SAEM September-October 2014 Newsletter by Society for Academic Emergency Medicine

Celebrating Our 25th Anniversary

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

SEPTEMBER-OCTOBER 2014

VOLUME XXIX NUMBER 5

SHERYL L. HERON, MD, MPH, FACEP

The Power of the Voice

ETHICS IN ACTION Noncompliant Patients

RECOGNIZING HHT A Patientâ&#x20AC;&#x2122;s Plea

FIVE FOAM FAVORITES

in Academic Emergency Medicine

RESIDENT AND STUDENT ADVISORY COMMITTEE Prepping for The Match: A look back at 2014 data

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

SAEM STAFF Chief Executive Officer Ronald S. Moen Ext. 212, rmoen@saem.org Director of Information Services & Administration James Pearson Ext. 225, jpearson@saem.org Accounting Manager Mai Luu, MSA Ext. 208, mluu@saem.org Accountant Dipesh Patel, CFE, MSA Ext. 207, dpatel@saem.org Assistant to the CEO Angie Stark Ext. 206, astark@saem.org Communications Manager/Newsletter Editor Karen Freund Ext. 202, kfreund@saem.org Education Manager LaTanya Morris Ext. 214, lmorris@saem.org Grants & Foundation Manager Melissa McMillian, CNP Ext. 203, mmcmillian@saem.org Marketing & Membership Manager Holly Byrd-Duncan, MBA Ext. 210, hbyrdduncan@saem.org

2014-2015 BOARD OF DIRECTORS Robert S. Hockberger, MD President Harbor-UCLA Medical Center Deborah B. Diercks, MD, MSc President-Elect University of California, Davis Medical Center Andra L. Blomkalns, MD Secretary-Treasurer University of Cincinnati College of Medicine Alan E. Jones, MD Past President University of Mississippi Medical Center Steven B. Bird, MD University of Massachusetts Medical School Kathleen J. Clem, MD, FACEP Loma Linda University School of Medicine

Meeting Planner Maryanne Greketis, CMP Ext. 209, mgreketis@saem.org

D. Mark Courtney, MD Northwestern University Feinberg School of Medicine

Membership Coordinator George Greaves Ext. 211, ggreaves@saem.org

James F. Holmes, Jr., MD, MPH University of California, Davis, Health System

Systems Administrator/Database Analyst Michael Reed Ext. 205, mreed@saem.org SAEM & Foundation Administrative Assistant Sarah Buchanan Ext. 201, sbuchanan@saem.org Education Administrative Assistant Elizabeth Oshinson Ext. 204, eoshinson@saem.org

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

Lauren Hudak, MD Resident Board Member Emory University School of Med Amy H. Kaji, MD, PhD Harbor-UCLA Medical Center Ian B.K. Martin, MD University of North Carolina School of Medicine The SAEM Newsletter is published bimonthly by the Society for Academic Emergency Medicine. The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM. For Newsletter archives visit http://www.saem.org/publications/newsletters ÂŠ 2014 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.

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PRESIDENT’S M ESSAGE Robert S. Hockberger, MD

David Geffen School of Medicine at UCLA Harbor-UCLA Medical Center

…please take advantage of the opportunity to be mentored in an area of your interest or need; and if you are in a later stage, please consider taking the time to sow a few seeds… In my last President’s Message, I encouraged you to think about the legacy you might one day leave for others. When one thinks of legacies, the first things that usually come to mind, at least to me, are large sums of money bequeathed for worthwhile causes, or specific accomplishments with lasting impact in some field of endeavor. In those instances, the beneficiaries of the legacies Robert S. Hockberger, MD are primarily future generations. John Maxwell, a noted author on leadership and professional development, offers a different perspective. He says that true success (and ultimately, personal fulfillment) comes from knowing, growing and sowing: from knowing your purpose in life, from growing to reach your potential within that purpose, and from sowing seeds along the way to help others do the same. For many of us involved in academe, our legacies will, in fact, be the sum of the seeds we’ve sown throughout our careers, seeds that have helped others accomplish their dreams, dreams that, on occasion, result in wonderful, tangible things that leave a lasting impact for future generations. Our purpose in life is the creation and perpetuation of an environment that fosters the personal and professional growth of others. Viewing one’s legacy in this way allows us to appreciate and enjoy the experience as it happens. One of the most important components of a successful academic environment is mentorship. It is defined as a dynamic, collaborative, reciprocal relationship between two individuals (usually a senior person and a junior) aimed at fostering the personal and professional development of both people. The junior person receives teaching, counseling and advocacy from the senior and, in return, the senior receives the experience necessary to become a more effective teacher, counselor and advocate for future mentoring relationships, as well as the satisfaction derived from helping others learn to leverage their strengths, and manage their weaknesses, to become more successful.

Mentorship takes time, sometimes lots of time, and can be a frustrating experience if the mentor and mentee aren’t well matched or have unrealistic expectations of the relationship. When successful, however, it can be one of the most rewarding experiences of one’s professional life. Much has been written about the positive impact of mentorship on career development and professional success; about the characteristics of good mentors and mentees; about the process for establishing positive relationships and mutual expectations; about novel ways of providing mentorship, such as through organized group mentoring activities; and about the advantages of having multiple mentors with expertise in different areas of academic life. While we have learned a lot about mentorship, it is often difficult to find it, because the demand for good mentors far exceeds the supply, and probably always will. One venue for bringing junior and senior people together is the work we perform together on behalf of our specialty outside of our home institutions. For example, I learned how to write and edit from senior editors for the Rosen textbook, how to improve my residency program from work as a member of the EMRRC, and how to negotiate and foster collaborative work from observing experienced people chair committees for ACEP, ABEM and SAEM. I did not consciously think of these experiences as mentorship at the time but, in retrospect, the perspectives and skills I learned through those activities had an immense impact on my personal and professional development. SAEM provides opportunities for junior and senior faculty to collaborate through the work of its academies, committees and interest groups, and in its collaborations with other organizations. If you are in the early stages of your career, please take advantage of the opportunity to be mentored in an area of your interest or need; and if you are in a later stage, please consider taking the time to sow a few seeds that might eventually help others realize their dreams… It might well be your legacy, one that you can enjoy today. ◗

CHIEF EXECUTIVE’S M ESSAGE CHALLENGES, CHANGES, OPPORTUNITIES, PLANNING: WHAT NEXT? As I have been mulling this column, I have been struck by the way in which various news organizations treat a single story about what is happening in the world around us. Some reports concentrate on the gruesome details of the story, others simply report on the bare facts, while still others emphasize whatever the positive aspects there might be. Political commentary always seems to emphasize Ronald S. Moen the negative, regardless of what the facts of the matter might be, and it seems that the closer we get to decision points such as elections, the number of negative stories increases exponentially. We are constantly told that negative advertising works, at least for elections, but does the same hold true for other narratives? And what, you might ask, does this have to do with SAEM? The SAEM Board of Directors is currently engaged in a strategic planning process that should culminate in a new or revised strategic plan and a strategic planning process for the future. As part of that process, the Board has engaged Tecker Consultants to assist them in looking both backwards to see what has worked well, and forwards to what may be important in the future. A sampling of survey responses from members and staff has resulted in a variety of inputs that focus on what works well, what new initiatives SAEM should undertake, how to harness the energy and resources of members to work together better for our common goals, and how to re-evaluate our mission, vision and priorities for the coming years. This process is a challenging one, for it forces us to look critically at what SAEM is all about. As a medical specialty organization devoted to academic emergency medicine, SAEM faces some unique challenges. SAEM members represent the future of the specialty in a unique way, but other organizations also represent distinct segments in the training of EM residents. Other organizations also exist that represent different points of view for training, for education, for practice and for advocacy. One of the keys to success for emergency medicine in the future is to be able to work together, not only in the house of emergency medicine, but within the overall house of medicine as well. We are at an interesting point in history, when the new president-elect of the American Medical Association is not only the youngest president-

elect in the organization’s history, but the first emergency medicine physician ever to hold this post. Are there ways that the house of emergency medicine can use this historic event to advance our influence? What role should academic emergency medicine play in debates about the future practice of medicine, not only in training, which is the historic purview of SAEM, but in the way in which emergency medicine will be practiced in the future? Clearly there are major shifts occurring in the way medical care is paid for; changes in the way graduate medical education is supported; changes in the way the public perceives the role of emergency departments, the care provided in the 24/7/365 environment; and changes in the manner in which future emergency medicine physicians will be recruited, trained, and valued. So, yes, there are plenty of challenges confronting SAEM and its members, and many changes are likely to occur in the coming five years of our strategic planning effort. But there are also plenty of opportunities that lie ahead for SAEM as well, which is why strategic planning is so important, not only for SAEM but in every department where we have members of the faculty, residents in training and emergency physicians in charge of larger pieces of the health care environment. One of the challenges is to make sure that SAEM members participate in these debates and in the planning for solutions to the issues that confront emergency medicine training, and provide support to those organizations that are actively working on solving the problems that are presented; but also to make sure they celebrate the successes. Fortunately, the success that emergency medicine enjoys today is built on an extensive body of research from many fields. Look for opportunities to participate in these dialogues and contribute to the emergency medicine of the future. Let us know your thoughts by dropping a line to me, and it will be shared with the Board and our consultants as we work towards unveiling SAEM’s new strategy in 2015. ◗

M EM BER HIGHLIGHT SHERYL L. HERON, MD, MPH, FACEP Professor and Vice Chair, Department of Emergency Medicine Assistant Dean for Medical Education and Student Affairs on the Grady Campus Associate Director of Education and Training for the Center for Injury Control Emory University President, SAEM Academy for Diversity and Inclusion in Emergency Medicine

“We can all use our voices to share, learn, lead and grow. We have the power: let’s use it.”

THE POWER OF THE VOICE the same year the leader of the Civil Rights movement, Martin Luther King, Jr., was assassinated. It’s ironic that I have come to live in Atlanta, Dr. King’s birthplace and resting place. As an adult, I have reflected on why my parents would migrate to a country where tension is high and race relations precarious. I am an immigrant whose parents believed in a brighter future for their children. The news is peppered with debates on immigration law and, whichever political views we have, as emergency medicine physicians, we are committed to care for those who don’t have access to health care. I was a precocious little girl (so they say), with an inquisitive mind and a passionate spirit, both of which thankfully have stayed with me until today. My zest for education and interest in science propelled me to college at 16, and, while my road took a different turn, the voice within continually spoke of medicine. Healing the sick, caring for the young, bringing comfort

ACEP Award It’s the start of my second term as president of SAEM’s Academy for Diversity and Inclusion in Emergency Medicine (ADIEM), and I marvel at how far we have come in addressing diversity and inclusion in emergency medicine. Many have heard my story and many have not, but suffice it to say that my life and, I daresay, my journey in life have revolved and evolved around my background, my beliefs, and my willingness to take a chance in uncharted territories. It doesn’t escape me that the timing of the invitation for me to be featured on the cover of the SAEM Newsletter coincides with my advancement to full professor (yes, I’ll be full professor effective September 1 of this year). There are few women of color who have attained this achievement in EM, and we can probably name them on one hand. Whether purposefully or by happenstance, the reality is that I am on the cover of the SAEM Newsletter, with an opportunity to share my voice and my story. My story began when, as a five-year-old girl, I migrated to the United States with my parents, Basil and Amy, and my brother, Marc (then six years old), from Jamaica, West Indies. My parents chose to come to New York for a better life for their children in

ADIEM Board to those in need are concepts that stick with me today. It was too early to graduate from college and consider medicine. I applied to medical school and initially wasn’t successful, so I obtained a master’s in public health at Hunter College in New York, which was a pivotal choice. My concentration was in health education, Continued on Page 7

“In the end, the most important piece of my journey has been my family and dear friends.” Sheryl and Tee and my focus and lens on medicine were magnified. Long before social determinants of health were the buzzwords of the day, I understood the connections between community, neighborhood, lifestyle and access as they relate to obtaining optimal health care. There was an inner voice that called me to medicine as I lived through my uncle dying of AIDS at the start of the AIDS epidemic in the late 1980s. My faith is strong and my belief in destiny even stronger. It was fortuitous that I heard Dr. Vivian Pinn, former director of the Office of Women’s Health at NIH, speak at a conference in 1989 (25 years ago) at Hunter College. She was the chair of pathology at Howard University College of Medicine (HUCOM) and became my mentor and friend. I entered HUCOM in 1989 and my life changed. Dr. Pinn became the first in a series of impactful mentors in my life. She graduated from the University of Virginia and was the only woman and the only African-American in her class. To this day, I honor Dr. Pinn as our paths continue to align. Dr. Pinn was the first speaker at Emory University School of Medicine’s (EUSOM) annual Hamilton Holmes Lecture and, this year, I was the tenth person honored to be the Holmes speaker. For a bit of history, Dr. Hamilton Holmes integrated the University of Georgia and was the first African-American student at EUSOM. Dr. Pinn used her voice to encourage and empower countless women of color across generations. After I graduated from Howard University College of Medicine in 1993, in the 125th class to graduate from HUCOM, I went to Martin Luther King/ Charles Drew Medical Center to complete residency training. It was at the peak of gang warfare and overwhelming exposure to penetrating trauma that my interest in public health continued to grow. The “who, what, when, where and how” of violence: intimate partner violence intrigued me. I used my voice and submitted my first abstract to SAEM as a resident, and presented a poster on domestic violence in 1995 at SAEM’s Annual Meeting in San Antonio. My chair at MLK, Dr. H. Range Hutson, saw that I could use my voice to make change. He challenged me and pushed me to apply for the Injury Control Fellowship at Emory. My inner voice spoke and I arrived at Emory in 1996, recruited by a giant in emergency medicine, Dr. Arthur Kellermann. Arthur had a vision and he had a plan: to build a leading department in emergency medicine at Emory. Diversity and inclusion were and continue to be Arthur’s mission. In 1996 I was the first African-American woman hired in EM at Emory and was the first fellow. In that instance, my voice spoke up. “Why are there

no African-American women here? It’s 1996 and we are in the South.” Arthur simply said, “It’s not because I haven’t tried.” And he added: “If you come, others will.” Arthur earnestly spoke of his belief in diversity and inclusion, acknowledging that one of his mentors was African-American. He spoke of ensuring not just that I survived, but that I would thrive; and thrived I have. We had a diverse group of men and women come to Emory. Dr. Leon Haley, with whom I co-authored one of the early papers on diversity in emergency medicine, who subsequently became a member of the Board of Directors of SAEM; Dr. Tammie Quest, a national expert on palliative care; and many more who dared to believe and see Arthur’s vision. Since those early days, Emory has modeled diversity and inclusion, and it seems fitting that I assumed the inaugural presidency of ADIEM. We have had and continue to have a diverse residency class, thanks to my colleague and friend Dr. Philip Shayne’s leadership. We have other key leaders in EM as well: Drs. Douglas Ander, Deb Houry and Kate Heilpern, who have embraced diversity and inclusion as part of our fabric in EM. During the past two years, members of ADIEM have published, presented, mentored and collaborated to produce seminal work on diversity and disparities in EM, particularly related to LGBT education in EM residency programs. There have been many people who have been a part of ADIEM’s inception and growth, including Drs. Marcus Martin, Lynne Richardson, Lisa MorenoWalton, and Joel Moll. We all share the privilege of the ADIEM Marcus L. Martin Leadership Award. Other ADIEM luminaries who have contributed to our mission include Drs. Thea James, Ugo Ezenkwele, Kevin Ferguson and Adrian Tyndall, as well as many others too numerous to name here. In the past 20 years, I’ve used my voice to encourage people of color and, truthfully, all people to embrace diversity and inclusion. In the end, the most important piece of my journey has been my family and dear friends. My parents and my brother Marc are always there. My husband, Boniface Thomas, who has been my anchor; my aunts, uncles, nieces, cousins and my best friend, Dr. Patricia Baines, who led me to emergency medicine. Pat and I completed medical school and residency together, and she was the key architect of Emory EM’s SAFE training for our residents. She has been with me through my personal and professional life. I thank my family and friends for their love and their encouragement to use my voice. We can all use our voices to share, learn, lead and grow. We have the power of the voice: let’s use it. ◗

