September-October 2005 by Society for Academic Emergency Medicine

S A E M

Newsletter of the Society for Academic Emergency Medicine September/October 2005 Volume XVII, Number 5

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

Research Fund Update

PRESIDENT’S MESSAGE SAEM: the Near-term Future, 2005-2006 Note: Beginning Fall, 2004 through Spring 2005, I had the opportunity to present this address at five of the six SAEM Regional Meetings. It was a means of meeting with the members in attendance and sharing my thoughts on the near-term future of the Society. For this Newsletter, it has been revised to Glenn C. Hamilton, MD reflect our current status and active plans for 2005-2006. Consider it a partial guide to the objectives being pursued by more than 300 members on our six Task Forces and 21 Committees: This is my 30th year in emergency medicine. The vast majority of this time has been in academics. As a long-term observer and participant in this environment, I’ve come to have a number of opinions and views about the directions academic emergency medicine has taken to date and other paths we might take in the future. I’ve asked for this chance to address you, as the role of leadership represents a relationship of trust, and all too often in organizations leadership exists with too many degrees of separation from membership. These comments represent a few thoughts about directions SAEM is taking on behalf of its membership over the coming year. These began as personal views and preliminary thoughts shaped by feedback from a number of serial discourse with the Board of Directors over several months. At the same time, this is a recruitment talk. Whatever your academic interests or abilities, learning and leadership opportunities should be sought through SAEM. I pursued this elected leadership role in the Society from a unique perspective. Twenty years previously, as STEM President in 1985, I presented the idea of a merger to the then UA/EM Executive Council (Board of Directors). Their response was to decline. Still, several like-minded individuals persisted in presenting the view that the two societies then representing somewhat different arenas of academics could serve both emergency medicine and its academic future more fully by joining together. And, after four years of effort and dialogue, SAEM arose from the pairing of two quality organizations. It’s been interesting to witness the directions taken from what the founders anticipated 15 years ago. In some areas we have great strengths, our Annual Meeting, the AEM Journal, amazing growth to over 5,000 members, the regional meeting structure; and in others there remains room for continued development. These latter are the areas I wish to discuss: The first area is money and finances. Now, most aca-

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The purpose of the SAEM Research Fund is to provide training grants and other funding opportunities for SAEM members, emergency medicine residents, and medical students. The Research Fund continues to perform well. The account value on June 30, 2005 was $4,043,549, representing a significant gain over the value on June 30, 2004, which was $3,155,382.

Call For Papers 2006 AEM Consensus Conference Deadline: March 1, 2006 The 2006 Academic Emergency Medicine Consensus Conference will be held on May 17 the day before the 2006 SAEM Annual Meeting in San Francisco. Original papers are being sought to accompany the conference proceedings, which will be published in the November 2006 issue of AEM. This issue of the journal will be solely dedicated to the conference topic. The conference theme will be “The Science of Surge.” The concept of surge extends to two areas, daily surge and disaster surge – multifaceted and multidisciplinary concepts that are intrinsically inter-related, but not overlapping. The consensus conference will focus almost exclusively on defining the scientific parameters of surge capacity. The conference will review current scientific knowledge, current understanding of surge, and current understanding of the inter-relationships of the two main concepts. The conference will be designed and conducted to reach consensus on: • Definitions of primary concepts • How the two concepts should/could overlap • Determining important areas of discovery • Determining potential methodological approaches • Determining appropriate metrics The major goal of the conference will be to set the research agenda for emergency medicine for the scientific exploration of surge capacity. The conference will determine a plan for advocacy (means to communicate the importance of this area as a research endeavor to related disciplines, policy makers, and funding agencies), and will also identify potential funding sources with an interest in this area. Original contributions describing relevant research or concepts in this topic will be considered for publication in the November 2006 special topics issue of AEM if received by Wednesday, March 1, 2006. All submissions will undergo peer review by guest editors and reviewers with special expertise in this area. If you have any questions, please contact David C. Cone, MD, at david.cone@yale.edu or 203-7854710. The SAEM Newsletter and the AEM and SAEM websites will carry additional information about the upcoming Consensus Conference.

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

SAEM Meetings to be held during ACEP Scientific Assembly Many of the Society’s committees, task forces and interest groups will meet during the ACEP Scientific Assembly in Washington, DC. The meetings have been posted on the SAEM website and will be updated continuously through September. In the meantime, here are the meetings that have been scheduled so far: Sunday, May 25 Finance Committee, 3:30-5:00 pm, Washington Board Room, Grand Hyatt Medical Student Educators Interest Group, 4:00-5:30 pm, Constitution D, Grand Hyatt Monday, September 26 Board of Directors, 8:00 am – 5:00 pm, Washington Board Room, Grand Hyatt Research Committee, 8:00-9:30 am, Meeting Room 12, Renaissance Hotel Ethics Committee, 9:45-10:45 am, Meeting Room 12, Renaissance Hotel Industry Task Force, 10:00-11:30 am, Meeting Room 11, Renaissance Hotel 2006 Annual Meeting Program Committee, 12:00-5:00 pm, Renwick/Bulfinch Room, Grand Hyatt Ethics Interest Group, 1:00-2:00 pm, Meeting Room 12, Renaissance Hotel Development Committee, 3:00-4:00 pm, Meeting Room 12, Renaissance Hotel Tuesday, September 27 Board of Directors, 12:00-5:00 pm, Bulfinch Room, Grand Hyatt Simulators Task Force, 12:30-2:00 pm, Meeting Room 12, Renaissance Hotel Geriatric Task Force, 2:00-4:00 pm, Meeting Room 12, Renaissance Hotel Wednesday, September 28 AEM Editorial Board Retreat (by invitation), 8:00 am – 5:00 pm, Lafayette Park, Grand Hyatt Nominating Committee, 8:00-9:00 am, Meeting Room 12, Renaissance Hotel SAEM/ABEM Officers Meeting (by invitation), 10:00-11:00 am, Independence I, Grand Hyatt Educational Research Subcommittee, 10:30-11:30 am, Meeting Room 13, Renaissance Hotel All committee, task force, interest group and Board meetings are generally open to all members of SAEM.

Call for Abstract Reviewers Deadline: October 1, 2005 The Program Committee is currently accepting applications to serve as expert reviewers of scientific abstracts submitted for consideration of presentation at the 2006 Annual Meeting, which will be held May 18-21 in San Francisco. The minimum requirement for new abstract reviewers is at least 2 first author peer-reviewed original research 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. Interested individuals should electronically submit to saem@saem.org the following by October 1, 2005 at noon: abbreviated CV (full CVs will not be considered) with a detailed listing of peer-reviewed original research publications, review articles, textbook chapters, and prior scientific abstract presentations published in the specific 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 ● overcrowding ● pediatrics ● psychiatry/social issues ● research design/methodology/statistics ● respiratory/ENT ● shock/critical care ● toxicology/environmental injury ● trauma ● wounds/burns/orthopedics

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Every year, the Program Committee selects approximately six reviewers for each of the topic areas, including expert reviewers and members of the Program Committee. Therefore, not every approved reviewer will be invited to review each year. 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 10, 2006. Abstracts will be sent for review by January 12 and abstract scores will be due by noon on January 23. All scores must be submitted online. 2

Research Fund Membership Campaign Report The 2005 Member Campaign for the Research Fund has brought in contributions in the amount of $22,260 to date, and the 2006 campaign will begin in the fall. To all the SAEM members who have contributed, the Society thanks you. If you have not yet had the opportunity to contribute, please consider joining your fellow members in contributing to this worthy effort. Listed below is the cumulative list of contributors and their cumulative contributions for the last three years. These contributions, as well as those from SAEM, have increased the Research Fund to over 4 million dollars! Dean ($5000 or more) Gabor Kelen, MD Professor ($2500-$4999) James Adams, MD Michelle Biros, MS, MD Glenn Hamilton, MD Jerris Hedges, MD, MS John Marx, MD Mary Ann Schropp Susan Stern, MD Mentor ($1000-$2499) William Barsan, MD John Becher, MD Michelle Blanda, MD Carey Chisholm, MD Theodore Christopher, MD Steven Dronen, MD Katherine Heilpern, MD James Hoekstra, MD Kenneth Iserson, MD, MBA Jeffrey Kline, MD Roger Lewis, MD, PhD Brian O'Neil, MD Scott Syverud, MD Peter Van Ligten, MD Donald Yealy, MD Brian Zink, MD Sponsor ($500-$999) Gail Anderson, MD Felix Ankel, MD Brent Asplin, MD Christopher Beach, MD Louis Binder, MD Michael Callaham, MD Carlos Carmargo, Jr., MD, DrPH Daniel Danzl, MD Kelly Foley, MD Susan Gin-Shaw, MD David Guss, MD Mark Hauswald, MD Cherri Hobgood, MD Judd Hollander, MD James Holmes, Jr., MD, MPH James Jones, MD Kevin Knoop, MD Mark Langdorf, MD Michael Lucchesi, MD Marcus Martin, MD Lawrence Melniker, MD, MS Phillip Rice, Jr., MD Joseph Salomone, III, MD Robert Schafermeyer, MD Robert Shesser, MD, MPH Ron Walls, MD

Matthew Walsh, MD Marvin Wayne, MD Frank Zwemer, Jr., MD, MBA Investigator ($250-$499) Todd Allen, MD James Amsterdam, DMD, MD, MMM Michael Baumann, MD Steven Bernstein, MD Robert Birkhahn, MD Andra Blomkalns, MD Michael Bohrn, MD William Bond, MD Kris Brickman, MD Judith Brillman, MD E. Martin Caravati, MD, MPH Amy Church, MD Francis Counselman, MD Steven Davidson, MD, MBA Eric Dickson, MD Barry Diner, MD Gary Gaddis, MD, PhD Gregory Garra, DO Marianne Gausche-Hill, MD Lowell Gerson, PhD Lewis Goldfrank, MD Leon Haley, Jr., MD, MHSA Robert Hockberger, MD Debra Houry, MD, MPH Charlene Irvin, MD Sheldon Jacobson, MD Edward Jauch, MD Louise Kao, MD Karen Kerner, MD Steven Krug, MD David Lee, MD Richard Levitan, MD Lawrence Lewis, MD Christopher Linden, MD Anthony Macasaet, MD Daniel Morris, MD Benson Munger, PhD Daniel Pallin, MD, MPH Edward Panacek, MD Paul Paris, MD Mary Patterson, MD Gene Pesola, MD, MPH Stephen Pitts, MD Michael Radeos, MD Jedd Roe, MD, MBA Leland Ropp, MD Michael Runyon, MD Robert Satonik, MD Augusta Saulys, MD Kimberly Scholfield, MD Lawrence Schwartz, MD Fred Severyn, MD Paul Silka, MD Marco Sivilotti, MD, MSc Marc Squillante, DO Robert Swor, MD Kirsch Thomas, MD, MPH Robert Wiebe, MD

Scott Wilber, MD Mildred Willy, MD Michael Witting, MD Kelly Young, MD Supporter ($100-$249) Juan Acosta, MD Roy Alson, MD, PhD Harrison Alter, MS, MD Susan Ambrose, MD Douglas Ander, MD Amy Archer-Uyenish, MD David Bahner, MD Lydia Baltarowich, MD Jill Baren, MD Richard Barry, MD Carol Barsky, MD Patricia Bayless, MD Mary Bennett, MD Robert Bilkovski, MD Steven Bird, MD Marc Borenstein, MD Christopher Bourdon, MD, CCFP James Bouzoukis, MD Richard Bradley, MD, EMT-P Russ Braun, MD, MPH, MBA Mark Brautigan, MD Gerard Brogan, Jr., MD Michael Brown, MD Patrick Brunette, MD James Calabro, MD Christopher Carpenter, MD Michael Cassara, DO Shu Chan, MD, MS Douglas Char, MD Stanley Chartoff, MD Paul Cheney, MD Wendy Coates, MD Jeffrey Cukor, MD Rita Cydulka, MD, MS Michael Dailey, MD William Dalsey, MD Genevieve De Beaubien, MD Lynn Dezelon, MD Lynnette Doan-Wiggins, MD, JD Christopher Dong, MD Gail D'Onofrio, MD Carla'nne Dukes, DO John Duldner, Jr., MD, MS Jonathan Edlow, MD David English, MD Scott Fairbrother, MD Jay Falk, MD James Feldman, MD Susan Fish, PharmD, MPH Robert Frank, MD William Freeman, MD Steven Frei, MD Mark Frydenborg, MD Susan Fuchs, MD E. John Gallagher, MD Robert Galli, MD Romolo Gaspari, MD Michael Gibbs, MD

