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S A E M

NEWSLETTER

Newsletter of the Society for Academic Emergency Medicine

PRESIDENT’S MESSAGE The ‘Core Being’ of SAEM In the first President’s Message I wrote in the summer, I told you of the important issues the Board of Directors (BOD) were working on this year. One is related to SAEM funding of research and ‘How to do it and can we do more of it?’ I’d like to address this, especially given Donald M. Yealy, MD the implications of any actions on the Society. To date, SAEM has largely been a ‘self sufficient’ organization. We attract many of our own as members (students through faculty and other interested emergency medical professionals) and depend on their efforts, enthusiasm and ‘volunteerism’. We have created a world-class meeting and journal largely based on our own resources, attracting others (including non-emergency medicine professionals, public health and governmental experts) to create excellent networking and sharing of ideas. We fund ourselves through dues and fees for the meeting, journal and other products, with some help from special drives, including the Research Fund and its predecessor. Through all of these successes, we have advanced our research and education mission, but kept outside influences limited. Many of you comment on this – noting that SAEM is ‘not beholden to industry’ or other such comments. A goal of our organization is to increase the funding of our research training grants. To date, we have done well, creating a balance of nearly $2.4 million to serve this important area. Based on our own analyses, we believe more dollars are needed to create a sustained program capable of creating the next generation of academicians, able to compete favorably at many levels with colleagues in other medical disciplines. We believe that achieving that will require a research fund pool of $8-10 million available within 5-7 years. To get to that goal, we must consider reaching beyond our members, who have and continue to be generous. We have some experience with this – the EMS Fellowship has been sponsored by Physio-Control/Medtronics since its inception, helping train EMS academicians for over a decade. In addition, Astra-Zeneca has sponsored the Neurological Research Fellowship. To help us (the Board of Directors), better understand the path of fundraising, we solicited and evaluated many proposals from experts in the (continued on next page)

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November/December 2003 Volume XV, Number 6

Call for AEM Reviewers Deadline: February 1, 2004 The editors of AEM invite interested SAEM members to submit nominations to serve as peer reviewers for Academic Emergency Medicine. As an indicator of familiarity with the peer-review process, the medical literature, and the research process in general, peerreviewers are expected to have published at least two peer-reviewed papers in the medical literature as first or second author. Some of these papers should be original research work. Alternatively, other scholarly work or experience will be considered as evidence of expertise (i.e., informatics experience demonstrated by network/ database/desktop development). AEM peer-reviewers are invited to review specific manuscripts based on their area(s) of expertise. Once a reviewer has accepted an invitation to review a manuscript, the reviewer is expected to complete the review within 14 days of receipt of the manuscript. In order to provide feedback to reviewers, reviewers receive the consensus review from each manuscript that they review. In addition, each review is evaluated by the decision editor in the areas of timeliness, assessment of manuscript strengths and weaknesses, constructive suggestions, summarizing major issues and concerns, and overall quality of the review. Scores are compiled in the AEM database. Each year the Editor-in-Chief designates Outstanding Reviewers for public acknowledgment of excellent contributions to the peerreview process. Most appointments as peer reviewer are for three years. Reviewers whose consistently fail to respond to request to review, who are unavailable to perform reviews, or who submit later or incomplete reviews may be dropped from the peer reviewer database at any time, at the discretion of the Editor-in-Chief. Individuals interested in being considered for appointment as an AEM peer reviewer must send a letter of interest including areas of expertise as defined on the reviewer topic survey and a current CV. The reviewer topic survey can be found at www.saem.org /inform/resurvey.htm. All applications should be submitted electronically to aem@saem.org by February 1, 2004.


President’s Message (Continued) spring of 2003. Recently, a 4-month feasibility study was completed, outlining the possibilities for fundraising and potential strategies. What is clear is that relationships with industry and foundations will be key to this huge undertaking if success is to be achieved. Those relationships offer promise – the promise for new resources to achieve our mission. Those relationships and our approach to them offer potential change to the organization, and may be perceived by some as a threat to ‘the cleanliness of SAEM’ (not my words but stated to me!) Can funds come unencumbered? If not, can we manage those encumbrances? Can we make the organizational changes need-

ed to oversee fundraising, recognizing donors want to have involvement in the process? What we need – the Board and the Society – is member participation, starting with two basic questions: Can we change and develop new relationships with industry and foundation without losing ‘our identity’? Can we make SAEM a better organization, serving our mission and our members – especially those most in need of training for academic success – more fully, or will this change harm ‘who we are’? Many other questions will arise, but these seem to be the start. I, on behalf of the Board of Directors and the administrative staff, ask you to

think about these simple questions and offer your thoughts. We were chosen by you to serve the Society’s needs and mission. Tell me/us what you think about the current state, the potential for future changes, or the concerns you have regarding either topic. By the time you read this, the Board will have begun the process of considering options; nonetheless, no final plans can occur quickly, and your input is critical. This input can be sent by phone or via regular mail to the main office or me or any Board member, or via email or saem@ (yealydm@upmc.edu saem.org,). If you’ve read this far – thanks again!

In Memoriam: Robert Rydman (1949-2003) Charlene Irvin, MD St. John Hospital It is with a heavy heart that I write to inform the membership of the death of a friend. I was recently informed that Dr. Robert Rydman, PhD, died on July 15, 2003. I read his obituary, and found it interesting to learn that he played the saxophone and the piano. In hindsight, this didn’t surprise me. I knew he had a Harley Motorcycle, and could even imagine him in his leather riding gear. I found that interesting as it contrasted with my interactions with the soft spoken gentleman I knew. I expected to see him twice a year, at SAEM in the spring, and ACEP in the fall. He was a face I could rely on at the public health and health services meetings. I became used to his presence, his suggestions, his wisdom, and contributions. He had a long standing interest in public

health that went back to the heat related deaths in Chicago in the 1990s. He was a key health services researcher, and always had something constructive to add to any conversation. It seems to me that some of us build nests - networks of people with similar EM interests and goals, that surround us and help support us. He was part of my nest. Dr. Robert Rydman was a good man. He will be missed by many who benefited from his public health research, but never even knew him. He will be missed professionally for his contributions to public health and health services research. And, he will be missed personally by me, and many others whose lives he touched.

Call for Papers Academic Emergency Medicine Consensus Conference: “Using Information Technology to Improve ED Patient Care” The use of information technology (IT) in the ED is bound to increase. Information technology has the potential to quickly provide data that can be used to study essential topics related to the practice of emergency medicine. The questions that could be answered with good ED IT are nearly endless, and include how to reduce medical errors, assure quality and equal ED care, document and monitor ED overcrowding, identify emerging infectious diseases or bioterrorism, and mend the unraveling safety net. However, there are currently no standards for ED IT. There is no definition of essential components of an adequate information system, of universal minimum requirements for data col-

lection, of common language to allow information exchange. Unless the emergency medicine academic community has input into these issues, we will lose the chance to design and implement this powerful clinical tool in the way best suited to our needs. The 2004 AEM Consensus Conference will be held May 15, 2004 as a pre-day session before the SAEM Annual Meeting in Orlando, Florida. The conference will address the issues of developing ED IT standards for design, implementation, data recording, information exchange and IT research; developing an ED IT research agenda; determining how systems issues and clinical practice patterns need to be 2

considered in developing good ED IT; and determining how ED clinical IT can impact ED residency training. AEM has issued a Call for Papers on “Using IT to Improve ED Patient Care.” Original contributions describing relevant research or concepts in this topic area will be considered for publication in the Special Topics issue of AEM, November 2004, if received by April 1, 2004. All submissions will be peer reviewed by guest editors with expertise in this area. If you have questions, contact Michelle Biros at biros001@umn.edu. Watch the SAEM Newsletter and the AEM and SAEM websites for more information about the Consensus Conference.


Five New Residency Programs Approved During the September meeting of the Residency Review Committee for Emergency Medicine (RRC-EM), five new EM programs were approved. This brings the number of approved programs to 132. Please refer to the SAEM Residency Catalog at www.saem.org for further details. Congratulations to all of the new programs!

Program is a PGY 1-3 program and the Residency Director is Christopher J. Deflitch, MD. The program has been approved for eight residents per year and will be based at Hershey Medical Center which treats over 42,000 patients in the ED each year and is a Level I trauma center. Kym Salness, MD, is the chair of the Department of Emergency Medicine.

Louisiana State University, Shreveport The Louisiana State University Health Science Center, Shreveport Emergency Medicine Residency Program has been approved for seven residents per year and is a PGY 1-3 program. The program will be located within University Hospital, which functions as the teaching hospital for LSU Health Science Center and is the only level 1 trauma center in the region. The Program Director and Chair is Thomas C. Arnold, MD, and the Associate Program Director is Thomas K. Swoboda, MD, MS.

University of Iowa The Iowa Emergency Medicine Residency Program is a PGY 1-3 program and has been approved for six residents per year. The Program Director is Alfred R. Hansen, MD, PhD, and the Associate Residency Director is Hans House, MD. The program is comprised of the emergency departments at the University Hospital in Iowa City and the neighboring St. Luke's Hospital in Cedar Rapids. The program will encourage pursuit of an adjunct degree in public health through a CDC-funded Injury Prevention Research Center and participation in resuscitation research in the laboratory of the Department Chair Eric W. Dickson, MD.

New York Hospital Queens/Cornell Medical College The New York Hospital Queens/Cornell Medical College Emergency Medicine Residency Program will be a PGY 1-3 program with eight residents per year. The Program Director is James G. Ryan, MD, and the Department Chair is Diane M. Sixsmith, MD. New York Hospital Queens is a 439 bed hospital and major teaching affiliate of Cornell Medical College, located 9 miles from Manhattan. The emergency department treats approximately 70,000 patients per year and is a level 1 trauma center.

University of Nebraska The Emergency Medicine Residency Program at the University of Nebraska Medical Center has been approved for six residents per year and is a PGY 1-3 program. The program is based at University Hospital in Omaha, Nebraska and a unique clinical aspect of the program places second and third year residents in a busy rural ED for one month to gain an appreciation of the challenges of rural EM practice. The Chief of the Section of Emergency Medicine is Robert L. Muelleman, MD, and the Program Director is Michael Wadman, MD.

Penn State University The Penn State University Emergency Medicine Residency

Call For Nominations Young Investigator Award Deadline: December 17, 2003 In May 2004, SAEM will recognize a few young investigators who have demonstrated promise and distinction in their emergency medicine research careers. The purpose of the award is to recognize and encourage emergency physicians/scientists of junior academic rank who have a demonstrated commitment to research as evidenced by academic achievement and qualifications. The criteria for the award includes: 1. Specialty training and certification in emergency medicine or pediatric emergency medicine. 2. Evidence of significant research collaboration with a senior clinical investigator/scientist. This may be in the setting of a collaborative research effort or a formal mentor-trainee relationship. 3. Academic accomplishments which may include: a. postgraduate training/education: research fellowship, master’s program, doctoral program, etc. b. publications: abstracts, papers, review articles, chapters, case reports, etc. c. research grant awards d. presentations at national research meetings e. research awards/recognition The deadline for the submission of nominations is December 17, 2003, and nominations should be submitted electronically to saem@saem.org. Nominations should include the candidate’s CV and a cover letter summarizing why the candidate merits consideration for this award. Candidates can nominate themselves or any SAEM member can nominate a deserving young investigator. Candidates may not be senior faculty (associate or full professor) and must not have graduated from their residency program prior to July 30, 1997. The core mission of SAEM is to advance teaching and research in our specialty. This recognition may assist the career advancement of the successful nominees. We also hope the successful candidates will serve as role models and inspirations to us all. Your efforts to identify and nominate deserving candidates will help advance the mission of our Society. 3


