What’s The Magic Formula for BURNOUT PREVENTION AND RECOVERY?Page 4

lifeline DECEMBER 2018

E M PAC SCORES BIG

in

2018

GENERAL ELECTION

4 PRESIDENT’S MESSAGE

8 ADVOCACY UPDATE

10 GUEST ARTICLE

16 ANNOUNCEMENTS

17 UPCOMING MEETINGS & DEADLINES

18 CAREER OPPORTUNITIES

8

California ACEP Board of Directors & Lifeline Editors Roster2018-19 Board of DirectorsChi Perlroth, MD, FACEP, PresidentVivian Reyes, MD, FACEP, President-ElectVikant Gulati, MD, FACEP, Vice PresidentSujal Mandavia, MD, FACEP, TreasurerLori Winston, MD, FACEP, SecretaryAimee Moulin, MD, FACEP, Immediate Past PresidentHarrison Alter, MD, FACEP (At-Large)Reb Close, MD, FACEP John Coburn, MD, FACEPCarrieann Drenten, MD, FACEPJorge Fernandez, MDMichael Gertz, MD, FACEPDoug Gibson, MD, FACEPJohn Ludlow, MD, MBA, FACEPKaren Murrell, MD, MBA, FACEPMitesh Patel, MD, MBA, FACHE, CPEHunter Pattison, MD (CAL/EMRA President)Patrick Um, MD, FACEP, FAAEM

Advocacy FellowshipCarrieann Drenten, MD, FACEP, Advocacy Fellowship DirectorSam Jeppsen, MD, Advocacy Fellow

Lifeline Medical EditorRichard Obler, MD, FACEP, Medical Editor

Lifeline Staff EditorsElena Lopez-Gusman, Executive DirectorKelsey McQuaid-Craig, MPA, Director of Policy and ProgramsLucia Romo, Membership and Education CoordinatorLauren Brown, Government Affairs AssociateMeri Thresher, Administrative Assistant

DECEMBER 2018 Index of Advertisers

Independent Emergency Physicians Consortium Page 6

Mission Hospital Page 18

Philip Fagan, MD Page 18

Ventura Emergency Physicians Page 18

41st Annual Emergency Medicine In Yosemite Page 15

102 0 1 8 ACEPCouncil Meeting

Recap

2 | LIFELINE a forum for emergency physicians in california

TABLE OF CONTENTS |

Central Coast Emergency Physicians

Emergency Medicine Specialists of Orange County

Emergent Medical Associates

Front Line Emergency Care Specialists

Loma Linda Emergency Physicians

Napa Valley Emergency Medical Group

Newport Emergency Medical Group, Inc at Hoag Hospital

Pacific Emergency Providers, APC

Tri-City Emergency Medical Group

University of California, Irvine Medical Center Emergency Physicians

Caitlyn Olivia Anderson

Alfonso Avila, DO

Whi Inh Shirley Bae

Joelle Brown

Sheik Cale, MD

Somil Chheda

Brian Wai Wen Chin

Danielle R. Cohen

Kayla Maria Conover

Taylor Docter

Amy Do-Nguyen

Juliette Gerardo

Alejandra Gonzalez

Marissa Hood

Vincent Huynh

Roopam Jariwal

Esther Kim

Kenneth Taeyoung Kim

Ethan Salomon Kimball

Chia-Yuan Michael Lee

Sarah Kim Lee

Chinyu Jean Lo, MD

Sally Mahmoud-Werthmann, MD

Lesly Victoria Martinez, MD, MBA, MPH

Ryan McDonald

James Edward McDonough

Tarakarama Musunuri

Amol Sanmukh Patel

Lisa G. Patrick, MD

Jesse Perez

Enid Picart

Emily Pott

Joseph Powers

Ranjita Raghavan

Jason Rogers, MD

Andre Sahakian

Federica Sarti

Alec Samuel Small

Ruthy Tam

Carol Tang

Kyaw Min Thein, MD

Daryn Towle, MD

Ty Tran

Prabhdeep Uppal

Irene Velarde

Gregory Whitcher

Samantha Ashley Wong

Jarred Anthony Worthy

Jeremy Yenpasook

Mitchell Zekhtser

WELCOME new members!

100% GROUPS

DECEMBER 2018 | 3

By Chi Perlroth, MD, FACEP

PRESIDENT’S MESSAGE |

Can someone whittle down all the information out there into a menu of things we can do to decrease our levels of burnout and improve our success for well-being and recovery? And yes, there are lists of things our medical directors, hospital administrators, and even CMS can change to make our lives better and I will include some examples of those for people who might serve in those roles, in this and future articles. But what we do as individuals (and together as colleagues) will most impact the course of our careers as emergency physicians, and perhaps translate into how we contribute to the health of our department more broadly.

I know some of us may be tired of hearing about what my friend calls “woo-woo” methods—mindfulness, meditation, journaling, exercise, yoga, work-flow tools, strategic planning, communication, emotional intelligence tools, and life-scheduling techniques. They may sound too emotion-based or pseudoscientific. Sure, I signed up for the heavy breathing session with several of my very nice work colleagues at a lovely restaurant learning about what mindfulness means. I’ve even taught myself meditation to help me during a stretch of insomnia. And yeah, I try hard to schedule exercise regularly (even yoga on occasion—too boring for me although it seems to keep my neck and back issues in check). But writing this article, of course I had to ask myself first, “Do I have symptoms of burnout?”

According to Dr. Dike Drummond’s book, Stop Physician Burnout, burnout is defined as:

(1) “Exhaustion—extremely tired and unable to recover

(2) Depersonalization—Compassion fatigue—You feel cynical and sarcastic about your patients. You blame the patient for

contributing to your own personal stress levels. You continuously blame or complain about patients in the break room or try to normalize by calling it “healthy venting.” You blame the system or others about how much stress you feel

(3) Lack of efficacy: “My work isn’t really helping anybody or serving any purpose” or “I worry about making a clinical mistake.”

Maybe I don’t feel that I’m ENTIRELY unable to recover, but I do find myself tired a lot, and sometimes I just can’t believe how fast my few days off have flown by. To deal, I tell myself, “at least I don’t dread going back to work EVERYDAY.” And I don’t really feel cynical about ALL of my patients, just those with special chief complaints (you know which ones). And I think I’m still doing a good job at work, but some days I can’t really identify a person whose life I may have made a difference in. Does this sound familiar?