James Giglio, MD Juan Gonzalez-Sanchez, MD Louis Graff, MD Michael Greenberg, MD John Griswell, MD Gregory Guldner, MD Jason Haukoos, MD, MS Yolanda Haywood, MD Kennon Heard, MD Mary Hegenbarth, MD Mark Henry, MD Eric Herbert, MD Brian Hiestand, MD Jon Mark Hirshon, MD, MPH David Hnatow, MD Dee Hodge III, MD Anita Hodson, MD Benjamin Honigman, MD David Howes, MD Gregg Husk, MD Kaveh Ilkhanipour, MD Frank Illuzzi, MD Jennifer Isenhour, MD Neil Jasani, MD Sharhabeel Jwayyed, MD Costas Kaiafas, MD David Karras, MD Harry Kerr, MD Naghma Khan, MD Gautam Khandelwal, MD Sorabh Khandelwal, MD Stephen Knazik, DO Kristi Koenig, MD Joseph Kuchinski, DO Nathan Kuppermann, MD, MPH Steven Kushner, MD, MPH Thomas Kwiatkowski, MD Christopher Lai, MD Joseph LaMantia, MD Todd Larabee, MD Eric Legome, MD Evan Leibner, MD E. Brooke Lerner, PhD, EMT-P Phillip Levy, MD Joseph Lex, Jr., MD Judy Linden, MD Jo Ellen Linder, MD Louis Ling, MD Gretchen Lipke, MD David Lisbon, MD Bernard Lopez, MD, MS Jeffrey Love, MD Robert Lowe, MD, MPH Thomas Lukens, MD, PhD Stephan Lynn, MD Bruce MacLeod, MD Anil Mahajan, MD Brian Mahoney, MD Noel Mancherje, MD Catherine Marco, MD Keith Marill, MD Daniel Martin, MD Peter Martin, MD Eduardo Marvez-Valls, MD Jon Mason, MD Amal Mattu, MD Tracy McCubbin, MD Roland McGrath, MD Dale McNinch, MD Francis Mencl, MD James Menegazzi, PhD John Mertz, MD David Meyers, MD Glenn Mitchell, MD John Molnar, MD

Donna Moro-Sutherland, MD Peter Moyer, MD John Nagurney, MD, MPH Martha Neighbor, MD Robert Neumar, MD, PhD David Newman, MD Jonathan Olshaker, MD Gerald O'Malley, DO William O'Riordan, MD Kevin Osgood, MD Norman Paradis, MD Michael Paul, MD Peter Peacock, Jr., MD Frank Pettyjohn, MD Valerie Phillips, MD Steven Polevoi, MD Gary Pollock, MD James Pribble, MD Susan Promes, MD Niels Rathlev, MD Thomas Regan, MD Joseph Rella, MD James Richardson, MBA Ralph Riviello, MD Raul Rodriguez, MD Amy Rontal, MD Joel Rosenbloom, DO Robert Rosenbloom, MD Robert Rosenthal, MD Douglas Rund, MD Daniel Rusyniak, MD Winston Ryan, MD John Sakles, MD Kym Salness, MD Sally Santen, MD Andrew Sapira, MD John Saucier, MD Michael Sayre, MD Jason Schaffer, MD Daniel Schelble, MD Kathleen Schrank, MD Robert Schwab, MD David Seaberg, MD Hosseinali Shahidi, MD Richard Shih, MD Neal Shipley, MD Lee Shockley, MD Paul Sierzenski, MD Bonita Singal, MD John Skiendzielewski, MD David Sklar, MD Earl Smith, III, MD Rodney Smith, MD Rebecca Smith-Coggins, MD Linda Spillane, MD Karl Sporer, MD Lawrence Stock, MD Susan Stroud, MD Judith Tintinalli, MD, MS Vicken Totten, MD, MS Thomas Tsou, MD Alan Tuttle, II, MD Phyllis Vallee, MD Keith Van Meter, MD Annette Visconti, MD David Vukich, MD Robert Wears, MD, MS Christopher Weaver, MD Ellen Weber, MD Robert Welch, MD Arlo Weltge, MD, MPH Dan Wiener, MD James Wilde, MD Andrew Wilson, Jr., MD Lance Wilson, MD

Stephen Wolf, MD Brian Zachariah, MD Christopher Ziebell, MD Other (under $100) Orlando Adamson, MD Elizabeth Alpern, MD Margaret Barron, MD Kelly Brown Kevin Brown, MD Andrew Butterfass, MD Joseph Calabro, DO Clifton Callaway, MD, PhD Russell Clark, MD Lisa Cowan Robert Darling, MD Valerie De Maio, MD Cory Duncan, MD Bridget Dyer Daniel Fagin Terry Fairbanks, MD Kenneth Fine, MD Eric Fleegler, MD Mike Galindo Martin Geisen, MD Paul Gennis, MD Jody Gerard, MD Robert Gerhardt, MD, MPH Le Giang Daniel Girzadas, Jr., MD Shantall Hall Kathryn Hall-Boyer, MD Fred Harchelroad, Jr., MD William Heegaard, MD, MPH Linda Herman, MD Michael Hocker, MD Dave Holson, MD, MPH Joseph Howton, MD Venkatesh Kambhampati Craig Kennedy, MD Christopher Kerwin PJ Konicki, MD Donald Kosiak, Jr., MD Terry Kowalenko, MD Christopher Krieg, MD Ruth Lamm, MD Rondall Lane, MD Timothy Lee Beth Longenecker, DO Darrell Looney, MD Seth Manoach, MD James Mayo Ferrell McClain Ron Medzon, MD

Laura Melville, MD Frank Messina, MD Antonio Muniz, MD Samuel Nay Sean-Xavier Neath, MD, PhD Leigh Patterson, MD Vanessa Price-Davis, MD Bruce Quinn, MD Jonathan Redenbaugh, MD Alfred Sacchetti, MD Marcelo Sandoval, MD Mark Scheatzle, MD, MPH Stephen Schenkel, MD Greg Simsarian, MD Richard Sinert, DO David Skibbie, MD, MA Michael Slater, MD Edward Sloan, MD, MPH James Smith, Jr., MD Matthew Spencer, MD Jennifer Stenson, DO Douglas Tannas, MD Nathan Teismann Daniel Theodoro, MD Stephen Thornton, MD Joshua Vander Lugt, Anita Ziemak, MD

To make a donation to the SAEM Research Fund * Use the online form at https://www.periwinkle.net/saem/research.htm * Send check payable to SAEM Research Fund to SAEM, 901 North Washington Avenue, Lansing, MI 48906 * Contact SAEM via phone (517-485-5484) or email (saem@saem.org) 100% of all contributions go directly to the Research Fund. All administrative costs are paid by SAEM. Please support the SAEM Research Fund and the future of EM Research.

AACEM and SAEM Sessions to be Held During AAMC Annual Meeting The Association of Academic Chairs of Emergency Medicine (AACEM) and SAEM have scheduled two educational sessions to be held on Saturday, November 5, 2005 during the Association of American Medical Colleges (AAMC) Annual Meeting in Washington, DC at the Marriott Wardman Park Hotel. The first session, "Implications for Academic Medicine and Academic Emergency Medicine: Findings from the Wye River Group 'Policy Blueprint' for Healthcare" will be held at 8:3010:00 am in the Balcony B Room. The driving forces behind healthcare are shaped by many interests, including consumers, business leaders, healthcare providers, government leadership and public/private payers. Bringing together these diverse viewpoints, highlighting common themes and priorities for health policy would provide a powerful tool for future healthcare direction. During the session, the Wye River Group on Healthcare will draw on the findings of their Community Leaders' Blueprint for American Healthcare and their National Study on Consumer Health Values to assist the academic physician in understanding and focusing their activities around the healthcare priorities of consumers, national leaders and policy makers. The session will be moderated by David Sklar, MD, Chair of the Department of Emergency Medicine at the University of New Mexico. The speakers are Jon R. Comola, the Chief Executive Officer of the Wye River Group on Healthcare, and Marcia L. Comstock, MD, MPH, the Chief Operating Officer of the Wye River Group.

The second session, "Epidemic of Care: Facing the Future Demand for Healthcare" will be held at 10:15-12:00 noon. The speakers for this session will be George Isham, MD, MS, Medical Director and Chief Health Officer, HealthPartners, Inc. in Minneapolis, and Brent Asplin, MD, MPH, Vice Chair of the Department of Emergency Medicine at the University of Minnesota. The rising cost of healthcare is threatening the stability of the U.S. healthcare system. One of the most troubling trends is the growing demand for healthcare services, particularly by people with chronic disease. As we approach the retirement of the baby boomer generation, there are critical questions about the system's capacity to meet tomorrow's demands for care. During this session, Dr. George Isham will overview his book, Epidemic of Care, in which he describes the drivers of healthcare costs in America. Discussion will include specific implications of tomorrow's demands for the emergency care system. These sessions are open to all registrants of the AAMC Annual Meeting, including AACEM and SAEM members, at no charge. Pre-registration is requested, by sending an e-mail to: saem@saem.org. To register for the AAMC Annual Meeting, go to www.aamc.org An AACEM membership meeting is planned as a lunch session in the Kennedy Room. All AACEM members are welcome to attend. An AACEM Executive Committee meeting will be held following the lunch session.

8th Annual Mid-Atlantic SAEM Regional Research Meeting Friday, September 23, 2005 Georgetown University/ Washington Hospital Center Georgetown University Marriott Conference Center Washington, DC The meeting will take place on September 23, 2005 at 9:00 am to 4:00 pm (the day before the ACEP Scientific Assembly which is also in DC). There will be a preliminary Critical Care Collaboration Meeting at 7:30 am prior to the meeting, as well as a Baseball game: our Washington Nationals vs. San Francisco Giants at RFK Stadium 4:00 pm, Thursday September 22, followed by a Dinner and Lecture on Sports Medicine Research by the Team Physician. There will be a limited number of tickets available (40) so respond early. Abstract acceptance notifications will be sent in late August. As in prior years there will be no posters only plenary (12 minute) and brief (4 minute) oral presentations. The goal is to allow as many students/residents and junior faculty the opportunity to present their research in an oral format with approximately 5 PowerPoint slides with time for questions by moderators and the audience. More senior investigators are invited to submit abstracts for the plenary presentation. The meeting includes research, teaching and clinical lectures with a focus on grant writing and preparation, collaborative trauma research with surgeons, and alcohol research (NIAAA representatives). There will also be a 3 hour session from 12:00 noon to 3:00 pm for medical students preparing to enter an EM residency with a focused review of How to, What to do and Not to do; including representatives from most of the local residencies. A lunch at the Hoyas Pub is also included in this session. A block of discounted hotel rooms on campus at the Georgetown University Marriott Conference Center is available, as well as meeting registration which will feature reasonable costs and departmental discounts for multiple attendees. All preliminary questions can be emailed to: davidmilzman@comcast.net.

Erratum The July/August issue of the Newsletter incorrectly reported that Dr. Art Kellermann introduced the 2005 Hal Jayne Academic Excellence Award recipient, Dr. Roger Lewis. In fact, Dr. Lewis was introduced by Robert Hockberger, MD. SAEM regrets the error. 5

A Decade (and a half) of Regional Meetings Jeffrey A. Kline, MD Carolinas Medical Center on behalf of the SAEM Board of Directors Next year will mark the 15th year that SAEM has held regional meetings. The first meeting was held at Wright State University in Ohio in 1991. Over the past decade and a half, the primary purpose of these meetings has remained constant: to provide a local forum for researchers to present their work. Implicitly, this forum affords a smaller and possibly more comfortable forum to present research, particularly for those in the formative stages of their careers. I recall going to my first regional meeting in Charlottesville, Virginia in 1997 where the Dean of the Medical School was the initial and keynote speaker. I remember that Dean, an endocrinologist, wearing his bowtie, and how he talked about the importance of local meetings and stimulating research careers. At that time, his comments seemed vapid to me. It was difficult for me to exactly understand the impact of these smaller meetings. However, in the 8 years since, I understand the importance of having these local forums as a stepping point for junior investigators to gain experience and confidence in conducting, preparing, and presenting research in a less intimidating environment. Most importantly, they serve as a vehicle for connectivity between emergency medicine faculty at academic centers. Each year, the Board of Directors generally approves six regional meetings in the U.S. including (from West to East): the West, Midwest, New England, New York, Mid-Atlantic and Southeast. For a regional meeting to proceed with SAEM endorsement, the coordinator(s) must have approval from the Board of Directors. The mechanism for this approval starts by submitting a Regional Meeting Application form to saem@saem.org. The form and the guidelines can be downloaded from the SAEM website at http://www.saem.org/ meetings/regguide.htm. In some cases, the Board will offer commentary and will edit the proposal, and other cases the Board will approve the proposal â&#x20AC;&#x153;as is.â&#x20AC;? The governance of the regional meetings at the SAEM Board of Directors level varies somewhat yearto-year, depending on the Board membership, the agenda and the regional

meeting needs. For example, SAEM originally provided seed grants to all regional meetings. The goal was to provide bridge funding until the meetings became financially self-sufficient. Over the years, many of the regional meetings have become relatively autonomous, able to fund themselves through registration fees, or, at some locales, from revenues from vendors who display at the meetings. SAEM also mandates that the regional meetings have a session especially titled and targeted for medical students. SAEM has a slide set to assist with this effort, which can be found at http://www. s a e m . o rg / m e e t i n g s / p a c k e t . h t m . Except for the issue of an appropriate budget and the medical student session, the Board of Directors has chosen not to micromanage the regional meetings. Perhaps as a consequence of this hands-off approach, a few vagaries have arisen. One of these was the geographic boundary between the MidAtlantic region versus the Southeast region. SAEM has not defined the exact geographic boundaries of any of the regional meetings. The boundaries for the regional meetings are decided locally and are based on which residency programs choose to participate. At present, it is the authorâ&#x20AC;&#x2122;s understanding that the Mid-Atlantic region extends from the top of Delaware through the lower state boundary of Virginia, and includes all states that border the Atlantic Ocean in-between. The Southeast region would then be all programs south of the Virginia-North Carolina border, and East of the Mississippi. (With special emphasis, the author offers this MidAtlantic/Southeast geographic definition from the perspective of a local participant, rather than as a member of the Board of Directors). Other regions have widely variable sizes, some encompassing many states (eg, the Midwest or West) and others comprising only one state (eg, New York). Similarly, the timing of the regional meetings is at the discretion of the hosting program coordinators, as long as they do not occur within six weeks of the SAEM Annual Meeting. SAEM has no written policy or doctrine regarding when the meetings should occur, other 6

than the six week lockout. While most meetings are held in the Spring; others are held in the Fall. Perhaps it is best stated that the timing of the meeting should be driven by the results of experience and common sense. If attendances is large and enthusiastic during Fall meetings, then Fall meetings should be encouraged. However, if attendance and enthusiasm seems to correspond with having the regional meeting synchronized as a prelude to the Annual Meeting, then common sense would dictate that Winter or Spring would be the time to hold the meeting. Those who organize and coordinate regional meetings have recognized that the process of submitting and receiving abstracts is simplified by taking advantage of the opportunity to include a region-specific check box on the online abstract submission form for the Annual Meeting held each May. This allows dual submission of abstracts for peer review for both the Annual Meeting and the selected regional meeting. However, this methodology is not a mandate, and local organizers can choose to solicit abstracts in any way that they wish. The peer review processes are independent. There is no guarantee that an abstract accepted at one meeting will predict acceptance at the other. Nonetheless, from a policy standpoint, abstracts accepted and presented at a regional meeting are fair game to present to the Annual Meeting. The place where the meeting is held also varies with each region. Some regions choose to hold meetings in the same centrally located city, even the same hotel or convention center, year after year. Other regions rotate the meeting around so that all participating programs/academic hospitals in the region have the opportunity (or the responsibility) to coordinate the meeting. This choice, and the method of organization, again is left up to local organizers. The Board of Directors continues to see value in regional meetings, and wishes to enhance the exposure of the Board to different regional meetings. Accordingly, upon request to the SAEM office, a list of lectures that can be

