September-October 2009

SEPTEMBER/OCTOBER 2009

VOLUME XXIV

NUMBER 5

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

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

Help Desk Specialist Neal Hardin ext. 204, nhardin@saem.org

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

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

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

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

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

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

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

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

SAEM MEMBERSHIP

2009-10 SAEM DUES

Membership Count as of August 20, 2009 2503 Active 73 Associate 2379 Resident/Fellow 152 Medical Students

,QWHUQDWLRQDO $IÂżOLDWHV 31 Emeritus 9 Honorary

$510 Active

$145 Fellow

$475 Associate

$125 Resident Group

$445 Faculty Group

$125 Medical Student

$415 2nd yr. Graduate

$105 Emeritus

$300 1st yr. Graduate

$100 Academies

$145 Resident

$ 25 Interest Group

5149 Total

SAEM NEWSLETTER ADVERTISEMENT RATES The SAEM Newsletter is limited to postings for fellowship and academic positions available DQG RIIHUV FODVVL¿HG DGV TXDUWHU SDJH KDOI SDJH DQG IXOO SDJH RSWLRQV 7KH 6$(0 1HZVOHWWHU SXEOLVKHU UHTXLUHV WKDW DOO DGV EH VXEPLWWHG LQ FDPHUD UHDG\ IRUPDW PHHWLQJ WKH GLPHQVLRQV RI WKH UHTXHVWHG DG VL]H 6HH VSHFL¿F GLPHQVLRQV OLVWHG EHORZ ‡ $ IXOO SDJH $' FRVWV ´ ZLGH [ ´ KLJK

‡ $ KDOI SDJH $' FRVWV ´ ZLGH [ ´ KLJK

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‡ $ FODVVL¿HG $' ZRUGV RU OHVV LV ,I WKHUH DUH ORJRV LPDJHV DQG RU VSHFLDO IRQWV SOHDVH VHQG WKH ¿OHV IRU HDFK along with the completed advertisement.

We appreciate your proactive commitment to education, as well as personal and professional advancement, and strive to work with you in any way we can to enhance your goals.

Contact us today to reserve your Ad in an upcoming SAEM newsletter. The due dates for 2009 are: October 1, 2009 for the November/December 2009 issue December 1, 2009 for the January/February 2010 issue

ABEM President Announced Debra G. Perina, MD, of Charlottesville, 9LUJLQLD KDV DVVXPHG WKH RIÂżFH RI President of the American Board of (PHUJHQF\ 0HGLFLQH $%(0 6KH has served in many capacities with the RUJDQL]DWLRQ VLQFH DQG KDV DOVR EHHQ a member of SAEM since its beginnings VKH LV OLVWHG DV WKH WK PHPEHU $V DQ 55& (0 5HSUHVHQWDWLYH 0HPEHU VKH Debra G. Perina, MD has furthered the goals of the EM Core Content Revision Task Force I, which helps set training standards in emergency medicine, and has served on WKH &RXQFLO RI (PHUJHQF\ 0HGLFLQH 5HVLGHQF\ 'LUHFWRUV &25'

since 1991–including being its elected president from 2001 to 2003.

She is currently Director of Quality Improvement, Division Director, 3UH KRVSLWDO &DUH (06 )HOORZVKLS 'LUHFWRU DQG 7HQXUHG $VVRFLDWH Professor, Department of Emergency Medicine at the University of Virginia Science System, in Charlottesville, Virginia.

Highlights 5

Executive Director’s Message

6 Glenn Hamilton Steps Down as Chair

11 Ethics in Action

2009 CPC Competition Finals

12

Academic Announcements

-ONDAY /CTOBER s AM PM

During ACEP ScientiďŹ c Assembly Boston Convention & Exhibition Center 2OOM ! s "OSTON -!

2009 / 2010 SAEM Grant Information

16

Sheldon Jacobson MD

19 SAEM Advocacy Corner

SAEM is pleased to offer a variety of grants available for competitive application.

The grant below has an upcoming deadline: &ODVVLÂżHGV

SAEM Emergency Medical Services Research Fellowship ($60,000/yr for 1 year) Application deadline: November 1, 2009 For more details on this and other grants as well as detailed application instructions, please go to the SAEM ZHEVLWH www.saem.org DQG FOLFN RQ ³*UDQWV´ XQGHU WKH ³*UDQWV $ZDUGV´ WDE

23

20

Calls & Meeting Announcements

Presidentâ&#x20AC;&#x2122;s Message 62&,(7< )25 $&$'(0,& (0(5*(1&< 0(',&,1( Jill M. Baren, MD

My Generation If your workplace is anything like mine, your colleagues are a mix RI DJHV DQG JHQHUDWLRQV 2XU residents, fellows and faculty span 5 decades! This was formerly uncommon in emergency medicine, but as we have matured among medical specialties, our diversity in age has also increased. As with any other group of work colleagues, you likely experience frustration DQG FRQĂ&#x20AC;LFW DPRQJ HDFK RWKHU from time to time. In academic emergency medicine things like Jill M. Baren, MD night shift differentials, clinical time, learning styles, and familiarity with LQIRUPDWLRQ WHFKQRORJ\ DUH DW WKH IRUHIURQW RI WKHVH FRQĂ&#x20AC;LFWV Research has shown that many problems formerly ascribed to employee loyalty and work ethic are actually generational in nature.

3URGXFWLYLW\ DQG RUJDQL]DWLRQDO FXOWXUH FDQ EH QHJDWLYHO\ LPSDFWHG if those issues are poorly handled. Generations gaps can make it hard to get things done. Lack of communication and a tension EHWZHHQ ÂłWKDWÂśV WKH ZD\ ZHÂśYH DOZD\V GRQH LW´ YHUVXV ÂłOHWÂśV FKDQJH LW EHFDXVH ZH FDQ ´ DUH SHUYDVLYH %XW WDNLQJ DGYDQWDJH of generational strengths is a critical characteristic of a successful GHSDUWPHQW 7R VROYH RXU ZRUNSODFH FRQĂ&#x20AC;LFWV DQG SURPRWH UHWHQWLRQ and satisfaction among faculty and trainees of all ages, we must XQGHUVWDQG ZKDW FKDUDFWHUL]HV HDFK RI RXU JHQHUDWLRQV :KDW follows are brief descriptions of the generational characteristics of LQGLYLGXDOV LQ WRGD\ÂśV ZRUNSODFH 7KH 6LOHQW *HQHUDWLRQ RU 7UDGLWLRQDOLVWV SUH ,QĂ&#x20AC;XHQFHG

by The Great Depression, World War II and the GI Bill, these individuals are extremely loyal to their institutions. Familiar traits DUH SROLWHQHVV ÂżVFDO FRQVHUYDWLVP H[SHULHQFH DQG NHHSHUV RI LQVWLWXWLRQDO PHPRU\ 7KH\ KDYH EHHQ QHJDWLYHO\ FKDUDFWHUL]HG DV being unable to learn technology and refusing to give up the reins.

They value long term careers, reputation, and responsibility. %DE\ %RRPHUV ([SHULHQFLQJ HFRQRPLF SURVSHULW\ the Vietnam War, Watergate, suburbia, and dual incomes, these individuals are interested in making a difference and putting their stamp on an institution. They are idealistic, optimistic, highly competitive and have an overwhelming need to succeed. This is DOVR WKH ³VDQGZLFK´ JHQHUDWLRQ VDGGOHG ZLWK HOGHU FDUH FRQFHUQV GLYRUFH DQG NLGV LQ FROOHJH %DE\ ERRPHUV GRQœW RIWHQ OLNH WR DVN IRU KHOS DQG DUH DW ULVN IRU ³EXUQ RXW ´ 7UDLWV LQFOXGH WHDP ZRUN DQG PHQWRULQJ SRVLWLYH DQG PDWHULDOLVP DQG ³VHOOLQJ RXW´ QHJDWLYH

*HQHUDWLRQ ; HUV *HQ ;HUV JUHZ XS RQ 6HVDPH Street, MTV, and personal computers. They were the children of divorce, the AIDS epidemic, and the loss of world safety. As such, they are skeptical of institutions but are still interested in building a career. They are often described as eclectic, resourceful,

4

FRPIRUWDEOH ZLWK FKDQJH VHOI UHOLDQW DGDSWDEOH LQGHSHQGHQW IXOO RI HQHUJ\ DQG IXQ DW ZRUN 1HJDWLYH VWHUHRW\SHV LQFOXGH ´QRW SD\LQJ WKHLU GXHV ´ WRR \RXQJ IRU PDQDJHPHQW´ RXWVSRNHQ slackers, aggressive, and annoying. They value being their own boss and being in a learning environment.

0LOOHQQLDO *HQ < RU *H1H[W $OVR NQRZQ DV WKH 'LJLWDO Generation, these individuals are products of explosive technology expansion, the media, pervasive violence, and the widening of the FKDVP EHWZHHQ WKH ÂłKDYHV´ DQG ÂłKDYH QRWV ´ 7KH\ WHQG WR MXGJH LQVWLWXWLRQV RQ WKHLU RZQ PHULW DQG HQMR\ ZRUN WKDW KDV PHDQLQJ They are globally concerned and connected, cyber literate, and expect and acknowledge diversity. They are environmentally FRQVFLRXV DQG ZLOO WU\ DQ\WKLQJ SODFH D KLJK YDOXH RQ OLIH EDODQFH and do not see work as the most important stepping stone for future opportunities. Negative traits are unawareness of their lack RI VNLOOV DQG UHTXLUHPHQW IRU H[FHVVLYH DIÂżUPDWLRQ 7KHVH FKDUDFWHUL]DWLRQV DUH ZLOGO\ VWHUHRW\SLFDO EXW IXQ WR UHDG The real goal, however, is to create a successful workplace environment to address varied learning styles, career advancement, and lifestyle needs based on these differences. As such, SAEM LV ZRUNLQJ WR RYHUFRPH EDUULHUV WR LQWHUJHQHUDWLRQDO FR H[LVWHQFH in our residency programs, within our academic departments and ZLWKLQ RXU RUJDQL]DWLRQ LQ VHYHUDO ZD\V 2XU QHZO\ DSSRLQWHG WDVN force on Aging and Generational Issues in Academic Emergency Medicine, aptly lead by Michelle Biros, former editor of AEM, is reviewing the science behind the impact of shift work on aging and will develop a research agenda to address the knowledge JDSV RQ WKLV WRSLF DV LW VSHFLÂżFDOO\ UHODWHV WR HPHUJHQF\ PHGLFLQH Well represented by SAEM members from all generations, the WDVN IRUFH ZLOO FULWLFDOO\ HYDOXDWH KRZ DJLQJ LVVXHV LQĂ&#x20AC;XHQFH faculty recruitment, retention, and academic and professional satisfaction. They will be preparing a white paper on the impact of generational differences on the structure and function of academic emergency departments. This paper will explore concepts such DV Ă&#x20AC;H[LEOH RSSRUWXQLWLHV IRU VHQLRU IDFXOW\ XVH RI LQIRUPDWLRQ technology and information sources, differences in learning styles, WKH FODVK EHWZHHQ RUJDQL]DWLRQDO FXOWXUH DQG LQGLYLGXDO YDOXHV and possible solutions that can be applied to improve overall understanding of generational differences leading to an improved work environment.

I have also appointed an ad hoc task force of current Board members to work with the Program Committee to promote the integration of new social media and technology into the everyday workings of our Society. Their immediate goal is to use social networking opportunities and advancements in information technology to enhance the experience of our Annual Meeting including awareness and availability of meeting content before, during, and after the meeting. Stay tuned for more detailed information RQ 6$(0ÂśV SUHVHQFH RQ )DFHERRN DQG 7ZLWWHU &UHDWLQJ WKHVH networking and communication opportunities will surely enhance the experience of belonging to SAEM and should truly add value to your membership.

(Continued on Page 5)

Executive Directorâ&#x20AC;&#x2122;s Message The experience my wife and I had in rural Michigan on July 4, 2009 highlights the need to continue to improve emergency FDUH WKURXJK WUDLQLQJ DQG UHVHDUFK ,PDJLQH D VHWWLQJ TXLWH different from your day in an academic emergency center.

You have heard similar stories before. â&#x20AC;&#x201C; After a long day crossing Lake Michigan on a sailboat, my wife and I traveled to dinner by bicycle. At 10:00 pm returning from dinner she crashed to the pavement while coasting down a hill when engaging the front brake to reduce speed.

