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Experts Say Rural Emergency Rooms Are Increasingly Run Without Doctors

At least 7.4% of U.S. emergency departments lacked on-site physicians in 2022, prompting rural hospitals to depend on physician assistants and nurse practitioners for emergency care.

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 residents. There never is. Dahl Memorial’s three-bed emergency department — a two-hour drive from the closest hospital with more advanced services — instead depends on physician assistants and nurse practitioners. Physician assistant Carla Dowdy realized the patien…

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kffhealthnews.org broke the news in on Tuesday, August 12, 2025.
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