July-August 2007

S A E M

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

Newsletter of the Society for Academic Emergency Medicine July/August 2007 Volume XXII, Number 4

SAEM Attends CSR

President’s Message Over the past year we have made significant strides with emergency care research working collaboratively with ACEP though the SAEM-ACEP NIH task force.

We met with the NIH Director, Dr. Zerhouni, and discussed possibilities to enhance emergency care research. We also met with the leadership of the Center for Scientific Review and provided names and CVs of approximately Judd E. Hollander, MD 30 qualified emergency care researchers willing to volunteer their time to serve on NIH study sections. Our group also met with the leadership of National Center for Research Resources of the NIH to discuss emergency care and translational research. On the heels of the IOM report, the NIH is convening a study of their emergency care research portfolio and examining how to improve research in this area. During his presidency, Jim Hoekstra certainly did a wonderful job capitalizing on the IOM report and helped to develop a nice working relationship with the NIH. Obviously, SAEM will continue in this direction over the next year.

You might ask, what are other organizational priorities to be addressed over the next year? The Board of Directors has decided that membership services will take a front seat. Our new Executive Director, Jim Tarrant, will be assessing our situation and preparing a plan to enhance this important area. SAEM is devoted to ensuring more membership services, improved IT support and improved staff support for committee and interest group initiatives.

Clifton Callaway, MD, PhD University of Pittsburgh

This year we are embarking into areas where SAEM has not traditionally been active. We have a Crowding Task Force, chaired by Brent Asplin, that brings together a very talented group of members with extensive research experience to develop data and help drive policies aimed at reducing ED boarding and improving the care of patients. Over the last year, research has proven that ED crowding has an adverse impact multiple patient-oriented outcomes. ED crowding is now associated with poorer time to fibrinolytic administration for STEMI patients; a lower likelihood of receiving guideline-appropriate care in patients with NSTEMI; delays until administration of antibiotics for patients admitted with pneumonia; delays until receipt (or even receipt) of pain medications for patients with severe

On March 2, the National Institutes of Health (NIH) held the first in a series of open houses to hear commentary about its current scientific review process. Given the central role of NIH funding in academic medical centers, SAEM sent representation to this meeting. The Center for Scientific Review (CSR) is the division within NIH that coordinates and conducts the scientific review of most investigator-initiated grants. This open house was the first in a series of meetings, and was devoted to the division of CSR that reviews neuroscience-related grant proposals.

The open house began with an overview of the current status of the CSR and with a charge to the participants.

Specifically, participants were asked to address two questions: 1. Is the science of your discipline represented in the current CSR? 2. What will be the most important questions/technologies forthcoming in your discipline during the next 10 years.

The current CSR last underwent a major restructuring in 1997-1998. Prior to that time, each institute (for example, Heart, Lung and Blood or Mental Health) conducted much of its own scientific review. Consequently, applications would be reviewed within the institute associated with the clinical discipline rather than the scientific content.

There was little opportunity for interdisciplinary review.

The revision was intended to free the scientific review from these traditional boundaries. Study sections were consequently designed along scientific themes (Integrated Review Groups) and were expected to review proposals ultimately housed under multiple institutes. In 2000-2001, review of training grants (fellowships) also were moved to dedicated study sections.

NIH staff presented data about the current CSR. For example, a survey of applicants was conducted in 2001 after the transition to the current system. Not surprisingly, funded applicants were satisfied and unfunded applicants were not. The number of applications processed by the CSR has also grown over time. Almost 31,000 scientists participate each year in NIH study sections. Although the general impression in the scientific community is that funding is much more difficult to obtain, NIH staff presented data that indicate increasing total numbers of investigatorinitiated grants have been funded over recent years.

The presenters outlined the process whereby current

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

Bitner Awarded EMS Research Fellowship Grant

Support the SAEM Research Fund and the Future of Emergency Medicine

Kelly D. Young, MD Harbor-UCLA Medical Center 2008 Grants Committee Chair

Donate to the SAEM Research Fund The strategy for the Research Fund has been to build a large endowment. Therefore, to date, SAEM has funded most grants out of its operating revenue. In 2006, interest from the Research Fund was used to fund about 35% of the total grants paid to awardees.

This year’s Medtronic/Physio-Control EMS Fellow is Dr. Mathew Bitner. Dr. Bitner has demonstrated significant interest in EMS from his earliest role in medicine. While he was an undergraduate student he completed his initial certification as an EMT. He subsequently worked for an ALS transport rescue agency and the local fire service in Virginia. During his residency at Emory University, he has served as the Associate Medical Director for the Emory First Responder Unit, and assists in teaching both their initial EMT certification courses as well as their continuing education series. He also recently authored a section of the current edition of the Pre-Hospital Trauma Life Support Course textbook on shotgun injuries.

Dr. Bitner has selected Emory University as the site for his fellowship and will be working with CoFellowship Directors Eric Ossmann and Alex Isakov. His goals for the fellowship revolve around developing his skills in EMS operations, education, and research, as well as obtaining additional Mathew Bitner, MD emergency department clinical experience and enhancing his professional development. He will actively participate in the operational aspects of Grady Emergency Medical Services/Fulton County 911 as well as several local agencies and will serve as assistant or associate medical director for both ground and air rescue operations in Atlanta. He will participate in providing EMS education for medical students, residents, and pre-hospital providers at Emory. He will also enroll and begin coursework toward a Masters of Medical Education offered through the joint distance learning program of the Division of General and Community Pediatrics at Cincinnati Children’s Hospital Medical Center and the University of Cincinnati College of Education. His research will focus on adult learning strategies and curricular design for EMS education.

For his research project he will conduct a critical appraisal of the current EMS education literature and

To make a donation: • Send check payable to SAEM Research Fund to SAEM, 901 N. Washington Avenue, Lansing, MI 48906 • Call the Society: (517) 485-5484, or e-mail us at saem@saem.org For more information or to donate online, visit the SAEM Web site: http://www.saem.org/SAEMDNN/Default.aspx?tabid=311

John Younger, MD (second from left), organizer of the First Annual SAEM Fun Run, warms up with some of the runners.

Approximately 55 people contributed $15 each to the SAEM Research Fund to participate.

develop consensus opinion on what the core concepts in EMS are for resident education. He will then work with members of his section to design a resident education and training program in EMS that is technology driven and incorporates adult learning strategies. He will provide this new curriculum to residents and then compare retention rates of EMS concepts for resident learners both under the previous curriculum and the new curriculum.

Medtronic/Physio-Control EMS Fellowship Application Process Revised Kelly D. Young, MD Harbor-UCLA Medical Center 2008 Grants Committee Chair federal training grant application. In those applications the institutional environment as well as the applicant’s prior experience, training plan, and proposed research project are provided in one application. Thus, the two applications will be combined beginning with this next grant cycle. This should have little effect on the application process, since in the 16 year history of the grant very few applicants have chosen different institutions than the one from which they applied.

Applications will be due November 1, 2007 this year and the new directions can be found at www.saem.org.

We feel that this new approach will help us to better meet the Medtronic/Physio-Control EMS Fellowship grant goal which is “to develop the academic potential of the selected fellow by providing support for a one-year training grant that develops both their EMS leadership and research skills.”

Over the last few years the grants committee has intensively reviewed the EMS fellowship application and review process. What we found was that there was a need to better incorporate the grant’s goals into the application and review process. To do this we have explicitly stated in the directions that we equally value the development of the applicant’s EMS leadership and research skills.

Further, the applicant’s potential for and experience with EMS leadership and research are weighted equally when the applications are evaluated. As such, we strongly encourage all applicants to fully describe their EMS experience as well as provide a complete description of their proposed research project.

We also reviewed the application process which consisted of two applications: one from the fellow and another from the institution. After a thorough review of the application process, the committee felt that they should be combined into one application that is similar to a

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.

Steven L. Bernstein, MD, Associate Professor, has been appointed Vice Chair for Research in the Department of Emergency Medicine at the Albert Einstein College of Medicine.

the American Academy of Clinical Toxicology, the largest organization of medical/clinical toxicologists in the world.

He has also recently been awarded Tenure of Title, and is the first Professor of Emergency Medicine to be awarded Tenure of Title at Drexel.

Louis Binder, MD, at Case Western Reserve University School of Medicine, was selected by the graduating class of 2007 to receive the Leonard Tow Award for Humanism in Medicine. This award, selected by the graduating students, is given annually to a single faculty member who demonstrates the highest standards of compassion and sensitivity in their interaction with patients.

C. James (Jim) Holliman, MD, has started a new position, Program Manager for the Afghanistan Health Care Sector Reconstruction Project, with the Center for Disaster and Humanitarian Assistance Medicine of the Uniformed Services University of the Health Sciences in Bethesda, Maryland.

Rick Hong, MD, Assistant Professor, Department of Emergency Medicine at UMDNJ/Robert Wood Johnson Medical School has been named Director of EMS/Disaster Preparedness at Cooper University Hospital, Camden New Jersey effective May 1, 2007. Dr. Hong trained in EM at UMDNJ/RWJMS, graduating in 2004 and was Associate Chairman of Emergency Preparedness for the Christiana Care Health System. Dr. Hong’s additional interests include regional public health and ED throughput and overcrowding.

Lisa M. Filippone, MD, Assistant Professor, Department of Emergency Medicine at UMDNJ/Robert Wood Johnson Medical School has been named Director of Ultrasound and Director of Undergraduate Medical Education of the residency program at Cooper University Hospital, Camden New Jersey effective July 1, 2007. Dr. Filippone trained in EM at UMDNJ/RWJMS, graduating in 2002 and was Director of the Division of Emergency Ultrasound at Mercy Hospital of Philadelphia/Mercy Fitzgerald from 2002-2007. In addition to her expertise in ultrasound and education, Dr. Filippone enjoys teaching emergency electrocardiography.

Neil B. Jasani, MD, has been named Director of Education and Research for the Department of Emergency Medicine at Christiana Care Health System. Dr. Jasani was previously the Associate Residency Program Director at Christiana Care.

Michael I. Greenberg, MD, MPH, Professor of Emergency Medicine and Medical Toxicology Fellowship Program Director at the Drexel University College of Medicine in Philadelphia, PA, has been elected President-Elect of

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Executive Director’s Message I have had discussions with my association colleagues that as executive director, it is not my organization; it is the members’ organization. I may disagree with a decision, but once the membership or Board makes a decision it is my role to take action on that decision, as long as it is not illegal or unethical.

To put my role in perspective: last year, a member of the Board at my previous organization told me that his involvement as a volunteer Board member was a “hobby” but my involvement is my career.

I am grateful to the Search Committee for their hard work and decision to recommend me to the Board to serve as the new executive director and the Board’s wisdom to endorse the Search Committee’s recommendation. It is with much enthusiasm that I undertake the challenges before us and look forward to working on behalf of the SAEM members.

As a new person at SAEM, I was surprised to learn that all academic emergency physicians are not members or supporting our efforts to fund future research.

• If you know someone who is not a member we will gladly accept your referrals, • If you have not made a contribution to the research fund, you can make your contribution online today.

Think about how each of you can support the mission and vision in preparation for the future of SAEM. I wish to thank all of you who attended the SAEM Annual Meeting for your warm welcome and I look forward to working and collaborating with all members of SAEM.

The following are excerpts from remarks made at the SAEM Annual Business Meeting in Chicago by James Tarrant, Executive Director.

Anyone embarking on a new and exciting role has much to learn, many new ideas to absorb and nearly 6,000 members to meet. At the Annual Meeting, I met many of you and gained an appreciation for what you do every day to improve James Tarrant patient care.

