November-December 2008

Society for Academic Emergency Medicine

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

NOVEMBER/DECEMBER 2008

VOLUME XXIII

NUMBER 6

Why We Have Audacity and Hope!

SAEM Member, Gregory Jay, MD Brown University See page 7

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SAEM STAFF Executive Director James R. Tarrant, CAE ext. 212, jtarrant@saem.org

Membership Assistant Dwight Walker ext. 206, dwalker@saem.org

Help Desk Specialist Anna Ashworth ext. 204, aashworth@saem.org

Associate Executive Director Barbara A. Mulder ext. 207, bmulder@saem.org

Marketing & Membership Manager Holly Gouin ext. 210, hgouin@saem.org

Receptionist Maureen Bruce ext. 206, mbruce@saem.org

Executive Assistant Sandy Rummel ext. 213, srummel@saem.org

Meetings Coordinator Maryanne Greketis, CMP ext. 209, mgreketis@saem.org

Bookkeeper Janet Bentley ext. 205, jbentley@saem.org

Customer Service Coordinator Jennifer Mastrovito ext. 201, jmastrovito@saem.org

IT / Communications Vene Yates ext. 208, vyates@saem.org

SAEM MEMBERSHIP

2008 SAEM DUES

Membership Count as of October 1, 2008 2538 Active 103 Associate 2700 Resident/Fellow 234 Medical Students 4 International Affiliates 26 Emeritus

$495 Active

$140 Fellow

$460 Associate

$120 Resident Group

$430 Faculty Group

$120 Medical Student

$400 2nd yr. Graduate

$100 Emeritus

$290 1st yr. Graduate

$100 CDEM

$140 Resident

$25

Interest Group

8 Honorary 5613 Total

SAEM NEWSLETTER ADVERTISEMENT RATES The SAEM Newsletter is limited to postings for fellowship and academic positions available and offers classified ads, quarter-page, half page and full page options.

The SAEM Newsletter publisher requires that all ads be submitted in camera ready format meeting the dimensions of the requested ad size. See specific dimensions listed below.

• A full page AD costs $1250.00 (7.5” wide x 9.75” high) • A half page AD costs $675 (7.5” wide x 4.75” high) • A quarter page AD costs $350 (3.5” wide x 4.75” high) • A classified AD (100 words or less) is $120 We appreciate your proactive commitment to education, as well as personal and professional advancement, and strive to work with you in any way we can to enhance your goals.

Contact us today to reserve your Ad in an upcoming SAEM newsletter. The due dates for 2009 are: December 1, 2008 for the January/February 2009 issue February 1, 2009 for the March/April issue April 1, 2009 for the May/June issue

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June 1, 2009 for the July/August issue August 1, 2009 for the September/October issue October 1, 2009 for the November/December issue

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NEW DEPARTMENT OF EMERGENCY MEDICINE IN PAKISTAN Junaid Razzak, MD formerly a faculty member in emergency medicine at Yale, then Emory, transitioned back to his native Pakistan a few years ago and has been working on the development of emergency medicine at Aga Khan University. The note below is from the Dean of the Medical College, Aga Khan University, and represents another great leap forward for emergency medicine.

Highlights 4

President’s Message

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We are pleased to report that, following strong support within the University and subsequently at the May Board of Trustees meeting, the proposal for an independent department of Emergency Medicine has been approved and became effective August 15, 2008. Dr. Junaid Razzak is confirmed as Chair of the new Department.

Many people contributed to this important and welcome development.

The Department of Medicine has been a generous and supportive environment for Emergency Medicine, and particular appreciation is extended to Dr. Wasim Jafri. Useful critique and input was also received from MCFC members and the Academic Council. Of course, the major credit for the initiative is to Dr. Junaid Razzak and his colleagues in Emergency Medicine.

Member Highlight

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Emergency Medicine: Past, Present, and Future

We are sure that all members of the University join in offering congratulations to Dr. Razzak and colleagues, and in sending best wishes to the new Department of Emergency Medicine on its inception.

Dr. Mohammad Khurshid Dean, Medical College

Preparing a Didactic Presentation

Nadeem Mustafa Khan Regional CEO, Health Services, Asia (AKUH Pakistan and FMIC Afghanistan)

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20 SAEM Diversity Interest Group Plans

Editor for SAEM Newsletter Society for Academic Emergency Medicine, is seeking a newsletter editor beginning January, 2009. The newsletter is published bi-monthly.

The editor will serve as consultant to the newsletter staff. The position entails reviewing select articles and/or member news as needed.

Letters of interest and editorial background may be sent via e-mail to: James R. Tarrant Jtarrant @saem.org 517-485-5484 ext. 212

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SAEM Midwestern Regional Summary

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Call for Photographs

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President’s Message SAEM: HIGHLIGHTING NATIONAL OUTREACH EFFORTS Katherine Heilpern, MD | Emory University

IOM M In 2006, the Institute of Medicine released a landmark series on “The Future of Emergency Care” in the United States. The report focused on 3 central themes: hospitalbased emergency care, emergency care for children and emergency medical services. The IOM is interested Katherine K th i H Heilpern, il MD in revisiting this series with a workshop that will explore the current status of the emergency care system in the U.S., the accomplishments made in implementing the recommendations contained in the IOM’s three-part series released in 2006, and appropriate next steps.

The workshop is being co-sponsored by the Emergency Care Coordination Center (ECCC), part of the Office of the Assistant Secretary for Preparedness and Response (ASPR) within the U.S. Department of Health and Human Services. In order to conduct a study of this magnitude, the IOM relies on support from stakeholder organizations. To help fund the follow-on IOM study, SAEM was pleased to partner with the Council of Emergency Medicine Residency Directors (CORD) and the Association of Academic Chairs of Emergency Medicine (AACEM) in providing financial support for this important IOM initiative.

Several academic emergency medicine leaders (and SAEM members) will play a key role in developing the study content, identifying participants and leading the discussion on substantive clinical and academic issues that face our specialty. Specific areas of focus include analyses of regionalized and accountable emergency medical systems, the impact of ED crowding, defining emergency care competencies for the delivery and assessment of acute care education and funding priorities for emergency medicine research. Stay tuned to the newsletter and website as we update you on our progress.

NIH In 2007, ACEP and SAEM partnered to form the ACEP-SAEM NIH Task Force. The objectives of this task force are to increase outreach efforts to the NIH, identify opportunities to engage the NIH in emergency

care research initiatives and to formulate responses to NIH inquiries. I’d like to specifically acknowledge the outstanding contributions of Drs. Roger Lewis and Robert Neumar; they partnered to lead this effort and have done a spectacular job galvanizing a top flight team and crafting a detailed, exciting, evidence-based response to the NIH RFI. In response to some of the grassroots efforts with the NIH, the Center for Scientific Review (CSR) specifically sought the names and expertise of senior investigators in emergency medicine willing to serve as NIH grant reviewers.

Based on this information, CSR extended invitations to a number of investigators, and at least seven researchers accepted the call to serve on a NIH study section. This represents another wonderful milestone for our specialty – the lead federal funding agency actively seeking the expertise and input of acute care researchers.

AAMC Under the leadership of Dr. Darrell Kirch, President and CEO of the American Association of Medical Colleges (AAMC), the AAMC appears to be ‘re-inventing’ itself.

It continues to rise to meet the challenges of medical education while holding firm to its core mission: enhance the health of the public by enhancing the effectiveness of academic medicine.

Last month, several SAEM Board members, Committee Chairs and CORD Officers attended a one-day orientation session to learn about the architecture and the vision for the AAMC. The leadership was pleased by our tour de force and remarked how unique it was to have such depth of representation from a single specialty. The great thing about the day was that we brought a deep bench and represented ourselves as a triple threat specialty with depth of expertise, concern and passion for undergraduate medical education, GME, workforce concerns, research, conflict of interest and financial pressure points that face academic health centers.

SAEM is a member of the AAMC Council of Academic Societies, and as such, we are both stakeholders and leaders who will help influence the shape and vision of the American Association of Medical Colleges. I encourage you to visit their website (www.aamc.org) and sink in to the armchair of faculty development resources, educational products, analyses and position papers.

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Executive Director’s Message Later in the newsletter is an article by SAEM Secretary Treasurer, Jeffrey Kline, MD describing the development of the new SAEM Research Foundation. The creation of a separate association foundation is a common practice throughout the non-profit community, including universities and hospitals. I am certain your academic institution has a foundation. You recognize the importance foundation funds have in maintaining endowed chairs, professorships, research and centers of excellence. The SAEM Research Fund was created to endow grants and fellowships in emergency medicine.

How will the change affect the average member? There will be no visible change. The new SAEM structure will allow SAEM (the Society) to focus on member activities and the SAEM Research Foundation (Foundation) to direct its energy toward its mission: to develop young investigators in emergency medicine.

Underway is a seamless transition which has transferred the Research Fund assets to the Foundation and elected a separate Board of Trustees to continue the mission and vision of the Research Fund. As allowed by law, and recommended by our attorney, there is overlap in the SAEM and Foundation Board composition to maintain congruence between the missions of the two organizations. Some associations created two entities with completely separate Boards which over time have led to divergence of their respective missions. The SAEM structure was planned to avoid such concerns.

to the 100/$1000 – 1000/$100 campaign and help us reach the goal of $200,000 for the year.

It has been communicated numerous times that the importance of having the SAEM research fund was to nurture young investigators as they begin their academic careers.

James Tarrant Tarrant, CAE Think about the young to mid SAEM Executive Director career emergency physicians who have already benefited from the early awards which positioned them as researchers in their current careers.

As government/public and industry funds decline and foundations become increasingly more competitive, the SAEM Research Foundation has the potential to play a larger role in funding emergency medicine research.

This will need the strong support of the membership to reach the fund level to ensure the ongoing viability of the awards. As we approach year’s end consider the SAEM Research Foundation when determining your annual charitable donations. Help launch a young investigator’s career.

This is your Society and now your Foundation.

Now there will be no question about the use of the funds.

No funds donated to the research fund were ever used for SAEM operations. The founders’ goal was to grow the fund to a level where earnings could annually support the awards. Recently, some members believe the vision should be to reach a $10 million endowment by 2010 and add a million each year to 2020.

