SAEM May-June 2013 newsletter by Society for Academic Emergency Medicine

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

MAY-JUNE 2013

VOLUME XXVIII NUMBER 3

BRANDON MAUGHAN, MD A Resident's View

RESEARCH ETHICS Informed Consent for Emergency Research

ETHICS IN ACTION: Pain Management in the Emergency Department

ANNUAL MEETING A Guide to Maximize Your Time in Atlanta

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

SAEM STAFF Executive Director Ronald S. Moen Ext. 212, rmoen@saem.org

SAEM M EM BERSHIP Membership Count as of April 16, 2013

Director of Information Services & Administration James Pearson Ext. 225, jpearson@saem.org

AAAEM 75

Honorary 7

Active 3,025

International Affiliates

Associate 31

Medical Students

Accountant Mai Luu, MSA Ext. 208, mluu@saem.org

Emeritus 21

Residents 2,024

Fellows 64

Accounting Assistant Dipesh Patel Ext. 207, dpatel@saem.org Administrative Assistant Karen Freund Ext. 202, kfreund@saem.org Assistant to the Executive Director Michelle Iniguez Ext. 206, miniguez@saem.org Education Coordinator Tricia Fry Ext. 213, tfry@saem.org Grants Coordinator Melissa McMillian Ext. 203, mmcmillian@saem.org Marketing & Membership Manager Holly Gouin, MBA Ext. 210, hgouin@saem.org Meeting Planner Maryanne Greketis, CMP Ext. 209, mgreketis@saem.org Membership Coordinator George Greaves Ext. 211, ggreaves@saem.org Systems Administrator/Data Analyst Michael Reed Ext. 205, mreed@saem.org Receptionist Vicki Daly Ext. 201, vdaly@saem.org

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

5 223

Total 5,475

2012-2013 BOARD OF DIRECTORS Cherri D. Hobgood, MD President Alan E. Jones, MD President-Elect Deborah B. Diercks, MD, MSc Secretary-Treasurer Debra E. Houry, MD, MPH Past President Brigitte M. Baumann, MD, DTM&H, MSCE Andra L. Blomkalns, MD D. Mark Courtney, MD Robert S. Hockberger, MD Brent R. King, MD Sarah A. Stahmer, MD Brandon Maughan, MD, MHS, Resident Member The SAEM Newsletter is published bimonthly by the Society for Academic Emergency Medicine. The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM. For Newsletter archives and e-Newsletters Click on Publications at www.saem.org

HIGHLIGHTS

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Executive Director’s Message

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President’s Message

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Member Highlight

Ethics in Action

Resident and Student Advisory Committee

Research Ethics

Academic Announcements

Did you renew your dues? Remember SAEM, Academy and Interest Group memberships expired on December 31, 2012. Log in to your profile at www.saem.org and renew today to ensure no interruption with your membership. Not sure if your institution renewed your academy or interest group membership? Contact the SAEM office at membership@saem.org for assistance.

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PRESIDENT’S M ESSAGE THINGS THAT MATTER Cherri D. Hobgood, MD

Indiana University School of Medicine In my last message as president of SAEM, I want to discuss with you two issues that I think will define us moving forward: Diffusion of intellectual product and Support for our Foundation. While these two things may seem disparate, they both get right to the heart of our organization and our future. I’m going to go out on a limb here and state the obvious: we are the academics. What we bring to the table is intellectual content in the form of expertise that differs from that of the pure clinician in terms of our research and education training. We are the cohort of our discipline that defines our professional role as the creators and disseminators of knowledge. SAEM was founded and built to cradle, sustain, and grow this segment of our professional life. This academic differentiator is something that we should value, endorse, and continue to develop. My belief is that the best way to do this is to be focused and thoughtful about how we spend our time and intellectual content. This hints at a difficult issue, which is the dynamic tension between being involved in multiple organizations (which is a good thing) and the diffusion of value and effort (which is a bad thing). In the past several years I believe emergency medicine has suffered from a substantial diffusion of effort. We active members have been called on to create and develop materials for multiple organizations that are often duplicative of our efforts. We recreate the wheel, so to speak, for every organization to which we belong. Why do we do this? Is it smart? Are we advantaging ourselves by using the Starbucks mentality and selling more coffee (i.e., intellectual content) because we have more outlets? Or are we competing against each other and producing a lower-value product because it is diffused and we fail to bring all the players to the same table? I don’t have an absolute answer to this question, and sometimes the answer is “it just depends.” So I ask you to think of it a different way - if you were counseling a mentee, I suspect your answer would be clear: FOCUS. Why should we think of our selves and our organization any differently? I hope that you, SAEM’s active members, will take a moment to think about this and ask yourself how you can focus your efforts to both improve the society and improve the intellectual products we produce on behalf of the academic part of the discipline.

Cherri D. Hobgood, MD

Supporting our SAEM Foundation aligns along the same principle. The SAEM Foundation has a key role in growing the

scientific foundations of our discipline. It is devoted to providing competitive peer-reviewed grants to our members. The Foundation’s corpus has grown substantially in the past several years thanks to the generosity of our members. While this growth is laudable, we still have a long way to go. For the past several years the Society has worked to move the full funding of our grant portfolio to the interest generated by our Foundation. This has been a goal of my presidency, and I’m proud to say we have achieved it; however, it did not come without compromise. In order to maintain our portfolio of grants, we have had to reduce the total value of each of the offerings and stagger the years particular grants will be offered. This allows us to live within our means and allows the Foundation to function in the way it is intended. Our next goal is to grow the corpus such that our grant portfolio can expand. As the immediate past president of the Society, I will become the president of the Foundation Board of Trustees. I have set an ambitious goal of raising $6 million in the next three years. This requires that we do things differently and that we seek sponsorship from multiple levels. We will be exploring those options, but the most important means of achieving our goal is through focused member giving. Again, this requires your support of the Society in a tangible way, and again, I ask you to FOCUS. Could you give more if you made the SAEM Foundation your primary charitable objective for the next five years? What would that look like for you? I’m asking that we give according to our professional level: if everyone in the Society gave at the following rates, we would easily meet our goal. I’m asking that you consider yourself and your academic community as you write your charitable giving checks this year. Put the SAEM Foundation at the top of the list – “Become One.” After all, we are the academics, and the future of our discipline rests in our hands. My final note is: Thank you. SAEM has given me much through the years, and I’m proud to have been able in some small way to give something back. The leadership opportunity that you have given me has been extraordinary, and I have been very blessed to have a great Board and staff. The greatest gift, however, has been our members. You define the organization, give it verve and focus. I am honored by your selection of me as your leader, and I commit to maintaining an active role in the Society moving forward. Thank you for this opportunity and for the trust you have placed in me. ◗

EXECUTIVE DIRECTOR’S M ESSAGE I recently had an opportunity to attend a conference called “digitalNow2013,” which, while its title would suggest it is all about technology, is more about leadership in the midst of the never-ending technological revolution (or evolution, depending on your point of view). The keynote speaker was Michio Kaku, PhD, a physicist whose most recent book, Ronald S. Moen Physics of the Future, provides an exciting glimpse into the future of the digital age and its impact on our lives. Of particular interest to me were the predictions on how the ability to diagnose and treat disease, along with the analysis of one’s genes, will revolutionize medicine. You can watch Dr. Kaku’s presentation by going to www. digitalnowlive.com. The presentation is free, but you will have to register to be able to view and listen. The video contains all the slides that were part of his presentation as well. You might also want to read his book. Another excellent presentation focused on “The Convergence of Technology, Design and Leadership,” which is equally relevant to SAEM and all of our members and staff. It was presented by John Maeda, president of the Rhode Island School of Design since 2008, and named by Esquire magazine as one of the 75 most influential people of the 21st century. You can also see his presentation by going to the site mentioned above.

leaders in the field. The Resident Leadership Forum on May 16, the Medical Student Symposium on May 17, and the Junior Faculty Development Forum all promise to provide excellent opportunities to develop leadership skills no matter where you are in your career. You will also not want to miss the Keynote Session on Thursday afternoon by Dr. Thomas Frieden, the director of the Centers For Disease Control, on “Public Health and Emergency Medicine: Working Together to Protect People and Save Lives.” Another notto-miss special session occurs on Friday afternoon: “The Future of Health Care Reform and Implications for Emergency Medicine,” to be held at the beginning of the business session, with a panel consisting of Mr. Gordon Wheeler, head of the ACEP Office of Government Affairs, Dr. Atul Grover, director of Public Policy at the American Association of Medical Colleges, and Dr. Walter Koroshetz, deputy director, National Institute of Neurological Disorders and Stroke (NINDS), and acting director, NIH Office of Emergency Care Research. With a record number of high-quality didactic and abstract sessions and some time to network and see friends, we should all have a great time in Atlanta. SEE YOU THERE, May 14-18. ◗

I commend these two speakers and their presentations to SAEM members because they require us to think about our ability to deal with change, how we function when confronted with increasingly complex issues at work and in our personal lives, and how they challenge us to become resilient as individuals and as an organization. Sometimes it is necessary to get outside of ourselves and our comfort zones, and look at our situations through other lenses. In a similar vein, Dr. Hobgood, in her final President’s Message in this Newsletter, has challenged all of us to invest our intellectual capital wisely for the benefit of all, and in particular to focus on how we use this intellectual capital to benefit SAEM and our fellow members. She has also asked us to invest in the future of SAEM and academic emergency medicine by making sustained gifts to the SAEM Foundation. I have “become one” and I hope all members of SAEM will join in this significant commitment to the future of this great specialty. Since this Newsletter will appear just before the 2013 SAEM Annual Meeting, I want to call your attention to some of the very special programs that deal with leadership development in academic emergency medicine. The new two-day Senior Leadership Faculty Forum on May 14 and 15 brings together an outstanding faculty to deal with the challenges faced by senior

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M EM BER HIGHLIGHT Brandon Maughan, MD The arrival of this newsletter means that June is around the corner – and that I am nearly done with residency!

