S A E M
Newsletter of the Society for Academic Emergency Medicine May/June 2005 Volume XVII, Number 3
901 N. Washington Ave. Lansing, MI 48906-5137 (517) 485-5484 firstname.lastname@example.org www.saem.org
Grant Writing Mentorship Initiative
The True Revolution in Medical Education My previous President’s Message examined the current state of flux in the medical education system, with an appeal that we consider applying the scientific method a bit more liberally before enacting such widespread process change. Perhaps we are partially at fault through a relative Carey Chisholm, MD lack of outcomes data examining exactly how well our graduates perform, and how we (EM) collectively affect patient outcomes. There has been a very promising growth of EM multi-center studies, many with our members as PIs, that will shed further light in the future. The process of education has become the scapegoat, yet in the flurry of activity towards outcomes there is danger in losing sight of the fact that process ultimately determines much of the outcome. In reality the component that was truly broken within medical education was process documentation. For the EM residency graduate, perhaps we can share some of the blame since we as a specialty have never clearly and concisely articulated what the “outcome” should be. I realize that the Core Content1-2, replaced by the Model of the Clinical Practice of Emergency Medicine3 (“The Model”), have attempted to define the specialty of Emergency Medicine and its practitioners’ knowledge and skills sets. Unfortunately, “The Model” is overly complex (if you don’t believe this, simply ask your faculty colleagues, or your graduates how they use this, or even if they can explain what it is). The recent integration of the core competencies have added an additional component.4 The EM community instead needs to step back, look at the end product, define the crucial skill sets of a competent emergency physician, and work backwards from there. Residency curricula (process) should be disproportionately weighted to assure that all graduates meet these crucial skill sets. The required outcomes assessment would be derived from these as well. And this shouldn’t be made more difficult than it has to be. A recent internal survey conducted of Indiana University housestaff revealed that paperwork and administrative requirements (the most frequently cited was mandated workhours reporting forms!) were believed to be the largest source of stress during training! It would appear that the “process” is interfering with the desired “outcomes”. On the CORD list-serv a recently circulated example of a chief complaint (chest pain) teaching/assessment process was reported as being very favorably received by the program’s RRC site reviewer. This was an elaborate and eloquent multi-paged document that
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Call for Grant Applications Deadline: April 27, 2005 James Olson, PhD Gary B. Green, MD, MPH Richard E. Rothman, MD, PhD Mark Angelos, MD for the SAEM Research Committee Call for Grant Applications: We are seeking submissions of any nonfunded or complete but yet-to-be submitted grant applications from EM faculty or fellows. Those who submitted grant applications to SAEM or EMF but were not funded, as well as unfunded or K award applicantions in progress are encouraged. Those who submit an application can expect to receive detailed (verbal) feedback and constructive criticism that will strengthen their application and increase chances for future funding, as well as an opportunity to directly interact with a successful, experienced grant reviewer and/or grant writer and principal investigator. To the extent possible, applications will be paired with expert reviewers according to the type of submission and the subject matter. Applicants should submit their grant application, including face sheets, abstract, hypotheses, specific aims, previous work, methods, and experimental design as well as copies of any previous reviews (“pink sheets”). A cover letter should be included that briefly details the application’s history of submission and deadline for resubmission. Although the service may be further expanded in the future, at present, applicants must attend the SAEM Annual Meeting in order to participate in the grant writing mentoring initiative. Applicants should submit their materials electronically possible to email@example.com by April 27, 2005. For questions contact James Olson, at: (937) 395-8839 or firstname.lastname@example.org. One of the major goals of the SAEM Research Committee is to help the membership identify and gain access to the knowledge and skills needed to launch successful academic careers. It is clear that obtaining independent research funding through NIH, CDC, or other agency is often a major stepping stone on the path towards a successful research career as well as a common “bottleneck” in emergency medicine academic career development. Recognizing this, the Research Committee has undertaken several projects to aid the membership in developing grantsmanship skills. These efforts have included the development of a series of educational sessions at each of the past few SAEM Annual Meetings, as well as ongoing development of a grant writing mentorship initiative. The mentorship project was started by the Research Committee four years ago with the dual goals of “providing a mechanism to assist in the review of grant applications written by SAEM members,” as well as the “creation of an annual forum where successful and aspiring grant writers could (continued on page 2)
“to improve patient care by advancing research and education in emergency medicine”
Thanks – Opportunity – Thanks I began my tenure as the SAEM President with that message (July/August 2004 SAEM Newsletter), and this remains the one that I’d like to leave with you in parting. You’ve heard my predecessors say this before, and I understand exactly what they felt when they said that it has been truly an honor and a privilege to serve you in this capacity. I first would like to thank all of the members who have worked selflessly and contributed to accomplishing this past year’s Committee and Task Force objectives. You are, after all, the reason that SAEM is what it is. Your work has been tremendous and very much appreciated. Our Committee and Task Force chairs deserve additional recognition for their leadership and
tenacity in keeping members focused on task and delivering timely results. I’d like to recognize those members who ran for office, submitted grants, project proposals, manuscripts and abstracts…not only those who were successful, but also those who were not. Your additional effort and interest is appreciated, and the introspection and perspective that accompanies this seemingly bad outcome will hopefully serve as a future window of opportunity for you. Those who know only success soon fail to value it, and perhaps have set their personal goals and expectations too low. Fear of failure is perhaps the most frequent poison of creativity. This year’s Board of Directors deserves special praise. This is a truly
dedicated and diverse group of individuals who have the SAEM mission and vision at heart. Their work has literally encompassed reading thousands of pages, and averages 8 hours per week. I want to thank them for their patience, diligence and productivity. Finally, I want to extend my heartfelt thanks to the SAEM home office. What dedication, efficiency and talent! The small percentage of your SAEM dues that support our operations is the best bargain in all of organized medicine! What a terrific group of people! You have been wonderful to work with. Thank you for making my responsibilities so much easier. Carey Chisholm, MD
New Emergency Medicine Residency Program Approved During the February meeting of the Residency Review Committee for Emergency Medicine, the new Georgetown University/Washington Hospital Center emergency medicine residency training program was approved. The program is a 1-3 residency program and has been approved for 8 residents per year. There are 45 full-time faculty at the program. The residency director is Jeffrey Love, MD, and the assistant residency program is Jonathan Davis,
MD. Mark Smith, MD, is the chair of the Department of Emergency Medicine at Washington Hospital Center and Georgetown University School of Medicine. More details regarding the program can be found on the SAEM Residency Catalog at www.saem.org. This new program brings the total of approved emergency medicine residency programs to 132.
Grant Writing…(continued from page 1) share lessons learned concerning the ‘art’ of grantsmanship.” The project was successfully piloted during both the 2002 and 2003 Annual Meetings. During a packed session at the 2002 Annual Meeting, the principal investigators of two previously unsuccessful grant applications presented their work and engaged in a dynamic, open discussion with a panel of expert reviewers and the session audience. In May 2003, three additional grant writers volunteered their applications. Each application was first discussed in a small group session with two assigned expert reviewers and the applicant in order to give the grant writer more detailed feedback. A separate open session was then held with each of participating reviewer/panelists providing a summary of major “take home” points regarding a different portion of the grant applica-
tion. In 2004, we developed a model which was extremely well received, and which will be followed at this year’s SAEM in NYC: Six to eight grants will be reviewed in a wide range of areas including basic science, clinical research, education research and public health. An initial Closed Individual Review Session will be held on May 22 at 10:00-12:00 noon in which two experienced grant reviewers will be assigned to each grant applicant, offering private one-on-one in depth mentorship, with specific feedback and direction on how to improve their applications. On May 25 at 10:30-12:00 noon an Open Interactive Session will be held in which selected expert reviewers (and grant applicants) serve as panelists using excerpts from reviewed applications to highlight grant writing pearls. As we 2
had last year, we expect lively interaction between panelists and audience during the Open Session, providing an opportunity for broader dialogue concerning knowledge and skills needed to create a successful application. A new addition to the open session this year will be a brief follow-up report in which previous program participants will describe the impact the grant mentorship program has had on their subsequent grant success and career development. The Grant Mentorship Workshop Sessions have been well attended over the past several years, and SAEM has received extremely positive feedback from both the open session attendees and the grant writers whose applications were reviewed.
2004 Year End Financial Report Katherine L. Heilpern MD Emory University SAEM Secretary Treasurer The SAEM Board of Directors is pleased to provide the membership with a summary of the 2004 year end financial report. The Society continues to demonstrate both financial growth and fiscal prudence. As in past years, revenues exceeded expenses. For the past several years SAEM maintains a liquid reserve of approximately 6 months operating expense. The excess revenue beyond the 6 month reserve is reinvested in the Research Fund, which in 2004 was $250,000. New for 2005, the Board of Directors will engage a CPA firm to conduct an audit of the Society’s financials. This further demonstrates the Society’s commitment to a ‘best practices’ financial model for our organization and the members it serves.
Operating Budget Expenses Journal: $494,701 Salaries and Wages: $317,585 Administration: $202,828 Annual Meeting: $196,278 Newsletter: $44,243 Other: $45,325 TOTAL: $1,300,860
Operating Budget Revenues Dues: $1,216,891 Annual Meeting: $478,795 Journal: $303,481 Other: $81,023 TOTAL: $2,080,190
Research Fund (Non-Operating Budget) Expenses Grant Payments: $347,001 TOTAL: $347,001
Research Fund (Non-Operating Budget) Revenues Contributions: $150,200 SAEM contribution: $250,000 Market Gain: $499,711 TOTAL: $899,911
At December 31, 2004 the Research Fund totalled $3,749,711.
Board of Directors Approves New 5-Year Plan Carey D. Chisholm, MD SAEM President The Board of Directors approved the new 5-Year Plan at our March 5 meeting. This document replaces the prior plan that expired at the end of 2004. The Board worked on this document during the late summer and fall through subgroups that included input from past presidents of SAEM. An additional full day meeting in October allowed further discussion and concept exploration. These areas were further developed and considered, and the final document is presented below. This document reflects the Board's reaffirmation of SAEM’s mission and vision statements, but also represents a format departure from the preceding document. The strategic goals are organized under a conceptual framework of 5 major themes: Research, Education, Membership Services, Advocacy, and Operations. Each theme has an overarching mission/goal followed by several objectives for the organization. This document will be used by the President-elect and the Board as a source of guidance as the annual committee and task force objectives are developed, and will assist allocation of resources. You will note that many of the objectives are framed with rather broad strokes. The Board believes that this permits needed flexibility to fully explore unanticipated opportunities or developing needs without straying from our organizational mission and vision. The Board welcomes any feedback or comments about the 5-Year Plan. As I’ve mentioned in prior President’s messages, medical education and research are passing through turbulent times that will continue in the foreseeable future. We are hopeful that our mission and plan will serve SAEM well as its compass to chart our course through these challenging times.
5-Year Strategic Planning Goals and Objectives 2005 - 2010 Mission Statement: Our mission is to improve patient care by advancing research and education in emergency medicine. Vision Statement: 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
Objectives 1. Promote communication among SAEM members, leadership and staff to: ● Assure alignment of Society and members’ goals ● Enhance organizational transparency ● Ensure goal alignment with the mission of the Society 2. Publications ● Maintain and continue to advance the quality of the Society’s journal, Academic Emergency Medicine. ● Regularly review with membership the impact and opportunities provided by the SAEM Newsletter 3. Continue to evaluate and improve the Annual Meeting and Regional Meetings for both EM and non-EM edu(continued on next page)
Membership Services Goal: Increase benefits of membership, and increase the number of members, by enhancing the impact of SAEM through the journal, website, meetings and value-added services to members.
New 5-Year Plan…(continued from previous page) cators and researchers. 4. Disseminate knowledge and enhance sharing of accepted and novel educational and research advances with regard to: ● educational methodologies ● curricula, ● resources (products, funding sources, collaborative opportunities) ● academic mentorship ● operational and financial resources for academic EDs ● national legislative issues that impact academic health centers and academic EDs 5. Professional development: Assist faculty in developing the skills necessary for academic advancement including didactic presentations, clinical teaching, scholarly writing, grant applications, research methodology and leadership skills. 6. Maintain and improve the website into an effective means of communication, education, and resource tool.
care RRC-EM program requirements ● Core competencies ● OSCE examinations ● White papers impacting education and training 6. Assist educators in developing validation and educational research methodologies that assess learner outcomes. ●
Research Goal: Improve the care of our future patients, by promoting quality research in emergency medicine. This will be best accomplished by supporting the development, productivity, and career longevity of high-quality, independent, federally funded investigators in emergency medicine. Objectives 1. Further develop and grow the Research Fund ● Make the Research Fund self-sustaining by 2010 with an the addition of at least one annual grant. 2. Assess the success of the SAEM Grant Program. ● Develop an assessment tool for the SAEM Grant Program which tracks the success of awardees based on their subsequent ability to obtain independent funding, publications, and promotion in their individual career track. 3. Develop an assessment and tracking program for the individual grant programs/applications. 4. Develop tools and programs to assist with the development of quality independent investigators (i.e the development of a mentoring network/system and other educational products). 5. Promote the development of supportive environments for developing researchers within a greater number of departments/divisions of academic Emergency Medicine. 6. Develop tools/programs to provide assistance and education to Chairs/Division Chiefs for the development of a department/division with successful research programs. 7. Explore and develop methods to recruit potential future physician-scientists at the undergraduate medical education level into the academic Emergency Medicine career path. 8. Explore and develop methods to recruit, educate, and nurture potential future emergency medicine physician-scientists at the graduate medical education level.
Advocacy Goal: Advocate for education and research in emergency care within medical schools, funding agencies (governmental and non-governmental) and specialty organizations. Objectives 1. Educate members about the advocacy process and opportunities for involvement. Encourage members to pursue leadership opportunities within their own academic centers, and develop relationships within the house of medicine to solidify the academic presence of EM. 2. Increase presence at government level discussions for policy decisions, legislation, research funding, and development of public health initiatives applicable to emergency medicine, such as disaster management, injury and illness prevention, and the effects of limited access to health care. 3. Continue to advocate for academic emergency medicine through the IOM report on The Future of Emergency Care in the United States Health System. ● Prepare to advocate based upon findings for April 2006 release date
Education Goal: Assure quality emergency medicine education for all levels of medical training Objectives 1. Define and support appropriate breadth and depth of education for all levels in emergency medicine and acute care medicine in North American accredited medical schools 2. Assist in the development of a meaningful role for EM educators in teaching clinical components of the curriculum during the first two years of medical school 3. Advocate and support academic career paths in EM, including advanced degree programs, fellowship training and faculty development 4. Assist in developing and showcasing innovations and innovators of emergency medical education. ● Member ship development ● Dissemination of member work 5. Assist educators in implementing ACGME initiatives as applied to the unique environment of emergency
Operations Goal: Ensure that the appropriate infrastructure exists to support the activities of SAEM Objectives 1. Maintain sufficient staff and expertise to ensure success of the newsletter, conferences, website and journal. 2. Maintain sufficient staff to ensure success of the research fund. 3. Ensure that financial responsibilities are described in a brief policy manual for board members. Conduct an annual review of the organization's finances and financial policies, and periodically conduct a more extensive audit. 4. Maintain appropriate legal protections in place for the organization, Board and officers and for staff. 4
Report of the Council of Academic Societies Spring Meeting David P. Sklar, MD University of New Mexico SAEM Representative to CAS/AAMC The Council of Academic Societies Spring meeting was held in Tucson on March 10-12, 2005 and the title was “Tomorrow’s Doctors, Tomorrow’s Cures: Envisioning the Future”. Representatives from all member specialties convened to share visions and possible approaches for the future health care environment. Experts from the fields of economics, health services, workforce, basic and translational research, and administration and leadership development attempted to create a coherent sense of the future of health care over the next ten years and the changes that would be necessary to address the challenges of a growing population of uninsured, increasing costs, federal and state budgetary deficits, growth in expensive technologies, and an aging population. The AAMC has shifted its position on the physician workforce to now recommend a 15% increase in medical school graduates by 2015, an elimination of the GME cap, no recommendation about preference of specialty versus primary care, and efforts to address needs of underserved areas and populations. This will be accomplished through increasing class sizes of some existing medical schools, creating new medical schools, growth in osteopathic school graduates and maintenance of international medical student training. Implications for emergency medicine residencies will be continued growth of new programs and expansion of existing programs. The most worrisome discussions concerned the unsustainable growth of health care spending including federal,
state, and private spending, in the context of continuing federal budgetary deficits. There was consensus that a radically different health care delivery system would emerge that would involve coordinated, patient centered care with shared electronic medical records, use of a team of nurses, physicians, social workers, and physician assistants to address and manage complex chronic disease and provide easy access to acute care with incentives for prevention, and possibly a single payer system with incentives for quality care and patient safety. The skills for managing and adopting to continued change in the health care environment will need to be taught to future physicians and will need to be part of the skill set for all academic medical leaders. The implications for emergency medicine include improvements in information systems and integration with chronic care systems, continued stresses over care of uninsured patients as that system reaches a crisis point, constraints in reimbursement for care, continued and increasing demand for training opportunities for residents and medical students, adoption of new imaging modalities for emergency diagnostic work-ups, changing demographics with more elderly and nursing home care, and interdisciplinary research focused at fewer, powerhouse research institutions but including multi-institutional enrollment of patients, application of evidence based approaches to medical education and efforts at understanding how to get behavioral change and implementation of evidence based
care algorithms rather than development of more algorithms. Finally, there was intensive discussion about the possible adoption by AAMC of recommendations for criminal background checks for all medical students. Opinion was very divided on this issue, with one set of concerns focused on the need to protect patients and get out ahead of political solutions that would be imposed by others outside of medicine while another set of concerns focused on potential negative affects on disadvantaged applicants, who might not have had access to good legal support and the cost of following up on positive screening results without any clear evidence that this would make patient care safer. There was recognition that the present political climate would probably put continued pressure on all institutions to address the issue regardless of the lack of any clear evidence that it would improve patient safety. Jordan Cohen, who has led the AAMC over the past ten years, announced his retirement from the Presidency of AAMC in a year and a search committee has begun the process of identifying a replacement. Emergency Medicine continues to be well represented at AAMC by representatives from CORD, SAEM, and AACEM and has made great strides over the past ten years in elevating the profile of the specialty through the debates and discussions that occur in organizations, such as the Council of Academic Societies during the spring meeting.
