FINAL July-Aug_0

2340 S. River Road, Suite 200 • Des Plaines, IL 60018 • 847-813-9823 • saem@saem.org • www.saem.org .

JULY-AUGUST 2012

DAVID SKLAR, MD Senate Finance Committee

ETHICS IN ACTION: Ethical Obligation of Off-Duty Physicians

DEVELOPING A RESEARCH CAREER A GREAT SUCCESS SAEM 2012 Annual Meeting

VOLUME XXVII NUMBER 4

SAEM STAFF Interim Executive Director Ronald S. Moen Ext. 212, rmoen@saem.org Director of Information Services & Administration James Pearson Ext. 225, jpearson@saem.org Accountant Mai Luu, MSA Ext. 208, mluu@saem.org Assistant Accountant Christopher Ibrahim Ext. 207, cibrahim@saem.org Education Coordinator Sandy Rummel Ext. 213, srummel@saem.org Executive Administrative Assistant Michelle Iniguez Ext. 206, miniguez@saem.org Grants Coordinator Melissa McMillian Ext. 203, mmcmillian@saem.org

SAEM M EM BERSHIP Membership Count as of June 14, 2012 2419 Active 42 Associate 3091 Resident/Fellow 212 Medical Students

9 International Affiliates 31 Emeritus 9 Honorary 5813 Total

2012 SAEM DUES $560 Active $250 Associate $495 Faculty Group $460 2nd yr. Graduate $335 1st yr. Graduate $165 Resident

$165 Fellow $140 Resident Group $140 Medical Student $120 Emeritus $100 Academies $25 Interest Group

International – email membership@saem.org for pricing details.

All membership categories include one free interest group membership.

ADVERTISEM ENT RATES

Help Desk Specialist Neal Hardin Ext. 204, nhardin@saem.org

The SAEM Newsletter is limited to postings for fellowship and academic positions available and offers classified ads, quarter-page, half-page and full-page options.

Marketing & Membership Manager Holly Gouin, MBA Ext. 210, hgouin@saem.org

The SAEM Newsletter publisher requires that all ads be submitted in camera-ready format meeting the dimensions of the requested ad size. See specific dimensions listed below.

Meeting Coordinator Maryanne Greketis, CMP Ext. 209, mgreketis@saem.org Membership Assistant George Greaves Ext. 211, ggreaves@saem.org Receptionist Vicki Daly Ext. 201, vdaly@saem.org

• A full-page ad costs $1250 (7.5” wide x 9.75” high) • A half-page ad costs $675 (7.5” wide x 4.75” high) • A quarter-page ad costs $350 (3.5” wide x 4.75” high) • A classified ad (100 words or less) costs $120 If there are any pictures or special fonts in the advertisement, please send the file of those along with the completed ad.

We appreciate your proactive commitment to education, as well as to personal and professional advancement, and strive to work with you in any way we can to enhance your goals.

Contact us today to reserve your ad in an upcoming SAEM Newsletter. The due dates for 2012 and 2013 are: August 1, 2012 for the September/October issue October 1, 2012 for the November/December issue December 1, 2012 for the January/February 2013 issue February 1, 2013 for the March/April 2013 issue April 1, 2013 for the May/June 2013 issue

HIGHLIGHTS

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On our Facebook page, you’ll learn about upcoming events, reconnect with colleagues, browse photos and more!

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SAEM has always been a social group – now you can participate through social media!

President’s Message

Executive Director’s Message

Member Highlight

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SAEM Past-President Profile

JOIN TODAY.

SAVE THE DATE 2013 SAEM Annual Meeting May 15-18, 2013 at The Westin Peachtree Plaza in Atlanta, GA Program Committee Chair Christopher Ross, MD Watch for meeting updates and submission deadlines on the website! www.saem.org

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Academic Resident Section

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Ethics in Action

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Annual Meeting

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News From ABEM

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Academic Announcements

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Calls And Meeting Announcements

PRESIDENT’S M ESSAGE CHALLENGE AND OPPORTUNITY Cherri D. Hobgood, MD

Indiana University School of Medicine These are interesting times for SAEM. As an organization we are more dynamic and interactive than ever. The organization continues to evolve in a positive way and I’m confident that our members find SAEM to be a resource in the production of academic products, achievement of their personal academic goals, and expansion of the science upon which our discipline is founded. In this, my first president’s Cherri D. Hobgood, MD message, I want to explore some of the challenges facing the BOD this year, and in the spirit of creative problem solving solicit your input as members to help us produce the best results for the organization.

Challenge One: Internal Specialization As our discipline and organization has grown we have moved from the realm of generalists to content area specialists with special needs for focused content development, faculty development, training, and research. To meet this need SAEM has evolved its organizational structure. Previously, we were structured as focused board directed committees and faculty directed interest groups.

As we have evolved, faculty directed Academies have emerged as a primary organizational structure. These Academies are a unique asset to SAEM because they harness the passion and knowledge of specific cohorts of faculty and allow a much quicker development of new knowledge and educational materials. The “juice” that is produced by working with a group of like-minded colleagues cannot be understated in terms of creative capacity and generation of the types of novel ideas that fuel progress.

The organizational challenge for SAEM lies in understanding the common needs of these various groups and designing a leaner more robust management structure to meet these needs. The first step in this process is communication and increased awareness for both the Board and the Academy leadership.

This year we have instituted several small but important changes.

First, the Academy and Committee leadership met with members of the Board prior to the start of the annual meeting. In this session we participated in a brief orientation and a small focus group.

The input from this session is being used to guide the board on important decisions ranging from website redesign, newsletter management, regional meeting structure, and the search for our new executive director. Second, this year for the first time ever, Academy leadership joined the Board for half of our final board meeting. During this session we all heard important updates from our legal council on common issues in professional societies and from David Cone on the status of the journal. Most importantly, the board and academy leadership heard from each Academy.

We learned of their successes, struggles and places of additional need. Certainly, the Board came away from that session much better informed and I believe the Academy leadership did as well.

We clearly identified areas of common synergies and challenges and I hope that there was enhanced mutual understanding of the needs of each group. I’m confident that Academy leadership identified ways they could better collaborate together and also

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have a new understanding of the board’s requirement to design common organizational systems that will meet the needs of the whole organization. Third, both of these sessions have convinced all attendees that we need more dialogue and opportunities to share so that we can better meet our respective challenges. We plan to meet again during ACEP to move this dialogue forward.

Challenge Two: Leadership Development Part of the challenge of growing an organization and a discipline is growing leaders. Emergency Medicine, in general is very lucky that our clinical practice teaches us many leadership skills. We are extraordinarily successful in the leadership of our hospitals, educational programs, and practice plan. Moving beyond that, what is the role of SAEM in growing new leaders for our organization?

Leaders who can take the organization to the next level and maintain our relevance to the house of medicine? The answer is of course we have a vested interest in growing knowledgeable faculty who are capable and willing to lead our society. Fortunately, we also have a perfect incubator for this process via our committee and academy structure. In years past we have hosted leadership development programs that have prepared our faculty for chair or division chief roles. Part of what we learned during our focus group sessions was that our committee chairs and Academy leaders needed a different set of skills. Skills that tap into their talent at a different level, content such as effective meeting management, how to manage faculty remotely, conflict resolution, how to effectively communicate with the board, and budget preparation.

They also identify a need to be able to expand their leadership skills in preparation for board service. Ideas such as development of an Academy leadership council were discussed. While these ideas are in their infancy, the Board, academy leaders, and committee chairs will be discussing this further during our face to face at ACEP. We welcome input from others who may have insights into how this can best be accomplished.

Challenge Number Three: Executive Leadership The past decade has seen a tremendous change in the face of SAEM Executive leadership. Currently, we are in the process of identifying a new leader for SAEM who has the skills in technology, information systems, meeting management, and human relations to take us to the next level. This process, stewarded by Jeff Kline, is moving rapidly. We anticipate that we will identify a new executive director in early fall and that they will join the organization this winter. With new executive leadership comes a new challenge as they learn the organization, prioritize organizational goals, and simply get acquainted with our leadership and members. The board is excited by the new horizon before us and eagerly anticipates working with a new member of the SAEM team to make the types of advances we know are possible.

All in all, this is a challenging and exciting time for SAEM. We are moving forward on the heels of our most successful annual meeting ever into a new space that is focused on our members, communication, community, and future success. We look forward to the future to your good ideas, leadership, and participation in the society. We welcome your comments on how the organization can better meet your needs and continue to grow and thrive. ◗

Executive director’s M essage Thank you for a successful saem annual meeting The 2012 Annual Meeting for SAEM is now history, and I am pleased to report that a total of 2,451 individuals registered for the meeting, including 1,864 members. According to the feedback we have received to date, members thought the meeting was “fantastic, best ever, filled with great information, provided lots of time for networking”, and very few complaints, mostly about rooms that were not large enough to accommodate all Ronald S. Moen of the people that wanted to get into a particular session. Most loved the great weather in Chicago, the opportunity to sample the world class restaurants and nightlife, and rumor has it that a few people even skipped sessions to go to Wrigley Field for a Cubs game. Academies and Committees were able to have excellent meetings and programs, and other organizations used the SAEM Annual Meeting to hold their own meetings during our time together. The Consensus Conference had 175 participants and again the evaluations of that program were very good. The Grant Writing workshop had 41 participants and reflects the continuing interest in improving the quality and efforts being put in by young investigators to improve their skills in this arena.

So a special THANK YOU to the Program Committee and everyone who had a role in making this meeting one of the largest and best ever. Now it is on to Atlanta for 2013 and the planning is well underway.

SAEM has begun a major effort to improve the SAEM web site and related operations. A special THANK YOU to members who participated in the on line surveys, gave their time to be interviewed and got involved in the onsite feedback sessions that were conducted at the Annual Meeting. Under the leadership of Dr. Andra Blomkalns, an advisory committee of members is working with me and other staff and with a web development company, .orgSource (www.orgSource.com) to make major modifications and improvements to the web site, including new features for search, updating of information, directories and collaborative tools to enhance its usefulness to members. Stay tuned for further updates on this important project.

During the Annual Meeting, the Board of Directors met with Chairs and other representatives of the Academies for dialog on issues that affect all of the Academies and SAEM. One result of

this dialog has been to establish a list serve for the Presidents/ Chairs of the Academies to enhance communication between the eight Academies and the Board of Directors on topics of mutual interest. During part of the meeting, SAEM’s Legal Counsel, Ms. Paula Goedert presented information on current legal issues that face associations today, including such topics as copyright law, fiduciary responsibility of Boards and other leadership groups, and some of the recent activities of members of Congress looking at purposes of tax exempt organizations, like SAEM and the SAEM Foundation.

The Board of Directors of the SAEM Foundation also met during the Annual Session. The new President of the SAEM Foundation Board is Deb Houry, the immediate past president of SAEM. The Foundation Board is in the process of establishing an Investment Committee to oversee the investments of the Foundation, whose assets now total over $7M. The initial goal of the Foundation is to raise at least $10M so that the earnings from that corpus can support grants for research and education in academic emergency medicine. The Foundation Awareness video was previewed at the Cocktails and Dreams event held during the Annual Meeting. It is available for use by SAEM members as they solicit contributions to the Foundation.

Membership renewal for residents who are graduating as well as for incoming new residents in Emergency Medicine will be starting about the time you receive this newsletter. Graduating residents, please keep in touch with SAEM to ensure there is no lapse in your membership and residents ask if your residency program participates in our residency discount program to renew your membership. Membership begins July 1, 2012.

Lastly, it is my pleasure to welcome two new staff members at the Chicago office. James Pearson will be joining our staff as Director of Information Services & Administration. Jim is an experienced association executive with extensive experience in researching, developing and maintaining web sites, association management systems and related on-line technology. Christopher Ibrahim, our new Assistant Accountant, is a graduate of DePaul University in Chicago where he received his Bachelor of Science in Accounting.

Both Jim & Chris started at the end of June 2012. ◗ Best wishes for a great summer!

Ronald S. Moen Interim Executive Director

Academic Emergency Medicine on the Wiley Online Library Platform Make sure you keep checking the journal’s home page on the recently implemented platform, Wiley Online Library (WOL) - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1553-2712.

Many new features appear in the form of “modules” and will be updated on a regular basis. The new platform is more robust and easier to navigate, with enhanced online functionality. Visit often and stay tuned for updates!

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M EM BER HIGHLIGHT DAVID SKLAR, MD, FACEP I am honored to be the featured member for SAEM. Many of you probably know of me from my previous activities on the Boards of SAEM, ACEP, or CORD, but rather than reflecting on the past experiences, I thought I would focus on some new activities and how they illustrate my own philosophy of building an academic career.

I am currently working on the staff of the Senate Finance Committee as part of my Robert Wood Johnson Health Policy Fellowship. Anyone who might have asked me whether I was heading in this direction early in my career would have received a resounding “No way.” I perceived the role of academic emergency medicine as defining our clinical and academic foundation and felt that the “money stuff” was a distraction from those missions and should be managed by business people.

Over time I learned that the “money stuff” probably had a greater impact on whether my patient with pneumonia would get her antibiotics and get well than my extensive knowledge about the bacteriology of health care associated infections. Health policy involves the development of legislative and regulatory incentives and disincentives to promote the goals of the health care system. Money is one of the most effective incentives we have, and most of what we do of importance in health policy involves payment for health services. The governmental programs of Medicare and Medicaid are the major sources for governmental expenditures, and I have been working mostly on Medicare Part B on the Finance Committee which provides the physician payments in the fee for service system. The SGR, which is a mechanism to provide updates to the physician fee schedule and constrain physician spending, falls under the jurisdiction of the Senate Finance Committee as well as does GME, incentive programs for quality, and numerous programs being rolled out as part of the Affordable Care Act. What has become clear to me is that the “money stuff,” is vitally important to the way in which we provide health care and is a legitimate area of research and knowledge for academic medicine. Currently it is the health economists who advise Congress about how to cut or what to cut to save Medicare from insolvency, because most physicians lack the expertise or the familiarity with the issues, or because physicians are perceived as an interest group out to protect their own interests rather than as patient and system advocates. I think academic medicine can change that perception through rigorous training and focused research in health services and health policy. But there is a skill set just as there is for emergency medicine clinical care and we are fooling ourselves if we think we

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can walk in the door to a Congressman’s office and be effective at driving health policy decisions.

My other new activity is as the Editor in Chief of Academic Medicine, the journal sponsored by the Association of Academic Medical Centers. I have been fortunate over the years to represent SAEM on the Council of Academic Societies and gradually have become familiar with the values and goals of the organization.

The organization represents all of academic medicine- deans, medical educators, residents, students, academic specialty societies and hospitals and provides a forum for discussion of common problems and issues. The journal addresses topics like professionalism, communications, educational research, finance and organization of health centers, international medical education and many other topics of interest to the AAMC constituencies or the public. As Editor in Chief I will try to bring the most exciting, innovative ideas from our various communities with the hope of inspiring our academic medical centers to lead the changes that will be needed to improve health in our country and in the world. I invite all of you in SAEM to bring me your best ideas and participate in the discussions in the journal.

Both of these current new activities have forced me out of my comfort level, but I think that is where I learn best. I encourage each of you to look at what you are currently doing and think about where you can gain new experiences that will allow you to grow. It may not be possible today but if you have a long view, you can get there eventually. I would also be remiss if I did not mention the importance of mentors and helpers. For me people like Art Kellermann, Sandy Schneider, Paul Roth, Glenn Hamilton, Marcus Martin, Mark Steele, and my wife Deborah Helitzer are just a few of the people who have helped me along with advice and support, and I could fill another page with more names. In most cases what brought us together was a shared passion or an idea or value, and I encourage all of you to use SAEM to help find those with whom you share a passion. The relationships you build over time will enlarge and enrich your career and your life. ◗

SAEM PAST-PRESIDENT PROFILE DONALD M. YEALY, MD Dr. Don Yealy is a name familiar to almost everyone engaged in academic emergency medicine. For more than two decades he has been focused on improving the science of emergency medicine and strengthening the role of SAEM. Dr. Yealy graduated from the Medical College of Pennsylvania in 1985. He completed residency in emergency medicine at the University of Pittsburgh, Donald M. Yealy, MD then completed a clinical research fellowship from 1988 to 1989. The value of SAEM was immediately clear to him. “It provided an opportunity to meet the thought leaders, and to get to network with people who were knowledgeable and shaping the future of emergency medicine.

