SAEM Newsletter November/December 2015

NEWSLETTER 2340 S. River Road, Suite 208 | Des Plaines, IL 60018 | 847-813-9823 | www.saem.org

NOVEMBER-DECEMBER 2015

VOLUME XXX NUMBER 6

TERESITA HOGAN, MD SAYS EM HAS IT ALL COMMUNITY SITE EASIER TO NAVIGATE SEX AND GENDER INTEREST GROUP INTRODUCED

Leading the advancement of emergency care through education and research, advocacy, and professional development in academic emergency medicine.

SAEM Staff Chief Executive Officer Megan N. Schagrin, MBA, CAE, CFRE Ext. 212, mschagrin@saem.org Director of Finance & Benefits Doug Ray Ext. 208, dray@saem.org Director of Information Technology James Pearson Ext. 225, jpearson@saem.org Director of Communications & Publishing Stacey Roseen Ext. 207, sroseen@saem.org Communications Manager Marilyn Mages, CAE Ext. 202, mmages@saem.org Education Manager LaTanya Morris Ext. 214, lmorris@saem.org

2015-2016 BOARD OF DIRECTORS Deborah B. Diercks, MD, MSc President University of Texas Southwestern at Dallas Andra L. Blomkalns, MD President-Elect University of Texas Southwestern at Dallas D. Mark Courtney, MD Secretary/Treasurer Northwestern University Feinberg School of Medicine Robert S. Hockberger, MD Immediate Past President Harbor-UCLA Medical Center

Governance and Administration Manager Kat Nagasawa Ext. 206, knagasawa@saem.org

Steven B. Bird, MD University of Massachusetts Medical School

Grants & Foundation Manager Melissa McMillian, CNP Ext. 203, mmcmillian@saem.org

Kathleen J. Clem, MD, FACEP Loma Linda University School of Medicine

Marketing & Membership Manager Holly Byrd-Duncan, MBA Ext. 210, hbyrdduncan@saem.org

James F. Holmes, Jr., MD, MPH University of California Davis Health System

Meeting Planner Maryanne Greketis, CMP Ext. 209, mgreketis@saem.org

Amy H. Kaji, MD, PhD Harbor-UCLA Medical Center

Accountant Hugh Paz Ext. 216, hpaz@saem.org

Ian B.K. Martin, MD University of North Carolina School of Medicine

Membership Coordinator George Greaves Ext. 211, ggreaves@saem.org

Richard Wolfe, MD Beth Israel Deaconess Medical Center/Harvard Medical School

Systems Administrator/Database Analyst Michael Reed Ext. 205, mreed@saem.org SAEM & Foundation Administrative Assistant Kataryna Christensen Ext. 201, kchristensen@saem.org

Kavita Joshi, MD Resident Member University of Texas Southwestern at Dallas

Education Administrative Assistant Elizabeth Oshinson Ext. 204, eoshinson@saem.org

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.

AEM Staff

For Newsletter archives visit http://www.saem.org/publications/newsletters

Editor in Chief David C. Cone, MD david.cone@yale.edu Journal Editor Kathleen Seal kseal@saem.org Journal Manager Stacey Roseen Ext. 207, sroseen@saem.org

Š 2015 Society for Academic Emergency Medicine. All rights reserved. No part of this publication may be reproduced, stored, or transmitted in any form or by any means without prior permission in writing from the copyright holder.

Table of Contents

PAGE 10 EM PHYSICIAN IN THE SPOTLIGHT TERESITA HOGAN, MD

PAGE 16 NEW INTEREST GROUP INTRODUCED

PAGE 20 SAEM IMPROVES COMMUNITY SITE

4 5

President’s Comments

6 8

Ethics on Call

CEO Message

How Residents Can Jump Start Their Financial Plan

10

EM Physician in the Spotlight Teresita Hogan, MD

12

A Resident’s Perspective on the First Telemedicine Elective

14

SAEM Consultative Services Expands Reach

15

Bringing Sexy Back to Journal Clubs

16

Introducing a New SAEM Interest Group

18

2015 Great Plains Meeting Report

20

SAEM Improves Community Site

22

Announcements

GIVE,GET,

GROW! Deborah B. Diercks, MD, MSc

Professor and Chair University of Texas Southwestern Medical Center at Dallas The next several months are important ones for SAEM. It is the time of year when we promote member involvement in committees, encourage members to run for elected positions, and accept nominations from members for SAEM awards. There are many reasons why members should become involved in SAEM, chief among them are opportunities for networking, education, and service. A few years ago, I became involved at my daughters’ high school as an assistant coach for the soccer team. I did not volunteer for this position because I am interested in teaching soccer (frankly, I am not a very good player). I got involved because I wanted to learn more about the environment in which my daughters spend much of their time; I wanted to network with the parents of the other players; and I wanted to serve in a capacity for which I felt capable of contributing. Likewise, as an SAEM member, you have an opportunity to contribute to your society in a manner that meets your professional and personal goals and needs at a level for which you feel competent.

are designed to include the specific objective of encouraging collaboration and, at the same time, are established with an understanding of physicians’ time constraints.

SAEM is, at its core, a member-led organization. Unlike large associations that have a robust staff to provide background information and research on topics for its physician-members, SAEM relies largely on its members to meet the goals and objectives set forth in its strategic plan.

Through SAEM’s many committees, members have a forum to provide valuable input that is critical to the development of programs that improve our Society and our profession.

Having a diverse committee makeup enables SAEM to create programs that are developed with the interests of all its members in mind.

The Society’s website posts an ad that states, “SAEM is 6000 strong and growing!” Essential to this growth is you; more specifically, your involvement. Please consider playing an active role in the future of your Society by joining a committee, running for office, or nominating a peer (or yourself) for an SAEM award.

Participation in SAEM through these various mechanisms also provides opportunities for professional growth and networking. One valuable way this happens is through member exposure to academic faculty with similar interests and at multiple career points. In addition, SAEM committees

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Through January 8, 2016, SAEM also will solicit nominations for SAEM awards (http://www.saem.org/about-saem/saemawards). Acknowledging our members’ successes is important to our Society and to academic emergency medicine; therefore, we need your assistance to identify those outstanding members who best meet the high qualifications for which an SAEM award stands.

Lastly, the Nominations Committee is accepting applications through December 5, 2015, for SAEM elected positions (http:// www.saem.org/about-saem/leadership). Running for an SAEM office is a key way to become involved in SAEM at a deeper and broader level. Through these leadership positions, members can truly impact their Society in a manner that is sure to have a lasting effect.

“There are many reasons for members to become involved in SAEM, chief among them are opportunities for networking, education, and service.”

Cheers to a 2015 of record growth; Here’s to a 2016 of customer service Megan Schagrin, MBA, CAE, CFRE

SAEM CEO

As 2015 comes to a close, two numbers stand out as significant in what has turned out to be a record-breaking year for SAEM: 1) Attendance at our Annual Meeting surpassed the 3,000 mark for the first time in our Society’s history, and 2) SAEM is now over 6,000 members strong.

So what can you expect from SAEM for 2016? Expanded benefits, improved branding, and increased customer service. As a result of the conversations we had with you while developing the SAEM strategic plan, we learned that you care deeply about education, professional promotion, and networking… And we’re responding to your wishes with expanded member benefits that support all three.

For example, beginning with the SAEM16 Annual Meeting in New Orleans, every session will be recorded and made available to attendees for FREE. This means more ways for you to learn—and earn CME credits. What’s more, to help you plan your annual meeting schedule, registration and housing will open earlier this year. Watch for announcements in early December.

If you visited the SAEM booth at ACEP15 this past October, you know that we offered complimentary professional headshots to our members (If you missed out at ACEP15, be sure to stop by the SAEM16 booth at the Annual Meeting in New Orleans, where we will again offer professional headshots). These are the types of details we try to think through for you, so you don’t have to.

In the coming new year, you also can look for SAEM to update and expand our directories, job boards, and communications to give you increased and improved opportunities for professional growth, networking, and career development.

Also in 2016: Watch for an updated “look” and cohesive style for the AEM journal, SAEM Foundation, and all of SAEM’s Academies, Committees, and Interest Groups. Unifying our visual identity across all SAEM initiatives and programs will help us achieve our goal to become a nationally recognized and respected brand.

If there is one overriding theme for 2016, it is this: Customer service. What does this mean for you? It means we’re working hard to pro-actively address some of the areas you identified as needing improvement. As a result, in 2016, you can expect technology enhancements like:

• A new platform that allows you to log in easily to become a member or to renew your dues. No more clicking a million links.

• A single, sign-on solution that means one login for member services for our website and registrations, and for claiming CMEs In an effort to give you what you need, when you need it, we will also assess all aspects of our website to present you with well-organized content, easy (and error-free) navigation, and good, overall functionality.

Finally, if you have information to share on social media, or news you want to submit to the newsletter, it will be easier than ever in 2016. We’re setting up a streamlined and straightforward system to allow you to communicate simply and often to the SAEM staff and with each other. And speaking of social media, if you are not presently following us on Twitter, Facebook, and LinkedIn, now is definitely the time to start. SAEM now offers new content daily to ensure you are well-informed on what’s happening with SAEM and within the emergency medicine community, and to give you opportunities to connect and engage with others in the field.

