The Pulse - Winter 2021 by ACOEP

WINTER 2021

NEW BEGINNINGS A FRESH START TO A NEW YEAR ACOEP’S 2020 VIRTUAL SCIENTIFIC ASSEMBLY: REIMAGINED PG 7

CONGRATULATIONS TO ACOEP’S NEWEST BOARD MEMBERS! PG 11

The Pulse VOLUME XLIX No. 1

SAVE THE DATE

EDITORIAL STAFF Timothy Cheslock, DO, FACOEP, Editor Wayne Jones, DO, FACOEP-D, Assistant Editor Tanner Gronowski, DO, Associate Editor Justin Grill, DO, FACOEP John C. Prestosh, DO, FACOEP-D Christine F. Giesa, DO, FACOEP-D Erin Sernoffsky, Director of Media Services Gabi Crowley, Senior Communications Manager EDITORIAL COMMITTEE Timothy Cheslock, DO, FACOEP, Chair Justin Grill, DO, FACOEP Christine Giesa, DO, FACOEP-D

The Pulse is a copyrighted quarterly publication distributed at no cost by ACOEP to its Members, Colleges of Osteopathic Medicine, sponsors, exhibitors, and liaison associations recognized by the national offices of ACOEP.

RevitalizED April 6-9, 2021

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Display and print advertisements are accepted by the publication through ACOEP, 111 West Jackson Boulevard, Suite 1412, Chicago, IL 60604, (847)686-2235, or electronically at marketing@acoep.org. Please contact ACOEP for the specific rates, due dates, and print specifications. Deadlines for the submission of articles are as follows: January issue due date is November 15; April issue due date is February 15; July issue due date is May 15; October issue due date is August 15. Advertisement due dates can be found by downloading ACOEP's media kit at www.acoep.org/advertising. ACOEP and the Editorial Board of The Pulse reserve the right to decline advertising and articles for any issue. ©ACOEP 2021 – All rights reserved. Articles may not be reproduced without the expressed, written approval of ACOEP and the author. ACOEP is a registered trademark of the American College of Osteopathic Emergency Physicians.

www.acoep.org/spring ACOEP is a dually accredited CME provider by the AOA and the ACCME

TABLE OF CONTENTS 3

PRESIDENT’S REPORT Robert E. Suter, DO, MHA, FACOEP-D

EXECUTIVE DIRECTOR’S DESK Emily Burch

THE ON-DECK CIRCLE G. Joseph Beirne, DO, FACOEP-D

ACOEP’S 2020 VIRTUAL SCIENTIFIC ASSEMBLY: REIMAGINED

THE DISASTER WITHIN William L. Bograkos, MA, DO, FACOEP, FACOFP

ACOEP’S COMMITTEE FOR WOMEN IN EMERGENCY MEDICINE UPDATE Nicole Vigh, DO, MPH

CONGRATULATIONS TO ACOEP’S NEWEST BOARD MEMBERS!

IN MEMORIAM ANTHONY DIPASQUALE, DO, FACOEP Karen Greenberg, DO, FACOEP, FAAEM UMDNJ-SOM

IN MEMORIAM KEVIN LOEB, DO, FACOEP-D

IN MEMORIAM MICHAEL Q. DOYLE, DO

CONGRATULATIONS TO THE WINNERS OF THE 2020 RESEARCH COMPETITIONS

CONGRATULATIONS TO THE 2020 CLASS OF ACOEP FELLOWS AND LIFE MEMBERS

WHAT WOULD YOU DO? ETHICS IN EMERGENCY MEDICINE Bernard Heilicser, DO, MS, FACEP, FACOEP-D

PRESIDENT’S REPORT

Robert E. Suter, DO, MHA, FACOEP-D, FIFEM

NEW BEGINNINGS

ost probably didn’t realize that the 1999 #1 Billboard song “Closing Time,” by the rock band Semisonic, included a quote from the famous Roman philosopher Seneca. It is also as much about the songwriter’s complex thoughts about the pending birth of his first child as it was about the more obvious closing of a bar for the night. As ACOEP enters 2021, we similarly have many mixed emotions and complex thoughts surrounding the changes in an incredibly important part of our family, our ACOEP staff. In order to secure our bright future, we restructured our staff support and moved our office in response to the realities and realizations about our financial situation, which I spoke of in the last issue of The Pulse and at our Fall Membership Meeting. Previously unbeknownst to us, a combination of many factors, including rent in downtown Chicago and our overall salary expenses, had been draining our reserves for some time. It was not sustainable. As a result, the Board set about finding a way to restructure ourselves so that we will be successful as a community well into the future. In this issue, you will see greetings from our new Executive Director, Emily Burch, and others who have joined us to support and work with us to take our ACOEP community to new heights. While we are excited to announce

