November-December 2007 by Society for Academic Emergency Medicine

S A E M

Newsletter of the Society for Academic Emergency Medicine November/December 2007 Volume XXII, Number 6

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

Fire Fighter Fatality Investigation and Prevention Program

President’s Message The Educational Paradox

John Howard, MD, Director Department of Health & Human Services National Institute for Occupational Safety and Health Centers for Disease Control and Prevention

I fear that I have reached the age where I can look back on the good old days. There are those who would speak of the tremendous educational advances over the last decade: the new priorities for house staff education, freedom from clinical responsibilities to attend educational conferences, work hour Judd E. Hollander, MD limits, “golden” weekends when house staff are freed from clinical responsibilities for consecutive days providing time to rejuvenate. Surely, the logic was that this would improve patient safety. Tired, overworked people make more mistakes than refreshed people…seemed like a no-brainer.

Fire fighters are dying on the job from heart attacks and other cardiovascular conditions. In fact, sudden cardiac death is the most common cause of on-duty fire fighter fatalities. But many of these deaths can be prevented if proper measures are taken. Fire departments, fire fighters, and fire service agencies all have a role to play. That is the conclusion of the NIOSH Alert, Preventing Fire Fighter Fatalities Due to Heart Attacks and Other Sudden Cardiovascular Events. The Alert reviews the findings from 131 investigations conducted by the NIOSH Fire Fighter Fatality and Investigation and Preventions Program. These investigations show that coronary artery disease and sudden cardiac death result from personal and work-related factors. Personal factors can include age, gender, family history, diabetes, hypertension, smoking, high cholesterol, obesity, and lack of exercise. Work-related factors can include exposure to fire smoke, heavy physical exertion, heat stress, and other physical stresses.

The mission of SAEM is to improve patient care by advancing research and education, so in my role I began to think about whether these educational and lifestyle changes have translated into improved patient care. It seems to me that most of the patient care advances over the last 20 years are through research and improved technology, diagnostics and pharmacotherapies. But… there was one question I could not answer, “If we have had improvements in patient care, reduced mortality for some conditions and prolongation of life for others, how is it that physicians have taken a blow to their reputation?” This is an interesting question. Is it possible that the world has just evolved and we have been reduced to a lower stature in society unrelated to anything specific? Alternatively, might it be that some of the educational and lifestyle “improvements” have led us down a pathway of unintended consequences? I think the answer is probably the latter. Although case reports do not provide high level scientific evidence for anything, the following case series led me to generate a couple hypotheses.

In the Alert, NIOSH recommends ways to reduce heart attacks and other cardiovascular conditions. The recommendations include the following: ◆ Routine medical evaluation programs, ◆ Comprehensive wellness and fitness programs, ◆ Proper use of personal protective equipment, ◆ Proper management of the fire scene to reduce hazardous exposures including heat stress. NIOSH is the federal agency whose overall mission is conducting research to prevent work-related injuries, illnesses, and deaths. More information on the Fire Fighter Fatality Investigation and Prevention Program is available at http?//www.cdc.gov/niosh/fire/. Additional information about NIOSH is available at www.cdc.gov/niosh.

Case 1. BB, an elderly male with a very complicated medical history was evaluated in the ED and the decision to admit was made at 5 am on a Friday morning. He was admitted to the night float team. On Monday when I inquired how the patient was doing, the inpatient team informed me they had not seen him in three days. It turns out that at

We encourage you to act on the recommendations in the Alert and to share this information with others. The Alert is available online at http://www.cdc.gov/niosh/ docs/2007-133/.

(Continued on page 8)

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

Executive Director’s Message First Impressions

Being here has also been exhausting while being exhilarating. There is much to do from rebuilding the headquarters staff, improving the effectiveness and efficiency of the workflows, aligning processes to accomplish the work generated by the volunteers, to creating the infrastructure for next stage of SAEM growth.

We have all reacted to a person, situation, book or a movie with our first impression. Generally, when we think of first impressions we tend to recall those as either negative or positive. With experience we have learned that first impressions can be right on target.

With the energy that abounds in the organization, it is easy to get up and come to work every morning. Even when a new crisis emerges (like the gremlins in our computer that turn off the submission form on the last day) staff recognizes the importance of supporting your efforts. Once the bugs in the system are fixed, which I assure you we are working on daily, we can manage our processes and be the professional association you will encourage others to join.

In my first five months exposed to SAEM, I have had many opJames Tarrant portunities for first impressions. Beginning with attending the Annual Meeting, participating in several Board and committee meetings, communicating with thousands of emails, reviewing materials on the listserv and bulletin boards — each has given me insight into the SAEM culture and vision for the future.

We know you are out there using your membership. If the listserv or website is offline we hear from you. Please continue to actively support SAEM, encourage others to join and keep your ideas flowing into the office. While not every idea is feasible for the Society, the staff and the Board will review the suggestions and determine those that can continue to foster the mission of SAEM and are within the financial and human resources of the society. If we don’t know what’s broken, we can’t fix it.

When asked by my colleagues, How’s the new position?” “How is it going?” I tell them, “You wouldn’t believe what it is like working here.” The members are active, dedicated and full of energy, focused on improving care to patients, promoting research and driven to move the organization forward. What more could an executive director want?

I still have much to learn about the organization, members to meet and history to absorb. My focus is how to maintain and energize the members to continue the good you are doing for the profession and provide the support you need from the headquarters. I welcome the thoughts and input from the members on where we can improve your Society.

At first I thought it was the first impression phenomenon. Or the honeymoon period of a new position. Perhaps you were all on your best behavior. I have learned it is the culture of the organization; it’s the same energy you bring to your own academic career pursuing research and education to improve patient care.

My first impression of SAEM – WOW!!

Call for Abstracts 12th Annual New England Regional SAEM Meeting April 30, 2008 Shrewsbury, Massachusetts abstract submission form at www.saem.org will be accepted. Abstracts can be simultaneously submitted to the SAEM Annual Meeting and the NE Regional Meeting. Questions concerning abstracts can be directed to Toby Nagurney jnagurney@partners.org and questions concerning the meeting can be directed to Tom Stair tstair@partners.org.

The New England Regional Meeting program committee is now accepting abstracts for oral and poster presentations. The deadline for abstract submission is the same as for the SAEM Annual Meeting which is Monday, January 8, 2008, 5:00 pm EST. Only electronic submissions via the SAEM online

NIH Announces Awards The NIH and the National Center for Research Resources announced 12 new institutions being awarded Clinical and Translational Science Awards (CTSAs). The awardees are: Case Western Reserve University; Emory University, partnering with Morehouse School of Medicine; Johns Hopkins University; University of Chicago; University of Iowa; University of Michigan; University of Texas Southwestern Medical Center; University of Washington; University of Wisconsin; Vanderbilt University, partnering with Meharry Medical College; Washington University; and Weill Cornell Medical College, partnering with Hunter College. Twelve awards were announced last year and a third funding opportunity announcement for CTSAs has been issued, calling for the next round of applications to be submitted by November 7, 2007, with the awards expected in June 2008. http://www.nih.gov/news/pr/sep2007/ncrr-18.htm

SAEM/EMPSF Grant Deadline Extended The deadline for applying for the 2008-2009 SAEM/ EMPSF Patient Safety Research Fellowship Award has been extended to January 30, 2008. The grant, sponsored by The Emergency Medicine Patient Safety Foundation, awards $75,000 over a 12 month period to enhance the development of an emergency medicine patient safety researcher. Additionally, funds are provided for the recipient to participate in the Health Research & Educational Trust (HRET) / National Patient Safety Foundation (NPSF) Patient

Safety Leadership Fellowship. Successful applications will describe a significant, relevant, and feasible research project in the area of patient safety, as well as a mentored training program designed to provide the applicant with a foundation for becoming an emergency medicine patient safety research leader. For more information, see the SAEM website, or contact Dianne Vass, Executive Director, of EMPSF at dvass@empsf.org. Applications should be sent to SAEM (saem@saem.org).

Call for Abstracts Southeastern SAEM Regional Research Meeting

March 14-15, 2008 Hyatt Regency Hotel, Louisville, KY

The Southeastern Regional Meeting Program Committee is now accepting abstracts for review for oral and poster presentation at the Southeastern Regional Meeting. Authors are invited to submit original research in all aspects of Emergency Medicine for consideration. The deadline for Abstract Submission is Monday, January 8, 2008 at 5:00 pm EST. Only electronic submissions via the SAEM online abstract submission form will be accepted. This form and instructions can be found at www. saem.org. Abstracts may be submitted simultaneously to the 2008 SAEM Annual Meeting and the Southeastern meeting. Acceptance notifications will be sent in early February. The meeting will begin at 11:00 am on March 14, 2008 and will consist of plenary sessions in addition to oral and poster presentations. The program includes individual educational tracks specifically for medical students, resident physicians, and general audiences. The full program for the meeting and registration information will be posted on the SAEM website and the University of Kentucky CME website, www.ukyce.com, in October. All oral and poster presenters must pre-register for the meeting. No onsite registration for presenters. Information on the host hotel can be found in the brochure posted on the SAEM website. For reservations, please contact the hotel directly at 502-217-6089. Be sure to indicate that you are part of the SAEM meeting to obtain the special room rate. Questions concerning the meeting can be directed to either of the Program Chairs: Melissa Platt, MD. (maproc01@ hotmail.com) or Ashlee Melendez, MSPH (ashlee@louisville.edu).

Call for Nominations Hal Jayne Academic Excellence Award Deadline: February 1, 2008 2. Research and Scholarly Accomplishments a. Original research in peer-reviewed journals b. Other research publications (e.g., review articles, book chapters, editorials) c. Research support generated through grants and contracts d. Peer-reviewed research presentations e. Honors and awards

SAEM seeks nominations for the Hal Jayne Academic Excellence Award. This prestigious award is presented to a member of SAEM who has made outstanding contributions to emergency medicine through research, education and scholarly accomplishments. The Awards Committee wishes to consider as many exceptional candidates as possible. The Hal Jayne Academic Excellence Award is presented during the SAEM Annual Meeting. Candidates can be nominated by any SAEM member and are evaluated by the Awards Committee on their accomplishments in emergency medicine, including:

The nomination must include 1) a current CV of the candidate and 2) a cover letter by the nominator addressing above areas and the impact on emergency medicine and physicians, maximum of two (2) pages. While not mandatory, a maximum of two (2) additional support letters may be forwarded, each with a two (2) page limit.