Medical Student Interest Group Grant Recipients Joel Fein, MD Childrens Hospital of Philadelphia SAEM Grants Committee SAEM is pleased to announce the recipients of the SAEM Medical Student Interest Group Grants. Twenty-three proposals were received and reviewed by SAEM Grants Committee members who are involved in medical student education. The criteria used included: the merit of the proposal, the qualifications of the preceptor, sustainability, and the institutional support including the budget justification. The Board of Directors approved the selections and the funding of $500 each for the following eight recipients: East Carolina University, Brody School of Medicine EMIG Southern California Conference." This conference will Elizabeth Cole, MS2, with guidance from Kori Brewer, PhD, will expose medical students to the field of emergency medicine continue to develop the Get-PHED UP program through a full day of lectures and hands-on simulations. The (www.ecu.edu/org/getphedup). This program offers medical focus of the simulations will be the response to a cardiac emerstudents the opportunity to experience how preventative gency and the sequence of events that follow. Medical stuhealth care can be incorporated into the practice of EM. Last dents from programs at University of California, Los Angeles, year’s group developed a formal curriculum on preventative University of Southern California, University of California, health care for non-critical ED patients. Topics include breast Irvine, Loma Linda University, University of California, San cancer, smoking cessation, alcohol abuse, diabetes, domestic Diego, and Western University will be encouraged to particiviolence, and organ donation. The project will continue its pate. It is expected that approximately 200 medical students implementation this year and expand its offerings to interested will attend, along with many EM faculty and residents from the undergraduate students. various Southern California EM Programs. Georgetown University University of South Alabama Adam Balls, MS4, and his preceptors Eric Glasser, MD and Nilam Patel, with guidance from Frank Pettyjohn, MD, will David Milzman, MD, plan to address the role of students in carorganize the “Immersion Workshop in Emergency Medicine,” a diac arrest resuscitations and to develop a teaching tool to five-day lecture series and skills laboratory. With the intent to improve student knowledge of effective death notifications. provide medical students with a foundation to use in their They will create a short educational video depicting simulated career decisions, the series of lectures will use case scenarios cardiac arrest resuscitations and demonstrate the various to focus on the diagnosis and treatment of common or interroles that a third and fourth year medical student may take in esting injuries and illnesses that present to the ED. The five each scenario. This video will be used ito orient students for day course will be offered to 25-30 medical students, taught by various clinical rotations. The group also plans to use Dr. Ken EM attendings, and will include workshops on suturing and Iserson's video entitled "The Gravest Words" to teach death stapling, ultrasound techniques, the use of slit lamp and notification scenarios to third and fourth year medical students. wood's lamp, basic airway management, and splinting. Louisiana State University School of Medicine University of Utah Shannon Matthews, MS4, partnering with Peter Deblieux, MD, Alvin Kwok, MS2, and Susan Stroud, MD, will offer a lecture will offer a series of procedure workshops to interested medseries that exposes medical students to various aspects of ical students. The workshops will be interactive, using caseemergency medicine. Lectures will describe the specialty from based scenarios, and will also include a cadaver-based suture the perspectives of EP’s who practice rural medicine, internaclinic. In some workshops, emergency medicine faculty will act tional medicine, cruise ship medicine, sports medicine, pedias the “voice” of the patient, helping to guide the student and atric EM, research, medical informatics, toxicology, and EMS challenging the student to learn on a “real” patient. In other and aeromedical transport. Additionally, the group will offer workshops, students will double as patients as they learn how EM faculty-taught workshops that will include venipuncture, IV to start IVs and apply splints. placement, basic suturing, and airway management. University of California, San Francisco Washington University School of Medicine, St. Louis Jon Rosenson, MS2, with guidance from Jeffery Tabas, MD, Susan Wilcox, MS4, with guidance from Lawrence Lewis, MD, will create a formal advanced procedure curriculum for medical will offer medical students the opportunity to design and write students. The advanced procedure laboratory is cadavera text for future use in the EM rotation. This text will provide based, with student presentations and EM faculty teaching the basic material in a format that is conducive to the medical central venous access, chest tube thoracotomy, and cricothystudents’ style of learning. Each text section will be highlightroidotomy. The three sessions, which can accommodate at ed by educational goals, topic outlines, visual cues such as least 36 students, will focus on safe practices, and will form the radiography, ultrasound, photographs, and appropriate basis for a template curriculum that can be used at other instimnemonics. In addition, the text will provide information about tutions. on-line references related to the subject matter. Where possiUniversity of California, Irvine ble, the text will be converted into PDA compatible programChadi Kahwaji, PhD, Warren Wiechmann, Brian Potts, Amir ming and will be made available online at all of the 102 comBernaba, Tom Grotsky, Ilya Saltykov, Benjamin Squire, Clifford puter terminals within the Barnes-Jewish Hospital ED. Wang, Anita Rowhani, Nak Chhiv, Steven Ericksen, Laleh Chapters will be formatted to facilitate bi-monthly group disGharahbaghian, Rasha Hindiyeh, Dina Seif, Cyurs Shahpar cussion, which will be led by senior level EM residents and facwill join forces with Shahram Lotfipour, MD, to create The "UCI ulty. The Medical Student Interest Group grants were developed to recognize and assist the development of medical student interest groups for medical students interested in a career in emergency medicine. Applications must focus on educational activities or projects related to undergraduate education in emergency medicine and funds may be used for supplies, consultation and seed money to support activities such as skill laboratories, lectures, or workshops. Funding cannot be used for salary or institutional overhead. 4


List of EM Professors Now Available Gregory P. Conners, MD, MPH, MBA University of Rochester SAEM Faculty Development Committee At the request of the SAEM Board of Directors, the Faculty Development Committee has been compiling a list of full professors of emergency medicine for the SAEM website. This project was initiated under the leadership of Dr. Lee Garvey and is being continued by his successor, Dr. Frank Counselman. The list includes professors of departments and sections of emergency medicine. The principle purpose of this list is to provide references for those being considered for promotion to full professor. The list can also serve as a source for consultants, department chair candi-

dates and award nominees or recipients, and has a variety of other potential uses. The Committee began the process by obtaining names of full professors from academic departments with emergency medicine residency programs. Further information was obtained from the Internet and other published sources. A preliminary list has been compiled, and has been posted on the SAEM website, at www.saem.org. Although the committee has carefully compiled this preliminary list, we apologize if anyone has been inadvertently

omitted or information is incorrect. Further, we recognize that the list will require continuous updating. Please review this preliminary list and inform SAEM about changes or additions at saem@saem.org. If you have comments regarding the format or potential uses of the list, you may contact the project subcommittee chairman, Gregory P. Conners, MD, MPH, MBA at Gregory_Conners@urmc.rochester.edu. We anticipate having the complete list of full professors ready by early 2004.

Fellowship, Clerkship, and Residency Catalog Updates Requested The Emergency Medicine Fellowship and Undergraduate Rotation Lists on the SAEM website are very popular. These lists are updated continuously, but it is difficult to ascertain if any institutions are being missed. If your institution has an emergency medicine fellowship or offers a clerkship, please take a

few moments to review these sites and contact SAEM at carrie@saem.org with corrections or additions. The Fellowship List can be found at www.saem.org/services/fellowsh.htm and the Undergraduate Rotation List can be found at www.saem.org/rotation/ contents.htm

The Residency Catalog is also undergoing its annual update. Residency directors are encouraged to update their institution’s listing prior to the upcoming interview season. The Residency Catalog can be found at www.saem.org/rescat/contents.htm.

Professing on a Milestone in Emergency Medicine Glenn C. Hamilton, MD Wright State University SAEM Board of Directors The listing of Full Professors of Emergency Medicine in this issue of the SAEM Newsletter deserves a moment of contemplation. For a specialty that has been boot strapping itself up the academic ladder for the last 35 years, this listing represents the combined accomplishments and institutional recognition of literally hundreds of individuals who have dedicated themselves and much of their lives to the specialty of Emergency Medicine. The significance of such a list can be placed in better context by matching its growth against the other major growth parameters we use to measure academic success in Emergency Medicine. Choosing a not so arbitrary year of 1986, the specialty had 67 ACGME approved residency programs. We now have 132, nearly a doubling. In 1986 there were 13 full academic Departments of Emergency Medicine in

US medical schools. Now, there are 64, a nearly 5 fold increase; an impressive accomplishment in itself. But in 1986, the year I joined the ranks of Full Professors, there were 10 in the United States. Now there are 175. That’s stunning growth at the highest levels of academe. The unique value of this accomplishment by academic emergency physicians and recognition from their institutions is that it has come from our academic peers. This achievement is not politics, it is performance; a performance based on criteria established by each institution as a defining statement of its values and its rewards to those who fulfill them. Each Full Professor also represents an accomplished individual who personally engages and influences dozens of other individuals at all levels of academics everyday. Our growth as educators 5

for medical under-graduates and post graduates and in national and international spheres of research, have been central to the academic heritage we’ve established in Emergency Medicine. These now accepted academic norms were originated, nurtured, and sustained by those individuals who are recognized in this listing. Please take a moment to read through this list and reflect on the dedication, innovation, persistence, and sacrifice that characterizes each individual. View this list as a challenge for those not yet named here. The academic path is exciting, the challenges significant, but most importantly the rewards last a lifetime and beyond. Congratulations to all of those Full Professors who have gone before so others can explore the even broader frontiers of the science and educational opportunities in Emergency Medicine.


Academic Announcements SAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of interest to the SAEM membership. Submissions should be sent to saem@saem.org by December 1, 2003 to be included in the January/February 2004 issue. James Amsterdam, DMD, MD, MMM, has been appointed Chair, Department of Emergency Medicine and Emergency Service Line Director at York Hospital in York, Pennsylvania. Dr. Amsterdam was formerly head, Emergency Medicine Department, HealthPartners Medical Group/Regions Hospital and Professor and Vice-Chair, Department of Emergency Medicine at the University of Minnesota. Brent Asplin, MD, MPH, has been appointed the Department Head and Director of the Emergency Center at Regions Hospital in St. Paul, Minnesota. He will continue to direct research at Regions, as well as taking an active role in the Department of Emergency Medicine at the University of Minnesota. John Bibb, MD, has been re-elected to a three-year term on the Board of the Directors of the American College of Emergency Physicians. Dr. Bibb is an emergency physician at Cedars-Sinai Medical Center in Los Angeles. Diane Birnbaumer, MD, has been awarded the 2003 Award for Outstanding Contribution in Education by the American College of Emergency Physicians. Dr. Birnbaumer is Professor of Medicine, University of California, Los Angeles. Janice Blanchard, MD, Assistant Professor of Emergency Medicine at the Department of Emergency Medicine at George Washington University has received a $365,000 grant from the Robert Wood Johnson Minority Faculty Development program. The grant will be four years in length and will study how local and federal safety net funding impact access to care. Richard N. Bradley, MD, Medical Director-Emergency Center, Memorial Hermann Hospital has been promoted to Clinical Associate Professor in the Department of Emergency Medicine at the University of Texas-Houston Medical School.

Josh Broder, MD, Assistant Professor of Emergency Medicine in the Department of Emergency Medicine at the University of North Carolina at Chapel Hill, has been named Assistant Residency Program Director.

James E Hayes, MD, has been awarded the 2003 James D. Mills Outstanding Contribution to Emergency Medicine Award by the American College of Emergency Physicians.

Ami K. Dave, MD, and Linda Regan, MD, have been named Assistant Residency Directors of the New York University/Bellevue Hospital Center Emergency Medicine residency program in New York, New York.

Mark Henry, MD, has been awarded the 2003 Award for Outsanding Contribution in EMS by the American College of Emergency Physicians. Dr. Henry is the chair of the Department of Emergency Medicine at State University of New York at Stoney Brook.

Marsha D. Ford, MD, has been awarded the 2003 Council Meritorious Service Award by the American College of Emergency Physicians. Dr. Ford is Clinical Professor of Emergency Medicine and Director of the Carolinas Poison Center at Carolinas Medical Center.

Cherri Hobgood, MD, has received the 2003-04 Teaching Faculty Award from the University of North Carolina School of Medicine. She has also received the 2003 EMRA Excellence in Teaching Award and has been appointed chair of the Senior Elective Committee for the School of Medicine.

Alan T. Forstater, Clinical Assistant Professor of Emergency Medicine at Jefferson Medical College, has been appointed Vice Chair for Clinical Affairs in the Department of Emergency Medicine.

Nicholas J. Jouriles, MD, has been elected to a three-year term on the Board of Directors of the American College of Emergency Physicians. Dr. Jouriles is a core faculty member at Akron General Medical Center.

Mark W. Fourre, MD, will become the Associate Director of the Emergency Medicine residency program at Maine Medical Center on November 1, 2003. Dr. Fourre is an Associate Clinical Professor of Surgery at the University of Vermont.

Arthur L. Kellermann, MD, MPH, has been re-elected to a three-year term on the Board of Directors of the American College of Emergency Physicians. Dr. Kellermann is Professor and Chair of the Department of Emergency Medicine at Emory University.

Angela F. Gardner, MD, has been elected to a three-year term on the Board of Directors of the American College of Emergency Physicians. Dr. Gardner is an emergency phsycain at Wise Memorial Hosptial in Decatur, Texas.

Brent R. King, MD, Chair, Department of Emergency Medicine at the University of Texas - Houston Medical School and Service Chief of Emergency Medicine at Memorial Hermann Hospital Emergency Center has been promoted to Professor of Emergency Medicine at the University of Texas Houston Medical School.

Jeffrey G. Graff, MD, has assumed the Presidency of the American Board of Emergency Medicine, having been a member of the ABEM Board of Directors since 1996. Dr. Graff is the Head of the Division of Emergency Medicine at Evanston northwestern Healthcare, and Associate Professor in the Section of emergency Medicine at Northwestern University Feinberg School of Medicine. In October Brian Hancock, MD, assumed the Presidency of the American College of Emergency Physicians, suceeding George Molzen, MD.

Bernard Lopez, MD, MS, Associate Professor of Emergency Medicine at Jefferson Medical College, has been named Vice Chair for Academic Affairs in the Department of Emergency Medicine. Dr. Lopez is also the Assistant Dean for Student Affairs and Counseling. Cindy Mears, RN, MA, has been appointed Instructor in the Department of Emergency Medicine at the University of North Carolina at Chapel Hill. She was formerly Nurse (continued on next page)

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Academic Announcements (Continued) Consultant, at the Health Resources Services Administration, Injury and EMS Branch in Washington, DC. John Moorhead, MD, has been awarded the 2003 John G. Wiegenstein Leadership Award by the American College of Emergency Physicians. Dr. Moorhead is professor of Emergency Medicine, Public Health and Preventive Medicine at Oregon Health and Science University. Mark G. Moseley, MD, MHA, has been appointed by the Council of Emergency Medicine Residency Directors to serve as one of two Emergency Medicine representatives on the Organization of Resident Representatives of the Association of American Medical Colleges. Dr. Moseley is a second year resident at Emergency Medicine residency program at the Christiana Care Health System. As of November 1, Andrew D. Peron, MD, will become the Residency Director at the Emergency Medicine residency program at Maine Medical Center.

Ralph Riviello, MD, Assistant Professor of Emergency Medicine at Jefferson Medical College, has been promoted to Director of Clinical Research. Arthur B. Sanders, MD, MHA, has been awarded the Award for Outstanding Contribution in Research by the American College of Emergency Physicians. Dr. Sanders is Professor of Emergency Medicine at the University of Arizona. Steven A. Seifert, MD, has been promoted to Professor in the Department of Surgery, Section of Emergency Medicine, at the University of Nebraska Medical Center and appointed Medical Director of the Nebraska Regional Poison Center in Omaha, an AAPCCcertified regional poison center serving Nebraska and Wyoming. Todd Taylor, MD, has been elected to a two-year term as the Vice Speaker of the Council of the American College of Emergency Physicians.

