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MAY-JUNE 2018

VOLUME XXXIII NUMBER 3

SPOTLIGHT TURNING THE DIAL ON THE CARE OF ACUTELY ILL AND INJURED CHILDREN An Interview with Nate Kuppermann, MD, MPH

“WHY ACADEMIC EMERGENCY MEDICINE?” page 26

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


SAEM STAFF Chief Executive Officer Megan N. Schagrin, MBA, CAE, CFRE Ext. 212, mschagrin@saem.org Director, Finance & Benefits Doug Ray Ext. 208, dray@saem.org Accountant Hugo Paz Ext. 216, hpaz@saem.org Director, Operations & Governance Kat Nagasawa, MBA Ext. 206, knagasawa@saem.org Manager, IT Database 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 Manager, Business Development John Landry, MBA Ext. 204, jlandry@saem.org

HIGHLIGHTS Director, Membership & Meetings Holly Byrd-Duncan, MBA Ext. 210, hbyrdduncan@saem.org Education Manager Andrea Ray Ext. 214, aray@saem.org Membership Manager George Greaves Ext. 211, ggreaves@saem.org Meeting Planner Alex Elizabeth Keenan Ext. 218, akeenan@saem.org Membership & Meetings Coordinator Monica Bell Ext. 202, mbell@saem.org AEM Editor in Chief Jeffrey Kline, MD AEMEditor@saem.org AEM E&T Editor Susan Promes, MD AEMETeditor@saem.org AEM/AEM E&T Manager Stacey Roseen Ext. 207, sroseen@saem.org AEM/AEM E&T Peer Review Coordinator Taylor Bowen tbowen@saem.org Chair, SAEM Pulse Editorial Advisory Task Force Sharon Atencio, DO sharonatencio@me.com Associate Editor, RAMS Shana Zucker, szucker@tulane.edu

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President’s Comments

What Did You Do Today to Be a Golden Human?

Spotlight

Turning The Dial on the Care of Acutely Ill and Injured Children

SGEM: Did You Know?

Emergency Department Evaluation of Patient Satisfaction: Does Physician Gender Impact Press Ganey Scores?

SAEM 2018 Know Before You Go Diversity and Inclusion

Increasing Diversity Through Improved Recruitment From Medical Schools at Historically Black Colleges and Universities

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Ethics in Action

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Social Media in Academic EM

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Academic Emergency Medicine

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The Ethics of Handling Bad Behavior From a Patient #FOAMed: Closing the Translation Gap in Medicine A Year in Review: Resident Editor, AEM Editorial Board

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 Columbia University

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

What Did You Do Today to Be a Golden Human? One of the many things that binds us all together as learners and educators in emergency medicine is the enduring cycle of academics. Soon we will toast our graduating residents, followed by intern orientation, next a tough July as they try to figure out the 6-step algorithm of how to admit someone to the oncology service. Before you know it, it seems like it is time to select the next group of applicants, interview them, match, and presto…repeat!

"As I wrap up my tenure as SAEM president I am extraordinarily proud of the work we have done as a Society to elevate the science of care and education at our Annual Meeting and in our journals."

How do we get these residents? What are we looking for? What are they looking for? There is now much discussion about wellness, burnout, and resiliency in emergency medicine and medicine in general. I think we need to consider these topics in the same way we do with respect to disease. Sure, we can stent the daylights out of CAD patients, but everyone knows we would be better served in the United States with successful preventative health. Yes, we can address burnout in experienced veteran practitioners of emergency medicine, but maybe we should take a moment to reflect on what the genesis of burnout might be and mitigate it, where possible, early in the course. In my opinion, that effort should start in medical school or maybe even earlier. Every year I interview a few dozen or more applicants—enough to help the cause and sample the current climate. One of my standard questions over 18 years as an attending is: “What do you think will be the hardest part of being an emergency medicine physician 10 years from now?” I’ve had some astounding answers: “I think it will be really hard…working nights and weekends.” “I really don’t like it when people abuse the system.”

“Being mistreated by consultants.” “Probably dealing with all the drug seekers.” “Too damn many old people.” You have to give them points for honesty. Another question: “What do you think you will be doing 5–10 years from now? Where are you headed in this field?” “My goal is to have your chairman’s job.” “I want to practice my skills clinically for a few years, but then I want to lead health care at the ‘system level’ because I think I can change things better from within leadership.” “I want to do a critical care fellowship because I think I might get burned out taking care of people who aren’t really sick.” Not everyone knows where they are headed as a 4th year medical student. I have also had countless residency interviews be a bit flat, only to follow these residents over the years and see them match into competitive fellowships, join faculty, rise to the level of star clinicians, become funded investigators, and lead in community practice emergency medicine. There is no doubt the interview is an insensitive and non-specific tool to identify at-risk persons for burnout or those destined for future success. But where do we start, what are we looking for, and what do we want? I would argue that we should endeavor as early as possible to identify students and residents with demonstrated qualities most associated with moral character: charity, commitment, humility, selflessness, and joy.

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SPOTLIGHT TURNING THE DIAL ON THE CARE OF ACUTELY ILL AND INJURED CHILDREN (and Mentoring Others to Turn It Even Further)

Dr. Kuppermann at work with children.

"‌[S]ometimes some great research emerges from simple clinical questions."

SAEM PULSE | MAY-JUNE 2018

SAEM Pulse Talks With Nate Kuppermann, MD, MPH

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Dr. Kuppermann is Professor of Emergency Medicine and Pediatrics and the Bo Tomas Brofeldt Endowed Chair of the Department of Emergency Medicine at UC Davis Health. He is a pediatric emergency medicine (PEM) physician and clinical epidemiologist, and a leader in emergency medical services for children (EMSC), particularly in multicenter research. Research foci for which he is a leading national investigator include 1) infectious emergencies in children, including laboratory evaluation of young febrile children; 2) evaluation of children at risk for diabetic ketoacidosis-related cerebral injury; and 3) laboratory and radiographic evaluation of the pediatric trauma patient. He has published works in all three focus areas in high-impact journals such as the New England Journal of Medicine, JAMA, BMJ, and The Lancet. One of his research foci is clinical prediction rules, having recently derived and validated a prediction rule for traumatic brain injury after minor blunt head trauma in more than 40,000 injured children, and co-led a separate project to derive a prediction rule for intra-abdominal injury in more than 12,000 injured children. Dr. Kuppermann has received more than $30 million in federal grants and contracts as a principle investigator (PI) over the past 15 years and has published more than 200 peerreviewed publications. Dr. Kuppermann has been a leader in multicenter research in PEM, starting by chairing the first U.S. research network in PEM (the Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics) from 1996–2000, and leading several investigations there. He then became one of the founding investigators and founding chair of the Steering Committee of the Pediatric Emergency Care Applied Research Network (PECARN) since its inception in 2001 until 2008, and remains one of the seven network PIs. He also currently serves as chair of the Executive Committee of the (global) Pediatric Emergency Research Network (PERN), an international consortium of PEM research networks. Dr. Kuppermann has been recognized nationally for his research and mentorship. In 2009, Dr. Kuppermann received the Miller-Sarkin Mentoring Award from the Academic Pediatric Association, and in 2012 received the Jim Seidel Distinguished Service Award from the Section on Emergency Medicine of the AAP for outstanding contributions to Pediatric Emergency Medicine. In 2010 and 2011, he received national research awards from the EMSC program of HRSA, the Society for Academic Emergency Medicine, and the American College of Emergency Physicians. In 2015, he was recognized with the American College of American Physicians EBSCO/PEMSoft Achievement Award for outstanding contributions to pediatric emergency evidence-based medicine. In 2017 a PEM Scientific Research Mentoring award was named after him by SAEM, and in 2010 he was elected to the National Academy of Medicine. Dr. Kuppermann is a featured keynote speaker at the Academic Emergency Medicine 2018 Consensus Conference: Aligning the Pediatric Emergency Medicine Research Agenda to Reduce Health Outcome Gaps, Tuesday, May 15, 2018 at the JW Marriott Indianapolis.


KUPPERMANN TO HEADLINE 2018 CONSENSUS CONFERENCE Dr. Kuppermann is a featured keynote speaker at the Academic Emergency Medicine 2018 Consensus Conference: Aligning the Pediatric Emergency Medicine Research Agenda to Reduce Health Outcome Gaps, Tuesday, May 15, from 8 a.m.–5 p.m. in the JW Grand Ballroom 8/9/10: Third Floor.

Dr. Kuppermann discussing research.

"… [G]etting the evidence right is fundamental as we further the science of dissemination and implementation, and get that evidence to the bedside where it can benefit acutely ill and injured patients." What originally sparked your interest in pediatric emergency medicine? Early in my training, I knew I wanted to care for acutely ill children. My original interest was in pediatric critical care, and I had initially applied for fellowship training in pediatric critical care medicine. But a yearlong sabbatical in the middle of my pediatric residency, during which I lived abroad caring for acutely ill children in Nepal and Thailand, changed the course of my career. I decided that I wanted the skillset to care for the most ill and injured, but did not want to be too highly dependent on technology. Working under austere circumstances in Nepal, mostly caring for a Tibetan refugee population, changed my focus to emergency care. Since that time, while

actively pursuing my academic career, I have maintained a focus on international emergency care, with a continued commitment to both the people of Nepal and the development of global research networks.

What prompted you to go back to school for your MPH? Early on during my training, a mentor emphasized the concept that “chance favors the prepared mind” (a Louis Pasteur quote). I wanted to ensure that my own mind was fully prepared to recognize and appreciate important issues in PEM research. This was before the era of the NIH K awards and other similar funded career development awards for emergency care providers.

Dr. Kuppermann hiking in New Zealand with his family.

Under the guidance of my great mentor, Gary Fleisher, I extended my fellowship training at Boston Children’s and worked towards an MPH with a focus on clinical epidemiology and quantitative research methods. I must add that this couldn’t have happened without the guidance of Dr. Fleisher, who not only supported me every step of the way, but saw my drive and potential and helped set me in the right direction. He remains my mentor to this day.

Congratulations on your selection as a keynote speaker at the 2018 Academic Emergency Medicine Consensus Conference. Can you give us a sneak preview of what you are planning to cover? The focus of my introductory words will be on the power of collaboration and getting the evidence right and ripe for translation. Too often over the past decades we have been misled by small studies, many retrospective and not properly controlled, that led to incorrect results. Harnessing the power of collaboration and multicenter networks, we have been better able to “get the evidence right.” And getting the evidence right is fundamental as we further the

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SAEM PULSE | MAY-JUNE 2018

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"The power of the human spirit can be breathtaking. The will to endure, and the capacity to have grace and courage against all odds can be humbling."

Dr. Kuppermann juggling in 1985.


"Look around you for interesting clinical questions. Generate important ideas. Get protected time to train and pursue your research. Have a great mentorship team."

Dr. Kuppermann kayaking in Lake Tahoe with daughter Elie.

science of dissemination and implementation, and get that evidence to the bedside where it can benefit acutely ill and injured patients.

What were the most controversial topics in PEM when you first entered the field? What would you say they are now? When I started my PEM research career, there was substantial focus on the evaluation of the young febrile child (between three months and three years of age). Bacterial conjugate vaccines against pneumococcal infections were not yet being used, and therefore, there was much more concern about the possibility of occult bacterial illnesses in young febrile children (although the risk for any individual child remained relatively small). There was much research focused on how best to screen these young febrile children for occult bacterial illness, and this was an area of great controversy at the time. However, with the introduction of the pneumococcal bacterial conjugate vaccine, the risk of occult pneumococcal disease decreased sufficiently that this became a much less important and controversial topic of research. Currently, the topic of febrile infants younger than two months remains one of great interest, as the bacterial conjugate vaccines available do not greatly impact this youngest age group. Other acute care clinical topics that come to mind that are of current high interest and controversy include the early recognition and treatment of pediatric sepsis, assessment of the best resuscitation fluid to use in a number of clinical conditions, and the recognition and treatment of concussion. Mental health issues have also become prominent in the pediatric ED and we need to discover the best way to screen for depression and suicidality. Precision medicine will take hold in the ED in the next decade and genomics (and all of the “omics”) will become a great focus of research activity. Finally, we have become more “upstream thinkers” in the ED in general, with violence prevention becoming an area of great importance. Another important general difference between when I started conducting emergency care research and now is that the level of sophistication of clinical epidemiology, study design, and statistical methods among emergency care researchers has advanced substantially. Small, retrospective studies have become less common. With the advent of large multicenter

research networks, we can now study diseases that are uncommon but nevertheless important. In the past, it was not possible to study these disorders with great precision and accuracy. Some early research on uncommon diseases, or those with uncommon adverse outcomes, was misguided and did not provide useful information because of small sample sizes and unsophisticated methodological approaches. Some specific examples include the evaluation of minor head trauma in children as well as pediatric DKA, in which adverse outcomes are uncommon and sophisticated multicenter research was needed to study these topics adequately (and of course, I study both). It is for this reason I have been involved in multi-center research since the mid-1990s. I feel strongly that this is one of the best ways to change practice and truly improve care of acutely ill and injured children. Finally, as the evidence and knowledge base in PEM has grown substantially in the past decade, the science of dissemination and implementation has become critically important. The use of the electronic health record (EHR) for implementation and clinical decision support will need substantial investigation—such as discerning the best way to extract information from the EHR for research purposes and how best to use these records for pragmatic clinical trials.

What advice would you give to your younger self starting off in this specialty? PEM is a great specialty. But if you want to pursue a research career in PEM, you will need extra research training beyond fellowship, ideally through an NIH K mechanism. Another essential for getting started in PEM research: Look around you for interesting clinical questions. Generate important ideas. Get protected time to train and pursue your research. Have a great mentorship team. You can dabble early in your career, but then go for the game changer, the research project that will help move the dial in the care of acutely ill and injured children. But have a sense of humor, and be prepared to take some losses, get dirty, and then pick yourself up again. Finally, you cannot be discouraged easily. Even though the funding environment is tough these days, it is a good time to be receive training in research. Like investing in a down stock market, when the funding comes back, and you are prepared, you will be first in line and will reap the rewards!

What are the biggest challenges in developing clinical prediction rules? How do you feel they have improved emergency medicine? Clinical prediction rules are important tools to provide evidence at the point of care to determine if a patient is low or high risk for a given disease or outcome. This evidence is meant to empower rather than to replace clinical judgment. As a result

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SAEM PULSE | MAY-JUNE 2018

Dr. Kuppermann, top row, second from end on

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we can decrease unnecessary interventions, and identify those at greater risk who need closer attention. The evidence generated from these prediction rules can help inform patients and help facilitate shared decision-making with patients and their families. Clinical prediction rules are based on the cumulative wisdom and knowledge of hundreds of clinicians, and the outcomes of thousands of patients. And for the naysayers who say that “Judgment is always better than clinical prediction rules,” I would respond with the question “How do you think that clinical judgment is developed?” It is in great part from the evidence derived from research such as high-quality clinical prediction rules. Otherwise, we are just back to the era of “eminence-based medicine” during which we would once again hear “in my opinion…”. I would much rather act (and receive treatment myself) based on the evidence from thousands of clinicians and patients than the judgment of one individual. When high-quality, precise prediction rules are implemented, such as the PECARN head injury CT rules, the results are decreased rates and more accurate use of CT scans, which has been documented at academic centers and community hospitals, both within the United States and abroad.

