Issuu on Google+

S A E M

Newsletter of the Society for Academic Emergency Medicine November/December 2005 Volume XVII, Number 6

PRESIDENT’S MESSAGE Professionalism: What to Look for in Your Board of Directors

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

Research Fund Donation May Be Habit Forming! Brian J. Zink, MD University of Michigan Chair, SAEM Development Committee

Professionalism is the map and rudder that both guides and steers the leadership of an organization toward its desired goals. Even with that level of importance, the Glenn C. Hamilton, MD orientation and skill sets of a Board may evolve as an organization grows in size, matures its finances, or becomes more aware of external guidelines (eg. GAAP, new laws, etc.). Over the course of this year, the Board is reviewing a number of items and issues related to professionalism. The goal is both education of Board members regarding their broad responsibilities, and to implement policies and procedures that will ensure the long-term health and security of the Society. This certainly sounds like a daunting task, and to some degree it is, but it is a task made easier by other agencies that offer guidance in this potentially complex realm. One of these is BoardSource (www.boardsource.org), a 501c3 non-profit organization (just like SAEM) that supplies practical information, tools and best practices, training, and leadership development for Board members of non-profit organizations. Robert Schafermeyer, MD, to whom I am indebted, directed me to this organization early in my PresidentElect year. Participating as a member of a non-profit Board such as SAEM is serious work and worthy of preparatory study. Dr. Schafermeyer’s referral has served me many times over in these last several months, and is important to share with the membership. One of the most important references available through BoardSource is its Governance Series. This consists of nine booklets, each approximately 30 to 40 pages in length, that detail essential operational aspects to be addressed by each Board at some time during the life the organization. The titles of these nine monographs offer a better understanding as to the breadth of information supplied by this resource: 1. Ten Basic Responsibilities for Non-profit Boards 2. Financial Responsibilities for Non-profit Boards 3. Structures and Practices of Non-profit Boards 4. Fund Raising Responsibilities for Non-profit Boards 5. Legal Responsibilities for Non-profit Boards 6. The Non-profit Board’s Role in Setting and Advancing the Mission 7. The Non-profit Board’s Role in Planning and Evaluation

We all have nasty little habits. Usually by the time we are successful emergency physicians we have figured out how to conceal them, and can conduct them in private, with a good measure of guilt. Good luck with those. I want to focus on good habits. Like yoga every morning, or flossing your teeth, or putting your dishes in the dishwasher – and most importantly contributing to the SAEM Research Fund. When we started out in this development process, we had grand ambitions that the SAEM Research Fund might be built to a level of 8 million dollars or so, and that at this size we would have an endowment that could annually support around 6 to 8 research training grants and scholarly sabbaticals for academic emergency physicians – in perpetuity. We have spent about three years planning how to best do this, and a funny thing has happened along the way. With member contributions and major support from Society annual revenues, and a sound investment strategy, the SAEM Research Fund has grown to nearly 4.5 million dollars. Because of habitual contributing, we are more than half the way there! The Research Fund, as it grows, has been funding one Research Training Grant, one Institutional Research Training Grant, and a Scholarly Sabbatical Grant each year. In addition, we fund Medical Student Research Grants, Medical Student Emergency Medicine Interest Group Grants, and, with the generous support of Medtronic, have funded the EMS Research Fellowship for many years. The Research Training Grants are a two year commitment. As we chronicle each spring in the Newsletter, young investigators and emergency medicine faculty members are reaping the benefit of extramural funding to do groundbreaking research and build their academic careers. In time, our emergency patients will also benefit from this work. But this is not a time to rest on our laurels. Each year our Grants Committee has to make the agonizing decision of selecting one grant in each category, and must turn away other eminently fundable grant proposals. In order to make a real impact in the world of academic emergency medicine we must fund more investigators. That’s where habits come in. In the past year SAEM members contributed $22,260. Some were first time donors, but many were habitual donors – true believers in SAEM and advancing emergency medicine research. Those who contributed make up only 12% of the active membership. The average contribution was around $75. If we could inculcate the same giving habits in the rest of our active members, we could raise a quarter of a million dollars a year for the SAEM

(continued on page 29)

(continued on page 28)

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


Call for Nominations SAEM Elected Positions Deadline: February 7, 2006 Nominations are sought for the SAEM elections that will be held in the spring of 2006. 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. Nominations must be submitted electronically to saem@saem.org and must be submitted in the following format: Nominations 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. 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 2006-May 2007) 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 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. 1. Name 2. Current academic position(s): • institution(s) • academic appointment(s) • other major administrative position(s), such as chair, director, dean, etc: 3. Non-SAEM career accomplishments, such as awards, grants, leadership positions, etc.” (100 word limit): 4. SAEM service • member since: • list/date committee/task force/interest group membership • leadership roles within SAEM (and when): • committees/task forces/interest groups • elected positions (Board, Nominating Committee, C&B Committee) • list role in major contribution to SAEM products (e.g., author of X, developing Y, etc) 5. Personal statement of what the candidate wants to do for SAEM, if elected (300 word limit) • What have been your proudest accomplishments for SAEM? • What are your goals for advancing the Society? • What is your vision for the future of SAEM? • Which needs of the membership do you wish to address? • Personal comment to membership (optional)

2


Update on the Recently Implemented Web-based “SAEM Tests”: Over 3,000 tests taken nationwide Emily L. Senecal, MD Massachusetts General Hospital/Brigham & Women’s Hospital Michael S. Beeson, MD, MBA Summa Health System SAEM Undergraduate Committee In June 2005, “SAEM Tests” was published on the web at www.saemtests.com. As you may recall from an earlier article in the July/August issue of the SAEM Newsletter, “SAEM Tests” is an interactive web-based testing tool developed by the SAEM Undergraduate Education Committee (UEC) for students of Emergency Medicine. We are pleased to provide the first report detailing its extensive use over the past several months. First, we’d like to briefly review the content of the “SAEM Tests” and the motivation behind its development. The absence of a standardized “Shelf” exam to evaluate medical students rotating through Emergency Medicine prompted the SAEM UEC to develop an on-line question bank. A joint effort by many members of the SAEM UEC yielded over 500 multiple-choice questions covering a broad range of topics within Emergency Medicine. Images, including EKGs, radiographic studies, and photographs, accompany over 100 questions. Answers include brief explanations of the correct answer, as well as text or literature references for further reading. “SAEM Tests” is accessible through the SAEM website at www.saemtests.com. The questions are currently divided into 27 individual tests, each of which consists of ten to twenty-five questions. Two of the tests are available without a password. The remainder of the tests are password-protected and are only accessible by medical students once they have been registered by their Clerkship Director on the website. Clerkship Directors can obtain login IDs and passwords to access “SAEM Tests” at www.saemtests.com. After a student takes a test, the student’s scores and individual answers are automatically reported to the Clerkship Directors by email. Since its implementation on-line in June 2005, 571 students have taken 3,135 individual tests as of the writing of this article. Data collection assessing both the validity and difficulty of individual questions is ongoing. Data will be analyzed

over the next few months in effort to develop tests of varying difficulty and increased validity in the future. Feedback from students and Clerkship Directors who have used “SAEM Tests” has been positive. One student reported, “I think the tests are a great learning tool and I wish there were tests around like that for every rotation.” Another commented, “The tests helped me identify what I really needed to study a lot more, versus what I needed to brush up on or knew well.” A Clerkship Director noted, “The majority of my students have overwhelmingly positive comments about their experiences taking the SAEM Tests. I think these tests help expose them to areas of Emergency Medicine they might not see in their four weeks in the ED." Research on the utility of “SAEM Tests” is underway. Four weeks ago, a brief survey for medical students taking the tests was added to the testing site. This eight-question survey requests information about the students taking the tests, including the total number of clerkships they’ve completed, the number of Emergency Medicine clerkships they’ve completed, and whether they are interested in Emergency Medicine as a career. The survey also gathers feedback from students on the utility and difficulty of the tests. As of the writing of this article, 58 surveys have been completed. Analysis of the results will begin in the next two months. Plans are underway for addition of a brief survey to obtain formal feedback from Clerkship Directors administering the tests. “SAEM Tests” will be presented at the Association of American Medical Colleges Annual Meeting in Washington, DC, on November 6-7, 2005. We look forward to presenting this project to disciplines beyond Emergency Medicine and to receiving feedback from a national medical audience. Additionally, we welcome any feedback you wish to provide. Please contact us at esenecal@alumni.princeton.edu or beesonm@summa-health.org.

Consulting Service Wallace Carter, MD New York Presbyterian The University Hospital of Columbia & Cornell Chair, SAEM Consulting Service Emergency Medicine by definition is a dynamic specialty. It is marked by rapid change and response to an ever changing spectrum of clinical, social and legislative challenges. However, there are also a number of aspects of our academic practice that have been constant and predictable and easily available. The SAEM Consulting Service represents one of the constants. Started in the late 1970’s this service has been marked by always having in its ranks some of the best and brightest and most experienced SAEM members who were willing and able to share their expertise and experience with their colleagues. Over the years the Consulting Service has performed over one hundred consultations. With 135 accredited programs the

Consulting Service has provided a valuable service to a large percentage of our training programs. I am happy to report that in 2005 the Consulting Service continues to work hard. Over the last year we have performed a number of reviews and have a number of pending requests. So what can the Consulting Service offer your program? • Establishment of an EM Residency- This service is for centers that have decided to create a residency or for centers that would like expert advice on the potential and feasibility for a new residency. The site visitors will offer a formal assessment of your institutions potential and capabilities for creating and supporting a training program. They will also assist in the develop-

(continued on next page) 3


SAEM 2006 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, 2005. Institutional Research Training Grant This grant provides financial support of $75,000 per year for two years for an academic emergency medicine program to train a research fellow. The sponsoring program must demonstrate an excellent research training environment with a qualified mentor and specific area of research emphasis. The training for the fellow may include a formal research education program or advanced degree. It is expected that the fellow who is selected by the applying program will dedicate full time effort to research, and will complete a research project. The goal of this grant is to help establish a departmental culture in emergency medicine programs that will continue to support advanced research training for emergency medicine residency graduates. Deadline: November 3, 2005. Scholarly Sabbatical Grant This grant provides funding of $10,000 per month for a maximum of six months to help emergency medicine faculty at the level of assistant professor or higher obtain release time to develop skills that will advance their academic careers. The goal of the grant is to increase the number of independent career researchers who may further advance research and education in emergency medicine. The grant may be used to learn unique research or educational methods or procedures which require day-to-day, in-depth training under the direct supervision of a knowledgeable mentor, or to develop a knowledge base that can be shared with the faculty member’s department to further research and education. Deadline: November 3, 2005. Emergency Medical Services Research Fellowship This grant is sponsored by Medtronic Physio-Control. It provides $60,000 for a one year EMS fellowship for emergency medicine residency graduates at an SAEM approved fellowship training site. The fellow must have an in-depth training experience in EMS with an emphasis on research concepts and methods. The grant process involves a review and approval of emergency medicine training sites as well as individual applications from potential fellows. Deadline: November 3, 2005. EMF/SAEM Medical Student Research Grant These grants are sponsored by SAEM and the Emergency Medicine Foundation. A maximum of $2,400 over three months is available to encourage research in emergency medicine by medical students. Deadline: February 13, 2006. Further information and application materials can be obtained via the SAEM website at www.saem.org.

Consulting Service…(continued from previous page)

ment of the Program Information Forms (PIF’s). Consult Service site visitors will work closely with the program leadership in interfacing with institutional and medical school leaders. Their visit allows an “independent outsider” to offer those leaders a frank assessment of your potential liabilities that may be uncovered by your official site visit and RRC-EM review as well as offering a potential plan of corrective action. Mock Site Visit- This service is a dress rehearsal to help programs and institutions prepare for their official visit by the RRC-EM. Consulting Service members will look at the institution and the program for areas of potential concern by the RRC-EM and give the site visit participants an opportunity to “practice” prior to the actual visit. Particular attention is paid to the concordance between the PIF’s and the actual institutional reality as well as consistency and individual preparedness of the site visit participants from your institution. Program Information Form (PIF) Reviews- This relatively new service has become quite popular. It provides a detailed review and comment of the PIF prior to submission to the RRC-EM. While it has utility to all types of programs, this service has proven to be of particular benefit to established programs. As our profession and specialty move to more completely integrate external mandates from organizations such as the

ACGME and various governmental and regulatory agencies the challenge to established programs to balance these competing imperatives has never been greater. This service allows veteran PD’s the opportunity to preview, with veteran Consulting Service members, their program and the creative ways they have integrated recent iniatives such as Core Competencies or work hour regulations. Working closely with the PD the Consulting Service reviewer will provide a detailed review of the PIF with recommendations prior to submission to the RRC-EM. The Consulting Service is comprised of seasoned veterans representing program directors, academic chairs, as well as those who have served as RRC-EM site visitors. Visits are performed by one or two individuals who are selected with input from the Consulting Service and requesting institution. Fees are $1250 per individual per day plus expenses. An additional $500 fee is paid to SAEM to support the administrative needs of the Service. PIF Reviews are $750. The SAEM Consulting Service is proud of the role it has played in sustaining quality in so many of our training programs. We have helped many of our colleagues find creative solutions to their problems and look forward to continuing this strong tradition. If we can be of assistance please feel free to contact me directly at wac9010@nyp.org or call (212-7460433) or through the SAEM office at saem@saem.org 4


NOTE: SAEM members who wish to be considered for appointment to an SAEM committee in 2006-2007 (May 2006-May 2007) must complete the online Committee Interest Form, which will be posted on the SAEM web site at www.saem.org in December 2005. All interested members, whether currently serving on a committee or task force or not currently serving, must complete the Interest Form in order to be considered. The deadline to submit the Interest Form is February 15, 2006. Individuals must be current members of SAEM in order to serve on a committee or task force. Contact SAEM at saem@saem.org if you have any questions.

Committee and Task Force Selection Process Begins James Hoekstra, MD Wake Forest University SAEM President-elect resent exactly what a committee/TF really needs. How Do I Get Assigned to a Committee/TF? ● First, assess your ability to offer a realistic time commitment. ● Second, review the current committee and task force objectives. Where do your interests and experiences lie? What abilities or perspectives might you contribute? ● Third, everyone who desires appointment MUST complete the Committee/task force Interest Form, which will be available online at www.saem.org in December. This includes currently assigned members as well! Remember, committee composition rotates regularly, with approximately one-third of the members turning over each year. This assures that all members who desire to participate can do so. While invariably disappointing to some members who are not reassigned, this practice has served SAEM very well over the years and is a critical component of individual member development. Reassignment also is influenced by the chair’s evaluation of an individual’s productivity, timeliness, responsivity and overall contributions. ● Finally, when submitting your interest form, please make a brief statement supporting your committee choice. SAEM is a large organization, and I unfortunately do not know every member’s skills and talents. While performance record goes a long way for those currently serving, the interest form will be a major factor in appointment decisions for all members. SAEM’s mission has never been more critical for the lives of our patient population. We are charged with defining the future practice of EM, both clinical practice and academics. The committees and task forces are central to the mission and goals of the Society. We look forward to your volunteering this year. Please address specific questions about this process to the SAEM office at saem@saem.org.

Most of our annual planning for the 2006-2007 SAEM year, which begins each May, occurs during the winter months. An important component of this is the development of realistic objectives for our committees and assignment of special needs projects to task forces. The committees have an essential role in determining how well SAEM progresses in our mission each year. The work each year focuses on a number of specific objectives. Although ultimately assigned by the President-elect, these objectives are developed by soliciting ideas from the entire membership, as well as current and prior committee chairs and members. The Board of Directors reviews these assignments, to assure coordination and resource allocation appropriate to each task. Task Forces (TF) are unique entities developed by the President-elect in cooperation with the Board of Directors to address a specific focused issue in a timely manner. SAEM relies on task forces to deliver recommendations to the Board or produce a time sensitive product for the organization. A task force usually accomplishes its objectives within one to two years from inception. Why Should You Become a Committee or Task Force Member? ● You believe in SAEM’s mission statement: “to improve patient care by advancing research and education in emergency medicine”. ● You wish to assist in defining the future practice of your specialty. The academic mission is a special and unique pursuit, critical to the future of our specialty and the patients we serve. We are responsible for training the next generation of EM clinicians and academicians. We define the future practice of our specialty through the work of our members, both with SAEM activities and at our academic institutions. You have special knowledge/skills or interests in a committee/TF work area. Sometimes more junior members in the Society are afraid to volunteer because they “lack expertise” in an area. However, if you have the time, are willing to do the work, and have a passion for that area, you rep-

SAEM members are invited to submit proposed objectives for the 2006-07 committees and task forces. Objectives should be concise, measureable, and relate directly to the SAEM mission. Send suggested objectives to saem@saem.org. 5


Call for Nominations Deadline: February 15, 2006 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 San Francisco during the 2006 Annual Meeting. Nominations for honorary membership for those who have made exceptional contributions to emergency medicine are also sought. The Awards Committee wishes to consider as many exceptional candidates as possible. The awards and criteria are described below:

Academic Excellence Award 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 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 Previous recipients of this award are: Tom Aufderheide, MD, William Barsan, MD, Charles Brown, MD, Steven Dronen, MD, Richard Edlich, MD, PhD, Lewis Goldfrank, MD, Glenn Hamilton, MD, Jerris Hedges, MD, MS, Judd Hollander, MD, Gabor Kelen, MD, Arthur Kellermann, MD, MPH, Roger J. Lewis, MD, PhD, John Marx, MD, James Niemann, MD, Emanuel Rivers, MD, James Roberts, MD, Ernest Ruiz, MD, Arthur Sanders, MD, Corey Slovis, MD, Ian Stiell, MD, and Blaine White, MD.

