November-December 2009 by Society for Academic Emergency Medicine

NOVEMBER/DECEMBER 2009 VOLUME XXIV NUMBER 6

201113_Oct20.indd 1

10/21/09 10:46:59 PM

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

Membership Assistant Dwight Walker ext. 206, dwalker@saem.org

Help Desk Specialist Neal Hardin ext. 204, nhardin@saem.org

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

Marketing & Membership Manager Holly M. Gouin, MBA ext. 210, hgouin@saem.org

Receptionist Maureen Bruce ext. 206, mbruce@saem.org

Executive Assistant Sandy Rummel ext. 213, srummel@saem.org

Meeting Coordinator Maryanne Greketis, CMP ext. 209, mgreketis@saem.org

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

Customer Service Coordinator Jennifer Mastrovito ext. 201, jmastrovito@saem.org

IT / Communications Vene Yates ext. 208, vyates@saem.org

SAEM MEMBERSHIP Membership Count as of October 1, 2009 2505 Active 75 Associate 2615 Resident/Fellow 264 Medical Students 3 International Affiliates 26 Emeritus 9 Honorary 5497 Total

2010-11 SAEM DUES $530 Active

$155 Fellow

$495 Associate

$130 Resident Group

$465 Faculty Group

$130 Medical Student

$435 2nd yr. Graduate

$110 Emeritus

$315 1st yr. Graduate

$100 Academies

$155 Resident

$ 25 Interest Group

International – email membership@saem.org for pricing details All membership categories include a free interest group membership.

SAEM NEWSLETTER ADVERTISEMENT RATES The SAEM Newsletter is limited to postings for fellowship and academic positions available and offers classified ads, quarter-page, half page and full page options. The SAEM Newsletter publisher requires that all ads be submitted in camera ready format meeting the dimensions of the requested ad size. See specific dimensions listed below. • A full page AD costs $1250.00 (7.5” wide x 9.75” high) • A half page AD costs $675 (7.5” wide x 4.75” high) • A quarter page AD costs $350 (3.5” wide x 4.75” high) • A classified AD (100 words or less) is $120 If there are logos, images and/or special fonts, please send the files for each, along with the completed advertisement. We appreciate your proactive commitment to education, as well as personal and professional advancement, and strive to work with you in any way we can to enhance your goals. Contact us today to reserve your Ad in an upcoming SAEM newsletter. The due dates for 2010 are: December 1, 2009 for the Jan/Feb 2010 issue Feb 1 2010 for the Mar/Apr issue April 1, 2010 for the May/Jun issue

201113_Oct20.indd 2

June 1, 2010 for the July/August issue August 1, 2010 for the September/October issue October 1, 2010 for the November/December issue

10/21/09 10:47:03 PM

AMERICAN GERIATRIC ASSOCIATION GRANTS AWARDED Emergency Medicine residency programs received two of the three GSR awards made this year. The GSR Dissemination Grant (GSR-DG) program is funded by the John A. Hartford Foundation and awarded by the American Geriatrics Association. The awards offer support to past recipients of GSR grants in order to disseminate their work to their colleagues in residency programs in other institutions, in other disciplines within their own institutions, or both. In so doing, successful GSRDG awardees will serve as leaders in their specialties, utilizing their experiences in program development and implementation to disseminate workable educational models to other specialty training programs. Each grant will provide one-year support of $25,000. The 2009 GSRDG grant recipients in Emergency Medicine are:

Highlights 11

Vince Markovchick Retires

12 Midwest Regional Meeting

Fredric Hustey, MD The Cleveland Clinic Lerner College of Medicine, Cleveland, OH

Highlights from the NACCT 2009 Symposium

Heather Prendergast, MD University of Illinois Medical Center, Chicago, IL

Academic Announcements

WORLD SUICIDE PREVENTION DAY LAUNCHED FROM UNITED NATIONS Annette Beautrais, PhD, Senior Research Scientist and Professor Gregory Luke Larkin, MD, Vice Chair for Global Health and Faculty Development, both of the Yale University Department of Emergency Medicine, addressed a public conference at the United Nations Headquarters to launch World Suicide Prevention Day (WSPD) on September 10th . The International Association for Suicide Prevention (IASP), in conjunction with the World Health Organization (WHO), sponsors WSPD annually to highlight suicide prevention. Dr Beautrais organized WSPD 2009 activities around the world in her role as General Secretary of IASP. WSPD 2009 was launched at the UN with a Press Conference for international journalists, and a public conference which addressed the theme “Suicide Prevention in Different Cultures”. WSPD 2009 was observed in almost 40 countries with more than 100 educational and commemorative events, press briefings and public conferences, while Internet, Facebook and Twitter coverage ensured millions of people were linked to WSPD activities.

201113_Oct20.indd 3

It’s a Dry Heat

28 Battlefield Ethics

Classifieds

Calls & Meeting Announcements

10/21/09 10:47:04 PM

President’s Message SOCIETY FOR ACADEMIC EMERGENCY MEDICINE Jill M. Baren, MD

SAEM 2010-2015: Strategy for the Future

Jill M. Baren, MD

What is a strategic plan and why is it important for an organization to have one? Strategic planning is an organization’s process of defining its direction and making decisions on allocating its resources, including its capital and people, to pursue this direction. A strategic plan, in contrast to a day to day operational plan, is visionary and conceptual. This year I set a very ambitious goal – creating the next 5-year strategic plan for SAEM with as much input as possible from every stakeholder in our organization.

Perhaps you were already aware that SAEM has a 5-year strategic plan. If so, you may also know that 2009 is the last year of the current plan. You can find the 2005-2009 strategic plan on the SAEM website but let me briefly describe it for those who may not be familiar with it. There are five broad areas, each with articulated goals and objectives. These areas span the current scope of SAEM activities: Membership Services, Advocacy, Education, Research, and Operations. Both a Mission and a Vision statement are articulated in the preamble to the plan. The President and Board of Directors refer to the strategic plan for guidance as goals and objectives are formulated into a work plan to be executed by SAEM Committees and Task Forces in the year to come. In an effort to make the next 5-year plan a true grass roots effort instead of a top down initiative, I established a Strategic Planning Task Force drawing upon our best resource - interested and committed members. The Task Force includes diverse members, some with a long track record of leadership such as current Board members and past presidents and some who have never served on a Committee or Task Force. All of the Task Force members have demonstrated expertise in some aspect of SAEM’s scope of activities and the ability to think creatively about SAEM’s direction as a professional society. The Task Force met for the first time this past May at the Annual Meeting where I charged them with creating the next 5-year strategic plan. As a precursor to developing a strategic plan, the Task Force felt it was desirable to clearly identify the current status, objectives, and strategies of the existing plan and the latest thinking within our organization. Over the summer months, working in small teams, they conducted a “SWOT” analysis, identifying perceived Strengths, Weaknesses, Threats, and Opportunities in each area of the plan. These insights were used as the basis of a critical examination of SAEM’s activities. One of the most important concepts to emerge from this preliminary work was the addition of a new area of importance to be included in the next strategic plan – Professional Development. This background work has gone through several iterations and is now ready for discussion by the entire Task Force.

Our next step is a face to face meeting in Boston where we have scheduled a strategic planning retreat. We have retained a skilled facilitator, a Senior Associate of the Academy for Academic Leadership with experience in the area of organizational change, to guide us through our discussion. At the end of the day, we will have a draft plan ready to disseminate for comment in mid-November. Every SAEM Committee and Task Force has been charged with reviewing the draft and providing written feedback to the Strategic Planning Task Force. Every Academy and Interest Group will also be invited to provide comments. Our colleagues from CORD and AACEM who are closely allied with our operations and mission have representation on the Task Force and will attend the retreat. We will ask the leadership of these constituents to circulate the draft plan among their members. In addition, the draft plan will be posted on the SAEM website for viewing by all SAEM members. Comments on the draft plan will be accepted until the end of January 2010. Task Force members will carefully consider all feedback and will embark upon the arduous task of incorporating commentary and further defining and prioritizing the content of the plan. A final draft must then be presented to the SAEM Board of Directors for approval at their March meeting. The agenda for the retreat also includes time for the Task Force to revisit SAEM’s Mission and Vision statements. In order for the strategic plan to really make sense, it is critical to understand and to articulate what we want to be (Vision) and how we are going to get there (Mission). Without these guiding principles, our plan cannot be effective. The discussion promises to be lively and I have confidence that it will result in an excellent product given the wealth of expertise, dedication and insight on the task force. Vision, Mission, Objectives, Values, Strategies and Goals are not just token elements of organizational planning; they also provide benchmarks for historic review. It is essential that we develop a future strategy with an accompanying plan to measure its success. The 2010-2015 SAEM Strategic Plan will serve as a blueprint for future Board of Directors and Presidents as they set their yearly goals and objectives. The stated goals and objectives of the plan will be supplemented with background narrative tagged to each area so that future Boards and Society leadership can refer to the thoughts and insights that went into those decisions in the years to come. If you want to have a stake in the future of SAEM, you can do so by giving us your thoughts on the Draft 2010-2015 SAEM Strategic Plan when it is available. If you are a Committee, Task Force, Interest Group or Academy member feel free to work within that structure to provide feedback. You will also have an opportunity to provide feedback individually and will receive information on that process in the near future. Don’t let the opportunity to be part of SAEM’s future slip away.

201113_Oct20.indd 4

10/21/09 10:47:04 PM

Executive Director’s Message SAEM: Behind the Scenes What is happening behind the scenes at SAEM? The Board of Directors and SAEM staff continue to improve the infrastructure of the organization. These efforts are intended to better serve the membership. Some steps are visible to the membership; other changes should be invisible to the membership. NEW MEMBER DATABASE – CHANGE YOUR PASSWORD – Please take time to visit the SAEM website to change your password. A new database has been installed and is operational. It is anticipated the database will resolve difficulties inherent in the previous database. However, the conversion required passwords to be reset. You should have received an email on September 1st asking you to login and reset your password. If you do not have your updated User ID and password, you will be unable to submit abstracts, register for the annual meeting, or update your profile, etc. You may now update information in your member profile directly. This should allow smoother transition to receive the journal, newsletter, etc. It will also provide SAEM with more accurate information. As with any technology change there have been a few bumps in the conversion process. The change should ultimately be much more user friendly and responsive. ABSTRACTS – The database has a new integrated abstract program that will be used for the 2010 submissions due in December 2009. The format will appear different from past years and will contain changes in the input of data. To avoid frustration, please go to member.saem.org, to review your login information and update your password prior to submitting abstracts at the eleventh hour.

improved information presented to the Board of Directors. This is a valuable asset to the Board’s fiduciary responsibility to monitor the financial performance of the Society. SAEM IMAGE – SAEM is implementing a makeover of its appearance. Over the past year the newsletter and logo have taken on a new look. This provides a uniform and distinct appearance for the website, newsletter, and JJames T Tarrant, t CAE carries the image across the SAEM Executive Director Society and Foundation. With the new database implemented SAEM will focus its attention on improving the website in the coming year. ACADEMIES – The growth of the academy concept within SAEM has opened new venues for creative activities for membership involvement and input. Academies offer grassroots development of interests and needs of membership. Recently the academic department administrators created an academy. Communication with other medical societies suggests our method, with members identifying and creating groups, will serve membership better than their attempts to have leadership identify group interests.

