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PENNSYLVANIA COLLEGE OF EMERGENCY PHYSICIANS MARCH 2017

Executive Privilege Merle A. Carter, MD, FACEP PACEP President It’s hard to believe that another year has passed, and that my term as your president is almost over. It has been both an exciting and taxing year as we continue to fight against what we felt were injustices against emergency medicine and those we serve. We’ve accomplished a great deal as a chapter and as a specialty. Much of the work has been behind the scenes—much of it strategic in nature, but all has been in an effort to ensure our patients have access to the care and expertise they deserve, and that emergency physicians have representation that also protects their interests. The ultimate goal is improving the health and safety of the citizens of Pennsylvania, and to preserve the interests of our specialty. The Board made some difficult budgetary decisions this year to ensure continued financial stability of the chapter. I am happy to report that these decisions have been successful and have strengthened our chapter’s financial future. We also set a myriad of goals for this last year in addition to our legislative priorities, including increasing member engagement. Many of you have signed up for committees and have already been a tremendous asset to the chapter bringing new, and innovative ideas to our work and vision. This new energy is palpable, and we’re excited about the new initiatives being planned this year. New members have even offered to start new committees—please stay tuned for more information and how to get involved! If you have a special interest or an idea for a new committee or initiative, let us know! Our legislative priorities for this session continue to include balance billing, opioid legislation and warm hand offs to addiction aftercare, violence against healthcare workers, as well as “clear and convincing” legislation for liability protection. We engaged and met with members on “both sides of the aisle”. The insurance

commissioner and her staff, the governor and his staff, and Pennsylvania’s emergency physicians continue have an important seat at the table in these important discussions that other specialties do not have. We’ve walked the delicate line where the priorities of the law and medicine were not always aligned, and where lines in the sand and diplomacy had to co-exist. We are pleased to have developed relationships with key lawmakers and their staff. We are often on their list of “first calls” when considering legislation that impacts the house of medicine. I am proud of our work and the role PACEP has played in the legislature this year. The Governmental Affairs Committee, under the tireless leadership of Dr. Erik Kochert, deserves special praise for all of the work they have done this year. They have been firm, but diplomatic representatives in working with the legislature this year to protect your interests and those of your patients. I encourage all PACEP members to participate, engage, support, and share their ideas and opinions, listen and learn from each other, and help the organization to continue to grow and to be an effective voice for emergency medicine and the patients we serve. Don’t forget that board meetings are open to members. You are always welcome to attend! Leadership is shown in many ways, and at all levels of any organization or group. An important quality that shines in a leader is the willingness to serve unselfishly continued on page 3

Contents PACEP 17 Scientific Assembly........................................... 4 PACEP 17 Scientific Assembly: April 5th.......................... 5 PACEP 17 Scientific Assembly: April 6th.......................... 7 PACEP 17 Scientific Assembly: April 7th.......................... 9 Emergency Department Warm Handoff Clinical Pathway is Unveiled........................................................11 Legislative Update............................................................. 12 Physician, Heal Thy Specialty!.......................................13 New Faces on the Hill; Invite Them to Your ED!...........15

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Executive Privilege continued from page 1 and for the good of those served. Please continue outreach to your communities, to the legislature (locally and regionally), and other relevant organizations at the local, regional, and national levels. Remember that your leaders in PACEP and ACEP and other organizations you belong to also need your support, encouragement, and feedback as well. We are here for you, and need to hear from you about what your needs and concerns are. The opportunity to serve as your president has been truly an honor. It has simultaneously been the most rewarding and challenging experience I could have imagined. The gifts and lessons that I will take away from this year are immeasurable. I am proud to be a part of such a dynamic, committed, and inspiring team. Thank you

for all of the support you’ve given me during this challenging year, and thank you for the opportunity of a lifetime to serve. I will be forever grateful to have had this opportunity to make a difference. A personal “Thank You!” to Cicely Elliott and the PACEP staff— simply the best, and are the backbone and engine that keeps the chapter going. Thank you,

Merle Carter, MD, FACEP President, 2016-2017

www.paacep.org Check it out! Our website has the latest on Emergency Medicine News, Legislative Highlights, MACRA, Scientific Assembly, Upcoming Events, a Job Bank and more….Visit PACEP’s website today!