ETHICS IN ACTION NONCOMPLIANT PATIENTS Gerald Maloney, DO

MetroHealth Medical Center/ Case Western Reserve University, Cleveland, OH

A 33-year-old male patient arrives by EMS in respiratory distress. His vitals in the field included a heart rate of 130, blood pressure of 195/110, respirations of 30 and room air pulse oximetry of 88%. He was started on CPAP by EMS. On exam he appears clearly fluid-overloaded with rales in both lung fields. You note an AV fistula in his left upper arm, and upon questioning he admits that he has not gone to dialysis in over a week for “personal” reasons. Further workup shows pulmonary edema on his chest radiograph, and lab abnormalities including hemoglobin of 6.6, potassium of 7.5 nonhemolyzed with diffusely peaked t waves on his EKG, and bicarbonate of 13 on BMP. He clearly needs emergency hemodialysis, and so you arrange admission to the medical ICU and contact the on-call nephrologist. The nephrologist is familiar with this patient; she tells you that he was fired from their service two months ago for continued noncompliance and that the nephrology staff made clear they would not dialyze him again should he come back to the hospital. She suggests finding another hospital to transfer him to for dialysis. The patient clearly is not stable for transfer, and you have the capacity to care for him at your facility. Even if they have fired the patient from their practice, can the nephrologist refuse to dialyze him, given his lifethreatening condition? Noncompliant patients are a great source of frustration for health care providers across the medical community. There is evidence showing that among patients with some of the most complicated chronic conditions (diabetes, congestive heart failure, chronic kidney disease), noncompliance is a major factor in readmission rates. Mortality and disease-related complication rates are also higher in noncompliant patients. (Clin J Am Soc Nephrol 2011 142-52). There have been several factors associated with noncompliance: underlying mental illness or substance abuse; lower socioeconomic status and the barriers to care associated with it; insurance status; and legal issues. While the causes are myriad, the end result is the same: a difficult relationship between physician and patient. The concept of being able to “fire” a patient from one’s practice has been around for several decades. Both state and federal laws, as well as evolving changes in professional codes of ethics, have formalized the process for informing a patient that a provider will no longer provide care for her. Typically there has to be documentation of expectations for both patient and physician (on the patient’s end this includes paying bills, following through

with treatments and showing up for scheduled appointments). In the event that patient noncompliance reaches the point that a provider wants to terminate the physician-patient relationship, the physician must notify the patient within a suitable time frame to allow her to transition to another provider, provide copies of medical records to bring with her to the new provider, and continue necessary care until the identified time frame is over. In general, these arrangements apply only to routine ongoing care, and not to emergencies. Additionally, in circumstances where the provider is the only specialist of his or her type in an area (more rural areas where the provider may be the only psychiatrist, urologist, etc., in town), the provider may need to allow for a longer period of time for the patient to find a more distant provider. Such arrangements are rarely if ever seen in the emergency department setting, as federal law prohibits the emergency department from refusing to provide a medical screening exam and the necessary stabilizing treatment. While care plans for expedited screening exams and referral to alternate providers in the event no medical emergency is identified are permissible, an emergency department cannot “fire” a patient the way a private practice can. Which brings us to our current scenario. This patient clearly has a medical emergency: while the nephrologist’s desire not to provide ongoing care any longer for this patient is both reasonable and ethically acceptable, refusing to provide dialysis for him in an emergency is both legally and ethically wrong. If the nephrologist is not on call that night, she can refuse to dialyze him and refer him to the on-call nephrologist. However, if she is on call, by both her legal obligations under EMTALA and the general ethical principle of nonmaleficence, she should dialyze this patient emergently (and then can refuse to provide further care once his medical emergency is stabilized). If confronted with this issue, and the nephrologist remains recalcitrant, contacting another nephrologist on staff or, if necessary, hospital administration to force the issue may be required. Transferring this patient is obviously not in his best interest, but if no alternative exists, then he should be transferred as soon as possible, with a very carefully documented chart. In summary, private providers can fire noncompliant patients, though such an option is rarely feasible for the ED. Further, even if the patient has been fired, if he presents with a medical emergency and his previous provider is on call, then the provider has legal and ethical obligations to care for the patient until such time as his medical emergency is stabilized, and care can then be transferred. ◗

FIVE FOAM FAVORITES IN ACADEM IC EM ERGENCY M EDICINE Lauren Westafer, DO, MPH SAEM Social Media Committee Resident Social Media Scholar

Free Open-Access Medical Education (FOAM/#FOAMed) is a dynamic collection of resources and tools for learning in medicine, and comprises a community of individuals dedicated to learning and engagement in medicine [1]. FOAM consists of podcasts, blogs, and other social media tools such as Twitter, videos, openaccess journal articles, live-streamed conferences and more. Educators and researchers have become increasingly interested in FOAM, as it relates to the core emergency medicine training curriculum and as a forum for research interest and dissemination [2,3].

1. “ What to Believe, When to Change” - Dr. Simon Carley, Social Media and Critical Care Conference, March 2014. This talk, available via the SMACC podcast or on the St. Emlyn’s blog, discusses how we come to grips with changing our clinical practice. Dr. Carley discusses the laggards and early adopters and recommends some caution with adopting a practice too early or with recklessness. He also delves into the difficulty integrating new research that may be incongruent with our previously held beliefs or teachings, comparing this process to the Kübler-Ross grief model. This talk spawned a FOAM debate when Dr. Scott Weingart, a New York emergency medicine/critical care physician, responded to this talk with a “SMACC-Back” podcast imploring physicians to truly understand the responsibilities associated with early adoption.

2. “AIR Series: Infectious Disease, Hematology, Oncology 2014” - Dr. Andrew Grock, Academic Life In Emergency Medicine (ALiEM). This novel project, Approved Instructional Resources (AIR), comes from the consortium at ALiEM and blends traditional academics with FOAM for learning targeted at adults. This post contains links to curated, reviewed FOAM resources and is followed by a quiz, assessing the understanding of the topics covered. ALiEM is providing participating program directors access to the secured data for their residents. Of course, all of this is free for anyone who wishes to take the quizzes for their own education.

3. “Episode 47-Walter Himmel on Evidence Based Medicine from NYGH EMU Conference 2014” Emergency Medicine Cases. This podcast features a talk on evidence-based medicine (EBM), in which Dr. Himmel cautions clinicians and academicians to avoid “BARF – the Brainless Application of Research Findings.” He implores individuals to gauge whether the results are valid, the outcomes important and significant to the patient, and the information relevant to one’s own practice environment and population.

4. “ED Hocus POCUS...or Just a Hoax?” - Dr. Rory Spiegel, guest author for Emergency Medicine Literature of Note This post discusses a study published in The Lancet Respiratory Continued on Page 10

Continued from Page 9 Medicine, in which Laursen and colleagues randomized patients in the emergency department with dyspnea, chest pain, or cough to standard diagnostic treatment or standard diagnostic treatment plus point-of-care ultrasound. Dr. Spiegel discusses that, while the study met its primary outcome of correct diagnosis at four hours (88% versus 63.7%), the downstream testing increased in the ultrasound arm. Furthermore, the study demonstrated no appreciable patient-oriented outcome, such as reduction in 30day mortality or in-hospital mortality. The target of Dr. Spiegel’s post lies not in undermining the excitement for bedside ultrasound, but rather in encouraging clinician focus on patient-oriented outcomes and scrutiny of potential harms.

References: 1. Nickson CP, Cadogan MD. Free Open Access Medical education (FOAM) for the emergency physician. Emerg Med Australas. 2014;26(1):76–83. doi:10.1111/17426723.12191. 2. Scott KR, Hsu CH, Johnson NJ, Mamtani M, Conlon LW, DeRoos FJ. Integration of Social Media in Emergency Medicine Residency Curriculum. Ann Emerg Med. 2014. doi:10.1016/j.annemergmed.2014.05.030. 3. Thoma B, Joshi N, Trueger NS, Chan TM, Lin M. Five Strategies to Effectively Use Online Resources in Emergency Medicine. Ann Emerg Med. 2014. doi:10.1016/j. annemergmed.2014.05.029. 4. McKibbon KA, Wilczynski NL, Haynes RB. What do evidence-based secondary journals tell us about the publication of clinically important articles in primary healthcare journals? BMC Med. 2004;2:33. doi:10.1186/1741-7015-2-33.

5. “ Research and Reviews (R&R) in the Fast Lane” Life in the Fast Lane This weekly digest contains several high-impact and occasionally wonky articles pertinent to emergency medicine and critical care. A global group of contributors prepare concise summaries, encouraging readers to delve into this primary literature with the hopes of improved knowledge translation. In a world in which the number needed to read (NNR) to obtain valid and relevant information is typically cited as 20-200, a curated and cherrypicked selection of relevant literature is welcome [4]. ◗

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AWAEM was established in 2009 to promote the recruitment, retention, advancement and leadership of women in academic emergency medicine. We provide faculty development and a support network to facilitate mentoring and research collaboration to address the unique needs of women in academic emergency medicine. The success of academic emergency medicine and the ability of the specialty to train future emergency physicians are intrinsically linked with the success of female faculty. The following is an article we have featured in our bimonthly AWAEM Newsletter.

AWAEM’S PROFESSIONAL DEVELOPMENT SERIES: A GUIDE TO THE FIRST TWO YEARS OF YOUR CAREER STEPHANIE ABBUHL, MD Professor & Vice Chair of Faculty Affairs Department of Emergency Medicine Executive Director of FOCUS on Health & Leadership for Women Perelman School of Medicine University of Pennsylvania It’s a pleasure to share with you some tips about how to start off the first few years of your academic career in the most productive, rewarding and enjoyable way possible. I offer guidance gleaned from literature, personal observations, mistakes I’ve made, and experience mentoring and working alongside wonderful colleagues. An academic career should be a long distance run with all the satisfaction of a marathon.

Step 1: Take Inventory Meet with (almost) everyone in your department. This should preferably be out of the office and will begin your inventory of who does what in your department. Talk to junior and senior faculty, key administrators, nursing leadership. Find out who’s doing what by asking lots of questions and doing a lot of listening. By learning how your colleagues spend their time, you will begin to understand the context of your initial career. You will be finding out the various pathways to success in your department and in your institution.

Step 2: Find Your Passion If there was one thing I wish I had appreciated early on in my career it would be this: the more you are motivated by a higher purpose beyond just advancing your career, the more likely you are to be successful. Discover your own calling. Don’t let others decide this for you. It’s easy to get lured into an area of concentration where a mentor is working or to find yourself working on a topic that was handed to you. These can sometimes lead to true interests, but if not, don’t get stuck there. Start over with an area meaningful to you.

Step 3: Assemble Your Mentors Mentoring has been the buzzword of faculty development, and for good reason. Good mentoring relationships are associated with a higher likelihood of academic success and more career satisfaction. Before you seek a mentor, a few introspective steps are necessary: 1.Think about your values, work style and needs. 2. Identify your goals (research, teaching, writing, clinical, etc.). 3. Identify who can guide you to those goals. Over time you will build a team of mentors; however, be patient. As you build your team, consider having at least one mentor in your department and one outside your department. Consider senior and junior mentors. Someone just a little ahead of you can be very helpful as you navigate your course.

I often like to think about having two kinds of mentors: a content mentor (someone who guides you specifically in your topic area) and a career pathway mentor. The latter helps with the big picture and establishing priorities: balancing work and personal life, negotiation, politics, overcoming career disappointments, finding longevity. There’s no question that the single most important part of getting great mentoring is getting in the driver’s seat. This is managing, taking responsibility for your own development by organizing and leading the mentee work you will do with your mentor: - Make the appointments - Develop an agenda for each meeting - Ask for honest feedback; try not to be defensive - Show appreciation AND MOST IMPORTANTLY... - Follow through with your tasks

Step 4: Find a Posse Collaborating with colleagues is key, not only because they bring the variety of talents you need, but also to make the process more fun. You need to take turns among a group, sharing first authorship, the more mundane tasks, and in taking the lead for organization. Again, be open to outside collaboration. Competition can sometimes be an unspoken barrier within a department and often some of the most successful research and writing groups are with colleagues from outside.

