March-April 2010

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MARCH/APRIL 2010 VOLUME XXV NUMBER 2

Dr. Blomkalns Represents A Triptych of Skills Rare To Academia!

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Chair’s Challenge?

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SAEM MEMBERSHIP Membership Count as of February 1, 2010 2791 Active 83 Associate 2887 Resident/Fellow 337 Medical Students 4 International Affiliates 26 Emeritus 9 Honorary 6137 Total

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Highlights 7

Ethics in Action

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By following SAEM on Twitter, you can join in the conversation on current EM topics, follow links to important resources and get updated on the latest SAEM news.

Disability Insurance: A Primer

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

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Join Today.

I am pleased to announce the toxfellowship.com website. This website was developed to promote the training of medical toxicology among physicians interested in advanced training.

At present, there are approximately 300 ABEM-certified medical toxicologists in the United States. Because of these small numbers, students at many medical schools and physicians at many emergency medicine residency training programs do not have personal access to mentorship by medical toxicologists.

In order to meet this need, we have developed a “virtual mentor” program to serve medical students, emergency medicine residents, and physicians who express an interest in medical toxicology but who do not have access to a medical toxicologist at their home institutions. This program is based on a successful program developed by SAEM (Virtual Advisor Program/ The E-Advisor Program).

This program was developed in coordination and partnership with the Toxicology Section of ACEP, the SAEM Toxicology Interest Group and the American College of Medical Toxicology. Thanks to a Section Grant from ACEP and the hard work of Eric Lavonas, MD, Howard Greller, MD, and Patrick Hunt, MD, we hope that this website and its sister website on the ACMT homepage will attract greater interest for Medical Toxicology.

Please feel free to comment or email me directly (dlee@nshs.edu) if there any questions or comments concerning this project.

David C. Lee, MD North Shore University Hospital dlee@nshs.edu

SAEM Annual Meeting

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Medical Student Symposium Schedule

SAEM Education Fund

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22 Emergency Medicine Responds to the Liaison Committee

Academic Announcements

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SAEM Leadership Academy

President’s Message SOCIETY FOR ACADEMIC EMERGENCY MEDICINE Jill M. Baren, MD

Collaboration is key but what are the keys to optimal collaboration?

Collaboration – the act of working together, usually willingly and cooperatively, often on an intellectual venture – is a key element of a successful organization. Collaboration has many benefits including the ability to accomplish goals more quickly than if one works in isolation and tapping into resources that one may not have to get the job done alone.

SAEM works collaboratively both within the specialty of emergency medicine and externally with other medical, professional, and Jill M. Baren, MD governmental organizations. I’d like to highlight some examples of both types to give you an idea of the extent of our current collaborations.

SAEM has recently stepped up its efforts to collaborate with other specialty societies. Through continued outreach on the part of the Guidelines Committee we continue to seek and find opportunities to provide representation to those who value our input. The creation of the Guidelines Committee was the brainchild of Past-President Judd Hollander in order to protect the interests of academic emergency medicine educators, researchers, and academic emergency medicine departments and the unique patient populations we serve. The idea was to create a mechanism that encouraged others to invite us to be part of the discussion at the outset. It is critical to participate before the creation of any products or statements that we might later be asked to endorse without having the opportunity to give careful consideration and to express our unique perspective. In the past this was an all too familiar scenario but I am happy to report within the last year alone, we have received invitations to be part of many such discussions.

For example, SAEM has participated with the American College of Cardiology on “The appropriate use criteria for cardiac computed tomography technical panel”, with the NIH for continued representation on the US Critical Illness and Injury Trials Group, with the American Heart Association on a proposal to develop a national cardiac arrest registry, and with the Robert Wood Johnson Foundation for the creation of the Disaster Medicine All-Hazard Core Competencies for Acute Care Physicians, Nurses, and EMS Professionals.

The Board of Directors entertains such requests on a monthly basis. In part, this is because we are identified and branded as the preeminent academic emergency medicine organization but also because of the hard work that some of our members have done in making us known to other organizations through their participation. When a request for representation comes in, the SAEM Board asks the Guidelines Committee to recommend and endorse potential candidates after which a final selection is made.

The challenge for the SAEM representative is to think about what they want to accomplish as being part of the process and to set goals for the collaboration that reflect the best interests of SAEM and it’s members. It takes time to develop these relationships and to make sure that the objectives are being met. Any SAEM

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member is welcome to be considered for representation on interorganizational collaborations and the Board is keenly interested in having members suggest additional organizations with which to cultivate relationships.

Collaboration, while generally perceived as an extremely positive way of doing business, is not without risks. When working on interorganizational projects I often hear the expression, “I am not sure which hat I am wearing.” Many of us are “professional volunteers” who are members of several of the organizations involved in a given collaboration. That’s why the rules of engagement are so important and must be understood prior to entering into the business of serving as a representative. An individual, who officially represents SAEM, is truly placing the interests of our organization above his or her own personal interests. That individual also has the responsibility to report back to the Board of Directors and the organization as a whole on the progress of the collaboration and assist in clarifying any areas of disagreement or ambiguity prior to endorsement.

We have enjoyed a very successful multi-year collaboration with ACEP through the creation of the ACEP-SAEM Joint Federal Funding task force, previously known as the NIH task force. The many accomplishments of this group have been outlined in previous newsletter articles over the past several years. What’s important to note about this collaboration was that each organization clearly recognized the unique contributions they could make toward a shared goal. SAEM leaders armed with knowledge and experience about the world of grant review and federal funding were perfectly matched with ACEP leaders who provided the expertise in the realm of advocacy and interaction with federal officials. Both organizations have continued to capitalize on the synergy that was created. A number of additional recent collaborations have resulted in expanded grant opportunities for our members. In the last several years shared funding mechanisms have been created through collaborations with the American Heart Association and The Patient Safety Foundation. We continue to work on these with the help of our Grants Committee which is developing a request for proposals to support a faculty mid career fellowship with the Emergency Care Coordination Center in the Department of Health and Human Services. We are also exploring a joint funding opportunity with the Robert Wood Johnson Foundation related to public health. The Board is willing to entertain other such collaborations as brought forth by interested members.

Collaboration from within the specialty of emergency medicine is also very much alive and well, and in my opinion, the best it has been in a long time. It all starts with information sharing at twice yearly officer meetings in the fall and at the SAEM Annual Meeting each spring. The officers of SAEM, AACEM, AAEM, ABEM, ACEP, and CORD sit together to discuss important developments and initiatives that each organization is engaged in. This can result in one or several of the organizations pledging to support the other.

In this manner, we are reminded of the resources and the unique missions that we each possess, and search for ways to complement one another rather than duplicating efforts. I hope that the spirit of this collaboration continues for many years to come.

Executive Director’s Message

Lifelong Learning A recent meeting with James Adams, MD, Chair EM Northwestern led to discussion of new opportunities presented by SAEM’s location in Chicago. Our conversation touched on the years focused on development of a strong research focus in emergency medicine to develop academic emergency medicine. This discussion evolved into how SAEM will assist membership by continuing efforts to create opportunities to cultivate educational research, methodologies, needs assessment measurement, and evaluation.

The discussion of new areas within education allowed me to share with Dr. Adams my background with a Master of Arts degree in Adult and Continuing Education (today called Higher, Adult, and Lifelong Education).

Our conversation included Dr. Adams’s comments on simulation which were very interesting. As use of simulation for medical students and residents evolves, are the activities appropriate to reach the desired outcomes? How can SAEM foster the growth of educational methods in curriculum?

Our new headquarters centered in a major travel hub will afford SAEM many new options to develop meetings and educational programs while bringing together SAEM membership expertise to advance the educational research agenda and develop master teachers.

Two basic adult education principles come to mind: everyone brings personal life experiences to each learning situation and the educational experience should be tailored to the learner’s level.

Too often our educational experience is “one size fits all” leaving those with broader experience turned off and those with less experience unlikely to ask questions for information to enrich their knowledge base.

How do you identify the knowledge and skills needed for the PGY 1 to advance to PGY 2?

We should start with situations not subjects: ‘The approach... will be via the route of situations, not subjects...

In conventional education the student is required to adjust himself to an established curriculum; in adult education the curriculum is built around the student’s needs and interests’.

from the initial lecture format to a more interactive learning process.

Were my methods effective?

Dr. Adams talked with me about the number of SAEM members who are responding to the need to cultivate “Master Teachers” curriculum development and innovative educational methods.

Many are participating in lifelong learning earning advanced degrees in education to learn new skills, improve curriculum and JJames T Tarrant, t CAE promote educational research. EM SAEM Executive Director educators are at the forefront of embracing these principles of adult education. The EM educators are innovative in the curriculum, rapidly adopting simulation, and creating new learning models.

SAEM has an opportunity to collaborate with this growing segment of membership, encouraging lifelong learning and promoting the growth of educational research in emergency medicine.

My career started as a teacher/educator and continues today to encourage lifelong learning, at all levels. Growing up in a family of educators I listened to my father who I believe was a master teacher and throughout his career embraced lifelong learning and adapting curriculum to improve outcomes.

As a former teacher I enjoyed the TV commercial which promoted a career in teaching. It went something like this -- the commercial had dad talking with his young son about his career choice. Are you sure you want to be a teacher and not a doctor? Yes, dad, someone has to teach doctors.

The young boy was making a career decision, which a major segment of SAEM membership has been able to combine as physicians and teachers. Embracing lifelong learning they have blended the two elements and strive to encourage others to become master teachers. EM educators serve as role models for residents considering a career in academic emergency medicine.

We must use the learner’s experience: ‘The resource of highest value in adult education is the learner’s experience... all genuine education will keep doing and thinking together.’

(Extracts from Lindeman).