As I look back at the last four years, I am thankful for my residency classmates, the amazing Brown emergency medicine faculty, and the professional relationships within academic EM that I have developed through SAEM. I wish to thank several Brown faculty members for their contributions to my professional development, including Brian Zink, Brian Clyne, Michael Mello, Gary Bubly, Megan Ranney, and Anthony Napoli, among the many other excellent clinicians and educators I have had the pleasure to work with. My academic career began on the West Coast. I grew up in Portland, Oregon and received my undergraduate degree from Stanford University. After graduating, I volunteered in the emergency department at San Francisco General Hospital, where I recall a very enthusiastic Michelle Lin encouraging me to explore emergency medicine. I was excited to pursue a medical career, but I was also intrigued by the complex role of state and federal policy in shaping public health. Before jumping into medical school, I completed a master’s degree in health policy at Johns Hopkins University and worked at the Lewin Group, a health policy consulting firm just outside Washington, DC. I loved the policy work, but I knew that clinical practice would be the foundation upon which I would build the rest of my career. In 2005, I returned to academics and began medical school at Case Western Reserve University. I made two good decisions during my first year of medical school. First, I went to an event during orientation where I met a beautiful and brilliant medical student named Karen. We started dating a few months later and were married just before graduation three years after that. My second good decision was to sign up for an introductory emergency medicine elective at MetroHealth Medical Center, during which I met and worked with Rita Cydulka. Over the next couple years, Rita guided me through my first EM research project and subsequent poster presentation at the 2008 SAEM Annual Meeting. I owe her a great debt for her thoughtful mentorship and for introducing me to academic emergency medicine. Residency at Brown University has been everything I could ask for: intensive clinical training, dedicated grants for resident research training, and supportive faculty who helped me define and achieve my professional goals. Resident leadership development is strongly supported by our department, and the four-year residency curriculum has allowed me the flexibility

necessary to participate in professional development activities without compromising my clinical training. As a junior resident, I participated in hospital committees and a statewide committee on health information exchanges. I participated in my first national committee during my PGY-3 year, when I was selected for the SAEM Research Committee, as well as committees for ACEP and EMRA. My experience on the Research Committee was particularly rewarding thanks to the guidance and support of Esther Choo and committee chair Mark Courtney, both of whom helped me develop a didactic event for the 2012 Annual Meeting. During my final year of residency, I was selected as chief resident and elected as the resident member on the SAEM Board of Directors. I am grateful for my co-chiefs, Elizabeth Goldberg and Reagan Herrington, and for their patience with my busy schedule! SAEM has contributed to my development as a researcher. My early clinical research focused on sepsis and noninvasive hemodynamic monitoring, while my interest in policy and health services research developed around medical informatics, clinical quality metrics, and implementation of evidence-based practice guidelines. After my poster at the 2008 Annual Meeting, SAEM provided my first opportunity for an oral abstract presentation during the 2010 New England Regional Meeting. In 2011, while participating on the Health Services and Outcomes Interest Group, I gathered advice from other SAEM members on research fellowships that I could pursue after residency. The following year I was selected for the ACEP-EMRA Health Policy Mini-Fellowship, an intensive one-month elective working with the ACEP legislative and advocacy staff in Washington, DC. This experience further developed my leadership training and reinforced my desire to pursue training in health services research. Serving on the Board of Directors has been the capstone of my residency experience. All of the Board members have been incredibly supportive – I thank them for their leadership lessons, their advice on making the transition to junior faculty, and for their suggestions on managing work-life balance. While on the Board I have seen how SAEM continues to develop new resources for different communities within EM, from global health and ultrasound to simulation, geriatric care, and women’s health. As Continued on Page 7

Continued from Page 6 the liaison to the Resident and Student Advisory Committee this year, I have seen significant growth in events aimed at residents and medical students at regional meetings, including the popular simulation and ultrasound competitions. The next step in my career will take me to the University of Pennsylvania for the Robert Wood Johnson Clinical Scholars Program. My current interests focus on cost transparency, comparative effectiveness, appropriate use of diagnostic testing, and measuring the value of emergency care services. During this fellowship I look forward to working with well-known SAEM role models including Jill Baren, Raina Merchant, Brendan Carr, Zach Meisel, and Karin Rhodes. At each stage in my training, SAEM has provided opportunities to connect with the broader community of academic emergency medicine and build relationships with colleagues across the country. To the medical students and residents out there, I encourage you to get involved! SAEM committees, academies, and interest groups cover the entire spectrum of emergency medicine practice, so I guarantee there are SAEM members with similar interests that would enjoy working with you. In return, you will meet residency directors and possible future employers, learn about the cutting edge of emergency medicine practice, and build friendships that will span your entire career. We hope to see you in Atlanta! â&#x2014;&#x2014;

SAEM ELECTION RESULTS FOR 2013-2014

SOCIETY FOR ACADEMIC EMERGENCY MEDICINE/ HEART FAILURE SOCIETY OF AMERICA

SAEM President-Elect Robert S. Hockberger, MD

Early Acute Heart Failure Interest Group

SAEM Secretary-Treasurer Andra L. Blomkalns, MD SAEM Members-at-Large Kathleen J. Clem, MD, FACEP (three-year term) Amy H. Kaji, MD, PhD (three-year term) James F. Holmes, MD, MPH (two-year term, to fill unexpired position vacated by Dr. Hockberger)

Deborah B. Diercks, MD, MSc (one-year term, elected to fill unexpired position vacated by Dr. Blomkalns)

SAEM Nominating Committee Christopher Fee, MD

Date: Monday, September 23, 2013, 6:00 â&#x20AC;&#x201C; 7:00 pm Location: Heart Failure Society of America Annual Meeting Peabody Hotel, Orlando, Florida Overview: The HFSA and SAEM aim to convene a group of clinicians and researchers who are interested in the early and initial management of acute heart failure, with the goal of advancing: 1) Research 2) Education 3) Patient Care 4) Advocacy

SAEM Constitution & Bylaws Committee Ali S. Raja, MD

This informational session is intended to describe preliminary and short-term goals and solicit ideas from those who are interested in participating in this group.

SAEM Resident Board Member Brett Rosen, MD

If interested please RSVP: sean.collins@vanderbilt.edu and bgalle@hfsa.org

ETHICS IN ACTION HOW TO APPROACH PAIN MANAGEMENT IN THE EMERGENCY DEPARTMENT Gerry Maloney, DO

Assistant Professor of Emergency Medicine, Consultant in Ethics MetroHealth Medical Center/Case Western Reserve University

You are working a busy shift in the ED. You begin to evaluate a 49-year-old male patient for low back pain. He describes an acute exacerbation of his chronic pain that he believes was triggered by lifting some boxes at home. He has had a prior lumbar laminectomy and fusion. His exam shows no focal neurological deficits, no midline bony tenderness, and no fever. Per your department’s policy, you initiate a search in the state pharmacy database for his past opioid prescriptions and find 14 prescriptions from 9 providers in the past 12 months. A nurse and one of your colleagues comment that this provides proof he is “drug-seeking.” The patient, when confronted, tells you he has no insurance and cannot find a regular physician or pain management specialist to help manage his pain. He is asking for a prescription for an opioid analgesic as these are the only medications that help his pain. Not since the shift in the late 1990s to enhanced provider awareness of patients’ pain levels and oligoanalgesia has pain management gained such attention in the emergency medicine community. A steep rise in the death rate from prescription opioid overdose, coupled with a rise in opioid abuse-related ED visits, has led to renewed scrutiny of prescribing practices and a shift of the pendulum back towards restraint in prescription of opioids. The concerns over the opioid abuse issue have led many states to develop prescription-monitoring programs to track opioid prescription patterns among patients and allow physicians an opportunity to intervene with a patient who may have an opioid addiction. Development of restrictive opioid prescribing policies in many emergency departments has followed the availability of the monitoring programs. This has resulted in an overall effort to identify patients with potential abuse/addiction problems and deter them from obtaining prescriptions from the emergency department. However, this raises broader ethical questions about pain management in the emergency department. Most providers agree that dealing with opioid-addicted patients who are using all methods at their disposal to obtain an opioid prescription from the

physician is a stressful and unpleasant part of the job. Most also agree that the increased availability of prescription opioids has contributed to the rise in opioid-related morbidity and mortality. Patients with chronic pain are particularly challenging in that it becomes more difficult to determine if there is a malingering aspect to their behavior, if they are having legitimate pain, or if there are elements of both in the patient’s presentation. This has resulted in a deep schism as to how best to approach the problem. The basic ethical framework of principlism (beneficence; nonmaleficence; autonomy; and justice) can provide a framework for how to approach the issue of pain management in the emergency department. Beneficence requires us to make decisions in the patient’s best interest; to alleviate suffering; and to consider the general well-being of the patient. Pain management is considered one of the most beneficent acts we can do as a physician; however, providing prescription opioids to those who are addicted to them may not be in their best interest. This is where beneficence overlaps with nonmaleficence. Nonmaleficence means that we should not cause harm to our patients. Nonmaleficence requires us to walk a fine line between avoiding harm by leaving someone’s legitimate pain untreated and contributing to further problems by providing opioids to addicts, which can destroy both their physical and their emotional well-being. Another aspect of the pain management conundrum in which both beneficence and nonmaleficence figure prominently is the use of prescription databases. While the use of these databases is becoming more and more common, the way in which the information obtained is utilized can be ethically perilous. If the goal of obtaining the information is either to identify patients who may be addicted to opioids and refer them for treatment, or to identify patients with poorly managed chronic pain who would benefit from referral to a pain management specialist, then the use of these programs is ethical. If the purpose becomes one of “getting” a drug seeker, then the information is not being used in a nonmaleficent way. Autonomy in this case applies to basic respect Continued on Page 9

Continued from Page 8 for patients’ independence as people, which in the realm of pain management may include taking them at face value when they are expressing their preferences for pain control. Again, providers frequently respond aversely to a patient expressing a desire or preference for a particular analgesic, especially if it is an opioid. Particularly for patients with chronic pain, they may have had a great deal of experience trying different medications for their pain and may know what works best for them. While this is not by any means a mandate to acquiesce to a patient’s wish if the physician feels it is inappropriate, it should serve as a reminder to consider the patient’s input into their treatment plan. Finally, justice talks about equal distribution of resources and fair processes. Several studies have detailed racial and ethnic differences in the rate of analgesia administration. We need to ensure that our provision of analgesia is truly fair and even to all people, and that, if we are deciding to withhold a treatment, it is after careful consideration of all factors, and the decision is being made, again, in the patient’s best interest. In summary, pain management has become one of the most scrutinized, and divisive, issues in emergency medicine. We have at present more ability than at any time in the past to test the veracity of what our patients are telling us about their use of controlled substances, and with that ability come potential ethical problems as this information colors and informs the doctor-patient relationship and impacts our prescribing practices. Application of the four general bioethical principles to the patient in front of you as you consider pain management options can help you make ethically sound decisions. ◗

2013 SAEM SOUTHEASTERN REGIONAL MEETING The 2013 SAEM Southeastern Regional Meeting took place on March 23 and 24 at the One Ocean Resort in Jacksonville Beach, FL. The meeting hosted 80 participants and eight academic EM programs. Participation in regional research and education was outstanding, with seven oral presentations and 32 poster presentations by the end of the conference.

the academic emergency medicine programs in the Southeast region, including the University of Florida COM-Jacksonville; the Florida Hospital EM program; Emory University; and the Louisiana State University – New Orleans for financial and academic support for the conference.