Reaching the boat within 10 minutes of the incident she complained of discomfort, turned on a light to discover her foot and ankle were very swollen. It was off to the local ED. The 52 bed hospital ED was staffed by an emergency SK\VLFLDQ ERDUG FHUWLÂżHG )3 3$ DQG QXUVLQJ VWDII After triage and cursory paperwork, the PA and SK\VLFLDQ H[DPLQHG WKH IRRW DQNOH SULRU WR [ UD\V 7KH 3$ DQQRXQFHG WKH [ UD\V ZRXOG EH VHQW WR $XVWUDOLD WR EH UHDG ; UD\V ZHUH UHSRUWHG WR EH VXVSLFLRXV EXW LQFRQFOXVLYH DQG D &7 ZDV UHTXHVWHG E\ WKH UDGLRORJLVW The results were a comminuted fracture of the lateral aspect of the distal right calcaneus, with multiple small fracture fragments. The one local orthopedic surgeon ZDV QRW RQ FDOO DQG KLV ÂżUVW DYDLODEOH DSSRLQWPHQW ZDV 7XHVGD\ PRUQLQJ 1RZ DP 6XQGD\ P\ ZLIHÂśV IRRW was placed in a splint and she returned to the marina on crutches. Nice way to start vacation. In early August, she returned to the orthopedist for follow up. )RUWXQDWHO\ P\ ZLIHÂśV LQMXU\ ZDV QRW D OLIH WKUHDWHQLQJ WUDXPDWLF LQMXU\ RU RWKHU FULWLFDO FRQGLWLRQ \RX ZLWQHVV HYHU\ GD\ EXW LW GRHV HPSKDVL]H WKH QHHGV DQG YXOQHUDELOLW\ RI D ODUJH VHJPHQW of the rural American population. This experience highlights EM physician workforce issues; appropriate use of telemedicine/ outsourcing diagnostics and makes us think about how health care reform will impact patients in all settings across America.

emergency physicians to provide management of emergency care provided in community settings now staffed by non EM trained physicians, PAs and NPs. SAEM representatives attended the Future of Emergency Medicine Summit, hosted in July by ACEP, which discussed work force LVVXHV 7KLV LVVXH ZLOO EH GLIÂżFXOW to remedy in the short run due WR WLPH UHTXLUHG WR LQFUHDVH training positions and available funding. The current efforts to *AMES 4ARRANT #!% increase the number of medical SAEM Executive Director school graduates will result in the future need for more residency positions, including emergency medicine.

6HQLRU 6$(0 PHPEHUVÂś WDON RI D WLPH WKH\ HQYLVLRQHG DQ DGHTXDWH QXPEHU RI UHVLGHQF\ WUDLQHG (0 SK\VLFLDQV SUDFWLFLQJ in EDs across America. We continue to lag in achieving this goal. What EM needs is: Â&#x2021; (GXFDWLRQ UHIRUP ZLWK LQFUHDVHG *0( IXQGLQJ WR LQFUHDVH WKH QXPEHU RI UHVLGHQW SRVLWLRQV WR DGHTXDWHO\ staff EDs; Â&#x2021; ([WHQG ORDQ IRUJLYHQHVV IRU WKRVH SUDFWLFLQJ LQ designated underserved areas; Â&#x2021; ,QFUHDVH UHVHDUFK WR REWDLQ GDWD RQ WKH PL[ RI physician specialties and routine patient diagnoses by community; Â&#x2021; 8VH WKH UHVHDUFK GDWD IRU DFDGHPLF PHGLFDO FHQWHUV WR tailor training of EM physicians to meet the needs and available resources in community settings.

The shortage of primary care physicians again takes center stage in health care reform. It continues the long standing debate on who should provide emergency medical care and ZKDW TXDOLÂżFDWLRQV DUH QHFHVVDU\ 7KHUH KDV DOZD\V EHHQ D VKRUWDJH RI SK\VLFLDQV RU DW D PLQLPXP PDO GLVWULEXWLRQ RI physicians and specialists which exists in many areas of the country. As you monitor the health care reform debate, think DERXW WKH EDUULHUV SUHYHQWLQJ H[SDQVLRQ RI (0 TXDOLÂżHG physician access outside academic medical centers.

As the health care reform debate continues, it is imperative that SAEM members be familiar with the proposals and the impact on the funding for training programs, reimbursement for patient care and expectations for increased access to care. Sources for information and status of bills are on the websites of AAMC, ACEP and the AMA. Take time to review the proposal content, express your thoughts and concerns on proposed healthcare reform to your Senators and Representatives. Congress needs to hear from physicians; it is said politicians listen to two things PRQH\ DQG YRWHV 6SHDN XS DV D YRWHU

Physician workforce issues are rekindled with papers describing WKH WUDLQLQJ RI RWKHU VSHFLDOWLHV DV DSSURSULDWH WR EH FHUWLÂżHG LQ (0 (0 SURPRWHV PRUH UHVLGHQF\ WUDLQHG ERDUG FHUWLÂżHG

The next time a family needs care, a physician like you will be there.

(â&#x20AC;&#x153;My Generationâ&#x20AC;? Continued)

7KH FRQFHSW RI WKH JHQHUDWLRQ JDS ZDV LPPRUWDOL]HG LQ URFN PXVLF with these words: Âł3HRSOH WU\ WR SXW XV G GRZQ 7DONLQÂś ÂľERXW P\ JHQHUDWLRQ

-XVW EHFDXVH ZH J J JHW DURXQG 7DONLQÂś ÂľERXW P\ JHQHUDWLRQ

7KLQJV WKH\ GR ORRN DZIXO F F FROG 7DONLQÂś ÂľERXW P\ JHQHUDWLRQ

<HDK , KRSH , GLH EHIRUH , JHW ROG 7DONLQÂś ÂľERXW P\ JHQHUDWLRQ

This is my generation 7KLV LV P\ JHQHUDWLRQ EDE\´ ¹ 7KH :KR

CAN YOU GUESS MY GENERATION? 2UJDQL]DWLRQDOO\ 6$(0 LV PDNLQJ DQ HIIRUW WR XQGHUVWDQG DQG accommodate generational differences. The lessons learned and the work produced will hopefully be applied to our education, research, and professional activities leading to a more functional and satisfying academic emergency medicine work experience. I welcome your comments, ideas and insights on how we can better narrow the generation gap.

5

Glenn Hamilton Steps Down as Chair of Emergency Medicine %HQMDPLQ +RQLJPDQ 0' Âą 3URIHVVRU DQG +HDG 'LYLVLRQ RI (PHUJHQF\ 0HGLFLQH University of Colorado Denver School of Medicine Chair, Communications Committee, SAEM After 27 years as Chairman of Emergency Medicine at the Boonshoft School of Medicine at Wright State University, Glenn Hamilton is resigning from this position. , ÂżUVW PHW *OHQQ LQ ZKHQ ZH ERWK EHJDQ RXU emergency medicine residency at Denver General Hospital. Imagine my surprise when I walked into the ÂżUVW GD\ RI RULHQWDWLRQ WR GLVFRYHU WKDW *OHQQ KDG DOUHDG\ completed a residency in internal medicine and had been the Director of the Wayne County General emergency GHSDUWPHQW +LV IRUPDO WLWOH ZDV UHVLGHQW KLV XQRIÂżFLDO WLWOH ZDV IDFXOW\ (YHQ WKHQ *OHQQÂśV SDVVLRQ DQG dedication to education was evident. As a Chief Resident KH UHRUJDQL]HG WKH PRUELGLW\ DQG PRUWDOLW\ FRQIHUHQFHV which continue to this day functioning on the foundation that he set. Peter Rosen always used to say that it ZDV GLIÂżFXOW WR UHPRYH WKH LQWHUQDO PHGLFLQH PLQG VHW from a resident and change his thinking to that of an HPHUJHQF\ SK\VLFLDQ EXW *OHQQÂśV WUDQVLWLRQ FDPH HDVLO\ $V LV HYLGHQFHG E\ KLV DPD]LQJ DFKLHYHPHQWV RYHU WKH 30 years as an academic emergency physician, he has EHHQ D WUXH OHDGHU RI LPPHQVH SURSRUWLRQV LQ RXU ÂżHOG

6

cars, a passion which is only exceeded by his love of family and career. , KDYH PDUYHOHG DW *OHQQÂśV DFKLHYHPHQWV RYHU WKH years. He served as Chair of the Department Emergency Medicine within the Boonshoft School of Medicine at Wright State from 1982 to 2009. During that time the 6 hospitals in his department cared for over 300,000 patients annually. Glenn has also contributed to the training of more than 2000 medical students and 300 residents in the Dayton area. He was one of the founding fathers of the Association of Academic Chairs of Emergency 0HGLFLQH $$&(0 DQG FUHDWHG LWV FRQVXOWDWLRQ VHUYLFH which helped develop more than 60 emergency medicine training programs and 15 new academic departments in emergency medicine. He is an editor or contributing editor for 4 primary textbooks and has written numerous articles about the education of students and residents in emergency medicine. He is a founder and inaugural board member of the Society for Academic Emergency Medicine. He is also the recipient of numerous awards: Â&#x2021; ,Q KH UHFHLYHG WKH -R\ 0F&DQQ 6FKRODU $ZDUG ZKLFK KRQRUHG RI WKH QDWLRQÂśV OHDGLQJ GRFWRUV and scientists.

After residency, Glenn moved to Cincinnati and ultimately to Wright State in Dayton, and I remained in Denver, yet we have always found ways to stay in touch. The Â&#x2021; +H UHFHLYHG WKH 2XWVWDQGLQJ &RQWULEXWLRQ LQ most memorable moments of the early days of SAEM Education Award from the American College of conferences were setting aside afternoons for lunch and Emergency Physicians. shopping when Glenn and I would catch up on various Â&#x2021; +H UHFHLYHG WKH $FDGHPLF ([FHOOHQFH $ZDUG DQG activities in our careers, our families and our goals for the Leadership Award from SAEM. the future. We always reserved a few hours to purchase VRXYHQLUV IRU RXU FKLOGUHQ $OWKRXJK , OHDUQHG D VLJQLÂżFDQW Â&#x2021; $QG PRVW UHFHQWO\ KH ZDV KRQRUHG DW :ULJKW 6WDWH 8QLYHUVLW\ LQ ZKHQ KH UHFHLYHG WKH 7UXVWHHVÂś DPRXQW DW WKRVH DQQXDO FRQIHUHQFHV WKH KRXUV RI time spent with Glenn was (Continued on Page 7) more valuable to me as we progressed through our careers in academic emergency medicine.

Glenn was a graduate of the University of Michigan DQG , JUHZ XS LQ 2KLR VR the conversation inevitably turned to the successes and failures of the Buckeyes and the Wolverines. Some years were good for me and some years were good for Glenn. I would also learn about his newest DFTXLVLWLRQV LQ DQWLTXH The car is a 1935 Alvis Speed 20 VandenPlas Touring, one of only six remaining from 29 made.

(Hamilton Steps Down, Continued)

Award for Faculty Excellence, the highest award given by the university.

In the presentation of that award, the Dean of :ULJKW 6WDWH 8QLYHUVLW\¶V Boonshoft School of 0HGLFLQH VDLG ³'U +DPLOWRQ¶V GHGLFDWLRQ and service have had an extraordinary and PXOWL IDFHWHG LPSDFW RQ Wife Lynda, son James (who is a our university and on the resident in EM!), older daughter discipline of emergency Katherine, youngest Elizabeth, medicine.

His work and dog, Genevieve. here and nationally is representative of a consummate faculty member worthy of the Wright State 8QLYHUVLW\¶V 7UXVWHHV¶ $ZDUG IRU )DFXOW\ ([FHOOHQFH ´ 2Q D PRUH SHUVRQDO OHYHO *OHQQ KDV VKDUHG KLV VNLOO DQG H[SHULHQFH DQG FRXQVHOLQJ 2YHU WKH \HDUV ZKHQ , encountered thorny problems related to academic politics RU VWDI¿QJ LQ RXU 'LYLVLRQ RI (PHUJHQF\ 0HGLFLQH LQ Denver, I have often turned to Glenn. I have found him to EH DQ HQGOHVV VRXUFH RI FRQ¿GHQWLDO DQG VDJH DGYLFH After so many years of service at Wright State, Glenn has earned the right to all of the perks of retirement including WLQNHULQJ ZLWK KLV DQWLTXH FDUV DQG WDNLQJ LQ D IHZ 8QLYHUVLW\ RI 0LFKLJDQ IRRWEDOO JDPHV +H¶OO GR WKRVH WKLQJV EXW KH is also planning to devote time to the National Center for Medical Readiness and the tactical laboratory within that FHQWHU &DODPLW\YLOOH +LV WHDP KDV EHHQ DZDUGHG million over the last 5 years and $2.7million for the next 2 years to develop the themes of disaster preparedness and medical readiness. The purpose of this venture is WR GH¿QH DQG HVWDEOLVK GLVDVWHU PHGLFLQH LQ KHDOWKFDUH FRPPXQLWLHV LQ 2KLR DQG WKH QDWLRQ *OHQQ UHFHQWO\ WROG PH WKDW ³ORQJHYLW\ LV DOO DERXW reinventing yourself, but still exercising the core skills \RX HQMR\ ´ *OHQQ KDV RQFH DJDLQ GHPRQVWUDWHG D ZD\ to provide others with opportunities to learn from his ³UHLQYHQWLRQ´ 7KHUH DUH RQO\ D KDQGIXO RI LQGLYLGXDOV LQ our academic family that truly make a difference. Glenn Hamilton has had that sort of impact on me and many others. I wish him the best in this next exciting phase of his life.

