SAEM Newsletter May/June 2016

NEWSLETTER 2340 S. River Road, Suite 208 | Des Plaines, IL 60018 | 847-813-9823 | www.saem.org MAY-JUNE 2016

VOLUME XXXI NUMBER 3

SPOTLIGHT

NEW Journal

to Launch in 2017 An interview with Susan Promes, MD

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

SAEM STAFF

HIGHLIGHTS Grants & Foundation Manager Melissa McMillian, CNP Ext. 203, mmcmillian@saem.org SAEM & Foundation Assistant Alex Keenan Ext. 202, akeenan@saem.org

Chief Executive Officer Megan N. Schagrin, MBA, CAE, CFRE Ext. 212, mschagrin@saem.org Director of Finance & Benefits Doug Ray Ext. 208, dray@saem.org

Marketing & Membership Manager Holly Byrd-Duncan, MBA Ext. 210, hbyrdduncan@saem.org Membership Manager George Greaves Ext. 211, ggreaves@saem.org Education Manager Mark Nagasawa Ext. 214, mnagasawa@saem.org Membership & Education Assistant Monica Wakulski Ext. 2014, mwakulski@saem.org

Accountant Hugo Paz Ext. 216, hpaz@saem.org Director of Operations & Governance Kat Nagasawa Ext. 206, knagasawa@saem.org IT Project Manager Angela Lasky Ext. 217 alasky@saem.org Systems Administrator/ Database Analyst Michael Reed Ext. 205, mreed@saem.org

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

IT Support Specialist Ahmed Khater Ext. 225., akhater@saem.org

Director of Communications & Publishing Stacey Roseen Ext. 207, sroseen@saem.org

AEM Editor in Chief Jeffrey Kline, MD jefkline@iu.edu AEM Journal Manager Stacey Roseen Ext. 207, sroseen@saem.org AEM Editorial Coordinator Taylor Bowen tbowen@saem.org

Digital Communications Specialist Kataryna Christensen Ext. 201, kchristensen@saem.org

Assistant Newsletter Editor Sharon Atencio sharon.atencio@rvu.edu

Governance Assistant Stanley Migala Ext. 206, smigala@saem.org

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President’s Comments Thank You for Allowing Me to be Part of SAEM’s Journey

EM Physician in the Spotlight ew Journal to Launch in 2017: N SAEM Talks with Susan Promes, MD

SAEM Academy Focus Academy for Women in Academic Emergency Medicine

Ethics in Action Informed Consent: Is Overstating Trainee Experience Ethical?

Social Media Committee Hijacking the Mainstream: Social Media and the Literature

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SGEM: Did You Know?

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“That Paper Changed What I do”

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Learning to Let it Go

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The Resident-Student Guide to SAEM16

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SAEM News

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Academic Announcements

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Organizational Updates

Stroke: Sex Does Matter

Excerpt/Reprint from AWAEM Awareness Newsletter

2015-2016 BOARD OF DIRECTORS Deborah B. Diercks, MD, MSc President University of Texas Southwestern at Dallas Andra L. Blomkalns, MD President-Elect University of Texas Southwestern at Dallas

Steven B. Bird, MD University of Massachusetts Medical School

Ian B.K. Martin, MD, MBA University of North Carolina School of Medicine

Kathleen J. Clem, MD, FACEP Loma Linda University School of Medicine

Richard Wolfe, MD Beth Israel Deaconess Medical Center/ Harvard Medical School

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

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

Robert S. Hockberger, MD Immediate Past President Harbor-UCLA Medical Center

Amy H. Kaji, MD, PhD Harbor-UCLA Medical Center

Kavita Joshi, MD Resident Member University of Texas Southwestern at Dallas

The SAEM Newsletter is published bimonthly by the Society for Academic Emergency Medicine.

The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM. For Newsletter archives visit http://www.saem.org/publications/newsletters © 2016 Society for Academic Emergency Medicine. All rights reserved. No part of this publication may be reproduced, stored, or transmitted in any form or by any means without prior permission in writing from the copyright holder.

PRESIDENT’S COMMENTS Deborah B. Diercks, MD, MSc Professor & Chair, University of Texas Southwestern at Dallas SAEM President 2015-2016

Thank You for Allowing Me to be Part of SAEM’s Journey

“As I reflect on my last seven years serving in SAEM leadership, it amazes me how some of our biggest challenges have become our greatest successes.”

When I began this year as SAEM president, my hope was to end my term with an increase in SAEM member satisfaction. In an era of decreased support for continuing medical education and academic allotments, this simple goal is increasingly important and has been a focus of the SAEM Board of Directors since I was first elected. As I reflect on my last seven years serving in SAEM leadership, it amazes me how some of our biggest challenges have become our greatest successes.

The beginning of my service on the SAEM board of directors coincided with the start of the academy structure.

The academies were initially created to provide a means for increasing networking opportunities for our members. At the time, we had no inkling of the challenges the creation of the academy structure would engender. Over the years we have struggled with issues of autonomy, messaging, governance, and expectations. This past year, we made huge strides toward resolving many of these issues. Under the leadership of our new CEO, Megan Schagrin, we have addressed several pressing concerns, united the academies under the SAEM brand, and made great progress toward reaching the original goals we set when the academy structure was first created.

During my term on the board of directors, the SAEM Foundation was formalized and established. Due to the generosity of our members, and the

frugal management of finances by prior SAEM boards of directors, we were able to fully fund grants from foundation dollars. This allowed us to improve membership services in multiple areas— although not without challenges. To support grants funded solely from the foundation, there had to be a reduction in funding of some grants. Over time this decision has allowed the corpus to grow and grant funding to resume at the previous level. In addition, creation of the foundation allowed the SAEM board of directors to focus more on funding items of direct benefit to all of our members, such as an electronic platform for abstract submission, relocation of SAEM headquarters, and most recently, the creation of the AEM Education and Training journal.

Over the years, we have encountered frustration in our attempts for improvement. The most visible of these, is the website, which continues to have its challenges. With the appropriate SAEM staff team now in place, however, I am confident that this too, will also be resolved in the near future.

I am proud of all that we have accomplished over the last seven years.

I have learned that the path to success is often more difficult than anticipated; however, when the idea is good—with patience—the rewards will come and the goals will be met. Thank you for allowing me to be part of SAEM’s journey.

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SPOTLIGHT

NEW Journal

to Launch in 2017

An Interview with the Editor

SAEM NEWSLETTER | MAY-JUNE 2016

“AEM Education and Training will be an online publication dedicated solely to emergency medicine medical education and training.”

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Susan B. Promes, MD, MBA, FACEP, is chair of and a tenured professor in the Department of Emergency Medicine at Penn State University, Hershey Medical Center. She has received numerous awards and honors for excellence in teaching, leadership, and service and brings years of experience in medical education to her role as editor. In addition to starting two emergency medicine residency programs—one at Duke University in 2001 and another at the University of California San Francisco (UCSF) in 2007, where she served as the director, Curricular Affairs, GME, and acting DIO. Susan has significant experience in curriculum design and learner assessment at the UME, GME, and CME levels. Dr. Promes is a graduate of the UCSF Teaching Scholars Program and a member of the UCSF Academy of Medical Educators. She was honored with the Academy’s Teaching Excellence Award and the ACGME Courage to Teach Award. She serves as course director for the American College of Emergency Physicians Teaching Fellowship and served for six years as a member of the ACGME Emergency Medicine Residency Review Committee. She also served on the editorial board for the Journal of Graduate Medical Education. A graduate of Washington University in St. Louis, MO (1985), Susan received her MD from Pennsylvania State University School of Medicine.

She did her residency training at Alameda County Medical Center – Highland General Hospital and served as a chief resident

SAEM Talks with Susan Promes, MD What led you to choose emergency medicine as your specialty?

I love the diversity that emergency medicine offers, as well as the fastpaced environment. I’m not very good at sitting idle. I enjoy the ability to quickly develop relationships with patients and their families and to help them at some of life’s most challenging times.

Who are the mentors or peers who have most shaped your thinking?

I have been lucky to be surrounded by some very talented individuals throughout my professional life. Drs. Kristi Koenig and Barry Simon were instrumental in the early stages of my career. Barry Simon, the chair of emergency medicine at Alameda County Medical Center where I did my residency training and had my first job as an attending physician, is a passionate educator. Every case was interesting to him, and his enthusiasm for teaching is infectious. Kristi Koenig was my faculty mentor when I was a resident. She passed on her role as editor for a McGraw-Hill board review book to me. I remain forever grateful for her guidance and support, and most importantly, for her confidence in me and my abilities.

Kathy Clem was my division chief at Duke University and has always been there for me with a smile on her face to encourage me and support me in my career endeavors. Drs. Cherri Hobgood, Deb Diercks, and Mary Jo Wagner, leaders in emergency medicine, are constant pillars of support and encouragement. Michael Callaham, my chair at UCSF and the editor

“If you ask my friends and family, they will tell you that from a very young age I wanted to be a doctor, but if there was anything else I would be ‘when I grew up,’ I would be a teacher.”

of Annals of Emergency Medicine, has always been there for me to encourage my growth and give advice. I don’t know what I would do without his words of wisdom. Colleen Grochowski, PhD, from Duke University and Patricia O’Sullivan, PhD, from University of California San Francisco are amazing friends and colleagues and have always challenged me to think of my work in a more scholarly way.

When and why did you choose to work in academics?

This is a great question. If you ask my friends and family, they will tell you that from a very young age I wanted to be a doctor, but if there was anything else I would be “when I grew up,” I would be a teacher. I am lucky to have been able to find a job where I could do both. I studied the sciences and secondary education while I was in college at Washington University, so it’s no surprise that I ended up in academic emergency medicine.

What do you find most challenging about the work you do?

I struggle when I see patients who do not take care of themselves.

I would do anything within my power to help a patient, but it is depressing and at times frustrating to see patients return to the ED time and time again with things that they have power to control.

What do you find most rewarding about the work you do?

I love that in emergency medicine we have the opportunity to make a difference in people’s lives in a real and substantial way.

Sometimes it’s just the little things that matter to a person, like sitting down to listen to them, getting them something to drink or a blanket to warm them up … or comforting them when they are dying. It’s the little things in life that matter a lot to people— the personal touch. I think we in emergency medicine have the opportunity to make a difference to many people each day.

If you couldn’t be in medicine, what other career would you choose?

This is a very easy question for me. I would definitely be a teacher.

What do you do in your free time?

I try to spend time doing something for myself each week, whether it’s getting a massage, or a manicure and pedicure. I love relaxing and getting pampered. I also enjoy spending time with my family and friends. It would not be uncommon for me to meet friends for a drink or a meal at a new restaurant in town or to have people over to my home—I love to entertain. Being from California, I also enjoy wine tasting.

