S A E M
Newsletter of the Society for Academic Emergency Medicine January/February 2008 Volume XXIII, Number 1
901 N. Washington Ave. Lansing, MI 48906-5137 (517) 485-5484 saem@saem.org www.saem.org
2008 SAEM Annual Meeting Update
President’s Message Academic Integrity
Craig Newgard, MD Oregon Health and Science University SAEM Program Chair The 2008 SAEM Annual Meeting will be held May 29 through June 1, 2008 at the Marriott Wardman Park Hotel in Washington, DC. The Program Committee has been busy planning an outstanding meeting. The meeting registration form and rooms at the Wardman Park are now available on-line at http://www.saem.org. If you are a speaker at the meeting, there is a separate registration form schedule also available on-line.
Baseball is my favorite sport. My approach to academics and research is a lot like the Field of Dreams. I have always believed that if you build it, they will come. The system I built begins with the Academic Associate Program. The Academic Associates are undergraduate premedical students, who take a formal university course in clinical Judd E. Hollander, MD emergency medicine research. They work in the ED learning how to enroll patients in clinical studies, along with a didactic lecture series in clinical research, good clinical practices and research ethics. Until the end of 2007, this program was smooth sailing. I only had two complex ethical issues to wrestle with over the past 15 years. In the mid 1990’s, a student asked me to write a letter of recommendation. LL had failed both tests, repeated the class, and failed one of the two tests again (it was the same test — he got a 20% the second time). After a lot of soul searching, I wrote LL’s letter. It said he was nice guy, was late for 5 of 20 mandatory shifts, failed two tests the first time and one of two the second time. It seems to me that a student should be able to find 3 people to write letters. But, if I was one of the 3 he thought would write the best letter, I felt I had a responsibility to make sure that patients would be safe (i.e., maybe LL should do something else with his life). I now tell the class the first day that if they ask for a letter, I will write one. It will be 100% honest. I no longer consider this a difficult decision. I am honest with the students from day one. For those of you who know me, no one has ever accused me of being hard to read or hiding what I think about them.
There were 108 didactic proposals submitted for the meeting in September, 36 of which were accepted. Both the total number of submissions and acceptances were higher than ever before. Sessions will include a pre-day (Wednesday, May 28) grant-writing workshop to be held at the National Institutes of Health, five State-of-the-Art sessions (including “Bringing Back the Dead”), several pediatric sessions, education didactics, the impact of ED overcrowding on patient outcomes, and more. A preliminary schedule and listing of the didactic sessions is available on the SAEM website. Deadline for abstracts is January 8, 2008. Abstracts will be rigorously reviewed by more than 100 reviewers using a standardized grading tool. All submissions will then be re-reviewed by a small group on the Program Committee, with accepted abstracts grouped into themed categories for presentation. Persons submitting abstracts should receive notification of the final status of the abstract by the end of February 2008. Due to the large number of anticipated submissions (greater than 1,200) and very short timeline for scoring and coordinating submitted abstracts, there is not an option for appealing abstract decisions. Approximately 50% of submitted abstracts will be accepted for the meeting. Additional deadlines include submissions for Innovations in Emergency Medicine Exhibits (due February 1, 2008) and photo submissions (February 15, 2008); both IEME and photos can be submitted on-line through the SAEM website.
In just the last month, I have had to wrestle with students being accused of academic dishonesty. TB was accused of falsifying data. The study was assessing interrater reliability of the resident and student medical history taking. When the history is discordant, there is a tie breaker student who is supposed to clarify the correct answer with the patient. TB, as the tie breaker, allegedly asked the first student whether she thought the history was correct. She proceeded to check off a box as she mumbled, “I’ll just go with you, on that one.” When I learned
Several special events are planned for the 2008 meeting. There will be a town hall-type keynote address on the first day, with the opening reception to follow. On day two (Friday, May 30), SAEM will host a networking (Continued on page 6)
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“to improve patient care by advancing research and education in emergency medicine”
Executive Director’s Message Use Your Membership a career outside of the academic setting?
Your time, energy and resources are pulled in many directions. As you reflect on the past year you may be considering where you will invest your limited time and resources in the future. As an SAEM member you are aware of the Society’s clear focus on promoting EM research and teaching.
• How does SAEM impact on medical students’ decisions to enter a career in emergency medicine and down stream how do we impact those considering an academic career? • How do we support the development of EM “departments” in institutions across the country? • How can SAEM support the interests in sharing what you know about care, research and training with other interested physicians in other parts of the globe?
You may ask the question, “Why am I a member of several organizations and should I pay my dues?” James Tarrant, CAE
you involved? “ How How are can you help with your limited time? ”
As I speak with members and potential members I often raise the question — How are you using your membership in SAEM or, in fact, any organization? How many individuals have you known who sign up for a health club, attend regularly for a few weeks and then pay for the remainder of the year and seldom return?
SAEM has much to offer its members. As with many opportunities in our lives, you must take the first step to maximize your use of the Society’s resources; help forge direction of volunteer’s efforts; and add to the growing resource bank with knowledge resources and new areas of interest. The Society can not keep pace with the needs of the members without you and others bringing to our attention new areas of interest and suggesting what current activities may be improved or when an activity has outlived its usefulness to the membership. The growing interest and activity around simulation is an example. What is the next area of interest?
Membership in a professional Society has members who join for many different reasons. Just to name a few — you want to publish in the journal; it provides an opportunity to network with others with similar interests; you want to give back to the profession; it may be a step toward participation in other organizations; it looks good on your CV; or most importantly you support the purpose/ mission of the organization even though currently you may not be able to actively participate. The list can go on but you can see that membership means different things to each person. I knew a mature physician serving on the nominating committee of an organization. At the end of the meeting he shared his thoughts when he said, “I don’t know how each of you give so much time to the Society, I have tried and can’t find the time. But I will always pay my dues and support your efforts to help my fellow physicians.”
As an organization SAEM evolves. You must recognize that our accomplishments are in incremental changes, one step at a time; they are not always in leaps forward. It is in the responsiveness to members and the wise use of the resources available. This returns me to two initial thoughts: 1) How are you using your SAEM membership; and 2) How are you encouraging others to support SAEM as members and through the Research Fund to further encourage research and training that impacts all EM physicians whether in the academic or community setting?
How are you involved? How can you help with your limited time? One simple step is to encourage physicians in your department to join SAEM. • A sk them about the benefit they receive from SAEM’s support of emergency medicine research and tools to improve education of future EM physicians. • Are residents using their membership? What would be helpful for them in the coming years, why should they remain members, even if they choose
CPC Competition Submissions Sought Submissions are now being accepted from emergency medicine residency programs for the 2008 Semi-Final CPC Competition to be held May 28, 2008, the day before the SAEM Annual Meeting in Washington D.C. The deadline for submission of cases is February 4, 2008 with an entry fee of $250. Case submissions and presentation guidelines will be posted on the CORD website at www.cordem.org and it is anticipated that online submission will be required. Residents participate as case presenters, and programs are encouraged to select junior residents who will still be in the program at the time of the Finals Competition, which will be held during the 2008 ACEP Scientific Assembly, October 27-30 in Chicago. Each participating program selects a faculty member who will serve as discussant for another program’s case. The discussant will receive the case approximately 4-5 weeks in advance of the competition. All cases are blinded as to final diagnosis and outcome. Resident presenters provide this information after completion of the discussant’s presentation. The CPC Competition will be limited to 60 cases selected from the submissions. A Best Presenter and Best Discussant will be selected from each of the six tracks. Winners of the semi-final competition will be invited to participate in the CPC Finals. A Best Presenter and Best Discussant will be selected. The CPC Competition is sponsored by ACEP, CORD, EMRA, and SAEM. If you have any questions, please contact CORD at cpc@cordem.org, 517-485-5484, or via fax at 517-485-0801.
Medical Student Excellence Award William Beaumont Hospital
Established in 1990, the SAEM Medical Student Excellence in Emergency Medicine Award is offered annually to each medical school in the United States and Canada. It is awarded to the senior medical student at each school (one recipient per medical school) who best exemplifies the qualities of an excellent emergency physician, as manifested by excellent clinical, interpersonal, and manual skills, and a dedication to continued professional development leading to outstanding performance on emergency rotations. The award, presented at graduation, conveys a one-year membership in SAEM, which includes subscriptions to the SAEM monthly Journal, Academic Emergency Medicine, the SAEM Newsletter and an award certificate.
Department of Emergency Medicine, Faculty Opportunity The Emergency Department of William Beaumont Hospital in Royal Oak, Michigan is seeking an exceptional Emergency physician for full time clinical or core faculty positions. Beaumont Hospital is a 1,066-bed suburban teaching hospital whose emergency department serves approximately 115,000 patients, with approximately 25,000 pediatric patients annually. The emergency department has an academic affiliation with Wayne State University in Detroit, Michigan. It is a tertiary referral center for patients with cardiovascular diseases, trauma, and pediatric illness and injury. The department has a well-established emergency medicine residency program, a state of the art emergency center and observation unit, and an active research division. Candidates should be board certified or board eligible in Emergency Medicine. Emergency Medicine residency training is preferable, as is interest in ultrasound,
Announcements describing the program have been sent to the Dean’s Office at each medical school. Coordinators of emergency medicine student rotations then select an appropriate student based on the student’s intramural and extramural performance in emergency medicine. Over 100 medical schools currently participate. To submit the 2008 Medical Student Excellence Award recipient from your school (only one winner per medical school), go to: http:// www.saem.org/SAEMDNN/Portals/0/ExcellenceInEM_ Award_App08.doc
teaching and research. Competitive salary and benefits are available for qualified candidates. Interested candidates should submit curriculum vitae and letter of interest to: Jedd Roe, MD, MBA, FACEP Chair, Department of Emergency Medicine William Beaumont Hospital 3601 W. 13 Mile Road Royal Oak, Michigan 48073-6769 Phone: (248) 898-1969 Fax: (248) 898-2017 Jedd.Roe@beaumont.edu
Submissions must be received at SAEM no more than 4 weeks prior to graduation.
Call for Nominations Advancement of Women in Academic Emergency Medicine Award Deadline: February 15, 2008 • Nominee’s Name (first name, middle initial, last name, earned degrees) • Person Nominating Award Candidate (include mailing address, phone and fax numbers and email address) • Statement on the impact in individual women or groups of women in academic emergency medicine with clear examples and detail (limited to 2 pages) • While not required, up to two (2) additional supporting letters (each limited to 2 pages) may be submitted.
