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S A E M

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

Newsletter of the Society for Academic Emergency Medicine January/February 2006 Volume XVIII, Number 1

PRESIDENT’S MESSAGE International Academic Emergency Medicine: SAEM and its Global View The drafting of this message comes at a time when each President realizes they are half way through their term, the Glenn C. Hamilton, MD activities and vision of the President-Elect begin to ramp up, and a sharp awareness appears that from here on, one is only coming out of the woods rather than going in. I recognize the last two President messages were rather brutal in the reading, but strategic vision and infrastructure realities are by necessity tough topics to digest. If such things were easy, we wouldn’t devote our careers to them and rapidly move on to something more challenging. In this message, the focus has been an area of high personal interest for many years……international academic emergency medicine. Some of you may recall I spent nearly 12 years (1989-2001) shuttling back and forth to not-soscenic northern China, while working on behalf of the China Medical Board of New York City, Inc. in establishing an emergency medicine residency program at China Medical University in Shenyang, PRC. It was an intense, exhilarating and frequently frustrating experience, but there was the luxury of a few million dollars in matched grant money that allowed change to actually occur. The experiences with the Chinese physicians and nurses who came to Ohio to train will be some of the most vivid memories of my academic career, and most satisfying. With these experiences in mind, one of the earliest task forces proposed to the Board of Directors was International Emergency Medicine. Its rationale was the following: “International Emergency Medicine continues to grow in scope and activity. One of the significant shortcomings in international EM development is academic development including education and research. SAEM currently does not have a documented strategy and plan for how it chooses to relate to international emergency medicine as a Society. As the requests for SAEM’s involvement in international EM activities will continue for the foreseeable future, it is essential for the Society to chart its own course, one that will benefit international EM and allow the Society to maintain its mission.” In March 2005, after considerable discussion, this rationale and four accompanying objectives were accepted by the Board of Directors and assigned to this new task force. Kumar Alagappan, MD, from Long

CME Credit Available for Peer Reviewers of Academic Emergency Medicine The Editors and Editorial Board of Academic Emergency Medicine are pleased to announce that effective January 1, 2006, peer reviewers will receive three Category I continuing medical education credits for each peer review completed that meets the following criteria: 1. Received on or before the scheduled deadline time. 2. Given a rating of 70 or higher (on a 1-100 scale) by the Associate Editor in charge of the manuscript. A maximum of 15 credits (five reviews) will be awarded to a reviewer in each calendar year. Accreditation Statement: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Michigan State University College of Human Medicine and Academic Emergency Medicine. The Michigan State University College of Human Medicine is accredited by the ACGME to provide continuing medical education for physicians.

New EM Residency Program Approved During the September meeting of the Residency Review Committee for Emergency Medicine a new residency program at the University of Florida, Gainesville was approved. The residency program director is Kevin L. Ferguson, MD, and the associate residency program director is Richard W. Stair, MD. David Seaberg, MD, is the associate chair of the Department of Emergency Medicine. The program was approved for 8 residents per year. The residency program will be a 1-3 program at the University of Florida's main campus in Gainesville. Shands Hospital is the flagship hospital in the Shands Hospital system and is a Level 1 Trauma Center, burn center, and tertiary referral center for pediatrics, hyperbarics, and neonatology. The University of Florida, Gainesville program is the 135th approved EM residency program.

Erratum In the November/December issue of the SAEM Newsletter Dr. James Black was mistakenly identified as the Best Presenter runner-up of the 2005 CPC Final Competition. Dr. Jeanette Ebarb from the University of Virginia was selected as the Best Presenter runner-up. SAEM regrets the error.

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


Call for Nominations

SAEM Special Recognition Award Deadline: February 15, 2006 Nominations are sought for a new award, developed by the Awards Committee, and approved by the Board of Directors. This Special Recognition Award is designed to enable SAEM to recognize individuals who have made significant contributions in an area not typically recognized by the Society. Nominees may be a physician or a non-physician, but must be a member of SAEM. Types of activities to be considered are: humanitarian, international, political, or governmental service. The nominee's activities in these areas should be in line with and reflective of the SAEM mission, which is “to improve patient care by advancing research and education in emergency medicine.” The deadline for nominations is February 15, 2006. Nominations must be submitted electronically to saem@saem.org and will be reviewed by the Awards Committee. The Awards Committee will consider nominations each year, but the award may not necessarily be awarded annually.

Resident Group Discount Membership Participation SAEM would like to recognize and thank the residency programs that have elected to participate in the resident group discount membership. These 73 programs bring 2,463 resident members to the Society. In 1995, the inaugural year of the Resident Discount Program, 41 residency programs participated, providing membership benefits to 1,126 residents. This program provides residents with invaluable exposure to all facets of academic emergency medicine. Each resident member receives subscriptions to Academic Emergency Medicine and the SAEM Newsletter, plus a discounted registration fee to attend the Annual Meeting. The participating programs are: Regions Hospital Akron General Medical Center Resurrection Medical Center Albany Medical Center St. John Hospital and Medical Center Albert Einstein Medical Center St. Johns Oakland Hospital Allegheny General Hospital St. Luke's-Roosevelt Hospital Baystate Medical Center St. Vincent Mercy Medical Center Beth Israel Deaconess Medical Center/Harvard Affiliated Stanford University Boston University State University of New York at Buffalo Brigham and Women's/Massachusetts General Hospital State University of New York Health Science Center at Case Western Reserve University/MetroHealth Medical Syracuse Center Stony Brook University Christ Hospital State University of New York Downstate/Kings County Christiana Care Health System Hospital Cooper Hospital/University Medical Center Synergy Medical Education Alliance Duke University Texas Tech University East Carolina University Thomas Jefferson University Eastern Virginia University University of Alabama at Birmingham Emory University University of Arizona Grand Rapids MERC/Michigan State University University of Arkansas Hennepin County Medical Center University of California, San Diego Henry Ford Hospital University of Chicago Indiana University University of Cincinnati Johns Hopkins University University of Connecticut Loma Linda University University of Louisville Louisiana State University-Charity Hospital University of Michigan Maimonides Medical Center University of Nebraska Maricopa Medical Center University of New Mexico Medical College of Virginia University of North Carolina Medical College of Wisconsin University of Pennsylvania Michigan State University – Kalamazoo University of Pittsburgh New Jersey Medical School - UMDNJ University of Virginia New York Hospital - Queens Wake Forest University New York Methodist Hospital Wayne State University/Detroit Medical Center North Shore University Hospital Wayne State University/Sinai-Grace Hospital Northwestern University William Beaumont Hospital Ohio State University Wright State University Oregon Health & Science University Yale-New Haven Medical Center Palmetto Richland Memorial Hospital York Hospital Penn State/Hershey Medical Center 2


Start Planning Your Trip to the Annual Meeting – May 2006 Deb Houry, MD, MPH Emory University SAEM Program Committee Chair It’s not too early to start thinking about the 2006 Annual Meeting. The Program Committee has been busy putting together an amazing meeting for you and we hope that you are planning to attend.

young investigator, and faculty “best papers”. We will honor regional winners in these categories as well with award ribbons placed on posters and an acknowledgement in the Onsite Program.

Social Events This year’s banquet will be a wonderful opportunity for SAEM members to network and socialize while getting to see part of the city. We have selected the Exploratorium, a handson science museum with over 650 exhibits, as our venue. Attendees will have access to both floors of the museum and will be able to make their own take-home souvenir at the pendulum paint exhibit. We will also be bringing a taste of San Francisco to you through our “Streets of San Francisco” menu with North Beach, Chinatown, and Fisherman’s Wharf food stations. Some of the menu items include: antipasto, penne and fennel sausage, garlic braids, pad thai, sesame ginger eggplant, petite mu shu, seafood cakes, and clam chowder. Tickets will be $85 per person and will include a San Francisco themed dinner, two drink tickets, round-trip transportation, and access to the Exploratorium. For those who would like to bring their families to the event, we will offer $45 discounted tickets for children under the age of 12. Mark your calendars now for Friday, May 19! Plans are also underway for musical entertainment at our opening reception and a wine tasting reception on the third night of the meeting (May 20). We hope to offer group tickets to an Oakland A’s game once the game schedule is finalized. We have also scheduled short coffee breaks each day to give members a chance to socialize.

Didactic Sessions and Workshops One of the biggest changes to our didactic schedule is a 15 minute break before our didactic lunch sessions. We will no longer be offering seated, plated lunches. Instead, we have contracted with the Marriott to provide a lunch cart with sandwiches and snacks for sale outside the lecture rooms. SAEM meeting attendees will no longer have to pre-register for lunch lectures and can opt to buy lunch from the hotel cart or from a neighboring restaurant. We will also provide a list of quick lunch spots within walking distance of the hotel. We expect that this will increase the number of people In addition, the Institute of Medicine report on The Future of Emergency Care in the United States Health System should be released in April. We plan to have a session dedicated to this report with ample time to ask questions of IOM committee members and to discuss how this may affect emergency medicine. Finally, the SAEM Research Committee worked in collaboration with members of the ACEP Research Committee and will be holding a Grant Writing Workshop on the pre-day, Wednesday May 17. NIH staff will be leading sessions on grant writing skills and how to improve your chances of getting funded, so this should be an invaluable opportunity for SAEM members to get tips from the experts. Medical Students and Chief Residents Forums Instead of hosting the Medical Student Symposium on a pre-conference day, which conflicted with the CPC Competitions in the past, we are hosting it on the third day of the Annual Meeting (May 20). Medical students are to be able to get weekends off, so we have planned this symposium accordingly on a Saturday. In addition, many chief residents participate in the Medical Student Residency Fair, but program directors have a difficult time releasing the chief residents from clinical responsibilities for the entire meeting. We have moved the Chief Residents Forum to the last day of the meeting (May 21), one day following the Medical Student Symposium.

Paper Presentations The abstract deadline is January 10 and we anticipate another great year of abstract submissions. As in previous years, no late abstracts will be accepted. We are implementing a new category for abstracts called “late breaker sessions”. This will allow investigators who have not finished data collection to present their results at our meeting instead of waiting another year to present at SAEM. For example, investigators on a clinical trial that completed data collection in March previously would not have been able to submit an abstract to our meeting. Researchers submitting late breaker abstracts must complete data collection and analysis by April. Late breaker abstracts will be reviewed by the scientific subcommittee based on the quality of methodology, preliminary results, and anticipated timely completion of the study. These abstract submissions will be due at the same time as regular abstracts. After reviewing all abstract submissions, we anticipate to send out decision letters by February 15. The award categories this year will include: medical student, resident, fellow,

Other upcoming deadlines The deadline for IEME Exhibit Submissions is February 16 and the photo submission deadline is February 24. These deadlines are coming up soon, so plan accordingly. As always, please feel free to contact me with questions and suggestions for the Annual Meeting. Email is the easiest way to reach me: dhoury@emory.edu. I look forward to seeing all of you in San Francisco!

Check out the Annual Meeting schedule of events, didactic session descriptions, and other details on the SAEM website. The online abstract submission brochure is also available on the website.

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Call for Nominations SAEM Elected Positions Deadline: February 7, 2006 Nominations are sought for the SAEM elections that will be held in the spring of 2006. The Nominating Committee will select a slate of nominees based on the following criteria: previous service to SAEM, leadership potential, interpersonal skills, and the ability to advance the broad interests of the membership and academic emergency medicine. Interested members are encouraged to review the appropriate SAEM orientation guidelines (Board, Committee/Task Force or President-elect) to consider the responsibilities and expectations of an SAEM elected position. Orientation guidelines are available at www.saem.org or from the SAEM office. President-elect: The President-elect serves one year as President-elect, one year as President, and one year as Past President. Candidates are usually members of the Board of Directors. Board of Directors: Two members will be elected to three-year terms on the Board. Candidates should have a track record of excellent service and leadership on SAEM committees and task forces. Resident Board Member: The resident member of the Board of Directors is elected to a one-year term. Candidates must be a resident during the entire term on the Board (May 2006-May 2007) and should demonstrate evidence of strong interest and commitment to academic emergency medicine. Nominations should include a letter of support from the candidate’s residency director. Nominating Committee: One member will be elected to a two-year term. The Nominating Committee develops the slate of nominees for the elected positions. Candidates should have considerable experience and leadership on SAEM committees and task forces. Constitution and Bylaws Committee: One member will be elected to a three-year term, the final year as the chair of the Committee. The Committee reviews the Constitution and Bylaws and makes recommendations to the Board for amendments to be considered by the membership. Candidates should have considerable experience and leadership on SAEM committees and task forces. The Nominating Committee wishes to consider as many candidates as possible and whenever possible will select more than one nominee for each position. Nominations may be submitted by the candidate or any SAEM member. Nominations must be submitted electronically to saem@saem.org and must be submitted in the following format: Nominations are sought for the following positions: 1. Name 2. Current academic position(s): • institution(s) • academic appointment(s) • other major administrative position(s), such as chair, director, dean, etc: 3. Non-SAEM career accomplishments, such as awards, grants, leadership positions, etc. (100 word limit): 4. SAEM service • member since: • list/date committee/task force/interest group membership • leadership roles within SAEM (and when): • committees/task forces/interest groups • elected positions (Board, Nominating Committee, C&B Committee) • list role in major contribution to SAEM products (e.g., author of X, developing Y, etc) 5. Personal statement of what the candidate wants to do for SAEM, if elected (300 word limit) • What have been your proudest accomplishments for SAEM? • What are your goals for advancing the Society? • What is your vision for the future of SAEM? • Which needs of the membership do you wish to address? • Personal comment to membership (optional)

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NOTE: SAEM members who wish to be considered for appointment to an SAEM committee in 2006-2007 (May 2006-May 2007) must complete the online Committee Interest Form, which is available on the SAEM web site at www.saem.org. All interested members, whether currently serving on a committee or task force or not currently serving, must complete the Interest Form in order to be considered. The deadline to submit the Interest Form is February 15, 2006. Individuals must be current members of SAEM in order to serve on a committee or task force. Contact SAEM at saem@saem.org if you have any questions.

Committee and Task Force Selection Process Begins Deadline: Feburary 15, 2006 James Hoekstra, MD Wake Forest University SAEM President-elect Most of our annual planning for the 2006-2007 SAEM year, which begins each May, occurs during the winter months. An important component of this is the development of realistic objectives for our committees and assignment of special needs projects to task forces. The committees have an essential role in determining how well SAEM progresses in our mission each year. The work each year focuses on a number of specific objectives. Although ultimately assigned by the President-elect, these objectives are developed by soliciting ideas from the entire membership, as well as current and prior committee chairs and members. The Board of Directors reviews these assignments, to assure coordination and resource allocation appropriate to each task. Task Forces (TF) are unique entities developed by the President-elect in cooperation with the Board of Directors to address a specific focused issue in a timely manner. SAEM relies on task forces to deliver recommendations to the Board or produce a time sensitive product for the organization. A task force usually accomplishes its objectives within one to two years from inception. Why Should You Become a Committee or Task Force Member? ● You believe in SAEM’s mission statement: “to improve patient care by advancing research and education in emergency medicine”. ● You wish to assist in defining the future practice of your specialty. The academic mission is a special and unique pursuit, critical to the future of our specialty and the patients we serve. We are responsible for training the next generation of EM clinicians and academicians. We define the future practice of our specialty through the work of our members, both with SAEM activities and at our academic institutions. You have special knowledge/skills or interests in a committee/TF work area. Sometimes more junior members in the Society are afraid to volunteer because they “lack expertise” in an area. However, if you have the time, are willing to

do the work, and have a passion for that area, you represent exactly what a committee/TF really needs. How Do I Get Assigned to a Committee/TF? ● First, assess your ability to offer a realistic time commitment. ● Second, review the current committee and task force objectives. Where do your interests and experiences lie? What abilities or perspectives might you contribute? ● Third, everyone who desires appointment MUST complete the Committee/task force Interest Form, which is available online at www.saem.org. This includes currently assigned members as well! Remember, committee composition rotates regularly, with approximately one-third of the members turning over each year. This assures that all members who desire to participate can do so. While invariably disappointing to some members who are not reassigned, this practice has served SAEM very well over the years and is a critical component of individual member development. Reassignment also is influenced by the chair’s evaluation of an individual’s productivity, timeliness, responsivity and overall contributions. ● Finally, when submitting your interest form, please make a brief statement supporting your committee choice. SAEM is a large organization, and I unfortunately do not know every member’s skills and talents. While performance record goes a long way for those currently serving, the interest form will be a major factor in appointment decisions for all members. SAEM’s mission has never been more critical for the lives of our patient population. We are charged with defining the future practice of EM, both clinical practice and academics. The committees and task forces are central to the mission and goals of the Society. We look forward to your volunteering this year. Please address specific questions about this process to the SAEM office at saem@saem.org.

