SAEM Newsletter March/April 2016

NEWSLETTER 2340 S. River Road, Suite 208 | Des Plaines, IL 60018 | 847-813-9823 | www.saem.org MARCH-APRIL 2016

VOLUME XXXI NUMBER 2

SPOTLIGHT

Rare Bird An interview with Steven Bird, MD

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

SAEM STAFF

HIGHLIGHTS

Chief Executive Officer Megan N. Schagrin, MBA, CAE, CFRE Ext. 212, mschagrin@saem.org

IT Project Manager Angela Lasky Ext. 217 alasky@saem.org

Director of Finance & Benefits Doug Ray Ext. 208, dray@saem.org

Digital Communications Specialist Kataryna Christensen Ext. 201, kchristensen@saem.org

Director of Communications & Publishing Stacey Roseen Ext. 207, sroseen@saem.org

Accountant Hugo Paz Ext. 216, hpaz@saem.org

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Membership Coordinator George Greaves Ext. 211, ggreaves@saem.org

Director of Operations & Governance Kat Nagasawa Ext. 206, knagasawa@saem.org

Systems Administrator/ Database Analyst Michael Reed Ext. 205, mreed@saem.org

Grants & Foundation Manager Melissa McMillian, CNP Ext. 203, mmcmillian@saem.org Marketing & Membership Manager Holly Byrd-Duncan, MBA Ext. 210, hbyrdduncan@saem.org

AEM Editor in Chief Jeffrey Kline, MD jefkline@iu.edu

Meeting Planner Maryanne Greketis, CMP Ext. 209, mgreketis@saem.org Assistant Newsletter Editor Sharon Atencio sharon.atencio@rvu.edu

President’s Comments The SAEM Annual Meeting Offers Something for Every Stage of Your Career

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CEO’s Message

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EM Physician in the Spotlight

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Ethics in Action

A Preview of What’s in Store for You at SAEM16

Rare Bird: An Interview with Steven Bird, MD

Fiduciary Responsibility

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A New Brand of Family

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Fellowship Guide

AEM Editorial Coordinator Taylor Bowen tbowen@saem.org

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AEM Journal Manager Stacey Roseen Ext. 207, sroseen@saem.org

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Academies Unveil New Look

Fellowships in Emergency Medicine Part 2

Social Media Committee The Social Media Forecast: A Knowledge Translation Tool

SGEM: Did You Know?

Opioid Analgesia in the Emergency Department: Do Sex Differences Exist?

2015-2016 BOARD OF DIRECTORS Deborah B. Diercks, MD, MSc President University of Texas Southwestern at Dallas

Steven B. Bird, MD University of Massachusetts Medical School

Ian B.K. Martin, MD, MBA University of North Carolina School of Medicine

Andra L. Blomkalns, MD President-Elect University of Texas Southwestern at Dallas

Kathleen J. Clem, MD, FACEP Loma Linda University School of Medicine

Richard Wolfe, MD Beth Israel Deaconess Medical Center/ Harvard Medical School

D. Mark Courtney, MD Secretary/Treasurer Northwestern University Feinberg School of Medicine

James F. Holmes, Jr., MD, MPH University of California Davis Health System

Robert S. Hockberger, MD Immediate Past President Harbor-UCLA Medical Center

Amy H. Kaji, MD, PhD Harbor-UCLA Medical Center

Kavita Joshi, MD Resident Member University of Texas Southwestern at Dallas

The SAEM Newsletter is published bimonthly by the Society for Academic Emergency Medicine.

The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM. For Newsletter archives visit http://www.saem.org/publications/newsletters © 2016 Society for Academic Emergency Medicine. All rights reserved. No part of this publication may be reproduced, stored, or transmitted in any form or by any means without prior permission in writing from the copyright holder.

PRESIDENT’S COMMENTS Deborah B. Diercks, MD, MSc Professor & Chair, University of Texas Southwestern at Dallas SAEM President 2015-2016

The SAEM Annual Meeting Offers Something for Every Stage of Your Career

“The SAEM Annual Meeting is a place to connect with, inspire, and be inspired by, the most talented EM physicians of our time.”

Every year I look forward to attending the SAEM Annual Meeting; I have attended every one since I was a third year resident.

The Annual Meeting is our society’s most important event and one of the largest gatherings of academic emergency physicians in the world. It is an event that could not occur without the incredible work of our colleagues who serve on the Program Committee and our SAEM staff that spends months on logistics. It also could not occur without the innovations, ideas, and enthusiasm of our members who submit the didactics and research that are highlighted at this meeting.

As I reflect back on all the annual meetings I have attended, I think that what I took away from them has evolved almost as much as the meeting itself. As a resident, I remember sharing a room with 3 of my fellow residents and spending most of my time in social interactions and at activities that had nothing to do with the conference itself. I enjoyed the chance to interact with my attendings in a more informal environment. I recall attending abstract presentations and being intimidated by the researchers who were leaders in the field, but I was also inspired by the results of their studies. I met lots of people, slept very little, and honestly spent about a third of my time at the actual meeting and the rest of it just having fun.

When I started to attend the annual meeting as faculty at UC Davis, I found myself spending as much time meeting people from other institutions as I did talking to them about their presentations. I began to join SAEM committees and developed a network of colleagues across the country.

The social interactions at the meeting were still important and provided one of the best opportunities for me to have fun with my UC Davis colleagues. I presented research, went to lectures, and took advantage of opportunities to develop friendships with my peers.

Over the last 7 years, as a member of the SAEM Board of Directors, I’ve spent a lot of time at the meeting but haven’t been able to spend as much time as I’d like attending the research presentations and didactics.

However, being in this position has allowed me to meet faculty who are the future of our society leadership. It has been amazing to see the amount of creativity, dedication, and enthusiasm that exists for academic emergency medicine. I still meet lots of people, sleep very little, and have as much fun as possible.

My time on the SAEM Board is almost over, yet I am excited about the future. I look forward to attending future annual meetings and the opportunity to listen to research being presented, learn from experts, and interact with the leaders of our specialty.

Although over the years my participation in the annual meeting has changed, it has consistently provided me with an opportunity to connect with my peers. The SAEM Annual Meeting is the one event of the year that is focused on academic emergency medicine as a whole. It is a place to connect with, inspire, and be inspired by, the most talented EM physicians of our time. Lastly, it is a place to meet lots of people, sleep very little, and have as much fun as possible. I hope you’ll join me at SAEM16 in New Orleans, May 10-13, 2016.

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CEO’S MESSAGE Megan Schagrin, MBA, CAE, CFRE SAEM Chief Executive Officer

A Preview of What’s in Store for You at SAEM16 At SAEM headquarters we are gearing up for what is shaping up to be one of our most memorable annual meetings. SAEM16 will host 14 pre-meeting workshops, including the return of the AEM Consensus Conference and SAEMF Grant Writing Workshop. And that’s just a preview of what’s to follow. There’s more:

More of what you want

“We are capturing almost 150 hours of quality content and providing it free to every SAEM16 SAEM NEWSLETTER | MARCH-APRIL 2016

attendee through

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our OnDemand platform!”

The acceptance process for SAEM16 didactics and abstracts was more competitive than ever this year, resulting in a strategicallydesigned annual meeting which highlights the best science available, sets aside more time for individual abstract presentations, and gives you more of our most popular sessions, like the lively Lightening Oral Presentations and the fast and fun IGNITE! sessions.