Debora Travers, RN, MSN, PhD, has been appointed Associate Research Professor in the Department of Emergency Medicine, University of North Carolina at Chapel Hill, where she will continue her research into triage systems and chief complaint taxonomy. Anna Waller, ScD, has been promoted to Associate Research Professor in the Department of Emergency Medicine at the University of North Carolina at Chapel Hill. She is also program chair for the Injury Control and Emergency Health Services section for the American Public Health Association Annual Meeting, which will be held in November. Brian Zink, MD, has been appointed Associate Chair for Education in the Department of Emergency Medicine at the University of Michigan. Dr. Zink will retain his position as Assistant Dean for Medical Student Career Development and Director of Student Biomedical Research Programs in the University of Michigan Medical School.

In Memoriam: Peter Safar (1924-2003) Norman Abramson, MD University of Pittsburgh The wonder of Peter Safar's professional life is not in the remarkable accomplishments recorded in his CV - as they were too numerous to recount. Nor even in the fact that during his life he affected so many other lives. Certainly, Peter's untiring efforts affected survival and quality of life for patients throughout the world - accomplishment enough for history to judge a man great. And one could look at the number of colleagues with whom he worked (and whom he inspired) and the impressive numbers of grants they have obtained or papers they have published. Again, accomplishment enough for any great man. But, to my thinking, these are not the only, nor indeed the most important, metrics by which to measure the greatness of

this man. Peter's truly unique accomplishment, which transcends the traditional academic battle of the CV bulge, is the emotional connection he inspired among his friends (as he would call them) - not only toward himself, but toward each other. These "friends of Peter" have grown into a vast network of colleagues, all committed to continuing inquiry and research inspired by Peter's visions. But, most amazingly, this group has also transformed into a world of true friendships. Friends who treasure each other on a personal level, as well as on the basis of shared academic and intellectual goals. Peter was a catalyst in the lives of so many. His passing touches so many. But Peter's immortality is assured. For those of us fortunate enough to have known him will continue in his footsteps and will continue to affect others, who in turn will affect others. And this cycle will continue as long as man's battle against premature death continues. And so will continue the memory and impact of a great man.

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2003 Midwest Regional Meeting Robert Satonik, MD Synergy Medical Education Alliance/Michigan State University Mary Jo Wagner, MD Synergy Medical Education Alliance/Michigan State University Co-Chairs, Midwest Regional Meeting The Synergy Medical Education Alliance/Michigan State University was honored to host the 13th Annual Midwest Regional Society of Academic Emergency Medicine meeting on September 19, 2003. There were over 160 registrants from 23 EM residency programs and 7 states for the one-day event held at Saginaw Valley State University’s Curtiss Hall. Notably, two generations were part of the Regional Meeting. Dr. Howard Freed and his son, Chip, an undergraduate student both presented projects. The variety and quality of research presented during the 55 oral and poster abstracts were impressive. The research award winners were: Best oral presentation Jason Stoner, MD, fellow at Ohio State University, “Myocardial Contractile Function During Post-Ischemic Low Flow Reperfusion: Critical Thresholds of NADH and 02 delivery.” Best poster presentation Tania Sadoun, medical student at Finch University of Health Sciences/The Chicago Medical School, “English Language Proficiency among Latino Patients in the ED.” Best resident presentation Dennis Bishop, MD, resident at St John Hospital and Medical

Center Emergency Medicine Residency Program, “What are the Effects of Timing of Antibiotic Administration in Pneumonia Patients?” Best student presentation Joanelle Lugo, medical student at University of Michigan, “Effect of O-antigen on Klebsiella Pneumoniae Bacterium in Mice.” One of the highlights of the conference was the inspiring keynote address given by Dr. Glenn Hamilton, Professor and Chair of Emergency Medicine at Wright State University, on “Education at the Bedside: Art and Life-long Responsibility.” Participants also found time to participate in the METI/ECS Simulator Lab practicing their hand at a simulated difficult airway case. The medical student track included lectures on “Finding an EM Residency” and “Taming the Application Process”, as well as an opportunity to have lunch with several program directors. The Innovations in Education section highlighted some teaching projects and research in student and resident education. Next year’s meeting will be sponsored by the Medical College of Wisconsin in Milwaukee, Wisconsin, on September 9-10, 2004 at the Wyndham Milwaukee Center Hotel.

Call for Nominations Deadline: February 3, 2004 Nominations are sought for the Hal Jayne Academic Excellence Award and the Leadership Award. These awards will be presented during the SAEM Annual Business Meeting in Orlando. Nominations for honorary membership for those who have made exceptional contributions to emergency medicine are also sought. The Nominating Committee wishes to consider as many exceptional candidates as possible. Nominations may be submitted by the candidate or any SAEM member. Nominations should include a copy of the candidate’s CV and a cover letter describing his/her qualifications. Nominations must be sent electronically to saem@saem.org. The awards and criteria are described below:

Academic Excellence Award

B. Other research publications (e.g., review articles, book chapters, editorials) C. Research support generated through grants and contracts D. Peer-reviewed research presentations E. Honors and awards

The Hal Jayne Academic Excellence Award is presented to an individual who has made outstanding contributions to emergency medicine through research, education, and scholarly accomplishments. Candidates will be evaluated on their accomplishments in emergency medicine, including: 1. Teaching A. Didactic/Bedside B. Development of new techniques of instruction or instructional materials C. Scholarly works D. Presentations E. Recognition or awards by students, residents, or peers 2. Research and Scholarly Accomplishments A. Original research in peer-reviewed journals

Leadership Award The Leadership Award is presented to an individual who has demonstrated exceptional leadership in academic emergency medicine. Candidates will be evaluated on their leadership contributions including: 1. Emergency medicine organizations and publications. 2. Emergency medicine academic productivity. 3. Growth of academic emergency medicine.

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2003 New York Regional Meeting Monica Parraga, MD Metropolitan Hospital Center The 3rd Annual New York State Regional SAEM meeting was held on April 9, 2003 in New York, NY. The meeting was hosted by the New York Medical College (NYMC) Department of Emergency Medicine at Metropolitan Hospital Center. The conference attracted participants from 16 Emergency Medicine Residency Programs in the NY/NJ metropolitan area, as well as programs from Massachusetts, Pennsylvania, and Ohio. This conference was the largest to date with over 300 participants, including faculty, residents, medical students, and administrators. Participants evaluated the overall program as excellent and extremely informative. There were 87 poster and 12 platform presentations.

Gregory Almond, MD, MPH, MS, acting chair of the Department of Emergency Medicine at NYMC, provided opening remarks. Carlos Camargo, MD, DrPH, director of the EMNet Coordinating Center at Massachusetts General Hospital, presented the keynote address, “Update on Acute Asthma”. Highlights were lectures by Paul Visnintainer, PhD, Professor of Practice, NYMC Department of Quantitative Sciences and Michelle Biros, MD, MS, Editor-in-Chief of Academic Emergency Medicine. Dr. Visintainer presented “Introduction to Statistical Methods,” followed by Dr. Biros’ lecture on “Ethical Issues Related to Informed Consent in Emergency Medicine Research.”

During the lunch session, participants had the opportunity to review the poster presentations while area medical students attended the medical student session. Thomas F. Burke, MS, from the New York State Council on Graduate Medical Education presented a session on the Empire Clinical Research Investigator Program. After the meeting was adjourned, over 60 pre-registered participants attended an airway workshop under the direction of William Levin, MD. We are pleased to announce that the 4th Annual New York State Regional SAEM meeting will be hosted by St. Luke’s-Roosevelt Hospital Center Department of Emergency Medicine.

2003 Mid-Atlantic SAEM Research Conference David Milzman, MD George Washington University Co-chair, Mid-Atlantic Regional Meeting The 6th Annual Mid-Atlantic Conference hosted by the George Washington University Department of Emergency Medicine on March 14-15 in Washington, DC took on a new format and was an overwhelming success. The meeting was co-chaired by Jeremy Brown and Dave Milzman who did away with the traditional poster sessions and allowed all accepted papers to be presented orally in either a usual 15 minute oral presentation with discussion (reserved for the 8 plenary papers) or a briefer 5 minute; 6 slides maximum for all other presentations. There were a total of 110 abstract submissions with 56 accepted for presentation from 24 different programs. Notably, Robert O’Connor out-submitted everyone with 7 accepted abstracts. The presenters who traveled furthest were Robin Samaddar, Martin DeKort and Drew Garth, all from Maricopa in Phoenix. The meeting was opened by Rob Shesser, chair of the Department of Emergency Medicine at George Washington University, who introduced a senior Congressional Legislative Aide to discuss: “Medical Liability Reform”. The plenary session was highlighted by the winning overall paper from James Menegazzi, University of Pittsburgh, on “Immediate Countershock After

Prolonged V Fib.” There were six additional oral sessions each with 10 papers. The paper sessions were: trauma, education and administration, clinical practice, cardiac/critical care, EMS/prehospital and pediatrics and subspecialties. The following faculty provided outstanding review as moderators: Rich Shih (Morristown), Dave Milzman (George Washington University/Georgetown), Rob O’Connor (Christiana-Delaware), Barb Sorondo (Einstein-Philadelphia), Jim Menegazzi (University of Pittsburgh), Robert French (George Washington University), Antonio Muniz (Virginia Commonwealth University) Neil Jassani (ChristianaDelaware), Michele Ervin (Howard University), Jim Scott (George Washington University), Howard Freed (Howard University), Bonnie Baron, (State University of New YorkDownstate), Eileen Quintana (EinsteinPhiladelphia) and Jeff Smith (George Washington University). The afternoon included a Medical Student Session (run by Rich Shih, Yolanda Haywood, and Neil Jassani) which was packed out the doors with students and extremely well received on the “How to, Nuts and Bolts of Residency Applications.” An additional session on “Opportunities in Traffic 9

Safety Research” was delivered by an outstanding group from NHTSA: Sue McHenry, J. Barker and M. Gunnels and moderated by Gregg Margolis (George Washington University). Dr. Rosenthal (University of Maryland), Dr. Pines (University of Virginia) and Dr. Siegal (George Washington University) reviewed Research and Funding opportunities and Paul Jansen of CardioDynamics gave an extremely interesting view of How a Med-Tech Corporation views research and marketing. The conference ended with the presentation of awards. The Best Resident Paper was presented to Bradley Smude of St. John’s Hospital in Detroit on “Do Medicaid Patients Seek More lowest Acuity ED Care and Uninsured Need Highest Acuity ED Care”. The Student winner was Nelson Becerra of Howard University for “The Relationship between Liquor Establishments and EMS Runs for Acute Alcohol Intoxication”. Additionally, Jesse Pines, (a PGY-2 from University of Virginia) was recognized for outstanding achievement for delivering a plenary paper and leading a didactic discussion of his successful Research Associate programs.


Academic Department Established at New York University Robert M. Glickman, MD, Dean of the New York University School of Medicine, is pleased to announce the establishment of a new Department of Emergency Medicine at New York University (NYU) School of Medicine. Lewis R. Goldfrank, MD, Professor of Emergency Medicine has been appointed Chair of the new Department. At Bellevue Hospital, Tisch Hospital, and the Department of Veterans Affairs Medical Center, a highly dedicated staff

of over 40 attending physicians, 60 nurses, 64 emergency medicine resident physicians, and scores of other caregivers from New York University treat more than 130,000 emergency patients annually. Dr. Goldfrank will soon begin his 25th year as Director of Emergency Medicine at Bellevue Hospital and NYU Medical Center. He became Director of the Department of Emergency Medicine at Morrisania City Hospital in the Bronx in 1973. He later

served as Director of Emergency Medicine at North Central Bronx Hospital and Montefiore Hospital. In 1979, he was appointed the first fulltime Director of Emergency Medicine at Bellevue and NYU Medical Center Hospitals. Dr. Goldfrank is also a member of the Institute of Medicine of the National Academy of Sciences and in 2003 was among five NYU faculty members who received New York University's Distinguished Teaching Award.