SAEM members are invited to submit proposed objectives for the 2006-07 committees and task forces. Objectives should be concise, measureable, and relate directly to the SAEM mission. Send suggested objectives to saem@saem.org. 5


Call For Nominations Young Investigator Award Deadline: December 15, 2006 In May 2006, SAEM will recognize a few young investigators who have demonstrated promise and distinction in their emergency medicine research careers. The purpose of the award is to recognize and encourage emergency physicians/scientists of junior academic rank who have a demonstrated commitment to research as evidenced by academic achievement and qualifications. The criteria for the award includes: 1. Specialty training and certification in emergency medicine or pediatric emergency medicine. 2. Evidence of significant research collaboration with a senior clinical investigator/scientist. This may be in the setting of a collaborative research effort or a formal mentor-trainee relationship. 3. Academic accomplishments which may include: a. postgraduate training/education: research fellowship, master’s program, doctoral program, etc. b. publications: abstracts, papers, review articles, chapters, case reports, etc. c. research grant awards d. presentations at national research meetings e. research awards/recognition The candidate must have training and board certification in emergency medicine or pediatric emergency medicine. Criteria taken into consideration in determining the award recipient include prior research grant awards, publications, presentation, and other awards. Research grant awards are most highly weighted, especially if from federal or major foundation sources. Research publications will be weighted based on their quality and number. Publication in high impact or moderate impact journals will be weighted higher than publications in low impact journals. Research presentations at national meetings and nonmonetary awards will be given relatively less weight in the overall evaluation. The deadline for the submission of nominations is December 15, 2006, and nominations must be submitted electronically to saem@saem.org. (Do not send hard copies.) Nominations should include the candidate’s CV and a cover letter summarizing why the candidate merits consideration for this award. Candidates can nominate themselves or any SAEM member can nominate a deserving young investigator. Candidates may not be senior faculty (associate or full professor) and must not have graduated from their residency program prior to June 30, 1999. The core mission of SAEM is to advance teaching and research in our specialty. This recognition may assist the career advancement of the successful nominees. We also hope the successful candidates will serve as role models and inspirations to us all. Your efforts to identify and nominate deserving candidates will help advance the mission of our Society.

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

The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2006 SAEM Annual Meeting, May 18-21, 2006 in San Francisco, CA. Submitters are invited to complete an application describing an innovative new educational methodology that they have designed, or an innovative educational application of an existing product. The exhibit should not be used to display a commercial product that is already available and being used in its intended application. Exhibits will be selected based on utility, originality, and applicability to the teaching setting. Commercial support of innovations is permitted but must be disclosed. IEME exhibits will be published in a summer 2006 issue of Academic Emergency Medicine, as well as in the Annual Meeting on-site program. However, if submitters have conducted a research project on or using the innovation, the project may be written up as a scientific abstract and submitted for scientific review in the appropriate subject category by the January 10 deadline. The deadline for submission of IEME Exhibit applications is Wednesday, February 16, 2006 at 5:00 pm Eastern Daylight Time. Only online submissions using the form on the SAEM website at www.saem.org will be accepted. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801.

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Call for Nominations Deadline: February 15, 2006 Nominations are sought for the Hal Jayne Academic Excellence Award and the Leadership Award. These awards will be presented during the SAEM Annual Business Meeting in San Francisco during the 2006 Annual Meeting. Nominations for honorary membership for those who have made exceptional contributions to emergency medicine are also sought. The Awards Committee wishes to consider as many exceptional candidates as possible. The awards and criteria are described below:

Academic Excellence Award The Hal Jayne Academic Excellence Award is presented to an individual who has made outstanding contributions to emergency medicine through research, education, and scholarly accomplishments. Candidates will be evaluated on their accomplishments in emergency medicine, including: 1. Teaching ● Didactic/Bedside ● Development of new techniques of instruction or instructional materials ● Scholarly works ● Presentations ● Recognition or awards by students, residents, or peers 2. Research and Scholarly Accomplishments ● Original research in peer-reviewed journals ● Other research publications (e.g., review articles, book chapters, editorials) ● Research support generated through grants and contracts ● Peer-reviewed research presentations ● Honors and awards Previous recipients of this award are: Tom Aufderheide, MD, William Barsan, MD, Charles Brown, MD, Steven Dronen, MD, Richard Edlich, MD, PhD, Lewis Goldfrank, MD, Glenn Hamilton, MD, Jerris Hedges, MD, MS, Judd Hollander, MD, Gabor Kelen, MD, Arthur Kellermann, MD, MPH, Roger J. Lewis, MD, PhD, John Marx, MD, James Niemann, MD, Emanuel Rivers, MD, James Roberts, MD, Ernest Ruiz, MD, Arthur Sanders, MD, Corey Slovis, MD, Ian Stiell, MD, and Blaine White, MD.

Leadership Award The Leadership Award is presented to an individual who has demonstrated exceptional leadership in academic emergency medicine. Candidates will be evaluated on their leadership contributions including: 1. Emergency medicine organizations and publications. 2. Emergency medicine academic productivity. 3. Growth of academic emergency medicine. Previous recipients of this award are: William G. Barsan, MD, Louis Binder, MD, E. John Gallagher, MD, Lewis Goldfrank, MD, Glenn Hamilton, MD, Jerris Hedges, MD, MS, Robert Knopp, MD, Ronald Krome, MD, Richard Levy, MD, Louis Ling, MD, James Niemann, MD, Peter Rosen, MD, Arthur Sanders, MD, David Sklar, MD, William Spivey, MD, Judith Tintinalli, MD, Joseph Waeckerle, MD, and David Wagner, MD. Nominations may be submitted by the candidate or any SAEM member. Nominations should include a copy of the candidate's CV and a completed application that includes the following: • Nominee’s Name (first name, middle initial, last name, earned degrees) • Date of Birth (month, day, year) • Primary Employment Position and Institution (include mailing address, phone and FAX numbers and email address): • Education (institutions, degrees, years, and major disciplines. Do not include honorary degrees) • Principal Honors and Awards Received • Major Leadership Positions Within SAEM • Major Non-SAEM National Leadership Positions, Societies and Boards • Person Nominating Award Candidate (include mailing address, phone and FAX numbers and email address • Statement on how this individual had a positive impact on academic emergency medicine and met the criteria for this award (limited to 2 pages): Nominations must be sent electronically to saem@saem.org.

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Medical Student Interest Group Grant Recipients Alan E. Jones, MD Carolinas Medical Center SAEM Grants Committee SAEM is pleased to announce the selection of ten recipients for the Medical Student Interest Group Grant. Each grant provides $500 to the institution for activities to assist in the development of interest groups for medical students exploring emergency medicine as a career choice. The Grants Committee received twenty-two proposals and each was reviewed by at least three reviewers and prioritized based on their educational merit, potential impact, feasibility, institutional support and applicant qualifications. The Board of Directors approved the funding of the ten recommended proposals. SAEM continues to receive a high number of superb applications from medical student interest groups. Selection of recipients is a challenge for the Grants Committee. Thanks to generous contributions by the membership to the Research Fund, SAEM has been able to provide support for an increasing number of applicants over the past several years. We firmly believe that these grants will help secure the continued influx of outstanding students and future leaders into our specialty. Congratulations to this year’s recipients:

Project: Development of an EM Interest Journal Club and Evidence Based Medicine Web-portal. This project is directed towards Latin American medical students. The primary objective of this project will be the development of an emergency medicine evidence-based medicine web portal and monthly journal club designed by and directed to Mayo Clinic and Iberoamerican University medical students. The project will involve the development and maintenance of a web-based English and Spanish emergency medicine and pre-hospital care journal club directed to a medical student level audience. Volunteer faculty members from Mayo Medical School, Iberoamerican University, and members of the Latin American Association for Cooperation in Emergency Medicine and Disasters will serve as moderators for the project. New York University Applicant: Irina Bernescu Faculty Co-Applicant: Eric Legome, MD, and Adam Rosh, MD Project: A multi-disciplinary approach to examine how the role and interactions of the emergency physician affects the treatment and legal consequences of the sexual assault survivor’s visit to the ED. The goal of this project is to assemble an emergency physician and other members from the community (police department, district attorney, rape crisis) who will speak about their interactions with sexual assault survivors and how the emergency physician has an integral role in various aspects of the case.

Boston University Primary Applicant: Stephanie Chu Faculty Co-Applicant: Judy Linden, MD Project: "Emergency Medicine: Street-style." The goal is to have emergency medicine residents and physicians teach medical students how to properly stabilize a person in an emergency situation until proper medical aid is available. East Carolina University Applicant: Michael A. Long Faculty Co-Applicant: Kori L. Brewer, PhD Project: Emergency Procedures Laboratory. This grant provides a special opportunity for medical students to directly perform emergency surgical procedures on anesthetized animals and witness, first hand, the clinical physiology initially learned within the classroom.

University of California - San Francisco Applicant: Carley Maak, Jon Rosenson, Carina Baird Faculty Co-Applicant: Jeff Tabas, MD Project: Combined Cadaveric Advanced Procedures/ Ultrasound course. The goal of this project is to provide medical students with a course that focuses on instruction of eight emergent procedural techniques and a basic introduction to emergency ultrasound. Each course involves sessions on two consecutive days, including a classroom portion and a separate lab section with the unembalmed cadavers and the ultrasound machines.

George Washington University Applicant: Irina Jessica Fox Faculty Co-Applicant: Tenagne Haile-Mariam, MD Project: Disaster Response Preparedness. The goal of this project is to educate medical students about their role in disaster response using a lecture series, mock disaster situation drills, and an educational CD-ROM.

University of Maryland Applicant: Kenneth H. Butler Project: The proposed project will offer students workshops in a blended educational technology environment. Blended simulation is the combination of the use of standardized patients and human patient simulators to provide students a richer, more complex learning experience than either technology can offer on a stand alone basis. Standardized patients offer the realism of an actual patient encounter.

Loma Linda University Applicant: Sarah Jane Christian-Kopp Faculty Co-Applicant: Lynda Daniel-Underwood, MD Project: “24/7 : Life in the ED”. The goal of this project is to provide medical students with a series of six evening lectures with associated skills labs in order to provide advanced knowledge on common concepts encountered in emergency medicine and to foster mentor relationships.

University of Michigan Applicant: Malika Fair, Anita Vashi Faculty Co-Applicant: Laura Hopson, MD Project: “EM Day”. This project is intended for medical students and provides first hand experience from several areas within emergency medicine including airway management, pre-hospital services, flight medicine, and ultrasonography. Students will rotate through stations in which EM faculty and residents will teach and develop mentor relationships with the students.

Mayo Clinic Applicant: Thomas P. Warrington, Rebecca Johnson, Dr. Amado Alejandro Báez Faculty Co-Applicant: Jennifer J. Hess, MD, and Gustavo E. Flores, MD

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Medical Student Grants‌(continued from page 8) Wake Forest University Applicant: Katie Steele, Bronwyn Young, Brett Bechtel, Chad Scarboro, John McMullen, Stephanie Cox Faculty Co-Applicant: Henderson McGinnis, MD, and David Manthey, MD Project: Advanced Procedures Lab Using a Cadaveric Model. This project will provide students interested in emergency medicine the opportunity to become familiar and more comfortable with various invasive procedures. The advanced procedures

skills lab for medical students is a unique offering. Medical students often find themselves at the end of a long line of people waiting for a chance to perform a procedure. Through the lab, individualized instruction and supervision to the medical students will be offered while they perform the various procedures in an environment with no harm or risk to patients. The hope that this lab will increase the comfort and proficiency level of medical students interested in emergency medicine

Board of Directors Update The SAEM Board of Directors meets monthly, usually by conference call. This report includes the highlights from the October and November conference calls. The Board approved a Institutional Membership Program and a Young Physician Discount Program. Details are published in this issue of the Newsletter. The Board approved the budget for the 2006 SAEM Annual Meeting as proposed by the Program Committee. A Program Committee update is published in this issue of the Newsletter. The Board approved the application of the 2006 New York Regional Meeting, which will be held on April 8 in Syracuse, New York. The Board also approved the application of the Southeastern Regional Meeting, which will be held on March 24-25 in Greensboro, North Carolina. Calls for abstracts and further details are published in this issue of the Newsletter. The Board approved the recommendations of the Grants Committee to fund ten Emergency Medicine Medical Student Interest Group grants. Additional information on the grant recipients is published in this issue of the Newsletter.

The Board approved revisions to the Satellite Symposium Guidelines, which have been posted on the SAEM web site. The Board approved a survey of the medical students who attended the 2005 Medical Student Symposium in New York. The Board approved a check-signing policy, as recommended by the Finance Committee. The Board approved an Ethics Committee proposal to develop ethics teaching resources for emergency medicine residencies. The Board approved a Constitution and Bylaws Committee recommendation to propose some minor housekeeping-type amendments to the membership for consideration. The membership will have an opportunity to approve or disapprove the amendments during the annual SAEM elections, which will be held in the spring. The Board appointed Dr. Clif Callaway to serve as the SAEM representative to the American Heart Association ACLS Subcommittee. The next meeting of the Board of Directors will be held on March 3 and March 4 during the CORD Academic Assembly in Las Vegas.

Call for AEM Reviewers Deadline: March 22, 2006 SAEM members are invited to submit nominations to serve as peer reviewers for Academic Emergency Medicine. As an indicator of familiarity with the peer-review process, the medical literature, and the research process in general, peerreviewers are expected to have published at least two peer-reviewed papers in the medical literature as first or second author. Some of these papers should be original research work. Other scholarly work or experience will be considered as evidence of expertise (i.e., informatics experience demonstrated by network/database/desktop development). AEM peer-reviewers are invited to review specific manuscripts based on their area(s) of expertise. Once a reviewer has accepted an invitation to review a manuscript, the reviewer is expected to complete the review within 14 days of receipt of the manuscript. To provide feedback to reviewers, reviewers receive the consensus review from each manuscript that they review. In addition, each review is evaluated by the decision editor in the areas of timeliness, assessment of manuscript strengths and weaknesses, constructive suggestions, summarizing major issues and concerns, and overall quality of the review. Scores are compiled in the AEM database. Each year the Editor-in-Chief designates Outstanding Reviewers for public acknowledgment of excellent contributions to the peer-review process. Reviewers who consistently fail to respond to requests to review, who are unavailable to perform reviews, or who submit late or incomplete reviews may be dropped from the peer reviewer database at any time, at the discretion of the Editor-in-Chief. Individuals interested in being considered for appointment as an AEM peer reviewer must send a letter of interest including areas of expertise as defined on the reviewer topic survey and a current CV. The reviewer topic survey can be found at www.saem.org/inform/resurvey.htm. Most appointments as peer reviewer are for three years. All applications must be submitted electronically to aem@saem.org by March 22, 2006.

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2005-06 Interest Group Objectives Interest groups are required to meet at least annually, during the SAEM Annual Meeting. At that time, each interest group is asked to develop objectives, and some are listed below for the benefit of members who may wish to participate. Additional interest group objectives will be published in future issues of the Newsletter. Members interested in joining an interest group may contact saem@saem.org and ask to be added to the interest group (and in most cases, subscribed to the interest group's list-serv). Dues are $25 per year per interest group. if any objective evidence exists to allow recommendation of one. 4. To discuss potential multi-centered research projects related to the various triage scales, techniques, methodologies, or outcomes. 5. To discuss multiple casualty incident triage and/or trauma triage hospital and pre-hospital. 6. To determine the advantages and disadvantages of an electronic triage process as compared to traditional paper.

Triage Interest Group Chair: Gregory Almond, MD: Gregory.Almond@nychhc.org 1. To bring researchers and educators together annually for a collegial discussion related to triage. 2. To develop educational materials related to triage. 3. To discuss the various triage scales, including the Emergency Severity Index (ESI), Canadian Triage Scale, Manchester Triage Score, Australian Score, and determine

Palliative Medicine Interest Group Meeting Report Tammie Quest, MD Emory University Chair, SAEM Palliative Care Interest Group There is continued interest and growing enthusiasm in the Palliative Medicine Interest Group with 18 attendees at the meeting held during the 2005 SAEM Annual Meeting and six members not in attendance. The group reaffirmed the importance and lack of attention emergency medicine has given to this area by a paucity of research or education to properly attend to the needs of patients and families that present to the ED with serious chronic, progressive illness. There was discussion regarding the growing number of hospital based palliative medicine services in the U.S. and how the emergency physician could best utilize this growing service line with partnerships in clinical care, research, and education. A priority for initial research in palliative medicine in the ED was thought to be the development of ED appropriate measurement tools for pain and non-pain symptoms, as well as quality of life measures. Educational initiatives include increased attention to clinical skills and competencies regarding ED communication skills (eg, goals of care and end-of-life

decision making), as well as pain and non-pain symptom management. The Palliative Medicine Interest Group in the coming year would like to accomplish several initiatives that include: 1) SAEM Annual Meeting contributions in the form of an Innovation in Emergency Medicine Education Exhibit and/or a didactic session on palliative medicine research methodology and tools; 2) the development of a web site for emergency physicians interested in ED based palliative medicine research, education and clinical skills; and 3) an EM Core Content curriculum review of palliative medicine principles and skills with an identification of important gaps. There is also discussion of an ongoing initiative to craft a multi-site pilot investigation that would focus on the identification of patients and families in the ED with palliative care needs. Anyone interested in joining the Palliative Medicine Interest Group, or finding out more about this growing area, please contact: Tammie Quest, MD, at: tquest@emory.edu

Medical Education Research Interest Group Developing Chadwick Miller, MD Wake Forest University Gloria Kuhn, DO Wayne State University The SAEM Education Research Subcommittee has decided to begin an education research interest group. As all members of SAEM share a common desire to effectively and efficiently educate our residents and medical students, the importance of education research is apparent to us. The purpose and rationale of developing an education research interest group are detailed below. If you are interested in becoming a member of this group, please reply to cmiller@wfubmc.edu with your name, contact info (address, phone number, email), and whether your information can be shared with other potential members as part of a member

directory. Dues will be collected at a later date and will be similar to those for other SAEM interest groups. You may also join through the annual duses invoice that was mailed in November. Benefits and rationale for membership Emergency medicine education is vastly understudied. With a new emphasis on outcomes measurement from the ACGME, many new reforms are being instituted in medical education with little study into their effectiveness. Furthermore, educational research in other specialties that (continued on next page) 10


Education Research Interest Group…(continued from previous page) perform “bedside teaching” in outpatient clinics or wards is unlikely to be applicable to our unique emergency department environment. Thus, emergency medicine would be well served by developing an efficient research group for the study of effective education modalities. An interest group will add needed structure to emergency medicine education research. By allowing members to network, share ideas, and collaborate on multi-center trials, a synergistic relationship can be formed. Furthermore, such an interest group can also work to develop a research agenda for emergency medicine to answer key questions in the medical education process.

