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Newsletter of the Society for Academic Emergency Medicine March/April 2007 Volume XVIIII, Number 2

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

AEM Reviewers' Workshop

PRESIDENTIAL REPORT Emergency Medicine Meets with The Director of the NIH Bob Neumar was joking with me recently about how times change. In 1989, Bob was a Sarnoff Fellow, working with me in Chuck Brown’s lab, wrestling pigs to anesthetize them for studies in cardiac arrest and resuscitation. James Hoekstra, MD NIH funding was a dream for most of us then. The number of funded EM investigators was easily counted on one hand. A mere 18 years later, we are sitting around a conference room table with some of the most prominent leaders in academic emergency medicine, discussing strategies to synergize emergency medicine research and the Roadmap Initiative with Dr. Elias Zerhouni, Director of the National Institutes of Health. It’s not very often that any of us have a chance to participate in an historic event of this stature and precedent. For me personally, it was a distinct pleasure. The meeting with Dr. Zerhouni was born out of SAEM and ACEP’s desire to follow through on the recommendations of the Institute of Medicine Report on Emergency Care. The IOM Report recommended that the “Department of Health and Human Services should conduct a study to examine the gaps and opportunities in emergency and trauma care research, and recommend a strategy for the optimal organization and funding of the research effort.” SAEM and ACEP had agreed to partner together to exploit this report recommendation to our benefit, using the combined power of ACEP’s advocacy expertise with the research expertise of the SAEM IOM Task Force and the ACEP Research Committee. ACEP’s discussions with the Secretary of DHHS led us to believe that Dr. Zerhouni would be a great audience to hear our concerns on the part of emergency care researchers. In what could best be described as “the value of friends in high places,” Gordon Wheeler and the ACEP advocacy office in Washington were able to secure a meeting between Dr Zerhouni and the leadership of SAEM and the ACEP Research Committee. The rest is history. Bob Neumar, Judd Hollander, Chuck Cairns, Sandy Schneider, Roger Lewis, Gordon Wheeler, and I met with Dr. Zerhouni for a little over an hour. We had planned a very organized presentation which included a number of proposals for incorporating emergency care research into the NIH Roadmap Initiative. We discussed the inclusion of emergency care training grants and emergency care

The annual AEM Reviewers' Workshop will be held on Thursday, May 17, 2007, 12:00-1:30 pm, during the SAEM Annual Meeting. The Workshop will focus on common reviewer areas of contention from the manuscript author(s)' point of view and will be coordinated by John Burton, MD. During the Workshop the audience will view historical reviewer comments from recent manuscript submissions. The audience and Academic Emergency Medicine editors will discuss the issues raised by these examples in an open discussion forum. Areas that will be covered during the workshop will include reviewer professionalism, reviewer-communicated anecdotes, reviewer comment style and tense, number of reviewers utilized, review size/detail, and the balance between reviewer and editor in ensuring a concise, thorough, and professional review communicated to those submitting a manuscript to Academic Emergency Medicine. All AEM reviewers are invited to attend.

In Memory of Eduardo Marvez-Valls, MD By Dr. Peter Deblieux Charity Hospital, New Orleans, LA The LSU Emergency Medicine, Charity Hospital family lost one of its best and brightest faculty members in the fall of 2006. Dr. Marvez-Valls was an Associate Clinical Professor of Emergency Medicine and faculty member for over two decades. He was an Associate Program Director for emergency medicine; helping shape the training of over 200 residents as they became emergency medicine physicians. Dr. Marvez-Valls was an experienced EMS Director, Special Event Medical Director, researcher, and educator with active memberships in ACEP, AAEM, CORD and SAEM. He established the LSU International EM program, initiating rotations across the globe. Dr. MarvezValls was an educator and mentor to paramedics, fire fighters, medical students, nurses, nurse practitioners, residents and his peers. He was recognized as the LSU EM Faculty Member of the Year and EM faculty member of the Decade. He was the consummate care provider attending to adult and pediatric patients within the Charity Hospital system. His colleagues note that Eduardo was a splendid Humanist and Philosopher with a never give up attitude. He was a fierce advocate for residents and patients, and was proof that a robust life outside medicine is essential for balance and happiness. Certainly, our specialty has been changed for the better through Dr. Eduardo MarvezValls’ contributions. He will be greatly missed. Dr. Eduardo Marvez-Valls is survived by his mother, brother, sister and life long companion, Robert Ripley.

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“to improve patient care by advancing research and education in emergency medicine” 1


Call for Proposals 2008 AEM Consensus Conference Deadline: April 2, 2007 The editors of Academic Emergency Medicine are accepting proposals for the 2008 AEM Consensus Conference, which will be held on May 28, 2008, the day before the SAEM Annual Meeting, in Washington, DC.

Proposals must advance a topic relevant to emergency medicine that is conducive to the development of a research agenda and be spearheaded by thought leaders from within the specialty of emergency medicine. The goals of the AEM consensus conferences are to heighten awareness related to the topic, discuss the current state of knowledge about the topic, identify knowledge gaps, propose needed research, and issue a call to action to allow future progress. Previous topics have included errors in emergency medicine, the unraveling safety net, quality/best practices in emergency care, information technology in emergency medicine, disparities in emergency care, emergency research without informed consent, the science of surge, and knowledge translation. Developed proposals will be reviewed on a competitive basis by the AEM Editorial Board. The topic chosen for the 2008 AEM Consensus Conference will be announced at the SAEM Business Meeting during the 2007 Annual Meeting in Chicago. Proceedings of the meeting and original contributions related to the topic will be published exclusively by AEM in its Special Topic Issue in November 2008. Submitters are strongly advised to review the Special Topic issues of previous AEM Consensus Conferences (see November issues of AEM) to guide the development of their proposals. Proposals must include the following: 1. Introduction of the topic • brief statement of relevance • justification for this topic choice 2. Proposed conference chairs and sponsoring groups (i.e., SAEM interest groups, committees) 3. Proposed conference agenda and proposed presenters • plenary lectures • panels • breakout topics and questions for discussion 4. Anticipated audience • stakeholder groups/organizations • federal regulators • national researchers and educators • others 5. Anticipated budget 6. Potential funding sources and strategies for securing conference funding Proposals must be submitted electronically to the AEM office at no later than April 2, 2007 at 5:00 PM Eastern Time. Questions may also be directed to

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 currently have a special need for osteopathic emergency physicians to serve as advisors. It is a brief time commitment; most communication 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. This program is currently being revised. If you are interested in being an advisor please send an email to the SAEM office at Please encourage your colleagues to join you today as a virtual advisor. 2

Call for Papers: Knowledge Translation Deadline: March 1, 2007 The 2007 Academic Emergency Medicine Consensus Conference on “Knowledge Translation in Emergency Medicine” will be held on May 15, immediately preceding the SAEM Annual Meeting in Chicago. Original papers, if accepted, will be published together with the conference proceedings in the November 2007 issue of Academic Emergency Medicine. Knowledge Translation (KT) describes any activity or process that facilitates the transfer of high-quality evidence from research into effective changes in health policy, practice or products. KT attempts to conceptually combine elements of research, education, quality improvement and electronic systems development to create a seamless linkage between interventions that improve patient care and their routine implementation in daily clinical practice. KT research may pertain to any and all aspects of this endeavor. Examples of research topics that would qualify under this category include: • Investigations of attitudes towards the use of decision rules or practice guidelines. • Studies of effectiveness of decision support systems in increasing utilization of target interventions. • Studies of the effectiveness of educational/CPD (Continuing Professional Development) interventions in changing practitioner behavior. • Papers in the health care policy arena that describe and measure the impact of approaches for closing the research to practice gap. • Research that examines the effect of evidence uptake interventions on patient outcomes. • Papers that discuss and contribute to the methodology of KT related investigations, as well as its conceptual framework. The conference will be designed and conducted to reach consensus on: • A research agenda in Knowledge Translation based on an exploration of the most important gaps that currently exist between research and practice in Emergency Medicine. • Recommendations that will advance the KT agenda. Original contributions describing relevant research or concepts in this topic will be considered for publication in the November 2007 special topics issue of AEM if received by Wednesday, March 1, 2007. All submissions will undergo peer review and publication cannot be guaranteed. For queries, please contact Dr. Eddy S. Lang, MD, Consensus Conference Coordinator;, 514-340-8222 x. 5568, or Richard Sinert, MD, AEM Editor for the special issue;, or consult the SAEM Newsletter and the AEM and SAEM websites.



Join us in the Windy City – SAEM Annual Meeting May 2007 Deb Houry, MD, MPH Emory University SAEM Program Committee Chair The Program Committee has been busy finalizing the Annual Meeting for this upcoming May in Chicago and we hope that you are planning to attend. We’ve had a busy few months finalizing the didactic grid and selecting abstracts. Below are our latest updates.

