychiatry
  • Neurology
  • Critical Care
  • Ambulatory Medicine
  • Researches, Reflections and Advances in Patient Care

Pass the United States Medical Licensing Exam (USMLE)

Every state requires a physician to pass a standardized exam. Requirements may vary from state to state. For all potential ER doctors, it is mandatory they pass theUSMLE exam. The USMLE exam is sponsored by theNational Board of Medical Examiners(NBME).

Complete a Three to Four Year Residency

An ER doctor’s residency must be completed in a facility that is approved by the Residency Review Committee.
There are over 9,400 graduate medical education programs in the United States. The field is highly competitive, and acceptance is based on academic performance and and recommendations by medical school professors.

Earn an Emergency Medicine Certification

Once a residency is successfully completed, the Emergency Medicine Certification is obtained by successfully completing a written and oral exam.Every ten years recertification is required to continue holding the certification.

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Extra Requirements

Depending on whether or not a doctor decides to take up a specialty sector of emergency medicine, there may be continuing education required. There are different boards that are included in special categories of emergency medicine such as American Osteopathic Board of Emergency Medicine and American Board of Medical Specialtie that require maintenance board certification.

Most medical schools offer a department of continuing medical education in departments such as emergency medicine that offer courses based on this model.

Fellowships may be required if an ER doctor takes up a special branch of emergency medicine such as medical toxicology, pediatric emergency medicine, or sports medicine. These also carry specialty board certifications and maintenance requirements.

Added Benefits/Opportunities

Another added benefit to becoming an ER doctor is the ability to travel. For the adventurer or roaming type, there are many different opportunities to study and work abroad in many different countries. There is a constant need for medical expertise in countries where advancements and certified doctors are not in abundance. This can be exciting and very fulfilling in the sense that you get to travel and help people in need.Our website contains and extensive section abouttravelingand studying abroad, as well as working in other countries.


The road to becoming an ER doctor requires extreme dedication, a love for your craft, and a leap of faith. Every decision you make along the way will have lifelong repercussions. Rarely do future doctors make these decisions alone.

We heavily advise against making these vital decisions without some sort of guidance or advice. The chances of you sticking to the decisions you make for the long haul increase drastically with some type of guidance.
We offer several programs for future doctors to help them along the way. Aside from mentoring and studies abroad, we also offer several different internships.

We invite you read up on and apply to ourhealthcare internship program. At International Medical Aid we are confident that we can help you achieve your goals with our mentorship experts. Let us help you walk the right path!

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Is it hard to become an ER doctor? ›

The specialty is highly competitive and it is advised that aspiring ER physicians work hard to maintain high grades throughout their education as well as high scores on all exams in order to be accepted into emergency room programs.

What is ABEM certification? ›

The American Board of Emergency Medicine (ABEM) certifies emergency physicians who meet its educational, professional, and examination standards. Certification by ABEM demonstrates expertise in Emergency Medicine.

What does a ER doctor major in? ›

There is not a specific major required to apply to medical school and eventually practice emergency medicine. Obtaining a bachelors degree is not required but still is very common.

What is an ER doctor called? ›

What is an ER doctor? An emergency medicine physician, also known as an ER doctor, works primarily in the emergency department within a hospital, stabilizing and treating patients with acute health problems or traumatic injury.

What qualifications do I need to be a emergency doctor? ›

After medical school, you'll join the paid two-year foundation programme where you'll work in six placements in different settings. After your foundation programme, you can apply for paid specialty training to become an emergency doctor, which will take a minimum of six years.

Do ER doctors make a lot of money? ›

According to the Emergency Physician Compensation Report from ACEPNow , emergency medicine physicians make an average of $221 dollars per hour or $344,760 per year for 1,560 clinical hours.

How long is the Emergency Medicine board exam? ›

The entire exam appointment takes approximately 8 hours to complete with 6 hours and 20 minutes of total testing time. Each book of the examination consists of both pictorial and non-pictorial multiple choice questions.

How much does ABEM cost? ›

Just as you pay for your medical license and organization memberships, you will pay for your certification. All ABMS specialty boards have a similar process. Beginning in 2023, the annual fee for continuing certification is $300 for your primary certification and $215 for any other (subspecialty) certifications.

What is the pass rate for ABEM? ›

candidates who took the 2021 Qualifying Examination is 90%. The passing rate for all candidates who completed an approved Emergency Medicine residency program and are first-time takers of the examination is 92%. was determined by first adding together the number of scored questions you answered correctly.

How long is ER doctor residency? ›

Emergency Medicine training requires access to a diverse patient population, which is available at IU School of Medicine. How many years does an Emergency Medicine residency require? There are 221 programs around the country. 167 are three-year programs and 54 are four years.

What is the easiest doctor to become? ›

A general practice doctor is probably the easiest doctor to become. Even though students must complete four years of medical school and one or two years of a residency, this is the minimum amount of education required for medical doctors.

What is the highest paid Dr? ›

What are the highest-paying doctor jobs? Anesthesiologists and surgeons earn the highest income among doctors. According to Payscale August 2022 data, anesthesiologists earn an average of $307,740, and surgeons earn an average of $287,500 as of July 2022 data.

