SAEM Newsletter September/October 2016 by Society for Academic Emergency Medicine

NEWSLETTER 1111 East Touhy avenue, Suite 540 | Des Plaines, IL 60018 | 847-813-9823 | www.saem.org SEPTEMBER-OCTOBER 2016

VOLUME XXXI NUMBER 4

SPOTLIGHT Leading

with

Kindness

SAEMâ&#x20AC;&#x2122;s New President Looks to Shake Things Up

An interview with Andra Blomkalns, MD

Leading the advancement of emergency care through education and research, advocacy, and professional development in academic emergency medicine.

SAEM STAFF Chief Executive Officer Megan N. Schagrin, MBA, CAE, CFRE Ext. 212, mschagrin@saem.org Director, Finance & Benefits Doug Ray Ext. 208, dray@saem.org Accountant Hugo Paz Ext. 216, hpaz@saem.org Director, Operations & Governance Kat Nagasawa, MBA Ext. 206, knagasawa@saem.org IT Project Manager Angela Lasky Ext. 217 alasky@saem.org Governance Assistant Kiernan O'Dell Ext. 205, kodell@saem.org Director, Communications Stacey Roseen Ext. 207, sroseen@saem.org Digital Communications Specialist Kataryna Christensen Ext. 201, kchristensen@saem.org Grants & Foundation Manager Melissa McMillian, CNP Ext. 203, mmcmillian@saem.org SAEM & Foundation Assistant Alex Keenan Ext. 202, akeenan@saem.org

HIGHLIGHTS Director, Membership & Meetings Holly Byrd-Duncan, MBA Ext. 210, hbyrdduncan@saem.org

Membership Manager George Greaves Ext. 211, ggreaves@saem.org

Education Manager Mark Nagasawa, MA Ext. 214, mnagasawa@saem.org Meeting Planner Maryanne Greketis, CMP Ext. 209, mgreketis@saem.org

Membership & Education Assistant Monica Wakulski Ext. 2014, mwakulski@saem.org AEM Editor in Chief Jeffrey Kline, MD AEMEditor@saem.org AEM E&T Editor Susan Promes, MD AEMETeditor@saem.org AEM/AEM E&T Manager Stacey Roseen Ext. 207, sroseen@saem.org

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President’s Comments SAEM Leads Charge to Establish Working Group to Assess and Contribute to AAMC Pilot Project By Andra Blomkalns, MD

EM Physician in the Spotlight S AEM’s New President Looks to Shake Things Up SAEM Talks with Andra Blomkalns, MD

Ethics in Action Nondisclosure: Determining What is in the Patient’s Best Interest By Thaer Ahmad, MD

Social Media in Academic EM The FOMO (Fear of Missing Out) on FOAM By Lauren Westafer, DO MPH

Diversity and Inclusion Racism and Gun Violence: A Call to Action By Bernard Lopez, MD

SGEM: Did You Know? Gender Disparities in Hospital Cardiac Arrest Outcomes By Esther Choo MD, MPH

Resident-Student Guide

AEM/AEM E&T Editorial Coordinator Taylor Bowen tbowen@saem.org

Assistant Newsletter Editor Sharon Atencio sharon.atencio@rvu.edu

Briefs and Bullet Points

Academic Announcements

Mentorship in Academic Emergency Medicine: A Call-to-Arms for the SAEM Community By Rachel Haney, MD and Jean Sun, MD

2016-2017 BOARD OF DIRECTORS Andra L. Blomkalns, MD President University of Texas Southwestern at Dallas

James F. Holmes, Jr., MD, MPH University of California Davis Health System

D. Mark Courtney, MD President-Elect Northwestern University Feinberg School of Medicine

Amy H. Kaji, MD, PhD Harbor-UCLA Medical Center

Richard Wolfe, MD Beth Israel Deaconess Medical Center/ Harvard Medical School

Ian B.K. Martin, MD, MBA University of North Carolina School of Medicine

Riley P. Grosso, MD University of Cincinnati College of Medicine

Steven B. Bird, MD Secretary/Treasurer University of Massachusetts Medical School Deborah B. Diercks, MD, MSc Immediate Past President University of Texas Southwestern at Dallas

Ali S. Raja, MD, MBA, MPH Massachusetts General Hospital

Angela M. Mills, MD Perelman School of Medicine, University of Pennsylvania

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 visit http://www.saem.org/publications/newsletters © 2016 Society for Academic Emergency Medicine. All rights reserved. No part of this publication may be reproduced, stored, or transmitted in any form or by any means without prior permission in writing from the copyright holder.

PRESIDENT’S COMMENTS Andra Blomkalns, MD University of Texas Southwestern Medical Center at Dallas SAEM President 2016-2017

SAEM Leads Charge to Establish Working Group to Assess and Contribute to AAMC Pilot Project

"We are stronger and more effective as a single, all inclusive academic family. We are academic emergency medicine. We are SAEM. "

I have always likened my department as another family. We run a family business where everyone contributes and everyone benefits. We have brothers and sisters who are clinicians, educators, and scientists. We have, or are, the cousins and children entrusted with the future of our great specialty. We have parental units as leaders and students more eager than ever to join the clan. Not to be omitted (and you know it), we also have the crazy, yet endeared, uncles and aunts. Every year we have an annual meeting family reunion where we learn, but also laugh and remember. Not everyone can go, but everyone is welcome.

I had been SAEM president for 2.35 days when this effort came to light. Just a few days before launch, powerful concerns were raised over the project’s validity, data collection, potential issues of ethical and cultural bias, costs, disparity of resources for individual students, and so much more. An avalanche of emails poured from concerned members, chairs, program directors, clerkship directors, residents, students, and dean’s office types. What is more academically important than the selection of new residents for any department? How did this get so far (almost to implementation) without the family learning about it and getting the opportunity to contribute?

In February 2016, the AAMC began work to make emergency medicine the trial specialty for a new pilot project. The Standardized Video Interview (SVI) was to be implemented as a new part of the Electronic Residency Application Service (ERAS). The goal of this project was to improve upon the existing numerically rank-driven system and assess professionalism qualities. This would require that students applying to only the field of emergency medicine undergo a standardized digital interview as part of the initial application. A company specializing in employment interviews would score them. The scores and the interviews themselves would be made available to the residency programs for use as they individually saw fit. Sounds interesting, right? I’ll bet you have questions—lots of them—and so did many of our members.

Together with AACEM and CDEM, and in collaboration with EMRA and AAEM RSA, SAEM was able to effectively communicate that something this important and impactful can only start as a critical assessment and a research project. The AAMC agreed. Now students can “opt in” and participate voluntarily. This year’s scores will not be provided to residency programs. A new working group, including all the relevant stakeholders within academic emergency medicine, has been established with the AAMC to work through these issues and deliberately and carefully contribute to the advancement of the residency application process with data and evidence. We are stronger and more effective as a single, all inclusive academic family. We are academic emergency medicine. We are SAEM.

SPOTLIGHT

Leading

with

Kindness SAEM’s New President Looks to Shake Things Up

"Change is good, fresh, shakes things up, and reminds me of what is good about the past and the potential for the future." Andra Blomkalns, MD, is a professor, clinician specialist, and researcher at the University of Texas Southwestern Medical Center in Dallas where she is also vice chair of academic affairs

SAEM NEWSLETTER | SEPTEMBER-OCTOBER 2016

and business development in the department of emergency

medicine. Previously Dr. Blomkalns was associate professor, residency program director, and vice chair in the department of emergency medicine at the University of Cincinnati. Dr. Blomkalns received her MD from Louisiana State University and completed her residency at the University of Cincinnati where she was chief resident. Dr. Blomkalns’ contributions to the Society for Academic Emergency Medicine are many, including serving as a member and chair of several subcommittees and committees, including the Annual Meeting Program Committee in 2010 and 2011. Andra is also an active member of SAEM’s Academy of Women in Academic Emergency Medicine (AWAEM). Prior to being installed as SAEM president in May 2016, Andra had served on the SAEM Board of Directors as secretary-treasurer and president-elect.

SAEM Talks with Andra Blomkalns, MD Imagine it’s June 2017… You’ve just completed your term as president of SAEM and are celebrating what a great year it’s been for the organization…. What was achieved? Our members feel as though they have a “home” in SAEM, a place where they can communicate, network, collaborate, as well as seek information and direction. Even as we drift into other fields of medicine and take on broader roles, I want SAEM to be at the core of where academic emergency medicine was generated and persist to be the hub of the academic emergency medicine of the future.

How would you describe your leadership style? I enjoy shaking things up and bucking the status quo.

What did you want to be when you were growing up? I always knew I wanted to be some sort of scientist. I was constantly taking things apart, running experiments with plants, fire, electricity (a few burn scars evident), chemicals under the sink, and tools from the garage. It is a miracle I did not kill myself or my little brother.

Who or what influenced your decision to choose the academic/EM specialty? I wanted to keep giving and stay on the forefront of the most innovative and dynamic specialty in medicine.

What has surprised you most about working in the academic/EM specialty? I get a lot more attached to my patients than I thought would be possible in the relatively short interactions. We are so lucky in EM to be able to make an impact on someone’s life in a matter of a few minutes to hours. Now with electronic records and patient access to their own records, I sometimes check and see how my previous patients are doing, and 100% of the time, they appreciate the inquiry.

What advice would you give to your younger self, just starting out in this specialty? Make a plan. I was so eager to say “yes” to every opportunity, every option, every shift trade, every conference, every research project, and every role that I neglected to make an overall timeline and plan of what I really wanted to do. Saying “no” sometimes (but not too often!) is ok.

If you weren’t doing what you do, what would you be doing instead? I think I would be an entrepreneur, a health care administrator, a blueberry farmer, a fishing guide, a veterinarian, or maybe a pharmacologic chemist… Do I have to choose? I still might do some of these things.

Where do you see the specialty in 10 years? What do you think will change? What sorts of trends do you see? The sub-specialization of EM strikes me as a growing trend. I view the field becoming much like internal medicine. Generalist internists might do only a residency and go into private or academic practice. Many folks subspecialize in, for instance, cardiology, nephrology, or endocrinology. To me it parallels the emergency medicine subspecialties of research, ultrasound, administration, toxicology, and so forth. At this point it seems that getting hired on in an academic department requires some additional training, fellowship, or otherwise.

"I want SAEM to be at the core of where academic emergency medicine was generated and persist to be the hub of the academic emergency medicine of the future." How do you balance work and life? What one thing would improve the quality of your life? I am trying very hard to put down the phone, the iPad, the computer at bedtime… and, instead, read (yes, on an e-ink

reader). There is a convincing amount of evidence that blue light emitted from many electronic devices disturbs sleep. I figure I’ve seen enough blue light to illuminate my brain for a century.

What is your number one tip for managing stress? What do you do to relax? Get outdoors and spend time with nature. Yoga is great, too, except when I lose my balance, fall on the person next to me, and then start laughing uncontrollably.

What one word would your friends use to describe you? Clumsy. I am a spaz no matter how much my mom sent me to ballet lessons. I think it is because my brain is working on things in the background and sometimes the foreground gets a little foggy or jumps out in front of me. I am that person on the YouTube video who walks into a stop sign, trips over her own dog, hits her head on the cardiac monitor, and drops the ultrasound probe. Yep, that’s me.

What one word you would want other people to use when describing you? Kind. I truly enjoy being kind to people and all living things. Sometimes I feel others view that trait as a position of weakness from a professional perspective, but I have decided not to care. I get actual, palpable joy from helping humans and creatures. Particularly the little things like reassuring a family member of a patient, bringing a warm blanket, lifting the heavy stuff from a grocery cart into an elderly person’s car, calling a distraught resident and giving them a pep talk, or complimenting a friend or work colleague.

What's the one thing about you that few people know? I love to fish! You name it: saltwater, freshwater, shallow water, deep water, moving water, still water, on a boat, from shore, all kinds of fishing. Consistent things are that I like to use barbless hooks, kiss the fish when I catch them, and turn (most of) them loose. I tend to use artificial lures because I feel it seems more fair to the sport and the fish. Put me in a kayak with a dark purple Texas rigged plastic worm and a largemouth bass within 500 feet and I am a happy gal.

Who would play you in the film of your life? The character of Kramer on Seinfeld.

What is your guiltiest pleasure? Dining. Dining for me is an adventure and entertainment at the same time. It is not just about the food, but it's about the location, the company, the wait staff, the courses, and of course, the dessert!

What is the most important lesson life has taught you so far? Things change. I used to approach change with some guarding, now I look forward to it. Change is good, fresh, shakes things up, and reminds me of what is good about the past and the potential for the future.

