PRESIDENT’S MESSAGE

Opportunity….This is my final “President’s

Message” for the SAEM Newslet-ter. In previous columns, I coveredtopics of importance (at least in myview) to you, the member. Theseincluded: the goals of the year forthe Board of Directors and organi-zation; discourse within our Soci-ety; fund raising to advance ourmission vs. altering SAEM’s ‘tradi-tion’ dialogue; the abstract submis-

sion, acceptance and rejection process; and critical care cer-tification for emergency physicians. Now, I’d like to offer oneman’s perspective on SAEM and emergency medicine. Likeprevious messages, I’ll try to be clear and brief – your time(including that used reading this) is valuable.

Opportunity is the word that keeps coming to me when Ireflect on emergency medicine (as a career) and SAEM (asan organization). I’ll explain.

The features of emergency medicine and emergencyphysicians – by nature (our choosing this field) and nurture(our training and living in the emergency department) - putus in an ideal setting for accomplishment. We care for thosein need whenever they perceive need; we teach the mostdifficult skills and information (‘who is sick and what needs tobe done’) in the most challenging environment; and wespend much of our time convincing others ‘this is the rightthing to do’ – including all our students, EM and non-EM col-leagues, care regulators and administrative/finance counter-parts. As academic emergency physicians, we do all this andseek better ways for the future. This unique position allowscountless of us to alter lives and limit suffering near and far– through the practice and teaching opportunities in the ED,and through the leadership opportunities we get at our insti-tution, in our government, and in organized medicine.Healthcare colleagues recognize our special traits – ability tofocus and juggle, combine pragmatism with principle, offerclarity with compassion. This recognition created opportuni-ty; opportunity produced departmental chairs, deans, prac-tice plan directors, chief officers, and elected leaders in med-icine and government. I see even more opportunity andgrowth in the future, dwarfing this exceptional growthalready seen.

Within SAEM, similar opportunities exist, and the samezeal, skill and accomplishment are rampant. The organiza-tions continues to grow – in size, in resources, and in ‘doings

Donald M. Yealy, MD

NEWSLETTERNewsletter of the Society for Academic Emergency Medicine May/June 2004 Volume XVI, Number 3

(continued on page 40)

SAEM NEWSLETTER

901 North

Washington Ave.

Lansing, MI

48906-5137

(517) 485-5484

saem@saem.org

www.saem.org

(continued on page 40)

SAEM Research Fund – Support Made Simple

Brian Zink, MDUniversity of MichiganChair, SAEM Financial Development Committee

Academic emergency physicians’ practice is a whirling dervishof medical and social issues that grow more complex each year.Even the most energetic adrenaline junkies may meet their matchin today’s busy academic ED. It is a small pleasure to help apatient who has a non-complicated presentation. One of myfavorite adages when supervising residents is: “Don’t make theeasy ones hard.” A similar concept can be invoked as you con-sider how you might support the academic future of our special-ty.

The SAEM Research Fund is support made simple. SAEMmembers are solicited to donate their hard earned money tomany causes. For some of these causes, it may be difficult to fig-ure out what your contribution will support and where your moneygoes. The SAEM Research Fund is only about one thing – pro-viding training grants for emergency physicians. The mission forthe Fund are as follows:

• To improve the care of patients in the emergency departmentand pre-hospital settings, through medical research and scien-tific discovery.

• To enhance the research capability within the field of emer-gency medicine through financial support of investigators.

• To enable investigators to gain knowledge and skills related to:the responsible and ethical conduct of research; researchdesign; funding mechanisms; practical aspects of data collec-tion, management, and analysis; and the publication and dis-semination of new information.

The vision for the fund is:Our vision is that well-trained, ethical, and productive investi-gators will conduct emergency medicine research. Because oftheir knowledge and contribution, emergency medicine spe-cialists will be involved in the planning and conduct of virtuallyall research related to emergency medicine, whether theresearch is investigator-initiated and supported by federal,state, or local agencies, or initiated and supported by industry.

SAEM Research Fund grants help to develop the researchand educational careers of young emergency medicine academi-cians. The recipients of this year's major grants are published in

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Residency and the SAEM Research FundSteven J. Davidson, MDMaimonides Medical Center

At the end of each calendar year, mywife and I determine which charitableefforts we will financially support.Though I’ve contributed in past years tothe SAEM Research Fund, this year Iwas motivated to do so in memory ofdeceased residents from the residencywhere I trained, Medical College ofPennsylvania in Philadelphia (now the“Drexel University College ofMedicine”).

Six graduates of that program haveperished since its founding over threedecades ago and I learned from andtaught all of them. That observationstartled me and caused me to reflectback upon various experiences witheach of them. It occurred to me that inmy planned giving to the SAEMResearch Fund, I wanted to honor theirmemory.

In this brief article, I’d like to encour-age you to consider doing likewise outof respect to your experience of resi-dency and graduates of it who aredeceased. Why would you do so?

Though I count myself among the

first generation of EM residency gradu-ates, this not particularly important char-acterization nonetheless describes akey aspect of my persona. Since I per-ceive myself as indelibly affected by myresidency experience and all whopassed through it during the twodecades I was there, I feel indebted toall those people. Yet gratitude and a giftto my residency seemed too limiting—narrowing rather than expanding theworld of emergency medicine. Itoccurred to me that just as with my chil-dren, from whom I don’t seek gratitude,but rather wish for their success throughtheir contributions to the wider world; sotoo, my residency and all associatedwith it weren’t looking for my gratitudebut rather for our specialty’s success inthe world of medicine.

So too, my contribution to the SAEMResearch Fund in memory of mydeceased colleagues is an effort toextend their contributions—beyond theirlives—to the greater world of emer-gency medicine. I know these menloved their practices and their careers in

emergency medicine. Some werenotable researchers—early in theircareers; others practitioners just startingout or in mid-career, yet all contributedthrough their lives and their practices toestablishing not only their own reputa-tion, but the credibility and reputation ofemergency physicians more widely.

Surely, you know an emergencyphysician, perhaps a graduate of yourresidency who has perished beforehis/her contributions were fully manifest.Enable the contribution you know theywould have confirmed through their ownlives if given a chance. Make a contri-bution in that physician’s honor to theSAEM Research Fund and urge yourresidency mates to do likewise.

MCP resident graduate deaths as ofFebruary 16, 2004Lawerence J. Carley - 1979 graduateJohn S. Foster – 1984 graduateWilliam H. Spivey - 1984 graduateMichael McDonald – 1986 graduateRichard Wuerz - 1990 graduateHaif Alnajjar – 1995 graduate

2003 Year-end Financial ReportJames Adams, MDNorthwestern UniversitySAEM Secretary/treasurer

It is a pleasure to present the financial statements from SAEM.The leadership is pleased with the efficient management andconservative use of funds organization-wide, most notablydemonstrated at the headquarters. It is an expert, but leanoperation that is tightly run. SAEM succeeds because of thevolunteer contributions of the talented members and electedleaders. The Annual Meeting, accomplished without industrysupport, succeeds financially because it is effectively organ-ized and generously delivered by excellent chairs, committeeand task force members, and speakers. Excess revenue fromany source is entirely invested into the core mission of advanc-ing research and education in emergency medicine. Theimportant next challenge for SAEM is to enhance the financialposition by developing other productive revenue streams. Thisexploration is beginning. The highest priority remains dedica-tion to the mission and preservation of the strong ethical val-ues upon which SAEM is built.

2003 Revenues: Operating Budget

Membership Dues: $1,105,359Annual Meeting: $430,636Journal and Newsletter: $230,680Other: $20,914TOTAL: $1,787,589

2003 Expenses: Operating Budget

Salaries/Wages, Insurance, Pension: $373,649Journal and Newsletter: $308,498Annual Meeting: $204,175Office: postage, printing, phone, computer: $128,664 Representation, Travel, Meetings: $69,741TOTAL: $1,084,745

2003 Research Fund Revenues

Sponsorship: $81,250Member Donations: $47,280TOTAL: $128,530

2003 Research Fund Expenses

Grants: $372,500TOTAL: $372,500

The total value of the Research Fund was $2,999,975 as ofDecember 31, 2003. SAEM contributed $250,000 to theResearch Fund in mid-2003.

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Research Fund UpdateFrank Counselman, MDEastern Virginia Medical School

The 2004 Member Campaign of the Society for Academic Emergency Medicine (SAEM) Research Fund is off to an impres-sive start. To date, contributions total over $19,000. To those members who have contributed, we thank you. If you have nothad the opportunity to contribute, please consider joining your fellow members in contributing to this worthy effort. The missionof the SAEM Research Fund is three-fold: to improve the care of patients in the Emergency Department and prehospital settingthrough medical research and scientific discovery; to enhance research capability within the field of Emergency Medicine; and tosupport investigators in pursuit of the skills necessary to conduct ethical and important research to create new knowledge for thebenefit of all patients in the Emergency Department.

The emphasis of the SAEM Research Fund is to support research training grants, open to all members who seek such train-ing. One hundred percent of your contributions go directly to the Fund; the administrative costs of maintaining the fund are borneseparately by the SAEM operating budget. Remember, your donation is 100% tax deductible.

We would like to have 100% participation of the membership in supporting the SAEM Research Fund. Please consider mak-ing a donation equal to two to three hours of work. Make your check payable to “SAEM Research Fund” and mail it to: Societyfor Academic Emergency Medicine, 901 N. Washington Ave., Lansing, MI 40906. You can also make your donation on-line bygoing to www.saem.org and click on “Click here to contribute to the Research Fund”.

Mentor ($1000-$2499)Michelle Biros, MS, MDGlenn Hamilton, MDMary Ann SchroppSusan Stern, MD

Sponsor ($500-$999)William Barsan, MDLouis Binder, MDCarey Chisholm, MDSteven Dronen, MDJames Hoekstra, MDRoger Lewis, MD, PhDLawrence Melniker, MDRobert Shesser, MD, MPHDonald Yealy, MD

Investigator ($250-$499)Brent Asplin, MDChristopher Beach, MDJohn Beecher, DOFrancis Counselman, MDSteven Davidson, MD, MBALeon Haley, Jr., MD, MHSACherri Hobgood, MDKevin Knoop, MDDavid Lee, MDLawrence Lewis, MDBenson Munger, PhDDaniel Pallin, MD, MPHEdward Panacek, MDMary Patterson, MDJedd Roe, MD, MBALeland Ropp, MDBrian Zink, MD

Supporter ($100-$249)Roy Alson, MD, PhDJames Amsterdam, DMD, MDDavid Bahner, MD

Jill Baren, MDPatricia Bayless, MDSteven Bernstein, MDMarc Borenstein, MDChristopher Bourdon, MDJames Calabro, MDE. Martin Caravati, MD, MPHMichael Cassara, DOShu Boung Chan, MD, MSPaul Cheney, MDAmy Church, MDRita Cydulka, MDGail D'Onofrio, MDDaniel Danzl, MDGenevieve DeBeaubien, MDLynn Dezelon, MDBarry Diner, MDKelly Anne Foley, MDRobert Galli, MDGregory Garra, DORomolo Gaspari, MDLowell Gerson, PhDJames Giglio, MDMary Hegenbarth, MDJon Hirshon, MD, MPHDebra Houry, MD, MPHGregg Husk, MDCharlene Babcock Irvin, MDKristi Koenig, MDSteven Krug, MDSteven Kushner, MD, MPHChristopher Lai, MDChristopher Linden, MDGretchen Lipke, MDThomas Lukens, MD, PhDJames Menegazzi, PhDDonna Moro-Sutherland, MDDaniel Morris, MDGene Pesola, MD, MPHGary Pollock, MD

Joel D. Rosenbloom, DODouglas Rund, MDMichael Runyon, MDDaniel Rusyniak, MDAugusta Saulys, MDFred Anthony Severyn, MDPaul Silka, MDMarco Sivilotti, MD, MScJohn Skiendzielewski, MDRebecca Smith-Coggins, MDLinda Spillane, MDSusan Stroud, MDRobert Swor, DOMatthew Walsh, MDMarvin Wayne, MDChristopher Weaver, MDScott Wilber, MDMildred Willy, MDLance Wilson, MD

OtherLisa CowanValerie DeMaio, MDBridget DyerKenneth Fine, MDGregory Guldner, MDChristopher KerwinNaghma Khan, MDPJ Konicki, MDJo Ellen Linder, MDFrank Messina, MDMartha Neighbor, MDAlfred Sacchetti, MDJohn Sakles, MDMark Scheatzle, MD, MPHMatthew Spencer, MDJoshua VanderLugtKelly Young, MD

All Research Fund donors in 2003 and 2004 are invited to attend a special “thank you” reception on May 17 in Orlando.