If you could name one more thing you’d like to accomplish during your career, what would it be?

I have been very fortunate in my career. Not many people get to leave a legacy of developing two thriving emergency medicine residency programs, be the editor of two books, and start a new journal in emergency medicine. I have to say I feel very fulfilled in my life. I don’t personally feel that there is really anything else I need to accomplish in my career.

What led you to complete an MBA in addition to your MD? I’ve been lucky to have had some outstanding job opportunities in academic medicine. However, as I progressed career-wise I was put in the position to manage other people and had to deal with hospital administration more and more. I had never taken any management courses; I simply picked up the knowledge I needed as I went along. I soon realized that if I wanted to “talk the talk of the C-suite” I needed to be well versed in the business side of medicine. Hence, I went back to school and got my MBA from UC Davis.

How has it been returning to Penn State as the emergency medicine department chair nearly 25 years after graduating from medical school there? What’s changed and what hasn’t?

Everyone has been so welcoming to me at Penn State and it is still the sweetest place on earth. The place is so different from when I was a medical student. The small ED I remember no longer exists; now the ED sees almost 75,000 patients a year. I feel so honored to have been chosen as chair of the Department of Emergency Medicine at Penn State Hershey.

You have done research on bedside teaching and how to handle educational duties in a busy, crowded ED. What do you think is the most important lesson you’ve uncovered?

Good research takes time and persistence. Hang in there, and don’t give up!

Another of your interests is how to evaluate students in the process of learning. What have you found to be most effective?

I think it’s very advantageous that in emergency medicine we actually have the opportunity to observe our learners each and every day in the clinical environment, which makes it nice when it comes to evaluating them. I think it‘s important to assess learners in many different ways and not just at one point in time. Faculty need to be trained in how to evaluate learners so that the data we obtain is good data, especially when making important decisions about the learner’s course.

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“My hope is that AEM Education and Training will provide a venue to share educational work in a manner that helps the medical education community and

SAEM NEWSLETTER | MAY-JUNE 2016

ultimately improves

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the care of our patients.”

Congratulations on being named editor of AEM Education and Training. How did this new journal come to be? What needs will it fill? Who do you envision as your reader?

Emergency medicine educators can at times struggle to have their work published. This journal will give their work a home. I envision that the primary audience will be educators for medical students, EMS providers, advanced practice providers, residents, fellows, and faculty, and that educators from other specialties will look to our emergency medicine literature for ideas to implement in their field as well.

What will make AEM Education and Training unique from all other emergency medicine journals, including SAEM’s own flagship journal, Academic Emergency Medicine?

AEM Education and Training will be an online publication dedicated solely to emergency medicine medical education and training.

It will offer an opportunity for emergency medicine educators to publish their innovative work and share their expertise around the world. The journal will add to the growing body of knowledge that enables us to educate and train individuals across the continuum from medical students, residents, advanced practice providers, and fellows to faculty—all with the goal of advancing the care of our patients.

What is your personal role in the founding and evolution of AEM Education and Training?

I was approached by Jeff Kline, editor-inchief of Academic Emergency Medicine,

to lead the new journal. I will be sharing my medical education expertise to bring this journal to fruition in early 2017.

What can you tell us about your vision for AEM Education and Training?

My vision is that innovative, forward-thinking emergency medicine educators will find a home for their scholarly work. AEM Education and Training will showcase the cutting-edge educational scholarship that exists in our field. We will publish medical education scholarship that meets Glassick’s criteria and is grounded in educational principles. My hope is that AEM Education and Training will provide a venue to share educational work in a manner that helps the medical education community and ultimately improves the care of our patients. Given that the journal will be online, we will be able to share the work with emergency medicine providers around the world.

In one sentence, what do you think is the future of emergency medicine education?

I wish I had a crystal ball to foresee the future, but unfortunately I do not. My best guess is that FOAMed (free open access medical education) is going to be ubiquitous and encourage us as a community of educators to challenge how we define our peer review process.

Dr. Promes’ interview was coordinated and edited

by Sharon Atencio, a third-year student in the Rocky Vista University College of Osteopathic Medicine in Parker, CO.

SAEM ACADEMY FOCUS

Academy for Women in Academic Emergency Medicine

The Academy for Women in Academic Emergency Medicine (AWAEM) was established in 2009 to promote the recruitment, retention, advancement and leadership of women in academic emergency medicine. AWAEM facilitates peer-to-peer and mentor relationships, collaborates on educational initiatives, develops policy, and performs genderspecific research. AWAEM publishes a bimonthly newsletter full of useful content, shares a library of valuable resources, and speaks with a unified voice for women in emergency medicine.

In addition, AWAEM sponsors many didactics and events at regional and national meetings.

AWAEM is led by women who believe in this community and in the power of a community to advance common interests.

For this issue’s Focus, the editors interviewed outgoing (2015) AWAEM President, Stacey Poznanski, D.O., M.Ed. and the incoming (2016) AWAEM President, Dr. Basmah Safdar, MD, FACEP.

What were AWAEM’s biggest achievements of 2015?

We are proud to be the largest SAEM academy to date… And we continue to grow and provide increasing benefits to our membership each year. This year’s highlight was the development of an annual, four-part Professional Development Workshop, which will debut on Tuesday, May 10, 2016 at SAEM’s annual meeting in New Orleans. Other benefits include our quarterly newsletter, from which stemmed a popular new blog called FemInEM. Both address a wide variety of topics related to and promoting women in emergency medicine (EM) and include ample opportunities for our members to be published. We have offered travel scholarships to residents and were successful in creating a grant mechanism through the SAEM Foundation to help fund junior faculty travel annually to AWAEM and SAEM events, including our annual luncheon, the SAEM annual meeting, and professional development workshops. We have also started soliciting and promoting academic programs that offer progressive work/life balance solutions and leadership positions to our membership.

This has also been a year of collaboration: AWAEM partnered with AAAEM to gather data on salary, promotion, and leadership positions by gender for academic EM; our liaison project has placed an AWAEM liaison with major EM groups such as EMRA, CORD, AAWEP, and GEMA; and the leaders of all the EM women organizations (AAEM, AAWEP, AWAEM) are regularly communicating and collaborating. In addition, in hopes of collaborating across all aspects of medicine, AWAEM participated in the Networking Alliance Meeting, held at AMWA’s 101st annual meeting. Finally, after a resounding success in 2014, we are again hosting a joint luncheon with GEMA at SAEM16 in New Orleans.

What are AWAEM’s primary goals for 2016?

Our goals are to continue to build on AWAEM’s momentum of serving women in academic emergency medicine and to find new ways to serve, engage, and highlight our ever-expanding membership of amazing women in emergency medicine. After six successful years as an academy, we have returned to our original mission and developed a strategic plan to guide us forward for the next 10 years.

Our membership will be able to view and provide feedback on this plan and, in so doing, help determine the course of the academy for years to come. Our specific aims for AWAEM for 2016 are to: • Survey our membership to assess its needs, interests, and preferences for invested engagement and growth.

• Expand our footprint and knowledge by partnering with other societies that serve women both in emergency medicine and in other specialties.

What are some of the big issues facing women in academic emergency medicine and how is AWAEM addressing those issues?

While women now make up close to half of the medical student population, the number of women entering into EM residency has plateaued. Further, a consistent

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SAEM NEWSLETTER | MAY-JUNE 2016

30% female retention rate is evidence of a continuing paucity of women in academic EM. This is particularly an issue with women in EM leadership positions where the numbers are even lower. The issues revolve both around preparing enough qualified women for these positions and opening up opportunities for them when they become qualified.

AWAEM is working on both of these fronts by providing professional development courses and mentoring for young women entering academia, by brainstorming with its membership to propose retention solutions, and by promoting leadership opportunities for our membership.

We need women leaders and role models to begin to address the growing problem of burnout, stagnation, and depression in medicine. Sadly, the suicide rate of women physicians is substantially higher than that of our male counterparts.

In addition to our mentoring networks and wellness initiatives, we hope to push the boundaries of a much-needed culture change in medicine to one that promotes and supports the well-being and resiliency of all physicians.

In addition, women still face pay inequality. The first step to resolving this inequality is to demonstrate that it is a prevailing issue. To that end, we have partnered with AAAEM and other organizations to track salary data more regularly. Our research committee is committed to looking for solutions to address these salary gaps. One way we’ve done that is by developing an ExCITE didactic (EMx: Creating Innovations Toward Equality) to invite SAEM members to propose novel solutions to address these gaps with chairs. Related to this, we have incentivized invested chairs to pilot test promising solutions. We are always open to new suggestions to better serve our community and plan to incorporate a feedback mechanism for our membership.

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Does AWAEM collaborate with other SAEM academies or EM organizations?

AWAEM believes that the best solutions come from teamwork. To this end, we have partnered with ADIEM on the ExCITE didactic and collaborated with AAAEM to analyze gender/race/ethnicity data. The AWAEM research committee has joined with FemInEM and ABEM to expand this tracking to other women in emergency medicine. In addition, we cohost our SAEM luncheon with GEMA as a way of jointly celebrating our respective successes and to help coalesce our

network in order to provide a diversity of perspectives to our membership. Finally, discussions are presently underway with AMWA and FemInEM on the development of a database of quality, female speakers.

We are always open to thinking together and we welcome additional opportunities for partnerships.

How long have you been involved with AWAEM? Why did you initially become involved? In what capacities are you/have you been involved?

Stacey: I joined AWAEM in 2011 after being introduced to its networking and mentorship power at a national meeting.

I was welcomed into the academy with open arms and guided with heartfelt wisdom. I quickly became involved in AWAEM’s leadership, taking on the role of communication chair and developing our newsletter—one of the defining components of AWAEM Membership.

I have served as AWAEM treasurer, member-at-large, president-elect, and am now completing my year as president.

With a phenomenal team of leaders, we have been fantastically successful in achieving the above and I could not be more proud to be part of this academy.

AWAEM has positively enhanced the trajectory of my career, supported me through every step, and the members have truly become family.

Basmah: I joined AWAEM in 2011 as a member, became research committee co-chair in 2013, and then led the 2014 consensus conference on gender-specific research in emergency medicine that was co-sponsored by AWAEM. In this latter role I was able to reach out to and develop mentor and mentee relationships with a number of members. I worked with them to help create a five-year plan for our research committee that is being refined and executed by the current research team. I took on the role of president-elect last year and have spent this year trying to learn from the leadership of the past presidents as well as listen to the needs of the current members. I hope to use these tools and information to help lead our team of amazing and passionate AWAEM leaders to serve our members even better.

