July-August 2003

S A E M

NEWSLETTER

Newsletter of the Society for Academic Emergency Medicine

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

July/August 2003 Volume XV, Number 4

PRESIDENT’S MESSAGE SAEM – What Is Upcoming

Roger J. Lewis, MD, PhD SAEM Past President Harbor - UCLA

Over the years, I have read many President’s messages in this Newsletter. Some are inspirational – encouraging efforts in the reader’s personal life, professional life, or in a more ephemermal way.

Other messages are informational – offering details on the Society, Donald M. Yealy, MD our specialty, opportunities in education or research, or in other domains. In early May, I began pondering how I would approach this opportunity to communicate to our members. Recognizing that many will stop reading after a few sentences (I have committed this act a few times!), I struggled over how to proceed. For this first piece, I choose an informational approach. If you get ‘inspired’ by this, all the better!

For our Society to best serve the members, we need two basic things: A ‘roadmap’ that operationalizes our mission and vision; and, the resources to achieve the things desired from the aforementioned map or plan.

Currently, SAEM is in the last year of the current “Five Year Plan”, created in 1998 and implemented in 1999. This plan has guided the Board of Directors and the staff in every aspect of leading and managing the Society. Beginning this summer, the Board will begin to craft the next “Five Year Plan”, building on the success of the past and looking toward the opportunities available in the future. Our mission – to improve the care of emergently ill and injured patients through creation of knowledge (research) and dissemination of knowledge (education) – is noble. However, in the absence of clear, pragmatic guides – a ‘plan’ – we run the risk of drifting into areas where success is not likely, investing our resources in areas unrelated to our mission, or simply becoming stagnant. In ‘my own world’ – A University Department – tasks without a clear path and timetable rarely are completed.

After defining a plan, the Society needs resources to achieve things in the plan. Our human resources continue to be the strength of SAEM. These include those who join, attend meetings, read the Web/Newsletter/Journal, serve on Committees/Task Forces/Interest Groups/Publication bodies, and run the office. I hope for this to continue to grow – more people are involved at more levels than ever before, and the products are all better than 5 years ago. Our grants program offers new opportunities to help our junior members

SAEM is pleased to announce that David Nicolaou, MD, MS has been appointed to the position of Web Editor for the SAEM website (www.saem.org). While SAEM has had an active and growing website for a number of years, it has been maintained primarily by the Society’s staff with editorial decisions being made either by the executive director, Mary Ann Schropp, or by the Board of Directors. For some period of time, the SAEM Board has recognized that the website has become an increasingly important resource for academic emergency physicians and, with the growing quantity of information available at the site, there was a need to restructure the website to increase its user-friendliness.

Nominations for the position of SAEM Web Editor were sought via an announcement in the March/April and May/June issues of the SAEM Newsletter. A number of highly-qualified candidates were nominated and, after review of each nominee’s qualifications, contact with references, and interviews, the SAEM Board of Directors selected Dr. Nicolaou to fulfill this role.

Dr. Nicolaou is currently an Assistant Professor and the Director of Medical Informatics in the Department of Emergency Medicine at Johns Hopkins in Baltimore, Maryland. Dr. Nicolaou also holds the rank of Assistant Professor within the Division of Health Sciences Informatics at the Johns Hopkins University School of Medicine. Dr. Nicolaou holds a Masters of Science degree in information systems and technology from the Johns Hopkins Whiting School of Engineering, which he received in 2000. In addition, to his membership in a number of traditional emergency medicine organizations, including SAEM, Dr. Nicolaou is a member of the American Medical Informatics Association.

The Board of Directors is extremely pleased to be able to have someone with Dr. Nicolaou’s technical expertise to fulfill this important role for the Society.

Dr. Nicolaou is currently in the process of assessing both the current information available on the SAEM website, as well as the needs of our members. He will be working in the next several months to develop a strategic plan for improving the consistency of the layout and user-friendliness of the site, and for identifying potential projects to bring new functionality and services to our members. Any member who has suggestions for additional content or functionality for the site should contact Dr. Nicolaou directly at dnicolao@jhmi.edu.

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Web Editor Appointed

President’s Message (Continued) achieve academic success by focusing on training. However, to continue to fuel the maturation of the specialty, our fiscal resources must grow. To date, SAEM has run efficiently – creating all the products and opportunities enjoyed by our members based on limited revenue streams. The latter are predominately from dues, meeting fees, and donations.

There are practical limits to trying to tap the first two streams more; although the global fiscal environment is a challenge to fund raising, we believe it offers an opportunity previously not developed.

We hope to increase fund raising to help us train the current and future educators and researchers; to do this, we need to explore new options without losing ‘who we are’.

The Board has hired a consultant to help us devise a fund raising plan that will achieve the growth desired within the ideals and values of the organization. I ask you to help us in this process – not by donating (though that would be greatly appreciated), but by offering your insight and expertise about the organization, emergency medicine, or

fundraising.

You will hear more of these two efforts – the next “Five Year Plan” and fund raising - over the ensuing year. As President, I will work with the outstanding Board you have chosen and the dedicated staff to identify a path that optimizes the chance for success in the future. I hope you will support SAEM in these efforts, offering your thoughts and aid. Write or call the SAEM office, any Board member, or me to share.

Thanks for reading – and moreover – thanks for participating.

Call for Papers The AEM Editorial Board announces the AEM Consensus Conference 2004: Using Information Technology to Improve ED Patient Care The use of information technology (IT) in the ED is bound to increase.

Information technology has the potential to quickly provide data that can be used to study essential topics related to the practice of emergency medicine. The questions that could be answered with good ED IT are nearly endless, and include how to reduce medical errors, assure quality and equal ED care, document and monitor ED overcrowding, identify emerging infectious diseases or bioterrorism, and mend the unraveling safety net.

However, there are currently no standards for ED IT. There is no definition of essential components of an adequate information system, of universal minimum requirements for data collection, of common language to allow

information exchange. Unless the emergency medicine academic community has input into these issues, we will lose the chance to design and implement this powerful clinical tool in the way best suited to our needs.

The 2004 AEM Consensus Conference will be held May 15, 2004 as a pre-day session before the 2004 SAEM Annual Meeting in Orlando, Florida. The conference will address the issues of developing ED IT standards for design, implementation, data recording, information exchange and IT research; developing an ED IT research agenda; determining how systems issues and clinical practice patterns need to be considered in developing good ED IT; and determining how ED clinical IT can impact ED

residency training.

We issue this Call for Papers related to the 2004 AEM Consensus Conference on “Using IT to Improve ED Patient Care.” Original contributions describing relevant research or concepts in this topic area will be considered for publication in the Special Topics issue of AEM, November 2004, if received

by April 1, 2004. All submissions will be peer reviewed by guest editors with expertise in this area. If you have questions, please contact Michelle Biros at biros001@umn.edu. Watch the SAEM newsletter and the AEM and SAEM websites for more information about the Consensus Conference.

SAEM Medical Student Web Site Updated Wendy C. Coates, MD Harbor - UCLA Chair, SAEM Undergraduate Education Committee The SAEM Medical Student website http://www.saem.org/ inform/02med.htm is a valuable resource for medical students interested in Emergency Medicine, and for faculty members who advise them. Information on student related activities at SAEM meetings, helpful original articles, and links to other web sites are provided. Medical students can access the Virtual Advisor Program and the “Rotations in EM” catalog from this site.

Three new articles written by members of the 2002-2003 SAEM Undergraduate Education committee have been posted on the site. “Emergency Medicine Patient Presentations: A How-To Guide for Medical Students” by Kerry Broderick, David Manthey, and Wendy Coates outlines the unique nature of ED presentations for senior level students http://www.saem.org/

inform/present.pdf. A companion article, “Presenting Your Patient” by Tamara Howard and Kerry Broderick is an introductory article that gives student at all levels the details necessary to gather pertinent, focused information in the H&P and relate this to the faculty in their presentations http://www.saem.org/inform/patient.pdf. “The Unique Value of Emergency Medicine Student Interest Groups” by Cory Pitre describes the educational and career-planning values of EM interest groups in medical schools http://www.saem.org/down load/aaemmsf.pdf.

The Undergraduate Education Committee welcomes your contribution of relevant articles for the SAEM medical student website. Please contact SAEM at saem@saem.org for further details.

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Annual Business Meeting Held on May 31 The 2003 Annual Meeting in Boston attracted 1873 registrants, a record number for the SAEM Annual Meeting. For comparison, there were 1720 registrants at the 2000 Annual Meeting, 1713 in 2001 and 1628 in 2002.

MD. Dr. Lewis introduced Jeff Kline, MD, who introduced the 2003 Leadership Award recipient, E. John Gallagher, MD. Each of the award recipients addressed the SAEM membership.

During the Annual Business, Dr. Roger Lewis announced the results of the annual elections. The election was held by mail ballot and approximately 28% of the active members cast ballots. The results were:

Dr. Lewis introduced the 2003 Young Investigator Award recipients: Daniel Davis, MD, Edward Jauch, MD, MS, and Paul Klawitter, MD, PhD. Dr. Lewis also introduced the recipients of the SAEM Grants Program: James Holmes, MD (Research Training Grant), Mark Angelos, MD (Institutional Research Training Grant), Daniel Morris, MD (Scholarly Sabbatical Grant), Carin Van Gelder, MD (EMS Research Fellowship Grant), and Selim Suner, MD (Neuroscience Research Fellowship Grant). Each of these grant and award recipients were profiled in the May/June issue of the Newsletter.

President-Elect Carey D. Chisholm, MD, Indiana University Board of Directors Leon Haley, MD Emory University

Ellen Weber, MD, introduced the 2002 Annual Meeting Presentation Awards: Debra Weiner, MD, PhD, (Faculty Clinical Science), Richard Summers, MD (Faculty Basic Science), Daniel Rusyniak, MD (Young Investigator), Mark Su, MD, (Basic Science Fellow), Linda Papa, MD (Clinical Science Fellow), Eric Savitsky, MD (IEME Exhibit), Joe Suyama, MD (Clinical Science Resident), Steven Bird, MD (Basic Science Resident), and James Frederick (Medical Student).

James Hoekstra, MD Wake Forest University Resident Member of the Board Valerie DeMaio, MD University of North Carolina Nominating Committee Cathy Custalow, MD, PhD University of Virginia

Dr. Lewis honored Dr. Ellen Weber for her extraordinary service and support of SAEM by chairing the Program Committee of the 2001, 2002, and 2003 Annual Meetings. Dr. Weber was presented with a plaque to commemorate the gratitude of the Society.

Adam Singer, MD State University of New York, Stony Brook Constitution and Bylaws Committee Craig Newgard, MD Oregon Health and Science University

Dr. Lewis introduced David Nicolaou, MD, who has been selected by the Board of Directors to serve as the SAEM Web Editor. See related article in this issue of the Newsletter.

In addition, Steve Hargarten, MD, MPH, and Sue Stern, MD, were appointed to the Board of Directors by incoming President, Don Yealy, MD, to fill unexpired terms that resulted from the election results.

Michelle Biros, MS, MD, Editor-in-Chief of Academic Emergency Medicine provided a report to the membership on the status of the Journal. She reported that 336 manuscripts had been submitted during the period of January 1, 2003 to May 22, 2003, which compared to the 255 manuscripts that had been submitted during the same period in 2002. Dr. Biros also reported that the average turnaround time for manuscripts submitted in 2003 was 25 days, which compared favorably with the 46 days in 2002.

Dr. Lewis announced to the membership that all proposed Constitution and Bylaws amendments had been overwhelmingly approved by the active membership through the mail ballot. The proposed amendments were published in the May/June issue of the Newsletter.

Dr. Lewis introduced Robert Neumar, MD, PhD, who introduced the recipient of the 2002 Hal Jayne Academic Excellence Award recipient, Blaine C. White, MD. Dr. Lewis introduced Adam Singer, MD, who introduced the 2003 Hal Jayne Academic Excellence Award recipient, Judd Hollander,

Dr. Lewis presented his President's Message entitled, "The Tragedy of the Commons" and introduced incoming President, Donald M.Yealy, MD. Dr.Yealy presented Dr. Lewis is a plaque and thanked him for his service as the SAEM President.

AACEM Elections Held The Association of Academic Chairs of Emergency Medicine (AACEM) held its Annual Meeting and elections in Boston on May 28. During the meeting Jerris Hedges, MD, MS, Chair of the Department of Emergency Medicine at the Oregon Health and Science

University began his term as AACEM President, succeeding Frank Counselman, MD, Chair of the Department of Emergency Medicine at Eastern Virginia University. Gabe Kelen, MD, Chair of the Department of Emergency Medicine at Johns Hopkins 3

University was elected Secretary/ Treasurer. Stephen Hargarten, MD, MPH, Chair of the Department of Emergency Medicine at the Medical College of Wisconsin was elected President Elect.

Academic Announcements SAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of interest to the SAEM membership. Submissions should be sent to saem@saem.org by August 5, 2003 to be included in the September/October issue.

Associate Professor of Emergency Medicine at Northeastern Ohio Universities; Joseph Mueller, Assistant Professor at Loyola University; and Robert Vissers, MD, Assistant Professor and Residency Program Director at the University of North Carolina, Chapel Hill.

The following individuals have been elected to serve on the ABEM Board of Directors: Carol D. Berkowitz, MD, CoDirector of the Craniofacial Clinic at Harbor/UCLA; Joel M. Geiderman, MD, Co-Chair of the Department of Emergency Medicine at Cedars-Sinai Medical Center; Debra G. Perina, MD, Director of the Department of Emergency Medicine at the University of Virginia Health Science System; and Mark T. Steele, MD, Chief Medical Officer and Associate Dean at the Truman Medical Center.

Charles Emerman, MD, has been promoted to Professor, Department of Emergency Medicine at Case Western Reserve University.

Patrick Brunett, MD, has been named Director of the Emergency Medicine Residency Program at Oregon Health & Science University beginning July 1. Dr. Brunett has previously served as Associate Director.

David Cheng, MD, will assume the position of Associate Director of the Emergency Medicine Residency Program at the University of Arkansas beginning on July 1.

