SAEM PULSE January–February 2018

JANUARY-FEBRUARY 2018

VOLUME XXXIII NUMBER 1

SPOTLIGHT

RELATIONSHIP-DRIVEN LEADERSHIP An Interview with D. Mark Courtney, MD

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

SAEM STAFF

HIGHLIGHTS

Chief Executive Officer Megan N. Schagrin, MBA, CAE, CFRE Ext. 212, mschagrin@saem.org

Manager, Business Development John Landry, MBA Ext. 204, jlandry@saem.org

3

President’s Comments

Director, Finance & Benefits Doug Ray Ext. 208, dray@saem.org

Director, Membership & Meetings Holly Byrd-Duncan, MBA Ext. 210, hbyrdduncan@saem.org

4

Spotlight

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

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

9

SGEM: Did You Know?

Meeting Planner Alex Elizabeth Keenan Ext. 218, akeenan@saem.org

10

SAEM 2017

Membership Coordinator Andrea Ray Ext. 202, aray@saem.org

12

SAEM 2018

AEM Editor in Chief Jeffrey Kline, MD AEMEditor@saem.org

14

AEM E&T Editor Susan Promes, MD AEMETeditor@saem.org

16

AEM/AEM E&T Manager Stacey Roseen Ext. 207, sroseen@saem.org

18

AEM/AEM E&T Peer Review Coordinator Taylor Bowen tbowen@saem.org

20

Director, Operations & Governance Kat Nagasawa, MBA Ext. 206, knagasawa@saem.org Manager, Governance & Meetings Monica Bell, CMP Ext. 205, mbell@saem.org IT Database Manager/ Systems Administrator Ahmed Khater Ext. 225, akhater@saem.org IT Support Specialist Jovan Triplett Ext 218, jtriplett@saem.org Director, Communications and Publications Stacey Roseen Ext. 207, sroseen@saem.org Specialist, Digital Communications Nick Olah Ext. 201, nolah@saem.org Director, Foundation and Business Development Melissa McMillian, CNP Ext. 203, mmcmillian@saem.org

Chair, SAEM Pulse Editorial Advisory Task Force Sharon Atencio, DO sharonatencio@me.com

22 24 25

The State of the Society

Relationship-Driven Leadership Sex-related Differences in Propofol Effects What a Year It's Been!

What a Year It's Going to Be!

Diversity and Inclusion

ADIEM forms New Subcommittee to Address Accommodations in Medicine

Ethics in Action

Early Intubation of Older Adults with Severe Burns: Think About It

Residents & Medical Students

RAMS Names Committee Chairs, Sets Objectives

Social Media in Academic EM

The 21st Century Scholar: An Interview with Teresa Chan, MD

Briefs and Bullet Points Academic Announcements Now Hiring

2017-2018 BOARD OF DIRECTORS D. Mark Courtney, MD President Northwestern University Feinberg School of Medicine

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

Megan L. Ranney, MD, MPH Brown University

Steven B. Bird, MD President Elect University of Massachusetts Medical School

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

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

Ian B.K. Martin, MD, MBA Secretary-Treasurer West Virginia University School of Medicine

Angela M. Mills, MD Penn Medicine

Jean Elizabeth Sun, MD Mount Sinai School of Medicine

Andra L. Blomkalns, MD Immediate Past President University of Texas Southwestern at Dallas

Ali S. Raja, MD, MBA, MPH Massachusetts General Hospital

SAEM Pulse is published bimonthly by the Society for Academic Emergency Medicine, 1111 East Touhy avenue, Suite 540, Des Plaines, IL 60018.

The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM. For SAEM Pulse archives visit http://www.saem.org/publications/newsletters Š 2018 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.

PRESIDENT’S COMMENTS D. Mark Courtney, MD Northwestern University, Feinberg School of Medicine 2017-2018 SAEM President

The State of the Society

"SAEM18 promises to deliver the mentorship and networking opportunities you’ve come to expect."

This past summer, in meetings with our Board of Directors and with SAEM Committee and Academy leaders, I urged us to work toward improving the footprint of SAEM beyond the annual meeting— which, although an outstanding venue for networking and the dissemination of education and research innovation, is but one aspect of our Society. I challenged us to think about who we are as a Society for Academic Emergency Medicine, and who we need to be in order to achieve our vision of developing academic leaders with the greatest impact on emergency care. As one year draws to an end and another begins, it is a fitting time to take stock of all that we’ve accomplished as a society in 2017, and to consider what opportunities lie ahead for our unique niche of academic emergency medicine.

Where do we presently stand?

Growth: This past year our membership exceeded 6500 for the first time ever—a 17% increase over the past 5 years. This includes more than 3,200 residents and 2,700 faculty members—each one a critical part of the leadership and future of emergency medicine. We are extraordinarily thankful for those institutions that support SAEM with group memberships.

The SAEM Foundation (SAEMF) also reached an impressive milestone in 2017: $10 million to support the important work of promising young researchers and educators in academic emergency medicine by funding the greatest total number ever of SAEM grants in 2018.

Finally, we are incredibly proud of the work of Susan Promes, MD, who along with a stellar editorial board, slate of reviewers, and several top-notch authors, successfully launched our new journal: AEM Education and Training (AEM E&T). AEM E&T is published quarterly and has received an

outstanding number of submissions in its inaugural year.

Digital Engagement: I encourage you to get under the hood of the SAEM digital resources. In this era you are most likely to go directly to Twitter for much of your content feed for emergency medicine content as well as life in general; in that respect SAEM is no different. Our Twitter presence @SAEMonline has more than 7,000 followers and has sent out nearly 13,000 tweets—many promoting your scholarly work as an individual or as a department. And please, if you do nothing else, check out SOAR (SAEM Online Academic Resources). This one stop shop has links to 2017 annual meeting presentations as well as the best curated and annotated FOAMed Resources available—all in one place! Also on SOAR… links to SAEM Academy Open Access Education Resources and other Faculty Development Resources.

The SAEM website also is home to more than eight academy microsites with the ability of each academy to post and dissimilate its relevant news, content, and resources.

Where are we headed?

The RAMS (Resident and Medical Student) Board was established in October as the core leadership for the development of educational content and annual meeting programming, mentorship opportunities, and career development resources for our junior members who are the future of academic emergency medicine.

The new ARMED (Advanced Research Methodology Evaluation and Design) course was successfully launched to a capacity attendance for the purpose of “arming” junior faculty, fellows, and senior residents with the fundamental knowledge and skills to

continued on Page 13

3

SPOTLIGHT

RELATIONSHIP-DRIVEN LEADERSHIP "Life is fleeting, so make the most of each day. Relationships matter and you never know the impact you have on others."

SAEM PULSE | JANUARY-FEBRUARY 2018

SAEM Talks With D. Mark Courtney, MD

4

D. Mark Courtney, MD, is the 2017-2018 President of the Society for Academic Emergency Medicine. Dr. Courtney is an associate professor of emergency medicine at the Feinberg School of Medicine at Northwestern University, Chicago. He received his medical degree from Baylor College of Medicine in Houston and completed a residency and a fellowship in emergency medicine research at Carolinas Medical Center in Charlotte, North Carolina.

How would you describe your leadership style?

For me, the most successful and rewarding approach to leadership is to form relationships with others and work toward aligning mutual goals and appealing to a higher collective purpose than simple self-interest. Let’s face it…in SAEM, and a lot of times in academics, we are volunteering our time to better the careers of others. This is effective for me in as much as it helps people. I was a leadership scholar as an undergraduate at Arizona State University, and everyone expected me to go to law school—and I was on that track until I saw the light. Along the way I read plenty of Zig Ziglar, Og Mandino, and Stephan Covey books about leadership (most of which I have forgotten) and the importance of forming relationships with others who share your passion was never lost on me.

How would you like to be remembered as president of SAEM? What would make you most proud?

I would like to be remembered as a president who led during a period when key modernizing steps were taken to improve member services and added an emphasis on SAEM’s value beyond the annual meeting. Through the work of multiple boards over the past several years, we have arrived at the best staff, the most organized annual meetings, and the best membership services ever in the history of SAEM.

What did you want to be when you were growing up?

I wanted to be a fireman…until I went down a metal slide in the middle of summer in shorts and burned my… and that was the end of that. No kidding. Famous family story. Later in high school I thought I might want to be an ambassador. I thought it was that easy. I had been to Yugoslavia as a foreign exchange student and figured I would study political science and get a job in the foreign service.

Who or what influenced your decision to choose the academic/ EM specialty?

Like many residents applying for residency, when asked what I wanted to do in the future, I said “academics,” despite having

no idea what that meant at the time. My decision was due to Jeff Kline, then a faculty member at Carolinas Heath in Charlotte, who encouraged me to do research in pulmonary embolism as a cause of sudden death. Jeff taught me how to condense two pages to one on the copier, and inspired me write manuscripts and apply for an academic job. My parents are teachers and the idea of educating future generations of emergency doctors appealed to my sense of duty to improve others — not just clinically as a doctor but experientially as a teacher.

It is incredible how bad the EMR is and how technology has taken us away from patients. I keep waiting for it to get better.

I see a lot of opportunities and many threats to our collective wellbeing as a specialty:

What advice would you give to your younger self, just starting out in this specialty?

• Physician assistants and nurse practitioners in emergency medicine will expand in scope. How we optimally train them, work with them, give them feedback, and use them to extend our expertise without retreating from the important aspects of directly caring for patients will be key.

What has surprised you most about working in the academic/EM specialty?

If you weren’t doing what you do, what would you be doing instead?

In some ways, I’m surprised at how slow it has been for technology to catch on in medicine. You can be a patient in my emergency department bed and open your phone and wire thousands of dollars from one account to another with a few taps and swipes, but we can’t get your medical information from the hospital across town without “faxing” a piece of paper.

Realize that life is not necessarily fair. Hard work does not always result in a successful grant or an accepted manuscript or a patient who survives. Despite your best efforts, things don’t work always work out. It’s important to surround yourself with a variety of ways to define yourself in addition to your patient care or your scholarly pursuits.

I’d probably be a high school teacher.

Maybe life science or history. I’d be living out west and having every summer off to spend fly fishing, backpacking, and exploring. Or I’d be a short story writer.

Where do you see the specialty in 10 years? What do you think will change?

What sorts of trends do you see?

• There will be increased attention (pressure?) on our critical role as 24-hours-a-day, 7-days-a-week decision-makers for imaging and admission. Hospital systems, CMS, thirdparty payers, and perhaps patients who will be paying more for out-of-pocket costs will demand more and more optimal decision-making in this regard.

• An increase in the prevalence of residencies sponsored by for-profit medical entities (hospitals, management groups, etc.)

5

6

SAEM PULSE | JANUARY-FEBRUARY 2018

• An increase in data streams beyond EMS: wearable biometrics, telemedicine, alternatives to in-person evaluation in a brick and mortar “ER”.

