w COMMON SENSE VOICE OF THE AMERICAN ACADEMY OF EMERGENCY MEDICINE VOLUME 30, ISSUE 2 MARCH/APRIL 2023 President's Message: Stay in the Fight 2 6 Editor's Message: The Personalities in Your Resuscitation Room 9 Heart of a Doctor: Trust 46 AAEM/RSA President’s Message: Not Even the Sky is The Limit for Emergency Medicine 45 Young Physicians Section: Keeping the Flame Lit Page 15 If You Died and Came Back, What Would Your Art Look Like? Page 22 Advertising Opportunities VOICE OF THE AMERICAN ACADEMY OF EMERGENCY MEDICINE COMMON SENSE SECTION II: POSITIONS NOT RECOGNIZED AS BEING IN FULL COMPLIANCE WITH AAEM’S JOB BANK ADVERTISING CRITERIA (Below are hospitals, non-profit or medical school employed positions.) SECTION I: POSITIONS RECOGNIZED AS BEING IN FULL COMPLIANCE WITH AAEM’S JOB BANK CRITERIA To place an ad in the Job Bank: Equitable positions consistent with the Mission Statement of the American Academy of Emergency Medicine and absent of restrictive covenants, will be published (upon approval). All ads run for six month period or until canceled and will appear in the AAEM member magazine Common Sense and online. For pricing and more information visit www.aaem.org/membership/benefits/ job-bank. Complete Job Bank registration form, along with the Criteria for Advertising Section, and submit payment. you are an outside recruiting agent, the Job Bank Criteria for Advertising must be downloaded and completed by representative from the recruiting hospital/group. Direct all inquiries to: www.aaem.org/membership/benefits/job-bank or email info@aaem.org. AAEM Job Bank Service Promote Your Open Position Positions Available For further information on a particular listing, please use the contact information listed. Section I: Positions in full compliance with AAEM’s job bank advertising criteria, meaning the practice is wholly-owned by its physicians, with no lay shareholders; the practice is equitable and democratic; due process is guaranteed after a probationary period of no more than one year; there are no post-employment restrictive covenants; and board certified emergency physicians are treated equally, whether they achieved ABEM/AOBEM/RCPSC certification via residency training or the practice track. Section II: Positions that cannot be in full compliance with AAEM’s job bank criteria, because they are employee positions with hospitals or medical schools and the practice is not owned by its emergency physicians. Thus there may not be financial transparency or political equity. Section III: Positions that cannot be in full compliance with AAEM’s job bank criteria, because they are government or military employee positions. The practice is not owned by its emergency physicians, and there may not be financial transparency or political equity. Section IV: Position listings that are independent contractor positions rather than owner-partner or employee positions. SECTION TWO COLORADO The Emergency Medicine Residency at Denver Health Medical Center is recruiting for Program Director lead our Emergency Medicine Residency Program. The following position description outlines the specific duties of the Denver Health Residency Emergency Medicine Program Director necessary to meet the requirements of the ACGME Next Accreditation System (NAS). The Program Director has authority and accountability for the operation of the program and has broad responsibilities that encompass every aspect of postgraduate medical education training. This includes oversight of: Curriculum and evaluation as well as the learning environment Faculty as teachers, coaches, mentors, advisors and role models Supervision of residents and fellows, including duty hours, and Program management (e.g., program evaluation and improvement, communications, ACGME accreditation, program resources). The Program Director must ensure continuing accreditation of the program by being familiar with and complying with the ACGME Institutional Requirements Common Program Requirements(CPR) and Emergency Medicine Program Requirements, as well as ACGME and Review Committee Policies and Procedures and the CU SOM GME Policies and Procedures. The Program Director should monitor his or her specialty Review Committee activities, and be familiar with the ACGME Program Directors’ “Virtual Handbook” Minimum Qualifications Experience: Minimum of 3-5 years of participation as core faculty member in an ACGME-accredited emergency medicine residency program and graduate medical education administrative and leadership experience. Applicants should submit CV and cover letter/statement interest to: Aaron Ortiz, Manager Provider Recruitment aaron.ortiz@dhha.org P: 303602-4992 (PA 1932) Email: aaron.ortiz@dhha.org Website: https://www.denverhealth.org/services/emergencyNovDec, JanFeb, MarApr CONNECTICUT Trinity Health Of New England seeks BC/BE EM Physicians to join our emergency medicine teams at Mercy Medical Center in Springfield, Massachusetts, Saint