SAEM is proud to announce the “Advancement of Women in Academic Emergency Medicine Award”. This award recognizes an SAEM member who has made significant contributions to the advancement of women in academic emergency medicine. The nomination of both women and men who have contributed toward this goal will be accepted. The Awards Committee wishes to consider as many exceptional candidates as possible. This new award will be presented during the SAEM Annual Meeting. Candidates are evaluated for their impact on advancing the individual and collective successes of women in academic emergency medicine positions. This award is intended to address contributions not addressed by other SAEM Awards.
All nominations must be submitted electronically to saem@saem.org. If electronic signature is not available, please submit nomination electronically but provide one hard copy to the SAEM headquarters.
Nominations may be submitted by any current SAEM member. Nominations should include a copy of the candidate’s CV and a cover letter describing his/her qualifications. Each completed application must include the following:
Completed nominations must be received by February 15, 2008.
MEMBERSHIP UPDATE The Board of Directors has heard the concerns of members and recognizes the need to expand resources to better serve the SAEM membership. The Board has a commitment to improve the responsiveness and follow up from national headquarters with a more appropriate staffing level able to meet the increased demands of the members and affiliated groups.
UNIVERSITY OF MICHIGAN Emergency Medicine/Hospitalist Positions The Department of Emergency Medicine at the University of Michigan (Ann Arbor, MI) is looking for individuals with certification in Emergency Medicine and Internal Medicine for the dual practice of Emergency
A summary of SAEM 2008 membership rates are listed below:
Medicine and inpatient Hospital Medicine. These individuals will have joint
2008 Dues Active Faculty group Associate 1st yr graduate 2nd yr graduate Resident Resident group Fellow Medical Student
appointments in the Department of Internal Medicine at the University of
$495 $430 $460 $290 $400 $140 $120 $140 $120
Michigan.
Academic rank will be determined by credentials.
Clinical
practice would be split between the Emergency Department and inpatient Hospitalist services and would include clinical teaching of residents in Emergency Medicine, Internal Medicine and medical students. Applicants should have residency training and/or board certification in Emergency Medicine and Internal Medicine. package.
Excellent fringe benefit
If interested, please send curriculum vitae to:
William G.
Barsan, M.D., Professor and Chair, Department of Emergency Medicine,
Our past dues structure has not kept pace with inflation or the growth of SAEM and its programs. This increase in our dues structure adds needed resources to allow SAEM to provide support more in line with the multifaceted services of larger organizations. During the next year you will see the results of these improvements in our Society.
UMHS, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5303. The University of Michigan is an equal opportunity affirmative action employer.
SAEM Western Regional Research Forum and Medical Student Forum
Friday, March 28 - Saturday, March 29, 2008
University of California, Irvine Costa Mesa, CA
Meeting Announcement and Call for Abstracts
SAEM is pleased to announce the 10th annual meeting of the Western Regional Research Forum. Abstracts must be submitted via the SAEM web site; the submission deadline is Monday, January 14th, 2008, at 5:00 PM, EST. 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. 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 mini-oral presentations. In addition to presentation of original research and a relevant keynote address, the meeting will include didactic sessions focused on research funding and medical writing. There will be an optional hands-on workshop on basic ultrasound techniques, taught by Dr. J. Christian
Fox along with UC Irvine Faculty. There will also be a half-day Medical Student Forum with discussions on how to select a residency program and make one’s application as competitive as possible. In addition, students will have ample opportunity to speak informally with residency directors from throughout the Western United States. The venue of the Wyndham Orange County in Costa Mesa, California, is adjacent to South Coast Plaza, one of the world’s premier shopping destinations as well as the Orange County Performing Arts Center. The conference will run from noon on Friday through Saturday afternoon, leaving time to explore shopping, the adjacent beaches, nearby attractions in the Disneyland Resort, and all that Southern California has to offer. Please direct any questions to Mark I. Langdorf, MD, MHPE, FACEP, FAAEM, RDMS at milangdo@uci.edu or call (714) 456-5239.
Call for Nominations Hal Jayne Academic Excellence Award Deadline: February 1, 2008 2. Research and Scholarly Accomplishments a. Original research in peer-reviewed journals b. Other research publications (e.g., review articles, book chapters, editorials) c. Research support generated through grants and contracts d. Peer-reviewed research presentations e. Honors and awards
SAEM seeks nominations for the Hal Jayne Academic Excellence Award. This prestigious award is presented to a member of SAEM who has made outstanding contributions to emergency medicine through research, education and scholarly accomplishments. The Awards Committee wishes to consider as many exceptional candidates as possible. The Hal Jayne Academic Excellence Award is presented during the SAEM Annual Meeting. Candidates can be nominated by any SAEM member and are evaluated by the Awards Committee on their accomplishments in emergency medicine, including:
The nomination must include 1) a current CV of the candidate and 2) a cover letter by the nominator addressing above areas and the impact on emergency medicine and physicians, maximum of two (2) pages. While not mandatory, a maximum of two (2) additional support letters may be forwarded, each with a two (2) page limit.
1. Teaching a. Didactic/Bedside b. Development of new techniques of instruction or instructional material c. Scholarly works d. Presentations e. Recognition or awards by students, residents, or peers
All nominations must be submitted electronically to saem@saem.org. If electronic signature is not available, please submit nomination (cover letter) electronically and provide one hard copy to the SAEM headquarters. Completed nominations must be received by February 1, 2008.
President’s Message (Continued from page 1)
this I was heartbroken, felt betrayed, and questioned the accuracy of all the data this student obtained during the semester. We (my research team) obtained consultation from 2 university Deans, the Office of Student Conduct and interviewed other students who had worked with TB. No one observed anything similar. After several gut wrenching days, a fellow faculty member and my teaching assistant met with TB. TB had no recollection of the event; however she did recall two occasions when she had uncooperative patients. She described them in detail and thought maybe this was a misperception about how she dealt with these patients. We were able to identify the patient she interviewed on the day the event happened. The patient fit the description of one of her two patients. Even better, TB followed all the Good Clinical Practice guidelines and had very extensive documentation of the incident on the data collection form, including her conversation with the other student. We deemed her innocent of any violation of academic integrity but recognized the protocol violation and deleted the information from our database. From the time we confronted the student until we resolved the issue was 28 hours. I apologized to the student, but told her we obviously needed to investigate and that I was actually pleased the other student referred the incident to us. TB was tearful during both conversations and during the final exam (the next week). Following the final examination, I received a very nice email from TB telling me how much she grew through the process and how much she learned in those 28 hours. I had many sleepless nights. I knew this kid well. I liked her.
Two days later, I received a phone call from another student, RT, who had decided after much deliberation that she had to “snitch” on a student who worked with her. NC had missed a mandatory five hour clinical shift and showed up two hours into the next students shift. NC created a log of patients that she pretended to screen. She asked RT to alter her log to eliminate the patients NC was now pretending to have interviewed earlier from RT’s log, so it would appear that NC had screened them. NC asked RT to do this in proximity to several health care providers, all of whom overheard. RT never cooperated and after a day of discussion with her family, RT decided to come forward. After investigation, the alleged incident was confirmed by two additional health care providers and a review of logs for the daily work. NC was referred to the Office of Student Conduct for formal university action and was referred to counseling. I have taught undergraduate premedical students for 15 years. I have had more than 1200 students in my classes. I know most of them very well — well enough to have written more than 300 letters of recommendation. I have only previously had one student accused of a breach of Academic Integrity — she plagiarized a paper (over 70% word for word from two sources!). As my family and colleagues can attest, this was an emotionally taxing week. In emergency medicine, we are often faced with making life and death decisions. I did not really expect the same challenges in education. Through the wise counsel of close friends and colleagues, I have achieved clarity that the “end game” or “gold standard” is what is best for the patient. I will continue to function with the underlying premise based upon “if you build it they will come”, but I now realize more than ever, sometimes, they must go. We must help foster those that play by the rules, but we are also the gate keepers, and must escort away, those that lack enough integrity to care for other human beings. I would not want the health of my family members and friends resting in their hands. In the end, it remains all about integrity.
To achieve closure, I wrote an email to the class — word spreads and we wanted to clarify that a student had been suspected of falsifying data, but after an investigation she was cleared of any wrong doing. TB helped craft the letter. I also thanked the student who raised the concerns and explained that they turned out to be a misinterpretation of observed actions. When I review the response to the accusations, I feel like it was handled appropriately and expeditiously, but am still remorseful that the student had to endure the accusation.
2008 SAEM Annual Meeting Update (Continued from page 1)
breakfast for all attendees, including breakfast buffet, coffee, and plenty of time to catch up with old colleagues and meet new ones. On Saturday morning (May 31), there will be the Second Annual SAEM Fun Run. Following the business meeting Saturday afternoon, we will also host “May Madness” — the first ever North American Emergency Medicine Dodgeball Tournament. Don’t miss this special opportunity to fire away at other emergency physicians, past presidents, and others, plus take a shot or two yourself.
Registration will be $100 per team, with proceeds going to the SAEM Research Fund. The tournament will include a “final four” showdown, tournament championship, plus North American championship match (U.S. versus Canada). Get your teams ready and stay tuned for details! Come enjoy cutting edge emergency medicine research, great didactic sessions, social events, networking opportunities, plus the many activities available in Washington, DC. We look forward to seeing you there!
Call for Judges: 2008 National Emergency Medicine CPC Competition Douglas McGee, DO Chair, CPC Task Force 2008 National Emergency Medicine CPC Competition Albert Einstein, Philadelphia The CPC Task Force of CORD is charged with the organization and judging of the 2008 National Emergency Medicine CPC Competition jointly sponsored by ACEP, CORD, EMRA and SAEM. As many as 30 individuals will be appointed to the CPC Task Force in one year terms to serve during the entire competition cycle. If a sufficient number of high quality cases are submitted, five Team Leaders will coordinate a team of five additional judges and will be responsible the evaluation of cases submitted by Emergency Medicine Residencies for the Preliminary Competition. Cases will be forwarded to the CPC Task Force in March 2008 and must be judged and returned with 10 days. Each member of the CPC Task Force judges must attend the Semi-Final Competition held during the 2008 SAEM Meeting in Washington D.C. Judges must present during the entire competition that begins at 8:00 am and usually concludes by 5:00 pm. Team Leaders must
also attend and judge the Final Competition held during the 2008 ACEP Scientific Assembly in Chicago. A CPC Task Force Meeting is held after each competition. Membership on the CPC Task Force is open to all Emergency Medicine Faculty. Team Leaders will be appointed based on previous participation as CPC judges. If you or a member of your faculty would like to serve as CPC Task Force Members and judge the 2008 National Emergency Medicine CPC Competition, please contact the CORD Office by e-mail at cpc@cordem.org by January 21, 2008. Please indicate if you have served as a CPC judge before. I hope you’ll consider serving on the CPC Task Force or will encourage a member of your faculty to do so. Please feel free to contact me through the CORD Office if you have any further questions.
