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Newsletter of the Society for Academic Emergency Medicine May/June 2004 Volume XVI, Number 4

PRESIDENT’S MESSAGE As I write this many of us are balancing the thoughts, ideas, and creative opportunities sparked at our Annual Meeting last month in Orlando with the accumulated work at home. Good intentions may be lost to immediacy. As we enter the summer months I’d like to challenge everyone to continue to pursue those creative ideas in a systematic fashion. Judging from the quantity of e-mail corresponCarey Chisholm, MD dence to the Board, most of the Committees and Task Forces are aggressively pursuing their objectives. For those of you who were unable to attend the annual business meeting, I’ve decided to share my comments with you.

“Thanks – Opportunity – Thanks” Thanks first for the privilege of serving you as the President of SAEM. I take this responsibility seriously. A colleague challenged me about what my “platform” was for the upcoming year. I told him that it was our mission statement as an organization. I was not elected to crusade for my personal agenda…instead I am trusted to represent you, the members, as a facilitator and communicator. Our mission is to improve patient care by advancing research and education in emergency medicine. Our vision is to promote ready access to quality emergency care for all patients, to advance emergency medicine as an academic and clinical discipline, and to maintain the highest professional standards as clinicians, teachers, and researchers. Thanks to the members of the Committees and Task Forces of SAEM. You serve as the true engines of the organization, and you all have a very aggressive agenda to address over the next 12 months. Your efforts will largely dictate the success of the organization for years to come. Thanks to the members of the Board. These folks spend 6-8 hours per week doing SAEM business above and beyond their busy personal and professional lives. Their commitment serves you well. They will be busy this year, including reviewing all policies and position statements, and developing a 5 year strategic plan. Thanks to my predecessors, particularly Roger Lewis and Don Yealy, for their friendship and mentoring over the past 2 years. Thanks to my colleagues at Indiana University and my family for their understanding and support. Without both I could not do this.

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

NIH Formally Recognizes Grants Awarded to Investigators in Emergency Medicine John Gallagher, MD Montefiore Medical Center For the first time in May of this year, Emergency Medicine appeared on the NIH website as one of the 31 specialties whose grant funding the Office of Extramural Research (OER) will track on an annual basis going forward. This is an important event for our specialty because this website (http://grants.nih.gov/ grants/award/rank/medindp03.htm) is where medical school Deans go when they wish to determine how a particular academic department at their institution stacks up against other academic departments within that discipline at other schools. Where, or in the case of a new discipline such as Emergency Medicine, whether, an academic department appears on this list is likely to factor heavily into the Dean’s assessment of a given department’s “value” to the medical school. Of at least equal importance, the total amount of NIH funding brought into a school by academic departments of Emergency Medicine, which is clearly displayed on this list, may inform institutional decisions about development of such departments within the “other half” of LCME-accredited allopathic schools that have not yet decide to invest in an academic department of Emergency Medicine. In order to remain on this list, however, Emergency Medicine must continue to meet certain requirements. Specifically, at least ten of the free-standing academic departments of Emergency Medicine in the U.S. must receive funding from the NIH annually. Annually is defined by the NIH fiscal year, which runs on the federal government’s clock from October 1 to September 30. This means that at least one member of the full-time Emergency Medicine faculty at each of ten different academic departments of Emergency Medicine (at ten different allopathic medical schools) must be identified as the Principal Investigator (PI) on an NIH grant. This will in turn result in Emergency Medicine appearing in the departmental field in the NIH Computerized Retrieval of Information on Scientific Projects. If we fall below this threshold of ten, we disappear from the list. This represents a particularly difficult challenge for Emergency Medicine because, unlike many other disciplines, we do not have an NIH institute or Center to which we can preferentially send our grant applications. Although Emergency Medicine investigators have been very successful in obtaining grants from the Agency for Healthcare Research and Quality (AHRQ), and to a lesser extent, from the Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration (HRSA), and the Department of Defense (DoD), none of these federal agencies are counted by the NIH because they are separate from the 20 Institutes and seven Centers of the NIH. For those who would like to view this list, go to the URL listed above, scroll down to Emergency Medicine and click. A table will

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


President’s Message (Continued)

Opportunity….

development of the US’s first health care system. We turn 15 this year. By the time that we celebrate our 30th birthday EM physicians will have integrated fully (metastasized say some) throughout the health care and research communities. Although sorely disappointed in the decision by our Internal Medicine and Pediatric colleagues to block certification, and now even training opportunities in critical care medicine, I understand their fear. We seem to take over everything that we become involved with. Why? Because we collectively are high-energy problem solvers who can make decisions… and we are motivated by our desire to do the right thing. By the way, we will win the critical care issue…because it is the right thing for our patients. In academic centers, there will be a logarithmic expansion in the number of EM physicians in Dean’s offices and other leadership positions within the hospital university committees…because we understand the health care delivery mechanism so well. Our colleagues will disproportionately positively impact medical training curricula and pioneer teaching and evaluation techniques. We will win teaching and education awards because of our talents and proximity to our medical students and residents. The best and the brightest will continue to seek a career in EM. Within the research community, we will not only fill, but also serve in, numerous leadership positions within federal agencies such as the NIH and CDC. Products of our research foundation will mentor others in our field, and our funding mechanisms will match those of traditional specialties. A national network for emergency clinical care trials, involving not only University but community EDs as well, will facilitate tackling some of the most difficult problems in EM. We will set the standard for the ethical pairing of industry and health care research. Our basic science researchers will participate in major breakthroughs of disease mechanism and solution. We will have our first EM Surgeon General of the United States. So, challenges will be plenty, and opportunities tremendous. We will do the right thing. I will challenge each of you to consider participating in our research fund, at least at the level of a cup of coffee or soda each day.

Challenges serve as windows of opportunities. They draw us out of our comfort zone, and test our true potential. They result in personal and professional growth. Challenges are not to be avoided. They are to be embraced. They will make us better. On a Practice level: academic physicians are in the center of the same bedside delivery challenges that confront all practitioners of EM. Malpractice, crowding, and access to specialists for post ED care delivery will worsen before they improve. We will persevere because of who we collectively are, and who we represent. Because we believe. As my predecessor has stated, EM physicians spend their time (doing and) making others do the right things. In the near term our opportunities include positioning ourselves to springboard from recommendations developed by the Institute of Medicine for EM. This will occur a little over 1 year from now. Less than 1 year ago the NIH published their “Roadmap” document outlining several fundamental philosophical changes in the approach to medical research. SAEM will look for ways to assist the NIH in this process. We must modernize our information and database systems for our organization. This includes our website, as well as a new web-based editorial management system for our Journal. We will finalize a plan for the future growth and development of our research fund. SAEM has made the decision that training grants are the most promising mechanism to develop individuals and institutions to meet the research needs of our specialty. And without a robust science of discovery, translation and dissemination, we cannot progress as a specialty. Our patients would be the ultimate losers. This year I will ask all of you to participate in our first membership survey…developed as an informational resource to allow the Board to even better represent and address your needs. We are also making efforts this year to re-engage our past leaders in the excitement and opportunities within our organization. There are many to mentor, and the cause is just. You have given of yourselves in the past, and we ask for you to do so once again. What does the future hold? None of us know. Here’s my guess… A year from now we will be getting ready for our largest and most successful meeting of all time, fittingly held in NYC. Beyond next year….a lot of challenge. A spiraling federal deficit and malpractice insurance crisis coupled with the new Medicare Prescription law will result in the implosion of the health care delivery mechanism in the US over the next 5 years. These will be hard times for all. EM physicians will lead the resolution and assist in the

Thanks My final thanks goes to our Executive Director, Mary Ann Schropp and the home office staff. We are fortunate to have them, much, much more than most of you will ever truly appreciate. I look forward to working with you as we move forward as individuals and as an organization.

AACEM Elections Held The Association of Academic Chairs of Emergency Medicine (AACEM) held its Annual Meeting and elections in Orlando on May 15. During the meeting Stephen Hargarten, MD, MPH, Chair of the Department of Emergency Medicine at the Medical College of Wisconsin

began his term as AACEM President, succeeding Jerris Hedges, MD, MS, Chair of the Department of Emergency Medicine at Oregon Health and Science University. William Barsan, MD, Chair of the Department of Emergency Medicine at University of Michigan was 2

elected Secretary/Treasurer. Gabe Kelen, MD, Chair of the Department of Emergency Medicine at the Johns Hopkins University was elected President Elect.


Annual Business Meeting Held on May 18 The 2004 Annual Meeting in Orlando attracted 1841 registrants. During the Annual Business Meeting on May 18, Dr. Don Yealy announced the results of the annual elections. The election was held by mail ballot and approximately 30% of the active members cast ballots during the election. The results were:

Dr. Yealy introduced Art Kellermann, MD, who introduced the 2004 Leadership Award recipient, Joseph Waeckerle, MD. Dr. Yealy introduced Bill Barsan, MD, who introduced the 2004 Hal Jayne Academic Excellence Award recipient, Tom Aufderheide, MD. Each of the award recipients addressed the SAEM membership.

President-Elect Glenn C. Hamilton, MD Wright State University

Dr. Yealy introduced the 2004 Young Investigator Award recipients: Debra Houry, MD, Craig Newgard, MD, MPH and Michael Schull, MD, MSc. Dr. Yealy also introduced the recipients of the SAEM Grants Program: Brian Blyth, MD (Research Training Grant), Richard Rothman, MD, PhD (Institutional Research Training Grant), Robert Wears, MD (Scholarly Sabbatical Grant), Jonnathan Busko, MD, MPH, EMT-P (EMS Research Fellowship Grant), and Daniel Rusyniak, MD (Neuroscience Research Fellowship Grant). Each of these grant and award recipients were profiled in the May/June issue of the Newsletter.

Secretary/Treasurer Katherine L. Heilpern, MD Emory University Board of Directors Jeffrey A. Kline, MD Carolinas Medical Center Robert W. Schafermeyer, MD, PhD Carolinas Medical Center

Don Yealy, MD, introduced the 2003 Annual Meeting Presentation Awards: Ian Stiell, MD (Faculty Clinical Science), Lawrence Sherman, MD (Faculty Basic Science), Nathan Shapiro, MD (Young Investigator Clinical Science), Daniel Davis, MD (Young Investigator Basic Science) Christian Vaillancourt, MD, MSc (Clinical Science Fellow), Michael Gisondi, MD (IEME Exhibit), Christopher Kabrhel, MD (Clinical Science Resident), Cedric Lefebvre, BS (Basic Science Medical Student), and Jason McMullan (Clinical Science Medical Student).

Ellen J. Weber, MD University of California, San Francisco Resident Member of the Board Maria Raven, MD New York University/Bellevue Nominating Committee Wendy Coates, MD Harbor-UCLA

Michelle Biros, MS, MD, Editor-in-Chief of Academic Emergency Medicine provided a report to the membership on the status of the Journal. She reported that 322 manuscripts had been submitted during the period of January 1, 2004 to May 12, 2004, which compared to the 314 manuscripts that had been submitted during the same period in 2002. Dr. Biros also reported the following changes to the editorial board: Mark Angelos, MD, Norman Christopher, MD, Michael Schull, MD, MSc and Robert Vissers, MD are leaving the editorial board and James Miner, MD, Christopher Barton, MD and Mark Mycyk, MD are joining the editorial board.

Constitution and Bylaws Committee Charlene Irvin, MD Wayne State University In addition, Sue Stern, MD was appointed to the Board of Directors by incoming President, Carey Chisholm, MD, to fill an unexpired term that occurred from the election results. Dr. Yealy announced to the membership that all proposed Constitution and Bylaws amendments had been overwhelmingly approved by the active membership through the mail ballot. The proposed amendments were published in the May/June issue of the Newsletter.

Dr. Yealy presented his President's Message and introduced incoming President, Carey Chisholm, MD. Dr. Chisholm presented Dr. Yealy with a plaque and thanked him for his service as the SAEM President.

AAMC-ORI Responsible Research Conduct Awardees Announced: SAEM Receives $18,000 The AAMC and the Department of Health and Human Services Office of Research Integrity (ORI) have recently awarded more than $130,000 in combined funding to five academic societies under the AAMC-ORI Responsible Conduct of Research Program for Academic Societies. The awardees are: Society for Academic Emergency Medicine; Society of Teachers of Family Medicine; Gerontological Society of America; Research and Assessment Corporation for Counseling; and

American Occupational Therapy Association. In the award program's two-year history, more than $300,000 has been awarded to 17 academic and scientific societies. The program has been extended; new applications will be accepted in two additional award rounds, with submission deadlines of Nov. 5, 2004 and March 4, 2005. For more information: go to http://www.aamc.org/programs/ori/.