The volatility in the recent markets demonstrates the need to build a larger endowment which will be able to weather the economic ups and downs. Nearly $500,000 per year is awarded by SAEM. Our members have contributed $50,000 annually on average. The Development Committee recognizes the importance of increased donations from SAEM membership to demonstrate member support when seeking larger donations from individuals, foundations, hospitals or corporations. The Committee hopes the membership will respond positively

Make Your Donation Online Today www.saem.org

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Introducing the SAEM Research Foundation SAEM Treasurer | Jeffrey A. Kline, MD | Carolinas Medical Center In September, 2007, the SAEM Board of Directors approved a motion to form a new non-profit entity to house and govern the assets generally known as the “Research Fund”. The Board convened a Task Force that included Judd Hollander, Jeffrey Kline, Robert Neumar, Jim Tarrant and Ellen Weber to initiate and manage the legal and administrative formation process. This Task Force drafted Articles of Incorporation and Bylaws which were filed in the State of Michigan and the Internal Revenue Service, culminating in a letter of approval from the IRS on August 22, 2008. The formal name of this 501c(3) corporation is the “SAEM Research Foundation”, and as a non-profit, charity organization, it will be exempt from federal income tax.

The SAEM Research Foundation will operate under transparent control of the Society for Academic Emergency Medicine and in lock step with the Society’s mission and core values. The primary assurances lie in the Articles of Incorporation and the Bylaws. The first page of the Bylaws of the SAEM Research Foundation states that the purposes of the new corporation are: (1) To improve the emergency care of patients through medical research and scientific discovery; (2) To enhance research capabilities of emergency medicine physicians; (3) Foundation trustees will disperse funds based upon the advice of the Society for Academic Emergency Medicine (SAEM) Board of Directors, following the advice of the SAEM grants committee.

Thus, the SAEM Research Foundation gets its marching orders from the SAEM Grants Committee, which reviews all grant applications submitted by SAEM members. The Bylaws also contain restrictive language requiring the suspension of any grant payments should the net fund value drop below $5 million. This covenant then resets to $6 million and then $8 million when the net value of the fund exceeds $8 million and $10 million, respectively.

The Foundation and its assets will be governed by a Board of Trustees that will include the Executive

Committee from the current SAEM Board of Directors (the President-Elect, President, Immediate Past President, and Secretary-Treasurer), as well as a Member-At-Large from the Board of Directors, appointed by the Board of Directors, as well as a representative from the American College of Emergency Physicians, and the Development Committee Chairperson, as well as two SAEM Past Presidents, elected by the Past Presidents. The Chair of the Finance Committee will serve in an ex-officio role.

We believe that this new entity provides several advantages to SAEM members.

1. Clear and singular governance. The new entity separates the research fund assets apart from total control by the SAEM organization, and includes a new Board with broader representation.

However, the Articles of Incorporation and the Bylaws specify purpose of fund dispersion, restricting it to use as consistent with the mission of the Society.

2. Asset protection. The new entity legally separates the assets of the Research Fund from the organization’s operations. This will provide considerable protection from judgments or liens against the SAEM organization or any of its employees or agents, should any arise in the future.

3. Fund raising. The new entity gives a clearly defined name and place for donations. Donors can be positive that every dollar they give is dedicated solely to enhancing knowledge discovery, knowledge transfer, and the development of academic careers of SAEM members.

4. Grants. The SAEM Research Foundation is now eligible to apply for federal grants.

I hope that you will endorse this action as a positive move for our Society and our members. I also encourage anyone with questions to email me at jkline@carolionas.org.

SAEM Grants Available EMF/SAEM Medical Student Research Grant Application Deadline: January 5, 2009 This grant program is sponsored by the Emergency Medicine Foundation (EMF) and the Society for Academic Emergency Medicine (SAEM). A maximum of $2,400 over three months is available to a medical student to encourage research in emergency medicine.

This grant is administered by the Emergency Medicine Foundation (EMF). Please go to their web site, www.acep.org and select the ‘EMF’ quick link.

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Dr. Gregory Jay is a native of Long Island, and graduated from the Medical Scientist Training Program at the State University of New York at Stony Brook receiving his M.D. and Ph.D. in Experimental Pathology. He completed his emergency medicine residency at the University of Massachusetts Medical Center in 1993 and then joined the faculty at Brown University and University Emergency Medicine Foundation. He rose to the rank of Professor of Emergency Medicine, Medicine and Engineering and serves as Associate Chair of Research in the Brown Department of Emergency Medicine.

Dr. Jay has become an established, independent investigator in emergency medicine. His ground-breaking research on joint fluid dynamics and the glycoprotein lubricin has earned him national and international acclaim. His studies on joint lubrication and joint trauma are on the cutting edge of bioengineering, and the clinical application of his research findings should be realized in the coming years. Lubricin-related therapies for joint trauma and arthritis could revolutionize the care of patients with these conditions, and help millions of people who suffer from arthritis, joint pain, or joint injuries. Dr. Jay’s discoveries in this area are regarded as key advances in this realm in the past decade.

Dr. Jay has also played a big role in the application of other bioengineering concepts to emergency care. He was a key faculty member in the development of the Rhode Island Hospital Medical Simulation Center and was the primary investigator on medical teamwork grants and simulation programs. Dr. Jay has also spearheaded the investigation of numerous non-invasive medical devices – one to detect carbon monoxide, and the other to provide a fast, non-invasive way of measuring hemoglobin. Dr. Jay has obtained funding for this work and has led and mentored other emergency physicians, engineers and PhD’s in their research endeavors.

Dr. Jay has been the principal investigator or coinvestigator on 7 grants totaling over $4 million since 2002. Dr. Jay was recently awarded a Brown Centers for

Biomedical Research Excellence (COBRE) component grant “Lubricin in ACL Deficient Joints” in the amount of $1,147,751. He most recently is a co- principal investigator on a newly awarded NIH R01 grant entitled “Lubricin Funcation in Articulating Joints” for $1,614,227. Dr. Jay’s funding from the NIH, National Science Foundation and other foundations has established his ability to run a highly successful independent research program at a time when NIH funding is particularly difficult to obtain.

Dr. Jay has produced a substantial number of peerreviewed publications that describe his work. He has authored over 75 original research publications. His paper, “The role of lubricin in the mechanical behavior of synovial fluid”, published in the Proceedings of the National Academy of Sciences in 2007, is regarded as a sentinel publication in this field. Dr. Jay is co-author of the book “Liquid Crystals: Frontiers in Biomedical Engineering,” which was published by World Scientific in the fall of 2007.

Dr. Jay is an inventor as well as an investigator. He has been issued 5 U.S. patents for his research work, and 3 international patents. He has submitted an additional 9 patents which are pending. His work is extremely collaborative, and one of his main objectives is to take basic science investigation and translate it into practice via medical devices and changes in emergency care.

Dr. Jay is renowned as a mentor and teacher of research to students (medical and bioengineering), residents, fellows, and junior faculty. He is also a marvelous clinician in the Emergency Department.

SAEM is proud to have Gregory Jay, MD, PhD as a member. Dr. Jay is a great role model who has shown how hard work and an innovative spirit can lead to success as a well-funded, independent investigator. As one of the leading researchers in the field of emergency medicine, Dr. Jay hopes to further advance the science of joint trauma and lubrication as well as contribute to translational research in bioengineering.

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The SAEM Member Campaign Why We Have Audacity and Hope Since spring time we have been (depending on your viewpoint) inspiring or pestering SAEM members to contribute to our new 100 for $1,000 / 1,000 for $100 Campaign for the SAEM Research Fund. We have claimed that we are the REAL campaign in 2008. And we have had some measure of success. We have a record number of contributors at the $1,000 level (see Table Below), and a record amount of money has been donated to the Research Fund in 2008. But we are not satisfied, and have a long way to go to meet our $200,000 campaign goal. In this piece I am going to make the case why you MUST give to the SAEM Research Fund if you have not already donated. And if you have donated, why you MUST INSPIRE OTHERS to do the same.

After a recent shift in the Rhode Island Hospital’s Anderson Emergency Center, I had a chance to reflect on what had been a typically busy evening. Our team had taken care of the usual mix of patients with traumatic injuries, neurological and cardiac problems, substance abuse and alcoholism, and abdominal pain. As always, I was fascinated by the complexity and diversity of presentations and had some enriching moments with patients, as well as some disheartening ones. That never changes. But emergency medicine practice does change, and I got to thinking about how research has improved the way we practice in so many ways. I also thought of where we might go if some of our promising research bears fruit.

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When our field was founded, no one thought we would do much in the area of research – we were viewed as a purely clinical specialty. It was assumed that research from experts in other fields would trickle down to emergency departments. But some emergency physicians had the audacity and vision to seek research training, and we have slowly become a force in biomedical research.

Some momentous things have transpired since the SAEM meeting in May. A historic election will occur in November and the White House will have a new look no matter who wins. Our economy has tanked in a big way, and we see the ramifications in our retirement accounts, but more importantly in the desperate situations of many of our patients. The tendency in hard economic times is for people to circle the wagons and limit spending. So, how can we come to you at this time and ask for more money to support the Research Fund? To answer that key question I will use terms that are familiar to many from Barack Obama’s presidential campaign and his memoir The Audacity of Hope. I will explain why we have both audacity and hope as we carry out our Campaign for the SAEM Research Fund.

Why We Have the Audacity…

We have the audacity to ask you for money, or if you have already donated, more money in these hard times because we are not asking on behalf of SAEM. We are asking on behalf of emergency patients, present and future. These are the people who will benefit from the high quality research the Research Fund supports, and these are the people we have pledged to serve as emergency physicians.

When we manage a patient with blunt abdominal trauma we can draw on the guidelines developed by James Holmes, MD from the University of California Davis.

Dr. Holmes was an SAEM Research Fund Research Training Grant recipient in 2003-2004. His work as part of the PECARN network has given researchers in pediatric emergency medicine the power to do large scale studies in a relatively short period of time. This means results that can be applied to improving patient care, as done with the pediatric abdominal injury guidelines.

When we take care of a patient who is at risk for HIV infection, or a health care worker who has a stressful event like a needle stick and needs post-exposure HIV prophylaxis, we can rely on the research done

by Roland (Clay) Merchant MD, DSci. Dr. Merchant is a faculty member at Brown University who received a Research Training Grant from SAEM in 2001-2002. Out of that work, and a subsequent NIH K Grant, Clay has developed helpful practical guidelines for HIV testing and post-exposure prophylaxis that are extremely helpful for patients and providers.

We also have a plethora of SAEM-supported researchers who are making key discoveries in basic science research.

These discoveries do not as quickly lead to changes in emergency care, but since the people doing this work are also emergency physicians, they will find a way to

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translate their findings to the clinical setting. Robert Neumar, MD, PhD received the 2006-2008 Institutional Research Training Grant to help support his research on basic mechanisms brain cell injury and repair in the ischemic brain. His work at the University of Pennsylvania may eventually lead to the discovery of neuroprotective therapies for stroke and brain ischemia. Similarly, David Wright, MD of Emory University has used SAEM funding in his work on traumatic brain injury and the effects of progesterone. Dr. Wright has taken his laboratory findings into clinical trials that provide great hope for progesterone as a potential treatment for severe traumatic brain injury.