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Regional Meetings…(continued from previous page) delivered (expertly, we hope) by each member of Board of Directors can be provided to the organizers of the regional meetings. Each of the Board members is enthusiastic about the opportunity to attend the regional meetings, to be available for informal discus-

sion, or just to observe or speak in a forum chosen by the organizers. This could include a short introduction, a more structured forum to obtain input from members, a slide show to clarify ongoing goals of the Board of Directors, or even a keynote address. Pursuant to

this goal, the Board of Directors has recently approved a proposal to continue to send a Board member at SAEM's expense to attend the most approximate regional meeting.

2005-06 Interest Group Objectives Interest groups are required to meet at least annually during the SAEM Annual Meeting. At that time, each interest group was asked to develop objectives, and some are listed below for the benefit of members who may wish to participate. Additional interest group objectives will be published in future issues of the Newsletter. Members interested in joining an interest group may contact saem@saem.org and ask to be added to the interest group (and in most cases, subscribed to the interest group’s listserv). Dues are $25 per year per interest group, but will not be charged until the annual dues invoices are sent in November. Disaster Medicine Interest Group Chair: John McManus, MD, MCR, john.mcmanus@cen.amedd.army.mil 1. Help identify the uniqueness of disaster response and care in emergency medicine; 2. Increase the awareness of disaster issues as they impact on emergency medicine, by creating a forum for discussion; 3. Assist members in the publication of articles germane to disaster emergency medicine; 4. Create resources for SAEM members; 5. Communicate with other emergency medicine organizations to open discussions on disaster issues. 6. Propose and aid in a consensus conference disaster topic for 2006. 7. Submit a didactic disaster topic for the Annual Meeting in 2006.

3. Explore the possibility of an industry sponsored Emergency Ultrasound Fellowship, similar to the EMS Fellowship that is funded by Medtronic. 4. Refinement of a pocket guide that will be generally available to interest group members and ultrasound educators. The preliminary version will be edited by interest group members to complete by next year’s Annual Meeting.

International Interest Group Chair: Kris Arnold: karnold@bu.edu 1. Develop a primer for residents, students, emergency physicians interested in performing international rotations – information on preparation and issues to be considered in preparation to have a successful experience. 2. Begin development of an international faculty mentorship program to assist developing programs in other countries. 3. Explore possible venues for increased exposure of international scholarly works and communiqués that do not get into AEM. 4. Refresh listings of international fellowships for U.S. graduates – update SAEM web information listing – catalogue U.S.-based fellowships for non-U.S. graduate physicians. 5. Increase interest group membership interaction through list-serv 6. Actively support SAEM International Task Force

Patient Safety Interest Group Chair: kcosby@ccbh.org Objectives 1. Foster collaborative relationships with individuals with a common interest in Patient Safety. This will include SAEM members, as well as other professionals in Medicine and disciplines outside medicine (engineering, aviation, etc). 2. Educate one another in advancements in Safety Science. 3. Serve an advisory role to the SAEM Board, to keep them apprised of actions that may impact safety in emergency medicine. 4. Specific objections include: a. Prepare one or more proposals for didactic sessions for the 2006 Annual Meeting. b. Continue submissions to the “Profiles in Patient Safety” series in Academic Emergency Medicine, with a general goal of one article published quarterly. c. Submit one article for the SAEM Newsletter related to safety issues. d. Add additional material to the Patient Safety curriculum materials on the SAEM website. e. Encourage increased use of the patient safety listserve to post meetings, review and discuss interesting publications, and encourage debate on relevant topics. f. Foster interaction and projects with other interest groups. Specifically, engage with the Simulator task force/interest group to incorporate safety principles in the simulator curriculum and consider how to use simulation to advance teaching in patient safety.

Geriatric Interest Group Chair: Manish Shah: manish.shah@rochester.edu 1. Develop a didactic session introducing about pain managment for the 2006 SAEM Annual Meeting. 2. Invite a distinguished researcher to speak at the 2006 SAEM Annual Meeting. 3. Work to develop a series of articles or a textbook on evidence based geriatric emergency medicine. 4. Support the SAEM Geriatric Task Force activities.

Ultrasound Interest Group Chair: Chris Moore: chris.moore@yale.edu 1. Continue to develop education resources for residency by looking at placing resources on the CORD sharepoint website. Specifically, narrated lectures regarding basic emergency ultrasound topics will be made available to the EM residency community by next May. Additionally, the possibility of placing a repository of dynamic ultrasound cases on this resource will be explored. 2. Attempt to reinvigorate the list-serv through communications with members involved in the meeting. 7

Resident Portfolio Submissions to AEM Invited Academic Emergency Medicine has developed a journal subsection for the publication of reflections and introspection of experiences encountered by Emergency Medicine residents during their training. The intent is to share how the experience affected the personal growth and development of the resident as a professional. This self-reflection is important to the ACGME Practice-Based Learning core competency, and reinforces life long learning attributes critical to the successful practice of Emergency Medicine. Portfolio submissions should be a maximum of 5 pages, 15 references and if desired, may include one table or figure. Patient and colleague confidentiality must be assured. The submission should include an abstract that places the experience into a professional development context (why the issue

is important to emergency physicians and educators, how it tested the author’s personal and professional development, and a “take home” point). Each portfolio may undergo invited commentary from individuals with expertise in the identified area of discussion. These commentaries will be a maximum of 2 pages in length, and will focus on “learning points” that the readership may consider. Primary authors must be an Emergency Medicine resident, or reflect an experience encountered in the residency training environment by an Emergency Medicine graduate. Please use our web-site link for submissions: http://ees.elsevier.com/acaeme/default.asp, and feel free to contact the AEM Editorial Office with any questions: aem@saem.org , or 517-485-5484.

SAEM Representation at SNMA Meeting Leon L. Haley Jr, MD, MHSA Emory University Glenn Hamilton, MD Wright State University for the SAEM Board of Directors As part of SAEM’s ongoing efforts to encourage diversity within our specialty, the SAEM Board of Directors voted to have representation at a booth at the Student National Medical Association (SNMA) Annual Meeting in St. Louis, on March 24 – 27, 2005. Two Board members, Dr. Haley and Dr. Hamilton were chosen to represent the organization during this three day meeting. SNMA hosts the largest gathering of AfricanAmerican and under-represented minority (URM) medical students during its annual meeting, but it also serves as a forum for undergraduate URM students interested in medicine. The mission of SNMA is to be committed to supporting current and future underrepresented minority medical students, addressing the needs of underserved communities, and increasing the number of clinically excellent, culturally competent and socially conscious physicians. There were approximately 100 other vendors and booths ranging from individual residency programs to hospitals/healthcare systems, to medical schools and NIH. In addition to Emergency Medicine, Psychiatry, Pediatrics, Orthopedics and Allergy were represented by their respective specialty societies. As part of a cooperative effort, general information material about the specialty of Emergency Medicine was supplied by ACEP. In addition, visitors were provided with a

“fact sheet” developed by the SAEM Board describing our specialty, our organization, but most importantly, the value of pursuing an academic career in our specialty. Actual numbers of visits to the booth were not tracked, but we printed approximately 100 of the “fast fact” sheets and handed out about 8085 of them. We also distributed a large number of AEM journals. Visitors to the booth ranged from “extremely interested medical students who voiced very specific interests in EM research and a future in academia to sophomores in college who had never heard of emergency medicine and were interested in learning more about the specialty. It was clear that most drew obvious connections between themselves and being a specialty that serves the underserved, under-insured and uninsured. It was a great opportunity to share our specialty, our thoughts on the specialty and our organization specifically and how they might be future contributors. Observations and recommendations: 1) Given the forum, the audience and the future opportunity, the specialty of emergency medicine should definitely be present at future meetings. It can and should be a joint effort with the other EM specialty organizations and SAEM will be having discussions with them to create a joint plan and direction; 2) Having an African-American at the booth was clearly a benefit. Other African-Americans in the organization 8

should be part of the “booth” in the future and this would best be accomplished by using African-American and Under-represented minority faculty from EM programs in the host city; 3) In the future, all booth visitors will be tracked. Aside from ascertaining general impact at the meeting, with the proper IRB approval, a valuable research project could be developed to study downstream impact; 4) Orthopedics developed “literature” that specifically referenced their specialty’s need to increase diversity in their specialty; in a joint effort with the other EM societies, we should consider that option. A wide range of materials were collected and will be shared with the Undergraduate Education Committee to assist them in fulfilling their objectives; 5) Efforts will additionally have to be made with the leaders and members of the organizations that represent the other underrepresented minority groups such as the National Hispanic Medical Association and the Latin American Medical Student Association, to name a few. The SAEM Board remains committed to the development of diversity within our specialty; together with current initiatives with CORD, as well as future initiatives with others, the Board considers this a priority for our organization.

2005 CPC Finals Competition The six winners from the 2005 Semi-Final CPC Competition will compete in the CPC Finals Competition during the ACEP Scientific Assembly in Washington, DC on September 26 at 1:00-5:30 pm in Room 144AB of the Washington Convention Center. All are welcome; registration is not required. The CPC Competition is sponsored by ACEP,

COR, EMRA, and SAEM. The 2006 Semi-Final CPC Competition will be held on May 17, the day before the SAEM Annual Meeting. The deadline for submission of cases is February 2, 2006 and information can be obtained by contacting the CORD office at: cord@cordem.org

New England Regional Meeting a Success On April 27, 2005, the 9th Annual New England Regional SAEM Meeting was held at the Hoaglund-Pincus Conference Center on the University of Massachusetts Campus in Worcester, MA. This year the program was hosted by Brown University after being hosted by each of the New England programs over the last nine years. There were 136 abstracts submitted for review of which 82 were accepted. There were roughly 140 attendees. The oral presentations were from each of the residency programs in the New England area. The keynote address was delivered by Dr. Marc Shapiro from

Brown University and Dr. James A. Gordon from Harvard Medical School which was entitled, "Role of High Fidelity Medical Simulation in Advancing Emergency Medicine in Undergraduate and Post-Graduate Education." The keynote was preceded by thoughtful words from Glenn Hamilton, MD, who also provided moderation of the oral presentations. The NERDS wish to thank Ms. Linda Quattrucci and Gregory D. Jay, MD, PhD, for their efforts in organizing this year's New England Regional Meeting.

Grant Mentorship Update James Olson, PhD Wright State University Richard Rothman, MD Johns Hopkins University Mark Angelos, MD Ohio State University On behalf of the SAEM Research Committee For several years the SAEM Research Committee has organized grant writing workshops for the SAEM Annual Meetings. The goal of these sessions has been to provide guidance and mentorship for young investigators attempting to obtain research funding. We have used several designs for the workshops over the years including didactic talks on grant writing, public reviews of grants, and one-on-one mentoring sessions between reviewers and grant applicants. In 2005 we combined the most successful of these approaches in two sessions to provide individualized mentorship and a public presentation which summarized the salient problems encountered by the reviewers of the individual grants. As in past years, this approach had good attendance and received very positive feedback. Following a call in April 2005 for grant applications to be reviewed at the meeting, five proposals were submitted. These applications were either nearly ready for submission or had already received a review by a granting agency, but were not funded. Each application was read and critiqued by two volunteer reviewers prior to the Annual Meeting. Then, during a twohour evening session at the Annual

Meeting in New York, each applicant had an opportunity to discuss the proposal privately with each assigned mentor. When available, the written critiques from the granting agency were included in the discussion to provide insight for the applicant into the design of an appropriate revision to address the concerns of the review committee. Thanks are due to Dr. Jason Haukoos, Dr. Robert Neumar, and Dr. John Younger for assisting us in this mentorship program. After the individual grant mentoring session, the volunteer reviewers identified important issues of grant writing from their reviews. These topics were organized into a series of short talks that were presented several days later in an open didactic session during the Annual Meeting. With permission from the applicants, sections of their proposals were presented to illustrate common and correctable problems within the application. This year we also attempted to access the success of the grant mentoring workshops that had been held in previous years. Dr. Larry Melniker, one of the first grant applicants to participate in this program in 2002, spoke at the summary didactic session to present his experience with the workshop 9

and the value that this structured mentorship has been for his academic research career development. The guidance he received from the mentors who reviewed his proposal led to a successful application for an ARHQ grant. Additionally, past participants in the grant mentorship program were queried for their comments on the mentorship program. We had a 79% response rate to our request for information and the comments were uniformly favorable; however, surveys such as these provide limited feedback. Therefore, we also tried to obtain an objective measure of success. We found that of the 7 responders, 5 had resubmitted their proposal and 4 of these had obtained funding: an 80% funding rate! Thus, by subjective as well as objective criteria the grant mentorship program has shown a high degree of success. For 2006, the Research Committee is expanding the grant mentorship program to a 1-2 day workshop that will occur immediately before or after the Annual Meeting in San Francisco. We plan to organize meetings between mentors and applicants with the goal of substantially rewriting existing applications for resubmission. Additional information will be forthcoming in the near future.