What would you say to someone who is considering joining AWAEM? AWAEM will provide you with strength, knowledge, and power to be a more fulfilled physician, both on a personal and professional level. AWAEM is led continued on page 10

AWAEMsponsored Events at SAEM16 If you would like to hear more about our academy, come and join us in New Orleans at one of our SAEM16 events!

Tuesday, May 10 • AWAEM Business Meeting 8:00 am-9:30 am, Grand Couteau, 5th Floor • Wellness Essentials —Amy Leuthauser, MD 9:30 am-10:00 am, Grand Couteau, 5th Floor • New Orleans Cultural Walking Tour 10:15 am-11:45 am (ends at location for lunch options) • Building Your Brand: Tools to Develop a Successful Career (AWAEM Personal & Professional Development Workshop) 1:00 pm-5:00 pm, Napoleon Ballroom D2

Wednesday, May 11 • Hybrid Careers in Emergency Medicine: The What, When, and How-To 3:00 pm-3:50 pm, Bayside B, 4th Floor

Thursday, May 12 • Emergency Medicine X: Creating Innovations Towards Equity (ExCITE) 8:00 am-8:50 am, Napoleon Ballroom B3/C3, 3rd Floor • AWAEM/GEMA Luncheon 11:30 am-1:00 pm, Bayside ABC, 4th Floor

ETHICS IN ACTION Informed Consent: Is Overstating Trainee Experience Ethical?

By Gerry Maloney, DO

You have just taken a sign out from a fellow resident of a 27-month-old female who tripped and fell against a table, sustaining a 2.5 cm-long laceration through her eyebrow. The child is alert and does not meet any criteria for neuroimaging. Her distraught mother told your colleague that she wants a plastic surgeon to repair the wound so there will not be a scar. Your colleague tried unsuccessfully to persuade the parent to allow him to repair it, and then consulted the plastics resident on call—a PGY-1 resident 6 months into residency who the patient’s mother clearly assumed would be an experienced plastic surgeon. As you walk by the room, you hear the plastics resident reassuring the mother, “I’ve done hundreds of these,” which seems unlikely given his stage of training. Should you intervene, and if so, how?

Two of the foundational tenets of bioethics involve beneficence (i.e., acting with the patient’s best interests at heart) and autonomy (i.e., allowing the patient to make his/her own decisions regarding his/her health, assuming they have the capacity to do so). Deeply rooted in both of these tenants is the principle of informed consent.

While we typically think of informed consent in specific circumstances (e.g., invasive procedures, blood transfusions), every interaction we have with the patient involves informed consent in some fashion. Without the patient being fully aware of what we want to do, are doing, or plan to do, and understanding the risks and benefits inherent in these decisions, informed consent cannot truly be said to have been obtained.

Informed consent implies that the patient has the capacity to make a decision and that the provider has explained the proposed test/procedure/plan of care, ensured that the patient understands the basic rationale, given the patient the opportunity to ask questions, and informed the patient about alternatives to, risks of, and benefits of the proposed care plan.

In many cases, the process is simple: “I’d like to get a chest x-ray to see if you have pneumonia”; “Ok, doctor.” However, there are many other areas in which the process is much more nuanced. Where situations become particularly ethically fraught is in teaching hospitals, where a large number of students and residents may be involved in the patient’s care, including performing procedures. In these cases, informed consent—particularly prior to a procedure—involves knowing who is doing the procedure, his/her training level and, if asked, level of experience with the procedure in question.

The idea of requiring consent for residents and other trainees to have active roles in patient care is a more recent phenomenon.

For years, the imperative was for trainees to obtain experience in order to help train those coming up behind them and for the purpose of providing high quality care of their own. This imperative tended to outweigh the needs of the individual patient. Indeed,

the paternalistic viewpoint from previous generations was that it was unnecessary for a patient to know that a trainee would be doing part of his or her surgery, as it was deemed too unduly a burden for the patient to bear during a period of illness.

The evolution of medical ethics has since demanded more transparency in this process. Furthermore, while most consent forms signed at the time of initial registration include a general declaration that the patient understands that trainees may be involved in their care, this does not ethically permit carte blanche for trainee involvement without further discussion with the patient.

In terms, then, of performing procedures, such as the laceration repair in the case at the start of the article, what is the ethical obligation? The laceration seems like it should be relatively simple to repair and may certainly be easily done by even a relatively junior operator. The presence of even an attending plastic surgeon may not prevent a noticeable scar from occurring. The risk to the patient overall seems fairly low. What if the procedure were placement of a central line or chest tube? Should the patient be told (assuming they can still consent) about the experience of the operator? In the ED, where there is always coverage by an attending, the situation is somewhat ameliorated by the ability of the attending physician to be immediately present for supervision.

Less clear is the involvement of resident consultants who do not have an in-house attending for supervision.

Is the mother’s expectation of having an attending plastic surgeon repair a simple laceration reasonable? We all want the best for our children, which includes trying to prevent something as potentially distressing as a scar. However, should the right to autonomy include making demands for a resource (surgical specialty attending) that may not be necessary to provide a good outcome for this patient? What if the attending is in-house and immediately available? What if the attending is available, but refuses to repair the laceration?

A trainee who overstates his/her experience with a procedure, regardless of whether

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Academy Focus from page 8

A trainee who overstates his/her experience with a procedure, regardless of whether there is any significant risk of an adverse outcome as a result, is behaving unethically—even if the “overstating” is being done to reassure the patient.

SAEM NEWSLETTER | MAY-JUNE 2016

there is any significant risk of an adverse outcome as a result, is behaving unethically—even if the “overstating” is being done to reassure the patient. Trust, beneficence, and respect for the patient all argue against introducing a falsehood into the physician-patient relationship. Misrepresenting one’s experience in doing a procedure is unethical, and if done freely, can cause erosion of professional ethics at an early stage in the trainee’s career. In the case under discussion, if there is an undesirable outcome, and it was discovered that the person who did the wound repair was, in fact, relatively inexperienced, an adverse legal consequence may result for both the hospital and resident and shatter trust in the doctor-patient relationship. In order to give true informed consent, the patient/ decision-maker must be aware not only of the procedure, but also of who is doing it.

So how to approach this case? A detailed discussion with the mother explaining the process of wound repair and the likelihood of a good cosmetic outcome, even without the involvement of a plastic surgeon, and offering alternatives, such as a senior EM or ED plastics resident, would be the best ethical approach if the arrival of a plastic surgery attending appears unlikely. If the parent still insists on a plastic surgery attending, and one cannot be obtained, a detailed plan offering the best alternative can then be developed.

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About the Author: Gerald Maloney, DO, is Assistant Professor of Emergency Medicine Case Western Reserve University/MetroHealth Medical Center, Cleveland, OH

by women who believe in this community and in the power of a community to advance common interests. We support, encourage, and recognize accomplishments. The purpose of AWAEM is to be FOR women. We also believe that it takes a village to make a difference and that every member of the village counts. We welcome everyone (including our male colleagues) with similar mindsets to join our academy and partner with to us achieve our mission.

Stacey Poznanski, D.O., M.Ed. is an associate professor and director of undergraduate education in the Department of EM at Wright State University (WSU) Boonshoft School of Medicine in Dayton, OH. Dr. Poznanski has been extensively involved in undergraduate medical education, currently leading the transformation of the post-clerkship curriculum at WSU. At the postgraduate level, she has been on the forefront of introducing modern educational philosophies and techniques into the curriculum, revolutionizing the conference sessions to include exercises in small group authentic learning, multi-disciplinary sessions, current educational technologies and social media, and improved presentation and instructional design.

Basmah Safdar, MD, FACEP, is associate professor of emergency medicine at Yale and director of the ED Chest Pain Center. She is a leading sex and gender-specific researcher in EM focusing on cardiovascular health. She led the Women’s Heart Program at Yale for five years. Her area of focus is better diagnostics and treatment of microvascular disease as an underdiagnosed cause of persistent chest pain, and its relationship with patient-centered outcomes and systems costs. She is leading the first emergency department randomized clinical trial in the US, treating microvascular disease in undifferentiated ED chest pain patients.

SOCIAL MEDIA COMMITTEE Hijacking the Mainstream: Social Media and the Literature Lauren Westafer, DO MPH

“Medical journals have responded to social media engagement by emergency physicians with free, accessible discussions hosted by popular blogs

Researcher and academicians, it is time to embrace social media. Social media is no longer simply silly images of grumpy cats and endless debates about whether a dress is blue and black or white and gold. Although many declare social media an exercise in self indulgence or a medium relegated to superficial topics, physicians have turned to this medium to disseminate and digest medical information.

The Free Open Access Medical Education (FOAM) movement, begun in 2012, has gained momentum as a means of disseminating information. Debates surrounding new journal articles are wildly popular on Twitter and amongst blog and podcast producers, with many published on the same day a journal article is released online1. Further, some researchers harness social media to engage in debates previously relegated to the back pages of journals in “Letters to the Editor”2. Use of social media extends the breadth of dissemination of recent research and more emergency physicians are listening. Emergency medicine (EM) journals are listening, too.

Many EM journals are using social media as a means of disseminating their content.

Academic Emergency Medicine and the Canadian Journal of Emergency Medicine have teamed with The Skeptic’s Guide to Emergency Medicine to critically appraise in-press articles with participation around

the globe and by the article’s author3. Other journals, such as Annals of Emergency Medicine, have developed teams composed of physicians entrenched in social media to promulgate recent articles and incite discussion in the community. These efforts benefit the community with quick dissemination and discussion of important topics; however, another motive also exists—metrics.

Imperfect as they are, metrics play an important role in academic medicine. The impact factor and h-index are the most commonly referred to literature metrics.

The impact factor of a journal is essentially the average number of citations a journal’s articles garner over the previous two years.

This is intended as a proxy for the journal’s importance or “rank”4. The h-index intends to describe an author’s scholarly productivity and factors in the number of citations of an author’s publications5. As the conversations of the published literature have changed and extended outside of peer-reviewed journals, so have the metrics. Enter Altmetrics.

This article-level score is a weighted count including volume, sources, and author factors. The Altmetric increases as more sources mention the articles and depending on the author of the link to the article. For example, a physician tweeting a journal article is weighted greater than a journal’s tweeted link to the same article. These sources are

and podcasts and perhaps more subtly by changing the way they

Figure 1

interact with articles to improve metrics.”

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also weighed differently, with LinkedIn, Facebook, YouTube, and Pinterest weighted the least and news outlets and blog posts weighted significantly more. The colorful donut (see Figure 1) now adorns journal article webpages and conveys the sources that contribute to an article’s score. News outlets, blogs, Twitter, Facebook, YouTube, policy documents, and Wikipedia are represented by different colors in the donut6. This metric does not include traditional citations but has been found to correlate, weakly, with citations in EM7.