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Thank You for the 2004 Annual Meeting Judd E. Hollander, MD University of Pennsylvania Chair, 2004 Program Committee monary Arrest. Basic Science Fellow Presentation Basmah Safdar, MD, Yale New Haven Hospital Linda C. Degutis, Keala Yamamoto, Harry C. Moscovitz, Swarupa R. Vedere, Gail D'Onofrio: Comparison of Efficacy and Adverse Events of Intravenous Ketorolac and Parenteral Morphine Alone and in Combination in the Treatment of Acute Renal Colic. Clinical Science Resident Presentation Jing Chen, MD, Thomas Jefferson University Luna Benvenisti-Zarom, Raymond F. Regan: Increasing Expression of Endogenous Heme Oxygenase-1 Protects Astrocytes from Heme-mediated Oxidative Injury. Basic Science Resident Presentation Brian McBeth, MD, University of Michigan Susan A. Stern, Xu Wang, Michelle Mertz, Brian J. Zink: Effects of Cocaine in an Experimental Model of Traumatic Brain Injury. Clinical Science Medical Student Presentation Kyle Shaver, University of Pennsylvania Robert J. Marsan, Keara L. Sease, Frank D. Sites, Frances S. Shofer, Judd E. Hollander: Does a Negative Inpatient Stress Test or Catheterization Prevent Return Cardiac Visits in the Following Year?. Basic Science Medical Student Presentation Garig M. Vanderveldt, Thomas Jefferson University Raymond F. Regan: The Neurotoxic Effect of Sickle Cell Hemoglobin. Innovations in Emergency Medicine Exhibit (IEME) Presentation Italo Subbarao, DO, MBA, Lehigh Valley Hospital Christopher Johnson, William Bond: Advanced Bioterrorism Triage Algorithm: Handling the Critical First Encounter with Victims of Terror Attacks. Visual Diagnosis Contest Winners: Resident Winner - Dan Lindberg, MD, University Hospital - Cincinnati Medical Student Winner - Laurie DuBois, SUNY Downstate

I would like to thank all of you who contributed to the science, educational exhibits, didactic conferences, photography contest and attendance at the 2004 Annual Meeting. There were a tremendous number of high quality didactic and scientific sessions. The networking and opportunities to renew relationships with national and international colleagues were unsurpassed. This year the program included several new didactic tracks, such as the leadership development series aimed at mid and upper-level EM academicians; a 3-part session on Responsible Conduct of Research; and a new 3 part series on educational research. These tracks were well received, based upon review of comments from the annual meeting survey. The pre-day symposia on the Business Aspects of Health System Management that was conducted by physicians managers from the University of Michigan provided the participants an 8 hour MBA course covering basic economics of health care, cost accounting, operations management and physician leadership. The clinical and basic science presentations were outstanding and reflected the wide depth of our specialty. Despite the meeting being at Disney, attendance at the Annual Meeting remained quite good, even through the last days events, reflecting the interesting topics being presented. Congratulations to our award winning papers and presenters: Faculty Clinical Science Presentation Amy C. Plint, MD, Children's Hospital of Eastern Ontario Jeff Perry, Isabelle Gaboury, Rhonda Correll, Louis Lawton: A Randomized Controlled Trial of Removable Splinting vs. Casting in the Management of Wrist Buckle Fractures. Faculty Basic Science Presentation Selim Suner, MD, MS, Brown University Matthew R Fellows, Carlos Vargas-Irwin, John P Donoghue: Defining Long-term Signal Reliability for a 100-electrode Chronically Implanted Array to Develop a Primate Model for Studying the Effect of Nearby Injury on Individual Neurons in Primary Motor Cortex (M1). Young Investigator Clinical Presentation Alan E. Jones, MD, Carolinas Medical Center Vivek S. Tayal, D. Matthew Sullivan, Jeffrey A. Kline: Randomized Controlled Trial of Immediate vs. Delayed Goaldirected Ultrasound to Identify the Etiology of Nontraumatic Hypotension in Emergency Department Patients. Young Investigator Basic Presentation Daniel P. Davis, MD, University of California, San Diego Satoki Inoue, John C. Drummond, Paul J. Kelly, Daniel J. Cole, Piyush M. Patel: Combination of Isoflurane and an Extrinsic Caspase Pathway Inhibitor Results in Sustained Neuroprotection in Rats Subject to Focal Cerebral Ischemia. Clinical Science Fellow Presentation Rick Gerein, MD, University of Ottawa Martin Osmond, Ian G. Stiell, Lisa Nesbitt, Starla Campbell: What Is the Etiology of Out-of-Hospital Pediatric Cardiopul-

The entertainment in the area was truly the best in the world! In fact, SAEM hosted a very well attended opening reception as well as the private banquet at Animal Kingdom. All in all, the Annual Meeting was quite the success. The Program Committee planning for the 2005 Annual Meeting is already well underway. First stop is selection of didactic proposals. The didactic proposal submission form is posted on the web at www.saem.org. We are always interested in seeing new proposals that fit the mission of the Society. Again, thanks for contributing to a great meeting. See you in New York next May!

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Emergency Medicine Session to be Held During AAMC Annual Meeting The Association of Academic Chairs of Emergency Medicine (AACEM) and SAEM are planning a number of sessions to be held during on Saturday, November 6 during the Association of American Medical Colleges (AAMC) Annual Meeting in Boston at the Marriott Copley Place: New EMTALA Regulations and Their Effect on Medical Specialties‚ Capabilities at Community Hospitals: A Threat to Tertiary Care Centers, 8:30-10:00 am, Nantucket Room. This session will be moderated by Dave Sklar, MD, Chair, Department of Emergency Medicine, University of New Mexico. Speakers will include: Robert Bitterman, MD, JD, Director of Risk Management, Department of Emergency Medicine, Carolinas

Medical Center; Ms. Sandra Sands, Senior Counsel at the Office of the Inspector General, Office of the Counsel to the U.S. Department of Health and Human Services, Timothy C. Flynn, Department of Surgery, University of Florida, and Charlotte Yeh, MD. This session is sponsored by AACEM and SAEM. From Observation to Acute Care Medicine, 10:30-12:00 noon, Nantucket. This session will be moderated by Gabe Kelen, MD, Chair, Department of Emergency Medicine, Johns Hopkins University. Speakers will linclude: Louis Graff, MD, Professor, Department of Emergency Medicine, University of Connecticut; James Hoekstra, Chair, Department of Emergency Medicine, Wake

Forest University; and Sandra Schneider, MD, Chair, Department of Emergency Medicine. This session is sponsored by AACEM. The above educational sessions are open to all members of AACEM and SAEM at no charge, however, pre-registration is requested. Please register by sending an e-mail to: kris@saem.org AACEM will convene a Business Meeting at 12:00-1:30 pm in the Vermont Room. All members of AACEM and their guests are welcome, however, pre-registration is required. Please register be sending an e-mail to: kris@saem.org Lastly, the AACEM Executive Committee will meet at 1:303:00 pm in the MIT Room.

ABEM Call for Nominations As a sponsoring organization of the American Board of Emergency Medicine (ABEM), SAEM will develop a slate of nominees to submit to the ABEM Nominating Committee for consideration of seats that will be filled by election by the ABEM Board at its winter 2005 Board meeting. SAEM members wishing to be considered for the SAEM slate of nominees are invited to send a nomination to SAEM at saem@saem.org. Nominations should include a current copy of the nominee’s curriculum vita, as well as a cover letter outlining the nominee’s qualifications. The deadline is October 1, 2004. The SAEM Board of Directors will review all nominations and submit a slate of nominees to ABEM by December 1, 2004. Successful candidates are expected to be members of SAEM with considerable experience in SAEM and academic EM, as well as experience in ABEM. The SAEM Board does not nominate current members of the SAEM Board for consideration. In addition, ABEM has established the following criteria for nominated physicians:    

Be a graduate of an ACGME-accredited EM residency program. Be an ABEM diplomate for a minimum of ten years. Have demonstrated extensive active involvement in organized EM. Ideally, this includes long-term experience as an ABEM item writer, oral examiner, or ABEM-appointed representative. Be actively involved in the clinical practice of EM.

Physicians selected for the SAEM slate of nominees will be notified by November and will be required to submit the official ABEM nomination form, curriculum vita, and letter noting their willingness to serve if elected. Further information can be obtained through the ABEM web site at www.abem.org.

EMF/SAEM Medical Student Research Grant Recipients Selected Clifton W. Callaway, MD University of Pittsburgh Chair, SAEM Grants Committee SAEM joins with the Emergency Medicine Foundation (EMF) to sponsor medical student research grants. These grants provide $2,400 over a 3 month period for medical students to engage in research projects. This year multiple applications were reviewed by representatives of the SAEM and EMF Grants Committees. Six projects were chosen for funding this year. Michael Blake (University of Maryland) will perform a formal assessment of medical factors contributing to ED use by using a national database about final ED diagnoses. Richard Clinton (Case Western University) will examine how clinical feature of patients with subarachnoid hemorrhage relate to the decision to refer patients to tertiary care facilities. Maura Kennedy (Harvard Medical School/Beth Israel Deaconess) will assess the relationship of blood culture pathogens

and their sensitivities to clinical course and management in a cohort of ED patients. Sehra Sampson (Oregon Health Science University) will systematically assess how a simple decision support system (a printed order-set) affects implementation of a clinical pathway for treatment of community acquired pneumonia. Vannita Simma-Chiang (Keck School of Medicine and USC Medical Center) will examine the relationship between single nucleotide polymorphisms of the beta-adrenergic receptor and the response to ED therapy for patients presenting with acute asthma exacerbations. Robert Yates (Ohio State University) will examine the relationship of race, age and sex to delays in acquiring first ECG in patients with non-ST elevation myocardial infarction.

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Orlando Highlights

2003 Annual Meeting Best Presentation Award Winners recognized: (L-R) Daniel Davis, MD, Young Investigator Basic Presentation, Michael Gisondi, MD, Innovations in Emergency Medicine Exhibit, Christian Vaillancourt, MD, Fellow Clinical Science, Ian Stiell, MD, Faculty Clinical Science, Nathan Shapiro, MD, Young Investigator Clinical. Not available for photo: Lawrence Sherman, MD, Christopher Kabrhel, MD, Jason McMullen, and Cedric Lefebvre.

2004-2005 AACEM Executive Committee: (L-R) Gabe Kelen, MD, Jerris Hedges, MD, MS, and Steve Hargarten, MD. Not pictured: Bill Barsan, MD, and Carey Chisholm, MD.

Dr. Jerris Hedges (L) is presented with a plaque for his service as 20032004 President of AACEM by incoming President, Steve Hargarten, MD.

Michelle Biros, MS, MD, Editor of Academic Emergency Medicine is pictured with presenters at the Consensus Conference on Informatics and Technology in ED Health Care. (L-R) Helga Rippin, MD, PhD, MPH, U.S. Department of Health and Human Services, Jonathan Handler, MD, Northwestern University, who coordinated this year’s conference, and Dr. Biros.

2004-2005 SAEM Board of Directors: (L-R) Maria Raven, MD, Ellen Weber, MD, Sue Stern, MD, Kate Heilpern, MD, Jim Hoekstra, MD, Robert Schafermeyer, MD, Don Yealy, MD, Carey Chisholm, MD, Jeff Kline, MD, Leon Haley, MD, and Glenn Hamilton, MD.

Carey Chisholm, MD, incoming President, thanks Don Yealy, MD, for his service to SAEM as President in 20032004. 6


Academic Announcements SAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of interest to the SAEM membership. Submissions must be sent to saem@saem.org by August 1, 2004 to be included in the September/October issue. Amado Alejandro Baez, MD, has been selected as the 2004 recipient of the American Medical Association Paul Ambrose Award for Public Health Leadership Among Resident Physicians and Fellows. Dr. Baez is an emergency medicine resident at the Mayo Clinic College of Medicine. Roger Barkin, MD, Clinical Professor of Pediatrics, University of Colorado Health Sciences Center as been selected to receive the 2004 James D. Mills Outstanding Contribution to Emergency Medicine Award by the American College of Emergency Physicians (ACEP). William Barsan, MD, has been selected to receive the 2004 ACEP Outstanding Contribution in Research Award. Dr. Barsan is Professor and Chair of the Department of Emergency Medicine at the University of Michigan. Robert R. Bass, MD, has been appointed to the committee that will develop the Institute of Medicine project, “The Future of Emergency Care in the U.S. Health System. Dr. Bass is an Associate Professor of Surgery (emergency medicine) at the University of Maryland at Baltimore. Andrew Beckman, Assistant Clinical Professor of Emergency Medicine and Christopher Weaver, Assistant Professor of Emergency Medicine at Indiana University School of Medicine were each recently awarded an Indiana University Trustee Teaching Award. Janice Brice, MD, MPH, Assistant Professor at the University of North Carolina, Chapel Hill, was elected by the University of North Carolina medical students to the Gamma Chapter of the University of North Carolina AOA for her exceptional teaching and mentoring skills for medical students. Joshua Broder, MD, Assistant Professor at the University of North Carolina, Chapel Hill, has received two grants: the Medical Alumni Endowment Fund Grant and the 2004 Junior Faculty Development Award for his project, “Laryngoscopy Instruction by Video Enhancement.”