Policy and Position Statement Revisions Carey D. Chisholm, MD Indiana University SAEM President During your next visit to the SAEM web site, you may wish to glance through our organization’s Policies and Position statements. Over the last half of 2004 the Board of Directors reviewed, updated, eliminated, revised or referred to a committee for evaluation all of these items. This is the first systematic review of the policy and positions that characterize our operational philosophies and organizational values. Each now carries a date of last review, and will undergo periodic reassessment on a scheduled basis by future Boards. SAEM Policies define internal operational guidelines that are not clearly articulated in the Constitution and Bylaws. They assist the Board by providing an internal framework for decision-making that allows more consistency. They serve as “rules of engagement” and improve fairness and openness in our operations. SAEM Position Statements provide further elaboration of our organization’s values under our mission and vision statements. The audience includes those external to our membership. Many of these are distinctive from other EM organizations, and define our organization’s unique role within the EM community. 5
2005 Leadership Award
William G. Barsan, MD epitomizes what a leader in academic medicine should be. His work has produced many individual accomplishments and accolades. However, it is the impact Dr. Barsan has had on other medical careers, and on the betterment of the field of emergency medicine that distinguishes him as the recipient of the SAEM Leadership Award. Dr. Barsan graduated from the Ohio State University College of Medicine in 1975. Like many other physicians of this time, Dr. Barsan migrated to emergency medicine after starting in another field. He initially did a Surgery internship and a year of Radiology residency at the University of Virginia prior to becoming an Emergency Medicine resident at the University of Cincinnati. Dr. Barsan completed his emergency medicine training in 1979 and remained at the University of Cincinnati for the next 13 years. During this formative time for the Cincinnati program, Dr. Barsan served as the Residency Program Director and developed a curriculum and training program that produced many academic leaders and researchers in emergency medicine. He was also responsible for starting the Hyperbaric Medicine program that has grown to be a thriving division within the Department of Emergency Medicine. The most important aspect of Dr. Barsan’s career while at Cincinnati was his development as a leader in research. He began his research at a time when there were few, academic emergency medicine role models focusing their careers in research. His initial focus was on hemorrhagic shock and cardiac arrest, but he developed a strong interest and focus in ischemic brain injury. He did pioneering work in the development and implementation of
major local and national clinical stroke trials. His leadership skills were recognized by his research colleagues. He has served as a Co-chair of the PreHospital Care: Stroke Diagnosis and Treatment Decision/ Implementation Task Force of the National Institute of Neurological Disorders Stroke (NINDS), Chair of the Incentives for Stroke Treatment Task Force of the NINDS, and Co-Chair of the NINDS Stroke Symposium, “Improving the Chain of Recovery for Acute Stroke in Your Community.” Dr. Barsan’s hands-on research and leadership has helped make significant improvements in the emergency care of patients with acute stroke. In addition, his approach has served as a model for others in emergency medicine who seek to do interdisciplinary research. Dr. Barsan was the lead editor of the text, Emergency Drug Therapy (W.B. Saunders, 1991) and an editor of Rosen’s Emergency Medicine – Concepts and Clinical Practice. He has been a reviewer for all of the major emergency medicine journals, as well as JAMA. He has been on the Editorial Board of Annals of Emergency Medicine since 1999, and a Deputy Editor since 2002. Dr. Barsan’s contribution to the growth of academic emergency medicine has been equally important in the organizations of emergency medicine. He served on the Executive Council of the University Association for Emergency Medicine. He then went on to serve on the SAEM Board of Directors, and ultimately as President. Importantly, Bill’s tenure on the SAEM Board was during the transition and development of the current Society. His leadership skills and vision helped shape SAEM’s growth and development. He has also been an important leader in ABEM serving as President from 1998-1999. In 1992, Dr. Barsan came to the University of Michigan to develop from scratch an academic emergency medicine program. He became the Head of the newly established Section of Emergency Medicine under the Department of Surgery. Under his leadership, the section met all academic and clinical benchmarks, leading to the creation of the Department of Emergency Medicine in 1999. This was the first newly established department
at this university since 1982. Dr. Barsan nurtured the educational, research and clinical missions of the department. The Department has grown from approximately 10 to 70 full-time faculty, including Divisions of Pediatric Emergency Medicine (including a Pediatric Emergency Medicine Fellowship) and Occupational Medicine. The residency has transitioned from a 3 to a 4 year program, and has grown from 18 to 56 residents. Because of Dr. Barsan’s support and vision, his faculty have successfully obtained funding from the NIH, the CDC, and the DOD. In addition, the Department now plays a greater role in undergraduate medical education at the university, with emergency medicine being a required medical student rotation. Dr. Barsan’s leadership skills and expertise have been recognized by the University, as he serves on the Dean’s Advisory Committee and the Finance Committee of the Faculty Group Practice for the University of Michigan Health System. Most recently, Dr. Barsan’s exceptional contributions were recognized with his election to the Institute of Medicine. William G. Barsan has the credentials and accolades expected of a true leader in his field. He advances the field and his own department in an understated way – a master negotiator who is calm, consistent, and able to bring others to his way of thinking without alienating them. But, Dr. Barsan’s leadership is best demonstrated by his daily interactions to promote education and the career development of others. He makes time for medical students, residents, faculty, and colleagues in other disciplines to serve as a mentor, advisor, and confidant. Whether it is sharing his formidable clinical skills and knowledge in the ED, reviewing a faculty member’s grant proposal, or advising a resident on career plans, Dr. Barsan is an approachable, in-touch leader whose genuine love of his work and his specialty excites and motivates others. Over twenty-five years, his leadership has created a wave of ideas, advances, and inspiration that will help push academic emergency medicine forward for at least the next twenty-five years. Sue Stern, MD Brian Zink, MD University of Michigan
2005 Hal Jayne Academic Excellence Award
The Hal Jayne Academic Excellence Award is presented to “a member of SAEM who has made outstanding contributions to emergency medicine through research, education and scholarly accomplishments.” Roger J. Lewis, MD, PhD, is widely recognized as an authority on the design and analysis of clinical trials, biostatistics, and the protection of human subjects. Because his research and teaching are broadly applicable, Dr. Lewis has made outstanding contributions not only to emergency medicine, but also to many other disciplines and medical specialties. Dr. Lewis graduated from Stanford University in 1981 with BS degrees in biology and physics. He then attended the School of Medicine and the Graduate School of Biophysics at Stanford, receiving his PhD in Biophysics in 1986 and his MD in 1987. Dr. Lewis did an emergency medicine residency at Harbor-UCLA Medical Center in Torrance, California, from 1987-1990, and then joined the Harbor faculty. He is currently a Professor of Medicine at the David Geffen School of Medicine at UCLA and the Director of Research in the Department of Emergency Medicine at Harbor-UCLA Medical Center. Dr. Lewis has made important contributions to the development and implementation of the protection of human subjects in emergency medicine research. In the early 1990’s, funding for resuscitation research was threatened by the absence of an accepted method of obtaining, waiving, or deferring informed consent in critical situations. Dr. Lewis played a major role in a
coalition of researchers tasked to address this. Their work resulted in a consensus statement published in JAMA, and a revision of the federal regulations governing consent for resuscitation research. In an application of this work, Dr. Lewis served as the Chair of the Data and Safety Monitoring Committee for the first large multicenter clinical trial utilizing a waiver of informed consent (a study of cross-linked hemoglobin in the treatment of hemorrhagic shock). The trial was terminated early because of adverse events in the treatment group, and the interests of research subjects were protected. Dr. Lewis has subsequently chaired the data and safety monitoring committees of four other large clinical trials. Roger has authored or co-authored over one hundred peer-reviewed research papers, 25 textbook chapters and review articles, and 20 editorials. His collaboration with investigators in emergency medicine and in other fields has led to a number of important publications. He was a key investigator in The Pediatric Airway Management Project, a study that compared bag-valve-mask ventilation to endotracheal intubation in prehospital pediatric airway management. Among other contributions, Dr. Lewis used an innovative Bayesian decision approach to design and perform the interim data analyses that allowed the study to continue. The study found that intubation did not improve (and might worsen) the outcome of children requiring airway management in the field. The publication of this work (JAMA, 2000) resulted in a change in the American Heart Association's national recommendations for prehospital airway management in children. An example of Dr. Lewis’s collaboration with other specialties is a study of electron beam computed tomography (EBCT) for the detection of coronary artery disease. Roger analyzed the data in this multicenter study, and devised a way of presenting the results as nomograms of the probability of multivessel CAD as a function of the patient's age and EBCT results. These nomograms, published in Circulation,
allowed the multivariate logistic regression results to be understandable and clinically useful. For many years, Dr. Lewis has taken a lead role in educating emergency physicians about biostatistics. He has lectured at the SAEM Annual Meeting every year since 1991, and has also been an invited speaker at the ACEP Scientific Assembly, the Emergency Medical Services for Children Projects Meeting, and the annual meetings of several other medical and statistical organizations. Dr. Lewis’s involvement in academic emergency medicine has included the presidency of SAEM in 2002-2003. He has been on the editorial board of Academic Emergency Medicine, and is a consulting reviewer for such diverse journals as the Annals of Emergency Medicine, Annals of Internal Medicine, Biometrics, and the Journal of the American Medical Association. He is currently a member of the Healthcare Research Dissemination and Implementation Study Section of the Agency for Healthcare Research and Quality (AHRQ). This important committee is responsible for the peer review of grant applications and the awarding of federal funding. As a member of this committee, Dr. Lewis helps to ensure that grant applications related to emergency medicine are evaluated fairly by the review group. Roger has been the mentor for numerous students in the UCLA Medical Student Thesis Program. He has developed, implemented, and obtained grant funding for fellowships in Research and in Disaster Medicine at Harbor-UCLA Medical Center. He has guided and directed many residents into academic emergency medicine, and his knowledge and counseling have furthered the careers of many faculty members. Roger J. Lewis, MD, PhD, brings a unique combination of clinical and statistical knowledge to emergency medicine. I congratulate him on receiving this year’s Hal Jayne Award for academic excellence. Howard A. Bessen, MD Harbor-UCLA Medical Center
2005 Young Investigator Awards
Alan Jones graduated from Millsap’s College in 1994 Magna Cum Laude with a Bachelor’s Degree in Molecular Biology. He graduated from the University of Mississippi School of Medicine Summa Cum Laude. He continued his stellar performance as a resident and chief resident at Carolinas Medical Center, completing a research fellowship in 2003. At the end of his residency, he was honored with both the Research Award and the Outstanding Resident Award. Now, just 2 years into his career as a full-time faculty member, Alan has amassed an amazing list of accomplishments. In the past 24 months, Alan has published 7 unique manuscripts as first author. He has targeted circulatory shock as his research focus—a topic central to the essence of our specialty. However, Alan endeavors to generalize his message to emergency medicine and to other specialties, having published in five different journals (two within emergency medicine and three outside of our field). The journals that have published his seven papers have a cumulative impact factor score of 25. During this same time, Alan wrote a Career Development Award that was selected for funding in 2004-2005 by the Emergency Medicine Foundation. He is approximately three-quarters of the way through completing this single center study of the diagnostic sensitivity and specificity for intra-emergency department hypotension for the prediction of in-hospital death. When completed, the study will prospectively enroll and track the outcomes of over 6,000 ED patients who are admitted to the hospital. Alan’s work has become progressively more focused on testing patientoriented hypotheses that will change care. His first work was a secondary analysis which was largely descriptive, examining the diagnostic significance of (continued on next page)
Dr. Wang came to the University of Pittsburgh in July 2000 after completing his medical school training at UMDNJRobert Wood Johnson and an EM residency at Christiana Care Health System. Even at these early career stages, Dr. Wang showed an inquisitive nature coupled with the drive to create knowledge, publishing 9 manuscripts and garnering three research awards. Henry began his career in Pittsburgh by serving as a research fellow, completing not only the required Masters in Public Health program, but additional training, resulting in a Masters in Clinical Research Design degree. He began his formal University role as an Instructor of Emergency Medicine, being promoted to Assistant Professor within two years. Dr. Wang’s investigative accomplishments are remarkable. Dr. Wang had zeal and focus from the beginning on prehospital care, particularly paramedic airway management. He created the Prehospital Airway Collaborative Evaluation (PACE) network within 18 months of arrival. This statewide multicentered group gathers information from 40 EMS systems to help better understand the first step in resuscitation of seriously ill and injured patients. He has learned and applied large data set techniques to the problem, completing his PACE data with evaluation of trauma systems and paramedic training databases. Additionally, he has collaborated with others on the relationship of unintended hypothermia and outcome, plus the effect of ‘Do Not Resuscitate’ directives, on the care of trauma patients. Dr. Wang has eagerly sought collaboration, including others from outside our Department and the region. He has developed a collegial, thoughtful method of bringing disparate people with talent together to better ask and answer questions. Seasoned investigators struggle with this task, while Henry sparkles with the opportunity. The (continued on next page) 8
Jeffrey Perry, MD, MSc, is a rising star in the Canadian emergency medicine research community. He graduated from medical school at the University of Ottawa in 1996. He then completed residency training in Emergency Medicine at the University of Manitoba in 1999. Subsequent to that, Dr. Perry successfully completed his Emergency Medicine Research Fellowship at the University of Ottawa and concurrently obtained his Master of Science in Epidemiology from the University of Ottawa in 2002. At that time, Dr. Perry competed for, and successfully won, a Department of Emergency Medicine New Investigator Award at the University of Ottawa. This three-year award gave Dr. Perry salary support and ongoing mentoring to develop his career as a young researcher. Dr. Perry is now an Assistant Professor in the Department of Emergency Medicine and Associate Scientist with the Clinical Epidemiology Program of the Ottawa Health Research Institute. Dr. Perry is on staff as a full attending emergency physician at The Ottawa Hospital. He participates in monthly emergency medicine research fellow meetings to provide feedback to the physicians who are concurrently undertaking a Master’s degree in Epidemiology and a Fellowship in Emergency Medicine Research. During the past year, Dr. Perry has received two substantial research grants, one from the Canadian Institutes for Health Research (CIHR) (the Canadian equivalent of NIH) and another from the Canadian Foundation for Innovation/Ontario Innovation Trust (CFI/OIT). In addition, he has been awarded a Career Scientist Award from the Ontario Ministry of Health and LongTerm Care. Dr. Perry presented his study results as plenary presentations at both the Canadian Association of Emergency Physicians Annual Conference in (continued on next page)
non-traumatic hypotension in the prehospital phase. He quickly moved toward a more elegant but difficult study design of a prospective randomized controlled trial of ultrasound as the diagnostic instrument to unmask the cause of undifferentiated hypotension. He then designed a more interventional, treatment-oriented protocol, in which patients will be randomized to receive an invasive versus non-invasive treatment algorithm for septic shock. This clinical trial is the basis of his K23 application, which is currently under review at the National Institute of General Medicine at the NIH. Alan has also contributed to our knowledge within the Society for Academic Emergency Medicine, having authored and organized 3 didactic sessions in 2003 and 2004, and most recently a State of the Art session which will examine new diagnostic tests for undifferentiated shock to be presented in New York City this spring. For his research effort, he has already received two awards from the Society for Academic Emergency Medicine including the Medcial Student Excellence in Emergency Medicine Award in 1999 and in 2004, the Young Investigator Clinical Science Oral Presentation Award. Alan deservedly earns the respect of his peers and his patients. He is a warm, genuine, caring human being. Ultimately, he complements his research productivity with his integrity as a consummate clinician and scientist. We look forward to watching Alan’s impact grow over the next decade and feel confident that he will provide critical evidence that will be read in journal clubs across the country, and used in real practice every day by academicians and community practioners, alike. Our specialty, our colleagues and our patients will benefit from his skill and dedication.
results are impressive: Four foundation grants early, followed by an SAEM Research Training Grant in 2004 (declined) and an AHRQ Clinical Scientist Career Development Award (KO8) to study out of hospital errors in intubation. The latter award is the first given of this kind for an emergency physician doing EMS research. Dr. Wang has a lengthy publication record: 25 refereed scientific manuscripts, 30 abstracts, 2 text chapters and 11 other publications. One recent manuscript on the outcomes seen in traumatic brain injured patients cared for by paramedics has allowed many to reconsider how we manage the respiratory needs of these patients. Researchers often work a decade or two to identify a new need or idea, Henry has done this in a few short years. Henry has served as a reviewer for 4 journals (being recognized as an outstanding reviewer for both Academic Emergency Medicine and Annals of Emergency Medicine), and as an AHA Scientific Evidence Reviewer. He has been awarded Best Presentation honors at both the SAEM and NAEMSP meetings. Dr. Wang shares his expertise with others. He is the central figure in our residency journal club, an instructor at our world renowned WISER Simulation Center, and a frequent lecturer. He also chose to serve clinically at a site in need of trained emergency physicians willing to care for an underserved and poor population. He provides wonderful care, collegiality, and teaching in that challenging setting. We are grateful to have Henry Wang, MD, MPH, MSCR: as a colleague in our Department, as a leading EMS and emergency medicine investigator, and a wonderful role model. The SAEM recognition is another reminder of his unique ability and accomplishments.
Montreal in April 2004 and at the Society for Academic Emergency Medicine Annual Conference in Orlando, Florida in May 2004. Dr. Perry has had eight peer reviewed publications and ten peer reviewed grants as principal investigator. Dr. Perry’s CIHR grant is entitled “Study to complete the derivation of a clinical decision rule to guide investigation for patients with an acute headache to rule out non-traumatic subarachnoid hemorrhage.” This is an ongoing multicenter study with 7 Canadian study sites to derive a clinical decision rule for patients with a sudden severe headache. To date, 75% of the required sample size have been enrolled and he expects to complete this study in 2005. The CFI/OIT grant is entitled “Improving Emergency Department Care Using Information Technology”. This grant will allow Dr. Perry to determine the impact of implementing new technology in processes of care/documentation in the emergency departments of The Ottawa Hospital and facilitate further clinical decision rule research. The Ontario Ministry of Health Career Scientist award is a highly competitive award which provides five years of salary support to provide protected time to conduct Dr. Perry’s current research program. This funding is supplemented with funding from the Department of Emergency Medicine and the Ottawa Health Research Institute. In conclusion, Jeff Perry is an outstanding young clinical researcher who will make a name for himself nationally and internationally and will bring honour to the specialty of Emergency Medicine.
Jeffrey A. Kline, MD Carolinas Medical Center
Donald M. Yealy, MD University of Pittsburgh
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Ian G. Stiell, MD University of Ottawa
Medical Student Excellence Award The SAEM Medical Student Excellence in Emergency Medicine Award is offered annually to each medical school in the United States and Canada. It is awarded to the senior medical student at each school (one recipient per medical school) who best exemplifies the qualities of an excellent emergency physician, as manifested by excellent clinical, interpersonal, and manual skills, and a dedication to continued professional development leading to outstanding performance on emergency rotations. The award, presented at graduation, conveys a one-year membership in SAEM, which includes subscriptions to the SAEM monthly Journal, Academic Emergency Medicine, the SAEM Newsletter and an award certificate. Announcements describing the program and applications have been sent to the Dean's Office at each medical school. Coordinators of emergency medicine student rotations then select an appropriate student based on the student's intramural and extramural performance in emergency medicine. The list of recipients will be published in the SAEM Newsletter. Over 100 medical schools currently participate. Please contact the SAEM office if your school is not presently participating. 9
Academic Emergency Medicine: 2004 Report Michelle H. Biros, MD, MS, Editor in Chief Jim Adams, MD, Senior Associate Editor Dave Cone, MD Senior Associate Editor The editors of AEM believe that our journal has responsibilities beyond the publication of excellent and relevant original reports research. As a vehicle for the dissemination of thoughts and visions of emergency medicine academicians, educators and clinicians, we have the opportunity to call attention to special concerns of our practice. With this in mind, our annual AEM Consensus Conference was presented on “Informatics and Technology in Emergency Care,” with the purpose of critical education, provocative and thoughtful discussion, and creative development of research and educational initiatives surrounding this important concept. Led by Dr. Jonathan Handler, this extremely popular conference was held in conjunction with the SAEM Annual Meeting, and attended by over 125 individuals. The proceedings of this conference, as well as a series of articles written in response to a call for papers on the topic, were published in the November 2004 issue of AEM. Our journal has been incredibly fortunate in the talent, enthusiasm and dedication demonstrated by our editorial board. In 2004, we added several new editors to complement our ranks. We welcome Jim Miner, Chris Barton, Amy Kaji, and Mark Mycyk to the editorial board. We are privileged to have them among us, and look forward to their contributions. We also most sincerely thank Mark Angelos, Charlene Babcock-Irvin, Norm Christopher, Mike Schull and Rob Vissers, long-standing editors who rotated off the board in 2004. We also offer our sincere thanks to over 500 peer reviewers, who submitted over 3,000 reviews during 2004. Without the generous commitment of these dedicated individuals, our journal’s quality would undoubtedly suffer. Our reviewers are listed in the December 2004 issue. Special thanks to Annette Adams, MPH, Amado A. Baez, MD, Adrienne Birnbaum, MD, Jonathan Burstein, MD, Mark Courtney, MD, Douglas Floccare, MD, MPH, Michelle Gill, MD, Lewis Goldfrank, MD, Gregory Guldner, MD, David Guss, MD, Jonathan Handler, MD, Mark Hauswald, MD, Jim Holmes, MD, Brian Holroyd, MD, Gregg Husk, MD, Jeff S. Jones, MD, Amy Kaji, MD, Gloria Kuhn, DO, PhD, Brooke Lerner, PhD, Keith Marill, MD, Jim Miner, MD, Jim Niemann, MD, Alfred Sacchetti, MD, Terri Schmidt, MD, Manish Shah, MD, Latha Stead, MD, Michael Turturro, MD, Henry Wang, MD, and Scott Wilber, MD. Based on their consistently thorough, timely and supportive reviews, the editors have designated them as Outstanding Reviewers for 2004. Finally, the editors thank our go-to, get-things-done person, Mary Ann Schropp; the SAEM board of directors (especially President Carey Chisholm) for continued and unwavering support of the journal though all of its continuous growing pains, Kris McDermott, our Editorial Assistant and resident EES expert, and Kathleen Seal, our Technical Editor and general support person. We hope our journal continues to serve your needs, and that this report gives you a glimpse of our workings. Your comments and ideas are very valuable to us, and we hope you continue to help direct our vision. It has been an honor to work with the editorial board, the reviewers, the authors and our readers in 2004. We look forward to another exciting year of continued growth and fruitful collaborations in 2005.
The editors of Academic Emergency Medicine are pleased to provide you with this journal report for 2004. This was the eleventh year of publication for the journal, and while the look, content, editors and contributors have changed over time, we remain committed to the production of a high quality spokepiece for our academic and clinical specialty. This has been a year of changes and growth for the journal, and as always, we have benefited from your input. We welcome your questions, comments and suggestions -- please feel free to contact any of the editors at any time. During 2004, we received a total of 661 new submissions, and 223 revisions, for a total of 884 processed manuscripts. Our acceptance rate overall was 36.5%. Table One presents more details of our manuscript statistics and compares this year with previous years. The time to decision and turn around times show a remarkable change in mid July 2004. At that time, the journal initiated electronic manuscript submission through the Elsevier Editorial System (EES). This was the result of over 18 months of development and customization of the manuscript managing system. The impact of this new system is beyond our expectations - authors find it easier to submit papers, reviewers and editors can get their work done faster and more easily, and decisions can be made sooner. We can track manuscripts easily through every step of the submission and review process, and quickly provide information regarding the status of individual reviews and manuscripts. While we still encounter a glitch or two, the system has made manuscript processing and tracking much easier, and the EES maintenance assistants are responsive, creative and timely. We continue to use HighWire as our provider for the electronic journal, which provides free access to several developing countries, allows tracking of the number of times that AEM articles are cited or electronically read, and has allowed us to expand our use of data supplements. In fact, this year we published a series of peer reviewed articles in abbreviated form, or abstracts of complete peer reviewed articles, with the entire article available on line as a data supplement. This not only provided us with more paper page space, but is also allowed us to publish articles that would otherwise not fit into the scope of established journal sections, or that would appeal to a narrow segment of our readers. From Jan 1, 2004 to Dec 31, 2004, our electronic site was hit 1.1 million times. The most frequently hit journal sections were Clinical Investigations (114,000 hits), followed by Clinical Practice (112,000 hits), Brief Reports (88,000 hits), Special Contributions (87,000 hits), and Basic Investigations (38,000 hits). By tracking the number of hits we receive, we are able to provide our readers with lists of the most frequently read articles in any month, over the year (Table Two), or since the beginning of the journal’s publication history. The most frequently cited articles published in AEM, as of April 2005, are listed in Table Three. We can also track on a monthly basis, who is accessing the website. This year, we were accessed by readers from over 80 countries and 160,000 individuals. Our circulation has also increased, and numbers, and we now have 6,245 subscribers. Our impact factor for 2003 was 1.844, the second highest among emergency medicine journals. 10
Table One: AEM MANUSCRIPT STATISTICS Year
Total # Manuscripts
Turn Around Time (Days) 1st decision Jan â€“ July July- Dec
Table 2: MOST FREQUENTLY READ (From AEM site hits only; recalculated monthly) (# of hits) (4,199) Section: SPECIAL CONTRIBUTIONS Michael A Gibbs, Carlos A Camargo, Brian H Rowe, Robert A Silverman State of the Art: Therapeutic Controversies in Severe Acute Asthma Jul 01, 2000 7: 800-815
Pat Croskerry, Marc Shapiro, Sam Campbell, Connie LeBlanc, Douglas Sinclair, Patty Wren, Michael Marcoux Profiles in Patient Safety: Medication Errors in the Emergency Department Mar 01, 2004 11: 289-299 (2,085) Section: PROCEEDINGS Steven J. Davidson, Frank L. Zwemer, Larry A. Nathanson, Kenneth N. Sable, Abu N.G.A. Khan Where's the Beef? The Promise and the Reality of Clinical Documentation Nov 01, 2004 11: 1127-1134
(3,554) Section: CONCEPTS Stephen Schenkel Promoting Patient Safety and Preventing Medical Error in Emergency Departments Nov 01, 2000 7: 1204-1222
(2,062) Section: SPECIAL CONTRIBUTIONS Eric Schwam B-type Natriuretic Peptide for Diagnosis of Heart Failure in Emergency Department Patients: A Critical Appraisal Jun 01, 2004 11: 686-691
(2,971) Section: SPECIAL CONTRIBUTIONS Phillip E. Mason, William P. Kerns Gamma Hydroxybutyric Acid (GHB) Intoxication Jul 01, 2002 9: 730-739 (2,870) Section: CLINICAL INVESTIGATIONS 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? Aug 01, 2000 7: 873-877
(1,953) Section: CLINICAL INVESTIGATIONS Nina Bacaner, Terry A. Kinney, Michelle Biros, Shelli Bochert, Nadov Casuto The Relationship among Depressive and Alcoholic Symptoms and Aggressive Behavior in Adult Male Emergency Department Patients Feb 01, 2002 9: 120-129
(2,818) Section: SPECIAL CONTRIBUTIONS Kathleen A. Delaney Bedside Diagnosis of Vertigo: Value of the History and Neurological Examination Dec 01, 2003 10: 1388-1395
(1,884) Section: CLINICAL INVESTIGATIONS Taylor Cardall, Judd Glasser, David A. Guss Clinical Value of the Total White Blood Cell Count and Temperature in the Evaluation of Patients with Suspected Appendicitis Oct 01, 2004 11: 1021-1027
(2,173) Section: SPECIAL CONTRIBUTIONS
Table 3 : MOST FREQUENTLY CITED, TOP 10 (to March 2005; calculated monthly) citations to articles on this journal site from articles in HighWire-hosted journals. chest pain. Cocaine Associated Chest Pain (COCHPA) Study Group Jul 01, 1994 1: 330-339. Section: ARTICLES (Cited 21 times)
Robert W. Derlet, John R. Richards, Richard L. Kravitz Frequent Overcrowding in U.S. Emergency Departments Feb 01, 2001 8: 151-155. Section: CLINICAL PRACTICE (Cited 34 times)
Vivek S. Tayal, Russell W. Riggs, John A. Marx, Christian A. Tomaszewski, Robert E. Schneider Rapid-sequence Intubation at an Emergency Medicine
JE Hollander, RS Hoffman, P Gennis, P Fairweather, MJ DiSano, DA Schumb, JA Feldman, SS Fish, S Dyer, P Wax Prospective multicenter evaluation of cocaine-associated
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Revisiting the List of Full Professors Glenn Hamilton, MD Wright State University SAEM President Elect In most academic medical centers the timing of the promotion process matches that of the seasons. In the heat and exuberance of late summer, the applicant reaches into the dark recesses of their filing system to pull out historical documents and performance tallies to generate the list of accomplishments over the previous years and paste them into the required format. During the fall, the brilliant hues of autumn leaves are nearly matched by the colorful wordsmithing of internal and external referees who often write with thesaurus in hand. By winter time, the document and its accompanying superlatives disappear into the hibernating mode of the Promotions and Tenure Committee, the University Committee and finally the President’s office. By spring time, with all the gnashing and transformation that occur inside any chrysalis, the hope of promotion appears. It is important to look toward spring in anticipation of a successful promotion process for each of you who have applied. It’s also time to re-visit a very important document for this Society and the specialty at-large……..the Full Professor’s List. When it was introduced approximately one year ago, I commented more philosophically on its value. Now, after a time in print, it’s important to address its usefulness for those listed, as well as those aspiring to the list. This tally has been shared with the leadership of the AAMC, the currently deliberating Institute of Medicine Committee on Emergency Medicine, and in several Dean’s offices across the country. Its purpose in those settings was to clearly demonstrate the amazing and impossible to ignore growth of academic emergency medicine over the last 15 years. This list has been a
source of names for those working to join its ranks, as outside reviewers were sought for the promotion process. It has also served as a source for senior authorship or geographic contact of a senior leader in our specialty when specific clinical referrals or academic insights were required. It likely has had more uses than we might imagine, and we’re interested in learning of additional applications. Most importantly, it continues to serve as an ever-growing pronouncement. A pronouncement of our specialty’s commitment to academics, and clear recognition of each individual’s academic performance at the most important level, their own university or institution. So, as the time for promotion announcements sits just around the seasonal corner, it’s a good time to review and renew our interest in this list and recognize what it really stands for……one measure of 35 years of constant effort on behalf of patients and the science that surrounds our specialty. Please take the time to check out the names on the web site and most importantly to make sure that it is up to date as the new crop of promotion announcements rolls out over the next few months. To make the list more useful, it has been transformed into two formats: a) alphabetical by last name and b) alphabetical by institution. Whatever the format, we look forward to encouraging each one of you to add your name to those who have gone before you in the advancement of academic emergency medicine. The list of professors can be found at: www.saem.org.download/professor.htm.
Pictured are the four emergency medicine physicians who serve as Deans of U.S. Medical Schools, taken at the recent spring meeting of the Council of Deans. (L-R) John Prescott, MD, West Virginia University, James Scott, MD, George Washington University, Vince Verdile, MD, Albany Medical College, and Paul Roth, MD, University of New Mexico.
EMF/SAEM Medical Student Research Grant Recipients Selected 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 Committee. Five projects were chosen for funding this year. EMF/SAEM Medical Student Grants Applicant: Amy R. Auerbach, BA, University of Maryland Project: Access and Potential Use of Online Resources by ED Patients Applicant: Project:
Meredith Chiaccio, BS, Thomas Jefferson University Can Arginase Activity Predict the Outcome of Vasoocclusive Sickle Cell Crisis
Anne Finefrock, BS, MA, University of North Carolina at Chapel Hill Mental Status Screening in the Emergency Department: Study to Evaluate the Clinical Norms of the Quick Confusion Scale
Neil Masangkay, BA, University of Pennsylvania Rapidly Triggered Post-Ischemic Neuronal Apoptosis
Johanna Moore, BA, Hennepin County Medical Center Oral Oxycodone Versus Intravenous Morphine for the Treatment of Pain Due to Pediatric Extremity Fractures in the Emergency Department
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 email@example.com by June 1 to be included in the July/August issue. Brooks F. Bock, MD, has accepted the Ula Hwang, MD, MPH, Mount Sinai Mark Reiter, MD, senior emergency position of President of Harper School of Medicine has received a medicine resident at the University of University Hospital and Hutzel Jahnigen Career Development award North Carolina at Chapel Hill, has been Women's Hospital. These two large for her project, "Geriatric Pain appointed Councillor on the AMA teaching institutions within the Detroit Management in the ED Setting." Council on Legislation by the Chair of Medical Center are affiliated with the AMA Board of Trustees. The AMA James J. Menegazzi, PhD, has Wayne State University, where Dr. Bock Council on Legislation makes recomreceived an $863,000 grant from the has served as chair of the Department mendations and sets priorities for all National Heart, Lung, and Blood of Emergency Medicine. Dr. Bock will federal legislative and policy matters for Institute. The award funded under the continue to serve as chair of the departthe AMA. Dr. Reiter will be representRO1 mechanism, will support extensive ment until June 30, 2005. ing about 100,000 residents and fellows study of the physiology of ventricular to the Council. Gail Dâ€™Onofrio, MD, MS, Interim Chief fibrillation in a swine model. Dr. of the Section of Emergency Medicine at Yale University and co-investigator Linda Degritis, DrPH, Research Director of the Section of Emergency Medicine, have been awarded an RO1 from the National Institute of Alcohol Abuse and Alcoholism for a five year study totalling $3,461,863, with a first year award of $718,388. The study is entitled "Enhancing Emergency Physician Performed Alcohol Interventions in the ED." Jerris R. Hedges, MD, MS, has accepted the position of Vice Dean in the School of Medicine at Oregon Health & Sciences University. Dr. Hedges has served as the chair of the Department of Emergency Medicine since 1997 and begins his new duties in April. He will also continue his research activities in emergency medicine.