Seven ways SAEM is expanding member benefits to serve you better in 2016 1. Easy log-in to join SAEM or renew your dues 2. A single, sign-on solution for all your member service needs 3. A simple system for you to submit content for social media and news 4. A better-organized, easy-to-navigate, error-free website 5. Enhanced opportunities for professional development 6. More and better social media content and engagement opportunities 7. An updated, cohesive brand across all SAEM programs and initiatives

November / December 2015

5

ETHICS ON CALL Family Dynamics: Working with Parents and Teens in the ED

By Dr. Mary Bhalla The patient is a 15-year-old female named Tiffany, presenting with her mother. The chief complaint is “wants tested.” The mother explains that Tiffany lied to her about spending the night at a friend’s house the night before and had instead gone to a party. Tiffany’s mother wants her tested for drugs, alcohol, and to see if she has been having sexual intercourse.

Tiffany sits fully dressed with her arms crossed and a defiant look on her face. She is refusing to speak with me or to be examined. She does allow the nurse to obtain her vital signs, which are normal. The mother states that Tiffany has no significant past medical history nor any previous suspicion of substance abuse. To the mother’s knowledge, Tiffany has never been pregnant and has never had a gynecologic evaluation.

The Ethical Issues There are several ethical issues at play in this situation: One is the issue of a minor refusing evaluation when her guardian is insisting on one; another is the request for an emergency physician to perform potentially unnecessary tests or examinations; a third is the use of emergency medicine resources for a non-emergent visit that is, in truth, a problem of family dynamics.

Issue One: Determining if an Emergent Medical Issue Is Occurring The first issue for the emergency medicine physician is to act in accordance to the Emergency Medical Treatment and Active Labor Act (EMTALA) and establish whether an

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emergent medical condition is occurring. When dealing with a minor, a physician must also ensure the patient is safe and is not being exploited (i.e., sexual abuse or human trafficking).

If the patient has no complaints, denies being injured or in pain, has normal vital signs, is not under the influence of drugs or alcohol, and appears to have decision-making capacity, then it is unlikely that a life threatening situation is present.

The question then becomes whether this patient has decisionmaking capacity. In most states, minors are allowed to seek medical care for the treatment of sexually transmissible infections (STI), sexual health, birth control, and the treatment for drug and alcohol abuse. The question is whether they can refuse treatment or evaluation for these conditions. One assumes that if a minor seeks treatment for one of these conditions that they will comply with treatment that is in his or her best interest, but that may not be the case. Forcing a teenager to undergo life-saving treatments may be necessary, but would have to be under the direction of the hospital ethics board and potentially a court order. In this case there is no evidence that a substance-abuse problem or sexually transmitted infection is present.

Issue Two: Dealing with Parental Requests The next ethical issue is the mother’s request for testing for drugs, alcohol, and sexual intercourse, despite there being no evidence that an emergent medical condition stemming from these activities is present. It is not uncommon for patients to request laboratory tests or imaging that does not exist or

are inappropriate for the emergency department to perform Although alcohol and illicit substance testing is important for the evaluation of a patient with an altered level of consciousness, there is no indication that routine testing is cost-effective.

Although there is no test or exam for “sexual activity,” from a public standpoint, pregnancy and STI testing can be done in the emergency department; however, there must be a followup plan in place for those patients who are not treated or will not be present for their results. When performing screening tests in the emergency department, the use of resources to collect and run these tests must be weighed against the needs of the population as a whole and those of the patients in imminent need of emergent care. There also must be a compelling reason to test a minor who is refusing evaluation.

Issue Three: Using the ED for Non-Emergency Medical Concerns The final issue is the use of emergency department resources for a problem of family dynamics rather than from an emergent medical condition. This makes us question the definition of an “emergency.” Will the patient die if she is not treated today? Unlikely. Will she suffer morbidity if an emergent medical condition is not treated today? Unlikely.

Will she suffer morbidity if her social situation is not addressed? Possibly.

Although in emergency medicine it is satisfying to save a life by performing a procedure or giving a medication, it is often our counseling that makes a long-term impact on a patient’s health: Talking them out of an inappropriate antibiotic; talking them into getting an outpatient colonoscopy; discussing safe sexual practices; giving them advice on substance abuse treatment centers or prenatal smoking cessation. We do no harm when we give patients our time and attention rather than a medical intervention. It would be easy, in this case, to tell the mother that there is no emergency and walk out of the room, but the compassionate intervention would be to sit down and have a discussion.

We discussed substance abuse avoidance strategies and safe sexual practice. I invited her mother back into the room. I explained that I did not see any indication that Tiffany needed to be tested for substance abuse or STI. I expressed my concern about their ability to have an open, trusting relationship and referred them for family counseling.

About the Author:

(Mary) Colleen Bhalla, MD, is the associate research director of the Summa Akron City Hospital Department of Emergency Medicine, an associate professor at Northeast Ohio Medical University and a member of the SAEM Ethics Committee. Her passions include teaching evidence-based medicine, modeling compassionate healthcare delivery for all patients, and advocating for vulnerable populations. As a member of the Ethics Committee she works to promote the open discussion of complicated patient and societal problems, with a focus on autonomy, justice, beneficence, and non-maleficence in the backdrop of altruism from the healthcare provider.

New Orleans

Case Resolution Tiffany agreed to speak with me alone without her mother present. Tiffany admitted to me that she had tried marijuana and alcohol before, but did not use either regularly because she does not like the way they make her feel. She stated that she has only had sexual relations with a female her own age, so it is not possible for her to be pregnant. She stated that her periods have been regular and she has not had any pelvic pain or discharge. Tiffany fears telling her mother that she has a girlfriend because she is not sure how her mother will receive her homosexuality. She admited to sometimes thinking about running away but does not have a specific plan for doing so. Tiffany asked that I not disclose her sexual orientation to her mother. I agreed.

2016 SAEM Annual Meeting Educate The Mind, Entertain The Soul

May 10-13

November / December 2015

7

FINANCIAL PLANNING How Residents Can Jump Start Their Plan

By Ann Tsung, MD

Debt is higher for physicians than for any other nonmedical profession. Financial difficulties for doctors are becoming even more challenging as the cost for medical school increases and after-inflation income decreases.

To guarantee financial security, physicians must become financially savvy and begin now to build solid financial habits to last a lifetime.

There are three phases of income and wealth building: 1. The lean years start at the completion of medical training when student loans are at their peak and very little cash is set aside for savings and investment 2.The disposable phase starts once high interest consumer debt is paid and emergency reserves are saved. This is also the period where conscious decisions are made on how to distribute the newly acquired cash flow

Living Wage • For children, education, travel, bills etc • Set a budget for various living expenses and monitor them using websites like mint.com • Percent dedicated __________ Saving and Investing • Save for a rainy day (three to six months of living expense) • Invest: Personal disability insurance, Roth IRA, Institutional IRA, 401K, etc • Start with highest risk investment early with progression to less risky investments as your career continues

3.Meaningful wealth begins when enough money has been accumulated to begin contributing time and money to causes you support.

• Percent dedicated __________

There are three solid steps to laying a firm financial foundation. The first step is to work with a financial planner, preferably a fiduciary who will not benefit from any plans or investments they recommend and who works specifically with physicians. The second step is to start saving an emergency reserve of money that is equal to three to six months of your income. The third step is to build a budget and assign a percentage of your paycheck to the following categories:

• Pay off high interest (like credit cards) first and student loans as soon as possible

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Reducing Debt

• Restructure or consolidate loans. Federal consolidation is necessary if participating in loan forgiveness programs • Percent dedicated __________ Giving To Charity • Percent Dedicated ______

Examples of percentage distribution:

No matter what stage of life you are in, it is not too late nor too early to start the financial planning process. Taking time now to focus on developing a financial plan will go a long way toward helping you achieve financial freedom in the future.

• 60% for living expenses • 18% for saving and investing • 10% applied as additional payments to eliminate the debt earlier than scheduled. To increase savings percentage once debts had been fully eliminated • 12% for giving to charity

References: The White Coat Investor http://whitecoatinvestor.com/ Larson Financial: “The Missing Course: Why Physicians Look Rich but Feel Poor” http://larsonfinancial.com/ wp-content/uploads/2012/11/DEO-Intro-and-Ch1.pdf

Finally, when making a financial plan, ask yourself these questions: • What type of retirement lifestyle do you want • What other plans will require financial resources • What needs to happen financially over the next three years to make the plan work • What percent of your after-tax income (net income) do you plan to spend in each category

About the Author:

Implementing Your Plan Implement your plan by deducting the funds needed for giving, debt reduction, savings, and investments from the income earned and putting it into a separate account; the rest can be used for living expenses. Early on in the process, while you are at a lower tax bracket, ask your financial advisor for ways to obtain tax deductions and utilize the Roth IRA.

New Orleans

Ann Tsung, MD, is an Anesthesiology Critical Care Medicine fellow at Barnes Jewish Hospital - Washington University in Saint Louis. She completed her emergency medicine residency at University of Florida, Shands Hospital in Gainesville, where she was the chief resident.

She is also a graduate of University of Texas Health Science Center, San Antonio.

2016 SAEM Residency & Fellowship Fair Friday, May 13, 2016 from 3:00 pm to 5:00 pm

Sheraton New Orleans

8th Floor, Armstrong Ballroom Your program is invited to participate in the SAEM Residency & Fellowship Fair. This is a unique opportunity to network with hundreds of medical students and emergency medicine residents looking to find their perfect emergency medicine or fellowship training program.