Who are some of the teachers you’ve had in the past who have influenced how you practice today? At each stage of my training, I have had mentors and advisors who have shaped the way I think about medicine, patient

right, working in Nepal Clinic in 1987.

care, and research. The common characteristics of my mentors have been: wisdom, patience, humility, honesty, and understanding what my needs and desires were. The most important among these, besides my father Aron Kuppermann and my father-in-law, Luis Glaser (both accomplished basic scientists), has been Dr. Gary Fleisher, from Boston Children’s Hospital. He became my mentor when I was a fellow there, and he remains my most influential mentor to this day.

What advice would you give to a new resident who is just starting to conduct research for the first time? Look around you when you are caring for patients. What makes sense and what doesn’t? The best research questions come from caring for your patients and identifying things that don’t seem to make sense to you. If you want to pursue a career in research, you will need extra research training beyond residency and fellowship. Find a great mentor (or better yet, a mentorship team), who may or may not be in your department. Start small—sometimes some great research emerges from simple clinical questions.

A condensed list of your achievements and awards still spans several pages. If you had to choose a single accomplishment of which you are most proud, what would it be? This is a tough question as I both love to conduct research and to mentor the next generation. Ultimately, perhaps my most important accomplishment is the cumulative


Dr. Kuppermann in Nepal 1987.

Dr. Kuppermann in Nepal again in 2015, after the earthquake.

career, as I have been able to make a contribution to society, help raise a lovely family, and have had many adventures along the way.

"You can dabble early in your career, but then go for the game changer, the project that will help move the dial in the care of acutely ill and injured children." mentorship I have tried to provide to the next generation of emergency care researchers. We all stand on the shoulders of those who trained and influenced us, and I would like to think that I have been able to pay that forward. So, if I had to name one accomplishment about which I am most proud, it is that I have been able to mentor so many outstanding individuals, who in turn have taught me, and who will go on to improve the way we care for patients and will go on to mentor others.

What do you find most rewarding about the work you do? The reason I do what I do, from research to mentorship, to running a large department, is to impact the care of acutely ill and injured children. That is my professional raison d'être.

What’s a valuable lesson you’ve learned from your patients? The power of the human spirit can be breathtaking. The will to endure, and the capacity to have grace and courage against all odds can be humbling.

What’s a valuable lesson you’ve learned from your trainees? Great communication is essential to everything important in life, from professional mentorship, to family happiness, to great friendship.

Tell us about a particularly satisfying moment you had while training a student or mentee. There are many. But a common thread to these is helping guide/ mentor an individual from junior investigator, to colleague, to senior investigator and who then becomes herself/himself a mentor to others.

If you couldn’t do PEM, what else could you see yourself doing? Fundamentally, I feel that life is an adventure with many opportunities, and I think I would have been happy pursuing several career choices. I love to write—so I might have been a writer. I took theatre classes in college and considered a career in theatre for a bit. However, I have been extremely satisfied with my

What do you do to manage stress, achieve work-life balance, and contribute to your overall health and well-being? Wow—that one is complicated. But I can tell you what makes me happy and greatly contributes to my well-being: I love being with my wife Nicole and three daughters, Maya, Elie and Cianna. I love traveling the world and having adventures that are “off the beaten path.” In my adult life (since medical school), I have spent nearly three years living and working oversees, including a long stint working in Nepal, where I have had ongoing collaborations for nearly three decades. With my family, I have taken sabbaticals nearly every seven years during my career (London, Buenos Aires) including an upcoming sabbatical to Spain. Those sabbaticals have provided periods of mindfulness, reflection, family adventure and productivity. I exercise five days per week with a group of friends— social time and exercise time. Fundamental. Finally, part of my morning routine is to think of three things for which I am grateful, and share them with Nicole and my children. I have been doing that for years. We need reminders and to be mindful of all the good things in our lives.

What experiences in your life outside of medicine do you feel have made you a better educator? My work overseas in Nepal, Brazil, and Argentina has brought perspective to my working life. I try not to take things for granted, and I am aware that brilliant and wonderful people emerge all around the world. As I educate others, I have a constant awareness of the world’s potential, and its beauty, adventures, and challenges.

How did you first become involved with SAEM? Although I am a PEM physician, I have always felt at home at the SAEM, starting from my time as a fellow 25 years ago. The SAEM meetings have always been full of educational activities and opportunities to learn about research and collaborate with like-minded people.

At the end of your career, for what would you like to be remembered? I would like to be remembered as someone who helped to “turn the dial” on the care of acutely ill and injured children, and who mentored others to turn it even further. I would also like to be remembered as someone who took big chances to answer big research questions in my academic life, and spoke out strongly when I felt it necessary to do so. And finally, I would like to be remembered as someone who took the time with junior investigators, to gently encourage, coax, support, and befriend.

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PRESIDENT’S COMMENTS continued from Page 3

SAEM PULSE | MAY-JUNE 2018

There is no secret that much of the residency selection process relies on objective measures of intellect: board scores, grades, AOA, rank, competitiveness of medical school. Years ago, I learned about the Arnold P. Gold Foundation and their Gold Humanism Honor Society which, “recognizes students, residents, and faculty who are exemplars of compassionate patient care and who serve as role models, mentors, and leaders in medicine…the ones that others say they want taking care of their own family.” SAEM is proud to partner with the Arnold P. Gold Foundation to offer an annual, specialty-specific Arnold P. Gold Foundation Humanism in Medicine Award to faculty who embrace these characteristics. I regularly ask my own children "What did you do today to be a golden human?" It drives them crazy, but they get the idea. Not everyone can be the smartest, but everyone can be kind, helpful, and empathic.

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As I wrap up my tenure as SAEM president, I am extraordinarily proud of the work we have done as a Society to elevate the science of care and education at our Annual Meeting and in our journals. Our ability to recruit the brightest minds across all of medicine continues to astound me year, after repeating year, of the academic cycle. My hope is that we continue as thoughtful leaders over the next 10-20 years to define what emergency medicine is, and embrace novel ways of providing the safest, highest quality, and most efficient acute care—even beyond the walls of the physical emergency room. We must also deliberately cultivate a culture of compassion and character in our field. To combat the burnout triad of depersonalization, emotional fatigue, and low personal accomplishment, we must continue the work that SAEM is doing in partnership with the National Academy of Medicine, build our ability to directly work with students interested in emergency medicine through SAEM RAMS and the Clerkship

Directors in Emergency Medicine (CDEM), and guide our residents into meaningful employment with meaningful expectations. We must also coalesce with other organizational partners to work toward systems of health care that put the patient at the forefront of care and empower clinicians with the tools they need to not only generate revenue, but ensure the health of their patients and themselves. As my term comes to a close as your president, I thank you for supporting our Society and our specialty. I have always been impressed with the common threads that tie all of us together in our commitment to foster the best of character in ourselves and our learners, and our eagerness to use these skills in what is both the most demanding arena of medicine and at times the most rewarding.

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).


SGEM: DID YOU KNOW?

Emergency Department Evaluation of Patient Satisfaction: Does Physician Gender Impact Press Ganey Scores? By Alyssa Milano, DO and Holly Stankewicz, DO Patient satisfaction is important to both physicians and hospitals. Satisfaction scores can affect physician reimmbursement. Additionally, patient satisfaction is increasingly being used as a proxy for quality care, especially with the emergence of hospital-based reimbursement plans, such as the one instituted under the Patient Protection and Affordable Care Act of 2010.1, 2 Press Ganey (PG) Associates have been measuring patient satisfaction for more than 30 years.3 There are many potential factors that may impact scores. Physician-patient communication and empathy, perceived wait times, and nursing staff interactions have all been positively associated with PG scores.3, 4, 5, 6 We did a recent multicenter retrospective review that was designed to evaluate the impact of physician gender on PG scores in the emergency department (ED). The study evaluated PG surveys for almost 400 ED phsycians from six health networks. PG questions evaluated the physicians' concern for comfort, courtesy towards patients, how informative physicians were in treatment plans and if patients felt the physician took time to listen. Our study indicated that patients do not score female or male physicians differently when using PG evaluations. Although slight differences were present on separate categories, none were statistically significant. The hypothesis of the study was not proved by the data collected, however the information gathered is still important. This is believed to be the first study considering whether physician gender may have an influence on PG scores. Further testing to determine the impact of physician gender on patient satisfaction is necessary.

REFERENCES

1. H  wang, C. E., Lipman, G. S., & Kane, M. (2015). Effect of an emergency department fast track on Press-Ganey patient satisfaction scores. West J Emerg Med, 16(1), 34-38. 2. F arley, H., Enguidanos, E. R., Coletti, C. M., Honigman, L., Mazzeo, A., Pinson, T. B., ‌Wiler, J. L. (2014). Patient satisfaction surveys and quality of care: an information paper. Ann Emerg Med, 64(4), 351-357. 3. H  all, M. F., & Press, I. (1996). Keys to patient satisfaction in the emergency department: results of a multiple facility study. Hosp Health Serv Adm, 41(4), 515-532. 4. B  ernard, A. W., Martin, D. R., Moseley, M. G., Kman, N. E., Khandelwal, S., Carpenter, D., Caterino, J. M. (2015). The Impact of Medical Student Participation in Emergency Medicine Patient Care on Departmental Press Ganey Scores. West J Emerg Med, 16(6), 830-838. 5. N  ichol, J. R., Fu, R., French, K., Momberger, J., & Handel, D. A. (2016). Association Between Patient and Emergency Department Operational Characteristics and Patient Satisfaction Scores in a Pediatric Population. Pediatr Emerg Care, 32(3), 139-141. 6. Welch, S. J. (2010). Twenty years of patient satisfaction research applied to the emergency department: a qualitative review. Am J Med Qual, 25(1), 64-72.

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.

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KNOW BEFORE YOU GO

Welcome to Indianapolis: Crossroads of America!

ANNUAL MEETING

SAEM18 Host Hotel

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The JW Marriott Indianapolis, located at 10 S West St. is the site for SAEM’s educational sessions and most of its events and activities. Recently named as the 25th best hotel in the world and number one in the Midwest by Conde Nast, the JW Marriott is centrally located at the heart of downtown Indianapolis. In addition to luxurious furnishings and accessories in each guest room, the JW Marriott offers a wide range of on-site amenities, including a Starbuck’s café for guests on a tight schedule, Osteria Pronto (the best Italian restaurant in the city, according to thrillist.com), a lobby lounge perfect for pre- and post-dinner cocktails, and an indoor pool, stateof-the-art fitness center, and day spa services upon request to wind down at the end of a busy day. This handy interactive floor plan tool plan will help guide you as you make your way around the SAEM18 Host Hotel.

Business Services The JW Marriott offers a full-service business center open 24 hours a

day for all of your on-the-go needs. Additionally, an on-site FedEx Office® Print & Ship Center can handle requests including office supplies, copies, direct mail, banners, signs, and packing and shipping. If you have questions call 1.317.974.0378 or email usa5527@fedex.com. Hours are Monday–Friday, 7 a.m.–7 p.m.

Getting to Indy Traveling to and around Indy is easy, convenient, and affordable, whatever mode you choose.

Planes… Indianapolis International Airport, located 14 miles east of the JW Marriott, has earned the accolade “Best Airport in North America” six years running by Airports Council International, “Best Overall Passenger Experience” by J.D. Power and Associates, and “Best Airport in America” by Condé Nast Traveler the past three years. It’s also the world’s first LEED certified airport and boasts the fastest free Wi-Fi of all U.S. airports. Indianapolis International


International Travelers

Airport has added 40 new flights and 18 destinations in the last few years to achieve record airlift and greater access from the West Coast.

Trains (or Buses)...

Other options for reaching Indianapolis include Amtrak, Greyhound, and Megabus, which all have hubs in the downtown area.

And Automobiles…

There’s a reason Indianapolis is known as the Crossroads of America. The city is within a day’s drive of more than half of the U.S. population and within three hours of Chicago, Louisville, and Cincinnati. Traffic congestion is a rarity, and visitors find the city’s grid layout straightforward. • Driving directions to the JW Marriott: Airport Expressway to I-70 East to West Street exit 79A. Turn left (north) onto West Street to Washington Street, turn left (west) onto Washington Street and into hotel entrance.

Parking

Once you get to the city, the downtown features over 73,000 parking spots. Need help finding one of those spots? Download SpotHero from Google Play or from your App Store. For your convenience, parking is also available at the JW Marriott. On-site self-

SAEM welcomes our international emergency medicine global partners to our 29th Annual Meeting in Indianapolis, Indiana. We are happy to offer helpful travel information for those arriving outside the continental United States.

lower level of the terminal just outside of baggage claim. There is a $15 minimum charge for all fares from the airport, regardless of distance. Estimated taxi fare: $35–50 (one way).

Getting Around Indy

ANNUAL MEETING

parking is $44 daily; valet parking is $49 daily. Self-parking is off Washington St past the Courtyard and SpringHill Suites hotels, 2nd entrance off of Maryland St.

Airport Shuttles

The JW Marriott does not provide shuttle service, however Go Express Airport Shuttle offers a clean, safe, affordable way of getting from the airport to the SAEM18 Host Hotel. This express, non-stop bus service runs every 30 minutes from 5 a.m.–11 p.m. for only $10 one way.

Car Services

The Blue Indy all-electric car share has electric cars strategically positioned around the city. A visitor can pick up a car at the airport, drive it downtown, and drop it off at another charging station near the host hotel.

Uber and Lyft

Uber and Lyft provide app-based car service from knowledgeable city ambassadors. Requesting and paying for these rides are done via mobile phone. When using these services for pick-up at Indianapolis International Airport, exit the terminal to the Ground Transportation Center on the first floor of the terminal garage. For dropoffs, request a ride as usual and be dropped off at the main terminal building. 

Taxi Service

At Indianapolis International Airport, taxi service is available at the curb on the

By Biking

Indianapolis has been named one of the best cities to see from a bicycle, thanks to the city’s flat landscape, innovative Indianapolis Cultural Trail, and abundance of bike paths. Across from the JW Marriott Host Hotel you’ll find one of the 29 Indianapolis bike share station kiosks where you can rent a public bicycle for as low as $8 per day.

On Foot

National journalists have proclaimed Indy one of the most walkable downtowns in the country. On foot, SAEM18 attendees can reach hundreds of restaurants and attractions from the JW Marriott Host Hotel. An expansive network of climate-controlled skywalks connecting 4,700 hotel rooms to the convention center, Lucas Oil Stadium, a four-story mall, and restaurants keep it walkable in all weather.

Exploring Indianapolis Got some down time? Get exploring. Here are a few helpful guides and maps that will help show you the way: • Downtown Indy Map • Visitor Guide • Top Family Attractions   • Cultural Districts • Dining at Indy's Outdoor Patios • Craft Cocktails in Indy 

• Discover the Obscure Side of Indy • Donut Shops in Indy • Food Trucks in Indy • Farm-To-Table Tastes • Hotel Bars in Indy  • Indy Breweries

• Indianapolis Top Ten List of Top Ten Lists • Indy Coffee Scene • Indy Steakhouses • Indy's Monuments & Memorials  • Parks in Indianapolis

• Racing in Indy • Live Music Guide • Running and Biking in Indy • Shopping in Indianapolis  • White River State Park Guide

The Real Deal(s)

Maybe you can’t put a price on fun, but who’s to say you can’t have fun at a discounted price? These local Indy attractions are offering discounts to SAEM18 attendees, or present these coupons at these participating businesses to receive special discounts not available to the general public.

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KNOW BEFORE YOU GO

Getting the Most Out of SAEM18 Registration The SAEM18 registration area is located in the JW Grand Ballroom Foyer: Third Floor at the JW Marriott, Indianapolis. Registration hours are:

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• Monday, May 14, 3–6 p.m. • Tuesday, May 15, 7 a.m.–6 p.m. • Wednesday, May 16, 7 a.m.–7 p.m. • Thursday, May 17, 7 am–5 p.m. • Friday, May 18, 7 a.m.–2:30 p.m.