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ACADEMIC RESIDENT SECTION 2Q EHKDOI RI WKH 6$(0 *0( &RPPLWWHH ZH DUH SOHDVHG WR UH LQWURGXFH WKH ³$FDGHPLF 5HVLGHQW´ VHFWLRQ RI WKH 6$(0 newsletter. Quarterly articles will focus on topics of interest and importance to emergency medicine residents, with topics UHFXUULQJ RQ D URXJKO\ \HDU F\FOH ,W LV RXU KRSH WKDW \RX ZLOO ¿QG WKHVH DUWLFOHV WR EH XVHIXO WRROV LQ \RXU DFDGHPLF SURIHVVLRQDO development. We encourage your feedback and suggestions regarding additional content areas that would be of value to residents and recent residency graduates. Feel free to email comments and suggestions to techsupport@saem.org Jonathan Davis, MD, Georgetown University | Douglas McGee '2 $OEHUW (LQVWHLQ _ Jacob Ufberg, MD, Temple University

Resident as Teacher Anne M. Messman, M.D. â&#x20AC;&#x201C; PGY-2 Resident, Emergency Medicine â&#x20AC;&#x201C; St. John Hospital and Medical Center, Detroit, Michigan Lou Binder, M.D., FACEP â&#x20AC;&#x201C; Vice Chair for Academic Affairs â&#x20AC;&#x201C; Department of Emergency Medicine University of Nevada School of Medicine %HLQJ D JRRG WHDFKHU LV D VNLOO WKDW DOO UHVLGHQWV QHHG WR DFTXLUH during their residency training. Even if the resident has no plans of entering academia to become a formal teacher after residency, we all need to be competent at teaching because there will not be a single shift during our careers where we will not be teaching someone something. During our careers as residents DQG DWWHQGLQJV ZH ZLOO WHDFK MXQLRU UHVLGHQWV PHGLFDO VWXGHQWV our patients, nurses, and of course our family members when they call for free advice. Teaching is a skill that we will cultivate and take with us after residency, as we will our skills intubating or putting in a central line. Residency is a great time to work on improving our teaching skills; in fact, it is a Liaison Committee on 0HGLFDO (GXFDWLRQ /&0( UHTXLUHPHQW RI UHVLGHQF\ SURJUDPV WKDW ÂłUHVLGHQWV ZKR VXSHUYLVH RU WHDFK PHGLFDO VWXGHQWVÂŤmust EH SUHSDUHG IRU WKHLU UROHV LQ WHDFKLQJ DQG HYDOXDWLRQ ´ 7KH emergency department is a wonderful place to hone our teaching skills as it has ample opportunities for teaching points whether it be discussing a case or teaching a procedure. Some residents are natural teachers and will intuitively know most or all of the information in this article; others are in the earlier stages of DFTXLULQJ WKH DWWULEXWHV RI D JRRG WHDFKHU 5HJDUGOHVV RI ZKHUH one falls on this spectrum, effective teaching is an art that can always be improved upon. This article contains some thoughts that will hopefully make you a better teacher.

1. Know your learner 2QH RI WKH PRVW LPSRUWDQW WKLQJV WKDW ZH DV UHVLGHQWV FDQ GR LV WR know our learner. Take a minute or two at the beginning of each shift to get to know the person with whom you will be working. Is it a fourth year medical student trying to get into your emergency medicine program? Is it a fourth year medical student in April who already matched into dermatology and has no interest in emergency medicine? Maybe it is a rotator from another residency SURJUDP LQ WKH KRVSLWDO ZLWK D QHHG IRU VSHFLÂżF OHDUQLQJ REMHFWLYHV RU FDVH H[SHULHQFH VSHFLÂżF WR WKHLU VSHFLDOW\ FKRLFH ,W LV RND\ LI the people you work with are not going into emergency medicine DQG PD\ QRW KDYH D VWURQJ LQWHUHVW LQ WKH VXEMHFW PDWWHU EXW WKH emergency department can teach everybody essential skills that WKH\ ZLOO QHHG QR PDWWHU ZKDW ÂżHOG RI PHGLFLQH WKH\ JR LQWR <RXU ÂżUVW MRE LQ RUGHU WR WHDFK HIIHFWLYHO\ LV WR ÂżJXUH RXW ZKDW \RX FDQ teach these learners that will help them in their future careers.

Take that short amount of time to get to know your learner; it is not a bad thing to tailor your teaching somewhat to their interests.

2QH PXVW DYRLG OHWWLQJ OHDUQHUV DYRLG FHUWDLQ WRSLFV RU SURFHGXUHV that they may be uncomfortable with, or only letting learners see certain patients because that is the only thing that interests them.

However it is fair that the learners have opportunity to tell you what they would like to gain from the shift; are there certain procedures they would like to take part in, or certain types of patients they would like to learn how to manage?

8

2. Teach effectively The emergency department is often a chaotic place and for many LW LV DOPRVW LPSRVVLEOH WR ÂżQG DQ\ VWUHWFK RI WLPH WR VLW GRZQ DQG go over a case or a topic thoroughly. However, effective teaching GRHV QRW DOZD\V PHDQ ORQJ WHDFKLQJ ,Q MXVW D FRXSOH PLQXWHV it is possible to teach a learner an isolated concept or two as ORQJ DV ZH UHFRJQL]H RXU RZQ OLPLWDWLRQV &KRRVH WKH WKLQJV you want the learner to remember from your teaching on a case, DQG IRFXV RQ WKHVH SRLQWV 5HFRJQL]H WKDW LQ D VKRUW DPRXQW RI time, you are probably not going to be able to go over all of the differential diagnoses for chest pain and the tests to order and the management of each, but you could focus on the immediately OLIH WKUHDWHQLQJ FDXVHV DQG KRZ WR GLIIHUHQWLDWH WKHP ,I \RX KDYH WKH WLPH DYDLODEOH WKHQ E\ DOO PHDQV KDYH D IXOO EORZQ GLVFXVVLRQ on the topic, but if you will not have the time, choose what you will WHDFK FDUHIXOO\ DQG IRFXV RQ MXVW D IHZ SRLQWV 3HRSOH WHQG WR OHDUQ better when they are not overwhelmed by too much information, so short teaching sessions have their advantages too. Another option is if the ER is extremely busy and you really will not have the time to teach is to print out an article for the learner to read, and you can discuss it together when the ER settles down a bit, RU WHDFK DIWHU WKH IDFW HQG RI VKLIW GLVFXVVLRQ IROORZ XS HPDLO RU UHIHUUDO WR D UHIHUHQFH VRXUFH

3DUW RI WHDFKLQJ HIIHFWLYHO\ LV DOVR ÂżJXULQJ RXW KRZ \RXU OHDUQHU LV going to learn best. For some, the best way to learn is to sit down DQG EH WDXJKW RQH RQ RQH LQ D TXLHW URRP LI SRVVLEOH LQ WKH (5

)RU RWKHUV KDQGV RQ DW WKH EHGVLGH LV WKH ZD\ WR JR 0RVW SHRSOH NQRZ KRZ WKH\ OHDUQ EHVW VR MXVW DVN WKHP DW WKH EHJLQQLQJ RI WKH shift what works best for them, and go from there.

3. Have a role model 2QH RI WKH EHVW ZD\V WR EHFRPH D EHWWHU WHDFKHU LV WR WKLQN DERXW WKH SHRSOH E\ ZKRP \RX OLNH WR EH WDXJKW :KDW TXDOLWLHV GR WKHVH people have that make them great teachers? Who gave you a lecture a year ago that you still remember today? What made that lecture so memorable? My guess is that for most people, the teachers who really made an impression were those who were SDVVLRQDWH DERXW WHDFKLQJ DQG WUXO\ HQMR\HG WHDFKLQJ 7KLV LV ZK\ it is so important for us to embrace our roles as teachers and to EHFRPH UHDOO\ JRRG DW LW WKRVH ZKR HQMR\ WHDFKLQJ XVXDOO\ WHDFK more effectively than those who do not. In addition to passion for WHDFKLQJ WKLQN DERXW WKH RWKHU TXDOLWLHV WKDW \RXU UROH PRGHO KDV that you could imitate. Do not be afraid to approach the attending that you think teaches well and ask them for some advice; I am sure they will appreciate the complement and be happy to help you.

(Continued on Page 9)

(â&#x20AC;&#x153;Resident as Teacherâ&#x20AC;?, Continued) 4. Giving feedback and evaluations

5. The role of the attending

2QH RI RXU PRVW LPSRUWDQW UROHV WR WKH PHGLFDO VWXGHQW LV WKDW RI evaluator. Most medical students are motivated by the desire to ³JHW D JRRG HYDOXDWLRQ´ DQG DUH ZLOOLQJ WR ZRUN KDUG WR GR VR 7KH VDPH LV JHQHUDOO\ WUXH RI MXQLRU UHVLGHQWV ZKR ORRN WR WKHLU VHQLRUV for feedback and evaluation. It is only fair that we give them our expectations up front and provide feedback at least once during the shift in order to give them the opportunity to change their behavior LI QHFHVVDU\ RU WR SURYLGH SUDLVH DQG WKHUHIRUH PRWLYDWLRQ LI WKH\ are doing well. An interesting thought that I heard recently during a lecture about residents as teachers is that it is never necessary WR EH QHJDWLYH RU WR FULWLFL]H HYHQ LI VRPHRQH LV GRLQJ D SRRU MRE 7KLV ZDV DQ LQWHUHVWLQJ SRLQW EHFDXVH LW VHHPV WKDW PXFK RI PHGLFDO HGXFDWLRQ LV GHYRWHG WR ³SLPSLQJ´ XQWLO WKH VWXGHQW JHWV an answer wrong, and some services that I have rotated on have been downright malignant. However, the idea that being negative RU FULWLFL]LQJ LV XQQHFHVVDU\ UHDOO\ JHWV WR WKH KHDUW RI WKH IDFW that people learn best when the feel intellectually stimulated by a topic and are encouraged by their teacher; not when they feel threatened or nervous. The chance of good teaching occurring with a teacher who seems at all negative or hostile is greatly decreased compared with a teacher who is nurturing and encouraging. So while correction of a learner may be necessary by the teacher, negativity is not. Remember this while giving a student or other UHVLGHQW IHHGEDFN RU ZKHQ ¿OOLQJ RXW DQ HYDOXDWLRQ 6XJJHVWLRQV IRU LPSURYHPHQW DQG SUDLVH RI D MRE ZHOO GRQH ZLOO KDYH PRUH RI DQ impact than negative criticism.

The onus of becoming a good teacher should not fall completely RQ WKH UHVLGHQWÂśV VKRXOGHUV DWWHQGLQJ VXSSRUW DQG JXLGDQFH should be provided. When possible, the resident should be observed while teaching and feedback should be provided to the resident regarding their teaching performance. Although it may be tempting, attendings should do their best not to interrupt the teaching resident unless absolutely necessary as this may FDXVH WKH OHDUQHUV WR KDYH OHVV FRQÂżGHQFH LQ WKHLU WHDFKHU DQG PD\ IUXVWUDWH WKH UHVLGHQW WHDFKHU 2I FRXUVH MRLQW WHDFKLQJ ZLWK D UHVLGHQW DQG DQ DWWHQGLQJ LV ÂżQH EXW DWWHQGLQJV VKRXOG WU\ WR DYRLG taking control of a teaching session led by a resident.

7KH PRUH GLIÂżFXOW WDVN IRU WKH DWWHQGLQJ LV WR PDNH D FRQVFLRXV effort to provide the resident with the time to teach during a shift.

The most common reason that residents say they do not teach is that they do not have time. Some programs have handled this by DVVLJQLQJ D UHVLGHQW DV WKH ³WHDFKLQJ UHVLGHQW´ IRU WKDW GD\ DQG their only responsibility is to teach, not to be directly involved in SDWLHQW FDUH 6WDI¿QJ LVVXHV PD\ PDNH WKLV LPSRVVLEOH IRU RWKHU programs, and for those programs it would be best if the attending made sure that the resident felt comfortable taking a couple minutes every few hours during the shift as protected time to teach. In order for residents to become good teachers, they need WR EH JLYHQ DGHTXDWH RSSRUWXQLW\ WR WHDFK DQG WKLV QHHGV WR EH D priority for attendings.

The role of the resident as teacher is an important one and should not be neglected or down played. Teaching is one of the most important things we will do as attendings, especially when it (Continued on Page 10)

9

(â&#x20AC;&#x153;Resident as Teacherâ&#x20AC;?, Continued) comes to educating our patients and residents/medical students if one practices in a teaching hospital. Furthermore, being a FRPSHWHQW WHDFKHU LV D UHTXLUHPHQW IRU JUDGXDWLRQ IURP UHVLGHQF\ +RSHIXOO\ VRPH RI WKHVH WKRXJKWV ZLOO KHOS \RX LQ \RXU MRXUQH\ towards becoming a great teacher. If your residency program does not already have a teaching curriculum in place, ask the attendings who you think are great teachers to give a lecture about teaching and share some of their pointers. You should also be aware of the fact that SAEM is currently working to develop a curriculum to train residents to be excellent teachers, so you can look for that to be available in the future. In the meantime, good luck in your pursuit of being a great teacher. Remember how important this role will be in your career and practice it often!

References: Binder LS. Basic Teaching Principles. EMRA/SAEM Resident Guide to $FDGHPLF &DUHHUV LQ (PHUJHQF\ 0HGLFLQH Farrell SE, Pacella C, Egan D, Hogan V, Wang E, Bhatia K, Hobgood CD, on behalf of the SAEM Undergraduate Education Committee.