Wendy Coates, MD, received the Excellence in Education Award at the David Geffen School of Medicine at UCLA. The award is given annually to one or more faculty from the University or its affiliated institutions in recognition of excellence in teaching and innovation in developing educational programs. Dr. Coates is an Associate Professor of Medicine at UCLA and is the Director of Medical Student Education at HarborUCLA Medical Center and Chair of the Acute Care College at the medical school. President Bush visited Vanderbilt University Medical Center in Nashville to discuss his plan for health information technology to assure better delivery of health care for all Americans. John T. Finnell, MD, was invited to participate and discussed the Indiana Network for Patient Care (INCP) with the President. INCP contains patient data from 5 hospitals and 11 ED's. Dr. Finnell is a National Library of Medicine Fellow at the Regenstrief Institute, Inc. and Assistant Professor of Clinical Medicine at Indiana University. George L. Foltin, MD, has been appointed to the committee that will develop the Institute of Medicine project, “The Future of Emergency Care in the U.S. Health System.” Dr. Foltin is the Director of the Center for Pediatric Emergency Medicine at New York University School of Medicine. Marianne Gausche-Hill, MD, is the recipient of the ACEP Outstanding Contribution in Education Award for 2004. Dr. Gausche-Hill is the EMS Director and Director of Pediatric Emergency Medicine Fellowship at Harbor-UCLA Medical Center and Professor of Clinical Medicine at the David Geffen School of Medicine at UCLA. Dr. Gausche-Hill was also recently appointed to the Institute of Medicine's Main Committee on the Future of Emergency Care in the US System, as well as to the Subcommittee on Pediatric Emergency Care. Jerris R. Hedges, MD, MS, Professor and Chair, Department of Emergency Medicine at Oregon Health & Science University, has been appointed Chair of

the Institute of Medicine (IOM) Section 08 by IOM President, Harvey Fineberg, MD. Section 08 of the IOM is comprised of emergency medicine family medicine and physiatrist members of the Institute of Medicine. Dr. Hedges served as vice-chair of the section for the past two years and is following in the footsteps of Lewis Goldfrank, MD, who previously chaired the section. Cherri Hobgood, MD, Assistant Professor at the University of North Carolina, Chapel Hill, received the Tow Award at the University of North Carolina Awards Ceremony. This award is given to one faculty member each year who manifests the attributes of humanitarianism and is a superlative role model for medical students. Lawrence Katz, MD, Associate Professor at the University of North Carolina, Chapel Hill, received a University Research Council grant to continue his studies of adult stem cell/cerebral regeneration after cerebral ischemia. Christine Kauh, MD, has joined the faculty at New York Methodist Hospital as the Assistant Residency Director of the Emergency Medicine Residency Program. John McLamb, BS, Adjunct Professor and Chief of the Division of Informatics, was elected Chair of the National Preparedness Task Force of the Healthcare Information and Management Systems Society. David Messerly, MD, senior resident in emergency medicine at the University of North Carolina, Chapel Hill was elected co-chair of the University of North Carolina House Staff Council. He is a graduate of the Ohio State University School of Medicine. Edward J. Newton, MD, has been named Chair of the Department of Emergency Medicine at the Keck University of Southern California School of Medicine. Dr. Newton is Professor of Clinical Emergency Medicine and has been serving as Interim Chair since 2002.

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More Orlando Highlights

Bill Barsan, MD, (L) is pictured with Tom Aufderheide, MD, the recipient of the 2004 Hal Jayne Academic Excellence Award.

Joseph Waeckerle, MD, (R) the recipient of the 2004 SAEM Leadership Award is congratulated by Dr. Art Kellermann.

New AACEM members were introduced: (L-R) Ian Steill, MD, University of Ottawa, Herbert Garrison, MD, MPH, East Carolina University, John McCabe, MD, SUNY, Syracuse, and Michael O’Connor, MD, Queen’s Hospital Dr. Clif Callaway, Chair of the Grants Committee is pictured with grant recipients: (L-R) Jonnathan Busko, MD, EMS Research Fellowship, Brian Blyth, MD, Research Training Grant, Dr. Callaway, Richard Rothman, MD, PhD, Institutional Research Training Grant, and Daniel Rusyniak, MD, Neuroscience Research Fellowship

2004 Young Investigator Award winners (L-R) Debra Houry, MD, MPH, Emory University, Craig Newgard, MD, MPH, Oregon Health and Science University, and Michael Schull, MD, MSc, University of Toronto

The Associate Editors of Academic Emergency Medicine met in Orlando to preview the online manuscript submission program, which is slated to go live this summer. 8


Academic Announcements (Continued from page 7) John E. Prescott, MD, has been appointed Dean of the West Virginia University School of Medicine effective July 1, 2004. He previously was the Senior Associate Dean and President of University Health Associates, the clinical practice organization for faculty physicians and dentists, and prior to that Dr. Prescott was the Chair of the Department of Emergency Medicine at West Virginia University. Dr. Prescott received his medical degree from Georgetown University at completed an emergency medicine residency program at Brooke Army Medical Center in San Antonio. He has also served as the president of the Association of Academ-

ic Chairs of Emergency Medicine. Robert Schafermeyer, MD, has been selected to receive the 2004 John G. Weigenstein Leadership Award. Dr. Schafermeyer is Clinical Professor of Emergency Medicine and Pediatrics and Associate Chair of the Department of Emergency Medicine at Carolinas Medical Center. Earl Schwartz, MD, has been selected by the American College of Emergency Physicians to receive honorary membership in the College. Lancer Scott, MD, received the Medi-

cal Student Tow Award for Humanitarianism at the University of North Carolina School of Medicine Awards Ceremony. This award is given to one graduating medical student each year, through faculty nominations. Dr. Scott will be an emergency medicine resident at East Carolina University beginning in July 2004. Douglas Trocinski, MD, Assistant Professor of Emergency Medicine at the University of Chapel Hill, will assume the position of Director of the Emergency Medicine Residency Program in July, 2004.

Geriatric Emergency Medicine Grant Recipient Announced ACEP and SAEM are pleased to announce that Jason Cohen, DO, Department of Emergency Medicine, University of Massachusetts, is the recipient of the 2004 SAEM/ACEP Geriatric Emergency Medicine Resident/Fellow Research Grant. Dr. Cohen’s project is “Intensive Glycemic Control in the Elderly Critically Ill”. He and his sponsor Marie Mullen, MD, plan to evaluate the efficacy of early intensive glycemic control in the critically ill elderly patient on decreasing morbidity and

mortality. The SAEM/ACEP Geriatric Emergency Medicine Resident/Fellow Research Grants are sponsored by the John A. Hartford Foundation and the American Geriatric Society. The award is to support resident/fellow research related to the emergency care of the older person. Investigations may focus on basic science research, clinical research, preventive medicine, epidemiology, or educational topics.

Board of Directors Update The SAEM Board of Directors meets monthly, usually by conference call. This report includes the Board highlights from the April 13 conference call and the two meetings (May 15 and May 18) that were held during the Annual Meeting in Orlando. The Board of Directors will meet via conference call on the second Tuesday of the month at 1:30 pm in June, July, August, and September. The next faceto-face meeting will be held during the ACEP Scientific Assembly on October 17 in San Francisco. All SAEM members are invited to attend the Board meetings. The Board approved the concept of a Medical Student Scholars Program and forwarded it to the Grants Committee for assessment, and prioritization within the current SAEM grants programs. The Board reviewed several monographs developed by the Association of Academic Chairs of Emergency Medicine in regards to the upcoming Institute of Medicine Conference on Emergency Medicine. The Board offered comments and suggestions regarding the content of the monographs, and endorsed them.

The Board approved a proposal to AstraZeneca to continue funding the Neuroscience Fellowship. The Fellowship has been funded for the past three years. The Board approved the posting of the Medical Student Educators Handbook, developed by the Undergraduate Committee and the Medical Student Educators Interest Group, on the SAEM web site. The first set of manuscripts has just been posted, and additional chapters will be posted throughout the summer. The Board approved a manuscript developed by the National Affairs Committee entitled, "Financing of Emergency Medicine GME Programs in an Era of Declining Medicare Reimbursement and Support," which was published in the May/June issue of the Newsletter, and will be published later this summer in Academic Emergency Medicine. The Board also approved a complementary position statement, which is published in this issue of the Newsletter, and will also be published in AEM. The Board approved the publication of a Membership Directory. The Board approved the 2004-05 committee/task 9

force objectives, which were published in the May/June issue of the Newsletter. The Board approved a proposal submitted by the National Affairs Committee to develop an internal advocacy network, which will use the Society's existing resources. The Board approved a manuscript developed by the Ethics Committee entitled, “Confronting the Ethical Challenges to Informed Consent in Emergency Medicine”, which has been submitted to Academic Emergency Medicine for consideration of publication. The Board also approved a complementary position statement, which is published in this issue of the Newsletter, and has been submitted to AEM for publication. The Board approved the proposed recipients of the EMF/SAEM Medical Student Research Grants. The list of recipients is published in this issue of the Newsletter. The Board approved the 2004 MidAtlantic Regional Meeting, which will be held on October 1, 2004 and will be coordinated by Dr. Dave Milzman. The Call for Abstracts for the conference is published in this issue of the Newsletter.


And More Orlando Highlights

Members leaving the Board were thanked for their service: (L-R) Jim Adams, MD, Valerie De Maio, MD, Roger Lewis, MD, PhD, and Steve Hargarten, MD

Election results were announced at the Annual Business Meeting: (L-R front) Ellen Weber, MD, elected to the Board, Charlene Irvin, MD, elected to the Constitution and Bylaws Committee, Kate Heilpern, MD, elected Secretary-Treasurer, and Maria Raven, MD, elected Resident Member of the Board. (L-R back) Glenn Hamilton, MD, elected as Presidentelect, Robert Schafermeyer, MD, elected to the Board, Wendy Coates, MD, elected to the Nominating Committee, and Jeff Kline, MD, elected to the Board.

Notice how relaxed and well-rested Dr. Ellen Weber looks now that her tenure as Annual Meeting Program Chair has ended? Donors to the SAEM Research Fund were honored and thanked during a reception in Orlando

Enjoying the Banquet at the Animal Kingdom Safari. (L-R) Carey Chisholm, MD, Mary Ann Schropp, and Roger Lewis, MD, PhD.

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SAEM Participation in Multidisciplinary Anaphylaxis Conference Lawrence M. Lewis, MD Washington University SAEM Representative to Anaphylaxis Conference Although anaphylactic reactions are uncommon, for reasons that are not yet clear, in the U.S. and many other countries around the world, the incidence of particular causes, such as food allergy, is on the rise. Food allergy now accounts for over a third of known causes of anaphylactic reactions. This rise in incidence, coupled with the fact that anaphylaxis, if untreated, is often fatal in otherwise young, healthy people led to a multidisciplinary symposium jointly sponsored by the National Institutes of Health and the Food Allergy & Anaphylaxis Network. The symposium was held April 29 and 30, 2004 and was cochaired by Hugh Sampson, MD, an allergist/immunologist and Carlos Camargo, MD, DrPH, an emergency physician. Physicians from allergy and immunology, anesthesiology and critical care medicine, emergency medicine, EMS and pre-hospital services, family medicine, pathology and pediatrics participated in the conference, along with representatives from patient advocacy groups and governmental regulatory agencies. The purpose of the meeting was two-fold. The first was to discuss the current state of knowledge of epidemiology, pathophysiology, diagnostic considerations, and preventative and treatment strategies and to outline a research agenda which would fill in the significant lapses presently found in these areas. The second was to determine if there was sufficient evidence to begin to develop a consensus on a def-

inition of anaphylaxis and recommendations in its prevention and management. The dialogue among the various specialty groups was open, respectful and cordial. Dr. Camargo’s efforts to have Emergency Medicine well represented were successful, with a total of six emergency physicians attending the conference, four of whom gave presentations. The large question that was addressed is whether all physicians could do a better job recognizing patients at risk for anaphylaxis, preventing further episodes, and improving diagnosis and treatment of the condition? Significant barriers to our understanding the true incidence and fatality rate of anaphylaxis in this country were identified and included limitations in ICD coding, the unknown (but possibly high) rate of anaphylactic reactions in which healthcare is not sought, and the varied manifestations which can lead to misdiagnosis. In spite of the significant limitations in our knowledge of anaphylaxis, there is some data to suggest that concerted efforts in other countries, (e.g. the UK), has resulted in improvement in secondary prevention. The Project Team of the Resuscitation Council in the United Kingdom developed and published guidelines for the diagnosis and treatment of anaphylaxis in 1999. The effect of these guidelines on the treatment of anaphylaxis in the UK is not yet clear. Since the majority of anaphylactic reactions occur outside the healthcare

setting, and fatal reactions frequently occur within 10 to 15 minutes for stings and 30 minutes for food ingestion, emphasis was placed on prevention rather than treatment as the most effective strategy. Nonetheless, since a majority of anaphylactic reactions to stings are first time reactions, and secondary prevention is often not completely successful, treatment considerations including self-administered epinephrine, pre-hospital use of epinephrine and emergency department use of epinephrine were discussed. The meeting concluded with both a research and clinical agenda. There was a call for more research in the area of basic mechanisms of anaphylaxis, identifying biological markers for anaphylaxis (both for diagnosis and assessing predisposition), better epidemiologic studies of anaphylaxis, and better studies to evaluate the current spectrum of treatment of anaphylaxis whether it be office-based, pre-hospital or in the ED. The feasibility of outcome based studies to evaluate optimum timing, dose and route of epinephrine, as well as the role of corticosteroids and combined H1 and H2 antagonists in treating anaphylactic reactions was discussed. The clinical agenda was to define anaphylaxis and develop a management strategy that includes prevention and treatment and that will encompass pre-hospital, officebased and hospital-based (ED/OR/ICU) practice.

Call for Submissions Innovations in Emergency Medicine Education Exhibits Deadline: February 22, 2005 The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2005 SAEM Annual Meeting, May 22-25, 2005 in New York City. Submitters are invited to complete an application describing an innovative new educational methodology that they have designed, or an innovative educational application of an existing product. The exhibit should not be used to display a commercial product that is already available and being used in its intended application. Exhibits will be selected based on utility, originality, and applicability to the teaching setting. Commercial support of innovations is permitted but must be disclosed. IEME exhibits will be published in a summer 2005 issue of Academic Emergency Medicine, as well as in the Annual Meeting on-site program. However, if submitters have conducted a research project on or using the innovation, the project may be written up as a scientific abstract and submitted for scientific review in the appropriate subject category by the January 6 deadline. The deadline for submission of IEME Exhibit applications is Tuesday, February 22, 2005 at 5:00 pm Eastern Daylight Time. Only online submissions using the form on the SAEM website at www.saem.org will be accepted. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801. 11


CORD Meets in Orlando The Council of Emergency Medicine Residency Directors (CORD) met in Orlando on May 17. Sarah Stahmer, MD, Cooper Hospital/University Medical Center, and Gloria Kuhn, DO, PhD, Wayne State University, were elected to the Board of Directors. The CORD Faculty Teaching Award was presented to Annie Sadosty, MD, from Mayo Clinic. The CORD Resident Academic Achievement Award was presented to Benjamin Abella, MD, from the University of Chicago. The next CORD meeting will be held during the ACEP Scientific Assembly in San Francisco on October 18.

