Experts say rural emergency rooms are increasingly run without doctors
A 2022 study shows 7.4% of U.S. rural emergency departments lack 24/7 attending physician coverage, mainly affecting small, low-volume hospitals, experts say.
- Amid rural care concerns, experts say many emergency departments, especially in critical access hospitals, operate without doctors as staffing gaps increase nationwide.
- In Ekalaka, Montana, Darrell Messersmith said Dahl Memorial Hospital relies on physician assistants and nurse practitioners, with no physician on-site in recent times as patient volumes average one or two daily.
- Recently, Indiana, Virginia and South Carolina, states passing legislation, with some doctors saying law requirements need funding, Paul Amiott noted.
- In response to coverage gaps, Sanford Health is launching an emergency medicine residency and Dowdy said the ER is acquiring virtual reality glasses for remote physician support.
- In the Dakotas, experts suspect ERs without doctors are increasing, with over half lacking 24/7 physicians, and Camargo, Harvard Medical School, urges funding for coverage mandates.
17 Articles
17 Articles


Rural emergency rooms are increasingly run without doctors, experts say
Ben Bruski visits the clinic at Dahl Memorial Healthcare Association in Ekalaka, Montana, for help with his allergies. He says he's happy with the care he's received from the hospital's emergency room and that he knows people who were saved by its providers. (Arielle Zionts/KFF Health News)EKALAKA, Mont. — There was no doctor on-site when a patient arrived in early June at the emergency room in the small hospital at the intersection of two dirt …

Experts say rural emergency rooms are increasingly run without doctors
By Arielle Zionts/KFF Health News EKALAKA, Mont. — There was no doctor on-site when a patient arrived in early June at the emergency room in the small hospital at the intersection of two dirt roads in this town of 400…
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