January-February 2007 by Society for Academic Emergency Medicine

S A E M

Newsletter of the Society for Academic Emergency Medicine January/February 2007 Volume XVIIII, Number 1

Start Planning your Trip to the Annual Meeting- May 2007

PRESIDENTIAL REPORT Fostering Emergency Medicine Research: The SAEM Response to the IOM Report. The recent and much anticipated release of the Institute of Medicine Report on Emergency Care has provided academic emergency medicine with an opportunity to voice our concerns James Hoekstra, MD about emergency and acute care research in the U.S. I am happy to report that SAEM has taken this opportunity seriously, and is advocating for our membership on a national level. In anticipation of the release of the IOM Report 18 months ago, SAEM organized the IOM Task Force. Carey Chisholm chairs the Task Force and did an outstanding job of recruiting the leaders of academic emergency medicine to the Task Force to review and respond to the IOM Report. When the report was released in Washington in June, 2006, Carey, Kate Heilpren and I were present to represent SAEM and provide feedback directly to the IOM. Shortly thereafter, Carey organized within the IOM Task Force, a number of rapid-response working groups to write specific responses to the IOM Report recommendations on clinical research, basic science research, EMS, pediatric emergency medicine, rural ED staffing issues, geriatrics, and academic medical centers. These ‘responses to the IOM Report’ were approved by the Board and have become the cornerstone of SAEM’s public positions on the recommendations of the IOM Report. After the IOM was unveiled, SAEM and ACEP met to discuss the report recommendations, and have agreed to align our respective advocacy efforts with our respective missions. As such, SAEM is taking the lead on issues involving our mission of education and research in emergency medicine. Our position papers from the IOM Task Force are aligned with our mission as well. They have been shared publicly with the IOM, the AAMC, and the DHHS as part of our advocacy on behalf of academic emergency physicians and SAEM members. To date I can say that our efforts have been successful, and that your voices are being heard on a national level. The IOM has followed its initial report release with four ‘Dissemination Workshops’ which are for the most part intended to publicize the IOM Report recommendations, but also offer a chance for organizations to respond to the report itself. At the first three workshops, SAEM was officially represented by Jerris Hedges, Carey Chisholm,

901 N. Washington Ave. Lansing, MI 48906-5137 (517) 485-5484 saem@saem.org www.saem.org

Deb Houry, MD, MPH, Emory University SAEM Program Committee Chair It’s not too early to start thinking about the 2007 Annual Meeting. The Program Committee has been busy putting together a great meeting for you in Chicago and we hope that you are planning to attend. One of our changes for this upcoming meeting will be that we will start at 1pm on the first day (Wednesday, May 16th). The SAEM Board of Directors and the Council of Residency Directors are scheduled to meet the morning of May 16th and we hope that other large committees and affiliate meetings will use this time to meet so that conflicts are minimized with Annual Meeting sessions. Social Event: Last year we provided short coffee breaks each morning to allow our attendees to recharge and mingle. We plan to continue these very popular breaks again this year and we will have a longer coffee break prior to the plenary session on the first day to give members a chance to socialize. Plans are also underway for a blues band at our Friday night Chicago themed reception. We will be offering group tickets on our meeting registration form to a blues club and a comedy club for Thursday night for those who want a night on the town. We are busy planning a “Fun Run” for this year’s meeting, given the hotels’ location near Navy Pier, which will provide a great venue for this event. We’re in the process of putting together information on restaurants and things to do in the city and this will be posted on the website by February. More details will be forthcoming on all these events. Paper Presentations: The abstract deadline is January 8th and we anticipate another great year of abstract submissions. In order to get acceptance/ rejection letters out and finalize presentation times within a month of our abstract deadline, it is not possible to provide individual, constructive feedback to individuals. After reviewing all abstract submissions, we anticipate to send out decision letters by mid-February. We will again allow investigators who have not finished data collection for studies, particularly clinical trials, to present their results at our meeting instead of waiting another year to present at SAEM through our “Late breaker” sessions. Researchers submitting late breaker abstracts must complete data collection and analysis and submit a final abstract by April 15th. Last year, many abstracts were submitted to “late breaker” categories that probably should not have. Any abstract such as a chart review or survey will be rejected if submitted to the late breaker category.

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“to improve patient care by advancing research and education in emergency medicine” 1

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Call for Proposals 2008 AEM Consensus Conference Deadline: April 2, 2007 The editors of Academic Emergency Medicine are accepting proposals for the 2008 AEM Consensus Conference, which will be held on May 28, 2008, the day before the SAEM Annual Meeting, in Washington, DC.

Proposals must advance a topic relevant to emergency medicine that is conducive to the development of a research agenda and be spearheaded by thought leaders from within the specialty of emergency medicine. The goals of the AEM consensus conferences are to heighten awareness related to the topic, discuss the current state of knowledge about the topic, identify knowledge gaps, propose needed research, and issue a call to action to allow future progress. Previous topics have included errors in emergency medicine, the unraveling safety net, quality/best practices in emergency care, information technology in emergency medicine, disparities in emergency care, emergency research without informed consent, the science of surge, and knowledge translation. Developed proposals will be reviewed on a competitive basis by the AEM Editorial Board. The topic chosen for the 2008 AEM Consensus Conference will be announced at the SAEM Business Meeting during the 2007 Annual Meeting in Chicago. Proceedings of the meeting and original contributions related to the topic will be published exclusively by AEM in its Special Topic Issue in November 2008. Submitters are strongly advised to review the Special Topic issues of previous AEM Consensus Conferences (see November issues of AEM) to guide the development of their proposals. Proposals must include the following: 1. Introduction of the topic. • brief statement of relevance. • justification for this topic choice. 2. Proposed conference chairs and sponsoring groups (i.e., SAEM interest groups, committees). 3. Proposed conference agenda and proposed presenters • plenary lectures • panels • breakout topics and questions for discussion 4. Anticipated audience • stakeholder groups/organizations • federal regulators • national researchers and educators • others 5. Anticipated budget. 6. Potential funding sources and strategies for securing conference funding. Proposals must be submitted electronically to the AEM office at aem@saem.org no later than April 2, 2007 at 5:00 PM Eastern Time.

Call for Submissions Innovations in Emergency Medicine Education Exhibits Deadline: Friday, February 2, 2007 The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2007 SAEM Annual Meeting, May 16-19, 2007 in Chicago, IL. Submitters are invited to complete an application describing an innovative new educational methodology that they have designed, or an innovative educational application of an existing product. The exhibit should not be used to display a commercial product that is already available and being used in its intended application. Exhibits will be selected based on their utility, originality, and applicability to the teaching setting. Commercial support of Innovations is permitted but must be disclosed. IEME exhibits will be published in a summer 2007 issue of Academic Emergency Medicine, as well as in the Annual Meeting on-site program. However, if submitters have conducted a research project on or using the innovation, the project may be written-up as a scientific abstract and submitted for scientific review in the appropriate subject category by the January 10 deadline. The deadline for submission of the IEME Exhibit application is Friday, February 2, 2007 at 5:00 pm EST. Only online submissions using the form on the SAEM website at www.saem.org will be accepted. For further information or questions, contact SAEM at saem@saem.org or call 517-485-5484. 2

S A E M Call for Nominations for SAEM Elected Positions Deadline: February 7, 2007 Nominations are sought for the SAEM elections that will be held in the spring of 2007. The Nominating Committee will select a slate of nominees based on the following criteria: previous service to SAEM, leadership potential, interpersonal skills, and the ability to advance the broad interests of the membership and academic emergency medicine. Interested members are encouraged to review the appropriate SAEM orientation guidelines (Board, Committee/Task Force or President-elect) to consider the responsibilities and expectations of an SAEM elected position. Orientation guidelines are available at: www.saem.org for the following positions, or from the SAEM office. The Nominating Committee wishes to consider as many candidates as possible and whenever possible will select more than one nominee for each position. Nominations may be submitted by the candidate or any SAEM member. Nominations must be submitted electronically to saem@saem.org and must be submitted in the nomination format below: President-elect: The President-elect serves one year as President-elect, one year as President, and one year as Past President. Candidates are usually members of the Board of Directors. Secretay/Treasurer: The Secretary/Treasurer will be elected for a three-year term on the Board. Candidates are often sitting members of the Board of Directors. Board of Directors: Two members will be elected to three-year terms as At Large Members of the Board. Candidates should possess a track record of excellent service and leadership on SAEM committees and task forces. Resident Board Member: The Resident Board Member will be elected to a one-year term. Candidates must be a resident during the entire term on the Board (May 2007-May 2008) and should demonstrate evidence of strong interest and commitment to academic emergency medicine. Nominations should include a letter of support from the candidate’s residency director. Nominating Committee: One member will be elected to a two-year term. The Nominating Committee develops the slate of nominees for the elected positions. Candidates should have considerable experience and leadership on SAEM committees and task forces. Constitution & Bylaws Committee: One member will be elected to a three-year term, the final year as the chairman of the committee. The Committee reviews the Constitution and Bylaws and makes recommendations to the Board for amendments to be considered by the membership. Candidates should have considerable experience and leadership on SAEM committees and task forces. Nomination Format 1. Full Name 2. Current Academic Position/s: • Institution/s • Academic Appointment/s • Other major administrative position/s, such as chair, director, dean, etc. 3. Non-SAEM career accomplishments, such as awards, grants, leadership positions, etc. (100 word limit). 4. SAEM Service Outline: 5. Personal Statement regarding what the candidate wants to do for SAEM if elected (300 word limit). • What have been your proudest accomplishments for SAEM to date? • What are your goals for advancing the Society? • What is your vision for the future of the Society? • Which needs of the membership do you wish to address? • Personal comment to the membership (optional). 3

SAEM Members Selected for Prestigious ACGME Award Mark Baker, Newsletter Managing Editor Society for Academic Emergency Medicine The Accreditation Council for Graduate Medical Education (ACGME) at its recent Annual Awards Committee Meeting held in September, made their 2007 award recipient selections, and SAEM members, Carey Chisholm, MD, and Javier Gonzalez del Rey, MD were both selected as two of the winners of their prestigious Parker J. Palmer “Courage to Teach” Award. Dr. Chisholm currently serves as the Program Director of Emergency Medicine at Methodist Hospital in Indianapolis, and is a past SAEM President, and Dr. Gonzalez del Rey serves as the Associate Director of Emergency Medicine and Director of Pediatric Residency Programs at Cincinnati Children’s Hospital Medical Center. Dr’s. Chisholm and Gonzalez del Rey, along with other selected outstanding program directors from various specialties, will be honored by the ACGME at a special dinner and awards ceremony on February 12, 2007 at the Westin Hotel in Rosemont, Illinois wherein each will be presented a personalized plaque and check for $1000.00. Additionally, as is traditional, recipients will also be invited to attend the annual Physician Formation Retreat held May 16-18 at the Fetzer Institute in Kalamazoo, Michigan; while there, attendees will be taught a focus of connecting the heart, intellect and spirit. Recognizing that program directors face numerous challenges in administering residency programs, ACGME in 2001, established the Parker J. Palmer: Courage to Teach Award to recognize outstanding program directors who have uncovered innovative ways of teaching residents and providing quality healthcare. The awards namesake, Parker J. Palmer holds a PhD from UC Berkeley; he is the Senior Associate of the American Association for Higher Education as well as a Senior Advisor to the Fetzer Institute. He is a highly respected writer and traveling teacher who works independently on issues in education, community, spiritually, and social change. He is the author of several books including widely read titles such as: The Active Life, The Company of Strangers, To Know as We are Known and The Courage to Teach. To be eligible for consideration of the award, the nominee must meet a strict seven-point criteria: 1. must direct a fully accredited residency program; 2. have a minimum of five years experience as program director; 3. display evidence of dedication and effectiveness in teaching residents; 4. display personal behaviors that are value-based and highly principled; 5. be an exemplary role model; 6. lead a program with benchmark features from which the field can learn; and 7. demonstrate participation in a national program directors’ association if one exists for that specialty. Since its inception, a total of 61 outstanding program directors have been selected for the award. With their selection to the 2007 group, Dr’s. Chisholm and Gonzalez del Rey join two other current and former Society members who have been recipients of the award, having also been recognized as outstanding program directors they are: Frances Counselman, MD and Keith Wrenn, MD. Dr. Counselman is currently the Chairman of the Department of Emergency Medicine and EM Residency Program Director at Eastern Virginia Medical School in Norfolk, Virginia. Dr. Counselman won the award in 2005. Dr. Wrenn was among the first group of program directors chosen for the award in its inaugural year, 2001. Dr. Wrenn is a Professor of Emergency Medicine, Director of the EM Residency Program, and Vice Chairman of Emergency Medicine at Vanderbilt

