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The LeadER

VOL 1 ISSUE 3

An Interview with

LOUISE KAO Getting things done PAGE 6

TEREZ MALKA PAGE 10

Going with the flow

THE LEAD OFF by Cherri Hobgood

EDITOR-IN-CHIEF

PAGE 2

Dan Rusyniak

THE NEW FACES OF IUEM

CHIEF REPORTER

Meet the new faculty members

Pamela Durant

PAGE 17

RESEARCH BOOT CAMP PAGE 13

HOOSIER HOOPS PAGE 19

SENIOR MANAGING EDITOR

Megan Palmer MARKETING COORDINATOR

Lauren Hernandez


THE LeadER |VOL 1 ISSUE 3

The

LEADOFF TIMES ARE CHANGING

by Cherri Hobgood

E

xciting times! For IUEM and the School of Medicine. As we are kicking off another academic year we have new students in the department, a fully engaged new resident class, and a strong infusion of new faculty. We also have significant leadership transitions. This month we welcome Jay Hess, MD to Indianapolis for the start of his tenure as the new vice president for university clinical affairs and Dean of the Indiana University School of Medicine. Dean Hess will become the 10th Dean in the School of Medicine’s 110-year history. His arrival from Michigan marks a transition in executive leadership for the School of Medicine and the conclusion of a 13-year term for Dean Craig Brater. Within our own department, Carey Chisholm, one of the most senior program directors in the nation has decided to step away from the direct day-to-day management of the residency program. Carey will become a “Senior Clinical Educator” and maintain a clinical as well as educational presence. Kevin Rodgers is now at the helm as PD and Jennifer Walthall as associate PD. Heather Fleming and Katie Pettit will become our new Assistant Program Directors. Transitions like these are critical times for an institution and its departments. Just as the solid foundation of the IUSOM will be a footing for Dean Hess, the training program Carey has crafted will also serve as a solid base for Kevin and his new team to launch new initiatives. Each of these transitions provides us with the opportunity to think about our history and what it can teach us about ourselves. The tenure of these leadership positions demonstrates we have an incredible leadership legacy. At IU we work hard to pick the right people for the job, support them, give them the tools they need to be successful and allow them to flourish. They in turn develop a longstanding commitment

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to the institution and stick around long enough to build enduring programs. This is certainly the case with Carey and our residency program. Carey has been at the helm of our training program for 24 years! This is an amazing contribution, not only for our program but for the discipline of EM. All in all, this program has trained more than 400 residents, most of these under Carey’s leadership. Now with a newly constituted PD team Kevin, Jen, Heather, and Katie will embark on their own journey to excellence. These transitions are signs of forward progress for the all the individuals involved; simultaneously, but moving on a parallel track to the institutions we serve which are also evolving. Soon we will be moving in to a new Eskenazi Health Hospital! With mixed emotions the old Wishard will be no more. Similarly, the faculty offices will be moving to the Fifth-Third office building. This represents a 100% change in our administrative space since I became chair. Another change, this announced by the IUHealth system on September 11 means at least 800 positions will be reduced or eliminated. Although the physician workforce will be minimally impacted, others we work closely with will be affected by this change. As the department looks to our future we will continue to ask ourselves how we can participate and shepherd this process such that the end result is a stronger health care system for our patients. Regardless of the facility--Eskenazi Health, Methodist, Riley or University our department serves them all. Our goal is to deliver patient care of unsurpassed quality and to advance emergency medicine through education, innovation, and discovery. I am confident that in this time of transition we can rise to the challenge.

2013


THE LeadER |VOL 1 ISSUE 3

Leading in

2013

AWARDS

Nathan Alves winner of Baxter’s Young investigator Award

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athan Alves, (one of our own)2 a postdoc in Dr. Kline’s lab, and husband of Anne Whitehead one of our third year residents, was recently awarded a Baxter Young Investigator Award. Nathan is one of six top-tier winners were awarded $2000; they are all involved in doing research that can be applied to the development of therapies and medical products that could save and sustain patients’ lives. Nathan’s work focused on improving antibody purification, producing advanced medical diagnostics through oriented antibody immobilization, and development of next generation antibody/nanoparticle-

based therapeutic by focusing on the highly conserved binding domain located within the antibody variable fragment, known as the nucleotide binding site (NBS). This was Nathan’s highly multidisciplinary area of focus while getting a PhD in Chemical and Biomolecular Engineering at the University of Notre Dame. In September Nathan will be invited to describe research interests to an audience of scientists and executives from Baxter International at their corporate headquarters in Deerfield, Illinois. He and the other first-tier recipients will get a special tour, lunch, and an evening reception. Nathan is a postdoc working in Dr. Kline’s research lab for (at least) a year, and is hard at work on the problem of delivering fibrinolytics. According to Daren Beam, “He is a wealth of information and worth his weight in gold.” Congratulations Nathan!

Click the following link to view a description of the Baxter’s Young award. http://www.baxter.com/about_baxter/scientific_excellence/young_investigator/index.html

Jen Walthall now Division Chief of Pediatric EM

J

ennifer Walthall, MD MPH assumed the duties of Division Chief of Pediatric Emergency Medicine on September 1st. On top of all the other things she already does (wife, mother of two boys, EM Physician, member of the IUSM Faculty Community Relations Committee, EM residency

Jamie Jones new president

of the American Board of EM

T

he American Board of Emergency Medicine has a new president, our own Jamie Jones. Jamie will spend his 1-year term leading an organization that has had the mission of insuring the highest standards in the specialty of Emergency Medicine since its inception in 1976. Way to lead Jamie!

Associate Program Director, EM/Peds director,research in injury prevention, etc etc. ) she will now get to wear another leadership hat. As Division Chief she will work on faculty development and mentoring, build a research infrastructure, and help in creating educational programs for medical students, residents, and fellows. Let’s hope she has a way to get things done on those long trips to Sullivan County for the Rough Riders.

Carey Chisholm

revises Clinical Practice Document

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special thanks goes out to Carey Chisholm who has provided a great service to all EM physicians by serving as the SAEM representative for the 2013 Revision of the Model of the Clinical Practice of Emergency Medicine document. This document, revised every two years, is used to define the practice, and used to drive residency curriculum and ABEM testing. I guess Carey wants to keep making sure they do it right, because this is his 5th time working on this document.