5HVLGHQW DV WHDFKHU D VXJJHVWHG FXUULFXOXP IRU HPHUJHQF\ PHGLFLQH $FDGHPLF (PHUJHQF\ 0HGLFLQH Liason Committee on Medical Education, Accreditation Standards, updated June 2008. www.lcme.org Mann KV, et al. Twelve tips for preparing residents as teachers. Medical 7HDFKHU 5LWWHQEHUJHU - 3DFHOOD & 7KH 5HVLGHQW DV D ³%HGVLGH 7HDFKHU´ Newsletter of the Society for Academic Emergency Medicine 2005;

10

ETHICS IN ACTION Sangeeta Lamba, MD UMDNJ â&#x20AC;&#x201C; New Jersey Medical School, Newark, NJ $ \HDU ROG ZHHN SUHJQDQW IHPDOH LQYROYHG LQ a motor vehicle crash, presented to the Emergency Department with abdominal pain, altered mental status, and severe hypotension. The team wanted to transfuse WKH SDWLHQW DQG WDNH KHU WR WKH 25 IRU D VSOHQLF UXSWXUH but was alerted to the fact that she is a Jehovah witness GXH WR SUHVHQFH RI D ÂľEORRG UHIXVDO FDUGÂś VLJQHG E\ patient.

This situation raised many ethical/legal dilemmas. )LUVW WKH EORRG UHIXVDO FDUG DORQH PD\ QRW LPSO\ IXOO LQIRUPHG FRQVHQW UHOLJLRXV SUHVVXUH XQFOHDU LI ULVNV EHQHÂżWV ZHUH FODULÂżHG DQG RSLQLRQV PD\ FKDQJH RYHU WLPH $OWHUQDWLYHO\ WUDQVIXVLRQ PD\ YLRODWH WKH SDWLHQWÂśV fundamental rights to choice and religious freedom.

6HFRQG WKRXJK WUDXPD FDUH HPSKDVL]HV PDWHUQDO FDUH above fetal care, is there an ethical responsibility to the fetus as an innocent third party? These cases remain ambiguous and legal opinions differ. Some decisions hold

WKDW WKH PRWKHUÂśV ULJKWV DUH VXSUHPH 2WKHUV HPSKDVL]H WKDW VLQFH WUDQVIXVLRQ KDV PLQLPDO ULVN DQG KLJK HIÂżFDF\ SURWHFWLQJ IHWDO OLIH RYHUULGHV WKH ZRPDQÂśV FKRLFH ,Q IDFW second and third trimester fetuses have had guardians DSSRLQWHG WR DXWKRUL]H WUDQVIXVLRQV 7KH ODZ LV FOHDUHU in cases that do not involve fetuses. Parents may not UHIXVH EORRG RQ WKHLU FKLOGUHQÂśV EHKDOI LI UHIXVDO LV FOLQLFDOO\ unreasonable. Indeed, although competent adults can generally refuse any unwanted treatment, courts have RUGHUHG WUDQVIXVLRQ WR DGXOWV ZKR ZHUH VROH FDUH JLYHUV to a minor, based on the societal obligation to care for minors.

In this case, a court ordered emergent transfusions, citing an obligation to look after the interests of the fetus DQG WKH SDWLHQWÂśV XQNQRZQ VLWXDWLRQ VSHFLÂżF ZLVKHV 7KH IDPLO\ SHUFHLYHG WKLV SODQ DV ÂľIRUFHG E\ FRXUWÂś DQG therefore acceptable to their religious beliefs since they took no part in the decision to transfuse.

19th Annual Midwest Regional Meeting Keynote Speaker 0RQGD\ 6HSWHPEHU Â&#x2021; 8QLYHUVLW\ $YHQXH Â&#x2021; 0LFKLJDQ /HDJXH $QQ $UERU 0LFKLJDQ Jesse M. Pines, MD, MBA, of MSCE is an Assistant Professor of Emergency Medicine and Epidemiology at the University of Pennsylvania School of Medicine and a Senior Fellow in the Leonard Davis Institute for Health Economics.

His primary research interests are LQ WKURXJKSXW TXDOLW\ DQG EHVW practices for emergency care. His secondary research interests are diagnostic testing in the ED and how Jesse M. Pines, MD physicians perceive risk. In 2009, he was one of the recipients of the Society for Academic Emergency Medicine Young Investigator Award. He has been the recipient of several competitive foundation, federal, and industry grants from the Agency for Health Research and Quality, the Department of Homeland Security, the Emergency Medicine Foundation, the Institute

on Aging at Penn, the Thomas McCabe Fund, the University 5HVHDUFK )RXQGDWLRQ DQG $EERWW 3RLQW RI &DUH +H LV DXWKRU or more than 75 peer reviewed manuscripts and two books. He also contributes columns to Slate.com, the Wall Street Journal, and Emergency Physicians Monthly.

September 11th: Deadline for early registration.

September 20th: Travelersâ&#x20AC;&#x2122; reception at John Youngerâ&#x20AC;&#x2122;s home.

Come hungry!

September 21st: The Meeting!

See more on line at www.saem.org and click on Meetings / Regional Meetings.

ARE YOU A MEDICAL STUDENT IN NEED OF MENTORSHIP LEADING YOU INTO EMERGENCY MEDICINE? GET AN E-ADVISOR! Learn more about this free opportunity brought to you by members of the Clerkship Directors in Emergency Medicine &'(0 9LVLW ZZZ VDHP RUJ FGHP 11

Academic Announcements DAVID ADLER, MD KDV EHHQ DZDUGHG 850& &76$ ./ IRU

MICHAEL KAMALI, MD KDV EHHQ UHFRJQL]HG DV 0RQURH /LYLQJVWRQ (06

UHVHDUFK LQWR ³ 3RVW 9DFFLQDWLRQ +39 *HQRW\SH 'LVWULEXWLRQ $PRQJ +,9 LQIHFWHG DQG +,9 XQLQIHFWHG <RXQJ :RPHQ LQ 6RXWK $IULFD ´

2009 Physician of Excellence which is awarded for contributions to the EMS community as a physician for demonstrated dedication, responsibility, professional behavior, ingenuity, special skills, or insight in the prehospital environment.

GREGORY P. CONNERS, MD, MPH, MBA, FAAP, FACEP has been DSSRLQWHG &KLHI RI WKH 'LYLVLRQ RI (PHUJHQF\ 0HGLFLQH DW &KLOGUHQ¶V 0HUF\ +RVSLWDOV &OLQLFV .DQVDV &LW\ 02 +H KDV DOVR EHHQ DSSRLQWHG Vice Chair of Emergency Medicine and Urgent Care for the Department of Pediatrics, and Professor of Pediatrics and Emergency Medicine at University of Missouri â&#x20AC;&#x201C; Kansas City School of Medicine.

VIRGIL DAVIS, MD KDV EHHQ SURPRWHG WR WKH ³$VVRFLDWH 5HVLGHQF\ 3URJUDP 'LUHFWRU´ LQ WKH 'LYLVLRQ RI (PHUJHQF\ 0HGLFLQH DW WKH 8QLYHUVLW\ of Utah.

KATHRYN A. DONG MD, MSC, FRCP(C), Department of Emergency 0HGLFLQH 8QLYHUVLW\ RI $OEHUWD DQG 5\DQ &RRSHU 0' 03+ )5&3 &

Divisions of Infectious Diseases and General Internal Medicine, University RI $OEHUWD FR 3,V RYHU \HDUV ZDV DZDUGHG E\ WKH 5R\DO $OH[DQGUD +RVSLWDO )RXQGDWLRQ IRU D JUDQW HQWLWOHG ³,QQHU &LW\ +HDOWK &DUH $FKLHYLQJ 2SWLPDO +HDOWK 2XWFRPHV DQG 6HUYLFH 'HOLYHU\ IRU 9XOQHUDEOH DQG 0DUJLQDOL]HG 3RSXODWLRQV LQ (GPRQWRQ $% &DQDGD ´ GAIL Dâ&#x20AC;&#x2122;ONOFRIO MD, MS was named Chair of the newly developed Department of Emergency Medicine at Yale University School of Medicine on July 1, 2009. Emergency Medicine was a section of Surgery since its creation in 1991, has now become the 28th academic department at the school.

ROLLIN J. (TERRY) FAIRBANKS, MD, MS, Assistant Professor RI (PHUJHQF\ 0HGLFLQH DQG RI &RPPXQLW\ 3UHYHQWLYH 0HGLFLQH DW 8QLYHUVLW\ RI 5RFKHVWHU ZDV UHFHQWO\ DSSRLQWHG DV $GMXQFW $VVLVWDQW Professor of Industrial and Systems Engineering at the University of Buffalo.

He has also been awarded a K08 Research Career Development Award from the National Institute of Biomedical Imaging and BioEngineering. Dr. )DLUEDQNV ZDV D UHFLSLHQW RI WKH 6$(0 (036) (PHUJHQF\ Medicine Patient Safety Research Fellowship Award, which he credits as instrumental in the development of preliminary data and experience necessary for a successful NIH K08 proposal, along with his research mentors Robert L. Wears, MD, MS, Manish N. Shah MD, MPH, and Ann 0 %LVDQW] 3K'

J. CHRISTIAN FOX, MD, RDMS, was promoted to Associate Professor of &OLQLFDO (PHUJHQF\ 0HGLFLQH LQ WKH FOLQLFDO VFKRODUV¶ WUDFN DW WKH 8QLYHUVLW\ of California, Irvine. He will take a very active role in medical education for WKH GHSDUWPHQW DQG VFKRRO E\ YLUWXH RI KLV 'HDQ¶V RI¿FH DSSRLQWPHQW DV Director of Medical Student Career Counseling, as well as Director of the mandatory 4th year EM Clerkship.

JOSHUA N. GOLDSTEIN, MD, PHD, Assistant Professor at Harvard 0HGLFDO 6FKRRO ZDV DZDUGHG D \HDU . &DUHHU 'HYHORSPHQW Award from NINDS to investigate predictors of hematoma expansion in patients with acute intracerebral hemorrhage.

AZITA G. HAMEDANI, MD MPH, has been named Division Chief LQWHULP 'LUHFWRU RI 4XDOLW\ (PHUJHQF\ 0HGLFLQH DW WKH 8QLYHUVLW\ RI Wisconsin School of Medicine.

STEPHEN HARTSELL, MD KDV EHHQ SURPRWHG WR WKH ³'LUHFWRU RI (GXFDWLRQ DQG ,QWHUQDWLRQDO 3URJUDPV´ LQ WKH 'LYLVLRQ RI (PHUJHQF\ Medicine at the University of Utah.

CHRISTY HOPKINS, MD, MPH KDV EHHQ SURPRWHG WR ³(PHUJHQF\ 'HSDUWPHQW 0HGLFDO 'LUHFWRU´ LQ WKH 'LYLVLRQ RI (PHUJHQF\ 0HGLFLQH DW the University of Utah.

DEBRA HOURY, MD MPH, Associate Professor, Emory University 'HSDUWPHQW RI (PHUJHQF\ 0HGLFLQH LV WKH 3, IRU WKH QHZ &'& IXQGHG (PRU\ &HQWHU IRU ,QMXU\ &RQWURO 7KH \HDU PLOOLRQ DZDUG ZLOO XQLI\ a number of Atlanta universities and colleges to advance the study of LQWHUSHUVRQDO YLROHQFH 376' EUDLQ LQMXU\ DQG SRLVRQLQJV 7KH (PRU\ ,&5& LV D PXOWL LQVWLWXWLRQDO FROODERUDWLRQ WKDW ZLOO IRFXV RQ WUDQVODWLRQ RI LQMXU\ UHVHDUFK LQWR SUDFWLFH

12

TROY MADSEN, MD, VIRGIL DAVIS, MD, PHILIP BOSSART, MD, AND KURT BERHISEL, MD, were awarded a University of Utah 0HGLFDO *URXS 4XDOLW\ ,PSURYHPHQW 3URMHFW *UDQW RI WR VWXG\ WKH ³(YDOXDWLRQ RI 5HYLVHG &KHVW 3DLQ DQG 7UDXPD 3URWRFROV IRU 6DIHW\ (I¿FDF\ DQG &RPSOLDQFH LQ DQ 2EVHUYDWLRQ 8QLW´ DW WKH 8QLYHUVLW\ RI 8WDK ´

JASON T. NOMURA MD, RDMS was appointed Associate Director of Emergency Ultrasound and Associate Program Director Emergency Ultrasound Fellowship at Christiana Care Health System in Newark, Delaware.

SUSAN K. STROUD, MD KDV EHHQ SURPRWHG WR ³5HVLGHQF\ 3URJUDP 'LUHFWRU´ LQ WKH 'LYLVLRQ RI (PHUJHQF\ 0HGLFLQH DW WKH 8QLYHUVLW\ RI 8WDK SCOTT SYVERUD, MD, Professor of Emergency Medicine was selected by the medical students of the University of Virginia as the faculty recipient of the 2009 Leonard Tow Humanism in Medicine Award presented by the Arnold P. Gold Foundation. Dr. Syverud served as president of SAEM from 1999 to 2000.

DR. ALLISON TADROS has been promoted to the rank of Associate Professor of Emergency Medicine at West Virginia University School of Medicine.

