SAEM PULSE September–October 2018 by Society for Academic Emergency Medicine

SEPTEMBER-OCTOBER 2018 | VOLUME XXXIII NUMBER 5

www.saem.org

SPOTLIGHT CHAMPIONING THE NEXT GENERATION OF EM ACADEMICIANS AND LEADERS An Interview with

Chad Mayer, MD

2018-2019 RAMS Board President

RAMS Talks to Leading Pediatric EM Physician and Researcher, Stacy Reynolds, MD page 18 Leading the advancement of emergency care through education and research, advocacy, and professional development in academic emergency medicine.

SAEM STAFF Chief Executive Officer Megan N. Schagrin, MBA, CAE, CFRE Ext. 212, mschagrin@saem.org Director, Finance & Benefits Doug Ray Ext. 208, dray@saem.org Accountant Hugo Paz Ext. 216, hpaz@saem.org Director, Operations & Governance Kat Nagasawa, MBA Ext. 206, knagasawa@saem.org Manager, Governance Snizhana Kurylyuk Ext. 205, skurylyuk@saem.org Manager, IT Database Nanette Diaz Ext. 225, ndiaz@saem.org IT Support Specialist Jovan Triplett Ext 218, jtriplett@saem.org Sr. Managing Editor, Publications and Communications Stacey Roseen Ext. 207, sroseen@saem.org Specialist, Digital Communications Nick Olah Ext. 201, nolah@saem.org Director, Foundation and Business Development Melissa McMillian, CNP Ext. 203, mmcmillian@saem.org Manager, Business Development John Landry, MBA Ext. 204, jlandry@saem.org

HIGHLIGHTS Director, Membership & Meetings Holly Byrd-Duncan, MBA Ext. 210, hbyrdduncan@saem.org Membership Manager George Greaves Ext. 211, ggreaves@saem.org Education Manager Andrea Ray Ext. 214, aray@saem.org Meeting Planner Alex Elizabeth Keenan Ext. 218, akeenan@saem.org Membership & Meetings Coordinator Monica Bell Ext. 202, mbell@saem.org AEM Editor in Chief Jeffrey Kline, MD AEMEditor@saem.org AEM E&T Editor Susan Promes, MD AEMETeditor@saem.org AEM/AEM E&T Manager Stacey Roseen Ext. 207, sroseen@saem.org AEM/AEM E&T Peer Review Coordinator Taylor Bowen tbowen@saem.org Chair, SAEM Pulse Editorial Advisory Task Force Sharon Atencio, DO sharonatencio@me.com Associate Editor, RAMS Shana Zucker, szucker@tulane.edu

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President’s Comments

The Academic EM Physician’s Role in Promoting Physician Wellness

Spotlight

Championing the Next Generation of EM Academicians and Leaders

Diversity and Inclusion

Caring for Persons With Disabilities

SGEM: Did You Know?

How to Integrate "Sex and Gender" Into Your Knowledge Base and Teaching Portfolio

Ethics in Action

Ensuring Health Literacy in a Hectic ED

Wilderness Emergency Medicine

How One Doctor’s Encounter With a Jellyfish Led to an Effective Sting Treatment SOCIAL MEDIA IN ACADEMIC EM #TipsForNewDocs and #TipsForOldDocs

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Briefs and Bullet Points Academic Announcements Now Hiring

2018-2019 BOARD OF DIRECTORS Steven B. Bird, MD President University of Massachusetts Medical School Ian B.K. Martin, MD, MBA President Elect Medical College of Wisconsin James F. Holmes, Jr., MD, MPH Secretary-Treasurer University of California Davis Health System D. Mark Courtney, MD Immediate Past President Northwestern University Feinberg School of Medicine

Wendy C. Coates, MD Los Angeles County-Harbor -UCLA Medical Center Christopher Lee Bennett, MD, MA Brigham and Women's Hospital and Massachusetts General Hospital Amy H. Kaji, MD, PhD Harbor-UCLA Medical Center

Angela M. Mills, MD Columbia University Ali S. Raja, MD, MBA, MPH Massachusetts General Hospital Megan L. Ranney, MD, MPH Brown University Richard E. Wolfe, MD Beth Israel Deaconess Medical Center/ Harvard Medical School

SAEM Pulse is published bimonthly by the Society for Academic Emergency Medicine, 1111 East Touhy Ave., Ste. 540, Des Plaines, IL 60018. (847) 813-9823 The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM. © 2018 Society for Academic Emergency Medicine. All rights reserved. No part of this publication may be reproduced, stored, or transmitted in any form or by any means without prior permission in writing from the copyright holder.

PRESIDENT’S COMMENTS Steven B. Bird, MD University of Massachusetts Medical School 2018-2019 SAEM President

The Academic EM Physician’s Role in Promoting Physician Wellness As I write this column from a beach on Cape Cod, an obvious topic to address is physician wellness. But spending seven days on the beach is not (by itself) a method to ensure wellness.

"I think that we academic emergency physicians need to take the lead in studying and designing interventions to promote physician wellness."

Too often the focus has been on burnout. But it is important to keep in mind that a lack of burnout does not mean that a physician is well. And that should be the focus of all efforts: To keep our physicians healthy, happy, productive, and providing high-quality care to all patients. From any and all vantage points, there are clear and compelling reasons to keep physicians well. From a purely financial perspective, the data are clear — physician turnover costs a lot of money and it’s bad for hospitals. Patients of physicians who are unwell are less likely to follow medical advice and adhere to treatment plans. Physicians who are burned out and unwell work fewer hours per week, and thus are less productive overall. If these reasons are not compelling enough to focus our attention and resources on physician wellness, what will it take? Public outcry over physician burnout has been scant. Public service announcements that raise awareness for physician wellness have been few. This is unlikely to change. There are many reasons for this, but to a large degree it has to do with perception. Physicians are viewed as a privileged class, and if we scream from the rooftops too loudly or frequently about physician wellness, it will likely be heard as whining. So I think that we academic emergency physicians need to take the lead in studying and designing interventions to

promote physician wellness. SAEM has already taken a leadership role in this important task through sponsorship and participation in the National Academy of Medicine Action Collaborative on Clinician Well-Being and Resilience. Check out what the collaborative is doing and find resources to help you and your partners. The time for prevalence studies is over and, frankly, none of us are going to “resilience” our way out of burnout. Finally, there has been recognition that system issues (e.g. patient boarding and excessively burdensome documentation requirements) are likely the greatest drivers of unwellness in physicians, but change needs to come to all levels of our broken and fragmented health care delivery and remuneration systems. Much remains to be done, and there is so much more we can do as individuals, departments, hospitals, and medical societies. SAEM has a new Wellness Committee. It’s a start. Help SAEM help you and others… Become active at the local level, in your own departments and hospitals. Help each other pursue wellness. It will take time, effort, and funding. Make sure that your chairperson, dean, hospital president, and CEO know that physician wellness is critical to providing excellent care 24/7/365. When asked to be a part of the solution, jump enthusiastically at the opportunity. And take care of each other. ABOUT DR. BIRD: Steven B. Bird, MD, is vice chair for education in the Department of Emergency Medicine, and the emergency medicine residency director, at the University of Massachusetts Medical School.

SPOTLIGHT

CHAMPIONING THE NEXT GENERATION OF EM ACADEMICIANS AND LEADERS

"I hope to leave behind a larger organization with established resources to raise up the next generation of academicians and leaders in the specialty."

SAEM Pulse Talks With Chad Mayer, MD Chad L. Mayer, MD, PhD is the current president of the SAEM RAMS (Residents and Medical Students) Board. Prior to his election he was nominated and served as a member of the inaugural RAMS executive committee, leading the Wellness Committee and playing an integral role in the formative stages of the organization. Dr. Mayer is a second year emergency medicine resident at The Ohio State University and received his MD/PhD from Boston University. Originally from Marin County, CA, his passions include spending time with his wife and children, board games, travel, craft beers, and education and teaching. Chad was interviewed by Sharon Atencio, DO, chair of the SAEM Pulse Editorial Advistory Task Force. Tell us about your relationship with SAEM. How did you first become involved? How did that evolve into you being elected the first RAMS president? I became involved in SAEM after attending the SAEM annual meeting in Orlando during my intern year. I credit Dr. Andy King, who has been an important mentor to me at Ohio State, with encouraging my involvement. I was nominated to the inaugural board and began working in RAMS as it was newly formed, helping draft objectives and a plan for the future. I headed up the Wellness Committee as part of the inaugural board, and through that forum helped author a few articles in SAEM Pulse and oversee some of the larger wellness events at SAEM18 in Indianapolis. As our short tenure came toward an end, I wanted to continue helping form the path of this nascent organization and be “on the inside,” so I ran for president. Now I am working with the first fully-elected executive board of RAMS to really establish who we are and provide amazing resources on anything from mentoring to research development to interested residents and medical students.

Why does the world need RAMS? What unmet needs will the group address? We need RAMS as they represent the next generation — one that will further emergency medicine as a specialty and continue to expand our niche and expertise. Academic medicine, while embraced by the minority of graduating residents, really is where change comes to all of us. Through research, mentorship, and networking, it is how we move forward and show that we are serious about evidence-based medicine, leadership on a national level, and diversity in medicine. Some things we in RAMS are trying to help with are unmet mentorship and research resources—through our awards, events such as speed mentoring, and Road Maps. We are working hard to develop resources for RAMS members who may train at places without EM residencies or a strong focus in their areas of interest to help them attain or at least investigate their academic goals.

What impact do you hope to make during your tenure as RAMS president? While president I hope to help promote collaboration between RAMS and some of the other resident organizations such as Resident Student Association (RSA), as well as continue

fleshing out some of the amazing things we’ve come up with such as the Ask-a-Chair Podcast, the research scholarships, and Academic Road Maps. We are also aggressively pursuing more RAMS members by reaching out to the Emergency Medicine Interest Groups at as many medical schools as we can to help promote what we do at the med student level. I hope to leave behind a larger organization with established resources to raise up the next generation of academicians and leaders in the specialty.

What would you tell a medical student or fellow resident who asked you why he or she should become involved with RAMS? Chances are, you’re going to train at an academic medical center, and hence, you will be an academician for the next three to four years. In today’s world, you’re not restricted to the mentors or the research at only one institution. We can help you connect with programs all over the country to prepare and guide you towards an academic career in our amazing specialty. The earlier you plug in, the more chances you’ll have for leadership, publications, and networking opportunities both at the Annual Meeting and through programs we are actively developing. Simply by joining a committee, you can have a voice heard by thousands through Pulse, get a scholarship

"Simply by joining a committee, you can have a voice heard by thousands through Pulse, get a scholarship and training to further your own research interests, or help organize an event like some of the exciting ones we are gearing up for in Las Vegas next year." 5

and training to further your own research interests, or help organize an event like some of the exciting ones we are gearing up for in Las Vegas next year (more to come!).

What are the most pressing issues EM residents face in daily life?

SAEM PULSE | SEPTEMBER-OCTOBER 2018

I think we face one of the more challenging day-to-day jobs from an emotional level, and building resilience is much harder when we face so much more vitriol and frustration from our patients because of things out of our control. Whether your patient is upset about a six-hour wait to be seen or to get an MRI are things out of our control, and I know that I myself can often chafe at being blamed for these things. Institutional and professional burdens coupled with the ever-increasing debt we are asked to take on has an obvious toll on all residents, regardless of specialty, and in my own opinion contributes in a real way to the feeling that it is sometimes “us against them,” which is never a healthy way to approach a workplace. I think RAMS can help here in some small way by providing resources to aid people in discovering the path they want to take, and the support to help get them there. I think there is also a misunderstanding of us as a specialty, and some stigma that we are not as academically accomplished or skilled—a holdover from previous years, but I think this perception is rapidly changing, especially among residents training today, and I think SAEM and RAMS are helping show that we are becoming a force in all of medicine, both in our practice in and in our academic rigor.

“Wellness” is an inescapable topic these days, and you’ve tackled it during your tenure as chair of the RAMS Wellness Committee. First, how do you personally manage work/life balance? Second, what advice would you give to an individual who was struggling? And finally, what do you think our industry as a whole could do to improve physician well-being? When it comes to wellness or “resilience,” I feel that I have been blessed in having a supportive family that has helped me manage the balance by encouraging me to have time for myself, whether that’s at the gym, with co-residents, or otherwise. We have a good support network through friends outside of residency, and just as importantly, there is a spousal support network here that has provided my wife and two kids with great friends as well, which has been invaluable in our emotional well-being. While there are certainly shifts where I feel I do not perform to my own internal standard or times when I feel that I am running to catch up to everyone around me, having this support when I get home helps me to deal

"Academic medicine… really is where change comes to all of us." with what I have to on shift. It is extra icing on the cake to have the kind of camaraderie and attending culture we have in our specialty, where everyone is in the mix and hierarchy is much less of a barrier. To those who struggle, I say reaching out to your senior residents and chiefs is a key thing, as they are closer to the struggle than even faculty may be, and simply hearing someone else’s shared experience can help. To the seniors, I would say include everyone you can and make a real effort to check in with those who may be hiding any struggles, and be frank about your own failings. I often tell the story of how horribly I performed on my first central line, trying for an absurd amount of time to cannulate the IJ, and I think being open about how we are all lifetime learners can help reframe the mental approach to the difficulties we face. This in turn can help us approach some patients with confidence rather than dread. Finally, as to what we can do as an industry, I think that now more than ever we need to own the progress we have made and stand up against ever more burdensome measures, requirements, certifications, etc., ad nauseam. One-hour sepsis bundles, the Standardized Video Interview, pushback from insurers, lessening of restrictions on duty hours: all of these things take away from us driving our own course, or worse, adding on weight. By taking away our sense of control, they add to our sense of helplessness. I thought Dr. Talbot’s article on moral injury, which Dr. Michelle Lin tweeted out recently, captured what most doctors struggle with on a core level. Advocacy is a word that sums up what I think we need more than ever before. More doctors speaking out against articles such as the one in The New York Times on tPA in strokes, and not just to other doctors, but the public. As much as I hate the term “fake news,” what else are we fighting when we let others write about our profession? As national organizations, we need to provide the public with the evidence behind why we may seem to offer something different or less than they expect when they show up at 4am. Through FOAMed, blogs, articles, or however, we need to educate the public on helping us advocate for physician wellness, because it is in both of our best interests. If we don’t step in, we will find that someone else has.

Any tips on surviving, perhaps even thriving, during residency?

Be involved and engaged. So much opportunity comes from being willing to step in and take a part in things. This is the protected time where you can learn and discuss with experts from your own institution and from across the world using technology. Don’t be afraid to teach ,either. This is where true understanding takes place. And as I said before, be inclusive. Residents in different years and your ancillary staff are key to surviving and thriving during residency. Keep them close. Lastly, seek out mentors. To borrow an awkward phrase, I have many unknown unknowns, and a mentor is key to helping navigate all stages of a career, so get several. RAMS can help with that!

What made you decide to pursue an MD/PhD rather than just one or the other? How does your PhD inform your practice as a physician? At that time in my life I was finishing up a degree in biochemistry and was interested in a career where I could have an impact on others. The bridge from “bench-to-bedside” really drew me. Though I am not as involved in basic science research as I was, I have definitely benefitted from training in critical thinking, literature appraisal, writing, and presentation, and have enjoyed trying out medical education research and quality improvement measures during my time at OSU.

Who are some mentors who’ve helped shape your career so far?

I would say that strong mentorship began with my pre-med advisor at Seattle Pacific University. She really saw potential in her students for medicine and encouraged me to try out a research rotation during my junior summer and apply for MD/ PhD programs. At Boston University, the leaders of the MD/ PhD program and especially my PhD mentors Drs. StearnsKurosawa and Kurosawa helped form my excitement in research, publication, and presentation during my time there. While at OSU, Dr. Andrew King, who is one of the RAMS faculty advisors and my own APD, has been instrumental in pushing me toward leadership and medical education as I have tried on new hats at OSU during my brief time here. Now through RAMS, I have access to an amazing network including program directors and research leaders across the nation, for which I am very thankful.

Favorite FOAMed resources?

I think like everyone else, I listen to EMA, EM-RAP, read emdocs. net, and love the literature summaries that pop up on R.E.B.E.L. EM and First 10 EM. Those are my jumping-off points. And of course Pulse and other EM newsletters.

What research topics get you fired up?

I have enjoyed reading about evidence-based medicine research and find clinical and decision-tool research particularly interesting. The idea that you can investigate ways to practice that help us improve patient care and are immediately applicable is one of the most exciting aspects of EM research to me. Things like the HEART score and PERC rule, evidence-based pain management, etc., are profound ways to impact medicine on a timeline and scale that I have only become more aware of after my PhD. In particular, pain and sepsis management are two topics I always am interested reading about, and are things I have brought into my own practice and education already.

Tell us about a particularly memorable patient encounter you’ve had recently.

I had two patients recently during an off-service ICU rotation who I think will stick with me alongside the traumas and crashing patients I have taken care of, though not because they were medically challenging. One patient was septic from a misplaced

"I think being open about how we are all lifetime learners can help reframe the mental approach to the difficulties we face." Foley that rapidly resolved after we removed it bedside and replaced it beyond the prostate: a quick, simple procedure, but one in his case that dramatically altered his pain and recovery. Rarely are the cases so simple to reverse, but he was so grateful on rounds the next two days it was a reminder that many times patients are seeking comfort more than cure. While on that same service, I had another patient who came in ready to be intubated, but who had terminal cancer. In the moment, he was scared, and being the provider on what was to be his last afternoon was a weighty responsibility. Trying to quickly ascertain wishes and put in comfort measures is difficult when done with family; I have had few opportunities to experience how hard it is to look a patient in the eye and come to agree that these will be their last two hours alive. I don’t think I ever will, or ever should, get over how much of an impact I can have on someone as their provider.

If you couldn’t be in medicine, what would be your alternate career?

If I could have any career and succeed at it, I’d love to be the next Rick Steves, happily traveling my way through the world, finding the hidden gems in other countries and sharing them with our family and others. Barring that, I have always had an envy for those who are facile with programming, which I am not, as it affords the chance to create things that can cause real change and affect people’s lives in hugely positive ways, all while being in many cases a work-from-anywhere kind of job. Then again, that can be true in an emergency physician’s life as well!

Would you support your own children becoming emergency physicians? Why or why not?

That is a hard question. If they truly wanted to become EM physicians, I would support them, as I think it is a great career that is endlessly changing and challenging, but I would give them real warning about the financial and lifetime challenges of pursuing a career in medicine. I think there are great ways to contribute to health care such as through being a nurse or paramedic that can afford opportunities we don’t see and where resilience may be more entrenched, and I am looking forward to seeing where each of my boys wants to go in life.

Where do you see yourself in five years? Twenty?

In five years I see myself practicing in a setting where there are leadership and education opportunities. As a family, we are drawn to the West Coast, and I have begun reaching out to places there as senior year progresses. Whether educating medical students, prehospital providers, or other ancillary staff, I think keeping this and leadership a part of my career are important, if not essential, to my resilience. Twenty years from now is much harder to say. I think I would thrive in an academic environment or a mixed site where there are residents but it is not necessarily the main campus hospital, and once our children are out of the house, perhaps we will find ourselves pursuing these things in a different setting altogether. Who knows where emergency medicine will be in twenty years? I don’t, but I’m excited to find out.