The following individuals have been appointed as item writers to generate test questions for the ABEM written examinations: Francis Counselman, MD, Professor, Chair, and Residency Director at Eastern Virginia Medical School; Gary Giorgio, MD, Cllinical

Lewis Goldfrank, MD, has been presented with the Distinguished Teaching Award at the New York University. Of 2600 full-time faculty, Dr. Goldfrank was one of five professors to be selected for the award.

Teri Gunnarson, MD, has been named the Assistant Director of the Emergency Medicine Residency Program at Regions Hospital in Minneapolis.

Benjamin Honigman, MD, Professor and Head, Division of Emergency Medicine at the University of Colorado School of Medicine has been named Director of the Colorado Center for Altittude Medicine and Physiology.

Nadine Levick, MD, MPH, has been honored as the 2003 Women’s Leadership Award from the Society of Automotive Engineers. Dr. Levick is the first physician to receive the award. Dr. Levick is the principal investigator of PEDNET (Pediatric Emergency Department North East Team), a federally funded multi-center pediatric emergency care research infrastructure. It is the largest of four centers that comprise

the national federally funded Pediatric Emergency Care Applied Research Network (PECARN), which Dr. Levick also serves as one of five principal investigators.

Thomas Lukens, MD, has been promoted to Associate Professor, Department of Emergency Medicine at Case Western Reserve University.

Stephen Meldon, MD, has been promoted to Associate Professor, Department of Emergency Medicine at Case Western Reserve University.

C. Keith Stone, MD, has been named chairman of the Department of Emergency Medicine at Texas A&M University System Health Science Center College of Medicine. Dr. Stone is an Assistant Professor at Texas A&M University.

Timothy C. Stallard, MD, has been named Director of the Emergency Medicine Residency Program at Texas A&M University. Dr. Stallard is an Assistant Professor at Texas A&M University and previously served as Assistant Program Director.

Michael J. VanRooyen, MD, MPH, has been honored by the American Medical Association as the recipient of one of four “Pride in the Profession” awards.

Dr. VanRooyen is the Vice Chair of the Department of Emergency Medicine at Johns Hopkins Hospital and Associate Professor at the Johns Hopkins School of Medicine and the Johns Hopkins School of Public Health.

Geriatrics Education Grant Recipients Announced Lowell Gerson, PhD Northeastern Ohio University College of Medicine SAEM Geriatrics Interest Group Three emergency physicians were among the recipients of the American Geriatrics Society "Geriatrics Education for Specialty Residents (GESR)" awards. This initiative supports curricular innovations at individual institutions by providing a two-year grant of $32,000 to support specialty-specific programs designed to increase education for resi-

dents in the geriatrics aspect of their disciplines.

The emergency medicine winners and their projects are: Kennon Heard, MD, University of Colorado, "Decreasing inappropriate drug prescribing for elderly patients in the Emergency Department by providing education and physician feedback."

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Joseph LaMantia, MD, North Shore University Hospital, "A Novel Educational Approach for Emergency Medicine Residents Caring for the Geriatric Patient Population."

Stephen Meldon, MD, and William Fallon, MD, MetroHealth Medical Center, "Geriatric Trauma Care: Roadside to Bedside."

Annual Meeting Presentation Awards Announced The SAEM Program Committee is pleased to announce the recipients of the Presentation Awards for the 2003 Annual Meeting. Recipients will be recognized during the Annual Business Meeting at the 2004 SAEM Annual Meeting in Orlando. The awardees and their associated abstract citations (including title and co-authors) are listed below:

Clinical Science Fellow Presentation Christian Vaillancourt, MD, MSc, FRCPC, University of Ottawa Christian Vaillancourt, Ian G. Stiell, George A. Wells, Valerie J. DeMaio: Mathematical Model Predicting the Potential Impact of Various Community Bystander CPR Rates on Overall Survival from Cardiac Arrest. Acad Emer Med 2003 10: 503504

Faculty Clinical Science Presentation Ian G. Stiell, MD, MSc, FRCPC, University of Ottawa Ian G. Stiell, George A. Wells, Lisa P. Nesbitt, Daniel W. Spaite, Graham Nichol, Valerie J. DeMaio, Donna Cousineau, Josee Blackburn, Doug Munkley, Lorraine Luinstra Toohey, Brian Field, Tony Campeau, Eugene Dagnone, Marion Lyver: Relative Calue of the Four Links in the Chain of Survival for Out-of-Hospital Cardiac Arrest: A Controlled Clinical Trial.

Acad Emer Med 2003 10: 423

Clinical Science Resident Presentation Christopher Kabrhel, MD, Brigham and Women's Hospital/Massachusetts General Hospital Christopher Kabrhel, Andrew T. McAfee, Samuel Z. Goldhaber: Prospective Evaluation of the Canadian Pulmonary Embolism Score in an Undifferentiated Emergency Department Population. Acad Emer Med 2003 10: 559-560

Faculty Basic Science Presentation Lawrence D. Sherman, MD, University of Pittsburgh Lawrence D. Sherman, Aron Flagg, Clifton Callaway, James Menegazzi: Angular Velocity: A New Method to Predict Ventricular Fibrillation Duration. Acad Emer Med 2003 10: 504

Clinical Science Medical Student Presentation Jason McMullan, Medical University of South Carolina Jason McMullan, Frederick H. Veser: Emergency Department Volume and Patient Acuity as Factors in Patients Leaving Without Treatment. Acad Emer Med 2003 10: 528

Young Investigator Clinical Presentation Nathan I. Shapiro, MD, MPH, Beth Israel Deaconess Medical Center Nathan I, Shapiro, Richard E. Wolfe, Richard Moore, Sharon B. Wright, David W. Bates: Who needs a Blood Culture? A Prospectively Derived and Validated Clinical Prediction Rule.

Acad Emer Med 2003 10: 435-436

Basic Science Medical Student Presentation Cedric Lefebvre, BS, Thomas Jefferson University Cedric Lefebvre, Bernard L. Lopez, Theodore A. Christopher, Xin-Liang Ma: Anti-Apoptotic Effects and Its Mechanisms of a Peroxisome Proliferator-Activated Recetor-g Agonist in Hypercholesterolemic Rabbits Subjected to Myocardial Ischemia and Reperfusion. Acad Emer Med 2003 10: 559

Young Investigator Basic Presentation Daniel P. Davis, MD, University of California, San Diego Daniel P. Davis, Satoki Inoue, Paul J. Kelly, Dan J. Cole, John C. Drummond, Piyush M. Patel: Decoy Molecules May Contribute to Neuronal Ischemic Preconditioning.

Acad Emer Med 2003 10: 438

Innovations in Emergency Medicine Exhibit (IEME) Presentation: Michael A. Gisondi, MD, Stanford University Michael A. Gisondi, MD, Swaminatha V. Mahadevan, MD, Shannon S. Sovndal, MD, Gregory H. Gilbert, MD: Emergency Department Orientation Utilizing Web-Based Streaming Video (to be published in a future issue of AEM)

Recipients of Visual Diagnosis Contest Announced Medicine, a free registration to the 2004 Annual Meeting, a major Emergency Medicine textbook, a subscription to the SAEM Newsletter, and an SAEM coffee mug.

During the 2003 Annual Meeting in Boston a Visual Diagnosis Contest was open to all residents and medical students in attendance. The following winners are to be congratulated on their excellent diagnostic skills:

The Program Committee is already making plans for next year’s contest and members are encouraged to submit potential cases and photos. SAEM would like to thank the following individuals who contributed to this year's photo contest. It is a significant commitment of time and intellect to develop the ever-popular Photo Display. Please refer to the 2004 Call for Photographs that is published in this issue of the Newsletter.

Medical Student Winners: Ryan Chuang, Harvard University Resident Winner: Shkelzen Hoxhaj, MD, Christiana Care The recipients will be awarded a one-year membership in SAEM, including a subscription to Academic Emergency

Photography Display Contributors SAEM would like to recognize and thank the following individuals who contributed to this year's Clinical Pearls and Visual Diagnosis Contest entries. It is a significant commitment of time and intellect to develop the ever-popular Photo Display.

Evan Alpert, MD Nathan R. Andrew, MD Tom Ashar, MD Alexander B. Baer, MD Robert Blankenship, MD Brian Boesiger, MD William Browder, MD Gar Chan, MD Justin C. Chang, MD Gregory Christiansen, DO

Troy P. Coon, MD Chad S. Crystal, MD G. Patrick Daubert, MD Dan R. Dockham, MD Amy Drendel, DO Mary Eberhardt, MD Jason W. Edsall, MD Brian Euerle, MD Jason Gardner, MD Gus M. Garmel, MD

Diane Gorgas, MD Kadeer M. Halimi, DO Alan Heins, MD David C. Hindle, MD Thea James, MD Abu N.G.A. Khan, MD Kevin J. Knoop, MD David C. Lee, MD Valerie R. Lint, CO Paris Lovett, MD

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Anuradha Luke, MD Billy J. Miller, MD D. Scott Moore, DO Jamie M. Patel, MD Laurie Pemberton, DO Lloyd Pena, MD Erin Doherty-Phrampus, MD Floriano Putigna, DO

David G. Reiley, MD Michael Reit, MD Jacob A. Roberts, DO Mary Ryan, MD Steven A. Seifert, MD Chu Lin Tsai, MD Brian Wexler, MD George P. Whitehead, MD

Boston Highlights

2002 Annual Meeting poster/paper award recipients who received formal acknowledgement during the Annual Business Meeting. (L-R) Richard Summers, MD, Daniel Rusyniak, MD, Mark Su, MD, Steven Bird, MD, James Frederick, BA, Debra Weiner, MD, PhD. (Not pictured: Linda Papa, MD, CM, CCFP, Eric Savitsky, MD, Joe Suyama, MD)

The core of SAEM's publications: (L-R) Michelle Biros, MS, MD, Editor-in-Chief, AEM; David Nicolaou, MD, newly selected Web Editor; and David Cone, MD, Editor of the SAEM Newsletter.

Dr. Yealy congratulates Judd E. Hollander, MD, the recipient of the 2003 Hal Jayne Academic Excellence Award.

2002-2003 AACEM Executive Committee and Dr. Drew Richardson, the featured speaker at the AACEM meeting. (L-R, Steve Hargarten, MD, MPH, John Gallagher, MD, Frank Counselman, MD, Jerris Hedges, MD, MS, and Dr. Richardson)

Ellen Weber, MD, Annual Meeting Program Chair and Judah Folkman, MD, the Keynote Speaker at the SAEM Banquet.

Newly elected SAEM members: (L-R) Jim Hoekstra, MD (Board of Directors), Valerie DeMaio, MD (Board of Directors), Adam Singer, MD (Nominating Committee), Cathy Custalow, MD (Nominating Committee), Carey Chisholm, MD (President-Elect), Leon Haley, MD (Board of Directors), and Craig Newgard, MD (Constitution and Bylaws Committee) 6

Ellen Weber, MD was recognized for her service chairing the 2001-2003 Annual Meeting Program Committees.

She is shown with Roger Lewis, MD, PhD, Immediate Past President, and Don Yealy, MD, President.

Dr. Yealy is pictured with the 2003 Young Investigator Award recipients: (L-R) Paul F. Klawitter, MD, PhD, Dr. Yealy, Edward Jauch, MD, MS, and Daniel Davis, MD.

The Program Committee did an excellent job planning the 2003 Annual Meeting. (Front L-R) Terry Vanden Hoek, MD, Chris Barton, MD, Ellen Weber, MD (Chair), Jeffrey Kline, MD, Sean Henderson, MD, Cathy Custalow, MD, PhD, Alan Heins, MD, David Cone, MD, M. Christopher Decker, MD, Debra Houry, MD, MPH, Richard Shih, MD, Susan Promes, MD, David Guss, MD, David Lee, MD, Gary Vilke, MD, Mary Jo Wagner, MD, Leonard Friedland, MD, John Kelly, MD. Not pictured: Brian Euerle, MD, Diane Gorgas, MD, Lewis Nelson, MD, and Stewart Wright, MD.

Jordan Cohen, MD, President of the AAMC was the plenary speaker at the AEM Consensus Conference on Disparities in EM Healthcare and is pictured with Michelle Biros, MS, MD, AEM Editor-in-Chief and Lewis Goldfrank, MD, Coordinator of the Consensus Conference.

2003-2004 SAEM Board of Directors. Front Row L-R: Valerie DeMaio, MD, Susan Stern, MD, Leon Haley, MD and Katherine Heilpern, MD. Back Row L-R: Jim Hoekstra, MD, Don Yealy, MD, Roger Lewis, MD, Carey Chisholm, MD and Glenn Hamilton, MD. Not pictured: Steve Hargarten, MD and Jim Adams, MD. 7

Mark Angelos, MD, the recipient of the Institutional Research Grant, is congratulated by Dr. Yealy.

James Holmes, MD, the recipient of the Research Training Grant, is congratulated by Dr. Yealy.

Selim Suner, MD, the recipient of the Neuroscience Research Fellowship Grant, is congratulated by Dr. Yealy.

Robert Niskanen from Medtronic Physio Control and Don Yealy, MD, congratulate Carin Van Gelder, MD, the recipient of the EMS Research Fellowship Grant. The fellowship is funded by Medtronic Physio Control.

New departmental chairs recognized by AACEM (L-R): Joseph Clinton, MD, University of Minnesota, Mark Langdorf, MD, University of California, Irvine, Mara McErlean, MD, Albany Medical Center, and James Hoekstra, MD, Wake Forest University.

Dr. Yealy congratulates E. John Gallagher, MD, the recipient of the 2003 SAEM Leadership Award.

SAEM President Don Yealy congratulates the 2002 Hal Jayne Academic Excellence Award Recipient, Blaine C. White, MD.

Three members have completed their terms on the Board (L-R): Judd Hollander, MD, Don Kosiak, MD and Marcus Martin, MD. 8

New England Regional Meeting Report John Burton, MD Tania Strout, RN Maine Medical Center Co-Chairs, SAEM New England Regional Meeting This year’s 7th Annual New England Regional SAEM meeting was held on April 9, 2003 in Shrewsbury, MA. The meeting was hosted by the Emergency Medicine Residency Program at Maine Medical Center, Portland, Maine.

The eight Emergency Medicine Residency Programs from the six New England States participated in the conference. This conference was the largest to date with 210 registered participants.