Winners of the presentation awards included:

1. more oral presentations on the first day;

•B est Oral Presentation: Henry Wang, “Long-term mortality after sepsis.”

2. focus on a medical student simulation event;

•B est Research Poster: Chante Jones; Benjamin I. Lee, MPH; Erin Simmers, MD; Lisa Moreno-Walton, MD, “The need for early antigen testing of acute HIV in the emergency department,” Section of Emergency Medicine, Department of Medicine, LSUHSC, New Orleans, LA

4. an educational track that focused on EM mentoring;

•B est Educational Poster: Christine Swenton, MD; Tom Morrissey, MD, PhD; David Caro, MD; Colleen Kalynych, MD; Faheem Guirgis, MD, “Mentoring 101 for medical students applying to emergency medicine residency programs,” University of Florida College of Medicine, Department of Emergency Medicine, Jacksonville, FL This year’s event was held at a venue designed to take full advantage of the beach and its attractions. The committee recognizes

Unique aspects of this year’s program included:

3. a new resident ultrasound simulation event, which was won by the University of South Florida’s ultrasound sim team; 5. and a research track focused on how to obtain grant funding. The regional planning committee will meet at the SAEM Annual Meeting to begin preparations for next year’s regional meeting. Anyone who is unable to attend and would like to participate in next year’s planning, please contact Dave Caro at david.caro@jax.ufl.edu or Holly Gouin at hgouin@saem.org. Dave Caro, MD 2013 SAEM Southeastern Regional Meeting Planning Chair Residency Program Director University of Florida College of Medicine-Jacksonville

RESIDENT AND STUDENT ADVISORY COM M ITTEE MAXIMIZE YOUR TIME AT THE SAEM 2013 ANNUAL MEETING A guide brought to you by the Resident and Student Advisory Committee Winter has dragged on and on for many of us across the country. With record snowfalls across much of the Midwest and Northeast, spring seems a little too far off, even for those out west with ski slopes to enjoy through the long winter! After all these cold months, SAEM couldn’t have picked a better place than the Peach State, the site for the 2013 SAEM Annual Meeting! Hopefully you have already purchased your tickets to “Hotlanta,” as the locals affectionately call their capital city. The nickname might stem from the warm weather of the South or the exciting nightlife of Atlanta, but either way we have a lot to look forward to, and we haven’t even talked about the conference yet! Now, let’s focus on a few of the many standout conference sessions available to you at the 2013 meeting. Day 1, May 15, offers some excellent sessions from a professional and educational standpoint. Come be inspired by some former residents (also known as junior faculty) selected from a nationwide search for individuals who brought innovation and leadership to their respective programs (“How to become a Trailblazer: Perspectives from Resident Innovators” – 4:20 pm). If you are already thinking about what to do after residency, check out some of the fellowshipfocused sessions – from critical care (“The Current State of Critical Care Training” – 10:50 am) to EMS (“Advances in EMS Education“ – 11:50 am) to wilderness medicine (“Thriving in the Wilderness” – 1:50 pm), there is something for every interest. Here’s hoping your after-hours activities on Day 1 don’t run too late, as the session “Choosing a High-Impact Quality Improvement Project as a Resident or Student AND Getting It Published”

on Day 2 at 8:50 am promises to provide maximum impact. All residents are required to engage in quality improvement and scholarly works, so why not learn to tackle both these tasks simultaneously? Later in Day 2, “Challenging the Physician-Patient Relationship: Negotiating Deception, Manipulation and Medical Mistakes” at 11:30 am will deal with some controversial and hardhitting topics we will all face during our careers. The Resident Leadership Forum takes place on Day 2 as well. The format has recently changed, in that all residents are now encouraged to register, not just incoming chiefs. There will be three tracks, with everyone attending the opening Leadership Track. In the second part, the Chief Resident Forum will be one track and a new Resident Academic Track will be the other option. Also, after the plenary session, the best abstracts submitted to the Meeting will be highlighted at the “Gallery of Excellence”: come see the best of the best research that is taking place across the country. And of course, don’t miss the keynote speaker, Dr. Thomas Frieden, the director of the CDC, which is also located in Atlanta. In the second half of the conference, we have some additional sessions that we think would be worthwhile for residents to attend. Let’s start with the sessions on Friday, May 17. Though we all like to sleep in, “Diagnostic Imaging and Radiation Exposure: How Much is Too Much?” promises to be worth waking up early to attend at 8:00 am! At some point, a patient has asked you about the radiation exposure of all the studies you order, and this talk will address some of these concerns. Additionally, the 10:30 am didactic on “Policy Change 101: A How-to Primer for the Emergency Physician” should be of value to residents and Continued on Page 11

Continued from Page 10 students. In this day and age of graduate medical education cuts, costs trimmed from hospital budgets, and even more patients, it is important to be involved in the health policy debate. Finally, stop by SimWars and witness exciting real-time resuscitations - you can compete along with your peers in the virtual world! On the last day of the conference, there are a number of outstanding sessions. During residency (and beyond,) we will all give lectures or presentations. At 8:00 am, “Presentation Design: An Evidence-Based Approach” should help you with this important skill. And finally, we are all hearing more and more about Twitter, Facebook, LinkedIn, blogs, podcasts, and all other types of social media within EM. Wondering what in the world a hashtag is? Or do you keep hearing about FOAM (Free Open Access Meducation) and want to know what the big craze is about? One of the final sessions of the conference, at 11:00 am, is about incorporating social media into education. See how this new phenomenon is changing the way we learn and debate information. Also, be sure to check out SonoGames™: either bring your own ultrasound team or be a spectator to the fight for sonographic supremacy! The SAEM Annual Meeting is the premiere event for the latest and greatest in education and research within EM. No matter what sessions you choose to attend, you are bound to learn something that will help you in your practice. The more meetings you attend, the better you will be at being able to critically evaluate posters and didactics. The information that you gain will help you shape the way you practice EM. One of the authors of this article (BR)

has been to five annual meetings as a student and now as a resident, and he feels strongly that the knowledge you will gain WILL shape your practice and put you on the cutting edge in EM. Another great reason to come to the meeting is to network with your colleagues from across the country (and the world!). For residents and students, the Residency and Fellowship Fair is a great place to network with program directors and other faculty, residents, and fellows from individual programs. This is the best time to ask your questions and get a feel for a program before deciding to apply. The list of programs at the fair is published in advance - make sure you circle the ones you want to go to and have questions ready for them. You will be surprised by how friendly everyone is and how quickly you can catch someone’s eye or make a connection! Look for the RSAC-sponsored scavenger hunt during the Residency Fair: this will be a fun way to visit many of the booths at the fair, and we have a great prize for the winner, who will be announced in person! In conclusion, the Annual Meeting is the face of the Society and all that it does over the course of the year. The Society is the only emergency medicine organization that represents all residents in every program throughout the country as THE academic society in emergency medicine. It is worth attending as a student or resident at least once. In addition to all of the great academic material you will encounter, you will have a great time! Between the social events, experiencing Atlanta, and gaining knowledge, it will be a great conference, and we look forward to seeing many of you there. And, of course, to those unable to attend because they are staffing our emergency departments, we thank you too! ◗ Brett Rosen, MD – member, Resident and Student Advisory Committee Marie Vrablik, MD – co-chair, Resident and Student Advisory Committee

IT’S ABOUT WHAT MOVES

YOU.

What moves you? Is it the opportunity to grow with a group of medical professionals that are serious about their work AND play? You can have both. As an integral part of Questcare, you will find a platform and philosophy that is conducive to creating the work/play balance of life that you have the power to orchestrate.

• Ownership opportunity • Democratic group process • Excellent compensation and benefits • 21 ultramodern facilities in Dallas/Fort Worth, San Antonio, El Paso, and Oklahoma City • Leadership development program • Journal club • Committee involvement • Documentation and efficiency academy • Mentoring and development Regina Rivera, MD / Emergency Medicine / Amateur Mountaineer “When I finished residency, I wanted an EM group that would offer me ownership in the practice, growth/development opportunities, and a balance between my career and family. Questcare came through with all of that plus state-of-the-art facilities and great colleagues.”

questcare EMERGENCY MEDICINE

Let’s talk about what moves YOU. jobs@questcare.com or (972) 600-2885

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RESEARCH ETHICS: CURRENT GUIDELINES ON EXCEPTIONS FROM INFORMED CONSENT FOR EMERGENCY RESEARCH Edward J. (Mel) Otten, MD, FACMT, FAWM The most basic principle of scientific research in humans is that the subjects must give consent for their participation in the study. There are many historical scenarios where research subjects did not give consent, may not have even known that they were in a study and/or were harmed by the research. Research in emergency medicine often involves pre-hospital projects where it is difficult or sometimes impossible to get informed consent from the patient either because of their clinical condition or the inability of the prehospital provider to consent the patient. In order to allow studies where subjects cannot give consent, the FDA and the Department of Health and Human Services have developed nonbinding recommendations for Institutional Review Boards (IRBs), clinical investigators, and sponsors to carry out emergency research. These recommendations fall under FDA Title 21, Code of Federal Regulations, Section 50.24 (21CFR 50.24) and HHS 45 CFR 46.116 (a) and (b) and at 46.408. These recommendations, which do not preempt state law, first took effect on November 1, 1996, but only recently has the federal government translated the regulations into a set of applicable guidelines, in a document titled “Guidance for Institutional Review Boards, Clinical Investigators, and Sponsors: Exception from Informed Consent Requirements for Emergency Research,” published in March 2011 by the FDA. Below, I present the most pertinent points of the FDA’s “Guidance.” However, everyone involved in emergency research should read the document in its entirety if exceptions from informed consent are necessary for their project. Research that is eligible to be conducted under these regulations may involve treatment or diagnostic modalities, drugs or devices, including investigational new drugs or devices, placebo-controlled trials, and pediatric subjects. Regardless of the topic of the trial or the subjects enrolled, all of the following conditions must be met for a study to be eligible under 21 CFR 50.24: • The human subjects are in a life-threatening situation that necessitates urgent intervention; • available treatments are unproven or unsatisfactory; • collection of valid scientific evidence is necessary to determine safety and effectiveness of the intervention; • obtaining informed consent is not feasible because the subjects are not able to give informed consent as a result of their medical condition; • the intervention must be administered before consent can be obtained from the subject’s legally authorized representative; • there is no reasonable way to identify prospectively individuals likely to become eligible for participation; • participation in the research holds out the prospect of direct benefit to the subjects; • the clinical investigation could not practically be carried out without the waiver; • the subjects are neither pregnant women nor prisoners. Additional responsibilities of the investigators include: • consultation with representatives of the community where the research will take place;