Menegazzi is Research Professor of Emergency Medicine at the University of Pittsburgh. The National Association of EMS Physicians recently held its annual elections. Robert O'Connor, MD, assumed the presidency. David Cone, MD, was elected president-elect; Ted Delbridge, MD, was elected secretary/treasurer; and Sandy Bogucki, MD, PhD, Ritu Sahni, MD, and Brooke Lerner, PhD, EMT-P, were elected to the Board of Directors. Tammie Quest, MD, Assistant Professor, Emory University, has passed the board exam of the American Board of Hospice and Palliative Medicine. She is only the third emergency physician in the U.S. to be certified by ABHPM, joining Robert Zalenski, MD, at Wayne State University, and Susan Stone, MD, at the University of Southern California. 13
Terri Schmidt, MD, has been appointed Interim Chair of the Department of Emergency Medicine at the Oregon Health & Science University, effective April 18, 2005. She is a Professor in the Department of Emergency Medicine and has served as the Vice Chair for Academic Affairs since 1999. Anna Waller, ScD, Associate Research Professor at the Department of Emergency Medicine at the University of North Carolina at Chapel Hill, has been awarded a $600,000 grant from Health Research Services Administration entitled "Evaluation of the Emergency Severity Index for Pediatric Triage. The co-principal investigators are: Deb Travers, MD, PhD, Assistant Research Professor, Department of Emergency Medicine, and Jessica Katznelson, MD, Assistant Professor in the Departments of Pediatrics and Emergency Medicine.
My Experiences as an SAEM EMS Research Fellowship Grant Recipient Jonnathan Busko, MD, MPH, EMT-P Carolinas Medical Center Reflecting back on the past two years of my EMS Fellowship Program at Carolinas Medical Center, I find this experience has uniquely prepared me for a focused career in prehospital medicine. The SAEM EMS Research Fellowship Grant made possible and enhanced some enriching research and educational experiences that will shape my future practice. The first year of fellowship training focused on the basics of the EMS administration and practice including quality management, system oversight, research fundamentals, provider education, and field operations and response. Over time, it became apparent that additional unique opportunities would present if I remained for a second year. The Research Fellowship Grant afforded me that opportunity. The second year of fellowship training has provided a wide array of experiences in EMS research, education, service to organizations, and disaster preparedness. A number of research projects have been completed this year, with additional projects still in progress. I was fortunate to have one oral and two poster presentations at the 2005 National Association of EMS Physicians Annual Meeting. I am involved with an ongoing collaborative project with the John Belk School of Business at the University of North Carolina-Charlotte analyzing EMS system design models to develop accurate call volume and location forecasting using neural networks.
Two additional projects will extend beyond the fellowship timeframe. The first involves the analysis of expanded scope first responder practice. During my first year, I taught EMS providers using previously developed curricula and standard educational methodology. Enhanced opportunities during the second year allowed me to develop core content, scope of practice, curricula, and evaluation tools for classes. Thus, the expanded scope project involves the development of an evidence based curriculum and skill set designed to potentially improve initial prehospital patient care prior to advanced life support arrival. An initial Pilot Program is currently being operationalized and will be evaluated during this next year. I have also been the co-investigator of a National Highway Traffic Safety Administration-sponsored project to develop a simulation-based quality management tool for medical directors. This involves the development and validation of clinical and operational patient care simulations for education and quality management purposes. As an EMS fellow these past two years, I have not only increased my knowledge and understanding of EMS and the related disciplines, but also had the opportunity to provide service to the supporting organizations. I have had the pleasure of serving as the chair of the SAEM EMS interest group, developing a didactic proposal on academic EMS for the 2005 Annual Meeting and formulating a survey of program direc-
tors to assess the current state of EMS education in emergency medicine residencies. I have become involved in the EMS Subspecialty Certification Committee of the National Association of EMS Physicians and remain active in the Fellow and Fellowship Graduates Committee. Finally, there have been many unique experiences in disaster preparedness and management during my second year. I am currently completing a graduate certificate program in Community Preparedness and Disaster Management at the University of North Carolina-Chapel Hill, culminating in a certification as an Emergency Manager. I have also been involved in the evaluation and deployment phase of the Carolinas Med-1 (mobile emergency department) Project (www.carolinasmed-1.org), the preparation of federal contract deliverables, and participation in all operational aspects of a major Metropolitan Medical Response System. Overall, my experience as an EMS fellow at Carolinas Medial Center has been truly fantastic, and the SAEM EMS Research Fellowship Grant clearly enriched my second year, and I am grateful to Medtronic Physio Control for funding this important, long-standing grant. I strongly encourage all prospective EMS fellows to apply for this grant, as it facilitates unique and diverse opportunities in the field of prehospital medicine.
SAEM/ACMT Michael P. Spadafora Medical Toxicology Scholarship Dr. Michael P. Spadafora was an academic emergency physician and medical toxicologist who was a member of SAEM and the American College of Medical Toxicology (ACMT) and was dedicated to resident education. After his death in October 1999, donations were directed to SAEM for the establishment of a scholarship fund to encourage Emergency Medicine residents to pursue Medical Toxicology fellowship training. ACMT has graciously agreed to donate matching funds. Two recipients will be chosen to attend the North American Congress of Clinical Toxicology (NACCT), which will be held September 9-14, 2005 in Orlando. Each award of $1250 will provide funds for travel, meeting registration, meals, and lodging. Any PGY-1 or 2 (or PGY-3 in a 4 year program) in an RRC-EM or AOA approved residency program is eligible for the award. The deadline for application is May 1, 2005. Scholarship recipients will be announced at the annual SAEM and NACCT meetings. Each recipient will also be required to submit a summary of the meeting for publication in the SAEM Newsletter and the ACMT Newsletter. The articles of the inaugural recipients of the Scholarship, Dr. Lindgren and Dr. Ferguson are published in this issue of the Newsletter. Applications must be submitted electronically to firstname.lastname@example.org and include: 1. Curriculum Vitae of applicant 2. Verification of employment and letter of support from the applicantâ€™s program director 3. Letter of nomination from an active member of SAEM and/or ACMT 4. 1-2 page essay describing the applicantâ€™s interest and background in Medical Toxicology 14
My Experiences as an SAEM Research Training Grant Recipient Brian J. Blyth, MD University of Rochester I was asked to write this article to comment on my experiences as a recipient of the SAEM Research Training Grant for the period of July 1, 2004 through June 30, 2006. This generous award provides $75,000 in salary support annually for formal, full-time research training for emergency medicine fellows, resident physicians, or junior faculty. The terms of the grant stipulate that the trainee’s department must provide protected time for grant activities, allowing no more than 12 hours per week for professional activities outside of the research training program. Dr. Sandra Schneider, Chair of the Department of Emergency Medicine at the University of Rochester, has graciously provided the necessary release time. My training program is designed to prepare for a career in translational research in the neurosciences. A successful translation of basic research discoveries results in new drugs, treatments, or methods for prevention for patients. The NIH recognizes this as their core mission and has published guidance to achieve this in the “NIH Roadmap,” which has the expressed goal of accelerating medical discovery to improve health. A successful translational research program requires four major elements: a clinically relevant research focus, proficiency in basic science techniques and principles, familiarity with clinical science and epidemiological techniques, and the ability to coordinate among investigators across multiple disciplines. The research training program I am following consists of a formal didactic program,as well as basic and translational research projects. The didactic portion includes formal coursework in several relevant disciplines including neuroscience, molecular biology, genetics, biostatistics, and epidemiology. Additional courses in research ethics, grant writing, and technology transfer are also included. Finally, I will participate in a seminar on laboratory management sponsored by the Howard Hughes Medical Institute. The neuroscience, molecular biology, and genetics courses are included as an in depth
overview of the latest concepts in gene regulation and expression in the context of the neurosciences. The biostatistics, epidemiology, and ethics courses provide the background and skills needed to conduct clinical trials and human subjects research. The remaining courses provide up to date insight into the details of running a successful research program. The focus of the research portion of my training program is brain injury. Projects are underway to study both ischemic and traumatic brain injury. The primary research portion of the program includes a bench project under the mentorship of Dr. Howard Federoff, a senior investigator at my institution. Specifically, I am studying the effects of egr-1, an immediate early gene with neuroprotective effects in ischemic brain injury. Previous investigators in Dr. Federoff’s lab demonstrated that egr-1 is protective against hypoxic insult to cultured cortical neurons when over expressed using a viral delivery vector. My project is designed to determine the mechanisms by which this neuroprotection is accomplished. In addition to the over expression model mentioned above, I am studying the effects of ischemia in cultures made from egr-1 knockout mice. The first several months of the project were devoted to developing a colony of knockout mice sufficiently large enough to support regular production of cortical primary cultures. During this period I learned and practiced techniques necessary to conduct the proposed studies. These techniques include cloning, the polymerase chain reaction, genotyping, western blotting and the preparation of murine primary cortical cultures. Subsequently, I have performed some studies of neuronal viability in egr1 null cultures. These viability studies are nearly complete. Further studies to elucidate relevant mRNA and protein expression from these cultures are planned in the near future. The release time provided by the SAEM Research Training Grant has also allowed me to develop a significant collaboration with Dr. Jeffrey Bazarian, an
emergency medicine colleague at the University of Rochester, to study mild traumatic brain injury (mTBI). Specifically, we are conducting a multidisciplinary translational research project to develop surrogate serum markers for the accurate diagnosis of mTBI. Over the past year we have developed and implemented a protocol to use a relatively new MRI technology known as diffusion tensor imaging (DTI) to detect the axonal injury that is the predominant structural aberration in mTBI. Several mTBI patients have been scanned in an ongoing pilot study funded by a competitive intramural grant. I am a coinvestigator on an R 01 proposal submitted to the NIH for a larger study that will compare the serum proteome of mTBI patients with DTI identified axonal injury to the proteome of uninjured control patients. Proteins unique to the axonal injury proteome will be considered for development into clinically applicable surrogate markers for mTBI. This project spans many disciplines and includes collaborators from radiology, molecular biology, and neuropsychology. Data from these studies will be submitted in abstract form for presentation at the 2005 annual meetings of the Society for Neuroscience and the Society for Neurotrauma as well as the 2006 SAEM Annual Meeting. I also anticipate, with my mentor’s guidance, submitting an application for a Clinical Investigator Award (K 08) from the NIH in the near future. I am deeply grateful to SAEM for the opportunity provided by the Research Training Grant. I feel that the release time provided by this award has put a career in academic research within reach. Failure to secure significant release time like that provided with this award will substantially delay or even extinguish the success of new faculty interested in independently funded research careers. I am also indebted to the many colleagues and mentors that have continually encouraged me. I would like to specifically acknowledge Dr. Sandra Schneider, Dr. Howard Federoff, Dr. Jeffrey Bazarian, and Dr. David Rempe.
What is Educational Research: Getting Started in Educational Research Gloria J. Kuhn, DO, PhD Wayne State University Chair, SAEM Educational Research Subcommittee of the Research Committee This is article is part two of an article entitled, “What is Educational Research?” Part one of this article was published in the March/April 2005 issue of the SAEM Newsletter. Academic faculty need to engage in educational research for a number of reasons: 1) We have a responsibility to our students and colleagues to advance the state of our knowledge so that instruction can continually improve. This responsibility is similar to that felt by clinical researchers when they work to improve the health of their patients through research. 2) Promotion of academic faculty is still based upon publication of knowledge. Many faculty do not regard teaching excellence and innovation as scholarship until they are made public in some form or forum so that other scholars and educators have access to them and can learn from the efforts expended. 3) Academic faculty who do not achieve promotion are viewed with suspicion by their colleagues in academia. They do not achieve the respect, influence, or resources accorded to their colleagues who have achieved higher academic status. 4) Whether working in the community or university setting the residency review committees expect and demand that academic faculty will engage in scholarly activity and this translates to publication of articles in the fields of basic science, clinical medicine, or educational research. Educational research, as is true of other types of research, involves five stages. The first stage involves finding a problem to study. Most researchers find that it is best to conduct research in areas with which they are most familiar. As questions come to mind in the course of daily work and teaching activities, they should fulfill two criteria: the question of interest must be feasible to study and the results of the study should significantly contribute to knowledge or to the improvement of practice. The question needs to be of importance and of relevance to others. The second stage involves writing the proposal, the third is conducting a pilot study, the fourth is actually conducting the experiment, and the final stage is writing the report of the study. These five steps should be familiar to all who conduct any type of research. A number of articles have been writ-
ten on the subject of planning and conducting educational research. An article by Eva specifically considers medical education research and gives some examples. Shea discusses in some detail “good” research, the challenges encountered in certain projects, and some areas ripe for future research. Carline’s article on funding of research is an excellent place to start learning about how to find money for an educational research project. There are many textbooks on the topic of educational research, but few devoted to medical education research. An exception is the International Handbook on Medical Education and Research edited by Norman. As a reference text it can be of value as you approach the design of a project. The textbook by Campbell and Stanley is also an excellent reference. One of the fundamental steps in choosing a research question and designing a study in any field is to review the literature. For many physicians who wish to conduct educational research this may seem like a very difficult task. Physicians are introduced to the medical literature while still in medical school. During residency they attend journal clubs that critically review articles, they are expected to independently read articles pertaining to their patients, and major criticisms are leveled at attending physicians who “don’t keep up with the literature.” The result is that doctors become familiar with the medical literature, and are taught to conduct literature searches on medical subjects and to critically read the medical literature. They also become familiar with terminology and sources of information. Importantly, it takes time and effort to achieve this competency. By contrast, most physicians do not even consider the body of educational or medical education literature until they enter academic medicine. Although familiar with the National Library of Medicine’s (NLM) databases, they are not familiar with educational databases, have never read the psychological literature, and don’t know much of the
vocabulary and terminology used by educational researchers. Becoming familiar with this literature is as important for the person who wishes to conduct educational research as is the medical literature to physicians proposing to conduct clinical studies. There are a number of journals which are devoted to medical education including, Academic Medicine, Teaching and Learning in Medicine, Medical Teacher, and Medical Research. Becoming familiar with these journals is of value for learning what topics are of interest and will be publishable, learning terminology, and finding methods used in medical education research. Skimming the table of contents is a rapid start to finding areas of interest and articles which may be of value. Many medical specialty and subspecialty journals sporadically publish articles pertaining to education of their residents, medical students rotating on their service, or on faculty development. Occasionally, they may publish articles concerning continuing medical education of or behavior of their practitioners. These articles may have value depending upon the nature of the research project being conducted. There are numerous journals and groups which are devoted to literature on education. If you type “Journals on Educational Research” into the search engine “Google” you will find over 2,000,000 listings. Examples of these listed journals/educational research groups include Educational Research, the journal of the American Educational Research Association, the Australian Educational Researcher, and educational journals from Britain. The key question is, how valuable are they? That depends on your interests and motivation. Finding literature on a particular research question/topic will require more work. A first step may be to search the NLM using key words or Medical Subject Headings (MESH) terms that pertain to your area of interest. Helpful studies may be found in the medical education journals mentioned or may be published in specialty and
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What is Educational Research…(continued from previous page) subspecialty journals. A very valuable feature of Pubmed is the ability to click on the link “related articles.” This enables you to find other articles of interest in the area you are reviewing. After finding some pertinent articles, searching the database “Web of Knowledge/Web of Science” http:// www.isinet.com will allow you to conduct a “backward and forward” search of the article. This database lists the citations used by the author(s) of the article you are searching and also lists other articles that cited the article you found of value. You need a subscription to use this database but many libraries subscribe, giving faculty access. Ovid is another database that can be searched. It is similar to Pubmed but is not free. Its advantage is that it contains full text of some articles. Many libraries subscribe to Ovid. If you do not find any pertinent articles using Pubmed, Ovid, or Web of Knowledge you can search other educational databases. The Educational Resources Information Center (ERIC) is funded by the government and has a rich variety of articles and reports (over 440,000) pertaining to educational research. You can find the site at http://www.eric.ed.gov/. It is worth your time to browse the site and see what it has to offer. It can also be accessed by going to your library site, finding databases and looking for ERIC. At first, searches may be difficult until you become familiar with how to find pertinent material. A note of caution is in order: much of this material, unlike the medical literature, is not peer reviewed. There are a number of books which may help you. One of the most valuable is the Mental Measurements Yearbook which lists numerous psychological instruments which can be used for educational research. You can find this online at http://www.unl.edu/buros/. It has over 4000 tests in their database which can be searched either alphabetically or by category. Some examples include the Profile of Moods Measure, Coping with Stress, or The Creative Reasoning Test. This book gives the validity and reliability of the instrument, contact information, the uses of the test and cost to purchase. While the online site requires a subscription, your library can usually supply you with access. If you go to “Google” and type in
“Google scholar” you will be linked to a site that is devoted to information on scholarship. Google Scholar “enables you to search specifically for scholarly literature, including peer-reviewed papers, theses, books, preprints, abstracts and technical reports from all broad areas of research. Use Google Scholar to find articles from a wide variety of academic publishers, professional societies, preprint repositories and universities, as well as scholarly articles available across the web.” (copied from the website which was accessed January, 2005). http://scholar.google. com/scholar/about.html is a site with answers to frequently asked questions regarding Google Scholar. There is another website which you may find useful as you write your manuscript: www.refdesk.com. This site will give you access to a free dictionary and thesaurus as well as other information. Finally, and perhaps most helpful, find a medical and/or university librarian. He or she can be a wealth of information on helping you to find pertinent literature, an elusive reference, or a host of valuable databases. The library subscribes to many online journals and databases, all of which can be accessible to any faculty member. Finding a mentor to guide you in designing and carrying out a research project will require some searching similar to the searching done by clinicians who are interested in performing clinical research. Your own institution is likely to have specialists in education and research. The director of medical education, an associate dean for faculty affairs, or the director/associate dean of faculty development at your institution are all personnel who may be able to help in your search. Other medical departments in your institution may have hired educational specialists who would be interested in collaborating with you. Members of specialty societies such as SAEM or CORD have members who may want to work on a project. The AAMC is starting a program to develop medical education researchers and as part of this effort the society is working on beginning a mentoring program. It is still in the early stages of development. Finally, the College of Education at your university may have people who are looking for opportunities to collaborate in medical education projects. 17
It may be of interest to investigators to look at what leaders in the field of medical education feel are areas which need investigation. Types of studies and details of methodology are as varied in education as they are in medicine. Unfortunately, research methods are rarely reported in the literature. Despite the myriad possibilities of topics for study, they can be categorized into some broad areas. A meeting of the Society of Directors of Research in Medical Education, held in 2000, created an agenda of critical topics for systematic reviews. The most cited topic was curricular design, which is interesting considering the inherent difficulties in performing this type of research. Other topics needing systematic study included learning and instructional design, testing and assessment, and outcomes of medical education. Conclusion Research in medical education has accomplished a great deal over the last 30 years but must continue to build upon this legacy. Funding needs to be secured which would allow high quality studies and long term research to be conducted. Researchers need to collaborate so that multi-center studies can occur. Large databases of information about medical education (similar to the databases of clinical medicine now being compiled) and results of instruction and constructed learning environments need to be compiled and made available to researchers. Periodic overviews of the field such as that performed by Bordage, Norman, and Prystowsky need to be carried out so that strengths and gaps in the field can be assessed. More work needs to be done in the areas of patient care outcomes. As noted by Chen the main reason for medical education is to produce physicians who deliver high quality care, and we have not yet performed the research needed to demonstrate the link between education and delivery of high quality medical care. Various forms of medical education and learning environments must be studied to determine which best assist providers in the delivery of patient care. Assessment of the quality of this care must occur in the clinical setting. Research into how to ensure that providers engage in life-long learning, and what effect this learning has in
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2005 New England Regional Meeting The New England Research Directors (NERDS) have organized the 9th Annual New England Regional SAEM Meeting which will take place on April 27, 2005. This year marks the beginning of a new cycle of regional meetings as the meeting has returned to Rhode Island Hospital and Brown University which first hosted the event in 1994. The NERDS have successfully handed off the regional meeting across all of the nine residency programs in the New England Region. Each hosting institution has maintained a format of posters, oral presentations and national keynote speakers that remains well received. This year’s keynote address will be provided by both Marc Shapiro, MD, and James Gordon, MD, MPA, on the “Role of High Fidelity Medical Simulation in Advancing
Emergency Medicine in Undergraduate and Post-Graduate Education." They will also orchestrate an afternoon ‘handson’ workshop for meeting participants featuring both the Laerdel SimMan and the Meti Human Patient Simulators. This will provide participants, and others interested in establishing simulators, a good opportunity to understand these educational assets and how they are best used in both medical school and post-graduate training programs. As in past years, the New England Regional SAEM Meeting will be held at the Hoaglund Pincus Conference Center due to its central location. Contact Gregory D. Jay MD, PhD, at email@example.com for further information.
What is Educational Research…(continued from previous page) assisting them in maintaining competency, is vitally important both to physicians and society. References 1. Merriman Webster online Dictionary. 2004. 2. Norman, G., C. Van Der Vleuten, and D. Newble, Introduction and Forward, in International Handbook of Research in Medical Education, G. Norman, C. Van Der Vleuten, and D. Newble, Editors. 2002, Kluwer Academic Publishers: Boston, MA. p. ix. 3. Norman, G., Research in medical education: three decades of progress. Bmj, 2002. 324(7353): p. 1560-2. 4. Wartman, S.A., Revisiting the idea of a national center for health professions education research. Acad Med, 2004. 79(10): p. 910-7. 5. Carline, J.D., Funding medical education research: opportunities and issues. Acad Med, 2004. 79(10): p. 918-24. 6. Goldstein, B., Where do we go from here? Acad Med, 1994. 69(8): p. 625-27. 7. Wartman, S.A. and P.S. O'Sullivan, The case for a national center for health professions education research. Acad Med, 1989. 64(6): p. 295-9. 8. Kaiser, J., The winners. Even in a time of plenty, some do better than others. Science, 2001. 292(5524): p. 1995-7. 9. Ericcson, K., Attaining Excellence
Through Deliberate Practice: "Insights from the Study of Expert Performance", in The Pursuit of Excellence Through Education, M. Ferrari, Editor. 2002, Lawrence Erlbaum: Mahwah, NJ. 10. Davis, D.A., et al., Changing physician performance. A systematic review of the effect of continuing medical education strategies. Jama, 1995. 274(9): p. 700-5. 11. Oxman, A.D., et al., No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. Cmaj, 1995. 153(10): p. 1423-31. 12. Regehr, G., Trends in medical education research. Acad Med, 2004. 79(10): p. 939-47. 13. Prystowsky, J.B. and G. Bordage, An outcomes research perspective on medical education: the predominance of trainee assessment and satisfaction. Med Educ, 2001. 35(4): p. 331-6. 14. Bordage, G., Reasons reviewers reject and accept manuscripts: the strengths and weaknesses in medical education reports. Acad Med, 2001. 76(9): p. 889-96. 15. Norman, G.R. and S.I. Shannon, Effectiveness of instruction in critical appraisal (evidence-based medicine) skills: a critical appraisal. Cmaj, 1998. 158(2): p. 177-81. 16. ten Cate, O., What happens to the student? The neglected variable in educational outcome research. Adv Health Sci Educ Theory Pract, 2001. 6(1): p. 81-8. 18
17. Thomas, J. and W. Rohwer, Proficient Autonomous Learning: Problems and Prospects, in Cognitive Science Foundations of Instruction, Rabinowitz, Editor. 18. Campbell, D. and J. Stanley, Experimental and QuasiExperimental Designs for Research. 1963, Boston, MA: Houghton Mifflin Co. 19. Nieman, L.Z., et al., Implementing a comprehensive approach to managing faculty roles, rewards, and development in an era of change. Acad Med, 1997. 72(6): p. 496-504. 20. Eva, K.W., Issues to consider when planning and conducting educational research. J Dent Educ, 2004. 68(3): p. 316-23. 21. Shea, J.A., L. Arnold, and K.V. Mann, A RIME perspective on the quality and relevance of current and future medical education research. Acad Med, 2004. 79(10): p. 931-8. 22. Norman, G. and C. Van Der Vleuten, eds. International Handbook of Research in Medical Education. 2002, Kluwer: Boston, MA. 23. Wolf, F.M., J.A. Shea, and M.A. Albanese, Toward setting a research agenda for systematic reviews of evidence of the effects of medical education. Teach Learn Med, 2001. 13(1): p. 54-60. 24. Chen, F.M., H. Bauchner, and H. Burstin, A call for outcomes research in medical education. Acad Med, 2004. 79(10): p. 955-60.
Interest Group Meetings in New York City All SAEM interest groups are required to meet during the SAEM Annual Meeting. Many have elected to develop an agenda for dissemination to the membership. All SAEM members are invited to attend the interest group meetings. Membership in the interest groups is not required and there is no registration fee.