Structure and timeline for development of the interest group The structure of the education research interest group will follow the guidelines for interest groups of SAEM. The cost of membership is determined and is $25 annually for SAEM members. (You must be a member of SAEM to be a member of an interest group). The first interest group meeting is tentatively planned to take place during the 2006 SAEM Annual Meeting in San Francisco. During this two hour meeting we will hold elections, develop objectives, and hold a general discussion session.

Sports Medicine Interest Group David Berkoff, MD Duke University SAEM has recently developed a new sports medicine interest group. We are excited about growing this group into a productive and active section within SAEM. In starting out we must first define our goals and enlist others with similar interests to participate in the development of this group. We will have a list-serv dedicated to the group soon and this will create an active forum for discussion and growth of the group. I hope that current topics, research ideas, job related information and much more will be a part of the new list serve with a large active group of members. The goals of this interest group are: 1. Promote awareness of sports medicine among emergency physicians. We hope to increase the visibility of EM trained primary care sports medicine doctors. There are a growing number of EM trained physicians who have gone on to train in sports medicine. Additionally, many residents going into EM have interests that may be developed with further training in sports medicine. Until there is a more visible presence of EM/PCSM trained physicians, this will remain a difficult task. 2. Incorporate sports medicine lectures and procedural and diagnostic techniques commonly used in sports medicine into emergency medicine residency curricula and into national emergency medicine meeting agendas. The musculoskeletal knowledge learned in a sports medicine fellowship augments the fundamentals needed to be a good emergency physician. Sports medicine trained physicians are uniquely suited to help educate both residents and

attendings in musculoskeletal care of patients. 3. Implement sports medicine research within the emergency department. Currently neither SAEM nor ACEP have a dedicated category of online abstract submissions for the subject “sports medicine.” This is one of few fellowships that have a certification process (CAQ) and there is an abundance of sports medicine, event medicine, and EM related musculoskeletal research that needs to be done. Getting these topics presented at the regional and national meetings will be important in the future. 4. Involve emergency medicine residents in event coverage. This is already being done, but can be expanded with the help of those physicians already working with team and mass participation event coverage. 5. Encourage emergency medicine residents to pursue subspecialization in sports medicine. Of the nearly 70 primary care sports medicine fellowships, approximately 60 are run through the family medicine departments. Although EM residents are encouraged to apply for these family medicine spots, creating positions that are run through the emergency department with an EM/PCSM trained physician will be important to the growth of this field in the future. I look forward to developing an active and productive interest group with the help of everyone with a sports medicine interest. Please email SAEM at saem@saem.org and let them know you are interested in joining this interest group and we can have a list-serv up and running soon.

Update from the International Interest Group Kris Arnold, MD Boston University Chair, SAEM International Interest Group I am writing this article not only to inform readers of activities within the International Interest Group, but also, and probably more importantly, to bring the general membership up to date on what is happening internationally with Emergency Medicine. There are now well over 50 countries in the world with groups of physicians actively trying to develop Emergency Medicine as a specialty and the overall quality of emergency health care services for their fellow citizens. At the 3rd Mediterranean Emergency Medicine Conference held this past September in Nice, France there were over 1500 attendees from around the world. Not only does this mean that

Emergency Medicine is hot, but these physicians from countries at various stages of development spent what, for them, is a lot of money for the opportunity to learn more about how they can progress back home. There are now so many international meetings around the world that meeting conflict is becoming a major planning issue. I monitored some of the sessions in which physicians from different countries presented capsule updates of the EM development status, including roadblocks and tips/tricks of how they have dealt with some of the problems on their paths toward developing EM as a medical specialty. Sure, many had concerns about competition with other specialties or get(continued on next page) 11


International Interest Group…(continued from previous page) ting the minister of health to recognize them or the ubiquitous issue of compensation for care rendered. But, those issues were presented with the same spirit as one would talk of trying to find better management options for a recurring difficult clinical presentation – a challenge to be met as we continue our clinical care. It was an impressive experience to feel the energy and excitement of these physicians and of their determination. I am old enough to have dealt with some of these issues in the US, so could directly empathize. Consistently, training and education were high on the list of concerns. And they are looking for advice, ideas and, most importantly, for interaction with colleagues who have “been there, done that.” Specifically, they want to hear from US EM practitioners. Although many of the presenters are still practicing in EM models divided along the lines of medical specialties and many of the leaders seeking a new model are, themselves, surgeons, anesthesiologists, cardiologists and other non-EM specialists, they are eagerly open to learn as much as they can about the US system in order to make their own decisions about which aspects may be adapted to their situations. Since I am not preaching to the choir in this piece, hopefully, my next comments will not be stating too much of the obvious for the audience. Emergency health care is going to be of increasing importance as a part of the global health system over the coming years. The WHO Burden of Disease statistics demonstrate increasing tolls of death and disability from disorders with acute natural history phases amenable to relatively simple interventions that will mitigate disability and death. The agents to provide this care are already in place in much of the world. Unfortunately, most of them lack education in the principles of modern emergency health care. I heard clearly from our international colleagues how much they would like to hear from us, to have our assistance, not our direction, but our partnership as consultants to provide suggestions and ideas regarding their development process. There is very little in the medical literature that helps provide them a development roadmap, at least not without amassing a small library, on topics such as training for physicians coming from other specialties, developing EMS systems, integrating with other medical specialties, nursing training, architectural concerns and on and on with the topics we have all dealt with in our work lives in one way or another. Among our ranks we have a treasure trove of expertise. I am hoping we will be able to share that expertise with our colleagues around the globe with SAEM and this Interest Group as one vehicle. At the Interest Group meeting last spring, we undertook several initiatives for this year in the hopes of both providing more value to the members of the IG and of providing services of value to students, residents and faculty in the US and around the world. We have polled residencies for information regarding International fellowships for US EM residency graduates in order to update the list posted on the SAEM website. We have identified two new fellowships at Emory and the University of Georgia and one revamped one at USC Los Angeles County Hospital. The total stands at 14 and growing. (see table) In order to help our international colleagues, a number of residencies and hospitals sponsor observational fellowships for non-US graduates. These vary quite a bit in structure and content. So far we have identified only around 10 such pro-

Table International Emergency Medicine Fellowships and Directors Loma Linda University, Tamara Thomas, MD University of Southern California, Jason Ruben, MD George Washington University, Bobby Kapur, MD Rush University, Jamil Bayram, MD University of Illinois, Janet Lin, MD Johns Hopkins University, Chayan Dey, MD, MPH Harvard Universitiy, Mark Davis, MD Bellevue/New York University, Peter Gordon, MD University of Rochester, Katherine O'Hanlon, MD Brown University, Lawrence Proano, MD Emory University, Scott Sasser, MD Long Island Jewish Medical Center, Kumar Alagappan, MD Alameda County Medical Center, David Adler, MD Medical College of Georgia, Jim Wilde, MD, and Hartmut Gross, MD grams. These programs are a major service to our international colleagues, but they are hard for them to find. If you have one or know of one, please send the information to SAEM so we can list it in a database we are putting together to publish on the web. Preparation for going abroad to participate in a medical activity, whether teaching or delivering care, requires attention to issues beyond standard tourist travel preparation. We are preparing a section of our revised web site to be dedicated to preparation for international medical service. This site will provide information on a number of important relevant topics. Lastly and probably most importantly for the members is an agenda to build a pool of expertise available to assist our international colleagues. Different groups have some specific technical needs and some of the groups have some funding to get help, usually not enough to pay transportation. I would like to see us develop a bank of experts willing at least to engage in an email interaction with international colleagues and, if warranted and interested, to go on-site to lecture or assist with development using their specific expertise. To this end I am asking any of you willing to participate in such a program to send me an email at karnold@bu.edu with some information about your personal expertise/area of interest...teaching, administrative, prehospital, ethics, research, etc. At present I would envision this as a web page with names, institution and topics. We would not post any email addresses for privacy/spam reasons, but would either have requests come to the SAEM office. This is a really exciting year with a lot happening. Any of you who are not members of the International Interest Group and are intrigued by all this, please come join us. 12


National Affairs Committee Report Call for Abstracts Western Regional SAEM Meeting

Access to Emergency Medical Services Act The Access to Emergency Medical Services Act of 2005 (HR 3875) was introduced in the House of Representatives this fall. The bill addresses reimbursement for emergency services, medical liability reform and encourages hospitals to move admitted patients out of the emergency department through incentives. It is estimated that the average emergency physician provides almost $150,000 in uncompensated care each year. HR 3875 authorizes an additional 10 percent payment from Medicare for emergency care. This premium will help offset uncompensated care by providing an additional 180 million reimbursement nationwide. The second part of the act would provide the same liability protection to emergency physicians as that provided to public health officials. Legal action against public health officials are brought against the government and not the physician. Furthermore, awards are paid from a federal fund and punitive damages are not allowed. Lastly HR 3875 would reward hospitals that move admitted patients to their definitive destination with a 10% “premium” of the usual Medicare payment for that visit. This should alleviate overcrowding that many emergency departments are experiencing. HR 3875 could have a dramatic effect on academic emergency departments that are often acting as the safety net for the community. Emergency physicians should review the Access to Emergency Medical Services Act and if they agree with the content, should encourage their legislators to support the bill in Congress.

March 18-19, 2006 Crowne Plaza Redondo Beach, Los Angeles, CA The deadline for submission of abstracts is Friday, January 20, 2006. Abstracts can be simultaneously submitted to the SAEM Annual Meeting and the Western Regional Meeting. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions are available on the SAEM website at www.saem.org. Research and didactic sessions will be presented at the meeting. Questions concerning the meeting content can be directed to the Program Chair, Deirdre Anglin, MD, at: anglin@usc.edu.

Call for Abstracts 2006 Southeastern Regional SAEM Meeting March 24-25, Grandover Resort, Greensboro NC The deadline for submission of abstracts is Tuesday, January 10, 2006 at 5:00 pm Eastern Standard Time and will be strictly enforced. Abstracts can be simultaneously submitted to the SAEM Annual Meeting, and the Southeast Regional Meeting. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions are available on the SAEM website at www.saem.org. This year’s keynote address will be a first hand report from the front lines of the Hurricane Katrina response effort in New Orleans from Peter DeBlieux. Our second day address will be Ellen Weber presenting “The Secrets of Peer Review.” Other featured presentations include Setting Your Sights on the Dean’s Office, Bedside Teaching Pearls, Resident Assessment Tools, Fellowships in Emergency Medicine, and Database Pearls for Researchers (a CD database sampler will be given to participants). Workshops on abstract writing, as well as reading Ultrasound and Abdominal CT scans will be conducted. We expect over 90 research oral and poster sessions this year. A special session devoted to medical students interested in Emergency Medicine will be presented Saturday, March 25. This year’s meeting will be held at the beautiful Grandover Resort, Greensboro NC, with its award winning golf course, spa and tennis courts for participants and family. Questions concerning the meeting may be directed to the Program Chairman, David Cline at dcline@wfubmc.edu.

NIH Director’s Pioneer Award The National Institutes of Health (NIH) is seeking applicants for the 2006 NIH Director's Pioneer Award Program. The program is open to scientists at all career levels and the Pioneer Award supports individual scientists not research projects. The award gives recipients the "intellectual freedom to pursue new research directions and highly innovative ideas that have the potential for unusually great impact." Applicants may come from any field of research, but must be interested in exploring biomedically relevant topics and be willing to commit the major portion of their effort to Pioneer Award research. In September 2006, NIH expects to make five to ten new Pioneer Awards of up to $2.5 million in direct costs over a five-year period. The first nine Pioneer Awards were made in 2004. Thirteen scientists received awards in 2005. Applications may be submitted from January 15 - February 27, 2006. For more information: http://nihroadmap.nih.gov/pioneer

SAEM Membership as of 12-1-05 Active - 2423 Associate - 232 Resident - 2696 Fellow - 140 Medical Student - 412 Emeritus - 20 Honorary - 5 TOTAL: 5,928 13


Academic Announcements SAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of interest to the SAEM membership. Submissions must be sent to saem@saem.org by February 1 to be included in the March/April issue. Louise B. Andrew, MD, JD, received the James D. Mills Award for Outstanding Contributions to Emergency Medicine during the ACEP Scientific Assembly in September. Deirdre Anglin, MD, MPH, has been promoted to Professor of Clinical Medicine at the Keck School of Medicine at the University of Southern California. Dr. Anglin becomes the second person so promoted in the history of the department. The Department of Emergency Medicine at Wayne State University School of Medicine has established its third endowment - the Brooks F. Bock, MD, Endowed Professorship. Named after the first Chair of the Department, the endowment will support the Department's clinical research activities. Previously the Department established the Munuswamy Dayanandan, MD, Endowed Chair and the Edward S. Thomas, MD, Endowed Professorship to support the Chair and the Department's basic science research, respectively. Michael Bullard, MD, has been promoted to Professor of Emergency Medicine at the University of Alberta. Sean Bush, MD, has been promoted to Professor, Department of Emergency Medicine, Loma Linda University. Dr. Bush is recognized for his interest in toxinology. Wendy Coates, MD, has been promoted to Professor of Clinical Medicine at the David Geffen School of Medicine at the University of California, Los Angeles. This is a distinction that is given to approximately 5% of the clinical faculty at the medical school and its affiliate institutions in recognition of their outstanding contributions to teaching in their particular disciplines at the local, regional, and national levels. Gail D'Onofrio, MD, is the principal investigator of a $150,000 grant from the Department of Health and Human Services, Office of Women's Health to enhance a program entitled, "Women's Heart Advantage." Dr. D'Onofrio is the chief of Emergency Medicine at Yale University. Timothy Erickson, MD, has been promoted to Professor of Emergency Medicine at the University of Illinois. Dr. Erickson is the emergency medicine program residency director and Associate Head for Educational Programs. Glenn C. Hamilton, MD, MSM, received the ACEP Award for Outstanding Contribution in Education during the ACEP Scientific Assembly in September. Dr. Hamilton is Professor and Chair of the Department of Emergency Medicine at Wright State University and the president of SAEM. Johns Hopkins University and its Office of Critical Event Preparedness and Response (CEPAR) has been awarded a $15 million grant to create the Department of Homeland Security University Center of Excellence for the Study of High Consequent Preparedness and Response. Gabe Kelen, MD, the director of CEPAR, and Lynn Goldman, Professor of Environmental Health Science, will be directors of the National Center. The grant will include 9 states, 13 entities, and over 90 investigators, including Thomas Terndrup, MD, who will serve as a site principal investigator at the University of Arkansas at Birmingham.

