January-February 2012 SAEM Newsletter

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2340 S. River Road, Suite 200 • Des Plaines, IL 60018 • 847-813-9823 • saem@saem.org • www.saem.org

JANUARY/FEBRUARY 2012

VOLUME XXVII NUMBER 1

HEALTH POLICY AND EMERGENCY CARE IN 2012: The Great Natural Experiment

ETHICS IN ACTION: Patient Refusing Medical Treatment

LOOKING AHEAD to the 2012 Annual Meeting

VICKEN Y. TOTTEN, MD, MS Globalization of Emergency Medicine – the role of SAEM


SAEM STAFF Executive Director James R. Tarrant, CAE Ext. 212, jtarrant@saem.org Executive Assistant Sandy Rummel Ext. 213, srummel@saem.org Accountant Mai Luu, MSA Ext. 208, mluu@saem.org Administrative Assistant Michelle Iniguez Ext. 201, miniguez@saem.org Grants Coordinator Melissa McMillian Ext. 207, mmcmillian@saem.org Help Desk Specialist Neal Hardin Ext. 204, nhardin@saem.org Web and Information Systems Jason Smith Ext. 205, jsmith@saem.org Marketing & Membership Manager Holly Gouin, MBA Ext. 210, hgouin@saem.org Meeting Coordinator Maryanne Greketis, CMP Ext. 209, mgreketis@saem.org Membership Assistant George Greaves Ext. 211, ggreaves@saem.org

SAEM M em bership Membership Count as of December 28, 2011 2,395 Active 53 Associate 2,850 Resident/Fellow 122 Medical Students

79 Young Physician Year 1 42 Young Physician Year 2 9 International Affiliates 17 Emeritus 5,567 Total

2012 SAEM DUES $560 Active $250 Associate $495 Faculty Group $460 2nd yr. Graduate $335 1st yr. Graduate $165 Resident

$165 Fellow $140 Resident Group $140 Medical Student $120 Emeritus $100 Academies $25 Interest Group

International – email membership@saem.org for pricing details. All membership categories include one free interest group membership.

Advertisement Rates The SAEM Newsletter is limited to postings for fellowship and academic positions available and offers classified ads, quarter-page, half-page and full-page options. The SAEM Newsletter publisher requires that all ads be submitted in camera-ready format meeting the dimensions of the requested ad size. See specific dimensions listed below. • A full-page ad costs $1250 (7.5” wide x 9.75” high) • A half-page ad costs $675 (7.5” wide x 4.75” high) • A quarter-page ad costs $350 (3.5” wide x 4.75” high) • A classified ad (100 words or less) costs $120 If there are any pictures or special fonts in the advertisement, please send the file of those along with the completed ad. We appreciate your proactive commitment to education, as well as to personal and professional advancement, and strive to work with you in any way we can to enhance your goals. Contact us today to reserve your ad in an upcoming SAEM Newsletter. The due dates for 2012 are: December 1, 2011 for January/February issue February 1, 2012 for March/April issue April 1, 2012 for May/June issue June 1, 2012 for July/August issue August 1, 2012 for September/October issue October 1, 2012 for November/December issue


highlights

Hey NewSletter readers Are you looking for more from SAEM? More news, reminders, updates, and insight? Then become a fan of SAEM’s Facebook page, or follow us on Twitter! Just follow the links on the SAEM homepage to join. On our Facebook page, you’ll learn about upcoming events, reconnect with colleagues, browse photos and more! By following SAEM on Twitter, you can join in the conversation on current EM topics, follow links to important resources, and get updated on the latest SAEM news. SAEM has always been a social group – now you can participate through social media!

Join today.

SAEM Has Gone Green! We have heard the request for SAEM to go “green” and we are listening. As of January 2011, SAEM has taken a step forward in the green movement by delivering the SAEM Newsletter electronically to your email. The electronic newsletter can be downloaded from our website to your laptop, net book, or iPad to be read wherever you are. Whether on an airplane or sitting at the kitchen counter, members will still have easy access to the newsletter. Also, if you have missed an issue, don’t forget all newsletters are archived on our website at www.saem.org under Publications. The newsletter contains valuable information and we don’t want you to be left out! Make sure you review your profile to ensure SAEM has your email on file.

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President’s Message

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Executive Director’s Message

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Member Highlight

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Regional Meetings

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Ethics in Action

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2012 Annual Meeting

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SAEM Grants

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Academic Announcements

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Calls And Meeting Announcements


President’s M essage Deb Houry, MD, MPH Emory University

I used to make New Year’s resolutions. I did well a few times, and then lost interest and motivation in more recent years. This year, I was toying with the idea again, but wanted to come up with something different than the usual standard resolutions. According to Wikipedia, about 40-45% adults in the US make at least one resolution a year. The majority (75%) last at least one week; after 6 Debra Houry, MD, MPH months, this figure drops to below 50%. Only 12% actually achieve their goals. Who is most successful in achieving their New Year’s resolution goals? Those who engage in goal-setting, those who make their goals public, and those who get support from their friends.

Committees have developed didactic sessions for the Annual Meeting, written position papers and policies, and evaluated grant proposals for funding. 4. If you are already on a committee or task force, volunteer to lead an objective or come up with a new objective First, thank you for serving on a committee! Despite the recent expansion and growth at headquarters, many of the activities at SAEM are still led by our member volunteers. Opportunities for leadership exist and are plentiful. Leading an objective is a great way to assess your interest in becoming a committee chair or BOD member. In addition, it also demonstrates leadership on the national level - important when going up for an academic promotion. We also welcome suggestions for future objectives, and this is a great way for you to directly shape SAEM.

So, what does this mean for SAEM? I’d like everyone who is reading this to make a resolution. Here are several potential resolutions that meet the principles mentioned above to increase the chances of success. 1. Become active in an interest group With SAEM membership you get one free interest group membership. SAEM currently has 24 interest groups, ranging from academic informatics to wilderness medicine. Where else can you work with 20 or more emergency physicians from across the globe with similar interests to your own? This is a great way to form research collaborations, share curricula, and meet new colleagues. 2. Join an SAEM academy Academies are part of SAEM, but function fairly independently and set their own objectives and agenda each year. Each of the seven academies provides a forum for members to speak with a unified voice to the SAEM Board of Directors (BOD), as well as to other national organizations within their scope of special interest or expertise. For example, the Clerkship Directors in Emergency Medicine (CDEM) was inducted as a full voting member of the Alliance for Clinical Education. The Academy for Women in Academic Emergency Medicine (AWAEM) gives out several awards, including the Early Career and Resident awards, to promising female physicians, and the Research award to a women’s health researcher. AWAEM has also developed sessions for regional SAEM meetings and actively mentors female medical students and residents. 3. Apply to be on a committee or task force Committees are an integral part of SAEM’s functioning. Each year, the BOD develops objectives, with each committee’s input, to help guide its activities for the year. We strive to ensure that the objectives assigned to each committee are well-defined, achievable, and directly related to SAEM’s core mission.

5. Attend the Annual Meeting if you haven’t ever been, or have missed the past several years The Annual Meeting is constantly evolving, and has something of interest for everyone. This year we are adding a Resident Leadership Forum and a Junior Faculty Forum, so that we can continue to support the development of the next generation of academic emergency physicians. We also have entertaining and interactive sessions, such as SimWars and an ultrasound Olympic event. Finally, we are allowing emergency medicine abstracts Continued on Page 5

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Continued From Page 4 presented at all non-emergency medicine conferences within the past year to be submitted for consideration at our meeting, to allow our EM colleagues who regularly present their work at other specialty meetings to present their research at the SAEM Annual Meeting as well. 6. Bring someone with you who hasn’t been to the Annual Meeting This year we are trying something new- we are providing free Annual Meeting registration to 100 people who are not SAEM members and haven’t been to the meeting before, similar to what the American Heart Association did for their 2011 Scientific Sessions meeting. To qualify, these attendees must have a “sponsoring” SAEM member. We hope that this will allow folks to see what SAEM is about and will help us to grow our membership. 7. Attend a regional SAEM meeting, the AACEM/AAAEM meeting, or the AACEM/SAEM session at the AAMC meeting In addition to the SAEM Annual Meeting, there are several other events cosponsored by SAEM that are of great educational value. Regional meetings provide access to a wide audience of young investigators and promote academic exchange among residency programs, their faculty and residents. Most are only 1-2 days long and a quick drive from your home base. This

year’s AACEM/AAAEM meeting will have focused discussions around compensation plans and physician productivity, as well as breakout sessions of chairs and administrators around operations issues, research and education. And each year, SAEM and AACEM cosponsor a session at the AAMC meeting: this year’s session tackled the issue of how the Academic Medical Center should consider and quantify the value of emergency medicine, in service, teaching and research. Consider adding this meeting to your calendar next fall. 8. Give to the SAEM Foundation and “Become One!” The SAEM Foundation relies heavily on members’ donations to fund promising research projects and fellowship training in research and education. Initially, the Foundation only funded research projects and training grants, but now you can designate your donation towards either research or educational initiatives. So consider giving to the Foundation and become one person to help a young investigator get a needed grant or become one person who makes the Educational Fellowship Grant possible. So, as we ring in the New Year, please consider including SAEM in your goals for this upcoming year- it will benefit you both personally and professionally, and any of these resolutions will have an impact on the organization as a whole and on its members. Thanks for all you do! ◗

VIRTUAL ISSUES “Virtual Issues” will be a key feature of the journal’s new home page on our publisher’s recently implemented platform, Wiley Online Library (WOL). A virtual issue is basically just a collection of articles on a given topic - so the EMS virtual issue, for example, will be a running compilation of all EMS articles that we publish. The idea is that a reader will go there to look for a particular article, but then will see our other offerings on that topic as well - increasing our full-text download numbers and helping ensure the broadest dissemination of our authors’ work. The first Geriatrics Virtual Issue is online. Go to the journal’s home page on the WOL platform, see “Special Features” on the left-hand side and click on the feature. http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1553-2712 Stay tuned for updates!

Academic Emergency Medicine (AEM) to launch mobile and iPad app! COMING SOON: Free AEM mobile and iPad app. Stay tuned for further information and consult the journal’s web page on Wiley Online Library to know when it is available. Check on the SAEM Facebook and Twitter pages as well.