Sabine Brouxhon, MD from the University of Rochester was supported by an SAEM Research Training Grant in 2000-2001. Her career has taken off in the area of skin cell injury changes and protein regulation in burns and cancer.

The success of these investigators is remarkable.

Research in emergency medicine is burgeoning. Our Research Fund-supported investigators have used their SAEM grants like a booster rocket to propel them to greater levels of research funding. Promising emergency medicine investigators are the vehicles we can use to make a difference in the lives of patients. And all of this has occurred because we had the audacity to plunge forward when many others said we couldn’t be successful. With your help we have built the SAEM Research Fund to the largest funder of emergency medicine training grants in the world.

Why We Have Hope…

Presently, there are a lot of reasons that might cause one to feel negative. For example, a review of your retirement portfolio, the very saggy economy, daily reports of terrorist attacks around the world, your crowded ED, or declining funding for biomedical research. But overall, we as emergency physicians are a hopeful lot. Based on data from the ABEM Longitudinal Study, emergency physicians seem to be more content and hopeful about their jobs and future than others in medicine.(1) This is not to say that we are naïve or ignorant about the troubles out there. We get daily reminders of how mean and unfair the world can be when we take care of our emergency department patients. But, somehow we retain hope – we really believe we can make a difference.

Jim Collins, in his book Good to Great, writes that high performing organizations create a path of greatness despite “the brutal facts” of their environment.(2) There are pockets of greatness everywhere in emergency medicine – great ED’s in struggling institutions, high quality students entering emergency medicine each year, researchers creating innovative teams and making important discoveries with limited funding. This hope and determination that seems to be core to emergency medicine will be our salvation in these difficult times. As

the safety net for the health care system, as leaders in the political battles of medicine, as advocates for our patients – we will create greatness and make a difference.

Using Audacity and Hope to Promote Research in Emergency Medicine When we set our goals for the current Campaign, we realized we were being ambitious. Some people call these “stretch goals”. Most institutions that announce a fund-raising campaign have half the money raised before they publicly announce the campaign. We started with much less than that. That’s pretty audacious. But we have faith in our members, and hope that we can appeal to the fundamental beliefs that make our specialty so special. So, armed with audacity and hope, we WILL reach our goal of having 100 donors contribute at the $1,000 level, and 1,000 members contribute at the $100 level by the end of 2009. Our patients are counting on us at a time when things are getting more difficult for them, and emergency physicians will come through, as we always have.

Please make a commitment to the SAEM Research Fund.

You can make an on-line contribution at www.saem.org or send a check to: SAEM 901 N. Washington Lansing, MI 48906 References: 1. Cydulka RK, Korte R. Career satisfaction in emergency medicine: the ABEM longitudinal study of emergency physicians.

Ann. Emerg. Med. 51: 714-722, 2008.

2. Collins, J. Good to great.

Harper Collins Publishers, NY, 2001.

Brian Zink, M.D. Chair, SAEM Development Committee SAEM Past President

$200,000

$150,000

$100,000

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Academic Announcements ISABEL BARATA, MD, of North Shore hore University Hospital was appointed to the National ACEP Public Health and Injury Prevention Committee and reappointed to the National ACEP Pediatric Emergency Medicine Committee.

MICHAEL S. BEESON, MD, MBA has received the Parker J. Palmer Courage to Teach Award from the ACGME for the 2008-2009 cycle. The ACGME annually honors ten program directors across all specialties with this award. Dr. Beeson is program director at Summa Health System in Akron, Ohio, and Professor of Emergency Medicine at Northeastern Ohio Universities College of Medicine.

MICHAEL BURG, MD received a promotion to Health Sciences Associate Clinical Professor in the UCSF School of Medicine.

JOHN H. BURTON, MD, Professor, was promoted to Vice Chair of the Department of Emergency Medicine at Albany Medical Center.

ABHINAV CHANDRA, MD at Duke University, Division of Emergency Medicine, has been named the Research Director.

This will add to his current role as Observational Unit Medical Director.

BRIAN CHINNOCK, MD, received a promotion to Health Sciences Associate Clinical Professor in the UCSF School of Medicine.

NORMAN CHRISTOPHER, MD has been named the Noah Miller Chair of Pediatric Medicine at Akron Children’s Hospital.

Dr. Christopher has been director of Emergency Medicine at Akron Children’s for the past 14 years.

GAIL D’ONOFRIO, MD, MS, Professor and Chief of Emergency Medicine at Yale University was recently awarded as Principal Investigator, 2 large federal grants: 1) NIDA-$5m to study SBIRT in opioid dependent ED patients, and 2) SAMHSA$1.8m to integrate SBIRT training into all primary residencies at Yale New Haven Hospital (i.e., Peds, OB/GYN, EM, IM/ Primary Care, Psych).

MICHELE DORFSMAN, MD, was promoted to the rank of Associate Professor of Emergency Medicine at the University of Pittsburgh. She continues to serve as the Assistant Program Director of the University of Pittsburgh Affiliated Residency in Emergency Medicine.

RICHARD F. EDLICH, MD, PHD, was the recipient of the highest academic honor from the American College of Emergency Physicians (ACEP), the 2008 James D. Mills Award. He developed emergency medical systems and trauma systems in five states.

WILLIAM G. FERNANDEZ, MD, MPH been selected to chair the Public Health Committee for the Massachusetts Chapter of ACEP (MACEP). Dr. Fernandez is an Assistant Professor of Emergency Medicine at Boston University School of Medicine, and is an attending faculty member in the Department of Emergency Medicine at Boston Medical Center.

JOHN J. J FRASER FRASER, JR JR., MD MD, JD JD, MPH Professor of Surgery and Pediatrics in the Division of Emergency Medicine at The University of Texas Medical Branch at Galveston, was appointed Chief, Pediatric Emergency Medicine, effective July 1, 2008.

FIONA GALLAHUE, MD has joined the faculty of the University of Washington Division of Emergency Medicine. She is an Assistant Professor of Medicine and an attending physician and clinical educator in the Harborview Medical Center Emergency Department. She is dedicating her non-clinical time to creation of an emergency medicine residency at the University of Washington with the support of UWMedicine which consists of the leadership of both UWMC and HMC. ADIT GINDE, MD received a NIH K12 award from the CTSI at the School of Medicine on Vitamin D Insufficiency in Respiratory Tract Infection and Asthma Exacerbation. Dr. Ginde is a member of the Division of Emergency Medicine faculty at the University of Colorado School of Medicine.

GARY B. GREEN, MD, MPH, MBA Vice-Chair of Emergency Medicine at New York University Langone Medical Center, has been appointed Medical Director of the newly formed NYU/ CUNY Center for Clinical Skills and Emergency Preparedness Training.

HOWARD GRELLER, MD was elected to the Board of Directors of the American College of Medical Toxicology. Dr. Greller began serving his two year term in September 2008.

KENNON HEARD, MD and BEN HONIGMAN, MD were named Denver’s “Top Doc” in 2008 for Emergency Medicine and Toxicology.

ERIK P. HESS, MD has been appointed as an Assistant Professor of Emergency Medicine at Mayo Clinic College of Medicine, Rochester, MN. JIM HOLLIMAN, MD Program Manager for the Afghanistan Healthcare Sector Reconstruction Project of the Center for Disaster and Humanitarian Assistance Medicine of the Uniformed Services University of the Health Sciences has been appointed Clinical Professor of Emergency Medicine at the George Washington University School of Medicine and Health Sciences in Washington, D.C. JOSEPH LAMANTIA, MD has been appointed to the Educational Program Subcommittee for the LCME approval process of the Hofstra University School of Medicine in partnership with the North Shore Long Island Jewish Health System. Dr. LaMantia was also awarded the 2008 North Shore – Long Island Jewish Health System “Teacher of the Year Award.”

TODD LARABEE, MD received a NIH SBIR Phase 2 award on Cardiac Synchronization Technology: Resuscitation Therapy - Pulse less Cardiac Arrest. Dr. Larabee is a member of the Division of Emergency Medicine faculty at the University of Colorado School of Medicine.

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Academic Announcements CHARLES LITTLE, MD received a NIH IH NLM (National Library of Medicine) for A Web-based Hospital Computerized Disaster Information and Management System. Dr. Little is a member of the Division of Emergency Medicine faculty at the University of Colorado School of Medicine.

North Shore-Long Island Jewish Health System.

System

ELISE LOVELL, MD of the Department of Emergency Medicine at Advocate Christ Medical Center, has received academic appointment as Clinical Associate Professor, Department of Emergency Medicine, at the University of Illinois, Chicago.

MARK SU, MD is the Director of the Medical Toxicology Fellowship Program at North Shore University Hospital, which just received four year accreditation from the ACGME Department of Emergency Medicine.

BOB LOWE, MD, MPH has been promoted to Professor of Emergency Medicine at Oregon Health & Science University.

KEVIN M. TERRELL, DO, MS, Assistant Professor of Emergency Medicine at Indiana University School of Medicine, has been awarded a K23 Research Career Development Award from the National Institute on Aging. The objectives of the research are (1) to validate a previously developed set of quality indicators for transfers of care between nursing homes and emergency departments and (2) to plan the formal testing of an intervention to improve the emergency care of nursing home residents.

LETICIA MANNING RYAN, MD, received a K23 Mentored Patient-Oriented Research Career Development Award in the amount of $ 753,975 from the National Institutes of Health National Center for Research Resources for a project entitled, “Analysis of bone health in African American children with forearm fractures”. Dr. Ryan is an Assistant Professor of Pediatrics and Emergency Medicine at Children’s National Medical Center in Washington, DC. JOHN MUNYAK, MD is the Director of the newly ACGME accredited Sports Medicine Fellowship Program at North Shore University Hospital, Department of Emergency Medicine.

REGINA OAKES, MD has joined the faculty of the University of Washington Division of Emergency Medicine. She is an attending physician and clinician educator at UWMC. She has an adjunct appointment in the Institute for Surgical and Interventional Simulation.

BRIAN J. O’NEIL, MD, has been promoted to the Associate Chair for Research for the Department of Emergency Medicine at Wayne State University School of Medicine.

PAUL PHRAMPUS, MD, was promoted to the rank of Associate Professor of Emergency Medicine and Anesthesia at the University of Pittsburgh. He continues to serve as the director of the Peter M. Winter Institute for Simulation, Education and Research (WISER) at the University of Pittsburgh.