Medical journals have responded to social media engagement by emergency physicians with free, accessible discussions hosted by popular blogs and podcasts and perhaps more subtly by changing the way they interact with articles to improve metrics. It may behoove researchers and academicians to understand Altmetrics, which are freely available, so they may see more broad, real-world distribution of their contributions. Metrics also have the potential for skew, bias, and misuse5,7.

Understanding what comprises the metrics may help researchers leverage their work and may help others understand what possible motives, besides mere knowledge translation, lie behind social media distribution.

SAEM NEWSLETTER | MAY-JUNE 2016

REFERENCES:

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1. Weingart, S. Podcast 158 – The FELLOW Trial on Apneic Oxygenation in ICU Patients. Available at: http://emcrit. org/podcasts/fellow-trial/ . Accessed March 30, 2016.

2. Weingart, S. Response to a Letter to the Editor on DSI Study. Available at: http://emcrit.org/blogpost/responseto-a-letter-dsi/ Accessed March 30, 2016 3. The SGEM Hot Off the Press (SGEM HOP). Available at: http://thesgem.com/the-sgem-hot-off-the-press/ .

Accessed March 30, 2016.

4. Garfield E. The Thomson Reuters impact factor. Available at: http://wokinfo.com/essays/impact-factor/. Accessed March 30, 2016.

5. Cone DC, Carpenter CR. Promoting stewardship of academic productivity in emergency medicine: using the h-index to advance beyond the impact factor. Academic Emergency Medicine. 20(10):1067-9. 2013 6. The Donut and Score. Available at: https://www.altmetric. com/about-altmetrics/the-donut-and-score/ . Accessed March 30, 2016.

7. Trueger NS, Thoma B, Hsu CH, Sullivan D, Peters L, Lin M. The Altmetric Score: A New Measure for Article-Level Dissemination and Impact. Annals of Emergency Medicine.

66(5):549-553. 2015.

8. Barbic D, Tubman M, Lam H, Barbic S. An Analysis of Altmetrics in Emergency Medicine. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 23(3):251-68. 2016.

About the Author: Dr. Westafer is Emergency Medicine Chief resident at Baystate Medical Center/Tufts University, Springfield, MA.

SGEM: DID YOU KNOW?

Stroke: Sex Does Matter

By Tracy E. Madsen, MD, ScM In order to expertly treat ischemic stroke in the acute setting, EM physicians must be aware of important sex and gender differences in this time-sensitive condition. While stroke is the fifth leading cause of death among men, it remains the fourth leading cause of death in women. Additionally, women have worse outcomes after stroke; specifically, they are less likely to return home and are more likely to be disabled at three months’ post stroke. Because of these differences, ensuring that all patients receive time-sensitive therapies when eligible is critical, especially given literature showing that women may be treated less aggressively in the treatment of stroke compared to men. EM physicians should be aware of stroke risk factors that are more prevalent in or unique to women, including migraine with aura, untreated atrial fibrillation, pregnancy, exogenous hormone use, and history of pre-eclampsia. Women may also be more likely to have nontraditional stroke symptoms, including facial pain, unilateral limb pain, generalized headache, and confusion (compared to men). Future research should focus on eliminating gender differences in stroke outcomes and should further clarify important sex differences in coagulation, cell death, and inflammatory processes in stroke.

REFERENCES: – Reeves MJ, Bushnell CD, Howard G, Gargano JW, Duncan PW, Lynch G, et al. Sex differences in stroke: epidemiology, clinical presentation, medical care, and outcomes. The Lancet Neurology 2008; 7(10):915-926.

SGEM “Did You Know?” is a recurring SAEM Newsletter submission designed to present concise facts that demonstrate how patient sex and gender effect emergency care. For further information and resources on Sex and Gender in Emergency Medicine, visit the SGEM Interest Group website at http://community.saem.org/communities/communityhome?CommunityKey=ab6db66f-c94b-4ebf-a9a7-5025b69d606c

“That Paper Changed What I do”

By Jeffrey A. Kline, MD

Stop by AEM Booth #400 During SAEM16 Wed., May 11, 7-8:30 am Thurs., May 12, 7-8 am Join Drs. Jeff Kline and Ken Milne for their special brand of myth-busting, storytelling, and spit-balling about everything under the sun and all things AEM.

Everyone who does research wants to write that paper—The one that makes their colleagues alter their behavior in a way that benefits our patients. That accomplishment should make even the most critical Jewish mother proud; but that accomplishment is harder than an act of Congress. Changing the standard of care is much like creating a law, except harder. The researcher has to see a solution that others are missing—or, more commonly, thinking but not saying—then transform it into a research question that can be practically answered in a protocol that can be completed by real humans, as opposed to a team of superheroes. And the answer must not simply satisfy the research team; it must also anticipate the criticism of strangers who are more or less experts in what you do, and who find fault for a living. These people inhabit Twitter, make podcasts, and write articles in throwaway circulars that are always your last issue (By the way my Twitter handle is @ klinelab). To make the social media scene, the project must be funded after endorsement by more critical experts, and then executed through arduous research that takes years to complete. All the while, the researcher must labor under the dark specter of being wrong, leading to the dreaded “negative study,” which like a Red Rider BB gun, can become the passion that shoots your eye out. If you are lucky enough to obtain data that appears helpful, you must publish it. Then you get to play the role of the blindfolded boxer in a ring with one arm tied behind your back. That is the process of peer review.

As the editor-in-chief of Academic Emergency Medicine (AEM), my job is to promote our journal, and maximize its power as an instrument of good. But my other job, as I see it, is to function as an uber mentor to young investigators and authors.

The reason I am writing this is because I came across this link (https://www.elsevier. com/connect/8-reasons-i-acceptedyour-article) that describes eight summary points from five journal editors (from varying disciplines) about what elements lead to a paper’s acceptance. I found them to be prescient and accurate, so I have reproduced them below. Please read them all but focus on what is in bold: 1. I t provides insight into an important issue— for example, by explaining a wide variance when numbers are spread out from the mean or expected value, or by shedding light on an unsolved problem that affects a lot of people.

2. The insight is useful to people who make decisions, particularly long-term organizational decisions or, in our particular field, family decisions.

3. T he insight is used to develop a framework or theory, either a new theory or advancing an existing one.

4. T he insight stimulates new, important questions.

5. T he methods used to explore the issue are appropriate (for example, data collection and analysis of data). he methods used are applied rigorously 6. T and explain why and how the data support the conclusions.

7. C onnections to prior work in the field or from other fields are made and serve to make the article’s arguments clear.

8. T he article tells a good story, meaning it is well written and easy to understand, the arguments are logical and not internally contradictory.

Allow me to offer a pearl from these eight criteria. First, I must acknowledge that few papers submitted to AEM will meet all of eight of these criteria. But I ask any young investigator to think carefully about the points I bolded before embarking on any project, or before submitting any manuscript. I believe these concepts represent the minimum bar for publication in AEM. I bolded those words because they embody the concept of creating knowledge that guides how we think about a problem, which can help steer the dialogue in the Twitterverse and Blogosphere toward talking about the right question. This in turn may lead to funding needed for the practicechanging study (As an aside, I think it just a matter of time before review panels at NIH and other agencies must consider social media traffic as part of their review process. After all, these are the taxpayers speaking their minds). There is a reason that most rewards in science and society grow out of the act of revealing. Whether on the show “Shark Tank” (a service or object that people pay money to receive), a U.S. patent (“non-anticipated and non-obvious”), an NIH grant application (sound approach and innovation), or a Nobel Prize (a “new wellspring of knowledge”), society rewards the creation of new perspective.

About the Author: Jeffrey Kline, MD, is Editor-in-Chief of SAEM’s flagship journal, Academic Emergency Medicine.

Dr. Kline is vice chair of research in emergency medicine and a professor of physiology at Indiana University School of Medicine.

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Learning to Let it Go

By Wendy Woolley, MD

This article is excerpted and reprinted with permission from the Jan-Mar 2016 issue of AWAEM Awareness, the bimonthly member publication of the Academy of Women in Academic Emergency Medicine.

SAEM NEWSLETTER | MAY-JUNE 2016

About AWAEM Awareness

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Read by over 90% of its members, AWAEM Awareness has helpful tips and techniques, interviews, inspirational columns, and other useful articles on a wide variety of topics, including work-life balance, career decisions, leave policies, leadership, and so much more! AWAEM Awareness is just one of the many benefits of membership in the Academy of Women in Academic Emergency Medicine. To learn more, look for the AWAEM link at the SAEM Academy webpage: http://saem.org/saemcommunity/academies.

For additional information contact AWAEM Membership Chairs Judy Linden, MD at jlinden@bu.edu or Ciara Barclay-Buchanan at barclayciara@hotmail.com.

We’ve all been there. The heartbreak that is a part of life as a physician-mommy takes many forms. Whether a pout, a stare, a cry, a comment, a scowl, or a note, no one can give the knife of mommy guilt the same twist as our own children. When they do, just remember that you are not alone. Data from the Pew Research Center on social trends show that more than half (56%) of working parents report difficulty with the balance between their family and work obligations. More women (60%) than men (52%) reported difficulty and those reports were also higher for women with college or post-graduate degrees (70%) than for those women without a college degree (52%).

My tale of mommy guilt began with my first pregnancy. In January 2008 we suffered from a missed AB and lost our twins.

I was a first-year attending and working hard. Although my OB reassured me that it wasn’t my fault, I couldn’t help but wonder if the time on my feet and the caffeine had anything to do with it. Over the next several years, we were blessed with four more pregnancies, but they were far from easy.

My anxiety that something would go wrong was extreme and took a significant physical toll on my body. I would contract regularly from 20 weeks until delivery, which prompted my OB to put limitations on my work. Like most physicians, I was a terrible patient and eventually my version of “modified” bed rest wound up causing me additional complications.

Throughout it all, I often felt like I was being judged and that my complicated pregnancies reflected poorly on me as a woman, a mother and a physician. I felt like I should be able to do it all and when I couldn’t, I felt like a failure. I didn’t understand how or why so many beautiful pregnant women around me could work every shift until the day they delivered without any obvious problems. I tried to compensate by being overly productive with administrative tasks, but it was at a cost to my family since I couldn’t wear my “brave face” 24/7 and they received the brunt of my fear, anxiety, exhaustion, and pain. My oldest daughter once said to me that she never wants to have children “because being pregnant means being sick and mean all the time.”

That truly twisted the mommy guilt knife!

During the very stressful last two weeks of my final pregnancy, I had a lot of time to think

and reflect on the roller coaster of emotions that I had been on over the past seven years. I started to realize how much I was focused on others...What others thought, what others were doing, what others expected. Somewhere around this time the Frozen sensation also swept the nation. With young daughters, I couldn’t help but hear a repeated chorus of “Let It Go.” Eventually I began to apply that mantra to my mommy guilt and it has started to work.

