July-August 2014 SAEM Newsletter

Celebrating Our 25th Anniversary

NEWSLETTER 2340 S. River Road, Suite 208 | Des Plaines, IL 60018 | 847-813-9823 | www.saem.org

JULY-AUGUST 2014

VOLUME XXIX NUMBER 4

NEW SAEM PRESIDENT Robert S. Hockberger, MD

ETHICS IN ACTION Adolescent Informed Consent

THE EVOLUTION

of the SAEM Social Media Committee

NEW RESEARCH-FOCUSED RESIDENCY The Yale Emergency Scholars Program

ANNUAL MEETING Recap

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

SAEM STAFF Chief Executive Officer Ronald S. Moen Ext. 212, rmoen@saem.org Director of Information Services & Administration James Pearson Ext. 225, jpearson@saem.org Accountant Mai Luu, MSA Ext. 208, mluu@saem.org Accounting Assistant Dipesh Patel, CFE, MSA Ext. 207, dpatel@saem.org Communications Manager/Newsletter Editor Karen Freund Ext. 202, kfreund@saem.org Assistant to the Executive Director Michelle Orlow Ext. 206, morlow@saem.org Education Coordinator LaTanya Morris Ext. 214, lmorris@saem.org Grants & Foundation Manager Melissa McMillian, CNP Ext. 203, mmcmillian@saem.org Marketing & Membership Manager Holly Byrd-Duncan, MBA Ext. 210, hbyrdduncan@saem.org Meeting Planner Maryanne Greketis, CMP Ext. 209, mgreketis@saem.org Membership Coordinator George Greaves Ext. 211, ggreaves@saem.org Systems Administrator/Database Analyst Michael Reed Ext. 205, mreed@saem.org Administrative Assistant Sarah Buchanan Ext. 201, sbuchanan@saem.org Administrative Assistant Elizabeth Oshinson Ext. 204, eoshinson@saem.org

AEM STAFF Editor in Chief David C. Cone, MD david.cone@yale.edu Journal Editor Kathleen Seal kseal@saem.org Journal Manager Sandi Arjona sandrak.arjona@gmail.com

2014-2015 BOARD OF DIRECTORS Robert S. Hockberger, MD President Harbor-UCLA Medical Center Deborah B. Diercks, MD, MSc President-Elect University of California, Davis Medical Center Andra L. Blomkalns, MD Secretary-Treasurer University of Cincinnati College of Medicine Alan E. Jones, MD Past President University of Mississippi Medical Center Steven B. Bird, MD University of Massachusetts Medical School Kathleen J. Clem, MD, FACEP Loma Linda University School of Medicine D. Mark Courtney, MD Northwestern University Feinberg School of Medicine James F. Holmes, Jr., MD, MPH University of California, Davis, Health System Lauren Hudak, MD Resident Board Member Emory University School of Med Amy H. Kaji, MD, PhD Harbor-UCLA Medical Center Ian B.K. Martin, MD University of North Carolina School of 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. For Newsletter archives visit http://www.saem.org/publications/newsletters Š 2014 Society for Academic Emergency Medicine. All rights reserved. No part of this publication may be reproduced, stored, or transmitted in any form or by any means without prior permission in writing from the copyright holder.

HIGHLIGHTS NEWSLETTER HIGHLIGHTS GUIDELINES N EWSLETTER G UIDELINES SAEM invites submissions to the Newsletter, published bimonthly six times a year in identical online and paper editions, academic emergency medicine in pertaining to President’s Message areas including:

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    

Clinical practice Education of EM residents, off-service residents, medical students, and fellows Faculty development, CME Executive Director’s Message Politics and economics as they pertain to the academic environment General announcements and notices

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President’s Message

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Chief Executive’s Message

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Ethics in Action

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Resident and Student Advisory Committee

Submit materials for consideration for publication at newsletter@saem.org. Please include the names and

Ethics in Action affiliations of authors and a means of contact.

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Evolution of the SAEM Social Media Committee

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New Research-Focused Residency

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Academic Announcements

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Calls and Meetings Announcements

PRESIDENT’S M ESSAGE Robert S. Hockberger, MD

David Geffen School of Medicine at UCLA Harbor-UCLA Medical Center

My career in emergency medicine began with a senior medical student rotation at the University of Chicago in 1975. I was a student at the Loyola School of Medicine across town and had liked every rotation in my junior year, but none enough to commit to as a lifelong career. My advisor played tennis on weekends with a surgical colleague at the U of C who had recently started a residency training program in Robert S. Hockberger, MD emergency medicine, a very new specialty at the time, and suggested I give it a try. I took his advice and was instantly drawn to the excitement bordering on chaos, the varied medical and personal problems of the patients, and the sense of individual commitment and coordinated teamwork among the ED staff as they struggled together to find the best solution to each patient’s problem. I was also impressed with the charismatic leader of the department, my advisor’s tennis partner, Dr. Peter Rosen, who made the faculty and residents in his department feel they were part of an academic family committed to fostering each other’s personal and professional growth, while providing an important service to society.

I joined the family and accepted a faculty position in the department following my residency because I enjoyed teaching the junior residents, interns and students, and thought it would be fun to continue to learn and grow. Toward the end of my first year as a faculty member I read a book on career planning that recommended a two-part exercise. First, you write a paragraph describing what is important to you, what you are good at and what you enjoy doing, and with that information and a little imagination, what you think you might accomplish with your life. Then you pare the paragraph back to seven words or less, to create a vision statement for your life to help inform important career decisions.

My statement was “Serve the poor through medical education activities.” With that thought in my mind, the decision to accept a residency director position at a public hospital (Harbor-UCLA Medical Center) was an easy one when it was offered to me several months later.

After spending eight years as the residency director at Harbor I was offered the position of department chair. I performed the paragraph-paring exercise again, using what I had learned about myself since the previous effort, and came up with “Provide leadership to highly committed professional colleagues.” With that thought in my mind, I accepted the position and approached the job as though I were the residency director for the faculty, helping them develop their academic careers while they helped me develop and run our patient care, education and research programs. I’ve

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Dr. Jim Niemann, Dr. Bob Hockberger and Dr. Roger Lewis been extremely fortunate over the years to work with outstanding faculty who have labored diligently to pursue their own visions for what they hope to contribute to the field of emergency medicine, and those accomplishments have reflected quite positively upon our academic family. While I did not become active in SAEM until later in my career, as a department chair I was able to see how the involvement of my faculty aided their development as leaders within academic EM. As examples, Dr. Jim Niemann served as SAEM president in 1988-89 and received the SAEM Leadership Award in 1993, and Dr. Roger Lewis served as SAEM president in 2002-03 and received the SAEM Academic Excellence Award in 2005. Now, as I enter the next phase of my academic career, I am both honored and excited by the opportunity to serve SAEM and contribute to initiatives that will advance its mission.

One hundred people over 90 years of age were once asked what they would do differently if given the opportunity to live their lives over. The three most common answers were (1) they would reflect more on what they were doing, and why they were doing it, (2) they would take more chances, and (3) they would do more things that would leave a lasting impact. While pursuing an academic career doesn’t guarantee personal fulfillment, it does set the stage for it by providing us with the opportunity to reflect (at each stage of our careers, as we climb the academic ladder and encounter different opportunities), to take chances (as we strive to become better educators, scholars and leaders), and to participate in endeavors that have lasting effects on the lives of

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CHIEF EXECUTIVE’S M ESSAGE A BIG THANK YOU… AND WHAT’S IN A NAME? I would like to say a big thank you to all the individuals who made SAEM’s 25th anniversary Annual Meeting such a big success. The Program Committee, under the able direction of Dr. Chris Ross, worked tirelessly to put together the largest and, by all accounts, the very best program ever for SAEM. SAEM’s academies provided great programming, social events and special sessions on Tuesday that enhanced the Ronald S. Moen entire meeting; and other special programs, including the Consensus Conference, the Grant Writing Workshop, Sim Wars, and SonoGames®, were also acclaimed for their excellence. Attendance was at an all-time high, in spite of the difficult weather in the Dallas area and the rest of the country at the start of the meeting. Some members told me that it took them 36 hours to get from the East Coast to Dallas, with detours to many different cities along the way instead of the non-stop flights that had been booked. That is a real tribute to our members and their commitment to academic emergency medicine. Now the challenge for Dr. Ali Raja and his 2015 Program Committee is to do even better to engage and excite our members.

The Board of Directors has approved a number of changes to the overall meeting schedule that should further enhance attendees’ experience. Watch for these changes to be announced over time in the Newsletter and on the website.

For many years, there has been an emphasis on mentoring, coaching, leadership development and similar concepts, all of which help us to achieve our potential. Whether it is in a technical field, medicine, social work, business management or in other areas, these themes keep reappearing. So too in academic emergency medicine. Medical school and residency training programs rely on quality educational experiences. One must learn the subject matter, but even more important, one must learn to incorporate the facts into some logical method of processing the information and interacting with others. One needs to demonstrate mastery of subject matter, and also satisfy an instructor that not only do you know the subject matter, but you also know how to apply it. But beyond these rudimentary ways of demonstrating competence, we all seek to improve our performance and master more of the intangibles that make us really excellent in our chosen field of endeavor. One clear way to do this is to rely on the mentors we all have in our lives, whether the relationships they have with us are formal or informal, and most of us can name those individuals who have influenced our development and provided direct or indirect mentoring to help us along in our growth and development. Recently, the SAEM Board approved implementation of a comprehensive mentoring program that will be available to SAEM members as well as medical students who have an interest in emergency medicine. While a lot of mentoring occurs within the residency programs, there is an increasing need for the identification of mentors with specialized skills, and demand for matching them with individuals who want

further guidance in a particular area. This new program will utilize digital technologies to match a mentor and a mentee, and facilitate direct communication between the two. Our hope is that these matches will ultimately facilitate face-to-face interaction at various meetings throughout the years as well.

I am sure that every reader of this article can easily identify several individuals who have served as personal and professional mentors. I certainly can think of individuals who in some ways were formal mentors. They were teachers, advisors, and others who, through their formal positions, helped me while I was in college and graduate school. But as I think about this topic, I am also drawn to think about some of the other individuals who served as my mentors, and may not have even realized that they were providing me with excellent guidance. Some were other teachers with whom I had only a passing acquaintance, while others were colleagues who by their very nature and interaction with me provided unique experiences that helped me grow and develop my skills and confidence in how I approached situations.

I am always impressed by the constant interactions among SAEM members at our meetings. Clusters of individuals can be found all over the meeting sites, whether in side conversations during breaks in presentations, over meals or coffee, or in the late-night venues that are so popular with our members.

In other situations, we seek out coaches for particular skill development or a more critical analysis of our strengths and weaknesses. Often we hire coaches to help us understand how others perceive us and why we are not achieving something that we desire. This is particularly true in the development of leadership. This year, the Association of Academic Chairs of Emergency Medicine (AACEM), under the leadership of Dr. Brian Zink, developed a yearlong program geared to the meet the needs of newly elected chairs of emergency medicine departments, and to reach those who aspire to become chairs of these departments in the future. For the past couple of years, the Faculty Development Committee has developed a one-and-a-half-day program for leadership training for senior faculty, which is part of the Annual Meeting. Another leadership development program is offered during the Annual Meeting for more junior faculty. Anyone observing these programs will be struck by how intense the interaction becomes between the attendees and faculty; this is also truly a mentoring program that will have long-term benefits.

So what is there for you in the process we call “mentoring”?

Do you have a mentor? Do you want a mentor? What would you like a mentor to help you with?

Jim Pearson, a member of the SAEM staff, will be working with a committee of members to develop this program. He would appreciate your thoughts and suggestions. He can be reached at jpearson@saem.org.

Have a wonderful summer!

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Continued from Page 4 others (our colleagues, our patients and our communities).

At our recent Annual Meeting, I had the opportunity to help orient new board members, to meet with academy leaders and committee chairs, and to talk with a number of SAEM members about our organization’s accomplishments and challenges. While doing so, I couldn’t help but reflect on my own experiences volunteering with EM organizations over the past 35 years (the EM-RRC, ABEM, ACEP and in the past decade SAEM). Those experiences helped me become a more thoughtful educator, a more productive scholar and a more effective facilitator of collaborative work. Those things happened, bit by bit, through a series of relationships that started out traditionally (mentor, colleague, mentee) but very often evolved into friendships,

many close and long lasting. The accomplishments listed in my curriculum vitae showed the dean I was productive, but the friendships I established while working on those projects brought me personal satisfaction that will last long after my academic career.

With our 25th anniversary meeting behind us, and a new academic year beginning, I encourage you to take this opportunity to reflect on what you are doing, and why you are doing it, to take at least one chance during the coming year, and to think about the legacy you will eventually leave behind. Regardless of what you decide, remember that participation in SAEM can help you develop the skills and relationships necessary to accomplish your goals (my wife would say dreams). ◗

2014 ANNUAL MEETING PROGRAM COMMITTEE Harrison Alter, MD Alameda County Medical Center Highland Hospital Gillian Beauchamp, MD University of Cincinnati Steve Bird, MD University of Massachusetts Jennifer Carey, MD University of Massachusetts Rob Cloutier, MD Oregon Health & Science University Moira Davenport, MD Allegheny General Hospital Kevin Ferguson, MD University of Florida Barbra Forney Compliance Program Manager University of Cincinnati Chris Ghaemmaghami, MD University of Virginia Eric Gross, MD Hennepin County Medical Center Sanjey Gupta, MD New York Hospital Queens Todd Guth, MD University of Denver Tarlan Hedayati, MD Cook County Hospital

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Carolyn Holland, MD University of Florida Jeffrey Hom, MD Stony Brook University School of Medicine Jason Hoppe, MD University of Colorado Laura Hopson, MD University of Michigan Lauren Hudak, MD Emory University Jennifer Lee Jenkins Levy, MD Johns Hopkins University Jonathan Jones, MD University of Mississippi Medical Center Gabor Kelen, MD Johns Hopkins University Hollynn Larrabee, MD West Virginia University Luan Lawson, MD Brody School of Medicine at East Carolina University Jo Anna Leuck, MD Carolinas Medical Center Jason Liebzeit, MD Emory University School of Medicine Brandon Maughan, MD University of Pennsylvania

Erin McDonough, MD University of Cincinnati Henderson McGinnis, MD Wake Forest Baptist Health Joseph Miller, MD Henry Ford Hospital Angela Mills, MD University of Pennsylvania Joel Moll, MD University of Michigan Lewis Nelson, MD New York University Jason Nomura, MD Christiana Care Health System Charissa Pacella, MD University of Pittsburgh Daniel Pallin, MD Brigham and Women’s Hospital / Harvard Medical School Peter Pryor, MD Denver Health Ali Raja, MD Brigham and Women’s Hospital / Harvard Medical School Linda Regan, MD Johns Hopkins University Kevin Rodgers, MD Indiana University

Christopher Ross, MD Cook County Hospital (Program Committee chair) Cynthia Santos, MD Mount Sinai Medical Center Stacy Sawtelle, MD UCSF Fresno Medical Education Program Todd Seigel, MD Brown University Sneha Shah, MD University of Massachusetts Richard Sinert, MD SUNY-Downstate Medical Center Howard Smithline, MD Baystate Medical Center Lorraine Thibodeau, MD Albany Medical Center R. Jason Thurman, MD Vanderbilt University Jody Vogel, MD Denver Health Medical Center Justin Williams, MD University of Texas Health Sciences Center - San Antonio Robert Woolard, MD Texas Tech University Health Sciences Center

ETHICS IN ACTION ADOLESCENT INFORMED CONSENT Naomi Dreisinger, MD, MS, FAAP Mount Sinai Beth Israel, New York

CASE PRESENTATIONS A 15-year-old boy presents to your emergency department accompanied by a friend. He explains that he has been having lower abdominal pain for 2-3 days accompanied by anorexia and nausea, but denies vomiting or fever. The patient seems cautious when discussing his symptoms, and frequently defers to his older male friend. When questioned as to the whereabouts of his parents and how best to contact them, the patient states they are out of town, and cannot remember his mom’s telephone number. Upon completion of the physical, you are concerned about appendicitis and begin a work-up including lab tests and possible imaging. At this point you become concerned about who will give permission for the evaluation and possible necessary procedures for this minor patient.

Emergency medicine physicians are fortunate in that consent is not always necessary when treating patients in the ED. In urgent or emergent situations, treatment required to prevent serious harm or death is allowed without informed consent. It is possible that our patient falls within these guidelines, meaning that beginning the evaluation without proper consent is permissible. Despite this fact, the case in question brings up several ethical dilemmas.

When an adolescent patient presents to the ED without a parent, what is the responsibility of the provider? Informed consent is defined as a communicative process that shares information with patients intended to ensure that the patient understands the information, and requests permission to proceed. Careful informed consent must include an explanation of possible alternatives of care as well as the risks and benefits of a particular procedure. Informed consent allows patients to use their own value system to determine the need for a particular procedure or test, thereby respecting them as autonomous individuals. Allowing such autonomous decision assumes patients are capable of the thought process required for complex decision-making (capacity for self-rule) and grants them the ability to make choices without undue influence. Adolescent patients are beginning to understand complex decision-making, but are they capable of providing informed consent for medical procedures?

Jean Piaget defines adolescence as a journey from concrete operational thought to formal logical reasoning. The ability to use formal logical reasoning allows an adolescent to weigh multiple points of view and process more complicated questions. During this transitional period children are often dependent on their parents socially and financially. Parents primarily make complex decisions, including medical decisions, with some weight given to the adolescent’s opinion. There are several exceptions to this

statement. Adolescents seeking health care may consent to their own treatment in the following situations: access to contraception/ reproductive care, evaluation and treatment of sexually transmitted diseases, mental health care, and substance abuse treatments.

Adolescents feel strongly about their right to privacy regarding reproductive care, and minors are thus authorized to provide consent in these circumstances to assure that they seek care and to minimize the spread of infection. Studies show that without confidentiality, many adolescents would avoid medical care, putting themselves and the public at risk. A good doctor-patient relationship is based on trust; trust is inherent in the development of a safe and helpful relationship when treating adolescents for delicate matters, and thus confidentiality is a necessity.

Under certain circumstances, adolescents may consent to their own medical treatment regardless of treatment type: children under the age of 18 who are married, have children of their own, financially support themselves, or are in the military. These children are considered emancipated minors; irrespective of their true capacity, they are authorized to consent to their own or their children’s medical care. An additional concept is mature minors, children determined to have actual decision-making capacity: they can be granted decision-making authority through a court of law. Although official in just eight states, the idea of the mature minor is desirable because it utilizes the developing autonomy of an adolescent through a fact-specific review analyzing the minor’s ability to make informed decisions that appropriately assess the risks and probable consequences of a particular action. Mature minors are determined on a case-by-case basis. While the mature minor is an important concept to understand, it is rarely useful in the ED or other circumstances where time is of the essence.

Following the above analysis, let us return to the case at hand.

The patient in question is a 15-year-old boy with abdominal pain.