MARC SHALIT, MD, received a promotion to Health Sciences Clinical Professor in the UCSF School of Medicine.

EDWARD (SKIP) WALTON, MD has been named Division Director, Pediatric Emergency Medicine at William Beaumont Hospital in Royal Oak, Michigan. William Beaumont Royal Oak will become the primary clinical site for the new Oakland University William Beaumont School of Medicine, scheduled to open in 2010.

HAICHAO WANG, PHD, of North Shore University Hospital, was awarded an Honorary Professorship at the Xiangya Hospital, China.

DANIEL WAXMAN, MD, has been promoted to Associate Professor of Clinical Emergency Medicine, Department of Emergency Medicine and Associate Professor of Clinical Medicine, Department of Medicine at Beth Israel Medical Center, the Manhattan Campus of Albert Einstein College of Medicine in New York City. Dr. Waxman completed his training in Internal Medicine, Cardiology and Emergency Medicine.

NIELS K RATHLEV MD, was recently appointed as Chair, Department of Emergency Medicine at Tufts School of Medicine and Baystate Medical Center in Springfield, MA. KENNETH N. SABLE, MD, has been appointed to Associate Vice Chairman for Operations at Maimonides Medical Center, Brooklyn, NY. ANDREW SAMA, MD was appointed Chairman for the newly integrated Department of Emergency Medicine at North Shore University Hospital and Long Island Jewish Medical Center. Dr. Sama has also has been appointed to the Educational Program Subcommittee for the LCME approval process of the Hofstra University School of Medicine in partnership with the North Shore Long Island Jewish Health System. Dr. Sama serves as the Chief of Emergency Medicine at Huntington Hospital as well as the Vice President for Emergency Services for the

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SAEM/ AACEM Education Session During AAMC Addressing Advocacy as a Role of Academic Emergency Medicine David P. Sklar, MD University of New Mexico On Saturday, November 1 from 8:00 am-12:00 pm in San Antonio at the Marriott Riverwalk, SAEM and AACEM will present a session organized around the themes of political engagement and advocacy for academic emergency physicians. Although academic organizations like SAEM have some limitations in the area of political advocacy, academic emergency physicians have several ways to influence political and policy debates, and decisions.

The session will present areas of potential or ongoing advocacy effort such as coverage of the under-insured funding of graduate medical education, emergency department crowding, tort reform, quality and safety measures, research funding, or other areas of relevance to academic emergency physicians.

James Tarrant will incorporate his experience at the Chicago Medical Society developing grassroots advocacy and describe implications for SAEM. Theodore Christopher will discuss the important role of residents in advocacy activity.

Gordon Wheeler from the ACEP Washington office will provide reactions and commentary after the presentation.

Following the presentations, the group will be asked to consider several key areas for advocacy, for academic emergency medicine and consider steps to improve the effectiveness of current efforts.

We hope you will join us for this informational meeting.

Robin Hemphill, a former health policy fellow for the Robert Wood Johnson program, will describe her experience in Washington, DC in a senator’s office and describe her perceptions about how to improve efficiency.

AEM News Rolling Open Access - New Policy

New Online AEM Journal System

Effective as of 12 months after publication, the contents of Academic Emergency Medicine, official journal of SAEM, will be freely available on the journal’s website with Wiley InterScience at the following www3.interscience.wiley. com. Select Medical, Veterinary and Health Sciences and then Medicine (general). You will find Academic Emergency Medicine listed under the A’s.

Academic Emergency Medicine (AEM) Readers and Subscribers: Please note that as of July 1, 2008, the URL used to access your subscription to the journal on Blackwell-Synergy (www.blackwell-synergy.com/ loi/acem) will no longer be valid. The following URL is what should be used: www.interscience.wiley.com.

This is part of the “rolling open access” program, a service made available by Wiley-Blackwell, to increase usage and readership of the journal’s content. We hope you will partake of this regularly and recommend it to your colleagues, allied health care professionals etc.

All users will be automatically migrated over to the new URL. There will be a redirect to it, as well. Should you have any problems, please contact Sandra K. Arjona, Journal Manager, at sandrak.arjona@gmail.com.

Our continuing thanks to you for your support of the journal. We look forward to many new and exciting developments with the publisher’s new online platform, to be officially up and running beginning January 2009.

Again, please use the URL listed above until then.

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SAEM Annual Meeting Abstract Submissions Chair, Program Committee | Craig Newgard, MD, MPH | Oregon Health & Science University The 2009 SAEM Annual Meeting will be held in New Orleans, Louisiana from May 14 – 17, 2009. The deadline for didactic submissions has passed and the Program Committee is busy selecting the highest quality proposals and organizing the initial grid for the meeting. The next important Annual Meeting deadline pertains to abstract submissions. Due to an increasing volume of submitted abstracts, earlier deadlines for the Academic Emergency Medicine abstract issue, and the growing task of scoring, selecting, and organizing abstracts for the meeting, the deadline has been moved forward by one month relative to previous meetings. The abstract submission deadline for the 2009 Annual Meeting is:

December 4, 2008, 5:00 pm EST Please mark this date on your calendars and plan ahead.

This deadline has been included in advertisements in SAEM Newsletters, several emergency medicine journals, and all-member emails in an attempt to notify researchers of the change.

The abstract submission form will also look new this year. There have been countless hours spent developing a new SAEM on-line abstract submission form that overcomes limitations in previous web forms (e.g., the character count for tables), improved functionality, and the ability for the Program Committee to better coordinate and query abstracts and reviewer scores for a growing volume of submissions. As with any new product, we anticipate some wrinkles when more than 1,200 abstracts are funneled through the system. Please

take a few minutes to familiarize yourself with the new on-line form before the last minute frenzied submission proceedings on December 4.

There is a standardized scoring form used by reviewers to score abstracts. The abstract scoring system assesses the following topics: hypothesis/objective, study design, study methods, statistics and sample size, presentation of results, relation of results to the study hypothesis/ objective, conclusions, originality, and impact. After reviewing over 6,000 abstract submissions, I would suggest the following advice before submitting your abstract(s): critically evaluate your own abstract against these criteria, focus on clear and concise presentation of your work, give yourself plenty of time to write and re-write the abstract, and solicit several people (authors and non-authors) to review and offer comments. Four to eight independent reviewers will read and score every submitted abstract; we strive for a fair and rigorous review process. Because timelines for reviewing, scoring, and processing abstracts are very tight and the volume is large, there is not an opportunity for appealing decisions on abstracts.

Similar to abstract submissions, the deadline for Innovations in Emergency Medicine Education (IEME) exhibits has also been moved forward (December 11, 2008).

Thanks for your continued support for the SAEM Annual Meeting!

SAEM 2007-2008 Interest Group Reports Submitted Interest Group reports are available from www.saem.org, under Communities on the left hand side, click on Interest Groups. A word document of the condensed reports submitted this year is available from this page. This page is also the “IG home page” providing links to over 20 Interest Groups which any SAEM member can join for only $25 per year. Meeting updates as well as results of the IG’s various activities are available from their home page and IG members can stay-in-touch with their group via a member’s only list serve system.

Clinical Directors Diversity EMS Ethics Evidenced Based Medicine

Geriatric International MedicalToxicology Mentoring Women Neurology

Patient Safety Public Health Sports Medicine Trauma Ultrasound

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CDEM Update

Clerkship Directors in Emergency Medicine (CDEM) has had an extremely exciting first year. CDEM is busy working on many projects and developing committees to help accomplish other goals. Here are a couple of updates on current CDEM activities and projects.

CDEM at Academic Assembly: CDEM is very excited to offer a special track at the 2009 CORD AA focusing on medical student educators. The didactic sessions include: • Selecting the right visiting student for your rotation • Innovations in curricular development • Moving beyond clerkship director • Strategies for successful research in the undergraduate arena • Professionalism as a skill-based competency • Is there a perfect SLOR? • Medical education journal club • Drive by teaching (with NAV track) • Strategies and tools for improving feedback (with NAV track) • Art of writing an evaluation (with NAV track) • Developing residents as teachers (with NAV track) These sessions complement the rest of the fantastic CORD AA and together will produce a rich learning experience for all educators. Please join us on:

March 5-7, 2009 Westin Casuarina Las Vegas

Curriculum The CDEM curriculum committee is working on developing a core set of topics with objectives that should be taught on each mandatory 4th year EM rotation. It will be a manageable list that is small in number and limited to our specialty in scope. We will work on specific interactive cases, much like the CLIPP cases for pediatrics, to accompany those topics. The larger curriculum published by the task force about 4 years ago will be augmented with on line learning / reading modules. This is a long term goal and the committee is hammering out the specifics and templates to make the final product uniform and of excellent quality.

Website CDEM is staying active by using the listserv for discussions, which have addressed such issues as the role of the clerkship director, LCME guidelines and how EM fits into them, advice to applicants, and mandatory vs elective EM rotations. We are also hosting a variety of educational resources and links within our membersonly CDEM Forums, which include a standardized set of Powerpoint lectures for clerkship students, which cover key topics essential for the EM curriculum.

Membership: CDEM membership continues to grow. We are excited that the majority of medical schools and residencies are represented in our membership. We are striving for 100% participation by US programs and want to extend our membership internationally. CDEM represents all medical student educators and membership will provide all educators with valuable resources. If you have not already joined, please register to become a member during our inaugural year. Contact Sandy Rummel at srummel@saem.org.

Other CDEM projects include updating the Clerkship Director’s Handbook, publishing the Emergency Medicine Primer, and developing a list of medical school’s with mandatory Emergency Medicine rotations. We look forward to an even more productive second year.

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Michelle H Biros, MD, MS Completes 10 Years as EDITOR-IN-CHIEF of ACADEMIC EMERGENCY MEDICINE James R. Miner, MD Dr. Biros has completed an exceptional 10 years as the Editor-in-Chief (EIC) of Academic Emergency Medicine (AEM). Since taking on the role of EIC in 1998, she has guided AEM toward its goals of reporting original research in our specialty, guiding the development of research agendas in emergency medicine, and helping to lead the establishment and development of academic emergency medicine, in general. When Dr. Biros first became EIC of AEM, emergency medicine was “young, and research in emergency medicine was even younger”[1]. During that time, the journal has gone from 243 submissions a year to almost 1000, the subscription numbers have increased from 3500 to 7000, and AEM’s impact factor has increased from 1.07 to 1.99. We have transitioned to an electronic submission process, Manuscript Central, and now have an electronic version of the journal available online via Wiley InterScience.