Don’t miss your chance to be part of this exciting SAEM event.

November / December 2015

9

SAEM MEMBER SPOTLIGHT Shinning a Constant, Steady Light in the ED An Interview with Teresita Hogan, MD

Dr. Teresita Hogan is assistant professor of medicine at University of Chicago Medicine. She received her medical degree from University of Illinois at Chicago (UIC) College of Medicine She has also practiced at Illinois Masonic Medical Center, Chicago, St. Francis Hospital, Evanston, and Resurrection Medical Center in Chicago, where she was the founder and first director of the Emergency Medicine Residency Program.

Just because it isn’t flashy doesn’t mean it’s not important. Good geriatric care is lifesaving; it is that constant, steady light.

EM is a specialty where a simple thing like having a conversation with someone can provide a clue that might lead to a diagnosis or support a person in need. It is not only the knowledge and skills of emergency physicians that appealed to me, but the way they applied their talents toward making a difference every day that influenced me to pursue EM. The EM specialty is so broad that it takes many shapes. Not only are emergency physicians clinicians, they also apply their EM skills to research, administration, education, policy, and politics. Emergency physicians interact with every other specialty and multiple medical disciplines—often over the course of a single shift. In addition, an emergency physician’s hard-earned competences transfer to many other areas outside of medicine, creating a skill set that carries far beyond the doors of the ED.

How have your mentors shaped you?

Why did you choose to pursue a career in emergency medicine?

I chose emergency medicine because it is the specialty that has it all: It is fast paced, high energy, and never boring.

You see everything from a hang nail to a heart attack and everyone from plumbers to presidents. I saw in the emergency medicine specialty the ability to help the greatest number of people at what is often the most critical point in their lives.

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An emergency physician must be cool, smart and resourceful.

As an intern I saw Ronnie Lee, MD, attending at Illinois Masonic Medical Center, standing in the center of four critical beds, simultaneously directing a code, managing vent settings on a COPD-er he had just intubated, and ordering meds to control a patient with status epilepticus—all while supervising my shaky, chest tube insertion. He was amazing! I aspire to reach that level of skill under pressure. Gary Strange, MD, then chair of Emergency Medicine at UIC, showed me how

important it is to educate others and charged me to dedicate myself to improving the specialty of emergency medicine.

He gave me the insight to move from the bedside, helping one patient at a time, to broader work that can impact many lives simultaneously. Every time a resident is trained to do something right, it effects the thousands of patients a resident will treat over the course of a career. Each time a system is fixed or a process of care is improved, it impacts the thousands of patients who will use that system or process for years to come. Connie Green MD, then program director at Cook County Hospital, made me aware of how this behind-the-scenes work, while getting less attention, often gives more satisfaction. Her mentoring showed me a different perspective that helped me to see the changes one EM physician can help to create. Rosanne Leipzig, MD, professor, geriatrics and palliative medicine at Mount Sinai Hospital, inspired me to stay focused on the vulnerable, older patient who often gets caught in the rushing gears of the emergency department. Opposite to the high-action, adrenaline-seeking emergency physician in me, this more evolved, thoughtful, quiet approach has made me more balanced and moved me closer to Ronnie Lee’s ability to masterfully orchestrate many simultaneously moving parts.

What is your favorite part of your job?

My favorite part of the job is what I imagine matters to most of us: Seeing a patient become better off because I took part in their care. That happens in not only the dramatic lifesaving moments, although those are unforgettable, but also when making a critical patient smile, watching a resident experience a “now I get it” moment, or bringing calm to a frantic family.

“I saw in the emergency medicine specialty the ability to help the greatest number of people at what is often the most critical point in their lives.”

What is the hardest of your job?

The hardest part of my job is trying to keep from being jaded by the constant exposure to how unfair life can be.

Emergency physicians jump in to a series of tragedies every day: We see children with cancer; we treat once lucid people, now vacant from dementia; and we deal daily with healthcare systems that seem more concerned with making a profit than in caring for people. Being able to come back the next day and take it on again is a great thing.

What attracted you to geriatric emergency medicine?

My dad taught me that it is easier to have a flash of brilliance than to steadily shine a constant light. An ever-increasing number of older adults now constitutes about one-third of our patient population. Caring for them requires learning geriatric competencies, which necessitate a different skill set than that used for younger patients. We need to create new systems and processes of care to optimize outcomes for this vulnerable population. Evidence shows the model of emergency care that was developed in the 1960s—which was geared toward one, rapidly-developing problem and quickly implementing a fix—must change in order to address the multiple, complex, interwoven issues of elders in 2015 and beyond. I am privileged to work with people who view the chance to improve this system as a personal challenge; it will improve the specialty of EM overall and the lives of our elders in particular.

What have you learned most about geriatric emergency medicine?

Two principles stand out: First, emergency medicine cannot stay limited to reactive care; it has to expand into proactive care. We can’t simply treat the presenting complaint and ignore a predictable, higher-risk situation. Elders present with falls, frailty, and confusion—all of which can result in more dangerous problems. We need to identify these issues and prevent more severe and costly downstream effects. This is our responsibility as physicians on the front line. The second principle is this: Just because it isn’t flashy doesn’t mean it’s not important.

Good geriatric care is lifesaving; it is that constant, steady light.

What do you do in your free time?

I am the classic soccer/baseball/basketball mom. I cheer in the stands and enjoy my kids. That takes up most of my time these days. I love to ride my horses… Nothing is better than watching the world rush by as viewed over the top of my horse’s ears. I love traveling with my family and showing my kids a bit of the world.

How do you manage work and life stress?

There is no master plan in this regard. I have learned to say no to some projects, but there are still times when I wish I had not committed to something. I leave my phone downstairs in the charger at night and in my purse during my kids’ activities and at dinner, which my husband and I work hard to have together as a family most nights. I try to delight in the moment, in what I have today.

If you weren’t a physician what would you do?

That is a silly question. I have never regretted being a doctor and would not trade it away. When I retire and am not practicing medicine, I will ride horses around my yet-to-be dream house on the beach.

November / December 2015

11

A Resident’s Perspective on the First Telemedicine Elective Rotation

By Jamila Goldsmith

When asked the question by fellow residents about what I would be doing for my upcoming senior elective rotation, my response—Telemedicine—always left them with a look of curiosity and more questions: What is Telemedicine? Why are you interested in telemedicine? How is telemedicine going to be used in emergency medicine?

Questions Answered These questions were answered for me during my introduction to telemedicine at the 2015 SAEM Annual Meeting in San Diego, where I attended a didactic, “Anticipating Emerging Specialization: What Will Be the EM Fellowships of the Future?” This session birthed my interest in learning more about telemedicine and its foundation. Later I was given the great pleasure of participating in the first telemedicine elective, created at Thomas Jefferson University (TJU), and working with Judd Hollander, MD, associate dean for Strategic Health Initiatives at Sidney Kimmel Medical College and telehealth fellowship director.

During my month-long rotation in Telemedicine, I had an opportunity to experience, first-hand, the challenges and triumphs of implementing a telehealth program. My daily activities included working collaboratively with team leaders and executives from the private sector and TJU—forward thinking people invested in making telehealth a success at the University.

“Telemedicine is an emerging specialization that soon will be in widespread use.”

Overall, I gained exposure to countless industry leaders with unique backgrounds bringing a wealth of knowledge, experience, and business savvy to the forefront. TJU is laying the groundwork for what patient care will soon be and their efforts will be further driven with the development of the National Academic Center for Telehealth, which will be the country’s first center dedicated to forging the way in telehealth training and research.

Easy Access to Medical Care JeffConnect, TJUs telehealth platform, makes access to medical care easy by downloading an app on a smart device or using a computer web browser. At the click of a button, the interface allows for a live, face-to-face video interaction between the patient and healthcare provider. This eliminates barriers to care by making it more convenient and cost effective for patients. Primary care and subspecialty clinic appointments are simplified, by making the typical 15 minute follow up easy to perform while the patient sits in his or her living room. For admitted patients, virtual rounds allow family members who are unable to be physically present to virtually have the opportunity to ask questions and stay informed about their loved one.

For the busy person who wants to avoid a long ER wait time, on-demand virtual care is the perfect solution. Patients can consult with an emergency medicine physician and then be provided with appropriate recommendations for their chief complaints. Recommendations may include prescriptions or OTC treatment, coordination of care or, if warranted, the physician may advise the patient to go to the nearest emergency department or urgent care clinic. With patientcentered care being the primary focus, the goal is to give patients a choice and to deliver quality care wherever they are.

The Future of Telemedicine Is Now

On my first day, I was integrated as a member of the team and given the chance to participate in and openly provide insight on various topics. I helped to prepare physicians and staff for performing telehealth visits by assisting with training sessions on the telehealth platform. I was also involved in various strategic planning meetings with the telehealth leadership group, which included physician leaders, legal, marketing, finance and IS&T. I was privileged with the opportunity to sit down with the TJU President and CEO Stephen Klasko, MD, along with his senior leadership team, where I witnessed major decision-making and planning that will shape the delivery of healthcare for the entire country.

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As a future practicing emergency medicine physician, it is exciting to witness and be a part of the driving force behind upgrading how we practice medicine in the 21st Century.