Medical Center in Nashville, Tennessee. In preparation for this article, I contacted these four outstanding individuals and asked that they share their thoughts and experience on having been selected for this prestigious award; each was happy to share their feelings: “Five things crossed my mind when I received notification that I’d been selected for the Courage to Teach Award: 1. Disbelief; 2. Appreciation of my mentors, most of whom are teachers from high school and college (glaringly, none in my medical school), Scouts, and throughout EM…locally and nationally. They continue to inspire and counsel me; 3. My colleagues; I have been blessed by having terrific people to work for, and with. Without their encouragement, camaraderie, expertise and support, my career would not have unfurled in the fashion it has. Being able to work with such an awesome group of people has been amazing; 4. My family. They have lived my life as a program director, from social events to the odd hours of work. Their sacrifices and understanding have been underappreciated in retrospect, and as such, make me even more grateful; 5. The residents. I’ve had the opportunity to work as a program director since 1985. Having the privilege of participating in a process through which a very inexperienced EMR1 develops and departs as an accomplished EM physician several years later is the most rewarding career I could imagine. Participating, even in a small fashion, in so many successful careers is humbling.” -Carey Chisholm, MD, Class of 2007. “Wow!” was the first expression… then…speechless (a physiologic stage very difficult for me to achieve-as those of you who know me will agree!)…Overwhelmed…Happy to the “max”…Energized…and even a little guilty for receiving an award for something that I enjoy doing every day! Those were my initial reactions after hearing of this honor from the ACGME. However, to be nominated by those who make my “work,” if it can be described in that manner, so enjoyable, was

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Society for Academic Emergency Medicine Annual Meeting May 15-19, 2007 Sheraton Chicago Hotel and Towers City Front Center 301 East North Water Street Phone 312-464-1000 Be sure to mention SAEM for reservations www.Sheratonchicago.com 4

Emergency Cardiovascular Care (ECC) Program of the American Heart Association Clifton W. Callaway, MD, PhD University of Pittsburgh School of Medicine SAEM Liaison to ECC The Emergency Cardiovascular Care (ECC) committee of the American Heart Association (AHA) meets in person twice per year. ECC develops the AHA Guidelines for treatment of acute cardiovascular emergencies and translates those Guidelines into the education products for the AHA: ACLS, PALS, etc. As part of this process, other specialty organizations are invited to send liaisons to the ECC meetings. For emergency medicine, we are significant stakeholders as practitioners and teachers of resuscitation. Therefore, it is important that we attend and monitor the ECC activities. At this time, the 2005 Guidelines have been published (Circulation 2005; 112; Supplement), and the new materials for many of the courses began shipping in summer 2006. At the ECC, it was noted that there has been brisk demand for the new educational products. Part of this increased demand is probably due to the fact that with respect to ACLS the new Guidelines differ a lot from prior recommendations. There is much greater emphasis on the quality of CPR (e.g. 30 compressions: 2 ventilations is recommended) and decreased emphasis on drug therapy (most drugs are “to be considered”). Recommendations about the teaching of ACLS will impact many training centers. For example, the concept of “teamtraining,” essentially learning how to be a good resuscitation team-member or leader, is a central part of the new curriculum. In order to continue to act as instructors, previous instructors need to complete some basic training in this concept. In addition, to encourage proper teaching of individual students, the new courses recommend lower teacher to student ratios (1:6 to 1:8). For many hospitals and training centers, meeting these requirements requires at least revision of scheduling if not additional staff or more classes. Feedback from regional faculty on the impact of the recommended changes in teaching is encouraged. The AHA notes that there has not been a large demand for the ACLS-Experienced Provider (ACLS-EP) course. This course is designed for persons who routinely participate in resuscitation or care of the critically ill. Accordingly, this course may be more appropriate for many emergency personnel. Compared to ACLS, ACLS-EP emphasizes pre-arrest situations in which full-blown cardiac arrest might be prevented. Emergency medicine faculty might want to review the content of this course again. The pediatric section of the ECC, who develops PALS, is also developing a self-directed learning module for pediatric procedural sedation. This activity is within the mission for ECC, because respiratory compromise during sedation can be a major cause of pediatric cardiopulmonary collapse. Providing education about how to avoid misadventure during sedation may reduce the burden of cardiopulmonary collapse. The module is not intended to provide training in sedation, which involves a broader procedural and knowledge base, but rather to point out features of sedation that are important for patient safety. At present it is unclear whether there is a need for similar modules about adult sedation.

Most importantly for SAEM, planning now begins for the development of the 2010 Guidelines. Development of the next Guidelines involves a regimented evidence review to answer specific clinical questions (e.g. “Does using vasopressin instead of epinephrine improve survival after cardiac arrest?”). The first source for these clinical questions will be the gaps in knowledge identified during the review of the literature during the development of the 2005 Guidelines. A manuscript reviewing these gaps in knowledge is in preparation by the ECC committee. In addition, it is recognized that there are other gaps in knowledge in areas of research that were not even considered during the last cycle of review. Therefore, the ECC subcommittees will now review and update the list of clinical questions that provide the basis for evidence review. The importance of framing the appropriate clinical questions cannot be understated. It is certain that the AHA Guidelines will make not be able to comment on issues for which no question was asked. Probably one of the most difficult parts of the AHA mission is to determine whether any of the product developments or educational products actually improve patient care. There are a variety of efforts to collect data about resuscitation and its success. The AHA sponsors the National Registry of CPR (NRCPR). For this registry, hospitals report data about resuscitation events that occur within the hospital (inpatient cardiac arrest) to the AHA. It appears that survival in this meaningfully large sample of inpatient cardiac arrest is about 20%. There are fewer data available about out-of-hospital cardiac arrest, but prior data estimate 6% survival nationally. It remains a goal of the ECC to develop mechanisms to obtain more representative prospective data in order to assess the effectiveness of their efforts. Finally, the issue of conflicts of interest is a constant source of concern for the AHA, because its guidelines can dictate training, drug selection and device use in multiple countries. Explicit steps to acknowledge and recognize real and perceived conflicts have been developed. There was active discussion about how to refine this process even further. However, it is a fact of the current academic climate that persons most expert on particular topics are most likely to serve as consultants or to receive research funding from companies producing related products. It is likely that the AHA will strike some balance that allows the Guidelines development process to use the expertise of individuals for scientific review without allowing persons with direct conflicts to devise the specific Guidelines. In summary, the ECC remains active and its individual members are quite devoted to improving resuscitation care. Emergency medicine is well represented within the Guidelines development process. Academic emergency medicine should pay close attention to the process, given that our teaching will be heavily influenced by the final product. In addition, the practice of resuscitation always will be associated with emergency medicine, and we should take ownership of the most influential set of Guidelines in this area.

SAEM Western Regional Research Forum and Medical Student Forum Meeting Announcement and Call for Abstracts March 16-17, 2007 Oregon Health & Science University Portland, Oregon SAEM is pleased to announce the annual meeting of the Western Regional Research Forum. When submitting an abstract for the national SAEM meeting, simply check the box indicating your interest in the Western Regional Research Forum and your abstract will be considered for both meetings. The deadline for submission of abstracts is Tuesday, January 16, 2007 at 5:00 pm Eastern Standard Time and will be strictly enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions are available at: www.saem.org This meeting is an excellent opportunity for medical students, residents, fellows, and junior faculty to present their research. Abstracts from senior faculty are also welcome, of course. All accepted abstracts will be presented as oral presentations. In addition to presentation of original research, the meeting will include a keynote address, “One Emergency Physician’s View of Health Care Reform,” by Oregon’s former Governor, John Kitzhaber, MD. There will be panel discussions and lectures on topics of interest to Emergency Medicine educators and researchers, including Patient Simulation as a Tool for Teaching and Research; Overcoming Barriers to Clinical Research; and Creating Fellowships in an Emergency Medicine Program. Academic Emergency physicians will debate. “All EM Residents should be required to do research projects in order to graduate,” and “All EM Faculty members should be required to conduct research in order to be promoted.” There will be optional, hands-on workshops on advanced ultrasound techniques and on use of a patient simulator laboratory. There will also be a half-day Medical Student Forum with discussions of how to select a residency program and how to make one’s application as successful as possible, as well as a chance for students to talk informally with residency directors from throughout the Western United States. The venue in Portland will allow attendees to enjoy a beautiful and dynamic city of manageable size. Depending on interest, optional activities may include a guided tour of Portland’s underground tunnels (once used to kidnap, or “Shanghai” able-bodied men and force them to work as sailors), participation in Portland’s “Shamrock Run” Sunday, March 18th and other St. Patrick’s Day festivities Saturday evening, rides on OHSU’s new aerial tram, and/or trips to Mount Hood, the Columbia River Gorge, or nearby wineries on Sunday. Please direct preliminary questions to Robert A. Lowe, MD, MPH at: lowero@ohsu.edu

Medical Student Volunteers Sought The SAEM Program Committee is looking for energetic medical students to work at the 2007 SAEM Annual Meeting in Chicago on May 16-19. Students will work closely with program committee members to help facilitate didactic sessions. Each student will be responsible for coordinating evaluations and other administrative responsibilities. Working at the SAEM Annual Meeting provides students with a unique opportunity to familiarize themselves with the current research and educational activities taking place in the field of emergency medicine. In return for working at the Annual Meeting all student volunteers will have their registration fee waived. Interested medical students should submit their name and contact information to the SAEM office at Jennifer@saem.org. Please write “Medical Student Volunteer for Annual Meeting” in the subject line of the email.

Nominations Sought: Resident Member of the SAEM Board of Directors Deadline: February 7, 2007 The resident Board member is elected to a one-year term and is a full voting member of the SAEM Board of Directors. Candidates must be a resident during the entire one-year term on the Board (May 2007-May 2008) and must be a member of SAEM. Candidates should demonstrate evidence of strong interest and commitment to academic emergency medicine. Nominations should include a letter of support from the candidates’ residency director, as well as completing the “mini-bio” that is described on page 3 of this Newsletter. Nominations must be sent electronically to saem@saem.org . Candidates are encouraged to review the Board of Directors orientation guidelines on the SAEM website at www.saem.org or from the SAEM office. The election will be held via mail ballot in the spring of 2007 and the results will be announced during the Annual Meeting Business Meeting in Chicago. The resident member of the Board will attend three SAEM Board Meetings: in the fall, in the winter, and in the spring at the 2008 SAEM Annual Meeting. The resident board member will also participate in monthly Board conference calls. 6

Knowledge Translation Consensus Conference Takes Shape Eddy Lang, MD., SMBD Jewish General Hospital Peter Wyer, MD., New York Presbyterian Medical Center Barney Eskin, MD, PhD., Morristown Memorial Hospital Planning for the Academic Emergency Medicine consensus conference on knowledge translation (KT) is moving into high gear, with plans to develop a high-impact and far-reaching research and implementation agenda for closing the gap between research and practice. Participants in twelve specific topics, housed within six broader themes, are engaging in active online discussion forums that will forge the recommendations and pivotal research questions that will serve as a guide map for further directions and initiatives. Please contact a theme leader if you are interested in joining one or more of these forums. Global question Theme I: Evidence Implementation Ia. Guideline How can emergency medicine optimize implementation and evidence implementation and uptake through the clinical pathways use of CPG implantation strategies and critical pathways? Ib. Evidence syntheses and other promising KT methods.