1. Teaching a. Didactic/Bedside b. Development of new techniques of instruction or instructional material c. Scholarly works d. Presentations e. Recognition or awards by students, residents, or peers

All nominations must be submitted electronically to saem@saem.org. If electronic signature is not available, please submit nomination (cover letter) electronically and provide one hard copy to the SAEM headquarters. Completed nominations must be received by February 1, 2008.

Call for Nominations Leadership Award Deadline: February 1, 2008 SAEM seeks nominations for the Leadership Award. This award honors a SAEM member who has made exceptional contributions to emergency medicine through leadership - locally, regionally, nationally or internationally. The Awards Committee wishes to consider as many exceptional candidates as possible.

• Nominee’s name (first name, middle initial, last name, earned degrees) • Principal honors and awards received • Major leadership positions within SAEM • Major non-SAEM leadership positions, societies and boards • Person nominating award candidate (include mailing address, phone and fax numbers and email address) • Statement on how this individual had a positive impact on academic emergency medicine and met the criteria for this award (limited to 2 pages) • While not required, up to two (2) additional supporting letters (each limited to 2 pages) may be submitted

The SAEM Leadership Award is presented during the SAEM Annual Meeting. Candidates are evaluated on their leadership contributions including (but not limited to) those related to: 1. Emergency medicine organizations and publications. 2. Emergency medicine academic productivity. 3. Academic emergency medicine development. 4. Advancement of emergency medicine regionally, nationally or internationally. Nominations may be submitted by any member. Nominations should include a copy candidate’s CV and a cover letter describing qualifications. Each completed application must the following:

All nominations must be submitted electronically to saem@saem.org. If electronic signature is not available, please submit nomination electronically but provide one hard copy to the SAEM headquarters.

SAEM of the his/her include

Completed nominations must be received by February 1, 2008.

Call for Nominations SAEM Elected Positions Deadline: January 23, 2008 Nominations are sought for the SAEM elections that will be held in the spring of 2008. The Nominating Committee will select a slate of nominees based on the following criteria: previous service to SAEM, leadership potential, interpersonal skills, and the ability to advance the broad interests of the membership and academic emergency medicine. Interested members are encouraged to review the appropriate SAEM orientation guidelines (Board, Committee/Task Force or President-Elect) to consider the responsibilities and expectations of an SAEM elected position. Orientation guidelines are available at www. saem.org or from the SAEM office.

The Nominating Committee wishes to consider as many candidates as reasonable and whenever possible will select more than one nominee for each position. Nominations may be submitted by the candidate or by any SAEM member. Nominations must be submitted online at http://www.saem.org/saemdnn/CallforNominations/ tabid/774/Default.aspx or electronically to nominations@ saem.org and must be submitted in the following format: 1. Name and title (MD, DO, PhD) 2. Institution 3. Current academic position(s) 4. SAEM member since:

Nominations are sought for the following positions:

5. List SAEM committee(s)/task force(s)/interest group(s) membership and year(s)

President-Elect: The President-Elect serves one year as President-Elect, one year as the President, and one year as Past President. Candidates are usually members of the Board of Directors.

6. Leadership role(s) within SAEM and year(s) 7. SAEM elected position(s) (Board, Nominating Committee, C&B Committee)

Board of Directors: Two members will be elected for a three-year term on the Board. Candidates should have a track record of excellent service and leadership on SAEM committees and task forces.

8. List role in major contribution to SAEM products (e.g., author of X, developing Y, etc.) 9. Non-SAEM career accomplishments such as awards, grants, leadership positions, etc. (100-word limit)

Resident Board Member: The resident member is elected to a one-year term. Candidates must be a resident during the entire term on the Board (May 2008May 2009) and should demonstrate evidence of strong interest and commitment to academic emergency medicine. Nominations should include a letter of support from the candidate’s residency director.

10. Personal statement of what the candidate wants to do for SAEM, if elected (300-word limit) • What have been your proudest accomplishments for SAEM? • What are your goals for advancing the Society?

Nominating Committee: One member will be elected to a two-year term. The Nominating Committee develops the slate of nominees for the elected positions. Candidates should have considerable experience and leadership on SAEM committees and task forces. Nominating Committee members may not run for elected office while serving on the Nominating Committee.

• What is your vision for the future of SAEM? • Which needs of the membership do you wish to address? • Personal comment to membership (optional)

Constitution and Bylaws Committee: One member will be elected to a three-year term, the final year as the Chair of the Committee. The Committee reviews the Constitution and Bylaws and makes recommendations for the Board for amendments to be considered by the membership. Candidates should have considerable experience and leadership on SAEM committees and task forces.

Nominating Committee The Board of Directors appointed the following to serve on the Nominating Committee: Drs. Kathleen Clem, Debra Houry, and David Sklar. Other Committee members are Drs. Katherine Heilpern, Chair; James W. Hoekstra; Francis L. Counselman; and Michelle Lin.

Dr. Jeffrey Kline will be serving his second year of two as Secretary-Treasurer; therefore this position is not available for nominations.

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

John A. Brennan, MD, Senior Vice-President of Clinical and Emergency Services and Chairman of the Senior Medical Affairs Committee for the St. Barnabas Health Care System has been named Executive Director of Newark Beth Israel Medical Center, Newark, NJ effective September 25, 2007.

School of Medicine, in conjunction with the Department of Emergency Medicine. Robert A. Lowe, MD, MPH, an Associate Professor of Emergency Medicine at the Oregon Health & Science University, was awarded a grant by the National Institute of Neurological Disorders and Stroke/National Institute of Health. The project, “Acute Interventions: Neurological Emergencies Treatment Trials,” will be funded for $1,401,750 over five years.

Kathleen Clem, MD, has accepted the position as Chair of the Department of Emergency Medicine at Loma Linda University. She previously served as Chief of the Division of Emergency Medicine at Duke University.

K. John McConnell, PhD, Assistant Professor of Emergency Medicine at the Oregon Health & Science University, was awarded a R01 grant by the National Institute on Drug Abuse/National Institute of Health. The project, “Oregon’s Parity Law: Comprehensive Parity in Today’s Healthcare Environment,” will be funded for approximately $900,000 over three years.

Gregory Conners, MD, MPH, MBA, Professor of Emergency Medicine and Pediatrics, has been appointed Interim Chair at the University of Rochester. He is a graduate of Amherst College and SUNY Stony Brook School of Medicine. Michael Hocker, MD, has been named the Interim Chief of the Division of Emergency Medicine at Duke University.

Chad Miller, MD, Assistant Professor in the Department of Emergency Medicine, Wake Forest University, is the recipient of a K12 award from the Translational Science Institute at Wake Forest.

Deb Houry, MD, MPH, was awarded the first Linda Saltzman Memorial Intimate Partner Violence Researcher Award by the Institute of Violence, Abuse, and Trauma. This award is dedicated to the memory of Linda Saltzman, PhD, who dedicated her life to ending intimate partner violence through research. This award encourages continued research in this field by recognizing a researcher who has made substantial contributions to the field of intimate partner violence in the past five years.

Susan Nedza MD, MBA, Adjunct Associate Professor of the Department of Emergency Medicine at Northwestern University, has received the Administrator’s Achievement Award at the Centers for Medicare and Medicaid Services for her work related to Value Based Purchasing by Medicare.

Johns Hopkins Emergency Medicine Residency has been approved by the RRC as a four year (1-4) program. Their fourth year will incorporate the FAST model (Focused Advanced Specialty Training) which will offer training in one of 12 areas related to EM.

Scott E. Rudkin, MD, MBA, was promoted to Assistant Dean of Continuing Medical Education at the University of California, Irvine. He continues to serve as the Vice Chair and Assistant Medical Director of the University of California, Irvine Department of Emergency Medicine.

Amy H. Kaji, MD, an Assistant Professor in the Department of Emergency Medicine at Harbor-UCLA Medical Center, recently received her PhD in Epidemiology from the UCLA School of Public Health. Her PhD dissertation was entitled The Assessment of Hospital Disaster Preparedness in Los Angeles County and focused on methods used to assess hospital-based disaster preparedness. Dr. Kaji is the Medical Director of the South Bay Disaster Resource Center at Harbor-UCLA Medical Center and a member of the Editorial Board for Academic Emergency Medicine.

Sandra Schneider, MD, has stepped down as Chair of Emergency Medicine at the University of Rochester. Dr. Schneider was appointed as the Founding Chair of the Department of Emergency Medicine in 1993 and has been a leader nationally in Emergency Medicine. Past positions include President of the Society for Academic Emergency Medicine, and Chair of the Association of Academic Chairs of Emergency Medicine. Her current positions include: Chair, Residency Review Committee for Emergency Medicine; Chair, Emergency Medicine Foundation; Editor, Emergency Medicine Reports; Board of Directors, American College of Emergency Physicians; and Board of Directors, New York State Chapter of the American College of Emergency Physicians, which honored Dr. Schneider with their 2007 National Leadership Award.