Welcome New PACEP Members! Alin Gragossian, DO Benjamin Grugan Steven Martinez Amanda Nemecz Nupur Nischal David Rosie, MD Elizabeth Teixeira Matthew Webb, MD Frank Wheeler Jordan Becker Craig Brewster Gregory Larkin, MD, MPH, FACEP Christopher Ryder Jarrett Shugars Travis Smith Maxim Dzeba, MD Kathryn Fenton, RN Joseph Gannett William Johnjulio Angela Kuehn, DO Ivana Marji Jennifer Nichols Michael Osinski Jessica Pathrose Shannon Zik

PACEP News, March 2017

PACEP 17 Scientific Assembly

Join Your Colleagues April 5-7

IN BEAUTIFUL DOWNTOWN

PITTSBURGH, PA FOR

This year, PACEP takes its premiere educational event to Pittsburgh with the theme Emergency Medicine:

Best Practices and Cutting Edge Technologies. PACEP17 Scientific Assembly is the ultimate opportunity for emergency physicians to learn about cutting-edge developments in emergency medicine and connect with emergency physicians from across Pennsylvania and neighboring states. If you havenâ€™t yet registered, you can do so at www.paacep.org.

Enjoy a full schedule of national and local speakers, workshops, resident competitions and exhibitors, including social activities to spend time with your colleagues and earn up to 19.0 CME credits plus 1 CME credit from the Heart Failure Management: From the Emergency Department to Hospital Admission and Discharge CME activity.

QUESTIONS Contact Sharon Fahrer, PACEP Meeting Manager, toll free at (877) 373-6272, or email pacep@pamedsoc.org.

See our educational topics on the following pages. 4

PACEP News, March 2017

PACEP 17 Scientific Assembly PACEP17 Educational Workshops and Sessions W E D N E SDAY A PRIL 5 , 2 0 1 7 3:30 p.m. – 5:00 p.m. ED Director’s Forum Don’t miss out on the ED Director’s Forum, which is a unique opportunity for emergency department directors, associate directors, quality coordinators and others interested in ED management to interact with physician colleagues statewide, and to problem-solve issues and challenges of common concern. Speaker John G. Holstein will lead the forum with a discussion on “Where Does Your Emergency Department Fit Into Today’s Healthcare Landscape?”

12:30 p.m. - 2:00 p.m. Ultrasound Workshop - Basics of Point-of-Care Echocardiography Speaker: Thompson Kehrl, MD, RDMS, FACEP This workshop will be a basic introductory point-of-care echocardiography course which will include didactic and hands-on learning.

2:00 p.m. - 3:30 p.m. Pediatric Simulation Workshop Speakers: Michael Nguyen, MD, FACEP; Nicole Elliot, DO The Pediatric Simulation Workshop is 90 minutes dedicated to teaching the emergency provider critical skills for managing pediatric resuscitations. We will simulate high-impact clinical scenarios and practice procedures that are seldom performed day-to-day in the emergency department. We will focus on pediatric resuscitation, airway management and team dynamics.

Emergency medicine is facing challenges from many different fronts. Reimbursement, payment models and metrics, from both the governmental and the private sector, the hospital c-suite, patients, the urgent care industry and the exploding commercialization of healthcare via retail clinics all impinge on our specialty. What is emergency medicine’s place in this constantly changing environment and what is our value proposition to the industry? This is an incredibly exciting time for the specialty and we need to move quickly to establish our rightful place at the table.

5:00 p.m. – 6:00 p.m. COLA for 2016 Speakers Gerald O’Malley, DO, and Shawn Quinn, DO, FACOEP, FACEP will lead this highly valued and popular session designed to help you prepare for AOBEM’s COLA test in the Osteopathic Continuous Certification (OCC) program. A detailed review of high yield points from the 2016 COLA articles will be discussed. While other organizations charge hundreds of dollars for similar courses, the PACEP COLA Review is included in your registration fee, but registration is required.

5:00 p.m. - 6:00 p.m. LLSA for 2016 This complimentary, highly-valued and popular session is designed to help you prepare for ABEM’s LLSA test in the Emergency Medicine Continuous Certification (EMCC) program. Faculty will provide a detailed review of high-yield points from the 2016 LLSA articles and will follow up with a group discussion. The PACEP LLSA Review is included in your registration fee, but registration is required.