Francis Hospital and Medical Center Hartford, Connecticut and Saint Mary’s Hospital in Waterbury, Connecticut. Our practice model empowers our physicians work at their highest level, while allowing time for professional development and family life. Whether you are focused on providing outstanding patient-centered care or driven to grow into a leadership role, you will thrive at Trinity Health Of New England. To learn more visit our provider portal at www. JoinTrinityNE.org (PA 1939) Email: dhowe@TrinityHealthofNE.org Website: https://www.jointrinityne.org/Physicians NovDec, JanFeb, MarApr MISSOURI Centerpoint Medical Center is seeking an Emergency Medicine Program Director for their new residency program in Independence, Missouri. Qualified Candidates: Board certified in emergency medicine with minimum of three years’ experience Previous experience as an Associate Program Director, Core Faculty member, or Department Chair is required Available to begin work in spring 2023 Ability to obtain Missouri licensure Excellent interpersonal and communication skills Duties and Responsibilities: Work on obtaining initial ACGME accreditation through submission of application. Recruit and select candidates for the residency program through the National Residency Matching Program. Provide accurate statistical and narrative information in accordance with the requirements of the ACGME and the ACGME’s Review Committee for Emergency Medicine. Maintain current knowledge of the accreditation and operational requirements of the residency program, including monitoring current trends and anticipating changes. Assure that faculty meet research and scholarly activity requirements of the program. Incentive/Benefits Package: Competitive W2 compensation Robust benefits include medical, dental, vision and 401k A-rated professional liability insurance (PA 1947) Email: amie.murphy@hcahealthcare.com Website: https://careers.hcahealthcare.com/jobs/10681698emergency-medicine-residency-founding-program-directoropportunity-in-independence-missouri JanFeb, MarApr, MayJun NEW HAMPSHIRE Dartmouth are pleased to announce national search for the Chair of the Department of Emergency Medicine. This is an opportunity to lead an exceptional clinical department known nationally for providing outstanding patient care, fostering the medical and biomedical education of the next generation, and supporting innovative research. In this leadership role, the Chair of the Department of Emergency Medicine will have primary responsibility and accountability for the overall direction, operation, and management of the Department accordance with the mission and goals of Dartmouth Health and The Geisel School of Medicine at Dartmouth. Qualified candidates will: hold medical degree (MD, MD/MPH, MD/MBA, MD/PhD) or equivalent degree(s); qualify for rank Professor or Associate Professor at the Geisel School of Medicine; be American board certified; and be New Hampshire licensed physician or should be eligible for licensure the state of New Hampshire. The preferred candidate will have five or more years of experience as strategic leader with the ability to manage a substantial, complex, and evolving organization. All application material should be submitted to: Elizabeth Homsy Senior Associate, Healthcare Practice Korn Ferry elizabeth.homsy@kornferry. com Dartmouth Health an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. (PA 1966) Email: elizabeth.homsy@kornferry.com Website: https://www.dartmouth-health.org/ MarApr, MayJun, JulAug NEW JERSEY Opportunity: Chairman, Department of Emergency Medicine, Capital Health Systems Licensing and Education Requirements: Board certified in Emergency Medicine 5-10 years of clinical experience (preferred) years of group leadership (preferred) Responsibilities for this position include, but are not limited to: 1. Provider Management: a. Manage recruitment and retention of provider staff b. Maintain regular reviews and evaluations of providers c. Interview provider candidates d. Participate in on-boarding of new providers to ensure they have full understanding of operational procedures e. Monitor the overtime rate of providers across the system to ensure department goals None Available at this time. COMMON SENSE MAY/JUNE 41 COMMON SENSE VOICE OF THE AMERICAN ACADEMY OF EMERGENCY MEDICINE VOLUME 30, ISSUE 1 JANUARY/FEBRUARY 2023 President's Message: Joy Social Media Committee – Your Voice Matters: Ten Ways to Battle Online Trolls Page 17 3 7 Editor's Message: The Greatest Act of Forgiveness Which I Have Ever Witnessed 12 Heart of a Doctor: Quality of Life 30 AAEM/RSA President’s Message: Join Us at HPEM! 29 Young Section:Physicians ED Crowding And Boarding: A Public Health Crisis CS23_JanFeb_v9.indd 1 2/2/2023 1:37:12 PM
Dr. Leap and Dr. Parris are assisted by representative members of the AAEM Resident and Student Association (AAEM/RSA) and the Young Physicians Section (YPS-AAEM).