ETHICS IN ACTION Nondisclosure: Determining What is in the Patient’s Best Interest By Thaer Ahmad, MD

SAEM NEWSLETTER | SEPTEMBER-OCTOBER 2016

Problems of Disclosure

A four-year-old girl and her very worried parents present to the emergency department. The patient is experiencing intractable back pain and appears very uncomfortable. The parents explain that they were at their pediatrician’s office two days ago and had some X-ray imaging done. They are unsure of the results but know that their pediatrician wanted their daughter to be admitted to the hospital for further testing. Upon review of her medical records and a discussion with her pediatrician, I discover that the patient has findings suspicious for a posterior mediastinal mass. The pediatrician believes this could be a neuroblastoma, and she would like the patient to have a CT scan in the emergency department and be admitted for a pediatric oncology consult. The pediatrician further informs me that the parents are anxious people and suggests that we not tell them about the mass until we confirm the diagnosis.

Problems of disclosure are an important ethical issue frequently encountered in medicine. Physicians often need to determine the correct point in a patient’s evaluation or treatment to share conclusions, which may be preliminary. They also need to decide how much detail to include. Sometimes, however, the question, as in this case, is more extreme: whether to disclose information to a particular patient (or family) that you would normally disclose in most other clinically similar cases. Such nondisclosure is often rationalized as an effort to prevent patient depression or treatment refusal. However, this can compromise a patient’s (or their surrogate’s) ability to make informed decisions about their care. The emergency department is a fastpaced environment where various chief complaints from distinct patient populations appear. Through the course of our workup, we attempt to determine what presenting processes are benign in nature. How many times has blood work come back demonstrating borderline anemia unrelated to the chief complaint in a patient with the remainder of the workup being normal? When the patient asks, “How are my tests?” and we respond by saying the tests are normal, are we engaging in nondisclosure? The answer is most certainly not simple. The possible reasons for a hemoglobin level below your institution’s reference range are numerous. You may even be thinking that you do not have nearly enough information to diagnose anemia. Nondisclosure is not always a straightforward issue, as previously mentioned; sometimes you don’t have enough information to have a meaningful explanation for your patient. Ultimately, you as the physician have to determine what is in the best interest of your patient, and whether your patient has enough details and understanding to make informed decisions about his or her care. When the workup

for a patient is only partially complete, the physician has a responsibility to decide what is appropriate to share with the patient at that time. Furthermore, expectations regarding what information a complete workup will provide can prevent any barriers in communication and help avoid any opportunities for nondisclosure.

Pediatrics Pose a Unique Challenge Parents are often anxious when they are unaware of the status of their child’s health. Their desire to be updated frequently and consistently is reasonable. The importance of discussing radiation exposure associated with CT scans is something many clinicians stress when communicating with parents. Conceivably, a similar approach to equivocal tests, suspicious findings, or concerning presentations should be taken. Only when our patients are provided the necessary details and

"Ultimately, you as the physician have to determine what is in the best interest of your patient, and whether your patient has enough details and understanding to make informed decisions about his or her care." have a solid grasp of the proposed plan/ workup can they make informed decisions. Avoiding panic in parents and patients is an understandable goal, but this should be balanced with appropriate communication about concerning features of a patient’s presentation. Anxious and worried parents should always understand the reasoning behind their child’s testing and workup, and physicians should strive to explain the reality of the situation without creating unnecessary

distress amongst a family. Clearly this can be incredibly difficult, especially in delicate situations like the case presented above.

a diagnosis is consistent with the patient’s wishes.

Cultural Considerations

Ultimately, as a physician in the emergency department, I have to remind myself to communicate in a fashion that allows my patient to understand what I’m saying. At the same time, it is imperative to recognize that many patients we see have primary care providers who know them well. PCPs are able to develop relationships with patients and their families, and through these relationships they are able to know intimately the desires of their informed patients. In these circumstances, it’s important to honor and respect the boundaries of the physician-patient relationship, and to be careful not to breach an understanding a patient and physician may have about details of a diagnosis, prognosis, or plan of care for the patient. In other instances we may be required to deliver bad news, say we don’t know, or admit that we are concerned. You can embark on a

Cultural considerations may also come into play when deciding whether to disclose a patient’s diagnosis. Patients may come from a belief system where they would prefer not to know a grave diagnosis or poor prognosis. Should it become clear that this is the patient’s wish, their decision falls under the ethical principle of autonomy, which the physician should respect. Generally, in the United States we follow the practice of disclosure towards our patients. However, it is important to keep in mind that in some cultures, a difficult diagnosis may be concealed from the patient and instead discussed with a specific family member or representative. This relates to more of an emphasis on psychological morbidity and facilitating a more healing environment. Nonetheless, it is imperative to ensure that any decision to conceal

Ultimately it’s About Understanding

"Anxious and worried parents should always understand the reasoning behind their child’s testing and workup, and physicians should strive to explain the reality of the situation without creating unnecessary distress amongst a family."

lengthy pathophysiology discussion, but are you being detail oriented or simply trying to avoid an uncomfortable conversation? Can we expect our patients to trust us if they don’t even know what we are saying because we’re being purposely vague or confusing? We may find ourselves in a position where we are unsure if fully disclosing is the appropriate next step. Perhaps a helpful question to ask when you find yourself in doubt is: what would a reasonable person want to be told? Finally, the more life-changing or serious a diagnosis, the more convinced as physicians we should be about what our patients expect to be told. By keeping patients involved and aware of their personal results, we can empower them and engender productive conversations regarding plans of care and treatment options. Parents with a sick child want to know if their child is sick; and they deserve to know if their child is sick. Patients have questions and they come to doctors looking for answers. Sometimes, we don’t have all the answers. Sometimes, our answers are incomplete. But if we have an answer, it may make sense to share it with the person asking the question. About the Author: Thaer Ahmad graduated from Rush Medical College in 2014 and is currently a senior resident in emergency medicine at St. John Hospital and Medical Center in Detroit, MI. He has a special interest in global health/international medicine and medical ethics.

NOW ACCEPTING SUBMISSIONS

AEM Education and Training Submission Website: https://mc.manuscriptcentral.com/aemet 7

SOCIAL MEDIA IN ACADEMIC EM The FOMO (Fear of Missing Out) on FOAM By Lauren Westafer, DO MPH

"Residents are increasingly using podcasts and blogs for learning, but faculty are lagging behind in this area."

There are generally two responses from those who don’t use podcasts, blogs, and Twitter for medical education (i.e. Free Open Access Medical Education, or “FOAM”):

one fact is undeniable: residents are using FOAM. You can, however, influence what your learners turn to and guide them to where you think their knowledge gaps may lie. Here’s how:

1. I want to get into FOAM but I’m not sure how to get started. 2. I’m intentionally missing out on FOAM because (pick one): a) I don’t trust it b) I don’t need it c) I don’t understand it Regardless which of these categories you fall into, here are the FOAM facts you should know.

1. First, understand what your residents are turning to. Most residents listen to the paid podcast EMRAP, but from FOAM selections, the most commonly listened to podcast is EMCrit and the most frequently read blog is Academic Life in Emergency Medicine2. Residents may share something novel or risky they learned from a blog or podast and wish to try out, so it would helpful to have an idea of what your residents are exposed to in order to better discuss these matters with them.

Residents and medical students are using FOAM. Residents are increasingly using podcasts and blogs for learning, but faculty are lagging behind in this area. In a recent study, Canadian emergency medicine (EM) residents reported spending 33.6% of their study time using textbooks and 35% using podcasts1. Accessibility and entertainment topped the list of reasons why these residents seek out FOAM2.

SAEM NEWSLETTER | SEPTEMBER-OCTOBER 2016

Most faculty and attendings do not use FOAM.

Attendings tend to use podcasts and blogs less often than trainees. This is likely due, in part, to the novel nature of FOAM— podcasts simply weren’t around when many attendings were trained. Reticence to use FOAM may also come from distrust. Originally, this medium contained predominantly cutting edge medicine and critical care with concerns about peer review. Now FOAM includes everything from pediatrics to ultrasound tutorials; evidence-based literature reviews and many sites undergo both pre-publication and post-publication review.

You can harness FOAM to hijack your learners’ educations. Regardless of whether one’s opinion is that residents and students should be acquiring educational information solely from textbooks or also from blogs and podcasts,

2. Next, take control of what your learners are exposed to. Some learners need more core content, while others may require procedural guidance. Numerous core content resources exist, including podcasts EMbasic and FOAMcast, and blogs such as Academic Life in Emergency Medicine and EMdocs, which are targeted to residents and board review. When suggesting that residents “read more” to fill the holes in their education, a more positive reaction might result if they are directed to particular podcasts or blogs. One way of finding resources to direct learners to is foamsearch.net, a Google search engine of FOAM resources.

FOAM can be good for you. In addition to the benefits of guiding your learners with FOAM, there are ways that educators can benefit from FOAM as well. One way that many academicians are already, indirectly participating in social media is through altmetrics. Altmetrics is essentially a blend of the impact factor merged with the h-index and is an article level metric of the impact of an article on social media. The more blogs and tweets in which an article appears, the higher the altmetric3. Awareness of the social media conversations around our literature may facilitate important discussions and provide feedback to authors.

"Take control of what your learners are exposed to. Some learners need more core content, while others may require procedural guidance." Additionally, some academicians and departments are building their brands by filling an academic niche and educating others. For example, the New York University residency program has a core content podcast and blog, CoreEM, disseminating educational activities from their residency.

Don’t miss out on FOAM. REFERENCES: 1. P urdy E, Thoma B, Bednarczyk J, Migneault D, Sherbino J. The use of free online educational resources by Canadian emergency medicine residents and program directors. CJEM. 17(02):101-106. 2015 2. M allin M, Schlein S, Doctor S, Stroud S, Dawson M, Fix M. A Survey of the Current Utilization of Asynchronous Education Among Emergency Medicine Residents in the United States. Academic Medicine. 89(4):598-601. 2014. 3. Trueger NS, Thoma B, Hsu CH, Sullivan D, Peters L, Lin M. The Altmetric Score: A New Measure for Article-Level Dissemination and Impact. Annals of Emergency Medicine. 66(5):549-553. 2015.

About the Author: Dr. Westafer is an emergency medicine chief resident at Baystate Medical Center/Tufts University, Springfield, Mass.

Don’t Need That Honorarium Check?

We do!

Support young researchers and educators in starting their careers by donating your honorarium check to the SAEM Foundation. It’s fast, easy, and could save you money at tax time! Donate honoraria received from grand rounds, professional speaking engagements, and other activities to the SAEM Foundation, a 501c3 public charity… It is one easy way to help our specialty grow. Download the form at www.saem.org/honorarium and send it directly to the company that is awarding you the check. We will handle the rest! Contact Melissa McMillian at mmcmillian@saem.org with questions. 9

DIVERSITY AND INCLUSION Racism and Gun Violence: A Call to Action By Bernard Lopez, MD and Members of the Academy for Diversity and Inclusion in Emergency Medicine

"We need crucial, difficult, and painful conversations to move us forward. Not just the usual talk, but active, directed,

SAEM NEWSLETTER | SEPTEMBER-OCTOBER 2016

and engaged talk. "

In June 2016, a group of 49 individuals— predominantly Hispanic—were killed by firearms at an LGBT nightclub in Orlando. In separate incidents in July, two black men were killed while being confronted by police; five white Dallas police officers lost their lives to a sniper; and three more Baton Rouge police officers were killed while on duty. By the time of publication of this article, who knows how many more will have senselessly lost their lives due to violence. As emergency physicians, we are accustomed to treating victims of violence. Primary survey, resuscitate; secondary survey, treat, consult. As human beings, however, we cannot help but feel the pain and horror of people killing each other. It has been argued that we do not know the real motives behind the killings of Alton Sterling and Philando Castile. One can easily contemplate the potential role of racism. Witnessing recordings and live-streaming of police officers shooting two black man, a single day apart, harshly reminds us of the reasons for the very existence of our Academy and its focus on diversity and inclusion. Retaliatory violence that resulted in the senseless killing of law enforcement officers, even more so. Never has cultural competency been more needed. Previously, when racism and homophobia were overt, these were issues of basic civil and human rights. Now as hatred, misunderstanding, and ugliness are more hidden from plain view, our job as advocates for diversity and inclusion is even more important and perhaps more difficult because we must address subtler and less obvious (yet possibly more ingrained) bias that erupts from below the surface. It is more difficult to determine who embraces efforts at understanding, and who may harbor resentment, anger, and ill will until Ferguson, Baltimore, Orlando, and similar atrocities play out. As emergency physicians and as members of the human race, we are against people killing each other. The ease with which one individual is able to end the life of another mandates that we need to treat each other better— regardless of race, culture, gender, or class. We have a

choice to address this problem deliberately and proactively and to understand that our differences make us unique and stronger as a society, or risk falling prey to those who cultivate anger and bias for political or uncivil purposes. We can only hope that, as a society, we can react to these terrible events to improve our world now and in the future. We are stronger together; united as people for the mosaic that makes us who are. Black lives matter. Hispanic lives, LGBT lives, police lives and, indeed, all lives are important.