A total of 88 abstracts were presented with 80 poster and 8 oral presentations.

The conference began with opening remarks by John Burton, MD, Research Director from Maine Medical Center.

Following the introductory comments, the conference keynote speaker, Peter Rosen MD, addressed the conference participants.

The remainder of the morning session consisted of four oral presentations, followed by the morning poster session. A medical student luncheon was given by Tamas Peredy, MD, from Maine Medical Center.

The afternoon session began with the second poster session followed by the

remaining oral presentations. The day concluded with an award ceremony and closing remarks given by Dr. Burton.

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The following oral presenters received Excellence in Research Awards: ●

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Yale University School of Medicine, Henry Lin, MD A Randomized Trial Using Heliox with Continuous Albuterol Nebulizer for the Treatment of Severe Asthma in the ED Harvard University School of Medicine, Yi-Mei Chng, MD Emergency Medicine Residents' Skill Development in Airway Management: Analysis of 8,367 Intubation Attempts Beth Israel Deaconess Medical Center, Kaushal Shah, MD Utility of Performing Lumbar Puncture in the Afebrile Elderly Patient with Altered Mental Status University of Massachussets Memorial Medical Center/University of Massachusetts School of Medicine, David Lovesky, EMT-P Effect of a Paramedic Pain Management Training Program on Pre-hospital Analgesic Use

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Maine Medical Center, Kate W. Drummond, DO Emergency Department Electrical Cardioversion of Patients with Atrial Fibrillation: A Multi-Institutional Experience Boston Medical Center/Boston University School of Medicine, Jeffrey Evans, MD Predictors of Clinically Significant Diagnostic Nasogastric Aspirate Baystate Medical Center, Jeannette Wolfe, MD Does Body Mass Index Affect the Interpretation of Noncontrast Abdominal Pelvic CT Scans?

Rhode Island Hospital/Brown University School of Medicine, Daren Girard, MD Alcohol and Nicotine Dependence in Elderly Emergency Department Patients: Rates, Health, and Medical Care Utilization.

The 8th Annual New England Regional SAEM meeting will be hosted by Baystate Medical Center’s Department of Emergency Medicine. The conference will return to Shrewsbury, MA for the 2004 meeting.

Western Regional Research Conference Susan Gin-Shaw, MD Maricopa Medical Center The SAEM Western Regional Research Conference sponsored by Maricopa Medical Center was held April 4-5 in Scottsdale at the Mayo Clinic.

Over 75 abstracts were presented.

Arizona ACEP hosted an opening day reception.

Highlights were keynote lectures by SAEM President Roger Lewis and past President Jerris Hedges. Dr. Lewis spoke on “The Tragedy of the Commons” a commentary on the utilization of finite resources such as research time and dollars as well as medical care.

Dr. Hedges’ lecture “Everything in

Moderation” addressed techniques and preparation for moderating oral presentations and poster sessions.

Didactic lectures by Drs. Brian Tiffany, Kimberlie Graeme, and Evan Leibner complemented the diverse abstract presentations. Dr. Tiffany’s lecture addressed research issues under the new HIPPA regulations. Questions regarding HIPPA waivers and consents were frequently asked. Dr Graeme spoke about “Therapeutic Fab Fragments” which resulted in a few apprehensive glances at the surrounding spring desert landscape. Dr. Leibner 9

presented an update on current ultrasound research.

The most successful aspect of the meeting was the group discussions of the research projects. Participants were enthusiastic about the chance to interact with the many experienced investigators in attendance. In a relaxed atmosphere, advice on statistical methodology, presentations, and future directions for investigations abounded.

The smaller venue of the regional conferences lends itself well to such interactions.

Board of Directors Update The SAEM Board of Directors meets each month via conference call, as well as face-to-face meetings during the SAEM Annual Meeting, the ACEP Scientific Assembly, and the CORD Navigating the Academic Waters Conference. This article includes the highlights of the Board of Directors conference call meetings on April 15 and May 13, as well as the May 28 and May 30 Board meetings in Boston.

The Board approved a proposal from Dr. Michelle Biros to increase the number of editorial pages in Academic Emergency Medicine. It was noted that he increase in pages was necessary to accommodate the increasing number of manuscript submissions and to ensure that the lag time between submission and publication is not increased.

The Board approved the final version of the Memorandum of Understanding (MOU) between SAEM and the Department of Health and Human Services. The MOU provides for the development of four working groups to develop initiatives and projects in the following areas: substance abuse, access to care, injury prevention, and respiratory. The activities of the MOU will be coordinated through the Healthy People 2010 Task Force which will be cochaired by Brent Asplin, MD, and Linda Degutis, MD, DrPH. The Board agreed to participate in a multi-organizational task force to develop an undergraduate curriculum. The effort was developed by ACEP and will be facilitated by ACEP. The Undergraduate Curriculum Task Force will include two representatives from each of the following organizations: AACEM, AAEM, ACEP, CORD, and SAEM. The Board selected Wendy Coates, MD, and Stephen Thomas, MD, to serve as the SAEM representatives.

The Board appointed David Nicolaou, MD, to the position of SAEM Web Editor. The Board agreed that the SAEM Web Site was a third and very important component of the Society's publication efforts, including Academic Emergency Medicine and the SAEM Newsletter. More details regarding Dr. Nicolaou are published in this issue of the Newsletter.

The Board approved a proposal to no longer allow non-SAEM educational sessions to be held in conflict with the educational sessions of the SAEM Annual Meeting. The Board will develop more specific guidelines, which will be

widely disseminated to lessen confusion or misunderstandings.

The Board approved the Medical Student Educators Handbook developed by the Undergraduate Committee and members of the Medical Student Educators Interest Group. Dr. Coates, chair of the Undergraduate Committee, will work with the authors to develop a plan for publication and dissemination of the Handbook.

The Board approved a number of interest group Newsletter articles and agendas that were published in the SAEM Newsletter in advance of the Annual Meeting in Boston. All interest groups are invited and encouraged to develop periodic announcements and updates for publication in the Newsletter.

Sue Fish, PharmD, was selected by the Board to attend an April 7 conference entitled, "Integrity and Accountability in Clinical Research."

The conference has been postponed until the fall of 2003 and a report on the conference will be published in a future issue of the Newsletter. In addition, Dr. Robert Woolard was selected to represent SAEM at a May 7 conference entitled, "Terrorism and Mental Health," however the conference was cancelled.

The Board approved hiring Ms. Nan Jefferys to conduct a feasibility study in regards to future Society fund raising to support the Society's grant programs.

The feasibility study will take approximately four months and it is expected that the Board will review the feasibilty study by the end of the summer.

The Board approved funding to edit the first draft of the Medical Student Question and Answer Bank, which is being developed by a task force chaired

by Stephen Thomas, MD. The Board approved funding to co-sponsor a panel discussion with AACEM to be held during the AAMC Annual Meeting in November in Washington, DC. The Board approved funding to develop a hard copy of the Consulting Service Handbook.

The Board agreed to name a liaison to the Emergency Cardiac Care Committee of the American Heart Association. The Board will review a list of proposed liaisons and forward a slate of candidates to Dr. Robert O'Connor.

The Board reviewed a report from Janet Williams, MD, regarding the ACEP Rural Emergency Medicine Task Force and the summit that was held in 10

Albuquerque. Dr. Williams' report was published in the May/June issue of the Newsletter.

The Board approved a proposal to recognize Ellen Weber, MD, at the Annual Business Meeting. The Board developed a plaque to thank Dr. Weber for her three year tenure as the chair of the Program Committee of the 2001, 2002, and 2003 Annual Meetings.

The Board approved the development of the annual Membership Directory, which was distributed to the membership during the Annual Meeting in Boston, and will be mailed to all active members in June. Hugh Mickel, MD, was selected by the Board to become an emeritus member of SAEM. The Board noted that the proposed Pediatric Emergency Medicine Position Statement has been approved by AACEM, AAEM, ACEP and CORD, as well as the Ambulatory Pediatric Association and the American Academy of Pediatrics. The Board will submit it for consideration of publication in Academic Emergency Medicine.

The Board approved a proposal to invite the current SAEM President and the Editor-in-Chief of Academic Emergency Medicine to serve as comoderators of the plenary session at the Annual Meeting. The Board approved a proposal to develop printed material about William Spivey, MD, to be distributed each year to the attendees of the Spivey Lecture.

The Board approved the Grants Committee's recommendation to select Kevin Gibson, MD, as the recipient of the 2003 Geriatric Grant. Details were published in the May/June issue of the Newsletter.

The Board elected James Hoekstra, MD, to serve as the Board member of the Nominating Committee. The SAEM Constitution and Bylaws requires that the Nominating Committee include the president-elect as chair, the immediate past president, three elected members, and a member of the Board.

The Board approved a request from American Health Consultants to send a reporter to the Annual Meeting to write articles from highlighted sessions at the Annual Meeting. The resulting article(s) will be posted on the American Health Consultants web site and an e-mail will be sent to the membership to allow SAEM members to access the information at no charge.

Semi-Final CPC Competition Results On May 28, fifty Emergency Medicine Residency Programs competed in the Thirteenth Annual Semi-Final CPC Competition.

A resident from each participating program submitted a challenging unknown case for discussion by an attending from another residency program. The faculty discussant had 20 minutes to develop a differential diagnosis and explain the thought process leading to the final diagnosis.

Winning presenters and discussants were selected from each of five tracks and these individuals will represent those tracks at the national competition. The CPC finals will be held at the ACEP Scientific Assembly in Boston on October. It is not necessary to register for the Scientific Assembly if you plan only to attend the CPC. The CPC Competition is sponsored by ACEP, CORD, EMRA and SAEM. Congratulations to the 2003 winners!

Division A Best Presenter (L), Daniel Minior, MD, Lincoln Medical and Mental Health Center Best Discussant (R) , Michael Hocker, MD, Duke University Best Presenter Runner-Up: Frederic MacArthur Jones, MD, Duke University Best Faculty Runner-Up: Esther Chen, MD, University of Pennsylvania

Division B Best Presenter (L), Jessica Goldstein, MD, University of Illinois at Chicago Best Discussant (R), Marie Mullen, MD, University of Massachusetts Best Presenter Runner-Up: Tina Rosenbaum, MD, George Washington University Best Faculty Runner-Up: Thomas Rebbecchi, MD, UMDNJRobert Wood Johnson

Division C Best Presenter (R), John Kim, MD, Christ Hospital and Medical Center Best Discussant (L), David FE Stuhlmiller, MD, Case Western Reserve University Best Presenter Runner-Up: Moneesh Bhow, MD, Albert Einstein at Beth Israel Medical Center Best Faculty Runner-Up: Saadia Akhtar, MD, Albert Einstein at Beth Israel Medical Center

Division D Best Presenter (L), Catherine McLaren, MD, Stanford/Kaiser Best Discussant (R), Alan Heffner, MD, Naval Medical Center, Portsmouth Best Presenter Runner-Up: Elizabeth S. Atkinson, MD, Indiana University Best Faculty Runner-Up: Jill Ripper, MD, University of Connecticut

Division E Best Presenter (L), Alice Mitchell, MD, Carolinas Medical Center Best Discussant, (R) Jeffrey Suchard, MD, University of California, Irvine Best Presenter Runner-Up: Robert F. Erickson, MD, University of California, Irvine Best Faculty Runner-Up: D. Matthew Sullivan, MD, Carolinas Medical Center 11

SAEM Receives Responsible Research Grant

S A E M

The Association of American Medical Colleges (AAMC) has announced the recipients of the second round of awards under an AAMC-Office of Research Integrity (ORI) Cooperative Agreement. The AAMC and ORI entered into the cooperative agreement to make awards to academic societies to undertake acativities aimed at promoting the responsible conduct of research. Eleven grants were funded and SAEM is pleased to have received one of them. SAEM received an award in the amount of $4,870 to fund a full-day course on responsible research, which will be held during the 2004 Annual Meeting. The conference will be coordinated by Sue Fish, PharmD under the auspices of the Program Committee. Further details will be outlined in future issues of the Newsletter.

The AAMC represents the 126 accredited U.S. medical schools; the 16 accredited Canadian medical schools; about 400 major teaching hospitals, including Veterans Administration medical centers; more than 105,000 faculty in 96 academic and scientific societies; and the nation's 66,000 medical students and 97,000 residents.

The ORI promotes integrity in biomedical and behavioral research supported by the Public Health Service at about 4,000 institutions worldwide. ORI monitors institutional investigations of research misconduct and facilitate the responsible conduct of research through educational, preventive, and regulatory activities. ORI is located in the Office of Public Health and Science within the Department of Health and Human Services.

Call for Abstracts 2004 Annual Meeting May 16-19, 2004 Orlando, Florida Deadline: January 6, 2004 The Program Committee is accepting abstracts for review for oral and poster presentation at the 2004 SAEM Annual Meeting. Authors are invited to submit original research in all aspects of Emergency Medicine including, but not limited to: abdominal/gastrointestinal/genitourinary pathology, administrative/ health care policy, airway/anesthesia/analgesia, CPR, cardiovascular (non-CPR), clinical decision guidelines, computer technologies, diagnostic technologies/radiology, disease/injury prevention, education/professional development, EMS/out-of-hospital, ethics, geriatrics, infectious disease, IEME exhibit, ischemia/reperfusion, neurology, obstetrics/ gynecology, pediatrics, psychiatry/social issues, research design/methodology/statistics, respiratory/ENT disorders, shock/critical care, toxicology/environmental injury, trauma, and wounds/burns/orthopedics.

Call for Abstracts 13th Annual Midwest Regional SAEM Meeting

The deadline for submission of abstracts is Tuesday, January 6, 2004 at 3:00 pm Eastern Time and will be strictly enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions will be available on the SAEM web site at www.saem.org in November. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517485-0801.

September 19, 2003 Saginaw Cooperative Hospitals, Inc. Saginaw, MI The Program Committee is now accepting abstracts for review for oral and interactive poster presentations. The meeting will take place September 19, 2003, 8:00 am – 5:00 pm, at Curtis Hall on the campus of Saginaw Valley State University, Saginaw, Michigan.