DIVERSITY AND INCLUSION Caring for Persons With Disabilities By Anika Backster, MD, Cori Poffenberger, MD, and Jason Rotoli, MD

Anika Backster, MD

Cori Poffenberger, MD

Jason Rotoli, MD

Although commonly thought of only as a health issue, disability is more accurately defined as a complex interaction between physical, intellectual, or emotional impairment with environmental and societal challenges. Individuals with disabilities encounter a variety of daily barriers, including the physical environment (such as wheelchair access) as well as institutional and organizational barriers that hinder access to services. These patients constitute a marginalized population who experience significant disparities related to health care.1,2 Specifically, those with disabilities experience health disparities and greater unmet needs in comparison to the general population when looking at access to preventative care, interpreter services, and prevalence of certain disease processes (arthritis, asthma, cardiovascular disease, diabetes, obesity, oral disease, and stroke).3-8 Traditional beliefs generally associate disability with negative images and experiences. This negativity hinders acceptance, devalues the lives of disabled persons, and undermines possibilities or opportunities for the person who has a disability. At its extreme, stigmatization may result in abuse, neglect and exploitation. There is literature to demonstrate that the quality of life and quality of care in those with disabilities is negatively influenced by severity of the patients’ self-perception, poor quality nursing care, negative provider attitudes, and provider disability severity perception.3 This becomes important to remember in order to help providers refrain from objectifying a patient with a disability. As health care providers, we should acknowledge and treat the person in his/her entirety and not merely as a disease process. Focusing on the severity of disability or ignoring the true presenting complaint may only perpetuate a lower quality of care which has a negative impact on quality of life. There is also literature to support that improving quality of care may have an even greater impact on improving quality of life than solely changing provider attitudes towards those with disabilities.

What determines quality of life?

A common source of bias or misunderstanding between health care providers and patients with disability relates to differing understandings regarding quality of life. Studies have demonstrated that health care providers overestimate the impact of physical disability on the patient’s quality of life when compared to the patient’s own estimation.9 In one study, 54 percent of patients with moderate to severe disabilities reported having a good or excellent quality of life.10 Quality of life is an individual construct that is highly dependent on a person’s perceptions, hopes, experiences, and ambitions, as well as their culture and social interactions. As health care professionals, we interact with and see patients with disabilities in one tiny microcosm of their world, in the hospital or the clinic, where they are the patient who may be ill or suffering. In this brief interaction and with limited information, we may make negative assumptions about their quality of life. In reality, those with a disability will often tell you that disability and health are not the same thing, and quality of life is not determined in the hospital. We need to be aware of our tendency toward this bias in our approach to patients with disabilities, to ensure that this vulnerable population receives the same treatment as all other populations.

The Power of Words

Another source of bias and misunderstanding is language. The language that physicians use when speaking with patients with disabilities is critically important in establishing rapport and developing a therapeutic alliance based on mutual respect. In general, person-first language is recommended when speaking to or about persons with disabilities. This means that they are persons WITH disabilities, not disabled persons. A child has Down’s syndrome, he is not a “Down’s child.” This structure continued on Page 10

"â&#x20AC;Śthose with disabilities experience health disparities and greater unmet needs in comparison to the general population when looking at access to preventative care, interpreter services, and prevalence of certain disease processes..."

“The language that physicians use when speaking with patients with disabilities is critically important in establishing rapport and developing a therapeutic alliance based on mutual respect.”

REFERENCES

DIVERSITY AND INCLUSION from Page 8 recognizes them as a person first, rather than a disability first. In addition, there are many other commonly used terms which should be eliminated in favor of the more appropriate alternatives. For example, instead of “wheelchair-bound,” say “wheelchair-user.” Wheelchairs are tools of mobility and freedom, and we have never seen a patient bound to one. Instead of “handicapped” in reference to parking spaces or bathroom stalls, use “accessible.” Other inappropriate words include: crippled, lame, spastic, slow, retarded, crazy, dumb, or mute. Do not refer to persons without disabilities as “normal.” And finally, when speaking to patients with disabilities, whether they be physical, intellectual, psychiatric, or developmental, speak directly to them and do not infantilize them. Make eye contact, and presume competence unless you have evidence or data to the contrary. We can also contribute to establishing rapport by respecting our patients’ expertise. Patients with disabilities possess a lifetime of lived experience with their particular disease or condition. Treating a patient (or a family member) as an expert-by-experience allows the person to be viewed before the disability and shows that you as the physician respect that experience and insight.11 Some tools to communicate respectfully with your patient include: Establishing how they best communicate, speaking directly to the patient, asking if they want their caregiver present, focusing on the patient’s abilities, not their disabilities, and as always, showing warmth and positive regard. We encourage everyone to take a moment to reflect on past encounters with patients with disabilities and to think about how future interactions can be improved. We welcome and invite anyone interested in further pursuing this topic to contact Jason Rotoli.

1. S terkenburg PS, Vacaru VS. The effectiveness of a serious game to enhance empathy for care workers for people with disabilities: A parallel randomized controlled trial. Disabil Health J. 2018 Apr 4. 2. K ang et al. Health Disparities by Type of Disability: Health Examination Results of Adults (18-64 Years) with Disabilities in Shanghai, China. PLoS One. 2016; 11(5): e0155700 3. Z heng et al. The role of quality of care and attitude towards disability in the relationship between severity of disability and quality of life: findings from a cross-sectional survey among people with physical disability in China. Health Qual Life Outcomes. 2014; 12: 25. 4. K ersten P, George S, McLellan L, Smith JA, Mullee MA. Met and unmet needs reported by severely disabled people in southern England. Disability and rehabilitation. 2000;22(16):737–44. 5. D rum C E., Krahn G, Culley C, Hammond L. Recognizing and Responding to the Health Disparities of People with Disabilities. Californian Journal of Health Promotion. 2005;3(3):29–42. 6. Armour BS, Swanson M, Waldman HB, Perlman SP. A profile of state-level differences in the oral health of people with and without disabilities, in the U.S., in 2004. Public health reports. 2008;123(1):67–75. 7. R eichard A, Stolzle H, Fox MH. Health disparities among adults with physical disabilities or cognitive limitations compared to individuals with no disabilities in the United States. Disability and health journal. 2011;4(2):59–67. 8. F roehlich-Grobe K, Lollar D. Obesity and disability: time to act. American journal of preventive medicine. 2011;41(5):541–5. 9. R othwell PM, McDowell Z, et al. Doctors and patients don't agree: cross sectional study of patients' and doctors' perceptions and assessments of disability in multiple sclerosis. BMJ 1997;314:1580 10. Albrecht GL, Devlieger PJ. The disability paradox: high quality of life against all odds. Soc Sci Med. 1999;48:977–988. 11. G ona et al. Persons with disabilities as experts-by experience: using personal narratives to affect community attitudes in Kilifi, Kenya. BMC Int Health Hum Rights. 2018; 18: 18.

ABOUT THE AUTHORS: Anika Backster, MD is an assistant professor of emergency medicine at Emory University. She is interested in promoting diversity and inclusion in health care in all forms and is member at large on the executive board of SAEM’s Academy for Diversity and Inclusion in Emergency (ADIEM). Cori Poffenberger, MD is a clinical assistant professor and director of faculty development and wellness for the Department of Emergency Medicine at Stanford University. She is passionate about increasing awareness and improving care for patients with disabilities, and is working to improve education for physicians on the subject, from medical students to attendings. @coripoff Jason M. Rotoli, MD is an assistant residency director and assistant professor of emergency medicine at the University of Rochester Medical Center. He is chair and founder of the ADIEM Accommodations Committee. Dr. Rotoli is also the Deaf Health Pathways Director at the University of Rochester School of Medicine and Dentistry and is a strong advocate for improving health literacy and access to care, especially among the culturally Deaf population. @jmrotoli

SGEM: DID YOU KNOW? How to Integrate "Sex and Gender" Into Your Knowledge Base and Teaching Portfolio By Lauren A. Walter, MD The “SGEM: Did You Know?” article that appeared in the last issue of SAEM Pulse (July-August 2018) detailed the Sex and Gender in Health Education Summit that took place in Salt Lake City in April, 2018. The summit’s goal was to align interprofessional medical educators to combat the lack of sex and gender evidence included in health education. Despite its increasing importance in the practice of medicine, the paucity of curricular inclusion of “Sex and Gender Based Medicine” (SGBM) involves emergency medicine (EM) as well, on all levels, from undergraduate medical education onto residency training and then faculty development. Consistent incorporation of SGBM into EM education is crucial for trainee development as well as optimal patient care. The good news is that emergency physicians do not have to be experts in SGBM to incorporate the sex and gender lens while providing patient care. There are increasing resources being made available to immediately assist emergency physicians’ knowledge base as well as options to build an updated teaching portfolio with advanced curricular designs that integrate patient sex and gender. The SAEM Sex and Gender in Emergency Medicine Interest Group (SGEM) has accumulated a toolkit of ideas and resources to help the clinician and educator become familiar and proficient with SGBM. Consider how you might incorporate one of the following into your next didactic or clinical shift: 1) U tilize the validated PubMed search tool to find sex and gender specific health articles (it's free!), for your next journal club.1 2) W hen delivering your next bedside teaching pearl, ask your trainees to consider how the case presentation or management might change if the patient were a different sex or gender. 3) W hile preparing your next presentation, challenge yourself to consider and include any relevant SGBM evidence-based medicine as a key objective.

4) Include a transgender patient scenario as part of your next trainee simulation and feature a debrief discussion on the social and health disparities often encountered in this population. 5) Check out one of the several organizational websites dedicated to SGBM for additional, cutting-edge resources (www.sexandgenderhealth.org, http://sgwhc.org, https://www.ossdweb.org, to name just a few!) 6) Join the SAEM SGEM Interest Group (it’s free!) to stay informed of the latest SGBM news and happenings within EM, including more ideas and resources for SGBM educational integration.

REFERENCES:

1) Michael M. Song, PharmD, Cheryl K. Simonsen, MLIS Joanna D. Wilson, DO, and Marjorie R. Jenkins, MD. Development of a PubMed Based Search Tool for Identifying Sex and Gender Specific Health Literature. Journal of Women’s Health, Vol 25, No 2, 2016.

ABOUT THE AUTHOR: Lauren A. Walter, MD, is associate professor and assistant emergency medicine residency program director at the University of Alabama at Birmingham School of Medicine. She is a member of SAEM’s Sex and Gender in EM Interest Group.

Please send contributions for this column to coeditors Lauren Walter and Alyson J. Mcgregor at sgem@lifespan.org. If you are an SAEM member and are interested in adding the Sex and Gender in Emergency Medicine Interest Group (SGEM IG) to your membership, simply sign in to saem. org and click on your "My Account" tab. SAEM members who are already part of the SGEM IG can find more information and resources by visiting the SGEM IG Community Site.

ETHICS IN ACTION Ensuring Health Literacy in a Hectic ED By Naomi Dreisinger, MD The Emergency Department (ED) can be a hectic, harried environment. Patients in the ED spend countless hours being evaluated, undergoing testing, awaiting test results, and hours later, when it is finally time for discharge, the process is often rushed. After a long stay in the ED, patients are understandably eager to get home, and the ED staff are equally intent on moving things along and freeing up another room. The result, unfortunately, is a discharge that is all-too-brief.

"Without fair and conscientious distribution of health information, health literacy, and therefore health equity, cannot

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be achieved."

In the ED, the discharge process is meant to ensure that patients receive the information they need in order to follow through on their treatment plan. This usually comes in the form of a quick conversation followed by the patient being sent home with a stack of papers containing detailed and often difficult to understand instructions. As health care providers it is our job to guide our patients so that they can achieve good health. Diagnosis and treatment are important steps, yet ensuring that patients can get what they need to follow through on the treatment plan is just as important. Sometimes this means making sure that the patient has the means or insurance coverage to obtain the medications they need. Often though, it means making sure the patient understands the steps they are meant to take once discharged from the ED. In order for patients to achieve their very best health, patients must be able to understand the instructions and information provided to them. In other words, they must be able to achieve a proficient level of health literacy. Health literacy is defined as the degree to which an individual has the capacity to obtain, process, and understand basic health information. Unfortunately, the information provided to the patient at discharge is often presented in a way that is hard to understand, and the stressful environment of the ED can make it difficult for the patient to focus on listening. To compound matters, ED staff may be inexperienced at effectively delivering important discharge information in the midst of the sometimes-chaotic

"The average literacy in the U.S. is at or below the 8th grade level yet, when analyzed, most of the forms and handout materials given in hospitals are at a 12th grade level." environment that is the ED. This is a set-up for poor communication that may ultimately result in patients not following through on instructions and continued poor health. Socially disadvantaged groups face an additional obstacle to obtaining good health. Health equity is the value underlying a commitment to reduce and ultimately eliminate health disparity. Without fair and conscientious distribution of health information, health literacy — and therefore health equity — cannot be achieved. The average literacy in the U.S. is at or below the 8th grade level yet, when analyzed, most of the forms and handout materials given in hospitals are at a 12th grade level. To ensure that all can achieve health equity, the standard of care should be reorienting our communication to the needs of individuals with limited literacy. Patience and taking the time to answer questions are key factors in health literacy. It is busy in the ED, yet as clinicians it is our duty to ensure that our patients understand what we are telling them. In my experience, patients are usually reticent to ask questions unless prompted, but taking the time to encourage questions and to patiently answer them — although challenging in a busy ED — is a must do. Another essential element to ensuring that patients attain health literacy in the ED is teamwork. Every member of the ED staff has a role to play in the discharge process.

How to ensure health literacy in the ED: • Allow time for patients to ask questions; encourage questions with open-ended prompts such as, “What questions do you have?” • Keep the language in discharge instructions simple and straightforward; no complex medical lingo. • Speak casually and conversationally, using words at or below a middle school child’s vocabulary • Develop standardized scripts for the most common discharge instructions. • Focus on the most crucial information, limiting your instructions to one or two of the most important points. • Verify that the information that’s been delivered is understood. • Clarify areas/instructions where confusion persists.

Accurate registration information ensures patient follow up; carefully recorded vitals confirm that the patient is ready for discharge; and the physician-nurse tag team reinforce the instructions and allows time for questions and answers. If one of the team falters, the patient’s health literacy is jeopardized. These techniques work, so before your next patient encounter, pause and remember that your patient’s understanding of the instructions being given to them is the first step in helping them achieve their best health.

"In my experience, patients are usually reticent to ask questions unless prompted, but taking the time to encourage questions and to patiently answer them — although challenging in a busy ED — is a must do." ABOUT THE AUTHOR: Naomi Dreisinger, MD, MS, FAAP, is an attending physician in the Emergency Department and The Valley Hospital, an attending physician at Mount Sinai Beth Israel and an assistant professor in the Emergency Department at Icahn School of Medicine at Mount Sinai.

WILDERNESS EMERGENCY MEDICINE How One Doctor’s Jellyfish Encounter Led to an Effective Sting Treatment By Isabel M. Algaze Gonzalez, MD Box jellyfish (cubozoans) are the world’s most dangerous class of marine animals. Their venoms are considered the deadliest in all the seas, and a sting from some species can lead to death in minutes. They are deadlier than cobras1 and have caused more loss of life in the past 50 years than shark bites.

Dr. Angel Yanagihara

"Dozens of nearly transparent tentacles wrapped around her neck, arms, and ankles. Each breath became a gasp. The pain was

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almost unbearable."

Cubozoa have a complex nervous system and are the only species of jellyfish to have vertebrate type eyes with a retina, lens and capable of color vision. They are strong swimmers and can reach speeds of up to 4.6 mph. There are more than 40 species of box jellyfish. They are all virtually transparent and range in size from a thimble (Malo kingi, lethal) to a basketball (Chirodropids, the largest). From each of their four lower corners hangs a short stalk, which bears anywhere from one to 15 hollow tentacles, depending on the species. These tentacles can reach as far as 10 feet (in the Chirodropids) and can contain over 5,000 tiny stinging cells per centimeter that discharge venom in nanoseconds. Once a tentacle of the box jellyfish contacts human skin, thousands of these discharge events happen, deeply injecting venom into the tissue. This is what causes the sting and agonizing pain. The symptoms of box jellyfish sting are species- and venom-dose dependent and range from mild, local discomfort to agonizing pain and cardiovascular collapse. Certain box jellyfish stings can kill a person within minutes. Other box jellyfish stings can lead to death in 4 to 48 hours after a sting due to "Irukandji syndrome." This is a complex sequela of symptoms such as hypertension with later hypotension, trembling, and extreme pain. Pulmonary edema and/or intracranial hemorrhage have also been reported in Irukandji Syndrome.3 Common misconceptions about Irukandji Syndrome abound, including that the

condition is caused by only one exotic species of box jellyfish (the “Irukandji” Carukia barnesi) found only in Australia. In contrast, case reports document that several box jellyfish species can cause Irukandji Syndrome, including the Alatina alata (often called the Hawaiian box jelly) a species that is endemic to U.S. waters in Hawaii, Puerto Rico, Florida, and Guam. Alatina alata stings are commonly misdiagnosed (as an allergic reaction or a drowning), frequently underreported, and often improperly treated. Even in places where Irukandji Syndrome has been reported (at present: Hawaii, Puerto Rico, and Florida) most clinicians remain unaware of the possibility that one of their patients could have Irukandji Syndrome. Altogether, there are more than 40 species of box jellies; more than eight are known to cause death. Traditionally, Box jellyfish are most common to Australia, Hawaii, Florida, but they thrive in many habitats occupied by humans, and can be found in just about any warm coastal region, with some species reaching as far north as California, Texas, Louisiana, North Carolina and, in a rare event, coastal New Jersey. There are indications that the prevalence of jellyfish has been on the rise.4 Over the course of a singular weekend in June 2018, lifeguards in Florida treated more than 800 jellyfish stings.5 The causes for this apparent increase are unknown, but many say that jellyfish populations have been thriving due to overfishing, warmer ocean temperatures, and storm water runoff that carries floods of nutrients (food for jellies) into ocean waters.

A Jellyfish Encounter Leads to a Career

Early one morning, while enjoying a milelong swim off the shore of Kaimana Beach, Oahu, Hawaii, Angel Yanagihara was stung by a spawning aggregation of box jellyfish. Dozens of nearly transparent tentacles wrapped around her neck, arms, and ankles. Each breath became a gasp. The pain was almost unbearable.

Dr. Yanagihara diving with the jellyfish, Alatina alata (sea wasp).

As an experienced swimmer and diver, Angel knew that it was imperative to stay calm and prevent drowning, but her best efforts to overcome the mounting wheezing, extreme radiating pain, and muscle weakness had minimal to no effect. Yet, with great difficulty, she managed the taxing swim back to shore, where she collapsed on the beach. She awoke in an ambulance. Hers was among 1,000 ambulance calls in Honolulu responding to jellyfish stings that month.

of the literature confirmed that even less was known about the biochemical composition of its venom. But the jellies had met their match and inspired a worthy adversary. Angel Yanagihara, having just defended her doctoral dissertation in neurobiology and biochemistry, was stung weeks before her doctoral graduation. She quickly began applying for funding to study it and thus began her first steps down a career path toward box jellyfish research.

Once stabilized, Angel was given a hot shower, meant to reduce the pain, and declined further care signing out against medical advice. Driving home, the pain returned with a vengeance: intense, fiery burning on her neck and limbs, accompanied by nausea, labored breathing, and dizziness. The venomous creatures left her bedridden and in agony for days.

In the 20 years since her injury, Yanagihara, now a research professor of tropical medicine at the University of Hawaii, has devoted her career to biochemically studying these marine stingers and developing venom inhibitor based therapeutics. Her research ranges from studies of cubozoan venom biochemistry to basic field ecology. Her field efforts in Hawaii have resulted in the longest continuous census data series in the world.

In the weeks after her encounter, Yanagihara, who had no previous experience with jellyfish, was surprised to discover how little research had been published on the box jelly. A survey

continued on Page 16

REFERENCES

The author, Dr. Gonzalez with Dr. Yanagihara.