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. Previous recipients of this award are: William G. Barsan, MD, Louis Binder, MD, E. John Gallagher, MD, Lewis Goldfrank, MD, Glenn Hamilton, MD, Jerris Hedges, MD, MS, Robert Knopp, MD, Ronald Krome, MD, Richard Levy, MD, Louis Ling, MD, James Niemann, MD, Peter Rosen, MD, Arthur Sanders, MD, David Sklar, MD, William Spivey, MD, Judith Tintinalli, MD, Joseph Waeckerle, MD, and David Wagner, MD. Nominations may be submitted by the candidate or any SAEM member. Nominations should include a copy of the candidate's CV and a completed application that includes the following: Nominee’s Name (first name, middle initial, last name, earned degrees) Date of Birth (month, day, year) Primary Employment Position and Institution (include mailing address, phone and FAX numbers and email address): Education (institutions, degrees, years, and major disciplines. Do not include honorary degrees) Principal Honors and Awards Received Major Leadership Positions Within SAEM Major Non-SAEM National Leadership Positions, Societies and Boards Person Nominating Award Candidate (include mailing address, phone and FAX numbers and email address): Statement on how this individual had a positive impact on academic emergency medicine and met the criteria for this award (limited to 2 pages): Nominations must be sent electronically to saem@saem.org.

6


Second Circuit Court Dismisses All Claims Against ABEM and Other Defendants in Daniel v. ABEM Case The Second Circuit Court of Appeals on October 7, 2005, upheld the previous judgment of the Western District Court of New York and dismissed all claims against ABEM and other defendants in the Daniel v. ABEM case. The Court ruled that the plaintiffs lack standing to bring antitrust claims against ABEM and other defendants, including CORD, and that the District Court lacked venue over any such claims against ABEM.

wrote that “this case is already 13 years old. The amendment proposed by the plaintiffs would be inconsistent with the now developed record. “Throughout the case, plaintiffs have claimed that they are entitled to the same super competitive prices earned by board-certified physicians. They now want to change their entire theory of the case to avoid dismissal. Even now, however, they are unable to offer an expert report that would support their theory, despite having had years to secure such a report.” Accordingly, Judge Arcara ordered that the case be closed. On July 21, 2003, plaintiffs filed a notice of appeal with the Second Circuit Court of Appeals. On August 1, 2003, ABEM filed a notice of cross appeal, stating its intention to appeal the court’s denial of several dispositive motions that would have resulted in earlier dismissals of the case on grounds other than lack of antitrust standing, including a motion to dismiss for lack of venue. Plaintiffs’ appeal brief was submitted in May 2004, and ABEM’s brief was submitted in June 2004. Oral arguments for the appeal were heard on October 25, 2004, in the Second Circuit Court in Manhattan. The case was dismissed on October 7, 2005. More information on Daniel v. ABEM is available at www.abem.org under the heading of “News, Notices, Exam Dates & Fees,” “Announcements,” “Litigation Update

Background On June 20, 2003, U.S. District Judge Richard Arcara issued a decision that adopted the January 3, 2003, recommendation of U.S. Magistrate Judge Leslie Foschio, and granted the defendants’ motion to dismiss the case. The court entered a final judgment in favor of ABEM. Judge Arcara found that the plaintiffs lack standing to bring antitrust claims for two reasons: 1) because “a plaintiffdoctor’s inability to charge higher fees because he or she has been denied board certification does not constitute a cognizable form of injury under the antitrust laws;” and 2) because these physicians are not proper plaintiffs or efficient enforcers of the antitrust laws insofar as their “objective is to advance their own economic interests” and to “keep prices higher.” In addition, the court denied plaintiffs’ request to amend their complaint in a manner designed to avoid dismissal, on the grounds that an amendment would be futile. Judge Arcara

S A E M

Call for Photographs Deadline: February 24, 2006

Original photographs of patients, pathology specimens, gram stains, EKG’s, and radiographic studies or other visual data are invited for presentation at the 2006 SAEM Annual Meeting in San Francisco, CA. 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. Photos will be returned upon request. If photos are not requested to be returned, they will be destroyed one year after submission. 7


Call For Nominations Young Investigator Award Deadline: December 15, 2006 In May 2006, 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 candidate must have training and board certification in emergency medicine or pediatric emergency medicine. Criteria taken into consideration in determining the award recipient include prior research grant awards, publications, presentation, and other awards. Research grant awards are most highly weighted, especially if from federal or major foundation sources. Research publications will be weighted based on their quality and number. Publication in high impact or moderate impact journals will be weighted higher than publications in low impact journals. Research presentations at national meetings and nonmonetary awards will be given relatively less weight in the overall evaluation. The deadline for the submission of nominations is December 15, 2006, and nominations must be submitted electronically to saem@saem.org. (Do not send hard copies.) 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 June 30, 1999. 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.

S A E M

Call for Submissions Innovations in Emergency Medicine Education Exhibits Deadline: Wednesday, February 16, 2006

The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2006 SAEM Annual Meeting, May 18-21, 2006 in San Francisco, CA. Submitters are invited to complete an application describing an innovative new educational methodology that they have designed, or an innovative educational application of an existing product. The exhibit should not be used to display a commercial product that is already available and being used in its intended application. Exhibits will be selected based on utility, originality, and applicability to the teaching setting. Commercial support of innovations is permitted but must be disclosed. IEME exhibits will be published in a summer 2006 issue of Academic Emergency Medicine, as well as in the Annual Meeting on-site program. However, if submitters have conducted a research project on or using the innovation, the project may be written up as a scientific abstract and submitted for scientific review in the appropriate subject category by the January 10 deadline. The deadline for submission of IEME Exhibit applications is Wednesday, Feburary 16, 2006 at 5:00 pm Eastern Daylight Time. Only online submissions using the form on the SAEM website at www.saem.org will be accepted. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801.

8


SAEM Membership Survey What do you, the SAEM members, think of SAEM and its functions? Where would you like to see improvements? What ideas do you have for the future? SAEM members had the opportunity to answer these questions in the Membership Survey that was conducted beginning in May at the Annual Meeting, and continued with a mailing of the Survey in the July/August issue of the Newsletter. Just over 400 members completed the survey, and the results are published below. (For comparison, it appears that nearly all respondents were senior members of SAEM, and there are 2,384 active members in SAEM.) The Board of Directors will address findings of this survey in the coming year and attempt to address ideas raised by survey participants. Did you forget to fill out your survey this year? The Board is considering developing a membership survey every year. As always, you can submit ideas and feedback to any member of the Board or to the SAEM office at saem@saem.org at any time.

Demographic Information Age: < 30 = 10 31-35 = 28 36-40 = 30 41-45 = 30 46-50 = 21 51-55 = 13 55-60 = 8 61+ = 2 Gender:

110-Female

Number of years as a SAEM member:

Number of Annual Meetings attended in the past 5 years: 0 = 47 1 = 34 2 = 58 3 = 52 4 = 54 5 = 141

287-Male

Degree: 129-MD 14-DO 18-PhD 17-MPH 13-Other Academic appointment: Associate Professor Assistant Professor Professor Resident Other

<10 years = 154 10-20 years = 189 20 + = 28

= 86 = 103 = 51 = 6 = 36

Number of Regional Meetings attended in the past 5 years: 0 = 199 1 = 83 2 = 57 3 = 18 4 = 13 5 = 15

Education Rank your priorities from 1 to 5 for such faculty development activities in order of importance with 1 indicating most important and 5 indicating least important: Rate 1-5 Preclinical components of medical school curricula (e.g. functional anatomy, EBM/literature interpretation, intro to clinical medicine, pathophysiology Clinical components of medical school curricula (e.g. simulator labs, skills labs, OSCE administration) Developing validation tools for assessing clinical competency and learner outcomes Clinical teaching at the bedside Didactic teaching Interactive web-based Downloadable documents or slide shows Didactic sessions at the Annual Meeting Free-standing CME course Didactic session at a regional meeting

1

2

3

4

5

15

20

43

88

215

51

83

97

124

28

117 165 30 130 107 86 28 18

83 93 118 111 115 90 45 43

76 80 105 63 55 123 88 55

54 35 74 43 57 55 104 109

52 10 57 33 44 26 113 150

(continued on next page) 9


Operations & Member Services Indicate your degree of satisfaction with the following: 1.

I am satisfied with the timeliness and helpfulness of response to my e-mail. 121-Strongly agree

2.

10-Disagree

3-Strongly disagree

236-Agree

34-Disagree

5-Strongly disagree

149-Agree

71-Disagree

25-Strongly disagree

SAEM periodically develops educational resources (e.g., the Undergraduate Educator’s Handbook) of interest to components of the membership. I would be satisfied having only web access to such documents (to eliminate copying and distribution expenses). 148-Strongly agree

6.

167-Agree

I would be satisfied to receive my newsletter electronically (thereby reducing printing and distribution expenses). 150-Strongly agree

5.

3-Strongly disagree

The Newsletter is a valuable source of information for me. 99-Strongly agree

4.

24-Disagree

I am satisfied with the timeliness and helpfulness of response to my phone calls. 114-Strongly agree

3.

178-Agree

200-Agree

34-Disagree

11-Strongly disagree

The SAEM web site has traditionally been an “open source” without any area restricted to members-only. This reflects our philosophy of distributing information in support of our mission. Recently the Board of Directors has decided to create a members-only section that would house member service type information (administrative announcements, minutes, etc.). Educational information (e.g., Newsletter articles, monographs) should remain in an open-access area rather than the member-only area. 200-Strongly agree

7.

a.

103-Disagree

45-Strongly disagree

203-Agree

50-Disagree

7-Strongly disagree

203-Agree

38-Disagree

7-Strongly disagree

SAEM should develop formal instructional materials (e.g. courses, monographs) to enhance grant application skills. 150-Strongly agree

11.

175-Agree

SAEM should develop formal instructional materials (e.g. courses, monographs) to enhance scholarly writing skills. 127-Strongly agree

10.

4-Strongly disagree

SAEM has established a “virtual” mentorship program (conducted via e-mail or phone) for medical students seeking information about careers in EM. SAEM should expand its virtual mentor services to other areas such as residents seeking academic careers or fellowships, junior faculty development, etc.). 102-Strongly agree

9.

35-Disagree

SAEM has a policy of rarely sending membership wide e-mails (these average under 10 per year). However, informational items of potential interest to members are therefore not relayed to the general membership via this route (instead we rely on the web page and Newsletter). SAEM should expand its use of general e-mails in order to inform the membership of informational items of interest about education and research. 60-Strongly agree

8.

151-Agree

202-Agree

22-Disagree

3-Strongly disagree

SAEM has a restrictive policy regarding our interaction with industry in order to avoid any real or perceived organizational conflict of interest. For this reason, commercial exhibitors are not permitted at the Annual Meeting. Please note your opinion about the reintroduction of commercial exhibits at the Annual Meeting. I would favor the reintroduction of a commercial exhibitor hall if: limited to educational vendors only (publishers, software programs, etc.) at the Annual Meeting. 89-Strongly agree

144-Agree

70-Disagree

43-Strongly disagree

(continued on next page) 10


b.

limited to educational vendors and non-pharmaceutical product vendors (e.g. simulators, resuscitation equipment, and electronic medical record developers). 79-Strongly agree

c.

80-Disagree

56-Strongly disagree

without restriction as to product type (including pharmaceuticals). 56-Strongly agree

d.

135-Agree

71-Agree

107-Disagree

132-Strongly disagree

SAEM should continue its current restrictive philosophy regarding commercial exhibitors. 63-Strongly agree

64-Agree

132- Disagree

90-Strongly disagree

Research SAEM began funding research over a decade ago when Medtronic Physio Control began supporting the EMS Research Fellowship. In the early 1990’s, SAEM operational reserves were used to increase the availability and types of research training grants, and ultimately the current Research Fund was formed. Over the past 3 years, SAEM has contributed $250,000 annually from excess operating funds. This, along with member donations, has successfully grown the Research Fund to its current balance of over 4 million dollars. This has funded 7 years of grants at the current level of commitment. These grants are intended to accelerate the research careers of talented EM investigators, thereby allowing them to more successfully access larger federal grants in the future. The emphasis of the Research Fund is to support training (as opposed to specific project) grants. These grants, in general, are not directed to a specific area of research and are open to all members who seek research training. The Research Fund currently supports the following grants: • Research Training Grant (1/year) • Institutional Research Training Grant (1/year) • Scholarly Sabbatical Grant (1/year) • Emergency Medicine Medical Student Interest Group Grants (4-8/year) • EMF/SAEM Medical Student Research Grants (4–8/year) • EMS Research Fellowship (1/year) • Toxicology Scholarship (2/year) The ultimate goal is to grow the Research Fund to a point where it becomes self sustaining (use of interest on principal alone) and able to fund at least 2 of these grants per year. The Research Fund is currently supported by a combination of voluntary donations and excess operational revenues (i.e. from dues, Annual Meeting, etc.). 1.

SAEM should continue funding research grants. 231-Strongly agree

2.

149-Agree

8- Disagree

5-Strongly disagree

SAEM should continue its current practice of transferring excess operational revenues into the Research Fund. 184-Strongly agree

154-Agree

30-Disagree

12-Strongly disagree

3.

There may be opportunity for industry (pharmaceutical and device manufacturers, publishers, and educational products) support of the SAEM Research Fund. It is unlikely to be unrestricted support. Possible support avenues include industry sponsored exhibits at the Annual Meeting, revenue from industry sponsored satellite meetings at the Annual Meeting, or the establishment of an industry consulting service.

a.

SAEM should investigate partnering with the research arm of biomedical corporations in order to raise revenue for our Research Fund. 87-Strongly agree

b.

170-Agree

76-Disagree

46-Strongly disagree

SAEM should investigate partnering with the marketing arm of biomedical corporations in order to raise revenue for our Research Fund. 35-Strongly agree

68-Agree

145-Disagree

132-Strongly disagree

(continued on next page) 11


4.

SAEM has chosen to provide training grants with the money from the Research Fund (as opposed to grants for specific projects). The training grants currently offered represent the most efficacious way of developing high-quality, productive, independent EM researchers. 80-Strongly agree

5.

203-Agree

47-Disagree

6-Strongly disagree

Another possible method to assist the development of EM researchers is through a SAEM sponsored research mentorship program. a. I would be interested in serving as a research mentor in such a program. 27-Strongly agree

93-Agree

143- Disagree

59-Strongly disagree

b. I would be interested in using a research mentorship program as a mentee. 49-Strongly agree

119-Agree

115-Disagree

42-Strongly disagree

Advocacy Tax-exempt organizations, as described in Section 501(c)(3) of the IRS Code, state that an organization must be organized and operated exclusively for nonprofit or charitable reasons. In addition, it may not attempt to influence legislation as a significant part of its activities and it can not participate at all in campaign activity for or against political candidates. Thus SAEM limits its advocacy to organizations that affect or influence academic emergency medicine and its research as well as provide letters of comment to regulatory bodies on such issues. 1. SAEM should develop a more visible advocacy approach for issues pertaining to EM education and research. This would include appeals for members to call or write designated agencies, press releases and editorial comment. 95-Strongly agree

170-Agree

82-Disagree

23-Strongly disagree

2. SAEM should develop educational materials to educate members about the advocacy process. 71-Strongly agree

200-Agree

68-Disagree

22-Strongly disagree

3. EM is relatively under-developed in many nations. SAEM should increase financial and member effort in promoting EM education and research outside of North America. 67-Strongly agree

133-Agree

115-Disagree

46-Strongly disagree

SAEM Membership Drive Underway Again this year SAEM is promoting a membership drive directed towards the colleagues of current members. Individuals who join SAEM in the last quarter of 2005 will receive membership benefits through January 15, 2007 and will therefore receive up to 15 months of membership benefits with payment of one year's dues. SAEM members are asked to encourage their colleagues to consider joining SAEM. A membership application is published in this issue of the Newsletter and can also be submitted electronically from the web site at https://www.periwinkle.net/saem/member payment.html. SAEM dues have not increased since 2002, yet the Society's activities have continued to expand. Examples include the continued development of Academic Emergency Medicine, increased funding for Society research grants (see the Call for Grants in this newsletter) an ever-increasing Annual Meeting and the research presented at it, continued development of the SAEM web site, and expanding programs and activities for the increasing number of medical student and resident members of the Society. Please encourage your colleagues to join SAEM. A strong academic presence is necessary for the continued growth and development of education and research in emergency medicine. 12

To make a donation to the SAEM Research Fund * Use the online form at https://www. periwinkle.net/saem/research.htm * Send check payable to SAEM Research Fund to SAEM, 901 North Washington Avenue, Lansing, MI 48906 * Contact SAEM via phone (517-485-5484) or email (saem@saem.org) 100% of all contributions go directly to the Research Fund. All administrative costs are paid by SAEM. Please support the SAEM Research Fund and the future of EM Research.


Debunking the Myths of Lobbying Lance Scott, MD East Carolina University SAEM Board of Directors Up until just recently, many thought SAEM was restrained from political advocacy or ‘lobbying’ because of its non-profit 501c3 status. Now that we know lobbying is a real option for our society, new discussions are popping up within SAEM regarding the role we should play in shaping public policy both locally and nationally. For example, some feel that SAEM is overstepping its bounds by considering lobbying activities that are costly, time consuming and contradictory to SAEM’s academic mission. Others feel that SAEM has no choice but to lobby because of our society’s integral link to public law. For five years prior to medical school, I was a Legislative Aide on Capitol Hill in Washington, DC. My job was to help pass legislation. A good part of my day was spent listening to various attorneys, lobbyists, non profit representatives, corporate executives, academicians and private citizens – all of whom desired to influence my boss, a Congresswoman on the House Commerce Committee. Now that I am part of the medical community, I recognize that many physicians have a great deal of disdain for our nation’s political system. Doctors are understandably frustrated, for example, with frivolous lawsuits and the burdensome bureaucracy of Medicare and Medicaid. Yet many physicians seem to misunderstand our nation’s political system, specifically, how it works, how things get accomplished and the utility of public policy advocacy or lobbying. I cannot tell you how many times I have listened to very smart physicians make very not-so-smart comments when it comes to our political process. In this article I hope to debunk the common myths about lobbying held by some physicians.

cymakers every day of the year if we wanted to. We could teach members of Congress and their staff about what is going on in our departments – for example, overcrowding, safety issues, low reimbursement, and medical malpractice premiums. We could also put a face to academic emergency medicine so that legislators could turn to us for information before legislative issues developed. This is a very basic and very effective form of lobbying. It is something that SAEM should have been doing years ago.