Further exploration reveals that the child ran away from home, and was presently staying with the friend who had come with him to the ED. Medical evaluation reveals that this patient does indeed have appendicitis, and appropriate informed consent for surgical treatment is necessary. As has been explained, even if adolescents desire privacy and strive for autonomy, when a complex medical decision is necessary, it is often not appropriate to allow them to make this decision on their own. This can be true even in cases relating to reproductive care. Guidance through a candid discussion of worries and health risks may help adolescents incrementally assume responsibility while also helping them understand the need for parental involvement. In this instance, the patient ultimately shared his mother’s telephone number. The ED staff was able to explain the situation to her in time for her to provide appropriate consent for the appendectomy. ◗

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RESIDENT AND STUDENT ADVISORY COM M ITTEE WHAT I WISH I KNEW IN THE LAST FEW MONTHS OF RESIDENCY Steven J. Katz, MD So, where to start? This is a big topic, and by now you (hopefully) have found a new job, signed contracts, found where you will be living for the next few months, and figured out which yacht you will be buying with your big new attending salary. Obviously, that last bit was a joke, but in all seriousness, there are so many factors to consider in the last few months of your life as a resident. It may seem overwhelming or even downright scary leaving your wellknown and comfortable world of residency, but you are about to embark on a great adventure.

I remember my first few shifts, and specifically the first patient I saw in my new and shiny community job. Prior to that day, I had had multiple hours of computer training, orientation to the hospital system, etc., but there was something daunting about that first unsupervised shift. Unlike some of you, I did not choose to moonlight during residency, so my first day truly was my first shift on my own. My first patient was a 57-year-old male with shortness of breath, and I thought, “Hey, I know how to take care of that!” and entered my first patient room. That’s when things got interesting.

The shortness of breath was actually respiratory distress with a severe CHF exacerbation that required multiple interventions and eventually an ICU bed. That notwithstanding, I have felt comfortable and well prepared for my new life as an attending.

I had my post-residency life semi-figured out by the last few months, actually: I had signed my contract for my new job by January of my last year, so I was slightly ahead of the curve in

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that respect. I chose to leave the academic world and go into community practice in Austin, Texas, as an employee of a private group, and making that decision opened up a ton of new questions for me at that time. What was I supposed to do about health insurance, taxes, malpractice, disability insurance? I was fortunate in many ways, as my group provided me with malpractice and health insurance as well as a retirement fund, so those items were immediately crossed off of my to-do lists.

The first, and, I thought, most important task was finding a place to live. There are tons of options available – obviously, I am not a financial expert, so I will not be able to give you advice about mortgages or house-buying in general – but here’s what I have learned. We decided to rent for the first year because we knew that a large proportion of EM physicians will change their jobs after just one year. Plus, since we were anticipating a significant change in our collective income, we wanted to wait and search for homes once we were more settled and I was sure I was going to stay at my job. There are many banks and lenders out there that will see “MD” after your name and offer you more money than you thought you would need for a home, ever. For the most part I can say stay away from these options: they tend to have variable rates, and you may end up paying a lot more than you want to each month. Go with a trusted lender, and put 10-20% down on a traditional mortgage. When you start the home-buying process, talk to your family and other people who have done it before: they are a great resource of knowledge, and you can always learn from their mistakes.

Second was finding disability insurance, and this took the most amount of research and planning on my part. For most of you there will be an option to contact your residency-associated Continued on Page 9

Continued from Page 8 disability insurance carrier to continue your policy. Do it now if you haven’t already. Yes, it’s expensive, but you want to be sure you get specialty-specific coverage. What that means is if something happens and you can’t practice EM any more, the policy will provide you with whatever amount you pay for, even if you can do other work.

Last, plan out a budget. This is so important; I can’t stress this enough. I can hear you saying, But aren’t I going to finally have that bank vault in my home like Scrooge McDuck, filled to the roof with gold coins? No, I’m sorry to say, you won’t. I had the same thoughts and, although my income has changed, a lot, there are so many things to begin saving and planning for that become important.

Also remember that if you are an independent contractor, you will need to plan for expenses like taxes, malpractice insurance, and much, much more. If I can impart just one thing, let it be this: be sensible with your new income, and enjoy the last few months of your time in residency. ◗

ADVICE FOR NEW RESIDENCY GRADUATES Albert Kim, MD

Washington University in Saint Louis To my future colleagues in the wonderful field of emergency medicine, congratulations! As of this writing, you are only a few short weeks from completing your residency training and pursuing a career in academic medicine. As a recent graduate myself, I know this is both an exciting and an intimidating experience. Juggling a new fellowship, a new position (Hello Dr. Attending, yes, you may get free coffee from the faculty lounge…), a new city or institution, and new responsibilities can be quite overwhelming. I certainly am not an expert, as I continue to struggle with many of these same issues. My goal is to share the best advice given to me over the past year by my own mentors and advisors, who have helped me get through my first year post-residency.

Find a mentor or mentors: There is no need to stumble through this alone. Find someone you trust to provide guidance and advice.

This may be your fellowship director, former residency director, or any attending who is particularly supportive of your pursuits. Mentors should be individuals who understand your personal and professional goals, and have experience in these areas to share. This may

include others outside of your institution or even outside emergency medicine. For instance, one mentor I’ve frequently turned to over the past year is a PhD in educational psychology at a university 2,000 miles away. Approach your mentorship as a symbiotic relationship in which you must be an active member. In addition to receiving advice, you must share your goals and knowledge gaps, and proactively seek constructive feedback regularly.

Pick a focus and passion: You’ve made the decision to enter academic medicine; now, what is your passion within the field?

Maybe you’ve entered academic medicine because you have a passion for education. Now begin refining your focus: Is it medical student education, resident education, procedural training or bedside teaching? What are your ultimate goals? Do you want to be clerkship director? A fellowship director? APD or PD? If you’re entering a fellowship, you may have already started this process, but continue to refine your plan. Begin to create a vision for your career and choose your experiences to align with your goals.

Learn to say yes and no: As a fellow or attending, you’re finally gaining autonomy! Gone are duty hours! Gone are the Milestones!

Gone are the tedious requirements for residency completion!

Unfortunately, this means your career is very much a choose-yourown-adventure novel. It is easy to say “yes” and quickly become overwhelmed. There is always one more lecture series, one more research project, one more committee that could use your input, and you may soon find yourself swamped with responsibilities. Saying “no” is an art form. However, you must also avoid saying it too often in your first year, as the opportunities may stop coming. Instead, talk to your chair, your fellowship director, or your mentors early on, so they can both get you involved and assist you in tailoring your activities. As you find your focus, you may need to politely decline projects that do not align with your ultimate career goals.

Academic balance: Remember, there are only so many hours in the day, and numerous activities now competing for your time.

You will balance patient care, administrative tasks, service to the hospital/ED, teaching, scholarly pursuits, and your own personal and professional development. Some advice I wish I had known sooner: break down the number of hours you plan to commit to each item per week and month. If your goal is to be a clerkship director, but research and scholarly activities account for 40% of your time, you may need to revisit your priorities. How can you shift your activities so the time spent better reflects your personal goals? Use this technique to aid you as you say “yes” or “no” to available opportunities.

Time management: Do you find yourself frequently running late?

Having trouble completing projects? Unlike in residency, there is no PD or residency coordinator to keep track of your requirements.

“Oh, I forgot” or “I’ll turn it in next month” are no longer accepted.

One of my mentors encouraged me to utilize a scheduling program (Outlook, Google Calendar, etc.) to both remind myself of deadlines and allow time to work. Abstract due next week? Schedule a four-hour meeting with yourself to write. Responding to emails is necessary but time-consuming, so plan for a 30-minute session each morning or afternoon. Maintaining realistic expectations of my productivity has helped me stay on task with long-term projects while avoiding the risk of taking on too much. Finally, remember you have passions outside the hospital that deserve your time and attention. Don’t forget to schedule time with your family, your friends, time to run through the park, or to go see that new museum exhibit. Don’t allow yourself to burn out by ignoring the people and activities you love. ◗

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THE EVOLUTION OF THE SAEM SOCIAL MEDIA COMMITTEE Nicholas Genes, MD PhD (@nickgenes) Icahn School of Medicine at Mount Sinai Inaugural Chair, SAEM Social Media Committee Thinking back to five years ago, it may seem that we progressed, sure-footedly, down a reasonable path - but at the time, every decision felt like a gamble. Facebook and Twitter were growing, sure - but there was a sense they could quickly go the way of Friendster or MySpace, instead of maturing into the billion-dollar mainstays they are today. More important, many people regarded social media as a guilty pleasure or a frivolous distraction, unworthy of investing resources or academic consideration.

I had just finished residency and was in the midst of my informatics fellowship when I saw SAEM’s call for members to join the “New Media Task Force.” While I was a member of the Society, and had even presented my journal club blog as an Innovation in EM Education a few years prior, I had never really invested time in an SAEM committee. But I was intrigued, and thought I could help. I tried to submit my name for consideration through the SAEM website - but the task force was so new, and the website so dysfunctional, that there was no option for it in the drop-down list. I emailed the president-elect at the time, Jeff Kline, directly, with some dashed-off ideas for what I thought I could contribute to the task force.

Dr. Kline responded quickly, asking if I was interested in being chair. He wanted to ramp up the Society’s social presence before the 2010 Annual Meeting, and felt I had the necessary credentials.

I was stunned, honored, but also a little skeptical. I didn’t know anyone in the SAEM leadership and would have to be working closely with staff, the Program Committee, and other chairs. He promised to help with introductions and making connections, and with his support, we were off and running.

The task force was able to recruit rising stars like Michelle Lin (@M_Lin) and Jason Nomura, who were pioneering free, openaccess medical education before the #FOAMed term was coined.

The SAEM staff – particularly Holly Gouin, Maryanne Greketis, and Dave Kretz – were superb - always enthusiastic and open-minded (and patient). We quickly set up a presence on Facebook and Twitter, working with folks like Sandra Arjona at Academic Emergency Medicine to disseminate new research and engage with members.

When the 2010 Annual Meeting in Phoenix came around, we were ready. Photos from the plenary session, opening reception, dodgeball and other events were posted to Facebook. Key points and comments from research sessions were shared over Twitter.

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Attendees had a new way to coordinate and learn what was transpiring in other parts of the conference, and those who couldn’t make it could follow along from home. Growth was explosive, and engagement with so many members was rewarding and fun.

After Phoenix, the Board of Directors tasked us with developing guidelines for responsible social media use, for both the Twitter “voice” of SAEM online (@SAEMonline), and for individual members looking to explore the new tools. We transformed into a full-fledged committee, with responsibilities to serve other groups within SAEM, and a goal of sponsoring didactic sessions at future Annual Meetings.

Delivering on those promises in Boston the following year was tremendously satisfying. It also felt like it was time to pass the baton, and Jason Nomura took over as committee chair. While I can marvel at what he and others have accomplished, and the new heights to which he’s taken this group, I’ll always be grateful for the support of the SAEM staff, Board of Directors, Program Committee, and that early core group of Task Force members.

With their support and guidance, five years on, the Social Media Committee looks like a gamble that paid off.

Jason T. Nomura, MD

(@takeokun)

Christiana Care Health System Immediate Past Chair, SAEM Social Media Committee Leading up to the 2012 meeting, the Social Media Committee began to expand and grow. Completing one of the major tasks set before it, the Committee finalized the Guidelines for the Use of Social Media for the SAEM membership policy, which was approved by the Board of Directors.

This document was aimed at providing guidance about use of social media to the academies, committees, and task forces within SAEM and to SAEM as a whole.

The Committee members and staff worked hard to expand SAEM’s social media footprint. Accounts had been started and had grown on Twitter, Facebook, and Google+, along with collaboration with Academic Emergency Medicine on Vimeo.

Expansion and growth of the Society’s social media profile began with committee members posting information through the various channels, with efforts from Nick Genes, Jason Nomura, and Jim Miner (@jminer01). SAEM staff placed information about the Social Media Committee and channels, along with calls for content, in print and electronic publications.

Continued on Page 11

Continued from Page 10 During the 2012 Annual Meeting there were increasing numbers of postings from SAEM on social media, focusing on Twitter and Facebook. There was also an increasing volume of Twitter posting due to “live tweeting,” or real-time postings, of didactic and research sessions at the meeting. Scott Joing (@scottjoing) captured video interviews with presenters over the entire meeting and posted them to Vimeo. This allowed researchers to discuss their findings with a broader audience and let non-attendees see what they were missing. A didactic offered on “Social Media and the Academic Physician” at the Annual Meeting was well attended and received.

The growth of social media within SAEM led to the Program Committee collaborating with the Social Media Committee and creating a subcommittee devoted to social media and the Annual Meeting. Committee members were also asked to assist with the website transition, becoming members of the Website Evolution Task Force, and eventually the Website Evolution Committee.

At the 2013 Annual Meeting, social media figured even more prominently. There was increasing mention of the SAEM twitter stream and the conference hashtag, #SAEM13, than in previous meetings. This matched an increasing use of social media, specifically Twitter, by medical professionals, students, and educators throughout emergency medicine. This year also marked a greater integration of social media into the SAEM website, SAEM communities, and the Annual Meeting application due to the work of SAEM staff members and IT director Jim Pearson.

Social media also figured prominently at the Annual Meeting, from the cyber café to advertisements and didactics offered.

Leading up to the 2014 Annual Meeting, collaboration continued with the Program and Website Evolution committees. However, given the growth and prominence of social media, SAEM staff was taking a larger role in the digital footprint of the Society. Karen Freund as communications manager helped to expand the social media presence of SAEM. This included promoting and highlighting news about SAEM members and their accomplishments.

At the 2014 Annual Meeting, live tweeting of the pre-Meeting day of special sessions, the consensus conference, didactics, and research sessions took off. There were a record number of posts, leading to the hashtag #SAEM14 becoming a worldwide trending topic on Twitter. For a period of time on May 15, #SAEM14 was the most popular hashtag on Twitter. Members also continued to collaborate with the Program Committee, Website Evolution Committee, and SAEM Academies. The didactic session on social media for academic faculty was a success, and has spurred plans for future didactics and a possible pre-Meeting workshop.

At this year’s Annual Meeting, I handed the baton over to Brett Rosen as new chair, to guide the future direction of the Committee.

With Karen Freund and the Committee forming a solid and regular base for the SAEM social media voice, the future looks full of promise and growth for social media and SAEM’s footprint in the digital world.

Brett A. Rosen, MD

(@EMDocBrett) Los Angeles County – Harbor-UCLA Medical Center 2014-2015 Chair, SAEM Social Media Committee

involved with SAEM’s social media ventures since the early days, when I was a medical student. It has been an amazing experience to watch us start out with essentially no presence and get to what we have today under the leadership of my predecessors, Nick Genes and Jason Nomura. I am fully aware of the big shoes that I have to fill over my term as chair of the Committee. I am grateful to Jason and Nick for their guidance thus far, and especially to our SAEM president, Bob Hockberger, someone whom I look up to, for entrusting me with this responsibility.

Rotating off of the Board of Directors this year, I see that it is clear that social media plays an enormous role in our Society today. Our global reach is strengthened and our impact within emergency medicine is felt with Twitter streams from practicing emergency physicians. I believe we all witnessed this during this year’s Annual Meeting, when #SAEM14 became the top trending topic on Twitter, as our colleagues from all over the world were interacting with those of us tweeting from the social media didactic. It was an amazing moment, and was a show of our social media strength. Building on this, the Social Media Committee has set itself a number of tasks this year, and is working hard already to accomplish them. I guarantee that you will see firsthand the effect of the ventures we are undertaking.

In each future SAEM Newsletter, you will now find an article devoted to the latest academic emergency medicine conversations and blog posts on social media networks, written by a resident member of SAEM. Didactic sessions will continue at the Annual Meeting and, for the first time, the Committee is planning a special session at the 2015 Annual Meeting devoted to social media for the academic emergency physician. If you want to learn how to apply social media to your academic practice, plan on being in San Diego on the first day of the conference!

We continue to work with Academic Emergency Medicine on joint ventures. Keep an eye out in the next year for a primer from the Committee on using social media. I will serve as the Social Media Subcommittee chair for this year’s Program Committee, continuing this collaboration of the last two years. I have assigned a formal liaison to the Website Evolution Committee in order to both assist their efforts and ensure social media can be found on the related sections of our website. Our committee seeks to engage with all of other committees, academies, task forces, and interest groups within the Society, and we are always open to collaboration.

Please contact me through Twitter or the SAEM office with any suggestions that you have for the Committee. If you find our work interesting, I encourage you to apply for membership in the Committee next year. The future holds great promise, as we have a number of very dedicated and accomplished individuals that realize the importance of our work. I can promise you this: SAEM will be THE place to go for all of your academic social media needs, so please continue to support our efforts - follow our Twitter streams, our Facebook pages, our LinkedIn profile, and join our unique community!

Wow, what a journey social media has taken within SAEM! I have also been

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2014 SAEM ANNUAL MEETING

SAEM THANKS THE 2014 ANNUAL MEETING MEDICAL STUDENT AMBASSADORS FOR THEIR DEDICATION AND WORK IN DALLAS: Ted Apstein Warren Alpert Medical School of Brown University Stephanie Benjamin University of Cincinnati College of Medicine Hilary Davenport Edward Via College of Osteopathic Medicine Yana Gelman Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine Brook Harris University of Mississippi School of Medicine Marcus Holmes Kansas City University of Medicine & Biosciences Kristin Kahale Oakland University William Beaumont School of Medicine Kathleen Li University of California, San Francisco Jonathan Moser University of Arkansas for Medical Sciences College of Medicine Akash Patel Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine Vir Singh Rutgers Biomedical and Health Sciences – New Jersey Medical School William-May Stubblefield Indiana University Chad Thompson University of Minnesota Medical School Jesus Torres

New York Medical College

Mark Tschirhart St. George’s University School of Medicine Katie Vannatta Kansas City (MO) University of Medicine and Bioscience

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Amanda Ventura

University of Cincinnati

Maura Walsh

Rush Medical College

Summer Paradise

Yale University School of Medicine

THE 2014 SAEM ANNUAL MEETING IN DALLAS: A LOOK BACK FROM THE PROGRAM COMMITTEE Sarah Ronan-Bentle, MD

University of Cincinnati College of Medicine On behalf of the 2013-2014 SAEM Program Committee The 2014 SAEM Annual Meeting was by all accounts a great success. The registered attendance at the meeting was at an all-time high. This year’s event hosted the largest number of didactic offerings of any Annual Meeting. The number of accepted scientific abstracts presented orally and in poster format was also at an all-time high. The number of educational Innovations presented in the oral format, poster format and table top demonstrations has grown exponentially in breadth of content and number of presentations each year, and this year’s sessions were no exception.

Here’s a brief recap of some of the highlights of the meeting.