We heard you Based on feedback from SAEM15 we renovated the electronic poster process entirely for 2016. The number of ePosters has been scaled back to focus on quality over quantity, plus a completely new and improved physical layout will allow more time to listen to research presentations and ask questions and for additional networking.

New this year: Sessions on demand As a big value-add to SAEM16, we are capturing almost 150 hours of quality content and providing it free to every SAEM16 attendee through our OnDemand platform. This means that if there are multiple sessions you wish to attend and they are scheduled at the same time, you won’t have to miss a thing! Through OnDemand you will be able to attend whatever session you desire and view all others online, after the meeting, at your convenience.

Back by popular demand

http://www.saem.org/ annual-meeting

Returning to SAEM16 is the popular Lion’s Den where attenders will enjoy the thrill of watching junior researchers vie for mentorship from some of our specialty’s most prominent researchers. Also back for an encore appearance are SAEM annual meeting favorites—Simulation Academy’s SIM Wars and the Academy of Emergency Ultrasound’s SonoGames®.

Take an exhibit booth break Science, provided by Industry, is expanded this year thanks to a significant increase in exhibit booth registrations. With several networking opportunities scheduled to take place within the exhibit hall (Kick Off Party, networking breakfasts, coffee breaks, walking lunches, and power breaks) you’ll have ample time to visit with exhibitors and to gather information on the latest products and services in emergency medicine.

Networking events mix business with pleasure We’ll kick off SAEM16 in true New Orleans’ spirit with an opening reception featuring a tarot card reader and one of the Crescent City’s most beloved traditions— a second line brass band. Prepare to grab a handkerchief, parasol, and beads and join in on the merrymaking! And that’s just the beginning. Each day has something fun in store, including: • Dodgeball Tournament at the beautiful indoor court facilities at the Hilton New Orleans Riverside Health Club, where players and spectators can hang out and enjoy the friendly competition from a bar that overlooks the action.

• Resident and Student Advisory Committee Reception at The Bourbon Cowboy where the Wild West meets the Big Easy and the balconies, beats, bull ridin’, and boot scootin’ are the best west of the Mississippi.

Two special SAEM Foundation-sponsored events offer an opportunity to have fun for a good cause: • Run or walk for emergency care research and education in the SAEM Foundation’s 2016 FUND Run along the the mighty Mississippi River.

• Enjoy great wines from around the world, sample light appetizers and enjoy the company of your friends and colleagues at the SAEMF Wine tasting. Stick around for the BYOB Wine Auction where you’ll have an opportunity to bid on premium wines from your colleagues’ collections.

See you at SAEM16 Our sincere appreciation to Ali Raja, MD, chair of the SAEM Program Committee for making SAEM16 a meeting you won’t want to miss. See you in New Orleans, May 10-13 and remember to follow us on Twitter #SAEM16!

#SAEM16

May 10-13 • Sheraton New Orleans Hotel SAEM16 Facts

Who attends?

3,000 EM Physicians

670 Abstracts

66%

SAEM Members

34% Other

Meeting Demographics

78

Didactics

33

49% Faculty

Exhibitors

13

Pre-meeting Workshops

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42%

Residents/ Fellows

Networking Events

2

Physical Activities

9%

Medical Students

For full agenda and to register, visit www.saem.org/annual-meeting 5

SPOTLIGHT

Rare Bird “Easily the most rewarding aspect about my work is seeing a resident or more junior faculty member be successful.”

Steven B. Bird, MD, is Vice Chair for Education, and Residency Director, of the University of Massachusetts Department of Emergency Medicine. He completed a fellowship in toxicology at the University of Massachusetts Medical School and is a graduate of the UMass EM Residency Program, where he served SAEM NEWSLETTER | MARCH-APRIL 2016

as chief resident. Dr. Bird additionally served in the United States Navy Medical Corps as a flight surgeon in Okinawa, Japan. He began his medical career as a neurosurgery resident at the Naval Medical Center San Diego. He is a AOA graduate of Northwestern University Medical School in Chicago, IL, and he graduated cum laude from Yale University. Dr. Bird is a member of the 2015-2016 SAEM Board of Directors and serves on the AEM editorial board as an associate editor. He has also served on the SAEM Program Committee and Grants Committee and is a dedicated contributor to the SAEM Foundation.

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An Interview with Steven Bird, MD Why did you choose emergency medicine as your specialty?

My last year of medical school was devoted to surgery—specifically neurosurgery. I had no intention of going into emergency medicine and in fact had only been in the ED at Northwestern Memorial Hospital a single time during medical school. In order to pay for medical school, I was in the Navy Health Professions Scholarship Program, and therefore I matched in surgery at the Naval Medical Center San Diego. After two years, I was selected for flight surgery training in Pensacola, Florida, and learned to fly helicopters. From there I was deployed to Okinawa, Japan, for two years with a Marine Corps C-130 squadron. It was in Okinawa that I asked the squadron’s single neurosurgeon if I could see patients with him and assist in the OR. He said, “No, the patients come to see me.” So I asked the emergency physicians at the Navy hospital if I could work with them once a week seeing patients in the ED to help maintain my clinical skills; not surprisingly, their answer was, “Yes, of course.” So it was there in the Naval Hospital Okinawa that I had my first real exposure to emergency medicine and I loved it. After two years in Okinawa, my Navy obligation was up and I elected to enter the Match for EM—flying back and forth to the United States for residency interviews.

Why did you choose a toxicology fellowship? If you had it all to do again, would you choose the same subspecialty or something else—and if something else, what?

During residency at UMass I was fortunate to work with some fantastic toxicologists such as Ed Boyer, Cynthia Aaron, Bob Ferm, and Chris Linden. I was also able to work with an NIH-funded emergency physician named Eric Dickson, and to have supportive

leaders in the department like the founding chair, Dick Aghababian, and current chair, Greg Volturo. After my second year of residency I was trying to decide between a research or toxicology fellowship.

And to be honest, I think that I’d have been equally happy doing either. Toxicology has afforded me the opportunity to become a content expert in that field while also allowing me to pursue rigorous, NIH-funded research. It’s been the best of both worlds.

When and why did you choose to work in academics?

Early in residency I thought I wanted to be a residency Program Director. But through exposure to the toxicology group at UMass, I found that my interests veered from residency leadership to toxicology and research. It’s remarkable how my career to this point has come full circle, having become residency director at UMass in 2011. Like most academics, I find training residents, with whom we will eventually work as colleagues, extraordinarily rewarding.

What has surprised you most about working in academic emergency medicine?

The amount of regulatory busywork—whether working with the Board of Registration, the GME (Graduate Medical Education) office, the ACGME (Accreditation Council for Graduate Medical Education) or even in the credentialing of residents who graduated 20 years ago—never ceases to amaze me. Regulatory and reporting requirements are frequently added on, but busywork and regulatory reporting requirements never seem to be eliminated.

What do you find most challenging about the work you do?

I wear several hats at UMass (clinician, educator, Program Director, researcher, and mentor), and each of these disciplines presents its own challenge. One of the most demanding things about my work is taking numerous points of information and trying to determine when there is an accurate and actionable amount of information on which to move forward. That is, leaders frequently have hallway conversations or people poking their heads in the doorway with a “quick question” or “quick comment,” and determining what is the truth and when some action needs to be taken (for instance counseling, remediation, critical conversation, etc.) can be difficult.

What do you find most rewarding about the work you do?

Easily the most rewarding aspect about my work is seeing a resident or more junior faculty member be successful. That could be in obtaining a research grant; having a paper accepted; obtaining the fellowship of their choosing; landing their dream job; or successfully thinking through a challenging clinical scenario and taking great care of a patient. But ultimately, it’s about helping other people reach their potential.

