20
P RESIDENTIAL R EPORT Emergency Medicine Meets with The Director of the NIH Bob Neumar was joking with me recently about how times change. In 1989, Bob was a Sarnoff Fellow, working with me in Chuck Brown’s lab, wrestling pigs to anesthetize them for studies in cardiac arrest and resuscitation. NIH funding was a dream for most of us then. The number of funded EM investigators was easily counted on one hand. A mere 18 years later, we are sitting around a conference room table with some of the most prominent leaders in academic emergency medicine, discussing strategies to synergize emergency medicine research and the Roadmap Initiative with Dr. Elias Zerhouni, Director of the National Institutes of Health. It’s not very often that any of us have a chance to participate in an historic event of this stature and precedent. For me personally, it was a distinct pleasure. The meeting with Dr. Zerhouni was born out of SAEM and ACEP’s desire to follow through on the recommendations of the Institute of Medicine Report on Emergency Care. The IOM Report recommended that the “Department of Health and Human Services should conduct a study to examine the gaps and opportunities in emergency and trauma care research, and recommend a strategy for the optimal organization and funding of the research effort.” SAEM and ACEP had agreed to partner together to exploit this report recommendation to our benefit, using the combined power of ACEP’s advocacy expertise with the research expertise of the SAEM IOM Task Force and the ACEP Research Committee. ACEP’s discussions with the Secretary of DHHS led us to believe that Dr. Zerhouni would be a great audience to hear our concerns on the part of emergency care researchers. In what could best be described as “the value of friends in high places,” Gordon Wheeler and the ACEP advocacy office in Washington were able to secure a meeting between Dr Zerhouni and the leadership of SAEM and the ACEP Research Committee. The rest is history. Bob Neumar, Judd Hollander, Chuck Cairns, Sandy Schneider, Roger Lewis, Gordon Wheeler, and I met with Dr. Zerhouni for a little over an hour. We had planned a very organized presentation which included a number of proposals for incorporating emergency care research into the NIH Roadmap Initiative. We discussed the inclusion of emergency care training grants and emergency care (continued on page 9) S A E M Newsletter of the Society for Academic Emergency Medicine 2007 Volume XVIIII, Number 2 901 N. Washington Ave. Lansing, MI 48906-5137 (517) 485-5484 [email protected] www.saem.org “to improve patient care by advancing research and education in emergency medicine” James Hoekstra, MD AEM Reviewers' Workshop The annual AEM Reviewers' Workshop will be held on Thursday, May 17, 2007, 12:00-1:30 pm, during the SAEM Annual Meeting. The Workshop will focus on common reviewer areas of contention from the manuscript author(s)' point of view and will be coordinated by John Burton, MD. During the Workshop the audience will view historical review- er comments from recent manuscript submissions. The audi- ence and Academic Emergency Medicine editors will discuss the issues raised by these examples in an open discussion forum. Areas that will be covered during the workshop will include reviewer professionalism, reviewer-communicated anecdotes, reviewer comment style and tense, number of reviewers utilized, review size/detail, and the balance between reviewer and editor in ensuring a concise, thorough, and profes- sional review communicated to those submitting a manuscript to Academic Emergency Medicine. All AEM reviewers are invit- ed to attend. In Memory of Eduardo Marvez-Valls, MD By Dr. Peter Deblieux Charity Hospital, New Orleans, LA The LSU Emergency Medicine, Charity Hospital family lost one of its best and brightest faculty members in the fall of 2006. Dr. Marvez-Valls was an Associate Clinical Professor of Emergency Medicine and faculty member for over two decades. He was an Associate Program Director for emergency medicine; helping shape the training of over 200 residents as they became emergency medicine physicians. Dr. Marvez-Valls was an expe- rienced EMS Director, Special Event Medical Director, researcher, and educator with active memberships in ACEP, AAEM, CORD and SAEM. He established the LSU International EM program, initiating rotations across the globe. Dr. Marvez- Valls was an educator and mentor to paramedics, fire fighters, medical students, nurses, nurse practitioners, residents and his peers. He was recognized as the LSU EM Faculty Member of the Year and EM faculty member of the Decade. He was the consummate care provider attending to adult and pediatric patients within the Charity Hospital system. His colleagues note that Eduardo was a splendid Humanist and Philosopher with a never give up attitude. He was a fierce advocate for residents and patients, and was proof that a robust life outside medicine is essential for balance and happiness. Certainly, our specialty has been changed for the better through Dr. Eduardo Marvez- Valls’ contributions. He will be greatly missed. Dr. Eduardo Marvez-Valls is survived by his mother, brother, sister and life long companion, Robert Ripley. March/April

March-April 2007

Embed Size (px)

DESCRIPTION

SAEM March-April 2007 Newsletter

Citation preview

Page 1: March-April 2007

1

PRESIDENTIAL REPORT

Emergency MedicineMeets with The

Director of the NIHBob Neumar was joking with

me recently about how timeschange. In 1989, Bob was aSarnoff Fellow, working with me inChuck Brown’s lab, wrestling pigsto anesthetize them for studies incardiac arrest and resuscitation.NIH funding was a dream for most

of us then. The number of funded EM investigators waseasily counted on one hand. A mere 18 years later, we aresitting around a conference room table with some of themost prominent leaders in academic emergency medicine,discussing strategies to synergize emergency medicineresearch and the Roadmap Initiative with Dr. Elias Zerhouni,Director of the National Institutes of Health. It’s not veryoften that any of us have a chance to participate in anhistoric event of this stature and precedent. For mepersonally, it was a distinct pleasure.

The meeting with Dr. Zerhouni was born out of SAEMand ACEP’s desire to follow through on therecommendations of the Institute of Medicine Report onEmergency Care. The IOM Report recommended that the“Department of Health and Human Services should conducta study to examine the gaps and opportunities inemergency and trauma care research, and recommend astrategy for the optimal organization and funding of theresearch effort.” SAEM and ACEP had agreed to partnertogether to exploit this report recommendation to ourbenefit, using the combined power of ACEP’s advocacyexpertise with the research expertise of the SAEM IOM TaskForce and the ACEP Research Committee. ACEP’sdiscussions with the Secretary of DHHS led us to believethat Dr. Zerhouni would be a great audience to hear ourconcerns on the part of emergency care researchers. Inwhat could best be described as “the value of friends inhigh places,” Gordon Wheeler and the ACEP advocacyoffice in Washington were able to secure a meeting betweenDr Zerhouni and the leadership of SAEM and the ACEPResearch Committee. The rest is history.

Bob Neumar, Judd Hollander, Chuck Cairns, SandySchneider, Roger Lewis, Gordon Wheeler, and I met with Dr.Zerhouni for a little over an hour. We had planned a veryorganized presentation which included a number ofproposals for incorporating emergency care research intothe NIH Roadmap Initiative. We discussed the inclusion ofemergency care training grants and emergency care

(continued on page 9)

SAEM

Newsletter of the Society for Academic Emergency Medicine

2007 Volume XVIIII, Number 2

901 N. Washington Ave.Lansing, MI 48906-5137

(517) [email protected]

“to improve patient care by advancing research and education in emergency medicine”“to improve patient care by advancing research and education in emergency medicine”

James Hoekstra, MD

AEM Reviewers' WorkshopThe annual AEM Reviewers' Workshop will be held on

Thursday, May 17, 2007, 12:00-1:30 pm, during the SAEMAnnual Meeting. The Workshop will focus on common reviewerareas of contention from the manuscript author(s)' point of viewand will be coordinated by John Burton, MD.

During the Workshop the audience will view historical review-er comments from recent manuscript submissions. The audi-ence and Academic Emergency Medicine editors will discussthe issues raised by these examples in an open discussionforum. Areas that will be covered during the workshop willinclude reviewer professionalism, reviewer-communicatedanecdotes, reviewer comment style and tense, number ofreviewers utilized, review size/detail, and the balance betweenreviewer and editor in ensuring a concise, thorough, and profes-sional review communicated to those submitting a manuscriptto Academic Emergency Medicine. All AEM reviewers are invit-ed to attend.

In Memory ofEduardo Marvez-Valls, MD

By Dr. Peter Deblieux Charity Hospital, New Orleans, LA

The LSU Emergency Medicine, Charity Hospital family lostone of its best and brightest faculty members in the fall of 2006.Dr. Marvez-Valls was an Associate Clinical Professor ofEmergency Medicine and faculty member for over two decades.He was an Associate Program Director for emergency medicine;helping shape the training of over 200 residents as they becameemergency medicine physicians. Dr. Marvez-Valls was an expe-rienced EMS Director, Special Event Medical Director,researcher, and educator with active memberships in ACEP,AAEM, CORD and SAEM. He established the LSU InternationalEM program, initiating rotations across the globe. Dr. Marvez-Valls was an educator and mentor to paramedics, fire fighters,medical students, nurses, nurse practitioners, residents and hispeers. He was recognized as the LSU EM Faculty Member ofthe Year and EM faculty member of the Decade. He was theconsummate care provider attending to adult and pediatricpatients within the Charity Hospital system. His colleagues notethat Eduardo was a splendid Humanist and Philosopher with anever give up attitude. He was a fierce advocate for residentsand patients, and was proof that a robust life outside medicineis essential for balance and happiness. Certainly, our specialtyhas been changed for the better through Dr. Eduardo Marvez-Valls’ contributions. He will be greatly missed. Dr. EduardoMarvez-Valls is survived by his mother, brother, sister and lifelong companion, Robert Ripley.

March/April

Page 2: March-April 2007

2

Call for Proposals2008 AEM Consensus Conference

Deadline: April 2, 2007The editors of Academic Emergency Medicine are accepting proposals for the 2008 AEM ConsensusConference, which will be held on May 28, 2008, the day before the SAEM Annual Meeting, inWashington, DC.

Proposals must advance a topic relevant to emergency medicine that is conducive to the development of a researchagenda and be spearheaded by thought leaders from within the specialty of emergency medicine. The goals of theAEM consensus conferences are to heighten awareness related to the topic, discuss the current state of knowledgeabout the topic, identify knowledge gaps, propose needed research, and issue a call to action to allow future progress.Previous topics have included errors in emergency medicine, the unraveling safety net, quality/best practices in emer-gency care, information technology in emergency medicine, disparities in emergency care, emergency research withoutinformed consent, the science of surge, and knowledge translation.

Developed proposals will be reviewed on a competitive basis by the AEM Editorial Board. The topic chosen for the2008 AEM Consensus Conference will be announced at the SAEM Business Meeting during the 2007 Annual Meetingin Chicago. Proceedings of the meeting and original contributions related to the topic will be published exclusively byAEM in its Special Topic Issue in November 2008.