The deadline for abstract submission is Monday, July 14, 2003, by 3:00 p.m. EDT. Only electronic submissions via the SAEM online abstract submission form at www.saem.org will be accepted. Acceptance notifications will be sent in late July.

Registration forms are available from Melinda Wardin, Department of Emergency Medicine, Saginaw Cooperative Hospitals, Inc., 1000 Houghton Avenue, Saginaw, MI 48602. E-mail contact is mwardin@schi.org Registration Fees: Faculty--$75; Residents/Nurses--$30; EMTs/Students—No Charge. Late fee after September 12, 2003: add $25.

Visit our website for updated information: www.schi.org

Only reports of original research may be submitted.

The data must not have been published in manuscript or abstract form or presented at a national medical scientific meeting prior to the 2004 SAEM Annual Meeting. Original abstracts presented at national meetings in April or May 2004 will be considered.

Abstracts accepted for presentation will be published in the May issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. SAEM strongly encourages authors to submit their manuscripts to AEM. AEM will notify authors of a decision regarding publication within 60 days of receipt of a manuscript.

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CORD Meets in Boston The Council of Emergency Medicine Residency Directors (CORD) met in Boston on May 30 and Steve Hayden, MD, began his two-year term as president. During the CORD Business Meeting Pam Dyne, MD, from Olive View-UCLA Medical Center was elected President Elect, Mary Jo Wagner, MD, from Saginaw Cooperative Hospitals,

Inc. was elected Secretary-Treasurer, and Michael Beeson, MD, from Summa Health was elected to a three-year position on the Board of Directors. Sarah Stahmer, MD, was appointed to the Board to complete Dr. Wagner's unexpired term on the Board. The CORD Faculty Teaching Award was presented to Swaminatha Mahadevan, MD, from

2003-2004 CORD Board of Directors: (L-R) Steve Hayden, MD, Debra Perina, MD, Pam Dyne, MD, Mike Beeson, MD, Mary Jo Wagner, MD, and Louis Binder, MD. Not pictured: Sarah Stahmer, MD

Stanford University.

The CORD Resident Academic Achievement Award was presented to H. Bryant Nguyen, MD, from Henry Ford Hospital. The next CORD meeting will be held during the ACEP Scientific Assembly in Boston on October 13.

Debra Perina, MD, outgoing CORD president congratulates Sam Keim, MD, who has completed his tenure on the CORD Board of Directors (1995-2003)

Debra Perina, MD, CORD immediate past president congratulates incoming CORD president, Steve Hayden, MD

The 2003 CORD Impact Award recipient, Michael Beeson, MD, was recognized for the development of the CORD Question and Answer Bank.

Swaminatha Mahadevan, MD, recipient of the CORD 2003 Faculty Teaching Award is congratulated by Christopher Lewandowski, MD. H. Bryant Nguyen, MD, MS, recipient of the CORD 2003 Resident Academic Achievement Award congratulated by Gus Garmel, MD.

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Palliative Care and the Emergency Physician: Finding our Way Tammie E. Quest, MD Emory University School of Medicine Jean Abbott, MD Denver Health Medical Center SAEM Ethics Committee “Remember Mr. Jones with CHF, always in here for shortness of breath? He finally died last week.” - ED Break room Staff The average American will live three years with chronic, progressive, fatal disease prior to his or her death. For patients with dementia, non-curative cancer, end stage congestive heart failure, HIV/AIDS, death may be close – days, weeks or hours-- or much further off, months or years.

Patients and families who struggle with unwanted, intolerable, and often nearly refractory symptoms from these ongoing conditions may seek physical and psychological relief in the emergency department. They present with agitation, delirium, severe pain, nausea/vomiting, and dyspnea. Frequently, what they seek is palliative care. The World Health Organization defines palliative care as the “active total care of patients whose disease is not responsive to curative treatment. Control of pain, of other symptoms and of psychological, social and spiritual problems is paramount. The goal of palliative care is achievement of the best quality of life for patients and their families….palliative care affirms life and regards dying as a normal process…neither hastens or postpones death…provides relief from pain or other distressing symptoms…offers a support system to help patients live actively as possible until death…[and] offers a support system to help the family cope during the patient’s illness and in their own bereavement”.

time is of the essence. The niceties of conversation, nuance response, and careful delineation of varied goals of care may be difficult, if not impossible. But the truth is that the emergency physician is, knowingly or not, constantly providing palliative care – care directed at patient comfort. The question is how to become more proficient in providing comfort, especially with patients in whom “cure” is not possible, and quality of life becomes paramount.

One must ask, how do we adequately care for the patient needing palliative symptom management in the ED setting?

Do we try to clarify the patient’s goals of care, or do we just let the primary care provider (if one exists) patch up or undo the ED heroics that the patient perhaps didn’t want? The explosion of technological “opportunities” gives us a wide variety of tools that we need to use when indicated. How do we decide when they are indicated for a patient with chronic, or possibly terminal disease? How do we honor the patient’s goals for living and for dying? How do we synchronize our care with the desires of the patient and her long-term provider? Our specialty needs to begin to answer these and other important questions related to caring for chronically ill, dying patients.

As we explore a difficult set of issues surrounding palliative care, several nationwide physician educational initiatives have drawn attention to the needs for provision and teaching of palliative care at the end of life. Resources emergency physicians may find helpful include: 1) the End-of-Life Education Resource Center (www.eperc.mcw.edu), 2) the Education for Physicians on End-of-Life Care Project (EPEC) and 3) the National End-of-Life Residency Training Project. In particular, the EPEC curriculum contains several modules appropriate and necessary to ED care such as: how to assess the whole patient, how to communicate bad news, managing symptoms including pain at the end of life, and eliciting patient “goals of care.” (www.epec.net) Future critical questions for the academic EM community include: 1) what is appropriate and high quality palliative care in the ED setting, 2) what are the core competencies for emergency medicine trainees regarding care for patients that present to the ED at or near the end-of-life, and 3) what special ethical issues arise for the EP regarding care for patients at the EOL. If our goal is to work with patients and their physicians, we need to be actively involved in helping patients establish and fulfill their goals when living and dying with chronic diseases. “Caring” for patients requires more than just performing the latest heroic procedures.

What does all of this have to do with Emergency Medicine?

It is quite true and appropriate that, in an emergent situation, action comes first, and questions, diagnosis, and communications frequently follow stabilization and intervention. But most of our patients do not come in emergently. Even the 93 year old woman with a ruptured abdominal aortic aneurysm may be able to be stabilized temporarily – giving her and her family time to discuss whether surgery is a reasonable option, given social, psychological, and practical burdens and pleasures in her life that we are unable to assess. The Alzheimer’s patient with pneumonia who hasn’t recognized his family or been out of bed for months does not require antibiotics if we determine that the best way to honor the family’s goal of comfort is to avoid prolonging the dying process.

Patients near the end of life will and should present to the ED with the expectation that high quality palliative care will be provided. Their complaints, such as “weakness”, “poor eating”, and “abdominal pain for months: worse today” are difficult to pigeonhole, and may be assigned to lower acuity triage categories based on their chronicity. For the emergency provider,

Erratum In the May/June issue of the SAEM Newsletter Dana Telem was incorrectly listed as Dan Telem. Ms. Telem is the recipient of one of the EMF/SAEM Medical Student Grants which provide $2,400 in funding. Also, in the May/June issue, Dr. Daniel Morris reported to have completed an Emergency Medicine residency at the University of Cincinnati. Dr. Morris completed an Emergency Medicine residency at Michigan State University/Sparrow Hospital Program. Dr. Morris is the recipient of the 2003-04 SAEM Scholarly Sabbatical Grant. SAEM regrets these errors.

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Everything in Moderation Jerris R. Hedges, MD, MS Oregon Health & Science University Introduction Scientific meetings offer the academician the opportunity to learn more about their profession and to share their knowledge with others. Serving as a moderator at a scientific session is one important venue for this knowledge exchange and career development.

Unfortunately, there is little written about the role of the scientific session moderator, goals of an effective moderator, how to prepare for the task, or distinctions between moderating oral versus poster sessions. This article reviews these important issues as a means of enhancing both the job of the moderator and the wisdom that is shared during moderated scientific sessions.

clarify points to be made during your current session. You should draw these connections for the audience and refer them to later sessions (and highlight related prior sessions). You should help the speakers prepare for the session.

The audience will recognize a well-moderated session if they know you are there to help the speaker and the audience connect. You should make the speakers feel comfortable and a valuable part of the session. After all, it was the speakers’ work that was selected for presentation and not your own past or current work. As a facilitator, you should know the evaluation process used by the program committee and contribute evaluations from your session.

Moderator Roles If you accept an invitation to serve as a scientific session moderator, you will need to simultaneously serve as Content Expert, Session Coordinator, and Program Liaison. As a Content Expert, you are best suited for the task when the assigned topics in the session to be moderated are consistent with your prior experience and academic interest. Even then you should refresh yourself regarding the topics covered in the session. As a Content Expert, the you should be comfortable with the topics and have fun with the role.

As a Session Coordinator, you must introduce structure into the session. Unless a member of the program committee reviews the session format with the audience immediately before you assume the role of Session Coordinator, you should quickly introduce the speakers and audience to the session’s structure. This is done by summarizing the session mechanics (i.e., ground rules). Items to cover include session format (e.g., 10 minute presentations with 5 minutes for questions and answers), method by which speakers will be notified of the time deadline, and the responsibility of the moderator to keep the session on time.

Meeting with the speakers in advance of the session and reviewing the ground rules for time limit warnings and plans for the noncompliant is valuable. Ideally, you will introduce the session, each speaker, and the topic, and also oversee the question and answer period.

As a Program Liaison, you should understand how your moderated session fits into program. There may be similar topics discussed that extend or

Moderator Goals The goals of the moderator are summarized by “five E’s”. You should Educate, Entertain, Empower (the audience), Expedite (the session), and Evaluate (the speakers).

The moderator can Educate the audience in several ways. As noted above, the audience is educated about the process of information exchange at the session when you disseminate the presentation mechanics. More importantly, you should help the audience synthesize the different presentations.

You should bring out similarities between presentations within a session.

You should contrast perspectives, study design, findings, and conclusions. You should place issues and study findings in larger context and make the session more than the sum of its parts.

It is important that the moderator Entertain the audience. Science sticks if it is entertaining. Speakers are never in the mood to have their work taken lightly. Presenting in a public forum is serious business and is done at great risk to the speaker’s ego. Hence, any humor raised as moderator should not directly focus on the speaker or her/his work. It is best that you target recent national events, public figures, or yourself when attempting a humorous remark or introducing sarcasm after a presentation. On the other hand, you should not shrink from controversy when a presentation raises issues outside the mainstream or which otherwise beg for comment. When addressing such controversial issues, it is best not to “blind side” speakers. Whenever possible these difficult issues should be identified well in advance of the speak15

er’s presentation and the speaker put on notice that you intend to ask them about the issue. Providing the speaker with a list of potential questions they should be prepared to answer is a useful method of improving the speaker’s presentation, as they may partially address the issues within the talk. It also enhances the subsequent question and answer period.

The effective moderator Empowers the audience to ask perceptive questions of the speaker. Moderators who know their craft well encourage their audience to ask the questions. While it may be helpful for you to ask an initial question while waiting for the audience to become engaged during the question and answer period, you must avoid the temptation to create an ongoing dialogue with the speaker. Dominating the discussion in that manner will discourage rather than encourage audience participation and may intimidate speakers. It is better to prime the question & answer period with questions planted within the audience. This practice encourages other members of the audience to become involved in the information exchange. You should be cautious to prime, but not flood the pump in this manner. It is crucial that interested audience members be given the opportunity to bring their own questions into the discussion.

While audience participation is to be encouraged, you must effectively block personal attacks on the speaker and allow the audience to equitably participate in the discussion. Common pitfalls are when audience members wish to give secondary presentations from the floor or who seek to engage the speaker in one-on-one dialogues. In both cases, you must be prepared to interrupt and ask, in fairness to others seeking to ask questions, that more extended discussions be reserved for the intermission and that each audience member limit themselves to one question.

Setting these session rules in advance facilitates their use when audience members exhibit selective amnesia.

To allow all speakers their due and to maximize audience participation, it is key that the moderator Expedite the session. The moderator and the speakers must stick to a timeline. Start and end each session on time. Although I favor introducing the speakers and their topics for audience members who may (continued on page 15)

Everything in Moderation (Continued) have wandered into the wrong session or left their program elsewhere, the introductions should be brief. It suffices to give the name of the speaker and the study title. The speaker can recognize her/his own co-investigators. Warning speakers of impending presentation closure is wise. More important is to establish nonverbal clues that will be used two minutes in advance of the sum-up time and notification that a verbal warning will be used one minute prior to closure. Finally, if the speaker does not close at the expected time, you must be prepared to direct closure and instruct the audience that the questions and answer period will be abbreviated due to the length of the presentation. If the speaker is aware of this action plan and still fails to close in a timely manner, it is only fair that she/he bear the consequences (mild embarrassment). The subsequent question and answer period is best coordinated through your identification of audience members with questions. Seasoned speakers will often move into that process on their own.

You should only reclaim the process when the pitfalls discussed above arise or it is time to close the question and answer period.

Most scientific sessions have a program committee that rewards excellent presentations. The moderator should be prepared to Evaluate the presentation on behalf of the program committee. Each organization will have its own metric for evaluating the presentation.

Generally, the presentations are evaluated on the basis of scientific content (i.e., the quality of the science) and the speaker’s delivery and response to questions. The moderator should also provide feedback to those speakers who request feedback after the session.

Immediately after the session, it is best to share only the positive aspects of the presentation with the speaker. I recommend that if requested, you only share negative aspects of the presentation at a later time divorced from the meeting.

Indeed, it is often best to have that information delivered through an intermediary who knows the speaker well and who can chose the best time and means for objective critique. Remember that the speaker is most vulnerable to even mild criticism immediately after the presentation.

Preparing for the Role It can be said that a moderator’s work is never done. There is always

more that you can do to prepare for the role. Despite having content expertise, it is crucial to strengthen your knowledge. You should know the content area issues, prior study methodologies, and the current session presentations.

The content background is built upon your existing perspective and expertise.