The Board has set the bar high for the future vision for the organization. With your support and input we can strengthen and expand the Society for Academic Emergency Medicine to achieve that vision. Many of the changes I completed in more than eight years in my previous position are due in part to the thoughts of individual members.

I cannot nor can any one person make your society become what has been envisioned. It will take every member, and your colleagues—including those who may not be members of SAEM—to accomplish all that is possible.

My role in the coming months is to implement the clear direction established by the Board, while listening to the input of the membership. I will give my advice and counsel to the Board, provide continuity to the organization and strengthen the infrastructure. Additionally, I will represent the interests of the Society to external groups in support of the mission to expand research and training in emergency medicine.

Academic Announcements (Continued from page 3)

Scott W. Melanson, MD, has accepted the position of Program Director at St. Luke’s Hospital in Bethlehem, PA. He was formerly the Associate Program Director for the past 13 years.

Medical School has been named Program Director of the Residency Program at Cooper University Hospital, Camden New Jersey effective June 15, 2007. Dr. Nyce (Drew) was chief resident of the first graduating residency class in 1999, and his interests include evidence based medicine and innovations in undergraduate and graduate education.

Craig D. Newgard, MD, MPH, Assistant Professor at Oregon Health & Science University, has been awarded a three-year Robert Wood Johnson Foundation Physician Faculty Scholars Program grant ($300,000). The title of his project is Improving Prehospital Trauma Triage: Generating a Cost-Effective and Resource-Efficient Mechanism for the Field Triage of Injured Persons.

Robert E. O’Connor, MD, MPH, Director of Education and Research for the Department of Emergency Medicine at Christiana Care Health System, will be stepping down effective July 1, 2007 to become Professor and Chair of the Department of Emergency Medicine at the University of Virginia. Dr. O’Connor has served as Program Director since 1998.

Andrew L. Nyce, MD, Assistant Professor, Department of Emergency Medicine at UMDNJ/Robert Wood Johnson

Update on AHA Emergency Cardiovascular Care Committee Clifton W. Callaway, MD, PhD University of Pittsburgh SAEM has consistent liaison representation to the American Heart Association - Emergency Cardiovascular Care Committee (AHA-ECC). In addition, many members of SAEM also volunteer their time to the AHA-ECC. The various subcommittees of AHA-ECC participate with the International Committees on Resuscitation (ILCOR) to develop the consensus on resuscitation science every five years (“The Guidelines”). This body of knowledge is developed into the various AHA-ECC guidelines and training courses: ACLS, PALS, etc. There are several developments within AHA-ECC of interest to SAEM membership.

The National Registry of CPR is an AHA-sponsored registry of in-hospital cardiac arrest. To date, this registry has enrolled more than 100,000 incidents, including 7,000 responses by Medical Emergency Treatment (MET) Teams.

Data are entered by trained abstractors at participating hospitals. There have been 6 manuscripts and 20 abstracts developed from this database already. More are currently under review. Investigators interested in accessing these data should coordinate with steering committee for NRCPR and can find out more information at the website (www.nrcpr.org).

The Resuscitation Science Symposium will again be sponsored by AHA, with contribution from SAEM. This scientific meeting will occur November 3-4, 2007, as a satellite meeting around the AHA Scientific Sessions meeting in Orlando, FL. As in past years, the meeting will be devoted to developments in resuscitation both from cardiac arrest and traumatic injury. Abstract submissions for this symposium close June 1 (see www.scientificsessions. org/Ress).

A scientific statement on research using the Exception from Informed Consent Requirements for Emergency Research was prepared by a working group within the AHA-ECC committee. Dr. Henry Halperin (Johns Hopkins University, Baltimore, MD) presented the content of this document to an open house at the Food and Drug Administration in the Fall of 2006. The final document was reviewed by SAEM representatives and endorsed by SAEM. It is under review for publication at this time.

Preparations are underway for the 2010 update of the AHA-ECC guidelines. The process for guideline development includes identification of important clinical questions. Secondly, worksheets to review the literature will be completed for each clinical question. This process would benefit greatly if SAEM members participated. The content of the worksheets will serve as the Consensus of Science in 2010. Finally, the conclusions from worksheets will be reviewed and fashioned into treatment guidelines.

A major change in the structure of the evidence review is under consideration for development of the 2010 Guidelines. In prior years, the subcommittees that organized the questions, worksheets and evaluation

were based on the educational products that would be generated. Therefore, questions relevant to CPR courses were handled by the BLS subcommittee, and questions related to ACLS were handled by the ACLS subcommittee.

This structure sometimes prompted duplicate reviews (for example, defibrillation belongs to BLS, ACLS and Pediatrics), and prevented topical experts from being maximally involved. Therefore, work on the 2010 Guidelines is being organized around “domains” such as electrical therapy, drug therapy, chest compressions and adjuncts, ventilation strategies, etc. Once the scientific evidence is reviewed within these domains, each subcommittee will then sample the domains for appropriate content to develop provider-specific guidelines and education.

AHA-ECC would like to encourage more participation in the evidence review for Guidelines 2010, and in order to make the development process more transparent. SAEM suggested that AHA-ECC make a presentation at our annual meeting that would provide overview of the evidence review process, describe opportunities for participation by the emergency medicine community and also describe the management of conflicts of interest within AHA-ECC. The American Stroke Association is revamping its guidelines for stroke treatment. There is conscious attempt on the part of the ASA to make its recommendations consistent with the guidelines and materials that are developed elsewhere. For example, there is limited stroke education and guidelines within ACLS. The committees feel that these materials are useful in addition to the ASA guidelines because ACLS reaches a broader audience (e.g. residents in multiple non-EM specialties) who need to recognize and initiate rapid response for stroke. In addition, there is an emergency medicine subcommittee within ASA, with awareness of emergency medicine guidelines (such as ACEP’s guidelines), that reports to the leadership. AHA and ASA are conscious of the ultimate need to have unified guidelines with consistent recommendations from all of the organizations. Similarly, there are guidelines for treatment of acute coronary syndromes from the American College of Cardiology and ACEP that AHA-ECC will consider in making its final guidelines.

As last year, there was discussion of having AHAECC develop a procedural sedation module. The fact that an ACLS module on procedural sedation would venture into the province of other specialties was acknowledged at the meeting. The counterpoint is that procedural sedation is a common antecedent of cardiopulmonary collapse. It is unclear whether AHA-ECC will pursue this type of educational product at this time. Similarly, AHAECC recognizes that ACLS is not a platform for teaching procedural competency in airway management. Thus, the airway teaching modules have been separated from (continued on page 6

Addressing Scholarship in Emergency Medicine While Meeting Clinical Demands David P. Sklar, MD University of New Mexico School of Medicine Department of Emergency Medicine Each year at the AAMC Annual Meeting, AACEM and SAEM co-sponsor a session that brings together a variety of the leaders in academic emergency medicine.

This is a wonderful opportunity to interact with these influential individuals. The topic this year will prove to be as interesting as those offered previously.

hospitals. Emergency medicine faculty and residents face increasing clinical demands from high volumes of patients and crowding of EDs due to boarding of admitted patients.

Panelists will describe models of scholarly activity in clinical care, education, health services and basic research in academic emergency departments and chairs from academic departments will follow with a response panel about how they believe the clinical mission and fiscal realities can be balanced with the need for scholarly activity.

Join us on Saturday, November 3, 2007 beginning at 8:00 a.m., Marriott Wardman Park and Omni Shoreham Hotels, in Washington, D.C. Scholarly activity by residents and faculty helps to differentiate academic medical centers from community

Speakers will be:

Followed by response panel:

Cherri D. Hobgood, MD Roger J. Lewis, MD, PhD Jeffrey A. Kline, MD Lynne D. Richardson, MD Judd E. Hollander , MD James A. Gordon, MD, MPA

William G. Barsan, MD Brent R. King, MD

Update on AHA Emergency Cardiovascular Care Committee

SAEM Members Receive Jahnigen Career Development Awards

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Lowell W. Gerson, PhD Northeastern Ohio Universities

the main body of ACLS. The market demand for ACLS educational products has prevented the removal of these modules altogether. However, only the first module (basic airway skills) is mandatory, and the additional modules that orient providers to advanced airway devices are optional.

In summary, the AHA-ECC is central to the development of guidelines and teaching materials that we all probably use in one fashion or another as teachers of emergency medicine. It is vital that SAEM continue to be represented and to be vocal during this development process. Many of the AHA-ECC committee members are emergency physicians and are members of SAEM and/or other emergency medicine societies. AHA-ECC encourages even more participation from emergency medicine during the Guidelines 2010 process.

The Jahnigen Career Development program is one part for the solution to the problem of too few geriatricians to care for the growing aging population. The intent is to develop leaders in surgical and related specialties. The program, administered by the Council of Surgical and Related Medical Specialties, is supported by Atlantic Philanthropies and the John A. Hartford Foundation.

Jahnigen awardees are junior faculty who receive a twoyear career development award of $75,000 per year for salary and fringe benefits and/or the costs of doing research.

This year two SAEM members were among the twelve awards. The awardees and their projects are: • Brian J. Blyth, MD, University of Rochester, Rochester, NY Pharmacologic Stabilization of HIF1 for the Treatment of Alzheimer’s Disease • Jeffrey Caterino, MD, The Ohio State University, Columbus, Ohio Predictors of Clinical Course in Infected ED Elders

SAEM Annual Business Meeting Held on May 18 in Chicago The 2007 Annual Meeting in Chicago attracted 2,127 registrants. During the Annual Business Meeting on May 18, James W. Hoekstra, MD, President, announced the results of the annual elections. The election was held by mail ballot and approximately 528 of the active members cast ballots during the election. The results were: President-Elect Katherine L. Heilpern, MD Emory University Secretary-Treasurer Jeffrey A. Kline, MD Carolinas Medical Center Board of Directors Debra Houry, MD, MPH Emory University

Judd Hollander, MD, presents James Hoekstra, MD, with a plaque for serving as President for the past year.

Nominating Committee Michelle Lin, MD San Francisco General Hospital Constitution and Bylaws Committee Theodore A. Christopher, MD Thomas Jefferson University Hospitals

n Dr. Hoekstra presented his President’s Message and introduced incoming President, Judd E. Hollander, MD. Dr. Hollander presented Dr. Hoekstra with a plaque and thanked him for his service as the 2006 SAEM President.

Dr. Jeanette Ebarb, Dr. Glenn Hamilton and Dr. Robert Schafermeyer, outgoing board members, were also given plaques in recognition of their service. James R. Tarrant, CAE, was introduced as the new SAEM Executive Director (effective June 4, 2007) and shared his thoughts with the group.

Adam J. Singer, MD Stony Brook University Resident Member of the Board Megan L. Ranney, MD Brown Medical School n William G. Barsan, MD, introduced the 2007 Hal Jayne Academic Excellence Award recipient, Brian J. Zink, MD. Judy B. Shahan, RN, MBA, introduced the 2007 Leadership Award recipient, Gabor D. Kelen, MD. Each of the award recipients addressed the SAEM membership. n Dr. Hoekstra introduced the 2007 Young Investigator Award recipients: Steven B. Bird, MD; D. Mark Courtney, MD; and Edbert Hsu, MD. He also introduced the recipients of the SAEM Grants program: Chad E. Darling, MD received the Research Training Grant; Bob Newmar, MD, Department of Emergency Medicine at the University of Pennsylvania School of Medicine, received the Institutional Research Training Grant; Mathew Bitner, MD received the EMS Research Fellowship Grant; Rollin J. Fairbanks, MD received the SAEM/EMPSF Patient Safety Grant; and Ellen Weber, MD received the Scholarly Sabatical Grant.