Submitters are strongly advised to review the Special Topic issues of previous AEM Consensus Conferences (seeNovember issues of AEM) to guide the development of their proposals. Proposals must include the following:

1. Introduction of the topic• brief statement of relevance• justification for this topic choice

2. Proposed conference chairs and sponsoring groups (i.e., SAEM interest groups, committees)3. Proposed conference agenda and proposed presenters

• plenary lectures• panels• breakout topics and questions for discussion

4. Anticipated audience• stakeholder groups/organizations• federal regulators• national researchers and educators• others

5. Anticipated budget6. Potential funding sources and strategies for securing conference funding

Proposals must be submitted electronically to the AEM office at [email protected] no later than April 2, 2007 at 5:00 PMEastern Time. Questions may also be directed to [email protected].

SAEM

Call for AdvisorsThe SAEM Virtual Advisor Program has been a tremendous success. Hundreds of medical students have been served.

Most of them attended schools without an affiliated EM residency program. Their “virtual” advisors served as their onlylink to the specialty of Emergency Medicine. Some students hoped to learn more about a specific geographic region,while others were anxious to contact an advisor whose special interest matched their own.

As the program increases in popularity, more advisors are needed. New students are applying daily. Please considermentoring a future colleague by becoming a virtual advisor today. We currently have a special need for osteopathicemergency physicians to serve as advisors. It is a brief time commitment; most communication takes place via e-mailat your convenience. Informative resources and articles that address topics of interest to your virtual advisees are avail-able on the SAEM medical student website. This program is currently being revised. If you are interested in being an advi-sor please send an email to the SAEM office at [email protected]. Please encourage your colleagues to join you today asa virtual advisor.

Page 3: March-April 2007

Call for Papers: Knowledge TranslationDeadline: March 1, 2007

The 2007 Academic Emergency Medicine Consensus Conference on “Knowledge Translation in EmergencyMedicine” will be held on May 15, immediately preceding the SAEM Annual Meeting in Chicago. Original papers,if accepted, will be published together with the conference proceedings in the November 2007 issue of AcademicEmergency Medicine.

Knowledge Translation (KT) describes any activity or process that facilitates the transfer of high-quality evidencefrom research into effective changes in health policy, practice or products. KT attempts to conceptually combineelements of research, education, quality improvement and electronic systems development to create a seamlesslinkage between interventions that improve patient care and their routine implementation in daily clinical practice.KT research may pertain to any and all aspects of this endeavor.

Examples of research topics that would qualify under this category include:

• Investigations of attitudes towards the use of decision rules or practice guidelines.

• Studies of effectiveness of decision support systems in increasing utilization of target interventions.

• Studies of the effectiveness of educational/CPD (Continuing Professional Development) interventions inchanging practitioner behavior.

• Papers in the health care policy arena that describe and measure the impact of approaches for closingthe research to practice gap.

• Research that examines the effect of evidence uptake interventions on patient outcomes.

• Papers that discuss and contribute to the methodology of KT related investigations, as well as its con-ceptual framework. The conference will be designed and conducted to reach consensus on:

• A research agenda in Knowledge Translation based on an exploration of the most important gapsthat currently exist between research and practice in Emergency Medicine.

• Recommendations that will advance the KT agenda.

Original contributions describing relevant research or concepts in this topic will be considered for publication inthe November 2007 special topics issue of AEM if received by Wednesday, March 1, 2007. All submissions willundergo peer review and publication cannot be guaranteed. For queries, please contact Dr. Eddy S. Lang, MD,Consensus Conference Coordinator; [email protected], 514-340-8222 x. 5568, or Richard Sinert, MD, AEMEditor for the special issue; [email protected], or consult the SAEM Newsletter and the AEM andSAEM websites.

3

SAEM

Page 4: March-April 2007

Join us in the Windy City – SAEM Annual Meeting May 2007Deb Houry, MD, MPHEmory UniversitySAEM Program Committee Chair

The Program Committee has been busy finalizing theAnnual Meeting for this upcoming May in Chicago and wehope that you are planning to attend. We’ve had a busy fewmonths finalizing the didactic grid and selecting abstracts.Below are our latest updates.

Social Events:This year the plenary session will not start until 1pm on Day

One, allowing attendees to have committee meetings thatmorning or to fly in on the first day. We will have a coffeebreak prior to the plenary session so that attendees cansocialize. Also as a result of the abbreviated Day One, theopening reception will be shortened to a brief happy hourreception so that Annual Meeting attendees can have a drink,grab some food, and reconnect with other SAEM members.

For Thursday night, we obtained group rates for twoChicago venues, a blues club and a comedy club. You canpurchase tickets for either event through the online SAEM reg-istration form. Spend a night out on the town discoveringwhat has made Chicago the home for blues music. For thisoption, the SAEM discounted admission price of $19.50 getsyou in to two blues clubs, and two drinks. http://www.bluechicago.com/index.html

The other choice, Zanies Comedy Nightclub is located inthe heart of Old Town, and is the oldest comedy club inChicago, around since 1978. Headlining on May 17th will beJames Johann, one of the three stars of The Slackers Tour, thelatest national tour from the producers of "The Blue CollarComedy Tour." Admission is $22, with a two-drink minimum.http://www.chicago.zanies.com/index.php

Thanks to John Younger, this year we will have a 5K FunRun. The run will start promptly at 6:15am and the course willstart just south of the hotel, continue to the Shedd Aquarium,and conclude back at the starting point. T-shirts, bottledwater, and fruit will be provided. The registration fee is $15and any profits generated from this event will be donated tothe SAEM Research Fund.

Finally, we are very excited to have a “Chicago BluesNight” on Friday May 18th from 5:30-7pm. John Primer andThe Real Deal Blues Band will be playing at our Chicago-themed reception. John Primer has released ten solo albumsto date and is a Grammy Award Nominee and Handy AwardNominee. “Check out his music at www.sonicbids.com/johnprimer. We will also be serving Chicago deep dish pizza, sodon’t miss this event!

I’d also like to thank Comilla Sasson for putting together alist of things to do and places to eat nearby the hotel. Thisinformation is posted on the website and will be included inthe onsite meeting guide.

Paper Presentations:We received approximately 1,100 abstract submissions

this year (after removing duplicate and blank abstracts) andaccepted 545 abstracts. Our top three categories this yearwere: Administrative/Health Care Policy (106), Cardiovascular

(78), and EMS/Out-of-Hospital (69). Disaster medicine wasadded as a new category this year and received many highquality submissions.

We had many excellent submissions this year and choos-ing five for the plenary session was difficult. We aimed to rep-resent basic science, public health and administration, as wellas clinical science. We selected “A double blind randomizedcontrolled trial comparing nebulized epinephrine and albuterolin the emergency department treatment of bronchiolitis”, “TheOttawa aggressive protocol for ED management of atrial fibril-lation”, “Mesenteric blood flow during hemoglobin-basedoxygen carrier fluid resuscitation in a swine model of severehemorrhagic shock and uncontrolled abdominal hemor-rhage”, “Can ‘non emergency’ ED visits shed light on accessto care”, and “Prospective multi-center validation of thePulmonary Embolism Rule-Out Criteria”.

This is the second year we have offered a “Late breaker”category for abstracts. These late breaker abstracts werereviewed by the scientific subcommittee for quality ofmethodology, preliminary results, and anticipated timely com-pletion of the study. Researchers submitting late breakerabstracts are required to complete data collection and analy-sis by April. We have accepted 2 late breaker abstracts,including a multi-center study on CMS quality-process meas-ures and a clinical study looking at a novel method for meas-uring central venous pressure in sepsis. The final late-break-er abstracts will be published in the onsite program.

Didactic Sessions and Workshops:SAEM meeting attendees again will not have to pre-regis-

ter for lunch lectures. The Sheraton has a sandwich shoplocated near the exhibit hall for a la carte lunch purchases.

We reviewed suggestions after last year’s meeting and wehave increased the number of state of the art sessions,advanced research lectures, and workshops this year. Wehave more clinically relevant, state of the art sessions includ-ing topics such as: pediatric bronchiolitis, toxicology, infor-matics, cardiac care, and sepsis. Another “debate” didacticsession will be planned – this year’s will be on industry spon-sored research. We are continuing to offer the faculty devel-opment and grant writing workshops, and we have added anabstract writing workshop targeted to medical students, resi-dents, and junior faculty. Finally, we have added a last minuteand timely addition to our didactic programming – “Clinicaland Translational Science Awards: the Role of EmergencyMedicine”.

Upcoming:We will be reviewing IEME and photo exhibits in February

and anticipate another great year of submissions. Theseselections will be finalized in March.

As always, please feel free to contact me with questionsand suggestions for the Annual Meeting. Email is the easiestway to reach me: [email protected]. I look forward to see-ing all of you in Chicago!

4

Page 5: March-April 2007

5

Medical Student SymposiumSaturday, May 19, 2007

The Medical Student Symposium is intended to helpmedical students understand the residency and careeroptions that exist in Emergency Medicine, evaluate residencyprograms, explore research opportunities, and select the rightresidency. At the completion of the session, participants will:1) know the characteristics of good emergency physiciansand the “right” reasons to seek a career in this specialty, 2) have a better understanding of the application process, 3) consider factors important in determining the appropriateresidency, including geographic locations, patientdemographics, length of training, etc., 4) understand the

composition of an emergency medicine rotation and what toexpect while they are rotating in the ED, 5) discuss the skillsneeded to get the most out of your educational experience inthe ED rotation, 6) identify the standard sources of informationin the field of emergency medicine, 7) have an appreciation ofvarious career paths available in Emergency Medicineincluding academics, private practice, and fellowship training,and 8) discover current areas of research in EmergencyMedicine. To register for the Symposium, use the onlineAnnual Meeting registration form at www.saem.org. The costis $75.

8:00 – 8:15 am Introduction, M. Chris Decker, MD, Medical College of Wisconsin

8:15 – 9: 00 am How to Select the Right Residency for You, Francis Counselman, MD, Eastern Virginia University

9:00 – 9:30 am Getting Good Advice, Robert Harwood, MD, Christ Hospital

9:30 – 9:45 am Break

9:45 – 10:30 am Navigating the Residency Process, Peter DeBlieux, MD, LSU – Charity Hospital

10:30 – 11:15 am Getting the Most Out of Your Clerkship, Brian Clyne, MD, Brown University

11:15 am – 1:00 pm Lunch with Program Directors

1:00 – 1:30 pm The Dean’s Letter, Sheryl Heron, MD, Emory University

1:30 – 2:15 pm Career Paths and Prospects in Emergency Medicine, Herbert Hern, MDHighland General Hospital

2:15 – 2:30 pm Break

2:30 – 3:30 pm Small Break-Out Groups:Balancing Act, Terry Kowalenko, MD, University of MichiganFinancial Planning, David Overton, MD, Michigan State UniversityOptimizing Your Fourth Year, Steve McLaughlin, MD, University of New MexicoMedical Schools Without EM Residencies, Hans House, MD, University of Iowa

Page 6: March-April 2007

66

Chief Resident ForumThursday, May 17, 2007

Chief residency is a demanding and highly responsibleposition, however little formal and structure preparation isavailable prior to becoming a chief resident. New chief resi-dents typically have not had the benefit of training in essentialadministrative, academic, and leadership skills. This one-daycourse will include a variety of sessions covering administra-tive and academic topics relevant to new chief residents.Talks and small group discussions will be led by experiencedprogram directors and past chief residents. All sessions willinclude ample time for questions. In addition, a lunch sessionand coffee breaks will provide opportunities for chiefs fromdifferent programs to meet and exchange ideas. The smallgroup discussion sessions will also allow for interaction withworkshop faculty and former chief residents.