What are the most effective pre-appraised and synthesized evidence formats available in emergency medicine and what supplemental techniques (e.g., academic detailing, audit and feedback, reminders) will enhance this KT?

Theme II: The EM Practitioner and KT IIa. CME/CPD and self What self improvement strategies and improvement continuing professional development initiatives are most conducive to the incorporation of evidence based interventions into the individual emergency physicianâ&#x20AC;&#x2122;s practice? IIb. Cognitive, social, and behavioral

How can cognitive, social, and behavioral issues inform the study of knowledge translation in emergency medicine?

Theme III: The Emergency Department and Clinical Teaching Unit IIIa. Undergraduate, How can medical education strategies at the Postgraduate, and undergraduate, postgraduate, and continuing Continuing Medical medical education levels promote evidence Education implementation in graduating and future emergency physicians? IIIb. Informatics and KT

What are the characteristics of an ED-based informatics and decision support system that can most effectively facilitate knowledge translation?

Theme IV: Macro view: Issues and perspectives at the broader level IVa. Health Policy and KT What are the characteristics of health policy programs (local, regional, and national) that promote the incorporation of research evidence into the clinical practice of emergency medicine? IVb. Medicolegal and ethical considerations in KT

Leader and e-mail contact Gary Gaddis ggaddis@saint-lukes.org

Brian Rowe brian.rowe@ualberta.ca

Barbara Kilian bjkilian@gmail.com

Jamie Brehaut jbrehaut@ohri.ca

Dan Mayer mayerd@mail.amc.edu

Michael Bullard michael.bullard@ualberta.ca

Charlene Irvin cbi@123.net

What are the medicolegal dimensions (barriers Gregory Larkin and facilitators) as well as the ethical gluke.larkin@yale.edu considerations of both the current gaps between research and practice and of the knowledge translation initiatives that may facilitate their closure?

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Theme V: Contextually specific challenges to KT Va. International EM What are the most promising avenues to pursue in closing gaps between knowledge and practice in emergency care systems at various stages of development around the globe?

Kris Arnold karnold@bu.edu

Vb. Emergency Medical Services

What are the most promising avenues to pursue in approximating the gap between knowledge and practice in the delivery of emergency medical care in the pre-hospital setting?

David Cone david.cone@yale.edu

Vc. Public Health

What are the unique contextual elements that need to be addressed in order to bring proven preventative and other public health initiatives into the ED setting?

Steven Bernstein sbernste@montefiore.org

Theme VI: The science of evidence implementation / dissemination of innovation VIa. Research principles What research directions and methodologies and methodology of KT should be employed to identify the most research effective strategies for approximating the research to practice gap in emergency medicine? VIb. Capacity development and research networks

What approaches should be emphasized in order to develop capacity and multi-center consortiums that will promote knowledge translation research in emergency medicine?

Scott Compton scompton@med.wayne.edu

Peter Dayan psd6@columbia.edu

As of this writing, the following stakeholder organizations have issued endorsements and have agreed to be considered among the consensus conference supporting agencies: • Agency for Healthcare Research and Quality • Alberta Research Centre for Child Health Evidence • American Academy of Emergency Medicine • American College of Emergency Physicians • Canadian Association of Emergency Physicians Research Consortium • Canadian Institutes for Health Research • Cochrane Prehospital and Emergency Health Field • Emergency Medicine Residents Association • Emergency Multidisciplinary Research Unit • Evidence Based Emergency Medicine Interest Group, New York Academy of Medicine • Knowledge Translation Program at the University of Toronto • National Association of EMS Physicians • Ottawa Health Research Institute • Pediatric Emergency Care Applied Research Network • Pediatric Emergency Research Canada • Society for Academic Emergency Medicine

Call for Nominations SAEM Special Recognition Award Deadline: February 15, 2007 Nominations are being sought for the SAEM Special Recognition Award. This award was designed to enable the Society to recognize individuals who have made, or are making a substantial contribution to the Society, organized medicine, or global health. Nominees may be a physician or a non-physician, but must be a current or previous member of the Society. Types of activities to be considered are: humanitarian, international, political, or governmental service. The nominee’s activities in these areas should be in line with and reflective of the SAEM mission, which is: “To improve patient care by advancing research and education in emergency medicine.” The deadline for nominations is February 15, 2007. Nominations must be submitted electronically to: saem@saem.org with a subject line: Special Recognition Award and will be reviewed by the Awards Committee. The Awards Committee will consider nominations each year, but the award may not necessarily be awarded annually. 8

New SAEM/EMF/AHA Grant Jeffrey A. Kline, MD. Carolinas Medical Center Robert W. Neumar, MD. University of Pennsylvania SAEM is pleased to announce a collaborative grant between the American Heart Association, Emergency Medical Foundation, and the Society for Academic Emergency Medicine. This grant will be known by the title, EMF/SAEM/AHA Fellowto-Faculty Transition Award.” The objective of the award is to provide funding for trainees with outstanding potential for careers as physician-scientists and cardiovascular/stroke research during the crucial period of career development, completion of research training through the early years of the first faculty-to-staff position. The award provides a maximum of five years of support that includes one to three years of research fellowship training and the first years of faculty appointment. Candidates must be emergency medicine physicians who hold an MD, MD/PhD, DO, or equivalent degree at the time of application submission. Applicants must have completed the clinical portion of an emergency medicine training program within the United States. The research project must be conducted at an academic medical center; persons working for or with forprofit corporations are not eligible to participate. The grant provides a maximum $65,000 per year during the fellowship training phase, and up to $132,000 per year, during the faculty phase. The peer review for the application will occur through the National American Heart Association Peer Review Process. A comprehensive grant description along with the application is available at the American Heart Assoc. website: www.americanheart.org/presenter.jhtml?identifier=2230 First applications will be accepted on January 1, 2007. The first grant could potentially be awarded in June of 2007. We believe that this collaborative initiative is an important step in expanding the research training infrastructure within the specialty of emergency medicine, and furthermore, is consistent with the recommendations of the recently published IOM report, “The Future of Emergency Care in the United States Health Care System.”

Journal Manager Academic Emergency Medicine The Society for Academic Emergency Medicine (SAEM) is searching for an energetic, innovative, and experienced individual to fill the position of Journal Manager for the Society's journal, Academic Emergency Medicine. About SAEM: SAEM is a non-profit organization dedicated to the improvement of care of the acutely ill and injured patient by advancing research and education in emergency medicine. About Academic Emergency Medicine (AEM): AEM publishes information relevant to the practice, educational advancement, and investigation of emergency medicine. The mission of the journal is to promote the advancement of emergency medicine research, education, and clinical practice. About the position: The Journal Manager will be located at the editorial office in Lansing, Michigan, and will oversee and ensure the timeliness and quality of all peer review, editorial, and production processes. A list of duties will be available for review by qualified candidates. About the Successful Candidate: The Journal Manager must be able to oversee and guide the entire editorial and publication process. The successful candidate will work well under deadlines and will have demonstrated success with at least 3 years of experience in a comparable position. Prior editorial experience with a society publication is an advantage. Three references will be required and salary will be commensurate with qualifications and job experience. Interested candidates should contact Barbara Mulder, Interim Executive Director, at 517-485-5484 or by email at barb@saem.org. SAEM is an EOE.

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Call for Nominations: Hal Jayne Academic Excellence Award Deadline: February 15, 2007

Nominations are sought for the Hal Jayne Academic Excellence Award and the Leadership Award. These awards will be presented during the SAEM Annual Business Meeting in Chicago during the 2007 Annual Meeting. Nominations for honorary membership for those who have made exceptional contributions to emergency medicine are also sought. The Awards Committee whishes to consider as many exceptional candidates as possible; the awards and applicable criteria are described below: Academic Excellence Award The Hal Jayne Academic Excellence Award is presented to an individual who has made outstanding contributions to emergency medicine through research, education, and scholarly accomplishments. Candidates will be evaluated on their accomplishments in Emergency Medicine including: 1. Teaching • Didactic/Bedside • Development of New Techniques of Instruction, or Instructional Materials • Scholarly works • Presentations • Recognition or Awards by Students, Residents, or Peers • Research and Scholarly Accomplishments 2. Research and Scholarly Accomplishments • Original Research in Peer-Reviewed Journals • Other Research Publications (e.g., review articles, book chapters, editorials) • Research Support generated through Grants and Contracts • Peer-Reviewed Research Presentations • Honors and Awards Previous recipients of this award are: Tom Aufderheide, MD, William Barsan, MD, Charles Brown, MD, Steven Dronen, MD, Richard Edlich, MD, PhD, Lewis Goldfrank, MD, Glenn Hamilton, MD, Jerris Hedges, MD, MS, Judd Hollander, MD, Gabor Kelen, MD, Arthur Kellerman, MD, MPH, Roger J. Lewis, MD, PhD, John Marx, MD, James Niemann, MD, Emanuel Rivers, MD, James Roberts, MD, Ernest Ruiz, MD, Arthur Sanders, MD, Corey Slovis, MD, Ian Steill, MD, and Blaine White, MD. Leadership Award The Leadership Award is presented to an individual who has demonstrated exceptional leadership in Academic Emergency Medicine. Candidates will be evaluated on their leadership contributions including: 1. 2. 3.

Emergency Medicine Organizations and Publications Emergency Medicine Academic Productivity Growth of Academic Emergency Medicine

Previous recipients of this award are: William G. Barsan, MD, Louis Binder, MD, E. John Gallagher, MD, Lewis Goldfrank, MD, Glenn Hamilton, MD, Jerris Hedges, MD, MS, Robert Knopp, MD, Ronald Krome, MD, Richard Levy, MD, Louis Ling, MD, James Niemann, MD, Peter Rosen, MD, Arthur Sanders, MD, David Sklar, MD, William Spivey, MD, Judith Tintinalli, MD, Joseph Waeckerle, MD, and David Wagner, MD. Nominations may be submitted by the candidate or any SAEM member. Nominations should include a copy of the candidate’s CV and a completed application that includes the following: Nominee’s Name (first name, middle initial, last name, and earned degrees) Primary Employment Position and Institution (include mailing address, phone, fax, and e-mail) Education (institutions, degrees, years, and major disciplines. DO NOT include honorary degrees) Principal Honors and Awards Received Major Leadership Positions within SAEM Major Non-SAEM National Leadership Positions, Societies and Boards Person Nominating Award Candidate (include mailing address, phone, fax and e-mail) Statement on how this individual had a positive impact on Academic Emergency Medicine and met the criteria for this award (limited to 2 pages) Note: All Nominations must be sent electronically to the Society at: saem@saem.org with the Subject Line: Hal Jayne Award Nomination. 10