Step 5: Write It Down The fifth strategy is all about formulating, committing to, and writing down your goals. The process of writing down goals has been shown to increase the likelihood that you will take concrete steps towards meeting those goals. Make 1- and 3-5-year plans: 3-year goals if you are very early in your first appointment; 5-year goals if you are farther along. It’s important to set achievable goals. Be realistic and ask your mentors to help with this. Break down each goal to specific action steps and identify timelines to help you achieve them. This will be a dynamic process; your goals will change. You should add personal, family and community goals to your list. ◗ References: Farrell SE et al: Mentoring for clinician-educators. Acad Emerg Med 2004; 11(12): 1346-50. Thorndyke LE et al: Empowering junior faculty: Penn State’s Faculty Development and Mentoring program. Acad Med 2006; 81:668-673. Zerzan JT et al: Making the most of mentors: A guide for mentees. Acad Med 2009; 84:140–144. Ammerman C & Tseng V. (2011) Maximizing Mentoring: A Guide for Building Strong Relationships. New York, NY: The William T. Grant Foundation. http://www.medschool.vcu.edu/facultyaffairs/career_dev/facultymentoringguide/ pastpresfuture.html

As emergency physicians, we learn to look closely at otherwise healthy patients who present to the ED frequently with the same complaints because they may harbor serious underlying medical disorders. The letter below, from the wife of such a patient, is a good reminder of this fact, a nice review of a missed diagnosis, and a glimpse into the often-disrupted lives of such patients and their families.

Robert S. Hockberger, MD

Robert S. Hockberger, MD President, SAEM

IT IS MORE THAN A NOSEBLEED A PATIENT’S PLEA TO RECOGNIZE HHT Brenda B. I feel privileged to share our story with you. My husband, Jeff, had always been the poster child for perfect health. Until recently, he rarely had any issues with nosebleeds. It wasn’t until May of 2005, at age 48, that Jeff had a bleed that he could stop. He was sent to an ENT by his primary care doctor, who had no idea what he had. After that day, his nose seemed to bleed endlessly, and no one was able to tell us why. It took over eight years for Jeff to be diagnosed with hereditary hemorrhagic telangiectasia (HHT), also known as Osler-Weber-Rendu syndrome (OWR), and I have made it my personal goal to bring awareness of this disease to the medical community in the hope that our story will help diagnose others with this hereditary disorder and potentially save lives. It soon became a vicious cycle as the bleeds became more frequent. Going to the ENT for silver nitrate cauterization. Being told by the ENT that the lining of Jeff’s nose was getting thin because of aging. Going to the ER in the middle of the night and having them put a Rhino Rocket up his nose. It never stopped. Bleed, cauterization, a few days’ break, bleeding again. They became worse and more frequent than he had ever had. It interrupted every aspect of our daily lives, and I started really getting scared. Jeff didn’t want go to the ER anymore, because they would put the Rocket up his nose, which seemed to make it worse when it was taken out. He was told to control the bleeds with Afrin and to use saline to keep it moist. You can’t cauterize but so much. Then one day in 2012, Jeff’s nose started bleeding severely at work. He bled for an hour as he drove himself to the doctor. When he arrived, they could not get it stopped. He bled all over their office (which is normal for us), and the nurse called to tell me that she had never seen a nosebleed like that, and that, despite their best efforts, they had to send him to the emergency department. They put him to sleep and performed Bovie cautery. The doctor approached me and told me that Jeff had become anemic and that he also had suspicious telangiectatic vessels. He mentioned that he had seen similar vessels in a patient that had HHT, but that it typically starts when you are young. HHT is a multi-system vascular dysplasia, an uncommon but not rare disorder that

should be diagnosed early in case larger blood vessels form an arteriovenous malformation (AVM). Only one in 5,000 people have HHT, and it can be very difficult to recognize, unless, of course, you are Dr. Gregory House, and the diagnosis comes to you in your dreams. Soon thereafter, I start searching the Internet, and I found the University of North Carolina at Chapel Hill HHT Center, which supports newly diagnosed patients. They tested Jeff for HHT: the result was a positive diagnosis. After ten years of bleeding, we knew what Jeff had. There was a moment of relief, but it quickly dissolved into fear once we realized what HHT meant for us and for our family. Since HHT is a hereditary disease, all of our kids and grandkids were also at risk. The disease most commonly affects the nose, lungs, GI tract, brain and liver, and if AVMs form in some of these areas, they can be deadly. It has been over a year now since we received the diagnosis at the HHT center. We go back once a year for a complete followup. We are so thankful for them. They have my utmost respect. Jeff’s is a moderate case, and he has no AVMs at this time; but so many have it much worse. HHT can present from mild to severe and can manifest differently in every person. I know that too many babies die due to liver, lung or brain AVMS. I have known of so many that have had coil embolization for lung AVMs. I know of a 10-year-old with HHT who is waiting on a lung transplant because he has so many small AVMs in his lungs. I have a Facebook friend whose five-year-old daughter had surgery to fix her brain AVM. We can save so many lives if we can just bring awareness to the medical community so they can diagnose HHT cases early on and direct patients to the appropriate screening and treatment. There are now 16 HHT “Centers of Excellence” in the USA. All centers have a complete staff to address every issue connected with HHT, including those in children and during pregnancy. I offer this letter as a means of increasing awareness. My daughter and granddaughter have HHT, so my fight for HHT will not stop until there is a cure. I fight for all who have HHT. We need awareness. We need research. Now that you know HHT is more than a nosebleed, I ask that you read more about HHT and how you can identify this disease in your patients. Thank you for reading my story. ◗

Hereditary Hemorrhagic Telangiectasia Foundation International, Inc. O S L E R - W E B E R - R E N D U S Y N D R O M E

HHT Quick FacTs For HealTH care ProFessionals

•

Hereditary Hemorrhagic Telangiectasia (also known as Osler-Weber-Rendu Syndrome) is a multi-system vascular dysplasia. It is uncommon, but not rare. Approximately 1.4 million people worldwide have HHT.

• Telangiectases and arteriovenous malformations (AVMs) are the characteristic lesions. • Location of lesions and severity of symptoms is highly variable and is significantly under diagnosed in affected individuals. • Most commonly affected organs are the nose, lungs, GI tract, brain and liver. • HHT is an autosomal dominant genetic disorder. Denovo mutations are rare. A targeted family history shows almost all cases to be familial. • Defects in at least 3 different genes can cause HHT. • 90-95% of individuals with HHT will develop epistaxis by adulthood, but severity varies from infrequent and minor to daily and severe. • 90-95% develop at least a few small telangiectasia on the face and/or hands by middle age.

• Antibiotic Prophylaxis is recommended for dental and other procedures that can cause bacteria in the blood. •

IV Filter - An IV air filter (bubble trap) should be used when a patient has an intravenous line. This is to prevent any large air bubble from entering the bloodstream, going through a lung AVM, and then causing a temporary stroke. This is most effectively done by using a filter in the IV line as close to the patient as possible. A 0.22 micron filter is best if available, but a blood filter is also acceptable (about 260 microns) and will stop all large air bubbles. During a blood transfusion, a standard blood filter is all that is needed. Please note that filters often cannot be used for IV contrast injections like you might get for CT or MRI scans.

Brain AVMs - Untreated brain AVMs are a common cause of hemorrhagic stroke in HHT families. Epistaxis Severity Scoring Tool (ESS) - This is a way to monitor the severity of a patients nosebleeds and their response to treatment. This is a simple score that is calculated automatically when the patient answers 6 simple questions about their nosebleeds. The ESS tool can be accessed through the HHT Foundation website, www.hht.org.

• 20-25% develop significant gastric or intestinal bleeding, but rarely before 50 unless affected with juvenile polyposis Molecular Genetic Testing for HHT is now available in a handful in conjunction with HHT. of labs worldwide. Genetic testing is best coordinated by a medical geneticist or genetic counselor. Testing an individual suspected • 40% have lung AVMs. These pose significant risk. to have HHT, without first testing a clinically affected family • 5-20% have at least one brain AVM. These can be present member is rarely informative. at any time of life, even at birth, and can cause serious complications. Routine screening is recommended in Diagnosis and treatment for HHT has changed significantly in the North American centers. last decade. Recommended screening and treatment (if, when, and • Liver AVM are relatively common, but only approximately how) is dramatically different for pulmonary vs. cerebral vs. hepatic AVMs. The HHT Foundation recommends that people with HHT be 10% cause symptoms. assessed at least once at a specialized HHT Center. • The severity of epistaxis or skin telangiectases does not correlate with the likelihood of having brain or CONTACT: lung AVMs. HHT Foundation International Inc., P.O. Box 329, Monkton, MD 21111 Lung AVMs –The following precautions are recommended for all HHT patients with lung AVMs (treated and untreated), as well as Telephone: U.S. Toll-free 800-448-6389 International: 410-357-9932 • Fax: 410-357-0655 those not yet screened by an HHT Center of Excellence Email: hhtinfo@hht.org • Website: www.hht.org

THE AMERICAN BOARD OF EMERGENCY MEDICINE BOARD ELIGIBILITY POLICY TO GO INTO EFFECT JANUARY 2015 Starting on January 1, 2015, ABEM will use the term “board eligible” to describe physicians who are in the process of achieving EM certification. ABEM will refer to physicians as board eligible for five years after successful completion of ACGMEapproved emergency medicine residency training. Physicians who complete their training prior to January 1, 2015, will also be considered board eligible for five years after that date (that is, through December 31, 2019) whether or not they have already applied for certification. This time limit also applies to physicians who applied for initial certification under the practice pathway and still have open applications. Physicians who do not have any delays in the certification process will have no additional requirements under the Policy on Board Eligibility. However, physicians who delay certification in any way—in applying for certification or not taking and passing the first examinations available to them—will have additional requirements until they become board certified or until the end of the five-year board eligibility period. The requirements include passing one LLSA test per year, and accruing an annual average of 25 AMA PRA Category 1™ CME credits.

ABEM encourages residents to apply for certification during the first application cycle available to them. ABEM can then provide them information about certification and their status under the board eligibility policy. ABEM also strongly encourages physicians to review additional information and the policy on the ABEM website. You can also email questions to application@abem.org, or call 517.332.4800, ext. 384.

2014 RECIPIENTS OF ABEM 30-YEAR CERTIFICATE The American Board of Emergency Medicine is recognizing physicians who have marked 30 or more years of certification by ABEM in emergency. To maintain certification, physicians must participate in a program of continuous learning in the specialty. The ABEM Maintenance of Certification program consists of activities that assist certified physicians in keeping current with medical advances, provide opportunities for practice improvement, and encourage optimal interactions with patients. In addition, physicians must also pass the ConCert™ examination, a high-stakes, clinically focused, comprehensive examination, at least every 10 years. A list of the over 950 physicians who have reached this milestone is available on the ABEM website at http://www.abem.org/.

ABOUT ABEM Founded in 1976, the American Board of Emergency Medicine (ABEM) develops and administers the Emergency Medicine certification examination for physicians who have met the ABEM credentialing requirements. ABEM has nearly 30,000 emergency physicians currently certified. ABEM is not a membership organization, but a non-profit, independent evaluation organization. ABEM is one of 24 Member Boards of the American Board of Medical Specialties.

ABEM MISSION The ABEM mission is to ensure the highest standards in the specialty of Emergency Medicine.

RESIDENT AND STUDENT ADVISORY COM M ITTEE PREPPING FOR THE MATCH: A LOOK BACK AT 2014 DATA ADAM NEVEL, MD, MBA Chief Resident Emergency Medicine University of Virginia As has been the case for years, the annual residency “Match” will take place once again this coming March. Orchestrated by the private, not-for-profit corporation National Resident Matching Program (NRMP), the match process links medical students and residency programs together following a six-month application and interview process. This process offers prospective residents and programs alike the chance to link up with the respective residencies and applicants that best fit with their values and goals. And while the fear of being “un-matched” come March weighs heavy on the minds of all EM applicants, the truth is that 97% of EM-interested US medical school seniors found themselves residency-bound on Match Day last year, and a similar outcome can likely be anticipated this year again. This promising match rate, however, should not give programs and applicants the sense that they need not carefully prepare for The Match: Both parties must not only be familiar with the general process of the upcoming Match, but must also be cognizant of the Match data from years past to help guide their decisionmaking over the upcoming months. This data, shown in the accompanying tables, highlight the overall competitiveness of EM residencies, which tend to have very few unmatched spots after the initial Match, and typically none following SOAP.

Table 1: Residency Application Process Sept 15

ERAS* submissions beginNRMP registration opens

Oct 1

MSPE letter released to programs

Oct – Jan

Residency interviews

Feb 25

Rank List due

Mar 16

Match status (yes/no) revealed SOAP** begins

Mar 20

Match Day!

* ERAS – Electronic Residency Application Service ** Supplemental Offer and Acceptance Program Adapted from www.nrmp.org website

This year, the application season will officially open on September 15, when students will first be able to register for The Match and can formally submit their online application (ERAS) to residency programs. Even leading up to this day, however, students will have already put in countless hours preparing their application, writing their personal statements, and obtaining their Standardized Letters of Recommendation (SLORs). Interviews will typically follow, concentrated predominantly between mid-November and mid-January, followed thereafter by the Match Day itself on March 20. Continued on Page 16

Continued from Page 15

EM PGY-1 Positions 2010-2014

Top five specialties by number of matched US seniors* Internal Medicine

3,167

Pediatrics

1,818

Family Medicine

1,398

Emergency Medicine

1,388

Anesthesiology

1,081

PGY-1 Positions*

1850

* US senior defined by NRMP as US allopathic medical school senior. Above ranking does not include preliminary medicine.

