27 minute read
21 Know Before You Go
22 KNOW BEFORE YOU GO
We Can't Wait to Welcome You to SAEM22!
SAEM is looking forward to welcoming 3,000+ attendees to our first in-person annual meeting since 2019! If you’re planning on joining us for what’s shaping up to be a record-breaking event, this “Know Before You Go” will give you everything you need to make the most of your annual meeting experience.
See You in New Orleans
New Orleans is a feast for the senses, a vibrant city filled with rhythm and soul and memorable flavors. A true melting pot of people and cultures. A city unlike any other in the world, where everyone is welcome. It’s a perfect place for an SAEM “homecoming” and this article will give you everything you need to “Know Before You Go.”
The Sheraton New Orleans: Your SAEM22 Host Hotel
The Sheraton New Orleans Hotel, 500 Canal Street, New Orleans, Louisiana, is the official host hotel for meetings, education, and several social events at SAEM22. The Sheraton New Orleans Hotel meeting space is located on floors 1-5 and is accessible via escalator with additional space on the eighth floor, which is accessible by elevator.
Getting Around New Orleans
The SAEM22 Host Hotel’s central location and close proximity to the French Quarter, downtown, and the Arts/ Warehouse District, means you may be able to walk to all of your destinations, but if you’re looking for alternative ways to explore the city and access NOLA’s diverse neighborhoods, there are lots of options for transportation. • New Orleans Maps • Streetcars • Cabs/Taxis • Limousines • Ride-sharing • Bike Share • Accessible transportation • Transportation directory
Things to Do
Whether this is your first time to New Orleans or you’re a seasoned visitor, the city’s invigorating spirit is sure to inspire, captivate and motivate you to jump in and see and do. While the nightlife in New Orleans is legendary, there are also tons of great places to wind down and relax (there’s a reason it’s nicknamed “The Big Easy.”) Whether your jam is music, culture, history, art, architecture, or something else, New Orleans has something for you. • Tours • French Quarter • Nightlife • Attractions • Music • Cultural Arts • Shopping • Mystical/Haunted
New Orleans • New Orleans for First Time Visitors • History • Family • LGBTQ • Recreation & Outdoors • Architecture
Where to Eat and Drink
The New Orleans dining scene is a brilliant reflection of the city’s diverse history, culture, and neighborhoods. Choose from more than 1,000 eateries where top chefs are waiting to spoon the gumbo, blacken the redfish, smoke the pork, and plate the dishes. You can dine healthy, eat fried seafood, devour po-boys, and explore ethnic cuisine at Vietnamese pho houses and Salvadoran pupuserias. There’s really no better place to feed your body and soul than New Orleans. • Find Restaurants • Where to Eat • Top Cajun Restaurants in
New Orleans • Find a Place to Drink • Where to Drink • Classic New Orleans Cocktails
Facts About the French Quarter
The heart and cultural center of New Orleans is the French Quarter — the “Vieux Carre.” Often called the Crown Jewel of New Orleans, the French Quarter is where the old and new come together to create a charm found nowhere else in the world. The reimagined French Market, modern boutiques, and artisan cocktails mix with beloved antique stores, time-honored restaurants, and an historic collection of French, Spanish, and Creole architecture. Come dusk, swallows glide above the fortunetellers on Jackson Square, St. Louis Cathedral’s butter-crème-colored walls reflect the fiery sunset, ghost tours troop past mad Madame LaLaurie’s mansion, and neon signs flutter to life on Bourbon Street. As night falls, horse hooves clop, music throbs, and gaslights flicker in a place full of long-told legends and those waiting to be born. • French Quarter Attractions • French Quarter Restaurants • French Quarter Nightlife • French Quarter Shopping
22 KNOW BEFORE YOU GO
Getting the Most Out of SAEM22
Registration
If You Preregistered…
You received a barcoded email confirmation. Please save this to your mobile device or print it out to scan at our convenient, self-serve, preregistration kiosks, located near the SAEM22 registration desk. Forgot your confirmation? No problem! Just touch “User Lookup” on the screen and search for your name. Hit print and your badge and any applicable tickets will print out. Badge holders and lanyards will be available at the kiosks.