EVERY NEW BEGINNING COMES FROM SOME OTHER BEGINNING’S END.” LUCIUS ANNAEUS SENECA (4 BC- 65 AD) new staff joining ACOEP, we are incredibly sad to see others go. We were truly blessed by the dedication and selfless professionalism of the staff who will moved on to other positions as a result of the transition. They were truly amazing in the face of the circumstances, especially considering the challenges of dealing with the COVID pandemic. They will always be welcome members of the ACOEP Family, and we owe them a huge debt of gratitude. Hopefully, we can find a way to more appropriately recognize them for their service to our community in the future. We continue to rectify our organizational situation in partnership with our new Executive Director who will solidify our change to modern cost accounting principles, accountability, membership, and

governance support. She, along with a dedicated staff, will accomplish this through the management services of Kellen, a charter-accredited member of the Association Management Companies Institute.This team will also assure that we are generating maximum advertising and non-dues revenue from our events, publications, and activities. With this change, we are confident that ACEOP will have the organizational flexibility, expertise, and stability needed to allow us to refocus on our mission of supporting and advocating for you and our community. Our heavy organizational focus during the past one to two years was not something any of us wanted any more than we would have wished for COVID-19. My term was supposed to be

primarily focused on expanding opportunities for our community by leveraging our relationships with others. In my remaining time as President and on the Board, I will do just that. With all that is going on internally, some may not know the ways in which ACOEP advocates on your behalf, usually in partnership with others to maximize efficiency and effectiveness. Just a few of our current efforts include: ADVOCATING FOR THE YEAR-END COVID RELIEF PACKAGE FOR EMERGENCY PHYSICIANS NEGOTIATING FOR THE FAIR RESOLUTION OF SURPRISE MEDICAL BILLING ISSUES ADVOCATING TO HOLD PHYSICIANS HARMLESS FROM MEDICARE CUTS IN 2021 SUPPORTING DUE PROCESS RIGHTS AND PROTECTIONS FOR EMERGENCY PHYSICIANS PETITIONING AOA FOR EM SUBSPECIALTY CERTIFICATION PARITY FOR AOBEM PHYSICIANS For all we do on behalf of our community, the one thing that we

cannot fully replicate is the warmth and closeness of our in-person events. That said, while we are certain it will be a world-class educational event, we recognize the need to once again hold our Spring Seminar virtually. As we begin to exit this tragic pandemic, we need our community to rally behind us. With your help, the ACOEP community will refuse to be a victim of this pandemic and the internal events that proceeded it. Renew your membership and solicit a friend to join. Register for the Spring Seminar. We continue to need you to make these investments in the future of your ACOEP Family to ensure the best post-COVID future of our community. ACEOP has always been for and about you, through advocacy for our community. Continue to be there for us, and advocate for us with your colleagues as we undergo a rebirth, our new beginning. While one chapter in our story is closing, the next has already begun. We will provide our community an even better place to gather, virtually now, and one day in person again. Together, we will

celebrate both “closing time” and our new “opening time.” Meet you at the bar! If we all continue to work together to sustain our community during these difficult times, our best days are still ahead of us. –•–

THE ONLY WAY AROUND IS THROUGH.” – ROBERT FROST

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he ACOEP Board of Directors recently made an exciting and important decision to transition operational and day-to-day management activities to Kellen, a renowned association management company. As part of this transition, I am honored to join ACOEP as Executive Director. Nearly all of my 15 years of health care association management have been spent with Kellen. In this leadership role I developed skills in strategic planning, relationship strategy, governance, leadership and program development, staff

EXECUTIVE DIRECTOR’S DESK

THE ON-DECK CIRCLE

Emily Burch

G. Joseph Beirne, DO, FACOEP-D

TRANSITION

A NEW YEAR, A NEW HOPE

management, budgeting, and operations. Leveraging this skill set, I will focus on identifying and implementing strategies to bolster and promote ACOEP. I will manage and support ACOEP as it provides personal and professional support for the emergency medicine community; to empower members as they provide outstanding care for patients and themselves; and navigate the evolving practice of medicine. I am eager to meet the ACOEP membership and begin building strong relationships with its leadership.

Together we will not only maintain but elevate the operational strength of ACOEP and ensure the highest quality of program delivery. I am pleased to introduce new members of the ACOEP team that will assist me on this journey:

NAKESHIA BETSIL – MEMBERSHIP & RESIDENT AND STUDENT ORGANIZATION MANAGER PATRICIA FERCHLAND-BINGHAM – SENIOR EDUCATION MANAGER MEAGAN COMERFORD – DIRECTOR OF COMMUNICATIONS JOANNE KUBINSKI – ASSOCIATION MANAGER

TOGETHER WE WILL NOT ONLY MAINTAIN BUT ELEVATE THE OPERATIONAL STRENGTH OF ACOEP AND ENSURE THE HIGHEST QUALITY OF PROGRAM DELIVERY.”