"Never has cultural competency been more needed." We pray for and extend our deepest condolences to the friends and families of those involved in recent tragedies, but we know that is not enough to stop their pain. We can, however, do our part to prevent such tragedies moving forward. We need action. Those of us in health professions have the opportunity to lead the cause and create change. Indeed, we have the responsibility and power to do so—and no excuse not to. Emergency physicians (and, for that matter, emergency nurses, technicians, and prehospital care providers) are used to action and getting things done. If we all work together and strive for something better, we might one day arrive at our “best place.” In line with the mission of SAEM, ADIEM advocates for more research and education on gun violence in an effort to eliminate further injury and death. While the issues that surround guns and violence are complicated given the controversial politics and deep-seated beliefs held by many, proper science will give us a better chance to eliminate senseless gun-related deaths. We need crucial, difficult, and painful conversations to move us forward. Not just the usual discourses, but active, directed, and engaged talk. Each of us has a unique set of experiences—a schema that forms the lens through which we view the world.

Our differing viewpoints can cause us to be at odds and prevent us from seeing another way. These differences challenge each of us to step out of our comfort zones, forcing us to see things from someone else’s perspective. Hence, the conversations may be difficult and painful. Herein lies the importance of diversity (variety of thought) and inclusion (an active engagement with diversity). We have the opportunity to develop a collective understanding of a given issue through further conversation, rather than allowing our differences to impede our progress. The mission of the Academy of Diversity and Inclusion in Emergency Medicine is more important than ever: to promote equal access to quality healthcare and the elimination of disparities in treatment. This is one way we stand as leaders in the house of medicine, working to promote the health of all people. About the author: Bernie Lopez, MD, is professor and executive vice chair in the department of emergency medicine and the associate dean for diversity and community engagement at the Sidney Kimmel Medical College of Thomas Jefferson University in Philadelphia, Penn. Dr. Lopez is president of SAEM’s Academy for Diversity and Inclusion in Emergency Medicine (ADEIM).

WHY ADIEM IS IMPORTANT Although the U.S. population continues to become more diverse, ethnic and racial healthcare disparities persist. The benefits of a diverse medical workforce have been well described, but the percentage of emergency medicine (EM) residents from underrepresented groups (URGs) is small and has not significantly increased. Partnering with SAEM, ADIEM works toward the realization of our common goals of diversifying the physician workforce at all levels, eliminating disparities in healthcare and outcomes, and insuring that all emergency physicians are delivering culturally competent care. We invite you to join us in promoting equal access to quality healthcare and eliminating disparities in treatment. Visit the membership section of the SAEM website: http://www.saem.org/ membership

SGEM: DID YOU KNOW?

Gender Disparities in Hospital Cardiac Arrest Outcomes By Esther Choo MD, MPH Although deaths from cardiac arrest have been downtrending for both men and women, a recent analysis of a national inpatient database demonstrated some concerning gender-based differences in in-hospital survival after cardiac arrest.1 Using the Nationwide Inpatient Sample (NIS) from the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (HCUP) data between 2003 and 2012, authors identified 1,436,052 visits with a primary or secondary diagnosis of cardiac arrest. Over the time period captured, there was a greater increase in rates of all types of cardiac arrests in men compared with women; both sexes demonstrated an increase in the rates of ventricular tachycardia/ventricular fibrillation (VT/VF) arrests. There were overall increases in coronary angiography, percutaneous coronary intervention (PCI), and targeted temperature management (TTM). However, these increases in coronary procedures were significantly greater in men versus women presenting with cardiac arrests. Women were also less likely to receive ventricular assist or intra-aortic balloon pump support devices. After adjustment for a wide variety of patient- and hospital-level factors, female sex remained associated with less likelihood of undergoing coronary angiography, PCI, or TTM. In particular, women presenting with VT/VF arrests were markedly less likely to receive coronary angiography (25% less compared to men) and PCI (29% less). Did the difference in procedures translate into poorer outcomes? It seems so: women in this study had higher post-arrest in-hospital mortality after multivariate adjustment compared with men, particularly for VT/VF arrests. REFERENCES: – Kim LK, Looser P, Swaminathan R V, et al. Sex-Based Disparities in Incidence, Treatment, and Outcomes of Cardiac Arrest in the United States, 2003-2012. J Am Heart Assoc. 2016;5(6). doi:10.1161/JAHA.116.003704.

SGEM “Did You Know?” is a recurring SAEM Newsletter submission designed to present concise facts that demonstrate how patient sex and gender effect emergency care. Submissions to this column are welcome. Please send contributions to coeditors Lauren Walter and Alyson J. McGregor at sgem@lifespan.org. SAEM members who are interested in adding the Sex and Gender in Emergency Medicine Interest Group (SGEM IG) to their membership may do so by 1) logging into the SAEM Website at saem.org, 2) clicking “My Account,” and 3) clicking “Billing.” SAEM members who are already part of the SGEM IG can find more information and resources by visiting the SGEM IG community site: http://community.saem.org/ communities/community-home?CommunityKey=ab6db66f-c94b-4ebf-a9a7-5025b69d606c.

RESIDENT-STUDENT GUIDE Mentorship in Academic Emergency Medicine: A Call-toArms for the SAEM Community By Rachel Haney, MD and Jean Sun, MD As an emergency medicine resident aspiring to a career in academics, establishing a strong mentoring relationship may be the most important thing you can do. But how do you find a mentor? Should you find a mentor or should a mentor find you? What matters more: matching interest or availability? Does gender or race matter? Is there such a thing as a universal formula for successful mentorship?

“Mentoring has been linked to increased job satisfaction, academic productivity SAEM NEWSLETTER | SEPTEMBER-OCTOBER 2016

and career

advancement.”

While no easy answers exist, an alarming disconnect exists between the expectation of mentorship at academic institutions and the reality that successful relationships are far from ubiquitous, not well studied, and difficult to replicate. We believe that the SAEM community, as a national network of physicians with a clear mission to advance academia, is uniquely poised to meet this mentorship challenge.

The Power of Mutual Benefit The word mentor originates from Greek mythology. “Mentor” from Homer’s Odyssey guided Telemachus, the son of Odysseus, while his father was fighting in the Trojan War.1,4 In academia, a mentor has been defined as “a person who takes a special interest in the professional development of a junior colleague…(providing) guidance and support.”3 This implies a one-way flow of information from the more senior person to the more junior. Recent research suggests that a successful mentoring relationship is actually bi-directional, and sets expectations for both parties in order to result in mutual benefit.1-5 Despite the paucity of quality experimental research, it is generally recognized that mentorship is a critical component of success in an academic medical career.1-8 A majority of emergency medicine residents consistently rate mentorship as one of the most important aspects of their training.3 Mentoring has been linked to increased job satisfaction, academic productivity and career advancement.1-3, 7 Mentorship is also a strong deciding factor for residents considering an academic career path.3 Conversely, the lack of mentorship

has been cited as a specific hurdle to career success, and may contribute to attrition from academia.1,3,7 While the benefits to the mentee are obvious, benefits to the mentor are often underappreciated.1-3 For instance, a questionnaire conducted by Connor et al. to assess a network of senior physician mentors found that, contrary to the mentor’s original expectations, the network became a significant source of academic opportunity and support for the mentors as well as the mentees.5 Mentorship has also been shown to positively affect mentors through increased productivity, professional satisfaction, publication volume, and engagement in departmental activities.1,9

Current Challenges Strong mentoring relationships are not the norm in academic medicine. In fact, mentoring may be declining due to increasing clinical and administrative demands and decreasing protected time for teaching.1,2,7,13 Many institutions do not specifically carve out financial or academic resources for mentorship, and women and minorities may experience additional difficulties identifying potential mentors.2,3 Mentoring within emergency medicine has its own unique challenges.5 While our field is enriched by diverse sub-specialty, fellowship, and entrepreneurial opportunities, this breadth of options can make it difficult to successfully pair mentor and mentee interests at the local level. Your institution may have the world’s leading experts in critical care, but its expertise would not be helpful if you develop a passion in health policy. Junior physicians also often desire guidance beyond their home institutions or even beyond the field of emergency medicine.5 Finding these outside mentors can be an even more daunting task.

The Local Solution While there is no consensus on the specific ingredients of a successful mentoring relationship, studies agree that institutional support is vital.13 Institutions that directly fund

mentorship, have peer support programs, or teach mentorship ultimately produce more successful relationships. While this may seem self-evident, it implies that there is impetus and opportunity for institutions, and not just individuals, to take on the responsibilities of mentorship. Increased support and protected time for mentors would encourage more robust relationships, attract engaged faculty, and encourage mentees to become successful mentors themselves.

The Virtual Solution Not surprisingly, the age of FOAMed has produced virtual mentoring as a potential solution to local limitations. Niche communities and experts are now only a click away. Virtual mentoring, or telementoring, is a long distance mentoring relationship that occurs via email or phone.3 While this can be less demanding, it is also potentially less fulfilling than onsite mentoring.3 SAEM developed a successful virtual mentorship program in 2004 for medical students. Through the SAEM website, interested students lacking mentors were paired with EM faculty. Both mentors and mentees generally considered this program a success.6 The Emergency Medicine Residents Association (EMRA) created an additional virtual program in 2006 to augment the SAEM program by pairing medical students with resident physician mentors online. Seventy-two percent of students found this program helpful in its inaugural year.8 There are similar virtual programs hosted by the Emergency Medicine-Critical Care Medicine (EMCCM) website, ACEP Sports Medicine, and others.10,11Though promising, these programs depend on a steady flow of interested mentees and committed mentors, and their sustainability is still unclear. While millennials may enthusiastically embrace virtual mentorship, it may not be the answer for everyone. Senior faculty members, with more academic commitments and less time than residents, may be less willing to mentor strangers from outside institutions. Generational gaps in mentorship and familiarity with virtual media are also problematic.12 We believe that these challenges are not insurmountable, however, and should not preclude exploration of the potential benefits of virtual mentorship networks.

Best of Both Worlds? It may be possible to build an effective national mentorship network by carefully

"Institutions that directly fund mentorship, have peer support programs, or teach mentorship ultimately produce more successful relationships." blending local and virtual strategies to suit the particular needs of three distinct mentee populations: medical students seeking clerkship or specialty guidance, residents seeking academic career or research guidance, and junior faculty seeking career development. Each population will likely require a different approach. For instance, virtual support may greatly benefit medical students at institutions without an emergency medicine residency, whereas telementoring may be redundant for residents who are best served by their home institutions. On the other hand, residents may benefit from organized forums at national or regional conferences that expose them to more mentors within their particular niche interests. A national online network could take these individual preferences into account, such that mentee-mentor pairings could optionally be restricted based on virtual versus on-site availability. The meeting space and time could be carved out across conferences by network moderators so that national meetings like SAEM, ACEP, and CORD could offer consistent and formalized mentorship opportunities. Finally, a unified network could provide continuity as mentees “graduate” from medical student to resident or resident to faculty, and double as an alumni pool of mentors.

Conclusion We believe that mentorship is a crucial but challenging aspect of academic career development that deserves a broader national discussion. Emergency medicine is more connected than ever through social media, telemedicine, and virtual learning, but mentorship remains a significant hurdle. We strongly believe that the large network of students and physicians in the SAEM community can embrace this challenge and work together to create effective solutions. In this spirit, we have created a new Mentorship Sub-Committee in the Resident and Student Advisory Committee (RSAC)

led by our enthusiastic members. If you are interested in contributing, please contact the RSAC Leadership at rsac-leadership@ googlegroups.com. We hope to work with all of you to advance mentorship for the mutual benefit of SAEM members around the country. REFERENCES 1. G armel, G. (2004). Mentoring Medical Students in Academic Emergency Medicine. Acad Emerg Med, 11(12), 1351-1357. 2. S ambunjak, D, Straus, S, & Marusic A. (2009) A Systematic Review of Qualitative Research on the Meaning and Characteristics of Mentoring in Academic Medicine. J Gen Intern Med 25(1), 72-78. 3. Yeung, M, Nuth, J, & Stiell, I.G. (2010) Mentoring in EM: The Art and the Evidence. Canadian Journal of Emergency Medicine, 12(2), 143-149. 4. F arrell, S.E., Digioia, N.M., Broderick, K.B., & Coates, W.C. (2004). Mentoring for Clinician-Educators. Acad Emerg Med 11(12), 1346-1350. 5. M arco, C.A., & Perina, D.G. (2004) Mentoring in Emergency Medicine: Challenges and Future Directions. Acad Emerg Med 11(12),:1329-30. 6. C oates, W.C., Ankel, F, Birnbaum, A, Kosiak, D, Broderick, K.B., Thomas, S, et al. (2004). The Virtual Advisor Program: Linking Students to Mentors ia the World Wide Web. Acad Emerg Med 11(12), 253-255. 7. S ambunjak, D, Straus, S, and Marusic, A. (2006). Mentoring in Academic Medicine: A Systematic Review” JAMA 296(9), 1103-1115 8. S chmitz, G.R. (2011). Virtual Mentoring in Emergency Medicine (EM): Can EM Residents Influence Medical Students? Emergency Medicine: Open Access 1(1), 1-2. http://dx.doi.org/10.4172/2165-7548.1000e101 9. C oates, W.C. (2012). Being a Mentor: What’s in It for Me? Academic Emergency Medicine 19(1), 92-97. 10. E mergency Medicine Critical Care Fellowships Website http://emccmfellowship.org/mentorship.php Accessed Jul 23 2016 11. ACEP Sports Medicine Virtual Mentorship Program. https:// www.acep.org/_sports-medicine-mentorship/about-thementorship-program/. Accessed Jul 23, 2016. 12. M ohr, N.M., Moreno-Walton, L, Mills, A.M., Brunett, P.H., & Promes, S.B. (2011), Generational Influences in Academic Emergency Medicine: Teaching and Learning, Mentoring, and Technology (Part I). Academic Emergency Medicine, 18(2), 190–199. 13. P ololi, L. & Knight, S. (2005). Mentoring Faculty in Academic Medicine. Journal of General Internal Medicine, 20(9), 866–870.