If You Are Registering On Site
As always, we will have a fully staffed registration desk available for those who need to add sessions or register on site. The SAEM22 registration area is located on the Grand Ballroom Foyer: Fifth Floor. Registration hours are: • Monday, May 9, 3–6 p.m. • Tuesday, May 10, 7 a.m.–6 p.m. • Wednesday, May 11, 7 a.m.–8 p.m. • Thursday, May 12, 7 a.m.–6:30 p.m. • Friday, May 13, 7 a.m.–2:30 p.m.
Please note that annual meeting participants (members, nonmembers, partners, children, guests) must register and wear badges for admission to sessions, the exhibit hall, and most events.
Speaker Ready Room
Presenters who need to upload presentations on site must bring their presentations saved on a USB/flash drive to the Speaker Ready Room (Gallier AB: Fourth Floor) the night before your presentation. Onsite aids will be on hand to upload your presentation from your flash drive. There will not be an opportunity to preview or edit your presentation on site, so please be sure your presentation is in its final form. Speaker ready room hours are: • Monday, May 9, 3–6 p.m. • Tuesday, May 10, 7 a.m.–6 p.m..
• Wednesday, May 11, 7 a.m.–6 p.m.. • Thursday, May 12, 7 a.m.– 6 p.m. • Friday, May 13, 7 a.m.–2 pm.
Mobile Tools
SAEM Annual Meeting App
Navigate SAEM22 like a pro by downloading the SAEM Annual Meeting app! Simply download the app from the Apple App Store or Google Play, then sign in with your SAEM username and password to launch the app. Browse through the full list of Advanced EM Workshops, educational sessions, meetings, events, and more. Review abstracts, learning objectives, and speakers for educational sessions. Find links to travel information and local dining and activities. Scope out the exhibit hall with the online floor plan and create your must-see list of exhibitors. As you browse, customize your schedule to create your individualized program before you arrive. Visit the App Desk located at the Napoleon Ballroom Foyer: third floor for assistance in downloading or navigating the SAEM Annual Meeting App.
Additional Information
Social Media
Follow us on SAEM Facebook and Twitter @SAEMOnline and @SAEM_RAMS (#SAEM22) during the annual meeting for up-to-date meeting announcements...and be sure to share your insights with other meeting attendees. Look here for social media best practices and suggestions on what to share.
Wireless Internet Access
Especially for Residents and Medical Students!
Residents and medical students, RAMS Members… when you see this icon next to Look for This Icon an abstract, didactic, workshop, event or activity, that’s your sign that it is something you will find extra value in attending. For more tips to help prepare you for the upcoming SAEM Annual Meeting in New Orleans, check out this awesome video courtesy of SAEM RAMS. In the video, Mariame Fofana, MD, RAMS Board Member-at-Large, highlights suggestions to help you get the most from #SAEM22 in New Orleans.
wireless Internet access. Wi-Fi will be available in the meeting space of the Sheraton New Orleans host hotel during SAEM22.
Username: MarriottBonvoy_Conference Password: SAEM2022
SAEM22 Online Education
SAEM22 educational content will be open access and available online at SOAR (SAEM Online Academic Resources) beginning August 1. Experience convenient online and mobile viewing of Advanced EM Workshops, didactics, and forums — more than 120 hours of original educational content from SAEM22. Downloadable PDFs and MP3 files provide convenient, on-the-go viewing. Watch presenters’ slides while listening to fully synchronized audio. Just log in with your SAEM username and password to enjoy the content.
Family Room
Our private family room, located on Rampart: Fifth Floor, will be equipped with everything to meet baby and parent needs: refrigerator, wipes, sanitizer, burp cloths, changing table, comfy chairs, water and snacks. Visit the SAEM22 Family Room during these hours: • Tuesday, May 10, 7 a.m.–6 p.m. • Wednesday, May 11, 7 a.m.–8 p.m. • Thursday, May 12, 7 a.m.–6:30 p.m. • Friday, May 13, 7 a.m.–2 p.m.