2004-2005 CORD Board of Directors: (L-R front) Sarah Stahmer, MD, Gloria Kuhn, DO, PhD, Pam Dyne, MD. (L-R back) Steve Hayden, MD, Michael Beeson, MD, Mary Jo Wagner, MD, and Lou Binder, MD.

The CORD Board and Past Presidents met over lunch in Orlando: (L-R front) David Sklar, MD, Sarah Stahmer, MD, Pam Dyne, MD, Mary Jo Wagner, MD, and Michael Beeson, MD. (L-R back) Sam Keim, MD, Steve Hayden, MD, Debra Perina, MD, and Lou Binder, MD.

David Howes, MD, University of Chicago Residency Director, was recognized for his 15 years of service. Not pictured: Joel Gernsheimer, MD, Lincoln Hospital & Mental Health Center. Wyatt Decker, MD, (L) congratulates Dr. Annie Sadosty, Mayo Clinic, the recipient of the CORD Faculty Teaching Award.

Residency Directors recognized for their 10 years of service: (L-R) Peter DeBlieux, MD, LSU-New Orleans, Michael Beeson, MD, Summa Health System, and Robert Harwood, MD, Christ Hospital. Not pictured: Steven Green, MD.

Dr. Benjamin Abella, University of Chicago, the recipient of the CORD Resident Academic Achievement Award, is congratulated by Dr. David Howes and Dr. Steve Hayden. (L-R) Dr. Howes, Dr. Abella, and Dr. Hayden. 12


Position Statement: Informed Consent for Emergency Medicine Research The following position statement was approved by the Board of Directors in May 2004. SAEM believes that emergency medicine research is essential to improving patient care and furthering medical knowledge. SAEM supports the protection of individual research subjects and the ethical conduct of research. SAEM supports the following principles regarding informed consent for emergency medicine research: 1. Emergency Medicine researchers should recognize the inherent vulnerability of all potential research subjects, particularly among emergency patients, and should strive to protect their individual rights and welfare. The welfare of individual patients must never be compromised to accomplish research goals. 2. The informed consent document should not be the sole source of patients’ education regarding the proposed study participation. Attention should be focused on the process of educating potential subjects and ensuring their understanding of risks and benefits. Specifically, informed consent must be viewed as an interactive process between the researcher and the potential subject, not just a document. 3. The language used in informed consent documents and discussions should be appropriate for the reading and understanding capacity of the potential subjects. The researcher has a responsibility to assure that the potential subject comprehends the information presented and has the ability to make decisions for him/herself. 4. Informed consent documents should include at least the information required by federal regulations: that the study involves research, an explanation of the purposes of the research, expected duration of participation, description of the study, risks, benefits, alternate treatments, confidentiality, compensation for research-related injury, who can answer questions about the research and research subjects’ rights, whom to contact in the event of a research-related injury, and the statement that participation is voluntary. 5. Potential research subjects should never be coerced to participate in any way, including repeated questioning, withholding of care prior to consent, implications of supe-

rior medical care, or overly generous compensation. 6. All potential research subjects should be informed that the appropriate medical care will be provided, regardless of participation or lack of participation in any research protocols. 7. For potential subjects who lack decisional capacity, legally authorized representatives may consent for them in certain situations, where allowed by state law. When including such subjects, researchers must assure adherence to international and federal guidelines. 8. In some circumstances in emergency medicine research, informed consent may not be feasible. If exemption from or waiver of consent is appropriate, federal guidelines must be followed 9. All federal and state laws and guidelines and institutional policies should be strictly adhered to. References Biros MH, Lewis RJ, Olson CM et al: Informed consent in emergency research: Consensus statement from the Coalition Conference of Acute Resuscitation and Critical Care Researchers. JAMA 1995; 273:1283-87. Fish SS: Research ethics in emergency medicine. Emerg Med Clinics N Amer 1999; 17:461474. Foex BA: The problem of informed consent in emergency medicine research. Emerg Med J 2001; 18:198-204. Food and Drug Administration: Protection of human subjects; informed consent – FDA. Final rule. Fed Regist 1996; 61:51498-533. Hansson MO: Balancing the quality of consent. J Med Ethics 1998 Jun;24(3):182-7 Karlawish JH, Sachs GA: Research on the cognitively impaired: lessons and warnings from the emergency research debate. J Am Geriatr Soc 1997 Apr;45(4):474-81 Mader TJ, Playe SJ: Emergency medicine research consent form readability assessment. Ann Emerg Med 1997 Apr;29(4):534-9 National Commission for Protection of Human Subjects of Biomedical and Behavioral Research: The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research. Washington DC, DHEW Publication Number (OS) 78-0012. Appendix I, DHEW Publication Number (OS) 78-0013, Appendix II, DHEW Publication Number (os) 78-0014. Smithline HA, Mader TJ, Crenshaw BJ: Do patients with acute medical conditions have the capacity to give informed consent for emergency medicine research? Acad Emerg Med 1999 Aug;6(8):776-80 White LJ, Jones JS, Felton CW, Pool LC: Informed consent for medical research: common discrepancies and readability. Acad Emerg Med 1996 Aug;3(8):745-50 World Medical Association: Declaration of Helsinki. Ethical Principles for Medical Research Involving Human Subjects. Adopted by the 18th WMA General Assembly Helsinki, Finland, June 1964, and amended by the 52nd WMA General Assembly, Edinburgh, Scotland, October 2000.

Policy Statement: Financing of Graduate Medical Education The following position statement was approved by the Board of Directors in April 2004. 1. Emergency medicine residency programs provide the major manmade and natural disasters on a 24-hour best and only method of training emergency physicians basis. All payers and the public directly or indirectly benecapable of providing quality care to patients of all ages. fit from this service and should contribute (participate in) 2. Well-educated, trained, and board certified emergency funding for such training. physicians provide the best emergency health care. 5. Federal GME funding should be made through a non-dis3. Emergency medicine residency programs must have an cretionary appropriations process. adequate, predictable, and stable source of funds to 6. Any government advisory or planning body examining or ensure an adequate supply of residency trained emerdeveloping policy relating to GME reform, including gency physician specialists. financing and workforce issues, should include represen4. Emergency medicine residency programs train physicians tation and input from the specialty of emergency medito evaluate and respond to individual patient crises and cine.

Position Statement: Policy on the Use of the SAEM Membership Directory The following position statement was approved by the Board of Directors in March 2004 SAEM member contact information is collected and distributed in the Membership Directory annually. The Membership Directory is prepared as an individual member benefit to facilitate private communication amongst members. It is inappropriate to use information in the Membership Directory for any purpose other than individual communication. Specifically, release of this information to third parties or for mass member contacts in order to conduct surveys or other non-SAEM business is not appropriate. 13


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

Edited by the SAEM GME Committee

Academic Portfolios for Residents Usamah Mossallam, MD Henry Ford Hospital For the SAEM Graduate Medical Education Committee The portfolio concept has been in existence for hundreds of years. Artists and architects have used portfolios to display their best work to potential patrons and clients. The intended purpose then was to secure work, as well as to document their accomplishments and abilities in a concrete definable manner. In the academic arena, portfolios have been used by faculty as a way of documenting their efforts in teaching, research and representation of their departments and or institutions in a multitude of endeavors. Dr. Gloria Kuhn is a leading advocate for the use of an “Educator’s Portfolio.” Residents should consider beginning their own academic portfolio during residency. It will facilitate the generation of a CV upon graduation. The portfolio has many purposes. It can help document efforts in teaching, administration, knowledge acquisition, research and publication, as well as institutional and organizational representation and service. The portfolio provides ongoing methodology for collecting materials as they are generated. It affords its owner/creator an up to date listing of all activities performed over the past time period. This allows for a very easy compilation of current curricula vitae. An important aspect of the portfolio is its intended purpose of self reflection. This reflection should include past accomplishments and future goals. In this section, one would write a short statement about the intended purpose of the project or activity, the philosophy behind the activity and the intended goals to be accomplished. It is hoped that the creator of the portfolio would recognize his/her abilities to accomplish goals set forth, the best way in which he/she will accomplish these goals at the present time and thoughts on how to better achieve these goals in the future. Portfolios have been used in numerous ways, from promotion to new job acquisition. Faculties at academic institutions are required to maintain an educator’s portfolio. They use the portfolio as a representation of their activities upon application for promotion. The portfolio is often used when meeting with superiors such as department chairs during annual or semi-annual evaluations. Construction and maintenance of an up to date portfolio in residency will allow each resident to compile a current CV, as well as a more fruitful meeting with the program director. More importantly, reflection on the contents of the portfolio can allow the resident the ability to formulate an idea of what practice environment they may wish to pursue. A portfolio that is high in administrative content may perhaps portend an administrative career, where as a portfolio rich with teaching activities and accolades may suggest to its owner that a career in academics and teaching is the right way to go. 14

In creating the portfolio, a three ring binder with separate section headings has been suggested as a feasible option. These sections might include headings titled: Activities (academic, administrative, clinical research), Accomplishments Awards Evaluations Goals Courses attended (to increase knowledge) Philosophy Bounce backs (“remember that patient you took care of…”) In these, the resident would file activities such as lectures given (with a copy of handout or slide set), written in-service scores, oral exam scores, procedure logs, follow up logs, scholarly project write up, journal article assessments, teaching evaluations (from medical students, nursing or EMS personnel), QI projects, EMS activities, administrative activities, case write ups, interesting cases and service on institutional or organization committees or task forces. This list is but a small sample of what can be included in the portfolio. Importantly and perhaps most difficult, is the section on philosophy. This can include the resident’s own philosophy of practice, education, teaching and/or research. This should be a statement reflecting one’s accomplishment of past goals and how best to accomplish future goals. A discussion on how one best writes, teaches, performs in the clinical arena will allow for a very well thought out plan for future endeavors.

2004 Western Regional Meeting Robert M. Rodriguez, MD University of Texas, Southwestern Chair, 2004 Western Regional Meeting Overall, the SAEM Western Regional Meeting, sponsored by the Alameda County Medical Center Department of Emergency Medicine and held at the Waterfront Plaza in Oakland on April 3-4, was a solid success. Approximately 125 medical professionals attended with a good mix of EM faculty, residents and medical students from the various programs in our region. The meeting program was highlighted by reviews of evidence-based medicine, a half-day ultrasound course, as well as outstanding talks discussing airway devices (John Sakles from the University of Arizona) and military medical experience in Iraq (Commander Robert Buckley from the Naval Medical Center in San Diego). Many thanks to the meeting co-chairs Rita Sweeney and Jocelyn Freeman-Garrick, who did outstanding jobs in helping to organize and run the meeting. Thanks also to regional SAEM committee members Deirdre Anglin and Jerris Hedges for their help in organizing the meeting.


Semi-Final CPC Competition Results On May 15, sixty Emergency Medicine Residency Programs competed in the Fourteenth Annual Semi-Final CPC Competition. A resident from each participating program submitted a challenging unknown case for discussion by an attending from another residency program. The faculty discussant had 20 minutes to develop a differential diagnosis and explain the thought process leading to the final diagnosis. Winning presenters and discussants were selected from each of six tracks and these individuals will represent those tracks at the national competition. The CPC finals will be held at the ACEP Scientific Assembly in San Francisco on October 18. It is not necessary to register for the Scientific Assembly if you plan to only attend the CPC. The CPC Competition is sponsored by ACEP, CORD, EMRA and SAEM and was coordinated by Doug McGee, DO, Albert Einstein. Congratulations to the 2004 winners!

Division 4 (L-R): Robert Cowan, MD, Robert Wood Johnson/Cooper Hospital, Best Presenter Runner-Up; Rebecca Lipscomb, MD, MS, University of Pittsburgh, Best Presenter; Scott Jolin, MD, Division 4 Team Leader; James Comes, MD, University of California, San Francisco-Fresno, Best Faculty Discussant; and Eric Perez, MD, St. Luke’sRoosevelt, Best Faculty Discussant co-Runner-Up. Not pictured: Bryan Kane, MD, Lehigh Valley-Muhlenburg, Best Faculty Discussant co-Runner-Up.

Division 1 (L-R): Ingrid Lim, MD, Stanford/Kaiser, Best Presenter Runner-Up; Esther Chen, MD, University of Pennsylvania, Best Faculty Discussant; Carl Menckhoff, MD, Division 1 Team Leader; Lyn Aborn, MD, Carolinas Medical Center, Best Presenter; and Jason D’Amore, MD, North Shore University, Best Faculty Discussant Runner-Up.

Division 2 (L-R): Jason Liebzeit, MD, Northwestern University, Best Presenter Runner-Up; Michael Jenks, MD, Baystate Medical Center, Best Presenter; Mary Ryan, MD, Division 2 Team Leader; Emily Goren, MD, Northwestern University, Best Faculty Discussant co-Runner-Up; Rebecca Jeanmonod, MD, Albany Medical Center, Best Faculty Discussant; and Christopher Hogan, MD, Best Faculty Discussant co-RunnerUp.