IT DEPARTMENT – As planning for the new database was underway, we realized improvements were needed in the SAEM IT Department. An update to internal servers and software was implemented to accommodate the new database; improve email and list serve capacity. Also we instituted a new procedure to back up our data and take it off site daily. In the event of a disaster SAEM could continue to serve the memberships with minimum time off line.

NON DUES REVENUE – Organizations require resources to provide services, advocate for members and build relationships with other organizations. The Board has taken a long look at methods to improve and expand services to the membership. The staff focuses efforts to internally control the direct expenses of the organization. To further expand current services, support and grow funds for grants and fellowships, non dues revenue is one method to enhance resources. Expanding educational programs, consultation services and corporate support for grants/fellowships, are being explored provided they are in keeping with the mission of the Society.

SAEM RESEARCH FOUNDATION – To more clearly delineate the activities of the research fund from the Society, a new tax exempt entity was formed. The Foundation is governed by a separate Board of Trustees and is responsible for research grants and fellowships. Research Fund dollars were transferred to the new Foundation in early 2009.

STRATEGIC PLAN 2010-15 — The development of the Strategic Plan for the next five years will reflect the growth and maturity of SAEM. As the leading organization for academic emergency medicine there will be new possibilities and vision that will enhance services, representation in the greater medical community and value of membership.

EDUCATION FUND – At the October 2009 Board of Directors meeting a new Education Fund was established. This Fund will support educational research and fellowships. Members will have the option to designate donations to the Education Fund or the Research Foundation.

This is not a comprehensive list of all changes and activities occurring within the Society. SAEM continues to evolve as a professional society. We must remain nimble to adapt to the changes around us and to demonstrate relevance of membership.

FINANCIAL REPORTING – In the past two years, staffing for accounting functions was expanded. This has improved the office interface with the Finance Committee and resulted in

201113_Oct20.indd 5

10/21/09 10:47:05 PM

The 2010 Annual Meeting has been created for EM physicians who want to expand and update their knowledge of quality instruction in emergency medicine training programs and to improve the quality of emergency medical care. The overall objectives of the program: 1) Apply research findings to your emergency medicine practice. 2) Apply key statistical indicators in analyzing research results. 3) Utilize acceptable research methods and study design in the development of research projects. 4) Realize the details of the framework for EBM so that intended practice improvements are vetted through this prism.

2010 SAEM Annual Meeting Program Chair Andra Blomkalns, MD

This activity has been approved for AMA PRA credit.

201113_Oct20.indd 6

10/21/09 10:47:05 PM

Joint Meeting to Discuss Collaboration between SAEM and European EM Associations At the 5th Mediterranean Emergency Medicine Congress in Valencia, Spain on September 16, 2009 1:30pm-3:00pm members of the Society for Academic Emergency Medicine (SAEM) met with members of the European Society for Emergency Medicine (EuSEM) and others to initiate lines of communication that will lead to future joint efforts in the promotion of emergency medicine world wide.

GREAT OPPORTUNITY FOR MEDICAL STUDENTS! SAEM’s Program Committee is looking for about 10 medical students to work with their committee at the Annual Meeting in Phoenix in June 1010. The Program Committee is responsible for the planning, coordination, and execution of SAEM’s annual meeting. It is comprised of nearly 40 faculty members from programs all over the country. As a medical student on this committee, you will • Have your registration fee to the Annual Meeting waived

• Learn much more about the current research and educational activities taking place in the field of emergency medicine • Have the opportunity to form relationships with faculty members from EM programs around the country. Interested medical students should submit their name and contact information to Jennifer@saem.org with “Medical Student Volunteer for Annual Meeting” in the subject line of the email. Please include a very short statement of interest and an updated electronic copy of your CV.

• Have a member of the Program Committee assigned to you for future EM Pursuits

201113_Oct20.indd 7

10/21/09 10:47:12 PM

Michelle Lin Makes an Impact by David A. Wald, DO Associate Professor of Emergency Medicine – Department of Emergency Medicine Temple University School of Medicine – 2009-2010 Chair of CDEM Academy Michelle Lin, MD is an Associate Professor of Emergency Medicine at the University of California in San Francisco and works clinically at San Francisco General Hospital Emergency Department. Throughout her academic career, Dr. Lin has established herself as a model educator as evidenced by receiving numerous teaching awards and most recently being recognized by her peers as an outstanding educator by receiving the Annual AAEM Young Educator Award in 2006. Dr. Lin has also been instrumental in the development of a new national organization, the Academy of Clerkship Directors in Emergency Medicine (CDEM). CDEM is the first “Academy” in a new membership category of SAEM. The development of this new group has taken about 1 ½ years of much behind the scenes work by a dedicated group of which Dr. Lin is a leading voice and participant. The development of CDEM will help unify medical student educators in our specialty on a national level. Outside of the walls of the emergency department, Michelle is actively involved with a group called KidsCareEverywhere (KCE) (kidscareeverywhere.org). She is a member of the KCE Board of Directors and recently spent 10 days in Vietnam helping teach a conference for pediatricians at the National Hospital of Pediatrics (NHP) in Hanoi. In addition, Michelle posts an interesting and educational blog entitled: Academic Life in Emergency Medicine. (academiclifeinem.blogspot.com).

201113_Oct20.indd 8

10/21/09 10:47:13 PM

Colleagues The SAEM Crowding Interest Group members recognize the need for larger, multicenter studies of ED crowding and its effects. To foster greater collaboration among researchers, we are asking you to complete the following short survey. It is intended to collect some basic data about emergency department crowding metrics that you might have access to that might be of interest to crowding researchers. We intend to provide the results of the survey in a directory form to SAEM members who request it, allowing researchers to find other EDs in the nation that might be able and willing to participate in multicenter investigations. http://www.surveymonkey.com/s.aspx?sm=h Ul_2bpLmGoq5xapk36Gfkcg_3d_3d (link also available from www.saem.org)

Thank you for your time in helping us study emergency department crowding. Jesse Pines, MD, MBA University of Pennsylvania Chair SAEM ED Crowding IG

Editors Note: Be sure to check out the ED Crowding IG web section of the SAEM web site for comprehensive

ARE YOU A MEDICAL STUDENT IN NEED OF MENTORSHIP LEADING YOU INTO EMERGENCY MEDICINE? GET AN E-ADVISOR!

list of links to articles, power point presentations and more on the issue. Find it under Communities > Interest Groups > ED Crowding

Learn more about this free opportunity brought to you by members of the Clerkship Directors in Emergency Medicine (CDEM). Visit www.saem.org/cdem

201113_Oct20.indd 9

10/21/09 10:47:17 PM

2009-2010 SAEM Committees/Task Forces Awards Committee – awards@lists.saem.org Chair: James Adams, MD, jadams@nmh.org BOD Liaison: Katherine Heilpern, MD, kheilpe@emory.edu Staff Liaison: Jennifer Mastrovito, Jennifer@saem.org

Program Committee – program@lists.saem.org Chair: Andra Blomkalns, MD, Blomkaal@ucmail.uc.edu BOD Liaison: Debra Houry, MD, dhoury@emory.edu Staff Liaison: Maryanne Greketis, mgreketis@saem.org

Communications Committee – comm@lists.saem.org Chair: Benjamin Honigman, MD, benjamin.honigman@ucdenver.edu BOD Liaison: Maria Glenn, MD, Maria.glenn@carolinas.org Staff Liaison: Holly Gouin, hgouin@saem.org and Vene Yates, vyates@saem.org

Research Committee – research@lists.saem.org Chair: John Younger, MD, MS, jyounger@umich.edu BOD Liaison: Debra Houry, MD, dhoury@emory.edu Staff Liaison: Maryanne Greketis, mgreketis@saem.org

Constitution and Bylaws Committee Chair: Theodore Christopher, MD, theodore.christopher@jefferson.edu BOD Liaison: Cherri Hobgood, MD, hobgood@med.unc.edu Staff Liaison: Maureen Bruce, mbruce@saem.org Staff Liaison: James Tarrant, jtarrant@saem.org Consultation Services Committee – consult@lists.saem.org Chair: Philip Shayne, MD, pshayne@emory.edu BOD Liaison: O. John Ma, MD, maoj@ohsu.edu Staff Liaison: Barb Mulder, bmulder@saem.org Development Committee – development@lists.saem.org Chair: Brian Zink, MD, bzink@lifespan.org BOD Liaison: Katherine Heilpern, MD, kheilpe@emory.edu Staff Liaison: Holly Gouin, hgouin@saem.org Ethics Committee – ethics@lists.saem.org Chair: Jeremy Simon, MD, PhD, jeremy.simon@nyu.edu BOD Liaison: Cherri Hobgood, MD, hobgood@med.unc.edu Staff Liaison: Sandy Rummel, srummel@saem.org Faculty Development Committee – faculty@lists.saem.org Chair: Tracy Sanson, MD, oaks61596@aol.com BOD Liaison: Robert Hockberger, MD, robrogersmd@gmail.com Staff Liaison: Neal Hardin, nhardin@saem.org Finance Committee – fin@lists.saem.org Chair: Richard Wolfe, Jr., MD, MBA, rwolfe@bidmc.harvard.edu BOD Liaison: Adam Singer, MD, asinger@notes.cc.sunysb.edu Staff Liaison: Janet Murray-Bentley, jbentley@saem.org Staff Liaison: Barb Mulder, bmulder@saem.org GME Committee – grad@lists.saem.org Chair: Jacob Ufberg, MD, jacob.ufberg@tuhs.temple.edu BOD Liaison: O. John Ma, MD, maoj@ohsu.edu Staff Liaison: Maureen Bruce, mbruce@saem.org Grants Committee – grants@lists.saem.org Chair: Jason Haukoos, MD, jason.haukoos@dhha.org BOD Liaison: Alan Jones, MD, alan.jones@carolinas.org Staff Liaison: Dwight Walker, dwalker@saem.org Guidelines Committee – guidelines@lists.saem.org Chair: Charles Pollack, MD, MA, cvpollack@gmail.com BOD Liaison: Deborah Diercks, MD, dbdiercks@ucdavis.edu Staff Liaison: James Tarrant, jtarrant@saem.org Industry Relations Committee – industry@lists.saem.org Chair: Robert Birkhahn, MD, rhbirkhahn@pol.net BOD Liaison: Deborah Diercks, MD, dbdiercks@ucdavis.edu Staff Liaison: James Tarrant, jtarrant@saem.org

