RT Journal Article SR Electronic T1 What do emergency physicians in charge do? A qualitative observational study JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP emermed-2016-205902 DO 10.1136/emermed-2016-205902 A1 Ian Hosking A1 Adrian Boyle A1 Vazeer Ahmed A1 John Clarkson YR 2017 UL http://emj.bmj.com/content/early/2017/03/10/emermed-2016-205902.abstract AB Introduction The emergency physician in charge role has developed in many large EDs to assist with patient flow. We aimed to describe and classify the problem-solving actions that this role requires.Methods We interviewed senior emergency physicians and performed iterative, qualitative observations, using continuous reflective inquiry, in a single centre. We reviewed and classified these approaches by consensus.Results Nine different problem-solving approaches were identified. These are deflecting, front loading, placing, plucking, flooding, targeting, chasing, guiding and juggling. These are useful for training and developing our understanding of how to manage an ED.Conclusions Emergency physicians in charge have a number of problem-solving approaches that can be readily defined. We have described and categorised these. These results are potentially useful for developing decision support software.