Division 5 (L-R): Dawn Kendrick, MD, Maine Medical Center, Best Presenter Runner-Up; Lara Kulchycki, MD, Beth Israel Deaconess, Best Presenter; Gino Farina, MD, Division 5 Team Leader; John Southall, MD, Maine Medical Center, Best Faculty Discussant; and Peter Witucki, MD, University of California, San Diego, Best Faculty Discussant Runner-Up.

Division 3 (L-R): James Black, MD, University of South Florida, Best Presenter Runner-Up; Lisa Lyons, MD, Eastern Virginia Medical School, Best Presenter; Neil Jasani, MD, Division 3 Team Leader; Eddy Lang, MD, McGill University, Best Faculty Discussant; and James Colletti, MD, Mayo, Best Faculty Discussant Runner-Up.

Division 6 (L-R): Elaine Rabin, MD, Mount Sinai, Best Presenter Runner-Up; Jeremiah Schuur, MD, Brown Medical School, Best Presenter; Matthew Griffin, MD, Division 6 Team Leader; Zachary Meisel, MD, MPH, Allegheny General Hospital, Best Faculty Discussant; and Phillip Mason, MD, Best Faculty Discussant Runner-Up. 15


2004 SAEM Medical Student Excellence Award Winners Listed below are the recipients of the 2004 SAEM Medical Student Excellence in Emergency Medicine Award. This award is offered to each medical school in the United States to honor an outstanding senior medical student. This is the tenth year this award has been made available. Recipients receive a certificate and one-year membership to SAEM, including subscription to the SAEM Newsletter and Academic Emergency Medicine. Information about next year's Excellence in Emergency Medicine Award will be sent to all medical school dean's offices in February 2005. Baylor University Brian J. Bausano

Medical College of Virginia Geoffrey S. Murphy

Boston Medical Center Peter Cuniowski

Medical College of Wisconsin Christopher C. Thompson

Brown University Lynn Sweeney

Meharry Medical College Stanley A. Boucree

Case Western Reserve University Carolyn Lex

Memorial University of Newfoundland Srinidhi Jayaram

Chicago College of Osteopathic Medicine Meghan Stahulak

Midwestern University – Arizona College of Osteopathic Medicine Christian Purgason

Columbia University College of Physicians & Surgeons Grace D. Glassman

Morehouse School of Medicine Jenifer Tanner

Cornell University Jenice M Forde David Geffen School of Medicine @ UCLA Sarah Kennedy Des Moines University - Osteopathic Medical Center Jonathan S. Burns Drexel University Justin Puller Duke University Ali Raja East Carolina University Brenna Farmer Eastern Tennessee State University Stephen B. Blankenship Eastern Virginia Medical School Natalie S. Fledman

UMDNJ - Robert Wood Johnson Medical School Adam Landman University of Alberta Michael Tjandrawidjaja University of Arkansas Jeanette M. Ebarb University of Arizona Michael R. Hudson University of Buffalo School of Medicine and Biomedical Sciences Kari Scantlebury University of California, Davis Stephanie Eden

Mount Sinai David Whitling

University of California, Irvine Brian R. Potts

New York Medical College Jessica S. Silversmith

University of California, San Diego Daniel N. Firestone

New York University Gregory Lopez

University of Chicago Olivia Bailey

Northwestern University Feinberg School of Medicine Alice Chiao

University of Cincinnati Deborah Rathz

Ohio State University Nicholas Edward Kman

University of Colorado Alison Sheets

Oregon Health & Science University Amy Pritchard

University of Hawaii Katrina A. Knowles

Penn State Christopher A. Gee

University of Health Sciences Jeffrey Schroeder

Philadelphia College of Osteopathic Medicine Thomas P. DiEnna

University of Illinois Jason Glowney

University of New Mexico Vicente Torres University of North Carolina, Chapel Hill Lancer A. Scott University of North Dakota Travis A. Lien University of North Texas, Fort Worth Robert Hancock University of Oklahoma Brent A. Mefford University of Pennsylvania Rhonda Forest University of Puerto Rico Madeline M. Aponte Lopez University of Rochester Amie Hall Woods University of South Carolina Steven Cruea University of South Florida Robert Price University of Southern California Steven Cruea University of Texas, Galveston Amy Laura Andrews Kahn University of Texas, San Antonio Aaron K. Buzzard University of Texas Southwestern Jeremy G. Spinks University of Utah Joanne Davis

Queen's University Jordan Chenkin

University of Iowa Roy J. and Lucille A Carver College of Medicine Patrick Stamps-White

University of Vermont Colin Coor

Saint Louis University Jeffery S. Shafer

University of Kansas Rebecca Holcomb

University of Virginia Matthew Madison Leonard

St. George's University Kevin A. O'Toole

University of Kentucky Janell Epley

University of Wisconsin Robyn Kelly

Southern Illinois University Wade A. Richey

University of Louisville Samuel Iden

Vanderbilt University Jeffrey Holmes

Stanford University Brett Jensen

University of Manitoba3 Alim Pardhan

Wake Forest University Daniel Gilchrist Barnes, Jr.

Johns Hopkins University Andrew Muck

State University of New York, Stony Brook Alberto Hazan

University of Maryland Abby Jones

Wayne State University Daniel P. O’Donnell

Loma Linda University Ryan Arnold

State University of New York, Downstate David Wallace

University of Massachusetts Dennis Paoloni

Washington University Susan Wilcox

Louisiana State University, New Orleans Ashley Shreves

State University of New York, Syracuse Maria Vasilyadis

University of Miami Scott Centers

West Virginia School of Osteopathic Medicine Curtis D. Armstrong

Louisiana State University, Shreveport Rocky Benoit

Texas A&M Liza Danielle Bunting

Loyola University Chicago Stritch School of Medicine Dania Weinstein

Texas Tech University Louis Perino

Emory University Andrew Markowski George Washington Anthony Jones Georgetown University Christopher Fischer Harvard Medical School James De La Torre Indiana University Andrea Wolff

Mayo Medical School Nishant Anand Medical College of Georgia Patrick McDougal Medical College of Ohio Dean C. Bailey

University of Michigan Christopher Hashikawa

Thomas Jefferson University Garig Vanderveldt Tulane University Nathan Harrison

University of Mississippi Bradley Burns

Western University of Health Sciences/College of Osteopathic Medicine of the Pacific Gregory A. Kogan

University of Missouri, Columbia Jacob P. Kesterson

Wright State University Mary S. Gendy

University of Nebraska Brian H. Cunningham

Yale School of Medicine Chirag Shah

University of New England College of Osteopathic Medicine Christopher P. Zabbo

UMDNJ - New Jersey Medical School Christopher McCarthy

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S A E M

Call for Abstracts 2005 Annual Meeting May 22-25, 2005 New York, New York Deadline: January 5, 2005

The Program Committee is accepting abstracts for review for oral and poster presentation at the 2005 SAEM Annual Meeting. Authors are invited to submit original research in all aspects of Emergency Medicine including, but not limited to: abdominal/gastrointestinal/genitourinary pathology, administrative/health care policy, airway/anesthesia/analgesia, CPR, cardiovascular (non-CPR), clinical decision guidelines, computer technologies, diagnostic technologies/radiology, disease/injury prevention, education/professional development, EMS/out-of-hospital, ethics, geriatrics, infectious disease, IEME exhibit, ischemia/reperfusion, neurology, obstetrics/gynecology, pediatrics, psychiatry/social issues, research design/methodology/statistics, respiratory/ENT disorders, shock/critical care, toxicology/environmental injury, trauma, and wounds/burns/orthopedics. The deadline for submission of abstracts is Wednesday, January 5, 2005 at 5:00 pm Eastern Time and will be strictly enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions will be available on the SAEM website at www.saem.org in November. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801. Only reports of original research may be submitted. The data must not have been published in manuscript or abstract form or presented at a national medical scientific meeting prior to the 2005 SAEM Annual Meeting. Original abstracts presented at national meetings in April or May 2005 will be considered. Abstracts accepted for presentation will be published in the May issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. SAEM strongly encourages authors to submit their manuscripts to AEM. AEM will notify authors of a decision regarding publication within 60 days of receipt of a manuscript.

The Top 5 Most-Frequently-Read Contents of AEM – May 2004 Most-read rankings are recalculated at the beginning of the month. Rankings are based on hits received by articles archived on AEMJ.org.

1 2 3 4 5

Michael A Gibbs, Carlos A Camargo, Brian H Rowe, Robert A Silverman State of the Art: Therapeutic Controversies in Severe Acute Asthma Acad Emerg Med Jul 01, 2000 7: 800-815. (In "SPECIAL CONTRIBUTIONS") Michael K. Kim, Richard T. Strait, Thomas T. Sato, Halim M. Hennes A Randomized Clinical Trial of Analgesia in Children with Acute Abdominal Pain Acad Emerg Med Apr 01, 2002 9: 281-287. (In "CLINICAL INVESTIGATIONS") Stephen Schenkel Promoting Patient Safety and Preventing Medical Error in Emergency Departments Acad Emerg Med Nov 01, 2000 7: 1204-1222. (In "CONCEPTS") Jim Edward Weber, Carl R. Chudnofsky, Michael Boczar, Edward W. Boyer, Mark D. Wilkerson, Judd E. Hollander Cocaine-associated Chest Pain: How Common Is Myocardial Infarction? Acad Emerg Med Aug 01, 2000 7: 873-877. (In "CLINICAL INVESTIGATIONS") Kathleen A. Delaney Bedside Diagnosis of Vertigo: Value of the History and Neurological Examination Acad Emerg Med Dec 01, 2003 10: 1388-1395. (In "SPECIAL CONTRIBUTIONS") 17


2004-2005 Committee/Task Forces The 2004-2005 Committee/Task Force members are listed below, including many residents members noted with an *. The committee/task force appointments run from May 2004-May 2005. Committee/Task Force objectives may be viewed at: http://www.saem.org/newsltr/2004/may-jun/obj.pdf Felix Ankel, MD, Regions Hospital Awards Committee Andrew Beckman, MD, Indiana University Chair: Louis Ling, MD, Hennepin County Medical Center, Richard Bradley, MD, University of Texas-Houston louis.ling@co.hennepin.mn.us Board Liaison: Donald Yealy, MD, University of Pittsburgh *Natalie DiGioia, MD, Stony Brook University Steven C. Dronen, MD, Covington Health Jennifer Girod, PhD, Indiana University Jerris Hedges, MD, MS, Oregon Health and Science University *Stephanie Hollingsworth, MD, University of Alabama at Judd Hollander, MD, University of Pennsylvania Birmingham Robert Knopp, MD, Regions Hospital Jason Hughes, MD, Texas Tech University Emanual Rivers, MD, MPH, Henry Ford Hospital *Jayne MacLaughlin, MD, Carolinas Medical Center Peter Rosen, MD, Beth Israel Deaconess Medical Center Catherine Marco, MD, St. Vincent Mercy Medical Center Arthur Sanders, MD, University of Arizona *Brian McBeth, MD, University of Michigan Ian Stiell, MD, The Ottawa Hospital *Katie McClure, MD, Oregon Health and Science University Judith Tintinalli, MD, MS, University of North Carolina at Chapel Hill Tammie Quest, MD, Emory University Joseph Salomone, MD, Truman Medical Center Critical Care Fellowship Task Force Raquel Schears, MD, MPH, St. Mary's Hospital Chair: Stephen Trzeciak, MD, Cooper Hospital, *Drew Watters, MD, Indiana University trzeciak-stephen@cooperhealth.edu Board Liaison: Susan Stern, MD, University of Michigan Faculty Development Committee Jason Begue, MD, University of Alabama Chair: Frank Counselman, MD, Eastern Virginia Medical School, Jay Falk, MD, Orlando Regional Medical Center counsefl@evms.edu Kyle Gunnerson, MD, Henry Ford Hospital Board Liaison: Robert Schafermeyer, MD, Carolinas Medical David Huang, MD, University of Pittsburgh Center Tiffany Osborn, MD, University of Virginia Felix Ankel, MD, Regions Hospital Emanuel Rivers, MD, MPH, Henry Ford Hospital Chris Barton, MD, University of California, San Francisco Yvette Calderon, MD, Jacobi Medical Center Constitution and Bylaws Committee Theodore Christopher, MD, Thomas Jefferson University Chair: Catherine Marco, MD, St. Vincent Mercy Medical Center, Kathleen Clem, MD, Duke University cmarco2@aol.com Gregory Conners, MD, MPH, University of Rochester Board Liaison: Donald Yealy, MD, University of Pittsburgh David Holson, MD, MPH, Harlem Hospital Center Charlene Irvin, MD, St. John Hospital David Karras, MD, Temple University Craig Newgard, MD, Oregon Health and Science University Steven Kristal, MD, William Beaumont Hospital David C. Lee, MD, North Shore University Development Committee Robert McNamara, MD, Temple University Hospital Chair: Brian Zink, MD, University of Michigan, bzink@umich.edu Robert Muellman, MD, University of Nebraska Board Liaison: James Hoekstra, MD, Wake Forest University Robert Woolard, MD, Rhode Island Hospital Frank Counselman, MD, Eastern Virginia Medical School Frank Zwemer, MD, MBA, University of Rochester Steven Davidson, MD, MBA, Maimonides Medical Center Mark Hauswald, MD, University of New Mexico Finance Committee *Christopher Lai, MD, University of Pittsburgh Chair: Steven Dronen, MD, Covington Health, sdronen@direcway.com Board Liaison: Katherine Heilpern, MD, Emory University CORD/SAEM Diversity Training Task Force James Adams, MD, Northwestern University Co-Chair: Sheryl Heron, MD, MPH, Emory University, *Victoria Kou, MD, Mount Sinai sheron@sph.emory.edu Co-Chair: Antoine Kazzi, MD Frank Zwemer, MD, MBA, University of Rochester akazzi@uci.edu Board Liaison: Leon Haley, MD, Emory University Graduate Medical Education Committee Steve Bowman, MD, Cook County Hospital Chair: Douglas McGee, MD, Albert Einstein Medical Center, Yvette Calderon, MD, Jacobi Medical Center mcgeed@einstein.edu Board Liaison: Robert Schafermeyer, MD, Carolinas Medical Kevin Ferguson, MD, University of Florida - Gainesville Center Mark Gebhart, MD, Wright State University Michael Beeson, MD, Summa Health System David Holson, MD, Harlem Hospital Center Adrienne Birnbaum, MD, Jacobi Medical Center Marcus Martin, MD, University of Virginia Jane Brice, MD, University of North Carolina at Chapel Hill Usamah Mossallam, MD, Henry Ford Hospital Michael Canter, MD, Albert Einstein/Jacobi/Montefiore *Ivette Motola, MD, Brigham and Women's Jamie Collings, MD, Northwestern University Heather Prendergast, MD, University of Illinois D. Mark Courtney, MD, Northwestern University Lynne Richardson, MD, Mt. Sinai Medical Center Michele Dorfsman, MD, University of Pittsburgh Rawle Seupaul, MD, Indiana University Chris Ghaemmaghami, MD, University of Virginia Victoria Thornton, MD, Duke University *Jeffrey Hackman, MD, University of Missouri - Kansas City Phillip Harter, MD, Stanford University/Kaiser Permanente Ethics Committee Armondo Havia, MD, Ochsner Clinic Foundation Chair: Terri Schmidt, MD, Oregon Health & Science University, David Howes, MD, University of Chicago Hospitals schmidtt@ohsu.edu Board Liaison: Maria Raven, MD, NYU/Bellevue Sharhabel Jwayyed, MD, Summa Health System Jean Abbott, MD, University of Colorado *Amy Kaji, MD, Harbor-UCLA James Adams, MD, Northwestern University Terry Kowalenko, MD, University of Michigan 18