Telemedicine is a novel idea that may take some time to understand and accept, but it is definitely an emerging specialization that soon will be in widespread use.

About the Author:

Jamila Goldsmith, MD, is a graduating, third-year EM Resident at the University of Chicago and currently the member at large for SAEM’s Academy for Diversity and Inclusion in Emergency Medicine (ADIEM).

CALL FOR PROPOSALS 2018 AEM Consensus Conference Submission deadline: April 8, 2016

The editors of Academic Emergency Medicine are now accepting proposals for the 19th annual AEM consensus conference to be held on May 15, 2018, at the SAEM Annual Meeting in Indianapolis.

Previous topics have included and will include (2016 and 2017): 2010: Beyond regionalization: integrated networks of emergency care 2011: Interventions to assure quality in the crowded emergency department 2012: Education Research in Emergency Medicine 2013: Global Health and Emergency Care: A Research Agenda 2014: Gender-Specific Research in Emergency Medicine: Investigate, Understand, and Translate how Gender Affects Patient Outcomes 2015: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization 2016: Shared decision-making in the emergency department: development of a policy-relevant patientcentered research agenda.

2017: Catalyzing System Change Through Health Care Simulation: Systems, Competency, and Outcomes

Proposals must advance a topic relevant to emergency medicine that is conducive to the development of a research agenda, and be spearheaded by thought leaders from within the specialty. Consensus conference goals are to heighten awareness related to the topic, discuss the current state of knowledge about the topic, identify knowledge gaps, propose needed research, and issue a call to action to allow future progress. Importantly, the consensus conference is not a “state of the art” session, but is intended primarily to create the research agenda that is needed to advance our knowledge of the topic area.

Well-developed proposals will be reviewed on a competitive basis by a sub-committee of the AEM editorial board. Proceedings of the meeting and original contributions related to the topic will be published exclusively by AEM in its special topic issue in December, 2018.

Submitters are strongly advised to review proceedings of previous consensus conferences, which can be found in the past November and December issues of AEM, to guide the development of their proposals. These can be found open-access on the journal’s home page (www. aemj.org).

Submitters are also welcome to contact the journal’s editors or leaders of prior consensus conferences with any questions, or for copies of submissions from prior years.

Proposals must include the following: 1. Introduction of the topic • brief statement of relevance • justification for this topic choice 2. Proposed conference chairs, and sponsoring SAEM interest groups, committees, or academies (if any – not required) 3. Proposed conference agenda and proposed presenters • plenary lectures • panels • breakout topics and questions for discussion and consensus-building 4. Anticipated audience • stakeholder groups/organizations • federal regulators • national researchers and educators • others 5. Anticipated budget, to include such items as: • travel costs • audiovisual equipment and other materials • publishing costs (brochures, syllabus, journal) • meals 6. Potential funding sources and strategies for securing conference funding.

How to submit your proposal.

Proposals must be submitted electronically to aem@ saem.org no later than 5:00pm Eastern Daylight Time on April 8, 2016. Late submissions will not be considered.

The review sub-committee may query submitters for additional information prior to making the final selection, which will be announced prior to the 2016 SAEM Annual Meeting, to allow for scheduling a planning meeting.

Questions may be directed to aem@saem.org or to the editor-in-chief at editor@saem.org.

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SAEM Consultative Services Expands Reach to Provide Greater Assistance The SAEM Consultative Services Committee (CSC) was established more than 20 years ago and in that time, members have conducted more than 50 consultations to assist institutions interested in starting a new emergency medicine program or evaluating other services. Experienced program directors who are SAEM members serve as the consultants, helping organizations with needs-assessment analysis, plans for filling the gaps, and critical reviews of program information forms and applications.

The committee chair is Terry Kowalenko, MD, professor and health system chairman of emergency medicine at Oakland University, William Beaumont School of Medicine. He is also chair of the Beaumont Medical Group and senior vice president of Beaumont Health.

“We want our institutions to be successful, so we spend time learning what each site visit needs and then providing the experts who can supply the targeted information.”

According to Dr. Kowalenko, many newer programs solicit the services of the CSC because this review has an exceptional record of assisting programs to achieve ACGME accreditation. The committee also has helped existing programs get back on track after receiving disciplinary action from the EM-RRC. Partnerships Provide Expanded Services To address the changing EM environment, the committee has expanded its services by reaching out and partnering with other SAEM committees and interest groups to provide a larger menu for consults.

“We continue to provide these services in an ever-changing ACGME environment, such as the New Accreditation System (NAS),” Kowalenko says.

Organizations can tap the committee’s expertise to establish and review fellowships (both ACGME and non-ACGME approved programs) that include research, pediatric emergency medicine, ultrasound, ethics, toxicology, palliative care, international emergency medicine, and others. CSC also can offer expertise in faculty development, departmental research program development, and overall enhancement of academics.

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By partnering with members of the Association of Academic Chairs of Emergency Medicine (AACEM), CSC provides institutions considering a new emergency medicine residency with guidance on important issues, such as how to convert a division to a department. CSC will also lend expertise in business, financial and operational issues.

Finally, the committee has been working toward assisting osteopathic colleagues in their efforts to become ACGMEaccredited under a new Single Accreditation System (SAS).

“The benefit of having an outside audit is that organizations are more willing to take the recommendations seriously, as well as ensuring all points are addressed,” he says.

WHAT’S INVOLVED IN A CONSULTATION? Consultations for new residency or fellowship program, or transition from division to department: 1. Consultants assist with and review Program Information Form (PIF) and Program Application • 1½-day on-site visit • 2 consultants 2. Development consultations, e.g., research, faculty development, repeat residency or fellowship program review, overall department reviews connected with all other ED operations: • 1-day on-site visit • 1 or 2 consultants Once the project is determined, the cost is approximately $3,000 per consultant, plus a consultation fee and expenses. Expenses are billed separately from consultation fees.

A request for consultation should be sent first to the CEO of SAEM, as well as to Terry Kowalenko, MD, chair of the Consultation Services at terry.kowalenko@ beaumont.edu to initiate the consultation development process. The SAEM office will then prepare a contract and send it to the institution for signature.

Bringing Sexy Back to Journal Clubs

By Lauren Westafer, DO, MPH

Journal clubs are not sexy. Educators tackle the new academic year armed with zeal, cutting-edge topics, and excellent intentions, yet journal clubs often fizzle out during spring and summer [1]. How can we break this cycle?

Interestingly, Twitter feeds and podcast streams don’t reflect this struggle. Academic Emergency Medicine, for example, has paired with a popular emergency medicine podcast, The Skeptics Guide to Emergency Medicine, for a program dedicated to the critical appraisal of an article hot off the press. Twitter is rife with online journal clubs across disciplines, including emergency medicine, obstetrics, nephrology, radiology, and urology [2]. These growing social media endeavors reflect a hunger for critical appraisal and evidence-based medicine principles. Here are some pearls we may be able to harness from the social media realm: Use open access multimedia resources to engage participants Residents increasingly use free, open access medical education resources (FOAM), including blogs and podcasts [3,4]. Short podcasts and blogs often deliver literature in entertaining and exciting formats that may increase stakeholder interest in the primary literature. A cuttingedge podcast can serve as an inspiration for journal clubs and may aid individuals in trading in the phrase “I heard it on a podcast” for a more substantial understanding of the literature underpinning the podcast.

Use one of the free, critical appraisal tools Ironically, we lack rigorous research on journal clubs. A systematic review recommends the use of a structured critical appraisal tool [1]. There’s no need to reinvent the wheel as free appraisal instruments can be found on EMJclub.com as well as the BEEM instrument on The Skeptic’s Guide to Emergency Medicine website. These forms guide learners through critical appraisal in a succinct fashion.

Create a tangible product from journal clubs Journal clubs exist as a traditional means with which emergency medicine residents engage for evidence based practices, yet no literature supports that journal clubs engender changes in practice. Programs have archived the products of their journal clubs on blogs with the aim of serving as a local repository for providers to reference, including the summary [6].

Engage others Practice pattern variation in emergency medicine is common.

It’s easy to practice within our silos, yet by sharing discussions of articles and how they may fit into practice, it’s possible to learn more. Major societies such as EAST (trauma) and journals such as the Journal of the American College of Radiology, host online journal clubs on Twitter to promote debate and discussion of articles.

Resuscitating journal clubs doesn’t have to be difficult.

Incorporate FOAM, use appraisal tools that are freely available, and consider engaging individuals outside of one’s institution by creating a blog post, podcast, or Twitter debate surrounding relevant literature. Through these means, journal clubs can get its sexy back.

References: 1. Deenadayalan Y, Grimmer-Somers K, Prior M, Kumar S. How to run an effective journal club: A systematic review. J Eval Clin Pract. 2008;14(5):898–911. doi:10.1111/j.1365-2753.2008.01050.x.

2. Roberts MJ, Perera M, Lawrentschuk N, Romanic D, Papa N, Bolton D. Globalization of Continuing Professional Development

by Journal Clubs via Microblogging: A Systematic Review. J Med Internet Res. 17(4):e103-. 2015 3. Mallin M, Schlein S, Doctor S, Stroud S, Dawson M, Fix M. A survey of the current utilization of asynchronous education among emergency medicine residents in the United States. Acad Med. 2014;89(4):598–601. doi:10.1097/ ACM.0000000000000170.