At the completion of this course, participants will be ableto understand basic characteristics of good leadership, man-agement techniques, administration and problem solving con-cepts; have learned successful scheduling and back-up tech-niques; become aware of common pitfalls faced by chief res-idents; learned effective communication techniques; had theopportunity to discuss potential ethical dilemmas that mayarise during the chief resident year; and learned time manage-ment techniques. All chief residents registered to attend theAnnual Meeting are invited to register for the special ChiefResident Forum. Enrollment is limited and the fee is $150, inaddition to the basic Annual Meeting registration fee. Use theonline Annual Meeting registration form to register for theAnnual Meeting and the Chief Resident Forum.

7:30-8:00 AM Registration and Continental Breakfast

8:00-8:10 AM Welcome, Brigitte M. Baumann, MD

8:10-9:00 AM Leadership and the Management Role, Robert Hockberger, MD, Harbor-UCLA Medical CenterThis session will discuss how leadership traits and management skills can be learned, developed and used to maximize your effectiveness as a chief resident.

9:00-9:45 AM Time Management, Tom Cook, MD, Palmetto Health Richland HospitalAt the end of this session, participants will be able to develop realistic goals given their time constraints, will recognize the importance of “To-Do” lists, and describe effective time management principles.

9:45-10:00 Break

10:00-10:30 AM The Impaired Physician, Terry Kowalenko, MD, University of Michigan Health SystemIdentification of an impaired resident falls within the purview of the chief resident. This discussion will focus on identifying signs of an impaired physician and aiding with the initial intervention.

10:30-11:15 Developing a Schedule, Brigitte Baumann, MD, Cooper University Hospital/UMDNJ-RWJMS at CamdenThis discussion will review the RRC requirements for scheduling in EM, will outline the principles of scheduling (equity and minimization of the disruption of the circadian rhythm), and will provide mechanisms for dealing with sudden changes and illness.

11:15-12:00 PM Scheduling Panel SessionSheryl Heron, MD, MPH, Emory UniversityDouglas Trocinski, MD, University of North Carolina at Chapel HillAudience Participation

12:00-1:15 PM Lunch

1:15-2:00 PM Effective Communication, Richard Lanoix, MD, St. Luke’s-Roosevelt Hospital CenterCommunication is a key element to the success of any leader. During this session, participants will learn how to build effective communication networks, be provided with a communications “skills set” required to manage staff, and receive instruction on how to emerge as a positive intermediary between faculty and residents.

2:00-2:45 PM Professional Growth and Success as a Chief ResidentJill Baren, MD, Hospital of the University of PennsylvaniaThis session will illustrate strategies for successful career development and maintenance of balance while serving as chief resident.

2:45-3:00 Break

3:00-4:00 PM Ethics and Professionalism, James Adams, MD, Northwestern UniversityAs chief resident, you may confront a new series of ethical dilemmas. This session will highlight ethical and confidential issues that involve other residents and describe how to set professional examples for others.

4:00-5:00 PM Chief PearlsTeresa Murray Amato, MD, New York Presbyterian Hospital; Mary Gendy, MD, University of South Florida; Nicholas E. Kman, MD, Wake Forest University Baptist Medical CenterAnecdotes and words of wisdom from previous chiefs.

Page 7: March-April 2007

7

Report on the 2006 North American Congress of Clinical Toxicology in San Francisco

Jennie A. Buchanan, MDDenver HealthSpadafora Scholarship Recipient

It was an honor to attend the annual North AmericanCongress of Clinical Toxicology, (NACCT) which convened inthe beautiful city of San Francisco, California, October 4-9,2006. I am grateful to the Spadafora family, SAEM, and con-tributors for funding this invaluable experience. SanFrancisco provided an awesome background for the confer-ence. Attendees took advantage of the diverse cultural andethnic treasures, which enhance this city. The splendid dimsum, trolley cars, chocolate, bread, shopping and city viewsall provided a great backdrop for a fantastic meeting.

The NACCT pre-meeting symposium was held on October4th & 5th. The first day focused on a fascinating discussionon the integration and interaction of medical toxicology withother medical specialties. Experts from all aspects of themedical realm joined together to convey the important role themedical toxicologist plays in clinical medicine. As expected,the Case Presentation Competition (CPC) presentations wereeducational and clever. Abdominal pain and lactic acidosiswas correctly attributed to a metformin ingestion. The teenSuper Bowl party bowl extravaganza was identified as aclozapine ingestion while another teen trying to elude a toxi-cology screen had used niacin. Congratulations to case pre-senters Drs Thompson, Johnson-Arbor, and Mittal who all didan excellent job. The discussants Drs Henretig, Bryant, andDelgado all cleverly solved each case. The second day of thepre-meeting symposium convened with an enthralling discus-sion on “Substance Abuse and Addiction-Getting High,Getting Hooked and Getting Help.”

Friday, October 6th was the official opening day of theconference. The conference kicked-off to a fantastic startwith a keynote presentation by Dr. Proudfoot who gave anenticing lecture on “The Early Toxicology of Physostigmine:Beans, great men and egos.” The lecture given by DrsYarborough and Kabanov on Nanotoxicology was equally fas-cinating as these new synthetic nanomaterials emerge as animportant factor in human health and toxicology. I was alsolucky enough to sit in on the fellow’s luncheon, which wasmoderated by Dr. Dye with great presentations by Drs Brentand Kosnett on “The Medical Toxicologist as a Consultant:Life Beyond the World of Acute In-patient Care.” Dr. Morris-Kukoski’s lecture on “The Medico-legal use of Hair Analysisfor Drug Facilitated Sexual Assault” was exceptionally educa-tional and interesting. The lecture day ended with the NAACTyear in toxicology focusing on hydroxocobalamin for the treat-

ment of cyanide poisoning by Dr. Borron. The toxicology his-tory society ended the evening with great discussions rangingfrom “Everything I Ever Needed to Know About Toxicology ILearned from the Simpson’s” to “Ayahuasca: The History ofthe Spirit Medicine.”

Saturday, October 7th began with an amazing discussionof the “Disastrous Complications of Psychostimulant Use.”Dr. Becker recipient of the Ellenhorn award left discussedcases of interest he had seen through his career ranging fromcyanide exposure to parkinsonism after IV MPTP use. Themultiple poster presentations were educational and superblydone. A particular highlight of the conference was the debateby Dr. Dart and Clark over weather we should “use the 150 or200 line as a criteria for the treatment of acetaminophen over-dose?” Both did a fantastic job, I am still stumped.

Sunday, October 8th started with the Clinical ToxinologyMini 2-Day Course moderated by Dr. Dart, Isbister, White, andWarrell. Undoubtedly, the world’s experts on toxinology (thescience of toxic substances, such as venoms and poisons,produced by living organisms, such as snakes, spiders, jelly-fish, mushrooms etc...). The first day of the course encom-passed a detailed discussion of local and international poi-sonous snakes. The stories and photos were absolutelybreathtaking. This truly was the highlight of the conference. Aconfidential lecture by John Trestrail also left the crowd laugh-ing and wanting more as the title tells all “Murder by Poison.”Poster presentations continued to please the interestedcrowds.

Monday, October 9th, the last day of the conference endedwith a bang. The mini-course continued with a fascinatingdiscussion on arachnid and aquatic envenomations.

The conference ended with an interesting lecture on the“New Advances in the Treatment of Botulism” by EdwardCetaruk, MD. Over 300 poster presentations and platformdiscussants were featured during the five-day period. Itwas truly an honor to attend the NACCT. Overall, the confer-ence experience was invaluable for a young budding toxicol-ogist like myself. It was awesome to meet some of the namesso familiar in trailblazing the field of medical toxicology. It wasgreat to see old friends, mentors, and meet knew colleagues.I am thankful to Dr. Spadafora and his dedication to residenteducation, scholarship contributors and the Spadafora familyfor allowing me to have this experience. See you at the 2007NACCT meeting in Toronto!

Page 8: March-April 2007

8

SAEM Michael P. Spadafora Medical Toxicology ScholarshipDr. Michael P. Spadafora was an academic emergency physician and medical toxicologist who was a member of SAEM and

the American College of Medical Toxicology (ACMT) and was dedicated to resident education. After his death in October 1999,memorial donations were directed to SAEM for the establishment of a scholarship fund to encourage Emergency Medicine res-idents to pursue Medical Toxicology fellowship training.

The scholarship recipient will be chosen to attend the 2006 North American Congress of Clinical Toxicology (NACCT) in thefall and will receive $1250 for travel, meeting registration, meals, and lodging. Any PGY-1 or 2 (or PGY-3 in a 4-year program)in an RRC-EM or AOA approved residency program is eligible for the award. The deadline for application is May 1, 2007.Scholarship recipients will be announced at the SAEM Annual Meeting. The recipient will be required to submit a summary ofthe meeting for publication in the SAEM Newsletter.

Applications must be submitted electronically to [email protected] and include:1. Curriculum Vitae of applicant2. Verification of employment and letter of support from the applicant’s program director3. Letter of Nomination from an active member of SAEM and/or ACMT4. 1-2 page essay describing the applicant’s interest and background in Medical Toxicology

Please note that ACMT has developed a similar scholarship program; contact ACMT for further information at: [email protected]

2006 AEM Outstanding Reviewers AnnouncedMichelle H. Biros, MD, MSEditor-in-ChiefAcademic Emergency Medicine

Again this year Academic Emergency Medicine hasenjoyed a successful year. In 2006 AEM received 954 manu-scripts (651 new submissions and 303 revisions).

The contributions of the many SAEM members and otherswho volunteered their time and expertise to serve as expertreviewers were critical to the journal's success. In 2006,1,217 reviews were completed for manuscripts that advancedto peer review. Reviewers responded in an average of 3 daysand reviews were completed in an average of 11 days. Theturnaround time (date of submission to first decision) aver-aged 23 days.

The editors of Academic Emergency Medicine would liketo offer our heartfelt thanks and appreciation to the 369reviewers who assisted in the peer review process in 2006.