Call For Nominations Young Investigator Award Deadline: December 15, 2006 In May 2006, 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, masterâ&#x20AC;&#x2122;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 candidate must have training and board certification in emergency medicine or pediatric emergency medicine. Criteria taken into consideration in determining the award recipient include prior research grant awards, publications, presentation, and other awards. Research grant awards are most highly weighted, especially if from federal or major foundation sources. Research publications will be weighted based on their quality and number. Publication in high impact or moderate impact journals will be weighted higher than publications in low impact journals. Research presentations at national meetings and nonmonetary awards will be given relatively less weight in the overall evaluation. The deadline for the submission of nominations is December 15, 2006, and nominations must be submitted electronically to saem@saem.org. (Do not send hard copies.) Nominations should include the candidateâ&#x20AC;&#x2122;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 June 30, 1999. 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.

S A E M

Call for Submissions Innovations in Emergency Medicine Education Exhibits Deadline: Wednesday, February 16, 2006

The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2006 SAEM Annual Meeting, May 18-21, 2006 in San Francisco, CA. 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 be published in a summer 2006 issue of Academic Emergency Medicine, as well as in the Annual Meeting 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 10 deadline. The deadline for submission of IEME Exhibit applications is Wednesday, Feburary 16, 2006 at 5:00 pm Eastern Daylight Time. Only online submissions using the form on the SAEM website 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.

Academic Announcements SAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of interest to the SAEM membership. Submissions must be sent to saem@saem.org by October 1 to be included in the November/December issue. Steven L. Bernstein, MD, has been awarded a two-year grant from the National Institute on Drug Abuse, under the R21 mechanism. The $250,000 grant is entitled, “Strategies to Help Adult ED Patients Quit Smoking.” Dr. Bernstein is an Associate Professor of Clinical Emergency Medicine at the Albert Einstein College of Medicine in New York. Ethan Cowan, MD, has been awarded an F32 Ruth L. Kirschstein National Research Service Award for Individual Postdoctoral Fellows from the National Institute of General Medical Sciences. This grant offers two years of salary support for mentored clinical research. Dr. Cowan is a research in the Department of Emergency Medicine at the Albert Einstein College of Medicine, Jacobi Medical Center in the Bronx. Ugo Ezenkwele, MD, MPH, has received the 2005 Herbert W. Nickens Faculty Fellowship from the Association of American Medical Colleges (AAMC). This award is presented to an individual who has made outstanding contributions to promoting justice in medical education and health care of the American people. The recipient receives $15,000 to support his/her academic and professional activities and will present the Nickens Lecture during the 2005 AAMC Annual Meeting in Washington, DC. The presentation will take place during the Minority Affairs Section Program on Monday, November 7 in the Palladian Room of the Omni Shoreham Hotel. Robert Freishtat, MD, MPH, has been awarded a $626,000 grant from the NIH National Center for Research Resources. His study, entitled "Innate Immunity and Thrombosis in Acute Lung Injury" is funded through a K-23 mechanism. Dr. Freishtat plans to evaluate the molecular interactions between lymphocyte and platelets that occur during sepsis and the progression to ARDS. Dr. Freishtat is an Assistant Professor in the Departments of Pediatrics and Emergency Medicine at George Washington University. Michael T. Fitch, MD, PhD, Assistant Professor of Emergency Medicine, has been awarded the Brooks Scholarship in Academic Medicine at Wake Forest University to support teaching and educational activities. He has also been accepted as a member of the Core Teaching Faculty of the medical school. Robert Galli, MD, has assumed the role of Program Director of the EM Residency Program at the University of Mississippi. Dr. Galli is also the chair of the Department of Emergency Medicine. Ten residency programs in the surgical and related medical specialties have been awarded Geriatrics Education for Specialty Residents (GESR) grants by the American Geriatrics Society. Three of the ten grants have been awarded to emergency physicians: Deborah Gutman, MD, Brown Medical School; Heather Prendergast, MD, University of Illinois; and Michael Wadman, MD, University of Nebraska. The program provides a two-year grant of $32,000 to support curricular innovations at each team’s home institution that will better acquaint specialty residents with the unique needs of older patients and the principles of geriatric medicine. Gary Johnson, MD, has been appointed Residency Director of the EM Residency Program at the State University of New

York, Upstate in Syracuse. Dr. Thomas Lavoie will continue to serve as the Assistant Program Director. David J. Karras, MD, has been promoted to Professor of Emergency Medicine at Temple University School of Medicine, where he is the Associate Chair of Academic Affairs and Research Director. He has also been appointed a College Master, responsible for implementing the medical school's new integrated curriculum. Gabor D. Kelen, MD, Professor and Chair of Emergency Medicine at Johns Hopkins University has been elected chair of the Medical Board of the Johns Hopkins Hospital. Guohua Li, Dr. P.H., Professor of Emergency Medicine at Johns Hopkins University, was recently awarded a fellowship from the John Simon Guggenheim Memorial Foundation. The fellowships are awarded to men and women who have already demonstrated exceptional capacity for productive scholarship. Mary Nan Mallory, MD, has been named program director of the EM residency program at the University of Louisville, having served three years as the assistant program director. Marcus Martin, MD, Chair of the Department of Emergency Medicine at the University of Virginia, has been appointed to serve as one of SAEM's two representatives to the Council of Academic Societies of the Association of American Medical Colleges. Dr. Martin was appointed to fill the position held by James Hoekstra, MD, who is preparing to assume the presidency of SAEM in May 2006. Kendall McKenzie, MD, and Risa Moriarity, MD, have been appointed to serve as the Assistant Program Directors of the EM Residency Program at the University of Mississippi. Steve McLaughlin, MD, has been named the director of the emergency medicine residency program at the University of New Mexico. Jennifer Oman, MD, has been promoted to Associate Clinical Professor at the University of California, Irvine. Dr. Oman is the director of the emergency medicine residency program. Diane Rimple, MD, has been named the Undergraduate Medical Education Director at the University of New Mexico. Peter Rosen, MD, has announced that he will step down as Editor-in-Chief of the Journal of Emergency Medicine as of January 1, 2006. Dr. Rosen has provided 24 years of service to the journal. Robert Rogers, MD, has been appointed director of Undergraduate Medical Education at the University of Maryland. William Rose, MD, has been named the program director of the emergency medicine residency program at West Virginia University. Jeffrey W. Runge, MD, has been appointed Chief Medical Officer of the Department of Homeland Security. Dr. Runge currently serves as Administrator of National Highway Traffic Safety Administration (NHTSA) at the Department of Transportation.

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Academic Announcementsâ&#x20AC;Ś(continued from previous page) Steven Seifert, MD, has been elected to a three-year term on the Board of Directors of the American Association of Poison Control Centers. Dr. Seifert is the Medical Director of the Nebraska Regional Poison Center and Professor of Medical Toxicology at the University of Nebraska. Sal Silvestri, MD, has been appointed to the position of director of the emergency medicine residency program at Orlando Regional Medical Center. Peter Sokolove, MD, received the EMRA Residency Director of the Year Award during the SAEM Annual Meeting in May 2005. Dr. Sokolove is the director of the emergency medicine residency program at the University of California, Davis. Knox H. Todd, MD, MPH, has founded The Pain and Emergency Medicine Institute at Beth Israel Medical Center in New York. The goals of the center are to foster high quality pain management in EM and to support emergency physicians and nurses conducting research. Dr. Todd and collabo-

rators at twenty emergency departments in the U.S. and Canada recently completed a multicenter study of pain management with support from The Mayday Fund of New York through a grant to the Emergency Medicine Foundation. Sal Vicario, MD, long-time program director of the emergency medicine residency program at the University of Louisville has stepped down effective July 1, after 22 years of service. Dr. Vicario will continue as a full-time faculty member. David A. Wald, DO, has been promoted to Associate Professor of Emergency Medicine at Temple University School of Medicine. Dr. Wald is also the Director of Medical Student Education. LouAnn Woodward, MD, has been named Associate Dean for Academic Affairs at the University of Mississippi. Previously, Dr. Woodward served as the program director of the emergency medicine residency program.

SAEM 2006 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 8, 2005. EMF/SAEM Medical Student Research Grant These grants are sponsored by SAEM and the Emergency Medicine Foundation. A maximum of $2,400 over three months is available to encourage research in emergency medicine by medical students. Deadline: February 13, 2006. 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, 2005. 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, 2005. 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 memberâ&#x20AC;&#x2122;s department to further research and education. Deadline: November 3, 2005. 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, 2005. Further information and application materials can be obtained via the SAEM website at www.saem.org.

My Experiences as an SAEM Institutional Research Training Grant Recipient Carlos A. Torres, MD The Ohio State University As I reflect upon the last two years, I realize that this SAEM Institutional Research Training grant has made a major contribution to my career. This two-year award provided $75,000 per year in salary support, which allowed me protected time to develop my research skills and interests while working in the funded laboratories of Dr. Angelos and Dr. Clanton and simultaneously pursuing a PhD in Biophysics. As a residency trained and ABEMboarded emergency physician genuinely interested in research, this time has truly been a unique opportunity to learn how to do science and to develop expertise in an area of scientific investigation. The combined exposure to laboratory research and going back to the classroom and getting involved with other graduate students as part of the PhD program was one of the most challenging and rewarding parts of this experience. The release time provided by the SAEM grant was fundamental in allowing my participation in these activities to occur in a positive and productive way. During the fellowship period, I was able to learn several models for investi-

gating reactive oxygen species generation and ischemia/reperfusion in the heart. I became acquainted with highly advanced and sophisticated techniques such as electron paramagnetic resonance. We were also able incorporate an increasingly important clinical tool in emergency medicine: ultrasound, to one of our investigational models, thus promoting cross integration between skills acquired in the clinical arena with those obtained at the bench. I learned about applying for grants, designing research experiments, analyzing data and even honed my skills at presenting results at scientific meetings. In 2004 I was honored to receive a best faculty presentation award at the 14th Annual Midwest Regional SAEM Meeting in Milwaukee, to a great extent due to the excellence of the training I received as a result of this fellowship. I was able to meet and network with many different professionals involved in cardiovascular and emergency medicine research. As a result I feel much more prepared to launch a career in academic medicine. Of course, working with an outstanding group of professionals who were willing to be my mentors and having a high quality research environment that is conducive to the development of research skills had everything to do with how I feel today about the fellowship experience. I am very grateful for the opportunity afforded me through the SAEM Institutional Research Training grant. I anticipate finishing my PhD in one year and plan to develop an academic career in Emergency Medicine, which will include a significant research component.

Call for JEM Editor-in-Chief Deadline: September 30, 2005 The Journal of Emergency Medicine, the official journal of the American Academy of Emergency Medicine, is seeking applications for the position of Editor-in-Chief. This position will begin in January 2006 when the current Editor-in-Chief, Dr. Peter Rosen, concludes his term. The ideal candidate will be a practicing emergency physician within an academic and hospital setting, will be EM residency-trained and board certified in Emergency Medicine,

and will possess considerable experience in writing, editing, or reviewing scientific articles for publication. Interested individuals should contact Terri Monturano, Elsevier Inc, 1600 JFK Boulevard, Suite 1800, Philadelphia, PA, 19103-2899. Phone: 215-239-3711; Fax: 215-239-3734; Email: t.monturano@elsevier.com for application materials. The deadline for receipt of completed applications is September 30, 2005.

Call for Nominations Jahnigen Career Development Scholars Award Deadline: December 6, 2005 The request for proposals for the 2006 Jahnigen Career Development Scholars Awards program has been posted at: www.americangeriatrics.org/hartford/jahnigen.shtml This program is administered by the American Geriatric Society and funded by The Atlantic Philanthropies and the John A. Hartford Foundation. The Jahnigen Career Development Scholars Awards provide two-years of support of $75,000 per

year for salary and fringe benefits and/or the costs of doing research. Funding guidelines require that each scholarâ&#x20AC;&#x2122;s institution provide a minimum match of $25,000 per year. The deadline for submission of applications is December 6, 2005. Contact Ellen Baumritter at ebaumritter@american geriatrics.org for further information.