WILDERNESS EM from Page 15

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Dr. Yanagihara found that the box jelly’s venom-induced pathogenic sequelae resembles a sepsis type of shock and, while it mimics an allergic reaction in its presentation, there is no true IgE mediated immunity other than a direct venominduced release of histamine and cytokines caused by specific pore forming toxins structurally similar to pathogenic bacterial porins.6,7 The mechanism is venom porin driven, whereby “perforated” cells spill out storage contents and account for an acute catecholamine surge due to ruptured platelets and later cytokine excess from perforated white blood cells.6 Because this process is not IgE mediated, classical Hymenoptera sting treatment paradigms are not suitable. Thus, the well-intentioned administration of Epinephrine in the setting of jellyfish sting presentation with catecholamine surge could lead to end organ failure.

1. B rinkman, D., Jia, X., Potriquet, J., Kumar, D., Dash, D., Kvaskoff , D.and Mulvenna, J.. Transcriptome and venom proteome of the box jellyfish Chironex fleckeri. BMC Genomics 2015, 16:407. 2. K ozmik Z., Ruzickova J., Jonasova K., Matsumoto Y., Vopalensky P. , Kozmikova I., Strnad H., Kawamura, S., Piatigorsky. J., Paces, V. , Vlcek, C.. Assembly of the cnidarian camera-type eye from vertebrate-like components. Proceedings of the National Academy of Sciences Jul 2008, 105 (26) 8989-8993. 3. Yanagihara, A.A., Wilcox, C., Smith, J., Surrett, G.W. Cubozoan envenomations: Clinical features, pathophysiology and management. In: Goffredo, S., Dubinsky, Z., editors, The Cnidaria, Past, Present and Future. The world of Medusa and her sisters., 1st ed. 2016, 637-652. 4. B rotz, L., Cheung, W., Kleisner, K., Pakhomov, E., Pauly, D. Increasing jellyfish populations: Trends in Large Marine Ecosystems. Hydrobiologia.2012, 690. 3-20. 5. N 'dea Yancey-Bragg, Florida lifeguards treat more than 800 for jellyfish stings. Here's what to do if you get stung. USA Today, June 12, 2018, Retrieved from: https://www.usatoday.com/story/ news/nation-now/2018/06/12/600-jellyfish-stings-florida/694679002/ 6. Yanagihara, A.A., Wilcox, C., Smith, J., Surrett, G.W. Cubozoan envenomations: Clinical features, pathophysiology and management. In: Goffredo, S., Dubinsky, Z., editors, The Cnidaria, Past, Present and Future. The world of Medusa and her sisters., 1st ed. 2016, 637-652. 7. J ouiaei, M.; Yanagihara, A.A.; Madio, B.; Nevalainen, T.J.; Alewood, P.F.; Fry, B.G. Ancient Venom Systems: A Review on Cnidaria Toxins. Toxins 2015, 7, 2251-2271. 8. Yanagihara, A.A., Wilcox, C., King, R., Hurwitz, K., Castelfranco, A.M. Experimental assays to assess the efficacy of vinegar and other topical first-aid approaches on cubozoan (Alatina alata) tentacle firing and venom toxicity. Toxins (Basel) 2016;8(1). 9. Wilcox CL, Headlam JL, Doyle, TK, Yanagihara AA, Assessing the Efficacy of First-Aid Measures in Physalia sp. Envenomation, Using Solution- and Blood Agarose-Based Models, Toxins, 01 April 2017, Vol.9(5), 49. 10. D oyle TK, Headlam JL, Wilcox CL, Macloughlin E, Yanagihara AA, Evaluation of Cyanea capillata Sting Management Protocols Using Ex Vivo and In Vitro Envenomation Models, Toxins, 01 July 2017, Vol.9(7), 215.

ABOUT THE AUTHOR: Isabel M. Algaze Gonzalez, MD is an attending physician at Catalina Island Medical Center and assistant professor of emergency medicine and the Wilderness Medicine Fellowship Codirector at the University of California, Irvine. She is also a member of the newly-formed SAEM Wilderness Emergency Medicine Interest Group. Join the Wilderness EMIG (it’s free!) to stay informed of the latest in wilderness news and happenings within EM.

Treating Jellyfish Stings Do: The best, evidence-based information supports two-step first aid.6,7,8,9,10

Funding from the U.S. Special Operations Command led to the development of a rapid acting, two-step topical spray and cream for use by combat divers. Famed marathon swimmer, Diana Nyad employed it in 2013 during her record-breaking swim from Havana to Key West. (Box jellyfish prevented Nyad from completing this feat in three of her prior five attempts.) In keeping with the funding requirements, these treatments are now fully commercialized and available “over the counter.” These two-step, patented first aid products are currently being compared with conventional approaches including vinegar dousing followed by hot or cold packs in a clinical trial.

1. P revent activation of the undischarged venom filled nematocysts left on the skin after tentacle contact

Dr. Yanagihara continues to travel far and wide to study to study box jellyfish and work on public health outreach focused on education, prevention and mitigation of sting injuries. (In Thailand she is a US State Department Fulbright Specialist.) Unfortunately, there remain many places worldwide where, due to a lack or delay of medical care, people regularly die from box jellyfish stings, so wherever she goes, Dr. Yanagihara urges doctors to learn everything they can about the box jellyfish and Irukandji Syndrome, and treat stings with the latest recommendations.

Do not: • Rinse with fresh water, cold water, urine, alcoholic drinks or rubbing alcohol

2. S oak the affected area in 42-45°C water (or apply a hot pack) for 20-45 minutes to specifically heat inactivate venom already deposited into the sting-site tissues.

• Apply pressure or ice • Scrape with a credit card, shave with shaving cream, or rub with sand

SOCIAL MEDIA IN ACADEMIC EM #TipsForNewDocs, #TipsForOldDocs By Eric Lee, MD July is the start of a new academic year. In medicine, that means a new class of interns and learners. One annual tradition that has emerged from #MedTwitter is #TipsForNewDocs in which more seasoned doctors share tips on how to be a great doctor with the new incoming class of interns. A more recent hashtag that has also emerged is #TipsforOldDocs that features tips directed more towards those in educator roles teaching the new interns.

"The fact that much of the advice that we give to both new and old docs still resonates so strongly with those of us in academic medicine means that we can still put ourselves in the other’s shoes regardless of our current role."

#TipsForNewDocs often features a couple of common important themes in medicine. One of the most important themes is selfcare. We remind our interns to remember what led them to choose medicine in the first place. Keep doing something nonmedical that makes you happy even when you feel like you’re too busy for it. Don’t be afraid to talk to your seniors and your loved ones during the inevitable difficult times you will encounter. Another common theme involves pieces of advice to be a great intern. Show up early. Work hard. Never lie. Ask questions. Ask for help when you need it. That’s actually all you really have to do. Finally, another important lesson is to be humble. Listen to your nurses and any other members of the care team who have been caring for others longer than you may have been alive. Be nice to everyone and learn their names. #TipsforOldDocs seems to be related to the tips for our new docs. It’s often a reminder to the educators to set an example and follow the advice that we are giving to the new docs in #TipsForNewDocs. We want to foster an environment for our interns to ask questions, grow, and take care of themselves while they learn to be great doctors. That usually means being the attending/senior resident/consultant that you wanted to work with when you were an intern. As a new attending this year, I still find reading through tweets from both hashtags informative and inspiring. The tips and advice I find in both threads still resonate with me in my role as a relatively new educator and as a lifelong learner in medicine. The fact that much of the advice that we give to both new and old docs still resonates so strongly with those of us in academic medicine means that we can still

put ourselves in the other’s shoes regardless of our current role. It helps make us both better educators and learners and ultimately better doctors. ABOUT THE AUTHOR: Eric Lee is an attending physician at Maimonides Medical Center in Brooklyn, NY. He can be reached on Twitter @EricLeeMD

Tweeted Tips For Old and New Docs It is August already, but your interns may not have a furnished house yet. Or utilities in order. Or a car tag, state driver’s license... And some of those things can only be fixed on business days... Be kind and help however you can. #TipsforOldDocs A few times this year, praise from mentors saved my morale. Never forget how little it takes to buoy up a mentee. #TipsforOldDocs Don't indulge the luxuries of cynicism, impatience, unprofessionalism. Trainees are watching and learning. #TipsforOldDocs When they teach you that compressions should be to the beat of "staying alive" they don't mean for you to actually sing it out loud while watching us administer said CPR. Maybe instead use your voice to ask for more epi. #TipsForNewDocs Sometimes there is no quick-fix, gold lining, proven intervention, or right phrase to say. Being a listener and witness to someone's suffering might be the only thing you can do. #TipsForNewDocs The most important piece of equipment when draining a nice juicy abscess: safety glasses. Not a lesson you want to learn the hard way. #TipsForNewDocs

RAMS TALKS TO LEADING PEDIATRIC EM PHYSICIAN AND RESEARCHER, STACY REYNOLDS, MD "I LOVE THAT PEDIATRIC EMERGENCY MEDICINE IS AN INTERSECTION BETWEEN THE DIAGNOSTIC EXPERTISE OF PEDIATRICS AND THE RESUSCITATIVE SKILLS OF EMERGENCY MEDICINE."

Stacy Reynolds, MD, is the division chief of pediatric emergency medicine at the Carolinas Medical Center and Levine Children’s Hospital as well as the program director for the Pediatric Emergency Medicine (PEM) Fellowship. Dr. Reynolds is a boardcertified pediatric emergency medicine physician, completing her PEM fellowship at the Children's Hospital of Pittsburgh. In 2017, Dr. Reynolds was the lead author on a landmark study, presented at the SAEM annual meeting and selected as the Editor-in-Chief’s Pick of the Month for Academic Emergency Medicine (AEM) journal. The study assesses the feasibility of intranasal ketamine use among pediatric patients with extremity injuries. The results of this study provided supporting evidence for a largescale, multi-center pediatric trial to assess the safety and efficacy of intranasal ketamine among pediatric population with extremity injuries. Dr. Reynolds was interviewed by David Cisewski, MD, Icahn School of Medicine at Mount Sinai and a member of the SAEM RAMS Board. To start, can you give us a little background on your particular interests in pediatrics emergency medicine and how you got involved in PEM research? I love that pediatric emergency medicine is an intersection between the diagnostic expertise of pediatrics and the resuscitative skills of emergency medicine. My goal was to be a fellowship director and to bring those elements together for my trainees. After my karmic retribution as a fellowship director began, I realized I now needed to find research for six fellows and provide their research education. My interest in research grew from working to build the program. Honestly, I didn’t have laser focused career interests. I had a certain level of desperation and some great opportunities to get involved. Could you briefly summarize your work on intranasal ketamine and what lead you to this project? My husband works internationally in Tanzania and I have had the opportunity to work there with him. In Tanzania, ketamine is not a controlled substance and it is cheaper than in the U.S. It’s the drug most readily available for sedation or analgesia besides paracetamol. The wide therapeutic window of the drug makes it a great ally for treating sick and injured patients in a resource limited environment without monitors. We felt it would be a great asset to EMS providers in the U.S. for these same reasons. I initially pitched this study with my partners in the Charlotte, Houston, Milwaukee Prehospital Research Nodal Center (ChaMP-RNC) of the Pediatric Emergency Care Applied Research Network (PECARN). Unfortunately, the regulatory hurdles in the U.S. make prehospital study of the drug extremely complex. We decided instead to perform this trial in the hospital setting. The results of this study were quite promising. Are you currently involved in any follow up study to complement this research? We are planning additional follow up work to demonstrate that EMS providers have the knowledge to use ketamine safely in the prehospital setting. A multi-

center, hospital trial will be needed to establish ketamine’s position in the line-up for analgesic medications. Currently, the existing trials are too small to establish non-inferiority and may underestimate the potential for side effects. What have been the major challenges in your research career as an EM physician–researcher? Do you find certain aspects of research dealing with the pediatric population particularly challenging? I’m not sure this question belongs in the past tense. It’s incredibly challenging to find time and money for research and I am still cultivating my research expertise. The fiscal pressure in medicine is making it harder to find your way without a structured path into research. Pediatric patients are a vulnerable population, and this makes trial designs more complex and compounds some of the regulatory hurdles. Recruitment is challenging. For instance, in our ketamine trial we had to design and implement a protocol that allowed us to rapidly screen, enroll, and treat children presenting to our ED in acute pain. To do this, we worked with our institutional review board and the Food and Drug Administration (FDA) to design a short-form informed consent process that did not significantly delay study drug administration. What have you found most satisfying about incorporating research to your medical career? I didn’t really set out to do research. It’s really been by luck that I have had opportunities for internal funding and opportunities to learn with others, including my colleagues in the CHaMP node. I really love the problem solving. I also like the administrative hurdles of getting the folks around you to jump on board and make a study run. It’s fun to cobble together an unexpected opportunity. We’re fortunate to be able to shape the work that we do as emergency physicians. Not everyone can say that about their job.

Many people find it a daunting task to know where to start in a research career. Did you have a mentor when you first started out your research career? I was lucky… I found the nicest guy in my department and asked him for help. Ten years later he’s still a great mentor and is now also my husband. Although he occasionally thinks he gets to make all the decisions — that’s when I become his mentor. What advice would you have for someone seeking out a research mentor? My route isn’t for everyone. It’s always solid advice to find a kind person that enjoys building up other people and learn as much as you can from them. I would say to surround yourself with good people and work hard to emulate what they’ve built. Jeff Kline, for example, can build a tower out of sand. If you’re looking only for other doctors, you’ll miss some great opportunities. Our research manager, Melanie Hogg, is one of the best mentors I’ve had in my career. I’m grateful to work at a place with a department full of people like her. I trained in Pittsburgh with people much smarter than me and now I am fortunate to work at CMC with a department full of engaged, dynamic people. Mentors are all around you. The question is how much and how often you want to learn. [Dr. Jeffrey Kline is a professor of emergency medicine and physiology and the vice chair of research at Indiana University and the editor-in-chief of Academic Emergency Medicine (AEM) journal. Dr. Kline is perhaps best known for his creation of the Pulmonary Embolism Rule out Criteria (PERC Rule)] Any specific advice for aspiring research-oriented medical students or residents interested in getting involved in research? continued on Page 20

STACY REYNOLDS from Page 19 This depends. If you know you love research, then I’m told you need to pursue dedicated training under skilled mentors with a federal funding track record. However, it’s easy to love research if the most productive person in the department carries you along in their work. You’ll find out your real passion (or not) for research if you flounder around on some dead-end projects and then find that you keep going back. I might say worry less about the perfect pathway and jump in and see what happens. You impressively divide your time between clinical shifts, research, and your role as a program director of the PEM fellowship. What sort of time management strategies do you use to balance these different roles? Balance might be the wrong word. I’m not sure my world is ever in balance. It’s sort of lopsided on a priority driven basis. My time management is an ongoing work in progress, but my skills have grown since I had my girls. I have become considerably more focused and productive during the daytime, so that I am able get home in the evening to my daughters, Ellie and Emma. Pain management is a hot topic in right now amidst the opioidreduction initiatives, particularly among the pediatric population. What do you anticipate are the future opportunities in pediatric pain management research? The physiological pain circuits are complex pathways. It’s not surprising that focusing too heavily on the opioid receptors has led to so many problems. I think future strategies will target a

broader array of receptors earlier in treatment, with attention to dampening pain as early as possible. We need to streamline the process of recognizing and treating pain by doing a better job assessing pain and measuring the response to interventions. There are countless opportunities to improve our

understanding of pharmacodynamics, mechanisms of pain amplification, the efficacy of analgesic medications, and the operational processes that improve the patient experience without indiscriminate use of medications. We’re fortunate that the timing is excellent to address these types of problems.

RAMS Membership Committee Cr Submitted by David Chu, 2018-2019 RAMS Membership Committee chair The RAMS Membership Committee seeks to identify avenues for acquiring new members in SAEM, creates new member benefits for residents and medical students, and works to ensure that the needs of SAEM’s residents and medical students are met. Our primary goal when I joined as a member in 2017 was to develop a strong recruitment strategy to engage residents and students in emergency medicine academics and increase membership in SAEM. We took the first steps by creating a National EMIG Roster, a spreadsheet/mailing list which includes direct emails to all EMIG leaders at major medical school institutions across the country. Our primary goal this year is to increase medical student membership in SAEM. We plan to use the National EMIG Roster to establish RAMS chapters at each EMIG on the list.

Residents and Medical Students, Don't Forget to Renew Your Dues! Don't let there be an interruption in your SAEM or Academy membership! All dues expired June 30, 2018. If you or your institution has not renewed, do so now to maintain member benefits. Stay connected with SAEM by renewing your membership today!

Free Emergency Medicine Residency Symposium

From the RAMS Desk University of Illinois at Chicago Offering Career EM Elective

The University of Illinois at Chicago (UIC) EM Residency is offering a EM Career Elective for students planning to apply for EM residency. The elective is available at each of the four core hospitals in the UIC EM residency program. The elective opens September 24 (or into October if students are on a calendar month schedule). Additional information including application instructions and program information, education, and activities may be found at the UIC medical students webpage. Application is completed through VSAS. Questions may be addressed to Jennifer Ytem.

The University of Kentucky EMIG and Emergency Medicine Residency Program invite you to attend an Emergency Medicine Residency Symposium, October 13, 2018 in Lexington, Kentucky. The event will feature interactive breakout sessions with program directors, airway and ultrasound workshops, a residency table fair and several exciting speakers, including CDEM's own Drs. Nate Lewis and Scott Wieters from the EM Stud Podcast. Questions? Contact residency program director, Dr. Sameer Desai (sameer.desai@uky.edu), or EMIG President Kayla King (kayla.king@uky. edu). Registration to this event is FREE!

Stay Up to Date With the Latest RAMS Ask-a-Chair Podcast Visit the popular Ask-a-Chair podcast page to listen to and download the most recent podcasts from RAMS. The August podcast features Dr. Neils K. Rathlev, chair of the Department of Emergency Medicine and professor of emergency medicine at the University of Massachusetts Medical

School-Baystate. In the just-published September podcast RAMS talks to David Seaberg, chair, Department of Emergency Medicine, Summa Health.. RAMS Ask-a-Chair Podcasts are also available on iTunes.

SOAR for RAMS is Your Source for FREE Resident and Medical Student Content Introducing SOAR for RAMS— your go-to source for the latest and greatest content of interest and importance to EM residents and medical students! Content is organized by EM topic and includes SAEM18 presentations, RAMS Ask-aChair podcasts, SAEMTests, RAMS Twitter and more! SOAR for RAMS hosts SAEM18 presentations specially selected as content important to residents and/or medical students. Content is organized by EM topic.

Underrepresented Minorities Scholarships Have you heard the news? SAEM’s Clerkship Directors in Emergency Medicine (CDEM) website maintains a list of visiting elective scholarship programs for underrepresented minorities. Check the CDEM website periodically for updates!

Heads Up! RAMS Board nominations open in October. Start thinking now about who you’d like to nominate (or if you’d like to nominate yourself!). In the meantime, keep an eye open for more details to come your way soon!

reates EMIG Roster… Next Up: RAMS Chapters? Here are some specific benefits of RAMS affiliation with EMIGs across the country: • SAEM can communicate more directly with medical students through the following chain of communication: SAEM RAMS EMIG RAMS chapter medical students • Through this streamlined chain of communication, medical students across the country can more easily learn about ways they can get involved in emergency medicine on a national level. One of the best ways is to join one of the seven RAMS Committees and to attend the SAEM19 and the annual RAMS Committee meetings in May. These experiences offer unparalleled networking and career development opportunities in emergency medicine. • There is also a possibility of RAMS providing physician speakers throughout the school year to speak to medical students about academic EM. In this way, academic EM-specific advising, networking, and presence can be provided to students at each EMIG. The RAMS Membership Committee looks forward to a successful year of medical student recruitment and hopes to see many of you at SAEM19 in Las Vegas in May 2019!