(78), and EMS/Out-of-Hospital (69). Disaster medicine was added as a new category this year and received many high quality submissions. We had many excellent submissions this year and choosing five for the plenary session was difficult. We aimed to represent basic science, public health and administration, as well as clinical science. We selected “A double blind randomized controlled trial comparing nebulized epinephrine and albuterol in the emergency department treatment of bronchiolitis”, “The Ottawa aggressive protocol for ED management of atrial fibrillation”, “Mesenteric blood flow during hemoglobin-based oxygen carrier fluid resuscitation in a swine model of severe hemorrhagic shock and uncontrolled abdominal hemorrhage”, “Can ‘non emergency’ ED visits shed light on access to care”, and “Prospective multi-center validation of the Pulmonary Embolism Rule-Out Criteria”. This is the second year we have offered a “Late breaker” category for abstracts. These late breaker abstracts were reviewed by the scientific subcommittee for quality of methodology, preliminary results, and anticipated timely completion of the study. Researchers submitting late breaker abstracts are required to complete data collection and analysis by April. We have accepted 2 late breaker abstracts, including a multi-center study on CMS quality-process measures and a clinical study looking at a novel method for measuring central venous pressure in sepsis. The final late-breaker abstracts will be published in the onsite program.

Social Events: This year the plenary session will not start until 1pm on Day One, allowing attendees to have committee meetings that morning or to fly in on the first day. We will have a coffee break prior to the plenary session so that attendees can socialize. Also as a result of the abbreviated Day One, the opening reception will be shortened to a brief happy hour reception so that Annual Meeting attendees can have a drink, grab some food, and reconnect with other SAEM members. For Thursday night, we obtained group rates for two Chicago venues, a blues club and a comedy club. You can purchase tickets for either event through the online SAEM registration form. Spend a night out on the town discovering what has made Chicago the home for blues music. For this option, the SAEM discounted admission price of $19.50 gets you in to two blues clubs, and two drinks. http://www. The other choice, Zanies Comedy Nightclub is located in the heart of Old Town, and is the oldest comedy club in Chicago, around since 1978. Headlining on May 17th will be James Johann, one of the three stars of The Slackers Tour, the latest national tour from the producers of "The Blue Collar Comedy Tour." Admission is $22, with a two-drink minimum. Thanks to John Younger, this year we will have a 5K Fun Run. The run will start promptly at 6:15am and the course will start just south of the hotel, continue to the Shedd Aquarium, and conclude back at the starting point. T-shirts, bottled water, and fruit will be provided. The registration fee is $15 and any profits generated from this event will be donated to the SAEM Research Fund. Finally, we are very excited to have a “Chicago Blues Night” on Friday May 18th from 5:30-7pm. John Primer and The Real Deal Blues Band will be playing at our Chicagothemed reception. John Primer has released ten solo albums to date and is a Grammy Award Nominee and Handy Award Nominee. “Check out his music at primer. We will also be serving Chicago deep dish pizza, so don’t miss this event! I’d also like to thank Comilla Sasson for putting together a list of things to do and places to eat nearby the hotel. This information is posted on the website and will be included in the onsite meeting guide.

Didactic Sessions and Workshops: SAEM meeting attendees again will not have to pre-register for lunch lectures. The Sheraton has a sandwich shop located near the exhibit hall for a la carte lunch purchases. We reviewed suggestions after last year’s meeting and we have increased the number of state of the art sessions, advanced research lectures, and workshops this year. We have more clinically relevant, state of the art sessions including topics such as: pediatric bronchiolitis, toxicology, informatics, cardiac care, and sepsis. Another “debate” didactic session will be planned – this year’s will be on industry sponsored research. We are continuing to offer the faculty development and grant writing workshops, and we have added an abstract writing workshop targeted to medical students, residents, and junior faculty. Finally, we have added a last minute and timely addition to our didactic programming – “Clinical and Translational Science Awards: the Role of Emergency Medicine”. Upcoming: We will be reviewing IEME and photo exhibits in February and anticipate another great year of submissions. These selections will be finalized in March. As always, please feel free to contact me with questions and suggestions for the Annual Meeting. Email is the easiest way to reach me: I look forward to seeing all of you in Chicago!

Paper Presentations: We received approximately 1,100 abstract submissions this year (after removing duplicate and blank abstracts) and accepted 545 abstracts. Our top three categories this year were: Administrative/Health Care Policy (106), Cardiovascular


Medical Student Symposium Saturday, May 19, 2007 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, 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 The cost is $75.

8:00 – 8:15 am

Introduction, M. Chris Decker, MD, Medical College of Wisconsin

8:15 – 9: 00 am

How to Select the Right Residency for You, Francis Counselman, MD, Eastern Virginia University

9:00 – 9:30 am

Getting Good Advice, Robert Harwood, MD, Christ Hospital

9:30 – 9:45 am


9:45 – 10:30 am

Navigating the Residency Process, Peter DeBlieux, MD, LSU – Charity Hospital

10:30 – 11:15 am

Getting the Most Out of Your Clerkship, Brian Clyne, MD, Brown University

11:15 am – 1:00 pm

Lunch with Program Directors

1:00 – 1:30 pm

The Dean’s Letter, Sheryl Heron, MD, Emory University

1:30 – 2:15 pm

Career Paths and Prospects in Emergency Medicine, Herbert Hern, MD Highland General Hospital

2:15 – 2:30 pm


2:30 – 3:30 pm

Small Break-Out Groups: Balancing Act, Terry Kowalenko, MD, University of Michigan Financial Planning, David Overton, MD, Michigan State University Optimizing Your Fourth Year, Steve McLaughlin, MD, University of New Mexico Medical Schools Without EM Residencies, Hans House, MD, University of Iowa


Chief Resident Forum Thursday, May 17, 2007 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. 7:30-8:00 AM 8:00-8:10 AM 8:10-9:00 AM

9:00-9:45 AM

9:45-10:00 10:00-10:30 AM


11:15-12:00 PM

12:00-1:15 PM 1:15-2:00 PM

2:00-2:45 PM

2:45-3:00 3:00-4:00 PM

4:00-5:00 PM

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 $150, in addition to the basic Annual Meeting registration fee. Use the online Annual Meeting registration form to register for the Annual Meeting and the Chief Resident Forum.

Registration and Continental Breakfast Welcome, Brigitte M. Baumann, MD Leadership and the Management Role, Robert Hockberger, MD, Harbor-UCLA Medical Center This session will discuss how leadership traits and management skills can be learned, developed and used to maximize your effectiveness as a chief resident. 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. Break The Impaired Physician, Terry Kowalenko, MD, University of Michigan Health System Identification of an impaired resident falls within the purview of the chief resident. This discussion will focus on identifying signs of an impaired physician and aiding with the initial intervention. Developing a Schedule, Brigitte Baumann, MD, Cooper University Hospital/UMDNJ-RWJMS at Camden 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. Scheduling Panel Session Sheryl Heron, MD, MPH, Emory University Douglas Trocinski, MD, University of North Carolina at Chapel Hill Audience Participation Lunch 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. Professional Growth and Success as a Chief ResidentJill Baren, MD, Hospital of the University of Pennsylvania This session will illustrate strategies for successful career development and maintenance of balance while serving as chief resident. Break 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. Chief Pearls Teresa Murray Amato, MD, New York Presbyterian Hospital; Mary Gendy, MD, University of South Florida; Nicholas E. Kman, MD, Wake Forest University Baptist Medical Center Anecdotes and words of wisdom from previous chiefs.


Report on the 2006 North American Congress of Clinical Toxicology in San Francisco Jennie A. Buchanan, MD Denver Health Spadafora Scholarship Recipient It was an honor to attend the annual North American Congress of Clinical Toxicology, (NACCT) which convened in the beautiful city of San Francisco, California, October 4-9, 2006. I am grateful to the Spadafora family, SAEM, and contributors for funding this invaluable experience. San Francisco provided an awesome background for the conference. Attendees took advantage of the diverse cultural and ethnic treasures, which enhance this city. The splendid dim sum, trolley cars, chocolate, bread, shopping and city views all provided a great backdrop for a fantastic meeting. The NACCT pre-meeting symposium was held on October 4th & 5th. The first day focused on a fascinating discussion on the integration and interaction of medical toxicology with other medical specialties. Experts from all aspects of the medical realm joined together to convey the important role the medical toxicologist plays in clinical medicine. As expected, the Case Presentation Competition (CPC) presentations were educational and clever. Abdominal pain and lactic acidosis was correctly attributed to a metformin ingestion. The teen Super Bowl party bowl extravaganza was identified as a clozapine ingestion while another teen trying to elude a toxicology screen had used niacin. Congratulations to case presenters Drs Thompson, Johnson-Arbor, and Mittal who all did an excellent job. The discussants Drs Henretig, Bryant, and Delgado all cleverly solved each case. The second day of the pre-meeting symposium convened with an enthralling discussion on “Substance Abuse and Addiction-Getting High, Getting Hooked and Getting Help.” Friday, October 6th was the official opening day of the conference. The conference kicked-off to a fantastic start with a keynote presentation by Dr. Proudfoot who gave an enticing lecture on “The Early Toxicology of Physostigmine: Beans, great men and egos.” The lecture given by Drs Yarborough and Kabanov on Nanotoxicology was equally fascinating as these new synthetic nanomaterials emerge as an important factor in human health and toxicology. I was also lucky enough to sit in on the fellow’s luncheon, which was moderated by Dr. Dye with great presentations by Drs Brent and Kosnett on “The Medical Toxicologist as a Consultant: Life Beyond the World of Acute In-patient Care.” Dr. MorrisKukoski’s lecture on “The Medico-legal use of Hair Analysis for Drug Facilitated Sexual Assault” was exceptionally educational and interesting. The lecture day ended with the NAACT year in toxicology focusing on hydroxocobalamin for the treat-

