NEWSLETTER 2340 S. River Road, Suite 208 | Des Plaines, IL 60018 | 847-813-9823 | www.saem.org
JULY-AUGUST 2015
VOLUME XXX NUMBER 4
SAEM INTRODUCES NEW PRESIDENT Deborah B. Diercks, MD, MSc ANNUAL MEETING REVIEW San Diego Was SAEM’s Biggest + Best Meeting Yet NEPAL EARTHQUAKE Emergency Medicine During the Nepal Earthquake: 24-7-365
To lead the advancement of emergency care through education and research, advocacy, and professional development in academic emergency medicine.
SAEM Staff Chief Executive Officer Megan N. Schagrin, MBA, CAE, CFRE mschagrin@saem.org Director of Information Systems & Administration James Pearson Ext. 225, jpearson@saem.org Communications Manager/Newsletter Editor Marilyn Mages, CAE Ext. 202, mmages@saem.org Education Manager LaTanya Morris Ext. 214, lmorris@saem.org Executive Assistant to the CEO Monica Orozco White Ext. 206, mwhite@saem.org Grants & Foundation Manager Melissa McMillian, CNP Ext. 203, mmcmillian@saem.org Marketing & Membership Manager Holly Byrd-Duncan, MBA Ext. 210, hbyrdduncan@saem.org Meeting Planner Maryanne Greketis, CMP Ext. 209, mgreketis@saem.org Membership Coordinator George Greaves Ext. 211, ggreaves@saem.org
2015-2016 BOARD OF DIRECTORS Deborah B. Diercks, MD, MSc President University of Texas Southwestern at Dallas Andra L. Blomkalns, MD President-Elect University of Texas Southwestern at Dallas D. Mark Courtney, MD Secretary/Treasurer Northwestern University Feinberg School of Medicine Robert S. Hockberger, MD Immediate Past President Harbor-UCLA Medical Center Steven B. Bird, MD University of Massachusetts Medical School Kathleen J. Clem, MD, FACEP Loma Linda University School of Medicine James F. Holmes, Jr., MD, MPH University of California Davis Health System
Systems Administrator/Database Analyst Michael Reed Ext. 205, mreed@saem.org
Amy H. Kaji, MD, PhD Harbor-UCLA Medical Center
SAEM & Foundation Administrative Assistant Kataryna Christensen Ext. 201, kchristensen@saem.org
Ian B.K. Martin, MD University of North Carolina School of Medicine
Education Administrative Assistant Elizabeth Oshinson Ext. 204, eoshinson@saem.org
AEM Staff Editor in Chief David C. Cone, MD david.cone@yale.edu Journal Editor Kathleen Seal kseal@saem.org Journal Manager Stacey Roseen Ext, 207, sroseen@saem.org
Richard Wolf, MD Beth Israel Deaconess Medical Center/Harvard Medical School Kavita Joshi, MD Resident Member University of Texas Southwestern at Dallas The SAEM Newsletter is published bimonthly by the Society for Academic Emergency Medicine. The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM. For Newsletter archives visit http://www.saem.org/publications/newsletters Š 2015 Society for Academic Emergency Medicine. All rights reserved. No part of this publication may be reproduced, stored, or transmitted in any form or by any means without prior permission in writing from the copyright holder.
Table of Contents
PAGE 4 MEET SAEM’S NEWLY INSTALLED PRESIDENT Deborah B. Diercks, MD, MSc
PAGE 10 SAEM MEMBER FEATURE Two SAEM members experienced the Nepal earthquake firsthand
PAGE 16 SAEM15 ANNUAL MEETING San Diego was the biggest and best
6 8
Chief Executive’s Message Ethics on Call
14 18 20
LouAnn Woodward, MD
22
2015 Residency + Fellowship Fair
24
2015 Excellence in Emergency Medicine Award
26 28
Toxicology Conference
30
Academic Announcements
32
SAEM Western Regional Meeting
34
19th Annual New England Regional Conference
Photography Exhibit Sonogames
2015 SAEM Foundation Grant Recipients
President’s Message Deborah B. Diercks, MD, MSc
Professor and Chair University of Texas Southwestern Medical Center at Dallas
My daughter comes running off the field of one of her first soccer games and asks me, “Mom, how did I do?” Her team had just gotten soundly beaten by a better team, and she had spent most of the game watching them run by her and looking at the flowers in the grass. She wanted my feedback, and I had to decide what I was going to say to my little girl. Was I going to be the type of parent who just told her what I thought she wanted to hear, or was I going to be brutally honest and say what I believed to be true? I looked at her little face and said, “Tough game, Lauren, but your hair looked really pretty.” She looked up at me and smiled, quite happy with my response. I have no idea if I did the right thing, but I clearly had provided feedback with no substance. As academic physicians and residents we are often asked to provide feedback to learners we work with. Providing verbal feedback is one of the most difficult skills to master. In its simplistic form, it focuses on sharing information about how one is doing in reaching his or her objective. Hopefully, the feedback is provided in such a way that a learner can process and translate into an actionable change in knowledge and behavior. In emergency medicine, this often occurs during or immediately after a busy shift. Although this environment may not be ideal, providing feedback in a timely manner is a key component of successfully reaching goals.
Often we tend to confuse feedback with advice. But feedback is goal oriented. An example would be, “When you sit down with me and run the board, I have confidence that you are in control of the area.” Feedback does not require advice on how to do things better or judgment terms on if the methods or actions are good and bad. It simply relates to a goal. Oftentimes feedback is followed by advice on how to improve progress toward that goal. SAEM is dependent on our members’ feedback in order to determine if the organization is meeting its goals. As a society, we can interpret observable effects such as an increase in annual meeting attendance as positive feedback. However, there is also great value in ongoing input from our members in terms of how the organization is progressing. The strategic plan is now on the website for public viewing as an external document on what goals we are trying to reach. We need member feedback, as a large number of our goals are member oriented. (The plan has also been included in this issue to your right.) Hopefully, some members have taken the opportunity to provide feedback through our annual meeting evaluations. Our website also provides an option to contact SAEM and email feedback at any time. Feedback is an essential component of assessing progress. SAEM is committed to our members and the strategic plan that we created. However, we need member input on a continuous basis to ensure that we are headed in the right direction.
A graduate of the University of California, Berkeley, Dr. Diercks earned her medical degree from Tufts University School of Medicine. She went on to complete her residency training at the University of Cincinnati Medical Center, and later earned a master’s degree from the Harvard School of Public Health. She joined UT Southwestern following 16 years as a faculty member at the University of California, Davis, where she most recently served as Professor of Emergency Medicine and Vice Chair for Research. There, Dr. Diercks also was Director of Regulatory Knowledge and Support for the institutional Clinical and Translational Science Awards Center.
4
July / August 2015
SAEM Strategic Plan Goals and Objectives Goal #1: SAEM is recognized as an essential contributor to the personal and professional development of the academic emergency medicine community. Objectives: • Enhance the career success of academic emergency physicians. • Increase mentorship, networking and leadership development opportunities. • Cultivate the next generation of leaders through increased participation in SAEM. • Increase the number of international academic emergency physicians participating in SAEM. Goal #2: SAEM’s digital footprint is globally recognized as the hub for academic emergency medicine. Objectives: • Increase accessibility of SAEM’s digital footprint. • Maintain essential content on the SAEM website, communications platforms and other digital venues. • Increase networking, collaboration and community. Goal #3: SAEM continues to increase the number of its members with grant funding. Objectives: • Enhance advocacy for dedicated funding of the Office of Emergency Care Research. • Increase the number of members applying for federally funded grants. • Increase the number of members applying for non-federally funded grants. • Support the SAEM Foundation to increase the number and funding amounts of education and research grants. Goal #4: Medical educators in emergency medicine recognize SAEM as the premier resource for career advancement. Objectives: • Increase the number of medical education publications by SAEM members. • Increase SAEM’s resources for supporting academic promotion and tenure. • Promote high-impact innovations in medical education. • Enhance training in medical education research methodologies.
Dr. Dierck’s SAEM Involvement Deborah B. Diercks, MD, MSc, FACEP, became the 2015-2016 SAEM President at the Annual Meeting in San Diego this past May. Dr. Diercks is Professor and Chair of the Department of Emergency Medicine at UT Southwestern Medical Center. She holds the Audre and Bernard Rapoport Distinguished Chair in Clinical Care and Research. As a nationally recognized leader in the specialty, Dr. Diercks oversees the emergency medicine programs at Parkland Memorial Hospital and UT Southwestern University Hospitals, which together constitute one of the largest emergency medicine programs in the nation. Dr. Diercks has collaborated in studies involving the identification of acute coronary syndrome in the emergency department, including the use of cardiac injury markers and novel electrocardiogram techniques, and evaluated the observation unit care of the chest pain patient. She has participated in therapeutic trials for congestive heart failure and acute coronary syndrome. In addition to SAEM, Dr. Diercks is on the Board of Directors for the Society of Chest Pain Centers. Additionally, she is active in several committees of the American College of Cardiology, American Heart Association and American College of Emergency Physicians. July May / August / June 2015
5
SAEM Introduces New CEO: Megan Schagrin MBA, CAE, CFRE
It is such a pleasure to be your new Chief Executive Officer. I began on June 15, 2015, and I now feel fairly acclimated. The staff, leaders, and members of SAEM have been extremely welcoming. I was able to attend a portion of the SAEM Annual Meeting in May in San Diego, and I can say I was most impressed. The education and unique delivery of that education was inspiring. There was also a youthful energy to the meeting, which fostered positive networking experiences and conversations about how to grow, improve and expand on the delivery of services to our members. Having sat in on the planning committee meeting for the 2016 Annual Meeting, I know next year will bring even more valuable education to our members in the enjoyable city of New Orleans. For those of you who I have not had the opportunity to meet yet, I really do look forward to it. For the past 15 years, I have worked within the medical association community with some top-notch associations, including the American College of Chest Physicians, the American Academy of Otolaryngology (Head and Neck Surgery), the American Society of Clinical Oncology, and the Society of Nuclear Medicine and Molecular Imaging. I have specialized in business development, and I also led association governances, novel education development, international expansions, and public and association-toassociation partnerships. I believe all of these experiences will help me to contribute to the innovation and momentum that SAEM is currently undergoing. Yes, working for a medical association is my job, but with all sincerity it is also a hobby. I truly love what I do and take great joy in helping to accelerate association growth. Outside of the office, I am a proud parent to a 13-year-old son. James is all about football, discus, and shot put for his middle school teams. My husband, John, is a materials engineer and senior advisor for program development at Argonne National Laboratory. While we both share senior positions in scientific fields in common, our real passions together are entertaining, boating and travel. It is safe to say that if we are not working, we are spending free time participating in one of those three activities. SAEM is an important organization to society. Our members lead the advancement of emergency care through education, research, advocacy and professional development. The CEO also plays an integral role by helping to define the business roadmap that serves to accomplish that mission.
6
July / August 2015
A successful partnership between our members, leaders, staff and the CEO helps propel the growth and expansion of our business while ensuring we maintain proper legal and business practices of a high-functioning company. Having shared the importance of the CEO position, I want to thank Ron Moen for his help and support in fostering a smooth CEO transition. Ron is extremely well known in the association world for being an exceptional leader. People follow Ron’s lead because of who he is and what he represents. He has a long history of success and a longer trail of those who he has mentored and helped advance within the association world. I am privileged to have spent time with Ron before taking over the helm myself, and SAEM was fortunate to have had Ron while we did. Now I wish Ron beautiful adventures in retirement and many trips to Hawaii, which is his favorite vacation spot. With SAEM’s new five-year strategic plan, the next steps for our organization are clear. We will ensure that we are an essential contributor to the personal and professional development of the academic emergency medicine community. We will expand our digital footprint and become globally recognized as the hub for academic emergency medicine. We will have a measureable impact and increase the number of members with grant funding. And at our core, we will know that medical educators in emergency medicine recognize SAEM as the premier resource for career advancement. To accomplish our strategic plan, we will next tactically identify the steps necessary to get us from where we are today to our envisioned future of tomorrow. Our goals are lofty, but certainly achievable. They will take the combined effort of SAEM, SAEM Foundation, academies, committees and individual members. It is the combined strength of all of what we do that brings us to excellence. As you can probably tell, I am a strong believer in collaboration. It really was who you are that attracted me to SAEM. You are there for the acutely ill and injured patient. You are also a premier organization with deliverables of high quality. As an organization and as individuals, you value camaraderie, creativity and diversity. These are all qualities that I personally believe in as well. I look forward to working with all of you, and I am most certainly proud to be your CEO.
You can reach Megan at mschagrin@saem.org.
The Importance of Participating in Scientific Research as a Medical Student By Joel Brooks, DO
SAEM appreciates the contributions from the Resident and Student Advisory Committee. This column presents advice, insights and suggestions for other residents and students. Medical research helps form the foundation of current clinical practice. There is a great emphasis on practicing medicine through evidence-based guidelines. All fields of medicine, especially emergency medicine, follow these recommendations. These guidelines can only be created through the efforts of researchers willing to undertake the projects necessary to define them. Medical students have a unique opportunity to assist in research as part of a team and to contribute to the field. Medical research also has become an integral part of the resume and application for residency. There are increasingly large numbers of emergency medicine programs that expect their applicants to perform research, complete a project, or have an ongoing study at the time they apply. This is preparation for the research residents who are expected to perform under the guidance of their mentors. The more experience you have, the more attractive a candidate you become for residency programs. The different forms of research and publications include: •
Abstracts offer short summaries to promote critical thinking and encourage further study.