BRIEFS AND BULLET POINTS Heads Up! It’s not too early to plan ahead! Mark your calendars for the following open dates and watch your inbox and SAEM Social Media for more information.

October 1

• Nominations open for SAEM Board of Directors • Nominations open for RAMS • Nominations open for Academy leadership positions • Nominations open for SAEM Foundation Board of Trustees • Nominations open for SAEM Awards

November 1

• SAEM19 submissions open for Abstracts • SAEM19 submissions open for IGNITE! • SAEM19 submissions open for Innovations

SAEM NEWS

Free Online Testing Service for Medical Students

SAEM and its Clerkship Directors in Emergency Medicine (CDEM) academy are proud to bring you a new and improved testing service for Clerkship Directors and students: The new SAEM Tests platform provides the same controls as before, with enhanced features, such as: • Sleek, modern design • Profile creation and management

Call for Workshop and Didactic Submissions

SAEM is now accepting submissions for Advanced EM Workshops and Didactics. Submissions will remain open through September 17, 2018 for workshops and through October 1, 2018 for Didactics. Be sure to review SAEM'S official formatting guidelines to ensure your submissions are prepared properly and communicated clearly. Please contact education@saem.org with questions. All SAEM19 submission windows are listed below.

Save the Date!

Bookmark saem.org/saem19 and check back often for the most up-to-date information on SAEM19. Hope to see you May 14-17, 2019 in Las Vegas for SAEM’s 30th annual meeting!

Exhibit at SAEM19

Put your products and services in front of EM decision makers, thought leaders, and early adopters… Exhibit with us at SAEM19 in Las Vegas. It’s the Society’s 30th annual meeting and sure to be well-attended. Visit the SAEM19 Exhibitor Information webpage to learn why you should add your name to our list of 2019 exhibitors and sponsors.

AACEM

Apply for the AACEM Chair Development Program

Applications for the AACEM Chair Development Program (CDP) are being accepted through October 12, 2018. The CDP is a leadership training initiative designed to enhance the capabilities and effectiveness of new and aspiring academic EM department chairs.

Apply now for CDP Scholarships

• M4 National EM Exam v2

Applications are being accepted through October 12, 2018 for the following AACEM Chair Development Program (CDP) scholarships. Each scholarship covers the full tuition of $4,200 for the CDP and a $2,500 travel stipend. Click on the links below to apply. For more information on the AACEM CDP program, visit the website.

Please visit the SAEM Tests website for instructions on how to log in and use the new system.

• AACEM/AWAEM Scholarship, in collaboration with the Academy for Women in Academic Emergency

• Ability to easily establish new users and student groups Available Tests: • M3 National EM Exam v1 • M4 National EM Exam v1

SAEM19

Medicine (AWAEM), supports participation by a rising female academic emergency medicine leader. •A ACEM/ADIEM Scholarship, in collaboration with the Academy for Diversity & Inclusion in Emergency Medicine (ADIEM), supports a rising leader who represents the ADIEM mission. •C . Christopher King, MD Scholarship, in memory of C. Christopher King, MD, a valued physician leader and mentor to faculty, residents, and students who collaborated enthusiastically with nursing leadership and advanced practice professionals and other allied health professionals to deliver high quality patient care.

2019 AACEM/AAAEM Annual Retreat Registration is Open

Registration is open for the 2019 AACEM/ AAAEM 11th Annual Retreat, March 10-13, 2019, at the Condado Vanderbilt Hotel, San Juan, Puerto Rico. A schedule of events, registration and hotel information may be found on the retreat webpage.

Registration is open for the 2019-20 Certificate in Academic Emergency Medicine Administration (CAEMA) Program. The purpose of CAEMA is to acknowledge those professionals who have attended the program and demonstrated proficiency in the body of knowledge required of administrators in academic emergency medicine, including resident education, post residency training, inclusion of medical students, and research in emergency medicine. Session One is scheduled for March 9-10, 2019 at the AACEM/AAAEM Annual Retreat. Visit the CAEMA website for more information. For more specific information on the CAEMA curriculum, please email caema@saem.org.

SAEM REGIONAL MEETINGS Great Plains

Register on line for the Great Plains Regional Meeting, September 21-22, 2018 at Washington University in St. Louis, Eric P. Newman Education Center.

SAEM FOUNDATION

SAEM Members Submit More Grants Than Ever Before!

Recently, the SAEM Foundation announced it had achieved $10 million milestone, making it the largest foundation for emergency care research and education. On August 1, 2018, the SAEM Foundation (SAEMF) accepted applications for funding in 10 different grant categories, which included several new categories. SAEM members responded by more than doubling the number of applications submitted last year! Thank you to everyone who donated to SAEMF to help fund the development of innovative researchers, expert educators, and future academic emergency medicine leaders. Grant recipients will be announced in January 2019.

SAEM JOURNALS AEM Education and Training Call for Reviewers

Join a network that will prove valuable to your career, connect you with key figures in the specialty, and prove beneficial and enjoyable in other many ways… Become a peer reviewer for the recently indexed Academic Emergency Medicine Education and Training (AEM E&T) journal. To apply for consideration as a peer reviewer for AEM E&T, please email the following information to sroseen@saem.org and put “AEM E&T Reviewer” in the subject line. • A completed Call for Reviewers Form which asks for areas of expertise (this will help us assign appropriate articles to reviewers) • Your current curriculum vitae (this should include any service you have as a reviewer for peer-reviewed journals) • A brief statement outlining your previous peer review experience and why you’re interested in reviewing for AEM E&T

Academic Emergency Medicine AEM Accepting Submissions: Special Gender Issue

Academic Emergency Medicine (AEM) is accepting submissions for a special issue of the journal (to publish in early 2019): “Influence of Gender on the Profession of Emergency Medicine.” The issue will be dedicated to original research

papers and systematic reviews with or without meta-analyses that focus on the role of biological sex and/or female gender identity with respect to workplace experiences, professional advancement, practice environment, work satisfaction and burnout, and the general clinical practice of emergency medicine. Deadline for submissions is October 30, 2018. Instructions for authors and more specific details may be found online. Papers should be submitted via ScholarOne, our online peer review management system. All papers will undergo peer review. Please direct questions to Esther Choo or AEM Editor-in-Chief Jeff Kline.

AEM Announces New Evidence-based Medicine Section

Academic Emergency Medicine (AEM) and the evidence-based website www.theNNT.com are partnering to publish a new evidence-based medicine section in AEM called “The Brass Tacks: Concise reviews of published evidence.” The NNT (“Number Needed to Treat”) website publishes evidence-based reviews and quantifies the results in a way that is usable by doctors at the bedside. AEM will publish some of the NNT reviews (specifically those most focused on emergency medicine) in this new section. These will be published in partnership with The NNT website. All AEM readers are welcome to make contributions to this new section. For more information please contact Shahriar Zehtabchi.

IN OTHER NEWS ABEM Elects New President

Robert L. Muelleman, MD, has been elected president of the American Board of Emergency Medicine (ABEM). Dr. Muelleman has been a member Robert L. Muelleman, MD of the ABEM board of directors since July 2011 and was elected to the executive committee of ABEM in 2015. He is currently a professor and past chair of the Department of Emergency Medicine at the University of Nebraska Medical Center.

ABMS Approves Neurocritical Care Subspecialty

The American Board of Medical Specialties (ABMS) has approved subspecialty certification in Neurocritical Care (NCC). NCC is co-sponsored by the American Board of Anesthesiology

AEM Education and Training is Now Indexed! AEM Education and Training is now indexed in PubMed Central and all content published since its launch in 2017 is now discoverable within the PubMed and PubMed Central archives! Thank you and congratulations to AEM Editor-in-Chief, Jeffrey A. Kline, MD, AEM E&T Editor, Susan Promes, MD, and the AEM E&T Editorial Board, reviewers, and authors.

What is PubMed Central?

PubMed Central (PMC) is a free, digital repositorythat archives open access, full-text scholarly articles that have been published within theliterature (biomedical and life sciences journal). Citations for articles deposited in PMC are available on PubMed which is THE search engine forreferences and abstracts on life sciences and biomedical topics.

How did AEM E&T get in?

In order to deposit all articles in PubMed Central, AEM E&T had to meet scientific quality standards set out by the National Institutes of Health (NIH) and National Library of Medicine (NLM) for acceptance into PMC. One of those requirements was that AEM E&Tpublish at least 25 peer-reviewed research articles. The NLM’s Library Operations Division then decided whether the scientific and editorial scope and quality of the journal merited its inclusion in PMC. And they decided it did!

Why is this a big deal?

Admission into PubMed Central is typically the first indexing milestone for newly published journals.Indexed journals are considered to be of higher scientific quality as compared to non-indexedjournals. PubMed Central indexation will improve the visibility of articles accepted by the AEM E&T and will increase the journal’s exposure for authors and readers.

What’s next?

The Emerging Sources Citation Index (ESCI) / Web of Science (WoS) application was submitted for AEM E&T last fall and we expect a response very soon. The journal is likely to be accepted into the ESCI as an initial step in being considered for the Science Citation Index Expanded (SCIE) which is the index that confers impact factors, so once accepted into the SCIE the journal will be eligible for an impact factor.

(ABA), the American Board of Emergency Medicine (ABEM), the American Board of Neurological Surgery, and the American Board of Psychiatry and Neurology (ABPN). Physicians certified by these four boards who meet the eligibility criteria for NCC will have the opportunity to become certified in NCC. The medical subspecialty of Neurocritical Care is devoted to the comprehensive multisystem care of the critically ill patient with neurological diseases/conditions. The ultimate goal of NCC is to provide optimal care to a unique patient population that simultaneously requires expert management of acute nervous system illness and trauma while integrating all other aspects of critical care medicine. There will be two pathways to certification in NCC: a training pathway and a time-limited practice pathway. The practice pathway will start at the time the first exam is offered. Eligible pathway criteria will be posted on the ABEM website by the end of 2018. ABPN will develop and administer the examination; physicians will submit applications to their primary certifying board. The first examination is expected to take place in either 2020 or 2021. NCC becomes the tenth subspecialty available to ABEMcertified physicians.

EM Day of Service is This September!

Join the SAEM staff and your emergency medicine colleagues from around the

country to participate in the EM Day of Service, a specialty-driven event where emergency care providers identify community needs and volunteer to address those needs. Pick a day, or several days, anytime between September 1 and September 30 and volunteer in your own community. Decide where the needs are greatest and go into action! Host a food drive...help with a construction project for a community building or a family in need...provide health screen checks at local health fairs...the possibilities are endless! As soon as you are registered, be sure to use social media to get the word out! Use #emdayofserviceto start the buzz! Questions? Email emdayofservice@emra.org

SAEM Partners With EM Organizations to Bring Awareness to Physician Suicide

National Physician Suicide Awareness Day September 17, 2018

In order to address the issue of physician suicide, the Council of Emergency Medicine Residency Directors (CORD),

in collaboration with SAEM, American Academy of Emergency Medicine, American College of Emergency Physicians, American College of Osteopathic Emergency Physicians, Emergency Medicine Residents Association, Resident Students Association, and Resident Student Organization have come together to dedicate September 17 National Physician Suicide Awareness Day. Estimates are that up to 400 physicians per year take their own lives with the relative risk for suicide being 2.27 among women and 1.41 among men higher than the general population. Each physician suicide is a devastating loss affecting everyone: family, friends, colleagues and up to 1 million patients per year. It is both a very personal loss and a public health crisis. Vision Zero calls on individuals, residency programs, health care organizations, and national groups to make a commitment to break down stigma, increase, open the conversation, decrease the fear of consequences, reach out to colleagues, recognize warning signs and learn to approach our colleagues who may be at risk. Let us challenge each other as individual, community, institutional and organizational to make changes to reach zero physician suicides. Suicide can be prevented. Be the one to be there. Shed light on this issue and change the culture of medicine to save lives.

SUBMIT YOUR ANNOUNCEMENT! The SAEM Pulse Academic Announcements section publishes academic appointments, promotions, retirements, grant awards, research announcements, published papers, etc. Send your content (50-75 words max) to newsletter@saem.org. The next content deadline is October 1, 2018 for the November/December 2018 issue. 24

COMMITTEE REPORTS Research Committee: The Right Stuff, at the Right Time, in the Right Place

While research is a core pillar of academic medicine in general, and academic emergency medicine in particular, it is a truism that, even within our relatively small community, research means different things, to different people, at different times. A junior resident with a budding interest in developing an academic career in emergency medicine will clearly have vastly different needs for information, resources, and training than a mid-career, funded, scientist who is considering applying for an NIH k24 Mid-Career investigator award. But even within a given year, any one of us will likely have varying needs and interests related to emergency medicine research. With thirteen formal objectives and seven additional home-grown projects, the SAEM Research Committee is accountable to the SAEM Board of Directors and the entire membership for tackling and overseeing a host of plans and programs, new and old. Highlighted below are just a small sample of our new or recently developed endeavors:

The “New” SAEM Consensus Conference A longstanding tradition to develop research priorities around important topics in emergency medicine, the SAEM Consensus Conference, starting in 2019, has been reimagined to increase its relevance and value to the SAEM community. The conference will be now overseen by the SAEM Research Committee in close coordination with the SAEM Program Committee. The primary objective is to generate a research agenda for important, unanswered questions facing emergency care that will lead to high-quality, funded research projects of varying scopes and from a variety of funders. The secondary objective of the conference now includes networking, expanding stakeholders, and drawing thought leaders to SAEM Annual Meeting. The format of the conference will change to emphasize

multi-stakeholder engagement and real-time consensus building. New attributes include: 1) de-emphasizing lectures, with a focus on shorter, more interactive sessions; 2) broad recruitment of stakeholders, which can potentially include thought leaders from other disciplines, policy makers, grant funders, patients and community members; 3) incorporating adequate time for both trust-building and networking activities to facilitate subsequent research proposals. A shorter and streamlined application was developed to facilitate these key aims (deadline was September 1). We are very excited about the new SAEM Consensus Conference and encourage anyone who may be interested to take a look at the new format.

SAEM National Grand Rounds For the past two years, the Research Committee has sponsored the SAEM National Grand Rounds (NGR) at the SAEM annual meeting. National Grand Rounds speakers are some of the most esteemed and accomplished researchers in academic emergency medicine. Invited NGR speakers have been given an opportunity to reflect on their careers in a format that isn’t limited to a specific project or topic. Infused with sage advice, and compelling stories about the hiccups and winding paths representing different research careers, the NGR has been a popular and well-received addition to the annual meeting program. Moreover, the National Grand Rounds has specifically been built to incorporate networking with breakout sessions that facilitate interactions between the senior speakers, NIH program officers, and attendees. The Research Committee will be sponsoring the National Grand Rounds for SAEM19, with another slate of exciting and inspiring senior researchers. We hope to see you there at this exciting session.

ARMED and the SAEM Grant Writing Workshop The Research Committee is the home for two of SAEM’s popular and successful training programs for junior faculty, fellows, senior residents and others looking to boost their research chops. Advanced Research Mediations Evaluation and Design (ARMED) is about to kick off its second year of in-person and virtual research skill training. The purpose of this course is to arm participants with the fundamental

knowledge and skills to design a highquality research project and grant proposal to jumpstart their research careers. The course is targeted to assist junior faculty within five years of graduation, fellows, and senior residents who are interested in pursuing a career in research. The SAEM Grant Writing Workshop continues to host a highly rated, day-long training program in grant writing during the annual meeting. The workshop is included in the ARMED curriculum as well and has led to many successful grant federal and other grant applications among attendees.

SAEM Research Learning Series Sponsored by the SAEM Foundation, SAEM offers LIVE online education on popular topics via its Research Learning Series. Designed for novice and midcareer researchers in emergency medicine, these monthly 60-minute sessions feature valuable research content delivered by experts in the field of emergency research. Recent topics have included a, IRB Tips and Tricks, and Building an ED Research Associate Program. The SAEM Research Committee is proud to support this innovative and expanding webinar initiative.

The Research Committee Community Other exciting work led by SAEM Research Committee members include responding to NIH and other federal Requests for Information (RFIs) to address the needs of emergency medicine researchers and our stakeholders, coordinating research related new and rotating didactic sessions at the annual meeting, and partnering with NIH partners to develop content for the annual meeting and beyond. Without this community of 100-plus creative, resourceful, engaged, and committed members and leaders, the SAEM Research Committee could not accomplish any of these valuable and relevant projects. I am privileged to work with and learn from my colleagues on the committee to develop and enhance our ability to deliver the right stuff to our research community at the right time, in the right place. Please check out our objectives and projects or contact Research Committee chair, Zachary Meisel, MD, if you have questions or interests related to the committee’s mission. zfm@upenn.edu. @zacharymeisel

ACADEMIC ANNOUNCEMENTS University of Massachusetts

Columbia University

Kavita Babu, MD, and her coinvestigators (Drs. Edward Boyer, Barry Logan, Clay Merchant, and Rochelle Rosen), were awarded an R21 from the National Institute on Drug Abuse. Their study, entitled "Sentanyl: Emergency Department Surveillance Kavita Babu, MD for Clandestine Opioids" focuses on the importance of the emergency medicine setting for the study of near-fatal overdoses, and for identifying emerging opioid trends. Dr. Babu is the chief of medical toxicology in the Department of Emergency Medicine at the University of Massachusetts.

Bernard Chang MD, PhD, assistant professor of emergency medicine at Columbia University Medical Center, has been awarded a $3,630,170 R01 grant from the NIH as principal investigator. His study will examine posttraumatic stress disorder (PTSD) and cardiovascular outcomes in transient ischemic Bernard Chang MD, PhD attack (TIA) and minor stroke patients. Dr. Chang completed his emergency medicine training in 2012 and was recently a participant in the 2017-2018 inaugural class of SAEM's ARMED (Advanced Research Methodology Evaluation and Design) research training program for young investigators in emergency medicine.

University of Florida Adrian Tyndall, MD, MPH, a 12-year veteran of the University of Florida (UF) faculty, a professor and chair of emergency medicine at the UF College of Medicine, and physician-in-chief of emergency services for UF Health, has been named interim dean of the Adrian Tyndall, MD, MPH college. Tyndall, who joined the UF faculty in 2006, became chair of the department of emergency medicine in 2008. He is a member-at-large of the board of trustees of the Society for Academic Emergency Medicine Foundation. He was also named a 2018-2019 fellow of the Council of Deans of the Association of American Medical Colleges.

Duke University Alexander T. Limkakeng, MD, MHSc, an associate professor of surgery at Duke University School of Medicine, has been named vice chief of research for the Duke Division of Emergency Medicine. In addition to collaborating on multiple clinical trials, he oversees Alexander T. Limkakeng, MD, MHSc the Emergency Medicine Acute Care Research Team at Duke, and mentors numerous faculty and residents. Dr. Limkakeng is a member of the SAEM Program Committee and the SAEM Research Committee.

Virginia Commonwealth University Nicole Deiorio, MD, has been named associate dean for student affairs at Virginia Commonwealth University. Dr. Deiorio was most recently assistant dean for student affairs at Oregon Health & Science University. Dr. Deiorio is on the editorial board of AEM Nicole Deiorio, MD Education and Training journal and is a past recipient of SAEMâ&#x20AC;&#x2122;s Hal Jayne Excellence in Education Award.