• An increase in acute care beyond the walls of the ED. To what degree EM as a specialty leads in immediate care, telemedicine will be key. Primary care as an on-demand way of getting answers to patients’ medical questions is in retreat. This is an area of opportunity, and for EM to grow we need to capitalize on our strengths and apply them in new ways. More than anyone else in medicine, we know who is sick, what they need, and when they need it—and we can apply this expertise in novel ways if we put our effort there; if we do not—if we only want to take care of critically ill patients in the ED—our field will wither.

How do you balance work and life? What one thing would improve the quality of your life?

I always feel better when I am exercising: running, swimming, biking. Physical wellbeing is important. Mentally I also need to have something other than work to stimulate me. I read incessantly all manner of writing, both fiction and non-fiction. What would improve my quality of life? Being outside more! Winters in Chicago can be tough and I miss some of the high adventure activities of the western U.S.: fly fishing, hiking, skiing, and snowboarding.

What is your number one tip for managing stress? What do you do to relax?

Let it out. Either talk with someone who loves you or let it out by exercising (or something other than work) and by losing yourself in the present. Be in the moment. My wife sometimes tells me, “you need to go for a run…you’ll feel better.” And she’s right: even if I am tired and don’t want to, I always feel better after a run.

Haiku by Dr. Courtney Knowledge is power But power can determine What counts as knowledge Looking in his face My future self is revealed My aging father We try to measure Quality with a stopwatch We should stop and watch More and more people Who don't take care of patients Filling hospitals "Circle back" "silo" Words I never want to hear In worthless meetings. @dmark123w10 – #haiku #micropoetry

7

What one word would you use to describe yourself?

Thoughtful

What one word would your friends use to describe you?

Storyteller

What's the one thing about you few people know about you?

I have written hundreds of Haikus on twitter. Almost all my tweets are haikus! @dmark123w10

Who would play you in the film of your life?

George Clooney. I know that sounds a bit vain, but I am basing this on a) his gray hair and b) his ability to be both funny and serious.

What is your guiltiest pleasure?

I hate to admit this, but I loooove ice cream. I don’t do it much anymore, but I have been known to eat an entire pint of Ben and Jerry’s coconut almond fudge.

What is at the top of your bucket list?

Fly fish and explore Alaska

Who would you invite to your dream dinner party?

If I could go back in time, I’d invite Joe Strummer, JD Salinger, Abraham Lincoln, Jack London, Lao Tzu, Alexander Hamilton, Marie Curie. If I am limited to people who are living, I’d invite Doris Kearns Goodwin, Anthony Rizzo, Jon Bellion, Elon Musk, Barak Obama, Chris Rock, Richard Russo, Junot Diaz, Lydia Davis, Elizabeth Kolbert, Paul McCartney, and Keith Richards.

What is your most treasured possession?

"For me, the most successful and rewarding approach to leadership is to form relationships with others and

My books

work toward aligning mutual goals

What is the most important lesson life has taught you so far?

and appealing to a higher collective

Life is fleeting, so make the most of each day. Relationships matter and you never know the impact you have on others— especially your intimate friends and family, but also your casual acquaintances.

purpose than simple self-interest."

SAEM PULSE | JANUARY-FEBRUARY 2018

One Strong Voice

8

“The challenge and responsibility is to make our amalgamated society more than the sum of its parts. We now have the opportunity to shape our own destiny in academic emergency medicine as we work together to make our vision a reality.”

—Arthur B. Sanders, MD, SAEM’s first president, 1989

Academy for Women in Academic Emergency Medicine

SGEM: DID YOU KNOW?

Sex-related Differences in Propofol Effects

By Jessica Rivera, PharmD, BCPS, DABAT Propofol, or 2,6-diisopropylphenol, is a widely used anesthetic agent in emergency departments across the globe.

Ideal pharmacological characteristics such as rapid onset, relatively short duration of action, and subsequently quicker emergence times facilitate its use as not only an induction agent, but also as a continuous infusion to maintain sedation .

With this widespread use, we have continued to learn of discrepancies amongst patients regarding pharmacokinetic and pharmacodynamic properties.1 Despite this knowledge, however, standard dosing schematics continue to represent a “one size fits all� approach. Specifically, sex has proven to play an important role in sedative requirements.2 The literature describes instances in which women require higher propofol infusion rates than men to maintain general anesthesia.3,4,5 Further, women also exhibit faster wake times as supported by more rapidly declining plasma propofol concentrations when compared to men.6,7 Sex differences in physiologic parameters may explain these observations, as suggested by Vuyk and colleagues.8 The authors propose sex-related variations in propofol elimination clearance may be related to differences in hepatic and renal perfusion between men and women, as well as differences in body fat.8 Loryan and colleagues provide further insight through results of their pilot study which suggest the major metabolic pathway for propofol elimination, glucuronidation, is sexually dimorphic.1 While several hypotheses regarding gender-related disparities are emerging, sexassociated differences in propofol pharmacokinetics remain unclear. Certainly, patient sex should be considered when utilizing propofol as an anesthetic agent within the emergency department. Including sex stratification in future areas of study remains warranted.

ABOUT THE AUTHOR: Jessica Rivera, PharmD, BCPS, DABAT, is a clinical pharmacy specialist in emergency medicine at the University of Alabama Birmingham (UAB) REFERENCES

1. Loryan I, et al. Influence of sex on propofol metabolism, a pilot study: implications for propofol anesthesia. Eur J Clin Pharmacol 2012; 68:397-406.

2. Kodaka M, et al. Gender differences between predicted and measures CP50 for loss of consciousness. J of Clin Anesth 2006;18:486-489.

3. Leslie P, et al. Women patients require more propofol for general anesthesia than men [Abstract]. Anesthesiology 2001;95:A481.

4. Haensch K, et al. Women need more propofol than men during EEG-monitored total intravenous anesthesia. Biomed Tech (Berl) 2009;54(2):76-82.

5. Glass PS, et al. Bispectral analysis measures sedation and memory effects of propofol, midazolam, isoflurane, and alfentanil in healthy volunteers. Anesthesiology 1997;86(4):836-847.

6. Gan TJ, et al. Women emerge from general anesthesia with propofol/alfentanil/nitrous oxide faster than men. Anesthesiology 1999;90:1283-1287.

7. Ward D.S., et al. Pharmacodynamics and pharmacokinetics of propofol in a medium-chain triglyceride emulsion. Anesthesiology 2002;97:1401-1408.

8. Vuyk J, et al. Gender differences in the pharmacokinetics of propofol in elderly patients during and after continuous infusion. British J of Anaesth 2001;86(2):183-188.

Please send contributions for this column to coeditors Lauren Walter and Alyson J. Mcgregor at sgem@lifespan.org. If you are an SAEM member and are interested in adding the Sex and Gender in Emergency Medicine Interest Group (SGEM IG) to your membership, simply sign in to your SAEM profile and join today. SAEM members who are already part of the SGEM IG can find more information and resources by visiting the SGEM IG Community Site.

9

What a Year It's Been!

Thanks to your continued support, 2017 was a banner year for SAEM. Important improvements were made to existing programs and several new initiatives were launched, setting the bar higher than ever for quality member service. Here are the highlights from a memorable year:

3,206 Residents

2,579 Faculty Members

235

181

Medical Students

137

SAEM PULSE | JANUARY-FEBRUARY 2018

Chairs

10

Fellows

6,500+

Total Members

108

49

Administrators

Associates

201 Young Physicians

SAEM Membership Reaches New Heights!

SAEM’s member ranks grew by leaps in bounds this past year, soaring to a record-setting 6,500+ in 2017!

AEM Education and Training Launches After months of planning and preparation, SAEM’s newest publication—Academic Emergency Medicine Education and Training (AEM E&T) published its first issue in January 2017 and experienced a highly successful inaugural year, with high submission rates, quality peer review, and top-notch educational content.

A New Research Course for Junior Faculty ARMED, a new research course for junior faculty was launched by SAEM in 2017.

Taught by leading experts in academic emergency medicine, the purpose of the course is to “arm” participants with the fundamental knowledge and skills to design a high-quality research project and grant proposal to jumpstart their research career.

A Stronger Voice for AEM Residents and Medical Students The final months of 2017 saw the creation of SAEM’s first-ever RAMS (Resident and Medical Student) Board and RAMS Committees. The mission of RAMS is to give residents and medical students a stronger voice within the SAEM community by developing educational content and annual meeting programming, promoting mentorship and career development, and identifying leadership and advocacy opportunities of particular interest and importance to our junior members.

A New Online Learning Series for Researchers Launched in 2017 by the SAEM Foundation, in partnership with ALiEM, the new Research Learning Series offers interactive, online education on popular emergency medicine research topics to novice and mid-career researchers in emergency medicine.

These monthly 60-minute sessions feature valuable research content delivered by experts in the field of emergency research.

SAEM Foundation Has Monumental Year For the SAEM Foundation, 2017 was a hugely successful year that saw the realization of several goals, including:

• Raising $10 million to fund promising young researchers and educators in academic emergency medicine, making it the largest foundation for emergency medicine.

•S tarting the Administrative Fellowship Approval Program through which administrative fellowships can obtain SAEM approval of their curricula •A warding the first-ever Simulation Academy Novice Research and Academy of Emergency Ultrasound Research grants •R eceiving the most ever grant applications for review.

• L aunching the Annual Alliance, giving members a new way to give back to the specialty and earn special benefits.

Regional Meetings Expand In addition to increased attendance at all SAEM Regional Meetings in 2017, the Society welcomed a new South Central Regional Meeting in 2017, and welcomed back the Southeastern Regional Meeting and its new spin on SimWars: A Zombie Apolcalypse! These two additions to the SAEM regional meeting slate, boosted the total number of regional offerings across the U.S. seven—an all-time high for SAEM.

SAEM Enters into Partnership with the GEDC SAEM now serves on the advisory council of the Geriatric Emergency Department Collaborative (GEDC)— an innovative collaboration on the future of geriatric emergency care. It brings together a growing number of hospitals and health systems, the American College of Emergency Physicians (ACEP), the American Geriatrics Society (AGS), the Emergency Nurses Association (ENA), and the Society for Academic Emergency Medicine (SAEM).

Online Academic Resources Soar!

time high impact factor of 3.0, and a citation ranking of No. 3 internationally among 76 titles in the emergency medicine category.

SOAR (SAEM Online Academic Resources) was launched as SAEM’s new digital home for open access medical education. SOAR features all SAEM17 presentations organized by topic, as well as Academy Open Access Education Resources, Faculty Development MedEd Bootcamp videos, a curriculum library, and other helpful FOAM resources

Journals Continue Upward Trajectory

Research Resources The SAEM Research Committee has collated a list of resources to help you with study design, implementation, evaluation and dissemination. These resources are geared toward more junior investigators, but may be helpful to senior researchers as well.

Military Memberships for Our Service Men and Women

Medical Education Portfolio Builder

Free (and New!) Interest Groups

Emergency medicine educators got a first peak at the new Medical Education Portfolio template, designed as a tool to help educators reflect upon their careers and guide them in the development of their own Educator Portfolios.

Easier to Navigate saem.org SAEM.org was overhauled in 2017 to include optimized mobile platforms, single sign on, access to the latest journal articles from the home page, and content that is reorganized so it’s easier to find!