I had multiple soul-searching sessions with my husband, my therapist, and my pastor. I realized that I needed to reset my priorities.

I decided to change my job. I stepped back from my administrative responsibilities and took a position that is purely clinical. We moved to where the cost of living is less, which allows the option of parttime work while still paying all of the bills (I am the sole income for our family of six). I work 100% night shifts to allow for scheduling preference and better capability of having some routine for my family. It is what works for us right now. I’ve learned that I want to work and that’s okay. But I want to work at a job that respects the fact that my family comes first and that’s okay too. Each day that I go to work, I’m missing something at home. Some days that makes me sad because the girls are being so sweet, but some days I leave early for my shift because they are driving me insane by being kids. The days when I’m with my family, there are professional opportunities that I miss. I’ve found that other opportunities will take their place. FemInEM. org is a perfect example of one of these opportunities. I am focusing my work time on what I want to be doing and aligning those goals with what needs to be done. Some days everyone is happy and everything goes exactly according to the schedule— those are few and far between, but they do happen. Then there are days when it all falls apart. That’s when I have to remind myself to “let it go.” For me, the important thing is at the end of all of these days, I am a successful emergency physician and a good mom to four beautiful daughters.

I have nothing to feel guilty about.

We will all make different choices at different times in our lives and careers.

Remember to make those choices within the frame of your own goals and priorities and then you can let it go with your head held high.

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The Resident-Student Guide to SAEM16

By Ryan LaFollette, MD Spring is finally here and that means it is time once again for the cutting-edge SAEM annual meeting, which takes place this year among the Spanish moss and centuries-old oak trees of the Louisiana Bayou, in the colorful and culturally vibrant city of New Orleans, May 10-13 at the Sheraton New Orleans Hotel.

Whether this is your first annual meeting or your fifth, SAEM16 promises to be an exciting event, showcasing innovative and educational developments in emergency medicine. This guide to SAEM16, brought to you by the SAEM Resident Student Advisory Committee, is designed to help you make the most of every minute at the annual meeting.

This guide was written by Ryan LaFollette, MD, a chief resident at the University of Cincinnati and a member of the SAEM16 Program Committee and the Resident Student Advisory Committee which will have its annual meeting on Wednesday 3-3:50 pm in the Rodrigue Gallery Room on the 1st Floor.

Local recommendations are brought to you by local Medical Student Ambassadors Ary Dotiwala and Kregg Laundon, who are among the 40 students chosen from around the country to serve in this role. Keep an eye out for their red or blue polos if you have any SAEM NEWSLETTER | MAY-JUNE 2016

questions while you’re at SAEM16.

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SAEM16 continues to provide the quality events you’ve come to expect, but this year there are fewer in number to allow you more time to make it to all the sessions you’re hoping to see. All of this year’s events will take place on-site at the meeting hotel, so getting from session to session should be much easier. We suggest planning out your agenda ahead of time so you can catch this year’s highest yield lectures and events. Here are our top recommendations:

For Medical Students Whether you are an M1 or M2 who wants an overview of what emergency medicine is all about, or an M3 or M4 looking for in-depth information about the process of applying for an emergency medicine residency, do not miss the Medical Student Symposium on Friday, May 13, from 8 am-3 pm, in Bayside A/B/C, 4th Floor. The symposium offers an unparalleled opportunity to network with residency programs across the country and it’s a great place to get an idea of the various residency offerings. The day culminates with the Residency & Fellowship Fair from 3-5 pm in the Armstrong Ballroom, 8th Floor. This is a unique opportunity to recruit hundreds of medical students and emergency medicine residents looking to find their perfect residency or fellowship.

For Residents

MAY 10-13 NEW ORLEANS www.saem.org/annual-meeting

There are plenty of ways to engage as a resident at SAEM16. Start by updating yourself with groundbreaking research at the plenary sessions, Wednesday, May 11, 10 am–noon in the Napoleon Ballroom, 3rd Floor. Continue by interacting, learning, and networking with presenters from around the country at the newly revamped e-posters sessions on Wed.

1-2:30 pm, Thurs. 8 am-3 pm, and Fri., 8 am-3 pm There is also an entire day (Thursday, May 12, 8 am-3 pm) dedicated to learning and excelling as a resident at the Resident Academic Leadership Forum (RALF).

There, you can meet residents and chiefs from across the country and hear from national leaders in the academic field about how they used their residencies to set themselves up for a successful career. Also, don’t miss Friday’s Residency & Fellowship Fair in the Armstrong Ballroom, 8th Floor from 3-5 pm. Whether you are representing your program or learning more about a large variety of fellowships from around the country, this is an opportunity you won’t want to miss.

If you Love This, Then Don’t Miss That If you love simulation, there are a variety of didactics that provide state-of-the-art insight into the field. One prime example are the Lightning Oral Abstracts from 8 am-4 pm Thursday, May 12, and Friday, May 13, 8 am-2 pm Come cheer on your school and see how Sim is done in real time at Sim Wars on Friday, May 13, from 12:30-4:30 pm, Rhythms Ballroom 1/2/3, 2nd Floor.

If you love ultrasound, don’t miss Sonogames® on Friday from 8 am-noon in the Napoleon Ballroom. Also be sure to catch Bowel Ultrasound 1:30-2:30 pm Friday followed by Ultrasound in the ResourceLimited Setting from 2:30-3:20 pm, both in Grand Ballroom E, 5th Floor.

Lectures for Everyone Brought to you by your Medical Student Advisory Committee, check out “A Dean’s Perspective: Attracting the Best and Brightest Medical Students to Emergency Medicine” with Drs. Milzman and Ander on Thursday, May 12 at 2:30 pm. Napoleon Ballroom C2/3rd Floor. Also, be sure not to miss the plenary sessions from 10 am- noon in the Napoleon Ballroom. These are the groundbreaking hot topics in emergency medicine presented by key leaders in the field.

Networking Networking is a key aspect any conference, from a cup of coffee to a twitter conversation (#SAEM16), and SAEM16 in New Orleans will have plenty of opportunities for medical students and residents to join in on an international conversation with practitioners from all over the world to discuss the future of emergency medicine.

Tuesday 4:30-6:30 pm, Hurricane Kick-Off Party, Grand Ballroom C/D/E, 3rd Floor Wednesday 4-6 pm, SAEM16 Opening Reception, Main Lobbies Sheraton New Orleans, 1st & 2nd Floors Thursday 4-6 pm, Dodgeball, Hilton Waterfront Health Club 6:30-8:30 pm, Resident & Student Advisory Committee Reception at Bourbon Cowboy, 241 Bourbon Street Friday 3-5 pm Residency & Fellowship Fair, Armstrong Ballroom, 8th Floor 5-6:30 pm, Closing Reception, Waterbury Ballroom / Lagniappe, 2nd Floor

Getting around New Orleans Taxis abound, however Uber and Lyft are both very active in the area as well. New Orleans has the oldest continuously operating street railway system in the world, and getting around New Orleans by streetcar is a great way to see the city. There are three different lines: St. Charles, Canal Street, and the Riverfront, each of which originates downtown but takes you to different parts of the city. The cost is only $3 for a full day pass and the Canal Street line stops just four blocks from the Sheraton New Orleans.

Gumbo, a uniquely New Orleans dish, has no set recipe but a lot of flavor, which requires at least several tastings throughout your NOLA stay. Beignets are the precursor of modern doughnuts but without wasting that precious hole in the middle and loaded up with powdered sugar. Be sure to try one from the world-famous Cafe du Monde or at any corner coffee shop.

Top Places to Eat for the Cash-starved Learner Just because you are spending by the dime doesn’t mean you can’t eat well. Check out Ignatius on Magazine Street for some soul food or Parkway Bakery which specializes in po’ boys. New Orleans is a busy city, so reservations are encouraged. Make sure to call ahead if you want a table, or book your reservation through Opentable.

Top Music Spots Frenchmen Street is the place for music, offering everything from brass bands at Maple Leaf Bar to classic New Orleans’ jazz and blues at Maison and Howlin’ Wolf.

On a Night Worthy of Bowties New Orleans has no shortage of fine eateries for that night you forget you are a medical student or resident. Top recommendations for an upscale evening are Upperline or Commander’s Palace, which hosts Saturday Jazz Brunches.

Take a Walk

Top Cajun Foods Whether your budget is $10 or $100, there are a few New Orleans favorites that need to be on your menu. The po’ boy (think submarine sandwich on steroids) is a sandwich defined by those who make it, with varying meats loaded into a crispy and fresh French bread and available either ‘dressed’ or plain.

If you need a break from the busyness of the annual meeting, or have some downtime to check out the city, be sure to take in the New Orleans Museum of Art (NOMA), take a stroll down to City Park to spend some time by the water, or enjoy a walking tour of the Garden District... Or venture outside the city and catch an airboat tour of the swamps.

Election Results Announced

SAEM NEWS

The Board of Directors of the Society for Academic Emergency Medicine (SAEM) is pleased to announce the winners of recent elections to SAEM leadership positions. Congratulations to the individuals highlighted in red who join their esteemed colleagues in the following categories:

2016-17 BOARD OF DIRECTORS President Andra L. Blomkalns, MD, UT Southwestern Medical Center, Dallas (2016-17)

President-Elect Winners of recent elections to SAEM leadership positions: (top, left to right) D. Mark Courtney, MD, Amy H. Kaji, MD, PhD, Ali S. Raja, MD, MBA, MPH, Riley P. Grosso, MD, (bottom, left to right) Martin Reznek, MD, MBA, Douglas Char, MD

D. Mark Courtney, MD, Northwestern Medicine (2016-17)

Secretary-Treasurer Steven B. Bird, MD, University of Massachusetts Medical School (2016-17)

Immediate Past President Deborah B. Diercks, MD, MSc, UT Southwestern Medical Center, Dallas (2016-17)

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Members-at-Large James F. Holmes, MD, MPH, University of California, Davis, School of Medicine (2015-18) Amy H. Kaji, MD, PhD, Los Angeles County-Harbor-UCLA Medical Center (2016-19) Ian B.K. Martin, MD, West Virginia University School of Medicine (2014-17) Ali S. Raja, MD, MBA, MPH, Massachusetts General Hospital (2016-19) Richard E. Wolfe, MD, Beth Israel Deaconess Medical Center/ Harvard Medical School (2015-18) Member-at-Large to be elected by Board of Directors (2016-17) Resident Member Riley P. Grosso, MD, University of Cincinnati College of Medicine (2016-17)

NOMINATING COMMITTEE Chair D. Mark Courtney, MD (2016-17) SAEM Immediate Past President Deborah B. Diercks, MD, MSc (2016-17) Elected Members Jody Vogel, MD (2015-17) Martin Reznek, MD, MBA (2016-18) Committee/Task Force Representative Scott G. Weiner, MD, MPH (2015-17) Past President Representative To be elected by Board of Directors (2016-17)

BYLAWS COMMITTEE Chair Scott G. Weiner, MD, MPH (2014-17) Members Douglas Char, MD (2016-19) Esther K. Choo, MD MPH (2015-18) Note: All bylaws amendments passed. To view the complete, update bylaws for SAEM, please visit saem.org/about-saem/ governance.