DYNAMIC EMERGENCY MEDICINE TO BECOME ONLINE-ONLY IN JANUARY

We have all sat through lecture after lecture when we know it is generally the least effective method for learning. Developing effective methods to aid the learner gain knowledge has always been a challenge for the adult educator. Before computers, Internet, video play back, simulation aids and many other tools, most education was lectures with testing. I have been there, done that as an 8th grade history teacher. I found ways to transform my classroom

Effective with the January issue, Academic Emergency Medicine will be running Dynamic Emergency Medicine online only. Several accepted submissions that are currently at the publisher will be run in print as before, but all future accepted DynEM papers will run online only. (Note: This is a section of the AEM Journal.)

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Andra L. Blomkalns, MD – SAEM Member Highlight Andra Blomkalns, MD is Associate Professor and Vice-Chair for Academic Affairs in the Department of Emergency Medicine at the University of Cincinnati. Prior to this she held the position of Residency Director in the same Department. Dr. Blomkalns received her MD from Louisiana State University and completed her emergency residency at the University of Cincinnati where she was Chief Resident from 2000-2001.

Dr. Blomkalns represents what use to be known as a “triple threat”, namely a clinician, educator, researcher. This triptych of skills is rare in academia today for when one flourishes the others generally diminish - not so with Dr. Blomkalns. Her accomplishments in all three areas have been exceptional. Her clinical abilities are only surpassed by the gratitude of those who have benefited from them.

While a resident she received the Council of Residency Directors Academic Achievement Award and as Residency Director, her commitment to excellence is reflected in the quality of residents that graduate from the University of Cincinnati program. Her work in cardiovascular research is recognized internationally encompassing the spectrum from clinical diagnosis of acute coronary syndromes to bench-top research investigating the molecular effects of perivascular adipocytes on vascular disease. She has been a prolific contributor to the literature and is already an author on 30 peer reviewed manuscripts and author of over 10 book chapters. She is a charter member of the

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Emergency Medicine Cardiac Research and Education Group (EMCREG) and is the EMCREG Director of Enduring Materials and Continuing Medical Education.

Dr. Blomkalns’ contributions to the Society of Academic Emergency Medicine include serving as Chair of the 2010 Program Committee for the SAEM Annual Meeting in Phoenix, AZ. In addition, she has been Chair of the Innovations in Emergency Medicine Education subcommittee, Chair of the Scientific Presentations subcommittee and Co-Chair of the Didactics Presentations subcommittee as a member of the Program Committee since 2003. She has shown her leadership skills in many venues and continues to strive towards promoting excellence in Emergency Medicine education and research. However, despite all these activities, she has still found time to foster her love of nature and the outdoors.

Submitted by: Edward ‘Mel’ Otten, MD – Professor Arthur M. Pancioli, MD – Professor – Vice-Chair for Research University of Cincinnati College of Medicine Department of Emergency Medicine

ETHICS IN ACTION Chris B. Brooks, M.D. FACEP – Washington University School of Medicine, St Louis A car pulls up and an adolescent male carries in a young female. He puts her into a chair in the triage area; he and the car vanish. The young patient is soaked to the skin, blue and apneic. She is rushed back to the critical care area where ventilations are supported, an IV is started, and she is given naloxone. Before long the patient is breathing and regains consciousness.

custody. Instead, the patient’s father is contacted again and ultimately agrees to come to the department in the morning to retrieve his daughter. The patient is placed in a room where she can be watched and is discharged in the morning after an uneventful night. The department of family services is contacted, agreeing to follow up with the patient.

Staff learn that the patient is 16 years old and estranged from her divorced parents. She lives with her grandmother and went out for the evening with “friends.” The grandmother gives phone permission to treat but is unable to come to the department. Efforts to find an adult to take responsibility for the patient are unfruitful. She is not given permission to leave with her boyfriend, who is also a minor. Staff see her pull out her IV and start to get dressed. There is concern that she will elope from the department. She remarks to the staff, “If you don’t let me go I’m going to kill myself.”

Dealing with custody cases can be difficult, particularly for staff who may be less familiar with the legal and ethical issues relating to minors. Several points make this case noteworthy. First, delaying onerous decisions while allowing time for alternative solutions to present themselves is often a successful strategy. Time can provide new view points, additional information, and alternate solutions as complex situations evolve. Likewise, acting to preserve life and safety as time passes is vital. It is also prudent to let trained individuals perform their tasks or seek out those who are not immediately available. Social workers, pastoral care personnel, family service workers, and all members of the emergency department team fill vital roles that act in concert to result in the optimum outcome.

The social worker continues to call family members and discuss options for discharge with a responsible adult.

The grandmother declines offers for a cab pass to travel from home and back. Other relatives decline similar offers. Physician staff debate several options, including having psychiatry evaluate the patient or transferring to the pediatric hospital across the street in protective

This patient can now look to the emergency department as a safe haven that will protect and provide needed support in any future crisis. This may ultimately save her life.

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Disability Insurance: A Primer Aleksandr M. Tichter, MD Assistant Clinical Professor of Medicine – Department of Emergency Medicine New-York Presbyterian Hospital – Columbia University Medical Center

Background Disability insurance providers, like any other industry conceived in the capitalist marketplace, are focused on realizing a net profit at the conclusion of their fiscal year. To this end, in the 1980’s, disability insurers pursued contracts with groups of professionals who were distinguished by qualities that ensured a low liability (and, therefore, profitable) venture. Physicians, reputed for their industry and commitment, were identified as desirable clients, and, subsequently, offered incentive with policies including generous provisions, while insurance carriers contended for their enrollment. In this idealistic environment, in which physicians were being provided with security and peace of mind, and disability insurers were enrolling ostensibly low risk policyholders, arose liberal facets such as “noncancelable,” “guaranteed-renewable” and “own-occupation” policies.

In the 1990’s, however, likely due to a combination of increased numbers of older physicians, as well as the advent of managed-care (with its associated decline in reimbursements, which some argue discouraged physicians to continue to work in spite of a disability), insurance carriers noted a significant rise in the percentage of claims, and therefore, costs. The result has been an exodus of many insurers from the disability market, as well as the imposition of cost-containing measures, such as restrictions on future policies, rising premiums, payout caps and elimination of own-occupation policies for many specialties. Fortunately, there remain several insurers that continue to offer valuable options to Emergency Physicians.

Definition of Disability There are several means by which one can receive disability benefits, each with its own eligibility criteria. According to the Social Security Administration (SSA), the definition of disability is: “inability to do work that you did before; inability to adjust to other work because of your medical condition; and, disability has lasted or is expected to last for at least one year, or to result in death.” If a disabled physician fails to meet all of the above points, they are NOT eligible for disability under the SSA, which does not pay for either partial or short-term disability.

There are three general types of disability policies: group, employer-sponsored, and individual. Many Emergency Physicians can choose to enroll in group disability insurance policies through their hospital or professional organization, which usually adhere to a similarly rigid definition of disability as the SSA. Benefits paid through a group disability insurer are typically calculated as a percentage of the physician’s salary, and are often restricted by monthly limits (i.e., 8

no more than $10,000 per month, independent of base salary). These policies additionally penalize the beneficiary if they decide to pursue employment in another specialty despite their disability, reducing the payout by an amount approximating any supplemental income, and are subject to taxation.

Employer-sponsored disability policies effectively parallel those policies offered through group enrollment, with benefits calculated as a percentage of the physician’s base salary; the caveat being that they are subject to the Employee Retirement Income Security Act of 1974 (ERISA), which becomes important when considering the process of claims litigation. Under ERISA, if discord arises between the policyholder and the disability insurance provider, the insured is not entitled to a trial by jury, and the maximum potential award following a lawsuit in which a claimant prevails, is that due according to the original parameters of the disability policy (in addition to interest and certain costs).

Therefore, given the negligible additional detriment to the insurer, coupled with the inevitable delay in recompense, it is a more profitable investment for a company to deny claims, thereby limiting payout to those fractions of beneficiaries who ultimately win the lawsuit. Although originally designed to protect the individual, the immunities enjoyed by insurance companies under ERISA, have in many instances resulted in the reverse.

General Versus Own-Occupation Individual disability insurance policies are those negotiated between (as the name implies) the individual policyholders and the insurance carrier. The benefits paid are usually in a set amount, rather than a percentage of base salary, and are income tax free, as long as premiums are not deducted as an expense.

There are two types of individual policies: general and ownoccupation, or “own-occ.” General policies abide by the more narrow definition of disability, as outlined above, which require that the beneficiary not only be unable to work in his or her own occupation, but must also not be able to sustain any gainful employment as a direct result of their disability.

Own-occupation policies, conversely, subscribe to a more liberal definition of disability, in which the claimant is considered to be disabled if they are unable to perform the functions of the specific occupation in which they were engaged at the time of their disability. Further, the payout amount remains the same regardless of whether the beneficiary’s income is supplemented by employment in another field. As an example, if an Emergency Physician sustains an incapacitating injury to one of their hands, and is unable to exercise the dexterous skills with which they

are required to be adept for a career in the emergency department, i.e. intubation, chest tube placement, but chooses to train in another specialty, and work as a radiologist, they would still be eligible for full compensation under an own-occupation disability policy, regardless of any additional income.

Disability Vocabulary The distinctions between the various types of policies, as outlined above, are often the most elusive aspect of disability insurance for the inexperienced purchaser. Following their elucidation, the remaining relevant terms, common to all policies, with which one should be fluent, include: Benefit Amount: amount of benefits paid per month while disabled, as determined by the terms of the specific policy.

Benefit Period: the maximum period of time during which a policyholder is entitled to collect remuneration while they are disabled. The options from which to choose are typically: 2 years, 5 years, to age 65, and to age 65 with lifetime extension.

Elimination Period: the interval of time between the onset of the claimant’s disability, and their receipt of the first benefits payment. The options from which to choose are typically: 30, 60, 90, 180, 360, and 720 days. In general, insurance carriers charge significantly higher fees for an abbreviated elimination period less than 90 days, whereas, they reward the purchaser with progressively lower rates for more prolonged elimination periods.