Is this really something everyone deals with and do we really need to keep talking about this? Does burnout really affect me and my colleagues? Sadly, my answer was yes. I was hired on to one of my first jobs because a physician committed suicide. I found out on Facebook that a close medical school friend jumped off a 20 story building. Soon thereafter, I received word that a residency colleague, who was also a high school friend of mine, took her own life. I can definitely relate closely to this issue. I am not trying to imply that all paths lead to the same result but we have to do something to change course for ourselves and our medical colleagues.

Unfortunately, despite all the research, surveys, and experts on this topic, there is no Magical Formula. That’s because, wait for it, we’re all different. Because our stressors come from different aspects of our

What’s The Magic Formula for BURNOUT PREVENTION AND RECOVERY

Shouldn’t someone have created the magic formula for burnout prevention and recovery by now? There are daily articles on how burnout is linked to “lower quality care, lower patient satisfaction scores, higher medical error rates, higher malpractice risk,” not to mention “more frequent disruptive physician behavior, higher rates of physician divorce, increased depression

and suicide.” Much of the literature claims that we are all responsible as individual physicians, emergency department (ED) leaders, and hospital systems to do something about it. In fact, even our friends at the Joint Commission have required health and wellness programs in our healthcare organizations because even THEY think burnout is an issue (I know, I chuckled at the irony).

4 | LIFELINE a forum for emergency physicians in california

practice and personal life, our path will be different. What I can offer is a consistent approach suggested by many of the experts:

(1) Get out of denial and recognize your own burnout symptoms

(2) First change the behaviors and thoughts that prevent change

(3) Identify what depletes you and start making changes one by one, and identify what replenishes you and put those activities in your calendar one by one

(4) Find someone to do this with to keep each other accountable and to help each other

1. BURNOUT: RECOGNIZE THE SYMPTOMS

What does Burnout feel like? You find yourself thinking, “I just want to get through the day,” or worse you dread going into work. You become frustrated, fatigued, or angry during many of your shifts. You find yourself the “Lone Ranger” doing everything yourself, despite having a team around you. You act the perfectionist when you agonize over details that are not clinically relevant or chastise patients and staff for minor imperfections. In some cases your colleagues or administrators may talk to you about your attitude and energy or disruptive behavior. Typically you feel bad about the incidents they call you out on, while justifying what you did or said as a reasonable response given the situation. You feel your only solution to your problem is to work harder, and you get angry at people who don’t work as hard as you do. These are all symptoms of burnout. If you think this is all normal, then you may have capitulated to burnout already.

2. “DEPROGRAM” OR CHANGE THE THOUGHTS THAT PREVENT CHANGE

Deprogram your superhero expectations and get rid of your martyr syndrome. It’s okay to take care of your personal needs. In fact, it’s essential. It’s okay to feel tired, stressed, even trashed on difficult days. You are not being weak or a wimp. But “if you are burned out or headed in that direction, there is something about the stress at work and the things you do now to recover that are not working. You are leaking energy and not replenishing it, like a boat with a hole so large that bailing as fast as you can does not keep you from sinking.” In his book, Dr. Drummond continues, “That is why a sabbatical will never cure burnout. It only provides temporary relief. Do you ever see people happy and refreshed when they come back from vacation or sabbatical, but then go back to their ways a few months later? That's because when you come back to life/work and you have not changed anything from before the sabbatical, the excess drain begins anew. There is still a hole in your boat.” Without significant changes in your actions, your energy accounts will be depleted once again. Deal with your Inner Critic— it will say things like, you are being selfish, you can’t afford to do this, this is never going to happen, life is too difficult for this type of change, I am too busy for this. You can play the victim—it’s everyone else’s fault, EMR, patient satisfaction surveys, your medical director and administrator demands. According to Dr. Drummond, “Blaming, justifying and complaining never work. These behaviors will never get you what you want. You will only alienate the very same

people that could help you out of this downward spiral. And when you do those things, you are giving away your power to change things. Playing the victim means you missed an opportunity to take charge.”

3. TAKE ACTION. WHAT DEPLETES YOU, WHAT REPLENISHES YOU?

“Many of us feel stress and get overwhelmed not because we’re taking on too much, but because we’re taking on too little of what really strengthens us,” states Marcus Buckingham. Dr. Drummond states everyone is different in how they experience and deal with burnout. “Recovery is a process of switching out old habits with new ones, one at a time.” But we have to TAKE ACTION. “Try things out in your life. Do something new in order to get new results. If it works, keep doing it. If it doesn’t, move on.” He also notes, “More is not better. Find a few things that you think might get your juices flowing.” “Move from avoiding the things you don’t want. Move to figuring out what you really want, and going to get it.”

Understand what depletes you. This could be job specific stresses, such as your schedule, patient volume expectations, EMR, ICD-10, documentation requirements that keep changing, patient satisfaction scores, mergers and more mergers, your compensation formula, profit sharing, your relationship with staff or leadership, or fear of litigation (again).

Even life stresses can affect your career. Your relationship with your spouse or significant other, your children and raising and caring for a family, birth of a new baby, your own personal health issues, financial hardships (debt, sending kids to private school, saving for kids college), failing health of family or parents. High stress levels at home can actually prevent recharge. “This will show up as burnout on the job, even when the problem is not on the job site at all.”

Your three energy accounts are: physical, emotional, spiritual. Rest, good food, and exercise are obvious important programs. This is your personal responsibility no matter what. Are you spending enough time for the important relationships in your life? Are you spending enough quality time with the people you love who energize you and give you meaning? Great energy can come from outside your medical practice. Coaching your child’s baseball team, camping with your son’s boy scout group, working at the RotaClinic, and gardening and feeding your family with the fruits (and vegetables) of your labor. These are things some of my colleagues do to reenergize.

4. FIND A BUDDY

“Share insights with colleagues, friends, and family.” It is well known that “learning, growing, personal development, and self-exploration are radically accelerated when you are having conversations with people who care about you along the way.” This is like having a workout partner. I personally swim faster and farther when I swim with my swim buddy. If I have an ED colleague or even a friend in a different profession with whom I am working on this, we will keep each other accountable and each of us will make more of an effort to effect the changes instead of just thinking about them or writing them down

DECEMBER 2018 | 5

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on a pretty list. Yes, misery loves company, but there is teamwork and synergy in any number greater than one. Share your goals, and you will swim faster and farther.

So, in this article, I can start by addressing the most common complaint related to burnout that I hear about: The EMR. Here are some real ACTION ITEMS you can utilize:

1. First check your attitude. “Get rid of EMR” is sarcastic and not helpful. The biggest problem with EMR is our attitude toward technology. Being a hater is an emotion that will actually get in the way of completing your documentation in a timely way. We all know EMR is not going away. If you don’t embrace it or invest in becoming more of an expert, it will guarantee continued misery and worsening struggles.