4. Purdy E, Thoma B, Bednarczyk J, Migneault D, Sherbino J. The use of free online educational resources by Canadian emergency medicine residents and program directors. CJEM CJEM JCMU. 2015;1717(22):101–106. doi:10.1017/cem.2014.73.

5. Schwartz MD, Dowell D, Aperi J, Kalet AL. Improving journal club presentations, or, I can present that paper in under 10 minutes. Evid Based Med. 2007;12:66–68.

6. Genes N, Parekh S. Bringing Journal Club to the Bedside in the Form of a Critical Appraisal Blog. The Journal of Emergency Medicine. 39(4):504-505. 2010.

About the Author:

Lauren Westafer, DO, MPH, is the emergency medicine chief resident at Baystate Medical Center/Tufts University and is a member of the SAEM Social Media Committee.

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Introducing a New SAEM Interest Group: Sex and Gender in Emergency Medicine

By Alyson J. McGregor, MD, MA, FACEP

It’s Monday morning, 7:00 am, and most of the patients in the ED have been there all night. The “waiting for provider” patient list on the EMR is so long that it does not fit on the screen. You see “next up” with a chief complaint of “chest pain” (or “chest pain,” “fall,” “overdose,” “headache”) and your eyes begin to cross. It’s unlikely that you take an extra moment to determine the patient’s sex or how having this information might affect your workup or treatment.

How much evidence needs to be collected, published, and promulgated at educational venues until we change the way we practice emergency medicine, research the treatment of emergent conditions, educate residents, and, most importantly, accept the crucial role that sex and gender plays in patient presentation and on physician management and treatment? Will we have to wait until an entire generation passes and a new generation arises, before we address the importance of sex and gender in emergency medicine? The answer is no.

The launch of the Sex and Gender in Emergency Medicine (SGEM) Interest Group is a sign that the specialty of emergency medicine is ready to embrace the insurmountable evidence that has come to light over that past two decades— women and men are different both in health and disease.

Sex and gender are critical variables: Sex refers to biological and physiological characteristics; gender refers to socially constructed behaviors and roles. The mission of the SGEM Interest Group is to raise the consciousness of emergency medicine practitioners about the importance and impact of our patients’ sex and gender on the delivery of emergency care. It will also assist in the medical science integration of sex and gender into emergency medicine education and research.

In 2014, Academic Emergency Medicine sponsored a consensus conference entitled, “Gender-Specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes.” More than 100 SAEM members participated in the conference to form a myriad of new research and educational collaborations and to define a research agenda. Most of the questions raised do not yet have answers, in part because for decades medical practitioners assumed women and men were similar in every way (excluding their reproductive organs and hormone profiles).

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In order for the field of emergency medicine to continue at the forefront of the delivery of state-of-the-art emergency care, we must embrace the growing, worldwide consensus that patient sex and gender should be factored into research, education, and delivery of patient care. The National Institutes of Health (NIH), as recently as June 2015, released a research update entitled “Consideration of Sex as a Biological Variable in NIHfunded Biomedical Research.” It mandates that “scientists will account for the possible role of sex as a biological variable in vertebrate animal and human studies.” Starting January 25, 2016, updated application instructions and review questions must be included when preparing applications to be submitted.

The first Sex and Gender Based Medical Education Summit in the United States was held at Mayo Clinic, October 18-19, 2015. This summit hosted educational leaders from medical schools across the country working to initiate a collaborative curriculum change and incorporate sex and gender into medical education. Additionally, the United States Department of Health and Human Services is hosting roundtables across the country to explore the Impact of Gender/Sex on Innovation and Novel Technologies (iGIANT). The purpose of these roundtables is to find practical approaches to facilitating the translation of sex and gender research and education to the bedside as a way to improve clinical care.

Opportunities now exist for SGEM Interest Group members to establish a speaker consortium and to develop novel research collaborations, mentorship opportunities, and didactic presentations.

Please consider joining the SGEM Interest Group when you renew your SAEM membership. Let’s embrace these new, inevitable, initiatives and work together to deliver optimum emergency care to all of our patients and make the field of emergency medicine the leading specialty in sex and gender research, knowledge, and application.

For information, go to http://www.saem.org/saem-community/ interest-groups.

About the Author:

Lauren Westafer, DO MPH, is the emergency medicine chief resident at Baystate Medical Center/Tufts University and is a member of the SAEM Social Media Committee.

Dr. Westafer just completed a Ted Talk, Ted.com, titled, “Why Medicine Often Has Dangerous Side Effects for Women.”

Should we be guaranteeing an interview for our visiting students?

Get answers to the questions that are keeping you up at night by joining CDEM.

Already a member of CDEM? Don't forget to renew your CDEM membership when you renew your SAEM membership dues.

Brody School of Medicine

EMERGENCY MEDICINE FACULTY ◊ Clinician-Educator ◊ Clinical-Researcher ◊ Critical Care Medicine ◊ ◊ Pediatric Emergency Medicine ◊ Ultrasound ◊ The Department of Emergency Medicine at East Carolina University Brody School of Medicine seeks BC/BP emergency physicians and pediatric emergency physicians for tenure or clinical track positions at the rank of assistant professor or above, depending on qualifications. We are expanding our faculty to increase our cadre of clinician-educators and further develop programs in pediatric EM, ultrasound, clinical research, and critical care. Our current faculty members possess diverse interests and expertise leading to extensive state and national-level involvement. The emergency medicine residency is well-established and includes 12 EM and 2 EM/IM residents per year. We treat more than 130,000 patients per year in a state-of-the-art ED at Vidant Medical Center. VMC is a 960+ bed level 1 trauma center and regional referral center. Our tertiary care catchment area includes more than 1.5 million people in eastern North Carolina, many of whom arrive via our integrated mobile critical care and air medical service.

Our new children’s ED opened in July 2012, and a new children’s hospital open in June 2013.

Greenville, NC is a fast-growing university community located near beautiful North Carolina beaches. Cultural and recreational opportunities are abundant. Compensation is competitive and commensurate with qualifications; excellent fringe benefits are provided. Successful applicants will be board certified or prepared in Emergency Medicine or Pediatrics Emergency Medicine.

They will possess outstanding clinical and teaching skills and qualify for appropriate privileges from ECU Physicians and VMC.

Confidential inquiry may be made to: Theodore Delbridge, MD, MPH Chair, Department of Emergency Medicine delbridget@ecu.edu ECU is an EEO/AA employer and accommodates individuals with disabilities. Applicants must comply with the Immigration Reform and Control Act. Proper documentation of identity and employability required at the time of employment. Current references must be provided upon request.

www.ecu.edu/ecuem/ ● 252-744-1418

EMERGENCY MEDICINE

The Department of Emergency Medicine at the University of Rochester, is seeking a Clinical Operations Director for its main academic site: Strong Memorial Hospital. The ideal candidate will be board certified in Emergency Medicine and have significant clinical, leadership and administrative experience in large high volume emergency settings, as well as a proven track record at collaborative work with multiple disciplines including nursing, advance practice providers and faculty. The Clinical Operations Director will report directly to the Chair of Emergency Medicine and have direct reports from Observation Medicine, Quality Assurance and Policy, and Documentation, Coding and Billing directors.

Strong Memorial Hospital (SMH) is the regional academic medical center, referral center and Level 1 Trauma Center. It is the base of operations for the Department of Emergency Medicine that includes our emergency medicine residency with 14 residents per year. The ED has many ancillary services, including social work and emergency medicine pharmacists. The ED at SMH treats over 100,000 patients annually, which includes 28,000 pediatric visits seen in a dedicated pediatric ED with a pediatric emergency medicine fellowship. SMH has many clinical and consulting services and a newly opened children’s hospital. Our multiple ED sites, institutional support, and existing research infrastructure offers a robust network for success.

Rochester, New York, located in Upstate New York, offers excellent schools, a low cost of living, and many opportunities both professionally and personally. We have easy access to Canada, including metropolitan Toronto, the Great Lakes, the Finger Lakes and the northeastern United States.

Interested applicants please contact: Michael Kamali, MD, FACEP Chair, Department of Emergency Medicine Michael_Kamali@URMC.Rochester.edu 585‐273‐4060

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Sharing and Scholarship Highlight Successful Meeting in Minneapolis

By Michael Zwank, MD The 2015 Great Plains Regional Meeting was held in Minneapolis on September 19. Despite drizzling rain leading up to the event and a last minute venue change, the meeting was successful, with an engaged group of attendees enjoying a full day of sharing and scholarship.

emergency medicine. She also highlighted some of the ways SAEM helps promote these aspects of a successful career.

A small contingency from Iowa along with several local medical students joined two faculty from Regions Hospital the evening prior to the meeting for a damp, albeit memorable, cookout overlooking the Mississippi River.

The grill was hot, the burgers and brats tasty, and the conversation lively and fun.

Presentations by Charles Bruen, MD, and RJ Frascone, MD, (both from Regions Hospital) kicked off the meeting, exploring the full spectrum of cardiac arrest care from cutting edge pre-hospital research through post-resuscitation care in the intensive care unit. Dr. Bruen discussed some of the current controversy surrounding post-resuscitation hypothermia (e.g., who to cool, how cool to go, etc.) and the challenge of prognostication of neurologic outcomes.