Residual disability: describes a policy that supplements to its baseline the income of a disabled physician who is able to return to work part-time. For example, if an Emergency Physician normally makes $10,000 per month, and sustains an injury that prevents return to fulltime employment, but is able to work part-time making $3,000 per month, the residual disability feature would append that physician’s income by $7,000 per month for a designated amount of time.

Other Important Considerations Once familiar with the vocabulary of disability insurance, and the merits of each type of policy, there exist several subtle, but significant, additional riders worthy of consideration.

A cost of living allowance, or “COLA,” often one of the more expensive provisions of a disability insurance contract, shelters the beneficiary’s income from the effects of inflation by affixing a percentage annual increment to their payout.

The increase can either be based on the consumer price index, or can be a predetermined fixed amount. This optional clause is typically most valuable to the young enrollee, who would actually be detrimentally effected by the small incremental rises in costs of living over a prolonged period

of time, compared with an older policyholder, whose benefit period expires when they turn 65.

The future insurability option (FIO) allows the policyholder to increase the benefit amount during the policy period, if their income justifies it, without requiring repeat medical evaluation. This clause is particularly imperative for resident physicians, or those early on in their careers, who expect a large increase in their salaries at some point in the future.

As an example, if a resident physician takes out a disability policy while earning $40,000 per year, then graduates residency, but has a change in their health status prior to changing their policy to reflect their new salary, without an FIO, they would be unable to amend their policy without first disclosing their new diagnosis (and therefore, compromising their ability to purchase more insurance).

A non-cancelable, guaranteed renewable option prevents the insurance carrier from changing the premium amount or schedule, benefit amount or period for the future of the policy, regardless of change in income, health status, or profession (as long as the policyholder does not default on any payments) while guaranteeing the insured the option to automatically renew their policy on an annual basis.

The likelihood of becoming disabled as a result of an accident or injury is widely recognized as being significantly higher than the likelihood of loss of life. The combination of acquired debt and low salaries, but high-income potential, place most resident physicians in a uniquely vulnerable position if they are unable to continue to work. It is, therefore, not only valuable, but essential for young doctors to protect their future earnings by applying for disability insurance early on in their careers, when carriers are offering discounted rates with flexible premiums to appeal to this group of generally young, and otherwise healthy future professionals.

References: 1. Guadagnino C. MD’s challenged on disability insurance.

Physician’s News Digest Online Edition. 2002. Available at: http:// www.physiciansnews.com/cover/102.html. Accessed December 14, 2009.

2. Miller A. Insurers take gamble on long-term disability market. ModernPhysician.com. 2008. Available at: http://www.modernphysician.com/article/20080825/ MODERNPHYSICIAN/680702261/1113. Accessed December 14, 2009.

3. Comitz EO. Disability insurance: what every physician needs to know about ERISA. 2008. Available at: http://www.hcplive.com/ finance/articles/disability_insurance. Accessed December 14, 2009.

4. Crawford S. About disability insurance. 2001. Available at: http:// www.about-disability-insurance.com. Accessed December 14, 2009.

5. Schofer J, Ruffing S. Ask the expert: Disability insurance for emergency physicians: what you need to know in 2007. Common Sense. 2007; 14:15-16.

6. Mazumdar S. EP money: disability insurance facts vs. fiction. 2009. Available at: http://www.epmonthly.com/index. php?Itemid=89&id=163&option=com_content&task=view. Accessed December 14, 2009.

7. Disability insurance 101. 2008. Available at: http://www. doctordisability.com/insurance. Accessed December 14, 2009.

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Society for Academic Emergency Medicine Research Foundation

Honoraria Assignment: A Painless Way to Contribute to the Research Fund As part of the 100/1000 Campaign, SAEM is asking 100 of its members to contribute $1000 each to the SAEM Research Fund over the next year and a half. We are well on our way toward that goal, but have a long way to go. A $1000 contribution to anything sounds daunting, especially when gas is expensive and taxes are going up, but one method by which many of SAEM members can contribute to the Research Fund may make the donation less painful. Many SAEM members receive honoraria for speaking, consulting, etc. Often these checks are greater than the $1000 level.

Wouldn’t it be easy to just sign one of those checks over to the Research Fund? If it never hits the checkbook, you may not feel it as much. It’s similar to the pre-tax contributions to a 401K or pension fund, for instance, in that you never have to write the check.

paperwork for honoraria reimbursement, simply put that the check should be made out to the “SAEM Research Fund,” and give the honorarium payer the SAEM Tax ID number: 20-4866532. Have the check sent to you, but made out to the SAEM Research Fund. You can then send the check to SAEM, with a cover letter that explains the nature of the contribution. That way you can get “credit” for the contribution from SAEM. This method is simple, painless, and most importantly, an investment in the future of academic emergency medicine. Thank you for your contributions.

If you have further questions regarding contributions to the Research Foundation please contact Holly Gouin at hgouin@saem.org or 847-813-9823 ext. 210 at SAEM headquarters.

The problem with assignment of honoraria to the Research Contributions can be mailed to: Foundation, however, is that it must to be done right in order SAEM Research Foundation to avoid tax penalties. Rather than take an honorarium as 2340 S. River Road, Suite 200 For more to obtain an application, please visit theILProgram income, anddetailed be taxedinformation on it, simplyand assign the honorarium to Des Plaines, 60018 website at http://rwjcsp.unc.edu/ the SAEM Research Fund. When filling out the appropriate

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Second Annual AACEM/AAAEM Meeting Agenda The Westin La Cantera Resort San Antonio, TX

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Phoenix, AZ - SAEM Annual Meeting – June 3-6, 2010 Andra L. Blomkalns, MD University of Cincinnati – SAEM Annual Meeting Program Chair The SAEM Annual Meeting will be held in Phoenix, AZ from June 3 - June 6, 2010. This meeting brings a great new venue, a beautiful desert resort complete with all the amenities. Make your travel arrangements now – www.saem.org.

• Your schedule still has openings? We have

expanded our didactic and research lineup by 20% to include SAEM Academy focused efforts.

Here you will find features from our four SAEM Academies – Academy of Geriatric Emergency Medicine (AGEM), Academy for Women in Academic Emergency Medicine (AWAEM), Clerkship Directors in Emergency Medicine (CDEM), and Simulation.

• Cannot make it to all the meetings you want

this year? Don’t worry! Thanks to the Council of Residency Directors (CORD) and CDEM, we will have two special sessions showing you “The Best of the Academic Assembly Meeting.”

Experience and learn of the new and exciting things presented at a key forum for emergency medicine educators.

• Before the Opening Reception, join the SAEM

Board of Directors for an open forum Question and Answer Session. This is a wonderful opportunity to hear from the executive body within academic emergency medicine in an informal setting.

WE’VE BEEN LISTENING The Program Committee takes the Annual Meeting survey very seriously and all comments were considered as we planned this meeting. As in the past, you can look forward to enjoying a wine and cheese poster session, fun run and dodge ball. You will also find several new exciting things on the schedule: • We will feature guided poster tours in several

disciplines conducted by a leader in that field.

These will be intimate, personal settings whereby to discuss posters in education, basic science, clinical trials, pediatric emergency medicine, and administration. Look for the opportunity to signup (space is limited) in the Annual Meeting brochure.

• Watch out for the new additional “lightning oral”

format – 3 slides and 6 minutes! That means more presentations in an hour and guaranteed to keep your attention span buzzing.

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We received many hundreds of scientific abstracts, didactic sessions, innovations in education, and photo submissions.

The Program Committee strives to vary the themes and diversify the content presented in these sessions each year based on your feedback and to maintain a high standard for what is presented. In particular, the abstract review and standardized scoring process is extremely rigorous, with approximately 100 expert reviewers and 20 Program Committee reviewers. There are several levels of oversight to ensure a fair and comprehensive review process for all SAEM submissions.

This report would not be complete without a dose of information about Arizona’s flora and fauna. In the last newsletter, I reviewed scorpions and saguaro cacti. In this issue, I would like to share a few tidbits about quail. Quail appear all over the resort property so this might come in handy. Three main quail species appear commonly in Arizona - Gambel’s Quail, Scaled Quail, and Mearn’s Quail. A group of quail is called a “covey” (I’ve always wanted to use “covey” appropriately in a sentence) and brood sizes are often over a dozen chicks! According to best available scientific resources and if the urge surfaces, you can use a variety of “clucks” to locate and regroup a split covey. Try “koi-lee!” and then my favorite, “chi-cago!” They may return your call, so listen up. Secondly, if you see “piñon” or “pinyon” on the menu, that means you can look forward to a nutty delicacy harvested from indigenous pine trees. Try them in the local roasted coffee or my choice, blueberry piñon pancakes - yum. If you are looking for me to talk about the meeting, I’ll be the one hiding behind a saguaro, biding my time before sunset drinking pinon coffee, clucking for quail, and clutching to my black light in anticipation of spotting a scorpion. Hope to see you there.

Do not dawdle! Make your hotel reservations now (www. saem.org). Join us on June 2, 2010 for the Consensus Conference if you can make it. This beautiful resort has several pools, a lazy river, tennis courts, golf courses, nearby shopping, and off-site dining. There are no other hotels in the vicinity, so please take advantage of the SAEM Annual Meeting event room block.

