SAEM Mar-Apr 2013 Newsletter by Society for Academic Emergency Medicine

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

MARCH-APRIL 2013

VOLUME XXVIII NUMBER 2

Dave Caro, MD UFCOM-Jacksonville

CAREER PATH Planning for a Fellowship

“THE CLOUD” Mobile Tools in Residency Education

ETHICS IN ACTION: Unconsented HIV Testing

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

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

SAEM M EM BERSHIP Membership Count as of February 14, 2013

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

AAAEM 56

Honorary 7

Active 1,703

International Affiliates

Assoc 23

Medical Students

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

Emeritus 32

Residents 2,680

Fellows 54

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

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

3 197

Total 4,755

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

HIGHLIGHTS

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Executive Director’s Message

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Member Highlight

“The Cloud”

Ethics in Action

Resident and Student Advisory Committee

Annual Meeting Registration Form

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

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PRESIDENT’S M ESSAGE THERE IS CHANGE, BUT NOT IN OUR MISSION Cherri D. Hobgood, MD

Indiana University School of Medicine While sitting in our most recent Board meeting, I began to contemplate how much SAEM as an organization has changed during my terms on the Board. In the past six years we have made dramatic changes. We have moved from an older property in East Lansing, Michigan to a more professional office suite in Chicago. This location makes it more convenient for our members to meet in our home office Cherri D. Hobgood, MD and allows easy transport from O’Hare Airport. We have also embarked upon a substantial upgrade of our staff. After hiring Ron Moen as our full-time executive director, we have embarked on a systematic assessment of our staff and staffing needs. This has allowed us to achieve a level of member service that we had not previously attained. These changes reflect a gradual shift in the culture of SAEM from one of essentially “pure volunteerism” to one of “supported volunteerism.” Yet amidst all of this change, one thing remains the same, and for SAEM, it is clear our mission is both important and enduring. SAEM exists to support and promote academic emergency medicine. With the rollout of our new website and the establishment of new learning communities supported by our Higher Logic platform, we are now better positioned to support ongoing dialogue among

our various groups, particularly those with niche interests. The Board believes that this diversity of dialogue is a substantial advancement for our members and that it will facilitate longdistance collaboration and group learning. This is key for the Society as we seek to advance not just the science, but also the faculty who perform this work. An important tenet of SAEM’s mission is an ongoing commitment to faculty development. Our committees, task forces, and academies should be considered prime opportunities for both junior faculty and residents to gain the skills that translate from the SAEM committee room to the board rooms at their home institutions. Dr. Jones, our president-elect, has made every attempt to populate our committees with members who will make a significant commitment to the work of SAEM. Although the website and our Higher Logic platform will support remote communication, much of the excitement and networking that SAEM provides still occurs in person and in real time at our annual meeting. This year, after a long gap, we return to Atlanta, where we are anticipating not only a capacity crowd, but also the most amazing program ever. We have more didactic presentations and abstract submissions than ever, and we are working diligently to expand our space to accommodate all of the top science that has been submitted for presentation. So make your schedule requests early, and make sure that you are in Atlanta for this year’s annual meeting. Join us in Atlanta, log on to our new website, join an academy and a learning community, embrace the changes that SAEM is making, but know that our changes represent an evolution of the organization, but not a change in its mission. ◗

Attention Medical Students & Residents! 2013 SAEM Residency & Fellowship Fair The SAEM Residency & Fellowship Fair is open to Friday, May 17, 2013 4:30pm—6:30pm 200 Peachtree Conference Center & Mezzanine, Grand Atrium

all Medical Students & Residents at the SAEM 2013 Annual Meeting in Atlanta, GA. Don’t miss out on this unique opportunity to meet & network with over 100 program representatives.

Visit the SAEM Annual Meeting website for an up-to-date list of institutions that will be present.

EXECUTIVE DIRECTOR’S M ESSAGE One of the major strengths of SAEM is the energy and dedication of its members to academic emergency medicine in so many different ways. This dedication is to be found in the many interest groups, committees, and academies that provide clear focus on causes and areas of expertise and inquiry that are dear to a particular group of members. This concentration on what some may perceive as a narrow Ronald S. Moen interest or focus can sometimes be a cause of concern for others who do not share that same interest or passion. At the same time, however, we have to recognize that academic emergency medicine is a unique and relatively small but extremely vital part of the larger emergency medicine arena and within the larger medical community. As such, SAEM members play a critical role in the research that underlies advances in emergency medicine, and an equally critical role in the education and training of emergency physicians. As academic emergency medicine evolves, so too must SAEM evolve to meet the needs of its members. For example, SAEM works with counterpart organizations in the international community. Within the broader medical community, it continues to participate with the Council of Academic Societies of the American Association of Medical Colleges. We continue to get requests to appoint members to a variety of task forces sponsored by other medical and professional organizations where the input of emergency physicians is being sought. Thanks to our External Collaboration Committee, we have been very successful in fulfilling these requests. The Consultation Service provided by SAEM members has seen some additional growth in this past year, and has provided a very special and unique service to a variety of emergency departments, as well as to medical schools and hospitals looking to make changes in their operations. Part of this evolution has led to the move to a new website and a new platform for the exchange of ideas. But it is necessary to understand that simply launching a new website or utilizing a new platform for the exchange of information is not a static or finished event. This will always be a work in progress and as time goes on, you can expect to see changes and innovations on both the site and the communications platform. We have already identified some features that we would like to add to the capabilities of

these programs, and have been very happy with the feedback we have gotten from members suggesting features that they would like to see. Higher Logic is the name of the platform that is being used to facilitate communication within our various groups. Within the next several months, all of our academies, interest groups, committees and other “communities” within SAEM will move from the use of listservs to this new platform. Please see the article in this newsletter from Jim Pearson, our director of Information Systems and Administration, for further information on these exciting new opportunities. Another part of this evolution is the further development of the SAEM Foundation. During 2012, the SAEM Board of Directors transferred responsibility for funding of all grants, in both research and education, to the SAEM Foundation. I hope you are among the many members of SAEM that support the Foundation on a regular basis. Again this year, there will be a reception at the Annual Meeting to highlight the work of the Foundation and the need for additional backing to continue to build the endowment fund. The goal, as many of you know, is to build the endowment fund to at least $10 million so that the earnings from that fund can provide increasing support for a variety of research and education grants and other projects. 2012 was an excellent year for the Foundation, and its endowment fund grew from $6 million to just over $7 million with the returns on the investments alone. Your staff and central office have also gone through some evolution this past year. SAEM has larger and remodeled office space, while remaining in the same building as before. If you are in the area, we invite you to stop in, meet your staff, and see where we work. The next part of this evolution will be the change in the Board of Directors, committees, and task forces as we look to the change in the program year that begins at the end of the 2013 Annual Meeting in Atlanta. By the time you read this, registration will be in full swing, and the preliminary program will also be available. Also, the election of new members of the Board of Directors, as well as of members of the Nominating Committee and the Constitution and Bylaws Committee, will be underway. Please make sure to vote. I look forward to seeing you in Atlanta May 14-18 for what will be an outstanding program, perhaps the best ever, with new features and new opportunities to see good old friends and make new ones. ◗

SAEM TESTS A ROARING SUCCESS! The questions used by SAEMTests.org were written by CDEM members, and were recently edited with new questions written in order to develop two end-of-rotation tests for students rotating on Emergency Medicine. Beginning in July, 2012, 22 tests are on the website, www.saemtests.org. These tests reflect the accepted national M4 curriculum. Since July 1, 2012, 20,192 tests have been taken. There are two end-of-rotation tests. Each of these tests was written with questions that conform to NBME standards. The two M4 end-of-rotation tests have been given 1,297 times. The advantage of using one of these two tests is that normative data is known and can be accessed with an Administrator Clerkship ID. Both of these two tests are online and are scored automatically, with the test score sent to the clerkship. If your clerkship would like to take advantage of these tests, email Michael.beeson@akrongeneral.org for access to an administrator ID and password.

M EM BER HIGHLIGHT Dave Caro, MD I honestly view myself as an emergency medicine educator. My path into academic EM is nontraditional, but I’m honored to be where I am. My EM career started in a community ED after residency training, with an eye towards returning to residency education after completing a few years of getting experience in the “real world” so I could relate to trainees with practice experience under my belt. After three years in the community ED, I was given the opportunity to assist in the EM residency administration at the University of Florida College of Medicine-Jacksonville, and since then my focus has been on training. I have had the opportunity to interact with outstanding educators, practitioners, residents, and students that I’ve worked alongside in the ED, in the region, and throughout the country, each of whom I owe a tremendous debt of gratitude for the partnership we have enjoyed throughout the past 16 years. My original introduction to SAEM was during my residency training at Carolinas Medical Center, where I was influenced by physicians I consider to be true giants in the field: John Marx, Jeff Runge, Jeff Kline, Mike Gibbs, Vivek Tayal, and multiple other names too numerous to mention, all of whom were very active in SAEM’s mission. All are the sort who are willing to work hard, willing to share their knowledge, and willing to lend a hand to guide interested folks in the right direction. My long-term aim was to become a residency director, encouraged in large part by the influence of my former program director, Bob Schneider, whose leadership style while I was in training was a wonderful mix of sincere interest in his trainees, clear communication on important training issues, and an intense desire to know more about emergency medicine and how the new specialty fit into the emerging landscape of medicine. Added to the experience was the guiding hand of John Marx, a consummate physician and leader whose intelligence, guidance, wit, and just that underlying sense of security I felt when he was with us I now sorely miss. I walked into a new academic family in Jacksonville, and quickly came under the influence of such notables as Dave Vukich, Bob Luten, Terry MacMath, Ann Harwood-Nuss, and Bob Wears, the vanguard of residency training in northeast Florida. I also met a number of folks who quickly became brothers and sisters, who pushed me to become better while we locked arms to train residents: Andy Godwin, Shawna Perry, Kelly Gray-Eurom, Tom Morrissey, Ashley Booth, Leslie Simon, and a wealth of others who have left their imprint on my practice. I have had the opportunity to work alongside hundreds of residents, students, and fellows, and I truly feel I have learned as much from them as I have been able to teach. It is in Jacksonville that I have had the opportunity to participate in the annual SAEM Southeastern Regional Meeting,