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Please note that annual meeting participants (members, nonmembers, partners, children, guests) must register and wear badges for admission to sessions, the exhibit hall, and most events. If you preregistered you will receive a barcoded email confirmation. Please save this to your mobile device or print
 it out to scan it at our convenient, self-serve, pre-registration kiosks, located near the SAEM18 registration desk. Forget your confirmation? No problem! Just touch “Use Lookup” on the screen and search for your name. Hit print and your

badge and any applicable tickets will print out. Badge holders and lanyards will be available at the kiosks. Registering onsite? As always, we will have a fully-staffed registration desk available for those who need to add sessions or register on site.

Speaker Ready Room Presenters who need to upload presentations on site must bring their presentations saved on a USB/flash drive to the Speaker Ready Room 313: Third Floor at least 6 hours before the start of their sessions. On-site aids will be on hand to upload your presentation from your flash drive. There will not be an opportunity to preview or edit your presentation on site, so please be sure your presentation is in its final form.

Hours

• Monday, May 14, 3 p.m.–6 p.m. • Tuesday, May 15, 7 a.m.–5:30 p.m. • Wednesday, May 16, 7 a.m.–5 p.m. • Thursday, May 17, 7 a.m.–5 p.m. • Friday, May 18, 7 a.m.–1 p.m.


ANNUAL MEETING

Online Tools We’ve provided online planning tools and resources to help you achieve a dynamic, individualized experience that meets all your learning needs.

Program Planner

The SAEM18 Online Program Planner provides pre-meeting access to the SAEM18 program. Log in using your SAEM user name and password and browse through the full list of Advanced EM Workshops, educational sessions, meetings, social events, and more. Browse by category or date. Review abstracts, learning objectives, and speakers for educational sessions. Find links to travel information and local dining and activities. Scope out the exhibit hall with the online floor plan and create your must-see list of exhibitors. As you browse, customize your schedule by clicking the star to add items to your “favorites” list. Create your individualized program before you arrive. Save it and/or print it out as your personalized daily itinerary. Use it at the annual meeting to remind you what not to miss and where to go next. Then install the SAEM Annual Meeting app (see below), log in using your SAEM credentials, and voila! Your schedule is synced from the online program planner.

SAEM Annual Meeting App

Navigate SAEM18 like a pro by downloading the SAEM Annual Meeting app from the The App Store or Google Play. Then sign in with your SAEM user name and password to launch the app.

The app will be synced to your SAEM18 Program Planner and offers all the same functionality as the Program Planner, but in a simple, easy-to-use mobile version that allows you to: • View the agenda and explore sessions • Build your personal schedule
 • Claim CME • Access exhibitor and sponsor information • View maps of the exhibit floor • Provide valuable feedback • Keep notes • And more! Need help downloading your app? Visit our App Assistance Counter next to SAEM18 registration for assistance.

SAEM18 Online Education

SAEM18 educational content will be open access and available online at SOAR (SAEM Online Academic Resources) by July 1, 2018. Experience convenient online and mobile viewing of Advanced EM Workshops, didactics, forums, abstracts—more than 300 hours of original educational content from SAEM18. Downloadable PDFs and MP3 files provide convenient, on– the-go viewing. Watch presenters’ slides while listening to fully synchronized audio. Just log in with your SAEM ID and password to enjoy the content.

RAMS Members… Look for This Icon When you see this icon next to an abstract, didactic, or workshop, event, or meeting, you will know that it is something you’ll find value in attending! 15


KNOW BEFORE YOU GO Additional Information News and Updates

SAEM news and updates will be announced via a nightly SAEM18 e-newsletter and via SAEM social media. Follow us on SAEM Facebook, and SAEM Twitter @SAEMOnline (#SAEM18) during the annual meeting for up-to-date meeting announcements and to share your insights with other meeting attendees.

Follow us on

# Wireless Internet Access

As a service to annual meeting registrants, SAEM will provide free wireless Internet access, sponsored by Vituity Careers. Wi-Fi will be available in designated areas of the JW Marriott Host Hotel during SAEM18. User name: JWMarriott-MEETING. Password: VITUITYCAREERS.

Lactation Room

Wellness Activities

In keeping with the SAEM Statement on Wellness, SAEM invites you to take a break from the “business” and “busyness” of the annual meeting and take part in one, two, or all three of the wellness-related activities we have planned to help master mindfulness, reduce stress, and achieve relaxation. • Yoga: Wednesday, May 16, 7– 8 a.m., JW Grand Ballroom 7: Third Floor (Sponsored by the AWAM Wellness Committee.) • Mindful Meditation: Wednesday, May 16, 2:30–3 p.m., JW Grand Ballroom 5 & 6: Third Floor (Cosponsored by the SAEM18 Program Committee.) • SAEM Wellness Run: Thursday, May 17, 7 a.m.–8 a.m., White River State Park (Cosponsored by the SAEM Sports Medicine Interest Group and the SAEM18 Program Committee.) *Cost to register for the Wellness Run is only $20!

A comfortable lactation room will be provided for nursing mothers in Room 109: First Floor, during the following hours: • Tuesday, May 15, 7 a.m.–7:30 p.m. • Wednesday, May 16, 7 a.m.–5 p.m. • Thursday, May 17, 7 a.m.–5 p.m. • Friday, May 18, 7 a.m.–2:30 p.m.

ANNUAL MEETING

Need Assistance?

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SAEM’s Medical Student Ambassadors will be stationed throughout the JW Marriott Host Hotel to help. They will be wearing blue, SAEM-branded jackets, so they’ll be easy to spot. Additionally, SAEM staff will be at the registration desk during registration hours and at SAEM Booth #314 during exhibit hours to lend a hand.

New to SAEM or the Annual Meeting? Will this be your first time attending the annual meeting or are you a new member of SAEM? Please stop by SAEM Booth #314 in the exhibit hall during exhibit hours and introduce yourself, pick up a free tee shirt, have a professional headshot taken, and let us tell you about SAEM’s programs and services and how to get the most from the annual meeting.


ANNUAL MEETING

Exhibit Hall Plan time in your schedule to visit the SAEM18 Exhibit Hall in the JW Grand Ballroom 5&6: Third Floor. Pick up your free SAEM18 tee shirt, have a complimentary professional headshot taken, and visit with 60+ exhibitors who will be on hand to showcase their latest products and services. Use the SAEM18 Online Program Planner to scope out the exhibit hall with the online floor plan and create your must-see list of exhibitors.

Hours

• Tuesday, May 15, 5–6 pm (Exhibitor Kickoff Party) • Wednesday, May 16, 7–9 am and 11:30 am–4 pm (Power Break 2:30–3 pm) • Thursday, May 17, 7 am –1 pm (Coffee 7–9 a.m.)

Learn More About RAMS! Interested in becoming more involved with RAMS? Considering joining a RAMS Committee? Drop by SAEM Booth #314 right after the plenary session on Wednesday, May 16. A RAMS Board Member will be on hand from 12–12:30 p.m. to answer your questions, share the RAMS mission, and tell you all about the benefits of being a RAMS member of SAEM.

SAEM18 Exhibitors EXHIBITORBOOTH

EXHIBITORBOOTH

American Academy of Emergency Medicine (AAEM) 707 American Academy of Emergency Medicine / Resident and Student Association (AAEM/RSA) 705 AcelRx Pharmaceuticals, Inc. 711 American College of Emergency Physicians (ACEP) Geriatric Emergency Department Accreditation Program 725 AI Care LLC 625 Allergan USA, Inc 504 Alteon Health 413 American College of Medical Toxicology (ACMT) 719 ApolloMD 313 Bristol-Myers Squibb / Pfizer 319 Biodynamic Research Corporation (BRC) 505 BTG International  418 Care Through 525 Challenger Corpororation 713 Charleston Area Medical Center 716 Clarius Mobile Health 317 Dr. Fuji 724 Edelberg and Associates 311 Emergent Medical Associates (EMA) 720 EMrecruits 416 Envision Physician Services  510 Fisher & Paykel Healthcare 703 Guthrie Clinic 718 Hackensack Meridian Health 717 Happy Doc Summer Camp 322 Hays Innovations 405 HCA Healthcare 607 Indian Health Service 723 Infinity Healthcare 312 INRO Medical Designs 709 Indiana University – Purdue University Indianapolis - Kelley School of Business (IUPIU) 406 Indiana University School of Medicine Department of Emergency Medicine 305, 302 Integrative Emergency Services (IES) 621 Janssen Pharmaceuticals 604 Kaiser Permanente/ The Permanente Medical Group, Inc. 610

KARL STORZ Endoscopy - America, Inc. Leading Edge Medical Associates (LEMA) Mayo Clinic MedForums Mindray OSF Healthcare Penn State Hershey Medical Center Philips Portola Pharmaceuticals QGenda LLC Schumacher Clinical Partners Shift Administrators Simulab Corporation Smith & Nephew Society for Academic Emergency Medicine (SAEM) SonoSim Sound Physicians - Emergency Medicine Splash Medical Devices TeamHealth The Dental Box The LAM Foundation Tower Health Texas Tech University Health Sciences Center El Paso – Deptartment of Emergency Medicine (TTUHSC) TrueLearn, Inc. University of Pittsburg Medical Center - Emergency Medicine (UPMC) US Acute Care Solutions (USACS) United States Army 3rd Medical Recruiting Battalion VBM Medical Inc. VisualDX Vituity West Virginia Unviversity Medicine (WVU) - Department of Emergency Medicine Zero Gravity Skin

410 507 310 611 308 624 511 619 307 706 710 605 513 704 314 506 424 325 617 306 715 721 304 612 606 411 524 425 420 412 321 407

The 15 highlighted exhibitors are participating in bingo.

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KNOW BEFORE YOU GO Enjoy Indy Like a Local, Part 2 We’ve once again enlisted the help of our local panel of Indy folks to share their insights on what to see, do, and enjoy during your stay in Indianapolis. In the last issue of SAEM Pulse, they shared with you their personal favorites for a bite and a brew; this month they’re divulging their best places to spend a little time.

Our Panel of Naptowners (i.e. someone from IndiaNAPolis)

Jeffrey A. Kline, MD

Editor in Chief, Academic Emergency Medicine Professor of Emergency Medicine and Cellular & Integrative Physiology Vice Chair and Division Chief, Research Indiana University Department of Emergency Medicine

of the White River, while the Monon Rail Trail, popular with joggers and cyclists, cuts through the area, linking to the Central Canal Towpath.

Jeff’s recommendation:

Stephen John Cico, MD, MEd

Assistant Dean for Graduate Medical Associate Professor of Clinical Emergency Medicine & Pediatrics Fellowship Director for Pediatric Emergency Medicine Indiana University School of Medicine & Riley Hospital for Children

Jennifer M. Lommel, DO

Emergency Medicine Resident Indiana University School of Medicine

Best Place to Spend a Rainy Day Jeff’s pick: • In my lab

Steve’s pick:

• The Eiteljorg Museum, 500 W Washington Street. Houses one of the finest collections of Native contemporary art in the World, as well as Western American paintings and sculptures.

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Jennifer’s pick:

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• Hotel Tango Artisan Distillery, 702 Virginia Ave. The first service-disabled, combat veteran-owned distillery in the nation and the first artisan distillery in Indianapolis since Prohibition. Located in a cozy tasting room in the historic Fletcher Place neighborhood of downtown Indy.

A Great Way to Spend a Free Day Steve’s recommendation:

• Broad Ripple Village, Twenty minutes north of downtown. Free-spirited vibe, with laid-back cafes, global eateries, lively brewpubs and happening clubs. Indie shops sell records, handicrafts and vintage clothing. Broad Ripple Park has views

Indianapolis Motor Speedway • Indianapolis Motor Speedway, 4790 W 16th Street is arguably best known for its annual Memorial Day Indianapolis 500 race—The Greatest Spectacle in Racing. Take an IndyCar, pace car, or shuttle tour around the iconic 2.5-mile Indianapolis Motor Speedway. Inside the oval is the Indianapolis Motor Speedway Museum, housing memorabilia, trophies, and winning cars from the past century. Or if you feel the need for speed, the Indy Racing Experience gives you the opportunity to feel like a professional driver and feel the force of the 180 mph racecar as you take a victory lap around the track. The month of May is 500 Festival Month, and there are many activities that are available to attend, including Breakfast at the Brickyard and several practice and qualifying events. Jeff suggests that your visit to the Indianapolis Motor Speedway be paired with a great meal anywhere on nearby Main Street, and he has three suggestions for you to consider: • Barbecue and Bourbon • Big Woods • Dawson’s How do you end a fast-paced day at Indy’s beloved Brickyard? Jeff gives the green “go” flag to racing go-carts at Speedway Indoor Karting, 1067 West Main Street, with a glass of milk at the finish line. Zoom, zoom!

For Outdoorsy Types

Indianapolis has been called America’s most walkable city and its largely because the area's outdoor spaces are some of the grandest in the nation. You'll find several of our panelist's favorite fresh air spots in one unique spot: White River State Park.


ANNUAL MEETING

White River State Park, America’s only cultural urban state park, located right smack downtown, offers a unique blend of green space that includes the Canal Walk and the White River itself, plus cultural attractions including the Indianapolis Zoo. Visitors may elect to tour the park by pedal, by boat, by Segway, or by foot.

Soldiers and Sailors Monument

A Monumental City

Indianapolis devotes more acreage than any other U.S. city to honoring our nation’s fallen, and is second only to Washington, DC, in the number of war memorials. The seven-block Indiana War Memorial Plaza Historic District, in the heart of downtown Indianapolis, is composed of predominantly Neoclassical buildings and structures, landscaped open space, and sculptural ensembles. Included in the district are the American Legion Mall, Indiana War Memorial, Soldiers and Sailors Monument, University Park, U.S.S. Indianapolis, Veterans’ Memorial Plaza and the World War II Memorial.

The Children’s Museum of Indianapolis

Instagram Your Indy Visit Want a uniquely Indy pic? Be the “I” in Indy! One of the best places to take a photo is in front of the Indy sign, but don’t forget to share your snapshot: #SAEM18. You can currently find the “-ndy” sculptures at: – Indianapolis International Airport – Lucas Oil Stadium – Washington & Meridian Street

Bonus Picks From Steve:

• Agrarian Indy, 1051 E. 54th St. A uniquely Indy shop that bills itself as “a local homestead supply and general store,” with the information and tools to raise urban chickens, start a bee hive, or set up your own backyard farm!

For Children of All Ages…

Bringing the family to Indianapolis? Our panelists' recommendation for your kids, and the kid in you, is The Children’s Museum of Indianapolis, 3000 N Meridian St., which is not only the largest museum of its kind in the world, but was also named “the best family museum in the country” by USA Today and one of the “top 10 children’s museums” by Parents Magazine. Five floors hold more than 120,000 exhibit items, including dinosaurs and pirate ships, interactive exhibits, games and toys from a bygone age, and a wonderland of sights and sounds to provide an unforgettable day of inspiration and education for children of all ages. Plus, just in time for SAEM18 visitors, is the recently-opened Riley Children’s Health Sports Legends Experience, with 12 outside sports experiences and three indoor exhibits encompassing physical fitness and awe-inspiring sports history.

• Prime 47, 47 S Pennsylvania St. Steaks and seafood paired with wines and live piano music in a monumental setting with tall windows. St. Elmo’s is Indy’s most famous steak house (Make sure to get the shrimp cocktail, but be careful with the horseradish cocktail sauce!), and its sister restaurant, Harry & Izzy’s, next door is a fun and more casual option, but Prime 47 is the area’s only steakhouse featuring USDA Prime cuts of beef.