Program Committee Chandra Aubin

David P. Milzman

Brigitte M. Baumann

Antonio E. Muniz

Louis Binder

Lewis Nelson

Steven B. Bird

James E. Olson

Andra L. Blomkalns

Ali S. Raja

Esther H. Chen

Megan Ranney

Kevin Ferguson

Kevin G. Rodgers

Susan Fuchs

Marc S. Rosenthal

Autumn Graham

Christopher Ross

Jason S. Haukoos

Steve Stapczynski

Jonathan Heidt

Lorraine Thibodeau

Michael L. Hochberg

R. Jason Thurman

Sorabh Khandelwal

Arvind Venkat

Terry Kowalenko

Jody Vogel

Jo Anna Leuck

Taher Vohra

Frank LoVecchio

Joshua Wallenstein

Raemma Luck

Robert Woolard

John Marshall

Chris Zammitt

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Don’t Miss the 2010 SAEM Leadership Academy June 2nd, 2010 as a preconference day to the Annual Meeting Seating is limited – $150 tuition, includes lunch and reception As chair of the Faculty Development committee I’ll receive calls asking for assistance in developing a program or taking it to another level. The faculty development committee has developed a dynamic opportunity for you to increase your leadership skills and network at the same time. The Leadership Academy will be presented as a preconference day to the SAEM Annual Meeting. Yes it will require special scheduling on your part, and extra funds but the faculty and topics are well worth it.

FACULTY: Glenn Hamilton, MD - Wright State University Bernie Lopez, MD - Thomas Jefferson University Tracy Sanson, MD - University of South Florida Ted Christopher, MD - Thomas Jefferson University

Brent King, MD - University of Texas Medical School at Houston Marcus Martin, MD - University of Virginia School of Medicine

TOPICS INCLUDE: • Generations at Work • Advocacy: How and Why Do Leaders Promote It? • Strategic Planning: Setting and Achieving the Right Goals • We’ve Got to Stop Meeting Like This: Conducting Effective Meetings • Disruptive Physicians • The Future of Emergency Medicine

Robin Hemphill, MD - Emory University School of Medicine

• Lessons Learned

David Sklar, MD - University of New Mexico School of Medicine

Followed by a networking reception.

Gabe Kelen, MD - John Hopkins University School of Medicine Rob Strauss, MD - St. Francis Hospital Brian Zink, MD - Brown University/Rhode Island Hospital Bob Hockberger, MD - Harbor - UCLA Medical Center Lynne Richardson, MD - Mount Sinai School of Medicine

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Kate Heilpern, MD - Emory University School of Medicine

Sign up early and remember it is a preconference day, you’ll need an extra day.

Tracy Sanson, MD University of South Florida

Chief Resident Forum - Friday, June 4, 2010 SAEM Annual Meeting in Phoenix 7:30-7:50 am

Continental Breakfast

7:50-8:00 am

Welcome Kevin Rodgers, M.D.

8:00-9:00 am

Big Shoes to Fill: The Leadership Management Role Carey Chisholm, M.D. Indiana University • Transitioning to the Leadership Role • Middle Management Techniques • Running Meetings

9:00-10:00 am

Talk the Talk: Communication and Negotiation Skills Jim Adams, M.D. Northwestern University • Communication Styles • Effective Communication Skills • The Art of Negotiation: Creating the Win-Win

10:00-10:15 am

Break

10:15-11:00 am

Survival 101: Work Life Balance / Wellness Sheryl Heron, M.D. Emory University • Establishing a Life Balance • Wellness Techniques • Time Management / Staying Organized

11:00 am-12:00 pm

12:00-1:00 pm

Is This For Me? Selecting and Planning An Academic Career Amal Mattu, M.D. • Personal Traits Compatible with an Academic Career • Getting a Head Start: Developing Academic Career Components • Academic Success / Longevity: Creating A Plan Lunch with Program Directors Dealing with RRC Non-Negotiables, Scheduling/Sick Call Issues

1:00-2:45 pm

You Can’t Do That: Managing Difficult Resident Problems Mary Jo Wagner, M.D. Synergy Annie Sadosty, M.D. Mayo Steve Bowman, M.D. Cook • Maintaining Confidentially • The Resident in Crisis (Psychiatric Disease, Alcohol/Drug Impairment, Marital Problems/Abuse) • Problem Residents (Disruptive, Unprofessional Behavior, Late, Excessive Requests) • Unprofessional Faculty Behavior • Pharmaceutical Industry Interactions

2:45-3:00 pm

Break

3:00-4:00 pm

Former Chief Resident Panel (3) Lessons Learned-Based on Specific Problems Already Encountered by the New CRs (solicited prior to the meeting) Schedule subject to changes.

See latest revision online at www.saem.org.

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Medical Student Symposium - June 5, 2010 The Medical Student Symposium is intended to help medical students understand the residency and career options that exist in Emergency Medicine, evaluate residency 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.

8:00-8:10 am Introduction Terry Kowalenko, M.D. University of Michigan 8:10-8:50 am Is Emergency Medicine the Right Specialty for Me? Doug Ander, M.D. Emory University, Atlanta, GA The speaker will discuss the attributes and personality traits of a successful Emergency Physician/Resident.

What should students expect in residency and beyond? What are the positive and negatives of the specialty?

Students will have a better idea if Emergency Medicine is the right specialty for them.

8:50-9:30 am Getting the Most Out of Your Clerkship Gus Garmel, M.D. Stanford University/Kaiser Permanente, CA This session will provide students with valuable tips for getting the most from your Emergency Department Clerkship.

Specific topics to be discussed will include: 1) appropriate educational goals for an emergency medicine rotation; 2) how to best prepare for your rotation in order to make the most of your ED experience; 3) recommended textbooks and references; and 4) important considerations when and where to do your emergency medicine rotate

9:30-10:00 am How to Select the Right Residency for You James Colletti, M.D. Mayo Clinic, Rochester, MN An overview of EM residency programs will be discussed. Important factors to consider in the selection process including length of training (3 vs. 4 years), geographic location, patient demographics, urban vs. suburban, allopathic vs. osteopathic and academic vs. clinical will be reviewed. How does a candidate gauge the reputation of a program?

10:00-10:15 am Break 10:15- 10:45 am Career Paths and Prospects in Emergency Medicine Herbert Hern, M.D. Highland Hospital, CA This session will expose students to a variety of career paths including private practice, academics, and dual training (EM-IM/EM-PEDS/FP) as well as fellowship training. The speaker will touch upon elective/career opportunities such as research, EMS, Wilderness Medicine, Rural EM, International Medicine, among others.

10:45-11:15 am Navigating the Residency Application Process Micelle Haydel, M.D. Louisiana State University, New Orleans, LA This presentation will provide students with tips on how to prepare their ERAS application. How many letters of recommendation and from whom? What volunteer and work experience should appear on the application? Tips for the Personal Statement and more. The candidate will have a much better idea of what a well written application should look like.

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11:15-11:45 am The Interview Jamie Collings, M.D. Northwestern University, Chicago, IL The speaker will explain the importance of the interview. How should a student prepare; what should he/she wear; what are appropriate questions to ask programs, etc? What are some questions the candidate should be prepared to answer?

What should the candidate do after the interview? How do you follow up with your top programs?

Students should have a better idea of how to prepare and what to expect at an interview.

11:45 am-1:15 pm Lunch with Program Directors 1:15-1:45 pm The Medical Student Performance Evaluation (MSPE) “The Dean Letter” David Seaberg, M.D. University of Tennessee The speaker, an Emergency Medicine physician and Dean, will review the components of the MSPE. Medical school deans adapt the MSPE template to prepare your Dean’s letter. What is MSPE? What is the role of the MSPE in the residency process? How can you take a proactive role in your MSPE?

1:45-2:15 pm Assessing Your Competitiveness as an Emergency Medicine Applicant and the Competitiveness of Programs Chris Ghaemmaghami, M.D. University of Virginia, VA This session will help applicants better understand what PD’s are looking for so that they can assess their own competitiveness when applying for EM residency programs. How important are USMLE scores? Do I need to be AOA or have “Honors” on my EM rotations? These and other potential predictors of success as a resident will be discussed. The speaker will also give some insight into how applicants can find out competitive they are for individual programs. What should you be asking?

2:15-2:30 pm Break 2:30-3:30 pm Small Group Break-Out Sessions • Balancing Act - Charlene Irvin, M.D. St. Johns Hospital, Detroit, MI This session will discuss how to optimize your career and personal life.

• Financial Planning - Dave Overton, M.D. Michigan State University/Kalamazoo Center for Medical Studies, MI This session will review practical tips on financial issues for students and residents. The speaker will address issues such as insurance coverage, loans, college expense planning, goal-setting and retirement.

• Medical Schools without Residencies - Patricia Lanter, M.D. Dartmouth University, NH This Q&A session will help guide medical students from medical schools without EM residencies through the complicated maze that leads to a residency and career in EM. It will specifically address how this process differs from those students with an EM residency at their medical school.

• Osteopathic Students and Programs - Greg Garra, M.D. Stony Brook University, NY This session will be geared toward the Osteopathic medical Student. The speaker will discuss the differences between Osteopathic and allopathic programs. There will be plenty of time for questions.

3:30-4:00 pm Resident Panel This will be a Q & A session for students to ask residents from different programs and levels questions regarding residency and the application process.

4:00-4:15 pm Closing Comments Terry Kowalenko, M.D. University of Michigan 4:30-6:30 pm Residency Fair Schedule subject to changes.

See latest revision online at www.saem.org.

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2010 Academic Emergency Medicine Consensus Conference Update Beyond Regionalization: Integrated Networks of Emergency Care Brendan Carr, MD, MA, MS – University of Pennsylvania Ricardo Martinez, MD – Emory University School of Medicine

Background The editorial board of Academic Emergency Medicine will sponsor the 11th annual consensus conference on June 2, 2010 in Phoenix, Arizona. This year’s conference, titled Beyond Regionalization: Integrated Networks of Emergency Care, is sponsored by the SAEM Regionalization Task Force, and will create a research agenda to support the further development of the US emergency care system.

In 2006, The Institute of Medicine (IOM) presented the Future of Emergency Care report, highlighting the shortcomings of a system that they described as “At the Breaking Point” and encouraging the development of “coordinated, regionalized, and accountable” emergency care systems. The IOM followed up on its landmark report with a workshop in September 2009 that brought together stakeholders from across the public and private sectors to examine the intended and unintended consequences of organizing regional systems of emergency care.