•
Case reports represent the passage of clinical experience from physician to physician.
•
Literature reviews focus on a topic and explore contemporary studies to update the medical field with the most current information.
•
Primary research studies are undertaken to answer a specific hypothesis, and they encompass clinical trials, retrospective and prospective studies.
•
Quality improvement projects are becoming more important for department development and are a requirement for many residency programs.
It can be daunting to perform research as a medical student without prior experience. A helpful place to start is to communicate with the emergency department chair at your medical school. Discuss the projects you are interested in and whether there are ongoing projects in which you could partake. If you are on an audition rotation, speak with the department director and express your interest in aiding in any ongoing studies or propose your own. Many departments will appreciate your interest and be glad to have you as part of their team. If you are unable to find a mentor or project at your school or rotation sites, the Society for Academic Emergency Medicine offers a mentorship program with a diverse group
of emergency medicine faculty that can help advise and direct you. Find more info at saem.org/membership/services/eadvising/student-faqs. Aim to develop project ideas prior to meeting with a department director or mentor so that you can be directed on the best course. Perhaps there is an interesting case you encountered that you would like to explore further. The advantage to working within an established department is that it may have already obtained institutional review board approval for a project and consent from patients to perform studies. There often are online training courses in areas such as patient confidentiality, statistics and ethical research you must complete in order to participate in medical research. Once a project is selected, you must decide the venue in which you wish to present the material. Abstracts and poster sessions at conferences are well-recognized methods of presenting research. There are many regional and national conferences throughout the year that you can present at including those sponsored by SAEM, the American College of Emergency Physicians, and the American Academy of Emergency Physicians. Each conference has specific guidelines for their submission, and it falls on you to ensure your research is formatted correctly and that you submit all of your material within the specified deadlines. Research can be a great deal of work, but it is also rewarding to see your efforts advance knowledge, clinical skills and novel methods for expanding the field of medicine. And while participating in medical research has become a part of the application process for residency programs, it is important to remember that the true goal is to always relate your work back to your patients and improve the methods and knowledge we have to help them.
“the true goal is to always relate your work back to your patients and improve the methods and knowledge we have to help them.” About the Author:
Dr. Joel Brooks is a second-year resident at the Heart of Lancaster Regional Medical Center in Lititz, Penn. He serves on SAEM’s Resident and Student Advisory Committee.
July / August 2015
7
ETHICS ON CALL Discharging Intoxicated Patients Requires a Clear Hospital Policy By Jeremy Simon, MD, PhD
It is Friday night, a belligerent drunk man who is 40 years of age comes into the emergency department. For his safety as well as the safety of those around him, he is placed within a secure perimeter with security guards and an elopement watch. Approximately 10 minutes after being placed in a stretcher, he is deeply sedated, but the initial exam and frequent re-evaluations give no indication that the sedation is the result of anything but alcohol intoxication, and he gradually becomes more arousable. After several hours, the patient is awake again. He is no longer belligerent, but he appears visibly intoxicated. He is irritable, slurs his speech, is unsteady on his feet, and is interacting inappropriately with the other patients in his area. Soon after waking, he calls over the ED attending and asks to be allowed to leave. Emergency physicians have powers granted that most people do not have. In certain circumstances we can take people we know very little about and without further authorization or review prevent them from leaving the hospital, effectively imprisoning them. We have this authority when patients present an imminent danger to themselves or others. In such cases, our ethical duty to protect supersedes our duty to respect autonomy, and, the law, in general, correlates with this understanding of our duty
8
July / August 2015
The clearest case for using this authority is in the acutely suicidal or homicidal patient. The law in every state provides for the involuntary commitment of such patients, and the ED is often the first point of contact with the medical system for such patients. The right to hold such patients against their will applies even when they do not lack decision-making capacity. It is the content of their decisions, and not their means of reaching them, that is the problem. Another patient we often hold in the hospital over their protests are demented or otherwise intellectually impaired individuals. Usually this is because they lack capacity to refuse the treatment needed; thus, they cannot leave against medical advice and must be admitted for treatment regardless of their wishes. (This is not to say that every patient who lacks capacity must be admitted if they do not want treatment, just that in some cases it is the appropriate pathway.) Other times these patients must be admitted, not because they need treatment, but because there is no safe discharge plan. In effect, they are a danger to themselves if released. The patient in our example can be difficult to place into this framework. While intoxicated people have a reduced ability to care for themselves and certainly can end up getting hurt, this is generally a risk we as a society do not try to remove. Certainly mild to moderately drunk people are not picked up by
2015 SAEM Research Winners emergency personnel simply because they are inebriated. A person seen walking on the street in the state our patient is in upon awakening would likely be directed home, not taken into some sort of protective custody. It would seem, then, that our patient is not such a danger to himself that he cannot be allowed to leave. However, that is not the only consideration here. First, if the patient is in location where he is likely to return to a car or if he is known to have driven to the area where he was found then we must be concerned about the risk he poses to others. While the risk is not exactly comparable to that posed by a homicidal patient—where the potential harm is both intended and directed at a specific target—it may still be one we are responsible for managing. Also, given that we already are responsible for the patient’s safety, the bar for considering us absolved of this responsibility (by being allowed to let him go) may be higher than the bar that allows us to avoid taking responsibility for him in the first place (by allowing him to go on his way on the street). In the face of these competing imperatives, the general practice is to observe intoxicated patients until they can leave, by foot or car safely. However, a recent court decision in New York somewhat complicates things, at least in that state. In Kowalski v. St. Francis, New York’s highest court ruled that a physician had neither the obligation nor the right to hold an intoxicated patient against his will after the person had brought himself in. In that case, a man who was allowed to leave the ED while still intoxicated was injured after leaving and sued the hospital for allowing him to leave. The hospital and doctor were not held to be liable as they had no duty to prevent the patient from leaving. This case would seem to undercut the practice of holding patients until they can leave safely. However, before applying this case to practice, EDs should keep a few things in mind. First, this case was decided in New York and is not directly relevant to other states. Second, it related to a patient who brought himself in, and may not apply to patients who needed to be brought in against their will. Finally, in a situation where a patient may cause harm to others after discharge, the physician may have a duty to protect the public. Ultimately, it is important for every hospital to have a clear policy on discharging intoxicated patients based on professional standards and local law.
SAEM recognizes excellent performance and participation at the SAEM Annual Meeting. The 2015 winners and award categories are as follows:
Young Investigator Lack of Medical Insurance is an Independent Predictor of Increased Inter-Facility Transfer for St-Elevation Myocardial Infarction in U.S. Emergency Departments Michael J. Ward Vanderbilt University Medical Center, Nashville, TN
Resident Application of Focused Echocardiography in Cardiopulmonary Resuscitation: Systemic Review and Meta-analysis Jeanette Kurbedin Maimonides Medical Center, Brooklyn, NY
Medical Student Contribution of Fibrinolysis to the Physical Component Summary of the SF-36 after Acute Submassive Pulmonary Embolism Lauren Stewart Indiana University School of Medicine, Indianapolis, IN
Fellow Out of Hospital Cardiac Arrest Patients Have Better Outcomes After Endotracheal Intubation Compared to Supraglottic Airways: A MetaAnalysis Justin Benoit University of Cincinnati, Cincinnati, OH
Faculty Risk Adjusted Variation of Publicly Reported Emergency Department Timeliness Measures Benjamin Sun
About the Author:
Dr. Jeremy Simon is an associate professor of medicine at Columbia University Medical Center and an attending physician in the emergency department of New YorkPresbyterian Hospital/Columbia. He serves on the Columbia University Medical Center Ethics Committee, as well as SAEM’s ethics committee. His interests extend to both medical ethics and general philosophy of medicine and particularly to the intersection of these fields.
Oregon Health and Science University, Portland, OR
Basic Science Does Routine Midazolam Administration Prior to Nasogastric Tube Insertion in the Emergency Department Decrease Patients’ Pain? Chelsea Manning University of Vermont, Burlington, VT 2015 July May / August / June
9 5
NEPAL EARTHQUAKE
A destroyed building from the earthquake in Pheriche, Nepal (Photo by Renee Salas)
Emergency Medicine during the Nepal Earthquake: 24-7-365 By Renee N. Salas, MD, MS Renee Salas, MD, MS, is one of many SAEM members who contribute to emergency medicine on a regular basis. SAEM thanks her for sharing her story. (Photo by Salman Bhai)
In my limited time since returning back to the United States from Nepal, I have grieved for the people that I had come to love and a country that I called home. I first arrived in Nepal on March 1 as the capstone of my two-year wilderness medicine fellowship at Massachusetts General Hospital in Boston. I was one of three volunteer physicians for the Himalayan Rescue Association (HRA) post in a remote village near Everest Base Camp (EBC) called Pheriche. Prior to the earthquake, our team had treated nearly 350 patients over the course of six weeks with complaints ranging from altitude illnesses to other medical maladies in the international trekking, climbing, and indigenous population. Our clinic was a three-bed facility with a limited pharmacy and an ultrasound machine as our only diagnostic imaging. There are no motorized vehicles in this region, but transportation instead is by foot, horse, yak or helicopter. The nearest hospital is in Lukla, which is an arduous twoday hike down the mountain. Thus, this experience alone honed my wilderness medicine skills in a way no textbook or simulation ever could. I operated in an environment with limited resources that required decisive decisions on evacuation. Creativity was critical for clinical situations for which there was no easy solution. This was the setting for the 7.8 magnitude earthquake that struck without warning on April 25 around noon. It devastated the small village of Pheriche, causing either
10
July / August 2015
complete destruction or significant structural damage to all but two buildings. There were no significant injuries within the village, so the immediate actions were to determine the safety of loved ones and colleagues in the country. Communications were disrupted, which led to angst from the uncertainty. Our continued attempts at radio contact to our colleagues at Everest EBC went unanswered over the course of the day. It wasn’t until we received the first two patients from EBC nine hours later, patients who had self-evacuated by foot and horse immediately after the event, that we learned of the avalanche. A high-velocity avalanche produced by the earthquake cascaded off Pumori Mountain and devastated the middle third of Everest Base Camp, resulting in death and destruction. After treating these two patients, our team anxiously awaited further patients. However, none arrived that evening. But beginning early the next morning, over the course of five hours, we received, treated and then evacuated 73 patients from EBC with a range of blunt trauma injuries sustained during the avalanche 18 hours previously. The EBC team, the true heroes of this tragedy, treated and packaged the patients superbly. The sound of helicopter rotors echoed through the valley as the pilots continuously brought patients to our small rock helipad. The local and international trekking community rallied in an effort that was awe-inspiring as we required both medical and non-medical assistance to
Everest climbers get extracted to Pheriche from EBC (Photo by R. Salas)
care for these patients. Continual streams of teams carried the stretchers from the helipad to our clinic. We received the most critical patients first. After quickly filling our three beds, they were placed on either our clinic floor or in our adjacent sunroom. The less critical and walking wounded were directed to the neighboring lodge’s dining room. We placed a large piece of white tape on the chests of the patients that included name, presumed injuries, running vital signs and the medications administered. As we furthered the medical care to the best of our ability, we worked against the clock and weather to attempt evacuation to more definitive care. After securing a Mi-17 helicopter that could carry 16 to 18 patients, we were able to get all of the patients evacuated down to Lukla Hospital by early afternoon. In the 10 days following the earthquake, I was heartbroken as I slowly gained more information about the extent of the devastation throughout the country and region. After the climbing season on Mount Everest was cancelled and base camp evacuated, the trekking population vanished. The decision was made to close the clinic early, but my heart knew there was more work for me to complete. Thus, my intense but brief mass causality experience was followed by extended service with the International Medical Corps. Our team was transported by helicopter into remote villages in the Gorkha region, west of Kathmandu, to provide medical care to those affected by the earthquake. Our team treated mainly chronic, but some acute, conditions – often seeing over 100 patients in a half day. The structural devastation within the villages was heartbreaking, especially with the looming monsoon season. However, the spirit and generosity of the villagers was overwhelming. For example, they continually attempted to feed us despite their dwindling food supplies. My emergency and wilderness medicine skill set provided the foundation for me to provide care in a variety of settings during my three months in Nepal. Through this, I rediscovered the reasons I chose emergency medicine. It has renewed my passion for practice. While many of us relish the fast-paced, uncertain and adrenaline-filled environment that we often practice in, it is the sacred gift of interacting with numerous patients in a short time span at their time of greatest need that I cherish most. In disaster and austere environments, this is only amplified. We also have a clinical skill set that prepares us to address the breadth of all possible chief complaints.