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Tom P. Aufderheide, MD, is a well-established, nationally and internation-ally recognized researcher in the field ofemergency cardiac care. His scholarlyachievements include numerous state-of-the-art research studies and publica-tions that have had a significant effecton the practice of emergency medicine.He has secured numerous extramuralfunding awards from industry, founda-tions, and the National Institutes ofHealth, serving as principal and co-prin-cipal investigator on many importantnational studies. His recently complet-ed Trial of the Time-Insensitive Predic-tive Instrument (TIPI) demonstratedincreased detection of acute cardiacischemia with its use in the emergencydepartment. His recently co-authoredstudy “Missed Diagnosis of Acute Car-diac Ischemia in the Emergency Depart-ment” published in the New EnglandJournal of Medicine definitivelydescribes the scope and nature of thismajor health problem. Dr. Aufderheidejust completed serving as the principalinvestigator in Milwaukee for the PublicAccess Defibrillation (PAD) Trial, whichdoubled survival rates for out-of-hospitalcardiac arrest and will provide theobjective data on which to base nation-al healthcare policy for the next decade.

Dr. Aufderheide pioneered the use ofprehospital 12-lead ECGs for rapididentification of the ischemic patient andreduction in time delays to definitivetreatment. His curriculum vita indicatessignificant scholarly development fromdiscovery (feasibility, safety, and effec-tiveness of prehospital 12-lead ECGs)to application (national and internationalconsultations leading to implementationof prehospital 12-lead ECGs throughoutthe United States and the world). He isone of a handful of nationally recog-

nized researchers actively engaged andNIH-supported in the complex area ofout-of-hospital cardiac resuscitation.His very recent discoveries identifyingan inversely proportional relationshipbetween mean intrathoracic pressureand coronary perfusion pressure andsurvival from cardiac arrest are likely tosignificantly change national and inter-national CPR education, training, andclinical practice.

Dr. Aufderheide’s scientific discover-ies and national leadership have beenrecognized by the American HeartAssociation (AHA) through his numer-ous committee appointments and in hiscurrent role as Basic Life SupportScience Editor. Through these posi-tions, Dr. Aufderheide has been instru-mental in developing new techniques ofCPR instruction and instructional mate-rials for AHA, including simplification ofcourse content, evidence-based coursedevelopment (piloting and documentingcourse effectiveness until the courseconsistently succeeds in meeting alleducational objectives), video-mediatedinstruction (assuring consistent deliveryof educational content), and practice-after-watching techniques (maximizingstudent practice time for mastery of psy-chomotor skills). He has authored over30 CPR courses for AHA (includingprovider materials, instructor materials,CDs, videos, posters, and ancillarytraining materials), which have beendisseminated worldwide and translatedinto many foreign languages. Thesecourses teach CPR and AED use toover 8 million people per year in theUnited States alone. He has publishedtwo definitive textbooks related to car-diac disease: Emergency Cardiac Careand Advances in Prehospital Care. As aresult of these educational achieve-ments, Dr. Aufderheide has emerged asa leading national and international lec-turer. He is a superb presenter to stu-dents, residents, and faculty, consistent-ly earning excellent ratings for his lec-tures.

In addition to these national educa-tional achievements, Tom has served asa teacher and mentor to dozens of resi-dents and students at the Medical Col-lege of Wisconsin. Many of his over 70publications in the peer-reviewed litera-ture have been co-authored by resi-dents or students who have gone on toacademic careers in emergency medi-cine. He provides significant advisory

time with the Medical College’s juniorand senior students and actively partici-pates in the Emergency Medicine ClubClinical Experience Mentorship pro-gram. His leadership in research educa-tion has been demonstrated through hiscreation and implementation of thedepartment’s Annual EmergencyMedicine Research Forum, held yearlyfor the past 12 years at the Medical Col-lege of Wisconsin. Consistent with hisdemonstrated educational excellence,Dr. Aufderheide will host the SAEM Mid-west Regional Meeting here in Milwau-kee in September 2004.

Along with these significant accom-plishments in research and education,Dr. Aufderheide has achieved manyadditional scholarly accomplishments.He serves as a member of the NationalHeart, Lung, and Blood Institute’sNational Heart Attack Alert ProgramWorking Group on Methods/Technolo-gies for Early Identification of Acute Car-diac Ischemia/Acute Myocardial Infarc-tion in the Emergency Department. Heis also a member of the National Insti-tutes of Health Small Business Innova-tion Research (SBIR) Grant ReviewCommittee. He has served on the Inter-national Liaison Committee on Resusci-tation (ILCOR – a committee that devel-ops international CPR guidelines) andthe National Highway Traffic SafetyAdministration’s Steering Implementa-tion Committee for the EMS Agenda forthe Future. Wisconsin’s governor,Tommy Thompson (now the UnitedStates Secretary of the Department ofHealth and Human Welfare), recog-nized Dr. Aufderheide for his work insupporting Automated External Defibril-lation (AED) legislation in the State. Dr.Aufderheide served as a formal consult-ant to the Assistant Surgeon General ofthe United States for implementation ofpublic access defibrillation in federalbuildings.

It is therefore, with great pleasureand enthusiasm that I present to youthis exceptional academic emergencyphysician who has significantly impact-ed the practice of emergency medicine:this year’s recipient of the Hal JayneAcademic Excellence Award, Dr. Tom P.Aufderheide.

William Barsan, MDUniversity of Michigan

Academic Excellence Award

Tom P. Aufderheide, MD

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Joseph Waeckerle, MD, is one ofthe most influential academic physi-cians in the specialty of emergencymedicine. His impact is felt whenevera medical student or emergency med-icine resident joins EMRA, or subse-quently decides to pursue subspecial-ty training in sports medicine; whenev-er federal, state or local governmentofficials turn to emergency physiciansfor advice or assistance in disasterplanning or response, and wheneverany health care professional any-where in the world picks up a copy ofAnnals of Emergency Medicine.

One of the first doctors in the coun-try to sign up for residency training inthe fledgling specialty of emergencymedicine, Dr. Waeckerle founded theEmergency Medicine Resident’s Asso-ciation (EMRA) in 1974 and served asits first representative on the Execu-tive Committee of UAEM. He went onto make landmark contributions to thegrowth and maturation of EM throughwork with almost every major special-ty organization. Most of us aspire tobe considered a national expert in onesmall aspect of our clinical or academ-ic practice. Dr. Waeckerle hasachieved widespread acclaim in 4 dis-tinct fields - disaster medicine/domes-tic preparedness, sports medicine,wound care, and medical publishing.His remarkable career to date includesan array of service and/or nationalleadership roles, both inside and out-side academic emergency medicine.The following positions are represen-tative of a larger whole:

� Founder and Representative ofthe Emergency Medicine Resi-dents’ Association to the Universi-ty Association for EmergencyMedicine (now SAEM), 1974-75

� Program Chair, University Associ-ation for Emergency Medicine(now SAEM), 1978-80

� President, University Associationfor Emergency Medicine (nowSAEM), 1981-82

� Member, Board of Directors,American College of EmergencyPhysicians, 1981-1984

� Member, Board of Directors,Emergency Medicine Foundation,1985-1990

� Editor-in-Chief, Annals of Emer-gency Medicine, 1989-2002

� Club Physician, Kansas CityChiefs Football Club, 1993-Pre-sent

� Consultant to the National Foot-ball League, 1995-Present

� Medical Officer, Kansas City Divi-sion, Federal Bureau of Investiga-tion, 1995-Present

� Chair, Task Force of Health Careand Emergency Services Profes-sionals on Preparedness forNuclear, Biological and ChemicalIncidents – ACEP and the Officeof Emergency Preparedness, USDept. of Health and Human Ser-vices, 1998-2001

� Defense Science Board, Dept. ofDefense, Task Force on BiologicWeapons, 2000-2001

� Advisor, Bioterrorism Prepared-ness and Response Program,CDC, 2000-2001

� Senior Advisor to the U.S. Sur-geon General on Domestic Pre-

paredness, 2002 – present

Over the course of his career, Dr.Waeckerle has received numeroushonors and awards, including KansasCity’s proclamation of November 21,1991 as “Dr. Joseph F. WaeckerleDay”; Missouri Senate Resolution No.789, which recognized his dedicatedservice to his fellow citizens; EMRA’screation of the “Joseph F. WaeckerleFounder’s Award” given annually to aworthy recipient since 1992, andACEP’s decision to award Dr. Waeck-erle its 2003 Mills Award for outstand-ing service to the specialty of EM.

These titles and awards signify acareer of service, but they do not ade-quately convey the impact that Joehas had (and continues to have) onhis colleagues, his trainees and hisfriends through work in the classroom,in the E.D., on various task forces,boards and committees, through 27years of service with Annals of Emer-gency Medicine, and through his vitaland ongoing collaboration with local,state and federal officials to strength-en disaster preparedness andenhance homeland security.

These accomplishments are notsimply the product of brilliance(although Joe is certainly brilliant) ororiginality (he is definitely one of akind). Rather, Joe personifies thequalities that characterize successfulacademic emergency physicianseverywhere – intellectual curiosity,versatility, far-seeing vision, persever-ance, a burning desire to serve, and astrong commitment to personal andprofessional integrity.

None of us can hope to match him,but we would do well to try.

Arthur L. Kellermann, MD, MPHEmory University

SAEM Leadership Award

Joseph Waeckerle, MD

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Dr. Debra Houry first became inter-ested in research while working as anundergraduate student volunteer in theemergency department of EmoryUniversity Hospital. After attendingmedical school at Tulane, where sheearned dual MD and MPH degrees, shecompleted residency training in Emer-gency Medicine at Denver Health Medi-cal Center. She joined Emory’s Depart-ment of Emergency Medicine in 2002 asAssociate Director of the Emory Centerfor Injury Control.

Her scholarly output to date isextraordinary. She has authored morethan 30 peer-reviewed publications andbook chapters, and has five more inpress. Even prior to her arrival at Emory,she secured an EMF/Riggs FamilyFoundation grant to study use of 911computer-assisted dispatch data to iden-tify households at high risk for domesticviolence. On the strength of that work,she recently secured two major federalgrants as principal investigator. The firstis a 3 year, R49 grant from the CDC tostudy the safety and efficacy of comput-er screening for domestic violence in theED. The second is a 5 year, NIH K23grant to study mental health symptomsin association with domestic violenceamong ED visitors. Collectively, thesetwo awards total more than $1.6 millionin extramural support.

Despite her youth, Dr. Houry hasalready received an extraordinary num-ber of local, regional and nationalawards. These include, most notably,the American Public Health Associa-tion’s 2002 Jay Drotman Award, which isgiven annually to the most outstandingpublic health researcher under age 30 inthe country.

In addition to her numerous awards,Dr. Houry has compiled an exemplaryrecord of service to her specialty. Sheserved as a resident member of theBoard of Directors of the Society for Aca-demic Emergency Medicine, and as res-ident member on the editorial boards of

Craig D. Newgard, MD, MPH,attended Loyola University of ChicagoSchool of Medicine where he evaluatedthe use of crash photography to predictinjury patterns for persons involved inmotor vehicle crashes. He also spenttime at NHTSA in Washington, DC,doing further research. He completedhis residency in EM at Harbor-UCLAMedical Center in 2000 and remained atHarbor-UCLA for a 2-year research fel-lowship, mentored by Dr. Roger Lewis,during which he obtained an MPH in Epi-demiology. In July 2002, Dr. Newgardjoined the faculty at Oregon Health &Science University in the Department ofEmergency Medicine and the Center forPolicy and Research in EmergencyMedicine.

Dr. Newgard has studied emergencymedical services, trauma, injury preven-tion, and the use of advanced analyticmethods to address common analyticproblems (e.g., missing data, clustering,estimating treatment effects in observa-tional research, data linkage). As a fel-low, he coordinated all aspects of aprospective EMS study encompassing20 fire stations and 26 pediatric receiv-ing hospitals in Los Angeles County. Tocarry out this research and his fellowshiptraining, Dr. Newgard obtained 3 grants,including an AHRQ National ResearchService Award, the SAEM ResearchTraining Grant, and a grant from theSouthern California Injury PreventionResearch Center. His efforts haveresulted in numerous publications andpresentations, including during theSAEM Plenary Session.