COVID-19 Policy and Protocols
SAEM continues to monitor and follow the latest CDC guidelines for the SAEM Annual Meeting. To that end we welcome, but do not require, wearing face masks while at SAEM22 sessions, meetings, and events. We also ask that attendees complete a personal health screening each morning prior to joining the conference. If you are feeling unwell or experiencing any symptoms, please isolate and do not attend.
Need Assistance?
App Help Desk
Visit the App Desk located at the Napolean Ballroom Foyer: Third Floor for assistance in downloading or navigating the SAEM Annual Meeting app.
Medical Student Ambassadors
SAEM’s Medical Student Ambassadors will be stationed throughout the Sheraton New Orleans Host Hotel to help. They will be wearing blue, SAEM-branded jackets, so they’ll be easy to spot. Additionally, SAEM staff will be at the registration desk during registration hours and at SAEM Booth #212 during exhibit hours to lend a hand.
New to SAEM or the Annual Meeting?
Will this be your first time attending the SAEM Annual Meeting or are you a new member of SAEM? Please stop by SAEM Booth #212 in the exhibit hall during exhibit hours and introduce yourself, have a professional headshot taken, grab a tee shirt and some SAEM swag, enter a for a drawing to win some fun prizes. Our friendly staff are excited to mee you and tell you about SAEM’s programs and services and how to get the most from the annual meeting.
SAEM22 Exhibitors
VIP Table Sponsors: SAEM RAMS Party at House of Blues
EXHIBITOR BOOTH
3rd Friday
403 Abbott Point of Care 114 American Board of Emergency Medicine 307 American College of Emergency Physicians (ACEP) Accreditation Programs 404 AMBOSS 107 Apollo MD 305 AstraZeneca 402 AstraZeneca 401 Atlantic Pension Planning 313 Auburn University, Physicians Executive MBA Program 400 Baxter Healthcare Corporation 412 BD 115 BRC 200 bioMérieux 203 BioXcel Therapeutics 207 BioXcel Therapeutics - Medical Affairs 405 BTG Specialty Pharmaceuticals 103 Caire Health 113 Plan time in your schedule to visit the SAEM22 Exhibit Hall in Grand Ballroom C, D, E: Fifth Floor. Have a complimentary professional headshot taken, Visit with the 47 exhibitors who will be on hand to showcase their latest products and services. Use the SAEM22 Online Program Planner to view the online floor plan and browse by company name or booth to create your must-visit list of exhibitors.
Exhibit Hall Hours
5:00 PM - 6:00 PM
7:00 AM - 9:00 AM 7:00 AM - 8:00 AM 9:00 AM - 12:00 PM 12:00 PM - 4:00 PM 12:00 PM - 1:00 PM 2:30 PM - 3:00 PM
TUESDAY, MAY 10, 2022
Exhibitor Kickoff Party
WEDNESDAY, MAY 11, 2022
Exhibit Hall Open Networking Breakfast in Exhibit Hall Exhibit Hall Closed Exhibit Hall Open Light Lunch in Exhibit Hall Power Break in Exhibit Hall
THURSDAY, MAY 12, 2022
Exhibit Hall Open Networking Coffee Service Light Lunch in Exhibit Hall Exhibitor Move Out
EXHIBITOR
Ceribell, Inc Clarius Cytovale EMrecruits Emergency Care Partners Emergent Medical Associates Envision Physicians Services EPOWERdoc Inc. Fisher & Paykel Healthcare Icahn School of Medicine at Mount Sinai Integrated WealthCare Janssen Pharmaceuticals, Inc. LumiraDx Mayo Clinic Medical College of Wisconsin Medical Reimbursement Inc. Me-Med
BOOTH
102 414 217 116 111 202 213 303 312
306
304 117 302 105 314 407 316 Mindray 215 Money Script Wealth Management 204
EXHIBITOR BOOTH
MorTan, Inc (The Morgan Lens) 406 Penn State Hershey Medical Center 311 Philips 206 Rare Disease Therapeutics, Inc. 201 Splash Cap 410 Surgical Science – Simbionix Simulators 416 Team Health 315 The Permanente Medical Group, Inc. 317 The Society for Academic Emergency Medicine 212 University of Colorado Denver 301 US Army - 5th MRB Health Care Medical Recruiting 409 USACS 300 Vituity 210 Yale School of Medicine, Department of Emergency Medicine 101
BINGO 22
BINGO
The highlighted exhibitors are participating in bingo.