About the Authors: Jean E. Sun, MD, is a third year emergency medicine resident at Mount Sinai Hospital in New York. She is co-chair of the SAEM Resident and Student Advisory Committee and an active member of the SAEM Program Committee. She has a strong interest in quality improvement and patient safety, and plans to pursue a career in administration. Rachel M Haney, MD, is a fourth year emergency medicine resident at Northwestern in Chicago and the co-chair of SAEM’s Resident and Student Advisory Committee. She is currently applying for a fellowship position in emergency ultrasound.

BRIEFS AND BULLET POINTS SAEM17

Now Accepting Didactic and Pre-meeting Workshop Proposals Online submission of didactic and premeeting workshop proposals for SAEM17 is now open. Submit your best new research ideas by September 15, 2016 for presentation at SAEM’s annual meeting in Orlando, May 16-19, 2017. Lead organizers and speakers will be notified of the status of their proposals in late November 2016. Full information, including a link to the submission site, may be found at http://saem.org/annual-meeting/ education/didactic-and-pre-meetingworkshop-proposals

Academic Emergency Medicine Education and Training (AEM E&T) Now Accepting Submissions for AEM Education and Training

Abstracts: September 26 – November 21 (Accept letters go out January 31)

SAEM is pleased to announce the launch of AEM Education and Training (AEM E&T) as a new companion journal to Academic Emergency Medicine (AEM). AEM E&T is an online only peer-reviewed journal dedicated to the publication of papers focused on the advancement of education and training in emergency medicine. This quarterly journal is now accepting submissions related to knowledge transfer achieved by testing new methods to enhance the skill, knowledge retention and professionalism of emergency care providers in training around the world. Submit your paper to https://mc.manuscriptcentral.com/aemet. To learn more about this new journal, visit www.aem-e-t.com

Innovations: September 26-November 21 (Accept letters go out by January 26)

Call for Reviewers: The New AEM Education and Training Journal

IGNITE: September 26-November 21 (Accept letters go out by January 11)

If you are interested in reviewing manuscripts for AEM E&T, the editorial board would like to invite your participation. To be considered as a peer reviewer for AEM E&T, please email the following information to sroseen@saem.org and put “AEM E&T Reviewer” in the subject line.

Deadlines: Mark Your Calendars! Pre-Meeting Workshops: August 1 – September 15 (Accept letters go out November 22) Didactics: August 1 – September 15 (Accept letters go out November 22)

SAEM16 Annual Meeting Award Winners Best Medical Student Presentation Daniel Lensman North Shore University Hospital/ NYU School of Medicine

Best Fellow Presentation Lars W. Andersen, MD Beth Israel Deaconess Medical Center

Best Young Investigator Presentation Scott M. Dresden, MD Northwestern University

SAEM JOURNALS

• A completed Call for Reviewers form (download at www.aem-e-t.com) • Your current curriculum vitae (this should include any service you have as a reviewer for peer-reviewed journals) • A brief statement outlining your previous peer review experience and why you’re interested in reviewing for AEM E&T.

Academic Emergency Medicine (AEM) AEM will be Online Only in 2017 Starting with the January 2017 issue, Academic Emergency Medicine will be an online-only publication. This means that subscribers and SAEM members will no longer receive printed issues of the journal. In addition to significantly reducing the carbon footprint of printing and mailing, this

important transition reflects a larger trend in 21st-century scholarship, with scholarly journals everywhere moving rapidly toward electronic-only distribution. This will result in much broader readership and improved services for SAEM members, including the creation of new online initiatives to strengthen the usability, submission rate, readership, and global interactivity of the academic emergency medicine community. Searching, browsing, saving, sharing and reading articles will be simple and intuitive, with user-friendly features including mobile optimized viewing on any device; enhanced PDF viewing, printing, and pay-per-view; and emails linking readers directly to the latest articles posted online.

SAEM NEWS

SAEM is on the Move! Please Update your Records

On September 1, 2016, the Society for Academic Emergency Medicine (SAEM) is moving into a new, state-of-the-art headquarters located at 1111 East Touhy Avenue, Suite 540, Des Plaines, Illinois. This new building will provide more space, advanced technologies, and two conference centers for training courses and meetings. In order for the society to be the world’s premier organization for developing academic leaders in education and research, it needs the modern infrastructure to be able to produce professional results.

Join SAEM in Giving Back

As part of this year’s EM Day of Service, SAEM staff will again be assisting the Maryville Jen School in Des Plaines, Illinois with preparation and set up for its annual fundraiser. The EM Day of Service is a global philanthropic effort driven by the emergency medicine (EM) specialty. It provides an opportunity for the emergency medicine specialty to give back to the communities it serves by hosting food drives, helping with home repairs for the elderly or disabled, providing health screenings, cleaning up trash along highways or parks, preparing meals at a local shelter, visiting and interacting with patients at nearby nursing homes, and countless other ways. What will you do? Pick a day in September, register, and then go do some good! Share your good deed with us @saemonline. Find out more at www.emra.org/emdayofservice/

SAEM COMMITTEES Research Committee Megan Ranney MD MPH, Chair

Lions’ Den 2014: Where Are They Now? This year marked the 3rd annual Lions’ Den at SAEM’s Annual Meeting. Lions’ Den was developed by the Research Committee to address a recurring issue for junior emergency medicine researchers: lack of contact with, and feedback from, the luminaries in our field. Modeled off of the hit TV show “Shark Tank,” this program involves a short presentation by the applicant (highlighting the research question, the proposed methods, the applicant’s qualification, and their “ask” of the Lions) followed by a Q&A with 5 senior EM researchers. The senior researchers then have the chance to “bid” on an opportunity to mentor the applicant. Each applicant has a total of 15 minutes in the spotlight. Presenters have varied from medical education, to digital health, to global health, to basic science. Below, we highlight the stories of two participants from our first Lions’ Den. My 2014 Lions’ Den, “See you tomorrow,” laid out a plan for developing and testing a “virtual” transitional care model as an inexpensive, scalable approach to providing patients Kristin Rising, MD MSPH with needed services after discharge from the emergency department (ED) or observation unit (OU).

"My suggestion to future participants would be: dream big; don’t be shy about soliciting feedback, even in early phases of idea generation; collaborate; and apply for a variety of grants!" –Kristin Rising, MD MSPH The problem that I was aiming to fix was that patients do not receive sufficient follow-up when transitioning home from the ED/OU. Despite significant national focus

on transitions home from the inpatient world, ED/OU settings had been largely ignored. My “pitch” was to compare outcomes among patients randomized to one of three arms at time of discharge from the ED: usual care, “virtual” home followup, or in-person home follow-up.

"My biggest takeaway from Lions’ Den was the value of presenting my early-stage ideas in a group setting." –Kristin Rising, MD MSPH

Based on feedback received during my Lions’ Den presentation regarding the importance of institutional buy-in for this project, I have worked operationally with leadership at my institution to develop institution-wide telehealth capacity for both scheduled and unscheduled care. I have also actively pursued both large and small grants. I have been awarded funding from the Emergency Medicine Foundation and Emergency Nurses Association, as well as a three-year award from the Patient Centered Outcomes Research Institute (PCORI) that focuses specifically on how to best identify patient-important outcomes for use in research. My biggest takeaway from Lions’ Den was the value of presenting my early-stage ideas in a group setting: the feedback I received dramatically helped shape my future work, and the collaborations and mentorship I gained as a result were invaluable. At SAEM 2014 I was in my first year out of chief residency and was a new assistant professor at Brown. I decided to participate because I saw it as an opportunity to practice my public speaking and Liz Goldberg, MD presentation skills. I had no idea that Lions’ Den would be a major turning point in my early career as a researcher. My pitch was to launch a prospective cohort study to gain understanding of how emergency medicine physicians approached the management of

emergency department patients with asymptomatic elevated blood pressure. We would use home blood pressure devices to track patient’s blood pressure after their ED visit. David Cone, Judd Hollander, Debra Houry, Jeff Kline, and Don Yealy offered valuable feedback on study design, how to prevent loss to follow-up, and future directions. Judd Hollander committed to monthly mentorship meetings and soon introduced me to Candace McNaughton, a budding hypertension researcher who has become a valuable collaborator. After my presentation a research fellow at Wayne State University, Aaron Brody, presented a second project focusing on asymptomatic elevated blood pressure. We met after the didactic and he and his mentor, Phil Levy, have become good friends and collaborators. In the past two years we’ve collaborated on eight abstracts and manuscripts. I received over $60,000 of funding for my cohort study, which will be crucial preliminary work for a K grant and will help diagnose hypertension earlier in dozens of Rhode Islanders.

"Presenting at the Lions’ Den gave immediate value to my work and my ambitions." –Liz Goldberg, MD

The Lions’ Den experts also motivated me to pursue a dedicated research fellowship and complete a research degree. With the encouragement of the experts, my primary EM mentor, Clay Merchant, finally motivated me to find early career funding. In 2015 I was accepted into a post-doctoral research fellowship at the Center of Gerontology and Healthcare Research at the Brown School of Public Health. With this AHRQ T32 funding I was able to finance most of my masters in Epidemiology. I resisted doing a fellowship and returning to classes after completing so many years of clinical training, but the dedicated time to write and learn methods has been crucial to my research productivity. Presenting at the Lions’ Den also gave immediate value to my work and my ambitions. I had an opportunity to share my intention of advancing EM hypertension research even before my first hypertensionrelated manuscript was published. I learned valuable lessons about marketing, presenting, negotiating, and networking.

Membership Committee Scott Weiner, MD, Chair

The Upside to SAEM Dues Increase: Effective 2017 All Interest Groups Are Free The Membership Committee is one of the most active committees in SAEM. Our dedicated members meet monthly to discuss ways to grow the organization and better serve membership. One of the most important functions of the group is to recommend to the SAEM Board of Directors the rate of dues for the upcoming year. Dues provide the majority of the operating budget for the organization, which is quite complex given the number of resources provided to members which has steadily increased over time, now including: two journals; this newsletter; innumerable groups like interest groups and academies; and of course, planning for the annual meeting. In past years the Membership Committee has struggled with knowing the right balance for dues: trying to keep dues as low as possible yet also ensuring that enough funding would be available for the coming year. Recent changes in SAEM staff under the leadership of CEO Megan Shagrin and Doug Ray, SAEM’s full time accountant, have allowed a much more granular evaluation of the annual budget both with respect to revenue and expenses. This has allowed the Membership Committee, in concert with the Finance Committee, to make optimal projections of what dues should be. We emphasize that the goal of the entire process is to serve members. We all are committed to, as much as possible, keeping dues to the lowest level we can while still providing the services members expect and benefit from. Some historical perspective is important. For the past two years, we have kept dues unchanged—0% increase. Of note, the percentage of the total budget that is covered by dues has changed over time. It was 75% in 2013, 68% in 2014, and 59% in 2015. This information, combined with normal increases from inflation and the continually increasing cost of operating an organization, led us to the recommendation that after two years of flat dues, an increase was needed. We do not take this decision lightly. All of us on the Membership Committee are, like you, dues paying members and we know those resources are precious and earned by your hard work. However, we also need to meet expenses in order to provide all of the valuable services SAEM has to offer you. For this reason, as well as projections of expanded programing and resources planned for 2017, we voted to increase the dues by 4.5% for most categories of membership. We did not increase the medical student dues rate, which is currently set at $100, nor the cost to join an SAEM academy. In addition, we are pleased to offer a new twist. Previously, it was free to join one interest group, but cost $25 for each additional group membership. Effective in 2017, all interest groups will be completely free to join. As a result, members who have been paying to join more than one interest group will now be paying about the same or even less than before, and all members now have the opportunity to get involved in many different groups. Going forward, we anticipate small annual increases to match the real possibility of inflation and cost of living increases. However, we are committed to making sure that any increase is fair, thoroughly scrutinized, and done only to ensure that SAEM can continue to provide you with the highest level of services to support your academic emergency medicine career.