Dr. Newgard is currently a co-investi-gator on a CDC grant for rural traumaresearch through the National Center forInjury Prevention and Control and wasrecently awarded the 2004-2005 EMFCareer Development grant to use proba-bilistic linkage and multiple imputationmethods to develop a statewide data-base of injured patients for derivation ofa clinical decision rule for interhospital

We in the Canadian emergency med-icine community are extremely proud ofMichael Schull, MD, MSc, both for hishumanitarian work, and his impressiveaccomplishments as a health servicesresearcher. Dr. Schull completed med-ical school at Queen’s University, inKingston, Ontario. He worked as a gen-eral practitioner in remote parts of Cana-da and in developing countries with themedical aid organization DoctorsWithout Borders for several years priorto obtaining his emergency medicinespecialty training at the University ofToronto, and his epidemiology training atMcGill University. He is currently a Clini-cian Scientist and Assistant Professor inthe Department of Medicine, Universityof Toronto, and a Scientist at the Institutefor Clinical Evaluative Sciences (ICES),Canada’s premier health servicesresearch center. He practices emer-gency medicine at the Sunnybrook andWomen’s College Health Sciences Cen-tre, and is coordinator of their EM Fel-lowship program. Since his arrival atUniversity of Toronto in 1998, he rapidlyestablished himself as one of the bestyoung health services researchers inEmergency Medicine. Dr. Schull’s areaof expertise is the use of large adminis-trative databases to address the impor-tant issue of ED overcrowding. Emer-gency department overcrowding is avery pressing problem for both Canadi-an and American health care systemsand one that potentially affects all citi-zens in both countries. To my knowl-edge, he is one of a very few healthservices investigator in North Americafocusing on the problem of ED over-crowding. A major testament to Dr.Schull’s research program was hisreceipt of the Peter Lougheed Award in2001 from the Canadian Institutes ofHealth Research (CIHR), Canada’sequivalent to the NIH. This award rec-ognized that Dr. Schull was the topranked applicant in the pool of younginvestigators being considered for the

2004 Young Investigator Award Recipients

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Annals of Emergency Medicine andJAMA. She is currently a member of theeditorial board of Annals of EmergencyMedicine and serves as didactic sub-committee chair on the SAEM ProgramCommittee.

Dr. Houry’s research on domestic vio-lence and other topics is having a majorimpact on our specialty and more impor-tant, for our patients. I am certain thatshe will be an outstanding advocate forthe disciplines of emergency medicine,public health and violence prevention fordecades to come.

Arthur Kellermann, MD, MPHEmory University

transfer practices in a rural trauma sys-tem. He has served 4 years on theResearch Committee and currentlyserves on the Program Committee andConstitution and Bylaws Committee. Dr.Newgard is a reviewer for 3 medicaljournals, including his service as a sta-tistical reviewer for AEM. He also servedas an expert reviewer for a special reporton safety belt technology produced bythe Transportation Research Board ofthe National Academies of Science.

Dr. Newgard is highly regarded by hiscolleagues here at OHSU and we lookforward to his continued success as aninnovative investigator in emergencymedicine.

Jerris R. Hedges, MD, MSOregon Health and Science University Robert A. Lowe, MD, MPHOregon Health and Science University

CIHR New Investigator Salary SupportAward that year. A testament to Dr.Schull’s great humanitarian interest isthe fact that he was President of theCanadian section of Doctors WithoutBorders when the organization won the1999 Nobel Peace Prize. Review of Dr.Schull’s CV indicates that he has suc-ceeded, with distinction, in obtainingnumerous important peer-reviewedgrants including those from the CIHR.Dr. Schull now has 30 peer-reviewedpublications, which is an outstandingtrack record for someone at this stage ofhis career. He has also begun to estab-lish an international reputation, and haspresented his research in Canada, theU.S., Australia and the U.K.

Ian G. Stiell, MDUniversity of Ottawa

2004 CPC Semi-Final Competition Participants SelectedThis year 84 EM residency programs submitted cases for consideration of presentation at the 2004 CPC Semi-Final Competitionin Orlando on May 15. For the first time the CPC Committee has selected 60 cases, meaning there will be 6 simultaneous tracksof CPC cases. A Best Presenter and Best Discussant will be selected from each track and the winners will compete at the CPCFinals, which will be held on the afternoon of Monday, October 18 in conjunction with the ACEP Scientific Assembly in San Fran-cisco.

Advocate Christ Medical CenterAlbany Medical Allegheny General HospitalBaystate Medical CenterBeth Israel Deaconess, Boston Beth Israel Medical Center, New YorkBoston Medical CenterBrown Medical School Brigham and Womens Hospital/Harvard Carolinas Medical CenterChristiana Care Health ServicesDrexel University (formerly MCP - Hahnemann)Eastern Virginia Medical SchoolGeorge Washington UniversityIndiana University Jacobi/MontefioreLehigh Valley – MuhlenburgLincoln Medical CenterLong Island Jewish Medical CenterMadigan/University of Washington Maimonides Medical CenterMaine Medical Center Maricopa Medical CenterMayo Clinic McGaw Medical Center of Northwestern UniversityMcGill UniversityMedical College of GeorgiaMedical College of VirginiaMetroHealth/Case Western Reserve/Cleveland Clinic Foun-

dationMetropolitan Hospital

Morristown Memorial HospitalMount Sinai , New YorkNaval Medical Center, San DiegoNorth Shore University HospitalNew York University, Bellevue Ohio University/Doctors Hospital Robert Wood Johnson/Cooper HospitalSan Antonio Uniformed Services Health Education Consor-

tiumSt. Luke's – RooseveltStanford University / Kaiser State University of New York, BuffaloSynergy / Michigan State UniversityTemple UniversityTexas Tech UniversityThomas Jefferson UniversityUniversity of Alabama University of California, Irvine University of California, Los Angeles - Olive ViewUniversity of California, San DiegoUniversity of California, San Francisco – FresnoUniversity of CincinnatiUniversity of FloridaUniversity of PennsylvaniaUniversity of PittsburghUniversity of South Florida University of Texas at HoustonUniversity of VirginiaWashington University, St. LouisYale - New Haven Medical York Hospital

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2004-06 Research Training Grant RecipientClifton Callaway, MDUniversity of PittsburghChair, SAEM Grants Committee

The 2004-2006 SAEMR e s e a r c hTraining Grantwill be awardedto Brian Blythe,MD, at theUniversity ofR o c h e s t e r .This award pro-vides $75,000support per

year for twoyears to a promising investigator for thepurpose of increasing their researchand investigative skills. Research train-ing is a critical part of the proposed pro-gram.

Dr. Blythe’s project, entitled “Mecha-nisms of EGR-1 Mediated Neuroprotec-tion” will be the core of an integrated

training program in translational neuro-science research. EGR-1 is an immedi-ate early gene that appears in cells with-in minutes after injury or stress. EGR-1can act as a transcription factor that reg-ulates expression of other genes, there-by contributing to both cell survival orcell death, depending on the setting.Interestingly, neurons exposed tohypoxia rapidly increase levels of EGR-1. Indirect evidence suggests that thisexpression is associated with neuronalsurvival.

Dr. Blythe’s proposed experimentswill directly test the contribution of EGR-1 expression to neuronal survival afterhypoxia. In cell culture, neuronal sur-vival after hypoxia will be assessedwhen EGR-1 is overexpressed, whenEGR-1 is absent, and when particularmolecules that interact with EGR-1 are

manipulated. These studies could pro-vide new insight into the molecularresponse of neurons to hypoxic orischemic injury, and suggest new tar-gets for neuroprotective drugs.

The core research project will becombined with a didactic training pro-gram that includes both graduate levelneurosciences courses and researchdesign courses. Other faculty at theUniversity of Rochester who conductclinical research on brain injury will col-laborate with Dr. Blythe’s training. Inthis way, the basic science investiga-tions can be linked directly to clinicalproblems. SAEM hopes that this grantwill foster a focused research programthat soon will be competitive for NIHfunding.

Brian Blythe, MD

2004-06 Institutional Research Training Grant AwardedJason S. Haukoos, MD, MSDenver Health Medical CenterSAEM Grants Committee

Johns Hop-kins UniversityDepartment ofE m e r g e n c yMedicine wasawarded thisyear’s SAEMI n s t i t u t i o n a lR e s e a r c hTraining Grant.The principalinvestigator is

Richard E. Roth-man, MD, PhD,

who is an Assistant Professor in theDepartment of Emergency Medicine. Dr.Rothman will act as the primary mentorfor the fellow selected as part of thisgrant. Johns Hopkins University offersa comprehensive training program thatincorporates six individualized researchtracks (acute coronary syndromes,translational research in infectious dis-

eases, infectious disease epidemiology,health services and outcomes, opera-tional research, and injury prevention).Dr. Rothman’s primary research inter-ests include translational research ininfectious diseases, and he has previ-ously competed successfully for extra-mural funding from AHRQ, NCCR, andNIAID. The Emergency MedicineResearch Center currently holds eightgrants from NIH, AHRQ and CDC.

It is expected that the fellow willcomplete a core-training program inclinical research, and then choose tofocus in one of the core areas. Thecourse work can lead to a degree (MScor DrPH). Each research track is led byestablished investigators, drawing fromfaculty both inside and outside emer-gency medicine. These investigatorswill act as associate mentors for the fel-low during the training. The Depart-ments of Infectious Disease, Medicine,

Health Policy and Management, andPathology each contribute to this com-prehensive fellowship program. Eacharea for the Fellow’s research focus hasbeen developed to offer training in datacollection, database analysis, medicalwriting, and grantsmanship. Each areaalso provides opportunities for the fellowto complete a start-to-finish simplestudy.

The SAEM Institutional ResearchTraining Grant provides support in theform of $75,000 per year for two yearsin order to train a research fellow. Thisgrant is awarded to the institution of anestablished investigator who hasdemonstrated excellence in academicemergency medicine and who is capa-ble of successfully training future clini-cian-scientists.

Richard E. Rothman,

MD, PhD

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EMS Research Fellowship Grant RecipientJason S. Haukoos, MD, MSDenver Health Medical CenterSAEM Grants Committee

JonnathanM. Busko, MD,MPH, EMT-P,has beenselected as therecipient of the2 0 0 4 - 2 0 0 5EMS ResearchF e l l o w s h i pGrant. Dr.Busko is cur-rently finishing

the first year of atwo-year EMS

fellowship at Carolinas Medical Centerin Charlotte, North Carolina. Prior tobeginning his fellowship, Dr. Buskocompleted an emergency medicine res-idency at Albany Medical Center inAlbany, New York. In addition, Dr.Busko began working as a paramedicwhile in college, and while in medicalschool obtained a Master of Public

Health degree in Community HealthSciences.

This grant will provide Dr. Busko with$60,000 over one year to complete hisEMS fellowship. Dr. Busko has alreadydemonstrated significant interest inEMS systems through administration,education, and research. As part of thesecond year of his fellowship, Dr. Buskoanticipates completing several ongoingstudies, including evaluating the use ofcarbon monoxide detectors as screen-ing tools in the prehospital setting. Healso anticipates completing a one-yeargraduate-level certificate programfocusing on community preparednessand disaster management.

In addition to selecting Dr. Busko asthe 2004-2005 EMS Research Fellow,the Grants Committee designated or re-designated five programs as approvedsites to host an SAEM/MedtronicPhysio-Control EMS Research Fellow-

ship. They include the Medical Collegeof Wisconsin (Fellowship Director: Ron-ald G. Pirrallo, MD, MHSA), the Univer-sity of Buffalo, State University of NewYork (Fellowship Director: Anthony J.Billittier, MD), the University of NorthCarolina School of Medicine (FellowshipDirector: Jane H. Brice, MD, MPH), theUniversity of Pittsburgh School ofMedicine (Fellowship Director:Theodore R. Delbridge, MD, MPH), andthe University of Rochester MedicalCenter (Fellowship Director: Eric Davis,MD).

In total, over 20 sites are approvedfor the EMS Fellowship (listed athttp://www.saem.org/awards/physite.htm).

The EMS Research Fellowship isfunded by Medtronic Physio-Control.SAEM is extremely grateful to Medtron-ic as Dr. Busko will be the 15th consec-utive fellow funded by Medtronic.

Jonnathan M. Busko,

MD, MPH, EMT-P

Neuroscience Research Fellowship RecipientChair, Clifton Callaway, MDUniversity of PittsburghSAEM Grants Committee

D a n i e lRusyniak, MD,of the IndianaU n i v e r s i t ySchool ofMedicine willbe the recipientof the Neuro-s c i e n c eResearch Fel-lowship for2 0 0 4 - 2 0 0 5 .

Funding of thisgrant is provided by AstraZeneca. Dr.Rusyniak's project, entitled “Ecstasy:Hyperthermia and the Hypothalamus”will examine the contribution of the dor-somedial hypothalamus to the sympath-omimetic effects of MDMA (3,4-methyl-ene-dioxy-methamphetamine). MDMAis a popular club drug known colloquial-ly as “ecstasy.” Recreational use ofMDMA declined somewhat after a peak

in the late1980s, but there has been arecent resurgence in its popularity.MDMA releases both dopamine andserotonin in the brain to produce a mildamphetamine-like stimulation accompa-nied by pleasant alterations of mood,making its behavioral effects distinctfrom both pure stimulants and mild hal-lucinogens.