PACEP News, March 2017

PACEP 17 Scientific Assembly PACEP17 Educational Workshops and Sessions W E D N E SDAY A PRIL 5 , 2 0 1 7

PACEP17

KEYNOTE SPEAKER

6:00 – 8:00 p.m. Welcome Reception PACEP17 Keynote Speaker The PACEP officers and board welcome Paul Kivela, MD, MBA, FACEP, ACEP President-Elect as the PACEP17 Scientific Assembly Keynote Speaker. Paul Kivela, MD, MBA, FACEP is a residency trained and board certified emergency physician. Dr. Kivela brings a broad variety of talents and pursues multiple interests. Besides being a fulltime practicing emergency physician, Dr. Kivela is actively involved in the organized medicine and shepherding healthcare policy and the business of administrative emergency medicine. He is an expert in the areas of medical legal malpractice, risk reduction, and error reduction. He and his wife have a passion for health and wellness and have a concierge practice, Elan Medical. He completed his undergraduate and medical school at the University of Illinois and his emergency medicine residency at Los Angeles County-UCLA. He completed an administrative emergency medicine fellowship in San Francisco and his MBA at the University of Tennessee. He has lectured both nationally and internationally on medical topics. He has been visionary and founded and developed an educational company that was the first company to receive accreditation to provide online Category 1 CME in emergency medicine. He has designed software and has twice been acknowledged to have one of the top 20 annual innovations in academic emergency medicine and has a patent pending on a software program that decreases medical errors.

PACEP News, March 2017

PACEP17 Scientific Assembly Board and Committee Meetings

ALL PACEP MEMBERS ARE WELCOME! Board Meeting 10:00 a.m. – 12:00 p.m. PACEP Board of Directors Meeting, Presided by Merle. A. Carter, MD, FACEP, PACEP President. Committee Meetings 12:00 p.m. – 1:00 p.m. Education Committee Meeting 2:00 p.m. – 3:00 p.m. Governmental Affairs Committee Meeting 3:00 p.m. – 4:00 p.m. Communications/Membership Committee Meeting 3:00 p.m. – 4:00 p.m. EMS & Terrorism and Disaster Preparedness Committee Meeting 4:00 p.m. – 5:00 p.m. Reimbursement Committee Meeting

PACEP 17 Scientific Assembly PACEP17 Educational Workshops and Sessions T H U R S DAY, A PRIL 6 , 2 0 1 7

CPC and Spivey Competitions Start at 7:00 a.m. and continue intermittently throughout the day. Always unpredictable and exciting are the annual PACEP CPC and Spivey Competition presentations. Noted as a favorite component of Scientific Assembly, Arvind Venkat, MD, FACEP said, “I always look forward to the CPC Competition at Scientific Assembly. I am always amazed by the diagnostic acumen of the residents and faculty and learn a great deal to inform my practice.” The CPC Competition showcases residency programs by featuring case reviews of unusual presentations of diseases or rare diagnoses. The Spivey Competition is open to emergency physicians, residents, fellows, and medical students, and displays abstracts pertinent to emergency medicine.

7:00 a.m. – 8:00 a.m. Afib & DVT/PE: An Exploration in Risk Reduction – Product showcase sponsored by Janssen

Speaker: James Neunschwander, MD This program showcase will look at novel therapy for risk reduction in patients with non-valvular atrial fibrillation, deep vein thrombosis, and pulmonary embolism. The impact that thrombosis has on hospitalization and length of stay will also be discussed. (Continental breakfast will be provided.)

8:00 a.m. – 8:45 a.m. Noelle M. Rotondo, MD, FACEP Memorial Lecture The Noelle M. Rontondo, MD, FACEP Memorial was established in 2015 to honor the memory of Dr. Rotondo, a dedicated colleague, educator, and PACEP member. Each year, PACEP selects a revered emergency physician to serve as the Rotondo Lecturer. This year, join 2017 Noelle M. Rotondo, MD, FACEP Memorial lecturer Douglas L. McGee, DO, FACEP whose educational talk is titled, “On Fire or Burned Out”.