Gabe Kelen, MD, has been elected to the Institute of Medicine of the National Academy of Sciences. Dr. Kelen is the chair of the Department of Emergency Medicine at Johns Hopkins University and is the president of the Association of Academic Chairs of Emergency Medicine. Nathan Kuppermann, MD, MPH, has been named the chair of the Department of Emergency Medicine at the University of California, Davis. Dr. Kuppermann previously served as Professor and Vice Chair for Research in the Department of Emergency Medicine. Dr. Kuppermann has been a member of the emergency medicine faculty at the University since 1995 and is the chair of the PECARN Steering Committee. Marvin Leibovich, MD, has been named chair of the Department of Emergency Medicine at the University of Arkansas and will begin on January 1. Dr. Leibovich previously served as chief of emergency medicine and medical director of the emergency trauma department and the MedFlight helicopter service at Baptist Health Medical Center in Little Rock. Timothy J. Mader, MD, has been promoted to Associate Professor of Emergency Medicine (unmodified) at Tufts University. Dr. Mader is the Associate Research Director for the Department of Emergency Medicine at Baystate Medical Center in Springfield, Massachusetts. The Department of Emergency Medicine at Mount Sinai School of Medicine has established a research fellowship program, which has received a two-year $120,000 grant from the State of New York. Lynne Richardson, MD, is the coordinator of this initiative and Elaine Rabin, MD, is the first fellow. Eric Noji, MD, has been elected to the Institute of Medicine of the National Academy of Sciences. Dr. Noji is an emergency physician and medical officer with the U.S. Centers for Disease Control and Prevention in Washington, DC. There are only 1,461 active members of the Institute of Medicine in the United States. Brian J. O'Neil, MD, has been promoted to full professor in the Department of Emergency Medicine at Wayne State University. He is the Research Director at the Wayne State University-affiliated emergency medicine program at William Beaumont Hospital in Royal Oak, Michigan. Paul E. Pepe, MD, received the ACEP Award for Outstanding Contributions in EMS during the ACEP Scientific Assembly in September. Dr. Pepe is the chair of emergency medicine at the University of Texas Southwestern Medical Center. Michael T. Rapp, MD, received the John G. Wiegenstein Award for Outstanding Leadership during the ACEP Scientific Assembly in September. Dr. Rapp is clinical professor at the Department of Emergency Medicine at George Washington University. Emanuel P. Rivers, MD, has been elected to the Institute of Medicine of the National Academic of Sciences. Dr. Rivers is the Director of Research in Emergency Medicine and Surgical Critical Care at Henry Ford Hospital in Detroit. Members of

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Opportunities for a Career that Combines Emergency Medicine and Public Health

Mucio Kit Delgado College of Physicians & Surgeons Columbia University

department. The SAEM Public Health Interest Group (PHIG) has been extremely active in discussing and researching these issues. The PHIG encourages emergency physicians and other investigators to develop projects that address the most significant preventable threats to health laid out by Healthy People 2010, the government prevention agenda for the nation. There is an extensive database on the PHIG website that categorizes all the current research projects by SAEM members by health risk.8 It is no surprise that due to the broad clinical scope of emergency medicine, SAEM members are currently working on projects to address almost every health risk targeted by Healthy People 2010. The range of projects is staggering, including projects such as injury prevention and control, rapid HIV testing, strategies to promote smoking cessation and reduce alcohol use, screening for depression and domestic violence, increasing children’s health insurance enrollment, and patient education on chronic conditions such as asthma. Unlike pursuing a fellowship in one of the accredited (or non-accredited) sub-specialties, there is no one way to going about attaining further training in public health and health services research. Several members of the PHIG have completed formal degrees in public health, most often at the master’s level. Currently, graduate training in public health can be pursued separately or in conjunction with numerous fellowships that are available in one of three ways (see table). The most direct route is through an increasing number of emergency medicine fellowships specifically geared towards public health. A second option is to do a general research fellowship through an emergency medicine department with a public health mentor and an affiliation with a school of public health. Finally, one can undertake one of the numerous fellowships outside departments of emergency medicine.

In considering future career paths in emergency medicine, fourth year medical students like me may already be contemplating whether they might pursue additional training to carve out a niche within our broad specialty. One exciting area of specialization to consider is public health and health services research. Emergency physicians have significant contact with a substantial vulnerable population of patients in our country who underutilize primary care services and are at risk for complications due to preventable illness. These include the uninsured, underinsured, immigrants, homeless, persons with substance abuse problems and/or mental illness, and those who are apathetic about taking care of themselves. These patients who may be least likely to participate in traditional community screening programs for common treatable illnesses such as depression comprise a disproportionately high number of patients who visit the emergency department.1 Thus the emergency department is a key component of the health care safety net, generating tremendous opportunities for an increased role in public health activities.2 These activities include the surveillance of presenting disease conditions,3 screening for preventable illnesses,4 providing counseling and education,5 and linking patients with appropriate services such as health insurance and social work providers.6 However, it is well known that the emergency departments that are the most likely to see the highest percentage of these vulnerable individuals are also the busiest, with ancillary services already stretched thin. There has been much debate in Academic Emergency Medicine as to which services can be provided effectively without compromising the primary mission of the emergency department to provide acute care.7 It is within this area that much more research is needed to define more clearly the public health role of the emergency

Fellowship training opportunities for EM public health /health services research Specific public health fellowships at EM programs (excludes international and disaster medicine fellowships) • Brown University (2): Preventive Health Interventions in Emergency Medicine Research Fellowship; Injury Prevention: (http://www.brown.edu/Administration/Emergency_Medicine/emr/pages/fellowships.htm) • Emory University: Injury Control Fellowship (http://ww.sph.emory.edu/CIC/) • George Washington University: Health Policy Fellowship (http://www.gwemed.edu/helpolfel.htm) • Massachusetts General Hospital: EMNet Research Fellowship (http://www.emnet-usa.org) • Oregon Health Sciences University: Emergency Health Services Research Fellowship (http://www.ohsu.edu/emergency/fellowship/research/index.htm), General research fellowships at EM programs with master’s level training in public health (excludes ones above) • Emory University (http://em.emory.edu/education/fellowships/) • Jacobi / Montefiore (http://www.jacobi-em.com/Fellowships.htm) • Johns Hopkins University: (http://www.hopkinsmedicine.org/emergencymedicine/Education/Fellowships) • Mt. Sinai (http://www.mssm.edu/emergmed/residency/fellowship.shtml) • UCLA-Harbor (http://www.emedharbor.edu/research.htm) • University of Utah (http://uuhsc.utah.edu/emresidency/fellow.htm) • Wayne State University/Detroit Medical Center (http://www.dmc.org/em/fellowship/clinical/goals/) Selected public health fellowship opportunities outside EM • Agency for Healthcare Quality Research: Training and Education (http://www.ahrq.gov/fund/training/trainix.htm) • American Medical Student Association: Washington Health Policy Fellowship (http://www.amsa.org/whpfp/) • Association of Schools of Public Health: Fellowships (http://www.asph.org/document.cfm?page=752) • Centers for Disease Control: Epidemiology Intelligence Service (http://www.cdc.gov/eis/) • National Center for Health Statistics/AcademyHealth Health Policy Fellowship (http://www.academyhealth.org/fellowships/index.htm) • Robert Wood Johnson: Clinical Scholar’s Program (http://rwjcsp.stanford.edu/). Offered at: UCLA, University of Michigan, University of Pennsylvania, and Yale University. • RAND Corporation: Educational Opportunities (http://www.rand.org/about/edu_op/) • Veteran’s Administration and Research and Development program (http://www1.va.gov/resdev/resources/training.cfm#hsr)

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Academic Announcements…

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Most public health and health services research fellowships will include formal coursework in biostatistics, epidemiology, health management and policy, economics, and other disciplines relevant for the fellow’s research interests. But the key to developing a career in academic emergency medicine is having a good mentor, of which there is no shortage within the SAEM PHIG. More information can be reached on the SAEM PHIG website at: http://www.saem.org/ inform/public.htm.

the Institute make a commitment to involve themselves in the work of the Institute, which conducts studies and other activities addressing a wide range of issues in medical science, health services, public health, and health policy. Dr. Rivers also received the ACEP Outstanding Contribution in Research Award during the Scientific Assembly in September. David Tanen, MD, has assumed the duties of the Emergency Medicine residency program in the Department of Emergency Medicine at the Naval Medical Center in San Diego. Previously the position was held by Paul Pearigen, MD, who was appointed as Executive Assistant to the Surgeon General of the Navy in August. Tamara Thomas, MD, has been promoted to Professor, Department of Emergency Medicine, Loma Linda University. Dr. Thomas is recognized for her interest in international emergency medicine. Deb A. Travers, RN, PhD, Research Assistant Professor of Emergency Medicine at the University of North Carolina at Chapel Hill has been inducted into the Academy of Emergency Nursing. A computerized system developed by the University of North Carolina at Chapel Hill and North Carolina Division of Public Health experts to detect bioterrorism and infectius disease outbreaks has received the 2005 Davies Award for Public Health. The system NC DETECT (North Carolina Disease Event Tracing and Epidemiological Collection Tool) is intended to help public health officials to quickly recognize when an outbreak of infectious disease or a bioterror attack is underway and launch containment efforts. The principal investigator is Anna Waller, MD. Peter Viccellio, MD, received the Colin C. Rorrie, Jr. Award for Excellence in Health Policy during the ACEP Scientific Assembly in September. Dr. Viccellio is Professor and Vice Chair of the Department of Emergency Medicine at the State University of New York, Stony Brook. Jacob Ufberg, MD, will be promoted to Associate Professor of Emergency Medicine at Temple University. Suzanne R. White, MD, has been promoted to full professor in the Department of Emergency Medicine at Wayne State University. She is serves as the Medical Director of the Regional Poison Control Center, as well as the Fellowship Director for the Medical Toxicology Program at Children's Hospital of Michigan.

References 1. Kumar A, Clark S, Boudreaux ED, Camargo CA Jr. A multicenter study of depression among emergency department patients. Acad Emerg Med 2004; 11(12):1284-9. 2. Irvin CB. Public Health Preventive Services, Surveillance, and Screening: The Emergency Department’s Potential. Acad Emerg Med 2000; 7(12):1421-3. 3. Hirshon JM. The Rational for Developing Public Health Surveillance Systems Based on Emergency Department Data Acad Emerg Med 2000; 7(12):1428-32. 4. Rhodes KV, Gordon JA, Lowe RA. Preventive Care in the Emergency Department, Part I: Clinical Preventive Services – Are They Relevant to Emergency Medicine? Acad Emerg Med 2000; 7(9):1036-41. 5. Wei HG, Camargo CA. Patient Education in the Emergency Department. Acad Emerg Med 2000; 7(6):710-7. 6. Gordon JA, Billings J, Asplin BR, Rhodes KV. Safety Net Research in Emergency Medicine: Proceedings of the Academic Emergency Medicine Consensus Conference in the “Unraveling Safety Net” Acad Emerg Med 2001; 8(11):1024-9. 7. Irvin CB, Wyer PC, Gerson LW. Preventive Care in the Emergency Department, Part II: Clinical Preventive Services – An Emergency Medicine Evidence-based Review. Acad Emerg Med 2000; 1042-54. 8. SAEM Public Health Interest Group, Public Health Projects in Emergency Medicine, 2000 – Present. Version 4. Accessible at: http://www.saem.org/inform/publichealth/hp2010em.pdf.

Call for Advisors The SAEM Virtual Advisor Program has been a tremendous success. Hundreds of medical students have been served. Most of them attended schools without an affiliated EM residency program. Their “virtual” advisors served as their only link to the specialty of Emergency Medicine. Some students hoped to learn more about a specific geographic region, while others were anxious to contact

an advisor whose special interest matched their own. As the program increases in popularity, more advisors are needed. New students are applying daily. Please consider mentoring a future colleague by becoming a virtual advisor today. We have a special need for osteopathic emergency physicians to serve as advisors. It is a brief time commitment – most communication

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takes place via e-mail at your convenience. Informative resources and articles that address topics of interest to your virtual advisees are available on the SAEM medical student website. You can complete the short application on-line at http://www.saem.org/ advisor/index.htm. Please encourage your colleagues to join you today as a virtual advisor.


Intensive Grants Preparation Workshop Wednesday, May 17, 2006 Obtaining independent federal research funding is a critical step in achieving a successful academic research career in emergency medicine. Grant Mentorship Workshop sessions offered at past SAEM Annual Meetings have been well received and have assisted past participants in securing subsequent grant funding. This new full-day Grants Preparation Workshop will significantly improve the potential for committed academic emergency physicians to obtain independent research funding by rapidly developing their grant writing skills and providing detailed expert feedback on each participant’s draft grant applications. This expanded format will allow for integration of focused didactics, a newly developed series of writing exercises, and additional time for one-on-one mentoring with the course faculty. Faculty includes highly experienced senior level EM grant writers and reviewers, as well as experts from the NIH. The course is open to SAEM member faculty and fellows registered for the Annual Meeting who can submit a completed grant application draft (near-ready for submission or submitted but not funded) for review 30 days prior to the course. To ensure individual attention, enrollment is limited and there is a $100 course fee in addition to meeting registration fees (please use the online Annual Registration Meeting Form that will be available at www.saem.org by January). For optimal matching of course faculty with participants and to allow adequate time for expert review of participants’ grant drafts, all draft grant applications (and corresponding “pink sheets”) must be submitted to the SAEM office (via email at www.saem.org by April 15, 2006). Earlier submissions welcomed and encouraged. 7:30 am Registration and Continental Breakfast 8:00 am Introduction Richard Rothman, MD, PhD and Gary Green, MD, MPH, MBA; Johns Hopkins University 8:15 am Reading and Interpreting the Request for Proposals (RFP) Cindy Miner, PhD Chief, Science Policy Branch, National Institute of Drug Abuse, NIH 8:45 am Anatomy of a Grant: Common Pitfalls and How to Avoid Them Mark Angelos, MD, Ohio State University 9:15 am Strategic Planning: Allocating Time, Personnel, and Resources for Success Edward Bernstein, MD, Boston Univeristy 9:45 am Building an “Airtight Case” for Funding John Younger, MD, University of Michigan 10:15 am Break 10:30 am Workshop I: Specific Aims and Hypotheses: Writing a Concise and Captivating First Page Richard Rothman, MD, PhD, with Larry Melnicker, MD, MS, New York Methodist Hospital, and David Karras, MD, Temple University 11:30 am Workshop II: Organizing and Presenting Preliminary Data to be a Strong Marketing Tool Gary Green, MD, MPH, MBA with Ramana Feeser, MD, Virginia Commonwealth University, Paul Tran, MD, University of Nebraska and John Duldner, MD, Akron General Medical Center 12:30 pm LUNCH SESSION: The Science of the Budget and the Art of Budget Justification Judy Shahan, BSN, MBA, Research Center Executive Director, Johns Hopkins University 1:15 pm Workshop III: Budget and Resources Practicalities: Calculating FTEs, %Effort and Indirect Costs Judy Shahan, BSM, MBA, Johns Hopkins University, and James Olson, PhD, Wright State University 2:00 pm Mock Study Section Edward Bernstein, MD, Grant (RO1) with NIDA reviewer 2:30 pm Break 2:45 pm Concurrent Study Section Sessions: All Course Faculty Study Section A (Basic Science Grants) Study Section B (Clinical Research Grants) Study Section C (Health Services Research Grants) 4:00 pm Individual Mentoring with Primary Reviewers: All Course Faculty 5:30 pm Closing Comments

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

Edited by the SAEM GME Committee

Medical Simulation in EM Training and Beyond Bharath Chakravarthy, MD Mount Sinai What is simulation? It is defined as the act of mimicking a real object, event or process by reproduction or representation, as of a potential situation or in experimental testing. Medical institutions throughout the country and world are responding to the growing demands of technology, disease processes and standard of care by training their allied health professionals in more sophisticated and risk free arenas, which include high fidelity simulation education. As a resident, you have probably experienced some sort of simulation training. As technology evolves, it is very likely that this technology will help you keep up to date throughout your career. Medical simulation owes its roots to anesthesiology, which was the first group of physicians to implement the new technology to train its members in the tools of their trade and in the hopes to reduce errors in medicine. Simulation training has always been a part of emergency medicine in one form or another. The American Board of Emergency Medicine uses “patient scenarios” during its oral board examination, essentially a form of simulation. But high fidelity simulators are relatively new tools in resident education that are quickly becoming a popular and important resource for health professionals. The history of medical simulation and the human patient simulator owes its development to major events such as aeronautics and flight simulation. Military flight simulators proved that the use of simulation is cost effective and has implemented several hundred hours of mandatory training prior to actual flights. Furthermore, increased knowledge in diseases, the body and drugs supported the use of technologies. The evolution in medical technologies as well as the education, implementation and standardization in critical medical techniques as in BLS, ACLS, ATLS, and PALS certification has enhanced the incorporation of simulation-based learning. Another historic event that ameliorated the use of simulation is the institution of core competencies in medical education. Finally, and most importantly, the discovery of hardware and software technologies has greatly facilitated the integration of physiology and pharmacology with disease processes in a real-life, risk free technology. So what is the evidence behind simulation based education? Since computer simulation technology is in its infancy in terms of development and research there are no trials that prove that it is effective in medical education and in decreasing errors. Many experts believe that high fidelity simulation and virtual reality training will indeed prove to be ethically, financially and educationally more sound than live patient training. There is ongoing research that is addressing this very issue. Many studies have proven that this form of learning is more readily accepted amongst its students. Studies in anesthesia showed that residents achieved clinical skills 18

more rapidly with the use of a simulator and software simulation using ACLS algorithms and showed greater retention rates than traditional text book learning. In fact, no other industry has proven the validity or value of simulation education and training. Dr. Gaba, a pioneer in simulation education, is quoted as saying, “No industry in which human lives depend on the skilled performance of responsible operators has waited for the unequivocal proof of the benefit of simulation before embracing it.” The Council of Residency Directors (CORD) has established the following recommendations for simulation. 1. Simulation is a useful tool for training residence and in ascertaining competency. The core competencies most conducive to simulation-based training are patient care, interpersonal skills, and systems based practice. 2. It is appropriate for performance assessment but there is a scarcity of evidence that supports the validity of simulation in the use for promotion or certification 3. There is a need for standardization and definition in using simulation to evaluate performance 4. Scenarios and tools should also be formatted and standardized such that EM educators can use the data and count on it for reproducibility, reliability and validity. How can you implement this blossoming technology into your education and possibly your career? Simulators and simulation comes in all shapes, sizes and budgets. It is first important to target and tailor your educational needs to a particular group of individuals, whether they are medical students, residents, attendings, nurses or a health team consisting of all of the above. Education can be instituted on an individual level or on a team skills basis. The simulator can be used to look at core competencies, particularly in the areas of patient care, medical knowledge, interpersonal skills/communication/professionalism, and systembased practice. The simulator can help regulate uniformity in patient experiences left up to chance during residency and can help residents gain experience in procedures such as intubations, cardioversion, periocardiocentesis and thoracostomies. Debriefing sessions immediately after the simulation can help residents synthesize and integrate clinical applications. In reference to the core competency of communication the simulator maybe particularly useful in interacting with the “difficult patient” or delivering “bad news,” a skill not always addressed in formal education. Furthermore, simulator training is being used in resident assessment. Differing tools such as check lists, OSCE (Objective Scores Clinical Evaluation), and SEGUE (skills needed to set the stage, elicit information, give information, understand the patient, and end the encounter) are currently being evaluated as assessment tools in simulation.