The continued growth and quality of the journal would not bepossible without their efforts. A list of all 2006 reviewers willbe published in the April 2007 issue of the journal.

Each year the editors select those reviewers who have pro-vided excellent service to Academic Emergency Medicine.These "outstanding reviewers" have provided at least fivehigh quality reviews in a timely fashion. The "outstandingreviewers" will be acknowledged during the annual AEMReviewers Workshop, which will be held on Thursday, May 17during the SAEM Annual Meeting. Please join us in congrat-ulating and thanking the outstanding reviewers.

The list of 2006 outstanding reviewers is listed below.Those designated with an * are also members of the AEMEditorial Board.

Annette L. Adams, PhD, Oregon Health & ScienceUniversity

Mark Angelos, MD, Ohio State UniversitySean M. Bryant, MD, Cook County Hospital/Rush Medical

CollegeGregory Cable, PhD, MA, Sanofi-Aventis Corp. Peter Dayan, MD, Children's Hospital of New YorkSeth Kunen, PhD, Louisiana State UniversityLewis R. Goldfrank, MD, Bellevue Hospital CenterMarc Gorelick, MD, MSCE, Children's Hospital of

WisconsinLeon Haley, Jr., MD, Emory UniversityJon Mark Hirshon, MD, MPH, University of MarylandDebra Houry, MD, MPH, Emory UniversityH. Range Hutson, MD, Massachusetts General HospitalCharlene Babcock Irvin, MD, St. Johns Hospital and

Medical Center

*Alan E. Jones, MD, Carolinas Medical CenterAmy V. Kontrick, MD, Northwestern UniversityEddy Lang, MD, McGill UniversityJohn Marx, MD, Carolinas Medical CenterMichael Mullins, MD, Washington University James E. Olson, PhD, Wright State UniversityManish N. Shah, MD, MPH, University of RochesterEllen Johnson Silver, PhD, Albert Einstein College of

MedicineJonathan Singer, MD, Wright State UniversityDavid P. Sklar, MD, University of New MexicoSteven Smith, MD, Hennepin County Medical CenterMark Su, MD, State University of New York, DownstateAllan B. Wolfson, MD, University of Pittsburgh*Kelly Young, MD, Harbor-UCLA Medical CenterShahriar Zehtabchi, MD, State University of New York,

Downstate

Page 9: March-April 2007

9

researchers in the institution-specific Clinical TranslationalScience Awards (CTSAs). We discussed the formation of across-disciplinary emergency care clinical research networkwhich could be utilized by the CTSA sites as well as by thedisease-specific NIH institutes. An emergency care clinicalresearch network could eliminate the duplicity of disease-specific or institute-specific multicenter research networks.Start-up and maintenance costs could be minimized, andorganizational efficiency of the CTSA initiatives could beimproved. Finally, we discussed the inclusion of emergencycare researchers on present NIH councils, study sections, andthe CTSA review committees. The goal of all thesediscussions was to demonstrate the “value added” thatemergency care researchers can give to the NIH RoadmapInitiative. Indeed, there are many synergies between the NIHRoadmap Initiative and emergency care research. Weprovide a unique and extremely broad window to thecommunity, especially as it relates to acute care, diagnostics,and their effects on diverse and underserved populations.We also provide the primary contact to populations withunique disease states, from cardiac arrest and trauma toenvironmental exposures. Emergency care researchnetworks could dramatically affect how biomedical andbehavioral research is conducted in the next decade byexpanding clinical and translational research into the acutecare setting.

Dr. Zerhouni listened intently, absorbed our presentations,agreed with some of our ideas, and then challenged us tomake our proposals a reality. As we had suspected, we werenot about to leave the Office of the Director with promises ofa new Emergency Medicine Study Section, or even inclusionof emergency care researchers in all the CTSA awards. Dr.Zerhouni made no promises. What we left with was a chargeto take back to our membership, and some direction to takeback to our society leadership. Some of these directionsinclude:

Emergency medicine needs to create a research “case forsupport.” What are the specific questions that only researchin emergency medicine can answer? Where are our prioritiesfor funding? What diseases, populations, problems, orhypotheses can research in emergency medicine answer? Wehave been challenged to create that priority list. Sciencedrives funding, not visa versa.

Inclusion in CTSA grants is an institution-specific decision.Emergency care researchers need to lobby their owninstitutional research leadership to be a part of their CTSAgrant submission process. There are 12 grants funded atpresent, and emergency medicine’s involvement has beenminimal thus far. The onus is on us to change that locally.

Emergency care research networks are a “value added” tothe CTSA awardees. Dr. Zerhouni considered an emergencycare network an ideal sub-network component of the inter-CTSA institutional networks what will be established in thefuture. We should make this clear at the CTSA-funded sites,as well as sites applying for funding. Organization of thesesites into a multicenter research network should be a priorityfor emergency medicine.

Membership on study sections and councils is an openprocess. Anyone can apply, but only the best are chosen.

Any assist that we, as a society, can provide in this applicationprocess is crucial to our success.

The NIH and specifically the NIH Roadmap initiative areopen to suggestions regarding its structure and fundingpriorities. Involvement of emergency medicine in advocacyactivities like the upcoming NIH Scientific Review Workshopsor the planned NIH Emergency Care Research summit iscrucial.

SAEM and ACEP partnered together to organize ourmeeting with Dr. Zerhouni. We plan to partner together tomaximize our response to his challenge. The SAEM researchcommittee and the ACEP research committee will propose ajoint task force to achieve the recommendations whichresulted from our meeting with the NIH. This task force willinclude key researchers and leaders in academic emergencymedicine. Educational sessions for the membership on CTSAgrants and the NIH Roadmap are planned for the ACEPLeadership and Advocacy Meeting in April, and the SAEMAnnual Meeting in May. The task force will be networking withCTSA sites to organize the CTSA emergency medicineresearch network and assist emergency medicine toresearchers at CTSA sites to participate in the CTSA process.The task force will also be identifying potential candidates forNIH study sections or councils, and helping facilitate theirapplications for membership. Finally, the leadership of SAEMand ACEP will be designating emergency medicineresearchers to attend NIH Scientific Review Workshops andthe planned NIH Emergency Care Research Summit to assurethat emergency care research concerns are heard at anational level. There’s a lot to do, but we could not be moreenergized than now, and there is no time like the present totake advantage of our opportunities.

This is an exciting time for academic emergency medicine,and the SAEM leadership is energized to be a part of it. Youcan rest assured that your leadership is advocating on yourbehalf. Feel free to provide your input to me or to any Boardmember in this regard. We welcome your views and yoursupport.

President’s Message…(continued from page 1)

Left to right: Charles B. Cairns, MD; Sandra M. Schneider, MD;Judd E. Hollander, MD; Robert W. Neumar, MD, PhD; Elias A.Zerhovni, MD, Director of the National Institutes of Health;

James W. Hoekstra, MD, SAEM President: Roger J. Lewis, MD

Page 10: March-April 2007

10

Academic AnnouncementsSAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of inter-est to the membership. Submissions must be sent to [email protected] by April 1st to be included in the May/June issue.

Paul R. Sierzenski, MD, Director of Emergency and TraumaUltrasound at Christiana Care Health System in NewarkDelaware, has been named the North American PrincipalInvestigator for the TUCSON Trial. Dr. Sierzenski will alsoserve as a clinical protocol advisor on the trials’ internationalSteering Committee. The TUCSON study is an industry spon-sored phase 1-2, Randomized, Placebo Controlled, Open-Label, Dose Escalation Study to Evaluate the Safety,Tolerability, and Activity of Ascending Single Doses of MRX-801 with Continuous Ultrasound Administration in subjectswith Acute Ischemic Stroke Receiving Treatment withIntravenous Tissue Plasminogen Activator.

Professor Ronald F. Maio has been appointed Director of theOffice of Human Research Compliance Review (OHRCR) forthe University of Michigan. Dr. Maio has faculty appointmentsin the Medical School as Professor of Emergency Medicine,the School of Public Health (SPH) as Professor ofEnvironmental Health Sciences and an appointment as anAssistant Research Scientist at the University of MichiganTransportation Research Institute (UMTRI). Prior to beingappointed Director he was the Assistant Dean for ResearchRegulatory Affairs at the Medical School and also was theDirector of the University of Michigan's Injury ResearchCenter, based in the Department of Emergency Medicine.

Patricia C. Dischinger, PhD, Professor of Epidemiology atthe Charles McC. Mathias, Jr. National Study Center forTrauma and Emergency Medical Systems, and Jon MarkHirshon, MD, MPH, Associate Professor in the Department ofEmergency Medicine at the University of Maryland School ofMedicine, have been awarded a 5-year T-32 FellowshipTraining Grant on Injury Control and Trauma Response fromthe National Institute of General Medical Science. This pres-tigious award is to train post-doctoral fellows on researchrelated to injuries. Drs. Dischinger and Hirshon are quiteexcited about this opportunity, especially considering the cur-rent funding climate, and look forward to actively recruitingtop notch trainees for these coveted positions.

Peter B. Richman, MD, MBA, has been promoted toAssociate Professor in the Mayo Clinic College of Medicineand serves as the Vice-Chair, Division of Research, in theDepartment of Emergency Medicine, Mayo Clinic Arizona.

John G. McManus MD,MCR, has been appointed the NewEMS Fellowship Director for the San Antonio UniformedServices Health Education Consortium, Brooke Army MedicalCenter, San Antonio, TX.