7KH 'HSDUWPHQW RI (PHUJHQF\ 0HGLFLQH DW WKH 8QLYHUVLW\ RI 2NODKRPD 6FKRRO RI &RPPXQLW\ 0HGLFLQH LQ 7XOVD KDV EHHQ DZDUGHG D RQH \HDU JUDQW E\ WKH )RXQGDWLRQ RI $LU PHGLFDO 5HVHDUFK DQG (GXFDWLRQ )$5( WR VWXG\ WKH FOLQLFDO HIIHFWLYHQHVV DQG FRVW EHQH¿W RI HDUO\ SUHKRVSLWDO KHOLFRSWHU (06 DQWLELRWLFV DGPLQLVWUDWLRQ LQ SDWLHQWV ZLWK RSHQ IUDFWXUHV 7KH VWXG\¶V SULQFLSDO LQYHVWLJDWRU STEPHEN H. THOMAS MD MPH OHDGV D PXOWLFHQWHU +(06 UHVHDUFK JURXS &ULWLFDO &DUH 7UDQVSRUW &ROODERUDWLYH 2XWFRPHV 5HVHDUFK (IIRUW ZZZ FFWFRUH RUJ FRPSULVLQJ centers in the U.S. and Canada.

DAVID WRIGHT, MD, Associate Professor, Emory University Department of Emergency Medicine, is the PI for a $28 million 6 year NINDS award to study the use of parenteral progesterone in patients with traumatic brain LQMXU\ 7KLV VLWH VWXG\ ZLOO PDQDJHG WKURXJK WKH 1HXURORJLF (PHUJHQF\ 7UHDWPHQW 7ULDOV QHWZRUN 1(77

SCOTT YOUNGQUIST, MD, MS, was awarded a grant from the )RXQGDWLRQ IRU $LU 0HGLFDO 5HVHDUFK RI WR VWXG\ WKH ³'LVWULEXWLRQ RI 7UDQVSRUW 7LPHV IRU 7LPH 6HQVLWLYH $LU 0HG 7UDQVSRUWV´ DW WKH 8QLYHUVLW\ of Utah.

2Q -XO\ DONALD M. YEALY, MD DQG 3DVW 3UHVLGHQW RI SAEM, was named Chair of the Department of Emergency Medicine at the University of Pittsburgh School of Medicine and the University of Pittsburgh Physicians. Dr. Yealy is a tenured Professor of Emergency Medicine, and served as Vice Chair since the inception of the academic Department in 1996. He follows the founding Chair, Paul M. Paris, MD, who will remain as senior faculty within the Department and institution. Clifton W. Callaway, MD PhD will assume the position of Vice Chair.

The Department of Emergency Medicine at Wake Forest University is pleased to announce its separation from the Division of Surgical Sciences to become a freestanding Department within WFU Health Sciences as RI -XO\ 7KH 'HSDUWPHQW KDV JURZQ VLJQL¿FDQWO\ LQ WKH SDVW ¿YH years with its expansion into 5 new clinical sites caring for 270,000 patients DQQXDOO\ LQ WKH :LQVWRQ 6DOHP DQG *UHHQVERUR DUHD 7KLV H[SDQVLRQ KDV allowed the faculty to grow to 72 members, and the EM residency to grow to 39 residents. Separation from the Division of Surgical Sciences will also DOORZ WKH 'HSDUWPHQW WR H[SDQG LWV RI¿FH DQG FRQIHUHQFH VSDFH DV ZHOO

Call for Papers

Academic Emergency Medicine Consensus Conference Follow-Up Research Special Issue Since 2000, Academic Emergency Medicine has hosted an annual consensus conference, designed to generate a research agenda for D QXPEHU RI VSHFL¿F WRSLFV 7KH FRQIHUHQFH WRSLFV ZHUH Â&#x2021; Â&#x2021; Â&#x2021; Â&#x2021; Â&#x2021; Â&#x2021; Â&#x2021;

(UURUV LQ (PHUJHQF\ 0HGLFLQH 7KH 8QUDYHOLQJ 6DIHW\ 1HW $VVXULQJ 4XDOLW\ 'LVSDULWLHV LQ (PHUJHQF\ +HDOWK &DUH (PHUJHQF\ 0HGLFLQH ,QIRUPDWLRQ 7HFKQRORJ\ (WKLFDO &RQGXFW RI 5HVXVFLWDWLRQ 5HVHDUFK 7KH 6FLHQFH RI 6XUJH

Â&#x2021; .QRZOHGJH 7UDQVODWLRQ LQ (PHUJHQF\ 0HGLFLQH Establishing a Research Agenda and Guide Map for Evidence Uptake Â&#x2021; 7KH 6FLHQFH RI 6LPXODWLRQ LQ +HDOWKFDUH 'H¿QLQJ DQG 'HYHORSLQJ &OLQLFDO ([SHUWLVH Â&#x2021; 3XEOLF +HDOWK LQ WKH (' 6XUYHLOODQFH 6FUHHQLQJ and Intervention

2Q WKH WHQWK DQQLYHUVDU\ RI WKLV VHULHV WKH MRXUQDO ODXQFKHV DQ DQQXDO VSHFLDO LVVXH WR EH SXEOLVKHG LQ $XJXVW GHGLFDWHG WR UHVHDUFK papers that address the consensus conference topics.

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Special Instructions: $OO SDSHUV VKRXOG EH VXEPLWWHG RQ WKH MRXUQDO¶V VWDQGDUG HOHFWURQLF SODWIRUP DW mc.manuscriptcentral.com/aemj.

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7KH VXEPLVVLRQ GHDGOLQH LV 30 (DVWHUQ 7LPH RQ )ULGD\ 0DUFK /DWH VXEPLVVLRQV ZLOO EH FRQVLGHUHG RQO\ RQ D VSDFH DYDLODEOH EDVLV DQG PD\ QHHG WR EH KHOG IRU D VXEVHTXHQW LVVXH $Q\ TXHVWLRQV VKRXOG EH GLUHFWHG WR *DU\ *DGGLV 0' 3K' *XHVW (GLWRU DW ggaddis@saint-lukes.org RU 'DYLG &RQH 0' (GLWRU LQ Chief, at editor@saem.org.

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Come together as an institution to raise awareness on the importance of research and education within emergency medicine. You will be able to engage in a friendly competition amongst your peers and rivals while making the difference in the lives of many!

During the Chairâ&#x20AC;&#x2122;s Challenge we are asking that each chair contribute $1000 to the Foundation, and to encourage their faculty/residents to contribute at any level. The top three contributing departments will receive special awards and public recognition at the 2010 Annual Meeting in Phoenix.

Donations can be sent to: SAEM, 901 N. Washington Ave., Lansing, MI 48906 or on our website at www.saem.org.

Please make sure to reference your institution to ensure proper credit is given.

14

John McCabe MD Named Senior Vice President for Clinical Affairs and CEO of University Hospital 'DUU\O *HGGHV 8SVWDWH 0HGLFDO 8QLYHUVLW\ 2IÂżFH RI 3XEOLF $IIDLUV DQG &RPPXQLFDWLRQV 6<5$&86( 1< -RKQ 0F&DEH MD, who has served in various key leadership positions at Upstate 0HGLFDO 8QLYHUVLW\ GXULQJ KLV \HDU association with the university, has EHHQ QDPHG &KLHI ([HFXWLYH 2IÂżFHU of University Hospital and Senior Vice President for Clinical Affairs, the university announced today. McCabe has served as Interim Chief Executive 2IÂżFHU VLQFH -XQH

John McCabe, MD

The appointment, effective immediately, was announced by Upstate President David R. Smith, MD.

³-RKQ KDV EHHQ DQ RXWVWDQGLQJ OHDGHU DW 8SVWDWH 0HGLFDO University and has brought distinction to all the areas he KDV JXLGHG DW WKH XQLYHUVLW\ ´ VDLG 6PLWK ³7KH PXOWLIDFHWHG leadership he brings to this position with his outstanding knowledge of clinical issues, academic medicine, hospital ¿QDQFHV RXU UROH LQ WKH 681< V\VWHP DQG WKURXJKRXW WKH region, will serve University Hospital and the public well as we move forward on many issues.

Internationally, McCabe has developed medical conferences at universities in China and India, and has hosted delegations of international physicians to Upstate.

0F&DEHÂśV DSSRLQWPHQWV DW 8SVWDWH LQFOXGH WKH SRVLWLRQV of Medical Staff President, Medical Director of University Hospital, Vice President and Vice Dean for Clinical Affairs, Senior Associate Dean for Planning/Resource Management, and Chair of the Department of Emergency Medicine.

0F&DEHÂśV UHVHDUFK LQWHUHVWV KDYH FRYHUHG QXPHURXV aspects of emergency medical care, including the treatment of hemorrhagic shock, cardiac resuscitation, and the care of SDWLHQWV LQ WKH SUHKRVSLWDO (06 HQYLURQPHQW %RDUG FHUWLÂżHG LQ HPHUJHQF\ PHGLFLQH DQG XQGHUVHD DQG hyperbaric medicine, McCabe received his medical degree from Upstate in 1979 and completed his residency at Wright State University School of Medicine. +H LV DFWLYH RQ QXPHURXV FRPPXQLW\ RUJDQL]DWLRQV LQFOXGLQJ the Central New York Community Foundation, where he has served as a member of the Board of Directors.

(Editorâ&#x20AC;&#x2122;s note: John McCabe has been a member of SAEM since 1979.)

³-RKQœV VXFFHVV DV D OHDGHU DQG KLV DELOLW\ WR DUWLFXODWH D vision and build successful teams to implement that vision is D FKLHI VNLOO RI KLV WKDW ZLOO EHQH¿W WKLV LQVWLWXWLRQ JUHDWO\ ´ 6PLWK added.

McCabe takes leadership of the hospital at a time of great progress, with the recently opened East Tower with 108 private DGXOW SDWLHQW URRPV DQG QH[W PRQWKÂśV RSHQLQJ RI WKH 8SVWDWH *ROLVDQR &KLOGUHQÂśV +RVSLWDO DQG DQ XSFRPLQJ JURXQGEUHDNLQJ for a cardiac care center.

In his more than two decades of service to Upstate, McCabe has been instrumental in developing key relationships here, at home, throughout the country and internationally.

McCabe assisted in the creation of a mass casualty unit DQG XSJUDGHG LQÂżUPDU\ DW WKH 1HZ <RUN 6WDWH )DLUJURXQGV developed an emergency medicine simulation center for the training of medical residents, and area EMS professionals; and VSHDUKHDGHG WKH XQLYHUVLW\ÂśV FUHDWLRQ RI .DWULQD 5HVSRQVH 8QLW to answer calls for medical assistance during the Hurricane Katrina disaster in 2005. He oversaw the recent expansion of 8QLYHUVLW\ +RVSLWDOÂśV (PHUJHQF\ 5RRP DQG LWV RSHQLQJ LQ DQG H[SDQGHG WKH XQLYHUVLW\ÂśV K\SHUEDULF PHGLFLQH SURJUDP RQH RI WKH RQO\ KRXU K\SHUEDULF SURJUDPV LQ WKH VWDWH Nationally, McCabe has helped lead discussion on national health issues as President of the American College of Emergency Physicians and the American Board of Emergency Medicine. He also has served as a member of the Executive Committee of the American Board of Medical Specialties $%06

15

Sheldon Jacobson MD September 3, 1938 â&#x20AC;&#x201C; June 30, 2009 2Q -XQH 0th, Emergency Medicine lost one of its own, Dr. Sheldon Jacobson, Professor and Chair of Emergency Medicine, Mount Sinai School of Medicine, from complications of cancer.

2YHU WKH FRXUVH RI KLV QHDUO\ 40 years of practice Dr. Jacobson devoted himself to the advancement of emergency PHGLFLQH 6KRUWO\ DIWHU ÂżQLVKLQJ training in internal medicine and gastroenterology, he not only became involved in the advancement of emergency medicine as a specialty, he also gave his heart and soul to our specialty. In 1974 he created the Institute of Emergency Medicine at the Albert Einstein College of 0HGLFLQH DQG HVWDEOLVKHG WKH ÂżUVW SDUDPHGLF WUDLQLQJ program in New York City and then became the founding director of the New York City EMS advisory board. He was one of the early diplomats of the newly established American Board of Emergency Medicine in 1982 and was one of the founders of the Philadelphia Emergency Physicians Society in 1983. In 1986 he became one of the ÂżUVW HPHUJHQF\ SK\VLFLDQV WR MRLQ WKH 1DWLRQDO %RDUG RI Medical Examiners where he continued to provide service throughout his career.

Dr. Jacobson was instrumental in the development of three departments of emergency medicine: at Albert Einstein/ Jacobi Hospital in the Bronx, Hospital of the University of Pennsylvania, and Mount Sinai. In 1994 Dr. Jacobson FDPH WR 0W 6LQDL WR HVWDEOLVK WKH LQVWLWXWLRQÂśV ÂżUVW academic department of emergency medicine. At that time Mount Sinai School of Medicine had no formal training program, curriculum or research agenda in emergency medicine. Dr. Jacobson left a department that has 32 emergency medicine trained faculty, a department that is ranked number 10 in the country by the NIH in emergency PHGLFLQH IXQGLQJ ZLWK UHVLGHQWV IHOORZV D ÂżUVW \HDU medical student course and a fourth year clerkship. Dr. Jacobson had a vision that he brought to a reality . . . a wonderful, legacy for the future generations to come.