1800 1750 1700

EM-P

1650

EM-GM

1600

EM-FM

1550

1500

2010 2011 2012 2013 2014

Year

Adapted from NRMP 2014 Main Residency Match Data www.nrmp.org

*In 2010 and 2011, there were also 19 PGY-2 EM positions offered annually. Adapted from NRMP 2014 Main Residency Match Data Table 7–www.nrmp.org

Matches by EM-Related Specialties and Applicant Type

# Positions

# Filled

US Senior

US Grad

Osteo

US IMG

Non-US IMG

Number Unfilled

1,786

1,772

1,388

177

EM-Fam Med

EM-GM

EM-P

Total

1,827

1,813

1,420

179

Adapted from NRMP 2014 Main Residency Match Data www.nrmp.org

Advice for EM Residency Applicants: Throughout the exciting, but at times grueling interview season, you will undoubtedly find yourselves faced with endless questions and challenging decisions. You will need to learn how to not only uncover the true qualities of each residency program, but also determine which qualities you yourself value and demand from a residency program. And along the way, when you have questions, don’t be afraid to ask for help or advice from those around you. Here are a few points that I believe are pertinent to all those applying to EM residencies:

• Mentors are key – Find a reliable EM faculty member that you

can bounce ideas and questions off of throughout the interview process. Even if it is not a formal relationship, having somebody to talk with about the process can be very helpful.

• Go to the dinners – At nearly every interview you attend, there will be a social event before or after the interview. Go to these! They might be billed as optional, and while many of them will not directly impact your rank position at the end of the process, they can significantly help you determine if a program is right for you. • Like the people – If you didn’t enjoy being around the faculty, residents, staff, etc. that you met on that interview day, don’t rank the program high! You will be spending an immense amount

The Match 2014 By the Numbers:

# Filled

Match rate for US seniors (All specialties) Overall match rate (US seniors, IMGs, others) Match rate for couples match

94.4% 75% 94.2%

# Osteopathic graduates matched to EM through NRMP

179 (of 1,772)

# EM-ranking unmatched US seniors (ranked EM as only specialty choice)

44 (of 1,251)

Unmatched EM residency positions

of time with these folks during residency, so you better make sure you get along with them before you sign up for a 3-4-year relationship… • Submit ERAS early – I can’t stress this enough. Get your application turned in before the other 1,000 students do. There is just no room for procrastination in the process. Every day you wait, another handful of applications makes it to the program Continued on Page 17

Continued from Page 16 directors’ desk before yours. That application should be turned in on the first day ERAS accepts it. • Stay interested and be nice– Seems like a no-brainer, but after a long, grueling interview season, it can sometimes be tough to muster a smile, even for a program you really do like. Keep in mind, however, that your interactions with ALL whom you encounter at the interview day can and will factor into your rank position. Even the slightest gruff to a secretary or program coordinator can come off as lack of interest and could drop you in the rankings. • Stay organized – As emails begin flying in from all the different programs and you start scheduling (and rescheduling) interviews, make sure you are keeping close track of everything along the way. This includes travel plans, interview dates, thank-you notes, etc. • Don’t stand a program up – Not just for the sake of the program, but for your own reputation as well. Word travels remarkably fast about things like this, and failing to show up for an interview (whether on purpose or by mistake) can have significant consequences down the road.

Is it mainly at an academic, community, or county setting? How many residents are there each year? Where is it located? These are the sorts of questions you should be asking yourself BEFORE you select the programs to apply to, not after. Don’t end up with a slate of interviews to a certain type of program if you know with certainty you don’t want to end up in that setting… • Make your own decisions – Applicants will all have different impressions of residency programs, depending on their personal values and expectations. Don’t write off a program just because somebody else didn’t like their interview or had a complaint. You will all too often hear people on the interview trail disagree about how they enjoyed their interviews. There is not a ‘perfect program’ out there that is right for everyone. The purpose of the interview season is to find the one that is right for you.

Useful Links: SAEM Residency Directory – The website offers a complete breakdown of every EM program in the country http://www.saem. org/membership/services/residency-directory NRMP 2014 Match Data - http://www.nrmp.org/wp-content/ uploads/2014/04/Main-Match-Results-and-Data-2014.pdf

• Investigate the nuts and bolts – Is a program 3 or 4 years?

SAEM 2014 ANNUAL MEETING ABSTRACT RESEARCH COMPETITION AWARD WINNERS Winners of this year’s abstract research competition are listed below. Congratulations! Participants in the competition were required to submit full-length manuscripts of their abstracts; they were reviewed by several members of the Program Committee on their presentation at the meeting and the quality of their manuscript.

Best Basic Science Abstract Presentation: Vikhyat S. Bebarta, MD A Randomized Trial of Intravenous Hydroxocobalamin Compared to Whole Blood for Hemorrhagic Shock Resuscitation in a Prehospital Swine Model

Best Fellow Abstract Presentation: Francesca L. Beaudoin, MD, MS Low-Dose Ketamine Improves Pain Relief in Patients Receiving Intravenous Opioids for Acute Pain in the Emergency Department: Results of a Randomized, Double-Blind Clinical Trial

Best Resident Abstract Presentation: Justin Yan, MD, MSc Ketamine-propofol vs. Propofol Alone For Procedural Sedation In the Emergency Department: A Systematic Review and Meta-analysis

Best Faculty Abstract Presentation:

Best Medical Student Abstract Presentation:

Jill M. Baren, MD, MBE Lorazepam Versus Diazepam For Pediatric Status Epilepticus: Results Of A Randomized Clinical Trial

Sumitro Harjanto, BSc Duration of Resuscitation and Medical Futility in Out-of-Hospital Cardiac Arrest

ACADEM IC ANNOUNCEM ENTS Roger A. Band, MD, has accepted the position of vice

chairman for strategic out-of-hospital initiatives in the Department of Emergency Medicine at the Jefferson Medical College and Thomas Jefferson University Hospital. David F. Gaieski, MD, MBA, has accepted the position of vice chairman of resuscitation services and director of emergency critical care in the Department of Emergency Medicine at the Jefferson Medical College and Thomas Jefferson University Hospital. Brendan G. Carr, MD, MA, MHSP, has accepted the position of associate dean for health care delivery innovation and vice chair for health care policy in the Department of Emergency Medicine at Sidney Kimmel Medical College of Thomas Jefferson University. All were previously at the University of Pennsylvania.

Edward W. Boyer, MD, PhD, professor of emergency

medicine at the University of Massachusetts, has received a Midcareer Investigator Award in Patient-Oriented Research (K24) from NIH—the first K24 ever awarded to an emergency physician. The K24 is reserved for investigators with exceptional track records in obtaining R01-level funding as well as mentoring junior faculty in patient-oriented research. Not only has Dr. Boyer been continuously funded since 2001, but 17 of his mentees have achieved NIH funding of their own. Dr. Boyer’s award will accelerate the pace of his mentoring, since 50% of his time is now dedicated to advancing the careers of junior faculty. In addition, the K24 provides seed money to fund mentees’ own research projects. Fellows-in-training and junior faculty with an interest in developing mHealth interventions in toxicology should contact Dr. Boyer to determine if concordance in research ideas exists.

Lisa Moreno-Walton, MD, MS, MSCR, has been promoted to the rank of professor of clinical emergency medicine at the Louisiana State University Health Sciences Center- New Orleans. She will continue in her roles as director of research and director of diversity. Dr. Moreno is the recipient of the Alpha Omega Alpha Edward D. Harris Professionalism Award. The funds from this award will be used to produce a video education tool teaching culturally competent ED care of LGBT patients. She has also been awarded two grants from Gilead Sciences, Inc. The HIV FOCUS grant in the amount of $353,438 will fund the continuation of fourthgeneration HIV testing in the ED and study the impact on patient testing decisions and linkage to care. An HCV birth cohort testing grant for $88,881 will facilitate routine ED testing and will study the impact on linkage to care and medication adherence. The Department of Emergency Medicine at Oregon Health and Science University announces the following: Patrick Brunett, MD, was promoted to clinical professor; Nicole Deiorio, MD, was promoted to professor; and Craig Newgard, MD, MPH, was promoted to professor.

Kristin L. Rising, MD, the director of acute care transitions for the Department of Emergency Medicine at Thomas Jefferson University Hospital, was awarded the $100,000 PatientCentered Outcome Research Grant from EMF.

Samuel A. McLean, MD, associate professor of

emergency medicine at the University of North Carolina, has received a five-year, $3.7-million-dollar grant, co-funded by five NIH institutes, to perform the first prospective study evaluating the development of chronic pain and related psychological sequelae among adult women that have experienced sexual assault.

F O U N D A T I O N

The SAEM Foundation relies on donations from individuals like you to provide grants that make possible the ongoing development of academic emergency medicine. In times like these when government funding is limited, we can ensure our researchers and educators continue to receive the support they need. DONATE TODAY AT HTTP://WWW.SAEM.ORG/SAEM-FOUNDATION

SAEM IS YOU! Visit the SAEM website to renew your dues, or join us as a new member and see what you’ve been missing!

CALLS AND M EETING ANNOUNCEM ENTS INTERACTIVE CME TRAINING: ABDOMINAL PAIN IN THE OLDER ADULT

SAEM Fellowship Approval Program Deadline: September 1, 2014 (for Geriatric EM and Education Scholarship applications) Fellow Registration Deadline: September 14, 2014 (all programs) In an effort to promote standardization of training for fellows, the SAEM Fellowship Approval Program has been developed for eligible programs to earn the endorsement of SAEM as an approved fellowship in research, geriatrics, and education scholarship. Fellows who complete a program at an SAEMapproved institution also receive recognition for earning the standard qualifications and skills needed. The deadline for institutions to apply to become an SAEMapproved fellowship in geriatric EM and in education scholarship is September 1, 2014. The application fee is $400. Visit the Fellowship Approval Program section of saem.org for more details. Fellow registration deadline for those enrolled at approved programs is September 14, 2014. Fellows must be members of SAEM to register. A list of approved fellowship programs can be found in the SAEM Fellowship Directory. SAEM-approved Research Fellowship Programs Beth Israel Deaconess Medical Center—Harvard University, Boston, MA Emory University, Atlanta, GA Hennepin County Medical Center, Minneapolis, MN Indiana University, Indianapolis, Indiana Medical College of Wisconsin, Milwaukee, WI Northwestern University, Chicago, IL Oregon Health and Science University, Portland, OR Rhode Island Hospital, Providence, RI The Ohio State University, Columbus, OH University of California, Davis, Sacramento, CA University of Cincinnati, Cincinnati, OH University of Michigan, Ann Arbor, MI University of Ottawa, Ottawa, Ontario, Canada University of Pennsylvania, Philadelphia, PA University of Pittsburgh, Pittsburgh, PA University of Rochester, Rochester, NY Vanderbilt University Medical Center, Nashville, TN Washington University, St. Louis, MO Yale University, New Haven, CT

How often do you encounter older patients in the emergency department with abdominal pain? Do you find it difficult to communicate with them? Is treatment challenging? Learn how to interact, diagnose, and treat older adults more effectively through this interactive online training tool titled “Abdominal Pain in the Older Adult” (http://www.saem.org/ education/continuing-education/saem-online-cme) FREE for non-CME participants; or $95 for 6 AMA PRA Category 1 Credits™. This program is brought to you by AGEM (an academy of SAEM) and is funded through the generous support of the Retirement Research Foundation. Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of California, Irvine School of Medicine and the Society for Academic Emergency Medicine. The University of California, Irvine School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. Designation Statement The University of California, Irvine School of Medicine designates this enduring material for a maximum of 6 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. California Assembly Bill 1195 This activity is in compliance with California Assembly Bill 1195, which requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. For specific information regarding Bill 1195 and definitions of cultural and linguistic competency, please visit the CME website at http://www.cme.uci.edu. Disclosure Policy It is the policy of the University of California, Irvine School of Medicine and the University of California CME Consortium to ensure balance, independence, objectivity, and scientific rigor in all CME activities. Full disclosure of conflicts and conflict resolutions will be made prior to the activity.

CALLS AND M EETING ANNOUNCEM ENTS - CONT. Call for Papers 2015 Academic Emergency Medicine Consensus Conference

2. Develop a consensus statement that emphasizes the priorities and opportunities for research in emergency diagnostic imaging that will result in practice changes, and the most effective methodologic approaches to emergency diagnostic imaging research 3. Explore and improve knowledge of specific funding mechanisms available to perform research in emergency diagnostic imaging

Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization The 2015 Academic Emergency Medicine (AEM) consensus conference, Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization, will be held on May 12, 2015, immediately preceding the SAEM Annual Meeting in San Diego, CA. Original papers on this topic, if accepted, will be published together with the conference proceedings in the December 2015 issue of AEM. Diagnostic imaging is integral and beneficial to the practice of emergency medicine. Over the last several decades, emergency department (ED) diagnostic imaging has increased without a commensurate rise in identified pathology or improvement in patient-centered outcomes. Unnecessary imaging results in increased resource use and significant exposure risks. ED diagnostic imaging has become the focus of many stakeholders, including patients and various regulatory agencies. This multidisciplinary consensus conference represents the first coordinated effort to further our evidence-based knowledge of ED diagnostic imaging. This consensus conference will formulate the research priorities for emergency diagnostic imaging, initiate a collaborative dialogue between stakeholders, and align this research agenda with that of federal funding agencies. Consensus Goal: The overall mission of the 2015 AEM consensus conference will be to create a prioritized research agenda in emergency diagnostic imaging for the next decade and beyond. The consensus conference will feature expert keynote speakers, panel discussions including nationally recognized experts, and facilitated breakout group sessions to develop consensus on research agendas by topic. Optimizing diagnostic imaging in the ED is a timely topic that is relevant to all who practice emergency medicine. Furthermore, the conference content spans many other specialties (e.g. radiology, pediatrics, cardiology, surgery, internal medicine), all of which will be invited to participate in the conference to optimize the agenda and for future collaboration in order to improve emergency diagnostic imaging use. Consensus Objectives: 1. Understand the current state of evidence regarding diagnostic imaging utilization in the ED and identify opportunities, limitations, and gaps in knowledge of previous study designs and methodology

Accepted manuscripts will present original, high-quality research in emergency diagnostic imaging in areas such as clinical decision rules, shared decision making, knowledge translation, comparative effectiveness research, and multidisciplinary collaboration. They may include work in clinical/translational, health systems, policy, or basic sciences research. Papers will be considered for publication in the December 2015 issue of AEM if received by April 17, 2015. All submissions will undergo peer review and publication cannot be guaranteed. Contact Jennifer R. Marin, MD, MSc (jennifer.marin@chp.edu) or Angela M. Mills, MD (millsa@uphs.upenn.edu), the 2015 consensus conference co-chairs, for queries. Information and updates will be regularly posted in AEM, the SAEM Newsletter, and the journal and SAEM websites.