The clinic, mass casualty, and remote village patients covered the gamut of pathologies. However, we thrive on a spectrum of chief complaints within the walls of our emergency departments. The ABCs of our specialty are ingrained in us, and I repeated this with each trauma patient in Pheriche. However, instead of performing my exam standing next to a stretcher, I was kneeling next to them on the wood floor pulling away sleeping bags instead of sheets. We also are experts at fighting for the best interests of our patients. But instead of convincing a sub-specialist of the necessity of a consult, I was fighting for helicopters for patient evacuations. Lastly, we fundamentally rely on teamwork and collaboration to achieve the optimal care for our patients. Our remote team could never have achieved the success we did without the selfless volunteers who assisted us. We are the only true 24-7-365 specialty in medicine. We, as emergency medicine physicians, are always there for our communities at their time of greatest need. I happened to be present for a natural disaster that created a time of greatest need for an entire country. While I hope I was able to catalyze some small change through my actions, the fortitude, generosity and sense of community that the citizens of Nepal exhibited forever changed me. However, their struggle is far from over as more challenges will arise with the impending monsoon season. It will take years to truly rebuild. I hope that we, as a community of resourced emergency medicine physicians, can continue to be there for Nepal, 24-7-365. It is already what we do best.
Western HRA team who managed the EBC mass casualty in Pheriche (from left to right) - Renee Salas, MD, Meg Walmsley, MD, Reuben Tabner, Katie Williams, MD, Andrew Nyberg, MD (Photo by Ken Zafren)
About the Author:
Renee N. Salas, MD, MS, is an emergency medicine physician and wilderness medicine fellow at Massachusetts General Hospital (MGH) and a Clinical Instructor of Emergency Medicine at Harvard Medical School in Boston. She attended the Cleveland Clinic Lerner College of Medicine in Cleveland, Ohio, for medical school and the University of Cincinnati for residency. She will be transitioning to faculty at MGH in the Division of Wilderness Medicine in July upon graduation from her fellowship.
July / August 2015
11
EM Physician Offers Support in the Face of Local Disaster By Lara Phillips, MD SAEM had two members in Nepal at the time of the earthquake, Lara Phillips, MD, shares with us her experiences of being in Nepal when a disastrous earthquake struck on April 25, 2015.
I was stationed at Manang (11,600 feet) and Thorong Phedi (15,000 feet) for three months. I first became interested in wilderness medicine during an elective in my 4th year of medical school. I enjoy providing medical care in nontraditional settings with limited resources under austere conditions. It also gives me the opportunity for humanitarian work, providing service to those in need. Where were you and what were you doing when the quake struck? What did you experience? I was stationed at Thorong Phedi working in a satellite clinic through the Himalayan Rescue Association and going for a day hike to high camp about 30 minutes away (around 16,000 feet). I heard a deep rumble and the ground trembled. I looked around to make sure I was not in the way of an avalanche and was fortunately in an open space. I had never been in an earthquake before and assumed it was a nearby avalanche, although something seemed wrong. I stopped in a tea house at high camp when the first aftershock occurred a few minutes later. Once inside a building, you could appreciate how much the structure was shaking. Everyone ran outside, and fortunately there were no injuries. I hiked back to my clinic in Thorong Phedi, where all communication was cut off. Even our clinic’s satellite phone wouldn’t function for 24 hours. We felt lucky as the tea house in Thorong Phedi is surrounded by large overhanging boulders and none were dislodged. We heard bits and pieces from the radio of the damage in Kathmandu. All I could think was how much I needed to let my family know I was OK.. Thick snowfall started, making it even less likely the satellite phone would work. The following day, weather cleared, the phone was working and I called my family immediately, at which point I learned about the extent of the damage and tragedy. We then passed the phone around to the Nepali staff that had family and friends in Kathmandu and who were anxiously awaiting to hear from their loved ones. We were able to get in touch with the Himalayan Rescue Association (HRA) and decided to descend to Manang to better coordinate our actions with the other doctors. After descending, we had a difficult decision whether or not to close the HRA clinic. The clinic in Manang serves the local Nepali community in addition to trekkers traveling through the Annapurna circuit. While the volume of trekkers declined after the earthquake, we still had a responsibility to the local community. Fortunately, Manang was largely unharmed by the earthquake. The volunteer doctors also felt a responsibility to assist in areas that were devastated by the earthquake and ultimately, after discussion with the HRA, a decision was made the close the
12
July / August 2015
clinic for the season and join the earthquake relief effort. We mobilized a medical supply and departed for Sindhupalchok, a three-day journey from Manang, which suffered massive losses of human life, housing and livestock. While in Sindhupalchok, we surveyed medical needs and provided health services. We worked with their local health aid workers and the Nepali army to help augment their existing health care network. Most cases were chronic medical conditions with some orthopedic injuries and the beginnings of infectious disease and sepsis cases as most villagers were without solid shelter and exposed to unsanitary conditions. After two days in Sindhupalchok, we headed back to Kathmandu; the HRA doctors joined with one of the NGOs to continue volunteering. I joined their mobile medical units in Gorkha where we would fly by helicopter to multiple isolated pockets of villages and run health clinics for one to two days before flying to the next village. We set our tents up far away from all structures and on safe areas with low risk for landslides. We took several safety precautions as we were still experiencing aftershocks daily. These small rural villages have little access to healthcare, with the closest hospital being a three-day hike away. Some villages were completely isolated as there was damage to bridges and roads connecting them to the outside world. One village we visited had set up a landing spot for a helipad with “HELP US” written in stones as they were completely dependent on aerial transport for food and medical services. Many of the patients we saw in Gorkha weren’t just earthquake victims given their limited access to health services. For example, I cared for a 20-year-old girl complaining of chest pain for five days. I checked her vital signs and her heart rate was 243, three times the normal rate! It was purely coincidence that we found a patient with supraventricular tachycardia who otherwise may not have sought care unless medical disaster teams had visited her village. Where you prepared for the events that happened after the quake? Yes, I felt prepared for the events after the quake. While in the field, we saw many patients. In one particular health clinic staffed with four doctors, two nurses, two pharmacists, and several interpreters, we saw more than 500 people in two days. As an emergency medicine physician, we are equipped to seeing large masses of patients. We learn to be flexible, stay calm and make clear decisions as patient volume and acuity surges.
As a wilderness medicine fellow, we are trained to thrive in prehospital setting with limited resources. Prior to the earthquake, I was managing patients in the HRA’s high-altitude clinics, which helped prepare me for the events after the quake. You learn to be creative with the resources at your disposal (e.g. we used a bike to wheel a patient with high altitude pulmonary edema to the clinic when no stretcher was available; a tampon was used to stop bleeding from a laceration when we had no packaged gauze; field splints can be made using cloth and a sticks, etc). There was a second quake, how did that one compare to the first one? The second earthquake occurred while running a mobile medical clinic in Gorkha. As soon as we felt the shaking, we ran outside in time to watch one of the walls of the buildings we were in collapse. All around the village, you could see rockfalls. There were no major injuries in the village and we were extracted that afternoon and brought to Kathmandu. We were told that we would need to set up a field hospital to take overflow orthopedic trauma patients from a nearby hospital that suffered damage. Daylight was gone and we were scrambling using our headlamps to set up tents to place the patients in. By morning, we were ready and transported patients from the hospital to our field site. Over the next two weeks, we would continue to care for post-surgical orthopedic trauma patients. Setting up the field hospital came with much responsibility as one must consider infrastructure, staffing, supply chain, level of service, data and information record and polices and procedures. This had been successful thanks to collaborative efforts between IMC, Patan Hospital and the Nepali Army. It was one of my most rewarding experiences. What are your “take home” ideas or lessons learned? The earthquake in Nepal was a horrific tragedy, but also exhibited the selfless actions of others. Massachusetts General Hospital mobilized a medical team after the earthquake. It also took less than 24 hours for the doctors in the emergency medicine department to cover each other’s shifts, making it possible for others to deploy to Nepal. The local Nepali doctors I worked with in the field hospital were incredible. Some had not left the hospital for days after the second earthquake. Others were giving their all every day while they went “home” to sleep in tents. After the earthquake, there is damage beyond the physical realm. When I first arrived in Gorkha and was setting up the clinic, one woman walked over to me, grabbed my hand and just sobbed. She had lost her home and one of her family members was missing. Everywhere families were in mourning the loss of loved ones. During one of the health clinics, the village uncovered their last missing person, the body of a 3-year-old boy. As if the demolished buildings weren’t enough, the daily aftershocks were a constant reminder of what occurred. How do you think this will help you in your future EM practice? Every experience I had over the last three months has helped shape me into a better physician. Without medical technology, I learned to take time listening to the patient and making a
clinical judgment based on history and physical exam alone. While certainly medical technology has aided in our ability to diagnose and treat multiple conditions, I hope to continue to use this different skillset to care for patients.
About the Author:
Dr. Lara Phillips is a clinical instructor of emergency medicine at Harvard Medical School and a Wilderness Medicine Fellow at Massachusetts General Hospital. As part of her fellowship, Dr. Phillips had the honor to volunteer through the Himalayan Rescue Association (HRA) in a high-altitude clinic in Nepal. She became interested in wilderness medicine during her 4th year in medical school.
The Department of Emergency Medicine at the University of Alabama School of Medicine is seeking talented residency trained Emergency Medicine physicians at all academic ranks to join our faculty. The University offers both tenure and non tenure earning positions. The University of Alabama Hospital is a 903-bed teaching hospital, with a state of the art emergency department that occupies an area the size of a football field. The Department treats over 75,000 patients annually and houses Alabama’s only designated Level I trauma center. The Department’s dynamic, challenging emergency medicine residency training program is the only one of its kind in the State of Alabama. The University of Alabama at Birmingham (UAB) is a major research center with over $440 million in NIH and other extramural funding. The Department of Emergency Medicine hosts a nationally-recognized research program and is a site for the NIH-funded Resuscitation Outcomes Consortium (ROC). The Department has been highly successful in developing extramural research support in this warmly collaborative institution. Birmingham Alabama is a vibrant, diverse, beautiful city located in the foothills of the Appalachian Mountains. The metropolitan area is home to over one million people, who enjoy recreational activities year round because of its mild southern Climate. Birmingham combines big city amenities with Southern charm and hospitality. A highly competitive salary is offered. Applicants must be EM board eligible or certified. UAB is an Equal Opportunity/Affirmative Action Employer committed to fostering a diverse, equitable and family-friendly environment in which all faculty and staff can excel and achieve work/life balance irrespective of, race, national origin, age, genetic or family medical history, gender, faith, gender identity and expression as well as sexual orientation. UAB also encourages applications from individuals with disabilities and veterans. A pre-employment background investigation is performed on candidates selected for employment. In addition, physicians and other clinical faculty candidates, who will be employed by the University of Alabama Health Services Foundation (UAHSF) or other UAB Medicine entities, must successfully complete a pre-employment drug and nicotine screen to be hired.
Please send your curriculum vitae to: Janyce Sanford, M.D., Associate Professor & Chair of Emergency Medicine, University of Alabama at Birmingham; Department of Emergency Medicine; 619 South 19th Street; OHB 251; Birmingham, AL 35249-701
July / August 2015
13
New Dean at University of Mississippi Medical Center Uses Her ER Background to Tackle Home State Challenges By Tara Burghart
If anyone understands the health challenges faced by the state of Mississippi, it is LouAnn Woodward, MD, the new vice chancellor for health affairs and dean of the School of Medicine at the University of Mississippi Medical Center (UMMC). Dr. Woodward, 51, grew up on a farm in Carroll County, Miss. As a girl, she loved science and LouAnn Woodward, MD was fascinated by life cycle events she saw as she accompanied her father around the farm checking on the animals. Going into medicine was an early choice.
medical center runs hospitals in three cities, has more than 9,800 employees, nearly 3,000 students and a budget of $1.6 billion. Dr. Woodward certainly knows she has a challenge on her hands: Her big-picture goal is to improve Mississippi’s place on these health outcome lists. “There’s so much potential for good things to happen in Mississippi,” she says. “And in so many instances, because we are the only academic medical center in the state, we feel there is a great responsibility to do these things for Mississippi or they just won’t happen.” The state is already making strides, she says. UMMC recently marked its 50th liver transplant, just two years after creating the state’s only liver transplant program. Its Telehealth program, which started as TelEmergency, is going strong in the hospital’s emergency department.
After graduating from the University of Mississippi’s School of Medicine in Jackson in 1991, Dr. Woodward completed an internship in internal medicine and a residency in emergency medicine at UMMC. She then joined its faculty while also working as an emergency physician, eventually taking on greater administrative roles until being named to her newest positions in February 2015.
In fact, a pilot program showed improved outcomes with home monitoring of patients. Dr. Woodward says these telephone calls could have tremendous promise in a state where just getting to a doctor can be a challenge. An additional effort exists to grow class sizes in Mississippi for students entering all health-related fields. And Dr. Woodward is personally meeting with a number of key figures, agencies and organizations in the state, trying to recruit partners to target those diseases that affect Mississippi residents the most.
Now she’s determined to use the triage skills that served her well all those years in the emergency department to focus on efforts that will improve the health of residents in her home state.
“We’ve got 100 different efforts happening at once, but all are pushing in the direction of getting Mississippi in a healthier place.”