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Executive director’s M essage Keep Membership Information Flowing to You Each year when you renew your membership SAEM encourages you to update your membership profile to allow us to deliver timely information such as the Academic Emergency Medicine Journal, Annual Meeting updates, deadline announcements and election ballots. As a Society we represent academic emergency medicine including administration, educators, researchers, James Tarrant, CAE residents, medical students and other members of the academic emergency department. This year, SAEM reduced membership fees for nurses, PA’s, EMT’s, and other healthcare professionals participating in education and research within emergency medicine. This change reflects our commitment to all emergency medicine educators and researchers. All members are provided personal logins to update their profile, change mailing address or professional title, add an additional degree, or update an email address. We encourage you to update your demographic data – including

FAQ How do I log in? Visit the SAEM website at www.saem.org and click on Login (top gray bar). The website will prompt you to enter

Please be assured that your profile information is not shared with anyone. SAEM has a strict policy of not selling or loaning our membership list to any other organization or company. If the Board of Directors approves disseminating information on behalf of another organization, SAEM sends the information directly to you. Having current information in your profile will assist SAEM in better serving you as a member. We also encourage you to check the status of your committees, interest groups and academy memberships. If you notice a discrepancy, please bring this to our attention immediately so that we can correct the mistake. It will also reduce the disruption of journals, newsletters and other items from reaching you at your preferred address or email. Help SAEM better serve you, our member by taking a few moments to update your online profile. ◗

Can I check my membership status online? Yes, you may review if your dues are up-to-date upon Login to your profile by selecting “My Membership”. How do I find other members within an SAEM Academy or Interest Group?

your personal user ID and password.

1. Login to your profile from our homepage at www.saem.org

What if I do not remember my User ID or

2. Click on “My Membership” found on the left navigation panel

password? Like most online login systems, our database only recognizes the email address we have on file. For security

3. You will see the Welcome Page greeting; click on “Find” other users

it needs the same email to send you the password reset

4. Click on “Committees” in the left navigation bar

information. If you are unsure of your user ID or password

5. You will see a complete list of Academies, Committees and Interest Groups, to isolate Academies, click on the drop down next to “Select a Query”

you may send an email to membership@saem.org or call the membership department at 847.813.9823 and we can confirm the email address on record or update it for you.

6. Choose “Academies” or “Interest Group”

Why can’t I change my institution?

7. Click on “select” next to Academy or Interest Group you wish to view

Many of our members participate in the faculty or resident group discount program. Your current membership payment is linked to that institution. If you move to a new institution, you can update all of your contact information and click on “contact us” to send an email to membership to have your institution updated.

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age and gender – as this information allows us to apply for additional grant funding. Also, having correct demographic information assists SAEM in planning programs and activities that best represent the needs and interests of our membership.

8. Here you will see a list of members good through 06/30/2012. 9. You may download the list to a WORD, Excel, or PDF file by selecting one of the icons at the top of the list 10. Select “save” to keep on your desktop or “open” if you just wish to view in a different format


mem ber highlight Vicken Y. Totten, MD, MS

Globalization of Emergency Medicine – the role of SAEM

As the world shrinks, everything is local again. The world has gone global in such a short time that not all medical societies have kept pace. SAEM, on the other hand, has embraced its role as the world organization for academic emergency medicine.

Safety Abroad: CORD, EMRA and GEMA are concerned about the safety of trainees sent abroad. The Safety Abroad Consensus Paper should be submitted to Academic Emergency Medicine this spring.

Founded in 1989, SAEM was American by accident of birth. However, SAEM was never meant to be a country-specific organization. The name says it all: it is a society of academicians interested in emergency medicine. SAEM is the natural home of emergency academicians anywhere in the world. SAEM is the place to go to if you want to learn about creating an EM specialty training program; to learn about how to do research in EM; if you want to find international collaborators for your project; or if you want to learn about statistics from an EM colleague, and much, much more.

Endorsing regional conferences: SAEM/GEMA is one of the endorsers of the First Global Network Conference on Emergency Medicine, held in Dubai, UAE, January13-17, 2012.

The newest SAEM Academy is just 6 months old. The Global Emergency Medicine Academy (GEMA) has done a lot.

GEMA’s mission statement is: • T o improve the global delivery of emergency care through research, education, and mentorship • T o enhance SAEM’s role as the international emergency medicine organization that augments, supports, and shares advances in global research, education, and mentorship

Dues reduction: GEMA’s proudest accomplishment so far is to tie the cost of SAEM dues to country of practice. Member dues are proportional to the Hinari World Bank classification for median income by country. SAEM will be more affordable for EM academicians from lower-income countries.

AEM Consensus Conference 2013: Through GEMA, SAEM will be a sponsor of the 2013 Consensus Conference: “Global Health and Emergency Care: A Research Agenda.” This conference will be held in Atlanta in 2013. If you are a researcher, this will be the place to be. EuSEM Collaboration: For the first time this year, the European Society for Emergency Medicine (EuSEM) will be highlighted at SAEM’s Annual Meeting, to be held in Chicago, May 2012. Some of the best presentations from EuSEM’s conference will be presented in Chicago. Reciprocally, SAEM has been invited to the next EuSEM conference to highlight what is happening in academia. Didactic Presentations 2011 and 2012: In May of 2011, although GEMA had not yet been awarded academy status, its founders presented the didactic “Professionalization of the Humanitarian Sector,” and highlighted some of “International Emergency Medicine Fellowships.” In 2012, GEMA will present three more didactics: “Ethics and Disasters: Responsible Stewardship”; “More Than Just a Hobby: Building an Academic Career in Global Emergency Medicine”; and “Training the Trainers Who Train: A Workshop for Those Who Teach Emergency Medicine Elsewhere in the World.” In SAEM, there is a place for all the researchers and teachers of emergency medicine. GEMA is the place for academicians interested in emergency medicine across boarders. ◗

Multinational Trainees: GEMA has collaborated with EMRA to offer scholarships to senior EM trainees from outside the US to attend the Chief Resident Forum during the annual SAEM meeting. The first 2 recipients will attend SAEM in May 2012.

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SAEM Regional Meetings

A Great Opportunity for Residents and Students Tony Rosen, MD New York-Presbyterian Emergency Medicine Residency SAEM Resident and Student Advisory Committee The SAEM regional meetings, held each year at various locations throughout the nation, offer exciting, unique opportunities for emergency medicine residents and medical students interested in academic emergency medicine. This is a great opportunity to present research, network and learn about cutting edge emergency medicine topics. Young investigators can present original research and have the opportunity to benefit from the expertise of senior faculty in sessions designed to teach essential research skills. Regional meetings are an ideal forum to present since the meeting is hosted at the regional level and there is an opportunity to present to a smaller audience. The intimate setting affords personal feedback and interactions regarding one’s research findings. Regional meetings afford attendees with the chance to interact with leaders in emergency medicine as well as fellow students and residents from nearby institutions. This is an excellent opportunity to discuss common clinical challenges and identify potential collaborators for future research projects. For residents or students considering a move to a new area for training or in search of an academic position, these interactions allow participants to learn more about the academic and clinical work in other regions and to develop valuable contacts. For busy residents and students and those without the resources to travel to the SAEM’s Annual Meeting, regional meetings offer exposure to the excitement of cutting-edge emergency medicine research and education at the regional level. Residents and students will have the opportunity to hear leaders in emergency medicine discussing important topics, innovative therapies, and current issues in the field. The smaller venue of the regional meeting allows for more personal interactions and networking with leaders in emergency medicine. Many residents and students are already taking advantage of regional meetings to showcase their work and learn more about emergency medicine in their area. At this year’s MidAtlantic Regional Meeting, 65% of the papers were presented by residents and students; at the New England Regional Meeting, 70% of attendees were residents and students; and at the Midwest Regional Meeting 68% of the presentations were by students and residents. Awards for the best medical student and resident research presentations are awarded at the regional meetings. The award winning presentations from the Midwest Regional Meeting were as follows: Best Resident Presentation Award Dr. Aaron M. Brody, Wayne State University Framingham Risk Profile Underestimates the Likelihood of Heart Failure in Urban Emergency Department Patients with Hypertension

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Upcoming Regional Meetings Southeastern Regional Meeting Jacksonville, FL February 25-26, 2012 New England Regional Meeting Springfield, Massachusetts March 21, 2012 Western Regional Meeting Las Vegas, Nevada March 16-17, 2012 Mid Atlantic Regional Meeting Philadelphia, PA March 23-24, 2012 Midwest Regional Meeting Columbus, OH November 19, 2012 Best Student Presentation Award Daniel J. Lombardo, Steven C. Nelson, and Nicholas Sauber and University of Toledo Sites of Methicillin Resistant Staphylococcus Colonization in Emergency Department Patients.

Aureus

In summary, attending a regional meeting offers a great opportunity for skill development, networking, and future career development. Above is a list of upcoming regional meetings to consider attending to enhance your career in emergency medicine. ◗


Ethics in Action Steven Nazario, MD

Florida Hospital Emergency Medicine Residency Mr. Martinez, a 103-year-old man, came into the ED from an Assisted Living Facility. He was brought in by an ambulance crew for altered mental status. The patient was being evaluated and worked up by the intern who reviewed his records, who discovered a set of Advance Directives, along with clinical findings of fever and tachycardia. These documents requested that he not be taken to a hospital under any circumstances should he become ill. He also had an active DNR. The intern brought up the question of the appropriateness of treating a patient with such a living will to the supervising attending. The intern was asked whether he was trying to avoid working up this patient. The intern replied that it did not matter whether he worked up this patient or another; only that the patient’s Advance Directives explicitly stated that he did not want to be admitted to a hospital. Despite these objections from the intern, the patient was admitted to the medical floor. On hospital day three, the patient became more lucid and demanded to know why he had been admitted to the hospital. He complained that he had completed a set of Advance Directives to avoid just such a possibility. The intern explained how things had played out in the Emergency Department. Mr. Martinez was not convinced that this served his wishes. He explained that all of his siblings had lived well into their nineties. He had witnessed all of them end their time on earth in prolonged hospital stays,

culminating in multiple procedures, interventions, and time in the ICU. He mentioned that he did not wish ever to be admitted to a hospital because he feared just such an end. Death would come to him soon given his age; he had lived a long, healthy life and accepted the inevitable. The intern enacted an Ethics Consult to explore Mr. Martinez’s options based on his conversations with him. In particular, the issue in question centered on the patient’s autonomy and the perception that the hospital failed to honor it. The committee convened and decided that the Advance Directives were clear and explicit. While our mission is to support life and serve patients, at times this does not trump a patient’s autonomy. Even when he presented in an incapacitated state, his Advance Directives served as a witness to his wishes and lack of consent. The committee finding was in keeping with the patient’s wishes and concerns. The hospital had prior knowledge of his wishes and acted in opposition to them. He had gone to the trouble of having Advance Directives in anticipation of such an event, and we disregarded them. Mr. Martinez was quickly discharged from the hospital and returned to the Assisted Living Facility. Two weeks later he returned again to the same ED with fever and altered mental status. This time he was intubated and admitted. He expired shortly after being admitted. ◗

Peer-Reviewed Lectures (PeRLs) Are Here! Academic Emergency Medicine (AEM) is now publishing a series of videos of lectures on topics in emergency medicine. These are intended to represent the state of the art in emergency medicine education. Residents, practicing physicians, and medical students may use them for didactic education. The videos will contain both the presented audiovisual material for the lectures (such as Power Point slides) and live video of the presenter. The PeRLs lectures themselves will be “open access” right away. Look for the first one, “The Millennial Generation and ‘The Lecture,’ “ by Danielle Hart and Scott Joing in the November issue on the journal’s web page.