Myth #1: Non-Profit Organizations (NPO’s) can’t lobby According to Section 4911 and 4912 of the Internal Revenue Code, lobbying by a Non Profit Organization (NPO) is legal. As defined by the IRS, lobbying occurs when an NPO urges a public official to take a position on legislation and money is spent by the NPO to cover the cost of the lobbying. IRS rules specify that NPO’s cannot contribute or involve themselves in elections. For example, an NPO cannot make a monetary contribution to a political campaign. In addition, IRS rules stipulate that NPO’s cannot spend more than fifty percent of their budget on lobbying. Yet, everyday thousands of NPO’s (some much smaller than SAEM) actively lobby members of Congress, state legislators, mayors, school boards and other public officials across the country. Many of them never report anything to the IRS. This is because nothing restricts NPO’s from talking with, educating, or establishing strong relations with policymakers. The IRS restrictions do not apply when either a) no NPO money is spent, or b) no specific legislation or regulation is discussed. In other words, SAEM representatives could educate poli-

Myth #3: Lobbying is dirty, too controversial I used to hear this often from physicians during my time as a Legislative Aide. I can specifically recall asking a group of physicians from California to visit the Congresswoman on an issue that was the American Medical Association’s top priority that year. The physician told me over the phone that he was too busy to visit and that he thought the whole process was, frankly, “dirty.” I recall hanging up the phone and walking out into the hallway. Two lobbyists were there, one from the pharmaceutical industry and one from the insurance industry. Each lobbyist had with them 5-6 employees from our Congressional District eager to talk to the Congresswoman about their point of view. I really don’t know what to tell doctors when they say politics is “dirty.” It may be dirty on some levels, but is the only game in town and the other guys tend to play it better than we do.

Myth #2: SAEM shouldn’t lobby; we have better things to do. The future of academic emergency medicine will depend on how we shape public policy today. Most emergency physicians know that we belong to probably the most regulated of all medical specialties as a result of the Emergency Medical Treatment and Active Labor Act (EMTALA), a federal law that requires doctors to evaluate all patients regardless of acuity or pay status. Academic emergency medicine is also significantly reliant on the tax-supported research funding. Recently, the SAEM Research Committee reported over 100 federal Emergency Medicine research grants from more than 14 federal agencies active in 2004. Our departments are also increasingly reliant upon billions of federal dollars each year in the form of graduate medical education (GME) funding that reimburses hospitals for the costs of training residents. These funds are critical to the financial success of teaching hospitals and the allotment of residency slots is integral to the development of new emergency medicine residency programs. Whether we like it or not, the future of Emergency Medicine is linked closely to legislation, particularly on the federal level. Regulations are revised, budgets are tightened, and bills are considered every day that affect Emergency Medicine. We need to be there on the ground serving as a resource to the people who are deciding these issues. Lobbying is the only way to ensure the long-term success of our academic discipline.

Myth #4: There is no need to come to Washington if nothing is going on Some physicians feel that members of Congress don’t need to be bothered if there is nothing going on legislatively. 13


This is just wrong. First, there is almost always something going on legislatively. Hearings occur each week on Capitol Hill about issues that affect Emergency Medicine including hearings about NIH funding, liability reform and Medicare/Medicaid reform. Second, one of the best times to visit lawmakers is when things aren’t so busy. Members generally are more available and have more time to discuss issues during these down periods. Finally, I can tell you from experience that some members of Congress are put off by constituents who only ask for meetings when crisis hits. It is good politics to show up when you don’t need anything.

On September 27, 2005, the American College of Emergency Physicians (ACEP) sponsored a large grassroots event in Washington, DC entitled “The Rally at the US Capitol.” About 4,000 emergency physicians, residents, medical students, nurses and EMS personnel gathered on the West Lawn of the Capitol to urge members of Congress to support Emergency Medicine as an essential public service. Participants urged Congress to address overcrowding issues such as “patient boarding” in emergency departments and urged members to pass legislation curbing frivolous lawsuits. The event was a wonderful idea and an excellent opportunity for emergency physicians to tell their story. It was also not enough. Emergency Medicine and, specifically, Academic Emergency Medicine needs to be involved on a daily basis in Washington, DC. We are the ones training the next generation of residents. It is our departments that are dependent on federal research dollars and GME funding. We cannot expect lawmakers to take us seriously if we show up in force September and then disappear back to our departments until the next time ACEP hosts a rally. Academic emergency medicine has a very specific legislative agenda that is not necessarily shared by all. We should recognize our expertise, identify our strategic legislative goals and embrace our leadership role by lobbying more aggressively.

Myth #5: Physicians are already an effective lobbying force. Doctors are good at giving money; they are not as good at lobbying. Consider the following data compiled by Open Secrets (opensecrets.org) using Federal Election Commission (FCC) data. During the 2000 Election Cycle, health professionals ranked 3rd ($19.8 million), the insurance companies ranked 6th ($14 million) and the pharmaceutical industry ranked 19th ($6.8 million) in campaign contributions [including Political Action Committee (PAC) money and individual contributions] to congressional candidates. Contrast these figures with expenditures for lobbying. During 1999, the pharmaceutical industry lobbied more than any industry ($90 million), insurance companies ranked second ($85 million) and health professionals ranked seventh ($49 million). You can make you own conclusion about which industry was more successful during those years in achieving their agenda. My personal experience was that doctors were usually satisfied with writing one check to a medical PAC each year without any visits to Washington. In my opinion, their agenda suffered and continues to suffer as a result.

Lance Scott is a second year resident at East Carolina University. The opinions shared in this article do not reflect the sentiment of the SAEM Board. This is the first of a two part series by Dr. Scott regarding SAEM and emergency medicine public policy advocacy.

AACEM and SAEM Sessions to be Held During AAMC Annual Meeting The Association of Academic Chairs of Emergency Medicine (AACEM) and SAEM have scheduled two educational sessions to be held on Saturday, November 5, 2005 during the Association of American Medical Colleges (AAMC) Annual Meeting in Washington, DC at the Marriott Wardman Park Hotel. The first session, "Implications for Academic Medicine and Academic Emergency Medicine: Findings from the Wye River Group 'Policy Blueprint' for Healthcare" will be held at 8:3010:00 am in the Balcony B Room. The driving forces behind healthcare are shaped by many interests, including consumers, business leaders, healthcare providers, government leadership and public/private payers. Bringing together these diverse viewpoints, highlighting common themes and priorities for health policy would provide a powerful tool for future healthcare direction. During the session, the Wye River Group on Healthcare will draw on the findings of their Community Leaders' Blueprint for American Healthcare and their National Study on Consumer Health Values to assist the academic physician in understanding and focusing their activities around the healthcare priorities of consumers, national leaders and policy makers. The session will be moderated by David Sklar, MD, Chair of the Department of Emergency Medicine at the University of New Mexico. The speakers are Jon R. Comola, the Chief Executive Officer of the Wye River Group on Healthcare, and Marcia L. Comstock, MD, MPH, the Chief Operating Officer of the Wye River Group.

The second session, "Epidemic of Care: Facing the Future Demand for Healthcare" will be held at 10:15-12:00 noon. The speakers for this session will be George Isham, MD, MS, Medical Director and Chief Health Officer, HealthPartners, Inc. in Minneapolis, and Brent Asplin, MD, MPH, Vice Chair of the Department of Emergency Medicine at the University of Minnesota. The rising cost of healthcare is threatening the stability of the U.S. healthcare system. One of the most troubling trends is the growing demand for healthcare services, particularly by people with chronic disease. As we approach the retirement of the baby boomer generation, there are critical questions about the system's capacity to meet tomorrow's demands for care. During this session, Dr. George Isham will overview his book, Epidemic of Care, in which he describes the drivers of healthcare costs in America. Discussion will include specific implications of tomorrow's demands for the emergency care system. These sessions are open to all registrants of the AAMC Annual Meeting, including AACEM and SAEM members, at no charge. Pre-registration is requested, by sending an e-mail to: saem@saem.org. To register for the AAMC Annual Meeting, go to www.aamc.org An AACEM membership meeting is planned as a lunch session in the Kennedy Room. All AACEM members are welcome to attend. An AACEM Executive Committee meeting will be held following the lunch session.

14


Research Fund Update The purpose of the SAEM Research Fund is to provide training grants and other funding opportunities for SAEM members, emergency medicine residents, and medical students. The Research Fund continues to perform well. The account value on September 30, 2005 was $4,416,591.

What’s New for this Year’s Annual Meeting May 2006 Deb Houry, MD, MPH Emory University SAEM Program Committee Chair Last year’s registration for the Annual Meeting in New York City was our highest ever. The Program Committee hopes to exceed the record again this year and we have been busy putting together an amazing meeting for you in San Francisco. We’ve reviewed all of the evaluations that members sent in and we incorporated many of your suggestions. Over the past few years, the banquet has gone through several transformations and has moved away from a formal, seated meal with a speaker to a more casual event at an outside venue. The intent of the banquet is to provide a forum for SAEM members to network and socialize while getting to see part of the city. With this mind, we have decided call this year’s banquet an “Evening at the Exploratorium”. Scientific American magazine rated the Exploratorium "the best science museum in the world". The Exploratorium is an experimental, hands-on museum with over 650 exhibits on sea and insect life, computers, electricity, patterns and light, language, the weather, and much more. It’s located in the Palace of Fine Arts, near the Golden Gate Bridge. SAEM members will have access to both floors and will be able to make their own take home souvenir at the pendulum paint exhibit. In addition, we wanted to bring a taste of San Francisco to you, so we have worked with Union Street Catering to have a “Streets of San Francisco” menu. For example, we will have North Beach, Chinatown, and Fisherman’s Wharf food stations. Some of the menu items include: antipasto, penne and fennel sausage, garlic braids, pad thai, sesame ginger eggplant, petite mu shu, seafood cakes, and clam chowder. Tickets will be $85 per person and will include a San Francisco themed dinner, two drink tickets, round-trip transportation, and access to the Exploratorium. For those who would

like to bring their families to the event, we will offer $45 discounted tickets for children. Mark your calendars now for Friday, May 19! The Scientific Subcommittee is chaired by Craig Newgard this year. We anticipate another great year for abstract submissions and we will start working on the scientific portion of the meeting in January. Based on suggestions, we are implementing a new category for abstracts called “late breakers sessions”. This will allow investigators who have not finished data collection to present their results at our meeting instead of waiting another year to present at SAEM. For example, investigators on a clinical trial that completed data collection in March previously would not have been able to submit an abstract to our meeting. Researchers submitting late breaker abstracts must complete data collection and analysis by April. We will review these submissions based on the quality of methodology, preliminary results, and anticipated timely completion of the study. These abstract submissions will be due on January 10, 2006. Although we will accept very few “late breakers” this year, we anticipate having one oral paper session. The Didactic Subcommittee is headed by Deb Diercks. The subcommittee of Michael Turturro, Betsy Datner, Deb Diercks, and I pre-screened 50 didactic proposals and accepted one-third and rejected one-third prior to full committee review. This allowed us to spend time at our Program Committee meeting during the ACEP Scientific Assembly discussing the remaining didactic sessions and developing proposals to fill gaps. This year we have several new exciting lectures scheduled including: • Getting the most out of your IRB: minimal risk studies • Overcoming obstacles and moving forward with health outcomes research 15

• Development and validation of clinical decision rules • What you need to know about intellectual property and technology transfer • Missing data: what are you missing? This year there will be a faculty development workshop with a didactic session followed by small group breakout sessions. We will also offer several evening sessions including a powerpoint workshop and a teaching skills workshop. We are excited to have prominent speakers such as Dr. Schroeder, former president and CEO of the Robert Wood Johnson Foundation speaking on opportunities for emergency physicians. In addition, the Institute of Medicine report on The Future of Emergency Care in the United States Health System is scheduled to be released in April. We plan to have a session dedicated to this report. Instead of hosting the Medical Student Symposium on a pre-conference day, which conflicted with the CPC competition in the past, we are hosting it on the third day of the Annual Meeting. We think this change will increase medical student registrations. Medical students are to be able to get weekends off, so we have planned this symposium accordingly on a Saturday. In addition, many chief residents participate in the Medical Student Residency Fair, but program directors have a difficult time releasing the chief residents from clinical responsibilities for the entire meeting. We have moved the Chief Residents Forum to the last day of the meeting, the day after the Medical Student Symposium. Finally, we have scheduled a coffee break each morning and we will continue to provide refreshments at the poster sessions each day. I look forward to seeing all of you in San Francisco!


SAEM Medical Student Symposium Saturday, May 20, 2006

The Medical Student Symposium is intended to help medical students understand the residency and career options that exist in emergency medicine, evaluate residency programs, explore research opportunities, and select the right residency. At the completion of the session, participants will: 1) know the characteristics of good emergency physicians and the "right" reasons to seek a career in this specialty, 2) have a better understanding of the application process with regard to letters of recommendation, personal statement, planning the 4th year, etc., 3) consider factors important in determining the appropriate residency, including geographic locations, patient demographics, length of training, etc., 4) understand the composition of an emergency medicine rotation and what to expect while they are rotating in the ED, 5) discuss the skills needed to get the most out of your educational experience in the ED rotation, 6) Identify the standard sources of information in the field of emergency medicine, 7) have an appreciation of various career paths available in Emergency Medicine, including academics, private practice, and fellowship training, and 8) discover current areas of research in Emergency Medicine. To register for the Symposium, use the online Annual Meeting registration form at www.saem.org, which will be available in December. 8:00-8:15 am

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

8:15-9:00

How to select the right residency for you, Frank Counselman, MD, Eastern Virginia Medical School

9:00-9:15

Getting Good Advice, Jamie Collings, MD, Northwestern University

9:30-9:45

Break

9:45-10:30

Navigating the Residency Application Process and Interview Tactics, Peter DeBlieux, MD, LSU-Charity Hospital

10:30-11:15

Getting the most out of your Clerkship, Gus Garmel, MD, Stanford University/Kaiser

11:15-1:00 pm

Lunch with Program Directors

1:00-1:30

Dean’s Letter, Kate Heilpern, MD, Emory University

1:30-2:15

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

2:15-2:30

Break

2:30-3:30

Small Groups: Balancing Act Susan Promes, MD, Duke University Betsy Datner, MD, University of Pennsylvania Financial Planning David Overton, MD, Michigan State University-Kalamazoo Optimizing your 4th year Steve McLaughlin, MD, University of New Mexico Medical Schools without Residencies Bob Leschke, MD, Medical College of Wisconsin

3:30-3:45

Closing Comments, M. Chris Decker, MD, Medical College of Wisconsin

4:00-6:00

Residency Fair - All EM residency programs will be invited to participate. During the 2005 Annual Meeting 90 programs attended.

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

an advisor whose special interest matched their own. As the program increases in popularity, more advisors are needed. New students are applying daily. Please consider mentoring a future colleague by becoming a virtual advisor today. We have a special need for osteopathic emergency physicians to serve as advisors. It is a brief time commitment – most communication 16

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


AEM: The Next Steps

Michelle Biros, MD, MS AEM Editor-in-Chief This year, our 12th year of production, has been very exciting for AEM. A number of important changes have occurred that we believe will increase the utility and value of AEM for our readers, reviewers and authors. We welcome your comments about these changes and are eager to hear your suggestions about other improvements you think could help us serve you even better. In 2004, AEM received 884 submissions, with an acceptance rate of 36.5%. Our turnaround time, from submission to first decision, was 29 days; and from revision receipt to acceptance was 15 days. To date, in 2005, we have received over 600 submissions, and anticipate we will reach similar levels to 2004. Our impact factor in 2004 was 1.898, increasing again over the previous year for which data is available. We are happy to announce that in September, we went live with “Articles in Press” in the electronic version of AEM. With this feature, accepted articles are posted in the electronic journal as soon as they complete the final editorial process. In effect, the time from acceptance to publication is reduced substantially. Thus, new information is available to our readers within weeks after an article has been accepted and the article is then citable. Articles will still appear in print following the current “accept to print publication” timeline (currently about 5 months). We also have reached an agreement with ABEM to provide, free of charge to ABEM diplomats, any article from AEM chosen for inclusion in the LLSA test.

Although the readers of this Newsletter receive AEM as part of their SAEM membership, many community and non academic emergency physicians are not members and have more limited access to AEM articles. We hope this arrangement will make the test taking for these colleagues easier. More details on this will be available soon. We are in the final stages of an initiative to provide CME credits for our reviewers who desire them, and whose review passes acceptable standards. We thank Dave Cone for developing this feature. More details and the start date will be announced soon. Beginning in January, the Journal will have a new look. Thanks mainly to the efforts of associate editor Jeff Kline, we have designed a new cover for AEM, with interior changes to reflect the new cover style. These changes, we believe, will make the journal easier to read and will allow a more creative approach to our standard content. With this change in look, we have tightened up the instructions for authors, especially for tables and figures. Please be sure to check these carefully before your next submission. After considering several outstanding suggestions and proposals, the topic for the 2006 AEM Consensus Conference has been selected by the AEM Editorial Board. Gabe Kelen will spearhead the 2006 Conference entitled,” the Science of Surge,” to be held on May 17 as a pre-day event to the SAEM Annual Meeting in San Francisco. Given the recent natural disasters and the infectious epidemics predicted this year, we believe this topic

is timely and essential. A call for original papers related to this topic has been issued, and next year’s November AEM Special Topics issue will be dedicated to the proceedings of the conference and relevant original contributions. Dave Cone will guest edit the Special Topics Issue. As AEM continues to grow, so does its day to day workload. In order to ensure that the Editorial Board’s talents are not diverted from their editorial work to address protocol and policy concerns, and to ensure smooth daily operations, we are in the process of hiring a Managing editor. This person will be involved with the logistics of journal management, leaving the editors with the task of medical editing. We hope to have this person in place soon, and know this will add even more efficiency to journal operations. Finally, the AEM Editorial Board held a planning retreat on September 28. We discussed where we have been, where we are now, and where we hope to be. Several astute observations and fantastic suggestions for change and improvement were discussed in detail. Based on the energy, enthusiasm and creativity we witnessed at the retreat, you can expect to see many more innovations and changes in our journal in the near future! On behalf of the Editorial Board of AEM, we want to express our sincere appreciation for the support you have shown to our journal as readers, authors, reviewers, and critics. We are privileged to work for you on AEM and look forward to our continued service.