As of 2012, Mississippi ranked second in the nation for overall diabetes prevalence. The state’s mortality rate from cardiovascular disease is the highest in the nation, as are its rates for heart disease and cancer. Its adult obesity rate in 2013 was 35.1 percent, tied for the highest in the nation. And it has the fewest number of physicians per capita. “When you’re looking at a list of the good things, then we’re at the bottom. If you’re looking at a list of bad things, then we are at the top,” Dr. Woodward says. Meanwhile, UMMC has the state’s only Level 1 trauma center, its only children’s hospital, its only high-level NICU and the only specialists in many surgical subspecialties. The
14
July / August 2015
Dan Jones, MD, chancellor of the University of Mississippi, said he’s not surprised that a national search led to Woodward as the best fit for its key leadership position. “She has earned a national reputation in medical education and has contributed greatly to our medical school’s recognition as one of the very best in the country,” Dr. Jones said. “I am grateful to her for offering herself for leadership here at home, when large opportunities exist for her nationally.” Dr. Woodward hit the ground running immediately after her appointment this winter, and she thinks her background in emergency medicine prepared her well for a challenging role in academic administrative life. Yet the call to emergency
medicine came relatively late in her medical education. “I like the philosophy that you treat any and all patients who present to you. I like the excitement of not knowing what comes in the door next,” she said. “And the fact that as an ER physician you can connect with patients in those (vulnerable) moments to forge a good bond.” Immediately after her residency, Dr. Woodward stayed on at UMMC as a faculty member and an assistant program director. “It was so much fun being able to do that bedside teaching, to help influence residents and students and still be a physician. It was the perfect place in my life where I was able to combine those two things that I love the most.” A number of reports regarding Dr. Woodward’s promotion mentioned that she’s the first woman to be named vice chancellor for health affairs at the University of Mississippi and dean of its School of Medicine. “It surprised me a little bit, the attention the ‘woman thing’ has garnered,” Dr. Woodward says with a laugh. But she thinks much of the interest comes from outside the medical field.
As she has taken on more administrative work in her career, especially the latest, most demanding post, Dr. Woodward says she’s been amazed at how well the skills she learned working in emergency medicine translate outside the emergency department. “As an emergency medicine physician, you get very comfortable making hard decisions and tough decisions when you know you don’t have all of the information,” she said. “You’ve got a limited amount of information and a limited amount of time and you’ve got to make a decision that’s important. Not all specialty training prepares you for that.”
“she’s determined to use the triage skills that served her well all those years in the emergency department to focus on efforts that will improve the health of residents in her home state.”
“Within the community of medicine, yes, there are more men than women in a lot of these types of positions,” Dr. Woodward said. “But there are a lot of women who have leadership positions in different areas within medicine.”
About the Author:
Tara Burghart is a contributing writer to the SAEM Newsletter.
Emergency Medicine Opportunities Charleston Area Medical Center (CAMC) in Charleston, West Virginia is seeking additional academic core faculty positions to support a fully accredited and well established Emergency Medicine Residency program. Providing an excellent experience for residents, CAMC is a 908-bed teaching hospital consisting of four hospital facilities, including a Level I trauma center and a Women & Children’s hospital. Serving a multicounty area, the four Emergency Departments see over 100,000 patients per year. Job Requirements are: • MD or DO degree from an accredited emergency medicine residency program • Board Certification by the American Board of Emergency Medicine or the American Osteopathic Board of Emergency Medicine • Participation in appropriate academic, clinical research or other scholarly activity as may be required of clinical faculty • Familiarity with GME program requirements and policy
Benefits include: • Excellent benefits package • Salary commensurate with qualifications and experience • Protected academic time • Vibrant community • Superb family environment • Unsurpassed recreational activities • Outstanding school systems
The Emergency Medicine residency program is a fully accredited four-year program by the American Osteopathic Association (AOA) and approved for a complement of 16 residents. The program is pursuing transition to ACGME accreditation under the new unified accreditation system of the ACGME and AOA and will expand its residency complement to 18 residents. The program is well established and achieved a maximum accreditation status at its most recent review cycle. The Emergency Medicine core faculty will become part of an academic/teaching department that is supported by a large clinical and academic enterprise on site. CAMC is the largest teaching hospital in West Virginia and serves as the sponsoring institution for 11 graduate medical education programs approved by the ACGME/AOA and other graduate level programs including pharmacy residencies, a psychology internship and a School of Nurse Anesthesia. Affiliated with the West Virginia School of Osteopathic Medicine and West Virginia University School of Medicine, CAMC is a regional campus for over 100 medical students completing their 3rd and 4th year of clinical training. CAMC has received numerous awards and recognition for its patient care quality and many services to the community. For additional information please contact: Carol Wamsley | Physician Recruitment | Charleston Area Medical Center | (304) 388-3347 | carol.wamsley@camc.org
July / August 2015
15
SAEM 2015 ANNUAL MEETING San Diego Was SAEM’s Biggest and Best Meeting Yet By Ali Raja, MD The 2015 SAEM Annual meeting provided more research presentations, more didactic sessions and more innovations. Hopefully you were able to take advantage of this year’s programming. On behalf of the SAEM Program Committee and staff who organized the Annual Meeting, THANK YOU! We had an amazing time seeing everyone in San Diego. On final count, 3,070 attendees registered for the 2015 Annual Meeting, an 18 percent increase over last year (our prior record)! The location was beautiful and the weather held out until Friday, when San Diego received some much-needed rain. Everyone was on social media sharing thoughts and ideas, and there were amazing presentations, events and competitions throughout the week – all thanks to the fantastic SAEM members who participated and presented.
The conference began with a series of pre-meeting workshops. These were a roaring success and especially useful to members who had very focused interests. The pre-meeting workshops also gave attendees a place in which to meet others who were just as passionate about these topics as they were. Throughout the week, audiencespecific symposia for medical students, residents, and both junior and senior faculty similarly gave members opportunities for focused education and networking specific to particular aspects of Steven J. Stack, MD, AMA President-Elect, their careers. was SAEM’s 2015 Keynote Speaker
The keynote speech by Steven J. Stack, MD, the youngest president-elect of the American Medical Association and the first emergency physician, was a true highlight of the conference— attendees talked about it for days. It was fantastic to see “one of us” leading the AMA. The plenary research presentations were both impressive and diverse, with a packed ballroom
16
July / August 2015
Committee [see Page 33] and SAEM Board of Directors, who I personally cannot thank enough. We are already planning the 2016 Annual Meeting in New Orleans, with a lofty goal of making it even better than 2015. We’re revamping our ePoster presentation system, coming up with New Orleans-themed event ideas, and getting ready for abstract and didactic submissions (we’ll post the deadlines in the coming weeks) – all so that we can have even more fun in 2016. See you in 10 months in New Orleans!
worth of attendees. And all of the research and didactic presentations that followed over several days, as well as the fantastic SonoGames and Sim Wars competitions, fit perfectly with the SAEM Mission Statement: “To lead the advancement of emergency care through education and research, advocacy, and professional development in academic emergency medicine.” However, the 2015 Annual Meeting wasn’t all hard work. The opening reception started us off on a wonderful note, with great people, a beautiful setting, fantastic (and plentiful!) food and a tasty drink contest. The fact that both Dr. Stack and a dancing shark were in attendance just made it even more perfect. The fun continued throughout the week, with a number of receptions and dinners, a great Fun Run, wine tasting and competitive dodgeball. It was all topped off by a well-attended closing reception, allowing everyone to catch up and say goodbye before heading home. None of this could have been possible without the work of our outstanding SAEM staff, the members of the Program
About the Author:
Dr. Ali Raja is Chair of the 2015 and 2016 SAEM Program Committees and Vice Chair of the Department of Emergency Medicine at Massachusetts General Hospital.
July / August 2015
17
The SAEM Residency & Fellowship Fair is open to all Medical Students & at the SAEM 2015 Annual Meeting in San Diego, California. 2015Residents Photography Exhibit
This is aThe great networking event for&those seeking aFair residency or a fellowship. and Visual Diagnosis Contest SAEM Residency Fellowship Is Open to All Medical Students Residents Friday, May&15, 2015 at the SAEM 2015 Annual Meeting in San Diego, California.
SOCIETY FOR ACADEMIC EMERGENCY MEDICINE – 2015 ANNUAL MEETING
3:00 – 5:00This pm Year’s Winners Friday, May 15 - 3:00Medical pm –Student: 5:00 pm Sheraton San Diego HotelAnne andHayes, Marina Pavilion University of Louisville Pavilion/Marina tower Lobby Level
Resident: Stephen Boone, Christiana Care Health System During the week of the Annual Meeting, 34 visual diagnosis participants presented their cases and photos. They were selected from more than 90 entries by medical students and residents. Calvin Brown, III, MD, was the member in charge of this year’s program. It was Dr. Brown’s first year as chair. This year’s winners in the medical student and resident categories were awarded a one-year membership in SAEM, a subscription to Academic Emergency Medicine (AEM), a free registration to attend the 2016 SAEM Annual Meeting in New Orleans, a major Emergency Medicine textbook, and a subscription to the SAEM Newsletter.
The photos included a case history, a diagnosis and “take home” points. SAEM was proud to display original photos of educational value and gratefully acknowledges the efforts of the individuals who contributed to this year’s Clinical Pearls and Visual Diagnosis Contest entries as well as the patients who graciously allowed themselves to be photographed.
Solving Your Employment Puzzle
SAEM CareerCenter careers.saem.org 18 28
July / August 2015
2015 Exhibit Participants
Jay Slutsky, DO, Khalid El-Hussein, MD St. Joseph’s Regional Medical Center
Mark Gonzales, DO, MPH York Hospital
Lydia Luangruangrong, MD Barnes-Jewish Hospital/St. Louis Children’s Hospital Washington University St. Louis
Gabriel Wardi, MD, MPH James Grieme, MD Jorge Fernandez, MD University of California San Diego, Department of Emergency Medicine Howard Kim, MD Denver Health Residency in Emergency Medicine Juliana Lefebre Univerity of Southern Florida Emergency Medicine Residency Pavitra Kotini-Shah, MD Ryan Scholz, DO Wesley Eilbert, MD Ricky Rechenmecher, BS, MA Joseph Colla, MD University of Illinois, College of Medicine Terrance McGovern, DO, MPH St Joseph’s Regional Medical Center Justin McNamee DO Kristen Peña, MS IV St Joseph’s Regional Medical Center Peter McCorkell Monica Parraga, MD Brittany Semion New York Medical College; Metropolitan Hospital Monalisa Muchatuta, MD Mark Silverberg, MD, FACEP State Univeristy of New York Walter Green, MD Patrick Liu, MD University of Texas Southwestern Michael Jin Hong, DO Emilola Ogunbameru, MD St Josephs Regional Medical Center Peter McCorkell Monica Parraga, MD Brittany Semion New York Medical College/Metropolitan Hospital Steve Christos, DO, MS, FACEP, FAAEM Presence Resurrection Medical Center Monalisa Muchatuta, MD Mark Silverberg, MD, FACEP Walter Green, MD Patrick Liu, MD University of Texas Southwestern Michael Jin Hong, DO Emilola Ogunbameru, MD St Josephs Regional Medical Center
Therese Canares, MD Department of Pediatric Emergency Medicine, Johns Hopkins University School of Medicine Paul Cheung, MD, MPH Department of Emergency Medicine, The Warren Alpert Medical School of Brown University Dierdre Fearon, MD Department of Pediatric Emergency Medicine, The Warren Alpert Medical School of Brown University/Hasbro Children’s Hospital Marion Vincent Mempin, MD New York Hospital Queens Philip Mudd, MD, PhD University of Cincinnati Medical Center Jeffrey Moon, MD, MPH Julie Pasternack, MD, MPH University of Rochester Robert Kelly Barnett University of Kentucky Stewart Wright, MD, MEd, FACEP University of Cincinnati David Page, MD D. Adam Robinett, MD University of Alabama at Birmingham Sara Singhal, MD Nicholas Irwin, MD University of Kentucky Medical Center Lucia Derks, MD University of Cincinnati Amanda Polsinelli, MD Edmond Hooker, MD, DrPH University of Cincinnati Terren Trott Lynn Roppolo, MD Patrick Liu, MD Walter Green, MD University of Texas Southwestern Melissa Kroll, MD Barnes-Jewish Hospital Adam Bloom, DO, LT, MC, USN Kevin Koehler, MD, LCDR, USN Rodolfo Manosalva, MD, LT, USN Naval Medical Center Portsmouth Tina Bramante, MD SUNY Upstate
Lauren Cataldo, DO Cooper University Hospital
Justin Hourmozdi, MD Henry Ford Health
Brian Kendall, MD Dustin Williams, MD University of Texas Southwestern
James Yoder, MD, LCDR, MC, USN Scott Koehler, MD, LCDR, MC Navy Medical Center Portsmouth
July / August 2015
19
2015 SONOGAMES
®
2015 SonoGames® Reaches New Heights By Rachel Liu, MD & J. Matthew Fields, MD What do Duplo blocks, the classic board game “Operation” and a shotgun wedding all have in common? All were features of the most successful edition yet of the annual SonoGames®!
Organizing the Games for 2015 The 2015 SonoGames® Organizational Committee was cochaired by Matt Fields, MD, and Rachel Liu, MD. Returning for the fourth year in a row as members of the committee were Andrew Liteplo, MD, and Resa Lewiss, MD, with Kristin Carmody, MD, in her second year. Thank you to the many faculty, fellow, resident and student volunteers who helped run registration, modeling, timekeeping, judging and staffing of the event. The committee extends special thanks to our AEUS SAEM staff liaisons, Melissa McMillian, Maryanne Greketis and Marilyn Mages; and the SAEM Program Committee and Board of Directors, who was all invaluable in making the event possible. Thanks to all the participants and spectators, it is the only SAEM event that is able to draw almost 500 people into one space! On May 14, 2015, at the SAEM Annual Meeting in San Diego, Calif., the SAEM Academy of Emergency Ultrasound hosted the 4th annual SonoGames®. It was a thrilling four-hour competition, testing emergency medicine residents from across the country on their ultrasound knowledge, skills and teamwork. Attendees wanted to know: Who would be crowned the 2015 SonoGames® champion?
