July-August 2006

S A E M

Newsletter of the Society for Academic Emergency Medicine July/August 2006 Volume XVIII, Number 4

PRESIDENT’S MESSAGE

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

2006 Annual Meeting Award Winners

SAEM Research Fund: Putting Your Donations to Work

The Program Committee is pleased to announce the following award winning papers and presentations: Best Faculty Presentation Michael A. Ross, MD Scott Compton, Philip Kilanowski, Patrick Medado, Brian O’Neil: An Emergency Department Diagnostic Protocol for Patients with Transient Ischemic Attack: A Randomized Controlled Trial.

In case you were unable to attend the Annual Meeting in San Francisco (or in case you went shopping or wine tasting), I am happy to report that there was a palpable buzz surrounding the topic of the SAEM Research Fund.

James Hoekstra, MD It was hard not to notice the “wall of fame” list of donors in the registration hall. John Marx was front and center at the plenary session touting the Research Fund and providing “tongue-in-cheek” strategies to increase patient revenue that could potentially be donated to the Fund. Brian Zink was seen at multiple locations signing copies of his book, with free copies given to anyone making a new $100 or greater contribution to the Fund. The donor recognition lunch was an extremely successful and well-attended event, honoring over 50 generous donors for their contributions to the Fund. Finally, the Fund was “front and center” during the past presidents’ breakfast and in the President’s “State of the Society” address.

Why the buzz? Well, there are good reasons for us to shamelessly promote the SAEM Research Fund. First, “if you’ve got it, flaunt it.” This fund represents the outstanding accomplishments of our past leadership, who had the vision and foresight to create the Fund by a donation of excess SAEM operational revenues to an investment vehicle that could be grown to a corpus large enough to endow training grants for our young and promising academic faculty. Due to the generosity of the Board of Directors, the frugal nature of our Society, generous member donations, and shrewd investment strategies, we have been able to rapidly grow the Fund from about $1 million dollars in the late ‘90s to an amazing $5.2 million dollars today. This represents the largest fund of unrestricted training grants in emergency medicine. It’s larger than the Emergency Medicine Foundation, and larger than the research funds of many specialty societies. That alone is worth crowing about!

Secondly, SAEM Research Fund grants work! This past year the Grants Committee was asked to survey the recipients of our awarded grants to track their effectiveness.

The results are impressive. Of five respondents who received Research Training Grants, all five remain in academics, and all five are on the research or academic track, with four at the assistant professor level and one at

Best Young Investigator Presentation Kenneth J. McConnell, PhD Nadia Arab, Christopher F. Richards, Craig D. Newgard, Tina Edlund: The On-call Crisis: A Statewide Assessment of the Costs of Providing On-call Specialist Coverage.

Best Basic Science Presentation Jing Chen-Roetling, MD Raymond Regan: Resistance of Astrocytes to the Toxicity of Hemoglobin Requires Heme Oxygenase-1.

Best Resident Presentation Gregory L. Roslund, MD Terri Hepps, Kemedy K. McQuillen: The Emergency Department Role of Oral Ondansetron in the Oral Rehydration of Children with Gastroenteritis-related Vomiting.

Best Medical Student Presentation Rebecca H. Nerenberg Frances S. Shofer, Jennifer L. Robey, Kara E. Zogby. Aaron M. Brown, Judd Hollander: Impact of a Prior Stress Test on Disposition Decision and 30-day Outcome in Emergency Department Patients with Potential Acute Coronary Syndromes.

Best Innovation in Emergency Medicine Education Exhibit Eddy S. Lang, MD Raghu Venugopal, Ken Doyle, Douglas Sinclair, Antoinette Colacone, Xiaoqing Xue: A Multifaceted Workshop for Improving Productivity and Workflow Efficiency Skills in Emergency Medicine Trainees.

Future SAEM Annual Meetings 2007 2008 2009 2010

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May 16-19, Sheraton Hotel, Chicago, IL May 29-June 1, Marriott Wardman Park Hotel, Washington DC May 14-17, Sheraton New Orleans, New Orleans, LA June 3-6, Marriott Desert Ridge Resort & Spa, Phoenix, AZ

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

Annual Business Meeting Held

2005 Year End Financial Report

The 2006 Annual Meeting in San Francisco attracted 1853 registrants. During the Annual Business Meeting on May 20, Dr. Glenn Hamilton announced the results of the annual elections.

The election was held by mail ballot and approximately 625 of the active members cast ballots during the election. The results were: President-Elect Judd Hollander, MD University of Pennsylvania

Katherine L. Heilpern MD Emory University SAEM Secretary Treasurer The SAEM Board of Directors is pleased to provide the membership with a summary of the 2005 year end financial report. The financial state of the Society remains strong. As of December 31, 2005, the Society had total assets of $6,001,898. The SAEM Research Fund was valued at $4,626,926 and the Society maintained $800,000 in reserve.

For 2005, operational expenses exceeded revenue by $85,000.

This was due primarily to two factors: delayed payment for a research grant previously awarded, and a change to accrual accounting methodology which defers some categories of dues revenue to the ensuing fiscal year.

For the past twelve months, the Board of Directors, the Finance Committee and the administrative staff, have dedicated significant time and effort to advancing the processes related to budgetary policy and procedures and fiduciary responsibility. This is important for the Society, its members and development opportunities for the Research Fund.

Board of Directors Leon Haley, MD Emory University Ellen Weber, MD University of California, San Francisco Resident Member of the Board Jeannette Ebarb, MD East Carolina University Nominating Committee Frank Counselman, MD Eastern Virginia Medical School

Operating Budget Revenues Dues: $1,078,315 Annual Meeting: $539,716 Journal: $243,469 Other: $93,597 TOTAL: $1,955,097

Constitution and Bylaws Committee Debra Diercks, MD University of California, Davis Dr. Jim Menegazzi introduced the 2006 Hal Jayne Academic Excellence Award recipient, Donald M. Yealy, MD. Dr. Alan Jones, MD, introduced the 2006 Leadership Award recipient, John Marx, MD. Each of the award recipients addressed the SAEM membership.

Dr. Hamilton introduced the 2006 Young Investigator Award recipients: Benjamin Abella, MD, MPhil, and Manish Shah, MD, as well as the recipients of the SAEM Grants Program: Andrew Chang, MD (Research Training Grant), James Menegazzi, PhD (Institutional Research Training Grant), and William Northington, MD (EMS Research Fellowship Grant). Each of these grant and award recipients were profiled in the May/June issue of the Newsletter.

Glenn Hamilton, MD, introduced the 2005 Annual Meeting Presentation Awards: Ian Stiell, MD (Senior Investigator Award), Craig Newgard, MD (Young Investigator Clinical Award), Chad Darling, MD (Young Investigator Basic Award), Dana Edelson, MD (Fellow Clinical Award), Steven Salhanick, MD (Fellow Basic Award), Blake Weaver, DO (Resident Award), Ashish Panchal, PhD (Medical Student Clinical Award) , Amy Betz (Medical Student Basic Award), and Richard Levitan, MD (Innovations in Emergency Medicine Education Exhibit).

Michelle Biros, MD, AEM Editor-in-Chief updated the membership on the status of the Journal. In 2005 AEM received 926 manuscripts (645 new submissions and 281 revisions). The following changes to the AEM Editorial Board were also announced: Rita Cydulka, MD, and Catherine Marco, MD completed their terms on the Editorial Board and E. Brooke Lerner, PhD, John Burton, MD, Amado Baez, MD, and John Ma, MD, were appointed to the Editorial Board.

Dr. Hamilton presented his President's Message and introduced incoming President, Jim Hoekstra, MD. Dr. Hoekstra presented Dr. Hamilton with a plaque and thanked him for his service as the SAEM President.

Operating Budget Expenses Journal: $555,545 Salaries and Wages: $430,347 Administration: $256,467 Annual Meeting: $275,659 Newsletter: $42,812 Other: $100,293 TOTAL: $1,661,123 Research Fund (Non-Operating Budget) Revenues Contributions: $89,575 Market Gain: $651,774 TOTAL: $741,349 Research Fund (Non-Operating Budget) Expenses Grant Payments: $466,724 TOTAL: $466,724 At December 31, 2005 the Research Fund totaled $4,626,926

SAEM Membership Counts as of 6/7/06 Active - 2517 Associate - 229 Emeritus - 21 Fellow - 135 Medical Students - 858 Residents - 2807 TOTAL – 6567 2

S A E M

Call for Didactic Proposals Deadline: September 7, 2006 2007 Annual Meeting May 16-19 Chicago, IL

The Program Committee is inviting proposals for didactic sessions for the 2007 Annual Meeting. 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 Thursday, September 7, 2006 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.

Call for Abstract Reviewers The Program Committee is currently accepting applications to serve as expert reviewers of scientific abstracts submitted for consideration of presentation at the 2007 Annual Meeting, which will be held May 16-19 in Chicago. The minimum requirement for new abstract reviewers is at least 2 first author peer-reviewed original research manuscripts in the topic area for which you are applying. Residents are invited to apply but must meet the same criteria. If you have been an abstract reviewer in the past 5 years, you do not need to reapply.

Interested individuals should electronically submit to saem@saem.org the following by October 1, 2006: abbreviated CV (full CVs will not be considered) with a detailed listing of peer-reviewed original research publications, review articles, textbook chapters, and prior scientific abstract presentations published in the specific area(s) of expertise selected from the list below: abdominal/gastrointestinal/genitourinary administration/health care policy ● airway/analgesia ● cardiopulmonary resuscitation ● cardiovascular (non-CPR) ● clinical decision guidelines ● computer technologies ● diagnostic technologies/radiology • disaster medicine ● disease/injury prevention ● education/professional development ● EMS/out-of-hospital ● ethics ● geriatrics

infectious disease ischemia/reperfusion ● neurology ● obstetrics/gynecology ● overcrowding ● pediatrics ● psychiatry/social issues ● research design/methodology/statistics ● respiratory/ENT ● shock/critical care ● toxicology/environmental injury ● trauma ● wounds/burns/orthopedics

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Every year, the Program Committee selects approximately six reviewers for each of the topic areas, including expert reviewers and members of the Program Committee. Therefore, not every approved reviewer will be invited to review each year.

Individuals selected to review submitted abstracts will be expected to review up to 100 abstracts, must adhere to the SAEM abstract scoring system, and must submit their abstract scores by the deadline. The deadline for authors to submit abstracts is January 10, 2007. Abstracts will be sent for review by January 12 and abstract scores will be due by noon on January 23. All scores must be submitted online.

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SAEM Leadership and Hal Jayne Academic Excellence Awards Dr. John Marx and Dr. Donald Yealy were presented with the SAEM Leadership and the SAEM Hal Jayne Academic Excellence Award (respectively) during the Annual Meeting in San Francisco. Their acceptance remarks are published below.

I have no idea how I arrived here. I didn't grow up liking hospitals or doctors. At age four, I outraced three nurses, a pediatrician, and a secretary down a long hallway and two flights of stairs before being apprehended and then administered my penicillin shot. The following year, in my first attempted act of pacifism, I cleverly inserted my left hand between two fighting dogs.

My actions went unrewarded.

During suturing at the local ED, John A. Marx, MD my peak scream decibel level was midway between that of an operating chain saw and a jetliner take-off. At ten, I was quarantined as the only patient in the ID ward of our county hospital for meningitis. The two lumbar punctures and twice daily probing of my antecubital fossae for blood forever and ever invigorated my parasympathetic response system. Through our adolescence and young adulthood, my twin brother and I sustained 23 fractures and dislocations, underwent 5 surgeries, and received more than 400 stitches. Yes, much of this was inflicted upon one another. Finally, at age 22, during a tour of the kidney dialysis unit on my very first day of medical school, I watched blood course back and forth through gigantic plastic tubes, then somehow managed to stumble into a nearby hallway for my unwitnessed vasodepressor event. Was I the perfect candidate for emergency medicine or what?

With regard to getting here, I was aiming at something more significant. I did not grow up in a medical family. I didn’t even think about medical school until my junior year in college when I realized that mixing biological sciences with the chance to be with people might be pretty great. But, life is a huge accumulation of binary decision points, one connected to the next and the next and the next. Getting from point A to point B isn't necessarily a straight shot. Many of our patients choose or are forced down the wrong side of their decision tree and ultimately begin to steer onto an ever-increasingly steep slide. I have erred and I have stumbled and I have fallen countless times on my path.

In small part, I've relied on my blind stubbornness, my silly, unspoken pride, and a long run of pretty good luck. Mostly, though, I've had dear friends and unselfish colleagues who have been willing to pull me back up and to them, I will forever be thankful.