Web Editorial Board Committee – web@lists.saem.org Chair: D. Matthew Sullivan, MD, Matthew.Sullivan@ carolinashealthcare.org BOD Liaison: Alan Jones, MD, alan.jones@carolinashealthcare.org Staff Liaison: Vene Yates, vyates@saem.org Staff Liaison: Neal Hardin, nhardin@saem.org Aging and Generational Issues in Academic EM Task Force – agiaem@lists.saem.org Chair: Michelle Biros, MD, biros001@umn.edu BOD Liaison: Robert Hockberger, MD, hock@emedharbor.edu Staff Liaison: Vene Yates, vyates@saem.org Education Fund Task Force – educationtf@lists.saem.org Chair: Dave Manthey, MD, dmanthey@wfubmc.edu BOD Liaison: Katherine Heilpern, MD, kheilpe@emory.edu Staff Liaison: Holly Gouin, hgouin@saem.org New Media Task Force – newmedia@lists.saem.org Chair: Jeffrey Kline, MD, Jeff.kline@carolinashealthcare.org BOD Liaison: Maria Glenn, MD, Maria.glenn@carolinashealthcare.org Staff Liaison: Holly Gouin, hgouin@saem.org ACEP/SAEM/ NIH (joint ) Task Force – emednetworking@lists.saem.org Chair: Roger Lewis, MD, PhD, roger@emedharbor.edu BOD Liaison: Jill Baren, MD, barenj@uphs.upenn.edu Staff Liaison: James Tarrant, jtarrant@saem.org Regionalization (joint with ACEP) Task Force – regionalization@lists.saem.org Chair: Brendan Carr, MD, Brendan.Carr@uphs.upenn.edu BOD Liaison: Cherri Hobgood, MD, hobgood@med.unc.edu Staff Liaison: Neal Hardin, nhardin@saem.org Research Fellowship Task Force – researchfellowship@lists.saem.org Chair: Judd Hollander, MD, Judd.Hollander@uphs.upenn.edu BOD Liaison: Jeffery Kline, MD, jeff.kline@carolinashealthcare.org Staff Liaison: Sandy Rummel, srummel@saem.org Residents as Researchers Task Force – researchresidents@lists.saem.org Chair: Clifton Callaway, MD, callawaycw@upmc.edu BOD Liaison: Alan Jones, MD, alan.jones@carolinas.org Staff Liaison: Barb Mulder, bmulder@saem.org Strategic Planning Task Force – saemplanning@lists.saem.org Chair: Jill Baren, MD, barenj@uphs.upenn.edu BOD Liaison: Jill Baren, MD, barenj@uphs.upenn.edu Staff Liaison: James Tarrant, jtarrant@saem.org

Membership Committee – membership@lists.saem.org Chair: Amy Kaji, MD, MPH, akaji@emedharbor.edu BOD Liaison: Adam Singer, MD, asinger@notes.cc.sunysb.edu Staff Liaison: Holly Gouin, hgouin@saem.org

201113_Oct20.indd 10

10/21/09 10:47:17 PM

Vince Markovchick Retires as Director of Emergency Medicine at Denver Health Stephen V. Cantrill, MD – Department of Emergency Medicine Denver Health Medical Center Dr. Vincent J. Markovchick has retired from the Department of Emergency Medicine at Denver Health Medical Center after 32 years. Vince has been one of the true pioneers in Emergency Medicine, starting with his graduation from the University of Chicago Emergency Medicine Residency in 1976 into the not-yet recognized specialty of Emergency Medicine (What WERE we thinking?). In 1977, Vince was asked by Dr. Peter Rosen to join him at the (then) Denver General Hospital Residency in Emergency Medicine. Vince was initially the residency Program Coordinator which actually meant that he was the guy that made the residency run. He shaped the basics of a residency program that remains strong and vibrant today. Through this program, Vince has directly impacted the medical education of hundreds of residents (more than 350 in Emergency Medicine, alone) and thousands of medical students, nurses and EMTs. As one of the pioneers in our field, Vince has been instrumental in the development of emergency medicine as a specialty over the last three decades. Having had the privilege of working with Vince for more than 30 years, I can truly attest to his dedication and indefatigable attitude toward education and training in emergency medicine. Over the years, he has had a significant role in the creation and development of many aspects of our specialty, including graduate medical education, EMS, risk management, trauma center development, and continuing medical education, just to name a few. Vince has served as editor of multiple text books in EM, and written an extensive number of book chapters and articles in our field. He has lectured nationally and internationally on a large number of emergency medicine-related topics. His dedication to resident education is well demonstrated by his involvement in the earliest organization to evaluate residencies in emergency medicine, the Liaison Residency Endorsement Committee. After the recognition of emergency medicine as a formal specialty, Vince was an active member of the Residency Review Committee in Emergency Medicine, serving as member and site surveyor. He served as Chairman of the RRC from 1994 to 1996. Vince was also very active in the American Board of Emergency Medicine, serving as Director from 1994 to 2002 and President from 1999 to 2000. He also

served on the ACEP Academic Affairs Committee for four years and was its chairman from 1985 to 1987. Locally, Vince served as Director of the Denver Health Residency in Emergency Medicine for many years before becoming Director of the Department of Emergency Medicine at Denver Health in 1989. He also served as Professor in the Division of Emergency Medicine at the University of Colorado – Denver, School of Medicine where he was appointed Associate Dean for Health Affairs in 2007. Dr. Markovchick has received many awards over the years, including the Emergency Medicine Residents’ Association’s “Excellence in Teaching Award” in 1991. He was awarded the Denver Health and Hospitals’ “Outstanding Career Service Faculty Teaching Award” in 1992 and ACEP’s “Outstanding Contribution to Education Award” in 1997. He was also awarded the American Academy of Emergency Medicine Peter Rosen Award in 2001 and selected as an American College of Emergency Physicians Hero of Emergency Medicine in 2008. On a lighter side, Dr. Markovchick has never been known to miss a free meal, no matter the difficulty of the logistics or the timing. In spite of this, I have always been amazed that he has been able to maintain his boyish figure. It must be his effort in bike riding and down-hill skiing, at which he is also a master. Vince’s post-retirement plans are still in their formative stage, but will include travel with his wife, Leslie, and ongoing involvement in resident training and medical education. In fact, this month he is lecturing on aspects of emergency medicine in Iceland! For those of us who have been fortunate enough to know him, Vince has served (and will continue to serve) as a role model in the development of our specialty and the training of our residents. Thank you, Dr. Vince Markovchick.

201113_Oct20.indd 11

10/21/09 10:47:18 PM

midwest regional meeting The 2009 SAEM Midwest Regional Meeting was held at the University of Michigan on September 21st. With 170 participants, it was the largest Midwest regional meeting ever hosted. Students, Residents, Fellows, and Faculty from 9 states took the opportunity to present 36 oral presentations and 60 posters during a very busy Monday in Ann Arbor. Dr. Jesse Pines, from the University of Pennsylvania, spoke during the keynote address on the challenges of starting a research career and offered advice to a packed house about how to develop a scholarly niche, maintain focus, and get things done. The science was simply fantastic, and reflected the broad base of research expertise across the Midwest. Highlights included the following award winning presentations â&#x20AC;&#x201C;

Best Student Presentations (a tie honoring 2 significant figures): DAWN DZIUBA, Washington University. Demographic and clinical variables associated with follow-up of ED patients at federally qualified health clinics: Metropolitan-wide pilot data. LAUREN CINDRICH, St. John Health System. Should the deeply comatose trauma patient be intubated by EMS? Best Resident Presentation: BRIAN PATTERSON, Northwestern University. Cost-effectiveness of influenza vaccination of older adults in the emergency department. Best Fellow Presentation: EMILIE POWELL. Northwestern University. A hospital-wide approach to crowding: Altering inpatient discharge practices to decrease ED boarding. Best Faculty Presentation: RAHUL KHARE, Northwestern University. The relationship between the emergency primary PCI quality measure and inpatient myocardial infarction mortality.

The SAEM Midwest Regional Meeting held in Ann Arbor, Michigan was well attended.

Jim Olson, Jesse Pines (featured speaker), and David Milzman.

Coffee break time.

Mary Jo Wagner, MD and Richard Lammers, MD

2009 SAEM Midwest Regional Meeting 12

201113_Oct20.indd 12

10/21/09 10:47:18 PM

This was the 19th annual meeting of the Midwest group. Perhaps the strongest tribute to the ongoing growth and accomplishment of the region is that in 2010, the group will divide into two adjacent regions, the Midwest and the Great Plains. The 20th Anniversary Midwest Meeting will be held where it all began, in Dayton, Ohio. The inaugural Great Plains Meeting will be hosted by the University of Nebraska. Look for announcements regarding those two meetings in the following months.

Heather Groth, BS from Iowa City, Iowa.

Comfortable chairs.