Shortly afterwards, the Emergency Care Coordination Center (ECCC) sponsored a roundtable discussion focused on the development of demonstration projects for regionalized emergency care services.

We hope to bring a fresh perspective and a structured research framework to the conversation about the organization of emergency care. In using the word “regionalized” as the cornerstone of the system that they outline, the IOM reignited what has long been a controversial topic within the emergency care community.

Regionalization has largely been interpreted in the context of the US model of trauma care. In this model, a tiered system is created in which some hospitals are identified and credentialed as “trauma centers” and injured patients are preferentially delivered by prehospital providers to these facilities. Disease-specific professional organizations have followed in the footsteps of trauma’s model and have advocated the development of stroke centers, burn centers, ST elevation myocardial infarction (STEMI) centers, and cardiac arrest centers. While generalizing a model of regionalized care that creates winners and losers in elective diseases such as cancer or transplant may be appropriate, this system has fallen short in the delivery of emergency care.

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We aim to convene a conference that moves beyond the classic model of regionalization focused on bringing the patient to the doctor in the hopes that we will think creatively about how, when possible, to bring the doctor to the patient. We envision an integrated network of emergency care that uses technological advances and a population-based perspective to better coordinate subspecialty consultations, ambulance dispatch, and inter-hospital transfers. We will start by addressing where we are – focusing on what works in the emergency care system and what doesn’t. We’ll next focus on where we are going – identifying best practices and novel approaches to the optimal delivery of care. Finally, we’ll think critically about how we will get there – as we identify barriers ranging from liability to oversight and create benchmarks along the way to assure that we engage in evidence-based policy.

The conference deliverables will be featured in the December, 2010 issue of Academic Emergency Medicine.

This special issue will include a series of conference proceedings as well as original research pertinent to the topic. Although the conference proceedings are finalized at the conference, advance work is beginning now. If you are interested in participating in the development of the research agenda for one of the themes listed below, please contact conference co-chair Brendan Carr via email (carrb@upenn.edu). We look forward to seeing you in June.

Conference Themes: Prehospital Care & Regionalization Beyond ED Categorization – Matching Networks to Patient Needs Defining & Measuring Successful Networks Patient Centered Emergency Care Workforce (Emergency & On-Call) Administrative Challenges to Novel Network Solutions Electronic Collaboration: Using New Technology to Solve Old Problems of Quality Care Inter-hospital Communications & Transport – Turning Funnels into Networks

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ANNOUNCEMENTS HOSPITAL COSTS FOR BONE MARROW TRANSPLANTS, OTHER COMMON PROCEDURES UP SHARPLY Hospital costs for bone marrow transplants shot up 85 percent from $694 million to $1.3 billion between 2004 and 2007, according to a recent report from the Agency for Healthcare Research and Quality (AHRQ).

Data from AHRQ shows that 10 procedures experienced rapid cost increases between 2004 and 2007. About 75 percent of the rise was due to increases in the number of patients who underwent these procedures and 25 percent resulted from higher costs per case treated.

In addition to bone marrow transplantation, the procedures with the most rapid increases in hospital costs included: • • • • • • • • •

Open surgery for noncancerous enlarged prostate — up 69 percent to $1 billion Aortic valve resection or replacement — up 38.5 percent to $1.9 billion Cancer chemotherapy — up 33 percent to $2.6 billion Spinal fusion — up 29.5 percent to $8.9 billion Lobectomy (a type of lung cancer surgery) — up 29 percent to $1.8 billion Incision and drainage of skin and other tissues — up 29 percent to $1 billion Knee surgery — up 27.5 percent to $9.2 billion Nephrostomy (surgery to allow urine to pass through the kidneys) — up 25 percent to $683 million Mastectomy (breast removal because of cancer) — up 24 percent to $660 million

These findings are based on data described in Procedures with the Most Rapidly Increasing Hospital Costs, 2004-2007. The report uses statistics from the 2007 Nationwide Inpatient Sample, a database of hospital inpatient stays that is nationally representative of inpatient stays in all short-term, non-Federal hospitals. The data are drawn from hospitals that comprise 90 percent of all discharges in the United States and include all patients, regardless of insurance type, as well as the uninsured.

POTENTIALLY AVOIDABLE HOSPITALIZATIONS FOR MANY CONDITIONS DROP DRAMATICALLY FOR SENIORS The rate of hospitalizations that could have been potentially prevented with better outpatient care fell faster for seniors than for younger patients between 2003 and 2007, according to a recent report from the Agency for Healthcare Research and Quality (AHRQ).

The Federal agency compared hospitalization rates for 11 chronic and acute conditions that can usually be controlled outside the hospital if patients have access to good outpatient care and follow doctors’ instructions, such as taking medication at the right time.

The analysis compared potentially preventable or avoidable hospitalizations for patients age 65 and over and ages 18 to 64.

The rates of hospitals stays for the following conditions declined faster for seniors than for younger adults: • • • • • • •

Angina (43 percent decrease vs. 39 percent) Uncontrolled diabetes (21 percent vs. 5 percent) Dehydration (20 percent vs. 16 percent) Short-term diabetes complications, such as hypoglycemia (19 percent decrease vs. an increase of 10 percent) Amputation of the feet or legs, usually because of diabetes (17 percent vs. 3 percent) Bacterial pneumonia (16 percent vs. 8 percent) Congestive heart failure (14 percent vs. 9 percent)

In contrast, the rate of admissions for high blood pressure increased at a roughly equal rate, but the hospitalization rate for seniors with urinary tract infections increased by 15 percent, while it increased by only 1 percent for younger adults.

These findings are based on data described in Potentially Preventable Hospitalization Rates Declined for Older Adults, 2003-2007. The report uses statistics from the 2007 Nationwide Inpatient Sample, a database of hospital inpatient stays that is nationally representative of inpatient stays in all short-term, non-Federal hospitals.

The data are drawn from hospitals that comprise 90 percent of all discharges in the United States and include all patients, regardless of insurance type, as well as the uninsured.

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SAEM Education Fund As the lead academic specialty society for emergency medicine, SAEM has the unique opportunity to educate academic health center leaders on the impact and importance of emergency medicine. In support of this role, the SAEM Board of Directors has approved the creation of the SAEM Education Fund to provide resources to help develop educational leaders in emergency medicine. Through the development of a specific education fund, SAEM is also further declaring its commitment to education and educational scholarship. In addition, for the 2010 Annual Meeting, SAEM has made a commitment to increase the number of education based didactic sessions, and the journal Academic Emergency Medicine will now include an education section editor and articles focused on educational topics.

The SAEM Education Fund will be used to support faculty who have shown promise / expertise in emergency medicine education.

Some examples of fund use might include: 1) Support to attend existing career development programs (e.g., the Harvard Macy Teaching Program) 2) Development of a self sustaining educational course (e.g., a Bedside Teaching and Feedback course aimed at the large numbers of clinician educators) 3) Development of educational tools for member access on line (e.g., a handbook for clinician educators or a faculty development handbook for the educator track) 4) Advancement of well developed educational projects by providing seed money to further an Innovations in Emergency Medicine Education (IEME) project.

The SAEM research fund supports educational research project pilot grants, and SAEM would continue to encourage educators to submit applications for research projects such as outcomes based feedback techniques and the use of simulation in procedural competency.

In these hard economic times, it is always hard to donate to yet another worthy cause. However, without the support of our members, this fund will not succeed. By utilizing a strict application and review process, SAEM hopes to ensure that Education Fund awards result in products, projects, and peerreviewed papers that aid the majority of Society members, and particularly those members who self-identify as “educators.” SAEM is also committed to looking at many other sources of revenue, including unrestricted grants from organizations, and coupling with foundations that fund education projects. Funding for education projects is difficult to find, and we now have a chance to change that by directing monies to EM education projects. Please consider supporting educational efforts within SAEM by donating to this fund.

Individual members contributing $1,000 or academic departments contributing $2,500 to the fund in this founding year will be designated as founding members on the website.

They will be recognized in the SAEM Newsletter and national meeting.

These members will receive a founding member pin and a certificate of appreciation.

The SAEM Education Fund welcomes any level of donations. Your invoice for dues allows you to donate via this pathway. Contributions can be made by credit card through the website at www.saem.org or by check / credit card by using the soon to be mailed SAEM Education Fund donation request. On the website, click on Committees and Taskforce link on right side of page, click on Education Fund Task Force, click on “Donate” link at bottom of first section. Any member can contact the SAEM staff by phone to help with these processes at 847-813-9823.

For more information or questions, contact David Manthey, MD, Education Fund Task Force Chair at dmanthey@wfubmc.edu FOUNDING MEMBERS (Total DonaƟons during 2010) Industry / OrganizaƟon............. $ 5000.00 Academy / EM Department...... $ 2500.00 Individual .................................. $ 1000.00 MEMBER DONATION RECOGNITION (CumulaƟve donaƟons over a lifeƟme) PlaƟnum Donor ..................... $ 10,000.00 Gold Donor .............................. $ 5,000.00 Silver Donor ............................. $ 2,500.00 Bronze Donor .......................... $ 1,250.00

To date, without any formal education fund drive, one founding academy and thirty SAEM members have donated, with six members donating at the founding member level. A special thank you goes out to these thirty members for their support of $8,250.00 and to CDEM for becoming the first founding academy and Michael Fitch for becoming the first ever founding member!!