I would like to offer my gratitude to Mr. Caparelli, my high school calculus teacher, for showing me intellectual honesty and humility; to Peter Rosen for his inspiration; to Karin for her indomitable courage and support; to my children, Conner and Shelby, for their unconditional love and so much more; to 28 classes of residents for their enthusiasm and trust; to my co-faculty members of the Denver Affiliated Residency for their guidance and the chance; and, to those of the (continued on page 5)

Donald M. Yealy, MD

I am honored by this recognition – honored to be selected by the Awards Committee and Board of Directors from an exceptional pool of candidates, honored to be included among the previous award recipients who I admire, and honored to share this with many important people in my life.

Acceptance speeches (and written pieces) are often too long, too ‘preachy’ or too detailed. My desire is to focus succinctly on a key to achieve-

ments: Family.

We all live in ‘families’. We occupy certain roles in each family, roles that can vary over time and between families. I grew up in a large family of six children – my birth family – as a brother and a son. My Mom and Dad, and my sisters and brother, showed me about love and loyalty, disagreement and resolution, and working together for a common good. Each step of the way, each encouraged me in their own way to strive for more and to improve, and each did things that supported me. To this day, I cannot ever fully express the thanks I feel for this gift.

I joined ‘professional families’ after finishing school – first in residency and fellowship training, then later as partner in my Departments, University and SAEM. In each family, I experienced similar things as my birth family – the brother or cousin for colleagues who want to share efforts and success; the uncle or (the tough one at my age!) father for those I help guide. Each step of the way, I have benefited from these families – bound together by common goals, occasionally fighting but getting back ‘on track’, and doing more together than each member could do alone.

I am finally blessed to have my core family – my wonderful children - Trevor, Kevin and Lindsey and my loving wife, Rachel. As a father and a husband, I receive the strength and grounding needed to be effective in my other families. I love them and am grateful for their love.

So, my advice: Take care of your family and your families, and you will achieve.

Thank you again – for the recognition, the help, and for reading. I hope this was not too long, detailed or sermon-like!

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Research Fund Over 5 Million Dollars – New Senior Council Formed Brian Zink, MD Chair, SAEM Development Committee University of Michigan Development activities and the Research Fund were prominently on display at the SAEM Annual Meeting in May in San Francisco. Just prior to the meeting SAEM was pleased to learn that the Research Fund had risen to over 5 million dollars. This incredible growth in the Fund since its inception in 1998 is due to the dedication and generosity of SAEM and its members in supporting research, as well as a sound investment strategy coordinated over the years by SAEM Past President, Steven Dronen, MD. This year the Research Fund has had a record number of donors who have contributed $500 or more, and overall member contributions are at an all time high.

SAEM greatly appreciates the investment that members and friends are making in the future of research and education in our specialty. We are also gratified that the money contributed to the Research Fund, which supports our research training grants and scholarly sabbatical grants is producing high quality research, and advancing the research careers of grant recipients. As will be detailed in another article, Research Fund grant recipients are routinely producing research results that will improve emergency care for patients, and are going on to compete successfully for further research funding, including NIH funding. The springboard effect that we hoped for when the Research Fund was established is being realized.

At the Annual Meeting Research Fund donors received red, white and blue SAEM research fund lapel pins and a large poster listing donors was displayed throughout the meeting. During the plenary session, SAEM Past President, Dr. John Marx updated members on the Research Fund and urged them to contribute as he presented a special oral abstract. This included a fascinating juggling act coordinated to a slide show, further enhancing the reputation of emergency medicine as a unique and creative academic discipline! The Research Fund Donor Luncheon was very well attended. Dr. Brian Zink gave a historical presentation on “That 1970’s Emergency Medicine Resident”. Mr. Chuck Hammond, our development consultant, was introduced to the donors at this luncheon. Mr. Hammond was visible throughout the meeting, getting to know SAEM better, and having discussions with members of the Board.

SAEM held a fundraiser for the Research Fund in which members contributed $100 and received a signed copy of Dr. Zink’s book, Anyone, Anything, Anytime - A History of Emergency Medicine. Elsevier, the publisher of Academic Emergency Medicine, generously donated the books for this fundraiser. We exceeded our expectations by raising $6,600 for the Research Fund.

In the past few months, the SAEM Board of Directors authorized the formation of a Research Fund Senior Advisory Council.

The Senior Council will act as liaisons, advisors and ambassadors for the Fund. We are happy to announce that the following

past and present leaders in emergency medicine have agreed to serve on the Council: Brooks Bock, MD – Past President of the American College of Emergency Physicians and the American Board of Emergency Medicine Gabor Kelen, MD – Chairman, Department of Emergency Medicine, Johns Hopkins University School of Medicine Richard Levy, MD – Past President, University Association for Emergency Medicine, and founding Chairman, University of Cincinnati Department of Emergency Medicine John Marx, MD – Past President, SAEM, and Chairman, Department of Emergency Medicine, Carolinas Medical Center.

Karl Mangold, MD – Founding Board Member of the American Board of Emergency Medicine, and founder of Fischer Mangold emergency medicine group Robert Niskanen – Senior Principal Scientist, Medtronic Emergency Response Systems. (Medtronic is the longtime sponsor of the SAEM EMS Research Fellowship) George Podgorny, MD - Past President of the American College of Emergency Physicians and founding Board Member and Past President of the American Board of Emergency Medicine Brian Zink, MD – Past President, SAEM, and Chairman, Department of Emergency Medicine, Brown Medical School and Rhode Island Hospital, current SAEM Development Committee Chair The Senior Council will have its first meeting in conjunction with the ACEP meeting in New Orleans in October. SAEM greatly appreciates the willingness of this outstanding group of leaders to help take the Research Fund to the next level.

If you have contributed to the SAEM Research Fund this year, we thank you. This fall we will announce our new multiyear member campaign. We hope this will make it easy for members to create a pattern of giving and help members rise to the next giving level. If you would like to contribute to the Research Fund, go to the SAEM website at www.saem.org, where on-line donations can be made. We appreciate your support, and look to big things for the Research Fund in the coming years.

SAEM Leadership Award…(continued from previous page) Carolinas Medical Center for their fierce loyalty and selflessness; and, finally, to the thousands of patients who have allowed me the enormous privilege of being with them during some of the most precious moments of their lives…and mine.

As a kid, I didn't dream of being a physician. I never ever

imagined I could be standing before you, today. Though I am certain there are many as or more deserving of this exceptional honor, I am equally certain that none could possibly be more grateful than I to receive it. Thank you so very much.

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Annual Meeting Highlights

Dr. Glenn Hamilton, (SAEM President), and Dr. Michelle Biros, (AEM Editor-in-Chief), served as moderators for the Plenary Session.

Dr. Brian Zink, author of “Anyone, Anything, Anytime – A History of Emergency Medicine,” gave an autographed copy of his book to those who donated $100 or more to the Research Fund while at the Annual Meeting.

Dr. John Marx showed his talent for multitasking as he urged the attendees to donate to the SAEM Research Fund and juggled without dropping a ball.

Dr. Debra Houry, Annual Meeting Program Chair, is pictured with the plenary session speakers (L-R): Dr. Houry, Eric Logue, BS, Christies Del Castillo, MD, Jeff Perry, MD, Ian Stiell, MD, MSc, and Michael Ross, MD.

The past presidents’ breakfast was hosted by SAEM President, Glenn Hamilton. (L-R back row) Jim Hoekstra, MD, incoming president, Brian Zink, MD, Art Sanders, MD, Marcus Martin, MD, Sandra Schneider, MD, Glenn Hamilton, MD, Louis Ling, MD, Jerris Hedges, MD, Dave Sklar, MD. (L-R front row) Steve Davidson, MD, Ken Iserson, MD, Jim Niemann, MD, Lou Binder, MD, Bill Barsan, MD, and Don Yealy, MD. 6

CORD Meets in San Francisco

Medical Student Interest Group Grants

The Council of Emergency Medicine Residency Directors (CORD) met in San Francisco on May 19. Sarah Stahmer, MD, Cooper Hospital, was re-elected to the Board as member-atlarge, and Doug Char, MD, Washington University, was elected to the Board as a member-at-large. The CORD Faculty Teaching Award was presented to Fredrick Abrahamian, MD, Olive ViewUCLA, and James Colletti, MD, Regions Hospital. The CORD Resident Academic Achievement Award was presented to Joel Schofer, MD, from Naval Medical Center, San Diego. The next CORD meeting will be held during the ACEP Scientific Assembly in New Orleans on October 16, 2006.

Deadline: September 8, 2006 SAEM recognizes the valuable role of EM Medical Student Interest Groups to the specialty and has established grants of up to $500 each to help support these groups’ educational activities. Established or developing clubs, located at medical schools with or without EM residencies are eligible to apply. The deadline for the grants for this year is September 8, 2006.

Applications can be obtained at www.saem.org or from the SAEM office. Information on the grants approved for funding in 2005 can be found in the January/February 2006 issue of the SAEM Newsletter, which is posted on the SAEM website at www.saem.org.

AACEM and SAEM Sessions to be Held During AAMC Annual Meeting

Call for Abstracts 16th Midwest Regional SAEM Meeting

The Association of Academic Chairs of Emergency Medicine (AACEM) and the National Affairs Committee of the Society for Academic Emergency Medicine (SAEM) will host the Emergency Medicine Educational Session at the 2007 Association of American Medical Colleges (AAMC) Annual Meeting in Seattle, Washington, from 8:00-12:00 noon.

The theme of this year's educational session is: 'Strategies and Responses of Academic Departments of Emergency Medicine to the 2006 Institute of Medicine report on Emergency Care.� Lively discussion with innovative strategies will be provided by the participants who will include individuals with expertise in health policy, hospital administration, key specialties affected by the IOM report, and academic leaders in emergency medicine. All interested individuals are invited to attend.

September 25, 2006 Crowne Plaza, Akron, Ohio The deadline for submission of abstracts is Monday, July 24, 2006. Only electronic submission via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions will be available on the SAEM website at www.saem.org in June. Research, didactic and special interest sessions will be presented. Questions concerning the meeting can be directed to the Program Chair, John E. Duldner, MD, MS, at: agmcemresearch@mac.com

Call for Abstracts 9th Annual Mid Atlantic SAEM Regional Research Meeting Friday, November 3, 2006 Georgetown University/ Washington Hospital Center Washington Hospital Center Research Training Center and Auditorium The Program Committee is now accepting abstracts for review for oral presentation for this meeting; as in prior years there will be no posters only plenary (12 minute) and brief (4 minute) oral presentations. The meeting will take place November 3, 2006 9:00 am to 4:00 pm. There will be a preliminary Critical Care Collaboration Meeting at 7:30 am prior to the meeting as well as a NHL Hockey game: the Washington Capitals at the Verizon Center at 7:00 pm, Thursday, November 2, followed by a dinner and lecture on Sports Medicine Research by the team physician. There will be a limited number of tickets available (40) so respond early.

The deadline for Abstract Submission is Friday, September 1 at 5:00 pm EST. Only electronic submission via the SAEM online abstract submission form at www.saem.org will be accepted. Abstracts already accepted at 2006 SAEM and ACEP meetings are eligible for consideration. Acceptance notifications will be sent in late September. The goal is to allow as many students/residents and junior faculty the opportunity to present their research in an oral format with approximately 5 PowerPoint slides with time for questions by moderators and audience. More senior investigators are invited to submit abstracts for Plenary presentation. The meeting includes research, teaching and clinical lectures with a focus on grant writing and preparation, Collaborative Trauma research with Surgeons, Alcohol Research (NIAAA representatives). Katherine L. Heilpern, MD, SAEM SecretaryTreasurer, and Associate Dean of Medicine, Emory University, will deliver the Keynote Address.

There will also be a 3 hour session at 12:00-3:00 pm for Medical Students preparing to enter the EM residency with a focused review of How to, What to do and Not to do; including representatives from most of the local residencies. A lunch is also included in this session.

There will be a block of discounted hotel rooms on campus at the Washington Hospital Conference Center also the meeting site will be available after July 1, as well as meeting registration which will feature reasonable costs and departmental discounts for multiple attendees. All preliminary questions can be emailed to: davidmilzman@comcast.net.

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Annual Business Meeting

Jim Hoekstra, MD, and Judd Hollander, MD, 2005 Annual Meeting Program Committee Chair, are pictured with the recipients of the 2005 Annual Meeting Awards (L-R) Dr. Hoekstra, Chad Darling, MD, Young Investigator Basic Award Award; Ian Stiell, MD, MSc, Senior Investigator Award; Craig Newgard, MD, Young Investigator Clinical Award; Christopher Kahn, MD, Resident winner Visual Diagnosis Contest; and Dr. Hollander.

Dr. Hamilton congratulates Dr. Benjamin Abella, one of the recipients of the 2006 Young Investigator Award.

Dr. Hoekstra congratulates Dr. Manish Shah, one of the recipients of the Young Investigator Award.

Dr. Hoekstra thanks Dr. Lance Scott for his service as the Resident Member of the Board (2005-2006).