Tell me about someone who influenced your decision to choose this specialty or inspires your work.

I’ve been fortunate to have great mentors, people, and friends provide sage advice in my career. But the people with the single greatest influences on my work are likely Ed Boyer (Division Director of Medical Toxicology), Eric Dickson (now CEO of UMass Memorial), and Greg Volturo. Both Eric Dickson and Greg Volturo have been models to me for how I view academics and leadership at departmental and higher levels. They both care deeply about my career and really serve as life coaches to me. I believe that Ed Boyer has really set the standard for NIH-funded toxicology research and he has been (and continues to be) a great source of mentorship with my own career.

What is the number one question you get asked about your work?

That’s an easy question. The number one cocktail party question is probably, “What’s the most interesting thing that you’ve seen at work?”

So what do you tell them?

I typically don’t give an answer. After 20 years of medicine and 16 in the ED, something has to be pretty remarkable to even get on my radar. Not an interesting answer, but an honest one.

What do you wish other people knew about the work you do?

That’s a great question. I suspect that people underestimate the degree to which Program Directors care about their residents.

Residents really are identified as part of our family. Personally, it took about a year and a half for me not to dread looking at my phone in the morning for fear of an email or text about a health issue with a resident. I obviously still care just as deeply about their health and well-being, but I no longer dread turning on my phone.

If you weren’t doing what you do, what would you be doing instead?

I think I could’ve been perfectly happy doing neurosurgery, ophthalmology, or any number of other specialties, but I have absolutely no regrets about my career path. I would not be happy, however, if my career didn’t involve working with medical students, residents, and other faculty, helping them become successful and fulfilled in their professions.

Where do you see the specialty in 10 years?

What do you think will change?

In 10 years I think that emergency medicine will be even further data-driven than it is today, and I think that will largely be to the benefit of our patients and society. That is, increasingly detailed real-time clinical decision support to assist in appropriate resource utilization. However, I hope that there is increased emphasis on physician satisfaction and engagement, because EMRs aren’t going away and I am convinced that happy, fulfilled, and engaged physicians will provide superior care to our patients. This isn’t a commentary on millennials, but all of us need to feel passionate about our work and to be also valued by our health system.

What advice would you give to your younger self just starting out in this specialty?

That’s an interesting question that I’ve never asked myself. I can honestly say that my career has been blessed. However, one piece of advice that I’d give a younger self would be to pick an area of research that is more accessible in the U.S. (rather than studying organophosphorus pesticide poisoning which, while of tremendous significance for the developing world, has few champions in the U.S. and no readily accessible cohort of patients) and one that is of tremendous public health importance in the United States.

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What do you do when you aren’t working?

My wife of 19 years, AnneMarie, would probably say that I don’t spend much time not working. However, when my kids (Andrew is now 13 and Caitlin is 12) were younger, I spent most weekends coaching their soccer games. I’m passionate about bicycling. I race cyclocross (although not very well) in the fall and winter and also ride/ race a fatbike, which allows for riding through sand and snow year-round. We also enjoy spending time at our family’s house on Cape Cod.

What types of causes do you support or volunteer work do you do?

Until recently I coordinated the grade school chess club for my kids’ grade school. We grew that program into the largest chess club in New England, with nearly 40% of kids in the school participating. That was a rewarding activity. I currently volunteer with the Yale Alumni Schools Committee helping to interview prospective Yale students, and my wife and I support, among other things, the Nativity School of Worcester, which provides an all-scholarship education to underserved boys in Worcester.

How do you balance work and life outside of work?

“I feel so strongly about the mission of SAEM that our

SAEM NEWSLETTER | MARCH-APRIL 2016

department pays

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for all UMass EM residents to be members, and we send all secondyear residents to the annual meeting.”

As a leader, work-life integration and wellness is a priority of mine. We can’t simply ask our physicians to work harder. We need to support their continued development and help them to identify their passions in life, which will alleviate some of the depersonalization and emotional exhaustion which many physicians (both within and without academic medicine) experience.

Fortunately for me, I have an understanding and supportive family, which allows me all

sorts of benefits—such as getting to take a nap before an overnight shift. I also try to make time for exercise five days a week and whenever possible, AnneMarie joins me at national meetings. That way I get lots of work and meetings done during the day, and we have some time to ourselves without the kids at night. Having in-laws that live just one hour away is also a big help.

What led you to become involved with SAEM? I became involved in SAEM as a flight surgeon in Japan. I knew little about the EM specialty and wanted to connect with its academic leaders. I began attending the annual meeting while living in Japan; I loved the didactics and research presented there.

I feel so strongly about the mission of SAEM that our department pays for all UMass EM residents to be members, and we send all second-year residents to the annual meeting.

What would you tell someone who is thinking about becoming involved with SAEM? SAEM is the go-to resource not only for faculty in academic emergency medicine, but for medical students considering EM and for residents beginning their careers.

Networking with individuals with similar interests is critical to building a career in academic medicine, and SAEM is uniquely qualified and able to help with that.

Dr. Bird’s interview was coordinated and edited by Sharon Atencio, a third-year student in the Rocky Vista University College of Osteopathic Medicine in Parker, CO. Sharon is an SAEM member and a volunteer assistant editor for SAEM Newsletter.

ETHICS IN ACTION Fiduciary Responsibility

By Gerald Maloney, DO

As a part of your training, you rotate through a community emergency department. During one of your shifts, you see a patient with an ankle sprain.

You order oral ibuprofen for pain; your attending changes the order to IM ketorolac. When you ask why, you are told that use of parenteral pain mediation will allow you to bill the visit at a Level 4 rather than a Level 3. It is explained to you in detail that in a productivity-based model of compensation, it is in your best interest to maximize your RVUs per patient. It is also explained that this is perfectly legal and ethical; after all, you are still treating the patient’s pain. You can’t help but feel that this is still, somehow wrong.

One of the many ethical obligations emergency physicians face is fiduciary responsibility. This responsibility is multifold: to the individual patients, to ensure they are not subjected to unnecessary expenses during their visit; to the hospital, to reduce unnecessary expenses while still helping to generate the revenue necessary for continued operations; to the health insurance, be it public or private, to ensure that overbilling is not occurring; and to the health care system in general, as we are entering an era of cost control. However, emergency physician reimbursement, as with so many other specialties, is increasingly riven with conflicts of interest as physician pay is closely tied to productivity.

Productivity-based compensation is certainly nothing new; the fee-for-service basis of most insurance compensation incentivizes physicians to do more, not less, for their patients and sets up an inherent conflict between the financial well-being of the physician and his or her fiduciary responsibilities. Many emergency physicians are compensated on a productivity model that employs RVU (Relative Value Unit) generation. The RVU system was developed by the Center for Medicare and Medicaid Services to determine compensation based on perceived complexity of care, with higher RVUs going to more complex cases and procedures. While RVU-based compensation had previously been used largely in the world of private practice emergency medicine, more and more academic medical centers are incorporating at least partial RVU-based compensation— and pressure to increase productivity has been infiltrating into the academic setting.

The full impact of this phenomenon on education and professional development of residents has not been well studied as of yet.

Because of fee-for-service incentives, doing the right thing for the patient, the insurance company, and the healthcare system may not be in the best financial interest of the hospital or healthcare provider.