When Dr. Biros started her tenure as Editor-in-Chief of AEM, there were many challenges facing research in emergency medicine. Other specialties were more developed in research and had set agendas that did not always correspond to the needs of the science of emergency medicine. Dr. Biros led AEM and emergency medicine researchers with encouragement and guidance to develop science unique to our specialty. In 1997, she wrote “the number of subjects and the source of amount of financial support for a clinical trial do not determine its clinical impact”[1], showing her support of science with respect to its impact rather than its infrastructure, and the originality of the work over its conformity. While all the time supporting the development of research infrastructure in our specialty[2, 3], she encouraged researchers to focus on their science and the advancement of knowledge in our specialty. With advice like “learning to say the right no can only come with experience, and after saying a lot of wrong yeses.” and “No wrong yes is ever truly wasted; it helps you decide what the next right yes will be” she encouraged a balanced approach of risk taking and innovation with steady development [4].

conference topics imply.” The Consensus Conferences started in May 2000 with “Errors in Emergency Medicine” and will continue with the tenth conference “Public Health in the Emergency Department: Surveillance, Screening and Intervention” at next year’s Society for Academic Emergency Medicine (SAEM) Annual Meeting. These achievements have had a profound impact on research and education in emergency medicine and have helped to lead us to the great journal AEM has become.

Dr. Biros has been a faculty member of the Department of Emergency Medicine at Hennepin County Medical Center since 1986 and is a Professor of Emergency Medicine at The University of Minnesota Medical School and the Vice Chair for Research for the Department of Emergency Medicine at the University of Minnesota Medical School. She attended medical school at the University of Minnesota Medical School in Minneapolis, and completed her emergency medicine residency in Cincinnati in 1986.

SAEM has named David C. Cone, MD to succeed Dr. Biros as the next Editor-in-Chief of AEM.

1. Biros, M., Emergency Medicine Research: Where Are We Now and Where Do We Need to Be? Academic Emergency Medicine, 1997. 4(12): p. 1101-1103.

2. Biros M, A.J., Reflections on Resilience. Academic Emergency Medicine, 2002. 4(12).

3. Biros M, B.W., Lewis M, Sanders A, Supporting Emergency Medicine Research: Developing the Infrastructure. Academic Emergency Medicine, 1998. 5(2): p. 177-184.

4. Biros M, Filtering Out the Noise. Academic Emergency Medicine, 2003. 10(5): p. 413.

5. Biros M, What is Consensus? Academic Emergency Medicine, 2002. 9(11): p. 1063.

In addition, in 1999, “given our mission of highlighting research, education, and clinical practice of emergency medicine” [5] Dr. Biros led AEM to develop its annual Consensus Conference and subsequent special AEM issue “to develop meaningful dialog regarding the education and research mandates that each of our 15

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NACCT Summary from the SAEM Michael P. Spadafora Medical Toxicology Scholarship Recipient Sarah Jane Reedy, MD Emory University I recently had the good fortune to attend the North American Congress of Clinical Toxicology (NACCT) in Toronto. I am extremely grateful to SAEM and Dr. Dye for their support. It was a wonderful event that tremendously broadened both my thinking and my career aspirations.

It was clear that the topics most emergency medicine residents cover in their toxicology rotations are but the tip of the iceberg.

The CPC competition was one of the most popular events of the pre-meeting symposium. Dr. Shawn Varney presented a case of huffing leading to skeletal fluorosis which stumped even the brightest minds in the room.

There was also an unusual presentation of kava-kava intoxication leading to hemiballismus and nausea. Finally, there was a discussion of an elderly woman suffering from severe peripheral neuropathy and ataxia that turned out to be due to copper deficiency related to excessive zinc ingestion. The pathophysiology of these cases was reviewed and demonstrated how truly entertaining and informative the CPC competitions can be.

The main congress opened with keynote speaker Dr. Gordon Guyatt’s discussion of evidence grading in which he concluded that we must develop better systems for evaluating the value of our evidence. In the antidotes discussion, Dr. Michael Eddleston challenged the audience and some long-held beliefs by examining the utility of multi- and single-dose activated charcoal in cases of intentional self-poisonings in Asia. He concluded that the therapies were not helpful in the population studied but that we have insufficient evidence to change our practice at this time. Another highlight of the conference was the field investigation of disease outbreaks of toxicological and unknown etiology. Dr. Thomas Zilker shared his experience of investigating an epidemic of a bizarre neurological illness in Angola that was eventually diagnosed as bromide poisoning secondary to inappropriate disposal of sodium bromide from a petrochemical waste site.

refractory shock, environmental forensics, and even extracorporeal life support in the setting of calcium channel blocker overdose.

Another highlight was the Toxicology History Society. For those in attendance, the Rumack-Mathews nomogram will undoubtedly never seem the same again. Additionally, Dr. Tim Erickson treated the audience to histrionic history of the skull and crossbones as an icon of poison and piracy.

Dr. Steven Marcus further indulged us with a discussion of his involvement in the case of Charles Cullen, an infamous ICU nurse with many poisonings to his credit.

The evening concluded with a video presentation of toxic moments from the wonderful world of Disney. I am already looking forward to next year’s presentations which are rumored to include toxicology of The Simpsons.

It is impossible to summarize all of the amazing topics covered in six days of NACCT on a single page, but I would be remiss if I did not mention the final lecture of this year’s Congress, “Combat Toxicology” from Maj. Melissa Givens. She featured several of her own cases from Operation Iraqi Freedom in which she managed both multisystem trauma and life-threatening toxic exposures in her patients, including chlorine gas from an IED and massive hydrocarbon exposure following a fire fight. After a week of often erudite discussions, this was a stark reminder of how disaster preparedness and clinical toxicology are being used everyday to save lives. I want to thank Maj. Givens and all of the other combat toxicologists and soldiers for their sacrifice and contribution to our country.

Throughout the conference, there were also many presentations of general interest to emergency physicians including discussions of the unavoidability of bias and big pharma, SSRI’s and suicide causality, adverse effects of common neutraceuticals, lipid emulsion therapy in 16

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Emergency Medicine: Past, Present, and Future 2008 SAEM Mid-Atlantic Regional Research Conference | Chair, Glenn K. Geeting, MD Penn State Hershey Medical Center The Program Committee is pleased to announce the successful completion of the 11th Annual SAEM MidAtlantic Research Meeting at Penn State Milton S. Hershey Medical Center on September 26-27, 2008.

a broad range of cutting-edge research in the areas of Trauma, Emergency Preparedness/EMS, Professional Development, Diagnostic Imaging, Administration/Social Issues, and Infectious Disease/Cardiovascular Disease.

Highlights of the conference included an inspiring dinner presentation of “The Leader Within” and keynote speech on “Anyone, Anything, Anytime: The History of Emergency Medicine” by Brown University Chair Brian J. Zink, MD. Lawrence Kass, MD led a panel discussion on “The State of the Art of Simulation Training,” and medical students had a chance to meet with regional residency directors. The centerpiece of the conference was the presentation of 5 plenary and 41 brief abstract presentations encompassing

The judges were hard-pressed to choose award recipients from such a competitive pool, but those that won had certainly earned the honor.

Many thanks to SAEM, Penn State Hershey Medical Center and College of Medicine, the Penn State Emergency Medicine Interest Group for incredible logistics support, the many participating departments, and our sponsors for their support of an inspiring day.

CATEGORY

TITLE

PRESENTER

Best Plenary Presentation

Does Volume Matter? A Randomized, Blinded Clinical Trial Comparing 500mL v 1000mL Oral Contrast In Abdominal CT

Lisa Moreno-Walton, MD

Best Trauma Presentation

Trauma Mortality Prediction Based on ED Arrival GCS and Approximate Age

Amy Smark, MD

Best Emergency Preparedness/EMS Presentation

Emergency Dispatcher Perceptions of CompressionsOnly Dispatcher-Assisted Bystander Cardiopulmonary Resuscitation

Greg Swartzentruber

Best Professional Development Presentation

Can Lay Public Internet Users Find Evidence Based Medicine Answers To Simple Emergency Medicine Questions?

Danielle Chambers

Best Diagnostic Imaging Presentation

Ultrasound-Guided Peripheral IV Placement Can Be Safely and Successfully Performed By Emergency Department Technicians For Patients With Difficult IV Access

Elizabeth Schoenfeld, MD

Best Administration/Social Issues Presentation

Can ICU Upgrades Be Predicted?

Aneesha Dhargalkar, MD

Best Infectious Disease/ Cardiovascular Presentation

Significant Coronary Artery Disease In Emergency Chest Pain Patients With Recent Negative Cardiac Stress Testing

Johnathan Walker, DO

Best Student Presenter

Is There An Association Between Occupancy Rates and Rates of Violence In The Emergency Department?

Dylan Medley

Best Resident Presenter

The Impact of Pre-Hospital Activation of The Cardiac Catheterization Team On Door-To-Balloon Time For Patients Presenting With ST-Segment-Elevation Myocardial Infarction

Teresa Camp-Rogers, MD

Best Faculty Presenter

Electrocardiographic Determination of Culprit Artery Occlusion In Acute Inferior Myocardial Infarction

Michael Kurz, MD

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Preparing a Didactic Presentation Carey D. Chisholm, MD | Professor of Emergency Medicine | EM Residency Director Indiana University School of Medicine EM residents are expected to prepare and deliver didactic sessions as part of their formal training. All of us have been subjected to the monotone drone of a disinterested speaker seemingly mindlessly pushing the “slide advance” button.

Your goal is to impart a meaningful exchange of information and ideas in a fashion that affects “outcomes” (long term retention and utility). I hope to impart several key concepts that may augment the effectiveness of your didactic presentations, and make them rewarding experiences for all involved.

Firstly, appropriately “frame” the project. A one hour presentation at the average sized residency program entails some 20 – 60 “person hours”. This is important currency (we’re all busy people)! Treat the opportunity accordingly.

While you know your peer audience well, if preparing a presentation for a different audience, you must take steps to establish their level of understanding and needs, or risk losing or offending them (or both). Obviously the content of a presentation differs for the same topic if it’s a local Boy Scout troop versus the PTA versus an EMT versus an EMT-P audience. You must neither talk down or over the heads of your audience. If for some reason you weren’t able to establish the audience background ahead of time, use your first minutes to gain that perspective, and flexibly tilt your presentation in the direction of the majority.