9:15 a.m. – 10:15 a.m. Heart Failure Management: From the Emergency Department to Hospital Admission and Discharge Speaker: Richard Kaplan, MD, MS, FACEP Join Dr. Kaplan for an up-to-date evidence-based information on the clinical presentation of AHF, the importance of an accurate and timely diagnosis, and implementation of early therapeutic decisions. Learn how to determine whether patients are to be admitted or discharged and, if admitted, what the appropriate initial level of inpatient care should be as the care of the patient then transfers to the hospitalist who makes additional care and treatment decisions.

PACEP News, March 2017

PACEP 17 Scientific Assembly PACEP17 Educational Workshops and Sessions T H U R S DAY, A PRIL 6 , 2 0 1 7

10:30 a.m. – 11:30 a.m. Gynecological Emergencies: From STI’s through Operative Complications Speaker: Megan Wasson, DO

1:45 p.m. – 2:30 p.m. Clinical Decision Making: Jumping to Conclusions Speaker: Paul Paris, MD, FACEP

3:00 p.m. – 3:45 p.m. Updates in the Literature 2016 Speaker: Nilesh Patel, DO, FAAEM, FACOEP

4:15 p.m.– 5:00 p.m. Alternatives to Opiates in the Emergency Department Speaker: Adelaide Viguri, DO

6:00 p.m. – 7:30 p.m. PACEP Annual Awards Dinner The PACEP Annual Awards Dinner is more than just great food, drinks and awards! This year’s dinner will feature Shane R. Sergent, DO who will speak about “The Humanistic Approach to International Medicine”. Congratulations to this year’s award winners: Erik Kochert, MD, FACEP - Emergency Physician of the Year Allan B. Wolfson, MD, FACEP Meritorious Service Award U.S. Representative Tim Murphy Legislative Award

PACEP Leadership Incubator Program Be sure to visit PACEP’s table to learn about PACEP’s new Leadership Incubator Program which will replace PACEP’s Leadership Program. The new program will offer educational modules geared toward physicians who are striving to become a leader in emergency medicine. The program is convenient, and fee-free. Participants will enjoy learning through a mix of synchronous and asynchronous educational activities that will allow participants to move at their own pace.

PACEP News, March 2017

8:30 p.m. Young Physicians’ Reception Proudly sponsored by Geisinger The day doesn’t end after the Annual Awards Dinner if you’re a young physician member within 10 years of post-residency. You’re invited for fun, food, drinks and networking at the Bar Louie (within walking distance of Sheraton Station Square). Hosted by the PACEP Young Physicians Committee, members of all career stages are encouraged to attend the Young Physicians’ Reception.

PACEP 17 Scientific Assembly PACEP17 Educational Workshops and Sessions F R I D AY, A PRIL 7 , 2 0 1 7 8:00 a.m. – 9:30 a.m.

PACEP Annual Membership Meeting (Pre-registration is required. Continental breakfast provided.) Be an active voice in your professional organization! Come to learn about PACEP’s trajectory and what to expect in 2017. Meet current leadership and your 2017-2018 PACEP president, network with colleagues, and participate in PACEP’s annual advocacy support drive. 9:30 a.m. – 10:15 a.m. Neck and Cervical Spine Trauma: How to Keep Your Head on Straight Speaker: Alan R. Cherney, MD, MSc, FACEP 10:15 a.m. – 11:00 a.m. The Future of Emergency Medicine Speaker: Judd Hollander, MD, FACEP

ACCREDITATION This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American College of Emergency Physicians and Pennsylvania College of Emergency Physicians. The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PACEP17 SCIENTIFIC ASSEMBLY

11:00 a.m. – 11:45 a.m. New Drugs of Abuse Speaker: Anthony Pizon, MD 12:30 p.m. – 1:15 p.m. Sepsis in the ED: The New Data and the Future Speaker: Donald Yealy, MD, FACEP 1:15 p.m. – 2:00 p.m. Undifferentiated Shock in the ED, What’s the RUSH Speaker: Robert Strony, DO, RDCS, FACEP 2:00 p.m. – 2:45 p.m. Evidence-Based Medicine in Pediatric Emergency Medicine Speaker: Lilia Reyes, MD, FAAP 2:45 p.m. – 3:30 p.m. - The Violent Patient