2. If you are given the opportunity, become a power user or super user. You end up getting lots more training. I did, and it helped me with my fear of technology, even though I am a self-professed techno-peasant, having been dragged into the 21st century.

3. Take all the training the vendor offers, twice. Use templates. Beg, borrow, and steal others’ shortcuts. Program quick keys. You have to invest some hours to do this so you can save tens and hundreds of hours later. You can’t expect to ace a test without studying, so why would you think this should be automatic or that someone can do it for you?

4. Who are the people in your group who don’t complain about the EMR? Who are the people who leave on time and love the program (well, they may not admit this as it’s very unpopular to like EMR)? Ask them if you can watch them chart for a few hours. Watch them, not ask them what they do. They may not be able to explain it to you or their explanations may not make as much sense to you, but when you watch what they do, you will see how you can apply it to your practice. Have them slow down and do it again. Take notes.

5. Chart only what is required. You are not writing the great American novel. Leave your perfectionist English Major at the door (you know who you are). The three purposes of the chart are: continuity of care, billing, and covering your legal part. Would that perfectly placed comma or semicolon really be crucial in a court of law?

6. Use your team. Use your scribes. Utilize them to prevent you from forgetting key documentation items you keep getting dinged for. Write out your preferences and give a print out to every new scribe you work with (they’re ALWAYS new since they’re constantly moving on to medical, nursing, or PA school!). Go over this list with your scribe for the first 5 minutes of your shift. Track your productivity or the time you save or the number of times you get dinged for missing documentation. That will allow you to fully appreciate your upfront investment and start feeling the benefits of the amount of time you are saving every shift. And as a lovely side effect, it may even improve your billing and productivity (and decrease the emails and nasty-grams you get about TADs - turnaround documents).

7. Identify an IT Champion in your department. Ask your Medical Director if this individual can log in hours and get paid for developing common templates and documentation requirements for the whole department to use. These requirements constantly change so it is helpful to have one or two individuals in charge of this. We all have these colleagues in our department who make using EMR look easy. Utilize their talents and everyone saves time.

There is so much more to discuss about prevention and recovery from burnout. Keep reading those articles that flood your inbox. Look for specific tactics that speak to you and try out those changes one by one. See how it changes your mood, saves you time, or connect more with patients and family. I will continue to collate tips to share with you, but in the meantime, please consider exploring the 4 items in the Not-So-Magical Formula: 1. Get out of denial 2. Change your thoughts about change 3. Identify your stressors and your replenishers 4. Find a Buddy. n

Thanks for reading,

Chi Perlroth

Drummond MD, Dike. Stop Physician Burnout, What to Do When Working Harder Isn't Working. 2014.

6 | LIFELINE a forum for emergency physicians in california

LEGISLATIVE

LEADERSHIP

CONFERENCE

APRIL 23 , 2019

SACRAMENTO , CA

30TH ANNUAL

ADVOCACY UPDATE |

The major focus of the 2018 General Election centered on the House of Representatives and the US Senate, but there

were also important statewide elections in California and a slew of initiatives on the ballot. Voter turnout in the general election was 48% in California, which is higher than the last midterm election in 2014 and had a resounding effect on State Assembly and Senate races.

D emocrats felt they had a great opportunity to build upon the super majority they secured in 2016 in the State Assembly and to regain a super majority in the State Senate after losing

one Senator to a recall earlier in 2018. A supermajority would allow Democrats to pass any measure requiring a two-thirds vote such as tax measures without having to reach across the aisle for compromise. To achieve this, the Democrats would need to pick up one seat in the State Senate to get them to 27. The Democrats targeted multiple Assembly and State Senate districts that had long been considered Republican strongholds. They were successful in picking up enough seats in both houses to obtain the largest supermajority in decades. A supermajority does not necessarily make achieving a two-thirds vote on legislation easier, but the number of seats picked up by more liberal Democrats will limit the influence of Republicans and more “moderate” or “business” Democrats.

As a part of the process in determining which candidates EMPAC should support, your advocacy staff interviewed a wide array of candidates for statewide office and toured numerous others in emergency departments around the state. In total, EMPAC contributed to eighteen candidates during the 2018 election cycle. Of those eighteen candidates, fifteen were elected! That’s a success rate of 83.3%.

Building relationships with elected officials early in and throughout their careers is extremely important. While we don’t have a crystal ball, we endeavor to support allies who will be elected to leadership or become a vocal champion of our causes in committee and on the floor of the legislature. For example, EMPAC has been a long-time supporter of Assembly Member Wood, who serves as the Chair of the Assembly Health Committee, and Assembly Member Lorena Gonzalez, who serves as Chair of the Assembly Appropriations Committee.

E M PAC SCORES BIG

in

GENERAL ELECTION 2018

By Elena Lopez-Gusman and Kelsey McQuaid-Craig, MPA

8 | LIFELINE a forum for emergency physicians in california

From San Diego to Los Angeles to the North Coast, EMPAC supported candidates for the Assembly and State Senate had strong showings. Incumbent elected officials Assembly Members Brian Dahle, Jim Wood, Monique Limon, Miguel Santiago, and Brian Maienschein were all reelected. In the statewide races, Gavin Newsom won his race for Governor and Xavier Becerra was elected to his first full term as Attorney General after being appointed by Governor Jerry Brown in 2017.

In addition to our support of candidates, California ACEP took a position on two ballot initiatives – Yes on Proposition 2 and No on Proposition 8. Prop. 2 amends the Mental Health Services Act to fund the No Place Like Home Program, which finances housing for individuals with mental illness. Prop. 8 caps the allowable reimbursement amounts by insurance companies for dialysis care; we argued that arbitrary price caps on providers are not health care solutions. Proposition 2 passed and Proposition 8 was defeated, both by resounding margins.

Thanks to generous contributions to EMPAC by California ACEP members like you, emergency physicians have become a force to be reckoned with in California politics. As strong as our results have been in the 2018 election cycle, the strength and influence of our opponents in Sacramento cannot be underestimated. Without member involvement and contributions from all of our donors, we will not be able to continue to develop and elect emergency medicine champions.

For more information on how to make a contribution to EMPAC, please contact us at info@californiaacep.org or by calling the Chapter office at (916) 325-5455.