• University of Cincinnati, College of
Medicine, Department of Emergency
Medicine • Massachusetts General Hospital,
Department of Emergency Medicine • LSU Health - Shreveport, Department of Emergency Medicine • The Ohio State University, College of
Medicine, Department of Emergency
Medicine • Washington University at St. Louis,
School of Medicine, Department of
Emergency Medicine • Emergency Medicine Residents'
Association (EMRA) • Columbia University, Department of
Emergency Medicine • Medical College of Wisconsin,
Department of Emergency Medicine • Stanford University, School of Medicine,
Department of Emergency Medicine
Defining Excellence in Diverse Ways: A Necessary Shift in Medical Student and Resident Trainee Selection
By Keme Carter, MD and James Ahn, MD, MHPE on behalf of the SAEM Clerkship Directors in Emergency Medicine academy
In 2022, medicine continues to suffer from a lack of diversity. This continuing problem in medicine, and especially in academic medicine, is multifactorial; however, we must acknowledge that this problem has deep historical roots in the inequitable educational system of our country and the selection practices in higher education and training. With the passage of the Civil Rights Act in 1964, overtly discriminatory student and resident selection practices and policies became unlawful, and the Association of American Medical Colleges (AAMC) launched initiatives to increase the number of Black students enrolled in medical schools. While these initiatives did result in increased numbers of Black medical students, we continue to see that the percentage of medical students and residents who are underrepresented in medicine (URiM) does not reflect the percentage of residents in the United States (U.S.) who share those identities. The AAMC reports that although 13% of the U.S. population identifies as Black, only 3.6% of academic physicians identify as Black or African American. This nation has a compelling interest in recognizing that the underrepresentation of the American public in medicine hinders the health care system, and the ability to address inequities within said system. Further, the lack of diversity in academic medicine is deleterious to the training of all trainees, as a diverse workforce can inform new frameworks of education, research, and training. In addition to addressing “leaky pipelines” within the educational continuum, we propose a reframing of how selection committees evaluate applicants. More specifically, medicine, as a discipline, needs to fundamentally change traditional definitions of excellence that deem students and residents as “qualified” to join their training programs. This paradigm shift can serve as a critical intervention point to increase diversity along the continuum of medical training. Currently, entry into medical school and residency relies heavily upon traditional metrics of excellence that can be described as monolithic at best. Despite many types of evaluation measures showing evidence of racial bias, the indelible belief that these measures inherently deem an applicant worthy of medical school and residency selection may be cemented in the consciousness of some selection committees. As an example, standardized tests scores have demonstrated racial bias; these are not novel findings. Yet, these scores
persist as key markers for entrance into the house of medicine. And, while we acknowledge that the use of standardized test scores will vary by program and by stage of the selection process, they assuredly remain an important factor in medical school admissions and residency selection. Those who hold the keys to medical school and residency entry cannot deny the existence of deeply embedded economic, social, and educational structures and their significant influence on the pathway to medicine. Indeed, these structures disproportionately and negatively affect the test scores of URiM students decades before they even apply to medical school or residency. High intellect is, most certainly, required to care for patients, drive innovation, and advance the discipline of medicine. What is equally true is that using the historical standard of metrics to primarily define excellence, narrow the applicant pool, and predict success as a physician is inequitable and unfounded. Continuing to rely on these standards that have demonstrated significant flaws as primary indicators of excellence will unquestionably continue to limit the diversity of our physician workforce.
As educational program leaders who have had success in diversifying our medical school and emergency medicine residency training programs in our institution, we submit that a move toward holistic review is a crucial step toward increasing representation in medicine. The practice of holistic review (giving balanced, flexible, and individualized attention to applicants’ experiences and metrics) was developed in response to the opposition to race-conscious selection practices. Implementing holistic review allows for the selection of more missionaligned applicants and is one way to work towards diversifying training programs. The benefits of this process are many and include: • an enriched learning environment for all; • the advancement of population health (as URiM trainees have been shown to be more likely to serve under-resourced communities); and • and the enhanced ability of the future workforce to solve problems in medicine.