Dr. Hoekstra announced Mary Ann Schropp received the 2007 SAEM Special Recognition Award. n Debra Houry, MD, MPH introduced the 2006 Annual Meeting Presentation Awards recipients Michael A. Ross, MD received Best Faculty; Kenneth J. McConnell, PhD received Best Young Investigator; Jing Chen-Roetling, PhD received Best Basic Science; Gregory L. Roslund, MD received Best Resident; Rebecca H. Nerenberg, MD received Best Medical Student; and Eddy S. Lang, MD received Best Innovations In Emergency Medicine Exhibit (IEME). n Effective January 2008, the Academic Emergency Medicine Journal is being transitioned from its current publisher, Elsevier, to a new group, Wiley-Blackwell. (A more complete report on the activities of the past year and important news regarding this transition will appear in the next issue of this newsletter.)

Glenn Hamilton, MD and Robert Schafermeyer, MD, outgoing board members, were thanked at the business meeting for serving on the Board of Directors.

Thank You SAEM would like to take this opportunity to thank Glenn Hamilton, MD, Past President; Robert Schafermeyer, MD, Member-At-Large; and Jeanette Ebarb, MD, Resident Member; for their dedication to SAEM and Emergency Medicine by serving on the SAEM Board of Directors.

Their commitment and leadership skills were appreciated by the Board members as well as the staff and many committees, task forces and interest groups who have had the opportunity to work with them. We look forward to their continued contributions to the organization in the future.

SAEM Attends CSR (Continued from page 1)

portfolio of study sections is revised. In brief, if a single study section appears to have an increasing load (approaching 100 applications) over several cycles, the CSR staff will consider revising the content area for that section. For example, the MDCN Integrated Review Group originally included 7 study sections, but a persistent increase in applications prompted CSR to redraw the boundaries between these groups into nine study sections.

work, for which someone coined the title “hypothesisgenerating” work. These types of studies traditionally score poorly in study section. Also, several groups indicated that study sections need more help with translational work: especially the need for broad reviewer expertise. Specific emerging technology and ideas that were identified for neurosciences included: 1. Informatics. 2. Early detection and prevention (especially imaging) and 3. Better use of genetic tools in disease models.

We discussed with CSR staff the process for joining study sections. Reviewers are drawn from the NIH database of reviewers, previously funded applicants, and from the professional network of the scientific review administrators (NIH staff who run individual study sections). It was pointed out that an individual with interest in a study section could advance their CV to the chair of an Integrated Review Group along with keywords delineating their interest. Sometimes administrators will seek referrals from other past reviewers or topical experts. SAEM, along with ACEP, plans to advance the names of potential emergency medicine investigators who might participate in study sections to CSR.

In summary, the CSR was open to input about the current review process. SAEM and emergency medicine are represented in these sessions. Attention to the importance of acute care medicine and translational research appears in the final transcripts of the proceedings. Opportunities for emergency physicians to participate in the peerreview process exist at NIH. More information about these open houses can be found at http://www.csr.nih.gov/ openhousereports.

Several concerns were raised by external participants.

For example: 1. How can CSR assure fair balance across fields within study sections? An example of this need for balance was the field of chemoreceptors, which is reviewed in a review group where very few reviewers study chemoreceptors. 2. There is a general feeling among applicants that innovation or multidisciplinary applications are not scored well despite lip service to innovation. On the other hand, reviewers have commented that few innovative applications are received, perhaps because applicants are afraid to submit ideas that are “too risky.” 3. There was some concern about the scoring mechanisms used at study section. For example, can rank-ordering be helpful given that current climate will split funding decisions over single points (145-150) in a narrow range? CSR replied that funding is an institute activity separate from scientific review, essentially sidestepping this issue.

In a breakout session, participants identified several messages for CSR. 1. There is a need to be proactive in anticipation of emerging and expanding fields (for example, neurovascular disease, sleep, neuroimmunology). 2. There is a need to address multidisciplinary projects (examples included emergency medicine-relevant problems like brain ischemia, brain injury in context of other organ dysfunctions or shock as well as combinations like Alzheimer’s Disease and Schizophrenia). 3. There is a need to explicitly address translational work. Participants pointed out that translational projects may cross-cut so many techniques that there is no single qualified reviewer.

Likewise, current study sections include few reviewers actually doing translational work. 4. There was a call for more even-handed treatment of “descriptive / discovery”

Human Trafficking From the US Department of Health and Human Services In the emergency department, sometimes an injury is not just an injury. An injury could be a clue to one of society’s most horrific issues: human trafficking.

As an emergency physician, you may come into contact with a victim without even knowing it. Would you be able to determine if a person is a victim of human trafficking?

If you know the right physical and psychological signs to look for, you can in fact “look beneath the surface” to identify a victim of human trafficking.

child abuse in that the victims may be fearful of reporting the crime. Additionally, they may not even realize that what is being done to them is illegal, or they may be sworn to secrecy by the trafficker. Victims may be uncooperative and fearful of authority figures, even medical staff. Identifying victims can be further hampered by a language barrier.

In addition to the physical and mental signs described, there are other clues that are unique and can help differentiate a victim of human trafficking:

• Not allowed to give their own medical information to hospital staff; someone else insists upon providing this information on their behalf

• Not in control of their own identification documents

• Evidence of an inability to move or leave job

• Exhibits fear, anxiety, depression, submission, tension, and/or nervousness

• Recently brought to the U.S. from Latin America, Africa, Eastern Europe, or Asia

• Poor hygiene, dirty, unwashed

• Loss of sense of time or space

Severe Physical and Psychological Effects of Human Trafficking Physical abuse is a common method of force and oppression traffickers use. Victims may come to an emergency department displaying various medical problems that have serious health implications, such as bruises and fractures, headaches, malnutrition, hearing loss, and cardiovascular problems. They may also exhibit chronic back, visual, and respiratory problems from working in agriculture, construction, or manufacturing fields under dangerous conditions.

In addition to physical abuse and torture, many traffickers use psychological tactics that can result in a general feeling of helplessness, shame, and humiliation for the victim. Victims may suffer from shock and denial or display symptoms of sleeping and eating disorders, posttraumatic stress disorder, phobias, panic attacks, and depression. In some cases victims are addicted to drugs and/or alcohol, as a result of traffickers using drug or alcohol dependence as a control method. In other cases, drugs and alcohol are used by victims as a way to cope, or escape their situation.

If you believe you have encountered a victim, it is important to keep in mind these key elements before you begin communicating with the victim:

• Separate the potential victim, without raising suspicions, from the person who is accompanying her/him

• Be sensitive to cultural and language barriers, and enlist a trusted translator/interpreter

• Maintain strict confidentiality to ensure the victim’s safety

Resources Available to You

Health Effects Specific to Females Trafficked for Sex

As part of the federal government’s ongoing efforts to combat human trafficking, the U.S. Department of Health and Human Services (HHS) created the Rescue & Restore Victims of Human Trafficking public awareness campaign.

Rescue & Restore provides victims access to shelter, counseling and healthcare services. There are Rescue & Restore brochures, posters, fact sheets, and pocket cards, in multiple languages, specifically for healthcare professionals.

If you suspect you have encountered a victim of human trafficking, please call the HHS National Human Trafficking Resource Center at 1-888-3737-888. This tollfree, multi-lingual, 24 hours a day hotline connects victims of trafficking to available local service organizations that provide support services. For more information on services available to victims and the Rescue & Restore campaign, please visit www.acf.hhs.gov/trafficking.

Approximately 80% of victims trafficked are female; of those about half are trafficked for sex and suffer multiple health effects from violence and commercial sexual exploitation. In 2002, the National Center for Missing and Exploited Children released a report stating that 80% of female sex trafficking victims in the United States reported bruises to medical personnel, and 35% reported fractures.

Reproductive health problems are also prevalent among these victims, and some of the symptoms commonly reported include sexually transmitted diseases, urinary tract infections, pelvic pain, and sexual assault injuries.

Victim Identification and Communication: Challenges and Barriers Human trafficking is not unlike domestic violence or

SAEM Receives Thanks from Emergency Medicine Student Interest Group Nicole E. Davis Indiana University School of Medicine, Class of 2007 Emergency Medicine Student Interest Group President The Emergency Medicine Student Interest Group at Indiana University School of Medicine would like to thank SAEM for its generosity in supporting our group, and give you an update on this year’s successes.

The group received a grant from SAEM which was utilized to fund our annual “skills lab”, held January 15, 2007 at the Methodist Hospital research labs. The lab was free-of-charge to the first 50 students who participated. Students were able to practice suturing, intubation, cricothyrotomies, and interosseousline placement with the guidance of IU EM residents and faculty members, Drs. Julie Welch and Dylan Cooper. The feedback received was overwhelmingly positive.

The student’s favorite stations were suturing and cricothyrotomies. In addition to our “Skills Lab”, we were able to host multiple other activities including six lectures and an informal Q&A session with IU Assistant Residency Director, Dr. Chris Weaver, on applying for EM residency and elective planning. Our group’s success this year would not be possible without the support of SAEM. Thank you for your generosity.

S A E M

Call for Abstracts - 2008 Annual Meeting May 29-June 1, 2008 • Washington, D.C. Deadline: Monday, January 8, 2008

The Program Committee is accepting abstracts for review for oral and poster presentation at the 2008 SAEM Annual Meeting. Authors are invited to submit original emergency medicine research in the following categories: • • • • • • • • • • • • • •

abdominal/gastrointestinal/genitourinary pathology administrative/health care policy airway/anesthesia/analgesia CPR CB basic science and overcrowding 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 pediatrics psychiatry/social issues research design/methodology/statistics respiratory/ENT disorders shock/critical care toxicology/environmental injury trauma wounds/burns/orthopedics

Abstracts detailing innovations in emergency medicine exhibits (IEME) are also being requested. The deadline for submission of abstracts is Monday, January 8, 2008 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 2007. 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 2008 SAEM Annual Meeting. Original abstracts presented at regional meetings in April or May 2008 will be considered. Abstracts accepted for presentation will be published in the May issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. SAEM strongly encourages authors to submit their manuscripts to AEM. AEM will notify authors of a decision regarding publication within 60 days of receipt of a manuscript.

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AACEM Elections Held

George Johnson, Jr. MD 1926 - 2007

The Association of Academic Chairs of Emergency Medicine (AACEM) held its Annual Business Meeting in Chicago on May 15. During the meeting, Judith E. Tintinalli, MD, MS, Chair of the Department of Emergency Medicine at the University of North Carolina at Chapel Hill began her term as AACEM President, succeeding Bill Barsan, MD, Chair of the Department of Emergency Medicine at the University of Michigan. Roland B. McGrath, MD, Chair of the Department of Emergency Medicine at Indiana University School of Medicine began his term as SecretaryTreasurer and Brent R. King, MD, Chair of the Department of Emergency Medicine at the University of Texas Houston ascended to the position of President Elect.

A Leader in Surgery and Emergency Medical Services

by Brian J. Zink, MD Brown University / Rhode Island Hospital SAEM was saddened to hear of the death of George Johnson, Jr., MD, Professor Emeritus of Surgery at University of North Carolina, and an early surgeon leader in emergency medicine who died May 15, 2007 at the age of 81.

Dr. Johnson was a native of North Carolina and one of that state’s most revered physicians. He was a pioneer of vascular surgery, but was also heavily involved in emergency medical services (EMS), and played a major role in organizing and improving EMS in North Carolina in the 1970’s and 1980’s.