Penelope Lema, MD, RDMS, has been named director of ultrasound and vice chair of faculty affairs for the Department of Emergency Medicine at Columbia University Vagelos College of Physicians and Surgeons, effective February 1, 2019. Dr. Lema is currently director of the emergency ultrasound division and Penelope Lema, MD, RDMS fellowship and assistant professor of emergency medicine at the University at Buffalo Jacobs School of Medicine and Biomedical Sciences. Dr. Lema has been the Emergency Ultrasound Division and Fellowship Director at three academic institutions over the past decade. She developed the ultrasound curriculum for New York Presbyterian Queens (formerly NYHQ), then at the University at Rochester Strong Memorial Hospital, and most recently at the University at Buffalo where she has been instrumental in ultrasound education for medical students, residents, fellows, advanced practice practitioners, and faculty. Dara A. Kass, MD, has joined the newly formed Columbia University Department of Emergency Medicine as the Director of Equity and Inclusion. Dr. Kass was formerly a clinical associate professor of emergency medicine at NYU Langone Medical Center where she also served as the director of undergraduate Dara A. Kass, MD medical education. In 2015, Dr. Kass founded FemInEM, an organization dedicated to the achievement of gender equity in emergency medicine. FemInEM serves as an open access resource for women in emergency medicine and is renowned as a multi-faceted community of women in medicine from all over the world. Daniel J. Egan, MD, associate professor of emergency medicine at the Icahn School of Medicine at Mount Sinai and emergency medicine residency program director at Mount Sinai St. Lukeâ&#x20AC;&#x2122;s-Roosevelt, has been named vice chair of education for the Department of Emergency Medicine at Columbia University Daniel J. Egan, MD College of Physicians and Surgeons, effective September 15, 2018. Dr. Egan is actively involved in committees within the Society for Academic Emergency Medicine (SAEM) and has chaired committees of the Council of Emergency Medicine Residency Directors (CORD).

NOW HIRING POST YOUR OPEN JOBS IN FRONT OF OUR QUALIFIED CANDIDATES! Accepting ads for our “Now Hiring” section! Deadline for the next issue of SAEM Pulse is October 1. For specs and pricing, visit the SAEM Pulse advertising webpage.

Featured Director and Faculty Opportunities Ultrasound Fellowship Director Featured

and Opportunities Core Faculty Director andClinical Faculty

Osceola Regional Medical Center. Kissimmee, FL. EM Residency Program affiliated with the University of Central EM Residency Program Director Florida College of Medicine. Contact Shawn Stampfli and at Ultrasound Fellowship Director 404.663.4770

Osceola Regional Medical Center. Kissimmee, FL.

Toxicology Fellowship Trained Physician EM Residency Program affiliated EM with the University offor Core Faculty Central Florida College of Medicine. Contact Shawn

Aventura Hospital and Medical Center. Miami, FL. Stampfli at 404.663.4770 EM Residency Program affiliated with the Herbert Wertheim Fellowship Trained EMand Nova College ofToxicology Medicine at Florida International University Physician for Core Faculty Southeastern University. Contact Ody Pierre-Louis at 727.507.3621 Aventura Hospital and Medical Center. Miami, FL.

ClinicalEM Faculty Residency Program affiliated with the Herbert

Oak HillWertheim Hospital. Tampa Bay, FL. College of Medicine at Florida International New EM Residency Program with the University of South University and Novaaffiliated Southeastern University. Contact Ody Florida Morsani Collegeat of Medicine. Estimated start date July 2018. Pierre-Louis 727.507.3621 Contact Ody Pierre-Louis at 727.507.3621

Director of Ultrasound ClinicalOak Faculty Hill Hospital. Tampa Bay, FL.

Coliseum Medical Center. Macon, GA. New EM Residency Program affiliated with Mercer University’s Clinical andEstimated Core Faculty School of Medicine. start date July 2019. Contact Christie Coliseum Medical Sharpe at 865.531.9984 Center. Macon, GA. New EM Residency Program affiliated with Mercer Clinical Faculty University’s School of Medicine. Estimated start date July St. Lucie Medical Center. St. Lucie, FL. 2019. Contact Christie SharpePort at 865.531.9984 PBCGME affiliated Osteopathic EM Residency Program. Contact Faculty Amy Clinical Anstett at 954.295.1524 St. Lucie Medical Center. Port St. Lucie, FL.

Clinical and CoreOsteopathic FacultyEM Residency Program. PBCGME affiliated

Southeastern Medical Center. Lumberton, NC. Contact Amy Regional Anstett at 954.295.1524 Affiliated with Duke Health University EM Residency Program. Contact Barbara Lay at 727.507.3608

For more information contact: Send to: MakeAChange@evhc.net E:CV MakeAChange@evhc.net Call:O:844.437.3233 877.226.6059

BrandonNew Regional Hospital. Tampa FL.University EM Residency Program affiliatedBay, with the New EM Residency Program affiliated withofthe University of South of South Florida Morsani College Medicine. Contact Ody Florida Morsani College of Medicine. Start date July 2018. Contact Pierre-Louis at 727.507.3621 Esther Aguilar at 727.519.4851

{ Job Opportunities } Division Chief, Pediatric Emergency Medicine EMS Fellowship Director Medical Director/Asst Medical Director PEM/EM Core Faculty Vice Chair Research Emergency Medicine

What We’re Offering: • We’ll foster your passion for patient care and cultivate a collaborative environment rich with diversity • Salaries commensurate with qualifications • Sign-on bonus • Relocation assistance • Retirement options • Penn State University Tuition Discount • On-campus fitness center, daycare, credit union, and so much more! What We’re Seeking: • Experienced leaders with a passion to inspire a team • Ability to work collaboratively within diverse academic and clinical environments • Demonstrate a spark for innovation and research opportunities for Department • Completion of an accredited Emergency Medicine Residency Program • BE/BC by ABEM or ABOEM • Observation experience is a plus

What the Area Offers: We welcome you to a community that emulates the values Milton Hershey instilled in a town that holds his name. Located in a safe family-friendly setting, Hershey, PA, our local neighborhoods boast a reasonable cost of living whether you prefer a more suburban setting or thriving city rich in theater, arts, and culture. Known as the home of the Hershey chocolate bar, Hershey’s community is rich in history and offers an abundant range of outdoor activities, arts, and diverse experiences. We’re conveniently located within a short distance to major cities such as Philadelphia, Pittsburgh, NYC, Baltimore, and Washington DC.

FOR ADDITIONAL INFORMATION PLEASE CONTACT: Susan B. Promes, Professor and Chair, Department of Emergency Medicine c/o Heather Peffley, Physician Recruiter, Penn State Health Milton S. Hershey Medical Center 500 University Drive, MC A595, P O Box 855, Hershey PA 17033 Email: hpeffley@pennstatehealth.psu.edu or apply online at: hmc.pennstatehealth.org/careers/physicians Penn State Health is committed to affirmative action, equal opportunity and the diversity of its workforce. Equal Opportunity Employer – Minorities/Women/Protected Veterans/Disabled.

EMERGENCYMEDICINE MEDICINE FACULTY EMERGENCY FACULTY University of California University of California San Francisco San Francisco The University of California San Francisco, Department of

TheEmergency University of California San Department Medicine is recruiting for Francisco, full-time faculty. We seek of Emergency is recruiting for of full-time faculty. criteria: We seek individualsMedicine who meet one or more the following Clinically-oriented emergency with outstanding individuals who meet one or medicine more offaculty the following criteria: and original contributions educationfaculty and training, and/or Clinically-oriented emergencyinmedicine with outstanding in clinical practice; individuals with a track andnoteworthy original innovation contributions in education and training, and/or record of innovation successful research activities, as individuals demonstratedwith by peernoteworthy in clinical practice; a track review publications and funding. Rank and series will be record of successful research activities, as demonstrated by peercommensurate with qualifications. review publications and funding. Rank and series will be commensurate withofqualifications. The Department Emergency Medicine provides comprehensive emergency services to a large local and referral population with

Theapproximately Department of Emergency provides comprehensive 130,000 visits aMedicine year at UCSF Medical Center, emergency services to a large local (ZSFG), and referral population with Zuckerberg San Francisco General and UCSF Benioff Children’s Hospital Sanvisits Francisco. UCSF Center, ranked approximately 130,000 a year at Medical UCSF Medical Center, as the best in California, a 29-bed a 10-bed Zuckerberg Sanhospital Francisco General has (ZSFG), and ED, UCSF Benioff Observation Unit,San andFrancisco. serves about patients in ranked the Children’s Hospital UCSF45,000 Medical Center, emergency department patients. ZSFG, a level 1 trauma center, as the best hospital in California, has a 29-bed ED, a 10-bed paramedic base training center,45,000 opened patients a new hospital Observation Unit,station and and serves about in the and 60-bed emergency department in 2016, including a dedicated emergency department patients. ZSFG, a level 1 trauma center, pediatric ED. The Department of Emergency Medicine serves as paramedic baseteaching station site andfor training opened new hospital the primary a fully center, accredited 4-yeara Emergency andMedicine 60-bed emergency department 2016, including a dedicated residency program, whichincurrently has 54 residents and pediatric ED. in The Department Emergency Medicineresearch, serves as fellowships education, EMS, of global health, toxicology, the pediatric primary emergency teaching site for a and fully accredited 4-year isEmergency medicine ultrasound. Research a major priority residency of the department withwhich over 100 peer-reviewed Medicine program, currently has 54 publications residents and each year.inThere is an active andglobal successful health services research fellowships education, EMS, health, toxicology, research, group, emergency as well as in medicine a number of other disciplinesResearch within EM. pediatric and ultrasound. is There a major are opportunities for leadership and100 growth within the Department priority of the department with over peer-reviewed publications and UCSF School of active Medicine. each year. There is an and successful health services research group, as well as in a number of other disciplines within There Board certification or eligibility in emergency medicine is EM. required. are All opportunities for leadership and growth within applicants should excel in bedside teaching and the haveDepartment a strong andethic UCSF Schooltooftheir Medicine. of service patients and profession. Thecertification University oforCalifornia, Francisco (UCSF) is one of the Board eligibilitySan in emergency medicine is required. top should five medical and demonstrates in All nation’s applicants excel schools in bedside teaching andexcellence have a strong basic science to and clinical research, global health sciences, policy, ethic of service their patients and profession. advocacy, and medical education scholarship. The San Francisco

Area is well-known for its food, mild climate, TheBay University of California, Sangreat Francisco (UCSF) is beautiful one of the scenery, vibrant cultural environment, and its outdoor recreational nation’s top five medical schools and demonstrates excellence in activities. basic science and clinical research, global health sciences, policy, advocacy, and medical education PLEASE APPLYscholarship. ONLINE AT:The San Francisco Bay Area is well-known for its great food, mild climate, beautiful https://aprecruit.ucsf.edu/apply/JPF01979 scenery, vibrant cultural environment, and its outdoor recreational activities. UCSF seeks candidates whose experience, teaching, research, or community service has prepared them to contribute to our commitment to diversityAPPLY and excellence. PLEASE ONLINEUCSF AT: is an Equal Opportunity/Affirmative Action Employer. The University https://aprecruit.ucsf.edu/apply/JPF01979 undertakes affirmative action to assure equal employment opportunity for underutilized and teaching, women, for persons or UCSF seeks candidates whoseminorities experience, research, with disabilities, and for covered veterans. All qualified applicants community service has prepared them to contribute to our are encouraged to apply, including minorities and women. For commitment to diversity and excellence. UCSF is an Equal additional information, please visit our website at Opportunity/Affirmative http://emergency.ucsf.edu/.Action Employer. The University

undertakes affirmative action to assure equal employment opportunity for underutilized minorities and women, for persons with disabilities, and for covered veterans. All qualified applicants are encouraged to apply, including minorities and women. For additional information, please visit our website at http://emergency.ucsf.edu/.

The newly formed Department of Emergency Medicine (EM) of the Columbia University College of Physicians & Surgeons, led by Dr. Angela Mills, is seeking successful leaders in EM to join her leadership team. The link for the fullpage ad can be found here: https://careers.saem.org/job/vice-chair-ofresearch/42769578/ Vice Chair of Research The Department of EM is seeking a highly motivated Vice Chair of Research at the Associate Professor or Professor level, preferably tenure track. This position will report directly to the Chair of EM and will provide leadership and oversight of the research mission for the Department. Successful candidates will have a demonstrated track record of independently funded research, publication in high-impact, peerreviewed journals, strong mentorship skills and clear evidence of promoting the academic careers of junior faculty. The Department is looking to grow its research and scholarly output and, as such, is seeking a visionary Vice Chair to build a nationally recognized research program. The Vice Chair must demonstrate expertise in leading research in EM and possess the interpersonal skills to engage, inspire and work across disciplines within a large, diverse organization. We seek applicants who embrace and reflect diversity in the broadest sense. Columbia University is an Affirmative Action, Equal Opportunity Employer. Please send a letter of interest, curriculum vitae, and names of 3 references to: Angela M. Mills, MD, Chair Angela.Mills@columbia.edu

Emergency Medicine Physician The Department of Surgery, Division of Emergency Medicine at the University of Utah is seeking a board-certified/board-eligible emergency physician who is interested in joining the faculty at the rank of assistant or associate professor. Candidates with academic faculty experience and a track record in research and education are strongly encouraged to apply. We are also seeking individuals willing to serve in a nocturnist role. University Hospital is a Level 1 Trauma Center and the Intermountain West's only academic health care system. The hospital serves Utah and five surrounding states, representing the largest referral area in the continental United States. University of Utah Health is consistently ranked #1 in quality nationwide, and the emergency department is expanding its faculty due to the rapid growth in patient volume. The Division of Emergency Medicine maintains a highly competitive three-year academic residency program, a broad research portfolio with multiple extramural grants and fellowships in EMS, Global Health, Palliative Care, Research Sports Medicine, Ultrasound, and Wilderness Medicine. We offer a competitive salary, comprehensive benefits package, and generous retirement plan. Academic appointment in the University of Utah School of Medicine and salary will be commensurate with experience. Interest applicant must apply at: http://utah.peopleadmin.com/postings/78905 Interested applicants may submit their CV and cover letter to Ryan Dest at ryan.dest@hsc.utah.edu. The University of Utah HSC values candidates who are committed to fostering and furthering the culture of compassion, collaboration, innovation, accountability, diversity, integrity, quality, and trust that is integral to the mission of the University of Utah Health Sciences Center. The University of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, national origin, color, religion, sex, age, sexual orientation, gender identity/expression, status as a person with a disability, genetic information, or Protected Veteran status. Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities and protected veterans are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. To inquire about the University’s nondiscrimination or affirmative action policies or to request disability accommodation, please contact: Director, Office of Equal Opportunity and Affirmative Action, 201 S. Presidents Circle, Rm 135, (801) 581-8365. The University of Utah values candidates who have experience working in settings with students from diverse backgrounds, and possess a strong commitment to improving access to higher education for historically underrepresented students.

The University of Washington School of Medicine Department of Emergency Medicine seeks an Associate Chair for Faculty Development and Education

The Associate Chair for Faculty Development and Education of the Department of Emergency Medicine at the University of Washington will serve as a leader in the advancement of the educational mission of the Department. The Associate Chair will assist in promoting the departmental vision for education, with a particular focus on the development of faculty and education scholarship. The Associate Chair for Faculty Development and Education, in conjunction with the Chair and faculty, will develop and implement a strategic The Associate Chair for framework Faculty Development andeducational Educationprogramming of the Department of Emergency Medicine at theThe University Washington willthe serve leader inoversee the advancement plan and for advancing the in the Department of Emergency Medicine. Associateof Chair will work with Chairastoacreate and professional programs and opportunities forassist faculty,infellows and residents. The Associatevision Chair will oversee allwith departmental educational programs to of the educational missiondevelopment of the Department. Theidentify Associate Chair will promoting the departmental foralso education, a particular focus on the development of ensure that programs are aligned with Department goals and are coordinated in a way that optimizes learning and collaboration across programs. The Associate Chair will work faculty and education scholarship. The Associate Chair for Faculty Development and Education, in conjunction with the Chair and faculty, will develop and implement a strategic closely with the University of Washington School of Medicine and national academic organizations such as the Society for Academic Emergency Medicine, the Association of plan and framework forMedical advancing the educational programming in the Department of Emergency Medicine. The Associate Chairtowill workfaculty with the Chairachievement to create and oversee American Colleges, and the Accreditation Council for Graduate Medical Education to identify and implement new methods promote academic and identify opportunities for identify enhancingopportunities the GME and UGME programs. The Associate Chair will play an important role in faculty and fellow Theeducational Department isprograms to professional development programs and for faculty, fellows and residents. The Associate Chair will also oversee all recruitment. departmental seeking to grow the education mission and is seeking visionary candidates with strong interpersonal and communication skills to work collaboratively across the organization to ensure that programs alignedinwith Department goals and arescholarship coordinated in the a way that optimizes learning and collaboration across programs. The Associate Chair will work promoteare excellence training, teaching, and educational within department.

closely with theQualified University of Washington School of Medicine and national academic organizations such as the Societyexperience for Academic Emergency Medicine, the Association of individuals will be highly motivated, Board Certified in Emergency Medicine, will have demonstrated leadership in UGME, GME (residency or fellowship), American Medical Colleges, and within the Accreditation forand Graduate Education to identify andofimplement new methods promote faculty academic achievement or other leadership their School ofCouncil Medicine, will have Medical an academic appointment at the level Associate Professor or higher.toThe successful candidate will have a demonstrated record of achievement through education-related evidenced by publication high-impact peer-reviewed journals, strong and identify opportunities fortrack enhancing theacademic GME and UGME programs. The Associatescholarship Chair will as play an important role ininfaculty and fellow recruitment. The Department is mentorship skills with evidence of promoting the academic careers of junior faculty and fellows, and participation in national academic initiatives and organizations. The seeking to growAssociate the education mission and seeking visionary with interpersonal communication skills to work collaboratively across the organization to Chair must possess theisinterpersonal skills to candidates engage, inspire andstrong work across disciplines and within a large, diverse organization. Candidates must have a commitment to diversity and inclusivity in academic medicine and the ability within to represent and promote the University of Washington Department of Emergency Medicine on a regional and promote excellence in training, teaching, and educational scholarship the department. national level.

The Associate formotivated, Education and Faculty Development will work atMedicine, the Harborview Medical Center (HMC) Emergency is the only Level I Trauma Center Qualified individuals will beChair highly Board Certified in Emergency will have demonstrated leadershipDepartment, experiencewhich in UGME, GME (residency or fellowship), or forwithin a 4-state region and sees approximately patients year, and the Universityat of the Washington Center Emergency sees approximately other leadership their School of Medicine, and65,000 will have an per academic appointment level ofMedical Associate Professor or Department, higher. Thewhich successful candidate will have a 29,000 patients per year and is ranked #1 in Washington State. The University of Washington is a top tier medical school recognized for excellence in clinical training, world-class demonstrated research track record of academic achievement through education-related scholarship as evidenced by publication high-impact peer-reviewed journals, strong initiatives, and an enduring commitment to community service throughout the WWAMI—Washington, Wyoming, Alaska,inMontana, and Idaho—region. EM faculty enjoy theevidence academic benefits of working one of the country’s centers. and participation in national academic initiatives and organizations. mentorship skills with of promoting thein academic careers premiere of junioracademic faculty health and fellows, The you are interested joining the UW skills Department of Emergency leadership team pleasewithin send a letter of interest and a copy of your CV to: Susan Stern, Professor Associate ChairIfmust possess theininterpersonal to engage, inspire Medicine and work across disciplines a large, diverse organization. Candidates mustMD; have a commitment to and Chair, Department of Emergency Medicine; Harborview Medical Center; 325 9th Avenue; Box 359702; Seattle, WA 98104-2499 (sstern@uw.edu). diversity and inclusivity in academic medicine and the ability to represent and promote the University of Washington Department of Emergency Medicine on a regional and The UW is building a culturally diverse faculty and strongly encourages applications from women and minority candidates. The University is an Equal Opportunity/Affirmative national level. Action employer.