It was very exciting,” says Dr. Yealy. He credits SAEM, and his opportunities in the organization and the people he got to know, with helping to stimulate his intellectual creativity. After a stint in Texas, Dr. Yealy returned to the faculty at the University of Pittsburgh in 1993. His commitment to SAEM persisted. He served on the Research and Program Committees, was Associate Editor for Academic Emergency Medicine, was a member of the Board of Directors, and served as Secretary-Treasurer. Dr. Yealy was SAEM President from 2003-2004. According to Dr. Yealy, “moving through the system in various roles was a wonderful opportunity to do work that mattered.”

It’s difficult for Dr. Yealy to isolate the contributions he made to SAEM or to specific successes as president. Instead, he views the decision-making capacity of the Board of Directors as critical and the movement of leaders through various roles in the organization and Board as important factors in developing perspective, maintaining institutional memory, and designing strategies with long-term implications. With that in mind, and with a deep appreciation for membership, Dr. Yealy points to three important changes for SAEM during his tenure: 1) opening up membership to all emergency medicine academicians and not only those on university faculties; 2) increasing membership participation in association elections by changing the process from including only annual meeting attendees to what is now

electronic; and 3) ensuring there are choices for elected positions and not only one candidate as a fait accompli. With that, SAEM achieved goals essential to its mission of growing in size and expanding its showcase of emergency medicine research in terms of both quantity and quality.

“Serving as SAEM President gave me the opportunity to meet people who I otherwise would not have. And, those relationships, the ones I have developed because of SAEM, have turned out to be incredibly important to me,” claims Dr. Yealy.

Although Dr. Yealy values SAEM for the networking and intellectual opportunities it provided, he is undoubtedly the sort of person others seek out through SAEM. In the past 18 years, Dr. Yealy has ascended through both academic and administrative ranks at the University of Pittsburgh, where he is now a tenured Professor of Emergency Medicine and Chair of the Department.

He has held numerous pivotal roles in both the medical school and medical center. He is an accomplished investigator, having focused extensively on clinical decision-making and leading a prolific emergency medicine research enterprise at the University of Pittsburgh. His accomplishments have been widely recognized through such honors and distinctions as the recipient of the SAEM Hal Jayne Academic Excellence Award, the ACEP Outstanding Contribution in Research Award, ACEP Outstanding Contribution in Education Award, and multiple faculty teaching excellence awards.

As for SAEM, Dr. Yealy recently served on the Board of Trustees of the SAEM Foundation and the Awards and Membership Committees. Although he is proud to have been a part SAEM’s outstanding accomplishments over the past 23-years, he continues to have aspirations for its future. According to Dr. Yealy, “SAEM serves a vitally important role for our specialty and the future of emergency health care. We must remember our core mission, and improve knowledge in emergency medicine by promoting discovery, dissemination, and education.” There is no question that Dr. Yealy’s experiences afford him a unique perspective that sees a bright future for SAEM and academic emergency medicine.

Without doubt, his vantage point will continue to be from the front of the pack for some time to come. ◗

PEER-REVIEWED LECTURES (PERLS) ARE HERE! Academic Emergency Medicine (AEM) is now publishing a series of videos of lectures on topics in emergency medicine.

These are intended to represent the state of the art in emergency medicine education. Residents, practicing physicians, and medical students may use them for didactic education. The videos will contain both the presented audiovisual material for the lectures (such as Power Point slides) and live video of the presenter. The PeRLs lectures themselves will be “open access” right away. Look for the first one, “The Millennial Generation and ‘The Lecture,’ “ by Danielle Hart and Scott Joing in the November issue on the journal’s web page. http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1553-2712

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ACADEM IC RESIDENT SECTION DEVELOPING A RESEARCH CAREER DURING RESIDENCY OR MEDICAL SCHOOL Brian C. Geyer, MD, PhD, MPH

Harvard Affiliated Emergency Medicine Residency Boston, Massachusetts The beginning of the academic year is a great time to think about your research plan and how to get the most productivity and excitement out of your project. Taking the time to craft a workable plan can increase your efficiency and enjoyment of the research process. First consider the three crucial elements to a successful plan: Clear goals and objectives, tools to help you achieve your goals and the motivation to carry it out.

In terms of motivation, we should think about why we perform research as trainees. Performing substantive research during training is one of the best ways to enhance your knowledge of a particular content area. While emergency medicine reaches across specialties and touches on nearly every aspect of medicine, expertise in a particular content area can help you develop a niche and create future opportunities in academic medicine. Beyond career benefits, asking an important question and being the first person in the world to know the answer can be tremendously rewarding…particularly when you get to travel to conferences to share your results! With the SAEM deadline in December and ACEP in April (among many others), there are multiple opportunities throughout the year to submit your work and get your program to send you on a nice trip out of town.

After recharging your motivation, begin to think about defining your research goals for the year. Every junior researcher should have three specific goals: 1) Develop or cultivate mentorship.

2) Define specific goals or objectives for the year.

3) Understand your responsibilities and don’t over commit.

Mentorship during training is crucial to your success. Reach out to faculty members who are actively involved in research (there should be plenty around your program). Setting up a meeting is a good way to dedicate time away from the hectic emergency department to discuss potential opportunities. A good mentor should be available and eager to meet you. Solidifying these relationships early can lead to long and productive relationships.

Today’s mentor often becomes tomorrow’s collaborator.

It is important to set specific goals for your year to help maintain your focus and ensure that you achieve your expected outcomes. Goals can be project-specific, like completing an IRB application, or reviewing 300 charts. They can also be specific skill development, such as learning how to craft a survey, how to conduct a chart review, or reading / taking additional courses to increase your biostatistics knowledge. Regardless of the focus, articulating specific goals can help you get the most from your efforts by forcing you to complete tangible benchmarks.

Finally, it is imperative to take on specific responsibilities with clearly delineated boundaries and then complete them.

We all want to be productive and successful; however, it is far

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better to do an excellent job on a specific task than to have a mediocre performance on a dozen projects. In short, set specific benchmarks and achieve them. Don’t over commit.

This is an exciting time to be an emergency medicine researcher in clinical training. The last few years have seen the development of a number of resources targeted specifically to EM trainees.

Coming from SAEM, as well as EMRA and ACEP, these tools can assist you understanding the research process and enable you to plan for a more successful career.

• SAEM Fellowship Directory (http://www.saem.org/fellowshipdirectory): One of the best ways to obtain mentorship and develop a research interest is through fellowship. In addition to formal research fellowships, SAEM maintains a repository of resident-specific resources including advice on how to prepare a didactic presentation or create an academic CV (http://www. saem.org/residents/resources).

• Emergency Medicine Research Handbook for Residents and Medical Students: This handbook was developed by the EMRA research committee to give junior trainees specific instructions on those crucial first steps in a research endeavor. Consider this tool as an entry-level resource for developing ideas across the spectrum of emergency medicine research. It will be distributed to every EMRA member over the summer and available online shortly thereafter.

• Emergency Care Research, A Primer (http://www.acep.org/ research): This book was created by the ACEP Research Committee to assist advanced trainees with research skill development. It is written by many of the leading names in EM research and contains the benefit of their experience and expertise. For example, the chapter “The Ten Commandments of Emergency Care Research” gives aspiring researchers a set of high-yield principles for success that are accessible and actionable at any level of training.

In the hectic world of clinical training, it is important as researchers to be as efficient as possible with our efforts. By maintaining our motivation, articulating a plan and accessing available resources, we can become efficient trainees and make the most of our projects. ◗

ETHICS IN ACTION Zev Wiener, BA

Harvard Medical School

Shamai Grossman, MD, MS

Harvard Medical School, Division of Emergency Medicine, Beth Israel Deaconess Medical Center

I was walking up from the Western Wall to the Jaffe gate in the Old City of Jerusalem with my wife and children, and we noticed a crowd gathering. We saw a man lying in the middle of the street with about 50 people surrounding him. With that large a crowd, I was sure they wouldn’t need any help from me. Yet, as we approached a little closer, I realized that all 50 people were spectators, and the man was left unconscious in the middle of the street with agonal respirations.

While ancient traditions have long probed the civilian bystander’s ethical responsibility to intervene in a stranger’s plight, the unique obligation – or lack thereof – of an off-duty physician has been discussed less. Emergency physicians possess a wealth of knowledge and skills that could be of critical assistance in any emergency medical situation, even when the equipment and resources of staffed emergency departments are unavailable. As such, assessment of the scope of the off-duty emergency physician’s ethical obligation to intervene is of critical importance.

Was I ethically obligated to intervene on behalf of this person lying on the street? The ethical considerations involved in this question are numerous. For example, a cornerstone of medical ethics is the age-old adage, “primum non nocere” – “first, do no harm,” often referred to as the doctrine of nonmaleficence. While one might envision a physician’s nonintervention as the ethically safer policy from such a perspective, one could equally argue that remaining silent in the face of a treatable threat may actually constitute a form of commission. In our case, as a physician, my capability to help by performing chest compressions and respirations seriously calls into question whether abstention would truly constitute “doing no harm.”

One must also consider the nature of the emergency. The time-sensitive and irreversible nature of a life-threatening illness, as in our case, strengthens the ethical imperative to intervene, while less urgent situations can wait until arrival at the nearest hospital. Similarly, the degree of potential risk to the medical practitioner involved must be carefully assessed. If a physician seriously risks contraction of an infectious disease or violence, his or her intervention may be deemed not only non-obligatory, but even unethical. Although the risk of litigation may pose a significant concern, such fear is ultimately insufficient grounds to justify nonintervention: litigation is nonfatal and unlikely (especially with the passage of “Good Samaritan” Laws), while the risk to the victim’s life is irreversible and imminent.

While many additional arguments and relevant factors both supporting and opposing physician intervention may be proffered, it is ultimately difficult to deny the unique ethical station of the emergency physician. The physician’s access to a unique body of medical knowledge, the responsibility and privileges bestowed upon him or her by society (2), and basic Kantian principles (i.e., I would want someone to intervene on my behalf if the situation was reversed) all obligate bystander physician intervention whenever reasonably possible. Thus, as long as no significant

risk to personal safety can be anticipated, I, as a physician, should be ethically obligated to intervene in life-threatening situations for which I possess appropriate training.

Clearly, the specifics of each situation must be assessed on a case by case basis. In some situations, prompt summoning of additional medical assistance may be more beneficial to the victim than stopping to intervene (as in a pulseless patient who requires prompt defibrillation), while in other situations, immediate intervention may be preferable (as in the performance of the Heimlich maneuver on a choking victim). Sometimes, the immediate emergency will supersede all other concerns (as in a physician who witnesses an emergency while on vacation), while other times, a physician may have to judiciously overlook an immediate emergency for the sake of a larger good (as in a physician who witnesses a small scale emergency on his way to responding to a large scale natural disaster). These distinctions ultimately require prudent judgment on the part of the physician, and, while general guidelines may be offered, every case remains unique. Regardless, our primary obligation as both physicians and members of society as a whole lies in doing our best to ensure the well being and care of the sick, no matter what locale.

So I left my family and began to attend to the patient just as paramedics arrived. Two milligrams of Naloxone later we had an awake, agitated patient who was quickly loaded on to an ambulance. I was back with my family, another life preserved and ethical conundrum solved. ◗

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SOUTHEASTERN REGIONAL SAEM MEETING Dave Caro, MD

2012 Southeastern Regional Meeting Planning Chair Residency Program Director, University of Florida College of Medicine-Jacksonville The 2012 southeastern regional SAEM meeting occurred on February 25 and 26 at the Hyatt Regency Jacksonville Riverfront.

The meeting hosted 102 participants, 10 academic EM programs, and 5 medical school simulation teams. Participation in regional research and education was outstanding, with 4 oral presentations, 10 lightning oral poster presentations, and 42 poster presentations by the end of the conference.

The planning committee targeted and exceeded its participation goals, as well as covering the cost of the event through external, unrestricted educational grants from a combination of sources.

The committee recognizes the academic emergency medicine programs in the southeast region, including the University of Florida COM-Jacksonville; the University of Florida (Gainesville); the Florida Hospital EM program; Emory University; and the emergency department at Mayo Jacksonville for financial and academic support for the conference.

Unique aspects of this year’s program included: 1. A focus on a medical student simulation track and “StudWars” competition to attract regional interest in simulation training for students; 2. A resident inservice review track, as the event occurred the week before the ABEM in-training exam; 3. A focus on educational education innovations, and 4.

Collaboration with the Emergency Medicine Learning and Resource Center, a nonprofit educational organization affiliated with the Florida state chapter of the American College of Emergency Physicians, to help coordinate registration logistics.

The regional planning committee will meet at the SAEM national meeting to begin preparations for next year’s meeting. Anyone who is unable to attend and would like to participate in next year’s planning, please contact david.caro@jax.ufl.edu, or hgouin@saem.org. ◗

VIRTUAL ISSUES “Virtual Issues” are now a key feature of the journal’s home page. A virtual issue is basically just a collection of articles on a given topic. The idea is that a reader will go there to look for a particular issue, but then will see our other offerings on that topic, as well, increasing our full-text download numbers and helping insure the broadest dissemination of our authors’ work.

We now have four “virtual issues” online. Go to to the journal’s home page on the Wiley Online Library (WOL) platform - “Find Issues” on the left-hand side and click on the feature. Three additional virtual issues, in addition to the initial geriatrics one, are up and running on: ultrasound, toxicology and injury prevention. Again, consult the “Find Issues” area and click on the desired issue. http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1553-2712 Stay tuned for updates!

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2012 SAEM ANNUAL MEETING

2012 AEM CONSENSUS CONFERENCE –

“EDUCATION RESEARCH IN EMERGENCY MEDICINE: OPPORTUNITIES, CHALLENGES, AND STRATEGIES FOR SUCCESS” Nicole Delorio, MD • Joseph LaMantia, MD Lalena Yarris, MD, MCR On May 9, the 2012 Academic Emergency Medicine consensus conference co-chairs, Nicole M. Deiorio, MD, Lalena M. Yarris, MD, MCR, and Joseph LaMantia, MD, welcomed 175 participants to this year’s conference, entitled “Education Research in Emergency Medicine: Opportunities, Challenges, and Strategies for Success.” The goal of this conference was to identify and refine the research priorities for education research in our field and build infrastructure for national research collaborations, education research training programs, and funding sources that will enable us to accomplish these priorities in the next decade.

Participants were solicited from diverse organizations in order to attract a broad mix of educators and other important stakeholders. Invited groups included EM and non-EM physician societies, non-physician professional groups, and education and leadership organizations within medical education. Invited experts helped inform the pre-conference activities, participated in the conference day, and are advising on the resulting manuscripts. A dynamic group of national and international leaders in education research was in attendance, including David A. Cook, MD, MHPE (Mayo Clinic), K. Anders Ericsson, PhD (Florida State University), Larry D. Gruppen, PhD (University of Michigan), Stanley J. Hamstra, PhD (University of Ottawa), William McGaghie, PhD (Northwestern University), Geoff Norman, PhD, MA (McMaster University), Janet Riddle, MD (University of Illinois-Chicago), Nancy S. Searle, EdD (Baylor College of Medicine), and Jonathan Sherbino, MD, MEd (McMaster University).

The specific objectives of the consensus conference on education research in emergency medicine were to: 1.

Review the current state of research in EM instructional methods, and identify the most critical priorities within each specific education research domain 2. Review the current state of research in assessment methods in EM, and identify the most critical agenda areas within each specific education research domain 3. Identify common barriers that educators face in conducting well-powered, rigorous education research, and develop recommendations for overcoming these barriers 4. Develop a national agenda for strengthening the infrastructure around education research in emergency medicine, including a framework for faculty development, promoting grant-funded education research, and developing an emergency medicine education research consortium

At the beginning of the day, participants congregated for a welcome and orientation session. Dr. Stanley Hamstra, an international expert in medical education research, presented an overview of the state of education research in emergency medicine, and Dr. James Gordon, national leader in simulation and prior AEM consensus conference chair, discussed the principles of consensus building. The conference participants then divided into four tracks (with a morning and afternoon breakout session for each track) according to their interests and involvement in preparatory activities. The use of tracks allowed an in-depth exploration of multiple related themes concurrently.

After exploring the different components of each track, the participants regrouped to present their findings, identify related and conforming themes, and propose a research agenda that stemmed from these breakout session consensus proposals.

A lunchtime panel session was convened in which a group of education research experts presented and commented upon a variety of education research studies that involved learner interventions and performance outcomes. The experts – Drs. David Cook, K. Anders Ericsson, Larry Gruppen, and Stanley Hamstra – discussed collaboration, research study design, data analysis, manuscript preparation, pitfalls to avoid, and other factors that have led to success in medical education research.