For holistic review to be successful, however, we have found that a deliberate approach and a willingness to define excellence in diverse ways is necessary. We propose the following framework to approach holistic review: 1. Define a mission. This mission statement will provide the lens through which your committee review all applicants. 2. Develop application screening and interview evaluation rubrics that are clearly tied to the program’s mission.
Similarly, de-emphasize traditional metrics that have been documented as racially biased or otherwise flawed 3. Consciously reframe how excellence is defined and ask different questions that indicate potential for success as a physician. Examples:
CLERKSHIP CORNER
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• How did the applicant perform and what were they able to accomplish with the resources they had? • How did the applicant demonstrate altruism and compassion? • How did the applicant demonstrate industriousness and resourcefulness? • How did the applicant demonstrate resilience? • How did intellectual curiosity manifest in the application? • In what ways did the applicant show potential for leadership? • What is the applicant’s academic or clinical performance trajectory? • How has the applicant demonstrated the intrinsic motivation to serve the patient population that we serve?
While holistic review to inform selection is important, this cannot be the sole action to solve the diversity problem that is apparent at the medical student, residency, and faculty levels. Ensuring adequate representation at every level of training and practice requires the collective work of everyone. Medical school admissions and residency program leadership have the responsibility of not only applying best practices such as holistic review, but also continuously pushing towards more equitable review and selection processes. Leaders that can grant entrance to the house of medicine must continue to recognize the historical context and barriers to medical education and training, acknowledge that systems of training were not originally built to accommodate learners of diverse educational and identity backgrounds, and lead the change required to enrich our educational environments to best serve our communities. This begins with a systematic and informed renovation of our evaluation and selection structures to fundamentally change how we select our physicians of the future. We acknowledge that such efforts will be difficult and strenuous, but the importance of holistically evaluating applicants and defining excellence in diverse ways cannot be overstated as the well-being of our patients, our trainees, and the health care system is at stake.
ABOUT THE AUTHORS
Dr. Carter is an associate professor in the section of emergency medicine at the University of Chicago where she serves as associate dean for admissions at the Pritzker School of Medicine, associate vice-chair for diversity, equity, and inclusion education in the Department of Medicine, and emergency medicine clerkship director. @KemeCarter
Dr. Ahn is an associate professor in the section of emergency medicine at the University of Chicago where he serves as emergency medicine residency program director and director of the emergency medicine medical education fellowship program. @ahnjam
About CDEM
Clerkship Directors in Emergency Medicine (CDEM) represents the interests of undergraduate medical educators in emergency medicine. It serves as a unified voice for EM clerkship directors and medical student educators and provides a forum for them to communicate, share ideas, and generate solutions to common problems. For more information, visit the CDEM webpage. As an SAEM member, you may now join as many academies* and interest groups as you choose. Just log into your member profile and click on the "Update (+/-) Academies and Interest Groups" button.
Clinical Resuscitation Fellowships and the Role of the Emergency Department Resuscitationist
By Alexander Bracey, MD; Luke J. Duncan, MD; Neil Dasgupta. MD; Gregory P. Wu, MD; Ryan N Barnacle, MD; Arman A. Sobhani, MD; Scott D. Weingart, MD, and Brian J. Wright, MD, on behalf of the SAEM Critical Care Interest Group
Emergency medicine (EM) is quintessentially defined by adaptability. It is evident in our daily operations, in every patient encounter in which we manage undifferentiated presentations with little contextual information, and when we routinely provide care in every nook of the emergency department (ED). Furthermore, EM has pioneered asynchronous learning, Free Open Access Meducation (FOAMed), and fellowships in a wide breadth of fields. Since its inception, our field has innovated to meet the growing needs of our patients.