New Academy Websites Each SAEM academy now has a newlybranded, easier-to-navigate site to house online education, provide information, explain the benefits of membership, and market academy products, services, and events.

Upgraded Directories SAEM’s Clerkship, Fellowship, and Residency directories were transformed into powerful, highly searchable online databases with improved functionality and completely updated data.

SAEM's New Home is Put to Good Use In 2017 we hosted several education and training events in our new conference rooms equipped with the latest technology and conveniences.

SAEM supports our men and women in uniform! Military membership is now available to any faculty member who works for the military full time.

SAEM journals launched several new initiatives in 2017 to continue to improve the quality of peer review, help promote published manuscripts, and give authors extra exposure for their research. These initiatives included a revised Author Guidelines; new AEM podcasts, blogs, Twitter accounts and monthly press releases; reviewer feedback report and “Elite Reviewer” status; first author photos and abstract links for AEM and AEM E&T on SAEM.org; and an electronic table of contents and full PDF of each issue sent to every SAEM member.

With free, unlimited access to any interest group, SAEM members can now explore, free-of-charge, as many subspecialties as they wish, including our newest interest groups: Oncologic Emergencies, EMTIDE (Emergency Medicine Transmissible Infectious Diseases and Epidemics), Telehealth, and Social Emergency Medicine and Population Health.

EM Job Link: New Name, Better Interface EM Job Link, SAEM’s renamed job board, was refreshed with a clean, mobileresponsive user interface; better employer functionality; a streamlined pricing structure, and new marketing initiatives to give job ads maximum exposure.

Community Sites Get Refreshed SAEM’s online community sites were redesigned to align with SAEM’s visual identify and to ensure brand continuity and consistency.

SAEM Publications Go Digital Starting in 2017, all SAEM publications (Academic Emergency Medicine, AEM Education and Training, and SAEM Pulse) became online-only.

The change make content more readily accessible and feature-rich, with reference linking, article sharing, embedded videos, expandable images, and more! In addition, AEM journal and SAEM Pulse received makeovers in 2017, with new page layouts, full color throughout, updated typography, and an overall more contemporary aesthetic that aligns with the SAEM brand.

AEM Climbs Higher Than Ever Academic Emergency Medicine continued its upward trajectory in 2017, reaching an all-

Another Stellar Annual Meeting SAEM17 in Orlando unveiled several new and improved programs and services to make the “attendee experience” the best it could be. These included a streamlined abstract submission and review process, self-check-in for name badges, a help station, an improved annual meeting app, and several new events, including the Chair Fair, Speed Mentoring, and National Grand Rounds. In addition, a new evaluation/ CME platform that allowed attendees to download certificates immediately and nightly e-blast recaps, plus online video content to keep both attendees and those who were unable to attend, up-to-date on important annual meeting happenings.

“I am SAEM” Campaign Kicks Off The “I am SAEM” campaign showcased the uniqueness, diversity and depth of SAEM members with a series of print ads, web content, social media posts, and video clips that highlighted distinctive and noteworthy facets of SAEM members and how these activities help them relieve stress, and balance work and life.

What a year! Thank you. We couldn’t have done it without you.

11

What a Year It's Going to Be! A new year is traditionally a time for focusing on renewal, growth, and new beginnings. Thanks to your commitment to our specialty and your continued support of our Society, this New Year begins with the launch of several new programs and initiatives that represent exciting milestones in the history of the Society for Academic Emergency Medicine:

SAEM PULSE | JANUARY-FEBRUARY 2018

RAMS Takes Off

12

The big news of 2018 will be the launch of several new programs and initiatives from SAEM’s new home for our Residents and Medical Students—RAMS. Among the short-term goals set by the RAMS Board and Committees for 2018 are the following: • Dedicated section in SAEM Pulse for RAMS news and information, such as “Who’s Who in Academic EM” series • Development of Academic EM Educational Guides (e.g., Guide to Define Academic EM, How to Navigate the Milestones, Visualizing Academic Roadmaps, etc.)

• “Ask a Chair” podcasts • Speed Mentoring • New, RAMS-centric awards, grants, and scholarships.

• RAMS Digital Space in SOAR with 100% resident and student-driven content • Career Guides from a resident perspective • RAMS Twitter and Facebook

New to SAEM18 SAEM18 will continue the trend of introducing new and relevant educational programming. The Indianapolis annual meeting will introduce three innovative sessions:

• SAEM Masters Secret Series.

Recognized leaders in academic emergency medicine will highlight important lessons learned throughout their careers; share techniques for career longevity and success; and discuss differences in life and career successes among different leaders and their styles.

• SAEM Master Scholars. Three Master Scholars will moderate never-beforepresented oral abstracts of the highest quality, in three distinct topic areas pertinent to emergency care. These Master Scholar Sessions will be followed by a state-of-the-art “Master Scholar Update” on current and future research opportunities in the topic areas.

• SAEM Professor Rounds. Specially selected e-poster presenters will provide synopses of their study findings while senior-level academicians, i.e., “The Professors,” provide commentary and lead a lively postpresentation open discussion.

Plus...

• SAEM Leadership Forum (SAEMLF).

SAEM’s annual symposium for aspiring leaders makes a return appearance at the 2018 annual meeting and it’s better than ever, with a retooled scope that includes academy and committee leader development.

More for Academies In 2017 SAEM Academies received new websites and were provided training to manage those websites. In 2018, there’s even more in store for our academies, including: • Professional strategic plan consulting • New Academy Grants and Matching Grants • A special academy-driven issue of AEM E&T

Emphasis on Physician Wellness/Resilience The coming year will see the kick off of a comprehensive multi-year plan for SAEM’s involvement in Physician Wellness/Resilience that will result in live and online educational resources, annual meeting wellness activities, SAEM participation in EM Wellness and Resilience Summit Activities, and an important partnership with the National Academy of Medicine (NAM) through SAEM’s participation NAM’s Collaborative on Clinician Resilience.

An Expansion of SOAR SAEM’s Online Education Library–SOAR, will continue to grow with the addition in 2018 of monthly podcasts, SOAR Topic Reviews (a new series of articles in AEM E&T), SAEM18 content, and digital contributions from RAMS.

New Grants from SAEM Foundation SAEM Foundation (SAEMF) is expanding its grant offerings in 2018. Look for new funding announcements in 2018 including: • GEMSSTAR Supplemental Funding in EM • Mid-career Bridge Grant • Education Research Grant • Education Project Grant • New Topic-specific Grants (in partnership with the SAEM Academies) • New Resident and Medical Student Grants (in partnership with RAMS) In addition, several of the existing grants will offer increased funding including up to $300,000 for the popular SAEMF Research Training Grant.

New Awards In addition to our existing awards, in 2018 SAEM members can receive national recognition in new award categories, including: • Best Resident Award • CDEM Resident Teacher Award • AGEM Medical Student Scholarship

Research Learning Series to Expand In 2018, SAEM is partnering with the popular podcast, Academic Life in Emergency Medicine (ALiEM), to bring new topics to the Research Learning Series. The Research Learning Series is SAEM’s free, live online education covering popular emergency medicine research topics.

Welcome, ARMED Class of 2018!

The Advanced Research Methodology Evaluation and Design (ARMED) is celebrating its inaugural 2017-18 class! Taught by leading experts in academic emergency medicine, the purpose of the course is to "arm" junior faculty who are interested in pursuing a career in research with the fundamental knowledge and skills to design high-quality research projects and grant proposals. Look for a call this year for 2018-19 class applicants!

Podcasts!

The other big news for 2018: Podcasts. Expect SAEM’s offerings of podcasts to explode in 2018 with the creation of podcasts from AEM, AEM E&T, the Research Learning Series (in collaboration with ALiEM), RAMS generated content, and more!

It’s a New Year and we couldn’t be more excited to share it with you!

To take advantage of all of that’s coming up in 2018, please make sure your member profile is up-to-date. On behalf of everyone at the Society for Academic Emergency Medicine we thank you for your ongoing commitment to SAEM and wish you and yours a Happy New Year and the very best for 2018!

President's Comments continued design a high-quality research project and grant proposal to jumpstart their research careers. Led by former SAEM President Deb Diercks, the course was taught by nationally funded experts in emergency medicine using in-person, online, and asynchronous learning approaches.

Last but not least… The SAEM annual meeting will continue to be the preeminent forum for the dissemination of content relative to the teaching and provision of emergency care. When we meet in Indianapolis, May 15-18, 2018, you will see the results of the incredible work of the SAEM Annual Meeting Program Committee (chaired for the second year in a row by Danny Palin, MD, MPH) under whose direction we experienced a record number of didactic and pre-meeting workshop submissions (Up by more than 50 percent relative to last year!) The SAEM annual meeting will continue to feature top-notch speakers to headline our keynote address, National Grand Rounds Series, and Master

One Strong Voice “SAEM’s guiding principle has remained unchanged since our founding in 1989 when the University Association for Emergency Medicine (UAEM) merged with the Society of Teachers of Emergency Medicine (STEM) to become the One Strong Voice for academic emergency medicine. Out of this union was born the Society for Academic Emergency Medicine.

As we begin a new year, we want you to know that we remain committed to our mission of advancing the research and education frontiers of emergency medicine...For together we are greater than the sum of our parts. We are proud of the Society and its legacy of excellence through collaboration. In the words of Arthur B. Sanders, MD, SAEM’s first president: ‘We now have the opportunity to shape our own destiny in academic emergency medicine as we work together to make our vision a reality.’ We are proud of the Society and its legacy of excellence through collaboration. With your continued support, we will remain One Strong Voice for academic emergency medicine.”

—D. Mark Courtney, MD 2017-2018 SAEM President

Scholar Series. SAEM18 promises to deliver the mentorship and networking opportunities you’ve come to expect, as we come together to reflect on what it is that unites us as established or emerging teachers and learners.

So, please plan to join us in Indianapolis in May. In the meantime, be sure to check out the variety of resources and educational content available to you as an SAEM member, and take advantage of the many opportunities SAEM offers to engage with the society as a leader or a learner, throughout the new year and beyond, in what I hope for all of you is a fruitful and meaningful career.

ABOUT DR. COURTNEY: D. Mark Courtney, MD, MSCI, is director of research and an associate professor in the Department of Emergency Medicine at Feinberg School of Medicine, Northwestern University, Chicago. Dr. Courtney is the 20172018 president of the Society for Academic Emergency Medicine (SAEM).

13

DIVERSITY AND INCLUSION ADIEM forms New Subcommittee to Address Accommodations in Medicine

By Jason M. Rotoli, MD

"The new Accommodations in Medicine Committee shares the belief that all people have the right to equitable medical care regardless of

SAEM PULSE | JANUARY-FEBRUARY 2018

a disability (physical,

14

mental/cognitive, emotional) or cultural/linguistic discordance."