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THE LeadER |VOL 1 ISSUE 3

2013

Leading in

EDUCATION Don’t miss Great Plains SAEM this September The Abraham Lincoln Presidential Library in Springfield, Ill will be besieged by EM physicians in late September, including many of them from Indianapolis. Those who had thought of just going over for the day (Saturday Sept. 28th) may want to rethink that decision because of the activities at the museum on Friday night 6:30-10pm. Participants will be given the run of the museum and invited to special private showings of Ghosts of the Library at 7:30 pm and Lincoln's Eyes at 8:00 pm. While there you can view a couple of ongoing exhibits, Illinois Boys in Blue: When Will This Cruel War Be Over? and of special interest to all, the exhibit called To Kill and To Heal: Weapons and Medicine of the Civil War. At the meeting on Saturday Dylan Cooper is a judge in the SimWars and Carey Chisholm is one of the expert panelists for the morning presentation on Disruptive Innovation in Emergency Education. Pitre C, Palmer M, Turner J, Pfennig C, Avegno J , Jones J, Hobgood C. Are Emergency Medicine Clerkship Objectives Congruent with Milestones Expectations? Oral presentation. Arroyo Plasencia AM, Schwarz ES, Velez LI, Ordonez J, Wang D, Hail SJ, Kao LW, Kleinschmidt KC, Young A. A Survey about Clinician’s Knowledge of the Use of Physostigmine in Patients Presenting After an Overdose. Poster Presentation

Indianapolis Invades Minneapolis Local Girl Makes Good Megan Palmer, a Minnesota native, headed home along with others from the ED and IUSM OFAPD to participate at the Association of American Medical Colleges Group on Faculty Affairs Professional Development Conference in Minneapolis, MN on Aug 8-11. Megan contributed to numerous sessions including one on reviewing Dept. Chairs, one on career flexibility, curriculum reform, and one, along with Dan Rusyniak, on the project-based mentoring program started by Julie Welch. If you get a chance, ask them how to avoid the giant hairball.

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EDUCATION PRESENTATIONS Turner JS, Saavadra H. “Simulation as an educational tool in Pediatric Emergency Medicine.” Poster presentation at the Pediatric Educational Excellence Across the Continuum (PEEAC) Meeting in Arlington, Virginia October 4-5, 2013

EDUCATION PUBLICATIONS Messina FC, Cooper D, Huffman G, Barkus E, Wilbur L. A Human Cadaver Fascial Compartment Pressure Measurement Model. Journal Emergency Med July 8, 2013 E-pub ahead of print PMID: 23845521. Kenefake ME, Swarm M, Walthall J. Nuances in pediatric trauma. Emerg Med Clin North Am 31:627-652, 2013. PMID: 23915597 Hobgood C, Matthew D, Woodyard DJ, Shofer FS, Brice JH. Death in the field: Teaching paramedics to deliver effective death notifications using the educational intervention “GRIEV_ING” Prehosp Emerg Care Epub ahead of print Jun 27, 2013. PMID: 23805847. Beeson MS, Carter WA, Christopher TA, Heidt JW, Jones JH, Meyer LE, Promes SB, Rodgers KG, Shayne PH, Swing SR, Wagner MJ. The development of the emergency medicine milestones. Academic Emergency Medicine 20:724-729, 2013. PMID 23782404. Jones JH, Smith-Coggins R, Meredith JM, Korte RC, Reisdorff EJ, Russ CM. Lifelong learning and self-assessment is relevant to Emergency Physicians. Journal of Emergency Medicine Aug 9, 2013 E pub ahead of print. PMID 23937810


THE LeadER |VOL 1 ISSUE 3

2013

Leading in EDUCATION

IUEM invades Atlanta

SAEM 2013

The 2013 SAEM Annual Meeting, was held at the Westin Peachtree Plaza in Atlanta, GA from May 14-18, 2013. Among the 2,400 attendees were many of our faculty, residents, and fellows. This was an especially important meeting as it presided over by SAEM president and our chair, Cherri Hobgood. DIDACTIC PANEL | Marie Vrablik & Carey Chisholm How to become a trailblazer: Perspectives from Resident Innovtaors ORAL PRESENTATION | Alice Mitchell A Risk-Prediction rule for contrast-induced nephropathy and subsequent long-term mortality POSTER | Daren Beam The effect of empiric system anticoagulation prior to imaging for pulmonary embolism on mortality ORAL PRESENTATION| Jeff Kline Randomized trial of a quantitative computerized method to estimate pretest probability of acute coronary syndrome and pulmonary embolism POSTER | Ben Hunter, Dan O’Donnell, Tony Seupaul Prehospital hypothermia: a systemic review and meta-analysis POSTER | Hall Minnigan, Greg Snead, Mike Vrablik, John Kirshner, Tony Seupaul The diagnostic accuracy of bedside ocular ultrasound for the diagnosis of retinal detachment: a systematic review and meta-analysis PLENARY SESSION | Jeff Kline Randomized trial of tenecteplase or placebo with low mw Heparin for acute submassive pulmonary embolism... ORAL PRESENTATION | Ben Hunter The impact of prehospital therapeutic hypothermia on Mortality and neurologic outcomes in out of hospital cardiac arrest: a systematic review and meta-analysis POSTER | Joe Turner, Bart Besinger, Butch Humbert The effect of medical students upon patient satisfaction in University-affiliated community EDs POSTER | Jeff Kline A soluble guanylate cyclase stimulator BAY 41-8543 preserves pulmonary artery endothelial function in Experimental pulmonary embolism ORAL PRESENTATION | Mike Vrablik The diagnostic accuracy of bedside ocular ultrasound for diagnosis of retinal detachment PANEL MODERATOR | Kevin Rodger New ideas in education: lightning oral presentations POSTER | Joe Turner, Dylan Cooper A comparison of evaluation metrics for high-fidelity ACLS-based simulation cases for PGY-1 & PGY-3 level learners AWARD RECIPIENT | Doug Dixon Jean Hollister Award for excellence in EMS And congrats to our first Sonogame team at SAEM who under the tutelage of Mike Vrablik and Greg Snead did us proud

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THE LeadER |VOL 1 ISSUE 3

2013

Leading in EDUCATION

LOUISE KAO

Getting things done

I

f you want to understand how Louise Kao became one of the leading Toxicologists in the country, you need to go back to the beginning of her medical career. Growing up in Naperville Illinois, outside of Chicago, Louise volunteered for a program where she and her classmates were bussed once a month to Elgin. Not to learn about clock making, but to help out at the state mental health facility. Spending time with patients she decided then that Psychiatry might be her calling. With this in mind she was premed at the University of Illinois in Champaign-Urbana, which is also where she met her husband Yong Chae. During her college years she got a job providing first aid at intermural sports events. Equipped with ice and a first aid kit, she attended to injured athletes treating minor problems and deciding who needed to go to the hospital. She believes that it was this simple job that first gave her a taste for Emergency Medicine. Louise attended Rush Medical College when the television show ER was the number one show in the country. It was perhaps ironic then that she was interested in EM and in Chicago but her medical school did not have an Emergency Medicine Residency. Seeing a need for an EM interest group, Louise brought

people together and got it done. This group gave interested students exposure to EM by creating EM shadowing programs at other programs in Chicago. She ended up taking two EM electives and was hooked—This despite having an advisor who tried to talk her out of it. Ironically, it was another one of her advisors who first got her interested in toxicology. At that time Dr. Jerry Leikin was the director of the Illinois Poison Center—the first in the nation. Recognizing the brilliance of this quiet student, Dr. Leikin offered her a workstudy job in the Poison Center. Little did she know while she struggled with stacks of note cards and papers with treatment recommendations

“The most effective way to do it, is to do it.” Amelia Earhart.

