SAEM REPORTS INTEREST GROUP REPORTS

Evidence Based Healthcare and Implementation Interest Group

Second Annual Engineer Award Winner Announced

In honor of Dr. Rakesh Engineer (1970-2019), the SAEM Evidence Based Healthcare and Implementation Interest Group introduced the Rakesh Engineer Award at SAEM22. This award recognizes a high-quality oral or poster presentation at the SAEM Annual Meeting utilizing implementation science showing sustained positive change. This year’s winner was “Large Scale Implementation of Fascia Iliaca Compartment Blocks in an Emergency Department” by Joshua Jacquet, MD (@MedCramUS); Robert Stenberg, MD (@POCUSaurusRex); Tony Downs, MD (@Downs2Ta); Jno Disch, MD; Nicholas Kolodychuck, MD; Lance Talmage, MD; Erin Simon, DO (@drerinsimon); Anita Meehan, APRN, RN-BC; and Jessica Krizo, PhD.

The winning project utilized a multidisciplinary approach to help improve the care of patients with hip fractures in the emergency department (ED) by utilizing fascia iliaca compartment blocks (FICBs) for pain control. Regional blocks like the FICB have been shown to be effective at reducing pain, risk of pneumonia, time to first mobilization, and cost. Dr. Jacquet and his study team utilized a multidisciplinary group of nursing, orthopedics, anesthesia, emergency medicine (EM), pharmacy, and point-of-care ultrasound (POCUS) experts to develop a protocol for FICB use, which they summarized into one-page educational handout. At the same time, a core group of emergency physicians trained with anesthesia in the PACU, where these blocks are routinely performed postoperatively. This core group of emergency physicians championed the rollout of the protocol and education to the rest of the emergency physicians.

Their novel program showed significant success. Of eligible physicians, 86% were credentialed to perform FICB (achieving the goal of >80%), and 54% of eligible patients received one.

We interviewed Dr. Jacquet about the success of the project and what learning points he had to share with others. His big take home point: with a multidisciplinary, multifaceted, protocolized approach, large-scale implementation of ED FICB for acute hip fractures is feasible.

His multidisciplinary team had the advantage that the implementation project was initiated at an institution where a multidisciplinary institutional workgroup evaluating how to improve fragility hip fracture care was already underway, although that is not necessary.

He has a few tips for those considering similar projects:

• Involve all stakeholders early

• Focus on patient-centered outcomes

• Anticipate barriers to implementation and develop strategies to mitigate these pre-emptively

• Stay flexible, be patient, be collegial, learn and adapt as you go

• Expanding upon the project is key to sustain the results of the project

To address sustainability, they attempted to anticipate barriers to implementation and address them preemptively as well as address ongoing barriers. They continue to provide multifaceted education (online, in-person, simulation, etc.) and feedback to EM providers. Educating and giving feedback on shift and having easy access to a FIBC simulator are key components of engaging the faculty. They are also working to cultivate a culture of ultrasound-guided regional anesthesia in the ED.

Future plans for this work include expanding to other EDs, expanding to other regional and nerve blocks, and a new study comparing the pericapsular nerve group block to the FICB for hip fractures.

Submitted by Joshua Davis, MD (@MedFactChecks); Peter Wyer, MD; and Carly

Eastin, MD

Committee Reports

Nominating Committee

An Opportunity to Shape Academic Emergency Medicine

SAEM23 was a success and our biggest event yet! As we reflect on so many accomplishments of our fellow academic emergency physicians and SAEM as an organization, we want to inspire you to consider being a leader and help guide the trajectory of our organization and our specialty.

Although we have many years of training, and service to our patients, trainees, and our organizations, we may still question our ability to serve as a leader. We all experience some version of the imposter phenomenon. To learn more about the nominating nuts and bolts, please check out this Nominating Committee Q&A video which discusses the mission and vital role our members play in electing our future leaders.

Once elected to the Nominating Committee, members typically serve in many roles over many years.

Elected roles include:

• Nomination Committee membership (2-year appointment)

• Bylaws Committee membership (2-year appointment)

• SAEM Board of Directors member-at-large (3-year appointment; up to 6 years consecutively)

• SAEM Board of Directors resident representative (1-year appointment)

• SAEM Board of Directors secretary-treasurer (1-year appointment)

• Executive leadership (3-year appointment as president-elect, president, and past-president)

Other leadership opportunities with RAMS, AACEM, SAEM Foundation, and Academy Executive Committee leadership roles

Key Dates:

• September 27, 2023: Nominations open

• October 10, 2023: Nominations close

• January 31, 2024: Election opens

• February 23, 2024: Election closes

As you consider stepping up for any of the SAEM leadership roles, here are some tips from Nominating Committee member, Dr. Prasanthi (Prasha) Govindarajan:

• Start when you feel the time is right for you; earlier is better.

• Proactively transition from being a member to serving in an interest group or committee leadership role.

• Learn through engagement and networking as you develop leadership skills.

• Reach out to current and past leaders to understand the role, time commitments, and workflows.

• Be a part of a larger community. You do not have to journey through academic emergency medicine alone.

In short, you have a fantastic choice to make to be a leader. Seek opportunities, engage early, give your fullest potential, support each other, and contribute to the mission through service to our academic community and SAEM.

We wish you the best in your leadership journey within SAEM. The future is bright for academic emergency medicine with you in it!

Submitted by Al’ai Alvarez, MD, Prasanthi (Prasha) Govindarajan, MD, and Ali Raja, MD

Academy Reports

Clerkship Directors in Emergency Medicine Congratulates This Year’s Award Recipients!

Theresa Plater

Clerkship Coordinator of the Year

Theresa Plater is the clerkship coordinator at Georgetown University School of Medicine/ Medstar Health for the past 14 years assisting over 3,000 medical students though clerkships to date.

Megan Henn, MD

Clerkship Director of the Year

Dr. Henn is the clerkship director at Emory University and she developed a curriculum for remote learning, the transition back to in personal clinical rotations, and developed a mentoring program for underrepresented students.

Julianna J. Jung, MD Distinguished Educator

Dr. Jung is an education leader at Johns Hopkins University School of Medicine and in the national EM community. She has served on the CDEM Executive Committee as the president in addition to other roles in the past.

Matthew Malone, MD

Innovation in Medical Education

Dr. Malone designed and executed a virtual reality simulation experience for students with over 200 cases at The Ohio State University College of Medicine.

Earl Karl, MD Medical Education Fellow Travel Award

Dr. Karl is completing a medical education and simulation fellowship and pursing a master’s in health professions education at Hennepin County Medical Center.

Ulia Pecheny, DO Medical Education Fellow Travel Award

Dr. Pecheny is a medical education fellow and pursuing a master’s in science for health professions education at the University of Rochester.

Douglas Rappaport, MD, Young Educator of the Year

Dr. Rappaport organizes resident rotations and developed a medical student clerkship for a newly opened medical school associated with the Mayo Clinic.

SAEM Academies and Interest

Groups Are FREE to Join!

SAEM Academies and Interest Groups provide a means for members of the Society with a special interest or expertise to meet and network, share information and ideas, and collaborate on initiatives pertaining. Membership is free for SAEM Members.

1. Log into SAEM.org

2. Click “My Participation” in the upper navigation bar

3. Under “My Participation” click the “Update (+/-) Academies or Interest Groups”