Multiple topic-specific symposia were held on May 13, the first day of the Annual Meeting, covering such subjects as ultrasound, simulation, diversity in academic emergency medicine, analgesia, and evidence-based diagnosis. The perennial favorite, the Grant Writing Workshop, also took place that day. Tuesday also saw the 2014 AEM Consensus Conference, “Gender-Specific Research in EM: Investigate, Understand, and Translate How Gender Affects Patient Outcomes.” These sessions offered opportunities for participants to network with colleagues, learn about the latest research, get handson training, and design future academic pursuits.

Starting bright and early on Wednesday, May 14, one of the most well-attended didactics was “Early Care of Septic Shock: New Data and How Does it Fit?” presented jointly by Drs. Donald Yealy, Emanuel Rivers, Stephen Trzeciak, and Alan Jones. Perhaps the highlight of Wednesday from the perspective of those with research interests were the multiple sessions by leaders from NIH, including Jane Scott from NHLBI and Dr. Jeremy Brown, director of the Office of Emergency Care Research at NIH. These sessions included multi-institutional research faculty with NIH grants talking about their paths to successful federal funding. The afternoon was capped by a session featuring Dr. Brown, Dr. Atul Grover of AAMC, and Mr. Gordon Wheeler of ACEP, “Emergency Medicine: Challenges and Opportunities under the Affordable Care Act.” This was followed by the Plenary Session and the Opening Reception, where a great time was had by all.

On Thursday, May 15, a new form of didactic presentation was embraced by a large audience. By all accounts, Ignite SAEM! with its format of 20 slides presented in five minutes, was a huge success. First-, second-, and third-place winners were awarded valuable prizes for their excellent presentations. We look forward to bringing back Ignite SAEM! in San Diego at the Annual Meeting next year.

On Friday, May 16, the Medical Student Symposium and the Junior Faculty Development Forum homed in on career development for those attendees who are the future of emergency medicine. The Junior Faculty Development Forum, in its third year, continues to grow in popularity and features outstanding leaders of SAEM and at their respective institutions sharing their experiences in the career tracks of education, research and administration.

The Medical Student Symposium provides a forum for medical students to learn about the residency application process and career options after residency. The Residency and Fellowship Fair followed on Friday afternoon, providing the opportunity for medical students and residents to speak with representatives of residency and fellowship programs from across the country.

Saturday, May 17, the final day of the Annual Meeting, featured many didactic presentations in education and research. Among the highlights was a session featuring malpractice attorneys Adam Davis and Marilena DiSilvio, who presented “Watch a Doctor Get Sued: A Live Medicolegal Simulation,” tackling a topic not previously presented at SAEM. As always, the Annual Meeting gave attendees the opportunity to view many oral abstract presentations and poster sessions.

Each Academy also presented didactic sessions and held its annual business meeting. If you were unable to attend, attended but missed something you wanted to see, or want to revisit a session, check out this year’s innovation, SAEM OnDemand, a program that lets you stream and download audio and slides recorded on-site in Dallas. Visit the OnDemand site at saem.org/ ondemand for all the details.

We thank everyone for your contributions to an outstanding 2014 SAEM Annual Meeting, and look forward to seeing you next year in San Diego. ◗

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Continued from Page 6

STRATAGEM FROM THE 2014 SAEM AM SPECIAL SESSION “PLANNING FOR A SAFER DECADE OF ED ANALGESIA” Scott Weiner, MD, MPH

sweiner@massmed.org • @ScottWeinerMD

Lewis Nelson, MD

Lewis.nelson@nyumc.org • @LNelsonMD

Jason Hoppe, DO

Jason.hoppe@ucdenver.edu • @drjhoppe

Jeanmarie Perrone, MD

jeanmari@mail.med.upenn.edu • @JMPerroneMD For the 2014 SAEM Annual Meeting, the Program Committee expanded the opportunities to present alternative content during the “pre-day.” We composed a special session entitled “Planning for a Safer Decade of ED Analgesia.” This session had two goals: (1) to outline a plan to enhance pain management education in residency curricula with the ultimate aim of improving the safety of opioid analgesic prescribing, and (2) to identify research gaps for future study. Participants represented geographically diverse programs around the US, including residents and a spectrum of faculty actively engaged in education and research. Brief overviews of the fundamentals and adverse effects of analgesics and a review of existing pain curricula set the stage for the session. This groundwork was followed by a dynamic presentation by Margaret Sande, MD, of the University of Colorado, about integrating simulation into pain education. Next, Michael Beeson, MD, the program director at Akron General Medical Center/NEOMED and chair of the Emergency Medicine Milestones Working Group, shared his expertise and recommendations for targeting the pain curriculum to address the new ACGME milestones.

The research breakout, guided by Don Yealy, MD, professor and chair at the University of Pittsburgh, recognized needs including the definition of appropriate endpoints for measurement of educational success, such as reduced variability in prescribing, and assessing competency in analgesic shared decisionmaking. We were also fortunate to be joined by Knox Todd, MD, professor and chair of emergency medicine at the University of Texas M.D. Anderson Cancer Center, who led the curriculum

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Dr. Knox Todd leading the curriculum breakout of the special session “Planning for a Safer Decade of ED Analgesia” development component of the breakout session. The consensus in the curriculum breakout was to move forward in creating pain management interactive case vignettes and podcasts that can easily be integrated into an ongoing system-based curriculum in an asynchronous format. This proposed curriculum will be housed on a dedicated website consistent with the progressive FOAMed platform. We wish to acknowledge and thank Sergey Motov, MD, for his prior work (http://www.painfree-ed.com/) on this specific issue and for participating in the session. One attendee wrote later “First let me thank you for putting together the special session at SAEM and making efforts to develop an opioid curriculum for EM. It was probably the most productive session I attended at SAEM. It has started me thinking about multiple associated issues.” We hope that the dialogue we started at this special session will help clinicians move towards better and safer pain management for all of our patients.

If you want to get involved, have suggestions about development or implementation of a pain management curriculum, or if you have any other thoughts to offer, please feel free to contact any of us. ◗

SONOGAMES ® 2014: THE COMPETITION RAGES ON! Ultrasound is radiationfree, leads to faster diagnoses, is easy and efficient… but what we didn’t know is that it is a competitive sporting event!

Kristin Carmody, MD

(Left) SonoGames® 2014 Champions: The Playboy Bunnies of The University of Connecticut (Right) Teams performing ultrasound-guided tofu sticks at Round 2 Station “Game of Moans”

Andrew Liteplo, MD

and articles covering as many aspects of point-of-care ultrasound as possible. The 10 highest-scoring teams advanced to the second round: University of Michigan, UConn, Regions, Yale, Utah, HAEMR, NYU/Bellevue, Mt. Sinai, GWU and USFL CM. In Round 2, the 10 teams rotated through 5 different skill stations: “Game of Moans” – Created by Dr. Kristin Carmody. Teams were given clinical and procedural cases to test their skills at ultrasoundguided nerve blocks. The six clinical cases required residents to select the correct nerve block for a given injury; the three clinical cases required the competitors to guide a needle accurately through a homemade nerve simulator model, made of spaghetti and tofu, demonstrating correct technique and nerve block skills.

“Through the Looking Glass” – Created by Dr. Alice Murray.

This station used Google Glass technology to test the residents’ ability to direct a remote sonographer to obtain required images while blindfolded.

“I’m Not Dead…Yet” – Created by Dr. Andrew Liteplo. This station used SonoSim’s SonoSimulator® to test residents’ ability to scan a simulated model and match correct diagnoses and management to each case.

“Just in time…” – Created by Dr. Matt Dawson. This station tested residents’ ability to evaluate for increased intracranial pressure with transcranial Doppler (not using ocular ultrasound) and to measure the Mean Left Ventricular Diastolic Pressure (LVDP), to test the residents’ teamwork skills and their ability to teach themselves and others how to do something using available resources.

“Physics and Artifacts Charades” – Created by Dr. Resa Lewiss. This station used a charades format in to test residents’ physics and artifacts knowledge.

The University of Michigan and the University of Connecticut advanced to the final competition in Round 3. Round 3 was created and emceed by Dr. Liteplo and judged by the other members of the SonoGames® Committee. The rounds included the identification of video clips uncovered by the removal of tiles on a board; and a traditional “scan off,” but with a new twist for 2014: After choosing an anatomical area to scan, one member from each team proceeded to scan a hidden live model, with the images projected on a screen, and the judges and audience unable to see which team created each image. The judges voted on the best acquired image.

At the end of Round 3, UConn emerged as the SonoGames® 2014 champions. Congratulations to team UConn (Peter Keenan, Tia Little, J.P. Craford, and team captain Meghan Herbst) on an amazing victory!

The SonoGames® 2014 was a huge success, and one of the highlights of the SAEM Annual Meeting. Plans are already underway for SonoGames® 2015, so get your probes prepared! ◗

NYU School of Medicine

Massachusetts General Hospital

On May 15, 2014 at the SAEM Annual Meeting in Dallas, TX, the SAEM Academy of Emergency Ultrasound hosted the 3rd annual SonoGames®. It was a thrilling five-hour competition, testing emergency medicine residents from across the country on their ultrasound knowledge, skills and teamwork. Who would be crowned the 2014 SonoGames® champion?

Organizing the Games for 2014

The 2014 SonoGames® Organizational Committee was cochaired by the AEUS president, Dr. Kristin Carmody, and education officer, Dr. Matt Dawson. Returning for the third year in a row as members of the committee were Dr. Andrew Liteplo, Dr. Resa Lewiss and Dr. Alice Murray. There were many faculty and fellow volunteers who helped run registration, modeling, timekeeping, judging, and staffing of the event. The committee extends special thanks to Arthur Au, Rob Huang and Ken Kelley for photography (samples of their great photos can be seen at: http://www.saem. org/annual-meeting/events/sonogames); our AEUS SAEM staff liaisons, Melissa McMillian and Sarah Buchanan, and event planner, Maryanne Greketis; and the SAEM Program Committee and Board of Directors, who were all invaluable in making the event possible.

Industry

The SonoGames® once again had solid ultrasound industry support this year. Terason, Zonare, Philips, Mindray and Sonosite all provided machine and monetary support. In addition, SonoSim’s SonoSimulator® was present for a second year. A special thanks to all of these companies who help keep the SonoGames® viable!

The Teams

Thirty-six EM programs represented by 108 residents in threemember teams participated in this year’s SonoGames®. Each year, awards are presented for the most creative team name and costumes. Names this year included “West Virginia Puppy Rescue Squad (Every time you order a CT, a puppy dies)” (West Virginia University); “Hertz so good” (Mount Sinai School of Medicine); “Sonoliscious” (HAEMR); and “Don’t probe me Bro!” (University of Utah). The winning name was “The Inferior Vena Cavaliers” of the University of Virginia. The award for Best Costume, for the second year in a row, went to the “High Frequency Probes” (University of Arizona), who were dressed up as sleek endocavitary probes.

The Main Event

The SonoGames® 2014 competition consisted of three rounds, all with new, innovative educational content. The first round, “The Eliminator,” created and emceed by Dr. Dawson and Dr. Carmody, consisted of 44 multiple-choice questions based on clips, images

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SAEM ACADEMY FOR DIVERSITY AND INCLUSION IN EMERGENCY MEDICINE RECAPS SUCCESSFUL ANNUAL MEETING Sheryl L. Heron, MD, MPH Emory University School of Medicine – President, ADIEM

The SAEM Academy for Diversity and Inclusion in Emergency Medicine had an OUTSTANDING meeting at the 2014 SAEM Annual Meeting in Dallas.

Our events included a special session, “Diversity 101,” on Tuesday, May 13, which was well attended and garnered great feedback. The session’s content included: “Diversity 101”; “Under-represented Minorities in Medicine”; “Addressing Diversity Education”; “Providing Quality Care to Diverse Patients in the ED”; “Recruiting A Diverse Residency Class and Faculty”; “LGBT Health”; and a discussion on religion, specifically Islam.

In addition, ADIEM had several didactic presentations, including “Examining Title 6” and “The Implication of Civil Rights Law in Emergency Medicine,” and an excellent address by SAEM’s keynote speaker, Dr. Marc Nivet, the chief diversity officer of the Association of American Medical Colleges, on “Diversity 3.0.” ADIEM is particularly proud of working with SAEM to bring Dr. Nivet to the Annual Meeting as keynote speaker. Following Dr. Nivet’s address, we had a tour of the Dallas Museum of Art and a reception at Dallas restaurant Lark on the Park celebrating Dr. Nivet and ADIEM’s work.

Ava Pierce, Larissa Velez and the UTSW residency program are to be commended for organizing the social event. It was magical.

ADIEM continues its good work, and we look forward to our continued growth and, more important, your engagement and participation. We had our first publication on LGBT health in the May issue of ADIEM’s newsletter, the result of a collaborative effort at multiple sites. ◗

Recipients of ADIEM awards for 2014 are:

Dowin Boatright, MD - Denver Health- Outstanding Future

Academician Douglas Ander, MD - Emory University - Visionary Educator Joel Moel, MD - University of Michigan - Marcus Martin

Leadership Award “Onwards, upwards” is our goal for ADIEM. Please join us, and have a safe and enjoyable summer.

THE GLOBAL EMERGENCY MEDICINE ACADEMY’S PROJECT SHOWCASE

Scott G. Weiner, MD, MPH President, GEMA

In the past, the Global Emergency Medicine Academy (GEMA) has highlighted three International EM fellowships each year at the SAEM Annual Meeting. We held this Fellowship Showcase event again this year, but also tried something different. As one of the new SAEM “special sessions” at the Annual Meeting, we proposed a Global Emergency Medicine Project Showcase.

The rules of the session were clear. Anyone could come and present any project pertaining to global EM that they were working on. Presenters were instructed to report on the “who, what, where and why” of the project, they could have a few projected slides, and they were permitted only five minutes to present, which was strictly enforced. After each presentation, one randomly selected “lucky question” was permitted from an audience member. After the presenters concluded, time was set aside for networking.

This project, the brainchild of GEMA’s Annual Meeting Committee chair, Dr. Stephen Dunlop, was a huge success.

By focusing on the projects themselves, attendees could learn specifically about the work being done, approach the presenters

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and discuss similar challenges or issues they are facing, and then network and potentially collaborate.

Eleven presenters discussed a wide variety of topics. They were all impressive, but some of which stood out are the following: • Dr. Adam Levine presented a project, in collaboration with Doctors Without Borders, in which they will perform a doubleblinded study randomizing patients with lower limb injuries after a major earthquake to either usual care with morphine, a fascia iliaca compartment block, or an ultrasound-guided 3-in-1 femoral nerve block. Most remarkable about this project is that it is being designed and funded, and IRB approval is being sought for it, before the clinical setting is defined. Once a major earthquake in low- or middle-income country occurs, the research will immediately begin.

• Dr. Heather Machen discussed her work using bubble CPAP, a device that she and her colleagues developed starting with a simple aquarium pump and now as a formal prototype, that easily and inexpensively gives positive pressure to newborns with respiratory distress. The number of lives that this innovative tool can potentially save is enormous.

• Dr. Katie Wells discussed implementation of an entirely new trauma system in Mongolia, including advanced trauma training and a computerized registry.

These are just three of the projects, but all of them were impressive and addressed health on a population scale, making the potential effect of these interventions significant. Given the success of the event, GEMA will aim to hold a similar session at next year’s meeting. We hope to see you there! ◗

2014 PHOTOGRAPHY EXHIBIT & VISUAL DIAGNOSIS PARTICIPANTS

Amit Mohindroo, MD Eastern Virginia Medical School Department of Emergency Medicine

Lydia Luangruangrong, MD Barnes-Jewish Hospital, Washington University in St. Louis

Gillian Beauchamp, MD University of Cincinnati Department of Emergency Medicine

Walter Green, MD; Fernando Benitez, MD University of Texas Southwestern Medical School

Daisy Ciener, MD Celine Thum, MD Joseph Pare, MD, RDMS Maimonides Medical Center Emergency Medical College of Wisconsin, Children’s Boston Medical Center Hospital of Wisconsin Medicine Megan Johnson, MSIV; Jessica Smith, MD Namita Jayaprakash, MB BcH BAO, Manish Garg, MD Alpert Medical School of Brown MCEM; Robert Prinzi, MD; Temple University School of Medicine University Rhode Island Hospital/The Jason Folt, MD Miriam Hospital Henry Ford Hospital Emergency Arwen Declan, MD, PhD Medicine Justin Rose, DO University of Cincinnati Department of University of Kentucky Emergency Emergency Medicine Brandon Conine, MD Medicine University of Cincinnati Department of Daisi Choi, MD; Emergency Medicine Nur-Ain Nadir, MD David Milzman, MD University of Illinois College of Georgetown University Hospital/ Medicine Peoria John Ray, MD Washington Hospital Center University of Michigan Department of Alison Barrow, MD Emergency Medicine Debjeet Sarkar, MD; Texas Tech University Health Science Arjun Chanmugam, MD, MBA Center at El Paso Neal Freed, MD; Howard County General Hospital Jordan Spector, MD Dan Miller, MD Boston Medical Center University of Iowa, Department of Farhad Aziz, MD Emergency Medicine University of Kentucky Medical Center Noah Abbas, MD University of Mississippi Medical Center Michael DeVisser Jeffrey Hoida Department of Emergency Medicine Wayne State University in Detroit University of South Florida - College of Medicine Sangil Lee, MD Gabriel Wardi, MD Mayo Clinic University of California San Diego Nicole Sneed, MD; Sabrina Taylor, MD Adam Isacoff, MD Sara Singhal, MD; Texas Tech University Paul L. Foster University of Louisville School of Alicia Shirakbari, MD University of Kentucky Medical Center School of Medicine Medicine

Christine Ngaruiya, MD Global Health/ International Emergency Medicine Fellow Department of Emergency Medicine Yale New Haven Hospitals Danielle Matilsky, MD; Resa Lewiss, MD; Turandot Saul, MD; Michael Whalen, MD Department of Emergency Medicine, Emergency Ultrasound Division, St. Luke’s / Roosevelt Hospital Center; Department of Urology, New York Presbyterian Hospital, Columbia University College of Physicians and Surgeons Taneisha Wilson, MD; Jason Hack, MD Department of Emergency Medicine, Alpert Medical School, Brown University Meaghen Finan, MD St. Luke’s Emergency Medicine Colleen Smith, MD Maimonides Medical Center

Jacqueline Bober, DO SUNY Downstate Medical Center and Kings County Hospital Center

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See You In San Diego, CA May 2015

2014 SAEM ANNUAL MEETING SPECIAL SESSIONS

ANNIVERSARY

www.saem.org

2014 ANNUAL MEETING

Jointly provided by the University of Cincinnati

The Sheraton Dallas Hotel May 13-17, 2014

AEM CONSENSUS CONFERENCE Gender-Specific Research in Emergency Medicine: Investigate, Understand and Translate How Gender Affects Patient Outcomes

ACADEMY OF EMERGENCY ULTRASOUND Lifesaving Ultrasound in the Critically Ill Patient: A Case-Based Approach

SIMU LATION ACADEMY Train the Trainer: Advancing Simulation for Education

ACADEMY FOR DIVERSITY AND INCLUSION IN EMERGENCY MEDICINE “Diversity 101”: Closing the Diversity Gap

TOXICOLOGY INTEREST GROU P Planning For a Safer Decade of Ed Analgesia

COMMU NITY-BASED ACADEMIC PHYSICIAN TASK FORCE Academia and the Practice of Community-Based Emergency Medicine

EVIDENCE-BASED EMERGENCY MEDICINE INTEREST GROU P Advanced Evidence-Based Diagnosis Workshop

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ANNUAL MEETING AWARD WINNERS 2014 SAEM John Marx Leadership Award Charles B. Cairns, MD

University of North Carolina Charles B. Cairns, MD, professor and chair of the Department of Emergency Medicine at the University of North Carolina, was awarded the 2014 John Marx Leadership Award of the Society for Academic Emergency Medicine.