Two principal dangers are associat-ed with MDMA use. First, large doses ofMDMA may be neurotoxic. Degenera-tion of particular subsets of neurons isobserved in the brains of animals treat-ed with MDMA, but the clinical signifi-cance of this toxicity is unclear. Second,“therapeutic” doses of MDMA occasion-ally result in a sympathetic dischargethat includes severe hyperthermia. Thishyperthermia can result in rhabdomyol-ysis, renal failure or death. This latteradverse effect of MDMA requires emer-gency treatment.

Dr. Rusyniak’s project will help eluci-date the mechanisms of MDMA-inducedhyperthermia. He plans to use chroni-cally instrumented, non-anesthetizedrats to recreate the toxic effects ofMDMA. In these same animals, he willuse microinjection of drugs into thehypothalamus to test the contribution ofthat brain region to the toxic effects.These studies could help identify morespecific ways to treat acute, life-threat-ening reactions to MDMA or relateddrugs. The Neuroscience Fellowshipprovides $50,000 for one year to pro-mote mentored research training in neu-roscience by an emergency medicineresident, graduate or faculty member.The research may be basic science,clinical or a combination of both. SAEMis grateful to AstraZeneca for its contin-ued support of this important grant.

Daniel Rusyniak, MD

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Scholarly Sabbatical Grant RecipientMarc S. Rosenthal, PhD, DOWayne State UniversitySAEM Grants Committee

The SAEMScholarly Sab-batical Grantprovides up to$60,000 infunding to helpan emergencymedicine facul-ty memberobtain releasetime forresearch or fur-

ther training toadvance their academic careers. Facul-ty at the level of assistant professor andabove are eligible for this award. This

year’s recipient is Robert Wears, MD.His project is entitled “Research Meth-ods for Patient Safety in EmergencyCare.” Dr. Wears is currently a Profes-sor in the Department of EmergencyMedicine in the College of Medicine atthe University of Florida. He graduatedfrom the Johns Hopkins UniversitySchool of Medicine followed by anemergency medicine residency at theUniversity Medical Center, University ofFlorida, and has also received a MSdegree in Medical Informatics from theUniversity of North Florida. Dr. Wearshas focused his research interests in thearea of medical informatics and more

recently in the area of patient safety. His sabbatical grant will be applied to

further develop skills in cognitive psy-chology and human factors engineeringas applied to patient safety. He willspend his sabbatical year at the ClinicalSafety Research Unit in the Departmentof Surgical Oncology and Technology,Division of Accident and EmergencyMedicine at Imperial College, St. Mary’sHospital, London, England. Dr. Wearswill work with professors Charles Vin-cent and James Reason, leaders in thefield of patient safety. His goal is to fur-ther develop the field of patient safety asapplied to emergency medicine.

Robert Wears, MD

2004-2005 SAEM Committee/Task Force ObjectivesListed below are the 2004-05 committee and task force objectives (SAEM’s year runs from May to May to coincide with the

Annual Meeting). While SAEM’s mission “to improve patient care by advancing research and education in emergency medicine”gives direction to SAEM’s activities, and the Five-Year goals and objectives (http://www.saem.org/newsltr/hd5yrpla.htm) lay thefoundation, it is the extensive and detailed work of each committee and task force towards the fulfillment of their specific goalsand objectives, which really advance the academic specialty.

Although the committee and task force objectives are developed and approved by the Board of Directors, they are based onSAEM’s Five Year Goals and Objectives and on the suggestions of prior committee and task force chairs and members, and fromindividual SAEM members. The Board strives to ensure that the objectives assigned to each committee and task force are well-defined, achievable, and directly related to SAEM’s core mission. The Board appreciates feedback regarding these objectivesfrom the membership, and most importantly, invites suggestions for future objectives.

Awards Committee: Chair, Louis Ling, MD1. Review announcements for all awards to assure consis-

tency and clarity of qualifications and criteria. Deadline:August 1, 2004.

2. Develop a standardized application format/CV for theYoung Investigators, Hal Jayne Academic Excellenceand Leadership Awards. Deadline: September 1, 2004.

3. Solicit and review nominations for the Academic Excel-lence and Leadership Awards and recommend recipi-ents to the Board. Deadline: January 15, 2005

4. Solicit and review nominations for the Young InvestigatorAward and recommend recipients to the Board. Dead-line: January 15, 2005

Constitution and Bylaws Committee: Chair, CatherineMarco, MD

1. Review the Constitution and Bylaws to ensure accuracyrelative to the Society’s activities and internal functions.Propose needed amendments to the Board for approval.Deadline: January 1, 2005.

2. Develop “minimum criteria” for candidates to Board,Secretary-Treasurer, President-elect, Constitution andBylaws Committee, Nominating Committee and commit-tee and task force chair positions. Deadline: December1, 2004.

Critical Care Fellowship Task Force: Chair, Stephen Trze-ciak, MD

1. Explore the feasibility for training opportunities (not cer-tification options) for EM graduates interested in pursu-ing critical care fellowship training through the Anesthe-siology/Surgery pathway and report to the Board. Dead-line: February 1, 2005.

2. Develop a database of existing EM physicians either inthe active practice of Critical Care Medicine or trained inCritical Care Medicine. Deadline: November 1, 2004.

Development Committee: Chair, Brian Zink, MD1. Make recommendations to the Board for mechanisms to

expand the Research Fund through collaborative under-takings with industry, philanthropic organizations, non-members and members. Deadline: October 1, 2004.

2. Develop oral presentations, web-based material andpublications targeted at each of these groups (in objec-tive 1). Deadline: November 15, 2004 (members andindustry), February 15, 2005 (philanthropic organizationsand non-members).

3. With the Board and the Program Committee, develop amechanism to recognize contributors at the AnnualMeeting. Deadline: November 15, 2004.

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4. Investigate the development of a multi-year campaignfor members targeting a total amount and/or percentageparticipation and report to the Board. Deadline: October1, 2004.

CORD/SAEM Diversity Training Task Force: SAEM Co-Chair, Sheryl Heron, MD

1. Develop learning modules and resources (using previ-ously developed guides by SAEM Graduate MedicalEducation Committee) to incorporate diversity aware-ness and skills to residency training programs. This willbe done jointly with the CORD.

2. Finalize Web site product based on objective #1 andsubmit to SAEM and CORD Boards for their considera-tion. Deadline: April 15, 2005.

Ethics Committee: Chair, Terri Schmidt, MD1. Assist in the development of the 2005 AEM Consensus

Conference on Research Integrity in EM. Serve as peerreviewer resources for manuscript submissions.

2. Revise and update the “Ethics Curriculum for EM Resi-dencies” web based site. Rename “Ethics TeachingResource for EM Residencies”. Deadline: March 1,2005.

3. With the Research Committee, develop a document builton issues discussed in the “Clinical Research and theHIPAA Privacy Rule” session at the 2004 Annual Meet-ing. Deadline: November 1, 2004.

4. Prepare three documents on the following ethics-relatedsubjects: “Publication ethics and issues” and “Teacher-learner relationships” and “Issues surrounding theresponse to a dishonest faculty member” (fabrication ofCV/data/authorship). Deadlines: September 15, 2004,February 15, 2005 and May 1, 2005. Include these sub-jects in the web based teaching resource.

Faculty Development Committee: Chair, Frank Counsel-man, MD

1. Develop 2004 Annual Meeting sessions on “Becoming aleader in the medical school’s Dean’s office, ” “Advance-ment to the position of academic chair, ” and “Careerdevelopment awards” into Newsletter submissions andweb-based resources. Deadlines: September 15, 2004,February 15, 2005 and May 1, 2005.

2. Review and revise the Faculty Development web site.Deadline: November 1, 2004.

3. Develop a series of didactic proposals about generalleadership skills for the Program Committee’s consider-ation of presentation at the 2005 Annual Meeting. Atleast one of these sessions should target senior levelleadership needs, and one should target mid-careerlevel needs. Deadline: September 1, 2004.

4. Develop a resource about junior committee memberleadership development, timeline management, and taskdelegation for use by committee and task force chairs.This resource should also include recommendationsabout effective committee management and how to max-imize the productivity of a working group that are target-ed to the actual committee chair. Deadline: March 1,2005.

5. Conduct the bi-annual Faculty Salary Survey and pre-pare a manuscript for submission to the Board and toAEM for consideration of publication. Deadline: Febru-ary 15, 2005.

Finance Committee: Chair, Steve Dronen, MD1. Provide oversight for the investment and accounting of

SAEM’s non-operational funds. Provide quarterly writtenperformance reports to the Board and annually under-take a review by a professional funds manager.

2. Annually review the SAEM budget with the Secretary –Treasurer. Provide recommendations for operationalfinances or non-salary capital expenses.

Graduate Medical Education Committee: Chair, DouglasMcGee, DO

1. Coordinate the Resident Section of the SAEM Newslet-ter, including the solicitation, selection, and editing ofarticles, with strict attention to focus, quality, and timelycompletion to meet publication. Ensure at least one sub-mission per issue from the Committee or others devotedto resident issues/concerns. One topic should be writ-ten by one or more fellowship graduates discussing thevalue of their training on their academic career. Anothertopic should evaluate the pros and cons of doing a fel-lowship at the same institution that one does their EMresidency. Deadlines: August 1, October 1 and Decem-ber 1, 2004 and February 1, April 1 and June 1, 2005.

2. Maintain and complete the revision of the Resident Sec-tion of the Web site. This includes all posted articles inthe current residency section. Deadline: November 1,2004.

3. Distribute and integrate the ‘Fellowship Catalog’ beingdeveloped by Fellowship Task Force into current GMEvenues including the Web site. Deadline: October 1,2004.

4. Develop resources (implementation guides and assess-ment tools) for the “Systems-Based Practice Core Com-petency” and post on the Web site. Deadline: November1, 2004.

5. Working with the Undergraduate Educators Committee,revise the Residency Catalog data fields. Prepare aNewsletter announcement describing the changes.Deadline: July 1, 2004.

6. With the Web Page Task Force, write a Newsletter arti-cle describing the new ability of program directors todirectly access their Residency Catalog database, andthe expectation that they will maintain their own programdata. Deadline: August 1, 2004.

7. Working with the EMS Interest Group and the NationalAssociation of EMS Physicians, revise and update theEMS fellowship curriculum document and post on theweb. Deadline: March 1, 2005.

8. Develop and administer a survey instrument to assesswhether academic chairs value additional training in theirhiring practices, and whether their hiring practices fornew faculty have changed over the past 3-5 years. Pre-pare a document discussing the survey results for theBoard. Deadline: May 1, 2005.

9. Develop a list of skill sets required by clinician teachersand possible mechanisms to develop those skills. Dead-line: May 1, 2005.

Grants Committee: Chair, Clifton Callaway, MD1. Coordinate the grant application reviews (working with

expert reviewers from committees, task forces and inter-est groups) and recommend recipients to the Board forthe following grants: Research Training, InstitutionalResearch Training , Scholarly Sabbatical, Medical Stu-dent Interest Group, EMS Research Fellowship, Neuro-

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science Research Fellowship, and EMF/SAEM MedicalStudent Research. Deadline: varies by grant program.

2. Develop a plan for offering a one-year medical studentresearch training fellowship and prepare a report to theBoard. Deadline: January 1, 2005.

3. Review all grant applications for clarity and consistency,offer a report summarizing any changes to Board andincorporate any proposed changes before next grantcycle. Specifically evaluate and offer advice on electron-ic-only (Web-based) applications and creation of com-mon on-line form mirroring NIH format for all submis-sions. Deadline: September 1, 2004.

4. Working with the Research Committee, explore the fea-sibility of developing and maintaining a grant databasefor emergency physicians and report to the Board. Dead-line: January 1, 2005.

5. Develop and implement a mechanism to assess out-comes of prior SAEM grants recipients and report to theBoard. Deadline: March 1, 2005.

6. Working with the Research Committee, explore the fea-sibility of implementing a “virtual advisor” grants mentor-ing process. Establish a mechanism to track outcomesand report to the Board. Deadline: December 1, 2004.

Healthy People 2010 Task Force: Chair, Charlene Irvin, MD1. Implement activities with the Department of Health and

Human Services (DHHS) in the following areas: 1)Access to Quality Health Services, 2) Injury and Vio-lence Prevention, and 3) Substance Abuse. Each work-ing group should submit a written report to Board detail-ing specific progress. Deadline: November 1, 2004.

2. Submit at least one Annual Meeting didactic proposalfrom each working group for consideration of presenta-tion by the Program Committee for presentation at the2005 Annual Meeting. Deadline: September 1, 2004.