Featured Sections: President’s Message From the Editor’s Desk Board of Directors Meeting Summary AAEM News Committee and Section Reports Upcoming Conferences YPS News AAEM/RSA News Job Bank Advertising Sales: Contact: Missy Zagroba Executive Director mzagroba@aaem.org 800-884-2236 Audience Profile by Region AAEM has 7,500 members Editor-in-Chief,
FAAEM Assistant
FAAEM Editors
Keith Edwin Leap II, MD
Editor, Mehruba Anwar Parris, MD
International Representation 2% EM Physicians – 54% EM Residents – 38% Medical Students – 8% Southwest 22% Midwest 23% Northeast 26% Southeast 24% Northwest/Pacific 3% VOICE OF THE AMERICAN ACADEMY OF EMERGENCY MEDICINE COMMON SENSE COMMON SENSE Joy Social Media Committee –Your Voice Matters: Ten Ways to Battle Online Trolls Page 17 3 7 The Greatest Act of 12 Quality of Life 30 29 ED Crowding And Boarding: A Public Health Crisis COMMON SENSE Stay the Fight 2 6 Room 9 46 President’s Message: 45 Page 15 If You Died and Came Back, What Would Your Art Look Like? Page 22 COMMON SENSE VOLUME 29, ISSUE Message: 3 Message: 7 13 President’s Message: 33 Editor’s Message: 34 Let’s Make Deal: What Physicians Can My Specialty of Choice An Academy, The Agency Trap Heart of Loved One Page 15 Addressing Psychiatric Boarding within the Emergency Department
COMMON SENSE
Common Sense was a winner of the 2017 APEX Award for Publication Excellence. APEX Awards are based on excellence in graphic design, editorial content and the ability to achieve overall communications excellence.
Why Common Sense ?
In January of 1776, Thomas Paine published Common Sense, a 48-page monograph explaining why the colonies should separate from Great Britain and become an independent nation. It was an immediate best seller, and swayed a nation in which only a minority of the population supported independence. Its arguments were echoed months later in the Declaration of Independence. It should be noted that Common Sense was edited and titled by Benjamin Rush, the most prominent American physician of the colonial era and a signer of the Declaration of Independence.
The American Academy of Emergency Medicine was founded in 1993, and one issue of the Academy’s newsletter was published that year. It was named Common Sense, both to honor Thomas Paine and because of the similarities AAEM founders saw in AAEM’s founding compared with American independence from Great Britain.
— Andy Walker, MD FAAEM Common Sense, Former Editor-in-Chief
COMMON SENSE 28th Annual AAEM Scientific Assembly: Thank You for Joining Us! Page Message: 3 6 31 President’s Message: 32 Editor’s Message: 33 More Dangerous for Members the LGBTQ Community Delegates Morale Improves COMMON SENSE Politics Makes for Strange Bedfellows Page 7 3 14 30 34 35 Introductory Letter Friends: Establishing Collegiality the ED? Dr. Greg Murphy COMMON SENSE Purpose 7 12 34 39 40 Physician by Any Smell as Sweet Breaking Bad News: Practical Applications in the Emergency Department Thanks for Saving My Life. Sorry was an A--hole Loans Page 3 VOICE OF THE AMERICAN ACADEMY OF EMERGENCY MEDICINE
COMMON SENSE
COMMON
Common Sense
Common Sense is the official magazine of the American Academy of Emergency Medicine (AAEM). It is a bi-monthly publication that reports on all AAEM activities and news from the emergency medicine community. It is delivered to the AAEM membership six times a year which currently stands at 7,500 emergency physicians, residents, and others interested in emergency medicine.
Job Bank – Promote Your Position
Scientific Assembly exhibitors receive 15% discount
Equitable positions consistent with the Mission Statement of AAEM and absent of restrictive covenants have a chance to be featured in-print and online in an exclusive job bank. The job bank is a benefit for AAEM members only and a go-to source for job seekers.
For a one time fee of $500 (or with expanded text for an additional fee) you can run your position opening for a term of 6 months or until canceled. For more information visit www.aaem.org/benefits/job-bank. Job listings are posted both online and will run in three issues of Common Sense.
Western Journal of Emergency Medicine
The Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health (WestJEM) has been in publication since 2007. It is the premier openaccess, peer-reviewed emergency medicine journal read by over 12,000 physicians, residents, and health care providers throughout the United States. WestJEM has over 16,000 monthly hits on our website.