Dr. Frascone’s presentation highlighted new FDA recommendations promoting the impedance threshold device (ITD) and active compression-decompression (ACD) CPR during resuscitation. His discussion also explored cutting-edge research on bispectral index monitoring and heads-up CPR.

At the afternoon session, Dave Plummer, MD, Hennepin County Medical Center, provided a look back at the the early days of emergency ultrasound with a humorous description of his emergency department’s first ultrasound machine—a 300 lb monster that helped save the lives of many victims of penetrating trauma.

The final speaker of the day, Tobi Kummer, MD, from Mayo Clinic, focused on ultrasound-guided arthrocentes— a very specific aspect of bedside ultrasound that proved to be a nice follow-up to the breadth of the earlier ultrasound talk.

The meeting concluded with an engaging poster session, with more than 20 participants. Alexandra Schick, a medical student from the University of Minnesota, was given the best poster award for her work on “Comparison of Amnesia and Respiratory Depression During Moderate Versus Deep Procedural Sedation with Propofol in the Emergency Department (ED).”

Following the opening presentations, 10 excellent oral abstracts were given with Morgan Bobb, a medical student from the University of Iowa and winner of the best oral abstract, discussing a project examining the differences between face-to-face and telemedicine consent of patients for research in the emergency department.

SAEM President Deb Diercks, MD, MSc, made a special appearance at the conference, enlightening attendees with her insights about successful scholarship in an emergency medicine career and the evolving landscape of academic

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The 2015 Great Plains Regional Meeting was everything a regional meeting should be, with representation from numerous hospitals and participants engaged in discussions (rather than checking news and scores on smartphones). A special thanks to all who helped organize the event and to those who participated in the meeting.

About the Author:

Michael Zwank, MD, is an emergency medicine physician with Regions Hospital in St. Paul, MN. He is chair of the 2015 SAEM Great Plains Regional Meeting Planning Committee

FACULTY - SCHOOL OF MEDICINE, DEPARTMENT OF EMERGENCY MEDICINE CLINICIAN EDUCATOR MEDICAL TOXICOLOGIST CLINICAL RESERACHER EM/CRITICAL CARE CLINICIAN EDUCATOR The Department of Emergency Medicine at the University of Mississippi Medical Center (UMMC) is seeking full-time candidates at the Assistant Professor, Associate Professor or Professor level.

Candidates will be considered if they are well equipped and eager to support the tripartite mission of the medical center (education, research, health care). Applicants must have an MD/DO degree and have graduated or are nearing completion of an accredited Emergency Medicine Residency and will be eligible for unrestricted licensure in the state of Mississippi.

UMMC is located in the capital city of Jackson and is the state’s only academic medical center. The Department of Emergency Medicine employs 25 faculty members and is the training setting for 40 Emergency Medicine residents and core rotating medical students and other learners. The department is well-regarded across the nation for its research and involvement in professional organizations. The region boasts the most competitive salaries in the nation, low cost of living, and access to many activities. As the state’s only Level-1 trauma center and with approximately 72,000 adult and 40,000 pediatric patient visits annually, the department is one of the busiest, highest-acuity health-care settings in the region.

Interested candidates should submit their CV by email to AEJones@umc.edu or mail to Dr. Alan Jones, UMMC Dept. of Emergency Medicine, Suite 4E, 2500 North State St., Jackson, MS 39216 Rank and salary commensurate with qualifications. The University of Mississippi Medical Center is an Equal Opportunity/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, age, disability, marital status, national origin, or veteran's status.

Emergency Medicine Fellowship Opportunities UC Irvine Department of Emergency Medicine is seeking HS Clinical Instructors for fellowships starting July 1, 2016. UC Irvine Medical Center is rated among the nation’s best hospitals by U.S. News & World report 14 years in a row and is a 412-bed tertiary and quaternary care hospital with a nationally recognized three-year EM residency program since 1989. The progressive 35-bed ED sees more than 50,000 patients/year and serves as a Level I adult and Level II Pediatric Trauma Center with more than 3,800 annual trauma runs.

The hospital is also a Comprehensive Stroke & Cerebrovascular Center, Comprehensive Cancer Center, Cardiovascular receiving center and regional Burn centers, with Observation and an After Hours clinic in urban Orange County. Completion of an ACGME accredited EM Residency is required. Salary is commensurate with qualifications and proportion of clinical effort. For more information visit: http://www.emergencymed.uci.edu/fellowships.asp (To apply: https://recruit.ap.uci.edu).

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Disaster Medicine Fellowship (JPF03020) EM Education and Faculty Development (JPF03026) Medical Simulation Fellowship (JPF03023) Multimedia Design Education Technology Fellowship (JPF03051) Point-of-Care Ultrasound Fellowship (JPF03018)

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

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SAEM Announces Major Upgrade to the Community Site When the SAEM Community site (community.saem.org) was launched in the spring of 2013, it was not met with universal accolades. Comfort with the long-established LISTSRV system, confusion about navigating the new site, and concern over the reliability of email delivery all contributed to a general hesitation to embrace the Community with enthusiasm. But in the two-and-a-half years since, the SAEM Community has grown to become a key benefit of SAEM membership, and a 59 percent increase in member contributions over last year—to 8,794 discussion posts and 14,615 library item downloads (all archived and searchable for members at any time)—clearly shows that many of our members recognize the value of this top-quality collaboration and networking technology.

• Simplified Site Navigation – When a member is

logged in to the Community, a “Quick Clicks” list of each of that member’s academies, committees, and interest groups appears right on the home page, allowing quick access to relevant content and discussions.

• Content Preview in Discussion Posts and Improved Attachment Upload Options – Automatic

content preview expansions and the ability to connect directly to personal files from a large number of sites and services (including Dropbox, Google Drive, Amazon Cloud Drive, One Drive, and many more) help members contribute to Community discussions intuitively and powerfully.

“The Community site is a key part of SAEM’s goal to increase networking, collaboration, and community among EM physicians” We are excited about the first major upgrade to the Community since launch, as it enhances the site’s usefulness even more than before. If you haven’t visited the SAEM Community recently, check out these great new features:

• Improved Mobile Experience – In May 2015, Google

announced that more searches now come from mobile devices than desktop computers. This unprecedentedly rapid growth in mobile use creates the need for websites to be optimized for smartphones and tablets. Thus, one of the most important parts of the Community upgrade is the implementation of a new design framework that allows the site’s content to be displayed clearly and navigated easily, regardless of the size of device screen being used. Whether you visit the Community on your desktop, tablet, or phone, you will be able to navigate without frustrating formatting problems.

• Powerful Content Search – Every day, the value

of the content archive in the SAEM Community increases.

With this upgrade comes the ability to fine-tune searches in the Community in ways that were not possible before, helping members find content more quickly and efficiently.

• Member

Directory Improvements – The improvements to the member directory allow members to search by criteria such as graduation date, region, and even members of specific academies, interest groups, and committees.

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The SAEM Strategic Plan repeatedly speaks of the importance of “virtual relevance,” and the Community site is a key part of SAEM’s goal to increase networking, collaboration, and community among EM physicians. We hope that in your duties as educators, researchers, and physicians, you will continue to benefit from the valuable resource of the SAEM Community and be part of helping it grow in value in the days ahead.

For more information:

Update your profile, participate in a discussion, or connect with a colleague today by visiting community. saem.org! Michael Reed is the SAEM Community Administrator. He can be reached at mreed@saem.org.

Sign up for the AACEM Chair Development Program!

First session starts January 11, 2016

What is the CDP and why was it created?

Who can participate in the CDP?

The AACEM Chair Development Program (CDP) is a leadership training initiative, now in its 3rd year, designed to enhance the capabilities and effectiveness of new and aspiring academic emergency medicine department chairs through skill development, advising, and mentorship.

By creating more informed and capable chairs, we hope to improve patient care, education, and research in emergency medicine.

Those eligible for the program include current EM chairs who are within 4 years of their start date at the beginning of the program, and vice chairs or associate chairs who wish to advance to become chairs. Other developing EM leaders may also apply.

Selection: Each class of participants will have 12-15 members. Interested candidates must submit an application form (see below). Preference is given to existing chairs.

What type of leadership training does the CDP offer?

The CDP consists of five leadership training sessions averaging 8-10 hours, for a total of 40-50 in-person training hours. Sessions will provide new and aspiring chairs with practical, emergency-medicine-specific leadership training and will be held near the SAEM headquarters in Des Plaines, IL (close to Chicago’s O’Hare Airport), and in conjunction with the AACEM/AAAEM Retreat, the SAEM Annual Meeting, and the ACEP Scientific Assembly. CDP faculty instructors include experienced EM chairs, deans and administrators, as well as other leadership development experts. We will focus on areas that may not be covered in other leadership courses.

Personal advising and mentorship will be provided. Participants are required to attend at least four of the five offered sessions, and to complete readings and assignments for those sessions they cannot attend. All participants must attend the first and last sessions of the CDP. Participants will receive a certificate from AACEM upon completion of the program.

How much does it cost?

Tuition is $3,950 for the course, with travel and lodging expenses paid by the participant.

When does it start?

The first session of the AACEM CDP will begin on January 11, 2016 at SAEM Headquarters in Des Plaines, IL.

Applications are due November 6, 2015.

For application materials, please contact Céleste Carrière at ccarriere@lifespan.org For more information on the program, please contact Brian Zink, MD, Brian_Zink@brown.edu or call 401-444-5141.