In his book, Health Care Reform Now, former Kaiser CEO George Halvorson relates how a quality measure regarding appropriate outpatient treatment of UTIs reduced the

rate of return visits for the same complaint substantially. However, physicians suffered for this financially as they ultimately saw a decrease in visits. Similarly, hospital pressures for admissions frequently end up on the shoulders of emergency physicians, given that the ED remains the single largest source of admissions for most hospitals.

Also, if an individual provider seems to be generating fewer RVUs than average for his or her employer, the provider is frequently counseled on ways to improve productivity, creating the impression that productivity is of primary importance.

The role of emergency medicine professional organizations in this area has been conflicted as well. Much advocacy is focused on protecting physician reimbursement from cuts by various payors, such the government and insurance agencies that are only too willing to reduce reimbursement rates. As such, measures at cost control are carefully discussed if at all because of the fear that such efforts will become a prelude to significant reductions down the line. This provides a disincentive for these organizations to argue aggressively for cost control measures.

Given this inherent conflict, the emergency physician needs to be vigilant that his or her patient care reflects what is most appropriate for the patient. Basing treatment on what will allow for more revenue generation creates too much risk of an unethical situation arising. While giving a parenteral versus oral analgesic may seem relatively minor, it may also start a path down a slippery slope that at a minimum can lead to unnecessary procedures and at worst expose the patient to unnecessary risk and the physician and hospital to the legal and financial penalties of insurance fraud. While the temptations are many (better compensation means paying off student loans more rapidly, for example), the ethical guiding principle should be beneficence—acting in the best interest of the patient and the healthcare system.

About the Author: Gerald Maloney, DO, is an emergency medicine physician at MetroHealth Medical Center and Assistant Professor of Emergency Medicine at Case Western Reserve University School of Medicine.

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A NEW BRAND OF FAMILY Academies unveil a NEW look for 2016 and beyond!

Visual continuity is key to an organization’s brand identity. All of the visual collateral of an organization must support each other and be part of a unified whole. So when it came time to evaluate SAEM Academy logos to determine if they were in need of a redesign, we started with the simple but effectual step of laying them all out together asking: Do they look like they’re from the same SAEM brand family? Other questions we asked during our evaluation: • Is the logo look current and not dated?

• Does it support the academy’s mission?

• Does it match the tone of the academy?

• Does it have enduring value?

• Does it have a distinctive look?

• Does it convey professionalism?

• Is it crisp, clear, easy to read?

• Does it avoid obvious visual clichés?

• Will it reproduce well in a black and • Does it convey the academy’s purpose?

• Does it catch the eye? white and in all sizes?

The evaluation and design process took several months to complete and involved the input of the academies, plus the creative work of a good graphic designer. The end result is a family of SAEM academy logos that are meaningful, unique, impactful, authentic, professional, fresh, and flexible. Above all, they have a synergy that ties them all together as part of the SAEM family brand.

Academy of Administrators in Academic Emergency Medicine (AAAEM) www.saem.org/aaaem Mission: • To advance the profession of individuals serving as administrators within emergency medicine academic programs • To provide a forum for academic emergency medicine administrators to communicate, share ideas, and generate solutions to common problems • To use education and research to influence public policy for the benefit of patients, medical student and resident education, emergency • To serve as a unified voice for academic emergency medicine administrators

• To foster the professional development and career satisfaction of academic emergency medicine administrators • To foster research in emergency medicine operations and management; medicine physicians, and medical schools

“The new AAAEM logo represents the people power behind the Administrators Academy.

By working together, we can all enhance our support of the physicians and others in our academic departments. Our networking gives us strength as individuals and as a group.

By working together, we ensure that our departments can continue to be viable clinical, research and educational enterprises with enough resources to support those missions.”

Academy for Diversity & Inclusion in Emergency Medicine (ADIEM) www.saem.org/adiem

SAEM NEWSLETTER | MARCH-APRIL 2016

Mission:

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• To promote equal access to quality healthcare and the elimination of disparities in treatment and outcomes through education and research • To enhance the retention and promotion of those historically under-represented 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

“Diversity and Inclusion – it is all about valuing and accepting people from all walks of life and backgrounds. Emergency Medicine – we are the specialty that cares for the most diverse group of patients in medicine and are on the front lines of health disparities. The new ADIEM logo symbolizes diversity, inclusion and Emergency Medicine. People make up the main part of the logo. While the rainbow conventionally represents LGBT, the multiple colors also represents the variety of the patients that we serve and the EM workforce that cares for them. The people in the logo are grouped together – a sign of inclusion. ADIEM, in spirit, is a part of all of the individual academies and of SAEM as a whole, and the new logo visually connects us throughout. We look forward to greater collaboration with the members of SAEM and hope to use these relationships to eliminate the health disparities that we encounter on a daily basis.”

Academy of Emergency Ultrasound (AEUS) www.saem.org/aeus Mission: • To advance education and research of ultrasound for the bedside evaluation of emergency medical conditions, resuscitation of the acutely ill or injured, guidance of invasive procedures, monitoring of certain pathologic states and as an adjunct to therapy • To serve as a platform for discussion of subjects that are of concern to emergency medicine physicians practicing clinical sonography • To support medical student, resident, fellow, and practicing emergency physician ultrasound training and education

• To foster individual and multicenter ultrasound research to advance the knowledge of our field and improve patient care, safety and emergency department patient flow • To work collaboratively with other organizations within emergency medicine, and across the specialties, through partnership, education, and to promote shared common interests

“The AEUS is excited about our logo. Designed by one of our members in a contest last year, the logo cleverly incorporates visual reminders of who we are as an Academy. The wedge-shaped appearance of the letter A is familiar and welcoming to anyone who knows ultrasound. And the probe-shaped S points forward, as an indicator of the direction of our educational and research initiatives. We are excited that this new version visually ties us with SAEM and the other academies with whom we are excited to further collaborate in the future.”

Academy of Geriatric Emergency Medicine (AGEM) www.saem.org/agem Mission: To improve the quality of emergency care received by older patients through advancing research, education and faculty development.

“Irish scholar Douglas Hyde wrote “Every crag and gnarled tree and lonely valley has its own strange and graceful legend attached to it.” The Academy of Geriatric Emergency

Medicine (AGEM) strives to honor our patients’ legends, from the active octogenarian to the frail elder patient, by seeking to achieve balance between healthy aging and end of life, while advancing our knowledge and treatment of geriatric emergencies. Our roots were built by SAEM researchers, educators, and thought-leaders and our trunk rests upon our early innovators who developed textbooks, core competencies, quality indicators, research methodology, and practice guidelines. The seeds of our tree sprout annually with new members to sustain the growth of high-quality, evidence-based geriatric care.”

Academy for Women in Academic Emergency Medicine (AWAEM) www.saem.org/awaem Mission: • To initiate and support a network for female physicians to facilitate mentoring and research collaboration • To provide for the ongoing retention and advancement of women in academic emergency medicine, in areas such as faculty development and leadership mentoring • To identify possible barriers to the advancement of women in academic emergency medicine and develop strategies to address them • To monitor statistics on women in academic emergency medicine to better understand the issues facing our specialty and to measure outcomes

Academy for Women in Academic Emergency Medicine

• To compile and share knowledge, information, and resources concerning issues pertaining to women in academic EM through research, education, and faculty development initiatives • To create and sustain a systematic framework for attracting women in medical school and residency to academic EM “AWAEM is excited to announce our new logo, which is an evolution of our historical design reinvigorated by the energetic new identity of SAEM. As represented by the female symbol within the stethoscope and the academic text, AWAEM embodies and promotes the role of women in the teaching, research, and leadership of emergency medicine. We look forward to this next phase of growth, collaboration and success for SAEM, AWAEM, and all the academies.”