This conference employed a group decision-making process that sought the input of all participants and agreement of the majority as well as the resolution or mitigation of minority objections. The participants were given information on this process and the available tracks prior to the day, as well as during the orientation. Participants were then given the opportunity to help build consensus through online discussions prior to the date of the conference. On the day of the conference, the consensusbuilding exercises were structured in a similar fashion: participants discussed an item, formed a proposal and recommendations, modified or amended these based on the consensus opinion of the group, and ratified a final version. Several groups also proposed and discussed additional, broader agenda items. The accepted proposals and recommendations, as well as other agenda items discussed, if any, were then presented to the full group at the culmination of the breakout sessions for each track, and audience opinion was gathered on the recommendations through the use of an audience response system.

The individual breakout session consensus proposals and recommendations will be published in the annual consensus conference proceedings issue of Academic Emergency Medicine this December, and will be available open-access at the journal’s web site, www.aemj.org. ◗

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NEW BOARD OF DIRECTORS Election Results Announced at the 2012 SAEM Annual Business Meeting Cherri D. Hobgood, MD President Indiana University School of Medicine Alan E. Jones, MD President-Elect The University of Mississippi Medical Center Deborah B. Diercks, MD, MSc Secretary-Treasurer University of California, Davis Medical Center

Debra E. Houry, MD, MPH Past President Emory University Brigitte M. Baumann, MD, MSCE Cooper Hospital/ University Medical Center Andra L. Blomkalns, MD University of Cincinnati College of Medicine D. Mark Courtney, MD Northwestern University

Robert S. Hockberger, MD Harbor-UCLA Medical Center Brent King, MD, MMM University of Texas Medical School at Houston Sarah Stahmer, MD University at North Carolina at Chapel Hill Brandon Maughan, MD, MHS Brown University/ Rhode Island Hospital

2012-2013 SAEM Committees and Task Forces Awards Committee Chair: Susan Promes, MD BOD Liaison: Debra E. Houry, MD, MPH Staff Liaison: Michelle Iniguez, Neal Hardin Constitution & Bylaws Committee Chair: Matthew Sullivan, MD BOD Liaison: Robert S. Hockberger, MD Staff Liaison: Ronald Moen Consultation Services Committee Chair: Terry Kowalenko, MD BOD Liaison: Brent R. King, MD Staff Liaison: Ronald Moen Development Committee Chair: Michelle Blanda, MD BOD Liaison: Debra E. Houry, MD, MPH Staff Liaison: Melissa McMillian, Holly Gouin Ethics Committee Chair: Jeremy Simon, MD BOD Liaison: Deborah B. Diercks, MD,MSc Staff Liaison: Sandy Rummel External Collaboration Committee Chair: Christopher Fee, MD BOD Liaison: D. Mark Courtney, MD Staff Liaison: Ronald Moen Faculty Development Committee Chair: Daniel Rusyniak, MD BOD Liaison: Robert S. Hockberger, MD Staff Liaison: Holly Gouin Finance Committee Chair: Richard Wolfe, MD BOD Liaison: Deborah B. Diercks, MD, MSc Staff Liaison: Mai Luu, Ronald Moen

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Graduate Medical Education Committee Chair: Chad Kessler, MD BOD Liaison: Sarah A. Stahmer, MD Staff Liaison: Maryanne Greketis

Resident/Student Advisory Committee Chair: Marie Vrablik, MD Co-Chair: Doug Char, MD BOD Liaison: Brandon Maughan, MD, MHS Staff Liaison: Melissa McMillian

Grants Committee Chair: James Holmes, MD BOD Liaison: D. Mark Courtney, MD Staff Liaison: Melissa McMillian

Social Media Committee Chair: Jason Nomura, MD, RDMS BOD Liaison: A ndra L. Blomkalns, MD Staff Liaison: Neal Hardin

Membership Committee Chair: Daniel Handel, MD BOD Liaison: Brigitte M. Baumann, MD, MSCE Staff Liaison: Holly Gouin, George Greaves

ACEP-SAEM Federal Research Funding Work Group Co-Chair: Roger Lewis, MD, PhD BOD Liaison: Alan E. Jones, MD Staff Liaison: Ronald Moen

Nominating Committee Chair: Alan Jones, MD BOD Liaison: Alan Jones, MD Staff Liaison: Ronald Moen, Sandy Rummel Program Committee Chair: Chris Ross, MD BOD Liaison: Andra L. Blomkalns, MD Staff Liaison: Maryanne Greketis, Sandy Rummel Research Committee Chair: Brendan Carr, MD BOD Liaison: Robert S. Hockberger, MD, MHS Staff Liaison: Melissa McMillian Research Fellowship Committee Chair: Jeff Kline, MD Staff Liaison: Melissa McMillian

Fellowship Certification Task Force Chair: Wendy Coates, MD BOD Liaison: Alan E. Jones, MD Staff Liaison: Sandy Rummel Community Based Academic Physician Outreach Task Force Chair: Michael Hochberg, MD BOD Liaison: Brigitte M. Baumann, MD, MSCE Staff Liaison: Maryanne Greketis International Outreach Task Force Chair: Joseph Lex, MD BOD Liaison: Brent R. King, MD Staff Liaison: Holly Gouin Meeting Revision Task Force Chair: Andra Blomkalns, MD Staff Liaison: M aryanne Greketis, Ronald Moen

ABSTRACT RESEARCH COMPETITION –

2012-2013 SAEM ACADEMIES

AWARDED ABSTRACTS

AAAEM - Academy of Administrators in Academic Emergency Medicine Chair: Jill Zaheer, MPH BOD Liaison: Debra E. Houry, MD, MPH Staff Liaison(s): Holly Gouin, Ronald Moen

Winners of this year’s abstract research competition are below.

Congratulations! Participants in the competition were required to submit a full-length manuscript of their abstract and were reviewed by several members of the Program Committee on their presentation at the meeting and the quality of their manuscript.

Best Basic Science Abstract Presentation: Nathan J. White, MD, University of Washington School of Medicine for #684, Fluid Resuscitation Of Uncontrolled Hemorrhage Using A Hemoglobinbased Oxygen Carrier: Effect of Traumatic Brain Injury Best Faculty Abstract Presentation: Alan E. Jones, MD, University of Mississippi Medical Center for #5, Whole Blood Lactate Kinetics in Patients Undergoing Quantitative Resuscitation for Septic Shock Best Fellow Abstract Presentation: Darlene R. House, MD, Indiana University School of Medicine for # 579, Estimating the Weight of Children in Kenya: Do the Broselow Tape and AgeBased Formulas Measure Up? Best Medical Student Abstract Presentation: Andrew J. Thomas, MPH, Oregon Health & Science University School of Medicine for #138, Secondary Shockable Rhythms: Prognosis in Out-of-Hospital Cardiac Arrests with Initial Asystole or Pulseless Electrical Activity and Subsequent Shockable Rhythms Best Resident Abstract Presentation: Nicole Dubosh, MD, Beth Israel Deaconess Medical Center/Harvard Medical School for #628, Implementation of an Emergency Department Sign-Out Checklist Improves Patient Handoffs at Change of Shift Best Young Investigator Abstract Presentation: William J. Meurer, MD, University of Michigan Medical School for #722, Does Pre-existing Antiplatelet Treatment Influence Postthrombolysis ICH In Community Treated Ischemic Stroke Patients?

2012 SAEM VISUAL DIAGNOSIS WINNERS: Medical Student Winner: Felix Huang, MD University of Illinois College of Medicine Resident Winner: Elizabeth Placzek, MD Regions Hospital/Children’s Hospital

AEUS - Academy of Emergency Ultrasound Chair: Nova L. Panebianco, MD, MPH BOD Liaison: Sarah A. Stahmer, MD Staff Liaison(s): Melissa McMillian AGEM - Academy of Geriatric Emergency Medicine Chair: Jeff M. Caterino, MD BOD Liaison: Brigitte M. Baumann, MD, MSCE Staff Liaison(s): George Greaves, Melissa McMillian AWAEM - Academy for Women in Academic Emergency Medicine Chair: Gloria Kuhn, DO, PhD BOD Liaison: Andra L. Blomkalns, MD Staff Liaison(s): Holly Gouin, Michelle Iniguez ADIEM- Academy for Diversity & Inclusion in Emergency Medicine Chair: Sheryl L. Heron, MD, MPH BOD Liaison: Debra E. Houry, MD, MPH Staff Liaison(s): Michelle Iniguez CDEM - Clerkship Directors in Emergency Medicine Chair: Sorabh Khandelwal, MD BOD Liaison: Sarah A. Stahmer, MD Staff Liaison(s): Sandy Rummel, Melissa McMillian GEMA - Global Emergency Medicine Academy Chair: Ian B.K. Martin, MD BOD Liaison: Robert S. Hockberger, MD Staff Liaison(s): Holly Gouin SIM - Simulation Academy Chair: John A. Vozenilek, MD BOD Liaison: D. Mark Courtney, MD Staff Liaison(s): Michelle Iniguez, Neal Hardin

The SAEM Foundation would like to thank everyone who attended Cocktails and Dreams during this year’s Annual Meeting! The event was a huge success as over 300 people gathered to learn more about the Foundation and its efforts to improve emergency care. If you were unable to attend, or missed the premier of the Foundation’s awareness video, you can view it online at www.saem.org/foundation-video.

Thanks again for supporting the work of the SAEM Foundation!

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2012 SAEM MEDICAL STUDENT EXCELLENCE AWARD WINNERS Listed below are the recipients of the 2012 SAEM Medical Student Excellence in Emergency Medicine Award. This award is offered to each medical school in the United States to honor an outstanding senior medical student. This is the thirteenth year this award has been made available. Recipients receive a certificate and one-year membership to SAEM, including subscription to the SAEM Newsletter and Academic Emergency Medicine.

Albany Medical College Subhanir Sunil Chitnis

Mayo Medical School Caitlin Loprinzi

University of Arizona/College of Medicine Trale Permar

American University of Antigua College of Medicine Tyrone Philipson

Medical College of Wisconsin Molly Kathryn Gill

University of Arkansas for Medical Sciences Zachary Isaac Stewart

Memorial University of Newfoundland Amanda Collier

University at Buffalo School of Medicine & Biosciences Ali Raza Naqvi

Arizona College of Osteopathic Medicine Jennifer Prosser Baylor College of Medicine Alejandro Garbino Brody School of Medicine at East Carolina University Jonathon Bringolf Case Western Reserve University James Luz College of Physicians & Surgeons of Columbia University Maxim L. Ritzenberg Dalhousie University Nicholas Costain Drexel University Evelyn Lee East Tennessee State University James August Leinhart Eastern Virginia Medical School Casey D. Bryant Emory University Lauren Ann Hudak Florida State University College of Medicine Diana Mauldin George Washington Christina Tupe Georgia Health Sciences University Daniel Ethan McCall Harvard Medical Bella Liu Indiana University School of Medicine Anar Mukesh Desai Jefferson Medical College Karolina Paziana Johns Hopkins University School of Medicine Elke Blohm Kansas City University of Medicine & Biosciences Lindsey Ann Bayer Keck School of Medicine of USC Daniel Joseph Loma Linda University School of Medicine Tamara Moores Louisiana State University-New Orleans Anna Melerine Louisiana State University-Shreveport Michael Oubre

Michigan State University College of Human Medicine Michael Shaheen

University of North Carolina Page Bridges University of North Texas Health Science Center Seth Rehrer

University of California, Davis School of Medicine Sally Graglia

University of Ottawa Noam Katz

Morehouse School of Medicine Ayanna D. Baker

University of California, Irvine School of Medicine Erica Frumin

University of Pikeville-Kentucky C. Tyler Vogt

Northwestern University Feinberg School of Medicine Samia Farooqi

University of California, San Francisco Edward Durant

University of Pittsburgh School of Medicine Joshua Alexander Shulman

University of Chicago, Pritzker School of Medicine Sara Foley

University of Rochester School of Medicine & Dentistry Katherine Fitzpatrick

New Jersey Medical School Benjamin Morrissey New York University School of Medicine Daniel Silva

University of Connecticut School of Medicine Colin Huguenel

Ohio State University College of Medicine Stacy Meredith Boore

University of Florida Daniel T. Neuberger

Penn State University College of Medicine Julie Uspal

University of Hawaii, John A. Burns School of Medicine Darragh C. O’Carroll

Perelman School of Medicine of Pennsylvania Justin C. Bosley Philadelphia College of Osteopathic Medicine Eric R. Eustice Queen’s University Jessica Moe Rush University Medical School Michael Gottlieb Saint Louis University Sean O. Cavanaugh Stanford University Tom Johnson SUNY Upstate Medical University Dylan Kellogg SUNY Downstate Medical Center Jason Lee Temple University School of Medicine Michael Kouch Texas A&M HSC College of Medicine Anthony Busti Texas Tech University, HSC, Paul L. Foster Aimee Wendelsdorf The Warren Alpert Medical School of Brown University Sarah Leeper Tulane University Dustin Hill UMDNJ-Robert Wood Johnson Medical School Christopher Hansen

Loyola University Stritch School of Medicine Alan Sielaff

UMDNJ-Robert Wood Medical School at New Brunswick Robert Gemignani

Marshall University Josh Houser

University of Alberta Stacey Hryciuk

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University of New England College of Osteopathic Medicine Lauren Cataldo

University of South Alabama Jay D. Crim University of South Alabama Hannah M. Eason University of South Carolina Christopher Edward Gainey

University of Illinois Chicago Greg Schweitz

University of South Dakota, Sanford Aaron Ankeny

University of Iowa Nicholas H. Kluesner

University of South Florida College of Medicine Leah Baker

University of Kansas School of Medicine Bryan Beaver

Uniformed Services University of the Health Sciences ENS Brian Park, MC, USN

University of Kentucky David Ritchie University of Louisville Megan Marie Taylor University of Manitoba Kyle Burkett University of Maryland Omoyemi Adebayo University of Massachusetts Medical School Ryan Coughlin University of Miami Miller School of Medicine Jerome Wilkerson University of Michigan Medical School Andrew Latimer University of Minnesota Amy Stoesz University of Mississippi Medical Center Thomas Smith University of Missouri-Columbia Adam Thomas University of Missouri-Kansas City Sarah Rackers University of Nebraska Daniel J. Kalin University of Nevada School of Medicine Kersten Taylor Milligan

University of Vermont College of Medicine Auan Leatham University of Virginia George F. Glass, III University of Washington Jodie Totten Vanderbilt University School of Medicine Nathan M. O’Brien Wake Forest School of Medicine Louis Frazier Washington University School of Medicine Maia Dorsett Wayne State University Ryan Tansek Weill Cornell Medical College Joseph R. Pale Western University of Health Sciences Meaghan Mercer West Virginia University Justine Pagenhardt Wright State University, Boonshoft School of Medicine Jeremy Alan Moore

2012 SAEM RESIDENCY & FELLOWSHIP FAIR PARTICIPANTS Academy of Women in Academic Emergency Medicine Advocate Christ Medical Center Akron General Medical Center Alameda County Albert Einstein Medical Center Allegheny General Hospital Baylor College of Medicine Baystate Medical Center Beaumont Health System Beth Israel Deaconess Medical Center, Harvard Affiliated Beth Israel Medical Center Brown University BWH MGH Harvard Affiliated Carolinas Medical Center Case Western Reserve University/Metro Health Medical Center CEP America Management Christiana Care Health System Christus Spohn Cooper Medical School of Rowan University/Cooper University Hospital Denver Health Duke University Eastern Virginia Medical School Emory University Geisinger Health System Georgetown University Hospital/Washington Hospital Center Harbor-UCLA Medical Center Hennepin County Medical Center Henry Ford Hospital, Detroit Indiana University Jacobi/Einstein/Montefiore Johns Hopkins University JPS Lehigh Valley Health Network Lincoln Medical and Mental Health Center Loma Linda University Medical Center Los Angeles County & USC Medical Center

Louisiana State University Maimonides Medical Center Maine Medical Center Massachusetts General Hospital Mayo School of Graduate Medical Education Medical College of Wisconsin Medical University of South Carolina Naval Medical Center, San Diego New York Hospital Queens New York Methodist Hospital New York Presbyterian North Shore LIJ Health System Northwestern McGaw Center for Graduate Medical Educators NYU Langone/Bellevue Hospital Center Orlando Regional Medical Center OSHU Palmetto Health Richland Penn State University/Milton S. Hershey Medical Center Regions Hospital Resurrection Medical Center Saint Louis University Southern Illinois University St. Luke’s Hospital Stanford/Kaiser Staten Island University Hospital Summa Akron City Hospital SUNY/Downstate Kings County Hospital Synergy Medical Texas A&M/Scott and White Healthcare Texas Tech University HSC The Brody School of Medicine at East Carolina University The George Washington University The University of Arizona The Wexner Medical Center at the Ohio State University UCSF – Fresno UCSF-SFGH UMDNJ-RWJMS

University of Alabama at Birmingham University of Arizona College of Medicine at South Campus University of California, Davis University of California, Irvine University of Chicago University of Cincinnati University of Connecticut University of Florida College of Medicine, Jacksonville University of Florida University of Illinois College of Medicine at Peoria University of Iowa University of Kentucky University of Louisville University of Maryland University of Massachusetts Medical School University of Michigan/St. Joseph Mercy Hospital University of Nebraska Medical Center University of Nevada School of Medicine University of New Mexico University of North Carolina University of Ottawa University of Pittsburgh University of Puerto Rico University of Rochester University of South Florida University of Texas School of Medicine at San Antonio University of Texas, Houston University of Utah University of Virginia University of Wisconsin UT Southwestern Medical Center, Dallas VCU Medical Center Washington University at St. Louis West Virginia University Yale New Haven Medical Center York Hospital

2012 ANNUAL MEETING CME CREDIT!

NIH REGIONAL SEMINARS

Please remember that in order to receive CME credit for attendance at the 2012 SAEM Annual Meeting in Chicago; you must submit a completed CME Attendance Verification Form to SAEM headquarters NOT LATER THAN FRIDAY, AUGUST 31, 2012.