Not pictured: also thanked for his dedication and service was Carey Chisholm, MD, who served eight years on the Board, including President in 2004-05.

Dr. Jim Menegazzi is pictured with Dr. Hoestra.

Dr. Menegazzi and the University of Pittsburgh received the 2006-2008 Institutional Research Training Grant.

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Dr. Hoekstra is pictured with Dr. Donald Yealy, the recipient of the SAEM Hal Jayne Academic Excellence Award.

Call for Papers: Knowledge Translation

AEM 2007 Consensus Conference on Knowledge Translation

Deadline: March 1, 2007

Barnet Eskin, MD, PhD, Consensus Conference Co-Chair Morristown Memorial Hospital Eddy Lang, MD, Consensus Conference Co-Chair SMBD Jewish General Hospital Peter Wyer, MD, Consensus Conference Co-Chair New York Presbyterian Hospital

The 2007 Academic Emergency Medicine Consensus Conference on “Knowledge Translation in Emergency Medicine” will be held on May 15, immediately preceding the SAEM Annual Meeting in Chicago. Original papers, if accepted, will be published together with the conference proceedings in the November 2007 issue of Academic Emergency Medicine.

Knowledge Translation (KT) describes any activity or process that facilitates the transfer of high-quality evidence from research into effective changes in health policy, practice or products. KT attempts to conceptually combine elements of research, education, quality improvement and electronic systems development to create a seamless linkage between interventions that improve patient care and their routine implementation in daily clinical practice. KT research may pertain to any and all aspects of this endeavor. Examples of research topics that would qualify under this category include:

Are you frustrated by the observation that some patients in your Emergency Department are not receiving care that is supported by valid and important evidence from clinical research?

This may take the form of patients not receiving treatments that have proven efficacy or patients who are given therapies that have marginal or unproven benefit or carry unfavorable risk-benefit ratios when more cost-effective alternatives are available. In the diagnostic realm, this phenomenon translates into patients undergoing unnecessary testing as a result of failure of providers to utilize validated decision rules. This disconnect between “what is known” and “what is done” is well documented in the Institute of Medicine’s report entitled “Crossing the Quality Chasm” http://www.nap.edu/catalog/10027.html#toc. The gaps between research and practice are rarely related to indifference or incompetence on the part of clinicians but rather to a myriad of obstacles both perceived and real as well as a paucity of decision support mechanisms that systematically ensure that all patients benefit from the fruits of the research endeavor.

If these issues strike a chord with you, then consider attending, or better yet, participating in the preparatory activities for the 2007 AEM Consensus Conference (CC) on Knowledge Translation (KT). KT describes any activity which helps to facilitate the closure between the bounty of important information from the scientific literature (research glut) and what often only trickles down to patient care (practice famine). Research in KT uses scientific methodology to quantify or better understand these discrepancies and/or examine the impact and acceptability of interventions designed to narrow or close these gaps.

The Consensus Conference project is involving a rapidly expanding constituency of interest groups and stakeholders within and without our specialty. Organizers have set three major objectives for the meeting. 1. Develop a research agenda in KT; 2. Issue a series of recommendations that will facilitate the broader KT agenda on a number of levels; and 3. Forge a collaborative network of researchers, clinicians and health care leaders who have experience in spearheading KT initiatives in their own institutions and who are willing to share wisdom and potentially join forces in multi-center research. If you wish to contribute or learn more about the Consensus Conference please contact Dr. Eddy Lang at eddy.lang@mcgill.ca or 514340-8222 (ext.5568).

• Investigations of attitudes towards the use of decision rules or practice guidelines.

• Studies of effectiveness of decision support systems in increasing utilization of target interventions.

• Studies of the effectiveness of educational/CPD (Continuing Professional Development) interventions in changing practitioner behavior.

• Papers in the health care policy arena that describe and measure the impact of approaches for closing the research to practice gap.

• Research that examines the effect of evidence uptake interventions on patient outcomes.

• Papers that discuss and contribute to the methodology of KT related investigations, as well as its conceptual framework.

The conference will be designed and conducted to reach consensus on: • A research agenda in Knowledge Translation based on an exploration of the most important gaps that currently exist between research and practice in Emergency Medicine.

• Recommendations that will advance the KT agenda Original contributions describing relevant research or concepts in this topic will be considered for publication in the November 2007 special topics issue of AEM if received by Wednesday, March 1, 2007. All submissions will undergo peer review and publication cannot be guaranteed. Manuscripts must be submitted online to AEM at: www.aemj.org. For queries, please contact Richard Sinert, MD, Consensus Conference Guest Editor at richard.sinert@downstate.edu.

AACEM Elections Held The Association of Academic Chairs of Emergency Medicine (AACEM) held its Annual Meeting and elections in San Francisco on May 17. During the meeting Bill Barsan, MD, Chair of the Department of Emergency Medicine at the University of Michigan began his term as AACEM President, succeeding Gabe Kelen, MD, Chair of the Department of Emergency Medicine at Johns Hopkins University. Judith Tintinalli, MD, Chair of the Department of Emergency Medicine at the University of North Carolina at Chapel Hill was elected President-Elect. Randall King, MD, Chair of the Department of Emergency Medicine at St. Vincent Mercy Medical Center was elected Secretary/Treasurer.

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Academic Emergency Medicine at the SAEM Annual Meeting

Dr. Boaz Tadmor, Head of the Medical Department of the Israeli Defense Forces Home Front Command spoke during the AEM Consensus Conference on the Science of Surge.

Dr. Kristi Koenig was co-chair of the AEM Consensus Conference.

Dr. Biros announced new appointees to the AEM Editorial Board. (LR) Jason Haukoos, MD, John Burton, MD, John Ma, MD, Robert Gerhardt, MD, and Brooke Lerner, PhD.

The Academic Emergency Medicine (AEM) statistical reviewers met with Dr. Roger Lewis, Senior Associate Editor: (L-R) Guohua Li, MD, Polly Bijur, MD, Jason Haukoos, MD, Frances Shofer, PhD, Steve Wall, MD, Craig Newgard, MD, Annette Adams, MD, and Dr. Lewis.

AEM and SAEM were honored to have the U.S. Surgeon General, Dr. Richard Carmona, speak at the Annual Meeting on the topic of the Medical Reserve Corps as a tool to augment surge capacity. Dr. Carmona is pictured with Kristi Koenig, MD, Co-Chair of the AEM Consensus Conference.

Members of the AEM Science of Surge Consensus Conference Planning Committee: (L-R) Michelle Biros, MD, John McManus, MD, Richard Rothman, MD, David Cone, MD, Kristi Koenig, MD, (co-chair) Gabe Kelen, MD, (chair), Art Sanders, MD, Amy Kaji, MD, and Tom Terndrup, MD. Watch for the Conference proceedings in the November isse of AEM. 10

2006-2007 Interest Group Objectives There are approximately 30 interest groups in SAEM, which are open to all members of SAEM. Interest groups are required to meet at least annually, during the SAEM Annual Meeting, and maintain at least 20 members. During the interest group meetings at the Annual Meeting each interest group is asked to develop objectives for the coming year. These objectives are listed below for the benefit of SAEM members who may wish to participate. Members who wish to join interest groups may contact the interest group chair and/or the SAEM office. Interest group members are listed in the SAEM database and for established interest groups, are subscribed to the interest group's listserv. Interest group dues are $25 per year per interest group, but dues will not be charged until the annual dues invoices are sent to the membership in November.

Listed below are the interest group objectives, the interest group chair, and the contact information for the interest group chair. Additional interest group objectives will be published in future issues of the Newsletter. In addition, narrative reports of the interest group meetings held during the 2006 Annual Meeting will be published in the Newsletter and/or posted on the SAEM web site.

Health Services and Outcomes Research Shari Schabowski, MD: sschabowski@ccbh.org 1. Design a didactic session for the 2007 SAEM Annual Meeting on the use of cost analysis as a research outcome and an administrative aid.

2. Establish a communication network to encourage collaborative work between members of the interest group.

Neurological Emergencies David W. Wright, MD: dwwrigh@emory.edu 1. Improve EM Neurological collaborations through a variety of initiatives (NETT, funding opportunities, political advocacy, etc.)

2. Utilize the list-serv to send out reports and information.

3. Provide a conduit for neurological emergencies curriculum and education.

4. Propose conference programs to forward neurological emergencies research.

Patient Safety Karen Cosby, MD: kcosby@ccbh.org 1. Maintain a network of individuals interested in patient safety who may collaborate with one another on projects.

2. Share information with members on current research in safety, recent literature, and actions taken by safety organizations to promote improved practice.

3. Improve discussion, via the list-serv, of current topics on safety.

4. Encourage contributions to: a. The profile in Safety Series in Academic Emergency Medicine. b. Cases demonstrating concepts in safety for the curriculum on safety on the SAEM website. c. Submission of articles to the SAEM Newsletter on patient safety. d. Submission of proposals for didactic sessions to the SAEM Annual Meeting.

5. Serve as a resources to those interested in learning, teaching, and investigating patient safety.

Emergency Medical Services Will Northington, MD: northingtonwe@upmc.edu 1. Development and submission of didactic proposals on important and timely subjects within EMS to the 2007 Program Committee.

2. Exploration of the appropriate role of EMS within the medical student emergency medicine curriculum.

3. Determination of the current state of EMS education within emergency medicine residencies in the U.S. 4. Activation and use of the EMS interest group list-serv.

Evidence Based Emergency Medicine Barney Eskin, MD: phdmd@prodigy.net 1. To promote the use and teaching of evidence-based medicine by emergency physicians.

2. To prepare presentations at the 2007 SAEM Annual Meting that education members about how to use evidence-based medicine for the care of their patients and how to teach evidence-based medicine to the residents, students, and fellows that they teach.

3. Other ongoing activities outside of the Annual Meeting that promote the above objectives. These include on-line courses for residents and faculty that help teach evidence-based medicine principles and developing an evidence-based medicine "tool box" for teaching medical students.

4. Collaborative activities with other interest groups with overlapping goals, in particular the development of the 2007 AEM Consensus Conference on "knowledge translation."

Public Health Edwin D. Boudreaux, PhD: boudreaux-edwin@cooperhealth.edu 1. Revise and resubmit a consensus conference proposal on health behavior interventions.

2. Complete the Robert Wood Johnson Foundation Smoking Cessation Demonstration Study.

3. Prepare and submit at least two didactic proposals for the 2007 SAEM Annual Meeting.

4. Clarify the future of the EMNet public health research database.

Geriatric Interest Group Manish N. Shah, MD: Manish_Shah@URMC.Rochester.edu 1. Develop a didactic proposal on research in medication safety in order adults for the 2007 SAEM Annual Meeting.

2. Develop a didactic session on the impact of disasters on older adults, including a research agenda for the future, for the 2007 SAEM Annual Meeting.

3. Work with the Geriatric Task Force to expand geriatrics content on the SAEM web site.

4. Invite a distinguished researcher to speak at the 2007 SAEM Annual Meeting.

Sports Medicine Daivd Berkoff, MD: david.berkoff@duke.edu 1. Promote awareness of sports medicine among emergency physicians.

2. Incorporate sports medicine lectures into emergency medicine residency curricula and into national emergency medicine meeting agendas.

3. Implement sports medicine research within the emergency department.

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More Annual Business Meeting Highlights

Dr. Jim Hoekstra, incoming President, thanks Dr. Glenn Hamilton for his service to the Society as President (2005-2006).

Election results were announced during the Annual Business Meeting in San Francisco. (L-R) Jeanette Ebarb, MA, MD, Resident Member of Board, Judd Hollander, MD, President-elect, Ellen Weber, MD, Member-at-Large, Leon Haley, MD, Memberat-Large, and Deborah Diercks, MD, Constitution and Bylaws Committee.

Congraulations to Dr. Frank Counselman, who was elected to the Nominating Committee.

Dr. John Marx, the recipient of the SAEM Leadership Award, was introduced and presented with the award by his colleague, Dr. Alan Jones (R).

Dr. Hoekstra congratulates Dr. William Northington, the recipient of the EMS Fellowship Grant.

Dr. Hoekstra congratulates Dr. Andrew Chang, the recipient of the SAEM Research Training Grant.