From Jennifer:

• The Livery, 720 N College Ave. Latin classics and tequila in a stylish bi-level spot with an allseason rooftop patio. • Goose the Market, 2503 N. Delaware St. Craft sandwiches from a cozy gourmet market and butcher shop with a wine bar downstairs.

The Livery 19


DIVERSITY AND INCLUSION Increasing Diversity Through Improved Recruitment From Medical Schools at Historically Black Colleges and Universities By Linelle F. Campbell, MD, MS

"The early identification of students who are interested in emergency medicine is key to creating milestones for these students as they progress through SAEM PULSE | MAY-JUNE 2018

medical school so

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they know what important tasks they must accomplish each year."

It is that time of year again when emergency medicine bound 4th year medical students find out where they will be spending the next 3-4 years of their lives. As an emergency medicine PGY1, I cannot help but reminisce about the good old days of medical school. One of the most transformative periods for me during medical school was after I decided on emergency medicine as a specialty. There were a few obstacles that needed to be overcome during my application process, chief among them—my medical school did not have a residency program and our emergency department staff was going through a transition so many of the attendings who were historically used to having students shadow them were no longer available. We had a very strong student affairs office, but for those of us applying to emergency medicine it was lacking the specialty-specific information we needed, including how to assess our competitiveness, how to create a timeline for meeting application deadlines, and knowing what to look for in programs based on our personal and professional goals. The six of us who applied to emergency medicine put our heads together and reached out to previous graduates who had matched. We made connections with program directors, did endless Google searches, and most importantly, we pooled our resources together to help each other. Our effort paid off as we secured away rotations, received interview invitations, and (most of us) matched at one of our top ranked programs. This experience is forever embedded in me and has become a passion of mine. It is important to mentor and recruit underrepresented minority (URM) students from medical schools that do not have emergency medicine training programs— especially those students who are from medical schools of historically black

colleges and universities (HBCUs). Doing this will ensure a more diverse applicant pool, and therefore more diverse residency programs and, subsequently, more diverse emergency medicine faculty and leaders. The five stakeholders in this process are the medical schools, residency programs, emergency medicine organizations, students, and most importantly, the patients. Below I highlight some ways that each of these stakeholders can play a part in increasing the success of URM applicants, especially those from HBCUs or who are coming from schools without emergency residency programs.

Medical Schools

The early identification of students who are interested in emergency medicine is key to creating milestones for these students as they progress through medical school so they know what important tasks they must accomplish each year. This includes milestones for shadowing opportunities, research and scholarship, networking, and identifying mentors. Scheduling to allow students time outside of the classroom to build their application and experiences may be a difficult barrier to overcome; however these experiences are pivotal, and can help secure away rotations and interviews. Many URM students who have matched have said they were aided in doing so by their ability to gain access to important networking events and mentors. These include a number of conferences that are available throughout the year. Finding ways to help finance student travel to these conferences and allowing students the time to attend them will have an immense return on investment for their success.

Professional Organizations

If you are reading this, you are probably aware of the many emergency medicine professional organizations; unfortunately, many URM students are not. They simply have not been exposed to these resources.


Fortuantely, there are organizations that have missions dedicated to improving the number of URMs in medicine. Two of these organizations, Student National Medical Association (SNMA) and Latino Medical Student Association (LMSA) were very well known in my medical school. It is important for these organizations, as well as other mainstream emergency medicine organizations such as ACEP, SAEM, CORD, AAEM, and EMRA, to connect and collaborate with each other. Each of these organization has identified the need to increase diversity. Coming together to share ideas, resources, and create a unified front to identify and recruit URM students into emergency medicine should remain a commitment. Many of these organizations have opportunities for medical students to serve on various committees, yet there remains a lack of diversity on these committees, in part because many URM students are unaware of the numerous opportunities these organizations provide. Specific information directed at URM students and membership recruitment efforts targeted to HBCUs would help bring awareness to these opportunities. Scholarships to attend the conferences and diversity lunches/dinners held during conferences are other ways that organizaitons can provide URM students with opportunities to network with other medical students, residents, and faculty who can share in their experiences.

Residency Programs

During my interview season, I frequently encountered programs that lacked diversity, but upon speaking with the

program directors and staff, I realized that many of the programs actually wanted to recruit a more diverse pool of residents, but were having a difficult time doing so. Like emergency medicine organizations, programs need to actively advertise to HBCU medical schools, otherwise these schools might not be on students’ radars. There also needs to be diversity among faculty. I have heard from many students this year that they ranked programs that did not have diverse residents higher if there was at least some diversity in faculty. Some program directors or their representatives have even reached out to the emergency medicine interest groups at these schools to offer mentorship and guidance and promote their programs.

Students

I urge all students to understand that while there are many strides taking place toward increasing diversity in medicine, it is the student's responsibility to advocate for their own success. A culture of hoarding information for your own success does not benefit anyone— not even yourself. One of the things that helped me match successfully was the help of my classmates. We shared information and resources, we created spreadsheets containing information about away rotations, we used group messaging services to post anything new we found and to post reminders about important deadlines. However, the most important thing we did was be transparent about our struggles and successes… and then we passed this culture of helping each other on to the class behind us and vowed to serve as their mentors.

Patients

The patients we care for are the most important stakeholders. Having a more diverse physician workforce will improve cultural sensitivity, enhance communication, increase access to health care, decrease health care disparities, improve policy and advocacy, open up new opportunities for innovation, and increase patient satisfaction. We owe it to our patients to give them the best health care experience possible by showing them we value their diverse backgrounds by improving URM recruitment. The task of creating a more diverse emergency medicine workforce is hefty and will not be accomplished quickly. For many reasons, the URM students from HBCU Medical Schools are a special pool of applicants, and are challenged by these schools not having EM residencies. This year my medical school matched 12 URM students into emergency medicine—up from five last year. This trend can continue, and we can truly make a difference in our mission to increase diversity in order to deliver equitable patient care. ABOUT THE AUTHOR: Linelle F. Campbell, MD, MS, is a PGY-1 in the Jacobi/ Montefiore Emergency Medicine Residency at Albert Einstein College of Medicine, Yeshiva University. She is a Resident Committee Member of SAEM’s Academy for Diversity and Inclusion in Emergency Medicine and chair of the EMRA Diversity and Inclusion Committee. @DocNellCam

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ETHICS IN ACTION The Ethics of Handling Bad Behavior From a Patient By Gerald Maloney, DO

THE CASE: You are in the middle of a busy evening shift when one of your fellow residents asks you to take over care of a patient from her. While she was trying to obtain a history from the patient, a 57-year-old male with abdominal pain, he constantly interrupted her by asking sexually explicit questions. Eventually he refused to answer any further clinical questions from her unless she first answered his inappropriate questions. The resident is visibly distraught. When you, a male resident, enter the room, the patient seems to treat it as a typical

SAEM PULSE | MAY-JUNE 2018

doctor-patient interaction and gives you

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none of the difficulties he directed at your female colleague. As you leave the room, you wonder if you should confront the patient over his interactions with your colleague, and whether as a physician you have an ethical obligation to a patient who may demonstrate such inappropriate interactions with you.

Over the past several years, physician burnout has received widespread attention, with much of the attention focused on physician dissatisfaction resulting from the pressures brought on by the ever-increasing focus of health care organizations on maximizing volume per provider and onerous documentation requirements. But there is another cause of physician burnout that has received little attention: abuse of physicians by patients. Physical violence by patients against health care providers has been well-documented and discussed for years; however, emotional harm inflicted on providers by patients due to comments that could fall under the broad umbrella of harassment, discrimination, or bias (gender, age, ethnicity or race, sexual identity or preference) has only more recently been recognized as a significant source of stress and career dissatisfaction. Much of the research on bias in emergency medicine has focused on bias from the provider end. There is a substantial body of literature demonstrating that certain groups (most notably AfricanAmericans and Hispanics) receive opioid analgesics for painful conditions such as

long-bone fractures at a lower rate than Caucasians. However, literature examining bias directed towards the provider by the patient, is more limited— although the topic has been generating more interest recently. A large survey last fall by Medscape received attention in the mainstream media for its findings that a majority (59%) of respondents experienced some type of biased remark from their patients. Young, female, African-American and Asian physicians reported the highest number of biased comments, with 70% of African-American providers reporting experiencing bias from a patient. The survey respondents indicated that this bias contributed to their feeling of burnout. Given the lack of research into this topic, knowing how to handle bias from a patient is difficult. At the crux of the matter is determining whether it is ethical for a physician to continue to treat a patient whose behavior makes the physician uncomfortable or negative towards him or her, as this undoubtedly can interfere with the ability of the physician to remain an advocate for the patient. From both a legal and ethical perspective, abruptly discontinuing care without finding an appropriate replacement


to provide care for the patient can constitute abandonment. Only in a situation where the provider feels that he or she is in imminent danger from the patient would this be acceptable. In an outpatient setting, a 30-day notification to the patient that he or she will need to find another provider, is acceptable. Unfortunately, this is almost impossible in the emergency department setting, both legally (due to EMTALA) and ethically (one could not refuse a patient who came in with a medical emergency even if the patient had previously been barred from the institution). While finding another provider in the department is certainly the easiest solution, there are many times when there is only one provider on duty.

"From both a legal and ethical perspective, abruptly discontinuing care without finding an appropriate replacement to provide care for the patient can constitute abandonment."

What do you do if you are the only provider on duty and you have a patient who is demonstrating bias toward you and making you feel uncomfortable? Having an escort accompany you whenever you are with the patient may be one way of dealing with the situation. Confronting the patient about his or her behavior has both risks and benefits. Some patients, after receiving directed feedback about their behavior, will cease the offensive behavior; others may become agitated. If you intend to confront the patient, it would be wise to have hospital security accompany you.

Flagging the chart of a patient who exhibits inappropriate behavior is one way of help providers prepare to deal with a potentially difficult interaction, although it carries with it the risk of biasing the provider towards the patient and may potentially cause other issues with patient care (after all, who wants to pick up a flagged chart?). But for patients with known repeated bad behavior the flagging system can help by establishing a protocol for dealing with the patient (e.g., always have security/police in the room with you). Again, this may come at a cost to the patient (loss of privacy

if another party is in the room), so such steps should not be undertaken lightly. Other than the provider feeling that his or her safety is at risk, there is not an ethically clear point whereby the provider can refuse to see the patient. Steps to try to mitigate bad behavior are acceptable, and asking another provider to take over care is also acceptable, but the patient—even if he or she is expressing biased or inappropriate behavior towards the provider—still needs to have his or her medical needs met. Much like a military physician treating an enemy combatant, the provider might not like the patient, but there is nevertheless an ethical obligation of beneficence and nonmaleficence to treat and stabilize any emergencies as appropriate. The much broader topic of the best way to deal with patients who are biased toward their providers, and to teach providers how to deal with these negative interactions, is still an area of active research and discussion. ABOUT THE AUTHOR: Gerald Maloney, DO, is associate chief, Emergency Department, Louis Stokes Cleveland VA Medical Center; attending physician, Department of Emergency Medicine, MetroHealth Medical Center; and associate professor of emergency medicine, Case Western Reserve University.

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SOCIAL MEDIA IN ACADEMIC EM #FOAMed: Closing the Translation Gap in Medicine By Eric Lee, MD Not long ago, I intubated my first Diabetic Ketoacidosis (DKA) patient. He was the sickest patient with DKA that I had seen in quite some time. He was a young man who presented in respiratory distress. It was evident that he had Kussmaul respirations on arrival. As expected, his initial pH came back 6.9. We started him on IV fluids and insulin to try to turn him around. But his repeat blood gas still came back even more acidotic, and he was becoming fluid-overloaded and hypoxic. So we pulled the trigger and intubated him. We dialed his respiratory rate up and optimized him the best we could before sending him up to the MICU.

"One of the major benefits of social media has been its ability to help cut down the translation time between clinical research and

SAEM PULSE | MAY-JUNE 2018

clinical practice."

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Looking back, I considered what could have been done differently or better to possibly even avoid intubation, and one thing I had discussed with my attending then was the choice of IV fluids. Interestingly enough, I had a recent NEJM study from February 2018 on my work station that I had been planning to read during whatever down time I might have had during the critical care shift that day. These were of course the SALT-ED and SMART research studies, which revived the longstanding debate between balanced crystalloids and normal saline. What led me to reading the studies more thoroughly was not my keen dedication to the latest in clinical medicine research, but the social media conversation surrounding it in the days after its publication. One of the major benefits of social media has been its ability to help cut down the translation time between clinical research and clinical practice. Before the era of social media, it took substantially longer for evidence to translate into practice. In fact, the commonly cited figure is 17 years. Now, just days after this study was published, there were numerous blog posts online discussing its merits and implications, and the discussion online helped spread the word. #FOAMed translational teachers like @srrezaie of REBEL EM and @PulmCrit had great posts on these studies. (See http://rebelem.com/ great-debate-balanced-vs-unbalancedcrystalloids-finally/ and https://emcrit.org/ pulmcrit/smart/)

Without getting into the specifics of the discussion of IV fluids in DKA (“won’t NS exacerbate the acidosis?” or “what about the potassium in LR?”), the role of social media and #FOAMed was important here. It led me to read these studies sooner (Reminder/Caveat: because even in the era of #FOAMed, you still have to read the studies yourself) and may have even played a role in the management of this patient. We discussed current evidence-based medicine as it related to managing this patient, and social media and #FOAMed helped make that happen. As for the patient, he was extubated, and he’s doing just fine now…as long as he takes his insulin. 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.


ACADEMIC EMERGENCY MEDICINE A Year in Review: Resident Editor, AEM Editorial Board The resident-in-training (“resident”) appointment to the Editorial Board of Academic Emergency Medicine (AEM) is intended to introduce residents to the process of peer review, editing, and publishing of medical research manuscripts. The appointment provides the selected resident(s) with an experience that will enhance his/her career in emergency medicine and in scientific publication. Below, the 2017-2018 AEM Resident Editors reflect on their experiences serving on the AEM Editorial Board.

Geoffrey P. Hays, MD

Andrew Moore, MD

Chief Resident, Emergency Medicine and Pediatrics Indiana University School of Medicine 2017–2018 AEM Resident Editor

Emergency Medicine PGY4 Northwestern University Feinberg School of Medicine 2017-2018 AEM Resident Editor

Journal club is a hallmark of any emergency medicine residency program. It is in that forum that residents and faculty go head to head with the literature itself. Through critical appraisal of the literature we seek what the rest of humanity seeks: the truth. As physicians, the truth we seek helps us care for our patients. Which intervention will give my patient a better outcome? Will that diagnostic test or element of patient history unearth the underlying pathology? These are the question the literature can help us answer. But how does that literature get into the pages of journals like Academic Emergency Medicine (AEM)? How does peer review work and what nuances play a role? These are the questions I sought to answer while sitting on the editorial board of AEM as a resident member. The year brought opportunities to review raw manuscripts, submit original pieces, and see the inner workings of the journal. And through all this came mentorship, new insights, and discussion of ethical publication. The labors of peer review are often unsung and yet vital to the progression of the specialty. The decisions we make are only as good as the quality of the data that fuels them. Through this experience I was able to review many manuscripts, some of which were published and some of which were not. I cannot help but think how my past journal clubs have been impacted by this very process and how my own practice has been impacted by the articles read; yet, I cannot help but think of the manuscripts that were not published and the knowledge that is still being culled and revised. It was an experience that will shape my approach to the literature as my career continues. Looking back, I am struck by the amount of work and passion the editorial board and reviewers put into this role. As our nation continues to rely on the emergency department for a growing portion of its care, it is becoming ever more important to improve our practice. It was a pleasure to be part of that process, and I would encourage any interested resident to do the same.