Merriam-Webster defines the term disability as “a physical or mental condition that limits a person's movements, senses, or functional ability leading to an inability to engage in any substantial gainful activity.” This definition carries a negative connotation, focusing only on one’s inabilities. As is the case with many underrepresented groups, this is the perspective of the majority group of people attempting to define a minority group of people. For the larger group of people with disabilities, the definition is short-sighted and inaccurate. For example, despite having a hearing deficiency, the culturally deaf (or capital “D” [Deaf]), are a population of people who use American Sign Language as their primary language and who have no sense of loss or perceived inability. They define their deafness culturally and ethnically—not medically.

Perhaps this disparity in defining the word disability helps explain why when the “typical” person considers the word disability, it is without awareness of the accommodations that are necessary to create an inclusive environment that fosters success, or of the incredible learning that takes place as one overcomes a barrier, or of the lessons in perseverance and humility one learns as one recognize a colleague’s accomplishments despite his or her requiring an accommodation.

In 1990, the Americans with Disabilities Act (ADA) afforded protection against discrimination in employment, transportation, public accommodation, and communications. The intent was to empower people with disabilities by requiring access to appropriate accommodations in all public places, including the health care setting. The Joint Commission, a national U.S. hospital accreditation organization in patient quality and safety, is committed to the reduction of health care disparities through supporting education in cultural competence and encouraging hospitals to provide equal access to care for underrepresented groups, including those with disabilities.

Despite these protective agencies and laws, there remain educational, socioeconomic, and health inequities. For example, the ADA mandates that the cost of accommodations be placed on the local health care provider or employer. While this has alleviated the financial burden on the individual, there have been unintended negative consequences to the employer.

For one thing, due to the financial burden being placed on the employer, there may be a sense of hesitation to hire people who require accommodations, thereby reducing their chances of successful employment and perpetuating a lower socioeconomic status. Secondly, this requirement may also cause health care providers to shy away from caring for people with disabilities, which can translate to disproportionately reduced appointment availability, increased cost and insurance barriers, poor physician-patient communication, negative attitudes, lack of respect, and discrimination.

In order to successfully deliver high quality equitable care, health care professionals who have a disability likewise require adequate accommodations. Unfortunately, despite their educational or career achievements, they too can be subjected to hiring discrimination, wage discrepancies, and the same negative perceptions and discrimination as any other person with a disability. As a result, the health care professional who has a disability may choose to hide his or her need for accommodations and may risk forfeiting success in order to avoid discrimination. For example, consider the applicant to an emergency medicine residency who struggles with disclosing his or her need for accommodations for fear of negatively impacting his or her application.

This person needs an environment that fosters an open discussion about what it will take to allow for success. As with many other issues that are considered “controversial,” there is no easy way to estimate the impact of disclosure in an application or on an applicant’s success.

The new Accommodations in Medicine Committee (a sub-committee of the Academy of Diversity and Inclusion in Emergency Medicine, or ADIEM) shares the belief that all people have the right to equitable medical care regardless of a disability (physical, mental/ cognitive, emotional) or cultural/linguistic discordance. ADIEM’s mission is to improve emergency care by reducing health care disparities and inequity through education, scholarship, and clinical service.

For patients and families who require accommodations, the physician must acknowledge barriers to care (physical, spatial, linguistic, cultural, etc.) and develop a plan with the patient and hospital in order to deliver high quality care. For health care providers and students who require accommodations, this means recognizing their own need for accommodations (physical, spatial, linguistic, mental health,

etc.), learning the tools to advocate for themselves in a professional setting, and collaborating with their employers/ institutions to create an environment that fosters career development and the successful delivery of equitable health care. Finally, as with all matters of health disparity, more research and scholarship is needed to better understand and minimize the impact of these factors in emergency medicine.

ABOUT THE AUTHOR: Jason M. Rotoli, MD is an assistant residency director and assistant professor of emergency medicine at the University of Rochester Medical Center. He is also the Deaf Health Pathways Director at the University of Rochester School of Medicine and Dentistry and is a strong advocate for improving health literacy and access to care, especially among the culturally Deaf population.

The new Accommodations in Medicine Committee (a subcommittee of the Academy of Diversity and Inclusion in Emergency Medicine, or ADIEM) shares the belief that all people have the right to equitable medical care regardless of a disability (physical, mental/cognitive, emotional) or cultural/linguistic discordance. Demonstrate your enthusiasm by advocating for this underrepresented group. Consider joining the Accommodations in Medicine Committee.

Contact Jason Rotoli: Jason_rotoli@urmc.rochester.edu.

15

ETHICS IN ACTION Early Intubation of Older Adults with Severe Burns: Think About It

By Mary R. Mulcare, MD Case Presentation A 79-year-old female presented to the emergency department (ED) after sustaining severe flame burns at home. She was doing her nightly prayers over a lit candle when her nightgown caught on fire. Her daughter witnessed the event, put out the flame, undressed the patient, and activated EMS.

"EPs are interventionalists trained to aggressively resuscitate patients towards stabilization, delaying an intubation or deciding not

SAEM PULSE | JANUARY-FEBRUARY 2018

to intubate

16

altogether may be a particularly challenging and uncomfortable management decision."

Upon arrival to the ED, the patient was alert and oriented with a Glasgow Coma Scale (GCS) of 15. Her vitals were: temperature 36.7, pulse 100, blood pressure 150/70, respiratory rate 24, O2 saturation 100% on facemask. She was able to speak, maintaining her airway with no soot in the mouth or nares, but appeared visibly tachypneic. Complete exposure revealed a 53% total body surface area burn to her face, neck, chest, back, upper and lower extremities, with extensive sloughing of skin.

The patient had a medical history of hypothyroidism, hypertension, and a remote CVA with no residual neurologic deficits. She was taking aspirin and clopidigrel, as well as memantine, suggesting some degree of mild cognitive impairment. The family was following behind the ambulance and would need more time to arrive.

Due to tachypnea and the severity of the burns she sustained on her lower face (though not circumferential), The patient was intubated within minutes of the initial ED assessment. The ED team reasoned that the patient was going to need significant fluid resuscitation and thus had an elevated risk of subsequent laryngeal swelling, although her airway was current patent. The ED team also recognized that the possibility of the patient surviving the size and degree of burn sustained was very unlikely and waiting for family to arrive prior to such intervention might be appropriate.

The patient was admitted to the Burn Intensive Care Unit. The patient did not have advance directives or a living will.

Additionally, neither the patient’s daughter nor other family members had discussed with the patient a scenario such as this and, therefore, were unsure what she would want in terms of continued care. The patient never

"Intubation is often lifesaving, but it is not without significant risks and sequelae." regained consciousness despite aggressive management. She succumbed to infection, multi-organ dysfunction, and finally cardiac arrest after 10 days in the hospital.

Discussion One of the central roles of an emergency medicine physician (EP) is stabilization and resuscitation of critically ill and injured patients. Effectively doing so often requires swiftly performing invasive procedures, such as intubation to ensure airway control.

Intubation is often lifesaving, but it is not without significant risks and sequelae. While many of these risks, such as ventilatorassociated infections and acute lung injury, are often considered when making decisions about appropriate management, others, such as the risk that the patient may never be successfully weaned from the ventilator and awakened from sedation, are often overlooked. Older adults with burn injuries may be at a particularly high risk for the latter.

Thus, the opportunity to have additional time for meaningful interaction with family and goals of care discussions is paramount.

Older adults (≼65 years old) are the most rapidly growing segment of our population.

They represent an increasing percentage of emergency department patients, and more commonly require critical care level interventions within the ED. Acute burn injuries have high rates of morbidity and mortality in geriatric patients and are the sixth leading cause of death from accidental injury. Due to decreased mobility, decreased dexterity, and underlying cognitive impairment, older adults are at higher risk of severe burns than children and younger adults. This population also typically has

more co-morbidities, thin and fragile skin, and delayed and diminished immunologic response that impacts wound healing and infection control.

There are several clinical prediction models for prognosis and patient mortality when sustaining a burn. For many older adult burn victims with extensive injury such as the patient described in our case scenario, these models predict a near 100 percent mortality during hospitalization.

The typical resuscitation for these patients requires a significant amount of intravenous fluid, which over time leads to airway edema requiring intubation. Additionally, these patients often require large doses of narcotic and sedating medication, leading to a concern for ability to protect their airway. However, assuming no inhalational injury, many of the indications for intubation take some time to develop.

In cases such as the one described here, the EP can rely on existing literature and clinical experience to present options to the patient and family in light of the

patient’s prognosis. An acceptable, informed decision by the patient may be to refuse intubation in the emergent setting to allow for more conscious, quality time with loved ones and a more valuable baseline interaction with the burn specialists.

Should the patient not survive the injury, the last meaningful interaction they will have with family is immediately before the sedation medication takes effect, as was the case with our patient. It is important for EPs to acknowledge this and, when possible, incorporate this perspective into discussions with the patient and family in advance of intubation.

In conclusion, as EPs are interventionalists trained to aggressively resuscitate patients towards stabilization, delaying an intubation or deciding not to intubate altogether may be a particularly challenging and uncomfortable management decision. In many critically ill ED patients, including geriatric burn patients without inhalation injury, the necessity to intubate to protect their airway

may be urgent rather than emergent.

Often subtle, this distinction may be important for a patient with an extremely poor prognosis and unclear goals of care, as sedating them for intubation may end their conscious life and ability to interact.

By judiciously postponing intubation in the case of an older patient in favor of communicating to the patient and their family the likely clinical outcome, we can learn their wishes about the treatment options we can offer. In so doing, we may be providing the most important intervention of all: the last few hours of meaningful interaction between the patient and their loved ones.

ABOUT THE AUTHOR: Mary R. Mulcare, MD, is assistant professor of clinical medicine and assistant Geriatric Emergency Medicine Fellowship director at Weill Cornell Medical College. She is also the assistant program director for the emergency medicine residency at New York-Presbyterian Hospital.

17

RESIDENTS & MEDICAL STUDENTS RAMS Names Committee Chairs, Sets Objectives

By Andrew B. Starnes, MD/MPH student, University of Oklahoma RAMS Membership Committee Chair

"The primary mechanism by which these suggestions will translate into actions in the coming year and beyond is through RAMS

SAEM PULSE | JANUARY-FEBRUARY 2018

Committees."

18

SAEM’s new RAMS Board is continuing to roll forward on its way to accomplishing its goal of expanding resident and medical student programs and services. Since the board’s creation in Fall 2017, meetings between board members and staff have been building on many of the ideas voiced in special gatherings at ACEP and elsewhere.

These brainstorming sessions will translate into actions in the coming year and beyond via the work of RAMS Committees. RAMS Committees were chosen and organized to provide focused efforts in eight areas of the highest priority to students and residents. Students and residents benefit not only from committee efforts, but also from serving in the groups themselves. A period of enrollment for those interested provided a nearly overwhelming number of qualified applicants, and staff have notified those selected to represent their peers in the exciting work ahead. Committees will each be chaired by one or more board members for the duration of the year, with current leaders noted below.

The following eight committees and their objectives reflect the overarching goals of the RAMS Board, and are based on needs identified through meetings and feedback received up to this point. They will evolve as some objectives are accomplished and others are adopted. We are excited to provide these as evidence of the great achievements ahead for SAEM residents and medical students. We also congratulate those selected to serve as chairs of the 2017–2018 committees and encourage all interested to take advantage of the resources being developed!