Call for Applications: Trainee Travel Awards

The executive committee for the 2015 Academic Emergency Medicine Consensus Conference, â&#x20AC;&#x153;Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization,â&#x20AC;? will be accepting applications for a trainee travel award to attend the consensus conference on May 12, 2015 (the day prior to the SAEM Annual Meeting) in San Diego, CA. Beginning August 1, 2014 through November 1, 2014, med students, residents, and fellows with an interest in emergency department imaging research are encouraged to apply for the award, which will cover the cost of airfare and lodging. The awardees will function as scribes for the breakout sessions during the conference and will participate in the planning process in the months leading up to the conference. In addition, awardees will have the opportunity to collaborate on publications of the conference proceedings. An application can be found at: http://www.saem.org/meetings/ future-dates/2015-aem-consensus-conference For questions regarding the travel award, please contact Jennifer Marin, MD, at jennifer.marin@chp.edu.

EMERGENCY MEDICINE SIMULATION FELLOWSHIP UNIVERSITY OF CALIFORNIA, IRVINE SCHOOL OF MEDICINE University of California, Irvine, Department of Emergency Medicine (EM) is seeking a HS Clinical Instructor- Medical Simulation Fellow for July, 2015. University of California, Irvine Medical Center is a Level I Trauma center with 3,500 runs/year, 48,000 ED census with a nationally recognized three-year residency program since 1989. The UC Irvine Medical Education Simulation Center is a new $40 million, 65,000-square-foot facility that provides telemedicine and simulation-based educational programs and CME courses for thousands of healthcare providers each year. The four-story medical education center includes a full-scale operating room, emergency room, trauma bay, obstetrics suite and critical care unit. The Medical Simulation Fellowship is a one year mentored fellowship that offers advanced training in simulation teaching, curriculum design, educational program implementation, study design, and research for a graduate of an accredited Emergency Medicine residency program. A two-year track is available for those applicants in pursuit of an advanced degree. Salary is commensurate with qualifications and proportion of clinical effort. For more information, visit our website at: http://www.emergencymed.uci.edu/Education/simulation.asp Submit CV and statement of interest at: https://recruit.ap.uci.edu/apply/JPF02317

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer committed to excellence through diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

Exciting Academic Emergency Medicine Opportunities FACULTY

The Baylor College of Medicine, a top medical school, is looking for stellar candidates to join us to work in the worldâ&#x20AC;&#x2122;s largest medical center. We are recruiting experienced Emergency Medicine BC/BE Clinician Educators and Clinician Researchers at all academic ranks who will be an integral part of building the future of Emergency Medicine at BCM. We offer a highly competitive academic salary and benefits. The program is based out of Ben Taub General Hospital, a busy Level 1 trauma center in the heart of Houston that sees more than 100,000 emergency visits per year. BCM is affiliated with eight world class hospitals and clinics in the renowned Texas Medical Center. These affiliations, along with the medical schoolâ&#x20AC;&#x2122;s preeminence in research, help to create one of the strongest emergency medicine programs/experiences in the country.

FELLOWSHIP DIRECTOR

The program has also established an EM Research Fellowship that is now in search of a director. As a relatively new program, the director will have the opportunity to build and grow the existing research fellowship within the context of the existing extremely active and well-funded multihospital research program. The successful candidate will have a track record of publication and grant experience, as well as the ability to mentor our extremely research competitive fellows. Those interested in a position or further information may contact the Division Chief via email hoxhaj@bcm.edu or by phone at 713- 873-2626.

VICE CHAIR, ACADEMIC AFFAIRS

DEPARTMENT OF EMERGENCY MEDICINE

The Department of Emergency Medicine at Greenville Health System (GHS) seeks outstanding candidates for the position of Vice Chair, Academic Affairs. The Vice Chair will be responsible for all academic and research programs for faculty, residents and students within the department, including the development of a planned Emergency Medicine Residency Program. GHS is the largest healthcare provider in South Carolina and provides the most extensive emergency services in the Upstate region. Greenville Memorial Hospital (GMH) serves as the primary academic and educational site for the department and is the largest and busiest hospital in South Carolina. GMH has an annualized ED volume of approximately 105,000 and serves as a Level I trauma and tertiary referral center. It is currently the home to 14 residency and fellowship training programs and the new University of South Carolina School of Medicine Greenville.

Applicants for this position must have an exceptional background in scholarship, teaching and research and must be board-certified in Emergency Medicine. Candidates must have outstanding leadership, interpersonal and management skills, including the innovation and creativity required to develop and expand all aspects of the academic enterprise. Appointment level and rank at the University of South Carolina School of Medicine will be commensurate with experience and qualifications. Greenville is a beautiful place to live and work and enjoys a diverse and thriving economy, excellent quality of life, and wonderful cultural and educational opportunities.

Qualified candidates should submit a letter of interest and curriculum vitae to: Kendra Hall, Sr. Physician Recruiter, kbhall@ghs.org, ph: 800-772-6987. GHS does not offer sponsorship at this time. EOE

Department of Emergency Medicine Penn Medicine is comprised of three hospital emergency departments and observation units (Hospital of the University of Pennsylvania-HUP; Penn-Presbyterian Medical Center-PPMC; and Pennsylvania Hospital-PAH) with a combined annual emergency department census of 145,000 visits. Each site has a unique, diverse, highly acute patient population consisting of local and referral patients. Penn Medicine is a world class academic institution with superb clinical facilities and programs, the number two ranked medical school in the nation, and a rich and collegial research environment. The Department of Emergency Medicine has a 4 year, highly successful, academically oriented residency program with 44 residents, multiple fellowships including one of only six NIH funded K12 clinical research fellowships and several nationally acclaimed research programs housed within its Center for Resuscitation Science and the Center for Emergency Care Policy Research. There are over 90 faculty across the three sites and there are close academic affiliations and programmatic alliances with the Childrenâ&#x20AC;&#x2122;s Hospital of Philadelphia and the Philadelphia Veterans Affairs Medical Center. Faculty positions will be structured across multiple sites according to skills, interest and clinical availability. Faculty candidates who have strong academic and leadership potential combined with a strong desire to be part of an outstanding, highly motivated and highly productive group of colleagues are urged to apply. We seek candidates who embrace and reflect diversity in the broadest sense. The University of Pennsylvania is an equal opportunity, affirmative action employer.

Assistant, Associate & Full Professor Positions in Emergency Medicine Perelman School of Medicine at the University of Pennsylvania The Department of Emergency Medicine at the Perelman School of Medicine at the University of Pennsylvania seeks candidates for several positions at the Assistant, Associate, or Full Professor levels in either the non-tenure clinician-educator track, the non-tenure academic-clinician track, or the tenure track. While evidence of scholarship is required in the clinician-educator and tenure tracks, research is not required in the academic clinician track. Track and rank will be commensurate with experience. The successful applicant will have experience in the field of Emergency Medicine. Board-eligible or board certified in emergency medicine. Of particular interest are candidates with demonstrated clinical or academic interest and/or additional fellowship or post-residency research methodology training or desire to focus in the following areas: critical care, clinical research (particularly clinical trials), medical education, resuscitation, and rural-urban medicine partnerships. An exclusive nocturnal reduced clinical schedule is available for any of these positions. Academic Clinician track applicants are not required to do research. APPly ONlINE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d3623 Clinician-Educator track applicants will be expected to show evidence of scholarship and may perform collaborative research. APPly ONlINE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d3622 Tenure track applicants will be expected to establish and maintain independent, extramurally funded research. APPly ONlINE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d3624

Assistant, Associate & Full Professor Positions in Hyperbaric Medicine, Emergency Medicine Perelman School of Medicine at the University of Pennsylvania The Department of Emergency Medicine at the Perelman School of Medicine at the University of Pennsylvania seeks candidates for an Assistant, Associate, and/or Full Professor position in either the non-tenure clinician-educator track or the non-tenure academic-clinician track. While evidence of scholarship is required in the clinician-educator and tenure tracks, research is not required in the academic clinician track. Track and rank will be commensurate with experience. The successful applicant will have experience in the field of Hyperbaric Medicine. Responsibilities include provision of clinical care to patients requiring hyperbaric oxygen therapy and/or emergency department patients at one of the three emergency department sites within UPHS; teaching and mentoring of hyperbaric medicine fellows, emergency medicine residents, medical students; conduct of research commensurate with interest; administrative and operational duties commensurate with interest and experience to be considered. Applicants must have an M.D or M.D./Ph.D. degree and have demonstrated excellent qualifications in education, research, and clinical care. Board-eligible or board certified in Hyperbaric Medicine. The Hyperbaric Division is one of the most comprehensive programs in the nation. Penn has been a leader in advancing hyperbaric therapy and research for the past 45 years and has had an outstanding ACGME training program for the past 8 years. The Division is composed of 3 board certified Emergency Medicine/Hyperbaric Medicine faculty, a business administrator, 1 program manager, 13 support staff and trains 1-3 fellows a year. The Hyperbaric program is a multi-place chamber capable of treating 7-8 patients simultaneously and is a 24/7 operation treating both elective and emergency patients. The clinical team has the knowledge and expertise to treat a full spectrum of emergency and chronic conditions. The chamber cares for 250-300 patients a year for total treatment hours of 9,000-10,000. Clinician-Educator track applicants will be expected to show evidence of scholarship and may perform collaborative research. APPly ONlINE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d3626 Academic Clinician track applicants are not required to do research. APPly ONlINE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d3625

Faculty Opportunities Residency Program Director The program director is responsible for the day-to-day administration of the program as well as the development of a vision for the future. Our curriculum focuses on providing a full range of topics and experiences crucial to the development of emergency medicine physicians, as well as cutting edge simulation experiences in our state-of-the art simulation center.

Pediatric-EM Physician A brand new state of the art Children’s Hospital opened 18 months ago which includes an 18-bed PICU and an 18-bed IMC unit as well as an Oncology unit and a general Pediatric unit. We are currently in the process of an ED Redesign Expansion Project which will include a new pediatric emergency department.

Vice Chair of Research This individual will be expected to lead and direct the department’s research enterprise; have an established record of extramural funding and successful scholarly pursuit; strong teaching skills; and experience in a multidisciplinary academic health system. The main focus of this position will be to provide strategic vision, mentorship for faculty and residents in study design, implementation, and preparation for presentation/publication.

EMS Medical Director EMS medical direction is a multidimensional activity that includes the direction and oversight of administrative, operational, educational, and clinical actions related to patient care activities. The medical director is an integral leader in an EMS agency and will serve as the interface between the agency and the medical community. Send cover letter and CV to: Susan B. Promes, MD, Professor and Chair, Dept. of Emergency Medicine, Mail #: H043, Penn State Hershey Medical Center, Box 850, Hershey PA 17033, (717) 531-8955; spromes@hmc.psu.edu Visit Us on the Web: www.pennstatehershey.org/emergency The Penn State Hershey Medical Center is committed to affirmative action, equal opportunity and the diversity of its workforce. Equal Opportunity Employer – Minorities/Women/Protected Veterans/Disabled

RESEARCH DIRECTOR Department of Emergency Medicine University of California, Irvine School of Medicine The University of California, Irvine is recruiting for a full-time faculty member to serve as Research Director, in the Clinical Scholar (Clinical X) Series at the Associate or full Professor level. Candidates for the Clinical Scholar Series will have demonstrated an independent research program, and regionally or nationally recognized track record in scholarly activity. Successful candidate will be tasked with faculty development to foster grant pursuit and funding, and mentorship of junior faculty and residents. PhD methodologist/statistician already on department faculty. Board certification in EM required. Fellowship or advanced degree, or both, strongly desired. Appropriate rank and salary commensurate with qualifications. UC Irvine Medical Center is a 472-bed tertiary care hospital with all residencies. The ED is a progressive 37-bed Level I Trauma Center with 48,000 patients, in urban Orange County. Collegial relationships with all services. Excellent salary and benefits with incentive plan. Send CV to Erik Barton, MD, MS, MBA, FACEP, FAAEM, UC Irvine Medical Center, Route 128-01, 101 The City Drive, Orange, CA 92868, or at edbarton@uci.edu. To apply please log onto UC Irvine’s RECRUIT located at https://recruit.ap.uci.edu/apply/JPF02381 The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer committed to excellence through diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

Exciting Academic Emergency Medicine Opportunities FACULTY

The Baylor College of Medicine, a top medical school, is looking for stellar candidates to join us to work in the world’s largest medical center. We are recruiting experienced Emergency Medicine BC/BE Clinician Educators and Clinician Researchers at all academic ranks who will be an integral part of building the future of Emergency Medicine at BCM. We offer a highly competitive academic salary and benefits. The program is based out of Ben Taub General Hospital, a busy Level 1 trauma center in the heart of Houston that sees more than 100,000 emergency visits per year. BCM is affiliated with eight world class hospitals and clinics in the renowned Texas Medical Center. These affiliations, along with the medical school’s preeminence in research, help to create one of the strongest emergency medicine programs/experiences in the country.