The Associate Chair for Education and Faculty Development will work at the Harborview Medical Center (HMC) Emergency Department, which is the only Level I Trauma Center for a 4-state region and sees approximately 65,000 patients per year, and the University of Washington Medical Center Emergency Department, which sees approximately 29,00030 patients per year and is ranked #1 in Washington State. The University of Washington is a top tier medical school recognized for excellence in clinical training, world-class research initiatives, and an enduring commitment to community service throughout the WWAMI—Washington, Wyoming, Alaska, Montana, and Idaho—region. EM faculty

Yale University School of Medicine Department of Emergency Medicine YaleFellowship University School of Medicine Programs Yale University University School School of Medicine Medicine Yale of

Department of Emergency Medicine Fellowship Programs Department of of Emergency Emergency Medicine Medicine Fellowship Fellowship Programs Programs Department

For specific information including deadlines and requirements, visit: http://medicine.yale.edu/emergencymed/ Forspecific specificinformation informationincluding includingdeadlines deadlinesand andrequirements, requirements,visit: visit:http://medicine.yale.edu/emergencymed/ http://medicine.yale.edu/emergencymed/ For The Implementation Science fellowship is a 2-3 year program that will train investigators in the principles and practice of dissemination and implementation science. TheImplementation Implementation Science fellowship 2-3year year program that willInstitute, traininvestigators investigators the principles andpractice practice ofdissemination dissemination and implementation science. The Science fellowship isisaaHeart, 2-3 program will train ininthe principles and of science. Supported by a K12 grant from NIH’s National Lung, andthat Blood fellows will receive training at the new Yale Centerand forimplementation Implementation Science (YCIS), Supported byaClinical aK12 K12grant grant fromNIH’s NIH’sNational National Heart,Lung, Lung, andBlood Blood Institute, fellowswill willreceive receive trainingatatmay thenew newYale YaleaCenter Center forin Implementation Science (YCIS), Supported by from and Institute, fellows training the for Implementation Science (YCIS), the Yale Center for Investigation, and the Heart, National Clinician Scholars Program. Eligible candidates receive Masters Health Sciences degree. Mentors come the Yale Center for Clinical Investigation, and the National Clinician Scholars Program. Eligible candidates may receive a Masters in Health Sciences degree. Mentors come theYale Yale Schools Center for Investigation, National Clinician Scholars Program. Eligible candidates may receive a Masters in Health Sciences degree. Mentors come from the ofClinical Medicine, Nursing, and and the Public Health, as well as many community-based organizations in New Haven. For further information, contact Steven L. from the Yale Schools of Medicine, Nursing, and Public Health, as well as many community-based organizations in New Haven. For further information, contact Steven L. from MD, the Yale Schools of Medicine, Nursing, and Public Health, as well as many community-based organizations in New Haven. For further information, contact Steven L. Bernstein, steven.bernstein@yale.edu. Bernstein, MD, steven.bernstein@yale.edu. Bernstein, MD, steven.bernstein@yale.edu.

The Research fellowship is a 2-3 year program focused onon training scholars asindependent independent researchers in Emergency Medicine. Scholars will earn aofof Master of TheResearch Research fellowship 2-3year year program focused on trainingclinician clinicianscholars scholarsas as independent researchers Emergency Medicine. Scholars willearn earn Master The fellowship isisaa2-3 program focused training clinician researchers ininEmergency Medicine. Scholars will aaMaster Health Health Sciences degree fromfrom YaleYale combining clinical experience training inresearch research methods, statistics, and research design. With the guidance of research HealthSciences Sciences degree from Yale combining clinical experiencewith withextensive extensivetraining traininginin research methods, statistics, andresearch research design. Withthe the guidance ofresearch research degree combining clinical experience with extensive methods, statistics, and design. With guidance of contentcontent expertsexperts and professional coach mentors, thethe scholar will research program,complete complete a publishable project and submit a application grant application content experts andprofessional professional coach mentors, the scholar willdevelop developaaaresearch researchprogram, program, complete publishable project andsubmit submit grant application priorto toprior to and coach mentors, scholar will develop aapublishable project and aagrant prior completion theprogram. program. Theprogram program credentialed by the Societyfor forAcademic AcademicEmergency Emergency Medicine. ForFor further information, contact Steven L.Bernstein, Bernstein, MD, MD, completion of theofof program. The The program is credentialed byby the Society Academic Emergency Medicine. further information, contact Steven L. Bernstein, completion the isiscredentialed the Society for Medicine. For further information, contact Steven L. MD, steven.bernstein@yale.edu. steven.bernstein@yale.edu. steven.bernstein@yale.edu.

NIDAPartnering K12:Partnering Partnering withYale’s Yale’s Center for Clinical Investigation,the theNational NationalClinician Clinician Scholars Program, thethe Center forInterdisciplinary Interdisciplinary Research onAIDS AIDS (CIRA) K12: Center Clinical Investigation, the National Program, the Center for Research on NIDA NIDA K12: with with Yale’s Center forfor Clinical Investigation, ClinicianScholars Scholars Program, Center for Interdisciplinary Research on(CIRA) AIDS (CIRA) and the VAConnecticut Connecticut Healthcare, weare areoffering offering the Yale DrugAbuse, Abuse,HIV HIVand andAddiction Addiction Scholars K12 Research Career Development Program. TheDAHRS DAHRS K12 VA Healthcare, Yale Drug Abuse, K12 Research Career Development Program. The K12 and theand VAthe Connecticut Healthcare, we we are offering thethe Yale Drug HIV and AddictionScholars Scholars K12 Research Career Development Program. The DAHRS K12 Scholars Program provides an outstanding 2-3 year research training experience that offers a Master of Health Science, a mentored research program as well as career and Scholars Program provides an outstanding 2-3 year research training experience that offers a Master of Health Science, a mentored research program as well as career Scholars Program provides an outstanding 2-3 year research training experience that offers a Master of Health Science, a mentored research program as well asand career and leadershipdevelopment developmentactivities. activities.For Forfurther furtherinformation, information,contact contactGail GailD’Onofrio, D’Onofrio,MD, MD,MS, MS,gail.donofrio@yale.edu. gail.donofrio@yale.edu. leadership leadership development activities. For further information, contact Gail D’Onofrio, MD, MS, gail.donofrio@yale.edu. Thefellowship fellowshipininEmergency EmergencyUltrasound Ultrasoundisisaa11or or22year yearprogram programthat thatwill willprepare preparegraduates graduatestotolead leadan anacademic/community academic/communityemergency emergencyultrasound ultrasoundprogram. program. The The2-year 2-year The

The fellowship in Emergency Ultrasound is a 1with or 2 year program that will prepare graduates lead an academic/community emergency ultrasound program. The 2-year optionincludes includes Masterof of HealthSciences Sciences focuson onemergency emergency ultrasound research. Thisto fellowship satisfiesrecommendations recommendations ofall allmajor major societiesfor forthe the option aaMaster Health with aafocus ultrasound research. This fellowship satisfies of societies option interpretation includes a Master of Health Sciencesand with a include focus on emergency ultrasound research. This fellowship satisfiesproperties recommendations of all majorand societies forThe the interpretation ofemergency emergency ultrasound, and will include exposure aspects ofprogram program development, qualityassurance, assurance, propertiesof ofcoding codingand and billing, and research. The of ultrasound, will exposure totoaspects of development, quality billing, research. interpretation emergency ultrasound, include exposure aspects of program development, quality assurance, properties of coding and billing, programof consists ofstructured structured timeinand inthe thewill EDperforming performing bedsideto examinations, examination QAand andreview, review, research intonew new applications, andeducation education theand research. The program consists of time ED bedside examinations, examination QA research into applications, and ininthe program consists of structured timeWe in have the performing bedside examinations, review, research into new applications, education in the academic/community arenas. We haveED particular focus onemergency emergency echoand andexamination utilizestate stateof ofQA theand artequipment, equipment, aswell wellas aswireless wireless imagereview. review.and Information about our academic/community arenas. aaparticular focus on echo utilize the art as image Information about our Sectioncan canbe befound found http://medicine.yale.edu/emergencymed/ultrasound/. For further information, contactRachel Rachel Liu MD, rachel.liu@yale.edu, orInformation applyonline onlineabout at academic/community arenas. We have a particular focus on emergency echo andFor utilize state of the artcontact equipment, asLiu wellMD, as wireless image review. our Section atathttp://medicine.yale.edu/emergencymed/ultrasound/. further information, rachel.liu@yale.edu, or apply at www.eusfellowships.com. Sectionwww.eusfellowships.com. can be found at http://medicine.yale.edu/emergencymed/ultrasound/. For further information, contact Rachel Liu MD, rachel.liu@yale.edu, or apply online at www.eusfellowships.com. TheAdministration Administrationfellowship fellowshipisisaa2-year 2-yearprogram programthat thatwill willprepare preparegraduates graduatestotoassume assumeadministrative administrativeleadership leadershippositions positionsininprivate privateor oracademic academicemergency emergencymedicine medicineas as The

wellas ashospitals hospitalsfellowship andhealth healthsystems. systems. The fellowwill will acquire experience allfacets facets ofemergency emergency department clinicaloperations, operations, with closementorship mentorship from department well and The fellow experience ininall of department clinical with close from department The Administration is a 2-year program thatacquire will prepare graduates to assume administrative leadership positions in private or academic emergency medicine as andhospital hospitaladministrative administrativeleaders. leaders. Fellows Fellowswill willcomplete completethe therecently recently#1 #1ranked rankedExecutive ExecutiveMBA MBAprogram programatatthe the YaleSchool Schoolof ofManagement. Management. In In addition,the the candidate well asand hospitals and health systems. The fellow will acquire experience in all facets of emergency departmentYale clinical operations, with closeaddition, mentorshipcandidate from department willassume assumegraduated graduatedleadership leadershiproles roleson onone one ormore moreprojects projectssupporting supportingdepartmental departmentalactivities activitiesusually usuallyculminating culminatingas asAssistant AssistantMedical MedicalDirector Directorininthe thesecond secondyear yearof of will and hospital administrative leaders. Fellows will or complete the recently #1MBA, rankedMHS, Executive MBA program at the Yale School of Management. In addition, the candidate thefellowship. fellowship. Forfurther further information, contact ArjunVenkatesh, Venkatesh, MD, arjun.venkatesh@yale.edu. the For information, contact Arjun MD, MBA, MHS, arjun.venkatesh@yale.edu. will assume graduated leadership roles on one or more projects supporting departmental activities usually culminating as Assistant Medical Director in the second year of TheGlobal GlobalHealth Healthand andInternational InternationalEmergency EmergencyMedicine Medicinefellowship fellowshipisisaa2-year 2-yearprogram programoffered offeredby byYale Yaleininpartnership partnershipwith withthe theLondon LondonSchool Schoolof ofHygiene Hygiene&&Tropical Tropical The the fellowship. For further information, contact Arjun Venkatesh, MD, MBA, MHS, arjun.venkatesh@yale.edu. Medicine(LSHTM). (LSHTM). Fellows Fellowswill willdevelop developaastrong strongfoundation foundationininglobal globalpublic publichealth, health,tropical tropicalmedicine, medicine,humanitarian humanitarianassistance assistanceand andresearch. research. They Theywill willreceive receivean anMSc MSc Medicine

The Global Health International Emergency Medicine fellowship is aHealth 2-yearEmergencies program offered byPopulations Yale in partnership withoffered the London ofGeneva. Hygiene fromLSHTM, LSHTM,and diploma Tropical Medicine(DTM&H) (DTM&H) and completethe the Health Emergencies Large Populations (HELP)course course offered bythe theSchool ICRCinin Geneva. In& Tropical from aadiploma ininTropical Medicine and complete ininLarge (HELP) by ICRC In addition, fellowsFellows spend66months months thefield working withon-going on-going Yale globalhealth, healthprojects projects onan anindependent independent project theydevelop. develop. Forfurther furtherinformation, information, contactan MSc Medicine (LSHTM). will develop afield strong foundation in global public tropicalorormedicine, humanitarian assistance and For research. They will receive addition, fellows spend ininthe working with Yale global health on project they contact thefellowship fellowship director, HaniMowafi, Mowafi, MD,MPH, MPH,hani.mowafi@yale.edu. hani.mowafi@yale.edu. from LSHTM, a diploma in Tropical Medicine (DTM&H) and complete the Health Emergencies in Large Populations (HELP) course offered by the ICRC in Geneva. In the director, Hani MD, addition, fellows spend 6EMS months in theprogram field working with on-going globalofofhealth on an independent project theyoversight, develop. research, For further information, contact The fellowship 1-year program thatprovides provides trainingininYale allaspects aspects EMS,projects includingor academics, administration, medical oversight, research, teaching, and The fellowship ininEMS isisaa1-year that training all EMS, including academics, administration, medical teaching, and the fellowship director, Hani MD, MPH, hani.mowafi@yale.edu. clinicalcomponents. components. TheMowafi, ACGME-accredited program focuseson onoperational operationalEMS, EMS,with withthe thefellow fellowactively activelyparticipating participatingininthe thesystem’s system’sphysician physicianresponse responseteam, team,and andall all clinical The ACGME-accredited program focuses fellowsoffered offeredtraining trainingto tothe theFirefighter FirefighterIIor orIIIIlevel. level. AA1-year 1-yearMPH MPHprogram availablefor forfellows fellowschoosing choosingadditional additionalresearch researchtraining. training. The Thefellowship fellowshipgraduate graduatewill will fellows The fellowship in EMS is a 1-year program that provides training in allprogram aspectsisis ofavailable EMS, including academics, administration, medical oversight, research, teaching, and beprepared preparedfor foraacareer careerininacademic academicEMS EMSand/or and/ormedical medicaldirection directionof ofaalocal localor orregional regionalEMS EMSsystem, system,and andfor forthe thenew newABEM ABEMsubspecialty subspecialtyexamination. examination. For Forfurther further clinicalbe components. The ACGME-accredited program focuses on operational EMS, with the fellow actively participating in the system’s physician response team, and all information, contact David Cone, MD, david.cone@yale.edu. contact David Cone, MD, david.cone@yale.edu. fellowsinformation, offered training to the Firefighter I or II level. A 1-year MPH program is available for fellows choosing additional research training. The fellowship graduate will TheMedical Medical Simulation fellowship a1-year 1-yearmedical programdirection thatprovides provides training allaspects aspects ofsimulation simulation education, including highsubspecialty fidelitymannequin mannequin simulationFor with The Simulation fellowship isisaand/or program that all of education, high fidelity simulation with be prepared for a career in academic EMS of atraining local orininregional EMS system, and for theincluding new ABEM examination. further computerprogram programtraining, training,acquisition acquisitionof ofdebriefing debriefingskills skillsand andprocedural proceduralsimulation. simulation. The Thefellow fellowwill willparticipate participateininall alleducational educationalprograms programsfor formedical medicalstudents, students,residents residents computer information, contact David Cone, MD, david.cone@yale.edu. andfaculty facultyatatthe thenew newYale YaleCenter Centerfor forMedical MedicalSimulation Simulation(opened (openedJanuary January2015). 2015). The Thefellow fellowwill willreceive receivetraining trainingininresearch researchmethodology methodologythrough throughthe theResearch ResearchDivision Division and

The Medical Simulation a 1-yearand program thatinin provides training in allfellowship aspects of simulation education, including high will fidelity mannequin simulation with ofthe theDepartment Department offellowship Emergencyis Medicine and participate themedical medical education fellowship through YaleMedical Medical School. Thefellow fellow willattend attend one-week of of Emergency Medicine participate the education through Yale School. The aaone-week Comprehensive Instructor Workshop theInstitute Institute forMedical Medical Simulation Boston. For Forfurther further information, contact Ambrose Wong,programs MD,ambrose.wong@yale.edu. ambrose.wong@yale.edu. computer program training, acquisition ofatatdebriefing skills and procedural simulation. The fellowinformation, will participate inAmbrose all educational for medical students, residents Comprehensive Instructor Workshop the for Simulation ininBoston. contact Wong, MD, and faculty at the new Yale Centerfellowship for Medical (opened January 2015). The fellow will receive training in research methodology through Division TheEducational Educational Leadership fellowship or2-year 2-yearprogram programthat thatprovides provides thetraining training andeducation education develop academic emergency physicians havethe theResearch skills, The Leadership isisaaSimulation 11or the and totodevelop academic emergency physicians totohave the skills, of the Department of experience Emergency and participate in the education fellowship through Yaleon Medical School. The fellow will attend aUndergraduate one-week knowledgeand and experiencetotoMedicine bestrong strongeducators educators andleaders leaders Emergency Medicine educationwith withthe thefocus focus on developing leaders EMresidencies residencies orinin Undergraduate knowledge be and ininmedical Emergency Medicine education developing leaders ininEM or MedicalEducation. Education. The fellowwill will bean an Assistant Residency ProgramDirector Director andan anintegral integral member ofthe theeducation education faculty. TheyWong, willbe beMD, supported attend Comprehensive InstructorThe Workshop at the Institute forResidency Medical Program Simulation in Boston. For further information, contact Ambrose ambrose.wong@yale.edu. Medical fellow be Assistant and member of faculty. They will supported totoattend leadership training as well as using other internal resources, CORD and ACEP to further their education. For further information, contact David Della-Giustina, MD,

leadership training as wellfellowship as using other resources, CORD andprovides ACEP tothe further their and education. For further information, contact David Della-Giustina, MD, the skills, The Educational Leadership is ainternal 1 or 2-year program that training education to develop academic emergency physicians to have FACEP,FAWM, FAWM,david.della-giustina@yale.edu. david.della-giustina@yale.edu. FACEP, knowledge and experience to be strong educators and leaders in Emergency Medicine education with the focus on developing leaders in EM residencies or in Undergraduate The Wilderness Medicine fellowship 1-yearprogram programthat thatProgram providesthe thecore corecontent content medicalmember knowledge andskills skillsininbeing being abletotoThey planfor forand and providecare care an The Wilderness Medicine aa1-year provides medical knowledge able plan provide ininan Medical Education. The fellow fellowship will be anisis Assistant Residency Director and anofof integral of and the education faculty. will betoto supported to attend environmentthat thatisislimited byresources resourcesand andgeographically geographicallyseparated separatedfrom definitivemedical medicalcare alltypes typesof weatherand andevacuation evacuationsituations. situations. The fellowwill willbe be environment by definitive ininall weather fellow leadership training as welllimited as using other internal resources, CORD and from ACEP to further theircare education. Foroffurther information, contact DavidThe Della-Giustina, MD, supportedtotoobtain obtainthe theDiploma DiplomaininMountain MountainMedicine Medicineand andother otherWilderness WildernessMedical Medicaleducation. education. The Thefellow fellowwill willbecome becomeaaleader leaderand andnational nationaleducator educatorininthe thegrowing growing supported FACEP, FAWM, david.della-giustina@yale.edu. specialty of wilderness medicine. For further information, contact David Della-Giustina, MD, FACEP, FAWM, david.della-giustina@yale.edu. specialty of wilderness medicine. For further information, contact David Della-Giustina, MD, FACEP, FAWM, david.della-giustina@yale.edu.