Clerkship Directors in Emergency Medicine (CDEM) www.saem.org/cdem Mission: • To advance the education of medical students in the specialty of emergency and acute care medicine • To serve as a unified voice for EM clerkship directors and medical student educators; • To provide a forum for EM clerkship directors and medical student educators to communicate, share ideas, and generate solutions to common problems • To advance the professional development and career satisfaction of EM clerkship directors and medical student educators

• To foster undergraduate medical education research • To develop relationships with other organizations to promote medical education “The new CDEM logo celebrates our history while propelling us into the future. The apple, an iconic symbol of teaching, is an important representation of our academy. It was originally designed by one of our founding members, and symbolizes our role in shaping the foundation of knowledge and skills of future physicians. We are happy to preserve this piece of our history, but we are also pleased that the new logo visually connects us with other academies and SAEM as a whole. We look forward to greater collaboration with other leaders in EM, and hope to use these relationships to improve education and scholarship in our field.”

Global Emergency Medicine Academy (GEMA) www.saem.org/gema Mission: • To improve the global delivery of emergency care through research, education, & mentorship • To enhance SAEM’s role as the key international organization that augments, supports, and shares advances in global research, education, and mentorship in the field of emergency medicine

“The core purpose of GEMA is to improve the global delivery of emergency care by leading the advancement of academic emergency medicine. Our new logo, wraps the globe with a stethoscope and is synonymous with this core purpose. In addition, the new logo visually connects us with other academies and SAEM as a whole. Together, with GEMA, we hope to become pioneers in the development of clinical care, research and education within the field of emergency medicine worldwide.”

Simulation Academy (SIM) www.saem.org/sim Mission: • To serve as a unified voice for emergency medicine on issues of simulation in education, research, and patient care • To provide a forum for emergency medicine providers interested in simulation to communicate, share ideas, and generate solutions to common problems • To further a coherent research mission in the various applications of simulation

• To encourage the professional development and career satisfaction of emergency physicians involved with simulation in their academic careers • To foster relationships with other organizations in order to promote the use of simulation “The circle in the Simulation logo reminds us that learning, practicing, debriefing, and improving is a continuous process and all involved benefit from a well organized simulation.

Simulation is an educational philosophical approach, not a set of technologies, and we hope to continue to bring innovation to our academy members and SAEM as a whole.”

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FELLOWSHIP GUIDE Fellowships in Emergency Medicine Part 2

By Ashley Deutsch, MD Emergency medicine is an exciting field because it is so varied and applicable to many medical subspecialties. In the last issue of SAEM Newsletter, I provided a brief synopsis of several types of fellowships open to EM residency graduates: Administration, Critical Care (Surgical, Internal Medicine, Anesthesiology), Education, Emergency Medical Service, Global Emergency Medicine, Pediatric Emergency Medicine, Research, Simulation, Toxicology, Ultrasound, and Wilderness Medicine.

Although not a comprehensive list, below are some additional fellowships that often accept emergency medicine residency graduates:

Informatics

“The SAEM Fellowship Approval Program was developed to promote standardization of training for fellows and to help eligible programs to earn

SAEM NEWSLETTER | MARCH-APRIL 2016

the endorsement of

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SAEM as an approved fellowship.”

This fellowship focuses on providing training in analyzing, designing, implementing, and evaluating information and communication systems to improve patient care, enhance access to care, advance individual and population health outcomes, and strengthen the clinician-patient relationship.

Clinical Research This fellowship focuses on providing training in the development of robust research skills, with special emphasis on clinical research design, critical appraisal of the literature, statistical analysis, presentation of results, manuscript preparation, and grant writing.

Disaster Medicine This fellowship focuses on providing training in disaster preparedness and response and aims to address the need for responders who can organize and coordinate planning with the government and private sector during a terrorist attack or natural disaster

Environmental Health This fellowship focuses on providing training relevant to the unique health threats when operating in an unusual and remote environment with limited resources, significant clinical autonomy, and no access to definitive health care systems.

Geriatric Emergency Medicine This fellowship focuses on providing training in the emerging field of geriatric emergency medicine, with experience in education, research, operations and policy and an emphasis on improving the care of the elderly patient in the emergency department, safe discharge practices, multidisciplinary teams and perioperative management.

Hospice and Palliative Medicine This fellowship focuses on providing training in reducing the burden of serious illness by supporting the best quality of life throughout the course of a disease, and by managing factors that contribute to the suffering of the patient and the patient’s family.

Hyperbaric Medicine This fellowship focuses on providing training in the prevention of injury and illness due to exposure to environments in which the ambient pressure is increased, such as in diving or hyperbaric chamber exposure, and the therapeutic use of high environmental pressure and the delivery of oxygen under high pressure to treat disease.

Sports Medicine This fellowship focuses on providing training concerned with physical fitness and the diagnosis and treatment of injuries sustained in sports activities.

Other, additional EM fellowship subspecialties: – Cardiovascular Emergencies – Clinical Forensic Medicine – Clinical Pharmacology – Faculty Development – Health Policy – Injury Control – Legal Medicine – Neurological/Neurovascular – Transport – Trauma/Critical Care

SAEM Fellowship Approval Program The Society for Academic Emergency Medicine recognizes there are many valuable non-ACGME-approved, post-graduate training opportunities for EM residency graduates and provides an approval process for Emergency Medicine Fellowships in these and other sub-specialties.

The SAEM Fellowship Approval Program was developed to promote standardization of training for fellows and to help eligible programs to earn the endorsement of SAEM as an approved fellowship.

Fellows that complete an SAEM-approved fellowship are considered by SAEM to have earned the standard qualifications and skills of an emergency medicine fellow in the specialized area of training. Fellows must enroll in the SAEM program and meet the stated requirements in order to be considered approved. Fellows will receive a certificate of approval upon completion.

Program Guidelines The following guidelines apply to all SAEM fellowship approval programs. Visit the Fellowship Approval Program section of the SAEM website for specific criteria (if applicable) and to download detailed fellowship approval information and guidelines: http://www.saem.org/education/ fellowship-approval-program

for first-time applicants and $500 for renewals. Applications will not enter the review process until the fee is received.

The fee must be received on or before the submission deadline.

Fellows To be eligible to enroll in the SAEM Fellowship Approval Program, fellows must: • be signed up for a fellowship at an SAEMapproved institution.

• be a current member of SAEM to register (no fee is required) and must maintain membership in SAEM throughout the fellowship training.

• complete and submit the fellow registration form to SAEM by the published deadline.

• meet the learning objectives in the SAEM application.

The deadline to renew or apply for a Fellowship Renewal Program is April 1, 2016.

Institutions To renew or apply for SAEM approval of a fellowship program, the institution must • submit an application to SAEM by April 1, 2016. The application fee is $400

About the Author: Dr. Ashley Deutsch is Chief Resident, Baystate Medical Center, Tufts University School of Medicine.