Should we be guaranteeing an interview for our visiting students?

“For visiting students, we use an interview score based upon the evaluations they receive from supervising residents and faculty over the 4 weeks they spend with us.”

“We offer interviews to all rotators.”

“We consider the one month visiting subinternship to be an interview (and that goes both ways!). We do encourage students to set up a personal meeting with the PD and then we allow them to use that as their interview.”

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ANNOUNCEMENTS EM PEOPLE AND PROGRAMS

www.SAEM.org with your SAEM user credentials. If you do not have an SAEM website account, you can create one at https:// member.saem.org/iMISpublic/Core/CreateAccount.aspx.

Catherine A. Staton, MD MScGH, assistant professor of Emergency Medicine and Global Health at the Duke University Division of Emergency Medicine, has received a K01 grant from the NIH Fogarty International Center (1 K01 TW010000-01A1). Dr. Staton’s 4-year award will focus on understanding current practices and stigmas associated with alcohol use amongst patients and family members at Kilimanjaro Christian Medical Center (KCMC) in Tanzania; creating and validating an intervention to be administered by nurses in the KCMC ED; and, piloting this intervention in preparation for a large scale trial. Dr. Staton is the director of both the Duke Section of Emergency Medicine Global Health and the Hubert Yeargan Emergency Medicine Global Health Fellowship Program.

After you log in, proceed to the submission process by going to the “Upcoming Deadlines and Events” section below the login box and selecting “Abstracts and Innovations Submissions.”

Jim Holliman, MD, professor of Emergency Medicine and Public Health Sciences at Penn State University, received the American Academy of Emergency Medicine International Emergency Medicine Leadership Award at the Mediterranean Emergency Medicine Conference in Rome, Italy, September 7, 2015.

SAEM NEWS Dave C. Cone, MD, Concludes Successful Term as Editor-in-Chief of AEM At the end of December 2015, Dr. David C. Cone will complete a six-year term as Editor-in-Chief of SAEM’s flagship journal, Academic Emergency Medicine (AEM).

Throughout his tenure, Dr. Cone has sought to improve the editorial process for both authors and reviewers. In addition, he has worked diligently to ensure the integrity of the research published in Academic Emergency Medicine. His professionalism, attention to detail, academic knowledge, emergency medicine expertise, and superb editing skills have helped to position AEM as a leader in the field of academic emergency medicine. Dave’s significant impact on Academic Emergency Medicine has been far-reaching; his success in overseeing the journal over many years has culminated in the publication of nearly 72 issues and as many as 5,000 manuscripts.

As Dr. Cone steps down as Editor-in-Chief of Academic Emergency Medicine, we extend our gratitude and wish him well in all his future endeavors.

SAEM Simplifies Online Access Effective October 12, the process to log in to submit your proposal for SAEM meetings changed. Instead of logging in to the submission portal, you now will be able to log in at

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This change simplifies the SAEM online access so that only one user account is needed for all SAEM sites. This month, there will be further integration with the SAEM website so you can look up existing coauthors who are already in the SAEM system, reducing or eliminating the need to enter their information.

Nominations Now Open For 2016 SAEM Awards SAEM presents annual awards in recognition of excellence and achievement in academic emergency medicine. The Awards Committee would like you to consider nominating as many exceptional candidates as possible. Nomination deadline is Friday, January 8, 2016, for the following awards: • Young Investigator Awards recognize up to three SAEM members who have demonstrated commitment to and achievement in research during the early stage of their academic careers. The Society’s core mission includes the creation of knowledge, and this award recognizes those who have achieved early success in this sphere.

• The Hal Jayne Educational Excellence Award is complimentary to the Research Award and is presented to a member of SAEM who has made outstanding contributions to emergency medicine through the teaching of others and the improvement of pedagogy.

• The Excellence in Research Award is complimentary to the Hal Jayne Education Award and is presented to a member of SAEM who has made outstanding contributions to emergency medicine through the creation and sharing of new knowledge.

• The Advancement of Women in Academic Emergency Medicine Award recognizes a member of SAEM who has made significant contributions to the advancement of women in academic emergency medicine.

• The John Marx Leadership Award honors a member of SAEM who has made exceptional contributions to emergency medicine through leadership – locally, regionally, nationally or internationally – with priority given to those with demonstrated leadership within SAEM. • The Gold Foundation Humanism in Medicine Award to a practicing emergency medicine physician who exemplifies compassionate, patient-centered care.

For submission instructions, please visit the SAEM Awards webpage at www.saem.org/awards.

Academic Emergency Medicine To Go Green in 2017 Effective January 2017, Academic Emergency Medicine will transition to an online-only publication. Robust online tools are already available for electronic viewing of the journal, through our app (available free at the Apple online store for iPad and iPhone; coming soon for Android) and our pdf and enhanced HTML versions available at www.aemj.org.

Content alerts, RSS feeds, Twitter, and other productivity tools are also already available for our readers, and will continue to develop as we move forward. All other aspects of the journal, including the manuscript submission, review, editing, and typesetting processes, will remain the same; the only change will be the elimination of the print journal.

SAEM Foundation Wants MORE for You The SAEM Foundation wants to do MORE for research and education. We want to fund MORE grants to help MORE people like you conduct MORE research and provide MORE education. Help us realize this goal by making your gift to the SAEM Foundation today. Together, we can improve the emergency care of patients through academics. Learn more at www.saemfoundation.org.

If your certification expires in 2020, you also have MOC requirements due by December 31, 2015. If you do not complete your unmet MOC requirements by this date, you will not lose your ABEM certification; however, ABEM is required to designate and publicly report that you are “not participating in MOC.” To find out if you have any uncompleted requirements, go to www. abem.org and click the green “Sign in to Your ABEM MOC Personal Page” arrow and enter your User ID and Password.

Click the MOC Requirements button and then the orange “View Your ABEM MOC Requirements and Status” button.

Complete your requirements early to keep your current certification You can now take the ConCertTM Examination in years 6-10 of your certification. If you take and pass the ConCertTM early, you will still retain your current certification until it expires. Your next certificate will be dated January 1 of the year following the expiration date on your current certificate, and it will be good for a 10-year period, assuming you have completed your other required MOC activities.

SAEM Fellowship Approval Program Deadline: April 1, 2016 In an effort to promote standardization of training for fellows, the SAEM Fellowship Approval Program has been developed for eligible programs to earn the endorsement of SAEM as an approved fellowship in Research, Geriatrics, Global EM and Education Scholarship. Fellows who complete a program at an SAEM-approved institution also receive recognition for earning the standard qualifications and skills needed.

The deadline for institutions to apply to become an SAEMapproved fellowship is April 1 for all fellowships. All fellows for all approved fellowships must register and submit progress reports by September 14, 2016.

The application fee is $400 for the first approval cycle, and $500 for renewals. Visit the Fellowship Approval Program section of saem.org for more details.

To view a listing of approved fellowships, visit the SAEM Fellowship Directory at www.saem.org/ fellowship-directory.

ABEM NEWS Important MOC Reminders!

If your certification expires in 2015, you have Maintenance of Certification (MOC) requirements due by December 31, 2015. Remember, you can pass the ConCert™ Examination, but still not have your certification renewed. All of your MOC requirements must be completed by December 31, 2015, to renew your certification.

Administrator of Emergency Medicine The Emory Department of Emergency Medicine, the largest academic EM program in the country, provides care to more than 290,000 patients annually in five metropolitan Atlanta locations.

The Administrator serves as a resource and advisor to the Departmental Chair in all clinical, business, administrative, academic, research and financial matters, and manages sizeable operations and research budgets.

The ideal candidate will be a seasoned, polished professional with significant business/finance acumen and interpersonal skills with a graduate degree from an accredited institution. Ten+ years of professional management experience in a high volume complex academic department is required. A thorough understanding of the interrelationships of academic, clinical, teaching and research activities is essential, as well as the ability to get things done.

Respond confidentially to: Jane Fischer, Tyler & Company. jfischer@tylerandco.com 610-558-6100

November / December 2015

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Emergency Physicians Hershey, PA

The Emergency Medicine Department at Penn State Milton S. Hershey Medical Center seeks energetic, highly motivated and talented physicians to join our Penn State Hershey family.

Opportunities exist in both teaching and community hospital sites. This is an excellent opportunity from both an academic and a clinical perspective.

As one of Pennsylvania’s busiest Emergency Departments with 26+ physicians treating over 70,000 patients annually, Penn State Hershey is a Magnet® healthcare organization and the only Level 1 Adult and Level 1 Pediatric Trauma Center in PA with state-of-the-art resuscitation/trauma bays, incorporated Pediatric Emergency Department and Observation Unit, along with our Life Lion Flight Critical Care and Ground EMS Division.

We offer salaries commensurate with qualifications, relocation assistance, physician incentive program and a CME allowance. Our comprehensive benefit package includes health insurance, education assistance, retirement

options, on-campus fitness center, day care, credit union and so much more!

For your health, Hershey Medical Center is a smoke-free campus.

Applicants must have graduated from an accredited Emergency Medicine Residency Program and be board certified by ABEM. We seek candidates with strong interpersonal skills and the ability to work collaboratively within diverse academic and clinical environments.