FELLOWSHIP DIRECTOR

UNIVERSITY of MISSOURI UNIVERSITY of MISSOURI Emergency Physicians Emergency Physicians Department Department of of Emergency Emergency Medicine Medicine The University of Missouri-Columbia (MU) School of Medicine is seeking board-certified/prepared emergency medicine and pediatric emergency University of Missouri-Columbia (MU) Schoolshould of Medicine is seeking board-certified/prepared emergency medicine physicians for its growing emergency The medicine department. Pediatric candidates be either emergency medicine or pediatric residency trained, The University of Missouri-Columbia (MU) ofemergency Medicine ismedicine seeking board-certified/prepared emergency medicine and pediatric emergency physicians for its School growing department. Pediatric candidates should be with completion of a pediatric emergency medicine fellowship. We are an energetic and talented faculty creatingPediatric a patient-centered environment of and pediatric emergency physicians for its growing emergency medicine department. candidates should be either emergency medicine or pediatric residency trained, with completion of a pediatric emergency medicine fellowship. excellence. We are committed to innovation, collaboration, teamwork, valuing thewith individual, andofhonoring the dignity the human spirit. either medicine or pediatric residency completion a pediatric emergency medicine fellowship. We areemergency anquality, energetic and talented faculty creating atrained, patient-centered environment of excellence. Weof are committed to We are an energetic and talented faculty creating a patient-centered environment of excellence. We are committed to UNIVERSITY of MISSOURI

We are an energetic and talented faculty creating a patient-centered environment of excellence. Wehuman are committed to quality, collaboration, teamwork, valuing the individual, and honoring and the dignity the spirit. Faculty track (tenure or non-tenure) innovation, and academic rank will be commensurate with candidate’s experience careerofgoals. These physicians will innovation, quality, collaboration, teamwork, valuing the individual, and honoring the dignity of the human spirit. practice at MU’s University Hospital, a designated Level I trauma center with more than 40,000 ED visits annually, and MU Women’s and Children’s Faculty track (tenure or non-tenure) and academic rank will be commensurate with candidate’s experience and career Hospital, which has approximately 15,000 visits annually. FacultyED track (tenure or will non-tenure) and academic rankHospital, will be commensurate with candidate’s experience andthan career goals. These physicians practice at MU’s University a designated Level I trauma center with more goals. These physicians will practice at MU’s University Hospital, a designated Level I trauma center with more than

40,000 ED visits MU Women’s and Children’s Hospital, which hasengineering, approximatelynursing 15,000 and ED visits MU is one of the few institutions in the country withannually, collegesand of medicine, veterinary medicine, agriculture, health professions 40,000 ED visitsUltrasound annually, and MU Women’s and Children’s Hospital, which has approximately 15,000 ED visits Director of Emergency Medicine annually. on one campus. The School of Medicine’s more than 650 faculty physicians and scientists educate more than 1,000 medical students, residents, fellows annually.

and other students seeking advancedMU degrees. is one of the few institutions in the country with colleges of medicine, veterinary medicine, agriculture,

cy Medicine Department at the University of Missouri-Columbia of Medicine is seeking an campus. MU is one(MU) of nursing theSchool few institutions in the country with collegesThe of medicine, engineering, professions on one School of veterinary Medicine’smedicine, more thanagriculture, 650 faculty physicians With our burgeoning having its first year ofand EMhealth residents in Pediatric 2014, we are thrilled be contributing to thisthan legacy. Learn physicians more online at: ltrasound Director. Candidates must be department board certified/prepared innursing Emergency Medicine or engineering, health on one campus. The to School of Medicine’s 650 faculty and scientists educateand more thanprofessions 1,000 medical students, residents, fellows and other more students seeking advanced medicine.missouri.edu/emergency. and scientists educate more than 1,000 medical students, residents, fellows and other students seeking advanced Medicine and fellowship-trained in Emergency Ultrasound. We are an energetic and talented faculty creating degrees. tered environment of Columbia excellence.area We offers are committed to degrees. innovation, quality, collaboration, teamwork, valuing The exceptional outdoor recreation, excellent schools, quality music and cultural events, as well as the excitement and energy of With our burgeoning having its first l, and honoring the dignity of the human a SEC University town, spirit. all conveniently located between department St. Louis and Kansas City.year of EM residents in 2014, we are thrilled to be contributing to With our burgeoning department having its first year of EM residents in 2014, we are thrilled to be contributing to this legacy. Learn more online at: medicine.missouri.edu/emergency.

legacy. Learn three more online at: medicine.missouri.edu/emergency. Candidates should send current CV this which includes listedexperience references to:career (tenure or non-tenure) and academic rank awill be commensurate with candidate’s and

The Columbia offers exceptional outdoor recreation, excellent schools, quality music and cultural events, as well as physicians will practice at MU’s University Hospital, a designated Levelarea I trauma center with more than A. Borenstein, MD, FACEP Professor and Chair The excitement ColumbiaMarc area outdoor recreation, excellent schools, music and cultural events, as well as the andoffers energyexceptional of a SECED University town, all conveniently locatedquality between St. Louis and Kansas City. its annually, and MU Women’s and Children’s Hospital, which has approximately 14,000 visits annually. Department of Emergency Medicine University of Missouri - Columbia, School of Medicine the excitement and energy of a SEC University town, all conveniently located between St. Louis and Kansas City.

the excitement and energy of a SEC University town, all conveniently located between St. Louis and Kansas City. Candidates should send a Columbia, current CV which includes three listed references to: 1 Hospital Drive, DC029.10 MO 65212 the few institutions in the country with colleges of medicine, veterinary medicine, agriculture, engineering, Candidates should send a current CV which includes three listed references to:

Phone: (573) 882-3496 •more Email: borensteinm@missouri.edu • Apply online: hrs.missouri.edu/find-a-job/academic health professions on one campus. The School of Medicine’s than 650 faculty physicians and scientists Marc A. Borenstein, MD, FACEP e than 1,000 medical students, residents, fellows and other students seeking advanced degrees.Marc A. Borenstein, MD, FACEP Professor and Chair The University of Missouri-Columbia is an Equal Opportunity/Affirmative Action employer and complies with the guidelines of the Professor and Chair Department of Emergency Medicine Americans with Disabilities Act of 1990. The department welcomes applications from underrepresented physician groups.

Department EmergencySchool Medicine geoning department having its first year of EM residents in 2014, we are thrilled to beUniversity contributing to thisof- Columbia, of Missouri of Medicine more online at: medicine.missouri.edu/emergency/ University of Missouri Columbia, School of Medicine 1 Hospital Drive 1 Hospital Drive Suite M562, DC029.10

M562,MO DC029.10 a area offers exceptional outdoor recreation, excellent schools, quality music and cultural events, as Suite well as Columbia, 65212 nt and energy of a SEC University town, all conveniently located between St. Louis and Kansas City. Columbia, MO 65212

Candidates should send a current CV which includes three listed references to:

Phone: (573) 882-3496 Phone: (573) 882-3496

WASHINGTON, DC -The Department of Emergency Medicine of the George Washington University is seeking physicians for our academic practice. WASHINGTON, DC -The Department of Emergency Medicine of the George Physicians are employed Medical Faculty Associates, a University-affiliated, Washington University is by seeking physicians for our academic practice. not-for-profit physicianFaculty group, Associates, and receive aregular faculty Physicians are multispecialty employed by Medical University-affiliated, appointmentsmultispecialty at the University. The Department for the not-for-profit physician group, andprovides receive staffing regular faculty Emergency Units George Washington University Hospital, the Walter appointments at theofUniversity. The Department provides staffing for theReed National Military Medical and theUniversity DC Veterans' Administration Medical Emergency Units of GeorgeCenter Washington Hospital, the Walter Reed Center. The Department a four-year ten FellowshipsMedical and a National Military Medicalsponsors Center and the DC Residency, Veterans' Administration variety The of student programs. Center. Department sponsors a four-year Residency, ten Fellowships and a

Disaster Medicine Fellowship

Disaster Medicine Fellowship University of California Irvine, Department of Emergency Medicine Disaster Medicine Fellowship is seeking applicants for the fellowship in Disaster Medical Sciences

for July 1, 2015. UCI Medical CenterDisaster is a Level IMedicine Trauma center Fellowship University of California Department Medicine with 3500 runs/year and a 48,000Irvine, ED census. Fellows serveof as Emergency HS University of California Irvine, Department of Emergency Medicine Clinical Instructors. The program combines the disciplines of is seeking applicants forIrvine, the fellowship in of Disaster Medical Sciences University of California Department Emergency Medicine emergency management/disaster medicine and public health with July 2015. UCI Center isDisaster a casualty Level I TraumaSciences center is seeking applicants isfor for the1,emphasis fellowship in including Disaster Medical Sciences seeking applicants forMedical the fellowship in Medical traditional on systems research mass with 3500 runs/year and a 48,000 EDisCouncil census. Fellows as HS management triage. Completion American July 1, and 2015. UCI Medical a Level I Traumaserve center for July 1, 2015. UCIfor Medical Center isof aCenter Level I ofTrauma center Graduate Medical Education (ACGME) accredited Emergency Clinical Instructors. The program combines the disciplines of with 3500 runs/year and a 48,000 ED census. Fellows serve as HS Medicine Residency required prior to start. The two-year combined variety of student programs. emergency management/disaster medicine and public health with 3500 runs/year and a with 48,000 ED census. Fellows serve HS We are seeking physicians who will participate in our clinical with and educational Clinical Instructors. The program combines disciplines of as program, an integrated Masters of Public Health, willthe be jointly programs and contribute to the Department's research and consulting portfolio. traditional emphasis on systems research including mass casualty administered by Director, Emergency Medical Servicesand and Disaster emergency management/disaster medicine public health with We are seeking physicians who will participate in our clinical Clinical and educationalInstructors. The program combines the disciplines of Medicine. Salary commensurate with level of clinical work. Rank and salary are commensurate with experience. management and triage. Completion ofincluding American Council of traditional emphasis on systems research mass casualty programs and contribute to the Department's research and consulting portfolio. management and triage. ofofAmerican Council Graduate Medical Education (ACGME) accredited Emergency emergency management/disaster and public health Submit CV, statement ofmedicine interestCompletion and three letters recommendation at: of with Rank and salary are commensurate with experience. Basic Qualifications: Physicians should be residency-trained in Emergency Graduate Medical Education (ACGME) accredited Emergency Medicine Residency required prior to start. The two-year combined https://recruit.ap.uci.edu/apply/JPF02315 Medicine. emphasis on systems including casualty Basic Qualifications: Physicians should be residency-trained traditional in Emergency Medicine Residency required Masters prior to start. Themass two-year combined program, anresearch integrated of Public Health, The Universitywith of California, Irvine is an Equal Opportunity/Affirmative Action will be jointly Medicine. program, with by anto Director, integrated Masters ofAllPublic Health, will and be Employer committed excellence through diversity. qualifiedCouncil applicants administered Medical Services Disaster Application Procedure: Complete the online faculty application at management and triage. Completion ofEmergency American ofjointly will receive consideration for employment without regard to race,Services administered by Director, Emergency Medical and Disaster http://www.gwu.jobs/postings/22131 and upload a CV and cover letter. Review Medicine. Salary commensurate with level ofcolor, clinical work. religion, sex, national origin, disability, age, protected veteran status, or Application Procedure: Complete faculty at filled. OnlyMedical Education Graduate (ACGME) accredited Emergency Medicine. Salary commensurate with level of clinical work. of applications will be ongoing, andthe willonline continue untilapplication positions are other protected categories covered by the UC nondiscrimination policy. http://www.gwu.jobs/postings/22131 and upload CV andShesser, cover letter. Review complete applications will be considered. Contacta Robert MD, Chair, Submit CV, statement of interest and three letters of recommendation Medicine prior to start. The two-year combinedat: of applications be ongoing, and will continue positions are filled. Department of will Emergency Medicine, directly withuntil any questions about the OnlyResidency required Submit CV, statement of interest and three letters of recommendation at: complete applications will be considered. Contact Robert Shesser, MD, Chair, https://recruit.ap.uci.edu/apply/JPF02315 position at: rshesser@mfa.gwu.edu. program, with an integrated Masters of Public Health, will be jointly https://recruit.ap.uci.edu/apply/JPF02315 Department of Emergency Medicine, directly with any questions about the

The University of California,Medical Irvine is an Equal Opportunity/Affirmative Action administered by Director, Emergency Services and Disaster The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer committed to excellence through diversity. All qualified applicants Employer committed to excellence through diversity. All qualified applicants Medicine. Salary commensurate withforlevel of clinical work. will receive consideration employment without regard to race, color, will receive consideration for employment without regard to race, color,

position at: rshesser@mfa.gwu.edu. The university is an Equal Employment Opportunity/Affirmative Action employer that does not unlawfully discriminate in any of its programs or activities on the The university is an Equal Employment Opportunity/Affirmative basis of race, color, religion, sex, national origin, age, disability,Action veteranemployer status, that does not unlawfully discriminate any of itsor programs or activities sexual orientation, gender identity or in expression, on any other basis on the basis of race, religion, prohibited bycolor, applicable law.sex, national origin, age, disability, veteran status, sexual orientation, gender identity or expression, or on any other basis prohibited by applicable http://smhs.gwu.edu/emed/ law. http://smhs.gwu.edu/emed/

religion, sex, sex,national nationalorigin, origin,disability, disability, age, protected veteran status, religion, age, protected veteran status, or or other protected protectedcategories categoriescovered coveredbyby the nondiscrimination policy. other the UCUC nondiscrimination policy.

Submit CV, statement of interest and three letters of recommendation at: https://recruit.ap.uci.edu/apply/JPF02315

The University of California, Irvine is an Equal Opportunity/Affirmative Action excellence throughSchool diversity. All qualified applicants MassachusettsEmployer Generalcommitted Hospital to // Harvard Medical Massachusetts General Hospital Harvard Medical School will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, or The Massachusetts General Hospital (MGH) Department of Emergency Medicine is recruiting candidates for its otherDepartment protected categories covered by theisUC nondiscrimination policy. The Massachusetts General Hospital (MGH) of Emergency Medicine recruiting candidates for its fellowships in Emergency Medicine. The goal of the fellowships is to provide EM residency graduates with a

fellowships in Emergency Medicine. of theforfellowships to provide EM residency graduates with a formal opportunity to develop those The skillsgoal required a successfuliscareer in academic medicine. At the completion formal opportunity those required a successful careerindependent in academicwork medicine. the completion of the fellowship,toit develop is expected thatskills graduates will for be prepared to conduct in their At chosen field. Fellows will be given academic appointments at Harvard Medical School. of the fellowship, it is expected that graduates will be prepared to conduct independent work in their chosen field. Fellows will be given academic appointments at Harvard Medical School. Fellowships offered include: Clinical Research, Emergency Medicine Network Research, Emergency Ultrasound, Global Health, Medical Simulation, Neurologic Emergencies, Vascular Emergencies, and Wilderness Medicine.