201113_Oct20.indd 13

10/21/09 10:47:25 PM

201113_Oct20.indd 14

10/21/09 10:47:30 PM

Highlights from the NACCT 2009 Symposium Rachel Weiselberg, MD Cook County – John H. Stroger Hospital It is my privilege, as the 2009 SAEM Michael P. Spadafora Medical Toxicology Scholarship recipient, to share with you some of the highlights from this year’s North American Congress of Clinical Toxicology (NACCT) Symposium. The symposium took place in San Antonio Texas, home of the legendary Alamo and the magnificent Riverwalk. The conference began with a keynote presentation by Dr. Martin Smilkstein. He spoke about his curriculum vitae, literally the course of his life, a fascinating journey, with a clinical career, that first traversed the United States many times over. He then recounted his time spent in Sierra Leone with Medecins Sans Frontieres. This was an emotionally charged and inspiring period, which brought him to his current position with the Oregon Translational Research and Drug Development Institute, where he is doing research on Malaria. As the conference progressed, there were a variety of different lectures to choose from. The American Association of Poison Control Centers organized a symposium on poison center data. Discussion ranged from the well known limitations of

poison center data to its successful use for both research and surveillance, on such topics as adverse drug events and drug abuse patterns. The American Academy of Clinical Toxicology (AACT) scientific symposium embraced cardiac ion channel toxicity. It was a series of two brilliant lectures given by Dr. Katherine T. Murray on the sodium channel, and Dr. Bjorn C. Knollmann, on the calcium channel. They reviewed the way the channels function on a cellular level, the consequences of blockade and the science behind our treatment strategies. At the Canadian Association of Poison Control Centres symposium, we heard from M-J S Milloy about the controversial Canadian Medically-Supervised Injection Facilities and Katherine Lepik gave an excellent overview of the adverse effects of anti-retrovirals that we should be aware of in our HIV population. During the conference, three poster sessions allowed time to browse through the 308 abstracts accepted this year. A percentage of these authors were invited to present their cases or research at different platform sessions. Dr. Erica Kreismann presented a thought provoking observational study of emergency physicians in which she delved into “The Ethics of Reporting ‘Body Packers.’” At the AACT Herbal Special Interest Group we heard some unsettling case reports. Dr. David Haggerty spoke about a patient who developed selenosis (at first misdiagnosed as gastroenteritis) from a nutritional supplement containing toxic levels of selenium. Additionally, Dr. Alexander Miller presented the case of a 9-day old infant with hemolysis (Hemoglobin 5g/L, Bilirubin 41mg/dL) secondary to his mother drinking arnica tea. One of the most controversial, and exciting, sessions was the AACT Acute and Intensive Care Symposium. Dr. Ejaaz A. Kalimullah set the stage with a case of Valproic Acid toxicity, and a debate ensued on the use of L-Carnitine in treatment. This was followed up with a fatal case of aspirin toxicity, presented by Dr. Alicia Minns, for which the question of when to dialyze, came under scrutiny. Lastly, Dr. David Vearrier conveyed a case of jimson weed and alcohol intoxication, and the discussants held widely varied attitudes towards the use of physostigmine. In closing, I would like to share with you a moving presentation given by Dr. Alan D. Woolf, an homage to his long time friend and partner, entitled “The Last Lecture: A Tribute to Michael Shannon, MD, MPH.” Dr. Shannon worked at Boston’s Children’s Hospital for many years. He was not only a clinician, but also a researcher, teacher and an inspiration to those who knew him. Dr. Woolf revealed a presentation that Dr. Shannon had been compiling on pediatric lead exposure. As one of the few people in the room who had not been previously acquainted with Dr. Shannon, it was truly an honor to be privy to his “Last Lecture.” 15

201113_Oct20.indd 15

10/21/09 10:47:31 PM

ACADEMIC RESIDENT SECTION On behalf of the SAEM GME Committee, we are pleased to re-introduce the “Academic Resident” section of the SAEM newsletter. Quarterly articles will focus on topics of interest and importance to emergency medicine residents, with topics recurring on a roughly 3-year cycle. It is our hope that you will find these articles to be useful tools in your academic/professional development. We encourage your feedback and suggestions regarding additional content areas that would be of value to residents and recent residency graduates. Feel free to email comments and suggestions to techsupport@saem.org Jonathan Davis, MD, Georgetown University | Douglas McGee, DO, Albert Einstein | Jacob Ufberg, MD, Temple University

GOT MENTORING? Susan E. Farrell, MD EdM Assistant Professor, Medicine, Harvard Medical School • Department of Emergency Medicine Brigham and Women’s Hospital • Education Specialist • Office of Graduate Medical Education • Partners HealthCare System Faculty Consultant • Center for Teaching and Learning • Harvard Medical School Residents in training frequently hear about the importance of acquiring a mentor to guide them in their transition from new intern to independent, residency-graduated emergency physician, and perhaps junior faculty member. Research on the effects of mentoring on mentees indicates that successful mentoring relationships are associated with greater academic productivity and enhanced career satisfaction.1,2,3,4 Early exposure to good mentors contributes to confidence in scientific writing5 and a sense of preparedness as a future academic physician.6 Residency training programs are responding to the needs of trainees for mentorship through the implementation of mentoring programs designed to support and guide trainees through their residency training experiences. In one Canadian survey, program directors who reported that mentoring had played a role in their personal development were more likely to have active mentoring programs at their institutions.7 National mentoring networks have been promoted for pediatric emergency medicine fellows through annual scientific conferences.8 What does the need for, or role of a mentor mean to you, as a resident in training? Perhaps you have been assigned a faculty mentor as a member of a structured mentorship program in your residency, and such a relationship may develop into a dynamic transitional experience that furthers your growth and professional development; however, more often than not, assigned ‘mentors’ do not completely fulfill the needs of many trainees in a holistic manner. This is not unexpected since the definition of a mentor implies a broader and deeper interest in a trainee’s professional maturation, based on a mutual understanding of the mentee’s goals and dreams, something that may be difficult to achieve simply through assignment.9,10,11 As a result, you may decide to seek mentorship beyond that which is implied by an assigned advisory role.12

FINDING YOUR MENTOR Although you may seek someone to mentor you in your career development, your search should begin with an introspective understanding of yourself. Rogers described several steps that a mentee should consider when finding a mentor.13 They have been adapted for clinician-educator faculty14, and are adapted here for residents. 1. Personal assessment: Before you approach a senior person as a potential mentor, it is essential that you have taken time to assess your own goals and your current relationship to them. Take some time to think about and define your personal and career aspirations. What are your interests and how do they shape your vision of your future as a

physician? What are the facets of medicine that you find most interesting, in which you want to spend your time, even when your time is limited by necessary training requirements? What is your burning question in an area of research that most interests you? What is your dream of what your career and personal life will be in five years? in ten years? How do you see your personal life interests enhancing your satisfaction with your chosen career path? What makes you happy as a physician? 2. Reflection: Considering your goals and aspirations; reflect on your current relationship to them. Are there areas of interest in which you excel? What skills have you developed with ease? Are there content areas in which you feel less strong? Are there skills that need to be developed in order for you to achieve your intermediate and longer term goals and objectives? Think about a prior goal or task that was of great importance to you, for which you worked and achieved success. What did you do that contributed to that success? What was difficult or challenging for you? It is very challenging to know ourselves and self-assess. Consider asking a trusted colleague or family member to help you to best understand those areas in which you have been successful and those in which they have observed you to struggle, or need further refinement. 3. Define your questions. Once you are clear about your future goals and you understand your current relationship to them, put into words specific questions that you would ask of a guide or advisor. How best can I improve this skill? With whom do you suggest I network to enhance my ability to perform this research? My interest is related to this particular topic; how would you suggest that I explore this avenue of interest? 4. Potential mentors: Determine the qualities that you value or desire in a mentor. Think again about a prior goal or task that you successfully achieved. Think about a person who was instrumental in your achieving that success. What were the qualities of that person? Approachability? Sincere interest in you? Listening skills? Honesty? Ability to give constructive critique and supportive advice? Confidentiality? Was this person a role model whose behaviors and attitudes you wish to emulate? Did they respect your values for work-life balance, or your career expectations? Are gender or ethnic background important to you in enhancing communication and understanding? Only you can best understand how another person motivates and advises you to work hard and achieve your goals. Look broadly for someone who possesses those qualities. They may be within your department or institution; they may be emergency physicians or other specialists, academic or community practitioners. You may

201113_Oct20.indd 16

10/21/09 10:47:32 PM

(“Resident as Teacher”, Continued) find them through other trusted faculty or at regional or national meetings. You may know their names through the literature that most engages your interest. Be prepared to approach that person with recognition of their time and energy, and gratitude if they are able to become your mentor. Mentoring relationships are partnerships, the goal: your improvement. 5. Do the work. It is your responsibility as a mentee to do the advised work expected of you in a realistic and timely manner. As the junior member in the mentoring partnership, you hold the responsibility for continuing self-assessment of your progress, articulating and prioritizing your goals, and reporting back to your mentor on challenges and next steps. Be responsible and respectful. Trust in your efforts and the advice of your mentor.

CHALLENGES TO THE MENTORING RELATIONSHIP As in any partnership, maintaining a successful mentorship can be challenging. A few of the most common challenges relate to communication, the constraints of time, and the natural evolution of mentoring relationships.9,10 UNCLEAR EXPECTATIONS: Like any relationship, successful mentoring rests on an understanding and agreement between the mentor and the mentee of their roles and responsibilities to the relationship. Your goals and values and work effort should be understood, and the availability and interests of the mentor clear. You are not asking your mentor to ‘give’ you the objectives you seek; nor should your work effort and success be directed toward the goals and personal aspirations of your mentor. Establishing clear and mutual respect and realistic expectations is the basis of beginning a mentoring relationship. Open, transparent dialogue based on clearly understood expectations, goals and roles, will facilitate a successful partnership. Try to establish from your first interactions with your mentor what your respective goals and expectations are, and how you intend to respect your mentor’s energy and efforts. TIME: It is challenging to find sufficient time to nurture a mentoring relationship and the responsibilities that it entails. The work and effort of mentoring ebb and flow over time, in parallel with your progress. Overall, a good mentor makes an effort to be available within the constraints of their other responsibilities. You also must make an effort to periodically check in with your mentor, to update them on expected milestones and challenges, and to report back on the results of their advice and guidance. POWER DIFFERENTIAL: Although it is a partnership based on the goal of your personal development, by definition, a mentoring relationship usually involves the work of a senior person with a junior person. The difference in knowledge and experience between the mentor and the mentee provides the wealth of opportunities for your own learning and growth. Mentors need to be able to assess your progress and provide honest and constructive critique on which you can make decisions about next steps and future efforts. However, this difference in experience is often associated with a difference in power, which can occasionally contribute to an uncomfortable confusion in roles. It is important that a mentor’s responsibilities for evaluation and supervision be separated from their roles as guide and advisor. Work with your mentor to clarify and distinguish these roles, for your own understanding. NEED FOR ALTERNATIVES: It is unfortunately often the case that a mentoring relationship that seems promising at the start falters once the work of the relationship begins. The challenges associated with successful mentoring are numerous. If you, as

a mentee, come to believe that despite your work and effort, a mentor may not be the ‘right fit’ for you; it is your responsibility to approach the need for alternative mentoring. This can be very difficult for a trainee to address with a supervisory faculty member. In such a case, the assistance of another trusted faculty person may facilitate a dialogue and smooth transition to another potential mentor. It is your self-awareness and assessment that should guide your personal and career development. A number of alternative mentors may be instrumental at various points in your career, each with their own expertise and guidance to offer.