• public disclosure of information before and after the project; • commitment to try to locate the subject’s legally authorized representative or relative; • establishment of an independent monitoring committee. Community consultation means providing an opportunity for discussions with the community where the study will take place and from which the subjects will be drawn. The number of community meetings and how many community members must be involved should be based on the community in question and the specific nature of the investigation. Showing respect for the persons in the community by informing them about the study in advance, allowing for input from them to the IRB, allowing representatives of the community to voice community concerns about the effects of the research, and respecting the subject’s autonomy are all part of community consultation. While no subjects can be enrolled in such a study if their family member or legal representative objects, and subjects must be removed if they object to the study if and when they regain consciousness, there is no “opt-out” (i.e., ways for an individual to indicate a desire not to participate in research involving an exception from informed consent) mechanism required by 21CFR50.24. The IRB may require one after consultation and input from the community, however. Public disclosure of the study must occur prior to initiation of the study and again after the study has been completed. Public disclosure means dissemination of information about the emergency research sufficient to allow a “reasonable assumption” that the broader community is aware of the plans for the investigation, its risks and expected benefits, and, afterwards, the study’s results. Both community consultation and public disclosure are the responsibility of the sponsor and the principal investigator. Copies of the public disclosure documents must be submitted to the FDA by the sponsor. The HIPAA Privacy Rule 45 CFR 164.508 may be waived under 21 CFR 50.24 by the IRB or Privacy Board. ◗ Further information regarding this policy and its applications is available at: http:// www.fda.gov/ScienceResearch/SpecialTopics/RunningClinicalTrials/default.htm. Ref: Guidance for Institutional Review Boards, Clinical Investigators, and Sponsors: Exception from Informed Consent Requirements for Emergency Research, March 2011, US Department of Health and Human Services, Food and Drug Administration, Office of Good Clinical Practice

Thursday, May 16 Thursday, May 16

AEUS small group meetings (committee members AEUS small grouponly) meetings Room: Tower Room 1401 (committee members only) Room: Tower Room 1401 8:00 -8:50 am REASON Trial

8:00 -8:50 am REASON Trial 9:00 – 9:50 am EUSFellowships 9:00 – 9:50 am EUSFellowships 10:00 – 10:50 am AEUS Board Meeting 10:00 – 10:50 am AEUS Board Meeting 11:00 – 11:50 am International Subcommittee 11:00 – 11:50 am International Subcommittee 12:00 – 12:50 pm Resident Subcommittee/Med Student 12:00 – 12:50 pm Resident Subcommittee/Med Student 1:00– 1:50 pm Membership Subcommittee 1:00– 1:50 pm Membership Subcommittee 2:00 – 2:50 pm Social Media/Grants 2:00 – 2:50 pm Social Media/Grants

Friday, May 17 Friday, May 17

AEUS Business Meeting Room: Room I (6th floor) AEUS Vinings Business Meeting

Activities 2013 Activities 2013 Saturday, May 18 Saturday, May 18

SonoGames™ 2013 Room: Plaza Ballrooms SonoGames™ 2013 A-B-C Combined

8:00 amPlaza – 12:00 pm Room: Ballrooms A-B-C Combined 8:00 am – 12:00 pm Join us for the 2nd annual SonoGames™ and watch to be Join us forresident the 2nd teams annualcompete SonoGames™ the nation’s top sonologists. and watch resident teams compete to be the nation’s top sonologists. All aspects of ultrasound competence will be image acquisition, All assessed, aspects ofincluding ultrasound competence will image interpretation, and incorporation be assessed, including image acquisition, into clinical practice. and incorporation image interpretation, into clinical practice. Will Boston Medical Center retain its title of SonoChamps? Or will a new teamitsclaim Will Boston Medical Center retain title the Cup? of SonoChamps? Or will a new team claim the Cup?

8:00 amVinings – 12:00Room pm I (6th floor) Room: 8:00 am – 12:00 pm 

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   

Teaching in the Modern World: Social Media, Apps andModern other technologies. Teaching in the World: Social Panel of Experts on Tele-Ultrasound; Media, Apps and other technologies. uses, challenges solutions. Panel of Experts and on Tele-Ultrasound; Pearls of Grant Writing uses, challenges and solutions. Awards 2013-2014 Pearls ofand Grant Writing BOD introductions Awards and 2013-2014 BOD introductions

AEUS Didactic Sessions Room: Rooms E-F (6th floor) AEUS International Didactic Sessions

1:00 – 3:00 pm Room: International Rooms E-F (6th floor) 1:00 – 3:00 pm Controversies in Emergency Ultrasound: The Debate Rages On Controversies in Emergency Ultrasound: (1:00 – 1:50 pm) The Debate Rages On (1:00 – 1:50 pm) Resident Education in Ultrasound: Meeting the Milestone Resident Education in Ultrasound: Meeting (2:00 – 2:50pm) the Milestone (2:00 – 2:50pm) www.saem.org/academy-emergency-ultrasound www.saem.org/academy-emergency-ultrasound

All are invited to AGEM’s exciting slate of didactic and research presentations . . . . . . . DIDACTIC PRESENTATIONS Thursday, May 16 (Vinings II Room – 6th Floor) Level) 8:00 - 9:00 am

AGEM Business Meeting

9:00 - 10:00 am

“Oncologic Emergency Medicine: An Emerging Subdiscipline?” Knox H. Todd, MD, MPH Professor and Chair; Department of Emergency Medicine, MD Anderson Cancer Center

10:00 - 11:00 am

"Working with Your Institution to Geriatricize Your ED" Kevin Biese MD, MAT, Associate Professor, Emergency Medicine Residency Director, University of North Carolina and Ula Hwang, MD, MPH, Associate Professor of Emergency Medicine, Geriatrics, and Palliative Medicine, Icahn School of Medicine at Mount Sinai

AGEM FEATURED PRESENTATION

FEATURED “SeekingAGEM Grant Support from PRESENTATION Foundations: Understanding Mission-Driven “Seeking Grant Support from Foundations: Understanding Mission-Driven Philanthropy” Philanthropy” Marcus Escobedo, MPA Marcus Escobedo, MPA, Program Oﬃcer, The John A. Hartford Foundation Program Officer, The John A. Hartford Foundation 11:00 am - 12:00 pm 11:00 am - 12:00 pm

Friday, May 17

(International Room D, 6th Floor) Level)

8:00 - 9:30 am

“Informed Consent in Emergency Research – Pitfalls and Practical Pearls.” Ula Hwang MD, MPH; Adit Ginde MD, MPH; Jin Han MD, MSc; Lynne Richardson, MD

9:30 – 10:00 am

“Models of Subspecialty Geriatric Emergency Departments – The Silver Tsunami: The Top Ten Interventions for Establishing a Geriatric (-Friendly) ED” Kathleen Walsh, MD

GERIATRICS-RELATED ORAL PRESENTATIONS

Wednesday Thursday Thursday Friday Friday

May 15 May 16 May 16 May 17 May 17

11:00 am – 12:00 pm 8:00 – 9:00 am 12:00 – 1:00 pm 9:00 – 10:00 am 1:00 – 2:00 pm

Geriatric Pain Geriatrics Geriatric Trauma Geriatrics Geriatrics

Oral Presentations (Atlanta G) Oral Presentations (Atlanta B) Oral Presentations (Atlanta A) Lightning oral (Roswell 2) Lightning oral (Atlanta A)

AGEM is grateful for the support of the following institutions through AGEM group memberships:

Our Mission

•To promote equal access to quality healthcare and the elimination of disparities in treatment and outcomes for all groups regardless of race, sexual orientation, disability, or socioeconomic status through education and research •To enhance the retention and promotion of those historically underrepresented in medicine and to create an inclusive environment for the training of emergency medicine providers; specifically using the AAMC’s guide “to unite expertise, experience, and innovation to inform and guide the advancement of diversity and inclusion in emergency medicine” •To enhance the professional

development of all EM faculty and residents with respect to culturally competent medical care Why is ADIEM important? Although the U.S. population continues to become more diverse, ethnic and racial health care disparities persist. The benefits of a diverse medical workforce have been well described, but the percentage of emergency medicine residents from underrepresented groups is small and has not significantly increased. ADIEM has partnered in a more powerful way with SAEM, working towards the realization of our common goals of diversifying the physician workforce at all levels, eliminating disparities in health care and outcomes, and insuring that all emergency physicians are delivering culturally competent care.

Academy for Diversity and Inclusion in Emergency Medicine Dear friends, In ADIEM’s inaugural year, we are delighted to highlight our events for the SAEM Annual Meeting. It is particularly meaningful for me as president of ADIEM and faculty at Emory to welcome you to my home city of Atlanta. We are particularly pleased with ADIEM’s didactics, including one that takes a historical look at diversity and inclusion in emergency medicine in SAEM, and our groundbreaking didactic on LGBT health. Our business meeting lends itself to networking and sharing of ideas to expand our mission of addressing cultural awareness for all people. We had several submissions from across the nation, and we look forward to learning more and engaging in these very important topics. The poster presentations include “Barriers to the Emergency Department Utilization of Interpreter Services” and “Cultural Competencies in Emergency Medicine: Caring for Muslim-American Patients from the Middle East.” Each year, we also honor and celebrate SAEM members in several award categories. This year’s winners are:

ADIEM Events at SAEM Business meeting (May 15 1:00 - 5:00 pm - Vinings Rm I [6th floor]) Inaugural Didactic Presentations (May 16 8:00 - 10:00 am International Rm B [6th floor]) “LGBT Health: Educating EM Physicians to Provide Equitable and Quality Care” “Disparities and Diversity in Emergency Medicine: SAEM - Where are we now?”

Marcus L. Martin Leadership Award Dr. Lisa Moreno-Walton, LSU Health Science Center Visionary Educator Award Dr. Iris Reyes, Univ. of Pennsylvania’s Perelman SOM Outstanding Academician Award Dr. Jeffrey Druck, Univ. of Colorado Outstanding Future Academician Award Dr. Juron Foreman, Emory SOM

NMA Annual Convention and Scientiﬁc Assembly

Lastly, another activity on the horizon in which several ADIEM members participate is the upcoming conference of the National Medical Association Section of Emergency Medicine. Leaders of ACEP and AAEM will be present at this event, scheduled to be held July 27-31 in Toronto, Canada. All are invited to participate in a national discussion on health disparities with this year’s focus on the obesity epidemic and how emergency providers can be part of the solution. Visit www.nmanet.org for more information. Thank you for your commitment to and engagement in the topics of diversity and inclusion in Emergency Medicine. Sincerely, Sheryl Heron, MD, MPH President - ADIEM

www.saem.org : membership@saem.org

The Globalization of Emergency Medicine Affects YOU When you travel, do you want to be taken care of by professional emergency physicians? Do you want to know they have had the right training? Do you want a good pre-hospital care system to take you to the right hospital? All around the world, EM is emerging as a specialty. Working together, we can mutually strengthen our specialty. GEMA (the Global Emergency Medicine Academy) of SAEM is YOUR VEHICLE to further academic emergency medicine around the world.