Medical Simulation…(cont. from previous page) Standardization in assessing residents and defining the concept of competence are a necessity in the future of simulator assessment. Crisis Resource Management, developed in the wake of the Crew Resource Management concept from aeronautics, is an area of research and development that looks at the human factor of communication errors. The emergency department lends itself to a myriad of interactions between emergency physicians and staff, as well as between consult services and private physicians. This level of intricacy in communication and teamwork is unique to the ED and can be reinforced and assessed within a simulator environment. ACLS, ATLS and PALS instruction lends itself readily to the high fidelity simulator. It can be used in the communication skills, teamwork and skills assessment. Disaster management and training is another area that is currently relevant to emergency medicine preparedness and research. The simulator can mimic physiologic responses to potential biologic weapons. Defibrillation, antidotes, chest compressions, and communication skills are likely more easily assessed and performed in the simulator rather than in mock casualty scenarios using live actors. The cost, overhead and maintenance of a high fidelity simulator are high but it is likely a matter of when, rather than if, the use of this technology will be used in our current concept of education and assessment.

Resident Portfolio Submissions to AEM Invited Academic Emergency Medicine has developed a journal subsection for the publication of reflections and introspection of experiences encountered by Emergency Medicine residents during their training. The intent is to share how the experience affected the personal growth and development of the resident as a professional. This self-reflection is important to the ACGME Practice-Based Learning core competency, and reinforces life long learning attributes critical to the successful practice of Emergency Medicine. Portfolio submissions should be a maximum of five pages, 15 references, and if desired, may include one table or figure. Patient and colleague confidentiality must be assured. The submission should include an abstract that places the experience into a professional development context (why the issue is important to emergency physicians and educators, how it tested the author’s personal and professional development, and a “take home” point). Each portfolio may undergo invited commentary from individuals with expertise in the identified area of discussion. These commentaries will be a maximum of two pages in length, and will focus on “learning points” that the readership may consider. Primary authors must be an Emergency Medicine resident, or reflect an experience encountered in the residency training environment by an Emergency Medicine residency graduate. Please use the web-site link for submissions: http://ees.elsevier.com/acaeme/default.asp, and feel free to contact the AEM Editorial Office with any questions: aem@saem.org , or 517-485-5484.

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

Medical Student Volunteers Sought The SAEM Program Committee is looking for energetic medical students to work at the 2006 SAEM Annual Meeting in San Francisco on May 18-21. Students will work closely with program committee members to help facilitate didactic sessions. Each student will be responsible for coordinating evaluations and other administrative responsibilities. Working at the SAEM Annual Meeting provides students with a unique opportunity to familiarize themselves with the current research and educational activities taking place in the field of emergency medicine. In return for working at the Annual Meeting all student volunteers will have their registration fee waived. Interested medical students should submit their name and contact information to the SAEM office at saem@saem.org. Please write “Medical Student Volunteer for Annual Meeting” in the subject line of the email.

See the reports of the 2005 Spadafora Scholarship recipients on pages 20 and 21. Interested residents are encouraged to apply for the 2006 Spadafora Scholarship. Watch for details in the next issue of the Newsletter.

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Spadafora Scholar Report: NACCT Meeting Summary Elizabeth Gray, MD Naval Medical Center San Diego Spadafora Scholarship recipient Through the generosity of the Michael P. Spadafora Medical Toxicology Scholarship, I had the opportunity to attend the North American Congress of Clinical Toxicology in Orlando on September 914, 2005. The funds from the scholarship allowed me to register for two days of pre-course symposia as well. The first day’s pre-meeting symposium was “The Handling of Radiation Emergencies,” conducted by the Oak Ridge National Laboratory REAC/TS (Radiation Emergency Assistance Center/Training Site) staff. Having spent over a year of my life working, eating, and sleeping less than 500 feet away from a reactor core on board an aircraft carrier, I find radiation safety to be a subject near and dear to my heart. The lectures given by the REAC/TS health physicist, Steve Sugarman, provided valuable insights from a different perspective than the clinical one covered in textbooks of emergency medicine and clinical toxicology. Mr. Sugarman resurrected important basic science knowledge regarding radioactive materials that had been dormant in my mind since college chemistry classes and applied this information in a highly pragmatic manner to risk assessment and exposure reduction strategies. Perhaps the most important point of this symposium is that irradiation alone does not constitute an immediate medical emergency, and that other emergent medical conditions (such as traumatic injuries) take precedence over radiological conditions. The second day’s pre-meeting symposium covered “The Dark Side of Pharmaceuticals” and covered topics

ranging from prescription opioid abuse to performance enhancing drugs in sports to the toxicology of pharmacologic sexual enhancers. With the latter class of medications becoming more frequently prescribed and abused, this lecture covered important pharmacology information, especially focusing on phosphodiesterase-5 inhibitors, while making liberal use of the double entendre and thus thoroughly entertained the assembled audience. One of the high points of the entire conference was the medical toxicology CPC competition. While all three cases were interesting, the discussion of a case of cesium toxicity as a therapeutic misadventure for alternative treatment of malignancy was particularly outstanding. The opening day of the conference included multiple lecturers from the Centers for Disease Control and Prevention, a platform session on acetaminophen poisoning, and lectures on drug safety. The CDC keynote lecture covered the National Biomonitoring Program for toxic chemicals and discussed case studies related to dioxin, lead, and cotinine (a biomarker used for nicotine exposure). The second CDC lecture covered current threat estimates for chemical and biological terrorism. The acetaminophen poisoning platform sessions included data from Betten et al on a shortened course of oral nacetylcysteine for treatment of acute acetaminophen poisoning. Lectures on drug safety included a perspective on exploiting differences in CYP2D6 isomers to decrease the toxicity of addictive drugs and a review of recent postmarketing drug safety concerns. The

final lecture of the day was entitled “An Introduction to Toxinology” and covered an enormous menu of deadly Australasian snake venoms. In my application essay for the Spadafora scholarship, I discussed my appreciation for the often sordid historical context of toxicologic events, and thus it was with great delight that I attended the Toxicology Quiz Bowl on the first evening of the conference and the meeting of the Toxicology History Society on the second evening of the conference. The Quiz Bowl covered toxicology trivia of clinical import and obscure historical relevance, as well as delving into the role of poisonings in pop culture. The Toxicology History Society meeting included lectures on the Lambeth Poisoner, the appearance of poisons in James Bond films, and toxicology trivia in TV shows (mostly of the 60’s and 70’s, which at one point resulted in an enthusiastic, if somewhat off-key, rendering of the theme songs of these shows by the audience). The conference as a whole was a wonderful experience. I had the opportunity to reconnect with colleagues from other hospitals, meet leading toxicology researchers, and interact with physicians at the forefront of public policy for planning emergency response to toxicologic events. The research presented in poster and abstract form was fascinating and so diverse as to preclude describing it in limited space. I found the NACCT meeting to be informative, highly collegial, and entertaining. I am most grateful for the funding provided by the Spadafora Scholarship that enabled me to attend this conference.

Nominations Sought: Resident Member of SAEM Board of Directors The resident Board member is elected to a one-year term and is a full voting member of the SAEM Board of Directors. The deadline for nominations is February 7, 2006. Candidates must be a resident during the entire one-year term on the Board (May 2006-May 2007) and must be a member of SAEM. Candidates should demonstrate evidence of strong interest and commitment to academic emergency medicine. Nominations should include a letter of support from the candidate’s residency director, as well as completing the “mini-bio” that is described on page 2 of this Newsletter. Nominations must be sent electronically to saem@saem.org. Candidates are encouraged to review the Board of Directors orientation guidelines on the SAEM website at www.saem.org or from the SAEM office. The election will be held via mail ballot in the Spring of 2006 and the results will be announced during the Annual Business Meeting in May in San Francisco. The resident member of the Board will attend four SAEM Board meetings; in the fall, in the winter, and in the spring (at the 2006 and 2007 SAEM Annual Meetings). The resident member will also participate in monthly Board conference calls. 20


Biomonitoring, High Definition Poisoning and the Hotel Bar: The NACCT Henry Gresham, MD University of Massachusetts Spadafora Scholarship recipient This past September toxicologists, pharmacists and emergency medicine residents headed to Orlando, Florida for the North American Congress of Clinical Toxicology. As one of two recipients of the Michael Spadafora medical toxicology scholarship, I had the pleasure of attending as well. This year’s conference began with the NACCT keynote breakfast where Dr. James Pirkle of the CDC/Division of Laboratory Sciences spoke about the status and future direction of the national biomonitoring program. This program aims to monitor human exposure to environmental toxins through measurement of substances or their metabolites in human specimens, such as blood or urine. While this was noted as the “official” beginning of the conference, many participants arrived the night before to kick it off with the ACMT Medical Toxicology CPC Competition. Three very interesting cases were presented this year. When the dust settled, Ann-Jeannette Geib, MD, a fellow from the Harvard/Boston Children’s program received the honor of best presenter and Michael Ganetsky, MD, a fellow at the University of Massachusetts toxicology program, received the honor of best discussant. As the conference rolled on, I had difficulty choosing between the pletho-

ra of concurrent lectures such as the “Herbal and Dietary Supplement Vigilance Symposium”, the “ACMT Scientific Symposium: The Role of the Immune System in Toxicological Response” and the “EAPCCT Symposium: Controversies in Clinical Toxicology”. One I found particularly interesting was the AACT “Year in Toxicology” lecture given by Philip Edelman, MD, PhD, entitled “National Counterterrorism: Current Chemical and Biological Briefing.” He discussed the significant changes in biological and chemical response capabilities as well as the current risk of chemical or biological threats to homeland security. As always, it was a packed house Monday night for another “historic” evening given by the Toxicology History Society. Moderated by John Trestrail, several presenters led us through everything from the plausibility of the poisonings in all the James Bond movies, to a world-wide graveyard tour of past famous toxicologists. The evenings journey was capped off by the ever so entertaining Timothy Erickson with a presentation titled “Television and Toxicology: High Definition Poisoning in Color and Black and White”. Interesting abstracts were in abundance this year. A total of 305 were

selected for oral or poster presentation, representing the many aspects and areas of toxicology. Rather than include some of the abstracts that caught my eye, I have chosen to share why I think all residents who are interested in toxicology should apply for the Michael Spadafora scholarship next year. Yes, there are very fascinating lectures and symposiums here; however, unlike many conferences I have attended, some of the most educational experiences came in the halls between lectures, at the coffee shop across from the meeting rooms and in the hotel bar when the day was done. It was there that I was able to personally chat with the “headline” lecturers, fellowship directors, and world-renowned toxicologists! And it is evident that they love their job and are genuinely interested in talking with residents who are considering toxicology. Attending this conference was not only educational and reaffirming of my chosen career path, it was just plain fun. So to the family of Michael Spadafora, SAEM and ACMT, and all the toxicologists who journeyed to Orlando this year, I say thank you; and to all the future toxicologists….start working on your application for the scholarship for next year.

New Institutional Membership Program Developed Catherine Marco, MD SAEM Board of Directors The SAEM Board of Directors has developed two new dues reduction programs to increase membership and participation in the Society. The first program is the Institutional Membership Dues Discount. This program is similar to the very successful Group Resident Dues Discount that has been in existence for 15 years. The Institutional Membership Dues Discount allows institutions to pay a reduced annual dues fee if all faculty are, or become, members of SAEM. The regular annual dues are $365 for active members and $350 for associate members. Under the Institutional Discount, the annual dues are reduced to $300, a discount of nearly 20%. To

qualify for the institutional rate the chair or chief must provide a list of all faculty (and their contact information) and provide payment for each of these faculty members. In addition, the Board has developed a Young Physician Discount that will allow recent residency graduates to receive a substantial discount in their annual SAEM dues. Rather than the usual $350 or $365 rate, dues for the first year after residency will be $185, and the second year after residency graduation the dues will be $275. It will not be until the third year after graduation that the young emergency physician will be asked to remit the full dues payment. 21

As always, SAEM membership continues to provide valuable and tangible benefits including: a subscription to the Journal, Academic Emergency Medicine; a subscription to the SAEM Newsletter; a deeply discounted registration fee to attend the SAEM Annual Meeting, and participation in the Society's committees, task forces, and interest groups. The Board hopes to increase SAEM membership by 500 in 2006. Institutions and newly minted residency graduates are invited to join SAEM in continuing to meet its mission "to improve patient care by advancing research and education in emergency medicine.


David P. Sklar, MD University of New Mexico Marcus Martin, MD University of Virginia SAEM Representatives to the AAMC

AAMC Annual Meeting Report

The annual meeting of the Association of American Medical Colleges on November 4-9 featured the theme “Beyond Boundaries.” The boundaries might be geographic, scientific, specialty or professional, racial, or financial. Boundaries can be valuable in helping us define ourselves as we did when first creating the specialty of Emergency Medicine, and boundaries can limit us as the restrictions on allowing emergency physicians from taking critical care boards restricts the number of physicians able to solve the workforce shortage in critical care. The boundaries discussed at the joint session sponsored by SAEM and AACEM involved limitations in our present health care system that have resulted in crowded emergency departments, growing numbers of uninsured, increasing health insurance premiums, and a public that wants the information and opportunity to change the system. The Wye River group led by Mr. Jon Comola and Dr. Marcia Comstock shared the results of their multi-year consensus building process involving communities, providers, and numerous stakeholders to find themes that political leaders could adopt and expect substantial support as they attempted to address the current problems in the health care system. They said that people are yearning for a compelling vision of a new health care system to be articulated by political leaders that would engage individuals in informed health care decision making and improved health. Dr. George Isham from Healthpartners of Minneapolis and Dr. Brent Asplin followed with a presentation that emphasized the small percentage of patients who result in a large proportion of the utilization of health care resources and the opportunities for cost savings and improvements in care if new systems and incentives for this group could be developed. ED crowding and hospital bed utilization could be reduced, if these patients could be identified and case managed. There were several presentations about the ways in which medical care is being outsourced overseas (radiology night time preliminary readings, patients seeking surgery from less

expensive doctors in Thailand, Mexico, and India.) At the same time foreign trained physicians are filling 25% of US residency positions raising quality issues and moral issues about the implications of this brain drain in reducing the availability of medical care in developing countries. There were also presentations about the potential for electronic medical records and patient information systems and thus reduce medical errors from inadequate or incorrect information. Similarly information available to patients on the internet will change the expectations and relationships between doctors and patients. The CAS plenary session on “Enabling Medical Students and Residents with Disabilities” was moderated by Dr. Joel DeLisa. This session focused on the premise that no qualified individual with a disability shall by reason of such disability be excluded from participation in programs. A reasonable modification to a program depends on the individual, the disability, the program and the program requirements. Reasonable modifications may include physical modifications of the facility, additional time on exams, quiet rooms, multimedia material, interpreters, and note takers. Unreasonable modifications may include those that fundamentally alter programs, cause direct threat to health or safety and/or involve retroactive adjustments to performance. The AAMC has developed a monograph on “Medical Students with Disabilities: A Generation of Practice.” Other AAMC monographs and publications of interest distributed during the meeting included “Compact Between Resident Physicians and Their Teachers,” “Training Future Physicians about Weapons of Mass Destruction: Report of the Expert Panel on Bioterrorism Education for Medicals Students,” and “AAMC Legislative and Regulatory Update.” These publications are available by going to the AAMC website. The joint CAS/GFP plenary session featured a discussion on market forces and the safety net. The American health care system’s historic compact has been to render care to the poor through the provision of the safety net. 22

The safety net is eroding as part of a larger nationwide set of problems. Health care expenditures are currently at $900 billion dollars and growing exponentially annually. By 2014 the annual health expenditure is expected to be nearly 20% of the GDP and by 2030, 33% of the GDP. The traditional cost shifting to cover the cost of uncompensated care and the health care system adaptations to these financial pressures and the medical school reliance on faculty practice plans will likely yield diminishing returns in the future. Maintaining margin and mission is becoming more difficult. New health care practice models including community-based case management models are emerging in some communities as an attempt to make health care work better and without bankrupting our country. Academic health care centers can lead the way in reform to control cost and increase service. The Group on Student Affairs-Minority Affairs Section program on cultural competence education featured a discussion of the “The Tool for Assessing Cultural Competence Training (TACCT) in the current medical school curriculum. Dr. Jordan Cohen, the retiring AAMC president, outlined the priorities for the organization during his final address. These are: to reform the health care systems, restore trust in ethical human research, improve the continuum of medical education particularly continuing medical education for practicing physicians, and increase the production of physicians by increasing medical school class size (sixty three medical schools already increased their entering class sizes). Dr. Cohen mentioned the 2005-2006 medical school entering class is the largest on record at 17,004 first time enrollment. Applicants to medical school increased by 4.6% overall. Hispanic and Asian enrollment increased but black enrollment has declined. Dr. Cohen further stressed the priority of the AAMC and importance to increase the diversity of the future health care workforce. It will be important for us to consider the implications for emergency medicine education, research, and clinical care in regards to these priorities as outlined by Dr. Cohen.