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2006 New York Regional Meeting Report James M. Callahan, MD SUNY – Upstate Medical University Chair, New York Regional Meeting The 2006 New York Regional Meeting was held April 8 at the Genesee Grande Hotel and Conference Center in Syracuse, New York. The meeting was hosted by the Department of Emergency Medicine of SUNY – Upstate Medical University. The meeting was a great success with over 75 registrants and almost 60 oral research presentations. Medical students and trainees made up a significant portion of both attendees and presenters. In addition, there were several didactic presentations. Catherine Marco, MD, Clinical Professor of Emergency Medicine at St. Vincent’s Mercy Medical Center, Toledo, Ohio and the Medical University of Ohio spoke about “The Art of Emergency Medicine Research” and having “Fun with Statistics.” Dr. Marco is a member of the SAEM Board of Directors. Peter Dayan, MD, MSc, Assistant Professor of Clinical Pediatrics and Pediatric Emergency Medicine Fellowship Director, Columbia University College of Medicine, spoke about “The Utility of Research Networks in Emergency Medicine.” John McCabe, MD told medical students and other attendees “Why Being an Academic Emergency Physician is the Best Job in the World” and William Grant, Ed.D. presented “The Needle in the Haystack: Generating and Answering Questions in Emergency Medicine Using Preexisting Databases.”

Research Award Winners this year included: Best Student Presentation: Prevalence and self-awareness of obesity in inner city ED patients, and readiness to loose weight.

Tamara Beckford, UMDNJ

Best Young Investigator Presentation: Building Bridges: Breast cancer prevention in emergency departments by connecting at risk women to mammography.

Elizabeth Bascom, MD, St. John Oakland Hospital and St. John Hospital and Medical Center

Best Resident Presentation: A case control study comparing the hemolysis rates using intravenous catheters and vacutainer tubes for obtaining blood samples.

Joseph Gibson, MD, Lincoln Medical Center and Mental Health Center

Best Basic Science Presentation: Hemodynamic effects of intralipid in an animal model of severe verapamil toxicity resuscitated with calcium and atropine.

Eric Perez, MD, St. Luke’s Roosevelt Hospital and Columbia University

Best Fellow Presentation: Predicting pertussis in a pediatric emergency department population.

Jennifer Mackey, MD, SUNY Upstate Medical University

Best Faculty Presentation: Does the administration of an IV H2 blocker decrease the time in the ED or the admission rate in pediatric patients with acute vomiting.

Melissa Fiorini, MD, St. Luke’s Roosevelt Hospital and Columbia University

The site and date for the 2007 New York Regional Meeting has not yet been determined. The hard work and expertise of the Regional Meeting Planning Committee helped make the Meeting a major success and is much appreciated.

Interest Group Objectives…(continued from page 11) 4. Integrate procedural and diagnostic techniques commonly used in sports medicine into emergency medicine.

5. Involve emergency medicine residents in event coverage.

6. Encourage emergency medicine residents to pursue sub-specialization in sports medicine.

Emergency Ultrasound Dan Theodoro, MD: daleth44@gmail.com 1. Call for data on education related research into how many ultrasounds confer competency in an area. The ultimate goal is to offer a recommendation to the CORD and RRC regarding best practices for gaining ultrasound proficiency.

2. Develop a “toolkit” for residencies that do not have the resources to develop an ultrasound curriculum.

3. Organize a subcommittee to submit a proposal for the 2008 AEM Consensus Conference.

4. Continue to support narrated lectures on the CORD Sharepoint website.

5. Continue the list_serve project.

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More Annual Meeting Highlights

he Residency Fair allowed residency programs to introduce themselves to students interested in a career in emergency medicine. Case Western Reserve representatives Lou Binder, MD, Nicole Wallis, and Joe Piktel talked to medical students Brian Optiz and Rahi Kapur. (L-R) Binder, Optiz, Piktel, Kapur, and Wallis).

Dr. Debra Houry, 2007 Program Committee Chair, is pictured with the Didactic Subcommittee Chair, Craig Newgard, MD, (L) and Scientific Subcommittee Chair, O. John Ma, MD.

Dr. David Karras, (L) Past Chair of the Research Directors’ Interest Group, was presented with a plaque by Dr. Ed Panacek to thank him for his service.

2006-2007 AACEM Executive Committee: (L-R) Brent King, MD, Secretary-Treasurer, Gabe Kelen, MD, Immediate Past-President, Judy Tintinalli, MD, Presidentelect, and Bill Barsan, MD, President.

The 2006 Program Committee (L-R back row) Betty Chang, MD, John Ma, MD, Betsy Datner, MD, Gary Vilke, MD, Deb Diercks, MD, Chris Decker, MD, Maria Raven, MD, John Southall, MD, Jack Kelly, MD, Susan Promes, MD, Richelle Cooper, MD, Craig Newgard, MD, and Robert Gerhardt, MD. (L-R front row) Jeff Druck, MD, Wesley Zeger, DO, Michael Turturro, MD, Terry Vanden Hoek, MD, Debra Houry, MD, MPH, Brigitte Baumann, MD, Ralph Riviello, MD, and Milly Willy, MD. Not pictured: Andra Blomkalns, MD, Terry Kowalenko, MD, and Manish Patel, MD. 14

Geriatric Interest Group

Nominations Sought: ABEM Board of Directors

Manish N. Shah, MD, University of Rochester

Deadline: September 1, 2006

The Geriatric Interest Group had a very productive meeting during the 2006 SAEM Annual Meeting in San Francisco.

Because of the success of having two didactic sessions accepted for the Annual Meeting (Establishing a Palliative Care Research Agenda in Emergency Medicine, proposed with the Palliative Medicine Interest Group, and Geriatric Training for Emergency Medicine Physicians-in-Training: Education Materials and Resources with the Reynolds Foundation), the meeting functioned primarily as a business meeting.

The three Jahnigen Career Development Scholars Award winners were introduced: Dr. Chris Carpenter from Washington University, Dr. Fred Hustey from Cleveland Clinic, and Dr. Ben Sun from UCLA. All researchers with interest in Geriatric Emergency Medicine were encouraged to apply for the 20072009 award. The due date will be fall 2007. This is particularly important since it is expected that funding for this award will end in a few more years and it is a tremendous opportunity to begin developing a career in Geriatric Emergency Medicine research.

Dr. Tammie Quest spoke about the national course “Education in Palliative and End-of-Life Care” (EPEC). This course is going to be modified for Emergency Medicine. She encouraged those with interest to become involved in the training of palliative care for our specialty. Furthermore, she encouraged the continuation of collaboration between the Palliative Medicine and Geriatric Interest Groups via liaisons due to the significant conceptual overlap.

Goals for the upcoming year were discussed. One priority identified involved submitting didactic proposals for the 2007 SAEM Annual Meeting. The two topics believed to have the greatest interest were research directions in older adult medication safety and disaster medicine for older adults. A number of options and potential speakers were discussed, particularly Chicago-area speakers since the 2007 SAEM Annual Meeting will be there. If neither of these didactic proposals is accepted by the Program Committee, one of the topics may be used as an educational talk during the Interest Group meeting.

The American Board of Emergency Medicine will elect three new directors at its winter 2007 Board of Directors meeting.

ABEM is soliciting nominations for these three positions from Emergency Medicine organizations as well as from individuals. ABEM has invited and encouraged our organization to submit nominations for these director positions.

The ABEM Nominating Committee will review all nominations and prepare a slate of candidates for consideration by the ABEM Board of Directors, who will vote on this slate at its winter 2007 meeting. The newly elected directors will begin an initial four-year term in July 2007. New directors will attend the summer 2007 ABEM BOD meeting as observers.

Criteria for nomination include: • Be a graduate of an ACGME-accredited Emergency Medicine residency program • Be an ABEM diplomate for a minimum of ten years • Have demonstrated extensive active involvement in organized Emergency Medicine.

Ideally, this includes long-term experience as an ABEM item writer, oral examiner, or ABEM-appointed representative • Be actively involved in the clinical practice of Emergency Medicine Interested SAEM members should contact Barbara Mulder, SAEM Associate Executive Director at barb@saem.org with a Letter of Interest and a current CV.

Visual Diagnosis Contest Winner Announced During the 2006 Annual Meeting in San Francisco 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: Medical Student Winner: Pennsylvania

To make a donation to the SAEM Research Fund

Aaron Brown, University of

* Use the online form at https://www. periwinkle.net/saem/research.htm * Send check payable to SAEM Research Fund to SAEM, 901 North Washington Avenue, Lansing, MI 48906 * Contact SAEM via phone (517-485-5484) or email (saem@saem.org) 100% of all contributions go directly to the Research Fund.

All administrative costs are paid by SAEM. Please support the SAEM Research Fund and the future of EM Research.

Resident Winner: Chris Olivares, University of Utah The recipients will be awarded a one-year membership in SAEM, including a subscription to Academic Emergency Medicine, a free registration to the 2007 Annual Meeting, a major Emergency Medicine textbook, a subscription to the SAEM Newsletter, and an SAEM coffee mug.

The Program Committee is already making plans for next year’s contest and members are encouraged to submit potential cases and photos. Please refer to the 2007 Call for Photographs that is published in this issue of the Newsletter.

15

Semi-Final CPC Competition Results On May 17, sixty Emergency Medicine Residency Programs competed in the sixteenth 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 six tracks and these individuals will compete in the CPC Finals that will be held at the ACEP Scientific Assembly in New Orleans, on October 16. It is not necessary to register for the Scientific Assembly if you plan to only attend the CPC. The CPC Competition is sponsored by ACEP, CORD, EMRA, and SAEM and was coordinated by Doug McGee, DO. Congratulations to the 2006 winners!

Division 1 Division 4 Best Presenter: Colleen Hickey, MD, Northwestern University Best Presenter: Andrea Wolff, MD, Indiana University Runner-Up: Kathryn Gutillo, MD, University of New York at Buffalo Runner-Up: Adam Rosh, MD, New York University/Bellevue Best Discussant: Grant Lipman, MD, Stanford-Kaiser Best Discussant: Andrej Urumov, MD, Advocate Christ Medical Center Runner-Up: Russ Horowitz, MD, Northwestern University Runner-Up: Marc Haber, MD, Baystate Medical Center Division 2 Division 5 Best Presenter: Edward Melnick, MD, Mount Sinai Hospital Best Presenter: Melinda Threlkeld, MD, Carolinas Medical Center Runner-Up: Mary Westergaard, MD, Denver Health Runner-Up: Evie Marcolini, MD, Maine Medical Center Best Discussant: David Gordon, MD, Duke University Best Discussant: Jeffrey Suchard, MD, University of California, Irvine Runner-Up: Joanne Oakes, MD, University of Texas - Houston Runner-Up: Christine Irish, MD, Maine Medical Center Division 3 Division 6 Best Presenter: Mohamed Peera, MD, Long Island Jewish Best Presenter: Jim Hancock, MD, Naval Medical Center Portsmouth Runner-Up: Harold Kim, MD, University of Alabama Runner-Up: Nancy Fu, MD, St. Luke’s Roosevelt Best Discussant: Asim Tarabar, MD, Yale University Best Discussant: Robert Reiser, MD, University of Virginia Runner-Up: David Newman, MD, St. Luke’s Roosevelt Runner-Up: Ziad Kazzi, MD, University of Alabama

Presenter and Discussant Winners: (L: R) James Hancock, MD; Edward Melnick, MD; Andrej Urumov, MD; Robert Riser, MD; Mohamed Peera, MD; Jeffrey Suchard, MD; Colleen Hickey, MD; David Gordon, MD; Andrea Wolff, MD; Grant Lipman, MD; Asim Tarabar, MD. Not pictured: Melinda Threlkeld, MD.

Presenter and Discussant Runners Up: (Front row) (L: R) Harold Kim, MD; Nancy Fu, MD; Kathryn Gutillo, MD; Christine Irish, MD; Evie Marcolini, MD.(Back row) (L: R) Ziad Kazzi, MD; Russ Horowitz, MD; Mary Westergaard, MD; David Newman, MD; Adam Rosh, MD; Joanne Oakes, MD; Mark Haber, MD. 16

Academic Announcements SAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of interest to the membership. Submissions must be sent to saem@saem.org by August 1 to be included in the September/October issue.

Juan Fernando Acosta, MD, Clinical Assistant Professor, Weill Medical College of Cornell University, has been appointed Emergency Medicine Residency Director of St. Barnabas Hospital in Bronx, NY and was selected for a K-30 Master’s in Clinical Investigations at Weill Cornell Medical College. He was also promoted to Deputy Commander of the NY2 Disaster Medical Assistance Team.

Richard J. Hamilton, MD, has been appointed Chair, Department of Emergency Medicine, Drexel University College of Medicine. Dr. Hamilton previously served as the Program Director and Associate Professor of Emergency Medicine at Drexel University.

Kennon Heard, MD, Assistant Professor of Surgery (Emergency Medicine), University of Colorado School of Medicine, has received a K-08 award from the National Institute on Drug Abuse to study the effects of long-term antipsychotic medication treatment on acute cocaine toxicity. Dr. Heard is the Medical Toxicology Fellowship Director at the Rocky Mountain Poison and Drug Center.

Keith Borg, MD, PhD, has been appointed Research promoted to Director of Emergency Medicine at the Medical University of South Carolina in Charleston, South Carolina. He will also be Associate Professor of Emergency Medicine on September 1.