Our society is obsessed with immediate gratification. We can binge watch an entire season of a television show in a single day, find the exact song we want to hear at any moment on our phones, and have groceries from our favorite website delivered within one hour. We are flooded on social media like Instagram with photos of the perfect vacation scene, the best ski run, or the finest meal. The desire for immediate gratification has unfortunately infiltrated the world of scientific publications. In an NPR article from February 2018, titled “Scientists Aim to Pull Peer Review out of the 17th Century,” these vocal advocates compare the academic review process to Yelp reviews of ballpoint pens, and claim the latter are more useful. They decry the current peer review process as arcane, opaque, and slow, while simultaneously praising the timely, open source approach of Yelp reviews. In my role as resident editor for Academic Emergency Medicine (AEM), I experienced the painstaking detail of the review process and careful consideration for feedback necessary to create the end product that you read in AEM. Undoubtedly, the manuscripts I had the opportunity to review and edit are more nuanced than your average ballpoint pen. I commend the effort of our peer reviewers and applaud their thoughtful, constructive, and pointed feedback on articles submitted. Even authors of rejected manuscripts were given thorough guidance to create a better manuscript. Working closely with our volunteer decision editors and peer reviewers was an excellent experience that only increased my perception of the value of quality peer review. Although my tenure as resident editor has come to an end, I look forward to remaining involved in the review process as a volunteer reviewer for AEM. If you think the peer review process is outdated, I challenge you to become involved. Volunteer your time to review manuscripts for an academic journal and contribute to the advancement of emergency medicine. It might not happen immediately, but I guarantee you will be gratified.

For more information about the AEM Resident Editor Program, visit the website or contact Mark B. Mycyk, MD, director of the Resident Member of the Editorial Board Program, at mycyk.md@gmail.com or mmycyk@cookcountyhhs.org.

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“WHY ACADEMIC EMERGENCY MEDICINE?” This question is the driving force, the core, the essence of the Society for Academic Emergency Medicine. It is what makes annual meetings like SAEM18 different from any other meeting. SAEM is rich in diversity: of background, of practice, of area of interest, of what “academic” means. Yet this vital drive to investigate—to challenge the status quo, to not accept “unfortunate realities,” to be constantly thinking of solutions, constantly imagining new opportunities—is what unites us. Somehow, this enormous community practicing in a field that is founded on variety, is drawn together not only by a passion for emergency medicine but also the inexhaustible domains of academic study that we share to enrich one another’s perspectives and practices. Each member of SAEM has a story about what brought them to academic emergency. It may have been a mentor, a question left unanswered, or the recognition of a need. It may have been “I love emergency medicine” + “I love conducting research” = a career in academic emergency medicine. We each have a story, and this will be a space to share it.

"IT IS THROUGH ACADEMIC EMERGENCY MEDICINE THAT WE COLLABORATE, EXPAND ON EXISTING KNOWLEDGE, AND STRENGTHEN THE FUTURE OF EMERGENCY MEDICINE."

By Julia Lee Moon, MPH Third-Year Medical Student, Cooper Medical School of Rowan University Emergency medicine is coming back with a vengeance. Urban academic emergency medicine departments across the nation have been reclaiming their roles as the front door of their hospitals. Community emergency medicine has never been stronger since the expansion of highly-equipped urgent care centers into suburbia. Emergency medicine departments are seeing doorto-doctor times at record lows with this new changing climate. What a time to be alive, in emergency medicine! With such a renaissance in practicing environments comes a new responsibility that we owe both our patients and ourselves. How do we check-in to see how well we are practicing our craft amongst ourselves and along side of all of these new changes? How do we know we are still adhering to best practice, patient satisfaction, and national guidelines? Who is providing us with new research; discovering, documenting, and sharing new skills in emergency medicine? The answer is simple, and it is one with which we are already familiar: academic emergency medicine. We rely on our academic colleagues to keep tabs on the undercurrent of our practice at a national level. It is through academic emergency medicine that we band together and share what we learn. A challenge and lesson learned by one provider on one coast of the United States may benefit a provider on the other coast. Academic emergency medicine is tasked with allowing providers to share their knowledge among emergency medicine brethren. It is only through consistent publication in national emergency medicine journals such as Academic Emergency Medicine, and contribution towards free open access medicine, do we strengthen ourselves and each other. It is through academic emergency medicine that we collaborate, expand on existing knowledge, and strengthen the future of emergency medicine.


RAMS COMMITTEE HIGHLIGHTS Welcome to RAMS Committee Highlights! On top of being a uniting community for medical students and residents to interact with their peers, RAMS also has seven, structured, hard-working committees to engage resident and medical student members in the Society and expand our programming, outreach, capacity, and innovations. This will be a recurring feature of Pulse, and for this issue, we are featuring the Education Committee, which has been making progress on a number of projects. As you read these profiles, if you find that you have ideas, networks, or information to contribute, please reach out!

RAMS EDUCATION COMMITTEE Dr. Jean Sun

Emergency Medicine Chief Resident at Mount Sinai Hospital in New York, PGY-4 Chair of the RAMS Education Committee, Resident Member of the SAEM Board The RAMS Education Committee is one of seven brand new RAMS committees designed to expand resident and student services, impact, and opportunities within SAEM. The RAMS Education Committee one of the largest, with 25 committee members representing the educational interests of over 3000 residents and medical students in the SAEM community. As the RAMS Education Committee chair, I oversee a wide range of innovative projects and services that aim to: 1) address the critical educational needs of EM trainees pursuing academic careers; 2) fill the gaps in existing educational resources for academic EM; and 3) empower SAEM residents and students to become successful clinician educators. Our projects include a new Resident Educator Series that teaches residents how to teach, RAMS-sponsored didactics on virtual mentoring at the SAEM18 Annual Meeting, a podcast series called Ask-A-Chair that features department chairs from around the country, plans to create a future MedWAR event, and the new RAMS Section that you’re seeing in Pulse. In addition, we’re collaborating with the RAMS Mentorship and Career Development Committee to create a comprehensive digital guide to academic EM called SAEM Roadmaps. This

innovative guide will provide real-world, practical advice from academic experts to help residents and students succeed in different academic tracks, including Medical Education, Research, Administration, and many others. We’re also working with the SAEM Social Media and FOAM Committee to create our very own resident and student section within SAEM Online Academic Resources (SOAR). I feel very fortunate to be working with an exceptional group of residents and students to bring all these projects to fruition. We can’t wait to launch the full line of our educational products and services this year! I’m particularly excited to see the RAMS Education Committee tackle digital innovations in the educational space. There is so much opportunity to create better communication platforms, more user-friendly directories, more engaging online educational resources, more accessible virtual academic mentorship, and better ways to share advice and data among educators and trainees throughout academic EM. The possibilities are endless, and I’m very confident in the skills and vision of the new RAMS leadership to make great things happen in this regard.

Make sure to attend Dr. Sun’s Oral Presentation, Innovations Session at SAEM18: A Novel Resident Clinical Dashboard Highlights Significant Trends in Clinical Performance that can Enhance Resident Feedback and Create Targeted Educational Interventions.

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RAMS EDUCATION COMMITTEE Dr. Amanda Ventura

Dr. Christine Luo

University of Cincinnati Medical Center, Emergency Medicine Resident, PGY-2 Ask-A-Chair Podcast Series and Roadmaps Contributor

The Ohio State University Wexner Medical Center, Emergency Medicine Resident, PGY-1 Guide to the Annual Meeting and Roadmaps Project Contributor

I joined RAMS to get involved in the national emergency medicine scene and my only regret is that I did not do it sooner. It has been such an enrichment to connect with emergency medicine folks across the country. RAMS has certainly enhanced my SAEM experience — I feel like I am a part of the organization now, and not just a passive consumer. I am working towards a career in academic medicine and RAMS has been an excellent opportunity to get involved in a national arena and gain a better understanding of what academic emergency medicine looks like on the national scene. I have started to make connections that I look forward to expanding on as I continue my involvement. I had the opportunity to travel to the 2019 AACEM/AAAEM Joint Retreat for chairs in San Diego where I interviewed several individuals for the Ask-A-Chair podcast series. I am also involved in creating the Roadmaps for the operations and EMS tracks for the Roadmap Project. I joined the RAMS Education Committee because I wanted to get involved with education in a broader sense in the hopes that I can help shape the education that we and our medical students receive in the future. I think this committee is working on some wide-reaching projects that will impact residents and medical students in all aspects of emergency medicine and I am looking forward to seeing us expand on these in the future.

My involvement in the RAMS Education Committee has helped me identify education resources available through SAEM and led me to meet people who have common interests in education. I have been able to apply this knowledge, while working with equally motivated colleagues, in the Roadmaps Project, for which I am helping to design the website template, as well as develop its Ultrasound Section. Methods of medical education and medical knowledge will always be developing, so I’m excited to be part of a committee that is actively involved in this process. But what has been most enjoyable so far has been meeting new people and getting involved in projects that will help guide medical students interested in EM, and EM residents, to various education resources.

John Hurley Brody School of Medicine at East Carolina University, Medical Student, M3, Roadmaps Chief Editor The opportunity to work with intelligent minds from across the nation has broadened my viewpoint of what the field of emergency medicine has to offer. From amazing mentors pushing me to believe in myself, to constructive criticism on


writing, thought process and the leadership, I have grown substantially in the last four months of working with this amazing crew of people. I was apprehensive about being a non-traditional student in pursuit of emergency medicine. Working with the RAMS Education Committee has shown me not to be apprehensive but, when feasible, to dive right in and support. I truly believe that without the blessing of being able to work with this group on this project, I would have maintained my myopic view of emergency medicine and been significantly stunted in my academic and career growth. I am currently the lead for the Roadmaps project and am the author for the Critical Care Track, as well as co-author on the Simulation Track. Both of these are integral to the infrastructure of the Roadmaps project. My peers on this project are hands-down what I enjoy most about being a part of this committee. The group that comprises the Roadmaps Committee are the hardest working people out there. This crew is from all walks of life and consists of some of the most brilliant people. We are also guided by amazing leaders—Dr. Diercks and Dr. Sun—who have been invaluable to my development as a leader, group member, and eventual physician.

John’s SAEM18 IGNITE presentation, Hurricane Matthew: How Resident and Medical Student Volunteers Impacted the Relief Effort is not one to miss. He will recount the story of how the student body, faculty, and others from the health science campus at his medical school, mounted a disaster response to Hurricane Matthew in 2016.

Dr. Sam Parnell Vanderbilt University Medical Center, Emergency Medicine Resident, PGY-2 Project Leader for the RAMS Resident Clinician Educator Series As the project leader of the Clinician Educator Series, I determined the purpose and goals of the project and organized the members to help create a list of resources to help medical students and residents become effective clinician-educators. Purpose: To develop a curriculum to help medical students and residents become effective clinician-educators. Goals: Create a list of written and podcast resources that can be listed on the SAEM website with teaching strategies for medical students and residents My passion is medical student and resident education. By being involved with the RAMS Education Committee I have been able to participate in improving medical student and resident education in emergency medicine on a national level. I have been able to work with extremely talented medical students and residents across the nation to improve access to resources for how to become better teachers and residents. The RAMS Education Committee

provides a network of individuals who are also passionate about teaching and mentorship and allows for collaboration, discussion, and advancement of medical education.

Keep an eye out for Dr. Parnell in the SonoGames competition on Friday, May 18 at SAEM18!!

Dr. Sim Mand University of Cincinnati Medical Center, Emergency Medicine Resident, PGY-1 RAMS Education Publicity Committee Member I joined RAMS in order to get more involved in the emergency medicine community and to learn from my peers and mentors from across the country. I joined the RAMS Education Committee in particular because it allows me to further explore my interests in education by exposing me to the different facets of education. I enjoy collaborating with my colleagues with whom I would not have otherwise had the opportunity to work. I am currently working on the SAEM publicity committee, compiling a list of SAEM18 events that would be most interesting to residents and medical students in attendance, and working on eBlasts that highlight events in sub-interest areas of emergency medicine. I am also working on a project with other members to compile resources for teaching learners, giving and receiving feedback, and other useful tools to use as an educator in an academic setting.

Steven Ignell Northwestern University Feinberg School of Medicine, M3, New member of the RAMS Education Committee I joined RAMS Education Committee because I’m interested in a career in emergency medicine and my medical school research project is related to resident education. How medical students and residents are trained to become doctors and effective EM physicians is a topic that interests me. The RAMS Education Committee is a great place to pursue my interest in the topic and decide the role I want education to play in my future EM career. I’m most excited about seeing the conversations and topics that are being discussed in regards to resident education. Steven will be presenting a “must see” lightning oral presentation at SAEM18 on Wednesday, May 16: Interobserver Agreement of the HEART Score and Gestalt Between Residents and Attending Emergency Medicine Physicians.

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TOP 12 12 Must-Sees for Resident and Medical Student Attendees at SAEM18

RAMS Mentorship Committee members Graham Dixon, MS2 at the Brody School of Medicine at East Carolina University, and Wendy Sun, MS3 at the Virginia Commonwealth University School of Medicine, poured over the offerings that SAEM18 has in store. As medical students themselves, in tune with what medical education provides today and what presentations would uniquely supplement the knowledge of medical students and residents alike, Wendy and Graham identified their “Top 12” scheduled items which they find are best suited to RAMS. While a few of the sessions overlap, with careful planning, see how many of the these “Top 12” you can attend! Events are listed in the order of each day and are linked to the program planner so you can “favorite” them and easily add them to your schedule.

Graham Dixon, MS2

Wendy Sun, MS3

1. E  M Talk: Goals of Care and A Roadmap to Master Difficult Conversations – Workshop. Tuesday, May 15, 8 am–12 pm. Add this workshop to your SAEM18 registration. 2. D  iversity, Inclusion, and Equity in Emergency Medicine Research, Education, and Clinical Practice – Workshop. Tuesday, May 15, 1–5 pm. Add this workshop to your SAEM18 registration. 3. W  omen in Leadership: Where are They? – IGNITE! Presentation. Wednesday, May 16, 3–4:20 pm 4. C  reation of a Novel Medicolegal Conduit to Assist Undocumented Individuals Presenting to the Emergency Department to Address Immigration Legal Needs – Innovations: Oral Presentation. Wednesday, May 16, 3:44–3:52 pm


5. O  ne Click Away: Virtual Mentorship in the Modern Era (RAMS Sponsored) – Didactics Wednesday, May 16, 5–5:20pm 6. T  ackle the Challenges in Emergency Medicine as an Underrepresented Minority and/or Lesbian, Gay, Bisexual, Transgender Resident or Student (RAMS and ADIEM Sponsored) – Didactics. Friday, May 18, 8–8:50 am 7. Medical Student Symposium (MSS) – Forum. Thursday, May 17, 8 am–3 pm 8. Impact of a Mentorship Program on Medical Student Burnout – Abstract. Thursday, May 17, 9:50–9:58 am 9. E  vidence Based Medicine in the Emergency Medicine Clerkship – Innovations: Oral Presentation. Thursday, May 17, 8:52–9:02 am 10. E  mergency Department Patient Perceptions of the Efficacy and Safety of Opioid Analgesics – Abstract. Friday, May 18, 9:10–9:18 am 11. A  ugmented Triage for Emergency Department Patients Using Gradient Boosting and Deep Learning – Abstract. Friday, May 18, 12:30–12:38 pm 12. I mproving Transitions Between the Emergency Department and Primary Care: A Health Information Exchange Pilot Project – Abstract. Friday, May 18, 12:50–12:58 pm

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Follow RAMS Twitter for SAEM18 RAMS Updates SAEM residents and medical students, if you’re on Twitter, you'll want to follow @SAEM_RAMS for exclusive SAEM18 news and information, including recaps of resident and medical student events and education sessions. Spread the word!