The American College of Emergency Physicians designates this live activity for a maximum of 19.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Approved by the American College of Emergency Physicians for a maximum of 19.0 hour(s) of ACEP Category I credit. HEART FAILURE MANAGEMENT: FROM THE EMERGENCY DEPARTMENT TO HOSPITAL ADMISSION AND DISCHARGE This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Emergency Physicians, Pennsylvania College of Emergency Physicians and Haymarket Medical Education. The American College of Emergency Physicians is accredited by the ACCME to provide continuing medical education for physicians. The American College of Emergency Physicians designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Approved by the American College of Emergency Physicians for a maximum of 1.0 hour(s) of ACEP Category I credit.

Speaker: Robyn King, DO

PACEP News, March 2017

Assistant/Associate Residency Program Director Emergency Medicine Core Faculty Pediatric Emergency Medicine Faculty Community-Based Site Opportunity

The Emergency Medicine Department at Penn State Health Milton S. Hershey Medical Center seeks energetic, highly motivated and talented physicians to join our Penn State Hershey family. Opportunities exist in both teaching and community hospital sites. This is an excellent opportunity from both an academic and a clinical perspective. As one of Pennsylvania’s busiest Emergency Departments treating over 75,000 patients annually, Hershey Medical Center is a Magnet® healthcare organization and the only Level 1 Adult and Level 1 Pediatric Trauma Center in PA with state-of-the-art resuscitation/trauma bays, incorporated Pediatric Emergency Department and Observation Unit, along with our Life Lion Flight Critical Care and Ground EMS Division. We offer salaries commensurate with qualifications, sign-on bonus, relocation assistance, physician incentive program and a CME allowance. Our comprehensive benefit package includes health insurance, education assistance, retirement options, on-campus fitness center, day care, credit union and so much more! For your health, Hershey Medical Center is a smoke-free campus. Applicants must have graduated from an accredited Emergency Medicine Residency Program and be board eligible or board certified by ABEM or AOBEM. We seek candidates with strong interpersonal skills and the ability to work collaboratively within diverse academic and clinical environments. Observation experience is a plus.

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

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.

PACEP In the News

Emergency Department Warm Handoff Clinical Pathway is Unveiled

A warm handoff protocol, developed in partnership by the Pennsylvania departments of Health and Drug and Alcohol Programs as well and the Pennsylvania College of Emergency Physicians, was unveiled Feb. 14 and has been distributed statewide for recommended use by emergency room physicians and other healthcare professionals caring for overdose patients.

To view and download the warm handoff protocol/clinical pathway document, go to www.paacep.org. Physician General, Dr. Rachel Levine Acting Secretary of Drug and Alcohol Programs Jennifer Smith and Physician General Dr. Rachel Levine discussed the Wolf Administration’s efforts to battle the opioid epidemic during a visit to Reading Hospital, Feb. 14, 2017 where they highlighted the “warm handoff ” protocol in getting overdose survivors directly into treatment for addiction. PACEP’s Charles Barbera, MD, MBA, FACEP was also on hand to discuss how Reading Hospital is successfully getting overdose survivors into treatment. The protocol/clinical pathway provides guidance on how to counsel an overdose survivor about their overdose and how to strongly encourage him or her to enter treatment immediately for drug addiction. Congratulations to all on this committed partnership and support in curbing this public health crisis!

