September-October 2003

S A E M

NEWSLETTER

Newsletter of the Society for Academic Emergency Medicine

PRESIDENT’S MESSAGE

901 North Washington Ave. Lansing, MI 48906-5137 (517) 485-5484 saem@saem.org www.saem.org

September/October 2003 Volume XV, Number 5

Call for Abstract Reviewers

Disagreement, Discussion and SAEM One of the key characteristics of SAEM over the years – beginning with the University Association for Emergency Medicine (UA/EM) and the Society of Teachers of Emergency Medicine (STEM), the two SAEMDonald M. Yealy, MD founding organizations – is the open embrace of discourse. At the scientific papers, during didactic sessions, in planned debates, and in print, SAEM and its predecessors grew stronger from disagreement and discussion. Mature SAEM members (‘old timers’) may recall the STEM “Silver Tongue Award” given after planned debates for the best presenter of one side of an issue, or the “Mackenzie Award” offered by UA/EM and SAEM for the most probing questioner, the ‘seeker of truth’ at the Annual Meeting scientific sessions. Although those awards no longer exist, this embrace of discourse and healthy debate continues today, and I welcome it.

Recently, the SAEM Board of Directors released a position statement on the use of fibrinolytics in stroke, published in Academic Emergency Medicine in May, 2003. Since its release, many SAEM members – as individuals and as a part of the Neurologic Emergencies Interest Group – have voiced disagreement with this position. Rather than recant the position and the responses, which are or will be available in Academic Emergency Medicine and on the SAEM web site, I’d like to focus on the overriding principle that makes our organization strong and vibrant – open, intellectual discourse.

The stroke statement was offered by the SAEM Board after review of the current literature and positions, and it was intended to reflect the Board’s view of the current knowledge. Our desire was to recognize the current strengths and limits of the knowledge, and encourage more research on the topic to improve the scientific and practical (especially implementation) knowledge. The Board recognizes that its collective opinion does not necessarily imply ‘truth’ for all or reflect each member’s view – simply put, it reflects the Board view.

Some of our members disagree with the position, including many involved in this specific topic as part of their professional career. The Board and I want this discussion, and (continued on next page)

The Program Committee is currently accepting applications to serve as expert reviewers of scientific abstracts submitted for consideration of presentation at the 2004 Annual Meeting, which will be held May 16-19 in Orlando. The minimum requirement for new abstract reviewers is at least 2 first author peer-reviewed manuscripts in the topic area for which you are applying. Residents are invited to apply but must meet the same criteria. If you have been an abstract reviewer in the past 5 years, you do not need to reapply.

Individuals must submit an abbreviated CV that includes current academic position and area(s) of expertise from the abstract topics listed below. For each area of expertise, provide a list of peer-reviewed original research publications, review articles, textbook chapters, and prior scientific abstract presentations. Priority will be given to individuals with demonstrated expertise based on demonstrated research productivity.

Applications must be received by October 1, 2003 and must be submitted electronically to saem@saem.org Applications must include an abbreviated CV (full CVs will not be considered) and the area(s) of expertise selected from the list below: abdominal/gastrointestinal/genitourinary administration/health care policy ● airway/analgesia ● cardiopulmonary resuscitation ● cardiovascular (non-CPR) ● clinical decision guidelines ● computer technologies ● diagnostic technologies/radiology ● disease/injury prevention ● education/professional development ● EMS/out-of-hospital ● ethics ● geriatrics ● infectious disease ● ischemia/reperfusion ● neurology ● obstetrics/gynecology ● pediatrics ● psychiatry/social issues ● research design/methodology/statistics ● respiratory/ENT ● shock/critical care ● toxicology/environmental injury ● trauma ● wounds/burns/orthopedics ● ●

(continued on next page)

President’s Message (Continued) want it in the venues that can help create more and better knowledge eventually. Electronic mail, list-serv discussion, calls, letters and group position statements or responses have all been exchanged, reflecting the new and old tools available to embrace the open discourse principle. Like at our meeting in Boston, I hope for more sessions and original research to be presented at the next and following Annual Meetings.

Together, and with an eye toward the future, this process, while being seemingly conflict oriented at times, will help everyone – our members (including the Board), our learners and teachers, and our investigators.

Disagreement isn’t a ‘bad thing’; the response to disagreement makes the ‘good or bad thing’. I see this as an opportunity for good. I encourage each member to read the positions and

responses, think, and offer feedback or join the efforts. I hope that together we will find a way to improve funding for our stroke researchers. Finally, I thank those who have disagreed – it reflects your zeal, expertise and commitment to our Society and the care of acutely ill patients. SAEM’s mission is to improve the latter through the scientific process, and this is a part of that process.

Call for Abstract Reviewers (Continued) The Program Committee will select approximately six reviewers for each of the topic areas, including expert reviewers and members of the Program Committee. Individuals selected to

review submitted abstracts will be expected to review up to 100 abstracts, must adhere to the SAEM abstract scoring system, and must submit their abstract scores by the deadline. The

deadline for authors to submit abstracts is January 6, 2004. Abstracts will be sent for review by January 8 and it is expected that abstract scores will be due by January 20.

Medical Student Interest Group Grants Deadline: September 4, 2003 SAEM recognizes the valuable role of Emergency Medicine Medical Student Interest Groups to the specialty and has established grants of up to $500 each to help support these groups' educational activities. Established or developing clubs, located at medical schools with or without Emergency Medicine residencies are eligible to apply. The deadline for this year's grant is September 4, 2003. Applications can be obtained from the SAEM web site at: http://www.saem.org/awards/emiginfo.htm.

Information on the grants approved for funding the 2002-2003 can be viewed at http://www.saem.org/awards/pastgrnt.htm.

In addition, this issue of the SAEM Newsletter includes an article from the University of Pittsburgh describing their use of their grant funds. Additional information on previous recipients of the Medical Student Interest Group Grants is also available on the SAEM web site.

Call for Papers The AEM Editorial Board announces the AEM Consensus Conference 2004: Using Information Technology to Improve ED Patient Care The use of information technology (IT) in the ED is bound to increase.

Information technology has the potential to quickly provide data that can be used to study essential topics related to the practice of emergency medicine. The questions that could be answered with good ED IT are nearly endless, and include how to reduce medical errors, assure quality and equal ED care, document and monitor ED overcrowding, identify emerging infectious diseases or bioterrorism, and mend the unraveling safety net.

However, there are currently no standards for ED IT. There is no definition of essential components of an adequate information system, of universal minimum requirements for data collection, of common language to allow

information exchange. Unless the emergency medicine academic community has input into these issues, we will lose the chance to design and implement this powerful clinical tool in the way best suited to our needs.

The 2004 AEM Consensus Conference will be held May 15, 2004 as a pre-day session before the 2004 SAEM Annual Meeting in Orlando, Florida. The conference will address the issues of developing ED IT standards for design, implementation, data recording, information exchange and IT research; developing an ED IT research agenda; determining how systems issues and clinical practice patterns need to be considered in developing good ED IT; and determining how ED clinical IT can impact ED 2

residency training.

We issue this Call for Papers related to the 2004 AEM Consensus Conference on “Using IT to Improve ED Patient Care.” Original contributions describing relevant research or concepts in this topic area will be considered for publication in the Special Topics issue of AEM, November 2004, if received

by April 1, 2004. All submissions will be peer reviewed by guest editors with expertise in this area. If you have questions, please contact Michelle Biros at biros001@umn.edu. Watch the SAEM newsletter and the AEM and SAEM websites for more information about the Consensus Conference.

Emergency Medicine Activities at the AAMC Annual Meeting The Association of Academic Chairs of Emergency Medicine (AACEM) and the Society for Academic Emergency Medicine (SAEM) have developed a number of excellent educational sessions to be held during the AAMC Annual Meeting in Washington, DC in November. All emergency physicians are invited to attend the sessions at no charge. However, pre-registration is required for the lunch session.

Members interested in attending must register electronically by sending an email to saem@saem.org The emergency medicine sessions will be held on Saturday, November 8 at the Washington Hilton in the Conservatory Room. The schedule is as follows: AACEM and SAEM have cosponsored a panel entitled, “The Role of Academic Medical Centers Serving the Public’s Health: Emerging Threats and Opportunities.” The panel will be held at 8:00-10:00 am and the speakers will include: Christina Beato, MD, Deputy Assistant Secretary of Health, Department of Health and Human Services; Georges Benjamin, Executive Director, American Public Health Association; and William Petasnik, MD,

Chair and President, Council of Teaching Hospitals.

Dr. Richard Carmona, Surgeon General of the United States, has also been invited (and is expected) to participate in the panel session. This session will explore the role of the Emergency Department in the interplay between governmental agencies and health care systems in the areas of bio-terrorism, defense surveillance and access to emergency care.

Governmental leaders will participate in a panel with academic emergency physicians and public health experts, in an effort to share perspectives and concerns about how the emergency departments of academic health centers will play an important role in the bio-defense needs of the country while continuing to address concerns about access and public health.

AACEM will sponsor a second session entitled, “Emergency Medicine and It’s Role in Public Health, Emerging Infections and Bioterrorism.” This session, building on the discussion of the first session, will be held at 10:30-11:30 am. The speaker is Georges Benjamin, the Executive Director of the American Public Health Association. Dr. Benjamin is an Emergency Physician and former

Director of the Health Department of Maryland. He will discuss the role of emergency medicine and its emerging partnership and leadership with public health in such critical areas as surveillance and preparedness.

AACEM will sponsor a lunch session in the Grant Room from 11:30 am until 1:00 pm entitled, “NIIH Grant Opportunities and Process.” The speaker will be Don Schneider, PhD, Director, Division of Molecular and Cellular Mechanisms, Center for Scientific Review, National Institutes of Health.

AACEM and SAEM members are invited to learn more about the NIH process and organization so that researchers can enhance their probability of success.

While there is no charge to attend the AACEM and SAEM sessions, there is a registration fee to attend the AAMC Annual Meeting, which will be held November 7-12. The theme of the AAMC Annual Meeting will be “Our Quest for Access and Quality." The registration fee before September 15 is $375 and $425 after September 15.

Information regarding registration can be found at www.aamc.org.

ABEM Call for Nominations As a sponsoring organization of the American Board of Emergency Medicine (ABEM), SAEM will develop a slate of nominees to submit to the ABEM Nominating Committee for consideration of seats that will be filled by election by the ABEM Board at its winter 2004 Board meeting. SAEM members wishing to be considered for the SAEM slate of nominees are invited to send a nomination to SAEM at saem@saem.org. Nominations should include a current copy of the nominee’s curriculum vita, as well as a cover letter outlining the nominee’s qualifications. The deadline is October 1, 2003.

The SAEM Board of Directors will review all nominations and submit a slate of nominees to ABEM by December 1, 2003.

Successful candidates are expected to be members of SAEM with considerable experience in SAEM and academic EM, as well as experience in ABEM. The SAEM Board does not nominate current members of the SAEM Board for consideration. In addition, ABEM has established the following criteria for nominated physicians: ● ● ● ●

Be a graduate of an ACGME-accredited EM residency program.

Be an ABEM diplomate for a minimum of ten years.

Have demonstrated extensive active involvement in organized EM. Ideally, this includes long-term experience as an ABEM item writer, oral examiner, or ABEM-appointed representative.

Be actively involved in the clinical practice of EM.

Physicians selected for the SAEM slate of nominees will be notified in October or November and will be required to submit the official ABEM nomination form, curriculum vita, and letter noting their willingness to serve if elected. It is important to note that all organizations and individuals are invited to participate in the ABEM nomination process and further information can be obtained through the ABEM web site at www.abem.org. This Call for Nominations is published for the express purpose of developing the official SAEM slate of nominees.