which I have had the opportunity to chair in the past and this year will co-chair again when the event is hosted in Jacksonville Beach. It is through the regional conference that I have had my best opportunity to participate in SAEM – and to meet and be influenced by outstanding educators, such as Peter Deblieux, Micelle Haydel, Phil Shayne, Sheryl Heron, David Manthey, and a host of others whose interest is advancing academic EM within our region. I also owe special thanks to a few mentors who have invested in my educational career and given me the opportunity to teach on a national stage. Ron Walls, Mike Murphy, Bob Luten, and Bob Schneider gave me the opportunity to become an instructor in The Difficult Airway Course: Emergency, where I have been able to focus my interests of education and airway management, and gained scholarly experience in academic writing and literature review critical to maintaining the educational edge needed to instruct at the level of a national course. I feel so blessed to be at my position. I owe so much to so many people – I can’t name them all – it would take too much space. And I’m so proud of so many people, including my sons (because they give it meaning), the students and residents I have had the opportunity to train, the partners I work with in the various venues, not only in Jacksonville but throughout the region and the country. I really love our specialty, and I really am proud of the work we all do on a daily basis through our hospitals, training programs, and through our specialty societies, especially SAEM. ◗

SAEM PAST PRESIDENT PROFILE BRIAN ZINK, MD By Stacy Sawtelle, MD

SAEM Faculty Development Committee Dr. Brian Zink was first introduced to the Society for Academic Emergency Medicine in 1986 as a second-year resident, when he was selected to present a research poster at the annual meeting held in Portland, Oregon that year. At that initial encounter he might not have imagined that he would become the president of the organization just 14 years later, but the immediate connection that he felt to SAEM was undeniable. Dr. Zink describes SAEM as Brian Zink, MD his “academic home base” and its annual meeting as the place he goes to get rejuvenated academically. In fact, he hasn’t missed a single annual meeting in the past 25 years. Attending the SAEM meeting in 1986 introduced Dr. Zink to the world of academic emergency medicine and jumpstarted a career dedicated to the development of our specialty and its people.

national figures in emergency medicine, including past leaders of SAEM and the University Association for Emergency Medicine (UAEM). Dr. Zink credits the relationships with colleagues that he developed through SAEM with providing the support that he needed to complete this project. His book, Anyone, Anything, Anytime: A History of Emergency Medicine, was published in 2005. The book remains a key chronicle of our specialty’s early legacy, and he regards it as a true labor of love.

Dr. Zink credits the openness of SAEM in allowing him to get involved with national committees and advance into leadership positions in the organization early in his career. He describes SAEM as a “spawning ground” for young leaders and he encourages today’s junior faculty to raise their hands and get involved just as he did. Shortly after completing his residency training at the University of Cincinnati, he became a member of the Research Committee. This was followed by membership in the Constitution and Bylaws Committee, which he chaired in 1995-96. Between 1993-96 he coordinated the SAEM Research Consulting Service and then joined the SAEM Board of Directors in 1996. The breadth of his involvement in SAEM committee work, as well as his experiences and mentorship as a faculty member at Albany Medical College and later at the University of Michigan, readied him for his term as president in 2000-2001.

Currently, Dr. Zink is a professor of Emergency Medicine and chair of the department at the Warren Alpert Medical School of Brown University. He devotes a significant amount of time as a mentor and advisor to his own faculty, residents, and medical students in his position as the Assistant Dean of Medical Student Career Development. Still an active researcher, he serves as advisor to neuroscience PhDs and emergency medicine faculty at Brown, working in one of his own areas of expertise: traumatic brain injury. Nationally, Dr. Zink is the president of the Association of Academic Chairs of Emergency Medicine. In this capacity, he looks forward to the development and implementation of a faculty development leadership course for new and aspiring department chairs.

As a dedicated and accomplished researcher himself, Dr. Zink was in a great position as president of SAEM to promote the credibility of emergency medicine in the world of research. While he was president, much of his work focused on creating an infrastructure to support committed investigators in our field, and to foster an environment within SAEM where people could make their academic mark. The broader highlighting of the successes of our specialty improved the visibility of emergency medicine within the research community. During Dr. Zink’s presidency, SAEM strengthened its dedication to supporting the development of investigators through the establishment of two-year individual and institutional training grants and by increasing the amounts of funding offered. After completing his productive tenure as president, Dr. Zink pursued his long-held interest in the medical humanities and cemented his commitment to chronicling the history of our specialty. Through a grant from the National Library of Medicine, and with the support of his colleagues, he took a nine-month sabbatical in order to conduct research and oral history interviews with key

Since completing his term as president, Dr. Zink has remained committed to SAEM, participating in numerous committees and in the development and presentation of new workshops and didactic sessions at annual meetings. He is past chair of the SAEM Development Committee, and continues to be active in the committee today. Dr. Zink looks forward to being able to mentor junior faculty and share his experiences as a successful teacher through the Junior Faculty Forum at annual meetings. He also continues to serve as the “Reflections” section editor for the journal Academic Emergency Medicine.

Dr. Zink has contributed much through his mentorship in emergency medicine, his groundbreaking avenues of research, and his inspiring commitment to medical humanities in emergency medicine. He has provided us all with a great gift by documenting the history of our specialty and its people in his book, Anyone, Anything, Anytime: A History of Emergency Medicine. As reflected in his book’s title, emergency medicine is a unique specialty because of its open and welcoming attitude to treat all comers through our doors. This is perhaps also a fitting description for the author himself, as SAEM and the entire specialty of emergency medicine have been strengthened by Dr. Zink’s unique outlook and singular dedication to making things better for the next generation, even as he considered the gifts and legacies of past leaders. He has taught us all the value of looking backwards as well as forwards as we make our professional and personal journey in emergency medicine. We are gratefully indebted to him, and, in some small way, also to the research poster selection committee for the SAEM Annual Meeting of 1986. ◗

I hope that you will find the articles featured in this section to be useful tools in your academic/professional development. Feel free to e-mail comments and suggestions regarding additional content areas that would be of value to residents and recent residency graduates. Proposals for future contributions are welcome and may be sent to newsletter@saem.org Meagan Hunt, MD, Wake Forest University

ACADEM IC RESIDENT SECTION TAKING RESIDENCY EDUCATION AND ONE ACADEMIC EMERGENCY DEPARTMENT TO NEW HEIGHTS WITH “THE CLOUD” Iltifat Husain, MD, MPH

PGY-2, Department of Emergency Medicine, Wake Forest School of Medicine

James O’Neill, MD

Assistant Professor, Department of Emergency Medicine, Wake Forest School of Medicine Mobility is already changing medical education. Multiple medical schools have purchased iPads for all of their students and are encouraging their use for anything from anatomy to patient care on the wards[1]. But what about medical education after medical school? There are few examples of mobility being used in residency programs and even for continuing medical education for practicing physicians. Simply giving the iPad to medical professionals is the first step. Mobile software that encourages medical professionals to actually use the devices is the second (and arguably the toughest) one. Until recently there has not been a residency program embracing mobile tools, such as “the cloud,” to fundamentally change how medical education and the program itself functions. Our team of residency and faculty members in the Emergency Medicine Department at Wake Forest School of Medicine set out to change how a residency program can communicate by using the mobile tools available to the general public. We wanted our residency program, as well as our department at Wake Forest, to be on the mobile cloud. In all academic centers there is an assortment of software that is employed to disseminate key documents and information to residents and faculty. Usually this is through an online portal where PDFs, PowerPoints, and Word files are saved. These documents contain key medical literature that residents and faculty use for learning. For many academic centers, this portal is SharePoint — an enterprise system created by Microsoft. SharePoint is a powerful platform, but is limited by the fact that the majority of users in a residency program do not have the time to become comfortable with its many nuances.

There are many issues that SharePoint presents. These include difficulties with searching content efficiently, limits on file size, as well as the lack of a mobile version that functions with the iPad or other tablets. Most notably, the static nature of the portal truly limits its ability to allow real-time interactive communication of information. You are presented with content, but can’t upload content yourself. In order to upload content, you need special permissions. Usually there are a few people in the department with access to this, and they are the ones that do the bulk of the uploading. The remainder of key information is then left for distribution via e-mail. Although this way of disseminating knowledge is utilized by almost all academic departments, it is far from an ideal solution. Cloud-based systems provide a solution to the issues associated with both of these methods. While cloud-based mobility can improve efficiency in the area of clinical operations, academic teaching is where cloud-based mobility proves its worth. In the past, if attending physicians or residents found a great academic PDF file that pertained to a patient, they would print this off for their peers for later reading. Those of us who have been on the receiving end of this know that printed documents hardly find daylight later. Instead, using our new cloud solution, the attendings or residents can upload the literature PDF file on their phone or on a desktop and they can share it amongst either a few residents or all the residents — much more efficient, and with enormous potential to improve learning. The benefits of developing a cloud solution were obvious. However, the way to develop and implement the use of the cloud was less so. Trying to settle on a platform to use was a difficult task. Dropbox is a cloud solution already used by many in medicine for organizing their personal literature, but it does not allow for collaboration and conversation amongst peers. After many conversations, research, and testing of alternatives, our end decision was to go with Box.com — mainly because we found it the easiest to use and most seamless for the functionality we were striving for. A final decision to begin an enterprise account with Box came after a five-month trial with multiple residents and faculty with a business account.