NEED FOR CHANGE: By its nature, all mentoring relationships are dynamic and evolve over time.15 As a mentee matures and becomes progressively independent, the differential power inherent in the relationship decreases. The mentoring partnership may be redefined as an egalitarian colleagueship or friendship. Closure or separation from prior mentor/mentee roles may signify this natural maturation. Your success is an indication of your mentor’s success, and a future long-term colleagueship is the fruitful result of a successful mentorship. Understanding and navigating these changes will inform your own skills as a mentor to those future mentees who follow you. It is the truly fortunate person who finds themselves in a successful mentoring relationship, one that benefits both parties through the mutual understanding and value of the mentee’s goals and achievements. Good mentors are difficult to find and fulfill many roles, but the central tenet of mentoring is the guidance of the mentee, the facilitation of the mentee’s acquisition of wisdom and experience in order to enable the mentee’s personal and professional achievement. All good mentors thrill to facilitate and recognize the success of their mentees. According to Greek mythology, when Odysseus left for the siege of Troy, it was the trusted friend, Mentor, sometimes as Athena, the goddess of wisdom, who became responsible for raising Odysseus’ son, Telemachus. Mentor guided Telemachus from childhood to independence. As such, mentors play instrumental roles in your transition from novice to independent professional. Wise mentors will guide you on your own journey to independence, through a discernment of your own dreams and your fulfillment of them. (Endnotes) 1

Bland CJ, Schmitz CC: Characteristics of the successful researcher and implication for faculty development. J Med Ed 1986;61:22-31.

Levinson W, Kaufman K, Clark B, Tolle SW: Mentors and role modesl for women in academic medicine. West J Med 1991;154:423-6.

Palepu A, Friedman RH, Barnett RC et al: Medical faculty with mentors are more satisfied. [abstract] J Gen Int Med 1996;11:107.

Palepu A, Friedman RH, Barnett RC et al: Junior faculty members’ mentoring relationships and their professional development in U.S. medical schools. Acad Med 1998;73:318-23.

Shah J, Shah A, Pietrobon R: Scientific writing of novice researchers: what difficulties and encouragements do they encounter? Acad Med 2009;85:511-6.

O’Sullivan PS, Niehaus B, Lockspeiser TM, Irby D: Becoming an academic doctor: perceptions of scholarly careers. Med Ed 2009;43:335-41.

201113_Oct20.indd 17

10/21/09 10:47:32 PM

(“Got Mentoring”, Continued) 7

Donovan A, Donovan J: Mentorship in postgraduate training programmes: views of Canadian programme directors. Med Ed 2009;43:155-8. Jaffe DM, Knapp JF, Jeffe DB: Final evaluation of the 2005 to 2007 National Pediatric Emergency Medicine Fellows’ Conference. Pediatr Emer Care 2009;25:295-300. Garmel GM: Mentoring medical students in academic emergency medicine. Acad Emerg Med 2004;11:1351-7.

10 Ludwig S, Stein RE: Anatomy of mentoring. J Pediatrics 2008;Feb. 151-3. 11 Tobin MJ: Mentoring: seven roles and some specifics. Am J Respir Crit Care Med 2004;170:114-7. 12 Reckelhoff JE: How to choose a mentor. The Physiologist 2008;51:4:152-4. 13 Rogers JC, Holloway RL, Miller SM: Academic mentoring and family medicine’s research productivity. Fam Med 1990;22:186-90.

Palepu A, Friedman RH, Barnett RC et al: Medical faculty with mentors are more satisfied. [abstract] J Gen Int Med 1996;11:107. Palepu A, Friedman RH, Barnett RC et al: Junior faculty members’ mentoring relationships and their professional development in U.S. medical schools. Acad Med 1998;73:318-23. Shah J, Shah A, Pietrobon R: Scientific writing of novice researchers: what difficulties and encouragements do they encounter? Acad Med 2009;85:511-6. O’Sullivan PS, Niehaus B, Lockspeiser TM, Irby D: Becoming an academic doctor: perceptions of scholarly careers. Med Ed 2009;43:335-41. Donovan A, Donovan J: Mentorship in postgraduate training programmes: views of Canadian programme directors. Med Ed 2009;43:155-8. Jaffe DM, Knapp JF, Jeffe DB: Final evaluation of the 2005 to 2007 National Pediatric Emergency Medicine Fellows’ Conference. Pediatr Emer Care 2009;25:295-300. Garmel GM: Mentoring medical students in academic emergency medicine. Acad Emerg Med 2004;11:1351-7.

14 Farrell SE, Digioia NM, Broderick KB, Coates WC: Mentoring for clinician-educators. Acad Emerg Med 2004;11:1346-50.

Ludwig S, Stein RE: Anatomy of mentoring. J Pediatrics 2008;Feb. 151-3.

15 Bernice J, Teixeira R: Mentorship: a successful tool for recruitment, recognition, and advancement. Clin Lead & Man Review 2002;386-90.

Tobin MJ: Mentoring: seven roles and some specifics. Am J Respir Crit Care Med 2004;170:114-7.

References: Bland CJ, Schmitz CC: Characteristics of the successful researcher and implication for faculty development. J Med Ed 1986;61:22-31. Levinson W, Kaufman K, Clark B, Tolle SW: Mentors and role modesl for women in academic medicine. West J Med 1991;154:423-6.

Reckelhoff JE: How to choose a mentor. The Physiologist 2008;51:4:152-4. Rogers JC, Holloway RL, Miller SM: Academic mentoring and family medicine’s research productivity. Fam Med 1990;22:186-90. Farrell SE, Digioia NM, Broderick KB, Coates WC: Mentoring for clinician-educators. Acad Emerg Med 2004;11:1346-50. Bernice J, Teixeira R: Mentorship: a successful tool for recruitment, recognition, and advancement. Clin Lead & Man Review 2002;386-90.

201113_Oct20.indd 18

10/21/09 10:47:32 PM

201113_Oct20.indd 19

10/21/09 10:47:33 PM

201113_Oct20.indd 20

10/21/09 10:47:33 PM

Selection, Presentation, and Publication of Educational Didactic Sessions and Educational Posters at 2010 CORD AA and 2010 SAEM Meetings Louis Binder, M.D., Department of Emergency Medicine, University of Nevada In October 2009, at the ACEP meeting in Boston, representatives of the SAEM Program and GME Committees, CORD, CDEM, and Academic Emergency Medicine met to explore the possibility of dual educational didactic session and dual abstract submission and presentation, at both the 2010 CORD AA (Orlando) and SAEM (Phoenix) meetings, as well as publication in Academic Emergency Medicine. This meeting was successful in achieving these goals, allowing members expanded academic opportunities to submit their educational work to both CORD AA and SAEM in 2010. The details that our membership should be aware of:

B. At SAEM, a “Fifth Track” will be added in 2010, which will be devoted to SAEM Academy related presentations (CDEM, Simulation, Geriatrics, and AAWEM). Within this track, CORD AA didactic sessions will be slotted for presentation at SAEM. To the extent possible, the SAEM Program Committee will attempt to present these sessions so as not to conflict with the CORD or CDEM Annual Meetings at SAEM. C. At SAEM, educational posters will be interspersed throughout the meeting into various poster sessions, rather than “lumped together” as a single CORD AA poster session.

1. The procedures for didactic proposal submission, review, and acceptance for 2009/2010 was conducted independently by SAEM, CORD, and CDEM this past summer. Each entity conducted its own submission and acceptance process for educational didactic sessions, which have been completed. 2. An identical deadline of December 2nd, 2009 was established for abstract submissions to both CORD and SAEM. Dual submissions, dual acceptance, and dual presentation of educational posters at both meetings (if dually accepted) is acceptable to SAEM, CORD, and CDEM. 3. Submission process for abstracts will be via a new internet based application being field tested currently by SAEM. The process would allow members to submit their abstracts simultaneously to one or both meetings. 4. In 2010, IEME abstract submission procedures will be through a different electronic mechanism and with a different (later) deadline. Beginning in the 2010-2011 cycle, IEME deadlines will be moved earlier, most likely coinciding with the SAEM/CORD AA educational poster deadline and submission process. 5. Educational didactic sessions and educational posters accepted to both meetings will be presented at both meetings: A. At CORD AA, accepted didactic sessions and accepted educational posters will be presented in the sessions and formats that have been done previously (i.e. no changes)

201113_Oct20.indd 21

10/21/09 10:47:35 PM

Academic Announcements JONATHAN DAVIS, MD has been promoted to the rank of Associate Professor of Emergency Medicine in the Clinical Scholar track at the Georgetown University School of Medicine. Jonathan’s promotion is in recognition of the outstanding academic contribution he has made to our department, to the School of Medicine, and to our specialty. In addition to his leadership as the Associate Program Director of the Georgetown University Hospital / Washington Hospital Center residency program in emergency medicine, Jonathan has distinguished himself as a national level lecturer (speaking at the ACEP Scientific Assembly and at other high profile meetings) and as an author of numerous publications (book chapters, reviews, peer-reviewed journal articles). He has been a great ambassador for our residency program on a national stage.

ARVIND VENKAT, MD has been promoted to Associate Professor of

09/09/09 - WFU Emergency Department Wins Prestigious Award Congratulations to JAMES HOEKSTRA, MD, Department Chair of the Emergency Department of Wake Forest University Baptist Medical Center for winning a Thomson Reuters 2009 Healthcare Advantage Award* for performance efficiency by improving patient throughput by decreasing the length-of-stay time and the number of patients who left without being seen by a physician. The awards were recently presented in San Diego at the 2009 Healthcare Advantage Conference, the annual gathering of Thomson Reuters Healthcare customers. The awards, in categories such as strategy and growth, health and clinical outcomes, and consumer outreach and communications, honor hospitals and health care payers that use data analytics to improve business results and the quality of care.

at the University of Pittsburgh and Past-President of SAEM, is leading a team that has been awarded a two-year, $1.5 million RO1 grant from the National Heart, Lung, and Blood Institute to study the use of lowmolecular-weight heparin as an outpatient treatment for low-risk patients with pulmonary embolism. Co-investigators include Jeffery A. Kline, MD, Carolinas Medical Center, and D. Mark Courtney, MD, Northwestern University. The team will study the effectiveness and safety of outpatient treatment of up to half of patients with pulmonary embolism, employing a risk assessment tool created by Pitt researchers. The study is harmonized with a European trial of the same design led by Draho Aujesky, MD.

DEBRA HOURY, MD MPH, was promoted to Associate Professor with Tenure in the Department of Emergency Medicine, Emory School of Medicine. She was also promoted to Associate Professor in the Departments of Behavioral Sciences and Health Education and Environmental and Occupational Health in the Rollins School of Public Health.

K. JOHN MCCONNELL, PHD, MS, MA, Associate Professor of Emergency Medicine at Oregon Health & Science University, was awarded an AHRQ R01 grant for 3.5 years. The title of the grant is “Management Practices in U.S. Hospitals.” The study will use an innovative survey methodology designed to measure management practices in a large sample of US hospitals. The goal is to open the “black box” of hospital management and assess its importance on patient outcomes.

MICHAEL J. MELLO, MD, MPH, Associate Professor in the Department of Emergency Medicine at the Alpert Medical School of Brown University, is the principal investigator on a new grant from the Centers for Disease Control - “Translation of Alcohol Screening and Brief Intervention Guidelines to Pediatric Trauma Centers”. This is a three year grant with direct costs of $599,345.