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Medical Student Interest Group Grant Report Kendra Papson University of Pittsburgh Throughout the year, the Emergency Medicine Student Association (EMSA) was able to host three case presentations. The cases included appendicitis in a gravid patient, meningitis in a teenage patient, and orthopedic injuries with a focus on peripheral nerves. Each presentation lasted approximately one hour and handouts were created for each. Unfortunately, we were not able to create a functioning website, so photocopied articles and relevant websites were provided; students were encouraged to e-mail a specially designated group of physicians if they had further questions. There were between 20 and 30 first and second year students at each presentation. At the last case presentation, we asked the students to complete a survey to evaluate their experiences and to help our organization decide if we should continue providing the case presentations. The questions for the survey were generated by reviewing our goals for the case presentation series.

Responses from the survey were overwhelmingly favorable.

All 16 respondents indicated that the case presentations enhanced their educational experience, and all would recommend continuing the case presentation series.

All respondents felt that the faculty were approachable and answered questions adequately, and 13 (81%) respondents felt very comfortable participating in the discussions. Fifteen respondents (94%) felt that the case presentations illustrated clinical correlates of basic science concepts; however, only 8 (50%) respondents felt that the presentations strongly complemented the information they were currently learning. This could be attributed to the fact that the audience was a mix of first and second year medical students, and it was difficult to bridge both curriculums. Six (38%) respondents felt that the handouts were very helpful while the remainder felt that they were somewhat helpful. In the upcoming year, a different approach to designing handouts may be utilized and perhaps some students will find the handouts more useful for future reference. Finally, 13 (81%) respondents felt that they gained insight into emergency medicine as a career choice. This was important to EMSA, and as a whole, we felt that the attendance at these case presentations allowed us to promote other activities and events sponsored by EMSA. In addition to the three case presentations, we were also able to host a

fourth meeting between students interested in emergency medicine and fourth year students who matched into emergency medicine residency programs.

This allowed upcoming students to gain insight into the residency application process and residency programs in emergency medicine. Overall, this was a huge successes and provided extremely useful information, especially to rising third and fourth year students.

With respect to our budget, the total amount spent was $359.31. Our copying fees were much lower than anticipated because the University of Pittsburgh School of Medicine’s Department of Emergency Medicine provided the majority of handouts free of charge.

In conclusion, the case presentations were a valuable tool to bridge the basic sciences and clinical medicine while introducing emergency medicine as a possible career choice. Feedback from students and physicians was overwhelmingly positive. We hope to continue the case presentations during the upcoming academic year, and thank you for your support during this past year.

Academic Emergency Medicine Elective Available on the Home page Carey Chisholm, MD Indiana University SAEM Board of Directors Last year the Graduate Medical Education Committee was tasked with creating a compendium of resources that could be used by program directors to develop an experience for residents who have decided to pursue an academic career, or who may be considering such a pathway. This document can be found at www.saem.org.

This resource provides material for program directors to use in creating an educational experience designed to increase the understanding of the skill sets necessary for a successful academic career. Much of the information included in this educational resource is considered to be critical for any resident entering an academic career.

The overall goals of the curriculum are: 1. Develop an appreciation of the elements of an academic emergency

medicine career 2. Learn the basic skills necessary for an academic emergency medicine career 3. Develop a personal strategy for academic development 4. Develop life-long learning strategies The document provides lists of literature, texts, web resources and formal courses that can be used to teach the components of the course. Also included are possible implementation strategies that maximize flexibility for the program director challenged with incorporating more information into an already stretched curriculum.

Some topic areas include computer skills, teaching skills, research project development, academic writing skills, professional development, personal 4

development and life-long learning strategies. Other practical components include resources to assist the resident in evaluating an academic job opening and how to develop and maintain a promotion file.

Two SAEM resources, the Faculty Development Handbook and the Academic Career Guide, serve as key resources for many of the topics. Both can be accessed through the SAEM home page.

The development of this elective was undertaken by members of the GME Committee of SAEM, spearheaded by Linda Spillane. Other contributors included Steven A. McLaughlin, Steven H. Bowman, J.A. Tyndall, Mark Fourre, Michael Burg, Michael Beeson, Wendie Williams and Carey Chisholm.

2003 Annual Meeting Report Ellen Weber, MD University of California, San Francisco 2003 Annual Meeting Program Committee Chair Sunday, May 31 in Boston was chilly and rainy. After a yummy (and free) luncheon, attended by about 100 of our members, I sat in on the marvelous EBM workshop held at Tufts, while my colleague Cathy Custalow attended an equally excellent workshop on simulators. It was the afternoon of the last day of the Annual Meeting, and about 75 of you were still going strong. I would like to tell you that afterwards I got on a plane for a week's rest in Hawaii, but in fact, I came home to attend an ACLS instructor course at 8 the next morning.

Just to summarize the events of the meeting. In slightly under four days, we presented 76 hours of didactics, 143 oral research presentations, 308 posters, and 24 Innovations in Emergency Medicine Education Exhibits. There were many exceptional speakers and I would like to especially note three inspirational speakers: Judah Folkman, Dan Federman and Roger Lewis. Two exceptional evening

research symposia were held and we heard the results of the NINDS stroke study re-analysis.

We selected research award winners and the photo contest winners, who were listed in the July/August issue.

In recent weeks, I’ve received your evaluations of the meeting. Thank you for both the kind words and the excellent critiques. In particular, thank you for the many, many excellent suggestions for future meetings which I now turn over to Judd Hollander and his soon-to-be hard-working Program Committee. This year we asked the question “What was the most meaningful aspect of the Annual Meeting for you?” and you will probably not be surprised that our members get many different things out of the meeting. Many answers fell into categories of: networking and interacting with colleagues; exposure to new research; didactics on education and statistics; inspirational speeches. Some liked meeting people in interest groups;

grant writing sessions; the teaching track; poster sessions; photos. I agree with those who wrote along the lines of “Some superb, well-done research was presented” and another who wrote “Diversity-interactions-exposureexchange – I feel it helps my professional growth to come.”

You can see that it’s a challenge to put on a meeting that attempts to meet so many different interests. I hope in the past three years that the Annual Meeting has met your own expectations and that you will continue to let Program Committee members know what is important to you. My thanks to all of you for your support and to my hard-working subcommittee chairs and members who have generated wonderful new ideas and made them happen. It has been a great thrill, honor and privilege to serve the Society in the capacity of Program Chair and I look forward to working with all of you again in the future.

Southeastern Regional Meeting Report Dave Caro, MD Orange Park Medical Center Chair, 2002 Southeastern SAEM Regional Meeting Andy Godwin, MD Shands Jacksonville Co-Chair, 2002 Southeastern SAEM Regional Meeting This year’s Southeastern SAEM conference was held April 11-13 at the Sea Turtle Inn in Jacksonville Beach, Florida.

The meeting had over 100 participants, with over 75 oral and poster presentations. The quality of the research was phenomenal. Research award winners included: ● Richard Summers, MD, University of Mississippi, who received the "Best Overall Research Presentation" for his oral presentation, "Ischemia Modified Albumin is Useful in Risk Stratification of ED Chest Pain Patients"; ● Tom Savadove, MS-2, Tulane University, who received the "Best Student Presentation" for his oral presentation, "OneStep ABAcard p30 Test for the Identification of Semen in Sexual Assault Victims"; ● Anil Goklaney, EM-2, Washington University, St. Louis, who received the "Best Resident Presentation" for his oral presentation, "Pharmacokinetic Effects of Co-

Ingested Diphenhydramine or Oxycodone on Simulated Acetaminophen Overdose" ● Doug Kleiner, PhD, University of Florida-Jacksonville, who received the "Best Poster Presentation" for his, "Bacterial Contamination Rates of Antimicrobial Impregnated Disposable Stethoscope Diaphragms in an Urban ED Setting" ● David Manthey, MD, Wake Forest University, received the "Best Oral Presentation" for his "Oral Versus Intravenous Phenytoin Loading".

This year’s participants included Emory University, Louisiana State University – New Orleans, Louisiana State University – Shreveport, Duke University, University of Florida, University of South Carolina – Columbia, University of Louisville, East Carolina University, Wake Forest University, University of South Florida, and University of Texas – Southwestern.

Didactic sessions at the conference 5

included “How to Run a Code”, led by Bill Bozeman, MD, David Manthey, MD, and Sheryl Heron, MD, as well as “Advanced Laceration Repair” by Parker Hays, MD. The keynote address given

by John Marx, MD, former SAEM president, and current Carolinas Medical Center EM Chair. The lecture was entitled “Touring Academic Emergency Medicine.” Other educational sessions included an EM Residency Director panel that fielded questions from medical students interested in EM, followed by dinner and roundtable discussions between the students and EM program directors, associate directors, and clerkship coordinators. All meeting participants were able to enjoy the sunshine on Jacksonville beach after Saturdays didactic sessions were complete!

Next year’s conference will be held in North Carolina, jointly sponsored by UNC-Chapel Hill and Duke. We look forward to seeing everyone there!

Academic Announcements SAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of interest to the SAEM membership. Submissions should be sent to saem@saem.org by October 5 to be included in the November/December issue.

Theodore C. Bania, MD, MS, Department of Emergency Medicine at St. Luke’s-Roosevelt Hospital Center, has been elected chair of the New York State SAEM Regional Meeting Program Committee. Dr. Bania will coordinate the development of the 2004 New York Regional Meeting.

Janice Blanchard, MD, Assistant Professor of Emergency Medicine at George Washington University has received a $365,000 four-year grant from the Robert Wood Johnson Minority Faculty Development Program. Dr. Blanchard will study how local and federal safety net funding impact access to care.

David Burbulys has been named the Director of the Emergency Medicine Residency Program at Harbor-UCLA Medical Center.

Jack Butler, MD, and Roberto Ochoa, MD, have been named assistant residency directors of the Emergency Medicine Residency Program at Texas Tech University Health Sciences Center.

David C. Cone, MD, has received a joint appointment as Associate Professor of Public Health in the Division of Environmental Health Sciences at Yale University.

Herbert Garrison, MD, has been named as the physician/epidemiologist for the regional bioterrorism surveillance team for 26 counties in eastern North Carolina.

Dr. Garrison is also a Professor of Emergency Medicine and the Vice Chair for Academic Affairs of the Department of Emergency Medicine at the University of North Carolina.

Chris A. Ghaemmaghami, MD, Assistant Professor of Emergency and Internal Medicine at the University of Virginia, has been named the director of the Emergency Medicine Residency Program. Dr. Ghaemmaghami is also the director of the Chest Pain Center.

Gregory Guldner, MD, has been named the Director of the Emergency

Medicine Residency Program at Loma Linda University.

Residency Program at the Mayo Medical School.

Yolanda Haywood, MD, Associate Professor of Emergency Medicine at the George Washington University School of Medicine and Health Sciences has been named Assistant Dean for Graduate Medical Education.

Richard Schwartz, MD, has been named interim chair of the Department of Emergency Medicine at the Medical College of Georgia, effective August 1, 2003.

Jon Mark Hirshon, MD, MPH, has received a five-year grant from the National Heart, Lung and Blood Institute in the amount of $716,581 to study, “Geographic Variability in ED Use for Pediatric Asthma.” Dr. Hirshon is also the principal investigator of a $1,045,150 grant from the National Center for Infectious Diseases/Association of American Medical Colleges Cooperative Agreement on “Unexplained Diarrhea Sentinel Surveillance.” Dr. Hirshon is an Assistant Professor in the Divison of Emergency Medicine, Department of Surgery and Department of Epidemiology and Preventive Medicine at the University of Maryland.

Jeff Kline, MD, Carolinas Medical Center, has received a three-year grant from the National Heart, Lung and Blood Institute (NHLBI) in the amount of $1,084,007. The grant is "Surrogate Markers for Severe Pulmonary Embolism.” The goal is to test the utility of noninvasive methods of risk-stratifying patients with diagnosed pulmonary embolism. Dr. Kline has also received a $100,000 grant from NHLBI for a study entitled "Pretest Probability for Pulmonary Embolism."