Dr. Jacobson was so many things to so many people; an educator, a mentor, an advisor, and a role model. Upon QHZV RI KLV GHDWK PHPRULHV DQG Âł6KHOO\´ VWRULHV ZHUH exchanged among those who knew him, and it was clear WKDW KLV &9 UHĂ&#x20AC;HFWV OLWWOH RI WKH WUXH VXP WRWDO RI WKLV JUHDW man.

Excerpts from a eulogy at his funeral made by Jill Zaheer, administrative director and vice chair for administrative affairs under Dr. Jacobson.

16

Âł6RPH SHRSOH PD\ NQRZ WKDW 6KHOO\ ZDV D FRQVXPPDWH story teller and had a great sense of humor. He could tell D MRNH OLNH QR RWKHU :KHQ P\ NLGV ZRXOG FRPH LQ DQG YLVLW WR VHH KLP WKH\ ZRXOG DVN KLP WR WHOO WKHP MRNHV $QG then they would ask for more. So much so that we started WR JLYH HDFK RQH D QXPEHU 6R WKDW ZKHQ WKH\ÂśG FRPH LQ KHÂśG VD\ RU DQG LW KDG WKH VDPH HIIHFW RQ WKHP DV WKH MRNH DQG WKHUH ZRXOG EH D PRPHQW RI VLOHQFH DQG then Shelly would break out in a roaring laughter followed by me and my kids.

And now, as we celebrate Shelly, more hearts can be HQODUJHG )RU 6KHOO\œV JUHDW OHJDFLHV DPRQJ DOO WKH RWKHUV is this. Any one that steps into our Emergency Department ZLOO JHW D OLWWOH ELW RI 6KHOO\ KLV YLVLRQ KLV RSWLPLVP KLV hope for them. For he truly saw every patient as an individual, within a cultural setting that would understand WR WUHDW WKHP DQG WKH SDWLHQW WKRXJKW WKDW 6KHOO\ ZDV ³WKHLU´ GRFWRU 6R PXFK VR WKDW WKH\ ZRXOG RIWHQ FDOO WKH RI¿FH DQG DVN WR VHH VSHFL¿FDOO\ VHH 6KHOO\ HYHQ ZKHQ KH ZDVQœW working a clinical shift. Shelly would don his white coat and stethoscope and go down to see them.

2XU (PHUJHQF\ 'HSDUWPHQW LV D OLYLQJ DQG EUHDWKLQJ WHVWLPRQLDO WR WKH ORYH 6KHOO\ KDG IRU RXU SDWLHQWV KH ZDV the consummate clinician, and trusted friend. Shelly would try anything and everything to continue to improve the TXDOLW\ VHUYLFH ZH SURYLGH IRU RXU SDWLHQWV $QG IRU DOO WKH URDG EORFNV WKDW ZHUH RIWHQ SXW LQ IURQW RI XV ³ZLWK DOO GXH UHVSHFW WR 3UHVLGHQW 2EDPD´ 6KHOO\ ZDV WKH RULJLQDWRU RI ³<HV ZH FDQ´ :H ORYH \RX 6KHOO\ ´

Kevin Michael Baumlin, MD, FACEP Associate Professor and Vice Chair Mount Sinai School of Medicine, NY Shelly was to me a guide, a leader who led me to be a better me. Bert his dear friend would say that he was a mensch, but to me KH ZDV VLPSO\ ³ERVV´ WKDW LV KRZ , JUHHWHG him every morning and evening for the SDVW \HDUV ³KH\ ERVV´ At least once a week, he would ask that I sit with him and review some silly task in our computer system...

PH ÂłWKH WRS WHFKLH (Continued on Page 17)

(â&#x20AC;&#x153;Sheldon Jacobson MDâ&#x20AC;?, Continued)

,7 F\EHUVSDFH LQWHUFRQQHFWLYLW\´ SHUVRQ LQ WKH GHSDUWPHQW WKDW LV WKH WLWOH RI P\ ³VKHOO\ DZDUG´ DW WKLV \HDUV DQQXDO KROLGD\ SDUW\

+H GLGQœW UHDOO\ QHHG WR NQRZ DQ\WKLQJ PRVW WLPHV KH MXVW ZDQWHG WR VSHQG WLPH WRJHWKHU like an awkward father with a feisty rebel son. :KHQ , ¿UVW VWDUWHG DW 6LQDL , ZHQW WR 6KHOO\ WR DVN IRU KLV VXSSRUW IRU D SURMHFW , ZDV ZRUNLQJ RQ WKH ³HPF\EHUVFKRRO´ D ZHE EDVHG HGXFDWLRQDO VLWH +H VDLG ´, DP QRW JLYLQJ \RX DQ\ SURWHFWHG WLPH WR ¾SOD\ ZLWK FRPSXWHUVœ SURYH VRPHWKLQJ´ 0\ DQJHU GLVVDSRLQWPHQW was replaced with a desire to please, and I did prove something... and published on the topic. I continue to write and explore how technology can improve the lives of patients and providers.

Clinically, he would lead by example: seeing patients with passion, typing up charts with KLV UDWKHU UDSLG WZR ¿QJHU KXQW DQG SHFN WHFKQLTXH JLYLQJ RXW KLV SKRQH QXPEHU DQG IROORZLQJ up with those who needed ongoing care. They ZRXOG FDOO VRPHWLPHV FRPH WR KLV RI¿FH WR VHH ³'U -DFREVRQ WKHLU GRFWRU´ WKH\ 6KHOO\œV SDWLHQWV ZHUH FDUHG IRU , GRQœW NQRZ ZK\ HPHUJHQF\ SK\VLFLDQV GRQœW JLYH WKHLU RI¿FH QXPEHU RU HPDLO DGGUHVV WR SDWLHQWV WU\ LW LQ 6KHOO\œV PHPRU\ \RX ZLOO EH surprised by the appreciative and thankful responses you get.

5HFHQWO\ RXU KRVSLWDO DGPLQLVWUDWLRQ KDV UHTXHVWHG WKDW ZH EHJLQ DVNLQJ IRU SD\PHQW IURP ³VHOI SD\´ XQLQVXUHG SDWLHQWV SULRU WR VHHLQJ D SURYLGHU 7KLV KLW RXU FROOHFWLYH 6KHOO\ FRUG DV ZH ¿JKW IRU WKH ULJKWV RI WKRVH VHHNLQJ FDUH ZH WKLQN RI WKH ¿JKWV WKDW 6KHOO\ IRXJKW IRU XV DQG IRU DOO SDWLHQWV WKDW , WKLQN LV WKH biggest tribute to Shelly.

Sarah A. Stahmer, MD Duke University Hospital ³, FDPH WR LQWHUYLHZ LQ IRU D IDFXlty position with Shelly, and he took me to the local Chinese food cart and we ate outside on the grass. We talked about my husband, son, dog, taste in music and wine, how I liked the Singapore noodles and then he said, ³6HH \RX WRPRUURZ DW $0´ , ORRNHG DW KLP DQG KH QRGGHG ³<HV \RX KDYH D MRE FORVH \RXU PRXWK ´ $V a new faculty member, he introduced me to the senior QXUVHV ¿UVW DQG VDLG ³ 5LJKW QRZ WKH\ NQRZ ZKDWœV LPSRUWDQW \RX OLNHO\ GRQœW OLVWHQ WR WKHP DQG \RXœOO OHDUQ VRPHWKLQJ´ ¹ KRZ ULJKW KH ZDV 2YHU WKH QH[W years he encouraged me to laugh with my patients, slow down when supervising housestaff, listen rather WKDQ WDON DQG KXJ P\ NLGV ¹ D ORW 7KDQN \RX 6KHOO\ ´

Neal Flomenbaum, MD Professor of Clinical Medicine, Weill Medical College of Cornell University Physician-in-Chief, Emergency Medicine Excerpt from publication in July 2009 Emergency Medicine Âł(YHU\RQH VHHPV Wo have at least one favorite Shelly -DFREVRQ VWRU\ 2QH RI PLQH LQYROYHV P\ ÂżUVW HQFRXQWHU with heatstroke, during the summer of my internship at Jacobi Hospital in 1973, when New York City was H[SHULHQFLQJ D ODWH VXPPHU KHDW ZDYH 1RQH RI WKH PDQ\ QXUVLQJ KRPHV VXUURXQGLQJ -DFREL KDG DLU FRQGLWLRQLQJ and many of the elderly residents were on medications WKDW LQWHUIHUHG ZLWK WKHLU ERGLHVÂś WHQXRXV DELOLW\ WR GLVVLSDWH KHDW 2Q WKH WKLUG PRUQLQJ RI WKH KHDW ZDYH DQ HOGHUO\ UHVLGHQW ZKRVH WHPSHUDWXUH ZDV Ă&#x203A;) RU KLJKHU ZDV brought to the ED, followed by another and another, until there were 12. The ED had a tub room that could be used IRU SDWLHQWV ZLWK KHDWVWURNH ZKR UHTXLUHG UDSLG FRROLQJ LQ ice water. The only other enclosure available for heatstroke YLFWLPV ZDV RQH SODVWLF EDFN\DUG ÂłNLGGLH SRRO ´ 6R DIWHU the second heatstroke victim arrived, we had ice and an LQFUHDVLQJ QXPEHU RI FULWLFDOO\ LOO SDWLHQWV EXW ZH FRXOGQÂśW ÂżJXUH RXW KRZ WR SXW WKH WZR WRJHWKHU $ \RXQJ DQG YHU\ creative director, Sheldon Jacobson, MD, stood in the center of the ED and loudly instructed us to lift up the side rails of the stretchers, pull out the ends of the sheets, drape them over the side rails, and pack our heatstroke patients in ice. When one of us foolishly asked what to do DERXW WKH ZDWHU GULSSLQJ RQ WKH Ă&#x20AC;RRU 6KHOO\ FDOPO\ UHSOLHG Âł+DYH \RX HYHU KHDUG RI D PRS"´

Stephanie Abbuhl, MD Vice-Chair Emergency Medicine Hospital of the University Pennsylvania I can still picturH 6KHOO\ VLWWLQJ LQ KLV PHVV\ RIÂżFH (Continued on Page 18)

17

(â&#x20AC;&#x153;Sheldon Jacobson MDâ&#x20AC;?, Continued)

SRXQGLQJ KLV ÂżVWV DERXW DQ LQMXVWLFH DW RQH PRPHQW DQG then sitting back in his chair with a twinkle and a smile and asking affectionately about me, my family, my career plans. I was lucky enough to have Shelly Jacobson as P\ ÂżUVW FKLHI , KDG QR LGHD EDFN LQ DV D EUDQG QHZ attending, what an enormous impact he would have on me personally and on emergency medicine as a specialty.

Shelly was an extraordinary individual with a passion for ZKDW KH ORYHG DQG D IRUPLGDEOH LUH IRU ZKDW KH GLGQÂśW His intensity was endearing, engaging and invigorating.

With emotions often visible and palpable, he dared to care and to show it. It was this force that paved the way for emergency medicine to become a full academic department at Penn.

7KH PRVW LPSRUWDQW WKLQJV LQ 6KHOO\ÂśV OLIH ZHUH KLV IDPLO\ patient care and his faculty, residents and students. He had little tolerance for bureaucracy, disparities in health care, or any hint of dishonesty. As a man of incredible integrity, he never wavered on his commitment to providing the best emergency care for all who seek it. Emergency Medicine has lost a mentor, a friend, and a passionate leader.

Lynne D. Richardson, MD, FACEP Vice Chair for Academic, Research and Community Programs Mount Sinai School of Medicine , ÂżUVW PHW Âł'U 6KHOGRQ -DFREVRQ´ ZKHQ , ZDV D ÂżUVW \HDU medical student at Albert Einstein. He was teaching an elective course in CPR â&#x20AC;&#x201C; and espousing what at that time ODWH ÂśV ZDV WKH UDGLFDO QRWLRQ WKDW DOO SK\VLFLDQV should be able to save a life. I remember being very LPSUHVVHG WKDW D 'LUHFWRU RI 6HUYLFH ZDV WHDFKLQJ ÂżUVW year students. The CPR that I learned from Shelly proved WR EH WKH PRVW XVHIXO WKLQJ , OHDUQHG GXULQJ WKH ÂżUVW \HDU in medical school. A few months after I took his course, I performed bystander CPR on the street prior to the arrival of EMS â&#x20AC;&#x201C; I got a pulse back and I think that was the moment I decided to become an emergency physician. $OPRVW \HDUV ODWHU 6KHOO\ UHFUXLWHG PH WR MRLQ KLP DV he was embarking upon the creation of a new academic GHSDUWPHQW RI HPHUJHQF\ PHGLFLQH DW 0RXQW 6LQDL ,ÂśYH had the pleasure and privilege of working with him for WKH ODVW IRXUWHHQ \HDUV WR EXLOG D ZRUOG FODVV GHSDUWPHQW where excellence is expected, diversity is valued and everyone cares deeply about the welfare of our patients and the education of our trainees. Shelly was a consummate clinician, a passionately dedicated teacher and one of the most decent human beings I have ever known. I was working clinically when we received the news of his death. The outpouring of emotion from staff of all disciplines â&#x20AC;&#x201C; attendings, residents, nurses, techs, registrars, administrative assistants, even hospital security ZDV D WHVWDPHQW WR KRZ WKRVH KH ZRUNHG ZLWK IHOW DERXW KLP +H ZDV QRW MXVW UHVSHFWHG DQG DGPLUHG KH ZDV beloved. His loss leaves a hole in the lives of every one of 18

us but he also leaves us his legacy of service. As I said to WKH VWDII ZKR ZHUH RQ GXW\ WKDW GD\ DIWHU ZH KDG DOO KDG D FKDQFH WR WHOO HDFK RWKHU RXU ³6KHOO\ VWRULHV´ ³,I KH WDXJKW PH DQ\WKLQJ KH WDXJKW PH WR SXW SDWLHQWV ¿UVW /HWœV DOO JR EDFN WR ZRUN´ $QG ZH GLG 6KHOO\ ZRXOG KDYH H[SHFWHG nothing less.