Awards Committee The Awards Committee is responsible for the management of the annual awards presented by the RAMS Board to resident and medical student members in recognition of excellence. Committee tasks include reviewing nominations, selecting recipients,

and developing new awards and guidelines.

Objectives • Residency and Medical School Academic EM Video Contest • ARMED Scholarship • RAMS Medical Student and Resident Innovative Educator Award • Best Medical Student Research Award • Best Resident Research Award • RAMS Leadership Award • SonoGames Awards • SimWars Awards • Regional Competitions • RALF Scholarships Chair: Andrew M. King, MD

Education Committee The Education Committee is responsible for developing content and offerings that will enhance the education of emergency medicine residents. In conjunction with SAEM’s Program Committee, this group also plans and organizes the resident and medical student educational track at SAEM’s annual meeting. Dodgeball, the Resident and Medical Student Party, and other residentand/or medical student-focused activities at SAEM’s Annual Meeting are also under the purview of the Education Committee.

Objectives • Annual Meeting • RAMS-sponsored didactics • Speed Mentoring • Consider creating our own MedWars • Resident and Student Guide to the Annual Meeting • Resident Clinician-Educator Series: How to Teach in Medicine • Clinical Content Series • Application podcasts: Released before ERAS, VSAS, etc.

• RAMS podcasts • RAMS section in SAEM Pulse • RAMS Newsletter Chair: Jean Elizabeth Sun, MD

Membership Committee The Membership Committee identifies

avenues for acquiring new members and makes recommendations to the RAMS Board for enhancements and/or new member benefits for residents and medical students.

may be currently involved, in emergency medicine research. The committee also investigates the feasibility of creating research workshops for residents and medical students.

Objectives • National EMIG Roster: Create a spreadsheet/mailing list that includes direct emails to all EMIG leaders at major institutions • National Roadshows: Take RAMS core topics on the road • Regional Meetings: Send a RAMS Board member • International Members Chair: Andrew Starnes

Objectives • Research advising and education • Resident and Student Research Curriculum: Curate existing SAEM research resources to target trainees • Spotlight resident or student regional abstracts in SAEM Pulse • SAEMF and RAMS (Resident and Medical Student) Research Grants • Annual meeting didactics submitted by students and residents • Collaborate with AAAEM/AACEM Benchmark Survey: Incorporate questions relevant to trainees • Emergency Medicine Interest Inventory Survey: National survey of med student and intern interests in emergency medicine Chair: Nehal Naik

Mentorship and Career Development Committee The Mentorship and Career Development Committee is responsible for developing mentoring opportunities for residents and medical students. The committee identifies resources to assist residents in the successful completion of their residencies and provides guidance to residents and medical students who wish to pursue careers in emergency medicine academics or research.

Objectives • SAEM Roadmaps: The Definitive Guide to Academic EM: A visual guide to different pathways in emergency medicine and how to succeed.

Include examples of faculty in different tracks.

• Who’s Who in Academic EM Series: Spotlight “big names” in emergency medicine and have them answer questions from members in a varied formats (podcast, webinar, etc.)

• “Ask a Chair”: Direct advice from the chair group • Academic Career Guide Wiki: With expert guest authors • Transition Support: Help trainees navigate major transitions in med school and residency, including operationalizing and how to identify and fill sub-I spots • Speed Mentoring Chair: Lucia S. Derks, MD

Research Committee The Research Committee is responsible for identifying resources and developing educational content for residents and medical students who are interested, or

Wellness and Resilience Committee The Wellness and Resilience Committee is responsible for investigating initiatives, including activities at the SAEM annual meeting, that focus on improving the overall well-being of emergency medicine residents and medical students.

Objectives • Annual meeting events: RAMS party, Dodgeball etc.

• Annual meeting wellness activities: Work with SAEM Program Committee to identify wellness activities during SAEM18 (meditation rooms, yoga, etc.)

• Participate in SAEM Wellness Task Force: Help define what members need Chair: Chad Lauren Mayer

Social Media and FOAM Committee The Social Media and FOAM Committee is responsible for identifying and recommending the best channels through which to reach resident and medical students (e.g., blogs, a resident and medical student newsletter, podcasts, and/or regular articles in SAEM Pulse).

Additionally, the committee reviews existing FOAM content and suggests new content that might be of interest to emergency medicine residents and medical students.

Objectives • Updated Residency, Fellowship and Clerkship Directories: Interface similar to Yelp or Zillow, updated in realtime • RAMS Section of SOAR: Carve out a digital space with 100% resident and studentdriven content.

• RAMS podcast created by residents and students • Peer advice for success in residency, med school, fellowship • Career guides from a resident perspective • Organized social media push at the annual meeting Chair: Alanna Darling, MD

19

SOCIAL MEDIA IN ACADEMIC EM The 21st Century Scholar: An Interview with Teresa Chan, MD

By Eric Lee, MD

"Start paying attention to, or at least getting comfortable with, digital scholarship because #FOAMed is getting better

SAEM PULSE | JANUARY-FEBRUARY 2018

and better."

20

This month, I caught up with Teresa Chan MD (@TChanMD). Teresa is an emergency medicine physician and researcher in Hamilton, Ontario. You may know her from EM blogs such as CanadiEM and ALiEM. I reached out to Dr. Chan to talk about her recent publication entitled “Social Media and the 21st Century Scholar: How You Can Harness Social Media to Amplify Your Career.” In it, she discusses two individuals: Brent Thoma (@Brent_Thoma) and David Stukus (@AllergyKidsDoc), who skillfully used social media to help build their careers and provide readers with practical advice on how others can do the same. I was fortunate to elicit some valuable pearls of wisdom straight from the source.

or cited anything incorrectly on Twitter or in an online blog? How many seconds elapsed before the online community discovered your error and pointed it out?

Start getting comfortable with digital scholarship, because #FOAMed is getting better and better. Investigators are focusing active research into qualitatively and quantitatively studying #FOAMed content, including but certainly not limited to the METRIQ Study. These inquiries will continue to bring us closer to mainstream recognition of online medical education sources.

In a particularly meta development, you can now find blog posts about research studies discussing the quality of blog posts.

Know the Rules of the Game From the outset, according to Dr. Chan, you must know the rules of the game you’re playing. This means that you should understand what is recognized as academic scholarship at your shop. While more and more academic institutions are beginning to recognize the value of digital scholarship (check out Dr. Dan Cabrera at the Mayo Clinic and his work on social media and academic promotion), not all institutions share this outlook. As a junior scholar, you must be flexible. Taking a note from Dr. Chan’s playbook, you can take your series of blog posts and turn them into a peer-reviewed e-book (e.g. MEdIC), or perhaps the online conversation generated from your podcast or blog posts generates a worthwhile question that can be pursued further via traditional scholarship such as a new research study or a review paper.

Eminence-based Medicine Versus Evidencebased Medicine

"Part of why emergency

• What is the medical blog but the modern reinvention of the textbook?

• What is the podcast but the modern reinvention of the lecture?

medicine physicians

It’s a well-known secret that we don’t hold textbooks to the same level of scrutiny that we do current #FOAMed. After all, when was the last time you really fact-checked any chapter in Rosen’s Emergency Medicine or Tintinalli’s Emergency Medicine textbooks?

On the flip side, have you ever paraphrased

media is because we are

became pioneers in social

social people at heart."

—Teresa Chan, MD

We Are Social People

Starting Out

Part of why emergency medicine physicians became pioneers in social media is because we are social people at heart. In emergency medicine, when we are at work, we work hard. We don’t get to socialize at lunch or during grand rounds. When we are off work, due to competing personal or professional obligations, we don’t always have a chance to synchronously meet up with our peers. Social media has given us a unique opportunity to connect with our peers in a way that was never before possible. Other specialties have begun to recognize the digital scholarship phenomenon, and future opportunities for collaboration will only continue to grow.

It’s okay to start off as a consumer of #FOAMed, reading blogs and following the hot topic conversations on Twitter.

But at some point, you need to consider contributing to the community, rather than just consuming. Like Wikipedia or Reddit, #FOAMed only remains free if its community members all volunteer their work to keep it alive. You don’t have to start your own blog or podcast. You can join the conversation in the comments section of Twitter, or you can contribute a post to an established blog or website. Many blogs such as ALiEM or CanadiEM already have formal submission processes for this.

Finally, #FOAMed offers many benefits (e.g., shortening the translation time of new

research to clinical practice), but perhaps the greatest benefit is that it has given us the opportunity to ask questions critically and engage directly with those who produce the content. After all, that’s exactly how this month’s column happened. I read Dr. Chan’s recent paper. I tweeted her. She responded to me in minutes. …And here we are today.

Many thanks to Dr. Chan for taking the time to chat!

ABOUT THE AUTHOR: Eric Lee, MD (@EricLeeMD) is a senior resident in the Department of Emergency Medicine at Mount Sinai in New York City. He is the current resident lead of the Social Media Division at SinaiEM.

21

BRIEFS AND BULLET POINTS SAEM NEWS

Free Open Access Medical Education?

Yes Please.

Registration remains open for the 2018 AACEM/AAAEM Annual Retreat, March 11-14, 2018 at Hotel del Coronado in Coronado, CA.

SOAR (SAEM Online Academic Resources) is SAEM’s new digital home for open access medical education. SOAR features all SAEM17 presentations organized by topic as well as Academy Open Access Education Resources, which houses free open access medical education in many forms, courtesy of participating SAEM academies.

Register for AACEM/AAAEM Annual Retreat

2018-19 CAEMA Program Registration Open Registration is open for the 2018– 2019 Certificate in Academic Emergency Medicine Administration (CAEMA) program.

The first session is scheduled to be held March 10-11, 2018 at the AACEM/AAAEM Annual Retreat at Hotel del Coronado in Coronado, CA.

Please Update Your Listing in the Clerkship Directory Is your clerkship program listed in the Clerkship Directory? Is it up to date?

Be sure to take a look at our current opportunities, or perhaps update or add your listing via the Clerkship Directory Form.

Send questions to Directory@saem.org.

Apply for SAEM Approval of Your Fellowship Program In an effort to promote standardization of training for fellows, the SAEM Fellowship Approval Program has been developed for eligible programs to earn SAEM endorsement as an approved fellowship in Administration, Research, Geriatrics, Global EM, and Education Scholarship. Programs may apply at any time. The approval process may take up to eight weeks, so plan ahead.

To view a list of approved fellowships, visit the SAEM Fellowship Directory.

Have You Downloaded all of the SAEM Mobile Apps?

The SAEM Community app provides you with all of the features you enjoy on the web version of the SAEM Community Site, but in a mobile format. It is also available via Google Play. Sending messages and staying in the loop with current discussions is made simple in this app. Likewise, the Academic Emergency Medicine app lets you enjoy the AEM journal on your desktop, tablet, or mobile device. SAEM members should use their member login and password in order to gain access to content on each of these apps.