Secondly, you must develop a “map” that incorporates the steps involved in developing and executing a successful didactic presentation (please note that I do not use the word “lecture”, which not only is considered one of the least effective adult learning modalities, but conjures up memories of boredom, sore necks and pooled drool for many of us). From assignment to execution there is a predictable pathway that rarely rewards short cuts. Experienced presenters still spend 20 – 50 hours in the development of a de novo topic into a didactic presentation. Starting with your future presentation date, use “retrograde planning” in order to properly allocate your schedule resources. And always incorporate 1 – 2 weeks of buffer time to address unforeseen circumstances.

The next step is to “establish expertise”. While there are “tiered” levels, you should desire to learn as much about your subject area as you can in the (realistically) allotted time. A nice starting point is a related chapter from an EM textbook. Read this as a filtered overview of the information that the author believed important for the EM audience.

More importantly, carefully review the list of citations in the bibliography. Select these and do a “forward search” by using the citation feature in your institution’s database (OVID, PubMed, ISI Web of Knowledge, etc.). Systematic

reviews and meta-analyses afford the most efficient method of establishing a foundation. Usually you will now have some 50 – 100 articles that contain potentially important information. This reinforces the need to engage in the retrograde planning component!

You now are armed with the “evidence” about your topic. Most residents however, have a large gap in the “experience” component associated with their topic … for instance if assigned the topic of “Endocrine Emergencies” it isn’t unusual to have never cared for the majority of the conditions. What methods are available to address this experiential gap? The answer lies all around you. Begin with your EM faculty, posing a series of general to more specific questions. “What have you found is the most difficult or challenging aspect of caring for patients with this condition?” “What are the major medicolegal pitfalls associated with these patients?” “What have you found to be the most challenging aspect of teaching about these conditions?”

But don’t stop with your faculty. Ask the referring specialist similar questions slanted to an EM perspective. “What aspects about caring for a patient with this disease do you believe EM physicians have the most difficulty with?” “When would you want me to wake you up at 0200 in the morning on a week-end and expect for you to come in to the hospital for patients with these conditions?” “Which patients warrant urgent referral to you?” Incorporating the expectations and “pet peeves” of the “end - users” who cast judgment about the quality of the ED efforts is a potentially important component of your presentation.

Still, do not stop here. During residency each of you become facile in negotiating the referral and evaluation process unique to your (invariably) tertiary/quaternary care facility. But how are patients with this condition cared for in the other 85% of the EDs in the US? How does one care for such patients outside of the “Ivory Tower”?

To answer this question, most of you once again have a readily accessible wealth of information - your program’s graduates (and faculty who worked in community EDs before returning to academics). Particularly helpful areas include transfer decisions, alternative diagnostic testing when the first-line isn’t available, and admission decisions tempered when timely/readily available outpatient followup care is an option. Alternatively, their workplaces may lack subspecialties that you accept as routinely accessible.

They often can provide insight into the human dynamics and ergonomics associated with caring for patients with these conditions.

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(Preparing a Didactic Presentation Continued)

Now comes the most difficult aspect of your presentation.

You have become an “expert”, and hopefully you’ve gained ttrue excitement it t for f your topic. t i You Y realize li that th t the th more you learn, the less you seem to know. But you’re so interested in what you’ve learned that you wish to share it all. However, you have only a finite time with your audience. You must select 3 (perhaps a maximum of 5) “take home” points about your topic. Allocate time and emphasis to these. In general, these are the clinical pearls that you want your audience to recall 3 months from now. One of the major errors of the novice presenter is attempting to pack too much unfiltered/ detailed information into too short of a time.

This now is time for your second “map” called the lesson plan. A lesson plan is not an outline of your topics, but instead a step-by-step plan of how your allocated time is spent. The “how” includes presentation technique(s) and amount of time per key topic. Without a lesson plan, the potential exists to lose control of the time and content. Thus the lesson plan must address the interplay of technique with content.

How will you structure your time so that your audience learns the take home messages and believes the time spent was worthwhile? Think creatively. Your goal is to talk WITH, not AT, your audience. Thus interactive exchanges are far more likely to engage audiences, and in order to learn the information the audience must stay engaged.

While techniques for engagement are beyond the scope of this article, there are several worthy of mention.

Since EM is a clinical specialty, whenever possible tie learning points to clinical scenarios. This is the “currency” of thought for EM physicians. Pose questions that the audience must answer. Electronic audience response systems are becoming widely available, but a “show of hands” may substitute. If you have trouble getting that participation, be directive, singling out a person in audience to answer, then perhaps asking another if they agree or disagree. Or ask why they selected an answer. Playing the devil’s advocate sometimes mobilizes a torpid audience into participation. Practice the “17 second rule”. After asking a question, don’t answer it yourself. The silence becomes so awkward that somebody will break the silence before 17 seconds have lapsed. Use other creative techniques to make your audience an active one. An engaged audience has the chance to learn the material. However, there is one cautionary caveat … the audience must be engaged in the topic, not in solely the process. This latter is entertainment as opposed to educational engagement. We’ve all attended enjoyable and engaging presentations that failed to transfer any content. While not as painful as the monotone, podium hugging, power point reading lecture, the results at 3 months are similar. So the more entertaining your delivery becomes, the more frequently you must assess assimilation

of the “take home points”.

One the to O fear f off opening i th session i t a more interactive i t ti format is the potential to “lose control” of the audience. A particular fear is being asked a question for which you don’t have a ready answer. All good presenters automatically repeat an audience question to assure that everyone hears it. This buys you a few seconds to decide whether or not you have a good response, and whether or not this forum is the appropriate venue to address. If the question or point is outside of the scope of the session, simply thank the audience member and move on, perhaps offering to discuss it with them afterwards. If you don’t have a good response, deflect the question to others in the audience.

“What do you all think about that?” or “Perhaps one of our faculty would like to comment on that question/point?”

And of course, admitting that you don’t know the answer, asking for assistance, and then moving forward is always a reasonable approach…”That’s a great question and I’m not sure what the correct answer is. Can anyone else address that?”

Because EM is a clinical specialty, and our audiences tend to be more “action oriented”, devise methods to make the material important at the bedside. A “case-based” approach lends itself nicely to this philosophy. The “case” can carry us to the bedside of a real patient we have or may encounter, and sets up a predictable thought process (for EM physicians … use caution in “mixed - specialty” audiences). Important aspects of pathophysiology and epidemiology are more likely to be retained if delivered in short segments associated with a case rather than the more traditional textbook chapter format (e.g. overview, epidemiology, pathophysiology, etc.).

Provide a brief summary of the 3 major “teaching points” for each case, and then a brief final summary of the 3 – 5 major teaching points for the entire session.

In conclusion, didactic presentations afford a tremendous opportunity to gain significant insight into a component of our EM practice. Developing “maps” and realistic timelines decreases the associated anxiety. Use resources outside of your own department in order to gain a broader perspective about the issues associated with your topic. Build your time allotment around the 3-5 major points you want your audience to remember 3-6 months later. Talk with, rather than at, your audience. And enjoy … you’ve earned it!

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SAEM Diversity Interest Group Plans for 2008 – 2009 Ugo A. Ezenkwele, MD, MPH, Chair of SAEM DIG NYU/Bellevue Hospital Center The Society of Academic Emergency Medicine (SAEM) Diversity Interest Group (DIG) had a successful and well attended session at the last annual meeting in Washington DC. I am pleased to report that the section is thriving and membership is increasing. It is clear that issues in diversity are important to SAEM which includes in its mission statement “... the goal of attaining diversity in emergency medicine residencies and faculty that reflects our multicultural society and the communities we serve”. To that end, several initiatives were established.

meetings, specifically at the National Medical Association (NMA), the Student National Medical Association (SNMA), the National Hispanic Medical Association (NHMA), the American College of Emergency Physicians (ACEP) and the SAEM annual meeting next year. It is expected that ongoing education, recruitment of members and dissemination of information will take place at those sessions.

First, SAEM DIG will initiate a survey targeted toward academic chairs and residency directors to determine the state of underrepresented minorities in emergency medicine.

Second, “Diversity as Excellence”, a national initiative addressing diversity, will be established to encourage participation at all levels from EM Departments and Residency Training programs. As part of this effort, it is expected as a goal of the DIG that EM Departments will demonstrate how they are increasing diversity, either through focused grand rounds; recruitment of competent and diverse residents; and/or establishment of a multicultural curriculum.

Third, DIG members will be participants in the SAEM virtual advisor program.

In order for these initiatives to be successful, SAEM DIG will host several meetings in concordance with national

Drs. Marcus Martin, Lynne Holden, Yvette Calderon and Medical Student Makini Chisolm-Straker.

During the annual meeting in Washington, an award ceremony was conducted. Dr. Kate Heilpern, president of SAEM was in attendance for the celebration in which several members of DIG were honored for their tireless efforts in promoting diversity in EM. Award recipients were Marcus L. Martin, MD, (Leadership Award); Yvette Calderon, MD, (Outstanding Academician Award); Lynne M. Holden, MD, (Visionary Educator Award) and finally, Marlaina Norris, MD and Makini Chisolm-Straker, MSIV (Outstanding Future Academician Award).

DIG at the National Medical Association (NMA) Meeting

Drs. Steven Bowman, Marcus Martin and Kate Heilpern

In July, at the NMA Scientific Assembly in Atlanta, the Department of Emergency Medicine at Emory University hosted a reception for the EM section of the NMA. This was the 20th anniversary since the inception of the EM section. Founding members, Winston Price, MD and Georges Benjamin, MD were honored for their vision in founding the EM section within the NMA.

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Organized by Sheryl Heron, MD, there were over 50 people in attendance including luminaries in EM such as SAEM President Kate Heilpern, MD, Board Member Leon Haley, MD, Arthur Kellermann, MD, Marcus Martin, MD, and many others.

SAEM DIG was present and it was a successful recruitment effort for the DIG. Over 30 new members were added to the DIG roster and information on our initiatives was disseminated to the group. It is anticipated that the section will continue to grow.

only three percent of all physicians - a percentage that has remained consistent in the last 40 years. Among emergency medicine practitioners, approximately 4% are African-Americans and 2% Hispanic. It is imperative that SAEM continue the dialogue, increase its efforts and ultimately be a champion for diversity throughout academia. The Diversity Interest Group is committed and if anyone is interested in joining our efforts, email ezenku01@nyumc.org or visit the Diversity page in the Interest Group links at www.saem.org

Although diversity in medicine has been on the national agenda, current events are demonstrating the need to continue the discussion, specifically in academic medicine.

The American Medical Association recently issued a statement supporting research about the history of racial divide in organized medicine. The Institute of Medicine continues to remind us that the health of racial and ethnic minorities, poor people, and other disadvantaged groups in the United States is worse than the health of the overall population. Though commendable in their efforts, they serve as a reminder of the continuous work we must do in the medical profession to address issues of underrepresented groups and racial disparity in health care.