Conference Co-chairsBarnet Eskin, Peter Wyer,

Eddy Lang

Organizational SupportEmergency Department

SMBD - Jewish General Hospital

A McGill University Teaching Hospital

Knowledge Translation in Emergency Medicine:Establishing a Research Agenda and Guide Map for Evidence Uptake

May 15th, 2007 Chicago SheratonChicago, IllinoisUSA

A Consensus ConferenceSponsored by Academic Emergency MedicineThe Official Journal of the Society for Academic Emergency Medicine

PROPOSED AGENDAPlenaries8 - 8:15am Welcome, Opening Remarks • Michelle Biros8:15 - 9am Overview of the Research Practice Gap and Defining Knowledge Translation in the Emergency Medicine

Context • Eddy Lang9 - 9:30am Consensus Process Principles • Barnet Eskin9:30 - 10am Theme leader presentations

Concurrent Breakout Presentations I 10:30 - Guideline Implementation Research (Strategies for improving guideline-directed care in the ED setting

and how to study their efficacy) • Brian GiblerDecision Support Technology (Cutting edge innovations in technology-assisted evidence implementa-tion: lessons from software development and informatics technology applications) • Brian HolroydResearch Methodology in KT (Unique study design and methodological considerations in planning andconducting KT research) • Jeremy GrimshawThreoretical Underpinnings of KT (Conceptual frameworks for understanding the knowledge to actioncontinuum) • Ian Graham

Lunchtime Keynote Address 11:30 - 1pm Opportunities and challenges in closing the research to practice gap: the AHRQ vision for advancing the

study of evidence uptake in emergency medicine • Carolyn Clancy Concurrent Breakout Presentations II1 - 2:00pm Developing Evidence Summaries for Emergency Medicine (Review of ongoing and potentially novel

initiatives to appraise and synthesize existing evidence into clinician-friendly and usable content designedfor bedside application) • Peter WyerImplementing Decision Rules in an Emergency Department (Obstacles and facilitators to clinical decision rule uptake in an Emergency Department: studying causes and measuring impact of implementation strategies) • Ian StiellFunding Opportunities in Knowledge Translation (Review of the AHRQ’s “Translating Research intoPractice” initiatives, competing funding agencies and strategies for success) • Jean SlutskyA Model Program in Knowledge Translation Research (Review of CIHR’s multi-faceted and multi-centered program in Knowledge Translation Research in Pediatric Emergency Medicine) • Terry Klassen

Consensus-building Workshops2:15 - 4:15pm Consensus process for establishing KT research agenda and key recommendations: Six facilitated groups

of participants drawn from the discussion groups involved in the specific preparatory phase will join inthis breakout session. Moderated by the designated chairs and aided by the two scribes these six groupswill use brainstorming as well as validated consensus techniques to finalize a prepared, comprehensiveand prioritized list of KT research opportunities and recommendations for their KT domain.

4:30 - 5:30pm Feedback reporting from workshop groups and large group consensus building exercise

Page 11: March-April 2007

11

Report from the IOM Capstone WorkshopJames Hoekstra, MDSAEM President

On December 11, the Institute of Medicine held its final or“capstone” workshop to receive input on the “IOM Report onEmergency Care.” The meeting was held in Washington, DC,at the National Academies Building, and was attended by over300 people representing many healthcare specialty societies.Judd Hollander and I represented SAEM. The meeting start-ed with Dr. Brent Eastman giving a recap of the past three IOMregional workshops, emphasizing the points that had beenmade by prior attendees and the “areas of agreement”regarding the IOM report. It was gratifying to see that SAEM’sconcerns regarding research issues in emergency medicinewere front and center on the list of consensus items for theIOM. Specifically, the IOM has heard loud and clear that thefunding of research in emergency and acute care is hamperedby the lack of EM representation on study sections or the lackof an acute care section at the NIH. Our concerns regardingthe lack of emphasis on Geriatrics in the IOM report were alsoheard, and was mentioned as an area which was inadvertent-ly omitted from the report. The IOM will take the feedbackfrom these IOM workshops and distill them into a publishedsupplement to the three volume IOM report on emergencycare. This supplement will be available in the spring, and wecan rest assured that SAEM’s published positions on the IOMreport will be prominent in that supplement.

The remainder of meeting was a bit of a disappointment,however. Representatives from regulatory bodies like DHHS,CMS, and NHTSA came to the microphone one after anotherand told us how seriously they would take the report, butoffered no specific plans for moving the report recommenda-tions forward. Representatives from consumer groups andlegislative organizations made it very plain to the attendeesthat "the public does not see this as a crisis.” This can easi-ly be interpreted as "we're not going to do much until itbecomes a crisis.” The “political will” required to push majorchanges through our legislative or regulatory bureaucracies isnot apparent amongst our leadership in Washington.Emergency medicine’s issues, which mirror the U.S. health-

care systems issues, are not a big enough priority comparedto Iraq, the economy, etc. Tom Gustafson of CMS, forinstance, was very blunt in his unwillingness to change or alterany reimbursement or regulatory patterns to relieve the prac-tice of ED boarding. He stated that CMS does not dictatepractice patterns, they just pay for them. It was also veryapparent from consumer group representatives that there islittle understanding of ED crowding. The prevailing opinionwas that ED crowding was due to misplaced primary care andthe uninsured. SAEM and ACEP have a long way to go toeducate our leadership in Washington.

The research session was the last session of the afternoon.After Bill Barsan, Nathan Kuppernanm, and Daniel Pattersonarticulated very eloquently the problems in emergency medi-cine and EMS research funding, a lineup of representativesfrom HRSA, AHRQ, CDC, USU, and the NIH each took theirturn telling us what they were already doing in EM research.PECARN, NETT, and other emergency medicine research net-works got lots of public mention, but none of the agency rep-resentatives gave any specifics on plans to address emer-gency medicine research funding issues on a going-forwardbasis. Nor did they seem receptive to doing so. The discus-sions were not lively or productive, and the session was dis-appointing.

SAEM plans to join forces with ACEP and utilize our col-lective muscle to set a prioritized list of 4-5 items from theIOM report toward which we cam direct our advocacy efforts.Federal funding of EM research will be on that short list. Wehope to reassemble the major regulatory and research repre-sentatives in the Spring with our list of priorities in order tofoster more specific plans for achieving the recommendationsof the IOM report. In the meantime, we will continue to part-ner with the AAMC to educate the NIH and other researchinstitutes to understand the importance of acute careresearch. We have a long way to go, but it will be worth theeffort in the long run.

To make a donation to theSAEM Research Fund

• Use the online form at https://apps.saem.org

• Send check payable to SAEM Research Fund to SAEM,901 N. Washington Avenue, Lansing, MI 48906

• Contact SAEM via phone (517-485-5484) or e-mail:[email protected]

100% of all contributions go directly to the Research Fund.

All administrative costs are paid by SAEM.

Please support the SAEM Research Fund and the future of EM Research.

SAEM Membership Counts asof 2/26/07

Active - 2572 Associate - 203Emeritus - 20Honorary - 5

Medical Student - 361Resident/Fellow - 2289

TOTAL – 5450

Page 12: March-April 2007

12

National Asthma Education and Prevention Program (NAEPP)Coordinating Committee (CC) Meeting Summary Report

December 4, 2006Rita K. Cydulka, MD, MSCase Western Reserve University School of Medicine

Status of the Asthma Guidelines:The Expert Panel is close to completing a Resource

Document that will serve as the basis for Guidelines for theDiagnosis and Management of Asthma: Expert Panel Report 3(EPR-3). The Resource Document is based on a comprehen-sive literature review covering the four components of asthmacare. A working draft was developed by the Expert Panel andis currently being edited. About 600 pages long, the ResourceDocument is a background report that includes findings fromkey studies and recommendations for clinical practice. It will beposted on the NHLBI Web site for public review at which timeCoordinating Committee members can submit comments.Other work is being done to extract key points from theResource Document to put together the actual Guidelines,which will also be available to the CC for review.

The Guidelines Implementation Panel (GIP) was formed toidentify key messages in the Resource Document, developselection criteria by which to prioritize them, and identify strate-gies that can be used across stakeholder groups to implementthe messages. Panel members include several CC members aswell as a broad range of representatives of the health care sec-tor. The GIP met on November 29-30, 2006 and identified threemajor theme areas to serve as the framework for their discus-sions and report development: (1) communication, (2) systemsintegration, and (3) patient/provider support. They will developrecommendations and implementation strategies for the select-ed key messages within each of the theme areas, completingtheir work via conference calls over the next few months. The NAEPP in Perspective- Looking Back:

Dr. Gary Rachelefsky, who has been a member of the CCsince its inception, reviewed what the NAEPP has accom-plished since 1989. He listed its goals, tenets, and initial activ-ities, which include developing guidelines, educational materi-als, and resources; enlisting input from organizations; identify-ing evidence to evaluate impact; conducting outreach to high-risk populations; and influencing public policy. AmongNAEPP’s successes are a decrease in number of deaths amongolder children/adults with asthma; support for World AsthmaDay; and the 2003 National Conference on Asthma.

The EPR-2, 1997 was a landmark, science-based report thatinitiated the process of changing the common perception ofasthma and its treatment by emphasizing the role of inflamma-tion in disease development and the four components of asth-ma. The guidelines were updated in 2002 to include moreemphasis on children and recommendations for the use ofinhaled corticosteroids (ICS) as preferred treatment and the useof peak flow monitoring. However, the 1998 and 2004 Asthmain America Surveys indicated that the asthma guidelines havenot been used appropriately, and there is a need to do more toimprove asthma care. There has been no drop in asthmaprevalence; physician office visits have increased, but rates ofhospitalization and emergency room (ER) visits are rising orstaying the same. The guidelines provide a better understand-ing of asthma, but compliance with them is low.

Dr. Rachelefsky concluded that despite NAEPP’s successesover 18 and a half years, more work is needed to make a differ-ence. He encouraged member organizations to get involved inthis effort.

Looking Ahead: Dr. Michelle Cloutier, American Academy of Pediatrics,

noted that only 20–50 percent of primary care providers (PCPs)adhere to the national asthma guidelines. The reason may bethat PCPs are drowning in paperwork, have 6-minute patientvisits, see 52 patients a day, and deal with 135 issues each day.“Easy Breathing” is a disease management program inConnecticut that makes it easier for PCPs to use the guidelines.The program, which adheres to the guidelines, defines basicquality care for asthma and asks clinicians to do the smallestnumber of activities needed to achieve significant success.

“Easy Breathing” focuses on making asthma diagnosis,determining asthma severity, prescribing appropriate therapy,and creating a written treatment plan. User-friendly tools areprovided for each step: an “Easy Breathing” survey with fourvalidated questions used to diagnose asthma; provider assess-ment with four questions to determine asthma severity; anAsthma Treatment Selection Guide; and a simple asthma treat-ment plan that has been field tested.

The “Easy Breathing” program started in 1998 and has beenimplemented in Connecticut by 315 pediatricians in 129 prac-tices in 41 towns. The program has resulted in a significantincrease in the use of ICS, a marked decrease in oral steroiduse, decreases in ER visits for all severities; and a decline inhospitalizations for children with asthma. Ninety-four percentof the PCPs in private practice have written asthma treatmentplans, and most adhere to guidelines; 85 percent of the recruit-ed PCPs are still using the program. Dr. Cloutier concluded thatPCPs can use the guidelines and make a difference. Theseencouraging results might point the way for a simpler set ofguidelines in the future.

One of the meeting goals was to identify the smaller, morefocused components of comprehensive intervention researchprojects to form a menu of stand-alone, simple and doable,short-term activities that are likely make a difference in asthmacare. Another goal was to identify ideas/priority themes in fourasthma goal areas on which NAEPP should focus its efforts toenhance guidelines implementation as well as addressing at theNational Asthma Conference in March 2009. Breakout Groups

Participants were assigned to four breakout groups repre-senting four overarching goal areas:

(1) Public and Organizational Policy; (2) Community-BasedInterventions; (3) Clinical Practices; and (4) Asthma Self-Management Education for Patients and Their Caregivers.Each group selected priority themes for the 2009 conference,identified interventions and barriers to success, and weak linksthat should be addressed to overcome the barriers. The groupswere also asked to consider target audiences, gaps and barri-ers to action, evidence for the interventions, and potential part-ners. (See attachments for greater detail)Group Reports/Full Group Feedback

The breakout task leaders reported on their sessions devot-ed to selecting themes and developing mini-interventions in thefour areas.

