Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA.
Acad Emerg Med. 2011 Mar;18(3):301-4. doi: 10.1111/j.1553-2712.2011.01011.x. Epub 2011 Feb 25.
In 1979 Peter Rosen, MD, a leading academic figure in the developing field of emergency medicine (EM), wrote an article, "The Biology of Emergency Medicine," in response to criticism from other specialties and medical leaders that there was no unique biology of EM that would qualify it as a legitimate medical specialty. This essay received much attention at the time and served as rallying cry for emergency physicians (EPs) who were trying to find their places in the house of medicine and especially in medical schools and academic teaching hospitals. Thirty years later, the opposition that prompted many of Rosen's strongly worded impressions and observations on the biology of EM, clinical emergency department (ED) practice, education, and research has largely faded. Many of Rosen's predictions on the eventual success of EM have come true. However, core issues that existed then continue to present challenges for academic EM and clinical emergency practice.
1979 年，急诊医学（EM）领域的权威学者 Peter Rosen 博士发表了一篇题为“急诊医学的生物学”的文章，回应了来自其他专业和医学领袖的批评，他们认为 EM 没有独特的生物学，不足以将其视为一个合法的医学专业。这篇文章在当时引起了广泛关注，成为了急诊医师（EP）的战斗口号，他们试图在医学界，尤其是在医学院和学术教学医院中找到自己的位置。三十年后，促使 Rosen 博士对 EM 的生物学、临床急诊部（ED）实践、教育和研究提出强烈观点和观察的反对意见已经基本消失。Rosen 博士对 EM 最终成功的许多预测已经成为现实。然而，当时存在的核心问题仍然给学术 EM 和临床急诊实践带来挑战。