Call for Nominations Leadership Award Deadline: February 1, 2008 SAEM seeks nominations for the Leadership Award. This award honors a SAEM member who has made exceptional contributions to emergency medicine through leadership — locally, regionally, nationally or internationally. The Awards Committee wishes to consider as many exceptional candidates as possible.
• Principal Honors and Awards Received • Major Leadership Positions Within SAEM • Major Non-SAEM Leadership Positions, Societies and Boards • Person Nominating Award Candidate (include mailing address, phone and fax numbers and email address)
The SAEM Leadership Award is presented during the SAEM Annual Meeting. Candidates are evaluated on their leadership contributions including (but not limited to) those related to: 1. Emergency medicine organizations and publications. 2. Emergency medicine academic productivity. 3. Academic emergency medicine development. 4. Advancement of emergency medicine regionally, nationally or internationally.
• Statement on how this individual had a positive impact on academic emergency medicine and met the criteria for this award (limited to 2 pages) • While not required, up to two (2) additional supporting letters (each limited to 2 pages) may be submitted. All nominations must be submitted electronically to saem@saem.org. If electronic signature is not available, please submit nomination electronically but provide one hard copy to the SAEM headquarters.
Nominations may be submitted by any SAEM member. Nominations should include a copy of the candidate’s CV and a cover letter describing his/her qualifications. Each completed application must include the following:
Completed nominations must be received by February 1, 2008.
• Nominee’s Name (first name, middle initial, last name, earned degrees)
The Association of American Medical Colleges Annual Meeting David Sklar, MD Marcus Martin, MD The Association of American Medical Colleges annual meeting was held in Washington, DC from November 2-7. 2007. The theme of the meeting was Health in the Balance, and throughout the six days there were presentations that examined balance between various components of medical schools, balance in the lives of academic physicians and balance between various priorities for healthcare in the nation. There were over 4000 registrants for the meeting. The Society for Academic Emergency Medicine and the Association of Academic Chairs of Emergency Medicine jointly sponsored a presentation concerning scholarship in emergency medicine. Dr. David Sklar described the four types of scholarships — discovery, integration, application and teaching — first introduced by Ernest Boyer of the Carnegie Foundation. Each of these types of scholarships illustrate opportunities for emergency medicine academicians. The first type of scholarship is research relative to new mechanisms of disease; new treatments or new relationships between people and disease. This is known as the scholarship of discovery. Dr. Judd Hollander presented information about how emergency medicine has made progress in building bridges with the NIH which funds much of the scholarship of discovery and also explained how the new clinical translational research center grants awarded to many academic institutions will offer opportunities for emergency physicians to collaborate with colleges in other specialties. He described how many emergency medicine researchers have studied important questions with no external funding in the past, including some of his early work on cocaine and cardiac disease. He went on to describe another form of scholarship known as the scholarship of application. This occurs when clinical issues are addressed based upon scientific evidence to improve quality care and might include development of decision rules or clinical protocols. Dr. Lynne Richardson then discussed the scholarship of integration, which includes use of concepts from another domain such as air safety to improve health services. She described the hidden information in large databases that can be unmasked with proper methods and expertise. Finally, Jim Gordon discussed the scholarship of teaching with particular emphasis on patient simulators. Simulator research will be the topic of the SAEM preconference next May. Two Chairs, Dr. Bill Barsan and Dr. Brett King, then discussed how Chairs balance the need for scholarly activity with realities of high clinical demand and faculty who may not all have the interest or skills to pursue scholarly activity. What is the correct mix of clinical faculty and academic faculty, and should there be an expectation that future academic emergency medicine faculty complete a fellowship prior to beginning as a faculty member? How
much clinical time is compatible with a successful research career? Are all forms of scholarship equally valued by our institutions and specialty? Dr. Roger Lewis submitted an essay to the group suggesting academic leaders in emergency medicine will have a different look in the future with more commitment to the development of scholarship skills than in the past. Scholarship will also become more of a factor in faculty, promotion and recognition. The President of AAMC, Dr. Darrell Kirch, presented a plea for culture change in academic medicine away from the individual, isolated investigator to a more collaborative, team approach. He emphasized that if we wish to improve the health of the public, we will have to work together and share ideas in multidisciplinary teams.
“
... many emergency medicine researchers have studied important questions with no external funding...
”
Dr. Jerome Groopman discussed his book, How Doctors Think. Many of the examples he cited are familiar to emergency physicians, such as misdiagnosis of illnesses or injuries because of errors in conceptualizing the problem or distractions due to previous patients with similar symptoms. The science of diagnostic thinking and problem solving needs as much attention as research in other areas of medical care. The CAS business meeting was held November 5, 2007, and chaired by Michael Friedlander. During the meeting, Dr. Darrell Kirch presented the AAMC’s President’s report, which included an overview of the mission, vision and strategic priorities of AAMC. In the context of our future, the mission of the AAMC is to serve and lead the academic medicine community to improve the health of all. The vision is a healthy nation and world. The membership of the AAMC (including emergency medicine) is the dynamic force in realizing the vision through medical education, innovation and advances in medical knowledge, therapies, diverse workforce, and quality care through improved health systems. The AAMC has identified and embraced nine strategic priorities to meet its mission and fulfill the vision. Dr. Kirch further discussed the AAMC organizational structure and informed CAS that three top executives will soon step down (Dick Knapp, Bob Dickler and Joe Keys). Dick Knapp, current executive VP for AAMC presented to the CAS members the AAMC government relations report. The FY 08 budget request for NIH funding for the House was $29.65 billion (2.6% greater than FY 07) and Continued on page 11
S A E M
Call for Photographs Deadline: February 15, 2008
Original photographs of patients, pathology specimens, gram stains, EKGs, and radiographic studies or other visual data are invited for presentation at the 2008 SAEM Annual Meeting. 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” session or the “Visual Diagnosis” medical student/resident contest. No more than three different photos should be submitted for any one case. Submit one hard copy glossy photo (5 x 7, 8 x 10, 11 x 14, or 16 x 20) and a digital copy in JPEG or TIF format on a disk or by email 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 to SAEM, 901 N. Washington Avenue, Lansing, MI, 48906, in an envelope with cardboard, but should not be mounted. Photo submissions 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. 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 in the Annual Meeting onsite program and the July/August SAEM newsletter. 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. The attestation statement is included in the submission template.
Medical School Tuition and Young Physician Indebtedness 2004 Report Update Paul Jolly AAMC Senior Associate Vice President AAMC Reports Medical school tuition and the indebtedness of medical school graduates are increasing at rates substantially greater than the rate of increase for physician income, making repayment of educational loans increasingly difficult for young physicians. The update to the 2004 report, “Medical School Tuition and Young Physician Indebtedness,” demonstrates trends that appear to be unsustainable if continued into the future.
of their after-tax income for monthly loan payments. If these trends continue, debt service will take an increasing bite out of the incomes of young physicians, reaching 25–30 percent of after-tax income for borrowers starting repayment in 2033. Unless these trends can be moderated, problems for medical education lie ahead. Get the report at www.aamc.org/publications. Questions about the report may be directed to AAMC Senior Associate Vice President Paul Jolly at pjolly@aamc.org.
Recent medical school graduates with typical levels of educational debt are already laying out 10–14 percent
Emergency Medicine Interest Group Grant: End of Year Report 2006-2007 Jeena Easow and Hilary Gallogly, Boston University School of Medicine Judith A. Linden, MD, Boston University School of Medicine
“Hands-On Emergency Medicine”
learned in prior workshops in a mock patient scenario with Sim-Man.
Objectives: First and second year medical students as a whole are rarely given the opportunity to experience hands-on emergency medical care. We designed four workshops with the purpose of introducing students to practical Emergency Department pre-hospital and hospital procedures. We also hoped to promote medical student and EM resident interactions to offer mentoring experiences.
While the first three workshops focused on emergencies occurring in a typical urban setting, the final workshop sought to expose medical students to medical care that takes place in a rural or wilderness setting. Wilderness medicine is that which is practiced more than an hour’s distance from conventional care facilities, and involves different procedures and priorities. Our goal was to expose medical students to pre-hospital care that takes place outside normal parameters, something which few have had any exposure to. A group of 18 first and second year medical students traveled to Stoneham to the Middlesex Fells Reservation, a 2000 acre reserve which includes varying topography. Leading the group were two emergency medicine physicians with extensive wilderness medical training, and a fireman/EMT, who are associated with the Mountain Aid Training International, Inc.
Methods: On three separate evenings, presentations and workshops were conducted to introduce first and second year medical students to scenarios faced by Emergency Medicine practitioners both in the pre-hospital and hospital setting. Topics for each of the sessions included: Pediatric, Trauma and Toxicology Emergencies. There was an average of 24 students per session (range 10-32 students). Each session consisted of two presentations conducted by EM residents and medical students. Background material was first provided on the appropriate protocols to be followed during each emergency situation. Subsequently medical students were encouraged to provide responses to the case scenarios presented. Following the presentations, students participated in hands-on workshops which enabled them to learn and practice clinical skills in a non-threatening, educational environment. Emergency Medicine attendings and residents facilitated 3 labs for each session. The following were workshops conducted in each of the sessions:
• Wilderness Medicine Emergencies — The eight hour excursion included activities such as learning patient assessment in a wilderness setting, splinting techniques, and patient packaging procedures. It culminated into a two hour mock casualty scenario in which three students feigned victims of a rock-climbing accident. Responding students were expected to assess, triage, properly care for and evacuate the three patients as a team. Following the scenario, students recapped the events and critiqued their performance, pointing out differences between the wilderness scenario and similar injuries occurring in an urban setting.
• Pediatric Emergencies — An intraosseous lab was conducted on chicken bones and tibia models to simulate injecting antibiotics or fluids into a pediatric tibia. Sessions on pediatric advanced life support and airway management were also held to review the steps involved in the care of the pediatric population in the pre-hospital and hospital settings.