IN OTHER NEWS ABEM Implements C/P Activity Pilot

On June 21, 2016, ABEM implemented a pilot that will no longer require diplomates to attest to completing a communication/professionalism (C/P) activity for the ABEM MOC Program. During the pilot, ABEM diplomates will see the status “You do not have a requirement” or “Future requirement on hold” on their ABEM MOC Personal Page. The pilot extends through December 31, 2018. ABEM has also launched a multi-stage research project with the aim of finding a more meaningful way of measuring professionalism in emergency physicians. A set of FAQs is available at www. abem.org/public/docs/default-source/faqs/c-p-no-longerrequired-pilot-faqs.pdf.

ABEM Accepting Nominations for Board of Directors The Board of Directors will elect two new members at its February 2017 meeting. One position will be elected from a slate provided by SAEM (an ABEM sponsor), and one from the EM community-at-large. Nominee requirements, a nomination form, and a list of other required documentation are available on the ABEM website at www.abem.org/ Nominations. Nominations with complete documentation are due to ABEM by December 1, 2016.

ABEM Elects Carius as President Michael L. Carius, MD, has been elected as president of the American Board of Emergency Medicine (ABEM). Currently, Dr. Carius is assistant clinical professor in the Department of Traumatology and Emergency Medicine at the University of Connecticut School of Medicine in Farmington, Conn.; emeritus chair, Department of Emergency Medicine at Norwalk Hospital in Norwalk, Conn.; and practices emergency medicine at Bridgeport Hospital in Bridgeport, Conn., and Milford Hospital in Milford, Conn. Dr. Carius received his medical degree from the University of Colorado School of Medicine in Denver, Colo. and completed a rotating internship and graduated from the Naval Regional Medical Center in San Diego, Calif. After transferring to the U.S. Air Force, Dr. Carius served as a major and became a flight surgeon. He completed residency training in emergency medicine at the USC/LAC Medical Center in Los Angeles, Calif.

Kowalenko is President-Elect of ABEM Terry Kowalenko, MD, has been elected as president-elect of the American Board of Emergency Medicine (ABEM). Currently, he is professor and chair of emergency medicine at the Oakland University William Beaumont School of Medicine in Rochester, Mich.; president and chief medical officer of the Beaumont Medical Group; and senior vice president of Beaumont Health. He practices emergency medicine at Beaumont Royal Oak. Dr. Kowalenko received his medical degree from the University of Chicago Pritzker School of Medicine and completed a residency in emergency medicine at the University of Cincinnati Medical Center.

ACADEMIC ANNOUNCEMENTS Tufts University School of Medicine

Temple University, Lewis Katz School of Medicine

Timothy J. Mader, MD, clinical professor of emergency medicine at Baystate Medical Center/Tufts University School of Medicine in Springfield, Mass., has received an AHRQ R03 grant (1R03HS024815-01) to test the feasibility and practicality of conducting a large R01-funded clinical trial to determine the value of a simple new quantitative cardiac risk-stratification tool in discriminating low- from moderate-risk undifferentiated chest pain among U.S. emergency department patients. Dr. Mader, who was previously awarded an NHLBI R21 grant award (1R21HL128230-01) to analyze data from the Cardiac Arrest Registry to Enhance Survival (CARES) and assess the effectiveness of targeted temperature management on survival and neuroprotection in geriatric out-of-hospital survivors, was the recipient of the 20052006 SAEM Scholarly Sabbatical Award.

Jacob W. Ufberg, MD, professor of emergency medicine, has been appointed associate dean for admissions at the Lewis Katz School of Medicine at Temple University. In this role, Dr. Ufberg will provide strategic direction, vision, and leadership for the school’s outreach, recruitment, and admissions functions. Dr. Ufberg will continue to serve as program director of Temple University Hospital’s emergency medicine residency.

Brown University Department of Emergency Medicine Gregory D. Jay, MD, PhD, vice chair for research in the department of emergency medicine at Brown University, was awarded a five-year $2,190,726 R01 grant from NIH/NIAMS for his project entitled “Non-tribologic Bioactivity of Lubricin.” Along with co-PI Khaled Elsaid, PhD, PharmD, Dr. Jay will focus on a novel non-lubricating role of PRG4 (lubricin) and its interaction with the CD44 receptor, which is inherently anti-inflammatory. By occupying this receptor, PRG4 may decelerate the progression of inflammation in the synovium, caused by pro-inflammatory cytokines such as IL-1ß, which is elevated following a joint injury and in patients with osteoarthritis. This effect will in turn slow the rate of cartilage degeneration. PRG4 as a biologic may both lubricate cartilage surfaces and have a distinct and novel anti-inflammatory role. These results may also be valuable in understanding PRG4’s role in management of acute gout.

Stephanie Barbetta, MD, associate professor of clinical emergency medicine, has been appointed assistant dean for student affairs at the Lewis Katz School of Medicine at Temple University. In this role, Dr. Barbetta will oversee academic career advising programs to help medical students prepare and apply for residency programs. Dr. Barbetta will continue to serve as director of minor care operations in the Temple University Hospital emergency department. David J. Karras, MD, professor of emergency medicine, has been appointed associate dean for pre-clerkship education at the Lewis Katz School of Medicine at Temple University. In this role, Dr. Karras will oversee the curriculum of the first two years of medical school, enhance clinical integration into basic science education, and transition the curriculum to active and self-directed learning modalities. Dr. Karras will continue to serve as associate chair for academic affairs in the Temple University Hospital emergency department.

Wake Forest University School of Medicine Roy Alson, PhD, MD, was recently promoted to full professor in the Department of Emergency Medicine at Wake Forest School of Medicine in Winston-Salem, North.

Dr. Alson received his PhD and MD from Wake Forest University. He completed emergency medicine training at Allegheny General Hospital in Pittsburgh, Pa. Dr. Alson joined the faculty at Wake Forest in 1988 and has served as an outstanding clinician and expert in EMS and disaster medicine for the past 28 years. He has served as medical director for AirCare, Forsyth County EMS, and the NC Special Operations Response Team. Dr. Alson has been on the ITLS (International Trauma Life Support) editorial board and served as co-editor in chief. He has also given invited testimony before the U.S. House of Representatives Subcommittee on Prevention of Biological and Nuclear Attack and for the Institute of Medicine. Brian Hiestand, MD, MPH, was recently promoted to full professor in the department of emergency medicine at Wake Forest School of Medicine in Winston-Salem, N.C. Dr. Hiestand received his MD and MPH degrees from The Ohio State University, where he also completed his residency training in emergency medicine. Dr. Hiestand served as faculty at Ohio State from 2001-2010 and subsequently joined the faculty at Wake Forest where he continued to perform as an outstanding clinician and clinical researcher with a reputation as an expert in cardiovascular emergencies, observation medicine, research methods, and statistics. He currently serves as vice chair of clinical operations and provides strong leadership for departmental operations.

The Ohio State University Department of Emergency Medicine Jeffrey Caterino, MD, MPH, FACEP, associate professor and vice chair of research at The Ohio State University Department of Emergency Medicine has received a $2.7 million R01 grant from the National Institute on Aging titled “Urine antimicrobial proteins in older adults: aging, infection, & innate immunity.” The project will characterize the role of innate immune proteins in urinary tract infections in older adults.

Its primary objective to improve the diagnostic accuracy of UTI in older ED patients through use of urinary antimicrobial proteins alone or in combination with currently available tests. Coinvestigators include Drs. Andrew Schwaderer of Nationwide Children’s Hospital, David Hains of the University of Tennessee, and Carlos Camargo of Massachusetts General Hospital.

University of South Carolina School of Medicine Greenville The newly created Department of Emergency Medicine at the University of South Carolina School of Medicine Greenville welcomes its newest faculty members: Drs. Trevor Slone, Mark Pittman, Ron Laskowski, Karen Lommel, Lauren and Martin Blake, Christopher Gaafary, Jeremiah Smith, William Barrett, Dustin Morrow, Michele Dupuis, Sarah Rustin, Timothy Depp, Emily Hirsh, Stephanie Bailey, Christine Keyes, Kevin O’Dell. These distinguished clinical scholars join department chair Dr. Scott Sasser’s leadership team of Drs. Eric Ossmann, vice chair operations; Matt Bitner, vice chair medical affairs; Ronald Pirrallo, vice chair academics, and Jeannette Brewster, director. This grows the ranks of the Greenville Health System emergency medicine faculty to over 100 clinicians that will provide mentorship and bedside teaching to the entering class of 10 emergency medicine residents beginning July 2017. The accredited residency program is led by Dr. Cami Pfennig, residency director, and Dr. Scott Witt, assistant residency director.

CALLS AND SUBMISSIONS Calls for Papers 2017 AEM Consensus Conference  May 16-19, 2017, Hyatt Regency, Orlando, FL Submission deadline: April 17, 2017 Catalyzing System Change Through Health Care Simulation: Systems, Competency, and Outcomes Accepted manuscripts will present original, high-quality research. Research papers on this topic, if accepted, will be published together with the conference proceedings in the December 2017 issue of Academic Emergency Medicine. All submissions will undergo peer review and publication cannot be guaranteed. For information contact the conference co-chairs William Bond, MD (William.F.Bond@jumpsimulation.org), Rosemarie Fernandez, MD (fernanre@comcast.net), and Joshua Hui, MD (joshhui@gmail.com)

Calls for Proposals 2019 AEM Consensus Conference  May 14-17, 2019, The Mirage Casino-Hotel, Las Vegas, NV Submission deadline: April 8, 2017  For details & instructions visit: www.saem.org/meetings/future-dates 2020 AEM Consensus Conference  May 12-15, 2020, The Sheraton Denver Downtown Hotel, Denver, CO Submission deadline: April 8, 2018  For details & instructions visit: www.saem.org/meetings/future-dates

SAVE THE DATES SAEM Annual Meetings/ AEM Consensus Conference http://www.saem.org/meetings/future-dates 2017 May 16-19, Hyatt Regency, Orlando, FL 2018 May 15-18, The JW Marriott Hotel, Indianapolis

SUBMIT CONTENT

The SAEM Newsletter “Briefs and Bullet Points” section publishes academic appointments and announcements, calls and submissions, event and meeting dates, deadlines, and SAEM Academy, Committee, Interest Group, and Task Force news and information. Send all content (50 to 75 words each) to newsletter@saem.org. The next content deadline is October 1, 2016 for the November/December issue.

2019 May 14-17, The Mirage Casino-Hotel, Las Vegas, NV 2020 May 12-15, The Sheraton Denver Downtown Hotel, Denver, CO

SAEM 2016 Regional Meetings http://www.saem.org/meetings/regional-meetings Midwest Regional Meeting September 9-10, 2016,  Eskenazi Hospital, Indianapolis, IN Great Plains Regional Meeting September 23-24, 2016, University of Iowa College of Medicine, Iowa City, IA

Academic Emergency Medicine is moving to online-only beginning in January 2017 Join the transformation to digital In addition to reducing the carbon footprint of printing and mailing the journal, the important transition to electronic-only distribution reflects a larger trend in 21st-century scholarship. Online-only access makes scholarly content more readily accessible and feature-rich, strengthening usability through full-reference linking, articlesharing, embedded videos and audiocasts, expandable images, and more.

Don’t miss a single issue Register now to receive an e-alert each time a new issue publishes!

16-241011

Visit http://www.wileyonlinelibrary.com/journal/acem and click “Get New Content Alerts” under Journal Tools

SAEM SAEM Great Great Plains Plains Regional Regional Meeting Meeting September 24, 2016, Iowa City, IA September 24, 2016, Iowa City, IA

The The Critical Critical Thinking Thinking Imperative Imperative in in Emergency Emergency Medicine Medicine

Keynote Speaker Speaker PatKeynote Croskerry, MD, PhD Pat Croskerry, MD, PhD

#GPSAEM16 #GPSAEM16 www.medicine.uiowa.edu/emergencymedicine/saem2016/ www.medicine.uiowa.edu/emergencymedicine/saem2016/

The University of California, Davis School of Medicine, Department of Emergency Medicine (EM) is conducting a faculty search for EM physicians in either a clinician/educator or clinician/researcher track. Candidates must be residency trained in EM with board certification/preparation and be eligible for licensure in California. At least one year of post-training clinical experience and/or fellowship training is preferred. Candidates are expected to enter at the Assistant/Associate level, commensurate with experience and credentials. EM faculty members at UC Davis who have preference for night shifts work fewer clinical shifts each month. The University of California, Davis, Medical Center, one of the nationâ&#x20AC;&#x2122;s â&#x20AC;&#x153;Top 50 Hospitals,â&#x20AC;? is a 613 bed academic medical center with approximately 80,000 emergency department visits annually, including approximately 17,000 pediatric visits. The emergency services facility opened in 2010 and is state-of-the-art. Our program provides comprehensive emergency services to a large local urban and referral population as a level 1 trauma center, paramedic base station and training center. The department also serves as the primary teaching site for a fully accredited EM residency program and eight different EM fellowship programs. Our residency training program began more than twenty years ago and currently has 42 residents. The Department has a separate area for the care of children and is one of the leading centers in the Pediatric Emergency Care Applied Research Network (PECARN). Salary and benefits are competitive and commensurate with training and experience. Sacramento is located near the northern end of California's Central Valley, close to Lake Tahoe, San Francisco, and the "wine country" of the Napa and Sonoma Valleys. Sports enthusiasts will find Sacramento's climate and opportunities ideal.

