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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.
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InsideNoVA.comInsideNoVA.com
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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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Pennsylvania Capital-Star broke the news in on Wednesday, August 6, 2025.
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