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BRIEFS AND BULLET POINTS SAEM NEWS New ARMED Class Begins Fall 2018

Sign up now for the next Advanced Research Methodology Evaluation and Design (ARMED) course. Taught by leading experts in academic emergency medicine, the purpose of this course is to arm participants with the fundamental knowledge and skills to design a highquality research project and grant proposal to jumpstart their research career. The course is targeted to assist junior faculty within five years of graduation, fellows, and senior residents who are interested in pursuing a career in research.

Need Help With Your Research?

SAEM has resources for every aspect of your study including our Grants Guide, Research Learning Series, Research Resource Compendium, ARMED course, and more. Get started today.

SAEM Cares About Your Well-Being

Have you checked out SAEM's Wellness Portal? The new portal, which supports SAEM's Statement on Commitment to Clinician Well-Being and Resilience, is a growing reservoir of wellness and physician resources and literature. SAEM supports endeavors related to physical health and wellness and the fight against burnout.

“SOAR”Continues to Soar!

SOAR, SAEM's open access library for online education, continues to grow by leaps and bounds as we regularly add new websites, blogs, podcasts, videos, and other resources. If you haven’t checked out SOAR in a while, you might want to take a look. And if you have a website, blog, podcast, or video you would like to see add or recommend to SOAR, the form on the FOAMed Resources page.

Based Emergency Medicine Interest Group, recently provided feedback to the Accreditation Council for Graduate Medical Education (ACGME) regarding its proposed Phase 2 Common Program Requirements.

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.

Election Results

The Board of Directors of the Society for Academic Emergency Medicine is pleased to announce the winners of recent elections to SAEM leadership positions. Congratulations to the individuals whose names are highlighted in red, who join their esteemed colleagues in the following categories. The 2018-19 SAEM Board of Directors will take office at SAEM18 in Indianapolis.

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Wendy C. Coates, MD

Richard E. Wolfe, MD

Amy H. Kaji, MD, PhD, Harbor-UCLA Medical Center Angela M. Mills, MD, Columbia University College of Physicians and Surgeons Ali S. Raja, MD, MBA, MPH, Massachusetts General Hospital Megan L. Ranney, MD, MPH, Brown University Richard E. Wolfe, MD, Beth Israel Deaconess Medical Center/ Harvard Medical School Resident Member Christopher Lee Bennett, MD, MA, Brigham and Women’s Hospital and Massachusetts General Hospital

2018–2019 SAEM BOARD OF DIRECTORS President Steven B. Bird, MD, University of Massachusetts Medical School President-Elect Ian B.K. Martin, MD, MBA, West Virginia University School of Medicine Secretary-Treasurer James F. Holmes, Jr., MD, MPH, University of California Davis Health System

Christopher Lee Bennett, MD, MA

Bernard L. Lopez, MD, MS

SAEM NOMINATING COMMITTEE Chair Ian B.K. Martin, MD, MBA SAEM Immediate Past President D. Mark Courtney, MD Elected Members Gillian Beauchamp, MD Bernard L. Lopez, MD, MS Committee/Task Force Representative To be elected by the Board of Directors in 2018-2019

SAEM Responds to Proposed ACGME Common Program Requirements

SAEM, along with the Association of Academic Chairs of Emergency Medicine (AACEM), and SAEM's Clerkship Directors in Emergency Medicine (CDEM) academy, Graduate Medical Education (GME) Committee, Research Directors Interest Group, and Evidence

Members-at-Large Wendy C. Coates, MD, Los Angeles County-Harbor-UCLA Medical Center

Ian B.K. Martin, MD, MBA

James F. Holmes, Jr., MD, MPH

Immediate Past President D. Mark Courtney, MD, Northwestern University Feinberg School of Medicine

Past President Representative To be elected by the Board of Directors in 2018-2019

SAEM BYLAWS COMMITTEE Doug Char, MD, Chair Jason Hoppe, DO Louis J. Ling, MD


Scholarship Established in Memory of C. Christopher King, MD A scholarship has been established in memory of C. Christopher King, MD, Chair of the Department of Emergency Medicine at Albany Medical College, who passed away in late March. The scholarship will honor Dr. King’s memory and his impact on academic emergency medicine by providing a scholarship for an emergency medicine physician to attend the Chair Development Program (CDP) starting in 2019. Dr. King was a valued physician leader, AACEM Executive Committee member, and a tremendous mentor to faculty, residents, and students. Dr. King collaborated enthusiastically with nursing leadership and advanced practice professionals and other allied health professionals to deliver high quality patient care. His enthusiasm for excellence in pediatric emergency care was inspirational. He was the consummate academic emergency physician.

RAMS Election Results

The Society for Academic Emergency Medicine is pleased to announce the winners of the recent elections to RAMS (Resident and Medical Student) leadership positions. Congratulations to the following individuals, who were selected to lead RAMS in 2018-2019:

2018–2019 RAMS BOARD OF DIRECTORS President Chad L. Mayer, MD, PhD, The Ohio State University Wexner Medical Center Secretary-Treasurer Jacqueline Tin, MD, Mount Sinai School of Medicine Immediate Past President Alexandra Nordberg, MD, University of Massachusetts Medical School Members-at-Large David Chu, Oakland University William Beaumont Health System David H. Cisewski, MD MS, Albert Einstein College of Medicine of Yeshiva University Stephen Christopher Dorner, MD, MPH, MSc Katherine Hunold Buck, MD, The Ohio State University Wexner Medical Center Kathleen Y. Li, MD, University of California, San Francisco, School of Medicine Tina Mathew, MD, Mount Sinai School of Medicine Arjun Prabhu, MD, MBE, Mount Sinai School of Medicine Caitlin S. Rublee, MD, MPH, The Ohio State University Wexner Medical Center Shana Zucker, Tulane University School of Medicine

RAMS Represents!

Nehal Naik, Virginia Commonwealth University School of Medicine and RAMS Member-at-Large, represented SAEM RAMS at the All EM Resident Organizations and Students (AEROS). He is pictured above (second from the right, back row), alongside residents and medical students from the following organizations: • The Accreditation Council for Graduate Medical Education (ACGME) Review Committee for Emergency Medicine • American College of Osteopathic Emergency Physicians (ACOEP) Resident Student Organization • The American Medical Association (AMA) Resident and Fellow Section • Association of American Medical Colleges (AAMC) Organization of Resident Representatives • Council of Emergency Medicine Residency Directors (CORD) • Emergency Medicine Residents Association (EMRA)

RAMS Ask-a-Chair Podcast Series Launches

RAMS in excited to announce the roll out of a new podcast series: RAMS Ask-a-Chair, featuring resident- and

student-submitted questions. The first set of podcasts were recorded at the AACEM/AAAEM Joint Retreat, March 11-14, 2018. The featured guest for the first Ask-a-Chair podcast is Nate Kuppermann, MD, MPH, chair of emergency medicine at UC Davis Health System, the Spotlight interviewee for this issue of SAEM Pulse, and a keynote speaker at the upcoming AEM Consensus Conference in Indianapolis. The podcast moderator is Amanda Ventura, MD, University of Cincinnati College of Medicine. Stay tuned for the next Ask-a-Chair podcast, which will be posted the first week of May 2018.

Residents and Medical Students: Follow @SAEM_RAMS on Twitter

SAEM residents and medical students, if you’re on Twitter, then you need to follow @SAEM_RAMS on Twitter for exclusive news and informational content pertinent to you. This includes SAEM18 meeting info and #TestPrepTuesday! And during SAEM18, recaps of residents and student events and education sessions will be posted here. Do you have resident- or student-oriented content to get out to the masses? Submit a request to have it published via RAMS Twitter!

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SAEM JOURNALS Academic Emergency Medicine AEM Outstanding Peer Reviewers for 2017

Peer reviewers are essential to presenting the high-quality, original research, and academic contributions that fill the pages of Academic Emergency Medicine (AEM) each month. We extend sincere appreciation to these exceptional reviewers for their dedicated, conscientious, and exceptional service to AEM in 2017 by contributing timely, rigorous, and thoughtful peer reviews: • Francesca Beaudoin, MD • M. Fernanda Bellolio, MD • Richard Body, PhD • Ethan Brandler, MD

According to Mark B. Mycyk, MD, director of the Resident Member of the Editorial Board Program: “The specialty of emergency medicine is fortunate to have so many talented residents-in-training who want to be more involved in journals. We had a large number of ultra-qualified applicants this year, and narrowing the pool of finalists was again difficult for us. Lauren and Daniel are excellent scholars with curiosity and energy to advance the dissemination of research. We look forward to having them serve as editors on our board this year.” For more information about the AEM Resident Editor Program, visit the website or contact Mark B. Mycyk, MD, director of the Resident Member of the Editorial Board Program, at mycyk.md@gmail.com or mmycyk@cookcountyhhs.org.

• Brian Driver, MD • Jeffrey Hom, MD • Jason Hoppe, DO • Lois Lee, MD

In other Editorial Board developments,

• Simon Mahler, MD

AEM Editor-in-Chief, Jeffrey Kline, MD, announced the following appointments to three newly established social media positions:

• Brandon Maughan, MD • Dan Mayer, MD • Mara McErlean, MD

• Michael Ward, MD

• Twitter Manager: Matthew Klein, MD, MPH, Northwestern University • Editor of Infographics: Kirsty Challen, BSc, MBChB, MRes, PhD, Lancashire Teaching Hospitals • Associate Social Media Editor: Michael Gottlieb, MD, RDMS, Rush University Medical Center

AEM Announces Resident Editors for 2018-2019

Special Issue of AEM to Publish in Early 2019

• William Meurer, MD • Paul Musey, MD • Debra Perina, MD • Michael Puskarich, MD • Jill Stoltzfus, PhD

Lauren Maloney, MD

Daniel Nogee

Academic Emergency Medicine (AEM) is delighted to announce that Lauren Maloney, MD, SUNY at Stony Brook, and Daniel Nogee, MD, Yale University, have been selected from a competitive pool of applicants to join the AEM editorial board for the upcoming year.

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The resident-in-training appointment to AEM will introduce Drs. Maloney and Nogee to the process of medical publishing, editing, and peer review. Their one-year terms will begin at the May 2018 editorial board meeting in Indianapolis.

Academic Emergency Medicine has announced a Call for Papers for a special issue of the journal dedicated to the “Influence of Gender on the Profession of Emergency Medicine.” The issue will publish in early 2019 and will include original research papers and systematic reviews, with or without meta-analyses, that focus on the role of biological sex and/or female gender identity with respect to workplace experiences, professional advancement, practice environment, work satisfaction and burnout, and the general clinical practice of emergency medicine. Submissions are welcomed through October 30, 2018.

Listen to the Latest Podcasts from AEM Our new AEM podcast webpage will be updated monthly with podcasts of select AEM articles, including article summaries, commentary, author interviews, and critical discussions at our new AEM Podcast webpage. Also introducing: AEM E&T podcasts!

AEM Education & Training AEM E&T Fellows Editor Appointment 2018-2019

Academic Emergency Medicine Education and Training (AEM E&T) has announced that Puja Gopal, MD, a resident at the University of Illinois at Chicago (UIC), has Puja Gopal, MD been selected as the first fellow appointment to the AEM E&T Editorial Board. The AEM E&T fellow appointment is intended to mentor a medical education fellow in the process of peer review, editing, and publishing of education research manuscripts. Dr. Gopal will be completing her residency in emergency medicine at University of Illinois at Chicago in June 2018. She will be pursuing a two-year medical education fellowship at the University of Chicago and her masters in Health Professions at UIC. Her scholarly interests focus primarily on medical education and simulation.

Congratulations to AEM E&T’s Outstanding Peer Reviewers

Academic Emergency Medicine Education and Training (AEM E&T) is pleased to announce its first class of Outstanding Peer Reviewers. Peer reviewers are essential to presenting the high-quality academic contributions that fill the pages of AEM E&T each issue. We extend sincere appreciation to these exceptional reviewers for their dedicated, conscientious, and exceptional service to AEM E&T in 2017: • Joshua Davis, MD • Douglas Franzen, MD, MEd • Michael Gottlieb, MD, RDMS • Nikhil Goyal, MD

AEM E&T Invites Submissions for a Special Issue Academic Emergency Medicine Education and Training is inviting


submissions from SAEM academies, committees, and interest groups, for a special issue of AEM E&T that will publish in late 2018. This special issue will highlight the proceedings from the SAEM Annual Meeting relevant to education and training. In addition to the standard manuscript types, conceptuallybased white papers submitted by SAEM academy, committee, and interest group members that share cutting edge ideas and concepts unique to their areas of expertise-with an emphasis on education and training in emergency medicine-will be accepted.

• Dr. Michael Secko from Stony Brook University Hospital for his review of Upper Extremity Regional Anesthesia (SAEM Regional Anesthesia UE 10-13-17)

Instructions for authors and more specific details may be found on SAEM’s website. Please read these instructions carefully. Papers will be submitted via ScholarOne, our online peer review management system. All papers will undergo peer review. Deadline for submissions is July 15, 2018.

In March, SAEM announced the formation the new Climate Change and Health (CC&H) interest group for the purpose of fostering education, research, and advocacy in the realm of climate change and health. The proposed activities of the new interest group include:

SAEM ACADEMIES Academy of Emergency Ultrasound

The Academy of Emergency Ultrasound (AEUS) is excited to introduce two new lectures as part of the AEUS Narrated Lecture Series: • Drs. Ben Nti and Matt Rutz from Indiana University for their review of Lower Extremity Nerve Blocks (AEUS Lower Nerve Block 3.25)

These and AEUS’s full series can be found at: AEUS Narrated Lecture Series

SAEM INTEREST GROUPS Climate Change and Health New Interest Group Formed

• Promotion of CC&H educational initiatives directed at emergency medicine physicians. • Creation of a forum for collaboration and networking on CC&H research agendas through the interest group website. • Development of a strategic advocacy agenda for bridging the gap between scientific research and policy to promote fiscally prudent, data-driven, non-partisan policy that safeguards human health. • Generation of a proposal for SAEM to join the Medical Society Consortium on Climate and Health, publication of an emergency medicine consensus statement on CC&H SAEM Interest Groups provide a mechanism for members of the Society interested in a specific topic or area to meet, share ideas and network in a relatively unstructured and informal fashion.

IN OTHER NEWS Trauma-Specific CME No Longer Required for Certified ABEM and AOBEM Physicians

The American College of Surgeons (ACS) Committee on Trauma (COT) has announced that effective with the next revision of their Optimal Resources for the Care of the Injured Patient criteria, they will accept active enrollment in a recognized Maintenance of Certification

(MOC) program with sufficient trauma content as fulfilling the trauma-related CME requirements for emergency medicine physicians in their trauma center verification program requirement. As such, the trauma content outlined for the American Board of Emergency Medicine (ABEM) and American Osteopathic Board of Emergency Medicine (AOBEM) MOC programs will be sufficient to meet this requirement, while any physician not actively enrolled in an MOC program will continue to require documentation of trauma-specific CME.

NIH Launches Initiative to Speed Scientific Solutions to Opioid Crisis

In April, the National Institutes of Health launched the HEAL (Helping to End Addiction Long-term) Initiative to speed scientific solutions to address the national opioid crisis. NIH will significantly increase funding to bolster research on opioid misuse and addiction as well as pain with an investment of $1.1 billion in FY2018, made possible by the FY 2018 Consolidated Appropriations Act, which provides $500 million for opioid addiction research. HEAL will bolster research to inform better addiction prevention strategies through enhanced pain management and improve treatments for opioid misuse disorder and addiction. Please read the NIH announcement to learn more about this important research initiative.