Resident Group Discount Membership Participation James Adams, MD Northwestern University SAEM Secretary/Treasurer On behalf of the Board of Directors, I would like to thank the residency programs that have elected to participate in the resident group discount membership. These 70 programs bring 2,205 resident members to the Society. This program provides residents with invaluable exposure to all facets of academic emergency medicine. Each resident member receives subscriptions to Academic Emergency Medicine and the SAEM Newsletter, plus a discounted registration fee to attend the Annual Meeting. The participating programs are: Akron General Medical Center Albany Medical Center Albert Einstein Medical Center, Philadelphia Allegheny General Hospital Beth Israel Deaconess Boston University Carolinas Medical Center Christ Hospital Christiana Care Health System Cooper Hospital Duke University East Carolina University Eastern Virginia Medical Center Emory University Hennepin County Medical Center Howard University Indiana University Johns Hopkins University Long Island Jewish Medical Center Louisiana State University - Baton Rouge Louisiana State University - Charity Hospital Maimonides Medical Center Maricopa Medical Center Medical College of Virginia Medical College of Wisconsin MetroHealth/Case Western Reserve University Michigan State University-Kalamazoo Newark Beth Israel Medical Center New York Methodist Hospital North Shore University Northwestern University Ohio State University Oregon Health and Science University Palmetto Richland Memorial Hospital Regions Hospital

Resurrection Medical Center Spectrum Health/Grand Rapids-MERC St. John Hospital St. Luke's Roosevelt Hospital Center St. Vincent Mercy Medical Center Stanford University/Kaiser Permanente State University of New York, Stony Brook State University of New York, Buffalo State University of New York, Downstate/Kings County State University of New York, Syracuse Synergy Medical Education Alliance Texas Tech University Thomas Jefferson University University of Alabama, Birmingham University of Arizona University of Arkansas University of California - San Diego University of Chicago University of Cincinnati University of Connecticut University of Michigan University of New Mexico University of North Carolina - Chapel Hill University of Pennsylvania University of Pittsburgh University of Virginia University of Rochester Wake Forest University Wayne State University/Detroit Medical Center Wayne State University/Sinai-Grace West Virginia University William Beaumont Hospital Wright State University Yale New Haven Medical Center York Hospital/Pennsylvania State University 10


Mentoring for Clinician Educators Iris Reyes, MD Hospital of the University of Pennsylvania Susan Farrell, MD Brigham and Women’s Hospital Wendy C. Coates, M.D. Harbor-UCLA Medical Center For the SAEM Undergraduate Education Committee of the protégé’s current academic status and expectations of the mentoring relationship will be useful. The protégé should respect the mentor’s time constraints and be well-prepared for each encounter. If the potential mentor is unable to take on added responsibilities, he or she may be able to recommend another qualified individual. Most successful mentors recognize the reciprocal benefits of this relationship and welcome it as a challenge and positive aspect of their academic careers. Looking Ahead With the assistance of the newly identified mentor, the protégé can begin to become an established member of the medical education network. Interaction with colleagues both within the home institution and externally allows for the opportunity to encounter other potential mentors and collaborators. Several mentors may serve various roles in one’s quest for academic success. As the protégé advances in his or her career, the lessons learned in the mentoring relationship can then be expanded to the next generation. This continued network of collaboration can only serve to strengthen the skills and academic advancement of clinician-educators in our specialty. An expanded article on mentorship for the clinician-educator can be found on the SAEM website at www.saem.org/inform/emmse.htm Further reading 1. Hazzard WR: Mentoring across the professional lifespan in academic geriatrics. JAGS 1999;47:1466-1470. 2. Levinson W, Kaufman K, Clark B, Tolle SW: Mentors and role models for women in academic medicine. West J Med 1991;154:423-426. 3. Neumayer L, Levinson W, Putnam C: Mentors for women in surgery and their effect on career advancement. Curr Surg 1995;52:163-166. 4. Palepu A, Friedman RH, Barnett RC, Carr PL, Ash AS et al: Medical faculty with mentors are more satisfied. (Abstract) J Gen Int Med 1996;11:107. 5. Palepu A, Friedman RH, Barnett RC, Carr PL Ash AS et al: Junior faculty members’ mentoring relationships and their professional development in U.S. medical schools. Acad Med 1998;73:318-323. 6. Chew LD, Watanabe JM, Buchwald D, Lessler DS: Junior faculty’s perspectives on mentoring. Acad Med 2003;78:652. 7. Wilkerson L, Irby DM: Strategies for improving teaching practices: a comprehensive approach to faculty development. Acad Med 1998;73:387-396. 8. Beasley BW, Wright SM, Cofrancesco J, Babbott SF, Thomas PA et al: Promotion criteria for clinician-educators in the United States and Canada. JAMA 1997;278:723728.

Current State of Mentorship for Clinician-Educators The mentoring relationship historically has been noted to be essential for a successful academic career as a researcher or clinician-scientist. Until recently, the role of mentors for clinician-educators has been poorly defined. Factors contributing to this include the lack of defined career goals for clinician educators and the lack of clear institutional promotion criteria for those pursuing this track. Many universities recognize the key role played by clinician-educators and are formulating academic promotion series that recognize excellence in this area. It is imperative that junior faculty who desire academic success identify one or several mentors to aide them in the achievement of their goals and the successful academic advancement. Advice on Seeking a Mentor The responsibility of seeking a mentor lies squarely on the shoulders of the protégé. Factors essential in success with this endeavor include: 1. Self-assessment of one’s abilities: Self-reflection allows the protégé to identify areas or particular characteristics that may promote or impede success. The protégé who is hard working, self-confident, and selfsufficient is much more attractive to a potential mentor than one who is dependent and lacking in selfesteem. A protégé must be willing to commit time and energy to projects that will be beneficial to achieving overall career goals, and must be willing to network and establish collaborative alliances. 2. Development of career goals: Knowledge of the institution’s values, norms, and promotion requirements for the clinician-educator track (if available) including teaching, research, and clinical expectations can help the protégé identify strengths and deficiencies. The protégé may seek out a mentor with expertise in areas that require further development. 3. Identification of potential mentor(s): Mentors can serve as sources of inspiration, support, motivation, and promotion of critical thinking. They can assist in networking, and should be familiar with the goals and expectations for the track in which a protégé is seeking promotion. Mentors should be successful in their own professional endeavors and have access to resources that can assist the protégé in obtaining his or her goals. To identify potential mentor(s), it may be helpful to enlist the help of the chair of one’s home department. The specific qualities desirable in a mentor should be considered. The Beginning of the Mentoring Relationship Once a potential mentor has been identified, a meeting may be arranged to outline career goals and aspirations. A description

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Opportunities Through the AACEM Consult Service Glenn Hamilton, MD Wright State University Chair, AACEM Consulting Service Since the Association of Academic Chairs in Emergency Medicine (AACEM) was founded in 1989, the Consult Service of the Association has had an active role. The primary focus of this service is to assist academic medical centers in establishing academic departments of emergency medicine in the United States and Canada. The service has had a contributing role in the development of several departments and is currently at various stages of discussion with three or four sites considering this important decision. The AACEM and SAEM Consult Services have worked closely together. The Consult Service’s activities include: 1. Overview assessment of the status of emergency medicine in an academic medical center to determine the suitability and timing for evolving to academic departmental status. 2. Assisting divisions or other institutional entities in developing a proposal for development of an academic department in the institution. 3. Site surveys to assist the division as well as the Dean’s office and hospital administration in their decision making regarding the potential and

appropriate time table for development of an academic department. 4. Discussions at any level of decision making with emergency medicine leadership about the approach, negotiations, documentation and timeframe of developing an academic department. The actual consultation consists of two current Academic Chairs of Emergency Medicine who are selected conjointly by the consult service and the institution. These Chairs usually spend two days at the site and develop a report regarding the specific questions asked of them. Current fees for this service are $1,500 per individual per day plus overnight expenses. In addition, $500 is contributed to AACEM for administrative purposes. One significant accomplishment of the service was to develop a monograph entitled “Establishing the Academic Department of Emergency Medicine: Commentary on Five Phases of Development”. The monograph reviews the five major phases of development beginning five years before and continuing five years after the actual establishment of an academic department. This useful monograph is avail-

able on the AACEM section of the SAEM website at www.saem.org. Currently, the consult service is developing a listing of current sites that may have the potential for evolving from their current institutional status into a formal Academic Department of Emergency Medicine. Contacts with individuals in emergency medicine at these sites will be made over the next several years. Emergency Medicine essentially doubled its number of academic departments in the 1980’s and doubled that number again in the 1990’s. Currently, there are 63 academic departments in the United States in 124 medical schools. This leaves the opportunity for one more doubling to ensure the complete integration of emergency medicine into academic medicine throughout the country. Please contact me if you may have an interest in discussing the potential of an academic Department of Emergency Medicine at your institution. The full talent and capability of the AACEM is directed toward this most important goal.

Doug McGee, DO, the National CPC Coordinator is pictured with the 2003 Final CPC Competition winners and runners-up. Pictured (L-R) Best Presenter: Catherine McLaren, MD, Stanford/Kaiser; Best Discussant runner-up: David FE Stuhlmiller, MD, Case Western Reserve University; Dr. McGee, Best Presenter runner-up: Moneesh Bhow, MD, Albert Einstein at Beth Israel Medical Center; and Best Discussant: Jeffrey Suchard, MD, University of California, Irvine Peter Chase, MD, PhD, reading AEM while on active duty at the Combat Support Hospital, Bagram, Afghanistan. 12


SAEM Ethics Consultation Service

Call for Nominations SAEM Elected Positions

Emergency physicians are faced with countless ethical dilemmas. We make choices based not only on our knowledge but also on our personal beliefs and value systems. These decisions are made in typical emergency medicine style--- we think, we decide, we act, and we move on. We feel confident that we have acted appropriately, based on a reasoned assessment of the circumstances and the strengths of our convictions. We act in good faith, and hope that we have acted wisely and justly. Occasionally, an ethical issue arises that is outside our world view or consideration, or a situation confronts us that makes us uncomfortable. We may lack the knowledge to make a reasonable choice, we may be faced with something totally out of our experience, or we feel at a loss because we cannot determine the possible options. We may witness an ethically questionable act, may observe unprofessional and possibly harmful actions, may disagree about the correctness of another’s decision, or may feel we ourselves are being subjected to exploitation, abuse, or other unethical behavior. Such situations are frightening; it is difficult to distinguish reality from perception, to know who can be approached for advice, or where resources can be found to assist in developing an appropriate response. Some institutions have committees or other authoritative bodies designed to examine grievances, allegations of scientific misconduct or specific ethical dilemmas in clinical practice. The advice of these groups, however, may have limited applicability to emergency medicine; they may not include emergency physicians, or have the expertise to relate to the unique aspects of the ethics of emergency medicine. In addition, these groups are charged with developing a response to a particular crisis that has arisen locally. They are goal directed and not necessarily able to provide a thoughtful method to educate beyond the concrete response to the problem at hand. For these reasons, SAEM has developed an Ethics Consultation Service. The Ethics Consultation Service is available to assist SAEM members with questions concerning ethical issues or decisions they must make during the course of their clinical, academic or administrative responsibilities. Opinions from the Ethics Consultation Service will be offered to SAEM members in a timely manner; requests from nonmembers will be considered on a case by case basis. The opinions rendered are not meant to be part of an ‘appeal process.’ This service is offered to SAEM members who may need advice or assistance when faced with a difficult ethical decision. All communications with the Ethics Consultation Service will be anonymous and confidential. However, because many ethical issues confronting emergency physicians are universal in their scope, and others may learn from the issue presented, we hope to develop a series of articles for publication for the Society, assuming that confidentiality can be maintained. All requests, inquires, or correspondence should be directed to saem@saem.org.

Deadline: February 5, 2004 Nominations are sought for the SAEM elections which will be held in the spring of 2004. The Nominating Committee will select a slate of nominees based on the following criteria: previous service to SAEM, leadership potential, interpersonal skills, and the ability to advance the broad interests of the membership and academic emergency medicine. Interested members are encouraged to review the appropriate SAEM orientation guidelines (Board, Committee/Task Force or President-elect) to consider the responsibilities and expectations of an SAEM elected position. Orientation guidelines are available at www.saem.org or from the SAEM office. The Nominating Committee wishes to consider as many candidates as possible and whenever possible will select more than one nominee for each position. Nominations may be submitted by the candidate or any SAEM member and should include the candidate’s CV and a cover letter describing the candidate’s qualifications and previous SAEM activities. Nominations must be submitted electronically to saem@saem.org and are sought for the following positions: President-elect: The President-elect serves one year as President-elect, one year as President, and one year as Past President. Candidates are usually members of the Board of Directors. Secretary/Treasurer: The Secretary/Treasurer will be elected for a three-year term on the Board. Candidates are often members of the Board of Directors. Board of Directors: Two members will be elected to three-year terms on the Board. Candidates should have a track record of excellent service and leadership on SAEM committees and task forces. Resident Board Member: The resident member is elected to a one-year term. Candidates must be a resident during the entire term on the Board (May 2004-May 2005) and should demonstrate evidence of strong interest and commitment to academic emergency medicine. Nominations should include a letter of support from the candidate’s residency director. Nominating Committee: One member will be elected to a two-year term. The Nominating Committee selects the recipients of the SAEM awards (Young Investigator, Academic Excellence, and Leadership) and develops the slate of nominees for the elected positions. Candidates should have considerable experience and leadership on SAEM committees and task forces. Constitution and Bylaws Committee: One member will be elected to a three-year term, the final year as the chair of the Committee. The Committee reviews the Constitution and Bylaws and makes recommendations to the Board for amendments to be considered by the membership. Candidates should have considerable experience and leadership on SAEM committees and task forces. 13


ACADEMIC RESIDENT News and Information for Residents Interested in Academic Emergency Medicine Edited by the SAEM GME Committee

How to Prepare an Effective CV David S. Howes, MD Carey D. Chisholm, MD For the GME Committee For most senior residents, the curriculum vitae (CV) serves as the official summary of professional accomplishments, as well as a personal introduction to prospective employers. Emphasis should be placed on neatness, clarity, and organization. Carefully proofread for typographical errors and grammar problems. A well-constructed CV will look fine on high quality bond paper off a laser printer; the expense of a professional printer is unnecessary. Avoid the frills that will detract from your message. Use an easily readable font of at least 10 point size, since your potential employer is often of a certain age where magnifiers or bifocals have come in to play, and he or she most likely does not like to be reminded of this when reviewing your CV. Note that if you already have your “dream job” wrapped up, typically the result of being introduced to a program alumnus who is directing a desirable emergency department in the right location, your CV can perhaps be more brief, containing the essentials such as educational background, licensure, and references. The following organizational scheme is one of many: Personal Information: name, birth date, marital status, children (names and ages), birthplace, spouse (and occupation), email address, home and professional address, and home and work phone numbers. Much of this information is not required by law; however, you create a better composite for the employer if you provide this information. Do not list your social security number. Education: Start with residency and work backwards (or vice versa). List dates of attendance and location. It may sound odd, but be sure that you get the correct title of your residency program; ask your program director if you are not sure. Licensure: List the state(s), whether permanent or temporary, and inclusive dates, but do not list license numbers on your CV. Certifications: As you probably will not be board certified in a specialty, you won’t have much to list here. However, you are likely a diplomate of the National Board of Medical Examiners (passed all three parts of USMLE). You also may choose to list “merit badges” here (ACLS, ATLS, APLS, etc.). Many program directors are not happy with the need to list these on a CV as other than “CME,” but many prospective employers want to see this information, so placate them.