Conclusions: We feel that the Wilderness Medicine excursion provided medical students with a unique opportunity to experience medical care outside their typical setting. Together with the previous workshops, we believe our program served to strengthen the students’ knowledge of pre-hospital care, and allowed them hands-on experience with common emergency medicine procedures. The workshops also provided students with an opportunity to learn from experienced EM faculty with specialized training, and created mentoring possibilities for the future.
• T rauma Emergencies — An ultrasound session emphasized the usefulness and ease of a FAST exam for the initial assessment of a patient in the trauma room. The techniques of chest tube insertion were taught on mannequins. A third workshop challenged students to apply their knowledge learned in the classroom to read x-rays and CT scans.
The EMIG of Boston University would like to extend our thanks for the support of SAEM Emergency Medicine Foundation, without which this program could not be instituted. We would also like to thank the EM faculty and residents who freely give their time and encourage our educational pursuits in medicine.
• T oxicology Emergencies — In one session we reviewed EKGs representing medication overdoses. An intubation lab was performed on mannequins to provide students with the opportunity practice such procedures in a low stress environment. The final workshop allowed the students to combine skills 10
Research Impacting Emergency Medicine 2007 Mid-Atlantic SAEM Regional Research Conference Glenn K. Geeting, M.D. Penn State Hershey Medical Center The Organizing Committee is pleased to announce the successful completion of the 10th Annual Mid-Atlantic Research Meeting at Penn State Milton S. Hershey Medical Center on November 9-10, 2007. Highlights of the conference included an inspiring dinner presentation by SAEM President Judd Hollander MD on “Keys to a Successful Clinical Research Program in Emergency Medicine”, Clifton Callaway, MD, PhD offered his wisdom in “Obtaining Research Grant Funding”, and Chistopher DeFlitch, MD led a panel discussion on “Operational Research.” The centerpiece of the conference was the presentation of four plenary and 32 brief abstract presentations encompassing a broad range of cutting-edge research in Healthcare Policy, Trauma/EMS, Clinical Emergency Medicine, and Extremes of Age. The judges were hard-pressed to choose award recipients from such a competitive pool, but those that won had certainly earned the honor.
CATEGORY
TITLE
PRESENTER
Best Plenary Presentation
The use of presenting electrocardiogram to discriminate between right and left circumflex coronary artery occlusion in acute inferior myocardial infarction
Amy Leuthauser MD Medical College of Virginia/Virginia Commonwealth University
Best Healthcare Policy Presentation
Implementation of a computerized medication reconciliation in the emergency department
Trushar Naik MD SUNY Downstate/King’s County Hospital
Best Trauma/EMS Presentation
EMS: Workplace violence: A safety survey in South East Michigan
Elizabeth Bascom MD St John Hospital
Best Clinical EM Presentation
The vagus nerve supports central respiratory output but decreases pulmonary gas exchange
Romolo Gaspari MD University of Massachusetts
Best Extremes of Age Presentation
Will increasing senior ED visits impact inpatient and nursing home bed demand
Charlene Irvin MD St John Hospital
Best Student Presenter
Do you want to be intubated? Providing important mortality information about intubated seniors
Marie Irvin St John Hospital
Best Resident Presenter
Physician prescribing practices for phenazopyridine in urinary tract infections
Whitney Matz MD York Hospital
Best Faculty Presenter
Emergency and disaster preparedness of child care centers in Pennsylvania
Robert Olympia MD Penn State Hershey Medical Center
Many thanks to SAEM, Penn State Hershey Medical Center and College of Medicine, the many participating departments, and our sponsors for their support of an inspiring day.
The Association of American Medical Colleges Annual Meeting Continued from page 8
for the Senate $29.9 billion (3.5% greater than FY 07). One highlight of the FY 08 budget is the “America Competes Act” signed into law by the President, which seeks to enhance research and education in math and physical sciences. The measure authorizes $22 billion in funding for FY 08 for NSF grants with the goal to double NSF funding in seven years. The increased NSF funding should boost the pipeline of STEM students (including URMs) entering
education programs and provide support for young investigators pursuing research in the STEM fields. The CAS meeting ended following the introduction and comments by incoming Chair Joel Delisa. Joel spoke of preserving academic values in times of change. The CAS spring meeting will be held in New Orleans at the Hotel Monteleone March 6-9, 2008.
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2008 Medical Toxicology Subspecialty Certification Examination The American Board of Emergency Medicine (ABEM), the American Board of Pediatrics (ABP) and the American Board of Preventive Medicine (ABPM) will administer the certification examination in Medical Toxicology on Thursday, November 13, 2008, in computer-delivered testing centers located throughout the United States.
AMERICAN BOARD OF PEDIATRICS 111 Silver Cedar Court Chapel Hill, NC 27514 Telephone: 919.929.0461 Facsimile: 919.929.9255 www.abp.org
Physicians must submit an application to the Board through which they are certified. Physicians who are certified by an American Board of Medical Specialties member board other than ABEM, ABP, and ABPM and who fulfill the eligibility criteria may apply to ABEM. Upon successful completion of the examination, certification is awarded by the Board through which the physician submitted the application.
AMERICAN BOARD OF PREVENTIVE MEDICINE 330 South Wells Street Suite 1018 Chicago, IL 60606 Telephone: 312.939.2276 Facsimile: 312.939.2218 www.abprevmed.org
The eligibility criteria are available from the three Board offices or at www.abem.org, www.abp.org, and www. abprevmed.org.
AMERICAN BOARD OF EMERGENCY MEDICINE 3000 Coolidge Road East Lansing, MI 48823 Telephone: 517.332.4800 Facsimile: 517.332.2234 www.abem.org
Application materials will be available for ABEM diplomates on January 15, 2008, and will be accepted with postmark dates through April 15, 2008. ABP and ABPM diplomates should contact their Boards for application cycle information.
2008 Medical Toxicology MOC Assessment of Cognitive Expertise Examination AMERICAN BOARD OF PEDIATRICS 111 Silver Cedar Court Chapel Hill, NC 27514 Telephone: 919.929.0461 Facsimile: 919.929.9255 www.abp.org
The American Board of Emergency Medicine (ABEM), the American Board of Pediatrics (ABP) and the American Board of Preventive Medicine (ABPM) will administer the MOC Assessment of Cognitive Expertise examination (formally known as the recertification examination) in Medical Toxicology on Wednesday, November 12, 2008. This examination will be administered at computerdelivered testing centers throughout the United States.
AMERICAN BOARD OF PREVENTIVE MEDICINE 330 South Wells Street Suite 1018 Chicago, IL 60606 Telephone: 312.939.2276 Facsimile: 312.939.2218 www.abprevmed.org
Physicians must complete the examination registration process with the Board through which they received their initial certification in Medical Toxicology. Physicians certified by an American Board of Medical Specialties member board other than ABEM, ABP, and ABPM who attained Medical Toxicology certification through ABEM must register for this examination with ABEM.
AMERICAN BOARD OF EMERGENCY MEDICINE 3000 Coolidge Road East Lansing, MI 48823 Telephone: 517.332.4800 Facsimile: 517.332.2234 www.abem.org
Physicians certified in Medical Toxicology by ABEM may register for the 2008 Medical Toxicology MOC Assessment of Cognitive Expertise Examination beginning March 3, 2008, using EMCC Online. ABP and ABPM diplomates should contact their Boards for registration information.
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2007 New England Regional Meeting Poster Winners The Society for Academic Emergency Medicine would like to thank everyone who participated in the New England Regional Meeting Poster Competition. After thorough review, the following eight submissions were selected. Congratulations go out to the 2007 winners: n Marie Mullen MD University of Massachusetts Etomidate use in severe sepsis and septic shock may contribute to relative adrenal insufficiency but not mortality
n Justin R Racht Brown Noninvasive measurement of hemoglobin concentration in ED patients using fiber optic spectral analysis of the tarsal plate
n Adam Robinett MD Boston University Medical appropriateness of geriatric admissions for failure to thrive
n Lauri Bolton MD Hartford Factors that correlate with patients leaving an ED without being seen
n David Callaway MD Beth Israel Deaconess Admission lactate and base excess predict mortality in normotensive elderly blunt trauma patients
n Eric G Lowe MD Maine Improving patient flow: the effect of a staggered resident staffing pattern
n Jonathan Ilgen MD Brigham and Women’s Hospital Derivation of a rule to risk stratify patients with chest pain using acute cardiac ischemia time insensitive predictive instrument (ACI-TIPI)
n Scott Holiday DO Yale ED screening of abdominal aortic aneurysms by bedside ultrasonography
Tufts University School of Medicine Baystate Medical Center
For Your Information... SAEM Staff Executive Director James R. Tarrant, CAE ext. 212, jtarrant@saem.org
Help Desk Technician Adam Cogswell ext. 204, acogswell@saem.org
Associate Executive Director Barbara A. Mulder ext. 207, bmulder@saem.org
Administrative Assistant Colette Rierson ext. 206, crierson@saem.org
Tufts University School of Medicine has had a long history of academic excellence and is a leading school of medicine. It has 706 medical students and 192 Ph.D. students currently enrolled. Major teaching clinical affiliations include Baystate Medical Center, Tufts-New England Medical Center, Caritas St. Elizabeth’s Hospital, the Lahey Clinic, Newton-Wellesley Hospital, and Faulkner Hospital. Baystate Medical Center, the western campus of the Tufts School of Medicine, is recognized as a leading academic medical center. Baystate is a 660-bed tertiary care referral center for much of western Massachusetts, serving a population of nearly one million people. Tufts University School of Medicine and Baystate Medical Center are seeking the new Chair, Department of Emergency Medicine. The Chair of the Department of Emergency Medicine of Tufts University School of Medicine will provide leadership for the academic mission of the Tufts-wide department, which involves all of the affiliated teaching hospitals. The Baystate Medical Center Chair is the physician leader for the growth and development of medical education, research and clinical strategic planning for emergency medicine. The Chair will work closely with the senior leadership at Baystate in the growth and strategic planning of the Department. Baystate has a robust and busy emergency department that continues to grow annually. The Chair will be responsible for the development of strategies to assess the current volumes and space and be active in the development of short-term and long-term strategies for the department.