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(this was in the “pre-computer” dark ages) that someday she would help run one of the busiest clinical toxicology programs in the country. Her passion for toxicology was solidified when while rotating in her Internal Medicine

rotation. There was a patient thought to have gastroenteritis who was failing treatment after treatment. Never fear Louise knew what to do. The patient had theophylline toxicity. This was exciting “. . . because I was able to draw on my Poison center experience and make the proper diagnosis.” Her next rotation happened to be Psych, and she realized this was not in fact her calling, which is ironic, since as a toxicologist many of her patients have psychiatric conditions. Decision made to be a Toxicologist, she looked for a residency program that included toxicology. She had a strong desire to stay in Chicago. Yong had started a surgical podiatry residency which unfortunately had to close, and they both now had to evaluate programs. Louise actually took a map, drew a circle with Chicago at its center and started looking at EM programs with toxicology fellowships within her continued on next page


THE LeadER |VOL 1 ISSUE 3

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Leading in EDUCATION

LOUISE KAO Getting things done continued from previous page circle. The EM program at IU not only had a toxicology fellowship, but also was within her circle. It was time for a visit. What impressed Louise the most was that the residents she met seemed really happy. An added benefit was that the residents at that time participated in the Lifeline Aeromedical program. Although she didn’t realize it, Louise would be the only woman in her class. In the meantime Yong had been accepted into a new residency program—in Chicago. Undaunted she would, and did, have an amazing residency experience with her cohort of new found friends. Completing her residency and toxicology fellowship at IU, Louise’s career has continued on a steep trajectory: She is a board member for the American College of Medical Toxicology, the director of the IU Medical Toxicology fellowship and rotation, organizes two national conferences, is on countless committees, is an accomplished author (>30 publications), a researcher, a lecturer, and a journal reviewer. In case you didn’t know that Louise is a person you can count on to get things done. Along with running our Toxicology fellowship and distinguishing herself nationally, Louise is an active traveler, wife and mother. Among her many

“Success is getting what you want, happiness is wanting what you get.” Ingrid Bergman trips, one of her most memorable is when her parents and a grandmother took her to mainland China before starting her residency. Louise and Yong have two lovely daughters Victoria (now 9 going on 19, and a

competitive gymnast) and Julianne (now 6 and as competitive with her sister as she can be). Shuttling them between school programs, music lessons, and sports, while volunteering whenever possible for the elementary school and PTO is not easy, but like everything with Louise, she finds a way. She is close with her siblings, who live on either coast, and frequently hosts the entire extended family in her home. Ask her sometime about her sister, an aspiring comedian in LA. In addition, Louise and her family now travel, play tennis, hike, mountain bike, and plant a community garden. Like all EM physicians Louise tries to carve out as much time as she can for family and friends, and even has quiet time to watch a movie or read a book or two—literally—she usually has both a fiction and non-fiction book queued up on her kindle. How does she have time for movies and reading with all the other things she does—she is a speed reader of course (ask Dan about lending her a book on a flight to Arizona) and sometimes watches movies at 1.5 speed with subtitles. How she gets it all done we don’t know, but Dan and Megan have tapped her to share at the EM-JAMs session on life/work time management skills. Mostly we do know that we’re grateful that she chose IU as the place to do it.

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THE LeadER |VOL 1 ISSUE 3

Leading in

&

PRACTICE SERVICE ROUGH RIDERS Jen Walthall and her crew educate Sullivan County ATV users O

ur own Jen Walthall and Elizabeth Weinstein were awarded an HRSA grant to track ATV use in young people in a rural setting. On a beautiful August night in Sullivan County, people came to a special event aimed at increasing ATV safety awareness. With a city park packed with 2,500 kids and parents, IUSM investigators had a great platform to educate them on safe ATV use. Participants completed a knowledge and behavior survey before and after the session. Fun interactive exhibits were designed to have the kids learn about ATV safety through doing things like designing the perfect ATV helmet, and practicing their skills on an actual ATV. Most of the kids participating had driven or ridden on an ATV, but had previously received little or no safety training. A simple follow up will come from seeing if any of the participants use the $25 off coupon that Jay’s ATV dealership in Sullivan gave to the young people who completed all learning stations at the event. Indiana ATV sales of both the child-sized ATV which can go up to 50 mph, and adult sized ATVs that can go 85 mph continue to rise steadily each year; there was a 28% increase in ATV accidents between 2008-2012. This program is the brainchild of a group of pediatric ATV researchers headed by Jen and goes by the name Rough Riders—The All-Terrain experience. At this teaching event, Jen was recruiting more participants for the actual study where 50 chips will be attached to the ATVs 3-16 year-olds ride in Sullivan County. In addition to the tracking device, kids will keep records to document their ATV rides in a journal designed by Herron School of Art students. Meanwhile their ATVs are tricked out with a small chip that records movement. That way, researchers can track any accident or near miss that happens. The idea for this research was, like many things in medicine, born out of tragedy. So far this year, there have been 140 accidents, resulting in 163 injuries and 12 deaths. National policies suggest people who drive ATVs should be 16, but there are no laws to reflect this suggestion in Indiana. Jen wishes to thank all those past and future volunteers who have helped with this project. In particular, Matt Noland, Allie Pratt, the IU med students from the Terre Haute campus, Helen Sanematsu, Bridget Hawryluk, and Andrea Haydon of the Herron School of Art, and Dillon Etter who coordinated the Sullivan event. It is one visible way that IUSM can show its leadership and commitment to pediatric injury prevention.

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2013


THE LeadER |VOL 1 ISSUE 3

2013

Leading in PRACTICE & SERVICES

Clinical

STATISTICS T

he second quarter clinical data is in and our volumes are still up. Collectively we saw over 64,000 patient visits in the last three months. With the flu season approaching we are on par for one of our busiest years yet. This will be tough when combined with a new electronic medical record, a new computer physician order entry system, a new Wishard hospital, and an unknown future with the affordable care act. Despite this we are up to the challenge.

When they are at their weakest We are at our strongest strongest.