Interested applicants should upload a cover letter describing their career goals and qualifications for the position, a CV, and contact information for three references at https://recruit.ucdavis.edu/apply/JPF01056. Erik Laurin, MD, Professor and Search Committee Chair (eglaurin@ucdavis.edu), UC Davis Department of Emergency Medicine 2315 Stockton Blvd., PSSB 2100, Sacramento, CA 95817.

Applications must be received by 12/31/16 to be fully considered. The University of California is an affirmative action/equal opportunity employer.

HOLY CROSS HOSPITAL FORT LAUDERDALE Emergency Medicine Opportunity Rare opportunity for an EP to join a private group in South Florida. Holy Cross Hospital is a community teaching hospital with 60K visits. The ED serves as a teaching site for medical students and residents, including the Jackson Memorial Hospital/University of Miami Affiliated EM residency. There are teaching, administrative and core faculty opportunities within the practice. The group offers outstanding income potential and fringe benefits. We offer incentives based on productivity and a generous differential for nights. Fort Lauderdale is renowned for its relaxed lifestyle and endless recreational activities. E-mail CV to Mark.Caputo@holy-cross.com.

COMMUNITY TEACHING HOSPITAL IN COASTAL FLORIDA Associate Director of Clinical Operations Rare opportunity for ABEM residency trained Emergency Physician to join a long standing private group in a leadership role. We need a motivated individual with an interest in clinical operations and quality improvement for an Associate Director of Clinical Operations position. Responsibilities will include development of clinical policy, implementation of quality improvement initiatives, and participation in interdisciplinary departmental and hospital level committees. The Associate Director of Clinical Operations will report to the Chief of Emergency Medicine and share in the leadership activities of the department. The ED serves as a teaching site for medical students and residents, including an ACGME EM program. The ideal candidate will have administrative experience and/or an administrative fellowship, working knowledge of JC and CMS quality metrics and familiarity with ACGME requirements. The group offers outstanding income potential and comprehensive fringe benefits. Please email your curriculum vitae to: Susan Kutac, MHA - Senior Physician Recruiter HNI Healthcare Susan.kutac@hnihc.com or call (785) 563-4621 for more details.

DEPARTMENT OF EMERGENCY MEDICINE

FELLOWSHIPS

The Department of Emergency Medicine at Maimonides Medical Center has an available position for a BC/BE Emergency Physician interested in working in our academic, high-volume, high-acuity community facility. Maimonides, a nationally recognized teaching hospital and research institution, is a 705 bed tertiary medical center, with an annual ED census of 120,000 patients, a dedicated Pediatric ED, and trauma designation. Maimonides consistently receives accolades for patient outcomes and its cutting edge IT infrastructure. Emergency physicians who enjoy working in an academic environment as well as living in or around New York City are encouraged to contact John Marshall, MD, Chairman, Department of Emergency Medicine, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219. Tel: (718) 283-6031; fax (718) 635-7274; email: jmarshall@ maimonidesmed.org

The University of Pittsburgh and UPMC offer fellowships in Toxicology, Emergency Medical Services, Research, Education and Ultrasound. We offer intensive training with the internationally-known experts in each domain from among the faculty in the Department of Emergency Medicine and from the University. We encourage strong multidisciplinary collaboration. We provide experience in basic or clinical research and teaching opportunities exist with medical students, residents and other health care providers. All fellows also have limited clinical responsibilities in one of our core academic Emergency Departments or an affiliated institution. Each clinical fellowship applicant should have an MD/DO or an equivalent degree and be board certified/prepared in emergency medicine. Other doctoral prepared candidates are candidates 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 E-mail: callawaycw@upmc.edu UPMC and The University of Pittsburgh are Equal Opportunity Employers for Minorities/Women/Vets/Disabled.

72616B 07/16

Department of Emergency Medicine Residency Program Director

The Emergency Medicine (EM)(EM) at the Kimmel Medical College of Thomas Jefferson University is seeking Directorafor its The Department Departmentofof Emergency Medicine at Sidney the Sidney Kimmel Medical College of Thomas Jefferson University is aseeking Director for Residency Program. Over the last two years, the Department of EM, along with Thomas Jefferson University, has undergone a transformation that will lead its Residency Program. the last two years, the Department EM, along with delivery, Thomasand Jefferson University, has undergone a innovation in healthcare. WeOver are committed to reimagining health, healthofeducation, health discovery in effort to create unparalleled value for its patients and be the most trusted healthcare partner. To this effect, the Program Director (PD) will help lead forward-thinking education. transformation that will lead innovation in healthcare. We are committed to reimagining health, health education, health delivery, and We are seeking a motivated, accomplished individual with both the experience in residency leadership and a passion for medical education. In addition discoveryoversight in effortof tothe create for its patients beexpected the mosttotrusted healthcare partner.atTo this the Program to providing dailyunparalleled operations ofvalue the residency, the PD and will be use all available resources TJU toeffect, chaperone the residency program into the most innovative and progressive graduate medical education (GME) program in its field. The PD will integrate innovative approaches in Director (PD) will help lead forward-thinking education. medical education for its residents, including, but not limited to, educational technologies; active learning; simulation-based opportunities; asynchronous learning; and thinking. We aredesign seeking a motivated, accomplished individual with both the experience in residency leadership and a passion for medical The Department is determined to prepare its graduates theoperations landscape of of EM the practice. Together with thetoVice for Education, the education. In addition to providing oversight of the for daily ofthe thefuture residency, PD will be expected useChair all available resources PD will develop and lead strategies to integrate EM-based educational opportunities in telehealth, observation medicine, acute care transitions, population at TJU chaperone the residency program into the mostofinnovative progressive graduate medical education program in its field. heath, andto clinical operations. The PD will be an active member the senior and leadership of the Department; the GME program;(GME) the Sidney Kimmel Medical College; TJU Hospitals; and Emergency Medicine at large. The PD will integrate innovative approaches in medical education for its residents, including, but not limited to, educational technologies; The Department of EM is composed of TJU Hospital Center City, a 700-bed academic quaternary-care, Level-1 Trauma Center that treats 60,000 active learning; opportunities; asynchronous learning; and design thinking. emergency patients simulation-based annually; and the Methodist Hospital Division of TJUH, a 200-bed community hospital that treats 43,000 emergency patients annually. The residency is a three-year program with thirteen residents per year. The Department boasts fellowships Medical Education, Emergency The Department is determined to prepare its graduates for the landscape of the future of EM practice.inTogether with the Vice Chair for Ultrasonography, and Telehealth; a required student clerkship in EM and Advanced Clinical Skills for 4th-year medical students; and access to a robust Education, the PD will develop and lead strategies to integrate EM-based educational opportunities in telehealth, observation medicine, faculty development program. Additional onpopulation the Emergency Department is available at http://www.jefferson.edu/university/jmc/departments/emergency_medicine.html acute careinformation transitions, heath, and clinical operations. The PD will be an active member of the senior leadership of the Successful candidates will be residency trained and board certified in EM; have a minimum of three years experience EM practice; have demonstrated Department; the GME program; the Sidney Kimmel Medical College; TJU Hospitals; Emergencyleadership Medicine role at large. scholarship in EM and medical education; be familiar with instructional design; and have heldand an educational in GME. Academic appointment will be commensurate with experience scholarship. The Department of EM is composed of TJUand Hospital Center City, a 700-bed academic quaternary-care, Level-1 Trauma Center that treats The Sidney Kimmel Medical at Thomas University values a diverse and ainclusive community, as hospital it allows for the fruition of the 60,000 emergency patientsCollege annually; and theJefferson Methodist Hospital Division of TJUH, 200-bed community that treats 43,000 Universityâ&#x20AC;&#x2122;s missions in patient care, education, and research; and best provides for the health needs of the public. Thomas Jefferson University and Hospitals is an Equal Opportunity Affirmative Action Employer; valueswith diversity; andresidents strongly encourages applications from boasts women,fellowships members ofin emergency patients annually.and Thean residency is a three-year program thirteen per year. The Department minority groups, those underrepresented in medicine, Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ) individuals, disabled individuals, and Medical Education, Emergency Ultrasonography, and Telehealth; a required student clerkship in EM and Advanced Clinical Skills for 4th-year veterans. medicalcandidates students; are andencouraged access to atorobust faculty development Eligible send their curriculum vitae to:program. Dimitrios Papanagnou, MD, MPH, EdD (c), Vice Chair for Education, Department of Emergency Medicine, Thomas Jefferson University Hospitals, Dimitrios.Papanagnou@jefferson.edu (215) 955-9837 Additional information on the Emergency Department is available at: http://www.jefferson.edu/university/jmc/departments/emergency_medicine.html

Successful candidates will be residency trained and board certified in EM; have a minimum of three years experience EM practice; have demonstrated scholarship in EM and medical education; be familiar with instructional design; and have held an educational leadership role in GME. Academic appointment will be commensurate with experience and scholarship.

DEPARTMENT OF EMERGENCY MEDICINE MASSACHUSETTS GENERAL HOSPITAL

DEPARTMENT OF EMERGENCY MEDICINE

EMERGENCY MEDICINE FACULTY

A Major Teaching Affiliate of Harvard Medical School

(INSTRUCTOR THROUGH PROFESSOR LEVEL)

The University of Pittsburgh and UPMC have full-time opportunities for emergency medicine residencytrained and board certified/eligible candidates. UPMC is a national leader in health care with a deep and diverse EM faculty internationally recognized for excellence in research, teaching and clinical care. Our four clinical sites provide tertiary and Level I trauma care to approximately 200,000 ED patients collectively each year while training residents, fellows and students. The post-cardiac arrest, 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. 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 UPMC and The University of Pittsburgh are Equal Opportunity Employers for Minorities/Women/Vets/Disabled.

The Department of Emergency Medicine at Massachusetts General Hospital is seeking candidates for academic faculty positions. Special consideration will be given to those junior faculty with an interest in developing into national experts in the following areas: - - - -

Disaster Medicine Neurological Emergencies Venous Thromboembolism Emergency Ultrasound

Candidates must have a commitment to excellence in clinical care and teaching; academic appointment will be at Harvard Medical School and is commensurate with scholarly achievements. MGH is the home of the 4-year MGH/BWH Harvard Affiliated Emergency Medicine Residency Program. The ED at MGH is a high volume, high acuity level 1 trauma and burn center caring for approximately 112,000 adult and pediatric patients. The successful candidate will join a faculty of 48 academic emergency physicians in a department with active research and teaching programs as well as fellowship programs in administration, research, global health, medical simulation, ultrasonography, and wilderness medicine. Candidates must have completed residency training in EM as well as fellowship training or equivalent clinical experience. Inquiries should be accompanied by a curriculum vitae and may be addressed to:

Ali S. Raja, MD, MBA, MPH, FACEP

Associate Professor & Vice Chair, Department of Emergency Medicine Massachusetts General Hospital, Founders 110 Boston, Massachusetts 02114 ARaja@mgh.harvard.edu 72615A 06/16

Massachusetts General Hospital is an equal opportunity/affirmative action employer.

Department of Emergency Medicine Yale University School of Medicine Advancing the Science and Practice of Emergency Medicine The Department of Emergency Medicine at Yale University School of Medicine has a total of 4 clinical sites: Adult Emergency Services at York Street Campus; Shoreline Medical Center; Saint Raphaelâ&#x20AC;&#x2122;s Campus; and the West Haven VA Emergency Department with a combined ED volume of 195,000 visits per year. We are seeking faculty at all levels with interests in clinical care, education or research to enhance our existing strengths. Interest and/or experience in observation medicine is a plus. The successful candidate may be a full time clinician committed to excellence in patient care and emergency medicine education or one that would want to join the academic faculty promoting scholarship to enhance the field of emergency medicine. We offer an extensive faculty development program for junior and more senior faculty. We have a well-established track record of interdisciplinary collaboration with other renowned faculty, obtaining federal and private foundation funding, and a mature research infrastructure supported by a faculty Research Director, a staff of research associates and administrative assistants. Eligible candidates must be residency-trained and board-certified/-prepared in emergency medicine. Rank, protected time and salary will be commensurate with education, training and experience. Yale University is a world-class institution providing a wide array of benefits and research opportunities. To apply, please forward your CV and cover letter to Gail Dâ&#x20AC;&#x2122;Onofrio, MD, MS Chair, via email: jamie.petrone@yale.edu, or mail: Yale University School of Medicine, Department of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315. Yale University is an affirmative action, equal opportunity employer. Women and members of minority groups are encouraged to apply.

The Emergency Medicine Department at Penn State Milton S. Hershey Medical Center seeks energetic, highly motivated and talented physicians to join our Penn State Hershey family. Opportunities exist in both teaching and community hospital sites. This is an excellent opportunity from both an academic and a clinical perspective.