Call for AEM Reviewers Deadline: March 22, 2007 SAEM members are invited to submit nominations to serve as peer reviewers for Academic Emergency Medicine. As an indicator of familiarity with the peer-review process, the medical literature, and the research process in general, peerreviewers are expected to have published at least two peer-reviewed papers in the medical literature as first or second author. Some of these papers should be original research work. Other scholarly work or experience will be considered as evidence of expertise (i.e., informatics experience demonstrated by network/database/desktop development). AEM peer-reviewers are invited to review specific manuscripts based on their area(s) of expertise. Once a reviewer has accepted an invitation to review a manuscript, the reviewer is expected to complete the review within 14 days of receipt of the manuscript. To provide feedback to reviewers, reviewers receive the consensus review from each manuscript that they review. In addition, each review is evaluated by the decision editor in the areas of timeliness, assessment of manuscript strengths and weaknesses, constructive suggestions, summarizing major issues and concerns, and overall quality of the review. Scores are compiled in the AEM database. Each year the Editor-in-Chief designates Outstanding Reviewers for public acknowledgement of excellent contributions to the peer-review process. Reviewers who consistently fail to respond to requests to review, who are unavailable to perform reviews, or who submit late or incomplete reviews may be dropped from the peer review database at any time, at the discretion of the Editor-in-Chief. Individuals interested in being considered for an appointment as an AEM peer reviewer must send a letter of interest including areas of expertise as defined on the reviewer topic survey and a current CV. The reviewer topic survey can be found at: www.saem.org/inform/resurvey.html. Most appointments as peer reviewer are for three years. All applications must be submitted electronically to aem@saem.org by March 22, 2007

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SAEM Leadership Award Deadline: February 15, 2006 The Leadership Award will be presented during the SAEM Annual Business Meeting in Chicago. Nominations for honorary membership for those who have made exceptional contributions to emergency medicine are also sought. The Nominating Committee wishes to consider as many exceptional candidates as possible. Nominations may be submitted by the candidate or any SAEM member. Nominations should include a copy of the candidate's CV and a cover letter describing his/her qualifications. The Leadership Award is presented to a member of SAEM who has demonstrated exceptional leadership in academic emergency medicine. Candidates will be evaluated on their leadership contributions including: 1. Emergency medicine organizations and publications. 2. Emergency medicine academic productivity. 3. Growth of academic emergency medicine. Nominations should include the following information: • Nominee's Name (first name, middle initial, last name, earned degrees) • Date of Birth (month, day, year) • Primary Employment Position and Institution (include mailing address, phone and Fax numbers and email address) • Education (institutions degrees years, and major disciplines. Do not include honorary degrees) • Principal Honors and Awards Received • Major Leadership Positions Within SAEM • Major Non-SAEM National Leadership Positions, Societies and Boards • Person Nominating Award Candidate (include mailing address, phone and fax numbers and email address) • Statement on how this individual had a positive impact on academic emergency medicine and met the criteria for this award (limited to 2 pages) All nominations must be submitted electronically to saem@saem.org. If electronic signature is not available please submit nomination (cover letter) electronically but also follow-up with one hard copy to the SAEM office.

Academic Announcements SAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of interest to the membership. Submissions must be sent to newsletter@saem.org by February 1 to be included in the Mar/Apr. issue Carl Stevens, M.D., MPH, has been promoted to Clinical Professor of Medicine and appointed Director of Medical Student Curriculum Development at the David Geffen School of Medicine at UCLA, while continuing to serve as an emergency medicine faculty member at Harbor-UCLA Medical Center. Henry E. Wang, MD, MPH, Assistant Professor, Department of Emergency Medicine, University of Pittsburgh, received a $309,000 R21 award from the National Heart, Lung and Blood Institute for his proposal “Effect of Paramedic Airway Experience on Patient Outcomes.” Dr. Wang’s study, which involves collaboration with Lawrence J. Cook, MStat, Intermountain Injury Control Research Center, University of Utah, proposes the use of probabilistic linkage to join pre-hospital airway management with in-hospital outcomes data. Donald M. Yealy, MD and Judith R. Lave, PhD are co-investigators on this effort. Saadia Akhtar, MD, has been selected to be the Director of the Emergency Medicine Residency Program at Beth Israel Medical Center, the Manhattan Campus of Albert Einstein College of Medicine, New York. She has previously served as the Assistant and Associate Residency Director at Beth Israel Medical Center.

New Addition to the AEM Journal:

Dynamic Emergency Medicine

After field testing during the last few months, the editors of Academic Emergency Medicine are pleased to announce a new section of our journal, Dynamic Emergency Medicine. This section will present video articles that are relevant to the research, practice, and teaching of emergency medicine. We anticipate these will include imaging helped in management or diagnosis; interviews of emergency medicine leaders of concepts; history, or practice, or any other material best presented in video form. Videos of lectures or other didactic presentations will not be considered. Each submission must be accompanied by a brief written description of the video contents. High-quality still images will be published in the paper journal and will link to the video in the electric journal. Videos should not exceed four minutes in length and will undergo peer review. Information on preferred formats is listed below; in all cases, the highest possible quality is required. Preferred format: MPEG -1 or -2 (.mpg extension) Also acceptable: Apple Quick Time (.mov), and Microsoft Audio/Video interfaced format (.avi) If you wish to submit a video, or have questions regarding the submission process, please contact the AEM Editor In Chief, at: michelle.biros@gmail.com

A Consensus Conference Sponsored by Academic Emergency Medicine The Official Journal of the Society for Academic Emergency Medicine

Knowledge Translation in Emergency Medicine: Establishing a Research Agenda and Guide Map for Evidence Uptake May 15th, 2007 Chicago Sheraton Chicago, Illinois USA

Conference Co-chairs Barnet Eskin, Peter Wyer, Eddy Lang

Organizational Support Emergency Department SMBD - Jewish General Hospital A McGill University Teaching Hospital

PROPOSED AGENDA

Plenaries 8 - 8:15am 8:15 - 9am

Welcome, Opening Remarks • Michelle Biros Overview of the Research Practice Gap and Defining Knowledge Translation in the Emergency Medicine Context • Eddy Lang 9 - 9:30am Consensus Process Principles • Barnet Eskin 9:30 - 10am Theme leader presentations Concurrent Breakout Presentations I 10:30 Guideline Implementation Research (Strategies for improving guideline-directed care in the ED setting and how to study their efficacy) • Brian Gibler Decision Support Technology (Cutting edge innovations in technology-assisted evidence implementation: lessons from software development and informatics technology applications) • Brian Holroyd Research Methodology in KT (Unique study design and methodological considerations in planning and conducting KT research) • Donald Yealy Threoretical Underpinnings of KT (Conceptual frameworks for understanding the knowledge to action continuum) • Ian Graham Lunchtime Keynote Address 11:30 - 1pm Opportunities and challenges in closing the research to practice gap: the AHRQ vision for advancing the study of evidence uptake in emergency medicine • Carolyn Clancy Concurrent Breakout Presentations II 1 - 2:00pm Developing Evidence Summaries for Emergency Medicine (Review of ongoing and potentially novel initiatives to appraise and synthesize existing evidence into clinician-friendly and usable content designed for bedside application) • Peter Wyer Implementing Decision Rules in an Emergency Department (Obstacles and facilitators to clinical decision rule uptake in an Emergency Department: studying causes and measuring impact of implementation strategies) • Ian Stiell Funding Opportunities in Knowledge Translation (Review of the AHRQ’s “Translating Research into Practice” initiatives, competing funding agencies and strategies for success) • Jean Slutsky A Model Program in Knowledge Translation Research (Review of CIHR’s multi-faceted and multicentered program in Knowledge Translation Research in Pediatric Emergency Medicine) • Terry Klassen Consensus-building Workshops 2:15 - 4:15pm Consensus process for establishing KT research agenda and key recommendations: Six facilitated groups of participants drawn from the discussion groups involved in the specific preparatory phase will join in this breakout session. Moderated by the designated chairs and aided by the two scribes these six groups will use brainstorming as well as validated consensus techniques to finalize a prepared, comprehensive and prioritized list of KT research opportunities and recommendations for their KT domain. 4:30 - 5:30pm Feedback reporting from workshop groups and large group consensus building exercise

ACGME Award…(continued from page 4) the icing on the cake. We medical educators hope that we can make a difference in young physicians’ lives, and yet more often, it is our trainees who are the ones that make the difference-in ours! Their smiles, their memories, their tears, and their achievements remain with us and continue to challenge us to do our best in helping them become the best physicians that they can be. We obtain satisfaction knowing that through them, we will impact the care of their patients and…their future as teachers.” -Javier Gonzalez del-Rey, MD, Class of 2007.

company with a better class of people than my mother ever thought I would. The Parker J. Palmer Award is special to me because it is about one of my passions and not so guilty pleasures, Teaching. It also bears the name of someone whose words and ideas I respect very much. And it made my Mom happy.” -Keith Wrenn, MD, Class of 2001. If you would like to learn more about the Parker J. Palmer Award, or would like to nominate an EM Resident Program Director who you feel meets the eligibility criteria, contact Marsha A. Miller, Associate Executive Director/ACGME at: mmiller@acgme.org or call her at: 312-755-5041. Materials may be downloaded from the ACGME website (http://www.acgme.org/acWebsite/palmerAward/pa_ instructions.asp) and saved as a Word document and than mailed with support letters and curriculum vitae to:

“I have always thought that serving as a Program Director of an Emergency Medicine Residency to be the best job in our specialty. I have the opportunity to work with incredibly bright, hardworking, motivated young men and women on a daily basis, who possess a sincere desire to learn. It’s both a privilege and a huge responsibility. Receiving the ACGME Parker J. Palmer Award has not only been a tremendous honor, but a significant motivator to live up to the ideals of the award and be a better Program Director.” -Francis Counselman, MD, Class of 2005.

Marsha Miller Associate Executive Director ACGME 515 N. State Street Chicago, IL. 60610

“I am indebted to the people who nominated me and it is clear from current and former recipients, that I am keeping

SAEM Midwest Regional Meeting Highlights Report The Department of Emergency Medicine at Akron General Medical Center hosted the 16th Annual SAEM Midwest Regional Meeting in Akron, Ohio, on September 25th, 2006 at the Crowne Plaza Quaker Square. In attendance were over 90 staff physicians, residents, medical students, nurses, paramedics and social service personnel. The meeting had representation from 17 institutions across the Midwest. There were 44 abstracts submitted for review, 26 oral and 18 poster presentations were displayed. The meeting began the evening before with a catered reception at the newly renovated Komodo Kingdom at the Akron Zoo. The Komodo Dragon was very active as guests enjoyed hors d’oeuvers and desserts including a “Flaming Volcano Cake.” The 16th Annual SAEM Midwest Regional Meeting’s Keynote Speaker was Peter DeBlieux, MD. Unfortunately, weather and airlines were not cooperative and left Dr. Deblieux in Atlanta. Despite valiant efforts on his part, Dr. Deblieux was unable to make it for his presentation. His presentation, “Charity Hospital’s Response to Katrina-Through Hell and High Water” was scheduled to take place over lunch. Oral abstracts were presented in a morning and afternoon session and were very well received. Poster presentations were digitally displayed and were covered before and during lunch. A special breakout session for medical students was also available. A panel of residency directors from several programs in attendance provided a forum for questions and discussion. Dr. Harp Bedi delivered a special presentation on Advances in Emergency Imaging. His lecture was filled with clinical detail and complimentary imaging studies that provided attendees with insight into state of the art imaging and application to emergency care. Oral presentations and posters were scored with congratulations to the following award winners: • Best Poster PresentationWilliam Patterson, St. John Hospital and Medical Center, “ED Non-Physician Personnel Response During Influenza Pandemic-Will They Come to Work?” and Carissa Lucas, Akron General Medical Center and Case Western Reserve University, “Helicopter Transport of Patients with Acute Ischemic Stroke: Evaluation of In-Flight Management and Association Between Inter-Hospital Transport and Mortality” • Best Oral PresentationJames Olson, PhD, Wright State University, “Cell Swelling-Induced Neuronal Injury Mediated by Oxidative Stress” • Best Basic Science PresentationColin Greineder, MD, University of Michigan, “Measurement of Lymphocyte Apoptosis in ED Patients” • Best Student PresentationSarah Ostrowski, Kent State University, “Differential Neuroendocrine Hormone Response in Childhood Survivors of Severe Trauma and Their Biological Mothers” The conference organizers would like to thank all those who attended and encourage participation next year. The 17th Annual SAEM Midwest Regional Meeting will be held on September 20, 2007 and will be hosted by Drs. Kuhn and Compton at Wayne State University in Michigan.