PRACTICE PUBLICATIONS Petty B, Stevens A, O’Donnell D. Aortic Dissection: A Case Study. EM Pulse Summer 2013 pgs 5-6. Harmon L. Physicians Order for Scope of Treatment (Post). EM Pulse Summer 2013 pg 13. Welch JL, Jimenez HL, Allen SE. Pediatric Rash: Dermatologic Manifestations of Incontinentia Pigmenti. J Emerg Med. 45:e1-3, 2013 PMID:23669131 Rusyniak DE, Dobbs MR. Neurotoxicology: the ties that bind us. Psychiatr Clin North Am 36: ix-x, 2013 PMID 23688694. Rusyniak DE. Neurologic manifestations of chronic methamphetamine abuse. Psychiatr Clin North Am 36:261-275, 2013. PMID 23688691

UNIVERSITY

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Tormoehlen LM. Toxic Leukoencephalopathies. Psychiatr Clin North Am 36:277-292, 2013. PMID: 236888692.

RILEY

Kirschner J, Wilbur L. Do fluids facilitate stone passage in acute ureteral colic? Ann Emerg Med 62:36-37, 2013. PMID: 22981138.

8494 METHODIST

26302 WISHARD

26535

Welch JL, Cooper DD. Do corticosteroids benefit patients with sore throat? Annals of Emergency Medicine Aug 5, 2013 E pub ahead of print. PMID 23927959. Hunter BR, Caton T. Fatal Infant Myocardial Infarction caused by ball-in valve mechanism from a dysplastic aortic valve. Journal of Emergency Medicine Aug 9, 2013 E pub ahead of print. PMID 23937812

EM Team to compete at the IUPUI Regatta Great activity by the WIM Julie Welch pulled together a canoe racing team for the IUPUI Regatta on September 21, 2013. Their team is “Women in Medicine” (aka: WIM for a WIN!). The team members include: • Julie Welch, MD (Emergency Medicine Faculty and IUSM Alumna), • Mary Wermuth, MD (Emergency Medicine/Toxicology Faculty and IUSM Alumna) • Lauren Bosshart, MD (Emergency Medicine Resident) • Lindsay Leech (IUSM Medical Student) • Krista Hoffman-Longtin (IUSM OFAPD, IUPUI Alumna). The next newsletter will have more information and pictures of this event, it happened too close to deadline.

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THE LeadER |VOL 1 ISSUE 3

2013

Leading in PRACTICE & SERVICES

TEREZ MALKA

Going with the flow

A

nyone who knows Terez knows she isn’t the kind of person who can sit still for long. Describing her as active would be an understatement. She has been a nationally ranked whitewater competitive kayaker, has traveled to 15 countries on 5 continents, sang and acted in numerous plays, and lived and studied in Israel, and serves as Secretary/ Treasurer of the AAEM/RSA board of directors. Tired yet? She is just getting started. Growing up in Maryland the daughter of a neurologist working and the NIH and a justice department lawyer, the last thing Terez ever thought she would be was a doctor. “. . . growing up I thought [my mom] had the most boring job in the world. I swore I never wanted to do what she did— because every time I went to visit she was just in her office typing on the computer…” It was literally by accident that Terez found her passion for medicine. A nationally ranked competitive kayaker by the time she was 15, Terez earned money during high school and college by leading kayaking adventure trips in the Smoky Mountains. These weeklong excursions always resulted in accidents and medical emergencies. Whether it was someone with anaphylaxis, GI illness, or a broken

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bone, Terez quickly realized that when something went wrong she didn’t pani,c but rather could calmly maneuver through the situation. She was good not only in the kayak when things went awry but on land as well. Realizing this, she signed up for a Wilderness EMT training course

and things seemed to just rapidly progressed from there. After graduating from the University of Maryland, Terez decided on a career in Medicine. Not one to take to flat water, Terez chose to go to

medical school in Israel. As part of a program at Columbia University, which focused on international and third world health in cooperation with Ben Gurion Medical School in Beer Sheva, this sounded far more interesting than a traditional medical school. Not only did she come away with a degree but she also found someone to help her paddle through life—her husband Eldad Malka. As active as her, Eldad is a physical trainer at the Jewish Community Center and shares her love of the outdoors; not to be outdone, Terez also fills in at the JCC as a certified Yoga instructor and Zumba teacher. If hurdling toward a rock down level 5 rapids sounds frightening to you, how about being on stage as the lead in a play. Yep, Terez has done that as well. She caught the acting bug when her fourth grade teacher Mrs. Sobel had great faith in a painfully shy girl and cast her in the lead role, Ruth, in “The Story of Ruth”. From that time on Singing and acting became a big part of her life. She has been involved in numerous productions in high school and college where she was a musical theater major: The Tempest, Scrooge!, Grease, and even performed in “Anything Goes” with the Light Opera Group of the Nejev in Israel. continued on next page


THE LeadER |VOL 1 ISSUE 3

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Leading in PRACTICE & SERVICES

TEREZ MALKA Going with the flow continued from previous page In addition to navigating life as an emergency medicine resident, Terez is an active mom of two young sons, Elan (1 yo) and Aviv (3 yo). She is grateful for Skype that allows Eldad’s extended family in Israel to spend time with their kids. Terez’ parents are still in the Washington DC area, while her younger sister (a classical pianist who does a bit of teaching), and her younger brother (works for the government) have both drifted west to California. Terez always feels the pull to spend more time at home. She and her husband love to cook. When they eat out, they enjoy Palomino’s downtown and the Three Sister’s café in Broadripple. None of these though lives up to “Mimi’s American Bistro” on P Street in Washington DC where she worked as a singing waitress. So how did this ebullient woman end up landlocked in Indy? She will tell you it was a people (not water) current that drew her to this program. “I fell in love with the program, I just couldn’t contemplate going anywhere else “. She can’t imagine a better group of people work in tandem with. So many faculty have been helpful to her, from Julie Welch, to Sheryl Allen, Jen Walthall and Elizabeth Weinstein (her official mentor) among others. She also has great admiration for the resident program directors Carey (an avid kayaker) and Kevin. They must have done something right, because Terez is now a Chief Resident in the EM-Peds program.

Terez has always been drawn to the healthcare of children, she likes treating them because “they are what they are.” It is nice that kids don’t try to hide the real person inside. In trying to reach them you’re even allowed to be a bit silly. There are some universals though, even if they’re really hurt or sick, they worry about whether they’ll get to watch Dora, or earn a sticker. at the very least, an effective numbing cream. One of her favorite things she’s done so far in her residency is help Sean Thompson train kids for a triathlon (see story on page 22). It was very rewarding to see the kids go from the first week saying that they couldn’t do it, to all of them crossing the finish line in front of their parents. One of the happiest moment was watching a boy who finished dead last in 2012 come out ahead ahead of many of the other participants. So with all of the things she is involvd with you would think Terez would no longer have time to kayak. Think again. This summer working with a program for cancer patients, Terez lead a kayaking trip. On the very last day one of the participants broke her ankle. An hour from a hospital, Terez put all of her skills to use she managed to get the person out of the river, splint her ankle, and get her to a hospital an hour away. It was such an ordeal she is writing it up as a case report. So whether in a kayak, on stage, or in the ER, Terez can navigate the ebb and flow of life with the best of them. We are just happy that she chose to launch her emergency medicine career here at IU.