Undergraduate and Diversity Committees Produce Diversity Video

It was his passion for EMS that led Johnson to become involved in the precursor organization to SAEM, which was initially called UA/EMS. This was a collection of mostly young academic surgeons who were assigned to run the emergency departments of teaching hospitals. While many in this group were initially opposed to the idea of emergency medicine residency training, Johnson supported EM residencies, and encouraged early emergency physicians to develop the academic and research side of the field. Dr. Johnson served as the President of UA/EMS in 1975. In addition to his distinguished career as a vascular surgeon, Johnson continued to promote academic medicine and EMS. The North Carolina Office of Emergency Medical Services named its highest award the George Johnson Award for Emergency Medical Services.

Ernest Wang, MD Evanston Northwestern Healthcare/ Northwestern University The SAEM Undergraduate Education Committee and Diversity Committee have partnered to create a diversity video in order to assist with recruitment of minority medical students and highlight the need for diversity in the specialty of emergency medicine. One of the Undergraduate Education Committee objectives was to create materials for minority recruitment. Last year, diversity pamphlets and brochures were created highlighting minority emergency medicine residents and attending physicians. The idea for the video became a natural extension of these documents.

Judith Tintinalli, M.D., Chair of Emergency Medicine at the University of North Carolina, notes: “I was privileged to meet George Johnson when I was a fledgling EM physician trying out my wings at UA/EM. He was cordial and gentlemanly and was very supportive of emergency physicians in academic environments. By his actions, he demonstrated that trauma surgery and emergency medicine could work together to improve patient care.

Like many trauma surgeons of that era, he was a leader in EMS. When I arrived at UNC, George took me under his wing again, showing me the ropes of local and state EMS politics. To me, he embodied the true spirit of an academic physician — a teacher, leader, uniter, supporter.”

The video features Drs. Sheryl Heron (Emory University), Steven Bowman (Stroger Cook County Hospital), and Lynne Richardson (Mt. Sinai School of Medicine). The interviews explore: their reasons for choosing emergency medicine as a specialty, the need for minority representation in emergency medicine, mentorship, and advice for minority students. The video was filmed and edited by Michelle Lin, MD (University of California San Francisco) and Ernest Wang, MD (Evanston Northwestern Healthcare/Northwestern University).

View the video on the SAEM Web site at http:// www.saem.org/SAEMDNN/Default.aspx?tabid=568

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Photography Exhibit and Visual Diagnosis Contest There were 124 cases and photos submitted to the Program Committee for consideration of presentation at the Annual Meeting.

Winners in both medical student and resident categories were awarded a one-year membership in SAEM, including a subscription to Academic Emergency Medicine, a free registration to attend the 2008 SAEM Annual Meeting in Washington, DC, a major Emergency Medicine textbook, a subscription to the SAEM Newsletter, and a SAEM coffee mug.

SAEM would like to thank the following individuals who contributed to this year’s Clinical Pearls and Visual Diagnosis Contest entries. It is a significant commitment of time and intellect to develop the ever-popular Photo Display, which was again presented at the SAEM Annual Meeting, along with the posters and Innovations in Emergency Medicine Education Exhibits.

Rehab Abdel-Kariem Stuart Bradin Lis Bundy Edward Choi Greg Christiansen Jennifer DeKraker Jeffrey Druck Doris Fadoju Brian Finnegan Greg Gardner

Neil Hadpawat Dan Hagerty Pat Herek Caleb Hernandez Christian Herrera Antonia Hipp Carl K Hsu J Ambrose Insua Janese Latimer Corey Long

Craig Mangum John Munyak Jigar Patel Danyelle Redden Melissa Rockefeller Jason Schnetzler Jillian Schwaab Fred Severyn Mark Silverberg Craig Sisson

Mike Smith Michael Tocci Vicken Totten Robert Tubbs Arvind Venkat Joshua Wallenstein Michael Ward Muhammad Waseem Mary Westergaard

Congratulations to the winners of the 2007 Annual Meeting best presentation and visual diagnosis awards!

Best IEME Award: #24 - An Ultrasound Simulator for Emergency Medicine Resident Education, Tim Heilenbach, MD, Evanston Northwestern Healthcare

Best Basic Science Award: #116 - Verapamil Toxicity Induces Dysregulation of the Insulin-Dependent Phosphatidylinositol 3-Kinase Pathway, Laura Bechtel, PhD, University of Virginia

Best Medical Student Award: #516 - Effect Of An Expedited Referral System On Follow-up Rate Of Emergency Department Patients To A Federally Funded Health Clinic System, Tara Scherer, Washington University

Best Faculty Award: #375 - Measuring Patient Satisfaction In A Public Hospital ED, Helen Straus, MD, Cook County Hospital Medical Student Visual Diagnosis Contest Winner: Maria Nelson, OHSU

Best Resident Award: #134 - Low-Dose Ketamine Versus Fentanyl As Adjunct Analgesic To Procedural Sedation With Propofol: A Randomized, Clinical Trial, David Messenger, MD, Queen’s University

Resident Visual Diagnosis Contest Winner: Tom Richards, MD, Alameda County Medical Center, Highland General

Best Young Investigator Award: #407 - The Association Between ED crowding and time to antibiotics for pneumonia, Jesse Pines, MD, University of Pennsylvania

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S A E M

17th Annual SAEM Midwest Regional Meeting Meeting Announcement & Call for Abstracts Thursday, September 20, 2007 Ford Field, Detroit, Michigan

The Department of Emergency Medicine at Wayne State University is pleased to announce that abstracts are now being accepted for the SAEM Midwest Regional Meeting. The theme of the meeting will be “Finding Your Niche in Emergency Medicine” and will include a keynote address by Dr. Glenn Hamilton. The program will feature oral and moderated poster presentations of original research, as well as a discussion-panel and short lectures from various invited faculty whom have excelled in their chosen EM niche.

The meeting location is Ford Field, home of the Detroit Lions. Registration to this event includes a complimentary continental breakfast and lunch. A selection of wine and cheeses will also be provided during the moderated poster session.

Detroit is a resurging city, with much to offer our out-of-town guests. Take a boat tour down the Detroit River.

Visit Greektown for a fabulous evening meal. If gaming is your interest, Detroit has three Las Vegas style casinos downtown. Or maybe you’d like to visit a museum? The Detroit Institute of Arts and the Charles Wright Museum of African American History (the largest African American museum in the country) are two of our gems. Like music? We also are home to the world renowned Detroit Symphony Orchestra, and have a thriving local music scene. Are you a sports fan? Detroiters are passionate about their sports, and September is a great time for the sports fan to visit as it is possible to see the Lions, Tigers, and Red Wings in action, and all of whom play in Downtown Detroit.

The deadline for abstract submission is FRIDAY, JULY 27, 2007 at 5:00 p.m. Eastern Standard Time. Only electronic submissions via the SAEM online abstract submission form at www.saem.org will be accepted. Acceptance notification will be sent by August 10, 2007. Questions concerning the meeting can be directed to the Program CoChair, Scott Compton, PhD, at scompton-med.wayne.edu.

Geriatric Task Force Receives Grant The Geriatric Task Force received a $175, 035 education and training award from The Retirement Research Foundation to support their project “Geriatric Training for Emergency Physicians”. The project’s goal is to improve the health and well-being of older adults who receive care in the nation’s Emergency Departments through a state-ofthe-art, internet-accessible training program that teaches and exemplifies optimal emergency care of older patients to emergency medicine physicians. The grant provides funds for the development and implementation of the first of eight modules in a comprehensive Geriatric Emergency Medicine curriculum. The initial module will focus on cases for which abdominal pain is the presenting complaint.

Kennon Heard, Teresita Hogan, Ula Hwang, Seth Landefeld, Douglas Miller, John Morley, Heather Prendergast, Arthur Sanders, Kirk Stiffler and Robert Woolard.

Editor-In-Chief Academic Emergency Medicine

Academic Emergency Medicine (AEM), the international, peer-reviewed journal of the Society for Academic Emergency Medicine, is seeking a new editor-in-chief due to the completion of the current editor’s term in December 2008. The journal will be published by Wiley-Blackwell, Inc, beginning January 2008.

Eve Losman, MD is the project director and Lowell Gerson PhD, Manish Shah, MD and Kevin Terrell DO are co directors. They will be working with media professionals from Applied Communication Services, Inc. to develop the computer-based promotion, training, web site and simulation software. Applied Communication Services, Inc. will take the work product of the task force and translate it to an interactive, case based educational product.

Members of the 2007 Geriatric Task Force who have been developing and reviewing the cases in this first module are Drs Jean Basior, Christopher Carpenter, Kathleen Clem, James Espinosa, Neal Flomenbaum, Theresa Gunnarson,

To obtain Position Description and application information, visit www.saem.org.

Applications may be submitted immediately via email to: James R. Tarrant jtarrant @saem.org 517-485-5484 ext. 212 13

2007 Annual Meeting Highlights Debra Houry, MD, MPH Emory University 2007 Program Committee Chair

This year’s Annual Meeting in Chicago was a great success with 2,127 attendees! The research presented at the plenary session ranged from clinical decision rule for pulmonary embolus to treatment of pediatric bronchiolitis to access to care issues. Over 500 abstracts were presented in the poster and oral

Attendees listen intently during the Plenary session.

paper session and each year the quality of the presentations keeps improving. This was the second year that we had a press room at the meeting, and as a result, several abstracts were featured by the media.

We were privileged this year to have the Deputy Director of NIH’s Center for Scientific Review, Dr. Cheryl Kitt, speak to SAEM attendees about the NIH and the grant review process. Other new didactic programming included The Knowledge Translation Paradigm, Communication and Negotiation Skills: The poster sessions and moderated poster sessions were well attended during the 2007 annual meeting.

The ED, The Hospital, and The Outside, Abstract Writing Workshop, and Academic Mentorship: Seeking Guidance as a Clinician-Educator. The Program

Committee worked hard to ensure a mix of didactic sessions for researchers and educators in addition to planning more state-of-the-art sessions with a clinical focus.

The Annual Meeting offers an opportunity for friends and colleagues to catch up and for attendees to network and make new acquaintances.

The opening reception and the Friday night blues reception provided a great venue for socializing and both were well attended. Finally, this year marked the first year for the Fun Run with all proceeds donated to the SAEM Research Fund.

Mark your calendars for next year’s Annual Meeting which will be held Dr. Cheryl Kitt, Deputy Director of the NIH Center for Scientific Review, speaks to attendees about the grant review process.

May 29-June 1, 2008 in Washington D.C.

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2007 Annual Meeting Highlights

The opening reception gave everyone a chance to socialize while enjoying snacks and drinks.

Attendees listen as Dr. Cheryl Kitt speaks.

Medical students visit the many exhibits at the Residency Fair.

Runners take time to pose for a group photo while getting ready for their 5K run along the river in Chicago.

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2007 Annual Meeting Highlights

2007-2008 SAEM Board of Directors, l to r: Leon Haley, Jr, MD; Adam Singer, MD; Jill Baren, MD; Ellen Weber, MD; James Hoekstra, MD, Past President; Kate Heilpern, MD, President-Elect; Judd Hollander, MD, President; Catherine Marco, MD; and Debra Houry, MD. Missing: Jeffrey Kline, MD, Secretary-Treasurer and Megan Ranney, Resident Member.

The 2007 Program Committee is to be commended for their efforts in putting together a great 2007 annual meeting!