For the last 25 years, Dr. Cairns has been a clinician, educator, investigator and leader in emergency care focused upon optimization of the host responses of individual patients and populations to acute medical conditions. His efforts have positively impacted emergency patient care for infection, ischemia, injury and resuscitation, as well as health systems and preparedness at the local, state and national levels. Dr. Cairns has a remarkable record of leadership and academic achievement in emergency medicine. He has advanced the growth and impact of emergency medicine on the regional, national and international levels.

Dr. Cairns has served in national leadership roles in prominent emergency medicine organizations, including as the Society for Academic Emergency Medicine (SAEM) Program Committee chair, the American College of Emergency Physicians (ACEP) Research Committee chair, and on the Emergency Medicine Foundation (EMF) Board of Trustees. Dr. Cairns has also served on the editorial boards of both Academic Emergency Medicine and Annals of Emergency Medicine. In addition, Dr. Cairns played critical leadership roles both as a co-chair of the NIH Roundtables on Emergency Research and as co-chair of the SAEM-ACEP Research Working Group, which directly supported the establishment of the newly formed NIH Office of Emergency Care Research.

Dr. Cairns has published over 150 scientific manuscripts and reviews and is co-editor of the recently published ACEP text Emergency Care Research: A Primer, which is geared towards the needs of students, graduate trainees and junior faculty. In addition to his impactful publication record, Dr. Cairns has an extraordinary record of extramural grant funding, with over $20 million during the past five years alone. This includes being principal investigator on grants from the NIH, US assistant secretary for Preparedness and Response (HHS/ASPR), the National Quality Forum (NQF), and the US Department of Homeland Security (DHS/OHA/ NBIC). Dr. Cairns also serves as associate director of the US Critical Illness and Injury Trials Group, which has received over $30 million in funding and enrolled over 10,000 patients in emergency and critical care studies. Dr. Cairns has received numerous national honors and awards for his academic work, including the EMF Established Investigator Award, SAEM Best Scientific Presentation Awards and the ACEP Outstanding Contribution in Research Award. He has been elected to both the Alpha Omega Alpha Honor Medical Society and the Sigma Xi Scientific Research Honor Society. He is a fellow of the American College of Emergency Physicians and the American Heart Association.

With the support of Dr. John Marx, Dr. Cairns founded the SAEM Western Regional Meeting in 1993 to serve the needs of junior investigators; the format of this meeting became the template for subsequent SAEM regional meetings in 1997. Dr. Cairns has personally mentored 21 medical and graduate students, 16 residents and 16 post-doctoral and clinical fellows in EM research during his time on faculty at Harbor-UCLA, Colorado, Duke and UNC. Dr. Cairns has had his own group’s research presented at every single SAEM Annual Meeting since its founding in 1989. It is indeed fitting that Dr. Cairns receive the John Marx Leadership Award at the 25th SAEM Annual Meeting.

2014 SAEM Young Investigator Award Willard W. Sharp, MD The University of Chicago Department of Medicine

Dr. Willard W. Sharp earned his BS degree as a double major in history and biology at Wofford College, Spartanburg, SC. He went on to complete his PhD in biomedical sciences at the University of South Carolina, investigating the role of mechanical forces in the development of the myocardial cytoskeleton. In 1998, he completed an NIH-funded postdoctoral fellowship investigating the 3’-untranslated region of mRNA in mRNA localization in response to mechanical loads. Following this, he entered medical school at the University of South Carolina, earning his MD degree magnum cum laude after completing an additional year of study at Oxford University on a Rotarian Ambassadorial Scholarship. Dr. Sharp went on to emergency medicine residency training at the University of Michigan, during which time he received a citation from the Canton, Michigan Fire Department for assistance with an out-of-hospital cardiac arrest victim. Following completion of his residency, Dr. Sharp became an instructor of medicine at the University of Chicago and was mentored by Dr. Terry Vanden Hoek (professor and chair of emergency medicine, University of Illinois at Chicago), who was a faculty member there at that time.

Dr. Sharp’s work with Dr. Vanden Hoek, investigating the effects of therapeutic hypothermia, was awarded young investigator awards by the American Heart Association in 2008, 2009, and 2010, and published in The American Journal of Physiology in 2010. In 2011, he was awarded a five-year NIH K08 award to investigate the role of therapeutic hypothermia and Akt mitochondrial targeting in animal models of cardiac arrest. During this time he began collaborating with Dr. Stephen Archer (chair of medicine, Queen’s University, Kingston, Ontario, Canada) investigating the role of the mitochondrial fission protein dynamin-related protein 1 (Drp1) in myocardial ischemia/reperfusion injury. Their initial work on this topic was published in the Federation of American Societies for Experimental Biology journal in 2013. They subsequently investigated the role of Drp1 in a model of cardiac arrest, and this work received the 2013 Best Resuscitation Abstract Award from the Council on Cardiopulmonary, Critical Care, Perioperative, and Resuscitation (3CPR) of the American Heart Association. Dr. Sharp is currently an assistant professor of medicine in the Section of Emergency Medicine at the University of Chicago.

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ANNUAL MEETING AWARD WINNERS 2014 SAEM Young Investigator Award Timothy F. Platts-Mills, MD, MSc

University of North Carolina School of Medicine

Dr. Timothy Platts-Mills completed his undergraduate degree at Harvard, his MD at UCLA, and his EM residency at UCSF-Fresno. After residency, Dr. PlattsMills accepted a faculty position at the University of North Carolina at Chapel Hill, and dedicated his research efforts to improving the health of older adults seeking emergency care. He won an institutional KL2 and then a National Institute on Aging K23 award to study pain and functional decline after injury among older adults seeking care in the ED after MVC. During the first two years of his career development award, Dr. Platts-Mills completed a master’s of science in clinical research. He is currently an assistant professor in the Department of Emergency Medicine at UNC, with joint appointments with the Department of Anesthesiology and the Division of Geriatrics.

Dr. Platts-Mills’ K23 research examines the determinants of persistent pain and functional decline among older adults experiencing motor vehicle collision. The long-term goal of this work is to develop ED-initiated interventions to improve the health of this population. In addition to this important line of research, Dr. Platts-Mills also leads several other research initiatives dedicated to improving the care of elderly adults seeking emergency care.

He recently received a Hartford Scholar Collaborative Pilot Grant to develop a tool to facilitate the education of older adults regarding pharmacologic therapy for acute musculoskeletal pain, and he serves as a co-investigator on a clinical trial of a novel pharmacologic therapy to prevent persistent pain.

Dr. Platts-Mills is remarkably productive. In the past two years, he has published sixteen original research publications, many of which focus on pain and pain management decision-making for older adults receiving ED care. He has recently published editorials describing the problem of finding a safe disposition for older adults with non-operative injuries and the importance of considering health outcomes when evaluating the impact of geriatric EDs. He also co-leads a group studying the reporting of clinical trials, and is the senior author of a recent paper in BMJ on this subject. Dr. Platts-Mills also serves as a reviewer for both Academic Emergency Medicine and Annals of Emergency Medicine, and is a member of the Annals editorial board, where he is a decision editor in the field of geriatrics. Dr. Platts-Mills also served as chair of the SAEM Academy of Geriatric Emergency Medicine in 2011, remains an active member of this academy, and taught a didactic session at this year’s SAEM conference.

In addition to this impressive scholarly work, Dr. Platts-Mills is also an outstanding mentor and teacher. Since coming to UNC, he has received three annual department “best teacher” awards and a school-wide research mentoring award. He has mentored five funded medical student research projects and is a co-mentor for a Jahnigen-funded trial to reduce at-risk drinking among older adults.

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In addition to his tremendous career productivity, Tim is a wonderful father and husband and is actively engaged in the daily lives of his three children. He has a generous heart and an easy laugh. He enriches the lives of all of us who have the privilege of working with him, and it is a real delight to see him recognized with this auspicious award.

Samuel McLean, MD, MPH Departments of Emergency Medicine and Anesthesiology University of North Carolina at Chapel Hill

2014 SAEM Excellence in Research Award Paul Pepe, MD

UT Southwestern Medical Center

“Auto-PEEP” and “permissive hypercapnia,” “sepsis syndrome,” “chain of survival,” “permissive hypotension” for trauma, and most of the first clinical trials and “population-based” studies in the emergency medicine literature all had a single common denominator: Dr. Paul Pepe, winner of the SAEM 2014 Excellence in Research Award.

Dr. Pepe, a tenured professor in multiple disciplines at the UT Southwestern Medical Center in Dallas, first joined UAEM, the predecessor organization of SAEM, as an entry-level faculty member in 1983. At that time, he was already presenting scientific reports from major clinical trials that he had led. Later, he was chosen to be an inaugural associate (decision) editor for the Society’s journal, Academic Emergency Medicine, at its inception and, early on, he led many innovative panels at SAEM, including the very first elaborations of reappraising the need for rescue breathing in CPR back in the early 1990s. He and his colleagues have won best paper awards not only at SAEM, but also at American Heart Association Scientific Sessions and numerous other prestigious international venues over the years.

In many respects, Dr. Pepe was also the first to gain a positive reputation for EM across numerous disciplines for his original discoveries (e.g., “auto-PEEP,” ARRD July 1982) or now renowned concepts (e.g., “Sepsis Syndrome,” Am J Surg 1982; “Chain of Survival,” 1983 and Circulation 1991) or his successful challenges to the status quo, such as his groundbreaking clinical trials of the PASG (publications 1984-87), the first clinical trials of IV fluid resuscitation for trauma (publications 1991-1994), or the re-thinking of the use of rescue breathing in CPR (publications 1985,1997-2000). Multi-specialty terms like “permissive hypercapnia” and “permissive hypotension,” now part of mainstream practice, arose from what were then counter-intuitive research concepts (1982, NEJM 1994). Most importantly, many of these scientific breakthroughs led to true lifesaving and improved patient safety worldwide.

Through his leadership in helping to create the NIH PULSE Initiatives (original steering committee member in 1999), Dr. Pepe helped to establish an NIH beachhead for EM; he now serves in a strategic support capacity for the NIH Resuscitation Continued on Page 21

ANNUAL MEETING AWARD WINNERS Continued from Page 20 Outcomes Consortium (ROC). Similarly, partnering a decade ago with Dr. Bill Barsan, another past SAEM president, Dr. Pepe cochaired and wrote the executive summary for the pivotal NINDS Symposium that developed the national stroke plan. This process paved the way for subsequent Joint Commission standards for stroke centers and even helped to forge the central role of EM specialists in funded research for neurological emergencies.

Although Dr. Pepe may be best known for pioneering new inroads in the clinical research arena, much of his award-winning bench research efforts (ranging from the 1980s to his current work), first inspired others to better understand the need not to ventilate too much during both cardiac and trauma resuscitation (J Trauma 2003) or better appreciate the use of capnography in impaired circulation (ARRD 1985). He is now exploring estrogen infusions for massive burns and head injury recovery (Crit Care Med 2012) and flow-increasing (versus perfusion pressure) methods in CPR. Dr. Pepe currently is a tenured professor of medicine, surgery, pediatrics and public health at the UT Southwestern Medical Center and the Parkland Health and Hospital System in Dallas, where he has served as chief of the Division of Emergency Medicine for the past 15 years. He is also the city of Dallas director of Medical Emergency Services for Public Safety, Public Health and Homeland Security. In addition to numerous academic awards, he has been heralded in media reports as an “advocate for the sick and injured”, a “mentor to millions,” and a “change agent,” and has been cited for heroism and scientific innovations in the U.S. Congressional Record.

2014 SAEM Young Investigator Award Andrew C. Miller, MD

National Institutes of Health

Dr. Andrew C. Miller earned his bachelor of science degree from Saint Louis University, medical doctorate from Southern Illinois University, and completed a combined residency and chief residency in emergency medicine and internal medicine at the State University of New York (SUNY) Downstate Medical Center and Kings County Hospital Center. He subsequently completed fellowships in pulmonary medicine at the University of Pittsburgh, and in critical care medicine at the National Institutes of Health. Dr. Miller has made substantial contributions to emergency medicine and critical care in the fields of resuscitation, acute lung injury, and smoke inhalation injury. He has a track record for publishing high-yield work in high-impact journals. To date, his research activities have resulted in 33 peer-reviewed publications, 33 book chapters, and 20 published abstracts, and an additional 10 presented abstracts. He not only has co-investigated a number of NIH and privately funded projects, but also is currently lead investigator on 2 multi-center studies in conjunction with the US Critical Illness and Injury Trials Group (USCIITG), as well as

lead site-investigator on another international multicenter study.

His mentorship skills are also notable and have been recognized nationally by the ACGME. In July 2014 he will join the Department of Emergency Medicine at West Virginia University as vice chair of research.

2014 SAEM Young Investigator Award Esther K. Choo, MD, MPH

Alpert Medical School of Brown University

Dr. Esther Choo completed residency at Boston Medical Center and a health services research fellowship at Oregon Health & Science University. In 2009, she joined the faculty in the Department of Emergency Medicine at Brown University and presently co-directs the Division of Women’s Health in Emergency Care.

Dr. Choo’s work centers on addressing the high co-occurrence of substance use and intimate partner violence (IPV) in women presenting to the emergency department. Improving health care for this challenging population has required the ability to think creatively, to solve problems and to use innovative approaches to address health problems in multifaceted ways. Her proposal to use technology as a solution to many of the treatment barriers encountered in the ED setting was well received by her NIDA K23 grant award committee, which funded her on first review. Dr. Choo has consistently presented and published in her research field, with 33 published peer-reviewed original manuscripts and 23 scientific abstract presentations at national scientific meetings.

Dr. Choo has many qualities needed for a successful longterm career in research, including her enthusiasm for identifying innovative study designs and advanced statistical techniques and for consolidating and applying knowledge and practices from a wide variety of academic disciplines. She has a clear vision for achieving her ultimate goal of developing, testing and disseminating technology-based interventions for highrisk populations in clinical and community settings. We believe her work has great potential to impact the everyday practice of emergency medicine.

Dr. Choo is also dedicated to inspiring other physicians to pursue research careers in our field and has been a highly visible national advocate for innovation in nurturing and training young researchers, especially female investigators. She served on the executive committee of the AEM Consensus Conference on Gender-Specific Research in Emergency Care and co-created the Women’s Health in Emergency Care Division within our Department of Emergency Medicine, which generates genderspecific research and offers a research rotation for residents and a two-year research fellowship focused on training the next generation of gender-specific researchers in emergency medicine.

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ANNUAL MEETING AWARD WINNERS Continued from Page 21 This division is the first of its kind in the country.

We were so pleased to see Dr. Choo selected for the SAEM Young Investigator Award. Dr. Choo has identified an area of research that is notoriously neglected and of great relevance to public health. She is a collaborative, inspiring, and productive researcher who is a wonderful representative of the academic emergency medicine community.

Brian Zink, MD Professor & Chair Gregory Jay, MD, PhD Professor & Vice Chair of EM Research Department of Emergency Medicine Alpert Medical School of Brown University

2014 SAEM Advancement of Women in Academic Emergency Medicine Award Deborah B. Diercks, MD, MSc University of California, Davis Health System

The definition of advancement is the promotion of a cause or a person in a group or rank. Dr. Deb Diercks’ research has not only advanced our country’s medical knowledge, but has also led her to become a leader and mentor in the field.

Dr. Diercks’ expertise in women’s health issues lies within the arena of acute cardiovascular care. Her body of work has focused on factors associated with the accurate, timely, and appropriate diagnosis and treatment of patients with heart failure and chest pain syndromes, a critical area of research.

Her interest in this area of research has led to some of her most productive research mentoring and collaboration with women in emergency medicine. Dr. Diercks has mentored several women in this focus area, including two current K12 research fellows, Anna Marie Chang and Bryn Mumma. Dr. Chang provides the following testimony regarding the impact Dr. Diercks has had on her career: “Dr. Diercks has been a champion to female faculty interested in research. She helped me realize that an academic research career was right for me. She provided guidance, not just as a fellow researcher, but also as a woman. I can comfortably discuss anything with her: everything from research projects to methodology to how to balance a career and my personal life.”

Dr. Diercks has been a national speaker on various cardiovascular topics, such as gender issues in chest pain, heart failure, and pulmonary emboli, and continues actively to provide education on these issues at a variety of medical conferences. In addition, she shares her knowledge during her bedside teaching of residents and medical students at UC Davis. Dr. Diercks has mentored female residents each year, and her enthusiasm, paired with a keen focus on a resident’s personal area of interest, has

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allowed six UC Davis female residents to present their projects at SAEM national or regional meetings in the last two years. Her input, along with recommendations from the UC Davis education team, has also resulted in yearly attendance by UC Davis interns at the SAEM Annual Meeting in May. This early introduction of academic emergency medicine has been shown to be invaluable as UC Davis residents plan their future careers and start their resident research requirement.

Although Dr. Diercks is an established researcher, it can be argued that her greatest contribution to the advancement of women in academic emergency medicine is her dedication to the promotion of her female colleagues and residents as they embark on their academic careers. Through her involvement in committees such as the UC Davis Faculty Promotions Committee, she has been a great asset to women faculty in terms of making sure they understand the requirements of their particular series.

This year UC Davis instituted a formal mentoring process for all junior faculty. Although the department strived to limit the mentoring expectation for its more senior faculty, every junior female faculty member specifically requested Dr. Diercks as a member of their mentoring team. It is important to note that none of these women are considered “research faculty.” Her interpersonal and leadership skills make Dr. Diercks a sought-out mentor, and contribute to the success of women faculty at other institutions as well. She is interested in helping others, without the expectation of reciprocation, she is willing to spend time, she is sensitive to others’ feelings, and she is an active listener. Dr. Jody Vogel, a junior faculty member at Denver Health, comments: “Dr. Diercks has made a critical and indelible impact on my career as an academic emergency physician. She developed a quick understanding of my interest in research and academia, and offered specific, helpful suggestions to assist me with achieving my goals. She was consistently supportive, while skillfully guiding me in the navigation of the academic setting. She fostered my development as both an investigator and an academician.

Moreover, she enhanced my potential as a physician to make a meaningful contribution to the specialty of emergency medicine.”