Saturday, May 21
Contact: Michael Brown, MD: firstname.lastname@example.org
Ethics, 5:00-6:00 pm Contact Raquel Schears, MD: email@example.com
Trauma, 1:30-2:30 pm Contact: James Holmes, MD, MPH, firstname.lastname@example.org
Sunday, May 22, 2005 Patient Safety, 12:00-1:00 pm Contact: Karen Cosby, MD: email@example.com
Public Health Subcommittees, 12:00-1:00 pm Contact: Carlos Camargo, MD, DrPH: firstname.lastname@example.org
Geriatric, 12:00-1:30 pm Contact: Manish Shah, MD: email@example.com
Neurological Emergencies, 3:00-5:00 pm Contact: Andy Jagoda, MD: firstname.lastname@example.org
Simulation, 1:00-3:00 pm Contact: John Vozenilek, MD: email@example.com
Toxicology, 12:00-1:00 pm Contact: Kennon Heard, MD: firstname.lastname@example.org
Ultrasound, 2:00-4:00 pm Contact: Lawrence Melniker, MD: email@example.com
Medical Student Educators, 4:00-5:00 pm Contact: Lynda Daniel Underwood, MD: LDaniel@ahs.llumc.edu
Web Educator's Interest Group, 3:00-4:00 pm Contact: Michael Gillam, MD: firstname.lastname@example.org
Monday, May 23, 2005 Health Services and Outcomes Research, 10:00-11:30 am Contact: Shari Schabowski, MD: email@example.com
EMS, 4:00-5:00 pm Contact: Jonnathan Busko, MD: firstname.lastname@example.org
Airway, 10:30-12:00 noon Contact: Barry Brenner, MD, PhD: BrennerBarry@uams.edu
Uniformed Services, 4:30-5:30 pm Contact: Robert Gerhardt, MD: email@example.com
Clinical Directors, 12:00-1:00 pm Contact: Frank Zwemer, MD: firstname.lastname@example.org
Airway Interest Group Agenda 1. Welcoming remarks and orientation to the committee and structure 2. Thoughts about restructuring the committee, direction, presentations, collaborations, research ideas 3. Report of Research Subcommittee, Barry Diner, MD 4. Report of Education Subcommittee, Michael Radeos, MD 5. Report of Program Subcommittee, Adrian Tyndall, MD 6. Presentation of potential collaborations. 7. Presentation of research ideas 8. Election of New Chairman
Palliative Medicine, 12:00-1:30 pm Contact: Tammie Quest, MD: email@example.com Public Health, 12:00-2:00 pm Contact: Carlos Camargo, MD, DrPH: firstname.lastname@example.org Diversity, 1:00-3:00 pm Contact: Kevin Ferguson, MD: email@example.com .edu
Mentoring Women Interest Group On Monday, May 23 the Mentoring Women Interest Group will meet from 1:30 – 3:00 pm. The interest group is delighted to have Dr. William Barsan, Chair of Emergency Medicine at the University of Michigan Health System will address the group with a presentation entitled “Women in Academic Medicine.” The interest group will then discuss plans for the upcoming year and elect officers to continue the mission of mentoring women in academic emergency medicine.
Mentoring Women, 1:30-3:00 pm Contact: Susan Promes, MD: firstname.lastname@example.org CPR/Ischemia/Reperfusion, 2:00-3:00 pm Contact: Norm Paradis, MD: email@example.com Research Directors, 4:00-6:00 pm Contact: David Karras, MD: firstname.lastname@example.org International, 4:00-6:00 pm Contact: Jeff Smith, MD: email@example.com
Palliative Medicine Interest Group Are you or your residents troubled by the lack of core training and research in pain management, end-of-life communication skills, or the management of ‘suffering’ in the emergency department? Do patients that present to the ED with a variety of physical and non-physical complaints related to dementia, cancer, heart failure or pulmonary disease frustrate residents and faculty? Are you concerned about teaching your residents how to discuss end-of-life issues or disclose the death
Pediatric, 5:00-6:00 pm Contact: Meta Carroll, MD: firstname.lastname@example.org
Tuesday, May 24, 2005 Disaster Medicine, 9:00-10:00 am Contact: Richard Schwartz, MD: email@example.com Evidence Based Medicine, 11:00-12:30 pm 19
of a loved one to a family? If so, you should consider checking out the Palliative Medicine Interest Group. This group is principally concerned with defining educational and research objectives for emergency medicine in the area of palliative medicine. Palliative Medicine is the study and treatment of patients living with life-threatening or severe advanced illness expected to progress toward dying and where care is particularly focused on alleviating suffering and promoting quality of life. Major components are pain and symptom management, information sharing, advance care planning, and coordination of care, including psychosocial and spiritual support for patients and their families. Save the date and time for Monday May 23 at 12:00-1:30 pm in the Madison Room.
First formed in 2004, the USIG strives to provide a forum for both military and other uniformed services academic emergency physicians within the SAEM organization, as well as to promote cooperation among military EM training and research programs. USIG also endeavors to recruit and involve military EM physicians into the academic environment, and promote SAEM membership within this unique community. Non-military EM physicians and other interested parties are welcome to attend and participate in USIG activities. Ultrasound Interest Group Meeting Agenda 1. Opening Remarks 2. Interest Group Update • US Image Bank • Research Consultation Service • World Congress 3. The State of PLUS • Evidence-based Medicine applied to PLUS: 20002005 4. Didactics Sessions • PLUS in Medical Resuscitation • User Friendly Digital Archiving and Record Keeping • New Procedural Applications 5. Interest Group Awards • Excellence in Education • Excellence in Research 6. New Business • Introduction of Chair 2005-6: Chris Moore • Election of Chair-elect for 2006-7 • Open floor for other new business
Clinical Directors Interest Group The Clinical Directors Interest Group will be meeting on May 23 at 12:00-1:00 pm in the Morgan Room during the Annual Meeting. Key issues will be to determine leadership for the coming year, and to make decisions about on-going activities, including the Clinical Directors' survey. The agenda will include: Review activities of the last year; election of new Chair/Co-Chair; Clinical Directors’ survey – next step; other academic activities; and other activities. Diversity Interest Group The Diversity Interest Group (DIG) will hold its meeting on Monday May 23, from 1:00-3:00 pm. The DIG will be continuing work from last year including a follow up report on the Focus Group data from last year, developing a diversity consult service, and assisting the Diversity in Curriculum Task Force in their efforts. There are two items of new business. There was a request to revise the position statement written mostly by the DIG several years ago, and the DIG is scheduled to elect new officers this year. There will also be time preserved for member items of business so please everyone bring your ideas for the new officers to begin their work.
International Interest Group Active Items 1. List-serv update – optimizing use Discuss ongoing international projects Enlist volunteers for short international assessment and teaching trips Collaborate on international research 2. International faculty mentorship program 3. Primer for international EM resident rotations 4. Fellowship list-servs – Fellowship Director listserv Fellows Listserv 5. Scholarships for international faculty New Items 1. Upcoming international meetings 2. New York Symposium Update 3. New Fellowship programs 4. Proposals for didactic sessions 2006 5. SAEM Task Force 6. Additional items 7. Elections: chair, vice-chair, secretary 8. Items for SAEM meeting at ACEP (Washington, DC) Educational Session – Challenges in establishing EM residencies abroad
Geriatric Interest Group The Geriatric Interest Group will meet on Tuesday, May 24, from 12:00-1:30 pm in the Clinton Room. The geriatric oral abstract presentations are scheduled to follow this meeting. Our speaker is going to Dr. Sean Morrison from Mt. Sinai. Dr. Morrison is a nationally recognized leader and researcher in geriatrics and palliative care, with a particular interest in detecting and managing pain in acute care hospitals and pain and symptom management in high risk and medically underserved populations. He has received many awards for his research and is an excellent speaker. His talk will address pain management in the older adult patient. International Interest Group The International Interest Group will meet on Monday, May 23 from 4:00-6:00 pm in the Clinton Room. Annual meeting and elections 4:00-5:20 pm; educational session from 5:20-6:00 pm. Uniformed Services Interest Group The Uniformed Services Interest Group will conduct a business meeting on Tuesday, May 24 at 4:30 pm. The agenda will include introductions, elections, and initial planning for the launch of the Military Emergency Medicine Research Collaboration (MEMREC).
The 2005 NRMP Match in Emergency Medicine Louis Binder, MD, Cleveland, Ohio MetroHealth Medical Center/Cleveland Clinic/Case Medical School The results of the 2005 NRMP Match became final on March 17, 2005. Emergency Medicine residency programs offered a total of 1332 entry level positions (5.5% of total positions in all specialties). The following numbers (taken from the 2005 NRMP Data Book) include information from all programs that entered the 2005 Match: Total # of NRMP positions Overall % of positions unfilled Number of EM programs listed Total PG1/PG2 entry positions EM positions/total NRMP positions # EM programs with PG1 vacancies # unmatched EM PG1 positions # EM programs with PG2 vacancies # unmatched EM PG2 positions Total # EM programs with vacancies Total # unmatched EM positions
2003 23,365 9% 125 (112 PG1, 13 PG2) 1251 (1114 PG1, 137 PG2) 5.4% 17/112 (15%) 41/1114 (3.7%) 4/13 (31%) 7/137 (5%) 21/125 (17%) 48/1251 (3.8%)
2004 23,704 8% 129 (116 PG1, 13 PG2) 1295 (1151 PG1, 144 PG2) 5.5% 7/116 (6%) 22/1151 (2%) 1/13 (8%) 2/144 (2%) 8/129 (6%) 24/1295 (2%)
2005 24,012 7.5% 132 (119 PG1, 13 PG2) 1332 (1188 PG1, 144 PG2) 5.5% 6/119 (5%) 23/1188 (2%) 1/13 (8%) 1/144 (0.7%) 7/132 (5%) 24/1332 (2%)
Applicant Pool Data Applicants who ranked only EM programs: US graduates Independent applicants Total applicants
2003 856 300 1156
2004 1014 360 1374
2005 1056 324 1380
1062 433 1495
1146 360 1506
1207 481 1688
Applicants who ranked at least one EM program: US graduates Independent applicants Total applicants US seniors applying only to EM Programs who went unmatched
Independent applicants applying only to EM programs who went unmatched
Percent of matched US seniors who matched in EM residencies
2004 1151 892 (77%) 237 (21%) 1129 (98%) 144 119 (83%) 23 (16%) 142 (99%)
2005 1188 950 (80%) 214 (18%) 1164 (98%) 144 120 (83%) 24 (17%) 144 (100%)
Breakdown of filled EM positions by type of applicant: PG1 EM positions Filled by US graduates Filled by independent applicants Total filled PG2 EM positions Filled by US graduates Filled by independent applicants Total filled
2003 1114 859 (77%) 214 (19%) 1073 (96%) 137 97 (71%) 33 (24%) 130 (95%)
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2005 NRMP Matchâ€Ś(continued from previous page) Total EM positions Filled by US graduates Filled by independent applicants Total filled
1251 956 (76%) 247 (20%) 1203 (96%)
1295 1011 (78%) 260 (20%) 1271 (98%)
1332 1070 (80%) 238 (18%) 1308 (98%)
** For PG1 filled entry positions (1308), 1070 were filled by US seniors, 89 were filled by US physicians, 94 by osteopathic physicians, 44 by US international medical graduates, 6 by international medical graduates, 2 by Canadian physicians, and 3 by Fifth Pathway graduates. From these data, several conclusions can be drawn: 1. Emergency Medicine experienced an increase of 37 entry level positions in the 2005 Match over 2004 Match numbers (a 2.9% increase), occurring from a combination of quota increases occurring in EM 1-3 and 1-4 programs, and three new programs in the EM match. Emergency Medicine now comprises 5.5 percent of the total NRMP positions and 8.4% of matched US seniors (both all time highs). 2. The overall demand for EM entry level positions increased substantially, from 52 additional US graduates ranking only EM programs to 113 more US graduates and 182 more total applicants ranking at least 1 EM program in 2005, after similar levels of growth of the applicant pool in 2004. The majority of this increase came from US seniors who ranked EM programs. This growth in demand for EM positions far exceeded the increase in supply of positions. The excess applicant demand over and above the size of the training base is 48 to 356 applicants (4% to 27% surplus), depending on how the parameters of the applicant pool are determined. 3. The proportions of EM positions filled by US seniors versus Independent Applicants (US graduates, Osteopaths, and International Medical Graduates) increased in 2005 compared with 2004. In 2005, 87% of EM entry positions were filled with US graduates, compared with 85% in 2004. 4. An increase of 37 in the supply of EM entry level positions in 2005, coupled with an increase in demand by 52 to 182 applicants and a higher proportion of EM positions filled by US seniors and US graduates, resulted in an equivalent fill rate for EM programs in 2005 (98%). The cumulative effect of these three trends was also manifested by an equivalent number of unfilled EM positions in the Match (24 in 2005, same as in 2004). 5. As a counterintuitive effect of these cumulative trends, the unmatched rate for US seniors going into EM dropped this year, from 7.0% in 2004 to 6.2% in 2005, despite the increase in demand over supply. This likely reflects the impact of a higher fill rate of positions by US seniors and US graduates. The unmatched rate of 6.2% for US seniors, and 39% for Independent Applicants going into EM, continue to support the notion that most US seniors and Independent Applicants who apply will match into an EM residency.
2006 Annual Meeting: Call for Abstracts May 18-21, San Francisco, CA Deadline: Tuesday, January 10, 2006 The Program Committee is accepting abstracts for review for oral and poster presentation at the 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 Tuesday, January 10, 2006 at 5:00 pm Eastern Time and will be strictly enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions will be available on the SAEM website at www.saem.org in November. For further information or questions, contact SAEM at firstname.lastname@example.org or 517-485-5484 or via fax at 517-485-0801. Only reports of original research may be submitted. The data must not have been published in manuscript or abstract form or presented at a national medical scientific meeting prior to the 2006 SAEM Annual Meeting. Original abstracts presented at national meetings in April or May 2006 will be 22 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. 22
SAEM 2006 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 8, 2005. 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 3, 2005. 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 3, 2005. 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 memberâ€™s department to further research and education. Deadline: November 3, 2005. 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 in-depth 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 3, 2005. Further information and application materials can be obtained via the SAEM website at www.saem.org.
More Programs Participate in Resident Group Discounted Membership In the November/December 2004 issue of the Newsletter SAEM reported on the many emergency medicine residency programs that participate in the SAEM Resident Group Discounted Membership Program. This program allows all, or nearly all, of the residents in a program to become members of SAEM at the discounted rate of $75 per resident. The $75 membership fee provides a free subscription to Academic Emergency Medicine and the SAEM Newsletter, as well as a discounted registration fee to attend the Annual Meeting, and the regular mailings of the Society. Since the publication of the November/December Newsletter additional residency programs are now participating in the program. The programs include:
Christ Hospital East Carolinas University Hennepin County Medical Center Johns Hopkins University Maricopa Medical Center Mt. Sinai, New York Ohio State University St. Luke's Hospital, Pennsylvania University of Alabama University of Louisville There are now 73 emergency medicine residency programs who participate in the resident group discount program, and in the past year that has accounted for 2200 resident members in the Society. 23
Ethical Conduct of Resuscitation Research
Academic Emergency Medicine Consensus Conference May 21, 2005 8:00-8:45
Opening Remarks: A Historical Perspective on the Final Rule for Conducting Research using Exception from Informed Consent, Michelle Biros, MD, MS This session will also include an electronic survey of the participants. 8:45-9:30 Panel: Update of Existing Research about the Rules, Lynne Richardson, MD, Terri Schmidt, MD, Roger Lewis, MD, PhD This session will provide an overview of research that has been published on the effectiveness of the current rules. 9:45-11:15 Breakout Sessions: Protecting Subjects 11:15-12:00 Reports of Breakout Sessions 12:00-1:30 Lunch and Keynote Address Traumatic Consent: Ethics and Emergency Medical Research, Glenn McGee, MD, The John A. Balint Professor of Medical Ethics, Director of the Center for Medical Ethics, Albany Medical Center, Editor, the American Journal of Bioethics 1:30-3:00 Breakout Sessions: Impact on Research 3:15-4:00 Reports of Breakout Sessions 4:00-4:30 Electronic Survey of Participants 4:30- 5:00 Closing and Consensus Process
Can prisoners ever be enrolled? What special safeguards are needed for other special groups (elderly people, persons with mental illness)? What are the future research directions that should be taken to further study the regulations?
Determining how well the rules are currently protecting subjects ● What is empirically known about whether or not the current rules provide adequate protection of subjects in resuscitation research? ● What is known about the best methods of community consultation and notification? ● What are the future research directions that should be taken to further study the regulations? Afternoon breakout sessions: Impact on Research Using the regulations in research ● What evidence exists that research is hindered by these regulations? ● What evidence exists that research has successfully used these regulations? ● What are the future research directions that should be taken to further study the regulations? Researchers understanding of the guidelines ● What is known about the direction that has been provided to researchers about how and when to use exception to consult? ● What more is needed to interpret the guidelines? ● What are the future research directions that should be taken to further study the regulations?
Morning breakout sessions: Protecting Subjects Communicating with communities ● What constitutes effective community consultation and public disclosure? ● How is this measured? ● What is known about the best methods of community consultation and notification? ● How should community consultation and public disclosure address language barriers, ethnic minorities and cultural diversity? ● What are the future research directions that should be taken to further study the regulations?
Research conditions that qualify for exception to consent ● What is the definition of life-threatening condition? ● How is equipoise determined? ● What level of evidence is required before an intervention can be tested? ● What is empirically known about whether or not the current rules create undue barriers to performing important resuscitation research? ● What are the future research directions that should be taken to further study the regulations?
Communicating with subjects ● What is known about whether or not emergency department patients can ever give informed consent? ● Who can/should consent for subjects? (Patient, surrogate?) ● Can research assistants adequately consent subjects? ● What is known about readability and subject understanding of consent documents? ● What are the future research directions that should be taken to further study the regulations?
Issues related to IRBs Review ● How do IRBs balance the risk to subjects in the proposed research with the potential benefit? ● What criteria should IRBs use in evaluating the community consultation and public disclosure plan for a study? ● What are the future research directions that should be taken to further study the regulations? The AEM Consensus Conference is designed to attract a broad audience including resuscitation researchers, ethicists, IRB members and regulators. The goals of this conference are twofold. First, the conference is designed to provide an
Research without consent with subjects with diminished capacity ● What if any, special safeguards should apply before enrolling children into studies using exception to informed consent?
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2005 CPC Semi-Final Competition Participants Selected This year 77 EM residency programs submitted cases for consideration of presentation at the 2005 CPC Semi-Final Competition in New York City on May 21. The CPC Committee has selected 60 cases. There will be 6 simultaneous tracks of CPC cases. A Best Presenter and Best Discussant will be selected from each track and the winners will compete at the CPC Finals, which will be held on September 26 in Washington, DC. The CPC Competiton is sponsored by ACEP, CORD, EMRA and SAEM. Alameda County Medical/Highland General Hospital Albany Medical Center Albert Einstein/Beth Israel, New York Albert Einstein Medical Center, Philadelphia Baystate Medical Center Beth Israel Deaconess Medical Center Boston Medical Center Brown University Carolinas Medical Center Christiana Care Combined EM/IM Program Christiana Care Cook County Hospital Duke University George Washington University Harvard University Henry Ford Hospital Indiana University Lehigh Valley Hospital Lincoln Medical & Mental Health Center Long Island Jewish Medical Maimonides Medical Center Maine Medical Center Mayo Clinic Medical College of Georgia Morristown Memorial Hospital Mount Sinai Medical Center Naval Medical Center, Portsmouth Newark Beth Israel Medical Center New York University/Bellevue Northwestern University
Oregon Health & Science University Regions Hospital Resurrection Medical Center San Antonio Uniformed Services Health Education St. Lukes-Roosevelt Stanford/Kaiser State University of New York, Buffalo State University of New York, Downstate/Kings County Synergy/Michigan State University, Saginaw Temple University Thomas Jefferson University UCLA-Olive View UMDNJ-Robert Wood Johnson/Cooper Hospital University of Alabama University of California, Davis University of California, Irvine University of California, San Diego University of Cincinnati University of Florida University of North Carolina University of Pennsylvania University of Pittsburgh University of Rochester University of South Florida University of Texas Southwestern University of Virginia University of Washington/Madigan Army Washington University, St. Louis William Beaumont Hospital Yale-New Haven Hospital
Ethical Conductâ€Ś(continued from previous page) opinions in real time. The final product of the conference will be a special issue of Academic Emergency Medicine published in November, 2005. This conference is partially funded by a special grant from Association of American Medical Colleges (AAMC) and the Office of Research Integrity.
overview of the current status of the regulations in order to increase understanding of how the rules are currently working. Secondly, this is a consensus conference with the goal of developing consensus on the important issues for subjects and researchers surrounding these regulations. Several innovative methods will be used to develop consensus. Each of the small groups will be asked to discuss and develop consensus statements on broad questions. In addition, the day will begin and end with participant surveys using sophisticated electronic tools to gather and report participate
Interested people can register for the conference at http://www.saem.org/meetings/05regisform.html. The registration fee is only $50 and includes lunch.