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Professional Activities**: This includes memberships in medical organizations and anything that you did that gives an appreciation of your level of involvement in hospital, residency, regional, and national medical organizations. Examples include membership on residency, hospital, or society committees, interview committees for the residency program, teaching in the medical school, teaching paramedics and EMT’s, etc. Many also list volunteer work for the medical school or the community in this part of their CV. Be careful not to inflate your entries as the employer often genuinely wants to know what your level of commitment was. Most residents are involved with EMS during their training. List this if you were assigned to a specific EMS agency and participated to a significant extent. Some also list grand rounds and other presentations given in this section though this information is better presented in a separate section entitled “Lectures and Presentations”. (Research and) Publications**: Give a brief, straightforward compilation of what you’ve done and the resultant publications. The alternative is to simply list your publications- the employer will ask you about the research and your level of participation if that is important to the particular opportunity you are exploring. Abstract presentations should be listed here, but be sure that these are listed as abstracts, e.g. typical citation followed by “(abstract)”. Grants may also be included in this section. Include publications submitted and accepted, but not published yet (in press). Professional Work Experience**: List title as “resident physician”, who you worked for, dates of work, and size of the ED (# visits). If your program has you perform clinical work that may have added market value, e.g. “flight physician, University Hospital Aeromedical Network” go ahead and add this information. Add work experience prior to residency if it may add to your “expertise” or marketability or overall life experiences. Extracurricular Activities**: These could add to the possibility that a human interest bond is generated, but may work against you as well. For instance, if you enjoy rebuilding old cars, and your prospective employer also enjoys this hobby, you instantly attract extra attention. Conversely, an employer may look


down on an activity such as hunting and listing this could have the opposite effect. Being a member of Physicians for Social Responsibility may not sit well with a group comprised of card-carrying NRA members. If you are tightly attached to a geographic area, think twice about this section as you don’t want to limit any job possibilities. If you aren’t ready to grovel for geography, let them know who you are…if you are not going to fit in with a group, you would rather know that up front.

essence, this provides elaboration and explanation of the highlights raised in your CV. For instance, if you are serving as a committee chair or an EMS system associate medical director, use the resume to explain what exactly that position entails. This could include time commitments and accomplishments. Your CV should be accompanied by a concise cover letter that explains who you are and why you are interested in this specific opportunity. Describe your current work environment. An example: “I have had extensive clinical experience in two ACS Level I Trauma centers with over 200,000 combined visits per year during my residency training. 20% of ED patients are admitted and 30% of admissions are to an ICU.” Your program director will help you with the numbers, though this information is often found on your residency website. Keep in mind that the cover letter is your introduction to a prospective employer and outlines why he or she should want to hire you.

If you have developed a particular expertise, consider adding this to this section. As an example, if you have become adept at a particular software package, mention it. Some ED groups may have a specific need for members with HTML, database, or other experience. Professional References: List a minimum of three (names, title, address, e-mail address, phone number, and dates of involvement). Obviously ask your references ahead of time to confirm they would comfortably serve as one (don’t take this for granted). The vast majority of jobs expect to have the residency program director as one of the references.

A word about professional recruiters: unless you intend to use a recruiter’s services, do not offer your CV. Casual conversations can be lead to unintended consequences: it has been reported that unethical recruiters have constructed a CV based on a brief phone conversation, and then circulated this CV without the resident’s knowledge. In this circumstance, if you were to subsequently (and independently) find a job at a hospital to which your CV was circulated, your group may be obligated to pay the recruiter a “finders fee” (up to $50,000). That money might have been offered (or may have been negotiated by you) as a moving and signing bonus.

** A résumé differs from a CV in supplying more detail about activities. For instance, you may list “Chair, XX committee” on your CV, but a reader most likely will not have any idea what that means. In a résumé you provide a description about what you actually did and accomplished in this role. In essence, it provides the details of your role. On the initial approach a CV is sufficient, but a follow-up contact may be enhanced by the addition of a “resume.” In

Nominations Sought for Resident Member of the SAEM Board of Directors The resident Board member is elected to a one-year term and is a full voting member of the SAEM Board of Directors. The deadline for nominations is February 3, 2004. Candidates must be a resident during the entire one-year term on the Board (May 2004-May 2005) and must be a member of SAEM. Candidates should demonstrate evidence of strong interest and commitment to academic

emergency medicine. Nominations should include a letter of support from the candidate’s residency director, as well as the candidate’s CV and a cover letter. Nominations must be sent electronically to saem@saem.org. Candidates are encouraged to review the Board of Directors orientation guidelines on the SAEM web site at www.saem.org or from the SAEM office. The election will be held via mail bal-

lot in the Spring of 2004 and the results will be announced during the Annual Business Meeting in May in Orlando. The resident member of the Board will attend four SAEM Board meetings; in the fall, in the winter, and in the spring (at the 2004 and 2005 SAEM Annual Meetings). The resident member will also participate in monthly Board conference calls.

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

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Robert Wood Johnson Health Policy Fellowships Program The Robert Wood Johnson Health Policy Fellowships Program provides an opportunity for outstanding mid-career health professionals to gain an understanding of the health policy process, to contribute to the formulation of new policies and programs, and to develop in their careers as leaders in academic health centers and in health policy. Initiated in 1973, the program is funded by The Robert Wood Johnson Foundation (RWJF) and conducted by the Institute of Medicine (IOM) of the National Academies. The program seeks individuals who have the skills and commitment to use the fellowship experience to provide leadership in improving health, health

care and health policy at the national, state or local levels and to bring a depth of experience and knowledge of health and health care to the policy making process. Fellows are selected from academic faculties and nonprofit health care organizations, with backgrounds in the following disciplines: medicine, dentistry, biomedical sciences, nursing: public health; social and behavioral health; health services organizations and administration; allied health professionals; economics; or other social sciences. Up to 10 fellows will be selected to participate in the Washington-based program which begins in September, 2004 and concludes in August, 2005 with the option for extending through the

legislative term (which ends in October or early November). Application materials must be submitted by mail for receipt no later than Friday, November 21, 2003. For complete information on this fellowship opportunity, eligibility requirements and the application process go to http://www.rwjf.org/cfp/healthpolicy fellows or contact Andrea Jean Douglas, M.P.H. – Deputy Director at adouglas@nas.edu The Robert Wood Johnson Foundation – Making grants to improve the health and health care of all Americans. http://www.rwjf.org

Janhigen Career Development Scholars Awards The Dennis W. Jahnigen Scholars program, funded by the John A. Hartford Foundation and The Atlantic Philanthropies, offers two-year career development awards to support faculty in the specialties of anesthesiology, emergency medicine, general surgery, gynecology, ophthalmology, orthopedic surgery, otolaryngology, physician medicine and rehabilitation, thoracic surgery, or urology. Each grant provides two-year salary support of $75,000 per year for salary and fringe benefits, plus $25,000 per year to support costs of

doing research. Up to ten awards will be given in 2004. No funds will be provided in support of indirect costs. Candidates must be physicians who are U.S. citizens or permanent residents, be certified to practice in one of the above-mentioned specialties, have a primary academic appointment in a U.S. institution in one of the above-mentioned specialties and must have completed his/her training (residency and/or fellowship) on or after June 30, 1994. Exceptions to this limit will be considered for compelling reasons and must

be reviewed and approved prior to application submission. Nominations are to be made by the individual’s departmental chair. Only one application may be submitted per department, however, institutions may submit more than one application. The application deadline is December 9, 2003. Applications and further information can be found at http://www.americangeriatrics.org/ hartford/scholars_award.shtml. In 2003 emergency physicians were awarded two of the Janhigen Scholars awards.

The SAEM Newsletter is mailed every other month to the 5,500 members of SAEM. Advertising is limited to fellowship and academic faculty positions.

Call for Abstracts 4th Annual New York State Regional SAEM Meeting

Deadline for receipt: December 5 (January/February), February 1 (March/April), April 1 (May/June), June 1 (July/August), August 1 (September/October) and October 1 (November/December). Ads received after the deadline can often be inserted on a space available basis.

March 31, 2004; 8:00 am-2:00 pm The program committee is now accepting abstracts for oral and poster presentations. All abstracts must be submitted electronically via the SAEM web site at www.saem.org. The deadline for abstract submission is 5:00 pm Eastern Standard Time, Wednesday, January 21, 2004. Hosted by: St. Luke’s-Roosevelt Hospital Center, Department of Emergency Medicine Location: Lerner Hall, Morningside Campus, Columbia University, 114th Street and Broadway Keynote Speaker: Glenn Hamilton, MD, Wright State University Contact: Theodore C. Bania, MD, MS at Roosevelt Hospital, 1000 10th Ave., Department of Emergency Medicine, Room GE01, New York, NY 10019 or toxtod@aol.com

Advertising Rates: Classified Ad (100 words or less) Contact in ad is SAEM member ................................................$100 Contact in ad non-SAEM member ............................................$125 1/4 - Page Ad (camera ready) 3.5" wide x 4.75" high..............................................................$300 To place an advertisement, e-mail or fax the ad, along with contact person for future correspondence, telephone and fax numbers, billing address, ad size, and Newsletter issues in which the ad is to appear to: Carrie Barber at carrie@saem.org, via fax at (517) 485-0801. For more information or questions, call (517) 485-5484. All ads posted on the SAEM web site at no additional charge.

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The Ethics Corner: Relationships with Consultants Jason Hughes, MD Texas Tech University Catherine A. Marco, MD St. Vincent Mercy Medical Center This month’s issue of The Ethics Corner reviews a commonly encountered problem in emergency medicine. As payment for physicians decreases, and as non-paying patients’ visits to the emergency department increase, financial pressures may have effects on consultants’ willingness to be available for emergency consultations. In the few paragraphs below, you will see how this can become an ethical problem and how it can adversely affect the appropriate practice of medicine. Teaching and mentoring residents and students about interactions with colleagues is an essential component of emergency medicine education. Didactic sessions, case studies, role-play, and real-time mentoring can all be effective components of education related to appropriate interactions with colleagues. Types of difficult consultants can be divided into three categories. Brief suggestions on how to deal with the different concerns are offered. Type #1: What is the patient’s insurance status? Unfortunately, financial concerns often motivate consultants. Reimbursement for services is important to all physicians, and this is often a legitimate concern. However, “financial triage”, or availability for consultations based on insurance status, is unethical in emergency medicine. Often, reorienting the consultants’ viewpoint to the clinical needs may help diffuse this concern. Overall, reimbursement issues are better addressed on a departmental and institutional level in an organized fash-

ion, rather than making individual treatment decisions based on reimbursement. Type #2: You Messed up My Patient….So Why Should I Admit Him ? A recent case illustrates this category of difficulties. In a recent encounter with a general surgeon, it was noted that a patient arrived to the emergency department with a bleeding wound. That same day, this general surgeon had taken a small cyst out of the groin of the patient. However, it bled copiously, and direct pressure would only suffice for a short time…until the patient’s systolic blood pressure dropped to 70 mmHg. The wound, which had been left open and packed, was then sutured by the emergency physician in order to obtain hemostasis. The words from the surgeon? “That is so stupid…you don’t know basic first aid…maybe you should get a basic first aid course….there is no way I’m going to admit this patient. She should go home.” Unfortunately, at times, a consultant may be unwilling to assume care of a patient with a potentially adverse outcome. Effective management techniques may include establishing common goals (“we both want what’s best for Mrs. J.”), consultation at the bedside, calm, rational speech, and a nonjudgmental demeanor. Type #3: Just Write Some Orders and I’ll See Her in the Morning…. In many emergency departments, contrary to the position statements of both AAEM and ACEP, emergency physicians still write orders to “hold over” the

patient until the admitting physician or consultant arrives. This can be counterproductive to expedient and expert medical care, as we are consulting because we seek expertise in the matter. Writing orders can entail medicolegal risk, but there is an ethical concern as well. If the physician at home will not come in, and if the patient deteriorates throughout the night, the emergency physician’s name will be the only one on the chart. The ethical principle is simple: taking responsibility for the patient at the appropriate time seems to be the only correct stance. This can be accomplished by phone orders directly to the nurse or by directly writing orders in the medical record. Either way, orders are written or verbalized and care has been smoothly transferred. Summary Interactions with colleagues and consultants can be challenging. Education in emergency medicine should include effective strategies for improving interactions with colleagues and thus, patient care. The Ethics Committee invites comments, as they may become a centerpiece for our next Ethics Corner article. Important to realize that we have an Ethics Committee that will be glad to peruse any issue you may find concerning. Feel free to consult us or contact us at hughestex@sbcglobal.net. The entire committee will then be informed of the concern and we will ensure a timely reply.

