What does this research mean for the field?

Integrating an emergency medicine-trained critical care fellow into the emergency department to manage boarding ICU patients improves staff satisfaction and demonstrates billing feasibility, but does not significantly alter patient outcomes such as length of stay or discharge disposition. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This evaluation focuses on the impact of an emergency medicine-trained anesthesiology critical care fellow on the care of ICU patients boarding in the emergency department.

June 28, 2026Journal of the American College of Emergency Physicians OpenOpen Access

Enhancing Care for Critically Ill Patients Boarding in the Emergency Department: A 360° Evaluation of an Emergency Medicine Critical Care Fellow Model

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Authors

DPDeepa M. PatelEmory University SSSamantha StricklerEmory University TMTimothy P. MoranUniversity of North Carolina at Chapel Hill

Discussion

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Implication

Mixed methods observational study evaluates an EM ACC fellow's impact on ICU boarding in the ED, indicating potential improvements in care delivery.

Key Points

This evaluation focuses on the impact of an emergency medicine-trained anesthesiology critical care fellow on the care of ICU patients boarding in the emergency department.
Mixed methods observational study at a single urban tertiary care center
Deploying a second-year EM ACC fellow in the ED for 2 months
Conducting a 360° analysis including staff surveys, fellow productivity, and retrospective cohort analysis of patient outcomes.
Fellows worked 26 shifts, managing 101 ICU boarding patients
91.5% of medical professionals found the EM ACC fellow invaluable or very helpful
No significant differences in ICU length of stay, hospital length of stay, or discharge disposition were observed.

Cite This Study

Patel et al. (2026) studied this question.

synapsesocial.com/papers/6a40ba2161bb0a67205c6166 https://doi.org/10.1016/j.acepjo.2026.100444

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Implication

Mixed methods observational study evaluates an EM ACC fellow's impact on ICU boarding in the ED, indicating potential improvements in care delivery.

Enhancing Care for Critically Ill Patients Boarding in the Emergency Department: A 360° Evaluation of an Emergency Medicine Critical Care Fellow Model

Discussion

Member takes

Implication

Key Points

Cite This Study

Enhancing Care for Critically Ill Patients Boarding in the Emergency Department: A 360° Evaluation of an Emergency Medicine Critical Care Fellow Model

Discussion

Member takes

Implication

Key Points

Cite This Study

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