CANDIDATES SUPPORTED BY EMPAC IN THE 2018 ELECTION CYCLE INCLUDE:

• Antonio Villaraigosa – Governor – Lost in Primary

• Gavin Newsom – Governor – Won with 60.8% of the vote

• Dave Jones - Attorney General – Lost in Primary

• Xavier Becerra - Attorney General – Won with 62.3% of the vote

• Senator Richard Pan (SD 6) – Won with 68.9% of the vote

• Assembly Member Brian Dahle (AD 1) – Won with 64.1% of the vote

• Assembly Member Jim Wood (AD 2) – Won with 66.7% of the vote

• Assembly Member Kevin McCarty (AD 7) – Won with 68.9% of the vote

• Robert Rivas (AD 30) – Won with 65.9% of the vote

• Assembly Member Joaquin Arambula (AD 31) – Won with 62.1% of the vote

• Assembly Member Monique Limon (AD 37) – Won with 79.2% of the vote

• Assembly Member Eloise Gomez Reyes (AD 47) – Won with 100% of the vote

• Assembly Member Richard Bloom (AD 50) – Won with 100% of the vote

• Assembly Member Wendy Carrillo (AD 51) – Won with 86.6% of the vote

• Assembly Member Miguel Santiago (AD 53) – Won with 70.9% of the vote

• Josh Lowenthal (AD 72) – Lost with 46.9% of the vote

• Assembly Member Brian Maienschein - AD 77) – Won with 51.4% of the vote

• Assembly Member Lorena Gonzalez Fletcher (AD 80) – Won with 72.2% of the vote

OUTCOME OF BALLOT PROPOSITIONS:

• Proposition 51 (School Bonds) – Passed with 55.1% of the vote

• Proposition 1 (Bonds to Fund Veteran and Affordable Housing) – Passed with 55.1% of the vote

• Proposition 2* (Amend Existing Housing Program for Mental Illness) – Passed with 62.3% of the vote

• Proposition 3 (Bond for Water and Environmental Projects) – Failed 46.3% to 53.7%

• Proposition 4 (Bond for Children's Hospital Construction) – Passed with 61.4% of the vote

• Proposition 5 (Senior Property Reduction) – Failed 40.9% to 59.1%

• Proposition 6 (Repeal of Fuel Tax Approved by Voters) – Failed 43.5% to 56.5%

• Proposition 7 (Change Daylight Saving Time Period) – Passed with 60.2% of the vote

• Proposition 8* (Regulates Kidney Dialysis Treatment Charges) – Failed 39.3% to 60.7%

• Proposition 9 – Did not appear on the ballot

• Proposition 10 (Rental Control on Residential Property) – Failed 39.3.8% to 60.7%

• Proposition 11 (Emergency Ambulance Employees On-call) – Passed with 60.2% of the vote

• Proposition 12 (Farm Animals Confinement Standards) – Passed with 61.8% of the vote

*California ACEP supported Prop. 2 and opposed Prop. 8. n

DECEMBER 2018 | 9

2 0 1 8 ACEP

By Susanne J. Spano, MD, FACEP and Vik Gulati, MD, FACEP

Council Meeting Recap

GUEST ARTICLE |

10 | LIFELINE a forum for emergency physicians in california

A CEP held another successful Council Meeting this year, and the California

delegation included thirty Councillors, three Alternate Councillors, and five Past

Leaders. ACEP’s 2018 Annual Council Meeting was held on September 29th and

September 30th at the Manchester Grand Hyatt, San Diego, CA. Over 420 Councillors were

present this year. Forty eight resolutions were sent to Reference Committees and voted

on in Council. Two late resolutions (<90 days) were withdrawn by the Utah Chapter. There

were no emergent resolutions (<24 hours). Elections for the ACEP President-elect and

Board of Directors were also held. Below is a recap of the resolutions and election results.

REFERENCE COMMIT TEE A:

Bylaws and Governance Resolutions included the Commendation of Dr. John Rogers, supported by 53 chapters and 27 sections standing together in thanks for his service to emergency medicine. The American College of Osteopathic Emergency Physicians was recognized as an organization meeting criterion for a seat on the Council. Divestment from fossil fuel-related companies was argued

as good for the environment, our patients, and for air quality - but was not adopted under concerns of complexity of implementation and concerns that such a resolution was beyond the scope of ACEP bylaws. EMRA passionately argued physician suicide should be treated as a sentinel event. Multiple amendments and substitutions were presented and refuted by the Council. The Council recognized this was a major issue and continues to explore the best way to help members and prevent suicide.

DECEMBER 2018 | 11

REFERENCE COMMIT TEE B:

Advocacy and public policy resolutions were heavily debated. Outside mandates on meeting safe shelter requirements prior to discharge of homeless patients were formally opposed. Emergency department copayments for Medicaid beneficiaries were discouraged, as they do not decrease ED utilization, and attempts to collect from medically indigent persons was argued to be futile, unethical, and costly. Funding for Buprenorphine-Naloxone treatment programs was unanimously adopted. The Council asked the Board to address drug shortages rather than take a stand now against group purchasing organizations (GPOs) as an identified contributor. A brief battle ensued regarding a patient’s right to privacy regarding inclusion of Methadone in state drug and prescription databases, but ultimately methadone was conceded to be no different than other prescription opiates listed in such databases. Separation of migrant children from their caregivers was hotly debated. Although ACEP has previously released a press statement on this topic, the resolution was adopted. An additional resolution on immigration was referred to the ACEP Board of Directors.

REFERENCE COMMIT TEE C:

Emergency medicine practice resolutions, apart from recreational cannabis use which was not adopted after much debate, were either wordsmithed or approved on the consent agenda. A resolution on expert witness testimony was referred to the ACEP Board of Directors.

ELEC TIONS:

ACEP President: Vidor Freidman (FL)

ACEP President-Elect: William Jaquis (FL)

Board of Directors:

Christopher Kang (WA) incumbent

Mark Rosenberg (NJ) incumbent

John (JT) Finnell (IN)

Anthony Cirillo (RI)

COMMIT TEE A

Resolution 6: Commendation of Dr. John Rogers - Adopted

Resolution 9: American College of Osteopathic Emergency Physicians Councilor Allocation –Bylaws Amendment - Adopted

Resolution 10: Achieving Unity by Expanding Criteria for Eligibility & Approval of Organizations Seeking Representation in the Council – College Manual Amendment - Not Adopted

Resolution 11: Codifying the Leadership Development Advisory Group (LDAG) - Council Standing Rules - Adopted

Resolution 12: Nominating Committee Revision to Promote Diversity – Council Standing Rules Amendment - Adopted

Resolution 13: Growth of the ACEP Council - Adopted

Resolution 14: Diversity of ACEP Councilors - Adopted

Resolution 15: Divestment from Fossil Fuel-Related Companies - Not Adopted

Resolution 16: No More Emergency Physician Suicides - Adopted

Resolution 17: Physician Suicide is a Sentinel Event - Not Adopted

Resolution 18: Reducing Physician Barriers to Mental Health Care - Adopted

Resolution 19: Reduction of Scholarly Activity Requirements by the ACGME - Adopted