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Looking ahead to the 2012 Annual meeting Michael Hochberg, MD

Chairman, Program Committee, SAEM The Annual Meeting is a skeleton. I realize that, by the time you read this, we will already be way past Halloween and its images of bones. But that’s exactly what the annual meeting is during the planning process: a giant, bony skeleton. As the Program Committee begins to select abstracts and didactics, based upon the needs and requests of the SAEM constituents, we start to add flesh and meat to that skeleton. For those of you who have seen the movie Major League (featuring that star of stars, Charlie Sheen), you may remember that, as the Cleveland Indians march forward in their improbable run to win the World Series, they remove one article of clothing from a cardboard cut-out of their skinflint (and former Las Vegas showgirl) owner for every game they win. This is their incentive to win. Creating the Annual Meeting is the exact opposite of this: we put clothes on the skeleton, and yet the incentive is the same: creating a successful product that people want to come and listen to. All of which makes me proud of what SAEM has accomplished. For the next Annual Meeting (May 9-12, 2012, in Chicago), we have had over 100 didactic submissions, each ranging in duration from 60 to 120 minutes. All told, that comes to over 150 hours of potential didactic content. Of course, for the AM itself, we have only about 120 hours available for presenting abstracts, IEME, didactics, and academy spotlight sessions. This total does not include any of the forums, such as the Resident Leadership Forum (a full-day event for the chief residents, and a half-day afternoon session for all residents), the Junior Faculty Forum (newly designed for this year), and the Medical Student Symposium. Sim Wars (now taking place over two days), the three one-hour mid-day networking events (another new addition for this year), the AWAEM luncheon, the NIH roundtable, the Residency/Fellowship Fair (now combined for greater ease of access for students, residents, and programs), the Plenary (in the late afternoon on Thursday, right before the opening reception), and various other educational activities for residents, medical students and program directors (which are still being planned) also fall outside of the total 120 hours. As you can see, we have lots and lots of content - a wealth of content! - but not enough space to showcase all of the great talent

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possessed within SAEM. Therefore, many tough decisions will have to be made when planning the meeting and selecting abstracts and didactics to be presented. It is rarely a matter of poor submissions; rather, it is a matter of too many excellent submissions, and of having to select the best of the best. This year, of those initial 150 hours of submitted didactic content, we have had enough space to select only 65 to 70 hours’ worth of material. Let me share with you some examples of didactics that will be presented at the meeting: Jelly on the Belly: Cutting-Edge Pediatric Ultrasound Applications. Scheduled for May 9. The title may be selfexplanatory. By the end of the didactic, attendees should be better able not only to recognize the typical appearance of such ailments as pediatric appendicitis, but also to utilize US to assist with pediatric lumbar punctures. The Nadir of Clinical Operations Innovation: Implications for Future Growth. Scheduled for May 9. Whether you are a clinical attending or an administrator, a day doesn’t go by in the ED when you aren’t asked how to move patients through our system more quickly and efficiently, without sacrificing quality. How to cope with this on an emotional, a mental, and a physical level is something that many of us struggle with routinely. This session will discuss that struggle and how to handle it, and will provide insight on how to think differently about clinical operations process improvement. Social Media and the Academic Physician. Scheduled for May 10. Typically, sessions on social media deal solely with maintaining one’s professionalism. Although this didactic will touch upon that briefly, it will also look at the positive aspects of social media in fostering research and education. Milestones: Achieving Outcomes in Education. Scheduled for May 10. As educators, we are asked to set goals for our students. This didactic views those goals as “milestone measurements,” in fields such as procedural competency, medical knowledge, transitions of care, communication, and professionalism. Creating a Continued on Page 10


Continued from Page 9 uniform system of assessment is the key to analyzing the progress and growth of those you teach. A core group of educational experts will lead the audience in setting these milestones and developing the tools necessary to implement them in their curricula. Prescription Drug Misuse: The Scope of the Problem and the State of the Research. Scheduled for May 11. Part of our NIH research block, this didactic will include a leader from NIDA to lend their perspective on the breadth of this problem within emergency medicine and its implications for research. NHLBI K12 Research Career Development Programs in Emergency Medicine Research. Scheduled for May 11. Not only will you be able to hear the stories of Emergency Medicine K12 winners, but you will also learn about the goals of the K12 program and its application process. The Next Match: What Academic Departments Want to See When They Hire. Scheduled for May 12. In this dynamic and interactive didactic, panelists will discuss real and perceived needs of academic departments, trends in hiring, desired cover letter

and cv features, and how the right individuals are found to fulfill marketed (and actual) positions. A must-attend for any resident. Simulation and Your Certification: What the Future Brings. Scheduled for May 12 as part of the Simulation Academy’s 2-hour spotlight session. An innovative look at utilizing simulation-based education to meet the maintenance requirements of the certification standard set forth by the American Board of Medical Specialties. Attendees will also be provided an update on advances in simulation-based training and assessment at the level of the practicing physician. This is only about one fifth of the didactics you will find at the Annual Meeting. Whether you are a budding researcher, a master educator, or a resident still learning the ropes, there is more than just “a little something” awaiting you in Chicago. ◗ -Michael Hochberg, MD Chairman, Program Committee, SAEM Associate Clinical Professor of Emergency Medicine, Drexel University College of Medicine Chairman, Department of Emergency Medicine, Saint Peter’s University Hospital

SAEM Hosts the EMF/SAEM Grantee Workshop

Top row (from left to right): Dr. Michael Gerardi, Dr. Brian Roberts, Dr. Adam Frisch, Dr. Michael Ward, Dr. Andrew Asimos, Dr. Dimitrios Papanagnou, Brandon Sawyer, Dr. Wesley Self, Dr. Jeffrey Green, Dr. Jonathan Elmer, Dr. Sandra Schneider. Bottom row: Dr. Jim Holmes, Dr. Jason Nomura, Dr. Robert Stephens, Dr. Virginia Stewart, Jessica Castner, Dr. Bonnie Kaplan, Dr. Emilie Powell, Dr. Joseph Piktel, Dr. Judd Hollander. This year’s EMF/SAEM Grantee Workshop was hosted by SAEM on November 1-2, 2011 in Des Plaines, Illinois. Grant recipients from both the Emergency Medicine Foundation (EMF) and SAEM gathered to present their research and gain valuable feedback from senior investigators. Sixteen grant recipients and faculty members attended the two-day conference. The Keynote Speech given by Jeff Kline, MD highlighted important things to know as a junior investigator, while the Closing Presentation given by Judd Hollander, MD discussed how practice is changed through research.

The workshop was deemed a success by attendees who participated. Recipients commented that the workshop provided “extremely important feedback and networking” and included “fantastic people, nurturing and honest environment.” Conference Director Jim Holmes stated “This is an outstanding opportunity for junior investigators to present their research and to interact not only with each other but also with successful, senior investigators. The next workshop for 2012 grant recipients will be hosted by EMF in the upcoming year. SAEM would like to thank the faculty, staff, and grant recipients involved, who helped to make this event a success for our current and future investigators. ◗

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SAEM Institutional Research Fellowship Program The next deadline for institutional applications is April 1, 2012. Please visit http://www.saem.org/institutional-researchfellowship-program for application instructions. The following approved institutions have demonstrated excellence in research fellowship training in emergency medicine, and their fellows have shown great potential for success.

SAEM-approved Research Fellowship Programs Fall 2011 Brown University/Rhode Island Hopsital, Providence, RI • Gregory D. Jay, MD, PhD • Brian J. Zink,MD Washington University, St. Louis, MO • Lawrence M. Lewis, MD Spring 2011 Beth Israel Deaconess Medical Center at Harvard University, Boston, MA • Nathan I. Shapiro, MD, MPH Emory University, Atlanta, GA • David Wright, MD • Debra E. Houry, MD, MPH Hennepin County Medical Center, Minneapolis, MN • Michelle H. Biros, MD, MS Medical College of Wisconsin, Milwaukee, WI • Tom P. Aufderheide, MD Northwestern University, Chicago, IL • D. Mark Courtney, MD • James G. Adams, MD Oregon Health and Science University, Portland, OR • Craig Newgard, MD • John McConnell, PhD University of California, Davis, Sacramento, CA • Nathan Kuppermann, MD, MPH • James F. Holmes, Jr., MD, MPH University of Cincinnati, Cincinnati, OH • Christopher J. Lindsell, PhD University of Michigan, Ann Arbor, MI • John G. Younger, MD, MS

University of Pennsylvania, Philadelphia, PA • Judd E. Hollander, MD University of Pittsburgh, Pittsburgh, PA • Donald M. Yealy, MD • Clifton W. Callaway, MD, PhD University of Rochester, Rochester, NY • Manish N. Shah, MD, MPH Vanderbilt University Medical Center, Nashville, TN • Alan B. Storrow, MD • Douglas B. Sawyer, MD, PhD Yale University, New Haven, CT • Gail D’Onofrio, MD, MS

Registered Fellows

Emory University – • Tamara Espinoza, MD • Anitha Mathew, MD Hennepin County Medical Center – • Johanna Moore, MD Northwestern University – • Scott Dresden, MD • Danielle McCarthy, MD Oregon Health & Science University • Derek Richardson, MD University of California, Davis – • Jeffrey Green, MD • Bryn Mumma, MD University of Cincinnati – • Michael Ward, MD, MBA University of Pennsylvania – • Anna Marie Chang, MD • Nate Irvin, MD, • Kalpana Narayan, MD, MSc • Anand Shah, MD University of Pittsburgh – • Jestin Carlson, MD • Adam Frisch, MD • Joshua Reynolds, MD Vanderbilt University – • Candace McNaughton, MD Congratulations to all on behalf of SAEM! To learn more about this program, please visit www.saem.org/institutional-research-fellowship-program. Details of each fellowship can be found online in the SAEM Fellowship Directory. ◗

Academic Emergency Medicine on the Wiley Online Library Platform Make sure you keep checking the journal’s home page on the recently implemented platform, Wiley Online Library (WOL) - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1553-2712. Many new features appear in the form of “modules” and will be updated on a regular basis. The new platform is more robust and easier to navigate, with enhanced online functionality. Visit often and stay tuned for updates!

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Academ ic Announcements Dr. Jonathan A. Edlow was appointed as a full

Professor of Medicine at Harvard Medical School in November 2011. Dr. Edlow is Vice Chair of the Department of Emergency Medicine, as well as the Director of Quality of the Department of Emergency Medicine at Beth Israel Deaconess Medical Center, Boston, MA.