2006 AEM Consensus Conference The theme of the AEM Consensus Conference will be the “Science of Surge.” The concept of surge extends to two areas: daily surge and disaster surge. These two concepts are prima facie intrinsically interrelated, but are not overlapping constructs. These concepts are a mainstay of emergency medicine, but by no means are they within the exclusive domain of the discipline. Creation or maintenance of surge capacity as related to health care and public health is multifaceted and multidisciplinary. The conference will focus on defining the scientific parameters and measures used to define surge capacity, and will eschew simple reviews of current practice or thought. The conference will review current: • scientific knowledge • understanding of surge • understanding of interlinkage of the two main concepts

The Conference will be conducted to reach consensus on: • Definitions of primary concepts • How the two concepts should/could overlap • Determining important areas of discovery • Determining potential methodological approaches • Determining appropriate metrics The major output of the conference will be to set the research agenda for emergency medicine for the scientific exploration of surge capacity. Apart from identifying appropriate areas of endeavors, the conference will: 1) Determine a plan for advocacy, ie, means to communicate the importance of this area as a research endeavor to related disciplines, policy makers and funding agencies, and 2) Identify potential funding sources and the interested parties who might facilitate or provide such funding.

17


Emergency Medicine Organizations Agree to a Sustained Presence at the Student National Medical Association Meeting Glenn C. Hamilton, MD Wright State University SAEM President Three years ago the UnderRepresented Minority Task Force completed a series of focus groups exploring the views of under-represented minority medical students, predominately African American, regarding Emergency Medicine as a potential career choice. One prominent finding was the students had little exposure to our specialty early in their careers, and therefore simply didn’t consider it as a viable option. In response to this finding, the SAEM Board agreed to sponsor a booth at the 40th Annual Student National Medical Association Meeting in St. Louis in March, 2005. This organization’s focus is the support of current and future under-represented minority medical students and it is linked to the National Medical Association. Leon Haley and I were the representatives for SAEM at this meeting. We found an interested group of students, several of whom were rather surprised to see us in attendance. They noted that although specific programs had participated previously, Emergency Medicine was not formally represented in the past. It was

notable that other specialties such as Psychiatry and Orthopedics were making a concerted effort to increase their exposure to this group of students and actively recruit them into their specialties. In subsequent discussions, it was agreed that Emergency Medicine needed to establish a presence in this environment and that presence could be shared amongst many of the organizations representing the specialty. Therefore, earlier this year, a request went out to several organizations to determine if they would be willing to serve as representatives to the SNMA Meeting on a rotational basis over the next several years. The response was uniformly positive, and the AACEM, AAEM, AAEM/RSA, ACEP, CORD and EMRA organizations have all agreed to sponsor a booth and send representatives during their assigned rotational year. The potential involvement of other groups is currently being explored, but the current commitment allows for, at a minimum, an additional six-year presence of Emergency Medicine at the

SNMA Meeting beyond our initial foray in 2005. The next organization to participate is EMRA. They will be the sponsors of Emergency Medicine at the 41st SNMA Meeting in Atlanta in April, 2006. One agreement is all of the other organizations may supply promotional materials to be distributed at the booth sponsored by the specific group. At the closure of this rotational presence, the participating groups will assess the potential impact of our involvement, and determine whether the rotation will continue in the future. This is a very effective means of distributing resources to allow Emergency Medicine’s effective presence at an important meeting. As a Society, we continue to look toward ways to improve our recruitment of under-represented minority medical students as we believe they can have an important impact and influence in the communities we serve. This organizational effort is just one more collaborative means by which SAEM is serving its membership and the community of Emergency Medicine at large.

Midwest Regional Meeting Report Patricia Petrella Nouhan, MD St. John Hospital and Medical Center Chair, 2005 SAEM Midwest Regional Meeting The 15th Annual Midwest Regional Conference on September 11 and 12, 2005 marked the first time the Midwest Regional SAEM Conference was held in Detroit - and Detroit shined those two days! The pre-conference activities on Sunday, September 11, including two downtown sporting events and a resident question competition, were all well received. The Detroit Tigers battered Kansas City 14 to 4 at high noon at Comerica Park. Dr. Brian O'Neil from William Beaumont Hospital participated with his entire family and described the excitement of his young son watching Pudge Rodriguez up to bat. Many lemon ices were consumed to stave off the heat, and the Tigers were hot too! Later in the afternoon, the Detroit Lions demonstrated their ferocity as

they tromped the Greenbay Packers 17 to 3. A larger contingency of SAEM participants attended the sold-out football game and enjoyed the win, as well as the beautiful summer-like evening. After the sporting events, residents gathered in the beautiful Olympus Room of the Atheneum Suites Hotel in Greektown to have a mental Olympiad of their own - the resident question competition. The residents participated in a Jeopardy style question game graciously organized by Dr. Doug Jentilet and Dr. Victor Abuel. Dr. Abuel also provided the computer expertise on the night of the competition. The view of Detroit was spectacular, the food and drink were great and the winning team included the following St. John EM residents: Darielle Blum (third year), Spyridon Boukouris (first year) and Tom

Williams (first year). Their prize - medical textbooks and bragging rights. One of Detroit's gems - The Detroit Institute of Arts - sparkled on Monday, September 12 as the location for the research forum. The day was gorgeous and the light literally spilled into the museum, illuminating the walls and art. The attendees were struck by the beauty of the setting as a backdrop for the original research presentations, breakout sessions and keynote address. "The Art of Emergency Medicine," the theme of the conference, was discussed by Patricia Petrella Nouhan, MD, in the opening remarks. Catherine Marco, MD, the representative from the SAEM Board of Directors, spoke on "the art" of EM Research. A total of 21 oral presentations and 14 poster presentations (shorter oral

(continued on next page) 18


format) were presented. The lively discussion of the research was interesting and helpful for the presenters. Two break-out sessions occurred simultaneously with the oral research presentations. "The Art of Ultrasound" session was paneled by Curt Wimmer, MD, (St. John Hospital), Rob Welch, MD, (Detroit Receiving Hospital) and Dave Komasara, DO, (Capelawn Hospital). The most recent literature on ultrasound in the ED was reviewed and discussed. This session was well received by the participants. The medical student session entitled, "The Art of Interviewing for Residency" was paneled by Curt Wimmer, MD, (St. John Hospital), Chris Lewandowski, MD, (Henry Ford Hospital) and Hans House, MD, (University of Iowa). The students in attendance asked pointed questions

about the interview process and received helpful feedback. The highlight of the day was the sitdown luncheon in the Diego Rivera Court. The keynote address by Gregory Henry, MD, on what "The Art of Emergency Medicine" should be - caring for patients in a cost-effective manner and keeping patient satisfaction at its highest level was engaging and thought-provoking. After docents lead participants on guided tours of the art galleries, Dr. Nouhan announced the winners for the best original research presentations. Best oral presentation by a medical student went to Christopher Hogrefe from the University of Iowa, studying MetEnkephalin-Arg-Phe, a hormone released during cardiac arrest. Best oral presentation by a resident went to Joseph Crill, MD, from Detroit

Elizabeth Bascom, MD accepts award for Renee King, MD, for Best Poster Presentation given by Patricia Petrella Nouhan, MD.

Receiving Hospital on his study of bedside ultrasound for the detection of pneumothorax. Best oral presentation by an attending went to Catherine Marco, MD from St. Vincent Mercy in Ohio who studied general pain perception of patients with headache versus those without headache. Best poster presentation was awarded to Renee King, MD, from St. John Hospital and Medical Center on the topic of "Critical Time: Patterning". Most artistic slide was awarded to Nate Minnick, an undergraduate from the University of Michigan working with St. John Hospital's Curt Wimmer, MD. All in all, the 15th annual Midwest Regional SAEM was a rounding success. Thanks are in order for each of the participants and the judges. Kudos to the winners!

Rob Welch, MD accepts award for Joe Crill, MD, for Best Oral Presentation by a resident from Patricia Petrella Nouhan, MD.

Dr. Patricia Petrella Nouhan, awards Best Oral Presentation by a Medical Student to Christopher Hogrefe, University of Iowa.

Nate Minnick is awarded for the â&#x20AC;&#x153;Most Artistic Slideâ&#x20AC;? by Patricia Petrella Nouhan, MD.

19


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

Edited by the SAEM GME Committee

Fellowship Training – To Stay or Go Eitan Dickman, MD University of Massachusetts Tania Parsa, MD Madigan Army Medical Center Adrienne Birnbaum, MD Jacobi Medical Center A brief overview of various fellowships available to graduating emergency medicine residents appeared in the last Newsletter. This article explores the factors that influence the selection of fellowship programs. Two recent fellowship graduates discuss what fellowship training has meant to their careers. Applicants to EM fellowships may struggle with the question of whether to continue at the same institution of residency training or move to another institution. This question was posed to several recent fellowship graduates to explore how they approached this decision. A synthesis of the results of these interviews follows. Opinions about whether to stay at the home institution or to venture away were given under the assumption that the programs being considered were generally considered to be of equal educational value. According to these recent fellowship graduates, characteristics of the fellowship program such as qualifications of the program director and teaching staff, quality of teaching and mentorship, variety of clinical experience, and opportunities for research and scholarly activity generally hold a position of primary importance in driving the decision about where to continue training. Outstanding mentorship from one or more faculty members is generally considered to be a critical component of fellowship training. For some, an existing cohesive and academically rewarding relationship with an exceptional mentor developed during residency weighs substantially in the decision to stay on as a fellow at the same institution. The desire to continue ongoing research and scholarly activity initiated with the mentor during residency may also influence the decision to remain at the same institution. Conversely, for some, availability of a nationally recognized leader in the chosen subspecialty field or an otherwise exceptional mentor at another institution may be a strong incentive to change location for subsequent training. For clinically oriented fellowships, the same characteristics of the clinical training environment such as clinical diversity and type of patient population that attracted the trainee to the residency training program in the first place may be considered equally desirable for fellowship training and may be pivotal in a decision to pursue fellowship training at the same institution. Tania Parsa, MD, a graduate of a Pediatric Emergency Medicine fellowship program, stated, “In a busy inner city hospital ED, I was exposed to clinical diversity and encouraged to think independently when providing patient care, a situation that allowed me to rapidly build competence and confidence. The high volume taught me to manage multiple sick patients at a time. The fellowship was based in a

hospital that was a level I trauma center. The emergency medicine staff independently managed the trauma resuscitations, consulting surgery only if deemed necessary. The ED was the forum of first presentation and diagnosis for many patients. The skill of learning to transfer a patient to a tertiary care center was complementary to my prior training. The population seeking care was multicultural and rarely spoke English, providing me with the tools of how to interact and communicate in urgent and stressful situations.” The opportunity to experience the operation of an ED that functions differently or has a different patient base can also add to the educational experience of fellowship training. Eitan Dickman MD, a graduate of an Emergency Ultrasound Fellowship training program, notes “Completing a residency in a county hospital setting while treating a mostly indigent population with limited ancillary staff, provides a certain type of satisfaction. On the other hand, working in a hospital that is more business oriented gives one an entirely different perspective. Calling a private consultant will often elicit a much different response than speaking with an overworked resident. Working in different types of hospital settings can help a fellow decide which type of environment he or she would want to practice in after completing the fellowship, making the hospital itself part of the educational process.” Additional advantages of seeking fellowship training at a new institution include exposure to a new group of faculty. This experience can provide the fellow with different perspectives, approaches, philosophies and practice styles that can enhance the learning experience and avoid the consensus of opinion that may occur over time at institutions that tend to hire their own residency graduates as faculty. Venturing away from one’s home institution can also provide an environment in which the fellow is valued for their fresh insight and skills acquired from residency training. Familiarity with the hospital system and staff can be an advantage offered by continuing at the same institution. Those completing training at a different institution acknowledge that adjusting to the idiosyncrasies of a new hospital can be frustrating at first but maintain that obstacles such as a different admission process and tracking system, and interacting with new staff are quickly mastered. The comfort of working in familiar surroundings with familiar staff may be comforting to some recent graduates. However, the resident who chooses to continue training at the same institution may still be perceived as a resident by other faculty or ancillary staff, even though he or she is now

(continued on next page) 20


Fellowship Opportunities…(continued from previous page) a junior attending. The opportunity to “reinvent” oneself in a new role as a junior attending that is afforded by moving to a new institution can be valuable. In the end, graduates of both types of fellowship programs expressed a high degree of satisfaction with the fellowship experience. Regardless of site of training, goals of enhanced mastery of knowledge and skills, development of focused expertise in a specific area of EM, and the development of mentoring relationships were fulfilled.

Nominations Sought: Resident Member of 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 7, 2006. Candidates must be a resident during the entire one-year term on the Board (May 2006-May 2007) 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 completing the “mini-bio” that is described on page 2 of this Newsletter. Nominations must be sent electronically to saem@saem.org. Candidates are encouraged to review the Board of Directors orientation guidelines on the SAEM website at www.saem.org or from the SAEM office. The election will be held via mail ballot in the Spring of 2006 and the results will be announced during the Annual Business Meeting in May in San Francisco. The resident member of the Board will attend four SAEM Board meetings; in the fall, in the winter, and in the spring (at the 2006 and 2007 SAEM Annual Meetings). The resident member will also participate in monthly Board conference calls.

2006 CPC Competition Submissions Sought 2006 Final CPC Competition Winners

Deadline: February 2, 2006

The winners of the 2006 CPC Final Competition were announced during the EMRA Reception, which was held at the historic Georgetown home of Dr. Jim D’Orta. Dr. Amanda Young from Maine Medical Center was selected as the Best Presenter and Dr. D. Matthew Sullivan from Carolinas Medical Center was selected as the Best Discussant. Not pictured: Best Presenter runner-up: Dr. James Black from University of South Florida and Best Discussant co-runners-up: Arthur Pancioli from the University of Cincinnati and Dr. Dennis McKenna from Albany Medical Center. The CPC is sponsored by ACEP, CORD, EMRA, and SAEM. The National Coordinator is Dr. Doug McGee from Albert Einstein.

Submissions are now being accepted from emergency medicine residency programs for the Semi-Final CPC Competition to be held May 17, 2006, the day before the SAEM Annual Meeting in San Francisco. The deadline for submission of cases is February 2, 2006 with an entry fee of $250. Case submissions and presentation guidelines will be posted on the CORD website at www.cordem.org and it is anticipated that online submission will be required. Residents participate as case presenters, and programs are encouraged to select junior residents who will still be in the program at the time of the Finals Competition, which will be held during the 2006 ACEP Scientific Assembly, October 15-18 in New Orleans. Each participating program selects a faculty member who will serve as discussant for another program’s case. The discussant will receive the case approximately 4-5 weeks in advance of the competition. All cases are blinded as to final diagnosis and outcome. Resident presenters provide this information after completion of the discussant’s presentation. The CPC Competition will be limited to 60 cases selected from the submissions. Approximately 80 submissions are anticipated. A Best Presenter and Best Discussant will be selected from each of the six tracks. Winners of the semi-final competition will be invited to participate in the CPC Finals. A Best Presenter and Best Discussant will be selected. The CPC Competition is sponsored by ACEP, CORD, EMRA, and SAEM. If you have any questions, please contact CORD at cord@cordem.org or call 517-485-5484.

ATTENTION Chief Residents: The 2006 Chief Resident Forum will be held on Sunday, May 21 in San Francisco. See page 27 of this Newsletter for more information.

21


National Asthma Education and Prevention Program Report Rita Cydulka, MD MetroHealth Medical Center SAEM representative to the NAEPP I attended my first meeting as SAEM representative to the National Asthma Education and Prevention Program Coordinating Committee meeting of the NIH National Heart, Lung, and Blood Institute on June 27, 2005. The following are highlights of the meeting. Dr. James Kiley, Director, Division of Lung Diseases, on the highlights of the NHLBI Asthma Clinical Networks discussed the cyclic process of the multicenter clinical research and the asthma guidelines. These research groups cover a wide range of protocols that address clinicians’ questions on managing asthma. He presented several examples of questions that the research groups have studied and how they have been addressed in the guidelines, as well as a sample of key questions these groups are currently examining. The meeting continued with presentations on the update of the NHLBI “Expert Panel: Guidelines for the Diagnosis and Management of Asthma.” Ms. Diana Schmidt, Coordinator, National Asthma Education and Prevention Program, outlined the process for preparing and reviewing the Expert Panel Report-3 (EPR-3), emphasizing the steps being taken to better ensure and maximize the quality, objectivity, utility, and integrity of the information in the guidelines. Dr. Kevin Weiss, Institute for Healthcare Studies, Northwestern University, and Veterans Administration, reported on the preliminary findings from the National Workshop to Reduce Asthma Disparities held February 21–12, 2005, in Chicago. He first reviewed the alarming statistics on the wide disparity in asthma prevalence, mortality, and quality of care in the United States between Whites and Blacks, following with possible reasons for the disparity. He reviewed the critical gaps, solutions, and action plans for three of the topics, identified the pro-

ject’s next steps and asked meeting participants for their organizations’ time, energy, and resources for the project. Mr. Tom Kallstrom, American Association for Respiratory Care (AARC), spoke about “Making a Difference in the Management of Asthma: A Guide for Respiratory Therapists.” The Guide addresses how to optimally manage asthma, outlines how to establish an asthma disease management program, and presents case studies that illustrate the role of respiratory therapists in developing and implementing disease management programs in a variety of settings. It is available through NHLBI’s catalog and Web site and through AARC. Dr. Leslie Hendeles, American Society of Health System Pharmacists (ASHSP), reported on a video his organization prepared to help educate pharmacy students about asthma medicines, including the devices used to deliver the medicines. participants contact Mr. Kallstrom about any other existing materials. Mr. David Rowson, Environmental Protection Agency (EPA), reported on the Agency’s Childhood Asthma Campaign. The goal of the campaign is to inform parents of children with asthma that serious asthma attacks can be prevented and to motivate them to take action. He explained EPA’s involvement with the Advertising Council, the process for developing and implementing the campaign, and the results of the campaign. The TV clip of the new campaign can be viewed at www.epapsa.com, a website for health professionals. Mr. Victor Olano, NHLBI, spoke about Salud Asma. To address asthma prevention, education, and management programs within the Latino community, Salud Asma will develop a community education and intervention program; develop curricula, training manuals, and educational materials; train

22

promotores (lay health workers); and mobilize national Latino organizations to address asthma within the community. Mr. Orlano asked members for names of people working within the Latino community so he could invite them to the upcoming workshop. Ms. Jeanne Moorman, Air Pollution and Respiratory Health Branch, CDC, gave an update on the National Asthma Survey. The goal is to complete the survey in every State every year, or as long as funding lasts, and to expand to 35 States by 2007. Subcommittee chairs then presented reports from the subcommittee meetings that took place the previous day. School Asthma Education Subcommittee: The subcommittee’s new document, “Breathing Difficulties Related to Physical Activity for Students With Asthma—ExerciseInduced Asthma” is now available. Another new resource is “When Should Students With Asthma or Allergies Carry and Self-Administer Emergency Medications at School?” This resource is particularly helpful to the increasing number of States (47) that allow students to carry and self-administer inhalers. Currently, the subcommittee is updating the school asthma education slide set on NAEPP’s website, as well as the School-Based Asthma Management Resolution. A next step is to develop a work group on preventing asthma exacerbation and respiratory infections. Professional/Patient-Public Education Subcommittee: The subcommittee will assess available resources on teaching health professionals and patients how to use asthma medication delivery devices and then determine what needs to be done to fill the gaps. They are also determining how to increase guideline implementation. Nancy Sanders, Allergy & Asthma Network, discussed counterfeit nebulizer drugs.