ACADEMIC RESIDENT News and Information for Residents Interested in Academic Emergency Medicine

Edited by the SAEM GME Committee

Fellowship Opportunities in Emergency Medicine William Northington, MD University of Pittsburgh While the end of residency seems far off for senior emergency medicine residents, and even farther off for junior residents, it is never to late to begin planning for after graduation. For most, completing an emergency medicine residency leads to a career in independent practice in a hospital emergency department. Yet there are several other career opportunities in the field of emergency medicine; fellowships for emergency medicine trained individuals seeking further training and specialization are available. Currently, only these four fellowships lead to board certification: Hyperbaric and Undersea Medicine, Pediatric Emergency Medicine, Sports Medicine, and Toxicology. Since other fellowships do not offer formal certification, why complete one? While completing a fellowship is not always a prerequisite to a career in one of these fields, the fellowship offers specialized training that provides relevant experience and expertise in the chosen field. Some career paths may mandate prior fellowship training. For example, while many local EMS medical directors have not completed an EMS fellowship, regional or metropolitan EMS medical directors may be expected to. Medical directors of certified Poison Centers may also be required to complete toxicology training, but not everyone who engages in some toxicology practice has been trained in toxicology. Most fellowships last one to two years (Pediatric Emergency Medicine is two to three years) and often provide the opportunity to pursue an advanced degree in an associated graduate school. For an extensive listing of fellowships offered, please visit the fellowship catalog on the SAEM website.

cally ill patients. Currently, board certification in critical care medicine in the United States is not possible to individuals who have only completed residency in emergency medicine. However, there are several fellowships that will accept emergency medicine trained individuals, a list of which is available through the ACEP section of Critical Care Medicine. Approximately half of the critical care programs in the country accept emergency medicine trained individuals. Furthermore, those emergency trained individuals who have completed critical care training have traditionally been able to easily locate jobs despite a lack of US board certification, and several hold positions at academic institutions, some as medical directors. EMS Additional training in Emergency Medical Services offers the fellow further experience in prehospital emergency care, including the design and operation of an EMS system, education of prehospital providers, and participation in the administrative and financial aspects of an EMS system. An EMS fellow often serves as Medical Director for smaller EMS services or assistant Medical Director for larger city EMS services. Many EMS fellowships also allow the fellow substantial exposure to aeromedical transport, disaster medicine, wilderness medicine, and tactical/special operations. Hyperbaric Medicine Fellowships in hyperbaric medicine include training and education in hyperbaric physiology and diving medicine. The fellow learns the clinical indications and applications of hyperbaric medicine in relation to decompression sickness, non-healing wounds, soft tissue infections, and carbon monoxide poisoning, as well as its many other uses.

Detailed information is available for other sources but here is a brief overview of common fellowships after Emergency Medicine residency training.

International Emergency Medicine International emergency medicine fellowships train physicians to evaluate emergency health needs in a country, develop programs to meet those needs and integrate them into the existing health systems. Often the fellow focuses on providing humanitarian assistance and relief, developing emergency systems, or reporting to international masscasualty/disaster events. The fellowship often includes international travel. Most fellows pursue an MPH or similar advanced degree.

Academic Emergency Medicine/Medical Education Dedicated time as an academic fellow offers the opportunity to work clinical shifts in an academic emergency department overseeing residents and medical students, but also provides training in educational models, curriculum development, residency management, dedicated didactic teaching, educational research, or other academic endeavors. Administration Training in administration exposes the fellow to the inner workings of what it takes to run an emergency department. This includes oversight of such issues as personnel, budgeting, acquiring new equipment, and relations with other departments, staff and the hospital.

Pediatric Emergency Medicine Pediatric emergency medicine fellowships offer additional training in the care of ill and injured children. Training occurs primarily in a pediatric emergency department but may also include rotations in pediatric intensive care and on medical and surgical pediatric subspecialty services. Although the core objective of the pediatric emergency fellowship is to

Critical Care Critical Care Medicine is the multidisciplinary field that concerns the stabilization, treatment, and management of criti-

Fellowship Opportunities…(continued from previous page) develop clinical skills in emergency pediatrics, most allot protected time for research and teaching activities. Research The goal of most research fellowships is to impart knowledge of how to undertake scientifically sound research. Fellows should expect to have protected time to pursue research interests and access to a suitable research project. Research fellows often pursue an advanced degree, as well as learn the intricacies of writing grant proposals and producing papers detailing original research that is acceptable for publication in peer-reviewed journals. There are also opportunities in health services research concerning the organization, management, financing, and performance of health and medical systems. These programs are typically open to individuals in most fields of healthcare and are normally not affiliated with a particular academic department of emergency medicine. Some of the better-known programs include The Robert Wood Johnson Clinical Scholars Program, The Veterans Administration Research and Development Program, and Academy Health Programs.

training in a narrowed field related to emergency medicine and may also help launch a career in academic medicine. In the next issue of the SAEM Newsletter, two recent fellowship graduates will discuss the value of fellowship training on their careers.

2006 CPC Competition Submissions Sought

Sports Medicine Although Sports Medicine often focuses on the non-operative management of musculoskeletal sports conditions, it also involves the evaluation and treatment of other medical conditions that affect an athlete, including acute or chronic conditions not related to sports. Practice opportunities range from serving as a team physician to office-based practice. When researching a sports medicine fellowship, be sure to find out whether the program accepts emergency medicine trained physicians; several sports medicine programs are open only to those who have completed orthopedic or family medicine residencies.

Deadline: February 2, 2006 Submissions are now being accepted from emergency medicine residency programs for the 2006 Semi-Final CPC Competition to be held May 17, 2006, the day before the SAEM Annual Meeting in San Francisco. The deadline for submission of cases is February 2, 2006 with an entry fee of $250. Case submissions and presentation guidelines will be posted on the CORD website at www.cordem.org and it is anticipated that online submission will be required. Residents participate as case presenters, and programs are encouraged to select junior residents who will still be in the program at the time of the Finals Competition, which will be held during the 2006 ACEP Scientific Assembly, October 15-18 in New Orleans. Each participating program selects a faculty member who will serve as discussant for another program’s case. The discussant will receive the case approximately 4-5 weeks in advance of the competition. All cases are blinded as to final diagnosis and outcome. Resident presenters provide this information after completion of the discussant’s presentation. The CPC Competition will be limited to 60 cases selected from the submissions. Approximately 80 submissions are anticipated. A Best Presenter and Best Discussant will be selected from each of the six tracks. Winners of the semi-final competition will be invited to participate in the CPC Finals. A Best Presenter and Best Discussant will be selected. The CPC Competition is sponsored by ACEP, CORD, EMRA, and SAEM. If you have any questions, please contact CORD at cord@cordem.org, 517-485-5484, or via fax at 517-485-0801.

Toxicology Toxicology programs last at least two years and train fellows in the biochemistry, pharmacology, and toxic effects of pharmaceutical and environmental compounds. Training revolves around the recognition of clinical manifestations, differential diagnosis and management of various poisonings. Other opportunities often include working with a poison control center, toxicology research, and experience with occupational and environmental toxicology. Ultrasound Emergency ultrasound is a rapidly growing field. ACEP’s current policy statement on ultrasound recognizes trauma ultrasound, emergency ultrasound in pregnancy, emergency echocardiography, abdominal aortic aneurysm, biliary ultrasound, renal ultrasound, and procedural ultrasound as primary applications for emergency ultrasound. Fellows expert in these studies and often explore more novel and experimental uses for ultrasound. They become credentialed in performing and interpreting ultrasounds and often teach and oversee other individuals learning to use ultrasound in the emergency department. This is just a partial listing of some of the fellowships offered. There are also programs in forensics, medical informatics, disaster research and management, geriatrics, injury control, policy, neurological, and cardiovascular emergencies. Fellowships are a great way to receive specialized 15

Call for Photographs Deadline: February 24, 2006 Original photographs of patients, pathology specimens, gram stains, EKG’s, and radiographic studies or other visual data are invited for presentation at the 2006 SAEM Annual Meeting in San Francisco, CA. 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 website 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. Photos will be returned upon request. If photos are not requested to be returned, they will be destroyed one year after submission.

Call for Abstracts 2006 Southeastern Regional SAEM Meeting March 24-25, Grandover Resort, Greensboro NC The deadline for submission of abstracts is Tuesday, January 10, 2006 at 5:00 pm Eastern Time and will be strictly enforced. Abstracts can be simultaneously submitted to the SAEM Annual Meeting, and the Southeast Regional Meeting. 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 website at www.saem.org in November. Research and didactic sessions will be presented at the meeting. Questions concerning the meeting content can be directed to the Program Chairman, David Cline at dcline@wfubmc.edu.

Additional 2005 Medical Student Excellence Award Winners In the July/August issue of the Newsletter 107 recipients of the 2005 Medical Student Excellence Award winners were announced. Since then, two additional award winners have been submitted:

Medical Student Interest Group Grants

University of Michigan Dorian Ramirez

Deadline: September 8, 2005 SAEM recognizes the valuable role of EM 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 EM residencies are eligible to apply. The deadline for this years grants is September 8, 2005. Applications can be obtained at www.saem.org or from the SAEM office. Information on the grants approved for funding in 2004 can be found in the January/February 2005 issue of the SAEM Newsletter, which is posted on SAEM website at www.saem.org.

University of South Alabama Brett A. Miller In addition, SAEM regrets the error in the name of the recipient from the University of Manitoba. The correct spelling is: Telisha Smith-Gorvie The Medical Student Excellence Award is offered to each medical school in the United States and Canada to honor an outstanding senior medical student. If your school is not participating in this award, and wishes to do so, please contact saem@saem.org 16

EM Model Review Task Force Update David Kramer, MD York Hospital Joseph LaMantia, MD North Shore University Hospital SAEM Representatives to the Model Review Task Force The EM Model Review Task Force met in New York during the SAEM Annual Meeting. Representatives from all the collaborating organizations (ABEM, ACEP, EMRA, CORD, RRC-EM, and SAEM) were present. The Task Force was charged with assessing the success of The Model of the Clinical Practice of Emergency Medicine (EM Model) and with proposing changes to the document. After electing Harold Thomas, MD, Chair of the Task Force, the history of the development of the EM Model was reviewed. Specifically, it was noted that no other specialty in the house of medicine has such a collaboratively developed document. In general, the Task Force felt that the EM Model has been successful in supporting the needs and development of our specialty. A number of minor recommendations for change were presented and discussed by the Task Force. The following additions/changes were agreed upon by the Task Force and are included in the formal proposal sent to the collaborating organizations: 1. Language was added to the Preamble that discusses and references the ACGME six core competen-

cies along with a specific reference to the Chapman et al article titled Integrating the Accreditation Council for Graduate Medical Education Core Competencies into the Model of the Clinical Practice of Emergency Medicine (Annals of Emergency Medicine; June 2004). 2. Language was added to the Overview that clarifies the three-dimensional aspect of the EM Model. This language discusses and clarifies the interrelated nature of the three dimensions of the clinical practice: patient acuity, physician tasks, and listing of conditions and components. This serves to clarify the concurrent application of the three dimensions in the practice of emergency medicine. 3. Changes in the Listing of Conditions and Components include adding “critical” acuity to hypothyroidism and “Emerging infections” with both critical and emergent acuities. 4. Minor language changes and one addition were made to Appendix 2. These include adding “and Crowding” to “Patient Throughput” under Operations; changing “Error Reduction” to “Patient Safety and Error Reduction” under Performance Improvement;

changing “Disaster Preparedness” to “Emergency Preparedness and Disaster Management”, and adding “End-of-Life Issues” under "Systems-based Management". In addition to the specific recommendations for change in the document, the Task Force made three proposals to the collaborating organizations: 1. ABEM should continue to be the administrative organization for the maintenance and support of the EM Model. 2. The Task Force recommends that the next review of the EM Model occur in 2007. 3. At the time of the next review, the collaborating organizations should consider whether a new practice analysis is needed. The proposed recommendations were sent to the Board of Directors of each collaborating organization. The SAEM Board has approved the recommendations of the Task Force. Approval is currently pending from the other organizations. Once approved, the revised EM Model will be finalized and made available to the public.

SAEM Ethics Consultation Service 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. 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 devel17

oped an Ethics Consultation Service 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.’ All communications 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, assuming that confidentiality can be maintained. All requests, inquiries, or correspondence should be directed to saem@saem.org.

Board of Directors Update The SAEM Board of Directors meets monthly, usually by conference call. This report includes the highlights from the May 25 meeting during the SAEM Annual Meeting and the June 21 and July 12 conference calls. The Board approved a proposal developed by the AEM Task Force to hire a Managing Editor for the Journal. A full-page advertisement describing the position is published in this issue of the Newsletter. Per the requirements of the Constitution and Bylaws, the Board held an election to select individuals to serve on the Nominating Committee. Dr. Dave Sklar was elected to a oneyear term on the Nominating Committee from the past presidents.

Dr. Jim Olson was elected to a two-year term on the Nominating Committee from the committee/task force chairs. Dr. Catherine Marco was elected to a one-year term on the Nominating Committee as a member of the Board of Directors. The Board approved a proposal that the Constitution and Bylaws Committee develop an amendment that current members of the Nominating Committee be ineligible to be nominated to the slate of nominees of elected positions. The Board approved the development of a Newsletter article on the topic of the SAEM regional meetings. The article is published in this issue of the Newsletter. The Board approved the develop-

ment of Board subcommittees on regional meetings and membership. The Board appointed Dr. Marcus Martin to serve as one of SAEM’s two representatives to the Council of Academic Societies of the Association of American Medical Colleges. Dr. Martin will join Dave Sklar, MD, as the Society’s representatives. The next face-to-face meeting of the Board of Directors will be held on Monday, September 26 from 8:00 am until 5:00 pm in the Washington Boardroom of the Grand Hyatt Hotel. The Board will also meet on Tuesday, September 27 at 12:00-5:00 pm in the Bulfinch Room of the Grand Hyatt Hotel.