New Riley Emergency Department The new Riley ED is finished and in operation. While it has the same number of beds— 20—as the former unit, the exam rooms are larger and more open accommodating the family in addition to the patient and healthcare team. Since each room is standardized, equipment and supplies can be easily located. With four triage rooms (with doors) instead of three bays (with curtains), the triage process should go more smoothly with added privacy. The resuscitation/trauma rooms are larger and grouped in pairs with a sliding door connecting the two rooms allowing siblings to be able to see each other but still allowing privacy for family members. Radiology is “right next door” instead of the other side of the hospital. These improvements should help the the state’s only Pediatric Level I Trauma Center and its outstanding group of EM physicians better serve the community

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RESEARCH

Money awarded to TREAT THE STREETS

I

n an effort to bring down the ED visits and hospital visits by pediatric asthma patients, Andy Stevens and his team analyzed the problem to see how it could be handled better. They knew specially trained paramedics could make a difference. By making home assessments of disease management, identifying environmental triggers and addressing other medical care needs, they laid out a plan that could keep pediatric asthma patients (2-17) out of the hospital. This plan was so good, that they recently received a Health and Services Resource Administration grant to carry it out. With almost $899,000 for three years, Andrew Stevens (PI) and the members of the EMS division and a Pediatric Pulmonologist (Dan O’Donnell, Jen Walthall, Elizabeth Weinstein, and Nadia Krupp) will be working hard to make this vision a reality. Great work team!

NO IS A GO

C

ongratulations go out to Jeff Kline and his team who received notice of an $3,569,508.00 award from the NIH to study inhaled Nitric Oxide to treat acute severe submassive pulmonary embolism. This phase II clinical trial has the goal of identifying whether inhaled Nitric Oxide improves right ventricular function after a pulmonary embolism, and a basic science component to study its mechanisms of action. The project dates are Sept 1 2013-Aug 30, 2016 and the listed coinvestigators are Ron Mastouri from Cardiology, Tim Lahm from Pulmonology, and Alan Jones from the University of Mississippi. Results from a pilot study that supported this application are published in the Journal of Emergency Medicine (online in April 2013 PMID: 23585574).

Emergency Medicine FOUNDATION GRANTS Through hard work and grantsmanship, IUEM has been awarded three of the 2013-2014 grants from the Emergency Medical Foundation (EMF). You can see a video of Daren and Hal discussing their projects at http://www.emfoundation.org/currentgrantees/ Daren Beam was awarded a two year EMF fellowship to study “Direct Fibrinolysis to treat acute pulmonary embolism” ($150,000) In In the video Daren explains that they’re working on using a plasmid derivative to try to improve the treatment of acute pulmonary embolism. The goal is to deliver the right drug at the right time decreasing morbidity and mortality from this common life-threatening ailment. Jill Sracic was awarded ~$5000 to develop “Discharge instructions tailored to various learning styles for outpatient treatment with oral Anticoagulation: Phase 1” People all have different learning styles (e.g., auditory or visual). This project will help to determine patient’s learning styles and then tailor discharge instructions to meet them. If you encounter a patient who might serve as an example of a different type of learner, let her know. Hal Minnigan was awarded $19,700 to answer the question “Can Point of care Ultrasound exclude multiple serious medical conditions in the Emergency Department: the selection, sonography and self-assessment”. Hal will institute a specific three step process to evaluate the accuracy of using ED ultrasound to diagnosis patients with five conditions: DVT, PE, pneumothorax, acute hydronephrosis, and LV systolic dysfunction in hypotension

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THE LeadER |VOL 1 ISSUE 3

2013

Reasearch

Leading in RESEARCH

BOOT CAMP Week ONE Session One: Introduction to research and how to conduct a literature review

Session Two: Develop a workable Hypothesis and strong Specific Aims

Monday, October 21 Medical Library Room 226 8:00 am - 3:30 pm

Wednesday, October 23 Long Hospital Room 444 8:00 am - 10:00 pm

Objectives 1. Understand how to perform a structured literature search in preparation for a publishable systematic review 2. Perform and revise a structured literature search 3. Draft introduction section of project proposal or manuscript using the structured literature review

Objectives 1. Understand the basic components of a strong hypothesis 2. Formulate a study objective and hypothesis for proposal or manuscript 3. Formulate and critically review a set of specific aims

Week TWO

Session Three: Collecting Data right the first time, and figuring out how to analyze it

Session Four: Testing your hypothesis and minimizing bias

Monday, October 28 Long Hospital Room 444 8:00 am - 10:00 pm

Wednesday, October 30 Long Hospital Room 444 8:00 am - 10:00 pm

Objectives 1. Identify the major types of studies designs and their strengths and limitations 2. Understand the difference between parametric and non-parametric data 3. Correctly identify and define the independent and dependent variables 4. Understand the difference between continuous, ordinal, and categorical data

Objectives 1. Understand the components of diagnostic accuracy • Sensitivity and Specificity • Receiver operating characteristic curves and threshold selection 2. Identify and define potential sources of bias and confounding 3. Construct selection criteria with respect to minimizing bias and improving generalizability

RESEARCH PUBLICATIONS Puskarich MA, Trzeciak S, Shapiro NI, Albers AB, Heffner AC, Kline JA, Jones AE. Whole blood lactate kinetics in patients undergoing quantitative resuscitation for severe sepsis and septic shock. Chest. 143:1548-1553, 2013. PMID: 23740148. Frascone RJ, Wayne MA, Swor RA, Mahoney BD, Domeier RM, Olinger ML, Tupper DE, Setum CM, Burkhart N, Klann L, Salzman JG, Wewerka SS, Yannopoulos D, Lurie KG, O’Neil BJ, Holcomb RG, Aufderheide TP. Treatment of non-traumatic out-of-hospital cardiac arrest with active compression decompression cardiopulmonary resuscitation plus an impedance threshold device. Resuscitation May 10, 2013 E pub ahead of print. PMID: 23669489. Snipes C, Miramonti C, Chisholm C, Chisholm R. Reporting for duty during mass casualty events-a survey of factors influencing Emergency Medicine Physicians. an “online early” article from the Journal of Graduate Medical Education Jun 10, 2013.