ment of cyanide poisoning by Dr. Borron. The toxicology history society ended the evening with great discussions ranging from “Everything I Ever Needed to Know About Toxicology I Learned from the Simpson’s” to “Ayahuasca: The History of the Spirit Medicine.” Saturday, October 7th began with an amazing discussion of the “Disastrous Complications of Psychostimulant Use.” Dr. Becker recipient of the Ellenhorn award left discussed cases of interest he had seen through his career ranging from cyanide exposure to parkinsonism after IV MPTP use. The multiple poster presentations were educational and superbly done. A particular highlight of the conference was the debate by Dr. Dart and Clark over weather we should “use the 150 or 200 line as a criteria for the treatment of acetaminophen overdose?” Both did a fantastic job, I am still stumped. Sunday, October 8th started with the Clinical Toxinology Mini 2-Day Course moderated by Dr. Dart, Isbister, White, and Warrell. Undoubtedly, the world’s experts on toxinology (the science of toxic substances, such as venoms and poisons, produced by living organisms, such as snakes, spiders, jellyfish, mushrooms etc...). The first day of the course encompassed a detailed discussion of local and international poisonous snakes. The stories and photos were absolutely breathtaking. This truly was the highlight of the conference. A confidential lecture by John Trestrail also left the crowd laughing and wanting more as the title tells all “Murder by Poison.” Poster presentations continued to please the interested crowds. Monday, October 9th, the last day of the conference ended with a bang. The mini-course continued with a fascinating discussion on arachnid and aquatic envenomations. The conference ended with an interesting lecture on the “New Advances in the Treatment of Botulism” by Edward Cetaruk, MD. Over 300 poster presentations and platform discussants were featured during the five-day period. It was truly an honor to attend the NACCT. Overall, the conference experience was invaluable for a young budding toxicologist like myself. It was awesome to meet some of the names so familiar in trailblazing the field of medical toxicology. It was great to see old friends, mentors, and meet knew colleagues. I am thankful to Dr. Spadafora and his dedication to resident education, scholarship contributors and the Spadafora family for allowing me to have this experience. See you at the 2007 NACCT meeting in Toronto!


SAEM Michael P. Spadafora Medical Toxicology Scholarship Dr. Michael P. Spadafora was an academic emergency physician and medical toxicologist who was a member of SAEM and the American College of Medical Toxicology (ACMT) and was dedicated to resident education. After his death in October 1999, memorial donations were directed to SAEM for the establishment of a scholarship fund to encourage Emergency Medicine residents to pursue Medical Toxicology fellowship training. The scholarship recipient will be chosen to attend the 2006 North American Congress of Clinical Toxicology (NACCT) in the fall and will receive $1250 for travel, meeting registration, meals, and lodging. Any PGY-1 or 2 (or PGY-3 in a 4-year program) in an RRC-EM or AOA approved residency program is eligible for the award. The deadline for application is May 1, 2007. Scholarship recipients will be announced at the SAEM Annual Meeting. The recipient will be required to submit a summary of the meeting for publication in the SAEM Newsletter. Applications must be submitted electronically to and include: 1. Curriculum Vitae of applicant 2. Verification of employment and letter of support from the applicant’s program director 3. Letter of Nomination from an active member of SAEM and/or ACMT 4. 1-2 page essay describing the applicant’s interest and background in Medical Toxicology Please note that ACMT has developed a similar scholarship program; contact ACMT for further information at:

2006 AEM Outstanding Reviewers Announced Michelle H. Biros, MD, MS Editor-in-Chief Academic Emergency Medicine Again this year Academic Emergency Medicine has enjoyed a successful year. In 2006 AEM received 954 manuscripts (651 new submissions and 303 revisions). The contributions of the many SAEM members and others who volunteered their time and expertise to serve as expert reviewers were critical to the journal's success. In 2006, 1,217 reviews were completed for manuscripts that advanced to peer review. Reviewers responded in an average of 3 days and reviews were completed in an average of 11 days. The turnaround time (date of submission to first decision) averaged 23 days. The editors of Academic Emergency Medicine would like to offer our heartfelt thanks and appreciation to the 369 reviewers who assisted in the peer review process in 2006.

The continued growth and quality of the journal would not be possible without their efforts. A list of all 2006 reviewers will be published in the April 2007 issue of the journal. Each year the editors select those reviewers who have provided excellent service to Academic Emergency Medicine. These "outstanding reviewers" have provided at least five high quality reviews in a timely fashion. The "outstanding reviewers" will be acknowledged during the annual AEM Reviewers Workshop, which will be held on Thursday, May 17 during the SAEM Annual Meeting. Please join us in congratulating and thanking the outstanding reviewers. The list of 2006 outstanding reviewers is listed below. Those designated with an * are also members of the AEM Editorial Board.

Annette L. Adams, PhD, Oregon Health & Science University Mark Angelos, MD, Ohio State University Sean M. Bryant, MD, Cook County Hospital/Rush Medical College Gregory Cable, PhD, MA, Sanofi-Aventis Corp. Peter Dayan, MD, Children's Hospital of New York Seth Kunen, PhD, Louisiana State University Lewis R. Goldfrank, MD, Bellevue Hospital Center Marc Gorelick, MD, MSCE, Children's Hospital of Wisconsin Leon Haley, Jr., MD, Emory University Jon Mark Hirshon, MD, MPH, University of Maryland Debra Houry, MD, MPH, Emory University H. Range Hutson, MD, Massachusetts General Hospital Charlene Babcock Irvin, MD, St. Johns Hospital and Medical Center

*Alan E. Jones, MD, Carolinas Medical Center Amy V. Kontrick, MD, Northwestern University Eddy Lang, MD, McGill University John Marx, MD, Carolinas Medical Center Michael Mullins, MD, Washington University James E. Olson, PhD, Wright State University Manish N. Shah, MD, MPH, University of Rochester Ellen Johnson Silver, PhD, Albert Einstein College of Medicine Jonathan Singer, MD, Wright State University David P. Sklar, MD, University of New Mexico Steven Smith, MD, Hennepin County Medical Center Mark Su, MD, State University of New York, Downstate Allan B. Wolfson, MD, University of Pittsburgh *Kelly Young, MD, Harbor-UCLA Medical Center Shahriar Zehtabchi, MD, State University of New York, Downstate 8

President’s Message…(continued from page 1) researchers in the institution-specific Clinical Translational Science Awards (CTSAs). We discussed the formation of a cross-disciplinary emergency care clinical research network which could be utilized by the CTSA sites as well as by the disease-specific NIH institutes. An emergency care clinical research network could eliminate the duplicity of diseasespecific or institute-specific multicenter research networks. Start-up and maintenance costs could be minimized, and organizational efficiency of the CTSA initiatives could be improved. Finally, we discussed the inclusion of emergency care researchers on present NIH councils, study sections, and the CTSA review committees. The goal of all these discussions was to demonstrate the “value added” that emergency care researchers can give to the NIH Roadmap Initiative. Indeed, there are many synergies between the NIH Roadmap Initiative and emergency care research. We provide a unique and extremely broad window to the community, especially as it relates to acute care, diagnostics, and their effects on diverse and underserved populations. We also provide the primary contact to populations with unique disease states, from cardiac arrest and trauma to environmental exposures. Emergency care research networks could dramatically affect how biomedical and behavioral research is conducted in the next decade by expanding clinical and translational research into the acute care setting. Dr. Zerhouni listened intently, absorbed our presentations, agreed with some of our ideas, and then challenged us to make our proposals a reality. As we had suspected, we were not about to leave the Office of the Director with promises of a new Emergency Medicine Study Section, or even inclusion of emergency care researchers in all the CTSA awards. Dr. Zerhouni made no promises. What we left with was a charge to take back to our membership, and some direction to take back to our society leadership. Some of these directions include: Emergency medicine needs to create a research “case for support.” What are the specific questions that only research in emergency medicine can answer? Where are our priorities for funding? What diseases, populations, problems, or hypotheses can research in emergency medicine answer? We have been challenged to create that priority list. Science drives funding, not visa versa. Inclusion in CTSA grants is an institution-specific decision. Emergency care researchers need to lobby their own institutional research leadership to be a part of their CTSA grant submission process. There are 12 grants funded at present, and emergency medicine’s involvement has been minimal thus far. The onus is on us to change that locally. Emergency care research networks are a “value added” to the CTSA awardees. Dr. Zerhouni considered an emergency care network an ideal sub-network component of the interCTSA institutional networks what will be established in the future. We should make this clear at the CTSA-funded sites, as well as sites applying for funding. Organization of these sites into a multicenter research network should be a priority for emergency medicine. Membership on study sections and councils is an open process. Anyone can apply, but only the best are chosen.