But don’t stop there. Speak with your colleagues (local & national) regarding their impression of knowledge gaps, practice and research controversies, and the relevance of each speaker’s efforts (both current and future). As a strong moderator, you will know the study methodologies used within the field. You will perform a literature review and review the study methods and limitations - not just the results and conclusions - of prior studies. You will know the types of future studies needed to fill knowledge gaps.

As a prepared moderator, you will know more about the current session’s presentations than what is in the abstract. You will have asked for advance copies of the manuscript and/or presentation. You will have reviewed each speaker’s published work on the selected presentation topic. You will know the methods that the speakers and their co-investigators used and be prepared to address limitations of the current and prior work by these specific investigators. Your preparation should allow you to postulate how the speakers’ data can be applied or steps to be taken before the work can guide our practice or future research efforts.

Knowing what should be brought out in discussion does not mean you should monopolize the discussion. As moderator, you should stimulate an active interchange between the audience and speaker. The moderator is the catalyst, not the fuel, for an exciting and educational post-presentation discussion. In order to “be the catalyst” you must prepare both the speaker and the audience. Preparing the speaker requires that you identify those areas you want to cover in the post-presentation discussion. As noted above, it is best to share the anticipated questions if they are likely to be complex or controversial.

Preparing the audience may require the use of a plant in the audience as discussed previously. This approach is best if the question will be somewhat controversial.

Remember that the moderator’s spaking role is limited. As moderator you should provide a brief introduction

16

to the session and each speaker, interject direction when needed to maintain the tempo of each presentation and its following discussion, encourage audience questions, and when time permits provide a summary statement.

The brief summary statement should address the relevance of the presented research (i.e., answer the “so what?” question) and provide contextual information. This is not needed if similar summary information was covered during the audience discussion or if the discussion was lengthy.

Oral versus Poster Session Moderation Moderation of poster sessions is quite similar to moderation at oral sessions in regards to the role of the moderator, goals of moderation, and the preparation required. In general, poster moderation is less formal and allows greater interaction with the crowd. The physical proximity of the speaker, moderator, and crowd overcomes a number of artificial barriers inhibiting interactions during oral sessions. Consequently, you must be even more prepared to control the discussion should it turn personal, become tangential, or appear to be dominated by one member of the audience.

Another important difference is that the poster itself is the focus of the presentation and can serve as a prop during discussion by the speaker, moderator, and audience. It is crucial that the moderator review the poster in advance of the session to be certain that key talking points can be located on the poster. It is important to determine if any changes from the abstract have occurred since the time of submission. Finally, the moderator has the ability to link concepts by comparing and contrasting information on posters at specific sessions.

Summary Pitfalls to Avoid Don’t forget to prepare. Don’t forget to provide structure for the audience and speaker. Don’t forget to entertain.

And don’t monopolize the discussion. If you can avoid those pitfalls, you will be a memorable session moderator who will impress speaker and audience alike.

Presented at the April 2003, SAEM Western Regional Research Forum, Scottsdale AZ.

2003 SAEM Medical Student Excellence Award Winners Listed below are the recipients of the 2003 SAEM Medical Student Excellence in Emergency Medicine Award. This award is offered to each medical school in the United States to honor an outstanding senior medical student. This is the tenth year this award has been made available. Recipients receive a certificate and one-year membership to SAEM, including subscription to the SAEM Newsletter and Academic Emergency Medicine. Information about next year's Excellence in Emergency Medicine Award will be sent to all medical school dean's offices in February 2004.

Arizona College of Osteopathic Medicine Timothy O'Neill

Medical College of Georgia Cory T. Carpenter

UMDNJ - New Jersey Medical School Chintu Shah

University of Nevada Vittorio Raho

Baylor University Krista Dawn Caldwell

Medical College of Ohio Michelle T. Quinn

UMDNJ - Robert Wood Johnson Medical School Mark Reiter

University of New England College of Osteopathic Medicine Adam M. Ray

Brown University Michelle McMahon-Downer

Medical College of Wisconsin Amy Elizabeth Zosel

University of Alabama at Birmingham Jeremy S. Rogers

University of New Mexico Amber Rollstin

Case Western Reserve University Christian Chisholm Halloran

Meharry Medical College Juantina M. Johnson

University of Alberta Mohammad Naveed Alam

University of North Carolina, Chapel Hill Jennifer Lipkowitz Eaton

Central del Caribe Wilfredo J. Cordero

Memorial University of Newfoundland Michael Peddle

University of Arizona Anita J. L'Italien

University of North Dakota Jason M. Schenck

Chicago College of Osteopathic Medicine Jayson L. Eversgerd

Michigan State University College of Human Medicine Steffen D. Genthe

University of Arkansas Jonathan Christopher Townley

University of North Texas, Fort Worth Scott Young

Dalhousie University Aaron Kent Sibley

Michigan State University College of Osteopathic Medicine Jamil Rizqalla

University of Buffalo Jennifer L. Wiler

University of Pennsylvania Meghan E. McGrath

University of Calgary David Lendrum

University of Pittsburgh Robert Joseph Sobehart

University of California, Davis Jenny K. Bottomly

University of Rochester David Neubert

University of California, Irvine Bethesda Y. Gee

University of South Alabama Kaira Kathryn King

University of California, San Diego Mamata Kene

University of South Carolina William Jennings

University of California, San Francisco Joanne Feldman

University of South Florida Corey A. McLeod

University of Cincinnati William Knight

University of Texas, Galveston Monica Lisa Carvajal

University of Florida Carroll Browd

University of Texas, Houston Thomas Luton

David Geffen School of Medicine at UCLA Gelareh Zargaraff Des Moines University - Osteopathic Medical Center Aaron M. Heiar Denver Health Medical Center Mette Adkisson

New York Medical College Turandot Catanese New York University Tamika Clark Northeastern Ohio Universities Alex Michael Reodica

Drexel University Richard Dagrosa

Nova Southwestern University College of Osteopathic Medicine Timothy J. Huber

Duke University Christopher R. Reynolds

Oregon Health & Science University Michael Kremkau

East Carolina University Maria Russell

Penn State Gwendolyn M. Lewis

Eastern Tennessee State University John Galt Robinson

Philadelphia College of Osteopathic Medicine Joshua M. Baron

University of Hawaii Jason Nomura

University of Texas, San Antonio Robert C. Waller

Ponce School of Medicine Yonaida Santoni

University of Health Sciences Patricia B. Manhire

University of Texas Southwestern, Dallas Amy Benay Baldwin

Queen's University Marc Francis

University of Kansas William Featherston

University of Utah Jodi C. Booth

Saint Louis University Scott M. Schepker

University of Kentucky Jarrett Greer

University of Vermont Laurel Barkell

Southern Illinois University Mari Bethlene Baker

University of Louisville Russell Hunter Louis

University of Wisconsin Sydney R. Leach

St. George's University Lisa Keough

University of Manitoba Leah Watson

Virginia Commonwealth Angelo Guanzon

State University of New York, Stony Brook Patricia Daly

University of Maryland Sean Fox

Wake Forest University Kim L. Askew

University of Miami Preeti Jois

Washington University Adit Arun Ginde

University of Michigan Cemal Sozener

Wayne State University Theresa Terlecki

University of Minnesota Martin Richards

West Virginia School of Osteopathic Medicine William Lee Massie

Eastern Virginia Medical School Carolyn K. Holland Emory University Jerry Keith Hall Georgetown University Sarah Elizabeth Andrus Harvard Medical School Maurice V. Jeter Howard University Nelsson H. Becerra, II Indiana University William Swigart IV Johns Hopkins University Sara Bradshaw Hazlett Kirksville College of Osteopathic Medicine Alisa Roberts Loma Linda University Jason Schultz Louisiana State University, New Orleans Timothy Ellender Louisiana State University, Shreveport Nickles Bergeron Loyola University Jeremy Hoenig Mayo Medical School Edwin G. Wells, III

State University of New York, Downstate Laura McPeake State University of New York, Syracuse Anna Olson Temple University Andrew G. Wittenberg

University of Mississippi Katie Fokakis

Texas Tech Jason Charles Enz

University of Missouri, Columbia John Jeffery Willis

Thomas Jefferson University Tiffany Gillis

University of Missouri, Kansas City Christopher Asandra

Tulane University Aaron Pessl

University of Nebraska Kevin Ahlers

Uniformed Services University of the Health Sciences Matthew Wolf

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West Virginia University Robert Edward Buckner, II Western University of Health Sciences Andrew Wong Wright State University Melissa Anne Schloneger Yale University Gabriel Pearce Simon

Researcher Profile: James Quinn, MD Gerard X. Brogan, Jr., MD SAEM Research Committee North Shore University Hospital As part of the Research Committee's continuing series of profiles of successful EM researchers, Dr. Gerard Brogan interviewed Dr. James Quinn from the University of California, San Francisco.

Dr. Quinn, after graduating from medical school at the University of Western Ontario, did his residency at the University of Ottawa where he began his research career.

Dr. Quinn credits Dr. Ian Stiell with helping to jumpstart his research career by serving as a role model and mentor. While a resident, Jim started working with early tissue adhesives such as Histocryl as it compared to sutures for wound closure.

As a result of his research and subsequent publication in the Annals of Emergency Medicine, Jim was awarded the Annals’ Best Resident Paper. In 1992, he also was presented with an SAEM award at its national meeting for outstanding pediatric presentation. This initial study was funded by both industry and support from the Children’s Hospital of Eastern Ontario.

After his residency, Jim stayed on at Ottawa General under the guidance of chairman Dr. Adam Cwinn. During his five years at Ottawa General, he continued his research with tissue adhesives, expanding into multi-centered trials. He then moved to the University of Michigan. Jim credits Dr. Bill Barsan as being an incredibly supportive chair and promoting an environment that was very fertile for research. In addition, Jim found that there was great institutional support for emergency medicine, and specifically for EM research.

Jim subsequently moved to the University of California, San Francisco. It was there that Jim wrote his first federal grant, a K23 grant. The K23 grant is a mentor-based career development grant award, which involves education, research, and teaching programs that provide for the resources a researcher needs to become an independent investigator. When asked what he thought an ED doc’s chances were of getting a K23 research grant, Jim was very positive and optimistic, a trait that clearly has served him well as he’s navigated the arduous waters of academic medicine Jim states that “your chances are probably better than you think. Somewhere between 25% and 30% of K23 grants are funded. It was very helpful to review copies of old applications and to understand what a good grant is all about”. Jim offered the following advice for applying for a K23 grant.

2. “Probably one of the most helpful things is to have a good mentor. Remember the K-23 is mentor based. This person will help you both in writing the grant and understanding which section of the NIH would be the most appropriate to handle the grant,” or, as Jim puts it, to find a good home for your grant. Here Jim credits Dr. Steve Cummings, who mentors him at UCSF and helped Jim to find an appropriate contact in the NIH to do this. Jim adds, “you don’t necessarily have to stay within your specialty with regard to your mentor, and because the NIH has no institute specifically for emergency medicine research, it is helpful to have a mentor who has a track record in the NIH section to which you submit your application. Don’t hesitate to look outside your specialty for a mentor when there is appropriate overlap with the work that you’re looking to do. There is no slight against emergency medicine, but due to the relatively young age of our specialty there are very few faculty in emergency medicine who would meet criteria to act as mentors on federally funded grants.”

3. For career development awards, you don’t necessarily need to have a track record of being able to secure grant dollars, but you “should have some track record of publication and research in the section you plan to submit. In addition to respect for your mentor and his/her abilities, the agency reviewing the grant will need to have some respect for your previous work before they invest in you or your plan.”

4. Jim stated, "it is very helpful to meet with your mentor and your contacts at the NIH, so that they could put a face to the name.” Many people write good grants, but without a contact at the agency who is supportive of your application, it can easily get lost among many other good applications.

What most impressed me about my interview with Dr. Quinn, and a point that he made several times throughout the interview, was his desire to use the K23 grant to improve his ability to become a mentor himself. Part of the K23 award was to do a masters in health service research. Jim stated that although he has always been very willing to spend time with other researchers curious about tips for securing federal grant dollars, he feels that his K23 grant has definitely allowed him to take his career to the next level and provide more meaningful mentoring to other colleagues.

In closing, and a great summary to Dr. Quinn’s perspective on academic emergency medicine, he stated that “many people have been very generous in helping me out and guiding me through the academic waters. I am indebted to all those who helped me and the best way to give back to those people is by becoming a mentor myself. By my own definition of a good mentor I am not quite there yet. When I am able to act as a successful mentor, I truly will have completed the loop and made a successful journey through academic medicine”.

1. Write a good grant. This sounds simple, but be sure to read the goals of the grant and requirements of the funding agency. “Make sure it has all the components necessary and addresses all of the questions in the application. Pay close attention to the fundamentals. There is a skill and style to writing grants. Have others read your grant and strongly consider attending a grant writing course. Get started early, avoid making excuses and delays for getting started, and write and re-write several times.”

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OHSU Announces the Formation of the Center for Policy and Research in Emergency Medicine The Oregon Health & Science University has announced the formation of the Center for Policy and Research in Emergency Medicine. The CPR-EM was established to promote several long-term goals: (1) to partner with policy-makers locally, statewide, and nationally in identifying areas in which high-quality research can contribute to important health policy issues; (2) to increase the contribution of EM faculty members to important health policy issues facing our community, the state, and the nation; and (3) to enhance the research activities of the Department of Emergency Medicine, seeking external funding to facilitate this goal.

The CPR-EM has been identified as one of four centers within the Oregon Health Policy Institute (OHPI), along with the Substance Abuse Policy Center, the Center for Health and Disability Policy, and the Center for Environmental Health. OHPI, which has received more than $22 million in grants and contracts in the last five years, includes faculty and staff at OHSU, Portland State University, and Oregon State University.

Some of the studies already underway through direct support of the CPREM include a look at the cause of overcrowding in the ED related to overcapacity in the hospital, the impact on EDs

from budget cuts to the Oregon Health Plan (Oregon’s state Medicaid program), and whether the public can be trained to use automatic external defibrillators on the scene of cardiac arrests.

The CPR-EM is led by Robert A. Lowe, MD, MPH. Three additional faculty with unique areas of expertise are K. John McConnell, MS, PhD, an economist and health services researcher, and Craig Newgard, MD, MPH, a health services researcher and emergency physician. For more information about OHSU’s CPR-EM studies, contact Dr. Lowe at lowero@ohsu.edu or 503 4947134.