Membership Services Manager Administrative Assistant Jennifer Mastrovito Dwight Walker ext. 201, jmastrovito@saem.org ext. 211, dwalker@saem.org Meetings Coordinator Maryanne Greketis ext. 209, mgreketis@saem.org
Spencer Stuart has been retained to assist Baystate Medical Center with this important recruitment. Spencer Stuart and the Search Committee respect the importance of maintaining confidentiality. Letters of application, with curriculum vitae and letters of nominations should be submitted by email to: BaystateMedicalCenter@spencerstuart.com The search is being led by Charles M. Falcone, MD and Michael Corey.
Bookkeeper Janet Bentley ext. 205, jbentley@saem.org
saem@saem.org • www.saem.org 13
NATIONAL ASTHMA EDUCATION AND PREVENTION PROGRAM (NAEPP) COORDINATING COMMITTEE (CC) NATIONAL HEART, LUNG AND BLOOD INSTITUTE (NHLBI) NATIONAL INSTITUTES OF HEALTH
Meeting Summary October 17, 2007 Rita Cydulka, MD, MS SAEM NAEPP Representative The National Asthma Education and Prevention Program (NAEPP) Coordinating Committee (CC) met on October 17, 2007 at the Pooks Hill Marriott in Bethesda, Maryland. Dr. Susan Shurin, Deputy Director, NHLBI welcomed participants to the meeting and commended them for their input on the development of the updated asthma guidelines released in August 2007. This NAEPP effort is a huge priority for the Institute. A key piece of the Institute’s vision can only be achieved through partnerships and maintaining current and relevant clinical practice guidelines. The Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma 2007 (EPR-3: Full Report 2007) demonstrates the effectiveness of such partnerships. Dr. Shurin explained that a critical mission of the NIH is to acquire new knowledge that will lead to better health for all. That knowledge must be communicated to the medical community and to the public. The future paradigm for medicine is to transform from a curative to a preemptive approach. The NHLBI vision closely mirrors that of the NIH as a whole and is focused on achieving that mission in large part through partnerships. Dr. Shurin then discussed the NHLBI Strategic Plan starting with its three goals: • To improve understanding of the molecular and physiologic basis of health and disease and use that knowledge for improved approaches to disease diagnosis, treatment, and prevention. • To improve understanding of the clinical mechanisms of disease and thereby enable better prevention, diagnosis and treatment. • To generate an improved understanding of the processes involved in translating research into practice and to use that understanding toward improvements in public health and in stimulating further scientific discoveries. There are currently eight strategies designed to facilitate meeting those three goals. The strategies will change as challenges are met and new challenges arise. Most of the activities of the NAEPP CC fit under the third goal and employ strategies three and eight. Strategy three calls for an increase on return for NHLBI population-based and outcomes research. Strategy eight calls for bridging the gap between research and practice through knowledge and networks. The NAEPP CC is one such network that is taking research discoveries and implementing activities around them in order to improve the quality of asthma care. In closing, Dr. Shurin said a number of the recom-
mendations in the EPR-3: Full Report 2007 reflects the paradigm for health in the twenty-first century: personalized measures of asthma assessment and monitoring; par-
is the first “ This comprehensive update in 10 years... ” ticipatory education for a partnership in asthma care; preventive control of environmental factors and co-morbid conditions; and pre-emptive pharmacologic therapy. The NHLBI is happy and eager to work with its partners on the NAEPP CC in implementing its updated guidelines; this is important in accomplishing the overall mission of the Institute. Ms. Diana Schmidt, Coordinator of the NAEPP at the NHLBI, announced that the EPR-3: Full Report 2007 was posted on the NHLBI Website on August 29, 2007. This is the first comprehensive update in 10 years and it contains recommendations for an additional age group of children aged 5 to 11 years. Also, recommendations on medications have been updated; a multi-faceted approach to control of factors that can make asthma worse is presented; and patient education through such tools as the Asthma Action Plan is emphasized. The remainder of the meeting was focused on how to get the guidelines implemented now that the scientific report has been released. The NAEPP had convened a Guidelines Implementation Panel (GIP) that ran in tandem with the Expert Panel to develop recommendations and strategies on ways partner organizations could assist in the guidelines implementation effort. Presently, there is a high but stable asthma prevalence rate but there are increasing asthma disparities among children. The recently released EPR-3 2007 builds upon past guidelines in today’s era of Pay for Performance (P4P), an established national quality health care movement, and trend toward using electronic health records (EHR)s. The goals of the NAEPP GIP in the context of present-day health care direction are to focus multiple “end-users” of the EPR-3 on selected key messages; develop an action plan to facilitate a more rapid diffusion and implementation Continued on next page
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of the updated guidelines; and inform and engage health care leaders to implement the action plan. The selected key messages that the GIP identified from the EPR-3 are as follows: 1. Importance of using inhaled corticosteroids (ICS). 2. Importance of using written asthma action plans. 3. Need to assess severity. 4. Need to assess and monitor control. 5. Need for routine periodic visits. 6. Need to assess and monitor exposure to allergens and irritants that can worsen asthma.
mation and supports decisions based on individual patient data as well as the guidelines. • Educational tools. The program offers a NAEPP guidelines module and a Pay for Performance (P4P) module which may serve as components to a continuing medical education (CME) program. • Quality Improvement Measures and Reports. The program fulfills the ABAI MOC Part IV requirements and documents P4P targets • Repository of Outcomes Data for Research. This program can be used for research on the effectiveness of guideline implementation, or to study outcome differences based upon patient and physician characteristics and actions taken to manage asthma.
The second goal of the GIP was to develop an action plan to facilitate rapid diffusion and implementation of the key messages in EPR-3. Dr. Weiss closed his presentation stating that the GIP needs input from participants in order to move these recommendations and the implementation process forward. In afternoon breakout sessions, participants will communicate what his/her organization might do as part of an implementation strategy and which key messages resonate with the organization. Participants should think about which implementation strategies fit best with their particular organizations and offer any strategies that the GIP might have overlooked. They should also see where their organization could contribute in the proposed implementation arms: NAEPP partnerships and coordination; National Asthma Campaign and the National Policy Forum. The GIP will take the information gleaned from today’s breakout groups and finalize the report before beginning the implementation phase.
National Asthma Educator Certification Board
Dennis Williams, PharmD Dr. Dennis Williams updated the NAEPP CC on the activities of the National Asthma Educator Certification Board (NAECB).
Pace Tool Kit
Diana Schmidt, MPH Ms. Diana Schmidt presented the Physician Asthma Care Education (PACE) Tool Kit developed under a grant from the NHLBI to an investigator at the University of Michigan. The PACE program is based upon social cognitive theory, particularly the theory of self-regulation as a way to improve learning. Learners self-observe, develop strategies to reach goals and evaluate the success of those strategies. PACE is an example of a partnership that translates research findings to the field.
GIP Overarching Strategies Ms. Diana Schmidt opened this portion of the meeting intended to present “real world examples” pertinent to the three overarching strategies suggested by the GIP: • NAEPP initiatives, partnerships, collaborations and coordination • National Asthma Campaign • National Asthma Policy Forum
NHLBI COPD Branded Campaign
Amy Pianalto Ms. Pianalto said she would provide an overview of the NHLBI’s branded campaign to increase awareness of COPD and its risk factors. NHLBI and its partners are working to communicate the benefits of early detection and treatment of the disease. The idea to develop this campaign arose from a NHLBI-convened working group on COPD. This campaign might serve as a useful example for those interested in developing the proposed National Asthma Campaign. The campaign was launched January 18, 2007 at the National Press Club in Washington, DC with a media outreach program featuring a recognizable spokesperson: a patient advocate, Grace Anne Koppel
Asthma I.Q.
Michael Schatz, MD, MS “Asthma I.Q.” is an effort to improve asthma care. It is a Web-based clinical support tool for asthma specialists to help them understand and apply the new NAEPP asthma guidelines. It has been developed by the Academy of Allergy, Asthma and Immunology supported by an unrestricted educational grant from Genentech and Novartis. The program is designed to document and improve the quality of asthma patient care. The four main components of “Asthma I. Q.” are: • Asthma guideline implementation. The program provides immediate access to the guidelines for each aspect of assessment and management. It identifies the required patient assessment infor-
Rand Asthma Policy Initiative
Marielana Lara, MD, MPH Dr. Lara spoke about a previous policy initiative as an example of similar efforts that might be undertaken by the National Asthma Policy Forum.
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100 for $1,000 1,000 for $100 The New SAEM Member Campaign for the Research Fund Brian Zink, M.D. Chair, SAEM Development Committee SAEM Past President The SAEM Research Fund is not doing well. Oh, sure, we can boast of a fund value around $6 million dollars, and point to many academic emergency physicians who have benefited from the research training grants from the SAEM Research Fund. But in one major category, the SAEM Research Fund is deficient. This category is individual SAEM member contributions to the Fund. In the past the Research Fund has grown mainly due to the large initial investment made by SAEM ($1 million dollars), support for the EMS Fellowship from Medtronic, and the contributions of a few members. Most members do not contribute to the SAEM Research Fund.
who are ready to make a strong statement of support with a minimum gift of $1,000. At the same time we will bolster our core support by counting on 1,000 members to make a minimum contribution of $100. This ambitious and unprecedented appeal to members is crucial to keep the Research Fund strong and allow for growth of our research grant programs. Please make a commitment to the SAEM Research Fund. If you can become one of the 100, please do so. But at the very least, you must become one of the 1,000. Our future depends on it. The Campaign is officially underway as of January 2008, and will be prominently featured at the SAEM Annual Meeting in Washington at the end of May.
Let’s look at the numbers. SAEM currently has 5635 members. Of these, 2819 are resident physicians or medical students. We don’t count on physicians-in-training for SAEM Research Fund donations, although some do contribute. So that leaves 2816 active members who are the main cadre of academic emergency physicians in the U.S. Of these, only 92 physicians made a contribution to the Research Fund in 2007. This is both good and bad. The good news is that it is the highest level of member contribution that SAEM has ever had for the Research Fund. The bad news is that only .03% of active members contributed.
Please donate at www.saem.org to make an on-line donation, or send a check to SAEM 901 N. Washington Avenue Lansing, MI 48906 If you have any questions please call 517-485-5484 at SAEM for more information.