Join us during our academy meeting May 16, 2013 8:00 am - 12:00 pm Vinings Room I (6th Level) 8:00 am - 9:30 am GEMA Business Meeting and Awards Ceremony 9:30 am -10:30 am GEMA Global EM Fellowships Showcase 10:30 am -10:45 am 2013 AEM Consensus Conference Highlights 10:45 am - 11:00 am Break/Refreshments 11:00 am - 12:00 pm How to Get Global EM-related Endeavors Published?

GEMA Didactic Sessions May 17, 2013 -International Room E-F (6th level) 10:00 am - 10:50 am - Life and a Career in Global Health: Can You Have It All? 11:00 am - 11:50 am - The Top 10 Global Emergency Medicine Articles from 2012: Highlights from the Global Emergency Medicine Literature Review

Business Meeting ~ Wednesday, May 15, 2013 8:00 am - 12:00 pm Vinings Room I on 6th Level 8:00 am - 9:30 am General Business Meeting

9:30 am - 11:30 am Presentation of the AAAEM Annual Benchmark Survey Results Panel discussion on how to use data within your department, hospital or clinical practice.

11:30 am - 12:00 pm Wrap Up

For more information on how to become a member of AAAEM visit us www.saem.org

Your Simulation Academy is comprised of emergency medicine physicians who are committed to enhancing education, research, and patient safety through the use of simulation

Thursday, May 16, 2013 ~ 8:00 am - 12:00 pm Conference Room 4 on 7th level o 08:00 to 08:30 SimulaƟon Academy Board o 08:30 to 10:00 SimulaƟon Academy Business MeeƟng o 10:00 to 12:00 DidacƟc / Q & A Panel on EducaƟonal StaƟsƟcs DidacƟc DescripƟon: The NAS Taskforce has been working with staƟsƟcians to create a data analysis plan for simulaƟon-based milestones data. This panel discussion will consider choice of analysis methods and sample size consideraƟons. Topics include Classical Reliability TesƟng, Item Response Theory, and Generalizability Theory. Strengths, drawbacks, and the reasoning behind our evolving choices will be discussed in a panel Q&A format, with brief didacƟc introducƟon by Dr. Bruce Center PhD.

SIM WARS

Friday, May 17, 2013 ~ 8:00 am - 1:00 pm Plaza Ballrooms A-B-C on 10th floor An EMRA-sponsored educational program and an inter-disciplinary simulation competition between healthcare providers.

CDEM Programming for SAEM Annual MeeƟng 2013 Educators of all levels are encouraged to aƩend the following sessions surrounding emergency medicine educaƟon. Thursday, May 16, 2013 8:00 am - 12:00 pm CDEM Business MeeƟng PT – 200 Conference Room 5 (7th Level) 8:00 – 9: 00 am Business Mee�ng 9:00 -11:00 am

CORD Take-Aways: Highlights from CDEM at CORD that each Clerkship Director must have Milestones for Medical Students (Stacy Poznanski, Wright State) SLOR Update (SLOR Task Force) Na�onal Exam vs. CDEM Exam (Emily Senecal, Corey Heitz)

11:00 am -12:00 pm Networking Fair CDEM Ini�a�ves Fair: CDEM Any�me Anywhere (Self-study modules, iBooks, iTunes U), Social Media, CDEM Communica�ons Commi�ee – newsle�er, Assessments in EM – SAEMTests/ ACE EM ACE, EM OSCE Friday, May 17, 2013 8:00 - 8:50 am Educa�onal Por�olio: Your Secret Weapon for Promo�on InternaƟonal E-F combined (6th level) 9:00 - 9:50 am

Good to Great: Eﬀec�ve Feedback to Learners with Diﬃcul�es InternaƟonal E-F combined (6th level)

1:00 - 3:00 pm

EducaƟonal Topics and EducaƟonal Research (Formally Best of CDEM) Hugh A. Stoddard, M.Ed., Ph.D. “Dr. Strangedata: or, how I learned to stop worrying and love accredita�on"

1:00 pm

How Good Are You, The LCME and ACGME Want to Know! Program Assessment, Evalua�on and Improvement InternaƟonal Room B (6th level)

THE AMERICAN BOARD OF EMERGENCY MEDICINE ABEM BOARD OF DIRECTORS ELECTS THREE NEW MEMBERS At its winter 2013 meeting, the Board of Directors (BOD) of the American Board of Emergency Medicine (ABEM) elected three new directors: Michael S. Beeson, M.D., M.B.A.; O. John Ma, M.D.; and Lewis S. Nelson, M.D. Dr. Beeson is professor and program director in the Department of Emergency Medicine at Akron General Medical Center/Northeast Ohio Medical University in Akron, Ohio. He has served ABEM as an examiner for the oral certification examination since 1997; as chair of the Initial Certification Task Force Advisory Panel from 2008-2010; and as an ABEM representative to the Accreditation Michael S. Beeson, MD Council for Graduate Medical Education (ACGME) Resident Review Committee for Emergency Medicine, of which he is the current vice chair. Dr. Beeson is active in a number of emergency medicine organizations, including the Council of Emergency Medicine Residency Directors (CORD), for which he served as president from 2009 to 2010. Dr. Ma is professor and chair of the Department of Emergency Medicine at Oregon Health & Science University (OHSU), chair of the OHSU Professional Board (Chief of Staff), and chief of Emergency Medical Services, OHSU/ Doernbecher Hospitals and Clinics in Portland, Oregon. He has been an examiner for the ABEM oral certification examination since 2002, and an item writer for the ConCertTM examination since O. John Ma, MD 2006. Dr. Ma was also a member of the 2011 EM Model Review Task Force. He is the author of over 115 peer-reviewed articles and book chapters.

Dr. Nelson is professor and vice chair for Academic Affairs in the Department of Emergency Medicine, New York University (NYU) School of Medicine; director for the Fellowship in Medical Toxicology, NYU School of Medicine and New York City Poison Control Center; associate medical director, New York City Poison Control Center, Bureau of Laboratories, New York City Department of Health; and attending Lewis S. Nelson, MD physician, Department of Emergency Medicine, Bellevue Hospital Center and New York University Medical Center. He has served ABEM as an examiner for the oral certification examination since 2007, an item writer for the qualifying examination since 2010, a member and past Chair of the Medical Toxicology Subboard, and member of the Medical Toxicology Core Content Task Force. Dr. Nelson is active in a number of medical organizations, including the American College of Medical Toxicology, for which he served as president from 2010 to 2012. Dr. Beeson, Dr. Ma, and Dr. Nelson will attend the 2013 summer BOD meeting as observers and begin their terms as ABEM directors at the close of that meeting. The ABEM Board of Directors is comprised solely of volunteer, board-certified emergency physicians who are actively participating in ABEM Maintenance of Certification, a program of continuous learning and periodic assessment. The Board includes members who were elected from individuals nominated by sponsoring organizations, other emergency medicine organizations, and ABEM diplomates. Officers are chosen from among the Board members. ◗ About ABEM Founded in 1976, the American Board of Emergency Medicine (ABEM) develops and administers the emergency medicine certification examination for physicians who have met the ABEM credentialing requirements. ABEM has nearly 30,000 emergency physicians currently certified. ABEM is not a membership organization, but a non-profit, independent evaluation organization. ABEM is one of 24 Member Boards of the American Board of Medical Specialties.

AT TE N D I N G #SAE M13? If you are attending the 2013 SAEM Annual Meeting, the Social Media Committee is looking for some help from you online. If you video record discussions about your poster or discussions with presenters/lecturers/competitors and post them (with their permission) to YouTube or Vimeo, email the link to Jason Nomura so we can link to it from the SAEM and AEM video channels. If you are a student or resident who is planning on posting a lot through social media channels about the conference, let us know (jnomura@comcast.net) so you can be recognized. Don’t forget to use the hashtag #SAEM13 and tweet out information about the sessions and research for your colleagues who can’t be there. If you have any questions, contact the Social Media Committee chair Jason Nomura at jnomura@comcast.net

THE AMERICAN BOARD OF EMERGENCY MEDICINE ABEM AT THE SAEM ANNUAL MEETING

ABEM directors and staff will be attending the 2013 SAEM Annual Meeting in Atlanta, Georgia. They will be in a booth near the registration area. Stop by to find out about how to meet your APP Part IV requirements and how to report them online. You can also see a demonstration of the new eOral examination. We look forward to seeing you!

NEW LLSA TEST AVAILABLE

The 2013 LLSA test was posted April 1, 2013. Diplomates have the option of receiving 14 CME credits for successfully completing the LLSA CME activity. The credits are granted from either AAEM or ACEP. Be sure to apply for the credits before starting the test. There is still time to submit your suggestions for readings for the 2015 LLSA test. Articles and other readings received by May 1, 2013 will be considered for inclusion in the 2015 LLSA test. Those received after May 1 will be considered for inclusion in future tests. There are no longer any designated content areas for the tests, so readings will be drawn from any content area of the EM Model. For more information and a link to the submission form, click here.

DOES YOUR CERTIFICATION EXPIRE IN 2013?

If your certification expires in 2013, you have MOC requirements due by December 31, 2013. By that date, you must have completed all of your MOC requirements or you will lose your certification. You can view any uncompleted activities via your Personal Page on ABEM MOC Online. To access your page, go to the ABEM website, www.abem.org, and sign in using your User ID and password. Click on the “ABEM MOC Online” button, and then the orange “View Your ABEM MOC Requirements and Status” button.

DOES YOUR CERTIFICATION EXPIRE IN 2018?

If your ABEM certification expires in 2018, you have APP requirements due by December 31, 2013. By that date, you must attest to having completed a practice improvement (PI) activity and a communications / professionalism (CP) activity. If you do not complete your unmet requirements by this date, you will not lose your ABEM certification; however, ABEM is required to designate and publicly report that you are “not meeting MOC requirements.” A tutorial that guides you through the attestation process is available on the ABEM website.

NEW EXAMINATION FORMAT COMING

The ABEM certification examinations will soon have a new look. They will be “enhanced” to include new types of dynamic stimuli, such as video clips of patients or procedures, moving ultrasounds and rhythm strips, and dynamic vital signs. The enhanced qualifying examination (or “eMCQ”) will begin in 2014. Sample questions, along with corresponding stimuli, are available on the ABEM website. These questions were tested during the 2011 eMCQ pilot, and will not be used in future examinations.