Call for Submissions Innovations in Emergency Medicine Education Exhibits 2004 Annual Meeting Deadline: February 11, 2004 The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2004 SAEM Annual Meeting, May 16-19, 2003 in Orlando. Submitters are invited to complete an application describing an innovative new educational methodology that they have designed, or an innovative educational application of an existing product. The exhibit should not be used to display a commercial product that is already available and being used in its intended application. Exhibits will be selected based on utility, originality, and applicability to the teaching setting. Commercial support of innovations is permitted but must be disclosed. IEME exhibits will not be published in Academic Emergency Medicine with other abstracts, but will be published in the on-site program. However, if submitters have conducted a research project on or using the innovation, the project may be written up as a scientific abstract and submitted for scientific review in the appropriate subject category by the January 6 deadline.

The deadline for submission of IEME Exhibit applications is Wednesday, February 11, 2004 at 5:00 pm Eastern Time.

Only online submissions using the form on the SAEM web site at www.saem.org will be accepted. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801.

Important Notice to Current and Former ABEM Diplomates Emergency Medicine Continuous Certification (EMCC) will begin in 2004.

All diplomates who want to maintain their certification with ABEM beyond the current expiration date must participate fully in the EMCC program.

Effective 2004, the licensure requirement for all diplomates will change.

Diplomates will be required to continuously maintain a current, active, valid, unrestricted, and unqualified license in at least one jurisdiction in the United States, its territories, or Canada, and in

each jurisdiction in which they practice.

Inactive medical licenses voluntarily held by physicians are in compliance with the Policy on Medical Licensure.

participation in EMCC. Former diplomates must begin their participation in EMCC in 2004 to take advantage of this option.

Physicians eligible for ABEM recertification under current rules will maintain eligibility under EMCC. The written recertification examination as it currently exists will be offered for the last time on November 2, 2003.

A full description of EMCC including details of diplomates’ participation requirements are available on the ABEM website http://www.abem.org.

Questions should be directed to: American Board of Emergency Medicine, 3000 Coolidge Road, East Lansing, MI 48823, or call 517-3324800 or emcc@abem.org.

A special option will be available only from 2004-2006 for former diplomates to regain their diplomate status through 19

Committee/Task Force Members The 2003-04 Committee/Task Force members are listed below, including many resident members noted with an *. The committee/task force appointments run from May 2003-May 2004. Committee/Task Force objectives may be viewed at: www.saem.org/newsltr/2003/MayJune/comtfobj.pdf.

Francis L. Counselman, MD, Eastern Virginia Medical School Steven C. Dronen, MD, Covington Health Mark Hauswald, MD, University of New Mexico *Christopher S. Lai, MD, University of Pittsburgh Joseph A. Salomone, III, MD, Truman Medical Center Frank L. Zwemer, Jr., MD, MBA, University of Rochester

Constitution and Bylaws Committee Chair: Linda Spillane, MD, University of Rochester, Linda_Spillane@urmc.rochester.edu Catherine A. Marco, MD, St. Vincent Mercy Medical Center CORD/SAEM Diversity Task Force Co-Chair: Amin Antoine Kazzi, MD, University of California, Irvine, akazzi@uci.edu Co-Chair: Marcus L. Martin, MD, University of Virginia Health System, mlm8n@virginia.edu Kumar Algappan, MD, Long Island Jewish Medical Center Mervin Ishmael Griffin, MD, University of Mississippi Sheryl L. Heron, MD, MPH, Emory University Lynne D. Richardson, MD, Mt. Sinai Medical Center

Graduate Medical Education Committee Chair: Michael S. Beeson, MD, Akron City Hospital, beesonm@summa-health.org Steven H. Bowman, MD, Cook County Hospital Esther H. Chen, MD, University of Pennsylvania *Michael L. Hochberg, MD, Jacobi/Montefiore David S. Howes, MD, University of Chicago Sharhabeel Jwayyed, MD, Summa Health System Trevor J. Mills, MD, Charity Hospital Usamah Mossallam, MD, Henry Ford Hospital *William E. Northington, MD, University of Pittsburgh Jennifer A. Oman, MD, University of California, Irvine Scott E. Rudkin, MD, University of California, Irvine Peter Shearer, MD, Mount Sinai Carl D. Stevens, MD, Harbor-UCLA Joe Suyama, MD, University of Pennsylvania Raffi V. Terzian, MD, MPH, University of Pennsylvania

Education Research Task Force Chair: Gloria J. Kuhn, DO, PhD, Wayne State University, gkuhn@med.wayne.edu Michelle H. Biros, MS, MD, Hennepin County Medical Center Scott Compton, PhD, Wayne Sate University Karen Cosby, MD, Cook County Hospital Patrick Croskerry, MD, PhD, Dartmouth General Hospital Blaine C. White, MD, Wayne State University Ethics Committee Chair: Terri Schmidt, MD, Oregon Health & Science University, schmidtt@ohsu.edu Jean T. Abbott, MD, University of Colorado Joel M. Geiderman, MD, Cedars-Sinai Medical Center Jason A. Hughes, MD, Texas Tech School of Medicine *Catherine X. Johnson, MD, University of Chicago Hospitals *Katie B. McClure, MD, Oregon Health & Science University Mary Patricia McKay, MD, Brigham and Women's Hospital Junaid A. Razzak, MD, Emory University David Salo, MD, PhD, Newark Beth Israel Medical Center Raquel Marie Schears, MD, MPH, St. Mary's Hospital Robert C. Solomon, MD, West Virginia School of Osteopathic Medicine

Grants Committee Chair: Clifton W. Callaway, MD, PhD, University of Pittsburgh, callawaycw@msx.upmc.edu Evaline A. Allesandrini, MD, The Children's Hospital of Philadelphia Joel E. Fein, MD, The Children's Hospital of Philadelphia Jason Scott Haukoos, MD, Harbor-UCLA E. Brooke Lerner, PhD, EMT-P, University of Rochester Marc S. Rosenthal, PhD, DO, Yale University Rawle Anthony Seupaul, MD, Indiana University *Benjamin C. Sun, MD, Harvard Kevin Terrell, DO, Indiana University Robert O. Wright, MD, MPH, Harvard Kelly D. Young, MD, Harbor-UCLA John G. Younger, MS, MD, University of Michigan

Faculty Development Committee Chair: Francis L. Counselman, MD, Eastern Virginia Medical School, fcounsel@infionline.net Chris Barton, MD, University of California, San Francisco Yvette Calderon, MD, Jacobi Medical Center Theodore A. Christopher, MD, Thomas Jefferson University Hospital Kathleen J. Clem, MD, Duke University Gregory P. Conners, MD, MPH, University of Rochester Gus Michael Garmel, MD, Stanford University Dave A. Holson, MD, MPH, Harlem Hospital Center James H. Jones, MD, Indiana University Robert L. Muelleman, MD, University of Nebraska Latha Ganti Stead, MD, Mayo Clinic Fellowship Training Task Force Chair: Robert W. Neumar, MD, PhD, University of Pennsylvania, rneumar@mail.med.upenn.edu Jill M. Baren, MD, University of Pennsylvania Theodore R. Delbridge, MD, MPH, University of Pittsburgh Frank LoVecchio, DO, Good Samaritan Regional Poison Center John G. Younger, MS, MD, University of Michigan Financial Development Committee Chair: Brian J. Zink, MD, University of Michigan, bzink@umich.edu *Richard J. Bruno, MD, Thomas Jefferson University Hospital

Healthy People 2010 Task Force Co-Chair: Brent Asplin, MD, Regions Hospital, brent.r.asplin@healthpartners.com Co-Chair: Linda C. Degutis, DrPH, Yale University, linda.degutis@yale.edu Edward Bernstein, MD, Boston University Rita K. Cydulka, MD, MetroHealth Medical Center Gail D'Onofrio, MD, Yale University Lowell W. Gerson, PhD, Northeastern Ohio Universities Stephen Hargarten, MD, MPH, Medical College of Wisconsin Arthur L. Kellermann, MD, MPH, Emory University Gregory Luke Larkin, MD, MS, MSPH, University of Texas, Southwestern Robert Augustus Lowe, MD, MPH, Oregon Health and Science University Michael S. Radeos, MD, Lincoln Medical and Mental Health Center Lynne D. Richardson, MD, Mt. Sinai Medical Center Robert Hodges Woolard, MD, Brown University Leadership Development Task Force Chair: John A. Marx, MD, Carolinas Medical Center, jmarx@carolinas.org Louis S. Binder, MD, MetroHealth Medical Center Lewis R. Goldfrank, MD, Bellevue Hospital Center

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Arthur B. Sanders, MD, University of Arizona David P. Sklar, MD, University of New Mexico National Affairs Committee Chair: Robert W. Schafermeyer, MD, Carolinas Medical Center, rschafermeyer@carolinas.org Michael R. Baumann, MD, Maine Medical Center David F. Brown, MD, Massachusetts General Hospital Theodore R. Delbridge, MD, MPH, University of Pittsburgh *Ankur A. Doshi, MD, University of Pittsburgh Jonathan M. Glauser, MD, Cleveland Clinic Foundation *Marc D. Haber, MD, Albert Einstein, New York Mark C. Henry, MD, State University of New York Stony Brook Kenneth V. Iserson, MD, MBA, University of Arizona Amin Antoine Kazzi, MD, University of California, Irvine *Donald Koziak, Jr., MD, Mayo Clinic *Tyler F. Vadeboncoeur, MD, University of California, San Diego Amit Wadhwa, MD, Howard University Program Committee Chair: Judd E. Hollander, MD, University of Pennsylvania, jholland@mail.med.upenn.edu Brigette M. Baumann, MD, Cooper Health System Andra L. Blomkalns, MD, University of Cincinnati David C. Cone, MD, Yale University Richelle Cooper, MD, UCLA - Olive View Cathy B. Custalow, MD, PhD, University of Virginia Elizabeth Datner, MD, University of Pennsylvania M. Christopher Decker, MD, Medical College of Wisconsin Deborah B. Diercks, MD, University of California, Davis Brian Euerle, MD, University of Maryland Gregory Garra, DO, State University of New York, Stony Brook Robert T. Gerhardt, MD, MPH, Brooke Army Medical Center *Daniel A. Handel, MD, MPH, University of Cincinnati *Alan Heins, MD, University of Maryland Sean O. Henderson, MD, University of Southern California Debra Houry, MD, MPH, Emory University Alan E. Jones, MD, Carolinas Medical Center John J. Kelly, DO, Albert Einstein Medical Center Jeffrey A. Kline, MD, Carolinas Medical Center Terry Kowalenko, MD, University of Michigan O. John Ma, MD, Truman Medical Center James C. McClay, MD, University of Nebraska Antonio E. Muniz, MD, Virginia Commonwealth University Craig D. Newgard, MD, Oregon Health and Science University Susan B. Promes, MD, Duke University Kevin G. Rodgers, MD, Indiana University Adam J. Singer, MD, State University of New York, Stony Brook Terry L. VandenHoek, MD, University of Chicago Gary M. Vilke, MD, University of California, San Diego Mary Jo Wagner, MD, Saginaw Cooperative Hospitals Chris S. Weaver, MD, Indiana University David W. Wright, MD, Emory University Stewart W. Wright, MD, University of Cinicinnati

James E. Olson, PhD, Wright State University James Victor Quinn, MD, University of California, San Francisco Niels K. Rathlev, MD, Boston University Richard Eric Rothman, MD, PhD, Johns Hopkins Hospital Harold K. Simon, MD, Emory University *Jill D. Teplensky, MD, PhD, Thomas Jefferson University T. Paul Tran, MD, University of Nebraska Steve Trzeciak, MD, Robert Wood Johnson Medical School Undergraduate Education Committee Chair: Wendy C. Coates, MD, Harbor-UCLA, coates@emedharbor.edu *Keith D. Bricking, MD, Indiana University Kerry B. Broderick, MD, Denver Health Medical Center *Michael S. Canter, MD, Jacobi Medical Center *Natalie M. DiGioia, MD, State University of New York at Stony Brook Susan E. Farrell, MD, Brigham and Women's Hospital Marianne R. Haughey-Barrios, Jacobi Medical Center Cherri D. Hobgood, MD, University of North Carolina Richard Ismach, MD, Emory University Michelle Lin, MD, University of California, San Francisco David E. Manthey, MD, Wake Forest University Baptist Medical Center Steven A. McLaughlin, MD, University of New Mexico Charissa B. Pacella, MD, University of Pittsburgh Iris M. Reyes, MD, University of Pennsylvania David A. Wald, DO, Temple University Ernest E. Wang, MD, University of Texas Southwestern Lori A. Weichenthal, MD, University of California San Francisco Fresno Undergraduate Question Bank Task Force Chair: Stephen H. Thomas, MD, Harvard, thomas.stephen@mgh.harvard.edu Michael Filbin, MD, Brigham and Women's / Massachusetts General Hospital Jonathan Fisher, MD, Albert Einstein Medical Center Jennifer L. Isenhour, MD, Carolinas Medical Center Annie Tewel Sadosty, MD, Mayo Clinic *Emily Senecal, MD, Brigham and Women's / Massachusetts General Hospital

Newsletter Submissions Welcomed SAEM invites submissions to the Newsletter pertaining to academic emergency medicine in the following areas: 1) clinical practice; 2) education of EM residents, off-service residents, medical students, and fellows; 3) faculty development; 4) politics and economics as they pertain to the academic environment; 5) general announcements and notices; and 6) other pertinent topics. Materials should be submitted by email to saem@saem.org. Be sure to include the names and affiliations of authors and a means of contact. All submissions are subject to review and editing. Queries can be sent to the SAEM office or directly to the Editor at david.cone@yale.edu.