The Wilderness Medicine fellowship is ais1-year program the core content oftraining medical knowledge skillsinformatics. in being able to plan for and to provide care in an TheClinical Clinical Informatics fellowship 2-year programthat thatprovides providesACGME-approved ACGME-approved allaspects aspectsof ofand clinical Theprogram program administered The Informatics fellowship is aa2-year program that provides training ininall clinical informatics. The isisadministered environment that limited by resources and geographically separated from definitive care inthe allYale-New types of Haven weather and evacuation situations. The blocks fellow will be through theis Yale Department ofEmergency Emergency Medicine. In Inthe thefirst firstyear, year, thefellow fellowwill willmedical rotatebetween between the Yale-New HavenHealth Health andVeterans Veterans Affairs. Major Major blockswill will through the Yale Department of Medicine. the rotate and Affairs. supported to obtain the Diploma in records, Mountain Medicine and other Wilderness Medical education. The fellow will Experiential become a leader andwill national educator indidactic the growing bedevoted devoted electronic health records,clinical clinical decision support, databasesand and dataanalysis, analysis, andquality quality andsafety. safety. Experiential learning will becombined combined with didactic be totoelectronic health decision support, databases data and and learning be with specialty of wilderness medicine. For further contact Della-Giustina, MD, FACEP, FAWM, david.della-giustina@yale.edu. classes andconferences. conferences. Thesecond second yearisisinformation, dedicatedtotoadvanced advancedDavid learning andproject projectleadership. leadership. Thefellow fellow willattend attend theAmerican AmericanMedical MedicalInformatics InformaticsAssociation Association classes and The year dedicated learning and The will the

annualmeeting. meeting.The Theprogram programprepares preparesfellows fellowsfor forClinical ClinicalInformatics Boardexamination. examination. For Forfurther furtherinformation, contactTed TedMelnick, Melnick,MD, MD,MHS, annual Board The Clinical Informatics fellowship is a 2-year program thatInformatics provides ACGME-approved training in information, all aspects contact of clinical informatics. TheMHS, program is administered edward.melnick@yale.edu. throughedward.melnick@yale.edu. the Yale Department of Emergency Medicine. In the first year, the fellow will rotate between the Yale-New Haven Health and Veterans Affairs. Major blocks will All require the applicant to be BP/BC emergency physicians and offer an appointment as an Instructor to the faculty of the Department of Emergency Medicine All require the applicant to be BP/BC emergency physicians and offer an appointment as an Instructor to the faculty of the Department of Medicine be devoted to electronic health records, clinical decision support, databases and data analysis, and quality and safety. Experiential learning willEmergency be combined with didactic atYale Yale UniversityThe School ofMedicine. Medicine. Applications areavailable available atthe theand Yale Emergency Medicine web page http://medicine.yale.edu/emergencymed/ andare are due University School of Applications are at Yale Emergency Medicine page http://medicine.yale.edu/emergencymed/ and due classes at and conferences. second year is dedicated to advanced learning project leadership. Theweb fellow will attend the American Medical Informatics Association byNovember November15, 15,2018 2018with withthe theexception exceptionof ofthe theWilderness WildernessFellowship Fellowshipand andthe theEducational EducationalLeadership LeadershipFellowship, Fellowship,which whichare aredue dueby byOctober October1,1,2018. 2018. by annual meeting. The program prepares fellows for Clinical Informatics Board examination. For further information, contact Ted Melnick, MD, MHS, YaleUniversity Universityand andYale-New Yale-NewHaven HavenHospital Hospitalare areaffirmative affirmativeaction, action,equal equalopportunity opportunityemployers employersand andwomen, women,persons personswith withdisabilities, disabilities,protected protectedveterans, veterans,and andmembers membersofofminority minoritygroups groupsare areencouraged encouraged edward.melnick@yale.edu. Yale apply. totoapply.

All require the applicant to be BP/BC emergency physicians and offer an appointment as an Instructor to the faculty of the Department of Emergency Medicine at Yale University School of Medicine. Applications are available at the Yale Emergency Medicine web page http://medicine.yale.edu/emergencymed/ and are due by November 15, 2018 with the exception of the Wilderness Fellowship and the Educational Leadership Fellowship, which are due by October 1, 2018. Yale University and Yale-New Haven Hospital are affirmative action, equal opportunity employers and women, persons with disabilities, protected veterans, and members of minority groups are encouraged to apply.

Department of Emergency Medicine Yale University School of Medicine

Yale University University School School of of Medicine Medicine Yale Department of of Emergency Emergency Medicine Medicine Fellowship Fellowship Programs Programs Department

Advancing the Science and Practice of Emergency Medicine

Forspecific specificinformation informationincluding includingdeadlines deadlinesand andrequirements, requirements,visit: visit:http://medicine.yale.edu/emergencymed/ http://medicine.yale.edu/emergencymed/ For TheImplementation ImplementationScience Sciencefellowship fellowshipisisaa2-3 2-3year yearprogram programthat thatwill willtrain traininvestigators investigatorsininthe theprinciples principlesand andpractice practiceof ofdissemination disseminationand andimplementation implementationscience. science. The Supportedby byaaK12 K12grant grantfrom fromNIH’s NIH’sNational NationalHeart, Heart,Lung, Lung,and andBlood BloodInstitute, Institute,fellows fellowswill willreceive receivetraining trainingatatthe thenew newYale YaleCenter Centerfor forImplementation ImplementationScience Science(YCIS), (YCIS), Supported theYale YaleCenter Centerfor forClinical ClinicalInvestigation, Investigation,and andthe theNational NationalClinician ClinicianScholars ScholarsProgram. Program.Eligible Eligiblecandidates candidatesmay mayreceive receiveaaMasters MastersininHealth HealthSciences Sciencesdegree. degree.Mentors Mentorscome come the fromthe theYale YaleSchools Schoolsof ofMedicine, Medicine,Nursing, Nursing,and andPublic PublicHealth, Health,as aswell wellas asmany manycommunity-based community-basedorganizations organizationsininNew NewHaven. Haven.For Forfurther furtherinformation, information,contact contactSteven StevenL. L. from Bernstein,MD, MD,steven.bernstein@yale.edu. steven.bernstein@yale.edu. Bernstein,

TheThe Department ofyear Medicine at the researchers Yale University ofaaMaster Medicine The Researchfellowship fellowshipisisaa2-3 2-3 yearEmergency programfocused focusedon ontraining training clinicianscholars scholarsas as independent researchersin inEmergency EmergencyMedicine. Medicine.School Scholarswill willearn earn Master of Research program clinician independent Scholars of HealthSciences Sciencesdegree degreefrom fromYale Yalecombining combiningclinical clinicalexperience experiencewith withextensive extensivetraining trainingininresearch researchmethods, methods,statistics, statistics,and andresearch researchdesign. design.With Withthe theguidance guidanceof ofresearch research Health has content acontent total of 4 clinical sites: Adult Emergency Services at York Street Campus; Shoreline expertsand andprofessional professionalcoach coachmentors, mentors,the thescholar scholarwill willdevelop developaaresearch researchprogram, program,complete completeaapublishable publishableproject projectand andsubmit submitaagrant grantapplication applicationprior priorto to experts completionof ofthe theprogram. program.The Theprogram programisiscredentialed credentialedby bythe theSociety Societyfor forAcademic AcademicEmergency EmergencyMedicine. Medicine.For Forfurther furtherinformation, information,contact contactSteven StevenL. L.Bernstein, Bernstein,MD, MD, completion steven.bernstein@yale.edu. Medical Center; Saint Raphael’s Campus; and the West Haven VA Emergency Department steven.bernstein@yale.edu. NIDAK12: K12:Partnering Partneringwith withYale’s Yale’sCenter Centerfor forClinical ClinicalInvestigation, theNational NationalClinician ClinicianScholars ScholarsProgram, Program,the theCenter Centerfor forInterdisciplinary InterdisciplinaryResearch Researchon onAIDS AIDS(CIRA) NIDA the withand athethecombined ED volume ofInvestigation, 195,000 visits per year. We faculty at (CIRA) all and VAConnecticut ConnecticutHealthcare, Healthcare, weare areoffering offeringthe the Yale DrugAbuse, Abuse,HIV HIV andAddiction Addiction Scholars K12Research Researchare Careerseeking DevelopmentProgram. Program. TheDAHRS DAHRS K12 ranks VA we Yale Drug and Scholars K12 Career Development The K12 ScholarsProgram Programprovides providesan anoutstanding outstanding2-3 2-3year yearresearch researchtraining trainingexperience experiencethat thatoffers offersaaMaster Masterof ofHealth HealthScience, Science,aamentored mentoredresearch researchprogram programas aswell wellas ascareer careerand and Scholars leadershipdevelopment development activities.For For furtherinformation, information, contactGail GailD’Onofrio, D’Onofrio, MD,MS, MS,gail.donofrio@yale.edu. gail.donofrio@yale.edu. (Clinician, Assistant Professor, Associate Professor, Professor, etc.) with interests in clinical leadership activities. further contact MD, Thefellowship fellowshipininEmergency EmergencyUltrasound Ultrasoundisisaa11or or22year programthat thatwill willprepare preparegraduates graduatestotolead leadan anacademic/community academic/communityemergency emergencyultrasound ultrasoundprogram. program. The The2-year 2-year program care,The education or research toyearononenhance our existing strengths. Interest and/or experience option includesaaMaster Masterof of Health Scienceswith withaafocus focus emergencyultrasound ultrasound research. Thisfellowship fellowship satisfiesrecommendations recommendations ofall allmajor major societiesfor for the option includes Health Sciences emergency research. This satisfies of societies the interpretationof ofemergency emergencyultrasound, ultrasound,and andwill willinclude includeexposure exposuretotoaspects aspectsof ofprogram programdevelopment, development,quality qualityassurance, assurance,properties propertiesof ofcoding codingand andbilling, billing,and andresearch. research. The The interpretation programconsists consistsof ofstructured structured timeininthe theED EDis performing bedsideexaminations, examinations, examinationQA QAand and review,research researchinto into newapplications, applications, and educationininthe the clinician in observation medicine a plus. The successful candidate may be aand full-time program time performing bedside examination review, new education academic/communityarenas. arenas. We Wehave haveaaparticular particularfocus focuson onemergency emergencyecho echoand andutilize utilizestate stateof ofthe theart artequipment, equipment,as aswell wellas aswireless wirelessimage imagereview. review.Information Informationabout aboutour our academic/community Sectioncan canbe befound foundexcellence http://medicine.yale.edu/emergencymed/ultrasound/. Forfurther furtherinformation, information,medicine contactRachel RachelLiu Liueducation MD,rachel.liu@yale.edu, rachel.liu@yale.edu, orapply apply online at Section atathttp://medicine.yale.edu/emergencymed/ultrasound/. For contact MD, or online at committed to in patient care and emergency or one that would www.eusfellowships.com. www.eusfellowships.com. Theto Administration fellowship 2-yearprogram program thatwill willprepare prepare graduatestotoassume assume administrativeleadership leadership positionsininprivate private oracademic academic emergency medicineas as wantThe join the academic faculty promoting scholarship to positions enhance the field of emergency Administration fellowship isisaa2-year that graduates administrative or emergency medicine wellas ashospitals hospitalsand andhealth healthsystems. systems. The Thefellow fellowwill willacquire acquireexperience experienceininall allfacets facetsof ofemergency emergencydepartment departmentclinical clinicaloperations, operations,with withclose closementorship mentorshipfrom fromdepartment department well andhospital hospitaladministrative administrative leaders. Fellows willcomplete completethe thefaculty recently#1 #1ranked ranked ExecutiveMBA MBAprogram program theYale YaleSchool School ofManagement. Management. Inaddition, addition,more thecandidate candidate and leaders. Fellows will recently Executive atatthe of In the medicine. We offer an extensive development program for junior and senior willassume assumegraduated graduatedleadership leadershiproles roleson onone oneor ormore moreprojects projectssupporting supportingdepartmental departmentalactivities activitiesusually usuallyculminating culminatingas asAssistant AssistantMedical MedicalDirector Directorininthe thesecond secondyear yearof of will thefellowship. fellowship. For furtherinformation, contactArjun ArjunVenkatesh, Venkatesh, MD,MBA, MBA, MHS,arjun.venkatesh@yale.edu. arjun.venkatesh@yale.edu. the further contact MD, MHS, faculty. WeFor have ainformation, well-established track record of interdisciplinary collaboration with other TheGlobal GlobalHealth Healthand andInternational InternationalEmergency EmergencyMedicine Medicinefellowship fellowshipisisaa2-year 2-yearprogram programoffered offeredby byYale Yaleininpartnership partnershipwith withthe theLondon LondonSchool Schoolof ofHygiene Hygiene&&Tropical Tropical The Medicine(LSHTM). (LSHTM). Fellowswill willdevelop developaastrong strongfoundation foundationininglobal global public health,tropical tropical medicine,humanitarian humanitarian assistanceand andresearch. research. They willreceive receivean anresearch MSc Medicine Fellows public health, medicine, assistance They will MSc renowned faculty, obtaining federal and private foundation funding, and a mature fromLSHTM, LSHTM,aadiploma diplomaininTropical TropicalMedicine Medicine(DTM&H) (DTM&H)and andcomplete completethe theHealth HealthEmergencies EmergenciesininLarge LargePopulations Populations(HELP) (HELP)course courseoffered offeredby bythe theICRC ICRCininGeneva. Geneva. In In from addition,fellows fellowsspend spend monthsininthe thefield fieldby working with on-goingYale Yale globalhealth healthprojects projects oron onan anindependent independent projectthey they develop. Forfurther furtherinformation, information,contact contact and addition, 66months working with on-going global or project develop. For infrastructure supported a faculty Research Director, a staff of research associates thefellowship fellowshipdirector, director,Hani HaniMowafi, Mowafi,MD, MD,MPH, MPH,hani.mowafi@yale.edu. hani.mowafi@yale.edu. the Thefellowship fellowshipininEMS EMS 1-yearprogram programthat thatprovides providestraining trainingininall allaspects aspectsof ofEMS, EMS,including includingacademics, academics,administration, administration,medical medicaloversight, oversight,research, research,teaching, teaching,and and administrative assistants. The isisaa1-year clinical components. The ACGME-accredited program focuses on operational EMS, with the fellow actively participating in the system’s physician response team, and all clinical components. The ACGME-accredited program focuses on operational EMS, with the fellow actively participating in the system’s physician response team, and all fellowsoffered offeredtraining trainingto tothe theFirefighter FirefighterIIor orIIIIlevel. level. AA1-year 1-yearMPH MPHprogram programisisavailable availablefor forfellows fellowschoosing choosingadditional additionalresearch researchtraining. training. The Thefellowship fellowshipgraduate graduatewill will fellows beprepared preparedfor foraacareer careerininacademic academicEMS EMSand/or and/ormedical medicaldirection directionof ofaalocal localor orregional regionalEMS EMSsystem, system,and andfor forthe thenew newABEM ABEMsubspecialty subspecialtyexamination. examination. For Forfurther further be information,contact contactDavid DavidCone, Cone,MD, MD,david.cone@yale.edu. david.cone@yale.edu. information, TheMedical MedicalSimulation Simulationfellowship fellowshipisisaa1-year 1-yearprogram programthat thatprovides providestraining trainingininall allaspects aspectsof ofsimulation simulationeducation, education,including includinghigh highfidelity fidelitymannequin mannequinsimulation simulationwith with The computerprogram programtraining, training,acquisition acquisitionof ofdebriefing debriefingskills skillsand andprocedural proceduralsimulation. simulation. The Thefellow fellowwill willparticipate participateininall alleducational educationalprograms programsfor formedical medicalstudents, students,residents residents computer andfaculty facultyatatthe thenew newYale YaleCenter Centerfor forMedical MedicalSimulation Simulation(opened (openedJanuary January2015). 2015). The Thefellow fellowwill willreceive receivetraining trainingininresearch researchmethodology methodologythrough throughthe theResearch ResearchDivision Division and ofthe theDepartment Departmentof ofEmergency EmergencyMedicine Medicineand andparticipate participateininthe themedical medicaleducation educationfellowship fellowshipthrough throughYale YaleMedical MedicalSchool. School. The Thefellow fellowwill willattend attendaaone-week one-week of ComprehensiveInstructor InstructorWorkshop Workshopatatthe theInstitute Institutefor forMedical MedicalSimulation SimulationininBoston. Boston. For Forfurther furtherinformation, information,contact contactAmbrose AmbroseWong, Wong,MD, MD,ambrose.wong@yale.edu. ambrose.wong@yale.edu. Comprehensive

Eligible candidates must be residency-trained and board-certified/-prepared in emergency medicine. Rank, protected time and salary will be commensurate with education, training and experience. TheEducational EducationalLeadership Leadershipfellowship fellowshipisisaa11or or2-year 2-yearprogram programthat thatprovides providesthe thetraining trainingand andeducation educationtotodevelop developacademic academicemergency emergencyphysicians physicianstotohave havethe theskills, skills, The knowledgeand andexperience experiencetotobe bestrong strongeducators educatorsand andleaders leadersininEmergency EmergencyMedicine Medicineeducation educationwith withthe thefocus focuson ondeveloping developingleaders leadersininEM EMresidencies residenciesor orininUndergraduate Undergraduate knowledge MedicalEducation. Education. The Thefellow fellowwill willbe bean anAssistant AssistantResidency ResidencyProgram ProgramDirector Directorand andan anintegral integralmember memberof ofthe theeducation educationfaculty. faculty. They Theywill willbe besupported supportedtotoattend attend Medical leadershiptraining trainingas aswell wellas asusing usingother otherinternal internalresources, resources,CORD CORDand andACEP ACEPtotofurther furthertheir theireducation. education.For Forfurther furtherinformation, information,contact contactDavid DavidDella-Giustina, Della-Giustina,MD, MD, leadership FACEP,FAWM, FAWM,david.della-giustina@yale.edu. david.della-giustina@yale.edu. FACEP,

Yale University is a world-class institution providing a wide array of benefits and research TheWilderness WildernessMedicine Medicinefellowship fellowshipisisaa1-year 1-yearprogram programthat thatprovides providesthe thecore corecontent contentof ofmedical medicalknowledge knowledgeand andskills skillsininbeing beingable abletotoplan planfor forand andtotoprovide providecare careininan an The opportunities. environmentthat thatisislimited limitedby byresources resourcesand andgeographically geographicallyseparated separatedfrom fromdefinitive definitivemedical medicalcare careininall alltypes typesof ofweather weatherand andevacuation evacuationsituations. situations. The Thefellow fellowwill willbe be environment supportedtotoobtain obtainthe theDiploma DiplomaininMountain MountainMedicine Medicineand andother otherWilderness WildernessMedical Medicaleducation. education. The Thefellow fellowwill willbecome becomeaaleader leaderand andnational nationaleducator educatorininthe thegrowing growing supported specialtyof ofwilderness wildernessmedicine. medicine. For Forfurther furtherinformation, information,contact contactDavid DavidDella-Giustina, Della-Giustina,MD, MD,FACEP, FACEP,FAWM, FAWM,david.della-giustina@yale.edu. david.della-giustina@yale.edu. specialty TheClinical ClinicalInformatics Informaticsfellowship fellowshipisisaa2-year 2-yearprogram programthat thatprovides providesACGME-approved ACGME-approvedtraining trainingininall allaspects aspectsof ofclinical clinicalinformatics. informatics.The Theprogram programisisadministered administered The throughthe theYale YaleDepartment Departmentof ofEmergency EmergencyMedicine. Medicine. In Inthe thefirst firstyear, year,the thefellow fellowwill willrotate rotatebetween betweenthe theYale-New Yale-NewHaven HavenHealth Healthand andVeterans VeteransAffairs. Affairs. Major Majorblocks blockswill will through bedevoted devotedtotoelectronic electronichealth healthrecords, records,clinical clinicaldecision decisionsupport, support,databases databasesand anddata dataanalysis, analysis,and andquality qualityand andsafety. safety. Experiential Experientiallearning learningwill willbe becombined combinedwith withdidactic didactic be classesand andconferences. conferences.The Thesecond secondyear yearisisdedicated dedicatedtotoadvanced advancedlearning learningand andproject projectleadership. leadership. The Thefellow fellowwill willattend attendthe theAmerican AmericanMedical MedicalInformatics InformaticsAssociation Association classes annualmeeting. meeting.The Theprogram programprepares preparesfellows fellowsfor forClinical ClinicalInformatics InformaticsBoard Boardexamination. examination. For Forfurther furtherinformation, information,contact contactTed TedMelnick, Melnick,MD, MD,MHS, MHS, annual edward.melnick@yale.edu. edward.melnick@yale.edu.