EMF Grants Available 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, 2006 through June 30, 2007, unless otherwise noted. FERNE Neurological Emergencies Clinical Research lection, and manuscript preparation. A maximum of $20,000 Grant will be awarded. Deadline: December 19, 2005. Notification: This grant is sponsored by EMF and the Foundation for April 25, 2006. Education and Research in Neurological Emergencies Resident Research Grant (FERNE). The goal of this directed grant program is to fund A maximum of $5,000 to a junior or senior resident to stimuresearch based towards acute disorders of the neurological late research at the graduate level is available. Deadline: system, such as the identification and treatment of diseases December 19, 2005. Notification: April 25, 2006. and injury to the brain, spinal cord and nerves. $25,000 will be awarded annually. The deadline for the submission of a letCareer Development Grant ter intent is October 14, 2005 and the deadline for grant subA maximum of $50,000 to EM faculty at the instructor or missions is January 9, 2006. Notification: April 25, 2006. assistant professor level who need seed money or release time to begin a promising research project is available. EMF Directed Research Reducing Medical Errors Award Deadline: December 19, 2005. Notification: April 25, 2006. This request for proposals specifically targets research that is designed to reduce medical errors in the ED setting. Although Riggs Family/Health Policy Research Grant all clinical proposals will be considered, the highest priority Between $25,000 and $50,000 for research projects in health will be given to proposals that directly evaluate interventions policy or health services research topics is available. to reduce medical errors and utilize quantitative outcome Applicants may apply for up to $50,000 for a one- or two-year measures to assess effectiveness. Proposals may focus on period. The grants are awarded to researchers in the health specific patient populations, disease processes or hospital policy or health services area who have the experience to system components. Studies that propose to only identify conduct research on critical health policy issues in EM. errors without a plan to evaluate outcomes or investigate Deadline: January 9, 2006. Notification: April 25, 2006. interventions will not be considered. Applicants may apply for up to $100,000 in funding. The funds will be disbursed semiResearch Fellowship Grant annually over the two-year cycle. Deadline: December 19, This grant provides a maximum of $75,000 to EM residency 2005. Notification: April 25, 2006. graduates who will spend another year acquiring specific basic or clinical research skills and further didactic training ENAF Team Grant research methodology. Deadline: January 9, 2006. This request for proposals specifically targets research that is Notification: April 25, 2006. designed to investigate the topic of ED overcrowding. Proposals may focus on a number of related areas, including: Medical Student Research Grant definitions and outcome measures of ED overcrowding, causThis grant is sponsored by EMF and the SAEM. A maximum es and effects of ED overcrowding, and potential solutions to of $2,400 over 3 months is available for a medical student to the problem of ED overcrowding. The applicants must provide encourage research in emergency medicine. Deadline: evidence of a true collaborative effort between physician and February 13, 2006. Notification: April 25, 2006. nurse professionals and must delineate the relative roles of the participants in terms of protocol development, data col18

SAEM Sports Medicine Interest Group David J. Berkoff, MD Duke University A new interest group has been formed within SAEM that will focus on sports medicine. Sports medicine has been a recognized subspecialty within EM for years and our faculty help write the CAQ board questions, yet there is no formal organized interest group. Of the nearly 70 primary care sports medicine fellowships in the country less than 10 are run by EM programs. Fellowship spots are highly coveted and difficult to get; coming from an EM background seems to be a disadvantage. Additionally, although there is a significant amount of research being performed relating to sports medicine, event medicine and musculoskeletal exams, there is little representation at

the national meetings relating to this. The goals of this interest group will be to create a community of emergency medicine trained physicians who share a common interest in sports medicine. I hope that this group will be able to enhance our knowledge of musculoskeletal injuries seen in the ED, open new doors relating to sports medicine fellowships and EM trained applicants, advise and collaborate regarding future job tracks for sports medicine fellowship trained EM physicians, and develop a larger base for research to be performed and presented. I invite all SAEM members to consider joining this interest group, both fellowship trained EM docs and those

just with an interest in these topics. Developing an interest group takes a group of dedicated people, and I would also like to find a few interested people who could help to begin to develop this group with me. I also welcome ideas for an email newsletter and topics that would be of interest to the members. The cost to be a part of any SAEM interest group is $25. However, if you send an email to saem@saem.org to express your interest, you will be added to the SAEM database, but will not be billed until the annual SAEM dues invoices are sent in mid-November. Once we have 20 members, SAEM will set up a list-serv for the group.

Call for Physician Workforce Papers Academic Medicine, the Journal of the Association of American Medical Colleges, is now accepting papers on physician workforce research with the goal of identifying 5 to 10 articles for publication in early 2006. The number of articles to be published depends on the number and quality of the manuscripts received and approved. A panel, comprised of physician workforce researchers, will review all submissions. The Academic Medicine editorial staff will review finalists selected by the panel. Papers are due by Friday, September 16, 2005. Submissions must be well written and address an important contemporary issue related to physician workforce issues. Reviewers will be looking to achieve a mix of articles that encompasses a variety of topics and viewpoints. Manuscripts on a wide range of topics related to the physician workforce, such as those covered at the AAMC Physician Workforce Research Conference are welcome. This includes such diverse topics as: 1. Measuring and forecasting the supply and demand for physicians; 2. Factors impacting on the supply and demand for physicians; 3. Specialty and state specific physician workforce studies; 4. Implications and impacts of the increasing percent of physicians that are women; 5. Practice and retirement patterns for older physicians; 6. Practice patterns of younger physicians; 7. Assessing changes in physician practice patterns over a professional career; 8. Approaches to measuring and increasing physician productivity and efficiency; 9. Strategies and experiences with efforts to address mal-distribution; 10. Implications and impacts of a more diverse physician workforce; 11. The impact of health care organization and financing on the supply, demand and use of physicians;

12. The relationship between physician education, training and specialty on quality of care and outcomes of care; 13. The role of non-physician clinicians; and 14. Approaches to improving physician workforce data collection; While findings from recent quantitative research are encouraged, Academic Medicine will also consider results of qualitative research. Papers should be submitted to Edward Salsberg at esalsberg@aamc.org. Include “Call for Physician Workforce Papers” in the subject line. Submissions should be double-spaced and include an abstract comprising four paragraphs labeled “Purpose,” “Method,” “Results,” and “Conclusion.” When submitting your paper, attach a cover letter that includes the following: ● The title of the paper. ● A statement that the paper has not been published and is not under consideration in the same or substantially similar form in any other journal. ● A statement that all those listed as authors are qualified for authorship and that all who are qualified to be listed as authors are listed as authors on the byline. ● A statement that, to the author’s knowledge, no conflict of interest, whether financial or otherwise exists. (If a possible conflict exists, the authors must describe the circumstances.) ● The name and contact information (name, title, full address, email, and telephone number) for the corresponding author. In addition to this call for papers, Academic Medicine will continue to consider physician workforce papers on an ongoing basis as part of its regular review of submissions. For clarification on submission requirements visit www.academicmedicine.org. If you have questions about the call for papers, email or call Mr. Salsberg (202) 828-0415 or esalsberg@aamc.org. 19

SAEM/ACMT Michael P. Spadafora Medical Toxicology Scholarship Winners Selected Leslie R. Dye, MD Dr. Michael P. Spadafora was an academic emergency physician and medical toxicologist who was a member of SAEM and the American College of Medical Toxicology (ACMT) and was dedicated to resident education. After his death in October 1999, a scholarship was established in his name. The purpose of the scholarship is to encourage Emergency Medicine residents to pursue Medical Toxicology fellowship training. Two awards are provided- one funded by SAEM and one by ACMT, each for $1250. The money will support travel, meeting registration, meals, and lodging for the attendance of the annual North American Association of Clinical Toxicology (NAACT) meeting in Chicago. Applicants submitted a curriculum vita, letter of support from the program director, letter of recommendation from an active member of SAEM and/or ACMT, and an essay describing the interest in medical toxicology. There were 5 excellent

candidates with complete applications. A selection committee consisting of members of SAEM and/or ACMT scored each candidate. The two with the highest scores were chosen to receive the scholarship. The winners are Dr. Elizabeth Gray and Dr. Henry Gresham. Dr. Gray is an emergency medicine resident at the Naval Medical Center in San Diego. She served two years as a flight surgeon for the Marine Corps and has published articles on Latex-Derived Dart Poison. Dr. Gresham is an emergency medicine resident at the University of Massachusetts. He is the recipient of a 2005 EMF Resident Research Grant on Organophosphorus (OP) Hydrolase for Acute OP Poisoning. Each recipient will submit a summary of the ACMT scientific symposium and the ACMT practice symposium for publication in the SAEM Newsletter and IJMT. Congratulations to both winners.

President’s Message…(continued from page 1) demic physicians tend to roll their eyes or cover their ears when this topic is brought to the table. It is neglectful that our medical training rarely prepares us to come to grips with money. For without a clear understanding of its benefits and hazards, little progress of true and lasting significance can be made. SAEM has always taken great pride in its frugality. The size of its staff is not that much larger now at 5,000 members than it was when there were 500 members. It has used operational monies not spent in other directions to support the Research Fund, over $500,000 placed into this fund in the last two years. This steady contribution and financial management has allowed this fund to grow to over $4,000,000. This is a source of pride for the organization, but at the same time the question must be asked of you as members, “What is the best use of the next cycle of operational dollars?” Money of course is in some respects is like fire. It’s an excellent servant but can be a terrible master. We need to carefully examine how the money is gathered and spent through the Society by the most professional of means. We should consider how these monies are used for the maximum benefit of the maximum number of members in the Society. For example, the Board held a recent dialogue about web services and how these may be promoted depending upon the anticipated requirements and expectations of the membership. As a result, a new Webmaster, on-site at the central office,

was hired, and is currently active redesigning the Society’s website to ease accessibility and information exchange. We anticipate seeing the rollout of this site in the coming months. After considerable discussion and the development of an excellent written proposal, the Board recently approved the hiring of a Managing Editor for our Journal, Academic Emergency Medicine (see ad in this issue of the Newsletter). In this way, the successes to date can be sustained, and efficiencies established to assure the production of the highest quality journal for the long-term. Future services for the membership are being explored and ideas are encouraged. As we examine how your monies are applied, we must consider how to expand our research experience and expertise opportunities beyond the current emphasis of the Research Fund, our three major research training grants—Research Training, Institutional Research Training, and Scholarly Sabbatical, totaling nearly $400,000 (see the complete list of SAEM grant programs in this issue of the Newsletter). These monies favorably impact three people and their programs, with the expectation of longterm gains for these individual’s academic careers and research productivity. Thereby, it represents a significant investment in the future of the specialty that is not duplicated anywhere else in Emergency Medicine. We also must seek other means of reaching a wider 20

audience with our offerings. Currently, SAEM doesn’t have its own separate research oriented training program other than what’s offered at the Annual Meeting. CORD sponsors, "Academic Assembly", ACEP presents the "EMBRS Course". One of the Research Committee’s objectives for this year proposes SAEM actively contribute to the expertise of maturing researchers by offering a specific research skills oriented course of its own. In this way, we can impact and influence more members in supporting their pursuit of a defining event in establishing an academic career…the attaining of one’s initial research grant. The topic will be ‘Applied Grant Writing Skills’ expanding upon the successful sessions currently held within the Annual Meeting. It will be a one-day pre-meeting course with limited enrollment to address this essential skill for any research career in a practical manner. Its goal is for you to come to the conference with a grant idea, a preliminary grant, or a rejected grant. At the end of the intense and focused experience, one or two participants to one experienced grants person, you would develop a completed grant, reviewed in detail and have ideas about where this grant may be sent for the next step. Grantsmanship in many ways is the culmination of all the skills necessary for the researcher. SAEM will be there for them beginning in 2006. Interestingly,

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President’s Message…(continued from previous page) depending on the demand, this course could alternate with an academic writing course, or even an educate the educators skills course, where classroom and bedside teaching could be improved and new technologies examined with time to understand, practice, and assess them. A different planned course offering assigned to the Faculty Development Committee is focused on Senior Academic Management and Leadership Skills. This objective represents a course primarily for mid-career faculty, although most faculty could benefit from it. It could be developed on our own or in combination, for example, with the Association of Academic Chairs in Emergency Medicine (AACEM). One reason for such a course is my belief in the next 5-7 years there will be approximately 25-35 available Chair positions in Emergency Medicine due to retirement or advancement of current Chairs, myself included, as well as the addition of new academic departments in the specialty. There are currently 73, the newest being Washington University in St. Louis. There are 125 medical schools, so we’re just beyond the halfway point. But, the generation of Chairs who I represent will be moving on, and we must be prepared to have a number of viable candidates for each of these positions to secure the gains we’ve made over these last 25 years. An open Chair position in emergency medicine is a vulnerable position in any medical school. We must make sure that nothing is lost during these transitions. This conference, perhaps two days, free-standing, would emphasize the practical applications of a variety of management and academic skills important to those individuals interested in a Chair’s position, moving into the Dean’s office, or having a leadership role in organized Emergency Medicine. These include an understanding of the academic environment in the United States, negotiation skills, finances, management versus leadership, and an understanding of policies and procedures, including the law as it relates to academic issues. These and other topics must be discussed, assimilated, and understood by those who have an interest in becoming academic leaders and managers in this specialty. SAEM will be there for them. Lastly, in the area of financial issues, we need to once again look at and expand our development activities. The