What is the difference between a hospitalist and an ER doctor? ›

A hospitalist doctor focuses on patient care inside a hospital, rather than on a specific organ or medical issue, like an allergist or a cardiologist does. Hospitalist doctors are not the same as emergency doctors, though they may spend time in the emergency room (ER).

Is an ER doctor the same as a paramedic? ›

A paramedic is a medical professional, usually a member of the emergency medical service, who primarily provides pre-hospital advanced medical and trauma care. An emergency physician is a physician who works at the emergency department of a hospital to care for acutely ill patients.

What skills do ER doctors need? ›

What skills do emergency room doctors need?
  • Diagnostic skills. When a patient arrives, the first step for the emergency room doctor is to assess their condition. ...
  • Quick decision-making. ...
  • Attention to detail. ...
  • Communication. ...
  • Stress management. ...
  • Flexibility. ...
  • Interpersonal skills. ...
  • Teamwork.
Apr 2, 2022

Which countries recognize Mrcem? ›

Dates, Locations and Cost. The MRCEM OSCE can be taken in The UK, India and Malaysia. The cost to take the MRCEM OSCE is: £450.00 for UK and India Centres.

What qualifications do you need to work in A&E? ›

A&E Nurses typically have several years of experience working in other areas of nursing, learning vital skills in less pressurised environments. Experience of working in areas such as mental health, intensive care or obstetric are an advantage.

Is emergency medicine a specialty? ›

Emergency medicine is the specialty that focuses on the recognition, evaluation, and care of patients who are acutely ill or injured. It is a high-pressure, fast-paced and diverse specialty that requires a broad base of medical knowledge and a variety of well-honed clinical and technical skills.

How many hours a day do ER doctors work? ›

ER doctors often fill shifts to ensure patients have 24-7 care. This can require them to work inconsistent hours or work overnight, on the weekend or during holidays. Shifts typically last between six and 12 hours, and most doctors work from three to five shifts per week.

What state do ER doctors make the most money? ›

The bottom 10% level pay for emergency medicine physicians is $77,000.
1. Alaska.
Total Emergency Medicine Physician Jobs:123
Average Annual Salary:$113,219
Lowest 10 Percent Earn:$58,000
Highest 10 Percent Earn:$219,000
1 more row
Apr 6, 2021

Where are ER doctors paid the most? ›

What are Top 10 Highest Paying Cities for Emergency Medicine Physician Jobs
CityAnnual SalaryHourly Wage
Manhattan, NY$402,033$193.29
Santa Rosa, CA$400,545$192.57
Cambridge, MA$388,905$186.97
Williston, ND$385,608$185.39
6 more rows

How hard is CMS exam? ›

No, the level of difficulty when it comes to UPSC CMS is lesser since only MBBS pre-final and final year is included in the exam syllabus.

How many questions are on the Emergency Medicine Board exam? ›

The exam contains 225 multiple choice questions and takes about 4.5 hours to complete. Questions are drawn from the EM Model. All questions are written by a group of clinically active emergency physicians with special training in question writing.

How to study for emergency medicine board exam? ›

Follow these steps to ensure you are prepared for the Emergency Medicine Board Exam.
  1. Understand the Structure of the Exam. ...
  2. Know What to Expect on Exam Day. ...
  3. Plan Out a Study Strategy. ...
  4. Find a Smart ABEM Question Bank. ...
  5. Practice & Re-Practice. ...
  6. Identify & Attack Weak Areas. ...
  7. Treat Your Body Right. ...
  8. During the Exam.
Jan 22, 2022

How hard is it to get an EM residency? ›

Overall Competitiveness of Emergency Medicine Residency and Chances of Matching. The overall competitiveness level of emergency medicine is Medium for a U.S. senior. With a Step 1 score of 200, the probability of matching is 79%. With a Step 1 score of >240, the probability is 94%.

How many years does it take to study Emergency Medicine? ›

The minimum course duration is five years.

How long does it take to complete Emergency Medicine? ›

The National Emergency Medicine Training Programme is a seven-year programme that takes doctors from internship (or later) through to Certificate of Completion of Training (CCT) in Emergency Medicine.

What Step 1 score do you need for Emergency Medicine? ›

What is a good score on USMLE Step 1 for applying to EM?
  • Marginal Competitiveness: < 200.
  • Less Competitive: 200–219.
  • Competitive: 220–239.
  • Very Competitive: > 240.

How many questions is the ABEM qualifying exam? ›

Qualifying Examination

The exam contains approximately 305 single-best-answer, multiple choice questions.

What is a good step 2 score for Emergency Medicine? ›

US Seniors: Average Step 1, Step 2 CK Scores by Specialty (2022 Match)
Step 1, US Senior (Matched)Step 2, US Senior (Matched)
Emergency Medicine234247
Family Medicine225241
General Surgery237250
Internal Medicine237249
18 more rows

What age do ER doctors retire? ›

The traditional retirement age is 65.

How many shifts a week do ER doctors work? ›

It's not uncommon for an ER doctor to deal with physician scheduling that has him working 6 hours one day, 8 the next, then a string of 10 to 12 hour days. He might be on for 6 to 8 shifts one month and the next be expected to work 16 shifts.