Juan March, MD, has been promoted to Professor of Emergency Medicine at East Carolina University Brody School of Medicine. Dr. Brody is also the Chief of the Division of EMS. Larry B. Mellick, MS, MD, has been named Vice Chairman for Faculty Development and Research at the Medical College of Georgia. He has previously served as chair of the Department of Emergency Medicine at the Medical College of Georgia.

Jonathan Rubin, MD, has been promoted to Associate Professor in the Department of Emergency Medicine at the Medical College of Wisconsin.

Annie Sadosty, MD, has been appointed director of the Emergency Medicine 6

James L. Scott, MD, Professor of Emergency Medicine at the George Washington University School of Medicine and Health Sciences has been appointed interim Dean of the School of Medicine and Health Sciences. Dr. Scott became associate dean in 2000 and was named professor of the Department of Emergency Medicine in 1998. He previously served as the director of the Emergency Medicine residency program, assistant dean for Graduate Medical Education, and assistant dean for Student Affairs.

Adam J. Singer, MD, has been promoted to Professor and Vice Chair of Research at the Department of Emergency Medicine at Stony Brook University in Stony Brook, New York.

Richard Summers has been promoted to Professor of Emergency Medicine at the University of Mississippi.

The University of Alabama at Birmingham (UAB) Center for Disaster Preparedness (CDP) has partnered with the Vanderbilt University School of Nursing’s International Nursing Coalition for Mass Casualty Education and Louisiana State University’s National Center for Biomedical Research to form the National Health Professions Preparedness Consortium (NPPC). Thomas Terndrup, MD, chair of the Department of Emergency Medicine at UAB serves as CDP Director of the NHPPC executive committee. The program receives support from the Department of Homeland Security’s Noble Training Center (NC) at Fort McClellan in Anniston, Alabama.

Ernest Wang, MD, has been appointed Associate Director of the Emergency Medicine Residency Program at Northwestern University.

LouAnn Woodward, MD, Emergency Medicine Residency Director, has been promoted to Associate Professor of Emergency Medicine at the University of Mississippi.

How Much Should the State Boards Know About You? Jason A. Hughes, MD Texas Tech University Terri Schmidt, MD Oregon Health & Science University SAEM Ethics Committee SAEM has an ethics consult service designed to offer an analysis of ethical dilemmas. In this corner of the SAEM newsletter, we hope to bring out controversial ethics topics and encourage responses and dialogue.

when needed. If all treatment must reported, some physicians may avoid getting the help they need.

Taking a look at websites for the state medical boards, here are a few examples of their response to a physician with a mental illness. In Minnesota, there is a Health Professional Service Organization created by that state’s legislature. This entity provides non-disciplinary monitoring to licensees who are “unable to practice with reasonable skill and safety by reason of illness, use of alcohol, drugs, or any other mental, physical or psychological condition”. Oregon has a similar program.

If you are a resident in Ohio and have one DWI charge, that may be dismissed after the appropriate counseling etc. The state’s website does not apparently address mental health issues of physicians directly. Texas is the most strict and difficult state to obtain licensure in; however, the only mention of mental illness is in conjunction with the reprimands given for drug and alcohol abuse.

With two million people in this nation suffering from bipolar disorder, and many more suffering from depression, we would suspect that there are many physicians who check the “no” box when asked about any history of any mental illness. The question then remains as to whether it is ethical to ask the question in the first place if it is deemed by another medical professional that this is not interfering with the physician’s judgment.

As a representative of the ethics committee, I invite your concerns about this issue and any other that may come up.

This committee has always been open to consultation for any ethical issue that concerns you.

This issue’s topic concerns reporting information to medical boards. If a physician is having psychiatric difficulties, should this be reported to the State Board immediately? What if it is not interfering with the physician’s ability to see patients now that they are being treated? How much should you tell your state board? Is withholding information such as this unethical?

A primary purpose of state medical boards is protection of the public. As many physicians realize, most (if not all) state boards of medical licensure have a routine statement concerning mental and physical well being that must be answered at the time of relicensure. In fact, the New Mexico State Board of Medical Licensure asks the question outright: “Do you have a mental illness?” Many physicians may have ethical and legal concerns about the implications of answering this question.

For instance, if a physician is newly diagnosed with depression and he or she is following the appropriate steps to have this treated, should this be reported to the board if a psychiatrist deems that her depression is not interfering with his or her employment? Let me offer an example. A friend of mine was treated for depression while in medical school in another state.

When she applied for a license in the new state, she informed the Board that she had been treated for depression a number of years earlier but was now well. Her license was delayed by several months because the Board required records from the out-of-state treating psychiatrist who was very slow in providing that information.

It has been noted on numerous web sites of the state medical boards that mental illness must be reported, but there is no description about the usual steps taken once self-reporting takes place. Thus, it may appear that there is a punitive appearance to self-reporting a mental illness. Without knowing “what will happen” if one reports a mental illness, the easiest answer is to “just say no” to the question and move on. This avoids potential mounds of paperwork, potential embarrassment, and punitive action but may be dishonest.

Is it ethical to ask whether a physician has a mental illness if that illness is not impairing performance? Boards certainly have a right as a part of their mandate to protect the public to learn about mental illness if that illness has the potential to interfere with patient care or job performance. However, we suspect, many physicians are being treated for mild depression without a threat to their patients and, in fact, possibly they can understand their patients a little better having gone through their own problems.

Physicians, like other members of society are going through divorces, work long and arduous hours, and have other life stressors. With cuts in health care, the malpractice crisis, and other job-related stress, it is not looking like “easy street” down the medical pathway. Surely, it would be in the best interest of society to encourage physicians to seek professional help

Call for Abstracts 4th Annual New York State Regional SAEM Meeting March 31, 2004; 8:00 am-2:00 pm The program committee is now accepting abstracts for oral and poster presentations. All abstracts must be submitted electronically via the SAEM web site at www.saem.org.

The deadline for abstract submission is 5:00 pm Eastern Standard Time, Wednesday, January 21, 2004.

Hosted by: St. Luke’s-Roosevelt Hospital Center, Department of Emergency Medicine Location: Lerner Hall, Morningside Campus, Columbia University, 114th Street and Broadway Keynote Speaker: Glenn Hamilton, MD, Wright State University Contact: Theodore C. Bania, MD, MS at Roosevelt Hospital, 1000 10th Ave., Department of Emergency Medicine, Room GE01, New York, NY 10019 or toxtod@aol.com

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SAEM Ethics Consultation Service

S A E M

Emergency physicians are faced with countless ethical dilemmas. We make choices based not only on our knowledge but also on our personal beliefs and value systems. These decisions are made in typical emergency medicine style--- we think, we decide, we act, and we move on. We feel confident that we have acted appropriately, based on a reasoned assessment of the circumstances and the strengths of our convictions. We act in good faith, and hope that we have acted wisely and justly.

Occasionally, an ethical issue arises that is outside our world view or consideration, or a situation confronts us that makes us uncomfortable. We may lack the knowledge to make a reasonable choice, we may be faced with something totally out of our experience, or we feel at a loss because we cannot determine the possible options. We may witness an ethically questionable act, may observe unprofessional and possibly harmful actions, may disagree about the correctness of another’s decision, or may feel we ourselves are being subjected to exploitation, abuse, or other unethical behavior. Such situations are frightening; it is difficult to distinguish reality from perception, to know who can be approached for advice, or where resources can be found to assist in developing an appropriate response.

Some institutions have committees or other authoritative bodies designed to examine grievances, allegations of scientific misconduct or specific ethical dilemmas in clinical practice.

The advice of these groups, however, may have limited applicability to emergency medicine; they may not include emergency physicians, or have the expertise to relate to the unique aspects of the ethics of emergency medicine. In addition, these groups are charged with developing a response to a particular crisis that has arisen locally. They are goal directed and not necessarily able to provide a thoughtful method to educate beyond the concrete response to the problem at hand.

For these reasons, SAEM has developed an Ethics Consultation Service. The Ethics Consultation Service is available to assist SAEM members with questions concerning ethical issues or decisions they must make during the course of their clinical, academic or administrative responsibilities.

Opinions from the Ethics Consultation Service will be offered to SAEM members in a timely manner; requests from nonmembers will be considered on a case by case basis. The opinions rendered are not meant to be part of an ‘appeal process.’ This service is offered to SAEM members who may need advice or assistance when faced with a difficult ethical decision.

All communications with the Ethics Consultation Service will be anonymous and confidential. However, because many ethical issues confronting emergency physicians are universal in their scope, and others may learn from the issue presented, we hope to develop a series of articles for publication for the Society, assuming that confidentiality can be maintained. All requests, inquires, or correspondence should be directed to saem@saem.org.

Call for Abstracts 2004 Annual Meeting May 16-19, 2004 Orlando, Florida Deadline: January 6, 2004 The Program Committee is accepting abstracts for review for oral and poster presentation at the 2004 SAEM Annual Meeting. Authors are invited to submit original research in all aspects of Emergency Medicine including, but not limited to: abdominal/gastrointestinal/genitourinary pathology, administrative/ health care policy, airway/anesthesia/analgesia, CPR, cardiovascular (non-CPR), clinical decision guidelines, computer technologies, diagnostic technologies/radiology, disease/injury prevention, education/professional development, EMS/out-of-hospital, ethics, geriatrics, infectious disease, IEME exhibit, ischemia/reperfusion, neurology, obstetrics/ gynecology, pediatrics, psychiatry/social issues, research design/methodology/statistics, respiratory/ENT disorders, shock/critical care, toxicology/environmental injury, trauma, and wounds/burns/orthopedics.

The deadline for submission of abstracts is Tuesday, January 6, 2004 at 3:00 pm Eastern Time and will be strictly enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions will be available on the SAEM web site at www.saem.org in November. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517485-0801.

Only reports of original research may be submitted.

The data must not have been published in manuscript or abstract form or presented at a national medical scientific meeting prior to the 2004 SAEM Annual Meeting. Original abstracts presented at national meetings in April or May 2004 will be considered.

Abstracts accepted for presentation will be published in the May issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. SAEM strongly encourages authors to submit their manuscripts to AEM. AEM will notify authors of a decision regarding publication within 60 days of receipt of a manuscript.

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Opportunities Through the AACEM Consult Service Glenn Hamilton, MD Wright State University Chair, AACEM Consulting Service Since the Association of Academic Chairs in Emergency Medicine (AACEM) was founded in 1989, the Consult Service of the Association has had an active role. The primary focus of this service is to assist academic medical centers in establishing academic departments of emergency medicine in the United States and Canada. The service has had a contributing role in the development of several departments and is currently at various stages of discussion with three or four sites considering this important decision. The AACEM and SAEM Consult Services have worked closely together.

The Consult Service’s activities include: 1. Overview assessment of the status of emergency medicine in an academic medical center to determine the suitability and timing for evolving to academic departmental status.

2. Assisting divisions or other institutional entities in developing a proposal for development of an academic department in the institution.

3. Site surveys to assist the division as well as the Dean’s office and hospital administration in their decision making regarding the potential and

appropriate time table for development of an academic department.

4. Discussions at any level of decision making with emergency medicine leadership about the approach, negotiations, documentation and timeframe of developing an academic department.

The actual consultation consists of two current Academic Chairs of Emergency Medicine who are selected conjointly by the consult service and the institution. These Chairs usually spend two days at the site and develop a report regarding the specific questions asked of them. Current fees for this service are $1,500 per individual per day plus overnight expenses. In addition, $500 is contributed to AACEM for administrative purposes.

One significant accomplishment of the service was to develop a monograph entitled “Establishing the Academic Department of Emergency Medicine: Commentary on Five Phases of Development”. The monograph reviews the five major phases of development beginning five years before and continuing five years after the actual establishment of an academic department. This useful monograph is avail-

able on the AACEM section of the SAEM website at www.saem.org.