Shahram Lotfipour, MD, MPH, Associate Clinical Professor of Emergency Medicine, was selected as a faculty member of the Alpha Omega Alpha Honor Medical Society in the University of California, Irvine Zeta Chapter. He currently serves as the Clinical Foundations Course Director and the Director of Undergraduate Emergency Medicine Education at the University of California, Irvine

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SAEM Western Regional Research Forum and Medical Student Forum Meeting Announcement and Call for Abstracts

Friday, March 28th - Saturday, March 29th, 2008 University of California, Irvine Costa Mesa, CA

SAEM is pleased to announce the 10th annual meeting of the Western Regional Research Forum. Abstracts must be submitted via the SAEM web site; the submission deadline is Monday, January 14, 2008, at 5:00 PM, EST. Abstracts may be submitted simultaneously to the 2008 SAEM Annual Meeting and the Western Regional meeting. This meeting is an excellent opportunity for medical students, residents, fellows and junior faculty to present their research. Abstracts from senior faculty are also welcome. All accepted abstracts will be presented as mini-oral presentations. In addition to presentation of original research, the meeting will include a keynote address by Dr. David Schriger from the David Geffen School of Medicine at UCLA. There will be an optional hands-on workshop on basic ultrasound techniques, taught by Dr. J. Christian Fox along with UC Irvine Faculty. There will also be a half-day Medical Student Forum with discussions on how to select a residency program and make one’s application as competitive as possible. In addition, students will have ample opportunity to speak informally with residency directors from throughout the Western United States. The venue in Costa Mesa, California, is adjacent to South Coast Plaza, one of the world’s premier shopping destinations. The conference will run from noon on Friday through Saturday afternoon, leaving time to explore shopping, the adjacent beaches, nearby attractions in the Disneyland Resort, and all that Southern California has to offer. Please direct preliminary questions to Mark I. Langdorf, MD, MHPE, FACEP, FAAEM, RDMS at milangdo@uci. edu or call (714) 456-5239.

Announcing the New Online SAEM Academic Ethics Consultation Service Tammie Quest, MD Emory University Ethics Committee Chair

from diverse backgrounds and academic institutions interested in facilitating education, research and clinical ethics in the emergency setting. Member contact reply is developed through a consensus style approach and will be by email. The AECS response will identify moral issues and rationale, rather than suggesting a specific course of action. In some instances a recommendation, may be made to develop SAEM Policy or Position Statements. The Ethics online consultation service is for educational purposes only and is not meant to adjudicate any particular dilemma. Any contact information you provide will only be seen by the Chair of the committee and stripped of all identifiers when distributed to the consultation subcommittee. We invite all members of the Society to browse our online form and use the service. To access the online service, please visit us at www.saem.org.

The SAEM Ethics Committee is pleased to announce the opening of the online SAEM Academic Ethics Consultation Service (AECS). The goal of the Ethics Committee Consultation Service is to create a place for members to bring ethical dilemmas and receive guidance on how an issue may be approached from an ethics perspective. Areas of Ethics to be covered will encompass areas such as: research, education, and clinical dilemmas. While the AECS has been in existence for years, we have not had an electronic process. We hope that the online AECS will make the service more accessible to members with a form to guide the consultation process. The SAEM Ethics Committee is a group of individuals

President’s Message (Continued from page 1)

8 am Friday his care was transferred to the daytime team. At 5 pm, he was signed out to the “on call team” and the care he received the remainder of the weekend was provided by cross-covering house staff since the admitting team had their “golden” weekend. Now on Monday morning, I learned that the team responsible for the patient was present for only eight hours of his first three days in the hospital. Although he was still alive, I have to admit I began wondering whether he got better care than the “good old days” where care was provided by an overworked physician who followed him daily during the first three days of his hospitalization. Are we teaching house staff that time off is more important than patient care? I remembered the previous week having an admitting resident tell me, “It is 9:35 and I stopped taking new patients at 9:30. I know you called the patient in for a bed at 9:20 but it is the time you page me that counts and that was 9:32.” Do our trainees look at the patient differently than they used to?

a fully written history and physical and spends 6 minutes in the patient room. When confronted, she says she is not really taking care of the patient, the EM resident has already done everything and the patient will be transferred to someone else’s care in the morning. There is no doubt in my mind that having well rested health care providers is better for patient care than having tired depressed health care providers. The steps we have taken along these lines have some “face validity” and appeared reasonable when we embarked down this road. But…we made large scale changes in medical education without any “outcomes” research. I don’t doubt that house staff performs less well on puzzles and computer games after being on call. In retrospect, I wonder if doing less well on tasks might be more than offset by work ethic and devotion to patient care. We might have changed the system too rapidly. I am not advocated going back to the “good old days.” They had problems, but I think we need to do a careful reassessment of how we go forward. Let’s not rely on case reports and anecdotes. Let’s see whether we can find a reasonable system so we don’t abuse our trainees while we educate them optimally and simultaneously teach them that the real priority is the patient. We should define the system based upon patient outcomes. Until then, please do not create any more rules pulling physicians away from the patient. Let’s educate and improve patient care by making the patient the priority. If we can’t do that, you won’t have to wonder why physicians are not as respected as they used to be.

Case 2. SS, a hemodynamically unstable patient presented at 6 am Tuesday morning. Intensive resuscitation measures were undertaken until 7 am, when the rotating resident left the patient to attend a conference. I have long wondered why primary care physicians now send patients to the ED rather than see them in the office for simple problems. I don’t recall this happening as much 20 years ago. Have we fostered this new attitude? Case 3. The EM resident calls report to NF, the night float resident, who asks the EM resident to speak slower so she can write it down. NF then arrives in the ED with

Fellowship/Faculty Position Ads Available

Membership Update The Board of Directors has heard the concerns of members and recognizes the need to expand resources to better serve the SAEM membership. The Board has a commitment to improve the responsiveness and follow-up from national headquarters with a more appropriate staffing level able to meet the increased demands of the members and affiliated groups.

The SAEM Newsletter is mailed every other month to approximately 6,000 Society members. Advertising is limited to Fellowship and Academic faculty positions. All ads are also posted on the SAEM Web site at no additional charge. Advertising rates for classified ad (100 words or less) Contact party SAEM member Contact party non-SAEM member Quarter page ad (camera ready, 3.5” wide x 4.75” high)

Our past dues structure has not kept pace with inflation or the growth of SAEM and its programs. An increase in our dues structure adds needed resources to allow SAEM to provide support more in line with the multifaceted services of larger organizations. During the next year you will see the results of these improvements in our Society.

$120.00 $145.00 $350.00

To place an advertisement, e-mail the ad, along with contact party information for follow-up including phone and fax numbers, billing address, ad size and newsletter issues in which the ad is to appear to: Maryanne Greketis, mgreketis@saem.org Deadline for the January/February issue is December 1, 2007

S A E M

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

The Program Committee is accepting abstracts for review for oral and poster presentation at the 2008 SAEM Annual Meeting. Authors are invited to submit original emergency medicine research in the following categories: • abdominal/gastrointestinal/ genitourinary pathology • administrative/health care policy • airway/anesthesia/analgesia • cardiovascular (non-CPR) • clinical decision guidelines • computer technologies • CPR • CV basic science • diagnostic technologies/radiology • disaster medicine

• disease/injury prevention • education/professional development • EMS/out-of-hospital • ethics • geriatrics • infectious disease • ischemia/reperfusion • meta-analysis • neurology • obstetrics/gynecology

• overcrowding • pediatrics • psychiatry/social issues • research design/methodology/ statistics • respiratory/ENT disorders • shock/critical care • toxicology/environmental injury • trauma • wounds/burns/orthopedics

Abstracts detailing innovations in emergency medicine exhibits (IEME) are also being requested. The deadline for submission of abstracts is Monday, January 8, 2008 at 5:00 pm Eastern Time and will be strictly enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions will be available on the SAEM website at www.saem.org in September 2007. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801. Only reports of original research may be submitted. The data must not have been published in manuscript or abstract form or presented at a national medical scientific meeting prior to the 2008 SAEM Annual Meeting. Original abstracts presented at regional meetings in April or May 2008 will be considered. Abstracts accepted for presentation will be published in the Abstract Supplement of the May 2008 issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. SAEM strongly encourages authors to submit their manuscripts to AEM. AEM will notify authors of a decision regarding publication within 60 days of receipt of a manuscript.

Academic Annoucements (Continued from page 6)

The UCLA Medical Center/Olive View-UCLA Medical Center Emergency Medicine Residency Program (AKA UCLA/Olive View-UCLA) has changed format to PGY 1-4 from PGY 2-4. The change was approved by the RRC, and is effective for this year’s match.

an Injury Prevention Center and Medical Simulation Center. Frank Zwemer, MD, has been named the new Director of Informatics for the Department of Emergency Medicine at the University of Rochester. He will also retain his role as Vice Chair of the Department.

Federico E. Vaca, MD, MPH, Associate Professor of Clinical Emergency Medicine, has been awarded a fiveyear NIH K23 Training Grant for his project, Development And Crash Injury Risk In Adolescent Latino Males. The granting agency is the National Institute of Child Health and Human Development. Dr. Vaca is one of only 15 emergency physicians in the entire nation to receive such NIH training grant funding, according to a recent SAEM survey. This is truly a landmark event in his career.

SAEM Educational Fund Is Coming! After the tremendous success with growing our research fund, the SAEM Board of Directors has decided to embark on creation of an educational fund. We will begin the process with formation of an Educational Fund Task Force to define the mission, vision and operating procedures of this fund. We are confident that this new initiative will directly further our mission to improve patient care through research and education.

Robert H. Woolard, MD, is the new Chair of Emergency Medicine, Texas Tech University Health Sciences Center at El Paso. Dr. Woolard comes from Brown University where he was a full professor and created an academic Department of Emergency Medicine, including creation of

CPC Final Competition Held in Seattle And the winners are:

Runners-Up:

Discussant David Pierce, MD, SUNY@Buffalo and Presenter Karla Lacayo, MD, George Washington University shown with Mike Beeson, MD and Philip Shayne, MD who represented CORD at the awards ceremony

Discussant Jason Liebzeit, MD, Emory University and Presenter Laurie Mahoney, MD, Carolinas Medical Center with Drs. Beeson and Shayne

CPC Competition Submissions Sought Submissions are now being accepted from emergency medicine residency programs for the 2008 Semi-Final CPC Competition to be held May 28, 2008, the day before the SAEM Annual Meeting in Washington, D.C. The deadline for submission of cases is February 1, 2008 with an entry fee of $250. Case submissions and presentation guidelines will be posted on the CORD website at www.cordem.org. Residents participate as case presenters, and programs are encouraged to select junior residents who will still be in the program at the time of the Final Competition, which will be held during the 2008 ACEP Scientific Assembly, October 27-30 in Chicago. Each participating program selects a faculty member who will serve as discussant for another program’s case. The discussant will receive the case approximately 4-5 weeks in advance of the competition. All cases are blinded as to final diagnosis and outcome. Resident presenters provide this information after completion of the discussant’s presentation. The CPC Competition will be limited to 60 cases selected from the submissions. A Best Presenter and Best Discussant will be selected from each of the six tracks. Winners of the semi-final competition will be invited to participate in the CPC Finals. A Best Presenter and Best Discussant will be selected. The CPC Competition is sponsored by ACEP, CORD, EMRA, and SAEM. If you have any questions, please contact CORD by email at cord@cordem.org, or by phone, 517-485-5484.