SAEM-approved Fellowships Education Scholarship • Beth Israel Deaconess Medical Center, Boston, MA • Emory University, Atlanta, GA • Maimonides Medical Center, Brooklyn, NY • Northwestern University, Chicago, IL • Oregon Health and Science University, Portland, OR • Rhode Island Hospital/Brown University, Providence, RI • Thomas Jefferson University, Philadelphia, PA

Geriatric EM • New York Presbyterian Hospital/ Weill Cornell Medical Center, New York, NY • University of North Carolina at Chapel Hill, Chapel Hill, NC

Global EM • Johns Hopkins University, Baltimore, MD • Stanford University, Stanford, CA

Research

SAEM Fellowship Directory To view a listing of SAEM-approved fellowships, visit the SAEM Fellowship Directory at www.saem.org/membership/services/fellowship-directory. The Fellowship Directory is a free service developed to provide detailed information on postgraduate fellowship programs in Emergency Medicine. Every effort is made to keep this list as complete and up to date as possible and includes fellowships with and without formal certification pathways. If your program is not listed or if information needs to be updated please contact SAEM at directory@saem.org.

• Emory University, Atlanta, GA • Hennepin County Medical Center, Minneapolis, MN • Indiana University, Indianapolis, Indiana • Northwestern University, Chicago, IL • Oregon Health and Science University, Portland, OR • Rhode Island Hospital/Brown University, Providence, RI • The Ohio State University • University of California, Davis, Sacramento, CA • University of Cincinnati, Cincinnati, OH • University of Pittsburgh, Pittsburgh, PA • University of Rochester, Rochester, NY • University of Ottawa, Ottawa, Ontario, Canada • Vanderbilt University Medical Center, Nashville, TN • Washington University, St. Louis, MO • Yale University, New Haven, CT

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SOCIAL MEDIA COMMITTEE The Social Media Forecast: A Knowledge Translation Tool Lauren Westafer, DO MPH

“What if we were able to predict important changes in medicine with the accuracy of a meteorologist’s weather forecast? Being attentive to social media

SAEM NEWSLETTER | MARCH-APRIL 2016

forecasts for medical

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practice changes and cognitively preparing for those changes may allow us to separate the dogma from the evidence more easily.”

Do I activate the cath lab for that left bundle?

Do trauma patients need backboards?

Should I anticoagulate that subsegmental pulmonary embolism?

It’s nearly impossible to keep up with the changing tides of medicine. Add to this the unfortunate reality that much of what we learn in medicine ends up being of little value, is reversed or replaced, or gets thrown out altogether(1,2,3,4). But, what if we were able to predict important changes in medicine with the accuracy of a meteorologist’s weather forecast?

Over the past several years, free open access medical education resources have used social media as a vehicle, perhaps unknowingly, to forecast changes in medicine that we are now starting to see take place. Below are several examples: Left Bundle Branch Block (LBBB) The 2010 American Heart Association (AHA) guidelines recommended new, or presumed new, LBBB function as a STEMI equivalent.

• A 2011 EMCrit episode featured a discussion with Dr. Stephen Smith regarding reading STEMI on ECGs with an LBBB, countering the belief that ischemic changes cannot be read on an ECG with a LBBB. They introduced the ST/S ratio, wherein a ratio of the amplitude of the ST segment to the S wave >-0.25 is suggestive of ischemia/STEMI and increases the sensitivity of the Sgarbossa criteria. http://emcrit.org/podcasts/leftbundle-branch-block/

• In July 2012, Dr. Amal Mattu foretold the changing guidelines in a 20 minute video on LBBB and MI. https://www.youtube. com/watch?v=jGQajcVgYPM • A December 2012 EMS 12-lead Blog educated EMS providers on the removal of LBBB as a STEMI equivalent from the 2013 AHA guidelines http://www. ems12lead.com/tag/identifying-stemi-inthe-presence-of-lbbb/ In January 2013, new ACS guidelines were published which recanted LBBB as a STEMI equivalent and in its 2013 guidelines, the AHA overturned its 2010 recommendation that new, or presumed new, LBBB function as a STEMI equivalent(4,5).

The Long Backboard in Trauma Spinal immobilization is a guiding principle of trauma assessment and management and use of the long backboard has historically been a staple practice. Yet rumblings in the social media world dating back several years spoke out against the backboard, citing its potential for harm and the lack of benefit associated with its use.

• In a 2012 Trauma Professional’s Blog, Dr. Michael McGonigal recounted harms associated with long backboard use and urged removal of the boards as soon as possible. http://regionstraumapro.com/ post/10980377187 • An April 2014 ScanCrit blog post on changes in spinal immobilization, stressed that the backboard only be used to transfer a patient to a stretcher. http://www.scancrit.com/2014/04/02/ cervical-collar-r-i-p/

Slowly and quietly, a few EMS systems and state protocols reduced the use of backboards and in 2015, the American College of Emergency Physicians published a policy statement recommending the backboard not be used:

SGEM: DID YOU KNOW?

“Backboards should not be used as a therapeutic intervention or as a precautionary measure either inside or outside the hospital or for inter-facility transfers”(6).

Social media as a forecaster of medical practice change is akin to a weather forecast for a strong winter storm. The storm may turn out to be less impressive than was projected, or it may miss its predicted mark altogether, but preparing for the storm is prudent. Similarly, being attentive to social media forecasts for medical practice changes and cognitively preparing for those changes may allow us to separate the dogma from the evidence more easily, thus making us more receptive to practice changes as they transpire and giving us ample time to warn others of possible storms ahead.

REFERENCES: 1.Prasad V, Vandross A, Toomey C, et al. A decade of reversal: an analysis of 146 contradicted medical practices. Mayo Clin Proc.

2013;88(8):790–8.

2. Ioannidis JP a. How many contemporary medical practices are worse than doing nothing or doing less? Mayo Clin Proc.

2013;88(8):779–81.

3. Davis D et atl. The case for knowledge translation: shortening the journey from evidence to effect BMJ 2003; 327 4. Putera M et al. Translation of acute coronary syndrome therapies: From evidence to routine clinical practice. Am Heart J 2015; 169(2):266-73 4. O’Connor RE, Brady W, Brooks SC et al. Part 10: Acute Coronary Syndromes: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 122(18_ suppl_3):S787-S817. 2010.

5. O’Gara PT, Kushner FG, Ascheim DD et al. 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction. Journal of the American College of Cardiology. 61(4):e78-e140. 2013 6. EMS Management of Patients with Potential Spinal Injury. ACEP 2015. Available at: https://www.acep.org/Physician-Resources/ Policies/Policy-Statements/EMS-Management-of-Patients-withPotential-Spinal-Injury/ Accessed 25 Jan. 2015.

About the Author: Dr. Westafer is Emergency Medicine Chief Resident at Baystate Medical Center/Tufts University

Opioid Analgesia in the Emergency Department: Do Sex Differences Exist?

By Gillian Beauchamp, MD Emergency providers use opioid medication in the Emergency Department (ED) as part of routine pain control when delivering patient care. Sex-specific research has demonstrated that differences in opioid efficacy and side effects likely exist between men and women. Emergency providers should be cognizant of this emerging research and its potential to guide appropriate pain management while minimizing adverse outcomes. Several studies have demonstrated opioids have increased antinociceptive effects in women, particularly with morphine.

Given increased opioid agonist effects at equivalent doses, women may also be at increased risk for the adverse side effects of opioids, including respiratory depression. Multiple factors are likely at play, including known sex differences in pharmacokinetics and pharmacodynamics, genetics, psychosocial factors, body habitus, and hormonal effects. Further sex-specific research is needed to further characterize how and why women and men may differ in response to opioid analgesia administered in the acute care setting.

For further information and resources on Sex and Gender Emergency Medicine, visit the SGEM IG website at http://community.saem.org/ communities1/interestgroups1.

REFERENCES: – Niesters M, Dahan A, Kest B, Zacny J, Stijnen T, Aarts L, Sarton E. Do sex differences exist in opioid analgesia?