22

SAEM FOUNDATION Apply for Medical Student Research Grant

SAEM Foundation partners with the Emergency Medicine Foundation (EMF) to provide the EMF-SAEMF Medical Student Research Grant. You can apply for this grant along with other opportunities ranging from medical student and resident research to mid-career investigator “bridge funding.” Deadline for applications is February 16, 2018.

SAEM REGIONAL MEETINGS

Register and Submit Your Abstracts Now SAEM is pleased to announce that registration is open and abstracts are being accepted for the following regional meetings: Western Regional Meeting February 2-3, 2018 Submit abstracts to: westernregion@saem.org Register now.

New England Regional Meeting March 28, 2018, Worcester, MA Submit abstracts to nerds@saem.org Register now.

SAEM18

Advanced EM Workshop Day Schedule Set SAEM is excited to announce that its slate of full- and half-day workshops is set for Tuesday, May 15, 2018 in Indianapolis.

For in-depth descriptions, please visit our Advanced EM Workshop Day grid.

You may add a workshop to your SAEM18 registration for an additional fee.

Registration is Open Registration is now open for the following SAEM18 events: • AWAEM/ADIEM Luncheon • Chair Fair • Dodgeball • Residency & Fellowship Fair • SimWars • SonoGames • Speed Mentoring • Wellness Run

Save the Date Mark your calendars for the following SAEM18 events.

• Exhibitor’s Kick-Off Party • Opening Reception •R AMS Party • Wellness Meditation • Wellness Yoga

Call for Papers: 2018 AEM Consensus Conference Academic Emergency Medicine (AEM) has issued a “call for papers” for the 2018 AEM Consensus Conference, “Aligning the Pediatric Emergency Medicine Research Agenda to Reduce Health Outcome Gaps” will be held on May 15, 2018 at the JW Marriott Indianapolis, IN, immediately preceding SAEM18. Original research papers on this topic, if accepted, will be published together with the conference proceedings in the December 2018 issue of AEM.

SAEM PUBLICATIONS

Academic Emergency Medicine Bestows Elite Reviewer Status on 11 Journals serve as the foundation to advance medical science. Medical journals in turn rely upon expert peer-reviewers who devote time evaluating others work in a constructive fashion. The Editorial Board and the Decision Editor team of Academic Emergency Medicine has selected the following 11 highly qualified individuals, from a pool of several applicants, to serve three-year terms as “Elite Reviewers” on the AEM Editorial Board: •B eau Abar, PhD, University of Rochester Medical Center

• Keith S. Boniface, MD, RDMS, RDCS, George Washington University Medical Center • Brian E. Driver, MD, Hennepin County Medical Center/University of Minnesota

5. History, Physical Examination, Laboratory Testing, and Emergency Department Ultrasonography for the Diagnosis of Acute Cholecystitis

2017 AEM Editor in Chief Picks

6. Is It Okay To Ask: Transgender Patient Perspectives on Sexual Orientation and Gender Identity Collection in Healthcare

Read AEM Editor-in-chief Jeffrey Kline’s summaries, with links to his selected papers for 2017:

• Seth Kunen, PhD, PsyD, MS, MSCP, MP, South Central Louisiana Human Services Authority

7. Emergency Department Management of Patients With Febrile Neutropenia: Guideline Concordant or Overly Aggressive?

• Samuel H.F. Lam, MD, MPH, RDMS, FACEP, Sutter Medical Center/ San Diego State University

8. Maintenance of Oxygenation During Rapid Sequence Intubation in the Emergency Department

• Lois Kaye Lee, MD, MPH, Boston Children’s Hospital

9. Why Do People Choose Emergency and Urgent Care Services? A Rapid Review Utilizing a Systematic Literature Search and Narrative Synthesis

• Prospective Investigation of a Novel Ultrasound-assisted Lumbar Puncture Technique on Infants in the Pediatric Emergency Department • Do Gender and Race Make a Difference in Acute Coronary Syndrome Pretest Probabilities in the Emergency Department?

• Diagnostic Performance of Wells Score Combined With Point-of-care Lung and Venous Ultrasound in Suspected Pulmonary Embolism • Association of Hospital Resources and Imaging Choice for Appendicitis in Pediatric Emergency Departments • Development of a Patient-centered Outcome Measure for Emergency Department Asthma Patients • Is It Okay To Ask: Transgender Patient Perspectives on Sexual Orientation and Gender Identity Collection in Healthcare • A Novel Approach to Study Medical Decision Making in the Clinical Setting: The “Own-point-of-view” Perspective • A Systematic Review of the Impact of Physician Implicit Racial Bias on Clinical Decision Making • The Association of Health Literacy With Preventable Emergency Department Visits: A Cross-sectional Study • Current Status of Gender and Racial/ Ethnic Disparities Among Academic Emergency Medicine Physicians • Randomized Controlled Doubleblind Trial Comparing Haloperidol Combined With Conventional Therapy to Conventional Therapy Alone in Patients With Symptomatic Gastroparesis • Randomized Controlled Feasibility Trial of Intranasal Ketamine Compared to Intranasal Fentanyl for Analgesia in Children with Suspected Extremity Fractures

• Jeffrey Hom, MD, MPH, FACEP, FAAP, Stony Brook University School of Medicine

• Simon A. Mahler, MD, MS, Wake Forest School of Medicine • Brandon C. Maughan, MD, MHS, MSHP, FACEP, Emergency Physicians Integrated Care LLC • Joseph R. Pare, MD, MHS, RDMS, Boston University School of Medicine • Jill C. Stoltzfus, PhD, MSEd, Temple University/St. Luke’s University Health Network Congratulations to AEM’s first slate of “Elite Reviewers”!

AEM Seeks Resident Editor Applicants Academic Emergency Medicine, the flagship journal of SAEM, is seeking a resident member for its editorial board. The residentin-training (“resident”) appointment to the AEM Editorial Board is intended to introduce the resident to the process of peer review, editing, and publishing of medical research manuscripts. The appointment will provide the resident with an experience that will enhance his/her career in emergency medicine and in scientific publication.

Application deadline is February 9, 2018.

For more information contact Associate Editor Mark B. Mycyk, MD.

Top AEM Articles of 2017 These are the top five most accessed AEM articles of 2017: 1. Fatal Fentanyl: One Pill Can Kill 2. Effectiveness of Interventions to Decrease Emergency Department Visits by Adult Frequent Users: A Systematic Review 3. Ketamine as an Adjunct to Opioids for Acute Pain in the Emergency Department: A Randomized Controlled Trial 4. Prehospital Advanced Cardiac Life Support for Out-of-hospital Cardiac Arrest: A Cohort Study

2017 AEM E&T Editor Picks Read AEM Education and Training Editor Susan Promes’s summaries, with links to her selected papers for 2017: • Emergency Medicine Faculty Are Poor at Predicting Burnout in Individual Trainees: An Exploratory Study • “Education College” as a Pipeline to Develop Emergency Medicine Academicians • Teaching Quality Improvement in Emergency Medicine Training Programs: A Review of Best Practices • McMaster Modular Assessment Program Through the Years: Residents’ Experience With an Evolving Feedback Culture Over a Three-year Period

SAEM ACADEMIES CDP Scholarship Recipients Announced Christian Arbelaez, MD, MPH, and Judy Linden are this year's Chair Development Program (CDP) Scholarship recipients. Dr. Arbelaez, the AACEM/ADIEM Christian Arbelaez, MD, MPH CDP Scholarship recipient, is Assistant Professor of Emergency Medicine at Harvard Medical School, and a member of the SAEM Academy for Diversity and Inclusion in Emergency Medicine (ADIEM).

He practices emergency medicine at Brigham and Women's.

Continued on page 24

23

Judy Linden, MD, was selected as this year's recipient of the AACEM/AWAEM Chair Development Program Scholarship. Dr. Linden is Associate Professor Judy Linden, MD and Vice Chair for Education at Boston University School of Medicine. She is a member of the SAE Academy for Women in Academic Emergency Medicine.

IN OTHER NEWS Simulation Fellowship Available

Jump Simulation, OSF Saint Francis Medical Center and University of Illinois

College of Medicine at Peoria (UICOMP) is presently recruiting its next cohort of Simulation Fellows at the Jump SimulationUniversity of Illinois Peoria. This is a twoyear fellowship with a Masters in Health Professions Education degree (contingent on acceptance to the program). Fellows receive clinical appointment as junior faculty at the University of Illinois Peoria. For more information please visit the web page.

ABEM’s 2019 EM LLSA Reading List Available; Recommendations Requested for 2020 The 2019 EM Lifelong Learning and Self Assessment (LLSA) Reading List has been finalized and is now available. Currently, ABEM is soliciting readings for the 2020

LLSA test. Reading submissions may come from any content area of the EM Model.

To be considered for inclusion in the 2020 LLSA test, recommendations must be received by April 1, 2018. Information and instructions for recommending readings for the 2020 LLSA test are available through the links below. This same information is also available at www.abem.org, along with a description and overview of the entire MOC program.

•S olicitation of Readings for Future Lifelong Learning and Self-Assessment Tests •H ow to Submit Recommendations for the LLSA Readings • L LSA Reading Submission Form

ACADEMIC ANNOUNCEMENTS Columbia University College of Physicians and Surgeons Angela M. Mills, MD, a professor of emergency medicine and vice chair of clinical operations in the Department of Emergency Medicine at the University of Pennsylvania, will join the Columbia University College of Physicians and Surgeons in February 2018 as the inaugural chair of the Department of Emergency Medicine and chief of emergency medicine services for the Columbia campus of New York-Presbyterian.

Dr. Mills was honored earlier this year with SAEM’s prestigious Arnold P. Gold Foundation Humanism in Medicine Award and the Mid-Career Angela M. Mills, MD Award from SAEM’s Academy for Women in Academic Emergency Medicine. She is a member of the SAEM Board of Directors and serves on numerous SAEM committees and task forces.

West Virginia University

Erica Shaver, MD

Aaron Monseau, MD

Owen Lander, MD

24

Erica Shaver, MD, was recently promoted to associate professor in the Department of Emergency Medicine at West Virginia University (WVU).

A native West Virginian, Dr. Shaver began her journey with WVU’s Department of Emergency Medicine in 2008 after being accepted into the residency class of 2011. After graduation, she joined the department as a faculty member and has since held the titles of Assistant and Associate Program Director and was most recently named Residency Program Director and Vice Chair of Education in 2014.

Aaron Monseau, MD, was recently promoted to associate professor in the Department of Emergency Medicine at West Virginia University (WVU). Dr. Monseau is a West Virginia University Medical School graduate and native West Virginian. After completing his residency at West Virginia University, Dr. Monseau attended the University of Michigan for a fellowship in Primary Care Sports Medicine. Since that time, he has served as a team physician for USA Wrestling on several international tours and was also the team physician at the 2016 Olympics in Rio de Janeiro. Dr. Monseau currently serves as the Team Physician for the WVU Men’s Basketball Team.

Owen Lander, MD, was recently promoted to associate professor in the Department of Emergency Medicine at West Virginia University (WVU).