Meta-Analysis – New Category for Abstract Submissions Michael Brown MD, MSc For the Evidenced-Based Medicine Interest Group

a focused clinical question, the databases searched, the study selection criteria, a description for how study quality was assessed, the methods used for quantitative data synthesis, and a Forest plot summary of results. High quality systematic reviews require careful planning; a written protocol is recommended so that issues like subgroup analyses are addressed a priori. The Cochrane Collaboration website provides numerous resources for those considering conducting a systematic review (http:// www.cochrane.org/resources/training.htm).

The SAEM Program Committee has designated “Meta-Analysis” as a new study design category for submissions to the 2008 SAEM Annual Meeting. To increase the chance of acceptance, authors are encouraged to use the 18 item QUOROM checklist (Lancet. 1999 Nov 27;354:1896-900) which outlines the components required for a high quality systematic review. An abstract for a meta-analysis should include 10

The NIH Clinical Translational Science Awards and Institutes: OPPORTUNITIES FOR EMERGENCY RESEARCH Sandra Schneider, MD, University of Rochester Charles B. Cairns, MD, Duke University When Elias Zerhouni became Director of the NIH in May 2002, he created a task force to examine the current gaps in biomedical research. The task force was to identify those areas of research that were not the domain of any one institute within the NIH. He asked four questions of the panel:

Some of the research areas that CTSI’s have been encouraged to develop include: • Novel methodologies for research (such as biomarkers, clinical trial methodology, clinical informatics, predictive toxicology) • Pilot and collaborative translational and clinical studies (including biostatistics, clinical research methodology, ethics, etc).

1. What are today’s scientific challenges? 2. What are the roadblocks to discovery? 3. What can we do to overcome these roadblocks? 4. Which of these cannot be done by one agency alone, but can be done by the agency itself?

• New systems for biomedical informatics, research design (including biostatistics, ethics), regulatory knowledge and support, resources for participants and clinical interactions, community engagement, translational technology and resources.

The task force looked at potential new pathways to biomedical discovery, needs of research teams of the future, and ways to reengineer the country’s clinical research enterprise.

• New approaches to research education (training and career development).

Several new programs within the NIH are outgrowths of this process. These include a new library of chemical molecules and probes, the recently announced Director’s Pioneer Award, a new clinical research network (NECTAR), and the Clinical Translational Scientific Institutes (CTSI). Of these, the CTSI program has potential to directly impact research in our specialty.

...the CTSIs are to be “ networked together to provide greater access to patients, tissue, and scientific knowledge.

”

Clinical Translational Scientific Awards and Institutes The initial part of the CTSI process was termed CTSA (Clinical Translational Scientific Awards). These awards were meant to consolidate the current General Clinical Research Centers and T32/K12 training programs. In addition, the CTSAs are meant to ‘transform’ institutions to become a CTSI in order to place a new emphasis on clinical and translational research. Within each CTSI institution, these grant awards would establish a home for both clinical and translational science and dedicated training programs for our next generation of scientists, both at a pre and post doctorate level. Each CTSI institution would be expected to develop clinical translational science as a distinct discipline with an academic home within the institution.

This year 12 CTSI’s were established, 11 of which are associated with an emergency medicine program. Awards were up to $6M/year for 5 years. There will be 8 additional awards granted this year, and eventually 60 CTSIs will be established. Opportunities for Emergency Medicine in the CTSA Program Emergency medicine is well positioned to contribute to the CTSA program. The CTSIs may provide access to both training and research dollars. Funds for postdoctoral training will be through K12 grants which allow for up to $160K/year salary, plus some funds ($5-50K/year) for pilot research projects. These K12s will be dedicated to the CTSI; watch for the RFAs for these training grants. It is important to note that a K12 recipient cannot have a K08 or K23.

In addition, the CTSIs are to be networked together to provide greater access to patients, tissue, and scientific knowledge. Furthermore, each CTSI is encouraged to establish a network of partners within the community and surrounding scientific community. This community and cross-institute network could not only increase patient recruitment, but also public trust. The ultimate goal would be to ensure rapid and sustainable incorporation of scientific developments directly into patient care.

Another way that EM can benefit from being a CTSI is becoming part of the community research network. Each CTSI is encouraged, and funded, to establish a Continued on page 12

Opportunities for Emergency Research

University of Rochester, NY Special Emphasis: • Network within the academic community and the primary care practice-based network • Research inventory and dataset sharing • Upstate consortium with academic partners in Buffalo, Syracuse, Albany, Sayre, and Cooperstown EM mention: • EM faculty noted as recipients of successful K30 projects in both clinical and translational • EM physician awarded funds for a mulitcenter ED network to assess head injuries.

Continued from page 11

network either between institutions (community hospitals, nearby academic centers, health department, regional health partners, etc.) or within the community (community practitioners, disease specific health interest groups, etc.). During a recent meeting, Dr. Zerhouni suggested that EM should establish a network of the EDs of the CTSIs to further research and patient enrollment in CTSI endeavors. Towards this end, an initial planning meeting to begin discussions on a CTSI EM project was held at the SAEM annual meeting last May. At this meeting, representatives from the current CTSI institutions shown in the box were represented, and the initial EM input into the CTSI applications was reviewed.

University of Pittsburgh, PA Special Emphasis: • Networking of their 19 hospitals, 2 universities, and multiple graduate programs • Population-based laboratory EM mention: • EM faculty noted as recipients of previous funding

The immediate next steps in this process will be to identify EM-based projects that are appropriate for the CTSI network to consider, coordinate synergies in expertise among CTSI institutions, and support the input of emergency medicine investigators in new CTSA applications. The ultimate goal is to develop new diagnostic and therapeutic approaches to apply to the broad population of patients with acute or severe injuries and illnesses.

University of Texas, Houston Special Emphasis: • Network of multiple hospitals including the Harris Count Hospital District and industry (AstraZeneca) • Network with Baylor under consideration • Syndromic surveillance • Testing of translational research EM mention: • EM research cited

Mayo Clinic, Rochester, MN Special Emphasis: • Community outreach and diversity • Knowledge translation research unit • Network of clinic and extramural partners EM mention in CTSA application: • Emphasis on acute care research, mainly ICU based. Discusses the timeliness of enrollment ‘only a few hours’. Creates a mobile team able to respond 24/7 to acute admissions to the ICU by hiring 4.0 FTE nurses.

Yale (limited information available) Special Emphasis: • Broad-based support for training of new investigators • Broad-based support for translational research • EM Involvement: • EM was involved in the strategic planning process but not specifically in the planning.

Oregon Health System, Portland, OR Special Emphasis: • Partnership with Kaiser Permanente NW • Networks throughout the state such as the Oregon Rural Practice Research Network and the Kaiser database • TRIP research: translation of research into practice • Emphasis on pediatrics and human genetics EM mention in CTSI application: • EM recipient of past efforts on the K30 grant • Mention of tissue procurement from the ED • Networks within public health • EM physician awarded a pilot project to monitor patients with diabetes and atherosclerotic disease

Columbia University, NY Special Emphasis: • Network of School of Public Health, NYH Presbyterian Hospital, NY State Psychiatric Institute, Institute for Research at St Luke’s Roosevelt, Department of Biomedical Engineering • Emphasis on role with inner city and multiethnic population EM mention: • Noted number of ED visits in grant, support of research nurse in ED Continued on next page

Opportunities for Emergency Research

University of California, Davis Special Emphasis: • Community network with partners in Sacramento and north central California • Primary care network of 16 sites in 11 communities • Center for Reducing Health Disparities • Center for Health Services Research Program in Primary Care EM mention: • Center for Pediatric Emergency Care Research Network (PECARN)

Continued from page 12

• Suggestion that research can and will be conducted in ED • Community engagement in EM research

Duke University Special Emphasis: • Integration of 3 teams: Duke Clinical Research Institution, Duke Translational Research Institution and Duke Center for Community Research • Integrated EMR EM mention: • Mentioned as resource, EDIS • Informed consent issues • EM physician awarded pilot grant to assess minority enrollment in research.

University of Pennsylvania Special Emphasis: • Creation of the Institute of Translation Medicine and Therapeutics • Partnership with Penn and CHOP, industry, FDA and Oracle • Community and professional outreach EM mention: • Ethics in research in the emergency setting • Patient visits

University of California, San Francisco Special Emphasis: • Network of Department of Health, VA Hospital, Children’s and UCSF Disparities, Health Services, Global Health EM mention: • Site for recruitment

Note: The final initial CTSI, Rockefeller Hospital, is a purely research hospital with no emergency services or department. All patients are electively admitted through the research center on protocols. The application focused upon vaccine development.

Call for Nominations Young Investigator Award Deadline: December 15, 2007 SAEM recognizes up to three (3) candidates for the Young Investigator Awards each year. The Society’s core mission includes the creation of knowledge; these awards recognize those SAEM members who have demonstrated commitment and achievement in research during the early stage of their academic career. The SAEM Young Investigator Awards are presented during the SAEM Annual Meeting. Any SAEM member may nominate a candidate.

reports, and other works. c. grant awards (also one of the most weighted criteria, with competitive awards noted) d. presentations at scientific meetings e. research awards/recognition Candidates must not have completed initial residency training before June 30, 2001. The nomination must include 1) a current CV of the candidate and 2) a cover letter by the nominator addressing above areas and the impact/ future potential of the work on emergency medicine and physicians (maximum of two (2) pages.) While not required, no more than two (2) additional support letters may be forwarded, each with a two (2) page limit.