Left to right: Charles B. Cairns, MD; Sandra M. Schneider, MD; Judd E. Hollander, MD; Robert W. Neumar, MD, PhD; Elias A. Zerhovni, MD, Director of the National Institutes of Health; James W. Hoekstra, MD, SAEM President: Roger J. Lewis, MD

Any assist that we, as a society, can provide in this application process is crucial to our success. The NIH and specifically the NIH Roadmap initiative are open to suggestions regarding its structure and funding priorities. Involvement of emergency medicine in advocacy activities like the upcoming NIH Scientific Review Workshops or the planned NIH Emergency Care Research summit is crucial. SAEM and ACEP partnered together to organize our meeting with Dr. Zerhouni. We plan to partner together to maximize our response to his challenge. The SAEM research committee and the ACEP research committee will propose a joint task force to achieve the recommendations which resulted from our meeting with the NIH. This task force will include key researchers and leaders in academic emergency medicine. Educational sessions for the membership on CTSA grants and the NIH Roadmap are planned for the ACEP Leadership and Advocacy Meeting in April, and the SAEM Annual Meeting in May. The task force will be networking with CTSA sites to organize the CTSA emergency medicine research network and assist emergency medicine to researchers at CTSA sites to participate in the CTSA process. The task force will also be identifying potential candidates for NIH study sections or councils, and helping facilitate their applications for membership. Finally, the leadership of SAEM and ACEP will be designating emergency medicine researchers to attend NIH Scientific Review Workshops and the planned NIH Emergency Care Research Summit to assure that emergency care research concerns are heard at a national level. There’s a lot to do, but we could not be more energized than now, and there is no time like the present to take advantage of our opportunities. This is an exciting time for academic emergency medicine, and the SAEM leadership is energized to be a part of it. You can rest assured that your leadership is advocating on your behalf. Feel free to provide your input to me or to any Board member in this regard. We welcome your views and your support.


Academic Announcements SAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of interest to the membership. Submissions must be sent to by April 1st to be included in the May/June issue. Paul R. Sierzenski, MD, Director of Emergency and Trauma Ultrasound at Christiana Care Health System in Newark Delaware, has been named the North American Principal Investigator for the TUCSON Trial. Dr. Sierzenski will also serve as a clinical protocol advisor on the trials’ international Steering Committee. The TUCSON study is an industry sponsored phase 1-2, Randomized, Placebo Controlled, OpenLabel, Dose Escalation Study to Evaluate the Safety, Tolerability, and Activity of Ascending Single Doses of MRX801 with Continuous Ultrasound Administration in subjects with Acute Ischemic Stroke Receiving Treatment with Intravenous Tissue Plasminogen Activator.

Patricia C. Dischinger, PhD, Professor of Epidemiology at the Charles McC. Mathias, Jr. National Study Center for Trauma and Emergency Medical Systems, and Jon Mark Hirshon, MD, MPH, Associate Professor in the Department of Emergency Medicine at the University of Maryland School of Medicine, have been awarded a 5-year T-32 Fellowship Training Grant on Injury Control and Trauma Response from the National Institute of General Medical Science. This prestigious award is to train post-doctoral fellows on research related to injuries. Drs. Dischinger and Hirshon are quite excited about this opportunity, especially considering the current funding climate, and look forward to actively recruiting top notch trainees for these coveted positions.

Professor Ronald F. Maio has been appointed Director of the Office of Human Research Compliance Review (OHRCR) for the University of Michigan. Dr. Maio has faculty appointments in the Medical School as Professor of Emergency Medicine, the School of Public Health (SPH) as Professor of Environmental Health Sciences and an appointment as an Assistant Research Scientist at the University of Michigan Transportation Research Institute (UMTRI). Prior to being appointed Director he was the Assistant Dean for Research Regulatory Affairs at the Medical School and also was the Director of the University of Michigan's Injury Research Center, based in the Department of Emergency Medicine.

A Consensus Conference Sponsored by Academic Emergency Medicine The Official Journal of the Society for Academic Emergency Medicine

Knowledge Translation in Emergency Medicine: Establishing a Research Agenda and Guide Map for Evidence Uptake May 15th, 2007 Chicago Sheraton Chicago, Illinois USA

Conference Co-chairs Barnet Eskin, Peter Wyer, Eddy Lang

Organizational Support Emergency Department SMBD - Jewish General Hospital A McGill University Teaching Hospital

Peter B. Richman, MD, MBA, has been promoted to Associate Professor in the Mayo Clinic College of Medicine and serves as the Vice-Chair, Division of Research, in the Department of Emergency Medicine, Mayo Clinic Arizona. John G. McManus MD,MCR, has been appointed the New EMS Fellowship Director for the San Antonio Uniformed Services Health Education Consortium, Brooke Army Medical Center, San Antonio, TX.


Plenaries 8 - 8:15am 8:15 - 9am

Welcome, Opening Remarks • Michelle Biros Overview of the Research Practice Gap and Defining Knowledge Translation in the Emergency Medicine Context • Eddy Lang 9 - 9:30am Consensus Process Principles • Barnet Eskin 9:30 - 10am Theme leader presentations Concurrent Breakout Presentations I 10:30 Guideline Implementation Research (Strategies for improving guideline-directed care in the ED setting and how to study their efficacy) • Brian Gibler Decision Support Technology (Cutting edge innovations in technology-assisted evidence implementation: lessons from software development and informatics technology applications) • Brian Holroyd Research Methodology in KT (Unique study design and methodological considerations in planning and conducting KT research) • Jeremy Grimshaw Threoretical Underpinnings of KT (Conceptual frameworks for understanding the knowledge to action continuum) • Ian Graham Lunchtime Keynote Address 11:30 - 1pm Opportunities and challenges in closing the research to practice gap: the AHRQ vision for advancing the study of evidence uptake in emergency medicine • Carolyn Clancy Concurrent Breakout Presentations II 1 - 2:00pm Developing Evidence Summaries for Emergency Medicine (Review of ongoing and potentially novel initiatives to appraise and synthesize existing evidence into clinician-friendly and usable content designed for bedside application) • Peter Wyer Implementing Decision Rules in an Emergency Department (Obstacles and facilitators to clinical decision rule uptake in an Emergency Department: studying causes and measuring impact of implementation strategies) • Ian Stiell Funding Opportunities in Knowledge Translation (Review of the AHRQ’s “Translating Research into Practice” initiatives, competing funding agencies and strategies for success) • Jean Slutsky A Model Program in Knowledge Translation Research (Review of CIHR’s multi-faceted and multicentered program in Knowledge Translation Research in Pediatric Emergency Medicine) • Terry Klassen Consensus-building Workshops 2:15 - 4:15pm Consensus process for establishing KT research agenda and key recommendations: Six facilitated groups of participants drawn from the discussion groups involved in the specific preparatory phase will join in this breakout session. Moderated by the designated chairs and aided by the two scribes these six groups will use brainstorming as well as validated consensus techniques to finalize a prepared, comprehensive and prioritized list of KT research opportunities and recommendations for their KT domain. 4:30 - 5:30pm Feedback reporting from workshop groups and large group consensus building exercise


Report from the IOM Capstone Workshop James Hoekstra, MD SAEM President On December 11, the Institute of Medicine held its final or “capstone” workshop to receive input on the “IOM Report on Emergency Care.” The meeting was held in Washington, DC, at the National Academies Building, and was attended by over 300 people representing many healthcare specialty societies. Judd Hollander and I represented SAEM. The meeting started with Dr. Brent Eastman giving a recap of the past three IOM regional workshops, emphasizing the points that had been made by prior attendees and the “areas of agreement” regarding the IOM report. It was gratifying to see that SAEM’s concerns regarding research issues in emergency medicine were front and center on the list of consensus items for the IOM. Specifically, the IOM has heard loud and clear that the funding of research in emergency and acute care is hampered by the lack of EM representation on study sections or the lack of an acute care section at the NIH. Our concerns regarding the lack of emphasis on Geriatrics in the IOM report were also heard, and was mentioned as an area which was inadvertently omitted from the report. The IOM will take the feedback from these IOM workshops and distill them into a published supplement to the three volume IOM report on emergency care. This supplement will be available in the spring, and we can rest assured that SAEM’s published positions on the IOM report will be prominent in that supplement. The remainder of meeting was a bit of a disappointment, however. Representatives from regulatory bodies like DHHS, CMS, and NHTSA came to the microphone one after another and told us how seriously they would take the report, but offered no specific plans for moving the report recommendations forward. Representatives from consumer groups and legislative organizations made it very plain to the attendees that "the public does not see this as a crisis.” This can easily be interpreted as "we're not going to do much until it becomes a crisis.” The “political will” required to push major changes through our legislative or regulatory bureaucracies is not apparent amongst our leadership in Washington. Emergency medicine’s issues, which mirror the U.S. health-