Newsletter Submissions Welcomed SAEM invites submissions to the Newsletter pertaining to Academic Emergency Medicine in the following areas: 1. Clinical Practice. 2. Education of EM residents, Off-Service Residents, Medical Students and Fellows. 3. Faculty Development. 4. Politics and Economics as they pertain to the academic environment. 5. General Announcements and Notices. 6. Other pertinent topics. Materials should be submitted by e-mail to Mark Baker at: newsletter@saem.org. Subject Line should state: Newsletter Submission. Be sure to include the names, professional designations, institutional affiliations of authors and a means of contact. All submissions are subject to review and editing. Deadline for the March/April issue is February 1, 2007.

Start Planning your Trip…(continued from page 1) Didactic Sessions and Workshops: SAEM meeting attendees again will not have to pre-register for lunch lectures and can opt to buy lunch from the hotel cart or from a neighboring restaurant. We will also provide a list of quick lunch spots within walking distance of the hotel. The Institute of Medicine report on The Future of Emergency Care in the United States Health System was released after the May 2006 meeting. As a result, we were not able to have an IOM lecture at last year’s meeting. This year we will have a panel discussion with members of the IOM committee to discuss how this report may impact emergency medicine. We have expanded our didactic offerings this year so that our attendees will have new and relevant sessions to choose from. We have a pediatric state of the art session on bronchiolitis and a panel discussion on simulation. We have also increased the number of clinically relevant, state of the art sessions. Some of the topics will include: toxicology, informatics, cardiac care, and sepsis. We have also added new methodology and statistics lectures, including one on adaptive clinical trials and how to do a chart review. Dr. Schriger will be leading a tour through the posters to discuss how to present data in tables and graphs. Also, we will have a didac-

tic session in the popular debate format on industry sponsored research. Finally, we will continue to offer the faculty development and grant writing workshops, and we have added an abstract writing workshop targeted to medical students, residents, and junior faculty. The preliminary didactic grid is now posted on the SAEM website. Medical Students and Chief Residents Forums: This year’s Chief Residents Forum will be held on Thursday, May 17th and the Medical Student Symposium on Saturday, May 19th. Descriptions of these workshops are now posted on the SAEM website. Other upcoming deadlines: The deadline for IEME Exhibit Submissions is February 2nd and the photo submission deadline is February 15th. These deadlines are coming up, so plan accordingly. As always, please feel free to contact me with questions and suggestions for the Annual Meeting. Email is the easiest way to reach me: dhoury@emory.edu. I look forward to seeing all of you in Chicago!

President’s Message…(continued from page 1) and Ted Delbridge respectively. The final ‘capstone’ meeting will be attended by Judd Hollander, Roger Lewis, and myself. The content and results of the first two meetings have been reported to the membership via Newsletter articles, and more communications will follow on the final two meetings. SAEM’s views have certainly been heard, and the membership has been well represented at all these meetings. The capstone workshop in December should be a very important meeting for academic emergency medicine because it is centered on the research recommendations of the IOM report. SAEM and the ACEP Research Committee preceded this meeting by sending a letter to the Department of Health and Human Services requesting an audience with the Secretary in conjunction with the workshop, to discuss the research recommendations of the IOM report. Judd Hollander, Bob Neumar, and I also met with the AAMC leadership to educate them regarding the research recommendations of the IOM report and solicit AAMC’s advocacy on our behalf. They have agreed to be our advocate at the DHHS and the NIH, and they gave us some very helpful direction for our advocacy efforts. In response to many phone calls and continual nagging from many directions, the DHHS has agreed to meet with us at the December 11 meeting to discuss the IOM recommendations on research. As a matter of fact, the DHHS has representation as part of the workshop program. In addition, CMS, NIH, and AHRQ will be there to hear our views. The program is almost entirely related to research issues, and should provide an outstanding opportunity for us to share our views. A formal report to the membership will follow. The research recommendations of the IOM are as follows: 8.1: Academic medical centers should support emergency and trauma care research by providing research time and adequate facilities for promising emergency care and trauma investigations, and by strongly considering the establishment

of autonomous departments of emergency medicine. 8.2: The secretary of the Department of Health and Human Services (DHHS) should conduct a study to examine the gaps and opportunities in emergency and trauma care research and recommend a strategy for the optimal organization and funding of the research effort. 8.3: States should ease their restrictions on Informed Consent to match current federal law. 8.4: Congress should modify federal Wide Assurance Program (FWA) regulations to allow the acquisition of limited, linked, patient outcome data without the existence of an FWA. The December 11 meeting will center on recommendation 8.2, and SAEM will be advocating for increased representation of the EM in the NIH grant approval process, establishment of emergency medicine training grants, increased funding of acute care clinical research as part of the NIH roadmap initiative, and inclusion of emergency medicine as a priority in the CTSA translational research initiatives. The recent request for information on the NIH roadmap initiative, which was publicized to our members via an all-member e-mail, is a perfect example of our advocacy efforts at work on a national level. SAEM and a variety of our members responded to the RFI, and you can be assured that our voices are being heard. With regard to IOM recommendation 8.3, the FDA held a recent hearing on the topic of informed consent, patient privacy, and acute care clinical trials. Michelle Biros and Jill Baren were sent as representatives of SAEM to provide our feedback to the FDA. Their testimony and suggestions were well received, and a formal review of the FDA consent process in acute care clinical trials is planned. AACM has also rallied to SAEM’s views in this issue, and has agreed publicly with the review plan put forth by Michelle and Jill. There is more to come on this issue, but we are making great progress, and SAEM is leading the advocacy efforts in this arena as well. 15

Call for Photographs Deadline: February 15, 2007 Original photographs of patients, pathology specimens, gram stains, EKG’s, and radiographic studies or other visual data are invited for presentation at the 2007 Annual Meting in Chicago, IL. Submissions should depict findings that are pathognomonic for a particular diagnosis relevant to the practice of emergency medicine or findings of unusual interest that have educational value. Accepted submissions will be mounted by SAEM and presented in the “Clinical Pearls” sessions and/or the “Visual Diagnosis” medical student/resident contest. No more than three different photos should be submitted for any one case. Submit one glossy photo (5x7, 8x10, 11x14, or 16x20) and a digital copy in JPEG or TIFF format on a disk or by e-mail attachment (resolution of at least 640 x 48). Radiographs and EKGs should also be submitted in hard copy and digital format. Do not send X-rays. The back of each photo should contain the contributor’s name, address, hospital or program, and an arrow indicating the top. Submissions should be shipped in an envelope with cardboard, but should not be mounted. Submitted photos must be accompanied by a brief case history written as an “unknown” in the following format: 1. Chief Complaint, 2. History of Present Illness. 3. Pertinent Physical Exam (other than what is depicted in the photo), 4. Pertinent Laboratory Data, 5. One or two questions asking the viewer to identify the diagnosis or pertinent finding, 6. Answer(s) and brief discussion of the case, including an explanation of the findings in the photo, and 7. One to three bulleted take home points or “pearls.” The case history must be submitted on the template that is posted on the SAEM web site at www.saem.org and must be submitted electronically to jennifer@saem.org. Additionally, please be sure to mail a hard copy, glossy print of your submitted photo to SAEM, 901 N. Washington Avenue, Lansing, MI 48906. Photos must have contributors name and phone number on the back. The case history is limited to no more than 250 words. If accepted for display SAEM reserves the right to edit the submitted case history. Submissions will be selected based on their educational merit, relevance to emergency medicine, quality of the photograph, the case history and appropriateness for public display. Contributors will be acknowledged and photos will be returned after the Annual Meeting. Academic Emergency Medicine (AEM), the official SAEM journal, may invite a limited number of displayed photos to be submitted to AEM for consideration of publication. SAEM will retain the rights to use submitted photographs in future educational projects, with full credit given for the contribution. Photographs must not appear in a refereed journal prior to the Annual Meeting. Patients should be appropriately masked. Submitters must attest that written consent and release of responsibility have been obtained for all photos EXCEPT for isolated diagnostic studies such as EKGs, radiographs, gram stains, etc. Photos will be returned upon request. If photos are not requested to be returned, they will be destroyed one year after submission.

Call for Abstracts Southeastern SAEM Regional Research Meeting March 23-24, 2007 Hilton Wilmington Riverside, Wilmington, NC The Program Committee is now accepting abstracts for review for oral and poster presentation at the Southeastern Regional Meeting. Authors are invited to submit original research in all aspects of Emergency Medicine for consideration. The deadline for Abstract Submission is Monday, January 8th at 5:00 pm EST. Only electronic submissions via the SAEM online abstract submission form will be accepted. This form and instructions can be found at www.saem.org. Abstracts already accepted at 2006 ACEP meeting are eligible for consideration. Acceptance notifications will be sent in early February. The meeting will begin at 12:00pm on March 23rd and will consist of plenary sessions in addition to oral and poster presentations. The program includes individual educational tracks specifically for medical students, resident physicians, and general audiences. There will also be a medical student roundtable in which the students will be able to interact with program directors and residents from the programs in the southeastern region. The full program for the meeting and registration information will be posted on the SAEM website in late September. Information on the host hotel can be found at www.wilmingtonriverside.hilton.com. For reservations, please contact the hotel directly at 910-763-5900. Be sure to indicate that you are part of the SAEM meeting to obtain the special room rate. Questions concerning the meeting can be directed to either of the Program Chairs: Kori Brewer, Ph.D. (brewerk@ecu.edu) or Tim Reeder, MD (reedert@ecu.edu).

Call for Abstracts 11th Annual New England Regional SAEM Meeting April 18, 2007 Shrewsbury, Massachusetts The New England Regional Program Committee is now accepting abstracts for review for oral and poster presentations. The deadline for abstract submission is Monday, January 8, 2007 at 5:00 p.m. Eastern Standard Time. Only electronic submissions via the SAEM online abstract submission form at www.saem.org will be accepted. Acceptance notification will be sent mid-February 2007. Abstracts can be simultaneously submitted to the SAEM annual meeting and the New England Regional Meeting. Questions concerning the meeting can be directed to the Program Chairperson, Dr. Jonathan Fisher at jfisher2@bidmc.harvard.edu.

Call for Advisors The SAEM Virtual Advisor Program has been a tremendous success. Hundreds of medical students have been served. Most of them attended schools without an affiliated EM residency program. Their “virtual” advisors served as their only link to the specialty of Emergency Medicine. Some students hoped to learn more about a specific geographic region, while others were anxious to contact an advisor whose special interest matched their own. As the program increases in popularity, more advisors are needed. New students are applying daily. Please consider mentoring a future colleague by becoming a virtual advisor today. We currently have a special need for osteopathic emergency physicians to serve as advisors. It is a brief time commitment; most communication takes place via e-mail at your convenience. Informative resources and articles that address topics of interest to your virtual advisees are available on the SAEM medical student website. You can complete the short application on-line at: www.saem.org/advisor/ index.htm. Please encourage your colleagues to join you today as a virtual advisor.