AEM Consensus Conference organizers enjoy a moment in the beautiful Chicago weather. l to r: Barney Eskin, MD; Peter Wyer, MD; Michelle Biros, AEM Journal EditorIn-Chief; and Eddy Lang, MD.

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2007 Annual Meeting Highlights

Research fund contributors attend a luncheon with a presentation

by Brian Zink focusing on the history of the research fund.

Gabor D. Kelen, MD is presented with the 2007 Leadership Award.

Brian J. Zink, MD is presented with the Hal Jayne Academic Excellence Award.

Craig Newgard, MD, 2008 Program Committee Chair, and Judd Hollander, SAEM President, have already started planning the 2008 Annual Meeting.

Judd Hollander, MD, current SAEM President, poses with past SAEM Presidents l to r: Louie Ling, MD; Richard Nowak, MD; Hollander; Ken Iserson, MD; Sandra Schneider, MD; Brian Zink, MD; and Tom Stair, MD.

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SEMI-FINAL CPC COMPETITION RESULTS On May 15, sixty Emergency Medicine Residency Programs competed in the seventeenth 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 Seattle in October. The CPC competition is sponsored by ACEP, CORD, EMRA and SAEM and was coordinated by Doug McGee, DO.

Congratulations to the 2007 winners!

Sweeney and Liebzeit

Semi-Final CPC Competition Results Division 1 Presenter: Lynn Sweeney, MD, Brown University Discussant: Jason Liebzeit, MD, Emory University Division 2 Presenter: Andrew Louie, MD, Northwestern University Discussant: Jeffrey Sankoff, MD, Denver Health

Louie and Sankoff

Division 3 Presenter: Laurie Mahoney, MD, Carolinas Medical Center Discussant: Kelley Phillips, MD, UT Southwestern Medical Center Division 4 Presenter: Toby Salz, MD, Alameda County Medical Center Discussant: Michael Donnino, MD, Beth Israel Deaconess Division 5 Presenter: Karla Lacayo, MD, George Washington Discussant: David Pierce, MD, SYNY at Buffalo

Mahoney and Phillips

Salz and Donnino

Division 6 Presenter: Sherri Rudinsky, MD, Maval Medical Center, San Diego Discussant: Jordan Foster, MD, New York Presbyterian

Pierce and Lacoyo

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Rudinsky and Foster

2007 Residency Fair Participants SAEM would like to recognize the following EM residency programs who participated in the Residency Fair that was held immediately following the Medical Student Symposium on May 19 during the 2007 Annual Meeting in Chicago. 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 Medical Student Symposium attracted approximately 130 students. SAEM recognizes the effort and cost experienced by these residency programs and appreciates their participation.

Advocate-Christ Medical Center Alameda County – Highland General Albany Medical Center Albert Einstein Medical Center-PA Allegheny General Hospital Baystate Medical Center Beth Israel Deaconess Beth Israel Medical Center Brigham & Women’s Hospital Boston Medical Center Brown University Carolinas Medical Center Christiana Care Health System Cook County Hospital Denver Health Duke University Eastern Virginia University Emory University Geisinger Medical Center George Washington University Georgetown University Grand Rapids MERC Hennepin County Medical Center Henry Ford Hospital Indiana University Jacobi-Montefiore Johns Hopkins Kern Medical Center Loma Linda University Long Island Jewish Louisiana State University – New Orleans Louisiana State University – Shreveport Maimonides Medical Center Maine Medical Center Maricopa Medical Center Medical College of Wisconsin Michigan State University – Kalamazoo Michigan State University – Lansing New York Hospital – Queens New York Methodist Hospital New York Presbyterian North Shore University Northwestern University Ohio State University Oregon Health & Science University

Orlando Regional OSF St. Francis Medical Center Palmetto Health Penn State/Hershey Medical Center Regions Hospital Resurrection Medical Center Sinai Grace/Wayne State University Stanford/Kaiser Stony Brook University SUNY Upstate Medical University Synergy Medical Education Alliance Texas A & M Texas Tech University Thomas Jefferson UCLA Olive-View University of Alabama at Birmingham University of Arizona University of California Davis, Irvine University of California, San Francisco University of California, San Francisco, Fresno University of Chicago University of Florida – Gainesville University of Florida – Jacksonville University of Iowa University of Louisville University of Massachusetts University of Michigan University of New Mexico University of Nevada University of North Carolina University of Rochester University of South Florida – Tampa University of Texas Health Science Center – Houston University of Texas Southwestern University of Utah University of Virginia University of Wisconsin Virginia Commonwealth University Washington University Wayne State – Detroit Medical Center West Virginia University William Beaumont Hospital Wright State University Yale-New Haven Medical Center

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President’s Message (Continued from page 1)

pain; poorer outcomes for patients admitted to intensive care units left in the ED for extended periods; and a higher likelihood of ventilator associated pneumonia for trauma patients intubated in the ED. Although it would have been illogical to assume that ED crowding is anything but bad for patients, the explosion of research providing evidence of harm will provide ammunition to help change policy for those who had no previous incentive (or just refused to deal with this health care crisis). SAEM will be partnering with other stakeholders, both in and out of emergency medicine, to help fix this problem.

On another front, SAEM has not historically been active with respect to clinical practice guidelines. This year we have formed a Guidelines Committee which will be chaired

by Charles Pollack. This committee will help identify leaders within our field to work with other academic organizations so that guidelines will include an emergency medicine focus. SAEM members are the researchers generating the evidence from which guidelines are written and we should be participants in interpreting the data. We should make sure the guidelines have an EM focus.

Perhaps these two new committees can work together to incorporate recommendations regarding ED boarding into guidelines. Don’t you think it can be a Class I, Level of Evidence C recommendation that all acutely ill patients requiring ICU or CCU level of care be expeditiously transferred to a setting that can provide the requisite physician and nursing attention needed? It might actually improve their outcome more than many of the highpriced therapeutic options currently recommended in the guidelines. Certainly, the data coming from our researchers suggests that it does. We should keep generating the data that can be used to demonstrate the adverse effects of ED crowding to those who have ignored this issue for far too long. I dream of the day when policy makers recognize the adverse effects of ED boarding and directly address ED boarding through substantive policy changes. Maybe we can work toward a pay-for-performance incentive that allows our admitted patients to leave the ED in a timely manner so our other patients can be seen and evaluated rapidly and we maximize overall patient safety. After all, that is our mission, to improve patient care through research and education.

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 2008 Annual Meeting, which will be held May 29 -June 1 in Washington, D.C. The minimum requirement for new abstract reviewers is at least two 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 five years, you do not need to reapply.

Interested individuals should electronically submit to saem@saem.org the following by October 1, 2007: an 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 on 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 • CV basic science • 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

Each 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 8, 2008. Abstracts will be sent for review by January 10 and abstract scores will be due by noon on January 21. All scores will be submitted online.

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Jon Rittenberger Receives K-12 Training Under the University of Pittsburgh CTSA Clifton W. Callaway, MD, PhD University of Pittsburgh Dr. Jon Rittenberger has been selected for a K12 training grant from the Clinical and Translational Science Training Award at the University of Pittsburgh. The University of Pittsburgh is one of the first 12 sites selected for a CTSA. Dr. Rittenberger is a graduate of the Affiliated Residency in Emergency Medicine at the University of Pittsburgh, and is currently finishing a research fellowship in that department. The K12 awards provide funding to further train promising clinical researchers. The CTSA program is an outgrowth of the NIH Roadmap for Medical Research.

During his four-year award, Dr. Rittenberger will use blood markers of inflammation, cardiac, and neuronal injury to develop tools for assessing neurological recovery and for titrating care during the intensive care of patients after cardiac arrest. This project involves collaborators from Cardiology, Critical Care Medicine, as well as the School of Health and Rehabilitation Sciences. The results of his project may also provide insight into the mechanism of hypothermia in the post-cardiac arrest patient.

There are several NIH-funded training programs (“K� programs) available for advanced research training. The K08 and K23 programs provide mentored-training, with the K23 specifically focused on clinical research. K08 and K23 awards require potential awardees to apply directly to NIH. The K12 programs are administered by institutions, and potential awardees submit applications through their institution. In the past, K12 programs were usually housed within individual departments (Medicine, Surgery, etc.), which may have reduced the availability of these awards to emergency physicians. The CTSA program will require the K12 programs to become more interdisciplinary, increasing opportunities for emergency physicians. Fellows and faculty should explore opportunities at their institution. The CTSA website is located at: http://ctsaweb.org

CORD Meets in Chicago The Council of Emergency Medicine Residency Directors (CORD) met in Chicago on May 16. Fiona E. Gallahue, MD from New York Methodist Hospital, Department of Emergency Medicine and Joseph LaMantia, MD from North Shore University Hospital, Department of Emergency Medicine were elected to the Board as members-at-large.

Barbara A. Mulder was appointed as the new Executive Director of CORD. This year two CORD Faculty 2007-2008 CORD Board of Directors, l to r: Douglas Char, MD; Pamela Dyne, MD, Past President; Mary Jo Wagner, MD, President; Philip Shayne, MD, Secretary-Treasurer; Teaching Awards were presented Sarah Stahmer, MD; Michael Beeson, MD, President-Elect; Fiona Gallhue, MD; and to Fermin Barrueto, Jr., MD from Joseph LaMantia, MD. the University of Maryland Medical Center and to Joshua Broder, MD from Duke University Medical Center. The CORD Resident Academic Achievement Award was presented to Dr. Tim PlattsMills, who is a senior and chief resident in the UCSF Fresno Emergency Medicine Residency Program. The CORD Board chose Gloria Kuhn, DO, PhD, as the recipent of the CORD Impact Award for her work on developing the Academic Assembly into a top-quality conference.

The next CORD meeting will be held during the ACEP Scientific Assembly in Seattle in October 2007.

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Call for Papers The Science of Simulation in Healthcare The 2008 Academic Emergency Medicine Consensus Conference on The Science of Simulation in Healthcare will be held on May 28, immediately preceding the SAEM Annual Meeting in Washington, D.C. Original papers, if accepted, will be published together with the conference proceedings in the November 2008 issue of Academic Emergency Medicine. Simulation encompasses any technology or process that recreates an artificial environment in which a learner may safely experience mistakes and receive feedback. Providing a forum for teaching, evaluation, and research, simulation utilizes high-fidelity patient simulators, standardized patient encounters, computerized virtual environments, task training, mathematical modeling and other related processes.

Three core areas of simulation will be explored as part of the Consensus Conference: 1) Clinical practice and expertise - “animating” core curricular material for training and testing with robotmannequins, standardized patients, or computer-screen based scenarios.

2) Teamwork-communication skills - crisis resource management for critical events recreated in immersive environments, including disasters.

3) Procedure and process modeling – development and deployment of virtual reality platforms, task trainers, computer screen-based scenarios, and mathematical modeling of care processes.

Simulation research may pertain to any and all aspects of these kinds of endeavors. Examples of research topics that would qualify include:

• Developing a methodology to quantify the impact of simulation training on patient care processes and outcomes.

• Developing a methodology to assess the effect of simulation training on the development and maintenance of medical expertise.

• Research involving the biopsychology and physiology of simulation training.

• Using simulation for evaluation and testing in medical education, including high-stakes certification examinations.

• Logistics and cost-effectiveness of creating and maintaining simulation centers.

• The science of cognition related to simulation training.

• Approaches to improving and measuring patient safety through simulation.

• The impact of simulation on healthcare policy (e.g., mandating simulator training for procedural certification, modeling the allocation of scarce resources after a catastrophic disaster, etc.).

• Optimal debriefing techniques to maximize learning in a simulated environment.