Why is it important to have a high percentage of members contributing to the SAEM Research Fund? The answer is very simple — if the “true believer” members of an organization do not support its core mission with charitable contributions, it is very difficult to make the case to outside donors that they should support the SAEM Research Fund. Development experts often remark that the first question posed by potential big donors is: “How many of your members contribute to your cause?” If we are to take the SAEM Research Fund to a level where we can fund even more research training grants, we will need to show that WE, WHO ARE SAEM, support the Fund in a major way.
Statistical Reviewers for Academic Emergency Medicine Needed Craig Newgard, MD Oregon Health and Science University SAEM Program Chair Academic Emergency Medicine is in need of persons with statistical expertise that are interested in serving as statistical reviewers for the journal. Statistical reviewers will be paid $50 per manuscript reviewed. Applicants should have an advanced degree in statistics, epidemiology, or related research methods (e.g., MS, MPH, PhD). If interested, please send your CV to Craig Newgard, MD, MPH at newgardc@ohsu.edu.
It is for these reasons that the SAEM Development Committee is kicking off a new campaign for the Research Fund that is directed at SAEM members. The name of the campaign is “100 for $1,000/1,000 for $100. We will seek to boost the number of SAEM members who contribute to the Research Fund to over 1,000, and the amount contributed to over $200,000 by the end of 2009. A twopronged challenge will be used. We will seek 100 members 16
CLASSIFIEDS OHIO, The Ohio State University: Department of Emer-
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.
gency Medicine seeks observation medicine director for 6 bed unit with 20 bed expansion in late 2008. The director will oversee expansion efforts and develop protocols. The ideal candidate will have clinical, administrative, and leadership experience in ED based observation medicine. Board certification required; experience in EM and IM preferred. Compensation commensurate with qualifications, experience and academic appointment. Send CV to: Douglas A. Rund, MD, Professor and Chairman, OSU Emergency Medicine, 146 Means Hall, 1654 Upham Drive, Columbus, OH 43210; sharon.pfeil@ osumc.edu; (614)293-8176. Affirmative Action/Equal Opportunity Employer.
Pennsylvania, Children’s Hospital of Pittsburgh/UPMC, Pittsburgh, PA (www.chp.edu). Pediatric Emergency Physician. Clinical practice with strong teaching component. Only level 1 Regional Pediatric Trauma Center in Western Pennsylvania. Nation’s first Pediatric Transplant Center - transplant survival rates amongst highest in the world. A leader in Pediatric Stroke Protocol. New Children’s Hospital opening early 2009 with SOA facilities. Sub-specialists in all pediatric medical/surgical disciplines. 80K visits/year and growing. Outstanding Disaster Preparedness Program, far ahead of the national curve. Premier EMS system in Pittsburgh. Excellent financial package. Contact: Ronni Diamond, Lawlor & Associates - 800-238-7150 - Email: ronni@lawlorsearch.com.
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; sharon.pfeil@osumc.edu; or call 614-293-8176. Affirmative Action/Equal Opportunity Employer
Fellowship/Faculty Position Ads Available
PENNSYLVANIA, Children's Hospital of Pittsburgh/UPMC, Pittsburgh: Pediatric Emergency Physician. (www.chp. edu). Clinical practice with strong teaching component. Only level 1 Regional Pediatric Trauma Center in Western Pennsylvania. Nation’s first Pediatric Transplant Center — transplant survival rates amongst highest in the world. A leader in Pediatric Stroke Protocol. New Children’s Hospital opening early 2009 with SOA facilities. Sub-specialists in all pediatric medical/surgical disciplines. 80K visits/year and growing. Outstanding Disaster Preparedness Program, far ahead of the national curve. Premier EMS system in Pittsburgh. Excellent financial package. Contact: Ronni Diamond, Lawlor & Associates - 800-238-7150 - Email: ronni@lawlorsearch.com
The SAEM Newsletter is mailed every other month to approximately 6,000 Society members. Advertising is limited to Fellowship and Academic faculty positions. All ads are also posted on the SAEM Web site at no additional charge. Advertising rates for classified ad (100 words or less) Contact party SAEM member Contact party non-SAEM member Quarter page ad (camera ready, 3.5” wide x 4.75” high)
$120.00 $145.00 $350.00
To place an advertisement, e-mail the ad, along with contact party information for follow-up including phone and fax numbers, billing address, ad size and newsletter issues in which the ad is to appear to: Maryanne Greketis, mgreketis@ saem.org
PENNSYLVANIA, University of Pittsburgh: 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,
Deadline for the March/April issue is February 1, 2008
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North American Congress of Clinical Toxicology (NACCT) Stephen M. Paulson, M.D. United States Air Force Emergency Physician Denver Health Residency in Emergency Medicine As one of the recipients of the Michael J. Spadafora Scholarship, I had the pleasure of attending the North American Congress of Clinical Toxicology (NACCT) October 19-24, 2007 in New Orleans, Louisiana. This scholarship was one of two scholarships awarded each year, one from the Society of Academic Emergency Medicine and the other from the American College of Medical Toxicology. The conference was highly educational, and nicely complimented my extensive training in medical toxicology at the Rocky Mountain Poison Center (RMPC) as part of my residency curriculum. Attending the NACCT is a wonderful opportunity for the emergency medicine resident interested in clinical toxicology.
with an abundance of education events. There were lectures and workshops from multiple poison centers and organizations of clinical toxicology. These lectures were as diverse as they were educational. Lecture topics included the extracorporeal elimination of toxins, current topics in critical care, global toxicology and food product contamination. Additionally, several hundred abstracts were selected for poster and platform presentations with topics covering all realms of clinical toxicology. Just as exciting as the educational content of the meeting was the chance to visit the wonderful city of New Orleans. I was able to visit the French Quarter, Pat O’Brien’s on Bourbon Street, and eat at the famed Café du Monde. There is no doubt that the soul of New Orleans is thriving and full of Southern hospitality. The food, jazz and libations of New Orleans made it an ideal venue for the NACCT.
The conference began by exhibiting two outstanding pre-meeting symposiums and a Clinical Pathological Case (CPC) competition. The first pre-meeting symposium examined the complexities of exposures to new herbal toxicities from a global perspective, discussing both the strategy of diagnosis and management. The second symposium took a similar perspective as well, examining the global variations in the management of the most common toxicological exposures. At the CPC it was intriguing to observe the depth and extent of the clinical toxicologist’s knowledge as each case was dissected, and a differential developed and systematically pared down to a final opinion.
Finally, one of the best aspects of attending the NACCT was the one-on-one conversations with practicing clinical toxicologists and current toxicology fellows. The advice and perspective on the field I obtained was invaluable and motivating, and left me excited about the prospect of becoming clinical toxicologist. Without exception, attending the NACCT as a Michael J. Spadafora Scholarship recipient was a phenomenal opportunity and wonderful experience.
The remaining days of the conference were filled Brigham and Women's Hospital Harvard Medical School Faculty Positions in Emergency Ultrasonography The Department of Emergency Medicine at Brigham and Women’s Hospital is currently seeking 2 full time emergency physicians with sub-specialty training and demonstrated expertise in emergency ultrasonography to join the faculty. The positions include access to grant writing and statistical analysis, an academic appointment at Harvard Medical School, unparalleled research opportunities, competitive salary, and an outstanding comprehensive benefit package. This is truly a unique opportunity for a motivated individual to join a department with an expanding emergency ultrasonography program at a leading hospital and medical school.
Exceptional opportunity for highly motivated, EM residency trained physician to join prestigious group. Enjoy an academic appointment as an Assistant Professor of Emergency Medicine (based on experience; Instructor and Associate Professor positions also available) with excellent benefits including very competitive remuneration, occurrence-based malpractice, health and disability insurance, 403b retirement plan, tuition remission, and CME allowance. Established group presence at three major hospitals, with a 4th emergency department opening at a new, state-of-art facility currently being built in a premier location in Cincinnati. Live in a city with professional sports, outstanding visual and performing arts, two major universities, superb private and public schools, an international airport, zoo, aquarium, and a stable economy anchored by ten Fortune 500 companies. The University of Cincinnati Department of Emergency Medicine established the first Emergency Medicine residency training program in 1970 and currently has 48 residents involved in a four year curriculum. We are seeking talented and energetic physicians to train future leaders in the field of Emergency Medicine. Our Department has a long history of clinical excellence, both in teaching and patient care, with outstanding institutional support.
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 56,000 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 Division of International Health and Humanitarian Programs, which operates robust international research and strategic initiatives, offers two international EM fellowships and is involved in international applications of diagnostic ultrasound.
Please send Curriculum Vitae to: Richard J. Ryan, MD Vice Chairman, Department of Emergency Medicine University of Cincinnati Academic Health Center 231 Albert Sabin Way Cincinnati, OH 45267-0769 Phone: 513/558-8086 Fax: 513/558-4599 E-mail: Richard.Ryan@uc.edu www.ucemergencymedicine.org
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 BWH is an Equal Opportunity/Affirmative Action Employer
18
Become a Committee or Task Force Member! Kate Heilpern, MD Emory University SAEM President Elect
How Do I Get Assigned to a Committee/TF?
Most of our annual planning for the 2008-2009 SAEM year, which begins each May, occurs during the winter months. An important component of this is the development of realistic objectives for our committees and assignment of special needs projects to task forces.
➪ First, assess your ability to offer a realistic time commitment. ➪ Second, review the current committee and task force objectives. Where do your interests and experiences lie? What abilities or perspectives might you contribute?
The committees have an essential role in determining how well SAEM progresses in our mission each year. The work each year focuses on a number of specific objectives. Although ultimately assigned by the PresidentElect, these objectives are developed by soliciting ideas from the entire membership, as well as current and prior committee chairs and members. The Board of Directors reviews these assignments to assure coordination and resource allocation appropriate to each task.
➪ Third, everyone who desires appointment MUST complete the online Committee/TF Interest Form which will be made available through the SAEM web site beginning in November. Current committee/TF members must use this form to re-apply as well. Remember – committee composition rotates regularly, with approximately one-third of the members turning over each year. This assures that all SAEM members who desire to participate can do so. While invariably disappointing to some members who are not reassigned, this practice has served SAEM very well over the years and is a critical component of individual member development. Reassignment also is influenced by the chair’s evaluation of an individual’s productivity, timeliness, response time and overall contributions.
Task Forces (TF) are unique entities developed by the President-Elect in cooperation with the Board of Directors to address a specific focused issue in a timely manner. SAEM relies on task forces to deliver recommendations to the Board or produce a time sensitive product for the organization. A task force usually accomplishes its objectives within one to two years from inception
Why Should You Become a Committee or Task Force Member? ➪ You believe in SAEM’s mission statement: “to improve patient care by advancing research and education in emergency medicine”.