The University of Maryland School of Medicine has recently announced that the Division of Emergency Medicine has gained full academic Department status within the School of Medicine.

Division Head, Brian Browne, MD, will continue his leadership as Acting Chair.

Philip L. Henneman, MD, has announced that he will step down as Chair of the Department of Emergency Medicine, Tufts University School of Medicine and Baystate Medical Center effective July 1, 2006. He will remain at Baystate as a professor and researcher, as part of a team with a multi-year grant from the National Science Foundation.

John H. Burton, MD, has been named Emergency Medicine Residency Program Director at Albany Medical College effective May 15.

Gloria J. Kuhn, DO, PhD, has been promoted to a full professor in the clinical educator track at Wayne State University.

Brendan G. Carr, MD, MA, is completing a fellowship in trauma and surgical critical care at the Hospital of the University of Pennsylvania. Upon completion in June, he will begin the Robert Wood Johnson Clinical Scholars Program at the University of Pennsylvania. The program aspires to train physicians in research methodology and health policy.

Eric F. Reichman, MD, PhD, Emergency Medicine Program Director at the University of Texas at Houston, has been appointed the Director of the Surgical & Clinical Skills Center.

Jedd Roe, MD, MBA, has been appointed Chair, Department of Emergency Medicine and Chief, Emergency Medicine Services at William Beaumont Hospital in Royal Oak, Michigan beginning June 19.

Ann Chinnis, MD, MSHA, will be assuming a new leadership position at WVU beginning in July and will be stepping down as Chair, Department of Emergency Medicine, West Virginia University School of Medicine. Dr. Chinnis will serve as Executive Director of the EPIC project and Associate Dean for Clinical Informatics at WVU.

John P. Santoro, MD, has been named interim Chair at Tufts University School of Medicine and Baystate Medical Center effective July 1.

Valerie J. DeMaio, MD, Assistant Professor of Emergency Medicine at the University of North Carolina at Chapel Hill, has been awarded a 2-year American Heart Association grant for her project, “A training intervention to optimize the pre-hospital resuscitation of pediatric respiratory and cardiac arrest.”

Steven J. Stack, MD, was recently elected as the young physician representative to the AMA Board of Trustees. Dr. Stack is the first emergency physician to serve in this position. Dr. Stack is medical director of the emergency department at Baptist Memorial Hospital in Memphis, TN.

Gus M. Garmel, MD, Co-Program Director, Stanford/Kaiser Emergency Medicine Residency Program, received the 2006 Education Award for Outstanding Service in Advancing Emergency Medicine Education from the California Chapter of the American College of Emergency Physicians.

David K. Wagner, MD, will be stepping down as Chair, Department of Emergency Medicine, Drexel University College of Medicine. He will remain with the College, joining the Educational Coordinating, and Admissions Committees.

Peter C. Wyer, MD, has been promoted to Associate Clinical Professor of Medicine in Columbia University College of Physicians and Surgeons. He has been awarded a two-year grant by the Edward J. Stemmler, MD, Medical Education Research Fund of the National Board of Medical Examiners for the project, “Designing Cognitive Measures of Practice-Based Learning and Improvement as an Iterative Process Combining Rasch and Classical Measurement Methods.”

Jason B. Hack, MD, has been promoted to Associate Professor in the Department of Emergency Medicine at East Carolina University in Greenville, NC. Dr. Hack is the Associate Chair of the Division of Medical Toxicology.

Glenn C. Hamilton, MD, MSM, professor and chair of emergency medicine at Wright State University Boonshoft School of Medicine, has been named one of three McCann Scholars. The Joy McCann Foundation has awarded $150,000 to each recipient in recognition of their success as an educator and mentor.

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CORD Meets in San Francisco

Dr. Jim Colletti, one of the recipients of a CORD Faculty Teaching Award, is congratulated by Dr. Felix Ankel (L).

Dr. Fredrick Abrahamian, was also a recipient of the CORD Faculty Teaching Award and is congratulated

by Dr. Pam Dyne, CORD President.

Dr. David Tanen (R) congratulates Dr. Joel Schofer, the recipient of the CORD Resident Academic Achievement Award.

The CORD Academic Assembly Planning Committee met to discuss plans for the 2007 Assembly, which will be held March 1-3 in Orlando.

CORD elections were held in San Francisco and the CORD membership elected Dr. Sarah Stahmer and Dr. Doug Char as Board members-at-large. The 2006-2007 CORD Board of Directors: (L-R) Mary Jo Wagner, MD, President-elect, Steve Hayden, MD, Past-President, Gloria Kuhn, DO, PhD, Member-at-Large, Michael Beeson, MD, Secretary-Treasurer, Pam Dyne, MD, President, Dr. Char, and Dr. Stahmer. Not pictured: Philip Shayne, MD, Member-at-Large.

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Academic Announcements…(continued from page 17) Robert Zalenski, MD, has been appointed as the first holder of the “Brooks F. Bock Endowed Professorship of Emergency Medicine” at Wayne State University School of Medicine in Detroit.

Brian J. Zink, MD, has been named the inaugural chair of the Department of Emergency Medicine at Brown Medical School.

Dr. Zink will also hold the titles of emergency medicine physician-in-chief, Rhode Island Hospital; emergency medicine physician-in-chief, The Miriam Hospital; and president, University Emergency Medicine Foundation. Dr. Zink will be succeeding Robert H. Woolard, MD, who has served as interim chair since the department was established in 2004.

Emergency Medicine Interest Group Grant: End of Grant Report 2005-2006 Michael Long, East Carolina University Kori L. Brewer, PhD, East Carolina University On February 10, 2006, seventeen first and second year medical students participated in an Emergency Procedures Laboratory. The goal of this project was to allow medical students interested in pursuing a career in emergency medicine the opportunity to learn and practice life-saving, invasive procedures in a safe, non-threatening, educational environment.

The educational session was entirely a hands-on experience. Students learned indications, techniques, and complications of common emergency procedures using case-based scenarios and procedural simulation. Under the guidance of five EM faculty and 2 EM residents, medical students directly performed multiple invasive procedures using four adult anesthetized pigs. Each student had the opportunity to carry out and/or observe the following procedures: intraosseous and central venous cannulation, pericardial centesis, thoracentesis, chest tube placement, cricothyrotomy, thoracotomy, and open cardiac massage. The procedure laboratory lasted approximately 4 hours. At completion, all four animals were euthanized.

This procedure laboratory fell under an established animal use protocol (AUP) entitled, Emergency Medicine and East Care Flight Personnel Skills Training Laboratory (AUP#Z130b). Since the laboratory experience was solely educational and volunteer, no formal internal review board (IRB) approval was required. All rules and regulations established by the Comparative Medicine Department and Institutional Animal Care and Use Committee were strictly enforced.

We feel this laboratory experience offered medical students a special opportunity to learn valuable emergency skills early in their careers and without risk of injuring patients. It also provided an opportunity for medical students to meet and learn from experienced EM faculty and residents, who could later serve as mentors to the field of emergency medicine. In the future, we hope to offer similar experiences to ECU medical students early in their education.

In addition to the education of students, Michael Long, the primary applicant on the grant, used this session to test a new prosthetic aiway model that he developed. Using inexpensive corrugated plastic tubing, a rubber chair-leg tip, and duct tape, he constructed a prosthetic airway to simulate laryngeal cartilage, cricothyroid membrane, and trachea. This prosthesis was then surgically implanted under abdominal skin and subcutaneous tissues of the anesthetized pigs. Emergency medicine and trauma faculty (N=17) identified anatomical landmarks and performed a surgical cricothyrotomy on the model and completed a questionnaire that assessed the model’s surface anatomy and physiology (bleeding, tissue response). The model was also assessed for educational effectiveness. The results of this investigation are being compiled and will be submitted for publication over the next several months.

The EMIG of East Carolina University is grateful for the support of SAEM that allowed for a unique experience for its members.

The Robert Wood Johnson Foundation Physician Faculty Scholars Program The Robert Wood Johnson Foundation Physician Faculty Scholars Program is intended to strengthen the leadership and academic productivity of junior medical school faculty dedicated to improving health and health care. The Foundation will make up to 15 awards of up to $300,000 each over three years in 2007 to help young physicians develop their careers in academic medicine. Under the program, scholars are able to devote at least 50 percent of time for 3 years to activities outlined in their submitted proposals; receive funds to support a research project; receive national and local mentorship; and work with other talented scholars.

Each candidate must meet the following requirements: be a physician (MD or DO) who is a citizen or a permanent resident of the United States or its territories; be a junior faculty member (instructor or assistant professor) for five years or less in any discipline in a regular line position that could lead to tenure; be committed to a career in academic medicine; provide evidence of research skills, e.g., past research fellowship or equivalent training; have had at least two papers published in peer-reviewed journals; demonstrate excellence as a teacher; and must care for patients at least one half day per week. Consistent with all RWJF projects, this program embraces racial, ethnic, gender and disciplinary diversity, and encourages candidates with diverse backgrounds to apply.

Each applicant must be nominated by the dean of a four-year, fully accredited U.S. medical school (allopathic or osteopathic).

Applications must be received by September 1, 2006. Notification will occur in April 2007 and appointments will begin July 1, 2007. Detailed application instructions can be found on the program’s Web site or by contacting: Sally Schroeder, deputy director at (650) 566-2348 or rwjfpfsp@stanford.edu 19

More Annual Meeting Highlights

Dr. Glenn Hamilton is pictured with Dr. Al Villarin.

Dr. Villarin has been selected as the Web Editor for the SAEM website.

Congratulations to Ted Delbridge, MD, MPH, the newest member of AACEM, who was recently named Chair, Department of Emergency Medicine at East Carolina University.

During the Medical Student Symposium students met with program directors over lunch to discuss residency programs and how to make the right choice for their future. (L-R) Sunny Wang, Lawrence Kass, MD, Steve Chang, Rebecca Johnson, Benson Yeh, MD, Tom Swoboda, MD, Elaine Lu, Akpene Abegnon, and Andy Brainard.

Georgetown University representatives welcomed medical students to the residency fair and provided information on their residency program. (L-R) Griffin Davis, MD, Jonathan Davis, MD, Jeffrey Love, MD, and Kulleni Gelreyes, MD.

There were 26 Innovations in Emergency Medicine Education (IEME) Exhibits presented at the Annual Meeting. Dr. Eric Savitsky discussed his presentation, “Ultrasound-Guided Procedural Training Using Emerging Technologies.�

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Medicare Resident Funding Redistribution: How were EM residency programs impacted?

Emily Hayden MD Indiana University Michael Baumann MD Maine Medical Center Mary Jo Wagner, MD Synergy Medical Education Alliance for the SAEM National Affairs Committee Medicare and Graduate Medical Education funding. Two very enticing subjects that most of you are dying to read about.

The regulations on resident limits by Medicare can be pageturners that keep one awake at night.

How many of you were aware that Medicare recently had a one-time redistribution of Graduate Medical Education funding?

Most program chairs and directors likely were aware, but very few residents were not. Residency program leadership is keenly aware of budgets and funding for their programs. Residents usually just care that the direct deposit paycheck goes through on time.

What does the redistribution mean to an EM resident? What does that mean to residency directors? What does this funding mean for the specialty of Emergency Medicine?

First, so that all readers are on the same page, a brief history of the funding of Graduate Medical Education (GME) will be described. Then, an explanation of the recent redistribution of resident funding will follow. Finally, the meaning of the funding redistribution to EM residency leadership, residents, and the specialty will conclude.

patients overnight. From Medicare’s inception, Congress meant for Medicare to help fund medical education. The original legislation states: “Many hospitals engage in substantial education activities, including the training of medical students, internship and residency programs, the training of nurses and the training of various paramedical personnel. Educational activities enhance the quality of care in an institution, and it is intended, until the community undertakes to bear such education costs in some other way, that a part of the net costs of such activities…should be considered as an element in the cost of patient care, to be borne, to an appropriate extent by the [Medicare] program.”

H. R. Rep. No. 213, 89th Cong., 1st Sess., 32 (1965) Medicare would pay teaching hospitals for graduate medical education by providing money for both the “direct” and “indirect” costs of resident education. Direct graduate medical education (DGME or DME) payments cover both resident and supervising faculty stipends and benefits, clerical personnel in administrative and GME offices, and overhead (maintenance/electricity). Medicare DME payments are based on a hospital-specific per-resident amount and then on the relative amount of admitted Medicare patients in that specific hospital. Indirect medical education (IME) payments include a percentage adjustment to the Medicare prospective payment system that accounts for the higher patient care costs of teaching hospitals versus non-teaching hospitals. The higher cost of running a teaching hospital is due to the more severe illnesses the patients tend to present with to the teaching hospital, and the cost of providing care in an educational environment with lower productivity and additional diagnostic testing usually performed.