• Papers that discuss and contribute to the methodology and conceptual framework for simulation-related research.

The conference will be designed and conducted to reach consensus on:

• A research agenda based on an exploration of the most important methodological gaps that currently exist in simulation research involving patient outcomes, teamwork and communication, medical education, and performance assessment.

• Recommendations that will advance the use of simulation in healthcare to improve patient care, teamwork communication, and medical education, and performance assessment.

Original contributions describing relevant research or concepts in this topic will be considered for publication in the November 2008 special topics issue of AEM if received by Monday, March 3, 2008. All submissions will undergo peer review and publication cannot be guaranteed. For queries, please contact James A. Gordon, MD, MPA, Consensus Conference Coordinator (jgordon3@partners.org), or Amy Kaji, MD, AEM Editorial Board Liaison (akaji@ emedharbor.edu). Information and updates will also be posted in the SAEM newsletter and the AEM and SAEM Web sites.

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Call for Submissions

Innovations in Emergency Medicine Education Exhibits Deadline: Friday, February 1, 2008 The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2008 SAEM Annual Meeting, May 29-June 1, 2008 in Washington, D.C. 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 2008 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 Friday, February 1, 2008 at 5:00 pm Eastern 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.

Fellowship/Faculty Position Ads Available

Boston Harvard Affiliated Teaching Hospital The Department of Emergency Medicine of the Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center has positions available for faculty committed to academic Emergency Medicine. Board certification or preparation in Emergency Medicine with four years of training or experience are prerequisites. The base hospital is Beth Israel Deaconess Medical Center, a Level I trauma center, with an ED that sees over 50,000 patients a year. Our community practice, Deaconess Glover Hospital, sees over 10,000 patients a year.

We provide needed direction for three 911 systems.

Academic opportunities include access to lab space, international programs, and teaching at Harvard Medical School. Salaries are highly competitive for the community and are incentive based. We are currently seeking faculty with interests in Academics, EMS, Ultrasound, Sepsis, Medical Education and Neurologic Emergencies.

The SAEM Newsletter is mailed every other month to approximately 6,000 Society members. Advertising is limited to Fellowship and Academic faculty positions.

All ads are also posted on the SAEM Web site at no additional charge.

Advertising rates for classified ad (100 words or less) Contact party SAEM member

$120.00

Contact party non-SAEM member

$145.00

Quarter page ad (camera ready, 3.5� wide x 4.75� high) $350.00 To place an advertisement, e-mail the ad, along with contact party information for follow-up including phone and fax numbers, billing address, ad size and newsletter issues in which the ad is to appear to: Maryanne Greketis, mgreketis@saem.org

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

Deadline for the September/October issue is August 1, 2007 Deadline for the Jan/Feb issue is December 1, 2007.

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2007 SAEM Medical Student Excellence Award Winners Listed below are the recipients of the 2007 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 twelfth 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 deans’ offices in February 2008.

Albany Medical College Angus Jameson Arizona College of Osteopathic Medicine Leslie D. Matesick Baylor College of Medicine Randy Joe Hartman Boston University School of Medicine Allison Sullivan Brody School of Medicine at East Carolina University Lisa R. Cowan Case Western Reserve University School of Medicine Benjamin Peter Sayers Columbia University-College of Physicians and Surgeons David Robert Anthony Dalhousie University Christopher McCrossin Des Moines University, College of Osteopathic Medicine Dan B. Thomas Drexel University College of Medicine Harry Goett Duke University School of Medicine Sunny Mei-Chun Wang East Tennessee State UniversityJames H. Quillen College of Medicine Joshua Allen Pruitt Eastern Virginia Medical School Kristina C. Burri Florida State University of Medicine John White Beach Jr. Harvard Medical School Roberta Capp

Johns Hopkins University School of Medicine Emily Carlisle

Northwestern Ohio Universities College of Medicine Erin Roskos

Kansas City University of Medicine and Biosciences Joshua Linebaugh

Ottawa University Aikta Verma

Keck School of Medicine of USC Marisa McKinley Fernandez Loma Linda University Sarah Christian-Kopp Louisiana State University Health Science Center-Shreveport Jacob Wayne Brown Louisiana State University School of Medicine Elizabeth Clement Loyola University Stritch School of Medicine Mary Sullivan Marshall University School of Medicine Paul Turley McGill University Sara Ahronheim

Penn State College of Medicine Sonya Securro Philadelphia College of Osteopathic Medicine Sarah Klinge Queen’s University Zoe Piggott Rush Medical College Dana Hendry Saint George’s University School of Medicine Bonnie Dellinger Saint Louis University Donald R. Bennett Stony Brook University School of Medicine Ani Aydin SUNY Downstate Medical Center Teresa Brown-Spinelli

Medical College of Wisconsin Jeremy S. Dewall Memorial University of Newfoundland Allison Meiwald Michigan State University College of Human Medicine Adrianne Nicole Haggins Mount Sinai School of Medicine Allison Nowak New York Medical College Bonnie J. McGuire Wreschner New York University School of Medicine Lauren M. Kornreich

Indiana University School of Medicine Nicole E. Davis

SUNY Upstate Medical University Aaron Burnett Texas A&M Health Science Center College of Medicine Paul Burns Texas Tech University HSC Veronika Karasek The George Washington University Medical School Jessica Monaz The Medical College of Georgia Daren Wooten The Ohio State University Andrew Foster

24

2007 SAEM Medical Student Excellence Award Winners The University of Arizona Maura Mahoney

University of California-Davis Alexandra Greene

University of Nevada School of Medicine Jarrod Michael Mosier

The University of Mississippi Medical School Patrick Kirkland

University of California-Irvine Megan Boysen

University of New England College of Osteopathic Medicine Keel E. Coleman

The University of Oklahoma College of Medicine Erin C. Kelly The University of Texas Medical Branch at Galveston Erik Otto Ledig The University of Toledo College of Medicine Thomas G. Zaciewski The Warren Alpert Medical School of Brown University Cameron McClure Tuland University School of Medicine Daniel Mantuani UCSD School of Medicine Ilona Barash UMDNJ New Jersey Medical School Suzanne Kathleen Bentley UMDNJ/Robert Wood Johnson Medical School Maame Yaa Yiadon Uniformed Services University of the Health Sciences 2LT Christopher Welton University of Alabama at Birmingham School of Medicine John Clinton Jacobs, V University of Alberta Karr-Hong Lee University of Arkansas for Medical Sciences-College of Medicine Justin Daniel Phillips University of Buffalo, School of Medicine and Biomedical Sciences Jestin Carlson University of California Los Angeles Miguel Lemus

University of Cincinnati Ryan Matley University of Colorado Health Sciences Center Gary Witt University of Florida Benjamin Lenhart University of Hawaii-John A. Burns School of Medicine Catherine T. Ho

University of North Carolina School of Medicine Eric Ray Hawkins University of North Dakota School of Medicine & Health Sciences Kadon K. Hintz University of North Texas Health Sciences Center Shane Taylor

University of Illinois at Chicago Marc Philip Toofan

University of Pennsylvania School of Medicine Aaron Michael Brown

University of Iowa Carver College of Medicine Nicole Eve Stoik

University of Pittsburgh School of Medicine Aaron Benjamin Skolnik

University of Kentucky, College of Medicine Allison Carter

University of Puerto Rico School of Medicine Carene A. Oliveras-Garcia

University of Louisville School of Medicine Matt Smith

University of Rochester School of Medicine & Dentistry Michael Thomas McGrath

University of Manitoba Jill Geurts

University of South Alabama Kashif H. Taufique

University of Massachusetts Medical School John Haron

University of South Carolina Lindsey Gould

University of Miami-Miller School of Medicine Maria Glenn University of Michigan Andrew Wong

University of South Florida Aaron Osborne, PhD University of Texas at Houston Medical School Elizabeth Sandoval

University of Minnesota Johanna C. Moore

University of Texas Health Sciences Center at San Antonio Edward N. Wright

University of Missouri-Columbia Neil Clay Rajanna

University of Virginia Anil Shukla

University of Missouri-Kansas City School of Medicine Tara S. Butler

University of Washington Andrew Nelson

University of California San Francisco Glen Michael

(Continued on page 24)

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2007 SAEM Medical Student Excellence Award Winners University of Wisconsin School of Medicine and Public Health Sara Northway

Wright State University, Boonshoft School of Medicine James P. Brewer

Yale University of Medicine Lauren Kendall Krause

Vanderbilt University Erik E-Kai Wang Wake Forrest University School of Medicine Brett Bechtel Washington University School of Medicine Rebecca A. Bavolek

Yale University School of Medicine, Section of Emergency Medicine….

Advancing the Science and Practice of EM

Wayne State University School of Medicine Ciara Barclay-Buchanan Weill Cornell Medical College Jennifer K. Rossi West Virginia University Christopher Kiefer

The Section of Emergency Medicine at Yale University School of Medicine is currently seeking qualified candidates to join its academic faculty at all levels.

Candidates must be Emergency Medicine trained, board eligible or board certified. Positions are available for both new graduates and experienced faculty to join the education, administration, or research divisions. Senior faculty should have a record of excellence in teaching, demonstrated leadership skills, strong interpersonal skills, and a strong commitment to education and clinical excellence. Rank, protected time, and salary will be commensurate with education, Advertisingmedical Inc. and training experience.

Davis Phone: 610-227-0400

Western University of Health Sciences, College of Osteopathic Medicine of the Pacific Matthew Nichols

Yale New Haven Hospital is a urban level I trauma center with approximately 70,000 visits per year.

To apply, please forward your CV and cover letter via fax at (203) 785-4580, email: jamie.petrone@yale.edu, or mail at Yale University School of Medicine, Department of Surgery, Section of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315.

Insertion Order #: 827615

Yale University is an affirmative action, equal opportunity employer and women and members of minority groups are This is a classified display advertisement. encouraged to apply.

The image shown below is scaled to fit this space and is provided for reference on The production version of this advertisement is included in a separate attachmen

For Your Information...

ACADEMIC EMERGENCY PHYSICIAN OPPORTUNITY

SAEM Staff Executive Director James R. Tarrant, CAE ext. 212, jtarrant@saem.org

SOUTH CENTRAL PENNSYLVANIA

Help Desk Technician Adam Cogswell ext. 204, acogswell@saem.org

Associate Executive Director Barbara A. Mulder ext. 207, bmulder@saem.org

Administrative Assistant Maryanne Greketis ext. 209, mgreketis@saem.org

Bookkeeper Janet Bentley ext. 205, jbentley@saem.org

Administrative Assistant Stacy Johnson ext. 206, sjohnson@saem.org

IT Coordinator Kathy Bush ext. 208, kbush@saem.org

Membership Services Manager Jennifer Mastrovito ext. 201, jmastrovito@saem.org

E

York Hospital Emergency Medicine is seeking a fulltime academic faculty member. Ideal candidates will be ABEM or AEOBM-certified or eligible with a strong desire to pursue an academic/ administrative career.

Located 50 miles north of Baltimore, you will experience the charm of small-town living and the benefits of a city right at your fingertips.

York Hospital, rated a Top 100 Hospital for 7 years, is an ideal place to work.

Competitive salary with excellent benefit package, outstanding institutional and department support for clinical and academic endeavors.