Currently, the consult service is developing a listing of current sites that may have the potential for evolving from their current institutional status into a formal Academic Department of Emergency Medicine. Contacts with individuals in emergency medicine at these sites will be made over the next several years.

Emergency Medicine essentially doubled its number of academic departments in the 1980’s and doubled that number again in the 1990’s. Currently, there are 63 academic departments in the United States in 124 medical schools. This leaves the opportunity for one more doubling to ensure the complete integration of emergency medicine into academic medicine throughout the country.

Please contact me if you may have an interest in discussing the potential of an academic Department of Emergency Medicine at your institution. The full talent and capability of the AACEM is directed toward this most important goal.

The University of Pennsylvania residents find a novel way to fulfill the health policy curriculum.

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The Top 5 Most-Frequently-Read Contents of AEM – July 2003 Most-read rankings are recalculated at the beginning of the month. Rankings are based on hits received by articles archived on AEMJ.org.

1 2 3 4 5

Henry E. Wang, Douglas F. Kupas, Paul M. Paris, Robyn R. Bates, Joseph P. Costantino, Donald M. Yealy, Multivariate Predictors of Failed Prehospital Endotracheal Intubation; Acad Emerg Med Jul 01, 2003 10: 717-724. (In "CLINICAL INVESTIGATION") Christopher Kabrhel, William Binder, Clinical Pearls: A 37-year-old Man with a Rash...; Acad Emerg Med Jul 01, 2003 10: 776-779. (In "CLINICAL PRACTICE") Markku Kuisma, Teuvo Maatta, Taisto Hakala, Tommi Sivula, Maria Nousila-Wiik, Customer Satisfaction Measurement in Emergency Medical Services; Acad Emerg Med Jul 01, 2003 10: 812-815. (In "BRIEF REPORT") Kristine G. Williams, Mario Schootman, Kimberly S. Quayle, Jim Struthers, David M. Jaffe, Geographic Variation of Pediatric Burn Injuries in a Metropolitan Area; Acad Emerg Med Jul 01, 2003 10: 743-752. (In "CLINICAL PRACTICE") Joe Suyama, Matthew Sztajnkrycer, Christopher Lindsell, Edward J. Otten, Judith M. Daniels, Amy B. Kressel Surveillance of Infectious Disease Occurrences in the Community: An Analysis of Symptom Presentation in the Emergency Department; Acad Emerg Med Jul 01, 2003 10: 753-763. (In "CLINICAL PRACTICE")

13th Annual Midwest Regional SAEM Meeting

Important Notice to Current and Former ABEM Diplomates

September 19, 2003 Synergy Medical Education Alliance Saginaw, MI

Emergency Medicine Continuous Certification (EMCC) will begin in 2004. All diplomates who want to maintain their certification with ABEM beyond the current expiration date must participate fully in the EMCC program.

The meeting will take place September 19, 2003, 8:00 am – 5:00 pm, at Curtis Hall on the campus of Saginaw Valley State University, Saginaw, Michigan.

Registration forms are available from Melinda Wardin, Department of Emergency Medicine, Saginaw Cooperative Hospitals, Inc., 1000 Houghton Avenue, Saginaw, MI 48602. E-mail contact is mwardin@schi.org Registration Fees: Faculty--$75; Residents/Nurses--$30; EMTs/Students—No Charge. Late fee after September 12, 2003: add $25.

Visit our website for updated information: www.schi.org

Effective 2004, the licensure requirement for all diplomates will change. Diplomates will be required to continuously maintain a current, active, valid, unrestricted, and unqualified license in at least one jurisdiction in the United States, its territories, or Canada, and in each jurisdiction in which they practice.

Inactive medical licenses voluntarily held by physicians are in compliance with the Policy on Medical Licensure.

Physicians eligible for ABEM recertification under current rules will maintain eligibility under EMCC. The written recertification examination as it currently exists will be offered for the last time on November 2, 2003.

A special option will be available only from 2004-2006 for former diplomates to regain their diplomate status through participation in EMCC. Former diplomates must begin their participation in EMCC in 2004 to take advantage of this option.

Newsletter Submissions Welcomed SAEM invites submissions to the Newsletter pertaining to academic emergency medicine in the following areas: 1) clinical practice; 2) education of EM residents, off-service residents, medical students, and fellows; 3) faculty development; 4) politics and economics as they pertain to the academic environment; 5) general announcements and notices; and 6) other pertinent topics. Materials should be submitted by e-mail to saem@saem.org. Be sure to include the names and affiliations of authors and a means of contact. All submissions are subject to review and editing. Queries can be sent to the SAEM office or directly to the Editor at david.cone@yale.edu.

A full description of EMCC including details of diplomates’ participation requirements are available on the ABEM website http://www.abem.org. Questions should be directed to: American Board of Emergency Medicine, 3000 Coolidge Road, East Lansing, MI 48823, or call 517-332-4800 or emcc@abem.org.

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S A E M

Call For Nominations Young Investigator Award Deadline: December 17, 2003

In May 2004, SAEM will recognize a few young investigators who have demonstrated promise and distinction in their emergency medicine research careers. The purpose of the award is to recognize and encourage emergency physicians/scientists of junior academic rank who have a demonstrated commitment to research as evidenced by academic achievement and qualifications. The criteria for the award includes: 1. Specialty training and certification in emergency medicine or pediatric emergency medicine.

2. Evidence of significant research collaboration with a senior clinical investigator/scientist. This may be in the setting of a collaborative research effort or a formal mentor-trainee relationship.

3. Academic accomplishments which may include: a. postgraduate training/education: research fellowship, master’s program, doctoral program, etc. b. publications: abstracts, papers, review articles, chapters, case reports, etc. c. research grant awards d. presentations at national research meetings e. research awards/recognition The deadline for the submission of nominations is December 17, 2003, and nominations should be submitted electronically to saem@saem.org. Nominations should include the candidate’s CV and a cover letter summarizing why the candidate merits consideration for this award. Candidates can nominate themselves or any SAEM member can nominate a deserving young investigator.

Candidates may not be senior faculty (associate or full professor) and must not have graduated from their residency program prior to July 30, 1997.

The core mission of SAEM is to advance teaching and research in our specialty. This recognition may assist the career advancement of the successful nominees. We also hope the successful candidates will serve as role models and inspirations to us all. Your efforts to identify and nominate deserving candidates will help advance the mission of our Society.

Call for Photographs Deadline: February 18, 2004 Original photographs of patients, pathology specimens, gram stains, EKG’s, and radiographic studies or other visual data are invited for presentation at the 2004 SAEM Annual Meeting in Orlando. Submissions should depict findings that are pathognomonic for a particular diagnosis relevant to the practice of emergency medicine or findings of unusual interest that have educational value. Accepted submissions will be mounted by SAEM and presented in the “Clinical Pearls” session and/or the “Visual Diagnosis” medical student/resident contest.

No more than three different photos should be submitted for any one case. Submit one glossy photo (5 x 7, 8 x 10, 11 x 14, or 16 x 20) and a digital copy in JPEG or TIFF format on a disk or by email attachment (resolution of at least 640 x 48).

Radiographs and EKGs should also be submitted in hard copy and digital format. Do not send X-rays. The back of each photo should contain the contributor’s name, address, hospital or program, and an arrow indicating the top. Submissions should be shipped in an envelope with cardboard, but should not be mounted.

Photo submissions must be accompanied by a brief case history written as an “unknown” in the following format: 1) chief complaint, 2) history of present illness, 3) pertinent physical exam (other than what is depicted in the photo), 4) pertinent laboratory data, 5) one or two questions asking the viewer to identify the diagnosis or pertinent finding, 6) answer(s) and brief discussion of the case, including an explanation of the findings in the photo, and 7) one to three bulleted take home points or “pearls.”

The case history must be submitted on the template posted on the SAEM web site at www.saem.org and must be submitted electronically. The case history is limited to no more than 250 words. If accepted for display SAEM reserves the right to edit the submitted case history. Submissions will be selected based on their educational merit, relevance to emergency medicine, quality of the photograph, the case history and appropriateness for public display. Contributors will be acknowledged and photos will be returned after the Annual Meeting. Academic Emergency Medicine (AEM), the official SAEM journal, may invite a limited number of displayed photos to be submitted to AEM for consideration of publication. SAEM will retain the rights to use submitted photographs in future educational projects, with full credit given for the contribution.

Photographs must not appear in a refereed journal prior to the Annual Meeting. Patients should be appropriately masked.

Submitters must attest that written consent and release of responsibility have been obtained for all photos EXCEPT for isolated diagnostic studies such as EKGs, radiographs, gram stains, etc.

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SAEM Meetings to be held at the ACEP Scientific Assembly The SAEM Board of Directors and the AEM Editorial Board, as well as many SAEM committees, task forces, and interest groups will meet during the ACEP Scientific Assembly in Boston. Additional meetings will be posted as they are scheduled. Hotel meeting room confirmations will be posted when confirmed by ACEP. SUNDAY, OCTOBER 12 SAEM Program Committee, 10:30 am - 6:00 pm SAEM Faculty Development Committee, 1:00 - 2:00 pm SAEM Evidence Based Medicine Interest Group, 2:00 - 3:00 pm SAEM Financial Development Committee, 3:00 - 4:00 pm SAEM Undergraduate Committee, 4:30 - 6:00 pm MONDAY, OCTOBER 13 SAEM Clinical Directors Interest Group, 9:00 - 10:00 am SAEM Research Committee, 9:00 - 10:30 am SAEM Board of Directors, 11:00 am - 3:00 pm SAEM Education Research Task Force, 1:00 - 2:00 pm SAEM Ethics Committee, 1:00 - 3:00 pm SAEM Healthy People 2010 Task Force, 3:00 - 4:30 pm AEM Editorial Board, 3:00 - 5:00 pm TUESDAY, OCTOBER 14 SAEM National Affairs Committee, 9:00 - 11:00 am SAEM Graduate Medical Education Committee, 11:00 - 12:00 pm In addition, SAEM members are invited to attend the Finals CPC Competition, which will be held on Monday, October 13 at 1:00 - 4:30 pm. The CPC Competition is sponsored by ACEP, CORD, EMRA and SAEM.

Board of Directors Update The Board of Directors met via conference call on July 8, 2003. The Board reviewed a request to name a representative to participate in the writing committee to develop a standardized reporting template on for trials that evaluate low risk chest pain patients, so that they could be more easily compared. The Board approved the request and will name a representative at the next Board conference call.

The Board reviewed a number of proposals regarding SAEM interest groups and electronic dissemination of information. The Board agreed that listservs will continue to be offered to all interest groups and that listservs must be developed through the SAEM office and that only SAEM members may be subscribed to interest group listservs. In addition, the Board agreed that work products that resulted from interest groups must be posted on the SAEM web site.

The Board named Board Liaisons to two new interest groups: Palliative Care

and Uniformed Health Services. The Board approved a revised introduction to the Ultrasound Image Bank on the SAEM web site.

The Board approved the request to dissolve the Injury Prevention, Substance Abuse, and Domestic Violence Interest Groups. The members of these interest groups requested that their interest groups be dissolved and that they become part of the Public Health Interest Group.

The Board reviewed the ABEM Call for Nominations and agreed that it should be published in the Newsletter in order to encourage interested members to submit nominations. (See ABEM Call for Nominations in this issue of the Newsletter). The board also reviewed the compiled evaluations from the 2003 Annual Meeting.

The Board approved a proposal to develop a CORD/SAEM Model Curriculum Task Force to revise and update the model curriculum developed

by CORD and SAEM some years ago.

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The Board approved a proposal that the Task Force will include four representatives from each organization, and that CORD and SAEM will each name a cochair.

The Board approved a letter written

by Robert Schafermeyer, chair of the National Affairs Committee to identify specific values that Medicare receives for IME payments. The letter was developed upon request of the Association of American Medical Colleges (AAMC).

The Board approved the final draft of the Academic Elective manuscript and agreed that Dr. Chisholm should publish a notice of its availability on the SAEM web site. (See related article in this issue of the Newsletter).