CARL STEVENS, MD, MPH, received the 2009 Excellence in Education Award from the David Geffen School of Medicine at UCLA for outstanding contributions to medical student education. Dr Stevens is a Clinical Associate Professor of Medicine at UCLA and simultaneously serves as both the Director of Curriculum Development for the medical school and as the Director of Process and Quality Improvement for the Department of Emergency Medicine at Harbor-UCLA Medical Center.

JEFFREY R. SUCHARD, MD, FACEP, FACMT, was promoted to Professor of Clinical Emergency Medicine at the University of California, Irvine.

CAROLYN SYNOVITZ MD, MPH, has been named Vice Chair of the Department of Emergency Medicine at the University of Oklahoma School of Community Medicine. Dr. Synovitz also serves as the Residency Director for OU’s 16-resident EM training program, which is based in Tulsa.

JANIS P. TUPESIS, MD has accepted the position of Residency Program Director at the University of Wisconsin School of Medicine & Public Health effective October 1, 2009. He formerly served as Associate Residency Director at the University of Chicago Medical Center and is active in international health and research.

Emergency Medicine at the Drexel University College of Medicine as of July 1, 2009. Dr. Venkat serves as Director of Research in the Department of Emergency Medicine and Ethics Consult at Allegheny General Hospital, Pittsburgh, PA, a regional campus of Drexel.”

DAVID WRIGHT, MD, was promoted to Associate Professor with Tenure in the Department of Emergency Medicine, Emory School of Medicine. Dr. Wright is Section Chief, Emergency Neurosciences and the PI for the $27M multi-center NIH award studying progesterone in patients with traumatic brain injury.

DONALD M. YEALY, MD, Professor and Chair of Emergency Medicine

PHILIP YOON, MD, MBA, CCFP(EM), FCFP (currently Associate Professor, Department of Family Medicine & Department of Emergency Medicine at the University of Alberta, Edmonton Alberta) has accepted an appointment as the Head of the Department of Emergency Medicine, Faculty of Medicine, Dalhousie University & Chief of Emergency Medicine, Capital District Health Authority, Halifax, Nova Scotia effective November 1, 2009.

JOHN G. YOUNGER, MD, MS, and his team at the University of Michigan recently were awarded an R01 from the National Institute of General Medical Sciences to examine biomechanical phenomena involved in the persistence and clearance of bloodstream infections. A second award further considering this issue has been funded by the National Science Foundation through its cyber-enabled discovery initiative. Both projects are collaborations between emergency medicine, chemical engineering, and applied mathematics at the University of Michigan, University of Colorado-Boulder, and Washington University. TAREG BEY, MD, FACEP was newly inducted as a Fellow of American College of Medical Toxicology (FACMT) in San Antonio, Texas on September 22, 2009. This year the American College of Medical Toxicology (ACMT) awarded FACMT status to a total of 27 physicians for their contributions in research, clinical practice, teaching and mentorship as well as for community outreach in the field of medical toxicology.

MICHELE CARNEY, MD was promoted to Assistant Professor on the Clinical Track in Pediatric Emergency Medicine at the University of Michigan Department of Emergency Medicine effective September 1, 2009. ROGER LEWIS, MD, PHD, has been elected to the Institute of Medicine of the National Academies. Dr Lewis is Vice Chair for Academic Affairs in the Department of Emergency Medicine at Harbor-UCLA Medical Center and a Professor of Medicine at the David Geffen School of Medicine at UCLA. MICHELLE BIROS, MD, has been elected to the Institute of Medicine of the National Academies. She is Professor and vice chair of research, department of emergency medicine, University of Minnesota Medical School, Minneapolis. TOM P. AUFDERHEIDE, MD, has been elected to the Institute of Medicine of the National Academies. He is a professor of emergency medicine, and associate chair for research affairs, department of emergency medicine, Medical College of Wisconsin, Milwaukee.

201113_Oct20.indd 22

10/21/09 10:47:35 PM

MENTORING FOR ACADEMIC EMERGENCY MEDICINE INTERNATIONAL AUTHORS Researchers from countries or facilities that do not currently have a strong research infrastructure are encouraged to contact our Senior Associate Editor for International Emergency Medicine, Prof. Mark Hauswald, at mhauswald@salud.unm.edu prior to manuscript submission. We offer assistance with research methodology including protocol development, human subjects protection, data analysis, and statistics, as well as help with writing and revising in academic English. Our goal is to mentor faculty and foster collaboration between researchers and facilities in order to improve emergency care and emergency medicine research internationally. Research on problems that are primarily issues in low resource settings and on those with direct application to developed systems are both welcome. Submission does not guarantee publication and as noted above, we do not generally publish case reports, case series, or purely descriptive work. This service is free and does not obligate the applicant in any way.

Call for Papers

Academic Emergency Medicine Consensus Conference Follow-Up Research Special Issue Since 2000, Academic Emergency Medicine has hosted an annual consensus conference, designed to generate a research agenda for a number of specific topics. The conference topics were: • • • • • • •

2000 Errors in Emergency Medicine 2001 The Unraveling Safety Net 2002 Assuring Quality 2003 Disparities in Emergency Health Care 2004 Emergency Medicine Information Technology 2005 Ethical Conduct of Resuscitation Research 2006 The Science of Surge

• 2007 Knowledge Translation in Emergency Medicine: Establishing a Research Agenda and Guide Map for Evidence Uptake • 2008 The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise • 2009 Public Health in the ED: Surveillance, Screening, and Intervention

On the tenth anniversary of this series, the journal launches an annual special issue, to be published in August, dedicated to research papers that address the consensus conference topics. Other “special contributions” such as concept papers and state-of-the-art reviews on the consensus conference topics may be considered, but strong preference will be given to original research papers that result from the research agendas set forth in the proceedings of each consensus conference, as published in that year’s November issue of Academic Emergency Medicine. We hope to develop a “documentation trail” of the impacts of the various consensus conferences, some of which have received external funding. Special Instructions: All papers should be submitted on the journal’s standard electronic platform at: mc.manuscriptcentral.com/aemj. Please include a notation in your cover letter that your submission is intended for the special August consensus conference follow-up issue, and from which consensus conference the paper was developed. The submission deadline is 5PM Eastern Time on Friday, March 5, 2010. Late submissions will be considered only on a space-available basis, and may need to be held for a subsequent issue. Any questions should be directed to Gary Gaddis, MD, PhD, Guest Editor, at ggaddis@saint-lukes.org or David Cone, MD, Editor-inChief, at editor@saem.org.

14th Annual New England Regional SAEM Conference April 14, 2010

Hoagland Pincus Conference Center Shrewsbury, Massachusetts The Program Committee is accepting abstracts for review for oral and poster presentations at the 14th Annual New England Regional SAEM Conference to be held at the Hoagland Pincus Conference Center in Shrewsbury, MA. on April 14, 2010. Deadline for abstract submission is December 2, 2009 at 5:00pm Eastern Standard Time. Only electronic submissions via the SAEM online abstract submission will be accepted. Check the www.saem.org Meetings > SAEM Regional Meetings link for updates and more information as it becomes available or contact: Patty Mitchell, RN at patricia.mitchell@bmc.org

201113_Oct20.indd 23

10/21/09 10:47:35 PM

201113_Oct20.indd 24

10/21/09 10:47:36 PM

201113_Oct20.indd 25

10/21/09 10:47:36 PM

IT’S A DRY HEAT New Orleans, Washington D.C., San Francisco, New York City, Chicago, Orlando… It has been a long time since we deviated from these conference concourses and Olympic nominees to venture out into the desert of the great southwest. Yes indeed, pack your bags, WE’RE GOING TO PHOENIX! The SAEM Staff and Program Committee have been putting in the hours planning for our annual flagship event. Even though we are a little over six months away, we’d like for you to have these updates on our progress: DIDACTIC PRESENTATIONS. In response to your conference feedback and the impressive work performed by our new Academies, the Program Committee is expanding the number of didactic sessions at the meeting. You can expect about 20% more didactic time with topics catering to researchers, educators, clinicians, and administrators spanning the interests from medical students to department chairs. Look for the meeting planning guide with handy symbols to help you navigate the sessions. We received more quality submissions than ever and are in the process of distilling the final list. ABSTRACT SUBMISSIONS … MEMBERSHIP WEB SITE…SOCIAL NETWORKING…OH MY! This year brings many technological advances for SAEM. Chief among them are a new membership services system and abstract submission portal. Twitter and Facebook will enter the scene soon. They all promise a more user friendly scheme and integrated platform. Look for features such as seamless author entry for SAEM members and the ability to upload a table or figure with your abstract. We expect for the abstract submission web site to be running in late October. The deadline for abstract submission is Wednesday, December 2nd, 2009 at 5:00pm EST. In the meantime, consider logging into the membership site to test your username and password (http://member.saem.org). EVENTS. Anyone say, ‘golf tournament?’ You got it! Arizona boasts more courses than Scotland and some of the most beautiful in the country. Our resort sits within two picturesque 18-hole courses designed by two of golf’s greatest legends– Arnold Palmer and Nick Faldo. Right now it looks like our tourney will be Friday afternoon. Pack your sunscreen! You can also look forward to the Opening Reception, Fun Run, Wine and Cheese Poster Session, and enough networking opportunities to wear out your paper and electronic business cards.

DID YOU KNOW…? Since the Annual SAEM Meeting has not been to Phoenix this millennium, we would like to add a bit of regional trivia to the updates. Did you know that scorpions glow in blacklight? Well, not all scorpions, but brave specimens making it through arthropod puberty are rewarded with the capacity to secrete beta-carboline in their cuticle and shine in the night. Yeah baby! You can bet I am going to be out there with a hand held UV lamp surveying our resort population. If hanging out with Mr. Arizona Bark is not your idea of a good time, consider the saguaro cactus whose blossom is the official state flower. The white flower blooms atop these majestic elders during May and June (perfect timing). A mature saguaro is over 100 years old and doesn’t start growing arms until after 50. Landscapers charge between $2500 and $5000 to have one planted on residential property. Thank you for your feedback, ideas, and support. Please mark your calendars, book your hotel room, and start looking forward to an SAEM annual meeting like no other.