Resolution 20: Verification of Training - Adopted

REFERENCE COMMITTEE B (ADVOCACY/PUBLIC POLICY)

Resolution 21: Adequate Resources for Safe Discharge Requirements - Adopted

Resolution 22: Addressing Mental Health Treatment Barriers Created by the IMD Exclusion - Adopted

Resolution 23: Advocating for CMS Policy Restraint to Avoid Restricting Quality Emergency Care - Adopted

Resolution 24: ED Copayments for Medicaid Beneficiaries - Adopted

Resolution 25: Funding for Buprenorphine-Naloxone Treatment Programs - Adopted

Resolution 26: Funding of Substance Use Intervention and Treatment Programs - Adopted

Resolution 27: Generic Injectable Drug Shortages - Referred to ACEP Board of Directors

Resolution 28: Inclusion of Methadone in State Drug and Prescription Databases - Adopted

Resolution 29: Insurance Collection of Patient Financial Responsibility - Adopted

Resolution 30: Naloxone Layperson Training - Adopted

Resolution 31: Payment of Opioid Sparing Pain Treatment Alternatives - Adopted

Resolution 32: POLST forms - Adopted

Resolution 33: Separation of Migrating Children from Their Caregivers - Adopted

2 0 1 8 ACEP Council Meeting Recap

12 | LIFELINE a forum for emergency physicians in california

Resolution 34: Violence is a Health Issue - Adopted

Resolution 35: ACEP Policy Related to Immigration - Referred to ACEP Board of Directors

REFERENCE COMMIT TEE C (EMERGENCY MEDICINE PRAC TICE)

Resolution 36: ACEP policy related to medical cannabis - Adopted

Resolution 37: ACEP Policy Related to “Recreational” cannabis - Not Adopted

Resolution 38: Antimicrobial Stewardship - Adopted

Resolution 39: Care of the Boarded Behavioral Health Patient - Adopted

Resolution 40: Care of individuals with Autism Spectrum Disorder in the ED - Adopted

Resolution 41: ED and EP Role in the Completion of Death Certificates - Adopted

Resolution 42: Expert Witness Testimony - Referred to ACEP Board of Directors

Resolution 43: Fair Remuneration in Health Care - Not Adopted

Resolution 44: Firearm Safety and injury Prevention Policy Statement - Adopted

Resolution 45: Support for Extreme Risk Protection orders to Minimize Harm - Adopted

Resolution 46: Law Enforcement information gathering in the ED policy statement - Adopted

Resolution 47: Supporting Medication for opioid use disorder - Adopted

Resolution 48: Surreptitious recording in the ED - Adopted

L ATE RESOLUTIONS

Resolution 49 in memory of C. Christopher King, MD, FACEP – Adopted

Resolution 50 in memory of John Emory Campbell, MD, FACEP - Adopted n

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California GraduatesCalifornia has 19 residency programs with approximately 200 emergency medicine graduates each year. Nine programs participated in our "Where are they going" request and we are happy to share where you can find California graduates in 2019.

1 - Peru1 - New Zealand

DECEMBER 2018 | 13

STANFORD/KAISER

6MIN

Brian Ichwan, MD - St. Francis Medical Center, Lynwood, CAJune Gordon, MD - Stanford University, Palo Alto, CAKirsten Hornbeak, MD - Redlands Community Hospital, San Bernardino, CAMegan Storm, MD - Clovis Community Medical Center, Clovis, CAPhilip Buss, MD - Kaiser Permanente, Sacramento/Roseville, CASiobhan Smith, MD - Stanford University, Palo Alto, CAThomas Gildea, MD - O'Conner Hospital, San Jose, CAWilliam Dixon, MD - Stanford University, Palo Alto, CACasey Dart, MD - US Acute Care Solutions, Denver, COJessica Rainey, MD - US Acute Care Solutions, Denver, COKristina Evans, MD - US Acute Care Solutions, Denver, COCarter Neugarten, MD - Northwestern University, Chicago, ILAlexander Zozula, MD - University of Cincinnati, Cincinnati, OHColin Little, MD - University of Utah, Salt Lake City, UT

UC DAVIS

UC SAN D IEGO

UCSF

Adam Hawkins, DO - Eastern Sierra EP- Northern NYO Hospital, Bishop, CABjork Olafsdottir, MD - UC Davis Ultrasound Fellowship, Sacramento, CABrian Harms, MD - Memorial Med Ctr, Modesto & Rideout Memorial Hospital, Marysville, CAGarrett Thiel, MD - Cottage Hospital, Santa Barbara, CAJon Haynes, MD - Rideout Health, Yuba City, CASam Jeppsen, MD - Rideout Regional Medical Center, Marysville, CASuzie Ondak, MD - Sutter Hospital, Rosevilla, CATaylor Stayton, MD - Kaiser Permanente, Oakland/Richmond, CAWhitney Dufresne, MD - Kaiser- Kaiser Permanente North Valley, Sacramento CAKaty Swim, DO - The Emrgency Group, Queens Med Ctr, Oahu, HIKelly Gray, MD - Calvert Memorial Hospital, Prince Frederick MDOliver Dutczak, DO - Middlemore Hospital, Auckland, New ZealandBrian Biagi, MD - Reno EP - St. Mary's Medical Center, Reno, NVTravis Anderson, MD, MBA - Northern NV EP -Renown Hospital, Reno, NV

Nicholas Aldridge, MD - Kaiser Permanente, San Diego, CAJoseph Brown, MD - University of California, San FranciscoJames Corbett-Detig, MD - Pioneers Memorial Hospital, Brawley, CABrenna Derksen, MD - University of California, San DiegoThomas Ence, MD - Pioneers Memorial Hospital & SHARP Chula Vista, CANancy Glober, MD - Stanford MedicineThien Nguyen, MD - Kaiser Permanente, Los Angeles, CACameron Smyres, MD - University of California, San DiegoMark Darocki, DO - Ocean Medical Center, Brick, NJ

Brian Chang, MD - Adventist Health Clear Lake, Clear Lake, CACharles Murphy IV, MD - UCSF Emergency Medicine - Clinical Research FellowshipChloe Thomas, MD - UCSF/ZSFG and Kaiser Permanente East BayDelphine Huang, MD - Stanford - Biodesign FellowshipDivya Thapar Ray, MD - Kaiser Permanente Walnut Creek and Kaiser Permanente AntiochGabriel Sudario, MD - UC Irvine Emergency Medicine, Multimedia Design Education Technology FellowshipGretchen Fuller, MD - UCSF/ZSFG and Kaiser Permanente San FranciscoKarla Canseco, MD - UCSF/ZSFG and Kaiser Permanente OaklandNida Degesys, MD - Stanford Emergency Medicine - Administrative FellowshipRosny Daniel, MD - UCSF Emergency Medicine - Medical Education FellowshipSteven Straube, MD - UCSF/ZSFG and St. Mary's Medical CenterJulia Chang Bullick, MD - Kaiser Permanente Sunnyside Medical Center, Portland, OR

11 CA

1 OR

NJ

1 CA

8

CA

9 HI

1 MD

1 1 NEW

ZEALAND

1 NV

CA

8 CO

3 IL

1 OH

1 UT

1

WHERE ARE THEY GOING?