care systems issues, are not a big enough priority compared to Iraq, the economy, etc. Tom Gustafson of CMS, for instance, was very blunt in his unwillingness to change or alter any reimbursement or regulatory patterns to relieve the practice of ED boarding. He stated that CMS does not dictate practice patterns, they just pay for them. It was also very apparent from consumer group representatives that there is little understanding of ED crowding. The prevailing opinion was that ED crowding was due to misplaced primary care and the uninsured. SAEM and ACEP have a long way to go to educate our leadership in Washington. The research session was the last session of the afternoon. After Bill Barsan, Nathan Kuppernanm, and Daniel Patterson articulated very eloquently the problems in emergency medicine and EMS research funding, a lineup of representatives from HRSA, AHRQ, CDC, USU, and the NIH each took their turn telling us what they were already doing in EM research. PECARN, NETT, and other emergency medicine research networks got lots of public mention, but none of the agency representatives gave any specifics on plans to address emergency medicine research funding issues on a going-forward basis. Nor did they seem receptive to doing so. The discussions were not lively or productive, and the session was disappointing. SAEM plans to join forces with ACEP and utilize our collective muscle to set a prioritized list of 4-5 items from the IOM report toward which we cam direct our advocacy efforts. Federal funding of EM research will be on that short list. We hope to reassemble the major regulatory and research representatives in the Spring with our list of priorities in order to foster more specific plans for achieving the recommendations of the IOM report. In the meantime, we will continue to partner with the AAMC to educate the NIH and other research institutes to understand the importance of acute care research. We have a long way to go, but it will be worth the effort in the long run.

To make a donation to the SAEM Research Fund SAEM Membership Counts as of 2/26/07

• Use the online form at • Send check payable to SAEM Research Fund to SAEM, 901 N. Washington Avenue, Lansing, MI 48906 • Contact SAEM via phone (517-485-5484) or e-mail:

Active - 2572 Associate - 203 Emeritus - 20 Honorary - 5 Medical Student - 361 Resident/Fellow - 2289

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.

TOTAL – 5450 11

National Asthma Education and Prevention Program (NAEPP) Coordinating Committee (CC) Meeting Summary Report December 4, 2006 Rita K. Cydulka, MD, MS Case Western Reserve University School of Medicine Status of the Asthma Guidelines: The Expert Panel is close to completing a Resource Document that will serve as the basis for Guidelines for the Diagnosis and Management of Asthma: Expert Panel Report 3 (EPR-3). The Resource Document is based on a comprehensive literature review covering the four components of asthma care. A working draft was developed by the Expert Panel and is currently being edited. About 600 pages long, the Resource Document is a background report that includes findings from key studies and recommendations for clinical practice. It will be posted on the NHLBI Web site for public review at which time Coordinating Committee members can submit comments. Other work is being done to extract key points from the Resource Document to put together the actual Guidelines, which will also be available to the CC for review. The Guidelines Implementation Panel (GIP) was formed to identify key messages in the Resource Document, develop selection criteria by which to prioritize them, and identify strategies that can be used across stakeholder groups to implement the messages. Panel members include several CC members as well as a broad range of representatives of the health care sector. The GIP met on November 29-30, 2006 and identified three major theme areas to serve as the framework for their discussions and report development: (1) communication, (2) systems integration, and (3) patient/provider support. They will develop recommendations and implementation strategies for the selected key messages within each of the theme areas, completing their work via conference calls over the next few months. The NAEPP in Perspective- Looking Back: Dr. Gary Rachelefsky, who has been a member of the CC since its inception, reviewed what the NAEPP has accomplished since 1989. He listed its goals, tenets, and initial activities, which include developing guidelines, educational materials, and resources; enlisting input from organizations; identifying evidence to evaluate impact; conducting outreach to highrisk populations; and influencing public policy. Among NAEPP’s successes are a decrease in number of deaths among older children/adults with asthma; support for World Asthma Day; and the 2003 National Conference on Asthma. The EPR-2, 1997 was a landmark, science-based report that initiated the process of changing the common perception of asthma and its treatment by emphasizing the role of inflammation in disease development and the four components of asthma. The guidelines were updated in 2002 to include more emphasis on children and recommendations for the use of inhaled corticosteroids (ICS) as preferred treatment and the use of peak flow monitoring. However, the 1998 and 2004 Asthma in America Surveys indicated that the asthma guidelines have not been used appropriately, and there is a need to do more to improve asthma care. There has been no drop in asthma prevalence; physician office visits have increased, but rates of hospitalization and emergency room (ER) visits are rising or staying the same. The guidelines provide a better understanding of asthma, but compliance with them is low. Dr. Rachelefsky concluded that despite NAEPP’s successes over 18 and a half years, more work is needed to make a difference. He encouraged member organizations to get involved in this effort.

Looking Ahead: Dr. Michelle Cloutier, American Academy of Pediatrics, noted that only 20–50 percent of primary care providers (PCPs) adhere to the national asthma guidelines. The reason may be that PCPs are drowning in paperwork, have 6-minute patient visits, see 52 patients a day, and deal with 135 issues each day. “Easy Breathing” is a disease management program in Connecticut that makes it easier for PCPs to use the guidelines. The program, which adheres to the guidelines, defines basic quality care for asthma and asks clinicians to do the smallest number of activities needed to achieve significant success. “Easy Breathing” focuses on making asthma diagnosis, determining asthma severity, prescribing appropriate therapy, and creating a written treatment plan. User-friendly tools are provided for each step: an “Easy Breathing” survey with four validated questions used to diagnose asthma; provider assessment with four questions to determine asthma severity; an Asthma Treatment Selection Guide; and a simple asthma treatment plan that has been field tested. The “Easy Breathing” program started in 1998 and has been implemented in Connecticut by 315 pediatricians in 129 practices in 41 towns. The program has resulted in a significant increase in the use of ICS, a marked decrease in oral steroid use, decreases in ER visits for all severities; and a decline in hospitalizations for children with asthma. Ninety-four percent of the PCPs in private practice have written asthma treatment plans, and most adhere to guidelines; 85 percent of the recruited PCPs are still using the program. Dr. Cloutier concluded that PCPs can use the guidelines and make a difference. These encouraging results might point the way for a simpler set of guidelines in the future. One of the meeting goals was to identify the smaller, more focused components of comprehensive intervention research projects to form a menu of stand-alone, simple and doable, short-term activities that are likely make a difference in asthma care. Another goal was to identify ideas/priority themes in four asthma goal areas on which NAEPP should focus its efforts to enhance guidelines implementation as well as addressing at the National Asthma Conference in March 2009. Breakout Groups Participants were assigned to four breakout groups representing four overarching goal areas: (1) Public and Organizational Policy; (2) Community-Based Interventions; (3) Clinical Practices; and (4) Asthma SelfManagement Education for Patients and Their Caregivers. Each group selected priority themes for the 2009 conference, identified interventions and barriers to success, and weak links that should be addressed to overcome the barriers. The groups were also asked to consider target audiences, gaps and barriers to action, evidence for the interventions, and potential partners. (See attachments for greater detail) Group Reports/Full Group Feedback The breakout task leaders reported on their sessions devoted to selecting themes and developing mini-interventions in the four areas.


Neurological Emergencies Treatment Trials (NETT) Report

New Grant Application Deadlines

Drs. William Barsan (University of Michigan), Robert Silbergleit (University of Michigan) and Art Pancioli (University of Cincinnati) are investigators on the Clinical Coordinating Center for the Neurological Emergencies Treatment Trials (NETT) network, funded for $7.5 million by the NINDS. Dr. Barsan is the principal investigator for the Coordinating Center and Drs. Silbergleit and Pancioli are co-investigators, along with Drs. Lewis Morgenstern (Neurology, University of Michigan) and Dan Lowenstein (co-PI, Neurology, UCSF). The Statistical and Data Management Center for NETT will be the Medical University of South Carolina (Yuko Palesch--PI). There will be 11 Clinical Hubs where patients will be enrolled into clinical trials--University of Pennsylvania (Jill Baren), Temple University (Nina Gentile), Emory University (David Wright), University of Kentucky (Roger Humphries), University of Cincinnati (Art Pancioli), Henry Ford Hospital (Chris Lewandowski), Wayne State University (Robert Welch), Medical College of Wisconsin (Tom Aufderheide), University of Minnesota (Michelle Biros), University of Arizona (Kurt Denninghoff) and UCSF (Claude Hemphill). Overall, NINDS has committed $26.5 million to NETT over 5 years.