Contact Carol Stowell at 866-230-1477 or cstowell@wellspan.org. EOE

saem@saem.org • www.saem.org

www.wellspan.org

26

We are: • the primary site of a fully accredited Emergency Medicine residency with 10 residents per year • a 530-bed Level II Regional Trauma Center with 64,000 ED visits per year • serving a large area of south central PA with over 500,000 residents • a 42-bed emergency department facility • expanding with a $2.5 million, 16-bed Emergency Transitional Care Unit under construction

2007-2008 SAEM Committees/Task Forces - Board & Staff Liaisons 1. Awards Committee: 08awards@lists.saem.org Chair: Don Yealy: yealydm@upmc.edu Board Liaison: Judd Hollander: judd.hollander@uphs.upenn.edu Staff Liaison: Jennifer Mastrovito: Jennifer@saem.org

8. Faculty Development Committee: 08faculty@lists.saem.org Chair: Ted Christopher: Theodore.christopher@jefferson.edu Board Liaison: Jill Baren: barenj@uphs.upenn.edu Staff Liaison: Adam Cogswell: Adam@saem.org

2. C ommunications Committee: 08comm@lists.saem.org Chair: Kathleen Clem: clem0002@mc.duke.edu Board Liaison: Ellen Weber: weber@medicine.ucsf.edu Staff Liaison: Kathy Bush: Kathy@saem.org

9. Finance Committee: 08fin@lists.saem.org Chair: Frank Zwemer: frank_zwemer@urmc.rochester.edu Board Liaison: jkline@carolina.rr.com Staff Liaison: Barb Mulder: Barb@saem.org

3. Constitution & Bylaws Committee: 08candb@lists.saem.org Chair: Deborah Diercks: dbdiercks@ucdavis.edu Board Liaison: Ellen Weber: weber@medicine.ucsf.edu Staff Liaison: Stacy Johnson: Stacy@saem.org

10. Geriatrics Committee: 08geriatric@lists.saem.org Chair: Lowell Gerson: lgerson@neoucom.edu Board Liaison: Kate Heilpern: kheilpe@emory.edu Staff Liaison: Barb Mulder: Barb@saem.org

4. Consultation Services Committee: 08consult@lists.saem.org Chair: Wallace Carter: wac9010@nyp.org Board Liaison: Leon Haley: lhaley@emory.edu Staff Liaison: Barb Mulder: Barb@saem.org

11. Graduate Med-Education Committee: 08gme@lists.saem.org Chair: Jacob Ufberg: Jacob.ufberg@tuhs.temple.edu Board Liaison: Adam Singer: asinger@notes.cc.sunysb.edu Staff Liaison: Maryanne Greketis: Maryanne@saem.org

5. Crowding Task Force: 08crowd@lists.saem.org Chair: Brent Asplin: brent.r.asplin@healthpartners.com Board Liaison: Judd Hollander: judd.hollander@uphs.upenn.edu Staff Liaison: Jim Tarrant: Jim@saem.org

12. G rants Committee: 08grants@lists.saem.org Chair: Kelly Young: kyoung@emedharbor.edu Board Liaison: Jeff Kline: jkline@carolina.rr.com Staff Liaison: Barb Mulder: Barb@saem.org

6. D evelopment Committee: 0dev@lists.saem.org Chair: Brian Zink: bzink@lifespan.org Board Liaison: Jim Hoekstra: jhoekstr@wfubmc.edu Staff Liaison: Jim Tarrant: Jim@saem.org

13. G uidelines Committee: 08guidelines@lists.saem.org Chair: Charles Pollack: pollack2@mindspring.com Board Liaison: Judd Hollander: judd.hollander@uphs.upenn.edu Staff Liaison: Jim Tarrant: Jim@saem.org

7. E thics Committee: 08ethics@lists.saem.org Chair: Tammie Quest: tquest@emory.edu Board Liaison: Catherine Marco: cmarco2@aol.com Staff Liaison: Stacy Johnson: Stacy@saem.org

14. I ndustry Relations Committee: 08industry@lists.saem.org Chair: Deb Diercks: dbdiercks@ucdavis.edu Board Liaison: Jill Baren: barenj@uphs.upenn.edu Staff Liaison: Barb Mulder: Barb@saem.org (Continued on page 26)

SAEM Membership Counts DISTRICT OF COLUMBIA-The Department of Emergency Medicine at The George Washington University Medical Faculty Associates, an independent non-profit clinical practice group affiliated with The George Washington University, is seeking physicians for our academic practice. The Department provides staffing for the Emergency Units of George Washington University Hospital, Prince George’s Hospital Center and the National Naval Medical Center. The Department also sponsors an Emergency Medicine Residency and many student programs.

We are seeking physicians who will participate in our clinical and educational programs and contribute to the Department’s research and consulting agenda. Applications from physicians with interests in the medical informatics, bedside diagnostic imaging and emergency public health-related areas are encouraged.

Physicians should be residency trained in Emergency Medicine. University faculty rank will be commensurate with experience. Review of applications will continue until all positions are filled. Please submit CV by mail to Robert Shesser, MD, Chair, Department of Emergency Medicine, George Washington University Medical Center, 2150 Pennsylvania Avenue NW, Suite 2B-417, Washington, DC 20037 or by email at: rshesser@mfa.gwu.edu.

The George Washington University Medical Faculty Associates is an Equal Opportunity/Affirmative Action employer.

27

As of June 12, 2007

Active . . . . . . . . . . . . . . 2,715 Associate . . . . . . . . . . . . . 207 Emeritus . . . . . . . . . . . . . . 20 Honorary . . . . . . . . . . . . . . . 5 Medical Students . . . . . . 490 Resident/Fellow . . . . . . . 2,458 Total . . . . . . . . . . . . . . . 5,895

2007-2008 SAEM Committees/Task Forces - Board & Staff Liaisons 15. International Committee: 08int@lists.saem.org Chair: Indrani Sheridan: indriani28@earthlink.net Board Liaison: Leon Haley: lhaley@emory.edu Staff Liaison: Jim Tarrant: Jim@saem.org

20. R esearch Committee: 08research@saem.org Chair: Roger Lewis: roger@emedharbor.edu Board Liaison: Jim Hoekstra: jhoekstr@wfubmc.edu Staff Liaison: Jim Tarrant: Jim@saem.org

16. M embership Committee: 08member@lists.saem.org Chair: Sue Stern: suestern@umich.edu Board Liaison: Deb Houry: dhoury@emory.edu Staff Liaison: Jennifer Mastrovito: Jennifer@saem.org

21. T echnology in Med-Ed Committee: 08tech@lists.saem.org Chair: Jim Gordon: jgordon3@partners.org Board Liaison: Megan Ranney: megan_ranney@brown.edu Staff Liaison: Kathy Bush: Kathy@saem.org

17. National Affairs Committee: 08nat@lists.saem.org Chair: Dick Kuo: dkuo@umaryland.edu Board Liaison: Kate Heilpern: kheilpe@emory.edu Staff Liaison: Jim Tarrant: Jim@saem.org

22. Undergraduate Committee: 08uge@lists.saem.org Chair: Michelle Lin: mlin@sfghed.ucsf.edu Board Liaison: Catherine Marco: cmarco2@aol.com Staff Liaison: Kathy Bush: Kathy@saem.org

18. N ominating Committee: 08nom@lists.saem.org Chair and BOD Liaison: Kate Heilpern: kheilpe@emory.edu Staff Liaison: Jim Tarrant: Jim@saem.org

23. W eb Editorial Board (WEB) Sub-Committee of Communications Committee: 08web@lists.saem.org Chair: Albert Villarin: villaria@einstein.edu Board Liaison: Ellen Weber: weber@medicine.ucsf.edu Staff Liaison: Kathy Bush: Kathy@saem.org

19. P rogram Committee: 08prog@lists.saem.org Chair: Craig Newgard: newgardc@ohsu.edu Board Liaison: Deb Houry: dhoury@emory.edu Staff Liaison: Jim Tarrant: Jim@saem.org

Massachusetts General Hospital Brigham and Women's Hospital Harvard Medical School

STROKE RESEARCH FELLOWSHIP Atlanta, GA EMORY SCHOOL OF MEDICINE DEPARTMENT OF EMERGENCY MEDICINE

The NINDS-funded ‘SPOTRIAS’ Acute Stroke Program Project at Massachusetts General and Brigham and Women's Hospitals in Boston, invites applications for a 1-year stroke research fellowship [July 1, 2007 to June 30, 2008]. This is a unique opportunity to train in clinical research methods at Harvard and participate in 3 integrated research projects including an acute stroke clinical trial, a blood biomarkers study, and a neuroimaging study.

The fellow will be mentored to submit an independent clinical research grant proposal and educational activities. Candidates should ideally have completed an emergency medicine or neurology residency, or a clinical stroke fellowship. Women and minorities are encouraged to apply. Harvard appointment and salary commensurate with PGY-level.

Submit cover letter, two letters of recommendation, and CV to Angela Besanger, MGH Stroke Research Center, 175 Cambridge Street, Suite 300, Boston, MA, 02114. Tel: 617-724-1538; E-mail: abesanger@partners.org , or Ron M. Walls, M.D., FACEP, Chairman Department of Emergency Medicine, Brigham and Women’s Hospital, Professor of Medicine (Emergency Medicine), Harvard Medical School, 75 Francis Street, Neville House, Boston, MA, 02115. Tel: 617-732-

One of the nation’s leading academic EM programs, Emory University, invites nominations and applications for the position of Chair -- an outstanding opportunity to lead a premier department with strengths in clinical and lab research, EM education, EMS, medical toxicology, medical education, and public health, as well as strong links to the CDC and other local organizations. We seek an individual with strong leadership abilities, previous academic and administrative experience, and a commitment to enhance and grow strong medical and graduate programs.

Salary and benefits are highly competitive. Women and minorities are encouraged to apply. Please submit your CV and three references to: Ms. Shelle W. Bryant Email: shelle.bryant@emory.edu

5989; E-Mail rwalls@partners.org.

MGH and BWH are Equal Opportunity/Affirmative Action Employers

Emory is an equal opportunity/affirmative action employer

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Research Director/Director of Academic Affairs Department of EM Newark Beth Israel Medical Center Newark, New Jersey St. Barnabas Health Care System We are searching for an emergency medicine physician experienced in research, EM residency teaching, administration, and grant writing to assume a key leadership role in our department. We are looking for an enthusiastic, energetic individual who is 5-10+ years post-EM residency graduation and desires an opportunity to mentor and contribute to the scholarly development of a team of talented, dedicated faculty and EM residents and be part of an Emergency Department committed to scholarship, clinical excellence, community service, and humanistic values. An MS or MPH would be a very desirable plus. We are home to an ACGME and AOA fully accredited EM residency with 30 residents in an EM 1-3 format. Our Department provides care to 90,000 patients annually (1/3 pediatric) and utilizes a fully electronic nursing/physician charting and tracking system. An active EM US program is in place. This position carries a very competitive compensation and benefits package with ample protected time. Academic appointments at Mt. Sinai School of Medicine and NY College of Osteopathic Medicine commensurate with experience. Please forward your CV/letter of interest in confidence to Marc Borenstein, MD, Chair, Department of EM, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, phone, 973-926-7562, e-mail, mborenstein@sbhcs.com.

Introducing the new UH At University Hospitals Case Medical Center, we have embraced a new name, a new look, and an energized attitude.

At our 947-bed Magnet™ facility, we remain dedicated to our mission to deliver thoughtful, patient-centered care.

ED Faculty Positions We invite you to explore our new ED, scheduled for completion in 2009. It will more than double our current space and provide 64 rooms in about 53,000 square feet.

The new UH ED will have an in-department dedicated CT and DR X-ray, as well as in-department satellite lab and chest pain observation unit. It will also include separate pediatric patient waiting and treatment space, support for a new EM Residency Program, and air & ground critical care transport programs.