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HOLLY LUNDGREN – EDUCATION PROJECT MANAGER JOSEFINA MENDEZ – ASSOCIATION COORDINATOR DONALD ROLFE – MARKETING COMMUNICATIONS MANAGER I would also like to thank the ACOEP Board of Directors for this extraordinary leadership opportunity. There is much to learn, without question, and I will invest time and attention to learn as much as possible about the culture, policies, and, of course, the members. Let’s make 2021 a great year! –•–

020 has been an extraordinarily difficult year for all of us in emergency medicine. Over this year in my quarterly articles for The Pulse, I have written about how COVID-19 has impacted my practice, my family, my colleagues, and our profession. In late November, I tested positive for COVID-19 and spent 10 days in quarantine. I am now fully recovered. I consider myself one of the lucky ones that my symptoms only were sinus congestion and a mild cough. During my quarantine, I had plenty of time to think about the events of this year and look forward to 2021—a new year and new hope exists. The vaccines have been approved for our EM group and we are hopeful this will stem the tide of COVID-19 and return our society to some sense of normalcy. This year has also been challenging for ACOEP. We entered the year with many challenges as we rounded the corner on our financial crisis. As fall approached, the Board made the decision to pursue an outside management company to run the day-to-day operations of the college. After multiple interviews, the board selected Kellen as our new association management company. This will allow us to have significant financial savings and return ACOEP to financial stability. Kellen has significant resources that will allow us to continue to provide the highquality CME conferences that our membership has come to expect and

ACOEP HAS ALWAYS HAD A ‘FAMILY FEEL.’ AS WE MOVE FORWARD, THAT FAMILY QUALITY WILL NOT ONLY IMPROVE, BUT EXPAND AS WE BRING MORE PEOPLE INTO THE ORGANIZATION.” appreciate. Kellen’s resources will also enable ACOEP to expand its footprint in the EM community as we enter 2021. It is a truly exciting time for all of us. We realize that with this decision our ACOEP staff will seek other opportunities, but their loyalty to the organization and devotion and dedication to the profession has made this transition very smooth. As president-elect, I will work closely with the new management team to help expand our reach, as well as improve the structure of our committees and engage our membership to keep everyone involved as we move into 2021. ACOEP has always had a ‘family feel.’ As we move forward, that family quality will not only improve, but expand as we bring more people into the organization. My goal is to make ACOEP the best specialty college in the AOA, and to do that, it will take all of us. Every member, every committee chair and vice-chair,

every Board member, and our new management team. I look forward to serving you, our members. A new year and a new hope await us all. Let us work together as a family to make ACOEP the best! –•–

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ACOEP’S 2020 VIRTUAL SCIENTIFIC ASSEMBLY: REIMAGINED

hank you to everyone who made ACOEP’s 2020 Virtual Scientific Assembly: ReimaginED such a success! It has become cliché to reference these “unprecedented times,” but given the chaos in our world, specifically for those on the frontlines of healthcare, it is essential to create easy to access, cutting-edge emergency medicine education. Furthermore, it is remarkable that so many dedicated organizers, educators, experts and learners came together to make the 2020 event so meaningful. Christopher Colbert, DO, and Molly Estes, MD, collaborated to bring together over 40 of the best

minds in emergency medicine to serve as faculty, participate in interactive panels, and share their experience and expertise. Nearly 1,000 attendees logged in to sharpen their skills, enjoy general session lectures and breakout tracks, participate in committee meetings, view exciting research competitions and earn valuable 1A CME. Don’t forget, recordings of the lectures are still available for conference attendees to view at any time. Mark your calendars for the 2021 Virtual Spring Seminar: ReimaginED, planned for April 6-9th. Watch your email for more information coming soon! –•–

THANK YOU TO MOLLY ESTES, MD, & CHRIS COLBERT, DO, CO-CHAIRS OF ACOEP’S VIRTUAL SCIENTIFIC ASSEMBLY: REIMAGINED!

THANK YOU TO OUR 2020 SCIENTIFIC ASSEMBLY SPONSORS!