Charles Barbera, MD, MBA, FACEP, Past PACEP President

PACEP News, March 2017

Legislative Update Milliron & Goodman Government Relations Pennsylvania lawmakers returned to the state Capitol on January 3rd to start the 2017-2018 session with plenty of old business awaiting them. Rep. Mike Turzai (R-Allegheny) was unanimously reelected Speaker of the House and Sen. Joe Scarnati (R-Jefferson) was unanimously re-elected president of the Senate. Both chambers begin the session with stronger Republican majorities. The House Republican majority now stands at 121-81, the largest advantage since the 1957-58 session. Republicans in the Senate picked up three seats for a 34-16 supermajority status. Retirements paved the way for an influx of new members and committee chairs this session. One committee that we are paying particular attention to is the Senate Health and Human Services Committee. State Sen. Lisa Baker (R-Luzerne) was recently appointed the new ranking Republican on the committee and Sen. Judy Schwank (D-Berks) was appointed the ranking Democrat. The committee works on health-related issues and legislation, including legislation relating to immunizations, licensing of healthcare facilities, opioids and pharmaceutical issues, and specialized health programs. With every new member and new committee chair, challenges lie ahead. There is a learning curve, new set of priorities, and competing interests. We strongly encourage you to get engaged. Your involvement in the process is crucial to protecting the interests of your patients and the emergency health care system. We are hitting the ground running in the 2017-18 session. Among the issues we’ll be working on are increased penalties for assault on healthcare practitioners, balance billing, and opioids.

Budget Democratic Governor Tom Wolf delivered his 2017-18 budget address on Tuesday, February 7. Wolf has said moves to streamline state government will be part of the budget address. Most recently, he announced the closing of the state prison in Pittsburgh to save $81 million and the consolidation of four health agencies into one – departments of Human Services, Health, Aging, and Drug and Alcohol Programs. The head of the state Legislature’s Independent Fiscal Office said revenue collections are weaker than expected. Without any changes, the projected budget gap is now approaching $3 billion through mid-2018. February 21 kicked-off the state’s annual cycle of budget hearings. After the hearings are over, it will be up to lawmakers to determine what will be in the final budget plan that moves through the legislative process. Pennsylvania’s budget deadline is June 30.

PACEP News, March 2017

Healthcare The Pennsylvania Department of Health released application forms to grow and distribute medical marijuana in the Keystone State. Growers will be required to submit a non-refundable $10,000 application fee, a permit fee of $200,000, which is refundable if the permit is not granted; and proof of $2 million in capital with $500,000 that must be on deposit with a financial institution. Dispensaries will have to pay a non-refundable application fee of $5,000, a permit fee of $30,000, which is refundable if the permit is not granted; and proof of $150,000 in capital. Governor Tom Wolf announced that Gary Tennis will no longer serve as Secretary of the Department of Drug and Alcohol Programs. Deputy Secretary Jennifer (Jen) Smith will serve as Acting Secretary. Smith issued a statement on her commitment to continuing the Wolf Administration’s efforts to battle the opioid epidemic. Smith previously served in Pennsylvania’s Office of the Budget, most recently as Bureau Director for Planning and Management.

Politics State Senator Scott Wagner (R-York) officially threw his hat in the ring for the GOP nomination to take on fellow York Countian Democratic incumbent Governor Tom Wolf. Wagner, a multi-millionaire businessman who owns Penn Waste and KBS Trucking, is known for his blunt style and business approach. Since being elected, Wagner has worked to bolster the GOP ranks in the Senate, increasing their majority to 34 seats from 31 in the 50-seat chamber. Other GOP candidate names that have been mentioned include U.S. Rep. Mike Kelly, owner of Butler County car dealerships and natural gas holdings; Paul Mango, a healthcare consultant and the Pittsburgh office director of the global consulting firm McKinsey & Co; Former Lt. Gov. and Bucks County native Jim Cawley, president and CEO of the United Way of Greater Philadelphia and Southern New Jersey; Senate Majority Leader Jake Corman, R-Centre; House Majority Leader Dave Reed, R-Indiana; and House speaker Mike Turzai, R-Allegheny. Pennsylvania row officers – Attorney General, Treasurer, and Auditor General – have taken office; the new attorney general and treasurer promise to restore public trust. Democrat Josh Shapiro is now the state’s top prosecutor, becoming the fourth person to hold the position since August when Attorney General Kathleen Kane resigned after being convicted of leaking secret grand jury material and lying about it. Shapiro is a former state representative who more recently had been commissioner in Montgomery County. Democrat Joe Torsella became the state’s next treasurer. He’s a former deputy mayor in Philadelphia and former chief executive of the National Constitution Center. Democrat Auditor General Eugene DePasquale was sworn-in for a second term in office. He’s a former state representative from York. We will continue to keep you apprised of what’s happening in Harrisburg. If you have any questions, please do not hesitate to contact us at 717-232-5322. We have an open door policy.