20
July / August 2015
Industry The SonoGames® once again had solid ultrasound industry support this year. BK, Philips, Terason, SonoSim and Sonosite all provided machines and monetary support. A special thanks to all of these companies who help keep the SonoGames® viable!
The Teams A record 55 EM programs represented by 165 residents on three-member teams participated in this year’s SonoGames®. Each year, awards are presented for the most creative team name and costumes. The winning name was “Probe Oh Nos” of Stanford University. The award for Best Costume went to the University of South Florida “Double Barrel Shotgun Sign” who were dressed as “shotgun wedding” groomsmen with bride. Other notable costumes were the University of Arizona “SonoSumos,” who competed in full sumo suits and the University of California at San Diego “Avengers: Age of Ultrasound” in full Avengers costumes.
The Main Event The SonoGames® 2015 competition consisted of new, innovative educational content. The first round, “The Eliminator,” created and emceed by Drs. Fields and Liu, consisted of 39 multiple-choice questions based on clips, images and articles covering as many aspects of point-ofcare ultrasound as possible. The 10 highest-scoring teams advanced to the second round: Alabama, Boston Medical Center, George Washington, Georgia Regents, Indiana, NYU/Bellevue, South Florida, University of Texas Health Science Center, Yale and the University of Virginia.
In Round 2, these teams rotated through the following five skill stations: “Arrrgh You the Expert?” – Created by Dr. Carmody. Teams had to race against pirate experts to obtain images before the pirate obtained them. Pirates had a handicap of not being able to use their dominant eyes (covered by pirate patches) or dominant hands (covered by pirate hooks). Screams of “ARRRRGH” or “Ye landlubbers” and “Thar she blows!” were heard throughout the tent. “Ultra-Pictionary” – Created by Dr. Fields. Team members had to draw clues leading to the correct ultrasound application. Once the answer was guessed, they had to scan to obtain the answer image. “Operation Relay” – Created by Dr. Lewiss. Teams were required to answer questions based on key ultrasound literature, then perform scans based on concepts discussed in the literature. Once images were obtained, they had to retrieve an “Operation” board game gamepiece pertaining to the application.
“I’m Not Dead…Yet” – Created by Dr. Liteplo. This station used SonoSim’s SonoSimulator® to test residents’ ability to scan a simulated model and match correct diagnoses and management to each case. “Castlefest” – Created by Dr. Liu. This station tested residents’ abilities to apply ultrasound evaluation of dimensions in choosing correct blocks out of a pool of water to build a Duplo castle. There were additional items included, and kudos to the University of Virginia who were the only team to retrieve the goldfish! NYU/Bellevue and Yale advanced to the final competition in Round 3, which was created and emceed by Dr. Carmody and judged by Drs. Liteplo and Fields. The round included the identification of video clips uncovered by the removal of tiles on a board and a “scan off” in which the audience and judges were blinded to the team performing the final scan. The judges voted on the best acquired image and in the case of indecision, the audience chose. Points for these two teams were really neck-and-neck until the final scan where the audience chose in favor of a Yale-obtained posterior tibial nerve.
Congratulations to the 2015 SonoGames® champion Yale team (Brad Tinloy, Anneli von Reinhart, Erik Fischer, team captain Joe Pare who has won SonoGames® twice himself, and Chris Moore) on an amazing victory! The SonoGames® 2015 was a record-setting, huge success, and one of the highlights of the SAEM Annual Meeting. Plans are already underway for SonoGames® 2016, so get your probes prepared! If you would like more information on programs and membership for the Academy of Emergency Ultrasound, please go to the SAEM Website at saem.org/saem-community/academies.
About the Authors:
Dr. Rachel Liu, Yale University School of Medicine, is currently AEUS president elect; Dr. Matt Fields, Thomas Jefferson University, is AEUS immediate past president.
July / August 2015
21
2015 Residency & Fellowship Fair The SAEM Residency & Fellowship Fair is a unique opportunity to share programs with hundreds of medical students from across the country interested in the specialty of emergency medicine and residents in search of a promising fellowship. The Fair is a combined event that offers your institution the opportunity to showcase your residency and fellowship programs as a group or as separate exhibits. Thank you to the 2015 participants. Akron General EM Alameda Health System/ Highland Hospital EM Residency and Fellowship Program Allegheny Health Network/Allegheny General Hospital Baylor College of Medicine Baystate Emergency Medicine Beaumont Health Boston Medical Center Brigham and Women's/Faulkner Hospital Brigham and Women's Hospital/Massachusetts General Hospital Harvard Affiliated Brown University Carolinas Medical Center Central Michigan University Christiana Care Duke University: Global Health Eastern Virginia Medical School Emory University George Washington University Georgetown University/Medstar Washington Hospital Center Hackensack UMC Harvard Affiliated at Beth Israel Deaconess Medical Center Hemepin County Medical Center Henry Ford Hospital-Detroit Icahn School of Medicine at Mount Sinai Indiana University Jacobi/Montefiore/Albert Einstein Medical Center John Peter Smith Johns Hopkins University Kaiser Permanente EM Residency and Fellowship Kaweah Delta EM Residency LAC+USC Medical Center (Keck School of Medicine of the University of Southern California) Lincoln Medical and Mental Health Center Loma Linda University Medical Center Louisiana State University-New Orleans Massachusetts General Hospital Medical College of Wisconsin Mount Sinai Beth Israel New York Hospital Queens New York Methodist Hospital North Shore University Hospital Oregon Health and Science University Penn State Hershey Regions Hospital Saint Louis University Southern Illinois University Sparrow Hospital-Michigan State University
22
July / August 2015
St. Luke's University Hospital Stanford/Kaiser EM Residency and Fellowships Staten Island University SUNY Downstate Medical Center/Kings County Hospital Texas A&M/CHRISTUS Spohn Hospital EM Residency Program Texas A&M/Scott and White Healthcare Texas A&M/Scott and White Healthcare EM Residency Program Texas Tech EM Program The Alpert Medical School of Brown University The Ohio State University Wexner Medical Center The University of Mississippi Medical Center The University of Texas at Austin: Dell Medical School EM Residency Program The University of Texas Health Science Center at Houston UCLA/Olive View-UCLA EM UCSF-SFGH Emergency Residency and Fellowships University Hospitals Case Medical Center University of Arizona University of California Davis University of California Irvine University of California San Diego University of California San Francisco Fresno EM Residency and Fellowship University of Chicago University of Cincinnati University of Colorado Denver University of Connecticut University of Florida College of Medicine-Jacksonville University of Florida Health Dept. of EM Residency and Fellowship Program University of Florida Jacksonville University of Illinois College of Medicine at Peoria University of Kentucky EM Residency and Fellowship Program University of Louisville University of Maryland University of Massachusetts University of Michigan/ St. Joseph Mercy Hospital University of Missouri University of Nebraska University of Nevada EM/University of Nevada SOM University of New Mexico University of North Carolina EM Educational Programs University of Pittsburgh University of Rochester University of South Florida EM Residency Program University of Tennessee-Nashville University of Texas Southwestern Medical Center University of Utah University of Virginia University of Washington University of Wisconsin Virginia Commonwealth University Washington University West Virginia University Department of EM Residency and Fellowship Program Yale University Yale: National Clinicians Scholarship Program
SAEM OnDemand View the SAEM15 Presentations — Anytime, Anywhere ] Unlimited online access to up to 100 education sessions Special M
] Earn CME credits
ember Dis
] Presentations include synchronized slides, audio and embedded video ] Download PDFs of presenter slides and audio MP3
counts
SAVE $10 0!
saem.org/ondemand SAEM would like to thank the 2015 Medical Student Ambassadors for their work at the meeting in San Diego. Tom Califf University of Colorado School of Medicine Randall De Leon Loma Linda University School of Medicine Anne Delisio University of Cincinnati College of Medicine William Douglas University of New England College of Osteopathic Medicine Gabriel Espinoza UC Davis School of Medicine Chris Evans University of California San Diego School of Medicine Kumar Gandhi UCLA David Geffen School of Medicine Dustin Harris UCLA David Geffen School of Medicine Annie Hayes University of Louisville School of Medicine Alexander Huh University of Pittsburgh School of Medicine Katie Hunold University of Virginia School of Medicine Seth Kelly Texas A&M University Health Science Center
Aaron Lee University of California San Diego School of Medicine Armando Martinez University of California San Diego School of Medicine Sara Obeid University of North Carolina at Chapel Hill Alex O'Brien-Lambert University of Washington School of Medicine Daniel O’Sullivan University of Virginia School of Medicine Aimee Parks Cooper Medical School of Rowan University Alexandra Printz University of South Florida College of Medicine Michael Rains Medical College of Virginia/VCU School of Medicine Kenley Raney University of Miami Miller School of Medicine Ashley Rider Baylor College of Medicine Bryan Wilson Rutgers, New Jersey Medical School Justin Worthing New York University
July / August 2015
23
2015 Excellence in Emergency Medicine Award Winners Listed below are the recipients of the 2015 SAEM Medical Student Excellence in Emergency Medicine Award. This award is offered to each medical school in the United States and internationally to honor an outstanding senior. This is the 20th year this award has been available. Recipients receive a certificate and a one-year membership to SAEM. Peter William Ackerman
University at Buffalo School of Medicine & Biomedical Sciences Ainsley Adams
University of Maryland School of Medicine Megan Alego
Temple University School of Medicine Michael Allain
The University of Chicago Pritzker School of Medicine Kathryn Marie Applin
M. Christina Creel-Bulos
Rush Medical College, Rush University Earl "Quin" Cummings
Louisiana State University School of Medicine Shreveport Callie Davies
The University of Arizona, College of Medicine Adeline Rose Dozois
Vanderbilt University School of Medicine Hunter Faircloth
Georgia Regents University Joshua Feblowitz
Harvard Medical School Anne Finlayson
University of Manitoba Shayla Freeman
Medical University of South Carolina Christie Lea Fritz
University of Pittsburgh School of Medicine Alison Frizell
Wake Forest University School of Medicine
UVM College of Medicine
Emily C. Arena
Tony (Han) Gao
University of Virginia Zev Balsen
Upstate Medical University Kevin Gardner
Yale School of Medicine
Perelman School of Medicine at the University of Pennsylvania
Lubabah Ben-Ghaly
James Gould
University of California, Los Angeles – David Geffen School of Medicine Alexander Barton Beyer
Washington University School of Medicine Lauren P. Black
University of Florida Rachelle Blais
Dalhousie University Mariana Guerreo
Weill Cornell Medical College Bing Hao Hui
The University of Texas Medical Branch at Galveston Jessica Herold
Memorial University of Newfoundland
University of New England College of Osteopathic Medicine
Timothy Buff
Lily Hitchner
University of Missouri-Columbia Brian T. Bunning
University of California, San Francisco School of Medicine Danielle Holtz
University of South Alabama
Loma Linda University School of Medicine
Angela Chen
Bryan Francis Imhoff`
Rutgers-Robert Wood Johnson Medical School Howard Choi
The University of Kansas School of Medicine Paul Jansson
Johns Hopkins University School of Medicine
Northwestern University Feinberg School of Medicine
Avery Clark
James Jiang
The Warren Alpert Medical School of Brown University Ryan L. Clark
Albany Medical College Lynn Jiang
Philadelphia College of Osteopathic Medicine
Columbia University College of Physicians and Surgeons
Nickolas Ray Collins
Ryan Joseph
University of Pikeville-Kentucky College of Osteopathic Medicine Albert Conicella
Drexel University College of Medicine Carly Cox
Oregon Health and Science University
24
July / August 2015
UNTHSC—Texas College of Osteopathic Medicine Carolyn Rachel Kanter
New York University School of Medicine Ayesha Khatoon
Arizona College of Osteopathic Medicine
Joshua Klepinger
Evan Robinson
Wright State University, Boonshoft School of Medicine
Western University of Health Sciences, College of Osteopathic Medicine of the Pacific
Margaret Krebs
The Ohio State University College of Medicine Deanna L. Lassegard
University of South Dakota Sanford School of Medicine Eric Thomas Lederer
East Tennessee State University Quillen College of Medicine Carl Leonhardt
Western University of Health Sciences COMP-Northwest ENS Ellen Lesh
F. Edward HĂŠbert School of Medicine, Uniformed Services University of the Health Sciences Mark Liao
University of California, Davis School of Medicine Megan Litzau
University of Missouri-Kansas City, School of Medicine Mei Ling Liu
University of Michigan Medical School Gregory Marton
University of Ottawa Courtney Holmes McKee
Medical College of Wisconsin Sar Medoff
Icahn School of Medicine at Mount Sinai Stephen Mohney
University of Rochester School of Medicine and Dentistry Nicole Chicoine Mooney
University of Washington Cristina Mullins
Morehouse School of Medicine Collyn Murray
University of North Carolina-Chapel Hill Sonya Naganathan
University of Toledo College of Medicine and Life Sciences Benjamin Nicholson
Virginia Commonwealth University Mary O'Hear
University of Mississippi Medical Center Jeffrey Odenbach
University of Alberta
Rachel Rodriguez
Texas A&M HSC-Temple Campus at Baylor Scott & White, Brandon Roe
Kansas City University of Medicine and Biosciences Theodore Segarra