As a specialty, emergency medicine often struggles in recruiting and retaining women in academic positions. During Dr. Diercks’ tenure as chair of our Faculty Search Committee, she has recruited six female faculty, and UC Davis has been able to retain and promote these women through their respective academic series.

Dr. Diercks not only provides inspiration through example, but also encourages all levels of our staff to succeed in their academic mission. She currently serves on the thesis panel for two women on our nursing staff that are seeking an advanced degree. She provides an example of academic balance by excelling in clinical care, research, education, and family life.

Dr. Diercks has advanced women in academic medicine. She has done so by taking a leadership role, by mentoring others, and by simply proving that a woman can not only excel in academic medicine, but can do so while inspiring others.

THE SAEM FOUNDATION AND THE SAEM GRANTS COMMITTEE ARE PLEASED TO ANNOUNCE THE 2014 GRANT RECIPIENTS The SAEM Foundation strives to improve the quality of emergency department patient care by awarding career development awards and research project awards annually. These awards can cover a wide range of topics, including basic science, clinical, translational, health services, and education research. The SAEM Grants Committee is charged with using the NIH review process to evaluate the merit of each application and provide feedback to all applicants. There were a large number of high-quality applications in each of the three available categories. The following were chosen for funding this year:

Margaret K. Sande, MD, MS

John Patrick Haran, MD

“Integration of an Audience Response System into SimulationBased Training: An Educational Technology Enhancement”

“Cytokine Responses in Patients Presenting with an Acute Respiratory Illness”

University of Colorado, Denver

2014-2016 Education Fellowship Grant - $100,000 Simulation is quickly becoming a standard component of undergraduate and graduate medical curricula nationwide, with increasing offerings for continuing medical education and credentialing of various health professions.

A simulation session may involve the instruction of 2-20 learners. Typically, a subset of participants actively participates in a simulation case, while the remaining learners observe.

In a traditional debriefing, as is taught at internationally recognized courses such as the Institute for Medical Simulation Comprehensive Instructor Workshop (http://www.harvardmedsim. org), immediately following a simulation the course facilitator focuses on collecting initial reactions to the case and tries to identify questions that arose during the scenario. These topics become the basis of the facilitator’s subsequent debriefing, and he or she can tailor learning objectives such that they will be relevant and personalized to a particular group of learners. Not surprisingly, those that participate in a scenario are often the most vocal, given the inherent emotional activation that comes from active involvement in the simulation (experiential learning), and observers often are more reticent to contribute their initial reactions or questions. The medical simulation literature supports that this is a well-recognized challenge, and proposed solutions have included role-play and peer assessment, amongst others.

To enhance observer engagement while watching a simulation case, I have begun to employ an audience response system (ARS) in my simulation-based instruction. This novel approach allows trainees to remain engaged during observational periods, and I hypothesize that integrating this technology into simulationbased instruction will be positively received by trainees, allow instructors to more readily identify knowledge gaps, heighten engagement amongst observers, and ultimately lead to increased knowledge retention when compared to sessions observed without ARS integration. This offers a solution to a challenge faced by educators in medical simulation and has the potential to impact simulation-based instruction broadly. It proposes the elegant integration of a readily available technology to help create a paradigm shift in simulation-based education for all levels of learners across the health professions.

University of Massachusetts Medical School

2014-2016 Research Training Grant - $100,000 John Patrick Haran, MD, is establishing himself as a clinicianscientist pursuing original research investigations directed toward the use of novel biomarker panels in the diagnosis and management of acute respiratory infections. Dr. Haran’s vision is to reduce unnecessary antibiotic usage and eliminate complications from antibiotic resistance by becoming an expert in respiratory infection pathogen/host interactions. This award will support Dr. Haran’s pursuit of a rigorous mentoring experience to establish and sustain a successful career as an independent investigator conducting hypothesis-driven research. Dr. Haran will gain skills in advanced laboratory techniques to identify panels of multiple cytokine biomarkers that can reliably distinguish bacterial pneumonia from viral infections in patients with acute respiratory complaints. Dr. Haran will complete a master’s of science in clinical investigation, which will provide the necessary didactic, clinical, statistical and translational research methods experience to prepare him to be an independent investigator. Dr. Haran’s robust mentoring team comprises a primary mentor (Shan Lu, MD, PhD, an internationally recognized expert in human cytokine and antibody responses to infection and vaccination) and three co-mentors (Edwin Boudreaux, PhD, and Edward Boyer, MD, PhD, both professors of emergency medicine, and David Hoaglin, PhD, professor of biostatistics). All are successful NIH-funded investigators.

This study has two specific aims: 1) to identify a cytokine panel that will distinguish between bacterial pneumonia and viral respiratory infections, and 2) to correlate the serum concentrations of cytokines such as IL-4, IL-5, and IL-6 with severity of illness and outcomes in patients with bacterial pneumonia. Dr. Haran will enroll emergency department patients with signs of acute respiratory illness. He will record data obtained from the ED (blood results and chest x-ray) and collect nasal and blood samples to be analyzed using a viral PCR assay to determine the infectious viral agent and a novel multiplex flow cytometry bead array assay system to determine cytokine and acute phase reactant protein concentrations. Dr. Haran will identify a panel cytokines that predicts: 1) viral versus bacterial infections, 2) patient acuity and disposition, and 3) duration of illness.

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Christopher Hicks, MD, MEd

St. Michael’s Hospital, Toronto, ON “Preparing for High Acuity Events: Stress Inoculation SimulationBased Training”

2014 Education Research Grant - $10,000 There is accumulating evidence that clinical performance can be significantly impaired by stress responses during acute events.

The findings of impaired performance with stress responses suggest that training for high acuity events needs to go beyond training that is oriented solely towards the acquisition of clinical skills and knowledge. Training also needs to target trainees’ ability to cope with stressors and to manage their personal stress responses. The proposed study consists of the adaptation and evaluation of a stress inoculation training (SIT) intervention for emergency medicine and surgery residents. Twenty-six residents

will participate in the study during completion of their trauma rotations. The residents will be randomly assigned to one of two groups: (i) a stress inoculation training group (n=13) who will receive SIT intervention in recognizing and managing stress responses during stressful events; and (ii) a control group (n=13) who will receive exposure to the simulated stressful scenarios but not the SIT intervention. Prior to the intervention, all 26 residents will individually take part in a high acuity simulation-based pretest scenario. Their stress responses and performances will be assessed at baseline and in response to the scenario. Following the intervention, all residents will individually take part in a posttest scenario, to determine whether the intervention was effective in reducing stress responses and in increasing performance during acute events. As in the pre-test scenario, stress responses will be assessed at baseline and in response to the scenario.

Performance will be assessed with a checklist of scenario-specific tasks, a global rating scale, time to complete critical tasks and a recall task (completion of trauma report form). Stress responses and performance measures will be analyzed with separate mixeddesign analyses of variance. Post-hoc analyses will be conducted with t-test analyses.

2014-2015 SAEM COMMITTEES AND ACADEMIES COMMITTEES

FELLOWSHIP APPROVAL COMMITTEE

PROGRAM COMMITTEE

ADIEM

AWARDS COMMITTEE

Chair: Kevin Biese, MD BOD Liaison: Ian B.K. Martin, MD Staff Liaison(s): Sarah Buchanan, Melissa McMillian

Chair: Ali Raja, MD BOD Liaison: D. Mark Courtney, MD Staff Liaison(s): Maryanne Greketis, LaTanya Morris

President: Sheryl L. Heron, MD, MPH BOD Liaison: Andra L. Blomkalns, MD Staff Liaison(s): Sarah Buchanan, Michelle Orlow

FINANCE COMMITTEE Chair: Richard Wolfe, MD BOD Liaison: Andra L. Blomkalns, MD Staff Liaison(s): Mai Luu, Dipesh Patel, Ronald Moen

RESEARCH COMMITTEE

AEUS

FOUNDATION DEVELOPMENT COMMITTEE

RESIDENT & STUDENT ADVISORY COMMITTEE

Chair: Cherri D. Hobgood, MD BOD Liaison: Alan E. Jones, MD Staff Liaison(s): Michelle Orlow, Karen Freund

COMMITTEE OF ACADEMY LEADERS Chair/BOD Liaison: Deborah B. Diercks, MD, MSc Staff Liaison(s): Karen Freund, Jim Pearson

CME COMMITTEE Chair: Rakesh Engineer, MD BOD Liaison: D. Mark Courtney, MD Staff Liaison(s): LaTanya Morris

CONSTITUTION & BYLAWS COMMITTEE Chair: Rosemarie Fernandez, MD BOD Liaison: Alan E. Jones, MD Staff Liaison(s): Ronald Moen, Michelle Orlow

CONSULTATION SERVICES COMMITTEE Chair: Terry Kowalenko, MD BOD Liaison: Amy H. Kaji, MD, PhD Staff Liaison(s): Karen Freund, Ronald Moen

ETHICS COMMITTEE Chair: Shellie Asher, MD BOD Liaison: Steven B. Bird, MD Staff Liaison(s): Karen Freund, Elizabeth Oshinson

Chair: Michelle Blanda, MD BOD Liaison: Kathleen J. Clem, MD Staff Liaison(s): Melissa McMillian, Ronald Moen, Sarah Buchanan

GME COMMITTEE Chair: Chad Kessler, MD BOD Liaison: Steven B. Bird, MD Staff Liaison(s): Maryanne Greketis, LaTanya Morris, Jim Pearson

GRANTS COMMITTEE Chair: Manish Shah, MD BOD Liaison: James F. Holmes, MD, MPH Staff Liaison(s): Melissa McMillian, Sarah Buchanan

EXTERNAL COLLABORATION COMMITTEE MEMBERSHIP COMMITTEE Chair: Michael Brown, MD BOD Liaison: Kathleen J. Clem, MD Staff Liaison(s): Ronald Moen, Michelle Orlow

FACULTY DEVELOPMENT COMMITTEE Chair: Ken Robinson, MD BOD Liaison: Kathleen J. Clem, MD Staff Liaison(s): Holly ByrdDuncan, Maryanne Greketis

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Chair: Esther Chen, MD BOD Liaison: Ian B.K. Martin, MD Staff Liaison(s): Holly Byrd-Duncan, George Greaves, Elizabeth Oshinson

NOMINATING COMMITTEE Chair: Deborah B. Diercks, MD, MSc BOD Liaison: Deborah B. Diercks, MD, MSc Staff Liaison(s): Michelle Orlow, Ronald Moen

Chair: Brendan Carr, MD BOD Liaison: Amy H. Kaji, MD, PhD Staff Liaison(s): Sarah Buchanan, Melissa McMillian

President: J. Matthew Fields, MD BOD Liaison: D. Mark Courtney, MD Staff Liaison(s): Sarah Buchanan, Melissa McMillian

AGEM

Chair: Ann Tsung, MD BOD Liaison: Lauren Hudak, MD Staff Liaison(s): Holly ByrdDuncan, Elizabeth Oshinson

President: Marian Emmy Betz, MD BOD Liaison: James F. Holmes, MD, MPH Staff Liaison(s): Melissa McMillian, Elizabeth Oshinson

SEARCH COMMITTEE

AWAEM

BOD Liaison: D. Mark Courtney, MD Staff Liaison(s): Ron Moen, Michelle Orlow

President: Susan Watts, PhD BOD Liaison: Amy H. Kaji, MD, PhD Staff Liaison(s): Holly Byrd-Duncan, Karen Freund

SOCIAL MEDIA COMMITTEE

CDEM

Chair: Brett A. Rosen, MD BOD Liaison: James F. Holmes, MD, MPH Staff Liaison(s): Karen Freund, Jim Pearson

WEB EVOLUTION COMMITTEE Chair: William Baker, MD BOD Liaison: Andra L. Blomkalns, MD Staff Liaisons(s): Jim Pearson, Michael Reed ACADEMIES

AAAEM President: Linda Davis-Moon BOD Liaison: Kathleen J. Clem, MD Staff Liaison(s): Maryanne Greketis, Holly Byrd-Duncan

President: Nicholas Kman, MD BOD Liaison: D. Mark Courtney, MD Staff Liaison(s): Melissa McMillian, Elizabeth Oshinson

GEMA President: Scott G. Weiner, MD, MPH BOD Liaison: Ian B.K. Martin, MD Staff Liaison(s): Holly ByrdDuncan, Elizabeth Oshinson

SIM President: William Bond, MD BOD Liaison: Steven B. Bird, MD Staff Liaison(s): Jim Pearson, Karen Freund

THE SAEM FOUNDATION AND CDEM ARE PLEASED TO ANNOUNCE THE 2014 SAEM EMERGENCY MEDICINE INTEREST GROUP GRANT RECIPIENTS The Society for Academic Emergency Medicine Foundation, with support from the Clerkship Directors in Emergency Medicine (CDEM), recognizes the valuable role of emergency medicine medical student interest groups (EMIGs), and awards $500 grants to support these groups’ educational activities.

Emergency Medicine Interest Group at the University of California, Irvine Lauren Sims, MS2/ Shahram Lotfipour, MD “2014 Western Regional Emergency Medicine Student Symposium” UC Irvine School of Medicine’s Emergency Medicine Interest Group (EMIG), in conjunction with USC’s EMIG, will organize and host the 2014 Western Regional Emergency Medicine Student Symposium, the 9th in a series of Emergency Medicine Student Symposiums. The rising cost of health care is driving many patients, particularly the un- and underinsured, to turn to emergency departments as their final resort for care.

Consequently, EDs are increasingly playing a primary-care role.

Additionally, the number of EM residency positions has been increasing while medical students continue to have insufficient exposure to the field through required curriculum until their fourth year. This necessitates constant education of first- and secondyear students about the field of EM through the Western Regional EM Student Symposium. In light of this, the symposium will serve to educate and train current and future generations of health care providers by promoting awareness of emergency medicine as a specialty and providing critical emergency medicine skills training through workshops. The symposium will also provide opportunities to assess medical advances through research presentations and to obtain information about preparing for a career in EM through a residency panel, as well as how to do well in an EM clerkship.

Oregon Health and Science University Emergency Medicine Interest Group Andy Lichtenheld / Joshua Kornegay, MD “The EMIG Podcast” The Oregon Health and Science University Emergency Medicine Interest Group (OHSU EMIG) proposes to develop an educational audio podcast. The podcast will feature interviewstyle conversations with content experts on a range of medicalstudent-level emergency medicine topics. Episodes will run approximately 30 minutes and will include discussions of clinical

topics, emergent procedures, residency and career development, and other issues in emergency medicine. The content will be specifically targeted toward medical students and will supplement EMIG workshops and activities already offered. The audio podcast will be accompanied by a website which will function as a searchable archive, allowing students to access material whenever and wherever it is useful for them.

Podcasting is a technology that allows the wide distribution of digital audio files over the Internet. Users download and listen to episodes on their computer or media-playing device at a time and place that is convenient for them. Podcasts have proven an effective teaching modality for medical education in numerous areas of the allied health professions.

In order to be effective, a podcast must provide content that is relevant to listeners. While emergency medicine podcasts abound, and many emergency physicians use podcasts in their continuing education, we are not aware of any emergency medicine podcasts specifically targeted toward medical students.

This current proposal will develop a tool of proven efficacy and value to meet the unique educational and career development needs of medical students interested in emergency medicine.

SAEM IS YOU! Visit the SAEM website to renew your dues, or join us as a new member and see what you’ve been missing!

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Emergency Medicine Interest Group of the University of Missouri - Kansas City School of Medicine Megan Litzau, MS4 / Stefanie R. Ellison, MD “Emergency Medicine Skills Conference” Our project is designed as a single-day procedural simulation conference for our EMIG. There will be five stations where students will learn procedural skills integral to the practice of emergency medicine. The stations will be led by senior medical students going into emergency medicine, PGY 1-3 EM residents, EMS paramedic instructors, and EM faculty. Students will be divided into groups based on their year in medical school and will rotate through each of the five stations. Such groupings of students will allow instructors to adapt their presentation to the students’ level of knowledge. Instructors will be able to tailor information for juniors and challenge seniors. The stations include: airway management, ultrasound-guided intravenous lines, the FAST exam, lumbar puncture, and the basics of EMS and trauma primary and secondary surveys. The conference will be held primarily in the new simulation lab at the UMKC School of Medicine and will include an introductory session and lunch. This project is significant to emergency medicine in providing students with early exposure to the procedurally based nature of EM. EM is a required clerkship at UMKC, but is not offered until the final year of medical school. This program will enhance the shadowing program we now offer through our EMIG to allow earlier exposure to the field of EM and will allow students to get “hands-on” experience earlier in their medical school careers. Additionally, it will realistically demonstrate skills needed in the practice of EM and foster interest in the field.

F O U N D A T I O N

The SAEM Foundation relies on donations from individuals like you to provide grants that make possible the ongoing development of academic emergency medicine. In times like these when government funding is limited, we can ensure our researchers and educators continue to receive the support they need.

DONATE TODAY AT HTTP://WWW.SAEM.ORG/SAEM-FOUNDATION

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Patrick Chambers, MS3 and Jeremy Schorr, MS2 / Paul Y. Ko, MD, FACEP “Central & Upstate NY Regional Medical Student Symposium” This event is focused on giving medical students in the central and upstate NY region exposure to the field of emergency medicine. This will be the first medical student symposium of its kind in the region; similar events have been held in the downstate NYC area in the past. This will include students from SUNY Upstate Medical University, and invitations to neighboring medical campuses will be sent. It will help students prepare for and improve their chance of earning a residency position and will provide them with an opportunity to simulate common scenarios that are faced in the emergency department in a high-fidelity simulation setting.

The first part of this event will be facilitated by faculty and EM residents who will review resumes, describe the application process, and describe what makes a competitive applicant in the field of emergency medicine. Additionally we will simulate residency interviews for those students who are interested in a mock interview day format.

Following the mock interviews, there will be simulations of emergency medicine scenarios at the Emergency Medicine Simulation Technology and Training Center (EM-STAT). Students will break up into groups of approximately five students and collaborate with residents and faculty to work through common situations that are experienced by emergency physicians. There will be special focus on rural emergency medicine scenarios (including wilderness medicine) that are commonly seen in the upstate NY region. Students will use their clinical knowledge and work together in groups ranging from MS1 through MS4 to solve these scenarios.

Sven Steen, MS4 / Hans House, MD “Splinting Workshop” We plan to host a splinting and casting workshop next year for all medical students interested in or just curious about emergency medicine. Fracture reduction and splinting is a vital skill for all emergency physicians, and it is a skill that students are not exposed to until the third or fourth year of medical school.

We plan to demonstrate and explain commonly used splints and reductions, then break into small groups led by residents, faculty, and/or senior medical students. In the small groups, each student will have the opportunity to splint a fellow student. We also plan to provide food from a local business to promote the event.

