The Proposal

An opportunity and mechanism for

companies to join in supporting

ACEP by combining resources.

Choices for supporting ACEP

• Go it alone

– High cost ($175 to $200 K) of major program

– Find/locate a vendor

– Maintain and document “hands off” content• ACCME

• PhRMA Code

• FDA

– No assurance of inclusion messages

• Join with others

– Reduce cost/company/program

– Assure internal review committees of compliance

– Allow mult-product presentations

– Repeat programs by regions/districts

– Engage wider range of faculty

– Year-round messaging

Why this proposal for EM?

• By its nature, EM especially amenable

• EM provides us with patient information

– Why they visit?

– What’s their complaint?

– Treatment options

– What should be prescribed?

– Who gets admitted to hospital?

The MASTERS Program

Maximizing Awareness of Stroke Treatment

in the Emergency Room Setting

Academic Alliances in Medical Education

Incidence of Stroke

Stroke

• Occurs every 45 seconds; death every 3 minutes

• 275,000 deaths/yr

• Third-leading cause of death

• Leading cause of long-term disability

• Costs >$50 billion/yr

• Most occur in >65 yrs of age

• Men are at higher risk, but more women die

• 2x higher incidence among African Americans

Stroke in Emergency Medicine:

Overview

Stroke• Requires immediate treatment

– Improves chances for survival

– Decreases overall morbidity/mortality

• ~88% are ischemic and, if treated early, amenable to therapy

• Many patients not treated fast enough

• Improvements needed:

– Educate emergency physicians

– Raise public awareness

ACEP Recognizes

the Importance of Stroke Education

• Numerous articles in Ann Emerg Med

• Topic at ACEP annual meetings

• EM “core content” reflected in “The Model of the

Clinical Practice of Emergency Medicine (EM)”

• 1 of 13 topics in Nervous System Disorders category

• ABEM weighted the Nervous System Disorders

category as 5% of the ConCert exam

Needs Assessment Methodology

Survey ACEP

Membership

Web-Based Focus

Groups

ACEP Newsletter

SurveyCase-Based

Pre-Test

Learning

PreferencesStroke Knowledge Practice Profile

• Two Components to the

MASTERS PROGRAM

System Web Site

Live – Chapter Lecture Series

Program Overview

Emergency Physician

Educational Needs Assessments

Stroke Emergency Learning

System Web Site

Modular Educational Series Posted

on AAME Site With Link to

www.acep.org

1: Transient Ischemic

Attack: Presentation in

the Emergency

Department

Reprint Lecture Kit Series

2: Role of Paraclinical

Diagnostic Techniques in

Classification and

Treatment of Acute

Cerebrovascular Events

Video Lecture Series

3: Emergency Medicine:

On the Frontlines of

Stroke Management and

Secondary Prevention

Audio-Monograph Series

4: Practical Application of

Evidence-Based

Medicine: Secondary

Prevention of Stroke

Interactive Case Study

Series

5: Advances in

Telemedicine: Expanding

the Scope and Quality of

Emergency Stroke

Management

Expert Panel Discussion

Videos

Management of Time-Critical

Neurological Events: Acute

Ischemic Stroke and Transient

Ischemic Attack

Live Educational Lectures During

ACEP Chapter Annual Meetings

Program Overview

Emergency Physician

Educational Needs Assessments

Stroke Emergency Learning

System Web Site

Modular Educational Series Posted

on AAME Site With Link to

www.acep.org

2: Role of Paraclinical

Diagnostic Techniques in

Classification and

Treatment of Acute

Cerebrovascular Events

Video Lecture Series

3: Emergency Medicine:

On the Frontlines of

Stroke Management and

Secondary Prevention

Audio-Monograph Series

4: Practical Application of

Evidence-Based

Medicine: Secondary

Prevention of Stroke

Interactive Case Study

Series

5: Advances in

Telemedicine: Expanding

the Scope and Quality of

Emergency Stroke

Management

Expert Panel Discussion

Videos

Management of Time-Critical

Neurological Events: Acute

Ischemic Stroke and Transient

Ischemic Attack

Live Educational Lectures During

ACEP Chapter Annual Meetings

1: Transient Ischemic

Attack: Presentation in

the Emergency

Department

Reprint Lecture Kit Series

Learning System 1:

Transient Ischemic Attack:

Presentation in the Emergency Department

• Reprint Lecture Kit Series

Three modules consisting of:

– 2–3 journal articles in PDF

– Expert-faculty audio commentary

– 6–8 slides with lecture notes (per article)

Learning System 1: Modules

Pathophysiologic Mechanisms of the Ischemic Cascade

and Sources of Cerebral Ischemia

Clinical Impressions and Temporal Features of Acute

Ischemic Stroke and Transient Ischemic Attack:

Differentiating Along the Ischemic Continuum

Emergency Assessment of an Acute Neurological Event

Process

Sponsors AAME

W. Jochimsen

Consultant /Facilitator

Firewall

Needs

Vehicle/Venue Programs

ACEP

1

3

4

5 6

2

William G Jochimsen

• 40+ years of pharmaceutical industry experience

– Directly: Abbott, Wallace, Pharmacia, Rhone-Poulence Rorer, Pfizer

– Consultant: Rorer, Merrell-Dow, GD Searle, Thompson Medical, Lipha Chemical

• Broad range of experience in several therapeutic areas

– CNS

• Antidepressants, anti-anxiety, sedative hypnotics, analgesics

– NSAIDs, anti-inflammatories, LMWH, anti-diabetics, topicals, anti-infectives, ophthalmologicals, anti-hypertensives, gastrointestinals

– Broad range of experience with vendors in a broad range of meetings

Independent Education Process

Needs assessment

• Audience surveys/evaluations

• Expert opinions

• Literature search

• Congress/society feedback

• Learning styles

• Gap analysis

• Patient surveys

Determine learning objectives

Design educational

program

• Identify faculty

• Determine audience

• Design medium – using learning style and setting of audience

Implement programs

• Secure venue, generate

audience, develop content

Evaluation/outcome

measures

• Effectiveness of faculty, quality,

and balance of content

• Learning preferences

• Educational needs and

interests for future programs

Submit grant

Medical Education Experience

Lymphoma

Multiple sclerosis

Depression

Diabetes

HIV/AIDS

Epilepsy

Alzheimer’s Disease

Infections

Infertility

Anxiety

Depression

Arthritis

Allergic rhinitis

Asthma

COPD

Medical Education Experience

Insomnia HIV/AIDS

Hemophilia

Immunodeficiency

Fertility

Diabetes

Diabetes Schizophrenia

Hemophilia

Alzheimer’s Disease

Anxiety

Bacterial infection

BPH

Cardiac arrhythmia

Depression

Diabetes

Dyslipidemia

Epilepsy

Fungal infection

Hypertension

Insomnia

Migraine

Neuropathic pain

Nociceptive pain

Overactive bladder

PTSD

Panic disorder

OCD

Sexual disorders

Social anxiety disorder

Contact Information

William G. Jochimsen

305 West 55th Street

New York, NY 10019-4557

Phone: 212 957-9536

Cell: 212 729-8298

Fax: 212 957-1373

Email: wgjochimsen@aol.com

Steven Abramson

CMD/AAME

1250 Broadway, 36th Fl

New York, NY 10001

Phone: 212 771-7317

Fax: 212 849-1180

Email: sabramson@cmdny.com