Rebellion in EM 2021: The History and Future of Emergency Medicine – The Evolution of Our Specialty

This was the opening keynote given at the Rebellion in EM 2021 Conference by Dr. Gillian Schmitz, MD. In this 25 minute talk, Dr. Schmitz discusses the history and future of Emergency Medicine.

Gillian Schmitz, MD
Associate Professor, Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences
Vice Chair of Education, Brooke Army Medical Center
Adjunct Associate Professor, University of Texas Health, San Antonio, TX
Elected to the Board of the American College of Emergency Physicians by the ACEP Council in October 2016
ACEP President-Elect in 2020
Twitter: @GillianMD1


  1. The learner will understand the history of emergency medicine and the challenges our specialty faced becoming recognized in the house of medicine.
  2. The learner will understand the evolution of emergency care shaped by EMTALA and changing reimbursement methods that has led to the growth of EM residency training programs, increased consolidation in healthcare, change in EM workforce with non-physician providers, and contraction of the job market.
  3. The learner will see potential solutions to address workforce concerns including changes to EM accreditation standards, advocacy efforts on physician-led teams and scope of practice, expansion of quality care to all communities, and strategies to increase demand and use of our skills outside of hospital based emergency departments.

Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)

Cite this article as: Salim Rezaie, "Rebellion in EM 2021: The History and Future of Emergency Medicine – The Evolution of Our Specialty", REBEL EM blog, August 12, 2021. Available at:
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Salim Rezaie

Emergency Physician at Greater San Antonio Emergency Physicians (GSEP)
Creator & Founder of REBEL EM

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4 thoughts on “Rebellion in EM 2021: The History and Future of Emergency Medicine – The Evolution of Our Specialty”

  1. Thank you for this great overview of our specialty. Our past, present and our future challenges! As Mel says, “what we do matters”! Inspirational.

  2. Dr. Schmitz was terrific sharing where we have been and where we are going. We are usually so distracted with our daily issues that we don’t think about the big picture. Her review gave great insight of the challenges ahead and and remind us how we can advocate and work toward the answer. Thanks for having her on REBEL EM.

  3. Thank you Dr. Schmitz for an intelligent presentation that puts our specialty in perspective. The real challenges are clear and in line with my long-standing commitments.
    Professor F.Thys, Md, PhD from Belgium


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