Erik Kulstad, MD, MS is the PI, with D. Mark Courtney, MD, MSCI as consultant, for a 6-month,

those affecting minority and underserved populations. He is an author or co-author of more than 85 peer-reviewed articles, 111 abstracts and 28 book chapters, and serves as Senior Associate Editor of the Western Journal of Emergency Medicine. Dr. Henderson also serves as Oral Board Examiner for the American Board of Emergency Medicine and has served as a member of the Board of Directors of the California Chapter of the American College of Emergency Physicians.

$150,000 award received from the National Science Foundation for a Phase I SBIR project entitled “Induction of therapeutic hypothermia with an esophageal cooling device,” beginning January 1, 2012.

Dr. Henderson received his bachelor’s degree from USC and Master of Science degree from Georgetown University. He graduated from the Keck School of Medicine of USC in 1989 and completed his residency in emergency medicine at the LAC+USC Medical Center.

Dr. Lisa Moreno-Walton has been appointed

A native of Southern California, Dr. Henderson is married to Dr. Laura Crocitto and they have four children, Meaghan, Kasey, Brynn and Joseph.

Clinical Associate Professor of Surgery at Tulane University School of Medicine. She continues in her role as Associate Professor of Clinical Emergency Medicine and Assistant Professor of Research Genetics at Louisiana State University- New Orleans.

Announcing the appointment of Sean O. Henderson, MD, MS, to the positions of Chair of the Department of Emergency Medicine in the Keck School of Medicine of USC and Chief of Emergency Medical Services at the Los Angeles County+USC Medical Center, effective January 1,2012.

A nationally recognized leader in research on acute medical emergency conditions, Dr. Henderson is also a highly respected clinician-educator and an outstanding administrator. The Department of Emergency Medicine manages at LAC+USC one of the largest and busiest emergency departments, the busiest trauma center and the largest emergency medicine residency training program in the nation. Under Dr. Henderson’s guidance the Department will continue to serve as a regional and national center of excellence in emergency medical care, education and research. Dr. Henderson’s goals include integrating research and clinical care, promoting multidisciplinary approaches to emergency medicine research, and consulting with other departments to improve the care of trauma patients. Dr. Henderson joined the faculty in 1993 and has held numerous administrative appointments. He has been Associate Professor of Emergency Medicine and Preventive Medicine (Clinical Scholar) and Vice Chair of the Department of Emergency Medicine since 2002. He currently serves as the Department’s Director of Research, chairs both its Research Associate Program and Faculty Promotions Committee, and is a longtime member of the Faculty Recruitment Committee. He has served as Faculty Advisor for the Emergency Medicine Student Interest Group since 1994. From 2002 until 2009, he was Chief Financial Officer of the Department’s faculty practice plan. At LAC+USC, Dr. Henderson serves as Director of the Cardiopulmonary Resuscitation Committee, as well as Director of the hospital-wide Code Blue Team. Dr. Henderson is considered a national leader in the descriptive epidemiology of acute emergency medical conditions, especially

Dr. Henderson succeeds Dr. Edward Newton, who will step down after serving nine years as Chair of the Department of Emergency Medicine. Dr. Newton plans to rejoin his department as an active member of the Emergency Medicine team. The national search for a new chair of Emergency Medicine lasted nine months, and Carmen Puliafito, MD, MBA, Dean, Keck School of Medicine and the search committee evaluated a total of nine highly qualified internal and external candidates. Carmen would like to thank the Emergency Medicine Department faculty who participated in the search, especially those who provided insightful comments and recommendations to me and to the search committee. She would also like to thank the members of the search committee: Glenn Ault, M.D, Associate Dean, Clinical Administration (LAC+USC Medical Center) Ron Ben-Ari, M.D., Vice Chair, Educational Affairs, Department of Medicine Pete Delgado, Chief Executive Officer, LAC+USC Medical Center Demetrios Demetriades, M.D., Professor of Surgery, Division Chief of Trauma and Critical Care Stephanie Hall, M.D., Chief Medical Officer, LAC+USC Medical Center Laila Muderspach, M.D., Associate Professor and Chair, Department of Obstetrics and Gynecology Alan Nager, M.D., Associate Professor of Clinical Pediatrics and Director of Emergency and Transport Medicine, Children’s Hospital Los Angeles Carlos Pato, M.D., Professor and Chair, Department of Psychiatry and Behavioral Sciences Michael Patzakis, M.D., Professor and Chair, Department of Orthopedics Jan Shoenberger, M.D., Associate Professor, Department of Emergency Medicine Phillip Lumb, M.D., Professor and Chair, Department of Anesthesiology, and Search Committee Chairman

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Health Policy and Emergency Care in 2012: The Great Natural Experiment Zachary F. Meisel, MD, MPH, MS SAEM Research Committee

Research and health policy have a bidirectional relationship. Results from clinical, economic and social sciences are used to inform policy makers at all levels who seek to make health care safer, better, cheaper, more accessible and less wasteful. Reciprocally, new policies (or changes in existing ones) have provided researchers – particularly health services researchers – attractive substrate to study the impact of these programs on health and health care. Because health policies are often implemented hastily, researchers have used retrospective lenses and have often struggled in the effort to isolate the influence of specific policies from other trends. However, the logistics of the Patient Protection and Affordable Care Act (PPACA) provide unique and uncharted opportunities for those interested in emergency care and emergency care research. This is a great natural experiment due, in part, to the fact that many of the core pieces of PPACA will not be implemented until January 2014 . For those who are interested in exploring how large- (and small-) scale changes in health care financing, organization, and delivery can impact emergency care – now is the chance to do so in a prospective and systematic manner. An excellent place to start is this summary and analysis of PPACA by Drs. Kline and Walthall for the academic emergency physician. There are many unmet research needs relating to emergency care and health policy, all complex and interrelated. One way to organize the bidirectional relationship between policy making and research is to ask two basic questions: 1) How do policies and policy changes impact the delivery of emergency care and the health of patients who need and use that care? 2) What types of studies can directly influence the creation, regulation, and implementation of specific health policies? The most obvious and timely example of the first question includes investigation of major initiatives from PPACA. Some of these programs have already been launched, including the required measurement and reporting of hospital readmission rates, as well as the linking of reimbursement to performance measures. Consider hospital readmissions: the role of the emergency department—the place where decisions are routinely made to admit (or readmit!) to the hospital – has not yet been described or explored thoroughly. As hospitals and health systems are forced to change their readmission rates, emergency physicians may be asked or pressured to change their approach to patient care, for good or bad. What this means for patient outcomes, crowding, and reimbursement are essential questions that will need to be answered soon. For question 2, there are many ways that emergency care research can influence health policy – particularly because many of the federal and state initiatives have left open the specifics of how the overall plans (e.g. insurance exchanges, accountable care organizations and patient-centered medical homes) will be

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developed and implemented. Take accountable care organizations (ACOs): the bundled outpatient and inpatient care delivery entities that are connected by way of shared health information technology infrastructures and are held accountable as groups for various performance standards.The connection between ACOs and emergency care is ripe for exploration, and can be considered from many directions. Investigations of emergency care regionalization, EMS dispatch, and telemedicine speak to where and from whom patients will get care; therefore, these studies can play an important role in how ACOs are developed, organized, operationalized and measured. Other health policy areas in need of investigation include analysis of geographic variation of emergency care, as well as the impact of impending fiscal austerity on emergency departments and their patients. Geographic differences in admission decisions, imaging decisions, and specialty referral have large cost and quality implications. In terms of fiscal austerity, it will be important to predict and measure how expected reductions in Medicaid and Medicare reimbursement, cuts in graduate medical training, and reduced federal research grant funding impacts emergency care. Doubtless, because of the specific nature of emergency care (time sensitive, available to anyone, accountable to EMTALA), budgetary changes will have unique effects on emergency departments and their patients. Now, more than ever, the opportunities and imperatives for highquality policy-relevant emergency care research intersect. There has never been a larger, more well-trained cohort of emergency care researchers dedicated to answering health services questions in general, and the intersection of health policy and health services in particular. The ED setting will continue to be a critical nexus between the inpatient and outpatient domains of care, and serious efforts to consider how our individual investigations can both inform and be informed by local and national health policies likely will help us lead in the current and future health policy era. ◗

Academic Emergency Medicine News on FACEBOOK page Please be sure to regularly frequent and follow many activities of the journal on SAEM’s Facebook. Comments on articles are featured there, as well as journal announcements. Another way to keep up to date with the latest information relevant to Academic Emergency Medicine, as well as other emergency medicine topics, happenings, etc!


IPAL-EM Launches to Improve Palliative Care In Emergency Medicine New Initiative Will Promote Shift in Care for Seriously Ill Patients in the ED New York, NY (November 10, 2011)—A new national initiative, IPAL-EM (Improving Palliative Care in Emergency Medicine), will integrate and increase the use of palliative care when seriously ill patients are admitted to the emergency department. Despite growing recognition of the role of palliative care in emergency medicine, integration of the two can often seem like a challenge of cultures and mindset. Supported by the Center to Advance Palliative Care and the Olive Branch Foundation, the new initiative will focus on areas of common ground. Developed by an interdisciplinary team of experts, IPAL-EM will support both emergency and palliative care professionals and will act as the central US hub for shared expertise, evidence, tools and resources. The goal is to promote a paradigm shift in the way that seriously ill patients, and their families, are cared for in the emergency setting.

exception. We expect to see an enormous positive impact on both patients and their families,” says Diane E. Meier, MD, Director of the Center to Advance Palliative Care. “This is a pioneering project, and CAPC is thrilled to join with the Olive Branch Foundation in supporting it.” Emergency teams manage critical initial evaluations, initiate pain and symptom treatment, shepherd communication, and ensure transitions to other care settings. Integration of palliative care is expected to improve control of physical symptoms and reduce family anxiety, depression and post‐traumatic stress disorder. Care plans are expected to become more realistic, appropriate, and consistent with patients’ preferences. Conflicts about the use of life‐sustaining treatments should be reduced, and patients are expected to experience earlier transitions to appropriate settings. There are also benefits to the hospital, including reduced use of non‐beneficial treatments, reduced hospital length of stay, reduced readmissions to the hospital, and improved patient safety and satisfaction with care. About The IPAL Project

“The emergency department is an underappreciated but key site for patients and families to receive palliative care. Seriously ill patients often experience pain and other symptoms that require immediate evaluation, excellent communication and 24/7 treatment,” says Tammie E. Quest, MD, Director of The IPAL-EM Project.

The IPAL Project, an initiative of the Center to Advance Palliative Care, is designed to provide a central venue for sharing expertise, evidence, tools and resources essential to the integration and improvement of palliative care in specific health care venues, such as the ICU and the Emergency Department. www.capc.org/ipal

Palliative care is specialized medical care focused on relief from the symptoms, pain, and stress of a serious illness— whatever the diagnosis. It is appropriate at any age and at any stage in an illness and can be provided along with curative treatment. The goal is to improve quality of life for both the patient and the family.