IME payments are determined by the ratio of interns and residents a teaching hospital has compared to the number of inpatient hospital beds. Medicare will pay out the percentage of the amount relative to how many beds in the hospital were Medicare patients.

The Balanced Budget Act of 1997 limited the number of residents a teaching hospital can have funded. At that time, with a few exceptions, teaching hospitals had a pool of Medicare funded residents to divvy up amongst their residency programs. The number of funded resident positions was to be unchanged as of 1997. If a residency program wanted to expand numbers, or if a teaching hospital wanted to start a new residency program, the teaching hospital would have to either take funded slots from other residencies in their hospital or find funding from another source. Given that several EM programs have started and others have expanded since 1997, in fact the EM residency spots have as much as doubled since 1997; many EM residencies are funded by sources outside of Medicare.

History of Graduate Medical Education Funding The concept of internships and residencies was solidifying around the time of WWI. As graduate medical education was developing, teaching hospitals paid the majority of the incurred expenses, usually through the hospitals’ benefactors. To current EM residents, it may be surprising that this did not mean that residents earned a salary. The expenses the teaching hospitals paid for were only the cost associated with resident education (the teaching hospitals did not consider resident stipends or salaries to be part of resident education). Teaching hospitals since their inception were providers of large amounts of charity care. This care was usually reimbursed by local governments, but not enough to account for all of the expenses. Therefore, teaching hospitals were more expensive to run compared to non-teaching hospitals due to the resident education they funded and the amount of charity care they provided.

Starting in WWII, the United States society realized how important good medical care was. Because of this, society became willing to make an investment in medical education.

Federal support for medical education began to grow. The National Institutes of Health was further developed.

In the 1950-1960’s, private health insurance became more common, even though it was first started in the 1930’s. Some of the people who originally were charity care patients suddenly were paying patients. Although all hospitals enjoyed the paying patients that private insurance provided, increased healthcare costs created a situation where indigent care became relatively more expensive. This was noticed especially in the teaching hospitals due to the disproportionate amount of charity care the teaching hospitals provided.

To the hospitals’ delight, Medicare was enacted in 1965.

Many of the charity cases in the hospital became paying 21

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Medicare Resident Funding Redistribution…(continued from page) Resident Limit Redistribution We are all aware of the Medicare Prescription Drug Improvement and Modernization Act of 2003 with its Medicare Part D prescription drug plan. This Act also had provisions included that would allow for a one-time redistribution of teaching hospital’s resident limits. The total pool of Medicare funded residency spots was to remain the same, but the positions were allowed to be reassigned. Teaching hospitals that were not filled to their resident limit would have their caps reduced 75% of their unfilled funded spots. A teaching hospital could apply for a maximum of twenty-five new funded resident positions. The priority for gaining funded spots were as follows: hospitals located in rural areas, hospitals located in small urban areas, then other hospitals that have a residency program that does not have another residency program in that same specialty in their state. Requests for increasing resident limits were due to Centers for Medicare and Medicaid Services (CMS) by June 14, 2004. The resident limit redistributed changes were to be in effect July 1, 2005. The final increases were reported at the end of October 2005 (applied retrograde to July 1, 2005), and the final reductions were reported the beginning of March 2006.

One part about the resident limit redistribution that many people in EM are not aware of is that a group from ACEP was one of the main contributors to penning this part of the legislation. Some of the motivating factors for this group of emergency physicians was that EM is one of the fastest growing specialties, the Emergency Departments bring in admissions to the hospitals and thus EM programs need bigger and better training programs.

not to either the medical school or individual residency programs. It is at the discretion of the individual teaching hospital to which of their residency programs to apply the increase or reduction in funding. Ninety-five of 135 RCC-accredited Emergency Medicine residency programs responded to an informal survey about changes in their Medicare funding. Of those programs that responded, ten were aware of an increase in funding to their program, either DME and/or IME. Some of those programs were expanding actual resident positions, and some were able to fund fully the positions they currently have.

One program is using their increase in DME funding to help start their combined EM/IM program. Several programs knew their institution gained funded positions but the Emergency Medicine program did not receive any of those spots specifically.

None of the programs that responded knew of any reduction in GME funding. Part of this could be that the final report of the teaching institutions that were going to have reductions applied did not get sent out until early March of 2006; however, a preliminary report of reductions was sent out with the final report of increases at the end of October 2005. Many of the programs responded that either there was no change in funding, or that they were unaware of any changes in funding.

Where do we go from here?

We all are aware of emergency departments and their role as the proverbial safety net for this nation’s healthcare. More recently, Emergency Medicine has been in the spotlight at the medical specialty that best serves Homeland Security. Yet for Emergency Medicine to effectively handle a surge in capacity from either a terrorist event or an epidemic such as influenza, we need to ensure adequate funding for both emergency departments and for Emergency Medicine education. We need to advocate for our specialty and, in doing so, advocate for the safety of all Americans.

What did the Medicare resident limit redistribution mean to EM residency programs?

If you have noticed through the discussion of Medicare GME payments, all of the payments are going to teaching hospitals,

President’s Message…(continued from page 1) the associate professor level. They boast 12-39 peer reviewed research publications on their CVs, and four of the five are federally funded investigators. Of the recipients of the Scholarly Sabbatical Grant, five out of five remain in academics, and three of five are federally funded. Of the two Neuroscience Grant recipients, both are also federally funded.

The purpose of the SAEM Research Fund is to provide unrestricted training grants or bridge funding to build our academic base of funded researchers in emergency medicine.

We can assure our donors that their contributions are building the future of academic emergency medicine through the development of successful faculty investigators.

Third, the SAEM Research Fund has finally grown to the point where we can put it to work. When the Fund was first established, the Board of Directors decided to leave the corpus untouched in order to assure its rapid growth. The grants were annually supported by SAEM operational funds.

That policy was especially important during the dot-com stock market “corrections” of 2000-2002. Now that the Fund has reached the $5.2 million mark, it is large enough to sustain itself and grow while also funding some grants from interest income. The growth of member contributions to nearly $50,000 annually also provides steady income to buffer stock market fluctuations. For these reasons, the Board has decided to fund a conservative $150,000 annually in training grants from the Fund. We can tell our donors now that their

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donations are funding grants.

The Board of Directors acknowledges that in our fiduciary responsibilities to our members, it is of paramount importance to guard and grow the SAEM Research Fund. Steve Dronen, in conjunction with the Investment Subcommittee of the Finance Committee, will continue to wisely invest our Fund to assure steady and conservative growth. Brian Zink, the Development Committee chair, and the SAEM office have been working with the development consultant firm Hammond Rosebush to solidify our development message, cultivate and acknowledge our annual donors, and identify keystone donors for the future. The creation of a Senior Advisory Council to provide advice and strategy for our development efforts should also guide us as we develop a multi-year campaign. Finally, Bob Schafermeyer and Kate Heilpern will be working with the Finance Committee to solidify our financial policies with regard to the Research Fund to assure our members that the impact of their donations is maximized.

With success comes responsibility. We can celebrate our success in the growth and development of the SAEM Research Fund, but we must also guard against complacency for its future. I can assure the membership that the Fund will remain first and foremost on the Board’s agenda, as we work to increase its size, visibility, and return on investment for our future.

2006 SAEM Medical Student Excellence Award Winners Listed below are the recipients of the 2006 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 eleventh 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 2007.

Albany Medical College Salah Baydoun

Medical College of Georgia Edward Green

SUNY Upstate Medical University James Campagna

University of Manitoba Cheryl ffrench

University of South Florida Rahul Salooja

Arizona College of Osteopathic Medicine Devin Boss

Medical College of Ohio @ Toledo Maureen Patricia Gibbons

Texas A&M Dominic Lucia

University of Massachusetts Craig Longo

University of Texas, Galveston Rosalyn Nicole Reades

Medical College of Wisconsin Ryan G. Hata

UMDNJ - New Jersey Medical School Camille Miller

University of Miami Joshua Bobko

University of Texas, Houston Scott Wiesenborn

University of Michigan Jason Sell

University of Texas, San Antonio Sujata K. Sheth

University of Minnesota Maria Neuner

University of Texas Southwestern Benjamin W. Hatten

University of Mississippi Patrick J. Bufkin

University of Virginia William Nicholas Moore

University of Missouri-Columbia Jacob Lee Spain

University of Washington Brad Edwin Talley

University of Missouri-Kansas City Deborah Shipley

University of Wisconsin Jeffrey Pothof

University of Nebraska Aaron N. Barksdale

Vanderbilt University Alison Winesett Newman

University of Nevada Dutch Van Horn

Wake Forest University Kevin Lee Taylor

University of New England College of Osteopathic Medicine Jonathan D. Pierce

Washington University Jeffrey Glassberg

Brown University Allan Hansen Dalhousie University Emma Burns David Geffen School of Medicine @ UCLA Rachelle Sohren Des Moines University – College of Osteopathic Medicine Paul Berg Duscher Drexel University Zuleika Ladha Duke University Brooke R. Rosonke East Carolina University Brian Dawson Eastern Tennessee State University Sarah Marie Edwards Eastern Virginia Medical School Donald Christopher Koons Emory University Kelly Owen Harvard Medical School Medell Briggs Indiana University Katie Burdick Johns Hopkins University Emilie Calvello Kansas City University of Medicine and Biosciences Andrew Michmerheizen Loma Linda University Mindi Guptill Louisiana State University, Shreveport Mark R. Urban Loyola University Chicago Stritch School of Medicine Nichole Sturm Mayo Medical School Rebecca L. Mooney

Memorial University of Newfoundland Sasha Sealy Michigan State University Kendra Dee Atkinson Mount Sinai Joseph Chiang

UMDNJ - Robert Wood Johnson Medical School Andrew Amaranto Uniformed Services University of Health Sciences 2Lt. Brett Shafer

New York Medical College Catherine M. Visintainer

University of Alabama @ Birmingham Jeff St. Amant

New York University Jahan Fahimi

University of Alberta Geoff Sanz

Northeastern Ohio Universities Stacy Ann Shundry

University of Arizona Joyce Lippe

Northwestern University Feinberg School of Medicine Manish Asaravala

University of Buffalo School of Medicine and Biomedical Sciences Thomas M. Forsberg

Ohio State University Jonathan Morris Bowen

University of California, Davis Melissa M. Jones

Oregon Health & Science University Michelle Shaw

University of California, Irvine Warren Wiechmann

Ottawa University Julien Payrastre

University of California, San Diego Laura Dolkas

Penn State Eric M. Wells

University of California, San Francisco Jonathan Rosenson

University of New Mexico Jennifer Hall University of North Carolina, Chapel Hill Tracy Lynn Jalbuena University of North Dakota Patrick R. Klempel

Wayne State University Christopher Guyer West Virginia School of Osteopathic Medicine Jenny Guest Western University of Health Sciences/College of Osteopathic Medicine of the Pacific Roderick Y. Ballelos

Philadelphia College of Osteopathic Medicine Courtney P. Wilczynski-Corrin

University of Chicago Maria Del Pilar Ortega

University of North Texas, Fort Worth Matthew J. Messa

Wright State University William E. Brady III

Queen's University Rose Mengual

University of Colorado Nathan Cleveland

University of Oklahoma Matthew Porter

Yale School of Medicine Andrew Nerlinger

Rush Medical College Karis Tekwani

University of Connecticut Jennifer Pope

University of Pennsylvania Dave Lu

Saint Louis University Cameron D. Klug

University of Florida Amit Rawal

University of Pittsburgh Adam Zuckerman Tobias

St. George's University Joseph Lauro

University of Hawaii Ronald M. Kuroda

University of Rochester Michelle S. Circe

State University of New York, Stony Brook Erin Gonzalez

University of Illinois Kristopher Knopp

University of South Alabama Daniel Zirkin

University of Kentucky Jason Reaves

University of South Carolina Ta-Tanisha Favor

SUNY Downstate Medical Center Laurie DuBois

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“SAEM Tests” at One Year: Nearly 10,000 Tests Taken Nationwide Emily L. Senecal, MD Harvard University Michael S. Beeson, MD, MBA Summa Health Systems “SAEM Tests” is an interactive web-based testing tool developed by the SAEM Undergraduate Education Committee (UEC) for students of Emergency Medicine. “SAEM Tests” was published on the web at www.saemtests.com in June 2005. We are pleased to present a review of its use during its first year of availability.

First, a brief review the content of the “SAEM Tests” and the motivation behind its development: the absence of a standardized “Shelf” exam to evaluate medical students rotating through Emergency Medicine prompted the SAEM UEC to develop an on-line question bank. A joint effort by many members of the SAEM UEC yielded 571 multiple-choice questions covering a broad range of topics within Emergency Medicine. Images, including EKGs, radiographic studies, and photographs, accompany approximately one-quarter of the questions.

Answers include brief explanations of the correct answer, as well as text or literature references for further reading.