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Continued from Page 8 We have residents who are tech-savvy, but we also have individuals who are not (and don’t have a strong desire to learn how to be). We needed a platform that was simple to use, and we wanted to maintain our current workflow — anything complicated would take away from the most important task at hand for residents: learning how to become a great emergency medicine physician. The main benefits of Box and the cloud are the following: Price: The price for Box is not low, but when spread across a large emergency department with satellite affiliates, Box is reasonable. The large amount of space we required made the final cost comparable to managing our own server, without the headaches of recurring costs, downtime, and the expertise to manage it. Discussions: We love the ability to have a discussion between residents and faculty about an article, a lecture, or a video. Box enables us to upload files, and then employs a comment system similar to Facebook’s. We have not even scratched the surface of what this ability can add to the learning environment. For example, in our most recent “must-read article of the month” in January, there is a large back-and-forth discussion happening between faculty and residents on when to do stress testing on low-risk chest pain. There are pages’ worth of comments from faculty members, some made on their iPhones. This type of vigorous debate and discussion would not be possible without a cloud-based tool. Sharing: Box provides the opportunity for all members of the residency program to share videos as well as PDF, Word, Excel, and Powerpoint documents from a mobile device or a computer in the emergency department or at home. There are multiple ways to forward attachments and files into the cloud on our mobile devices. Organizing Clinical Documents: We can also share and update documents related to clinical care that were previously difficult to find. Searching for these no longer pulls the faculty and residents’ attention away from the patient’s bedside.

How many older adults are you seeing in your ED? • Almost 1 in 5 ED patients are 65 years of age or older • 2 in 5 will be that age by 2030… Our Mission: To improve the quality of emergency care received by older patients through advancing research, education, and faculty development. What can AGEM offer you? We can: • Help you and your ED care for older patients o The Geriatric ED Initiative, in collaboration with SAEM, ACEP, ENA, and AGS, is developing criteria for what it means to be a geriatric ED including resources, staffing, environment, policies, etc. • o o

Help you advance your research agenda AGEM has a large number of NIH and foundation-funded researchers (including 7 with K23 grants) We offer mentoring and counseling to junior and mid-career investigator members of AGEM

Copyright Protection: We take very seriously the need to protect the journal articles, book chapters, and intellectual property that we are sharing. We want open, easy, and secure access. This solution provides this without allowing this information to be shared outside of our residency program. Massive Storage: Our enterprise account gives unlimited storage space that is meticulously backed up. (It is actually listed as 909 terabytes — so not truly unlimited, but more then we can use.) Our current lecture and grand rounds videos take 500-700 MB of space each — which adds up to approximately 100 gigabytes per year of video. Streaming: All videos are streamed from the Box.com site, which enables residents and faculty to watch video rapidly on their mobile devices and computers without downloading the entire file first. In addition, all videos, images, articles, and PowerPoints can be previewed in a web browser — this avoids the need for external players or programs and is a time-saving feature. Microsoft Word, Excel, and PowerPoint are supported, as is Google Docs (and many of them can be edited within Box). We believe mobile cloud-based tools have the potential to improve how information and medical education are disseminated within physician groups. With these cloud-based tools, attending physicians and residents are able to more quickly adapt to evidencebased literature and change their practice as necessary — the end result being an improvement in patient care. No faculty member or resident of Wake Forest University Emergency Medicine Residency, including the authors, have any financial relationship with or have received any type of payment from any of the companies that are mentioned in this article. In addition, the authors have no financial disclosures to make and do not own stock or any interest in any of the companies mentioned in this article. ◗ [1] w ww.imedicalapps.com/2011/04/university-minnesota-medical-students-ipad-learning-medical-education/ [2] PMID: 22412110

• Help you prepare your trainees to care for older patients o AGEM members are available to give grand rounds presentations on a variety of topics o See our Geriatric EM lectures, training curricula, and simulation cases o Geriatric EM Journal Club: Modeled after the highly successful ACP Journal Club, it will provide expert review and commentary on articles critical to geriatric EM o Coming soon: Assessment tools for our simulation cases

Membership: Open to any member of SAEM. Contact SAEM or one of the AGEM officers today! Group, student, resident, and fellow discounted rates available. http://www.saem.org/academy-geriatric-emergency-medicine

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

ETHICS IN ACTION UNCONSENTED HIV TESTING IN CASES OF OCCUPATIONAL EXPOSURE Ethan Cowan, MD, MS1,2 and Ruth Macklin, PhD2

Department of Emergency Medicine, Jacobi Medical Center Department of Epidemiology & Population Health, Albert Einstein College of Medicine

An emergency medicine resident gets stuck with a visibly contaminated, large hollow-bore needle while attempting to insert a central line. The source patient is informed of the injury but refuses to provide consent for HIV testing. A year ago, this same EM resident became ill and had to be hospitalized after taking post-exposure prophylaxis (PEP) for a prior occupational exposure. She is concerned about taking PEP for the current exposure and asks if she can use blood already taken from the source patient for other reasons and test it for HIV. Despite significant improvements in occupational safety standards in health care settings, these scenarios are all too common. In 2000 the Centers for Disease Control and Prevention estimated that approximately 385,000 needlestick and sharpsrelated injuries occur every year to health care workers in hospital settings.1 In EM, a 1998 study of graduating residents found that 56% reported a potentially infectious occupational exposure.2 The real number of injuries is likely much higher because most exposures go unreported. Fortunately, in most cases of occupational exposure, source patients gladly give their voluntary consent for HIV testing once notified of the exposure. Yet, what should happen when source patients actively refuse or are unable to provide consent for additional testing? When source patients refuse or are unable to provide consent for HIV testing, exposed persons lack all the information they need to make a fully informed decision about initiating PEP. The case vignette brings up the uncomfortable notion of testing source patients for HIV without their voluntary informed consent. At first glance, the practice of unconsented testing may appear antithetical to one of the core ethical principles of our profession: respecting patient autonomy. However, appealing to wellaccepted deontological and consequentialist ethical principles and theories could potentially justify unconsented HIV testing in limited circumstances.

Deontological ethics focuses on the duties individuals have to one another. Often these duties can conflict with one another. Unconsented HIV testing after an occupational exposure is one such case where the duty to respect autonomy conflicts with the obligation to prevent harm to others. While controversial, interference with a patient’s autonomy may be justified if the potential harm to a third party is significant. This “harm principle” is one justification that we use as emergency physicians to hold homicidal patients in the ED, quarantine those with highly infectious communicable diseases, and notify the partners of newly diagnosed HIV/AIDS patients. Unfortunately, no algorithm exists for determining when potential harms to a third party justify overriding an individual’s autonomy. Consequentialist theories, the most well-known of which is utilitarianism, require that beneficial consequences be maximized and harmful consequences be minimized. The consequentialist approach requires a calculation of the potential harms and benefits to all persons affected by an action or policy. In unconsented HIV testing, the harms and benefits to both source and exposed persons must be defined and balanced. If harms and benefits to the exposed person outweigh the harms and benefits to the source patient, unconsented HIV testing might be justified. Conversely, if a source patient would suffer a preponderance of harmful consequences that outweighed the benefits either to herself or to the exposed person, unconsented HIV testing would be morally wrong. As with deontological ethics, there is no magic formula for weighing harms and benefits. Luckily, emergency physicians are not the only ones who have thought through these issues. As of September 2010, 35 states had enacted legislation to permit some form of unconsented HIV testing after an occupational exposure; however, there is no consistency among the statutes in different states.4 Variability exists on when unconsented HIV testing may be allowed, who can Continued on Page 11

Continued from Page 10 authorize an unconsented HIV test, how the test results should be documented in the medical record, who is informed of the test results, who pays for the test, and how incidents of unconsented testing are recorded and examined for quality assurance. Some states require a court order for all cases of unconsented HIV testing, others allow unconsented testing only when a patient is comatose or otherwise incapacitated, while still others allow testing over a patient’s autonomous objection.5 Although no central repository for laws specifically addressing unconsented HIV testing in cases of occupational exposure exists, the National HIV/AIDS Clinicians’ Consultation Center at the University of California, San Francisco has an excellent resource that can be used to look up your state’s laws regarding HIV testing.4 Case Resolution: The ED attending had a conversation with the source patient to understand his reasons for refusing the HIV test. The patient revealed that he had participated in risky sexual practices many years ago and had overwhelming anxiety about being tested. He did not appear to fear, nor did there appear to be any risk of reprisals, violence, or discrimination that might result from the unintended disclosure of a positive HIV test. Despite the attending’s best efforts to explain the importance of the HIV testing, the patient continued to refuse. Although the ED attending felt that, based on the risks and benefits, there was ethical justification for performing an unconsented HIV test, ultimately no test was performed because state law prohibited unconsented HIV testing over a patient’s autonomous objection. ◗ 1. United States General Accounting Office. Occupational Safety: Selected Cost and Benefit Implications of Needlestick Prevention Devices for Hospitals. GAO-01-60R. Washington, DC; 2000. Available at: http://www.gao.gov/new.items/d0160r.pdf 2. Lee CH, Carter WA, Chiang WK, Williams CM, Asimos AW, Goldfrank LR. Occupational exposures to blood among emergency medicine residents. Acad Emerg Med:1999;6(10):1036-43 3. Cardo DM, Culver DH, Ciesielski CA, Srivastava PU, Marcus R, Abiteboul D, et al. A casecontrol study of HIV seroconversion in health care workers after percutaneous exposure. Centers for Disease Control and Prevention Needlestick Surveillance Group. N Engl J Med 1997;337(21):1485-90. 4. National HIV/AIDS Clinicians’ Consultation Center. State HIV Testing Laws Compendium. University of California, San Francisco. 2007. Available at: http://www.nccc.ucsf.edu/ consultation_library/state_hiv_testing_laws 5. Cowan E, Macklin R. Unconsented HIV Testing in Cases of Occupational Exposure: Ethics, Law, and Policy. Acad Emerg Med;19:1181-7.