ACADEMIC RESIDENT News and Information for Residents Interested in Academic Emergency Medicine
Edited by the SAEM GME Committee
Teaching Procedural Skills in the Emergency Department: See some, practice some, do some, teach some? Paul E. Phrampus, MD University of Pittsburgh Senior emergency medicine residents may find teaching procedural skills to junior residents part of their responsibilities in the Emergency Department (ED). The Model of the Clinical Practice of Emergency Medicine lists 53 major procedures that residents should become competent to perform during their training tenure. Many methods may successfully teach procedural skills including bedside teaching, simulations, animal models, and computer teaching labs. The purpose of this article is to describe some of the skills and strategies needed to effectively teach procedural skills at the bedside in the ED. Some may try to discredit the paradigm of “See one, do one, teach one.” Perhaps if the model was renamed “See some, practice some, do some, teach some” it would be less criticized and might be more aligned with the training emergency medicine residents receive. Procedural skills are broken down into two principle components: one didactic, the other psychomotor implementation. These are both integral to successfully teaching procedural skills. The didactic component of a procedural skill is oftentimes overlooked, or at least glossed over, in a busy ED. Knowledge of the procedure must be mastered to allow for an adequate weighing of the risks and benefits to afford an appropriate discussion with the patient or family members when obtaining informed consent. Additionally, a thorough understanding of the procedure may contribute to successful completion of the procedure. Senior residents should discuss the procedure with the junior resident to augment the junior’s knowledge base and gauge the level of supervision that will be required. At a minimum, the discussion should include indications, contraindications, risks and benefits, equipment set-up, and anatomical considerations for a particular procedure. The appropriate time and place for a discussion to review the procedure is a matter of style but requires sensitivity toward the patient, acuity of the clinical scenario, and technical aspects of the procedure. For example, it might be appropriate to have a discussion with a resident about risk factors for infection during a wound closure, but it may be disconcerting to the patient if the instructor reviews anatomic landmarks in front of the patient before placing a central line. Break the procedure into steps and review the major steps with all but the most experienced of trainees before beginning the task. Emphasize proper equipment and force the trainee to think through and pre-analyze the procedure in detail from beginning to end, allowing the trainee to set up more efficiently, and in a more organized fashion. Identify the critical actions needed to successfully complete each component step in the procedure. Close observation of the trainee during the procedure is 26
critical. If there are glaring omissions or errors, or if the operator appears uncertain, it is best to stop and regroup. For example, if the junior resident cannot connect a blade to the laryngoscope handle, the intubation is delayed until some remediation occurs. Careful consideration of the urgency of the situation dictates if the trainee is allowed to proceed or if stepping in and taking over the procedure is needed. If the trainee sets up appropriately, but makes a simple omission such as forgetting to have suction ready, the senior resident can simply make a teaching point by saying, “I’ll turn on the suction for you.” This technique works well and usually makes a strong teaching point, but does not undermine the confidence of the trainee. Psychomotor skills are developed during the procedure. It is tempting to take over the procedure at the first sign of difficulty, but it is important to assist the trainee in developing procedural competency. Balance patient discomfort and the potential for harm against the importance of success to the trainee. If it becomes necessary to perform a portion of the procedure, remember that the remaining parts of the procedure provide an important kinesthetic experience for the trainee. For example, making a difficult venipuncture may be required if a junior resident struggles during central line placement, but the rest of the procedure has many tasks and psychomotor experiences that the trainee will benefit from if allowed to perform them. Improper technique must be corrected immediately. Incorrect psychomotor skills can be quickly learned if not identified and remediated. There should be a thorough debriefing as close to the end of the procedure as possible while the trainee is still mentally engaged. Review things that the trainee performed well and competently, as well as areas of needed improvement. It is helpful during the debriefing to discuss options if things did not go as planned. While a back up plan for a difficult intubation is discussed before the procedure, discussing alternatives to the usual lumbar puncture technique may be held after the procedure has been successfully completed. Teaching procedures to junior residents can be complex, but remains a crucial task for senior residents. The following steps are important: 1. Ensure the trainee has mastery of the required didactic material 2. Break the procedure into component parts, review each step 3. Closely observe the procedure balancing patient safety and comfort against training 4. Correct psychomotor errors when they occur 5. Debrief the resident, positively reinforcing successes, correcting errors and discussing alternatives
Guide for Students and Residents: Getting the Most out of the Annual Meeting Carey Chisholm, MD Indiana University SAEM President Judd Hollander, MD University of Pennsylvania Program Committee Chair, 2005 Annual Meeting One of the delights of the SAEM Annual Meeting is that it serves as the premier showcase for the latest research developments within our specialty. This year over 500 abstracts were accepted for presentation. The material you see at the Annual Meeting will be the basis of the manuscripts you read in our journals over the next few years, and the material referenced in new text books up to 5 years from now. This truly represents the “cutting edge” of our specialty. Oral Paper Presentations Listed abstract titles for each topic session are available in the brochure. The abstract supplement to the May issue of Academic Emergency Medicine contains the full abstracts. You can use those to decide whether or not the session will be of interest to you. It is somewhat possible to travel between 2 competing paper sessions, although there may be up to 5-10 minutes differential in presentations depending on the length of the discussion. Paper sessions have a moderator who is tasked with keeping the session on time, stimulating discussion about the material presented, and assuring that dialogue from the questioners is professional and constructive. Many students and residents are leery of going to the microphone because they are afraid that their question may be foolish. Try jotting down a list of questions that come to mind during a presentation, and then see how often those are asked by more seasoned veterans. You’ll learn that your questions are not foolish at all! However, if your question was not answered and the topic of tremendous interest to you, you should approach the presenter at the end of the session and ask…they are invariably delighted by your interest. This is a great way for you to meet some of the leading researchers in the field. Poster sessions are informal. You are encouraged to browse (they are arranged by topic). The poster presenters are usually very willing to discuss their work, and so it’s a great time to network in a topic area. You may want
to look through the list of titles, circle those of interest, and go up to the poster discussant and say “would you mind walking me through your work?” They almost always are very happy to give you a quick 30-60 second synopsis…you can then say “very interesting, thank-you” and gracefully walk away if you aren’t impressed, or use that as a springboard to give them feedback, ask further questions, etc. Contrary to “urban legend”, the poster presentations are not the “second rate” research material. And remember, receiving constructive critique is one of the major reasons that the presenter attends the meeting. If something is unclear to you, let them know…they’ll need to address that when they write the manuscript so you are actually helping them with their work. Moderated Poster sessions incorporate a hybrid between the paper session and the poster. The presenter walks the group through their poster, which is followed by a brief interactive discussion, which is led by a moderator. The Photography Exhibit & Visual Diagnosis Contest (open to residents and students with a nice prize for both) and the Clinical Pearls photo cases are always well done. Visit these in the Exhibit Hall when other sessions of less interest are in progress. Didactic Sessions These are designed for specific targeted audiences, and you can usually easily ascertain whether or not the session will be of value. These sessions are formally submitted to a subcommittee of the Program Committee (PC) for review of content, time and presenter(s). Such submissions come from within the PC, from individuals, or from SAEM committees, task forces, or interest groups. SAEM is exclusively responsible for all of the content at the Annual Meeting, so you won’t find “canned” talks prepared by a third party. Letting your program director know about sessions that you thought were of particularly high quality is helpful…your PD may wish to invite that speaker to your residency to give Grand Rounds based upon your recommendation. 27
Interest Group Meetings Interest Groups (IG) are considered a “grass roots” forum within SAEM for members with similar interest areas. Some are very structured and have resulted in research collaborative networks or the creation of educational products, while others are primarily network facilitating. Consider sitting in on any that are of interest to you. These meetings are open to you, whether or not you are a member of the IG. This, again, is a great way to meet with others who share your common interests. Meeting times are listed in the brochure. Committees and Task Forces These are the work horses of our organization. However, all of these are open to the general membership, so you may wish to attend any that are of interest to you. Committees have long term roles with annual objectives assigned by the Board of Directors. Task Forces are created for short term (1-2 years) objectives…usually addressing a specific problem or opportunity. In addition to the scientific content each day, here are a few sessions that may be of potential interest to you as a resident participant. These are not meant to be inclusive, but instead to highlight the different venues available for information exchange at the Annual Meeting. Sunday, May 22 ● Plenary paper session: These abstracts are selected to showcase a sampling of some of the most timely or interesting clinical and basic science research submitted to the Program Committee. This will provide you with an idea of the format for oral paper presentations…other sessions are always smaller and more intimate as this is the only scientific session with no other concurrent activities. ● State of the Art sessions: Another unique feature of the didactic sessions at SAEM. This showcases an issue of “translational research/practice” in which we are moving basic science concepts into
(continued on next page)
Guide for Students and Residents…(continued from previous page)
the clinical arenas, but still lack adequate data with which to recommend a “standard of care”. Future research needs are always included. Several sessions this day will be useful to the novice investigator: Understanding diagnostic tests, the NIH Roadmap, and The Top 10 Errors in EM Research (which hopefully won’t contain any of our work). This year SAEM is putting Registry Data on Trial. This promises to be a fun legal-style debate between several of our brightest (and most opinionated) experts in the area. Lunch sessions: these are preregistered at the cost of providing the lunch (yes, that’s how much convention hotels charge for grub!). If you don’t eat (if you haven’t paid) and want to unobtrusively stand in the back of the room, you may wish to peek in on one or two in order to see how the session is handled. Don’t take hand-outs if you haven’t paid either, as the pre-registration numbers are used to determine copying needs. These often are interactive and lively. Opening reception: great chance to grab a few appetizers and rub shoulders with the organization leadership and senior members of the specialty.
Tuesday, May 24 ●
Monday, May 23 ●
The Research Compliance Luncheon Session will provide valuable insights into those of you thinking about a research career. Those of you planning to look for positions in departments without a pre-existing research infrastructure might enjoy the session on Clinical Research Units. Several outstanding educational sessions are also planned for this day. Several public health sessions should be useful for those interested in this area of education and research. Annual Business Meeting: Not as dry as it sounds, with most of the time spent on recognizing various
award recipients and announcing election results. Two unique evening sessions are also occurring – one on how to make powerpoint presentations and another on how to interact with the media (so your colleagues laugh with you, rather than at you when you are quoted in the press or featured in that short segment on the evening news (“Local ER doctor tells you how to avoid water safety hazards…more at 6 o’clock”). Pre-registration is required.
The Breakfast with the Board is specifically designed for students, residents and junior faculty to meet with the leadership in the society. This is a unique opportunity to get free food and meet in a social situation with the SAEM leadership, when they are not busy chatting with their friends and colleagues. Senior SAEM membership should stay away from this event – it is designed for our newest members. More State of the Art Sessions, including one on Space Medicine, should provide insights not typically received in the ED. Banquet (limited registration): Priced a bit above many residents' budgets, but includes a wonderful cruise around Manhattan and the Statue of Liberty with music, dancing and schmoozing.
Wednesday, May 25 ● ●
The Spivey lecture should be an excellent session. The Grant Workshop, although labeled Part 2 is actually designed for those who did not attend Part 1. Part 1 is a private small group session with the group of investigators willing to subject themselves to frank (and sometimes brutal criticism) to improve the likelihood of getting funded. Part 2 is the public presentation of lessons learned (in a more conventional toned down manner) so that everyone else can learn from the mistakes.
Poster Sessions. Talk about a chance to meet leading researchers before going home. The last day poster sessions are potentially the best chance. Some of the best is saved for last (to keep you and them around). So one-on-one conversations can abound during this session. Hopefully you’ll go home with a renewed energy for asking questions about what we do in the ED and for the populations of patients that we serve. How can we collectively do this better? What opportunities are there that haven’t been explored? Final thoughts One of the major reasons to attend a scientific meeting is to network with others. Our specialty is enriched by the “cross pollination” with colleagues. Your EM colleagues here don’t bite! In fact, most would be able to tell you about their first SAEM meeting. Don’t be a wallflower…introduce yourself to those that you come in contact with. If you attend an IG or Committee/Task Force meeting, be sure to introduce yourself to the chair. When you engage in any meaningful dialogue with a presenter, be sure to introduce yourself. EM (especially academic EM) is a small world. Even if they don’t remember, it is always of benefit to be able to say “I met you back in New York in 2005 at the SAEM meeting and….”. And remember, we come here not as rivals, but as collaborators. The future of our field depends upon our growth in collaborations and networks. It all begins at the Annual Meeting. You will be amazed to find that whoever you consider the most impressive person in the field is willing to spend some time chatting with you. Take advantage of this great opportunity. ●
Board of Directors Update The SAEM Board of Directors meets monthly usually by conference call, and meets face-to-face during the SAEM Annual Meeting, the ACEP Scientific Assembly, and the March CORD Meeting. This report includes the highlights from the February 8 conference call and the March 5 meeting in New Orleans (during the CORD Meeting). The focus of the March Board meeting was the review, revision and approval of the 2005-06 committee and task force objectives. The final version of the objectives is published in this issue of the Newsletter and will be the roadmap of the Society's committee and task force activities in the coming year. Also during the March meeting, the Board approved the Nominating Committee's proposed slate of nominees to fill the elected positions in SAEM. The slate of nominees is published in this issue of the Newsletter, and an official ballot has been sent to all members eligible to vote. The results of the election will be announced during the SAEM Annual Business Meeting on
May 23 at 3:00-4:00 pm in New York City. The Board approved the Awards Committee recommendations for the 2005 recipients of the Academic Excellence Award, the Leadership Award, and the Young Investigator Awards. These awards will be presented during the SAEM Annual Business Meeting on May 23 and information on the recipients is published in this issue of the Newsletter. The Board approved a proposal from the Nominating Committee to amend the membership of the Nominating Committee. The proposal has been included on the official ballot, which has been sent to all members eligible to vote. The proposal is also included in this issue of the Newsletter. The Board approved four satellite symposium applications, which will be held on conjunction with the Annual Meeting in New York. Descriptions of these symposia have been posted on the Annual Meeting section of the SAEM web site. The Board approved the preliminary
2004 year-end financial report, which indicated revenues of $1,984,989 and operating expenses of $1,300,860. The Research Fund realized revenues of $150,200 (plus $354,894 in interest) and expenses of $347,001. A more detailed report on SAEMâ€™s 2004 finances is published in this issue of the Newsletter. The Board approved the posting of materials from the National Alcohol Screening Day on the SAEM web site. An announcement about these materials is published in this issue of the Newsletter. The Board approved proposed revisions to the SAEM Interest Group Guidelines. The revised Guidelines have been posted on the SAEM web site. The next meetings of the Board of Directors will take place during the SAEM Annual Meeting. The Board will meet on the afternoon of May 21 and the morning of May 25. All SAEM members are invited to attend this, and all meetings of the Board.
National Alcohol Screening Day Materials Available The National Alcohol Screening Day (NASD) is a program that offers health care providers the chance to educate patients about alcohol's impact on health and to screen their patients for alcohol problems. SAEM members may download a NASD "kit" that includes the one-page NASD screening form, which is a validated screening tool that addresses the full range of alcohol use disorders from atrisk drinking to dependence. Also included is the updated NIAAA/NIH guide, "Helping Patients with Alcohol
Problems: A Health Practitioner's Guide," suggestions for implementation and materials to educate patients about the effects of alcohol on overall health. The materials are available at: www.NationalAlcoholScreeningDay.org/ carprov/primary_alc.htm. Providers are encouraged to incorporate screenings into their everyday practice to increase early intervention and recognition of at-risk drinking and alcohol dependence in primary care patients.
Administrative Policy on Items for Consideration by the Board of Directors This policy was approved by the SAEM Board of Directors in March 2005. The SAEM Board of Directors has four meetings per year and a conference call every month, unless there is a meeting that month. Each meeting and conference call has an agenda drafted by the president and executive director. Materials are sent to the Board for review. In order for the Board to review and provide due diligence on the issues before them, all materials and agenda items must be sent to SAEM headquarters at least 30 days prior to the meeting or conference call. If an item is received less than 30 days prior to the meeting or call, the executive committee will determine if this is a critical or time sensitive issue that should be added to the agenda. There should be very few items that meet these criteria. All objectives have a due date for the Board meetings and conference calls. Henceforth, those due dates will be 30 days prior to the board meeting or call for which the item or policy will be placed on the agenda
Academic Emergency Medicineâ€Ś(continued from page 11) Residency: Success Rate and Adverse Events during a Two-year Period Jan 01, 1999 6: 31-37. Section: EDUCATION AND PRACTICE (Cited 20 times)
Demonstration of High-fidelity Simulation Team Training for Emergency Medicine Apr 01, 1999 6: 312-323. Section: TEACHING CONCEPTS (Cited 17 times)
Charlene Babcock Irvin, Peter C. Wyer, Lowell W. Gerson Preventive Care in the Emergency Department, Part II: Clinical Preventive Services--An Emergency Medicine Evidence-based Review Sep 01, 2000 7: 1042-1054. Section: SPECIAL CONTRIBUTIONS (Cited 18 times)
JF Tucker, RA Collins, AJ Anderson, J Hauser, J Kalas, FS Apple Early diagnostic efficiency of cardiac troponin I and Troponin T for acute myocardial infarction Jan 01, 1997 4: 13-21. Section: ARTICLES (Cited 15 times) Karin V. Rhodes, James A. Gordon, Robert A. Lowe Preventive Care in the Emergency Department, Part I: Clinical Preventive Services--Are They Relevant to Emergency Medicine? Sep 01, 2000 7: 1036-1041. Section: SPECIAL CONTRIBUTIONS (Cited 15 times)
WD Rosamond, RA Gorton, AR Hinn, SM Hohenhaus, DL Morris Rapid response to stroke symptoms: the Delay in Accessing Stroke Healthcare (DASH) study Jan 01, 1998 5: 45-51. Section: ARTICLES (Cited 17 times) JE Hollander, SM Valentine, GX Brogan Academic associate program: integrating clinical emergency medicine research with undergraduate education Mar 01, 1997 4: 225-230. Section: ARTICLES (Cited 17 times)
SM Green, SG Rothrock, T Harris, GA Hopkins, W Garrett, T Sherwin Intravenous ketamine for pediatric sedation in the emergency department: safety profile with 156 cases Oct 01, 1998 5: 971-976. Section: ARTICLES (Cited 13 times)
Stephen D. Small, Richard C. Wuerz, Robert Simon, Nathan Shapiro, Alasdair Conn, Gary Setnik
Midwestern Regional SAEM Research Conference Monday, September 12, 2005 The Detroit Institute of Arts The 2005 Midwestern Regional SAEM Research Conference will be sponsored by St. John Hospital and Medical Center in Detroit. The Call for Abstracts will take place in July 2005. For questions or further information, contact Dr. Patricia Nouhan: email@example.com.
Proposed Constitution and Bylaws Amendment During the March 5 meeting of the Board of Directors, the Board approved a proposed amendment changing the structure of the Nominating Committee. The amendment, if approved by the membership, would decrease the number of Nominating Committee members elected by the membership from three to two. However, the Nominating Committee membership would be increased by two additional members (a past president and a committee/task force chair) selected by the Board of Directors. Thus, the Nominating Committee would be increased by one additional member. A ballot has been sent to all active members of the Society to vote on whether or not to approve the proposed amendment. The results of the vote will be announced during the Annual Business Meeting on May 23 at 3:00-4:00 pm in New York. The proposed amendment is published below for the ben-
efit of the entire membership. Proposed new wording is printed in all caps. Wording that is proposed to be deleted is indicated with strikeouts. Proposed Amendment Article VI, Section 3: Nominating Committee. The Nominating Committee shall consist of the President-elect, as chair; the Immediate Past President; a member of the Board of Directors elected for a one-year term by the Board; TWO ADDITIONAL MEMBERS SELECTED BY THE BOARD OF DIRECTORS, ONE FROM THE PAST PRESIDENTS AND ONE FROM THE COMMITTEE/TASK FORCE CHAIRS, FOR ONE AND TWO YEAR TERMS RESPECTIVELY; and three elected TWO members who may not be members of the Board of Directors, ELECTED BY THE MEMBERSHIP. The last shall serve staggered two year terms. 30
2005-06 Task Force Objectives Geriatrics Task Force: Chair, Lowell Gerson, MD, firstname.lastname@example.org Rationale: The aging population will be a significant responsibility of emergency medicine in the foreseeable future. Research and educational programs in geriatric emergency medicine are very important for the Society to foster. 1. Develop the SAEM/ACEP consensus conference for 2006 on geriatrics, including development of research agenda. Due: October 15, 2005 2. Draft a proposal for a foundation interested in geriatrics to support new resources for educational curriculum and training materials regarding the emergency care of the elder person. Due: December 1, 2005 3. Develop new resources for educational curriculum and training materials on the emergency care of the elder person. Due: February 1, 2006 4. Develop one article on this ongoing work for the SAEM Newsletter. Due: April 1, 2006
2. To serve as alternates for Board members in terms of attendance at important IOM functions related to this committee. Due: as necessary 3. To serve as reviewers of any preliminary documents circulated by the IOM that would be made available to the Society. Timeliness and shared commentary with the Board is essential. Due: as requested 4. To assist the Board in strategizing about the best ways to respond and utilize pertinent content items of the IOM Report for the benefit of academic emergency medicine. Due: January 1, 2006, and when report released. International Task Force: Chair, Kumar Alagappan, MD, email@example.com Rationale: International emergency medicine continues to grow in scope and activity. One of the significant short-comings in international EM development is academic development, including education and research. SAEM currently does not have a strategy and plan for how to relate to international EM as a Society. As the requests for SAEM’s involvement in international EM activities will continue for the foreseeable future, it is essential for the Society to chart its own course, one that will benefit international EM and allow the Society to maintain its mission. 1. Survey the range of international activities being offered by US based EM organizations currently. Due: October 1, 2005. 2. Make specific report to the Board on pros and cons of potential activity in international relations that are consistent with the Society’s mission. Due: December 1, 2006. 3. After Board review and response on objective #2, draft a position statement for Board review describing the potential perspective roles of SAEM in advancing international academic emergency medicine. Due: April 1, 2006. 4. Draft article discussing objectives #1-3 for the SAEM Newsletter, Due: April 1, 2006
Industry Relations Task Force: Chair, Debra Diercks, MD, firstname.lastname@example.org Rationale: Currently, SAEM has a relatively limited engagement with industry, eg. there are no industry-related exhibitors at the Annual Meeting. To assure the Society is maximizing the potential for research and education support for its members, the Board has supported creating this Task Force. 1. Prepare a report for the Board thoroughly discussing the pros and cons of SAEM having a potential relationship with industry. The report (due December 1, 2005) should include: a. a historical perspective as to why SAEM’s current position exists b. a status review of industry relationships with other specialties c. identified arenas in which SAEM may engage with industry d. categories of industry (eg. pharmaceutical, medical devices, simulators) with which SAEM may engage. e. Practical recommendation as to how this engagement may be accomplished. These may be linked for obj. 1c and 1d above. 2. Review the current policies of the Society specific to SAEM’s relationship with industry and make recommendations with regard to continuing or changing the policy. Due February 1, 2006
Technology in Medical Education – Simulators Task Force: Chair, James Gordon, MD, email@example.com Rationale: The incorporation of medical simulator devices, especially human mannequins, has rapidly accelerated in the last few years as a viable alternative for teaching and evaluating competencies in our specialty. There are literally dozens of simulator centers being developed at academic medical centers. It is important for SAEM to take an active role in this unique tool for medical education, both for the benefit of its membership and to establish emergency medicine as an important contributor to the development and use of this unique training tool. 1. To list the equipment necessary to establish a sample basic entry-level turnkey simulator laboratory, including costs, for an emergency medicine site. This would include the potential teaching activities such a laboratory would support, and a timetable for implementing such a laboratory, Due: October 1, 2005 2. To develop basic elements and criteria for a consul-
Institute of Medicine IOM Report Task Force: Chair, Carey Chisholm, MD, firstname.lastname@example.org Rationale: The primary purpose of this task force will be to assist the Board in anticipating and assisting in Institute of Medicine (IOM) activities in advance of the IOM report and to guide the Society’s response to the report through recommendations to the Board of Directors. Their report is anticipated for release in early 2006. 1. To participate in a briefing by one or two of the current IOM EM Committee members at the 2005 Annual Meeting.
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Task Force Objectives…(continued from page 25) tation service in the development and/or enhancement of a simulation laboratory for emergency medicine training programs. This service may be webbased, and would focus on equipment assessment, educational programs, maintenance expectations, and their associated costs. Due: December 1, 2005. 3. To develop two documents for Board review and potential publication. One summarizes the educational research supporting this teaching technique, and the settings in which it may be used. The other outlines potential directions for a research agenda in emergency medical education utilizing the simulator. Due February 1, 2006. 4. Write an introductory article for the Newsletter referenced to the literature outlining how simulators are being used to enhance undergraduate and graduate medical education with an emphasis in emergency medicine. Due: March 1, 2006. 5. The development of a simulator case library to be made available to the members who are developing their own simulator cases. An anticipated number of 50-80 cases will be assembled and made available for distribution. Due: May 1, 2006.