Call for Abstracts New York State SAEM Regional Meeting March 28, 2007 New York Academy of Medicine New York, NY The program committee is now accepting abstract submissions for oral presentations for the 7th Annual New York State SAEM Regional Meeting. The meeting will be held on March 28, 2007 and all accepted work will be presented orally. The deadline for abstract submission is January 10, 2007. Only electronic abstract submissions using the SAEM online abstract submission form at www.saem.org will be accepted. Acceptance notification will be sent in early March. The meeting’s didactic presentations will focus on the importance of advanced training in emergency medicine research and the use of BAYSEAN Theory in research and clinical medicine. There will be specific programming for medical students interested in Emergency Medicine. For more information, please contact Adam J. Singer, MD at adam.singer@stonybrook.edu. CME credits will be offered through the Continuing Medical Education Office of the Stony Brook University. Registration Fees: Early Registration (Before March 15, 2006) Attendings and Faculty $50; Residents, Fellows, Nurses and Paramedics $25.00; Medical Students must register but there is no registration fee. Conference registration forms may be obtained from The Department of Emergency Medicine, HSC-L4-080, 8350 SUNY, Stony Brook, NY, 11794-8350.

FACULTY POSITIONS COLUMBUS, OHIO: The Ohio State University: Assistant/Associate or Full Professor. Established residency training program. Level 1 trauma center. Nationally recognized research program. Clinical opportunities at OSU Medical Center and afﬁliated hospitals. Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 146 Means Hall, 1654 Upham Drive, Columbus, OH 43210; or E-mail; Pfeil.3@ osu.edu; or call 614-293-8176. Afﬁrmative Action/Equal Opportunity Employer. Search Committee: Michael R. Dick, M.D., Sorabh Khandelwal, M.D., Daniel R. Martin, M.D., Richard N. Nelson, M.D., Howard A. Werman, M.D.

ORANGE, CALIFORNIA: University of California, Irvine, Department of Emergency Medicine has an opening for a HS Assistant or Associate Clinical Professor beginning July 1, 2007. MD and Emergency Medicine Board Certification are required. Pediatric Emergency Medicine board certification or eligibility most highly sought. Research fellowship training strongly preferred. UCI Department of Emergency Medicine is Level I Trauma Center in Orange County. Rank and salary are commensurate with experience. Inquiries confidential. Send CV to Mark Langdorf, MD, MHPE, FACEP, FAAEM, RDMS, UCI Medical Center, Route 128. 101 City Drive, Orange, CA 92868. UCI is an equal opportunity employer committed to excellence through diversity.

PITTSBURGH, PENNSYLVANIA: University of Pittsburgh: Emergency medicine faculty positions are available at all levels. Candidates must be residency trained and board certiﬁed/prepared in emergency medicine. We offer career opportunities as a clinician-investigator or clinician-teacher, with current faculty having wide recognition in research, teaching and clinical care. The ED serves 50,000 patients per year, is a Level I trauma center, with Department-based toxicology and hyperbaric medicine programs. For information contact: Donald M. Yealy, MD, Department of Emergency Medicine, University of Pittsburgh School of Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213. The University of Pittsburgh is an Afﬁrmative Action, Equal Opportunity Employer.

TAMPA, FLORIDA: Director of Emergency Ultrasound – 818 bed tertiary care facility, teaching institution, Level I trauma with 50 bed emergency department, ED volume of 67,000. Emergency Medicine Residency, 80 hours of attending physician coverage plus extenders. Separate fast track and pediatric emergency department. Clinical Teaching, Lecturing, Training and Certification of staff, and developing an ultrasound fellowship next year. Qualified candidates must be board certified in emergency medicine and completed a fellowship in emergency ultrasound. Excellent compensation package with an attractive hourly rate, stipend for director duties, CME allowance and paid professional liability insurance. Contact David Gordon 800-424-3672, ex 2915 or David_Gordon@ Teamhealth.com.

PITTSBURGH, PENNSYLVANIA: The Department of Emergency Medicine offers fellowships in Toxicology, Emergency Medical Services, Research, and Education. Structured coursework along with intensive interaction with the nationally-known faculty is provided. We offer research and teaching opportunities with faculty, medical students, residents and other health care providers. The University of Pittsburgh is an Equal Opportunity Employer, and will welcome candidates from diverse backgrounds. Each applicant should have a MD/DO or equivalent degree and be board certiﬁed/prepared in emergency medicine. Please contact Donald M. Yealy, MD, University of Pittsburgh, Department of Emergency Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213 to receive information.

BALTIMORE, MARYLAND: Washington Hospital Center and Georgetown University Hospital in Washington, D.C, are seeking board-certified or residencytrained emergency physicians to join our Department of Emergency Medicine. We want to provide our patients with cutting-edge medical care and be a center for innovation and excellence in emergency medicine. We are seeking physicians who, in addition to practicing the highest quality care, share our desire to be part of a world-class department. Contact Bill Frohna, MD, FACEP, Chief, Department of Emergency Medicine, Union Memorial Hospital, at 410-554-2107 (phone), 410-554-2110 (fax), or write to him at Bill.Frohna@MedStar.net. BALTIMORE, MARYLAND: Franklin Square Hospital Center and Union Memorial Hospital in Baltimore, Md., are seeking board-certified or residency-trained emergency physicians to join our Department of Emergency Medicine. We want to provide our patients with cutting-edge medical care and be a center for innovation and excellence in emergency medicine. We are seeking physicians who, in addition to practicing the highest quality care, share our desire to be part of a world-class department. Contact Bill Frohna, MD, FACEP, Chief, Department of Emergency Medicine, Union Memorial Hospital, at 410-554-2107 (phone), 410-554-2110 (fax), or write to him at Bill.Frohna@MedStar.net. SYRACUSE, NEW YORK: ACADEMIC EMERGENCY MEDICINE – The Department of Emergency Medicine at SUNY Upstate Medical University seeks additional BC/BE Emergency Medicine trained faculty physicians. This is an exciting opportunity to join one of the highest quality learning environments in academic settings. Part of the Region’s only Level I Trauma Center, this state-of-the-art Emergency Department sees 52,000 patient visits annually. In addition to having Central New York’s only accredited, hospital-based Hyperbaric Oxygen Therapy Unit, University Hospital boasts a certified Poison Control Center, a Center for Emergency Preparedness, a Paramedic Training Program, and a Flight Program. Position offers faculty appointment in the College of Medicine at SUNY Upstate Medical University, competitive compensation and excellent benefits package. An AA/EEO/ADA employer, committed to excellence through diversity. Contact Mike Tucker at 800-678-7858, x63447; fax 314-726-0026; e-mail mtucker@ cejkasearch.com. ID#27184EA. For more opportunities, career tips, and current salary information, visit www.cejkasearch.com.

MetroHealth Medical Center/Case Western Reserve University is seeking additional faculty for our Emergency Medicine Residency Program. The successful candidates will join a group of 30 full-time faculty involved in teaching, research, and EMS. MetroHealth Medical Center sees approximately 90,000 ED patients per year with an active helicopter, trauma, ultrasound and pre-hospital care program. In June 2004 we moved into our new 55,000 square foot ED with a 14 bed observation unit.

DURHAM, NORTH CAROLINA: Emergency Medicine Residency Program Director. We are currently recruiting for a residency program director for our PGY1-3 ACGME accredited residency training program. Duke is a designated Level I Trauma Center with over 60,000 visits annually and takes 8 residents per year. Duke University offers a variety of opportunities for clinical practice, teaching, and research. This is an excellent opportunity to join a progressive and innovative EM faculty group in an outstanding healthcare system. Candidates must be EM residency trained, board certiﬁed, and have experience in emergency medicine residency program leadership. We offer a competitive salary and excellent beneﬁts package. Faculty rank is commensurate with credentials. Please contact: Kathleen J. Clem, M.D., FACEP Chief, Division of Emergency Medicine Duke University Medical Center Box 3096, Durham, NC 27710 Email: clem0002@mc.duke.edu. Phone (919) 684-5537.

In addition, MetroHealth Medical Center has an affiliation with The Cleveland Clinic Foundation providing additional teaching and research opportunities. MetroHealth offers a superb academic salary along with an extensive benefit package and faculty appointment at Case Western Reserve University. Contact Charles L. Emerman, MD, Department of Emergency Medicine, MetroHealth Medical Center, 2500 MetroHealth Dr., Cleveland, Ohio 44109; 216778-3577 or e-mail to cemerman@metrohealth. org. MetroHealth Medical Center/Case Western Reserve University is an Equal Opportunity/Affirmative Action Employer. Women and minority applicants are encouraged to apply. 18

Boston } Harvard Afﬁliated Teaching Hospital The Department of Emergency Medicine of the Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center has positions available for faculty committed to academic Emergency Medicine. Board certiﬁcation or preparation in Emergency Medicine with four years of training or experience are prerequisites. The base hospital is Beth Israel Deaconess Medical Center, a Level I trauma center, with an ED that sees over 50,000 patients a year. Our community practice, Deaconess Glover Hospital, sees over 10,000 patients a year. We provide needed direction for three 911 systems. Academic opportunities include access to lab space, international programs, and teaching at Harvard Medical School. Salaries are highly competitive for the community and are incentive based. We are currently seeking faculty with interests in Academics, EMS, Ultrasound, Sepsis, Medical Education and Neurologic Emergencies.

Emergency Medicine Residency Program Director We are currently recruiting for a residency program director for our PGY1-3 ACGME accredited residency training program. Duke is a designated Level I Trauma Center with over 60,000 visits annually and takes 8 residents per year. Duke University offers a variety of opportunities for clinical practice, teaching, and research. This is an excellent opportunity to join a progressive and innovative EM faculty group in an outstanding healthcare system. Candidates must be EM residency trained, board certiﬁed, and have experience in emergency medicine residency program leadership. We offer a competitive salary and excellent beneﬁts package. Faculty rank is commensurate with credentials. Please contact: Kathleen J. Clem, M.D., FACEP Chief, Division of Emergency Medicine Duke University Medical Center Box 3096, Durham, NC 27710 Email: clem0002@mc.duke.edu

Please send your curriculum vitae to: Richard E. Wolfe, M.D. Chief of Emergency Medicine Beth Israel Deaconess Medical Center 330 Brookline Avenue Boston, MA 02215 Beth Israel Deaconess Medical Center is an Equal Opportunity/Afﬁrmative Action Employer

Phone (919) 684-5537 Duke University Health System is an Equal Opportunity Employer and encourages applications from women and minorities.

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Brigham and Women's Hospital Harvard Medical School Faculty Positions

s 3EEKING ULTRASOUND FELLOWSHIP TRAINED OR 2$-3 CERTIlED EMERGENCY PHYSICIAN

The Department of Emergency Medicine at Brigham and Women·s Hospital is currently seeking two full time academic emergency physicians to join the faculty. We are specifically seeking a faculty member with sub-specialty training and expertise in emergency ultrasound to lead an established and growing emergency ultrasound program. Both positions include excellent academic support including access to grant writing and statistical analysis, academic appointment at Harvard Medical School, unparalleled research opportunities, competitive salary, and an outstanding comprehensive benefit package.

s 4RUE GROUND mOOR OPPORTUNITY TO BUILD ULTRASOUND PROGRAM AND DEVELOP CURRICULUM s 0ROTECTED !CADEMIC TIME s 0ROGRESSIVE AND DYNAMIC ENVIRONMENT WITH A NEW !#'-% ACCREDITED %- 2ESIDENCY 4RAINING 0ROGRAM

Brigham and Women·s Hospital is a major Harvard affiliated teaching hospital, level I trauma center, and the base hospital for the four year ACGME accredited Harvard Affiliated Emergency Medicine Residency Program. The Department of Emergency Medicine cares for over 54,000 ED patients per year, and the 43 bed ED includes a 10 bed ED Observation Unit, a 5 bed rapid assessment cardio/neuro unit and an advanced informatics system. The department is also home to STRATUS, a comprehensive medical simulation training center. The department has a robust International Emergency Medicine Program and offers international EM fellowships.

s !CADEMIC APPOINTMENT WITH THE 5NIVERSITY OF .EVADA 3CHOOL OF -EDICINE $EPARTMENT OF %MERGENCY -EDICINE

The successful candidates must have successfully completed a four year residency training program in emergency medicine or a three year program followed by a fellowship, and be board prepared or certified in emergency medicine. Interest and proven ability in Emergency Medicine research and teaching are essential. Please send inquiries and CV to Ron M. Walls, MD, FACEP, Chairman Department of Emergency Medicine Brigham and Women·s Hospital 75 Francis Street, Neville House Boston, Massachusetts 02115. E-mail rwalls@partners.org

For additional information and conﬁdential consideration, please contact: Jim Nicholas, Recruiter Phone: (800) 828-0898 • Fax: (330) 493-8677 E-mail: careers@epmg.com • www.epmg.com

BWH is an Equal Opportunity/Affirmative Action Employer

Emergency Medicine Quality Improvement Fellowship

Henry Ford Health System and Medical Group is seeking a, nationally recognized ABEM board certiﬁed leader to direct and continue to develop its system-wide Emergency Medicine program, spanning two hospitals and three free-standing emergency facilities. This position will be responsible for integrating various components of the system, which boasts 200,000 annual visits at community, urban, and Level I Trauma sites.