SAEM Institutional Research Fellowship Program Institution Application Next Application Deadline: April 1, 2013 To apply for SAEM approval of your institutional research fellowship program, please download the Institutional Research Fellowship Program Application at www.saem.org/membership/services/institutional-research-fellowship-program. For a full list of all SAEM-approved Research Fellowship programs, please visit www.saem.org, go to the Fellowship Directory, and search for “Research-SAEM approved" fellowships.

RESIDENT AND STUDENT ADVISORY COM M ITTEE PLANNING FOR A FELLOWSHIP Megan Cloutier, MD

PGY-2, Department of Emergency Medicine, Emory University Chair-elect, Resident and Student Advisory Committee Post-residency career paths and options are abundant, making the choice of what to do after residency an overwhelming decision. How do you decide that a fellowship is right for you? Are you interested in research? In having your own niche? Or in having a subspecialty that would complement your clinical care? Completing a fellowship allows for career development and exploration, as well as specialty training to develop an area of expertise in addition to clinical work. Additionally, a fellowship establishes protected time from your clinical practice to allow you to establish some academic traction during the busy first years out of residency. Also, a fellowship is a good entry point into an academic program and is especially important option for three-year program graduates interested in an academic career. However, fellowship training is not just for those planning to enter academic medicine. Many fellowships available, including sports medicine, toxicology, and ultrasound, allow you to explore a subspecialty that can be applied to diverse work environments – both community and academic. There are two basic fellowship structures: fellowships accredited by the Accreditation Council for Graduate Medical Education (ACGME) and non-ACGME fellowships. ACGME programs classify the fellow as a resident, and have specific requirements regarding instruction, education, supervision, and work hours; a salary based on the PGY level; and, often, restrictions on independent practice in the ED. They do lead to American Board of Emergency Medicine (ABEM) subspecialty board eligibility, which is the highest level of credentialing. ACGME certification is available in pediatric emergency medicine, toxicology, sports medicine, undersea and hyperbaric medicine, and, starting in July 2013, EMS. Non-ACGME fellowships vary significantly by program and university. They carry more flexibility in their curriculum and content and usually come with a faculty-level appointment. The most comprehensive listing of EM fellowships can be found at: http://www.saem.org/fellowship-directory. The Emergency Ultrasound fellowships have a great joint website and common application at http://www.eusfellowships.com/. So, how to start this process? Ideally, as an intern you are talking to upper-level residents, fellows, and your own faculty to learn everything you can about your options, of which there are many. So, what if I’m not an intern? Still talk to as many people as possible. Decide what kind of career you picture for yourself and speak with people who have created that for themselves. Now, what niche are you looking to create? What types of medicine are you looking to practice and what would you want your subspecialty to be? What universities or programs support these types of fellowships? ACGME-accredited programs will probably be easier to compare since the curriculum is standardized, but

each one will have unique areas of excellence and emphasis. The non-ACGME fellowships are usually more varied, and heavily influenced by local resources. Then decide where you would like to be geographically. This decision may be based on family needs, financial requirements, or even the weather. Your own faculty and residency directors are great resources for available programs. They know you well, they know programs around the country, and they are an invaluable resource for recommending programs that may be a good fit. Fellowship fairs are a great opportunity to meet the people intimately involved in the fellowship. Your fellowship director will be a great advocate and personal mentor, and it is critical that you work well together. It is very important to talk to the fellowship director and review the material to understand each program’s unique strengths. So, now that I know what I want and maybe even where I want to go, how and when do I apply? The best source of information is individual program websites. Ideally, you should apply to all of the programs that are a good fit for you. The timeline of applications varies among programs, but generally, it is a bit earlier than the timeline of community careers. You should typically start applying in the summer of your final year, with interviews in the fall and early winter. However, there is no “match,” and acceptances are on a rolling basis, so it is best to be among the first to apply. Application requirements generally include a cover letter, a CV, and a statement of interest with long-term career goals. The best resource is faculty and fellows at your home program that can guide and direct you to a good fit, both professionally and personally. Prepare early, speak with as many people as possible, and research thoroughly. Good luck! ◗ Special thanks to Dr. Phillip Shayne, Dr. Karim Ali, and Dr. Daniel Wood for their contributions.

COM M UNITY.SAEM.ORG SAEM’S NEW ONLINE MEMBER COMMUNITY This past January, SAEM launched its new website at SAEM. org, which was covered in the January-February issue of the Newsletter. In addition to that site, we also launched a new online community, Community.SAEM.org. The community site is sort of a mash-up between SharePoint and LinkedIn in that it provides SharePoint features such as document libraries, discussion forums, LISTSRVs, calendars, wikis, and other online collaboration tools. However, like LinkedIn, it provides a number of social media features to connect with other members and build your own professional network. The service is hosted on Higher Logic’s Connected Community software, which is used by over 300 other associations.

profile, posting a comment on a discussion forum, or interacting with other members.

MY PROFILE

All SAEM members have full access to the site, which is accessible from SAEM.org via the SAEM Community menu tab, and the “Popular Resources” section on the homepage. You can also access it directly at Community.SAEM.org. Some of the resources that are planned or already underway are: an Annual Meeting attendee community for arranging roomsharing and meet-ups; e-advising and mentoring for students; and members-only resources provided by SAEM Academies.

COMMUNITY HOME PAGE

One of the easiest ways to contribute to the community is to fill out your profile. If you already have a LinkedIn account, the Connected Community makes it easy for you to set up your SAEM profile quickly. Select the Profile tab under your name at the top of the screen to access your personal profile. Then scroll down to the section titled “Grab Profile Info from LinkedIn.” Click on “Update your information from Linkedin®” and follow the prompts. It will only take a minute to complete the process. That’s it. Give it a try. Your end result will be an updated SAEM profile.

DIRECTORY

Once you log in to the community, you will see a home page with popular resources. The content will vary based on your engagement with the organization. All members will see the featured news items at the top of the page under “What’s New”; upcoming SAEM events, announcements, deadlines, and news feeds; and SAEM social media content. If you are member of SAEM leadership, you will see the latest discussion posts and events listed for the groups to which you belong. If you are eligible to vote for the SAEM Board of Directors, you will see a section in the right-side column titled “Voting Open” that provides access to your online ballot. The notice will run through March 4 and will close at 4:00 pm Central time. Another item of note is the “Most Active Members” section. This is a leader board report of the members that have been most active within the community. Points are awarded every time you make a contribution to the community, such as filling out your

One of the valuable resources that the community provides is an up-to-date directory that is based on data from the SAEM membership database. The directory provides a number of search criteria to find peers, former classmates, educators, and industry experts. The Advanced Search allows you to drill down by a number of academic criteria such as school, degree, fields of study, dates attended, city, state, and region. Continued on Page 16

Registration Form 2013 SAEM Annual Meeting - Atlanta, GA Registration Form Early Bird Preregistration Nonmember Registration until 3/15 2013 SAEM Annual Meeting - Atlanta, GA until 5/3

On-site 5/14 - 5/18 775.00 800.00 850.00 Physician (MD, DO) 875.00 925.00 975.00 Early Bird Preregistration On-site Physician (MD, DO) – Annual Meeting with one-day Junior Faculty Forum

(Reflects $125.00 discount off AnnualNonmember Meeting registration) Registration

until 3/15 until 5/3 5/14 - 5/18 950.00 1,000.00 1,100.00 Physician (MD, DO) – Annual Meeting with two-day Senior Leadership Faculty Forum 775.00 800.00 850.00 Physician (MD, DO) (Reflects $50.00 discount off Annual Meeting registration) 875.00 925.00 975.00 Physician (MD, DO) – Annual Meeting with one-day Junior Faculty Forum 310.00 330.00 350.00 EMT/Paramedic/Nurse/Physician Asst/NP (Associate) (Reflects $125.00 discount off Annual Meeting registration) 525.00 550.00 575.00 Administrator 950.00 1,000.00 1,100.00 Physician (MD, DO) – Annual Meeting with two-day Senior Leadership Faculty Forum 275.00 300.00 350.00 Resident/Fellow (Reflects $50.00 discount off Annual Meeting registration) 400.00 425.00 475.00 Resident with Resident Leadership Forum 310.00 330.00 350.00 EMT/Paramedic/Nurse/Physician Asst/NP (Associate) (with networking lunch, reflects $50.00 discount off Annual Meeting registration) 525.00 550.00 575.00 Administrator 100.00 125.00 175.00 Medical Student or Undergraduate 275.00 300.00 350.00 Resident/Fellow 200.00 225.00 275.00 Research Coordinator (Non-MD) 400.00 425.00 475.00 Resident with Resident Leadership Forum 275.00 300.00 350.00 Residency Coordinator (Non-MD) (with networking lunch, reflects $50.00 discount off Annual Meeting registration) International Member 100.00 125.00 175.00 Medical Student or Undergraduate 200.00 275.00