ABEM Launches New Website

The American Board of Emergency Medicine recently announced the launch of its new public website and is asking for comments, questions, and suggestions.

ABEM Announces Alternative to ConCert™ Exam

The ConCert Exam is the current way for physicians to show that they continue to possess the knowledge and cognitive skills of an ABEM-certified emergency physician. In 2020, a second way to demonstrate these competencies will begin to be phased in. Visit the ABEM webpage to learn what that alternative consists of.

2018 Recipients of ABEM 30-year Certificates

Emergency Medicine was recognized as the 23rd medical specialty in 1979, and the American Board of Emergency Medicine (ABEM) administered the first certification examinations in 1980. ABEM recognizes, with a special certificate, physicians who,

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as of December 31, 2017, have marked 30 years of being board certified in emergency medicine. To maintain certification for 30 years, ABEM-certified physicians must participate in a program of continuous professional development and learning in the specialty. Because board certification is a voluntary process, this landmark accomplishment reflects a dedication to the specialty of emergency medicine, a commitment to continuous professional development, and the long-standing provision of compassionate, quality care to all patients. A list of the 649 physicians who have reached this milestone is available on the ABEM website.

New from CDC: Antibiotic Use Online Training Course + FREE CE!

The Centers for Disease Control (CDC) Office of Antibiotic Stewardship recently launched the first section of a four-section web-based training course on antibiotic stewardship. Remaining sections will be released throughout 2018. Course objectives include: • optimizing antibiotic prescribing and use to protect patients and combat the threat of antibiotic resistance, • informing healthcare professionals about proper antibiotic use, and • encouraging open discussion among doctors and patients. Doctors, nurse practitioners, physician assistants, certified health education specialists, nurses, pharmacists, and public health practitioners with a master’s degree in public health are eligible to receive up to eight hours of free CE for the entire course. Register and take the course online.

SAVE THE DATES SAEM Annual Meetings SAEM19 – May 14-17, 2019 The Mirage Casino-Hotel, Las Vegas, NV SAEM20 – May 12-15, 2020 Denver, CO - Sheraton Denver Downtown Hotel

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SAEM REGIONAL MEETINGS New England Young Investigators Tell Their Stories The 22nd annual New England Regional Meeting, hosted by the University of Massachusetts/ UMass Medical Center, took place on March 28, 2018 in Worcester, MA. Nearly 300 participants attended and a total of 111 abstracts were presented. SAEM Board of Directors member, Megan L. Ranney, MD, MPH, from Brown University, presented a Board update as well as the keynote address entitled “Making Lemonade,” which chronicled her personal research journey and how she “made lemonade from research lemons.” The take home lessons from Dr. Ranney’s talk were: • Follow your passions • Life does not work in a straight line • Everyone needs a team • Rejection isn’t personal • Do the most you can, the best you can • Be persistent • Identify the opportunity One exemplary abstract from each of the New England emergency medicine academic institutions was presented. Sixty lightning oral and 42 poster presentations were also provided from medical students, trainees, and faculty. Representatives from AWAEM led a workshop on vitality and longevity in emergency medicine, overcoming imposter syndrome, promotion in clinical research track, being an effective leader/educator, and finding mentors. A new session this year gave three young investigators (Drs. Korilyn Zachrison, Massachusetts General Hospital; Peter Smulowitz, Beth Israel Deaconess Medical Center; and Andrew Taylor, Yale School of Medicine) the opportunity to discuss their unique paths to early success in emergency medicine research and varied topics from big data, machine learned algorithms, vulnerable populations, and health outcomes. Each New England research director was asked to nominate a junior faculty member to give this talk and the three finalists were ultimately chosen by the planning committee. This new platform was well received and will be in the program again next year.


ACADEMIC ANNOUNCEMENTS Stanford University Andra Blomkalns, MD, professor of emergency medicine at the University of Texas Southwestern Medical Center, has been appointed the inaugural chair of the department of emergency medicine at the Stanford University School of Medicine. Her first day will be September 15, 2018. Andra Blomkalns, MD Dr. Blomkalns will lead the department as preparations unfold for the final phase of construction at the new Stanford Hospital, which is scheduled to open in late 2019. Dr. Blomkalns is a past president of SAEM and presently serves as the president of the SAEM Foundation. She is an active member of SAEM’s Academy for Women in Academic Emergency Medicine (AWAEM) and a former chair of the SAEM Annual Meeting Program Committee.

very few ever awarded to emergency physicians. The K24 award will support his mentorship of junior investigators and further his research on HIV/AIDS and HIV testing health literacy. The second involves a research grant under a R34 mechanism. The R34 will support efforts to develop an intervention to increase HIV/HCV rapid HIV testing uptake among emergency department patients. Both of these awards relate to Dr. Merchant’s body of research in HIV testing and education among difficult treatment populations.

Ziad Obermeyer, MD

Kei Ouchi, MD, MPH of Brigham and Women’s Hospital has received a prestigious GEMSSTAR award from NIH. Funded under a R03 mechanism, the GEMSSTAR mechanism supports the transition of exciting young investigators into aging research. Dr. Ouchi is an instructor at Harvard Medical School

Penn Medicine Jill M. Baren, MD, MBE, FAAP, a professor of emergency medicine, pediatrics, and medical ethics at the Perelman School of Medicine at the University of Pennsylvania, has been named an American Council on Education (ACE) fellow for academic year 2018-19. ACE is the major coordinating Jill M. Baren, body for all the nation’s higher education MD, MBE, FAAP institutions, representing nearly 1,800 college and university presidents and related associations. The ACE Fellows Program identifies and prepares faculty and staff members for senior positions in college and university administration through a cohort-based mentorship model. Dr. Baren, an attending physician at the Hospital of the University of Pennsylvania and Children’s Hospital of Philadelphia, has served in many leadership roles at Penn Medicine and in professional organizations nationally. She is a former SAEM president, served on the SAEM Board of Directors for eight years and as the president of the SAEM Foundation. She is currently member at large of the SAEM Foundation Board of Trustees.

Michigan State University

Michael Brown, MD, MSc

Michael Brown, MD, MSc, chair of emergency medicine at Michigan State University College of Human Medicine, has been appointed senior editor of the newly created Cochrane Acute and Emergency Care Network. In this role, he will be responsible for ensuring review quality, prioritization of topic coverage, and supporting knowledge translation innovation to better meet the needs of Cochrane end-users.

Brigham and Women’s Hospital Roland C. “Clay” Merchant, MD, MPH, ScD recently joined the faculty of Brigham and Women’s Hospital. Dr. Merchant brings special expertise in clinical trial design and clinical epidemiology. He previously was faculty at Rhode Island Hospital/Brown University for 16.5 years. Dr. Merchant was recently awarded Roland C. “Clay” Merchant, not one, but two awards from NIH. The first is MD, MPH, ScD a K24 mid-career mentoring award, one of a

Ziad Obermeyer, MD, of Brigham and Women’s Hospital and assistant professor of emergency medicine at Harvard Medical School, has received a $382,595 NIH grant funded under a R56 mechanism. This work continues his line of investigation expanding the role for palliative care in the care of older adults with chronic, severe medical problems.

Peter Chai, MD, MMS, a medical toxicologist Brigham and Women’s Hospital, has received at a NIH CFAR grant award. Dr. Chai, an assistant professor of emergency medicine at Harvard Medical School, will use digital pills that contain an ingestible biosensor to improve adherence to antiretroviral therapy used as pre-exposure prophylaxis to prevent HIV infection. Dr. Chai has also received a Peter Chai, MD, MMS K23 training award from NIH. Dr Chai will be developing behavioral interventions for digital pills containing Truvada for pre-exposure prophylaxis of HIV. Additionally, Dr. Chai has been awarded a $250K faculty development award from Gilead Pharmaceuticals to evaluate digital pills in HIV care. Kei Ouchi, MD, MPH

Edward W. Boyer, MD, PhD has been promoted to director of academic development for the department of emergency medicine at Brigham and Women’s Hospital. Dr. Boyer’s emphasis will be on expanding the scope of research at Brigham, mentoring junior faculty to that cutting edge where Edward W. Boyer, successful academic careers begin, and MD, PhD growing the NIH-funded repertoire within the department. Dr. Boyer, a medical toxicologist, has also been named a Fulbright Scholar for 2018-2019. This prestigious award will support Dr. Boyer’s research into biosensor signals of kratom use as a remedy for opioid dependence; the funding will promote dissemination of machine learning skills in health care. Dr. Boyer will conduct this work in Malaysia. Edward W. Boyer, MD, PhD, Peter Chai, MD, and Patricia Henwood, all of Brigham and Women’s Hospital, have received a $1.6 million DARPA award. They will use all lines of data collection available to smartphones—user activity, texting rates, GPS, motion, etc.—and then apply machine learning protocols to diagnose mild traumatic brain injury and malaria.

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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 June 1. For specs and pricing, visit the SAEM Pulse advertising webpage.

Featured Director and Faculty Opportunities Core Faculty

Clinical and Core Faculty

Toxicology Fellowship Trained EM Physician for Core Faculty

Clinical Faculty

Osceola Regional Medical Center. Kissimmee, FL. EM Residency Program affiliated with the University of Central Florida College of Medicine. Contact Ody Pierre-Louis at 727.507.3621

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 2018. Contact Ody Pierre-Louis at 727.507.3621

Clinical and Core Faculty

Brandon Regional Hospital. Tampa Bay, FL. New EM Residency Program affiliated with the University of South Florida Morsani College of Medicine. Estimated start date July 2018. Contact Ody Pierre-Louis at 727.507.3621

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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 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

Send CV to: MakeAChange@EmCare.com Call: 844.437.3233


CLINICAL & ACADEMIC EMERGENCY PHYSICIANS

Rapid expansion in Greenville, SC due to new EM Residency Program and community hospital growth

Greenville Health System (GHS) seeks BC/BE Emergency Physicians to become faculty in the newly established Department of Emergency Medicine. Successful candidates should be prepared to shape the Emergency Medicine Residency Program and contribute to the academic output of the department. GHS is the largest healthcare provider in South Carolina and serves as a tertiary referral center for the entire Upstate region. The flagship Greenville Academic Department of Emergency Medicine is integral to the patient care services for the: • Level 1 Trauma Center • Dedicated Pediatric Emergency Department within the Children’s Hospital • Five Community Hospital Emergency Departments • Accredited Chest Pain Center • STEMI and Comprehensive Stroke Center • Emergency Department Observation Center • Regional Ground and Air Emergency Medical Systems • Accredited 3 year Emergency Medicine Residency Program The campus hosts 15 other residency and fellowship programs and one of the nation’s newest allopathic medical schools – University of South Carolina School of Medicine Greenville. Emergency Department Faculty enjoy a flexible work schedule, highly competitive salary, generous benefits, and additional incentives based on clinical, operational and academic productivity. Greenville, South Carolina is a beautiful place to live and work. It is one of the fastest growing areas in the country, and is 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. Currently Seeking Physicians for the following roles: • Clinical Educator • Research • Director, Medical Toxicology • Division Chief, Peds EM • Director, Observation Medicine *Public Service Loan Forgiveness (PSLF) Program Qualified Employer* Qualified candidates should submit a letter of interest and CV to: Kendra Hall, Sr. Physician Recruiter, at: kbhall@ghs.org, or call: 800-772-6987. GHS does not offer sponsorship at this time. EOE

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Senior Faculty Emergency Physicians As an integral part of our application for full department status, the Section of Emergency Medicine at Dartmouth-Hitchcock Medical Center is seeking senior faculty to enhance its academic development. Successful applicants would likely be more than 6 years post-residency and have established themselves as successful academic physicians, demonstrated by program development and research success. Our targeted areas of expertise include wilderness medicine, process improvement, resuscitation research, telemedicine and toxicology. Physicians with exceptional academic success in other areas are also encouraged to apply. Dartmouth-Hitchcock is an academic health system serving patients across northern New England. Our academic medical center in Lebanon is home to New Hampshire’s only Level-I trauma center, the Norris Cotton Cancer Center and the Children’s Hospital at Dartmouth-Hitchcock (CHaD). Stretching over New Hampshire and Vermont, our health system also includes 4 affiliated community hospitals and 30 ambulatory clinics. This beautiful area combines history, industry and business and has been ranked consistently as one of the best places in the U.S. to live and work. Interested physicians are encouraged to apply online by addressing their cover letter to:

Norman Paradis, MD Section Chief of Emergency Medicine and submitting a CV on our Provider Career site at:

www.DHproviders.org Or Contact: Juliann Hamblin - Physician Recruiter Juliann.Hamblin@hitchcock.org Dartmouth-Hitchcock is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law.

BRIGHAM HEALTH - EMERGENCY MEDICINE FACULTY, DIVISION OF EMERGENCY ULTRASOUND The Department of Emergency Medicine at Brigham Health is seeking an emergency medicine physician to join the department’s Division of Emergency Ultrasound. The Division of Emergency Ultrasound at Brigham and Women’s Hospital oversees point-of-care ultrasound education, credentialing and daily administrative operations at Brigham and Women’s Hospital and Brigham and Women’s Faulkner Hospital. Division faculty co-direct (with faculty from MGH) the emergency ultrasound education program for the Harvard Affiliated Emergency Medicine Residency (HAEMR) and teach point-of-care ultrasound at Harvard Medical School. The Division consists of 5 faculty members, 3 fellows and a full-time sonographer-educator, and collectively publish peer-reviewed articles as well as chapters, iBooks and web content. The Division is proud to offer an ultrasound fellowship with a combined Master’s Degree program (MS, MPH or MEd), a comprehensive quality assurance program, an ultrasound documentation and archival workflow, and multiple opportunities for local, national and international ultrasound education. The appropriate candidate will be eligible for academic appointment at Harvard Medical School at the rank of Instructor or Assistant Professor or Associate Professor commensurate with experience, achievement, recognition, and planned participation in teaching and scholarly activities. The position offers unparalleled opportunities for professional development, a competitive salary, and an outstanding comprehensive benefit package. Brigham Health is intensely committed to the personal and professional development of our providers. Successful candidates must have successfully completed a residency training program in Emergency Medicine as well as an Emergency Ultrasound Fellowship, and must be board prepared or certified in Emergency Medicine. Interested candidates should send a letter and Curriculum Vitae to Michael VanRooyen, MD, MPH, Professor and Chair, Department of Emergency Medicine, Brigham and Women’s Hospital. Please apply by confidential email to mdeloge@bwh.harvard.edu. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Department of Emergency Medicine Yale University School of Medicine NOTE: Please review this ad

very carefully, as well as verify EMERGENCY DEPARTMENT MEDICAL DIRECTOR the publication, section and date this ad is to run. Once

you have approved this inforThe Department of Emergency Medicine at the Yale University School of Medicine is currently seeking a Medical Director mation, Harger Howe is not responsible for any to oversee the clinical operations of our ED at the St. Raphael’s Campus errors. of Yale-New Haven Hospital with approximately DART20-001693760,000 visits per year. Section: Careers & Specialty Guide Yale-New Haven Hospital is an urban level 1 trauma center with three emergency departments and annual census of greater than 180,000 visits. The Director will join a well-established, multidisciplinary team that enjoys an Run Date: Deadline - 4/1 excellent working relationship with our nursing and hospital administrative leadership who are jointly committed to providing Size:care 1/4 page Pulse excellence in clinical and ensuring a culture which prioritizes patient safety. As a faculty member in the Department of Emergency Medicine at Yale School of Medicie, the director will be an integral member of the administrative section, working er Howe Advertising gns, copywriting, production creative createdof by Operations, Harger Howe Advertising are thea property of Harger Howe directlyand with the materials Vice-Chair assuming leadership role in education and research activities as part of the premier nd are not to be used, displayed, reproduced, recreated or republished without our expressed written consent. We retain Emergency Medicine Residency and administrative fellowship. er applicable copyright laws to all materials.

