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In the United States, the recognition of emergency medicine as a distinct specialty has been a long process, requiring at least 10 years and many separate steps. The evolution of emergency medicine has included the development of independent training programs, the identification of focused areas of research, career development, academic recognition, and the publication of an independent and directed body of literature, including textbooks. The last element is important because the literature of a specialty provides tangible evidence that it is practiced under unique conditions and within specific limits, according to algorithms and treatment plans that usually cannot be extended
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