Research Coordinator (Non-MD) Special Sessions (Nonmembers) Residency Coordinator (Non-MD) International Member Tuesday, May 14 & Wednesday, May 15, 2013

225.00 300.00

Two-day Senior Leadership Faculty Forum Wednesday, May 15, 2013 Special Sessions (Nonmembers) AEM Consensus Conference Tuesday, May 14 & Wednesday, May 15, 2013 Grant Writing Workshop Two-day Senior Leadership Faculty Forum Thursday, May 16, 2013 Wednesday, May 15, 2013 Resident Leadership Forum AEM Consensus Conference Friday, May 17, 2013 Grant Writing Workshop Medical Student Symposium Thursday, May 16, 2013 One-day Junior Faculty Forum

Resident Luncheon Leadership Forum AWAEM

Friday, May 17, 2013

Medical Student Symposium One-day Junior Faculty Forum AWAEM Luncheon

Method of Payment:

Check

275.00 350.00

Credit Card (VS, MC, DC, AX)

Name as it appears on Card: Credit Card Method of Number: Payment:

Check

Expiration Date: Credit Card (VS, MC, DC, AX)

Security Code:

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Zip: Security Code:

Billing Address: Name as it appears on Card: City, CreditState: Card Number: Signature: Billing Address: City, State:

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Cancellations: Cancellations submitted by email to events@saem.org (subject line: CANCEL) and received on or before April 30, 2013, will receive a refund, less a $50Signature: cancellation fee. Cancellations received after April 30, 2013, will be assessed a $100 cancellation fee. No telephone cancellations will be accepted. No refunds will be made for cancellation requests after May 10, 2013. Cancellations: Cancellations submitted by email to events@saem.org (subject line: CANCEL) and received on or before April 30, 2013, will receive a refund, less a $50 cancellation fee. Cancellations received after April 30, 2013, will be assessed a $100 cancellation fee. No telephone cancellations will be accepted. No refunds will be made for cancellation requests after May 10, 2013.

Please submit registration application to SAEM • By mail: SAEM 2340 S. River Road, Suite 208, Des Plaines, IL 60018 • By email: events@saem.org • By Fax: 847-813-5450.

Continued from Page 13

EVENTS

Once you find someone, use the “Add as a contact” feature to add her or him to your personal network.

Under the “Events” tab is a calendar that displays upcoming events, meetings, and deadlines. The calendar will be the central resource for listing all SAEM, Board, academy, interest group, and committee events. It will also feature deadlines and other important time-sensitive items, and includes predefined filters and a search function to help you target the resources that you want to find quickly.

HELP

If you need help, just select the “Help” section and use the resources on the community help desk. SAEM IT staff monitor this section and will respond to your question or comment at their earliest convenience. ◗

Michelle Blanda, MD, of Summa Akron City Hospital, current chair of the SAEM Development Committee, is one individual who took the SAEM Foundation challenge and BECAME ONE. Will you take the challenge and BECOME ONE member who changed the future of academic emergency medicine? Make your donation online today at www.saem.org

Academy for Diversity and Inclusion in Emergency Medicine Our Mission

•To promote equal access to quality healthcare and the elimination of disparities in treatment and outcomes for all groups regardless of race, sexual orientation, disability, or socioeconomic status through education and research •To enhance the retention and promotion of those historically under-represented in medicine and to create an inclusive environment for the training of emergency medicine providers; specifically using the AAMC’s guide “to unite expertise, experience, and innovation to inform and guide the advancement of diversity and inclusion in emergency medicine” •To enhance the professional development of all EM faculty and residents with respect to culturally competent medical care Why is ADIEM important? Although the U.S. population continues to become more diverse, ethnic and racial healthcare disparities persist. The benefits of a diverse medical workforce have been well described, but the percentage of emergency medicine residents from under-represented groups is small and has not significantly increased. ADIEM has partnered in a more powerful way with SAEM, working towards the realization of our common goals of diversifying the physician workforce at all levels, eliminating disparities in healthcare and outcomes, and insuring that all emergency physicians are delivering culturally competent care.

Hello everyone, This is a very exciting time for ADIEM! In a very short period, we have grown to over 125 members and continue to be a driving force for diversity and inclusion for SAEM’s members. As the 2013 SAEM Annual Meeting approaches, I want to update you all on our efforts and plans moving forward. First, in the week of Martin Luther King Jr. Day, I had the pleasure of giving a University wide talk on Diversity and Inclusion at Oregon Health Sciences University. Thanks to Dr. Pat Brunett, former PD and now Associate Dean for GME, for helping to arrange the opportunity.

ADIEM Events at SAEM Business meeting (May 15th 1p-5p - Vinings Rm I [6th floor]) Inaugaral Didactic Presentations (May 16th 8a-10a - International Rm B [6th floor])

“LGBT Health: Educating EM Physicians Second, we would like to again announce that to Provide Equitable and Quality Care” two didactics accepted to the SAEM meeting as noted in the “ADIEM Events at SAEM.” In “Disparities and Diversity in Emergency addition, an abstract entitled “The Prevalence Medicine: SAEM - Where are we now?” of Lesbian, Gay, Bisexual, and Transgendered (LGBT) Health Education and Training in EM Residency Programs: What Do We Know?” was accepted to the Mid-Atlantic and Northeast regional SAEM meetings. This abstract was also accepted to the CORD meeting along with another abstract entitled “Culturally NMA Annual Convention and Competent Education: Assessment of Competency Using Scientiﬁc Assembly New Milestone Criteria.” Third, we will be doing a call for nominations for this year’s ADIEM awards. Stay tuned for communication from Dr. Nestor Rodriguez who is leading this effort. Finally, we continue to push the value of membership in ADIEM to all of the EM community. We thank Dr. Ugo Ezenkwele for his efforts as chair of the membership committee, and also our current members for their support and ask that you continue to spread ADIEM’s mission and message to your colleagues as we continue to grow. Again, thank you for helping to make the mission of ADIEM a reality. We look forward to welcoming you to Atlanta in a few short months. Sincerely, Sheryl Heron, MD, MPH President - ADIEM

www.saem.org : membership@saem.org

Committee members, and break-out session participants) in bringing this very important conference to life this year. Other current undertakings include:

• With GEMA almost two years old, it can clearly be said that the organization is strong and financially solvent. GEMA has added nearly 110 members and counting, making it the third largest of SAEM’s eight Academies. With the hard work and dedication of our members, GEMA has already achieved several important goals, including:

• • • •

• • • • •

Proposing and implementing a tiered-dues structure to meet the financial challenges of members joining SAEM and/or GEMA from resource-limited countries. Enhancing SAEM and GEMA’s presence at several major international emergency medicine conferences. Establishing a formal reciprocally promotional relationship between SAEM and GEMA and Emergency Physicians International magazine. Collaborating with other SAEM entities to establish the first Chief Resident Forum International Scholarship, bringing future leaders in emergency medicine from other nations to the Annual Meeting. Collaborating with SAEM on the formation of the International Outreach Task Force.

As further evidence of our early success, we programmed over 12 hours of last year’s Annual Meeting in Chicago. This included the production of two highquality didactics: one entitled “Training the Trainers Who Train: A Workshop for Those Who Teach Emergency Medicine Elsewhere in the World,” and the other, “More Than Just a Hobby: Building an Academic Career in Global Emergency Medicine.” Both attracted more than 65 audience members. We also, after years of legwork, hosted the first European Society for Emergency Medicine Spotlight. And, in return, the Europeans hosted a similar event in Turkey this fall, spotlighting state-of-the-art research by SAEM and GEMA members.

Enrolling more Global Emergency Medicine Fellowship program directors in GEMA, to make it the de facto home for the fellowship programs. Investigating multiple strategies for increasing our international membership. Preparing for publication a humanitarian code of conduct as a guide for clinicians providing care, conducting research, or teaching abroad. Increasing communication with the American College of Emergency Physicians (ACEP) International Section leadership. Holding successful executive committee elections and assuring seamless transition of leadership in May 2013.

The formation of the GEMA Benefits, Education, and Services Committee (BESC) was announced at last year's Annual Meeting. This committee serves as a think tank for the organization, proposing and bringing to life innovative products and services for our membership, ensuring that they receive value for their membership. As an example, the GEMA BESC is collaborating with the Emergency Medicine Residents’ Association (EMRA) to develop a central database (to be housed on the GEMA webpage) of Global Emergency Medicine Academy members. This will highlight members' educational and research activities, while also serving as a searchable database of mentorship opportunities geared towards learners. Finally, the GEMA Program Committee is working to bring together a broad array of offerings at this year’s Annual Meeting in Atlanta. Here is a taste of what will be on tap Thursday, May 16:

• 8:00 - 9:30 am • 9:30 -10:30 am • 10:30 -10:45 am • 10:45 -11:00 am • 11:00 am -12:00 pm

GEMA Business Meeting and 2nd Annual Awards Ceremony 4th Annual GEMA Global Emergency Medicine Fellowships Showcase Break/Refreshments 2013 AEM Consensus Conference Highlights How to Get Global EM-related Endeavors Published

GEMA has also led the way in the production of a consensus paper outlining safety guidelines for learners traveling abroad to do clinical rotations. This manuscript, entitled “Guidelines for Safety of Trainees Rotating Abroad: Consensus Recommendations from the Global Emergency Medicine Academy of the Society for Academic Emergency Medicine, Council of Emergency Medicine Residency Directors, and the Emergency Medicine Residents’ Association," will soon appear in the Academic Emergency Medicine (AEM) journal. Our Academy has also submitted for publication two other manuscripts based on didactics presented at the 2012 Annual Meeting.