Special Pricing for Common Sense Advertisers
Advertising Solutions Advertising Sales & Job Bank: Contact: Missy Zagroba Executive Director mzagroba@aaem.org 800-884-2236 WestJEM: Contact: Stephanie Burmeister, MLIS WestJEM Administrative Manager sburmeister@aaem.org 800-884-2236 (Below are hospitals, non-profit or medical school employed positions.) SECTION POSITIONS RECOGNIZED AS BEING IN FULL COMPLIANCE WITH AAEM’S JOB BANK CRITERIA To place an ad in the Job Bank: Equitable positions consistent with the Mission Statement of the American Academy of Emergency Medicine and absent of restrictive covenants, will be and will appear in the AAEM member magazine For pricing and more information visit www.aaem.org/membership/benefits/ job-bank. Complete Job Bank registration form, along with the Criteria for Advertising Section, and submit payment. you are an outside recruiting agent, the Job Bank Criteria for Advertising must be downloaded and completed by repreDirect all inquiries to: www.aaem.org/membership/benefits/job-bank or email info@aaem.org. AAEM Job Bank Service Promote Your Open Position Positions Available For further information on particular listing, please use the contact information listed. Positions in full compliance with AAEM’s job bank advertising criteria, meaning the practice wholly-owned by its physicians, with no lay shareholders; the practice equitable and democratic; due process guaranteed after a prorestrictive covenants; and board certified emergency physicians are treated equally, whether they achieved ABEM/AOBEM/RCPSC certification via residency training or the practice track. Section II: Positions that cannot be in full compliance with AAEM’s job bank criteria, because they are employee positions with hospitals medical schools and the practice is not owned by its emergency physicians. Thus Positions that cannot be in full compliance with AAEM’s job bank criteria, because they are government or military employee positions. The practice is not owned by its emergency physicians, and there may not be financial transparency or political equity. Section IV: Position listings that are independent contractor positions rather SECTION TWO COLORADO The Emergency Medicine Residency Denver Health Medical Center recruiting for Program Director to lead our Emergency Emergency Medicine Program Director necessary to meet the requirements the ACGME Next Accreditation System (NAS). encompass every aspect postgraduate medical education training. This includes oversight of: Curriculum and evaluation residents and fellows, including duty hours, and Program management (e.g., program evaluation and improvement, the program by being familiar with and complying with the ACGME Institutional Requirements Common Program Policies and Procedures and the CU SOM GME Policies and Procedures. The Program Director should monitor his or her Qualifications Experience: Minimum 3-5 years participation as core faculty member in an ACGME-accredited emergency submit CV and cover letter/statement interest Aaron Ortiz, Manager Provider Recruitment aaron.ortiz@dhha.org P: 303Website: https://www.denverhealth.org/services/emergencyCONNECTICUT Trinity Health Of New England seeks BC/BE EM Physicians to Waterbury, Connecticut. Our practice model empowers our physicians work their highest level, while allowing time to grow into leadership role, you will thrive Trinity Health New England. To learn more visit our provider portal www. https://www.jointrinityne.org/Physicians NovDec, JanFeb, MarApr in Independence, Missouri. Qualified Candidates: Board certified emergency medicine with minimum three years’ Available begin work spring 2023 Ability obtain Missouri licensure Excellent interpersonal and communication skills select candidates for the residency program through the National Residency Matching Program. Provide accurate statistical and Medicine. Maintain current knowledge the accreditation and operational requirements the residency program, including of the program. Incentive/Benefits Package: Competitive W2 compensation Robust benefits include medical, dental, vision Website: https://careers.hcahealthcare.com/jobs/10681698emergency-medicine-residency-founding-program-directorNEW HAMPSHIRE nationally for providing outstanding patient care, fostering the medical and biomedical education the next generation, primary responsibility and accountability for the overall direction, operation, and management the Department accordance hold medical degree (MD, MD/MPH, MD/MBA, MD/PhD) equivalent degree(s); qualify for rank of Professor Associate be eligible for licensure the state New Hampshire. The preferred candidate will have five more years experience should be submitted to: Elizabeth Homsy Senior Associate, Healthcare Practice Korn Ferry elizabeth.homsy@kornferry. without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity expression, Website: https://www.dartmouth-health.org/ MarApr, MayJun, JulAug Board certified Emergency Medicine 5-10 years of clinical experience (preferred) years of group leadership (preferred) provider staff b. Maintain regular reviews and evaluations providers Interview provider candidates Participate rate of providers across the system ensure department goals
President’s Message: - Why Is So Important 3 Thoughts on the Election of Surgeon to the Presidency of ACEP 11 Where Would AAEM? 13 Introducing the ED Management 19 AAEM/RSA President’s Message: Why Do Female Superheroes Still Need Support Organizations? 40 Professionalism and its Implications on our Health Care System — 16 Robert Frolichstein, MD FAAEM “We need to be involved in our organizations and devote the time and energy to engage in discussions that will improve our organizations and allow them to impact changes within our system.”