State University of New York Downstate College of Medicine Stephen Sheridan
Florida State University Hilary Michelle Simon, MD
New York Medical College Bryan Sloane
University of California Irvine Joseph Smith
University of Nebraska Medical Center Jacob Stelter
Loyola University Chicago Stritch School of Medicine Logan Traylor
Saint Louis University School of Medicine Nicholas Tsipis
Duke University School of Medicine T.J. Tzavaras
Eastern Virginia Medical School Andrew Vucelik
West Virginia University Hannah Wallace
University of Miami Miller School of Medicine-Regional Medical Campus Lindsay Warren
University of Connecticut School of Medicine Kyle Watanabe
University of Hawaii, John A. Burns School of Medicine Spenser White
University of Kentucky Ryan Wilkie
University of Calgary Cumming School of Medicine Ali Yakhshi
Queen's University Stephanie Coe Zelleer
University of Miami Miller School of Medicine
Enola Renee Okonkwo
Indiana University School of Medicine Scott Pasichow
Rutgers, New Jersey Medical School Justen W. Pettigrew
University of Louisville Jessica Rainey
University of South Florida Darien Sutton Ramsey
New York University School of Medicine
July / August 2015
25
TOXICOLOGY Scholarship Allows Emergency Physician to Immerse Herself in Toxicology at Conference By Theresa Kim, MD
One of my favorite Shakespeare quotes comes from Henry IV: “And seeing ignorance is the curse of God, Knowledge the wing wherewith we fly to heaven.” This line embodies to me what a gift education and knowledge are, especially as a young emergency physician and aspiring toxicologist. As the recipient of the recent 2015 Spadafora Toxicology Scholarship, I was able to attend the American College of Medical Toxicology Annual Scientific Meeting this past March in Clearwater Beach, Fla. I was so excited for this opportunity because it gave me the chance to learn more about the field of toxicology, and I returned home with a treasure trove of new knowledge and experiences. Day one featured Steve Aks, DO, from the Toxikon Consortium speaking to the question “Does Naloxone Really Raise Lazarus from the Dead?” Some hard facts that his lecture included: 1 in 15 people, or 12 million people, who take nonmedical pain medicines would try heroin within 10 years. Additionally, according to a New England Journal of Medicine (NEJM) study published by Okie et al. in 2007, there were over 11,000 opioid analgesic deaths and 2,000 heroin-related deaths in the United States. The bulk of the lecture touched upon available naloxone training programs and the importance of aftercare, close follow-up and education to successfully combat the opioid epidemic. I loved the motto that Dr. Aks repeated throughout his lecture: “Save a life, no brainer.” And the
26
July / August 2015
literature he presented supported just that. In 2010, according to the U.S. Centers for Disease Control and Prevention, 53,032 people were trained in using naloxone, and 10,171 deaths were reversed. Considering that the NEJM in 2007 reported 11,000 opioid analgesic deaths, the evidence seems clear of the training programs’ powerful impact. The lecture then closed with a discussion regarding areas for further research and future of such programs. Another one of my favorite experiences from the conference was the “Fellows-in-Training Open Mic Session.” This competition gave toxicology fellows a chance to give a five-minute talk on a toxicology-related topic and to receive feedback from judges about the delivery and clarity of their talk. As a former English literature major, I loved the fusion of medicine, history and art that the fellows incorporated into their talks. Sahaphume Srisuma, MD, from the Rocky Mountain Poison Center, gave a very interesting lecture on alternative uses of disulfiram. Elizabeth Hines, MD, from the New York City Poison Control Center, captivated the audience with a history review as she hypothesized the possible poisons that could have ultimately killed Cleopatra. And Jennifer Stephani, MD, gave an eloquent analysis of poisonings that completely changed my view of Van Gogh’s yellow phase, use of lead paint mediums as well as his depiction of the infamous fox glove plant!
Lastly, I loved the evidence-based lecture titled “Choosing Widely Campaign” by Anne-Michelle Ruha, MD, from Banner Good Samaritan Medical Center. The American College of Medical Toxicology’s recommendations can be found at www.choosingwidely.org and covers such consensus guidelines as not using phenytoin or fosphenytoin in withdrawal seizures; not ordering tests to diagnose “idiopathic environmental intolerances”; and not performing a fasciotomy in snake envenomation patients without elevated intra-compartmental pressures. She reviewed the literature supporting each of the currently listed guidelines, as well as some of the controversies regarding other pending guidelines. This brief summary does not clearly do justice to the many other valuable lectures I attended, including the analysis by Josef Thundiyil, MD, from the University of Florida, of the research literature regarding genetically modified foods; the communication skills I learned during the “Delivering an Effective Sound Bite” breakout session; and the breadth of inspiring research projects presented during the poster sessions. I feel so honored to have been granted the opportunity to attend the conference and add this knowledge to my own practice of emergency medicine. Without the assistance of the Spadafora Toxicology Scholarship, I would not have had the chance to attend the conference—or as Shakespeare put it, to gain the “wings” to rise to my career aspirations.
About the Scholarship: Dr. Michael P. Spadafora was an academic emergency physician and medical toxicologist who was dedicated to resident education. He was a member of SAEM and the American College of Medical Toxicology (ACMT). After his untimely death in October 1999, a scholarship was established in his name at both the ACMT and SAEM Foundation to encourage emergency medicine residents to pursue medical toxicology fellowship training. The deadline to submit applications for the 2016 Spadafora Toxicology Scholarship is Aug. 1, 2015. More information can be found at saem.org/saem-foundation/grants/what-we-fund/ spadafora-toxicology-scholarship.
About the Author: Dr. Theresa Kim is an emergency physician in her fourth year of residency at John H. Stroger, Jr. Hospital of Cook County. She is interested in academic emergency medicine, toxicology, hyperbaric medicine and FOAMed. She was the 2015 Spadafora Toxicology Scholarship recipient, and she provided this summary after attending the American College of Medical Toxicology Annual Scientific Meeting from March 27–29, 2015.
VA Section Chief The Department of Emergency Medicine (DEM) at University of Wisconsin, School of Medicine and Public Health (Madison, WI) is seeking candidates for the position of VA Section Chief. This is an exceptional opportunity for a highly motivated Emergency Medicine Physician (BE/BC) with strong interest in clinical operations and quality improvement. Job responsibilities include leading a collaborative team of emergency department physicians, nurses, and staff to improve the clinical care provided to veterans through process improvement. Compensation and benefits are extremely competitive. Inquiries should be accompanied by a curriculum vitae and may be e-mailed or addressed to:
While a track record in graduated administrative responsibilities is preferred, opportunities also exist for more junior faculty. As part of DEM faculty, the successful applicant will staff upwards of half of his/her clinical shifts at William S. Middleton Memorial Veterans Hospital and half of his/her clinical shifts at University of Wisconsin Hospital & Clinic (UWHC). UWHC is one of only two academic medical centers, and Level I Trauma (adult & pediatrics) and Burn Centers, in the state of Wisconsin. Azita G. Hamedani, MD MPH MBA Chair, Department of Emergency Medicine 800 University Bay Dr., Ste. 310, Madison, WI 53705 agh@medicine.wisc.edu
Department of Emergency Medicine The UW Madison is an EEO/AA employer; Wisconsin open records and Caregiver laws apply. A background check will be conducted prior to employment.
July / August 2015
27
MEET THE 2015 SAEM FOUNDATION GRANT RECIPIENTS Thanks to your generous gifts, the SAEM Foundation Research Training Grant has been increased to $150,000! Help us give more opportunities to young investigators by donating today. The society will match all gifts through July 31 up to $100k! Donate at www.Saemfoundation.Org
Jestin N. Carlson, MD, MS and Adam N. Frisch, MD, MS
JUSTIN L. BENOIT, MD UNIVERSITY OF CINCINNATI, CINCINNATI, OH
GANNON UNIVERSITY, ERIE, PA 2015 EDUCATION RESEARCH GRANT - $10,000
2015 RESEARCH TRAINING GRANT - $100,000
Current techniques for teaching acute care providers to run resuscitations are limited to general feedback after an encounter (simulated or live) and lack focused and objective detail. Previous work has suggested that experienced providers focus on different aspects of the environment with less variability in focal points than novice individuals. Data examining visual centers of attention in the simulated cardiac arrest setting are lacking. It is thought that experienced acute care providers follow these same trends where focused visual centers of attention are a marker of proficiency and may translate into safer patient care. The hypothesis is that experienced providers will have a more focused visual center of attention than novice providers. The aim of this study is to determine if there are differences between novice and experienced acute care providers’ visual centers of attention during cardiac arrest resuscitation.
Over 36,000,000 calls for EMS occur annually in the U.S. Despite this staggering demand, clinical research in EMS remains unfocused and underfunded. In 2010, the American Heart Association acknowledged, “there is inadequate evidence to define the optimal timing of advanced airway placement in relation to other interventions during resuscitation from cardiac arrest.” Dr. Benoit will gain advanced training in research methods, biostatistics and epidemiology using a combination of didactic and applied learning experiences to develop skills in statistical modeling and interpretation through this study which will address this fundamental question. The central hypothesis is that the risk-to-benefit ratio for advanced airway interventions will change throughout the time course of OHCA resuscitation attempts. The aim is to evaluate the effect that the timing of prehospital airway interventions has on the minute-to minute likelihood of achieving return of spontaneous circulation. Evaluate the effect that the time between establishing an airway and hospital arrival has on the probability of achieving neurologically intact survival.
“COMPARISON OF THE VISUAL CENTERS OF ATTENTION IN EXPERIENCED VS NOVICE PROVIDERS”
“TIMING OF AIRWAY INTERVENTIONS AND SURVIVAL AFTER OUT OF HOSPITAL CARDIAC ARREST”
The SAEM Foundation is a 501c3 public charity. The mission of the SAEM Foundation is to improve the emergency care of patients through medical research and scientific discovery; to enhance research capabilities within emergency medicine; and to help emergency physicians develop the skills to become successful investigators.
28
July / August 2015
NOW ACCEPTING GRANT PROPOSALS The SAEM Foundation is accepting grant proposals for the 2016-2017 grant cycle The following grants will be offered and have a deadline of Aug 1, 2015.
Research Training Grant New! Funding Increased to $150,000!
The Research Training Grant (RTG) is intended to provide funding to support the development of a scientist in emergency medicine. $75,000/yr. (2 year grant)
Education Fellowship Grant The Education Fellowship Grant is intended to develop the academic potential of the selected fellow by providing support for a dedicated two-year training period that includes an advanced degree in education. $50,000/yr. (2 year grant)
Education Research Grant The Education Research Grant will provide support for a medical education research project. $10,000 (1 year grant)
SAEMF/ACMT Michael P. Spadafora Toxicology Scholarship The 2016 recipient will attend the American College of Medical Toxicology (ACMT) Annual Scientific Meeting in Huntington Beach, CA on March 17-20, 2016. $1,500 (travel award)
SAEMF $100K CHALLENGE Between April 1 and July 31, the Society is matching every donation to the SAEM Foundation up to $100,000. Donate online or make a pledge to pay later. Your gift will have double the impact on patient care!
HELP FUND FUTURE INVESTIGATORS As the SAEM Foundation gets closer to its goal of $10 million, more funds are becoming available to emergency medicine researchers and educators through these grant programs! Please help us continue to fund future investigators and increase the amount of our grants by donating at www.saemfoundation.org
For more details and application instructions, please visit the grants section of the SAEM Foundation website (www.saemfoundation.org).
July / August 2015
29
ACADEMIC ANNOUNCEMENTS The newly established Department of Emergency Medicine (DEM) at University of Wisconsin School of Medicine & Public Health has received a transformative $13.5 million gift, from James G. Berbee, MD, MS, MBA, and Karen A. Walsh, MA of Madison, WI. Berbee completed his emergency medicine residency at Wisconsin after a career as an entrepreneur. UW Health will match $4 million of the gift to double the clinical footprint of the current UW emergency department by March 2016. The remainder of the gift creates a $9 million endowment, part of which includes support for Azita G. Hamedani, MD, MPH MBA, Founding Chair, and Manish N. Shah, MD, MPH, John and Tashia Morgridge Vice Chair for Research and Academic Affairs. Hamedani along with the faculty and staff of DEM are enthusiastic about the recent recruitment of Shah, as his accomplished record will help the new department accelerate its research efforts. Shah’s research interests closely dovetail the administrative efforts of the department, as led by Jeffrey P. Pothof, MD, Vice Chair of Quality & Operations.
vice chair in 2012. He also serves as director of clinical research in the department of emergency medicine. Miller’s promotion to professor, emergency medicine, is effective July 1. He is a nationally recognized expert whose research focuses on advancing care for patients with cardiovascular and pulmonary emergencies.