➪ Finally, when submitting your interest form, please make a brief statement supporting your committee choice. SAEM is a large organization, and I unfortunately do not know every member’s skills and talents. While performance record goes a long way for those currently serving, the interest form will be a major factor in appointment decisions for all members.
➪ You wish to assist in defining the future practice of your specialty. The academic mission is a special and unique pursuit, critical to the future of our specialty and the patients we serve. We are responsible for training the next generation of EM clinicians and academicians. We define the future practice of our specialty through the work of our members, both with SAEM activities and at our academic institutions.
SAEM’s mission has never been more critical for the lives of our patient population. We are charged with defining the future practice of EM, both clinical practice and academics. The committees and task forces are central to the mission and goals of the Society. We look forward to your volunteering this year. Please go to the link: http://www.saem.org/saemdnn/AboutSAEM/Governance/ Policies/CommitteeandTaskForceSelectionProcess/ tabid/891/Default.aspx on the SAEM website to express your interest in joining a Committee or Task Force!
➪ You have special knowledge/skills or interests in a committee/TF work area. Sometimes more junior members in the Society are afraid to volunteer because they “lack expertise” in an area. However, if you have the time, are willing to do the work, and have a passion for that area, you represent exactly what a committee/TF really needs. 19
SAEM Membership Application Please complete and mail to SAEM, 901 N. Washington Avenue, Lansing, MI 48906, USA. Include dues payment and supporting materials. You may join online at www.saem.org. Name:
Title:
Instituition:
Email:
Institution address: City:
State:
Zip:
Country:
State:
Zip:
Country:
Home address: City: Preferred mailing address: Office phone: (
Home
)
Office
Sex:
Home phone: (
M
F
)
Birth date: Fax: (
)
Medical school or university faculty appointment and institution (if applicable): Membership Benefits Include: x Subscription to SAEM’s monthly, peer-reviewed journal, Academic Emergency Medicine x Subscription to the bi-monthly SAEM Newsletter x Reduced registration fees to attend the SAEM Annual Meeting Check membership category: Open to individuals with an advanced degree such as MD, DO, PhD, PharmD, DSc or equivalent who hold a university appointment or are actively involved in Emergency Medicine teaching or research. Active members are eligible to vote for proposed C&B amendments and to fill elected positions in the Society. ͕ Yes ͕ No I attest that I hold a university appointment or am actively involved in Emergency Medicine teaching or research. Open to health professionals, educators, government officials, members of lay, or civic Associate – $460.00 organizations, and members of the public who have interest in Emergency Medicine. Active – $495.00
Young Physician – Year 1 – $290.00
First year following residency graduation.
Young Physician – Year 2 – $400.00
Second year following residency graduation.
Resident – $140.00
Open to residents interested in Emergency Medicine. Anticipated month/year of residency graduation: ____/____
Fellow – $140.00
Open to fellows interested in Emergency medicine. Anticipated month/year of fellowship completion ____/____
Medical Student – $120.00
Open to medical students interested in Emergency Medicine. Anticipated month/year of med. school graduation: ____/____
Interest Groups: Society members are invited to join any of the dedicated Interest Groups listed below. Include $25.00 annual dues for each Interest Group you check (resident members may join one Interest Group at no charge): Academic Informatics Airway CPR/Ischemia/Reperfusion Clinical Directors Disaster Medicine Diversity Educational Research EMS Ethics Evidence-Based Medicine
Geriatrics Health Svcs & Outcomes International Med-Student Educators Mentoring Women Neurologic Emergencies Palliative Medicine Patient Safety Pediatric EM Public Health
Research Directors Sepsis & Resuscitation Simulation Sports Medicine Toxicology Trauma Triage Ultrasound Uniformed Services
Signature of Applicant: Date: My signature certifies that the information provided herein is accurate and indicates my desire to join SAEM.
20
Approved October 8, 2007
¸Pediatric Emergency Medicine ¸ Research Faculty¸ ¸Associate Residency Director¸ The Brody School of Medicine at East Carolina University anticipates faculty openings for emergency physicians at the rank of assistant professor or above, depending upon the candidate’s qualifications. Tenure-track or clinical-track appointments are available depending on academic interest. Our growing faculty has diverse interests and expertise leading to extensive state and national-level involvement. The emergency medicine residency program is one of the most established, with 12 EM and two EM/IM residents per year. Pitt County Memorial Hospital is an expanding 740-bed Level I trauma center, with more than 80,000 ED visits per year. Greenville, N.C., has the benefits of being a very family-oriented community and a university town, located ninety minutes from the North Carolina Crystal Coast. The university offers exceptional cultural opportunities as well as sporting and outdoor events. Compensation is competitive and commensurate with qualifications; an excellent fringe benefits program is provided. Requirements: BC/BP in EM and excellent clinical and teaching skills; ability to obtain a license to practice medicine in North Carolina, medical staff privileges at PCMH, approval to practice medicine through ECU Physicians, and medical liability insurance coverage through our carrier. Screening begins July 1 and will remain open until filled.
PENNSYLVANIA: The Department of Emergency Medicine at Penn State Hershey Medical Center is seeking additional board-certified or prepared, academically minded emergency physicians to join nationally known faculty. Located in beautiful Hershey, PA, the stateof-the-art ED cares for >45,000 with 52 hrs of attending coverage daily, with additional 22 hrs of MLP support. With the Penn State Emergency Medicine Residency (8 per year), ultrasonography, Level 1 Trauma designation, flight and ground EMS, dedicated CT scan, outstanding patient population, and cutting edge computerization, our expanding ED is a unique opportunity for your career. Research, service and educational missions remain as important as patient care and provide opportunities for integrated faculty development. Outstanding schools, low crime rate and a small town atmosphere combined with Broadway plays, professional sports, national performers, and outdoor recreation in your backyard allow a pleasant lifestyle next to a World Class academic medical center. Confidential
Confidential inquiry may be made to Theodore Delbridge, MD, MPH, Chair, Department of Emergency Medicine (delbridget@ecu.edu), or please apply online by using ECU OneStop on the main ECU page: www.ecu.edu.
inquires to Thomas Terndrup, MD (Chair), Dept of Emergency Medicine (H043), PO Box 850, Hershey, PA 17033, Phone 717 5318955 or email tterndrup@hmc.psu.edu . The Penn State Milton S. Hershey Medical Center is an affirmative action/equal opportunity
ECU is an EEO/AA employer and accommodates individuals with disabilities. Applicants must comply with the Immigration Reform and Control Act. Proper documentation of identity and employability required at the time of employment. Current references must be provided upon request.
www.ecu.edu/med
employer. Women and minorities are encouraged to apply.
www.uhseast.com
Hennepin County Medical Center Undersea and Hyperbaric Medicine Fellowship JOIN ONE OF FORTUNE MAGAZINE’S The Hennepin County Medical Center Undersea JOINPLACES ONE OF FORTUNE MAGAZINE’S BEST PLACES TO WORK IN THE U.S.! BEST TO WORK IN THE U.S.! Lehigh Valley Hospital’s Emergency Medicine Department—now managing 4 sites in Pennsylvania—has and Hyperbaric Medicine Fellowship is an Lehigh Our Valley Emergency Medicine Department—now grown. 50+ Hospital’s salaried Emergency Medicine physicians and 15 PAs and NPs enjoy a collegial ACGME accredited one year program in Undersea managingand 4 evaluate sites inover Pennsylvania—has grown. Our 50+ atmosphere 150,000 patients annually. Candidates mustsalaried be clinically excellent, patient focused, BC/BEMedicine and EM Residency trained. the largest Level I Trauma program Emergency physicians andWe15have PAsa paperless and NPsED, enjoy a colleand Hyperbaric Medicine whose graduates will in PAatmosphere w/Primary Angioplasty and Stroke and MI Alert Program, an 18-bed gial and evaluate over Alert 150,000 patients annually. Can- Burn Center and an Emergency Medicine Residency along with 13 additional accredited programs. LVH is listed in U.S. News fulfill the requirements to sit for the American didates must for be the clinically excellent, patient focused, and Our organization is year as one of our nation’sBC/BE best hospitals. & World Report 12th consecutive Board of Medical Specialists’ certification EM Residency trained. Weand have paperless ED, the awards largestincluding Level MAGNET status physician-led, financially strong, the awinner of many quality in nursing. We program offer aBEST competitive salary and robust benefitsIN including family I Trauma in PA w/Primary Angioplasty and Stroke Alert with no employee RTUNE MAGAZINE’S PLACES TO WORK THE U.S.!healthcare examination for special competency in Undersea contribution, 3 forms of retirement, medical Burn liability coverage, 6 weeks of PTO plus 1 week of CME with and MI Alert Program, an 18-bed Center and an Emergency Emergency Medicine Department—now managing 4 sites in Pennsylvania—has and Hyperbaric Medicine. We are now taking $4,500 annually plus ACEP/ACOEP boards paid, etc. Opportunity for teaching, research, and career Medicine Residency along with 13 additional accredited programs. d Emergency Medicine physicians and 15 PAs and NPs enjoy a collegial advancement. Our ED locations are in the Lehigh Valley and in Hazleton, PA. Both locations are within applications for the 2008-2009 academic year. The LVH is listed U.S.and News & World Report for the 12th consecutive ver 150,000 close patients annually. Candidates must bea moderate clinically patient proximity toin NYC Philadelphia, offer costexcellent, of living, and have excellent public school Primary Hospital: Hennepin County Medical systems. year asWe onehave of our nation’s best organization is physiResidency trained. a paperless ED, hospitals. the largestOur Level I Trauma program cian-led, strong, and theanwinner of Burn many Center qualityand awards asty and Stroke Alertfinancially and MI Alert Program, 18-bed an Center, Minneapolis, MN is a referral center for all To learn more, e-mail CV to Richard MacKenzie, Chair of Emergency Medicine, LVH, at including MAGNET status in nursing. We a competitive saldency along with 13 additional accredited programs. LVHoffer is listed in U.S. News Phone (610) 969-0216. debra.perna@LVH.com. hyperbaric emergencies for western Wisconsin, the aryyear and robust including family healthcare no employas one benefits of our nation’s best hospitals. Our with organization is 2th consecutive eastern Dakotas and all of Minnesota. HCMC is a ee contribution, 3 forms of awards retirement, medical liability coverage, strong, and the winner of many quality including MAGNET status in weeks of benefits PTO plus 1 week family of CME with $4,500 plus Level I Trauma Center etitive salary6and robust including healthcare with annually no employee ACEP/ACOEP board paid, etc. Opportunity teaching, research, tirement, medical liability coverage, 6 weeks of PTO plus for 1 week of CME with To contact us if interested in applying and for more and career Our EDforlocations areresearch, in the Lehigh Valley EP/ACOEP boards paid,advancement. etc. Opportunity teaching, and career details: Robert E. Collier M.D. FACEP in Hazleton, locationsPA. are Both withinlocations close proximity ations are in and the Lehigh ValleyPA. andBoth in Hazleton, are withinto Program Director-HCMC HBM NYC and Philadelphia, offer a moderate of living, and have nd Philadelphia, offer a moderate cost of living, and havecost excellent public school excellent public school systems. Fellowship To learn more, e-mail CV to Richard MacKenzie, 701 Park Avenue South to Richard MacKenzie, Chair of Emergency LVH, at Chair of Emergency Medicine, Medicine, LVH, Minneapolis, MN 55415 Phone (610) at 969-0216. debra.perna@LVH.com. 612-873-7420 colli046@umn.edu Phone (610) 969-0216. 21
JACOBI MEDICAL CENTER Affiliated with the Albert Einstein College of Medicine
Emergency Medicine Fellowship in Clinical Research Faculty Position
The Department of Emergency Medicine of the Albert Einstein College of Medicine at Jacobi Medical Center is seeking applications for its EM Fellowship in Clinical Research. The fellow will be part of an established research program with a track record of NIH funding. This two year research fellowship combines a didactic curriculum leading to a Master of Science degree in clinical research methods with a mentored experience in clinical research.