Andy Jagoda, MD Chair of Emergency Medicine Mount Sinai School of Medicine Dr. JacREVRQœV FRPPLWPHQW WR TXDOLW\ SDWLHQW FDUH DQG to education created a standard in excellence. His last national presentation in December 2008 was titled ³/LJKWLQJ FDQGOHV LQ D WLPH RI GDUNQHVV´ WKH SUHVHQWDWLRQ explored the challenges facing American healthcare and the vital role played by emergency medicine in meeting the challenges posed by hospital overcrowding and caring IRU WKH XQLQVXUHG¹ LW ZDV D SUHVHQWDWLRQ ¿OOHG ZLWK WKH wisdom of experience and with the characteristic optimism 'U -DFREVRQ DOZD\V KDG LQ ¿QGLQJ LQQRYDWLYH VROXWLRQV WR GLI¿FXOW SUREOHPV 7KURXJKRXW KLV FDUHHU 'U -DFREVRQ OLW PDQ\ FDQGOHV QRZ ZH ZLOO OLJKW RQH IRU KLP ZH KDYH lost a friend and a colleague whose absence will leave an irreplaceable gap . . . but he will always live in our hearts.

The SHELDON JACOBSON EMERGENCY MEDICINE EDUCATION RESOURCE CENTER is being established LQ KLV PHPRU\ DQG KRQRU 7KH FHQWHUÂśV PLVVLRQ LV WR promote emergency medicine education to medical VWXGHQWV DQG KRXVHVWDII XVLQJ PXOWL PHGLD LQFOXGLQJ KLJK ÂżGHOLW\ VLPXODWLRQ 7KH FHQWHUÂśV JRDO LV WR SURPRWH EHGVLGH teaching and patient physician communication.

Donations can be sent to: The Mount Sinai Hospital Sheldon Jacobson, MD Fund Department of Development Box 1049 1 Gustave L. Levy Place New York, N.Y. 10029

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The Caribe Hotel & Conference Center Orlando, FL

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Online Discussion Forum: The Role of Pharmaceutical and other Commercial Advertisements in SAEMâ&#x20AC;&#x2122;s Journal, Academic Emergency Medicine James Miner, MD Department of Emergency Medicine â&#x20AC;&#x201C; Hennepin County Medical Center Senior Associate Editor for Electronic Publications, on behalf of Academic Emergency Medicine 7KH 6$(0 ZHEVLWH ZLOO KRVW DQ RQOLQH GLVFXVVLRQ IRUXP VWDUWLQJ LQ 2FWREHU 7KLV GLVFXVVLRQ ZLOO EH DERXW WKH role of pharmaceutical and other commercial advertisements in Academic Emergency Medicine, and will parallel HGLWRULDOV RQ WKH VXEMHFW WR EH SXEOLVKHG LQ $(0 LQ 2FWREHU :H KRSH WR KDYH IUHTXHQW RQOLQH GLVFXVVLRQ IRUXPV in the future and look forward to the possibilities of online debate. The forum is at http://www.saem.org/aemforum DQG GRHV QRW UHTXLUH VLJQ LQ 7KH IRUXP LV DYDLODEOH QRZ DQG WKH VHFWLRQ RQ SKDUPDFHXWLFDO DGV ZLOO UHPDLQ open as long as discussion continues.

CLASSIFIEDS University of Pittsburgh Department of Emergency Medicine offers fellowships in the following areas: Â&#x2021; 7R[LFRORJ\ Â&#x2021; (PHUJHQF\ 0HGLFDO 6HUYLFHV

Â&#x2021; 5HVHDUFK Â&#x2021; (GXFDWLRQ

)HOORZV HQUROO LQ D 0DVWHUÂśV OHYHO SURJUDP DV D SDUW RI DOO IHOORZVKLSV :H SURYLGH LQWHQVLYH WUDLQLQJ DQG LQWHUDFWLRQ ZLWK WKH QDWLRQDOO\ NQRZQ faculty from the Department of Emergency Medicine, with experts in each domain. Faculty appointments may be available and fellows assume limited clinical responsibilities in the Emergency Department DW WKH 8QLYHUVLW\ RI 3LWWVEXUJK 0HGLFDO &HQWHU DQG DIÂżOLDWHG LQVWLWXWLRQV We provide experience in basic or human research and teaching opportunities with medical students, residents and other health FDUH SURYLGHUV 7KH 8QLYHUVLW\ RI 3LWWVEXUJK LV DQ (TXDO 2SSRUWXQLW\ Employer, and we welcome candidates from diverse backgrounds.

(DFK DSSOLFDQW VKRXOG KDYH DQ 0' '2 EDFNJURXQG RU HTXLYDOHQW GHJUHH DQG EH ERDUG FHUWLÂżHG SUHSDUHG LQ HPHUJHQF\ PHGLFLQH RU KDYH VLPLODU H[SHULHQFH 3OHDVH FRQWDFW 'RQDOG 0 <HDO\ 0' 8QLYHUVLW\ RI Pittsburgh, Department of Emergency Medicine, 3600 Meyran Avenue, Suite 10028 Forbes Tower, Pittsburgh, PA 15260 to receive information.

OHIO, The Ohio State University: Assistant/Associate or Full Professor.

Established residency training program. Level 1 trauma center.

1DWLRQDOO\ UHFRJQL]HG UHVHDUFK SURJUDP &OLQLFDO RSSRUWXQLWLHV DW 268 0HGLFDO &HQWHU DQG DIÂżOLDWHG KRVSLWDOV 'XWLHV DQG SULPDU\ responsibilities include didactic and bedside teaching with medical students and residents; participation in other educational activities.

Conducts translational research in laboratory settings and/or clinical settings with medical students and/or residents.

Send curriculum vitae to: Douglas A. Rund, MD, Professor and &KDLUPDQ 'HSDUWPHQW RI (PHUJHQF\ 0HGLFLQH 7KH 2KLR 6WDWH University, 4510 Cramblett Hall, 456 West 10th Avenue, Columbus, 2+ RU ( PDLO 6KDURQ 3IHLO#RVXPF HGX RU FDOO $IÂżUPDWLYH $FWLRQ (TXDO 2SSRUWXQLW\ (PSOR\HU

UNIVERSITY OF MICHIGAN The Department of Emergency Medicine at the University of Michigan LV VHHNLQJ SK\VLFLDQV ZLWK FHUWLÂżFDWLRQ LQ (PHUJHQF\ 0HGLFLQH and Internal Medicine for the dual practice of Emergency Medicine DQG 0HGLFDO 2EVHUYDWLRQ 0HGLFLQH DW WKH 8QLYHUVLW\ RI 0LFKLJDQ LQ

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$QQ $UERU 2SSRUWXQLW\ WR ZRUN LQ LQSDWLHQW +RVSLWDOLVW VHUYLFHV LV available. Academic rank will be determined by credentials. Clinical responsibilities will include patient care activity in the Emergency 'HSDUWPHQW DQG 0HGLFDO 2EVHUYDWLRQ 8QLW 5HVSRQVLELOLWLHV LQFOXGH KRXVH RIÂżFHU DQG PHGLFDO VWXGHQW WUDLQLQJ DQG SURYLGLQJ GLUHFW SDWLHQW care in a setting providing both primary and tertiary care experience.

Those with leadership experience and/or research interests are encouraged to apply. Applicants should have residency training and/ RU ERDUG FHUWLÂżFDWLRQ LQ (PHUJHQF\ 0HGLFLQH DQG ,QWHUQDO 0HGLFLQH ([FHOOHQW IULQJH EHQHÂżW SDFNDJH ,I LQWHUHVWHG SOHDVH VHQG FXUULFXOXP YLWDH WR -DVRQ - +DP 0 ' 'LUHFWRU 0HGLFDO 2EVHUYDWLRQ 6HUYLFHV Department of Emergency Medicine, UMHS, 1500 East Medical Center 'ULYH $QQ $UERU 0, ,QWHUHVWHG FDQGLGDWHV FDQ DOVR FDOO 'U +DP DW RU YLD H PDLO DW MDVKDP#PHG XPLFK HGX 7KH 8QLYHUVLW\ RI 0LFKLJDQ LV DQ HTXDO RSSRUWXQLW\ DIÂżUPDWLYH DFWLRQ employer.

Texas Fort Worth John Peter Smith Hospital in Fort Worth is seeking an Emergency Medicine Residency Director in anticipation of its new residency SURJUDP RSHQLQJ LQ -36 +HDOWK 1HWZRUN LV WKH WD[ VXSSRUWHG health system of Tarrant County boasting over 30 locations â&#x20AC;&#x201C; including KRVSLWDOV FRPPXQLW\ KHDOWK FHQWHUV VSHFLDOW\ FOLQLFV DQG VFKRRO EDVHG programs. With an annual census of 90,000 patients, John Peter Smith +RVSLWDO RIIHUV D /HYHO ,, WUDXPD FHQWHU VWDWH RI WKH DUW 3DWLHQW &DUH 3DYLOLRQ DFWLYH UHVLGHQF\ SURJUDPV DQG PRUH &ULWHULD $%(0 FHUWLÂżHG fellowship trained, directorship experience and interest in academia.

3RVLWLRQ RIIHUV DWWUDFWLYH EHQHÂżWV DQG FRPSHQVDWLRQ ZKLOH )RUW :RUWK RIIHUV FKDUDFWHU DQG FKDUP WKDW ZRQÂśW GLVDSSRLQW &RQWDFW -HDQQLH McKinney, National Director of Physician Recruiting for EmCare at RU MHDQQLHBPFNLQQH\#HPFDUH FRP IRU PRUH LQIRUPDWLRQ

Alpha Physician Search 1HZ <RUN 2QH RI 1HZ <RUNÂśV ÂżUVW (PHUJHQF\ 0HGLFLQH 5HVLGHQF\ 3URJUDPV VHHNV D 3URJUDP 'LUHFWRU 7KLUW\ WKUHH 5HVLGHQWV SHU \HDU Resident representation and presentations at ACEP, SAEM and EMRA. Department has Director of Research, as well as, two dedicated SK\VLFLDQ UHVHDUFKHUV 'HSDUWPHQW RI (0 MXVW DZDUGHG LQVWLWXWLRQÂśV 5HVHDUFK $ZDUG +RVSLWDO UHFRJQL]HG DV OHDGLQJ SXEOLF KRVSLWDO E\ 1$3+ )XOO\ FRPSXWHUL]HG GHSDUWPHQW 3UHVWLJLRXV DFDGHPLF DIÂżOLDWLRQ EM Program has Associate Director and support staff. Twenty hours SHU ZHHN FOLQLFDO UHTXLUHPHQW &RQWDFW 0DWWKHZ )DEHU $OSKD 3K\VLFLDQ Search, 800.504.3411, Ext 212. mfaber@alphamg.org or visit www. alphaps.org

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CALLS AND MEETING ANNOUNCEMENTS We have reduced the number of pages in the newsletter devoted to calls, submissions, and meetings. Here we will provide basic information on these items including important dates. For details and submission information on the below, see www.saem.org and either look for the Newsletter links on the home page or within the Meetings section of the web site.

Midwest Regional Meeting September 21, 2009 at the Michigan League, Ann Arbor, Michigan Visit www.saem.org and click on Meetings >> Regional Meetings >> Midwest

Meeting Announcement and Call for Abstracts SAEM Western Regional Research Forum and Medical Student Forum )ULGD\ 0DUFK WK 6DWXUGD\ 0DUFK WK University of California, Davis | Sonoma, California For additional program information please visit our website http://wrrf.emergencyresidency.com Deadline for Abstracts: December 2, 2009 at 5 pm Eastern.

Association of Academic Chairs of Emergency Medicine (AACEM) Memberâ&#x20AC;&#x2122;s Luncheon AAMC Annual Meeting in Boston, MA 6DWXUGD\ 1RYHPEHU SP SP

Innovations in Emergency Medicine Education Exhibits (IEME) Submitters are invited to complete an application describing an innovative new educational methodology that they have designed, or an innovative educational application of an existing product.

Deadline: Wednesday, January 20, 2010 at 5 pm Eastern.