GEMA will also collaborate with the Academy of Women in Academic Emergency Medicine (AWAEM) to present a didactic entitled “Life and a Career in Global Health: Can You Have It All?” on Friday, May 17 from 10:00 -10:50 am. On that same day, GEMA will also present its second didactic, “The Top 10 Global Emergency Medicine Articles from 2012: Highlights from the Global Emergency Medicine Literature Review,” from 11:00 -11:50 am.

As many of you are aware, the 2013 AEM Consensus Conference is entitled “Global Health and Emergency Care: A Research Agenda,” and GEMA has committed itself to being a major supporter of this endeavor. In fact, several members are playing integral roles (in positions including co-chairs, Steering

This overview should provide a sense of where GEMA has been, where it is now, and where it is going as an organization. Membership in this dynamic new SAEM academy is open to all Society members, who are encouraged to check out GEMA's programs at the upcoming Annual Meeting. See you in Atlanta!

THE AMERICAN BOARD OF EMERGENCY MEDICINE CERTIFICATION IN EMS The American Board of Emergency Medicine has been approved to grant certification in the subspecialty of Emergency Medical Services. Certification in EMS is open to any physician who is certified by an American Board of Medical Specialties member board and fulfills the ABEM Policy on Medical Licensure and the EMS Eligibility Criteria. Both documents – the licensure policy and the criteria – as well as the Core Content of EMS Medicine, are available on the ABEM website. (Go to www.abem. org and click on “Subspecialty Certification,” then “Emergency Medical Services.”) The certification application form is also available as a PDF on the ABEM website. The application period for the first EMS certification examination continues until June 30, 2013. The first EMS subspecialty certification examination will be administered October 23-25, 2013, at Pearson VUE professional testing centers.

EMS LLSA ARTICLE SUBMISSION ABEM is also preparing for the EMS Maintenance of Certification (MOC) program. Each physician who attains certification in EMS in 2013 will begin participating in EMS

MOC in 2014. One component of MOC is Lifelong Learning and Self-Assessment (LLSA). LLSA addresses issues of relevance to current practice. The LLSA tests are multiple-choice, openbook tests based on a number of relevant readings. ABEM encourages EMS organizations and individual physicians to submit suggestions for readings. The necessary form and the process for submitting suggestions for LLSA readings can be found on the ABEM website. Go to www.abem.org, and click on “Subspecialty Certification,” “Emergency Medical Services,” and “EMS Maintenance of Certification” to access links to the submission form and process.

ABEM WEBSITE TUTORIALS ABEM has begun producing tutorials that are accessible on the ABEM website. (Go to www.abem.org, and under Quick Links, click on the box labeled “Tutorials.”) The first tutorial demonstrates how to attest to your APP Practice Improvement activity. Future tutorials will explain how to register for an LLSA test and how to attest to your APP Communications / Professionalism activity. If you have an idea for a tutorial you would like to see created, please contact ABEM at 517.332.4800 ext. 345, or email communications@abem.org

CDEM Meetings at SAEM Annual Meeting in Atlanta, GA Educators of all levels are encouraged to attend the following sessions surrounding emergency medicine education.

Thursday, May 16, 2013 8:00am—12:00pm

Friday, May 17, 2013 8:00am—8:50am

9:00am—9:50am

1:00pm—3:00pm

CDEM Business Meeting Conference Room 5 (7th ﬂoor)

Educational Portfolio: Your Secret Weapon for Promotion Didactic, International E-F combined (6th floor) Good to Great: Effective Feedback to Learners with Difficulties Didactic, International E-F combined (6th floor) Hot Topics in Medical Education and Education Research International Room B (6th floor)

AWAEM Didactics

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

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

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

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

CALLS AND M EETING ANNOUNCEM ENTS For details and submission information on the items below, see www.saem.org and look for the Newsletter links on the home page or links within the Events section of the website. The SAEM Foundation is now accepting applications for 2014-2015 The following grants will be offered and have a deadline of August 1, 2013: Research Training Grant – $50,000/yr. (2 year grant) - The Research Training Grant (RTG) is intended to provide funding to support the development of a scientist in emergency medicine. Application Deadline: August 1, 2013 Education Fellowship Grant – $50,000/yr. (2 year grant) – The Education Fellowship Grant will develop the academic potential of the selected fellow by providing support for a dedicated two-year training period that includes an advanced degree in education. Application Deadline: August 1, 2013

New - Education Research Grant - $10,000 (1 year grant) – The Education Research Grant will provide support for a medical education research project. Application Deadline: August 1, 2013 For more details as well as detailed application instructions, please visit the Grants section of the SAEM Foundation website www.saemfoundation.org DON’T FORGET TO VOTE! The deadline for voting in the election for positions on the Board of Directors of SAEM has been extended to Friday, March 22, 2013. SAEM members, log into community.saem.org and fill out the online ballot: Remember, every vote counts!

Save the Dates!

May 2-3, 2013 The Westin Alexandria May 2-3, 2013 Alexandria, VA

The Westin Alexandria Mark your calendars now for the Ninth Annual Physician Workforce Research Conference, Alexandria, VA which will be held May 2-3, 2013 in Alexandria, VA.

Mark your calendars now for the Ninth Annual Physician Workforce Research Conference, which will be held Maypremier 2-3, 2013 in Alexandria, VA. educators, and policymakers to This conference is the opportunity for researchers,

meet and discuss federal and state workforce issues, to listen to invited speakers who are experts in the physician workforce area, and to find out about original workforce research This conference the premier opportunity for researchers, educators, and policymakers to selected through aispeer review process.

meet and discuss federal and state workforce issues, to listen to invited speakers who are experts in the physician workforce area, and to find out about original workforce research This year’s theme is “Workforce Implications of Emerging Care Delivery Models selected through a peer review process. For more information and to submit an abstract, visit the AAMC Meetings page.

This year’s theme is “Workforce Implications of Emerging Care Delivery Models For more information and to submit an abstract, visit the AAMC Meetings page.

The University of California, Davis is sponsoring a conference entitled “Surgical and Trauma Outcomes Research: Current Status and Future Direction,” taking place Friday, March 15, 2013, 9 am to 4 pm, at UC Davis School of Medicine, Sacramento, CA. Please see the online event registration site for more details.

The SAEM Research Committee presents the

2013 Grant Writing Workshop This workshop is designed to improve investigators' skills in successful grant writing through didactics, panel discussions, and focused small group sessions. The course faculty includes federally funded investigators and NIH staff. An optional feedback session will provide registrants the opportunity to receive advice through one-on-one interactions with federally funded investigators. In this individual session, review and feedback will be provided for grants in various stages of preparation. Space is limited and selection for feedback session will be on a "first come, first served" basis. To participate, you must register for the workshop and submit your grant to grants@saem.org. Visit www.saem.org/annual-meeting for more details. This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of Cincinnati and the Society for Academic Emergency Medicine. The University of Cincinnati is accredited by the ACCME to provide continuing medical education for physicians. The University of Cincinnati designates this live activity for a maximum of 7.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AACEM/AAAEM Chairs and Administrators Retreat – Hot Topics in Florida The 5th Annual Association of Academic Chairs of Emergency Medicine and Association of Academic Administrators of Emergency Medicine Retreat will be held at the Turnberry Isle Resort and Spa in Miami, Florida April 7-10, 2013. This meeting has evolved in the past few years to provide an excellent “big picture” educational experience, a valuable forum for discussion and networking, and time for reflection and relaxation in a retreat-style meeting and setting. This year our keynote address will be from Donna Shalala, president of the University of Miami, and former US Secretary of Health and Human Services. Another important session will be a Primer on Healthcare Finances, Cost-Effectiveness Analysis and Research – Defining the Value of EM. Three notable economic and physician leaders will lead the session. We also have sessions on benchmark data, how to combat negative images of EM in the media, patient flow and satisfaction, faculty diversity, GME funding, observation medicine, and multihospital ED networks. A special session on “What’s keeping you up at night?” will explore common issues in small group sessions. The 5th Annual Retreat promises to be an invigorating three days that will make chairs and administrators better able to lead their departments to improve emergency care, education, research, and service on both local and national levels. To register for the retreat, visit the event’s page on the SAEM website.

ACADEM IC ANNOUNCEM ENTS Two academic emergency physicians, David Beiser, MD and Edward W. Boyer, MD, PhD participated in MIT Media Lab’s Health and Wellness Innovation 2013 Hackathon. A two-week international competition for clinicians, engineers, programmers, and behavioral scientists, H&W 2013 seeks to forge radical new collaborations that will catalyze a revolution in medical care. Dr. Beiser’s group, which used biosensing approaches to congestive heart failure, won the award for “Best Use of Data” and “Most Audacious Goal,” while Dr. Boyer’s group won “Best User Experience” for their advanced behavioral interventions to improve antiretroviral adherence. Dr. Beiser is an NIH-funded investigator studying models of cardiac arrest at the University of Chicago, while Dr. Boyer, whose NIH-funded research applies advanced mobile technologies to improve health, is chief of the Division of Medical Toxicology at the University of Massachusetts.

Erik Hess, MD of the Mayo Clinic College of Medicine and a team of investigators including Deborah Diercks, MD, MSc of UC Davis, Jeffrey Kline, MD of Indiana University, and Judd Hollander, MD of the University of

Jesse M. Pines, MD, MBA, MSCE, is

primary author of the article “National Trends in Emergency Department Use, Care Patterns, and Quality of Care of Older Adults in the United States,” published in the Journal of the American Geriatrics Society. View a brief abstract of the article at http://onlinelibrary.wiley.com/doi/10.1111/jgs.12072/abstract

Jeremiah Schuur, MD, MHS was appointed Chief of the Division of Health Policy Translation in the Department of Emergency Medicine at Brigham & Women’s Hospital. Dr. Benjamin Sun, Associate Professor of Emergency Medicine at Oregon Health & Science University, was awarded a 5-year, $3.8M NIH grant (1R01HL111033-01A1) entitled “Improving Syncope Risk Stratification in Older Adults.” This multisite observational study will develop clinical management algorithms that are safe and cost-effective.