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Emergency Medicine Responds to the Liaison Committee for Medical Education

By David A. Wald, DO – CDEM Chairman In the fall of 2009, the Liaison Committee for Medical Education (LCME), the accrediting body for medical schools in the United States approved changes to Accreditation Standard ED-15. These changes focus on choosing content related to specific competency areas rather than particular discipline based training. In turn, the LCME held a hearing for public comment on November 10, 2009 in Boston at the American Association of American Medical Colleges (AAMC) meeting. This meeting was attended by representatives of various disciplines and organizations; Jonathan Fisher, MD represented and spoke on behalf of CDEM as to the importance of incorporating emergency medicine into the undergraduate curriculum.

The CDEM leadership, working together with representatives of seven other national clerkship director organizations (family medicine, internal medicine, neurology, pediatrics, psychiatry, OB/GYN, and surgery) that constitute the membership of the Alliance for Clinical Education (ACE) developed a uniform written response to the proposed LCME Accreditation Standard language changes. These recommended changes along with a supporting letter were endorsed by the following emergency medicine organizations; • American Academy of Emergency Medicine (AAEM) • American College of Emergency Physicians (ACEP) • Association of Academic Chairs in Emergency Medicine (AACEM) • Clerkship Directors in Emergency Medicine (CDEM) (an Academy of SAEM) • Council of Emergency Medicine Residency Directors (CORD-EM)

A copy of the letter submitted to the LCME is available at: https://sites.google.com/site/academiclifeinemfiles/cdem/ LCMEResponseEM.pdf?attredirects=0 Below is the new LCME Accreditation Standard ED-15, the recommended changes proposed by CDEM and ACE and supported by the emergency medicine community is in bold.

The LCME will be meeting in the spring of 2010 to vote on the final wording of this Accreditation Standard.

New Standard ED-15 (Proposed changes in “BOLD”) The curriculum of the educational program must prepare students to enter any field of graduate medical education and include content that will prepare students to recognize wellness, determinants of health, and opportunities for health promotion, to recognize and interpret symptoms and signs of disease; to evaluate undifferentiated patients, to develop differential diagnoses and treatment plans; to acquire decision making skills in acute care situations, to formulate evidence-based management for chronic diseases, and to assist patients in addressing health-related issues involving all organ systems and spanning the life cycle.

New Annotation for ED-15 It is expected that the curriculum will be guided by the contemporary content from and clinical experiences associated with, among others, the disciplines and related subspecialties that have traditionally been titled emergency medicine, family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, psychiatry, public health, and surgery.

• Society for Academic Emergency Medicine (SAEM)

OHIO, The Ohio State University

School of Medicine, Department of Emergency Medicine

OHIO, The Ohio State University

Established residency training program. Level 1 trauma center. Nationally recognized research program. Clinical opportunities at OSU Medical Center and affiliated hospitals. Duties and primary responsibilities include didactic and bedside teaching with medical students and residents; participation in other educational activities. Conducts translational research in laboratory settings and/or clinical settings with medical students and/or residents.

Assistant/Associate or Full Professor.

Assistant/Associate Residency Director

The University of California, Irvine is recruiting one new full-time faculty member in the Health Sciences Clinical Series at the Assistant or Associate Professor level. The HS Clinical Series includes substantial patient care, medical student and resident teaching, and optional clinical research. Board preparation or certification in EM required. Fellowship or advanced degree, or both, strongly desired. Appropriate Rank and Series commensurate with qualifications.

Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 4510 Cramblett Hall, 456 West 10th Avenue, Columbus, OH 43210; or E-mail:Sharon.Pfeil@osumc.edu; or call 614293-8176. Affirmative Action/Equal Opportunity Employer.

The University of California, Irvine Medical Center is a 472-bed tertiary care hospital with all residencies. The ED is a progressive 35-bed Level I Trauma Center with 38,000 patients, in urban Orange County. Collegial relationships with all services. Excellent salary and benefits with incentive plan, Send inquiries to Mark Langdorf, MD, MHPE, FACEP, UCI Medical Center, Route 128, 101 City Drive, Orange, CA 92868, or at mark.langdorf@uci.edu, Apply online at https://recruit.ap.uci.edu UCI is an equal opportunity employer committed to excellence through diversity.

Program based at a Level 1 trauma center with active clinical, educational and basic research program. Full reaccreditation granted in 2008 site review. Educational innovations in residency training including a robust simulation lab experience as well as a significant pediatric exposure in a 3 year curriculum. For further information, please contact Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University via email at mary-jayne.fortney@osumc.edu or by calling 614-366-8693. AAEOE

CLASSIFIEDS

Assistant/Associate or Full Professor.

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Academic Announcements VIK BEBARTA, MD (MAJOR, USAF), faculty for the San Antonio Uniformed Services Health Education Consortium (SAUSHEC) residency in Emergency Medicine was honored by the Association of Military Surgeons of the United States with that organization’s “David F. Hagen Young Physician Award.” This award is presented to one physician annually, selected from the US Army, US Navy, US Air Force, US Department of Veteran Affairs, or the US Public Health Service. This award recognizes the recipient’s early accomplishment and demonstrated future potential as a leader in Federal Healthcare.

DR. ARTHUR KELLERMANN, one of the nation’s leading public health and emergency medicine researchers, has been appointed to the RAND Corporation’s Paul O’Neill Alcoa Professorship in Policy Analysis, RAND President and CEO James A. Thomson announced today. Kellermann will be based in RAND’s Washington D.C. office and will spearhead the RAND Public Health Systems and Preparedness Initiative, which has played a leading role in helping state and federal agencies improve the nation’s preparedness for public health emergencies and bolster other aspects the nation’s public health system.

The University of Massachusetts Medical School, has been awarded a five-year, $11,827,123 grant from the National Institutes of Mental Health to investigate the impact of universal screening on the detection of suicide ideation and behavior in emergency departments (EDs). The research will also assess the impact of a brief suicide prevention intervention on subsequent suicide behavior among ED patients presenting with suicidal risk factors.

The study will be coordinated by the Emergency Medicine Network (EMNet) and led by a team of investigators, including EDWIN D. BOUDREAUX, PHD, CARLOS A. CAMARGO, JR., MD, DRPH, AND IVAN MILLER, PHD.

JULIO LAIRET, DO (MAJOR, USAF), faculty for the San Antonio Uniformed Services Health Education Consortium (SAUSHEC) residency in Emergency Medicine was honored as the first recipient of the Association of Military Surgeons of the United States “Rising Star Award.” This award was created to recognize one individual from the from the US Army, US Navy, US Air Force, US Department of Veteran Affairs, or the US Public Health Service.

The recipient of this award has demonstrated success in federal healthcare delivery or management and is clearly on an ascending path to an executive leadership role.

ANNETTE DORFMAN, MD has been promoted to the position of Associate Student Clerkship Director in the Department of Emergency Medicine at Albany Medical Center, Albany, New York.

KATHRYN HOGAN, MD has been promoted to the position of Student Clerkship Director in the Department of Emergency Medicine at Albany Medical Center, Albany, New York.

A new Department of Emergency Medicine becomes official Jan. 1 at the University of Colorado Denver School of Medicine.

BENJAMIN HONIGMAN, MD, who was head of the Division of Emergency Medicine will serve as interim chair of the new Department. Dr. Honigman, a professor in the medical school, also is Director of the Altitude Research Center. Emergency Medicine began as a unit of the Department of Surgery in 1985. It has grown from six faculty to 31 at the School of Medicine and 16 at Denver Health Medical Center. Dr. Honigman, a graduate of Tufts Medical School, was given the University of Colorado Medical School’s Faculty Professionalism Award in 2009.

EDDY LANG, MDCM, CCFP(EM), CSPQ (formerly Associate Professor, Department of Family Medicine, McGill University, Montreal, Quebec) has accepted an appointment as Senior Researcher with Alberta Health Services and Associate Professor,Division of Emergency Medicine, Faculty of Medicine, Calgary, Alberta effective November 1, 2009.

LISA MORENO-WALTON, MD, MS, who is a Clinical Assistant Professor of Medicine and Associate Program Director of the Emergency Medicine Residency at Louisiana State University Health Sciences Center-New Orleans, has been given two additional appointments as Assistant Professor of Research in the Department of Medicine and Assistant Professor of Research in the Department of Genetics effective January 1, 2010.

LORRAINE THIBODEAU, MD has been promoted to the position of Director of Undergraduate Medical Education in the Department of Emergency Medicine at Albany Medical Center, Albany, New York.

AEM Special Announcements NOTICE TO ALL ACADEMIC EMERGENCY MEDICINE AUTHORS: Effective January 1, 2010, AEM now requires a signed copy of “The ICMJE Uniform Disclosure Form for Potential Conflicts of Interest” from EACH author before peer review of a manuscript will begin. The form is posted on Manuscript Central.

NOTICE TO ALL ACADEMIC EMERGENCY MEDICINE AUTHORS:

NOTICE TO ALL ACADEMIC EMERGENCY MEDICINE AUTHORS:

A revised set of Instructions for Authors is available on the journal’s home page on Wiley-Blackwell InterScience and also were published in the January 2010 issue of the journal.

For Dynamic Emergency Medicine contributors, due to the rapid increase in submissions, and the inherent suitability of the online requirement for video, we are moving this section to an ‘online only’ format. Our print journal’s table of contents will still list all of the DynEM papers, with instructions on how to access them online.

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SAEM Leadership Academy HOW DO WE MAKE OUR WORKING LIVES EASIER, MORE PRODUCTIVE AND ENSURE OUR CAREERS ARE HEADED IN THE RIGHT DIRECTION? Academic Emergency Medicine has many excellent leaders who developed their leadership traits and managerial skills through a combination of on-the-job training, self-initiated mentorship relationships, self-education through reading and conference attendance and, occasionally, graduate level course work. There are currently a number of mid- and latercareer academic emergency physicians who are contemplating the next stage in their careers, which may involve leadership positions such as department chair, vice-chair or medical school dean. The SAEM Leadership Academy is intended to (1) help those individuals determine if they are adequately prepared to make the transition, (2) provide them with tools that will facilitate the transition, through lectures and discussion sessions, and (3) facilitate networking with their peers and establishing mentorship relationships with current leaders in our field. The academy is planned as a series of three full-day conferences.