The Grants Committee has changed the deadlines for application for the following grants and fellowships. Please make note: • • • •

Research Training Grant (RTG) – Applications now due August 1, 2007 Institutional Research Training Grant (IRTG) – Apps now due August 1, 2007 Scholarly Sabbatical Award (SS) – Apps due August 1, 2007 Emergency Medicine Service (EMS) Fellowship Award – Apps now due November 1, 2007

Medical Student Volunteers Sought The SAEM Program Committee is looking for energetic medical students to work at the 2007 SAEM Annual Meeting in Chicago on May 16-19. 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 Please write “Medical Student Volunteer for Annual Meeting” in the subject line of the email.

Medical Student Excellence Award Established in 1990, the SAEM Medical Student Excellence in Emergency Medicine Award is offered annually to each medical school in the United States and Canada. It is awarded to the senior medical student at each school (one recipient per medical school) who best exemplifies the qualities of an excellent emergency physician, as manifested by excellent clinical, interpersonal, and manual skills, and a dedication to continued professional development leading to outstanding performance on emergency rotations. The award, presented at graduation, conveys a one-year membership in SAEM, which includes subscriptions to the SAEM monthly Journal, Academic Emergency Medicine, the SAEM Newsletter and an award certificate. Announcements describing the program have been sent to the Dean's Office at each medical school. Coordinators of emergency medicine student rotations then select an appropriate student based on the student's intramural and extramural performance in emergency medicine. Over 100 medical schools currently participate. To submit the 2007 Medical Student Excellence Award recipient from your school (only one winner per medical school), go to: pdf Submissions must be received at SAEM no later than June 20. The list of 2007 recipients will be published in the SAEM Newsletter in late summer.

Society for Academic Emergency Medicine Annual Meeting May 15-19, 2007 Sheraton Chicago Hotel and Towers City Front Center 301 East North Water Street Phone 312-464-1000 Be sure to mention SAEM for reservations 13

SAEM 2007 Research Grants Emergency Medicine Medical Student Interest Group GrantsThese grants provide funding of $500 each to help support the educational or research activities of emergency medicine medical student organizations at U.S. medical schools. Established or developing interest groups, clubs, or other medical student organizations are eligible to apply. It is not necessary for the medical school to have an emergency medicine training program for the student to apply. Deadline: September 8, 2007 EMF/SAEM Medical Student Research GrantThese grants are sponsored by SAEM and the Emergency Medicine Foundation. A maximum of $2,400 over three months is available to encourage research in emergency medicine by medical students. Deadline: TBA Research Training GrantThis grant provides financial support of $75,000 per year for two years of formal, full-time research training for emergency medicine fellows, resident physicians, or junior facility. The trainee must have a concentrated, mentored program in specific research methods and concepts, and complete a research project. Deadline: November 3, 2007 Institutional Research Training GrantThis grant provides financial support of $75,000 per year for two years for an academic emergency medicine program to train a research fellow. The sponsoring program must demonstrate an excellent research training environment with a qualified mentor and specific area of research emphasis. The training for the fellow may include a formal research education program or advanced degree. It is expected that the fellow who is selected by the applying program will dedicate full time effort to research, and will complete a research project. The goal of this grant is to help establish a departmental culture in emergency medicine programs that will continue to support advanced research training for emergency medicine residency graduates. Deadline: November 3, 2007

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 6. Other pertinent topics Materials should be submitted by e-mail to Subject Line should state: Newsletter Submission. Be sure to include the names, professional designations, institutional affiliations of authors and a means of contact. All submissions are subject to review and editing. Deadline for the May/June issue is April 1, 2007.


17th Annual SAEM Midwest Regional Meeting Meeting Announcement & Call for Abstracts Thursday, September 20, 2007 The Department of Emergency Medicine at Wayne State University is pleased to announce that abstracts are now being accepted for the SAEM Midwest Regional Meeting. The theme of the meeting will be “Finding Your Niche in Emergency Medicine” and will include a keynote address by Dr. Glenn Hamilton. The program will feature oral and moderated poster presentations of original research, as well as a discussion-panel and short lectures from various invited faculty whom have excelled in their chosen EM niche. The meeting location is Ford Field, home of the Detroit Lions. Registration to this event includes a complimentary continental breakfast and lunch. A selection of wine & cheeses will also be provided during the moderated poster session. Detroit is a resurging city, with much to offer our out-of-town guests. Take a boat tour down the Detroit River. Visit Greektown for a fabulous evening meal. If gaming is your interest, Detroit has 3 Las Vegas style casinos downtown. Or maybe you’d like to visit a museum? The Detroit Institute of Arts and the Charles Wright Museum of African American History (the largest African American museum in the country) are two of our gems. Like music? We also are home to the world renowned Detroit Symphony Orchestra, and have a thriving local music scene. Are you a sports fan? Detroiters are passionate about their sports, and September is a great time for the sports fan to visit as it is possible to see the Lions, Tigers, and Red Wings in action, and all of whom play in Downtown Detroit. The deadline for abstract submission is FRIDAY, JULY 27, 2007 at 5:00 p.m. Eastern Standard Time. Only electronic submissions via the SAEM online abstract submission form at will be accepted. Acceptance notification will be sent by August 10, 2007. Questions concerning the meeting can be directed to the Program Co-Chair, Scott Compton, PhD, at

Journal Manager Academic Emergency Medicine The Society for Academic Emergency Medicine (SAEM) is searching for an energetic, innovative, and experienced individual to fill the position of Journal Manager for the Society's journal, Academic Emergency Medicine. About SAEM: SAEM is a non-profit organization dedicated to the improvement of care of the acutely ill and injured patient by advancing research and education in emergency medicine. About Academic Emergency Medicine (AEM): AEM publishes information relevant to the practice, educational advancement, and investigation of emergency medicine. The mission of the journal is to promote the advancement of emergency medicine research, education, and clinical practice. About the position: The Journal Manager will be located at the editorial office in Lansing, Michigan, and will oversee and ensure the timeliness and quality of all peer review, editorial, and production processes. A list of duties will be available for review by qualified candidates. About the Successful Candidate: The Journal Manager must be able to oversee and guide the entire editorial and publication process. The successful candidate will work well under deadlines and will have demonstrated success with at least 3 years of experience in a comparable position. Prior editorial experience with a society publication is an advantage. Three references will be required and salary will be commensurate with qualifications and job experience. Interested candidates should contact Barbara Mulder, Interim Executive Director, at 517-485-5484 or by email at SAEM is an EOE. 15

FACULTY POSITIONS TUCSON, ARIZONA: Department of Emergency Medicine - The Department of Emergency Medicine at the University of Arizona Health Sciences Center has expanded to a second practice site and is recruiting emergency physicians. In July of 2005 the group assumed control of the Emergency Department at University Physicians Hospital at Kino (UPHK), located in one of the fastest growing areas of Tucson. Our group, dedicated to excellence in emergency medicine, needs bright and energetic emergency physicians to grow with us at both University Medical Center (UMC) and UPHK. We have openings for academically oriented Emergency Medicine physicians and offer a competitive salary, excellent benefits, generous CME stipend, and an academic appointment. Special consideration will be given to candidates with interest or experience in the development of medical student and resident educational programs and interest or experience in EMS, Pediatric Emergency Medicine and Clinical Research. In addition to the categorical residency in Emergency Medicine, we possess a combined residency program in Emergency Medicine and Pediatrics and fellowships in Medical Toxicology, Sports Medicine and Research. Please e-mail inquiries to meislin@ or call 520-626-2239 or mail your CV to: Harvey W. Meislin, M.D., Professor and Head, Department of Emergency Medicine, The University of Arizona, PO Box 245057, Tucson, AZ 85724, http://www.emergencymed.

2007 EMS FELLOWSHIP ANNOUNCEMENT The State University of New York at Buffalo, Department of Emergency Medicine is seeking applicants for a one or two year Emergency Medical Services Fellowship. Fellowship responsibilities include providing on-scene support for law enforcement, disaster response, medical oversight, participating in the regional public health emergency responses system and assisting in oversight of the EMS resident rotation. Clinical experience is in our busy Level I trauma center and aggressive 24/7-angioplasty center with a strong ED Ultrasound program. Excellent salary and benefit package including tuition reimbursement for Masters level graduate work. Additional education in Emergency Ultrasound is also available. Now accepting applications for July 2007. Applicants must be BC/BE in Emergency Medicine and be able to obtain a NY State Medical License. Questions can be addressed to Jeff Myers, D.O. at or call 716-8984430. A letter of interest and Curriculum Vitae may be submitted to: Anthony Billittier, IV, MD Fellowship Director, Department of Emergency Medicine, 462 Grider Street, Buffalo, NY 14215