Academic Announcements SAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of interest to the SAEM membership. Submissions must be sent to saem@saem.org by December 1 to be included in the January/February issue. Mara Aloi, MD, has been named director of the emergency medicine residency program at Allegheny General Hospital. Dr. Aloi previously served as the associate program director and the student clerkship director and director of emergency ultrasound. John D. Bibb, MD, was elected to the newly developed position of Chairman of the ACEP Board of Directors in September. Dr. Bibb is an attending physician at Cedars Sinai Medical Center in Los Angeles. Edward W. Boyer, MD, PhD, has been awarded a four-year $1.54 million dollar grant from the National Institute of Drug Abuse. His study, funded under a RO1 mechanism, is entitled "Club Drugs, Adulterants, Coingestants, and HIV Risk." The project supports the goals of the NIH Roadmap by creating an integrated research team that involves specialists in emergency medicine, medical toxicology, social medicine, clinical epidemiology, and analytical chemistry. Dr. Boyer is an Associate professor in the Department of Emergency Medicine and the director of the Medical Toxicology Fellowship at the University of Massachusetts. Frederick “Rick” Blum, MD, assumed the presidency of the American College of Emergency Physicians during the ACEP Scientific Assembly in Washington, DC in September. Dr. Blum is an associate professor of emergency medicine and pediatrics at West Virginia University and clinical associate professor of medicine at the master’s degree program in emergency medicine (for physician assistants) at AldersonBroadus College. Barry Brenner, MD, has stepped down as chair of the Department of Emergency Medicine at the University of Arkansas as of July 1, 2005. Dr. Brenner will assume the role of director of research in the department. He will also continue his active clinical practice, and his teaching and research responsibilities. Brian Clyne, MD, has been named director of the emergency medicine residency program at the Brown Medical School/Rhode Island Hospital. Dr. Clyne is an assistant professor of emergency medicine at Brown Medical School. Kathleen Cowling, DO, was elected to a three-year term on the ACEP Board of Directors during the Scientific Assembly in Washington, DC. Dr. Cowling is a clinical assistant professor at Michigan State University and a core faculty member of the emergency medicine residency program at Synergy Medical Education Alliance in Saginaw, MI. Rita K. Cydulka, MD, has been elected Secretary-Treasurer of ABEM. Dr. Cydulka is the vice chair of the Department of Emergency Medicine at Case Western Reserve University, Metrohealth Medical Center. Lynnette Doan-Wiggins, MD, has been elected presidentelect of ABEM. Dr. Doan-Wiggins is a clinical assistant professor of surgery at Loyola University Stritch School of Medicine. Rollin J. "Terry" Fairbanks, MD, MS, and Manish Shah, MD, both assistant professors of emergency medicine at the University of Rochester, have been awarded a $100,000 NIH/NINR grant for the development and evaluation of an

adverse event reporting system for EMS. The system, which will be developed and administered in partnership with MEPARS of Ohio, will be modeled after NASA's successful Aviation Safety Reporting System. Dr. Fairbanks and Dr. Shah have also been awarded a $600,000 two-year grant from the AHRQ for a project entitled, "The ED Pharmacist as a Safety Measure in Emergency Medicine." This project will optimize an existing ED Pharmacist Program and an evaluation of the program's effect on the rate of adverse drug events in the ED. William G. Fernandez, MD, MPH, has been awarded an R49 New Investigator Injury Training grant from the Centers for Disease Control and Prevention to study brief interventions for increasing safety belt use among ED patients. He is an assistant professor in the Department of Emergency Medicine at Boston University. Dennis Hanlon, MD, has stepped down as director of the emergency medicine residency program at Allegheny General Hospital in order to accept the position of vice chair of the department of emergency medicine. Nicholas Jouriles, MD, was elected Secretary/Treasurer of the ACEP Board of Directors in September. Dr. Jouriles is professor of emergency medicine at Northeastern Ohio Universities and a core faculty member in the department of emergency medicine at Akron General Medical Center. Brian F. Keaton, MD, was elected president-elect of the ACEP Board of Directors by the ACEP Council last month in Washington, DC. Dr. Keaton is core faculty member and director of emergency medical informatics at the Summa Health System in Akron, Ohio. Linda Lawrence, MD, was elected Vice President of the ACEP Board of Directors during the ACEP Scientific Assembly. Dr. Lawrence is chief of the medical staff at David Grant USAF Medical Center at Travis Air Force Base and chief consultant, emergency medicine, to the Air Force Surgeon General. Louis J. Ling, MD, has assumed the presidency of ABEM, having been a member of the ABEM Board of Directors since 1997. Dr. Ling is the associate dean for graduate medical education at the University of Minnesota School of Medicine, Associate Director for Medical Education at Hennepin County Medical Center, Senior Associate Medical Director of the Hennepin Regional Poison Center, and a member of the Hennepin County Medical Center emergency medicine faculty. John McCabe, MD, has assumed the position of immediate past president of ABEM. Dr. McCabe is the chair of the Department of Emergency Medicine at the State University of New York Health Science Center at Syracuse. Trevor Mills, MD, MPH, assumed the position of director of the Louisiana State University emergency medicine residency program on July 1. Dr. Mills is an associate clinical professor of medicine, Section of Emergency Medicine and an associate professor of the LSU School of Public Health. James Niemann, MD, has received a 1.2 million dollar, fouryear RO1 grant from the National Heart, Lung and Blood

(continued on next page) 23


(continued from previous page) Institute to study porcine models of cardiac arrest, defibrillation, and cytokine responses following resuscitation. Dr. Niemann is also a consortium PI on a 1.5 million dollar twoyear NIH R42 award to study a new CPR device. Dr. Niemann has been a peer reviewer for several special emphasis panels convened by NIH over the last three years. Dr. Niemann is a professor of medicine at UCLA. Leigh A. Patterson, MD, has accepted the position of associate program director of the emergency medicine residency at East Carolina University. Dr. Patterson is an assistant professor of emergency medicine at the Brody School of Medicine at East Carolina University. David C. Seaberg, MD, was elected to the ACEP Board of Directors in September. Dr. Seaberg is professor and associate chair of the Department of Emergency Medicine at the University of Florida and chief of Emergency Services at Shands Hospital. Matthew Scholer, MD, PhD, assistant professor of emergency medicine at the University of North Carolina at Chapel Hill, is the principal investigator on a three-year subcontract with the Research Triangle Institute for a CDC RO1 grant entitled, "The Biosense Initiative to Improve Early Event Detection." Anna Waller, ScD, and Deb Travers, RN, PhD, research associate and assistant professors, are co-investigators on the project. David P. Sklar, MD, was elected to the ACEP Board of Directors during the ACEP Scientific Assembly in Washington, DC in September. Dr. Sklar is the chair of the Department of Emergency Medicine at the University of New Mexico and a past president of both SAEM and CORD. Thomas K. Swoboda, MD, has been named director of the emergency medicine residency program at Louisiana State University in Shreveport. Dr. Swoboda previously served two years as associate program director for two years. Simon Mahler, MD, has recently joined the faculty at LSU Shreveport and has been named assistant program director. Scott Syverud, MD, has been promoted to Professor of Emergency Medicine at the University of Virginia. Dr. Syverud is also a past president of SAEM. Paula Tanabe, PhD, has received an RO3 grant funded by the Agency for Healthcare Research and Quality entitled, "Undetected Hypertension in the Emergency Department. Dr. Tanabe's grant received $100,000 in funding. The Pain and Emergency Medicine Institute at Beth Israel Medical Center, under the direction of Knox H. Todd, MD, MPH, has been awarded a $238,625 grant from the Mayday Fund to establish a new web-based resource, EM Painline. EM Painline will be an online educational and research resource for emergency medicine, and include a critically reviewed bibliography of published research articles relevant to ED pain management.

Call for Abstracts Western Regional SAEM Meeting March 18-19, 2006 Crowne Plaza Redondo Beach, Los Angeles, CA The deadline for submission of abstracts is Friday, January 20, 2006. Abstracts can be simultaneously submitted to the SAEM Annual meeting and the Western Regional Meeting. 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. Research and didactic sessions will be presented at the meeting. Questions concerning the meeting content can be directed to the Program Chair, Deirdre Anglin, MD, at: anglin@usc.edu.

Call for Abstracts 2006 Southeastern Regional SAEM Meeting March 24-25, Grandover Resort, Greensboro NC The deadline for submission of abstracts is Tuesday, January 10, 2006 at 5:00 pm Eastern Standard Time and will be strictly enforced. Abstracts can be simultaneously submitted to the SAEM Annual Meeting, and the Southeast Regional Meeting. 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. Featured presentations will include a report from the front lines of the Hurricane Katrina response effort in New Orleans, Secrets of Peer Review, Setting Your Sights on the Deanâ&#x20AC;&#x2122;s Office, Bedside Teaching Pearls, Resident Assessment Tools, Fellowships in Emergency Medicine, Database Pearls for Researchers, and several others. Research oral and poster sessions will be held. A special session devoted to medical students interested in Emergency Medicine will be held Saturday, March 25. This yearâ&#x20AC;&#x2122;s meeting will be held at the beautiful Grandover Resort, with an award winning Golf course, Spa and tennis courts for participants and family. Questions concerning the meeting content can be directed to the Program Chairman, David Cline at dcline@ wfubmc.edu.

SAEM Membership as of 9-30-05 Active - 2384 Associate - 227 Resident - 2650 Fellow - 133 Medical Student - 307 Emeritus - 20 Honorary - 5 TOTAL: 5,726 24


8th Annual Mid-Atlantic SAEM Research Meeting Dave Milzman, MD Washington Hospital Center Chair, 8th Annual SAEM MidAtlantic Regional Meeting It was another extremely successful and educational session for this meeting, again hosted by Georgetown/Washington Hospital Center’s new EM residency program. The meeting chair, Dave Milzman, has made it clear that this third time will be his last consecutive turn as chair. The meeting held in a single day format continued with an ‘old-time-hockey’ style keynote from Brian O’Neil on “Current Treatment of Brain Resuscitation and Advanced Therapeutics.” Dr. O’Neil nearly had to drive himself to the meeting after spending all night waiting for his plane. In addition, there were five ‘state-of–the-art lectures: Dr. Jesse Pines on “Cost Issues in EM Research,” Dr. Munish Goyal on “Early Goal Directed Therapy in the ED,” Dr. Michelle Ervin on “Ethical Studies as EM Research,” and Dr. Rob Freishstat on “Apoptosis in Early Sepsis.” In addition, the following attendings volunteered their time to moderate the all-oral presentation format, now in its third year: Michael Witting, MD, Kevin Reed, MD, Sunil Madan, MD, Elizabeth Bascom, MD, and Dr. Freishstat, Dr. Goyal and Dr. Pines. The format allowed medical students and residents the opportunity to present their research in front of the entire audience with constructive discussion of their presentations by senior faculty. This year there were 36 of the brief oral presentations with 6 plenary papers presented. A growing number of undergraduate students presenting original research was noted as Byron Drumheller, Max Freed, Max Hockstein, Tom Weiler and Jon Hill all presented projects that had worked on during academic associate research work. Dave Milzman summarized the day’s papers and presented the winning presentations. The Outstanding Research Presentation was given by Dr. Robert Freishstat on “Platelets Induce T-Helper Cell Apoptosis in a Murine Model of Early

Sepsis.” There were co-winners for the both the best resident and best student presentations. Dr. Renne King, who presented “Critical Time Patterning” from St John’s EM Residency in Royal Oak , MI. and Dr. Mark Escott who presented, “Impact of University Based First Responder Program with Early Defib Capability on Chain of Survival for Sudden Cardiac Death” from the Penn State/Hershey EM Residency won the Best Resident Presentations. Byron Drumheller from the University of Pennsylvania presented “Lactic Acidosis is Under–recognized in ED patients with Sepsis” won Best Student presentation along with co-winners: Pat Coleman and Atiba Bell of Georgetown University who presented “Rapid Detection of SAH with Dipstick Detection of Microscopic Blood in CSF.” The program committee would like to thank Dr. Chris Ghaemmaghami (who journeyed up and back from Charlottesville for the day), Dr. Kulleni Gebreyes, Dr. Kevin Reed and Dr. Jon Davis (all of Georgetown/Washington Hospital Center EM Residency) for assisting with the always popular EM Boot Camp for medical students. Again the meeting welcomed programs from outside the Mid-Atlantic meeting, always well represented in the St Johns program with 4 paper presentations, 5 paper presentation from Childrens Hospital National Medical Center EM Fellowship, as well as presentations from the South Florida EM program. The host program of Washington Hospital Center/Georgetown presented 11 papers including 6 student presentations. It is planned to keep the meeting in the fall and the program committee believes that the 2006 Mid-Atlantic Regional Meeting will be hosted in Philadelphia.

Dave Milzman, MD, presenting Munish Goyal, MD, (preceptor) Dave Milzman, MD, presenting Rob Freishstat, MD, award for Best Research presentation. award for Byron Durmheller for Best Student Presentation.

25


Call for AEM Reviewers Deadline: March 22, 2006 SAEM members are invited 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, peer-reviewers 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. 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. 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 peer-review process. Reviewers who consistently fail to respond to requests 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. Most appointments as peer reviewer are for three years. All applications must be submitted electronically to aem@saem.org by March 22, 2006.

Board of Directors Update The SAEM Board of Directors meets monthly, usually by conference call. This report includes the highlights from the August and September conference calls, as well as the faceto-face Board meetings (1.5 days) held during the ACEP Scientific Assembly in Washington, DC. The Board approved the revisions to the document, "The Model of the Clinical Practice of Emergency Medicine" that were proposed by a task force comprised of representatives from ABEM, ACEP, EMRA, and SAEM. The Board developed a response and letter of support to the NIH request for information regarding multiple principal investigators on NIH grants. The Board approved a proposal to hire a consultant to assist with fund-raising for the Research Fund. The consultant will work closely with the Finance Committee. The Board reviewed a preliminary manuscript on the results of the SAEM Salary Survey conducted earlier in the year. The manuscript will be submitted to AEM for consideration of publication. The Board approved the 2005 Mid-Atlantic Regional Meeting. A report on the Mid-Atlantic Regional Meeting is

included in this issue of the Newsletter. The Board approved the recipients of the Spadafora Scholarship. The recipients will be submitting articles in upcoming issues of the SAEM Newsletter. The Board endorsed the National Hospital Ambulatory Care Survey. The Board approved a revision of the SAEM Residency Catalog. The Board approved funding of $5,280 to support the Medical Student online testing program in 2006. Further details regarding the online testing program can be found in this issue of the Newsletter. The Board approved a letter to Dr. Jeff Runge congratulating him on his new position as Chief Medical Officer of the Department of Homeland Security. The Board approved a revision of the job description of the Executive Director. The Board also approved an evaluation process. The next meeting of the Board of Directors will be held during the CORD Academic Assembly in Las Vegas in March.

Resident Portfolio Submissions to AEM Invited Academic Emergency Medicine has developed a journal subsection for the publication of reflections and introspection of experiences encountered by Emergency Medicine residents during their training. The intent is to share how the experience affected the personal growth and development of the resident as a professional. This self-reflection is important to the ACGME Practice-Based Learning core competency, and reinforces life long learning attributes critical to the successful practice of Emergency Medicine. Portfolio submissions should be a maximum of 5 pages, 15 references and if desired, may include one table or figure. Patient and colleague confidentiality must be assured. The submission should include an abstract that places the experience into a professional development context (why the issue

is important to emergency physicians and educators, how it tested the author’s personal and professional development, and a “take home” point). Each portfolio may undergo invited commentary from individuals with expertise in the identified area of discussion. These commentaries will be a maximum of 2 pages in length, and will focus on “learning points” that the readership may consider. Primary authors must be an Emergency Medicine resident, or reflect an experience encountered in the residency training environment by an Emergency Medicine graduate. Please use our web-site link for submissions: http://ees.elsevier.com/acaeme/default.asp, and feel free to contact the AEM Editorial Office with any questions: aem@saem.org , or 517-485-5484. 26


Chief Resident Forum Sunday, May 21, 2006 Chief residency is a demanding and highly responsible position, however little formal and structure preparation is available prior to becoming a chief resident. New chief residents typically have not had the benefit of training in essential administrative, academic, and leadership skills. This one-day course will include a variety of sessions covering administrative and academic topics relevant to new chief residents. Talks and small group discussions will be led by experienced program directors and past chief residents. All sessions will include ample time for questions. In addition, a lunch session and coffee breaks will provide opportunities for chiefs from different programs to meet and exchange ideas. The small group discussion sessions will also allow for interaction with workshop faculty and former chief residents. At the completion of this course, participants will be able to understand basic characteristics of good leadership, management techniques, administration and problem solving concepts; have learned successful scheduling and back-up techniques; become aware of common pitfalls faced by chief residents; learned effective communication techniques; had the opportunity to discuss potential ethical dilemmas that may arise during the chief resident year; and learned time management techniques. All chief residents registered to attend the Annual Meeting are invited to register for the special Chief Resident Forum. Enrollment is limited and the fee is $100, in addition to the basic Annual Meeting registration fee. To register for the Chief Resident Forum use the online Annual Meeting registration form, which will be available in December. 7:30-8:00 am

Registration and Continental Breakfast

8:00-8:45

So You’re Chief Resident. What Does That Mean?, Stephen Playe, MD Baystate Medical Center This session will discuss the various roles and requirements of chief residents

8:45-9:45

Leadership and the Management Role, Robert Hockberger, MD, Harbor-UCLA Medical Center This session will describe the scope of authority and responsibility of the chief resident and explain leadership theories focusing particularly on action-centered leadership.