The next face-to-face meeting of the Board will be held during the ACEP Scientific Assembly in Boston on October 13 at 11:00 am. The meeting room has not yet been assigned but will be posted on the SAEM web site when confirmed. All SAEM members are invited to attend.

Call for Nominations Deadline: February 3, 2004 Nominations are sought for the Hal Jayne Academic Excellence Award and the Leadership Award. These awards will be presented during the SAEM Annual Business Meeting in Orlando. Nominations for honorary membership for those who have made exceptional contributions to emergency medicine are also sought. The Nominating Committee wishes to consider as many exceptional candidates as possible. Nominations may be submitted by the candidate or any SAEM member.

Nominations should include a copy of the candidate’s CV and a cover letter describing his/her qualifications. Nominations must be sent electronically to saem@saem.org. The awards and criteria are described below:

Academic Excellence Award

B. Other research publications (e.g., review articles, book chapters, editorials) C. Research support generated through grants and contracts D. Peer-reviewed research presentations E. Honors and awards

The Hal Jayne Academic Excellence Award is presented to an individual who has made outstanding contributions to emergency medicine through research, education, and scholarly accomplishments. Candidates will be evaluated on their accomplishments in emergency medicine, including: 1. Teaching A. Didactic/Bedside B. Development of new techniques of instruction or instructional materials C. Scholarly works D. Presentations E. Recognition or awards by students, residents, or peers 2. Research and Scholarly Accomplishments A. Original research in peer-reviewed journals

Leadership Award The Leadership Award is presented to an individual who has demonstrated exceptional leadership in academic emergency medicine. Candidates will be evaluated on their leadership contributions including: 1. Emergency medicine organizations and publications.

2. Emergency medicine academic productivity.

3. Growth of academic emergency medicine.

Opportunities Available Through the SAEM Consult Service Glenn Hamilton, MD Wright State University Chair, SAEM Consulting Service The SAEM Consult Service has a long history beginning with the Society of the Teachers of Emergency Medicine (founded by Gus Roussi in the late 1970s). Its greatest activity was under the guidance of Steve Dronen, MD, who chaired the Consulting Service for many years and provided over 70 consultations during the 1990s. The SAEM Consult Service is well prepared to offer its considerable capabilities to interested parties in our specialty.

Although a variety of services are available, the primary foci have been the following: 1. Establishment of an EM residency – this consult is in advance of application to the ACGME and RRC-EM for consideration of a new EM residency. The consultation will assess the suitability and potential of the site for residency training and assist in the development of the program information forms required by the ACGME. This service has been successfully offered to more than 40 programs in the last two decades.

2. “Mock” survey prior to RRC-EM site survey – this service serves as a preparatory guide to residencies preparing for their official site survey by the RRC-EM. This is a useful process for making sure the issues of potential concern by the RRC-EM are addressed, and convincing institutional administration of the benefits of EM and its continued support.

There have been more than 40 of these consults in the last 20 years.

3. Research Consultation – this relatively new aspect of the service helps programs develop a research program suitable to their environment. Several sites have participated in this type of consultation with appropriate guidance and net gains in their research activity.

4. Faculty Development – EM remains one of the few specialties that requires faculty development as part of its program requirements.

Programs who are initiating or having difficulty in this area may request a faculty development consultation 13

to assist in planning effective programs for their faculty.

Consultations are done by experienced individuals who are Program Directors, Academic Chairs, and/or RRC-EM Site Surveyors. Usually 1-2 individuals participate in the consultation depending upon the needs of the institution. The individuals are selected with input from the institution and the consult service. Fees are $1,250 per individual per day plus expenses. An additional $500 is paid to SAEM to support the administrative aspects.

The 1980s and 90s were a time of tremendous growth for EM residencies.

The Consult service played a significant role in sustaining the quality of these residencies and assisting numerous Program Directors in developing and creating solutions to their problems.

The SAEM Consult Service looks forward to assisting in residency or academic development needs. Please contact me directly or through SAEM for further information and assistance.

EMF Grants Available or release time to begin a promising research project.

Deadline: January 16, 2004. Notification: April 5, 2004.

Research Fellowship Grant A maximum of $75,000 to emergency medicine residency graduates who will spend another year acquiring specific basic or clinical research skills and further didactic training research methodology. Deadline: January 16, 2004. Notification: April 5, 2004.

The Emergency Medicine Foundation (EMF) grant applications are available on the ACEP web site at www.acep.org.

From the home page, click on “About ACEP,” then click on “EMF,” then click on the “EMF Research Grants” link for a complete listing of the downloadable grant applications. The funding period for all grants is July 1, 2004 through June 30, 2005.

EMF Directed Research Reducing Medical Errors Award This request for proposals specifically targets research that is designed to reduce medical errors in the emergency department setting. The highest priority will be given to proposals that directly evaluate interventions to reduce medical errors and utilize quantitative outcome measures to assess effectiveness. Proposals may focus on specific patient populations, disease processes or hospital system components. Studies that propose to only identify errors without a plan to evaluate outcomes or investigate interventions will not be considered.

Applicants may apply for up to $100,000 funding. The funds will be disbursed semi-annually over the two-year cycle.

Deadline: December 19, 2003. Notification: April 5, 2004.

Neurological Emergencies Grant This grant is sponsored by EMF and the Foundation for Education and Research in Neurological Emergencies (FERNE). The goal of this directed grant program is to fund research based towards acute disorders of the neurological system, such as the identification and treatment of diseases and injury to the brain, spinal cord and nerves. $50,000 will be awarded annually. Only clinical applications will be considered - no basic science applications will be accepted.

Deadline: January 16, 2004. Notification: April 5, 2004.

Medical Student Research Grant This grant is sponsored by EMF and SAEM. A maximum of $2,400 over 3 months is available for a medical student to encourage research in emergency medicine. Deadline: February 6, 2004. Notification: April 5, 2004.

Riggs Family/Health Policy Research Grant Between $25,000 and $50,000 for research projects in health policy or health services research topics. Applicants may apply for up to $50,000 of the funds, for a one- or two-year period.

The grants are awarded to researchers in the health policy or health services area, who have the experience to conduct research on critical health policy issues in emergency medicine. Deadline: December 19, 2003. Notification: April 5, 2004

ENAF Team Grant This grant specifically targets research that is designed to investigate the topic of ED overcrowding. Proposals may focus on a number of related areas, including: definitions and outcome measures of ED overcrowding, causes and effects of ED overcrowding, and potential solutions to the problem of ED overcrowding. Applicants must provide evidence of a true collaborative effort between physician and nurse professionals and must delineate the relative roles of the participants in terms of protocol development, data collection, and manuscript preparation. A maximum of $20,000 will be awarded.

Deadline: January 16, 2004. Notification: April 5, 2004.

Resident Research Grant A maximum of $5,000 to a junior or senior resident to stimulate research at the graduate level. Deadline: December 19, 2003. Notification: April 5, 2004.

Career Development Grant A maximum of $50,000 to emergency medicine faculty at the instructor or assistant professor level who needs seed money

Call for Submissions Innovations in Emergency Medicine Education Exhibits 2004 Annual Meeting Deadline: February 11, 2004 The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2004 SAEM Annual Meeting, May 16-19, 2004 in Orlando. Submitters are invited to complete an application describing an innovative new educational methodology that they have designed, or an innovative educational application of an existing product. The exhibit should not be used to display a commercial product that is already available and being used in its intended application. Exhibits will be selected based on utility, originality, and applicability to the teaching setting. Commercial support of innovations is permitted but must be disclosed. IEME exhibits will not be published in Academic Emergency Medicine with other abstracts, but will be published in the on-site program. However, if submitters have conducted a research project on or using the innovation, the project may be written up as a scientific abstract and submitted for scientific review in the appropriate subject category by the January 6 deadline.

The deadline for submission of IEME Exhibit applications is Wednesday, February 11, 2004 at 5:00 pm Eastern Time.

Only online submissions using the form on the SAEM web site at www.saem.org will be accepted. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801.

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Fellowship, Clerkship, and Residency Catalog Updates Requested The Emergency Medicine Fellowship and Undergraduate Rotation Lists on the SAEM web site are very popular.

These lists are updated continuously, but it is difficult to ascertain if any institutions are being missed. If your institution has an emergency medicine fellowship or offers a clerkship, please take a

few moments to review these sites and contact SAEM at carrie@saem.org with corrections or additions.

The Fellowship List can be found at www.saem.org/services/fellowsh.htm and the Undergraduate Rotation List can be found at www.saem.org/rotation/ contents.htm

The Residency Catalog is also undergoing its annual update.

Residency directors are encouraged to update their institution’s listing prior to the upcoming interview season. The Residency Catalog can be found at www.saem.org/rescat/contents.htm.

Call for Advisors The inaugural year for the SAEM Virtual Advisor Program was a tremendous success. Almost 300 medical students were served. Most of them attended schools without an affiliated EM residency program. Their “virtual” advisors served as their only link to the specialty of Emergency Medicine.

Some students hoped to learn more about a specific geographic region,

while others were anxious to contact an advisor whose special interest matched their own.

As the program increases in popularity, more advisors are needed. New students are applying daily, and over 100 remain unmatched! Please consider mentoring a future colleague by becoming a virtual advisor today. It is a brief time commitment – most communica-

tion takes place via e-mail at your convenience. Informative resources and articles that address topics of interest to your virtual advisees are available on the SAEM medical student web site.

You can complete the short application on-line at http://www.saem.org/advisor/ index.htm. Please encourage your colleagues to join you today as a virtual advisor.

Nominations Sought for Resident Member of the SAEM Board of Directors The resident Board member is elected to a one-year term and is a full voting member of the SAEM Board of Directors. The deadline for nominations is February 3, 2004.

Candidates must be a resident during the entire one-year term on the Board (May 2004-May 2005) and must be a member of SAEM. Candidates should demonstrate evidence of strong interest and commitment to academic

emergency medicine. Nominations should include a letter of support from the candidate’s residency director, as well as the candidate’s CV and a cover letter. Nominations must be sent electronically to saem@saem.org. Candidates are encouraged to review the Board of Directors orientation guidelines on the SAEM web site at www.saem.org or from the SAEM office.

The election will be held via mail bal-

Keep Your Membership Mailings Coming!

Be sure to keep the SAEM office informed of changes in your address, phone or fax numbers, and especially your e-mail address.

SAEM sends infrequent e-mails to members, but only regarding SAEM issues or activities.

SAEM does not sell or release its mailing list or e-mail addresses to outside organizations.

Send updated information to saem@saem.org

lot in the Spring of 2003 and the results will be announced during the Annual Business Meeting in May in Boston.

The resident member of the Board will attend four SAEM Board meetings; in the fall, in the winter, and in the spring (at the 2004 and 2005 SAEM Annual Meetings). The resident member will also participate in monthly Board conference calls.

Residency Vacancy Service The SAEM Residency Vacancy Service was established more than ten years ago to assist residency programs and prospective emergency medicine residents. The Residency Vacancy Service is posted on the SAEM web site at www.saem.org. Residency programs are invited to list their unexpected vacancies or additional openings by contacting SAEM. SAEM monitors and updates the listings. Prospective emergency medicine residents are invited to review these listings and contact the residency programs to obtain further information. Listings are deleted only when the residency program informs SAEM that the position(s) are filled.

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FACULTY POSITIONS KENTUCKY: The Department of Emergency Medicine at the University of Kentucky is recruiting full-time faculty members at the assistant or associate professor level. The desired individual must be BE/BC in emergency medicine.