Committee/Task Forces (Continued) Lawrence Melniker, MD, New York Methodist Hospital *William Northington, MD, University of Pittsburgh Susan Promes, MD, Duke University Jedd Roe, MD, MBA, University of Alabama at Birmingham Annie Sadosty, MD, Mayo Clinic Michael Schull, MD, MSc, Sunnybrook & Women's College Health Sciences Centre Paul Sierzenski, MD, Christiana Care Health System Raffi Terzian, MD, MPH, University of Pennsylvania Chris Weaver, MD, Indiana University Grants Committee Chair: Clifton Callaway, MD, PhD, University of Pittsburgh, callawaycw@upmc.edu Board Liaison: Susan Stern, MD, University of Michigan Evaline Alessandrini, MD, The Children's Hospital of Philadelphia John Finnell, MD, Regions Hospital Susan Fish, PharmD, MPH, Boston Medical Center Lowell Gerson, PhD, Northeastern Ohio Universities Jason Haukoos, MD, MS, Denver Health Medical Center Alan Jones, MD, Carolinas Medical Center E. Brooke Lerner, PhD, University of Rochester Steve Meldon, MD, MetroHealth Medical Center David Milzman, MD, Providence Hospital Marc Rosenthal, PhD, DO, Wayne State University *Ben Sun, MD, Brigham and Women's Hospital Robert Swor, MD, William Beaumont Hospital Robert Woolard, MD, Rhode Island Hospital Robert Wright, MD, MPH, Children's Hospital, Boston Kelly Young, MD, Harbor-UCLA Healthy People 2010 Task Force Chair: Charlene Irvin, MD, St. John Hospital, cbi@123.net Board Liaison: Leon Haley, MD, Emory University Brent Asplin, MD, Regions Hospital Edward Bernstein, MD, Boston Medical Center Gail D'Onofrio, MD, Yale New Haven Medical Center Linda Degutis, DrPH, Yale-New Haven Medical Center Barbara Herbert, Gregory Larkin, MD, MS, MSPH, University of Texas Southwestern Robert A. Lowe, MD, MPH, Oregon Health and Sciences University Ron Maio, DO, University of Michigan Ron Moscati, MD, Erie County Medical Center Dan Pollock, MD, National Center for Injury Prevention and Control Heidi Queen, MD, MPH, University of California, San Francisco Niels Rathlev, MD, Carney Hospital Lynne Richardson, MD, Mt. Sinai Medical Center Membership Survey Task Force Chair: Wendy Coates, MD, Harbor-UCLA , coates@emedharbor.edu Board Liaison: Carey Chisholm, MD, Indiana University Louis Binder, MD, MetroHealth Medical Center *Keith Borg, MD, PhD, University of Cincinnati Theodore Chan, MD, University of California, San Diego David Cline, MD, Wake Forest University Scott Compton, PhD, Wayne State University Rita Cydulka, MD, MetroHealth Medical Center Christopher Decker, MD, Medical College of Wisconsin Susan Fish, PharmD, MPH, Boston Medical Center Kenneth Frumkin, MD, Chesapeake General Hospital Gregory Garra, DO, Albert Einstein/Jacobi/Montefiore *Michael Klevens, MD, Washington University Kevin Knoop, MD, Naval Medical Center Portsmouth Richard Lammers, MD, MSU/KCMS David C. Lee, MD, North Shore University Hospital Trevor Mills, MD, Louisiana State University-Charity Hospital

Ron Moscati, MD, Erie County Medical Center David Salo, MD, PhD, Newark Beth Israel Medical Center Sandra Schneider, MD, University of Rochester Adams Singer, MD, Stony Brook University Hospital Scott Syverud, MD, University of Virginia National Affairs Committee Chair: Robert Schafermeyer, MD, Carolinas Medical Center, rschafermeyer@carolinas.org Brent Asplin, MD, Regions Hospital Jill Baren, MD, University of Pennsylvania Michael Bauman, MD, Maine Medical Center Howard Blumstein, MD, Wake Forest University David F. Brown, MD, Massachusetts General Hospital *Marc Haber, MD, Albert Einstein/Beth Israel Medical Center Mark Henry, MD, Stony Brook University *Shkelzen Hoxhaj, MD, Christiana Care Health System Kenneth Iserson, MD, MBA, University of Arizona John Kelly, DO, Albert Einstein Medical Center *Don Kosiak, MD, Mayo Clinic Lawrence Lewis, MD, Washington University Manish Patel, MD, Emory University Joshua Schier, MD, NYC Poison Control Center/Bellevue Hospital David Sklar, MD, University of New Mexico *Vernon Smith, MD, Mayo Clinic Kirk Stiffler, MD, Summa Health System *William Weir, MD, Indiana University NIH Roadmap Task Force Chair: Roger Lewis, MD, PhD, Harbor-UCLA, roger@emedharbor.edu Board Liaison: Ellen Weber, MD, University of California, San Francisco Jeremy Brown, MD, George Washington University Clifton Callaway, MD, PhD, University of Pittsburgh Robert Neumar, MD, PhD, University of Pennsylvania Craig Newgard, MD, Oregon Health and Science University Ilene Wilets, PhD, Mount Sinai Medical Center Robert Wright, MD, MPH, Children's Hospital, Boston Nominating Committee Board Liaison: Glenn Hamilton, MD, Wright State University Jill Baren, MD, Hospital of the University of Pennsylvania Wendy Coates, MD, Harbor-UCLA Cathy Custalow, MD, PhD, University of Virginia James Hoekstra, MD, Wake Forest University Adam Singer, MD, Stony Brook University Hospital Program Committee Chair: Judd Hollander, MD, University of Pennsylvania, jholland@mail.med.upenn.edu Board Liaison: Ellen Weber, MD, University of California, San Francisco Brigitte Baumann, MD, University of Pennsylvania Andra Blomkalns, MD, University of Cincinnati Richelle Cooper, MD, University of California, Los Angeles Elizabeth Datner, MD, University of Pennsylvania Christopher Decker, MD, Medical College of Wisconsin Deborah Diercks, MD, University of California, Davis Gregory Garra, DO, Albert Einstein/Jacobi/Montefiore Robert Gerhardt, MD, MPH, Brooke Army Medical Center Lowell Gerson, PhD, Northeastern Ohio Universities Debra Houry, MD, MPH, Emory University John Kelly, DO, Albert Einstein Medical Center Jeff Kline, MD, Carolinas Medical Center O. John Ma, MD, Truman Medical Center Craig Newgard, MD, Oregon Health and Science University 19


Committee/Task Forces (Continued) Susan Promes, MD, Duke University Timothy Reeder, MD, East Carolina University Kevin Rodgers, MD, Indiana University Latha Stead, MD, Mayo Clinic Michael Tuturro, MD, Mercy Hospital of Pittsburgh Terry Vanden Hoek, MD, University of Chicago Gary Vilke, MD, University of California, San Diego Mildred Willy, MD, St. John Hospital and Medical Center Research Committee Chair: Jim Olson, PhD, Wright State University, james.olson@wright.edu Board Liaison: Jeff Kline, MD, Carolinas Medical Center Education Subcommittee Chair: Gloria Kuhn, DO, PhD, Wayne State University Mark Angelos, MD, Ohio State University Robert Bilkovski, MD, Henry Ford Steven Bird, MD, University of Massachusetts Brian Blyth, MD, University of Rochester Jeremy Brown, MD, George Washington University Andrew Chang, MD, Brigham and Women's Wendy Coates, MD, Harbor-UCLA Scott Compton, PhD, Wayne State University D. Mark Courtney, MD, Northwestern University John Duldner, MD, Akron General Medical Center Gary Green, MD, MPH, Johns Hopkins University Sean Henderson, MD, LAC + USC Medical Center James Holmes, MD, University of California, Davis *Amy Kaji, MD, Harbor - UCLA Lawrence Melniker, MD, New York Methodist Hospital Raymond Moreno, MD, University of Cincinnati Robert Neumar, MD, PhD, University of Pennsylvania James Olson, PhD, Wright State University *Jesse Pines, MD, MBA, University of Virginia Richard Rothman, MD, PhD, Johns Hopkins University Dan Rusyniak, MD, Indiana University Kevin Terrell, DO, Indiana University T. Paul Tran, MD, University of Nebraska Ilene Wilets, PhD, Mount Sinai Medical Center

Undergraduate Education Committee Chair: Cheri Hobgood, MD, University of North Carolina, hobgood@med.unc.edu Board Liaison: Glenn Hamilton, MD, Wright State University Katie Bakes, MD, Denver Health Medical Center Louis Binder, MD, MetroHealth Medical Center *Keith Bricking, MD, Indiana University Michael Canter, MD, Albert Einstein/Jacobi/Montefiore *Patricia Daly, MD, Stony Brook University Elizabeth Farrell, MD, Brigham and Women's Hospital Jonathan Fisher, MD, Albert Einstein Medical Center Marianne T. Haughey-Barrios, MD, Albert Einstein Victoria Hogan, MD, University of Alabama at Birmingham *Sai-Hung Joshua Hui, UCLA David Geffen David Ledrick, MD, St. Vincent Mercy Medical Center Michelle Lin, MD, University of California, San Francisco David Manthey, MD, Wake Forest University Steven McLaughlin, MD, University of New Mexico Michelle Mowad, MD, North Shore University Hospital Charissa Pacella, MD, University of Pittsburgh Claudia Ranniger, MD, George Washington University *Christopher Russi, DO, Regions Hospital *Kimberly Schertzer, MD, Penn State University *Emily Senecal, MD, Brigham and Women's Stephen Thomas, MD, Massachusetts General Hospital Ernest Wang, MD, Evanston-Northwestern Healthcare Mark Watson, MD, Newark Beth Israel Medical Center Web Page Development Task Force Chair: Felix Ankel, MD, Regions Hospital, ankel001@umn.edu Board Liaison: Carey Chisholm, MD, Indiana University John Finnell, MD, Regions Hospital Jonathan Handler, MD, Northwestern University Steven Huff, MD, University of Virginia Richard Ismach, MD, MPH, Emory University Steven Kronick, MD, MS, University of Michigan Joseph Lex, MD, Chestnut Hill Hospital David Nicolaou, MD, Johns Hopkins University Jason Schaffer, MD, Indiana University Jeffrey Tabas, MD, University of California, San Francisco John Vozenilek, MD, Northwestern University

2004 SAEM New York Regional Meeting Research Award Recipients: (L-R) Stephen J. Leech, MD, Christiana Care Health System, Christine Ortiz, MD, St. Luke's-Roosevelt/ Columbia University, Kendra Dolan, MD, York Hospital, Melanie O'Neil, MD, St. Luke'sRoosevelt/ Columbia University, and Rafael Torres, MD, New York Methodist Hospital. Not pictured: William Chang, MD, Bellevue/NYU, and Shari Platt, MD, New York Presbyterian-Weill Cornell Medical Center. This meeting was held on March 31 at Columbia University.