The recent explosion in critically ill patients presenting to the emergency department has posed unprecedented challenges to patient care. Meanwhile, inpatient hospital beds, particularly ICU beds, have not expanded to meet this additional volume, and thus, EDs have been forced to accommodate the overflow. It is now routine to have patients remain within the emergency department for prolonged periods while awaiting placement to a physical hospital bed (commonly called “boarding”). Various models have been proposed to address the boarding of critically ill patients, though there is no single solution to this complex issue. While identification and subsequent resuscitation of the critically ill patient is at the core of EM training and practice, the management of such patients beyond the acute and immediate post-resuscitation phases of care is traditionally performed by intensivists. Moreover, critically ill patients boarding in the ED are associated with worse outcomes, including increases in length of stay, ventilator days, organ dysfunction, and mortality. The COVID-19 pandemic has further accentuated these issues. EM has again been called on to adapt. To address the needs of the increasingly prevalent and complex critically ill patients in the ED, Stony Brook University Hospital developed the first Clinical Resuscitation Fellowship (CRF) and graduated its inaugural class of resuscitationists in 2016. The aim of a CRF is to provide additional specialized training to emergency physicians (EPs) in the management of critically
ill patients from the time of ED arrival through stabilization and disposition. A CRF focuses on the first 24 hours of critical care, extending beyond the traditional duration and scope of ED care. EM residencies typically focus on the immediate steps of stabilization and differentiation of clinical pathology in critically ill patients to a point where an ICU bed or operative theater is available and a transition of care occurs. CRFs aim to deepen the knowledge of critical care during and after the initial resuscitation period, building upon the broad foundation of the EP’s knowledge base to incorporate common critical care procedures and techniques, while developing mastery of rapid escalation of critical care interventions. CRFs also expand on the core knowledge of EPs to include a fluency in the maintenance and de-escalation of critical care, which is of particular importance as the frequency of critically ill patients presenting and subsequently boarding in EDs continues to increase. This is accomplished by providing trainees with an expanded clinical experience that includes a primary focus on the care of critically ill patients in the ED, supplemented with additional rotations in a variety of ICU settings. This additional training experience allows fellows to refine their management skills beyond the experience provided in a three- or four-year EM residency.
Clinical Resuscitation Fellowships focus on EPs that desire an expanded critical care skill set, but do not wish to practice in a dedicated inpatient ICU setting. A broader scope of practice for such resuscitation specialists, or “resuscitationists,” can reduce the demands on increasingly limited, resource-intensive environments (e.g., intensive care units, intermediate care units) by accomplishing resuscitative goals in the ED-ICU environment in patients with time-limited critical illnesses. Examples of patient presentations that benefit from a strategy of aggressive ED-based resuscitation include diabetic ketoacidosis, undifferentiated dyspnea requiring non-invasive positive pressure ventilation, agitated delirium, intubated trauma patients not requiring operative intervention, among others. Through the interdisciplinary lens of EM, fellows gain skills and knowledge beyond the typical scope of the EP and draw best practices and evidence-based methods from the spectrum of intensive care disciplines.
During the training year, resuscitation fellows function primarily as dedicated physicians for the critically ill patients within the emergency department. In this role, fellows can focus on providing immediate and continuous comprehensive care to critically ill patients. This focus allows fellows to gain valuable experiences without the additional cognitive burden of managing the entirety of a busy emergency department. Fellows have additional opportunity for refinement and extension of core emergency medicine resuscitation knowledge, including cardiac arrest management, management of the shocked patient, ventilator management, advanced ultrasound techniques, fluid management, vasopressor use, and mastery of emergent procedures. Immersion in a critically ill patient population provides opportunities for frequent repetition of essential resuscitative concepts, thereby allowing fellows to achieve a level of expertise beyond that obtainable in residency training, more in line with a critical care subspecialist. Additional discrete skills can also be developed around the resources available to individual training programs: resuscitative transesophageal echocardiography and extracorporeal membrane oxygenation are some specific examples.