Board has conscientiously examined development pathways that might be taken with professional assistance over the last two years, but several recommendations or ideas are still pending implementation. We should continue to expand our current endowment by wise investments and development activities that generate donations rather than internal transfers of operational dollars created by dues and the Annual Meeting. The Board has authorized the Development Committee to seek the assistance of a professional development consultant to aid in our financial planning and fundraising activity, both within and outside of the Society. The second broad area to discuss relates to specific areas for growth or areas in which we may have a broader impact than we currently do. The first is in the area of diversity. As we are well aware, emergency medicine has limited exposure in under-represented minority student groups, especially AfricanAmericans and Latinos. We need to make a conscious sustained outreach to these groups to ensure their expanded presence and role in emergency medicine training and academics. One clear action we can take is to establish a presence for SAEM at the specific diversity oriented medical conferences especially those directed toward medical students. In March of this year, Leon Haley and I initiated that presence by means of a booth at the 40th Annual Student National Medical Association (SNMA) meeting in St. Louis. We spoke to more than 80 minority students. This was the first presence of an EM organization at such a meeting, but not the last. We are currently working to establish a rotation-based presence of the major organizations representing emergency medicine at this meeting through 2010. Another important diversity priority is to clearly define the needs, and how we may assist the continued progress of women in academic medicine. This year we enhanced the current Mentoring Women Interest Group, by creating a new Task Force charged with this specific goal. Academics has many similarities to clinical practice, but it has important differences, and we as a Society need to recruit, retain and advance both under-represented minorities and women as they move toward some degree of parity within our realm. 21

Another important area relates to our role with developing academic emergency medicine from an international perspective. This has been fraught with hazards in the past, and likely in the future, yet SAEM should consider a leadership role in assisting individuals from other countries in establishing standards of teaching and research relative to acute care and emergency medicine. We should have at least, a policy and plan for how we’re going to engage with other countries and cultures through academic emergency medicine. This year we have established an International Task Force, a group of individuals with international experience who will be asked to examine what SAEM could offer to other faculty and institutions, as our part in supporting international academic emergency medicine. A third specific area for growth is technology in education. We need to know about advances and insure current cutting edge activities are broadly disseminated to the membership. The emphasis over this year, although I hope it’s the first of many forays into the field and future of technology, is specifically related to the use of patient simulators. We have established a Technology in Education-Simulators Task Force that will build on the strengths currently within the Simulator Interest Group. Goals for this group include: creating a library of cases to teach different groups, including students and residents. This collection of cases could be easily disseminated nationally for the benefit of many EM programs. We will also examine the idea of a recommended turnkey simulator laboratory and anticipated expenses. Research ideas and a developing a training agenda using these new educational techniques (such as integrating diversity training into the curriculum) will be explored. Finally, on this topic of growth areas for 2005-2006, there are two that have been examined in the past and need to be reactivated. The first is geriatrics. In the mid 1990s, SAEM with assistance of the Hartford Foundation, created an excellent textbook and curriculum on geriatrics and emergency medicine. Every one of us knows that the number of older patients being seen in the emergency departments in this country represent the fastest growing group we

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President’s Message…(continued from previous page) encounter. A Geriatrics Task Force has been established with the specific goal of reviewing, rewriting and integrating new technology into a geriatrics curriculum for undergraduate and graduate training. Hopefully, we can once again work with the assistance of the Hartford Foundation. Lastly, there is the relationship of SAEM with industry and industry-sponsored research. This again was examined in some detail almost 10 years ago and most recently the Board sponsored a focus group with industrial representatives to see how we may best relate and interact with them. Whatever your views of the potential benefits and hazards of industry, there is no question they are a very real source of money and support for research related to areas of interest in this specialty. Although, I am not one to advocate the Annual Meeting become being a ‘trade fair,’ we should have an active plan for engagement and relationship guidelines with the industries pertinent to our specialty, especially in the context of research and support of areas of mutual interest. We have created another Task Force that will examine the results of this focus group and move forward to consider SAEM’s options in developing relationships with the various industries that surround us. The third and final broad category of interest in this coming year relates to outreach and projected values. I have already initiated informal conversations with the current Presidents or President-elects of all of the societies representing emergency medicine. The opportunity to speak before the ACEP Board in Dallas was accepted in June, and the EMRA Board will be addressed in September. SAEM must be part of other societies’ strategic planning and we must have an active role, not just a reactive role, in the shaping of emergency medicine and its future. This engagement also applies to organizations outside of our specialty, those having real influence on the direction of academics and healthcare in America. An excellent role currently being pursued this year and extending into next is the relationship between SAEM and the Institute of Medicine as it debates the role of Emergency Medicine in the future of American health care. You would be very pleased with the level of

activity and relationship we have established not only through representatives serving on the IOM committees, but also through a series of presentations, supplied written materials, and attendance at their meetings to make sure academic emergency medicine has a voice at these important deliberations. We believe this effort will be of benefit to the specialty when the report is released to the government and the public in early 2006 and have convened an experienced group to monitor the ramp-up and release of this report. We’re currently examining our role with the AAMC and have recently agreed to be more proactive in that relationship, and continue to encourage the membership to be aware and involved in that important organization’s activities. Another area for outreach is to carefully examine the geography of representation and the inclusion of new programs in SAEM leadership opportunities. For example, on a quick review it’s interesting that despite 17 residency programs in the New York City area, SAEM has only had one or two Board members from New York. Think of the new programs, the Iowa’s, Nebraska’s, Utah’s, and the Louisiana States’. Each one of these needs to be welcomed and cultivated to align itself with SAEM. We must clearly demonstrate how this alignment can benefit these new faculty to not only sustain their careers, but ensure their careers are successful and fulfilling. The natural corollary of that is to maintain an active, visible and viable SAEM Consult Service such that states with no emergency medicine training programs, yet have a medical school such as Oklahoma, Nevada, and Vermont, are encouraged and supported in their development of residencies and academic emergency medicine. My personal and professional agenda in 2005 is really no different than my dreams in 1989. That was and is to establish SAEM as the clear leader in academic emergency medicine for all of those, and I want to repeat, all of those interested in pursuing this fascinating and varied career path. How we project the Society’s values to our membership and others is most important. We must ensure all individuals with commitment and capabilities are encouraged in sharing their time and talents with us.

We may of necessity teach the hierarchical pecking-order approach used by all too many Promotion and Tenure Committees, but inside our Society we need not accept or embrace the same philosophy. Activities like founding a new residency program versus serving on an NIH Study Section can’t be perceived as being weighed on the same scale – and one found wanting. They must be valued separately, on different scales, and each represented as contributing to the whole of academics. That total scope of academics is the viable realm of SAEM - the full body of which its leadership and membership need to support without judgment. The symbol of this Society is the lamp of knowledge. This lamp of knowledge needs to be held high and serve as a beacon to investigators, educators, administrators, residents, students all coming with a wide variety of talents and interests that collectively make up the full breadth of academic pursuit in our specialty. Duplicating the basic principles of academics, SAEM is about is curiosity, creativity, change, openness and exploring the full range of possibilities related to the future of this exciting and necessary specialty of emergency medicine. This is my 30th year in emergency medicine and likely by that statement I am one of the older academic emergency physicians. In that fact, lies an important statement of hope for every one of you. Academics is an exciting, lifelong pursuit of ideas and new thinking, some evolutionary and now and then revolutionary – like the idea of emergency medicine itself. It is what has kept me energized for all these years. What motivates me to stand before you now is the belief that there is much, much more to do. Many of these ideas are in place for 2005-2006; others are ideas for the shaping. My most sincere wish is each member has a clear understanding and belief that SAEM can be a resource during every step and phase of their career development. This can be our continued goal for SAEM, and represent the sum total of the objectives for this upcoming year. I look forward to serving you and the Society in the coming year, and am especially interested in your continued communication.

FACULTY POSITIONS

a Level I trauma center with both toxicology and hyperbaric medicine treatment programs housed within our Department. Salary is commensurate with experience. For further information write to: Donald M. Yealy, MD, Vice Chair, Department of Emergency Medicine, University of Pittsburgh School of Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213. The University of Pittsburgh is an Affirmative Action, Equal Opportunity Employer.

CALIFORNIA: University of California, Irvine, Department of Emergency Medicine has immediate opening for a clinical scholar to join our 15-member faculty. EM Board Certification required. Pediatric EM board certification or eligibility most highly sought. Research fellowship training and/or advanced degree (MPH, MBA, MME or PhD) strongly preferred. Appointment in Clinical Scholar series anticipated. UCI Medical Center is a 472-bed tertiary care hospital with all residencies. The ED is a progressive 36-bed Level I Trauma Center with 46,000 patients (2100 trauma runs) in urban Orange County. Collegial relationships with all services. Excellent salary and benefits. Inquiries confidential. Send CV to Mark Langdorf, MD, MHPE, FACEP, FAAEM, RDMS, UCI Medical Center, Route 128. 101 City Drive, Orange, CA 92868. UCI is an equal opportunity employer committed to excellence through diversity.

The SAEM Newsletter is mailed every other month to approximately 6000 SAEM members. Advertising is limited to fellowship and academic faculty positions. The deadline for the November/December issue is October 1, 2005. All ads are posted on the SAEM website at no additional charge.

INDIANA: Indiana University School of Medicine, Department of Emergency Medicine is recruiting a clinician teacher to provide care at public hospital ED located on medical center campus. Wishard Hospital is a Level One Trauma Center, base for busy pre-hospital emergency transport services, and regional burn center. The ED recorded 95,000 visits in 2004. Wishard complements Methodist in providing clinical experiences for IUSM EM residents. Enthusiasm for medical education, clinical research, and patient care in a busy public hospital ED are expectations. Residency training, certification/preparation in EM are required. Rank and tenure dependent upon qualifications. Apply to Jamie Jones MD (jhjones@iupui.edu) or Rolly McGrath MD (rmcgrath@iupui.edu), FAX (317)656-4216. IU is an EEO/AA Employer, M/F/D.

Advertising Rates: Classified ad (100 words or less) Contact in ad is SAEM member Contact in ad non-SAEM member Quarter page ad (camera ready) 3.5" wide x 4.75" high

NEBRASKA: The University of Nebraska Medical Center, Section of Emergency Medicine is recruiting 1-2 additional faculty members committed to developing an academic career. With an accredited residency which began in July 2004, this is a great opportunity to help shape the future of emergency medicine in this region. Candidates who have toxicology training will have the opportunity to work with the Nebraska Regional Poison Center. The new Center for Clinical Excellence, which will house the Emergency Department and provide services for 45,000 annual visits, will open in November 2005. Respond in confidence to: Robert Muelleman, MD, Professor, Chief of Emergency Medicine, University of Nebraska Medical Center, 981150 Nebraska Medical Center, Omaha, NE 68198-1150. (402-559-6705) The University of Nebraska is an affirmative action/equal opportunity employer. Minorities and women are encouraged to apply.

$100 $125 $300

To place an advertisement, email 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: Elizabeth Webb at elizabeth@saem.org

NEW YORK: Exciting opportunity to participate in the development of a new EM residency training program at St. Vincentâ&#x20AC;&#x2122;s Hospital in Manhattan. This is a Level I trauma center with an annual ED volume of 55,000. The ED is undergoing a $20 million dollar renovation; the first phase, a state-of-the-art Urgent Care, to be completed in the fall. Emergency Medicine is a full academic department at New York Medical College. EMA is a physician owned and truly democratic group. We offer an excellent compensation package including: partnership, malpractice, medical, dental; life insurance; 401K; long-term disability, and CME. Faculty appointment commensurate with experience and qualifications. Submit CV to: Carol Leah Barsky, MD, Chair, Dept. of EM, email jobs@emamd.com or call 1-877-692-4665 x1190. Visit our website at www.EMA-ED.com.

mind-stretching. heart-pounding. opportunity-rich. Work among the BEST! Jackson Health System, the premier South Florida integrated health system, is a 1597-bed tertiary care center affiliated with the University of Miami School of Medicine. We offer virtually unlimited opportunities to test and advance your talents along with one of the best benefit programs found anywhere including 100% employer-paid retirement, 29 paid personal leave days, health/dental/life and much more!

OHIO: 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, 146 Means Hall, 1654 Upham Drive, Columbus, OH 43210; or E-mail; Pfeil.3@osu.edu; or call 614-293-8176. Affirmative Action/Equal Opportunity Employer.

Attending Physician

PENNSYLVANIA: SEEKING TWO additional EM Residency-trained physicians to join 38 BC physicians and 11 PAs evaluating close to 110,000 patients at the three sites of 750-bed Lehigh Valley Hospital (LVH). Ultrasound certification a plus. Collegial group with a good mix of experience, and extraordinary physician retention rate. Great opportunity for advancement. Employed by Lehigh Valley Physician Group, the multi-specialty physician practice of LVH. Electronic medical records, physician order entry, documentation and PACs system. Academic, tertiary hospital with Level I trauma, 9-bed Burn Center, 13 freestanding, fully-accredited training programs, including one in Emergency Medicine. Eligibility for faculty appointment at Penn State/Hershey. Competitive salary and fabulous benefits! LVH located in the beautiful Lehigh Valley, with 700,000 people, excellent suburban public schools, safe neighborhoods, moderate cost of living, one hour north of Philadelphia and one-and-one-half hours west of Manhattan. Email CV to carol.voorhees@lvh.com. Phone (610) 4027008.