Medical Student Excellence in Emergency Medicine Award Do you have an outstanding medical student that shows promise in emergency medicine? SAEM is pleased to sponsor the Medical Student Excellence in Emergency Medicine Award. This award is made available to each medical school to select a senior medical student who has demonstrated excellence in the specialty of emergency medicine. The student selected from each school will receive: • One-year subscription to the SAEM monthly journal, Academic Emergency Medicine • One-year subscription to the SAEM Newsletter • One-year resident/medical student membership in SAEM (July 1 - June 30) • Certificate of Excellence in Emergency Medicine For more information and to nominate an awardee visit the award webpage at http://saem.org/about-saem/saem-awards/ medical-student-excellence-award. Complete the downloadable form available online and submit it to membership@saem.org.

Application deadline is June 1, 2016

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ACADEMIC ANNOUNCEMENTS Martin Named Chair of WVU Emergency Medicine Dr. Ian B.K. Martin was recently named professor and chair of the Department of Emergency Medicine at the West Virginia University School of Medicine. Also appointed as a professor in the Department of Medicine, he will join the faculty on June 30 coming from the University of North Carolina School of Medicine where he was associate professor of Emergency Medicine, Internal Medicine and Social Medicine. Dr. Martin also served as the chief of the Division of Global Health and Emergency Care, director of the Emergency Medicine Global Health and Leadership Program, associate director of the Office of International Activities, associate director of the Simmons Scholar Career Development Program, and associate residency director for Emergency Medicine at UNC. Dr. Martin has developed state-of-the-art global education experiences for medical students, residents and fellows and has garnered federal, state, industry and institutional support for his research in acute care epidemiology in the developing world, Emergency Department-based HIV testing, and host-response to acute infections.

Dr. Martin was elected to the board of directors of the Society for Academic Emergency Medicine and is also the founder and past-president of SAEM’s Global Emergency Medicine Academy.

UMass’s Carreiro Receives NIH Funding Stephanie Carreiro MD has received NIH funding under a KL2 mechanism to study the use of mobile biosensors to detect the onset of tolerance to opioid analgesics. This work builds on the research results that Dr. Carreiro obtained during her two NIH Loan Repayment Awards from NIH. Dr. Carreiro, a 2014 graduate of the fellowship training program in medical toxicology at UMass-Memorial Medical Center, is an assistant professor at the University of Massachusetts Medical School.

Georgia EM Physician Receives 2016 EmCare Commitment to Care Award Paula Brathwaite, MD, medical director of emergency services at Piedmont Fayette Hospital in Fayetteville, Georgia, has been recognized by EmCare as the 2016 Commitment to Care Award winner.

Dr. Brathwaite has led the Piedmont Fayette Hospital emergency department through a period of rapid growth. She is a recognized leader among her peers at the hospital. In addition, she gives back to her community by serving as the medical director of the Southern Crescent Sexual Assault Center. She also serves as a volunteer with the Barbados Faces Social Development Mentorship Program for girls.

Dr. Brathwaite was honored with the Commitment to Care Award during EmCare’s annual Leadership Conference.

UMass’s Chai is Recipient of MTF Grant Peter Chai MD, a senior fellow in Medical Toxicology at the University of Massachusetts Medical School, has received a $10,000 Medical Toxicology Foundation (MTF) grant. Dr. Chai’s project involves placing passive RFID tags on naloxone syringes distributed from the emergency department. The purpose of the study is to determine the proportion of naloxone syringes that actually enter the community, and to produce preliminary data for a larger NIH submission examining the use of hi-tech naloxone syringes intended for bystander use.

Duke’s Meier selected as an NIH Fogarty Global Health Fellow Dr. Brian Meier, a Duke University Emergency Medicine Global Health Fellow, has been selected as an NIH Fogarty Global Health Fellow by the Vanderbilt-Emory-Cornell-Duke (VECD) Global Health Fellows Consortium. This grant provides funding to spend a full 10 months at his overseas site in Tanzania to conduct research and obtain further training in global health research.

Duke’s Freiermuth Receives Grant for Research Conference on Sickle Cell Disease Dr. Caroline Freiermuth, an assistant professor of emergency medicine at Duke University, has been awarded $34,849 for an R13 conference grant from the Agency for Healthcare Research and Quality (AHRQ). The proposed conference, to be hosted September 17, 2016, will be designed to disseminate the NHLBI recommendations regarding sickle cell disease, discuss the success of implementation of said recommendations at Duke University, and to help other institutions implement the recommendations.

Dr. Freiermuth currently serves as a co-investigator on an AHRQ funded study that aims to identify areas of improving care for the sickle cell patient. She has worked closely with leadership within the emergency department to provide education about sickle cell disease and has presented data about provider attitudes towards sickle cell patients at multiple conferences around the country. Dr. Freiermuth is a member of the American Pain Society and was present for the first ever meeting of the Pain in Sickle Cell Disease Special Interest Group.

ORGANIZATIONAL UPDATES ABEM Board of Directors Elects Two New Directors At its 2016 winter meeting, the Board of Directors of the American Board of Emergency Medicine (ABEM) elected two new directors: Wallace A. Carter, MD, and Samuel M. Keim, MD, MS. Dr. Carter was nominated by the Emergency Medicine community-atlarge, and Dr. Keim was nominated by the American College of Emergency Physicians (ACEP).

Dr. Carter is Program Director for the Emergency Medicine Residency at New York Presbyterian, where he is also Senior Associate Medical Director of Emergency Medical Services. Dr. Carter is Associate Professor of Emergency Medicine at the Joan & Sanford I. Weill Medical College of Cornell University, as well as at the College of Physicians and Surgeons, Columbia University.

Dr. Keim is Professor and Chair of the Department of Emergency Medicine at the University of Arizona College of Medicine, and Professor in the Division of Epidemiology and Biostatistics at the Mel and Enid Zuckerman College of Public Health at the University of Arizona in Tucson, Arizona. He is also Director of the Arizona Emergency Medicine Research Center. Dr. Keim practices clinically at Banner University Medical Centers at the Tucson and South campuses.

Dr. Carter and Dr. Keim will begin their terms as ABEM directors at the close of the summer board meeting.

CALLS & SUBMISSIONS Calls for Papers 2017 AEM Consensus Conference May 16-19, 2017 Hyatt Regency, Orlando, FL Submission deadline: April 17, 2017 Catalyzing System Change Through Health Care Simulation: Systems, Competency, and Outcomes Accepted manuscripts will present original, high-quality research. Research papers on this topic, if accepted, will be published together with the conference proceedings in the December 2017 issue of Academic Emergency Medicine. All submissions will undergo peer review and publication cannot be guaranteed. For information contact the conference cochairs William Bond, MD (William.F.Bond@jumpsimulation.org), Rosemarie Fernandez, MD (fernanre@comcast.net), and Joshua Hui, MD (joshhui@gmail.com)

Calls for Proposals 2019 AEM Consensus Conference May 14-17, 2019 The Mirage Casino-Hotel, Las Vegas, NV Submission deadline: April 8, 2017 For details & instructions visit: www.saem.org/meetings/future-dates

2020 AEM Consensus Conference May 12-15, 2020 The Sheraton Denver Downtown Hotel, Denver, CO Submission deadline: April 8, 2018 For details & instructions visit: www.saem.org/meetings/future-dates

19

THIS PLACE IS AMAZING So is the difference you can make.

CLINICAL & ACADEMIC EMERGENCY PHYSICIANS We are currently seeking Physicians for the following roles: • Clinician Educator • Observation Medicine • Medical Toxicology • Advanced Practice • Prehospital Medicine • Research

Qualified candidates should submit a letter of interest and CV to: Kendra Hall Sr. Physician Recruiter kbhall@ghs.org ph: 800-772-6987

Greenville Health System (GHS) seeks BC/BE Emergency Physicians to become faculty in the newly established Department of Emergency Medicine. Successful candidates should be prepared to shape the future Emergency Medicine Residency Program and contribute to the academic output of the department.

GHS is the largest healthcare provider in South Carolina and serves as a tertiary referral center for the entire Upstate region. The flagship Greenville academic Department of Emergency Medicine is integral to the patient care services for the: • Level 1 Trauma Center • Dedicated Pediatric Emergency Department within the Children’s Hospital • Five Community Hospital Emergency Departments • Accredited Chest Pain Center

• STEMI and Comprehensive Stroke Center • Emergency Department Observation Center • Regional Ground and Air Emergency Medical Systems

The campus hosts 15 residency and fellowship programs and one of the nation’s newest allopathic medical schools – University of South Carolina School of Medicine Greenville. Emergency Department Faculty enjoy a flexible work schedule, highly competitive salary, generous benefits, and additional incentives based on clinical, operational and academic productivity.

Greenville, South Carolina is a beautiful place to live and work. It is one of the fastest growing areas in the country, and is ideally situated near beautiful mountains, beaches and lakes. We enjoy a diverse and thriving economy, excellent quality of life, and wonderful cultural and educational opportunities.

Stop by and see us at Booth #314 at the SAEM Annual Meeting in New Orleans! *Public Service Loan Forgiveness (PSLF) Program Qualified Employer* GHS does not offer sponsorship at this time. EOE

DEPArTMEnT OF EMErgEncY MEDicinE

EmErgEncy mEdicinE Faculty (AssociAte through Professor LeveL) The University of Pittsburgh Department of Emergency Medicine invites applications and nominations for an endowed professorship in emergency medical services research. The successful candidate is expected to focus on investigation related to emergency care and to maintain external funding. A strong record of scholarship with national recognition in fields related to emergency care is required.

The successful candidate should mentor junior colleagues, engage in the training mission of the department, and create collaborations throughout the University.

Applicants should hold a doctorate and be eligible for full-time appointment at the rank of associate or full professor with tenure.

Inquiries can be directed to: Donald M. Yealy, MD Professor and Chair of Emergency Medicine University of Pittsburgh 10028 Forbes Tower 3600 Forbes Ave. Pittsburgh, PA 15213

The University of Pittsburgh is an Equal Opportunity Employer for Minorities/Women/Vets/Disabled.