MARCH/APRIL 2018
SENSE
OF
VOICE
THE AMERICAN ACADEMY OF EMERGENCY MEDICINE
COMMON SENSE
Ad Specs
AAEM reserves the right to reject for any reason or to require revision of any advertising submitted for publication in Common Sense*. If payment has been made for any advertising which is subsequently rejected, AAEM shall refund such payment to the advertiser and AAEM shall have no further responsibility to the advertiser. Any artwork or materials submitted to AAEM will become the property of AAEM and, at its discretion, destroyed unless the advertiser requests the return of it in writing not later than 90 days after printing. High resolution PDF required.
Equitable positions consistent with the Mission Statement of AAEM and absent of restrictive covenants will be published upon approval. Complete a Job Bank registration form, along with the Criteria for Advertising Selection, and submit payment. If you are an outside recruiting agent, the Job Bank Criteria for Advertising must be downloaded and completed by a representative from the recruiting hospital.
Organizations who have advertised in Common Sense within the past 12 months receive exclusive access to discounted WestJEM advertising prices. For more information about WestJEM advertising, contact westjem@aaem.org.
Prices listed above indicate per issue. Black and white only for non-cover ads in print. All advertisements will be in color in interactive electronic issues. Ad inserts available upon request. Each year, 10 electronic issues and up to two print issues are published. Electronic issues include both the Western Journal of Emergency Medicine and Clinical Practice and Cases in Emergency Medicine journal publications. WestJEM reserves the right to decline any advertising, CME, and job board postings (including those that do not conform to the ethical standards of the California Chapter Division of AAEM, AAEM, California ACEP, and the American College of Osteopathic Emergency Physicians). Thank you for adhering to the principles of fair practice through AAEM. All cancellations must be received in writing by the reservation deadline and will incur a 25% non-refundable administrative fee.
* Educational conferences and activities must first become an AAEM Jointly-Provided or Recommended Conference prior to advertising in AAEM materials. Please see AAEM’s full advertising policy for more information on this and other policies and to ensure your ad is in compliance: www.aaem.org/resources/publications/common-sense/advertise
Common Sense AD TYPE SIZE SINGLE INSERTION MULTIPLE INSERTION Full Page 7-1/2” w x 9-3/4” h $755 $646 each Half Page Vertical 3-5/8” w x 9-3/4” h $646 $559 each Half Page Horizontal 7-1/2” w x 4-3/4” h $646 $559 each Quarter Page 3-5/8” w x 4-3/4” h $537 $472 each
Job Bank AD TYPE SIZE 6-MONTH INSERTION Regular 100 words or less $500 Expanded Text 50 extra words $200
Western Journal of Emergency Medicine AD TYPE SIZE PRINT ISSUE ELECTRONIC ISSUE Full page 8” w x 10.5” h $1,550 $800 Half page 8” w x 5” h $1,250 $500 Quarter page 4” w x 5” h $1,050 $300
VOICE OF THE AMERICAN ACADEMY OF EMERGENCY MEDICINE
COMMON SENSE
Issue Deadlines
January/February 2023
March/April 2023 February 1, 2023
May/June 2023 April 1, 2023
July/August 2023 June 1, 2023
September/October 2023
November/December 2023
August 2, 2023
October 1, 2023
Ads are text based only and may be submitted at any time. Job postings are always available on www.aaem.org for AAEM members. Print copies of the job postings are included in each issue of Common Sense, listed above.
*Publication month and issue are subject to change by WestJEM.
ISSUE AD DEADLINE
Common Sense
December 1, 2022
Job Bank
Medicine ISSUE NUMBER PUBLICATION MONTH* AD MATERIALS DEADLINE PRINT Special Issue January 2023 December 4, 2022 Special Issue August 2023 July 4, 2023 ONLINE 1 January 2023 December 4, 2022 2 March 2023 February 4, 2023 3 May 2023 April 4, 2023 4 July 2023 June 4, 2023 5 September 2023 August 4, 2023 6 November 2023 October 4, 2023 Clinical Practice and Cases in Emergency Medicine ISSUE NUMBER PUBLICATION MONTH* AD MATERIALS DEADLINE ONLINE 1 February 2023 January 4, 2023 2 May 2023 April 4, 2023 3 August 2023 July 5, 2023 4 November 2023 October 6, 2023
Western Journal of Emergency
AAEM-1220-273
VOICE OF THE AMERICAN ACADEMY OF EMERGENCY MEDICINE