About the Center to Advance Palliative Care

“Every seriously ill hospitalized patient should have access to palliative care, and the emergency department is no

The Center to Advance Palliative Care (CAPC) provides health care professionals with the tools, training, and technical assistance necessary to start and sustain successful palliative care teams nationwide. CAPC is a national, non-profit organization located at Mount Sinai School of Medicine, New York City. www.capc.org ◗

Academic Emergency Medicine Now Offers CME Credit ACADEMIC EMERGENCY MEDICINE is now offering continuing medical education (CME) credits for reading select articles in the journal and successfully completing a test on the content. Physicians interested in completing the exam should log on to www.wileyblackwellcme.com. Upon successfully finishing the activity, physicians will receive an electronic certificate of completion, which can be printed and saved online under the user’s profile. The program is free to subscribers of the journal. Stay tuned for updates!

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Call for Proposals

2014 AEM Consensus Conference Submission deadline: April 16, 2012 The editors of Academic Emergency Medicine are now accepting proposals for the 15th annual AEM Consensus Conference, to be held on May 14, 2014, the day before the SAEM Annual Meeting in Dallas. Proposals must advance a topic relevant to emergency medicine that is conducive to the development of a research agenda, and be spearheaded by thought leaders from within the specialty. Consensus conference goals are to heighten awareness related to the topic, discuss the current state of knowledge about the topic, identify knowledge gaps, propose needed research, and issue a call to action to allow future progress. Importantly, the consensus conference is not a “state-of-the-art” session, but is intended primarily to create the research agenda that is needed to advance our knowledge of the topic area.

Previous topics have included and will include (2012 and 2013): • 2000: Errors in emergency medicine • 2001: The unraveling safety net • 2002: Quality and best practices in emergency care • 2003: Disparities in emergency care • 2004: Information technology in emergency medicine • 2005: Emergency research without informed consent • 2006: The science of surge • 2007: Knowledge translation • 2008: Simulation in emergency medicine • 2009: Public health in the emergency department: surveillance, screening, and intervention • 2010: Beyond regionalization: integrated networks of emergency care • 2011: Interventions to assure quality in the crowded emergency department • 2012: Education Research in Emergency Medicine • 2013: Global Health and Emergency Care: A Research Agenda Well-developed proposals will be reviewed on a competitive basis by a subcommittee of the AEM editorial board. Proceedings of the meeting and original contributions related to the topic will be published exclusively by AEM in its special topic issue in December 2014. Submitters are strongly advised to review proceedings of previous consensus conferences, which can be found in past November and December issues of AEM, to guide the development of their proposals. These can be found open-access on the journal’s home page on Wiley Online Library - http:// onlinelibrary.wiley.com/doi/10.1111/acem.2011.18.issue-10/ issuetoc. Submitters are also welcome to contact the journal’s editors or leaders of prior consensus conferences with any questions, or for copies of submissions from prior years.

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Proposals must include the following: 1. Introduction of the topic • brief statement of relevance • justification for this topic choice 2. Proposed conference chairs, and sponsoring SAEM interest groups or committees (if any) 3. Proposed conference agenda and proposed presenters • plenary lectures • panels • breakout topics and questions for discussion and consensus-building 4. Anticipated audience • stakeholder groups/organizations • federal regulators • national researchers and educators • others 5. Anticipated budget, to include such items as: • travel costs • audiovisual equipment and other materials • publishing costs (brochures, syllabus, journal) • meals 6. Potential funding sources and strategies for securing conference funding. How to submit your proposal. Proposals must be submitted electronically to aem@saem.org no later than 5 pm Eastern Daylight Time on April 16, 2012. Late submissions will not be considered. The review subcommittee may query submitters for additional information prior to making the final selection. Questions may be directed to aem@saem.org or to the editor-in-chief at editor@saem.org. ◗


Emergency Medicine summa akron City Hospital

a Choice opportunity for Emergency medicine physicians We are pleased to announce full-time opportunities for board-certified/ board-eligible and residency-trained emergency medicine physicians to join a well-established medical staff of 50 emergency medicine physicians. These physicians staff Summa Health System’s emergency departments (ED) located throughout Northeast Ohio. We are a private, physician-owned and democratic emergency medicine group, and our department consists of six divisions to include education, research, EMS, emergency preparedness, informatics and quality. Summa Health System EDs evaluate and treat approximately 160,000 patients annually in urban, academic settings and community-based EDs. Summa Akron City Hospital is Summa Health System’s tertiary care hospital and the main teaching hospital for more than 200 residents in 12 residency training programs. Nationally ranked as “high-performing” in the Akron metro area by U.S. News and World Report, Summa Akron City Hospital is a Level I Trauma Center and accredited chest pain and stroke center and will open a newly renovated emergency department in early 2012. Summa Health System’s partnerships with industry leaders in research and education allow emergency medicine physicians to practice with the latest advancements in emergency care. Summa is a founding partner of Austen BioInnovation Institute in Akron and is working in collaboration with the organization to develop medical simulation and EMS fellowship training programs to launch in 2012. In addition, academic appointment at Northeast Ohio Medical University (NEOMED) is available and commensurate with experience.

about summa Health system Summa Health System is an Integrated Healthcare Delivery System that provides coordinated, value-based care across the continuum for the people and populations we serve. By integrating the resources of seven owned, affiliated and joint venture hospitals; a regional network of ambulatory centers; a network of more than 1,200 physicians; a foundation; robust research and innovation endeavors and over 10,000 employees, nurses and healthcare professionals, Summa is well positioned for success in the rapidly changing healthcare industry. northeast ohio is the place to Be Northeast Ohio is the perfect place if you want to live somewhere that has it all. The region offers unsurpassed educational and world-class medical facilities, regional and national centers for the arts, topnotch entertainment and professional sports and is surrounded by an extensive array of scenic parks and lakes. Residents enjoy affordable housing, easily accessible roads and transportation services and an unparalleled quality of life at a cost-of-living well below that of other major metropolitan areas across the country. to apply, contact Jeff T. Wright, M.D. at (330) 375-3369 or send your curriculum vitae to jwright6@sssnet.com or 41 Arch St., Ste. 521, Akron, Ohio 44309.

Additional information can be found at: http://meded.summahealth.org/index.asp?iD=13411 http://summaem.org/public/default.aspx http://www.abiakron.org/.

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CALLS AND M EETING ANNOUNCEM ENTS For details and submission information on the items below, see www.saem.org and look for the Newsletter links on the home page or links within the Events section of the web site.

Call For Papers

2012 Academic Emergency Medicine Consensus Conference “Education Research in Emergency Medicine: Opportunities, Challenges and Strategies for Success” The 2012 Academic Emergency Medicine Consensus Conference, “Education Research in Emergency Medicine: Opportunities, Challenges and Strategies for Success,” will be held on May 9, 2012, immediately preceding the SAEM Annual Meeting in Chicago, Illinois. Original papers on the conference topic, if accepted, will be published together with the conference proceedings in the December 2012 issue of Academic Emergency Medicine. A divide has traditionally existed in academic medicine between the educator and the researcher. The goal of this conference is to bridge this gap, by exploring the principles that guide these two allied disciplines in order to create a unified focus on education research science that will benefit our teachers, our learners, and, ultimately, our patients. Emergency medicine (EM) educators have long perceived the need for better research to guide the frequent challenges encountered in the academic environment. These include identifying best practice teaching methods, validating assessment tools, evaluating competency, and preventing cognitive errors. Efforts to address these challenges have begun; however, the historical use of suboptimal study designs, subjective outcomes, small samples sizes, and lack of expertise in methods useful in other domains can limit the success of education research studies. A coordinated agenda for EM education research is needed to address these topics and streamline our research efforts. The Accreditation Council for Graduate Medical Education (ACGME) Outcome Project now mandates that training programs demonstrate the effectiveness of educational interventions and show evidence of trainee aptitude and achievement in the core competencies. The American Board of Emergency Medicine (ABEM) now requires its diplomates to provide evidence of Assessment of Practice Performance in order to receive continuous certification. These and other requirements highlight the current paucity of available evidence to inform our instruction and evaluation of emergency physicians, and call for our field to develop high-quality education research. A systematic approach to education research in EM is essential for the continued improvement of clinical emergency care, even for providers beyond residency training. In the decade since the Institute of Medicine’s 2001 “Crossing the Quality Chasm” report identified the failure of health care environments to consistently deliver evidence-based care, the increased emphasis on translational research and patient safety has identified even broader needs for education-based research. Without welldesigned studies to investigate the most effective methods to teach and evaluate emergency physicians, scientific discoveries cannot be effectively disseminated to physicians in training or in practice, nor can the benefits be fully realized by our patients. This Consensus Conference on “Education Research in Emergency Medicine” proposes to build a solid foundation upon

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which EM education researchers can build interdisciplinary scholarship, networks of expertise, discussion forums, multicenter collaborations, evidence-based publications and improved learner education. Such efforts will enable us to make significant contributions to the state of knowledge in medical education and, ultimately, to optimize patient care. Consensus Conference Goals: • Provide an overview of the current state of education research in EM • Identify and examine the barriers that educators face in conducting well-powered, rigorous education research, and develop recommendations for overcoming these barriers • Define most appropriate and effective methods for conducting education research studies • Identify priority agenda areas within specific education research domains, such as: o Establishing the effectiveness of clinical and didactic curricula in educating EM trainees in each of the six ACGME core competencies o Evaluating performance of learners across the continuum of medical education, from medical student to practicing emergency physician o Validating educational assessment tools o Teaching and evaluating non-cognitive ACGME core competencies, such as “Professionalism” and “Interpersonal and Communication Skills” o Measuring the impact of educational interventions to improve patient safety o Research designs conducive to studying education outcomes • Develop a framework to increase collaboration, access to research support and potential funding sources and promote faculty development in education research Original contributions describing relevant research or concepts on this topic will be considered for publication in the December 2012 issue of Academic Emergency Medicine if received by Monday, March 12, 2012. All submissions will undergo peer review and publication cannot be guaranteed. For queries, please contact Nicole DeIorio, MD (deiorion@ohsu.edu), Joseph LaMantia, MD (JLaManti@nshs.edu), or Lalena Yarris, MD (yarrisl@ohsu.edu), Consensus Conference Co-chairs. Information and updates will be regularly posted in Academic Emergency Medicine, the SAEM Newsletter, and the journal and SAEM websites. ◗

Academic Emergency Medicine (AEM) to launch mobile and iPad app! COMING SOON: Free AEM mobile and iPad app. Stay tuned for further information and consult the journal’s web page on Wiley Online Library to know when it is available. Check on the SAEM Facebook and Twitter pages as well.