Each year, the Office of Extramural Research (OER) sponsors two NIH Regional Seminars on Program Funding and Grants. These seminars are intended to help demystify the application and review process, clarify Federal regulations and policies, and highlight current areas of special interest or concern. The seminars serve the NIH mission of providing education and training for the next generation of biomedical and behavioral scientist.

NIH policy, grants management, review and program staff provide a broad array of expertise and encourage personal interaction between themselves and seminar participants.

The seminars are appropriate for grants administrators, researchers new to NIH, and graduate students.

The form can be downloaded at http://www.saem.org/cme-attendance-verification and mailed to SAEM, 2340 S. River Rd, Suite 200, Des Plaines, IL 60018 or faxed to (847) 813-5450.

CME CREDIT WILL NOT BE ISSUED AFTER AUGUST 31, 2012.

More information: http://grants.nih.gov/grants/seminars.htm

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NEWS FROM ABEM POLICY CHANGES At its February meeting, the ABEM Board of Directors made several changes to existing policies that are of special interest to program directors. One is related to credit for training in other specialties. The other policy change clarifies the transferability of resident training between programs.

Policy on Credit for Training in Other Specialties In 2010, ABEM increased the amount of credit for training in another specialty that it could grant prior to a resident beginning EM training. The maximum was raised to 12 months if 24 months of training had been completed in a non-EM residency program. However, program directors questioned the basis for the 24-month minimum threshold for receiving credit.

As a result, ABEM sought input about this policy from EM program directors. On behalf of ABEM, CORD distributed a survey to its members to solicit their opinions about: (1) what the minimum threshold should be for training in another specialty before being granted credit for training in EM; and (2) if the threshold was 12 months, what should be the maximum amount of credit granted? A majority (70%) indicated that 12 months of ACGME-accredited training should be the minimum amount of training a resident should complete in another specialty before being granted credit toward EM training. The response receiving the greatest plurality of support was that the maximum amount of credit granted should be six months for residents who completed 12 months of prior training. Based on this feedback, ABEM decided to extend up to six months of credit for 12 months of training in another specialty; one month could be EM training if the equivalent rotation was completed at a location with an ACGME-accredited EM program.

Policy on Resident Transfer - EM Credit Is Portable A change was also made to the Policy on Resident Transfer to accommodate transfers between PGY1-3 and PGY1-4 programs.

When training models were first developed for EM, there was substantial diversity between program types. Over time, PGY13 and PGY1-4 programs have become increasingly similar in experience for first-year residents. This similarity has become manifest in the ABEM in-training examination results for first-year residents which show no discernible difference between the two training models. The previous policy did not allow the transfer of any first-year training from a PGY1-4 program to a PGY1-3 program. For the purpose of determining eligibility to take the ABEM certifying examinations, ABEM changed the policy to equate the educational experiences of the first three years of resident training between the PGY1-3 and PGY1-4 programs.

A resident who receives one year of training in an EM PGY1-4 program could receive full credit when transferring into an EM PGY1-3 program as long all the training completed in the PGY 1-4 program was ACGME-accredited and there are no considerable differences between the training programs. Program directors of PGY 1-3 programs who plan to enroll a resident from a PGY 1-4 program may wish to consult with ABEM to ensure that the previous training meets this policy and the resident will be eligible to apply for certification and the end of his/her residency training.

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Training Credit for Transfers from Combined to Categorical EM Programs ABEM also clarified its policy related to transferring credit when a resident moves from an ABEM-approved combined training program, (e.g. EM/IM) into a categorical EM program. ABEM must pre-approve these transfers. The policy change codifies the reason for pre-approval so that ABEM can assess what training the resident completed in the combined program that could be counted as equivalent training in the categorical program.

Rotations completed under the aegis of the EM portion of the combined program automatically transfer to the categorical EM training. ABEM will review rotations completed under the other specialty and rotations that combine the two specialties the same way it reviews requested credit for training in another specialty.

These policies are available on the ABEM website. Go to www.abem.org and click on “Policy Index” on the left navigation tab. You can also call ABEM with your questions at 517.332.4800, extension 388. ◗

2012 CORE CONTENT OF MEDICAL TOXICOLOGY The 2012 Core Content of Medical Toxicology has been published in the Journal of Medical Toxicology; a link to the article is on the ABEM website. The 2012 Core Content will be used for certification and cognitive expertise examinations beginning with the 2014 medical toxicology certification and cognitive expertise examinations. Also on the ABEM website is the percentage distribution of test items by core content classification. Go to www.abem.org and look for the item in the “Recent News” column. ◗

NEUROLOGICAL EMERGENCIES INTEREST GROUP UPDATE William J. Meurer, MD As is often the case, it has been a busy year in the field of neurological emergencies. The SAEM neurological emergencies interest group met at the annual meeting in May and a great deal of information was shared and plans for the future made. The group has bestowed upon me the honor of being the chair for this year and I wish to thank Bill Knight, MD from the University of Cincinnati for his William J. Meurer, MD past service to the group. I am also excited to welcome Pratik Doshi, MD (University of Texas at Houston Medical Center) as the incoming vice chair for the academic year. In this newsletter update we will provide some news you can use from recent trials and other research in neurological emergencies, discuss our plans for the coming year, provide some additional platforms for collaboration, and also ask you to do some things to promote the educational offerings at your own institutions.

First, let us review findings and ongoing progress from largescale trials in the field. The Neurological Emergencies Treatment Trials (NETT) network http://www.nett.umich.edu/ has several ongoing trials and recently completed its first one, RAMPART published in the New England Journal http://www.nejm.org/doi/ full/10.1056/NEJMoa1107494. This is a great accomplishment for Dr. Robert Silbergleit (principal investigator, University of Michigan), all the investigators and coordinators from the NETT hubs and spokes and of course the enormous contributions from all of the paramedics who were absolutely crucial in getting the trial done. RAMPART was a planned non-inferiority study comparing 10 mg of midazolam administered intramuscularly via an autoinjector to 4 mg of lorazepam by the intravenous route for patients with ongoing status epilepticus in the field. Not only was midazolam found to be noninferior, it was demosntrated to be superior to lorazepam based on the prespecified analysis plan.

At this point, the trial is in its public disclosure phase. Additional research efforts from the data set are working on examining the impact of the results on post-trial implementation. A statement providing guidance to EMS agencies will be forthcoming.

Several trials are ongoing within the NETT. The POINT trial is evaluating aspirin versus the combination of aspirin and clopidogrel in patients with TIA or mild stroke and has enrolled approximately 800 out of a planned total of 4000 patients. http:// www.pointtrial.org/ The SHINE trial is a trial of intensive glucose control in patients with ischemic stroke and a NIH stroke scale from 3 to 22 has been open since late April and has already enrolled six patients (as of May 31, undoubtedly more by the time you read this) out of a planned total enrollment of 1400. http://www.nett.umich.edu/nett/shine The PROTECT-3 trial of progesterone in traumatic brain injury (Dr. David Wright, PI Emory) and has enrolled approximately 500 of its planned total enrollment of 1140. http://sitemaker.umich.edu/protect/home The ALIAS trial is a phase III confirmatory trial of albumin in acute ischemic stroke and has enrolled 750 out of a total of 1200--the DSMB recently met and voted to continue the trial. http://www.nett.umich.edu/ nett/alias Within the SPOTRIAS network the CLEAR-ER trial (Art Pancioli, PI, Cincinnati) comparing eptifibatide plus TPA versus standard dose TPA is a phase II trial that should be completed sometime in fall of 2012. http://clear-er.org/ The use of interventional strategies for patients with large vessel occlusions causing acute ischemic stroke has been an area of intense interest. The IMS-3 trial was a NIH funded trial comparing intravenous TPA versus intravenous TPA plus interventional treatment (devices or intra-arterial TPA) for patients with persistent occlusions. In a recent the DSMB meeting this study was terminated after approximately 557 patients had been enrolled during a planned interim analysis. The reason for termination was a low probability of finding a statistically significant difference within the remaining sample size. http://www.ninds. nih.gov/disorders/clinical_trials/IMS-III.htm The formal results of this study will be anticipated greatly by neurointerventionalists and the broader stroke community. Time to treatment may be an important parameter in terms of identifying potential subgroups of patients who may still confer benefits and to inform the design of future trials. Important related trials are ongoing or have recently been completed. The MR-RESCUE trial investigated a strategy Continued on Page 18

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Continued from Page 17 in which perfusion imaging was used to identify patients with lesions amenable to reperfusion and the trial results should be reported soon. http://clinicaltrials.gov/ct2/show/NCT00389467 In addition at the International Stroke Conference in 2012 the SWIFT trial reported that the use of the Solitaire stent/retriever was superior to the use of the MERCI device for patients with acute ischemic stroke and an arterial occlusion. This study was halted early for overwhelming evidence of benefit after approximately 60% of the planned enrollment of 200 patients had 90 day outcome visits. http://bit.ly/KThkgC In addition, the industry funded THERAPY trial which compares use of the Penumbra device after TPA versus TPA alone is investigating the idea that imaging-based selection from a thin cut non-contrast head CT may be used to select patients amenable to interventional strategies. http://clinicaltrials.gov/ct2/show/NCT01429350 The ADAPT-IT study is a cooperative grant funded by the NIH and FDA studying the incorporation of flexible adaptive designs into the planning process for clinical trials in acute neurological emergencies. A general overview of this study was recently published in Annals of Emergency Medicine online and should be available in print soon. http://www.ncbi.nlm.nih. gov/pubmed/22424650 The team recently completed the final meetings for two of the five trials we have been working on namely ESETT and ICECAP which are trials for patients with established status epilepticus who failed benzodiazepines and for therapeutic hypothermia in post cardiac arrest encephalopathy. As part of ADAPT-IT, a didactic session co-organized by the interest group was presented at the SAEM annual meeting in Chicago and was well received.

During our meeting in Chicago we noticed that about half the people in the room had done stroke or neurocritical care fellowships.

One area of interest for the group is how to best advertise various possibilities for fellowships in a way that enables residents and medical students to earn about their potential options. The current SAEM Fellowship catalog provides a platform to do this. http://www.saem.org/fellowship-directory. Basically, the residency coordinator from your site has a login that allows him or her to add or edit records in the Residency Catalog and the Fellowship catalog. At the beginning of this update, I noted that I was going to ask you to do something. Well here it is: if your site offers a neurologically oriented fellowship please provide information to your residency coordinator that so that he or she can add or update this information to the SAEM website. In addition, when doing this update it was recommended that any entries about fellowships would be enhanced by including information about alumni from your program. This doesn’t necessarily need to name specific names: perhaps a general sentence or two on how many graduates your neurologically oriented fellowship has and what they are doing today. We are planning on submitting a didactic proposal for the 2013 annual meeting in which we will have a panel discussion of recent graduates from emergency medicine fellowships in neurological care and what they are doing today with their careers.

One thing that struck me both in reviewing manuscripts, viewing abstracts at the annual meeting and also reading the emergency medicine literature is that a lot of good work is going on in parallel at sites. At times this can be a good thing since replicability is a hallmark of scientific inquiry, however at times it seems like a combination of efforts could potentially lead to scientifically more

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rigorous projects. For example, one of our residents approached me about doing a randomized controlled trial evaluating whether or not the use of lidocaine with epinephrine reduces the incidence of traumatic and therefore diagnostically useless lumbar punctures.

I thought this was an interesting idea, but likely not feasible as a single resident’s scholarly project and not likely to catch the attention of a funded researcher or a funding agency. Despite that, it is potentially an interesting and answerable question--especially if five or six residents needing scholarly research projects pooled their efforts across several institutions. You could call this an “open source clinical trial” or perhaps even crowdsourcing a clinical trial.

First, the protocol could be placed in a forum where experts in neurological emergencies could review it and provide feedback so that the protocol could be simplified and made as scientifically sound as possible. One potential avenue for presentations would be via the NETT Journal club where residents could present an article that has given them an idea for a follow-up study that ought to be done and receive immediate feedback on it. Another potential methodology would be a website where protocols are submitted, critiqued, and revised in the open with people providing feedback that is attributable to them. After this open peer review process the residents could submit IRBs at each of their institutions and move forward with a multi-center, pragmatic trial. We will be working on piloting such a platform sometime in the summer--you should look for this soon.

In terms of other networking opportunities, we have created a LinkedIn group as a potential front end for collaboration between members of the interest group. The posts are discoverable via broad spectrum Web searching (i.e Google) however to join that the group and have the permission to write posts you have to be a member of LinkedIn and you will have to search for the group and request permission to join (search for Neurological Emergencies Interest Group). You will be able to share posts via Twitter and Facebook as well if LinkedIn isn’t enough social networking for you.

Several miscellaneous updates are included here. The information for NETT journal club (free CME) will routinely be emailed to the listserve for our group. Jim Quinn (quinnj@stanford. edu) is looking for a junior faculty member with an interest in neurological emergencies at Stanford. Our next meeting will be at the ACEP Scientific Assembly in Denver – probably Monday October 8 from 6-7 pm (location to be announced – however if you think you might attend please indicate so in this evite http://new.evite.com/services/links/ET26XSBRYD Thank you very much for your attention and we are hoping for another productive year. ◗

SAEM MEMBER DR. LATHA GANTI STEAD RECEIVES PRESTIGIOUS FULBRIGHT SCHOLAR GRANT

Latha Ganti Stead, MD, MS, MBA, FACEP has been awarded the prestigious Fulbright Scholar Teaching Award to teach in the International Public Health sector. She will be posted in Andhra Pradesh, India. Her project is entitled “Strategy & Innovation in Clinical Research for the Global Health Era.” Dr. Stead notes “It is a myth that good clinical research requires unlimited resources.

Rather, well-designed projects with sound data collection and abstracting methods are actually quite economical, and can lead to paradigm shifts in healthcare.”

Her introductory lecture is entitled “Clinical Research- why should you care?” Its title reflects two travesties. One, many students in the health sciences place little value on the science of discovery, viewing themselves more as providers of care.

Two, they view research as being filled with insurmountable obstacles, and thus “too hard.” In doing so, they are depriving themselves, the patients they care for, and the students they teach, a wealth of knowledge that can directly impact care of the individual patient and ultimately global health. Thus, the lecture starts out with “the Troponin story.” Dr. Stead presents a case of a 45-year-old man clutching his chest in pain. He is overweight, smokes, and has hypertension. She asks her students what is the one test that every single one of them would order. The answer, “troponin” is unanimous. That’s the jumping point. She then asks them how, was it discovered? Once she tells them the simple

but elegant project that led to its use in clinical practice, they are hooked. To this end, Dr. Stead will be conducting two formal courses: 1) Foundations of Clinical and Translational Research and 2) Critical Appraisal of the Literature to Enhance Global Health Initiatives.

As a Fulbright grantee, Dr. Stead joins the ranks of distinguished participants in the Program. Fulbright alumni have become heads of state, judges, ambassadors, cabinet ministers, CEOs, university presidents, journalists, artists, professors and teachers.

They have been awarded 43 Nobel Prizes. Since its inception more than 60 years ago, approximately 300,000 Fulbrighters have participated in the Program.