ARROWHEADAlex Jabourian, DO ARMC - EMS Fellowship, Colton, CABraeden Carrico, DO - Queen of the Valley, Glendora, CAEric Sechrist, DO - Pomona Valley Hospital, Pomona, CAKathryn Seiler, DO - Twin Cities Community Hospital, Templeton, CALauren Bennallack, DO - Mercy Medical Center, Redding, CALiezl Avila, DO - Mountain View Physician Group- San Antonio Regional, Upland, CANina Jabourian, DO - Kaiser- Fontana/Ontario, Fontana, CASara Wattenbarger, DO - Kaweah Delta/Selma Adventist, Visalia, CATifany Hoyne, DO - Regional San Jose, San Jose, CA

Eben Clattenburg, MD - Tuba City Regional Health Care Corporation. Tuba City, AZAmarinder Singh, MD - Oakcare/Highland, Alameda, San Leandro HospitalsBen Thomas, MD - Associate Physician, Kaiser Permanente San LeandroClaire Lyons, MD  - Berkeley Emergency Medicine Group/Summit Alta BatesDara Mendelsohn, MD  - Associate Physician, Kaiser Permanente Central ValleyDavid Martin, MD - Highland Emergency Medicine FellowshipMonique Smith, MD - Emory University Emergency Medicine Residency FacultyPeter Wroe, MD - Associate Physician, Kaiser Permanente East BayAustin Kilaru, MD - National Clinical Scholars Program, Univ of PA Health Policy FellowshipAndrea Dreyfuss, MD - Highland Ultrasound Fellowship, ACEP Ambassador to Peru

Andrew Stolle, MD - Scripps Mercy, San Diego, CAAndrew Williamson, MD - Sharp Memorial, San Diego, CACharles (Chuck) Yu, MD - Kaiser Permanente, West Los AngelesEmily Utschig, DO - Kaiser Permanente, San DiegoKyle Brodmann, MD - Kaiser Permanente, San DiegoSeth Meyer, MD - Kaiser Permanente Pacific Northwest, Portland, OR

HIGHLAND

KAISER SAN D IEGO

LAC-HARBOR UCLA

2018 Graduates

KAWEAH DELTA Renee DeNolf, DO - Kaweah Delta Health Care DistrictStephen Wolfe, DO - Mercy Medical Center, Redding CA, Dignity HealthXi Damrell, MD - Methodist Hospital of Sacramento, Sacramento CAYong Hwan Kwon, MD - Redlands Community Hospital, Redlands CAJuan Arhancet, DO - Jackson Memorial Hospital at the University of Miami, FLBriah Koch, MD - Mountainside Hospital, Montclair, NJ

Anthony Lucero, MD - Kaweah Delta Med Center,  Visalia, CAChristopher Redgate, MD - Harbor-UCLA Med Center, PEM FellowshipCraig Allred, MD - Kaiser, Fontana, CADaena Watcha, MD - Good Samaritan Hospital, San Jose, CAHemang Archaya, MD - UCLA, IDHEAL FellowshipJung-Eun Lim, MD - Kaiser, LA areaKaoru Itakuara, MD - Kaiser, South San FranciscoKristina Shigyo, MD - Intl. Med Corps & St. Mary Med Center, Long Beach, CAMark Paulsen, MD - Mission Hospital, Laguna Beach, CAMary Ann Gallup, MD - PIH Health Hospital, Whittier, CAMichael Hwang, MD - Kaiser, Redwoods and San Leandro, CATrevor Wilson, MD - Ventura County Hospital, Ventura, CAZiyad Khesbak, MD - California Hospital, Los Angeles & Harbor-UCLABennett Lee, MD - Wahiawa General, HawaiiDwayne Corcoran, MD - Mt. Sinai, Holy Cross Hospital, Chicago, ILTom Fadial, MD - UT Houston, TX

CA

13 HI

1 IL

1 TX

1

CA

4 FL

1 NJ

1

CA

5 OR

1

CA

7 AZ

1 PA

1 PERU

1

CA

9

WHERE ARE THEY GOING?

ARROWHEADAlex Jabourian, DO ARMC - EMS Fellowship, Colton, CABraeden Carrico, DO - Queen of the Valley, Glendora, CAEric Sechrist, DO - Pomona Valley Hospital, Pomona, CAKathryn Seiler, DO - Twin Cities Community Hospital, Templeton, CALauren Bennallack, DO - Mercy Medical Center, Redding, CALiezl Avila, DO - Mountain View Physician Group- San Antonio Regional, Upland, CANina Jabourian, DO - Kaiser- Fontana/Ontario, Fontana, CASara Wattenbarger, DO - Kaweah Delta/Selma Adventist, Visalia, CATifany Hoyne, DO - Regional San Jose, San Jose, CA

Eben Clattenburg, MD - Tuba City Regional Health Care Corporation. Tuba City, AZAmarinder Singh, MD - Oakcare/Highland, Alameda, San Leandro HospitalsBen Thomas, MD - Associate Physician, Kaiser Permanente San LeandroClaire Lyons, MD  - Berkeley Emergency Medicine Group/Summit Alta BatesDara Mendelsohn, MD  - Associate Physician, Kaiser Permanente Central ValleyDavid Martin, MD - Highland Emergency Medicine FellowshipMonique Smith, MD - Emory University Emergency Medicine Residency FacultyPeter Wroe, MD - Associate Physician, Kaiser Permanente East BayAustin Kilaru, MD - National Clinical Scholars Program, Univ of PA Health Policy FellowshipAndrea Dreyfuss, MD - Highland Ultrasound Fellowship, ACEP Ambassador to Peru

Andrew Stolle, MD - Scripps Mercy, San Diego, CAAndrew Williamson, MD - Sharp Memorial, San Diego, CACharles (Chuck) Yu, MD - Kaiser Permanente, West Los AngelesEmily Utschig, DO - Kaiser Permanente, San DiegoKyle Brodmann, MD - Kaiser Permanente, San DiegoSeth Meyer, MD - Kaiser Permanente Pacific Northwest, Portland, OR