African Americans represent more than 12 percent of the population of the United States, yet they account for

Drs. Lisa Moreno-Walton, Marcus Martin, Thea James, Ugo Ezenkwele, Steven Bowman and Sheryl Heron

Call for Nominations

Medical Student Excellence in Emergency Medicine Award Deadline: 4 weeks prior to certificate date SAEM is pleased to sponsor the Excellence in Emergency Medicine award. This award is made available for each medical school to select a senior medical student who has demonstrated excellence in the specialty of emergency medicine. Each medical school is limited to one recipient each year. The student selected from each school for the award will receive: 1. One year subscription to the SAEM monthly journal, Academic Emergency Medicine.

2. One year subscription to the SAEM Newsletter.

3. One academic year Resident/Medical Student membership in SAEM (July 1, 2009-June 30, 2010).

4. A certificate of “Excellence in Emergency Medicine.”

The award form can be located on the SAEM website (www.saem.org), under the Awards section. Let us know the name of the award winner four weeks prior to the date the certificate is needed for graduation/presentation ceremonies. Be sure to fill in the student’s address on the form and their e-mail account, as we need it to be able to send the various subscriptions to the student. You may fax the form to SAEM at 517-485-0801.

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SAEM Midwestern Regional Summary Monday, September 29th, 2008 Coralville Marriot Conference Center | Coralville, Iowa Sponsored by the Department of Emergency Medicine at the University of Iowa

ATTENDANCE:

AWARDS:

114 people from 20 different programs attended the conference, including 50 medical students and 22 residents. Attendees came from IA, NE, MN, ND, MO, IL, IN, OH, DC, and MI.

BEST ORAL PRESENTATION:

PROGRAM: Dr Eric Dickson, Chair of the Emergency Medicine Department at the University of Iowa and Interim Chief Operating Officer for the University of Iowa Hospitals and Clinics, opened the conference with a brief discussion of quality improvement in healthcare and implementing programs to improve patient safety.

STUDENT: How Does use of a Statewide Prescription Monitoring Program Affect ED Prescribing Behaviors?

Sameer Sinha, BS, University of Toledo College of Medicine

Dr Sandra Schneider, Current Chair of the Emergency Medicine Residency Review Committee, former Chair of the Department of Emergency Medicine at the University of Rochester, and SAEM Past-President, delivered the key note address on maintaining your quality of life while immersed in a busy academic EM career.

Eight oral presentations followed the opening session, which were well received by the audience, stimulating a lively discussion of research design and techniques.

Over the lunch period, a panel of Program Directors met with the 50 medical students in attendance (photo below). Eight EM residencies from around the Midwest were represented. After lunch, attendees viewed the 59 posters that were displayed, discussing the displays with their authors. In the afternoon, Dr. Felix Ankel, Program Director at Regions Hospital in St. Paul, Minnesota convened a panel of educators to discuss their approach to simulation education and research.

Sameer Sinha

RESIDENT (TIE): The Role Of Pre-Hospital Electrocardiograms In The Recognition Of STElevation Myocardial Infarctions And Reperfusion Times Joshua Eastvold, MD, Advocate Christ Medical Center Medical Malpractice: Utilization of Layered Simulation for Resident Education Nathaniel Schlicher, MD, Wright State University FACULTY: An Evaluation of Racial Bias in Emergency Medicine Residents and Recent Graduates Elise Lovell, MD, Advocate Christ Medical Center

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Elise Lovell Aaron Abrahamsen

BEST POSTER PRESENTATIONS:

FACULTY:

STUDENT:

Scene GCS scores can help predict mortality in pediatric blunt trauma

Iontophoresis is an Effective Treatment for Acute Lower Back Pain in the Emergency Department Eric Savory, BS, University of Toledo Medical Center

Charlene Irvin, MD, St. John Hospital and Medical Center

Charlene Irvin Eric Savory

RESIDENT: Implementation of a Therapeutic Hypothermia Protocol in a Community Hospital Emergency Department Aaron Abrahamsen, MD, Advocate Christ Medical Center

HONORABLE MENTION FOR BEST POSTERS: Initial Experience with Thrombolysis for Acute Ischemic Stroke in a Community Hospital Emergency Department Cindy Bakker, PharmD, Advocate Christ Medical Center Evaluating Emergency Department Faculty at Endof-Shift Regina Kovach, MD, Southern Illinois University School of Medicine 23

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Addressing Advocacy as a Role of Academic Emergency Medicine Moderator: David P. Sklar, MD Importance and Impact of Physicians’ Participation in Advocacy – James Tarrant, MA, CAE My Experience inside the Belt Way, What really Happens - Robin R. Hemphill, MD Preparing Residents for Advocacy – Making a Difference for Patients – Theodore Christopher, MD

On November 1, 2008, 8:00 am - 12:00 pm, Marriott, Riverwalk, at the AAMC Annual Meeting in San Antonio, Texas, SAEM and AACEM will jointly sponsor a session titled “Addressing Advocacy as a Role of Academic Emergency Medicine.” Building on our recent success in working with the NIH, this session will explore the important connections between research and education and the political process. Public Health researchers have long recognized the importance of advocacy to bring about legislative changes that impact immunization, injury prevention and access to care. However, academicians have not consistently been engaged in the political process. The speakers: Theodore Christopher, MD, Robin R. Hemphill, MD and James Tarrant, MA, CAE, all have experience at

local and national levels for political advocacy and will describe opportunities they can foresee, regardless of the outcome of the elections. They will explain what limitations exist based upon the tax status of the organization and opportunities for partnering with others. Gordon Wheeler, Associate Executive Director of the ACEP Washington office, will respond to the presentations and provide further information concerning the latest updates on bills of interest to emergency physicians. Following the presentations, the group will discuss priority areas for advocacy for the coming year and options for partnering with other academic groups, specialty organizations and public groups. If you want your voice heard, this will be the place to be.

SAEM Western Regional Research Forum and Medical Student Forum Meeting Announcement and Call for Abstracts Friday, January 30 – Saturday, January 31, 2009 University of Utah Health Sciences Center | Park City, Utah SAEM is pleased to announce the 12th annual meeting of the Western Regional Research Forum. Abstracts must be submitted via the SAEM web site; the submission deadline is December 4, 2008, at 5:00 PM, Eastern Time. When submitting an abstract for the national SAEM meeting, simply check the box indicating your interest in the Western Regional Research Forum and your abstract will be considered for both meetings.

This meeting is an excellent opportunity for medical students, residents, fellows and junior faculty to present their research. Abstracts from senior faculty are also welcome, of course. All accepted abstracts will be presented as minioral presentations.

In addition to presentation of original research, the meeting will include a keynote presentation from Dr. Stephen R. Hayden from UCSD Medical Center, San Diego, CA. There will be an optional hands-on workshop on basic ultrasound techniques, taught by University of Utah Faculty.

There will also be a half-day Medical Student Forum with discussions on how to select a residency program and make one’s application as competitive as possible. In addition, students will have ample opportunity to speak informally with residency directors from throughout the Western United States.

Please direct preliminary questions to Kelsey Klem-Cearley at klemke@ohsu.edu or call (503) 494-1475. Mailin registration forms and more information is available on the SAEM website under Meetings > SAEM Regional Meetings > Western Regional Meeting.

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Call for Abstracts

Annual Meeting May 14 – 17, 2009 | New Orleans, LA Deadline: December 4, 2008 The Program Committee is accepting abstracts for review for oral and poster presentation at the 2009 SAEM Annual Meeting. Authors are invited to submit original emergency medicine research in the following categories: • Abdominal/gastrointestinal/ genitourinary pathology • Administration/health care policy • Airway/analgesia/analgesia • CPR • CV basic science • Cardiovascular (non-CPR) • Clinical decision guidelines • Computer technologies • Diagnostic technologies/radiology

• • • • • • • • • •

Disaster medicine • Disease/injury prevention • Education/professional development • EMS/out-of-hospital • Ethics • Geriatrics • Infectious disease • Ischemia/reperfusion • Neurology • Obstetrics/gynecology

Overcrowding Pediatrics Psychiatry/social issues Research design/methodology/ statistics Respiratory/ENT disorders Shock/critical care Toxicology/environmental injury Trauma Wounds/burns/orthopedics

Abstracts detailing Innovations in Emergency Medicine Exhibits (IEME) are also being requested. The online IEME submission form will be posted October 1, 2008 and the deadline for submission is December 11, 2008. The deadline for submission of abstracts for the Annual Meeting is Thursday, December 4, 2008 at 5:00 pm Eastern Time and will be strictly enforced.

The online abstract submission form and instructions will be posted September 2, 2008. Only electronic submissions via the Society for Academic Emergency Medicine (SAEM) online abstract submission form will be accepted, and will be available on the SAEM website at www.saem.org. 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 2009 SAEM Annual Meeting. Original abstracts presented at regional meetings in April or May 2009 will be considered. Abstracts accepted for presentation will be published in the Abstract Supplement of the May 2009 issue of Academic Emergency Medicine (AEM), the official journal of SAEM. 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.

Call for Submission

Innovations in Emergency Medicine Education Exhibits Deadline: Thursday, December 11, 2008 The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2009 SAEM Annual Meeting, May 14 – 17, 2009 in New Orleans. 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. The descriptions/abstracts of the selected IEME Exhibits will be published in the Abstract Supplement of the May 2009 issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. 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 December 4 deadline.

The deadline for submission of IEME Exhibit applications is December 11, 2008 at 5:00 pm Eastern Time. Only online submissions using the form on the SAEM website at www.saem.org will be accepted. For further information or questions, contact SAEM at saem@saem.org or (517) 485-5484.

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Nominations for SAEM Awards Young Investigator Award Deadline: December 15, 2008 SAEM recognizes up to three (3) candidates for the Young Investigator Awards each year. The Society’s core mission includes the creation of knowledge; these awards recognize those SAEM members who have demonstrated commitment and achievement in research during the early stage of their academic career. Any SAEM member may nominate a candidate.

The specific criteria for the • Training and certification in emergency medicine or an ABEM specialty.

• Evidence of 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.

• Academic accomplishments which may include: postgraduate training/education: e.g., research fellowship, master’s program, doctoral program publications: original scientific manuscripts (one of the two most weighted criteria), texts, abstracts, review articles, chapters, case reports, and other works.

• grant awards (also one of the most weighted criteria, with competitive awards noted) • presentations at scientific meetings • research awards/recognition Candidates must not have completed initial residency training before June 30, 2001.