Developing international understanding requires a commitment on the part of Fulbright grantees to establish open communication and long-term cooperative relationships. In that way, Fulbrighters enrich the educational, political, economic, social and cultural lives of countries around the world. Fulbrighters demonstrate the qualities of service, excellence and leadership that have been the hallmarks of this Program for more than 60 years. The principal purpose of the Fulbright Program is to increase mutual understanding between the people of the United States and the people of the more than 150 countries that currently participate in the Fulbright Program. The operations of this program throughout the world is overseen by the Bureau of Educational and Cultural Affairs of the United States Department of State and administered by the Council for International Exchange of Scholars.

Dr. Stead has a track record of scholarship. She is a published scholar with over 270 scientific abstracts and manuscripts, and 22 books. Indeed, one of the talks she frequently gives at national and international meetings is entitled: “Get Published Now!” Her numerous awards include the ACEP National Faculty Teaching award, the first EMRA Mentorship Award, the Mayo Medical school excellence in teaching, and the American Medical Association Young Physicians Section Award for Community Service.

Dr. Stead has been a loyal member of organized medicine since she was a medical student. She has served on several committees for the Society of Academic Emergency Medicine, the American College of Emergency Physicians, and the American Medical Association. She is an active member of the American Academy of Neurology and the Neurocritical Care Society. Dr. Stead is also is the founding Editor-in-Chief for the International Journal of Emergency Medicine.

Dr. Stead is Professor of Emergency Medicine and Neurological Surgery at the University of Florida College of Medicine, and Chief of Clinical Research in EM. She holds the Toral Family Foundation Endowed Professorship in Traumatic Brain Injury and is the Founding Director for the Center for Brain Injury Research and Education at UF. ◗

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SAEM AND CDEM ARE PLEASED TO ANNOUNCE THE 2012 SAEM EMERGENCY MEDICINE INTEREST GROUP GRANT RECIPIENTS The Society for Academic Emergency Medicine, with support from the Clerkship Directors in Emergency Medicine (CDEM), recognizes the valuable role of emergency medicine medical student interest groups (EMIGs), and awards $500 grants to support these groups’ educational activities.

Baylor College of Medicine Emergency Medicine Interest Group Justin Badal, MSI “Electronic Medical Records Training Program” - $500 The Baylor College of Medicine Emergency Medicine Interest Group (BCM EMIG) is committed to fostering enthusiasm for emergency medicine via innovative educational programs.

The Ben Taub General Hospital Emergency Center workstudy/volunteer program (BTEC) is a groundbreaking longitudinal experience that allows full immersion for BCM students into the arena of emergency medicine within days of matriculation. The BTEC is a broad training program that not only includes didactics, but components such as intravenous access, unembalmed cadaver labs, and ultrasound workshops. These modules afford students of all levels of training unfettered access to emergency medicine skills. Additionally, a robust patient education program allows students to become an integral team member via assistance during patient discharge. Students are able to work directly with emergency medicine attendings and residents to ensure patient needs such as prescriptions, follow up, and social services are met.

Despite ample opportunities for student involvement in procedures, the patient education component of the program is stymied by lack of access and training in the BTEC electronic medical record (EMR). In order to bolster access to the EMR, BCM EMIG hopes to construct a training program specifically for preclinical students to assist in patient education efforts. Full access and complete training will allow students to be a versatile member of the emergency care team, allowing early multifaceted exposure to emergency medicine. Expanding early exposure is a cardinal aspect of the BCM EMIG and its goal to increase interest to EM. The Ohio State University College of Medicine Emergency Medicine Interest Group Katherine Pollard, MSIII “Disaster Response: EMIG Participation in a Full Scale, City-Wide, Radiologic Exercise” - $500 Medical students have a desire to learn about medicine and its delivery in all environments, and the skills practiced within the field of emergency medicine (EM) closely correspond with those required for the delivery of healthcare in the austere environment of a disaster. The recent disasters in Haiti and Japan have kindled interest among OSU students in disaster preparedness, and the EMIG hopes to capitalize on this interest to improve medical students’ ability to provide care in a disaster scenario and increase medical student exposure to EM. The OSU medical center and city of Columbus have many opportunities for involvement in Disaster Preparedness, such as the Medical Center Emergency Preparedness Committee

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and city-wide emergency preparedness committee [Columbus Metropolitan Medical Response Committee (CMMRS)]. However, medical students have always been absent from these groups.

With this project, the EMIG hopes to significantly augment the students’ currently absent disaster preparedness knowledge by means of a unique training experience that culminates with participation in a full scale, city-wide, radiologic exercise.

UCLA Emergency Medicine Interest Group Bennett Lee, MSII “UCLA EMIG Workshop Curriculum” - $500 The UCLA EMIG Workshop Curriculum Project is aimed at expanding skills workshops for preclinical medical students who are interested in Emergency Medicine. Workshops provide hands-on experience in new skills, increase interest in various career options and reinforce learning during the preclinical years of medical school. The skills workshops also provide teaching opportuniites for the residents and attendings who run the workshops. Current workshops in the UCLA EMIG curriculum include suturing, splinting, and trauma skills; however, the project looks to providing additional opportunities including ultrasound and prehospital care. Ultrasound is an intregral tool in EDs and the EMIG would like to devote a workshop to expose preclinical medical students to important ultrasound exams. The EMIG will also provide education of basic prehospital care through the UCLA Center for Prehospital Care. The field of Emergency Medicine is dynamic and requires an EMIG curriculum to change in order to better reflect the skills needed in the specialty. Through this project, the UCLA EMIG will update its skills workshops during the 2012-2013 year and lay the foundations for continuing this new curriculum for the subsequent years.

University of California, San Diego Emergency Medicine Interest Group Tyler E. Morrison, MSII “Student SIM Showdown” - $500 SIM Wars has proven at both SAEM and ACEP annual assemblies to be both a popular and helpful training tool to residents and practicing emergency medicine doctors alike. The UCSD EMIG hopes to bring the same powerful combination of excitement and education to the student level with a similar undertaking called the Student SIM Showdown. The EMIG plans to begin locally and invite teams of UCSD med students from all class years (although mainly 3rd and 4th years) to apply their clinical knowledge towards diagnosing an ‘unknown case’ that presents the Emergency Department in the school’s brand new SIM lab. Teams will compete and be compared not only on their efficiency and accuracy in diagnosing an emergent patient, but also on their team work and communication. The element of competition will draw both participants and spectators, will attract students to the field of EM, and help strengthen the interest of students already considering it. For those who observe, collaborative and respectful team work and communication will be modeled during the timed simulated cases. ◗

AN UPDATE ON THE IPAL-EM COLLABORATION: INTEGRATION OF PALLIATIVE CARE AND EMERGENCY MEDICINE Sangeeta Lamba, MD, Tammie E. Quest, MD, Knox Todd, MD, MPH, FACEP (On behalf of the IPAL-EM expert advisory board)

IPAL-EM has currently gathered a variety of easy-to-use clinical tools such as charting forms and pocket cards from palliative providers and ED clinicians across the country for free distribution (For example, the withdrawal of life-support orders, pain card and family-conference note template).5 A growing list of continually updated articles in both pertinent fields is also available in the online reference library.5 These include original research, position statements from national organizations, review articles and more. Patient and family resources are also listed. Increasingly, new monographs and presentations are being made available and some examples include: Getting started on a joint palliative-ED initiative, 4 things to do in a week to jump-start such an initiative, a self-assessment of clinical practice guidelines tool, evaluation of ED-palliative care metrics and quality, billing for palliative care in EM by ED providers.5-7 As emergency departments look to improve the overall quality of patient-centered care they will likely face the challenges associated with integration of palliative care in the ED setting and the IPAL-EM resources listed above may provide valuable guidance to help jump-start this process.5-7 ◗ References:

Patients with serious or life-threatening illness are likely to find themselves in an emergency department (ED) at some point along their trajectory of illness.1, 2, 3 Optimal care for patients suffering from chronic, life-threatening illnesses and for those in extremis would ideally incorporate palliative principles into ED practice.1-5 In the last five years, emergency medicine has played a pivotal role in the early implementation of palliative care.2-5 The growth, popularity and positive media attention garnered by increasing number of geriatric ED (that incorporate many palliative care principles) is such an example.

The Improving Palliative Care in Emergency Medicine (IPALEM) project is a resource development and dissemination initiative started in 2010 by the Center to Advance Palliative Care (www.capc.org) with funding provided by the Olive Branch Foundation. It is designed to help accelerate the integration of palliative services into ED settings and offers free access to an online portal for sharing essential expertise, best evidence, tools and practical resources.5-7 New peer reviewed tools that represent best practices are now available and more are being developed with the aid of an oversight board of nationally recognized interdisciplinary leaders in the field of EM and palliative care (including many SAEM members).5-7

1. Smith AK, Schonberg MA, Fisher J, Pallin DJ, Block SD, Forrow L, McCarthy EP. Emergency Department experiences of acutely symptomatic patients with terminal illness and their family caregivers. Journal of Pain and Symptom Management, 2010; 39 (6): 972-981 2. Lamba S. Early Goal-Directed Palliative Therapy in the Emergency Department: A Step To Move Palliative Care Upstream. J Palliat Med 2009; 12: 767.

3. Grudzen CR, Richardson LD, Morrison M, Cho E, Morrison RS. Palliative care needs of seriously ill, older patients presenting to the emergency department Acad Emerg Med. 2010 November; 17(11): 1253–1257.

4. Quest TE, Marco CA, Derse AR. Hospice and palliative medicine: new subspecialty, new opportunities. Ann Emerg Med. 2009; 54(1):94–102.

5. Improving Palliative Care in Emergency Medicine; IPAL-EM project. Center to Advance Palliative Care. Available at website http://www.capc.org/ipal/ipal-em. Last accessed April 9, 2012 6. DeSandre PL, Stone S, Quest TE, Weissman DE. Four things to do in a week: Integrating palliative care services into the emergency department. A technical assistance monograph from the IPAL-EM project. Available at http://ipal-live.capc.stackop.com/downloads/ipalem-four-things-to-do-in-a-week.pdf. Last accessed April 23, 2012 7. Chan GK, Bryant EN, Lamba S, Quest TE, Weissman DE, Todd KH. Clinical practice guidelines- Self assessment tool. A technical assistance resource from the IPAL-EM project. Center to Advance Palliative Care. Available at: http://ipal-live.capc.stackop.com/ downloads/ipal-em-clinical-practice-guidelines-self-assessment.pdf. Last accessed April 23, 2012.

Author affiliations 1. Sangeeta Lamba, MD University of Medicine and Dentistry of New Jersey, New Jersey Medical School 2. Tammie E. Quest, MD Emory University School of Medicine 3. Knox Todd, MD, MPH, FACEP University of Texas MD Anderson Cancer Center

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THE SAEM FOUNDATION IS PLEASED TO ANNOUNCE THE 2012-2014 GRANT RECIPIENTS SAEM EDUCATION FELLOWSHIP GRANT “Masters in Healthcare Education” Jo Anna Leuck, MD Carolinas Medical Center Dr. Leuck’s grant incorporates a formal didactic program resulting in a Master’s Degree in Healthcare Education, a mentored program of structured professional development, including preparation for academic promotion, and an innovative, mentored, educational research project.

Jo Anna Leuck, MD The research project incorporates training and experience from both the didactic and professional development programs. Dr. Leuck has specific interests in the impact of fatigue and sleep disruption on clinical performance which, in the setting of emergency medicine (EM), has wellrecognized adverse effects on training, physician performance, career longevity and patient safety. She plans to study the effects of fatigue on knowledge acquisition and retention, clinical performance, and patient safety. The immediate goal is to develop and test educational and evaluation methods that are specifically designed to measure the effects of fatigue on knowledge transfer, longitudinal retention, and remediation the setting of emergency medicine training and practice. This work is the springboard for Dr. Leuck’s over-arching goal of designing, testing, and disseminating innovative educational methods that are generalizable and will include innovative instruments of assessing clinical competency, longitudinal skill acquisition and faculty development.

SAEM INSTITUTIONAL RESEARCH TRAINING GRANT (IRTG) “UR/SAEM Institutional Research Training Grant” Manish Shah, MD, MPH University of Rochester

Manish Shah, MD, MPH

Through this IRTG-supported program, we will develop a rigorously trained researcher able to employ a variety of epidemiological or health services techniques to answer highly significant questions, thereby performing high quality research that improves clinical practice and community health.

Through a combination of didactic and experiential learning, combined with focused mentorship, the IRTG Fellow will develop and refine the knowledge, skills, and attitudes required to achieve the Fellowship’s goals. Upon completion of the program, the Fellow will receive a Master’s of Science and will be prepared to successfully compete for an NIH or AHRQ Career Development Award.

Specifically, this IRTG-supported Emergency Medicine Research Fellowship will: 1) Develop and refine the Fellow’s focused area of research expertise; 2) Develop the Fellow’s proficiency with the critical knowledge, skills, and attitudes to develop into a successful, independent emergency care researcher; and 3) Develop the Fellow’s skills necessary to transition from fellow to academic faculty and succeed as a faculty member.

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SAEM/ECCC NATIONAL EMERGENCY CARE SABBATICAL “National Emergency Care Coordination Center Sabbatical” Marc Gautreau, MD, MBA UMass Memorial Medical Center Dr. Gautreau’s goal during this fellowship is to develop the skills necessary to begin addressing some of the many interconnected costs and inefficiencies that plague health care, largely from the point of view of emergency medicine and EMS, Marc Gautreau, MD, MBA but understanding that these cannot be addressed in isolation. By working in several areas of federal policymaking, Dr. Gautreau will develop experience in the federal policymaking process and acquire the skills necessary to assume a leadership role in the conversations regarding the development of a more efficient, more accessible and rational health care system.

SAEM/PHYSIO-CONTROL EMS RESEARCH FELLOWSHIP “The Effect of King LT Use on Out-ofHospital Endotracheal Intubation” Michael T. Hilton, MD University of Pittsburgh Throughout the support of this grant, Dr. Hilton will serve as an EMS fellow at the University of Pittsburgh. His primary research project will be a retrospective analysis of paramedic endotracheal intubation, comparing one year periods before and after Michael T. Hilton, MD the introduction of the King LT airway device.

The study’s hypothesis is that the widespread use of the King LT and other supraglottic airway devices has resulted in a decrease in total intubation attempts by paramedics and a decrease in intubation success rates since these devices became prominently used.

ACADEMIC EMERGENCY MEDICINE NEWS ON FACEBOOK Please be sure to regularly visit and follow many activities of the journal on SAEM’s Facebook page. Comments on articles are featured there, as well as journal announcements. Another way to keep up to date with the latest information relevant to Academic Emergency Medicine, as well as other emergency medicine topics, happenings, etc!

THE 2012 NRMP MATCH IN EMERGENCY MEDICINE Louis Binder, MD, University Hospital Case Medical Center and Case Western Reserve University School of Medicine, Cleveland, Ohio The results of the 2012 NRMP Match became final on March 16, 2012. Emergency Medicine residency programs offered a total of 1668 entry level positions (8.5% of total positions in The 2012 NRMP Match in Emergency Medicine Binder, MD, University Hospital Case Medical Center and all specialties).Louis The following numbers (taken from the 2012 Case Western Reserve University School of Medicine, Cleveland, Ohio NRMP Data Book) include information from all programs that The 2012 NRMP Match in Emergency Medicine Louis Binder, MD, University Hospital Case Medical Center and entered 2012 Match: The results of the the 2012 NRMP Match becameUniversity final on March 16,of2012.

Emergency Medicine Case Western Reserve School Medicine, Cleveland, Ohio residency programs offered a total of 1668 entry level positions (8.5% of total positions in all specialties). The following numbers (taken from the 2012 NRMP Data Book) include information from all programs that entered the 2012 Match: The results of the 2012 NRMP Match became final on March 16, 2012. Emergency Medicine residency programs 2011 offered a total of 1668 entry level positions (8.5% of 2010 total positions in all specialties).