Fellowships offered include: Clinical Research, Emergency Medicine Network Research, Emergency Ultrasound, Global Medical Simulation, Neurologic Vascular Emergencies, Medicine. TheHealth, MGH Department of Emergency MedicineEmergencies, supports teaching and research in all of and theseWilderness fellowship areas. To

obtain more specific information including deadlines and requirements, please visit http://www.massgeneral.org/ In addition, thesupports MGH Department Emergency is home to the areas. To Theemergencymedicine/education. MGH Department of Emergency Medicine teaching ofand researchMedicine in all of these fellowship Emergency Medicine Network, including a consortium of emergency departments please which focuses on public health research, obtain more specific information deadlines and requirements, visit http://www.massgeneral.org/ with a particular emphasis on pulmonary/allergic diseases (www.emnet-usa.org). emergencymedicine/education. In addition, the MGH Department of Emergency Medicine is home to the

Emergency Medicine Network, a consortium of emergency departments which focuses on public health research, Clinical experience will be provided at a 100,000 annual visit level I trauma center with a PGY1-4 EM residency. withCandidates a particularmust emphasis on pulmonary/allergic diseases have completed residency training in EM (www.emnet-usa.org). and be eligible for board certification by ABEM. Interested candidates should submit a letter of interest and CV to: Shawn Paulding, phone: (617) 726-7622; email:

Clinical experience will be provided at a 100,000 annual visit level I trauma center with a PGY1-4 EM residency. spaulding1@partners.org. Candidates must have completed residency training in EM and be eligible for board certification by ABEM. For additional information, the SAEM fellowship website at: www.saem.org. MGH is an equalInterested candidates shouldplease submitvisit a letter of interest and CV to: Shawn Paulding, phone: (617) 726-7622; email: opportunity/affirmative action employer. spaulding1@partners.org. For additional information, please visit the SAEM fellowship website at: www.saem.org. MGH is an equalopportunity/affirmative action employer.

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

EM FACULTY DEVELOPMENT / EDUCATION FELLOWSHIP EM FACULTYOFDCEVELOPMENT / EDUCATION FELLOWSHIP ALIFORNIA, IRVINE UNIVERSITY SCHOOL OF MEDICINE University of California, Irvine, Department of Emergency Medicine is seeking a HS Clinical NIVERSITY OF ALIFORNIA RVINE CHOOL OF EDICINE UInstructor- FacultyCDevelopment and , I Education S Fellow for July, M 2015.(EM) University of California, Irvine

University California, Irvine, IDepartment of Emergency Medicine (EM)48,000 is seeking HS Clinical MedicalofCenter is a Level Trauma center with 3500 runs/year, EDacensus with a nationally InstructorFaculty Development and Education July,Fellowship 2015. University of California,could Irvineinclude recognized three-year residency programFellow since for 1989. concentrations residency and student education. two-year fellowship requires completion of a Masters Medical Center is amedical Level I Trauma center with 3500This runs/year, 48,000 ED census with a nationally degree inthree-year Education, Translational or Public Health. One-year could fellowship recognized residency programScience since 1989. Fellowship concentrations includeis available for those with a Master degree or starting one during the fellowship. Completion of an ACGME accredited EM residency and medical student education. This two-year fellowship requires completion of a Masters Residency required. Salary is commensurate with qualifications and proportion of clinical effort. degree in Education, Translational Science orat:Public Health. One-year fellowship is available for those Submit CV and statement of interest https://recruit.ap.uci.edu/apply/JPF02316 with a Master degree or starting one during the fellowship. Completion of an ACGME accredited EM Residency required. Salary is commensurate with qualifications and proportion of clinical effort. See the Department of Emergency Medicine’s website available at Submit CV and statement of interest at: https://recruit.ap.uci.edu/apply/JPF02316 http://www.emergencymed.uci.edu/Education/faculty_development.asp for more details.

The University of California, Irvine is an Equal Opportunity/Affirmative Action

See the Department of Emergency Medicine’s website available at Employer committed to excellence through diversity. All qualified applicants http://www.emergencymed.uci.edu/Education/faculty_development.asp for more details.

will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, or other The Universitycategories of California, Irvine isbyanthe Equal Action protected covered UCOpportunity/Affirmative nondiscrimination policy.

Employer committed to excellence through diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

The Department of Emergency Medicine at East Carolina University Brody School of Medicine seeks BC/BP emergency physicians and pediatric emergency physicians for tenure or clinical track positions at the rank of assistant professor or above, depending on qualifications. We are expanding our faculty to increase our cadre of clinician-educators and further develop programs in pediatric EM, ultrasound, and clinical research. Our current faculty members possess diverse interests and expertise leading to extensive state and national-level involvement. The emergency medicine residency is well-established and includes 12 EM and 2 EM/IM residents per year. We treat more than 120,000 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 stroke center. Our tertiary care catchment area includes more than 1.5 million people in eastern North Carolina, many of whom arrive via our integrated mobile critical care and air medical service. Our new children’s ED opened in July 2012, and a new children’s hospital opened in June 2013. Greenville, NC is a fast-growing university community located near beautiful North Carolina beaches. Cultural and recreational opportunities are abundant. Compensation is competitive and commensurate with qualifications; excellent fringe benefits are provided. Successful applicants will 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

SEEKING PROGRAM DIRECTOR FOR BRAND NEW EM RESIDENCY PROGRAM IN SOUTH FLORIDA About the Opportunity: The Department of Emergency Medicine at Aventura Hospital and Medical Center, in collaboration with the University of South Florida Morsani College of Medicine, is establishing a new allopathic Emergency Medicine Residency program, with an estimated start date of July 2015. Details: We are currently seeking a Residency Program Director, eager to build a program from the ground up. Candidates must be EM residency trained, Board Certified by ABEM, and have at least three years experience as a core faculty member in an ACGME-accredited EM program. The successful candidate will have a national reputation as a leader in academic medicine in the areas of medical education, clinical care and research (relevant within the last five years). About the Site: Aventura Hospital is a fully accredited 407-bed acute care facility, providing award-winning inpatient and outpatient diagnostic, medical, surgical and cancer services. The new North Patient Tower features 243 private rooms with private baths, the newest technologically advanced patient care equipment, a 28-bed ED treating over 70K annually, 2 new ICU units, a Surgical Services Suite with 10 new oversized operating rooms, a new Main Entrance and much more. The Community: Ideally located in luxurious South Florida, Aventura Hospital is home to a community rich with diversity and world-class infused culture. Two of South Florida’s major airports and two of the largest and most popular seaports in the world are within easy reach. The prime location - nestled between Miami and Ft. Lauderdale - means you’ll be surrounded by the very best South Florida has to offer! From trendy nightlife and extravagant shopping to superb dining, cultural abundance, and unlimited professional sporting events... you will find it all here.

Contact Ody Pierre-Louis at 727-507-3621 or Ody_Pierre-Louis@EmCare.com for more details.

THE GEORGE WASHINGTON UNIVERSITY THE GEORGE WASHINGTON UNIVERSITY DEPARTMENT OF EMERGENCY DEPARTMENT OF EMERGENCY MEDICINE FELLOWSHIP PROGRAMS MEDICINE FELLOWSHIP PROGRAMS WASHINGTON, DC-The Department of Medicine at the at the WASHINGTON, DC-The Department ofEmergency Emergency Medicine George Washington Universityisisoffering offering Fellowship positions beginning George Washington University Fellowship positions beginning in July 2015: in July 2015: Emergency Management

International Emergency Medicine

ED Operations & Leadership Medical Toxicology Emergency Management International Emergency Medicine Emergency Ultrasonography Operations Research ED Operations & Leadership Medical Toxicology Health Policy Extreme Environmental Emergency Ultrasonography Operations Research Telemedicine/Digital Health Medical Education Health Policy Extreme Environmental Fellows receive anHealth academic appointment at George Washington Telemedicine/Digital Medical Education University School of Medicine and work clinically at a site staffed by the Department. The Department offers Fellows a common interdisciplinary Fellows curriculum, receive anfocusing academic appointment at George Washington on research methodologies and grant writing. Tuition support an MPH orand equivalent is alsoatprovided. University School of for Medicine work degree clinically a site staffed

by the Department. The Department offers Fellows a common interdisciplinary Complete descriptions of all programs, application instructions and curriculum, focusing on contacts research and grant writing. Fellowship Director canmethodologies be found at Tuition support for an MPH or equivalent degree is also provided. http://smhs.gwu.edu/emed/education-training/fellowships Complete descriptions of all programs, application instructions and Fellowship Director contacts can be found at

http://smhs.gwu.edu/emed/education-training/fellowships

Mid-Level Tenure Track Faculty Positi

Mid-LevelMid-Level Tenure Tenure TrackTrack Faculty Position Position Resear Clinical and Faculty Translational Clinical and Translational Research Clinical and Translational Research Cardiovascular Medici Cardiovascular Medicine Cardiovascular Medicine

The Department of Emergency Wayne State University is seeking applicants for a tenure mid-level The Department of EmergencyMedicine Medicine atatWayne State University is seeking applicants for a mid-level track tenure faculty track facu position in clinical andand translational Weareare looking for innovative and industrious to join and our dynamic a position in clinical translational research. research. We looking for innovative and industrious individualsindividuals to join our dynamic mergency Medicine at Wayne State University isrecord seeking applicants for a mid-level tenure track faculty collaborative research team.Individuals Individuals with of established fundedfunded researchresearch that is translational in nature andin focused collaborative research team. witha atrack track record of established that is translational nature and focu translational research. We are or looking for innovative and industrious individuals to join syndrome, our dynamic and on cardiac arrest,stroke, stroke, or cardiovascular cardiovascular medicine (hypertension, acute coronarycoronary syndrome, ishemic/non-ischemic on cardiac arrest, medicine (hypertension, acute ishemic/non-ischem cardiomyopathy, cerebrovascular disease) are to apply. Applicants a solid of nature research and withresearch afocused bench to eam.cardiomyopathy, Individuals with acerebrovascular track record ofdisease) established funded research that iswith translational in andand areencouraged encouraged to apply. Applicants withhistory a solid history of with a bench bedside component, those who have implemented and disseminated clinical trial protocols, and particularly those with a track record troke, orof component, cardiovascular medicine (hypertension, acute coronary syndrome, ishemic/non-ischemic bedside those who have implemented and disseminated clinical trial protocols, and particularly those with a track rec federally funded research will be given highest priority. of federally funded research will be given highest priority. erebrovascular disease) are encouraged to apply. Applicants with a solid history of research with a bench to

The emphasis is to apply discoveries generatedclinical through research in the laboratory in pre-clinical studies to the development of ose who have implemented and disseminated trial protocols, and and particularly those with a track record trials and studies in humans. Anticipated rank for the selected applicantinwill belaboratory at the Associate Professor level in studies the Department of The emphasis is to apply discoveries generated through research the and in pre-clinical to the developmen earch will Emergency be given Medicine. highest priority. Compensation and benefits are highly competitive. Protected time and research support are commensurate

trials and studies in humans. Anticipated rank for the selected applicant will be at the Associate Professor level in the Departmen with such projections. Highly qualified candidates may be eligible for appointment to an endowed professorship. Adjunct Emergency Medicine. Compensation and benefits arefor highly competitive.and Protected time and research support are commensur appointments to the Departments of Physiology or Center Molecular Genetics are available qualified applicants. ly discoveries generated through research in the laboratory and Medicine in pre-clinical studies to theto development of with such projections. Highly qualified candidates may be eligible for appointment to an endowed professorship. Adju mans.appointments Anticipated rank forshould the selected applicant will be interest, at Molecular the Associate Professor level inbrief the Department of applican the Departments of Physiology Medicine and Genetics available qualified Interestedtoapplicants electronically submitora Center letter offor along with a curriculum vitae and are statementtoregarding

Compensation and interests, benefitsas are highly competitive. Protected time and research support are commensurate their research a single PDF, to: Brianappointment J.ofO’Neil, MD along Highly qualified candidates may be to anwith endowed professorship. Adjunct Interested applicants should electronicallyeligible submit afor letter interest, a curriculum vitae and brief statement regard Munuswamy Dayanandahn Endowed Chair their research interests, or as Center a single for PDF, to: partments of Physiology Molecular Medicine and Genetics are available to qualified applicants. Wayne State University School of Medicine, Department of Emergency Medicine Brian J.MIO’Neil, MD 4201 St. Antoine, UHC-6G, Detroit, 48201; boneil@med.wayne.edu Dayanandahn Endowed Chair is Munuswamy an equal opportunity/affirmative action vitae employer. letter ofWSU interest, along with a curriculum and brief

hould electronically submit a statement regarding Wayne State University School of Medicine, Department of Emergency Medicine as a single PDF, to: 4201 St. Antoine, UHC-6G, Detroit, MI 48201; boneil@med.wayne.edu BrianWSU J. O’Neil, MD is an equal opportunity/affirmative action employer. Munuswamy Dayanandahn Endowed Chair 27 Wayne State University School of Medicine, Department of Emergency Medicine