The Division of Emergency Medicine at the University of Utah and Intermountain Healthcare in Salt Lake City is offering the nation’s first fellowship in Quality Improvement, beginning July 1, 2007. This two year fellowship will prepare the emergency physician for a career in emergency medicine quality improvement. The fellow will earn an ATP certificate from Intermountain Healthcare’s Institute for Health Care Delivery Research and graduate with experience designing and implementing quality improvement projects. There will also be an opportunity to be involved in Emergency Department Quality Improvement at a national level through involvement with organizations such as the Institute for Healthcare Improvement, the Emergency Department Benchmarking Alliance, ACEP’s Quality Improvement Section and the Urgent Matters Project of the Robert Wood Johnson Foundation. This fellowship, which is expected to grow and become multidisciplinary, will train the fellow to become competent to direct a quality improvement program for a medical center or health system. In addition, the graduating fellow is expected to become a leader at the national level and help set the agenda in this field for the decades to come. Participants will be given a junior faculty position in the Division of Emergency Medicine; however, clinical responsibilities will be limited. Some areas for Quality Improvement research projects include Emergency Department operations, forecasting, demand/ capacity management, information technology applications, benchmarking and patient satisfaction. Compensation for this program is very competitive and includes all educational fees and expenses. In addition, there will be a generous travel allowance to allow the fellow to participate in the site visits and national meetings mentioned above.

Qualified candidates must have a minimum of 5 years strategic planning experience, demonstrated ability to collaborate and foster consensus. Extensive teaching experience and a strong history of peer-reviewed clinical and scientific research work is also required. This position reports to the Chief Medical Officer and is responsible for professional development of over 70 employed emergency physicians.

Applications must be completed by February 1, 2007. To obtain an application or for more information, please contact:

Beneﬁts include fully paid malpractice insurance and a highly competitive salary. Send cv to: Dr. Susan Schooley, c/o Medical Staff Affairs, 1 Ford Place, 2E, Detroit, MI 48202 Email: akorine1@ hfhs.org Fax: (313) 874-4677. AA/EEO

Shari Welch, MD, FACEP Emergency Medicine Quality Improvement Fellowship Director University of Utah School of Medicine 30 North 1900 East, Room 1C26, Salt Lake City, UT 84132 (801) 581-2417, Fax: (801) 585-6699 sjwelch@networld.com

YOUR

PLACE

Senior-level faculty position in the Department of EM, Robert Wood Johnson Medical School at Cooper University Hospital, a tertiary care, Level-I Trauma Center and the Regional Children’s Center. The department is a full academic department with Divisions of Clinical Research and Pediatrics, and provides patient care for over 48,000 patients a year. The department is comprised of 20 EM and pediatric faculty, a fully accredited 3-year residency (in its 11th year), and fellowships in pediatric EM and shock research. Applicants must be board certified in EM, have credentials for an appointment at the Associate Professor level or above, and have experience initiating clinical research, preparing federal grants, mentoring junior faculty and residents, and enjoy clinical work in an unusually collaborative environment. Current departmental research interests include substance abuse, hypertension, cardiology, ultrasound, resident and student education and pediatric topics. Job description is flexible, dependent on applicants interests and area of expertise. The department will be expanding and an EMR instituted over the next 24 months. Significant protected time will be provided for academic, committee, mentoring, community and teaching activities. The Chair enjoys an excellent relationship with Cooper University Hospital, the medical school and all clinical departments, and is starting a second five-year term. Compensation and benefits are highly competitive. Submit your CV to: Michael Chansky, MD., Chair, Department of Emergency Medicine, RWJMS/Camden, One Cooper Plaza, Camden, NJ. 08103, or via e-mail to: chansky-michael@cooperhealth.edu. For more information, go to http://www.cooperhealth.org/em. Cooper Health System is an EO/AAE.

WWW.MMC.ORG

Research Director The Department of Emergency Medicine at Maine Medical Center is seeking a qualified Director of Emergency Medicine Research to join an accomplished academic faculty at a full-service tertiary care medical center. The successful candidate will be expected to chart the course of departmental research activities. Specific activities will include short- and long-term strategic planning, increasing national visibility and mentoring residents and junior faculty. Past experience will include a solid publication track record, knowledge of statistics, research design and IRB processes. Clinical time will be scaled to allow for the pursuit of these activities. The Research Director will work closely with an accomplished nurse research coordinator.

Emergency Medicine Physician We are seeking an EM trained, BC/BE physician to join our nationally accomplished academic faculty. MMC is a tertiary care medical center with an established EM residency. Career opportunities dedicated to excellent clinical care, education and research are available. The department supports a fully accredited three-year residency training program and provides emergency care to 55,000 patients annually. Maine Medical Center serves as the trauma center for southern Maine and houses the Barbara Bush Children’s Hospital. The current faculty is cohesive, experienced, and committed to academic and clinical excellence. The greater Portland community, located on the southern Maine coast, offers an attractive place to live and practice academic Emergency Medicine.

To apply online, visit www.mmc.org EOE. Participating member of the Diversity Hiring Coalition of Maine.

The MaineHealth Family

CENTRAL TEXAS: Emergency Medicine Scott & White Health System The Department of Emergency Medicine of Scott & White and The Texas A&M University System Health Science Center College of Medicine are currently seeking outstanding physicians BC/BE in Pediatric Emergency Medicine. A state-of-the-art Emergency Department is currently under construction, as part of a new Center for Advanced Medicine and will include an 8 bed pediatric emergency department. The anticipated opening for the new facility is January 2007. As the only Level I Trauma department in Central Texas, the department evaluates and treats 58,000+ patients annually with a pediatric volume greater than 12,000 patients. The department presently consists of 14 full-time faculty physicians, committed to quality care delivery enhanced by resident and student education. This includes a fully accredited Emergency Medicine Residency Program with 26 residents with an expansion to 30 residents over the next two years. The department will play a critical role in the vision of the institution to grow both its clinical services and academics. Academic appointment and rank is commensurate with experience and qualifications. Scott & White is the largest multi-specialty practice in Texas, with more than 530 physicians and research scientists who care for patients at Scott & White Memorial Hospital in Temple and within the 15 regional clinic system networked throughout Central Texas. Over $250 million in expansions are currently underway, including two new hospitals and three regional clinics. Led by physicians with a commitment to patient care, education and research, Scott & White is listed among the "Top 100 Hospitals" in America and serves as the clinical educational site for The Texas A&M University System Health Science Center College of Medicine. Additionally, the 180,000-member Scott & White Health Plan is the #1 health plan in Texas. Scott & White offers a competitive salary and comprehensive benefit package, which begins with four weeks vacation, three weeks CME and a generous retirement plan. For additional information, please call or send your CV to: C. Keith Stone, MD, Professor and Chairman, Department of Emergency Medicine; c/o Jason Culp, Physician Recruiter, Scott & White Clinic, 2401 S. 31st, Temple, TX 76508. (800) 725-3627 jculp@swmail.sw.org Scott & White is an equal opportunity employer. A formal application must be completed to be considered for this position. For more information on Scott & White, please visit our web site at: www.sw.org

TeamHealth Announces CENTRAL TEXAS: Medical Director Central Texas Poison Center Scott & White Health System

Full Time Emergency Medicine Opportunities In Alabama Join TeamHealth and contribute to the ongoing success of one of the nation’s leading health care organizations! TeamHealth currently has Full Time Directorship as well as Full Time Emergency Medicine Physician opportunities in Ft. Payne, Talladega, Jacksonville, Clanton, Troy, Enterprise, Eufaula, and Cullman Alabama. TeamHealth was founded in 1979 to provide Emergency department administrative and stafﬁng services, TeamHealth is the nation’s largest provider of hospital-based clinical outsourcing. TeamHealth physicians enjoy very competitive salaries, paid PLI with tail coverage, and free CME.

The Department of Emergency Medicine of Scott & White and The Texas A&M University System Health Science Center College of Medicine are currently seeking an outstanding physician, dual BC/BE in Emergency Medicine and Medical Toxicology, to serve as Medical Director of the Central Texas Poison Center. The Poison Center is an AAPCC certified center serving the over 2 million people of Central TX, and is one of six centers that comprise the Texas Poison Center Network. As the only Level I Trauma department in Central Texas, the department of emergency medicine evaluates and treats 58,000+ patients annually. The department presently consists of 14 full-time faculty physicians, committed to quality care delivery enhanced by resident and student education. This includes a fully accredited Emergency Medicine Residency Program with 26 residents with an expansion to 30 residents over the next two years. A state-of-the-art Emergency Department is currently under construction, as part of a new Center for Advanced Medicine with an anticipated opening in January 2007. The department will play a critical role in the vision of the institution to grow both its clinical services and academics. Academic appointment and rank is commensurate with experience and qualifications. Research opportunities are available for interested candidates. Scott & White is the largest multi-specialty practice in Texas, with more than 530 physicians and research scientists who care for patients at Scott & White Memorial Hospital in Temple and within the 15 regional clinic system networked throughout Central Texas. Over $250 million in expansions are currently underway, including two new hospitals and three regional clinics. Led by physicians with a commitment to patient care, education and research, Scott & White is listed among the "Top 100 Hospitals" in America and serves as the clinical educational site for The Texas A&M University System Health Science Center College of Medicine. Additionally, the 180,000-member Scott & White Health Plan is the #1 health plan in Texas. Scott & White offers a competitive salary and comprehensive benefit package, which begins with four weeks vacation, three weeks CME and a generous retirement plan. For additional information, please call or send your CV to: C. Keith Stone, MD, Professor and Chairman, Department of Emergency Medicine; c/o Jason Culp, Physician Recruiter, Scott & White Clinic, 2401 S. 31st, Temple, TX 76508. (800) 725-3627 jculp@swmail.sw.org Scott & White is an equal opportunity employer. A formal application must be completed to be considered for this position. For more information on Scott & White, please visit our web site at: www.sw.org

Interested candidates please contact Karene Wassef at 1-800-424-3672 ext 2910 or e-mail at Karene_Wassef@teamhealth.com 21

Faculty position, University of California San Francisco The Division of Emergency Medicine at the UCSF Medical Center seeks a candidate at the assistant professor level who has embarked on a career in funded emergency medicine research. The School of Medicine has ranked in the top 5 for NIH funding for decades.The successful candidate will have an existing track record of research and publication that will lead to funding within the first few years of appointment. Quality of the intellectual experience and resources are unmatched, as is the geographic and cultural environment. The Emergency Department has extremely high acuity and complexity, a completely renovated physical plant, and an established real-time web based patient clinical research enrollment program. Competitive pay, benefits, bonus, and academic support, residency scheduled to start in 2008, academic department status scheduled. All qualified applicants are encouraged to apply, including minorities and women. Please contact Dr. Michael Callaham, (mlc@medicine.ucsf.edu), c/o Sarika Parekh, administrator (sarika.parekh@ucsfmedctr.org)

Medical Toxicologist Texas Tech University Health Sciences Center, School of Medicine at El Paso seeks candidates for a full-time faculty position in the Department of Emergency Medicine, Division of Toxicology. One half of the position’s duties will be dedicated to Medical Toxicology Fellowship development. The successful candidate will have excellent clinical, teaching and administrative skills, a demonstrated interest in research, experience in resident and medical student training in toxicology. The Department has a fully accredited Emergency Medicine Residency Program. Candidates must be residency trained, Board Certified in Emergency Medicine, and Subspecialty Board Certified/Eligible in Medical Toxicology. Eligibility for medical licensure in Texas is required. Bilingual (English/Spanish) ability highly desirable. A letter of application, CV and three letters of reference should be attached or mailed to: Administrator, Department of Emergency Medicine, Texas Tech University HSC, 4801 Alberta Avenue, Suite B3200, El Paso, TX 79905. (pat.jones@ttuhsc.edu) Interested candidates apply online at http://jobs.texastech.edu. The position is open until filled. Application review will begin immediately. Texas Tech University Health Sciences Center is an Equal Opportunity/Affirmative Action Employer.