Advocacy

Physician, Heal Thy Specialty! Robert R. Whipkey, MD, FACEP PEP-PAC Chair We Pennsylvania emergency physicians have been lamenting the ills of our professional lives for many years. The first professional ailment I was exposed to occurred when I started as an EM resident at Pitt 35 years ago. Many non-EM academicians told me I was wasting three years and would have to do a real residency at some point. That ailment is now as rare as a hospital administrator in the ED when you are boarding 15 in-patients on a Sunday. Looking back over my career, I could fill this page with the many EM ills that have been eradicated. Anyone who has worked a shift recently or visited the ACEP and PACEP websites knows the health of our specialty is always being threatened. Some issues are like viruses that seem to be gone, then mutate and return with renewed virulence.

Here are the current ailments you need to treat: • Balanced billing paranoia • Medical liability reform • Opiate prescription hurdles • Insufficient psychiatric and detox beds

And what is the prescription to cure these ills? Contributions to Pennsylvania Emergency Physician PAC (PEPPAC), of course! All these issues were “created” by non-physicians. Your contribution to PEP-PAC is the best and easiest way to protect your professional health. Our well-meaning state legislators are addressing the issues listed above while PEP-PAC and many of your EM colleagues are devoting time and money to be sure your input and point of view is vigorously communicated. We have made donating to YOUR PEP-PAC exceedingly easy. You can donate online at www.paacep.org, or by mailing a donation to PEP- PAC, 200 North 3rd St., Suite 1500, Harrisburg, PA 171011590. Your employer may also have a payroll deduction plan to donate regularly to PEP-PAC. (Interested in payroll deductions? Call PACEP at (877) 373-6272 for details!) Remember, anyone can donate to PEP-PAC, even regular folks like your hospital administrators. Our issues are their issues, too. Now, visualize emergency physicians in a black and white TV ad, chained to a defibrillator shivering in the cold, staring sadly at you…and DONATE.

PACEP News, March 2017

Outstanding ED Physician Needed State College, PA Home of Penn State University

• •

• • • • • • • • • • • • • •

Independent democratic group 60-bed Emergency Department completed in 2013 All EM residency-trained and EM-boarded physicians Physicians work with their own scribe every shift Fee for service/Excellent Compensation Package/ACEP Membership paid Single hospital contract Years of stable amicable relationship with administration ED Patient Volume: 60,000+ 50-60 hours of physician coverage per day/ 8.5 hour shifts 40 hours of PA coverage per day Fully computerized/Meditech EMR Voice recognition dictation/transcription Excellent nursing/ ED techs/ IV team Superb admitting and consulting staff/ 2 Hospitalist Services CT/Ultrasound/MRI available 24/7 plus our own Sonosite University community: Great schools and all the amenities without crime E-mail: Tziff@Mountnittany.org or mail: Theodore L. Ziff MD, FACEP

1800 East Park Ave., State College, PA 16803 (814) 278-4851

WESTERN PENNSYLVANIA

EMERGENCY MEDICINE UPMC and University of Pittsburgh UPMC has a long history of emergency medicine excellence, with a deep and diverse EM faculty also a part of the University of Pittsburgh. We are internationally recognized for superiority in research, teaching and clinical care. With a large integrated insurance division and over 20 hospitals in Western Pennsylvania and growing, UPMC is one of the nation’s leading health care systems. We do what others dream — cutting edge emergency care inside a thriving top-tier academic health system. We can match opportunities with growth in pure clinical or mixed careers with teaching, research, and administration/ leadership in all settings — urban, suburban and rural, with both community and teaching hospitals. Our outstanding compensation and benefits package includes malpractice without the need for tail coverage, an employer-funded retirement plan, generous CME allowance and more. To discuss joining our large and successful physician group, email emcareers@upmc.edu or call 412-432-7400.