Rationale: Higher percentages of women are graduating from medical school than ever in the past. The numbers of women going into emergency medicine or academic emergency medicine have not kept the same pace. As part of our continued diversity effort, the recruitment and retention needs of women in academic emergency medicine should be explored. 1. Write an article for the Newsletter on faculty development opportunities in academic medicine with a unique focus on women. Due: October 1, 2005 2. Create a document for the Board that defines and describes the unique recruitment, retention, and advancement needs for women in academic emergency medicine. This includes exploring a variety of services for background information to define these needs, e.g. ELAM, AAMC, Due: December 1, 2006 3. Make recommendations to the Board based on the information in Objective #1 as to how SAEM may encourage and support women in their academic careers. Due: December 1, 2006 4. Prepare a presentation on objectives #2 and 3 above to be submitted to the Program Committee as a potential didactic presentation at the Annual Meeting. A request will be made of the AACEM leadership to present separately to their annual meeting. Due: February 1, 2006
Women in Academic Emergency Medicine Task Force: Chair, Kathleen Clem, MD, email@example.com
2005-06 Committee Objectives Awards Committee: Chair, William Barsan, MD, firstname.lastname@example.org 1. Develop recommendations for the Board on a standardized means of identifying and nominating Awards Committee members. Due: September 1, 2005 2. Identify two new potential academic award themes for the Society to recognize; one individual, one programmatic. Make recommendations for the Board consideration, including theme, criteria for award, and nature of recognition. Due: November 1, 2005 3. Request and review nominations for the Young Investigator Award and recommend recipients to the Board. Due: February 1, 2006 4. Request and review nominations for the Academic Excellence and Leadership Awards and recommend recipients to the Board. Due: February 1, 2006
2. Identify current and potentially new areas for revenue enhancement for the Society for Board review. This process will include a survey of Past-Presidents, Committee, and Task Force Chairs, IG Chairs for their ideas. Due: November 1, 2005 3. Identify specific potential donors for “keystone” level gifts, and work with the Board to identify specific academic programs or themes they would consider funding. Due: November 1, 2005 4. Identify potential sponsors and donors within industry, foundations, and other non-member sources for Board review. Due: January 1, 2006 Ethics Committee: Chair, Raquel Schears, MD, email@example.com 1. Develop recommendations for the Board on means to effectively distribute the “Ethics Teaching Resources for EM Residencies”, when completed. These are avenues and approaches beyond potential publication in AEM. Due: September 1, 2005 2. Assist the Board in developing mechanisms to distribute the findings of the 2005 AEM consensus conference on Research Integrity. This includes implementation as appropriate. Due: November 1, 2005 3. Revise the three SAEM Policies regarding relationships with Industry into a comprehensive single policy. Share with the Industrial Relations Task Force for review and the Board for approval. Due: February 1, 2006 4. Complete documents for Board review on specific ethics topics: “Publication ethics and issues”, Teacher-learner relationships”, “Academic dishonesty issues”. Due: April 1, 2006 (continued on next page)
Constitution and Bylaws Committee: Chair, Craig Newgard, MD, firstname.lastname@example.org 1. Review the Constitution and Bylaws to ensure consistency with Society’s activities and internal functions. Propose amendments to the Board for review and approval. Due: January 1, 2006 2. Respond to specific requests from the Board regarding potential changes in the Constitution and Bylaws over the course of the year. Development Committee: Chair, Brian Zink, MD, email@example.com 1. Evaluate 2004-05 fundraising activities with regard to success rates (perceived and actual) of current efforts. To include donor recognition event at Annual Meeting, silent auction, mail solicitations, and others. Due: September 1, 2005 32
Committee Objectives…(continued from previous page) Grants Committee: Chair, Clifton Callaway, MD, firstname.lastname@example.org 1. Coordinate the grant application reviews with the assistance of expert reviewers within the Society. Recommend a prioritized recipient list to the Board for the following grants and fellowship: Research Training, Institutional Research Training, Scholarly Sabbatical, EMS Research Fellowship, Medical Student Interest Group, and EMF/SAEM Medical Student Research. Due: Varies by grant program 2. Review the criteria and application process for the EMS project grants. Due: September 1, 2005 3. Establish resource for frequently asked grant-related questions and grant-writing tips on the website. Due: November 1, 2005 4. Work with Research Committee to determine criteria and assess impact of SAEM grant program for 1999 to 2003 recipients. Due: December 1, 2005 5. Review the mechanism and timeline of the current Grant Review procedure. Develop a status report for the Board with recommendations for improvement. February 1, 2006
Faculty Development Committee: Chair, Theodore Christopher, MD, NChristopher@chmca.org 1. Develop a series of didactic proposals on academic skills development for submission to the 2006 Annual Meeting. At least one session should target each of senior, mid-career, junior level development needs. Due: September 1, 2005 2. Work with the Consultation Service to develop a proposal to the Board for a Faculty Development consultation. Due: November 1, 2005 3. Develop a proposal to the Board for creating an Academic Leadership Skills Course to be sponsored by SAEM, and potentially 1 or 2 other organizations. This is to be a Senior level course directed at individuals interested in moving from a Mid-Career level to Chair/Dean’s office/EM leadership position. Due: December 1, 2005 4. Take “Skill sets for Clinician-Teachers”, developed in 2004-05 objectives by GME Committee, and create an educational tool to assist faculty in learning and developing them. This may be a paper, presentation, or other mechanism. Due: February 1, 2006 5. Create a recommended text based library with an annotated bibliography for Faculty Development to assist in training faculty in specific academic and administrative skills. Due: April 1, 2006
National Affairs Committee: Chair, Michael Baumann, MD, email@example.com 1. Review the recently approved AAMC initiative plan with the AAMC representatives, and make recommendations to the Board on mechanisms for implementing it. Due: September 1, 2005 2. Monitor legislative and regulatory issues pertinent to academic emergency medicine. Write 1-2 articles on select topics for the Newsletter. Due: October 1, 2005, February 1, 2006 3. Generate a list of options for the Board regarding targeted advocacy roles (i.e. issues, opportunities, actions) in specific national institutions important to academic emergency medicine. These institutions include the AHRQ, NIH, CDC, DHHS and others. Due: November 1, 2005 4. Work with the AAMC representatives to develop a draft program for the AAMC Annual Fall Meeting 2006. Submit summaries of these events to the Newsletter. Due: 1 month post-meeting 5. Serve as a resource for the IOM Task Force. This activity may include reviews, recommendations, and written materials, as requested. Due: Dependent on IOM timetable
Finance Committee: Chair, Frank Zwemer, MD, firstname.lastname@example.org 1. Respond to the findings of the external audit process with recommendations to the Board. Due: September 1, 2005 2. Initiate the annual SAEM budget planning with the Executive Director and Secretary-Treasurer in anticipation of an end-of-calendar year presentation to the Board. Due: October 1, 2005 3. Review the structure and reporting mechanisms of SAEM’s investment and non-operational funds, and make recommendations as necessary. Due: December 1, 2005 4. Review the current financial goals of investment funds and make recommendations for the next 5-year goals. Due: February 1, 2006 GME Committee: Chair, Douglas McGee, DO, email@example.com 1. Continue to coordinate the Resident Section of the SAEM Newsletter, including soliciting, selecting, and editing of quality articles in a timely manner. Ensure 23 articles throughout year oriented toward important resident issues/topics. Due: September 1, December 1, 2005 and March 1, 2006 2. Plan and organize the authorship and writing schedule for a document to assist residents seeking a career in academic emergency medicine. Due: October 1, 2005 Complete initial draft, February 1, 2006; Final draft, May 1, 2006 3. Create a presentation referenced to Objective #2 on seeking a career in academic emergency medicine for residents. This will be distributed to residency programs and Regional meetings. Due: March 1, 2006
Nominating Committee: Chair, President-elect 1. Review and assess the efficacy of the new “mini-bio” approach for the Nominating Committee review, and voter information. Make recommendations to the Board for continued improvements, as necessary. Due: September 1, 2005 2. Review and assess the success of the three new committee/task force evaluation forms instituted in early 2005. Make recommendations to the Board for continued improvements, as necessary. Due: November 1, 2005 3. Develop a slate of recommended nominees for the following elected positions in 2006: Board officers,
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Committee Objectives…(continued from previous page) Board of Directors, Nominating Committee, and Constitution and Bylaws Committee. To be submitted to the Board for approval. Due: March 1, 2006
Educational Research Subcommittee: Chair, Gloria Kuhn, DO, PhD, firstname.lastname@example.org 1. Determine the feasibility of a Researcher in Education Interest Group within the Society. Due: November 1, 2005 2. Design and develop a curriculum for educating academic emergency physicians in conducting educational research. Plan to submit as an IEME proposal for the 2006 Annual Meeting. Due: February 1, 2006 3. Develop a listing of educational resources for the subject of educational research for posting on the Societies’ web site. Due: January 1, 2006 4. Develop criteria and a guide to assist in writing a grant request in the field of educational research. Plan to share with membership through SAEM Newsletter. Due: May 1, 2006
Program Committee: Chair, Deborah Houry, MD, email@example.com 1. Review the feedback from the 2005 Annual Meeting, and present the report to the Board with recommendations for improvement and change. Due: July 1, 2005 2. Plan 2006 Annual Meeting. This includes presenting budget (Nov. 1, 2005) and quarterly progress reports by the Chair to the Board. Due: July, September, November 2005 and March, 2006 3. As part of quarterly reports, the Chair will be updated by the Board on current academe-related themes of interest to the Society. These themes may be considered for incorporation into Annual Meeting activities. Due: Dates as Objective #2 4. Hold conference call between Program Committee leadership, Board liaison, and 2005-06 Regional meeting directors to discuss relationship options, including the regional meeting orientation session. Due: October 1, 2005 5. Make recommendations to the Board as to whether a distinct Awards Ceremony should be established and held at the Annual Meeting, beginning 2006. Due: November 1, 2005. 6. Incorporate planned media-oriented publicity as part of Annual Meeting development. Due: March 1, 2006 7. Review and update the Annual Meeting operating manual created in 2005. Due: April 1, 2006
Undergraduate Education Committee: Chair, Cherri Hobgood, MD, firstname.lastname@example.org 1. Facilitate ideas for the Board as to how SAEM can propagate and implement the recently complete MS4 curriculum document, including work with other EM organizations. Due: September 1, 2005 2. Work with the Program Committee on assessing and improving the Medical Student Pre-Day at the Annual Meeting. Due: November 1, 2005 3. Develop a proposal for evaluating the effectiveness and impact of the Virtual Advisor Program. Due: November 1, 2005 4. Development of informational materials on ‘Emergency Medicine as a Potential Career Choice’ for medical students. Develop a potential distribution plan to under-represented minority medical students, traditionally African-American Medical schools, and EM undergraduate educators in medical schools. Due: December 1, 2005 5. Monitor continued development and implementation of Undergraduate Question Databank by subcommittee. Due: over course of year
Research Committee: Chair, James Olson, PhD, email@example.com 1. Develop recommendations and a content outline for establishing both a Research and Scholarly Work development consultation program for emergency medicine programs. These will be reviewed by the Board prior to any notice of availability. Due: January 1, 2005 2. Maintain and update the website for listing emergency medicine researchers with federal grant funding, foundations or large-scale industry support. Define criteria for inclusion on this listing. Due: November 1, 2005 3. Develop 1 day Applied Grantsmanship and Grant Review Course for consideration as 2006 Annual Meeting Pre-meeting course. Develop appropriate advertising for the course. Due: December 1, 2005 4. Serve as a resource for the IOM Task Force. This activity may include reviews, recommendations, and written materials, as requested. Due: Dependent on IOM timetable 5. Continue guidance and relationship with Educational Research Subcommittee.
Consultation Service: Chair, Wallace Carter, MD, firstname.lastname@example.org 1. Review the current structure and function of the SAEM Consultation Committee, and make recommendations to the Board to improve its visibility. Due: November 1, 2005 2. Review the satisfaction with current consultations services. Make recommendations to the Board for additional consultations and means of continuing to improve their quality as well as impact. Due: January 1, 2006 3. Work with the Faculty Development and Research Committees on developing new consultations in both these areas, as requested. Due: over course of year
2005 Slate of Nominees The Board of Directors has approved the slate of nominees developed and proposed by the Nominating Committee. A ballot has been mailed to all eligible SAEM members and completed ballots must be returned by mail with a postmark no later than May 14, 2005. Results of the election ballot will be compiled at the SAEM office and announced during the SAEM Annual Business Meeting on May 23 at 3:00 pm-4:00 pm. All members are urged to participate in the election and attend the Annual Business Meeting. The slate of nominees is as follows: President-elect Candidates Current Academic Position(s): Institution(s): Wake Forest University Health Sciences Academic Appointment(s): Professor and Chairman, Department of Emergency Medicine Major Career Accomplishments: I graduated from the University of Michigan Medical School and was residency trained in Emergency Medicine at the University of Cincinnati. I was appointed to the faculty at Ohio State University from 1988-2003, where I was also Associate Dean for Clinical Education. I was recruited to Wake Forest University in January 2003, where I am presently Professor of Emergency Medicine and Chairmain of the Department of Emergency Medicine. My area of expertise is emergency cardiology and the care of patients with acute coronary syndromes. In my early career I was a funded researcher in cardiac resuscitation, CPR, and ischemia/reperfusion. I James Hoekstra am presently funded and actively involved in clinical research on the diagnosis and management of patients with acute coronary syndromes and risk stratification of patients with chest pain. My research includes the ED use of serum markers of cardiac ischemia, short-stay protocols for the diagnosis of ACS, and the use of novel therapies for NonST Elevation MI. I am on the executive committee of the multi-center collaborative Emergency Medicine Cardiac Research and Education Group and I have served on multi-center clinical trial steering committees for the EMCREG, EARLY, RESCUE ACS, EARLY ACS, CRUSADE, and ACUITY trials. SAEM Service: •Member since 1984 •Leadership roles within SAEM: Board of Directors (2002-present); Chairman: National Affairs Task Force; BOD Committee Liaison: National Affairs Committee, Financial Development Committee, Development Committee; Interest Group BOD Liaison: Ultrasound, Web Educators, Ischemia/Reperfusion, Toxicology, Airway; SAEM Representive to the Council of Academic Societies. •Committee/task force/interest group membership: Undergraduate Education Committee (1997); Pharmaceutical and Biotechnology Liaison Committee (1993); National Affairs Task Force (1997-2002); SAEM Representative to the ACEP Governmental Affairs Committee (1999-2001); Nominating Committee (2003) •List role of major contribution to SAEM Products: As Chairman of the National Affairs Committee, I was instrumental in authoring numerous position statements on legislative and regulatory issues. In addition, I organized 4 NAC presentations/sessions at the Annual Meeting. As CAS Representative, I have authored or coauthored 6 Newsletter articles on AAMC and CAS updates. As a Board member, I have authored or coauthored numerous position statements, strategic plans, and Newsletter articles on an ad hoc basis. As CAS Representative, I have organized and/or presented 6 different SAEM educational programs at the AAMC. As a Board member, I organized and moderated the industry relations round table at the 2004 Annual Meeting. Most Important Contributions to SAEM: My leadership experiences in SAEM have centered around SAEM’s relationships with other specialty societies, the AAMC, CAS, industry, and the federal government. In almost every aspect of my work with SAEM, I am representing SAEM’s views, or the views of academic emergency medicine to some other organization. This includes everything from EM presentations at AAMC to partnerships with ACEP on issues of mutual interest to liaison relationships with industry. I am most proud of this role because I believe SAEM’s contributions to the research and education mission cannot be achieved in a vacuum. We must reach out to funding agencies, our colleague societies, industry, and legislators to fully achieve our potential. I am happy to participate in those activities. Personal statement of what the person wants to do for SAEM, if elected: Through my SAEM committee involvement and Board membership, I have learned a great deal about the mission and direction of SAEM. I have also learned a great deal about the limitations of SAEM. I believe SAEM is poised on the brink of expansion from its role as a faculty development and researchfostering organization to the visible and recognizable voice of academic emergency medicine. This transformation involves opening our doors to the AAMC, NIH, CDC, AHRQ, foundations, and industry to partner in national research and educational initiatives. It also includes increasing our visibility in national affairs to foster the growth of academic emergency medicine programs and the stability of academic emergency medicine funding sources. It also includes partnering with ACEP, AAEM, and other specialty societies on issues of common interest. These goals cannot be achieved without some investment in the SAEM administrative infrastructure, and attention to the visibility of SAEM at the national level. SAEM’s fund raising, industry relations, and revenue strategies will need to be re-assessed in order to accomplish some of these goals. The end result should be a stronger society, and a stronger voice for academic emergency physicians. I welcome the opportunity to participate in this growth as SAEM President.
Current Academic Position(s): Institution(s): University of Michigan Academic Appointment(s): Associate Professor (with tenure) Other major administrative position(s): Associate Chair for Education, Department of Emergency Medicine; Admissions Executive Committee, University of Michigan Medical School; University Committee for the Use and Care of Animals (UCUCA) Major Career Accomplishments: The focus of my career, and resulting accomplishments, center around 1) research, 2) education, and 3) advancement of our academic Society, SAEM. For the past decade, my research has focused on the development and evaluation of novel resuscitation strategies in the setting of shock/trauma. I have received extensive funding from the Department of Defense. My Susan A Stern, MD laboratory's work has been part of a driving force to question current resuscitation protocols and re-evaluate trauma care standards. In addition, during a recent supported sabbatical, I assisted the Naval Medical Research Center in the development and implementation of a new large animal brain injury model. I came to University of Michigan in 1993 to help build a new residency program, and was intimately involved in all parts of that process, culminating in my appointment as Associate Chair for Education. I have had the honor of serving in multiple capacities, including a halfdecade on the BOD, and as Chairperson of the Program Committee (2 years). In these roles I have led or been part of the development of several program innovations, as outlined below, which I believe have significantly contributed to the advancement of SAEM - the major academic voice for EM. SAEM Service: •Member since 1987 •Leadership roles within SAEM: Board of Directors (2000-present); Chair, Program Committee (1998-2000); National Coordinator SAEM Regional Meetings (2001-2004); Co-Chair, Annual Meeting/Program Committee Task Force (2002-2003); SAEM Representative to EMF Board of Directors (2003-2004); Board Liaison to the Grants Committee, Program Committee, Research Committee, Critical Care Task Force, Fellowship Training Task Force, CPR/Ischemia/Reperfusion, Neurological Emergencies, Research Directors, Toxicology, and Trauma Interest Groups. •Committee/task force/interest group membership: Fellowship Training Task Force (2003-2004); Program Committee (1995-2000); Education Committee (1994-1995); Reviewer, Academic Emergency Medicine (1994-present). I have also been a member of the Trauma, CPR/Ischemia-Reperfusion, and Neurological Emergencies Interest Groups •List role of major contribution to SAEM Products: Member of working group that developed the current Research Fund Mission, Vision, and Strategic Plan. Authored a document submitted to the Institute of Medicine (IOM) on behalf of SAEM that used resuscitation research to illustrate and outline the importance of basic science research in emergency medicine. As Chair of the Program Committee (PC) was responsible for: oversight of scientific abstracts, didactic proposals, IEME exhibits, Medical Student Symposium, and the Chief Residents Forum; developed abstract scoring system and awards process; developed Visual Diagnosis Exhibit. Fellowship TrainingTask Force - participated in the development of the fellowship website. Coordinated a session on business aspect of health system management at the 2004 Annual Meeting. Developed/revised the Regional Meeting Guidelines. As a member of the Board for the past 5 years, I have participated in development of several policies, guidelines, and Board initiated projects; Authored an article for the Resident section of the SAEM newsletter on the importance and advantages of fellowship training; developed and participated in several SAEM Annual Meeting didactic sessions. Most Important Contributions to SAEM: My most important contributions have been as Board member and Chair of the Program Committee (PC). As a 5-year Board member, I worked to develop policies and programs across a broad range of SAEM activities, including development of the current mission, vision, and strategic plan for the SAEM Research Fund. I served as liaison to numerous Committees, Task Forces, and Interest Groups, assisting SAEM in meeting its goals and objectives, and conveying membership perspective to the BOD. As PC Chair, I impacted one of the most visible and important products of SAEM, the Annual Meeting. I was PC Chair during a time of tremendous growth in the AM; consequently the PC, under my leadership, implemented several major innovations (outlined above). As PC Chair, I worked with SAEM members with diverse interests and goals. It was this experience, in part, that has made me an effective member of the SAEM BOD. Personal statement of what the person wants to do for SAEM, if elected: SAEM has been quite effective in advancing academic EM by addressing educational and public healthcare issues, fostering EM research, and cultivating the careers of academic EPs. Despite these successes, our mission is threatened by scarcity of resources, increasing administrative hurdles, and a healthcare system in critical condition. Ensuring ongoing academic advancement of EM and delivery of the highest quality care to our patients requires: 1) promotion of academic EPs to local and national leadership positions within our medical education system; 2) greater involvement in development of national healthcare policy; 3) enhanced support for research; 4) support for development of novel educational methods for our changing practice environment. If elected, I will advance programming for leadership and faculty development, explore all options for expansion of the Research Fund, investigate mechanisms to recruit and develop more physician-scientists within EM, enhance our involvement and visibility in national affairs, and promote development and scientific evaluation of improved educational methodologies. I believe this is the best way to further SAEM's mission, promote the growth of our diverse faculty, and produce national leaders over the broad range of disciplines which touch the borders of our profession. Only then will we ensure SAEM remains an effective voice for academic EM.
Board of Directors Candidates Current Academic Position(s): Institution(s): University of Pennsylvania School of Medicine, Hospital of the University of Pennsylvania, The Children’s Hospital of Philadelphia Academic Appointment(s): Associate Professor of Emergency Medicine, Department of Emergency Medicine; Associate Professor of Pediatrics, Department of Pediatrics, Division of Emergency Medicine. Other major administrative position (s): Director, Pediatric Emergency Medicine Education, Department of Emergency Medicine Major Career Accomplishments: For the past 8 years I have served as faculty liaison between an academic emergency medicine program and a children's hospital emergency department, integrating cliniJill Baren cal care, resident/fellow education, and research. I was named to the Department of Pediatrics Teaching Honor Role awarded to the top 20 physicians at the Children's Hospital of Philadelphia, and have received with my division colleagues, the "Excellence in and Commitment to Resident Teaching," award 6 of the last 8 years. I received the Department of Emergency Medicine Annual Resident Mentoring Award this past year. Within the last 4 years I have been awarded grants from the Emergency Medicine Foundation as a coinvestigator on a Center of Excellence Grant and from the Robert Wood Johnson Foundation, focusing on asthma. I have been an appointed member of the pediatric sub-board of the American Board of Emergency Medicine for the last 4 years. I was chosen as a consultant to the National Institute of Child Health and Human Development for my expertise in pediatric emergency medicine research ethics and have served as past consultant for the Maternal and Child Health Bureau, The National Highway Traffic Safety Administration and the Emergency Medical Services for Children Program. SAEM Service: •Member since 1990 •Committee/task force/interest group membership: Chair, Pediatric Interest Group (1999-2002); Nominating Committee (2002-2004); Pediatric Task Force (1995-1997); Fellowship Training Task Force (2003-2004); Program Committee (1997-1998); National Affairs Committee (2004-2005); Pediatric Interest Group (1997-2005); Airway Interest Group (1995-2004); Airway Interest Group, Chair Pediatric Subcommittee (1995-1997); Ethics Interest Group (2004-2005); Abstract Reviewer, Annual Meetings (1995- 2 0 0 2 ) ; Academic Emergency Medicine, Editorial Board (1999-2005); Academic Emergency Medicine, Associate Editor (2003-2005) •List role of major contribution to SAEM Products: As part of the Pediatric Task Force, led effort to develop and conduct pediatric emergency medicine education survey of EM program directors. Organized “Responsible conduct of research series” for Annual Meeting. In the process of developing a Responsible Conduct of Research curriculum for SAEM members. Developed a proposed method (Advocacy Network Plan) for notifying members about important legislation or political developments that affect the practice of Emergency Medicine. Planning committee of Academic Emergency Medicine Consensus Conference, Ethical Conduct of Resuscitation Research. Author of Pediatric emergency medicine education in emergency medicine training programs manuscript: Academic Emergency Medicine 7:774-778, July 2000 Most Important Contributions to SAEM: During my 3 years as chair of the Pediatric Interest Group, there was an increase in the number of didactic sessions related to pediatric emergency medicine at the Annual Meeting. The group attracted members from other pediatric organizations, and provided long distance mentoring and network opportunities for EM residents interested in PEM fellowships. As a member of the National Affairs Committee, I led the objective to develop an Advocacy Network Plan, to disseminate important legislative and political issues to our members. The Board of Directors recently accepted this plan. I have been a didactic speaker for several resident education and faculty development session pertaining to pediatric emergency medicine. I coordinated last year's Responsible Conduct of Research lectures at the Annual Meeting as part of a grant from the AAMC and Office of Research Integrity. The content of these sessions is being developed into a curriculum for SAEM members. Personal statement of what the person wants to do for SAEM, if elected: We must develop strong partnerships with funding agencies to increase our recognition as the premier EM research organization and should strive to educate diverse federal and private agencies about our research agenda. We should increase communication with other specialty organizations and invite collaboration on projects that are important to our members. What is your vision for the future of SAEM: SAEM should continue as a major source of grant support, particularly research and educational methodology training grants for junior faculty, residents and fellows. Faculty development sessions should be high priority at the Annual Meeting with expansion to address the unique educational needs that have arisen since the enactment of the teaching and documentation rules and the resident work restrictions. Which needs of the membership do you wish to address: SAEM members have a great need for communication and collaboration. When local resources are exceeded, we need to be user-friendly and offer solutions. We are diverse in our interests and should allow those interests to flourish without losing common ground. Personal Comment to the membership: There is great satisfaction in being involved in organized EM. I have benefited immensely from the mentoring, collegial relationships and research collaboration that 14 years of SAEM membership has given me. As a Board member I hope to create and strengthen programs that will provide others with the same experience.