Dr. Lander has been with the Department of Emergency medicine since 2005. He has served as Medical Director since 2007 and Vice-Chair of Clinical Operations since 2011. Since arriving at WVU, he has earned the WVU Jon Michael Moore Trauma Cornerstone of Recovery Award, a WVU Medicine Bravo! Award, and the Outstanding Faculty Teaching Award for the Department of Emergency Medicine.

IN MEMORIAM: KEVIN RODGERS, MD The Society for Academic Emergency Medicine was deeply saddened by the sudden and tragic loss this past November 2017 of Dr. Kevin Rodgers, the program director emeritus of the emergency medicine residency of the Indiana University School of Medicine.

Dr. Rodgers was a well-respected faculty educator at IU and at the time of his death was serving as the 2017-2018 president of the American Academy of Emergency Medicine (AAEM)—an organization in which he was very active and on whose board of directors he served in several positions over the past 12 years.

Dr. Rodgers made as an integral part of the SAEM, serving faithfully on the Annual Meeting Program Committee for several years and as the chair of the Resident Leadership /Chief Resident Forum, which under his direction became the Resident Academic Leadership Forum (RALF). He was also a reviewer for Academic Emergency Medicine journal.

We are grateful for the important work he accomplished at SAEM. In his stellar career as an emergency medicine educator and program director, Dr. Rodgers inspired literally thousands of emergency medicine residents. Dr. Rodgers excelled at advocating for learners and for the honor of being an emergency medicine physician. His influence will long be felt, as will his absence.

NOW HIRING POST YOUR OPEN JOBS IN FRONT OF OUR QUALIFIED CANDIDATES! Accepting ads for our “Now Hiring” section!

Deadline for the next issue of SAEM Pulse is February 1.

For specs and pricing, visit the SAEM Pulse advertising webpage.

Chair of the Department of Emergency Medicine at The Warren Alpert Medical School of Brown University and Physician-in-Chief for Emergency Medicine at the Rhode Island Hospital, The Miriam Hospital, and Newport Hospital Brown University, Lifespan, and University Emergency Medicine Foundation are seeking an outstanding clinician to serve as Chair of the Department of Emergency Medicine at The Warren Alpert Medical School of Brown University, as Emergency Medicine Physician-in-Chief at the Rhode Island Hospital, Hasbro Children’s Hospital, The Miriam Hospital, and Newport Hospital, and as President of the University Emergency Medicine Foundation. This individual is expected to qualify as Professor of Emergency Medicine at The Warren Alpert Medical School of Brown University. The individual will be expected to plan, manage, and implement academic programs that foster the professional and scholarly growth of a multi-institutional Department of Emergency Medicine, a well-developed academic program, and to provide leadership as Emergency Medicine Physician-in-Chief to the Emergency Medicine faculty and Medical staff at the Rhode Island Hospital, The Miriam Hospital, and Newport Hospital.

Applicants must possess experience in working in an academic medical center environment in a position of senior responsibility and must have a demonstrated record of excellence in scholarship, clinical service and administration. Demonstrated success in attracting extramural peer-reviewed research funding on a competitive national basis is preferred.

Applicants must hold a senior faculty rank in an accredited medical school and be qualified for the rank of Professor at The Warren Alpert Medical School of Brown University. Administrative experience as Chair of an academic department of Emergency Medicine, Division Chief, or Emergency Medicine Physician-in-Chief in a major teaching hospital is desirable.

Applicants should have attained national and/or international recognition as evidenced by active involvement with academic professional societies, publications in refereed professional journals and formal presentations at academic meetings.

Applicants should send a letter of interest, curriculum vitae and five names of possible references to: Karen L. Furie, MD, MPH, Search Chair, The Warren Alpert Medical School, Department of Neurology, 593 Eddy Street, APC5, Providence, RI 02903. Documents should be submitted electronically to both kfurie@lifespan.org and jboulanger@lifespan.org as well as submitted through interfolio at https://apply.interfolio.com/47483.

Screening of applications will begin immediately and will continue until the search is successful or closed. Brown University and Lifespan are EEO/AA employers and actively solicit applications from minorities and women.

25

VICE CHAIR, MEDICAL STAFF AFFAIRS & QUALITY DEPARTMENT OF EMERGENCY MEDICINE Greenville, South Carolina

The Department of Emergency Medicine at Greenville Health System (GHS) is currently seeking a highly motivated candidate for the position of Vice Chair, Medical Staff Affairs and Quality. The Vice Chair functions as a departmental leader serving on the Department Executive committee and overseeing all medical staff affairs to include credentialing, maintenance of certification, recruiting, retention and faculty development, as well as leading departmental clinical outcomes, quality, and patient safety initiatives.

Successful candidates will possess a vision for growth, are boardcertified in Emergency Medicine and have demonstrated a track record of leadership, interpersonal and management skills, including the innovation and creativity required to steer process improvement, efficiency and quality outcomes. Preference will be given to those with prior departmental leadership experience.

GHS is the largest healthcare provider in South Carolina and provides the most extensive emergency services in the Upstate region. The Department of Emergency Medicine is comprised of more than 130 faculty physicians and advanced practice providers in 7 Emergency Departments and 5 convenient care centers with more than 400,000 visits annually.

26

Greenville Memorial Hospital (GMH) serves as the primary academic and educational site for the department and is the largest and busiest hospital in South Carolina, serves as a Level I trauma, dedicated Pediatric Emergency Department, Primary Stroke and PCI centers as well as being the regions’ major tertiary referral center.

Upstate SC is a beautiful place to live and work and the GHS catchment area is 1.3 million people. Located along the I-85 corridor between Atlanta and Charlotte, it is one of the fastest growing areas in the country. Ideally situated near beautiful mountains, beaches and lakes, we enjoy a diverse and thriving economy, excellent quality of life and wonderful cultural and educational opportunities.

Qualified candidates should submit a letter of interest and curriculum vitae to: Matthew Bitner, MD, MEd, FACEP, Chair, Department of Emergency Medicine, Greenville Health System, at: mbitner@ghs.org and Kendra Hall, Sr. Physician Recruiter, at: kbhall@ghs.org. Ph: 800-772-6987. EOE

EMERGENCY MEDICINE The newly formed Department of Emergency Medicine (EM) of the Columbia University College of Physicians & Surgeons, to be led by Dr. Angela Mills, is seeking successful leaders in EM to join her leadership team.

VICE CHAIR OF EDUCATION The Department of EM is seeking a talented, highly motivated Vice Chair of Education to develop and promote a departmental vision of education.

This position will report directly to the Chair of EM and will oversee all of the department’s educational programs including fellowship and residency training programs, undergraduate education programs, faculty development as educators, and other departmental educational initiatives. Successful candidates will have a minimum of 10 years of medical education experience at the UME or GME level with at least 5 years in a leadership role as Vice Chair, Residency Program Director, Director of Medical Student Education, or Assistant/Associate Dean preferred. The Department is looking to grow the education mission and is seeking visionary candidates with strong interpersonal and communication skills to work collaboratively across the organization to promote excellence in training, teaching, and educational scholarship within the department.

The faculty group at Columbia staffs three New York City EDs with 200K combined annual visits: Columbia University Medical Center with an ED currently undergoing a $100 million state-of-the-art renovation; the Morgan Stanley Children’s Hospital with an ACS accredited Level I Pediatric Trauma Center; and The Allen Hospital. Our academic EM and pediatric EM faculty supervise residents from our highly successful 4-year residency program of 48 residents, the 6 fellows in our highly competitive Pediatric EM Fellowship program, the 4 fellows in our well-established and respected International Emergency Medicine Fellowship, as well as medical students and other rotating residents.

NewYork-Presbyterian | Columbia is a premier academic institution with world-class clinical facilities and programs committed to excellence in patient care, research, education, and community service. NewYork-Presbyterian Hospital is ranked #1 in the NY metropolitan area and repeatedly named to the Honor Roll of “America’s Best Hospitals”; Columbia University College of Physicians & Surgeons is a top ten medical school in the nation with a superb, collaborative research environment. EM faculty enjoy the academic benefits of working in one of the country’s premiere academic health centers. Columbia University Medical Center is an internationally recognized leader in the creation of new knowledge and therapies to improve health in individuals and populations with sponsored research totaling more than $600 million annually.

We seek applicants who embrace and reflect diversity in the broadest sense. Columbia University is an Affirmative Action, Equal Opportunity Employer.

Please send a letter of interest, curriculum vitae, and names of 3 references to: Joseph P. Underwood III, MD FACEP, Chief ju2106@cumc.columbia.edu

Program Director and Core Faculty Opportunities Toxicology Fellowship Trained EM Physician for Core Faculty

Aventura Hospital and Medical Center. Miami, FL. EM Residency Program affiliated with the Herbert Wertheim College of Medicine at Florida International University and Nova Southeastern University. Contact Ody Pierre-Louis at 727.507.3621.

Academic Emergency Medicine Program Director

Oak Hill Hospital. Tampa Bay, FL. New EM Residency Program affiliated with the University of South Florida Morsani College of Medicine. Estimated start date July 2019. Contact Ody Pierre-Louis at 727.507.3621.

Clinical and Core Faculty

Coliseum Medical Center. Macon, GA.

New EM Residency Program affiliated with Mercer University’s School of Medicine. Estimated start date July 2019. Contact Craig McGovern at 727.437.0846.

Clinical and Core Faculty

St. Lucie Medical Center. Port St. Lucie, FL. PBCGME affiliated Osteopathic EM Residency Program.

Contact Sabrina Hadzimesic at 727.507.2509.

Clinical and Core Faculty

Southeastern Regional Medical Center.

Lumberton, NC. Affiliated with Duke Health University EM Residency Program. Contact Barbara Lay at 727.507.3608.

Apply today at: MakeAChange@EmCare.com

27

EMERGENCY MEDICINE FELLOWSHIP OPPORTUNITIES New York Presbyterian-Weill Cornell Emergency Medicine is pleased to offer fellowship opportunities for graduating residents and junior faculty.

The New York Presbyterian-Weill Cornell Emergency Department is an academic, high volume, Level I trauma center, burn center, and stroke center, caring for over 90,000 adult and pediatric patients annually. New York Presbyterian-Lower Manhattan Hospital, is our busy culturally diverse community hospital, caring for over 45,000 patients annually. We recently launched the first innovative virtual ED Telehealth initiative in New York City and plan to expand this program with the full support of New York Presbyterian Hospital and Weill Cornell Medicine.

New York Presbyterian Hospital is a national leader in healthcare. For the 2017-18 period in the US News & World Report Best Hospitals, New York Presbyterian Hospital ranked No. 8 in the nation and No. 1 in the New York Metropolitan area.

Healthcare Leadership and Management Fellowship with Executive MBA/MS: Two year Healthcare Leadership and Management Fellowship, which also includes completion of the combined Executive MBA/MS in Healthcare Leadership program offered through Weill Cornell Medicine and the Cornell University SC Johnson College of Business.