“SAEM Tests” is accessible through the SAEM website at www.saemtests.com. The questions are divided into 27 individual tests, each consisting of ten to twenty-five questions. The tests are password-protected and are only accessible by medical students once they have been registered by their Clerkship Director on the website. Clerkship Directors can obtain access to the site by selecting the “For Clerkship Directors” link at www.saemtests.com. After a student takes a test, the student’s scores and individual answers are automatically reported to the Clerkship Directors by email.

As of June 1, 2006, one year after its implementation on the web, 9,767 individual tests have been taken by nearly 1,000 students from across the country. Survey data collected six months after the release of “SAEM Tests” on the web provided positive feedback from both medical students taking the tests and Clerkship Directors administering the tests. Of the 155 students who completed the survey, 114 (74%) indicated that

“SAEM Tests” were a useful learning tool. Likewise, 14 of 15 (93%) Clerkship Directors responding to the survey reported that they would use “SAEM Tests” as an evaluation tool for their students once the questions were validated.

The ultimate goal is to develop “SAEM Tests” into a validated testing tool of known difficulty. To that end, we are conducting periodic analyses of the statistical data which is collected in an ongoing fashion by the testing software, LXR 6.0. The first statistical analysis occurred in December 2005, six months after the release of “SAEM Tests” on the web. The overall scoring on the tests was 68%, which was consistent with accepted optimal reliability range of 60-80%. Cronbach’s alpha was used to assess reliability of the tests; all alphas were positive, indicating no negative inter-item correlation, and ranged from 0.22 to 0.87.

The standard error of the measurement for individual tests ranged from 1.28 to 2.25, indicating a low level of scoring variability. Point biserial correlation was evaluated for each of the individual test questions, or items. Of the 571 items, point biserial correlation was positive for 567 (99.3%) and met the standard desirability level of at least 0.2 for 429 (75.1%).

Based on the statistical data obtained, “SAEM Tests” is undergoing revisions to remove or replace poorly performing items. Additional ongoing efforts to enhance “SAEM Tests” include: (1) development of a long-term plan for maintenance and regular editing of all items, as well as generation of additional items, (2) matching of “SAEM Tests” to the fourth-year medical student Emergency Medicine curriculum published recently (Manthey et al. Report of the Task Force on National Fourth Year Medical Student Emergency Medicine Curriculum Guide. Ann Emerg Med. 2006;47:E1-E7), and (3) ongoing annual statistical evaluation to continue item validation.

We welcome any feedback you wish to provide; please contact us at esenecal@alumni.princeton.edu or beesonm@ summa-health.org.

Thanks to 2006 Annual Meeting Photo Contributors SAEM would like to thank the following individuals who contributed to this year’s Clinical Pearls and Visual Diagnosis Contest, which was held during the SAEM Annual Meeting in San Francisco.

Alison Abiri MB David Andretta MD David Bahner MD Paul Barbara MD Derek Bennetsen DO Ritesh Bhandari Michelle Brosnan MD Marcia Casas Kerlen Chee Jason Cohen DO Ayim Darkeh MD Nicole Delorio Roel Farrales MD David Finkelstein MD Sanjey Gupta MD

Barry Hahn Tracy Hartmann MD Antonia Hipp, MD Vallerie Hirsch PA-C Renee Hsia MD Carl Hsu MD Wender Hwang Daniela Iacona PA-C Rafi Israeli, MD Nicole Johnson MD Jamira Jones MD Nathan Karber MD Richard Kleiman MD Mridul Kumar MD Jason Langenfeld

Brooks Laselle MD Ingrid Lim Rachel May MD Edward Michelson MD Lisa Moreno-Walton MD Sarah Nafziger MD Maria Nguyen PA Bret Nicks MD Daniel Nishijima MD Richard Oh Vivek Parwani David Pigott MD Aaron Ray MD Robert Ringelheim MD Adam Rosh MD

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Mary Ryan MD Rawle Seupaul MD Matt Shepherd MD Mark Silverberg MD Samara Soghoian MD David Solomon MD D. Matthew Sullivan MD Travis Ulmer MD Nicholas Vaccari MD Muhammad Waseem MD Lee Wilbur MD Richard Wilkerson MD Zev Wimpfheimer MD Nadine Youssef

2006 Residency Fair Participants SAEM would like to thank the following 99 EM residency programs that participated in the Residency Fair that was held immediately following the Medical Student Symposium on May 20 during the 2006 Annual Meeting. SAEM recognizes the effort and cost expended by these residency programs. The purpose of the Residency Fair is to provide a unique and economical opportunity for medical students interested in a career in emergency medicine. This year’s participation exceeded last year, when 97 programs participated. This year’s Medical Student Symposium attracted 100 students.

Advocate Christ Medical Center Alameda County Medical Center Albany Medical Center Albert Einstein Medical Center Baystate Medical Center Beth Israel Deaconess Medical Center Beth Israel Medical Center/Albert Einstein College of Medicine Boston Medical Center Brown Medical School Carolinas Medical Center Case Western Reserve University/MetroHealth Medical Center Christiana Care Health Systems Columbia University’s St. Luke’s-Roosevelt Hospital Cook County Hospital Denver Health Medical Center Duke University East Carolina University Eastern Virginia Medical School Emory University Geisinger Medical Center George Washington University Georgetown University Hennepin County Medical Center Henry Ford Hospital Indiana University Jacobi Medical Center Johns Hopkins University Los Angeles County-University of Southern California Lincoln Medical and Mental Health Center Louisiana State University Louisiana State University-Shreveport Loma Linda University Maimonides Medical Center Maine Medical Center Maricopa Medical Center Mayo Clinic Medical College of Georgia Medical College of Wisconsin Mount Sinai, New York Michigan State University, Kalamazoo New York Hospital, Queens New York Medical College New York Methodist New York Presbyterian North Shore University Northwestern University NYU/Bellevue Hospital Center Oregon Health and Science University Orlando Regional Medical Center Palmetto Richland Memorial Hospital

Pennsylvania State/Hershey Medical Center Regions Hospital Resurrection Medical Center Sinai Grace Hospital/Wayne State University St. John Hospital and Medical Center Stanford University Stony Brook University Summa Health Systems-Northeast Ohio University SUNY at Buffalo SUNY Downstate/Kings County Hospital SUNY Upstate Medical Center Synergy Medical Education Alliance Texas A&M/Scott and White Memorial Hospital Thomas Jefferson University Hospital University of Alabama at Birmingham University of Arizona University of California, Davis University of California, Irvine University of California, Los Angeles UMDNJ of New Jersey University of California, San Francisco, Fresno University of Chicago University of Cincinnati University of Florida University of Florida, Jacksonville University of Illinois at Peoria University of Iowa University of Louisville University of Maryland University of Massachusetts University of Michigan/St. Joseph Mercy Hospital University of Mississippi University of Nevada University of New Mexico University of North Carolina University of Pittsburgh University of Rochester University of South Florida University of Texas at Houston University of Texas Southwestern University of Utah University of Virginia Virginia Commonwealth University Wake Forest University Washington University West Virginia University Wright State University Yale-New Haven Medical Center York Hospital

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Call for Photographs Deadline: February 23, 2007 Original photographs of patients, pathology specimens, gram stains, EKG’s, and radiographic studies or other visual data are invited for presentation at the 2007 SAEM Annual Meeting in Chicago, IL. Submissions should depict findings that are pathognomonic for a particular diagnosis relevant to the practice of emergency medicine or findings of unusual interest that have educational value. Accepted submissions will be mounted by SAEM and presented in the “Clinical Pearls” 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 website 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. Photos will be returned upon request. If photos are not requested to be returned, they will be destroyed one year after submission.

S A E M

Call for Submissions Innovations in Emergency Medicine Education Exhibits Deadline: Wednesday, February 2, 2007

The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2007 SAEM Annual Meeting, May 16-19, 2007 in Chicago. 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. The descriptions/abstracts of the selected IEME Exhibits will be published in the Abstract Supplement of the May 2007 issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. 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 8 deadline.

The deadline for submission of IEME Exhibit applications is Wednesday, Feburary 2, 2007 at 5:00 pm Eastern Daylight Time. Only online submissions using the form on the SAEM website at www.saem.org will be accepted. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801.

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FACULTY POSITIONS Chair, Department of Emergency Medicine

NEW YORK: Columbia University -Attending Emergency Physicians- Harlem Hospital Center Emergency Services, seeks residency trained or ABEM-certified Emergency Physicians who have excellent clinical skills, a strong interest in teaching and a commitment to public medicine. We are a 290-bed, Level 1 trauma Center, regional burn center, EMS-based Station with over 75,000 annual visits. An appointment to the faculty of the Columbia University College of Physicians and Surgeons is anticipated at the Instructor or Assistant Clinical Professor level, commensurate with experience. Competitive salary and benefits provided. Submit CV to: Reynold Trowers, M.D. Director of EMS, HHC, 506 Lenox Ave, NY, NY 10037, call him at (212) 939-2253 or e-mail at RLT2@columbia.edu. Columbia University is an EOE/AA employer.

University of Pittsburgh Medical Center (UPMC) Shadyside Hospital is a tertiary-care teaching hospital within the city of Pittsburgh.

The campus includes the nationally–renowned Hillman Cancer Center, offers a full range of specialty and subspecialty services, and supports numerous teaching programs. The progressive Emergency Department sees 36,000 patients annually with 52 hours of physician coverage and 22 hours of physician-extender coverage daily. Shadyside is an upscale area of the city with great housing and easy access to numerous amenities of Pittsburgh, and is also a short commute from Pittsburgh’s finest suburbs.

NEW YORK: Physician ER Department – A prestigious Health System established in 1891 located in the heart of Westchester, serving the City of Mount Vernon, the Pelham’s, East Yonkers, New Rochelle and North Bronx is seeking a Staff Emergency Department Physician. Must be Board Qualified or Certified by American Board of Emergency Medicine and licensed to practice medicine in New York and an Approved member of Provider's Medical Staff. Adult and pediatric experience preferred. Interested physicians should send their CV to (914) 206-5490 or email to apply@executivehealthsearch.com.

OHIO, AKRON: Akron General Medical Center is seeking emergency medicine residency-trained, board certified/board prepared candidates for clinical/faculty positions at our residency. Our residency is the oldest community-based program in the country. Our democratic group has been in place for 20-years. Our faculty have full academic appointments to the Northeast Ohio University College of Medicine. As a center for paramedic education, numerous EMS, tactical and hazmat experiences are available. Extensive opportunities for research exist as well. We offer competitive compensation with excellent benefits.

Contact Scott Felten, MD, phone 330-322-7850; E-mail ohio4nu@msn.com.

Candidates should have a record of excellence in administrative leadership and clinical skills, as well as a background including academic/teaching activities. Interested candidates should send a letter of introduction and CV to Dr. Robert Maha, Quantum One, 2 Hot Metal Street, 2nd Floor, Pittsburgh, PA 15203 or via email at mahar@upmc.edu.

Phone: 412-432-7404.

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

PENNSYLVANIA, PITTSBURGH: The Department of Emergency Medicine offers fellowships in Toxicology, Emergency Medical Services, Research, and Education. Structured coursework along with intensive interaction with the nationally-known faculty is provided. We offer research and teaching opportunities with faculty, medical students, residents and other health care providers.

The University of Pittsburgh is an Equal Opportunity Employer, and will welcome candidates from diverse backgrounds. Each applicant should have a MD/DO or equivalent degree and be board certified/prepared in emergency medicine. Please contact Donald M. Yealy, MD, University of Pittsburgh, Department of Emergency Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213 to receive information.

UNIVERSITY OF FLORIDA HEALTH SCIENCE CENTER/JACKSONVILLE EMERGENCY MEDICINE DEPARTMENT PEDIATRIC EMERGENCY MEDICINE DIVISION

The SAEM Newsletter is mailed every other month to approximately 6000 SAEM members. Advertising is limited to fellowship and academic faculty positions. The deadline for the September/October issue is August 1, 2006. All ads are posted on the SAEM website at no additional charge.

Advertising Rates: Classified ad (100 words or less) $120 Contact in ad is SAEM member Contact in ad non-SAEM member $145 Quarter page ad (camera ready) $350 3.5" wide x 4.75" high To place an advertisement, email 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: Kathryn Hall at kathryn@saem.org 27

The Pediatric Emergency Medicine Division of the Emergency Medicine Department at the University of Florida Health Science Center, Jacksonville (UFHSC) is seeking board certified pediatric emergency medicine physicians to join our growing department. Candidates must have excellent clinical skills, interests in teaching and research. Shands Jacksonville hospital, a 625 bed, Level One Pediatric Trauma Center, serves as a regional tertiary care hospital. The Department currently includes 7 PEM faculty, 6 PEM fellows, 24 EM faculty, and 50 EM residents. This position includes a dual appointment with the Department of Pediatrics. The ED has an annual census of 100,000, including a pediatric volume of 27,000, and is the PEM training site for the Pediatric, Family Medicine, and Emergency Medicine resident programs. This is an outstanding opportunity to join a progressive and innovative healthcare system with a great leadership team. There is a strong core of experienced faculty to provide mentorship and growth opportunities for junior faculty in trauma, simulation training, business operations, government affairs, tactical medicine, pre-hospital services, and toxicology. The position will be offered at the level of Assistant /Associate Professor. We offer a competitive salary and a very generous benefits package. Please direct inquiries and CV to: Madeline Joseph, MD, Chief, Pediatric Emergency Medicine Division, Department of Emergency Medicine, 655 West 8th Street, Jacksonville, FL 32209.