SAEM Regional Meetings

Pennsylvania received a $2,039,974 Patient-Centered Outcomes Research Institute (PCORI) award for their project Shared Decision Making in the Emergency Department: The Chest Pain Choice Trial. They will test the effect of a decision aid on patientcentered outcomes (knowledge, engagement, satisfaction), safety, and healthcare utilization in a multicenter patient-level parallel randomized trial of low-risk patients presenting to the ED with non-traumatic chest pain who are being considered for hospital or observation unit admission for cardiac testing.

SAEM has three regional meetings leading up to the Annual Meeting in Atlanta. Regional meetings are a great opportunity to submit abstracts locally and possibly be chosen as one of the top five to be featured from your region at the Annual Meeting. Visit us online at www.saem.org for specific submission deadlines for future meetings.

Western Regional Meeting March 22-23, 2013 Renaissance Long Beach Hotel Long Beach, CA Abstracts Closed

Southeastern Regional Meeting March 23-24, 2013 University of Florida - Jacksonville Jacksonville, FL Abstracts Closed

New England Regional Meeting

l Hal r e t s rs e Po nta h nne t i t a i l w s t e Vi in A top fiv ion! e th ch reg o h a ee w from e s o t are

April 3, 2013 Rhode Island Convention Center Providence, RI Abstracts Closed

CALL FOR PROPOSALS

2015 AEM CONSENSUS CONFERENCE SUBMISSION DEADLINE: APRIL 15, 2013 The editors of Academic Emergency Medicine are now accepting proposals for the 16th annual AEM Consensus Conference, to be held on May 13, 2015, the day before the SAEM Annual Meeting in San Diego, CA. Proposals must advance a topic relevant to emergency medicine that is conducive to the development of a research agenda, and be spearheaded by thought leaders from within the specialty. Consensus conference goals are to heighten awareness related to the topic, discuss the current state of knowledge about the topic, identify knowledge gaps, propose needed research, and issue a call to action to allow future progress. Importantly, the consensus conference is not a “state of the art” session, but is intended primarily to create the research agenda that is needed to advance our knowledge of the topic area. Previous topics have included and will include (2013 and 2014): • 2000: Errors in emergency medicine • 2001: The unraveling safety net • 2002: Quality and best practices in emergency care • 2003: Disparities in emergency care • 2004: Information technology in emergency medicine • 2005: Emergency research without informed consent • 2006: The science of surge • 2007: Knowledge translation • 2008: Simulation in emergency medicine • 2009: Public health in the emergency department: surveillance, screening, and intervention • 2010: Beyond regionalization: integrated networks of emergency care • 2011: Interventions to assure quality in the crowded emergency department • 2012: Education Research in Emergency Medicine • 2013: Global Health and Emergency Care: A Research Agenda • 2014: Gender-specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes Well-developed proposals will be reviewed on a competitive basis by a sub-committee of the AEM editorial board. Proceedings of the meeting and original contributions related to the topic will be published exclusively by AEM in its special topic issue in December, 2015. Submitters are strongly advised to review proceedings of previous consensus conferences, which can be found in the past November and December issues of AEM, to guide the development of their proposals. These can be found openaccess on the journal’s home page on Wiley Online Library http://onlinelibrary.wiley.com/doi/10.1111/acem.2011.18.issue-10/issuetoc Submitters are also welcome to contact the journal’s editors or leaders of prior consensus conferences with any questions, or for copies of submissions from prior years.

Proposals must include the following: 1. Introduction of the topic • brief statement of relevance • justification for this topic choice 2. Proposed conference chairs, and sponsoring SAEM interest groups or committees (if any) 3. Proposed conference agenda and proposed presenters • plenary lectures • panels • breakout topics and questions for discussion and consensus-building 4. Anticipated audience • stakeholder groups/organizations • federal regulators • national researchers and educators • others 5. Anticipated budget, to include such items as: • travel costs • audiovisual equipment and other materials • publishing costs (brochures, syllabus, journal) • meals 6. Potential funding sources and strategies for securing conference funding. How to submit your proposal. Proposals must be submitted electronically to aem@saem.org no later than 5PM Eastern Daylight Time on April 15, 2013. Late submissions will not be considered. The review sub-committee may query submitters for additional information prior to making the final selection. Questions may be directed to aem@saem.org or to the editor-in-chief at editor@saem.org. ◗

Join Us in Atlanta

SAEM Annual Meeting - May 14-18, 2013 at The Westin Peachtree Plaza REGISTRATION NOW OPEN May 14-15th SAEM Senior Leadership Faculty Forum

May 16th SAEM Opening Reception

May 15th AEM CC , Global Health and Emergency Care: A Research Agenda SAEM Grant Writing Workshop

May 17th EuSEM Spotlight May 18th AEUS SonoGames

.org aem s . w ww details for

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

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

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

SAEM INFO SAEMNEWSLETTER NEWSLETTER INFO

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

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

HTTP://WWW.SAEM.ORG/NEWSLETTER-PUBLISHING-GUIDELINES HTTP://WWW.SAEM.ORG/NEWSLETTER-PUBLISHING-GUIDELINES

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Publishing Guidelines

SAEM invites submissions to the Newsletter pertaining to academic emergency medicine in the SAEM invites submissions to the Newsletter following areas:

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



Education in EM residents, off-service residents,

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

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

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

Teach Medicine in a Health System Built to Advance Health, Transform Lives

Emergency Medicine Residency Program Director Reading Health System is seeking a BC Emergency Medicine physician to serve as Emergency Medicine Residency Program Director for Reading Hospital, located in West Reading, PA, with an immediate focus on starting a new Emergency Medicine Residency Program. The ideal candidate will have management and leadership experience in a teaching program with a strong passion for academics. The allopathic EM Residency Program has a projected start date of July 2016. The program director will be responsible for: • Providing leadership in all aspects of the EM Residency Program development and launch. • Building the EM Residency faculty and support team. • Working with Reading Hospital and academic leadership to provide direction and vision for Emergency Medicine education.

Requirements: • • • •

MD or DO degree Board-certified with ABEM Licensed to practice medicine in Pennsylvania Minimum of 5 years of leadership experience in a teaching program

What we offer: • • • • •

Competitive salary Educational loan repayment Sign-on bonus Medical insurance Life insurance

• • • • •

Malpractice insurance Liberal paid time off CME allowance Defined benefit pension plan 403(b)/457(b) retirement plans

About Reading Hospital Reading Hospital is part of Reading Health System, a regional leading health system located in south central Pennsylvania. A 727-bed, not-for-profit independent academic medical center with more than 800 affiliated physicians, Reading Hospital is a leader in advancing our community’s health and wellness, and is one of the region’s major referral hospitals in a number of specialties, including cardiovascular services, neurosciences, oncology, pediatrics and women’s health. The hospital also is a Level II trauma center, providing emergency care for more than 135,000 emergency department patient visits annually. Reading Hospital is a leader in breakthrough technologies, including the Hana table anterior approach to hip replacement, robotic da Vinci Surgery System® and Trilogy® Radiosurgery. Reading Health System is in the process of an enterprise-wide Epic electronic health record implementation. Reading Hospital is a member of the Alliance for Academic Independent Medical Centers (AIAMC) and the Council of Teaching Hospitals (COTH) of the AAMC. Reading Hospital is also a member of the Johns Hopkins Research Network and the Jefferson Research Network. Berks County maintains a perfect balance of urban, rural and suburban settings. Our community offers diverse outdoor and cultural activities, outstanding schools and quality of life with easy accessibility to shore points, airports and major metro areas, such as Philadelphia, Washington, DC and New York City.

For more information, please contact: Michaele M. Glenn: (610) 558-6100 ext. 236, mglenn@tylerandco.com Charlotte C. Tinsley: (727) 940-3313, ctinsley@tylerandco.com Tyler and Company 5 Christy Drive, Suite 108 Chadds Ford, PA 19317 Facsimile #: (610) 558-6101 Hospital website: readinghealth.org Physician website: readingdocs.org

EOE

Save the Date! SAEM Annual Meeting in Atlanta Saturday, May 18, 2013 8 am-12 pm The 2nd Annual

The Academy of Emergency Ultrasound of the Society for Academic Emergency Medicine The purpose of the SonoGamesâ&#x201E;˘ is to allow residencies to demonstrate their skills and knowledge of point-of-care ultrasound in a lively and educational competition. Get your best 3member, ultrasound-savvy residency team ready to compete for the title of SonoChamps 2013 and bring home the SonoCup! Registration will be open in mid-March. Space is limited and preference will be given to early registrants! Please submit questions or inquiries to SonoGames2013@gmail.com

SonoGames Committee: Nova Panebianco, MD; Andrew Liteplo, MD; Resa Lewiss, MD; Geoffrey Hayden, MD; Alice Murray, MBChB