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THE DISASTER WITHIN By William L. Bograkos, MA, DO, FACOEP, FACOFP This article is adapted from a piece originally published in the Journal of Addiction Medicine.

ar is a man-made disaster. Many people who have been deployed on military or humanitarian missions experience disaster within – trauma that doesn’t bleed. But you don’t have to be a soldier or peacekeeper to experience disaster within. All those working in healthcare during our current pandemic are susceptible to this form of trauma. The word “disaster” derives from Greek and Latin, meaning, “stars out of alignment.” An initial disaster stressor, an associated trigger and an individual’s coping skill can certainly knock one’s personal celestial sphere out of orbit. Acute or chronic disaster is often followed by substance abuse. The abuse can be impossible to ignore with explosive binging, or present as a steadily slow-burning fire, which can be just as destructive. Trauma associated with substance abuse could stem from violence, but in the current pandemic climate, it is more often associated with trauma that doesn’t bleed. Disaster within is quickly becoming an omnipresent problem. A ship may appear to be burning and sinking during the odyssey of life, but, with survival skills and a bit of hope, it can reach safety through recovery. The journey to safety, rehabilitation, reconstruction and development towards a stronger self endures in the continuum of

disaster dynamics. Ships and homes need to be attended to, developed and strengthened. The wind and the sea are a constant threat to those who engage in life. Travelers must be prepared for these challenges and understand how to navigate dangerous waters. Triggers may threaten to bring one onto the rocks of relapse. Access to care is access to skillful shipbuilders. In other words, access to care is access to education and recovery. Collaboration between medical specialties such as emergency medicine and addiction medicine is essential. As is building bridges between professionals such as social workers. Dedicated clinicians who have studied the nature of addiction medicine, and have navigated the seas of disaster within, are essential to keeping us all afloat. All disasters require coalitions of interdisciplinary stakeholders. This holds true for both patient-centric recovery and physician wellness. Disaster plans currently address vulnerable populations, PES and deliberate epidemics. Leaders and mentors must bring stakeholders together to prepare and respond to disasters. Let us train together in treating the disaster within while easing the burden our communities face. –•–

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ACOEP’S COMMITTEE FOR

WOMEN IN EMERGENCY MEDICINE UPDATE By Nicole Vigh, DO, MPH

ACOEP’s Committee for Women in Emergency Medicine enjoyed an incredible turnout for our events during ACOEP’s 2020 Virtual Scientific Assembly: ReimaginED! We kicked off with our virtual committee meeting, discussing our lecture track, themed “20/20 Virtually Perfect Vision.” Our thanks to Teagan Lukacs, DO, MPH for all her hard work and for the great contributions she wrote for The Pulse while serving as PR Chair the last two years. We would like to welcome Christina Hornack, DO, our newly elected PR Chair. We are looking forward to working with her! We have some great new merchandise coming soon, including t-shirts, polos, scarves, and, given the current pandemic, ACOEPbranded masks and bags to carry all of your personal protective equipment. Please follow our Facebook page for future updates and links to

Thank you Nicole Vigh, DO, MPH for your contributions to The Pulse on behalf of ACOEP’s Committee for Women in EM!

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purchase the latest ACOEP swag! We also began preliminary plans for the spring community service event. Each year at the Spring Seminar the Women’s Committee participates in a philanthropic event. As the resilient emergency physicians we are, we don’t plan on letting the pandemic stop us from participating in our annual community service event! Further details regarding a community service challenge will be provided on our Facebook page. We are sure this will be a great event. And, since it’s virtual, it will be accessible from anywhere. Our Women in EM Virtual Luncheon and Educational Track took place on Tuesday, October 13th. More than 100 participants from across the country joined us virtually for the great lectures. We presented the Willoughby Award to this year’s recipient, Dr. K Kay Moody, DO, MPH. The Willoughby Award was named to honor Dr. Paula Willoughby DeJesus who was the first female physician to serve as the president of ACOEP. Each year the Women’s Committee presents the award to a well-deserving female physician who displays exceptional leadership in the field of emergency medicine. Dr. Moody started the very well-known Facebook group, emDOCs, which has successfully connected

K KAY MOODY DO, MPH

KAREN GREENBERG, DO

2020 WILLOUGHBY AWARD RECIPIENT

thousands of emergency medicine physicians throughout the world and has provided a forum for emergency medicine physicians to share experiences and information. Dr. Moody is a champion for physician well-being and is the founder of Physician Wellness, an organization that aims to prevent physician burnout by encouraging sustainable professional satisfaction. She is also the founder of the Glacier Rock Wellness Ranch in Washington, a space where physicians can come to share both the joys and challenges of practicing medicine. Dr. Moody joined us from her scenic backyard among the trees and chirping birds because she lost Wi-Fi just prior to the conference! Dr. Moody’s lecture entitled “Wellness in a Pandemic” discussed her five wellness tools in which she encourages us to 1. Be rebelliously happy; 2. Set boundaries; 3. Maintain our physical health; 4. Get outside; and 5. Be courageous. Dr. Moody’s lecture on wellness comes at a critical time