2014 MEDICAL STUDENT EXCELLENCE IN EMERGENCY MEDICINE AWARD RECIPIENTS Listed below are the recipients of the 2014 SAEM Medical Student Excellence in Emergency Medicine Award. This award is offered to each medical school in the United States and internationally to honor an outstanding senior medical student. This is the nineteenth year this award has been made available. Recipients receive a certificate and one-year membership to SAEM. James Kenny Albany Medical College Chontelle McNear Arizona College of Osteopathic Medicine Christopher Noel Baylor College of Medicine Fernando Barajas Columbia University College of Physicians and Surgeons Lucy Patrick Dalhousie University Kelly Goodsell Drexel University College of Medicine

Christopher Wearmouth King’s College London School of Medicine

Brian Wexler Rutgers-Robert Wood Johnson Medical School

Arica Nesper University of California, Davis School of Medicine

Rossi Brown University of New England College of Osteopathic Medicine

Audra Almeyda Loma Linda University School of Medicine

Peter Tepler State University of New York Downstate Medical Center

Benjamin Thomas University of California, San Francisco School of Medicine

Cameron Issacs University of North Carolina at Chapel Hill

Randy Sorge Louisiana State University Health Sciences-New Orleans

Vincent Calleo SUNY Upstate Medical University

Alyrene Doery University of Colorado

Megan Leah Johnson Temple University School of Medicine

Thomas Williams University of Connecticut Medical School

Steven Maher, DO University of North Texas Health Sciences Center, Texas College of Osteopathic Medicine

Erica Fidone Texas A&M HSC-Temple, TX Campus

Alex F. Nappi University of Florida

Jamie Leigh Wright Louisiana State University School of Medicine in Shreveport Mary Calderone Loyola University Chicago Stritch School of Medicine Claire M. Connell Medical College of Wisconsin

Julie Estrada-Ledford Texas Tech University Health Sciences Center- Paul L. Foster School of Medicine

Rajiv Thavanathan Memorial University of Newfoundland

Alan Gerald Johnson The Commonwealth Medical School

Charles Sierzant Michigan State University College of Human Medicine

John W. Riester The Ohio State University College of Medicine

Matthew McCarty New York University School of Medicine

Eric Hamm The University of Arizona College of Medicine

Ann Meredith Sheddan Florida State University College of Medicine

Joseph Brown Northwestern University Feinberg School of Medicine

Peter Wroe The University of Chicago, Pritzker School of Medicine

LaShon Sturgis Georgia Regents University

Lindsay Tesar Oregon Health and Science University

Ryan Gallagher The University of Kansas School of Medicine

Jonathan Scott East Carolina University Matthew Kuehn Eastern Virginia Medical School Derrick Nii Armaa Ashong Emory University 2d Lt. Stephen Kasteler F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences

Carolina Veronese Harvard Medical School Krista Leigh Bergman Indiana University School of Medicine Samuel Mackay Beard Indiana University School of Medicine Eben Clattenburg Johns Hopkins School of Medicine Jonathan Stuart Kansas City University of Medicine and Biosciences

Austin Srinivas Kilaru Perelman School of Medicine, University of Pennsylvania Adam Batog Philadelphia College of Osteopathic Medicine

Jonathan Adam Canion The University of Texas Medical Branch at Galveston Kevin Watkins The University of Toledo, College of Medicine and Life Sciences

Andrea Dewing University of Hawaii-John A. Burns School of Medicine Nicholas J. Edwards University of Iowa

Ariel Hendin University of Ottawa Nicholas Jay Gould University of Pikeville-Kentucky College of Osteopathic Medicine Carson Brooke Adams University of Pittsburgh School of Medicine

Mitchell Strohmaier University of Kentucky

Dylan Morris University of Rochester School of Medicine and Dentistry

Justin Thomas Geralds University of Louisville

Zachary C. Simms University of South Alabama

David Lussier University of Manitoba

Ben Feldman University of South Florida

Nicole Cimino-Fiallos University of Maryland School of Medicine

Abigail M. Booker University of Virginia

Mary Cheffers University of Massachusetts Medical School Nicole Hodgson University of Miami Miller School of Medicine Leticia Flores University of Michigan Medical School Jonah Gunalda University of Mississippi

Jared Baylis Queen’s University

Steven Nelson The University of Toledo, College of Medicine and Life Sciences

Laurie Krass Rush University Medical School

Anoop Kar Tulane University

Katherine Gloor University of Nebraska Medical Center

David Rose Rutgers New Jersey Medical School

Sagar Dinu Patel University of Buffalo School of Medicine & Biomedical Sciences

Amanda Murphy University of Nevada School of Medicine

Christopher K. Inabnit University of Missouri-Columbia

Thomas Edward Davis, II Vanderbilt University School of Medicine Christopher Tegeler Wake Forest University School of Medicine Rittik Chaudhuri Washington University School of Medicine, St. Louis, MO Mirjana Dimovska Wayne State University Daniel Hegg Weill Cornell Medical College James Fallin West Virginia University Samuel Corbo Wright State University, Boonshoft School of Medicine Ellen Marie Vollmers Yale School of Medicine

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NEW RESEARCH-FOCUSED RESIDENCY: THE YALE EMERGENCY SCHOLARS PROGRAM Steven L. Bernstein, MD

Professor and Vice Chair for Academic Affairs Yale Department of Emergency Medicine

David Della-Giustina, MD

Associate Professor and Program Director Chief, Section of Education Yale Department of Emergency Medicine Young emergency physicians interested in a research-focused career typically complete a fellowship of 2-3 years in length, after finishing a 3-4-year residency. Thus, the budding scholar will typically spend 5-7 years in training, perhaps with a move to a new city to complete the fellowship.

At Yale, we have spent considerable time over the past few years thinking about ways to widen the pipeline of young scholars in EM. The creation of NIH’s Office of Emergency Care Research, the new K12 fellowship programs, SAEM’s fellowship approval program, and the growing numbers of emergency physicians serving as federally funded investigators, grant reviewers, and administrators make this an opportune time for creative new approaches.

With that in mind, we are proud to announce the creation of the Yale Emergency Scholars (YES) program. The YES program is a five-year track that merges our fully accredited emergency medicine residency with a rigorous, SAEM-approved research fellowship. Successful graduates will receive a Master of Health Sciences (MHS) degree from Yale and be able to compete for extramural training and research grants.

Yale Emergency Scholars will serve as residents for the first four years of the program, where they will complete the full complement of required rotations expected of EM residents.

Starting in the third year, elective time and one optional rotation will be replaced with formal MHS coursework and seminars in research, as well as time to conduct pilot studies. At the end of four years, Scholars will graduate and be able to sit for the ABEM certification examination. They will then continue as research fellows in the final year. In the fellow year, Scholars will continue their research and course work, and work clinical shifts as attending physicians in the Yale-New Haven Hospital Emergency

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Department. Professional fees collected during this year will cover the modest tuition. Close mentorship, career counseling and networking opportunities are tightly integrated into the YES program.

This program will leverage the strengths of our department, which has over $23 million in federal funding, many senior investigators and mentors, and the outstanding training environment and resources of Yale University, including the Schools of Medicine, Public Health, Management, Law, and the undergraduate College.

Coursework for YES candidates will come from three sources: the Robert Wood Johnson Clinical Scholars Program; Yale’s Investigative Medicine Program, which is geared toward physicians pursuing a PhD; and our own department, which has developed new courses and seminars geared toward investigators performing patient-oriented research in the ED. The YES program has a separate NRMP number: 1089110C1.

Candidates may apply for this program, our traditional four-year residency, or both. Commencement of YES-related activities in the EM3 year is contingent upon satisfactory performance in the EM1 and EM2 years.

We are reserving two residency slots per year for YES applicants, out of each 15-member class.

Interested individuals can learn more at our website at http:// medicine.yale.edu/emergencymed/index.aspx or contact us by email or phone.

We believe this model of training can facilitate the recruitment of high-quality candidates who want to experience a four-year residency, but are committed to a career in clinical investigation.

In fact, we are pleased to announce that we have already matched our first YES Scholar, Olga Kovalerchik, MD, from Rutgers New Jersey Medical School. Dr. Kovalerchik has already demonstrated substantial accomplishments in research, with 11 papers published in medical school, in the areas of gender research and otolaryngologic emergencies.

Other EM residency programs will likely have similar resources they can leverage. We would be happy to speak with other program directors and investigators to share our training model. ◗

THE IMPORTANCE OF REPORTING PRODUCT-RELATED INJURIES TO WWW.SAFERPRODUCTS.GOV

Commissioner Marietta S. Robinson US Consumer Product Safety Commission 4330 East-West Highway, Suite 723 Bethesda, MD 20814

Reporting product-related injuries and deaths to the US Consumer Product Safety Commission (CPSC) through www.SaferProducts.gov is critically important to helping prevent future injuries.

The CPSC was formed by Congress in 1972 as a small, independent agency charged with protecting the public from unreasonable risks of injury or death from more than 15,000 consumer product lines. The CPSC’s work to ensure the safety of consumer products—such as toys, cribs, power tools, cigarette lighters, and household chemicals—has contributed substantially to the decline in the rate of deaths and injuries associated with consumer products over the past 40 years.

Upon becoming a commissioner in July 2013, I started meeting with a wide variety of outside groups who had issues before the agency, including consumer groups, trade associations, voluntary rules committees, manufacturers, and chemical companies.

Multiple times each week, I would hear arguments either for more consumer safety rules, standards or initiatives or against them and, inevitably, when data were cited in support of the arguments, it was data gathered by the CPSC. I quickly realized how vital our data are to virtually all decision-making concerning product safety in this country and in many others.

Our data concerning product-related medical incidents, injuries and deaths drive everything we do internally at the CPSC to carry out our public health mission. Our staff uses our internal analysis of all of our data sets to initiate rule-making, draft voluntary and mandatory consumer product standards, issue product recalls and alerts, decide on proper budgetary allocations and promote various safety educational campaigns. Other federal agencies, such as the Department of Health and Human Services and the National Highway Traffic Safety Administration, use our data in furtherance of their public health and safety missions as well.

The CPSC has two types of data: anecdotal and statistical data.

Anecdotal Data – www.SaferProducts.gov

The CPSC obtains its anecdotal data through several sources, but, increasingly, the most important source is its three-year-old website: www.SaferProducts.gov. The website was authorized by Congress in 2008, went live in 2011 and, over the past three years, has become increasingly easy to use. To date, we have received approximately 20,000 reports of product-related harm or risk of harm from consumers, child service providers, government officials and public safety entities.

Conspicuous by their virtual absence in reporting productrelated harm to our website are the medical and public health communities. We are trying to correct that deficiency by informing these communities of our reporting website and the critical need for such reports, knowing that we share the goal of preventing unnecessary injuries and deaths.

Health care professionals regularly see injuries associated with consumer products and are thus in a unique position to observe and report such safety concerns. Specifically, emergency department doctors, nurses and personnel are the gatekeepers for these data.

For example, emergency department medical professionals are the first to know what toys given each Christmas are causing injuries, some serious, because those toys are defective, being used incorrectly, or being overused. While ED personnel may identify a trend of injuries in the weeks following Christmas, the CPSC has to wait much longer for this type of information to reach our doors unless the injuries are reported directly to us. That is why I urge everyone in the health care professional community to report (or at the minimum urge their patients to report) consumer productrelated injuries to the CPSC using www.SaferProducts.gov.

The CPSC needs to receive the best and most reliable data as quickly as possible regarding injuries or deaths associated with products in order to assess consumer product-related trends and detect emerging hazards as quickly as possible.

There is a benefit for the medical community as well. As long as the reports to www.SaferProducts.gov contain certain minimum information required by law and the submitter consents, the reports are publicly searchable at www.SaferProducts.gov approximately 15 business days after a report is submitted to the CPSC. You may use the database to search for similar injuries, incidents and deaths and identify your own trends in your particular medical practice or geographic area.

Statistical Data – National Electronic Injury Surveillance System

As mentioned above, the CPSC receives statistically relevant data as well. The CPSC obtains its statistical data through its 40-year-old National Electronic Injury Surveillance System (“NEISS”). The NEISS is comprised of approximately 100 hospital emergency departments specifically selected to allow statistical extrapolation of consumer product-related injuries to the national level and assess injuries over time. The NEISS collects approximately 400,000 product-related injuries annually from participating hospitals that represent a national estimate of over 14 million product-related injuries treated in hospital emergency departments. The NEISS data are also publicly available and searchable on the CPSC’s website at http://www.cpsc.gov/en/ Research--Statistics/NEISS-Injury-Data/. Medical professionals Continued on Page 30

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Continued from Page 29 and researchers frequently use these data to analyze issues, write research papers and identify certain medical injury trends.

Finally, thank you all for your time, energy and dedication as emergency department doctors, nurses and medical professionals.

Your passion to heal the public and keep us safe is admirable and inspirational. ◗ Marietta Robinson is a commissioner at the US Consumer Product Safety Commission. The thoughts and beliefs articulated in the article are entirely her own and in no way reflect the positions, opinions or statements of the CPSC or its staff. If you have any ideas, thoughts or questions about this topic, she may be reached at MRobinson@cpsc.gov.

2 Also note that the CPSC is a public health authority as explained in 45 CFR 164.512(b)(1)(i). The disclosure of protected health information to a public health authority is a permitted disclosure under the regulations promulgated by the US Department of Health and Human Services, Standards for Privacy of Individually Identifiable Health Information at 45 CFR 164.502(a)(1)(vi) in connection with the Health Insurance Portability and Accountability Act of 1996.

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2014-15 AEUS Executive Committee President: Matt Fields Past President: Kristin Carmody President-Elect: Andrew Liteplo Secretary: Kenton Anderson Treasurer: Ken Cody Research Officer: Srikar Adhikari Education Officer: Rachel Liu BOD Liaison: Mark Courtney

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REPORTING DATA IS EASY! Go to www.SaferProducts.gov and fill in the electronic form online. The electronic form will require you to ask two additional questions of your patients about the type of product involved and take only a few minutes to complete. You will be given the opportunity to register with CPSC when you begin. If you register, you will be able to save your electronic form so you may come back and complete it any time within the next 30 days.

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THE AMERICAN BOARD OF EMERGENCY MEDICINE ABEM PATIENT SAFETY LLSA ACTIVITY On May 1, 2014, the American Board of Emergency Medicine (ABEM) launched a new option for diplomates to meet their Lifelong Learning and Self-Assessment requirements for the ABEM MOC Program: the Patient Safety Lifelong Learning and Self-Assessment (PS-LLSA) activity. The activity, developed by the American College of Emergency Physicians (ACEP) in collaboration with ABEM, includes the following components:

NOMINATIONS BEING ACCEPTED FOR THE ABEM BOARD OF DIRECTORS The ABEM Board of Directors will elect two new directors at its February 2015 meeting. Both positions will be elected from nominations submitted from the Emergency Medicine communityat-large. Nominations are due to ABEM by December 1, 2014.

Nominee requirements, a nomination form, and a list of other required documentation is available on the ABEM website.

• A pre-test • Review of ten patient safety articles • An audio-supported slide presentation that emphasizes the key patient safety points in each article • A post-test (passing requires a minimum score of 85%) The activity is available to current diplomates who can register through their Personal Page on ABEM MOC Online. Beginning with diplomates whose certifications expire in 2017, the PS-LLSA activity will be required once in each ten-year certification. The requirement is being phased in. Though this is a new requirement, it is not additional work for the diplomate; the activity will count as one of the four required LLSA activities each diplomate must complete during each five-year certification period. Diplomates will also have the opportunity to participate in an optional associated CME activity; 20 AMA PRA Category 1™ credits are available.

Diplomates should consult their ABEM MOC Requirements and Status Page to see when they are required to complete the activity. For additional information, see the PS-LLSA FAQs, which are available on the ABEM website.

Reminders!

• The 2014 ConCertTM examination will be administered September 8-13, 2014. Register by August 28 to avoid late fees. Registration is online.

• The Medical Toxicology certification examination will be administered October 24, 2014; the application period ends September 1.

• The Pediatric Emergency Medicine MOC Cognitive Expertise Examination will be administered August 15 – September 30, 2014; the application period ends September 12.

ABOUT ABEM Founded in 1976, the American Board of Emergency Medicine (ABEM) develops and administers the Emergency Medicine certification examination for physicians who have met the ABEM credentialing requirements. ABEM has nearly 30,000 emergency physicians currently certified. ABEM is not a membership organization, but a non-profit, independent evaluation organization. ABEM is one of 24 Member Boards of the American Board of Medical Specialties.

ABEM MISSION The ABEM mission is to ensure the highest standards in the specialty of Emergency Medicine.

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ACADEM IC ANNOUNCEM ENTS Steven L. Bernstein, MD, professor of emergency medicine at Yale, has been awarded $724,088 from NIH’s National Institute on Drug Abuse for a 3-year R01, “A Network Analytic Model of Adherence and Abstinence.”

The Department of Emergency Medicine at Wake Forest School of Medicine is pleased to congratulate recent faculty promotions:

Mary Claire O’Brien, MD, has taken a new position in the Office of Medical Education as the associate dean for academic affairs; William Bozeman, MD, has been promoted to professor of emergency medicine; Michael T. Fitch, MD, PhD, has been promoted to professor of emergency medicine and vice chair for academic affairs in the Department of Emergency Medicine; Howard Blumstein, MD, has been promoted to professor of emergency medicine; Simon Mahler, MD, MS, has been promoted to associate professor of emergency medicine; Henderson McGinnis, MD, has been promoted to associate professor of emergency medicine.

The University of Illinois College of Medicine at Peoria is pleased to announce that, effective March 31, 2014, the Illinois Board of Higher Education gave final approval to establish the Department of Emergency Medicine, College of Medicine at Peoria, University of Illinois at Chicago. This creates the autonomous Department of Emergency Medicine at the University of Illinois College of Medicine at Peoria campus. The Peoria regional medical school campus site was established in 1970 and the Emergency Medicine Residency Program was established in 1981.

Timothy Schaefer, MD, has been selected as chair of the Department of Emergency Medicine; John Hafner, MD, has been promoted to program director of the Emergency Medicine Residency; Greg Tudor, MD, has been promoted to associate program director of the Emergency Medicine Residency Program; Sara Krzyzaniak, MD, has been appointed assistant program director of the Emergency Medicine Residency Program; Nur-Ain Nadir, MD, has been appointed director of medical student education for emergency medicine (aka “M4 Clerkship Director”); Andrew Vincent, DO, has been appointed assistant director of medical student education for emergency medicine (aka “M3 Clerkship Director”).

Erik Barton, MD, MS, has been named chair of the Department of Emergency Medicine at the University of California, Irvine. He replaces Mark I. Langdorf, MD, MHPE, FACEP, FAAEM, RDMS, who after almost 20 years as chief of first the Division and then the Department of Emergency Medicine, looks forward to seeing more patients, teaching, focusing on research, and continuing in his role as associate dean for professional development and CME at UC Irvine.