A systematic review and meta-analysis of human experimental and clinical studies. Pain 2010;151(1):61-8.

– Fillingim RB, Gear RW. Sex differences in opioid analgesia: clinical and experimental findings. Eur J Pain 2004;8(5):413-25.

– Campesi I, Fois M, Franconi F. Sex and gender aspects in anesthetics and pain medication. Handb Exp Pharmacol 2012;214:265-78.

SGEM “Did You Know?” is a recurring SAEM Newsletter submission designed to present concise facts that demonstrate how patient sex and gender effect emergency care. We welcome submissions. Please send contributions to the Co-editors Lauren Walter and Alyson J. McGregor at sgem@lifespan.org.

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ACADEMIC ANNOUNCEMENTS Manini receives research funding

SAEM Set to Launch New Journal in 2017

Dr. Alex Manini, MD, MS, Associate Professor of Emergency Medicine at the Icahn School of Medicine at Mount Sinai, has been awarded an administrative supplement of $76,000 from the National Institutes of Health (NIH) in order to further study novel endothelial biomarkers for cocaine overdose. In addition, Dr. Manini was funded by an Empire Clinical Research Investigator Program grant of $150,000 from the New York State Department of Health to mentor Dr. Suzi Bentley on a project entitled “Code Team Simulation: A Novel Curriculum for Training, Safety, and Outcome Improvement.”

Dr. Manini has also been awarded a Research Supplement to Promote Diversity in Health-Related Research of $105,000 from the NIH to mentor Dr. Stephanie Hernandez on a research project entitled “The predictive value of opiate co-ingestion on acetaminophen induced hepatotoxicity.”

The Society for Academic Emergency Medicine has officially announced plans to launch AEM Education and Training, a new online-only, open access journal covering global education and training in emergency medicine. The quarterly, peer-reviewed journal plans to begin accepting submissions in fall 2016 with online publication set to launch in early 2017.

If you are planning to attend the SAEM16, May 10-13 in New Orleans, stop by the AEM exhibit booth for more information and to meet and greet AEM Editor-in-Chief, Jeffrey Kline, MD and AEM Education and Training Editor Susan Promes, MD, who will be on hand to answer questions and to share their vision for AEM Education and Training.

SAVE THE DATES SAEM 2016 Regional Meetings http://www.saem.org/meetings/regional-meetings • Mid-Atlantic Regional Meeting March 12, 2016, TBD • New England Regional Meeting March 30, 2016, Hogan Campus Center at College of the Holy Cross, Worcester, MA • Western Regional Meeting April 1-2, 2016, Los Angeles-Marina Del Ray Marriott • Midwest Regional Meeting September 9-10, 2016, Eskenazi Hospital, Indianapolis, IN • Great Plains Regional Meeting September 23-24, 2016, University of Iowa College of Medicine, Iowa City, IA

Academic Emergency Medicine announces outstanding reviewers Academic Emergency Medicine (AEM) is pleased to announce its Outstanding Peer Reviewers for 2015. These 37 individuals each met the following criteria for excellent performance: • Provided at least five, high-quality reviews • Had a mean review score of >85% across at least three decision editors • Accepted at least two-thirds of all review requests • Submitted no more than one review late 1.

Anders, Jennifer

14. Jones, James

27. Rising, Kristin

2.

Brice, Jane

15. Kaplan, Justin

28. Runyon, Michael

3.

Brizendine, Edward J.

16. Kuehl, Damon

29. Self, Wesley

4.

Callaway, Clifton

17. Levy, Zachary

30. Solomon, Robert

5.

Diercks, Deborah

18. MacKay, Jr, John

31. Stoltzfus, Jill

6.

Driver, Brian

19. Maughan, Brandon

32. Swoboda, Thomas

7.

Dziura, James

20. Mayer, Dan

33. Thode, Jr, Henry C.

8.

Grant, William

21. McCaul, Conan

34. Venkat, Arvind

9.

Guyette, Francis

22. Perera, Thomas

35. Wall, Stephen

10. Harrison, Mark

23. Perina, Debra

36. Wallace, David

11. Hiestand, Brian

24. Puskarich, Michael

37. Wright, Brian

http://www.saem.org/meetings/future-dates

12. Hom, Jeffrey

25. Ranney, Megan

May 10-13, Sheraton New Orleans Hotel May 16-19, Hyatt Regency, Orlando, FL May 15-18, The JW Marriott Hotel, Indianapolis May 14-17, The Mirage Casino-Hotel, Las Vegas, NV 2020 May 12-15, The Sheraton Denver Downtown Hotel, Denver, CO

13. Ishimine, Paul

26. Raven, Maria

SAEM Annual Meetings 2016 2017 2018 2019

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SAEM NEWS

We extend sincere appreciation to these exceptional reviewers and to all of the 300-plus colleagues who performed a total of 1,553 peer reviews for Academic Emergency Medicine (AEM) in 2015. It is due to the talent, dedication and hard work of these individuals that AEM is able to present the high-quality, original research and academic contributions that fill the pages of AEM journal each month.

CALLS & SUBMISSIONS Calls for Papers 2016 AEM Consensus Conference May 10-13, 2016, Sheraton New Orleans Hotel Submission deadline: April 17, 2016 Shared Decision Making in the Emergency Department: Development of a Policy-Relevant Patient-Centered Research Agenda Research papers on this topic, if accepted, will be published together with the conference proceedings in the December 2016 issue of Academic Emergency Medicine. All submissions will undergo peer review and publication cannot be guaranteed. For information contact the conference chair, Corita R. Grudzen, MD, MSHS (corita.grudzen@nyumc.org), or the co-chairs Christopher R. Carpenter, MD, MSc (carpenterc@wusm.wustl.edu) and Erik Hess, MD (Hess.Erik@mayo.edu).

2017 AEM Consensus Conference May 16-19, 2017, Hyatt Regency, Orlando, FL Submission deadline: April 17, 2017 Catalyzing System Change Through Health Care Simulation: Systems, Competency, and Outcomes Research papers on this topic, if accepted, will be published together with the conference proceedings in the December 2017 issue of Academic Emergency Medicine.

All submissions will undergo peer review and publication cannot be guaranteed. For information contact the conference co-chairs William Bond, MD (William.F.Bond@jumpsimulation.org), Rosemarie Fernandez, MD (fernanre@comcast.net), and Joshua Hui, MD (joshhui@gmail.com)

Academic, VA, and Community Opportunities Located in beautiful Milwaukee, WI, the MCW Department of Emergency Medicine is growing!

Our ED at Froedtert Hospital is completing an expansion in January 2016, and we are increasing our daily physician coverage hours.

We are recruiting for two faculty to complete our coverage. The Department also seeks faculty who are interested in joining our Zablocki Veterans Affairs Medical Center (VA) staffing complement, which will be initiated in August, 2015. We are adding two positions to our faculty in order to provide Monday-Friday, daytime coverage at the VA. Additionally, the Froedtert Health System is opening a free-standing ED at the Moorland Reserve Health Center. We are recruiting six faculty for single provider coverage at this new community ED, to be opened in July, 2016. All faculty members could have clinical responsibilities at one or more of these sites.

The Department of Emergency Medicine at MCW has nationally and internationally recognized experts in EMS and Disaster Medicine, Toxicology, Injury Prevention and Control, Cardiac Resuscitation, Global Health, Ultrasound, Medical Education, and Process Improvement. The Department is ranked in the top 20 NIH funded departments of emergency medicine. Interested applicants should submit a curriculum vitae and letter of interest to Dr. Stephen Hargarten, Department Chairman and MCW Associate Dean, at hargart@mcw.edu.