when many emergency physicians are experiencing burnout during the pandemic and physician wellness has taken a backseat. Her advice, positive attitude and resilient character make her an excellent role model for all of us. We were also joined by Karen Greenberg, DO, who serves as the Director of the Neurologic Emergency Department at CrozerChester Medical Center in Upland, Pennsylvania. Her innovations were critical to the creation of the first neurologic emergency department in the country. Dr. Greenberg discussed the topic of stroke in women. As Dr. Greenberg pointed out, stroke is the third leading cause of death in women, with an increased mortality in women compared to men. She advised us to look for atypical symptoms in women including generalized weakness, nausea, vomiting and confusion. Lastly, we hosted a panel discussion on alternative careers in emergency medicine. For this panel discussion we had three extremely

interesting physicians join us. Sally Henin, MD shared her perspective from Memorial Hermann Health System in Texas, where she oversees forensic nurses who care for sexual assault patients. Thomas Lukens, MD joined us to discuss his experience working in cruise ship medicine with National Geographic. Tracy Sanson, MD spoke about her work as an independent contractor in which she serves as a consultant and educator in leadership development and medical education. It was quite an eye-opening experience to learn about some of the alternative career paths in emergency medicine! We thank all those who participated in our virtual Women’s Committee Meeting, as well as our virtual luncheon and educational track. We are so excited to have had such a great turnout! Please check our Facebook page for future details regarding purchasing ACOEP merchandise and to stay informed regarding our virtual spring community service event! –•–

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PATRICK CODY, DO, MPH, FACOEP Patrick Cody, DO, MPH, FACOEP, is a board-certified emergency physician practicing within the Norman Regional Health System. He is the program director for the Emergency Medicine Residency Program in Norman. Additionally, he is the medical director for EMSStat ambulance service, the Cities of Norman and Moore Fire Departments, the City of Norman Communications Center, LifeNet EMS in Stillwater, Oklahoma, McClain-Grady County EMS, and the Gomer Jones Cardiac Care Clinic inside the University of Oklahoma Gaylord Family Stadium. He serves as the co-medical director for REACT EMS in Shawnee, Oklahoma, and is the team physician for the Norman Police Department SWAT team.

AMEET S. PARIKH, DO, MBA

CONGRATULATIONS TO

ACOEP’S NEWEST BOARD MEMBERS!

t a virtual ceremony during ACOEP’s 2020 Scientific Assembly, three longtime ACOEP members took their oaths as the newest members of ACOEP’s Board as Patrick Cody, DO, MPH, FACOEP, Ameet S. Parikh, DO, MBA, and Victoria H. Selley, DO, FACOEP, all began their first terms. John Graneto, DO, M.Ed, FACOEP-D, and Brandon Lewis, DO, FACOEP, were each reelected to the Board, and Dr. Lewis will serve another term on the

Executive Committee as Treasurer. Mehgan Lazenby, OMS-3, and Kaya Smith, DO, will each serve as non-voting Board members representing ACOEP’s Student Resident Organization (RSO). Congratulations to our newly elected and reelected Board members. The future is looking bright! –•–

Ameet S. Parikh, DO, MBA, is a graduate of Philadelphia College of Osteopathic Medicine, where he also earned a master’s degree in Biomedical Sciences. He then went on to earn his MBA in Health Administration from St. Joseph’s University. Dr. Parikh currently works as an emergency physician with Alteon Health and is the vice chair of the emergency department at Jefferson Medical Center in Ranson, West Virginia. He is a clinical assistant professor with the University of West Virginia. His work extends beyond education and patient care where he utilizes his business training to create fiscally responsible departments, developed a system to alert providers of high frequency users if that patient has been exhibiting drug-seeking behavior. He has additional experience in developing policy.

VICTORIA H. SELLEY, DO, FACOEP Victoria H. Selley, DO, FACOEP, is a graduate of NOVA Southeastern University College of Osteopathic Medicine and completed her residency at Lehigh Valley Hospital. She began her tenure with ACOEP as a member of the Resident Chapter Board before transitioning to the Young Physicians Group (now the New Physicians in Practice). For the last three years, she has co-lectured at the COLA Review at Spring Seminar. She currently practices medicine for USACS at AdventHealth in Sebring, Florida, where she serves as the medical director. She looks forward to bringing fresh perspective to the Board, to continuing to foster ACOEP’s family atmosphere, and to helping establish the next generation of ACOEP members.

KAYA SMITH, DO Kaya Smith, DO, is the newly instated President of ACOEP’s Resident Student Organization (RSO). Dr. Smith is a native of Cleveland, Ohio. She is a graduate of the University of Toledo and Lake Erie College of Osteopathic Medicine. Dr. Smith is a resident at Norman Regional where she takes an active interest in teaching, ultrasound, critical care, infectious disease, and equality in medicine.

MEGHAN LAZENBY, OMS-3

CONGRATULATIONS TO OUR NEWLY ELECTED AND REELECTED BOARD MEMBERS. THE FUTURE IS LOOKING BRIGHT!” 11

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Mehgan Lazenby, OMS-3, is serving as the RSO’s Director of Student Affairs. Mehgan is from Montgomery, Alabama, and is a graduate of Auburn University of Montgomery. She earned her master’s degree at University of Alabama at Birmingham. She attends Edward Via College of Osteopathic Emergency Medicine.