The following 2012 numbers Total #from of NRMP positions 25,520 from all programs 26,158that entered the 2012 26,722 (taken the 2012 NRMP Data Book) include information Match: Overall % of positions unfilled 4.5% 4.6% 4.7% Number of EM programs listed 150 152 153 2010 2011 2012 (147 PG1, 3 PG2) (15026,158 PG1, 3 PG2) 153 26,722 (all PG1) Total # of NRMP positions 25,520 Total PG1/PG2 entry positions 1575 1626 1668 Overall % of positions unfilled 4.5% 4.6% 4.7% (1556 PG1,19 PG2) (1607 PG1, 19 PG2) 1668 (all PG1) Number of EM programs listed 150 152 153 EM positions/total NRMP positions 6.8%3 PG2) 6.9%3 PG2) 8.5% (147 PG1, (150 PG1, 153 (all PG1) -----------------------------------------------------------------------------------------------------------------------------------------------------Total PG1/PG2 entry positions 1575 1626 1668 # EM programs with PG1 vacancies (3.4%) (0%) (15565/147 PG1,19 PG2) (16072/150 PG1,(1.3%) 19 PG2) 16680/153 (all PG1) # unmatched EM PG1 positions 16/1556 5/1607 0/1668 EM positions/total NRMP positions 6.8%(1.0%) 6.9% (0.3%) 8.5% (0%) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------# EM EM programs programs with with PG1 PG2 vacancies 0/3 (0%) 0/3 (0%) N/A (0%) # vacancies 5/147 (3.4%) 2/150 (1.3%) 0/153 # unmatched unmatched EM EM PG1 PG2 positions positions 0/19 (0%) 0/19 (0%) # 16/1556 (1.0%) 5/1607 (0.3%) 0/1668 (0%) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Total EM programs with vacancies vacancies 5/150 2/152 (1.3%) 0/153 # EM #programs with PG2 0/3 (0%)(3%) 0/3 (0%) N/A (0%) Total # unmatched EM positions positions 16/1575 5/1607 (0.3%) 0/1668 (0%) # unmatched EM PG2 0/19 (0%)(1%) 0/19 (0%) -----------------------------------------------------------------------------------------------------------------------------------------------------Applicant Pool Data Total # EM programs with vacancies 5/150 (3%) 2/152 (1.3%) 0/153 (0%) Total # unmatched EM positions 16/1575 (1%) 5/1607 (0.3%) 0/1668 (0%) Applicants who ranked only EM programs: Applicant Pool Data 2010 2011 2012 US graduates 1293 1300 Applicants who ranked only EM programs: 1175 Independent applicants 439 470 397 Total applicants 1614 1763 1697 2010 2011 2012 US graduates 1175 1293 1300 Applicants ranked at least one EM program: Independentwho applicants 439 470 397 Total applicants 1614 1763 1697 US graduates 1343 1484 1498 Independent applicants 791 762 344 Applicants who ranked at least one EM program: Total applicants 2074 2246 1842 US graduates 1343 1484 1498 US seniors applying only to EM Independent applicants 791 762 344 Programs who went unmatched 68/1175 94/12932246 (7.3%) 65/1300 Total applicants 2074(5.7%) 1842(5%) Independent applicants US seniors applying onlyapplying to EM only to EMwho programs who went Programs went unmatched unmatched Independent applicants applying Percent of matched seniors only to EM programsUS who went who matched in EM residencies unmatched Percent of matched US seniors who matched in EM residencies

151/439 (34%) 68/1175 (5.7%)

196/470 (42%) 94/1293 (7.3%)

149/397 (38%) 65/1300 (5%)

151/439 (34%) 1182/14,992 (8%)

196/470 (42%) 1277/17,607 (4.3%)

149/397 (38%) 1335/17,662 (7.6%)

1182/14,992 (8%)

1277/17,607 (4.3%)

1335/17,662 (7.6%)

Breakdown of filled EM positions by type of applicant: 2010

2011

2012

1556 1607 1668 PG1 EM positions Filled by US graduates 1182 (76%) 1268 (79%) 1335 (80%) Filled by independent applicants 358 (23%) 334 (21%) 333 (20%) Total filled 1540 (99%) 1602 (100%) 1668 (100%) -----------------------------------------------------------------------------------------------------------------------------------------------------19 PG2 EM positions 19 Filled by US graduates 6 (32%) 9 (47%) N/A Filled by independent applicants 13 (68%) 10 (53%) Total filled 19 (100%) 19 (100%) ----------------------------------------------------------------------------------------------------------------------------------------------------1626 1668 Total EM positions 1575 Filled by US graduates 1188 (74%) 1277 (79%) 1335 (80%) Filled by independent applicants 371 (24%) 344 (21%) 333 (20%) Total filled 1559 (99%) 1621 (100%) 1668 (100%) ** For PG1 filled entry positions (1668), 1335 (80%) were filled by US seniors, 68 were filled by US physicians, 171 by osteopathic physicians, 69 by US international medical graduates, and 25 by international medical graduates.

From these data, several conclusions can be drawn: 1. Emergency Medicine experienced an increase of 42 entry level positions in the 2012 Match over 2011 Match numbers (a 3% increase this year, compared with 3% last year), occurring from both quota increases and new program in the EM match.

Emergency Medicine now comprises 8.5% percent of the total NRMP positions and 7.6% of matched US seniors, both all time highs. Of interest, 2012 is the first year that no EM2 entry spots were offered in the Match – it appears that all such programs have converted to an EM1 entry format.

2.

Using demand figures, the overall demand for EM entry level positions stayed essentially level among U.S. Seniors applying to EM programs (up a total of 7 U.S. Seniors and 12 Independent Applicants, less than 1% in both categories).

The excess applicant demand over and above the size of the training base is 90 to 235 applicants (5.5% to 14% surplus), depending on how the parameters of the applicant pool are determined.

3. The proportions of EM positions filled by US seniors versus Independent Applicants (US graduates, Osteopaths, and International Medical Graduates) remained similar in 2012 compared with 2011 and 2010. In 2011, 80% of EM entry positions were filled with US graduates, which is a comparable percentage with recent years.

4. An increase of 42 in the supply of EM entry level positions in 2012, coupled with a leveling of demand among U.S. Seniors and other categories of applicants, would be expected to result in a “buyer’s year”, favoring applicants in their match rate and impacting programs negatively in their fill rate. The unmatched rate for students in the EM match did improve from previous years, consistent with this supply and demand premise. However, the opposite paradoxically occurred with program fill rates – ALL positions were filled in the initial match (Monday’s result prior to the supplemental offer and acceptance process, i.e. secondary match, and NO EM positions available in this process). Thus, there was a very efficient and fortuitous Match for programs with all spots paradoxically being filled in a buyers market, where there should have been more positions open this year than in previous years.

5.

The unmatched rate of 5% for US seniors, and 38% for Independent Applicants going into EM, continue to support the notion that most US seniors and Independent Applicants who apply will match into an EM residency.

From these data, several conclusions can be drawn: 1. Emergency Medicine experienced an increase of 42 entry level positions in the 2012 Match over 2011 Match numbers (a 3% increase this year, compared with 3% last year), occurring from both quota increases and new program in the EM match. Emergency Medicine now comprises 8.5% percent of the total NRMP positions and 7.6% of matched US seniors, both all time highs. Of interest, 2012 is the first year that no EM2 entry spots were offered in the Match – it appears that all such programs have converted to an EM1 entry format.

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ACADEM IC ANNOUNCEM ENTS The Society for Simulation in Healthcare - the largest international healthcare simulation member organization - announced the results of its recent election. Paul Phrampus, MD will become President-Elect on January 1, 2013 and President in 2014. Phrampus is the Director of the Peter M. Winter Institute for Simulation, Education and Research (WISER) in Pittsburgh, PA. He received a B.S. in Biology from Old Dominion University and an M.D. from Eastern Virginia Medical School in Norfolk, Virginia.

He is currently an Associate Professor in the Departments of Emergency Medicine and Anesthesiology of the University of Pittsburgh School of Medicine and Vice Chair, Quality and Patient Safety in the Department of Emergency Medicine.

Richard E. Rothman, MD, PhD has been promoted to Professor and to the new position of Vice Chair of Research for the Department of Emergency Medicine at Johns Hopkins. Dr. Rothman has distinguished himself in the department since joining its faculty in 1996 as Assistant Chief of Service and Research Fellow. He has also served as Research Fellowship Director and Residency Research Director.

In 2009, Dr. Rothman was named Director of Research for the department. In that role he developed a strong focus on translational research, launching and overseeing studies in epidemiology, diagnostic test development and implementation, and the public health implications of infectious diseases from an emergency care perspective. He has also helped promote the careers of numerous trainees and faculty in academic emergency medicine and created an environment which encourages collaborative research to improve the care of patients in the ED. Dr. Rothman’s own studies have been translational and crosscutting. His work has been published in leading journals in the field including Lancet ID, Clinical Infectious Diseases, Annals of Emergency Medicine and Academic Emergency Medicine to name a few. He has promoted and led cross-disciplinary and multi-center studies which our department has taken a lead on, with support from various federal agencies including NIH, CDC, and DHS. He has received numerous grants and awards including the Society for Academic Emergency Medicine’s prestigious Young Investigator Award, an NIH Career Development Award, as well as the Clinical Scientist Award from Johns Hopkins University.

Dr. Benjamin Honigman has been named

Associate Dean for Clinical Outreach at the University of Colorado School of Medicine and the Medical Director for Clinical Outreach at the University of Colorado Hospital.

During the 2012 Annual Meeting, many presenters at the annual meeting recorded brief presentations of their research with Scott Joing, MD, Academic Emergency Medicine’s section editor for Dynamic Emergency Medicine. Many of these presentations were posted on Facebook and Twitter during the meeting, allowing a new way to disseminate research presentations and foster communication during our meeting.

This project now contains 80 recordings of presenters covering a wide variety of the research presentations from the meeting, and represents a unique approach to creating an archive of the research presentations from the meeting. We hope in future years to create recordings of all of the meetings presentations, and would appreciate advice from SAEM members on the best ways to complete this task and the formats of these recordings. Links

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to these presentations are on Academic Emergency Medicine’s website, and can be found at Academic Emergency Medicines Vimeo.com account, http://vimeo.com/aem.

Peter Hill, MD, MSc, FACEP has been promoted

to the new role of Vice Chair of Clinical Affairs for the Johns Hopkins Department of Emergency Medicine. Dr. Hill has been an accomplished faculty member of the department since joining it in 1998 as the Assistant Chief of Service. In 2001, he developed and opened the Department’s Emergency Acute Care Unit and has served as the unit’s Medical Director since its inception.

He was named Clinical Director for the department in 2005.

Since stepping into that senior role, Dr. Hill has been deeply involved in streamlining and improving a number of emergency department operations, including the delivery of service, patient satisfaction, risk management and quality improvement. He co-led restructuring of the department’s triage and patient assignment systems, which resulted in reductions in walk-out and ambulance diversion rates, and improvements in the department’s patient satisfaction scores. He also co-led a number of quality improvement initiatives, improving departmental core measure performance, and helped develop several inter-departmental programs.

Dr. Hill has also acted as the co-chair of the HMED implementation team and is lead physician for the ongoing Information and Technology Oversight team as well as Lead ED Physician Champion for the Epic Implementation project.

Institutionally, Dr. Hill serves as Co-Chair of the hospital’s Risk Management Committee, Vice Chair of the Clinical Quality Improvement Committee, Utilization Review Physician for the hospital, and leads the ED team of the JHHS Readmissions Task Force.

P. Daniel Patterson, PhD was chosen to receive

the 2012 Michael E. and Sandra P. Samuels Distinguished Alumni Award of the Department of Health Services Policy and Management in the Arnold School of Public Health, University of South Carolina. He received this the first week of May in Columbia – a recognition of his excellence and national stature plus impact.

Daniel’s work on fatigue, error and safety in front line health care workers is ground breaking and practical – he will improve the care of many and improve the lives of many partners. Dr. Patterson is a Research Assistant Professor of Emergency Medicine at the University of Pittsburgh.

Lisa Moreno-Walton, MD, MS, MSCR,

Associate Professor of Emergency Medicine and Assistant Professor of Research Genetics at Louisiana State University Health Sciences Center- New Orleans has been accepted into the PRIDE research fellowship program sponsored by the National Heart, Lung and Blood Institute of the National Institutes of Health for the academic year 2012-13.

Special congratulations to Michelle Macy, MD, MS at the University of Michigan. Dr. Macy was initially awarded the SAEM Research Training Grant. Shortly after her notification, she had to decline the SAEM RTG, as she was awarded a K23 Career Development Award from the NICHD on her study “A Brief Intervention To Increase Size-Appropriate Child Passenger Restraint Use.” Congratulations Dr. Macy!

ACADEMIC ANNOUNCEMENTS CONTINUED

Gregory Jay, MD, PhD was awarded a 3-year,

$2,219,221, award from the Department of Defense. His project, entitled “Tribosupplementation with Lubricin in Prevention of PostTraumatic Arthritis” will study the intervention of supplementing a joint’s natural lubricating ability (tribosupplementation) to preserve the cells which line the surface of articular cartilage.

Post-traumatic osteoarthritis comprises 20% of the total OA burden. Dr. Jay’s work, in a pre-clinical model, will possibly show that recombinant human lubricin, injected into a traumatized joint in the peri-injury period, will prevent the loss of chondrocytes and prevent or delay the appearance of arthritis. This work is a prelude to future studies in humans.

Peter S. Pang, MD, Associate Chief and Associate

Professor in the Department of Emergency Medicine at Northwestern University Feinberg School of Medicine was awarded a $250,000 grant as part of the Multidisciplinary Clinical and Translational Scientist (MCTS) Scholars Program (KL2 grant), studying the early pathophysiology of acute heart failure. Peter will also serve as an Associate Editor for the new Journal of the American College of Cardiology - Heart Failure. He is an Associate Professor of Medicine (Cardiology) in the Center for Cardiovascular Innovation and has an adjunct position in the Division of Clinical Pharmacology at Duke University.

Colleagues: We have reached our goal. The SAEM Diversity Interest Group (DIG) is now the newest Academy in SAEM. After several years of work and under the leadership of Dr. Lisa Moreno-Walton, Immediate Past Chair of SAEM – DIG, the Academy for Diversity & Inclusion in Emergency Medicine (ADIEM) has been born. We had our inaugural meeting at the SAEM Annual Meeting in Chicago and had close to 40 people in attendance.

We were standing room only.

ADIEM’s mission is to: •P romote equal access to quality healthcare and enhanced patient outcomes by striving to eliminate disparities in treatment through education and research.

•E nhance the recruitment, retention and promotion of those historically under-represented in medicine and create an inclusive environment for the training of EM providers.

•S upport professional development of EM faculty, residents and students in delivering culturally sensitive medical care.

The key to our success is the “I” in ADIEM. Our vision is to be Inclusive of all sections of SAEM. This includes partnering with the other Academies to meet our goals. Similar to AAMC, we define diversity as a core value that reflects all aspects of human differences and inclusion is a core element for achieving diversity. Diversity and Inclusion touches all people. By strengthening our partnerships and working collaboratively, we can accomplish quite a bit. Join ADIEM. We welcome you and look forward to working with you.

Our best, Sheryl Heron, MD, MPH Chair - ADIEM - Associate Professor/Associate Residency Director Department of Emergency Medicine - Assistant Dean for Medical Education & Student Affairs - Grady Campus - Associate Director Education & Training Center for Injury Control - Emory University

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CALLS AND M EETING ANNOUNCEM ENTS For details and submission information on the items below, see www.saem.org and look for the Newsletter links on the home page or links within the Events section of the web site.

Call For Papers

Call For Papers

2013 Academic Emergency Medicine Consensus Conference “Global Health and Emergency Care: A Research Agenda” The 2013 Academic Emergency Medicine consensus conference, “Global Health and Emergency Care: A Research Agenda” will be held on Wednesday, May 15, 2013, immediately preceding the SAEM Annual Meeting in Atlanta, Georgia. Original papers on the conference topic, if accepted, will be published together with the conference proceedings in the December 2013 issue of Academic Emergency Medicine.

Global health includes clinical care, education, and research.

It places a priority on improving health and achieving equity in health for all people worldwide. Global health emphasizes transnational health issues, causes, and solutions; involves many disciplines; and is a synthesis of population-based prevention and patient care.

This consensus conference proposes to build a solid foundation upon which international researchers can build interdisciplinary scholarship, networks of expertise, discussion forums, multicenter collaborations, evidence-based publications, and improved education.

Consensus Goal: Identify the principles, opportunities, and challenges for acute and emergency care research in the global environment; establish the research agenda that will advance the science of global emergency medicine.

Consensus Objectives: 1. Define the need for research in acute and emergency care within the framework of health as a human right 2.

Describe the principles and components needed to build capacity and sustain global acute and emergency care research 3. Identify global trends in funding priorities in emergency care research 4. Develop and propose a consensus strategy to strengthen emergency care research globally and enhance sustainable funding Accepted manuscripts will describe relevant research concepts in areas such as medical education, data collection, and ethics. They may include work in clinical/translational, health systems, or basic sciences research. Descriptions of specific research, projects, or collaborations may be used for illustrative purposes but should not comprise the core of the submission. Original contributions describing relevant research or concepts on these or similar topics will be considered, and original high-quality research may also be submitted alone or in conjunction with concept papers.