Fax: (904) 244-5666; E-mail: madeline.joseph@jax.ufl.edu. The University of Florida is an Equal Opportunity Institution.

Imagine touching the lives of many people each and every day.

EMERGENCY ROOM ATTENDING PHYSICIAN UMDNJ - Robert Wood Johnson Medical School is searching for faculty physicians for its newly formed Academic Department of Emergency Medicine on the New Brunswick campus. Candidates should be residency trained board certified/eligible in Emergency Medicine (ABEM, ABOEM). Clinical responsibilities include direct patient care and attending supervision of residents and medical students in the Robert Wood Johnson University Hospital Emergency Department.

The department is actively pursuing a residency in Emergency Medicine, has a newly established EMS Fellowship program, is developing a research program and increasing Emergency Medicine Education within the medical school. Academic responsibility includes contribution to all aspects of the Departmentโ s growth.

Robert Wood Johnson University Hospital serves as the medical schoolโ s primary teaching affiliate. Robert Wood Johnson is a 580 bed Level One trauma center with an annual ED census of greater than 60,000 adult visits. A separate pediatric Emergency Department sees approximately 13,000 patients per year.

RWJUH has an active EMS system and, in conjunction with Hadassah Medical Organization in Israel, has formed the International Center for Terror Medicine.

Qualified candidates should send a letter of intent and curriculum vitae to: Robert Eisenstein, MD Vice Chairman, Department of Emergency Medicine, Robert Wood Johnson Medical School, 1 Robert Wood Johnson Place, MEB 104, New Brunswick, NJ 08903.

Academic appointment is commensurate with experience UMDNJ is an Affirmative Action/Equal Opportunity Employer.

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www.WeHealNewYork.org Continuum Health Partners, Inc. is the parent company of Beth Israel Medical Center, St. Luke's-Roosevelt Hospital Center, Long Island College Hospital, and New York Eye & Ear Infirmary. We provide the leadership that brings together outstanding clinical resources, reinforces strong service traditions and attracts world-renowned physicians – ensuring the highest quality of care for our patients.

UNIVERSITY OF FLORIDA / JACKSONVILLE

St. Luke’s-Roosevelt Hospital Center Assistant Director, Roosevelt Emergency Department Department of Emergency Medicine

As part of an extensive faculty expansion project, the Department of Emergency Medicine at the University of Florida College of Medicine - Jacksonville is adding 5 full-time faculty positions to the existing faculty structure. The department is recruiting BE / BC emergency medicine physicians to fill a wide range of clinical and academic roles.

Benefits include sovereign immunity occurrence-type medical malpractice, health, life and disability insurance, vacation, sick leave, a generous retirement plan and a competitive compensation package. This is an outstanding opportunity to join a progressive and innovative healthcare system with a great leadership team. There is a strong core of experienced emergency medicine faculty to provide mentorship and growth opportunities for junior faculty in trauma, critical care, tactical medicine, pre-hospital services, simulation training, business operations, government affairs, toxicology and pediatric emergency medicine. Become part of this exciting opportunity at one of the nation’s largest emergency medicine training programs. Send your CV to Kelly Gray-Eurom, MD at Kelly.grayeurom@jax.ufl.edu or fax to 904-244-5666. EOE / AA Employer.

We are seeking a leader with a demonstrated record of achievement in academic, administrative and clinical activity to join our RRC fully accredited program with 42 residents (EM 1, 2, 3). The SLRHC-ED consists of 2 sites, serving Midtown Manhattan, The Upper West Side, Columbia University/Morningside Heights and Central Harlem. There are currently 40 full time faculty including 6 pediatric emergency physicians. The Roosevelt site is a Level 2 Trauma Center with a hospital-based EMS service.The ED also has divisions of clinical toxicology, ultrasound, research and international medicine. Faculty appointment is available to Columbia University College of Physicians and Surgeons commensurate with academic status.

We are seeking a physician with proven leadership credentials and administrative experience. Responsibilities will include supervision of daily operations in conjunction with nursing and administrative leadership, CQI activities, scheduling, serving as Director on call, as well as participation in departmental and hospital-wide committees.

Submit CV for consideration to: Dan Wiener, MD, Chair, Department of Emergency Medicine, St. Luke’s-Roosevelt Hospital Center, 1111 Amsterdam Avenue, New York, NY 10025.

Continuum Health Partners is committed to diversity and equal opportunity.

Imagine being part of a team that makes a discovery.

Emergency Medicine Faculty Position The Department of Emergency Medicine at the Boston University School of Medicine (BUSM)) seeks academic facFaculty Position ulty members. Emergency PositionsMedicine are available at Boston Medical Center (BMC) which is a Level 1 Trauma Center with 130,000 The Department of Emergency Medicine at the Boston University School of visits annually. of members.

EM serves as anareindependMedicine (BUSM))The seeksDepartment academic faculty Positions available at Boston Medical Center (BMC) which is a Level and 1 Trauma Center with ent academic department within BUSM BMC.

Director of Research and Faculty Development The newly formed Academic Department of Emergency Medicine on the New Brunswick campus of UMDNJ - Robert Wood Johnson Medical School is searching for a Director of Research and Faculty Development. Candidates should be board certified in Emergency Medicine (ABEM, ABOEM) with extensive research and teaching experience. Academic responsibilities include working with the Vice Chairman in developing a clinical research program, mentoring junior faculty in research and academic development and teaching residents and medical students.

Clinical responsibilities include direct patient care and attending supervision in the Robert Wood Johnson University Hospital Emergency Department. In addition to developing a research program, the department is actively pursuing a residency in Emergency Medicine and has a newly established EMS Fellowship program.

130,000 visits annually. The Department of EM serves as an independent academic department within BUSM and BMC.

The department has a nationally recognized, well-established The department has a nationally recognized, well-established residency residency withappointments academicthrough faculty program withprogram academic faculty BUSM.appointments BMC is the medical control and academic for medical Boston EMS. In addition, have an through BUSM. BMC isbase the control andweacademic active research section with particular focus on public health, administration, base for Boston EMS. In addition, we have an active research EMS and cardiovascular emergencies. The ideal candidate will have a strong section particular focus on public research with background or interest.

Candidates must health, be ABEMadministration, board certified or eligible must demonstrate a commitment The to theideal training of emergency EMS and and cardiovascular emergencies. candidate will medicine residents. Competitive salary with an excellent benefits package. have a strong research background or interest. Candidates Further MD, Professor and Chair, ABEM contact: board Jonathan certifiedOlshaker or eligible and must demonmust beinformation Department of Emergency Medicine, Boston Medical Center, 1 BMC Place, strate commitment to 617-414-5481; the trainingFax: of 617-414-7759; emergency E-mail: medicine BostonaMA 02118-2393. Tel: olshaker@bu.edu.

An Equal salary Opportunity/Affirmative Actionbenefits Employer.packresidents.

Competitive with an excellent age.

Robert Wood Johnson University Hospital serves as the medical school’s primary teaching affiliate. Robert Wood Johnson is a 580 bed Level One trauma center with an annual ED census of greater than 60,000 adult visits. A separate pediatric Emergency Department sees approximately 13,000 patients per year. RWJUH has an active EMS system and, in conjunction with Hadassah Medical Organization in Israel, has formed the International Center for Terror Medicine.

Qualified candidates should send a letter of intent and curriculum vitae to: Robert Eisenstein, MD Vice Chairman, Department of Emergency Medicine, Robert Wood Johnson Medical School, 1 Robert Wood Johnson Place, MEB 104, New Brunswick, NJ 08903.

Further information contact: Jonathan Olshaker MD, Professor and Chair, Department of Emergency Medicine, Boston Medical Center, 1 BMC Place, Boston MA 02118-2393. Tel: 617-414-5481; Fax: 617-414-7759; E-mail: olshaker@bu.edu.

An Equal Opportunity/Affirmative Action Employer.

Academic appointment is commensurate with experience. UMDNJ is an Affirmative Action/Equal Opportunity Employer.

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Pediatric Emergency Medicine opportunity Morristown Memorial Hospital (MMH) in Morristown, NJ is seeking a BC/BE PEM faculty member to join 20+ BC Emergency and Peds EM certified physicians in an academic practice. The responsibilities of this position include teaching residents, direct patient care, and the potential for involvement in academic pursuits within the department.

MMH has a freestanding Children's Hospital with 70+ full-time pediatric subspecialists. MMH is a Level 1 Trauma Center with an annual volume of 80,000+. The PEM Dept is a 16-bed unit with an annual volume of 20,000+ patients in a full-service, newly built Children's hospital. MMH is an affiliate of the Univ. of Medicine and Dentistry of NJ-NJ Medical School with fully accredited residency programs including EM and Pediatrics and a new PEM Fellowship starting July 2006.

Morristown is located in Northern NJ, 20 minutes from Newark Airport and less than 1 hour from Manhattan, the Jersey Shore, and the Appalachian Trail. We offer full and equal partnership, competitive compensation and benefits including medical liability coverage, health, dental, and disability insurance, CME, and 401(k).

Contact Michael Gerardi, Director Pediatric EM, Morristown Memorial Hospital, 100 Madison Ave, Morristown, NJ 07960 or Jonathan Hughes at jobs@emamd.com, 1-877-692-4665 x1138.

New York University School of Medicine

New Academic Positions Vice Chairman Senior Investigator

Department of Emergency Medicine – Fellowship

The Department of Emergency Medicine at New York University School of Medicine is expanding its academic and leadership faculty. The new positions of Vice Chairman and Senior Investigator are being created.

The academic appointment to the faculty of New York University and the salary will be commensurate with the individual’s potential, experience and academic rank.

Emergency Medicine Research Fellowship (includes a Masters in Public Health – 2 year program) Applications are currently being accepted for a two-year Emergency Medicine Research Fellowship funded by the State of New York. Option for additional compensation through clinical coverage of Emergency Department at Peconic Bay Medical Center in Riverhead.

The responsibilities include integral roles at Bellevue Hospital Center, New York University Hospital Center, the Manhattan Harbor VA and the New York University School of Medicine. Qualified candidates should send a letter of intent and curriculum vitae to: Lewis R. Goldfrank, MD, Chairman of the Department of Emergency Medicine, New York University School of Medicine, 462 First Avenue, Room OB-345A, New York, New York 10016. Phone: 212.562.3346 E-mail: goldfl03@med.nyu.edu

For further information, please contact Adam Singer, M.D.,Professor and Vice Chairman for Research, at 631444-7856; 631-444-9719 (fax) or mail CV and cover letter to Department of Emergency Medicine, Health Sciences Center, Stony Brook University, Stony Brook New York, 11794-8350.

New York University is an Equal Opportunity Employer

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SAEM 2006 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 8, 2006.

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, 2006.

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, 2006.

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, 2006.

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, 2006.

EMF/SAEM Medical Student Research Grant These grants are sponsored by SAEM and the Emergency Medicine Foundation. A maximum of $2,400 over three months is available to encourage research in emergency medicine by medical students. Deadline: TBA. 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 of the Society for Academic Emergency Medicine

Board of Directors Glenn Hamilton, MD President Jim Hoekstra, MD President-Elect Katherine Heilpern, MD Secretary-Treasurer Carey Chisholm, MD Past President Jill Baren, MD Leon Haley, Jr, MD, MHSA Jeffrey Kline, MD Catherine Marco, MD Robert Schafermeyer, MD Lance Scott, MD Ellen Weber, MD

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

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

Editor David Cone, MD David.Cone@yale.edu Executive Director/Managing Editor Mary Ann Schropp saem@saem.org Advertising Coordinator Elizabeth Webb elizabeth@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.

S A E M

Call for Abstracts 2007 Annual Meeting May 16-19 Chicago, IL Deadline: Monday, January 8, 2007

The Program Committee is accepting abstracts for review for oral and poster presentation at the 2007 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, disaster medicine, 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.

The deadline for submission of abstracts is Monday, January 8, 2007 at 5:00 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 website 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 517-485-0801.

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 2007 SAEM Annual Meeting. Original abstracts presented at national meetings in April or May 2007 will be considered.

Abstracts accepted for presentation will be published in the Abstract Supplement of the May 2007 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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