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REMEMBERING ANTHONY DIPASQUALE, DO, FACOEP IN MEMORIAM

By Karen Greenberg, DO, FACOEP, FAAEM UMDNJ-SOM Emergency Medicine Residency Class of 2007

on. Husband. Father. Physician. Mentor. Colleague. Friend. Hero. Legend. The Best. The world of emergency medicine became a little darker early in the morning of November 1, as Dr. DiPasquale lost a long, hardfought battle with cancer. It was a unique situation as his own former residents, who are now attending physicians, would care for him, sworn to secrecy, as his body failed him, yet his mind stayed sharp. Affectionately known as “Dr. D,” Dr. Tony DiPasquale graduated from the Philadelphia College of Osteopathic Medicine in 1977 where he also completed his emergency medicine residency in 1981. He obtained board certification in 1987 and went on to become a Fellow of the American College of Osteopathic Emergency Physicians. In 1993, Dr. DiPasquale was the founding program director of the emergency medicine residency program at Rowan SOM/ Jefferson South Jersey Hospital (formerly UMDNJ-SOM/Kennedy Memorial Hospital). There are too many awards and accolades to mention, but one that needs highlighting is Dr. DiPasquale as the winner of the 2015 Field Mentor of the Year Award. He was the perfect choice because of his dedication to the medical credo, “see one, do one, teach one.” He possessed infinite patience to ensure that his program promoted a family atmosphere where residents,

medical students, nurses, and healthcare professionals felt comfortable asking questions and learned the whys behind every procedure. No one was more deserving to win Mentor of the Year. Those of us who trained with him would argue the award could easily have been Mentor of the Decades instead. Dr. D was the kind of program director who always had your back, always went to bat for you, and always made sure his graduates were ready for anything. He taught what the medical textbooks could not. He attended every Wednesday academic conference for over 20 years and was always the first person in the room. The opportunity to work side by side with him on shift in the emergency department was always a gift. He gave his residents independence, yet always kept a watchful eye, and there were always clinical pearls taught from his years of experience. He often recognized our clinical and leadership potential before even we did. Tony trained over 200 residents during his esteemed career. With all the alumni practicing as emergency physicians, both nationally and internationally, his work will continue to touch thousands of patients’ lives. He was truly a gift to the specialty of emergency medicine and will be missed each and every day. Dr. D was kind, patient, humble, gentle, caring, compassionate, and had an amazing sense of humor. He loved horse racing and could talk for hours about his beloved “ponies.” He was the primary caregiver for his ailing mother for many years, on top of being a revered program director and working full-time clinical hours. He successfully navigated the transition to a combined AOA/AMA ACGME

DR. D WAS THE KIND OF PROGRAM DIRECTOR WHO ALWAYS HAD YOUR BACK, ALWAYS WENT TO BAT FOR YOU, AND ALWAYS MADE SURE HIS GRADUATES WERE READY FOR ANYTHING.”

emergency medicine residency program, and, in his last year as program director, he graduated 19 residents. He was incredibly proud to have graduated his first three-year, dually-accredited residency program in June of 2020. In short, Dr. D is irreplaceable. Tony was an extremely private person and did not want a funeral or even an obituary. In an effort to honor and memorialize his commitment to the program that he spearheaded, current leadership and alumni have created the Anthony DiPasquale, DO, Emergency Medicine Endowed Scholarship at Rowan University School of Osteopathic Medicine. If you would like to make a donation, please visit go.rowan.edu/dipasqualescholarship. All gifts to the fund will be applied to the endowment and will ensure a lasting and true remembrance of our beloved Dr. DiPasquale. Rest in peace now, Tony. You are loved in so many ways by so many people. –•–

Donations may be made to the Anthony DiPasquale, DO, Emergency Medicine Endowed Scholarship at Rowan University School of Osteopathic Medicine

GO.ROWAN.EDU/DIPASQUALESCHOLARSHIP 13

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REMEMBERING KEVIN LOEB, DO, FACOEP-D IN MEMORIAM

t is with deep sadness that the ACOEP community learned of the sudden passing of Kevin Loeb, DO, FACOEP-D. Dr. Loeb was a longtime, valued member of ACOEP and was known to many as a leader, mentor, educator, and friend. “Kevin Loeb represents the best of ACOEP,” says ACOEP President Robert Suter, DO, FACOEP-D, MHA. “He selflessly gave of his time and talent. Most importantly, Kevin was kind, welcoming, and always ready to help someone else find their way. More than anything, Kevin was a friend to all.” Dr. Loeb was an active and enthusiastic member of the Emergency Medicine Services Committee for ACOEP, where he served for many years. He was instrumental in the successful Mass Casualty Simulation held in Chicago in 2018 and was a recognized expert in search and rescue. He was the recipient of the Robert D. Aranosian Excellence in Emergency Medical Service Award. He represented ACOEP as a liaison to other associations and worked to build communication between various bodies to improve prehospital care and emergency medicine in communities across the country. “He may have been the quiet shy guy, but his impact on students and future physicians is far reaching,” remembers longtime friend and collaborator Stephanie Davis, DO,