The enhanced oral examination, or “eOral,” will increase the realism of the examination by using improved high-resolution imaging via an interactive, computerized interface, which will also facilitate examiner-candidate interactions. The eOral was successfully piloted in 2012, and will be gradually phased into the current oral examination format beginning in 2015, when three cases will be presented in the new format. ABEM is investigating methods of providing the eOral software to residency programs. The Board has targeted making the software available approximately one year before the first examination with eOral cases. The software will allow programs to develop and administer practice cases. An online version of the candidate interface with two practice cases will be available on the ABEM website at about the same time.

SUBSPECIALTY CERTIFICATION APPLICATION CYCLES EXAMINATION

APPLICATION PERIOD

EXAMINATION DATE(S)

Internal Medicine-Critical Care Medicine

Closes June 1, 2013

October 1, 2013

Sports Medicine

Closes June 1, 2013

July 17-20, 2013

Undersea and Hyperbaric Medicine

Closes July 5, 2013

October 7-18, 2013

Applications for subspecialty examinations can be obtained by emailing ABEM at subspecialties@abem.org.

AWAEM Didactics

The AWAEM Meeting Initiative Committee has prepared a remarkable Didactic lineup for the 2013 SAEM Annual Meeting. These didactics include cutting-edge content, nationally recognized speakers, and stimulating formats. AWAEM Annual Meeting Tips & Tricks for Women Navigating Academic EM May 17, 8:00 am-12:00 pm Vinings II (6th ﬂoor) AGENDA -AWAEM Business Meeting - Navigating the Academic Compass, Directions for Success: An invaluable 80 minute faculty development session for medical students, residents and faculty in all career stages that will include six topics, moderated by Jeannette Wolfe: 1) Pros and Cons of Academic versus Private EM by Kinjal Sethuraman; 2) Tips for Residents to Jump Start their Academic Career by Alyson McGregor; 3) Hitting the Ground Up and Running: A Guide for the First Two Years of Your Academic Career by Stephanie Abbuhl; 4) Educator's Portfolio: How to Stay Organized and On Track by Gloria Kuhn; 5) Networking: Why, How and Where to Connect with Peers and Mentors in Academic EM by Bhakti Hansoti; and 6) Possibilities, Pearls and Pitfalls of Part Time Academics by Jeannette Wolfe. - Managing People in Academic Emergency Medicine: Tools of the Trade for New Investigators by Kinjal Sethuraman - Technology: How Women Can Maximize Their Productivity by Utilizing Social Media, A Social Media Primer by Bhakti Hansoti

AWAEM Annual Networking Luncheon & Awards Presentation May 17, 2013 12:00p-2:00p Conference Room 1-2 (7th ﬂoor)

Gender-Speciﬁc Men’s Health – Top 5 Plays of the Day May 18th, 9:30-10:00am International Room C (6th ﬂoor)

The second presentation in the SAEM Annual Meeting will take the audience through five physiologic systems using the ESPN style of “Top 5 Plays of the Mining the Hidden Science in Your Day.” Each expert presenter, led by EM Research: Gender-Specific Study Alyson Design and Analysis McGregor, will update May 18th, 8:00 – 9:30am the audience International Room C (6th floor) on the top Two hours of the SAEM Annual Meeting genderhave been designated for AWAEM’s specific EM support of gender-specific emergency articles for medicine. This first didactic aims to 2012-13 and how they impact men’s stimulate interest in research on genderhealth. You will hear updates in specific medicine and understand the Cardiology with Basmah Safdar, Sports challenges and solutions of performing Medicine with Neha Raukar, Traumatic gender-based analyses. This Injuries with Federico Vaca, Sepsis with session will be a David Portelli and Neurologic moderated panel led Emergencies with Nina Gentile. Hold by Esther Choo. A onto your hat! This fast paced program statistical expert, will be sure to provide a stimulating Heemun Kwok, will learning opportunity. discuss a framework for considering relevant genderspecific research questions within diverse areas of emergency medicine research and analytical strategies for A big thank you to the approaching the question of the impact AWAEM Meeting on gender on clinical outcomes. Two Initiative Committee, additional EM researchers, Deborah led by Alyson McGregor, Diercks and David Wright, will with members Esther Choo, demonstrate how they have applied Basmah Safdar, Julie Welch, these methods in their own work using Jeannette Wolfe, Tracy Madsen, specific approaches and analytical and Preeti Jois. methods.

ACADEM IC ANNOUNCEM ENTS Daniel J. DeBehnke, MD, MBA, Chief Clinical

Integration Officer at the Medical College of Wisconsin (MCW) and Professor of Emergency Medicine, has been named Interim Chief Executive Officer of Medical College Physicians Group (MCP), effective March 11, 2013. Dr. DeBehnke accepted this position with the unanimous support of MCP, MCW and Froedtert Health leadership.

Jason Haukoos, MD, MSc, associate professor

of Emergency Medicine and Epidemiology at Denver Health, the University of Colorado School of Medicine, and the Colorado School of Public Health, was recently awarded a 5-year, $3.2-million grant from the National Institute of Allergy and Infectious Diseases (R01AI106057) entitled “The HIV Testing using Enhanced Screening Techniques in Emergency Departments (TESTED) Trial.” This multi-center prospective clinical trial will evaluate the clinical and cost effectiveness and impact on processes of care of 3 forms of HIV screening (nontargeted screening; conventional targeted screening; and enhanced targeted screening using an empirically-developed clinical prediction instrument) in the emergency department. Participating institutions include Denver Health Medical Center, Alameda County Medical Center (Oakland, CA; site PI: Doug White, MD), Johns Hopkins Hospital (Baltimore, MD; site PI: Richard Rothman, MD, PhD), and the University of Cincinnati Medical Center (Cincinnati, OH; site PI: Michael Lyons, MD, MPH).

Stephen Trzeciak, MD, MPH, associate

professor of Medicine and Emergency Medicine, Cooper University Hospital and Cooper Medical School of Rowan University, received a 4-year, $2.4-million R01 award from the National Institutes of Health (National Heart, Lung, and Blood Institute) for a study entitled “Neurological and Cognitive Effects of Hyperoxia after Cardiac Arrest.” The study will be conducted in the Emergency Medicine Shock Research Network (EMShockNet).

THE SAEM FOUNDATION IS NOW ACCEPTING GRANT APPLICATIONS FOR 2014-2015. The following grants will be offered and have a deadline of August 1, 2013: Research Training Grant – $50,000/yr. (2-year grant) - The Research Training Grant (RTG) is intended to provide funding to support the development of a scientist in emergency medicine. Application Deadline: August 1, 2013 Education Fellowship Grant – $50,000/yr. (2-year grant) – The Education Fellowship Grant will develop the academic potential of the selected fellow by providing support for a dedicated two-year training period that includes an advanced degree in education. Application Deadline: August 1, 2013 NEW - Education Research Grant - $10,000 (1-year grant) – The Education Research Grant will provide support for a medical education research project. Application Deadline: August 1, 2013 For more details as well as detailed application instructions, please visit the Grants section of the SAEM Foundation website (www.saemfoundation.org).

The SAEM SAEM Research Committee presents the The

2013 Grant Grant Writing Writing Workshop 2013 Workshop Wednesday, May to 15improve This workshop is designed investigators' skills in successful grant writing through This workshop is designed to improve investigators’ skills in didactics,grant panelwriting discussions, and focused panel small discussions, group sessuccessful through didactics, sions. The coursesmall faculty includes federally fundedfaculty investigaand focused group sessions. The course and investigators NIH staff. and NIH staff. includes federallytors funded An optional feedback session will provide registrants the opAn optional feedback session will provide registrants portunity to receive advice through one-on-one interactions the opportunity to receive advice through one-on-one withinteractions federally funded investigators. this individual with federally fundedIninvestigators. Insession, this review and feedback will be provided for grants in various individual session, review and feedback will be provided stages of in preparation. Space is limited and selection for for grants various stages of preparation. Space is limited feedback session will be on a "first come, first served" basis. and selection for feedback session will be on a “first come, To participate, you must register for workshop first served” basis. To participate, youthe must registerand for subthe mit your grant to grants@saem.org. workshop and submit your grant to grants@saem.org. Visit www.saem.org/annual-meeting for more details. Visit www.saem.org/annual-meeting for more details.

This activity has been planned and implemented in accordance with This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Continuing Medical Education through the joint sponsorship of the University of Cincinnati Cincinnati and and the the Society Society for for Academic Academic Emergency Emergency University of Medicine. Medicine. The University of of Cincinnati Cincinnati is is accredited accredited by by the the ACCME ACCMEto toprovide provide The University continuing medical education education for for physicians. physicians.The TheUniversity Universityof of continuing medical Cincinnati designates this live activity for a maximum of 7.75 AMA Cincinnati designates this live activity for a maximum of 7.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate withwith the extent of their participation in the activity. commensurate the extent of their participation in the activity.

CLASSIFIEDS WEST VIRGINIA: Charleston – BP/BC EM physician faculty opportunity within EM Residency. Ideal for a physician who enjoys teaching, this three-hospital system has 100,000 annual ED visits and includes a Level 1 facility. In addition to emergency medicine, there are numerous allopathic & osteopathic residencies, as well as rotating medical and allied health students. Equity-ownership group provides outstanding package including family medical, employer-funded pension, CME, malpractice, plus shareholder status at one year with no buy-in. As West Virginia’s largest city, Charleston offers both metropolitan amenities and easy access to outstanding outdoor recreation. Contact Rachel Klockow, Premier Physician Services, (800) 406-8118, rklockow@premierdocs.com.