Research Committee Chair: Mark G. Angelos, MD, Ohio State University, angelos.1@osu.edu Andrew K. Chang, MD, University of California, Irvine D. Mark Courtney, MD, Northwestern Memorial Hospital John Eric Duldner, Jr., MD, Akron General Medical Center James F. Holmes, Jr., MD, University of California, Davis Margaret Hsieh, MD, University of Pittsburgh Alan E. Jones, MD, Carolinas Medical Center Amy H. Kaji, MD, Harbor - UCLA David J. Karras, MD, Temple University Shahram Lotfipour, MD, University of California, Irvine James R. Miner, MD, Hennepin County Medical Center Brian J. O'Neil, MD, Wayne State University

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FACULTY POSITIONS IOWA: BC/BE Emergency Medicine or Family Physician needed to join group covering 285 bed regional referral and teaching center. Community of 40,000 people located between Minneapolis, Minnesota and Des Moines, Iowa.

Thirteen 12-hour shifts per month. Twenty-five visits annually. Comprehensive benefits and competitive compensation. Contact Jerry Hess, Mercy Medical Center-North Iowa, 1000 4th Street SW, Mason City, Iowa 50401, phone - (888) 877-5551; fax - (641) 422-6495 or email hessj@mercyhealth.com.

Fellowship Opportunity

Emergency Medicine/Neurology The Department of Emergency Medicine and the Department of Neurology Stroke Program at The University of Texas-Houston Medical School are jointly offering a two-year fellowship to Emergency Medicine Residency graduates.

This is part of an NIH-funded fellowship training program to develop clinicianscientists who are expert in the acute care of stroke patents. During the twoyear training period, the trainee will work as part of a multidisciplinary Stroke Team in evaluating and treating acute stroke patients at four regional Emergency Centers, and will participate in ongoing clinical activities that include prehospital care, emergency treatment, acute brain imaging, neurosonology, endovascular therapy, neuro-critical care and outcomes assessment.

Participation in ongoing clinical research protocols is and important part of the program, and the development of new research initiatives by the trainee will be encouraged through enrollment in a specialized program in clinical research training. Clinical duties will also include a limited number of ED shifts each month. Positions are available starting either July 1st, 2003 or July 1st, 2004.

KENTUCKY: The Department of Emergency Medicine at the University of Kentucky is recruiting full-time faculty members at the assistant or associate professor level. The desired individual must be BE/BC in emergency medicine.

Academic tenure track and non-tenure track positions available. The EM residency has full accreditation. The Emergency Department at UK Hospital is a Level I trauma center, regional referral center, with 40,000 annual visits. The department has nine full-time faculty and provides medical direction to Air Medical and Hyperbaric Oxygen Programs. Contact: Roger Humphries, MD, Acting Interim Chair, Department of Emergency Medicine, University of Kentucky Medical Center, 800 Rose St., Room M-53, Lexington, KY 405360298: phone 859-323-5908; fax 859-323-8056; or E-mail rlhump0@uky.edu We are an EOAAE. LEHIGH VALLEY HOSPITAL - position immediately available for EM Residencytrained physician to join cohesive faculty of 33 BC physicians evaluating more than 100,000 patients in the three sites of 700-bed Lehigh Valley Hospital. LVH is academic, tertiary hospital with Level I trauma center, 9-bed Burn Center and 10 freestanding, fully-accredited residency programs, including one in EM. Eligibility for faculty appointment at Penn State/Hershey. Resident and medical student teaching, and clinical research. LVH located in the beautiful Lehigh Valley, with 700,000 people, excellent suburban public schools, safe neighborhoods, moderate cost of living, 10 colleges and universities and many cultural and recreational organizations. And close -- but not too close -- to two great cities; Philadelphia is 60 miles south and Manhattan is 75 miles east. Email cover letter and CV c/o Rick MacKenzie, MD, Vice Chair, EM, to katherine.adams@lvh.com. Fax (610) 402-7014. Phone (610) 402-7008.

Send a letter of interest, curriculum vitae, and three letters of reference to: David J. Robinson, MD, MS, FACEP, University of Houston Health Science Center at Houston, Department of Emergency Medicine, 6431 Fannin, Suite JJL 433, Houston, TX 77030. Office: (713) 500-7875, Fax: (713) 500-7884, Email: David.J.Robinson@uth.tmc.edu.

THE OHIO STATE UNIVERSITY: Assistant/Associate or Full Professor.

Established residency training program. Level 1 Trauma center. Nationally recognized research program. Clinical opportunities at OSU Medical Center and affiliated hospitals. Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 169 Means Hall, 1654 Upham Drive, Columbus, OH 43210, email Conway.70@osu.edu, or call (614) 293-8176. Affirmative Action/Equal Opportunity Employer.

The University of Texas is an Equal Opportunity, Affirmative Action Employer.

Minorities and women are strongly encouraged to apply. This is a security-sensitive position and thereby subject to Texas Education code ยง51.215.

OREGON: The Oregon Health & Science University, Department of Emergency Medicine is conducting an ongoing recruitment campaign for talented faculty members. Entry-level clinical faculty members at the instructor and assistant professor level. Preference given to those with fellowship training (especially in pediatric emergency medicine) or equivalent experience. Knowledge of emergency medicine as a faculty discipline is expected. Please submit a letter of interest, CV, and the names and phone numbers of three references to: Jerris Hedges, MD, MS, Professor & Chair, OHSU Department of Emergency Medicine, 3181 SW Sam Jackson Park Road, CDW -EM, Portland, OR 972393098.

Faculty Opportunity

Department of Emergency Medicine The University of Texas Houston Health Science Center is seeking candidates for a full-time faculty position immediately available in the Department of Emergency Medicine. The department has responsibility for two emergency centers. Memorial Hermann Hospital is located within the Texas Medical Center. This emergency department has an annual census of 55,000 patient visits and is one of only two Level I trauma centers in Houston.

Additionally, Memorial Hermann is a regional burn center, a nationally recognized stroke center, and a comprehensive cardiac care center. The Lyndon Banes Johnson Hospital has an annual census of 85,000 visits and is a Level III trauma center. Qualified applicants will be board certified/prepared in EM and possess interest/expertise in the clinical teaching of emergency medicine.

Excellent salary and comprehensive benefits package, including relocation assistance.

SOUTH CAROLINA: Assistant Professor of Anesthesia / Emergency Medicine. A position is available for a Board certified or Board prepared Emergency Medicine physician to provide patient care in the Emergency Rooms at the Medical University of South Carolina and Charleston Memorial Hospitals, and participate in student and resident teaching for Emergency Medicine. Qualified candidates should contact: Brenda Dorman, MBA, Business Manager, Emergency Medicine, Medical University of South Carolina, 169 Ashley Avenue, PO Box 250300, Charleston, SC 29425, Telephone (843) 792-9709, Fax (843) 792-9706, e-mail: dormanb@musc.edu UNIVERSITY OF CALIFORNIA, IRVINE is recruiting for a Research Director.

Appointment as Associate or Professor in Clinical Scholar series anticipated.

Substantial protected time. Board certification in EM required. MPH, PhD or research fellowship/training strongly desired. UCI Medical Center is a 472-bed tertiary care hospital with all residencies. The ED is a progressive 33-bed Level I Trauma Center with 46,000 patients, in urban Orange County. Collegial relationships with all services. Excellent salary and benefits with incentive plan.

Send CV to Mark Langdorf, MD, MHPE, FACEP, UCI Medical Center, Route 128.

101 City Drive, Orange, CA 92868, or contact me at this meeting beeper (714) 506-6111. UCI is an equal opportunity employer committed to excellence through diversity.

Please forward your CV to: Dr. Brent R. King University of Houston Health Science Center at Houston Department of Emergency Medicine P.O. Box 20708 Houston, TX 77030

The University of Texas is an Equal Opportunity, Affirmative Action Employer.

Minorities and women are strongly encouraged to apply. This is a security-sensitive position and thereby subject to Texas Education code ยง51.215.

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The University of California, San Francisco Faculty Research Position The Division of Emergency Medicine at the UCSF Medical Center is seeking candidates with a career goal of externally funded emergency medicine research for a position in the In-Residence series at the assistant professor level. The Medical Center has the busiest teaching hospital inpatient service in San Francisco, 576,000 outpatient visits, and is rated by U.S. News & World Report as one of the ten best hospitals in the U.S. The Emergency Department is approaching 40,000 visits a year not including urgent care patients seen in separate adult and pediatric clinics. The Emergency Department has extremely high acuity and complexity, 24-hour access to subspecialty consultation in most disciplines, an established real-time web based patient clinical research enrollment program, as well as being fully credentialed for ultrasound use. A complete renovation of the physical plant is underway. A residency in EM is planned for 2005 based at this hospital, and this position has the potential of also assuming the role of research director for the program. There is a long tradition of research and leadership in EM, and collaboration with other faculty in other departments Currently two faculty members have NIH funding. Quality of the intellectual experience and resources are unmatched, as is the physical and cultural environment of the Bay Area. The successful candidate will have an existing track record of research and publication that promises similar funding in the first few years of appointment. UCSF is an affirmative action/equal opportunity employer. The University undertakes affirmative action to assure equal employment opportunity for underutilized minorities and women, for persons with disabilities and for Vietnam-era veterans and special disabled veterans.

Contact Michael Callaham M.D. at Box 0208, University of California San Francisco, San Francisco CA 94143-0208 or mlc@medicine.ucsf.edu

UNIVERSITY OF FLORIDA Jacksonville and Gainesville

EMERGENCY MEDICINE DEPARTMENT, REGIONS HOSPITAL & HEALTHPARTNERS RESEARCH FOUNDATION

The University of Florida is seeking qualified candidates for two (2) positions as Co-Directors of Research in the Department of Emergency Medicine (one in Jacksonville and one in Gainesville). Candidates must be BC/BE in Emergency Medicine. The Directors will conduct and oversee research projects, mentor junior faculty and residents research activities, and provide support for clinical trials. Proven experience in securing extramural grants and contracts is mandatory. Faculty appointments are available at the rank commensurate with experience and productivity. Both departments are in urban hospitals with a combined annual patient volume of 140,000+. Excellent benefits package which includes health, life, and disability insurance, vacation & sick leave, 403B retirement plan with immediate vesting, and sovereign immunity on medical liability coverage. Mail letter of interest and CV (or fax 904/244-5666) to Dr. David Vukich, Professor & Chairman, Dept. of Emergency Medicine, University of Florida/HSC, 655 W. 8th Street, Jacksonville, Florida 32209. Will begin reviewing applications on 4/1/03. Anticipated start date 8/1/03 or sooner. EOE/AA employer.

Research Investigator The Emergency Medicine Department of Regions Hospital, in collaboration with the HealthPartners Research Foundation, announces an excellent opportunity for a Research Investigator to join our team. The Emergency Department of Regions Hospital is a Level 1 Trauma Center with 64,000 patient visits per year. The department has a dynamic emergency medicine residency program and is developing a research program focused on health services research, the health care safety net, and access to essential care.

The work of the Foundation is considered public domain research.

Presently, we have 300 active projects, supported by an eight milliondollar research budget and a research staff of 90. The research agenda for the Foundation includes a broad spectrum of work from basic and animal research, clinical trials, applied clinical to health services research.

Responsibilities include: Designing and implementing health care related projects related to organizational delivery, hospital capacity, financing of health care and publishing research findings.

Candidates must have a Master’s degree or Ph.D. (preferred) in Epidemiology, Health Services Research, Operations Management, Economics, or another health-related field.

HealthPartners offers a dynamic work environment with excellent benefits and a competitive salary. Please send or fax cover letter and resume to HealthPartners, Attn: LaVerne Sasser, Human Resources, P.O. Box 1309, Minneapolis, MN 55440-1309 or contact Brent Asplin, M.D. at (651) 254-5211 or Fax: (651) 254-5216. EO/AA Employer.

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NEWARK BETH ISRAEL MEDICAL CENTER

Our community counts on us because we count on professionals like you.

The Emergency Department Physician Group at Newark Beth Israel Medical Center (NBIMC) is expanding to include physician coverage at a fellow affiliate of the Saint Barnabas Health Care System – a 160-bed community, non-teaching hospital just two miles away. This facility, which offers patient-centered care and is committed to the health of its community, houses a fast-paced Emergency Department which provides care to over 26,000 people annually.

We are seeking qualified professionals to join our team:

FULL TIME ATTENDING PHYSICIANS The ideal candidate must possess BC or BP Emergency Medicine. Excellent interpersonal skills and commitment to service excellence is required.

EXCITING ADVANTAGES

The opportunity to work clinically in the adult (54,000 visits) or pediatric ED (28,000 visits) of NBIMC and/or the opportunity for teaching in the NBIMC ACGME - accredited EM residency.

Please forward your resume indicating position of interest to: Marc Borenstein, Chairman, Department of EM, Newark Beth Israel Medical Center, 201 Lyons Avenue, Newark, NJ 07112.

Fax: 973-282-0562. E-mail: mborenstein@sbhcs.com.

EOE

WWW .SBHCS.COM

NEWARK BETH ISRAEL MEDICAL CENTER

Our community counts on us because we count on professionals like you.

The Emergency Department Physician Group at Newark Beth Israel Medical Center (NBIMC) is expanding to include physician coverage at a fellow affiliate of the Saint Barnabas Health Care System – a 160-bed community, non-teaching hospital just two miles away. This facility, which offers patient-centered care and is committed to the health of its community, houses a fast-paced Emergency Department which provides care to over 26,000 people annually. We are seeking a:

Emergency Medicine at The Feinberg School of Medicine of Northwestern University Due to continued expansion, applications are invited for full time emergency medicine faculty at Northwestern University, Feinberg School of Medicine and Northwestern Memorial Hospital.

Responsibilities include clinical practice, resident and student teaching, and academic productivity. The expansive, modern emergency department serves about 73,000 patients each year and is complimented by an additional 24 bed ED observation unit. A new, proximate 13,000 square feet of office space houses the administrative, research, and educational functions. The residency program has enrolled its 29th class, currently 10 residents in a pgy 1-4 format. Faculty applicants must hold a medical degree, be residency trained in emergency medicine and be emergency medicine board certified or eligible. In addition, successful candidates must possess exceptional clinical skill and must serve as an effective role model for residents and students.