FACOEP. “He was such a loving, giving friend.” Dr. Loeb worked hard to create a welcoming environment in the committee, often hosting social gatherings for committee members and always eager to share new information and ideas. At conferences, he was always one of the first to arrive in the morning, eager to greet friends and meet new acquaintances. “He was especially dedicated to making young physicians feel welcome,” said Dr. Davis. “He was always reaching out to students and residents helping to introduce them to established members of the College, answering their questions, and bringing them into the fold.” “I had the distinct honor of working alongside Kevin for many years through the EMS committee,” said ACOEP President-Elect Joseph Beirne, DO, FACOEP. “He worked hard, he shared his incredible and invaluable experience, but, most importantly, he made us feel like we were part of a family.” Dr. Loeb graduated from the Midwestern University’s Chicago College of Osteopathic Medicine where he also completed his residency in emergency medicine. Dr. Loeb was an Associate Clinical Professor of Emergency Medicine at the Indiana University School of Medicine, and the Liberty University College of Osteopathic Medicine, in Lynchburg, Virginia. He was a Resource Physician and Volunteer

Firefighter at the Honey Creek Department of Fire and Rescue in Terre Haute, Indiana, beginning in 1999. “Kevin was an EM resident when I was a student at CCOM back in the mid 90s,” remembers Dr. Bierne. “He took me under his wing and taught me the ‘trade’ of emergency medicine. At every conference, any students who were new to ACOEP were welcomed with open arms, and Kevin was always right there to make them feel welcome and a part of the family. Kevin gave selflessly and showed how big of a heart he had, without ever seeking

acknowledgment for his efforts. He exemplified the true family spirit of ACOEP and truly paid forward to those who represent the future of our college. We have lost a true friend, warrior, and leader, but his spirit will only grow stronger in each of us and light an eternal path for all.” “Our sincerest condolences go out to all who knew him, especially his wife, Jackie, and his brother, Jason” said Dr. Suter. “He made our EM community stronger, and we will feel this loss profoundly.” –•–

REMEMBERING MICHAEL Q. DOYLE, DO IN MEMORIAM

he ACOEP community was saddened to learn that Michael Q. Doyle, DO, passed away unexpectedly December 15, 2020 at McLaren Oakland Hospital, at the age of 75. At the time, he was surrounded by the comfort of his wife, daughter and highly respected colleagues and friends. Dr. Doyle practiced Emergency Room medicine for more than 45 years. He was the Director of the Emergency Medicine Residency Program at McLaren Oakland Hospital and was well revered and loved by all the staff and students that he guided and mentored. “The impact Dr. Doyle had as a Program Director at one of the oldest EM programs was instrumental in the professional identity formation of many successful EM physicians working across the country today,” stated John Graneto, DO, FACOEP.

Dr. Doyle’s family extend heartfelt thanks to those who participated in the tribute “Walk of Honor,” as Dr. Doyle departed the hospital for the last time. Special thanks also to Waterford Regional Fire Department, STAR EMS, and the doctors and staff of McLaren Oakland. A memorial mass at St. Daniel Catholic Church will be announced. –•–

Donations may be made to the McLaren Oakland Foundation c/o Dr. Michael Q. Doyle Fund 50 North Perry Street Pontiac, Michigan 48342

THE IMPACT DR. DOYLE HAD AS A PROGRAM DIRECTOR AT ONE OF THE OLDEST EM PROGRAMS, WAS INSTRUMENTAL IN THE PROFESSIONAL IDENTITY FORMATION OF MANY SUCCESSFUL EM PHYSICIANS WORKING ACROSS THE COUNTRY TODAY.” – JOHN GRANETO, DO, FACOEP 15

THE PULSE WINTER 2021

WINTER 2021 THE PULSE

CONGRATULATIONS TO THE WINNERS OF THE 2020 RESEARCH COMPETITIONS RESEARCH POSTER COMPETITION First Place: Carlos Rondon Clavo, MD, Kingman Regional Medical Center Clinical Characteristics and Outcomes of Patients Admitted to an Intensive Care Unit for Severe COVID-19 Infection at a Community Emergency Department Second Place - Tie: Jeffrey Kalczynski, OMS IV, Philadelphia College of Osteopathic Medicine Measuring the Effect of a Resuscitation Academy on Out of Hospital Cardiac Arrest Resuscitation Rates Stephen Lee, OMS IV, Rocky Vista University Impact of the COVID-19 Pandemic on Emergency Department Transfers for a Higher Level of Care

CONGRATULATIONS TO THE 2020 CLASS OF ACOEP FELLOWS AND LIFE MEMBERS ACOEP is built upon a foundation of connection and community. ACOEP’s Fellows, Distinguished Fellows, and Life Members are the life’s blood of this community, keeping our College moving forward. Congratulations to the 2020 ACOEP Fellows and Distinguished Fellows! Your commitment to our organization is instrumental in our success.