9:45-10:00

Break

10:00-10:45

Time Management, Tom Cook, MD, Palmetto Health Richland Hospital At the end of this session, participants will be able to develop realistic goals given their time constraints, will recognize the importance of “To-Do” lists, and describe effective time management principles.

10:45-12:00 pm

Developing a Schedule, Brigitte Baumann, MD, Cooper University Hospital/UMDNJ-RWJMS at Camden, Sheryl Heron, MD,Emory University School of Medicine, Stephen Hayden, MD, UCSD Medical Center This discussion will review the RRC requirements for scheduling in EM, will outline the principles of scheduling (equity and minimization of the disruption of the circadian rhythm), and will provide mechanisms for dealing with sudden changes and illness.

12:00-1:30

Lunch Session

1:30-2:15

Effective Communication, Richard Lanoix, MD, St. Luke's-Roosevelt Hospital Center Communication is a key element to the success of any leader. During this session, participants will learn how to build effective communication networks, be provided with a communications “skills set” required to manage staff, and receive instruction on how to emerge as a positive intermediary between faculty and residents.

2:15-3:00

Professional Growth and Success as a Chief Resident, Rita Cydulka, MD , Case Western Reserve University/MetroHealth Medical Center This session will illustrate strategies for successful career development and maintenance of balance while serving as chief resident.

3:00-3:15

Break

3:15-4:00

Ethics and Professionalism, James Adams, MD, Northwestern University As chief resident, you may confront a new series of ethical dilemmas. This session will highlight ethical and confidential issues that involve other residents and describe how to set professional examples for others.

4:00-5:00

Lessons Learned, Brigitte M Baumann, MD (Moderator) Cooper University Hospital/ UMDNJ-RWJMS at Camden, Dana Buchanan DO, Cooper University Hospital/UMDNJ-RWJMS at Camden, Chris Buresh MD, University of Iowa, Lisa Hile MD, Darnall Army Community Hospital, Michael Odinet, MD, Louisiana State University Charity Hospital Panel discussion of former chief residents 27


Call for Papers 2006 AEM Consensus Conference

Research Fund…(continued from page 1) Research Fund, and with the magic of compound interest that amount would become a million dollars within several years. Giving to the SAEM Research Fund is one of the easier habits to adopt. Much easier than remembering to take your statin, or to balance your checking account. All you need to do is check your mail in November for your annual SAEM dues invoice, and with a check, credit card, by mail or on-line at the SAEM website, you can get in the annual habit of donating to the SAEM Research Fund. Your habit can eventually move you to a higher level of being. With cumulative giving, you will rise through the giving categories – from Supporter, to Investigator, to Sponsor, to Mentor, to Professor. The culmination of cumulative donations – amounts over $5,000 – propel the giver to the Dean giving level. Thus far, only the benevolent Gabor Kelen has achieved Dean status. A truly worthy position. And unlike other types of Deans, you won’t be tormented or fired – you are an SAEM Research Fund donor Dean forever! If you are a regular SAEM donor, we thank you for your good habit. If you have not yet donated, this is the year to start your habit. Please give to the future of academic emergency medicine.

Deadline: March 1, 2006 The 2006 Academic Emergency Medicine Consensus Conference will be held on May 17, the day before the 2006 SAEM Annual Meeting in San Francisco. Original papers are sought to accompany the conference proceedings, which will be published in the November 2006 issue of AEM. This issue of the journal will be solely dedicated to the conference topic. The conference theme will be “The Science of Surge.” The concept of surge extends to two areas, daily surge and disaster surge – multifaceted and multidisciplinary concepts that are intrinsically inter-related, but not overlapping. The consensus conference will focus almost exclusively on defining the scientific parameters of surge capacity. The conference will review current scientific knowledge, current understanding of surge, and current understanding of the inter-relationships of the two main concepts. The conference will be designed and conducted to reach consensus on: • Definitions of primary concepts • How the two concepts should/could overlap • Determining important areas of discovery • Determining potential methodological approaches • Determining appropriate metrics The major goal of the conference will be to set the research agenda for emergency medicine for the scientific exploration of surge capacity. The conference will determine a plan for advocacy (means to communicate the importance of this area as a research endeavor to related disciplines, policy makers, and funding agencies), and will also identify potential funding sources with an interest in this area. Original contributions describing relevant research or concepts in this topic will be considered for publication in the November 2006 special topics issue of AEM if received by Wednesday, March 1, 2006. All submissions will undergo peer review by guest editors and reviewers with special expertise in this area. If you have any questions, please contact David C. Cone, MD, at david.cone@yale.edu or 203-7854710. The SAEM Newsletter and the AEM and SAEM websites will carry additional information about the upcoming Consensus Conference.

Call for Abstracts New York State SAEM Regional Meeting April 8, 2006 Genesee Grande Hotel & Conference Center Syracuse, NY The program committee is now accepting abstract submissions for oral presentations for the 6th Annual New York State SAEM Regional Meeting. The meeting will be held on April 8, 2006 and all accepted work will be presented orally. The deadline for abstract submission is Tuesday, January 10, 2006. Only electronic abstract submissions using the SAEM online abstract submission form at www.saem.org will be accepted. Acceptance notification will be sent in early March. The meeting’s didactic presentations will focus on the importance of preexisting databases and multi – center networks in Emergency Medicine Research. There will be specific programming for medical students interested in Emergency Medicine. For more information, contact James M Callahan, MD at callahaj@upstate.edu. CME credits will be offered through the Continuing Medical Education Office of the SUNY – Upstate Medical University. Registration Fees: Early Registration (Before March 15, 2006) Attendings and Faculty $50; Residents, Fellows, Nurses and Paramedics $25; Medical Students must register but there is no registration fee. Conference Registration Forms may be obtained from The Department of Emergency Medicine, SUNY Upstate Medical University, 750 E Adams Street, Syracuse, NY 13210.

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.

28


President’s Message…(continued from page 1) 8. How to Help Your Board Govern More and Manage Less 9. Leadership Roles in Non-profit governance Excerpts from selected monographs such as financial and fund raising responsibilities have been shared with current Board members. All this information would be simply too great for any individual to absorb in a single year’s time, but over the course of the three years or more typically served by SAEM Board members, this information can be readily reviewed and brought to the table for the benefit of the organization. During the orientation of the new Board in May 2005, the information contained in the first pamphlet: Ten Basic Responsibilities of Non-profit Boards was reviewed in some detail. This listing defines the purpose of the Board’s activity and is the basis for this Newsletter’s message. It is important for each of you to know this year’s Board is carefully absorbing these guidelines and implementing a number of new practices that will make for even better Boards in the future. Responsibilities #2 and #10 are combined, because of their close alignment. 1.

Determine the Organization’s Mission and Purpose The mission of SAEM remains clear and constant, “to improve patient care by advancing research and education in emergency medicine.” The mission is the basis by which the Board seeks to consider means of serving its primary constituents, ie, the membership. The mission is fundamentally a launch pad for new ideas, new relationships, and a means by which to gauge the Society’s current and long-term goals. The catch phrase “mission drift ” has been used within the Board as a means of maintaining our focus and orientation. That same phrase, if overused, can prevent the Board from thinking along innovative lines, and establishing new visions for what this mission might mean in the context of an ever-changing academic environment. This current Board is committed to the mission and has worked diligently to apply it appropriately across the wide scope of potential activities influences that the Society might bring to bear on behalf of its constituents. Much of what was described

in the President’s message in the last Newsletter focused on these directions. 2/10. Select the Chief Executive/ Support the Chief Executive and Assess His or Her Performance. During the entire existence of this organization, the Board has not had to become concerned with selecting a new Chief Executive, and thankfully that will not be a necessary agenda for this Board either. At the same time, support and performance assessment are important parts of the Board’s activity. This year, a sub-committee of the Board developed an assessment tool for the Executive Director that will be used by Board members, staff, and committee and task force chairs. This assessment has not been formally established and applied for nearly a decade, and is an important responsibility for the Board to create and complete. It is also important to demonstrate support and interest in the development of the Executive Director, as well as offering performance guidelines for the near and distant future. 3.

Provide Proper Financial Oversight As each one of us has learned in our own lives, little of substance progresses without some degree of financial support. This year, a highly motivated Finance Committee was constituted with individuals having considerable financial expertise. They, in combination with the Board and specifically the Secretary/Treasurer, have participated the first audit of the organization since its inception. There have been financial compilations, but nothing as rigorous as a full audit. They have also undertaken the responsibility for budgetary development and review, as well as planning for investment structure and policy guidelines. At its recent 1 _ day Board Meeting in Washington, DC in September, the Board and Finance Committee Chair discussed audit issues, budgetary issues, and financial planning issues for more than 3 hours. This was dense material and a tremendous commitment on the part of all individuals involved. This thoughtful exploration of our current financial status will serve us well as we plan for the future. We must conserve the considerable resources we have assembled over the last number of years and make realistic plans for building upon them. 29

4. Ensure Adequate Resources During the course of this year, one of the Board members has observed, “each time we meet, it seems we end up spending money”. This has been the case, but we have attempted to do so with a clearly documented rationale and conservative approach. Simply stated, the Society has grown and with that growth comes a need for expanded resources, especially personnel. Last year we added an IT person who has allowed us to move our server onsite. This has resulted in a net gain in expenses, efficiency and accountability for our list-serve activities and website. As of October, that individual has been hired away by Michigan State University and we will move hopefully, temporarily into a consultant role to finish the website and other IT tasks. The future suggests there are real sustained benefits to having a trained and perhaps multiple function IT oriented person as part of the staff. This year we’ve also set funds aside for a Managing Editor position for AEM. Once again, with the growth of the Journal, there were specific needs to be fulfilled by this individual that would allow us to continue to improve and expand the Journal as well as release the current staff for other duties at the Central Office. Beyond personnel, there are other sources that include up-to-date databank programs, hardware, and the day-in day-out consumables of running a busy office. Assisting and supporting the Executive Director with all of these areas remains one of the Board’s foremost responsibilities to assure an efficient and effective Central Office operation. 5.

Ensure Legal and Ethical Integrity and Maintain Accountability Our current accounting based audit is evaluating portions of legal responsibility for the Society. At the same time, there may be a point in the future that a legal audit becomes advisable, but we have not pursued at present. Ethically, the Board continues to work within the highest standards of ethics and currently has the Ethics Committee looking at some of its policies, particularly as they impact industry relations, for guidance in this area. Accountability is the centerpiece of the Board’s responsibility to its membership and we continue to seek means, policies and procedures to

(continued on next page)


President’s Message…(continued from page) enhance this expectation. One area from a legal perspective is exploring the suitability of Director and Officer insurance. This complex realm is currently being examined and will be part of the Board’s deliberation later in the year. 6. Ensure Effective Organizational Planning The five-year plan was completed last year. Implementing a number of its long term objectives as part of the annual objectives are actively under way this year. Organizational planning comes in two primary areas. First, the Board itself must plan its activities well and run with demonstrable efficiency. During the orientation in May, the Board was presented with a number of ideas for improving the efficiency of its activities. These included a calendar of activities for the entire year, an additional conference call in September, a clear effort to make sure that decisions were based on written information and proposals to maximize the Board’s understanding of issues prior to voting on them, a commitment to completing the scheduled agendas and limiting our backlog of concerns, an increase in the face to face meeting time in September and March by at least 50% to ensure the difficult and complex topics (e.g. finances) were given sufficient opportunity for deliberation, enhancing the role of the liaison in terms of reporting for both committees and task forces, establishing an active Executive Committee and associated President’s Report to assure two or three levels of decision making but assure each level understood the other’s activities, and to commit to supplying information to the Board well in advance of it being considered and to follow up with minutes in a timely manner. Obviously, this meant a number of significant changes in a short timeframe, and some have worked better than others. The general view from the Board is that we have had the ability to make decisions in a timely way and keep the agenda of the Society moving forward, call by call and meeting by meeting. The other organizational aspect is working with task forces, committees and interest groups. The liaison role has been strengthened in this regard and regular communications have been made with the Chairs of these groups, especially task forces and committees. The objectives have been reinforced and most importantly, reviewed on a reasonably regular basis. Updates for September/October and

March are part of this planning. Making sure the Board has time to review and comment on each of these updates is another important aspect of our current organizational planning. 7.

Recruit and Orient New Board Member and Assess Board Performance At the beginning of this term, the Board held its first self-assessment evaluation. One specific area noted was the need to improve its own efficiency and thereby some of the changes noted above. We want to continue to assess our own performance throughout the year and have made sure there are opportunities to do so. Recruitment of new Board members is essential. One of the reasons for this message is to invite members of the readership who have participated with the Society to date to consider a role on the Board. It’s also to educate them regarding faculty development opportunities in the realm of Board service that perhaps they had not considered as part of their Board experience. The orientation of new Board members continues to evolve. Each year new ideas are introduced with the goal of bringing new Board members rapidly up to speed. This allows their time on the Board to be optimal regarding their contributions. With this professionalism effort, one notable accomplishment is Board members by necessity transcending their specific background orientations. It doesn’t matter whether one comes from a research, education, or clinical background when the conversation turns to finances. At that point, all of the Board’s energy is focused on the central shared topic and our mutual strengths come into play. This transcendence has been a particular strength of the 2005-2006 Board. 8.

Enhance the Organization’s Public Standing SAEM has not emphasized public relations in the past, and will move in that direction cautiously. For a more narrow audience, we are working on specific themes related to fundraising. For the specific under-represented minority medical student audience, we are developing materials to educate them about emergency medicine as a potential career goal and academic emergency medicine as an opportunity within that career. Our most direct public

30

relations effort relates to an objective for the Program Committee. Therefore, we are going to have a public relations related individual involved in the upcoming Annual Meeting. Their purpose is to enhance the public’s awareness of selected research gains and educational pursuits related to our meeting. Public awareness and advocacy are intertwined, yet separate. It will be necessary for us to continue to define our advocacy role before we can effectively emphasize the public relations aspect of our Society from the broad perspective. 9.

Determine, Monitor and Strengthen the Organization’s Programs and Services In many ways, describing the scope of this activity was the content of last month’s Newsletter. It is essential that each member recognize that this Board is working diligently and with considerable focus to strengthen the organization’s programs and services. Just as importantly, we are monitoring our progress through our calendar of activities, enhanced liaison role and enhanced internal functioning. It is the promise of this Board and certainly those of the future to determine which programs are consistent with organization’s mission and to continually assess their effectiveness. How we have spent our monies in the past and currently are part of that assessment. Is the current Grant’s Program doing what it is intended to do? How well is the Virtual Advisor Program serving its intended audience? Each one of these activities requires periodic review to assure it remains on track, and its impact is optimal for those intended to benefit from it. Once again, I’ve given you a long President’s Message. We are in the midst of complex endeavors for the Society. Hopefully, you’ve sustained your reading efforts to reach this point and recognize our professionalism efforts are not only influencing the Society currently, but will have a long term favorable impact on the growth, stability, and direction of the Society in the future. Many of these activities are often hidden, overlooked, or assumed unless they are brought to the forefront. Describing what’s going on ‘behind the scenery’ is the purpose of this message. We encourage all members to anticipate and support professionalism at all levels of activity and engagement with the Society.


FACULTY POSITIONS

group. We offer an excellent compensation package including: partnership, malpractice, medical, dental; life insurance; 401K; long-term disability, and CME. Faculty appointment commensurate with experience and qualifications. Submit CV to: Carol Leah Barsky, MD, Chair, Dept. of EM, email jobs@emamd.com or call 1-877-692-4665 x1190. Visit our website at www.EMA-ED.com.

CALIFORNIA: The University of California, Irvine, Department of Emergency Medicine is seeking a Clinical Instructor for July 2006. UCI Medical Center located in Orange County is a Level I Trauma center with a 46,000 ED census. This two-year fellowship will include formal public health education leading to an MPH degree coupled with training in injury prevention with a traffic safety focus. Completion of an ACGME accredited Emergency Medicine Residency is required prior to start. Salary is commensurate with the level of clinical work. Send CV, statement of interest, and three letters of recommendation to: Shahram Lotfipour, MD, MPH at Department of Emergency Medicine, Route 128-01, UCI Medical Center, 101 City Drive, Orange, CA 92868, or e-mail to SHL@uci.edu, (714)456-2326. The University of California, Irvine is an equal opportunity employer committed to excellence through diversity.

NORTH CAROLINA: University of North Carolina – Chapel Hill, Department of Emergency Medicine, 4 tenure-track or fixed term physicians, research faculty, or administrative faculty. Rank/salary commensurate with experience. UNC Hospitals is a 665-bed Level I Trauma Center. The Emergency Department sees 44,000 high acuity patients per year, is active in regional EMS, ACLS/ATLS/BTLS education and has an aeromedical service. Send CV to Edward Jackem, MBA, Department of Emergency Medicine, CB #7594, Chapel Hill, NC 27599-7594. (919) 966-9500. FAX (919) 966-3049. UNC is an Equal Opportunity/ADA Employer.