Page 13: March-April 2007

Neurological EmergenciesTreatment Trials (NETT) ReportDrs. William Barsan (University of Michigan), Robert

Silbergleit (University of Michigan) and Art Pancioli(University of Cincinnati) are investigators on the ClinicalCoordinating Center for the Neurological EmergenciesTreatment Trials (NETT) network, funded for $7.5 million bythe NINDS. Dr. Barsan is the principal investigator for theCoordinating Center and Drs. Silbergleit and Pancioli areco-investigators, along with Drs. Lewis Morgenstern(Neurology, University of Michigan) and Dan Lowenstein(co-PI, Neurology, UCSF).

The Statistical and Data Management Center for NETTwill be the Medical University of South Carolina (YukoPalesch--PI). There will be 11 Clinical Hubs where patientswill be enrolled into clinical trials--University ofPennsylvania (Jill Baren), Temple University (Nina Gentile),Emory University (David Wright), University of Kentucky(Roger Humphries), University of Cincinnati (Art Pancioli),Henry Ford Hospital (Chris Lewandowski), Wayne StateUniversity (Robert Welch), Medical College of Wisconsin(Tom Aufderheide), University of Minnesota (MichelleBiros), University of Arizona (Kurt Denninghoff) and UCSF(Claude Hemphill). Overall, NINDS has committed $26.5million to NETT over 5 years.

New Grant ApplicationDeadlines

The Grants Committee has changed the deadlinesfor application for the following grants and fellow-ships. Please make note:

• Research Training Grant (RTG) – Applicationsnow due August 1, 2007

• Institutional Research Training Grant (IRTG) –Apps now due August 1, 2007

• Scholarly Sabbatical Award (SS) – Apps dueAugust 1, 2007

• Emergency Medicine Service (EMS) FellowshipAward – Apps now due November 1, 2007

Medical Student Excellence AwardEstablished in 1990, the SAEM Medical Student

Excellence in Emergency Medicine Award is offered annu-ally to each medical school in the United States andCanada. It is awarded to the senior medical student at eachschool (one recipient per medical school) who best exempli-fies the qualities of an excellent emergency physician, asmanifested by excellent clinical, interpersonal, and manualskills, and a dedication to continued professional develop-ment leading to outstanding performance on emergencyrotations. The award, presented at graduation, conveys aone-year membership in SAEM, which includes subscrip-tions to the SAEM monthly Journal, Academic EmergencyMedicine, the SAEM Newsletter and an award certificate.

Announcements describing the program have been sentto the Dean's Office at each medical school. Coordinatorsof emergency medicine student rotations then select anappropriate student based on the student's intramural andextramural performance in emergency medicine.

Over 100 medical schools currently participate. To sub-mit the 2007 Medical Student Excellence Award recipientfrom your school (only one winner per medical school), goto: http://www.saem.org/SAEMONN/Portals/0/ExcelAward.pdf Submissions must be received at SAEM no later thanJune 20. The list of 2007 recipients will be published in theSAEM Newsletter in late summer.

Society for AcademicEmergency Medicine

Annual MeetingMay 15-19, 2007

Sheraton ChicagoHotel and TowersCity Front Center

301 East North Water Street

Phone 312-464-1000Be sure to mention SAEM for

reservations

www.Sheratonchicago.com

13

Medical Student Volunteers SoughtThe SAEM Program Committee is looking for energetic medical students to work at the 2007 SAEM Annual Meeting in Chicago

on May 16-19. Students will work closely with program committee members to help facilitate didactic sessions. Each student willbe responsible for coordinating evaluations and other administrative responsibilities. Working at the SAEM Annual Meeting providesstudents with a unique opportunity to familiarize themselves with the current research and educational activities taking place in thefield of emergency medicine. In return for working at the Annual Meeting, all student volunteers will have their registration fee waived.Interested medical students should submit their name and contact information to the SAEM office at [email protected]. Pleasewrite “Medical Student Volunteer for Annual Meeting” in the subject line of the email.

Page 14: March-April 2007

14

SAEM 2007 Research Grants

Emergency Medicine Medical Student Interest Group Grants-These grants provide funding of $500 each to help support the educational or research activities of emergency med-icine medical student organizations at U.S. medical schools. Established or developing interest groups, clubs, orother medical student organizations are eligible to apply. It is not necessary for the medical school to have an emer-gency medicine training program for the student to apply. Deadline: September 8, 2007

EMF/SAEM Medical Student Research Grant-These grants are sponsored by SAEM and the Emergency Medicine Foundation. A maximum of $2,400 over threemonths is available to encourage research in emergency medicine by medical students.Deadline: TBA

Research Training Grant-This grant provides financial support of $75,000 per year for two years of formal, full-time research training for emer-gency medicine fellows, resident physicians, or junior facility. The trainee must have a concentrated, mentored pro-gram in specific research methods and concepts, and complete a research project. Deadline: November 3, 2007

Institutional Research Training Grant-This grant provides financial support of $75,000 per year for two years for an academic emergency medicine pro-gram to train a research fellow. The sponsoring program must demonstrate an excellent research training environ-ment with a qualified mentor and specific area of research emphasis. The training for the fellow may include a for-mal research education program or advanced degree. It is expected that the fellow who is selected by the apply-ing program will dedicate full time effort to research, and will complete a research project. The goal of this grant isto help establish a departmental culture in emergency medicine programs that will continue to support advancedresearch training for emergency medicine residency graduates. Deadline: November 3, 2007

Newsletter Submissions WelcomedSAEM invites submissions to the Newsletter pertaining to Academic Emergency Medicine in the following areas:1. Clinical Practice2. Education of EM residents, Off-Service Residents, Medical Students and Fellows3. Faculty Development4. Politics and Economics as they pertain to the academic environment5. General Announcements and Notices6. Other pertinent topicsMaterials should be submitted by e-mail to [email protected].

Subject Line should state: Newsletter Submission.Be sure to include the names, professional designations, institutional affiliations of authors and a means of contact.All submissions are subject to review and editing.Deadline for the May/June issue is April 1, 2007.

Page 15: March-April 2007

15

17th Annual SAEM Midwest Regional MeetingMeeting Announcement & Call for Abstracts

Thursday, September 20, 2007The Department of Emergency Medicine at Wayne State University is pleased to announce that abstracts are now being

accepted for the SAEM Midwest Regional Meeting. The theme of the meeting will be “Finding Your Niche in EmergencyMedicine” and will include a keynote address by Dr. Glenn Hamilton. The program will feature oral and moderated poster pre-sentations of original research, as well as a discussion-panel and short lectures from various invited faculty whom have excelledin their chosen EM niche.

The meeting location is Ford Field, home of the Detroit Lions. Registration to this event includes a complimentary continen-tal breakfast and lunch. A selection of wine & cheeses will also be provided during the moderated poster session.

Detroit is a resurging city, with much to offer our out-of-town guests. Take a boat tour down the Detroit River. Visit Greektownfor a fabulous evening meal. If gaming is your interest, Detroit has 3 Las Vegas style casinos downtown. Or maybe you’d liketo visit a museum? The Detroit Institute of Arts and the Charles Wright Museum of African American History (the largest AfricanAmerican museum in the country) are two of our gems. Like music? We also are home to the world renowned Detroit SymphonyOrchestra, and have a thriving local music scene. Are you a sports fan? Detroiters are passionate about their sports, andSeptember is a great time for the sports fan to visit as it is possible to see the Lions, Tigers, and Red Wings in action, and all ofwhom play in Downtown Detroit.

The deadline for abstract submission is FRIDAY, JULY 27, 2007 at 5:00 p.m. Eastern Standard Time. Only electronicsubmissions via the SAEM online abstract submission form at www.saem.org will be accepted. Acceptance notification will besent by August 10, 2007.

Questions concerning the meeting can be directed to the Program Co-Chair, Scott Compton, PhD, at [email protected].

The Society for Academic Emergency Medicine (SAEM) is searchingfor an energetic, innovative, and experienced individual to fill the

position of Journal Manager for the Society's journal, Academic Emergency Medicine.

About SAEM: SAEM is a non-profit organization dedicated to the improvement of care of theacutely ill and injured patient by advancing research and education in emergency medicine.About Academic Emergency Medicine (AEM): AEM publishes information relevant to thepractice, educational advancement, and investigation of emergency medicine. The mission ofthe journal is to promote the advancement of emergency medicine research, education, andclinical practice.About the position: The Journal Manager will be located at the editorial office in Lansing,Michigan, and will oversee and ensure the timeliness and quality of all peer review, editorial,and production processes. A list of duties will be available for review by qualified candidates.About the Successful Candidate: The Journal Manager must be able to oversee and guide the entire editorial and publication process. The successful candidate will work well under deadlines and will have demonstrated success with at least 3 years of experience in a comparable position. Prior editorial experience with a society publication is an advantage.

Three references will be required and salary will be commensurate with qualifications and job experience. Interested candidates should contact Barbara Mulder, Interim Executive Director, at 517-485-5484 or by email at [email protected]. SAEM is an EOE.