ORANGE, CALIFORNIA: Department of Emergency Medicine is seeking an HS Clinical Instructor for July, 2007. UCI Medical Center is a Level I Trauma center with 2200 runs/year, 40,000 ED census. The new fellowship in Emergency Medical Services and Disaster Medicine, beginning July 1, 2007, combines the traditional emphasis on EMS research with the disciplines of emergency management/disaster medicine and public health. A key focus of the fellowship is health policy and health services systems research including mass casualty management and triage. Completion of American council of graduate medical education (ACGME) accredited Emergency Medicine Residency required prior to start. The two-year combined program, with an integrated Masters of Public Health, will be jointly administered by Director, EMS and Disaster Medicine. Salary commensurate with level of clinical work, send CV, statement of interest and three letters of recommendation to: Carl Schultz, MD. Department of Emergency Medicine, Route 128, UC Irvine Medical Center, 101 City Drive, Orange, CA 92868. The University of California, Irvine is an equal opportunity employer committed to excellence through diversity LAS VEGAS, NEVADA: Director of Emergency Ultrasound. Outstanding opportunity of emergency ultrasound fellowship-trained Emergency Physician for academic faculty position. True ground-floor opportunity to develop an ultrasound program and a didactic curriculum. Enjoy a progressive, dynamic environment with a supportive Emergency Medicine team and new ACGME-approved EM residency training program. Protected academic time and clinical appointment in the University of Nevada School of Medicine (UNSOM), Department of Emergency Medicine. UMC is a Level I Trauma Center seeing 71,000 emergency pts./yr. Employment and partnership is with Emergency Physicians’ Medical Group (EPMG), which has been providing outstanding opportunity since 1973. EPMG offers democratic governance, open books, and excellent compensation/ bonus plus shareholder status after one year. Compensation package includes administrative stipend, profit sharing, comprehensive benefits with funded pension (up to $25,300 yr.), CME account ($5,000/yr.), family medical/dental/ prescription/vision coverage, short and long term disability, life insurance, malpractice+tail, relocation allowance and more. Contact Jim Nicholas @800.828.0898, e-mail, fax 330.491.4077 or send CV to EPMG, 4535 Dressler Road NW, Canton, OH 44718.

CENTRAL TEXAS: Emergency Medicine Scott & White Health System The Department of Emergency Medicine of Scott & White and The Texas A&M University System Health Science Center College of Medicine are currently seeking outstanding physicians BC/BE in Pediatric Emergency Medicine. A state-of-the-art Emergency Department is currently under construction, as part of a new Center for Advanced Medicine and will include an 8 bed pediatric emergency department. As the only Level I Trauma department in Central Texas, the department evaluates and treats 58,000+ patients annually with a pediatric volume greater than 12,000 patients. The department presently consists of 14 full-time faculty physicians, committed to quality care delivery enhanced by resident and student education. The department will play a critical role in the vision of the institution to grow both its clinical services and academics. Academic appointment and rank is commensurate with experience and qualifications.

SYRACUSE, NEW YORK: The Department of Emergency Medicine at SUNY Upstate Medical University seeks additional BC/BE Emergency Medicine trained faculty physicians. This is an exciting opportunity to join one of the highest quality learning environments in academic settings. Part of the Region’s only Level I Trauma Center, this state-of-the-art Emergency Department sees 52,000 patient visits annually. In addition to having Central New York’s only accredited, hospitalbased Hyperbaric Oxygen Therapy Unit, University Hospital boasts a certified Poison Control Center, a Center for Emergency Preparedness, a Paramedic Training Program, and a Flight Program. Position offers faculty appointment in the College of Medicine at SUNY Upstate Medical University, competitive compensation and excellent benefits package. An AA/EEO/ADA employer, committed to excellence through diversity. Contact Mike Tucker at 800-678-7858, x63447; fax 314-7260026; e-mail

Scott & White is the largest multi-specialty practice in Texas, with more than 530 physicians and research scientists who care for patients at Scott & White Memorial Hospital in Temple and within the 15 regional clinic system networked throughout Central Texas. Over $250 million in expansions are currently underway, including two new hospitals and three regional clinics. Led by physicians with a commitment to patient care, education and research, Scott & White is listed among the "Top 100 Hospitals" in America and serves as the clinical educational site for The Texas A&M HSC COM. Additionally, the 180,000-member Scott & White Health Plan is the #1 health plan in Texas. Scott & White offers a competitive salary and comprehensive benefit package, which begins with four weeks vacation, three weeks CME and a generous retirement plan. For additional information, please call or send your CV to: C. Keith Stone, MD, Professor and Chairman, Department of Emergency Medicine; c/o Jason Culp, Physician Recruiter, Scott & White Clinic, 2401 S. 31st, Temple, TX 76508. (800) 725-3627 Scott & White is an equal opportunity employer. A formal application must be completed to be considered for this position.

COLUMBUS, OHIO: Assistant/Associate or Full Professor. Established residency training program. Level 1 trauma center. Nationally recognized research program. Clinical opportunities at OSU Medical Center and affiliated hospitals. Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 146 Means Hall, 1654 Upham Drive, Columbus, OH 43210; or E-mail;; or call 614-293-8176. Affirmative Action/Equal Opportunity Employer. Search Committee: Michael R. Dick, M.D., Sorabh Khandelwal, M.D., Daniel R. Martin, M.D., Richard N. Nelson, M.D., Howard A. Werman, M.D.


Fellowship in Trauma Biomechanics The University of Virginia Department of Emergency Medicine, in collaboration with the Department of Mechanical and Aerospace Engineering, is pleased to offer a one year fellowship in Trauma Biomechanics. The Trauma Biomechanics Fellowship links the clinical care of the injured patient with the body of basic science research attempting to prevent injury to vehicle occupants, pedestrians and law enforcement. During this one-year fellowship, fellow will gain clinical experience in the emergency department while gaining laboratory experience at the University of Virginia Center for Applied Biomechanics. Ongoing research areas include pedestrian injury, thoracic injury mechanisms, pediatric abdominal injury modeling, wave propagation, motorcycle occupant biomechanics and blast biomechanics. The successful applicant will have completed emergency medicine residency training, will be ABEM boardcertified/prepared prior to July 2007 and will have an educational background in mechanical or civil engineering or a related discipline.

CENTRAL TEXAS: Medical Director Central Texas Poison Center Scott & White Health System The Department of Emergency Medicine of Scott & White and The Texas A&M University System Health Science Center College of Medicine are currently seeking an outstanding physician, dual BC/BE in Emergency Medicine and Medical Toxicology, to serve as Medical Director of the Central Texas Poison Center. The Poison Center is an AAPCC certified center serving the over 2 million people of Central TX, and is one of six centers that comprise the Texas Poison Center Network. As the only Level I Trauma department in Central Texas, the department of emergency medicine evaluates and treats 58,000+ patients annually. The department presently consists of 14 full-time faculty physicians, committed to quality care delivery enhanced by resident and student education. The department will play a critical role in the vision of the institution to grow both its clinical services and academics. Academic appointment and rank is commensurate with experience and qualifications. Research opportunities are available for interested candidates. Scott & White is the largest multi-specialty practice in Texas, with more than 530 physicians and research scientists who care for patients at Scott & White Memorial Hospital in Temple and within the 15 regional clinic system networked throughout Central Texas. Over $250 million in expansions are currently underway, including two new hospitals and three regional clinics. Led by physicians with a commitment to patient care, education and research, Scott & White is listed among the "Top 100 Hospitals" in America and serves as the clinical educational site for The Texas A&M HSC COM. Additionally, the 180,000-member Scott & White Health Plan is the #1 health plan in Texas.

Please submit a letter of interest and CV to: William A. Woods, MD, Co-Director Trauma Biomechanics Fellowship University of Virginia Health System PO Box 800699; Charlottesville, VA 22908-0699 Phone: 434-982-8485 email:

Scott & White offers a competitive salary and comprehensive benefit package, which begins with four weeks vacation, three weeks CME and a generous retirement plan. For additional information, please call or send your CV to: C. Keith Stone, MD, Professor and Chairman, Department of Emergency Medicine; c/o Jason Culp, Physician Recruiter, Scott & White Clinic, 2401 S. 31st, Temple, TX 76508. (800) 725-3627 Scott & White is an equal opportunity employer. A formal application must be completed to be considered for this position.

"The University of Virginia is an equal opportunity/affirmative action employer."