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Reasearch BOOT CAMP Week THREE Session Five: How to critically review manuscripts, your own and others

Session Six: How to work with collaborators and statisticians

Monday, November 4 Medical Library Room 226 8:00 am - 3:30 pm

Wednesday, November 6 Long Hospital Room 444 8:00 am - 10:00 pm

Objectives 1. Understand the role and process of peer-review 2. Present scholarly work to colleagues for critical review 3. Understand the process of troubleshooting and reviewing your own work

Objectives 1. Understand the role of and how to consult a statistician 2. Identify and define the role of experts, collaborators and consultants

Week FOUR

WEEK FOUR

Session Seven: Dealing with the alphabet soup of CITI, IRB, PHI, and IACUC

Session Eight: Boot camp wrap up and small group work

Wednesday, November 13 Online & Long Hospital Room 444 8:00 am - 10:00 pm

Thursday, November 14 Location TBA Time TBA

Objectives Objectives 1. Review principles of the responsible 1. Understand the components of conduct of research diagnostic accuracy 2. Determine the use of PHI within • Sensitivity and Specificity the proposed research design • Receiver operating 3. Identify and complete the correct characteristic curves and IRB documents for review threshold selection 2. Identify and define potential sources of bias and confounding 3. Construct selection criteria with respect to minimizing bias and improving generalizability

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RESEARCH PUBLICATIONS Puskarich MA, Kline JA, Krabill V, Claremont H, Jones AE. Preliminary Safely and Efficacy of L-carinitine infusion for the treatment of vasopressordependent septic shock—a randomized control trial. JPEN J Parenter Enteral Nutr. July 12, 2013. Epub ahead of print PMID: 23851424 Wilbur L, Noel N, Couri G. Is screening women for intimate partner violence in the Emergency Department Effective? Annals of Emergency Medicine Jul 18, 2013 Epub ahead of print PMID: 23870859 Zaretsky, DV, Zaretskaia MV, DiMicco JA, Durant PJ, Ross CT, Rusyniak DE. Independent of 5-HT1A receptors, neurons in the paraventricular hypothalamus mediate ACTH responses from MDMA. Neuroscience Letters Aug 8, 2013 E pub ahead of print. PMID 23922156.


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What’s

NEW

HOT OFF THE PRESS Sean Thompson is Golden

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ongratulations go to Sean Thompson on his upcoming induction to the Gold Humanism Honor Society at IUSM! Sean was nominated for this award by multiple medical students and is one of six resident inductees from the entire campus. We are so proud to have him represent our residency’s commitment to medical professionalism in this way. Elsewhere in the newsletter is a story about how the worked with kids to train them about life, and for a triathlon.

POST

Physicians Order for Scope of Treatment

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any Indiana ACEP members have been following the issues involved creating a standardized form outlining patients preference for life sustaining treatments (CPR, etc. ). As Lindsay Harmon reports in the Summer issue of EM Pulse http://www.inacep. org/empulse.aspx this recently became law (July 1, 2013) and now is established as a legally recognized DNR form, in and out of the hospital. Once signed by a physician (which activates it) any patient can present this form in the ED or any other healthcare facilty. For more information go to http://www.iupui.edu/~irespect/POST.html This also received radio coverage on NPR where it was discussed by Susan Hickman PhD and Dr. Jerry Walthall (Jen's father-in-law):http://www.wfyi.org/radio/localPrograms/ noLimits.asp The summer issue of EM-Pulse not only contains Lindsay’s article, but also features a nice letter and wrap up of the 2013 conference by INACEP president (our own JT Finnell). This edition also has a case report by Ben Petty (3rd year resident), Andrew Stevens and Dan O’Donnell.

Heading

SOUTH

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e are sad and excited to wish our colleagues Lee Wilbur and Greg Snead farewell. Both are heading to the University of Arkansas School of Medicine where they will be joining Tony Seupaul in the Department of Emergency Medicine. Greg will be assuming the role of Ultrasound Division director and Lee will be the Vice Chair of the Dept. In addition, Lee will serve as an associate dean for interprofessional healthcare. Both of them have made great contributions to our Department’s clinical and educational missions. They will no doubt do the same in Arkansas. Thank you both for all your contributions. You will be missed.

TEACHABLE MOMENT By Adam Possner

It’s a term for a moment that’s redeemable for lessons now and the future foreseeable. Lessons that are alive, therefore believable; Lessons sometimes tough, not always agreeable. For these reasons, If possible If feasible Let’s cherish this kind of moment the teachable. Used with permission apossner@mfa.gwu.edu

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What’s NEW

TEDx Indianapolis T

he theme for the TEDxIndianapolis event on Tuesday Oct 22nd at the Hilbert Circle theatre is Mix it Up. So come and get inspired, connect with people outside of your circle, try new perspectives, and stoke inner passion to change your world. Among the 22 announced national and local speakers is our own Jeff Kline who will be speaking about evaluating a patient’s illness severity from their facial expression. Another speaker you may know is Chad Priest from MESH. Each speaker will talk about 18 minutes; Tickets are available for $75, which includes lunch, or $65 without. TEDx is a program of local, selforganized events to bring people together to a shared experience, or in this case mix it up with people from many

areas of expertise. TED is a nonprofit organization devoted to ideas worth spreading. They hope attendees will be inspired to innovate from hearing these scientists, artists, and educators team up to Mix it Up. Speakers are: Jeb Banner, Gary Benenson, Rosan Bosch, Rodney Byrnes, Catherine Chalmers, Patti Digh, Michael Flaherty, John C. Havens, Matt Hunkler, Steven Johnson, Tasha Jones, Jeffrey Kline, Christian Long, Doug McColgin, Jim Poyser, Chad Priest, Florian Riviére, Davy Rothbart, LaShawnda Crowe Storm, Andrés Tapia, Risë Wilson, Kristin Wright. Can’t attend? At a later date the talks will be made available free of charge online. Read more at: http://tedxindianapolis.com/

Sound

MEDICINE L

ee Wilbur recorded two segments for the NPR show Sound Medicine. On June 23, 2013 he discussed the CDC’s idea of HIV testing everyone between the ages of 13 to 64 who comes for medical care. Tasked with implementing this at Wishard, Lee joins others around the country trying to decrease the stigma of having HIV, and making testing routine. At Wishard alone we have tested >20,000 people and helped to identify persons who did not know they were HIV+. This timely information allows treatment when it is effective and before it could be transmitted to others. http://soundmedicine.iu.edu/segment/3709/How-can-HIV-testing-become-universal

F

or the second segment, which aired August 18th, Lee deserves Huge Props for playing the game “Should you go to the ER or not?” In this funny segment Lee tells listeners which symptoms they should go to the ED with, and which they should stay home and seek treatment later. Sounds easy, it’s not. Lee, as always, was great. So take a listen and see if he wins a prize. http://soundmedicine.iu.edu/segment/3780/Should-you-go-to-the-ER-or-not

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JMT Podcast Interested in keeping up with the every changing world of medical toxicology? Want to hear about new drugs and studies which may change how you treat overdose patients? Take a listen to Dan Rusyniak’s quarterly JMT podcast. In this he and co-host, and fellow toxicologist, Howard Greller take you through the latest edition of the Journal of Medical Toxicologist. Think Tox is boring? Take a listen and see if they make you laugh and, more importantly, teach you a thing or two. https://soundcloud.com/ acmt/revell-in-the-tox-abcs


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The

NEW FACES of Emergency Medicine WELCOME NEW FACULTY MEMBERS We would like to welcome our new faculty. It is hard to remember a time in which we have had such an infusion of new talent. And what a talented group they are.