Current Academic Position(s): Institution(s): Eastern Virginia Medical School Academic Appointment(s): Chairman and Program Director, Department of Emergency Medicine, Eastern Virginia Medical School (Program Director since 1990; Chairman since 1992) Major Career Accomplishments: Parker J. Palmer "Courage to Teach" (Program Director) Award, ACGME (2005); Residency Director of the Year Award, EMRA, (2003); President, Association of Academic Chairs of Emergency Medicine (2002-2003) SAEM Service: •Member since 1990 •Committee/task force/interest group membership: Chair, Faculty Development Committee (2003-present); Financial Development Committee (2002Frank Counselman present); Program Committee, (1999-2001); Annual Meeting Abstract Reviewer (1999-present); Moderator, Medical Student Forum, Annual Meeting (May 2001); Moderator, Medical Student Forum, Annual Meeting (May 2000); Inservice Exam Survey Committee (1995-1996); Educational Committee, National Consensus Group on Clinical Skills, (1993-1994); Graduate Medical Education Subcommittee (1991-1992) Most Important Contributions to SAEM: I have had the privilege of serving on several SAEM committees over the years. On each, I have tried to fulfill my responsibilities and act in the best interest of the Society. Personal statement of what the person wants to do for SAEM, if elected: It is an incredible honor to be nominated for the Board. If elected, I would work toward: working closely with the other EM professional organizations to advance our specialty and avoid duplication of effort; assist in making the organization responsive to the needs of all EM physicians involved in education; supporting and expanding the SAEM Research Fund; continuing to promote the importance of EM residency training; and to support the mission of the Society. Current Academic Position(s): Institution(s): Medical College of Ohio Academic Appointment(s): Clinical Professor, Department of Surgery, Division of Emergency Medicine, Medical Collegeof Ohio; Attending Physician, St. Vincent Mercy Medical Center, Toledo, Ohio Major Career Accomplishments: My research areas of interest include ethical issues, resuscitation, and pain management. I have presented over 30 research abstracts at national, state, and local research meetings. I have been the recipient of numerous grant awards in the research areas of ethics, pain management, and resuscitation, and have mentored numerous medical students and residents in Emergency Medicine Research. I have received several research awards, including: Blue Ribbon Research Excellence Award, Mercy Health Partners Research Symposium, Toledo, Ohio, 2002, , Distinguished Catherine Marco Alumni Award, Johns Hopkins University Emergency Medicine, 2001, Residency Director's Faculty Award, St. Vincent Mercy Medical Center, 2001, Physician Excellence in Research Award, St. Vincent Mercy Medical Center, Toledo, Ohio, 2003, and Best Poster, Midwest SAEM Research Meeting, 2004. I have published extensively in the Emergency Medicine literature. I have published over 130 manuscripts, including scientific journals, major textbook chapters, and other publications. I have enjoyed serving as Associate Editor for Academic Emergency Medicine since 2003, and have served as manuscript reviewer for 12 scientific journals. SAEM Service: •Member since 1990 •Committee/task force/interest group membership: Constititution and Bylaws Committee (2002-present); Chair, Constitution and Bylaws Committee (2004-2005); Ethics Committee (1997-present); Chair, Ethics Committee (2001-2003); I worked on the development of the SAEM Code of Conduct, SAEM Guidelines on Decision Making Capacity, and the SAEM Guidelines on Relationships with Biomedical Industries. •Related to SAEM committee work: I have published several manuscripts, including: Marco CA: Guidelines for Research in Cooperation with Biomedical Industry Organizations. Acad Emerg Med 2001; 8:756; Marco CA, Larkin GL, and Silbergleit R: Filming of Patients in Academic Emergency Departments. Acad Emerg Med 2002; 9:248-251; Hamilton, G, Marco CA: Emergency Medicine Education and Health Care Disparities. Acad Emerg Med 2003; 10: 1189-92. Personal statement of what the person wants to do for SAEM, if elected: SAEM has grown in size and impact over the past 16 years from an early start to its current status as an international organization of significant impact on academic pursuits in emergency medicine. The annual functions of SAEM continue to influence the goals and aspirations of academic emergency physicians, including the Annual Meeting, publications, specifically Academic Emergency Medicine, research awards, policies, and educational resources. The long list of individuals who benefit from services provided by SAEM include emergency medicine faculty, residents, medical students, and numerous others. Much of SAEM's continued and growing strength will come from continued improvement of existing programs. Yearly evaluations of these programs and feedback from members and attendees provide valuable information leading to improvements every year. Yet there remains room for growth in numbers and influence. In the future, I would like to assist the Board of Directors to set objective goals of improved outreach and attendance at the Annual Meeting, at regional meetings, and increased utilization of SAEM's web-based resources, and expanded circulation of SAEM publications. Most importantly, SAEM should continue to serve its members through improved quality and scope of meetings, publications, research funding, information, and educational resources. 38
Current Academic Position(s): Institution(s): Stony Brook University Academic Appointment(s): Professor of Emergency Medicine Other major administrative position(s): Vice Chairman for Research, Member of Junior Faculty Development Committee, Member of local IRB Major Career Accomplishments: Dr Singer has had an extensive research career. His main focus areas are wound healing and pain management. Dr. Singer has authored over 140 publications including several in the New England Journal of Medicine and JAMA. He has developed several important wound outcome measures and animal models for lacerations and burns. His research supported the introduction of tissue adhesives in the USA. He has also received significant funding for his research both from the private sector and from national foundations, such as EMF. SAEM Service:
•Member since 1992 •Committee/task force/interest group membership: Program Committee (1999-2002, 2003-2004); Grants Committee (2002-2003); Nominating Committee (2003-2005); Membership Survey Task Force (2004-2005) •Leadership roles within SAEM: Chair, Scientific Sub-committee (2002); Chair, Grants Committee (2003); Associate Editor, AEM (1999-2005); Nominating Committee; Author of multiple studies in AEM; Helped develop the current scoring system for SAEM abstracts; Helped develop database for tracking of grants and reviewers. Most important contributions to SAEM: Dr Singer has contributed greatly to the research efforts of SAEM. He was awarded the first Resident Academic Achievement Award and the Junior Investigator Award. He has presented extensive original research at the SAEM Annual Meetings and has contributed to the advancement of emergency medicine research by playing an active role in the Program Committee and as the Chair of the Grants Committee. Dr. Singer has also contributed to the regional SAEM by serving as a member of the Program Committee for the NY SAEM. Dr. Singer is also helping to organize the NY EM Research Collaborative Group. Dr. Singer has also helped educate many emergency physicians and students through several books that he is edited including "Emergency Medicine Pearls" and "Lacerations and Acute Wounds: An Evidence Based Guide". Personal statement of what the person wants to do for SAEM, if elected: My goals to advance SAEM include: develop a specific SAEM Research Award to recognize the efforts of EM researchers; increase industry funding of EM researchers through the SAEM Research Fund; develop forums for the career development and advancement of middle to senior level emergency physicians as well as more junior faculty; and cultivate the collaboration of emergency researchers with other researchers in other fields and countries. What is your vision for the future of SAEM: To increase the membership in terms of numbers and involvement and to improve the quality and funding opportunities for emergency medicine research and education. Which needs of the membership do you wish to address: Greater involvement and understanding of SAEM and its officers; enhance funding for junior researchers; help give direction for the career development of mid level and more senior SAEM members. Nominating Committee Candidates
Current Academic Position(s): Institution(s): Northwestern University Academic Appointment(s): Professor Other major administrative position(s): Department Chairman Major Career Accomplishments: My major accomplishments include achieving departmental status at Northwestern University, being part of a great faculty and wonderful residency, and enabling a first rate research program with federal and private funding; serving as Vice Chair at Brigham and Women's Hospital and being a founding faculty member of the Harvard Affiliated Emergency Medicine Residency; serving as Chair of Emergency Medicine at Wilford Hall Medical Center in the United States Air Force; serving in a leadership role for Academic Emergency Medicine; working as an Editor of Rosen's Principles and Practice of Emergency Medicine; serving on the SAEM Board of Directors. SAEM Service:
•Member since 1988 •Committee/task force/interest group membership: Board of Directors (1999-2004); Secretary-Treasurer (2003-2004); Ethics Committee (1991-1999); Chair, Ethics Committee (1995-1999); Government Affairs Committee (1993); Moderator, Scientific Sessions (1995-2004); Reviewer, Research Abstracts (1995-2005); Member, multiple interest groups; Senior Associate Editor, Academic Emergency Medicine; Frequent speaker, contributor to conferences; Author of documents on professionalism, ethics. Most important contributions to SAEM: Having the privilege to serve on the board of directors of SAEM and also serve the journal, Academic Emergency Medicine, have allowed me to work with the best minds in the specialty. I have helped administrate, manage, and enable the dissemination of the work of thought leaders in emergency medicine. It remains rewarding to advance the work of friends and colleagues. I believe that my most important contribution has been to facilitate, enable, and disseminate the work of SAEM members while advancing professionalism, along with science and education. What are your goals for advancing the society? It is all about recruiting, retaining, and advancing the many talented people in academic emergency medicine. Cultivating talented residents, inspiring talented junior faculty, and augmenting the powerful contributions of senior faculty are the goals. We must inspire people to join our ranks by ensuring that we are ourselves per39
sonally fulfilled and professionally inspired. We must develop junior faculty through formal training and supportive mentorship. Professional friendships are a gift. The senior faculty can be given a voice through the journal and through national and international networks. Building these higher level networks, facilitating connection to federal funding agencies, and promoting national and international collaboration will advance both society and its members. What is your vision for the future of SAEM? The best and brightest are choosing our specialty, so we must nurture research and teaching skills, we must facilitate growth of academic skills, we must continue to advance scientifically. We must be able to inspire the future leaders of healthcare. SAEM continue to advance as a premier research society, an assembly of innovative educators, and a college of thought leaders. This requires financial support, so we must continue to develop grants and awards. Success also depends on adherence to the ethics of the society, so continuous affirmation of our professional standards is required. Growth also requires training the leaders, so development of even more highly advanced educational programs for scientists, educators, and administrators is needed. Which needs of the membership do you wish to address? Advanced academic research skills; clinician educator development; administrative and Leadership skill development Personal comment to membership: I find SAEM service satisfying on every level. It is a personal pleasure to work with wonderful friends and colleagues. The work of SAEM is intellectually fascinating, creative, and challenging. In the end, it also benefits society. Hopefully, good ends are reached for individuals in need. Current Academic Position(s): Institution(s): Regions Hospital, Saint Paul Minnesota Academic Appointment(s): Assistant Professor of Emergency Medicine, University of Minnesota Other major administrative position(s): Director, Regions Emergency Medicine Residency Major Career Accomplishments: CORD Faculty teaching award (1999); Outstanding Peer Reviewer Academic Emergency Medicine (2003) SAEM Service: •Member since 1990 •Committee/task force/interest group membership: Board of Directors (2001-2002); Undergraduate Education Committee (1996-2001; Chair, 1999-2001); Faculty Development Committee (2004-present); SAEM/CORD Joint Task Force on the Model Felix Ankel Curriculum of Emergency Medicine (2003-present); International Affairs Committee (1991-1994); Chair, Web Page Task Force (2004-present) Most important contributions to SAEM: Residency consultant (2002-present); Presenter, SAEM virtual advisor program, 26th annual AAMC meeting (2001); SAEM medical student web page (1999-2001); Author, "10 Things To Do Before Applying To An Emergency Medicine Residency" on SAEM medical student home page; Chair, Web Page Development Task Force (2004-present); SAEM/CORD Joint Task Force on the Model Curriculum of Emergency Medicine (2003-present); AEM reviewer (1997-present); AEM editorial board (2000-2003); Board of Directors (2001-2002); Undergraduate Education Committee (1996-2001, Chair, 1999-2001) What are your goals for advancing the society? My goal for advancing SAEM is to bring the society to the forefront in translating best knowledge into best care.
Current Academic Position(s): Institution(s):Summa Health System, Akron, OH Academic Appointment(s): Professor of Clinical Emergency Medicine, Northeastern Ohio Universities College of Medicine, Rootstown, Ohio Other major administrative position(s): Program Director of the Department of Emergency Medicine Major Career Accomplishments: My most significant accomplishment to date has been the development of an online testing tool useful to both residents and residencies. This year alone over 25,000 online tests will be administered. This accomplishment led to my being awarded the CORD Impact Award in 2003. Other accomplishments include spearheading the development of an SAEM-sponsored academic emergency elective resource useful to residents. In 1994 I obtained an MBA degree from Case Western Weatherhead School of Management. In 2000 I was awarded the ACEP National Faculty Teaching Award.
SAEM Service: •Member since 1994 •Committee/task force/interest group membership: Chair, GME Committee (2001-2004); GME Committee member (2000-2001, 2004-2005); Resident Support Task Force (1999-2000); Uniting Research and Education Task Force (2001) Most important contributions to SAEM: My most important contributions to SAEM revolve around my desire to increase the visibility of graduate medical education and its need for education research as a strong interest and driving force of SAEM. I have contributed significant time and interest to the GME Committee over the last 5 years, resulting in quality newsletter articles, a resource for residencies that enables the easy tailoring of an academic EM elective for a resident, as well as promoting the development of GME Committee members as they fulfilled committee objectives. What are your goals for advancing the society? If elected to the Nominating Committee, I hope to do more than develop the yearly list of candidates for the various elected positions within SAEM. I hope to work within the Nominating Committee to develop lists of potential candidates early on in their SAEM careers, compiling results of committee and task force work, as well as evaluations of committee chairs. 40
What is your vision for the future of SAEM? My vision for the future of SAEM includes broadening the reach of its membership. There are many emergency medicine physicians who clinically teach medical students and residents who are not members. As a medical society, we need to identify reasons that would compel many of these individuals to want to join and participate. Much of this can be done through greater collaborative efforts that lead to faculty development and research-fostering efforts. Which needs of the membership do you wish to address? I will represent emergency medicine educators, and will bring an increased focus on the need for quality medical education research efforts through collaboration and identification of potential funding sources. Personal comment to membership: I am a 1985 emergency medicine residency graduate from Akron City Hospital. I obtained an MBA degree following residency training. I have been the Program Director at Summa Health System since 1994. Since then I have contributed to the specialty through my involvement with SAEM and CORD, most recently serving on the CORD Board of Directors. I am an Oral Examiner for ABEM. My professional goals include the development of resources for educators that eliminate duplication of effort, and result in greater consistency in our ultimate product and pride- the resident graduate. If elected to the Nominating Committee I will work hard to identify those individuals who will bring energy to the various elected positions. Current Academic Position(s): Institution(s):MetroHealth Medical Center; Case Western Reserve University Academic Appointment(s): Associate Program Director and Director of Education; Department of Emergency Medicine, MetroHealth Medical Center; Professor of Emergency Medicine, Case Western Reserve University Major Career Accomplishments: Attained rank of Professor of Emergency Medicine - first to do so in three medical schools. Eleven years as Assistant and Associate Dean for Education and Student Affairs. Recipient of the major institutional teaching award at 2 medical schools. Numerous leadership roles in Emergency Medicine and medical education, including ABEM (examiner), RRC-EM, AMA (Section on Medical Schools), the Pathway Education Program (Chair of Advisory Board), National Youth Leadership Forum (Board of Advisors), the Liaison Committee on Medical Education (Faculty Fellow), and the Louis Binder Harvard Macy Scholars Program. Associate Editor, Academic Emergency Medicine (1994-2000). Academic Leadership Award (2001). SAEM Service: •Member since 1982 •Committee/task force/interest group membership: Board of Directors (1990-1995); President (1993-1994); Undergraduate Education Committee; Long Range Planning Process; Membership Survey Task Force (2004-present); Constitution and Bylaws, Undergraduate Education Consulting Service, Regional Research Symposia, Educational Curriculum Subcommittee, Model Curriculum in Emergency Medicine for students and rotating residents, Nominations, CME, Publications, Leadership development. Scientific abstract reviewer (1996-present), Annual Meeting Moderator (1987, 1991, 1996-2002); Director of SAEM Consultation Service (1998-2001). Most important contributions to SAEM: My various leadership activities as above, and the outcomes of these activities that have resulted in SAEM programs and processes that have grown and been used by our members to this day. Personal statement of what the person wants to do for SAEM, if elected: My interest in the Nominating Committee stems from my 17 years of involvement in the leadership of SAEM. The Society has been fortunate to attract young, capable, and energetic leaders into its leadership positions. Much of this success in leadership recruitment and development has stemmed from the active role that past and current SAEM leaders have taken in cultivating and mentoring leadership candidates. Election to the Nominating Committee would allow me the opportunity to continue to contribute to SAEM in using my experience, connections, and seniority to contribute to this ongoing priority. Constitution and Bylaws Committee Candidates Current Academic Position(s): Institution(s):Yale University Academic Appointment(s): Associate Professor of Emergency Medicine and Public Health Other major administrative position: Chief, Division of EMS Major Career Accomplishments: I completed my medical training at Columbia University, and my EM residency and EMS fellowship training at the Medical College of Pennsylvania, where I was the fortunate recipient of the 1994-95 SAEM/Physio-Control Fellowship in EMS grant. My fellowship experience really launched my interest in academic EM, and after serving as faculty at MCP for several years, I moved to Yale University in 1999, where I currently serves as EMS fellowship director, EMS Division chief, and area EMS medical director. I hold a joint appointment at Yale's public health school, where I direct a course on disaster management. I am very active in EM and EMS education, having trained six EMS felDave Cone lows, and served as thesis advisor to several PA and MPH students. I also teach at a graduate disaster management program in Drammen, Norway, and recently completed the European Master in Disaster Medicine program. I manage to remain active in EMS research, and was honored to receive the Best Cardiac Arrest Resuscitation Research Presentation at the NAEMSP Annual Meeting in January 2003. SAEM Service: •Member since 1992 •Committee/task force/interest group membership: 41
EMS Committee (1994-1997); Publications Committee (1997-1998); Outcomes Research Interest Group (1997-1999); EMS Research Task Force (2000-2001); Nominating Committee (2000-2002); Program Committee (2002-2004); Nominating Committee (2000-2002); Newletter editor (1998-present); AEM Associate Editor (1999-present); AEM Senior Editor (2001present); Steering Committee, AEM Consensus Conferences (2002, 2003 and 2005); First author of AEM peer review template. Most important contributions to SAEM: I believe that my primary contributions have been through two of SAEM's publications. First, I have served as newsletter editor since 1998, helping organize and craft the society's internal communications. Second, I have served as Associate Editor, and then Senior Associate Editor, of SAEM's journal since 1999. This has given me the opportunity to get involved in a number of SAEM activities. I have been active in the peer review process for Academic Emergency Medicine, served as first author of the journal's peer review template, and presented this template and several other didactic sessions at the Annual Meeting peer review workshops. I have helped guide the development and implementation of three of AEM's annual consensus conferences, and now coordinate all of the journal's activities at the Annual Meeting, as well as all journal correspondence submissions. What are your goals for advancing the society? The Constitution and Bylaws Committee conducts an annual review of these documents, ensuring that they maximize the ability of the Society to meet its objectives and advance its vision. By focusing on the "structure" and "process" of the Society, we can hopefully maximize the "outcomes" in terms of the Society's work products, service to members, and advancement of the academic aspects of emergency medicine. What is your vision for the future of SAEM? SAEM continues its growth as the leader in education and research in emergency medicine. A number of new technologies, such as simulation and distributed learning, present opportunities in both research and education for our specialty, and I believe the Society must help its members assume leadership roles in these and other aspects of academic EM. Which needs of the membership do you wish to address? Many of the Society's formal objectives (such as "sponsoring forums for the presentation of peer-reviewed scientific and educational investigations") help serve the needs of the members while simultaneously advancing SAEM's vision. Ensuring that the constitution and bylaws help facilitate such win/win functions must be a key function of this committee. Current Academic Position(s): Institution(s): Duke University Academic Appointment(s): Associate Clinical Professor Other major administrative position: Program Director for Emergency Medicine Residency Program; Course Director for Duke University’s Capstone Course Major Career Accomplishments: I am a clinician educator. I believe in sharing my talents and time to promote and grow our specialty. I'm one of those people who is never happy with the status quo and hence, constantly looking for ways to improve myself and the specialty of emergency medicine. I have dedicated my career to expanding the knowledge of medical students, residents and my emergency medicine colleagues. My biggest accomplishment to date would have to be the development of the EM Residency at Duke. In addition to adding a residency program, I've had the opportunity to contribute to Susan Promes the specialty through writing chapters for numerous textbooks as well as editing textbooks. I lecture nationally to emergency medicine audiences. I write for Journal Watch and through that endeavor I am able to share information with others. I enjoy planning educational activities and have played an active role in the SAEM Annual Meeting for the past several years from reviewing abstracts, selecting courses to helping plan the Chief Residents Forum and Medical Student Symposium. I have won the Teacher of the Year award from Alameda County Medical Center - Highland General Hospital Residency Program and have been recognized for my leadership roles on multiple occasions. SAEM Service: •Member since 1987 •Committee/task force/interest group membership: Didactic Sub-committee, Program Committee (1998-present); Medical Student Symposium, Program Committee (2001-present); Chief Residents Forum, Program Committee (2004-present); GME Committee (2004-present); Ultrasound Interest Group (1996-present); Mentoring Women Interest Group (2003-present); Residency Consulting Service (2003-present); Overseeing the development and implementation of the 2005 Medical Student Symposium and Chief Residents Forum. Most important contributions to SAEM: My most important contributions to SAEM are through the development of educational programs for medical students, residents and faculty. I am a Residency Director and my heart lies in education. I have a passion for education and direct my energies in that venue. Over the years of my involvement in the Medical Student Symposium (two years as chair), I have helped to grow the attendance in that program. I'd like to think I have had a role along with all the other committee members in the success of the Annual meeting over the past several years. I have reviewed course proposals and abstracts and served as a judge for the Annual meeting. I helped select top-notch programs for inclusion in the meeting. Lastly, as one of the founders of the Mentoring Women Interest group, I helped develop a forum for women in academic emergency medicine to come together and mentor one another. Personal Statement of what the person wants to do for SAEM, if elected: If elected to the Constitution and Bylaws committee, I will spend the next three years learning as much as I can about the organization with the hope of serving on the Board of Directors in the future. As a committee member, I can contribute the most is in areas of organizational process and fairness. I am known for my attention to detail and problem solving which will serve me in this position. As mentioned previously, I am a Residency Director and day to day deal with issues surrounding education of residents and medical students. I enjoy sharing my knowledge and experience with others. I see SAEM continuing to grow and our Annual meeting expanding with not only research presentations but also more workshops for the clinician educators to support their development, career longevity and productivity. I see the development of more formal mentoring opportunities for our mem42
bers. Most importantly I see myself working hard to fulfill the needs of the membership. One thing that you can count on from me is that I promise to be diligent in my responsibilities and responsive to the membership. Resident Member of the Board Candidates Current Academic Position(s): Institution(s): University of North Carolina, PGY-1 EM Resident Other major administrative position(s): Minor Trauma/Urgent Care administrative committee member Major Career Accomplishments: I am a first year resident at the University of North Carolina. My research interests are in medical student and resident education. I am currently working on a research project for a web based teaching tool for EKG interpretation. I graduated in the top third of my medical school class last year and am a member of Alpha Sigma Nu, an honor society comprised of graduates who distinguish themselves in scholarship, loyalty and service. I held many leadership positions in medical school, including my role as president of the local chapter of the American Medical Women's Association (AMWA). Last year I was the recipient of the Father Fahey Scholarship for academic achievement, leadership, and service. Prior to medical school, I worked on a NATO project involving medical Gillian Rickmeier planning and defense against bioterrorism. I received a Top Secret clearance from the Department of Defense and had several publications. I was the primary author on "Biological Warfare Human Response Modeling", (Military Operations Research Society, 2001) and was awarded the best presentation in my working group at a national meeting and nominated for the Barchi award by the Military Operations Research Society. SAEM Service: â€˘Member since 2003 Most important contributions to SAEM: As a new member to the field of emergency medicine, my contributions to SAEM are my interest in the specialty and my dedication to enhancing the future of emergency medicine. My desire to pursue this position and commitment to involve new members provides representation from emergency medicine residents and gives a voice to those who will help direct the future of SAEM. Furthermore, my research project is meant to address an issue brought before the SAEM Board in 2002 regarding physician competence in EKG interpretation. I plan to be involved in gathering data, designing the survey and teaching tool, recruiting volunteer participants, data analysis, feedback analysis, manuscript preparation and presentation. My goal is ultimately to highlight areas of resident weakness, design a teaching tool that will improve the diagnostic and possible clinical decision making involving the use of EKGs, and attempt a standardization of resident skill level in EKG interpretation. Personal Comment to the membership: My goals for next year are to help advance the society by maintaining its primary mission: improving patient care through the advancement of education and research in emergency medicine. As a resident member of the board, I would like to recruit other residents and medical students to become involved in the various committees, task forces, and interest groups to help influence the future of healthcare policy and decision-making. Specifically, I'd like to continue to build the SAEM mentor program, medical student symposium and resident forum. Coming from a medical school without an EM residency, I understand the challenges in finding a preceptor and making successful career decisions. As the field of emergency medicine is growing exponentially, the future of SAEM is largely dependent on the interest, participation, and leadership of its newer members. My background in education and research has stimulated me to become more involved and I'd like to apply that experience to endorse new proposals, allocate financial and staff resources, and create new goals and objectives to fulfill the mission of SAEM. Current Academic Position(s): Institution(s): Naval Medical Center San Diego, PGY-3 EM Resident Major Career Accomplishments: I attended Officer Indoctrination School in 1997 and won the Lieutenant Thomas Eadie, United States Navy (Retired), Congressional Medal of Honor, Award, for achieving the highest combined grade point average of academics and military readiness in the class. I graduated from MCP Hahnemann School of Medicine in 2001 and won the Lippincott, Williams & Wilkins Award for Excellence in the Preclinical Curriculum as well as a scholarship for academic performance during my second year. I then completed a transitional year internship at Naval Medical Center San Diego, serving as the Vice President or the intern class. After internship I served as a General Medical Officer for the United States Marine Corps, deploying to Iraq in support of Operations Enduring & Iraqi Freedom. I have served on the board of directors of the American Academy of Emergency Medicine Joel Schofer (AAEM) Resident Section for four years and am currently the President of the Resident Section and a member of the main AAEM board of directors. In 2003 I was the Editor-In-Chief of a textbook for medical students interested in emergency medicine, AAEM's Rules of the Road for Medical Students, containing over 40 chapters and 400 pages. SAEM Service: â€˘Member since 1998 Most important contributions to SAEM: I have been a member since medical school and look forward to making many important contributions to SAEM. I have been very involved in the development of the AAEM Resident Section and would now like to shift my focus and energy to SAEM and the development of its resident membership. Personal Comment to the membership: I would like to bring my enthusiasm and productivity to SAEM. I have been one of the most productive members of the AAEM Resident Section board of directors and would suggest three improvements that would allow SAEM to better serve its resident members. As the academic society of EM, I feel that SAEM is perfectly positioned to create the definitive board review source for EM residents. Other academic societies in other specialties (American College of Physicians, American Academy of Pediatrics, etc.) provide this service for its residents and I believe SAEM should 43
as well. This would offer a tremendous service to its current members and entice more residents to join the organization. I also believe that SAEM needs to update and upgrade its website and would look forward to making SAEM.org an easier to use and more complete reference for all members. Finally, SAEM has the potential to really develop its resident membership and I would propose that a Resident & Student Section be created. In my opinion, there is not a lot of opportunity for residents or students to become involved in SAEM and creating a resident section would dramatically improve this opportunity. Current Academic Position(s): Institution(s): East Carolina University, Brody School of Medicine, Pitt County Memorial Hospital, PGY1 EM Resident Major Career Accomplishments: Prior to Medical School, I worked five years in Washington, DC as a Legislative Assistant for California Representative Anna Eshoo, a member of the House Committee on Commerce including the primary authorizing House subcommittee for Healthcare, the Subcommittee on Health. I drafted and helped pass legislation to fund the Department of Health and Human Services (HHS), the National Institutes of Health (NIH), the National Science Foundation (NSF) and other federal agencies involved in healthcare policy and research. I also helped California constituents (such as Stanford University, Intel, Apple, small business owners and private citizens) access millions in federal research dollars. Academically, I attended the University of Notre Dame (BA, 1992, Government and Lance Scott International Studies) and the University of North Carolina School of Medicine at Chapel Hill. Significant awards include the Isaac Hall Manning Award presented to the senior medical student who best exemplifies "outstanding scholarship, character, leadership, initiative and original investigative work." Also the SAEM Excellence in Emergency Medicine Award presented to the senior student who best exemplifies the qualities of an excellent emergency physician. I first authored the peer-reviewed publication, "An Analysis of EMT-Paramedic Verbal Reports to Physicians in the Emergency Department Trauma Room." Prehospital Emergency Care. 6(1):167, April/May 2003. SAEM Service: •Member since 2004; I presented "Lumbar Puncture Utilization on Adults in the Emergency Department Suspected of Having Meningitis," at the 2004 SAEM Southeast Regional Conference in Chapel Hill, North Carolina. The project won SAEM's Best Student Presentation Award. Personal Comment to the membership: I want to do for SAEM what I did professionally for five years - namely, help SAEM navigate the federal system to bring more dollars into Emergency Medicine and implement public policy changes that will advance Emergency Medicine as an academic and clinical discipline. By working with the SAEM National Affairs and Development Committees, I believe I can significantly expand funding opportunities for the SAEM Research Fund as well as specific opportunities for individuals seeking federal funds. In addition, I feel that SAEM should advocate more assertively on specific reform issues that uniquely affect academic departments - for example, NIH Extramural Grant Reform and Graduate Medical Education (GME) funding. Finally, I will focus on four specific Resident issues during my tenure including career development enhancement, expanding curriculum in Ultrasound and Critical Care, quality of life challenges such as Violence in the Workplace and ethical issues such as Racial Disparities in Healthcare. I look forward to learning from Members of the Board and contributing what I can to rapidly advance SAEM goals.
Advertising Positions Available at Annual Meeting SAEM is again offering an opportunity to advertise in the on-site program. The Annual Meeting will be held May 22-May 25 in New York City and will attract approximately 1,800 academic emergency physicians. A limited amount of space is being set aside for the position available section and only academic positions available will be accepted. The deadline for receipt of ads at the SAEM office is May 1, 2005. Ads should be sent to Elizabeth@saem.org. The following ad requirements and prices are available for the on-site program: Classified line ads (100 words maximum): $100 (contact SAEM member) or $125 (non-SAEM member) Quarter page ads: 31⁄2” wide x 43⁄4” deep
Half page ads: 71⁄2” wide x 43⁄4” deep or 31⁄2” wide x 93⁄4” deep $350 Full page ads: 71⁄2” wide x 93⁄4” deep
A typesetting fee ($25-$50) will be charged if the quarter, half, or full page ads are not camera-ready.