How many patients do ER doctors see a day? ›

Per shift the ER I work for sees about 50 pts so about 100 total for a 24 hr period. I used to work in ER 10 years ago on day shift we usually start at 6 patients, by the end of the shift I get 12 or more . Depends on the trauma level of the facility. Trauma 1's are typically 60-100 beds.

What age is too late to become a doctor? ›

There is no age limit for medical school. You can become a doctor in your 30s, 40s, 50s, and even 60s. In the end, medical schools want students who will make good physicians. Age is not a factor.

Which is the lowest degree in doctor? ›

Undergraduate medical degrees in India
  • MBBS – Bachelor of Medicine, Bachelor of Surgery.
  • BDS – Bachelor of Dental Surgery.
  • BAMS – Bachelor of Ayurvedic Medicine and Surgery.
  • BUMS – Bachelor of Unani Medicine and Surgery.
  • BHMS – Bachelor of Homeopathy Medicine and Surgery.
  • BYNS- Bachelor of Yoga and Naturopathy Sciences.
Feb 3, 2023

Which is the hardest study of doctor? ›

Apart from the top 5 specialties mentioned above, Interventional Radiology, Radiation Oncology, Vascular Surgery, General Surgery and Med/Peds are among the most difficult domains to become a doctor.

What kind of doctors make millions? ›

The highest-paid doctors in the US are in surgical specialties such as plastic surgery, neurosurgery, or orthopedic surgery and report earning over half a million ($500,000) per year on average.

Do doctors are millionaires? ›

Millionaire Status

Across the board according to the 2021 physician wealth report, 56% of physicians reported a net worth of over a million. Out of family physicians, the majority become millionaires by the age of 55, with only 11% having a net worth of a million before 45.

Which type of doctor is best for girl? ›

Gynaecologist. A gynaecologist specialises in treating problems arising in the female reproductive organs and is the first doctor to be approached if you face premenstrual, menstrual or other issues, which are mostly related to hormonal changes.

Are ER doctors hard? ›

Emergency medicine is a challenging but fulfilling journey. If you work hard, it will definitely pay off.” If learning more about working in the ER has you eager to pursue a career in emergency medicine, there are a number of personal characteristics you may already possess that will help you excel.

What is a disadvantage of a hospitalist? ›

There is no outpatient follow-up or continuity of care for hospitalists. This can be frustrating for those who prefer to see a patient through with a particular condition, and to check-in with them periodically.

What is the difference between an ER doctor and a trauma surgeon? ›

The role of an ER physician is to stabilize and treat patients, recommending further care from specialists if needed. Trauma surgeons spend much longer with their patients, caring for them through rehabilitation through discharge from the hospital.

What are the types of ER doctors? ›

ER Doctors. The emergency room (ER) has two types of doctors: trauma surgeons and emergency room doctors.

What is another name for an ER doctor? ›

Two major players in the ER are the trauma surgeons and the emergency room doctors, also known as emergency medical specialists.

How do you become an emergency doctor? ›

A candidate needs to pass their Bachelor in Medicine, Bachelor in Surgery (MBBS) from a Medical Council of India (MCI)-recognised Central or state university before they can enroll for the Emergency Medicine course.

How stressful is being an ER doctor? ›

There is certainly stress involved in taking care of a very sick person. But it is relatively minor compared to that which comes from the nature of the job itself. When you start a shift in the ED, there are patients waiting to be seen, patients in the process of being seen, and some waiting for a disposition.

Is ER doctor a stressful job? ›

Stress is a given in emergency medicine. Shift work, scheduling, risk of exposure to infectious disease, and violence in the emergency department, as well as malpractice litigation and decreasing compensation, can all affect an emergency physician's health and well-being.

How hard is working in the ER? ›

While the best ER nurses enjoy the fast-paced, multitasking work environment, others can find the constant movement draining. You need to be able to handle multiple duties at once and keep going without many chances to catch your breath.

How many shifts do ER doctors work? ›

The typical emergency physician will work three to five shifts a week. Five is high, but there are some weeks during which that type of workload is necessary. We try to either group our shifts, so for example work all night shifts, or we do what's called a waterfall.

Why do ER doctors take so long? ›

A shortage of nursing and ancillary staff. A relative shortage of doctors. A policy that forbids turning anyone away from the ER for care. Triage—the system by which a member of the staff (usually the triage nurse), assesses the severity of a person's condition and allocates the speed and intensity of care accordingly.

Are ER doctors happy? ›

Prior studies have found that emergency physicians consistently rank among the highest medical specialties in both clinician burnout and satisfaction with work–life integration.

Is it better to work in the ICU or ER? ›

ICU nurses are very involved with patients and families, building rapport and providing education. ER nurses often don't have the time for much interaction with patients and families beyond life-saving measures.

What careers end in ER? ›

Jobs that end in -er
  • Vocabulary words Jobs that end in -er.
  • baker.
  • barber.
  • carpenter.
  • dancer.
  • window cleaner.
  • painter.
  • singer.
Oct 21, 2019


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