SAEM Leadership Award Deadline: February 1, 2009 SAEM seeks nominations for the Leadership Award. This award honors a SAEM member who has made exceptional contributions to emergency medicine through leadership - locally, regionally, nationally or internationally. The Awards Committee wishes to consider as many exceptional candidates as possible. The SAEM Leadership Award is presented during the SAEM Annual Meeting. Candidates are evaluated on their leadership contributions including (but not limited to) those related to: • Emergency medicine organizations and publications.

• Emergency medicine academic productivity.

• Academic emergency medicine development.

• Advancement of emergency medicine regionally, nationally or internationally.

Hal Jayne Academic Excellence Award Deadline: February 1, 2009 SAEM seeks nominations for the Hal Jayne Academic Excellence Award. This prestigious award is presented to a member of SAEM who has made outstanding contributions to emergency medicine through research, education and scholarly accomplishments. The Awards Committee wishes to consider as many exceptional candidates as possible. Candidates are evaluated on their accomplishments in emergency medicine, including: • Teaching

• Didactic/Bedside

• Scholarly works

• Presentations

• Recognition or awards by students, residents, or peers

• Research and Scholarly Accomplishments

• Original research in peer-reviewed journals

• Research support generated through grants and contracts

• Peer-reviewed research presentations

• Honors and awards

• Development of new techniques of instruction or instructional material

• Other research publications (e.g., review articles, book chapters, editorials)

All nominations must be submitted electronically to jennifer@saem.org and include: 1) a current CV of the candidate and 2) a cover letter by the nominator addressing above areas and the impact on emergency medicine and physicians, maximum of two (2) pages. While not mandatory, a maximum of two (2) additional support letters may be forwarded, each with a two (2) page limit.

A Leadership nomination must also include (along with the above): • • • •

Nominee’s Name (first name, middle initial, last name, earned degrees) Principal Honors and Awards Received Major Leadership Positions Within SAEM Major Non-SAEM Leadership Positions, Societies and Boards

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Call for Nominations

SAEM Elected Positions Deadline: January 12, 2009 Nominations are sought for the SAEM elections that will be held in the spring of 2009. 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 online at www.saem.org. Select About SAEM, Governance and Leadership. On the left-hand-side, towards the middle of the page, click on Board of Directors Guidelines. You can also obtain the guidelines directly from the SAEM office.

Nominations are sought for the following positions: President-Elect: The President-Elect serves one year as President-Elect, one year as the President, and one year as Past President. Candidates are usually members of the Board of Directors.

Secretary-Treasurer: The Secretary-Treasurer will be elected for a two-year term on the Board. Candidates are often current members of the Board of Directors.

Board of Directors: Two members will be elected for a three-year term (2009-2012) 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 2009-May 2010) 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 (2009-2011). 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. Nominating Committee members may not run for elected office while serving on the Nominating Committee.

Constitution and Bylaws Committee: One member will be elected to a three-year term (2009-2012), the final year as the Chair of the Committee. The Committee reviews the Constitution and Bylaws and makes recommendations for the Board for amendments to be considered by the membership. Candidates should have considerable experience and leadership on SAEM committees and task forces.

The Nominating Committee wishes to consider as many candidates as reasonable and whenever possible will select more than one nominee for each position. Nominations may be submitted by the candidate or by any SAEM member. Nominations must be submitted online at www.saem.org. Select About SAEM, Governance and Leadership. Search the left-hand-side, towards the middle of the page, click on Call for Nominations. Select the Online nomination form link.

CPC Competition Submissions Sought Deadline: February 1, 2009 Submissions are now being accepted from emergency medicine residency programs for the 2009 Semi-Final CPC Competition. The deadline for submission of cases is February 1, 2009 with an entry fee of $250. Case submissions and presentation guidelines are posted on the Council of Emergency Medicine Residency Directors (CORD) website at www.cordem.org on the CPC Competition page.

The CPC Competition is sponsored by ACEP, CORD, EMRA, and SAEM. If you have any questions, please contact CORD by email at cord@cordem.org, or by phone, 517-485-5484.

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Call for Judges

2009 National Emergency Medicine CPC Competition Deadline: January 16, 2009 The Clinical Pathological Case (CPC) Task Force of the Council of Emergency Medicine Residency Directors (CORD) is charged with the organization and judging of the 2009 National Emergency Medicine CPC Competition.

They are now requesting as many as 30 individuals, who will be appointed to the CPC Task Force to serve during the entire one-year competition cycle. Judges will be responsible for the evaluation of cases submitted by Emergency Medicine Residencies for the Preliminary Competition. Cases will be forwarded to the CPC Task Force in March 2009 and must be judged and returned within 10 days. Each member of the CPC Task Force must attend the Semi-Final Competition held during the 2009 SAEM Meeting. Judges must be present during the entire competition that begins at 8:00 am and usually concludes by 5:00 pm. Team Leaders must also attend and judge the Final Competition held during the 2009 ACEP Scientific Assembly.

If you or a member of your faculty would like to serve as a CPC Task Force Member and judge for the 2009 National Emergency Medicine CPC Competition, please contact the CORD Office by e-mail at cord@cordem.org by January 16, 2009. Please indicate if you have served as a CPC judge before.

If you have any questions or concerns, please contact Douglas McGee, DO, Chair, CPC Task Force at mcgeed@ einstein.edu.

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Call for Photographs Deadline: January 26, 2009

Original photographs of patients, pathology specimens, gram stains, EKGs and radiographic studies or other visual data are invited for presentation at the 2009 SAEM Annual Meeting. 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 or the “Visual Diagnosis” medical student/resident contest.

No more than three different photos should be submitted for any one case. Submit one hard copy glossy photo (5 x 7, 8 x 10, 11 x 14, or 16 x 20) and a digital copy in JPEG or TIF 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 to SAEM, 901 N. Washington Avenue, Lansing, MI, 48906, 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 for the photograph(s) must be submitted on the template that is posted on the SAEM web site at www.saem.org, under the 2009 Annual Meeting page. The photographs must be submitted electronically to jennifer@ saem.org. 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 in the Annual Meeting onsite program and the 2009 July/August SAEM newsletter. 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. The attestation statement is included in the submission template.

If you have any questions or concerns, please contact SAEM at saem@saem.org or 517-485-5484.

Call for Papers

Public Health in the Emergency Department: Surveillance, Screening, and Intervention Deadline: March 2, 2009 The 2009 Academic Emergency Medicine (AEM) Consensus Conference on Public Health in the Emergency Department: Surveillance, Screening, and Intervention will be held on May 13, 2009, immediately preceding the Society for Academic Emergency Medicine (SAEM) Annual Meeting in New Orleans, LA. Original papers, if accepted, will be published together with the conference proceedings in the November 2009 issue of Academic Emergency Medicine.

Learn more by going to www.saem.org and click on the link for AEMCC 2009.

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CLASSIFIEDS University of California, Irvine – Department of Emergency Medicine

Ann Arbor, Michigan – Associate Chair for Academic Affairs

is seeking a HS Clinical Instructor - Research Fellow for July, 2009. UC Irvine Medical Center is a Level I Trauma center with 2200 runs/year, 40,000 ED census. This two-year research 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: Federico Vaca, MD, MPH, FACEP, at Department of Emergency Medicine, UC Irvine Medical Center, Route 128-01, 101 The City Dr, Orange, CA 92868, or email to fevaca@uci.edu, 714-456-6986, www.ucihs. uci.edu/ctipr/. The University of California, Irvine, is an equal opportunity employer committed to excellence through diversity.

Join the faculty of St. Joseph Mercy Hospital and University of Michigan EM Program as Research Director. Level II trauma center sees 86,000 patients annually; 4 year residency program with 14 residents per year. Substantial protected time; opportunity to guide the academic programs of the department. Responsibilities include oversight of departmental research activities; serving as a liaison to the institutional research committee; guiding faculty development, GME, and departmental educational activities; and academic recruiting. The director works closely with the Chair, the residency director, and researchers in setting academic priorities for the department. Position allows for appointment to the faculty at University of Michigan, excellent salary, and full benefit package including health, disability, life, malpractice, and 401k. To apply or for additional information please contact Michael Mikhail MD, FACEP, Chairman of Emergency Medicine SJMHS at 734-712-3962 or mikhailm@trinity-health.org.

The University of Pittsburgh – Department of Emergency Medicine offers fellowships in the following areas: • Toxicology • Emergency Medical Services • Research • Education Fellows enroll in a Master’s level program as a part of all fellowships. We provide intensive training and interaction with the nationally-known faculty from the Department of Emergency Medicine, with experts in each domain. Faculty appointments may be available and fellows assume limited clinical responsibilities in the Emergency Department at the University of Pittsburgh Medical Center and affiliated institutions. We provide experience in basic 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 we welcome candidates from diverse backgrounds.

Each applicant should have an MD/DO background or equivalent degree and be board certified/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 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. Duties and primary responsibilities include didactic and bedside teaching with medical students and residents; participation in other educational activities. Conducts translational research in laboratory settings and/ or clinical settings with medical students and/or residents. Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 146 Means Hall, 1654 Upham Drive, Columbus, OH 43210; or E-mail:Sharon.Pfeil@osumc.edu; or call 614-293-8176. Affirmative Action/Equal Opportunity Employer.

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Society for Academic Emergency Medicine

Newsletter

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

2008-2009 SAEM Board of Directors Katherine L. Heilpern, MD President

Executive Director James R. Tarrant, CAE

Jill M. Baren, MD President-Elect

Advertising Coordinator Maryanne Greketis, CMP mgreketis@saem.org

Jeffrey A. Kline, MD Secretary-Treasurer

Send Articles to: Anna Ashworth techsupport@saem.org

Judd E. Hollander, MD Past President Leon L. Haley, Jr, MD, MHSA Cherri D. Hobgood, MD Debra Houry, MD, MPH O. John Ma, MD

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.

Adam J. Singer, MD For newsletter archives and e-Newsletters Click on Publications at www.saem.org

Ellen J. Weber, MD Joseph Becker, MD

FUTURE SAEM ANNUAL MEETINGS 2009 2010 2011 2012

May 14 - 17 June 3 - 6 June 1 – 5 May 9 – 13

Sheraton New Orleans, New Orleans, LA Marriott Desert Ridge Resort & Spa, Phoenix, AZ Boston, MA Chicago, IL

SAEM REGIONAL MEETINGS Western Regional Research Forum, January 30-31 2009, Park City, Utah, Contact Kelsey Klem, MD, at klemke@ohsu.edu – Abstract submissions by December 4, 2008 at 5 pm EDT. Early-bird meeting rates for registrations received by December 29, 2008.

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