Due to our recent expansion we have a number of full-time opportunities available within our Emergency Care Center for Florida licensed MDs with board certification in Emergency Medicine or residency trained in Emergency Medicine and current/future core faculty responsibilities. Competitive salary/benefits. Sovereign immunity. For more information, please contact: Jackson Health System Medy Jose, Recruitment Services 1611 NW 12th Ave, Park Plaza West, Ground Level, Suite 1 Miami, FL 33136 Phone: 305-585-7142; Fax: 305-585-7824 mjose@um-jmh.org

PENNSYLVANIA: University of Pittsburgh: Full-time emergency medicine faculty non tenure and tenure positions are available at the Instructor through Professor levels. Candidates must be residency trained and board certified/prepared in emergency medicine. We offer career opportunities as a clinicianinvestigator or clinician-teacher. Our faculty have local, national and international recognition in research, teaching and clinical care. The ED serves a primarily adult population with a volume of approximately 50,000 per year, and is

www.um-jmh.org EOE, M/F/D/V

NEW YORK MEDICAL COLLEGE

Invest In Your Career. The Department of Emergency Medicine at New York Medical College, a prestigious health sciences university, providing patient care, teaching and research; seeks dynamic physicians for its clinical campus affiliate, Metropolitan Hospital Center in Manhattan.

Central Texas Emergency Medicine The Department of Emergency Medicine at Scott & White Memorial

FULL-TIME FACULTY IN EMERGENCY MEDICINE

Hospital and Clinic is seeking BC/BE Emergency Physicians with

A highly-motivated, resident-trained physician with an interest in an academic career, is sought for a prestigious multispecialty faculty practice in New York City. The ED has 24 residents and an active EM research program. You will experience a varied acute patient pathology in a busy, urban teaching hospital environment (75,000 adult and pediatric emergency visits per year). It has full departmental status, and is technologically advanced with an electronic medical record system including electronic EKG retrieval and digital radiography. This position has excellent faculty development opportunities; and offers a competitive salary, comprehensive benefits package including paid vacation, holiday, CME, disability and insurance.

department evaluates and treats 55,000+ patients annually. We maintain

excellent clinical, teaching and other academic skills. This Level I Trauma a fully accredited Emergency Medicine Residency Program and have an excellent faculty development plan that includes the ACEP Teaching Fellowship. Scott & White is currently designing and building a new "State of the Art" Emergency Department in our new Center for Advanced Medicine to be completed in 2006.

Academic Faculty

appointment is through Texas A&M University Systems Health Science Center College of Medicine. Scott & White is a Physician Directed Healthcare System that includes S&W Clinic with over 500 physicians, S&W Hospital with 465 beds, and

SESSIONS -- CLINICAL STAFF

S&W Health Plan with 180,000+ members. Scott & White offers an

Dynamic residency-trained or board certified physicians in emergency medicine needed. Competitive rates. Flexible hours.

outstanding compensation package, which begins with a competitive

Please send your resume with cover letter to: Ms. Justice Shillingford, Personnel Coordinator New York Medical College Metropolitan Hospital Center 1901 First Avenue, Suite 16A, New York, NY 10029 or fax it to: 212-423-6318; or email it to: j_shillingford@nymc.edu

plan. Please contact or send your CV to: Paul Golden, Director of

salary, a comprehensive insurance package, and a generous retirement Physician Recruiting, Scott & White Clinic, 2401 S. 31st, Temple, TX. 76508. E-mail drrpfg@swmail.sw.org toll free (800) 725-3627. For more information visit our web site at www.sw.org Scott and White is an equal opportunity employer.

DEPARTMENT OF EMERGENCY MEDICINE EMS FELLOWSHIP The University of Cincinnati seeks candidates for a one- or twoyear fellowship in Emergency Medical Services. The fellowship provides an educational format to acquire the foundation of skills and knowledge required to become a specialist in prehospital emergency medicine. Fellowship training will enable the physician to proficiently conduct all aspects of EMS system medical direction, including treatment of clinical problems, management of the EMS system as a community health resource, education of the public and EMS system personnel, supervision of EMS personnel delivering medical care, and medical leadership. The EMS experience is obtained through medical direction of the Cincinnati Fire Department and participation in the divisions of the Emergency Medicine Special Operations Institute. Fellows will also be proficient at the entry level in clinical research. Clinical experience is derived from an adult emergency room which is the regional level I trauma center with more than 90,000 visits annually and the second busiest pediatric emergency department in the country (83,000 annual visits). Candidates should have completed residency training in emergency medicine, and must be eligible for Board Certification by ABEM. Interested candidates should submit letter of interest and CV to Donald Locasto, MD, Director, EMS Fellowship, University of Cincinnati, Department of Emergency Medicine, PO Box 670769, Cincinnati OH 45267-0769; phone (513) 558-5281; email donald.locasto@uc.edu. For additional information go to the EMS website at http://www.ucemergencymedicine.org/prehospital.asp

ATLANTA,

DEPARTMENT OF EMERGENCY MEDICINE EMS FELLOWSHIP

DEPARTMENT OF EMERGENCY MEDICINE One of the nationʼs leading academic EM programs, Emory offers a dynamic professional environment and faculty development. We have special strengths in clinical and lab research, EM education, EMS, medical toxicology, medical education, and public health, as well as strong links to the CDC and other local organizations. We offer a competitive salary, excellent benefits, and job security. Applicants must be residency trained or board certified in EM. If you are an excellent doctor, love to teach, and want to make a difference, contact us. Women and minorities are encouraged to apply. For further information, visit our web site at http://www.emory.edu/em, then contact:

The University of Cincinnati seeks candidates for a two-year fellowship in medical toxicology consisting of inpatient and outpatient clinical consultation, environmental and occupational toxicology, regional poison center experience, laboratory and clinical research and experience in hyperbaric medicine. Three medical toxicologists serve as faculty. Clinical experience is derived from an adult emergency room which is the regional level I trauma center with more than 90,000 visits annually and the second busiest pediatric emergency department in the country (83,000 annual visits). NIOSH and EPA have headquarters in Cincinnati and a NIOSH medical toxicologist is involved in training the fellow. The fellow takes call for the poison center, conducts inpatient and outpatient toxicologic consultations, and learns to use hyperbaric medicine for carbon monoxide poisoning and other indications for which it is used. The option exists to obtain additional training in occupational medicine leading to Board eligibility. Candidates should have completed residency training in emergency medicine, pediatrics, internal medicine, or occupational medicine, and must be eligible for Board Certification in one of these specialties. Submit letter of interest and CV to Curtis P. Snook, MD, Director, Toxicology Fellowship, University of Cincinnati, Department of Emergency Medicine, PO Box 670769, Cincinnati OH 45267-0769; phone (513) 5585281; email snookcp@ucmail.uc.edu.

Arthur Kellermann, MD, MPH, Professor and Chair Department of Emergency Medicine 531 Asbury Circlel – Annex Suite N340 Atlanta, GA 30322 Phone: (404)778-2602 Fax: (404)778-2630 Email: paula.bokros@emory.edu Emory is an equal opportunity/affirmative action employer

. Indiana University School of Medicine Department of Emergency Medicine Division of Out-of-Hospital Care

University of Virginia Department of Emergency Medicine

Fellowship in Out-of-Hospital Care

The University of Virginia Department Of Emergency Medicine is seeking a board certified faculty member who is interested in an academic career in Emergency Medicine. Opportunity exists for a new faculty member who has an interest in teaching residents, medical students and pre-med students. Past experience and specific interest within Emergency Medicine will be highly considered. There is an annual ED census of 60,000. The department includes a chest pain center, adult and pediatric ED, fast track (Express Care), active air and ground transport programs, and a poison control center/center for clinical toxicology. There is an established emergency medicine residency program, fellowships in EMS, Toxicology and Cardiovascular Emergencies, as well as an associate degree paramedic training program. The UVA Health System is a tertiary care and Level 1 trauma center.

Indiana University is accepting applications for postgraduate fellowship training in the field of Out-of-Hospital Care for the 2006-2007 academic year. The fellow will receive a highly structured exposure to the disciplines of Out-of-Hospital Care with an emphasis on the medical direction of all aspects of a high-volume, urban, EMS System. This will include system design and performance; emergency vehicle operations; onscene, on-line and off-line medical oversight; continuous quality improvement; labor law and human resources; EMT and paramedic education; EMS legislation and rule promulgation; Medical Priority Dispatch; and EMS finances. Furthermore, the year includes several national conferences to augment training in quality control, research design and implementation, and

The University of Virginia School Of Medicine is located in one of the nation’s top rated cities, Charlottesville. Located at the foot of the Blue Ridge Mountains, the area is a culture rich environment with limitless educational and recreational opportunities.

leadership. The fellow will be fully integrated at a leadership level into the medical direction of the Indianapolis EMS System, which is comprised of fire-based first response/technical rescue and hospital based ALS transport. In addition, the successful candidate will serve as associate medical director of a suburban EMS system. The fellow will also have exposure to and the opportunity to explore other disciplines in the field of Out-of-Hospital Care including mass gathering/event medicine, tactical EMS, motor sports medicine, disaster medicine, and aeromedical and specialty care transport. Residency training and board eligibility are required. Clinical emergency medicine experience will be afforded at a large volume, urban, academic emergency department with EM residency affiliation. Contact Ed Bartkus (ebartkus@clarian.org), or Charles Miramonti (cmiramon@iupui.edu). IU is an EEO/AO employer.

The position carries a faculty appointment in the School of Medicine at the University of Virginia. Tenure and non-tenure clinical tracks are options. Rank will commensurate with experience, qualifications, and scholarly achievements. Position will remain open until filled. Send a letter of interest, CV’s with references to: Marcus L. Martin, MD, Chair or William J. Brady, MD, Vice-Chair Department of Emergency Medicine University of Virginia Health System P. O. Box 800699 Charlottesville, Virginia 22908-0699 E-mail: wb4z@virginia.edu Women, minorities, disabled persons, and veterans are encouraged to apply. The University of Virginia is an Equal Opportunity/Affirmative Action Employer.

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Yale University School of Medicine Section of Emergency Medicine The Section of Emergency Medicine at Yale University School of Medicine is currently seeking qualified candidates to join its faculty at both the Assistant and Associate Professor levels. The Section of Emergency Medicine, established in 1991, has become a leader in resident education and research. The Residency Program (1-4) was established in 1996 and has 10 residents per year. Fellowships in Ultrasound and EMS are also offered. The Research Division, supported by doctorate level scientists, is actively engaged in several NIH studies and other research funded by foundations, such as the Robert Wood Johnson Foundation. Faculty practice at Yale New Haven Hospital, an urban level I trauma center with 68,000 visits per year. Candidates must be Emergency Medicine trained, board eligible or board certified. Positions are available for both new graduates and faculty with experience to join either the education or research divisions. Senior faculty should have a record of excellence in teaching, demonstrated leadership skills, strong interpersonal skills, and a strong commitment to medical education and clinical excellence. Rank and salary will be commensurate with education, training and experience. For more information, contact Dr. Gail Dโ Onofrio at (203) 785-4404 or gail.donofrio@yale.edu. To apply, please forward your CV and cover letter via fax at (203) 785-4580, email: jamie.petrone@yale.edu, or mail at Yale University School of Medicine, Department of Surgery, Section of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315. Yale University is an affirmative action, equal opportunity employer and women and members of minority groups are encouraged to apply.

S A E M

Call for Abstracts 2006 Annual Meeting May 18-21 San Francisco, CA Deadline: Tuesday, January 10, 2006

The Program Committee is accepting abstracts for review for oral and poster presentation at the 2006 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 10, 2006 at 5:00 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 website 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 517-485-0801. 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 2006 SAEM Annual Meeting. Original abstracts presented at national meetings in April or May 2006 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.

S A E M

Newsletter of the Society for Academic Emergency Medicine

Board of Directors Glenn Hamilton, MD President Jim Hoekstra, MD President-Elect Katherine Heilpern, MD Secretary-Treasurer Carey Chisholm, MD Past President Jill Baren, MD Leon Haley, Jr, MD, MHSA Jeffrey Kline, MD Catherine Marco, MD Robert Schafermeyer, MD Lance Scott, MD Ellen Weber, MD

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

PRESORTED STANDARD U.S. POSTAGE PAID GRAND RAPIDS MI PERMIT # 1

Editor David Cone, MD David.Cone@yale.edu Executive Director/Managing Editor Mary Ann Schropp saem@saem.org Advertising Coordinator Elizabeth Webb elizabeth@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.

Future SAEM Annual Meetings 2006

May 18-21, San Francisco Marriott, CA

2007

May 16-19, Sheraton Hotel, Chicago, IL

S A E M

2008

May 29-June 1, Marriott Wardman Park Hotel, Washington DC

2009

May 14-17, Sheraton New Orleans, New Orleans, LA

Call for Didactic Proposals 2006 Annual Meeting May 18-21 San Francisco, CA Deadline: Thursday, September 9, 2005

The Program Committee is inviting proposals for didactic sessions for the 2006 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 Thursday, September 9, 2005 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.