AAMC Annual Meeting and SAEM Robert Schafermeyer, MD Carolinas Medical Center SAEM Board of Directors Some members of SAEM have attended and participated in various activities at the AAMC annual meeting through organizational appointment, based on their position within an academic medical center or school of medicine, or based on a position within the hospital. For many other academic emergency physicians, they may only be aware of the name of the organization. To only know the name of the organization is to miss out on the potential educational and advocacy roles that the AAMC offers. I won’t go into a lot of detail about the structure of the AAMC as other SAEM leaders have done in past articles. However, it is important to understand that the main governing groups include the Council of Academic Societies (CAS), and SAEM is a member. We have two representatives that participates in their business meeting, along with representatives from AACEM

S A E M

and CORD. There is the Council of Deans and Emergency Medicine now has four deans who can participate in this division. The Council of Teaching Hospitals is where CEOs, COOs, CFOs, and senior medical directors participate. Again, SAEM has some participation as medical directors. There are two other important divisions, the Organization of Resident Representatives and the Organization of Student Representatives. All of these together compose the group that elects the board of the AAMC. The other component of the AAMC is that it has “groups” that represent a variety of academic interests. For example, they have groups on business affairs, educational affairs, faculty practice, institutional advancement, resident affairs, etc. Each of these groups has a business meeting and educational meetings to discuss common problems or to provide advocacy and leadership

skills to their attendees or to discuss quality of education or quality of patient care. The AAMC also has an AMA section of medical schools and they represent the concerns of the academic medical colleges within the AMA. I had the opportunity to participate in this year’s AAMC meeting in Washington, DC. While it was not my first time to attend the AAMC meeting, it was the first time that I was there when I had an opportunity to participate in the educational aspects of the meeting. For faculty or residents, whether you are at the early stages of your career or, like me, towards the latter part of your career, there are always courses of interest. I was particularly pleased with the opportunity to attend the co-sponsored session by AACEM and SAEM on the “Implications for Academic Medicine and Academic Emergency Medicine Findings from the

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Call for Photographs Deadline: February 24, 2006

Original photographs of patients, pathology specimens, gram stains, EKG’s, and radiographic studies or other visual data are invited for presentation at the 2006 SAEM Annual Meeting in San Francisco, CA. Submissions should depict findings that are pathognomonic for a particular diagnosis relevant to the practice of emergency medicine or findings of unusual interest that have educational value. Accepted submissions will be mounted by SAEM and presented in the “Clinical Pearls” session and/or the “Visual Diagnosis” medical student/resident contest. No more than three different photos should be submitted for any one case. Submit one glossy photo (5 x 7, 8 x 10, 11 x 14, or 16 x 20) and a digital copy in JPEG or TIFF format on a disk or by email attachment (resolution of at least 640 x 48). Radiographs and EKGs should also be submitted in hard copy and digital format. Do not send X-rays. The back of each photo should contain the contributor’s name, address, hospital or program, and an arrow indicating the top. Submissions should be shipped in an envelope with cardboard, but should not be mounted. Photo submissions must be accompanied by a brief case history written as an “unknown” in the following format: 1) chief complaint, 2) history of present illness, 3) pertinent physical exam (other than what is depicted in the photo), 4) pertinent laboratory data, 5) one or two questions asking the viewer to identify the diagnosis or pertinent finding, 6) answer(s) and brief discussion of the case, including an explanation of the findings in the photo, and 7) one to three bulleted take home points or “pearls.” The case history must be submitted on the template posted on the SAEM website at www.saem.org and must be submitted electronically. The case history is limited to no more than 250 words. If accepted for display SAEM reserves the right to edit the submitted case history. Submissions will be selected based on their educational merit, relevance to emergency medicine, quality of the photograph, the case history and appropriateness for public display. Contributors will be acknowledged and photos will be returned after the Annual Meeting. Academic Emergency Medicine (AEM), the official SAEM journal, may invite a limited number of displayed photos to be submitted to AEM for consideration of publication. SAEM will retain the rights to use submitted photographs in future educational projects, with full credit given for the contribution. Photographs must not appear in a refereed journal prior to the Annual Meeting. Patients should be appropriately masked. Submitters must attest that written consent and release of responsibility have been obtained for all photos EXCEPT for isolated diagnostic studies such as EKGs, radiographs, gram stains, etc. Photos will be returned upon request. If photos are not requested to be returned, they will be destroyed one year after submission. 23


Call for Papers 2006 AEM Consensus Conference

Call for Abstracts 10th Annual New England Regional SAEM Meeting

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

March 30, 2006 Shrewsbury, Massachusetts The New England Regional Program Committee is now accepting abstracts for review for oral and poster presentations. The deadline for abstract submission is Tuesday, January 10, 2006 at 5:00 p.m. Eastern Standard Time. Only electronic submissions via the SAEM online abstract submission form at www.saem.org will be accepted. Acceptance notification will be sent mid-February 2006. Abstracts can be simultaneously submitted to the SAEM Annual Meeting and the New England Regional Meeting. Questions concerning the meeting can be directed to the Program Chairperson, Linda C. Degutis, MD, at linda.degutis@yale.edu.

Call for Abstracts New York State SAEM Regional Meeting April 8, 2006 Genesee Grande Hotel & Conference Center Syracuse, NY The program committee is now accepting abstract submissions for oral presentations for the 6th Annual New York State SAEM Regional Meeting. The meeting will be held on April 8, 2006 and all accepted work will be presented orally. The deadline for abstract submission is Tuesday, January 10, 2006. Only electronic abstract submissions using the SAEM online abstract submission form at www.saem.org will be accepted. Acceptance notification will be sent in early March. The meeting’s didactic presentations will focus on the importance of preexisting databases and multi – center networks in Emergency Medicine Research. There will be specific programming for medical students interested in Emergency Medicine. For more information, contact James M Callahan, MD, at callahaj@upstate.edu. CME credits will be offered through the Continuing Medical Education Office of the SUNY – Upstate Medical University. Registration Fees: Early Registration (Before March 15, 2006) Attendings and Faculty $50; Residents, Fellows, Nurses and Paramedics $25; Medical Students must register, but there is no registration fee. Conference Registration Forms may be obtained from the Department of Emergency Medicine, SUNY Upstate Medical University, 750 E. Adams Street, Syracuse, NY 13210.

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

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Chief Resident Forum Sunday, May 21, 2006 Chief residency is a demanding and highly responsible position, however little formal and structure preparation is available prior to becoming a chief resident. New chief residents typically have not had the benefit of training in essential administrative, academic, and leadership skills. This one-day course will include a variety of sessions covering administrative and academic topics relevant to new chief residents. Talks and small group discussions will be led by experienced program directors and past chief residents. All sessions will include ample time for questions. In addition, a lunch session and coffee breaks will provide opportunities for chiefs from different programs to meet and exchange ideas. The small group discussion sessions will also allow for interaction with workshop faculty and former chief residents. At the completion of this course, participants will be able to understand basic characteristics of good leadership, management techniques, administration and problem solving concepts; have learned successful scheduling and back-up techniques; become aware of common pitfalls faced by chief residents; learned effective communication techniques; had the opportunity to discuss potential ethical dilemmas that may arise during the chief resident year; and learned time management techniques. All chief residents registered to attend the Annual Meeting are invited to register for the special Chief Resident Forum. Enrollment is limited and the fee is $100, in addition to the basic Annual Meeting registration fee. To register for the Chief Resident Forum use the online Annual Meeting registration form, which will be available in December. 7:30-8:00 am

Registration and Continental Breakfast

8:00-8:45

So You’re Chief Resident: What Does That Mean?, Stephen Playe, MD, Baystate Medical Center This session will discuss the various roles and requirements of chief residents

8:45-9:45

Leadership and the Management Role, Robert Hockberger, MD, Harbor-UCLA Medical Center This session will describe the scope of authority and responsibility of the chief resident and explain leadership theories focusing particularly on action-centered leadership.

9:45-10:00

Break

10:00-10:45

Time Management, Tom Cook, MD, Palmetto Health Richland Hospital At the end of this session, participants will be able to develop realistic goals given their time constraints, will recognize the importance of “To-Do” lists, and describe effective time management principles.

10:45-12:00 pm

Developing a Schedule, Brigitte Baumann, MD, Cooper University Hospital/UMDNJ-RWJMS at Camden, Sheryl Heron, MD,Emory University School of Medicine, Stephen Hayden, MD, UCSD Medical Center This discussion will review the RRC requirements for scheduling in EM, will outline the principles of scheduling (equity and minimization of the disruption of the circadian rhythm), and will provide mechanisms for dealing with sudden changes and illness.

12:00-1:30

Lunch Session

1:30-2:15

Effective Communication, Richard Lanoix, MD, St. Luke's-Roosevelt Hospital Center Communication is a key element to the success of any leader. During this session, participants will learn how to build effective communication networks, be provided with a communications “skills set” required to manage staff, and receive instruction on how to emerge as a positive intermediary between faculty and residents.

2:15-3:00

Professional Growth and Success as a Chief Resident, Jill Baren, MD, University of Pennsylvania This session will illustrate strategies for successful career development and maintenance of balance while serving as chief resident.

3:00-3:15

Break

3:15-4:00

Ethics and Professionalism, James Adams, MD, Northwestern University As chief resident, you may confront a new series of ethical dilemmas. This session will highlight ethical and confidential issues that involve other residents and describe how to set professional examples for others.

4:00-5:00

Lessons Learned, Brigitte M Baumann, MD (Moderator) Cooper University Hospital/ UMDNJ-RWJMS at Camden, Dana Buchanan DO, Cooper University Hospital/UMDNJ-RWJMS at Camden, Chris Buresh MD, University of Iowa, Lisa Hile MD, Darnall Army Community Hospital, Michael Odinet, MD, Louisiana State University Charity Hospital Panel discussion of former chief residents

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SAEM Medical Student Symposium Saturday, May 20, 2006

The Medical Student Symposium is intended to help medical students understand the residency and career options that exist in emergency medicine, evaluate residency programs, explore research opportunities, and select the right residency. At the completion of the session, participants will: 1) know the characteristics of good emergency physicians and the "right" reasons to seek a career in this specialty, 2) have a better understanding of the application process with regard to letters of recommendation, personal statement, planning the 4th year, etc., 3) consider factors important in determining the appropriate residency, including geographic locations, patient demographics, length of training, etc., 4) understand the composition of an emergency medicine rotation and what to expect while they are rotating in the ED, 5) discuss the skills needed to get the most out of your educational experience in the ED rotation, 6) Identify the standard sources of information in the field of emergency medicine, 7) have an appreciation of various career paths available in Emergency Medicine, including academics, private practice, and fellowship training, and 8) discover current areas of research in Emergency Medicine. To register for the Symposium, use the online Annual Meeting registration form at www.saem.org, which will be available in December. 8:00-8:15 am Introduction, M. Chris Decker, MD, Medical College of Wisconsin 8:15-9:00 How to Select the Right Residency for You, Frank Counselman, MD, Eastern Virginia Medical School An overview of EM residency programs will be discussed. Important factors to consider in the selection process such as length of training, geographical location, patient demographics, and academic vs. clinical setting will be reviewed. The speaker will also discuss the difference between allopathic and osteopathic programs. 9:00-9:15 Getting Good Advice, Jamie Collings, MD, Northwestern University One of the keys to any successful career is getting and following good advice. How do you choose the right advisor(s) and use their wisdom to help you succeed? What do you do when your medical school doesn't have an EM residency program? What resources about the various programs are available to you? 9:45-10:30 Navigating the Residency Application Process and Interview Tactics, Peter DeBlieux, MD, Louisiana State University-Charity Hospital This session will provide students with tips on how to prepare their ERAS application, how and when to successfully interview, and how to follow-up with top programs. 10:30-11:15 Getting the Most Out of your Clerkship, Gus Garmel, MD, Stanford University/Kaiser This session will provide valuable tips for getting the most from your EM clerkship. Specific topics will include: appropriate educational goals for an EM rotation, how to prepare for your rotation to make the most of your ED experience, recommended textbooks and references, and considerations when deciding when and where to do your EM rotation. 11:15-1:00 pm Lunch with Program Directors 1:00-1:30 Medical Student Performance Evaluation (MSPE: The Dean's Letter), Kate Heilpern, MD, Emory University The speaker, an emergency physician and dean, will review the components of the MSPE. Medical school deans adapt the MSPE template to prepare your dean's letter. What is the MSPE? What is the role of the MSPE in the residency process? How can you take a proactive role in your MSPE? 1:30-2:15 Career Paths and Prospects in Emergency Medicine, E. Herbert Hern, MD, Highland Hospital This session will include the variety of career paths available in emergency medicine, including private practice, academics, and dual training (EM-IM and EM-Peds), as well as fellowship training. 2:30-3:30 Small Groups: Balancing Act, Susan Promes, MD, Duke University, Betsy Datner, MD, University of Pennsylvania This session will discuss how to optimize your career and personal life. Financial Planning, David Overton, MD, Michigan State University-Kalamazoo This session will include practical tips on financial issues and will address issues such as how to put together a budget and what to do with medical student loan debt. Optimizing your 4th year, Steve McLaughlin, MD, University of New Mexico This session will include recommendations for making the most of your senior year, including information about EM and other electives, research experieince, and when to take your Board exams. Medical Schools without EM Residencies, Bob Leschke, MD, Medical College of Wisconsin The session will help guide medical students from medical schools without EM residencies through the complicated maze that leads to a residency and career in EM. The session will specifically address how this process differs from those students with an EM residency at their medical schools. 3:30-3:45 Closing Comments, M. Chris Decker, MD, Medical College of Wisconsin 4:00-6:00 Residency Fair - All EM residency programs will be invited to participate. During the 2005 Annual Meeting 90 programs attended.

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President’s Message…(continued from page 1) Island Jewish Medical Center was recruited to Chair the committee and he helped to assemble a wide range of talented and highly experienced task force members to assist SAEM in helping it “chart its own course” in international waters. This President’s message is about the productivity to date of just one of the task forces and committees who are working diligently on behalf of the membership and academic emergency medicine. This group is highlighted, not only because of my long standing personal interest, but because of their impressive productivity to date, and most importantly, because the information they are supplying to both the Board and the membership will have long term consequences for SAEM and how it relates to the rest of the world. The objectives for the task force were straightforward and even cautious in their scope. The BOD required a clear understanding of what was going on in this arena from the perspective of other societies and institutions before making a decision about how SAEM might best contribute. The objectives as published in the May 2005 Newsletter were: 1. Survey the range of international activities being offered by US based EM organizations currently. 2. Make a specific report to the Board on the pros and cons of potential activity in international relations that are consistent with the Society’s mission. 3. After Board review and response on objective #2, draft a position statement for Board review describing the potential roles of SAEM in advancing international, academic, emergency medicine. 4. Draft an article discussing objectives # 1, 2 and 3 for the SAEM Newsletter. A progress report on these objectives will be part of this message, but first another important event has occurred that under-scores the necessity of SAEM paying ever more close attention to this topic. That event was the Third Mediterranean Congress in Emergency Medicine held in Nice, France in early September, 2005. This conference was developed primarily by the American Academy of Emergency Medicine (AAEM) and the European Society for Emergency Medicine with support and sponsorship to a varying degree by a number of other societies and organizations including SAEM. Our Society sponsored a well received four-hour research track. SAEM also co-sponsored a small booth that I had the opportunity to staff during the meeting. It was during this time that a significant revelation occurred regarding SAEM and its global view. That is, the rest of the world wasn’t waiting for this Society to decide how, when, or where we wanted to contribute. They were moving forward with their training programs, involvement in their academic medical institutions, and research development. With over 1,400 attendees, and 60 countries represented and presenting, it was clear emergency medicine was on the move. I discovered 35 countries had recognized Emergency Medicine as a specialty and witnessed South America had literally exploded in terms of its emergency medicine related activity. Nice was a lovely town and of course, there was the requisite travel time after the conference, but the “junket” aspects of this international experience paled in comparison with the recognition of just how much emergency medicine was growing up around us and how other US based organizations were clearly defining both a presence and role in this important worldwide development. Sobering events indeed for one who imagined he had some sense of the pulse

and growth in our specialty throughout the world. Freshly chastened from the International Congress, I read the first report of the International Task Force, presented to the BOD in late September 2005, with great interest. This document was developed specifically to answer objective #2, a “pros and cons” based description of potential activity for the Society. In twelve pages, a group of experienced individuals had identified six areas related to academic emergency medicine in which SAEM may find it beneficial to provide a leadership role. Each had several optional actions to be considered. The major areas included: 1. Faculty development and mentoring 2. International distance learning 3. International research 4. Curriculum implementation 5. International rotations for medical students and residents 6. International EM fellowships The Board deliberated for a considerable length of time and intently questioned both Dr. Alagappan and the Board liaison to the task force, Robert Schafermeyer, MD. The list of pros clearly was longer than the list of cons and the Board approved the task force moving forward to develop a response to objective #3, a listing and eventual position statement regarding both short term and long term activities SAEM could pursue on behalf of its potential interest in international emergency medicine. While objective #3 was being fulfilled, the task force completed its assignment #1 which was a survey of international activities currently being offered by US based EM organizations. This document has only arrived before the Board recently, but is most informative in terms of recent activities by other EM groups. For example, if one goes to the ACEP web site, under the membership section of “international emergency medicine”, an international strategic plan is posted. Its objective is that “quality EMS and emergency medical care programs are implemented world wide and that ACEP is recognized as a world leader in emergency medicine training and education.” The strategic elements are clearly outlined and there is much to be gleaned, especially involving the membership activities of the “international emergency medicine section.” The breadth and depth of their involvement is most impressive and clearly shows an active commitment on the part of ACEP to international emergency medicine. Some of those areas overlap into regions that traditionally might have been supplied by SAEM. In the last two years, ACEP has either participated in or endorsed at least 13 international meetings held throughout the world from Italy and France to India and Turkey to Argentina and Mexico. Examining AAEM, once again there is a clear commitment as they have been the major US co-sponsor of the Mediterranean Congress on Emergency Medicine (the third one in Nice) and are continuing to develop more sponsorship activities with a European Congress on Emergency Medicine and looking toward additional roles in South America. AAEM is reported as having sponsored or endorsed 16 international meetings in 2004-2005 and the first Intra-American Conference on Emergency Medicine is planned for Buenos Aires in April 2006. ACEP is also a co-sponsor of this meeting. The National Association of EMS Physicians (NAEMSP) and the Council of Emergency Medicine Residency Directors (CORD) have more focused activities as part of their mission,