JESSICA KANIS

SARAH KENNEDY

Jessica Kanis will join us in October and will be working at Riley. She’s another in the ever larger contingent of Cincinnatians in our faculty: Home of Jerry Springer and chili over spaghetti with various toppings. She did her Pediatric residency (and chief year) down at the Medical University of South Carolina in Charleston. I’d hate to be there when she breaks the news to her two young sons, Liam and Holden that there’s no ocean near Indy. But we do have the Children’s Museum. The whole family loves music, and we’ve got plenty of that too.

Sarah Kennedy received her undergrad degree in Chemical Engineering from Penn State University and worked for a year for Bristol Myers Squibb as an engineer before returning to the University of Virginia for medical school. She did her EM residency at Barnes Jewish Hospital/Washington University in St. Louis, MO. We’re sure she’ll adjust to Indy very quickly. Outside of work, she loves spending time with family (that’s her sister on the right) and friends and enjoys sports, traveling, cooking and loves watching football. We’ll have to convert her into a Colts fan.

MICHAEL KHOULI

KARI LEMME

Although some of you may know Michael Khouli from IUSM (class of 2008), or from his time as an EM/Peds resident, it’s time recognize him wearing a couple of new hats. He is now a member of the ED faculty, working shifts as he pursues a Master’s of Public Health. It could be he wants to catch up with all the initials behind his new wife Courtney’s name (a Clinical Pharmacy Specialist he met in the ICU)—it’s more likely just an indication of his dedication to be the best. Michael is one of those guys that is like a sponge, picking up life skills wherever he can, whether that’s from his growing up in Florida then Fort Wayne, or from many international trips living in places like Mexico, Peru, and China. Besides traveling Michael enjoys cooking, eating new food, and he’ll give Louise Kao a run for her money since he reads three books at a time. To settle it, he’s willing to take her on at “Guitar Hero”.

After practicing at St. Vincent on 86th street for seven years, Kari Lemme has returned to the academic environment. She got her Biology degree degree IU, her MD at IUSM, and completed her EM-Peds residency here in 2005. She might actually bleed crimson. Somewhere along the way she and her husband Kevin (an orthopedic surgeon working in Shelbyville) managed to have four children: Lucas (9), Kathleen (9), Aidan (6), and Casey, (3). In spite of a crazy schedule, she and Kevin seem to somehow balance it all. They value their family time, and spend a lot of it driving kids all over creation. When she gets free time, Kari with squeeze out a run, swim, and do Pilates. Hopefully once IU basketball returns she can find time to watch the games.

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The NEW FACES

FRANCES RUSSELL

CHRISTINE STEHMAN

While originally from Connecticut, Frances Russell comes to us after an emergency ultrasound fellowship at Rush in Chicago. Before that she completed her EM residency at UConn in Hartford where she met her amazing and supportive husband Brent. She went to medical school at UW Madison in the land of cheese and Badger fans, and went to college at Iona in New Rochelle NY where she competed in track and field. She loves spending time with her family including her cockatoo Bernie. In addition she likes traveling, scuba diving, and trying new restaurants and wine tasting. Fortunately, there are plenty of great restaurants and almost 80 wineries in Indiana.

If the name Christine Stehman sounds familiar, maybe that’s because you remember her from North Central High School, or because her father Fredrick Stehman is the chair emeritus of OB/Gyn. Don’t worry, she can stand on her own two feet even if the surface isn’t steady. That’s thanks to five years of active duty with the Navy as a flight surgeon with Marine helicopter squadrons. And if that wasn’t enough she did her EM residency at Cook County and a critical care fellowship at Brigham and Women’s in Boston. The Midwest may seem calm, but the patient volumes will leave her little time to catch up on her hobbies: reading and “CrossFitting”. She’s already onboard with the Colts—and we’ll get her ramped up in her enjoyment of IU basketball when that season rolls around.

BRIAN WAGERS Born in Middletown, OH, Brian Wagers eventually slipped across the border to attend Hanover College for undergrad then back again for Medical School at the University of Cincinnati (his residency, chief residency and fellowship were also all completed at Cincinnati Children’s Hospital Medical Center). Now he’s back in Indiana and has brought his snuck his wife of 9 years Sarah, 2-year-old son Mason, and recent family addition Conner. The Wagers are very involved in their church before, and look forward to settling into a new church home here. Brian loves politics, running, traveling, and when he can squeeze out a free moment to read (his favorite author is Vince Flynn). His professional interests include pediatric trauma/resuscitation, injury prevention, and procedural education/simulation.

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MIKE VRABLIK Now that he finished his ultrasound fellowship Mike Vrablik, we’re lucky that Mike decided to stay with us and become a member of the ED faculty. That’s the second best decision he’s made, of course the first was marrying Marie. Mike was born in the frozen north of Fairbanks, Alaska but at 18 he moved to the civilized ‘lower 48’ for his undergraduate degree at Santa Clara University in sunny San Jose, California. After four years on the left coast he migrated east to Salt Lake City, Utah. While there Mike found some time to work in a lab in the Dept. of Human Genetics at the University of Utah, when not skiing on the best snow in the world, or dating Marie. She encouraged him to pursue his medical degree, and they headed further east to St. Louis, where he went to the Kirksville College of Osteopathic Medicine. Journeying east again, they landed in Indianapolis to do their residencies. Two important events happened in 2012, Mike started an ultrasound fellowship, and he and Marie welcomed their daughter Vivienne. In addition to his number one priority, his family, his nonwork interests are skiing, fishing, shooting, and climbing.


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2013

EVENTS

Second Hoosier Hoops

Bigger and Better. Learning and Fun for Everyone

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n Friday the thirteenth the weekend got off to a great start with four CME talks: Heat Illness by Brian Sloan, Team Physician by Kevin Rodgers, Sports Radiology by Antonie Leflore, and Concussions by Elizabeth Weinstein. Following tthose presentations was a great dinner at Elmo’s Steak House. Bright and early Saturday morning athletes from the Emergency Department, past, present, and future descended on Knightstown Indiana for the Second Annual Hoosier Hoops tournament. They played in the historic gym used when filming “Hoosiers”. Great gym full of echoes of the past, and plenty of squeaky sneakers. With four teams, this time they could actually have a tournament. The first game was a close one, with current faculty members beating former faculty. The second game pitted interns and second years against 3rd years. The final score was 44-38, we think the third years won, but it may have been the other way around. The scoreboard read Hickory vs Terhune.