The inaugural Leadership Academy was held at the 2009 SAEM Annual Meeting and was comprised of presentations and workshops addressing topics important to developing.

Glenn Hamilton, MD, defined leadership and its importance to academic EM. A panel comprised of Kate Heilpern, MD, Gloria Kuhn, DO, Brian O’Neill, MD, and Bernie Lopez, MD discussed potential leadership paths for the physician at midcareer. Marc Borenstein, MD, presented a talk that covered the use of changing circumstances to forward a vision as well as requirements to sustain an effective vision over time.

Tracy Sanson, MD and Bill Barsan, MD presented a talk on the changing demographics of emergency physicians and generalizations about leading, coaching, and motivating the various generations in our departments; they also discussed family obligations and their impact on the workplace, workforce, and career advancement. Robert Strauss, MD and Alan Forstater, MD presented, through an interactive session, the science behind conflict and techniques for resolution with the session illustrating and teaching conflict management skills techniques. Lastly, a panel comprised of Marcus Martin, MD, Kate Heilpern, MD, Bob Hockberger, MD, Brent King, MD,

Gloria Kuhn, DO, Brian O’Neil, MD, Bill Barsan, MD, and Tracy Sanson, MD shared their sentinel events, lessons learned, and words of wisdom as they moved into their leadership roles.

The second Leadership Academy will be held as a preconference day on Wednesday, June 2, 2010. This year’s agenda includes: Glenn Hamilton, MD, defining leadership and its importance to academic emergency medicine; Bernie Lopez, MD, presenting a summary of the 2009 Leadership Academy (so that those that were unable to attend can receive some of the information to augment the 2010 session); Gabe Kelen, MD, teaching how one develops a strategic plan, mission statement, and goals and objectives; Tracy Sanson, MD discussing the role of generational differences in the ED workplace; a panel comprised of Ted Christopher, MD, Robin Hemphil, MD, and David Sklar, MD to discuss the role of advocacy in leadership; afternoon interactive sessions by Robert Strauss, MD (how to conduct effective meetings) and Tracy Sanson, MD (managing the disruptive physician); and panels of EM leaders to address the future of emergency medicine as well as “lessons learned” in leadership development. Additionally, a networking lunch and end-of-day reception is planned to allow interaction between the leaders in EM and those that aspire to become one.

For the mid-career academic emergency physicians who are contemplating the next stage in their careers, for those in leadership positions looking for ways to better mentor, or for those who simply want to improve on their leadership skills, this is the conference for you! Save the date – Wednesday, June 2, 2010. The cost of the Leadership Academy is $150 and includes the lunch and the reception. We hope to see you there!

Bernie Lopez, MD SAEM Faculty Development Committee Chair, Leadership Academy Subcommittee

Advertising Positions Available at Annual Meeting SAEM is again offering an opportunity to advertise in the on-site program. The Annual Meeting will be held June 3 – June 6 in Phoenix, AZ and will attract over 2,000 academic emergency physicians.

A limited amount of space is being set aside for the position available section and only academic positions available will be accepted. The deadline for receipt of ads at the SAEM office is March 16, 2010.

The following ad requirements and prices are available for the on-site program: Classified line ads (100 words maximum): $120 (contact SAEM member) or $145 (non-SAEM member) Quarter page ads: 31⁄2” wide x 43⁄4” deep $350 Half page ads: 71⁄2” wide x 43⁄4” deep or 31⁄2” wide x 93⁄4” deep $600 Full page ads: 71⁄2” wide x 93⁄4” deep $800 A typesetting fee ($25-$50) will be charged if the quarter, half, or full page ads are not camera-ready.

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New Advertising Policy for Academic Emergency Medicine Academic Emergency Medicine (AEM) welcomes advertising. Advertisements for products and services that specifically benefit the academic community, such as materials for use in research and education, are particularly encouraged.

For information about rates or to place an advertisement in Academic Emergency Medicine (AEM) contact Stephen Donohue, Advertising Sales Executive, Wiley-Blackwell, 781-388-8511, e-mail sdonohue@wiley.com. For clarification or additional information related to advertising policies for Academic Emergency Medicine, contact Stephen Jezzard, Advertising Sales Manager, Wiley-Blackwell, 781-3888532, e-mail sjezzard@wiley.com or Sandra Arjona, Journal Manager, 412-772-1190, e-mail sandrak.arjona@gmail. com It is the responsibility of any advertiser in AEM to comply with the laws and regulations applicable to marketing and sale of products. Acceptance of advertising in AEM should not be construed as a guarantee that the manufacturer has complied with such laws and regulations or that AEM, the Society for Academic Emergency Medicine, or the publisher endorses such a product or service. Acceptance and publication of an ad in no way verifies that claims made are accurate, and is not an endorsement of the product or service. Each issue of the journal will contain a disclaimer to this effect in the front matter.

General Eligibility Requirements Products or services eligible for advertising in AEM must be germane to the practice of medicine, medical education, medical research, or health care delivery and shall be commercially available. Consumer products are also generally eligible, except that alcoholic beverages, tobacco products, and investment opportunities are not eligible for advertising in AEM. The Editor-in-Chief (EIC) will review all advertisements prior to acceptance, and the journal reserves the right to deny publication of any advertisement for any reason. Special requirements for various types of advertising follow: {Editor’s note – the following section is “on hold” unless and until we decide to accept pharmaceutical advertisements.

It is included here so we can develop appropriate wording that fits with the rest of the policy. - DCC Pharmaceuticals: A drug advertisement is the advertiser’s message and should not be considered a physician’s sole source of information regarding a product. The regulations of the Food and Drug Administration provide exacting legal controls over the claims that drug advertisers may make for their products and require them to state contraindications, hazards, etc. Any products approved by the FDA for advertising in the United States are eligible for advertising in AEM. 26

Adherence to legal requirements concerning the content of drug advertising is the manufacturer’s responsibility. A pharmaceutical product requiring approval of a New Drug Application by the FDA will not be eligible for advertising until such approval has been granted. However, as is common practice in the advertising industry, AEM will allow pharmaceutical manufacturers to run “corporate” or “teaser” ads prior to a product’s official FDA approval. Such advertisements may not mention specific product names.} Medical apparatus, instruments, or devices: It is the manufacturer’s responsibility to adhere to FDA regulations governing the manufacture and sale of medical devices.

Complete scientific and technical data concerning the product’s safety, operation, and usefulness must be made available to AEM readers on request. AEM may decline advertising for any product being investigated or challenged by a government agency regarding claims made in marketing the product.

Classified advertising: The primary purpose of AEM’s classified advertising is to provide information related to physician placement opportunities (“help wanted” ads).

AEM also will accept for placement in the classified section ads for residency positions, fellowship programs, computer software, continuing medical education (CME) products, and physician services such as billing and recruitment.

Guidelines for Advertising Copy and Graphics If an ad does not conform to the following requirements, the advertiser or its agent will be contacted and will be given the opportunity to submit corrected advertising materials, or to authorize AEM to make the necessary changes at the advertiser’s expense. However, AEM cannot guarantee that the corrected advertisement will be included in the issue intended.

1. Layout, artwork, and format of ads shall be such as to avoid confusion with the editorial content of AEM, and the word “advertisement” may be added to any ad to prevent such confusion.

2. All advertisements should clearly identify the advertiser and the product or service being offered.

3. The term “board eligible” as it relates to emergency medicine board certification will be changed to “board prepared.”

4. Ads for CME products and services that are specific to preparation for board certification examinations must include the phrase “Not affiliated with ABEM or AOBEM”, unless such affiliation actually exists, in which case documentation of the affiliation must be provided for the EIC’s review prior to publication.

5. Unfair comparison or unwarranted disparagements of a competitor’s product or service will not be allowed.

6. All price comparison advertising must meet the following guidelines: (a) the source of all prices quoted must be identified within the advertisement, and substantiation must be submitted with the ad for the EIC’s review, and be available upon request to readers; (b) if a price comparison is based on the advertiser’s own research, that research must be submitted with the ad for the EIC’s review, and be available upon request to readers; (c) all advertising about prices must contain a qualification similar to the following: “Prices will vary from distributor to distributor due to location and services offered”; (d) for pharmaceutical products, in the absence of standard retail price comparison data, the manufacturer’s suggested price may be used; (e) for over-the-counter products, price comparisons must be based on manufacturer’s suggested retail or resale price.

7. Advertisements must not be deceptive or misleading.

Exaggerated or extravagantly worded copy will not be allowed. Advertisements will not be accepted if they appear to be indecent or offensive in either text or artwork, or contain content of a personal, racial, or religious character.

Advertising Placement and Rates 1. AEM makes every effort to separate ads for competing products.

2. Commercial advertisements in AEM are grouped at the front and back of the journal, and will not be interspersed with scientific content.

3. Premium positions (e.g. back cover, and inside front and back covers) are available at extra cost to the advertiser.

4. Classified ads are published in the classified section of the journal. Display classified advertisements are available in this section.

5. Advertisements will not be placed adjacent to any editorial matter that discusses the product being advertised, nor adjacent to any article reporting research on the advertised product.

Advertising Policy Development and Revision These advertising policies were developed by the members of the AEM Editorial Board and editorial staff, and the publisher. AEM may change any of these polices in light of developments in medicine, trends in the advertising industry, and the changing needs of the journal.

Advertising Review Process In all cases, AEM has the right to make the final decision regarding the eligibility and acceptance of an advertisement.

1. All advertisements must be submitted 10 days before the closing date, for review by the AEM editorial staff and EIC to ensure compliance with AEM’s advertising policies. Any previously approved ad that has been changed must be resubmitted for review in its most current form 10 days prior to the closing date.