Journal ManagerAcademic Emergency Medicine

Page 16: March-April 2007

FACULTY POSITIONSTUCSON, ARIZONA: Department of Emergency Medicine - The Department of Emergency Medicine at the University of Arizona Health Sciences Center has expanded to a second practice site and is recruiting emergency physicians. In July of 2005 the group assumed control of the Emergency Department at University Physicians Hospital at Kino (UPHK), located in one of the fastest growing areas of Tucson. Our group, dedicated to excellence in emergency medicine, needs bright and energetic emergency physicians to grow with us at both University Medical Center (UMC) and UPHK. We have openings for academically oriented Emergency Medicine physicians and offer a competitive salary, excellent benefi ts, generous CME stipend, and an academic appointment. Special consideration will be given to candidates with interest or experience in the development of medical student and resident educational programs and interest or experience in EMS, Pediatric Emergency Medicine and Clinical Research. In addition to the categorical residency in Emergency Medicine, we possess a combined residency program in Emergency Medicine and Pediatrics and fellowships in Medical Toxicology, Sports Medicine and Research. Please e-mail inquiries to [email protected] or call 520-626-2239 or mail your CV to: Harvey W. Meislin, M.D., Professor and Head, Department of Emergency Medicine, The University of Arizona, PO Box 245057, Tucson, AZ 85724, http://www.emergencymed.arizona.edu/

ORANGE, CALIFORNIA: Department of Emergency Medicine is seeking an HS Clinical Instructor for July, 2007. UCI Medical Center is a Level I Trauma center with 2200 runs/year, 40,000 ED census. The new fellowship in Emergency Medical Services and Disaster Medicine, beginning July 1, 2007, combines the traditional emphasis on EMS research with the disciplines of emergency management/disaster medicine and public health. A key focus of the fellowship is health policy and health services systems research including mass casualty management and triage. Completion of American council of graduate medical education (ACGME) accredited Emergency Medicine Residency required prior to start. The two-year combined program, with an integrated Masters of Public Health, will be jointly administered by Director, EMS and Disaster Medicine. Salary commensurate with level of clinical work, send CV, statement of interest and three letters of recommendation to: Carl Schultz, MD. Department of Emergency Medicine, Route 128, UC Irvine Medical Center, 101 City Drive, Orange, CA 92868. The University of California, Irvine is an equal opportunity employer committed to excellence through diversity

LAS VEGAS, NEVADA: Director of Emergency Ultrasound. Outstanding opportunity of emergency ultrasound fellowship-trained Emergency Physician for academic faculty position. True ground-fl oor opportunity to develop an ultrasound program and a didactic curriculum. Enjoy a progressive, dynamic environment with a supportive Emergency Medicine team and new ACGME-approved EM residency training program. Protected academic time and clinical appointment in the University of Nevada School of Medicine (UNSOM), Department of Emergency Medicine. UMC is a Level I Trauma Center seeing 71,000 emergency pts./yr. Employment and partnership is with Emergency Physicians’ Medical Group (EPMG), which has been providing outstanding opportunity since 1973. EPMG offers democratic governance, open books, and excellent compensation/bonus plus shareholder status after one year. Compensation package includes administrative stipend, profi t sharing, comprehensive benefi ts with funded pension (up to $25,300 yr.), CME account ($5,000/yr.), family medical/dental/prescription/vision coverage, short and long term disability, life insurance, malpractice+tail, relocation allowance and more. Contact Jim Nicholas @800.828.0898, e-mail [email protected], fax 330.491.4077 or send CV to EPMG, 4535 Dressler Road NW, Canton, OH 44718.

SYRACUSE, NEW YORK: The Department of Emergency Medicine at SUNY Upstate Medical University seeks additional BC/BE Emergency Medicine trained faculty physicians. This is an exciting opportunity to join one of the highest quality learning environments in academic settings. Part of the Region’s only Level I Trauma Center, this state-of-the-art Emergency Department sees 52,000 patient visits annually. In addition to having Central New York’s only accredited, hospital-based Hyperbaric Oxygen Therapy Unit, University Hospital boasts a certifi ed Poison Control Center, a Center for Emergency Preparedness, a Paramedic Training Program, and a Flight Program. Position offers faculty appointment in the College of Medicine at SUNY Upstate Medical University, competitive compensation and excellent benefi ts package. An AA/EEO/ADA employer, committed to excellence through diversity. Contact Mike Tucker at 800-678-7858, x63447; fax 314-726-0026; e-mail [email protected].

COLUMBUS, OHIO: Assistant/Associate or Full Professor. Established residency training program. Level 1 trauma center. Nationally recognized research program. Clinical opportunities at OSU Medical Center and affi liated hospitals. Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 146 Means Hall, 1654 Upham Drive, Columbus, OH 43210; or E-mail; [email protected]; or call 614-293-8176. Affi rmative Action/Equal Opportunity Employer. Search Committee: Michael R. Dick, M.D., Sorabh Khandelwal, M.D., Daniel R. Martin, M.D., Richard N. Nelson, M.D., Howard A. Werman, M.D.

2007 EMS FELLOWSHIP ANNOUNCEMENT The State University of New York at Buffalo, Department of Emergency Medicine is seeking applicants for a one or two year Emergency Medical Services Fellowship. Fellowship responsibilities include providing on-scene support for law enforcement, disaster response, medical oversight, participating in the regional public health emergency responses system and assisting in oversight of the EMS resident rotation. Clinical experience is in our busy Level I trauma center and aggressive 24/7-angioplasty center with a strong ED Ultrasound program. Excellent salary and benefit package including tuition reimbursement for Masters level graduate work. Additional education in Emergency Ultrasound is also available. Now accepting applications for July 2007. Applicants must be BC/BE in Emergency Medicine and be able to obtain a NY State Medical License. Questions can be addressed to Jeff Myers, D.O. at [email protected] or call 716-898-4430. A letter of interest and Curriculum Vitae may be submitted to: Anthony Billittier, IV, MD Fellowship Director, Department of Emergency Medicine, 462 Grider Street, Buffalo, NY 14215

CENTRAL TEXAS: Emergency MedicineScott & White Health System

The Department of Emergency Medicine of Scott & White and The Texas A&MUniversity System Health Science Center College of Medicine are currently seekingoutstanding physicians BC/BE in Pediatric Emergency Medicine. A state-of-the-artEmergency Department is currently under construction, as part of a new Center forAdvanced Medicine and will include an 8 bed pediatric emergency department. As theonly Level I Trauma department in Central Texas, the department evaluates and treats58,000+ patients annually with a pediatric volume greater than 12,000 patients. Thedepartment presently consists of 14 full-time faculty physicians, committed to quality caredelivery enhanced by resident and student education. The department will play a criticalrole in the vision of the institution to grow both its clinical services and academics.Academic appointment and rank is commensurate with experience and qualifications.Scott & White is the largest multi-specialty practice in Texas, with more than 530physicians and research scientists who care for patients at Scott & White MemorialHospital in Temple and within the 15 regional clinic system networked throughout CentralTexas. Over $250 million in expansions are currently underway, including two newhospitals and three regional clinics. Led by physicians with a commitment to patient care,education and research, Scott & White is listed among the "Top 100 Hospitals" in Americaand serves as the clinical educational site for The Texas A&M HSC COM. Additionally, the180,000-member Scott & White Health Plan is the #1 health plan in Texas.Scott & White offers a competitive salary and comprehensive benefit package, whichbegins with four weeks vacation, three weeks CME and a generous retirement plan. Foradditional information, please call or send your CV to: C. Keith Stone, MD, Professorand Chairman, Department of Emergency Medicine; c/o Jason Culp, PhysicianRecruiter, Scott & White Clinic, 2401 S. 31st, Temple, TX 76508. (800) [email protected] Scott & White is an equal opportunity employer. A formalapplication must be completed to be considered for this position. www.sw.org

16

Page 17: March-April 2007

CENTRAL TEXAS: Medical Director Central Texas Poison CenterScott & White Health System

The Department of Emergency Medicine of Scott & White and The Texas A&MUniversity System Health Science Center College of Medicine are currently seeking anoutstanding physician, dual BC/BE in Emergency Medicine and Medical Toxicology, to serveas Medical Director of the Central Texas Poison Center. The Poison Center is an AAPCCcertified center serving the over 2 million people of Central TX, and is one of six centers thatcomprise the Texas Poison Center Network. As the only Level I Trauma department inCentral Texas, the department of emergency medicine evaluates and treats 58,000+patients annually. The department presently consists of 14 full-time faculty physicians,committed to quality care delivery enhanced by resident and student education. Thedepartment will play a critical role in the vision of the institution to grow both its clinicalservices and academics. Academic appointment and rank is commensurate with experienceand qualifications. Research opportunities are available for interested candidates.

Scott & White is the largest multi-specialty practice in Texas, with more than 530 physiciansand research scientists who care for patients at Scott & White Memorial Hospital in Templeand within the 15 regional clinic system networked throughout Central Texas. Over $250million in expansions are currently underway, including two new hospitals and three regionalclinics. Led by physicians with a commitment to patient care, education and research, Scott& White is listed among the "Top 100 Hospitals" in America and serves as the clinicaleducational site for The Texas A&M HSC COM. Additionally, the 180,000-member Scott &White Health Plan is the #1 health plan in Texas.

Scott & White offers a competitive salary and comprehensive benefit package, which beginswith four weeks vacation, three weeks CME and a generous retirement plan. For additionalinformation, please call or send your CV to: C. Keith Stone, MD, Professor andChairman, Department of Emergency Medicine; c/o Jason Culp, Physician Recruiter,Scott & White Clinic, 2401 S. 31st, Temple, TX 76508. (800) [email protected] Scott & White is an equal opportunity employer. A formal applicationmust be completed to be considered for this position. www.sw.org

Fellowship in Trauma Biomechanics

The University of Virginia Department of

Emergency Medicine, in collaboration with

the Department of Mechanical and

Aerospace Engineering, is pleased to offer a one year

fellowship in Trauma Biomechanics. The Trauma

Biomechanics Fellowship links the clinical care of the injured

patient with the body of basic science research attempting

to prevent injury to vehicle occupants, pedestrians and law

enforcement. During this one-year fellowship, fellow will gain

clinical experience in the emergency department while

gaining laboratory experience at the University of Virginia

Center for Applied Biomechanics.

Ongoing research areas include pedestrian injury,

thoracic injury mechanisms, pediatric abdominal injury

modeling, wave propagation, motorcycle occupant

biomechanics and blast biomechanics.

The successful applicant will have completed emergency

medicine residency training, will be ABEM board-

certified/prepared prior to July 2007 and will have an

educational background in mechanical or civil engineering or

a related discipline.

Please submit a letter of interest and CV to:

William A. Woods, MD, Co-Director

Trauma Biomechanics Fellowship

University of Virginia Health System

PO Box 800699; Charlottesville, VA 22908-0699

Phone: 434-982-8485 email: [email protected]

"The University of Virginia is an equal opportunity/affirmative action employer."

Faculty position, University of California, San Francisco

The Division of Emergency Medicine at the UCSF Medical

Center seeks a candidate at the assistant professor level who has

embarked on a career in funded emergency medicine research.

The School of Medicine has ranked in the top 5 for NIH funding

for decades. The successful candidate will have an existing track

record of research and publication that will lead to funding

within the first few years of appointment. Quality of the

intellectual experience and resources are unmatched, as is the

geographic and cultural environment. The Emergency

Department has extremely high acuity and complexity, a

completely renovated physical plant, and an established real-time

web based patient clinical research enrollment program.

Competitive pay, benefits, bonus, and academic support,

residency scheduled to start in 2008, academic department status

scheduled. All qualified applicants are encouraged to apply,

including minorities and women. Please contact Dr. Michael

Callaham, ([email protected]), c/o Sarika Parekh,

administrator ([email protected])

ACADEMIC POSITION

The Division of Emergency Medicine at the University of Utah Health Sciences Center in

Salt Lake City, Utah has a position available at the Assistant Professor Clinician Scholar

Tenure Track level for an EMS Fellowship-trained physician with an interest in academics

and residency training to start July 2007. The University of Utah is the primary medical

teaching and research institution in the state. The E.D. has a census of 33,000 visits

annually and is an ACS-certified Level-1 Trauma Center. The Division of Emergency

Medicine runs the AirMed helicopter service, two regional EMS systems, and the Utah

Poison Control Center. Candidates must be board certified/prepared and have a

demonstrated interest in research and education. Competitive salary with an excellent

benefits package. The University of Utah is an EEO/AA employer and encourages

applications from women and minorities.