SAEM Annual Meeting is June 3 (Thursday) to June 6 (Sunday), 2010 AEM Consensus Conference is June 2 (Wednesday), 2010

201113_Oct20.indd 26

10/21/09 10:47:37 PM

Come together as an institution to raise awareness on the importance of research and education within emergency medicine. You will be able to engage in a friendly competition amongst your peers and rivals while making the difference in the lives of many! During the Chairâ&#x20AC;&#x2122;s Challenge we are asking that each chair contribute $1000 to the Foundation, and to encourage their faculty/residents to contribute at any level. The top three contributing departments will receive special awards and public recognition at the 2010 Annual Meeting in Phoenix. Donations can be sent to: SAEM, 901 N. Washington Ave., Lansing, MI 48906 or on our website at www.saem.org. Please make sure to reference your institution to ensure proper credit is given.

A special thank you to the following Chairâ&#x20AC;&#x2122;s who have kick started this challenge! John Becher Philadelphia College of Osteopathic Medicine

Nathan Kupperman University of California, Davis

Daniel Danzl University of Louisville School of Medicine

O. John Ma Oregon Health & Science University

Robert Galli University of Mississippi School of Medicine

John Marx Carolinas Medical Center

Matt Gratton University of Missouri-Kansas City

Roland McGrath Indiana Univerity School of Medicine

Glenn Hamilton Wright State University

Joseph Tyndall University of Florida College of Medicine-Gainesville

James Hoekstra Wake Forest University Health Sciences Center

David Vukich University of Pittsburgh School of Medicine

Brent King University of Texas Medical School at Houston

Brian Zink Brown University

201113_Oct20.indd 27

10/21/09 10:47:39 PM

Ethics Consult

BATTLEFIELD ETHICS Jeremy Simon, MD, PhD, FACEP - SAEM Ethics Committee Chair Je Assistant Professor of Clinical Medicine (Emergency Medicine) Scholar-in-Residence, Center for Bioethics Columbia University Note: The SAEM Ethics committee offers an ethics consultation service to provide an opportunity to receive feedback on ethical dilemmas faced by SAEM members. (Link available from the SAEM homepage.) When possible, we will publish the results of these consults here in the newsletter so that others can see the issues their colleagues are dealing with. Even when, as here, the circumstances are not ones that most physicians encounter directly, we hope that you will find the consults valuable.

The Question: You are the team physician for a critical care transport team (flying ICU) stationed outside of the US. You have been asked to fly 4 critically ill local civilians to the capital city of their country. You have been able to take care of them at your local treatment facility, but the boss instructs you to move these patients. You fly to the capital; on arrival you learn that the local “standard of care” for moderate to major burn victims is comfort care only. Again you are able to take care of them without much difficulty. You decide not to take them off the plane with the assumption that if you do they will die. Do you listen to the aircraft commander and “get them off the plane,” do you force him to fly back to your local facility where your boss wants them “out of his facility,” or do you risk your career and sanity, because if you let them go you are abandoning critically ill patients and possibly allowing them to die?

Response: Noting that the committee has little expertise in military matters, it was decided nonetheless to address the matter to the best of its ability and respond as emergency medicine peers of the questioner. We believe that the questioner would also be well served by obtaining feedback from military peers as well. Although the committee sympathized with the questioner’s desire to return his patient to the highest level of care available, several arguments seemed to militate against this course of action: 1) Transferring to the local standard of care does not constitute ‘killing’ the patient. If high-level resources are no longer available to care for the patients (and the US military, the owners of these resources, have stated that they are no longer available), transferring the patients to the best available local care is not only not killing the patient, but is the appropriate action. 2) The physician in question is a critical care transport physician whose obligation is to provide appropriate care of his patients during transport. The full rationale for transferring these patients, which may have included

ethically appropriate considerations such as resource availability, may not be apparent to the transport physician. Also, in this case, prior care of these patients may not have been provided by the transport physician. Treatment decisions, including those related to transfer may be best made by the medical team caring for these patients on the military base. Both of these factors interfere with the transport physician’s ability to make a fact-based, ethically sound, analysis of the situation after arriving at the destination. 3) Returning the patients to the military base would in all likelihood be a futile gesture that would expose the patients to further risk. First, the physician would have to convince the pilot of the airplane (over whom he has no command authority, regardless of their relative ranks) to take the patients back to the base. Even if this were accomplished, the hospital commander, who we may assume, was fully aware of the medical resources available in the capital city to which the patients were being transferred, would simply arrange another transport. There is, of course, a small likelihood that mass insubordination on the part of all transport physicians at the base hospital might result in the patients being allowed to stay in the hospital, the cost of pursuing this unlikely outcome is exposing 4 critically ill patients to the rigors of, in all likelihood, two more flights – back to the base and then back to the capital again. 4) It is not clear that these patients will survive even if they are returned to the military hospital. Given this, it may not even be in the patients’ interests to be returned to the military base. At the base, they have easy access to neither their family nor culturally sensitive medical staff nor clergy. In a terminally ill patient, these latter may be preferable to high-tech medical care. 5) It is important to remember that the military hospital’s reason for being is to provide support to American troops. Attempts to commandeer resources to provide extended care to locals may backfire by leading commanders to be more stringent about allowing any locals into the hospital in the first place, lest they ultimately draw needed resources away from the hospital’s primary mission – caring for the troops. This could result in the hospital’s resources not being available to the local

201113_Oct20.indd 28

10/21/09 10:47:39 PM

(“Battlefield Ethics”, Continued)

population even for critical stabilization or more shortterm care. 6) Although the transport physician has taken the Hippocratic Oath and is bound by medical ethics, he has also taken an oath as a military officer. This oath too creates ethical obligations, in particular to obey orders. Although accepting military discipline does not obligate, or even permit, one to perform unlawful or unethical actions, it does mean relinquishing a certain degree of control over one’s actions and access to information. One must trust one’s superiors to be acting appropriately, in all senses of the word, even if the rationale for an order is not clear. That is to say, orders must be presumed to be valid. Only when an order is clearly unlawful or unethical can and should an officer disobey an order. Prima facie conflict with standard medical ethics should not be enough to prompt insubordination. As the points above indicate, the prima facie appearance of conflict may disappear on further analysis, and it is precisely this sort of analysis that, in the absence of fairly clear evidence otherwise, military officers must assume their superiors have made. 7) The facility to which the patients are being transferred is equipped to deliver the local standard of care, which

is presumably at best what the patients would have received had the military hospital not (temporarily) intervened. Were the transport physician being asked to deliver the patients to a site that would render care at a lower level than they could have obtained otherwise, the physician ought to attempt, if possible, to secure the patients transfer to a hospital that can at least deliver the local standard of care.

Finally, the committee notes that the above considerations are independent of the issue of to what extent military hospitals must or should render to local communities that would otherwise not have access to it. This is a highly complicated question that is not directly relevant to the immediate decision the transport physician needed to make after arriving at the capital. Nothing said above should be taken to comment on the appropriateness or inappropriateness of the initial decision to transfer the patient. This question would require a separate analysis.

Conclusion: It would be appropriate for the transferring doctor to follow orders and transfer the patients to a facility equipped to deliver local standard of care.

201113_Oct20.indd 29

10/21/09 10:47:40 PM

SAEM Pediatrics IG Invite Michele Nypaver, MD and Colette Mull, MD University of Michigan and St Christopher’s College of Medicine, PA This article is dedicated to the EM and Pediatric Emergency Medicine (PEM) community of providers who share a passion for improving the care of children through scholarly work. Our mission is to act as a resource within the SAEM organization for excellence in pediatric emergency care, the training of residents and fellows and associated research involving children visiting emergency departments. Because EM/PEM providers work in a variety of practice settings and typically network across multiple scholarly meetings (including SAEM) we hope that this article and our web site may be a reference for general PEM topics and provide timely information on national scholarly meetings/networking opportunities. Each quarter we will highlight topics of interest to the SIG, the first of which is to remind folks who we are and where you can find us. There are MANY ways to contribute across the spectrum of the PEM community and we would encourage SAEM members (residents, fellows and faculty) to get involved. A brief contact summary list for key PEM leaders in societies/organizations is offered here:

ORGANIZATION

LEAD/LIAISON

CONTACT INFO

SAEM/Pediatric SIG

Robert Cloutier MD Chair

cloutier@ohsu.edu

ACEP/Committee on Pediatrics

Christopher Amato MD Chair Stephanie Wauson ACEP Representative

swauson@acep.org

AAP/Section on EM Sub-committees: • Administrative • Committee for our future • PEM Fellowship • PEM in Non-Children’s Hospitals • Research

Laura Fitzmaurice MD Chair Sue Tellez AAP Representative Robert Schremmer MD Michele Nypaver MD Colette Mull MD (Co-Chairs)

stellez@aap.org rschremmer@cmh.edu michelen@umich.edu colettemull@verizon.net cgmacias@texaschildrenhospital.org

Pediatric Academic Societies/Academic Pediatric Association

Lalit Bajaj MD, MPH Evie Alessandrini MD, MSCE

Bajaj.lalit@tchden.org alessandrini@email.chop.edu

Our inspiring new Chair, Rob Cloutier, has challenged the members of this SIG to improve communication to the SAEM community through the SAEM website and newsletter. Contributors are welcome and encouraged to contact him to submit brief topics of interest. Look for our next update: What types of jobs are there for PEM providers? Hot off the presses: PEM Paper that will change your practice! (Check it out!): Kupperman N et al. for the Pediatric Applied Research Network (PECARN) Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. The Lancet, Early Online Publication, 15 September 2009doi:10.1016/S0140-6736(09)61558-0

EDWARD W BOYER MD PHD, Associate Professor of Emergency Medicine at the University of Massachusetts Medical School, has received a $1 million NIH Challenge grant. Awarded under a RC1 mechanism, Dr Boyer teamed with scientists at MIT’s Media Lab to develop a novel technology that combines continuous physiology sensing, wireless connectivity, and artificial intelligence. Ultimately, Dr Boyer and his team intend to identify behavioral states such as drug craving in real time and to deliver drug prevention messages at the moment of greatest need.

201113_Oct20.indd 30

10/21/09 10:47:40 PM

201113_Oct20.indd 31

10/21/09 10:47:40 PM

CLASSIFIEDS University of Pittsburgh Department of Emergency Medicine offers fellowships in the following areas: • Toxicology • Emergency Medical Services

• Research • Education

Fellows enroll in a Master’s level program as a part of all fellowships. We provide intensive training and interaction with the nationally-known faculty from the Department of Emergency Medicine, with experts in each domain. Faculty appointments may be available and fellows assume limited clinical responsibilities in the Emergency Department at the University of Pittsburgh Medical Center and affiliated institutions. We provide experience in basic or human research and teaching opportunities with medical students, residents and other health care providers. The University of Pittsburgh is an Equal Opportunity Employer, and we welcome candidates from diverse backgrounds. Each applicant should have an MD/DO background or equivalent degree and be board certified/prepared in emergency medicine (or have similar experience). Please contact Donald M. Yealy, MD, University of Pittsburgh, Department of Emergency Medicine, 3600 Meyran Avenue, Suite 10028 Forbes Tower, Pittsburgh, PA 15260 to receive information.