(continued on next page) 27


President’s Message…(continued from page) but both have actively participated in a variety of international activities with didactic and research abstract presentations. This includes inviting international presentations at their own meetings as well as running specific tracks within international events. So, with all these strategic plans and active involvements circling around SAEM and the globe, how can we best participate now that we’ve chosen to do so? That question will soon stand before the Board for its discussion and deliberation. Importantly, we are not “so far behind” that it would be useless for us to consider moving in this direction. SAEM remains recognized as one of the world leaders in emergency medicine education and research, and would certainly be welcome as a partner in any endeavor in which it would choose to participate. As the Board moves to address this important issue and acknowledge what’s going on in the rest of the world, it would be important to hear from the

membership regarding SAEM’s involvement in this realm. Your views and opinions are not completely clear. The single question on international relations in the recent SAEM membership survey, stated “EM is relatively underdeveloped in many nations. SAEM should increase financial and member effort in promoting EM education and research outside of north America”. Of those who responded, 200 were in agreement and 161 were not. That’s not exactly a mandate and yet the world is not waiting for us. As my last two President messages were rather directive in their informational content, perhaps this time and with this topic we might get some opinions flowing. You are welcome to respond to SAEM at saem@saem.org or me directly at glenn.hamilton@wright.edu. We look forward to your comments. Next time, a subject long dear to my heart, but troubled by events, Faculty Development.

EMF Grants Available The Emergency Medicine Foundation (EMF) grant applications are available on the ACEP web site at www.acep.org. From the home page, click on “About ACEP,” then click on “EMF,” then click on the “EMF Research Grants” link for a complete listing of the downloadable grant applications. The funding period for all grants is July 1, 2006 through June 30, 2007, unless otherwise noted. EMF Directed Research Reducing Medical Errors Award This request for proposals specifically targets research that is designed to reduce medical errors in the ED setting. Although all clinical proposals will be considered, the highest priority will be given to proposals that directly evaluate interventions to reduce medical errors and utilize quantitative outcome measures to assess effectiveness. Proposals may focus on specific patient populations, disease processes or hospital system components. Studies that propose to only identify errors without a plan to evaluate outcomes or investigate interventions will not be considered. Applicants may apply for up to $100,000 in funding. The funds will be disbursed semiannually over the two-year cycle. Deadline: December 19, 2005. Notification: April 25, 2006.

Career Development Grant A maximum of $50,000 to EM faculty at the instructor or assistant professor level who need seed money or release time to begin a promising research project is available. Deadline: December 19, 2005. Notification: April 25, 2006.

ENAF Team Grant This request for proposals specifically targets research that is designed to investigate the topic of ED overcrowding. Proposals may focus on a number of related areas, including: definitions and outcome measures of ED overcrowding, causes and effects of ED overcrowding, and potential solutions to the problem of ED overcrowding. The applicants must provide evidence of a true collaborative effort between physician and nurse professionals and must delineate the relative roles of the participants in terms of protocol development, data collection, and manuscript preparation. A maximum of $20,000 will be awarded. Deadline: December 19, 2005. Notification: April 25, 2006.

Research Fellowship Grant This grant provides a maximum of $75,000 to EM residency graduates who will spend another year acquiring specific basic or clinical research skills and further didactic training research methodology. Deadline: January 9, 2006. Notification: April 25, 2006.

Riggs Family/Health Policy Research Grant Between $25,000 and $50,000 for research projects in health policy or health services research topics is available. Applicants may apply for up to $50,000 for a one- or two-year period. The grants are awarded to researchers in the health policy or health services area who have the experience to conduct research on critical health policy issues in EM. Deadline: January 9, 2006. Notification: April 25, 2006.

Medical Student Research Grant This grant is sponsored by EMF and the SAEM. A maximum of $2,400 over 3 months is available for a medical student to encourage research in emergency medicine. Deadline: February 13, 2006. Notification: April 25, 2006.

Resident Research Grant A maximum of $5,000 to a junior or senior resident to stimulate research at the graduate level is available. Deadline: December 19, 2005. Notification: April 25, 2006. 28


AAMC Annual Meeting…(continued from page 6) Wye River Group - Policy Blueprint for Health Care” and the second presentation “Epidemic of Care: Facing the Future Demands for Health Care.” Dr. Sklar and Dr. Martin describe these sessions in more detail in their article, which is published in this issue of the Newsletter. The presentations for chief medical officers reviewed patient safety and clarifying the rolls and responsibility for residents given the current regulations and patient expectations. The Group for Institutional Advancement discussed issues of accountability and reputation management when you’re under the public microscope, as well as hospital safety, quality improvement, the myths and truths of major gift fundraising, improving access to leadership, developing effective messages for difficult

issues, and many other programs. The innovations in medical education exhibits allowed attendees a chance to see what various specialties, academic medical centers, and commercial vendors are doing to enhance education of medical students, residents, faculty, and the use of simulator technology was well represented in the exhibit area. There were also many educational sessions for the Group for Student Affairs including the why and how of integrating simulation throughout the medical school curriculum. The AAMC also presents a leadership forum where the challenges for the upcoming year are addressed and a keynote speaker shares their sense on a specific topic. They also hold focus sessions on items such as Institute for Improving Clinical Care, Transforming

Care for the Sudden Critical Illness: Medical Emergency Teams and the Institute for Improving Medical Education as well. The other Groups provided educational sessions such as Educational Technology: Services and Organizational Models; Virtual Patients; Proactive Strategies for the At-Risk Student in the Residency Match Process; Clinical Skills Education, Dialogue for Development and many others. So if you have the opportunity to attend the session next year in Seattle, in November, I would encourage you to consider it, particularly if you wish to expand your educational horizons and represent the face of Emergency Medicine amongst the leaders of Academic Medicine.

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

RESEARCH DIRECTOR LOMA LINDA UNIVERSITY

The Department of Emergency Medicine in the Loma Linda University School of Medicine is seeking a qualified academic physician for the position of Research Director. This individual will qualify for an appointment at the Associate Professor or Professor level in the School of Medicine. Responsibilities will include management of department research activities and a focus on being a resource for junior faculty. A track record of research using various research designs is expected, as is experience with various statistical applications. Clinical responsibilities will be scaled to allow for a pursuit of a variety of research-related activities, including teaching, writing, development of specific projects, and collaboration with other departments on campus. Past experience will include extensive interactions with IRB processes and grant applications. Key long-term goals are the successful development of junior faculty and increasing integration of clinical research activities with basic science investigations. The department provides all emergency services for Loma Linda University Medical Center and Children’s Hospital.

The SAEM Newsletter is mailed every other month to approximately 6000 SAEM members. Advertising is limited to fellowship and academic faculty positions. The deadline for the March/April issue is February 1, 2006. All ads are posted on the SAEM website at no additional charge. Advertising Rates: Classified ad (100 words or less) Contact in ad is SAEM member Contact in ad non-SAEM member Quarter page ad (camera ready) 3.5" wide x 4.75" high

$100 $125

Send resumes in confidence to: William A. Wittlake, MD, FACEP, Chair Dept. of Emergency Medicine Loma Linda University Medical Center Loma Linda, California 92354 E-mail to Darci Nevatt, Administrative Assistant dnevatt@ahs.llumc.edu; Phone 909-558-7171, Fax 909-558-0121

$300

To place an advertisement, email the ad, along with contact person for future correspondence, telephone and fax numbers, billing address, ad size and Newsletter issues in which the ad is to appear to: Elizabeth Webb at elizabeth@saem.org

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FACULTY POSITIONS

University of Pittsburgh Medical Center

MORRISTOWN MEMORIAL HOSPITAL (MMH) IN MORRISTOWN, NJ: Seeking a PEM fellow for a 2 -year program starting in July 2006. MMH has a Children's hospital with 50-60 full-time pediatric specialists and residencies in EM and pediatrics. The PEM Dept is a 16-bed unit with an annual volume of 20,000 patients. Morristown, NJ is located in Morris County, 40 minutes from New York City. Candidates may be trained in emergency medicine or pediatrics. Contact Mark Mandell, Chief of EM, Morristown Memorial Hospital, 100 Madison Ave, Morristown, NJ 07960 or by email at jobs@emamd.com.

Department of Emergency Medicine offers fellowships in the following areas: • Toxicology • Emergency Medical Services • Research • Education

NEW ENGLAND: Ivy League, established Emergency Medicine Residency Program. This independent group of BC/BE physicians seeks faculty dedicated to providing cutting edge education, research and clinical care in Clinical, Clinician Educator, Cardiac Care, Critical Care, Simulation, Ultrasound and Pediatrics. Brand new 51,000 sq ft ED/ Level 1 Trauma Center. Competitive salary plus outstanding benefits. Please contact Andrea Light, e-mail CV alight@teedco.com

Enrollment in the Graduate School is a part of all fellowships with the aim of obtaining a Master’s Degree. In addition, intensive training and interaction with the nationally-known faculty of the Department of Emergency Medicine, with experts in each domain, is an integral part of the fellowship experience. Appointment as an Instructor is offered and fellows assume limited clinical responsibilities in the Emergency Department at the University of Pittsburgh Medical Center and affiliated institutions. Each fellowship offers the experience in basic and/or human research and teaching opportunities with medical students, residents and other health care providers. The University of Pittsburgh is an Equal Opportunity Employer, and will welcome candidates from diverse backgrounds. Each applicant should have an MD/DO background or equivalent degree and be board certified or prepared in emergency medicine (or have similar experience). Please contact Donald M. Yealy, MD, University of Pittsburgh, Department of Emergency Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213 to receive information.

UNIVERSITY OF PITTSBURGH: Full-time emergency medicine faculty non tenure and tenure positions are available at the Instructor through Professor levels. Candidates must be residency trained and board certified/prepared in emergency medicine. We offer career opportunities as a clinician-investigator or clinician-teacher. Our faculty have local, national and international recognition in research, teaching and clinical care. The ED serves a primarily adult population with a volume of approximately 50,000 per year, and is a Level I trauma center with both toxicology and hyperbaric medicine treatment programs housed within our Department. Salary is commensurate with experience. For further information write to: Donald M. Yealy, MD, Vice Chair, Department of Emergency Medicine, University of Pittsburgh School of Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213. The University of Pittsburgh is an Affirmative Action, Equal Opportunity Employer. UNIVERSITY OF CALIFORNIA, IRVINE: Department of Emergency Medicine is seeking a Clinical Instructor for July 2006. UCI Medical Center located in Orange County is a Level I Trauma center with a 46,000 ED census. This twoyear fellowship will include formal public health education leading to an MPH degree coupled with training in injury prevention with a traffic safety focus. Completion of an ACGME accredited Emergency Medicine Residency is required prior to start. Salary is commensurate with the level of clinical work. Send CV, statement of interest, and three letters of recommendation to: Shahram Lotfipour, MD, MPH at Department of Emergency Medicine, Route 128-01, UCI Medical Center, 101 City Drive, Orange, CA 92868, or e-mail to SHL@uci.edu, (714)456-2326. The University of California, Irvine is an equal opportunity employer committed to excellence through diversity. UC SAN DIEGO: Department of Emergency Medicine is offering a one-year ACGME accredited fellowship in Hyperbaric Medicine. The curriculum includes training in all indications for HBO therapy, and exposure to the local diving community, weekly dive clinics, Scripps Institute of Oceanography diving program, and the San Diego Regional Poison Center. The fellowship includes a half-time faculty position in EM with competitive salary. Applicants must be graduates of an approved 4-year EM residency, or have at least one year of postgraduate experience after a PGY1-3 program. Research is an integral component of the fellowship. Applicants should send a cover letter and CV to: Karen B. Van Hoesen, MD, Director, 200 W. Arbor Drive, San Diego, CA 92103-8676, e-mail: kvanhoesen@sbcglobal.net

UNC- CH, Department of Emergency Medicine Faculty Appointment Advertisement UNC-Chapel Hill, 4 tenure-track or fixed term physicians, research faculty, or administrative faculty. Rank/salary commensurate with experience. UNC Hospitals is a 665-bed Level I Trauma Center. The Emergency Department sees 44,000 high acuity patients per year, is active in regional EMS, ACLS/ATLS/BTLS education and has an aeromedical service. Send CV to Edward Jackem, MBA, Department of Emergency Medicine, CB #7594, Chapel Hill, NC 27599-7594. (919) 9669500. FAX (919) 966-3049. UNC is an Equal Opportunity/ADA Employer.

UNIVERSITY OF NORTH CAROLINA – CHAPEL HILL: Department of Emergency Medicine, 4 tenure-track or fixed term physicians, research faculty, or administrative faculty. Rank/salary commensurate with experience. UNC Hospitals is a 665-bed Level I Trauma Center. The Emergency Department sees 44,000 high acuity patients per year, is active in regional EMS, ACLS/ATLS/BTLS education and has an aeromedical service. Send CV to Edward Jackem, MBA, Department of Emergency Medicine, CB #7594, Chapel Hill, NC 27599-7594. (919) 966-9500. FAX (919) 966-3049. UNC is an Equal Opportunity/ADA Employer.

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

Dept Contact: Ed Jackem, Business Administrator, phone: 966-9500 Email: EJackem@med.unc.edu Dept webpage: http://www.med.unc.edu/wrkunits/2depts/emergmed/ HR facilitator: Tracee Dorcelien, Tracee_Dorcelien@med.unc.edu, phone: 843-1400 30


University of Florida/Jacksonville We are actively recruiting Board Certified or Board Eligible Emergency Medicine Physicians in an exciting opportunity to expand our EDs in Jacksonville & Tampa/Orlando area. At our Jacksonville ED, we have a volume of over a 90,000 patient visits per year including Trauma patients. In the Orlando-Tampa area, a community-based hospital, we have a 24,000 square foot emergency department, 45,000 patient visits per year. In addition to a competitive salary, we offer the full range of University of Florida state benefits that include health, life, disability insurance, vacation & sick leave, 403B retirement plan with immediate vesting, and sovereign immunity occurrence medical liability insurance. Individuals will be appointed at the rank of Assistant Professor or Associate Professor. If you are interested in this opportunity please fax (904) 244-5666 or e-mail your letter of interest and CV to Dr. Kelly Gray-Eurom, Department of Emergency Medicine, University of Florida/Jax Kelly.gray-eurom@jax.ufl.edu. This position is available immediately. EOE/AA Employer.

Emergency Medicine Faculty Position The Department of Emergency Medicine at the Boston University School of Medicine (BUSM)) seeks academic faculty members. Positions are available at Boston Medical Center (BMC) which is a Level 1 Trauma Center with 130,000 visits annually. The Department of EM serves as an independent academic department within BUSM and BMC. The department has a nationally recognized, wellestablished residency program with academic faculty appointments through BUSM. BMC is the medical control and academic base for Boston EMS. In addition, we have an active research section with particular focus on public health, administration, EMS and cardiovascular emergencies. Candidates must be ABEM board certified or eligible and must demonstrate a commitment to the training of emergency medicine residents. Competitive salary with an excellent benefits package. Further information contact: Jonathan Olshaker MD, Professor and Chair, Department of Emergency Medicine, Boston Medical Center, 1 BMC Place, Boston MA 021182393. Tel: 617-414-5481; Fax: 617-414-7759; E-mail: olshaker@bu.edu. An Equal Opportunity/Affirmative Action Employer.