• Two year non ACGME fellowship with PGY level salary • Full tuition for Executive MBA/MS in Healthcare Leadership from the SC Johnson College of Business & Weill Cornell Medicine • Clinical shifts built around MBA/MS program • Ideal candidates are recent Emergency Medicine Residency graduates or Junior Faculty with a proven managerial & leadership track records, who are committed to gaining invaluable leadership experience while earning a graduate-level management degree Please find EMBA/MS program information at: https://gradschool.weill.cornell.edu/programs/exec utive-mba-ms-healthcare-leadership Interested candidates should submit their CVs to: Rahul Sharma, MD, MBA, CPE, FACEP Emergency Physician-in-Chief ras2022@med.cornell.edu Robert Tanouye, MD, MBA - Assistant Fellowship Director - rot9046@med.cornell.edu

28

Geriatric Emergency Medicine Fellowship: The Geriatric Emergency Medicine Fellowship at NewYork-Presbyterian Hospital/Weill Cornell Medical Center is accepting applications for the 2018-2019 academic year.

The Geriatric Emergency Medicine (GEM) Fellowship at NewYork-Presbyterian Hospital/Weill Cornell Medical Center is a unique one or two-year, nonACGME GEM Fellowship designed to offer recent Emergency Medicine Residency graduates an opportunity to develop an understanding of the complexities and specific needs of the increasingly large older adult population who require emergency care. The two-year track allows the Fellow to concurrently obtain a Masters in Clinical Investigation and Health Services Research from Cornell University. The Fellow will be working in the ED as an attending on a modified schedule, with commensurate salary, and have a faculty appointment at Weill Cornell Medical College.

Please find both program and application information at: http://www.nypemergency.org/fellowships/geriatric .html?name1=Geriatric+Emergency+Medicine+Fello wship&type1=2Active Michael Stern, MD Chief of Geriatric Emergency Medicine mestern@med.cornell.edu Mary Mulcare, MD - Assistant Director, Geriatric EM mrm9006@med.cornell.edu

EMERGENCY MEDICINE The newly formed Department of Emergency Medicine at Columbia University College of Physicians & Surgeons, to be led by Dr. Angela Mills, is seeking highly qualified, full-time BC/BE Emergency Physicians at the Instructor, Assistant, Associate, and Full Professor levels.

Candidates for both tenure and non-tenure tracks are urged to apply.

Faculty candidates with a strong desire for clinical, academic, and administrative excellence are encouraged to apply. Of particular interest are candidates with demonstrated academic interest and/or fellowship training in the following areas: Clinical and health services research, ultrasound, critical care, medical education, faculty development, quality and safety, toxicology, PEM, EMS, and other EM subspecialties.

The faculty group at Columbia staffs three New York City EDs with 200K combined annual visits: Columbia University Medical Center with an ED currently undergoing a $100 million state-of-the-art renovation; the Morgan Stanley Children’s Hospital with an ACS accredited Level I Pediatric Trauma Center; and The Allen Hospital. Our academic EM and pediatric EM faculty supervise residents from our highly successful 4-year residency program of 48 residents, the 6 fellows in our highly competitive Pediatric EM Fellowship program, the 4 fellows in our well-established and respected International Emergency Medicine Fellowship, as well as medical students and other rotating residents.

NewYork-Presbyterian | Columbia is a premier academic institution with world-class clinical facilities and programs committed to excellence in patient care, research, education, and community service. NewYork-Presbyterian Hospital is ranked #1 in the NY metropolitan area and repeatedly named to the Honor Roll of “America’s Best Hospitals”; Columbia University College of Physicians & Surgeons is a top ten medical school in the nation with a superb, collaborative research environment. EM faculty enjoy the academic benefits of working in one of the country’s premiere academic health centers. Columbia University Medical Center is an internationally recognized leader in the creation of new knowledge and therapies to improve health in individuals and populations with sponsored research totaling more than $600 million annually.

We seek applicants who embrace and reflect diversity in the broadest sense. Columbia University is an Affirmative Action, Equal Opportunity Employer.

Please send a letter of interest and curriculum vitae: Joseph P. Underwood III, MD FACEP, Chief ju2106@cumc.columbia.edu

29

EMERGENCY MEDICINE FACULTY New York Presbyterian Hospital-Weill Cornell Medicine is seeking motivated full-time residency-trained academic Emergency Medicine faculty. We are seeking candidates to join a diverse enthusiastic group of academic Emergency Physicians at one of the premier academic medical centers in the nation.

New York Presbyterian Hospital is a national leader in healthcare and consistently ranks in the top 10 of US News & World Report Best Hospitals rankings. For the 2016-17 period, New York Presbyterian Hospital ranked No. 6 in the nation and No. 1 in the New York Metropolitan area.

The Emergency Department at New York Presbyterian-Weill Cornell Medical Center serves as one of the major campuses of the fully accredited four-year New York Presbyterian Emergency Medicine Residency Program. Our Emergency Department is a high volume, high acuity regional trauma, burn and stroke center caring for more than 90,000 adult and pediatric patients. We are located on the Upper East Side of Manhattan and offer programs in Medical Toxicology, Geriatric Emergency Medicine, Wilderness Medicine, Global Emergency Medicine, Simulation and Ultrasound. We also offer a residency in

Emergency Medicine for PAs and NPs. We have dedicated medical scribes for our faculty and have implemented several innovative initiatives focusing on education, improving operational efficiency and the patient experience.

We recently launched the first innovative virtual ED Telehealth initiative in New York City and plan to expand this program with the full support of New York Presbyterian Hospital and Weill Cornell Medicine. Several faculty also have the opportunity to work at our New York Presbyterian-Lower Manhattan Hospital ED campus, which is a busy community hospital seeing 45,000 annual visits.

Ideal candidates will have an established track record with excellence in education, teaching and outstanding clinical service. Candidates seeking nocturnist faculty positions are highly desirable.

We offer a highly competitive salary, a comprehensive benefits package, and a generous retirement plan. Academic appointment at Weill Cornell Medical College and salary will be commensurate with experience.

Candidates are invited to send their curriculum vitae and cover letter to: Rahul Sharma, MD, MBA, CPE, FACEP Emergency Physician-in-Chief New York Presbyterian Hospital-Weill Cornell Medical Center ras2022@med.cornell.edu New York Presbyterian Hospital-Weill Cornell Medicine is an equal opportunity employerMinorities/Women/Vets/Disabled encouraged to apply.

30

� WE

AN

HEALTH

For the journey that is life.

®

//

A WellSpan

Emergency Medicine Career:

Whatʼs your goal?

WellSpan York Hospital is seeking Core Faculty physicians to join our collegial, well respected Emergency Medicine team. Unique roles available in GME, Observation, Research, Toxicology and Ultrasound.

• York Hospital is a Level 1 Trauma Center with annual visits of 80,000+ • Established teaching program with 34 Residents and 2 Ultrasound Fellows • State-of-the-art ED just concluded a $50 million renovation project • Competitive compensation and excellent benefits including 6 weeks STO

At WellSpan, your goals are our goals.

If desired, you'll have an opportunity to receive academic appointments to Penn State and Drexel, rotate to community hospitals and participate in the Physician Leadership Academy.

To learn more, contact Ann Reid, Physician Recruiter, at areid2@wellspan.org or at 717-812-4377

31

Brody School of Medicine

EMERGENCY MEDICINE FACULTY

Employers, are your recruiting efforts effective?

Specific targeted career websites, like EM Job Link, deliver the most highly qualified talent and have the best return on investment.

Our candidates are made up of the specific professionals you want to reach. If you want the best and brightest candidates, you need to go where they job search – EM Job Link. Along with posting your jobs in front of qualified candidates at EM Job Link, you can search our resume bank for talent as well.

Post today or speak to an expert who can help create a customized recruiting solution to get you great candidates.

◊ 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 continue to expand our faculty to meet the clinical needs of our patients and the educational needs of our learners. We envision further program development in clinical education, emergency ultrasound, EM-critical care, pediatric EM, and clinical research. Our current faculty possesses diverse interests and expertise leading to extensive state and national-level involvement. The emergency medicine residency 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 for cardiac, stroke, and pediatric care. Our tertiary care catchment area includes more than 1.5 million people in eastern North Carolina. Additionally, we provide clinical coverage at two community hospitals within our health system. We are responsible for medical direction of East Care, our integrated mobile critical care and air medical service, and multiple county EMS systems. Our exceptional children’s ED opened in July 2012 and serves approximately 25,000 children per year. Greenville, NC is a university community offering a pleasant lifestyle and excellent cultural and recreational opportunities. Beautiful North Carolina beaches are nearby. Compensation is competitive and commensurate with qualifications; excellent fringe benefits are provided.

Successful applicants will be board certified or prepared in Emergency Medicine or Pediatric 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 newly formed Department of Emergency Medicine (EM) of the Columbia University College of Physicians & Surgeons, to be led by Dr. Angela Mills, is seeking successful leaders in EM to join her leadership team.

VICE CHAIR OF RESEARCH The Department of EM is seeking a highly motivated Vice Chair of Research at the Associate Professor or Professor level, preferably tenure track. This position will report directly to the Chair of EM and will provide leadership and oversight of the research mission for the Department. Successful candidates will have a demonstrated track record of independently funded research, publication in high-impact, peer-reviewed journals, strong mentorship skills and clear evidence of promoting the academic careers of junior faculty. The Department is looking to grow its research and scholarly output and, as such, is seeking a visionary Vice Chair to build a nationally recognized research program. The Vice Chair must demonstrate expertise in leading research in EM and possess the interpersonal skills to engage, inspire and work across disciplines within a large, diverse organization.

The faculty group at Columbia staffs three New York City EDs with 200K combined annual visits: Columbia University Medical Center with an ED currently undergoing a $100 million state-of-the-art renovation; the Morgan Stanley Children’s Hospital with an ACS accredited Level I Pediatric Trauma Center; and The Allen Hospital. Our academic EM and pediatric EM faculty supervise residents from our highly successful 4-year residency program of 48 residents, the 6 fellows in our highly competitive Pediatric EM Fellowship program, the 4 fellows in our well-established and respected International Emergency Medicine Fellowship, as well as medical students and other rotating residents.

NewYork-Presbyterian | Columbia is a premier academic institution with world-class clinical facilities and programs committed to excellence in patient care, research, education, and community service. NewYork-Presbyterian Hospital is ranked #1 in the NY metropolitan area and repeatedly named to the Honor Roll of “America’s Best Hospitals”; Columbia University College of Physicians & Surgeons is a top ten medical school in the nation with a superb, collaborative research environment. EM faculty enjoy the academic benefits of working in one of the country’s premiere academic health centers. Columbia University Medical Center is an internationally recognized leader in the creation of new knowledge and therapies to improve health in individuals and populations with sponsored research totaling more than $600 million annually.

We seek applicants who embrace and reflect diversity in the broadest sense. Columbia University is an Affirmative Action, Equal Opportunity Employer.

Please send a letter of interest, curriculum vitae, and names of 3 references to: Joseph P. Underwood III, MD FACEP, Chief ju2106@cumc.columbia.edu

32

SEE YOU IN

Indianapolis, Indiana – May15-18