{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T05:40:39Z","timestamp":1789882839317,"version":"4.0.1"},"reference-count":55,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AEM Education and Training"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Physician\u2010led teams in emergency medicine (EM) are associated with higher quality and value than independent non\u2010physician practice, yet most residents receive little formal preparation in leading inter\u2010professional teams that include nurse practitioners (NPs) and physician assistants (PAs). Clear, scalable training guidance for residency programs is lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a narrative synthesis of national policy positions, scope\u2010of\u2010practice trends, and published literature on team leadership training in EM and related disciplines, including other specialties, nursing, and business\/healthcare administration. Drawing on these sources and program leadership experience, we used a consensus\u2010building process to define goals, core content, and instructional methods for a residency curriculum focused on physician\u2010led inter\u2010professional teams.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified persistent training gaps in role clarity, supervision, communication, and systems navigation. The proposed competency\u2010based curriculum aligns with ACGME core competencies and EM Milestones (with emphasis on ICS2, PC1, and SBP2) and specifies: (1) foundational knowledge of team roles, supervision, and state\/regulatory context; (2) leadership and communication skills, including feedback, conflict management, and shared decision\u2010making; (3) clinical integration through structured bedside supervision of NPs\/PAs; (4) quality, safety, documentation\/billing, and medicolegal considerations; and (5) longitudinal assessment using direct observation, simulation checklists, multisource feedback (including NPs\/PAs), and milestone\u2010anchored entrustment decisions. Delivery modes include didactics, simulation, mentored clinical \u201cpre\u2010attending\u201d experiences, and asynchronous resources, adaptable to local practice models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EM residency programs can address a critical training gap by adopting a structured, longitudinal curriculum that prepares residents to lead inter\u2010professional, physician\u2010led teams. The curriculum presented offers standardized objectives and assessment strategies while allowing local customization, supporting safer supervision, clearer role alignment, and more reliable team performance after graduation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/aet2.70155","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T04:27:36Z","timestamp":1774931256000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Physician\u2010Led Teams: A Model Curriculum for Emergency Medicine Residency"],"prefix":"10.1002","volume":"10","author":[{"given":"Annahieta","family":"Kalantari","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Penn State Health Milton S Hershey Medical Center  Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2734-8771","authenticated-orcid":false,"given":"Todd A.","family":"Guth","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Colorado School of Medicine  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Sampson","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Missouri School of Medicine  Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6096-2856","authenticated-orcid":false,"given":"Joshua J.","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Kansas \u2013 Wichita  Wichita Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Schiller","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Saint Francis Hospital and Medical Center  Hartford Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Fisher","sequence":"additional","affiliation":[{"name":"American College of Emergency Physicians  Irving Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly N.","family":"Roszczynialski","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel","family":"Shekem","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Iowa Hospitals and Clinics  Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce M.","family":"Lo","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Eastern Virginia Medical School\/Sentara Norfolk General Hospital  Norfolk Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"e_1_2_19_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1961.03040230005002"},{"key":"e_1_2_19_3_1","volume-title":"Milestones in PA History","year":"2010"},{"key":"e_1_2_19_4_1","volume-title":"History of NPs in the United States","author":"Ohio Association of Advanced Practice Nurses","year":"2021"},{"key":"e_1_2_19_5_1","unstructured":"Society of Emergency 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