President’s Message…(continued from page 1) describes how we teach and measure competency of residents in the care of patients with chest pain. My suspicion is that a document of that length and complexity will not be read by residents or faculty alike. Excellent process documentation, but without practicality for the end users. As a specialty, we should be able to articulate the outcomes measures for a successful practitioner’s care of a patient with chest pain in a page or less. One of my predecessors, Roger Lewis, challenged our organization to “raise the bar” of EM educational research5 … and perhaps even more so than basic science and clinical research. We are truly in our early stages of exploration. The myriad of systems changes should provide a fertile field for research in this area. By succinctly articulating the critical cognitive and technical skill sets that our graduates must possess, our educational researchers will be able to identify valid outcome measurements that correlate with competency. Without these, we risk simply layering additional process measurement and documentation (how our programs teach and measure the core competencies) without attaining the theoretic goal of assuring competent graduates. In the interim, our specialty should carefully examine the risk-benefits of alterations in our training process (requirements). The analogy to a new medication is reasonable;… what does the new educational requirement replace, how will it help to assure competency in a critical outcome, what are it’s side effects (e.g. additional documentation), and what are its unintended adverse reactions (post-marketing surveillance)? As I mentioned in my previous message, it’s time to tackle the question of duration of training. This should be defined by the desired endproduct, a set of clearly and concisely articulated cognitive and technical skills
for our graduates. Once defined, we can decide how long it will take to train a resident in those skills. This becomes the finite time table of training. ANY additional mandated educational components MUST be balanced with an identical reduction in another (or an expansion of the duration of training). This is a dramatic departure from our historical practice of simply adding layer upon layer. When the process leading to the desired outcome has not been carefully validated, our specialty should reward and allow creativity. Instead of a “one size now applies to all”, encourage programs to pilot training strategies, or provide several potential options from which they may choose. For those who are not directly involved in student or resident curricula implementation, you may wonder if and how this affects you. Keep watch! The ABMS assessment of practice performance requirement will apply to all of us.6 My prediction is that we will turn to simulation technology in the very near future (I would guess that we’re about 1-2 hardware generations and 3-4 software generations away from the necessary technology) to assure that we have maintained (and continued to develop) our cognitive and technical skills. The annual airline pilot cockpit simulator model may not be so far fetched of an idea. Simulation technology would appear to be a ripe field for research and development for a number of our current and future faculty. SAEM members have a tremendous opportunity to contribute to the future of medical education. Educational research targeting validation of competency measurement is desperately needed. The interface with the IT community can transfer much of the process documentation to paperless, automatically stored databases, thereby allowing more efficient use of the time spent by residents and educators
alike. Simulators will soon become one of the most widespread tools for education process as well as for competency verification for all levels (student through veteran practitioner). So what’s the revolution? It starts with the application of the scientific method to our educational processes. Where it goes from there lies with all of us. References 1.
Anonymous. Core Content for Emergency Medicine. American College of Emergency Physicians. American Board of Emergency Medicine. Society for Academic Emergency Medicine Ann of Emerg Med. 20(8):920-34, 1991 Aug Allison EJ Jr. Aghababian RV. Barsan WG. Graff JG. Janiak BD. Kramer DA. Perina DG. Robinson WA. Strange GR. Core content for emergency medicine. Task Force on the Core Content for Emergency Medicine Revision. Ann of Emerg Med. 29(6):792-811, 1997 Jun. Hockberger RS. Binder LS. Graber MA. Hoffman GL. Perina DG. Schneider SM. Sklar DP. Strauss RW. Viravec DR. Koenig WJ. Augustine JJ. Burdick WP. Henderson WV. Lawrence LL. Levy DB. McCall J. Parnell MA. Shoji KT. American College of Emergency Physicians Core Content Task Force II. The model of the clinical practice of emergency medicine. Annals of Emergency Medicine. 37(6):745-70, 2001 Jun. Chapman DM. Hayden S. Sanders AB. Binder LS. Chinnis A. Corrigan K. LaDuca T. Dyne P. Perina DG. SmithCoggins R. Sulton L. Swing S. Integrating the accreditation council for graduate medical education core competencies into the model of the clinical practice of emergency medicine. Acad Emerg Med. 11(6):674-85, 2004 Jun. Lewis RJ: Educational Research: Time to Reach the Bar, Not Lower It. Acad Emerg Med 2005 12: 247-248 ABMS home page. http://www. abms.org/MOC.asp 2005
ABEM Requests Suggestions for Lifelong Learning and Self-Assessment Readings A cornerstone of ABEM's new EMCC program is the concept of Lifelong Learning Self-Assessment (LLSA), which is developed to promote continuous learning on the part of ABEM diplomates. ABEM facilitates this learning by identifying an annual set of readings to guide diplomates in self-study of recent Emergency Medicine (EM) literature. You can have a voice in the identification of these readings. ABEM welcomes and requests that EM organizations and ABEM diplomates submit suggestions for readings. As a result of these efforts, over the past three years, ABEM has received a significant number of recommended quality readings. There is concern, however, that the number of suggested readings may naturally diminish over time as organizations and individuals are increasingly busy. Developing high-quality LLSA tests is dependent on highquality readings. ABEM urges SAEM and its members to participate actively in the selection of LLSA readings. As the publisher of EM’s academic journal and a leading academic organization in EM, SAEM is in a uniquely positive position to identify important, high quality readings.
for which the designated content areas will be Signs, Symptoms, and Presentations and Psychobehavioral Disorders. ABEM will select approximately 50% of the readings for the 2007 LLSA from these two designated areas, while approximately 50% of the test content will be drawn from the remaining content areas of the EM Model Listing of Conditions. How to Submit Recommendations for LLSA Readings For each reference submitted, ABEM must receive the following two items: 1. Lifelong Learning and Self-Assessment Reference Form Complete an LLSA Reference Form for each reference that you recommend to ABEM. Be sure to provide all requested information for each reference, including the article title completely written out, the journal name, etc. Do not use abbreviations. Do not alter the form in any way, except to add the requested information in the space provided. The LLSA Reference Form is available from ABEM and may also be downloaded as an MS Word document from the ABEM website, www.abem.org. The form can be computer-printed or typewritten. 2. One Paper Copy of the Article, Chapter, or Other Text One paper copy of the article, chapter, or other text for which you have submitted a reference must be mailed or faxed to ABEM to be considered for inclusion. Electronic copies of readings cannot be accepted due to copyright restrictions. References received by June 1, 2005, will be considered for inclusion in the 2007 LLSA module. Materials submitted after that date will be considered in the future. Recommendations may be submitted via fax or mail: FAX: 517.332.3943; Mail: LLSA References, American Board of Emergency Medicine, 3000 Coolidge Road, East Lansing, MI 48823 If you have specific questions or comments regarding the process for recommending references for the LLSA component of the EMCC program, please contact Timothy J. Dalton, Examination and Evaluation Project Specialist, at the ABEM office, telephone 517.332.4800. If you have questions of a more general nature regarding LLSA or about the overall EMCC program, please contact Robert C. Korte, Ph.D., Senior Psychometrician.
Submission Criteria for LLSA Readings ABEM has established the following criteria for LLSA readings: 1. Focused on recent advances or current clinical knowledge in Emergency Medicine; 2. Clinically oriented in content; 3. Drawn from peer-reviewed EM journals, peer-reviewed journals from related primary specialty fields, textbook chapters, or updated practice guidelines; 4. Published in printed or electronic form within the immediate five years preceding the LLSA test in which it will be used; 5. Related to either the designated content areas for a given year (approximately 50%), or to the remaining content areas (approximately 50%) of the EM Model "Listing of Conditions." Content of the 2007 LLSA Test Although readings for the second LLSA test in 2006 have already been selected, ABEM welcomes reference suggestions for future LLSA tests from the larger EM community on an ongoing basis. Currently, ABEM is soliciting readings for the 2007 LLSA test,
Call for Advisors The SAEM Virtual Advisor Program has been a tremendous success. Hundreds of medical students have been served. Most of them attended schools without an affiliated EM residency program. Their “virtual” advisors served as their only link to the specialty of Emergency Medicine. Some students hoped to learn more about a specific geographic region, while others were anxious to contact
an advisor whose special interest matched their own. As the program increases in popularity, more advisors are needed. New students are applying daily. Please consider mentoring a future colleague by becoming a virtual advisor today. We have a special need for osteopathic emergency physicians to serve as advisors. It is a brief time commitment – most communication
takes place via e-mail at your convenience. Informative resources and articles that address topics of interest to your virtual advisees are available on the SAEM medical student website. You can complete the short application on-line at http://www.saem.org/ advisor/index.htm. Please encourage your colleagues to join you today as a virtual advisor.
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.email@example.com, or call (614) 293-8176. Affirmative Action/Equal Opportunity Employer.
Academic Positions Available in the
Department of Emergency Medicine of
Allegheny General Hospital, Pittsburgh, PA
PENNSYLVANIA: University of Pittsburgh: Full-time emergency medicine faculty positions are available at the Instructor through Associate Professor levels. Candidates must be residency trained and board certified/prepared in emergency medicine. We offer career opportunities as a clinician-investigator or clinician-teacher. Our faculty have local, national and international recognition in research, teaching and clinical care. The ED serves a primarily adult population with a volume of approximately 50,000 per year, and is a Level I trauma center with both toxicology and hyperbaric medicine treatment programs housed within our Department. Salary is commensurate with experience. For further information write to: Donald M. Yealy, MD, Vice Chair, Department of Emergency Medicine, University of Pittsburgh School of Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213. The University of Pittsburgh is an Affirmative Action, Equal Opportunity Employer.
Practice Emergency Medicine in Western Pennsylvania’s Most Dynamic Emergency Department ✩ ✩ ✩ ✩ ✩ ✩
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 ✩ Salary Commensurate with Experience
THE UNIVERSITY OF UTAH Health Sciences Center has a position available in the Division of Emergency Medicine for a residency-trained physician with an interest in academics and residency training to start the summer of 2005. The University of Utah is the primary medical teaching and research institution in the state. The E.D. has a census of 33,000 visits annually and is an ACS-certified Level-1 Trauma Center. The Division of Emergency Medicine runs the AirMed helicopter service, two regional EMS systems, and the Utah Poison Control Center. Additionally, we are starting the first Emergency Medicine Residency program in Utah in July 2005 with eight residents. Candidates must be board certified/prepared and have a demonstrated interest in research and education. Competitive salary with excellent benefits package. The University of Utah is an EEO/AA employer and encourages applications from women and minorities. Send CV to Erik D. Barton, M.D., M.S., Chief, Division of Emergency Medicine, 1150 Moran Eye Center, 175 N. Medical Drive East, Salt Lake City, UT 84132; 801-581-2730; fax 801-585-6699; firstname.lastname@example.org.
Contact: Fred Harchelroad, M.D. via Michelle Malsch, Executive Asst. (412) 359-3961 email@example.com ✩✩ West Penn Allegheny Health System, an Equal Opportunity Employer ✩✩
WASHINGTON, DC: Washington Hospital Center (WHC), Georgetown University Hospital (GUH), Franklin Square Hospital (FSH), and Union Memorial Hospital (UMH) in the Washington, D.C. – Baltimore, MD corridor seek physicians board-certified or residency-trained in emergency medicine to join their faculty. WHC is the largest Washington, DC hospital, seeing more than 67,000 annual visits; GUH is a renowned academic institution; and FSH and UMH emergency departments in Baltimore are very busy. Contact Mark Smith, MD, FACEP, Chairman of Emergency Medicine, at 202-877-0808, fax 202-8772468 or write to him at the Washington Hospital Center, Department of Emergency Medicine, 110 Irving Street, NW, Washington, D.C. 20010.
University of Pittsburgh The Department of Emergency Medicine offers fellowships in the following areas: • Toxicology • Emergency Medical Services • Research • Education Enrollment in the Graduate School is a part of all fellowships with the aim of obtaining a Master’s Degree. In addition, intensive training and interaction with the nationally-known faculty of the Department of Emergency Medicine, with experts in each domain, is an integral part of the fellowship experience. Appointment as an Instructor is offered and fellows assume limited clinical responsibilities in the Emergency Department at the University of Pittsburgh Medical Center and affiliated institutions. Each fellowship offers the experience in basic and/or human research and teaching opportunities with medical students, residents and other health care providers. The University of Pittsburgh is an Equal Opportunity Employer, and will welcome candidates from diverse backgrounds. Each applicant should have an MD/DO background or equivalent degree and be board certified or prepared in emergency medicine (or have similar experience). Please contact Donald M. Yealy, MD, University of Pittsburgh, Department of Emergency Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213 to receive information.
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 July/August issue is June 1, 2005. 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 $100 Contact in ad non-SAEM member $125 Quarter page ad (camera ready) 3.5" wide x 4.75" high $300 To place an advertisement, email the ad, along with contact person for future correspondence, telephone and fax numbers, billing address, ad size and Newsletter issues in which the ad is to appear to: Elizabeth Webb at firstname.lastname@example.org
Section of Emergency Medicine Yale University School of Medicine Associate Section Chief www.ecu.edu
The Section of Emergency Medicine at Yale University School of Medicine is seeking to fill the position of Associate Section Chief at the Associate Professor level. The candidate should be an experienced clinician with demonstrated excellence in administrative and interpersonal skills. In conjunction with the Chief, he/she will assist with the overall mission of the Section, to excel in clinical practice, education, and research. Responsibilities will include oversight and direction of clinical operations, in conjunction with the Medical Director of the Emergency Department, specifically the development and monitoring of quality measures. 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 administrative experience, as well as demonstrated leadership skills and a strong commitment to medical education and clinical excellence. Yale New Haven Hospital is the primary practice site. It is a level I trauma center with approximately 70,000 adult ED visits per year. In addition, a satellite ED on the Connecticut shoreline with an annual census of approximately 10,000 adult and pediatric patients per year. Rank and salary will be commensurate with education, training and experience. For more information, contact Dr. Gail Dâ€™Onofrio at (203) 785-4404 or email@example.com. To apply, please forward your CV and cover letter via fax at (203) 785-4480, email firstname.lastname@example.org, 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.
Associate Residency Director ECU Emergency Medicine at the Brody School of Medicine is recruiting for an Associate Residency Director for one of the oldest and premier emergency residencies in the country, with 12 EM and two EM/IM residents per year. Academic rank of assistant to full professor depends on qualifications and experience. Tenure-track or clinical-track appointments available, depending on academic interest. Pitt County Memorial Hospital is a 740-bed Level I trauma center, with 70,000 ED and urgent care visits per year. Greenville is a family-oriented community with a major 24,000 student university. This is an excellent opportunity to join a rapidly-growing emergency department in eastern North Carolina, just ninety minutes from the Atlantic Ocean. The university excels in the arts, music, theater, and dance, so there are exceptional cultural opportunities. We offer competitive compensation commensurate with qualifications and excellent fringe benefits. Screening will remain open until filled. We encourage you to visit our website at www.ecu.edu/ecuem to learn more about our department and the requirements for this position. Please submit letter of interest, CV, and three letters of reference to: Herbert G. Garrison, MD, MPH, Professor and Interim Chair, Department of Emergency Medicine, The Brody School of Medicine at East Carolina University, 600 Moye Boulevard, Greenville, North Carolina, 27834, Phone 252-744-4757; Fax 252-744-5014 You may also apply online by using ECU OneStop on the main ECU page: www.ecu.edu. ECU is an EEO/AA employer and accommodates individuals with disabilities. Applicants must comply with the Immigration Reform and Control Act. Proper documentation of identity and employability required at the time of employment. Current references must be provided upon request.
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mind-stretching. heart-pounding. opportunity-rich. Work among the BEST! Jackson Health System, the premier South Florida integrated health system, is a 1597-bed tertiary care center affiliated with the University of Miami School of Medicine. We offer virtually unlimited opportunities to test and advance your talents along with one of the best benefit programs found anywhere including 100% employer-paid retirement, 29 paid personal leave days, health/dental/life and much more!
Attending Physician Due to our recent expansion we have a number of full-time opportunities available within our Emergency Care Center for Florida licensed MDs with board certification in Emergency Medicine or residency trained in Emergency Medicine and current/future core faculty responsibilities. Competitive salary/benefits. Sovereign immunity. For more information, please contact: Jackson Health System Tom McGlynn, Recruitment Services 1611 NW 12th Ave, Park Plaza West, Ground Level, Suite 1 Miami, FL 33136 Phone: 305-585-7142; Fax: 305-585-7824 email@example.com
www.um-jmh.org EOE, M/F/D/V
Brigham and Women's Hospital Harvard Medical School Full-time academic faculty position. Includes excellent academic support, appointment at Harvard Medical School, unparalleled research opportunities, competitive salary, and an outstanding comprehensive benefit package. Brigham and Womenâ€™s Hospital is a major Harvard affiliated teaching hospital, level I trauma center, and the base hospital for the four year ACGME accredited Brigham and Womenâ€™s Hospital/Massachusetts General Hospital Harvard Affiliated Emergency Medicine Residency Program. The Department of Emergency Medicine cares for over 54,000 ED patients per year, and the 43 bed ED includes a 10 bed ED Observation Unit, a 5 bed rapid assessment cardio/neuro unit and an advanced informatics system. The department is also home to STRATUS, a comprehensive medical simulation training center. The department has a robust International Emergency Medicine Program and offers international EM fellowships. The successful candidate must have successfully completed a four year residency training program in emergency medicine or a three year program followed by a fellowship, and be board prepared or board certified in emergency medicine. Interest and proven ability in Emergency Medicine research and teaching are essential. Please send inquiries and CV to Ron M. Walls, MD, FACEP, Chairman Department of Emergency Medicine Brigham and Womenâ€™s Hospital 75 Francis Street, Neville House Boston, Massachusetts 02115. E-mail firstname.lastname@example.org BWH is an Equal Opportunity/Affirmative Action Employer
CHIEF PEDIATRIC EMERGENCY MEDICINE The Department of Pediatrics at Women’s & Children’s Hospital in Buffalo, NY, seeks a Chief of Pediatric Emergency Medicine who can lead a strong pediatric emergency medicine program in areas of clinical medicine, medical education and research. This position will lead both the Pediatric Emergency Medicine Division and the Hospital’s Emergency Medicine Department. The Hospital is a private, not for profit, 313 bed full service pediatric and women’s hospital (majority of beds are pediatric with about 60 designated for women) and is a Level I regional, pediatric trauma center. The Emergency Department has 30 beds and had 42,000 visits in 2003. The Division has 12 full time faculty, and an ACGME fellowship program. Qualifications: MD, BC in Pediatric Emergency Medicine, demonstrated track record in leading and managing, committed to teaching and research. For additional information, contact: Diane Alston (602)234-3890 dalston@FaheyAssociates.com
St. Vincent’s Mercy Medical Center in Toledo, Ohio is currently seeking candidates for the position of Clinician/Faculty within the Department of Emergency Medicine. Candidates must be residency trained in Emergency Medicine and board certified. The Emergency Medicine residency program was established in 1974 and is a fully accredited three-year program with 12 positions per year. Providing an excellent experience for residents, the ED is a high-acuity facility with 59,000 visits per year; this hospital is a Level I trauma center with special recognition as a pediatric trauma center. The program is also recognized for training within the LifeFlight program, the region’s first emergency aeromedical service. A highly appealing package is offered which includes competitive remuneration, excellent benefits, and equity ownership eligibility within an established, democratic group. For additional information please contact: Amy Spegal Premier Health Care Services (800) 726-3627, ext. 3682 email@example.com fax: (937) 312-3683
The University of Texas Southwestern Medical Center and the Parkland Health and Hospital System in Dallas
The University of Texas Medical Branch at Galveston Faculty Position, Emergency Medicine The University of Texas Medical Branch (UTMB) is a worldrenowned complex, home to Texas’ oldest medical school. Located 50 miles southeast of Houston on Galveston Island, UTMB is a health care system that offers patients from the state, nation and world a comprehensive approach to quality care. Services range from primary care to the specialized diagnostic and treatment resources found only at the nation’s largest teaching, research, and clinical care centers. The University of Texas Medical Branch is seeking a full time Emergency Medicine Faculty Physician who is BE/BC in Emergency Medicine. This position offers opportunities for clinical care, teaching of housestaff and students, and research in an academic medical center. The Emergency Department has approximately 78,000 visits per year and is a certified Level 1 Trauma Center. Radiology and Clinical Laboratory provide dedicated and continuous support to this area. UTMB serves as the lead trauma facility for a ten-county region of southeast Texas. Two helipads are located adjacent to the Emergency Room to accommodate air ambulance and off shore vehicles, including the U.S. Coast Guard. The Emergency Department also has an active telemedicine program.
Seeking Additional Emergency Medicine Faculty With rapidly evolving support from numerous NIH, CDC, HRSA, DOD grants, the Emergency Medicine program at UT Southwestern and Parkland Hospital in Dallas is expanding with additional positions for ABEM board-certified/eligible faculty interested in research, ultrasound, human simulation, clinical education, injury prevention, and/or weapons of mass effect. We offer excellent salary/benefits packages commensurate with experience and academic rank. UT Southwestern is an equal opportunity employer. Candidates should submit letters of interest and CV’s to:
Please submit your resume to: Brian Zachariah, MD, MBA, FACEP, firstname.lastname@example.org,Medical Director - Division of Emergency Medicine, 301 University Boulevard, Galveston, TX 77555-1173, 409-772-1425, www.utmb.edu/er
Paul E. Pepe, MD, MPH, Professor and Chair, Emergency Medicine, UT Southwestern, 5323 Harry Hines Blvd, Dallas, Texas 75390-8579. Phone (214) 648-4812, or email: email@example.com
UTMB is an equal opportunity affirmative action employer m/f/d/v. Women, minorities, veterans and individuals with disabilities are encouraged to apply.
2005 AACEM Annual Meeting and Workshop Saturday, May 21 Annual AACEM Meeting (attendance limited to AACEM members and AACEM guests) 7:30 am
Welcome to new members and recognition of members in transition
Levy International Health Presentation: "The Development and Current State of Emergency Medicine in Iceland" by Jon Baldursson, MD, Medical Director, Emergency Department, Landspitali University Hospital, Reykjavik, Iceland
"Discussion of Academic Benefit, Opportunities, and Challenges of International Health and Emergency Medicine," Discussants: Sandra Schneider, MD, Robert Shesser, MD, and William Whitlake, MD
"Between Rocks and Hard Places: Leadership Challenges of Chairs in Medical Schools and Affiliated Teaching Hospitals," by Robert Dickler, Senior Vice-President, Council of Teaching Hospitals, Association of American Medical Colleges. Discussants: Chuck Emerman, MD, Brent King, MD, and Ed Michelson, MD
11:15-12:00 noon General Session/Open Discussion
AACEM Annual Business Meeting (AACEM members only) 12:00-1:30
Annual Business Meeting: Lunch, Elections, etc.
AACEM New and Future Chairs of Emergency Medicine Workshop
AACEM New and Future Chairs Workshop The AACEM Workshop is open to all AACEM and SAEM members. The registration fee is $100. Make checks payable to AACEM and send to: 901 North Washington, Lansing, MI 48906. For more infomration or questions call 517-485-5484 or firstname.lastname@example.org
The Business Aspects of Health System Management: Physicians Role in Health System Leadership, Paul Taheri, MD, MBA, and David Butz, PhD, University of Michigan Health System 1:30-2:30
The Basic Business Model of a Health System In this session, we introduce the concept that health care is a “high-fixed cost” industry, and we describe some clinical and financial implications. We describe many ways to gauge costs – total, average, fixed/variable/marginal, avoidable/sunk, opportunity costs, and variable direct/fixed direct/indirect. We parse costs for specific diagnoses and principle procedures to show how costs accrue over the course of a patient’s hospital stay, and how activities such as pharmacy and lab contribute to costs.
Operations Management and Finance We explain how hospitals and physicians can leverage their fixed assets to better serve their patients and themselves. We discuss the importance of throughput in settings with high fixed costs, and we discuss conventional mechanisms for improving operational performance: reducing flow time, attacking bottlenecks, and eliminating unnecessary buffers. We then discuss the adverse impact that variability has on operations, and we identify tools that providers can use to manage variability. From a financial perspective, we introduce the time value of money, present value, and return on investment and other financial perspectives.
Integrating Business Principles into the Delivery of Care and Physician Leadership This session provides a physician perspective on the lessons learned to this point, elaborating on how a different mindset for clinicians can both improve the quality of care and markedly reduce costs. To manage and lead a well-functioning clinical operation, physicians need straightforward managerial principles, along with good data. We discuss simple and inexpensive measures that well-informed clinicians can take even under the status quo to achieve win-win changes. Specific examples include “flexing” the ICU and improving operating room throughput. 51
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 GRAND RAPIDS MI PERMIT # 1
Editor David Cone, MD David.Cone@yale.edu Executive Director/Managing Editor Mary Ann Schropp email@example.com Advertising Coordinator Elizabeth Webb firstname.lastname@example.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 2006 Annual Meeting May 18-21 San Francisco, CA
The Program Committee is inviting proposals for didactic sessions for the 2005 Annual Meeting. This year the ProgramCommittee would like to emphasize proposals on educational research methodology and leadership development (including advancement within academic departments, medical schools and national organizations). Didactic proposals may be aimed at medical students, residents, junior faculty and/or senior faculty. The format may be a lecture, panel discussion, or workshop. The Program Committee will also consider proposals for pre- or 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 8, 2005 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 email@example.com or call 517-485-5484 or send a fax to 517-485-0801.