CALIFORNIA: The University of California, Davis School of Medicine, Department of Emergency Medicine is conducting a search for a board certified Emergency Medicine physician with fellowship training in Pediatric Emergency Medicine. A residency training program in emergency medicine began over 12 years ago and currently has 34 residents. The UCD Emergency Medicine Department provides comprehensive emergency service as a level one trauma center, as well as a paramedic base station and training center. For consideration, a letter outlining interests and experience, and curriculum vitae should be sent to Deborah Diercks, MD, Emergency Medicine Search Committee Chair, Emergency Department, University of California, Davis, School of Medicine, 2315 Stockton Blvd., PSSB 2100; Sacramento, CA 95817. This position will be open until filled, but no applications will be accepted after January 1, 2006. The University of California is an affirmative action/equal opportunity employer.

OHIO: The Ohio State University: Assistant/Associate or Full Professor. Established residency training program. Level 1 Trauma center. Nationally recognized research program. Clinical opportunities at OSU Medical Center and affiliated hospitals. Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 169 Means Hall, 1654 Upham Drive, Columbus, OH 43210, email Conway.70@osu.edu, or call (614) 293-8176. Affirmative Action/Equal Opportunity Employer. PENNSYLVANIA: University of Pittsburgh: Full-time emergency medicine faculty non tenure and tenure positions are available at the Instructor through Professor levels. Candidates must be residency trained and board certified/prepared in emergency medicine. We offer career opportunities as a clinicianinvestigator or clinician-teacher. Our faculty have local, national and international recognition in research, teaching and clinical care. The ED serves a primarily adult population with a volume of approximately 50,000 per year, and is a Level I trauma center with both toxicology and hyperbaric medicine treatment programs housed within our Department. Salary is commensurate with experience. For further information write to: Donald M. Yealy, MD, Vice Chair, Department of Emergency Medicine, University of Pittsburgh School of Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213. The University of Pittsburgh is an Affirmative Action, Equal Opportunity Employer.

CONNECTICUT: UNIVERSITY OF CONNECTICUT/Hartford Hospital Faculty positions available now and Spring 2006. Excellent work environment with competitive compensation, job security, opportunities to diversify into EMS, Aeromedical, Education, Hyperbaric/wound, Occupational and Student Health. Large, multi-hospital academic program with >100,000 visits, 36 EM residents, tox, aeromedical, pediatric fellowships. Excellent lifestyle, good schools, close proximity to recreation and culture. Contact: Dr. Robert Powers, <rpowers@harthosp.org> CONNECTICUT: University of Connecticut/Hartford Hospital, Director of Ultrasound. Core faculty position in busy EM Residency, responsible for training/supervision of ultrasound program. See above ad for additional general information. Contact: Robert D. Powers MD MPH, email: Rpowers@harthosp.org NEBRASKA: The University of Nebraska Medical Center, Section of Emergency Medicine is recruiting 1-2 additional faculty members committed to developing an academic career. With an accredited residency which began in July 2004, this is a great opportunity to help shape the future of emergency medicine in this region. Candidates who have toxicology training will have the opportunity to work with the Nebraska Regional Poison Center. The new Center for Clinical Excellence, which will house the Emergency Department and provide services for 45,000 annual visits, will open in November 2005.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. NEW JERSEY: Pediatric Emergency Medicine Fellowship opportunity for BP/BC EM physician. Morristown Memorial Hospital (MMH) in Morristown, NJ is seeking a PEM fellow for a 1-year program starting in July 2006. MMH has a Children's hospital with 50-60 full-time pediatric specialists. The PEM Dept is a 16-bed unit with an annual volume of 20,000 patients. MMH is an affiliate of the Univ. of Medicine and Dentistry of NJ-NJ Medical School with residency programs including EM and Pediatrics. Morristown, NJ is located in Morris County, 40 minutes from New York City. Annual salary of $80,000 and benefits including malpractice, health, dental, and disability insurance; CME, and 401(k). Candidates must be eligible for appointment as an attending physician in EM. Contact Mark Mandell, Chief of EM, Morristown Memorial Hospital, 100 Madison Ave, Morristown, NJ 07960 or by email at jobs@emamd.com. NEW YORK: Physician, Emergency (Jr. Asst. Attending) at St Luke’s-Roosevelt Hospital Center, Manh Provide medical care/treatment to patients presenting with emergency medical conditions; participate in education/training of students/residents rotating through ED.; participate in department QA activities; hold faculty appointment at affiliated medical school. Requirements: Board Prepared or Board Certified in Emergency Medicine, residency in Emergency Medicine and eligible for NYS medical license. Interested candidates should email resumes to: khandler@chpnet.org.EOE NEW YORK: Exciting opportunity to participate in the development of a new EM residency training program at St. Vincent’s Hospital in Manhattan. This is a Level I trauma center with an annual ED volume of 55,000. The ED is undergoing a $20 million dollar renovation; the first phase, a state-of-the-art Urgent Care, to be completed in the fall. Emergency Medicine is a full academic department at New York Medical College. EMA is a physician owned and truly democratic

31


RESEARCH DIRECTOR LOMA LINDA UNIVERSITY

The Department of Emergency Medicine in the Loma Linda University School of Medicine is seeking a qualified academic physician for the position of Research Director. This individual will qualify for an appointment at the Associate Professor or Professor level in the School of Medicine. Responsibilities will include management of department research activities and a focus on being a resource for junior faculty. A track record of research using various research designs is expected, as is experience with various statistical applications. Clinical responsibilities will be scaled to allow for a pursuit of a variety of research-related activities, including teaching, writing, development of specific projects, and collaboration with other departments on campus. Past experience will include extensive interactions with IRB processes and grant applications. Key long-term goals are the successful development of junior faculty and increasing integration of clinical research activities with basic science investigations. The department provides all emergency services for Loma Linda University Medical Center and Children’s Hospital.

Academic Emergency Physician Jacksonville, FL or Rochester, MN The Department of Emergency Medicine, Mayo Clinic College of Medicine, is seeking full-time Academic Emergency Physicians in both their Rochester, MN and Jacksonville, FL, sites. These opportunities include clinical practice at high acuity, academic referral center EDs in Rochester, MN or Jacksonville, FL; numerous opportunities in research, with administrative support and intramural funding available; dynamic faculty with commitment to practice, education and research. Rochester, MN site: Practice in a 75,000 visit/year, high-acuity tertiary referral center, with over 12,000 pediatric visits; Teaching in an emergency medicine residency program, as well as teaching of offservice residents and medical students; Extensive prehospital/aeromedical program including paramedic base station, 3 rotor and 1 fixed wing aircraft. Jacksonville, FL site: Practice in a high-acuity, tertiary care center ED with 36,000 visits per year; Overseeing transition to a new, state-of-the-art Mayo Clinic Hospital; Teaching of EM and off-service residents. The successful candidate will be an individual with demonstrated interest in academic emergency medicine as proven by performance in residency or fellowship training or faculty positions. EM residency-trained and state (Minnesota or Florida) medical license eligibility required. To learn more about Mayo Clinic in Rochester, MN, or Jacksonville, FL, please visit: www.mayoclinic.org.

Send resumes in confidence to: William A. Wittlake, MD, FACEP, Chair Dept. of Emergency Medicine Loma Linda University Medical Center Loma Linda, California 92354 E-mail to Darci Nevatt, Administrative Assistant dnevatt@ahs.llumc.edu; Phone 909-558-7171, Fax 909-558-0121

For further information, please contact: Wyatt W. Decker, M.D. Chair, Department of Emergency Medicine, Mayo Clinic Rochester and Mayo Clinic Jacksonville Mayo Clinic College of Medicine, 1216 Second Street SW, Rochester, MN 55902 Phone (507) 255-6501; e-mail: decker.wyatt@mayo.edu Mayo Foundation is an affirmative action and equal opportunity employer and educator. Post offer/pre-employment drug screening is required.

32


The Section of Emergency Medicine, Department of Surgery, Yale University School of Medicine offers fellowship programs in Ultrasound and Emergency Medical Services in New Haven, Connecticut. The fellowship in Emergency Ultrasound is a one-year program that will prepare graduates to lead an academic and/or community emergency ultrasound program. Experience will be sufficient to fulfill the recommendations of all major societies for the interpretation of emergency ultrasound as well as RDMS/RDCS/RVT certification, and will include exposure to aspects of program development and quality assurance. The program consists of structured time in the emergency department performing bedside examinations, examination QA and review, research into new applications, and education both in the academic and community arenas. Clinical experiences outside of the emergency department in echocardiography and gynecologic applications are available. For further information, contact the fellowship director, Chris Moore, MD, RDMS, RDCS, at 203-785-3843 or chris.moore@yale.edu The Division of EMS offers a one-year fellowship program that is credentialed by the Society for Academic Emergency Medicine to host the SAEM/Medtronic PhysioControl Fellow in EMS through 2006. The program, which has trained a fellow each year since its inception in 2000, provides training in all aspects of EMS, including academics, administration, medical oversight, research, teaching, and clinical components. The program also focuses on operational EMS, with the fellow actively participating in the system’s physician response team, and all fellows offered training to the Firefighter I or II level. The fellowship graduate will be prepared for a career in academic EMS and/or medical direction of a local or regional EMS system. The program’s SAEM credentialing application is available for review at the Division’s web site: yalesurgery.med.yale.edu/surgery/sections/emergency/div_ems.htm For further information, contact the fellowship director, Dr. David Cone, at 203-785-4710 or david.cone@yale.edu Both Fellowships offer an appointment as a Clinical Instructor to the faculty of the Section of Emergency Medicine at Yale University School of Medicine Yale University and Yale-New Haven Hospital are affirmative action, equal opportunity employers and women and members of minority groups are encouraged to apply.

33


University of Utah

Assistant Professor Department of Surgery Division of Emergency Medicine

The University of Utah Health Sciences Center has a position available in the Division of Emergency Medicine for a residency-trained physician with an interest in academics and residency training to start July 1, 2006. The University of Utah is the primary medical teaching and research institution in the state. The E.D. has a census of 33,000 visits annually and is an ACS-certified Level-1 Trauma Center. The Division of Emergency Medicine runs the AirMed helicopter service, two regional EMS systems, and the Utah Poison Control Center. Additionally, we began the first Emergency Medicine Residency program in Utah in July 2005 with eight residents. Candidates must be board certified/prepared and have a demonstrated interest in research and education. Competitive salary with excellent benefits package. The University of Utah is an EEO/AA employer and encourages applications from women and minorities. Send CV to Erik D. Barton, M.D., M.S., Chief, Division of Emergency Medicine, 1150 Moran Eye Center, 175 N. Medical Drive East, Salt Lake City, UT 84132; 801-581-2730; fax 801-585-6699; erik.barton@hsc.utah.edu.

The Department of Surgery and Division of Emergency Medicine at UT Southwestern Medical Center is seeking candidates to fill an Assistant Professor opening. This position requires a MD degree from an accredited medical school and completion of emergency medicine residency. Candidates should have direct experience in emergency medicine teaching and research and be board certified. This faculty position will be responsible for direct patient care in emergency medicine for Parkland Memorial Health and Hospital systems, supervision of emergency medicine residents and other residents from other specialties in the emergency department. Additional teaching responsibilities include medical students and EMTs. UT Southwestern is an equal opportunity employer. Please send CVs to Dr. Paul Pepe Department of Surgery/Division of Emergency Medicine The University of TX Southwestern Medical Center 5323 Harry Hines Blvd. Dallas, TX 75390-8579

University of Pittsburgh Medical Center

University of Virginia Department of Emergency Medicine

Department of Emergency Medicine offers fellowships in the following areas: • Toxicology • Emergency Medical Services • Research • Education Enrollment in the Graduate School is a part of all fellowships with the aim of obtaining a Master’s Degree. In addition, intensive training and interaction with the nationallyknown faculty of the Department of Emergency Medicine, with experts in each domain, is an integral part of the fellowship experience. Appointment as an Instructor is offered and fellows assume limited clinical responsibilities in the Emergency Department at the University of Pittsburgh Medical Center and affiliated institutions. Each fellowship offers the experience in basic and/or human research and teaching opportunities with medical students, residents and other health care providers. The University of Pittsburgh is an Equal Opportunity Employer, and will welcome candidates from diverse backgrounds. Each applicant should have an MD/DO background or equivalent degree and be board certified or prepared in emergency medicine (or have similar experience). Please contact Donald M. Yealy, MD, University of Pittsburgh, Department of Emergency Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213 to receive information.

The University of Virginia Department of Emergency Medicine is seeking a board certified/board eligible, emergency medicine residency trained faculty member who is interested in an academic career in Emergency Medicine. Opportunity exists for a new faculty member who has an interest in teaching residents, medical students and pre-med students. Past experience and specific interest within Emergency Medicine will be highly considered. There is an annual ED census of 60,000. The department includes a chest pain center, adult and pediatric ED, fast track (Express Care), active air and ground transport programs, and a poison control center/center for clinical toxicology. There is an established emergency medicine residency program, fellowships in EMS, Toxicology and Cardiovascular Emergencies, as well as an associate degree paramedic training program. The UVA Health System is a tertiary care and Level 1 trauma center. The University of Virginia School of Medicine is located in one of the nation’s top rated cities, Charlottesville. Located at the foot of the Blue Ridge Mountains, the area is a culture rich environment with limitless educational and recreational opportunities. The position carries a faculty appointment in the School of Medicine at the University of Virginia. Tenure and non-tenure clinical tracks are options. Rank commensurate with experience, qualifications, and scholarly achievements. Position will remain open until filled. Send letter of interest, CV’s with references to: Marcus L. Martin, MD, Chair or William J. Brady, MD, Vice-Chair, Department of Emergency Medicine, University of Virginia Health System, P. O. Box 800699, Charlottesville, Virginia 22908-0699. E-mail: wb4z@virginia.edu. Women, minorities, disabled persons, and veterans are encouraged to apply. The University of Virginia is an Equal Opportunity/Affirmative Action Employer.

34


Division Chief PEDIATRIC EMERGENCY MEDICINE

University of Florida/Jacksonville We are actively recruiting Board Certified or Board Eligible Emergency Medicine Physicians in an exciting opportunity to expand our EDs in Jacksonville & Tampa/Orlando area. At our Jacksonville ED, we have a volume of over a 90,000 patient visits per year including Trauma patients. In the Orlando-Tampa area, a community-based hospital, we have a 24,000 square foot emergency department, 45,000 patient visits per year. In addition to a competitive salary, we offer the full range of University of Florida state benefits that include health, life, disability insurance, vacation & sick leave, 403B retirement plan with immediate vesting, and sovereign immunity occurrence medical liability insurance. Individuals will be appointed at the rank of Assistant Professor or Associate Professor. If you are interested in this opportunity please fax (904) 244-5666 or e-mail your letter of interest and CV to Dr. Kelly Gray-Eurom, Department of Emergency Medicine, University of Florida/Jax Kelly.gray-eurom@jax.ufl.edu. Application deadline is 1/31/06 with anticipated start date of 3/1/06. EOE/AA Employer.

The Department of Emergency Medicine at the University of Florida College of Medicine, Jacksonville, seeks a fulltime Medical Director for the Division of Pediatric Emergency Medicine (PEM). Candidates must have excellent leadership, clinical and management skills, strong academic interests in teaching and research, and be MD/DO, BC in PEM. Shands Jacksonville, a 625 bed, Level I Pediatric Trauma Center, serves as a regional tertiary care hospital. The Department currently includes 7 PEM faculty, 6 PEM fellows, 24 EM faculty, and 50 EM residents. This position includes a dual appointment with the Department of Pediatrics. The ED has an annual census of 100,000, including a pediatric volume of 27,000, and is the PEM training site for the Pediatric, Family Medicine, and Emergency Medicine resident programs. The position will be offered at the tenure or non-tenure level of Associate/Full Professor & Chief. Salary is negotiable. Application deadline is 1/31/06 with an anticipated negotiable start date of 3/1/06. Send CV and three letters of recommendation to: Dr. Steven Godwin, Department of Emergency Medicine, 655 West 8th Street, Jacksonville, FL 32209. The University of Florida is an Equal Opportunity Institution.

UNC- CH, Department of Emergency Medicine Faculty Appointment Advertisement UNC-Chapel Hill, 4 tenure-track or fixed term physicians, research faculty, or administrative faculty. Rank/salary commensurate with experience. UNC Hospitals is a 665-bed Level I Trauma Center. The Emergency Department sees 44,000 high acuity patients per year, is active in regional EMS, ACLS/ATLS/BTLS education and has an aeromedical service. Send CV to Edward Jackem, MBA, Department of Emergency Medicine, CB #7594, Chapel Hill, NC 27599-7594. (919) 966-9500. FAX (919) 966-3049. UNC is an Equal Opportunity/ADA Employer. Dept Contact: Ed Jackem, Business Administrator, phone: 966-9500 Email: EJackem@med.unc.edu Dept webpage: http://www.med.unc.edu/wrkunits/ 2depts/emergmed/ HR facilitator: Tracee Dorcelien, Tracee_Dorcelien@ med.unc.edu, phone: 843-1400

Emergency Medicine Academic University Physician Associates, the faculty practice plan for the University of Missouri-Kansas City School of Medicine, is recruiting for faculty physicians in the Department of Emergency Medicine. Opportunities exist at the Assistant or Associate Professor level for residencytrained and board-eligible or board-certified emergency physicians to join a growing department. A fully-accredited EM residency was established in 1973 and currently accepts 9 residents per year. Truman Medical Center, the primary clinical site, is undergoing an extensive ED renovation that will nearly double its capacity and create a modern, state-ofthe-art facility. Research areas of focus and/or need include EMS, medical simulation, asthma, cardiovascular disease, and ultrasound. University Physician Associates offers competitive salary and benefits. Contact: Robert A. Schwab, MD, Professor and Chair, Department of Emergency Medicine, 2301 Holmes Street, Kansas City, Missouri 64108. Robert.Schwab@tmcmed.org. An Equal Opportunity Employer

35


DEPARTMENT OF EMERGENCY MEDICINE MASSACHUSETTS GENERAL HOSPITAL

Director, Academic Affairs Department of EM Newark Beth Israel Medical Center

A Major Teaching Affiliate of Harvard Medical School The Department of Emergency Medicine at Massachusetts General Hospital is seeking candidates for faculty positions at all academic levels. Special consideration will be given to those with an established track record in clinical or laboratory research and a commitment to excellence in clinical care and teaching. Academic appointment is at Harvard Medical School and is commensurate with scholarly achievements. MGH is an equal partner in the 4-year BWH/MGH Harvard Affiliated Emergency Medicine Residency Program. The ED at MGH is high volume, high acuity level 1 trauma and burn center for adult and pediatric patients. The annual visit volume is >76,000. The successful candidate will join a faculty of 28 academic emergency physicians in an academic department with active research and teaching programs, as well as fellowship programs in research, administration, and medical simulation. Candidates must have completed at least 4 years of residency plus fellowship training in Emergency Medicine. Inquiries should be accompanied by a curriculum vitae and may be addressed to: David F. M. Brown, MD, FACEP, Vice Chairman, Department of Emergency Medicine, Massachusetts General Hospital, Bulfinch 105, 55 Fruit Street Boston, Massachusetts 021114; e-mail: dbrown2@partners.org

We are searching for an emergency medicine physician experienced in research, academics, and grant writing with a track record of refereed publications to assume a key leadership role in our department. We are looking for an enthusiastic, energetic individual who is 5-10+ years postEM residency graduation and desires an opportunity to lead a team of talented, dedicated residency faculty and be part of an Emergency Department committed to scholarship, clinical excellence, community service, and humanistic values. An MS or MPH would be a very desirable plus. Please contact or forward your CV/letter of interest to Marc Borenstein, MD, Chair, Department of EM, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112, phone, 973-926-7562, e-mail, mborenstein@ sbhcs.com.