Division of Emergency Medicine University of Washington, School of Medicine Seeks an Assistant or Associate Emergency Medicine Residency Program Director As the University of Washington (UW) Emergency Medicine Residency Program continues to grow, we are seeking candidates for the position of Assistant or Associate Program Director. This is an exceptional and unique opportunity to help lead the further development of this already outstanding emergency medicine residency program. The Harborview Medical Center and the University of Washington Medical Center offer outstanding, wide ranging and unique opportunities for resident education. Additionally, there are excellent and wide ranging opportunities for academic growth of faculty, including collaboration with the UW Department of Medical Education and Biomedical Informatics and the UW Institute for Simulation and Interprofessional Studies (ISIS). Full-time faculty may be recruited at the rank of Assistant, Associate or Full Professor commensurate with experience. The Assistant/Associate PD will work at Harborview Medical Center Emergency Department, which is the only Level I Trauma Center for a 5-state region and sees approximately 66,000 patients per year, and the University of Washington Medical Center Emergency Department, which sees approximately 26,000 patients per year. The UW School of Medicine is a regional resource for Washington, Wyoming, Alaska, Montana and Idaho - the WWAMI states. The UW School of Medicine is recognized for its excellence in clinical training, for its world-class research initiatives, and for its commitment to community service. If you are interested in joining and leading the further development of a world-class Emergency Medicine Residency program and the growing Division of Emergency Medicine at the highly acclaimed UW School of Medicine please send your CV to: Susan Stern, MD; Professor and Division Head, Emergency Medicine; Harborview Medical Center; 325 9th Avenue; Box 359702; Seattle, WA 981042499 (sstern@uw.edu). The UW is building a culturally diverse faculty and strongly encourages applications from women and minority candidates. The University is an Equal Opportunity/Affirmative Action employer.

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

Massachusetts General Hospital, a major Boston teaching hospital and affiliate of Partners HealthCare, Inc. and Harvard Medical School, seeks a Chief to lead the Department of Emergency Medicine. The Chief of Emergency Medicine will lead all aspects of the clinical practice, educational programs, and research activities of the Department of Emergency Medicine at Massachusetts General Hospital, overseeing financial management, personnel and faculty development, facilities and space planning, strategy development, philanthropy, and all other business, operational, and administrative functions. As Chief of Emergency Medicine he/she will participate in institutional strategic planning, development activities, and quality and safety initiatives. The Chief will seek to further the teaching and research missions of the institution, and as such, must qualify for a Harvard Medical School appointment at the Associate Professor or Professor level. The Chief of Emergency Medicine must be a role model for clinical investigators and physicians in training. The position, therefore, requires an outstanding clinician who is a distinguished national and international leader in the field of emergency medicine care as well as an exemplary teacher, with a strong background and outstanding accomplishments in research. The individual must have administrative experience in a sizable clinical enterprise. Interested candidates should submit a letter of application and curriculum vitae to: Keith D. Lillemoe, M.D. Surgeon in Chief and Chief, Department of Surgery Chair, Emergency Medicine Chief Search Committee Massachusetts General Hospital 55 Fruit Street – White 506 Boston, MA 02114 617-643-1010 klillemoe@partners.org Massachusetts General Hospital and Harvard Medical School are equal opportunity/ affirmative action employers. Women and minorities are encouraged to apply.

ECU is an EEO/AA employer and accommodates individuals with disabilities. Applicants must comply with the Immigration Reform and Control Act. Proper documentation of identity and employability required at the time of employment. Current references must be provided upon request

www.ecu.edu/ecuem 252-744-1418

North American Congress of Clinical Toxicology

ORGANIZED BY: AMERICAN ACADEMY OF CLINICAL TOXICOLOGY

EARN OVER 40 CE HOURS

Interested in Pediatric Emergency Ultrasound?? Join SAEM and AEUS! Current membership beneﬁts include access to: «  On-‐line narrated adult and pediatric lectures «  Guidelines on ultrasound educa2on «  AEM Virtual Issue on Emergency Ultrasound «  EUS listserv and leaders in pediatric ultrasound research

Publication

SAEM Newsletter

Run Date

March/April Issue 2013

Section

Academic

Size

1/4 page Print- BW

Price

Plan to attend the 2013 North American Congress of Clinical Toxicology This annual conference allows an opportunity for physicians, Ad# 13-HARV-0006232 pharmacists, nurses, and scientists from around the world to participate in the sharing of knowledge on a wide variety of clinical toxicology topics and issues.

OpportuniBes for AEUS involvement in 2013: «  Development of clinical prac2ce guidelines and creden2aling requirements for pediatric speciﬁc EM ultrasound «  Mul2-‐ins2tu2onal pediatric ultrasound research «  Opportuni2es in mentorship – be a mentor or mentee! «  Become involved in a scien2ﬁc review commiHee For more informaBon visit: HTTP://COMMUNITY.SAEM.ORG/AEUS

Atlanta, GA • September 27-October 2, 2013

Call for Abstracts

NACCT Call for Abstracts The Call for Abstracts submission deadline is April 17th, 2013, at 11:59 pm, EDT. All abstract presenters must register for the NACCT conference.

Visit clintox.org for more information or go directly to prolibraries.com/nacct and enter code: nacct2013.

Charleston, West Virginia – BP/BC EM physician opportunity within EM Residency. Ideal for a physician who enjoys teaching, this threehospital system has 100,000 annual ED visits and includes a Level 1 facility. In addition to Emergency Medicine, there are numerous allopathic & osteopathic residencies; as well as rotating medical and allied health students. Equity-ownership group provides outstanding package including family medical, employer-funded pension, CME, malpractice, plus shareholder status at one year with no buyin. As West Virginia’s largest city, Charleston offers both metropolitan amenities and easy access to outstanding outdoor recreation. For additional information, contact Rachel Klockow Premier Physician Services rklockow@premierdocs.com (800) 406-8118, fax (954) 986-8820

May 14-15, 2013 Atlanta, GA

Registration Open www.saem.org

Equity-ownership group | Family medical Employer-funded CME, malpractice insurance and pension Shareholder status at one year with no buy-in

Make sure you’re on the he right path path, join SAEM ffor this one of a kind leadership experience. Where leaders of emergency medicine will discuss with participants; what makes a good leader, how to play to your strengths, and what is your leadership compass.

Follow Premierdocs

Excellent opportunity for those starting off their career or veterans who need new focus.

www.premierdocs.com

New Endowed Faculty Position In Violence Epidemiology University of California, Davis School of Medicine The Violence Prevention Research Program in the Department of Emergency Medicine is seeking to fill a faculty position at the Associate or Full Professor-in-Residence level. Its focus is on the design and execution of large-scale observational and experimental research into violence and its prevention. This faculty member will serve as VPRP’s Associate Director and as the Vice Chancellor’s Chair in Violence Prevention, an endowed position. The Vice Chancellor’s Chair will conduct independent research, collaborative research, teaching, and mentoring. Applicants must possess a doctoral degree in epidemiology, medicine, or a related discipline. There must be an established record of independent and collaborative research on violence or injury, including demonstrated experience in the design, conduct, and reporting of large-scale observational and/or experimental studies. The position is open to both clinicians and non-clinicians. Please see the full announcement at http://www.ucdmc.ucdavis.edu/vprp, Review of applications will begin in March 2013 and will continue until position is filled. Applicants should send a cover letter outlining their qualifications and areas of interest; a CV; and contact information for five references to Garen J. Wintemute, MD, MPH, at gjwintemute@ucdavis.edu.

SAEM Senior Leadership Faculty Forum

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

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** You may choose to join as many academies as you like. Prices are arranged as follows: The first price listed is for Faculty, Associate, YP1, YP2, & AAAEM. The second price listed is for Residents and Fellows. The third price listed is for Medical Students.

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

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***The first interest group selection is FREE. Every interest group membership thereafter is $25.00 each. You may choose to join as many interest groups as you like.

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Please submit Membership Application to SAEM • By Mail: SAEM, 2340 S. River Road, Suite 208, Des Plaines, IL 60018 • By E-mail: membership@saem.org • By Fax: 847-813-5450.

Society for Academic Society for Academic Emergency Medicine

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

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FUTURE FUTURE SAEM SAEM ANNUAL ANNUAL MEETINGS MEETINGS 2013 2013 SAEM Annual Meeting SAEM Annual Meeting May 14-18 May 14-18 Peachtree Plaza, Atlanta, GA The Westin The Westin Peachtree Plaza, Atlanta, GA AEM Consensus Conference AEM Conference May 15,Consensus 2013 May 2013 Health and Emergency Care: Topic:15, “Global Topic: “Global Health and Emergency Care: A Research Agenda” Co-Chairs: A Research Agenda” Stephen Hargarten, MD, MPH Co-Chairs: Mark Stephan Hargarten, Hauswald, MDMD, MPH Mark Hauswald, MD Jon Mark Hirshon, MD, MPH Jon Mark Hirshon, Ian B.K. Martin, MDMD, MPH Ian B.K. Martin, MD

SAEM Senior Leadership SAEM Leadership Forum Faculty Forum May May 14-15, 14-15, 2013 2013 Topics: Topics: “Leadership” “Leadership” “Developing “Developing and and Sustaining Sustaining aa Vision” Vision” “Strategic “Strategic Planning” Planning” “Building “Building aa Team” Team” “Conflict Resolution” “Conflict Resolution” “How “How to to Run Run aa Meeting” Meeting” “ED Operations “ED Operations Overview” Overview” “Change “Change Management” Management” “Negotiating “Negotiating for for Your Your Dept./Faculty” Dept./Faculty” “Overview of Dept. Finances” “Overview of Dept. Finances” “Communication “Communication Skills” Skills”

2014 2014 SAEM Annual Meeting May 14-17 Sheraton Hotel, Dallas, TX

2015 2015 SAEM Annual Meeting May 13-16 Sheraton Hotel and Marina, San Diego, CA