Women, minorities, and underrepresented groups are encouraged to apply. Salary is competitive. Proposed start date is flexible.To ensure full consideration, please send curriculum vitae, along with a brief description of career interests and goals, prior to October of 2003 to: James Adams, MD Professor and Chief, Emergency Medicine Northwestern University, Feinberg School of Medicine 676 N. St. Clair, Suite 2125, Chicago, IL 60611

MEDICAL DIRECTOR The ideal candidate will possess BC Emergency Medicine(EM) required with EM residency training preferred. A minimum 4 years post-graduate EM experience required, previous administrative experience desirable.

This is an exceptional opportunity to lead a superb Emergency Department healthcare team committed to a patient-centered culture of service and clinical excellence.

EXCITING ADVANTAGES

The opportunity to work clinically in the adult (54,000 visits) or pediatric ED (28,000 visits) of NBIMC and/or the opportunity for teaching in the NBIMC ACGME - accredited EM residency.

Please forward your resume indicating position of interest to: Marc Borenstein, Chairman, Department of EM, Newark Beth Israel Medical Center, 201 Lyons Avenue, Newark, NJ 07112.

Fax: 973-282-0562 • E-mail: mborenstein@sbhcs.com

EOE

Northwestern University is an Affirmative Action/Equal Opportunity Employer.

Hiring is contingent upon eligibility to work in the United States.

WWW .SBHCS.COM

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Call for Advisors The inaugural year for the SAEM Virtual Advisor Program was a tremendous success. Almost 300 medical students were served. Most of them attended schools without an affiliated EM residency program. Their “virtual” advisors served as their only link to the specialty of Emergency Medicine.

Some students hoped to learn more about a specific geographic region, while others were anxious to contact an advisor whose special interest matched their own.

As the program increases in popularity, more advisors are needed. New students are applying daily, and over 100 remain unmatched! Please consider mentoring a future colleague by becoming a virtual advisor today. It is a brief time commitment – most communication takes place via e-mail at your convenience. Informative resources and articles that address topics of interest to your virtual advisees are available on the SAEM medical student web site. You can complete the short application on-line at http://www.saem.org/ advisor/index.htm. Please encourage your colleagues to join you today as a virtual advisor.

The SAEM Newsletter is mailed every other month to the 5,500 members of SAEM. Advertising is limited to fellowship and academic faculty positions.

University of Alabama Program Director Position

Deadline for receipt: August 1 (September/October), October 1 (November/December), December 1 (January/February), February 1 (March/April), April 1 (May/June) and June 1 (July/August). Ads received after the deadline can often be inserted on a space available basis.

The University of Alabama at Birmingham is seeking an experienced emergency medicine residency trained individual to assume leadership of its new residency training program in EM as program director. Simply, our vision is to be the very best emergency medicine residency program possible. We have a PGY2-4 program with 6 residents each year, and we are just beginning our 2nd group of 6 outstanding residents July 1. The candidate would join 18 faculty and fellows in the Department of Emergency Medicine. UAB is a prestigious academic health center and research institution, who's school of medicine vision is "top 10 by 2010". We are looking for a talented, collaborative leader to join us in continuing our progress towards our goal.

University of Alabama Hospital's ED evaluates ~48,000 high acuity (admit rate ~28%) patients annually. A new 950 bed hospital opens summer 2004, with a 3-fold expansion of the ED's footprint. Department operations are focused on Education, Clinical Operations, Research, EMS, and Disaster Preparedness.

For more information on the residency program visit us at: http://www.uab.edu/emresidency/

Advertising Rates: Classified Ad (100 words or less) Contact in ad is SAEM member ..............................$100 Contact in ad non-SAEM member ..........................$125 1/4 - Page Ad (camera ready) 3.5" wide x 4.75" high............................................$300 To place an advertisement, e-mail or fax the ad, along with contact person for future correspondence, telephone and fax numbers, billing address, ad size, and Newsletter issues in which the ad is to appear to: Carrie Barber at carrie@saem.org, via fax at (517) 485-0801. For more information or questions, call (517) 485-5484.

Please send a letter or e-mail expressing your interest to: Thomas E. Terndrup, MD, Professor & Chair, Department of Emergency Medicine, University of Alabama at Birmingham, 625 19th St. South; JTN 266 Birmingham, AL 35249-7013, E-mail: tterndrup@uabmc.edu Fax: 205.975.4662, Phone: 205.975.9358 The University of Alabama at Birmingham is an Affirmative Action/Equal Opportunity Employer. Women and minorities are encouraged to apply.

All ads posted on the SAEM web site at no additional charge.

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The Top 5 Most-Frequently-Read Contents of AEM – May 2003 Most-read rankings are recalculated at the beginning of the month. Rankings are based on hits received by articles archived on AEMJ.org.

1

Marc Rodger, Philip Wells, Dimitri Makropoulos, Ian G Stiell, Gwynne Jones, Pasteur Rasuli, Francois Raymond, Anne Marie Clement, Alan Karovitch, Helene Djunaedi, Christopher H Bredeson, Mark Reardon The Bedside Investigation of Pulmonary Embolism Diagnosis (BIOPED) Study Acad Emerg Med May 01, 2003 10: 502-502. (In "ABSTRACTS, PLENARY SESSION")

2 3 4 5

John T Nagurney, Orlando Heredia, Swati Sane, Sarah C Lewis, Ik Kyung Chang A Comparison of Three Methods for Defining Acute Myocardical Infarction Acad Emerg Med May 01, 2003 10: 534-534. (In "RESEARCH METHODS") Catherine E Creeley, Philip V Bayly, David F Wozniak, Lawrence M Lewis Multiple Episodes of Mild Traumatic Brain Injury Impair Cognitive Performance in Mice Acad Emerg Med May 01, 2003 10: 477-477. (In "TRAUMATIC BRAIN INJURY") Kanwal Singh Gill, Eric Daniel Katz, Heather Mahoney Effect of Pharmaceutical Representatives on Prescribing Practices of an Emergency Medicine Residency Acad Emerg Med May 01, 2003 10: 424-424. (In "ABSTRACTS, PLENARY SESSION") Peter A. McCullough, Judd E. Hollander, Richard M. Nowak, Alan B. Storrow, Philippe Duc, Torbjorn Omland, James McCord, Howard C. Herrmann, Philippe G. Steg, Arne Westheim, Cathrine Wold Knudsen, William T. Abraham, Sumant Lamba, Alan H.B. Wu, Alberto Perez, Paul Clopton, Padma Krishnaswamy, Radmila Kazanegra, Alan S. Maisel Uncovering Heart Failure in Patients with a History of Pulmonary Disease: Rationale for the Early Use of Btype Natriuretic Peptide in the Emergency Department Acad Emerg Med Mar 01, 2003 10: 198-204. (In "CLINICAL INVESTIGATION

Call for Photographs Deadline: February 18, 2004 Original photographs of patients, pathology specimens, gram stains, EKG’s, and radiographic studies or other visual data are invited for presentation at the 2004 SAEM Annual Meeting in Orlando. Submissions should depict findings that are pathognomonic for a particular diagnosis relevant to the practice of emergency medicine or findings of unusual interest that have educational value. Accepted submissions will be mounted by SAEM and presented in the “Clinical Pearls” session and/or the “Visual Diagnosis” medical student/resident contest.

No more than three different photos should be submitted for any one case. Submit one glossy photo (5 x 7, 8 x 10, 11 x 14, or 16 x 20) and a digital copy in JPEG or TIFF format on a disk or by email attachment (resolution of at least 640 x 48).

Radiographs and EKGs should also be submitted in hard copy and digital format. Do not send X-rays. The back of each photo should contain the contributor’s name, address, hospital or program, and an arrow indicating the top. Submissions should be shipped in an envelope with cardboard, but should not be mounted.

Photo submissions must be accompanied by a brief case history written as an “unknown” in the following format: 1) chief complaint, 2) history of present illness, 3) pertinent physical exam (other than what is depicted in the photo), 4) pertinent laboratory data, 5) one or two questions asking the viewer to identify the diagnosis or pertinent finding, 6) answer(s) and brief discussion of the case, including an explanation of the findings in the photo, and 7) one to three bulleted take home points or “pearls.”

The case history must be submitted on the template posted on the SAEM web site at www.saem.org and must be submitted electronically. The case history is limited to no more than 250 words. If accepted for display SAEM reserves the right to edit the submitted case history. Submissions will be selected based on their educational merit, relevance to emergency medicine, quality of the photograph, the case history and appropriateness for public display. Contributors will be acknowledged and photos will be returned after the Annual Meeting. Academic Emergency Medicine (AEM), the official SAEM journal, may invite a limited number of displayed photos to be submitted to AEM for consideration of publication. SAEM will retain the rights to use submitted photographs in future educational projects, with full credit given for the contribution.

Photographs must not appear in a refereed journal prior to the Annual Meeting. Patients should be appropriately masked.

Submitters must attest that written consent and release of responsibility have been obtained for all photos EXCEPT for isolated diagnostic studies such as EKGs, radiographs, gram stains, etc.

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SAEM 2004 Research Grants Emergency Medicine Medical Student Interest Group Grants These grants provide funding of $500 each to help support the educational or research activities of emergency medicine medical student organizations at U.S. medical schools. Established or developing interest groups, clubs, or other medical student organizations are eligible to apply. It is not necessary for the medical school to have an emergency medicine training program for the student group to apply. Deadline: September 4, 2003.

Research Training Grant This grant provides financial support of $75,000 per year for two years of formal, full-time research training for emergency medicine fellows, resident physicians, or junior faculty. The trainee must have a concentrated, mentored program in specific research methods and concepts, and complete a research project. Deadline: November 3, 2003.

Institutional Research Training Grant This grant provides financial support of $75,000 per year for two years for an academic emergency medicine program to train a research fellow. The sponsoring program must demonstrate an excellent research training environment with a qualified mentor and specific area of research emphasis. The training for the fellow may include a formal research education program or advanced degree. It is expected that the fellow who is selected by the applying program will dedicate full time effort to research, and will complete a research project. The goal of this grant is to help establish a departmental culture in emergency medicine programs that will continue to support advanced research training for emergency medicine residency graduates. Deadline: November 3, 2003.

Scholarly Sabbatical Grant This grant provides funding of $10,000 per month for a maximum of six months to help emergency medicine faculty at the level of assistant professor or higher obtain release time to develop skills that will advance their academic careers. The goal of the grant is to increase the number of independent career researchers who may further advance research and education in emergency medicine. The grant may be used to learn unique research or educational methods or procedures which require day-to-day, in-depth training under the direct supervision of a knowledgeable mentor, or to develop a knowledge base that can be shared with the faculty member’s department to further research and education. Deadline: November 3, 2003.

Emergency Medical Services Research Fellowship This grant is sponsored by Medtronic Physio-Control. It provides $60,000 for a one year EMS fellowship for emergency medicine residency graduates at an SAEM approved fellowship training site. The fellow must have an in-depth training experience in EMS with an emphasis on research concepts and methods. The grant process involves a review and approval of emergency medicine training sites as well as individual applications from potential fellows.

Deadline: November 3, 2003.

Neuroscience Research Fellowship This grant is sponsored by AstraZeneca. It provides one year of funding at $50,000 for an emergency medicine resident, graduate, or junior faculty member to obtain a mentored research training experience in cerebrovascular emergencies. The research training may be in basic science research, clinical research, or a combination of both, and the mentor need not be an emergency medicine faculty member. Completion of a research project is required, but the emphasis of the fellowship is on the acquisition of research skills. Deadline: November 3, 2003.

EMF/SAEM Medical Student Research Grants This grant is co-sponsored by the Emergency Medicine Foundation and SAEM. It provides up to $2,400 over 3 months for a medical student to encourage research in emergency medicine. More than one grant is awarded each year. The trainee must have a qualified research mentor and a specific research project proposal. Deadline: February 6, 2004.

Geriatric Emergency Medicine Resident/Fellow Grant This grant is made possible by the John A. Hartford Foundation and the American Geriatric Society. It provides up to $5,000 to support resident/fellow research related to the emergency care of the older person. Investigations may focus on basic science research, clinical research, preventive medicine, epidemiology, or educational topics.

Deadline: March 5, 2004.

Further information and application materials can be obtained via the SAEM website at www.saem.org.

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S A E M

NEWSLETTER

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

Presorted Standard U.S. Postage PAID Lansing, MI Permit No. 485

Newsletter of the Society for Academic Emergency Medicine Board of Directors Donald Yealy, MD President Carey Chisholm, MD President-Elect James Adams, MD Secretary-Treasurer Roger Lewis, MD, PhD Past President Valerie DeMaio, MD Leon Haley, Jr, MD, MHSA Glenn Hamilton, MD Stephen Hargarten, MD, MPH Katherine Heilpern, MD James Hoekstra, MD Susan Stern, MD

Editor David Cone, MD David.Cone@yale.edu Executive Director/Managing Editor Mary Ann Schropp mschropp@saem.org Advertising Coordinator Carrie Barber Carrie@saem.org

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

The SAEM newsletter is published bimonthly by the Society for Academic Emergency Medicine. The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM.

Call for Didactic Proposals 2004 Annual Meeting May 16-19, 2004 Orlando, Florida

The Program Committee is inviting proposals for didactic sessions for the 2004 Annual Meeting. This year the Program Committee would like to emphasize proposals on educational research methodology and leadership development (including advancement within academic departments, medical schools and national organizations). Didactic proposals may be aimed at medical students, residents, junior faculty and/or senior faculty. The format may be a lecture, panel discussion, or workshop. The Program Committee will also consider proposals for pre- or post-day workshops or multiple sessions during the Annual Meeting aimed at in-depth instruction in a specific discipline.

Didactic proposals must support the mission of SAEM (to improve patient care by advancing research and education in emergency medicine) and should fall into one of the following categories: • Education (educational research methodology, education methodology, improving the quality of education, enhancing teaching skills) • Research (research methodology, improving the quality of research) • Career Development • State-of-the-Art (presentation of cutting-edge basic science or clinical research that has important implications for further investigation or the future practice of emergency medicine, not a review of the literature or a summary of clinical practice) • Health Care Policy and National Affairs The deadline for submission is Wednesday, September 10, 2003 at 5:00 pm Eastern Daylight Time. Only online submissions will be accepted. To submit a proposal, complete the online Didactic Submission Form at www.saem.org. For additional questions or information, contact SAEM at saem@saem.org or call 517-485-5484 or send a fax to 517-485-0801.