Craig Newgard, MD, MPH, a professor of emergency medicine at Oregon Health & Science University, was awarded a four-year R01 grant from the Agency for Healthcare Research and Quality for $956,227. The project is titled “The Value of Emergency Care for Injured Older Adults” and will run from May 1, 2015, through April 30, 2019. This project will evaluate the current emergency care system for injured older adults, from 911-call through oneyear follow-up, including ways to improve the system and explore the balance between outcomes and costs. The interdisciplinary project team includes members with expertise in emergency medicine, EMS, system engineering, trauma surgery, geriatrics, decision analysis, health economics, informatics and biostatistics.
The Department of Emergency Medicine (DEM) at University of Wisconsin, School of Medicine and Public Health (Madison, WI) is seeking candidates for the position of VA Section Chief. This is an exceptional opportunity for a highly motivated emergency medicine physician (BE/BC) with strong interest in clinical operations and quality improvement. Job responsibilities include leading a collaborative team of emergency department physicians, nurses, and staff to improve the clinical care provided to veterans through process improvement.
James W. Hoekstra, MD, Professor and Chair, Department of Emergency Medicine, and Vice President for clinical business development at Wake Forest Baptist Medical Center, is taking on an expanded role as Vice President for Network Clinical Affairs and stepping down as Chair, Department of Emergency Medicine. Chadwick Miller, MD, MS, executive vice chair of emergency medicine, will serve as the department’s interim chair. Under Hoekstra’s leadership, the department of emergency medicine has developed a national reputation for education, research and clinical care. From a faculty of 12 and an ED volume of 60,000 visits when Hoekstra became chair in 2003, the department today manages 11 western North Carolina emergency departments (EDs) with more than 200 providers and 500,000 annual patient visits. Miller, the emergency medicine department’s interim chair, joined the department in 2003 and became its executive
30
July / August 2015
Academic Emergency Medicine is going green! Effective January 2017, Academic Emergency Medicine will transition to an online-only publication. Robust online tools are already available for electronic viewing of the journal, through our app (AEM Journal, available free at the Apple online store for iPad and iPhone; coming soon for Android), and our pdf and enhanced HTML versions are available at www.aemj.org. Content alerts, RSS feeds, Twitter, and other productivity tools are also available for our readers, and will continue to develop. All other aspects of the journal, including the manuscript submission, review, editing, and typesetting processes, will remain the same; the only change will be the elimination of the print journal.
While a track record in graduated administrative responsibilities is preferred, opportunities also exist for more junior faculty. As part of DEM faculty, the successful applicant will staff upwards of half of his/her clinical shifts at William S. Middleton Memorial Veterans Hospital and half of his/her clinical shifts at University of Wisconsin Hospital & Clinic. UWHC is one of only two academic medical centers, and Level I Trauma (adult & pediatrics) and Burn Centers, in the state of Wisconsin. Compensation and benefits are extremely competitive. Inquiries should be accompanied by a curriculum vitae and may be e-mailed or addressed to: Azita G. Hamedani, MD MPH MBA; Chair, Department of Emergency Medicine; 800 University Bay Dr., Ste. 310, Madison, WI 53705 agh@medicine.wisc.edu. SAEM Fellowship Approval Program Deadline: September 1, 2015 (Global Health) Deadline: April 1, 2016 (Education Scholarship, Geriatrics, and Research) In an effort to promote the standardization of training for fellows, the SAEM Fellowship Approval Program has been developed for eligible programs to earn the endorsement of
SAEM as an approved fellowship in Research, Geriatrics, Global EM and Education Scholarship. Fellows who complete a program at an SAEM-approved institution also receive recognition for earning the standard qualifications and skills needed. The deadline for institutions to apply to become an SAEMapproved fellowship is September 1 for Global Health and April 1 for all other fellowships. All fellows for all approved fellowships must register and submit progress reports by September 14, 2015. The application fee is $400. Visit the Fellowship Approval Program at http://www.saem.org/education/fellowshipapproval-program. To view a listing of approved fellowships, visit the SAEM Fellowship Directory at www.saem.org/fellowship-directory.
The George Washington University Department of Emergency Medicine Fellowship Programs Washington DC-The Department of Emergency Medicine at the George Washington University is offering Fellowship positions beginning in July 2016:
Emergency Management | International Emergency Medicine ED Operations & Leadership | Medical Toxicology Emergency Ultrasound | Operations Research Telemedicine/Digital Health | Health Policy Extreme Environmental Medicine | Clinical Research Simulation in Medical Education Fellows receive an academic appointment at George Washington University School of Medicine and work clinically at a site staffed by the Department. The Department offers Fellows a common interdisciplinary curriculum, focusing on research methodologies and grant writing. Tuition support for an MPH or equivalent degree may be provided, as per the fellowship’s curriculum. Complete descriptions of all programs, application instructions and Fellowship Director contacts can be found at http://smhs.gwu.edu/emed/education-training/fellowships
July / August 2015
31
SAEM WESTERN REGIONAL MEETING SAEM Western Regional Meeting Takes Advantage of Desert Locale By Frank G. Walter, MD The 18th Annual SAEM Western Regional Meeting was held at the University of Arizona College of Medicine in Tucson, Ariz., on March 27-28, 2015. A total of 303 people registered for the meeting, which was hosted by the college’s department of emergency medicine. Friday’s afternoon plenary session featured nine full-length, oral abstract presentations, while there were 110 lightning oral abstract presentations on Saturday. There were 22 moderated poster abstract presentations.
The first day began with pre-meeting activities, including behindthe-scenes tours of the Arizona Poison & Drug Information Center and the Arizona-Sonoran Desert Museum, hosted by Mazda Shirazi, MD, medical director, Arizona Poison and Drug Information Center. Other activities included SonoGames 2015 (a competition allowing residencies to demonstrate their skills and knowledge of point-of-care ultrasound) and a viewing of the documentary, “Code Black.” The meeting officially began with a welcome address by Frank G. Walter, MD, meeting chair, and Sam Keim, MD, chair, University of Arizona College of Medicine, department of emergency medicine. Charles B. Cairns, MD, interim dean, University of Arizona College of Medicine, delivered the keynote address: “Time Makes a Difference to Everyone, Everywhere: Evolving Opportunities in Emergency Care.” Keim said he found Cairns’ keynote address “superb and inspirational.” “Dr. Cairns was personally instrumental in the development of an (National Institutes of Health) Office of Emergency Medicine Research and he gave some highlights of how that discussion went down ... with Dr. Francis Collins and other major players at NIH. Incredible!” Dr. Cairns’s presentation was followed by nine full-length, oral abstract presentations. Robert S. Hockberger, MD, then-president of the SAEM Board of Directors, spoke about the importance of “SAEM and Mentorship in Academic
32
July / August 2015
Emergency Medicine.” The day concluded with an evening reception that included an Arizona-Sonoran Desert Museum docent who brought a number of desert animals. The second day began with concurrent lightning oral presentations in five rooms followed by a panel discussion, “Looking Back and Looking Forward: Reflections on a Successful Career and Life in Academic Emergency Medicine,” featuring Hockberger; Harvey Meislin, MD; Peter Rosen, MD; and Art Sanders, MD.
“Dr. Frank Walter and program leadership staff Amy Williams and Danielle Crounse have already established a new standard of quality for SAEM regional meetings,” Keim said after the meeting conclused. “Multiple out-of-state EM leaders have approached me to tell me this is the best Western SAEM meeting they’ve ever been to.” We greatly appreciate the leadership and expertise of SAEM and its abstract review committee for reviewing and ranking all the abstracts; Dr. Hockberger and the SAEM Board for his visit and his inspiring presentations; Holly Byrd-Duncan and LaTanya Morris for their help; and the SAEM Academy of Women in Academic Emergency Medicine for their leadership and outstanding presentation. This meeting was a success because of the hard work of those acknowledged and thanked on the final pages of the meeting schedule (http:// emergencymed.arizona.edu/news/wsaem-2015-info).
About the Author:
After lunch, two “Point/Counterpoint” discussions were held: •
In the first session, John Sakles, MD, presented the benefits of video laryngoscopy and William Mallon, MD, discussed the use of direct laryngoscopy.
•
The second session focused the management of calcium channel blocker and beta blocker poisoning. Mazda Shirazi, MD, discussed hyperinsulin euglycemia therapy; Robert French, MD, discussed vasopressors.
Frank G. Walter, MD, is a professor of emergency medicine & pharmacy practice and science in the department of emergency medicine at the University of Arizona College of Medicine. He was the meeting chair for the 2015 SAEM Regional Western Meeting.
Next, an Academy of Women in Academic Emergency Medicine presentation featured Deidre Anglin, MD; Mindi Guptil, MD; Tammi Thomas, MD; and Heather Whitlow, MD. They discussed the importance of mentoring with “Tips to Get Your Career Up and Running.” The meeting concluded with a second set of abstract presentations, including three lightning oral tracks and a moderated poster session. A concurrent afternoon session for medical students was held on Saturday. Ali Min, MD, and Lisa Stoneking, MD, organized and led the track. Medical students had the opportunity to have lunch with program directors from emergency medicine residencies in the Western Region. Aaron Leetch, MD, and Chris Williams, MD, conducted a mock interview and discussed interview techniques. Jan Shoenberger, MD, described the interview process. The “4th year Structure” was outlined by Kristi Grall, MD. The medical student track finished with a panel decision among current University of Arizona emergency medicine residents, discussing “Life as an ED Resident.”
July / August 2015
33
19th Annual New England Regional SAEM Conference Has Strong Turnout By Christopher Fischer, MD 19th Annual New England Regional SAEM Conference April 1, 2015 Boston Newton Marriott, Newton, MA Hosted by Beth Israel Deaconess Medical Center/Harvard Affiliated Emergency Medicine Residency oral presentations from each New England residency program, with a special focus on oral presentations by current residents. During lunch, attendees were treated to two presentations:
The New England Research Directors (NERDs) hosted the 19th Annual New England Regional SAEM Conference on April 1, 2015, at the Boston Newton Marriott in Newton, Mass. This year’s meeting continued the upward trend through strong attendance and support for emergency medicine (EM) research. The conference hosted more than 225 residents, faculty, medical students and research staff from over a dozen institutions across New England.
The first, a panel from the Academy for Women in Academic Emergency Medicine, discussed transitioning to an academic EM career, including the challenges and benefits. The chair was Jeannette Wolfe, MD, Baystate Medical Center in Springfield, Mass. Other members included Jeffery Schneider, MD, and Judith Linden, MD, from Boston Medical Center; Federico Vaca, MD, MPH, from Yale; and Susan Duffy from Brown. During the second presentation, Charles Pollack, MD, discussed the management of acute cardiac syndrome ED patients with a specific focus on upstream management of those with unstable angina and non-ST elevation MI. Dr. Pollack is professor of Emergency Medicine at the University of Pennsylvania School of Medicine and is chairman of Emergency Medicine at Pennsylvania Hospital in Philadelphia. The final oral presentations were followed by three simultaneous lightning oral presentations that focused on critical care, public health and high-risk chief complaints. A total of 40 lightning oral presentations were moderated by faculty and research experts from Beth Israel Deaconess and Yale.
The conference schedule included three invited lectures and panel discussions, along with the following: 145 research abstracts as posters, lighting oral presentations, and full oral presentations.
Attendees met and networked during poster sessions in which more than 75 medical students and residents, along with junior and senior faculty, presented original research on a variety of EM topics.
The day began with a welcome message from the New England research directors and a keynote presentation from Judd Hollander, MD. Hollander shared his unique perspective on EM research and discussed the characteristics of a successful research career, his vision for the future of EM and medicine in general. Hollander is a former SAEM Program Committee Chair, past member of the SAEM Board of Directors and past member of the Emergency Medicine Foundation Scientific Review Committee. He currently serves as associate dean for Strategic Health Initiatives, Sidney Kimmel Medical College, Thomas Jefferson University and professor/vice chair, Department of Emergency Medicine.
The meeting was successful because of the dedication of the New England Research Directors (NERDs), which includes Nathan Shapiro, Virginia Mangolds, Lori Post, James Feldman, Howard Smithline, Joao Delgado, Toby Nagurney, Danny Pallin, and Blair Parry. Finally, thank you to the SAEM for their support, specifically Holly Byrd-Duncan, LaTanya Morris, George Greaves and Jim Pearson.
Ted Melnick, MD, department of Emergency Medicine, Yale, then presented his National SAEM Plenary Presentation “Understanding Overuse of CT for Minor Head Injury in the ED: A Triangulated Qualitative Study.” Melnick gave a preview of the “best of breed” research. This was followed by
34
July / August 2015
About the Author:
Dr. Christopher Fischer is the Assistant Director of Emergency Department Operations at BIDMC. His research interests include improving the care of geriatric patients in the ED, investigation of novel biomarkers of infection, and the effects of ED crowding on patient safety.