2. For preprinted advertising inserts or outserts, the advertiser or its agent must receive paper stock approval from the publisher prior to the issue’s closing date, in addition to copy approval by the EIC. 3. Questions about the eligibility of any advertisement raised by an AEM subscriber, an Editorial Board member, or any other party will be referred to the EIC, who may seek the opinions of consultants to determine the suitability of the claims and the ad itself.

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Call for Manuscripts

2010 Academic Emergency Medicine CORD Educational Advances Supplement Deadline: 5:00 p.m. ET Friday, April 23, 2010 Academic Emergency Medicine is accepting manuscripts for consideration for selection in the 2010 Academic Emergency Medicine Council of Residency Directors in Emergency Medicine (CORD) Educational Advances Supplement.

Authors are invited to submit manuscripts in the areas of emergency medicine education research, education advances in emergency medicine, and CORD Academic Assembly education proceedings.

The deadline for submission of manuscripts for the CORD Educational Advances Supplement is Friday, April 23, 2010 at 5:00 pm Eastern Standard Time and will be strictly enforced.

Only electronic submissions will be accepted, via http://mc.manuscriptcentral.com/aemj.

Manuscripts accepted for publication will be published in the October, 2010 supplement issue of Academic Emergency Medicine (AEM), the official journal of SAEM. AEM and CORD will notify authors of a decision regarding publication within 45 days of the deadline for submission of materials. Please indicate in your cover letter that the submission is intended for the 2010 CORD Educational Advances Supplement.

Any questions should be directed to John Burton, MD, Guest Editor, at BurtonJ@mail.amc.edu, or David C. Cone, MD, Editor-in-Chief, at editor@saem.org.

SAEM SEEKS AWARD NOMINATIONS Michael P. Spadafora Medical Toxicology Scholarship Application Deadline: May 1, 2010 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.

One recipient will be chosen each year to attend the North American Congress of Clinical Toxicology (NACCT) conference, which is held in different locations every fall. The award of $1500 will provide funds 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.

For more information on all of our grants visit, www.saem.org and follow the grants link.

Medical Student Excellence in Emergency Medicine Award Deadline: 4 weeks prior to certificate date SAEM is pleased to sponsor the Excellence in Emergency Medicine award.

This award is made available for each medical school to select a senior medical student who has demonstrated excellence in the specialty of emergency medicine. Each medical school is limited to one recipient each year.

For more information visit www.saem.org and follow the awards link at the top of the page.

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Call for Proposals

2012 AEM Consensus Conference Submission deadline: April 15, 2010 The editors of Academic Emergency Medicine are now accepting proposals for the 13th annual AEM Consensus Conference to be held on May 9, 2012, the day before the SAEM Annual Meeting in Chicago.

Proposals must advance a topic relevant to emergency medicine that is conducive to the development of a research agenda, and be spearheaded by thought leaders from within the specialty. Consensus conference goals are to heighten awareness related to the topic, discuss the current state of knowledge about the topic, identify knowledge gaps, propose needed research, and issue a call to action to allow future progress. Importantly, the consensus conference is not a “state of the art” session, but is intended primarily to create the research agenda that is needed to advance our knowledge of the topic area.

Previous topics have included: 2000: Errors in Emergency Medicine 2001: The Unraveling Safety Net 2002: Quality and Best Practices in Emergency Care 2003: Disparities in Emergency Care 2004: Information Technology in Emergency Medicine 2005: Emergency Research without Informed Consent.

2006: The Science of Surge 2007: Knowledge Translation 2008: Simulation in Emergency Medicine 2009: Public Health in the Emergency Department: Surveillance, Screening, and Intervention 2010: Beyond Regionalization: Integrated Networks of Emergency Care 2011: Interventions to Assure Quality in the Crowded Emergency Department Well-developed proposals will be reviewed on a competitive basis by a sub-committee of the AEM editorial board. The 2012 AEM Consensus Conference topic will be announced at the SAEM annual business meeting during the 2010 annual meeting in Phoenix. Proceedings of the meeting and original contributions related to the topic will be published exclusively by AEM in its special topic issue in December, 2012.

Submitters are strongly advised to review proceedings of previous consensus conferences, which can be found in the past November issues of AEM, to guide the development of their proposals. All prior consensus conference issues are available free of charge online. Submitters are also welcome to contact the journal’s editors or leaders of prior consensus conferences with any questions.

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

Proposals must be submitted electronically to aem@saem.org no later than 5PM Eastern Daylight Time on Thursday, April 15, 2010. Late submissions will not be considered. The review sub-committee may query submitters for additional information prior to making the final selection. Questions may be directed to aem@saem.org or to the editor-in-chief at editor@saem.org.

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CALLS AND MEETING ANNOUNCEMENTS We have reduced the number of pages in the newsletter devoted to calls, submissions, and meetings. Here we will provide basic information on these items including important dates. For details and submission information on the below, see www.saem.org and either look for the Newsletter links on the home page or within the Meetings section of the web site.

Regional Meetings

Check the www.saem.org Meetings > SAEM Regional Meetings link for updates.

March 19th & 20th, 2010

Western Regional Meeting (Friday, Saturday) at University of California / Davis in Sonoma, CA Questions can be directed to Deborah Diercks, MD, MSc, FACEP dbdiercks@ucdavis.edu or Kelsey Cearley cearleyk@ohsu.edu or call (503) 494-1475. Please see our conference website for more information. http:// wrrf.emergencyresidency.com

April 14, 2010

2010 Academic Emergency Medicine Consensus Conference “Beyond Regionalization: Integrated Networks of Emergency Care” will be held on June 2, 2010, immediately preceding the SAEM Annual Meeting in Phoenix, Arizona.

Original papers, if accepted, will be published together with the conference proceedings in the December, 2010 issue of Academic Emergency Medicine.

Deadline: Monday, March 26, 2010.

SAEM Annual Meeting

June 3rd - 6th, 2010 is the SAEM Annual Meeting at the JW Marriott Desert Ridge Resort and Spa in Phoenix, Arizona. Chair: Andra L. Blomkalns, MD

Marks the Fourteenth Annual New England Regional SAEM Conference Hoagland-Pincus Conference Center in Shrewsbury, Massachusetts. For Questions Contact: Patty Mitchell, RN at patricia.mitchell@bmc.org

AEM Consensus Conference on June 2nd

April 9-10, 2010

Call for Papers - AEM

SAEM Southeastern Regional Meeting to be held at the University Hospital West Pavilion Conference Center, The University of Alabama at Birmingham in Birmingham, AL Program Chair: David C. Pigott, MD, dpigott@uabmc.edu or Henry Wang, MD, MS hwang@uabmc.edu

2010 CORD Annual Academic Assembly

March 3 - 6, 2010 The Caribe Royale Hotel & Conference Center - Orlando, FL

Call for Papers - AEM

Academic Emergency Medicine Consensus Conference Follow-Up Research Special Issue. Since 2000, Academic Emergency Medicine has hosted an annual consensus conference, designed to generate a research agenda for a number of specific topics. On the tenth anniversary of this series, the journal launches an annual special issue, to be published in August, dedicated to research papers that address the consensus conference topics.

Deadline: Friday, March 5, 2010 5 pm Eastern Time.

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Call for Papers - AEM

Topic: “Beyond Regionalization: Integrated Networks of Emergency Care”.

Conference Co-Chairs Brendan G. Carr, MD MS and Ricardo Martinez, MD. 2011 Academic Emergency Medicine Consensus Conference “Interventions to Assure Quality in the Crowded Emergency Department” will be held on May 31, 2011, immediately preceding the SAEM Annual Meeting in Boston, Massachusetts. Original papers on the conference topic, if accepted, will be published together with the conference proceedings in the December, 2011 issue of Academic Emergency Medicine.

Deadline: March 26, 2011.

Call for Proposals for the 2012 AEM Consensus Conference

The editors of Academic Emergency Medicine are now accepting proposals for the 13th annual AEM Consensus Conference to be held on May 9, 2012, the day before the SAEM Annual Meeting in Chicago. For details and instructions look for Newsletter Links module on the home page of www.saem.org.

Submission Deadline: April 15, 2010.

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Society for Academic Emergency Medicine 2340 S. River Road, Suite 200 Des Plaines, IL 60018

Newsletter

2009-2010 SAEM Board of Directors Jill M. Baren, MD President

Executive Director James R. Tarrant, CAE

Jeffrey A. Kline, MD President-Elect

Advertising Coordinator Maryanne Greketis, CMP mgreketis@saem.org

Adam J. Singer, MD Secretary-Treasurer Katherine L. Heilpern, MD Past President Robert S. Hockberger, MD Cherri D. Hobgood, MD Debra Houry, MD, MPH O. John Ma, MD

Send Articles to: Holly Gouin, MBA hgouin@saem.org

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

The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM.

Alan E. Jones, MD

For newsletter archives and e-Newsletters Click on Publications at www.saem.org

Deborah B. Diercks, MD Maria F. Glenn, MD

FUTURE SAEM ANNUAL MEETINGS 2010 2011 2012

June 3 - 6 June 1 – 5 May 9 – 13

Marriott Desert Ridge Resort & Spa, Phoenix, AZ Marriott Copley Place, Boston, MA Sheraton Hotel and Towers, Chicago, IL

14th Annual New England Regional SAEM Conference April 14, 2010 Hoagland-Pincus Conference Center in Shrewsbury, Massachusetts See www.saem.org for more information or contact Patty Mitchell, RN at patricia.mitchell @ bmc.org

Western Regional Meeting March 19-20, 2010 at University of California, Davis in Sonoma, CA. Contact Kelsey Cearley cearleyk@ohsu.edu or call (503) 494-1475. Please see Western Regional Research Forum conference website for more information. http://wrrf.emergencyresidency.com

At www.saem.org, you will find more information on each regional meeting in the Meetings > SAEM Regional Meetings section of the site.