The specific criteria for the award include: 1. Training and certification in emergency medicine or an ABEM specialty. 2. Evidence of research collaboration with a senior clinical investigator/scientist. This may be in the setting of a collaborative research effort or a formal mentor-trainee relationship. 3. Academic accomplishments which may include: a. postgraduate training/education: e.g., research fellowship, master’s program, doctoral program b. publications: original scientific manuscripts (one of the two most weighted criteria), texts, abstracts, review articles, chapters, case

All nominations must be submitted electronically to saem@saem.org. If electronic signature is not available please submit nomination (cover letter) electronically and provide one hard copy to the SAEM Headquarters. Completed nominations must be received by December 15, 2007. 13

Call for Submissions

Innovations in Emergency Medicine Education Exhibits Deadline: Friday, February 1, 2008 The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2008 SAEM Annual Meeting, May 29-June 1, 2008 in Washington, D.C. Submitters are invited to complete an application describing an innovative new educational methodology that they have designed, or an innovative educational application of an existing product. The exhibit should not be used to display a commercial product that is already available and being used in its intended application. Exhibits will be selected based on utility, originality, and applicability to the teaching setting. Commercial support of innovations is permitted but must be disclosed. The descriptions/abstracts of the selected IEME Exhibits will be published in the Abstract Supplement of the May 2008 issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. However, if submitters have conducted a research project on or using the innovation, the project may be written up as a scientific abstract and submitted for scientific review in the appropriate subject category by the January 8 deadline. The deadline for submission of IEME Exhibit applications is Friday, February 1, 2008 at 5:00 pm Eastern Time. Only online submissions using the form on the SAEM website at www.saem.org will be accepted. For further information or questions, contact SAEM at saem@saem.org or (517) 485-5484.

Patient Centered

Director of Clinical Research-University of Nebraska Medical Center

Specialty Focused

Emergency Medicine Faculty We are recruiting EM residency-trained, ABEM certified/eligible faculty to join our progressive, academic EM group at Regions Hospital, a Level 1 trauma center with an established 3-year EM residency and annual ED volume of 66,000, located in St. Paul, Minnesota. Research Director – We seek an experienced investigator to lead our research program. Appropriate fellowship training, productive research experience, and proven grant writing skills required. Protected time and support for pilot project funding, grant writing, and statistical analyses provided. Department leadership opportunities available.

The Emergency Department (ED) census is 45,000 adult and pediatric visits, and is a level one trauma center with an established three year emergency medicine residency. The department operates a clinical decision making unit, fast track and ultrasound program. We have active involvement with the air transport system and regional poison center. We are establishing relationships with the newly formed School of Public Health.

Academic Faculty – We seek talented clinicians committed to excellence in bedside teaching. Protected time available for those with fellowship training and/or proven experience in research, education, or administration. For details, contact Dr. Brent Asplin, Department Head, at brent.r.asplin@healthpartners.com. Email your CV and cover letter to sandy.j.lachman@healthpartners.com or apply online at www.healthpartners.com. Call (800) 472-4695 for more information. EO Employer

SAEM Newsletter 3.5” x 4.75”

Academic rank will be commensurate with experience, qualifications, and scholarly achievement. Qualified applicants should send letter of interest and CV to: Robert L. Muelleman, MD; University of Nebraska Medical Center; Department of Emergency Medicine; 981150 Medical Center; Omaha, NE 68198-1150.

www.regionshospital.com

Call for Papers The Science of Simulation in Healthcare The 2008 Academic Emergency Medicine Consensus Conference on The Science of Simulation in Healthcare will be held on May 28, immediately preceding the SAEM Annual Meeting in Washington, D.C. Original papers, if accepted, will be published together with the conference proceedings in the November 2008 issue of Academic Emergency Medicine. Simulation encompasses any technology or process that recreates an artificial environment in which a learner may safely experience mistakes and receive feedback. Providing a forum for teaching, evaluation, and research, simulation utilizes high-fidelity patient simulators, standardized patient encounters, computerized virtual environments, task training, mathematical modeling and other related processes. Three core areas of simulation will be explored as part of the Consensus Conference: 1) Clinical practice and expertise - “animating” core curricular material for training and testing with robotmannequins, standardized patients, or computer-screen based scenarios. 2) Teamwork-communication skills - crisis resource management for critical events recreated in immersive environments, including disasters. 3) Procedure and process modeling – development and deployment of virtual reality platforms, task trainers, computer screen-based scenarios, and mathematical modeling of care processes. Simulation research may pertain to any and all aspects of these kinds of endeavors. Examples of research topics that would qualify include: • Developing a methodology to quantify the impact of simulation training on patient care processes and outcomes. • Developing a methodology to assess the effect of simulation training on the development and maintenance of medical expertise. • Research involving the biopsychology and physiology of simulation training. • Using simulation for evaluation and testing in medical education, including high-stakes certification examinations. • Logistics and cost-effectiveness of creating and maintaining simulation centers. • The science of cognition related to simulation training. • Approaches to improving and measuring patient safety through simulation. • The impact of simulation on healthcare policy (e.g., mandating simulator training for procedural certification, modeling the allocation of scarce resources after a catastrophic disaster, etc.). • Optimal debriefing techniques to maximize learning in a simulated environment. • Papers that discuss and contribute to the methodology and conceptual framework for simulation-related research. The conference will be designed and conducted to reach consensus on: • A research agenda based on an exploration of the most important methodological gaps that currently exist in simulation research involving patient outcomes, teamwork and communication, medical education, and performance assessment. • Recommendations that will advance the use of simulation in healthcare to improve patient care, teamwork communication, and medical education, and performance assessment. Original contributions describing relevant research or concepts in this topic will be considered for publication in the November 2008 special topics issue of AEM if received by Monday, March 3, 2008. All submissions will undergo peer review and publication cannot be guaranteed. For queries, please contact James A. Gordon, MD, MPA, Consensus Conference Coordinator (jgordon3@partners.org), or Amy Kaji, MD, AEM Editorial Board Liaison (akaji@ emedharbor.edu). All papers should be submitted to Sandra K. Arjona, AEM Journal Manager, sandrak.arjona@ gmail.com, by Monday, March 3, 2008. Information and updates will also be posted in the SAEM newsletter and on the AEM and SAEM web sites. 15

Call for Photographs Deadline: February 15, 2008 Original photographs of patients, pathology specimens, gram stains, EKGs, and radiographic studies or other visual data are invited for presentation at the 2008 SAEM Annual Meeting. Submissions should depict findings that are pathognomonic for a particular diagnosis relevant to the practice of emergency medicine or findings of unusual interest that have educational value. Accepted submissions will be mounted by SAEM and presented in the “Clinical Pearls” session or the “Visual Diagnosis” medical student/resident contest. No more than three different photos should be submitted for any one case. Submit one hard copy glossy photo (5 x 7, 8 x 10, 11 x 14, or 16 x 20) and a digital copy in JPEG or TIF format on a disk or by email attachment (resolution of at least 640 x 48). Radiographs and EKGs should also be submitted in hard copy and digital format. (Do not send X-rays.) The back of each photo should contain the contributor’s name, address, hospital or program, and an arrow indicating the top. Submissions should be shipped to SAEM, 901 N. Washington Avenue, Lansing, MI, 48906, in an envelope with cardboard, but should not be mounted. Photo submissions must be accompanied by a brief case history written as an “unknown” in the following format: 1) chief complaint, 2) history of present illness, 3) pertinent physical exam (other than what is depicted in the photo), 4) pertinent laboratory data, 5) one or two questions asking the viewer to identify the diagnosis or pertinent finding, 6) answer(s) and brief discussion of the case, including an explanation of the findings in the photo, and 7) one to three bulleted take home points or “pearls.” The case history must be submitted on the template that is posted on the SAEM web site at www.saem.org and must be submitted electronically to jennifer@saem.org. The case history is limited to no more than 250 words. If accepted for display, SAEM reserves the right to edit the submitted case history. Submissions will be selected based on their educational merit, relevance to emergency medicine, quality of the photograph, the case history and appropriateness for public display. Contributors will be acknowledged in the Annual Meeting onsite program and the July/August SAEM newsletter. Academic Emergency Medicine (AEM), the official SAEM journal, may invite a limited number of displayed photos to be submitted to AEM for consideration of publication. SAEM will retain the rights to use submitted photographs in future educational projects, with full credit given for the contribution. Photographs must not appear in a refereed journal prior to the Annual Meeting. Patients should be appropriately masked. Submitters must attest that written consent and release of responsibility have been obtained for all photos EXCEPT for isolated diagnostic studies such as EKGs, radiographs, gram stains, etc. The attestation statement is included in the submission template.

SAEM Online Membership Directory SAEM is launching its online membership directory. At the writing of this article, we are in the final testing stages of the program. An all member email will be sent to alert membership when you can access the directory. The directory is accessible to SAEM members only. You will need your SAEM username and password to gain access.

The leadership and the staff thank you for your patience as we have worked through the conversion to a new database allowing us to provide the online directory. In July, SAEM contracted with a different technology vendor for support and a number of programming issues needed to be addressed to accomplish this important membership service.

Once the directory is functional, all members are asked to check their information for accuracy. We recognize how often members change addresses, phone numbers and email accounts. Your review of the information will assist in updating data at the SAEM headquarters. Changes should be emailed to membership@saem.org.

We hope you will find the membership directory helpful. Any suggestions for improvements should be emailed to kathy@saem.org and will be forwarded to our Web Editorial Board for consideration.

clinical work, send CV, statement of interest and three letters of recommendation to: Carl Schultz, MD. Department of Emergency Medicine, Route 128, UC Irvine Medical Center, 101 City Drive, Orange, CA 92868. The University of California, Irvine is an equal opportunity employer committed to excellence through diversity.