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Associate or Assistant Residency Director Position (APD) The Department of Emergency Medicine at the University of Michigan is seeking motivated faculty with an interest in medical education and residency leadership for Associate or Assistant Residency Director Position (APD). The APD responsibilities will include mentoring residents, supervision of the didactic curriculum, and direction of the Longitudinal Professional Development Tracks in Research, Education, Clinical Excellence and Administration. The APD will report to the Program Director and share in the leadership and responsibilities of the residency. The residency has a well-developed simulation curriculum. There is potential for professional development in medical education research working with PhDs in education and actively involved faculty.

The Department of Emergency Medicine has nationally recognized clinical expertise in brain injury, sepsis, injury prevention and pediatric emergency medicine.

The Department is a Level 1 adult and pediatric trauma center. The residency is a four-year joint program with St. Joseph Mercy, a well-resourced community Hospital, and Hurley Hospital which serves Flint, MI. It is dedicated to providing a diverse training experience with an emphasis on clinical excellence.

Academic rank will be determined by credentials. Clinical responsibilities will include patient care activity in the Emergency Department at University of Michigan Health System and include shift reduction commensurate with responsibilities. Applicants should have residency training and board certification in Emergency Medicine. Excellent salary and fringe benefit package. If interested, please send curriculum vitae to: Robert Neumar, M.D., PhD Professor and Chair, Department of Emergency Medicine, UMHS, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5301.

72541 03/16

The University of Michigan is an equal opportunity affirmative action employer.

Department of Emergency Medicine Residency Program Director

TheThe Department of Emergency Medicine (EM) at(EM) the Sidney KimmelKimmel Medical Medical College of Thomas seeking aisDirector Residency Department of Emergency Medicine at the Sidney College ofJefferson Thomas University Jefferson is University seekingfora its Director for Program. Over the last two years, the Department of EM, along with Thomas Jefferson University, has undergone a transformation that will lead innovation its Residency Overtothe last two years, Department EM, along with Jefferson has undergone in healthcare.

We Program. are committed reimagining health,the health education,ofhealth delivery, andThomas discovery in effortUniversity, to create unparalleled value afor its patients and be the most trusted healthcare partner. To this effect, the Program Director (PD) will help lead forward-thinking education. transformation that will lead innovation in healthcare. We are committed to reimagining health, health education, health delivery, and We are seeking a motivated, accomplished individual with both the experience in residency leadership and a passion for medical education. In addition discoveryoversight in effortof tothe create for its patients beexpected the mosttotrusted healthcare partner.atTo this the Program to providing dailyunparalleled operations ofvalue the residency, the PD and will be use all available resources TJU toeffect, chaperone the residency program into(PD) the most innovative and progressive graduate medical education (GME) program in its field. The PD will integrate innovative approaches in Director will help lead forward-thinking education. medical education for its residents, including, but not limited to, educational technologies; active learning; simulation-based opportunities; asynchronous learning; and thinking.

We aredesign seeking a motivated, accomplished individual with both the experience in residency leadership and a passion for medical The Department is determined to prepare its graduates theoperations landscape of of EM the practice.

Together with thetoVice for Education, the education.

In addition to providing oversight of the for daily ofthe thefuture residency, PD will be expected useChair all available resources PD will develop and lead strategies to integrate EM-based educational opportunities in telehealth, observation medicine, acute care transitions, population at TJU to chaperone the residency program into the most innovative and progressive graduate medical education (GME) program in its field. heath, and clinical operations. The PD will be an active member of the senior leadership of the Department; the GME program; the Sidney Kimmel Medical College; TJU Hospitals; and Emergency Medicine at large.

The PD will integrate innovative approaches in medical education for its residents, including, but not limited to, educational technologies; The Department of EM is composed of TJU Hospital Center City, a 700-bed academic quaternary-care, Level-1 Trauma Center that treats 60,000 active learning; opportunities; asynchronous learning; and design thinking. emergency patients simulation-based annually; and the Methodist Hospital Division of TJUH, a 200-bed community hospital that treats 43,000 emergency patients annually.

The residency isisa determined three-year program with its thirteen residents The Department boasts fellowships Medical Education, Emergency The Department to prepare graduates for per the year. landscape of the future of EM practice.inTogether with the Vice Chair for Ultrasonography, and Telehealth; a required student clerkship in EM and Advanced Clinical Skills for 4th-year medical students; and access to a robust Education, the PD will develop and lead strategies to integrate EM-based educational opportunities in telehealth, observation medicine, faculty development program.

Additional onpopulation the Emergency Department is available at: http://www.jefferson.edu/university/jmc/departments/emergency_medicine.html acute careinformation transitions, heath, and clinical operations.

The PD will be an active member of the senior leadership of the Successful candidates will be residency trained and board certified in EM; have a minimum of three years experience EM practice; have demonstrated Department; the GME program; the Sidney Kimmel Medical College; TJU Hospitals; and Emergency Medicine at large. scholarship in EM and medical education; be familiar with instructional design; and have held an educational leadership role in GME. Academic appointment will be commensurate with experience scholarship.

The Department of EM is composed of TJUand Hospital Center City, a 700-bed academic quaternary-care, Level-1 Trauma Center that treats The Sidney Kimmel Medical College at Thomas Jefferson University values a diverse and ainclusive community, as hospital it allows for the fruition of the 60,000 emergency patients annually; and the Methodist Hospital Division of TJUH, 200-bed community that treats 43,000 University’s missions in patient care, education, and research; and best provides for the health needs of the public. Thomas Jefferson University and emergency patients annually.and Thean residency is a three-year program thirteen per year. The Department Hospitals is an Equal Opportunity Affirmative Action Employer; valueswith diversity; andresidents strongly encourages applications from boasts women,fellowships members ofin minority groups, those underrepresented in medicine, Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ) individuals, disabled individuals, and Medical Education, Emergency Ultrasonography, and Telehealth; a required student clerkship in EM and Advanced Clinical Skills for 4th-year veterans. medicalcandidates students; are andencouraged access to atorobust faculty development Eligible send their curriculum vitae to:program.

Dimitrios Papanagnou, MD, MPH, EdD (c), Vice Chair for Education Department of Emergency Medicine, Thomas Jefferson University Hospitals at Dimitrios.Papanagnou@jefferson.edu, (215) 955-9837 Additional information on the Emergency Department is available at: http://www.jefferson.edu/university/jmc/departments/emergency_medicine.html Successful candidates will be residency trained and board certified in EM; have a minimum of three years experience EM practice; have demonstrated scholarship in EM and medical education; be familiar with instructional design; and have held an educational leadership role in GME. Academic appointment will be commensurate with experience and scholarship.

The Sidney Kimmel Medical College at Thomas Jefferson University values a diverse and inclusive community, as it allows for the fruition

BRIGHAM AND WOMEN’S HEALTHCARE missions in patient care, education, and research; and best provides for the health needs of the public.

Thomas Jefferson

CHIEF,and DIVISION OF isEMERGENCY TOXICOLOGY University Hospitals an Equal Opportunity and an Affirmative Action Employer; values diversity; and strongly encourages applications

The Department of Emergency Medicine at Brighamgroups, and Women’s HealthCare from women, members of minority those underrepresented in medicine, Lesbian, Gay, Bisexual, Transgender and Questioning (BWHC) is seeking an emergency medicine physician to lead the department’s new (LGBTQ) individuals, disabled individuals, and veterans.

Division of Emergency Toxicology that will interface between BWHC and DanaEligible candidates are encouraged to send their curriculum vitae to: Dimitrios Papanagnou, MPH, EdD (c), for Education Farber Cancer Institute.

Academic, VA, and Community Opportunities Located in beautifulMD, Milwaukee, WI, theVice MCWChair Department of

Academic, VA, and Community Opportunities

Medicine is growing!

Department ofHospital Emergency Medicine, Thomas Jefferson University Hospitals at Emergency Dimitrios.Papanagnou@jefferson.edu, (215) 955-9837 Brigham and Women’s is a major teaching affiliate of Harvard Medical Located in beautiful Milwaukee, WI, the MCW Department of Emergency Medicine is growing!

School, a level 1 trauma and burn center. The Department of Emergency Medicine Our ED at Froedtert Hospital is completing an expansion in January faculty cares for 70,000 adult patients per year in a 46 bed ED which includes a Our ED at Froedtert Hospital is completing an expansion in January 2016, and we are increasing 2016, and we are increasing our daily physician coverage hours.

10 bed ED Observation Unit. our daily physician coverage hours. We are recruiting for two faculty to complete our coverage.

We are recruiting for two faculty to complete our coverage. The

The appropriate candidate may be eligible for academic appointment at Harvard Medical School at the rank of Assistant Professor or Associate Professor commensurate with experience, achievement, recognition, and planned participation in teaching and scholarly activities. The position offers unparalleled opportunities for professional development, a competitive salary, and an outstanding comprehensive benefit package. BWHC is intensely committed to the personal and professional development of our providers.

The Department also seeks faculty who are interested in joining our Zablocki Veterans Affairs Department also seeks faculty who are interested in joining our Medical Center (VA) staffing complement, which will be initiated in August, 2015. We are Zablocki Veterans Affairs Medical Center (VA) staffing complement, adding two positions to our faculty in order to provide Monday-Friday, daytime coverage at the which will be initiated in August, 2015. We are adding two positions VA. Additionally, the Froedtert Health System is opening a free-standing ED at the Moorland to our faculty in order to provide Monday-Friday, daytime coverage Reserve Health Center. We are recruiting six faculty for single provider coverage at this new at the VA. Additionally, the Froedtert Health System is opening community ED, to be opened in July, 2016. All faculty members could have clinical a free-standing ED at the Moorland Reserve Health Center. We responsibilities at one or more of these sites.

Successful candidates must have successfully completed a four year residency training program in Emergency Medicine, or a three year program followed by a fellowship or one year in practice, and must be board prepared or certified in Emergency Medicine. Demonstrated successful leadership experience is required.

communityofED, to be opened in atJuly, 2016.

All faculty The Department Emergency Medicine MCW has nationally andmembers internationally recognized could haveand clinical responsibilities at oneInjury or more of these experts in EMS Disaster Medicine, Toxicology, Prevention and sites.

Control, Cardiac Resuscitation, Global Health, Ultrasound, Medical Education, and Process Improvement. The The Department of Emergency Medicine at MCW has nationally and Department is ranked in the top 20 NIH funded departments of emergency medicine. internationally recognized experts in EMS and Disaster Medicine, Interested applicants should submit a curriculum vitae and letter of interest to Dr. Stephen Toxicology, Injury Prevention and Control, Cardiac Resuscitation, Hargarten, Department Chairman and MCW Associate Dean, at hargart@mcw.edu.

Interested candidates should send a letter and Curriculum Vitae to Michael VanRooyen, MD, MPH, Professor and Chair, Department of Emergency Medicine, Brigham and Women’s Hospital. Please apply by confidential email to mdeloge@bwh.harvard.edu.