CALLS AND M EETING ANNOUNCEM ENTS continued...

Call For Papers

Evidence-based Medicine Academic Emergency Medicine is soliciting authors for writing structured Evidence-based Medicine (EBM) review articles on topics relevant to the practice of emergency medicine. These reviews are designed to provide answers to the clinical questions raised by emergency physicians in their day-to-day practice. These reviews are expected to identify and appraise high-quality studies with designs most appropriate for the research question at hand. The structured format and methodical approach of these manuscripts ensure a unified stepwise evidence-based approach to translate the research findings into clinical practice. In the absence of high-quality systematic reviews and metaanalyses, these reviews can cast light on numerous dilemmas that emergency physicians encounter in their practice. The instructions for preparing structured EBM reviews can be found under the “Progressive Clinical Practice” section (http://www.wiley.com/ bw/submit.asp?ref=1069-6563&site=1). The authors will be guided through the manuscript preparation by one of the editors with experience in writing EBM and/or systematic reviews. The editors also welcome topic suggestions for such reviews. These suggestions will help generate a topic list that would be made available to interested authors. The format of EBM reviews can be viewed in some of the published manuscripts from these series: Hom J. The risk of intra-abdominal injuries in pediatric patients with stable blunt abdominal trauma and negative abdominal computed tomography. Acad Emerg Med. 2010;17:469-75. Palamidessi N, Sinert R, Falzon L, Zehtabchi S. Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis. Acad Emerg Med. 2010;17:126-32. Wilkerson RG, Stone MB. Sensitivity of bedside ultrasound and supine anteroposterior chest radiographs for the identification of pneumothorax after blunt trauma. Acad Emerg Med. 2010;17:11-7. Zehtabchi S, Nishijima DK. Impact of transfusion of fresh-frozen plasma and packed red blood cells in a 1:1 ratio on survival of emergency department patients with severe trauma. Acad Emerg Med. 2009;16:371-8 To get started on your EBM review, or with questions or suggestions, please contact Shahriar Zehtabchi, MD (Shahriar.zehtabchi@downstate.edu).

Call For Papers

Consensus Conference Follow-Up Manuscripts Submissions in any category (Original Contributions, Brief Reports, etc.) that describe research that was initiated to address a research agenda topic generated at one of the prior Academic Emergency Medicine consensus conferences should be identified as such in the cover letter that accompanies the manuscript,  when the manuscript is submitted for review. Authors should state to which consensus conference the manuscript relates, and should also state which issue(s) discussed or raised at that consensus conference is/are addressed by the manuscript. Attempts will be made to publish consensus conference follow-up manuscripts as a group, rather than individually, and if authors are aware of other papers underway from that same conference’s research agenda, they are encouraged to coordinate submission with the authors of those other papers. Contact: Gary Gaddis, MD, PhD (ggaddis@saint-lukes.org).

Apply for the Robert Wood Johnson Foundation Clinical Scholars® program Application Deadline: Feb. 29, 2012 Resident physicians are invited to apply for the Robert Wood Johnson Foundation (RWJF) Clinical Scholars program, which offers master’s degree graduate-level study and research in a university-based, post-residency training program. The program provides scholars with generous funding and involves two years of study with protected time for research. The RWJF Clinical Scholars program fosters the development of physicians who will lead the transformation of Americans’ health and health care. These future leaders will conduct innovative research and work with communities, organizations, practitioners and policy-makers to address issues essential to the health and well-being of all Americans. Program highlights include:

- leadership training; - mentoring; - protected research time; - national networking; - health policy, health services, and community-based research training; and - financial support for research projects and professional travel. Four participating institutions will be recruiting scholars to begin their programs in July 2013: the University of California, Los Angeles; the University of Michigan; the University of Pennsylvania; and Yale University. The US Department of Veterans Affairs will provide funding for the stipends and insurance for some of the Scholars through VA Medical Centers affiliated with these universities. The VA provides additional support through faculty time, clinical resources, and research databases. To apply online or find more information visit http://rwjcsp.unc.edu. The deadline for all applications (and reference letters) is February 29, 2012.

Looking For Emergency Departments with Great InfectionPrevention Practices We are looking for emergency departments (EDs) that have successfully implemented projects to improve infection-control practices in order to learn from their experiences. Can you help? Jeremiah Schuur, MD, MHS, of Brigham & Women’s Hospital and Harvard Medical School is leading a federallyfunded research project aimed at reducing healthcare-associated infections in US EDs. Specifically, the project aims to identify EDs that have successfully implemented practices to: 1) reduce catheter-associated urinary tract infections (CAUTI); 2) reduce central line-associated bloodstream infections (CLABSI); or (3) improve hand hygiene. EDs that participate can help all EDs improve infection prevention. Please respond using our website: http://bit.ly/EDBestPractices OR email: edhaistudy@partners.org.

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CALLS AND M EETING ANNOUNCEM ENTS continued...

2012 SAEM Annual Meeting Residency & Fellowship Fair

Call For Papers

Friday, May 11, 2012 4:30pm – 6:30pm Sheraton Chicago Hotel and Towers, River Exhibition Hall A

The Evidence-Based Diagnostics section of the Academic Emergency Medicine journal is seeking submissions. These manuscripts will evaluate a single emergency medicine-relevant diagnosis using a systematic review and meta-analysis to summarize high-quality clinical research focusing on history, physical exam, readily-available lab tests, and common imaging strategies. Evidence quality will be graded using the Quality Assessment Tool for Diagnostic Accuracy Studies. The highest-quality evidence will then be summarized to report point-estimates or ranges for pre-test probability, diagnostic accuracy including interval likelihood ratios, and test-treatment thresholds for definitive tests. Authors are encouraged to contact the section editor, Christopher Carpenter, MD (carpenterc@wusm.wustl.edu) with specific questions for this series.

Residency and Fellowship Directors are invited to participate in the SAEM Annual Meeting Residency & Fellowship Fair in Chicago on May 11, 2012. Don’t miss out on this unique opportunity to advertise your programs to hundreds of medical students interested in the specialty of Emergency Medicine and residents in search of a promising fellowship. For the 2012 SAEM Annual Meeting, the Residency Fair and Fellowship Fair will be combined as one event. This offers your institution the opportunity to showcase your Residency and Fellowship programs as a group or as separate exhibits. The Residency/Fellowship Fair will be conducted as follows: • Each participating institution will be assigned one table, which is 6 ft. long by 18 in. wide. *Please be sure to note on your registration form if your Residency and Fellowship programs will be sharing a table or needing separate tables. • Tables will be arranged in geographic regions by alpha order. Registrations received after April 1, 2012 may not get assigned to their geographic area. • Tables will be in rows, so there is no opportunity for stand-alone exhibits. However, you may bring in small displays, brochures, or modest giveaways. Materials may not be attached to walls and the use of electrical outlets is prohibited. • A maximum of 3 representatives per table is allowed. • Registration and set-up begin at 3:00pm. • Programs may NOT distribute/serve alcoholic beverages of any kind. Any food distributed must be pre-packaged, i.e. candy/gum/snacks. • No refunds on cancellations after April 1, 2012. Cancellations received prior to April 1, 2012, must be in writing, and a 50% service fee will be applied. • Faxing or emailing the application form does NOT guarantee registration until payment is received. The early registration fee is $125 per table until April 1, 2012. After April 1, 2012, including on-site registration on May 11, 2012, the fee is $200. The fee is used to cover the cost of the table rental and refreshments for the participants. Space is limited, and applications will be accepted on a first come, first served basis. For more information, please visit our Annual Meeting page at http://am2012.saem.org/

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Evidence-Based Diagnostics

Evidence-Based Diagnostics Submissions to this section use a systematic review to answer diagnostic clinical questions about a single topic. An appropriate report would address a question that is important to most readers, use information from previous high quality diagnostically focused clinical research and have explicitly stated and reproducible search methods. Submissions should use at least two investigators to rate the evidence quality using the Quality Assessment Tool for Diagnostic Accuracy Studies and report inter-rater reliability for this assessment. Heterogeneity should be assessed and meta-analysis performed, when applicable. The literature review should provide information about the prevalence of the disease/injury in emergency medicine populations. Diagnostic accuracy (sensitivity, specificity, likelihood ratios) for history, physical exam, bedside tests, and relevant imaging studies should be reported with confidence intervals in these analyses, including interval likelihood ratios for continuous data. Test-treatment thresholds should be defined using the methods of Pauker and Kassirer. The discussion section should include a succinct statement of implications for future diagnostic research. All articles in this series undergo standard masked peer review. Authors are encouraged to contact the section editor, Christopher R. Carpenter, MD (carpenterc@wusm.wustl.edu), with specific questions regarding submission to this section.


CALLS AND M EETING ANNOUNCEM ENTS continued...

American Board of Emergency Medicine 2012 Subspecialty Application Cycles and Certification Examinations Emergency Medical Services Diplomates of any Member Board of the American Board of Medical Specialties can now become board certified in Emergency Medical Services (EMS). The first certification examination will be administered in the fall of 2013. Eligible diplomates have three application pathways to certification: a practice pathway, practice-plus-training pathway, and a training pathway. ABEM will accept applications between October 1 and June 30, 2012. Hospice and Palliative Medicine The American Board of Internal Medicine (ABIM) will administer the certifying examination in Hospice and Palliative Medicine on October 4, 2012. Physicians may apply through one of four pathways – ACGME-accredited fellowship training in Hospice and Palliative Medicine, unaccredited fellowship training in Hospice and Palliative Medicine, practice-plus-training, and past certification with the American Board of Hospice and Palliative Medicine (ABHPM). Application pathways through unaccredited fellowship training, practice-plus-training, or past certification with ABHPM will end June 1, 2012. Internal Medicine-Critical Care Medicine Diplomates of the American Board of Emergency Medicine (ABEM) now have the ability to become board certified in Critical Care Medicine (CCM). On September 21, 2011, at the General Assembly meeting of the American Board of Medical Specialties (ABMS), a joint program between the American Board of Internal Medicine (ABIM) and ABEM was unanimously approved. Emergency physicians can now supplement their Emergency Medicine residency training by participating in Internal Medicine–sponsored Critical Care Medicine (CCM) fellowships. Upon completion of CCM training, these individuals would be eligible to seek board certification. ABEM will issue the CCM certificate to its diplomates, but the certificate would indicate that the standards are the same as those of ABIM. The ABIM will administer the certifying examination in Critical Care Medicine on November 14, 2012. ABEM will accept applications between March 1 and June 1, 2012.