CLASSIFIEDS The Ohio State University: Assistant/Associate or Full Professor. Established residency training program. Level 1 trauma center. Nationally recognized research program. Clinical opportunities at OSU Medical Center and affiliated hospitals. Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 146 Means Hall, 1654 Upham Drive, Columbus, OH 43210; or E-mail: sharon. pfeil@osumc.edu; or call 614-293-8176. Affirmative Action/Equal Opportunity Employer

University of California, Irvine, Department of Emergency Medicine is seeking a HS Clinical Instructor-Research Fellow for July, 2008. UC Irvine Medical Center is a Level I Trauma center with 2200 runs/year, 40,000 ED census. This two-year fellowship will include formal public health education leading to an MPH degree coupled with training in injury prevention with a traffic safety focus. Completion of an ACGME accredited Emergency Medicine Residency is required prior to start. Salary is commensurate with the level of clinical work. Send CV, statement of interest, and three letters of recommendation to: Federico Vaca, MD, MPH, FACEP, at Department of Emergency Medicine, UC Irvine Medical Center, Route 128-01, 101 The City Dr, Orange, CA 92868, or email to fevaca@uci.edu, 714-4566986, http://www.ucihs.uci.edu/ctipr/. The University of California, Irvine, is an equal opportunity employer committed to excellence through diversity.

University of California, Irvine, Department of Emergency Medicine is seeking a HS Clinical Instructor for July,

2008. UC Irvine Medical Center is a Level I Trauma center with 2200 runs/year, 40,000 ED census. The fellowship in Emergency Medical Services and Disaster Medicine, beginning July 1, 2008, combines the traditional emphasis on EMS research with the disciplines of emergency management/disaster medicine and public health. A key focus of the fellowship is health policy and health services systems research including mass casualty management and triage. Completion of American Council of Graduate Medical Education (ACGME) accredited Emergency Medicine Residency required prior to start. The two-year combined program, with an integrated Masters of Public Health, will be jointly administered by Director, EMS and Disaster Medicine. Salary commensurate with level of

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

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

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

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

Administrative Assistant Colette Rierson ext. 206, crierson@saem.org

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

Administrative Assistant Dwight Walker ext. 211, dwalker@saem.org

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

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

University of Pittsburgh: The Department of Emergency Medicine offers fellowships in Toxicology, Emergency Medical Services, Research, and Education. Structured coursework along with intensive interaction with the nationally-known faculty is provided. We offer research and teaching opportunities with faculty, medical students, residents and other health care providers. The University of Pittsburgh is an Equal Opportunity Employer, and will welcome candidates from diverse backgrounds. Each applicant should have a MD/DO or equivalent degree and be board certified/prepared in emergency medicine. Please contact Donald M. Yealty, MD, University of Pittsburgh, Department of Emergency Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213 to receive information.

Meetings Coordinator Maryanne Greketis ext. 209, mgreketis@saem.org

saem@saem.org • www.saem.org 17

Academic Emergency Medicine: Update Michelle H. Biros, MD, MS Editor in Chief, AEM The last year has been one of continued growth for Academic Emergency Medicine. 2006 marked the 13th year of publication for AEM. The total number of manuscripts received and processed in 2006 was 958. This number has been growing very steadily; in 2000, our first year of electronic submission, we received slightly over 300 submissions. Despite the increasing number of manuscripts, our time to first decision remains very short, and has been decreasing slightly each year, to a current time of 22 days. Our acceptance rate has remained steady for the last few years at about 39%. Our time to publication in the paper journal is about five months, and in the electronic journal, about three months from acceptance. The Journal maintains high visibility and has seen an increase in the number of articles submitted from international sites, especially from Asia. Our eighth consensus conference, the 2007 AEM Consensus Conference on Knowledge Translation, carried forward the tradition of gathering thought leaders from around the globe to develop a research agenda related to its topic, and we look forward to seeing its proceedings in this November’s special topics issue of AEM. Planning for the 2008 AEM Consensus Conference on Simulation is well under way. Our supporting staff has increased; in addition to our technical editor, Kathleen Seal, we now are assisted by our very experienced Journal Manager, Sandi Arjona.

about this as it effects your role with the Journal. Beginning on November 1, 2007, we will no longer be using the Elsevier Editorial System ( EES) for electronic manuscript submissions. All new submissions will be processed

for the 2008 AEM “ Planning Consensus Conference on

”

Simulation is well under way.

through Manuscript Central, the Blackwell submission system (based on Scholar One). Information on how to access this system as an author or reviewer will be on the EES site, the SAEM and AEM websites, and in an SAEM all-member email. Our electronic journal will now be hosted on the Synergy platform instead of High Wire. The AEM journal website has already been set up and can be viewed at www.blackwellpublishing.com/aemj. The first issue of AEM to be published by Blackwell will be the January 2008 issue; at that time, we will introduce another new subsection, Progressive Emergency Practice, edited by Alan Jones. We will also be modifying the order to our journal subsections. These changes and our continued growth are exciting, and are bound to continue to improve and energize the Journal. We are looking forward to the publisher transitions and are eager to see how the Journal develops over the next year. We welcome your comments and questions and we thank you for your continued support of the Journal.

The last year has also been one of change. The infrastructure of the editorial board has been modified so that now, all editors function in the role of decision editors. We have expanded and added some journal subsections; the Resident Portfolio, under the editorial leadership of Carey Chisholm, has become one of the most popular sections among our resident readers, and the new Dynamic Emergency Medicine section has expanded the way we can use the Journal as a teaching tool.

ACADEMIC EMERGENCY MEDICINE ANNOUNCEMENT

The most significant change will occur in January 2008, when AEM will switch its publisher from Elsevier to Wiley-Blackwell. This decision was made after extensive research and careful consideration by the AEM Publisher’s task force, chaired by Jill Baren, MD. Wiley-Blackwell was formed by the merger of two very well established medical publishing houses in early 2007, and publishes over 1,200 scientific journals. It is the world’s largest publisher of Society journals. AEM will be its flagship journal in emergency medicine, and we anticipate great opportunities related to its global outreach and extensive resources.

Attention Authors and Reviewers: Academic Emergency Medicine will soon be moving to a new online manuscript submission and peer review system. Reviewers and authors may continue to use the http://ees.elsevier. com/acaeme website for reviews and manuscript revisions until December 31, 2007. However, as of November 1, 2007, all new manuscript submissions must be submitted via the new system. Please check the SAEM web site or the http://www.aemj.org/ for further information and the new link for submitting manuscripts.

The transition to Blackwell involves some additional changes that impact authors, reviewers and readers of the Journal. Each of you will be receiving more information 18

SAEM Membership Application Please complete and mail to SAEM, 901 N. Washington Avenue, Lansing, MI 48906, USA. Include dues payment and supporting materials. You may join online at www.saem.org. Name:

Title:

Instituition:

Email:

Institution address: City:

State:

Zip:

Country:

State:

Zip:

Country:

Home address: City: Preferred mailing address: Office phone: (

Home

)

Office

Sex:

Home phone: (

)

Birth date: Fax: (

)

Medical school or university faculty appointment and institution (if applicable): Membership Benefits Include: x Subscription to SAEM’s monthly, peer-reviewed journal, Academic Emergency Medicine x Subscription to the bi-monthly SAEM Newsletter x Reduced registration fees to attend the SAEM Annual Meeting Check membership category: Open to individuals with an advanced degree such as MD, DO, PhD, PharmD, DSc or equivalent who hold a university appointment or are actively involved in Emergency Medicine teaching or research. Active members are eligible to vote for proposed C&B amendments and to fill elected positions in the Society. ͕ Yes ͕ No I attest that I hold a university appointment or am actively involved in Emergency Medicine teaching or research. Open to health professionals, educators, government officials, members of lay, or civic Associate – $460.00 organizations, and members of the public who have interest in Emergency Medicine. Active – $495.00

Young Physician – Year 1 – $290.00

First year following residency graduation.

Young Physician – Year 2 – $400.00

Second year following residency graduation.

Resident – $140.00

Open to residents interested in Emergency Medicine. Anticipated month/year of residency graduation: ____/____

Fellow – $140.00

Open to fellows interested in Emergency medicine. Anticipated month/year of fellowship completion ____/____

Medical Student – $120.00

Open to medical students interested in Emergency Medicine. Anticipated month/year of med. school graduation: ____/____

Interest Groups: Society members are invited to join any of the dedicated Interest Groups listed below. Include $25.00 annual dues for each Interest Group you check (resident members may join one Interest Group at no charge): Academic Informatics Airway CPR/Ischemia/Reperfusion Clinical Directors Disaster Medicine Diversity Educational Research EMS Ethics Evidence-Based Medicine

Geriatrics Health Svcs & Outcomes International Med-Student Educators Mentoring Women Neurologic Emergencies Palliative Medicine Patient Safety Pediatric EM Public Health

Research Directors Sepsis & Resuscitation Simulation Sports Medicine Toxicology Trauma Triage Ultrasound Uniformed Services

Signature of Applicant: Date: My signature certifies that the information provided herein is accurate and indicates my desire to join SAEM.

Approved October 8, 2007

DEPARTMENT OF EMERGENCY MEDICINE MASSACHUSETTS GENERAL HOSPITAL

¸Pediatric Emergency Medicine ¸ Research Faculty¸ ¸Associate Residency Director¸ The Brody School of Medicine at East Carolina University anticipates faculty openings for emergency physicians at the rank of assistant professor or above, depending upon the candidate’s qualifications. Tenure-track or clinical-track appointments are available depending on academic interest. Our growing faculty has diverse interests and expertise leading to extensive state and national-level involvement. The emergency medicine residency program is one of the most established, with 12 EM and two EM/IM residents per year. Pitt County Memorial Hospital is an expanding 740-bed Level I trauma center, with more than 80,000 ED visits per year. Greenville, N.C., has the benefits of being a very family-oriented community and a university town, located ninety minutes from the North Carolina Crystal Coast. The university offers exceptional cultural opportunities as well as sporting and outdoor events. Compensation is competitive and commensurate with qualifications; an excellent fringe benefits program is provided. Requirements: BC/BP in EM and excellent clinical and teaching skills; ability to obtain a license to practice medicine in North Carolina, medical staff privileges at PCMH, approval to practice medicine through ECU Physicians, and medical liability insurance coverage through our carrier. Screening begins July 1 and will remain open until filled.