ACOEP’S 2020 FELLOWS Wakas Ahmad, DO, FACOEP James F. Baird, IV, DO, FACOEP

CLINICAL PATHOLOGICAL CASE (CPC) COMPETITION

Michael Chipman, DO, FACOEP

First Place: Resident Presenter: Yuchen Duan, MD, Advent Health East Orlando Emergency Medicine Faculty Presenter: Christine Hickey, DO, Good Samaritan Hospital Medical Center A “Simple Case”

Matthew Davis, DO, MS, FACOEP

Second Place - Tie: Resident Presenter: Katelyn Hanson, DO, Jefferson Health- Northeast Faculty Presenter: Ronald Koury, DO, Orange Park Medical Center Spontaneous Uterine Rupture in the First Trimester: A Case Report Resident Presenter: Justin Pile, DO, Swedish Hospital Faculty Presenter: Justina Truong, DO, Kingman Regional Medical Center A Case of Cardiorenal Syndrome

Adam Dawson, DO, FACOEP John Downing, DO, FACOEP Boyce Fish, DO, MS, FACOEP

Ethics in Emergency Medicine

In this issue of The Pulse, I would like to present a situation which occurred in a nursing home that created an interesting ethical dilemma. A nursing home called 911 for an unconscious resident. On arrival, EMS found the patient pulseless and apneic, with staff performing CPR. The down time was about eight minutes. The crew hooked up the patient, and he was in asystole. At that moment, a nurse’s aid arrived with a Do Not Resuscitate order on the chart, and appropriately, executed. One of the responding EMS individuals noticed the patient was lying next to a feeding chair with a diced hot dog on the tray. A paramedic was gathering equipment for intubation and was instructed to insert his laryngoscope. Exclaiming a profanity, he observed a piece of hot dog in the airway and removed it with a McGill’s forceps. CPR continued for a few more moments, and the patient regained a pulse and spontaneous respirations.

DID THE CREW DO THE RIGHT THING TO RESUSCITATE THE PATIENT IN THIS SITUATION?

Mark Keuchel, DO, FACOEP Marc Lewbart, DO, MBA, FACOEP Derek Meeks, DO, FACOEP Christine Patte, DO, FACOEP

ORAL ABSTRACT COMPETITION

Ellen Rodman, DO, FACOEP

First Place: Brian Merritt, OMS IV, Lake Erie College of Osteopathic Medicine Frequency of Abnormal and Critical Laboratory Results in Patients Presenting to a Rural Community Emergency Department with Syncope

Herbert Schiffer, DO, FACOEP

Third Place: Kristen Caine, OMS IV, Midwestern University, A.T. Still Arizona Clinical Characteristics and Outcomes of Patients Admitted to an Intensive Care Unit for Severe COVID-19 Infection at a Community Emergency Department

What Would You Do?

Joshua Hallett, DO, MS, FACOEP

James Pavlich, DO, FACOEP

Second Place: Mary Hughes, DO, Michigan State University Adaptive Change in Simulation Education Delivery Due to COVID-19: A Pilot Project

Bernard Heilicser, DO, MS, FACEP, FACOEP-D

PLEASE VISIT WWW.ACOEP.ORG/NEWSROOM AND SHARE YOUR THOUGHTS ON THIS CASE.

ACOEP’S 2020 LIFE MEMBERS Laurence Anderson, DO, FACOEP Spence Bisbing, DO, FACOEP Charles Boothby, DO Michael Q. Doyle, DO, FACOEP

RESEARCH PAPER PRESENTATION

Karl Harnish, DO

Ruby Hoang, DO, Integris Health Short Term Topical Tetracaine is Highly Efficacious for the Treatment of Pain Caused by Corneal Abrasions: A Double-Blind, Randomized Clinical Trial

Joseph Kuchinski, DO, FACOEP-D

If you have any cases that you would like to present or be reviewed in The Pulse, please email them to us at esernoffsky@acoep.org. Thank you.

Anthony Magiaracina, III, DO, FACOEP John Prestosh, DO, FACOEP-D John Scranton, DO, FACOEP

THE PULSE WINTER 2021

WINTER 2021 THE PULSE

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