Medical Toxicology ABEM will administer the certifying examination in Medical Toxicology on November 12, 2012. ABEM diplomates and diplomates of ABMS boards other than the American Board of Pediatrics (ABP) and the American Board of Preventive Medicine (ABPM) may apply to ABEM if they have completed an ACGME-accredited two-year fellowship program in Medical Toxicology. ABEM will accept applications between January 16 and April 16, 2012. Diplomates of ABP or ABPM must submit their applications through ABP and ABPM, respectively. Sports Medicine The American Board of Family Medicine (ABFM) will administer the certifying examination in Sports Medicine July 19 – 21, 2012. ABFM will also administer the examination to specifically designated candidates November 7 through 12, 2012. Contact ABEM for additional information on the November examination. ABEM diplomates who have completed ACGME-accredited fellowship training in Sports Medicine must submit their Sports Medicine applications to ABEM between February 1 and June 1, 2012, if they wish to take the examination in July. Undersea and Hyperbaric Medicine The American Board of Preventive Medicine (ABPM) will administer the certifying examination in Undersea and Hyperbaric Medicine October 1 through 12, 2012. ABEM diplomates who have completed ACGME-accredited fellowship training in Undersea and Hyperbaric Medicine must submit their Undersea and Hyperbaric Medicine applications to ABEM between March 1 and July 2, 2012. To request a certification application for one of these subspecialties, please write or call the ABEM office. Eligibility criteria for ABEM diplomates are available on the ABEM website, www.abem.org. AMERICAN BOARD OF EMERGENCY MEDICINE 3000 Coolidge Road East Lansing, MI 48823-6319 Telephone: 517.332.4800 Fax: 517.332.4853

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◊filled. Clinician Educator ◊ Clinical Researcher ◊ ◊ Pediatric Emergency Medicine ◊ Ultrasound ◊ The Department of Emergency Medicine at East Carolina University, Brody School of Medicine seeks BC/BP emergency physicians and pediatric emergency physicians for tenure or clinical track positions at the rank of assistant professor or above, depending on qualifications. Through this expansion we will increase our cadre of clinician-educators and further develop programs in pediatric EM, ultrasound, and clinical research. Our current faculty possesses diverse interests and expertise leading to extensive state and national-level involvement. The emergency medicine residency is well-established and includes 12 EM and 2 EM/IM residents per year. We treat more than 105,000 patients per year in a state-of-the-art ED at Pitt County Memorial Hospital. PCMH is a rapidly growing level I trauma, cardiac, and regional stroke center. The ED will expand into a new pediatric ED in spring 2012, and a new children’s hospital is also under construction. Our tertiary care catchment area includes more than 1.5 million people in eastern North Carolina, many of whom arrive via our integrated mobile critical care and air medical service. Greenville, NC is a fast-growing university community located near beautiful North Carolina beaches. Cultural and recreational opportunities are abundant. Compensation is competitive and commensurate with qualifications; excellent fringe benefits are provided. Successful applicants will possess outstanding clinical and teaching skills and qualify for appropriate privileges from ECU Physicians and PCMH. Confidential inquiry may be made to Theodore Delbridge, MD, MPH, Chair, Department of Emergency Medicine (delbridget@ecu.edu). ECU is an EEO/AA employer and accommodates individuals with disabilities. Applicants must comply with the Immigration Reform and Control Act. Proper documentation of identity and employability required at the time of employment. Current references must be provided upon request

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Are you engaged in guideline or performance measure work? The SAEM External Collaboration Committee (ECC) wants you! Well, actually, we want to know who you are, your area of expertise, and any organizations within emergency medicine or external to EM with whom you are working (or have worked). In addition to reviewing proposed management guidelines and performance measures for SAEM endorsement, ECC members recommend topic experts within the SAEM membership to work with outside organizations to develop these guidelines. To aid in this important process, the ECC is developing a database of topic experts (that’s you!) and organizations with whom we should be engaged. If you would like to represent SAEM in future endeavors of this sort, please send your name, contact information, and area of expertise to Chris Fee, ECC chair, at christopher.fee@ucsf.edu. Additionally, if you currently work with another organization to write guidelines or performance measures, please let us know of your involvement. We would like to thank all of the participants and judges of the 2011 CPC Competition.

University of Pittsburgh

FELLOWSHIPS The University of Pittsburgh in collaboration with the University of Pittsburgh Medical Center (UPMC) offer fellowships in Toxicology, Emergency Medical Services, Research, and Education. Each fellowship provides intensive training and interaction with the nationally-known experts in each domain from among the faculty in the Department of Emergency Medicine and from the University, with strong multidisciplinary collaboration ongoing. We provide experience in basic or clinical research and teaching opportunities exist with medical students, residents and other health care providers. Fellows enroll in one of several available Master’s level degree programs as a part of formal training. Fellowships include clinical responsibilities with limited hours as attending physicians in one of our core academic Emergency Departments or an affiliated institution. Each applicant should have an MD/DO background or equivalent degree and be board certified/prepared in emergency medicine, Other doctoral prepared candidates also are considered for our research fellowship. To discuss your future, contact Clifton W. Callaway, MD, PhD, University of Pittsburgh, Department of Emergency Medicine, Iroquois Building, Suite 400A, 3600 Forbes Avenue, Pittsburgh, PA 15261 or e-mail callawaycw@upmc.edu.

EOE

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University of Pittsburgh

EMERGENCY MEDICINE FACULTY INSTRUCTOR THROUGH PROFESSOR LEVEL

The University of Pittsburgh in collaboration with the University of Pittsburgh Medical Center (UPMC) have full-time opportunities for emergency medicine residency trained and board certified/prepared candidates. UPMC’s diverse faculty are widely recognized for excellence in research, teaching and clinical care. Our three clinical sites provide tertiary and Level I trauma care to approximately 170,000 ED patients collectively each year while training residents, fellows and students. The toxicology and hyperbaric medicine treatment programs are a part of our department, and we have multiple fellowships. Academic clinician, clinician-investigator or clinician-educator career opportunities exist. We have particular interest in candidates with ultrasound or investigative interests that compliment our current excellence. Salary is commensurate with experience and duties. For further information write to: Donald M. Yealy, MD, Chair, Department of Emergency Medicine, University of Pittsburgh Physicians, 3600 Meyran Avenue, Suite 10028, Pittsburgh, PA 15260.

EOE

EMERGENCY MEDICINE PHYSICIAN The Division of Emergency Medicine at the University of Vermont College of Medicine, in alliance with Fletcher Allen Health Care, is seeking an Emergency Medicine Physician desiring to pursue a career in academic emergency medicine, to be appointed at the rank of Assistant Professor or Associate Professor (Clinical Scholar Pathway) commensurate with years of experience and accomplishments. Fletcher Allen Health Care is the teaching hospital of the University of Vermont College of Medicine and is an ACS-verified Level I Trauma Center for both adult and pediatric patients, and a major tertiary referral center for the state of Vermont and upstate New York. With an annual census of 60,000 patients, the emergency department is known for high-quality patient care and dedicated teaching faculty. The applicant must be board-certified or board-eligible in Emergency Medicine and eligible for licensure in the State of Vermont, with experience in teaching, clinical, and research activities of an academic division of emergency medicine. The University is especially interested in candidates who can contribute to the diversity and excellence of the academic community through their research, teaching, and/or service. Applicants are requested to include in their cover letter information about how they will further this goal. The University of Vermont is an Affirmative Action/Equal Opportunity Employer. Applications from women and people of diverse racial, ethnic and cultural backgrounds are encouraged. Applications will be accepted until the position is filled. Interested individuals should submit electronically their curriculum vitae, a cover letter and contact information for four references to:

Ray E. Keller, MD, FACEP Email: Ray.Keller@vtmednet.org Or apply on-line at: https://www.uvmjobs.com

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Member of the MaineHealth System

We’re consistently one of America’s highest-rated hospitals. The Department of Emergency Medicine At Beth Israel Deaconess Medical Center Is seeking an Emergency Physician with experience in clinical translational research Thrombosis Researcher --- Beth Israel Deaconess Medical Center

The Department of Emergency Medicine is seeking a qualified emergency physician with experience in clinical translational research. The successful individual will have a demonstrated history of federal funding in the area of clinical and translational thrombosis research and a demonstrated capacity to publish their work in major publications. He or she must be an excellent and clinician with at least 10 years of ED clinical time. This candidate must also have significant administrative experience and will be expected to develop an inter-disciplinary institute for thrombosis research. In addition, the candidate will assist in creating clinical pathways whose purpose is to increase value to the patient. Salaries are competitive, incentive based with generous benefits and funded CME. Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) is an equal opportunity employer and does not discriminate on the basis of race, color, religion, or gender. Women and minority applicants are encouraged to apply. Must be eligible for Associate Professor or higher at HMS. Send a cover letter indicating our interest and CV to: Richard E. Wolfe, M.D., Chief of Emergency Medicine c/o mblicker@bidmc.harvard.edu For more information go to www.bidmc.org/emergency

Let’s get even better, together. Maine Medical Center is a 637-bed tertiary care academic health center and a strategic partner of the Tufts University School of Medicine. We are the only ACS Level-1 Trauma Center in the state of Maine and are a JCAHO-verified Primary Stroke Center. MMC also houses the Barbara Bush Children’s Hospital, the state’s only dedicated pediatric hospital. Portland, Maine, home to 250,000 people in the metro area, is a lovely and diverse New England coastal city offering an historic waterfront area, multi-season recreational opportunities and a wealth of cultural activities. Named “America’s Most Livable City” by Forbes.com, Portland is a great place to work and live, and joining us at MMC is a great way to help you do both.

Chief, Department of Emergency Medicine

Maine Medical Center • Portland, Maine • Tufts University School of Medicine Maine Medical Center (MMC) is seeking a board certified emergency physician with demonstrated leadership experience to serve as Chief of its Department of Emergency Medicine. This physician leader will have overall responsibility for the clinical, educational, scholarly and administrative activities of the department that provides care for over 65,000 patients with emergency illnesses. The Department of Emergency Medicine hosts a cohesive group of 25 academically productive full-time faculty, an active clinical research program with a full-time PhD as Assistant Director of Research, and a vibrant emergency medicine residency, training 8 residents a year. A new 61-bed Emergency Department with 6 Critical Care bays, a 6-bed psychiatric wing, a 10-bed pediatric ED and an 8-bed Observation Unit opened in 2009 To learn more about this position and to apply, please contact the Chair of the Search Committee, John Allyn, MD Chief, Anesthesiology by way of Shawn-Elise Lapomarda at lapoms@mmc.org or 207.662.5936.

As a member of the MaineHealth system, we work together with other leading, high-quality providers and healthcare organizations so that our communities are the healthiest in America. We are an equal opportunity employer.