For the final game the faculty recruited a few extra mmbers so they would have plenty of people on the bench when someone needed to come out to catch their breath (no actual Oxygen tanks were present, but may be under consideration for the 3rd annual event). Extras included their former opponents, the former faculty and

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Hoosiers Hoops continued from previous page

Andy Beckman’s sharp shooting daughter. Matt Kuchinski continued to be the key rebounder, Antoine Leflore still made some crucial shots, but the MVP had to be Jerry Snow. The faculty let a nine point lead slip away, and as the buzzer sounded (small spectators covered their ears at the loud noise) the score was 55-55. Luckily the overtime period was only two minutes. The faculty managed to pull out a 59-58 point victory.

UPCOMING EVENTS EM-JAMs

Emergency Medicine Jumpstart in Academic Medicine All new faculty and fellows are invited, anyone in the department is welcome to attend and learn. Third Session: Time Management Wednesday, September 25 This session will include guest speakers who are seasoned survivors of the time management wars.

After the game Kevin Rodgers and Carey Chisholm supplied tasty burgers, brats, dogs, chicken and great baked beans. Adults ate while the kids played on the nearby equipment. It a perfect meal for a perfect Indiana day, but the day wasn’t over yet. Saturday night’s festivities continued at K-Rog’s house. The weekend wasn’t over yet. There was golf to be played at Eagle Creek Golf Course. Though many early risers tried their best, but only one team was able to get down to -6 (with scramble scoring)--that was the team consisting of Benjamin Petty, Jordan Rupp, David Rupp and Mike Sracic. Big Thanks go out to all the people that made this weekend possible. Let’s plan on even better next year.

Fourth Session: Conflict Management Wednesday, Oct 30 This session will be held jointly with Family Practice. Prepare to have your socks knocked off.

RESEARCH BOOT CAMP October - November Lead by EM faculty Alice Mitchell this is an intensive hands-on series of 8 research workshops providing faculty and fellows with the skills necessary to start a research project. A schedule is shown on Pages 13 and 14 of this newsletter. Contact Alice Mitchell if you are interested in participating or for questions regarding alimitch@iu.edu.

FIND OUT ABOUT FUNDING September 27, 2013 The Ins and Outs of Applying for NIH Funding, will take place on Friday September 27, from 9:00 AM to 12:00 PM, in the IUPUI Campus Center Theater. Please encourage your faculty to take advantage of this opportunity, by registering and attending this event. For more details, please see the information provided below or contained in the attached file. To register for this workshop, please go to https://crm.iu.edu/CRMEvents/ NIHFundingWorkshop/.

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HOBY LUNCH at M

Butler

aybe you’ve never heard of HOBY, but chances are higher you’ve heard of it’s founder, actor Hugh O’Brian. For many years the Hugh O’Brian Youth leadership has inspired young people to make a difference and become catalysts for positive change in their home, school, workplace and community. HOBY has many programs throughout the United States including one which that place this summer at Butler University. It was a chance for high school students to have lunch with, and ask questions of professionals. As many of these students want to go into medicine, a popular choice of profession is doctor. IUEM filled the bill nicely. Josh Mugele, Frank Messina, Charlie Miramonti, Laura Tormoehlen, and Jen Acciana all took time out of their day to inspire these young people. In the words of the local HOBY coordinator Ali Miller, “your faculty were rock stars”. We already knew that. Thanks for leading the discussion with this group of future leaders.

Kids TRIATHLON

E

arlier this year, Sean Thompson and several other ED residents met with kids at Daniel Webster IPS School 46 (K-8) and formed a triathlon club that met twice a week. Half of each practice was spent doing homework and mentoring and the other on physical training. Through this

innovative program, they were able to discuss with these students the importance of bike safety, water safety, attitude, goal-setting, making good choices, nutrition, determination and persistence! Despite many of the twelve kids being convinced that they could never ever complete a triathlon, they worked hard and applied the lessons they learned in this program and on June 9th all of them completed the USAT Youth Triathlon here on campus. The triathlon success was the goal of the club but as Sean says, what the club was really about was the journey—all that the kids accomplished along the way. This would not have been possible without huge contributions from community sponsors as well as big time support from other residents and spouses. Many people helped out but several people deserve public recognition: Michele McDaniel, Candice Thompson, Mike Sracic, Jill Sracic, Kaia Knutson, Luke Espelund, Lauren Clark, Rich Thompson, Beth Beard and Terez Malka. Sean also adds a thank you to Matt Swarm and Haig Setrakian for being there on race day to help keep the kids safe!

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Fun at CAMP KOREY

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n July Rose House and Elizabeth Weinstein spent a week at camp letting kids be kids and have fun. That’s what children do, right? Not always. Simple fun isn’t always easy for those kids accepted to spend a week (or weekend) at Camp Korey because all of them have lifealtering medical conditions. In addition to the permanent medical staff, extra physicians like Elizabeth and Rose report to Camp Korey at Carnation Farms in Washington to help meet the special needs of these youngsters. Their week centered around children with solid organ transplant patients. Besides swimming, boating and fishing, thanks to special equipment campers can go horseback riding and wall climbing. Many of these kids have victories every day, doing things they never thought possible. Although Rose and Elizabeth weren’t allowed to take pictures of the campers, they did have someone take this picture of them after successfully navigating the ropes course and ziplining with a group of campers.

Welcome to the NEW YEAR PICNIC

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he New Year (The one that starts July 1st, not the 20 month “year” of ED/Peds) kicked off with a picnic at the Eagle’s Nest off Eagle Creek Park. On July 7th many of our group and their families got together to welcome the new faculty members and the next crop of residents. The Orientation and Recruitment committee did a great job, and even Mother Nature cooperated to bring a mixture of familiar faces and new ones together to enjoy the day.

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OFAPD EVENTS Office of Faculty Affairs & Professional Development FACULTY ENRICHMENT AND EDUCATION DEVELOPMENT (FEED): Persuading Others Thursday, September 26 Presenter :Jean-luc Doumont, PhD Glick Eye Institute (GL) Room 103 5:00 - 7:00 PM READ MORE MARK BROTHERS AWARD 2013 Monday, October 7 Recipient: Jayakrishna Ambati, MD Basic Science Lecture Diced Alu: Canning the Blinding Inflammasome Van Nuys Medical Building (MS) Room 326 12:00 pm - 1:00 pm Clinical Lecutre: Anti-angiogenic therapy for Age-Related Macular Degeneration: A Triumph of Translational Medicine Riley Outpatient Center (ROC) Auditorium 4:00 pm - 5:00 pm READ MORE 2013 BEERING AWARD Recipient: Roger J. Davis, PhD Tuesday, October 29 Lecture to Learners Emerson Hall (EH) Room 304 9:00 AM Wednesday, October 30 Award Lecture Riley Outpatient Center (ROC) Auditorium 4:00 pm - 5:00 pm READ MORE


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