3. Working with the National Affairs Advocacy program,inform SAEM members of Healthy People 2010 issuesof interest to the membership. Deadline: December 1,2004.

Membership Survey Task Force: Chair, Wendy Coates, MD1. Develop and complete a comprehensive survey of the

SAEM membership to ascertain services that are mostvalued and areas of greatest need. Areas to investigatemay include the concept of creating limited access areason the web page, the AEM journal and editorial reviewprocess, election process, whether or not minimum cri-teria for appointment as a chair or to stand for election isnecessary, issues surrounding the Annual Meeting activ-ities (no-industry policy, banquet or not, social eventsfrom dues or meeting registration, extracurricularevents), regional meetings, need for a “professors sec-tion” and the development of position statements thatcross into clinical practice or specialties (e.g. stroke,care of pediatric emergencies). Wherever possible, anexplanation of the rationale for the way SAEM currentlyaddresses an area should accompany specific ques-tions. A written report should be presented to the Board.Deadline: February 1, 2005.

CORD/SAEM Model Curriculum Task Force: SAEM Co-Chair, Sam Keim, MD

1. Continue the collaborative development of a model cur-riculum revision based upon the ABEM Model of theClinical Practice of Emergency Medicine.

National Affairs Committee: Chair, Robert Schafermeyer,MD

1. Develop a draft program for the fall AAMC Annual Meet-ing. Deadline: March 1, 2005.

2. Submit reports on interactions with the AAMC for publi-cation in the January/February and May/June issues ofthe SAEM Newsletter. Deadlines: December 1, 2004and April 1, 2005.

3. Implement an advocacy network plan. Prepare anaccompanying Newsletter article discussing the network.Deadline: July 1, 2004.

4. Monitor legislative and regulatory issues pertinent toacademic emergency medicine.

5. Develop policy statement on Principles for MeasuringQuality and Reporting of Medical Errors and submit tothe Board. Deadline: January 1, 2005.

6. Submit a didactic proposal to the Program Committee forconsideration of presentation at the 2005 Annual Meet-ing. Deadline: September 1, 2004.

NIH Roadmap Task Force: Chair, Roger Lewis, MD, PhD 1. Using the information outlined in NIH’s new policy shift

(Roadmap), make specific recommendations to theBoard about actions SAEM can take to increase EM’sinteraction with the NIH. Deadline: February 1, 2005.

Nominating Committee: Chair, President-elect 1. Develop a slate of nominees for the elected positions on

the Board of Directors, Nominating Committee, and Con-stitution and Bylaws Committee and submit to the Boardfor approval. Deadline: March 1, 2005

2. Prepare recommendations for the Board about a stan-dardized mechanism for identification and selection ofnominees to the Nominating Committee. Deadline:November 1, 2004.

3. Develop a standardized “mini-bio” for potential candi-dates to elected positions. This should emphasize ele-ments of prior service and performance in leadershipcapacities within SAEM. Deadline: January 1, 2005.

4. Working with the web editor, develop an on-line tool foruse by committee and task force chairs to evaluate theirmembers. Establish a databank of the electronic com-mittee and task force evaluation reports for use in candi-date selection. Deadline: November 1, 2004.

5. Create a Web-based evaluation tool for members ofcommittees and task forces to assess their chairs. Datashould be accessible for the use by the Board on anannual basis. Develop a databank of these evaluationsfor use in candidate selection. Deadline: February 1,2005.

6. Develop a tool for the Board to perform and maintain anannual committee and task force chair assessment.Deadline: February 1, 2005.

7. Develop and maintain a database of potential candi-dates for elected offices, as well as those who haveserved in elected offices in the past. Deadline: February1, 2005.

Program Committee: Chair, Judd Hollander, MD1. Plan 2005 Annual Meeting, and deliver quarterly reports

to Board on progress, successes, limits and opportuni-ties.

2. Create an operating manual describing timelines, proto-cols and prior problem areas. Update annually. Dead-line: May 1, 2005.

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3. Submit a preliminary budget for the 2005 Annual Meet-ing to the Board. Deadline: November 1, 2004.

4. Evaluate success and offer suggestions to enhance par-ticipation/attendance at SAEM meetings by non-mem-bers, particularly other academic physicians. Submit areport to Board. Deadline: December 1, 2004.

5. Conduct a review of the 2004 Annual Meeting feedbackand submit a report to the Board. Deadline: July 1,2004.

6. Develop a regional meeting orientation session targetingRegional Meeting coordinators to be delivered in Octo-ber 2004 (in conjunction with the SAEM committee andtask force sessions during the ACEP Scientific Assemblyor via conference call). Deadline: October 1, 2004.

7. Make a recommendation to the Board about whether ornot contributors to educational sessions at the annualmeeting (non-commercial) should be acknowledged inthe annual meeting brochure (e.g. “The following con-tributed proposals or ideas that have been incorporatedinto the 2005 Annual Meeting: Ethics committee,AACEM, NIH Task Force, etc.”). Deadline: November 1,2004

Research Committee: Chair, Jim Olson, PhD1. Identify and highlight emergency medicine researchers

who attain new federal grant funding or large scaleindustry funding, and any new or under-recognized fund-ing sources and publish in the Newsletter. Deadline:October 1, 2004.

2. In conjunction with the Grants Committee, develop andimplement a grants mentorship process for SAEM mem-bers. Develop an accompanying Newsletter articledescribing this service. Establish a mechanism to trackoutcomes. Deadline: August 1, 2004.

3. Working with the Grants Committee, explore the feasibil-ity of developing and maintaining a grant database ofemergency physicians and report to the Board. Dead-line: January 1, 2005.

4. Assist the Ethics Committee and AEM in planning the2005 AEM Consensus Conference on “Integrity inResearch”. Deadline: September 1, 2004.

5. With the Ethics Committee, develop a manuscript forsubmission to AEM for consideration of publication onissues discussed in the “Clinical Research and theHIPAA Privacy Rule” session at the 2004 Annual Meet-ing. Deadline: November 1, 2004.

6. Develop a list of needed skills and possible methods toattain those skills for an EM educational researcher.Prepare a Newsletter article and post of the web. Dead-line: February 1, 2005.

7. Establish a research agenda for EM educationalresearch and report to the Board. Deadline: January 1,2005.

8. Examine the ACGME core competencies, including pro-cedural competency and maintenance, for specificresearch needs and report to the Board. Deadline:February 1, 2005.

9. Working with the Undergraduate Education and Gradu-ate Medical Education Committees, continue the devel-opment of the three-year curriculum in educationalresearch. Submit to the Program Committee for consid-eration of presentation at the 2005 Annual Meeting.Deadline: September 1, 2004.

Undergraduate Education Committee: Chair, Cherri Hob-good, MD

1. Working with the Web Editor, update and revise theMedical student Section of the home page. Deadline:June 1, 2004.

2. Working with the Graduate Medical Education Commit-tee, revise the Residency Catalog. Deadline: July 1,2004.

3. Working with the Research Committee, develop aresource available to education researchers outliningfederal or foundation funding sources specifically foreducation research. Deadline: January 1, 2005.

4. Working with the Research and Graduate Medical Edu-cation Committees, continue the development of thethree-year curriculum in educational research. Submit tothe Program Committee for consideration of presenta-tion at the 2005 Annual Meeting. Deadline: September1, 2004.

5. Develop an article directed towards medical studentsabout how to get the most out of the Annual Meeting andpost on the web site. Deadline: March 1, 2005.

6. Develop an article for the September/October Newslet-ter outlining the importance of attending the AAMC meet-ing, and highlight sessions that would be of particularinterest to medical student coordinators. Deadline:August 1, 2004.

7. Examine how LCME requirements are affecting EM rota-tions and make recommendations regarding potentialmethods to address these requirements. Deadline:March 1, 2005.

8. Develop an educational module for “the resident as ateacher” and post on the Web site. Deadline: May 1,2005.

9. Develop a resource for use by a faculty member who isdeveloping or managing a Medical Student InterestGroup and post on the web site. Deadline: May 1, 2005.

10.Finalize the implementation of the medical student ques-tion bank, evaluate the product and establish a mecha-nism for upkeep. Deadline: July 1, 2004.

Web Page Development Task Force: Chair, Felix Ankel,MD

1. Evaluate the need for an assistant Web developer andrecommend candidates to the Board. Deadline: August1, 2004.

2. Review current Web policy and make recommendationsto the Board about areas that require clarification of thedevelopment of a new policy. Deadline: August 1, 2004.

3. Develop a plan for ultimate “housing” of the web page.Deadline: May 1, 2005.

4. Develop an editorial board structure for the web pageand present to the Board. Deadline: May 1, 2005.

5. Establish the plan with logistical priorities and timelinefor the ultimate Web page and present to the Board.Deadline: May 1, 2005.

2005 SAEM Annual MeetingMay 22-25

New York Hilton, New York City

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Academic AnnouncementsSAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of inter-est to the SAEM membership. Submissions must be sent to saem@saem.org by June 1, 2004 to be included in the July/Augustissue.

Nicholas H. Benson, MD, MBA, hasbeen appointed Senior Associate Deanfor Operations for the Brody School ofMedicine at East Carolina University.Dr. Benson previously served as Pro-fessor and Chair of the Department ofEmergency Medicine at East CarolinaUniversity.

Robert E. Collier, MD, has been elect-ed to the American Board of EmergencyMedicine from a slate of nominees sub-mitted by the Emergency Medicinecommunity-at-large. Dr. Collier is anAssistant Professor of EmergencyMedicine at the University of Minnesota-Hennepin County Medical Center.

In February, Valerie De Maio, MSc,MD, was appointed to the EditorialBoard of Annals of EmergencyMedicine. Dr. De Maio is currently theresident member of the SAEM Board ofDirectors and in July will be an AssistantProfessor in the Department of Emer-gency Medicine at the University ofNorth Carolinas at Chapel Hill.

Eric W. Dickson, MD, has been namedChairman of the Department of Emer-gency Medicine at the University ofIowa Hospitals and Clinics. The IowaBoard of Regents unanimouslyapproved full departmental status onMarch 10.

Herbert G. Garrison, MD, MPH, hasbeen named Interim Chair of theDepartment of Emergency Medicine atthe Brody School of Medicine at EastCarolina University, effective April 1,2004. Dr. Garrison is a Professor ofEmergency Medicine and Director ofthe Eastern Carolina Injury PreventionProgram.

Sheryl Heron, MD, MPH, has beenselected to serve on the Advisory Com-mittee for Injury Prevention and Control,Centers for Disease Control andPrevention. The Committee advisesand makes recommendations to the Secretary of Health and Human Ser-vices and the Director of the CDCregarding goals, policies, strategies and

priorities toward injury prevention andcontrol, as well as recommendations forareas of research to be supported bygrants and cooperative agreements.Dr. Heron is an Associate Professor,Department of Emergency Medicine atEmory University.

Jo Ellen Linder, MD, has been electedto the American Board of EmergencyMedicine from a slate of nominees sub-mitted by the American Medical Associ-ation. Dr. Linder is an Associate Pro-fessor, Department of Surgery at theUniversity of Vermont.

Harvey W. Meislin, MD, has becomethe 30th President of the AmericanBoard of Medical Specialties (ABMS),beginning his two-year term on March18, 2004. Dr. Meislin has been active inthe ABMS since 1990, as a representa-tive of the American Board of Emer-gency Medicine. Dr. Meislin is the Pro-fessor and Chair of the Department ofEmergency Medicine at the Universityof Arizona. ABMS is the umbrellaorganization representing the 24approved medical specialty certifyingboards in the U.S. The boards set thenational standards for evaluating physi-cians in their specialty and subspecialtyfields of practice.

J. Mark Meredith, MD, has been elect-ed to the American Board of Emergency Medicine from a slate of nominees sub-mitted by ACEP. Dr. Meredith is chair ofthe Department of Emergency Medicineat the Community Medical Center inToms River, New Jersey.

John C. Moorhead, MD, has beenelected to the American Board of Emer-gency Medicine from a slate of nomi-nees submitted by the EmergencyMedicine community-at-large. Dr.Moorhead is a Professor in the Depart-ment of Emergency Medicine at theOregon Health and Science University.

Richard N. Nelson, MD, has beenelected to the American Board of Emer-gency Medicine from a slate of nomi-nees submitted by ACEP. Dr. Nelson is

Professor and Vice-Chair of the Depart-ment of Emergency Medicine at theOhio State University College ofMedicine and Public Health.

Ronald G. Pirrallo, MD, MHSA, Asso-ciate Professor of Emergency Medicineat the Medical College of Wisconsin andDirector of Medical Services for the Mil-waukee County Emergency MedicalServices, has been re-elected to theBoard of Directors of the National Asso-ciation of EMS Physicians.