Call for Abstracts â&#x20AC;&#x201C; SAEM Annual Meeting

Call for Photographs

Call for Abstracts â&#x20AC;&#x201C; SAEM Annual Meeting 6$(0 $QQXDO 0HHWLQJ WR EH KHOG -XQH LQ 3KRHQL[ $UL]RQD The Program Committee is accepting abstracts for review for oral and poster SUHVHQWDWLRQ DW WKH 6RFLHW\ IRU $FDGHPLF (PHUJHQF\ 0HGLFLQH 6$(0

Annual Meeting.

2ULJLQDO SKRWRJUDSKV RI SDWLHQWV SDWKRORJ\ VSHFLPHQV JUDP VWDLQV EKGs and radiographic studies of other visual data are invited for presentation at the 2010 SAEM Annual Meeting.

Deadline: December 2, 2009 at 5 pm Eastern.

2010 CORD Annual Academic Assembly

Call for Abstract Reviewers The Program Committee is currently accepting applications to serve as expert UHYLHZHUV RI VFLHQWLÂżF DEVWUDFWV VXEPLWWHG IRU FRQVLGHUDWLRQ RI SUHVHQWDWLRQ DW WKH 6$(0 $QQXDO 0HHWLQJ 7KH PLQLPXP UHTXLUHPHQW IRU QHZ DEVWUDFW UHYLHZHUV LV DW OHDVW WZR ÂżUVW DXWKRU SHHU UHYLHZHG RULJLQDO UHVHDUFK manuscripts in the topic area for which you are applying.

Deadline: October 21, 2009

2009 CPC Competition Finals 0RQGD\ 2FWREHU DP SP 'XULQJ WKH $&(3 6FLHQWLÂżF $VVHPEO\ %RVWRQ 0$ %RVWRQ &RQYHQWLRQ ([KLELWLRQ &HQWHU 5RRP $

SAVE THE DATE â&#x20AC;&#x201C; AAMC Annual Meeting Saturday, November 7, 2009 8:00 am â&#x20AC;&#x201C; 12:00 pm AACEM and SAEM Education session @ AAMC Annual Meeting Sheraton Hotel in Boston, MA Topic: The Science of Simulation in Healthcare: 'HÂżQLQJ DQG 'HYHORSLQJ &OLQLFDO ([SHUWLVH Speakers: James A. Gordon, MD, MPA Harvard/Mass General Hospital -RKQ $ 9R]HQLOHN 0' Northwestern University Steve McLaughlin, MD University of New Mexico School of Medicine There is no registration fee for this meeting; however, QRWLÂżFDWLRQ RI DWWHQGDQFH LV UHTXLUHG WR VDHP#VDHP RUJ

Deadline: Wednesday, February 3, 2010. Submission via US Mail.

0DUFK 7KH &DULEH +RWHO &RQIHUHQFH &HQWHU 2UODQGR )/

Call for Papers - AEM Academic Emergency Medicine &RQVHQVXV &RQIHUHQFH )ROORZ 8S 5HVHDUFK Special Issue. Since 2000, Academic Emergency Medicine has hosted an annual consensus conference, designed to generate a research agenda for a QXPEHU RI VSHFLÂżF WRSLFV 2Q WKH WHQWK DQQLYHUVDU\ RI WKLV VHULHV WKH MRXUQDO launches an annual special issue, to be published in August, dedicated to research papers that address the consensus conference topics.

Deadline: Friday, March 5, 2010 5 pm Eastern Time.

Call for Papers - AEM 2010 Academic Emergency Medicine &RQVHQVXV &RQIHUHQFH ³%H\RQG 5HJLRQDOL]DWLRQ ,QWHJUDWHG 1HWZRUNV RI (PHUJHQF\ &DUH´ ZLOO EH KHOG RQ June 2, 2010, immediately preceding the SAEM Annual Meeting in Phoenix, $UL]RQD 2ULJLQDO SDSHUV LI DFFHSWHG ZLOO EH SXEOLVKHG WRJHWKHU ZLWK WKH conference proceedings in the December 2010 issue of Academic Emergency Medicine.

Deadline: Monday, March 26, 2010.

Call for Papers - AEM 2011 Academic Emergency Medicine &RQVHQVXV &RQIHUHQFH ³,QWHUYHQWLRQV WR $VVXUH 4XDOLW\ LQ WKH &URZGHG (PHUJHQF\ 'HSDUWPHQW´ ZLOO EH KHOG RQ May 31, 2011, immediately preceding the SAEM Annual Meeting in Boston, 0DVVDFKXVHWWV 2ULJLQDO SDSHUV RQ WKH FRQIHUHQFH WRSLF LI DFFHSWHG will be published together with the conference proceedings in the December 2011 issue of Academic Emergency Medicine.

Deadline: March 26, 2011.

23

Nominations Sought

ABEM Board of Directors Deadline: November 1, 2009 The American Board of Emergency Medicine will elect two new directors at its February 2010 Board of Directors meeting. ABEM LV VROLFLWLQJ QRPLQDWLRQV IRU WKHVH WZR SRVLWLRQV IURP (PHUJHQF\ 0HGLFLQH RUJDQL]DWLRQV DV ZHOO DV IURP LQGLYLGXDOV $%(0 KDV invited and encouraged SAEM to submit nominations.

The ABEM Nominating Committee will review all nominations and prepare a slate of candidates for consideration by the ABEM %RDUG RI 'LUHFWRUV ZKR ZLOO YRWH RQ WKLV VODWH DW LWV )HEUXDU\ PHHWLQJ 7KH QHZO\ HOHFWHG GLUHFWRUV ZLOO EHJLQ DQ LQLWLDO IRXU \HDU WHUP LQ -XO\ DQG XSRQ VXFFHVVIXO FRPSOHWLRQ RI WKDW WHUP ZLOO EH HOLJLEOH IRU HOHFWLRQ WR D VHFRQG DQG ¿QDO IRXU \HDU term. New directors will attend the summer 2010 ABEM Board meeting as observers.

Nominated physicians must meet the following criteria: Â&#x2021; %H D JUDGXDWH RI DQ $&*0( DFFUHGLWHG (PHUJHQF\ 0HGLFLQH UHVLGHQF\ SURJUDP Â&#x2021; %H DQ $%(0 GLSORPDW IRU D PLQLPXP RI WHQ \HDUV Â&#x2021; +DYH GHPRQVWUDWHG H[WHQVLYH DFWLYH LQYROYHPHQW LQ RUJDQL]HG (PHUJHQF\ 0HGLFLQH ,GHDOO\ WKLV LQFOXGHV ORQJ WHUP H[SHULHQFH DV DQ $%(0 LWHP ZULWHU RUDO H[DPLQHU RU $%(0 DSSRLQWHG UHSUHVHQWDWLYH Â&#x2021; %H DFWLYHO\ LQYROYHG LQ WKH FOLQLFDO SUDFWLFH RI (PHUJHQF\ 0HGLFLQH Interested SAEM members should send a letter of interest, a current CV, and a letter of willingness to serve as an ABEM director E\ 1RYHPEHU WR -DPHV 7DUUDQW 6$(0 ([HFXWLYH 'LUHFWRU MWDUUDQW#VDHP RUJ 7KH 6$(0 %RDUG ZLOO VHOHFW D VODWH RI nominees to forward to ABEM.

SAEM SEEKS AWARD NOMINATIONS Young Investigator Awards Deadline: December 15, 2009 7KHVH UHFRJQL]H WKRVH 6$(0 PHPEHUV ZKR KDYH GHPRQVWUDWHG FRPPLWPHQW DQG DFKLHYHPHQW LQ UHVHDUFK GXULQJ WKH HDUO\ VWDJH RI WKHLU DFDGHPLF FDUHHU 7KH VRFLHW\¶V FRUH PLVVLRQ LQFOXGHV WKH FUHDWLRQ RI NQRZOHGJH LQ DGGLWLRQ WR WKH VSUHDG RI NQRZOHGJH DQG WKLV DZDUG UHFRJQL]HV WKRVH ZKR KDYH DFKLHYHG HDUO\ VXFFHVV LQ WKLV VSKHUH

Hal Jayne Educational Excellence Award Deadline: February 1, 2010 This prestigious award is presented to a member of SAEM who has made outstanding contributions to emergency medicine through the teaching of others and improving knowledge about the teaching of learners.

Excellence in Research Award Deadline: February 1, 2010 This prestigious award is presented to a member of SAEM who has made outstanding contributions to emergency medicine through the creation and sharing of new knowledge.

Advancement of Women in Academic Emergency Medicine Award Deadline: February 15, 2010 7KLV DZDUG UHFRJQL]HV DQ 6$(0 PHPEHU ZKR KDV PDGH VLJQL¿FDQW FRQWULEXWLRQV WR WKH DGYDQFHPHQW RI ZRPHQ LQ DFDGHPLF HPHUJHQF\ medicine.

Leadership Award Deadline: February 1, 2010 This award honors a SAEM member who has made exceptional contribution to emergency medicine through leadership â&#x20AC;&#x201C; locally, regionally, nationally, or internationally.

For submission information, see our web site at www.saem.org â&#x20AC;&#x201C; Click on Grants & Awards and then Awards 24

25

SAEM Western Regional Research Forum and Medical Student Forum Meeting Announcement and Call for Abstracts Friday, March 19th - Saturday, March 20th, 2010 University of California, Davis | Sonoma, CA SAEM is pleased to announce the 13th annual meeting of the Western Regional Research Forum. Abstracts must be submitted via the SAEM web site; the submission deadline coincides with national SAEM. When submitting an abstract for the national SAEM meeting, simply check the box indicating your interest in the Western Regional Research Forum and your abstract will be considered for both meetings.

7KLV PHHWLQJ LV DQ H[FHOOHQW RSSRUWXQLW\ IRU PHGLFDO VWXGHQWV UHVLGHQWV IHOORZV DQG MXQLRU IDFXOW\ WR SUHVHQW WKHLU research. Abstracts from senior faculty are also welcome, of course. All accepted abstracts will be presented as PLQL RUDO SUHVHQWDWLRQV 7KHUH ZLOO DOVR EH D KDOI GD\ 0HGLFDO 6WXGHQW )RUXP ZLWK GLVFXVVLRQV RQ KRZ WR VHOHFW D UHVLGHQF\ SURJUDP DQG PDNH RQHÂśV DSSOLFDWLRQ DV FRPSHWLWLYH DV SRVVLEOH ,Q DGGLWLRQ VWXGHQWV ZLOO KDYH DPSOH RSSRUWXQLW\ WR VSHDN LQIRUPDOO\ with residency directors from throughout the Western United States.

The venue in Sonoma, California, is 45 miles from the San Francisco airport. The conference will run from noon on )ULGD\ WKURXJK 6DWXUGD\ DIWHUQRRQ OHDYLQJ WLPH WR HQMR\ WKH VSULQJ ZHDWKHU QHDUE\ JROI WHQQLV DQG ZLQH WDVWLQJ in the Sonoma Valley region.

Questions can be directed to Deborah Diercks, MD, MSc, FACEP dbdiercks@ucdavis.edu or Kelsey Cearley cearleyk@ohsu.edu RU FDOO

For additional program information please visit our website http://wrrf.emergencyresidency.com

26

27

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

Newsletter

2009-2010 SAEM Board of Directors Jill M. Baren, MD President

Executive Director James R. Tarrant, CAE

Jeffrey A. Kline, MD 3UHVLGHQW (OHFW

Advertising Coordinator Maryanne Greketis, CMP mgreketis@saem.org

Adam J. Singer, MD 6HFUHWDU\ 7UHDVXUHU Katherine L. Heilpern, MD Past President Robert S. Hockberger, MD Cherri D. Hobgood, MD Debra Houry, MD, MPH 2 -RKQ 0D 0'

Send Articles to: Vene Yates techsupport@saem.org

The SAEM newsletter is published bimonthly by the Society for Academic Emergency Medicine.

The opinions expressed in this publication are those of the authors DQG GR QRW QHFHVVDULO\ UHĂ&#x20AC;HFW those of SAEM.

Alan E. Jones, MD

For newsletter archives DQG H 1HZVOHWWHUV Click on Publications at www.saem.org

Deborah B. Diercks, MD Maria F Glenn, MD

FUTURE SAEM ANNUAL MEETINGS 2010 2011 2012

June 3 - 6 June 1 â&#x20AC;&#x201C; 5 May 9 â&#x20AC;&#x201C; 13

Marriott Desert Ridge Resort & Spa, Phoenix, AZ Boston, MA Chicago, IL

Midwest Regional Meeting September 21, 2009 at Michigan League, Ann Arbor, Michigan.

Contact Program Chair, John G. Younger, MD, 06 DW M\RXQJHU#XPLFK HGX DQG VHH 0HHWLQJV !!

Regional Meetings link on www.saem.org

Western Regional Meeting 0DUFK at University of California, Davis Sonoma, CA. Contact Kelsey Cearley cearleyk@ohsu.edu or FDOO 3OHDVH VHH :HVWHUQ 5HJLRQDO Research Forum conference website for more information. http://wrrf.emergencyresidency.com

$W ZZZ VDHP RUJ \RX ZLOO ÂżQG PRUH LQIRUPDWLRQ RQ HDFK UHJLRQDO PHHWLQJ LQ WKH Meetings > SAEM Regional Meetings section of the site.