EOE Minority/Female/Vet/Disabled

PACEP News Editor Merle A Carter, MD, FACEP Executive Director Cicely D. Elliott Meeting Managers Sharon Fahrer and Jessica Winger Administrative Secretary Jan Webb Writer/Assistant Executive Director Connie Benson All correspondence should be addressed to: PACEP News 777 East Park Drive, PO Box 8820 Harrisburg, PA 17105-8820 717-558-7750 ext 1589 or (877) ER-DOC-PA (373-6772) pacep@pamedsoc.org

PACEP News, March 2017

72714B HRI&E 02/17

PACEP News is published by the Pennsylvania College of Emergency Physicians and is printed in the USA. Opinions expressed in this newsletter do not necessarily reflect the PA College’s point of view. All advertisements appearing in PACEP News are printed as received from the advertisers. Advertisement in PACEP News does not imply endorsement of any product or service by PACEP. PACEP receives and publishes advertisements but neither review, recommends, or endorses any individuals, groups, or hospitals who respond to these advertisements.

Advocacy

There are a lot of brand new faces on the Hill Now’s the Time to Invite Your Legislator to Your ED! Give them valuable first-hand insight into how an emergency department actually works. Why is inviting your state legislators to “Visit Your ED” so important? It enables them to witness first-hand how you care for your patients – their constituents – and the hurdles you face every day to provide expedient, efficient care. That one-day visit could also make all the difference in how your legislator views and votes on a legislation that affects your practice. Go to https://www.paacep.org/pages/advocacy-events.aspx and download the “Tips for Hosting an Emergency Department Visit” (pdf ) document today! PACEP staff and our lobbying team at Milliron & Goodman are also on hand to facilitate logistics and talking points.

If you think a chat (on your turf) with your legislator is in order, let us know. We’re here to help out.

The WellSpan York Hospital Department of Emergency Medicine presents its 4th Annual:

Ultrasound in the Evaluation of the Critically Ill Patient

Virginia | Maryland | Washington, DC | West Virginia

WellSpan York Hospital. Medical Education Pavilion

June 12, 2017 WellSpan York Hospital Department of Emergency Medicine is proud to offer this one day, 8-hour point-of-care ultrasound course. Focus will be placed on critical bedside ultrasound applications for the acute care clinician. Topics will include the FAST exam, focused echocardiography, ultrasound-guided vascular access, and volume assessment. Didactics will be predominantly done via review of prerecorded lectures with a brief review at the course. Handson scanning sessions utilize live models and phantoms. “WellSpan Health is accredited by the Pennsylvania Medical Society to provide continuing medical education for physicians. WellSpan Health takes responsibility for the content, quality, and scientific integrity of its CME activity.” “WellSpan Health designates this course for a maximum of 16 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the educational activity.” Fees including lectures, integrated hands-on scanning, 16 hours of Category 1 CME with 8 hours via prior review of e-lectures, breakfast and lunch, parking, and course materials: Attending Physician: $350 Resident Physician: $150 Physician Assistant/Nurse Practitioner: $150 WellSpan Employee - Free Course Directors: Steven Kleinman, DO Turan Kayagil, MD For more information or to enroll please contact Becky Bluett at: Email: rbluett@yorkhospital.edu Phone: (717) 851-3070

EMA, an established twenty-four hospital regional, physicianpartnership, physician-managed group seeks full and part-time BC or BP Emergency physicians to practice in Virginia, Maryland, Washington, D.C. and West Virginia. Since 1971, EMA has offered our physicians an unmatched quality-of-life with the secruity of our 100% contract stability. • Partnership opportunities • Quality-of-life centered practice • Administrative & clinical opportunities • Full benefits package for physicians and family Send CV: Se V: Emergency Medicine Associates, P.A., P.C. Phone: 1-800-942-3363 Email: Recruitment@EMAonline.com www.EMAonline.com

L iv e, Work & P lay W ith U s! PACEP News, March 2017

PRESORTED STANDARD U.S. POSTAGE PAID HARRISBURG PA PERMIT NO. 922

777 East Park Drive PO Box 8820 Harrisburg, PA 17105-8820

Family life. Amazing EM career. You can have both.

US Acute Care Solutions values family, and the diverse ways families are born. As physician owners, we are one family, united in our mission to care for patients and each other. When a clinician in our group decides to have a child by birth or adoption, the rest of us rally around to ensure they receive the time they need to pursue their dream of family, and the support they need to continue excelling in their careers as physicians and leaders. At USACS, weâ€™re living life to the fullest, together.

Own your future now. Visit usacs.com or call Darrin Grella at 800-828-0898. dgrella@usacs.com