Jeremy Sperling, MD, has beenappointed Assistant Director of theEmergency Medicine Residency Pro-gram at New York Presbyterian.

Kevin Terrell, DO, Assistant Professorin the Department of EmergencyMedicine at Indiana University hasreceived a 2004 Dennis W. JahnigenCareer Development Scholars Award,which is a two-year, $100,000 per yearstipend for salary support and researchfunds. Dr. Terrell’s project is “Computer-Assisted Decision Support to Increasethe Safety of Prescribing to Older Adultsin the ED.”

Henry Wang, MD, MPH, Assistant Pro-fessor, Department of EmergencyMedicine at the University of Pittsburgh,has been awarded a five-year K08career development award in theamount of $620,000 from the Agency forHealthcare Research and Quality. Dr.Wang’s proposed patient safety investi-gation involves the evaluation of out-of-hospital endotracheal intubation errorsand their linkages to in-hospital out-comes and course of care.

Brian Zink, MD, has received a Publi-cation Grant from the National Library ofMedicine for his book project on the His-tory of Emergency Medicine. The two-year, $100,000 grant will support theresearch, oral histories and writing ofthe book.

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2003 Academic Emergency Medicine Journal ReportMichelle H. Biros, MD, MS Hennepin County Medical CenterAEM Editor-in-ChiefJim Adams, MDNorthwestern UniversityAEM Senior Associate EditorDave Cone, MDYale UniversityAEM Senior Associate Editor

Academic Emergency Medicine continues to thrive in its10th year of publication, and it is our pleasure to give you thisbrief report of some of the journal’s highlights for the 2003 pro-duction year.

The editors are dedicated to providing our readers and ourauthors with excellent service and high quality information. Weall are authors, researchers and educators ourselves, and weappreciate and understand what is needed by each of our rel-evant constituencies. From an author’s standpoint, we valueresponsiveness, constructive criticism and rapid decisions.The Editorial Board continues to develop and improve on eachof these areas. We have a database of over 300 experts whoserve as our peer reviewers. The selection of who reviewseach submission and who serves as the decision editor isdirected by the authors themselves, in the form of the manu-script checklist provided by them, which is compared to thelisted expertise among our reviewers and associate editors.We continue to provide consensus reviews to our authors,rather than the raw peer reviews. We believe the associateeditor’s interpretations and weighing of the analysis receivedfrom each peer and statistical reviewer provides the authorswith directions for revisions that are free from contradictionsand focused at the most important areas that would benefitfrom improvement and if addressed, would strengthen thequality of the work.

Our recognition of the need for timeliness in decision mak-ing has resulted in periodic assessments of the performance ofthe peer reviewers and of the associate editors, and we con-tinue to improve our timeliness. From January 1 to December31, 2003, AEM received 827 submissions and publicationdecisions have been made on 825. Of these, 643 were exter-nally reviewed and 182 were reviewed within the editorialboard. The overall acceptance rate was 32%. The overall turn-around time of first reviews was 34 days, and for revisions, 11days. This compares with 739 submissions in 2002, with a2002 acceptance rate of 39%, first review turn around time of40 days and revision turn around time of 19 days. Therefore,we are pleased to report that AEM received 12% more manu-scripts in 2003 yet our turnaround time was decreased by 6days (15%) for first time reviews and 8 days (42%) for revi-sions. With our anticipated summer 2004 launching of a total-ly electronic editorial management system we believe we willbe able to improve our rapid submission review times.

We have had a number of other remarkable achievementsthis last year. We held another successful consensus confer-ence in May 2003, on “Disparities in Emergency Health Care,”which was attended by over 100 individuals from across manyclinical and research specialties, as well as from a number offederal and non federal regulatory and research agencies. TheNovember 2003 special topics issue of AEM presents pro-ceedings from the conference, as well as original relatedresearch and concepts papers. The November 2003 issue is

free of charge on our electronic journal platform; other issuesare available on-line to current AEM subscribers. We alsodeveloped a relationship with the Institute of Medicine. AEMwill serve as a forum for dissemination of selected reports rel-evant to our specialty from this prestigious group. The first ispublished in the April issue of AEM; others will be publishedperiodically.

For the last three years, the electronic version of AEM hasbeen distributed for free to 65 World Health Organization -designated underdeveloped countries. It is encouraging thatthe annual statistics show an increasing international pres-ence of our journal. In addition to dissemination of information,we are seeing another benefit of this program in the increas-ing numbers of original scientific submissions coming fromthese countries.

This year AEM has increased its use of another electronicfeature, called “data supplements.” Using this electronicoption, we are able to publish on-line material that could not beincluded in the paper version of the journal because of theirexcessive length, narrow focus, or complexity. Included in thiscategory are data collection vehicles, expanded data, and onoccasion, specific peer reviewed articles not published in thepaper journal. We expect to expand our use of this option inthe coming year.

So, as you can see, Academic Emergency Medicine con-tinues in its development and growth as we enter our 11th yearof publication, thanks to our outstanding Editorial Board, excel-lent editorial staff, our hardworking peer reviewers and ourloyal and supportive authors and readers. We hope that we willbe able to continue to serve your academic and researchneeds, and be assured that it is our continued pleasure to doso.

Table 1: Top 10 underdeveloped countries accessing AEMelectronicallyIndiaIndonesiaViet NamPakistanUkraineNigeriaNepalBangladeshNicaraguaKenya

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Table 2: Outstanding Reviewers, 2002-2003Felix K. Ankel, MDAdrienne Birnbaum, MDWallace Carter, MDDavid M. Cline, MDRobert Dart, MDStephen J. Dresnick, MDLouis Graff, MDGary B. Green, MD, MPHRobert J Hoffman., MDMargaret Hsieh, MDE. Brooke Lerner, PhDLaurie J. Morrison, MDJames Thomas Niemann, MDPaul M. Paris, MDLee W. Shockley, MDKelly D. Young, MD

Table 3: Top 10 cited AEM articles 20031. Section: SPECIAL CONTRIBUTIONSMichael A Gibbs, Carlos A Camargo, Brian H Rowe, Robert ASilvermanState of the Art: Therapeutic Controversies in SevereAcute AsthmaJul 01, 2000 7: 800-8152. Section: CLINICAL INVESTIGATIONSDavid Donaldson, David Poleski, Eric Knipple, Kurt Filips,Linda Reetz, Rebecca G. Pascual, Raymond E. JacksonIntramuscular versus Oral Dexamethasone for the Treat-ment of Moderate-to-severe Croup: A Randomized, Dou-ble-blind TrialJan 01, 2003 10: 16-213. Section: CONCEPTSStephen SchenkelPromoting Patient Safety and Preventing Medical Error inEmergency DepartmentsNov 01, 2000 7: 1204-12224. Section: CLINICAL INVESTIGATIONSJim Edward Weber, Carl R. Chudnofsky, Michael Boczar,Edward W. Boyer, Mark D. Wilkerson, Judd E. HollanderCocaine-associated Chest Pain: How Common Is Myocar-dial Infarction?

Aug 01, 2000 7: 873-8775. Section: CLINICAL INVESTIGATIONSDavid F. Salo, Robert Lavery, Vikram Varma, Jennifer Gold-berg, Tara Shapiro, Alan KenwoodA Randomized, Clinical Trial Comparing Oral Celecoxib200 mg, Celecoxib 400 mg, and Ibuprofen 600 mg forAcute PainJan 01, 2003 10: 22-306. Section: CLINICAL INVESTIGATIONSPeter A. McCullough, Judd E. Hollander, Richard M. Nowak,Alan B. Storrow, Philippe Duc, Torbjorn Omland, JamesMcCord, Howard C. Herrmann, Philippe G. Steg, Arne Wes-theim, Cathrine Wold Knudsen, William T. Abraham, SumantLamba, Alan H.B. Wu, Alberto Perez, Paul Clopton, PadmaKrishnaswamy, Radmila Kazanegra, Alan S. MaiselUncovering Heart Failure in Patients with a History of Pul-monary Disease: Rationale for the Early Use of B-typeNatriuretic Peptide in the Emergency DepartmentMar 01, 2003 10: 198-2047. Section: COMMENTARIESGene R. PesolaThe Use of B-type Natriuretic Peptide (BNP) to DistinguishHeart Failure from Lung Disease in Patients Presentingwith Dyspnea to the Emergency DepartmentMar 01, 2003 10: 275-2778. Section: BRIEF REPORTSStewart Siu Wa ChanEmergency Bedside Ultrasound to Detect PneumothoraxJan 01, 2003 10: 91-949. Section: CLINICAL PRACTICEMichael A. Kohn, Kristi Kerr, David Malkevich, Nelda O'Neil, M.James Kerr, Beth C. KaplanBeta-Human Chorionic Gonadotropin Levels and the Like-lihood of Ectopic Pregnancy in Emergency DepartmentPatients with Abdominal Pain or Vaginal BleedingFeb 01, 2003 10: 119-12610. Section: CLINICAL PRACTICEAlan J. Forster, Ian Stiell, George Wells, Alexander J. Lee, Carlvan WalravenThe Effect of Hospital Occupancy on Emergency Depart-ment Length of Stay and Patient DispositionFeb 01, 2003 10: 127-133

SAEM/ACMT 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 hisdeath in October 1999, donations were directed to SAEM for the establishment of a scholarship fund to encourageEmergency Medicine residents to pursue Medical Toxicology fellowship training. ACMT has graciously agreed todonate matching funds.

Two recipients will be chosen to attend the North American Congress of Clinical Toxicology (NACCT), which willbe held September 9-14, 2004 in Seattle. Each award of $1250 will provide funds 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 pro-gram is eligible for the award. The deadline for application is May 1, 2004. Scholarship recipients will be announcedat the annual SAEM and NACCT meetings. Each recipient will also be required to submit a summary of the meetingfor publication in the SAEM Newsletter and the ACMT Newsletter. The articles of the inaugural recipients of the Schol-arship, Dr. Lindgren and Dr. Ferguson are published in this issue of the Newsletter.

Applications must be submitted electronically to saem@saem.org 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

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Board of Directors UpdateThe SAEM Board of Directors meets

monthly, usually by conference call.This report includes the Board highlightsof the February 10 conference call andthe Board meeting held on March 6 dur-ing the CORD Navigating the AcademicWaters and Best Practices conferences:

The Board approved a slate of can-didates for the consideration of themembership. A ballot has been devel-oped and mailed to the membership.The slate of nominees is published inthis issue of the Newsletter. All ballotsreturned to SAEM with a postmark nolater than May 8, 2004 will be counted.

The Board reviewed approvedamendments to the Constitution andBylaws. The amendments are includedin this issue of the Newsletter, and a bal-lot has been submitted to the member-ship for consideration. Results of theelection and the Constitution andBylaws amendments will be announcedduring the Annual Business Meeting onMay 18 at 11:00-12:00 noon in Orlando.All members are urged to attend.

The Board approved a 2004 operat-ing budget, which included anticipatedrevenues of $1,824,000 and anticipatedexpenses of $1,377,725. In addition,the Board approved a draft 2004 budg-et for the Research Fund, which includ-ed revenues of $106,250 and expenses

of $410,000. A 2003 year-end financialreport has been published in this issueof the Newsletter.

The Board approved the selection ofDr. Yealy and Dr. Chisholm to attend themeetings of the Institute of Medicine'sproposed Conference on EmergencyMedicine. Dr. Yealy and Dr. Chisholmwill attend the meetings and report tothe Board on the activities and impor-tant issues relevant to the conference.

The Board selected Dr. Larry Lewisas the SAEM representative to attendthe Symposium on the Definition andManagement of Anaphylaxis. Dr. Lewiswill publish a report on the meeting inthe next issue of the Newsletter.

The Board approved the proposedresponse to the Residency ReviewCommittee for Emergency Medicine(RRC-EM) in regards to the new Resi-dent Duty Hours. The Board approveda proposal by the National Affairs Com-mittee to develop an educational ses-sion to be held during the AAMC Annu-al Meeting, which will be held in Novem-ber in Boston.

The Board approved the submissionof a grant application to the AAMC torequest funding on the topic "ResearchIntegrity in Emergency Medicine." Iffunded, it is anticipated that the topic willbe the focus of the AEM Consensus

Conference held in conjunction with the2005 SAEM Annual Meeting in NewYork City.

The Board approved a proposal toconvene a focus group with industryrepresentatives during the SAEM Annu-al Meeting. The Board also approved amailing to the membership requestingdonations to the Research Fund. Aninterim report on the success of thatprogram is published in this issue of theNewsletter.