A Major Teaching Affiliate of Harvard Medical School The Department of Emergency Medicine at Massachusetts General Hospital is seeking candidates for faculty positions at all academic levels. Special consideration will be given to those with an established track record in clinical or laboratory research and a commitment to excellence in clinical care and teaching. Academic appointment is at Harvard Medical School and is commensurate with scholarly achievements. MGH is an equal partner in the 4-year BWH/MGH Harvard Affiliated Emergency Medicine Residency Program. The ED at MGH is a high volume, high acuity level 1 trauma and burn center for both adult and pediatric patients, and includes a newly renovated 14 bed Observation Unit. The annual visit volume is approximately 80,000. The successful candidate will join a faculty of 30 academic emergency physicians in a department with active research and teaching programs, as well as fellowship programs in research, ultrasonography, international EM and medical simulation. Candidates must have completed an accredited residency program in EM and have at least 4 years of training/experience. Inquiries should be accompanied by a curriculum vitae and may be addressed to: David F. M. Brown, MD, FACEP Vice Chairman Department of Emergency Medicine Massachusetts General Hospital 55 Fruit Street, Founders 114 Boston, Massachusetts 02114 E-mail: dbrown2@partners.org

Confidential inquiry may be made to Theodore Delbridge, MD, MPH, Chair, Department of Emergency Medicine (delbridget@ecu.edu), or please apply online by using ECU OneStop on the main ECU page: www.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/med

www.uhseast.com

Massachusetts General Hospital is an equal opportunity/ affirmative action employer.

Fellowship in Shock Research The Department of Emergency Medicine at Cooper University Hospital, Camden, New Jersey, is pleased to announce an opening in the Fellowship in Shock Research for 2008-09.

ATLANTA, GA

DEPARTMENT OF EMERGENCY MEDICINE Bring your skills in diagnosis, healing and teach to Emory, one of Emergency Medicine’s largest and best programs. Opportunities include:

Founded in 2005, this one-year fellowship provides a focused educational program in conducting clinical research in patients with circulatory shock. The goals of the fellowship are (1) to develop a focused area of research expertise for the trainee and (2) to help launch the trainee’s career in academic emergency medicine. Currently, the shock research program at Cooper is supported by research grants from the American Heart Association, U.S./North America Shock Society, Emergency Medicine Foundation, and the National Institutes of Health. Cooper University Hospital is also one of the three founding sites of the Emergency Medicine Shock Research Network (www.emshocknet.com).

Academic Practice: If you are an outstanding clinician and love teaching, specific opportunities exist in ultrasound patient safety and quality, brain injury and clinical research. Fellowships: Emory offers an exception environment for postresidency training. We will be considering applicants for positions in the following fellowships: Emory/CDC Medical Toxicology, Emergency Medical Services, International Health, Clinical Research, Injury Prevention and Neuroinjury, Palliative Care & Hospice Medicine, Observation Medicine. For further information, visit our web site at http://www.emory.edu/em, then contact:

Candidates must complete a primary residency program in Emergency Medicine. Prospective candidates should contact the program director, Stephen Trzeciak, MD, MPH, for more information: trzeciak-stephen@cooperhealth.edu

Katherine Heilpern, MD, Chair Department of Emergency Medicine 531 Asbury Circle , N-340, Atlanta, GA 30322 Phone: (404)778-5975 Fax: (404)778-2630 Email: pbokros@emory.edu Emory is an equal opportunity/affirmative action employer. Women and minorities are encouraged to apply

Director of Clinical Research-University of Nebraska Medical Center

University of Pittsburgh Department of Emergency Medicine

The University of Nebraska Medical Center, Department of Emergency Medicine, is seeking a Director of Clinical Research. The department currently has an active basic science research program, but is searching for a clinical research director to lead the clinical research program. The current clinical research focus in the department is in the areas of injury epidemiology, education methodology, rural health care, ultrasound, and toxicology. Candidates should be board certified in Emergency Medicine with proven clinical research experience or completed research fellowship. Financial and personnel resources are available to develop a successful clinical research program. The Emergency Department (ED) census is 45,000 adult and pediatric visits, and is a level one trauma center with an established three year emergency medicine residency. The department operates a clinical decision making unit, fast track and ultrasound program. We have active involvement with the air transport system and regional poison center. We are establishing relationships with the newly formed School of Public Health. Academic rank will be commensurate with experience, qualifications, and scholarly achievement. Qualified applicants should send letter of interest and CV to: Robert L. Muelleman, MD; University of Nebraska Medical Center; Department of Emergency Medicine; 981150 Medical Center; Omaha, NE 68198-1150.

Fellowship in International Emergency Medicine The Department of Emergency Medicine at the University of Pittsburgh is soliciting applications for its Fellowship in International Emergency Medicine. Now entering its third year, the fellowship offers residencytrained emergency physicians a broad exposure to international emergency medicine, emergency systems development, and international EMS direction. The two-year program also provides the opportunity for fellows to obtain an MPH degree from the University of Pittsburgh Graduate School Of Public Health. Applications for training to begin in July 2008 must be received by December 1, 2007. Full details are available on our website: http://affiliatedresidency.health.pitt.edu/content.asp?id=1181 or contact us for further information at (412) 647-8265. Allan B. Wolfson, MD, FACEP, FACP Fellowship Director Fellowship in International Emergency Medicine 230 McKee Place Suite 500 Pittsburgh PA 15213 wolfsonab@upmc.edu

William Beaumont Hospital Department of Emergency Medicine, Faculty Opportunity -

West Virginia University School of of Medicine announces an outstanding opportunity for a West Virginia University School Medicine announces an outstanding opportunity for a board certified Emergency Medicine physician totolead a fully accredited EM residency board certified Emergency Medicine physician lead a fully accredited EM residency program. The successful candidate will have experience in academic administration. A program. commitment The successful candidate will have experience in academic administration. A to excellence in patient care, research, and resident/medical student teaching commitment to excellence in patient care, research, and resident/medical student teaching is expected. is expected. The Department of Emergency Medicine Residency Program accepts 7 new residents per year in a PGY 1, 2, 3 format. Clinical experiences for residents are provided at Ruby The Department Emergency Residency Program 7 new Memorialof Hospital (~40,000Medicine visits per year) in Morgantown, West accepts Virginia, and at residents per year in a PGY 2, 3 format. Clinical experiences for residents are provided United1, Hospital Center (~42,000 visits per year) in Clarksburg, West Virginia. The at Ruby Ruby per Memorial is a Level 1 Trauma Primary MemorialEmergency Hospital Department (~40,000 atvisits year)Hospital in Morgantown, West Center, Virginia, and at Stroke Center, and regional tertiary care center which provides comprehensive United Hospital Center (~42,000 visits per year) in Clarksburg, West Virginia. The emergency care to the sick and injured of West Virginia and neighboring states. The Emergency Department Rubyas Memorial Hospital a Level 1 Trauma Center, Primary Ruby Memorial EDatserves Medical Command to 28is counties of northern WV and is home to the regional hospital-based air medical program. Abundant research Stroke Center, and tertiary care helicopter center which provides comprehensive aresick also available with established focuses in stroke care, trauma emergencyopportunities care to the and injured of West research Virginia and neighboring states. The care, injury prevention, wilderness medicine, and injury control. A new simulation Ruby Memorial ED serves as Medical Command to 28 counties training center is also being built in order to foster resident training. of northern WV and is

home to the hospital-based air medical helicopter program. Abundant research Westare Virginia enjoy theresearch benefits offocuses practicinginatstroke a tertiarycare, care trauma opportunities alsoUniversity available(WVU) with faculty established institution with state-of-the-art technologies and a collaborative academic atmosphere care, injury prevention, wilderness medicine, and injury control. A new simulation conducive to professional growth. In addition, Morgantown, WV offers culturally training center also being builtinina safe, order to foster resident diverse,islarge-city amenities family-like setting. Theretraining. are excellent school systems and an abundance of recreational opportunities. The community has been ranked by several publications as one of the best small metro areas in the nation.

West Virginia University (WVU) faculty enjoy the benefits of practicing at a tertiary care institutionSalary with and state-of-the-art technologies andwith a collaborative academic atmosphere academic rank will be commensurate experience. WVU offers a highly and comprehensive package. If interested,WV please submitculturally an conducivecompetitive to professional growth. recruitment In addition, Morgantown, offers electronic curriculum threefamily-like references to: setting. There are excellent school diverse, large-city amenitiesvitae in and a safe, systems and an abundance Allison Tadros, MD of recreational opportunities. The community has been ranked by severalc/o publications as one of the best small metro areas in the nation. Laura Blake, Director, Physician Recruitment blakel@wvuh.com (304) 293-0230 Salary andFax academic rank will be commensurate with experience. WVU offers a highly competitive and comprehensive recruitment package. Opportunity If interested, please submit an West Virginia University is an Affirmative Action/Equal Employer. electronic curriculum vitae and three references to:

Allison Tadros, MD c/o Laura Blake, Director, Physician Recruitment blakel@wvuh.com Fax (304) 293-0230

The Emergency Department of William Beaumont Hospital in Royal Oak, Michigan is seeking an exceptional Emergency physician for full time clinical or core faculty positions. Beaumont Hospital is a 1,066-bed suburban teaching hospital whose emergency department serves approximately 115,000 patients, with approximately 25,000 pediatric patients annually. The emergency department has an academic affiliation with Wayne State University in Detroit, Michigan. It is a tertiary referral center for patients with cardiovascular diseases, trauma, and pediatric illness and injury. The department has a well-established emergency medicine residency program, a state of the art emergency center and observation unit, and an active research division. Candidates should be board certified or board eligible in Emergency Medicine. Emergency Medicine residency training is preferable, as is interest in ultrasound, teaching and research. Competitive salary and benefits are available for qualified candidates. Interested candidates should submit curriculum vitae and letter of interest to: Jedd Roe, MD, MBA, FACEP Chair, Department of Emergency Medicine William Beaumont Hospital 3601 W. 13 Mile Road Royal Oak, Michigan 48073-6769 Phone: (248) 898-1969 Fax: (248) 898-2017 Jedd.Roe@beaumont.edu

Boston — Harvard Affiliated Boston Harvard Affiliated Teaching Hospital Teaching Hospital The Department of Emergency Medicine of the Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center has positions available for faculty committed to academic Emergency Medicine. Board certification or preparation in Emergency Medicine with four years of training or experience are prerequisites. The base hospital is Beth Israel Deaconess Medical Center, a Level I trauma center, with an ED that sees over 50,000 patients a year. Our community practice, BIDNeedham Campus, sees over 14,000 patients a year. We provide needed direction for three 911 systems. Academic opportunities include access to lab space, international programs, and teaching at Harvard Medical School. Salaries are highly competitive for the community and are incentive based. We are currently seeking faculty with interests in Academics, EMS, Ultrasound, Sepsis, Medical Education and Neurologic Emergencies.