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

are recruiting six faculty for single provider coverage at this new

Global Health, Ultrasound, Medical Education, and Process Improvement. The Department is ranked in the top 20 NIH funded departments of emergency medicine. Interested applicants should submit a curriculum vitae and letter of interest to Dr. Stephen Hargarten, Department Chairman and MCW Associate Dean, at hargart@mcw.edu.

21

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22

ENCY

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y of California, the position of ully-accredited the near future. combined total primary sites. eneral Hospital dren's Hospital San Francisco tal will open in ncisco General

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Would Your Emergency Department Like To Dramatically Decrease The Number Of Days It Takes For A Completed Chart To Go To Billing And Bring In Revenue Faster?

LiveCode, in partnership with ScribeAmerica, is a real-time coding solution that can save you hundreds of thousands of dollars annually. By linking scribes and coders as the patient gets care, our unique and revolutionary process reduces the number of hours to complete a chart from days to mere HOURS‌while also dramatically improving documentation accuracy.

Michael_kamali@urmc.rochester.edu

EMERGENCY MEDICINE

Saint Louis University, a Catholic, Jesuit institution dedicated to student learning, research, healthcare and service is seeking qualified applicants for full-time faculty positions in the Division of Emergency Medicine. These positions offer both clinical, teaching and research opportunities.

The Emergency Department sees over 40,000 patients yearly and is a Level I Trauma Center, staffed by dedicated academic Emergency Medicine faculty in the School of Medicine. Applicants must be Emergency Medicine board certified or eligible.

Interested candidates must submit a cover letter, application and current curriculum vitae to http://jobs.slu.edu. An initial letter of interest and curriculum vitae should be sent to: Laurie Byrne, M.D. Director, Emergency Medicine Division Saint Louis University School of Medicine Saint Louis University Hospital 3635 Vista Avenue at Grand Boulevard St. Louis, MO 63110-0250 Saint Louis University is an affirmative action, equal opportunity employer and encourages applications of women and minorities.

23

Janssen Pharmaceuticals, Inc. is a proud supporter of SAEM Please visit us at Booth #214 Cardiovascular

Relevant, Referenced Emergency Medicine CME Practical and Easy to Use. Offering the Maximum Allowable Credits.

What else do you need in CME?

Need Proof?

Try sample issues and earn up to 14 free CME/CE credit hours: http://learn.ahcmedia.com/EMSampleIssues Explore our top titles in emergency medicine, including: Emergency Medicine Reports Trauma Reports ED Management And more!

Conveniently available in print and online.

24

25

Assistant/Associate Residency Program Director

The Emergency Medicine Department at Penn State Milton S. Hershey Medical Center seeks energetic, highly motivated and talented physicians to join our Penn State Hershey family.

Opportunities exist in both teaching and community hospital sites.

This is an excellent opportunity from both an academic and a clinical perspective.

Emergency Medicine Core Faculty

As one of Pennsylvania’s busiest Emergency Departments with 26+ physicians treating over 70,000 patients annually, Penn State Hershey is a Magnet® healthcare organization and the only Level 1 Adult and Level 1 Pediatric Trauma Center in PA with state-of-the-art resuscitation/trauma bays, incorporated Pediatric Emergency Department and Observation Unit, along with our Life Lion Flight Critical Care and Ground EMS Division.

Pediatric Emergency Medicine Faculty

For additional information, please contact: Susan B. Promes, Professor and Chair, Department of Emergency Medicine, c/o Heather Peffley, Physician Recruiter, Penn State Hershey Medical Center, Mail Code A590, P.O. Box 850, 90 Hope Drive, Hershey PA 17033-0850, Email: hpeffley@hmc.psu.edu

We offer salaries commensurate with qualifications, relocation assistance, physician incentive program and a CME allowance. Our comprehensive benefit package includes health insurance, education assistance, retirement options, on-campus fitness center, day care, credit union and so much more! For your health, Hershey Medical Center is a smoke-free campus.

Applicants must have graduated from an accredited Emergency Medicine Residency Program and be board-certified by ABEM. We seek candidates with strong interpersonal skills and the ability to work collaboratively within diverse academic and clinical environments.

The Penn State Milton S. Hershey Medical Center is committed to affirmative action, equal opportunity and the diversity of its workforce. Equal Opportunity Employer – Minorities/Women/Protected Veterans/Disabled.

26

www.HaysInnovations.com

27

Society for Academic Emergency Medicine

ANNUAL MEETING NEW ORLEANS | MAY 10-13, 2016

What would you do with more time?

It’s All About...

Your Lifestyle!

We provide you with direct access to the best independent, physician-owned emergency medicine groups across the country... leaving you with more time to live the life you wish!

Visit us in the Exhibit Hall Booth #307 to learn more about the over 60 groups we represent in 27 states.

877.379.1088 | INFO@EMRECRUITS.COM | WWW.EMRECRUITS.COM

Indiana University School of Medicine

Department of Emergency Medicine IUSM EM is seeking qualified applicants for adult and pediatric faculty positions with opportunities in education, teaching, research, program leadership/development, and clinical care. In addition to offering competitive benefits and salary, we are committed to flexibility and support to facilitate development of research and educational activities.

Clinical or tenure track appointments are commensurate with qualifications and experience. Physician applicants must be board certified (or eligible) and eligible for licensure in the State of Indiana.

Interested candidates should submit CVs by email to emjobs@indiana.edu (Attn: Dr. Cherri Hobgood, Department Chair).

Leading the education, science, and practice of emergency medicine Indiana University is an equal opportunity employer committed to building a culturally diverse intellectual community and strongly encourages applications from women and minorities, an EEO/AA employer, M/F/V/D.of Indiana.

INDIANAPOLIS, IN 28

PURSUE YOUR PASSION FOR DELIVERING HIGHQUALITY, COMPASSIONATE EMERGENCY MEDICINE

From cutting-edge tools and resources to innovative practice opportunities, Emergency Medicine physicians who work for EmCare enjoy an exceptional quality of practice.

Our physician-led company means you are supported by leadership on the local, regional and national level.

From mentorship to leadership positions, EmCare offers the locations, positions and lifestyle you want nationwide.

CONTACT US TODAY 855.367.3650 recruiting@emcare.com www.emcare.com

Visit Us! SAEM 16 Booth 204

Quality people. Quality care. Quality of LIFE.

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Position Description

ASSISTANT/ASSOCIATE PROFESSOR EMERGENCY PHYSICIAN University of Louisville Hospital is a 400 bed trauma center. The Emergency Department cares for approximately 60,000 visits/year, educates a three year residency with 10 per class, and has specialties in EMS, Ultrasound, International Medicine, and Healthcare Quality and Patient Safety. We are an acute-care tertiary facility providing a full range of diagnostic, therapeutic, emergency, and surgical services including an adult burn unit.

Louisville Kentucky is diverse with a metropolitan population of ~600,000, growing economic infrastructure, multiple sports teams including the University of Louisville Basketball team, United Soccer League, Louisville FC, as we as the Triple-A baseball Louisville Bats. Louisville was ranked 8th in Forbes 2014 America’s Most Affordable Cities, has a very active foodie culture, and is a great place for families and singles alike.

EQUAL EMPLOYMENT OPPORTUNITY The University of Louisville is an Affirmative Action, Equal Opportunity, Americans with Disabilities Employer, committed to diversity and in that spirit, seeks applications from a broad variety of candidates.

The Department of Emergency Medicine at the University of Louisville Health Science Center in Louisville Kentucky is recruiting for an ambitious, motivated, emergency medicine residency trained physician to become a member of a growing group of academic physicians at a premier Level 1 trauma center. Optimal candidates will perform peer- reviewed research and have an excellent teaching and clinical background. Louisville is one of the pioneering emergency programs with its inception in 1972. We have 20+ faculty and growing with new departmental staff and developing fellowships.

Job Requirements • Board eligible/board certified Physician • Instructor, Assistant, or Associate Professor Level • Research, Fellowship, or Publication Experience preferred • Willing to hit the ground running and develop his/her own teaching and academic niche The University of Louisville is an Affirmative Action, Equal Opportunity, Americans with Disabilities Employer, committed to community engagement and diversity, and in that spirit, seeks applications from a broad variety of candidates.

CONTACT Ashlee Melendez ashlee@louisville.edu Emergency Medicine, University of Louisville Phone 502-852-7874 Online App. Form https://highereddecisions.com/uofl/current_vacancies.asp

3060

Entrusting you to make Emergency Medicine better. that’s our practice.

Why Consider Sheridan Healthcare? Because the way we practice medicine starts with you.

We are seeking dynamic, experienced individuals to join our Emergency Medicine Residency Program’s Centers of Excellence.

KENDALL REGIONAL MEDICAL CENTER - located in Miami, Florida • Research Director • PEM Faculty • Core Faculty OCALA REGIONAL MEDICAL CENTER - located in Ocala, Florida • Program Director • Associate Program Director • Research Director • Core Faculty OSCEOLA REGIONAL MEDICAL CENTER - located in Kissimmee (Orlando), Florida • Research Director • Core Faculty

Sherri Golden

Emergency Medicine Physician Recruitment Manager Office Cell Email

954.846.5401 954.294.1744 sherri.golden@shcr.com

www.sheridanhealthcare.com

A New Journal!

A New Look!

A New Journal!

A New Look!

KLINE AND MILNE LIVE

PROMES AND KLINE Q & A

Myth busting, storytelling, and spitballing from EIC Jeff and Ken about everything under the sun and all things AEM.

Meet the editor of our new journal, hear her vision, ask questions, and get helpful advice for submitting your manuscript.

Wednesday, May 11, 7-8:30 am Thursday, May 12, 7-8 am

g, and spitballing bout everything ngs AEM.

8:30 am am

For more information contact

Jeff Kline, MD, AEM Editor-inChief/Ken Milne, MD, Senior

PROMES Editor for AND SocialKLINE Media Q & A

Wednesday, May 11, 2:30-4 pm Thursday, May 12, Noon-1 pm

Susan Promes, MD, FACEP, Editor, AEM Education and Training

Meet the editor of our new journal, hear her vision, ask questions, and get helpful advice for submitting your manuscript.

Jeff Kline, MD, AEM Editor-inChief/Ken Milne, MD, Senior Editor for Social Media

Booth #400

Wednesday, May 11, 2:30-4 pm Thursday, May 12, Noon-1 pm

Susan Promes, MD, FACEP, Editor, AEM Education and Training

Booth #400 31

2340 S. River Road, Suite 208 Des Plaines, IL 60018

NON PROFIT ORGANIZATION U.S. POSTAGE PAID SAEM

MAY 10-13 • NEW ORLEANS www.saem.org/annual-meeting