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

while others were anxious to contact an advisor whose special interest matched their own. As the program increases in popularity, more advisors are needed. New students are applying daily, and over 100 remain unmatched! Please consider mentoring a future colleague by becoming a virtual advisor today. It is a brief time commitment – most communica17

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


Emergency Medicine Activities at the AAMC Annual Meeting The Association of Academic Chairs of Emergency Medicine (AACEM) and the Society for Academic Emergency Medicine (SAEM) have developed a number of excellent educational sessions to be held during the AAMC Annual Meeting in Washington, DC in November. All emergency physicians are invited to attend the sessions at no charge. However, pre-registration is required for the lunch session. Members interested in attending must register electronically by sending an email to saem@saem.org The emergency medicine sessions will be held on Saturday, November 8 at the Washington Hilton in the Conservatory Room. The schedule is as follows: AACEM and SAEM have cosponsored a panel entitled, “The Role of Academic Medical Centers Serving the Public’s Health: Emerging Threats and Opportunities.” The panel will be held at 8:00-10:00 am and the speakers will include: Christina Beato, MD, Deputy Assistant Secretary of Health, Department of Health and Human Services; Georges Benjamin, Executive Director, American Public Health Association; and Elliot Sussman, MD,

incoming chair, Council of Teaching Hospitals and President and CEO of Lehigh Valley Hospital, Allentown, PA. Dr. Richard Carmona, Surgeon General of the United States, has also been invited (and is expected) to participate in the panel session. This session will explore the role of the Emergency Department in the interplay between governmental agencies and health care systems in the areas of bio-terrorism, defense surveillance and access to emergency care. Governmental leaders will participate in a panel with academic emergency physicians and public health experts, in an effort to share perspectives and concerns about how the emergency departments of academic health centers will play an important role in the bio-defense needs of the country while continuing to address concerns about access and public health. AACEM will sponsor a second session entitled, “Emergency Medicine and It’s Role in Public Health, Emerging Infections and Bioterrorism.” This session, building on the discussion of the first session, will be held at 10:30-11:30 am. The speaker is Georges Benjamin, the Executive Director of the American Public Health Association. Dr. Benjamin

is an Emergency Physician and former Director of the Health Department of Maryland. He will discuss the role of emergency medicine and its emerging partnership and leadership with public health in such critical areas as surveillance and preparedness. AACEM will sponsor a lunch session in the Grant Room from 11:30 am until 1:00 pm entitled, “NIIH Grant Opportunities and Process.” The speaker will be Don Schneider, PhD, Director, Division of Molecular and Cellular Mechanisms, Center for Scientific Review, National Institutes of Health. AACEM and SAEM members are invited to learn more about the NIH process and organization so that researchers can enhance their probability of success. While there is no charge to attend the AACEM and SAEM sessions, there is a registration fee to attend the AAMC Annual Meeting, which will be held November 7-12. The theme of the AAMC Annual Meeting will be “Our Quest for Access and Quality." The registration fee before September 15 is $375 and $425 after September 15. Information regarding registration can be found at www.aamc.org.

Update on SAEM Consult Service Glenn C. Hamilton, MD Wright State University Chair, SAEM and AACEM Consulting Services The last newsletter included descriptions of the services offered by the SAEM and AACEM Consult Services. Beyond describing the services, it is important to be aware that these services are actively being requested and have demonstrated their value at a variety of institutions throughout the country. The SAEM Consult Service has had one of its most active years in assisting programs develop their proposals for new residency programs through the ACGME. Of these several new proposals recently reviewed by the RRC-EM, we had direct consultative involvement in the majority of them, and a significant success rate in assisting programs toward reaching the approval level. By pre-reviewing the Program Information Forms, we have improved the quality and content of the submissions to the ACGME. The “mock site surveys,” in advance of site surveyors coming to

review a program being considered for new approval, have also clearly demonstrated their value. In addition, we have continued to serve established programs. Having the RRC-EM review one’s program every 3, 4, or 5 years is a tremendous amount of work and a valuable means of sustaining the excellence and consistency essential for success in our GME programs. Pre-reviews of the Program Information Form and mock site surveys serve an important function in preparing for these surveys, and also help educate individuals throughout the institution. To improve consistency and assist in educating SAEM consultants, the service has written and distributed the SAEM “Consulting Service Guide for Consultants.” This guide outlines the scope of the service and its structure, as well as offering general and specific consultation guidelines. Several appen18

dices (some from the SAEM web site) give guidance on structuring a consult and some of the expectations of the ACGME. This guide represents another means by which the service has moved toward improving its quality. Currently, the service has sufficient consultants for the requests. If you are interested in serving in this role, please contact either Mary Ann Schropp at saem@saem.org, or Glenn Hamilton, MD, at glenn.hamilton@wright.edu. Prospective consultants have been in their roles for at least two years, have participated in an RRC-EM or JAHCO review at their home institution, and/or served as a specialist site surveyor for the ACGME. The SAEM Consult Service continues to serve academic emergency medicine programs. We look forward to the opportunity of offering our expertise at your institution in the near future.


EMF Grants Available or release time to begin a promising research project. Deadline: January 16, 2004. Notification: April 5, 2004.

The Emergency Medicine Foundation (EMF) grant applications are available on the ACEP web site at www.acep.org. From the home page, click on “About ACEP,” then click on “EMF,” then click on the “EMF Research Grants” link for a complete listing of the downloadable grant applications. The funding period for all grants is July 1, 2004 through June 30, 2005.

Research Fellowship Grant A maximum of $75,000 to emergency medicine residency graduates who will spend another year acquiring specific basic or clinical research skills and further didactic training research methodology. Deadline: January 16, 2004. Notification: April 5, 2004.

EMF Directed Research Reducing Medical Errors Award This request for proposals specifically targets research that is designed to reduce medical errors in the emergency department setting. The highest priority will be given to proposals that directly evaluate interventions to reduce medical errors and utilize quantitative outcome measures to assess effectiveness. Proposals may focus on specific patient populations, disease processes or hospital system components. Studies that propose to only identify errors without a plan to evaluate outcomes or investigate interventions will not be considered. Applicants may apply for up to $100,000 funding. The funds will be disbursed semi-annually over the two-year cycle. Deadline: December 19, 2003. Notification: April 5, 2004.

Neurological Emergencies Grant This grant is sponsored by EMF and the Foundation for Education and Research in Neurological Emergencies (FERNE). The goal of this directed grant program is to fund research based towards acute disorders of the neurological system, such as the identification and treatment of diseases and injury to the brain, spinal cord and nerves. $50,000 will be awarded annually. Only clinical applications will be considered - no basic science applications will be accepted. Deadline: January 16, 2004. Notification: April 5, 2004.

Riggs Family/Health Policy Research Grant Between $25,000 and $50,000 for research projects in health policy or health services research topics. Applicants may apply for up to $50,000 of the funds, for a one- or two-year period. The grants are awarded to researchers in the health policy or health services area, who have the experience to conduct research on critical health policy issues in emergency medicine. Deadline: December 19, 2003. Notification: April 5, 2004

Medical Student Research Grant This grant is sponsored by EMF and SAEM. A maximum of $2,400 over 3 months is available for a medical student to encourage research in emergency medicine. Deadline: February 6, 2004. Notification: April 5, 2004. ENAF Team Grant This grant specifically targets research that is designed to investigate the topic of ED overcrowding. Proposals may focus on a number of related areas, including: definitions and outcome measures of ED overcrowding, causes and effects of ED overcrowding, and potential solutions to the problem of ED overcrowding. Applicants must provide evidence of a true collaborative effort between physician and nurse professionals and must delineate the relative roles of the participants in terms of protocol development, data collection, and manuscript preparation. A maximum of $20,000 will be awarded. Deadline: January 16, 2004. Notification: April 5, 2004.

Resident Research Grant A maximum of $5,000 to a junior or senior resident to stimulate research at the graduate level. Deadline: December 19, 2003. Notification: April 5, 2004. Career Development Grant A maximum of $50,000 to emergency medicine faculty at the instructor or assistant professor level who needs seed money

Call for Submissions Innovations in Emergency Medicine Education Exhibits 2004 Annual Meeting Deadline: February 11, 2004 The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2004 SAEM Annual Meeting, May 16-19, 2004 in Orlando. Submitters are invited to complete an application describing an innovative new educational methodology that they have designed, or an innovative educational application of an existing product. The exhibit should not be used to display a commercial product that is already available and being used in its intended application. Exhibits will be selected based on utility, originality, and applicability to the teaching setting. Commercial support of innovations is permitted but must be disclosed. IEME exhibits will not be published in Academic Emergency Medicine with other abstracts, but will be published in the on-site program. However, if submitters have conducted a research project on or using the innovation, the project may be written up as a scientific abstract and submitted for scientific review in the appropriate subject category by the January 6 deadline. The deadline for submission of IEME Exhibit applications is Wednesday, February 11, 2004 at 5:00 pm Eastern Time. Only online submissions using the form on the SAEM website at www.saem.org will be accepted. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801.

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SAEM 2004 Research Grants 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, 2003. 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, 2003. Scholarly Sabbatical Grant This grant provides funding of $10,000 per month for a maximum of six months to help emergency medicine faculty at the level of assistant professor or higher obtain release time to develop skills that will advance their academic careers. The goal of the grant is to increase the number of independent career researchers who may further advance research and education in emergency medicine. The grant may be used to learn unique research or educational methods or procedures which require day-to-day, in-depth training under the direct supervision of a knowledgeable mentor, or to develop a knowledge base that can be shared with the faculty member’s department to further research and education. Deadline: November 3, 2003. 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, 2003. Neuroscience Research Fellowship This grant is sponsored by AstraZeneca. It provides one year of funding at $50,000 for an emergency medicine resident, graduate, or junior faculty member to obtain a mentored research training experience in cerebrovascular emergencies. The research training may be in basic science research, clinical research, or a combination of both, and the mentor need not be an emergency medicine faculty member. Completion of a research project is required, but the emphasis of the fellowship is on the acquisition of research skills. Deadline: November 3, 2003. EMF/SAEM Medical Student Research Grants This grant is co-sponsored by the Emergency Medicine Foundation and SAEM. It provides up to $2,400 over 3 months for a medical student to encourage research in emergency medicine. More than one grant is awarded each year. The trainee must have a qualified research mentor and a specific research project proposal. Deadline: February 6, 2004. Geriatric Emergency Medicine Resident/Fellow Grant This grant is made possible by the John A. Hartford Foundation and the American Geriatric Society. It provides up to $5,000 to support resident/fellow research related to the emergency care of the older person. Investigations may focus on basic science research, clinical research, preventive medicine, epidemiology, or educational topics. Deadline: March 5, 2004. Further information and application materials can be obtained via the SAEM website at www.saem.org.

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The Top 5 Most-Frequently-Read Contents of AEM – September 2003 Most-read rankings are recalculated at the beginning of the month. Rankings are based on hits received by articles archived on AEMJ.org.

1 2 3

Steven L. Bernstein, Vinu Verghese, Winifred Leung, Anne T. Lunney, Ivelisse Perez Development and Validation of a New Index to Measure Emergency Department Crowding Acad Emerg Med Sep 01, 2003 10: 938-942. (In "CLINICAL PRACTICE")

4 5

Jeffrey S. Jones, Chris Dunnuck, Linda Rossman, Barbara N. Wynn, Michael Genco Adolescent Foley Catheter Technique for Visualizing Hymenal Injuries in Adolescent Sexual Assault Acad Emerg Med Sep 01, 2003 10: 1001-1004. (In "BRIEF REPORT")

E. Brooke Lerner, Anthony J. Billittier, Joan M. Dorn, Yow-Wu B. Wu Is Total Out-of-hospital Time a Significant Predictor of Trauma Patient Mortality? Acad Emerg Med Sep 01, 2003 10: 949-954. (In "CLINICAL PRACTICE") James R. Miner, Michelle Biros, Susan Krieg, Christopher Johnson, William Heegaard, David Plummer Randomized Clinical Trial of Propofol versus Methohexital for Procedural Sedation during Fracture and Dislocation Reduction in the Emergency Department Acad Emerg Med Sep 01, 2003 10: 931-937. (In "CLINICAL INVESTIGATION")

John A. Watts, Jeffrey A. Kline Bench to Bedside: The Role of Mitochondrial Medicine in the Pathogenesis and Treatment of Cellular Injury Acad Emerg Med Sep 01, 2003 10: 985-997. (In "SPECIAL CONTRIBUTION")

Important Notice to Current and Former ABEM Diplomates

Keep Your Membership Mailings Coming!

Emergency Medicine Continuous Certification (EMCC) will begin in 2004.

Be sure to keep the SAEM office informed of changes in your address, phone or fax numbers, and especially your e-mail address. SAEM sends infrequent e-mails to members, but only regarding SAEM issues or activities. SAEM does not sell or release its mailing list or e-mail addresses to outside organizations. Send updated information to carrie@saem.org

All diplomates who want to maintain their certification with ABEM beyond the current expiration date must participate fully in the EMCC program. Effective 2004, the licensure requirement for all diplomates will change. Diplomates will be required to continuously maintain a current, active, valid, unrestricted, and unqualified license in at least one jurisdiction in the United States, its territories, or Canada, and in each jurisdiction in which they practice. Inactive medical licenses voluntarily held by physicians are in compliance with the Policy on Medical Licensure. Physicians eligible for ABEM recertification under current rules will maintain eligibility under EMCC. The written recertification examination as it currently exists will be offered for the last time on November 2, 2003.

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

A special option will be available only from 2004-2006 for former diplomates to regain their diplomate status through participation in EMCC. Former diplomates must begin their participation in EMCC in 2004 to take advantage of this option. A full description of EMCC including details of diplomates’ participation requirements are available on the ABEM website http://www.abem.org. Questions should be directed to: American Board of Emergency Medicine, 3000 Coolidge Road, East Lansing, MI 48823, or call 517-332-4800 or emcc@abem.org. 21


FACULTY POSITIONS CONNECTICUT: University of Connecticut – Two positions--one current/one Spring 2004. Multi-hospital academic program with 100,000 + patient visits, 36 residents. Active Tox, EMS, Hyperbaric, Aeromedical and Trauma services. Excellent opportunities for senior or junior faculty--contact: Robert D. Powers MD MPH, Professor & Chief, UCONN/Hartford Hospital, email: Rpowers@Harthosp.org

St. Vincent Mercy Medical Center Medical Education Fellowship St. Vincent Mercy Medical Center in Toledo OH is pleased to announce a fellowship opportunity. Our Medical Education Fellowship is designed to train EM residency graduates to be successful in a career in academic emergency medicine. The fellow will work between 60 to 70 clinical hours each month at one of our two residency training sites. The clinical responsibilities will include supervising medical students, EM residents, and off-service rotators. Undergraduate medical education responsibilities will include supervision of the medical student rotations for the EM residency and mentoring of students from the Medical College of Ohio. The fellow will be expected to complete the Medical Education Scholarship Program at the University of Michigan. This will involve spending an afternoon each week with professionals from the University’s medical school and Department of Education. Time spent at the University program will earn credits towards a Master’s degree in Education. The residency will pay tuition and student fees. Protected time will be provided to attend classes and complete all required projects. We are offering a salary of $80,000 plus benefits. There are additional clinical opportunities available in the area that could earn further income. Please call David Ledrick at (419) 251 4204 or write to ledrick@buckeye-express.com if you are interested or fax your CV and cover letter to (419) 251 4211. Application deadline is January 31, 2004.