HIGHLAND

KAISER SAN D IEGO

LAC-HARBOR UCLA

2018 Graduates

KAWEAH DELTA Renee DeNolf, DO - Kaweah Delta Health Care DistrictStephen Wolfe, DO - Mercy Medical Center, Redding CA, Dignity HealthXi Damrell, MD - Methodist Hospital of Sacramento, Sacramento CAYong Hwan Kwon, MD - Redlands Community Hospital, Redlands CAJuan Arhancet, DO - Jackson Memorial Hospital at the University of Miami, FLBriah Koch, MD - Mountainside Hospital, Montclair, NJ

Anthony Lucero, MD - Kaweah Delta Med Center,  Visalia, CAChristopher Redgate, MD - Harbor-UCLA Med Center, PEM FellowshipCraig Allred, MD - Kaiser, Fontana, CADaena Watcha, MD - Good Samaritan Hospital, San Jose, CAHemang Archaya, MD - UCLA, IDHEAL FellowshipJung-Eun Lim, MD - Kaiser, LA areaKaoru Itakuara, MD - Kaiser, South San FranciscoKristina Shigyo, MD - Intl. Med Corps & St. Mary Med Center, Long Beach, CAMark Paulsen, MD - Mission Hospital, Laguna Beach, CAMary Ann Gallup, MD - PIH Health Hospital, Whittier, CAMichael Hwang, MD - Kaiser, Redwoods and San Leandro, CATrevor Wilson, MD - Ventura County Hospital, Ventura, CAZiyad Khesbak, MD - California Hospital, Los Angeles & Harbor-UCLABennett Lee, MD - Wahiawa General, HawaiiDwayne Corcoran, MD - Mt. Sinai, Holy Cross Hospital, Chicago, ILTom Fadial, MD - UT Houston, TX

CA

13 HI

1 IL

1 TX

1

CA

4 FL

1 NJ

1

CA

5 OR

1

CA

7 AZ

1 PA

1 PERU

1

CA

9

14 | LIFELINE a forum for emergency physicians in california

SAVE THE DATE

Legislative Leadership Conference (LLC) April 23, 2019 | Sacramento, California

CALIFORNIA ACEP SPONSORED & CO-SPONSORED COURSES

41st Annual Emergency Medicine In Yosemite January 16-19, 2019 | Yosemite, CA

SUBMIT A LIFELINE ARTICLE

Looking for a way to share your emergency medicine experience? Want to share a story from your last shift? Or maybe career or life advice? We're looking for member and guest articles, including letters-to-the-editor. Please note that all articles and letters are reviewed and may be edited for grammar and content.

If you would like more information or would like to submit a guest article, email info@californiaacep.org.

The California Emergency Medicine Advocacy Fund

(CEMAF) has transformed California ACEP’s advocacy

efforts from primarily legislative to robust efforts in

the legislative, regulatory, legal, and through the

Emergency Medical Political Action Committee,

political arenas. Few, if any, organization of our size

can boast of an advocacy program like California ACEP’s;

a program that has helped block Medi-Cal provider rate

cuts, lock in $500 million for the Maddy EMS Fund over

the next 10 years, and fight for ED overcrowding solutions!

The efforts could not be sustained without the generous

support from the groups listed below, some of whom have

donated as much as $0.25 per chart to ensure that California

ACEP can fight on your behalf. Thank you to our 2017-18

contributors (in alphabetical order):

• Alvarado Emergency Medical Associates

• Antelope Valley Emergency Medical Associates

• Beach Emergency Medical Associates

• Chino Emergency Medical Associates

• Coastline Emergency Physicians Medical Group

• Culver Emergency Medical Group

• Hollywood Presbyterian Emergency Medical Associates

• Las Cruces Emergency Medical Associates

• Los Alamos Emergency Medical Associates

• Mills Peninsula Emergency Medical Group

• Orange County Emergency Medical Associates

• Pacific Coast Emergency Medical Associates

• Riverside Emergency Physicians

• San Dimas Emergency Medical Associates

• Sherman Oaks Emergency Medical Associates

• South Coast Emergency Medical Group, Inc.

• Tarzana Emergency Medical Associates

• TeamHealth

• Temecula Valley Emergency Physicians, Inc.

• US Acute Care Solutions

• Valley Emergency Medical Associates

• Valley Presbyterian Emergency Medical Associates

• Vikant Gulati, MD

• Vituity

• West Hills Emergency Medical Associates

CEMAF ANNOUNCEMENTS |

16 | LIFELINE a forum for emergency physicians in california

For more information on upcoming meetings, please e-mail us at info@californiaacep.org; unless otherwise noted, all meetings are held via conference call.

| CALIFORNIA ACEP UPCOMING MEETINGS & DEADLINES

DECEMBER 2018

SUN MON TUES WED THURS FRI SAT

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SUN MON TUES WED THURS FRI SAT

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FEBRUARY 2019

SUN MON TUES WED THURS FRI SAT

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DECEMBER 2018

24th – 31st Winter HolidayChapter Office Closed

JANUARY 2019

1st New Year's Day Office Closed

8th at 9 AM Reimbursement CommitteeConference Call

21st Martin Luther King, Jr DayChapter Office Closed

17th at 10 AM Government Affairs Committee (GAC)Conference Call

FEBRUARY 2019

1st Board of Directors Nominations OpenOnline

7th at 10 AM Board of Directors MeetingSacramento, CA

18th President’s DayChapter Office Closed

DECEMBER 2018 | 17

SOUTHERN CALIFORNIA OPPORTUNITIES:

• Tustin, CA - Orange County - 73-bed community hospital, 8-bed ER, paramedic receiving, low volume. 10 x 24hr = $240,000/yr + incentive

• East Los Angeles - 120-bed community hospital urgent care (non paramedic receiving) volume 700/mo. Guarantee $100/hr.

• Norwalk, CA - 60-bed hospital. 500-600 patient/mo. Paramedic receiving. $110/hr.

• San Fernando Valley - 18000 visits $350000 per year with incentives Med surg with psyche beds. Overlap or NP or PA for busy times.

• HOSPITALIST OPENINGS ALSO AVAILABLE

FAX CV to 213 482 0577 or call 213 482 0588 or email neubauerjanice@gmail.com

SOUTH ORANGE COUNTY: Mission Hospital and Children’s Hospital at Mission, a CMS 5-Star rated full service hospital. We are an established, independent, democratic group staffing this ED for 22 years. Excellent compensation; malpractice paid; scribes; midlevel providers.