Academic tenure track and non-tenure track positions available. The EM residency has full accreditation. The Emergency Department at UK Hospital is a Level I trauma center, regional referral center, with 40,000 annual visits. The department has nine full-time faculty and provides medical direction to Air Medical and Hyperbaric Oxygen Programs. Contact: Roger Humphries, MD, Acting Interim Chair, Department of Emergency Medicine, University of Kentucky Medical Center, 800 Rose St., Room M-53, Lexington, KY 405360298: phone 859-323-5908; fax 859-323-8056; or E-mail rlhump0@uky.edu We are an EOAAE. LEHIGH VALLEY HOSPITAL - position immediately available for EM Residencytrained physician to join cohesive faculty of 33 BC physicians evaluating more than 100,000 patients in the three sites of 700-bed Lehigh Valley Hospital. LVH is academic, tertiary hospital with Level I trauma center, 9-bed Burn Center and 10 freestanding, fully-accredited residency programs, including one in EM. Eligibility for faculty appointment at Penn State/Hershey. Resident and medical student teaching, and clinical research. LVH located in the beautiful Lehigh Valley, with 700,000 people, excellent suburban public schools, safe neighborhoods, moderate cost of living, 10 colleges and universities and many cultural and recreational organizations. And close -- but not too close -- to two great cities; Philadelphia is 60 miles south and Manhattan is 75 miles east. Email cover letter and CV c/o Rick MacKenzie, MD, Vice Chair, EM, to katherine.adams@lvh.com. Fax (610) 402-7014. Phone (610) 402-7008.

MASSACHUSETTS - The Massachusetts General Hospital is seeking board prepared or board certified emergency physicians for academic positions with research, teaching and patient care responsibilities. MGH is a Harvard-affiliated teaching hospital Level I trauma center with approximately 75,000 annual ED visits and is a major component of the Harvard Affiliated Emergency Medicine Residency. Please send a letter of interest and CV to David F. M. Brown, MD, Associate Chief, Department of Emergency Medicine, Massachusetts General Hospital, 55 Fruit St, Bulfinch 105 Boston, MA 02114. The Massachusetts General Hospital is an Equal Opportunity/Affirmative Action Employer.

MICHIGAN (ANN ARBOR) - Seeking BC/BP EM physician to join St. Joseph Mercy Hospital. Level II Trauma Center with on-site Medflight air ambulance service that sees 92,000 patients annually between the ED, adult and pediatric ambulatory care centers, and chest pain observation unit. Approved EM Residency program sponsored by hospital and U of M Medical Center.

Employed position offers excellent remuneration plus faculty stipend, productivity bonus, paid malpractice, relocation allowance, paid benefits, 401(k), flexible scheduling, and more. Contact Nancy Ely at 800-466-3764, x337 or nely@epmgpc.com.

We’re on a mission

MICHIGAN - The Department of Emergency Medicine at the University of Michigan (UM) is seeking physicians for full time clinical and academic faculty positions in Emergency Medicine at University of Michigan (Ann Arbor, MI), Hurley Medical Center (Flint, MI) and Foote Hospital (Jackson, MI). Academic rank will be determined by credentials. Clinical responsibilities will include patient care activity in the Emergency Department. Responsibilities include house officer and medical student training, and providing direct patient care in a setting providing both primary and tertiary care experience. Applicants should have residency training and/or board certification in Emergency Medicine.

Excellent fringe benefit package. If interested, please send curriculum vitae to: William G. Barsan, M.D., Professor and Chair, Department of Emergency Medicine, UMHS, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0303.

EOAAE.

to raise the bar on healthcare delivery

NEW JERSEY, UMDNJ (NEWARK) - Come in on the ground floor at a major medical school and university hospital. We're planning to start an EM Residency and have faculty opportunities for Emergency Physicians at ALL LEVELS, including Residency Director, EMS Director and Director of Clinical Operations. The ED has an annual volume of 72,000, including 2,700 level I trauma patients. Competitive compensation and benefits package including onsite fitness andchild care centers. For information please contact Ronald Low, MD, MS, at 973-972-7882. UMDNJ-University Hospital is an AA/EOE, M/F/D/V. Visit us on the web at www.TheUniversityHospital.com.

Clinical and Academic Tracks The Emergency Department at Regions Hospital in St. Paul, Minnesota is recruiting clinical and academic faculty to join our progressive academic group. Regions Hospital is a Level I Trauma and Burn Center with an established 3-year EM residency program and an annual ED volume of 63,000. Our ED recently obtained over $1 million to lead national studies of ED crowding, and we are now beginning an exciting clinical operations research program to redesign hospital-wide patient flow. We believe the ED is a perfect laboratory for understanding and improving health care delivery systems.

THE OHIO STATE UNIVERSITY: Assistant/Associate or Full Professor.

Established residency training program. Level 1 Trauma center. Nationally recognized research program. Clinical opportunities at OSU Medical Center and affiliated hospitals. Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 169 Means Hall, 1654 Upham Drive, Columbus, OH 43210, email Conway.70@osu.edu, or call (614) 293-8176. Affirmative Action/Equal Opportunity Employer.

We are seeking talented clinicians who are committed to excellence in bedside teaching.

Protected time is available for candidates with fellowship training and/or proven experience in education, medical informatics, toxicology, or administration.

Applicants should be EM residency-trained, ABEM certified or eligible, and have or be eligible to attain Minnesota and Wisconsin medical licensure. As with our current faculty, we will support faculty appointments to the Department of Emergency Medicine at the University of Minnesota.

To take advantage of these exciting opportunities, please contact Dr. Brent Asplin, Department Head, at 651-254-1809 or via e-mail brent.r.asplin@healthpartners.com. For more information, email sandy.j.lachman@healthpartners.com or call 800-472-4695. Visit us online at www.regionsem.org and www.healthpartners.com. EO Employer

OREGON: The Oregon Health & Science University, Department of Emergency Medicine is conducting an ongoing recruitment campaign for talented faculty members. Entry-level clinical faculty members at the instructor and assistant professor level. Preference given to those with fellowship training (especially in pediatric emergency medicine) or equivalent experience. Knowledge of emergency medicine as a faculty discipline is expected. Please submit a letter of

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interest, CV, and the names and phone numbers of three references to: Jerris Hedges, MD, MS, Professor & Chair, OHSU Department of Emergency Medicine, 3181 SW Sam Jackson Park Road, CDW -EM, Portland, OR 972393098.

St. Vincent Mercy Medical Center Medical Education Fellowship

UNIVERSITY OF CALIFORNIA, IRVINE is recruiting for a Research Director.

Appointment as Associate or Professor in Clinical Scholar series anticipated.

Substantial protected time. Board certification in EM required. MPH, PhD or research fellowship/training strongly desired. UCI Medical Center is a 472-bed tertiary care hospital with all residencies. The ED is a progressive 33-bed Level I Trauma Center with 46,000 patients, in urban Orange County. Collegial relationships with all services. Excellent salary and benefits with incentive plan.

Send CV to Mark Langdorf, MD, MHPE, FACEP, UCI Medical Center, Route 128.

101 City Drive, Orange, CA 92868, or contact me at this meeting beeper (714) 506-6111. UCI is an equal opportunity employer committed to excellence through diversity.

St. Vincent Mercy Medical Center in Toledo OH is pleased to announce a fellowship opportunity. Our Medical Education Fellowship is designed to train EM residency graduates to be successful in a career in academic emergency medicine. The fellow will work between 60 to 70 clinical hours each month at one of our two residency training sites. The clinical responsibilities will include supervising medical students, EM residents, and off-service rotators. Undergraduate medical education responsibilities will include supervision of the medical student rotations for the EM residency and mentoring of students from the Medical College of Ohio.

The fellow will be expected to complete the Medical Education Scholarship Program at the University of Michigan. This will involve spending an afternoon each week with professionals from the University’s medical school and Department of Education.

Time spent at the University program will earn credits towards a Master’s degree in Education. The residency will pay tuition and student fees. Protected time will be provided to attend classes and complete all required projects.

We are offering a salary of $80,000 plus benefits. There are additional clinical opportunities available in the area that could earn further income. Please call David Ledrick at (419) 251 4204 or write to ledrick@buckeye-express.com if you are interested or fax your CV and cover letter to (419) 251 4211. Application deadline is January 31, 2004.

UNIVERSITY OF CONNECTICUT: Two positions--one current/one Spring 2004.

Multi-hospital academic program with 100,000 + patient visits, 36 residents.

Active Tox, EMS, Hyperbaric, Aeromedical and Trauma services. Excellent opportunities for senior or junior faculty--contact: Robert D. Powers MD MPH, Professor & Chief, UCONN/Hartford Hospital, email: Rpowers@Harthosp.org VANDERBILT UNIVERSITY: RESEARCH DIRECTOR - The Department of Emergency Medicine at Vanderbilt University is currently seeking for an outstanding individual to direct our research program. We have first and fourth year medical student rotations, a Level I Trauma Center, Pediatric and Adult ED’s, a superb residency and all the other components of a well-established program.

We have an active core of researchers with varied academic interests. The Department is committed to faculty development and well-being. Candidates must be residency trained in emergency medicine and eligible for appointment at the Associate or Full Professor level, depending upon qualifications. We provide great benefits and Nashville is a wonderful city. Protected academic time will be provided. Please reply to Corey M. Slovis, M.D., Chairman, Department of Emergency Medicine, Vanderbilt University, Room 703, Oxford House, Nashville, TN 37232-4700, Email: corey.slovis@vanderbilt.edu.

University of Alabama

Fellowship Opportunity

Emergency Medicine/Neurology

Program Director Position

The Department of Emergency Medicine and the Department of Neurology Stroke Program at The University of Texas-Houston Medical School are jointly offering a two-year fellowship to Emergency Medicine Residency graduates.

This is part of an NIH-funded fellowship training program to develop clinicianscientists who are expert in the acute care of stroke patents. During the twoyear training period, the trainee will work as part of a multidisciplinary Stroke Team in evaluating and treating acute stroke patients at four regional Emergency Centers, and will participate in ongoing clinical activities that include prehospital care, emergency treatment, acute brain imaging, neurosonology, endovascular therapy, neuro-critical care and outcomes assessment.

Participation in ongoing clinical research protocols is and important part of the program, and the development of new research initiatives by the trainee will be encouraged through enrollment in a specialized program in clinical research training. Clinical duties will also include a limited number of ED shifts each month. Positions are available starting either July 1st, 2003 or July 1st, 2004.

The University of Alabama at Birmingham is seeking an experienced emergency medicine residency trained individual to assume leadership of its new residency training program in EM as program director. Simply, our vision is to be the very best emergency medicine residency program possible. We have a PGY2-4 program with 6 residents each year, and we are just beginning our 2nd group of 6 outstanding residents July 1. The candidate would join 18 faculty and fellows in the Department of Emergency Medicine. UAB is a prestigious academic health center and research institution, who's school of medicine vision is "top 10 by 2010". We are looking for a talented, collaborative leader to join us in continuing our progress towards our goal.

University of Alabama Hospital's ED evaluates ~48,000 high acuity (admit rate ~28%) patients annually. A new 950 bed hospital opens summer 2004, with a 3-fold expansion of the ED's footprint. Department operations are focused on Education, Clinical Operations, Research, EMS, and Disaster Preparedness.

For more information on the residency program visit us at: http://www.uab.edu/emresidency/

Send a letter of interest, curriculum vitae, and three letters of reference to: David J. Robinson, MD, MS, FACEP, University of Houston Health Science Center at Houston, Department of Emergency Medicine, 6431 Fannin, Suite JJL 433, Houston, TX 77030. Office: (713) 500-7875, Fax: (713) 500-7884, Email: David.J.Robinson@uth.tmc.edu.

Please send a letter or e-mail expressing your interest to: Thomas E. Terndrup, MD, Professor & Chair, Department of Emergency Medicine, University of Alabama at Birmingham, 625 19th St. South; JTN 266 Birmingham, AL 35249-7013, E-mail: tterndrup@uabmc.edu Fax: 205.975.4662, Phone: 205.975.9358 The University of Alabama at Birmingham is an Affirmative Action/Equal Opportunity Employer. Women and minorities are encouraged to apply.