Brigham and Women’s Hospital/Harvard Medical School

Division of Emergency Medicine Fellowship The Division of Emergency Medicine at the University of Utah School of Medicine in Salt Lake City, Utah offers a two-year Research Fellowship in Emergency Medicine, effective July 2005. The University of Utah is the primary medical teaching and research institution in the state. This program allows for concentrated training and experience in research to prepare the fellow for a career in academic emergency medicine. Successful completion of the fellowship will include a Masters of Science in Public Health (MSPH) degree. Participants will be given a junior faculty position in the Division of Emergency Medicine; however, clinical responsibilities will be limited. Areas of research can be performed in a variety of emergency medicine-related fields, including basic science, EMS, injury control, pediatrics, toxicology, trauma, etc. Compensation for this program is very competitive and includes all educational fees and expenses.

The Department of Emergency medicine at Brigham and Women’s Hospital is currently seeking two full time academic emergency physicians to join the faculty. We are specifically seeking a faculty member with sub-specialty training and expertise in emergency ultrasound to lead an established and growing emergency ultrasound program. Both positions include excellent academic support including access to grant writing and statistical analysis, academic appointment at Harvard Medical School, unparalleled research opportunities, competitive salary, and an outstanding comprehensive benefit package. Brigham and Women’s Hospital is a major Harvard affiliated teaching hospital, level I trauma center, and the base hospital for the four year ACGME accredited Harvard Affiliated Emergency Medicine Residency Program. The Department of Emergency Medicine cares for over 54,000 ED patients per year, and the 43 bed ED includes a 10 bed ED Observation Unit, a 5 bed rapid assessment cardio/neuro unit and an advanced informatics system. The department is also home to STRATUS, a comprehensive medical simulation training center. The department has a robust International Emergency Medicine Program and offers international EM fellowships. The successful candidates must have successfully completed a four year residency training program in emergency medicine or a three year program followed by a fellowship, and be board prepared or certified in emergency medicine. Interest and proven ability in Emergency Medicine research and teaching are essential. Please send inquiries and CV to Ron M. Walls, MD, FACEP, Chairman Department of Emergency Medicine Brigham and Women’s Hospital 75 Francis Street, Neville House Boston, Massachusetts 02115. E-mail rwalls@partners.org BWH is an Equal Opportunity/Affirmative Action Employer

Applications must be completed by February 1, 2005. If you are interested in applying or need more information, please contact: Erik D. Barton, M.D., M.S., FACEP Division Chief and Fellowship Director University of Utah School of Medicine 1150 Moran Bldg, 175 N Medical Drive E, Salt Lake City, UT 84132 (801) 581-2417, Fax: (801) 585-6699 erik.barton@hsc.utah.edu 31


FACULTY POSITION PEDIATRIC EMERGENCY MEDICINE UNIVERSITY OF FLORIDA/JACKSONVILLE

DEPARTMENT OF EMERGENCY MEDICINE TOXICOLOGY FELLOWSHIP The University of Cincinnati seeks candidates for a two-year fellowship in medical toxicology consisting of inpatient and outpatient clinical consultation, environmental and occupational toxicology, regional poison center experience, laboratory and clinical research and experience in hyperbaric medicine. Three medical toxicologists serve as faculty. Clinical experience is derived from an adult emergency room which is the regional level I trauma center with more than 90,000 visits annually and the second busiest pediatric emergency department in the country (83,000 annual visits). NIOSH and EPA have headquarters in Cincinnati and a NIOSH medical toxicologist is involved in training the fellow. The fellow takes call for the poison center, conducts inpatient and outpatient toxicologic consultations, and learns to use hyperbaric medicine for carbon monoxide poisoning and other indications for which it is used. The option exists to obtain additional training in occupational medicine leading to Board eligibility. Candidates should have completed residency training in emergency medicine, pediatrics, internal medicine, or occupational medicine, and must be eligible for Board Certification in one of these specialties. Submit letter of interest and CV to Curtis P. Snook, MD, Director, Toxicology Fellowship, University of Cincinnati, Department of Emergency Medicine, PO Box 670769, Cincinnati OH 45267-0769; phone (513) 558-5281; email snookcp@ucmail.uc.edu.

The Department of Emergency Medicine seeks a full-time faculty for the Division of Pediatric Emergency Medicine (PEM). Candidates must have excellent clinical and management skills, interests in teaching and research, and be MD/DO, BC in PEM. Shands Jacksonville, a 625 bed, Level I Pediatric Trauma Center, serves as a regional tertiary care hospital. The Department currently includes 5 PEM faculty, 6 PEM fellows, 24 EM faculty, and 50 EM residents. This position includes a dual appointment with the Department of Pediatrics. The ED has an annual census of 100,000, including a pediatric volume of 27,000, and is the PEM training site for the Pediatric, Family Medicine, and Emergency Medicine resident programs. The position will be offered at the tenure or non-tenure level of Assistant /Associate Professor. In addition to a competitive salary, we offer the full range of University of Florida state benefits that include health, life, disability insurance, vacation & sick leave, 403B retirement plan with immediate vesting, and sovereign immunity occurrence medical liability insurance. Send (or fax 904-244-5666) all inquiries and CV to: Dr. Steven Godwin, Search Chairman, Department of Emergency Medicine, 655 West 8th Street, Jacksonville, FL 32209. Please refer to LP#. The University of Florida is an Equal Opportunity Institution.

Emergency Medicine FELLOWSHIPS in Providence, Rhode Island

DEPARTMENT OF EMERGENCY MEDICINE EMS FELLOWSHIP

The Department of Emergency Medicine at Brown Medical School is pleased to offer Post-Graduate Fellowship Training opportunities. Our two fellowship programs include a Masters in Public Health degree from Brown Medical School. Fellows will serve clinically in the role of a junior attending working 880 clinical hours per year. Our faculty have extensive experience in research and have achieved federal and private foundation funding approximately $3M.

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

Fellowship Opportunities: Two Year Programs: • Geriatrics • Medical Simulation • Injury Prevention Center • Disaster and Emergency Medical Services • Preventive Health • International Emergency Medicine One Year Program: • Emergency Ultrasound Fellowship Closely aligned Brown Medical School affiliated institutions where fellows work clinically include Rhode Island Hospital, Hasbro Children’s Hospital, The Miriam Hospital and Memorial Hospital. The combined ED volume of Brown Medical School’s affiliated EDs is 190,000 visits/year. Our new Emergency Department at Rhode Island Hospital opened in April 2005. RIH is our leading training institution and the state’s only Level 1 Trauma Center. If you would like to be considered for any of these fellowship positions, please send a letter and CV to: Robert H. Woolard, MD, President University Emergency Medicine Foundation 593 Eddy Street, Potter 2 Providence, RI 02906 Phone: 401-444-5141 or send email to: CCarriere@lifespan.org

32


DEPARTMENT OF EMERGENCY MEDICINE MASSACHUSETTS GENERAL HOSPITAL

OREGON HEALTH & SCIENCE UNIVERSITY

PROFESSOR & CHAIR DEPARTMENT OF EMERGENCY MEDICINE SCHOOL OF MEDICINE

A Major Teaching Affiliate of Harvard Medical School

The Department of Emergency Medicine at Massachusetts General Hospital is seeking candidates for faculty positions at all academic levels. Special consideration will be given to those with an established track record in clinical or laboratory research and a commitment to excellence in clinical care and teaching. Academic appointment is at Harvard Medical School and is commensurate with scholarly achievements. MGH is an equal partner in the 4year BWH/MGH Harvard Affiliated Emergency Medicine Residency Program. The ED at MGH is high volume, high acuity level 1 trauma and burn center for adult and pediatric patients. The annual visit volume is >76,000. The successful candidate will join a faculty of 28 academic emergency physicians in an academic department with active research and teaching programs, as well as fellowship programs in research, administration, and medical simulation. Candidates must have completed at least 4 years of residency plus fellowship training in Emergency Medicine. Inquiries should be accompanied by a curriculum vitae and may be addressed to: David F. M. Brown, MD, FACEP, Vice Chairman, Department of Emergency Medicine, Massachusetts General Hospital, Bulfinch 105, 55 Fruit Street Boston, Massachusetts 021114; e-mail: dbrown2@partners.org Massachusetts General Hospital is an equal opportunity/affirmative action employer.

The School of Medicine of the Oregon Health & Science University is recruiting candidates for the Chair of the Department of Emergency Medicine. The successful candidate will be board certified by the American Board of Emergency Medicine and possess outstanding clinical skills, excellence in scholarly activity and a proven record of administrative leadership. Additionally the candidate must have a strong commitment to medical student and resident education. OHSU has a strong basic science research program, an organized faculty practice, a large graduate studies program and a nationally recognized curriculum reform program for medical students. Candidates should forward a letter of interest and a current curriculum vitae to the attention of Drs. Edwin Everts and Sharon Anderson at lockartn@ohsu.edu. OHSU is an affirmative action equal opportunity employer.

Emergency Medicine Academic University Physician Associates, the faculty practice plan for the University of Missouri-Kansas City School of Medicine, is recruiting for faculty physicians in the Department of Emergency Medicine. Opportunities exist at the Assistant or Associate Professor level for residencytrained and board-eligible or board-certified emergency physicians to join a growing department. A fullyaccredited EM residency was established in 1973 and currently accepts 9 residents per year. Truman Medical Center, the primary clinical site, is undergoing an extensive ED renovation that will nearly double its capacity and create a modern, state-of-the-art facility. Research areas of focus and/or need include EMS, medical simulation, asthma, cardiovascular disease, and ultrasound. University Physician Associates offers competitive salary and benefits. Contact: Robert A. Schwab, MD, Professor and Chair, Department of Emergency Medicine, 2301 Holmes Street, Kansas City, Missouri 64108. Robert.Schwab@tmcmed.org. An Equal Opportunity Employer 33


Central Texas Emergency Medicine The Department of Emergency Medicine at Scott & White Memorial Hospital and Clinic is seeking BC/BE Emergency Physicians with excellent clinical, teaching and other academic skills. This Level I Trauma department evaluates and treats 55,000+ patients annually. We maintain a fully accredited Emergency Medicine Residency Program and have an excellent faculty development plan that includes the ACEP Teaching Fellowship. Scott & White is currently designing and building a new "State of the Art" Emergency Department in our new Center for Advanced Medicine to be completed in 2006.

Academic Faculty

appointment is through Texas A&M University Systems Health Science Center College of Medicine. Scott & White is a Physician Directed Healthcare System that includes S&W Clinic with over 500 physicians, S&W Hospital with 465 beds, and S&W Health Plan with 180,000+ members. Scott & White offers an outstanding compensation package, which begins with a competitive salary, a comprehensive insurance package, and a generous retirement plan. Please contact or send your CV to: Paul Golden, Director of Physician Recruiting, Scott & White Clinic, 2401 S. 31st, Temple, TX. 76508. E-mail drrpfg@swmail.sw.org toll free (800) 725-3627. For more information visit our web site at www.sw.org Scott and White is an equal opportunity employer.

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Lehigh Valley Hospital Pennsylvania

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Needs 2 More Emergency Medicine Physicians Join 41 EM physicians and 12 PAs evaluating over 113,000 patients at the three local sites of 750-bed Lehigh Valley Hospital in Eastern Pennsylvania (www.LVH.org). Must be EM Residency trained. Collegial group salaried by multispecialty physician group of LVH, with good mix of experience and great opportunity for advancement. Electronic: medical records, physician order entry, documentation, radiology, etc. Level I Trauma, Regional Burn Center, 18 fully-accredited training programs, including one in Emergency Medicine, plus 700 medical student rotations annually. Eligibility for faculty appointment at Penn State/Hershey. Emergency Medicine Institute. Competitive salary and robust benefits including fullyfunded family healthcare, 3 forms of pension (2 paid for by us), 5 weeks of PTO plus one week of CME with $4,500 annually, etc. LVH located in the beautiful Lehigh Valley, with 700,000 people, excellent suburban public schools, safe neighborhoods, 10 colleges and universities, moderate cost of living, one hour north of Philadelphia and 90 minutes west of NYC. Email CV to carol.voorhees@LVH.com. Phone (610) 402-7008.

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34


Yale University School of Medicine, Section of Emergency Medicine MEDICAL DIRECTOR The Section of Emergency Medicine at Yale University School of Medicine is currently seeking a Medical Director to oversee the clinical operations in the Yale-New Haven Hospital ED, an urban, Level I trauma center with approximately 70,000 visits per year. The Director will join a well established multidisciplinary leadership group with a commitment to continuous quality improvement, providing efficient care and improving patient and staff satisfaction. The leadership team’s Performance Improvement initiatives are facilitated by a full time Six Sigma Black Belt coordinator. Candidates must be Emergency Medicine trained and board certified. The successful candidate must demonstrate excellence in clinical, interpersonal and administrative skills. For more information, contact Dr. Gail D’Onofrio at (203) 785-4404 or gail.donofrio@yale.edu. To apply, please forward your CV and cover letter via fax at (203) 785-4580, email: jamie.petrone@yale.edu, or mail at Yale University School of Medicine, Department of Surgery, Section of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315. Yale University is an affirmative action, equal opportunity employer and women and members of minority groups are encouraged to apply.

Yale University School of Medicine, Section of Emergency Medicine

Director, Academic Affairs Department of EM Newark Beth Israel Medical Center

OFFICE OF EMERGENCY PREPAREDNESS MEDICAL DIRECTOR

The Section of Emergency Medicine at Yale University School of Medicine is currently seeking a board certified, experienced emergency physician to provide leadership in disaster medicine to the Yale New Haven Health System, a nationally recognized integrated health system throughout the State of Connecticut. The Office of Emergency Preparedness (OEP) is a designated Center of Excellence and a federally designated emergency preparedness center covering New England and collaborating with New York City and other geographic locations nationally and internationally. The Director of OEP will also hold a faculty appointment in the Section of Emergency Medicine at Yale University and will provide clinical coverage in the Yale New Haven Hospital ED, an urban Level I Trauma Center with approximately 70,000 visits per year. A successful candidate must demonstrate experience in disaster preparedness, excellence in teaching and administrative skills, and a desire to work with a range of institutions and professionals in the field of disaster preparedness. For more information, contact Dr. Gail D’Onofrio at (203) 785-4404 or gail.donofrio@yale.edu. To apply, please forward your CV and cover letter via fax at (203) 785-4580, email: jamie.petrone@yale.edu, or mail at Yale University School of Medicine, Department of Surgery, Section of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315. Yale University is an affirmative action, equal opportunity employer and women and members of minority groups are encouraged to apply.

We are searching for an emergency medicine physician experienced in research, academics, and grant writing with a track record of refereed publications to assume a key leadership role in our department. We are looking for an enthusiastic, energetic individual who is 5-10+ years post-EM residency graduation and desires an opportunity to lead a team of talented, dedicated residency faculty and be part of an Emergency Department committed to scholarship, clinical excellence, community service, and humanistic values. An MS or MPH would be a very desirable plus. Please contact or forward your CV/letter of interest to Marc Borenstein, MD, Chair, Department of EM, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, phone, 973-926-7562, e-mail, mborenstein@sbhcs.com.

35


S A E M

Newsletter of the Society for Academic Emergency Medicine

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

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

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

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

â&#x20AC;&#x153;to improve patient care by advancing research and education in emergency medicineâ&#x20AC;?

The SAEM newsletter is published bimonthly by the Society for Academic Emergency Medicine. The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM.

Future SAEM Annual Meetings 2006

May 18-21, San Francisco Marriott, CA

2007

May 16-19, Sheraton Hotel, Chicago, IL

S A E M

2008

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

2009

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

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

The Program Committee is accepting abstracts for review for oral and poster presentation at the 2006 SAEM Annual Meeting. Authors are invited to submit original research in all aspects of Emergency Medicine including, but not limited to: abdominal/gastrointestinal/genitourinary pathology, administrative/health care policy, airway/anesthesia/analgesia, CPR, cardiovascular (non-CPR), clinical decision guidelines, computer technologies, diagnostic technologies/radiology, disease/injury prevention, education/professional development, EMS/out-of-hospital, ethics, geriatrics, infectious disease, IEME exhibit, ischemia/reperfusion, neurology, obstetrics/gynecology, pediatrics, psychiatry/social issues, research design/methodology/statistics, respiratory/ENT disorders, shock/critical care, toxicology/environmental injury, trauma, and wounds/burns/orthopedics. The deadline for submission of abstracts is Tuesday, January 10, 2006 at 5:00 pm Eastern Time and will be strictly enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions will be available on the SAEM website at www.saem.org in November. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801. Only reports of original research may be submitted. The data must not have been published in manuscript or abstract form or presented at a national medical scientific meeting prior to the 2006 SAEM Annual Meeting. Original abstracts presented at national meetings in April or May 2006 will be considered. Abstracts accepted for presentation will be published in the May issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. SAEM strongly encourages authors to submit their manuscripts to AEM. AEM will notify authors of a decision regarding publication within 60 days of receipt of a manuscript.


January-February 2006