Calls for Proposals 2018 AEM Consensus Conference May 15-18, 2018, The JW Marriott Hotel, Indianapolis Submission deadline: April 8, 2016 For details & instructions visit: www.saem.org/meetings/future-dates

2019 AEM Consensus Conference May 14-17, 2019, The Mirage Casino-Hotel, Las Vegas, NV Submission deadline: April 8, 2017 For details & instructions visit: www.saem.org/meetings/future-dates

Other Calls Lion’s Den 2016: 3rd Annual Research Proposal Development Symposium May 13, 2016 Sheraton New Orleans Hotel Submission deadline: April 1, 2016 Do you have a great research idea? Make your pitch, and if your idea is selected, you will be given the opportunity to give a 5-minute presentation at the Research Proposal Development Symposium to try to convince The Lions’ Den to invest (in the form of money or specific mentorship opportunities) in your project.

Contact megan_ranney@brown.edu or education@saem.org for more information and a link to the submission form.

WINE TASTING MAY 11, 2016 6:00 – 8:30 pm

Donate a bottle for our silent auction.

For more information, please contact Melissa McMillian, CNP, Grants and Foundation Manager, mmcmillian@saem.org

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14-ELLI55-0008694

BRIGHAM AND WOMEN’S HEALTHCARE EMERGENCY MEDICINE ATTENDING PHYSICIAN

Live Better.

The Department of Emergency Medicine at Brigham and Women’s HealthCare (BWHC) is seeking emergency medicine attending physicians for its community site at the Brigham and Women’s Faulkner Hospital. Appropriate candidates may also have an opportunity to provide clinical care at Brigham and Women’s Hospital academic site, and the Foxboro Urgent Care Center. More information may be found at http://www.fa.hms.harvard.edu/open-faculty-positions/junior-positions/

Emergency Medicine

Successful candidates must have successfully completed a four year residency training program in Emergency Medicine, or a three year program followed by a fellowship or one year in practice, and must be board prepared or certified in Emergency Medicine. Interest and demonstrated ability in the practice of community based Emergency Medicine is essential.

This is an excellent opportunity to join a premier group of 32 physicians and 28 mid-level providers dedicated to caring, quality patient care for our adult and pediatric patients. Elliot offers an outstanding compensation and benefits package as well as sign-on bonus potential.

Interested candidates should send a letter and Curriculum Vitae to Michael VanRooyen, MD, MPH, Professor and Interim Chair, Department of Emergency Medicine, Brigham and Women’s Hospital. Please apply by confidential email to mdeloge@partners.org.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Work Better.

Elliot Hospital located in Manchester, New Hampshire, is seeking a full-time BE/BC Emergency Medicine Physician to join our expanding healthcare team.

In addition to the main Emergency Department at Elliot Hospital, the department also staffs the pediatric emergency department at New Hampshire’s Hospital for Children as well as our urgent care centers in Londonderry and at the Elliot at River’s Edge located in Manchester.

Our providers see a combined volume of over 100,000 visits annually.

EHS is the largest provider of comprehensive healthcare services in Southern New Hampshire. The cornerstone of EHS is Elliot Hospital, a 264-bed acute care facility, Level II Trauma Center, and one of the Top 100 Most Wired Hospitals in the country.

The Manchester, New Hampshire, area is a thriving metropolitan community, located within an hour’s drive of Boston, Massachusetts, the seacoast, and White Mountains region of New England. It is also home to the Manchester-Boston Regional airport. We invite you to explore the rich heritage, breathtaking beauty and four-season attractions of (tax free) New Hampshire. Come see why Money magazine annually ranks the area one of the nation’s “Best Places to Live.”

Visit us online for more information and to apply at:

www.elliotphysicians.org

Like us on Facebook: facebook.com/ElliotPhysicians

Follow us on Twitter: @ElliotPhysician

We are an equal opportunity employer embracing the strength that diversity brings to the workplace. We provide a welcoming and supportive environment for employees of all ethnic backgrounds, cultures, ages, lifestyles and physical abilities.

Associate or Assistant Residency Director Position (APD) The Department of Emergency Medicine at the University of Michigan is seeking motivated faculty with an interest in medical education and residency leadership for Associate or Assistant Residency Director Position (APD). The APD responsibilities will include mentoring residents, supervision of the didactic curriculum, and direction of the Longitudinal Professional Development Tracks in Research, Education, Clinical Excellence and Administration. The APD will report to the Program Director and share in the leadership and responsibilities of the residency. The residency has a well-developed simulation curriculum.

There is potential for professional development in medical education research working with PhDs in education and actively involved faculty.

The Department of Emergency Medicine has nationally recognized clinical expertise in brain injury, sepsis, injury prevention and pediatric emergency medicine. The Department is a Level 1 adult and pediatric trauma center.

The residency is a four-year joint program with St. Joseph Mercy, a wellresourced community Hospital, and Hurley Hospital which serves Flint, MI. It is dedicated to providing a diverse training experience with an emphasis on clinical excellence.

Academic rank will be determined by credentials. Clinical responsibilities will include patient care activity in the Emergency Department at University of Michigan Health System and include shift reduction commensurate with responsibilities. Applicants should have residency training and board certification in Emergency Medicine. Excellent salary and fringe benefit package. If interested, please send curriculum vitae to: Robert Neumar, M.D., PhD Professor and Chair, Department of Emergency Medicine, UMHS, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5301.

The University of Michigan is an equal opportunity affirmative action employer.

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SAEM 2016 MEETING EVENTS Thursday, May 12 10:00a-10:50a

Frailty in Emergency Medicine – Napoleon Ballroom B3/C3 This didactic session will provide attendees with critical information on the concept of frailty, tools for measuring frailty in older emergency department patients, and potential research applications.

11:00a-11:50a

Moving from Guidelines to ED Practice – Napoleon Ballroom B3/C3 Real-world lessons on how implementation science tools have been used to promote Geriatric Emergency Department (GED) guideline adoption and practice change in the case of older emergency department patients.

7:00p-9:00p

Geriatric EM Networking Dinner – location TBD Get to know others interested in Geriatric EM over food and drink; email mkennedy@bidmc.harvard.edu for details; fee; not an official AGEM event

Friday, May 13 12:30p-4:30p

AGEM Business Meeting – Nottoway Room/4th Floor, tea & coffee served.

Non-members welcome!

12:30-12:50p Call to order, introductions, academy business and presentation of AGEM awards 1:00-1:50p

Messaging and More: Communication beyond academic journals An interactive workshop providing practical approaches for distilling complex research and innovative ideas into clear, powerful, and engaging messages, and using these messages in the media and social media to build awareness and drive practice and policy change.

2:00-2:50p:

Small Group Break-out Sessions

3:00-3:50p:

Elder Abuse: That Case You Missed Last Shift This didactic will focus on strategies to improve detection of elder abuse and neglect, discuss how to incorporate elder abuse identification into ED care, and provide resources for educating residents and faculty.

4:00-4:30p:

Looking forward to 2016-2017: introduction of new executive board and future plans and projects.

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2340 S. River Road, Suite 208 Des Plaines, IL 60018

NON PROFIT ORGANIZATION U.S. POSTAGE PAID SAEM

REGISTRATION OPEN www.saem.org/annual-meeting May 10-13 • Sheraton • New Orleans