Candidates must be Emergency Medicine trained and board-certified. The ideal candidate must demonstrate excellence in clinical, interpersonal and administrative skills, with previous experience in clinical operations and management. Yale University is a world-class institution providing a wide array of benefits and research opportunities. To apply, please visit: http://apply.interfolio.com/44993 to upload your CV and cover letter. Specific inquiries about the position may be sent to the Chair: Gail D’Onofrio, MD, MS, via email: jamie.petrone@yale.edu. Yale University is an Affirmative Action/Equal Opportunity employer. Yale values diversity among its students, staff, and faculty and strongly welcomes applications from women, persons with disabilities, protected veterans, and underrepresented minorities.

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EMERGENCY MEDICINE

Join new energetic employed hospital group Charleston Area Medical Center is seeking to employ full-time and per diem emergency medicine physicians (ABEM or AOBEM). Serving a multi-county area, the four emergency departments see more than 100,000 patients per year. This regional, tertiary medical center also sponsors an accredited emergency medicine residency program.

Facility opportunities: CAMC Memorial Hospital – 30 beds with 4 assessment beds CAMC General Hospital – Level 1 Trauma Center with 26 beds and additional fast flow areas CAMC Teays Valley Hospital – 10 beds with 2 assessment beds CAMC Women and Children’s Hospital – 20 beds • Mid-level coverage all shifts • 24/7 hospitalists coverage • Complete specialty and surgical support • Strong administrative support

Salary and benefits: Competitive compensation package based on national benchmarks Generous sign-on bonus Retention bonus Critical staffing bonus Night shift bonus Complete CAMC benefit package Occurrence based malpractice insurance CME stipend plus 5 CME paid days off Professional fees/dues and subscriptions allowance Charleston, WV is a vibrant diverse community and offers an excellent family environment, with unsurpassed recreational activities and outstanding school systems. If quality of life is important to you and your family, Charleston is the perfect balance of lifestyle and career. For consideration, please submit CV to carol.wamsley@camc.org or call (304) 388-3347 for additional information. 33446-A18

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BRIGHAM HEALTH DIRECTOR, EMERGENCY ULTRASOUND FELLOWSHIP

BRIGHAM HEALTH - EMERGENCY MEDICINE ATTENDING PHYSICIAN: NOCTURNIST

The Department of Emergency Medicine at Brigham Health is seeking an emergency medicine physician to join the department’s Division of Emergency Ultrasound as Emergency Ultrasound Fellowship Director. Successful candidates must have successfully completed a residency training program in Emergency Medicine as well as an Emergency Ultrasound Fellowship, and must be board prepared or certified in Emergency Medicine.

The Brigham Health Department of Emergency Medicine is currently seeking a nocturnist emergency medicine physician for our two emergency departments, Brigham and Women’s Hospital (BWH) and Brigham and Women’s Faulkner Hospital (BWFH). BWH is a 760-bed academic hospital and a pillar teaching affiliate of Harvard Medical School. It is a level 1 trauma and burn referral center and offers the full spectrum of medical and surgical specialties. BWFH is a 150-bed community teaching hospital in Jamaica Plain.

The appropriate candidate will be eligible for academic appointment at Harvard Medical School at the rank of Instructor or Assistant Professor or Associate Professor commensurate with experience, achievement, recognition, and planned participation in teaching and scholarly activities. The position offers unparalleled opportunities for professional development, a competitive salary, and an outstanding comprehensive benefit package. Brigham Health is intensely committed to the personal and professional development of our providers. More information may be found at https://fa.hms.harvard.edu/files/hmsofa/files/558jr_bwh_inst. asst_.assoc_.emergencymed.ultrasoundfellowshipdir_4-4-18.pdf

The successful candidate will have completed a 4-year residency in emergency medicine or a 3-year residency followed by at least one year in clinical practice, ability to work within an integrated health system and easily transition between academic teaching and community practices. This position is eligible for an academic appointment at Harvard Medical School. More information is posted https://fa.hms.harvard.edu/files/hmsofa/files/541jr_ bwh_inst.asst_.assoc_.emergencymed.attending.nocturnist_2-14-18.pdf

Interested candidates should send a letter and Curriculum Vitae to Michael VanRooyen, MD, MPH, Professor and Chair, Department of Emergency Medicine, Brigham and Women’s Hospital. Please apply by confidential email to mdeloge@bwh.harvard.edu. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, gender identity, sexual orientation, pregnancy and pregnancy-related conditions or any other characteristic protected by law.

The position will allow flexibility and/or predictability in scheduling and is based on differential compensation for nights. This position will require some daytime teaching of medical students and residents. Interested candidates should send a letter and Curriculum Vitae to Michael VanRooyen, MD, MPH, Professor and Chair, Department of Emergency Medicine, Brigham and Women’s Hospital. Please apply by confidential email to mdeloge@bwh.harvard.edu We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, gender identity, sexual orientation, pregnancy and pregnancy-related conditions or any other characteristic protected by law.

EMERGENCY MEDICINE PHYSICIANS OCHSNER HEALTH SYSTEM IN LOUISIANA IS SEEKING STAFF PHYSICIANS TO JOIN OUR MULTI-HOSPITAL, 75-PHYSICIAN EMERGENCY MEDICINE DEPARTMENT. Opportunities exist at our facilities in the GREATER NEW ORLEANS REGION and its SURRONDING COMMUNITIES including our main academic, tertiary care facility, where a new Emergency Medicine program will be launch in 2019. Additional locations include our West Bank, Kenner, Baptist, Slidell, and St. Charles Parish Hospital. Opportunity Details: • Ochsner Medical Center is a major transfer center with extreme case complexity seeing 65,000+ visits/year • All facilities utilize Epic electronic health records integrating care across the system and facilitating seamless multi-hospital practice • Operational excellence with 1.6% LWBS and 30 minutes D2D system average • Employed physician group that offers competitive fair market compensation plus benefits • All specialties available for consultation and easy one-call transfer from our community emergency departments to our main campus Ochsner Health System is Louisiana’s largest non-profit, academic, healthcare system. Driven by a mission to Serve, Heal, Lead, Educate and Innovate, coordinated clinical and hospital patient care is provided across the region by Ochsner's 30 owned, managed and affiliated hospitals and more than 80 health centers and urgent care centers. Ochsner is the only Louisiana hospital recognized by U.S. News & World Report as a “Best Hospital” across four specialty categories caring for patients from all 50 states and more than 60 countries worldwide each year. Ochsner employs more than 18,000 employees and over 1,200 physicians in over 90 medical specialties and subspecialties, and conducts more than 700 clinical research studies. Ochsner Health System is proud to be a tobacco-free environment. For more information, please visit ochsner.org and follow us on Twitter and Facebook. Interested physicians should apply to: https://ochsner.wd1.myworkdayjobs.com/en-US/OchsnerPhysician/job/New-Orleans--New-Orleans-Region---Louisiana/Physician--Emergency-Medicine--All-Regions_REQ_00022121/apply. Sorry, no J1 visa opportunities. Ochsner is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, disability status, protected veteran status, or any other characteristic protected by law.

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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: Angela M. Mills, MD, Professor & Chair amm2513@cumc.columbia.edu

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Guthrie has a dynamic opportunity for a

Residency Research Director to join our Emergency Medicine core faculty

We are an accredited, Level II Trauma Center with Guthrie Air medical helicopter, residency programs and a planned state-ofthe-art emergency department. The core group of emergency physicians has enjoyed longevity within an environment of mutual respect. Guthrie is a collegial, practicing physician-led, multi-specialty integrated delivery system that offers our more than 300 physicians opportunities for leadership, research, teaching, advancement and a work/life balance others only dream of. n Provide primary oversight of Emergency Medicine laboratory and clinical research projects in accordance to institutional policies n Demonstrate scholarly activity through grants, peer reviewed publication and societal leadership in accordance to ACGME requirements for scholarship n 3-5 years’ experience in an academic Emergency Medicine Department setting with training in research collaboration, grant submission, methodology, human subjects protection, statistical analysis, and manuscript writing is essential n Generous compensation with affordable living in the beautiful Finger Lakes Region

n Excellent benefits package includes full medical and dental, paid vacation, paid CME meeting time (with allowance), retirement savings plan match, disability and life insurance Brand new state of the art Emergency Department planned with construction to begin in Fall of 2017 n The RPH Emergency Department was one of 12 in the United States invited to participate in a National Institutes of Health study for most improved Emergency Department throughput If you subscribe to our values of Patient-centeredness, Teamwork and Excellence and would like to get the conversation started, please call Krisi Spagnoli at 570-887-5203, email krisi.spagnoli@guthrie.org or visit www.ichoseguthrie.org

ichoseguthrie.org

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DEPARTMENT OF EMERGENCY MEDICINE Currently seeking outstanding clinical educators and researchers for faculty positions at all of our academic health centers and community-based hospital sites.

Tipton

Clinton

ACADEMICS Largest medical school student body in the U.S. with required

Muncie Fishers

Carmel Avon

Indianapolis

Terre Haute

EM clerkship, ACGME accredited emergency medicine and emergency medicine/pediatrics residency programs, multiple ACGME accredited fellowships

BENEFITS Generous employer-sponsored retirement plans, access to employee contributed plans including 401k, 403b and 457b, medical (including HSA and FLEX saving options), dental, vision, life insurance, short and long-term disability insurance

COMPENSATION Competitive salary with annual academic and quality bonus opportunities. Generous CME allowance, licensure, DEA, CSR, ISMA, EM Board expenses, ACEP and SAEM memberships, public service loan forgiveness eligibility, IU tuition benefit

JOB BUILDS Dual Employment opportunities with both IUHP practice plan and IU School of Medicine, full-time academic, community, split

Find us at the SAEM Annual meeting at Booths 302, 305 & 404.

model job builds available

Looking forward

RESEARCH

to seeing you in

Robust departmental research focus. High institutional and departmental NIH ranking

Indianapolis!

SITES Currently staffing physicians and APPs at 10 sites including our academic medical center: U Health Methodist, IU Health Riley Hospital for Children and Eskenazi Health Hospital; and our community-based sites: IUH West, IUH Ball, Union Terre Haute,

Bring your CV for on-the-spot job interviews

IUH North, IUH Saxony, IUH Tipton, Union Clinton

Indiana University is an EEO/AA employer, M/F/D/V

emjobs@iu.edu

(317) 880-3881

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{ Job Opportunities }

Assistant Medical Director Pediatric Emergency Medicine Leadership Assistant Program Director Vice Chair, Research

What We’re Offering: • We’ll foster your passion for patient care and cultivate a collaborative environment rich with diversity • Salaries commensurate with qualifications • Sign-On Bonus • Relocation Assistance • Retirement options • Penn State University Tuition Discount • On-campus Fitness Center, day care, credit union and so much more! What We’re Seeking: • Experienced leaders with a passion to inspire a team • Ability to work collaboratively within diverse academic and clinical environments • Demonstrate a spark for innovation and research opportunities for Department • Completion of an accredited Emergency Medicine Residency Program • BE/BC by ABEM or ABOEM • Observation experience is a plus

What the Area Offers: We welcome you to a community that emulates the values Milton Hershey instilled in a town that holds his name. Located in a safe family-friendly setting, Hershey, PA, our local neighborhoods boast a reasonable cost of living whether you prefer a more suburban setting or thriving city rich in theater, arts, and culture. Known as the home of the Hershey chocolate bar, Hershey’s community is rich in history and offers an abundant range of outdoor activities, arts, and diverse experiences. We’re conveniently located within a short distance to major cities such as Philadelphia, Pittsburgh, NYC, Baltimore, and Washington DC.

FOR ADDITIONAL INFORMATION PLEASE CONTACT: Susan B. Promes, Professor and Chair, Department of Emergency Medicine c/o Heather Peffley, Physician Recruiter, Penn State Health Milton S. Hershey Medical Center 500 University Drive, MC A595, P O Box 855, Hershey PA 17033 Email: : hpeffley@pennstatehealth.psu.edu or apply online at: http://hmc.pennstatehealth.org/careers/physicians The Penn State Health Milton S. Hershey Medical Center is committed to affirmative action, equal opportunity and the diversity of its workforce. Equal Opportunity Employer – Minorities/Women/Protected Veterans/Disabled.

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The University of Florida Department of Emergency Medicine Advancing health care in Florida, our nation and the world through excellence in education, clinical care, discovery and service. Vice Chair of Research Academic Rank of Associate or Full Professor The University of Florida College of Medicine’s Department of Emergency Medicine is seeking a talented and highly motivated emergency medicine physician to join our faculty in the role of Vice Chair of research at the rank of Associate or Full Professor. The Department of emergency medicine is part of the UF Health Shands Hospital and Academic Health Center, which is north Central Florida’s largest teaching institution, a level 1 trauma center and burn center and a major referral center for the southeast region. The Department manages over 130,000 patient visits a year with a separate main campus Pediatric Emergency as well as hospital based remote emergency departments. The Department continues to grow with an expanding faculty, a core residency program of 14 residents per year and fellowship offerings including critical care, EMS, bedside ultrasound, Sports Medicine, and a Neuro sports Trauma research fellowship, with plans to develop fellowships in Global Health, Administration, Education and Research. The Departmental research mission is both federally and industry supported with a clinical trials unit serving as a clinical as well as a coordinating site for several sponsored clinical studies with past and future collaborations including PETAL and SIREN. The Department is home to a basic science laboratory of two PhD investigators and a staff that include graduate students and visiting scholars. The laboratory is focused on biomarker research development with multiple current national and international collaborations. Our research mission is also supported by an active Clinical Translational Science Institute that has provided both T32 and KL2 support to clinician investigators as well as facilities essential to conducting human research. The Department has core areas of focus and collaborations in health services research including addiction medicine, sepsis, out of hospital cardiac arrest, traumatic brain injury, acute coronary syndrome, palliative care and infectious diseases. Our Department of Emergency Medicine was the first unit at the University of Florida to be awarded PCORI funding. The University of Florida is one of a few major universities in the United States where six health related professional colleges, nine major research institutes and versatile research facilities are located on a single contiguous major university campus. The Department of Emergency Medicine maintains robust collaborations with multiple colleges and institutes across the University campus and has the ability to leverage the educational mission of the University to advance research education. The Vice Chair will have oversight of the entire research mission including the staff of the clinical trials unit including clinical coordinators, research nurses and an active research associate program that can facilitate 24/7 enrollment of subjects into clinical studies. Highly desired traits of a successful candidate are a track record of leadership in the research mission, a record of independent funding and a passion for collaboration. Gainesville is a beautiful, dynamic and vibrant college town, centrally located in north Florida. Residents are close to major airports, family entertainment and some of the best beaches in the world. Home of the Gator Nation, award-winning college sports and year-round outdoor activities. Join the UF College of Medicine faculty and earn an extremely competitive salary commensurate with experience and duties along with the full range of University of Florida state benefits. When applying, please address correspondence, including a CV and cover letter to Joseph A. Tyndall, MD, MPH, chair of the department of emergency medicine.

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SEE YOU IN

Indianapolis, Indiana – May15-18

SAEM PULSE May–June 2018  
SAEM PULSE May–June 2018