2015 Annual Meeting Program Committee Beau Abar, PhD University of Rochester Medical Center Harrison Alter, MD, MS Highland Hospital, Alameda Health System Gillian Beauchamp, MD Oregon Health & Science University Mary Colleen Bhalla, MD Summa Akron City Hospital Calvin A. Brown, III, MD Brigham & Women’s Hospital/Harvard Medical School Jennifer Carey, MD University of Massachusetts James E. Colletti, MD College Of Medicine, Mayo Clinic (Rochester) Mark Courtney, MD Northwestern Medicine, Northwestern University Moira Davenport, MD Allegheny General Hospital Kevin L. Ferguson, MD University of Florida, Gainsville Jorge Fernandez, MD University of California, San Diego School of Medicine Barbara Forney Program Manager, University of Cincinnati CME compliance Alise Frallicciardi, MD Hartford Hospital, University of Connecticut Christian Fromm, MD Maimonides Medical Center Chris A. Ghaemmaghami, MD University Of Virginia Health Sciences Center Maryanne F. Greketis, CMP Society For Academic Emergency Medicine Eric A. Gross, MD University of California at Davis Todd A. Guth, MD University of Colorado School Medicine Jeffrey A. Holmes, MD Maine Medical Center, Tufts University School of Medicine Jason Hoppe, DO University of Colorado Denver-Emergency Medicine Jonathan S. Jones, MD University of Mississippi Medical Center Gabor D. Kelen, MD FRCP(C) Johns Hopkins University School of Medicine Carolyn Kluwe Holland, MD University of Florida, Gainesville Ryan L. LaFollette, MD University of Cincinnati College of Medicine Hollynn Larrabee, MD West Virginia University School of Medicine Luan Lawson, MD The Brody School of Medicine at East Carolina University Jo Anna Leuck, MD John Peter Smith Hospital
Douglas W. Lowery-North, MD, MSPH Emory University School of Medicine Brandon Maughan, MD, MHS University of Pennsylvania School of Medicine Erin E. McDonough, MD University of Cincinnati College of Medicine Henderson D. McGinnis, MD Wake Forest University School of Medicine Zachary Franklin Meisel, MD, MPH, MSc Penn Medicine, Department of Emergency Medicine Faculty Joseph Miller, MD Henry Ford Hospital Joel L. Moll, MD Virginia Commonwealth University LaTanya Morris Society For Academic Emergency Medicine Lewis Nelson, MD New York University School of Medicine Jason T. Nomura, MD Christiana Care Health System Charissa B. Pacella, MD University of Pittsburgh Medical Center Medical Education Daniel J. Pallin, MD, MPH Brigham And Women’s Hospital, Harvard Medical School Alexis Pelletier-Bui, MD Cooper Medical School of Rowan University Ali S. Raja, MD, MBA, MPH (Program Committee Chair) Massachusetts General Hospital Harvard Medical School Kevin G. Rodgers, MD Indiana University School of Medicine Laura Roff Hopson, MD University of Michigan Robert Rogers, MD University of Kentucky Department of Emergency Medicine Sarah E. Ronan-Bentle, MD University of Cincinnati College of Medicine Brett A. Rosen, MD Harbor-University of California Los Angeles Medical Center Todd A. Seigel, MD Permanente Oakland Medical Center Kinjal N. Sethuraman, MD, MPH University of Maryland School of Medicine Sneha Shah, MD University of Massachusetts Richard H. Sinert, DO SUNY Health Science Center at Brooklyn Howard A. Smithline, MD Baystate Medical Center, Tufts University School of Medicine Lorraine G. Thibodeau, MD Albany Medical College R. Jason Thurman, MD Vanderbilt University School of Medicine William F. Toon, EdD, NRP Loudoun County Fire & Rescue Jody A. Vogel, MD Denver Health Medical Center Jenna Wheelhouse, MD Brown University, Rhode Island Hospital
Shawn London, MD Hartford Hospital, University of Connecticut
July / August 2015
35
PEDIATRIC EMERGENCY PHYSICIANS The Department of Emergency Medicine at Albany Medical College is recruiting pediatric
emergency physicians to join our academic faculty. Candidates must be fellowship trained and boardcertified eligible in pediatric emergency medicine and will enter at the assistant or associate professor level based on experience and qualifications.
Albany Medical Center – comprised of the medical college and hospital – is northeastern New York’s only academic health sciences center. Albany Medical College is one of the nation’s oldest medical
schools, founded in 1837. The 714-bed Albany Medical Center Hospital is the only Level 1 Trauma Center in the region and is the busiest trauma center in the state. As the primary referral center for the region, the hospital received over 10,000 transfers last year.
The Department of Emergency Medicine has a well-established residency program that began over 25 years ago and has faculty who are fellowship trained in ultrasound, clinical research, toxicology,
sports medicine, emergency medical services, critical care medicine and pediatric emergency medicine. We have a busy, high-acuity emergency department with an annual census of over 70,000 patients. Albany Medical Center is located in the capital of New York State, with easy access to the
metropolitan areas of New York City, Boston and Montreal. The Capital Region offers safe
communities and excellent schools. There is also close proximity to numerous outdoor activities (skiing, hiking, climbing, camping, etc.) in the Adirondack and Catskill mountains.
Candidates should send a current curriculum vitae and letter of interest to: Christopher King, MD, FACEP
Chair, Department of Emergency Medicine Albany Medical College 47 New Scotland Ave.
Albany, New York 12208 518.262.3443
kingc1@mail.amc.edu
36
July / August 2015
www.amc.edu
University of Rochester, Rochester, New York Department of Emergency Medicine Division of Research
Academic, VA, and Community Opportunities
The Department of Emergency Medicine at the University of Rochester, is seeking academic faculty with a focus on research. The ideal candidates will be board certified in Emergency Medicine or hold a PhD, have experience with research and grant pursuit, as well as academic interests that can contribute to the overall mission of the department. The Department of Emergency Medicine has an active research program with multiple funded government and industry studies, a well-developed patient enroller program and established support structure. Additionally, the University of Rochester has a highly regarded emergency medicine residency and multiple fellowship programs. Strong Memorial Hospital (SMH) is the area academic medical center and is the regional referral and Level 1 trauma center. It has a full complement of specialist consultant services, as well as ED-based social workers, pharmacists, and child-life specialists. SMH sees over 100,000 patients per year, including 28,000 pediatric patients. The new Golisano Children’s Hospital at Strong is set to open in the summer of 2015. Our multiple ED sites, institutional support, and existing research infrastructure offers a robust network for success. Rochester, New York, located in Upstate New York, offers excellent schools, a low cost of living, and many opportunities both professionally and personally. We have easy access to Canada, including metropolitan Toronto, the Great Lakes, the Finger Lakes and the northeastern United States. Interested applicants please contact:
Michael Kamali, MD, FACEP Chair, Department of Emergency Medicine Michael_Kamali@URMC.Rochester.edu 585-273-4060
Located in beautiful Milwaukee, WI, the MCW Department of Emergency Medicine is growing! Our ED at Froedtert Hospital is completing an expansion in January 2016, and we are increasing our daily physician coverage hours. We are recruiting for two faculty to complete our coverage. The Department also seeks faculty who are interested in joining our Zablocki Veterans Affairs Medical Center (VA) staffing complement, which will be initiated in August, 2015. We are adding two positions to our faculty in order to provide Monday-Friday, daytime coverage at the VA. Additionally, the Froedtert Health System is opening a free-standing ED at the Moorland Reserve Health Center. We are recruiting six faculty for single provider coverage at this new community ED, to be opened in July, 2016. All faculty members could have clinical responsibilities at one or more of these sites. The Department of Emergency Medicine at MCW has nationally and internationally recognized experts in EMS and Disaster Medicine, Toxicology, Injury Prevention and Control, Cardiac Resuscitation, Global Health, Ultrasound, Medical Education, and Process Improvement. The Department is ranked in the top 20 NIH funded departments of emergency medicine. Interested applicants should submit a curriculum vitae and letter of interest to Dr. Stephen Hargarten, Department Chairman and MCW Associate Dean, at
hargart@mcw.edu.
2015 Midwest Regional SAEM Meeting Hosted by Mercy St. Vincent Medical Center EM Residency Toledo, OH Abstracts will open August 3 through August 28, 2015 via http://www.saem.org website Schedule: September 24, 2015
Mercy College of Ohio 2221 Madison Toledo, OH
6-7 pm Dinner, “Meet Your Colleagues” 7-9 pm Advanced Airway & Ultrasond Skills
September 25, 2015
The Toledo Club 235 14th Street Toledo, OH
9 am-4 pm
Invited Speakers: D. Mark Courtney, MD, Northwestern University Feinberg School of Medicine “Mentorship: Trends, Tools and Techniques for Both Mentors and Learners” Richard Schwartz, MD, Georgia Regents University “Medical Devices Development – Concept to Commercialization”
Lunch program:
Medical Student – Residency Mixer: Midwest EM Residency Programs
More information, contact: Michael C. Plewa, MD
michael_plewa@mercy.com
419-251-4204
July / August 2015
37
The University of California, Davis School of Medicine, Department of Emergency Medicine is conducting a faculty search for emergency medicine physicians in either a clinician/educator or clinician/researcher track. Candidates must be residency trained in Emergency Medicine with board certification/preparation and be eligible for licensure in California. At least one year of post-training clinical experience and/ or fellowship training is preferred. Candidates are expected to enter at the Assistant/ Associate level, commensurate with experience and credentials. Emergency Medicine faculty members at UC Davis who have preference for night shifts work fewer clinical shifts each month. The University of California, Davis, Medical Center, one of the nation’s “Top 50 Hospitals,” is a 613 bed academic medical center with approximately 80,000 emergency department visits annually, including approximately 17,000 pediatric visits. The new emergency services facility opened in 2010 and is state-of-the-art. Our program provides comprehensive emergency services to a large local urban and referral population as a level 1 trauma center, paramedic base station and training center. The department also serves as the primary teaching site for a fully accredited Emergency Medicine (EM) residency program and seven different EM fellowship programs. Our residency training program began more than twenty years ago and currently has 42 residents. The Department has a separate area for the care of children and is one of the leading centers in the Pediatric Emergency Care Applied Research Network (PECARN). Salary and benefits are competitive and commensurate with training and experience. Sacramento is located near the northern end of California’s Central Valley, close to Lake Tahoe, San Francisco, and the “wine country” of the Napa and Sonoma Valleys. Sports enthusiasts will find Sacramento’s climate and opportunities ideal. Interested candidates should submit a letter outlining interests and experience, and curriculum vitae to: Erik Laurin, MD, Professor and Search Committee Chair (eglaurin@ucdavis.edu) UC Davis Department of Emergency Medicine 2315 Stockton Blvd., PSSB 2100 Sacramento, CA 95817 Applications must be received by 12/31/15 to be fully considered. The University of California is an affirmative action/equal opportunity employer.
38
July / August 2015
CALL FOR PAPERS 2016 Academic Emergency Medicine Consensus Conference Shared Decision Making in the Emergency Department: Development of a Policy-Relevant Patient-Centered Research Agenda The 2016 Academic Emergency Medicine (AEM) consensus conference, “Shared Decision Making in the Emergency Department: Development of a Policy-Relevant Patient-Centered Research Agenda,� will be held on May 10, 2016, immediately preceding the SAEM Annual Meeting in New Orleans, LA. Original research papers on this topic, if accepted, will be published together with the conference proceedings in the December 2016 issue of AEM. The consensus conference will convene major thought leaders and necessary stakeholders on shared decision making in acute care. Specifically, the conference will include patients, patient representatives from national advocacy organizations, emergency physicians, mid-level providers, emergency nurses, and researchers with expertise in shared decision making and patient-centered outcomes research, comparative effectiveness research, and health information technology. There will be clinicians across various disciplines such as emergency medicine, health services research, psychology, and quality improvement. Finally, the conference will include national policy makers, payer representatives, and other stakeholders with the expressed goal of developing a multidisciplinary, consensus-based, high-priority research agenda to improve and optimize shared decision making in the emergency department. Consensus Objectives: 1. Critically examine the state of science on shared decision making in emergency medicine, and identify opportunities, limitations, and gaps in knowledge and methodology; 2. Develop a consensus statement that prioritizes opportunities for research in shared decision making that will result in practice changes, and identifies effective methodological approaches; 3. Identify and build collaborative research networks to study the use of shared decision making and patient-centered outcomes research in emergency medicine that will be competitive for federal funding. Accepted manuscripts will present original, high-quality research in shared decision making in the ED, such as clinical decision rules, shared decision making, knowledge translation, comparative effectiveness research, and multidisciplinary collaboration. They may include work in clinical, translational, health systems, policy, or basic science research. Papers will be considered for publication in the December 2016 issue of AEM if received by April 17, 2016. All submissions will undergo peer review and publication cannot be guaranteed. For queries, please contact the conference chair, Corita R. Grudzen, MD, MSHS (corita.grudzen@nyumc.org), or the co-chairs Christopher R. Carpenter, MD, MSc (carpenterc@wusm.wustl.edu) and Erik Hess, MD (Hess.Erik@mayo.edu). Information and updates will be regularly posted in AEM and the SAEM Newsletter, and on the journal and SAEM websites.
July / August 2015
39
2340 S. River Road, Suite 208 Des Plaines, IL 60018
NON PROFIT ORGANIZATION U.S. POSTAGE PAID SAEM
SAEM Opens Submissions for 2015 SAEM ANNUAL MEETING
2016 SAEM Meeting MAYAnnual 12 – 15, 2015
EARLY BIRD REGISTRATION IS OPEN Didactic and REGISTER BY MARCH 13 and Innovations Abstracts
Pre-Meeting Workshops
August 3 - September 18, 2015
New Orleans 40
July / August 2015
October 12 - November 20, 2015