Ian Martin, MD, University of North Carolina at Chapel Hill, current president of the Global Emergency Medicine Academy, is one individual who took the SAEM Foundation challenge and BECAME ONE. Will you take the challenge and BECOME ONE member who changed the future of academic emergency medicine? Make your donation online today at www.saem.org

AEM Consensus Conference - Atlanta, GA Global Health and Emergency Care: A Research Agenda

May 15, 2013 Linda C. Degutis, Dr.PH, MSN Director of National Center for Injury Prevention and Control Centers for Disease Control and Prevention Visit www.saem.org/annual-meeting to register

Jeffrey Koplan, MD, MPH Vice President for Global Health and Director of Emory Global Health Institute

SAEM INFO SAEMNEWSLETTER NEWSLETTER INFO

EARLY VIEW for ACADEMIC EMERGENCY MEDICINE Academic Emergency Medicine has been loading articles on "Early View" as soon as they are processed now - so be sure to check this feature regularly on the journal's Wiley Online Library (WOL) homepage, regularly. http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)15532712/earlyview Academic Emergency Medicine on the Wiley Online Library Platform Make sure you keep checking the journal’s home page on the recently implemented platform, Wiley Online Library (WOL) http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)15532712. Many new features appear in the form of “modules” and will be updated on a regular basis. The new platform is more robust and easier to navigate, with enhanced online functionality. Visit often and stay tuned for updates! VIRTUAL ISSUES "Virtual Issues" are now a key feature of the journal's home page. A virtual issue is basically just a collection of articles on a given topic. The idea is that a reader will go there to look for a particular issue, but then will see our other offerings on that topic, as well, increasing our full-text download numbers and helping insure the broadest dissemination of our authors' work. We now have four "virtual issues" online. Go to to the journal's home page on the Wiley Online Library (WOL) platform "Find Issues" on the left-hand side and click on the feature. Three additional virtual issues, in addition to the initial geriatrics one, are up and running on: ultrasound, toxicology and injury prevention. Again, consult the "Find Issues" area and click on the desired issue. http:/onlinelibrary.wiley.com/journal/10.1111(ISSN)1553-2712.

Abstracts en Español! Beginning with the September issue, Academic Emergency Medicine will be publishing the abstracts of the various articles in Spanish. They will be presented alongside the English abstracts in the online versions of each paper (pdf, html, and mobile apps). The Spanish abstracts will also be included in the print edition of the journal for any papers that originate in Spanish-speaking countries, or are likely to be of particular interest to emergency physicians in Spanish-speaking countries. This project would not be possible without technical assistance and generous funding from our publisher, John Wiley and Sons, Inc., and the language assistance of Emergencias, the journal of the Sociedad Española de Medicina de Urgencias y Emergencias (SEMES).

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pertaining to academic emergency medicine in the  Clinical practice following areas:      

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Clinical practice medical students, and fellows Education in EM residents, off-service residents,  Faculty development and fellows  medical Politicsstudents, and economics as they pertain to the academic environment Faculty development  Politics General announcements notices and economics asand they pertain to the  academic Other pertinent topics environment General and Materialsannouncements may be submitted fornotices consideration for Otherpublication pertinent topics in the SAEM Newsletter at newsletter@saem.org Be sure to include the names

Materials may be submitted for consideration for and affiliations of authors and a means of contact. publication in the SAEM Newsletter at newsletter@saem.org sure to include the names Please submit ads Be to mgreketis@saem.org. and affiliations of authors and a means of contact. SUBMISSION DEADLINES

Submission for articles and advertisements for the Pleasedeadlines submit ads to mgreketis@saem.org. Newsletter, which is published six times a year, are as follows: January/February Issue - December 1 March/April Issue - February 1 May/June Issue - April 1 July/August Issue - June 1 September/October Issue - August 1 November/December Issue - October 1

New Endowed Faculty Position In Violence Epidemiology University of California, Davis, School of Medicine The Violence Prevention Research Program in the Department of Emergency Medicine is seeking to fill a faculty position at the Associate or Full Professor in Residence level. Its focus is on the design and execution of large-scale observational and experimental research into violence and its prevention. This faculty member will serve as VPRP’s Associate Director and as the Vice Chancellor’s Chair in Violence Prevention, an endowed position.

Small Group Values | Corporate Resources

The Ideal

BALANCE

The Vice Chancellor’s Chair will conduct independent research, collaborative research, teaching, and mentoring. Applicants must possess a doctoral degree in epidemiology, medicine, or a related discipline. There must be an established record of independent and collaborative research on violence or injury, including demonstrated experience in the design, conduct, and reporting of large-scale observational and/or experimental studies. The position is open to both clinicians and non-clinicians.

CHARLESTON, WV — Faculty opportunity within EM Residency. Three Hospital system with 100,000 annual visits includes Level I facility. In addition to EM there are numerous residency programs, as well as medical school and allied health rotations. As West Virginia’s largest city, Charleston offers metropolitan amenities and access to outstanding recreation. Guaranteed Hourly Plus RVU | Family Medical Plan | Malpractice Employer-Funded Pension | Incentive Income | Sign-On Bonus Shareholder Opportunity At One Year With No Buy-In

Please see the full announcement at http://www.ucdmc.ucdavis.edu/vprp, Review of applications will begin in March 2013 and will continue until position is filled. Applicants should send a cover letter outlining their qualifications and areas of interest; a CV; and contact information for five references to Garen J. Wintemute, MD, MPH, at gjwintemute@ucdavis.edu.

Contact Rachel Klockow, rklockow@premierdocs.com; (800) 406-8118; or fax CV to (954) 986-8820.

Ownership. Integrity. Values. www.premierdocs.com

“ Being part of a democratic group means that you get to make decisions affecting your practice daily.” “ It’s an amazing experience. I absolutely enjoy it and truly believe in CEP’s partnership model.” —True McMahan, MD ED Medical Director Garden Grove Hospital

Find out why CEP America is different. Visit our booth at the Society for Academic Emergency Medicine’s Annual Meeting or info.cep.com/saem2013

Your Life. Your Career. Your Partnership.

“EmCare offers a fulfilling and challenging career with room for growth. There is never a dull moment at EmCare.”

Quality people. Quality care. Quality of LIFE.

~ Harsh Bhakta, DO Baylor Medical Center at McKinney McKinney, Texas

EmCare is the nationwide leader in emergency medicine and is a company that is making health care work better, especially for physicians. EmCare provides the resources and support you need so you can focus on patient care. EmCare currently has hundreds of opportunities available for emergency medicine physicians. The company offers:

Hundreds of Jobs Nationwide

• Communities from coast-to-coast – small towns to major urban areas • Several practice settings – small, rural and critical access hospitals to major academic facilities, including children’s hospitals • Competitive compensation • A-rated professional liability insurance Your exciting new adventure awaits!

CALL: (855) 367-3650 (Use Reference Code “SAEM”) EMAIL: Recruiting@EmCare.com Search hundreds of opportunities at www.EmCare.com/Recruiting.aspx

Information Technology Solutions

Seeking a Chair, Department of Emergency Medicine with Leadership Responsibilities in a Nationally Recognized Health Care System

Site Information The location is based in northern New Jersey within 45 minutes of New York City. As the largest hospital in an expanding health system, it has been a stable partner with EMA for 30 years. Their regional trauma center is renowned for its breadth of services and specialties and sets the standards for quality healthcare in the New Jersey/New York metropolitan area.

Position Summary: The Chair will lead and provide administrative oversight to the Department of Emergency Medicine by managing daily operations and developing and leading long range planning. The role has a dual reporting relationship to the President & CEO of EMA and to the Clinical Director for Medical Affairs for the hospital system. Functions reporting directly to this position are Clinical Operations, Emergency Medicine Residency Program, Emergency Medical Services and Fellowships in Pediatric EM, Ultrasound and EMS.

Primary Responsibilities Include: 



Benefits



 

Fast Track Partnership Opportunity Competitive Salary Top-Notch Benefits, including Health, Life, Dental, Vision, 401 (k), Disability, Defined Benefit Plan, Professional Expenses and CME

Please Contact Diana Fotinatos (201) 236-9186 Diana@AlexanderConsulting.Biz

Facilitate development of a long range strategic plan for the department to assure continued department growth and insure community access to emergency care. Participate in strategic planning in concert with the organization’s goals that contribute toward market growth, revenue enhancement, cost containment and maximizing clinical practice ease, quality and productivity. Provide leadership over educational, clinical and research programs and ancillary programs such as wound care, hyperbarics, travel medicine and toxicology. Set a leadership tone that is innovative, people-oriented and collaborative in nature and focused in data based decision-making. Provide direct oversight and management of the day to day operations of department and residency programs, including quality programs.

Qualifications: The ideal candidate will have strong business acumen, exemplary clinical skills and experience running emergency medicine operations in a healthcare system. Preferred credentials include MD/DO, Board Certification in Emergency Medicine, 15 years of EM experience, 5 years of management experience, and management experience in an EM residency program, preferably as Residency Director and/or Chair.

EMA Physicians Enjoy:  Unparalleled support during your career allowing you to lead the life you deserve  Site incentive bonus  Partnership (equity asset)  Full practice support (including scribes and associate practitioners)  Stable long-term contracts  An equal voice in everything we do  An equal share in everything we own  95% physician retention rate

EMERGENCY MEDICINE FACULTY ◊ Clinician-Educator ◊ Pediatric Emergency Medicine ◊ Ultrasound◊ The Department of Emergency Medicine at East Carolina University Brody School of Medicine seeks BC/BP emergency physicians and pediatric emergency physicians for tenure or clinical track positions at the rank of assistant professor or above, depending on qualifications. We are expanding our faculty to increase our cadre of clinician-educators and further develop programs in pediatric EM, ultrasound, and clinical research. Our current faculty possesses diverse interests and expertise leading to extensive state and national-level involvement. The emergency medicine residency is well-established and includes 12 EM and 2 EM/IM residents per year. We treat more than 110,000 patients per year in a stateof-the-art ED at Vidant Medical Center. VMC is an 860 bed level I trauma, cardiac, and regional stroke center. Our tertiary care catchment area includes more than 1.5 million people in eastern North Carolina, many of whom arrive via our integrated mobile critical care and air medical service. The ED expanded into a new childrenʼs ED in July 2012, and a new childrenʼs hospital is also under construction. Greenville, NC is a fast-growing university community located near beautiful North Carolina beaches. Cultural and recreational opportunities are abundant. Compensation is competitive and commensurate with qualifications; excellent fringe benefits are provided. Successful applicants will possess outstanding clinical and teaching skills and qualify for appropriate privileges from ECU Physicians and VMC.

Confidential inquiry may be made to Theodore Delbridge, MD, MPH, Chair, Department of Emergency Medicine (delbridget@ecu.edu). ECU is an EEO/AA employer and accommodates individuals with disabilities. Applicants must comply with the Immigration Reform and Control Act. Proper documentation of identity and employability required at the time of employment. Current references must be provided upon request www.ecu.edu/ecuem 252-744-1418

ASSISTANT OR ASSOCIATE PROFESSOR - SCHOOL OF MEDICINE, DEPARTMENT OF EMERGENCY MEDICINE The Department of Emergency Medicine at the University of Mississippi Medical Center (UMMC) is seeking a full-time BC Associate Professor or BC/BE Assistant Professor. Candidates will be considered if they are well-equipped and eager to support the tripartite mission of the medical center (education, research, healthcare). The ideal candidate will have a strong interest in clinical or translational research, will have participated in a research fellowship and/or demonstrate evidence of scholarly productivity. Consideration will be given to MD/DO applicants who have graduated or are nearing completion of an accredited emergency medicine residency and will be eligible for unrestricted licensure in the state of MS. UMMC is located in the capital city of Jackson and is the state’s only academic medical center. The Department of Emergency Medicine employs more than twenty faculty members and is the training setting for 36 emergency medicine residents and several rotating learners. Under the leadership of the department’s chair, Dr. Richard Summers, and vice chair, Dr. Alan Jones, the department is well-regarded across the nation for its research and involvement in professional organizations. The region boasts highly competitive salaries, low cost of living, and access to many activities. As the state’s only Level-1 trauma center and with approximately 72,000 patient visits annually, the department is one of the busiest, highest-acuity healthcare settings in the region. There is also a Rapid Track-Minor Care setting that is staffed by six nurse practitioners. Please submit CV by email to AEJones@umc.edu or mail to Dr. Alan Jones, UMMC Dept. of Emergency Medicine, Suite 4E, 2500 North State St., Jackson, MS 39216 Rank and salary commensurate with qualifications. The University of Mississippi Medical Center is an Equal Opportunity/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, age, disability, marital status, national origin, or veteran’s status.