The University of Texas is an Equal Opportunity, Affirmative Action Employer.

Minorities and women are strongly encouraged to apply. This is a security-sensitive position and thereby subject to Texas Education code §51.215.

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Faculty Physician Pediatric Emergency Medicine Emergency Medicine at The Feinberg School of Medicine of Northwestern University Due to continued expansion, applications are invited for full time emergency medicine faculty at Northwestern University, Feinberg School of Medicine and Northwestern Memorial Hospital.

Responsibilities include clinical practice, resident and student teaching, and academic productivity. The expansive, modern emergency department serves about 73,000 patients each year and is complimented by an additional 24 bed ED observation unit. A new, proximate 13,000 square feet of office space houses the administrative, research, and educational functions. The residency program has enrolled its 29th class, currently 10 residents in a pgy 1-4 format. Faculty applicants must hold a medical degree, be residency trained in emergency medicine and be emergency medicine board certified or eligible. In addition, successful candidates must possess exceptional clinical skill and must serve as an effective role model for residents and students.

Women, minorities, and underrepresented groups are encouraged to apply. Salary is competitive. Proposed start date is flexible.To ensure full consideration, please send curriculum vitae, along with a brief description of career interests and goals, prior to October of 2003 to: James Adams, MD JamesC.Adams, MD Professorand and Chief, Chief, Emergency Emergency Medicine Medicine Professor Northwestern University, Feinberg School of Medicine, Northwestern University, Feinberg School of Medicine 259 E. Erie, Suite 100, Chicago, IL 60611, 312-694-7000, 676 N. St. Clair,jadams@nmh.org Suite 2125, Chicago, IL 60611

Carolinas Medical Center

The Department of Emergency Medicine at Carolinas Medical Center is expanding to include a Pediatric ED. We are recruiting pediatric emergency medicine sub-specialists to join our faculty.

A Level I trauma center with an annual volume of 110,000 patients, CMC is the tertiary referral center for adult and pediatric patients throughout the southern Piedmont. Our pediatric volume is 28,000 ED visits per year and increasing. Pediatric services include a PICU, a Level III NICU, and pediatric subspecialty support. Our EM residency program was established in 1976. Basic sciences research is supported by the Cannon Research Center.

An ideal candidate is an experienced emergency physician with formal training in Pediatrics or Pediatric EM. Please forward resumes and inquiries to: John Marx, MD, Chair and Chief, Department of Emergency Medicine, Carolinas Medical Center, PO Box 32861, Charlotte, NC 28232. Phone 704-355-318 or email john.marx@carolinashealthcare.org.

Northwestern University is an Affirmative Action/Equal Opportunity Employer.

Hiring is contingent upon eligibility to work in the United States.

Faculty Position

The Department of Emergency Medicine at The George Washington University Medical Faculty Associates, an independent, non-profit clinical practice group affiliated with The George Washington University, is seeking applications for faculty physicians. The Department provides staffing for the Emergency Units of George Washington University Hospital, Prince George’s Hospital Center, National Naval Medical Center and sponsors Emergency Medicine Residency and student programs.

Cook County Hospital Department of Emergency Medicine The Department of Emergency Medicine at Cook County Hospital is seeking energetic and motivated candidates for a faculty position. Applicants must be residency trained and board certified / eligible in Emergency Medicine. The Department of Emergency Medicine has 54 residents in a PGY II-IV format and 26 full time faculty. The Emergency Departments care for 120,000 adult, 30,000 pediatric and 5000 Level I trauma patients each year. A new 463 bed Cook County Hospital was completed in December, 2002 with a state of the art ED electronic information system. The department offers a very competitive benefit package and protected time to pursue educational, administrative and research projects.

Faculty appointments are at our medical school affiliate, Rush Medical College.

We are seeking physicians who will participate in our clinical and educational programs and contribute to the Department’s research/consulting agenda. We are seeking candidates with backgrounds in medical informatics, bedside diagnostic imaging, and emergency public health-related areas.

Physicians should be residency trained or board certified in Emergency Medicine. University Faculty rank will be commensurate with experience. Review of applications will continue until all positions are filled.

Please submit CV to Robert Shesser, MD, Chair, Department of Emergency Medicine, The George Washington University Medical Center, 2150 Pennsylvania Ave, NW, Suite 2B-417, Washington, DC 20037; email: rshesser@mfa.gwu.edu.

Interested candidates should contact: Jeff Schaider, MD, FACEP, Associate Chairman, Department of Emergency Medicine, Cook County Hospital, 1900 West Polk Street 10th floor, Chicago, IL 60612, Telephone - 312 633 5451, jschaider@ccbh.org

The George Washington University Medical Faculty Associates is an equal opportunity, affirmative action employer

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The Department of Emergency Medicine at Maine Medical Center is seeking Emergency Physicians with a demonstrated commitment to patient care, education and scholarly production for the following positions:

EMERGENCY MEDICINE ACADEMIC POSITION

Director of Pediatric Emergency Medicine

Do you have a passion for teaching, but also want to maintain a clinical practice?

Candidates must be board certified or prepared in Emergency Medicine with additional training in either Pediatrics or Pediatric Emergency Medicine.

If your answer is yes, you will want to learn more about this exciting opportunity. The Medical College of Wisconsin, a private educational institution dedicated to education, patient care, research, and community service seeks a full-time academic faculty member in the Department of Emergency Medicine. The Department of Emergency Medicine has a well recognized and outstanding residency program that has been accredited the past five years. Faculty in the department are nationally recognized in the areas of ultrasound, injury control, cardiopulmonary resuscitation, emergency cardiac care, and emergency medical services.

This position offers a challenging practice, wonderful fringe benefits, and a great location in an urban/regional EM.

Open Rank Candidates must be residency trained in Emergency Medicine with demonstrated excellence as a clinician, educator and academician. This position will offer protected time for development of a career in academic Emergency Medicine.

This represents a unique opportunity to join a young academic department poised for rapid and vigorous growth. The department supports a fully accredited three-year residency training program and provides emergency care to 52,000 patients annually. Maine Medical Center serves as the trauma center for Southern Maine and houses the Barbara Bush Children’s Hospital. The current faculty is cohesive, experienced and committed to academic and clinical excellence.

The great Portland Community, located on the southern Maine coast, offers an attractive place to live and practice academic Emergency Medicine. Interested candidates should send (electronic communications are preferred) a cover letter and curriculum vitae to: Michael A. Gibbs, MD, Department of Emergency Medicine, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102; Phone: (207) 842-7010; Fax: (207) 842-7025; Email: gibbsm@mmc.org

Come and live in one of the Midwest’s most popular lakefront metropolitan cities. Cultural and recreational opportunities are bountiful along with nationally ranked educational systems.

For additional information on this unique opportunity, please contact Alissa Kind at (800) 243-4353 or email physearch@aol.com.

STRELCHECK & ASSOCIATES, INC. 1009 W. GLEN OAKS LN., STE. 211 • MEQUON, WI 53092

A health place like no place in Maine.

The MAINEHEALTH Family

WWW.MMC.ORG

The SAEM Newsletter is mailed every other month to the 5,500 members of SAEM. Advertising is limited to fellowship and academic faculty positions.

Deadline for receipt: October 1 (November/ December), December 1 (January/February), February 1 (March/April), April 1 (May/June), June 1 (July/August) and August 1 (September/October). Ads received after the deadline can often be inserted on a space available basis.

The Department of Emergency Medicine of Texas Tech University School of Medicine is seeking an experienced Emergency Medicine residency trained physician to assume leadership of it’s residency program. The program is over twenty years old, fully accredited and has twenty-four residents at present. The candidate would join 15 EM physicians in the Department. Our mission is to prepare residents to be able to practice in an ED in the country. The Department is located in El Paso, Texas and will soon be incorporated into the new 4 year medical school just approved by the state legislature. Our new offices are under construction on campus and a new $36 million research building is in late design phase for the campus. Our main ED is at Thomason Hospital with a patient volume of 60,000 visits last year.

It is a Level I Trauma Center and is opening a new $25 million wing including the ED Observation Unit yearly next year. For more information on the residency visit http://www.elp.ttuhsc.edu/em

Advertising Rates: Classified Ad (100 words or less) Contact in ad is SAEM member ..............................$100 Contact in ad non-SAEM member ..........................$125 1/4 - Page Ad (camera ready) 3.5" wide x 4.75" high............................................$300 To place an advertisement, e-mail or fax the ad, along with contact person for future correspondence, telephone and fax numbers, billing address, ad size, and Newsletter issues in which the ad is to appear to: Carrie Barber at carrie@saem.org, via fax at (517) 485-0801. For more information or questions, call (517) 485-5484.

Please send a letter or email expressing interest to: Matthew J. Walsh, MD, Associate Professor and Chiar, Dept. of EM, 6090 Surety Dr. #412, El Paso, Texas 79905. Email mwalsh1@elp.rr.com or phone 915-771-6482.

All ads posted on the SAEM web site at no additional charge.

Texas Tech University is an Equal Opportunity Employer. Women and minorities are encouraged to apply.

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Faculty Positions The University of Nebraska Medical Center, Section of Emergency Medicine is recruiting 1-2 additional faculty members committed to developing an academic career.

Risk Factors Include: No True Partnership Unfair Compensation Unhealthy Scheduling Practices

Adequate protected time is provided and start-up funding is available. Preference is given to individuals with fellowship training or research experience. With the possibility of a residency starting in July 2004, this is a great opportunity to help shape the future of emergency medicine in this region.

Respond in confidence to: Robert Muelleman, M.D., Professor, Chief of Emergency Medicine, University of Nebraska Medical Center, 981150 Nebraska, Omaha, NE68198-1150. (402-559-6705) The University of Nebraska is an affirmative action/equal opportunity employer. Minorities and women are encouraged to apply.

Treatment: Equal Equity Ownership Superior Compensation Physician-Friendly Scheduling Work with EMP

Faculty position available with AOA- approved EM residency training program at Ohio Valley Medical Center in Wheeling, WV.

Contact: Dominic J. Bagnoli, Jr., MD, FACEP, FAAEM

Academic Emergency Physician

We’re on a mission to raise the bar on healthcare delivery

Exciting position for an experienced, residency trained, board certified/ eligible emergency physician to join the faculty of the Department of Emergency Medicine, a full academic department of the Mount Sinai School of Medicine in New York City.

Research Track The Emergency Department at Regions Hospital in St. Paul, Minnesota is recruiting research faculty to join our progressive academic group. Regions Hospital is a Level I Trauma and Burn Center with an established 3-year EM residency program and an annual ED volume of 63,000. Our ED recently obtained over $1 million to lead national studies of ED crowding, and we are now beginning an exciting clinical operations research program to redesign hospital-wide patient flow. We believe the ED is a perfect laboratory for understanding and improving health care delivery systems.

The Mount Sinai School of Medicine is a leader in medical education and research. The hospital is a 900 bed tertiary center with an annual ED census of over 70,000. The EM residency is fully accredited.

Academic rank commensurate with qualifications.

Requires proven grant writing skills, productive research experience, and/or fellowship training. Will have significant protected time. Support is available for pilot project funding, grant writing, and statistical analyses, with access to large HMO-linked population and hospital operations databases.

Applicants should be EM residency-trained, ABEM certified or eligible, and have or be eligible to attain Minnesota and Wisconsin medical licensure. As with our current faculty, we will support faculty appointments to the Department of Emergency Medicine at the University of Minnesota.

Please submit confidential letter and C.V. to: Carol Barsky MD, Director and Vice Chair, Department of Emergency Medicine, Mount Sinai School of Medicine, Box 1149, One Gustave L. Levy Place, New York, NY, 10029. Fax (212) 427-2180.

We are an equal opportunity employer fostering diversity in the workplace.