20


NIH Formally Recognizes Grants (Continued) appear, containing exactly ten schools listed in order according to total funding. The table provides information on number of grants and total dollars awarded to each academic department of Emergency Medicine. Note that, among the ten departments, there were 24 NIH awards, with the top three departments (University of Pennsylvania, Emory, and Johns Hopkins) receiving half of all grants awarded. A few PIs and chairs will notice that their grants, or grants originating from within their departments, are missing. This, according to individuals intimately familiar with the process, is probably a consequence of simple transcription error, which may occur at any of a number of nodes in a multi-step sequence. Under such conditions, with individuals tracking several thousand new and continuing awards annually, any of which may begin or end at multiple points throughout the year, it is not difficult to imagine how the academic department of a grant might be misclassified. Indeed, until a few years ago, an award originating from

within an academic department of Emergency Medicine was categorized under Medicine because Emergency Medicine did not appear on the menu of options. Although the development of the “NIH Commons” platform promises to simplify this process, the OER recommends that PIs and chairs check the departmental field listed in CRISP several times a year to ensure accuracy. Because Emergency Medicine is hovering so close to the magic number of ten schools with academic departments who have received NIH awards, it is exceedingly important for the intermediate-term future of our specialty that academic chairs take this responsibility upon themselves. Simply go to CRISP at http://crisp.cit.nih.gov/, enter the name of the PI into the search engine and confirm that “Emergency Medicine” appears in the departmental field of that individual’s grant. If you find an error, please contact me at jgallagh@montefiore.org.

Call for Advisors The inaugural year for the SAEM Virtual Advisor Program was a tremendous success. Almost 300 medical students were served. Most of them attended schools without an affiliated EM residency program. Their “virtual” advisors served as their only link to the specialty of Emergency Medicine. Some students hoped to learn more about a specific geographic region, while others were anxious to contact

an advisor whose special interest matched their own. As the program increases in popularity, more advisors are needed. New students are applying daily, and over 100 remain unmatched! Please consider mentoring a future colleague by becoming a virtual advisor today. We have a special need for osteopathic emergency physicians to serve as advisors. It is a brief time commitment

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

Important Notice to Current and Former ABEM Diplomates examination was offered for the last time on November 2, 2003.

Emergency Medicine Continuous Certification (EMCC) will begin in 2004. All diplomates who want to maintain their certification with ABEM beyond the current expiration date must participate fully in the EMCC program.

A special option will be available only from 2004-2006 for former diplomates to regain their diplomate status through participation in EMCC. Former diplomates must begin their participation in EMCC in 2004 to take advantage of this option.

Effective 2004, the licensure requirement for all diplomates will change. Diplomates will be required to continuously maintain a current, active, valid, unrestricted, and unqualified license in at least one jurisdiction in the United States, its territories, or Canada, and in each jurisdiction in which they practice. Inactive medical licenses voluntarily held by physicians are in compliance with the Policy on Medical Licensure.

A full description of EMCC including details of diplomates’ participation requirements are available on the ABEM website http://www.abem.org. Questions should be directed to: American Board of Emergency Medicine, 3000 Coolidge Road, East Lansing, MI 48823, or call 517-332-4800 or emcc@abem.org.

Physicians eligible for ABEM recertification under current rules will maintain eligibility under EMCC. The written recertification

Residency Vacancy Service The SAEM Residency Vacancy Service was established more than ten years ago to assist residency programs and prospective emergency medicine residents. The Residency Vacancy Service is posted on the SAEM website at www.saem.org. Residency programs are invited to list their unexpected vacancies or additional openings by contacting SAEM. SAEM monitors and updates the listings. Prospective emergency medicine residents are invited to review these listings and contact the residency programs to obtain further information. Listings are deleted only when the residency program informs SAEM that the position(s) are filled. 21


FACULTY POSITIONS

You can have it all,

OHIO: The Ohio State University - Assistant/Associate or Full Professor. Established residency training program. Level 1 Trauma center. Nationally recognized research program. Clinical opportunities at OSU Medical Center and affiliated hospitals. Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 146 Means Hall, 1654 Upham Drive, Columbus, OH 43210, email Dailey.1@osu.edu, or call (614) 293-8176. Affirmative Action/Equal Opportunity Employer.

right in the palm of your hands.

OREGON: The Oregon Health & Science University, Department of Emergency Medicine is conducting an ongoing recruitment campaign for talented faculty members. Entry-level clinical faculty members at the instructor and assistant professor level. Preference given to those with fellowship training (especially in pediatric emergency medicine) or equivalent experience. Knowledge of emergency medicine as a faculty discipline is expected. Please submit a letter of interest, CV, and the names and phone numbers of three references to: Jerris Hedges, MD, MS, Professor & Chair, OHSU Department of Emergency Medicine, 3181 SW Sam Jackson Park Road, CDW -EM, Portland, OR 972393098.

Own your practice, where Equal Equity Ownership your work is recognized and rewarded. Work with other Career Advancement residency trained board Med Mal with Tail Provided certified Emergency Physicians who possess your same work Superior Compensation ethic.

Job Security

PENNSYLVANIA: seeking additional EM Residency-trained physician to join 34 BC physicians and 10 PAs evaluating 100,000 patients at the three sites of 750bed Lehigh Valley Hospital. Ultrasound certification a plus. Collegial group salaried by hospital, with good mix of experience and great opportunity for advancement. Electronic medical records and documentation and PACs system. Academic, tertiary hospital with Level I trauma, 9-bed Burn Center, 11 freestanding, fully-accredited residency programs, including one in Emergency Medicine. Eligibility for faculty appointment at Penn State/Hershey. LVH located in the beautiful Lehigh Valley, with 700,000 people, excellent suburban public schools, safe neighborhoods, moderate cost of living, 60 miles north of Philadelphia and 80 miles west of NYC. Email CV to carol.voorhees@lvh.com. Phone (610) 402-7008.

It's all within your grasp.

Contact: Dominic J. Bagnoli, Jr., MD, FACEP, FAAEM or Dan Phillips, MD, FACEP, FAAEM 4535 Dressler Road NW, Canton, Ohio 44718 1-800-828-0898, www.emp.com Research Director position available at Doctors Hospitalin Columbus, OH Faculty positions also available with EM Residency training programs at: Doctors Hospital in Columbus, OH, Ohio Valley Medical Center in Wheeling,WV and Memorial Hospital in York, PA. Additional positions available in Ohio, Connecticut, New York, North Carolina, Pennsylvania, Rhode Island and West Virginia

The SAEM Newsletter is mailed every other month to approximately 6000 SAEM members. Advertising is limited to fellowship and academic faculty positions. The deadline for the September/October issue is August 1, 2004. All ads are posted on the SAEM website at no additional charge. Advertising Rates: Classified ad (100 words or less) Contact in ad is SAEM member Contact in ad non-SAEM member Quarter page ad (camera ready) 3.5" wide x 4.75" high

w h e r e I N N O V A T I O N

I S

A D V A N C E D

NYU School of Medicine is respected worldwide for advances in healthcare. To maintain our success and support our efforts in this area, we seek a dynamic professional to join our team.

RESEARCHER (Non-Physician)

$100 $125

The Department of Emergency Medicine at NYU Medical Center/Bellevue Hospital seeks a non-physician researcher with significant experience in epidemiology, public health, translational work or related fields to join its research program. Candidate should have a strong publication record and a well-defined research agenda. Responsibilities will include growth of the individual’s existing work as well as assisting others in the department in their research efforts.

$300

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

We offer a competitive salary and excellent benefits package. For consideration, please send your resume with salary requirements to: Maritza Hernandez, Recruitment & Staffing, NYU School of Medicine, One Park Avenue, New York, NY 10016; Fax: (212) 404-3897; Email NYUMC-careers@msnyuhealth.org. We are an equal opportunity employer and provide a drug free workplace.

www.med.nyu.edu 22


The Department of Emergency Medicine at East Carolina University has two openings for emergency physicians at the rank of assistant professor or above. The ECU Emergency Medicine Residency Program has been fully accredited since 1982. Pitt County Memorial Hospital is a 740-bed Level I trauma center, with 50,000 ED visits and 20,000 Urgent Care visits per year. Areas of research interest include air medical transport, disaster preparedness, domestic violence, EMS, injury prevention, medical toxicology and spinal cord injury. Requirements include: BC/BE in Emergency Medicine and excellent clinical and teaching skills. Compensation is competitive and commensurate with qualifications; an excellent fringe benefits program is provided. This is an excellent opportunity to join a rapidly-growing department in the coastal plains of eastern North Carolina, a short distance from the Pamlico Sound and the Atlantic Ocean. Visit our web site to learn more about ECU Emergency Medicine: www.ecu.edu/emed. Screening begins in May and will remain open until filled. Please submit letter of interest and curriculum vitae to:

THEY’RE MOTIVATED, INNOVATIVE AND THE REASON WE’RE A TOP 100 HEALTH SYSTEM.

Assistant Residency Director South Central PA

York Hospital Emergency Medicine Residency is seeking a full-time Assistant Residency Director. York Hospital is a 558-bed, regional trauma center that is the primary site of a fully accredited EM residency with 10 residents per year and 64,000 ED visits per year. The hospital serves a large area of south central PA with over 500,000 residents. This Level II Trauma Center is a 42-bed facility. Candidates must be residency-trained in Emergency Medicine. ABEM or AEOBM certified or prepared. Competitive salary with excellent benefit package and outstanding institutional and department support for clinical and academic endeavors. We’re located 50 minutes north of Baltimore.

Herbert G. Garrison, MD, MPH Professor and Interim Chair Department of Emergency Medicine Greenville, North Carolina, 27858-4354 Phone 252-744-4757; Fax 252-744-5014

Contact James Amsterdam, MD, MMM, FACEP, FACPE, Chair, Department of Emergency Medicine, by e-mail to Jamsterdam@wellspan.org or by phone: (717) 851-3344.

www.wellspan.org

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

For the journey that is life.

Academic Emergency Physician Exciting position for an experienced, residency trained, board certified/ prepared emergency physician to join the faculty of the Department of Emergency Medicine, a full academic department of the Mount Sinai School of Medicine in New York City. The Mount Sinai School of Medicine is a leader in medical education and research. The hospital is a 900 bed tertiary center with an annual ED census of over 70,000. The EM residency is fully accredited. Academic rank commensurate with qualifications. Please submit confidential letter and C.V. to: Carol Barsky MD, Director and Vice Chair, Department of Emergency Medicine, Mount Sinai School of Medicine, Box 1149, One Gustave L. Levy Place, New York, NY, 10029. Fax (212) 427-2180. 23


Cook County Hospital

The Mount Sinai Hospital Department of Emergency Medicine

Department of Emergency Medicine

Associate Director

Faculty Position The Department of Emergency Medicine at Cook County Hospital is seeking energetic and motivated candidates for a faculty position. Applicants must be residency trained and board certified / eligible in Emergency Medicine. The Department of Emergency Medicine has 54 residents in a PGY II-IV format and 26 full time faculty. The Emergency Departments care for 120,000 adult, 30,000 pediatric and 5000 Level I trauma patients each year. A new 463 bed Cook County Hospital was completed in December, 2002 with a state of the art ED electronic information system. The department offers a very competitive benefit package and protected time to pursue educational, administrative and research projects. Faculty appointments are at our medical school affiliate, Rush Medical College.

We are seeking an experienced emergency physician to assume the role of Associate ED Director in our high-volume (~75,000), medical school based practice. The Mount Sinai Hospital is one of two main sites for our fully accredited, 36-resident, training program. Our mission embodies a firm commitment to excellence in patient care, education and research. The clinical leadership team is physician-led and includes Nursing, Administrative Support, IT and Finance. The Emergency Department leadership is highly regarded in both the hospital and medical school and is represented on all major committees. The position includes a competitive salary, an academic MSSM appointment, administrative space, and support. If interested in becoming part of a dynamic team and prepared to bring innovative management to a progressive department, please send your letter of interest and curriculum vitae to:

Interested candidates should contact: Jeff Schaider, MD, FACEP, Associate Chairman, Department of Emergency Medicine, Cook County Hospital, 1900 West Polk Street 10th floor, Chicago, IL 60612, Telephone - 312-864-1985, jschaider@ccbh.org

Carol Leah Barsky, MD, Director and Vice Chair, Department of Emergency Medicine, 1 Gustave Levy Place, Box 1149, NY, NY 10029, Tel: (212) 241-7403, Fax: (212) 427-2180, Email: carol.barsky@mssm.edu We are an equal opportunity employer.

EMERGENCY MEDICINE Academic Positions Available in the

Department of Emergency Medicine of

OPPORTUNITY:

Allegheny General Hospital, Pittsburgh, PA

RESIDENCY PROGRAM DIRECTOR, EMERGENCY MEDICINE

Practice Emergency Medicine in Western Pennsylvania’s Most Dynamic Emergency Department

Resurrection Medical Center Chicago, IL

 Emergency Medicine Residency Training Program  Level I Trauma Center  Level I HAZMAT Receiving Facility  20% Pediatrics  Medical Toxicology Treatment Center  Fellowships - EMS, Sports Medicine, Administration, Research, Toxicology, Patient Safety

Resurrection Medical Center (associated with the Resurrection Health Care System) in Chicago, IL is seeking a Program Director to be responsible for the organization, implementation, and supervision of all aspects of their Emergency Medicine training program as outlined in the ACGME. You will be responsible for the quality of curriculum, instruction, faculty, teaching environment, and standards for resident selection, progression, and graduation. Our program develops skilled physicians, with the highest proficiency in both emergency medical clinical care and emergency medicine administration, which has just received a five-year full accreditation. Our Emergency Department sees an annual volume of 38,000 visits, with 39 Residents.

 Salary Commensurate with Experience Contact: Fred Harchelroad, M.D.