If you are interested in applying or need more information, please contact:

Erik D. Barton, MD, MS, FACEP Division Chief

Division of Emergency Medicine University of Utah School of Medicine

30 North 1900 East, RM 1C26

Salt Lake City, Utah 84132

(801) 581-2730

Fax: (801) 585-6699

[email protected]

17

Page 18: March-April 2007

The University of Alabama School of Medicine

The University of Alabama School of Medicine is seek-ing a full-time board eligible/certifi ed Emergency Medi-cine physician at the rank of Associate Professor to fi ll an important academic-clinical position. This will be a non-tenure or tenure-earning position. The Department of Emergency Medicine (DEM) was established in 1996 at the highly successful University of Alabama School of Medicine. We are committed to the academic growth of faculty, excellence in patient care, and began a PGY-2-4 EM Residency training program in July 2002. The De-partment of Emergency Medicine has responsibilities for educating medical students, rotating house offi cers and our EMT/Paramedic training program. The DEM coordi-nates activities of the Center for Emerging Infections and Emergency Preparedness, a multidisciplinary research and service organization focused on biodefense. The DEM has been highly successful in developing extra-mural support for research in this warmly collaborative institution. Please send your curriculum vitae to: Janyce Sanford, M.D., Associate Professor & Interim Chair of Emergency Medicine, University of Alabama at Birming-ham; Department of Emergency Medicine; 619 South 19th Street; JTN 266; Birmingham, AL 35249-7013. The University of Alabama at Birmingham is an Affi rmative Action/Equal Opportunity Employer. Women and minori-ties are encouraged to apply.

Boston Harvard Affiliated Teaching Hospital

The Department of Emergency Medicine of the Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center has positions available for faculty committed to academic Emergency Medicine. Board certification or preparation in Emergency Medicine with four years of training or experience are prerequisites. The base hospital is Beth Israel Deaconess Medical Center, a Level I trauma center, with an ED that sees over 50,000 patients a year. Our community practice, Deaconess Glover Hospital, sees over 10,000 patients a year. We provide needed direction for three 911 systems. Academic opportunities include access to lab space, international programs, and teaching at Harvard Medical School. Salaries are highly competitive for the community and are incentive based. We are currently seeking faculty with interests in Academics, EMS, Ultrasound, Sepsis, Medical Education and Neurologic Emergencies.

Please send your curriculum vitae to:

Richard E. Wolfe, M.D.

Chief of Emergency Medicine

Beth Israel Deaconess Medical Center

330 Brookline Avenue

Boston, MA 02215

Beth Israel Deaconess Medical Center is an Equal Opportunity/Affirmative Action Employer

UNIVERSITY OF FLORIDA College of Medicine -

JACKSONVILLE

As part of an extensive faculty expansion project, we

are actively recruiting for 2 full time BC/BE

Emergency Medicine physicians at a community-

based hospital in the greater Orlando-Tampa area.

This facility has a recently renovated 24,000 square

foot emergency department, 33 patient care bays

including a 7 bed minor care area, 3 x-ray shifts, a

radiology viewing area, ample work space, and a large

waiting area, that services a growing volume of over

50,000 patients visits per year. We offer a

competitive salary, plus a full range of University of

Florida state benefits which include sovereign

immunity occurrence-type medical malpractice,

health, life and disability insurance, vacation, sick

leave, a generous retirement plan and a competitive

compensation package. This is an outstanding

opportunity to join a progressive and innovative

healthcare system with a great leadership team.

Individuals will be appointed at the rank of Assistant

Professor or Associate Professor. Interested? E-

mail your letter of interest and CV to Kelly Gray-

Eurom, MD at [email protected] or fax

to 904-244-5666. These positions are currently open

and will remain open until filled. For full

consideration applications should be submitted as

soon as possible. EOE / AA Employer.

University of California, Irvine, Department of

Emergency Medicine is seeking an HS Clinical In-

structor for July, 2007. UCI Medical Center is a Level

I Trauma center with 2200 runs/year, 40,000 ED cen-

sus. The new fellowship in Emergency Medical Ser-

vices and Disaster Medicine, beginning July 1, 2007,

combines the traditional emphasis on EMS research

with the disciplines of emergency management/disas-

ter medicine and public health. A key focus of the fel-

lowship is health policy and health services systems

research including mass casualty management and

triage. Completion of American council of graduate

medical education (ACGME) accredited Emergency

Medicine Residency required prior to start. The two-

year combined program, with an integrated Masters

of Public Health, will be jointly administered by Di-

rector, EMS and Disaster Medicine. Salary commen-

surate with level of clinical work, send CV, statement

of interest and three letters of recommendation to:

Carl Schultz, MD. Department of Emergency Medi-

cine, Route 128, UC Irvine Medical Center, 101 City

Drive, Orange, CA 92868. The University of Califor-

nia, Irvine is an equal opportunity employer commit-

ted to excellence through diversity

As part of an extensive faculty expansion project, we are actively

recruiting for 2 full time BC/BE Emergency Medicine physicians

at a community-based hospital in the greater Orlando-Tampa

area. This facility has a recently renovated 24,000 square foot

emergency department, 33 patient care bays including a 7 bed

minor care area, 3 x-ray shifts, a radiology viewing area, ample

work space, and a large waiting area, that services a growing

volume of over 50,000 patients visits per year. We offer a

competitive salary, plus a full range of University of Florida

state bene ts which include sovereign immunity occurrence-type

medical malpractice, health, life and disability insurance, sick

leave, a generous retirement plan and a competitive compensation

package. This is an outstanding opportunity to join a progressive

and innovative healthcare system with a great leadership team.

Individuals will be appointed at the rank of Assistant Professor

or Associate Professor. Interested? E-mail your letter of interest

and CV to Kelly Gray-Eurom, MD at Kelly.grayeurom@jax.

u .edu or fax to 904-244-5666. These positions are currently

open and will remain open until lled. For full consideration

applications should be submitted as soon as possible. EOE / AA

Employer.

18

Page 19: March-April 2007

Director of Research Department of Emergency Medicine

The Department of Emergency Medicine at UC Davis Medical Center (UCDMC) invites applications from outstanding M.D. or Ph.D. candidates for the position of Director of Research. Candidates must have a track record of outstanding research, mentorship and extramural grant support. The Department will provide a substantial “start-up” package and clinical reduction to the successful candidate. In addition, the department has established a research endowment to support the research of fellows and junior faculty. We are starting a research fellowship in 2008. The Department has approximately $2 million in grant funding. The NIH recently awarded UC Davis a Clinical and Translational Science Center (one of only 12 in the nation) to foster innovative and collaborative research and provide opportunities such as K12 career development funding for junior faculty. The UCDMC is a tertiary care center, has the only Division of Pediatric Emergency Medicine, and is the only level 1 Trauma Center in the region. Faculty members have outstanding track records of grant funding and publications. We are an active participant in the Pediatric Emergency Care Applied Research Network (PECARN), the first federally-funded network for research in Emergency Medical Services for Children. We are located in Sacramento, California, in an area that offers a very high quality of living, and lies in proximity to many of California s most beautiful areas, including San Francisco and Lake Tahoe. A very competitive salary and benefits package will be offered. The University of California is an Equal Opportunity, Affirmative Action Employer. This position will be open until filled, but applications must be received by June 30, 2007. Candidates should send a statement of research interests, a curriculum vitae, and names and titles of 5 references to: Nathan Kuppermann, MD, MPH Chair, Department of Emergency Medicine University of California, Davis School of Medicine 4150 V Street, Suite 2100, Sacramento, CA 95817 Questions should be directed to Deborah Diercks, M.D., Chair of the faculty search committee at [email protected]

The Department of Emergency Medicine at Brigham and Women’s Hospital is currently seeking an Assistant Director for Simulation Education. The department is home to STRATUS, a comprehensive medical simulation training center, which provides simulation education to all hospital departments as well as non-affiliated clinicians, including EMS. Simulation has been fully integrated into the core curriculum of the Harvard Affiliated Emergency Medicine Residency at Brigham and Women’s Hospital. This position includes excellent academic support including access to grant writing and statistical analysis, academic appointment at Harvard Medical School, unparalleled research opportunities, competitive salary, and an outstanding comprehensive benefit package. Brigham and Women’s Hospital is a major Harvard affiliated teaching hospital, level I trauma center, and the base hospital for the four year ACGME accredited Harvard Affiliated Emergency Medicine Residency Program. The Department of Emergency Medicine cares for over 56,000 ED patients per year, and the 43 bed ED includes a 10 bed ED Observation Unit, a 5 bed rapid assessment cardio/neuro unit and an advanced informatics system. The department has a robust International Emergency Medicine Program and offers international EM fellowships. The successful candidate must have successfully completed a four year residency training program in emergency medicine or a three year program followed by a fellowship, and be board prepared or certified in emergency medicine. Candidates must also have shown an ongoing interest in simulation education; preferably having published in the field. Interest and proven ability in Emergency Medicine research and teaching are essential. Please send inquiries and CV to Ron M. Walls, MD, FACEP, Chairman Department of Emergency Medicine Brigham and Women’s Hospital 75 Francis Street, Neville House Boston, Massachusetts 02115. E-mail [email protected]

BWH is an Equal Opportunity/Affirmative Action Employer

Brigham and Women's Hospital Harvard Medical School

Faculty Position Simulation Education

19

Page 20: March-April 2007

20

Board of DirectorsJames Hoekstra, MDPresident

Judd Hollander, MDPresident-Elect

Katherine Heilpern, MDSecretary-Treasurer

Glenn Hamilton, MDPast President

Jill Baren, MDJeanette Ebarb, MDLeon Haley, Jr, MD, MHSAJeffrey Kline, MDCatherine Marco, MDRobert Schafermeyer, MDEllen Weber, MD

EditorDavid Cone, [email protected]

Interim Executive DirectorBarbara [email protected]

Advertising CoordinatorMaryanne [email protected]

“to improve patient care byadvancing research andeducation in emergencymedicine”

The SAEM newsletter is published bimonthly by the Society for AcademicEmergency Medicine. The opinions expressed in this publication are those of the

authors and do not necessarily reflect those of SAEM.

Society for AcademicEmergency Medicine901 N. Washington AvenueLansing, MI 48906-5137

PRESORTEDSTANDARD

U.S. POSTAGEPAID

GRAND RAPIDS MIPERMIT # 1

SAEM

Newsletter of the Society for Academic Emergency Medicine