DIRECTOR OF RESEARCH EDUCATION AUSTIN, TEXAS

Position: UT Southwestern-Austin is happy to offer the opportunity to join our faculty as Director of Research Education for our Emergency Medicine Residency. The program received ACGME accreditation in July 2012 and currently has its first class of eight enthusiastic residents. We also have new fellowships in Peds EM and ED Administration. Qualifications: This opportunity is primarily a mentorship position for both faculty and residents, so an enthusiasm for teaching and a track record in education are a must. Candidates should be ABEM/ABOEM certified and have a minimum 5 years of GME teaching and research experience. Candidates should have a minimum of one peer reviewed publication per year, averaged over the last 5 years, and some editorial experience (manuscript reviewer, abstract reviewer, editorial board). Experience in teaching grant writing is a plus. Facility: University Medical Center Brackenridge is an urban teaching hospital and Level 1 Trauma Center. Benefits: Emergency Service Partners, L.P. is an Austin-based, 100% physician-owned and physician-led partnership serving 25 EDs across Texas. Full-time physicians enjoy a partnership track that allows them to share in the success of the practice. Apply Today: Send CV confidentially to Lisa Morgan (lisa@eddocs.com).

The University of Texas Health Science Center at San Antonio, School of Medicine. Emergency Medicine, is recruiting for highly qualified full-time residency trained academic Emergency Medicine Physicians. Optimal candidates will have an established track record of peer-reviewed research, excellence in education and outstanding clinical service. University Hospital, the primary affiliated teaching hospital of the University of Texas Health Science Center at San Antonio, is a 498 bed, Level 1 trauma center which treats 70,000 emergency patients annually. The University Hospital Emergency Department serves as the primary source for uncompensated and indigent care as well as the major regional tertiary referral center with a focus on transplant, neurologic, cardiac, diabetes and cancer care. A new, state of the art Emergency Department with 80 beds will open in early 2014. The successful candidate will join a young, enthusiastic group of academic Emergency Physicians committed to creating the premiere Emergency Medicine residency program and academic department in the state of Texas. Our initial class of Emergency Medicine residents will start in July 2013. Department status within the School of Medicine is anticipated within 12 months. Academic Emergency Physicians with expertise in EMS, Ultrasound, Toxicology, and multiple dual board certified EM / IM physicians currently round out the faculty. The University of Texas Health Science Center at San Antonio offers an highly competitive salary, comprehensive insurance package, and generous retirement plan. Academic appointment and salary will be commensurate with experience. Candidates are invited to send their curriculum vitae to: Bruce Adams, M.D., FACEP, Director, Center for Emergency Medicine, 7703 Floyd Curl Drive, MC 7840, San Antonio, TX 78229-3900. Email: adamsb@uthscsa.edu All faculty appointments are designated as security sensitive positions. The University of Texas Health Science Center at San Antonio is an Equal Employment Opportunity / Affirmative Action Employer. Emergencymedicine.uthscsa.edu

Department of Emergency Medicine Department Emergency Medicine Assistant of Ultrasound Director Assistant Ultrasound Director The Department of Emergency Medicine at the University of Virginia seeks applicants for a tenure-ineligible or tenure-eligible faculty position to serve as the Assistant Ultrasound Director (AUD). This individual will assist the Ultrasound Director in implementation of all aspects of the ultrasound program. The AUD's primary focus will The Department Medicine at the University of Virginia seeks forresponsible a tenure-ineligible or assurance, tenure-eligible faculty position to serve as of the Assistant be the education of of Emergency faculty, fellow(s), residents, and medical students. Theapplicants AUD will be for quality image archiving, development clinical Ultrasound Directorultrasound, (AUD). Thisand individual will assist Ultrasound Director in implementation of all aspects of the ultrasound program. AUD'scareer primary will protocols involving collaboration withthe other departments. Opportunities are available for a physician with an interest in a The balanced of focus clinical care be education of faculty, fellow(s), and medical with students. The AUD will be responsible for quality assurance, image archiving, development of clinical andthe teaching. Rank and tenure status residents, will be commensurate experience, qualifications, and scholarly achievement. protocols involving ultrasound, and collaboration with other departments. Opportunities are available for a physician with an interest in a balanced career of clinical care and teaching. Rank andan tenure will be commensurate with experience, qualifications, and of scholarly achievement. Candidates must have MD orstatus DO, be board-eligible or board-certified by the American Board Emergency Medicine, and be Emergency Medicine residency trained. Applicants with fellowship training or comparable experience are preferred. Applicants should be interested in advancing their academic career by joining a diverse and Candidates must have an MDThose or DO, be board-eligible or board-certified by the American Boardonofleadership Emergency Medicine, be Emergency Medicine residency highly accomplished faculty. interested in pursuing research opportunities and in taking roles in the and department are encouraged to apply. trained. Applicants with fellowship training or comparable experience are preferred. Applicants should be interested in advancing their academic career by joining a diverse and highly accomplished faculty. Thosethe interested in pursuing and in taking on leadership rolesfast in the department are encouraged apply. With an annual census of 60,000, Department includesresearch a chest opportunities pain center, adult and pediatric departments, track (Express Care), active air to and ground transport programs, and the Blue Ridge Poison Control Center. With an annual census of 60,000, the Department includes a chest pain center, adult and pediatric departments, fast track (Express Care), active air and ground transport programs, and a the Blue Poison The UVa Health System, 700 bedRidge tertiary careControl center Center. with a Level 1 trauma center, we are located at the foot of the Blue Ridge Mountains in Charlottesville, Virginia, a city that has consistently been rated as one of the best places to live in the U.S. This position carries a faculty appointment in the School of Medicine at the University The UVa Health System,protected a 700 bed tertiary care center with atoLevel 1 trauma center, we are located at the foot of the Blue Ridge Mountains in Charlottesville, Virginia, of Virginia. Substantial time will be made available support scholarly pursuits. a city that has consistently been rated as one of the best places to live in the U.S. This position carries a faculty appointment in the School of Medicine at the University To Virginia. apply forSubstantial the tenure-ineligible visitmade http://jobs.virginia.edu searchscholarly on Posting Number 0611219. Complete a Candidate Profile online and attach a letter of of protected position, time will be available to support pursuits. interest, curriculum vitae, and contact information for three references. Tenure-ineligible positions may be eligible to convert to tenure-eligible at an appropriate time in To forconsistent the tenure-ineligible position, visit http://jobs.virginia.edu search guidelines on Postingand Number 0611219. Complete a Candidate Profile online and attach a letter of theapply future, with the School of Medicine Promotion and Tenure candidate qualifications. interest, curriculum vitae, and contact information for three references. Tenure-ineligible positions may be eligible to convert to tenure-eligible at an appropriate time in To apply forconsistent the tenure-eligible position, visit http://jobs.virginia.edu search on Posting 0611422. Complete a Candidate Profile online and attach a letter of the future, with the School of Medicine Promotion andand Tenure guidelines andNumber candidate qualifications. interest, curriculum vitae, and contact information for three references. To apply for the tenure-eligible position, visit http://jobs.virginia.edu and search on Posting Number 0611422. Complete a Candidate Profile online and attach a letter of interest, curriculum and contact for threeor references. Questions related to vitae, the position dutiesinformation and responsibilities the application process should be directed to Dr. Robert O'Connor, Chair, Department of Emergency Medicine, at REO4X@virginia.edu Questions related to the position duties and responsibilities or the application process should be directed to Dr. Robert O'Connor, Chair, Department of Emergency Medicine, at REO4X@virginia.edu The University of Virginia is an Equal Opportunity/Affirmative Action Employer. Women, minorities, veterans and persons with disabilities are strongly encouraged to apply. The University of Virginia is an Equal Opportunity/Affirmative Action Employer. Women, minorities, veterans and persons with disabilities are strongly encouraged to apply.

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Faculty………………………………..………………………………………$ 575.00 Associate………………………...…………………………….……………$ 255.00 AEUS …….$100/$25/FREE ADIEM…$100/$25/FREE Administrator (AAAEM) ………………………………………………$ 495.00 Resident and Fellow………………………………...…………………$ 165.00 CDEM…….$100/$50/$50 Geriatrics..$100/$50/$50 Medical Student………………………………………………………… $ 140.00 Young Physician Year 1…………………….………………………… $ 335.00 GEMA…..$100/FREE/$25 Simulation..$100/$50/$50 Young Physician Year 2…………………...………………………… $ 475.00 International…………………..………………………………………… varies AWAEM….$100/FREE/FREE Emeritus……...…………………………………………………………… $ 120.00 Interest Group Selection***: Academic Informatics Airway CPR/Ischemia/Reperfusion Clinical Directors Disaster Medicine ED Crowding

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FUTURE SAEM ANNUAL M EETINGS 2013 SAEM Annual Meeting May 14-18 The Westin Peachtree Plaza, Atlanta, GA SAEM Senior Leadership Faculty Forum May 14-15, 2013 Topics: “Leadership” “Developing and Sustaining a Vision” “Strategic Planning” “Building a Team” “Conflict Resolution” “How to Run a Meeting” “ED Operations Overview” “Change Management” “Negotiating for Your Dept./Faculty” “Overview of Dept. Finances” “Communication Skills” AEM Consensus Conference May 15, 2013 Topic: “Global Health and Emergency Care: A Research Agenda” Co-Chairs: Stephen Hargarten, MD, MPH Mark Hauswald, MD Jon Mark Hirshon, MD, MPH Ian B.K. Martin, MD 2014 SAEM Annual Meeting May 14-17 Sheraton Hotel, Dallas, TX 2015 SAEM Annual Meeting May 13-16 Sheraton Hotel and Marina, San Diego, CA