Why should emergency physicians in training care about the business of medicine? What does ACEP do? Who advocates for the specialty, and what does that look like? What career resources are available?

In the middle of a busy shift schedule. Residents across the country are taking time out to get these questions answered through ACEP’s Residency Visit Speaker Program. These visits, conducted by ACEP and ACEP Chapter volunteers, took a breather shortly before the Covid-19 pandemic. The recent launch of a new, overhauled version was overwhelmingly supported by ACEP’s Board of Directors and continues to grow. In the academic year 2023-24, ACEP leaders spoke with 50 programs. In 2024-25, 111 Programs invited ACEP to visit with residents and learn more about how a strong connection with national and local medical societies can add value to an early career physician.

In 2025-26, ACEP has set a goal to visit 120 programs.

At a recent visit at HCA Florida Brandon Hospital, Nikolas Foresteire, DO, and his fellow Residents heard from Shayne M. Gue, MD, FACEP, an emergency physician and active volunteer for ACEP and the ACEP Florida Chapter. Dr. Foresteire said the discussion brought some of the nuance of health care-particularly the business of medicine-in focus. The two had met before during a rotation when Dr. Foresteire was in medical school.

“It’s not always as clear when you’re looking at billable procedures, and there are so many different models for reimbursement,” said Dr. Foresteire, the Program’s Academic Chief resident. “Hearing Dr. Gue speak to us about how we are reimbursed and about all the advocacy work that goes on behind the scenes was a huge educational benefit for me, and I’m sure my fellow residents felt the same. I’m graduating in a few months, so this is something I need to know-how I’m going to be reimbursed and what steps are being taken to maximize that for the care I’m providing for my patients.”

One of ACEP’s strategies in the new Residency Visit Speaker Program is to find speakers who are not only talented at the craft, but those who easily relate to early career physicians and those in training, either by geography or time in practice. Dr. Gue graduated from Residency in 2018 but is already an experienced speaker on emergency medicine topics.

“The thing that stood out to me the most was how impactful Dr. Gue has been in that short amount of time since graduating residency, and how polished he is as an individual,” Dr. Foresteire said.