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CLASSIFIEDS CEP AMERICA is seeking candidates with strong leadership potential for a one-year Emergency Medicine Management Fellowship in the San Francisco Bay Area. Fellow candidates should be a graduate of an accredited emergency medicine residency program. Selected fellows look forward to: Preparation for future administrative positions -Participation in a wide array of management and leadership experiences - Active members of the CEP America senior and executive management team, collaborating on projects and developing products that impact the practice of emergency medicine.

Please visit go.cep.com/2014saem or call 800-842-2619 for more information.

Associate Chief Medical Information Officer Department of Emergency Medicine University of Michigan Hospitals and Health Centers The Associate Chief Medical Information Officer for Emergency Medicine (ACMIO-EM) supports technology implementation and adoption and provides oversight for the most appropriate use of existing and future clinical information systems in order to ensure quality care to patients, enhanced clinical training and accelerated health sciences research institutionally and in the Department of Emergency Medicine. The ACMIOEM is a member of the Office of Clinical Informatics and in that role works to maximize value from these advanced health information technologies (HIT). UMHS depends upon a newer level of cooperative workflow, policy changes and ongoing education within, and between, departments and among faculty and staff. The success of clinical information system initiatives is significantly enhanced when physicians are in leadership positions. The ACMIO-EM is a full-time appointment with 50% of time devoted to clinical and 50% devoted to administrative duties.

The ACMIO-EM has prior management and leadership experience and successfully demonstrated operational improvement in Emergency Medicine at an academic medical center. Residency trained and boarded in Emergency Medicine or Pediatric Emergency Medicine. Considerable knowledge of IT systems and experience with system optimization is necessary. The ACMIO-EM must display data driven decision-making skill, be facile with analysis of operational data, have excellent verbal and written communication skills, and be able to manage teams and projects successfully.

To view the complete position description, please visit http://umjobs.org/ The University of Michigan is an equal opportunity/affirmative action employer.

CALLS AND M EETING ANNOUNCEM ENTS Call for Papers 2015 Academic Emergency Medicine Consensus Conference

SAEM Fellowship Approval Program Deadline: September 1, 2014 (for Geriatric EM and Education Scholarship applications) Fellow Registration Deadline: September 14, 2014 (all programs) In an effort to promote standardization of training for fellows, the SAEM Fellowship Approval Program has been developed for eligible programs to earn the endorsement of SAEM as an approved fellowship in research, geriatrics, and education scholarship. Fellows who complete a program at an SAEMapproved institution also receive recognition for earning the standard qualifications and skills needed.

The deadline for institutions to apply to become an SAEMapproved fellowship in geriatric EM and in education scholarship is September 1, 2014. The application fee is $400. Visit the Fellowship Approval Program section of saem.org for more details.

Fellow registration deadline for those enrolled at approved programs is September 14, 2014. Fellows must be members of SAEM to register.

A list of approved fellowship programs can be found in the SAEM Fellowship Directory.

SAEM-approved Research Fellowship Programs Beth Israel Deaconess Medical Center —Harvard University, Boston, MA Emory University, Atlanta, GA Hennepin County Medical Center, Minneapolis, MN Indiana University, Indianapolis, Indiana Medical College of Wisconsin, Milwaukee, WI Northwestern University, Chicago, IL Oregon Health and Science University, Portland, OR Rhode Island Hospital, Providence, RI The Ohio State University, Columbus, OH University of California, Davis, Sacramento, CA University of Cincinnati, Cincinnati, OH University of Michigan, Ann Arbor, MI University of Ottawa, Ottawa, Ontario, Canada University of Pennsylvania, Philadelphia, PA University of Pittsburgh, Pittsburgh, PA University of Rochester, Rochester, NY Vanderbilt University Medical Center, Nashville, TN Washington University, St. Louis, MO Yale University, New Haven, CT

Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization The 2015 Academic Emergency Medicine (AEM) consensus conference, Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization, will be held on May 12, 2015, immediately preceding the SAEM Annual Meeting in San Diego, CA. Original papers on this topic, if accepted, will be published together with the conference proceedings in the December 2015 issue of AEM. Diagnostic imaging is integral and beneficial to the practice of emergency medicine. Over the last several decades, emergency department (ED) diagnostic imaging has increased without a commensurate rise in identified pathology or improvement in patient-centered outcomes. Unnecessary imaging results in increased resource use and significant exposure risks. ED diagnostic imaging has become the focus of many stakeholders, including patients and various regulatory agencies.

This multidisciplinary consensus conference represents the first coordinated effort to further our evidence-based knowledge of ED diagnostic imaging. This consensus conference will formulate the research priorities for emergency diagnostic imaging, initiate a collaborative dialogue between stakeholders, and align this research agenda with that of federal funding agencies.

Consensus Goal: The overall mission of the 2015 AEM consensus conference will be to create a prioritized research agenda in emergency diagnostic imaging for the next decade and beyond. The consensus conference will feature expert keynote speakers, panel discussions including nationally recognized experts, and facilitated breakout group sessions to develop consensus on research agendas by topic. Optimizing diagnostic imaging in the ED is a timely topic that is relevant to all who practice emergency medicine. Furthermore, the conference content spans many other specialties (e.g. radiology, pediatrics, cardiology, surgery, internal medicine), all of which will be invited to participate in the conference to optimize the agenda and for future collaboration in order to improve emergency diagnostic imaging use.

Consensus Objectives: 1. Understand the current state of evidence regarding diagnostic Continued on Page 34

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CALLS AND M EETING ANNOUNCEM ENTS - CONT.

Continued from Page 33 imaging utilization in the ED and identify opportunities, limitations, and gaps in knowledge of previous study designs and methodology 2. Develop a consensus statement that emphasizes the priorities and opportunities for research in emergency diagnostic imaging that will result in practice changes, and the most effective methodologic approaches to emergency diagnostic imaging research 3. Explore and improve knowledge of specific funding mechanisms available to perform research in emergency diagnostic imaging Accepted manuscripts will present original, high-quality research in emergency diagnostic imaging in areas such as clinical decision rules, shared decision making, knowledge translation, comparative effectiveness research, and multidisciplinary collaboration. They may include work in clinical/translational, health systems, policy, or basic sciences research. Papers will be considered for publication in the December 2015 issue of AEM if received by April 17, 2015. All submissions will undergo peer review and publication cannot be guaranteed.

Contact Jennifer R. Marin, MD, MSc (jennifer.marin@chp.edu) or Angela M. Mills, MD (millsa@uphs.upenn.edu), the 2015 consensus conference co-chairs, for queries. Information and updates will be regularly posted in AEM, the SAEM Newsletter, and the journal and SAEM websites.

INTERACTIVE CME TRAINING: ABDOMINAL PAIN IN THE OLDER ADULT

This program is brought to you by AGEM (an academy of SAEM) and is funded through the generous support of the Retirement Research Foundation.

Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of California, Irvine School of Medicine and the Society for Academic Emergency Medicine. The University of California, Irvine School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statement The University of California, Irvine School of Medicine designates this enduring material for a maximum of 6 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

California Assembly Bill 1195 This activity is in compliance with California Assembly Bill 1195, which requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. For specific information regarding Bill 1195 and definitions of cultural and linguistic competency, please visit the CME website at http://www.cme.uci.edu.

Disclosure Policy It is the policy of the University of California, Irvine School of Medicine and the University of California CME Consortium to ensure balance, independence, objectivity, and scientific rigor in all CME activities. Full disclosure of conflicts and conflict resolutions will be made prior to the activity.

2013 MODEL OF THE CLINICAL PRACTICE OF EMERGENCY MEDICINE PUBLISHED

How often do you encounter older patients in the emergency department with abdominal pain? Do you find it difficult to communicate with them? Is treatment challenging?

Learn how to interact, diagnose, and treat older adults more effectively through this interactive online training tool titled “Abdominal Pain in the Older Adult” (http://www.saem.org/ education/continuing-education/saem-online-cme) FREE for non-CME participants; or $95 for 6 AMA PRA Category 1 Credits™.

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The Core Content Task Force II created and endorsed the 2001 Model of the Clinical Practice of Emergency Medicine (EM Model) as published in the June 2001 Annals of Emergency Medicine and Academic Emergency Medicine. The 2013 EM Model Review Task Force conducted the fifth review of the EM Model. Their work is built on the original 2001 EM Model and the subsequent four revisions.

The 2013 EM Model is published in the May 2014 issue of Academic Emergency Medicine online only. It is also available for download on the SAEM website at http://www.saem.org/ publications/aem-journal/2013-model-EM-clinical-practice.

Department of Emergency Medicine Penn Medicine is comprised of three hospital emergency departments and observation units (Hospital of the University of Pennsylvania-HUP; Penn-Presbyterian Medical Center-PPMC; and Pennsylvania Hospital-PAH) with a combined annual emergency department census of 145,000 visits. Each site has a unique, diverse, highly acute patient population consisting of local and referral patients. Penn Medicine is a world class academic institution with superb clinical facilities and programs, the number two ranked medical school in the nation, and a rich and collegial research environment. The Department of Emergency Medicine has a 4 year, highly successful, academically oriented residency program with 44 residents, multiple fellowships including one of only six NIH funded K12 clinical research fellowships and several nationally acclaimed research programs housed within its Center for Resuscitation Science and the Center for Emergency Care Policy Research.

There are over 90 faculty across the three sites and there are close academic affiliations and programmatic alliances with the Children’s Hospital of Philadelphia and the Philadelphia Veterans Affairs Medical Center. Faculty positions will be structured across multiple sites according to skills, interest and clinical availability.

Faculty candidates who have strong academic and leadership potential combined with a strong desire to be part of an outstanding, highly motivated and highly productive group of colleagues are urged to apply.

We seek candidates who embrace and reflect diversity in the broadest sense. The University of Pennsylvania is an equal opportunity, affirmative action employer.

Assistant, Associate & Full Professor Positions in Emergency Medicine Perelman School of Medicine at the University of Pennsylvania The Department of Emergency Medicine at the Perelman School of Medicine at the University of Pennsylvania seeks candidates for several positions at the Assistant, Associate, or Full Professor levels in either the non-tenure clinician-educator track, the non-tenure academic-clinician track, or the tenure track. While evidence of scholarship is required in the clinician-educator and tenure tracks, research is not required in the academic clinician track. Track and rank will be commensurate with experience. The successful applicant will have experience in the field of Emergency Medicine. Board-eligible or board certified in emergency medicine.

Of particular interest are candidates with demonstrated clinical or academic interest and/or additional fellowship or post-residency research methodology training or desire to focus in the following areas: critical care, clinical research (particularly clinical trials), medical education, resuscitation, and rural-urban medicine partnerships. An exclusive nocturnal reduced clinical schedule is available for any of these positions.

Academic Clinician track applicants are not required to do research.

APPly ONlINE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d3623 Clinician-Educator track applicants will be expected to show evidence of scholarship and may perform collaborative research.

APPly ONlINE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d3622 Tenure track applicants will be expected to establish and maintain independent, extramurally funded research.

APPly ONlINE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d3624

Assistant, Associate & Full Professor Positions in Hyperbaric Medicine, Emergency Medicine Perelman School of Medicine at the University of Pennsylvania The Department of Emergency Medicine at the Perelman School of Medicine at the University of Pennsylvania seeks candidates for an Assistant, Associate, and/or Full Professor position in either the non-tenure clinician-educator track or the non-tenure academic-clinician track.

While evidence of scholarship is required in the clinician-educator and tenure tracks, research is not required in the academic clinician track.

Track and rank will be commensurate with experience. The successful applicant will have experience in the field of Hyperbaric Medicine.

Responsibilities include provision of clinical care to patients requiring hyperbaric oxygen therapy and/or emergency department patients at one of the three emergency department sites within UPHS; teaching and mentoring of hyperbaric medicine fellows, emergency medicine residents, medical students; conduct of research commensurate with interest; administrative and operational duties commensurate with interest and experience to be considered. Applicants must have an M.D or M.D./Ph.D. degree and have demonstrated excellent qualifications in education, research, and clinical care. Board-eligible or board certified in Hyperbaric Medicine.

The Hyperbaric Division is one of the most comprehensive programs in the nation. Penn has been a leader in advancing hyperbaric therapy and research for the past 45 years and has had an outstanding ACGME training program for the past 8 years. The Division is composed of 3 board certified Emergency Medicine/Hyperbaric Medicine faculty, a business administrator, 1 program manager, 13 support staff and trains 1-3 fellows a year. The Hyperbaric program is a multi-place chamber capable of treating 7-8 patients simultaneously and is a 24/7 operation treating both elective and emergency patients. The clinical team has the knowledge and expertise to treat a full spectrum of emergency and chronic conditions.

The chamber cares for 250-300 patients a year for total treatment hours of 9,000-10,000.

Clinician-Educator track applicants will be expected to show evidence of scholarship and may perform collaborative research.

APPly ONlINE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d3626 Academic Clinician track applicants are not required to do research.

APPly ONlINE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d3625

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The Department of Emergency Medicine at the University of Alabama School of Medicine is seeking talented residency trained Emergency Medicine physicians at all academic ranks to join our faculty. The University offers both tenure and non tenure earning positions.

The University of Alabama Hospital is a 903-bed teaching hospital, with a state of the art emergency department that occupies an area the size of a football field. The Department treats over 75,000 patients annually and houses Alabama’s only designated Level I trauma center. The Department’s dynamic, challenging emergency medicine residency training program is the only one of its kind in the State of Alabama.

The University of Alabama at Birmingham (UAB) is a major research center with over $440 million in NIH and other extramural funding. The Department of Emergency Medicine hosts a nationally-recognized research program and is a site for the NIHfunded Resuscitation Outcomes Consortium (ROC). The Department has been highly successful in developing extramural research support in this warmly collaborative institution.

Birmingham Alabama is a vibrant, diverse, beautiful city located in the foothills of the Appalachian Mountains. The metropolitan area is home to over one million people, who enjoy recreational activities year round because of its mild southern Climate.

Birmingham combines big city amenities with Southern charm and hospitality.

A highly competitive salary is offered. Applicants must be EM board eligible or certified.

UAB is an Equal Opportunity/Affirmative Action Employer committed to fostering a diverse, equitable and family-friendly environment in which all faculty and staff can excel and achieve work/life balance irrespective of ethnicity, gender, faith, and sexual orientation. UAB also encourages applications from individuals with disabilities and veterans A pre-employment background investigation is performed on candidates selected for employment.

In addition, physicians and other clinical faculty candidates, who will be employed by the University of Alabama Health Services Foundation (UAHSF) or other UAB Medicine entities, must successfully complete a pre-employment drug and nicotine screen to be hired.

Please send your curriculum vitae to: Janyce Sanford, M.D., Associate Professor & Chair of Emergency Medicine, University of Alabama at Birmingham; Department of Emergency Medicine; 619 South 19th Street; OHB 251; Birmingham, AL 35249-7013

Exciting Academic Emergency Medicine Opportunities FACULTY

The Baylor College of Medicine, a top medical school, is looking for stellar candidates to join us to work in the world’s largest medical center. We are recruiting experienced Emergency Medicine BC/BE Clinician Educators and Clinician Researchers at all academic ranks who will be an integral part of building the future of Emergency Medicine at BCM. We offer a highly competitive academic salary and benefits.

The program is based out of Ben Taub General Hospital, a busy Level 1 trauma center in the heart of Houston that sees more than 100,000 emergency visits per year. BCM is affiliated with eight world class hospitals and clinics in the renowned Texas Medical Center. These affiliations, along with the medical school’s preeminence in research, help to create one of the strongest emergency medicine programs/experiences in the country.

FELLOWSHIP DIRECTOR

The program has also established an EM Research Fellowship that is now in search of a director. As a relatively new program, the director will have the opportunity to build and grow the existing research fellowship within the context of the existing extremely active and well-funded multi-hospital research program. The successful candidate will have a track record of publication and grant experience, as well as the ability to mentor our extremely research competitive fellows.

Those interested in a position or further information may contact the Division Chief via email hoxhaj@bcm.edu or by phone at 713873-2626.

Mid-Level Tenure Track Faculty Position Clinical and Translational Research Cardiovascular Medicine The Department of Emergency Medicine at the University of California, San Francisco (UCSF), School of Medicine, seeks an outstanding leader in Pediatric The Department of Emergency Medicine at Wayne State University is seeking applicants for a mid-level tenure track faculty position in clinical and translational research. We are looking for innovative and industrious individuals to join our dynamic and collaborative research team.

Individuals with a track record of established funded research that is translational in nature and focused on cardiac arrest, stroke, or cardiovascular medicine (hypertension, acute coronary syndrome, ishemic/non-ischemic cardiomyopathy, and cerebrovascular disease) are encouraged to apply.

Applicants with a solid history of research with a bench to bedside component, those who have implemented and disseminated clinical trial protocols, and particularly those with a track record of federally funded research will be given highest priority.

The emphasis is to apply discoveries generated through research in the laboratory and in pre-clinical studies to the development of trials and studies in humans. Anticipated rank for the selected applicant will be at the Associate Professor level in the Department of Emergency Medicine.

Compensation and benefits are highly competitive. Protected time and research support are commensurate with such projections. Highly qualified candidates may be eligible for appointment to an endowed professorship. Adjunct appointments to the Departments of Physiology or Center for Molecular Medicine and Genetics are available to qualified applicants.

Interested applicants should electronically submit a letter of interest, along with a curriculum vitae and brief statement regarding their research interests, as a single PDF, to: Brian J. O’Neil, MD Munuswamy Dayanandahn Endowed Chair Wayne State University School of Medicine, Department of Emergency Medicine 4201 St. Antoine, UHC-6G, Detroit, MI 48201; boneil@med.wayne.edu WSU is an equal opportunity/affirmative action employer.

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Brigham and Women’s hospital Department of Emergency Medicine Harvard Medical School · Boston, MA

Fellowship Opportunities

InternatIonal emergency medIcIne FellowshIp The International Emergency Medicine Fellowship prepares leaders in international health and international emergency systems. Fellows develop skills in humanitarian aid and disaster response, emergency systems development, health program administration and funding, cross-cultural collaboration, international public health, and human rights. The fellowship program is designed for those seeking a career in academic international emergency medicine and/or medical leadership and research in international health organizations. Fellows will have the opportunity to earn an MPH from the Harvard School of Public Health.

Start Date: July 1, 2015 Application Deadline: October 3, 2014 (interviews November 5, 2014) More information: www.iemfellowships.com

FellowshIp In health polIcy translatIon The Fellowship in Health Policy Research and Translation trains leaders in emergency medicine to design, conduct, and translate innovative research and practice changes into health policy.

Fellows divide their time between mentored policy-related research projects, class work, a health policy practicum, and clinical work in the Emergency Department. Fellows will have the opportunity to earn a Masters Degree from the Harvard School of Public Health. The program is designed for those seeking a career at the intersection of health policy and emergency care.

The fellowship is two years.