KENTUCKY: The Department of Emergency Medicine at the University of Kentucky is recruiting full-time faculty members at the assistant or associate professor level. The desired individual must be BE/BC in emergency medicine. Academic tenure track and non-tenure track positions available. The EM residency has full accreditation. The Emergency Department at UK Hospital is a Level I trauma center, regional referral center, with 40,000 annual visits. The department has nine full-time faculty and provides medical direction to Air Medical and Hyperbaric Oxygen Programs. Contact: Roger Humphries, MD, Acting Interim Chair, Department of Emergency Medicine, University of Kentucky Medical Center, 800 Rose St., Room M-53, Lexington, KY 405360298: phone 859-323-5908; fax 859-323-8056; or E-mail rlhump0@uky.edu We are an EOAAE. MICHIGAN: The Department of Emergency Medicine at the University of Michigan (UM) is seeking physicians for full time clinical and academic faculty positions in Emergency Medicine at University of Michigan (Ann Arbor, MI), Hurley Medical Center (Flint, MI) and Foote Hospital (Jackson, MI). Academic rank will be determined by credentials. Clinical responsibilities will include patient care activity in the Emergency Department. Responsibilities include house officer and medical student training, and providing direct patient care in a setting providing both primary and tertiary care experience. Applicants should have residency training and/or board certification in Emergency Medicine. Excellent fringe benefit package. If interested, please send curriculum vitae to: William G. Barsan, M.D., Professor and Chair, Department of Emergency Medicine, UMHS, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0303. EOAAE. MICHIGAN: Wayne State University School of Medicine, Department of Emergency Medicine and Pediatrics is seeking a full-time, board prepared/board certified medical toxicologist. Responsibilities include clinical practice of medical toxicology, Poison Control Center medical coverage, bedside consultative services, research, teaching medical students, residents, and fellows. Faculty rank commensurate with credentials. Children’s Hospital of Michigan Regional Poison Control Center has an annual call volume of more than 70,000. Send CV to: Suzanne White, M.D., Medical Director, CHM Regional Poison Control Center, Ste. 616, 4160 John R, Detroit, MI 48201; 313-745-5335; Fax 313-7455493. Wayne State University is an affirmative action/equal opportunity employer.

Faculty Position

NEW JERSEY: UMDNJ (Newark) – Come in on the ground floor at a major medical school and university hospital. We're planning to start an EM Residency and have faculty opportunities for Emergency Physicians at ALL LEVELS, including Residency Director, EMS Director and Director of Clinical Operations. The ED has an annual volume of 72,000, including 2,700 level I trauma patients. Competitive compensation and benefits package including on-site fitness andchild care centers. For information please contact Ronald Low, MD, MS, at 973972-7882. UMDNJ-University Hospital is an AA/EOE, M/F/D/V. Visit us on the web at www.TheUniversityHospital.com.

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

NEW YORK: Columbia University – Attending Emergency Physician - Harlem Hospital Center Emergency Services affiliated with Columbia University, seeks residency-trained or ABEM-certified Emergency Physicians who have excellent clinical skills, a strong interest in teaching and a commitment to public medicine. We are a 290-bed, Level 1 trauma center, regional burn center, EMS-based station with over 75,000 annual visits. Ann appointment to the faculty of the Columbia University College of Physicians and Surgeons is anticipated at the Instructor or Assistant Clinical Professor level, commensurate with experience. Competitive salary and benefits package provided. Submit CV to: Reynold Trowers, MD, Director of Emergency Medicine Services, Harlem Hospital Center, 506 Lenox Avenue, New York, NY, 10037 or call him at (212) 939-2253. Columbia University takes affirmative action to ensure equal opportunity. NORTH CAROLINA: University of North Carolina-Chapel Hill (UNC-CH) – Potential for faculty openings for 2004-2005. Rank/salary commensurate with experience. Successful fixed or tenure-track candidates will be Board Certified/Board Prepared in Emergency Medicine. UNC Hospitals is a 665-bed Level I Trauma Center. The Emergency Department sees upward of 44,000 high acuity patients per year. Send CV to: Edward Jackem, MBA, Department of Emergency Medicine, CB #7594, Chapel Hill, NC 27599-7594. (919) 9669500. FAX (919) 966-3049. UNC is an Equal Opportunity/ADA Employer.

Interested candidates should contact: Jeff Schaider, MD, FACEP, Associate Chairman, Department of Emergency Medicine, Cook County Hospital, 1900 West Polk Street 10th floor, Chicago, IL 60612, Telephone - 312 633 5451, jschaider@ccbh.org

OREGON: The Oregon Health & Science University, Department of Emergency Medicine is conducting an ongoing recruitment campaign for talented faculty members. Entry-level clinical faculty members at the instructor and assistant professor level. Preference given to those with fellowship training (especially in pediatric emergency medicine) or equivalent experience. Knowledge of emergency medicine as a faculty discipline is expected. Please submit a letter of interest, CV, and the names and phone numbers of three references to: Jerris

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Hedges, MD, MS, Professor & Chair, OHSU Department of Emergency Medicine, 3181 SW Sam Jackson Park Road, CDW -EM, Portland, OR 972393098. PENNSYLVANIA: Lehigh Valley Hospital – position available for EM Residencytrained physician to join cohesive faculty of 33 BC physicians evaluating 100,000 patients at the three sites of 700-bed Lehigh Valley Hospital. Academic, tertiary hospital with Level I trauma, 9-bed Burn Center, 10 freestanding, fullyaccredited residency programs, including one in EM. Eligibility for faculty appointment at Penn State/Hershey. Resident and medical student teaching, and clinical research. LVH located in the beautiful Lehigh Valley, with 700,000 people, excellent suburban public schools, safe neighborhoods, moderate cost of living, 60 miles north of Philadelphia and 80 miles west of NYC. Email CV c/o Rick MacKenzie, MD, Vice Chair, EM, to katherine.adams@lvh.com. Fax (610) 402-7014. Phone (610) 402-7008.

Department of Emergency Medicine

EMS Fellowship The Department of Emergency Medicine (DEM) at the Oregon Health & Science University (OHSU) offers oneyear or two-year fellowships in Emergency Medical Services (EMS). OHSU is a Level I trauma center and base station hospital whose faculty is actively involved in ground and air medical EMS in the three counties surrounding Portland, Oregon. OHSU is a qualified host for the SAEM/Medtronic Physio-Control Fellowship in EMS. A formal didactic curriculum through the OHSU School of Public Health offers individuals the opportunity to earn an MPH degree during the two-year fellowship. Opportunities also exist to combine the clinical and administrative fellowship experience with degree or diploma programs in clinical research, healthy policy, epidemiology, informatics or business administration. Please contact Mohamud Daya, MD, MS EMS Fellowship Director at OHSU Emergency Medicine, GH239, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098; phone (503) 494-7248; email dayam@ohsu.edu

PENNSYLVANIA: Penn State University College of Medicine & Hershey Medical Center – Department of Emergency Medicine is seeking to add experienced academic emergency physicians to our internationally known faculty. We are seeking faculty to supplement our research and educational missions and participate with our newly approved PENN STATE EMERGENCY MEDICINE RESIDENCY. Physicians must be board certified with some academic experience. Faculty rank will be commensurate with experience. Confidential inquiry to Kym Salness, M.D. (Chair) or Christopher J. DeFlitch, M.D. (Vice-Chair), Department of Emergency Medicine, P.O. Box 850 (H043), Hershey, PA 17033, Phone (717) 531-8955 or email cdeflitch@psu.edu or www.pennstateemergencymedicine.com. AAEOE. Women and minorities are encouraged to apply. TENNESSEE: Vanderbilt University – RESEARCH DIRECTOR – We are seeking an outstanding individual to direct our research program. We have required medical student rotations, a Level I Trauma Center, Pediatric and Adult ED’s and a superb residency. We have an active core of researchers with varied academic interests. The Department is committed to faculty development and well-being. Candidates must be residency trained in emergency medicine and eligible for appointment at the Associate or Full Professor level, depending upon qualifications. We provide great benefits and Nashville is a wonderful city. Protected academic time will be provided. Please reply to Corey M. Slovis, M.D., Chairman, Department of Emergency Medicine, Vanderbilt University, Room 703, Oxford House, Nashville, TN 37232-4700, Email: corey.slovis@vanderbilt.edu.

The Department of Emergency Medicine at Maine Medical Center is seeking Emergency Physicians with a demonstrated commitment to patient care, education and scholarly production for the following positions:

Director of Pediatric Emergency Medicine

Faculty Positions

Candidates must be board certified or prepared in Emergency Medicine with additional training in either Pediatrics or Pediatric Emergency Medicine.

As a result of continued expansion, The Department of Emergency Medicine of New York-Presbyterian Hospital - Weill Cornell Medical Center is recruiting full time faculty members at the instructor or assistant professor level. The desired individual must be residency trained and BE/BC in Emergency Medicine.

Open Rank Candidates must be residency trained in Emergency Medicine with demonstrated excellence as a clinician, educator and academician. This position will offer protected time for development of a career in academic Emergency Medicine. This represents a unique opportunity to join a young academic department poised for rapid and vigorous growth. The department supports a fully accredited three-year residency training program and provides emergency care to 52,000 patients annually. Maine Medical Center serves as the trauma center for Southern Maine and houses the Barbara Bush Children’s Hospital. The current faculty is cohesive, experienced and committed to academic and clinical excellence. The great Portland Community, located on the southern Maine coast, offers an attractive place to live and practice academic Emergency Medicine. Interested candidates should send (electronic communications are preferred) a cover letter and curriculum vitae to: Michael A. Gibbs, MD, Department of Emergency Medicine, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102; Phone: (207) 842-7010; Fax: (207) 842-7025; Email: gibbsm@mmc.org

The successful candidate will join a combined faculty of over 40 attending physicians who support our accredited PGY 1-4 Emergency Medicine Residency Program. There are unparalled opportunities in research, administration and education on both the graduate and undergraduate levels. There are also opportunities to collaborate with other faculty at the 2 medical schools, 2 schools of Public Health and other divisions of Cornell and Columbia University. The Emergency Department of the Weill Cornell Medical Center is an active department with very high patient acuity. It is both a Level I Trauma Center and teh receiving unit for the largest burn center in the country. The ED also sponsors the largest and busiest hospitalbased 911 ambulance system in New York City. Faculty appointment will be at the Weill Medical College of Cornell University. A generous compensation package and benefits will be provided. Please send a letter of interest that addresses career goals along with cv to: Neal Flomenbaum, MD, Emergency Physician-inChief, New York-Presbyterian Hospital, Weill Cornell Medical Center, 525 East 68 Street, New York, NY 10021, 212-746-0780, email: emed@med.cornell.edu.

A health place like no place in Maine. The MAINEHEALTH Family

WWW.MMC.ORG

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UNIVERSITY OF CALIFORNIA SAN FRANCISCO FACULTY RESEARCH POSITION

UNIVERSITY OF COLORADO DIVISION OF EMERGENCY MEDICINE The Division of Emergency Medicine at the University of Colorado Health Sciences Center in Denver, Colorado, is proud to announce the August 2004 opening of its second clinical practice site at the new Emergency Department on the Fitzsimons Campus.

The Division of Emergency Medicine at UCSF is seeking candidates for a position in the In-Residence series at the assistant professor level, with a career goal of externally funded emergency medicine research.

The University of Colorado's Fitzsimons Campus is the only completely new academic medical center to be built in more than a generation. When completed, Fitzsimons Campus will house the University of Colorado Hospital, the Children's Hospital, the VA Medical Center, the University of Colorado Schools of Medicine, Dentistry, Nursing and Pharmacy, and two new biomedical research towers. Fitzsimons is unique in its integration of public and private biotechnology.

UCSF Medical Center is the busiest teaching hospital inpatient service in San Francisco by a large margin, with 576,000 outpatient visits, and is rated by U.S. News & World Report as one of the ten best hospitals in the U.S. The Emergency Department is approaching 40,000 visits a year not including urgent care patients seen in separate adult and pediatric clinics. The ED has an established real-time web-based patient clinical research enrollment database, and a complete renovation of the physical plant is underway.

The Emergency Department at Fitzsimons will be a state-of-the-art, acute-care clinical facility as well as a laboratory for the development of new technologies and pathways in emergency care. Applications are now being accepted for full-time emergency medicine faculty to join our dynamic and growing Division. Responsibilities include clinical practice, teaching of emergency medicine and other housestaff as well as scholarship. Clinical and basic research will be supported based on applicants' interest. Faculty applicants must be residency trained in emergency medicine and be board certified or board eligible. Compensation is competitive.

A residency in EM is planned for 2005 based at this hospital. There is a long tradition of research and leadership in EM, and collaboration with other faculty in other departments. Currently two faculty members have NIH funding. Quality of the intellectual experience and resources are unmatched, as is the physical and cultural environment of the Bay Area. The successful candidate will have an existing track record of research and publication that promises similar funding in the first few years of appointment. Contact Michael Callaham M.D. at Box 0208, University of California San Francisco, San Francisco CA 94143-0208 or mlc@medicine.ucsf.edu.