Due to an expansion in clinical coverage, University Physician Associates, the physician group practice for the University of Missouri-Kansas City School of Medicine, is recruiting for faculty at the Assistant Professor or Associate Professor level in the Department of Emergency Medicine at Truman Medical Center. Candidates must be residency-trained, board-certified/board-prepared emergency physicians. Preference will be given to candidates with research or EMS expertise or interest. The department supports a fully-accredited three-year residency. The newly-renovated emergency department at Truman Medical Center has an annual volume of 58,000 patients and is a modern, state-of-the-art facility with 52 beds. Kansas City offers an attractive lifestyle with low cost-ofliving and affordable housing, renowned suburbs with top-ranked schools, and numerous outdoor activities. Interested candidates should electronically mail a letter of interest and CV in confidence to: Matthew Gratton, MD Associate Professor and Chair Department of Emergency Medicine 2301 Holmes Street Kansas City, Missouri 64108 matthew.gratton@tmcmed.org
Applicants must successfully complete an Emergency Medicine Residency prior to beginning the fellowship. Applications for training to begin in July 2008 must be received by February 1, 2008.
EOE / AA employer
Contact: Adrienne Birnbaum, MD, MS Department of Emergency Medicine Room 1B25 - Jacobi Building 6 1400 Pelham Parkway South Bronx, NY 10461 Phone: 718-918-5815 E-mail: adrienne.birnbaum@nbhn.net
Emergency Physician
UNIVERSITY OF MICHIGAN The Department of Emergency Medicine at the University of
Henry Ford Health System’s Department of Emergency Medicine is seeking board certified/ prepared physicians to join the faculty of our Emergency Medicine Residency Program. The successful candidate will join our staff of 30 full-time faculty involved in teaching and research. The Henry Ford Hospital Emergency Department (ED) is an urban, Level 1 Trauma Center with over 90,000 patient visits per year. The ED at Henry Ford Hospital is the birthplace of Early Goal Directed Therapy. We have an active research division with NIH funding and focusing on neurologic emergencies (including stroke), sepsis, and the emerging role of biomarkers in Emergency Medicine.
Michigan (UM) is seeking physicians for full time clinical and academic faculty positions in Emergency Medicine at Hurley Medical Center (Flint, MI). Academic rank will be determined by credentials. Clinical responsibilities will include patient care activity in the Emergency Department. Responsibilities include house officer and
The Emergency Medicine Residency Program is in its 30th year and has a total of 53 residents in the Emergency Medicine, Emergency Medicine/Internal Medicine, and the Emergency Medicine/Internal Medicine/Critical Care training programs. The ED will be “paperless” in October with the final phase of implementation of a fully functional electronic medical record. Our facility has 79 rooms including a 16 bed emergency critical care unit.
medical student training, and providing direct patient care in a setting providing both primary and tertiary care experience. Applicants should have residency training and/or board certification in Emergency Medicine.
Excellent fringe benefit package.
If
Henry Ford Health System is the largest health system in southeast Michigan and draws patients from a referral base including 25 medical centers, Henry Ford Hospital and four community hospitals.
interested, please send curriculum vitae to: William G. Barsan, M.D., Professor and Chair, Department of Emergency Medicine, UMHS,
Qualified candidates will have a strong interest in furthering the academic mission of the department through research and education. We offer a competitive salary and excellent benefits including fully paid malpractice insurance. Please forward your CV for consideration to Scott Johnson, Physician Recruiter. Email: sjohns10@hfhs.org or fax to (313)874-4677. AA/EEO
1500 East Medical Center Drive, Ann Arbor, MI 48109-5303. The University of Michigan is an equal opportunity affirmative action employer.
22
UNIVERSITY OF MICHIGAN The Department of Emergency Medicine at the University of
PENNSYLVANIA: The Department of Emergency Medicine at Penn
Michigan (UM) is seeking physicians for full time clinical faculty
State Milton S. Hershey Medical Center is seeking an EM-trained, board-
positions in Emergency Medicine at Foote Hospital (Jackson, MI).
certified or prepared Physician Scientist who has completed a fellowship
Academic rank will be determined by credentials.
College of Medicine's physician scientist stimulus program. This program
in Research to join our faculty. Candidates may integrate with the PSU
Clinical
responsibilities will include patient care activity in the Emergency
provides detailed mentoring and assistance in grant preparation. In
Department. Responsibilities include house officer and medical
research infrastructure in genomics, proteomics, metabolomics and
addition to start up packages, the COM provides a state-of-the-art health services research, to name a few. Located in beautiful Hershey,
student training, and providing direct patient care in a setting providing both primary and tertiary care experience.
PA, the ED cares for nearly 50,000 patients per year, as supervised by
Applicants
20 boarded EM faculty. The EM residency program (24 residents), level 1 trauma, integrated flight and ground EMS, and outstanding
should have residency training and/or board certification in Emergency Medicine.
Excellent fringe benefit package.
computerization, all lead to a unique opportunity for your career.
If
Significant protected time and collaborative opportunities exist with laboratory and clinical research programs. Outstanding schools, low
interested, please send curriculum vitae to: William G. Barsan, M.D.,
crime rate and a comfortable, affordable atmosphere allow a pleasant
Professor and Chair, Department of Emergency Medicine, UMHS,
lifestyle while working in a World Class Academic Medical Center. Confidential inquires to Thomas Terndrup, MD, Chair and Associate
1500 East Medical Center Drive, Ann Arbor, MI 48109-5303. The
Dean for Clinical Research, Department of Emergency Medicine (H043),
University of Michigan is an equal opportunity affirmative action
PO Box 850, Hershey, PA 17033. Phone 717 531-8955 or email
employer.
tterndrup@hmc.psu.edu . EOE/AA-M/F/H/V.
University of Pittsbugh
Imagine being part of a team that makes a discovery.
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:
Emergency Room Attending Physician UMDNJ-Robert Wood Johnson Medical School is searching for faculty physicians for its newly formed Academic Department of Emergency Medicine on the New Brunswick campus. Candidates should be residency trained board certified/eligible in Emergency Medicine (ABEM, ABOEM). Clinical responsibilities include direct patient care and attending supervision of residents and medical students in the Robert Wood Johnson University Hospital Emergency Department. The department is actively pursuing a residency program in Emergency Medicine, has a recently established EMS fellowship, is developing a research program and increasing Emergency Medicine education within the medical school. Academic responsibility includes contribution to all aspects of the Department’s growth. Robert Wood Johnson University Hospital serves as the medical school’s primary teaching affiliate. Robert Wood Johnson is a 580 bed Level One trauma center with an annual ED census of greater than 60,000 adult visits. A separate pediatric Emergency Department sees approximately 13,000 patients per year. RWJUH has an active EMS system and, in conjunction with Hadassah Medical Organization in Israel, have formed the International Center for Terror Medicine.
Donald M. Yealy, MD Department of Emergency Medicine University of Pittsburgh School of Medicine 230 McKee Place, Suite 500 Pittsburgh, PA 15213.
Qualified candidates should send a letter of intent and curriculum vitae to: Robert Eisenstein, MD Vice Chairman, Department of Emergency Medicine, Robert Wood Johnson Medical School, 1 Robert Wood Johnson Place, MEB 104, New Brunswick, New Jersey, 08903. Email: eisensrm@umdnj.edu, Call: 732-235-8717, or Fax: 732-235-7379. Academic appointment is commensurate with experience. UMDNJ is and Affirmative Action/Equal Opportunity Employer.
The University of Pittsburgh is an Affirmative Action, Equal Opportunity Employer.
23
S A E M
Newsletter of the Society for Academic Emergency Medicine
Board of Directors Judd Hollander, MD President
Editor David Cone, MD David.Cone@yale.edu
Katherine Heilpern, MD President-Elect
Executive Director James R. Tarrant, CAE jtarrant@saem.org
Jeffrey Kline, MD Secretary-Treasurer
Managing Editor Colette Rierson crierson@saem.org
Jill Baren, MD Leon Haley, Jr., MD, MHSA Debra Houry, MD, MPH Catherine Marco, MD Megan Ranney, MD Adam Singer, MD Ellen Weber, MD
Society for Academic Emergency Medicine 901 N. Washington Avenue Lansing, MI 48906
Advertising Coordinator Maryanne Greketis mgreketis@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.
Future SAEM Annual Meetings 2008
May 29-June 1 Marriott Wardman Park Hotel, Washington DC
2009
May 14-17 Sheraton New Orleans, New Orleans, LA
2010
June 3-6 Marriott Desert Ridge Resort & Spa, Phoenix, AZ
NON-PROFIT ORG U.S. POSTAGE
PAID LANSING, MI PERMIT NO. 186