Massachusetts General Hospital is an equal opportunity/affirmative action employer.

DUE TO CONTINUED GROWTH, WE JUST RECRUITED 2 NEW EM DOCS FOR 2006 â&#x20AC;&#x201C; NOW NEED 3 MORE (AND ALL ARE ADDITIONS TO STAFF!)

PENNSYLVANIA: The Department of Emergency Medicine at Penn State Hershey Medical Center is seeking additional EM-trained, board-certified or prepared, academically minded emergency physicians to join nationally known faculty. Physicians who have completed fellowships (Pediatric EM, EMS, etc) are especially encouraged to apply. Located in beautiful Hershey, PA, the state-of-theart ED cares for nearly 50,000 patients per year with 56 hrs of attending coverage daily, and additional 22 hrs of MLP support. The Penn State Emergency Medicine Residency Program, ultrasonography, Level 1 Trauma, integrated flight and ground EMS, and cutting edge computerization (TOP 5 NATIONALLY!), all lead to a unique opportunity for your career. Outstanding schools, low crime rate and a small town atmosphere allow a pleasant lifestyle while working in a World Class Academic Medical Center. Confidential inquires to Chris DeFlitch, MD (Director & Vice-Chair), Dept of Emergency Medicine (H043), PO Box 850, Hershey, PA 17033, Phone 717 531-8955 or email cdeflitch@psu.edu. The Penn State Milton S. Hershey Medical Center is committed to affirmative action, equal opportunity, and the diversity of its workforce. EOE-AAM/F/HV.

Join 41 EM physicians and 12 PAs evaluating over 113,000 patients at the three local sites of 750-bed Lehigh Valley Hospital in Eastern Pennsylvania (www.LVH.org). Must be EM Residency trained. Collegial group salaried by multispecialty physician group of LVH, with good mix of experience and great opportunity for advancement. Electronic: medical records, physician order entry, documentation, radiology, etc. Level I Trauma, Regional Burn Center, 18 fully-accredited training programs, including one in Emergency Medicine, plus 700 medical student rotations annually. Eligibility for faculty appointment at Penn State/Hershey. Emergency Medicine Institute. Competitive salary and robust benefits including fully-funded family healthcare, 3 forms of pension (2 paid for by us), 5 weeks of PTO plus one week of CME with $4,500 annually, etc. LVH located in the beautiful Lehigh Valley, with 700,000 people, excellent suburban public schools, safe neighborhoods, 10 colleges and universities, moderate cost of living, one hour north of Philadelphia and 90 minutes west of NYC. Email CV to carol.voorhees@LVH.com. Phone (610) 4027008. 36


EMERGENCY MEDICINE OPPORTUNITY IN CENTRAL CALIFORNIA

The Institute for International Emergency Medicine and Health at Brigham and Women’s Hospital and the Division of Emergency Medicine at Harvard Medical School are now accepting applications for their International Medicine Fellowship.

Central California Faculty Medical Group, affiliated with the University of California San Francisco Fresno Medical Education Program is seeking an additional core faculty member. The position is located in Fresno at University Medical Center and will move to a new 56,000 sf ED. A new UCSF Fresno 70,000 sf education and research building opened in late 2004. Fresno’s Medical Education Program is home to approximately 180 residents. The EM Residency began in 1974 and is a fully accredited 1-4 program, graduating 8 residents/ year. The ED sees approximately 60,000 culturally diverse patients / year. The hospital is a Level 1 trauma and burn center serving the Central San Joaquin Valley. We are also the major Base Station for the Fresno EMS System and provide medical control to the adjacent Sequoia/Kings Canyon National Parks. We are seeking faculty with interest in (but not limited to) clinical teaching and research, postgraduate medical education, toxicology, wilderness medicine, and pediatric emergency medicine. Must be Board Eligible/ Certified in Emergency Medicine. Send CV and 3 references to: Gene Kallsen, M.D., Chief, C/o Diane O’Conner, CFMG, FAX: (559) 453-5233, E-mail: diane.oconner@ccfmg.org, Visit our websites at www.ccfmg.org and www.fresno.ucsf.edu

Fellowship involves: • Two-year track combining clinical emergency medicine, international fieldwork and research project. • Academic classes lead to a Masters Degree at the Harvard School of Public Health. • Academic appointment at Harvard Medical School. • Clinical emergency medicine at affiliated teaching hospitals. • Participation in training of medical students and residents. • Competitive salary, benefits, CME, international travel funds, and training course expenses. • Opportunity to tailor experience to meet specific interest in disaster response, emergency medical systems development, health education, human rights, health emergencies, international public health, and refugee relief. Requires: • Residency Training in Emergency Medicine. • Completion of application process, interview, and selection. Inquiries should be sent to the fellowship director: Mark A. Davis, MD, Institute for International Emergency Medicine and Health, Department of Emergency Medicine, Brigham and Women’s Hospital, Neville House, 75 Francis St., Boston, Massachusetts 02115, or by email to madavis@partners.org. Telephone (617) 732-5813; Fax (617) 713-3060.

UCSF is an affirmative action / equal opportunity employer. The University undertakes affirmative action to assure equal employment opportunity for underutilized minorities and women, for persons with disabilities, and for covered veterans.

University of California, Davis School of Medicine Department of Emergency Medicine is conducting a search for a fellowship trained Emergency Medical Services (EMS) Director. Candidates must be residency trained in Emergency Medicine with board certification/preparation and be eligible for licensure in California. The UCD Department of Emergency Medicine provides comprehensive emergency services to a large local urban and referral population, is a level one trauma center, as well as a paramedic base station and training center. Our residency training program in Emergency Medicine began more than a decade ago and currently has 34 residents. Salary and benefits are competitive, and commensurate with training and years of experience. Interested candidates should submit a letter outlining interests and experience, and curriculum vitae to Deborah Diercks, MD, Emergency Medicine Search Committee Chair; Emergency Department, University of California, Davis, School of Medicine; 2315 Stockton Blvd., PSSB 2100; Sacramento, CA 95817. This position will be open until filled, but no applications will be accepted after January 1, 2006. The University of California is an affirmative action/equal opportunity employer.

The SAEM Newsletter is mailed every other month to approximately 6000 SAEM members. Advertising is limited to fellowship and academic faculty positions. The deadline for the November/December issue is October 1, 2005. All ads are posted on the SAEM website at no additional charge. Advertising Rates: Classified ad (100 words or less) Contact in ad is SAEM member Contact in ad non-SAEM member Quarter page ad (camera ready) 3.5" wide x 4.75" high

$100 $125 $300

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

37


Naval Medical Center San Diego

Section of Emergency Medicine Yale University School of Medicine

Naval Medical Center San Diego is recruiting 2 full time faculty members for the Emergency Medicine Department. The Naval Medical Center is one of the largest military health care facilities in the world and cares for active duty military members, their dependents, as well as eligible retirees from the San Diego area. Additionally, NMCSD serves as a tertiary care referral center for Southern California, the Southwestern US, and the Pacific Fleet. The hospital provides outstanding graduate medical education to over 89 first year interns as well as specialty training in 14 residency programs and 7 fellowships. The EM Department has an annual census of 45,000 and overseas a fully accredited PGY2-PGY4 residency program established in 1984. Requirements: EM residency trained, board eligible with an unrestricted state medical license. Competitive salary based on established Government Services pay scale with associated benefits. Please submit confidential letter and C.V. to: CAPT Robert G Buckley, MD, Chairman, Department of Emergency Medicine, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134 e-mail: rgbuckley@nmcsd.med.navy.mil

The Section of Emergency Medicine at Yale University School of Medicine is currently seeking qualified candidates to join its faculty at both the Assistant and Associate Professor levels. The Section of Emergency Medicine, established in 1991, has become a leader in resident education and research. The Residency Program (1-4) was established in 1996 and has 10 residents per year. Fellowships in Ultrasound and EMS are also offered. The Research Division, supported by doctorate level scientists, is actively engaged in several NIH studies and other research funded by foundations, such as the Robert Wood Johnson Foundation. Faculty practice at Yale New Haven Hospital, an urban level I trauma center with 68,000 visits per year. Candidates must be Emergency Medicine trained, board eligible or board certified. Positions are available for both new graduates and faculty with experience to join either the education or research divisions. Senior faculty should have a record of excellence in teaching, demonstrated leadership skills, strong interpersonal skills, and a strong commitment to medical education and clinical excellence. Rank and salary will be commensurate with education, training and experience. For more information, contact Dr. Gail Dâ&#x20AC;&#x2122;Onofrio at (203) 785-4404 or gail.donofrio@yale.edu. To apply, please forward your CV and cover letter via fax at (203) 785-4580, email: jamie.petrone@yale.edu, or mail at Yale University School of Medicine, Department of Surgery, Section of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315. Yale University is an affirmative action, equal opportunity employer and women and members of minority groups are encouraged to apply.

Residency Vacancy Service The SAEM Residency Vacancy Service was established to assist residency programs and prospective emergency medicine residents and 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. 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.

2005-06 Interest Group Objectives Interest groups are required to meet at least annually during the SAEM Annual Meeting. At that time, each interest group was asked to develop objectives, and some are listed below for the benefit of members who may wish to participate. Additional interest group objectives will be published in future issues of the Newsletter. Members interested in joining an interest group may contact saem@saem.org and ask to be added to the interest group (and in most cases, subscribed to the interest groupâ&#x20AC;&#x2122;s listserv). Dues are $25 per year per interest group, but will not be charged until the annual dues invoices are sent in November. 3. Conduct EM Core Content review for Palliative Care content 4. Develop research project on Palliative Care patients in the emergency department.

Medical Student Educators Interest Group Chair: David Wald, MD: david.wald@tuhs.temple.edu 1. Improve dissemination of information relevant to medical student educators. 2. Consider the usefulness of having a second meeting of the interest group each year. 3. Consider a collaborative project with members of the interest group.

Toxicology Interest Group Chair: Dan Rusnyiak, MD: drusynia@iupui.edu 1. Submit two didactic proposals to the Program Committee for consideration at the 2006 SAEM Annual Meeting. 2. Develop a link between the SAEM website and the ACMT fellowship information website. 3. Implement virtual advisor program.

Palliative Care Interest Group Chair: Tammi Quest, MD: tquest@emory.edu 1. Contribute an Innovation in Emergency Medicine Education Exhibit to the Annual Meeting. 2. Develop a Palliative Care website. 38


NOTE: Join SAEM in the last quarter of 2005 and receive membership benefits for the rest of 2005 and all of 2006 with payment of one year’s due payment.

SAEM Membership Application

NOTE: New membership applications can also be submitted via the online membership application form at: https://www.periwinkle.net/saem/ memberpayment.html.

Please complete and send to SAEM with appropriate dues and supporting materials or join SAEM on-line at www.saem.org SAEM • 901 N. Washington Ave. • Lansing, MI 48906 • 517-485-5484 • Fax: 517-485-0801 • www.saem.org • saem@saem.org Name ______________________________________________________________________ Title: MD DO PhD Other _________ Home Address _________________________________________________________________________________________ Sex: M F ___________________________________________________________________________________________________________ Business Address ______________________________________________________________________________________________ ___________________________________________________________________________________________________________ Preferred Mailing Address (please circle): Home Business Telephone: Home ( ______ ) ______________________________ Business ( ______ ) ______________________________ E-mail:______________________________________________________________________________________________________ Medical school or university faculty appointment and institution (if applicable):__________________________________________________ Membership benefits include: • subscription to SAEM’s monthly, peer-reviewed journal, Academic Emergency Medicine • subscription to the bimonthly SAEM Newsletter • reduced registration fee to attend the SAEM Annual Meeting Check membership category:

❒ Active

❒ Associate

❒ Resident

❒ Fellow

❒ Medical Student

Active: individuals with an advanced degree (MD, DO, PhD, PharmD, DSc or equivalent) who hold a university appointment or are actively involved in Emergency Medicine teaching or research. The application must be accompanied by a CV. Active members are eligible to vote for proposed Constitution and Bylaws amendments and to fill elected positions in the Society. Annual dues are $365 payable when the application is submitted. I attest that I hold a university appointment or am actively involved in Emergency Medicine teaching or research: ❒ Yes ❒ No Associate: health professionals, educators, government officials, members of lay or civic groups, or members of the public who have an interest in Emergency Medicine. The application must be accompanied by a CV. Associate members may serve on the Board of Directors, but cannot serve as officers nor vote for Constitution and Bylaws amendments or to fill elected positions in the Society. Annual dues are $350 payable when the application is submitted. Resident: residents interested in Emergency Medicine. Annual dues are $90 payable when the application is submitted. My anticipated date (month and year) of residency graduation is_________. (A group discount resident member rate is available. Contact SAEM for details.) Fellow: fellows interested in Emergency Medicine. Annual dues are $90 payable when the application is submitted. My anticipated date (month and year) to complete my fellowship is_________. Medical Student: medical students interested in Emergency Medicine. Annual dues are $75, payable when the application is submitted. My anticipated medical school graduation date (month and year) is ______________________________. Interest Groups: SAEM members are invited to join interest groups. Include $25 annual dues for each interest group (resident members may join one interest group at no charge): ❒ academic informatics ❒ airway ❒ CPR/ischemia/reperfusion ❒ clinical directors ❒ disaster medicine ❒ diversity ❒ EMS

❒ ethics ❒ evidence-based medicine ❒ geriatrics ❒ health services & outcomes research ❒ mentoring women ❒ international

❒ medical student educators ❒ neurologic emergencies ❒ pallative care ❒ patient safety ❒ pediatric emergency medicine ❒ public health ❒ research directors

❒ simulation ❒ sports medicine ❒ toxicology ❒ trauma ❒ triage ❒ ultrasound ❒ uniformed health services

My signature certifies that the information contained in this application is correct and is an indication of my desire to become an SAEM member. Signature of applicant _______________________________________________________________________ Date ________________ 39


S A E M

Newsletter of the Society for Academic Emergency Medicine

Board of Directors Glenn Hamilton, MD President Jim Hoekstra, MD President-Elect Katherine Heilpern, MD Secretary-Treasurer Carey Chisholm, MD Past President Jill Baren, MD Leon Haley, Jr, MD, MHSA Jeffrey Kline, MD Catherine Marco, MD Robert Schafermeyer, MD Lance Scott, MD Ellen Weber, MD

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

PRESORTED STANDARD U.S. POSTAGE PAID GRAND RAPIDS MI PERMIT # 1

Editor David Cone, MD David.Cone@yale.edu Executive Director/Managing Editor Mary Ann Schropp saem@saem.org Advertising Coordinator Elizabeth Webb elizabeth@saem.org

â&#x20AC;&#x153;to improve patient care by advancing research and education in emergency medicineâ&#x20AC;?

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.

Future SAEM Annual Meetings 2006

May 18-21, San Francisco Marriott, CA

2007

May 16-19, Sheraton Hotel, Chicago, IL

S A E M

2008

May 29-June 1, Marriott Wardman Park Hotel, Washington DC

2009

May 14-17, Sheraton New Orleans, New Orleans, LA

Call for Abstracts 2006 Annual Meeting May 18-21 San Francisco, CA Deadline: Tuesday, January 10, 2006

The Program Committee is accepting abstracts for review for oral and poster presentation at the 2006 SAEM Annual Meeting. Authors are invited to submit original research in all aspects of Emergency Medicine including, but not limited to: abdominal/gastrointestinal/genitourinary pathology, administrative/health care policy, airway/anesthesia/analgesia, CPR, cardiovascular (non-CPR), clinical decision guidelines, computer technologies, diagnostic technologies/radiology, disease/injury prevention, education/professional development, EMS/out-of-hospital, ethics, geriatrics, infectious disease, IEME exhibit, ischemia/reperfusion, neurology, obstetrics/gynecology, pediatrics, psychiatry/social issues, research design/methodology/statistics, respiratory/ENT disorders, shock/critical care, toxicology/environmental injury, trauma, and wounds/burns/orthopedics. The deadline for submission of abstracts is Tuesday, January 10, 2006 at 5:00 pm Eastern Time and will be strictly enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions will be available on the SAEM website at www.saem.org in November. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801. Only reports of original research may be submitted. The data must not have been published in manuscript or abstract form or presented at a national medical scientific meeting prior to the 2006 SAEM Annual Meeting. Original abstracts presented at national meetings in April or May 2006 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 2005