ACADEMIC FACULTY POSITION The Division of Emergency Medicine at the University of Utah Health Sciences Center in Salt Lake City, Utah has a position available for an open-rank Clinician Scholar physician with an interest in academics and residency training to start January 2008. Previous research experience and/or fellowship training preferred. The University of Utah is the primary medical teaching and research institution in the state. The E.D. has a census of 36,000 visits annually and is an ACS-certified Level-1 Trauma & Burn Center and regional stroke center. The Division of Emergency Medicine also runs the AirMed helicopter service, four regional EMS systems, and the Utah Poison Control Center. Candidates must be board certified/prepared and have a demonstrated interest in research and education. Competitive salary with an excellent benefits package. The University of Utah is an EEO/AA employer and encourages applications from women and minorities. If you are interested in applying or need more information, please contact:

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

Erik D. Barton, MD, MS, MBA, Division Chief Division of Emergency Medicine University of Utah School of Medicine 30 North 1900 East, RM 1C26 • Salt Lake City, Utah 84132 (801) 581-2730 • Fax: (801) 585-6699 erik.barton@hsc.utah.edu

Emergency Medicine Fellowships 2008-2010 UNIVERSITY OF MICHIGAN

The Department of Emergency Medicine at Oregon Health & Science University (OHSU) offers four different 2 year fellowships: Emergency Medical Services (EMS), Toxicology, Education and Research.

The Department of Emergency Medicine at the University of Michigan (UM) is seeking physicians for full time clinical faculty positions in Emergency Medicine at Foote Hospital (Jackson, MI). Academic rank will be determined by credentials.

OHSU serves the Portland Metropolitan area as a Level I trauma center, Pediatric ED, Chest Pain Center, Primary Stroke Center, ED Observation Unit, and base station hospital.

Clinical

responsibilities will include patient care activity in the Emergency

A formal didactic curriculum offers individuals the opportunity to earn a Masters in Public Health or a Masters in Clinical Research degree during the fellowship. Opportunities also exist to combine the clinical and administrative fellowship experience with degree or diploma programs in clinical research, health policy, epidemiology, informatics or business administration. Candidates must be board-prepared or board-certified in emergency medicine.

Department. Responsibilities include house officer and medical student training, and providing direct patient care in a setting providing both primary and tertiary care experience.

Applicants

should have residency training and/or board certification in Emergency Medicine.

Excellent fringe benefit package.

interested, please send curriculum vitae to: William G. Barsan, M.D., Professor and Chair, Department of Emergency Medicine, UMHS,

Please contact:

Ruth Rodabaugh Administrative Manager OHSU Emergency Medicine, CDW-EM 3181 SW Sam Jackson Park Road Portland, OR 97239-3098 phone: (503) 494-7008 email: rodabaug@ohsu.edu

1500 East Medical Center Drive, Ann Arbor, MI 48109-5303. The University of Michigan is an equal opportunity affirmative action employer.

Yale University School of Medicine, Section of Emergency Medicine Fellowship Programs: Ultrasound & EMS

Imagine being part of a team that makes a discovery.

The Section of Emergency Medicine, Department of Surgery, Yale University School of Medicine offers fellowship programs in Ultrasound and Emergency Medical Services in New Haven, Connecticut. The fellowship in Emergency Ultrasound is a one-year program that will prepare graduates to lead an academic and/or community emergency ultrasound program. Experience will be sufficient to fulfill the recommendations of all major societies for the interpretation of emergency ultrasound as well as RDMS/RDCS/RVT certification, and will include exposure to aspects of program development and quality assurance. The program consists of structured time in the emergency department performing bedside examinations, examination QA and review, research into new applications, and education both in the academic and community arenas. We have a particular focus on emergency echo and utilize state of the art equipment and DVD review. For further information, contact the fellowship director, Chris Moore, MD, RDMS, RDCS, at 203-785-3843 or chris.moore@yale.edu

Emergency Room Attending Physician UMDNJ-Robert Wood Johnson Medical School is searching for faculty physicians for its newly formed Academic Department of Emergency Medicine on the New Brunswick campus. Candidates should be residency trained board certified/eligible in Emergency Medicine (ABEM, ABOEM). Clinical responsibilities include direct patient care and attending supervision of residents and medical students in the Robert Wood Johnson University Hospital Emergency Department. The department is actively pursuing a residency program in Emergency Medicine, has a recently established EMS fellowship, is developing a research program and increasing Emergency Medicine education within the medical school. Academic responsibility includes contribution to all aspects of the Department’s growth.

The Division of EMS offers a one- or two-year fellowship program that is credentialed by the Society for Academic Emergency Medicine to host the SAEM/Medtronic Physio-Control Fellow in EMS. The program, which has trained a fellow each year since its inception in 2000, provides training in all aspects of EMS, including academics, administration, medical oversight, research, teaching, and clinical components. The program also focuses on operational EMS, with the fellow actively participating in the system’s physician response team, and all fellows offered training to the Firefighter I or II level. A one-year MPH program is available for the fellow choosing the two-year program. The fellowship graduate will be prepared for a career in academic EMS and/or medical direction of a local or regional EMS system. The program’s SAEM credentialing application is available for review at the Division’s web site: yalesurgery.med.yale.edu/surgery/sections/emergency/div_ems.htm

Robert Wood Johnson University Hospital serves as the medical school’s primary teaching affiliate. Robert Wood Johnson is a 580 bed Level One trauma center with an annual ED census of greater than 60,000 adult visits. A separate pediatric Emergency Department sees approximately 13,000 patients per year. RWJUH has an active EMS system and, in conjunction with Hadassah Medical Organization in Israel, have formed the International Center for Terror Medicine. Qualified candidates should send a letter of intent and curriculum vitae to: Robert Eisenstein, MD Vice Chairman, Department of Emergency Medicine, Robert Wood Johnson Medical School, 1 Robert Wood Johnson Place, MEB 104, New Brunswick, New Jersey, 08903. Email: eisensrm@umdnj.edu, Call: 732-235-8717, or Fax: 732-235-7379. Academic appointment is commensurate with experience. UMDNJ is and Affirmative Action/Equal Opportunity Employer.

For further information, contact the fellowship director, Dr. David Cone, at 203-7854710 or david.cone@yale.edu Both Fellowships offer an appointment as a Clinical Instructor to the faculty of the Section of Emergency Medicine at Yale University School of Medicine Yale University and Yale-New Haven Hospital are affirmative action, equal opportunity employers and women and members of minority groups are encouraged to apply.

Boston — Harvard Affiliated Teaching Hospital

Boston Harvard Affiliated Teaching Hospital

ULTRASOUND DIRECTOR ULTRASOUND DIRECTOR

UNIVERSITY OF MICHIGAN

ACADEMIC EMERGENCY The Department of Emergency Medicine at the University of MEDICINE (NEWSLETTER) Michigan (UM) is seeking physicians for full time clinical and 11/1/2007 academic faculty positions in Emergency Medicine at Hurley Medical 6132090-SJ19151 UMDNJX Center (Flint, MI). Academic rank will be determined by credentials. 3.5” x 4.75” Clinical responsibilities will include patient care activity in the Colleen Gilrain v.2

The Department of Emergency Medicine of the Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center has a position available for a faculty member committed to running an Ultrasound credentialing, QA, and resident education program. Board certification or preparation in Emergency Medicine with four years of training or experience are prerequisites. The base hospital is Beth Israel Deaconess Medical Center, a Level I trauma center, with an ED that sees over 50,000 patients a year. Our community practice, BIDNeedham Campus, sees over 14,000 patients a year. We provide needed direction for three 911 systems. Academic opportunities include running CME courses and teaching at Harvard Medical School. Salaries are highly competitive and are incentive based. Please send your curriculum vitae to:

Emergency Department. Responsibilities include house officer and

medical student training, and providing direct patient care in a

PAGE 2 setting providing both primary and tertiary care experience. Applicants should have residency training and/or board certification in Emergency Medicine.

Excellent fringe benefit package.

interested, please send curriculum vitae to: William G. Barsan, M.D.,

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

Professor and Chair, Department of Emergency Medicine, UMHS, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5303. The University of Michigan is an equal opportunity affirmative action employer.

S A E M

Newsletter of the Society for Academic Emergency Medicine

Board of Directors Judd Hollander, MD President

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

Katherine Heilpern, MD President-Elect

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

Jeffrey Kline, MD Secretary-Treasurer

Managing Editor Kathy Bush kbush@saem.org

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

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

Advertising Coordinator Maryanne Greketis mgreketis@saem.org

â&#x20AC;&#x153;to improve patient care by advancing research and education in emergency medicineâ&#x20AC;?

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

Future SAEM Annual Meetings 2008

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

2009

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

2010

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

NON-PROFIT ORG U.S. POSTAGE

PAID LANSING, MI PERMIT NO. 186