To take advantage of these exciting opportunities, please contact Dr. Brent Asplin, Department Head, at 651-254-1809 or via e-mail brent.r.asplin@healthpartners.com. For more information, email sandy.j.lachman@healthpartners.com or call 800-472-4695. Visit us online at www.regionsem.org and www.healthpartners.com. EO Employer

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Department of Emergency Medicine

EMS Fellowship The Department of Emergency Medicine (DEM) at the Oregon Health & Science University (OHSU) offers oneyear or two-year fellowships in Emergency Medical Services (EMS). OHSU is a Level I trauma center and base station hospital whose faculty is actively involved in ground and air medical EMS in the three counties surrounding Portland, Oregon. OHSU is a qualified host for the SAEM/Medtronic Physio-Control Fellowship in EMS. A formal didactic curriculum through the OHSU School of Public Health offers individuals the opportunity to earn an MPH degree during the two-year fellowship. Opportunities also exist to combine the clinical and administrative fellowship experience with degree or diploma programs in clinical research, healthy policy, epidemiology, informatics or business administration. Please contact Mohamud Daya, MD, MS EMS Fellowship Director at OHSU Emergency Medicine, GH239, 3181 SW Sam Jackson Park Road, Portland, OR 972391-3098; phone (503) 494-7248; email dayam@ohsu.edu

UNIVERSITY OF FLORIDA Jacksonville and Gainesville The University of Florida is seeking qualified candidates for two (2) positions as Directors of Research in the Department of Emergency Medicine (one in Jacksonville and one in Gainesville). Candidates must be BC/BE in Emergency Medicine. The Directors will conduct and oversee research projects, mentor junior faculty and residents research activities, and provide support for clinical trials. Proven experience in securing extramural grants and contracts is mandatory. Faculty appointments are available at the rank commensurate with experience and productivity. Both departments are in urban hospitals with a combined annual patient volume of 140,000+. Excellent benefits package which includes health, life, and disability insurance, vacation & sick leave, 403B retirement plan with immediate vesting, and sovereign immunity on medical liability coverage. Mail letter of interest and CV (or fax 904/244-5666) to Dr. David Vukich, Professor & Chairman, Dept. of Emergency Medicine, University of Florida/HSC, 655 W. 8th Street, Jacksonville, Florida 32209. Will begin reviewing applications on 4/1/03. Anticipated start date 8/1/03 or sooner. EOE/AA employer.

The Johns Hopkins Center for International Emergency, Disaster, and Refugee Studies announces a two-year fellowship in international emergency medicine. The fellowship seeks to prepare leaders in international health and international emergency systems by developing academic, clinical, and administrative skills in international emergency medicine and humanitarian assistance.

The fellowship will provide board eligible emergency medicine physicians with the opportunity to obtain training in international aspects of emergency medicine, formal public health education, and in-field experience in international health.

Interested persons may contact Chayan Dey MD MPH, Johns Hopkins University, 600 North Wolfe Street, Marburg B-186, Baltimore, MD 21205; (410) 955-8708; cdey@jhmi.edu.

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NOTE: Join SAEM in the last quarter of 2003 and receive membership benefits for the rest of 2003 and all of 2004 with payment of one year’s due payment.

SAEM Membership Application

NOTE: $25 initiation fees have been discontinued. Also, resident members may select membership in one interest group at no charge.

Please complete and send to SAEM with appropriate dues and supporting materials or join SAEM on-line at www.saem.org SAEM • 901 N. Washington Ave. • Lansing, MI 48906 • 517-485-5484 • Fax: 517-485-0801 • www.saem.org • saem@saem.org Name ______________________________________________________________________ Title: MD DO PhD Other _________ Home Address _______________________________________________________________ Birthdate_________________ Sex: M F ___________________________________________________________________________________________________________ Business Address ______________________________________________________________________________________________ ___________________________________________________________________________________________________________ Preferred Mailing Address (please circle): Home Business Telephone: Home ( ______ ) ______________________________ Business ( ______ ) ______________________________ FAX: ( ______ ) _____________________________________ E-mail: ____________________________________________________ Medical school or university faculty appointment and institution (if applicable):__________________________________________________ Membership benefits include: • subscription to SAEM’s monthly, peer-reviewed journal, Academic Emergency Medicine • subscription to the bimonthly SAEM Newsletter • reduced registration fee to attend the SAEM Annual Meeting Check membership category:

❒ Active

❒ Associate

❒ Resident

❒ Fellow

❒ Medical Student

Active: individuals with an advanced degree (MD, DO, PhD, PharmD, DSc or equivalent) who hold a university appointment or are actively involved in Emergency Medicine teaching or research. The application must be accompanied by a CV. Active members are eligible to vote for proposed Constitution and Bylaws amendments and to fill elected positions in the Society. Annual dues are $365 payable when the application is submitted.

I attest that I hold a university appointment or am actively involved in Emergency Medicine teaching or research: ❒ Yes ❒ No Associate: health professionals, educators, government officials, members of lay or civic groups, or members of the public who have an interest in Emergency Medicine. The application must be accompanied by a CV. Associate members may serve on the Board of Directors, but cannot serve as officers nor vote for Constitution and Bylaws amendments or to fill elected positions in the Society. Annual dues are $350 payable when the application is submitted.

Resident: residents interested in Emergency Medicine. Annual dues are $90 payable when the application is submitted. My anticipated date (month and year) of residency graduation is_________. (A group discount resident member rate is available. Contact SAEM for details.)

Fellow: fellows interested in Emergency Medicine. Annual dues are $90 payable when the application is submitted. My anticipated date (month and year) to complete my fellowship is_________.

Medical Student: medical students interested in Emergency Medicine. Annual dues are $75 (includes journal subscription) or $50 (excludes journal subscription), payable when the application is submitted. My anticipated medical school graduation date (month/year) is _________.

Interest Groups: SAEM members are invited to join interest groups. Include $25 annual dues for each interest group (resident members may join one interest group at no charge): ❒ airway ❒ CPR/ischemia/reperfusion ❒ clinical directors ❒ diversity ❒ EMS ❒ ethics

❒ evidence-based medicine ❒ geriatrics ❒ health services & outcomes research ❒ international ❒ medical student educators

❒ neurologic emergencies ❒ pain management ❒ pallative care ❒ pediatric emergency medicine ❒ public health ❒ research directors

❒ simulation ❒ toxicology ❒ trauma ❒ ultrasound ❒ uniformed health services ❒ web-educators

My signature certifies that the information contained in this application is correct and is an indication of my desire to become an SAEM member.

Signature of applicant _______________________________________________________________________ Date ________________ 22

SAEM 2004 Research Grants Emergency Medicine Medical Student Interest Group Grants These grants provide funding of $500 each to help support the educational or research activities of emergency medicine medical student organizations at U.S. medical schools. Established or developing interest groups, clubs, or other medical student organizations are eligible to apply. It is not necessary for the medical school to have an emergency medicine training program for the student group to apply. Deadline: September 4, 2003.

Research Training Grant This grant provides financial support of $75,000 per year for two years of formal, full-time research training for emergency medicine fellows, resident physicians, or junior faculty. The trainee must have a concentrated, mentored program in specific research methods and concepts, and complete a research project. Deadline: November 3, 2003.

Institutional Research Training Grant This grant provides financial support of $75,000 per year for two years for an academic emergency medicine program to train a research fellow. The sponsoring program must demonstrate an excellent research training environment with a qualified mentor and specific area of research emphasis. The training for the fellow may include a formal research education program or advanced degree. It is expected that the fellow who is selected by the applying program will dedicate full time effort to research, and will complete a research project. The goal of this grant is to help establish a departmental culture in emergency medicine programs that will continue to support advanced research training for emergency medicine residency graduates. Deadline: November 3, 2003.

Scholarly Sabbatical Grant This grant provides funding of $10,000 per month for a maximum of six months to help emergency medicine faculty at the level of assistant professor or higher obtain release time to develop skills that will advance their academic careers. The goal of the grant is to increase the number of independent career researchers who may further advance research and education in emergency medicine. The grant may be used to learn unique research or educational methods or procedures which require day-to-day, in-depth training under the direct supervision of a knowledgeable mentor, or to develop a knowledge base that can be shared with the faculty member’s department to further research and education. Deadline: November 3, 2003.

Emergency Medical Services Research Fellowship This grant is sponsored by Medtronic Physio-Control. It provides $60,000 for a one year EMS fellowship for emergency medicine residency graduates at an SAEM approved fellowship training site. The fellow must have an in-depth training experience in EMS with an emphasis on research concepts and methods. The grant process involves a review and approval of emergency medicine training sites as well as individual applications from potential fellows.

Deadline: November 3, 2003.

Neuroscience Research Fellowship This grant is sponsored by AstraZeneca. It provides one year of funding at $50,000 for an emergency medicine resident, graduate, or junior faculty member to obtain a mentored research training experience in cerebrovascular emergencies. The research training may be in basic science research, clinical research, or a combination of both, and the mentor need not be an emergency medicine faculty member. Completion of a research project is required, but the emphasis of the fellowship is on the acquisition of research skills. Deadline: November 3, 2003.

EMF/SAEM Medical Student Research Grants This grant is co-sponsored by the Emergency Medicine Foundation and SAEM. It provides up to $2,400 over 3 months for a medical student to encourage research in emergency medicine. More than one grant is awarded each year. The trainee must have a qualified research mentor and a specific research project proposal. Deadline: February 6, 2004.

Geriatric Emergency Medicine Resident/Fellow Grant This grant is made possible by the John A. Hartford Foundation and the American Geriatric Society. It provides up to $5,000 to support resident/fellow research related to the emergency care of the older person. Investigations may focus on basic science research, clinical research, preventive medicine, epidemiology, or educational topics.

Deadline: March 5, 2004.

Further information and application materials can be obtained via the SAEM website at www.saem.org.

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S A E M

NEWSLETTER

Society for Academic Emergency Medicine 901 N. Washington Avenue Lansing, MI 48906-5137

Presorted Standard U.S. Postage PAID Lansing, MI Permit No. 485

Newsletter of the Society for Academic Emergency Medicine Board of Directors Donald Yealy, MD President Carey Chisholm, MD President-Elect James Adams, MD Secretary-Treasurer Roger Lewis, MD, PhD Past President Valerie DeMaio, MD Leon Haley, Jr, MD, MHSA Glenn Hamilton, MD Stephen Hargarten, MD, MPH Katherine Heilpern, MD James Hoekstra, MD Susan Stern, MD

Editor David Cone, MD David.Cone@yale.edu Executive Director/Managing Editor Mary Ann Schropp mschropp@saem.org Advertising Coordinator Carrie Barber Carrie@saem.org

“to improve patient care by advancing research and education in emergency 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.

Call for Didactic Proposals 2004 Annual Meeting May 16-19, 2004 Orlando, Florida

The Program Committee is inviting proposals for didactic sessions for the 2004 Annual Meeting. This year the Program Committee would like to emphasize proposals on educational research methodology and leadership development (including advancement within academic departments, medical schools and national organizations). Didactic proposals may be aimed at medical students, residents, junior faculty and/or senior faculty. The format may be a lecture, panel discussion, or workshop. The Program Committee will also consider proposals for pre- or post-day workshops or multiple sessions during the Annual Meeting aimed at in-depth instruction in a specific discipline.

Didactic proposals must support the mission of SAEM (to improve patient care by advancing research and education in emergency medicine) and should fall into one of the following categories: • Education (educational research methodology, education methodology, improving the quality of education, enhancing teaching skills) • Research (research methodology, improving the quality of research) • Career Development • State-of-the-Art (presentation of cutting-edge basic science or clinical research that has important implications for further investigation or the future practice of emergency medicine, not a review of the literature or a summary of clinical practice) • Health Care Policy and National Affairs The deadline for submission is Wednesday, September 10, 2003 at 5:00 pm Eastern Daylight Time. Only online submissions will be accepted. To submit a proposal, complete the online Didactic Submission Form at www.saem.org. For additional questions or information, contact SAEM at saem@saem.org or call 517-485-5484 or send a fax to 517-485-0801.