Apply online: www.pennstatehersheycareers.com/ EDPhysician For additional information, please contact: Susan B. Promes, Professor and Chair, Department of Emergency Medicine c/o Heather Peffley, Physician Recruiter, Penn State Hershey Medical Center, Mail Code A590, P.O. Box 850, 90 Hope Drive, Hershey, PA 17033-0850, Email: hpeffley@hmc.psu.edu

The Penn State Milton S. Hershey Medical Center is committed to affirmative action, equal opportunity and the diversity of its workforce. Equal Opportunity Employer – Minorities/Women/Protected Veterans/Disabled.

GIVE EDUCATION.

Black Friday, Cyber Monday,

December 1, 2015 24 November / December 2015 www.saem.org/givingtuesday

UPMC and University oF PittsbUrgh

UPMC and UniversiTy of PiTTsbUrgh

EmErgEncy mEdicinE Faculty Instructor through Professor level The University of Pittsburgh and UPMC have full-time opportunities for emergency medicine residency-trained and board certified/eligible candidates. UPMC is a national leader in health care with a deep and diverse EM faculty internationally recognized for excellence in research, teaching and clinical care.

Our four clinical sites provide tertiary and Level I trauma care to approximately 200,000 ED patients collectively each year while training residents, fellows and students. The post-cardiac arrest, toxicology and hyperbaric medicine treatment programs are a part of our department, and we have multiple fellowships.

Academic clinician, clinician- investigator or clinician-educator career opportunities exist. Salary is commensurate with experience and duties.

For further information write to: Donald M. Yealy, MD, Chair, Department of Emergency Medicine University of Pittsburgh Physicians 3600 Meyran Avenue, Suite 10028, Pittsburgh, PA 15260

The University of Pittsburgh is an Equal Opportunity Employer for Minorities/Women/Vets/Disabled.

72455A TACS 09/15

Fellowships The University of Pittsburgh and UPMC offer fellowships in Toxicology, Emergency Medical Services, Research, Education and Ultrasound. We offer intensive training with the internationallyknown experts in each domain from among the faculty in the Department of Emergency Medicine and from the University.

We encourage strong multidisciplinary collaboration. We provide experience in basic or clinical research and teaching opportunities exist with medical students, residents and other health care providers. Our Research fellow is required to enroll in one of several available master’s level degree programs. All fellows also have limited clinical responsibilities in one of our core academic Emergency Departments or an affiliated institution. Each clinical fellowship applicant should have an MD/DO or an equivalent degree and be board certified/prepared in emergency medicine.

Other doctoral prepared candidates are candidates for our research fellowship.

To discuss your future, contact: Clifton W. Callaway, MD, PhD University of Pittsburgh Physicians 3600 Meyran Avenue, Suite 10028, Pittsburgh, PA 15260

The University of Pittsburgh is an Equal Opportunity Employer for Minorities/Women/Vets/Disabled.

72455B TACS 09/15

Penn Medicine Center for Emergency Care Policy and Research (CECPR) Fellowship The Center for Emergency Care Policy and Research (CECPR) in the Department of Emergency Medicine at the University of Pennsylvania Perelman School of Medicine seeks outstanding candidates for its two-year Emergency Medicine Policy Research Fellowship. Applicants must be board-eligible or board certified in emergency medicine.

The goal of this fellowship is to produce skilled investigators trained to conduct health services research and capable of academic careers as independent researchers improving the quality, safety, efficiency, and equity of emergency care.

CECPR is an outstanding site for acute care health services research with multiple federally funded emergency medicine faculty mentors. Fellows will also have access to a rich set of clinical and methodological collaborators actively engaged in CECPR research, particularly in general internal medicine, pediatrics, critical care, trauma surgery, neurology, cardiology, epidemiology, biostatistics, health economics, qualitative research, and quality improvement.

Trainees supported by this fellowship enroll in the Masters of Science in Health Policy Research (MSHP) degree program offered by Penn’s School of Medicine, Wharton School, and the Leonard Davis Institute of Health Economics.

The program provides advanced training in epidemiology, biostatistics, health economics and other academic disciplines relevant to emergency care health services research. We emphasize the direct application of these skills to research on policy-relevant issues in emergency care outcomes, financing, delivery, and management, often in contexts that are collaborative and interdisciplinary. Fellows will maintain their clinical skills by serving as attending physicians in one of the University of Pennsylvania Health System three urban emergency departments: Hospital of University of Pennsylvania, Penn-Presbyterian Medical Center, and Pennsylvania Hospital.

To obtain the application, please contact mshp@mail.med.upenn.edu. Please contact M. Kit Delgado, MD, MS kit. delgado@uphs.upenn.edu prior to applying. Applications will be considered on a rolling basis with the final application deadline being November 30, 2015 for admission in the program that starts July 1, 2016. Applications will be accepted after this date, but consideration for additional funding for protected time requires a timely application submission and early applications are encouraged.

We seek candidates who embrace and reflect diversity in the broadest sense. The University of Pennsylvania is an EOE. Minorities/ Women/ Individuals with disabilities/ Protected Veterans are encouraged to apply.

Penn Medicine Center for Emergency Care Policy and Research Perelman School of Medicine at the University of Pennsylvania November / December 2015

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The Department of Emergency Medicine of the University of Rochester (URMC) is expanding our faculty group.

We are seeking Emergency Medicine and Pediatric Emergency Medicine BC/BE Faculty for positions at our primary academic site, as well as our community affiliates and off-campus emergency department.

Seeking faculty for: • Academic EM positions • Academic Pediatric EM positions • Community EM positions The Department of Emergency Medicine includes a highly regarded EM Residency, an active research program, and fellowship programs including Pediatric EM, International Medicine, Research, and Ultrasound. Strong Memorial Hospital (SMH) is the academic medical center and is the regional referral and Level 1 trauma center. It has a full complement of specialist consultant services, as well as ED-based social workers, pharmacists, and child-life specialists. SMH sees over 100,000 patients per year, including 28,000 pediatric patients. The new Golisano Children’s Hospital at Strong is set to open in the summer of 2015. Our multiple community EDs and off-campus ED offer physicians the opportunity to practice in varied settings, experiencing a mix of acuity and patients in both adult and pediatric age groups.

Successful candidates will be dynamic individuals, interested in a diverse Emergency Medicine experience with great potential for career development, promotion, and longevity within our department. Ample opportunity exists to be actively involved in education, administration, and research.

Rochester, New York, located in Upstate New York, offers excellent schools, a low cost of living, and many opportunities both professionally and personally. We have easy access to Canada, including metropolitan Toronto, the Great Lakes, the Finger Lakes and the northeastern United States.

Interested applicants please contact: Michael Kamali, MD, FACEP Chair, Department of Emergency Medicine Michael_Kamali@URMC.Rochester.edu 585-463-2970

Department of Emergency Medicine The Department of Emergency Medicine at Advocate Christ Medical Center is expanding and seeks outstanding physicians to join our faculty. Our institution is a tertiary care center with emphasis on advanced cardiac and stroke care, and is the only Level I Trauma Center serving the south side of Chicago. Our high acuity emergency department cares for more than 100,000 patients annually, including 34,000 pediatric visits to our dedicated pediatric emergency department.

Advocate is committed to growth. Along with a new outpatient pavilion that opened in 2014, an additional inpatient tower will be completed in 2016, and construction of a new 84 bed emergency department will begin in early 2015.

Applicants must be board eligible or board certified in Emergency medicine or Pediatric Emergency Medicine, and dedicated to education and clinical excellence. Additional interests in research, ultrasound, simulation and administration are highly valued. Our three-year emergency medicine program matches 12 residents annually, and fosters a friendly environment of camaraderie, support, and service. Many faculty members and residents live in downtown Chicago and enjoy all that this world-class city has to offer.

Compensation and benefits are highly competitive. Academic appointments are available for qualified applicants through the University of Illinois. Advocate Christ Medical Center was ranked one of Truven’s “100 top hospitals” in 2014, one of only 15 major teaching and academic centers so designated nationally.

Interested applicants should electronically submit a letter of interest along with their curriculum vitae to: Brian.Sayger@Advocatehealth.com Advocate is an Equal Opportunity/Affirmative Action Employer.

Nominations Are Now Open!

Get involved and help shape the future of SAEM. Our success relies on our members.

Nominations may be submitted by the candidate or any SAEM Member.

We are currently accepting nominations for the following positions: • SAEM Board of Directors • SAEM Nominating Committee and Constitution and Bylaws Committee • Executive Committee of each SAEM Academy (AAAEM, ADIEM, AEUS, AGEM, AWAEM, CDEM, GEMA, Simulation)

NOM DEAIDNATION DECE LINE MBE R5

• Executive Committee of the Association of Academic Chairs of Emergency Medicine (AACEM)

Start the nomination process by going to the SAEM website at www.saem.org 26

November / December 2015

MEMBERSHIP Visit the SAEM Website to Renew your Dues, or Join us as a new member & see what You’ve been missing!

SAEM CareerCenter Where Greater Opportunities Start

Careers.SAEM.org November / December 2015

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2340 S. River Road, Suite 208 Des Plaines, IL 60018

NON PROFIT ORGANIZATION U.S. POSTAGE PAID SAEM

2015 SAEM ANNUAL MEETING MAY 12 – 15, 2015

EARLY BIRD REGISTRATION IS OPEN REGISTER BY MARCH 13

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November / December 2015