If you are interested in learning more about this opportunity, please call or fax your CV to:

via Michelle Malsch, Executive Asst. (412) 359-3961 mmalsch@wpahs.org

MS. LEE A. MEYER Director, Physician Recruitment lmeyer@reshealthcare.org Phone: (708) 583-6823 Fax: (708) 583-9870

 West Penn Allegheny Health System, an Equal Opportunity Employer 

24

VISIT OUR WEBSITE: www.reshealth.org


Yale University School of Medicine Section of Emergency Medicine Associate Section Chief Associate Professor Level Section of Emergency Medicine Yale University School of Medicine

Yale University School of Medicine Section of Emergency Medicine Section Chief Yale University School of Medicine is seeking a Section Chief to lead the Section of Emergency Medicine at the Yale School of Medicine and the Adult Department of Emergency Services at Yale-New Haven Hospital, a Level 1 trauma center. Candidates for this position must be board certified in Emergency Medicine, obtain licensure in Connecticut, and have significant clinical and administrative experience as well as demonstrated leadership skills. The successful candidate will be nationally/internationally recognized and have a distinguished record in teaching, as well as a strong commitment to medical education and clinical excellence. Duties will include oversight and further development of clinical operations, as well as a continuous quality improvement and faculty development program. The Section of Emergency Medicine has 19 full-time academic faculty members who, along with clinical teaching faculty, are responsible for clinical practice, resident and student teaching and academic productivity. Faculty have active research funding through the NIH, Robert Wood Johnson Foundation, Department of Defense and other organizations, and are nationally recognized as experts in the specialty areas of substance abuse, EMS, disaster preparedness, injury control and health policy. The primary practice site is the Yale-New Haven Hospital, a Level I trauma center with over 70,000 adult ED visits per year and an accredited Emergency Medicine residency program with 40 residents (PGY 1-4). Ultrasound and EMS fellowships are also offered. In addition, faculty will be staffing a new satellite facility expected to open in the summer of 2004. For more information, contact Robert Udelsman, M.D. at 203-785-2697 or Robert.udelsman@yale.edu. Rank and salary will be commensurate with education, training and experience. To apply, please mail your curriculum vitae and a letter of interest to Yale University School of Medicine, Department of Surgery, P.O. Box 208062, New Haven, CT 06520-8062. Yale University if an affirmative action, equal opportunity employer and women and members of minority groups are encouraged to apply.

The Section of Emergency Medicine at Yale University School of Medicine is seeking an experienced clinician with academic interests and administrative skills for the position of Associate Section Chief in the Section of Emergency Medicine. Duties will include oversight and further development of clinical operations in conjunction with the Medical Director of the Emergency Department, as well as development of a quality improvement program and participation in faculty development activities. Candidates must be board certified in Emergency Medicine, obtain licensure in Connecticut, have a minimum of 7 years of experience with significant administrative responsibility within a Section or Department of Emergency Medicine in an academic setting. The successful candidate will also have significant teaching experience, as well as demonstrated leadership skills and a strong commitment to medical education and clinical excellence. Rank and salary will be commensurate with education, training and experience. Yale New Haven Hospital which is the primary practice site is a level I trauma center with over 90,000 ED visits per year and an accredited Emergency Medicine residency program with 40 residents (PGY 1-4). Ultrasound and EMS fellowships are also offered. In addition, faculty will be staffing a new satellite facility expected to open in the summer of 2004. For more information, contact Dr. Gail D’Onofrio at (203) 785-4363 or gail.donofrio@yale.edu. To apply, please forward your CV and cover letter via fax at (203) 785-4580, email jamie.petrone@yale.edu, or mail at Yale University School of Medicine, Department of Surgery, Section of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315.

Yale University is an affirmative action, equal opportunity employer and women and members of minority groups are encouraged to apply.

Yale University School of Medicine Section of Emergency Medicine

DEPARTMENT OF EMERGENCY MEDICINE TOXICOLOGY FELLOWSHIP

Residency Program Director

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

The Section of Emergency Medicine at Yale University School of Medicine is recruiting a Program Director for the Emergency Medicine Residency Program. Our PGY I-IV residency is fully accredited and academically focused, with 40 residents (10/year). The program is based at Yale New Haven Hospital, a tertiary care level I trauma center in New Haven, CT, with an affiliated site at Bridgeport Hospital in Bridgeport, CT. Candidates must be board certified in Emergency Medicine, obtain licensure in Connecticut, have a minimum of 5 years of experience with significant administrative responsibility, preferably as an Associate Program Director within a Section or Department of Emergency Medicine in an academic setting. The successful candidate will also have a record of excellence in teaching, demonstrated leadership skills, strong interpersonal skills, and a strong commitment to medical education and clinical excellence. Rank and salary will be commensurate with education, training and experience. Yale New Haven Hospital is a level I trauma center with over 90,000 ED visits per year to the adult and pediatric facilities. Bridgeport Hospital sees over 50,000 adult and pediatric patients in the ED. Ultrasound and EMS fellowships are also offered. For more information, contact Dr. Gail D’Onofrio at (203) 785-4363 or gail.donofrio@yale.edu. To apply, please forward your CV and cover letter via fax at (203) 785-4580, email: jamie.petrone@yale.edu, or mail at Yale University School of Medicine, Department of Surgery, Section of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315. Yale University is an affirmative action, equal opportunity employer and women and members of minority groups are encouraged to apply.

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Call for Abstracts 14th Annual Midwest Regional SAEM Meeting

Call for Abstracts 7th Annual Mid Atlantic Regional SAEM Meeting

September 9-10, 2004 The Wyndham Milwaukee Center Hotel Milwaukee, Wisconsin

October 1, 2004 Washington Hospital Center Georgetown University Medical Center/ Marriot Conference Center Washington, DC

The Program Committee is now accepting abstracts for review for oral and interactive poster presentations. The meeting will take place Thursday, September 9, 2004, 6:30-8:30 pm, and Friday, September 10, 2004, 8:00 am-4:00 pm at the Wyndham Milwaukee Center Hotel, 139 East Kilbourn Avenue, Milwaukee, WI 53202. The deadline for abstract submission is Friday, July 9, 2004, by 3:00 pm EDT. Only electronic submissions via the SAEM online abstract submission form at www.saem.org will be accepted. Acceptance notifications will be sent in late July. Registration forms are available from Dawn Kawa, Department of Emergency Medicine, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, FEH Room 1870, Milwaukee, WI 53226 or dkawa@mcw.edu. Registration Fees: Faculty--$75; Other health care professionals--$40; Fellows/residents/students--No Charge. Late fee after Wednesday, September 1, 2004: add $10. For questions or additional information, call 414-805-6452.

The Program Committee is now accepting abstracts for review for oral and interactive poster presentations. The meeting will take place Friday October 1, 2004; 8 am to 4 pm The deadline for abstract submission is Monday August 2, 2004, by 3:00 pm EDT. Only electronic submissions via the SAEM online abstract submission form at www.saem.org will be accepted. Acceptance notifications will be sent in late August. All registration and Hotel Information will be published in the next newletter and available on line at SAEM website by May 15, 2004. The same successful format of all presentation in oral format with plenary paper allowed 15 minute presentations and standard acceptances allowed 5 minutes for presention. All presentations will be made in powerpoint. there will be teaching, research and a large medical student residency application session. All medical students from the MidAtlantic Region within a days drive are enouraged to attend.

Call for Photographs Deadline: February 18, 2005 Original photographs of patients, pathology specimens, gram stains, EKG’s, and radiographic studies or other visual data are invited for presentation at the 2005 SAEM Annual Meeting in New York City. Submissions should depict findings that are pathognomonic for a particular diagnosis relevant to the practice of emergency medicine or findings of unusual interest that have educational value. Accepted submissions will be mounted by SAEM and presented in the “Clinical Pearls” session and/or the “Visual Diagnosis” medical student/resident contest. No more than three different photos should be submitted for any one case. Submit one glossy photo (5 x 7, 8 x 10, 11 x 14, or 16 x 20) and a digital copy in JPEG or TIFF format on a disk or by email attachment (resolution of at least 640 x 48). Radiographs and EKGs should also be submitted in hard copy and digital format. Do not send X-rays. The back of each photo should contain the contributor’s name, address, hospital or program, and an arrow indicating the top. Submissions should be shipped in an envelope with cardboard, but should not be mounted. Photo submissions must be accompanied by a brief case history written as an “unknown” in the following format: 1) chief complaint, 2) history of present illness, 3) pertinent physical exam (other than what is depicted in the photo), 4) pertinent laboratory data, 5) one or two questions asking the viewer to identify the diagnosis or pertinent finding, 6) answer(s) and brief discussion of the case, including an explanation of the findings in the photo, and 7) one to three bulleted take home points or “pearls.” The case history must be submitted on the template posted on the SAEM website at www.saem.org and must be submitted electronically. The case history is limited to no more than 250 words. If accepted for display SAEM reserves the right to edit the submitted case history. Submissions will be selected based on their educational merit, relevance to emergency medicine, quality of the photograph, the case history and appropriateness for public display. Contributors will be acknowledged and photos will be returned after the Annual Meeting. Academic Emergency Medicine (AEM), the official SAEM journal, may invite a limited number of displayed photos to be submitted to AEM for consideration of publication. SAEM will retain the rights to use submitted photographs in future educational projects, with full credit given for the contribution. Photographs must not appear in a refereed journal prior to the Annual Meeting. Patients should be appropriately masked. Submitters must attest that written consent and release of responsibility have been obtained for all photos EXCEPT for isolated diagnostic studies such as EKGs, radiographs, gram stains, etc. 26


SAEM 2005 Research Grants Emergency Medicine Medical Student Interest Group Grants These grants provide funding of $500 each to help support the educational or research activities of emergency medicine medical student organizations at U.S. medical schools. Established or developing interest groups, clubs, or other medical student organizations are eligible to apply. It is not necessary for the medical school to have an emergency medicine training program for the student group to apply. Deadline: September 9, 2004. Research Training Grant This grant provides financial support of $75,000 per year for two years of formal, full-time research training for emergency medicine fellows, resident physicians, or junior faculty. The trainee must have a concentrated, mentored program in specific research methods and concepts, and complete a research project. Deadline: November 4, 2004. Institutional Research Training Grant This grant provides financial support of $75,000 per year for two years for an academic emergency medicine program to train a research fellow. The sponsoring program must demonstrate an excellent research training environment with a qualified mentor and specific area of research emphasis. The training for the fellow may include a formal research education program or advanced degree. It is expected that the fellow who is selected by the applying program will dedicate full time effort to research, and will complete a research project. The goal of this grant is to help establish a departmental culture in emergency medicine programs that will continue to support advanced research training for emergency medicine residency graduates. Deadline: November 4, 2004. Scholarly Sabbatical Grant This grant provides funding of $10,000 per month for a maximum of six months to help emergency medicine faculty at the level of assistant professor or higher obtain release time to develop skills that will advance their academic careers. The goal of the grant is to increase the number of independent career researchers who may further advance research and education in emergency medicine. The grant may be used to learn unique research or educational methods or procedures which require day-to-day, in-depth training under the direct supervision of a knowledgeable mentor, or to develop a knowledge base that can be shared with the faculty member’s department to further research and education. Deadline: November 4, 2004. Emergency Medical Services Research Fellowship This grant is sponsored by Medtronic Physio-Control. It provides $60,000 for a one year EMS fellowship for emergency medicine residency graduates at an SAEM approved fellowship training site. The fellow must have an indepth training experience in EMS with an emphasis on research concepts and methods. The grant process involves a review and approval of emergency medicine training sites as well as individual applications from potential fellows. Deadline: November 4, 2004. Further information and application materials can be obtained via the SAEM website at www.saem.org.

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

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S A E M

Newsletter of the Society for Academic Emergency Medicine

Board of Directors Carey Chisholm, MD President

Glenn Hamilton, MD President-Elect Katherine Heilpern, MD Secretary-Treasurer Donald Yealy, MD Past President Leon Haley, Jr, MD, MHSA James Hoekstra, MD Jeffrey Kline, MD Maria Raven, MD Robert Schafermeyer, MD Susan Stern, MD Ellen Weber, MD

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

Presorted Standard U.S. Postage PAID Lansing, MI Permit No. 485

Editor David Cone, MD David.Cone@yale.edu Executive Director/Managing Editor Mary Ann Schropp mschropp@saem.org Advertising Coordinator Carrie Barber Carrie@saem.org

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

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

S A E M

Call for Didactic Proposals 2005 Annual Meeting May 22-25, 2005 New York, New York

The Program Committee is inviting proposals for didactic sessions for the 2005 Annual Meeting. Didactic proposals may be directed towards medical students, residents, junior faculty and/or senior faculty. The format may be a lecture, panel discussion, or workshop. The Program Committee will also consider proposals for pre- or post-day workshops or multiple sessions during the Annual Meeting aimed at in-depth instruction in a specific discipline. Didactic proposals must support the mission of SAEM (to improve patient care by advancing research and education in emergency medicine) and should fall into one of the following categories: • Education (educational research methodology, education methodology, improving the quality of education, enhancing teaching skills) • Research (research methodology, improving the quality of research) • Career Development • State-of-the-Art (presentation of cutting-edge basic science or clinical research that has important implications for further investigation or the future practice of emergency medicine, not a review of the literature or a summary of clinical practice) • Health Care Policy and National Affairs The deadline for submission is Thursday, September 9, 2004 at 5:00 pm Eastern Daylight Time. Only online submissions will be accepted. To submit a proposal, complete the online Didactic Submission Form at www.saem.org. For additional questions or information, contact SAEM at saem@saem.org or call 517-485-5484 or send a fax to 517-4850801.


May-June (2) 2004