OHIO, 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. Duties and primary responsibilities include didactic and bedside teaching with medical students and residents; participation in other educational activities. Conducts translational research in laboratory settings and/or clinical settings with medical students and/or residents. Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 4510 Cramblett Hall, 456 West 10th Avenue, Columbus, OH 43210; or E-mail:Sharon.Pfeil@osumc.edu; or call 614-293-8176. Affirmative Action/Equal Opportunity Employer.

UNIVERSITY OF MICHIGAN The Department of Emergency Medicine at the University of Michigan is seeking physicians with certification in Emergency Medicine and Internal Medicine for the dual practice of Emergency Medicine and Medical Observation Medicine at the University of Michigan in Ann Arbor. Opportunity to work in inpatient Hospitalist services is available. Academic rank will be determined by credentials. Clinical responsibilities will include patient care activity in the Emergency Department and Medical Observation Unit. Responsibilities include house officer and medical student training, and providing direct patient care in a setting providing both primary and tertiary care experience. Those with leadership experience and/or research interests are encouraged to apply. Applicants should have residency training and/or board certification in Emergency Medicine and Internal Medicine. Excellent fringe benefit package. If interested, please send curriculum vitae to: Jason J. Ham, M.D., Director Medical Observation Services, Department of Emergency Medicine, UMHS, 1500 East Medical Center Drive, Ann Arbor, MI 481095303. Interested candidates can also call Dr. Ham at 734-615-2765 or via e-mail at jasham@med.umich.edu. The University of Michigan is an equal opportunity affirmative action employer.

FOLEY PROCTOR YOSKOWITZ, L.L.C. EXECUTIVE AND PHYSICIAN SEARCH CONSULTANTS Our client, a well-known Medical School affiliated with multiple respected Medical Centers, seeks a Director of Research and Faculty Development to promote academic productivity and excellence within its Department of Emergency Medicine. Candidates should have demonstrated advanced scholarly activity as evidenced by a comprehensive teaching portfolio and publication history, have an established research base including funded grants, and be eligible for appointment at the rank of Associate Professor or Professor of EM. The individual must possess excellent communication skills, mentoring experience and be a recognized leader in EM. Qualified candidates must be Board Certified (ABEM or ABOEM) in Emergency Medicine (EM) and have a minimum of 5 years administrative experience in an academic department of EM. Qualified candidates should send CVs to: Lauren Hehn, Foley Proctor Yoskowitz, LLC, Healthcare Executive Search e-mail: lhehn@fpysearch. com - Address: One Cattano Avenue, Morristown, NJ 07960 Phone: 800-238-1123

201113_Oct20.indd 32

10/21/09 10:47:41 PM

Online Discussion Forum: The Role of Pharmaceutical and other Commercial Advertisements in SAEM’s Journal, Academic Emergency Medicine James Miner, MD Department of Emergency Medicine – Hennepin County Medical Center Senior Associate Editor for Electronic Publications, on behalf of Academic Emergency Medicine The SAEM website will host an online discussion forum starting in October. This discussion will be about the role of pharmaceutical and other commercial advertisements in Academic Emergency Medicine, and will parallel editorials on the subject to be published in AEM in October. We hope to have frequent online discussion forums in the future and look forward to the possibilities of online debate. The forum is at http://www.saem.org/aemforum and does not require sign-in. The forum is available now, and the section on pharmaceutical ads will remain open as long as discussion continues.

SAEM SEEKS AWARD NOMINATIONS Young Investigator Awards Deadline: December 15, 2009 These recognize those SAEM members who have demonstrated commitment and achievement in research during the early stage of their academic career. The society’s core mission includes the creation of knowledge (in addition to the spread of knowledge), and this award recognizes those who have achieved early success in this sphere.

Hal Jayne Educational Excellence Award Deadline: February 1, 2010 This prestigious award is presented to a member of SAEM who has made outstanding contributions to emergency medicine through the teaching of others and improving knowledge about the teaching of learners.

Excellence in Research Award Deadline: February 1, 2010 This prestigious award is presented to a member of SAEM who has made outstanding contributions to emergency medicine through the creation and sharing of new knowledge.

Advancement of Women in Academic Emergency Medicine Award Deadline: February 15, 2010 This award recognizes an SAEM member who has made significant contributions to the advancement of women in academic emergency medicine.

Leadership Award Deadline: February 1, 2010 This award honors a SAEM member who has made exceptional contribution to emergency medicine through leadership – locally, regionally, nationally, or internationally.

For submission information, see our web site at www.saem.org – Click on Grants & Awards and then Awards

201113_Oct20.indd 33

10/21/09 10:47:42 PM

CALLS AND MEETING ANNOUNCEMENTS

We have reduced the number of pages in the newsletter devoted to calls, submissions, and meetings. Here we will provide basic information on these items including important dates. For details and submission information on the below, see www. saem.org and either look for the Newsletter links on the home page or within the Meetings section of the web site.

Call for Abstracts (and Regional Meeting Announcement)

Call for Photographs

SAEM Western Regional Research Forum and Medical Student Forum Friday, March 19th - Saturday, March 20th, 2010 University of California, Davis | Sonoma, California For additional program information please visit our website http://wrrf.emergencyresidency.com

Original photographs of patients, pathology specimens, gram stains, EKGs and radiographic studies of other visual data are invited for presentation at the 2010 SAEM Annual Meeting. Deadline: Wednesday, February 3, 2010. Submission via US Mail.

Deadline for Abstracts: December 2, 2009 at 5 pm Eastern.

2010 CORD Annual Academic Assembly Call for Abstracts – SAEM Annual Meeting The Program Committee is accepting abstracts for review for oral and poster presentation at the 2010 Society for Academic Emergency Medicine (SAEM) Annual Meeting scheduled to be held June 3-6 in Phoenix, Arizona. Deadline: December 2, 2009 at 5 pm Eastern.

SAVE THE DATE – AAMC Annual Meeting Saturday, November 7, 2009 8:00 am – 12:00 pm AACEM and SAEM Education session @ AAMC Annual Meeting Sheraton Hotel in Boston, MA Topic: The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise Speakers: James A. Gordon, MD, MPA Harvard/Mass General Hospital John A. Vozenilek, MD Northwestern University Steve McLaughlin, MD University of New Mexico School of Medicine There is no registration fee for this meeting; however, notification of attendance is required to saem@saem.org

FREE SEMINAR Utilization of the ED for Psychiatric Patients, Friday, December 4, 2009. 7:30 am to 4:30 pm - Mount Sinai Hospital, Chicago, IL, Glasser Auditoriums A & C. Keynote Speaker: Scott Zeller, MD presenting sessions on: “What is the SortTerm Treatment of Psychiatric Patients in the ED?” Must pre-register.

March 3 - 6, 2010 The Caribe Hotel & Conference Center - Orlando, FL

Call for Papers - AEM Academic Emergency Medicine Consensus Conference Follow-Up Research Special Issue. Since 2000, Academic Emergency Medicine has hosted an annual consensus conference, designed to generate a research agenda for a number of specific topics. On the tenth anniversary of this series, the journal launches an annual special issue, to be published in August, dedicated to research papers that address the consensus conference topics. Deadline: Friday, March 5, 2010 5 pm Eastern Time.

Call for Papers - AEM 2010 Academic Emergency Medicine Consensus Conference “Beyond Regionalization: Integrated Networks of Emergency Care” will be held on June 2, 2010, immediately preceding the SAEM Annual Meeting in Phoenix, Arizona. Original papers, if accepted, will be published together with the conference proceedings in the December 2010 issue of Academic Emergency Medicine. Deadline: Monday, March 26, 2010.

SAEM Annual Meeting June 3rd - 6th, 2010 is the SAEM Annual Meeting at the JW Marriott Desert Ridge Resort and Spa in Phoenix, Arizona. Also consider attending the AEM Consensus Conference on June 2nd. Topic: “Beyond Regionalization: Integrated Networks of Emergency Care”. Conference Co-Chairs Brendan G. Carr, MD MS and Ricardo Martinez, MD.

Call for Papers - AEM December 8-9, 2009 USCIITG Annual Meeting US Critical Illness and Injury Trials Group (USCIITG). For more information please visit the USCIIT group web site at http://www.usciitg.wustl.edu

Innovations in Emergency Medicine Education Exhibits (IEME)

2011 Academic Emergency Medicine Consensus Conference “Interventions to Assure Quality in the Crowded Emergency Department” will be held on May 31, 2011, immediately preceding the SAEM Annual Meeting in Boston, Massachusetts. Original papers on the conference topic, if accepted, will be published together with the conference proceedings in the December 2011 issue of Academic Emergency Medicine. Deadline: March 26, 2011.

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. Deadline: Wednesday, January 20, 2010 at 5 pm Eastern.

201113_Oct20.indd 34

10/21/09 10:47:42 PM

201113_Oct20.indd 35

10/21/09 10:47:42 PM

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

Newsletter

2009-2010 SAEM Board of Directors Jill M. Baren, MD President

Executive Director James R. Tarrant, CAE

Jeffrey A. Kline, MD President-Elect

Advertising Coordinator Maryanne Greketis, CMP mgreketis@saem.org

Adam J. Singer, MD Secretary-Treasurer Katherine L. Heilpern, MD Past President Robert S. Hockberger, MD Cherri D. Hobgood, MD Debra Houry, MD, MPH O. John Ma, MD

Send Articles to: Vene Yates techsupport@saem.org

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.

Alan E. Jones, MD

For newsletter archives and e-Newsletters Click on Publications at www.saem.org

Deborah B. Diercks, MD Maria F Glenn, MD

FUTURE SAEM ANNUAL MEETINGS 2010 2011 2012

June 3 - 6 June 1 â&#x20AC;&#x201C; 5 May 9 â&#x20AC;&#x201C; 13

Marriott Desert Ridge Resort & Spa, Phoenix, AZ Boston, MA Chicago, IL

14th Annual New England Regional SAEM Conference April 14, 2010 Hoagland Pincus Conference Center in Shrewsbury, Massachusetts See www.saem.org for more information or contact Patty Mitchell, RN at patricia.mitchell @ bmc.org

Western Regional Meeting March 19-20, 2010 at University of California, Davis Sonoma, CA. Contact Kelsey Cearley cearleyk@ohsu.edu or call (503) 494-1475. Please see Western Regional Research Forum conference website for more information. http://wrrf.emergencyresidency.com

At www.saem.org, you will find more information on each regional meeting in the Meetings > SAEM Regional Meetings section of the site.

201113_Oct20.indd 36

10/21/09 10:47:43 PM