Start Date: July 1, 2015 Application Deadline: October 20, 2014 (interviews November 5 and 20, 2014) More information: http://tinyurl.com/BWH-EM-HPRT

emergency UltrasoUnd FellowshIp Emergency ultrasound fellows will have the opportunity to train under five ultrasound fellowship trained faculty members. As an attending, fellows will supervise residents and scan 1-2 times per week with ultrasound faculty. The fellow is also expected to help with rotating student and resident education, hands-on scanning sessions with faculty, ultrasound journal club, on-going research, and to give ultrasound lectures. Although fellows are encouraged to enroll in a two year program during which they will pursue a Masters Degree (MS, MPH, or MEd), a one year program may also be offered for qualified applicants.

Start Date: July 1, 2015 | Application Deadline: October 1, 2014 More information: www.eusfellowships.com

emergency department admInIstratIon FellowshIp The Brigham and Women’s Hospital/Harvard School of Public Health fellowship in Emergency Department Administration will prepare emergency physicians to be exceptionally competent managers of Emergency Departments. Fellows will be closely mentored by dedicated faculty with unique administrative experiences including LEAN processes, network development, Observation Medicine, informatics, and managing mid-level practitioners. The fellowship is two years for those who will pursue an MS degree in Health Care Management at the Harvard School of Public Health, one year for those who have already earned an advanced degree in business or management.

Start Date: July 1, 2015 | Application Deadline: September 20, 2014 More information: http://is.gd/BWHAdminFellowship

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PEDIATRIC EMERGENCY MEDICINE PHYSICIAN The University of California, Davis School of Medicine, Department of Emergency Medicine is conducting a faculty search for a pediatric emergency medicine physician in either a clinician/educator or clinician/researcher track. Candidates must be fellowship trained in Pediatric Emergency Medicine with board certification/eligible and be qualified for licensure in California. Candidates are expected to enter at the Assistant/Associate level, commensurate with experience and credentials. Emergency Medicine faculty members at UC Davis who have preference for night shifts work fewer clinical shifts each month.

The University of California, Davis, Medical Center, one of the nationĘźs “Top 50 Hospitals,â€? is a 613 bed academic medical center with approximately 70,000 emergency department visits annually, including approximately 17,000 pediatric visits.

The new emergency services facility opened in 2010 and is state-of-the-art. Our program provides comprehensive emergency services to a large local urban and referral population as a level 1 trauma center, paramedic base station and training center. The Department has a separate area for the care of children and is one of the leading centers in the Pediatric Emergency Care Applied Research Network (PECARN). The department also serves as the primary teaching site for a fully accredited Emergency Medicine (EM) residency program and seven different EM fellowship programs. Our residency training program in Emergency Medicine began more than twenty years ago and currently has 42 residents.

Salary and benefits are competitive and commensurate with training and experience.

Sacramento is located near the northern end of California's Central Valley, close to Lake Tahoe, San Francisco, and the "wine country" of the Napa and Sonoma Valleys.

Sports enthusiasts will find Sacramento's climate and opportunities ideal.

Interested candidates should submit a letter outlining interests and experience, and curriculum vitae to: Nathan Kuppermann, MD, MPH, Professor and Chair UC Davis Department of Emergency Medicine 2315 Stockton Blvd., PSSB 2100 Sacramento, CA 95817 Applications must be received by 12/31/14 to be fully considered. The University of California is an affirmative action/equal opportunity employer.

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EmErgEncy DEpartmEnt aDministration FEllowship Brigham anD womEn’s hospital in association with

harvarD school oF puBlic hEalth The Brigham and Women’s Hospital/Harvard School of Public Health fellowship in Emergency Department Administration will prepare emergency physicians to be exceptionally competent managers of Emergency Departments.

BWH is a leader in clinical research, operational efficiency, informatics, quality and safety, and disaster response. Opportunities for project management and research abound. An MS degree in healthcare management from the Harvard School of Public Health is an integral part of the program. Training will also include exposure to research management.

Highlights: • Two-year program with close mentoring at all points. One-year program available for those who have already earned an advanced degree in business or management.

• Customized curriculum with core requirements and elective rotations.

• Dedicated faculty with unique administrative experiences including LEAN processes, network development, Observation Medicine, informatics, and managing mid-level practitioners • MS degree in Health Care Management at the Harvard School of Public Health • Clinical and teaching duties at BWH sites • Academic appointment at Harvard Medical School • Competitive salary, generous benefits package, CME funds and fully funded tuition at HSPH More info: http://is.gd/BWHAdminFellowship | jbohan@partners.org

VICE CHAIR FOR RESEARCH DEPARTMENT OF EMERGENCY MEDICINE The University of Iowa Department of Emergency Medicine seeks a Vice Chair for Research. This individual will be expected to lead and direct the department’s research enterprise; have an established record of extramural funding and successful scholarly pursuit; strong teaching skills; and experience in a multidisciplinary academic health system. The main focus of this position will be to provide strategic vision, mentorship for faculty and residents in study design, implementation, and preparation for presentation/publication while continuing personal scholarly activity and professional development. Competitive compensation commensurate with experience and an excellent fringe benefits package.

Interested individuals are invited to visit our website at https://jobs.uiowa. edu/ faculty requisition # 64269 for a complete position description or contact Azeemuddin Ahmed, MD, MBA, Executive Vice Chair, Emergency Medicine, 319-356-7306, azeemuddin-ahmed@uiowa.edu The University of Iowa is an equal opportunity / affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, religion, associational preference, status as a qualified individual with a disability, or status as a protected veteran.

ACADEMIC EMERGENCY MEDICINE PHYSICIANS The Department of Emergency Medicine, Mayo Clinic College of Medicine (Rochester, MN), is expanding and has openings for an Academic Emergency Physician and an Academic Pediatric Emergency Physician.

Among other things, these opportunities include: • clinical practice in a busy (75,000 total annual visits with 15,000 pediatric visits), high acuity academic ED and Level I Adult and Pediatric Trauma Center • an expanded and renovated state of the art ED and Pediatric ED (opening in 2015) • teaching in outstanding Emergency Medicine and Pediatric residency programs, the Mayo School of Graduate Medical Education, and Mayo Medical School • collaboration within an integrated network of 21 other Emergency Departments in the upper Midwest and with colleagues in Florida and Arizona • a world-class multidisciplinary simulation center • collaboration with systems engineers and analysts, programmers, and designers from the Center for the Science of Healthcare Delivery to study and optimize ED Operations • numerous opportunities for collaborative research, with administrative support and intramural funding available • accomplished colleagues with an unwavering commitment to high value patient care, education, and research To apply online, please attach your CV and cover letter at www.mayoclinic.org/physician-jobs and reference job posting #36268BR or #36267BR. For further information, please contact: Annie T. Sadosty, M.D., Chair, Department of Emergency Medicine at sadosty.annie@mayo.edu.

Heal the sick, advance the science, share the knowledge. ©2014 Mayo Foundation for Medical Education and Research. Post offer/pre-employment drug screening is required. Mayo Clinic is an equal opportunity educator and employer (including veterans and persons with disabilities).

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EMERGENCY MEDICINE PHYSICIAN The University of California, Davis School of Medicine, Department of Emergency Medicine is conducting a faculty search for an emergency medicine physician in either a clinician/educator or clinician/researcher track. Candidates must be residency trained in Emergency Medicine with board certification/preparation and be eligible for licensure in California. At least one year of post-training clinical experience and/or fellowship training is preferred. Candidates are expected to enter at the Assistant/Associate level, commensurate with experience and credentials. Emergency Medicine faculty members at UC Davis who have preference for night shifts work fewer clinical shifts each month.

The University of California, Davis, Medical Center, one of the nationĘźs “Top 50 Hospitals,â€? is a 613 bed academic medical center with approximately 70,000 emergency department visits annually, including approximately 17,000 pediatric visits.

The new emergency services facility opened in 2010 and is state-of-the-art. Our program provides comprehensive emergency services to a large local urban and referral population as a level 1 trauma center, paramedic base station and training center. The department also serves as the primary teaching site for a fully accredited Emergency Medicine (EM) residency program and seven different EM fellowship programs. Our residency training program began more than twenty years ago and currently has 42 residents. The Department has a separate area for the care of children and is one of the leading centers in the Pediatric Emergency Care Applied Research Network (PECARN).

Salary and benefits are competitive and commensurate with training and experience.

Sacramento is located near the northern end of California's Central Valley, close to Lake Tahoe, San Francisco, and the "wine country" of the Napa and Sonoma Valleys.

Sports enthusiasts will find Sacramento's climate and opportunities ideal.

Interested candidates should submit a letter outlining interests and experience, and curriculum vitae to: Nathan Kuppermann, MD, MPH, Professor and Chair UC Davis Department of Emergency Medicine 2315 Stockton Blvd., PSSB 2100 Sacramento, CA 95817 Applications must be received by 12/31/14 to be fully considered. The University of California is an affirmative action/equal opportunity employer.

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Department of Emergency Medicine Yale University School of Medicine Advancing the Science and Practice of Emergency Medicine The Department of Emergency Medicine at the Yale University School of Medicine has expanded to a total of 3 clinical sites that comprise Yale-New Haven Hospital with a combined ED volume of 180,000 visits per year. We are seeking faculty at all levels with interests in clinical care, education or research to enhance our existing strengths. The successful candidate may be a full time clinician committed to excellence in patient care and emergency medicine education or one that would want to join the academic faculty promoting scholarship to enhance the field of emergency medicine. We offer an extensive faculty development program for junior and more senior faculty. We have a well-established track record of interdisciplinary collaboration with other renowned faculty, obtaining federal and private foundation funding, and a mature research infrastructure supported by a faculty Research Director, a staff of research associates and administrative assistants.

Eligible candidates must be residency-trained and boardcertified/-prepared in emergency medicine. Rank, protected time and salary will be commensurate with education, training and experience.

Yale University is a world-class institution providing a wide array of benefits and research opportunities.

To apply, please forward your CV and cover letter to Gail D’Onofrio, MD, MS Chair, via email: jamie.petrone@yale.edu, or mail: Yale University School of Medicine, Department of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315.

Yale University is an affirmative action, equal opportunity employer.

Women and members of minority groups are encouraged to apply.

All require the applicant to be board-prepared/certified EM physicians and offer an appointment as a Clinical Instructor to the faculty of the Department of Emergency Medicine at Yale University School of Medicine. Applications are available at the Yale Emergency Medicine web page http://medicine.yale.edu/ emergencymed/ and are due by November 15, 2014.

Yale University is an Affirmative Action/Equal Opportunity Employer and welcomes applications from women, persons with disabilities, protected veterans, and members of minority groups.

Vice Chair of Research

Faculty Position

Fellowship Positions

Outstanding opportunity for a highly motivated Emergency Physician who has successful track record in all aspects of clinical research and is interested in continuing research efforts while building research infrastructure in a newly established Department of Emergency Medicine. Successful applicant will have broad scope of responsibility to oversee research mission of department, and will have access to broad resources, e.g. funding stream and generous start-up funds to ensure success.

The Department of Emergency Medicine at the University of Wisconsin School of Medicine & Public Health (Madison, WI) primarily staffs the University of Wisconsin Hospital & Clinic (UWHC) - one of only two academic medical centers, and level I Trauma (adult & pediatrics) and Burn Centers, in the state of Wisconsin.

UWHC is building a second hospital in close proximity that will also be staffed by UW EM faculty, starting July 2015. In anticipation of the opening of the new hospital and new ED, we are hiring several faculty into academic, community, or hybrid positions.

UW Medflight Fellow participates in the management, administration, and clinical staffing of one of only a handful of physician-led and physician-staffed Critical Care Transport and Helicopter EMS (HEMS) programs in the country. This program will prepare graduates to lead HEMS programs. UW Medical Simulation Fellow participates in a robust simulation program that incorporates medical students, residents, faculty development, multidisciplinary simulations and more, through the full spectrum of scenario creation, technical training, program management, and research.

This program will prepare graduates to lead an academic/community simulation program.

Compensation and benefits are extremely competitive. Inquiries should be accompanied by a CV and sent to: Azita G. Hamedani, MD, MPH, Chair, Department of Emergency Medicine, F2/217, Clinical Science Center, MC 3280, 600 Highland Avenue, Madison, WI 53792, agh@medicine.wisc.edu

Department of Emergency Medicine The UW Madison is an equal opportunity/affirmative action employer.

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Yale University School of Medicine Department of Emergency Medicine Fellowship Programs For specific information including deadlines and requirements, visit: http://medicine.yale.edu/emergencymed/ The Research fellowship is a new 2-3 year program focused on training clinician scholars as independent researchers in Emergency Medicine. Scholars will earn a Master of Health Sciences degree from Yale combining clinical experience with extensive training in research methods, statistics and research design.

With the guidance of research content experts and professional coach mentors, the scholar will develop a research program, complete a publishable project and submit a grant application prior to completion of the program. The program is credentialed by the Society for Academic Emergency Medicine. For further information, contact Steven L. Bernstein, MD, steven.bernstein@yale.edu.

The fellowship in Emergency Ultrasound is a 1-year program that will prepare graduates to lead an academic/ community emergency ultrasound program. This fellowship satisfies recommendations of all major societies for the interpretation of emergency ultrasound as well as RDMS/RDCS/RVT certification, and will include exposure to aspects of program development, quality assurance, properties of coding and billing, and research. The program consists of structured time in the ED performing bedside examinations, examination QA and review, research into new applications, and education in the academic/ community arenas. We have a particular focus on emergency echo and utilize state of the art equipment, as well as wireless image review.

For further information, contact Chris Moore, MD, RDMS, RDCS, chris.moore@yale.edu.

The fellowship in EMS is a 1-2 year program that provides training in all aspects of EMS, including academics, administration, medical oversight, research, teaching, and clinical components. The program focuses on operational EMS, with the fellow actively participating in the system’s physician response team, and all fellows offered training to the Firefighter I or II level. A 1-year MPH program is available for fellows choosing the 2-year program. The fellowship graduate will be prepared for a career in academic EMS and/or medical direction of a local or regional EMS system, and for the new ABEM subspecialty examination.

the fellow will acquire experience in all facets of emergency department clinical operations. Fellows will complete the Executive MBA program at the Yale School of Management and a clinical Emergency Medicine Administrative Fellowship. In addition, the candidate will play a leadership role on one or more projects from the offices of the Chair and Vice Chair for Clinical Operations. For further information, contact Steven L. Bernstein, MD, steven.bernstein@yale.edu.

The Global Health and International Emergency Medicine fellowship is a 2 year program offered by Yale in partnership with the London School of Hygiene & Tropical Medicine (LSHTM). Fellows will develop a strong foundation in global public health, tropical medicine, humanitarian assistance and research. They will receive an MSc from LSHTM, a diploma in Tropical Medicine (DTM&H) and complete the Health Emergencies in Large Populations (HELP) course offered by the ICRC in Geneva. In addition, fellows spend 6 months in the field working with on-going Yale global health projects or on an independent project they develop. For further information, contact the fellowship director, Hani Mowafi, MD, MPH, hani.mowafi@yale.edu.

NIDA K12: Partnering with Yale’s Clinical and Translational Sciences (CTSA), Robert Wood Johnson Foundation Clinical Scholars Program, the Center for Interdisciplinary Research on AIDS (CIRA) and the VA Connecticut Healthcare we are offering the Yale Drug Abuse, HIV and Addiction Scholars K12 Research Career Development Program. The DAHRS K12 Scholars Program provides an outstanding 2-3 year research training experience that offers a Master of Health Science, a mentored research program as well as career and leadership development activities. For further information, contact Dr. Gail D’Onofrio at gail.donofrio@ yale.edu

For further information, contact David Cone, MD, david.cone@yale.edu.

All require the applicant to be board-prepared/certified EM physicians and offer an appointment as a Clinical Instructor to the faculty of the Department of Emergency Medicine at Yale University School of Medicine. Applications are available at the Yale Emergency Medicine web page http://medicine.yale.edu/ emergencymed/ and are due by November 15, 2014.

The Administration fellowship is a new 2-year program that will prepare graduates to assume administrative leadership positions in private or academic practice. By having an active clinical practice in our department,

Yale University is an Affirmative Action/Equal Opportunity Employer and welcomes applications from women, persons with disabilities, protected veterans, and members of minority groups.

PROGRAM DIRECTOR, EMERGENCY MEDICINE RESIDENCY PROGRAM The Department of Emergency Medicine at Greenville Health System (GHS) seeks outstanding candidates for the position of Program Director for a planned Emergency Medicine Residency Program. GHS is the largest healthcare provider in South Carolina and provides the most extensive emergency services in the Upstate region. Greenville Memorial Hospital (GMH) will serve as the primary teaching site for the residency program and is the largest and busiest hospital in South Carolina. GMH has an annualized ED volume of approximately 105,000 and serves as a Level I trauma and tertiary referral center. It is currently the home to 14 residency and fellowship training programs and the new University of South Carolina School of Medicine Greenville.

Applicants for this position must have a minimum of three years of experience as core faculty in an accredited Emergency Medicine residency program with an exceptional background in educational leadership, and must be board-certified in Emergency Medicine. Candidates with experience in residency leadership and building a residency program are especially encouraged to apply. Candidates must have outstanding interpersonal skills and a strong vision to establish and build this new program. Appointment level and rank at the University of South Carolina School of Medicine will be commensurate with experience and qualifications.

Greenville is a beautiful place to live and work and enjoys a diverse and thriving economy, excellent quality of life, and wonderful cultural and educational opportunities.

Qualified candidates should submit a letter of interest and curriculum vitae to: Kendra Hall, Sr. Physician Recruiter, kbhall@ghs.org, ph: 800-772-6987. GHS does not offer sponsorship at this time. EOE

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Society for Academic Emergency Medicine 2340 S. River Road, Suite 208 Des Plaines, IL 60018

NON PROFIT ORGANIZATION U.S. POSTAGE PAID SAEM

FUTURE FUTURE SAEM SAEM ANNUAL ANNUAL MEETINGS MEETINGS 2013

SAEM Leadership Forum May 14-15, 2013 SAEM Annual Meeting2015 Topics: May 14-18 SAEM Annual Meeting “Leadership” The Westin Peachtree Plaza, Atlanta, MayGA 13-15 “Developing and Sustaining a Vision” Sheraton Hotel and Marina, San Diego, CA “Strategic Planning” AEM Consensus Conference “Building a Team” May 15, 2013 “Conflict Resolution” 2016 Topic: “Global Health and Emergency Care: “How to Run a Meeting” SAEM Annual Meeting

A Research Agenda” “ED Operations Overview” MayMPH 10-14 Co-Chairs: Stephan Hargarten, MD, Management” Hotel, New Orleans, LA Mark Hauswald, MD Sheraton New Orleans“Change “Negotiating for Your Dept./Faculty” Jon Mark Hirshon, MD, MPH “Overview of Dept. Finances” Ian B.K. Martin, MD 2017 “Communication Skills” SAEM Annual Meeting May 16-20 Hyatt Regency Orlando, Orlando, FL 2014 2015 SAEM Annual Meeting May 14-17 Sheraton Hotel, Dallas, TX

SAEM Annual Meeting May 13-16 Sheraton Hotel and Marina, San Diego, CA