The Board approved a membershipdrive directed towards the chairs ofDepartments of Emergency Medicineencouraging them to provide to SAEMthe names of their faculty who are notmembers. The Board approved thedevelopment of a Sepsis/Early GoalDirectory Therapy Interest Group. Theinterest group was proposed by Dr.Nathan Shapiro, and the first meeting ofthe interest group will be held in Orlan-do. A list of interest group meetings thatwill be held in Orlando is published inthis Newsletter.

The Board of Directors will meettwice during the SAEM Annual Meeting:May 15, 8:00-10:00 pm and May 18,12:30-4:30 pm. All SAEM members arewelcome to attend the Board meetings.

Meeting the Challenges of Educational ResearchMichelle Lin, MDSan Francisco General HospitalWendy C. Coates, MDHarbor-UCLA Medical CenterGloria Kuhn, DO, PhDWayne State UniversitySAEM Educational Research Task Force

In the May-June 2003 SAEMNewsletter, the President’s Messagefocused on the current state of educa-tional research in emergency medicine.In this essay entitled “Educationalresearch: Time to reach the bar, notlower it,” Dr. Roger Lewis insightfullyaddressed the major problems and hur-dles in educational research and pro-posed potential solutions. Specifically,he defined the goal of improving thequality of medical educational researchto match the rigorous standards set forclinical and bench research. He furtherproposed that although educationalresearch has unique methodologic

obstacles, it should not have a lowerstandard for publication; that is, the barshould not be lowered. To reach thisgoal, he suggests that changes need tooccur on the part of investigators. Par-ticularly, educational researchers needto comprehend and apply appropriatebiostatistical and methodologic designs.

In recognition of the importance ofproviding a means for the investigator tobuild a stronger knowledge base in edu-cational research, we have proposed athree-year Educational Research Trackat upcoming SAEM Annual Meetings.This longitudinal curriculum is designedto provide a foundation for both aspiring

and established educationalresearchers in EM. Each year, there willbe three modules. Although each mod-ule will cover a topic thoroughly, themodules will build upon each other toenable members with a serious interestin conducting educational research todevelop a comprehensive, solid knowl-edge base in the subject. At the 2004Annual Meeting, the first-year track willhave the following three modules:

“The Current State of Medical Edu-cation Research”: This session will offeran introduction to the current status ofmedical education research. Dr. LarryGruppen, the chair of medical education

(continued on page 21)

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Financing of Emergency Medicine GME Programs in an Era of DecliningMedicare Reimbursement and Support

Michael R. Baumann, MDMaine Medical CenterTyler F. Vadeboncoeur, MDUniversity of California, San DiegoRobert W Schafermeyer, MDCarolinas Medical CenterSAEM National Affairs Committee

BackgroundGraduate medical education (GME) financing is a broad

term that encompasses several funding streams to supportmedical education efforts. GME is a composite of direct med-ical education (DME) funding, a payment to hospitals andtraining programs for each resident, and indirect medical edu-cation (IME) funding (an additional payment designed to coverthe inefficiencies of providing medical care in a teaching set-ting). These payments are currently made directly to hospitalsand are often incorporated into the general operating funds ofthe hospital. As of the December 2000 Council on GraduateMedical Education (COGME) 15th report1, Medicare was pay-ing $7.8 billion per year for GME, while Medicaid funded over$2 billion to GME. The Department of Defense, the VeteransAdministration, and private payers were also providing for por-tions of resident physician education. Despite this support,teaching hospitals, physicians and legislators are still strug-gling to provide an appropriate physician workforce withoutbankrupting teaching hospitals or Medicare. Emergencyphysicians need to be aware of the issues and controversiessurrounding graduate medical education, particularly withregards to financing. This paper will review the history andcurrent state of GME financing, current legislative issues sur-rounding GME and proposals for improving GME to provide astable source of funding.

History of Direct Medical Education (DME) FundingDME funding has been linked to Medicare since its estab-

lishment in 1965. Prior to Medicare, the cost of training physi-cians fell to hospitals who usually passed the costs on throughpatient charges. With the establishment of Medicare in 1965,the federal government recognized that there was a societalbenefit to a self-replenishing physician supply. DME costswere explicitly approved for inclusion by a teaching hospital intheir “reasonable costs.” These costs were included in hospi-tal charges and extended to Medicare, as well as most privatepayers of the time. Medicare hospital payments began pro-viding for resident salaries and benefits, administrative costsfor medical education, and the cost of the physician educators.At the outset and until the early 1980s, there were few limits onthe number of residents reimbursed. Hospitals could indirect-ly increase their amount of Medicare support by increasingtheir resident complement or adding new residency programs.Dollars paid for GME went directly to the hospitals andaccounting for these monies was not required.

As Medicare funding became more constrained in the early1980s, efforts were made to control hospital costs and atten-tion focused on DME payments. The number of residents perinstitution was capped in 1996. This made it more difficult forresidencies to expand in institutions at or above their residen-cy cap. Hospitals wishing to add new residencies would needto be committed to bearing the entire cost of the position,unless they were below their cap on resident positions. Hospi-

tals exceeding their allowed number of residents make a con-scious decision to fund the overage themselves without anysupport from Medicare.

Current payments to hospitals for DME can be viewed asdependent on three factors: the per resident payment amount(PRA), a weighted count of full-time equivalent residents intraining, and the ratio of Medicare patient days to total patientdays in the acute inpatient setting.2 The DME amount paid tothe hospital uses a formula as follows: hospital specific perresident amount (PRA), updated for inflation, multiplied by thenumber of residents multiplied by the hospital’s ratio of Medi-care inpatient days/total days. This formula is affected by thecap and the initial residency period (IRP).

The method by which the government arrived at DME pay-ments per resident was established by COBRA legislation in1986. For all teaching hospitals extant in 1986, the DME pay-ment in use today is derived from calculations from a baseyear, either 1984 or 1985. The teaching institutions providedtheir cost associated with training residents in the base yearand were specific to each hospital. Allowable costs includedresident salaries and benefits, costs for program directors andfaculty salary, as well as overhead for resident education.There was no attempt to normalize the data, and the range ofreported costs between institutions was quite broad. By 1995,this payment varied across teaching hospitals from $10,000 to$240,000 per resident with a median payment of $65,000.3,4

These differences were accepted “as is” by Medicare andhave had one of the most dramatic effects on the variability ofDME payments until the passage of Benefits Improvement andProtection Act of 2000 (BIPA). DME amounts had seen someminor modifications and had been adjusted for inflation, how-ever there was little opportunity for teaching hospitals tochange or update the information initially submitted to the gov-ernment. BIPA not only made changes in the IME paymentsbut froze PRA payments for hospitals above 140 per cent ofthe locally adjusted national average. For 2003-05 these hos-pitals’ PRAs will increase by the market basket minus 2 per-cent. Those at the other extreme, below the 85th per cent areto receive payment at that per centage.

Determining the Initial Residency Period (IRP)The weighting of resident FTEs training in a facility is based

on the length of the resident’s initial training period. The initialtraining period varies by specialty and is defined as the mini-mum number of years of formal training necessary to satisfythe specialty’s requirements for board eligibility, up to fiveyears.5 The initial training period does not change if the resi-dent switches to a different residency. A resident selectinggeneral surgery is allotted 5 years, while internal medicine,family practice, emergency medicine and pediatrics have 3years. A resident switching to another residency after twoyears of surgery would still be weighted as 1.0 FTE for threeyears of additional residency training. A resident switching into

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surgery after two years in pediatrics would be counted as 1.0FTE for one year of surgery and 0.5 FTE for the remaining 4years of surgery residency. There have been a few refine-ments to this basic rule since it’s enactment in an attempt toconstrain growth in specialty training. To encourage primarycare training, residents beyond their initial residency were onlycounted as 0.5 full-time equivalents; essentially cutting thepayment to the sponsoring institution in half after the initialtraining was completed. Additionally, in 1994 and 1995 theinflation update was withheld for specialty positions, giving pri-mary care positions a 6% higher per-resident payment. Anexemption was made for geriatric fellowship training in 1986and preventive medicine in 1993, allowing full payment for anadditional two years in these two fellowships. Additionalchanges included in the Balanced Budget Act (BBA) of 1997extended the initial residency training period for combined pri-mary care residencies (family practice, pediatrics, internalmedicine, geriatrics and preventive medicine) for 1 year, mak-ing these combined programs fully funded for four years oftraining. The Balanced Budget Refinement Act (BBRA) of1999 extended the funding for child neurology two years cov-ering the full 3 years for pediatrics and 2 years for fellowship inneurology.2

History of Indirect Medical Education (IME) FundingResearch in the 1970s continued to show that teaching

institutions had higher costs even after the direct residentcosts (DME) were removed from the accounting process. Fur-ther research showed a correlation between teaching hospitalscosts and the ratio of residents to hospital beds. This factor iscalled the intern and resident-to-bed (IRB) ratio and forms thebasis for IME funding. The higher costs associated with teach-ing hospitals were attributed to the education and researchmission of teaching hospitals, and the advanced equipmentand personnel to support the highly specialized care deliveredto the sickest patients. IME funding developed out of the TaxEquity and Fiscal Responsibility Act of 1982, and is an integralpart of the Prospective Payment System (PPS) created in19836. Since its inception in 1983, IME makes up the major-ity of GME support to hospitals, comprising over two thirds ofthe total dollars.

Reductions in IME have occurred periodically over the pastdecade, from 8.1% in 1986 to 7.7% in 1989 and then a step-wise reduction with the Balanced Budget Act of 1997, whichwas slightly amended by the Balanced Budget Refinement Actof 1999, resulting in its current rate at 5.5%2,7. Medicare cur-rently pays IME as an add-on to a hospital’s PPS payment.The amount of IME a hospital receives is dependent on theamount of graduate medical education it provides and, assuch, is directly related to the number of Medicare inpatientdays and the IRB ratio. The BBA of 1997 did allow hospitals tocount non-hospital resident time for IME if they pay the costsand do not exceed the IME limits for that hospital (Table 1).

Disproportionate Share Hospital (DSH) FundingDSH payments were developed in 1986 to support hospi-

tals that had a disproportionate share of uninsured patients.This funding tends to be concentrated in rural and inner cityhospitals. DSH facilities include tertiary care centers that arerequired to serve all patients. Recent adjustments in DSHpayments have usually been tied to IME reductions, althoughthe 2003 Medicare Bill includes a 16% one-time increase in

DSH payments and future increases tied to the consumerprice index for urban areas. These funds are a small amountwhen compared to the overall GME funding stream, but add tothe variability inherent in the current GME formula.

Current/impending Changes in GMEWhile there is much discussion about needed reform in

GME financing, current legislation regarding the issue is fairlymeager. The newly passed Medicare Act of 2003 states thatthe indirect medical education (IME) adjustment factor will beincreased (Table 1). There remains bipartisan support foraddressing IME payment problems. During the recent Medi-care reform discussions, the Senate circulated a letter with 38senators in support of addressing the projected decrease inIME to teaching hospitals over the next decade. A similar let-ter was circulated in the House of Representatives.

The Medicare Act also provides protection for “safety net”hospitals by addressing DSH payments and gives smallincreases to the states, particularly in rural areas. The cap onMedicare disproportionate share (DSH) payments for rural andsmall urban hospitals is increased from 5.7 percent to 12 per-cent of total payments; payment adjustments of up to 25 per-cent are provided for low volume hospitals (less than 800 totaldischarges per year) that are 25 miles or more from anotherhospital.

Another provision of the Act is the redistribution of unusedresident positions amongst teaching hospitals. The Act allowsfor a reduction of 75% of the number of unused resident posi-tions at a given hospital that has not used their allotted posi-tions for three years. The proposal is to redistribute thesepositions to hospitals that request an increase in their cap, withno single hospital receiving an increase of more than 25 resi-dents.

Fellowship training in geriatrics is also addressed in the leg-islation. The bill stipulates that residents training in geriatricsare allowed to count the additional 2 years of training tobecome board-eligible as part of their initial residency period.

The Medicare Prescription Drug Act of 2003 has provisionsfor IME relief, continued freeze for DME amounts, geriatric res-idency provision and a section on unused residency slot real-location of GME payments. The IME changes increase IME to6.0% for April to September of 2004, reduced to 5.8% in 2005,5.55 % in 2006, 5.35% in 2007 and back to 5.5% in 2008 andbeyond. The DME freeze will continue for 10 years on thePRAs for hospitals over the 140% national average.