Importantly, clinical resuscitation fellowship trained physicians occupy a distinct subspecialty of EM from traditional critical care fellowship trained physicians with a parallel, yet distinct knowledge base and scope of practice. Critical care fellowships through medicine, surgery, neurology, or anesthesia pathways are often focused on care of patients with defined disease pathology in an ICU setting. Furthermore, traditional critical care training focuses substantially on long-term critical care, de-escalation of critical care interventions, prevention of iatrogenic consequences of ICU care, and transitions of care within the hospital, to rehabilitation/extended care facilities, or discharge home. In contrast, the EM resuscitationist works in the ED setting or an ED ICU to simultaneously stabilize and differentiate the critically ill patient’s pathology, performs rapid interventions where needed, de-escalates care where possible, and transitions to traditional critical care environments for the continued management of protracted disease processes. While dual trained emergency medicine-critical care intensivists undoubtedly serve an integral
CRITICAL CARE
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role within the EM community, there is a significant portion of their critical care training that is not directly applicable to the practice of emergency medicine. CRFs are an EM-based solution to the specific and prevalent problems surrounding the care of critically ill patients in increasingly crowded EDs. CRFs also opens a pathway for additional EPs that are interested in critical care as it pertains to the ED but are not interested in inpatient ICU care or training. Therefore, a pathway that focuses on the aspects of critical care most germane to the ED will be beneficial for patient care, research, and education — and the future of EM as a specialty.
Graduates of CRFs are uniquely qualified to staff high acuity areas of ED. With many EDs moving towards a split model for patient acuity or even dedicated ED-ICUs, resuscitationists have a highly desirable skill set to fill this niche within the ED, given the extra training and focus of patients commonly encountered in such zones. Furthermore, this subspecialty can help
to directly address the ongoing ICU boarding crisis by training EPs with an expanded breadth of practice appropriate to care for these patients.
Finally, CRF training adds value beyond direct patient care. Graduates are well-suited to fulfill roles in quality improvement initiatives, critical care division or departmental leadership, resident education, hospital committee membership, and logistics, particularly with regards to the care of critically ill patients within the emergency department. Currently, there are two operational CRFs: Stony Brook University Hospital and Hartford Healthcare. A third program at Albany Medical Center welcomes its first class in August 2022.
The landscape of emergency medicine has shifted. Our patients are sicker, more complex, more numerous, and remain under our care for longer. Emergency medicine training provides a unique skillset towards the care of these patients. CRFs can help to further refine and advance these skills and can help our specialty continue to adapt to meet the needs of our most vulnerable patients. Dr. Bracey is a graduate of the Advanced Resuscitation Training Program at Stony Brook University Hospital and is now faculty at Albany Medical Center. He is the fellowship director of the inaugural class of the Resuscitation and Emergency Critical Care Fellowship beginning August 2022.
Dr. Duncan is dual boarded in EM/surgical critical care, having completed his fellowship at Albany Medical Center. He serves as the chief of the division of emergency critical care at Albany Medical Center and assistant fellowship director for the Resuscitation and Emergency Critical Care Fellowship.
Dr. Dasgupta is a graduate of the Advanced Resuscitation Training Program at Stony Brook University Hospital and is now faculty at Nassau University Medical Center where he serves as director of emergency critical care.
Dr. Wu is a dual boarded emergency medicine and critical care medicine physician at Albany Medical Center. He completed his fellowship at Brigham and Women’s Hospital. He is the associate fellowship director Resuscitation and Emergency Critical Care Fellowship and chair of the SAEM Critical Care Interest Group.
Dr. Barnacle is a graduate of the Advanced Resuscitation Training Program at Stony Brook University Hospital and is now faculty at Yale University School of Medicine where he serves as assistant program director for the Yale emergency medicine residency.
Dr. Sobhani is a graduate of the Advanced Resuscitation Training Program at Stony Brook University Hospital and is now faculty at Los Robles Regional Medical Center.
Dr. Weingart is a dual boarded ED/surgical critical care physician, having completed his fellowships in trauma, surgical critical care, and extracorporeal membrane oxygenation at Shock Trauma Center in Baltimore, MD. He is faculty at Nassau University Medical Center. Dr. Weingart is best known for his podcast on resuscitation and ED critical care called the EMCrit.
Dr. Wright MD is dual boarded in EM/neuro critical care, having completed his fellowship at North Shore University Hospital. He is faculty at Stony Brook University Hospital where he serves as fellowship director of the Advanced Resuscitation Training Program.