Papers will be considered for publication in the December 2013 issue of Academic Emergency Medicine if received by Monday, March 11, 2013. All submissions will undergo peer review and publication cannot be guaranteed.

For queries, please contact Stephen Hargarten, MD , MPH (hargart@mcw.edu), Mark Hauswald, MS, MD (markhauswald@ gmail.com), Rebecca Cunningham MD (stroh@med.umich.edu), Jon Mark Hirshon, MD, MPH, PhD (jhirs001@umaryland.edu), or Ian B K Martin, MD (ian_martin@med.unc.edu), the 2013 consensus conference co-chairs. Information and updates will be regularly posted in Academic Emergency Medicine, the SAEM Newsletter, and the journal and SAEM websites.

The Evidence-Based Diagnostics section of the Academic Emergency Medicine journal is seeking submissions. These manuscripts will evaluate a single emergency medicine-relevant diagnosis using a systematic review and meta-analysis to summarize high-quality clinical research focusing on history, physical exam, readily-available lab tests, and common imaging strategies. Evidence quality will be graded using the Quality Assessment Tool for Diagnostic Accuracy Studies. The highestquality evidence will then be summarized to report point-estimates or ranges for pre-test probability, diagnostic accuracy including interval likelihood ratios, and test-treatment thresholds for definitive tests. Authors are encouraged to contact the section editor, Christopher Carpenter, MD (carpenterc@wusm.wustl.edu) with specific questions for this series.

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ACADEMIC EMERGENCY MEDICINE NOW OFFERS CME CREDIT ACADEMIC EMERGENCY MEDICINE is now offering continuing medical education (CME) credits for reading select articles in the journal and successfully completing a test on the content.

Physicians interested in completing the exam should log on to www.wileyblackwellcme.com. Upon successfully finishing the activity, physicians will receive an electronic certificate of completion, which can be printed and saved online under the user’s profile. The program is free to subscribers of the journal.

Stay tuned for updates!

CLASSIFIED OHIO, The Ohio State University: Academic Position.

Residency Program. Level 1 trauma center. Nationally recognized research program.

Clinical opportunities at OSU Medical Center and affiliated hospitals. Responsibilities include medical student and resident education; research in laboratory, translation and/ or clinical settings. Competitive salary with full university benefits including tuition assistance. Contact Mark Angelos, MD, Professor and Interim Chairman, Department of Emergency Medicine, The Ohio State University or mary-jayne.fortney@osumc.edu; 614-366-8693. AAEOE

CALL FOR PROPOSALS

2015 AEM CONSENSUS CONFERENCE SUBMISSION DEADLINE: APRIL 15, 2013 The editors of Academic Emergency Medicine are now accepting proposals for the 16th annual AEM Consensus Conference to be held on May 13, 2015, the day before the SAEM Annual Meeting in San Diego, CA. Proposals must advance a topic relevant to emergency medicine that is conducive to the development of a research agenda, and be spearheaded by thought leaders from within the specialty. Consensus conference goals are to heighten awareness related to the topic, discuss the current state of knowledge about the topic, identify knowledge gaps, propose needed research, and issue a call to action to allow future progress.

Importantly, the consensus conference is not a “state of the art” session, but is intended primarily to create the research agenda that is needed to advance our knowledge of the topic area.

Previous topics have included and will include (2013 and 2014): • 2000: Errors in emergency medicine • 2001: The unraveling safety net • 2002: Quality and best practices in emergency care • 2003: Disparities in emergency care • 2004: Information technology in emergency medicine • 2005: Emergency research without informed consent • 2006: The science of surge • 2007: Knowledge translation • 2008: Simulation in emergency medicine • 2009: Public health in the emergency department: surveillance, screening, and intervention • 2010: Beyond regionalization: integrated networks of emergency care • 2011: Interventions to assure quality in the crowded emergency department • 2012: Education Research in Emergency Medicine • 2013: Global Health and Emergency Care: A Research Agenda • 2014: Gender-specific Research in Emergency Medicine: Investigate, Understand, and Translate How Gender Affects Patient Outcomes Well-developed proposals will be reviewed on a competitive basis by a sub-committee of the AEM editorial board. Proceedings of the meeting and original contributions related to the topic will be published exclusively by AEM in its special topic issue in December, 2015.

Submitters are strongly advised to review proceedings of previous consensus conferences, which can be found in the past November and December issues of AEM, to guide the development of their proposals. These can be found openaccess on the journal’s home page on Wiley Online Library http://onlinelibrary.wiley.com/doi/10.1111/acem.2011.18.issue-10/issuetoc Submitters are also welcome to contact the journal’s editors or leaders of prior consensus conferences with any questions, or for copies of submissions from prior years.

Proposals must include the following: 1. Introduction of the topic • brief statement of relevance • justification for this topic choice 2. Proposed conference chairs, and sponsoring SAEM interest groups or committees (if any) 3. Proposed conference agenda and proposed presenters • plenary lectures • panels • breakout topics and questions for discussion and consensus-building 4. Anticipated audience • stakeholder groups/organizations • federal regulators • national researchers and educators • others 5. Anticipated budget, to include such items as: • travel costs • audiovisual equipment and other materials • publishing costs (brochures, syllabus, journal) • meals 6. Potential funding sources and strategies for securing conference funding.

How to submit your proposal.

Proposals must be submitted electronically to aem@saem.org no later than 5PM Eastern Daylight Time on April 15, 2013. Late submissions will not be considered. The review sub-committee may query submitters for additional information prior to making the final selection. Questions may be directed to aem@saem.org or to the editor-in-chief at editor@saem.org. ◗

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CALL FOR DIDACTIC PROPOSALS – 2013 SAEM ANNUAL MEETING May 15 – 18 Atlanta, Georgia The Program Committee is inviting proposals for didactic sessions for the 2013 Annual Meeting. Didactic proposals may be aimed at medical students, residents, junior faculty, and/or senior faculty.

The format may be a lecture, panel discussion, or workshop. The Program Committee will also consider proposals for pre- or postday workshops or multiple sessions during the Annual Meeting aimed at in-depth instruction in a specific discipline. Didactic proposals must support the mission of SAEM (to improve patient care by advancing research and education in research and emergency medicine) and should fall into one of the following categories: CAREER DEVELOPMENT Sessions may focus on junior or senior emergency physicians, and the skillsets needed to advance within academics.

EDUCATION Sessions focus on enhancing teaching skills; improving the quality of education; education methodology; resident, and medical student education innovations.

CALL FOR EXPERT ABSTRACT REVIEWERS The Program Committee is currently accepting applications to serve as expert reviewers of scientific abstracts submitted for consideration of presentation at the 2013 Annual Meeting, which will be held May 15-18 in Atlanta, GA. The minimum requirement for new abstract reviewers is at least two first author peerreviewed original research manuscripts in the topic area for which you are applying. Residents are invited to apply but must meet the same criteria. If you have been an abstract reviewer in the past five years, you do not need to reapply.

Interested individuals should electronically submit the following to saem@saem.org by September 28, 2012: an abbreviated CV (full CVs will not be considered) with a detailed listing of peer-reviewed original research publications, review articles, textbook chapters, and prior scientific abstract presentations published on the specific area(s) of expertise selected from the list below: Abdominal/Gastrointestinal/ Genitourinary Airway/Anesthesia/Analgesia Cardiovascular – Basic Sciences Cardiovascular – Clinical Research

RESEARCH Sessions focus on research methodology, improving the quality of research, or providing critical tools/discussions to researchers.

Clinical Decision Guidelines

STATE-OF-THE-ART Sessions are presentations of cutting edge research with important implications for further investigation or the future practice of emergency medicine. They are not literature reviews or summaries of clinical practice. For example, a session on how to use cardiac markers to assess patients with chest pain would not be an acceptable state-of-the-art didactic. However, a presentation of how cardiac markers are developed, the trials that are being conducted for their validation, and what this research holds in store for subsequent investigation or the future practice of EM would appropriately fit in this category.

Computer Technology

Only online submissions will be accepted. Submissions will be taken from July 1st through September 7th via the online system available on the SAEM website, www.saem.org. For additional questions or information, contact SAEM at saem@saem.org or call 847-813-9823.

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Clinical Operations – Personnel Clinical Operations – Processes Critical Care/Resuscitation Diagnostic Technologies/ Radiology

Geriatrics Health Policy Research Health Services Research Infectious Diseases International Emergency Medicine Neurology Obstetrics/Gynecology Orthopedics Pediatrics – Infectious Diseases Pediatrics - General Professional Development Psychiatry/Social Issues

Disaster Medicine

Pulmonary

Disease/Injury Prevention

Research Design/Methodology/ Statistics

Education EMS/Out-of-Hospital – Cardiac Arrest EMS/Out-of-Hospital – Non-Cardiac Arrest Ethics

Simulation Toxicology/Environmental Trauma Other

Each year, the Program Committee selects approximately six reviewers for each of the topic areas, including expert reviewers and members of the Program Committee. Therefore, not every approved reviewer will be invited to review each year. Individuals selected to review submitted abstracts will be expected to review up to 75 abstracts, must adhere to the SAEM abstract scoring system, and must submit their abstract scores by the deadline.

The deadline for authors to submit abstracts is November 21, 2012. Abstracts will be available for review by November 28th and abstract scores will be due by 5:00 pm CST on December 17, 2012. All scores will be submitted in the online system.

Will you be our Partner?

Join America’s leading independent emergency physician group and be a part of a team that truly believes in democracy, transparency, and ownership for its physician Partners.

All CEP America physicians are Partners and owners in our democratic group from day 1. You can be confident that CEP America is committed to long-term, satisfying careers for emergency medicine physicians.

Whether you’re looking for a metropolitan area or a small town feel, with over 80 locations across the country and growing, we literally have something for everyone.

Join us!

To learn more, visit info.cep.com/join-cep

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Centered in Care.

Powered by PRIDE. Academic Emergency Medicine Opportunities with Tarrant County’s Only Level I Trauma Center

JPS Emergency Medicine Residency Program Our Program is committed to educating Emergency Physicians that provide the highest quality care anywhere - period. Our Residents are among the best and brightest young physicians in the USA. They train in a high volume, high acuity state-of-the-art medical complex incorporating a 65 bed Emergency Department (ED) occupying 38,000 square feet that opened to the public in 2008. JPS Health Network is the first and only Level I trauma center in Tarrant County.

• Established in 1906, JPS has devoted more than 100 years to educating physicians while caring for the residents of Tarrant County as the area’s tax-supported hospital district

• Zero ambulance diversion hours since 2008

• The ED provides care to more than 105,000 patients per year

• The ED is fully telemetry equipped

• Approximately 20% of patients evaluated in the ED are admitted to the hospital

• Two high speed CT scanners in the ED

• Our separate on-site Urgent Care Center provides care for another 70,000 low acuity patients per year

• Point-of-care testing for the most time sensitive of biomarkers in our ED Stat Lab

• Resuscitation rooms equipped with digital radiography and articulating arm mounted ultrasound

What happens when you couple a world class Emergency Medicine training environment with a truly great American city? A better residency experience – that’s what. As the 17th largest US city, Fort Worth, Texas offers a vibrant urban lifestyle yet maintains the more intimate feel of a smaller community. Some of the finest cultural attractions in the country are located here. The area is also host to a variety of sports and entertainment venues. You can bet life in Fort Worth is never dull.

The Emergency Department (ED) at JPS Health Network provides outstanding care for the highest acuity patients in Tarrant County. Faculty in the Department of Emergency Medicine (EM) provide Residents with exceptional education and broad clinical experiences to include best practice management strategies for both common and uncommon presentations.

ALL EM Faculty are ABEM or AOBEM certified or eligible. The JPS ED is the only ED in Tarrant County with 100% Board Certified/Eligible Emergency Physicians attending 24/7/365.

The American College of Graduate Medical Education (ACGME) approved our program in July, 2009 as the largest EM Residency startup ever. We matched our inaugural class of 12 high caliber Residents on March 17, 2011 and repeated that success by matching our second strong class on March 16, 2012. The first three classes matching into our program will help shape the future of EM at JPS and within Tarrant County.

Our Residents will receive and contribute to the highest quality education available in areas such as Critical Care, Trauma, and ED Administration.

The JPS EM Residency Program is dedicated to graduating the new leaders of medicine – making a difference now and well into the future.

Learn more visit: www.jpshealthnet.org/For-Medical-Professionals/Emergency-Medicine.aspx

For more information contact: Tina Wells, Physician Recruiter at (817) 702-8696 or E-mail bsnarr@jpshealth.org.

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National Institutes of Health, DHHS

Research Career Development Programs in Emergency Medicine Research (K12s) In May 2011, the National Heart, Lung, and Blood Institute (NHLBI) funded six institutional research career development (K12) awards to promote multidisciplinary clinical research training programs in Emergency Medicine (EM). These programs will prepare clinician-scientists for independent research careers and academic leadership roles in EM. Each program will provide comprehensive research training to evaluate innovative approaches in the diagnosis and clinical management of patients with acute, life-threatening manifestations of cardiovascular, pulmonary, hematologic and trauma-related diseases in emergency department settings. The goal of this program is to promote the growth of strong, competitive clinical EM and Pediatric EM investigators. The six programs are now recruiting their second class of scholars (to begin on July 1, 2013).

Components of the programs include 1) Didactic training in clinical research and 2) a mentored research experience, with a training period of two or three years. Scholars will meet the standards for an academic appointment in the school of medicine. Although their research interests must focus on Emergency Medicine, scholars may come from a variety of clinical backgrounds, including Emergency Medicine, Cardiology, Pulmonary/Critical Care, Hematology, Surgery, and Pediatrics, as well as Nursing and Pharmacy. Each program is committed to training scholars from under-represented minority groups and those with disabilities.

For program specific information, please contact the program directors, identified below: Programs are now recruiting K12 Scholarships for July 1, 2013.

Emergency Medicine K12 Programs Mount Sinai School of Medicine Lynne D. Richardson, MD, FACEP lynne.richardson@mssm.edu Oregon Health and Science University Robert A. Lowe, MD, MPH lowero@ohsu.edu Cynthia Morris, PhD, MPH morrisc@ohsu.edu University of Pennsylvania Lance B. Becker, MD lance.becker@uphs.upenn.edu Brian Leslie Strom, MD, MPH bstrom@exchange.upenn.edu University of California-Davis Nathan Kuppermann, MD, MPH nkuppermann@ucdavis.edu James F. Holmes, MD, MPH jfholmes@ucdavis.edu University of Pittsburgh Donald M. Yealy, MD yealydm@upmc.edu Clifton W. Callaway, MD, PhD callawaycw@upmc.edu Vanderbilt University Alan B. Storrow, MD alan.storrow@vanderbilt.edu Douglas Sawyer, MD, PhD Douglas.b.sawyer@vanderbilt.edu

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ATLANTA, GA

DEPARTMENT OF EMERGENCY MEDICINE

◊filled.

Clinician Educator ◊ Clinical Researcher ◊ ◊ Pediatric Emergency Medicine ◊ Ultrasound ◊ The Department of Emergency Medicine at East Carolina University, Brody School of Medicine seeks BC/BP emergency physicians and pediatric emergency physicians for tenure or clinical track positions at the rank of assistant professor or above, depending on qualifications.

Through this expansion we will increase our cadre of clinician-educators and further develop programs in pediatric EM, ultrasound, and clinical research. Our current faculty possesses diverse interests and expertise leading to extensive state and national-level involvement. The emergency medicine residency is well-established and includes 12 EM and 2 EM/IM residents per year. We treat more than 105,000 patients per year in a state-of-the-art ED at Pitt County Memorial Hospital.

PCMH is a rapidly growing level I trauma, cardiac, and regional stroke center. The ED will expand into a new pediatric ED in spring 2012, and a new children’s hospital is also under construction. Our tertiary care catchment area includes more than 1.5 million people in eastern North Carolina, many of whom arrive via our integrated mobile critical care and air medical service. Greenville, NC is a fast-growing university community located near beautiful North Carolina beaches. Cultural and recreational opportunities are abundant. Compensation is competitive and commensurate with qualifications; excellent fringe benefits are provided. Successful applicants will possess outstanding clinical and teaching skills and qualify for appropriate privileges from ECU Physicians and PCMH.

Bring your skills in diagnosis, healing, teaching and inquiry to one of Emergency Medicine’s largest and best programs.