Faculty position, University of California, San Francisco The Division of Emergency Medicine at the UCSF Medical Center seeks a candidate at the assistant professor level who has embarked on a career in funded emergency medicine research. The School of Medicine has ranked in the top 5 for NIH funding for decades. The successful candidate will have an existing track record of research and publication that will lead to funding within the first few years of appointment. Quality of the intellectual experience and resources are unmatched, as is the geographic and cultural environment. The Emergency Department has extremely high acuity and complexity, a completely renovated physical plant, and an established real-time web based patient clinical research enrollment program. Competitive pay, benefits, bonus, and academic support, residency scheduled to start in 2008, academic department status scheduled. All qualified applicants are encouraged to apply, including minorities and women. Please contact Dr. Michael Callaham, (, c/o Sarika Parekh, administrator (

ACADEMIC POSITION The Division of Emergency Medicine at the University of Utah Health Sciences Center in Salt Lake City, Utah has a position available at the Assistant Professor Clinician Scholar Tenure Track level for an EMS Fellowship-trained physician with an interest in academics and residency training to start July 2007. The University of Utah is the primary medical teaching and research institution in the state. The E.D. has a census of 33,000 visits annually and is an ACS-certified Level-1 Trauma Center. The Division of Emergency Medicine runs the AirMed helicopter service, two regional EMS systems, and the Utah Poison Control Center. Candidates must be board certified/prepared and have a demonstrated interest in research and education. Competitive salary with an excellent benefits package. The University of Utah is an EEO/AA employer and encourages applications from women and minorities. If you are interested in applying or need more information, please contact: Erik D. Barton, MD, MS, FACEP Division Chief Division of Emergency Medicine University of Utah School of Medicine 30 North 1900 East, RM 1C26 Salt Lake City, Utah 84132 (801) 581-2730 Fax: (801) 585-6699


Boston  Harvard Affiliated Teaching Hospital

The University of Alabama School of Medicine

The Department of Emergency Medicine of the Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center has positions available for faculty committed to academic Emergency Medicine. Board certification or preparation in Emergency Medicine with four years of training or experience are prerequisites. The base hospital is Beth Israel Deaconess Medical Center, a Level I trauma center, with an ED that sees over 50,000 patients a year. Our community practice, Deaconess Glover Hospital, sees over 10,000 patients a year. We provide needed direction for three 911 systems. Academic opportunities include access to lab space, international programs, and teaching at Harvard Medical School. Salaries are highly competitive for the community and are incentive based. We are currently seeking faculty with interests in Academics, EMS, Ultrasound, Sepsis, Medical Education and Neurologic Emergencies.

The University of Alabama School of Medicine is seeking a full-time board eligible/certified Emergency Medicine physician at the rank of Associate Professor to fill an important academic-clinical position. This will be a non-tenure or tenure-earning position. The Department of Emergency Medicine (DEM) was established in 1996 at the highly successful University of Alabama School of Medicine. We are committed to the academic growth of faculty, excellence in patient care, and began a PGY-2-4 EM Residency training program in July 2002. The Department of Emergency Medicine has responsibilities for educating medical students, rotating house officers and our EMT/Paramedic training program. The DEM coordinates activities of the Center for Emerging Infections and Emergency Preparedness, a multidisciplinary research and service organization focused on biodefense. The DEM has been highly successful in developing extramural support for research in this warmly collaborative institution. Please send your curriculum vitae to: Janyce Sanford, M.D., Associate Professor & Interim Chair of Emergency Medicine, University of Alabama at Birmingham; Department of Emergency Medicine; 619 South 19th Street; JTN 266; Birmingham, AL 35249-7013. The University of Alabama at Birmingham is an Affirmative Action/Equal Opportunity Employer. Women and minorities are encouraged to apply.

Please send your curriculum vitae to: Richard E. Wolfe, M.D. Chief of Emergency Medicine Beth Israel Deaconess Medical Center 330 Brookline Avenue Boston, MA 02215 Beth Israel Deaconess Medical Center is an Equal Opportunity/Affirmative Action Employer

University of California, Irvine, Department of Emergency Medicine is seeking an HS Clinical Instructor for July, 2007. UCI Medical Center is a Level I Trauma center with 2200 runs/year, 40,000 ED census. The new fellowship in Emergency Medical Services and Disaster Medicine, beginning July 1, 2007, combines the traditional emphasis on EMS research with the disciplines of emergency management/disaster medicine and public health. A key focus of the fellowship is health policy and health services systems research including mass casualty management and triage. Completion of American council of graduate medical education (ACGME) accredited Emergency Medicine Residency required prior to start. The twoyear combined program, with an integrated Masters of Public Health, will be jointly administered by Director, EMS and Disaster Medicine. Salary commensurate with level of clinical work, send CV, statement of interest and three letters of recommendation to: Carl Schultz, MD. Department of Emergency Medicine, Route 128, UC Irvine Medical Center, 101 City Drive, Orange, CA 92868. The University of California, Irvine is an equal opportunity employer committed to excellence through diversity


of an extensive expansion As partAsofpart an extensive facultyfaculty expansion project,project, we arewe actively are actively recruiting for 2 full time BC/BE recruiting for 2 full time BC/BE Emergency Medicine physicians Emergency Medicine physicians at a communityat a community-based in the greater Orlando-Tampa based hospital in hospital the greater Orlando-Tampa area. area. This This facility facility has has aa recently recently renovated renovated24,000 24,000square square foot foot emergency 33 patient care bays emergency department,department, 33 patient care bays including a 7 bed bed minor area, 3 viewing x-ray shifts, minorincluding care area,a37x-ray shifts, care a radiology area,aample radiology viewing area, ample work space, and a large work waiting space, and largeservices waitinga growing area, thatvolume services growing area,a that of aover volume of over 50,000visits patients year. offer We offer a 50,000 patients per visits year. per We a competitive salary, plus plus a full range of University of ofFlorida competitive salary, a full range of University Florida state include benefits which immunity include occurrence-type sovereign state bene ts which sovereign immunity occurrence-type medical malpractice, health, life andmedical disabilitymalpractice, insurance, sick health, life and disability insurance, vacation, sick leave, leave, a generous retirement plan andplan a competitive compensation a generous retirement and a competitive package. This is an outstanding opportunity to join a progressive compensation package. This is an outstanding and innovative healthcare with a great opportunity to join system a progressive and leadership innovative team. healthcare system with atathe great Individuals will be appointed rankleadership of Assistantteam. Professor Individuals will beInterested? appointed atE-mail the rank ofletter Assistant or Associate Professor. your of interest Professor or Associate Professor. Interested? Eand CV Kelly Gray-Eurom, MD CV at Kelly.grayeurom@jax. mailto your letter of interest and to Kelly Grayu .eduEurom, or fax MD to 904-244-5666. These positions are currently at or fax open and will remain open until lled. are For full consideration to 904-244-5666. These positions currently open and will remain open until For EOE full / AA applications should be submitted as soonfilled. as possible. consideration applications should be submitted as Employer. soon as possible. EOE / AA Employer.


Brigham and Women's Hospital Harvard Medical School Faculty Position Simulation Education

Director of Research Department of Emergency Medicine

The Department of Emergency Medicine at Brigham and Women’s Hospital is currently seeking an Assistant Director for Simulation Education. The department is home to STRATUS, a comprehensive medical simulation training center, which provides simulation education to all hospital departments as well as non-affiliated clinicians, including EMS. Simulation has been fully integrated into the core curriculum of the Harvard Affiliated Emergency Medicine Residency at Brigham and Women’s Hospital. This position includes 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.

The Department of Emergency Medicine at UC Davis Medical Center (UCDMC) invites applications from outstanding M.D. or Ph.D. candidates for the position of Director of Research. Candidates must have a track record of outstanding research, mentorship and extramural grant support. The Department will provide a substantial “start-up” package and clinical reduction to the successful candidate. In addition, the department has established a research endowment to support the research of fellows and junior faculty. We are starting a research fellowship in 2008. The Department has approximately $2 million in grant funding. The NIH recently awarded UC Davis a Clinical and Translational Science Center (one of only 12 in the nation) to foster innovative and collaborative research and provide opportunities such as K12 career development funding for junior faculty.

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 56,000 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 has a robust International Emergency Medicine Program and offers international EM fellowships.

The UCDMC is a tertiary care center, has the only Division of Pediatric Emergency Medicine, and is the only level 1 Trauma Center in the region. Faculty members have outstanding track records of grant funding and publications. We are an active participant in the Pediatric Emergency Care Applied Research Network (PECARN), the first federally-funded network for research in Emergency Medical Services for Children. We are located in Sacramento, California, in an area that offers a very high quality of living, and lies in proximity to many of Californias most beautiful areas, including San Francisco and Lake Tahoe. A very competitive salary and benefits package will be offered. The University of California is an Equal Opportunity, Affirmative Action Employer. This position will be open until filled, but applications must be received by June 30, 2007.

The successful candidate 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. Candidates must also have shown an ongoing interest in simulation education; preferably having published in the field. Interest and proven ability in Emergency Medicine research and teaching are essential.

Candidates should send a statement of research interests, a curriculum vitae, and names and titles of 5 references to: Nathan Kuppermann, MD, MPH Chair, Department of Emergency Medicine University of California, Davis School of Medicine 4150 V Street, Suite 2100, Sacramento, CA 95817

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

Questions should be directed to Deborah Diercks, M.D., Chair of the faculty search committee at

BWH is an Equal Opportunity/Affirmative Action Employer



Newsletter of the Society for Academic Emergency Medicine

Board of Directors James Hoekstra, MD President Judd Hollander, MD President-Elect Katherine Heilpern, MD Secretary-Treasurer Glenn Hamilton, MD Past President Jill Baren, MD Jeanette Ebarb, MD Leon Haley, Jr, MD, MHSA Jeffrey Kline, MD Catherine Marco, MD Robert Schafermeyer, MD Ellen Weber, MD

Editor David Cone, MD Interim Executive Director Barbara Mulder Advertising Coordinator Maryanne Greketis

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

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


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


March-April 2007  

SAEM March-April 2007 Newsletter

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