We seek an EM residency trained physician for a partnership track. Excellent coverage and midlevel provider support allow for high job satisfaction. UC Irvine EM residents on rotation allow for teaching opportunities. Two full-time, dedicated nocturnists work 6 nights a week. All other physicians average 6 overnight shifts per year!

The department serves both a pediatric and adult base station hospital serving all of south OC. High acuity, 70,000 patients a year, comprehensive referral center, outstanding adult and pediatric sub specialty coverage, adult and pediatric trauma center, STEMI Center, and Stroke Center.

Send CV to: MaryAnn.Hubbard@StJoe.org

VENTURA CALIFORNIA: New hospital under construction and scheduled to open in the Spring of 2018. Central coast of California and 70 miles from LAX. Positions available in two facilities for BC/BE emergency physician. STEMI Center, Stroke Center with on-call coverage of all specialties. Teaching facility with residents in Family Practice, Surgery, Orthopedics and Internal Medicine. Admitting hospital teams for Medicine and Pediatrics. Twenty-four hour OB coverage in house and a well established NICU. Physician’s shifts are 9 hrs and 12 hours of PA/NP coverage. All shifts and providers have scribe services 24/7. Affiliated hospital is a smaller rural facility 20 minutes from Ventura in Ojai. Malpractice and tail coverage is provided. New hires will work days, nights, weekends and weekdays.

Send resume to Alex Kowblansky MD FACEP at kowblansky@cox.net

CAREER OPPORTUNITIES |

To advertise with Lifeline and to take advantage of our circulation of over

3,000 readers, including Emergency Physicians, Groups, and Administrators

throughout California who are eager to learn about what your business has

to offer them, please contact us at info@californiaacep.org or give us a call

at (916) 325-5455.

18 | LIFELINE a forum for emergency physicians in california

Looking for an ITLS course?

EMREF offers the following California providers list:

American Health Education, IncPerry Hookey, EMT-P7300B Amador Plaza Road, Dublin, CA 94568Phone: (800) 483-3615Email: info@americanhealtheducation.comWeb: www.americanhealtheducation.com

American Medical Response (AMR)Ken Bradford, Operations841 Latour Court, Ste D, Napa, CA 94558-6259Phone: (707) 953-5795Email: ken.bradford2@gmail.com

Compliance TrainingJason Manning, EMS Course Coordinator3188 Verde Robles Drive, Camino, CA 95709Phone: (916) 429-5895 Fax: (916) 256-4301 Email: Kurgan911@comcast.net

CSUS Prehospital Education ProgramThomas Oakes, Program Director3000 State University Drive East, Napa Hall, Sacramento, CA 95819-6103Office: (916) 278-4846 Mobile: (916) 316-7388 Email: thomasffp@sbcglobal.netWeb: www.cce.csus.edu

EMS AcademyNancy Black, RN, Course Coordinator1170 Foster City Blvd #107, Foster City, CA 94404 Phone: (866) 577-9197Fax: (650) 701-1968Email: nancy@caems-academy.comWeb: www.caems-academy.com

Please call 916.325.5455 or E-mail Lucia Romo: lromo@californiaacep.org for more information.EMREF is a proud sponsor of California ITLS courses.

ETS – Emergency Training ServicesMike Thomas, Course Coordinator3050 Paul Sweet Road, Santa Cruz, CA 95065Phone: (831) 476-8813 Toll-Free: (800) 700-8444 Fax: (831) 477-4914 Email: mthomas@emergencytraining.comWeb: www.emergencytraining.com

Loma Linda University Medical CenterLyne Jones, Administrative Assistant Department of Emergency Medicine11234 Anderson St., A108, Loma Linda, CA 92354 Phone: (909) 558-4344 x 0 Fax: (909) 558-0102 Email: LJones@ahs.llumc.eduWeb: www.llu.edu

Medic AmbulanceJames Pierson, EMT-P506 Couch Street, Vallejo, CA 94590-2408 Phone: (707) 644-1761 Fax: (707) 644-1784Email: jpierson@medicambulance.netWeb: www.medicambulance.net

Napa Valley CollegeGregory Rose, EMS Co-Director2277 Napa Highway, Napa CA 94558Phone: (707) 256-4596Email: grose@napavalley.edu Web: www.winecountrycpr.com

NCTI – National College of Technical Instruction Lena Rohrabaugh, Course Manager333 Sunrise Ave Suite 500, Roseville, CA 95661 Phone: (916) 960-6284 x 105 Fax: (916) 960-6296Email: jlcasa@caltel.com Web: www.ncti-online.com

PHI Air Medical, CaliforniaEric Lewis, Course Coordinator 801 D Airport Way, Modesto, CA 95354Phone: (209) 550-0884 Fax: (209) 550-0885Email: elewis@philhelico.com Web: http://www.phiairmedical.com

Riggs Ambulance ServiceGreg Petersen, EMT-P, Clinical Care Coordinator100 Riggs Ave, Merced, CA 95340 Phone: (209) 725-7010Fax: (209) 725-7044Email: Gregp@riggsambulance.com Web: www.riggsambulance.com

Rocklin Fire DepartmentChris Wade, Firefighter/Paramedic 3401 Crest Drive, Rocklin, CA 95765 Phone: (916) 625-5311Fax: (209) 725-7044Email: Chris.Wade@rocklin.ca.us Web: www.rocklin.ca.us

Rural Metro AmbulanceBrian Green, EMT-P1345 Vander Way, San Jose, CA 95112 Phone: (408) 645-7345Fax: (408) 275-6744Email: brian.green@rmetro.comWeb: www.rmetro.com

Defib This (ERT)Brian Green, EMT-P1543 Pacific Avenue, Suite 104, Capitol CA 95060Phone: (831) 426-9111Web: www.defibthis.com

Verihealth/Falck Northern California Ken Bradford, Training Coordinator2190 South McDowell Blvd, Petaluma, CA 94954 Phone: (707) 766-2400Email: ken.bradford@falck.com Web: www.verihealth.com

Search for upcoming courses: http://cms.itrauma.org/CourseSearch.aspx

If you are an EMS Director and would like to provide chest, head shock-injury training to your team, contact California ACEP to get started!

ITLS is the only pre-hospital trauma program endorsed by ACEP, since 1986, and is accepted internationally as the standard training course for pre-hospital trauma care.

lifelineCalifornia Chapter, American College of Emergency Physicians

1121 L Street, Suite 407Sacramento, CA 95814

PRSRT STDUS POSTAGE

PAIDCPS

This year's deadline to submit your application to ACEP is December 15th. Don't miss out on FACEP designation!

Apply for Fellow Status!