Faculty: Emory University seeks exceptional clinician-educators and clinician-scholars to advance our broad teaching and research missions.

We provide clinical care, teaching and research support for 5 academic metro Atlanta emergency departments encompassing 250,000 patient visits. These include 3 Emory Healthcare sites, the Atlanta VA Medical Center, and Grady Memorial Hospital with its new state of the art Marcus Trauma Center.

Director for Ultrasound: Emory seeks an excellent candidate for the Director of Emergency Ultrasound. The Department has extensive ultrasound privileges, multiple machines in each ED, a high functioning Section with three fellowship trained faculty, a well-trained general faculty, a dedicated resident ultrasound experience, ultrasound fellowship program, and resources and infrastructure for research. Candidates should be fellowship trained, or have equivalent credentials, and leadership experience.

Fellowships: Emory offers an exceptional environment for post-residency training. We will be considering applicants for 2013 for the following fellowships: Emory/CDC Medical Toxicology, Pre-Hospital and Disaster Medicine, Clinical Research, Injury Control & Prevention, Neuro-injury, Administration/Quality, Ultrasound, Biomedical Informatics and Observation Medicine. Candidates must be EM residency trained or Board certified.

Confidential inquiry may be made to Theodore Delbridge, MD, MPH, Chair, Department of Emergency Medicine (delbridget@ecu.edu).

ECU is an EEO/AA employer and accommodates individuals with disabilities. Applicants must comply with the Immigration Reform and Control Act. Proper documentation of identity and employability required at the time of employment. Current references must be provided upon request

www.ecu.edu/ecuem

For further information, visit our web site at www.emory.edu/em, then contact: Katherine Heilpern, MD, Professor and Chair Department of Emergency Medicine 531 Asbury Circle , N-340, Atlanta, GA 30322 Phone: (404)778-5975 / Fax: (404)778-2630 Email: ida.jones-render@emory.edu Emory is an equal opportunity/affirmative action employer.

Women and minorities are encouraged to apply

Research Director Opportunity at Carolinas Medical Center, Charlotte, NC Carolinas Medical Center (CMC) seeks a qualified MD or DO clinician-researcher to direct the Division of Research in the Department of Emergency Medicine . The Department of Emergency Medicine includes 38 full-time faculty, 42 residents, five fellowship programs, a basic science laboratory and a clinical population of 80,000 adults and 30,000 pediatric visits per year on the CMC Main campus. CMC is owned and operated by Carolinas HealthCare System (CHS), one of the leading healthcare organizations in the Southeast and one of the largest public, not-for-profit systems in the nation. The research opportunity includes access to patients and data from over 1.5 million Emergency Department (ED) visits at 33 hospitals owned and operated by CHS. The Division of Research currently provides substantial resources including:

 A highly experienced four-member, SoCRA-certified research team.  A dedicated 800 square foot fully equipped preclinical, translational science laboratory.  A PhD Director of prehospital research and a PhD Director of preclinical research.

The most important role of the research director will be to lead by example. As such, the director will write grants and conduct research pursuant to his or her expertise. The research director will also oversee the following:

 A team of four expert clinical trialists who have extensive experience with preparing and managing clinical protocols through all aspects of institutional and federal regulatory agencies, including the IRB and FDA.

 Preclinical research; Prehospital research; Resident research; Pediatric emergency medicine fellow research; Research fellowship.  Faculty mentoring.

We offer a competitive compensation & benefits package. For more information or to submit a CV for consideration, please contact: Geri Deutschman, Physician Recruiter at geri.deutschman@carolinashealthcare.org or call 800-847-5084 CAROLINAS HEALTHCARE SYSTEM IS AN AFFIRMATIVE ACTION AND EQUAL OPPORTUNITY EMPLOYER

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Individual/Group– Continued Timberline Emergency Physicians, P.C., founded in 1982 and providing service to St Mary’s of Michigan, is seeking Board Certified/Board Prepared Emergency Physicians. High Acuity Regional Referral Center, Emergency Medicine Residency, Helicopter Program and Faculty Appointments available with Michigan State University-College of Human Medicine. Excellent sub-specialty back-up, outstanding reputation and relationship with Medical Staff and Administration. Emergency services currently provided at both the main campus and free standing full service Emergency Department with 38 beds Observation Unit and Fast Track. Total volume for both sites is 52,000 visits annually. Highly livable community offers affordable housing, many recreational, educational and cultural activities. Contact: Jeffery Nielsen, M.D., FACEP, 4677 Towne Centre, Suite 302, Saginaw, MI 48604, (800)851-3487, fax (989)793-7482 or email jnielsen@stmarysofmichigan.org.

MISSOURI, St. Louis & Dexter: Full and Part Time Emergency Physician opportunities located in the heart of the Midwest. Earn $200k+ working only 6 shifts per month! 24 hour shifts with mid-level coverage. Immediate credentialing available. Must be BC/BE in EM, IM or FP. What’s Important To You…Is What Matters To Us!® Lucrative compensation, access to group benefits &

pension services, paid malpractice with tail and flexible scheduling. Contact Nicole Pletan: (877) 278-2056; email npletan@hppartners.com or visit www.hppartners.com.

NEW HAMPSHIRE: BC/BE EM physician sought for a community hospital located in the White Mountains. Ten bed level 2 trauma center with 14,000 annual visits.

Single coverage with additional NP coverage during busier days. Please send CV to Darin Brown MD, Emergency Department, Memorial Hospital, PO Box 5001, North Conway NH 03860, or email DBrown@memorialhospitalnh.org.

NEW JERSEY: Newton, NJ - Suburban charm with easy access to NYC, upstate NY and PA. EMA, one of the country’s most respected, democratic emergency medicine physician groups, is seeking BC/BE EM physicians in Newton, NJ. EMA offers superior compensation and comprehensive benefits (Health, Dental, Vision, Life, Disability and CME), partnership track offered. Excellent opportunities for professional growth. Scribes to enhance physician’s quality of practice.

Contact Dan Rizzo, Director of Recruitment, 877-692-4665, x1048 or rizzod@ema.net.

NEW YORK/NEW JERSEY: Staffing Support Team - NY/NJ - EMA, a premier physician emergency group is seeking BC/BE EM physicians who want to blaze new trails in their career as members of our elite Staffing Support Team at client hospitals. Excellent Opportunities for Professional Growth, Scribes to Enhance

Johns Hopkins Emergency Medical Services (JHEMS) at Howard County General Hospital is recruiting for a full-time physician for their Adult Emergency Medicine division. This hospital is conveniently located between Baltimore and Washington in Columbia, Maryland.

The Howard County General Hospital is a growing 220 bed community hospital in one of the most affluent counties in the country. JHEMS’ ED is just 8 years old and sees a total of 55,000 Adult patients per year. This practice is expanding due to a recent significant volume increase necessitating additional coverage.

JHEMS has a very established group of providers with 96 average daily hours of coverage. Requirements include board certification/preparation in Adult Emergency Medicine.

Comprehensive benefits include a competitive salary, incentive compensation, and an excellent benefits package including but not limited to employer funded health insurance coverage for you and your family, long-term disability, 401(k) match, and malpractice with tail.

If you are interested in pursuing this opportunity, please contact or send your CV to:

Walter Atha, MD Johns Hopkins Emergency Medical Services 5755 Cedar Lane, Suite 134 Columbia, MD 21044 watha@hcgh.org Phone: 410-740-7568; fax: 410-884-4749 Johns Hopkins Emergency Medical Services is an equal opportunity/affirmative action employer

viA Annals of Emergency Medicine

Volume 59, no. 5 : May 2012

ATLANTA, GA

DEPARTMENT OF EMERGENCY MEDICINE Bring your skills in diagnosis, healing, teaching and inquiry to one of Emergency Medicine’s largest and best programs.

Faculty: Emory University seeks exceptional clinician-educators and clinician-scholars to advance our broad teaching and research missions. We provide clinical care, teaching and research support for 5 academic metro Atlanta emergency departments encompassing 250,000 patient visits. These include 3 Emory Healthcare sites, the Atlanta VA Medical Center, and Grady Memorial Hospital with its new state of the art Marcus Trauma Center.

Director for Ultrasound: Emory seeks an excellent candidate for the Director of Emergency Ultrasound. The Department has extensive ultrasound privileges, multiple machines in each ED, a high functioning Section with three fellowship trained faculty, a well-trained general faculty, a dedicated resident ultrasound experience, ultrasound fellowship program, and resources and infrastructure for research. Candidates should be fellowship trained, or have equivalent credentials, and leadership experience.

Fellowships: Emory offers an exceptional environment for post-residency training. We will be considering applicants for 2013 for the following fellowships: Emory/CDC Medical Toxicology, Pre-Hospital and Disaster Medicine, Clinical Research, Injury Control & Prevention, Neuro-injury, Administration/Quality, Ultrasound, Biomedical Informatics and Observation Medicine. Candidates must be EM residency trained or Board certified.

For further information, visit our web site at www.emory.edu/em, then contact: Katherine Heilpern, MD, Professor and Chair Department of Emergency Medicine 531 Asbury Circle , N-340, Atlanta, GA 30322 Phone: (404)778-5975 / Fax: (404)778-2630 / Email: ida.jones-render@emory.edu Emory is an equal opportunity/affirmative action employer. Women and minorities are encouraged to apply

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Academic Emergency Medicine Physician

Heal the sick, advance the science, share the knowledge.

The Department of Emergency Medicine, Mayo Clinic in Jacksonville, Florida, is seeking a full-time academic Emergency Medicine physician.

This job provides the opportunity to join a dynamic faculty with commitment to practice, education and research in a 25,000-visit/year, high-acuity department.

Mayo Clinic’s new state-of-the-art regional referral hospital opened in April 2008, integrating our inpatient and outpatient practice on a single 400-acre campus. Mayo Clinic in Jacksonville is a 370-physician practice with a national and international referral base. Northeast Florida’s coastal location offers a pleasant climate and many outdoor recreational activities.

The successful candidate must be an individual with a demonstrated interest in academic emergency medicine as proven by performance in residency or fellowship training or faculty positions. EM residency trained, ABEM certification/preparedness and eligibility for Florida medical license required. A comprehensive and competitive salary and benefits package is being offered. To learn more about Mayo Clinic in Jacksonville, Florida, please visit www.mayoclinic.org/physician-jobs Interested individuals should submit a letter of interest and curriculum vitae to:

Scott Silvers, M.D. Department of Emergency Medicine Mayo Clinic 4500 San Pablo Road • Jacksonville, FL 32224 E-mail: silvers.scott@mayo.edu Mayo Foundation is an affirmative action and equal opportunity employer and educator. Post-offer/pre-employment drug screening is required.

The Department of Emergency Medicine at the University of Alabama School of Medicine is seeking talented residency trained Emergency Medicine physicians at all academic ranks to join our faculty. The University offers both tenure and non tenure earning positions.

The University of Alabama Hospital is a 903-bed teaching hospital, with a state of the art emergency department that occupies an area the size of a football field. The Department treats over 75,000 patients annually and houses Alabama’s only designated Level I trauma center. The Department’s dynamic, challenging emergency medicine residency training program is the only one of its kind in the State of Alabama.

The University of Alabama at Birmingham (UAB) is a major research center with over $440 million in NIH and other extramural funding. The Department of Emergency Medicine is a site for the NIH-funded Resuscitation Outcomes Consortium (ROC) and for the Protocolized Care of Early Sepsis Shock trial (ProCESS). The Department has been highly successful in developing extramural research support in this warmly collaborative institution.

Birmingham Alabama is a vibrant, diverse, beautiful city located in the foothills of the Appalachian Mountains. The metropolitan area is home to over one million people, who enjoy recreational activities year round because of its mild southern Climate.

Birmingham combines big city amenities with Southern charm and hospitality.

A highly competitive salary is offered. Applicants must be EM board eligible or certified.

UAB is an Equal Opportunity/Affirmative Action Employer committed to fostering a diverse, equitable and family-friendly environment in which all faculty and staff can excel and achieve work/life balance irrespective of ethnicity, gender, faith, and sexual orientation. UAB also encourages applications from individuals with disabilities and veterans Please send your curriculum vitae to: Janyce Sanford, M.D., Associate Professor & Chair of Emergency Medicine, University of Alabama at Birmingham; Department of Emergency Medicine; 619 South 19th Street; OHB 251; Birmingham, AL 35249-7013

© 2012 NAS (Media: delete copyright notice)

SAEM Newsletter 3.5" x 4.75" B&W

DIVISION HEAD – EMERGENCY MEDICINE Henry Ford Health System has an outstanding opportunity for a Division Head at the Henry Ford Fairlane Medical Center in Dearborn, Michigan. Last year, the Henry Ford Fairlane Emergency Department had over 60,000 ED visits. This site offers CT and ultrasound as well as staff radiologist interpretation 24x7. The Emergency Department is staffed by board certified Emergency Physicians. The 74 hours of daily physician coverage is supplemented by 18 hours of mid-level coverage. A distinct pediatric ED is open 20 hours and had over 17,000 visits last year. The Clinical Decision Unit has 6 beds and will be expanded to 12 beds in 1-2 years. Full subspecialty back up is available 24/7, either on-site or at Henry Ford Hospital. The Henry Ford Health System services Southeastern Michigan and the Emergency Medicine service line provided treatment for over 215,000 patients in our 5 locations last year.

This emergency department has an academic affiliation with Wayne State University and serves as a training site for the Henry Ford Hospital Emergency Medicine Residency Program.

The qualified candidate must be board certified/prepared, have demonstrated abilities in the areas of leadership, clinical operations, service excellence, quality improvement, mentorship, academics and community outreach.

Henry Ford Health System offers an excellent compensation and benefit package including fully paid malpractice insurance.

Please forward CV to: Scott Johnson, Physician Recruiter Email:sjohns10@hfhs.org or fax (313)874-4677

HENRY FORD HEALTH SYSTEM IS AN AA/EEO EMPLOYER

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□ Active - $560.00 Individuals with advanced degree university appointment actively involved in EM teaching or research.

□ Associate - $250.00 Open to those with interest in EM □ Young Physician Year One - $335.00 First year following

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□ Young Physician Year Two - $460.00 Second year following residency graduation.

□ International - email membership for pricing □ *Active/Associate/YP1 or YP2 Academy - $100.00 ea. □ AEUS □ AWAEM □ CDEM □ ADIEM □ Simulation □ GEMA □ Geriatrics

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□ Resident/Fellow - $165.00 Open to residents/fellows interested □ *AWAEM Resident/Fellow/Medical Student - FREE in EM. Graduation date:

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Interest Groups: Society members are invited to join any of the dedicated Interest Groups listed below.

Each membership category includes ONE Interest Group free of charge. Additional Interest Groups can be added for $25.00 □ Academic Informatics □ Airway □ CPR/Ischemia/Reperfusion □ Clinical Directors □ Disaster Medicine □ ED Crowding

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□ Educational Research □ EMS □ Evidence-Based Medicine □ Health Services & Outcomes □ Medical Quality Mgt □ Neurologic Emergencies

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SAEM, 2340 S. River Rd, Suite 200 Des Plaines, IL 60018. email: membership@saem.org You may also join at member.saem.org Rev. Date 6/14/2012

Society for Academic Emergency Medicine 2340 S. River Road, Suite 200 • Des Plaines, IL 60018 • 847-813-9823 • saem@saem.org • www.saem.org

Board of Directors Cherri D. Hobgood, MD President Alan E. Jones, MD President-Elect Deborah B. Diercks, MD, MSc Secretary-Treasurer Debra E. Houry, MD, MPH Past President Brigitte M. Baumann, MD, DTM&H, MSCE Andra L. Blomkalns, MD D. Mark Courtney, MD Robert S. Hockberger, MD Brent R. King, MD Sarah A. Stahmer, MD Brandon Maughan, MD, MHS, Resident Member Interim Executive Director Ronald S. Moen Send Articles to: newsletter@saem.org Send Ads to: mgreketis@saem.org 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 and e-Newsletters Click on Publications at www.saem.org

FUTURE SAEM ANNUAL M EETINGS 2013 May 15-18 The Westin Peachtree Plaza, Atlanta, GA 2014 May 14-17 Sheraton Hotel, Dallas, TX 2015 May 13-16 Sheraton Hotel and Marina, San Diego, CA AEM Consensus Conference May 15, 2013 Topic: “Global Health in Emergency Medicine: A Research Agenda” Co-Chairs: Stephen Hargarten, MD, MPH Mark Hauswald, MD Jon Mark Hirshon, MD, MPH Ian B.K. Martin, MD