Please send curriculum vitae and a brief description of career interest and goals to: Ben Honigman MD, Head, Division of Emergency Medicine, University of Colorado School of Medicine, B 215, Denver, Colorado 80262; Benjamin.Honigman@uchsc.edu. Minorities and women are encouraged to apply. UCHSC is an EOE.

ACADEMIC EMERGENCY MEDICINE FELLOWSHIP Due to the expanding need for Academic Emergency Physicians the University of Florida & Shands Teaching Hospital, Department of Emergency Medicine are seeking emergency medicine residency trained or board certified emergency physicians as applicants for our Academic Emergency Medicine Fellowship at the University of Florida Gainesville. This teaching hospital emphasizes active involvement with emergency medicine residents and medical students. Qualified applicants will be board certified in emergency medicine; preferred applicants will have a demonstrated academic career interest. More than a research fellowship, this 2-year program includes training in education, research, EMS and administration in academic emergency medicine. Fellows will have the opportunity to complete work for M.S. in Interdisciplinary Biomedical Science. Fellows will also perform as Faculty while developing bedside clinical teaching and supervision skills in the ED. Shands at UF is the hub of a multi-hospital network. Shands at UF Emergency Medicine provides county EMS direction, interhospital hospital transport including the ShandsCair aero-medical service, and provides medical support teams for NASA shuttle launches and landings. Great compensation, great benefits package, great city!

The Department of Emergency Medicine of Texas Tech University School of Medicine is seeking an experienced Emergency Medicine residency trained physician to assume leadership of it’s residency program. The program is over twenty years old, fully accredited and has twenty-four residents at present. The candidate would join 15 EM physicians in the Department. Our mission is to prepare residents to be able to practice in any ED in the country. The Department is located in El Paso, Texas and will soon be incorporated into the new 4 year medical school just approved by the state legislature. Our new offices are under construction on campus and a new $36 million research building is in late design phase for the campus. Our main ED is at Thomason Hospital with a patient volume of 60,000 visits last year. It is a Level I Trauma Center and is opening a new $25 million wing, including the ED Observation Unit next year. For more information on the residency visit http://www.elp.ttuhsc.edu/em

Our Department is committed to improving diversity in academic emergency medicine; women and minorities are encouraged to apply. University of Florida is an Equal Opportunity Employer.

Please send a letter, or email, expressing interest to: Matthew J. Walsh, MD, Associate Professor and Chair, Dept. of EM, 6090 Surety Dr. #412, El Paso, Texas 79905. Email mwalsh1@elp.rr.com or phone 915-771-6482.

Please send personal statement and CV to: Kevin L. Ferguson, MD, FACEP, Director of Graduate Medical Education, University of Florida, Department of Emergency Medicine

Texas Tech University is an Equal Opportunity Employer. Women and minorities are encouraged to apply.

P O Box 100186, Gainesville, FL 32610-0392

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ATLANTA,

GA

DEPARTMENT OF EMERGENCY MEDICINE Our academic department continues to grow. Therefore, we are seeking full-time academic emergency physicians in both research and clinician-educator tracks. Emory offers a dynamic and professional environment with special strengths in patient care, teaching, community service, EMS, toxicology, clinical research, laboratory research, and public health. We offer excellent salary and benefits. Applicants must be residency trained and/or board certified in EM. Emory is an equal opportunity, affirmative action employer. Women and minorities are encouraged to apply. For further information visit our web site at http://www.emory.edu/em or contact:

Faculty Positions The University of Nebraska Medical Center, Section of Emergency Medicine is recruiting 1-2 additional faculty members committed to developing an academic career. Adequate protected time is provided and start-up funding is available. Preference is given to individuals with fellowship training or research experience. With an approved residency starting in July 2004, this is a great opportunity to help shape the future of emergency medicine in thisregion. Candidates who have toxicology training will also have the opportunity to work with the Nebraska Regional Poison Center.

Arthur Kellermann, MD, MPH, Professor and Chair Department of Emergency Medicine 1365 Clifton Rd., Suite B-6200 Atlanta, GA 30322 Phone: (404)778-2600 Fax: (404)778-2630 Email: Paula Bokros - pbokros@emory.edu

Respond in confidence to: Robert Muelleman, M.D., Professor, Chief of Emergency Medicine, University of Nebraska Medical Center, 981150 Nebraska Medical Center, Omaha, NE 68198-1150. (402-559-6705) The University of Nebraska is an affirmative action/equal opportunity employer. Minorities and women are encouraged to apply.

Emory is an equal opportunity/affirmative action employer

Academic Emergency Physician

Johns Hopkins Medical Institutions EMS Fellowship Position The Department of Emergency Medicine Division of Special Operations is accepting candidates for the 2004 Emergency Medical Services Fellowship. Board eligible emergency trained physicians can complete a one-year certificate program or twoyear program leading to various Masters programs at the Johns Hopkins School of Public Health (MPH, MS) or School of Professional Studies (MBA). The fellow will have a broad range of experiences: medical direction and oversight for Johns Hopkins Lifeline, the institution's critical care ground and air medical transport service; fire department based urban, suburban and rural ems systems exposure; 911 base command facility; mass casualty event training; hospital disaster preparedness; clinical faculty appointment to the School of Medicine and tactical operations participation as an Emergency Services physician with the United States Secret Service.

Exciting position for an experienced, residency trained, board certified/ eligible emergency physician to join the faculty of the Department of Emergency Medicine, a full academic department of the Mount Sinai School of Medicine in New York City. The Mount Sinai School of Medicine is a leader in medical education and research. The hospital is a 900 bed tertiary center with an annual ED census of over 70,000. The EM residency is fully accredited. Academic rank commensurate with qualifications.

The Johns Hopkins Emergency Medicine Residency is one of the oldest academic programs in the country and is the fastest growing department in terms of research dollars in the entire university. For more than a century, Johns Hopkins has been recognized as a leader in patient care, medical research and teaching. The Johns Hopkins Hospital tops U.S News & World Report's "Honor Roll" 13 years in a row and the Hopkins Bloomberg School of Public Health was voted "Best" public health program in 2003.

Please submit confidential letter and C.V. to: Carol Barsky MD, Director and Vice Chair, Department of Emergency Medicine, Mount Sinai School of Medicine, Box 1149, One Gustave L. Levy Place, New York, NY, 10029. Fax (212) 427-2180. We are an equal opportunity employer fostering diversity in the workplace.

Interested candidates are encouraged to contact the fellowship director: Nelson Tang, MD, Department of Emergency Medicine, Johns Hopkins Hospital, 600 North Wolfe Street, Marburg B-186, Baltimore, MD 21205. Telephone 410.955.8708. E-mail: ntang@jhmi.edu.

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Opportunities Available Through the SAEM Consult Service Glenn Hamilton, MD Wright State University Chair, SAEM Consulting Service The SAEM Consult Service has a long history beginning with the Society of the Teachers of Emergency Medicine (founded by Gus Roussi in the late 1970s). Its greatest activity was under the guidance of Steve Dronen, MD, who chaired the Consulting Service for many years and provided over 70 consultations during the 1990s. The SAEM Consult Service is well prepared to offer its considerable capabilities to interested parties in our specialty. Although a variety of services are available, the primary foci have been the following: 1. Establishment of an EM residency – this consult is in advance of application to the ACGME and RRC-EM for consideration of a new EM residency. The consultation will assess the suitability and potential of the site for residency training and assist in the development of the program information forms required by the ACGME. This service has been successfully offered to more than 40 programs in the last two decades.

2. “Mock” survey prior to RRC-EM site survey – this service serves as a preparatory guide to residencies preparing for their official site survey by the RRC-EM. This is a useful process for making sure the issues of potential concern by the RRC-EM are addressed, and convincing institutional administration of the benefits of EM and its continued support. There have been more than 40 of these consults in the last 20 years. 3. Research Consultation – this relatively new aspect of the service helps programs develop a research program suitable to their environment. Several sites have participated in this type of consultation with appropriate guidance and net gains in their research activity. 4. Faculty Development – EM remains one of the few specialties that requires faculty development as part of its program requirements. Programs who are initiating or having difficulty in this area may request a faculty development consultation 26

to assist in planning effective programs for their faculty. Consultations are done by experienced individuals who are Program Directors, Academic Chairs, and/or RRC-EM Site Surveyors. Usually 1-2 individuals participate in the consultation depending upon the needs of the institution. The individuals are selected with input from the institution and the consult service. Fees are $1,250 per individual per day plus expenses. An additional $500 is paid to SAEM to support the administrative aspects. The 1980s and 90s were a time of tremendous growth for EM residencies. The Consult service played a significant role in sustaining the quality of these residencies and assisting numerous Program Directors in developing and creating solutions to their problems. The SAEM Consult Service looks forward to assisting in residency or academic development needs. Please contact me directly or through SAEM for further information and assistance.


We’re on a mission to raise the bar on healthcare delivery

Risk Factors Include:  No True Partnership  Unfair Compensation  Unhealthy Scheduling Practices

Emergency Medicine Faculty The Emergency Department at Regions Hospital in St. Paul, Minnesota is recruiting EM residency trained, ABEM certified or eligible clinical, academic and research faculty to join our progressive, academic group. Regions is a Level 1 trauma and burn center, with an established 3-year EM residency program and an annual ED volume of 63,000.

Treatment: Equal Equity Ownership  Superior Compensation  Physician-Friendly Scheduling  Work with EMP 

We are seeking talented clinicians and academicians committed to excellence in bedside teaching. Protected time is available for candidates with fellowship training and/or proven experience in education, medical informatics, toxicology, or administration. We are also seeking researchers with proven grant writing skills, productive research experience, and/or fellowship training. Significant protected time; support is available for pilot project funding, grant writing, and statistical analyses, with access to large, HMO-linked population and hospital operations databases.

Faculty position available with AOA- approved EM residency training program at Ohio Valley Medical Center in Wheeling, WV.

For more information, contact Dr. Brent Asplin, Department Head at 651-254-1809 or brent.r.asplin@healthpartners.com. To apply, forward your CV and cover letter via fax to (952) 883-5395, email sandy.j.lachman@healthpartners.com, or call (800) 472-4695. Visit us online at www.regionshospital.org. EO Employer

Contact: Dominic J. Bagnoli, Jr., MD, FACEP, FAAEM

www.healthpartners.com

Call for Photographs Deadline: February 18, 2004 Original photographs of patients, pathology specimens, gram stains, EKG’s, and radiographic studies or other visual data are invited for presentation at the 2004 SAEM Annual Meeting in Orlando. Submissions should depict findings that are pathognomonic for a particular diagnosis relevant to the practice of emergency medicine or findings of unusual interest that have educational value. Accepted submissions will be mounted by SAEM and presented in the “Clinical Pearls” session and/or the “Visual Diagnosis” medical student/resident contest. No more than three different photos should be submitted for any one case. Submit one glossy photo (5 x 7, 8 x 10, 11 x 14, or 16 x 20) and a digital copy in JPEG or TIFF format on a disk or by email attachment (resolution of at least 640 x 48). Radiographs and EKGs should also be submitted in hard copy and digital format. Do not send X-rays. The back of each photo should contain the contributor’s name, address, hospital or program, and an arrow indicating the top. Submissions should be shipped in an envelope with cardboard, but should not be mounted. Photo submissions must be accompanied by a brief case history written as an “unknown” in the following format: 1) chief complaint, 2) history of present illness, 3) pertinent physical exam (other than what is depicted in the photo), 4) pertinent laboratory data, 5) one or two questions asking the viewer to identify the diagnosis or pertinent finding, 6) answer(s) and brief discussion of the case, including an explanation of the findings in the photo, and 7) one to three bulleted take home points or “pearls.” The case history must be submitted on the template posted on the SAEM website at www.saem.org and must be submitted electronically. The case history is limited to no more than 250 words. If accepted for display SAEM reserves the right to edit the submitted case history. Submissions will be selected based on their educational merit, relevance to emergency medicine, quality of the photograph, the case history and appropriateness for public display. Contributors will be acknowledged and photos will be returned after the Annual Meeting. Academic Emergency Medicine (AEM), the official SAEM journal, may invite a limited number of displayed photos to be submitted to AEM for consideration of publication. SAEM will retain the rights to use submitted photographs in future educational projects, with full credit given for the contribution. Photographs must not appear in a refereed journal prior to the Annual Meeting. Patients should be appropriately masked. Submitters must attest that written consent and release of responsibility have been obtained for all photos EXCEPT for isolated diagnostic studies such as EKGs, radiographs, gram stains, etc.

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S A E M

NEWSLETTER

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

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

Newsletter of the Society for Academic Emergency Medicine Board of Directors Donald Yealy, MD President Carey Chisholm, MD President-Elect James Adams, MD Secretary-Treasurer Roger Lewis, MD, PhD Past President Valerie DeMaio, MD Leon Haley, Jr, MD, MHSA Glenn Hamilton, MD Stephen Hargarten, MD, MPH Katherine Heilpern, MD James Hoekstra, MD Susan Stern, MD

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

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

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

S A E M

Call for Abstracts 2004 Annual Meeting May 16-19, 2004 Orlando, Florida Deadline: January 6, 2004

The Program Committee is accepting abstracts for review for oral and poster presentation at the 2004 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 6, 2004 at 3:00 pm Eastern Time and will be strictly enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions will be available on the SAEM website at www.saem.org in November. For further information or questions, contact SAEM at saem@saem.org or 517485-5484 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 2004 SAEM Annual Meeting. Original abstracts presented at national meetings in April or May 2004 will be considered. Abstracts accepted for presentation will be published in the May issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. SAEM strongly encourages authors to submit their manuscripts to AEM. AEM will notify authors of a decision regarding publication within 60 days of receipt of a manuscript.


November-December 2003