ACADEMIC EMERGENCY MEDICINE

MEDICAL DIRECTOR OF EMERGENCY MEDICINE 1/1/2012

3158187-Njpc32245 MAINEH The Division of Emergency Medicine at the University of Vermont College of Medicine, in alliance with Fletcher Allen Health x 4.75” Care, is seeking both applications and nominations for outstanding3.5” candidates for the position of Chief of the Division of Emergency Medicine, to be appointed at the rank of Associate Professor or Professor (clinical scholar pathway) Kevin Kilgarriff v.4 commensurate with years of experience and accomplishments. The Chief will be responsible for clinical program development, medical student teaching, residency training and development of research programs.

The Chief will also serve as clinical leader of Emergency Medicine in our affiliated medical center, Fletcher Allen Health Care. Fletcher Allen Health Care is the teaching hospital of the University of Vermont College of Medicine and is an ACS-verified Level I Trauma Center for both adult and pediatric patients, and a major tertiary referral center for the state of Vermont and upstate New York. With an annual census of 60,000 patients, the emergency department is known for high-quality patient care and dedicated teaching faculty. The applicant must be board-certified in Emergency Medicine and eligible for licensure in the State of Vermont, with experience in the administrative, teaching, clinical, and research activities of an academic division of emergency medicine. The University is especially interested in candidates who can contribute to the diversity and excellence of the academic community through their research, teaching, and/or service. Applicants are requested to include in their cover letter information about how they will further this goal. The University of Vermont is an Affirmative Action/Equal Opportunity Employer. Applications from women and people of diverse racial, ethnic and cultural backgrounds are encouraged. Applications will be accepted until the position is filled. Interested individuals should submit electronically their curriculum vitae, a cover letter and contact information for four references to:

Steven M. Grant, MD Email: Steven.Grant@vtmednet.org Or apply on-line at: https://www.uvmjobs.com

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Emergency Physician & Pediatric Emergency Medicine Physician Exceptional opportunity for highly motivated Emergency Physician and Pediatric Emergency Medicine Physician (BP/BC) to join Emergency Medicine faculty at the University of Wisconsin School of Medicine & Public Health in Madison, Wisconsin. We are seeking applicants who are interested in furthering a professional career in academic emergency medicine. EM faculty provide clinical services in the Emergency Department (ED) of the University of Wisconsin Hospital & Clinics (UWHC) and the American Family Children’s Hospital (AFCH). UWHC/AFCH are busy, university-based, referral centers; one of only two combined academic programs in the state, certified as a Level I Trauma and Burn center for both adult and pediatric patients. EM faculty supervises EM and off-service residents, as well as medical students. The successful candidate will join a faculty of over 23 emergency physicians and pediatric emergency physicians. Faculty members actively lead the hospital in variety of areas such as aeromedical transport, simulation, event medicine, EMS, syndromic surveillance and quality management. Our new ED is well

staffed and well resourced, including dedicated radiology, pharmacy, social work, case management, and child life services. Current overall census is 45,000 annually, including over 10,000 pediatric patients. Enjoy the benefits of living in one of the nation’s best places to live (CNN/Money Magazine 2011 and Forbes 2011). Madison has wonderful cultural and recreational opportunities with outstanding public schools. Compensation and benefits are extremely competitive. To inquire, send your curriculum vitae and cover letter to: (e-mail preferred)

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agh@medicine.wisc.edu Azita G. Hamedani, MD MPH Division Chief, Emergency Medicine F2/217 Clinical Science Center, MC 3280 600 Highland Avenue, Madison, WI 53792 The UW Madison is an EEO/AA Employer, Minorities and women are encouraged to apply. Wisconsin caregiver and open records laws apply. Background check will be conducted prior to employment.

Become One

The SAEM Foundation continues to work toward a better future within academic emergency medicine, which is why the Foundation Development Committee is challenging all SAEM members to stand up and Become One! Become one person to help a young investigator get a needed grant or become one person who makes the Educational Fellowship Grant possible. Accept this challenge and know you have Become One and are helping to create a better tomorrow within academic emergency medicine. As a small token of gratitude for all generous contributions, the SAEM Foundation Development Committee will be entering donor’s names into a drawing for an iPad 2. The drawing will take place prior to the 2012 Annual Meeting in Chicago. Also, the institution who leads with the most donations raised will be recognized at the Foundation Awareness Cocktail Hour in Chicago. All donation can be made online at www.saem.org or by mail to: SAEM Foundation 2340 South River Rd, Suite 200, Des Plaines, IL 60018

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The Department of Emergency Medicine at the University of Michigan is seeking motivated faculty with an interest in medical education and residency leadership for Associate or Assistant Residency Director Position (APD). The APD responsibilities will include mentoring residents, supervision of the didactic curriculum, and direction of the Longitudinal Professional Development Tracks in Research, Education, Clinical Excellence and Administration. The APD will report to the Program director and share in the leadership and responsibilities of the residency. The residency has a well-developed simulation curriculum. There is potential for professional development in medical education research working with PhDs in education and actively involved faculty. The Department of Emergency Medicine has nationally recognized clinical expertise in brain injury, sepsis, injury prevention and pediatric emergency medicine. The Department is a Level 1 adult and pediatric trauma center. The residency is a four-year joint program with St. Joseph Mercy, a well-resourced community Hospital, and Hurley Hospital which serves Flint, MI. It is dedicated to providing a diverse training experience with an emphasis on clinical excellence. Academic rank will be determined by credentials. Clinical responsibilities will include patient care activity in the Emergency Department at University of Michigan Health System and include shift reduction commensurate with responsibilities. Applicants should have residency training and board certification in Emergency Medicine. Excellent salary and fringe benefit package. If interested, please send curriculum vitae to: William G. Barsan, M.D., Professor and Chair, Department of Emergency Medicine, UMHS, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5301. The University of Michigan is an equal opportunity affirmative action employer.

The Department of Emergency Medicine at the University of Alabama School of Medicine is seeking talented residency-trained Emergency Medicine physicians at all academic ranks to join our faculty. The University offers both tenure and non-tenure earning positions. The University of Alabama Hospital is a 903-bed teaching hospital, with a state-of-the-art emergency department that occupies an area the size of a football field. The Department treats over 75,000 patients annually and houses Alabama’s only designated Level I trauma center. The Department’s dynamic, challenging emergency medicine residency training program is the only one of its kind in the State of Alabama. The University of Alabama at Birmingham (UAB) is a major research center with over $440 million in NIH and other extramural funding. The Department of Emergency Medicine is a site for the NIH-funded Resuscitation Outcomes Consortium (ROC) and for the Protocolized Care of Early Sepsis Shock trial (ProCESS). The Department has been highly successful in developing extramural research support in this warmly collaborative institution. Birmingham, Alabama is a vibrant, diverse, beautiful city located in the foothills of the Appalachian Mountains. The metropolitan area is home to over one million people, who enjoy recreational activities year round because of its mild Southern climate. Birmingham combines big city amenities with Southern charm and hospitality. A highly competitive salary is offered. Applicants must be EM board eligible or certified. UAB is an Affirmative Action/Equal Opportunity Employer. Women and minorities are encouraged to apply. Please send your curriculum vitae to: Janyce Sanford, M.D., Associate Professor & Chair of Emergency Medicine, University of Alabama at Birmingham; Department of Emergency Medicine; 619 South 19th Street; OHB 251; Birmingham, AL 35249-7013

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Membership Application Name:

Title:

Email:

Institution address: City:

State:

Zip:

Country:

State:

Zip:

Country:

Home address: City: Preferred mailing address: Office phone: (

Office

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Home phone: (

Sex:

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Check Membership Category 

Active - $560.00 Individuals with advanced degree university

International - email membership for pricing

appointment actively involved in EM teaching or research.  

Associate - $250.00 Open to those with interest in EM

Young Physician Year One - $335.00 First year following

residency graduation. 

Young Physician Year Two - $460.00 Second year following

residency graduation. 

Medical Student - $140.00 Open to medical students interested

in EM. Graduation date:

*Medical Student/Resident/Fellow Academy - $50.00 ea.  CDEM  Simulation  Geriatrics

*GEMA Medical Student

*AWAEM Resident/Fellow/Medical Student - FREE

*GEMA Resident/Fellow  AEUS Med. Student - FREE

Resident/Fellow - $165.00 Open to residents/fellows interested

in EM. Graduation date:

*Active/Associate/YP1 or YP2 Academy - $100.00 ea.  AEUS  AWAEM  CDEM  Simulation  GEMA  Geriatrics

AEUS Resident - $25.00 ea.

*must be a current SAEM member to join an academy

Interest Groups: Society members are invited to join any of the dedicated Interest Groups listed below. Each membership category includes ONE Interest Group free of charge. Additional Interest Groups can be added for $25.00 Academic Informatics Airway  CPR/Ischemia/Reperfusion  Clinical Directors  Disaster Medicine  Diversity  ED Crowding

Educational Research EMS  Evidence-Based Medicine  Health Services & Outcomes  Medical Quality Mgt  Neurologic Emergencies

Palliative Medicine Patient Safety  Pediatric EM  Public Health  Research Directors  Sports Medicine

Toxicology Trauma  Triage  Uniformed Services  Wilderness Medicine

Method of Payment

Enclosed Check

Credit Card (Visa or MC) Total:

Name as it appears on credit card

Card Number:

Expiration Date:

Signature:

Billing Zip Code:

SAEM, 2340 S. River Rd, Suite 200 Des Plaines, IL 60018. email: membership@saem.org You may also join at member.saem.org

Rev. Date 10/26/2011


Society for Academic Emergency Medicine 2340 S. River Road, Suite 200 • Des Plaines, IL 60018 • 847-813-9823 • saem@saem.org • www.saem.org

Board of Directors Debra E. Houry, MD, MPH President Cherri D. Hobgood, MD President-Elect Deborah B. Diercks, MD, MSc Secretary-Treasurer Jeffrey A. Kline, MD Past President Brigitte M. Baumann, MD, DTM&H, MSCE Andra L. Blomkalns, MD Robert S. Hockberger, MD Alan E. Jones, MD Brent R. King, MD Sarah A. Stahmer, MD Melinda J. Morton, MD, Resident Member Executive Director James R. Tarrant, CAE Send Articles to: newsletter@saem.org Send Ads to: mgreketis@saem.org The SAEM Newsletter is published bimonthly by the Society for Academic Emergency Medicine. The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM. For Newsletter archives and e-Newsletters Click on Publications at www.saem.org

FUTURE SAEM ANNUAL M EETINGS 2012 May 9-12 Sheraton Hotel and Towers, Chicago, IL 2013 May 15-19 The Westin Peachtree Plaza, Atlanta, GA 2014 May 14-18 Sheraton Hotel, Dallas, TX 2015 May 13-17 Sheraton Hotel and Marina, San Diego, CA AEM Consensus Conference May 9, 2012 Topic: “ Education Research in Emergency Medicine: Opportunities, Challenges and Strategies for Success” Co-chairs: Nicole DeIorio, MD Joseph LaMantia, MD Lalena Yarris, MD, MCR


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