The Department of Emergency Medicine at the University of Alabama School of Medicine is seeking talented residency trained Emergency Medicine physicians at all academic ranks to join our faculty. The University offers both tenure and non tenure earning positions. Post-Doctoral Scholar Post-Doctoral Scholar The University California, Irvine School Medicine's Center Trauma and Injury The University ofof California, Irvine School ofof Medicine's Center forfor Trauma and Injury Prevention Research (CTIPR) is committed to the reduction associated personal and societal Prevention Research (CTIPR) is committed to the reduction ofof associated personal and societal burden traumatic injury through conducting multidisciplinary research, translating research burden ofof traumatic injury through conducting multidisciplinary research, translating research into policy and practice, serving a regional and national resource, and working close into policy and practice, serving asas a regional and national resource, and working inin close partnership with communities.The The Center based Department Emergency Medicine partnership with communities. Center is is based inin thethe Department ofof Emergency Medicine and has strong working relationship with Trauma Surgery and the Trauma Registry. Recent and has strong working relationship with Trauma Surgery and the Trauma Registry. Recent projects include many aspects of injury prevention, alcohol screening and brief intervention, projects include many aspects of injury prevention, alcohol screening and brief intervention, substance abuse and mental health emergencies. The Center staff includes a very experienced substance abuse and mental health emergencies. The Center staff includes a very experienced epidemiologist and statistician with emphasis injury prevention. epidemiologist and statistician with anan emphasis onon injury prevention. The Post-Doctoral Fellow will carry research close collaboration with mentors and The Post-Doctoral Fellow will carry outout research inin close collaboration with mentors and colleagues Department Emergency Medicine, Program Public Health, and School colleagues inin thethe Department ofof Emergency Medicine, Program inin Public Health, and School ofof Social Ecology.The The fellow will analyze data from current research projects and existing traffic Social Ecology. fellow will analyze data from current research projects and existing traffic injury data sets, develop skills independent researcher, apply grants and develop new injury data sets, develop skills asas anan independent researcher, apply forfor grants and develop new projects. projects. Minimum qualifications: Minimum qualifications: Required Ph.D. equivalent doctoral degree epidemiology, public health, safety research, Required Ph.D. oror equivalent doctoral degree inin epidemiology, public health, oror safety research, with a focus injury, alcohol, mental health research. with a focus onon injury, alcohol, oror mental health research. Other considerations: Other considerations: 1. Strong analytic skills and outstanding individual initiative. 1. Strong analytic skills and outstanding individual initiative. 2. Strong skills in data management and analysis, including experience using standard statistical packages. 2. Strong skills in data management and analysis, including experience using standard statistical packages. 3. Excellent scientific writing and spoken English skills. 3. Excellent scientific writing and spoken English skills. 4. Preference is given to applicants whose training and research interests align with the CTIPR. 4. Preference is given to applicants whose training and research interests align with the CTIPR. Anticipated salary range: Anticipated salary range: http://www.som.uci.edu/academic-affairs/docs/postdoc.pdf http://www.som.uci.edu/academic-affairs/docs/postdoc.pdf Applications are accepted until the position is filled. Applications are accepted until the position is filled. Submit letter of interest, resume, research interests, and a list of three references at: Submit letter of interest, resume, research interests, and a list of three references at: https://recruit.ap.uci.edu/apply/JPF02314 https://recruit.ap.uci.edu/apply/JPF02314 The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer committed to excellence The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer committed to excellence through diversity. All qualified applicants will receive consideration for employment without regard to race, color, through diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, or other protected categories covered by the religion, sex, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy. UC nondiscrimination policy.

The University of Alabama Hospital is a 903-bed teaching hospital, with a state of the art emergency department that occupies an area the size of a football field. The Department treats over 75,000 patients annually and houses Alabama’s only designated Level I trauma center. The Department’s dynamic, challenging emergency medicine residency training program is the only one of its kind in the State of Alabama. The University of Alabama at Birmingham (UAB) is a major research center with over $440 million in NIH and other extramural funding. The Department of Emergency Medicine hosts a nationally-recognized research program and is a site for the NIHfunded Resuscitation Outcomes Consortium (ROC). The Department has been highly successful in developing extramural research support in this warmly collaborative institution. Birmingham Alabama is a vibrant, diverse, beautiful city located in the foothills of the Appalachian Mountains. The metropolitan area is home to over one million people, who enjoy recreational activities year round because of its mild southern Climate. Birmingham combines big city amenities with Southern charm and hospitality. A highly competitive salary is offered. Applicants must be EM board eligible or certified. UAB is an Equal Opportunity/Affirmative Action Employer committed to fostering a diverse, equitable and family-friendly environment in which all faculty and staff can excel and achieve work/life balance irrespective of ethnicity, gender, faith, and sexual orientation. UAB also encourages applications from individuals with disabilities and veterans A pre-employment background investigation is performed on candidates selected for employment. In addition, physicians and other clinical faculty candidates, who will be employed by the University of Alabama Health Services Foundation (UAHSF) or other UAB Medicine entities, must successfully complete a pre-employment drug and nicotine screen to be hired. Please send your curriculum vitae to: Janyce Sanford, M.D., Associate Professor & Chair of Emergency Medicine, University of Alabama at Birmingham; Department of Emergency Medicine; 619 South 19th Street; OHB 251; Birmingham, AL 35249-7013

Innovation - does being a part of a “think-outside-the-box team” poised to change the way emergency medicine will be provided in the future excite you? Impact - do you want to shape the future of healthcare? If so, come join our team. The Department of Emergency Medicine (EM) at The Sidney Kimmel Medical College at Thomas Jefferson University in Philadelphia, PA has made significant additions to its faculty aimed at revolutionizing the way emergency care will be taught to our students, residents and faculty and provided to populations of patients. A new and innovative focus on telemedicine, population health, access to care, patient flow, clinical research, and patient outcomes is under way. We are seeking candidates interested in being a part of a department that will revolutionize acute care. The department seeks candidates for the following positions: Assistant Medical Director: The position will be responsible for assisting the Vice Chair for Clinical Operations of the Emergency Department at Thomas Jefferson University Hospital (TJUH) in all aspects of clinical care. Qualified candidates will be board certified in Emergency Medicine Candidates should have prior experience in clinical operations. Faculty, Clinician Educator Track: The Department of EM at Thomas Jefferson University Hospitals provides faculty and resident coverage at two emergency departments – TJUH (center city campus), a 700-bed academic quaternary-care, Level 1 trauma center that treats 60,000 emergency patients annually, and the Methodist Hospital Division of TJUH, a 200-bed community hospital that treats 43,000 emergency patients annually. Faculty will be responsible for patient care and bedside teaching of students and residents and will have the opportunity to develop their academic focus. Additional information on the department can be found at: http://www.jefferson.edu/university/jmc/departments/emergency_medicine.html

The Sidney Kimmel Medical College at Thomas Jefferson University values a diverse and inclusive community as it allows us to achieve our missions in patient care, education, and research and best allows us to serve the healthcare needs of the public. SKMC is an Equal Opportunity and an Affirmative Action Employer and strongly encourages applications from women, those underrepresented in medicine, and Lesbian, Gay, Bisexual and Transgender (LGBT). Academic appointment and salary will be commensurate with experience. Candidates are invited to send their curriculum vitae to: Bernard L. Lopez, MD, MS Vice Chair, Department of Emergency Medicine Thomas Jefferson University Hospitals 215-955-6844 Bernard.lopez@jefferson.edu

BRIGHAM AND WOMEN'S HOSPITAL/BRIGHAM AND WOMEN’S FAULKNER HOSPITAL HARVARD MEDICAL SCHOOL ASSOCIATE CHIEF OF EMERGENCY MEDICINE

Emergency Medicine Faculty Position

Emergency Medicine Emergency Faculty Medicine Position Faculty Position University Physician Associates, the physician group practice for the

The Departments of Emergency Medicine at Brigham and Women’s Hospital (BWH) and Brigham and Women’s Faulkner Hospital (BWFH) are seeking an Associate Chief of Emergency Medicine at BWFH. Leadership responsibilities include direct involvement in the day to day operations of the department and multi-disciplinary inter-service collaboration with Nursing

University of Missouri-Kansas City School of Medicine, is recruiting for Services and other departments within the BWFH; assisting in the recruitment, faculty at the Assistant or Associate Professor level the ity Physician University Associates, Physician theProfessor physician Associates, group the practice physician foringroup the practice for the development, and overseeing the medical staff in the BWFH Emergency Department; assisting with peer review and conducting quality improvement Department of Emergency Medicine at Truman Medical Center-Hospital ity of Missouri-Kansas University City Missouri-Kansas of Medicine, City School is recruiting of Medicine, for is recruiting for activities; implementing goals for patient safety, quality of care, and clinical Hill. Candidatesof must beSchool board-certified/board-eligible emergency operations; making appropriate recommendations to BWFH Chief of Emergency at the Assistant faculty Professor at Assistant orcandidates Associate Professor or Associate level in the Professor physicians. Allthe qualified willProfessor be considered, but preference will level in the Medicine. Administrative responsibilities include participating on hospital be given to candidates with Ultrasound or Toxicology expertise. The Center-Hospital administrative and clinical care committees. Teaching responsibilities involve the ment of Emergency Department Medicine of Emergency atEMS, Truman Medicine Medical atCenter-Hospital Truman Medical teaching of medical students and residents. department supports one of the nation’s oldest fully accredited three-year ndidates must Hill.be Candidates board-certified/board-eligible must be board-certified/board-eligible emergency residency programs, with 11 residents per year. Truman Medical Center is a emergency position of Associate Chief of Emergency Medicine at BWFH includes an level I trauma center and thebe ED has an annual volume of 67,000 patients ans. All qualified physicians. candidates All qualified will candidates considered, will butbe preference considered, willinbut preferenceThe will academic appointment at Harvard Medical School at an academic rank of Instructor a modern, state-of-the-art facility with 48 beds. or Assistant n to candidates be given withto EMS, candidates Ultrasound withorEMS, Toxicology Ultrasound expertise. or Toxicology The expertise. The Professor commensurate with experience, training and achievements, unparalleled opportunities for professional development, and a competitive salary

ment supports department one the supports oldest of the fully nation’s accredited oldest three-year fully accredited three-year with an outstanding comprehensive benefit package. Kansas City of offers annation’s attractiveone lifestyle with low cost of living and affordable housing, renowned suburbs top-ranked and cy programs, residency with 11 programs, residents per with year. 11 with residents Truman Medical perschools, year.Center Truman is aMedical Center is a candidate will be board certified in emergency medicine by the The successful numerous outdoor Interested candidates e-mail a letter ofof American rauma center level and I trauma the EDactivities. center has an and annual thevolume ED has an ofshould 67,000 annual patients volume in 67,000 patients inBoard of Emergency Medicine, and a track record of leadership in emergency medicine with demonstrated abilities and accomplishment in interest and CV in confidence to: administration and management, a firm commitment to maintaining and further rn, state-of-the-art a modern, facility state-of-the-art with 48 beds. facility with 48 beds.

developing the department’s strong clinical programs, and an emphasis on strategic,

Matthew Gratton, MD innovative, and collaborative leadership. Professor and Chair City offers an Kansas attractive City offers lifestyle an attractive with low cost lifestyle of living with and low cost of living and Interested candidates should send a letter and Curriculum Vitae to Ron M. Walls, Department of Emergency Medicine ble housing,affordable renownedhousing, suburbsrenowned withHolmes top-ranked suburbsschools, with top-ranked and schools, and MD, Professor and Chair, Department of Emergency Medicine, Brigham and 2301 Street Women’s Hospital. Please apply by confidential email to mdeloge@partners.org by Kansas City, Missouri 64108 us outdoornumerous activities. outdoor Interested activities. candidates Interested should candidates e-mail a letter should of e-mail a letter of 30, 2014. September matthew.gratton@tmcmed.org

and CV in confidence interest andto: CV in confidence to:

EOE – M/F/D/V Matthew Gratton, Matthew MD Gratton, MD Professor and Chair Professor and Chair Department of Emergency Department Medicine of Emergency Medicine 2301 Holmes Street 2301 Holmes Street Kansas City, Missouri Kansas 64108 City, Missouri 64108 matthew.gratton@tmcmed.org matthew.gratton@tmcmed.org

EOE – M/F/D/V

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

EOE – M/F/D/V

Department of Emergency Medicine – Faculty

NEW MEXICO: The University of New Mexico Health Sciences Center is the tertiary care center for the state and the only Level 1 Trauma Center in New Mexico. The Department of Emergency Medicine, with 45 full-time and part-time attending physicians, is home to an outstanding EM residency, EMS Academy and Center for Disaster Medicine. The University is located in the beautiful mountain west with a diverse culture and outstanding recreational opportunities. The Department of Emergency Medicine is currently seeking a full-time Emergency Medicine faculty member. Successful applicants may have a fellowship in ultrasound or have an interest in fellowship training, to move into a leadership role in the department. Opportunities for either the clinician educator or tenure track, with rank and salary commensurate with experience in clinical or administrative leadership. Clinical responsibilities include direct patient care and supervision in the Emergency Department at the University of New Mexico Hospital and at our community emergency department, Sandoval Regional Medical Center. Academic opportunities include participation in the teaching, administrative and research activities of the department. Leadership development opportunities exist in clinical operations and education. Minimum requirements: Board certified or Board eligible in Emergency Medicine with 3 to 5 years of directly related experience which may include residency in a directly related medical specialty. Also, must have a State of New Mexico Medical Board License and Federal DEA Certification at time of hire. Preference will be given to candidates with strong clinical skills in emergency care, experience in teaching, strong interest and experience in clinical or administrative leadership, and those with fellowship training including Ultrasound. The position will remain open until filled. Please contact Cameron Crandall, MD, Vice Chair, Department of Emergency Medicine at ccrandall@salud.unm.edu with any questions. For additional information, please contact Amy Jameson at (505) 272-5150; ALJameson@salud.unm.edu. For best consideration, please apply by November 1, 2014. For complete details of this position and to apply, access Faculty Postings at: https://unmjobs.unm.edu/ Reference Posting #0825885 EEO/AA/Minorities/Females/Vets/Disabled/and other protected classes

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SAEM Leadership Forum May 14-15, 2013 SAEM Annual Meeting2015 Topics: May 14-18 SAEM Annual Meeting “Leadership” The Westin Peachtree Plaza, Atlanta, MayGA 12-15 “Developing and Sustaining a Vision” Sheraton Hotel and Marina, San Diego, CA “Strategic Planning” AEM Consensus Conference “Building a Team” May 15, 2013 “Conflict Resolution” 2016 Topic: “Global Health and Emergency Care: “How to Run a Meeting” SAEM Annual Meeting A Research Agenda” “ED Operations Overview” MayMPH 10-14 Co-Chairs: Stephan Hargarten, MD, Management” Hotel, New Orleans, LA Mark Hauswald, MD Sheraton New Orleans“Change “Negotiating for Your Dept./Faculty” Jon Mark Hirshon, MD, MPH “Overview of Dept. Finances” Ian B.K. Martin, MD 2017 “Communication Skills” SAEM Annual Meeting May 16-20 Hyatt Regency Orlando, Orlando, FL 2014 2015 SAEM Annual Meeting May 14-17 Sheraton Hotel, Dallas, TX

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