Assistant/Associate Residency Program Director Emergency Medicine Core Faculty Pediatric Emergency Medicine Faculty For additional information, please contact: Susan B. Promes, Professor and Chair, Department of Emergency Medicine, c/o Heather Peffley, Physician Recruiter, Penn State Hershey Medical Center, Mail Code A590, P.O. Box 850, 90 Hope Drive, Hershey PA 17033-0850, Email: hpeffley@hmc.psu.edu

As one of Pennsylvania’s busiest Emergency Departments with 26+ physicians treating over 70,000 patients annually, Penn State Hershey is a Magnet® healthcare organization and the only Level 1 Adult and Level 1 Pediatric Trauma Center in PA with state-of-the-art resuscitation/trauma bays, incorporated Pediatric Emergency Department and Observation Unit, along with our Life Lion Flight Critical Care and Ground EMS Division. We offer salaries commensurate with qualifications, relocation assistance, physician incentive program and a CME allowance. Our comprehensive benefit package includes health insurance, education assistance, retirement options, on-campus fitness center, day care, credit union and so much more! For your health, Hershey Medical Center is a smoke-free campus. Applicants must have graduated from an accredited Emergency Medicine Residency Program and be board eligible or board certified by ABEM or AOBEM. We seek candidates with strong interpersonal skills and the ability to work collaboratively within diverse academic and clinical environments.

The Penn State Milton S. Hershey Medical Center is committed to affirmative action, equal opportunity and the diversity of its workforce. Equal Opportunity Employer – Minorities/Women/Protected Veterans/Disabled.

The Department of Emergency Medicine at Indiana University School of Medicine is seeking qualified candidates to join our Division of Research. This is an open rank tenured/tenure track faculty position. The qualified applicant will have a doctoral degree (MD, PhD, or equivalent) with the requisite experience and training to continue a successful career or jumpstart a research career. A generous support package will ensure the candidates transition and continued success. Please note we are specifically seeking individuals with a passion for translational science, clinical trials, or health services research. The Division of Research seeks to continue its successful growth. We are a true translational division, with research that spans bench to the bedside. Infrastructure needed for success is already present, including multiple coordinators, statistical support, and administrative support. IU is also an accredited SAEM research fellowship. The Indiana University School of Medicine Department of Emergency Medicine provides comprehensive pre-hospital and emergency care at three, tertiary, academic hospitals, including Methodist—a level 1 trauma center with an annual volume of 102,000 visits; Riley Hospital for Children—a level 1 trauma center, burn unit, and tertiary-care facility with a volume near 40,000; and Eskenazi Health, a county hospital and IU teaching partner—a level 1 trauma center and burn unit with an annual volume over 100,000 visits. Located in Indianapolis (the 12th largest city in the US), IUSM has nine campuses across the state and educates the largest medical student body in the U.S. Indiana University is an equal opportunity employer committed to building a culturally diverse intellectual community and strongly encourages applications from women and minorities. Interested candidates should submit CVs and letter of interest by email to EMJobs@iu.edu (Attn: Dr. Cherri Hobgood, Department Chair). Please write “EM Faculty Jobs” In the subject line. Indiana University is an EEO/AA employer, M/F/D/V

Yale University School of Medicine Department of Emergency Medicine Fellowship Programs For specific information including deadlines and requirements, visit: http://medicine.yale.edu/emergencymed/

The Research fellowship is a 2-3 year program focused on training clinician scholars as independent researchers in Emergency Medicine. Scholars will earn a Master of Health Sciences degree from Yale combining clinical experience with extensive training in research methods, statistics and research design. With the guidance of research content experts and professional coach mentors, the scholar will develop a research program, complete a publishable project and submit a grant application prior to completion of the program. The program is credentialed by the Society for Academic Emergency Medicine. For further information, contact Steven L. Bernstein, MD, steven.bernstein@yale.edu. The fellowship in Emergency Ultrasound is a 1 or 2 year program that will prepare graduates to lead an academic/community emergency ultrasound program. The 2-year option includes a Master of Health Sciences with a focus on emergency ultrasound research. This fellowship satisfies recommendations of all major societies for the interpretation of emergency ultrasound, and will include exposure to aspects of program development, quality assurance, properties of coding and billing, and research. The program consists of structured time in the ED performing bedside examinations, examination QA and review, research into new applications, and education in the academic/ community arenas. We have a particular focus on emergency echo and utilize state of the art equipment, as well as wireless image review. Information about our Section can be found at http://medicine.yale.edu/emergencymed/ultrasound/ For further information, contact Chris Moore, MD, RDMS, RDCS, chris. moore@yale.edu, or apply online at www.eusfellowships.com. The fellowship in EMS is a 1-year program that provides training in all aspects of EMS, including academics, administration, medical oversight, research, teaching, and clinical components. The ACGME-accredited program focuses on operational EMS, with the fellow actively participating in the system’s physician response team, and all fellows offered training to the Firefighter I or II level. A 1-year MPH program is available for fellows choosing additional research training. The fellowship graduate will be prepared for a career in academic EMS and/or medical direction of a local or regional EMS system, and for the new ABEM subspecialty examination. For further information, contact David Cone, MD, david.cone@yale.edu. The Administration fellowship is a new 2-year program that will prepare graduates to assume administrative leadership positions in private or academic practice. By having an active clinical practice in our department, the fellow will acquire experience in all facets of emergency department clinical operations. Fellows will complete the Executive MBA program at the Yale School of Management and a clinical Emergency Medicine Administrative Fellowship. In addition, the candidate will play a leadership role on one or more projects from the offices of the Chair and Vice Chair for Clinical Operations. For further information, contact Andrew Ulrich, MD, andrew.ulrich@yale.edu. The Global Health and International Emergency Medicine fellowship is a 2-year program offered by Yale in partnership with the London School of Hygiene & Tropical Medicine (LSHTM). Fellows will develop a strong foundation in global public health, tropical medicine, humanitarian assistance and research. They will receive an MSc from LSHTM, a diploma in Tropical Medicine (DTM&H) and complete the Health Emergencies in Large Populations (HELP) course offered by the ICRC in Geneva. In addition, fellows spend 6 months in the field working with on-going Yale global health projects or on an independent project they develop. For further information, contact the fellowship director, Hani Mowafi, MD, MPH, hani.mowafi@yale.edu. NIDA K12: Partnering with Yale’s Clinical and Translational Sciences (CTSA), Robert Wood Johnson Foundation Clinical Scholars Program, the Center for Interdisciplinary Research on AIDS (CIRA) and the VA Connecticut Healthcare we are offering the Yale Drug Abuse, HIV and Addiction Scholars K12 Research Career Development Program. The DAHRS K12 Scholars Program provides an outstanding 2-3 year research training experience that offers a Master of Health Science, a mentored research program as well as career and leadership development activities. For further information, contact Dr. Gail D’Onofrio at gail.donofrio@yale.edu The Wilderness Medicine fellowship is a 1-year program that provides the core content of medical knowledge and skills in being able to plan for and to provide care in an environment that is limited by resources and geographically separated from definitive medical care in all types of weather and evacuation situations. The fellow will be supported to obtain the Diploma in Mountain Medicine and other Wilderness Medical education. The fellow will become a leader and national educator in the growing specialty of wilderness medicine. For further information, contact David Della-Giustina, MD, FAWM at david.della-giustina@yale.edu The Medical Simulation fellowship is a 1-year program that provides training in all aspects of simulation education, including high fidelity mannequin simulation with computer program training, acquisition of debriefing skills and procedural simulation. The fellow will participate in all educational programs for medical students, residents and faculty at the new Yale Center for Medical Simulation (opening in the winter of 2014-15). The fellow will receive training in research methodology through the Research Division of the Department of Emergency Medicine and participate in the medical education fellowship through Yale Medical School. The fellow will attend a one week Comprehensive Instructor Workshop at the Institute for Medical Simulation in Boston. The fellow will also have the opportunity to participate in an international exchange through the Yale-China Association Xiangya School of Medicine. For further information, contact Leigh Evans MD at leigh.evans@yale.edu .

All require the applicant to be BP/BC emergency physicians and offer an appointment as a Instructor to the faculty of the Department of Emergency Medicine at Yale University School of Medicine. Applications are available at the Yale Emergency Medicine web page http://medicine.yale.edu/emergencymed/ and are due by November 15, 2016 with the exception of the Wilderness Fellowship, which are due by October 15, 2016. Yale University and Yale-New Haven Hospital are affirmative action, equal opportunity employers and women, persons with disabilities, protected veterans, and members of minority groups are encouraged to apply.

Emergency Medicine Faculty Positions Advocate Christ Medical Center – Oak Lawn, IL Advocate Medical Group (AMG) is expanding the Department of Emergency Medicine at Advocate Christ Medical Center and seeks outstanding physicians to join our faculty. Available positions include Assistant Research Director, Assistant Residency Director, Assistant Simulation Director, and Assistant Medical Student Clerkship Director. Advocate Christ Medical Center (ACMC) is part of Advocate Health Care, one of the nation’s leading health care networks. A not-for-profit, 749-bed, premier teaching institution with more than 1,200 affiliated physicians, ACMC is one of the major referral hospitals in the Midwest for a number of specialties, including cancer care; cardiovascular services; heart, kidney and lung transplantation; neurosciences; orthopedics; and women’s health. The hospital provides emergency care for more than 100,000 patient visits annually and has one of the busiest Level I trauma centers in Illinois.

ACMC has been named to the Truven Health 100 Top Hospitals® list for the past four years (2012-2015). ACMC has more than 400 residents, 600 medical students and 800 nursing students trained in accredited programs and a range of specialties each year.

Practice Opportunity Highlights: • Our three-year emergency medicine program matches 12 residents annually, and fosters a friendly environment of camaraderie, support, and service. • ACMC is a tertiary/quaternary care center with emphasis on advanced cardiac and stroke care, and is the only Level I Trauma Center serving the south side of Chicago. • Advocate is committed to growth. Along with an additional 72 bed inpatient tower completed in January 2016, construction is in progress for a new 84 bed emergency department. • Our high acuity emergency department cares for more than 105,000 patients annually, including 33,000 pediatric visits to our dedicated pedia tric emergency department. • Academic appointments are available for qualified applicants through the University of Illinois. Compensation and benefits are highly competitive. Many faculty members and residents live in downtown Chicago and enjoy all that this world-class city has to offer.

Position Requirements: Applicants must be Board Eligible or Board Certified in Emergency Medicine or Pediatric Emergency Medicine, and dedicated to education and clinical excellence. Additional interests in research, ultrasound, simulation and administration are highly valued.

About Advocate Medical Group Integrated approach. Convenient locations. Lifelong relationships. Advocate Medical Group (AMG) is a physician-led and governed medical group committed to delivering the best health outcomes. The group is comprised of approximately 1,600 physicians and 300 Advanced Practice Clinicians, making it the largest physician group in Illinois. If you are interested, please email your CV to Angela Chavez at angela.chavez@advocatehealth.com

The Department of Emergency Medicine at Indiana University School of Medicine is seeking outstanding clinical educators for faculty positions at all ranks for both our Adult and Pediatric Emergency Divisions. Candidates must be board certified (or eligible), eligible for licensure in the State of Indiana and have a track record of leadership, scholarship and teaching. Salary, academic rank and faculty track are commensurate with training and experience. The Indiana University School of Medicine Department of Emergency Medicine is one of the oldest EM residency programs in the country. We are looking for leaders to continue our unwavering commitment to education. IU provides comprehensive pre-hospital and emergency care at three primary academic hospitals including, Methodist—a level 1 trauma center with an annual volume of 102,000 visits; and Riley Hospital for Children—a level 1 trauma center, burn unit, and tertiary-care facility with a volume near 40,000. Eskenazi Health is a county hospital and IU teaching partner—a level 1 trauma center and burn unit with an annual volume over 100,000 visits. Located in Indianapolis (the 12th largest city in the US), IUSM has nine campuses across the state and educates the largest medical student body in the U.S. Indiana University is an equal opportunity employer committed to building a culturally diverse intellectual community and strongly encourages applications from women and minorities. Interested candidates should submit CVs and letter of interest by email to EMJobs@iu.edu (Attn: Dr. Cherri Hobgood, Department Chair). Please write “EM Faculty Jobs” In the subject line. Indiana University is an EEO/AA employer, M/F/D/V

Emergency Medicine Fellowship Opportunities UC Irvine Department of Emergency Medicine is seeking HS Clinical Instructors for fellowships starting July 1, 2017. UC Irvine Medical Center is rated among the nation’s best hospitals by U.S. News & World report 14 years in a row and is a 412-bed tertiary and quaternary care hospital with a nationally recognized three-year EM residency program since 1989. The progressive 35-bed ED sees more than 50,000 patients/year and serves as a Level I adult and Level II Pediatric Trauma Center with more than 5,000 annual trauma runs. The hospital is also a Comprehensive Stroke & Cerebrovascular Center, Comprehensive Cancer Center, Cardiovascular receiving center and regional Burn centers, with Observation and an After Hours clinic in urban Orange County. Completion of an ACGME accredited EM Residency is required. Salary is commensurate with qualifications and proportion of clinical effort. For more information visit: http://www.emergencymed.uci.edu/fellowships.asp (To apply: https://recruit.ap.uci.edu).