To apply, submit a letter and curriculum vitae to: Edward.Michelson@UHhospitals.org or call 216-844-8956.

To Heal. To Teach. To Discover.

www.UHhospitals.org/jobs EOE M/F/D/V

Patient Centered

Emergency Medicine Academic Faculty Opportunity in Pennsylvania Near Baltimore & DC! ACADEMIC EMERGENCY MEDICINE Practice Details: The leading provider of emergency services in the southern 5/1/2007 Pennsylvania region is seeking an Emergency Medicine physician for a faculty position.

49063-DT35851 The EM residency is a 1-2-3 program with 10-11 residents per class, and is supported by 20 UNIHOH full-time faculty members. The ED volume is approximately 70,000 patients annually, with an average admission rate of 25%. The estimated non-clinical time commitment 3.5” x 4.75” is 30-40% Tahlia Cummings v.1

Specialty Focused

Emergency Medicine Faculty

Hospital Information: Hospital is a Level II Trauma Center servicing 600,000 people in three counties – York, Adams, and Franklin. The health system has two hospitals with 30 primary care and 32 specialty care offices and a large referral base.

We are recruiting EM residency-trained, ABEM certified/eligible faculty to join our progressive, academic EM group at Regions Hospital, a Level 1 trauma center with an established 3-year EM residency and annual ED volume of 66,000, located in St. Paul, Minnesota.

Compensation: Hospital offers a guaranteed salary with bonus and an excellent benefit package including funded pension, health, dental and vision insurance. LT/ST disability, four weeks paid vacation, two weeks CME plus a $5,000 yearly stipend are also included.

Research Director – We seek an experienced investigator to lead our research program. Appropriate fellowship training, productive research experience, and proven grant writing skills required. Protected time and support for pilot project funding, grant writing, and statistical analyses provided. Department leadership opportunities available.

Community Information: Community has easy access to Baltimore and Washington DC, and is less than an hour from York and Harrisburg with two international airports nearby. Area is quickly growing as a bedroom community for the Baltimore/DC area, with a pleasant mix of small towns and suburban conveniences. Enjoy good schools, a low crime rate, low cost of living, and a wide range of recreation including hunting, fishing, skiing, and golf, with easy access to big city life.

Academic Faculty – We seek talented clinicians committed to excellence in bedside teaching. Protected time available for those with fellowship training and/or proven experience in research, education, or administration.

For details, contact Dr. Brent Asplin, Department Head, at brent.r.asplin@healthpartners.com. Email your CV and cover letter to sandy.j.lachman@healthpartners.com or apply online at www.healthpartners.com. Call (800) 472-4695 for more information.

EO Employer

www.healthpartners.com © 2007 NAS (Media: delete copyright notice)

SAEM Newsletter 3.5” x 4.75”

For More Information on This Job and Other Opportunities Contact Cheryl Heuer at 866-220-2254 or cheryl@arlingtonhc.com. www.ArlingtonHealthCare.com

www.regionshospital.com

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

PENNSYLVANIA: The Department of Emergency Medicine at Penn State Milton S. Hershey Medical Center is seeking an EM-trained, board-certified or prepared Physician Scientist who has completed a fellowship in Research to join our faculty and serve as Director of Research.

Responsibilities include general direction and oversight of all Research activities in the DEM. Located in beautiful Hershey, PA, the ED cares for nearly 50,000 patients per year, as supervised by 20 boarded EM faculty. The EM residency program (24 residents), level 1 trauma, integrated flight and ground EMS, and outstanding computerization, all lead to a unique opportunity for your career. Significant protected time and collaborative opportunities exist with laboratory and clinical research programs. Outstanding schools, low crime rate and a comfortable, affordable atmosphere allow a pleasant lifestyle while working in a World Class Academic Medical Center. Confidential inquiries to Thomas Terndrup, MD, Chair and Associate Dean for Clinical Research, Department of Emergency Medicine (H043), PO Box 850, Hershey, PA 17033. Phone 717 531-8955 or email tterndrup@hmc.psu.edu. EOE/AA-M/F/H/V.

The Department of Emergency Medicine of Scott & White and The Texas A&M University System Health Science Center College of Medicine are currently seeking an outstanding physician, dual BC/BE in Emergency Medicine and Medical Toxicology, to serve as Medical Director of the Central Texas Poison Center. The Poison Center is an AAPCC certified center serving the over 2 million people of Central TX, and is one of six centers that comprise the Texas Poison Center Network. As the only Level I Trauma department in Central Texas, the department of emergency medicine evaluates and treats 58,000+ patients annually. The department presently consists of 14 full-time faculty physicians, committed to quality care delivery enhanced by resident and student education. The department will play a critical role in the vision of the institution to grow both its clinical services and academics. Academic appointment and rank is commensurate with experience and qualifications. Research opportunities are available for interested candidates.

Scott & White is the largest multi-specialty practice in Texas, with more than 530 physicians and research scientists who care for patients at Scott & White Memorial Hospital in Temple and within the 15 regional clinic system networked throughout Central Texas. Over $250 million in expansions are currently underway, including two new hospitals and three regional clinics. Led by physicians with a commitment to patient care, education and research, Scott & White is listed among the "Top 100 Hospitals" in America and serves as the clinical educational site for The Texas A&M HSC COM. Additionally, the 180,000-member Scott & White Health Plan is the #1 health plan in Texas.

Scott & White offers a competitive salary and comprehensive benefit package, which begins with four weeks vacation, three weeks CME and a generous retirement plan. For additional information, please call or send your CV to: C. Keith Stone, MD, Professor and Chairman, Department of Emergency Medicine; c/o Jason Culp, Physician Recruiter, Scott & White Clinic, 2401 S. 31st, Temple, TX 76508. (800) 725-3627 jculp@swmail.sw.org Scott & White is an equal opportunity employer. A formal application must be completed to be considered for this position. www.sw.org

PROGRAM DIRECTOR

SAEM Newsletter EMERGENCY MEDICINE University of California, San Francisco - Fresno 3.5" x 4.75" Medical Education Program

The University of California, San Francisco-Fresno Emergency Medicine Residency Program is recruiting for a dynamic board certified emergency medicine physician to serve as a full-time Program Director for 32 residents. The position is located in

2008 EMS FELLOWSHIP ANNOUNCEMENT

Fresno at Community Medical Centers new 56,000 sf ED and new UCSF Fresno 70,000 sf education and research building. The EM Residency Program began in 1974 and is a fully accredited 1-4 program, graduating 8 residents a year. The ED sees over 100,000 culturally diverse patients a year. The hospital is a Level 1 trauma and burn center serving the Central San Joaquin Valley. We are also the major Base Station for the Fresno EMS System and provide medical control to the adjacent Sequoia/Kings Canyon National Parks. Program duties include preparing educational goals and developing curriculum for the program; overseeing selection of residents for the program; selecting, supervising, and evaluating teaching staff and other program personnel with the Chief; and supervising, teaching residents in patient care and research activities. Residents and faculty are dedicated to caring for the underserved in a challenging clinical population.

Salary and faculty appointment will be commensurate with experience. Requires Board Certification.

The State University of New York at Buffalo, Department of Emergency Medicine is seeking applicants for a one or two year Emergency Medical Services Fellowship. Fellowship responsibilities include providing on-scene support for law enforcement, disaster response, medical oversight, participating in the regional public health emergency responses system and assisting in the oversight of the EMS resident rotation. Clinical experience is in our busy Level 1 Trauma Center and aggressive 24/7 Angioplasty Center with a strong ED ultrasound program. Excellent salary and benefit package including tuition reimbursement for Masters level graduate work. Additional education in Emergency Ultrasound is also available. Now accepting applications for the Fellowship Program scheduled to start in July 2008.

Applicants must be BC/BE in Emergency Medicine and be able to obtain a NY State Medical License. Questions can be addressed to Jeff Myers, D.O. at jwmyers@buffalo.edu or call 716-898-3525. A letter of interest and CV may be submitted to: Jeffrey Myers, D.O., Ed.M., Fellowship Director, Department of Emergency Medicine, 462 Grider Street, Buffalo, NY 14215

Send CV and 3 references to: Gene Kallsen, MD, Chief, Emergency Medicine UCSF Fresno Center for Medical Education and Research 155 N. Fresno Street Fresno, CA 93701-2302 Send CV and 3 references to: Gene Kallsen, M.D., Chief C/o Diane O’Connor, CCFMG FAX: (559) 453-5233 E-mail: diane.oconnor@ccfmg.org Visit our websites at www.ccfmg.org and www.fresno.ucsf.edu UCSF seeks candidates whose expertise, teaching, research, or community service has prepared them to contribute to our commitment to diversity and excellence. UCSF is an affirmative action/equal opportunity employer. The University undertakes affirmative action to assure equal employment opportunity for underutilized minorities and women, for persons with disabilities, and for covered veterans. All qualified applicants are encouraged to apply, including minorities and women.

30

Call for Didactic Proposals 2008 Annual Meeting May 29-June 1, 2008 • Washington, D.C. Deadline: Friday, September 7, 2007 The Program Committee is inviting proposals for didactic sessions for the 2008 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 or teaching 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 topics that have important implications for further investigation or the future practice of emergency medicine; note that State-of-the-Art sessions are not a review of the literature or a summary of clinical practice) • Health Care Policy and National Affairs affecting emergency medicine The deadline for submission is Friday, September 7, 2007 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.

S A E M

Call for Abstracts

Research Impacting Emergency Medicine 10th Annual Mid Atlantic SAEM Regional Research Meeting Saturday, November 10, 2007 Penn State University Hershey Medical Center Emergency Medicine Residency Program Hershey, PA

The Program Committee is now accepting abstracts for oral presentations. As in prior years there will be plenary and brief oral presentations. The meeting will take place on November 10, 2007 from 9:30 am to 5:30 pm. We will also be hosting a dinner and speaker the evening before on November 9th, 2007 starting at 6 pm.

The deadline for abstract submission is Monday, October 1, 2007 at 5:00 pm Eastern Time. Only electronic submissions via the SAEM online abstract submission form at www.saem.org will be accepted. Plan to receive the personal disclosure form in early October by email. Acceptance notifications will be sent in late October. The goal is to allow students, residents and junior faculty the opportunity to present a brief summary of their research in an oral format and field questions from moderators and the audience. More senior investigators are invited to submit abstracts for the plenary presentations.

Hershey is less than a 3-hour drive from DC, New York, Philadelphia, and Baltimore. Nearby lodging and tourist attractions are readily available. Questions are welcome at ggeeting@hmc.psu.edu.

31

S A E M

Newsletter of the Society for Academic Emergency Medicine

Board of Directors Judd Hollander, MD President

Editor David Cone, MD David.Cone@yale.edu

Katherine Heilpern, MD President-Elect

Executive Director James R. Tarrant, CAE jtarrant@saem.org

Jeffrey Kline, MD Secretary-Treasurer

Managing Editor Kathy Bush kbush@saem.org

Jill Baren, MD Leon Haley, Jr., MD, MHSA Debra Houry, MD, MPH Catherine Marco, MD Megan Ranney, MD Adam Singer, MD Ellen Weber, MD

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

Advertising Coordinator Maryanne Greketis mgreketis@saem.org

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

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

Future SAEM Annual Meetings 2008

May 29-June 1 Marriott Wardman Park Hotel, Washington DC

2009

May 14-17 Sheraton New Orleans, New Orleans, LA

2010

June 3-6 Marriott Desert Ridge Resort & Spa, Phoenix, AZ

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LANSING, MI PERMIT 975