To apply, please visit: http://apply.interfolio.com/52744 to upload your CV and cover letter. Specific inquiries about the position may be sent to the Chair: Gail D’Onofrio, MD, MS, via email: jamie.petrone@yale.edu. Allrequire requirethe theapplicant applicantto tobe beBP/BC BP/BCemergency emergencyphysicians physiciansand andoffer offeran anappointment appointmentas asan anInstructor Instructorto tothe thefaculty facultyof ofthe theDepartment Departmentof ofEmergency EmergencyMedicine Medicine All atYale YaleUniversity UniversitySchool Schoolof ofMedicine. Medicine.Applications Applicationsare areavailable availableat atthe theYale YaleEmergency EmergencyMedicine Medicineweb webpage pagehttp://medicine.yale.edu/emergencymed/ http://medicine.yale.edu/emergencymed/and andare aredue due at byNovember November15, 15,2018 2018with withthe theexception exceptionof ofthe theWilderness WildernessFellowship Fellowshipand andthe theEducational EducationalLeadership LeadershipFellowship, Fellowship,which whichare aredue dueby byOctober October1,1,2018. 2018. by

YaleUniversity Universityand andYale-New Yale-NewHaven HavenHospital Hospitalare areaffirmative affirmativeaction, action,equal equalopportunity opportunityemployers employersand andwomen, women,persons personswith withdisabilities, disabilities,protected protectedveterans, veterans,and andmembers membersofofminority minoritygroups groupsare areencouraged encouraged Yale apply. totoapply.

Yale University is an Affirmative Action/Equal Opportunity employer. Yale values diversity among its students, staff, and faculty and strongly welcomes applications from women, persons with disabilities, protected veterans, and underrepresented minorities.

DEPARTMENT OF EMERGENCY MEDICINE MASSACHUSETTS GENERAL HOSPITAL A Major Teaching Affiliate of Harvard Medical School

Emergency Medicine Physicians

The Department of Emergency Medicine at Massachusetts General Hospital is seeking

The Department Emergency Medicine athave Massachusetts candidates for academicof faculty positions. Candidates must a commitment to excellence in clinical care teaching; academic appointment will be atfaculty Harvard General Hospital is and seeking candidates for academic Medical School at the instructor, assistant professor or associate professor level. positions. Candidates must have a commitment to excellence in clinical careofand teaching; academic appointment willMedicine be at MGH is the home the 4-year MGH/BWH Harvard Affiliated Emergency Residency Program. The ED at MGH is a high volume, high acuity level 1 trauma and Harvard Medical School at the instructor, assistant professor or burn center caring for approximately 112,000 adult and pediatric patients annually. associate professor level. The successful candidate will join a faculty of 50 academic emergency physicians in

MGH is thewith home the 4-year MGH/BWH a department activeof research and teaching programsHarvard as well asAffiliated fellowship programs in administration, medical simulation,The ultrasonography, medical Emergency Medicine research, Residency Program. ED at MGH is a education, geriatrics, wilderness medicine, and disaster medicine. high volume, high acuity level 1 trauma and burn center caring for approximately 112,000byadult and pediatric patients annually. Inquiries should be accompanied a curriculum vitae and may submitted by email (Brown.david@mgh.harvard.edu) to:

The successful candidate will join a faculty of 50 academic David F. M. Brown, MD FACEP in a department with active research emergency physicians MGH Trustees Professor & Chair and teaching programs Department of Emergency Medicineas well as fellowship programs in Founders 110 administration, research, medical simulation, ultrasonography, Massachusetts General Hospital medical education, geriatrics, wilderness medicine, and Boston, Massachusetts 02114 disaster medicine. Inquiries should accompanied by a curriculum vitae and Massachusetts General be Hospital is an equal opportunity/affirmative action employer. may submitted by email (Brown.david@mgh.harvard.edu) to: David F. M. Brown, MD FACEP MGH Trustees Professor & Chair Department of Emergency Medicine Founders 110 Massachusetts General Hospital Boston, Massachusetts 02114

Ochsner Health System in Louisiana is seeking staff physicians to join our multi-hospital, 75-physician Emergency Medicine Department. Opportunities exist at our facilities in the GREATER NEW ORLEANS REGION and its SURRONDING COMMUNITIES including our main academic, tertiary care facility, where a new Emergency Medicine program will be launch in 2019. Additional locations include our West Bank, Kenner, Baptist, Slidell, and St. Charles Parish Hospital. Opportunity Details: • Ochsner Medical Center is a major transfer center with extreme case complexity seeing 65,000+ visits/year • All facilities utilize Epic electronic health records integrating care across the system and facilitating seamless multi-hospital practice • Operational excellence with 1.6% LWBS and 30 minutes D2D system average • Employed physician group that offers competitive fair market compensation plus benefits • All specialties available for consultation and easy one-call transfer from our community emergency departments to our main campus Ochsner Health System is Louisiana’s largest non-profit, academic, healthcare system. Driven by a mission to Serve, Heal, Lead, Educate and Innovate, coordinated clinical and hospital patient care is provided across the region by Ochsner's 30 owned, managed and affiliated hospitals and more than 80 health centers and urgent care centers. Ochsner is the only Louisiana hospital recognized by U.S. News & World Report as a “Best Hospital” across four specialty categories caring for patients from all 50 states and more than 60 countries worldwide each year. Ochsner employs more than 18,000 employees and over 1,200 physicians in over 90 medical specialties and subspecialties, and conducts more than 700 clinical research studies. Ochsner Health System is proud to be a tobacco-free environment. For more information, please visit ochsner.org and follow us on Twitter and Facebook. Interested physicians should apply to: https://ochsner.wd1.myworkdayjobs.com/ en-US/OchsnerPhysician/job/New-Orleans---New-Orleans-Region---Louisiana/ Physician--Emergency-Medicine--All-Regions_REQ_00022121/apply. Sorry, no J1 visa opportunities.

Massachusetts General Hospital is an equal opportunity/ affirmative action employer.

Ochsner is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, disability status, protected veteran status, or any other characteristic protected by law.

The University of Washington School of Medicine Department of Emergency Medicine seeks an Associate Chair for Research The University of Washington Department of Emergency Medicine is seeking a visionary candidate to lead the research mission and achieve our goal of research excellence. The University of Washington Department of Emergency Medicine already has several areas of research strength including resuscitation (clinical- and laboratory- based), prehospital care, social determinants of health, global health, and health services. The Associate Chair for Research, in conjunction with the Chair and faculty, will develop and implement a strategic plan and framework for research efforts in the Department of Emergency Medicine. The strategic plan will also include integration with the larger research community and resources available at the University of Washington to develop centers of excellence in emergency care research. Specific duties will include strategic planning, increasing department research productivity, ensuring compliance with local and national research regulations, supervision of research staff, faculty and fellow recruitment, and providing career development assistance for research-focused faculty. The Associate Chair is also expected to maintain his/her own independently-funded research program. Qualified individuals will be highly motivated, Board Certified in Emergency Medicine, and will have an academic appointment at the level of Associate Professor or higher. Successful candidates will have a demonstrated track record of independently-funded research, publication in high-impact, peer-reviewed journals, strong mentorship skills with clear evidence of promoting the academic careers of junior faculty, fellows, and graduate students, as well as a strong record of interdisciplinary collaboration. The Associate Chair must possess the interpersonal skills to engage, inspire and work across disciplines within a large, diverse organization. Candidates must have a commitment to diversity and inclusivity in academic medicine and the ability to represent and promote the University of Washington Department of Emergency Medicine on a regional and national level. The Associate Chair for Research will work at the Harborview Medical Center (HMC) Emergency Department, which is the only Level I Trauma Center for a 4-state region and sees approximately 65,000 patients per year, and the University of Washington Medical Center Emergency Department, which sees approximately 29,000 patients per year and is ranked #1 in Washington State. The University of Washington is a top tier medical school recognized for excellence in clinical training, world-class research initiatives, and an enduring commitment to community service throughout the WWAMI—Washington, Wyoming, Alaska, Montana, and Idaho—region. EM faculty enjoy the academic benefits of working in one of the country’s premiere academic health centers. If you are interested in joining the UW Department of Emergency Medicine leadership team please send a letter of interest and a copy of your CV to: Susan Stern, MD; Professor th and Chair, Department of Emergency Medicine; Harborview Medical Center; 325 9 Avenue; Box 359702; Seattle, WA 98104-2499 (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.

VICE CHAIR OF EDUCATION VICE CHAIR OF EDUCATION

Weill Cornell Medicineâ&#x20AC;&#x2122;s new academic Department of Emergency Medicine, led by Dr. Rahul Sharma, recruiting a faculty at Department the associate professorMedicine, level to serve theRahul inaugural WeillisCornell Medicineâ&#x20AC;&#x2122;s newmember academic of or Emergency led byasDr. Vice Chair of Education. We are seeking a national leader to advance the academic mission Sharma, is recruiting a faculty member at the associate or professor level to serve as the inauguralof the Department with a focus on curriculum new Vice Chair of Education. Weeducational are seeking ainnovation, national leader to advancedevelopment the academic and mission of program the Department with a focus on educational innovation, curriculum development and new program implementation. implementation.

In addition to devising the academic strategic plan with the Chair, providing excellent clinical care, In addition to devising the academic strategic plan Chair, providing excellentwill clinical care,junior and teaching house staff and medical students, thewith newthe Vice Chair of Education mentor and teaching house staff and medical students, the new Vice Chair of Education will mentor junior colleagues, engage in the fellowship and education programs, and foster collaborations throughout colleagues, engage in the fellowship and education programs, and foster collaborations throughout the institution. the institution. The successful candidate willwill have ten years yearsofofmedical medical education experience The successful candidate havea aminimum minimum of of ten education experience at theat the undergraduate and/or graduate medical levelwith withleadership leadership experience a residency undergraduate and/or graduate medicaleducation education level experience as aas residency program director, chair director of of undergraduate undergraduate medical education. The The position will will program director, vicevice chair orordirector medical education. position report directly to the Chair of Emergency Medicine and will oversee all of the Departmental report directly to the Chair of Emergency Medicine and will oversee all of the Departmental educational programs, includingmedical medical student student education, education, fellowships, educational programs, including education,residency residency education, fellowships, faculty education and departmental education conferences. We are particularly interested in faculty education and departmental education conferences. We are particularly interested in candidates who have the requisite experience and training to continue a successful academic career candidates who the requisite andintraining to continue a successful academic as well as have a strong record experience of leadership education with excellent interpersonal andcareer as well as a strong record of leadership in education with excellent interpersonal and communication skills. communication skills. We offer a highly competitive salary, a generous support package to ensure the candidates

transition and continued success, a comprehensive andtoa generous retirement We offer a highly competitive salary, a generous benefits supportpackage, package ensure the candidates plan. and continued success, a comprehensive benefits package, and a generous retirement transition plan. The Emergency Department at New York Presbyterian-Weill Cornell Medical Center serves as one of the major campuses of the fully accredited four-year New York Presbyterian Emergency Medicine

The Emergency Department at New York Presbyterian-Weill Cornell Medical Center serves as one of Residency Program. Our Emergency Department is a high volume, high acuity regional trauma, the major campuses of the fullyfor accredited New Presbyterian Emergency Medicine burn and stroke center caring more thanfour-year 90,000 adult andYork pediatric patients. Faculty also have Residency Program. Our Emergency Department is a high volume, high acuity regional trauma, the opportunity to work at our New York Presbyterian-Lower Manhattan Hospital ED campus, burn which and stroke center caring hospital for moreseeing than45,000 90,000annual adult visits. and pediatric patients. Faculty also have is a busy community the opportunity to work at our New York Presbyterian-Lower Manhattan Hospital ED campus, programs in Telemedicine, Medical Toxicology, Geriatric whichWe is offer a busy community hospital seeing 45,000 annual visits. Emergency Medicine, Wilderness

Medicine, Global Emergency Medicine, Simulation and Ultrasound. In addition, we offer fellowships in Geriatric Emergency Medicine, Medical Healthcare LeadershipGeriatric and Management, Pediatric Emergency We offer programs in Telemedicine, Toxicology, Emergency Medicine, Wilderness Medicine as well as PA and NP residencies in Emergency Medicine. Medicine, Global Emergency Medicine, Simulation and Ultrasound. In addition, we offer fellowships

in Geriatric Emergency Medicine, Healthcare Leadership and Management, Pediatric Emergency Please send curriculum vitae and cover letter to: Medicine as well as PA and NP residencies in Emergency Medicine. Rahul Sharma, MD, MBA Chair, Department of Emergency Medicine Please sendPresbyterian-Weill curriculum vitae and cover letter to: New York Cornell Medicine ras2022@med.cornell.edu Rahul Sharma, MD, MBA

Chair, Department of Emergency Medicine

New York Presbyterian Cornell Medicine is an Medicine equal opportunity employerNewHospital-Weill York Presbyterian-Weill Cornell Minorities/Women/Vets/Disabled encouraged to apply. ras2022@med.cornell.edu

New York Presbyterian Hospital-Weill Cornell Medicine is an equal opportunity employerMinorities/Women/Vets/Disabled encouraged to apply.

Brody School of Medicine

EMERGENCY MEDICINE FACULTY ◊ Clinician-Educator ◊ Clinical-Researcher ◊ Critical Care Medicine ◊ ◊ Pediatric Emergency Medicine ◊ Ultrasound ◊

SBH HEALTH SYSTEM

EMERGENCY MEDICINE FACULTY CUNY SCHOOL OF MEDICINE St. Barnabas Hospital is a 422-bed, not-for-profit, nonsectarian, tertiary care teaching hospital. Our Emergency Department provides care to over 90,000 adult and pediatric patients and is a high volume, high acuity regional Trauma/Stroke/STEMI Center serving diverse Central and South Bronx communities. We are home to a well-established four-year ACGME accredited residency program with over 60 residents. St. Barnabas Hospital is the primary teaching hospital of CUNY School of Medicine, with additional academic affiliations with Albert Einstein and NYIT.

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 continue to expand our faculty to meet the clinical needs of our patients and the educational needs of our learners. We envision further program development in clinical education, emergency ultrasound, EM-critical care, pediatric EM, and clinical research. Our current faculty possesses diverse interests and expertise leading to extensive state and national-level involvement. The emergency medicine residency includes 12 EM and 2 EM/IM residents per year. We treat more than 130,000 patients per year in a state-of-the-art ED at Vidant Medical Center. VMC is a 960+ bed level 1 trauma center and regional referral center for cardiac, stroke, and pediatric care. Our tertiary care catchment area includes more than 1.5 million people in eastern North Carolina. Additionally, we provide clinical coverage at two community hospitals within our health system. We are responsible for medical direction of East Care, our integrated mobile critical care and air medical service, and multiple county EMS systems. Our exceptional children’s ED opened in July 2012 and serves approximately 25,000 children per year. Greenville, NC is a university community offering a pleasant lifestyle and excellent cultural and recreational opportunities. Beautiful North Carolina beaches are nearby. Compensation is competitive and commensurate with qualifications; excellent fringe benefits are provided. Successful applicants will be board certified or prepared in Emergency Medicine or Pediatric Emergency Medicine. They 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 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

Our Department has growing sections including Ultrasound, Research, Toxicology, Simulation, Pediatrics, Social Emergency Medicine and Disaster Medicine and we seek energetic, motivated faculty dedicated to advance the specialty and practice of emergency medicine. We offer a competitive salary with ACGME adherent protected time for core faculty and a comprehensive benefits package. This is an opportunity to join a department that is in an exciting phase of growth and development. Our location in the Bronx is easily accessible from Manhattan, New Jersey, Westchester and New York City’s other boroughs.

For more information, please contact: Daniel G. Murphy, MD, MBA, Chairman dmurphy@sbhny.org, 718.960.6103 St. Barnabas Hospital has changed its name to SBH Health System. As a leader in the transformation of healthcare, SBH Health System brings you a new model of care that focuses on health and wellness, prevention of illness and caring for the whole you.

www.SBHNY.org

NOW HIRING

in Emergency Medicine The academic Department of Emergency Medicine at the CU School of Medicine is dedicated to excellence in clinical care, teaching and mentoring, research and scholarship, and innovation. Denver is a highly desirable place to live, work, and raise a family. We offer salaries commensurate with qualifications, relocation assistance, physician incentive program, CME allowance, and a comprehensive benefit Fellowships package.

ACADEMIC POSITIONS COMMUNITY POSITIONS • Community Practice Physicians

• Faculty (all ranks) • Critical Care (ACCM pathway preferred) • Research • Ultrasound

• Administration, Operations & Quality • Climate & Health Science Policy • Critical CareAnesthesia • Emergency Medical Services • Research • Toxicology • Ultrasound • Wilderness Medicine

Learn more about us at:

www.medschool.ucdenver.edu/em For additional information, please contact: Frances Schulz, HR Manager, Emergency Medicine frances.schulz@ucdenver.edu 36

Academic Emergency Medicine The BerbeeWalsh Department of Emergency Medicine at the University of Wisconsin School of Medicine & Public Health in Madison, Wisconsin is seeking the following professionals interested in furthering a career in academic emergency medicine.

Pediatric Emergency Medicine Section Chief EM faculty provide clinical services in the Emergency Departments of the University of Wisconsin Hospital and Clinics (University Hospital), American Family and Childrenâ&#x20AC;&#x2122;s Hospital, and other UW Health approved sites. University Hospital is a busy, universitybased, referral hospital; one of only two academic medical centers in the state and a Level 1 Trauma and Burn center for both adult and pediatric patients. EM faculty supervise EM and off-service residents, as well as medical students. The successful candidate will join a faculty of both emergency physicians and pediatric emergency physicians. Responsibilities include the clinical care of pediatric emergency department patients and time spent in education and teaching activities to medical students, residents and other learners in the academic medicine setting. Clinical research is encouraged and should be anticipated as part of this role. Additional time will be devoted to administrative responsibilities.

Associate Clerkship Director/ Director of Medical Student Education This highly-motivated academic Emergency Physician will join our Education Leadership Team. Our medical student program includes an innovative and dynamic curriculum with a required medical student rotation in addition to a fourth-year Acting Internship. Students benefit from a rich clinical learning environment designed to integrate experiences for a wide range of learners, including residents from our 3-year residency training program (12 residents per year). Robust professional development opportunities exist for this position as well as freedom to innovate while working as part of a close-knit education leadership team. Both positions are entitled to a competitive salary structure commensurate with qualifications, relocation assistance, CME allowance, and a comprehensive benefit package. To inquire, send your curriculum vitae and cover letter (indicating position of interest) to:

agh@medicine.wisc.edu â&#x20AC;˘ Azita G. Hamedani, MD MPH MBA Chair, BerbeeWalsh Department of Emergency Medicine Suite 310, MC 9123 800 University Bay Drive, Madison, WI 53705

Madison, the vibrant capital of Wisconsin and home of the University of Wisconsin, has the best of all worlds: natural beauty and outdoor recreation, stimulating cultural offerings, distinctive restaurants & shops, a spirit of fun, urban culture, natural beauty, and small town charm.

The UW Madison is an EEO/AA Employer. Minorities and women are encouraged to apply. Wisconsin caregiver and open records laws apply. A background check will be conducted prior to employment.

19 Celebrating

of bringing EM ACADEMICIANS together!

Las Vegas, Nevada â&#x20AC;&#x201C; May 14-17