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Disaster Medicine Fellowship (JPF03503) EM Education and Faculty Development (JPF03491) Medical Simulation Fellowship (JPF03502) Multimedia Design Education Technology Fellowship (JPF03516) Point-of-Care Ultrasound Fellowship (JPF03504) Clinical Informatics Fellowship (JPF03512)

The University of California, Irvine is an Equal Opportunity/Aﬃrmative Action Employer advancing inclusive excellence. All qualiﬁed applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protecte d veteran status, or other protected categories covered by the UC nondiscrimination policy.

DEPARTMENT OF EMERGENCY MEDICINE MASSACHUSETTS GENERAL HOSPITAL A Major Teaching Affiliate of Harvard Medical School The Department of Emergency Medicine at Massachusetts General Hospital is seeking candidates for the position of Division Chief, Geriatric Emergency Medicine. Candidates must have a commitment to excellence in clinical care, research, and teaching with a record of scholarly achievement and leadership in Geriatric EM. Academic appointment will be at Harvard Medical School. MGH is the home of the 4-year MGH/BWH Harvard Affiliated Emergency Medicine Residency Program. The ED at MGH is a high volume, high acuity level 1 trauma and burn center caring for approximately 112,000 adult and pediatric patients annually. Additionally, the Department operates a 32 bed observation unit with an annual census of >12,000 patients

The Ohio State University Department of Emergency Medicine Fellowship Training Programs Ohio State’s Department of Emergency Medicine will offer eight fellowship opportunities in academic year 2017-18. Training varies from 1 to 2 years with Master’s degree opportunities in many of the fellowships. Programs are well supported and facilitated by faculty members nationally known for their expertise. Clinical experiences abound with excellent supervision and teaching opportunities. All fellowships have opportunities and support for scholarship.

The successful candidate will join a faculty of 48 academic emergency physicians in a department with active research and teaching programs as well as fellowship programs in administration, research, global health, medical simulation, ultrasonography, and wilderness medicine. Candidates must be ABEM certified with significant leadership experience.

Administration EMS Global Health Medical Education Oncology Research Toxicology Ultrasound

Email inquiries should be accompanied by a CV and may be addressed to: David F. M. Brown, MD, FACEP MGH Trustees Endowed Professor & Chairman Department of Emergency Medicine Massachusetts General Hospital, Founders 110 Boston, Massachusetts 02114 dbrown2@mgh.harvard.edu

go.osu.edu/EMfellowship

Massachusetts General Hospital is an equal opportunity/affirmative action employer.

Ohio State is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status or protected veteran status.

Yale University School of Medicine Department of Emergency Medicine Advancing the Science and Practice of Emergency Medicine Director, Resident Simulation The Department of Emergency Medicine at Yale University School of Medicine is currently seeking a Director of Resident Simulation to oversee the resident simulation responsibilities of our state-of-the art Yale Center for Medical Simulation (YCMS). The Director will join our well-established faculty that supports the mission and philosophy of the YCMS of improving patient care through education, assessment, research and outreach. He\she will lead all simulation patient care learning for residents at all levels in all clinical specialties in collaboration with the Director of Procedural Simulation and the Director of Simulation Research. He\she will support faculty initiatives involving clinical simulation research and effective teaching strategies in a simulated patient care environment. The Department of Emergency Medicine at the Yale University School of Medicine has expanded to a total of 4 clinical sites: Adult Emergency Services at York Street Campus; Shoreline Medical Center; Saint Raphael’s Campus; and the West Haven VA Emergency Department with a combined ED volume of 195,000 visits per year. Candidates must be Emergency Medicine trained and board-certified. The ideal candidate must demonstrate excellence in clinical, interpersonal, and analytical skills, with a strong interest in clinical teaching and research. In addition, the ideal candidate must have completed a medical simulation fellowship or have 3 years of simulation education experience and be familiar with high fidelity mannequin simulation and procedural training with partial task trainers. It is preferred that the candidate have academic research experience, including publications in the field of medical simulation. Yale University is a world-class institution providing a wide array of benefits and research opportunities. To apply, please forward your CV and cover letter to Jamie Petrone via email: jamie.petrone@yale.edu, or mail: Yale University School of Medicine, Department of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315. Yale University is an affirmative action, equal opportunity employer. Women and members of minority groups are encouraged to apply.

DEPARTMENT OF EMERGENCY MEDICINE MASSACHUSETTS GENERAL HOSPITAL A Major Teaching Affiliate of Harvard Medical School

EMERGENCY MEDICINE TOXICOLOGY FACULTY University of California San Francisco

The University of California San Francisco, Department of Emergency Medicine is recruiting for a full time Medical Toxicology Fellowship trained faculty member. We seek individuals to join a growing group of medical toxicologists. The successful applicant will have strong emergency medicine clinical skills, a desire to incorporate education and training of residents and fellows into their practice, and the ability to perform clinical research or excel in scholarly activities. Rank and series will be commensurate with qualifications. The Department of Emergency Medicine provides comprehensive emergency services to a large local and referral population with approximately 93,000 visits a year at UCSF Medical Center and Zuckerberg San Francisco General Hospital and UCSF Benioff Childrenâ&#x20AC;&#x2122;s Hospital. ZSFG is a level 1 trauma center, paramedic base station and training center with a new state of the art 60-bed emergency department, including an 8-bed pediatric ED. The San Francisco division of the California Poison Control Center is based at ZFGH, and handles approximately 65,000 exposure calls per year. Medical toxicology faculty offer bedside consultation services at ZSFG. The Department of Emergency Medicine serves as the primary teaching site for a fully accredited 4-year Emergency Medicine residency program, which currently has 54 residents and fellowships in education, EMS, global health, toxicology, and ultrasound. Research is a major priority of the department with over 150 peer-reviewed publications last year. There is an active and successful research group focused on a number of disciplines within EM. There are opportunities for leadership and growth within the Department and UCSF School of Medicine. Board certification or eligibility in emergency medicine and medical toxicology is required. All applicants should excel in bedside teaching and a have strong ethic of service to their patients and profession. The University of California, San Francisco (UCSF) is one of the nationâ&#x20AC;&#x2122;s top five medical schools and demonstrates excellence in basic science and clinical research, global health sciences, policy, advocacy, and medical education scholarship. The San Francisco Bay Area is well-known for its great food, mild climate, beautiful scenery, vibrant cultural environment, and its outdoor recreational activities. PLEASE APPLY ONLINE AT: https://aprecruit.ucsf.edu/apply/JPF00478 UCSF seeks candidates whose experience, teaching, research, or community service has prepared them to contribute to our commitment to diversity and excellence. UCSF is an Equal Opportunity/Affirmative Action Employer. The University undertakes affirmative action to assure equal employment opportunity for underutilized minorities and women, for persons with disabilities, and for covered veterans. All qualified applicants are encouraged to apply, including minorities and women. For additional information, please visit our website at http://emergency.ucsf.edu/ or contact Natalya Khait at Natalya.khait@ucsf.edu or 415-206-5753.

The Department of Emergency Medicine at Massachusetts General Hospital is seeking candidates for nocturnist clinical faculty positions. Candidates must have a commitment to excellence in clinical care and bedside teaching; academic appointment will be at Harvard Medical School and is commensurate with scholarly achievements. MGH is the home of the 4-year MGH/BWH Harvard Affiliated Emergency Medicine Residency Program. The ED at MGH is a high volume, high acuity level 1 trauma and burn center caring for approximately 112,000 adult and pediatric patients. The successful candidate must have completed residency training in emergency medicine and will join a faculty of 48 emergency physicians. Inquiries should be accompanied by a curriculum vitae and may be addressed to:

Ali S. Raja, MD, MBA, MPH, FACEP Associate Professor & Vice Chair, Department of Emergency Medicine Massachusetts General Hospital, Founders 110 Boston, Massachusetts 02114 ARaja@mgh.harvard.edu Massachusetts General Hospital is an equal opportunity/affirmative action employer.

Academic Emergency Medicine At the Medical College of Wisconsin in Milwaukee

The Academic Department of Emergency Medicine is one of the oldest Departments in the United States. Our residency program was established in 1978, recently expanded to ten residents per year with strong hospital affiliate support, including the VA Medical Center. We are interested in recruiting new faculty to our Department. Our ED at Froedtert Hospital, our primary affiliate, recently completed an expansion and we are increasing our daily physician coverage hours. We are recruiting for two faculty candidates to complete our coverage at this primary academic site. In addition, the Froedtert Health System opened a freestanding ED at the Moorland Reserve Health Center in July, 2016. Our faculty is responsible for staffing this ED and we are recruiting for one faculty for this new community site. Faculty members have the opportunity to work at one or both of these sites. The Department of Emergency Medicine at MCW is nationally and internationally recognized in academic areas including EMS and Disaster Medicine, Toxicology, Injury Prevention and Control, Cardiac Resuscitation, Global Health, Ultrasound, Medical Education, and ED Process Improvement. The Department is ranked in the top 20 NIH funded departments of emergency medicine. Interested applicants should submit a curriculum vitae and letter of interest to Dr. Stephen Hargarten, Department Chairman at hargart@mcw.edu.

Department of Emergency Medicine The Department of Emergency Medicine of the Perelman School of Medicine at the University of Pennsylvania is seeking candidates for several Assistant, Associate, and/or Full Professor positions. Faculty candidates who have strong academic and leadership potential combined with a strong desire to be part of an outstanding, highly motivated and highly productive group of colleagues are urged to apply.

• Assistant, Associate & Full Professor Clinician-Educator track (non-tenure): We are seeking candidates for several Assistant, Associate, and/or Full Professor positions in the non-tenure clinician-educator track. The successful applicant will have experience in the field of Emergency Medicine. Applicants must have an M.D. degree and have demonstrated excellent qualifications in education, research, and clinical care. Board-eligible or board certified in Emergency Medicine. Of particular interest are candidates with demonstrated clinical or academic interest and/or additional fellowship or post-residency research methodology training or desire to focus in the following areas: critical care, clinical research (particularly clinical trials), medical education, resuscitation, and rural-urban medicine partnerships. An exclusive nocturnal reduced clinical schedule is available for any of these positions. Clinician-Educator track applicants will be expected to show evidence of scholarship and may perform collaborative research. APPly OnlinE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d4325

• Assistant, Associate & Full Professor Tenure track: We are seeking candidates for several Assistant, Associate, and/or Full Professor position in the tenure track. The successful applicant will have experience in the field of Emergency Medicine. Applicants must have an M.D. degree and have demonstrated excellent qualifications in education, research, and clinical care. Board-eligible or board certified in Emergency Medicine. Of particular interest are candidates with demonstrated clinical or academic interest and/or additional fellowship or post-residency research methodology training or desire to focus in the following areas: critical care, clinical research (particularly clinical trials), medical education, resuscitation, and rural-urban medicine partnerships. An exclusive nocturnal reduced clinical schedule is available for any of these positions. Tenure track applicants will be expected to establish and maintain independent, extramurally funded research. APPly OnlinE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d4327

• Assistant, Associate & Full Professor Academic Clinician track: We are seeking candidates for several Assistant, Associate, and/or Full Professor positions in the non-tenure academic-clinician track. The successful applicant will have experience in the field of Emergency Medicine. Applicants must have an M.D. degree and have demonstrated excellent qualifications in education and clinical care. Board-eligible or board certified in Emergency Medicine. Of particular interest are candidates with demonstrated clinical or academic interest and/or additional fellowship or post-residency research methodology training or desire to focus in the following areas: critical care, clinical research (particularly clinical trials), medical education, resuscitation, and rural-urban medicine partnerships. An exclusive nocturnal reduced clinical schedule is available for any of these positions. Academic Clinician track applicants are not required to do research. APPly OnlinE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d4326

Penn Medicine is comprised of three hospital emergency departments and observation units (Hospital of the University of PennsylvaniaHUP; Penn-Presbyterian Medical Center-PPMC; and Pennsylvania Hospital-PAH) with a combined annual emergency department census of 145,000 visits. Each site has a unique, diverse, highly acute patient population consisting of local and referral patients. Penn Medicine is a world class academic institution with superb clinical facilities and programs, the number two ranked medical school in the nation, and a rich and collegial research environment. The Department of Emergency Medicine has a 4 year, highly successful, academically oriented residency program with 44 residents, multiple fellowships including one of only six niH funded K12 clinical research fellowships and several nationally acclaimed research programs housed within its Center for Resuscitation Science and the Center for Emergency Care Policy Research. There are over 90 faculty across the three sites and there are close academic affiliations and programmatic alliances with the Children’s Hospital of Philadelphia and the Philadelphia Veterans Affairs Medical Center. Faculty positions will be structured across multiple sites according to skills, interest and clinical availability.

We seek candidates who embrace and reflect diversity in the broadest sense.The University of Pennsylvania is an EOE. Minorities/Women/Individuals with disabilities/Protected Veterans are encouraged to apply.

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