Section of Emergency Medicine Yale University School of Medicine

Chairperson, Department of Emergency Medicine

The Section of Emergency Medicine at Yale University School of Medicine is currently seeking qualiﬁed candidates to join its faculty at both the Assistant and Associate Professor levels.

The University of Missouri~Kansas City School of Medicine and Truman Medical Centers are seeking a full-time academic chairperson for the Department of Emergency Medicine. The department oversees an accredited emergency training program consisting of 30 residents that spans three School of Medicine affiliated teaching institutions: Truman Medical Center, a Level 1 trauma center; Saint Luke·s Hospital, awarded the Malcolm Baldrige National Quality Award in 2003 and Children·s Mercy Hospital, ranked in the upper 10 Best Children·s Hospitals in the country. UMKC-SOM is fully LCME and ACGME accredited. Truman Medical Centers, the primary clinical site for the program has a newlyrenovated state-of-the-art emergency department with 37 beds plus a Fast Track Unit which sees 58,000 patients per year. Kansas City offers an attractive lifestyle, low cost-of-living, affordable housing, renowned suburbs with top-ranked schools, and numerous outdoor activities. Applicants must be eligible for an academic rank at either the associate professor or professor level, board certified in emergency medicine, and be eligible for MO licensure. This is an excellent opportunity to advance the department and to build an aggressive research capability. Competitive salary and comprehensive benefit package offered. Respond with a letter or e-mail of interest and a current CV to J. Stephen Griffith, MD, Chairman Emergency Medicine Search Committee, Professor and Chairperson Department of Community and Family Medicine, Truman Medical Centers-Lakewood, 7900 Lee·s Summit Road, Kansas City, Missouri, 64139, or steve.griffith@tmcmed.org. AA/EOE

Candidates must be Emergency Medicine trained, board eligible or board certiﬁed. Positions are available for both new graduates and faculty with experience to join either the education or research divisions. Senior faculty should have a record of excellence in teaching, demonstrated leadership skills, strong interpersonal skills, and a strong commitment to medical education and clinical excellence. Rank and salary will be commensurate with education, training and experience. Yale New Haven Hospital is a urban level I trauma center with approximately 70,000 visits per year. To apply, please forward your CV and cover letter via fax at (203) 785-4580, email: jamie.petrone@yale.edu, or mail at Yale University School of Medicine, Department of Surgery, Section of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315. Yale University is an afﬁrmative action, equal opportunity employer and women and members of minority groups are encouraged to apply.

The University of Texas Southwestern Medical Center and the Parkland Health and Hospital System in Dallas Seeking

Emergency Medicine Faculty with Special Interest in Resuscitation Research Emergency Medicine (EM) at UT Southwestern and Parkland Hospital is pleased to announce a further expansion of its robust faculty. With increasing incomes and funding from several large NIH, HRSA, DOD and industry grants, we are actively recruiting additional fulltime faculty at all academic ranks. We are particularly interested in candidates with a special interest in resuscitation research (basic or clinical science) who are interested in pursuing research fellowship training with a focus on cardiac arrest and/or traumatic injury. We offer significant protected time from clinical duties as well as an NIH K-12 Grant supported Clinical Scholars program leading to an M.S. degree. We also are recruiting faculty with research fellowship training or advanced experience in research who will assist in further development of innovative programs in resuscitation medicine and other areas of scientific investigation. Candidates should have demonstrated research interest in the form of publications and/or grants and should be board certified/prepared in EM. UT Southwestern is a world-class academic medical institution. Our highly competitive EM residency accepts 16 new residents/year. A quarter of the 40 full and part-time EM faculty have NIH/HRSA funding and 3 are supported in the Clinical Scholars program. Among many other rapidly-evolving programs, UT Southwestern EM oversees 17 fellows and 2 federally-designated centers: 1) an NIH Center for Resuscitation Research (funded to conduct a number of major clinical trials over the next 5 years); and 2) a CDC Exemplar Center for Public Health Emergency Preparedness. We offer excellent salary and benefits packages commensurate with experience & academic rank. Candidates should submit a letter of interest and CV to:

Clinical Educator Emergency Physician The Department of Emergency Medicine, The Medical College of Wisconsin, is seeking full-time Emergency Medicine faculty in the Clinical-Educator pathway. The Department of Emergency Medicine at MCW has outstanding clinical, education, research and out of hospital programs and services that are nationally and internationally recognized. This opportunity includes clinical practice in a high-acuity ED that supports a level 1 Trauma Center and Stroke Center with diverse and dynamic faculty committed to excellence in clinical practice, education, research and out of hospital care. The Department has an outstanding residency training program and is active in educational programs with paramedics, nurses, and medical students. The successful candidate will be an individual with demonstrated interest in academic emergency medicine as proven by performance in residency, fellowship training, or previous faculty positions. An interest in Emergency medicine ultrasound or simulation is preferred, not required. Send curriculum vitae to: Stephen Hargarten, M.D, MPH Professor and Chairman, Department of Emergency Medicine The Medical College of Wisconsin 9200 W. Wisconsin Avenue Milwaukee, WI 53226

Ahamed Idris, MD, Professor & Director, Dallas Center for Resuscitation Research, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-8579. Phone: (214) 648-4812 E-Mail: ahamed.idris@utsouthwestern.edu

UT Southwestern is an Equal Opportunity Employer

Fellowship in Trauma Biomechanics

Yale University School of Medicine, Section of Emergency Medicine Fellowship Programs: Ultrasound

The University of Virginia Department of Emergency Medicine, in collaboration with the Department of Mechanical and Aerospace Engineering, is pleased to offer a one year fellowship in Trauma Biomechanics. The Trauma Biomechanics Fellowship links the clinical care of the injured patient with the body of basic science research attempting to prevent injury to vehicle occupants, pedestrians and law enforcement. During this one-year fellowship, fellow will gain clinical experience in the emergency department while gaining laboratory experience at the University of Virginia Center for Applied Biomechanics. Ongoing research areas include pedestrian injury, thoracic injury mechanisms, pediatric abdominal injury modeling, wave propagation, motorcycle occupant biomechanics and blast biomechanics. The successful applicant will have completed emergency medicine residency training, will be ABEM board-certiﬁed/prepared prior to July 2007 and will have an educational background in mechanical or civil engineering or a related discipline.

The Section of Emergency Medicine, Department of Surgery, Yale University School of Medicine offers a fellowship program in Ultrasound in New Haven, Connecticut. The fellowship in Emergency Ultrasound is a one-year program that will prepare graduates to lead an academic and/ or community emergency ultrasound program. Experience will be sufficient to fulfill the recommendations of all major societies for the interpretation of emergency ultrasound as well as RDMS/RDCS/RVT certification, and will include exposure to aspects of program development and quality assurance. The program consists of structured time in the emergency department performing bedside examinations, examination QA and review, research into new applications, and education both in the academic and community arenas. Clinical experiences outside of the emergency department in echocardiography and gynecologic applications are available. For further information, contact the fellowship director, Chris Moore, MD, RDMS, RDCS, at 203785-4363 or chris.moore@yale.edu

Please submit a letter of interest and CV to: William A. Woods, MD, Co-Director Trauma Biomechanics Fellowship University of Virginia Health System PO Box 800699; Charlottesville, VA 22908-0699 Phone: 434-982-8485 email: waw9h@virginia.edu

Fellowship offers an appointment as a Clinical Instructor to the faculty of the Section of Emergency Medicine at Yale University School of Medicine. Yale University and Yale-New Haven Hospital are afﬁrmative action, equal opportunity employers and women and members of minority groups are encouraged to apply.

“The University of Virginia is an equal opportunity/afﬁrmative action employer.”

S A E M

Newsletter of the Society for Academic Emergency Medicine

Board of Directors James Hoekstra, MD President Judd Hollander, MD President-Elect Katherine Heilpern, MD Secretary-Treasurer Glenn Hamilton, MD Past President Jill Baren, MD Jeanette Ebarb, MD Leon Haley, Jr, MD, MHSA Jeffrey Kline, MD Catherine Marco, MD Robert Schafermeyer, MD Ellen Weber, MD

Society for Academic Emergency Medicine 901 N. Washington Avenue Lansing, MI 48906-5137

PRESORTED STANDARD U.S. POSTAGE PAID GRAND RAPIDS MI PERMIT # 1

Editor David Cone, MD David.Cone@yale.edu Interim Executive Director Barbara Mulder barb@saem.org Managing Editor Mark Baker mark@saem.org Advertising Coordinator Maryanne Greketis mgrakatis@saem.org

“to improve patient care by advancing research and education in emergency medicine”

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.

Call for Papers: Knowledge Translation Deadline: March 1, 2007 The 2007 Academic Emergency Medicine Consensus Conference on “Knowledge Translation in Emergency Medicine” will be held on May 15, immediately preceding the SAEM Annual Meeting in Chicago. Original papers, if accepted, will be published together with the conference proceedings in the November 2007 issue of Academic Emergency Medicine. Knowledge Translation (KT) describes any activity or process that facilitates the transfer of high-quality evidence from research into effective changes in health policy, practice or products. KT attempts to conceptually combine elements of research, education, quality improvement and electronic systems development to create a seamless linkage between interventions that improve patient care and their routine implementation in daily clinical practice. KT research may pertain to any and all aspects of this endeavor. Examples of research topics that would qualify under this category include: • Investigations of attitudes towards the use of decision rules or practice guidelines. • Studies of effectiveness of decision support systems in increasing utilization of target interventions. • Studies of the effectiveness of educational/CPD (Continuing Professional Development) interventions in changing practitioner behavior. • Papers in the health care policy arena that describe and measure the impact of approaches for closing the research to practicegap. • Research that examines the effect of evidence uptake interventions on patient outcomes. • Papers that discuss and contribute to the methodology of KT related investigations, as well as its conceptual framework.The conference will be designed and conducted to reach consensus on: • A research agenda in Knowledge Translation based on an exploration of the most important gaps that currently exist between research and practice in Emergency Medicine. • Recommendations that will advance the KT agenda Original contributions describing relevant research or concepts in this topic will be considered for publication in the November 2007 special topics issue of AEM if received by Wednesday, March 1, 2007. All submissions will undergo peer review and publication cannot be guaranteed. For queries, please contact Dr. Eddy S. Lang, MD, Consensus Conference Coordinator; eddy.lang@mcgill.ca, 514-340-8222 x. 5568, or Richard Sinert, MD, AEM Editor for the special issue; Richard.sinert@downstate.edu, or consult the SAEM Newsletter and the AEM and SAEM websites. 24