Issues for Discussion in GMESeveral major issues in current GME funding emerge as

focus points in any discussion of reform. The themes thatrecur include: 1. all payer funding, 2. reduction of variability inpayments, 3. overhaul of the current resident cap process andaccountability for the use of DME funds by institutions, and 4.principles for GME funding. 1. COGME issued a report at the end of 2002 on financingGME recommending that the cost of GME be redistributed toall payers rather than relying solely on government sources.8

Third party insurers argue that they have been subsidizingcare all along because they reimburse at a higher rate thanMedicare coverage, however the introduction of managed careand contracting has changed this dynamic as the third partypayers aggressively negotiate better rates from medicalproviders. The end result is that they are often paying less

Financing (Continued)

Table 4. IME Example

Calculate IRB ratio 200 residents/1000 beds IRB = 0.20Statistical formula (1.35 x ((1+0.2)n – 1 x 100 IME % = 10.35%IME payment DRG DRG306 * IME % = $5,031 * 10.35% IME pay = $521

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than governmental sources. Several Senators and Congres-sional representatives see GME as a public good that shouldbe financed by an all payer fund. It could create trust funds formedical schools and teaching hospitals. The funds would payDGME and IME costs. The funds would come from a feeassessed on health insurance plan premiums and from thefederal government. As one would expect, the insuranceindustry does not favor such a plan, yet many health educatorsbelieve it will be needed to ensure adequate funding for GMEand it is a matter of fairness.2. DME funds currently paid to individual hospitals continue tohave their basis in the 1995 numbers provided by the hospitalsthemselves and as modified by BIPA. The disparity in the costper resident is still quite broad, even in like training institutions.For example, if hospital A informed Medicare in 1995 that itcost $100,000 per resident per year for training while hospitalB told Medicare its costs were $50,000 per resident per yearthat is what they were reimbursed. While there have beensome adjustments in these reimbursement rates since 1995,disparities still exist today between similar training settings. 3. The number of residents funded by GME per institution hasremained capped at 1986 levels. Residency slots havebecome a commodity, especially evident as hospitals undergomergers and acquisitions. Emergency Medicine as a relative-ly new training program is at a distinct disadvantage under thissystem, since hospitals that meet or exceed their assignednumber of residents and do not have Emergency Medicinetraining programs have a relative financial disincentive to opennew residency slots.

Looking forward it will be important for academic physiciansinterested in GME to be armed with their institution specificGME data. The GME payment per resident, the percentage ofMedicare, the IRB ratio and housestaff cap are good startingpoints. Knowledge about whether your institution receives anydisproportionate share payments should also factor into dis-cussions. Lastly, institutions looking to add to their residentcomplement should closely follow the enactment of the 2003Medicare Act and the provision to redistribute resident posi-tions.

In addition, GME funding is complex and it is important foracademic physicians in leadership, to have not only knowl-edge of the history of the payment system but also what itmeans in real dollars for their own institution and department(Tables 2,3,4). Once you understand the amounts, you are ina better position to be an advocate for GME funding at yourinstitution and at the federal level.

Bibliography1. COGME Fifteenth Report: Financing Graduate Medical

Education in a Changing Health Care Environment. U.S.Department of Health and Human Services; December2000.

2. Report to the Congress: Medicare Payment Policy, Treat-ment of the initial residency period in Medicare’s directgraduate medical education payments. Washington DC:Medicare Payment Advisory Commission; March 2001.

3. Oliver TR, Grover A, Lee PR. Variations in Medicare pay-ments for Graduate Medical Education. Calif. HealthcareFoundation Report: June 2001.

4. Anderson GF. What Does Not Explain the Variation in theDirect Costs of Graduate Medical Education. AcademicMedicine 1996;71:164-169.

5. Journal of the American Medical Association. Appendix II:graduate medical education, American Medical Associa-tion. Sept 6, 2000, Vol. 284, No. 9, 1159-1172.

6. Rich EC, Liebow M, Srinivasan M, Parish D, WolliscroftJO, Fein O, Blaser R. Medicare financing of GraduateMedical Education: Intractable Problems, Elusive Solu-tions. J Gen Intern Med 2002;17:283-292.

7. COGME Resource Paper: The Effects of the BalancedBudget Act of 1997 on Graduate Medical Education.

8. COGME 2002 Summary Report. U.S. Department ofHealth and Human Services; June 2002.

Financing (Continued)

Table 1. Changes in IME adjustment factor with the Medicare Prescription Drug, Improvement and Modernization Act , passed in 2003.

Current factor 5.5%Starting April FY 04 6.0%FY 05 5.8%FY 06 5.5%FY 07 5.35%FY 08 5.5%

Table 2. Payment for 2003 GME

DGME estimated payment $2.54 billionIME estimated payment $5.07 billion

Table 3. DGME example

PRA X Medicare share Payment amountIRP (1.0) X ($75,000) X 30% $22,500Beyond IRP (0.5)X (75,000) X 30% $11,250

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National Alcohol Screening Day and Academic Emergency MedicineDepartment Collaboration

The National Institute on Alcohol Abuse and Alcoholism(NIAAA) and the Substance Abuse and Mental Health Ser-vices Administration (SAMHSA), have kicked off a major col-laborative study that will investigate ways to screen, identify,and treat patients in hospital emergency departments for alco-hol problems. Academic EDs at 14 institutions throughout theU.S. will participate in the study, the first to rely solely on EDpersonnel, rather than research staff, to conduct the screeningand intervention.

A recent report in the Archives of Internal Medicine con-cluded that the number of alcohol-related ED visits is approxi-mately three times higher than previously estimated, based onphysician documentation or patient disclosure of alcoholinvolvement. Controlled clinical trials of screening, brief inter-vention, and referral have shown positive outcomes indecreasing or eliminating alcohol use, reducing injury rates,and reducing costs to society. The ED is an ideal setting inwhich to provide people who drink in harmful or hazardous pat-terns with a targeted intervention at the time of an adverseevent – a situation sometimes referred to as a “teachablemoment.” This project will attempt to demonstrate that it ispossible to conduct ED screenings for alcohol problems andincrease the likelihood of intervening via brief interventionsand referrals to appropriate alcohol treatment.

Approximately 1000 patients from all 14 sites will beinvolved in the study. At three and six months following theirED visits, patients in both the treatment and control arms will

complete follow-up interviews by telephone. Primary out-comes assessed will include drinking behavior and alcohol-related health consequences (e.g., drunk driving, fights, etc.)

Drs. Edward and Judith Bernstein (Boston University) andGail D’Onofrio (Yale University) will coordinate the training ofED site personnel through the development of a curriculumand training program. Dr. Robert H. Aseltine, Jr. (University ofConnecticut) is heading up the Data Coordinating Center forthe project. The 14 centers and primary investigators that willtake part in the study are affiliated with the following institu-tions:

� Boston University: William G. Fernandez, MD, MPH� Brown University: Robert H. Woolard, MD� Charles R. Drew University: Shahrzad Barzargan, PhD� Denver Health Medical Center: Kerry Broderick, MD� Emory University: Arthur Kellermann, MD, MPH� Howard University: Robert Taylor, MD, PhD� Tufts University: Denise Rollinson, MD, MS� University of California, San Diego: Ted Chan, MD� University of Medicine and Dentistry of New Jersey:

Brigitte Baumann, MD� University of Michigan: Ronald R. Maio, DO, MS� University of New Mexico: David Doezema, MD� University of Southern California: Deirdre Anglin, MD� University of Virginia: Marcus Martin, MD� Yale University: Gail D’Onofrio, MD

Meeting the Challenges (Continued)

at the University of Michigan, will pres-ent a brief overview of the history ofmedical education research and focuson unique issues that are currentlyimportant. This introductory lecture willprovide a context for how EM can fit intothe realm of educational research in thepresent and in the future.

“Defining the Research Question”:This session will define the characteris-tics of well-designed research studies inmedical education. Dr. Michelle Biros,editor-in-chief of Academic EmergencyMedicine, will join Dr. Gruppen in dis-cussing the choice of a research topic,the generation of an appropriately-bound research hypothesis, and the rig-orous standards that must be met toprepare a publishable manuscript. Thespeakers will provide both traditionalresearch and medical educationresearch perspectives.

“Educational Research in EM: Exam-ining the Literature”: This panel session

will focus on medical education in EMand lead the audience through an analy-sis of selected studies to highlight spe-cific strengths and pitfalls in studydesign and implementation. Drs. LuAnnWilkerson, Gloria Kuhn, and WendyCoates will provide a critical apprecia-tion of how to read the medical educa-tional literature. Instruction on how toreport on educational innovations (e.g.,evaluating a new curriculum) will be pre-sented. A strategy for searching educa-tion databases, such as ERIC, will beintroduced by leading the audiencethrough a prepared practical example.

The proposed second year in theEducational Research Track will buildupon these sessions. The anticipatedmodules are entitled “EducationalResearch Methodology,” “Evaluating anEducational Research Design,” and“Interpreting and Presenting Results.”The proposed third year will focus onmore advanced topics such as “Creat-

ing Databases for EducationalResearch in EM,” “Forming EducationalResearch Consortia,” and “Implementa-tion of a Research Design: Grant-writingand Funding.”

Thus in response to Dr. Lewis’“reaching the bar” call for a high-qualitystandard in educational research, ourthree-year Educational Research Trackis intended to provide members ofSAEM with a solid foundation of knowl-edge in educational research that willassist them in performing valid and reli-able studies. The information obtainedas a result of quality research can thenbe used in the classroom and bedsidesettings and in future research efforts.We hope that this is the beginning of aneffort that must be continuous andongoing for our membership, so that wenot only “reach the bar” but surpass it.

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Alcohol Screening and Brief Intervention ConferenceLeon L. Haley Jr., MD, MHSAEmory UniversitySAEM Board of Directors

On February 12, 2004, I representedSAEM at “The National Medical Lead-ers” meeting in Washington, D.C. for adiscussion on the future policies andpractices on alcohol screening and briefintervention. The meeting was co-spon-sored by the National Highway TrafficSafety Administration (NHTSA), theNational Institute on Alcohol Abuse andAlcoholism (NIAAA) and the SubstanceAbuse and Mental Health ServicesAdministration (SAMHSA). Theseorganizations united because of thegrowing belief on the federal level thatthe “body of evidence” on the efficacy ofalcohol screening and brief intervention(SBI) is indisputable and that reducingthe public health burden of alcohol mis-use would have a dramatic effect on itsnumerous consequences (i.e., reducingdrunk driving, alcohol-impaired injuriesand fatalities, domestic violence, fallsand cirrhosis).

Emergency Medicine was well repre-sented at this meeting as leaders fromSAEM, ACEP, NAEMSP, ENA, ACS andthe American Trauma Society joinedseveral other national organizations andfederal agencies in a series of presenta-tions and discussions. The meetingopened with remarks and introductionsfrom emergency physician, Dr. JeffreyRunge, the current administrator forNHTSA. Dr. Runge set the stage for therest of meeting by stressing the impor-tance of this issue at the federal level,especially as he carefully connected theAdministration’s safety initiatives withtheir relationships to alcohol with star-tling statistics about accident rates,injuries and fatality data. NHTSA hasestablished a goal of 0.53 Alcohol Relat-ed Fatalities per 100 million vehiclemiles traveled, but currently the rate isat 0.63 without any significant move-ment over the past three years. NHTSAbelieves that reducing that rate requires3 primary needs: 1) High visibility in LawEnforcement; 2) Specific courts andprosecutors for DWI/DUI; and 3) AlcoholScreening and Brief Intervention. Dr.Runge was followed by Surgeon Gener-al and Trauma Specialist Dr. RichardCarmona who delivered the KeynoteAddress, which focused primarily on

discussions about alcohol abuse anddependency, the role of “population vs.individual health” as it relates to alcohol,as well the speaker’s personal anec-dotes about alcohol and trauma patientshe had cared for in the past.

Following the opening presentations,the meeting focused on alcoholismscreening definitions and tools, specificexamples of intervention in the emer-gency department setting, the role ofNational Alcohol Screening Day, grantsthat have been awarded to 14 emer-gency departments across the countryto study SBI (see related article in thisissue of the Newsletter) and the addi-tional roles of federal agencies. Speak-ers included Dr. Ting-Kai Li, the Directorof NIAAA, who assigned definitions tomoderate and risky drinking behavior,as well as defined several of the currentscreening and assessment tools avail-able to practicing physicians. Dr. GailD’Onofrio, Associate Professor ofSurgery at Yale University, providedspecific examples of screening andintervention projects involving both thedirect health care practioner providingdirect intervention, and the use of out-side health care professionals whocould provide screening and interven-tion without being directly involved in thepatient’s care process.

Another highlight of the meeting wasdiscussion about the 6th Annual Nation-al Alcohol Screening Day (NASD) onApril 8, 2004 and the 14 emergencydepartments around the country thathave been awarded grants from NIHand NIAAA to study brief intervention inthe ED setting. NASD is a free eventthat provides information about alcoholand health, and free, anonymousscreening for alcohol-use disorders.Event sites are located in community,college, primary health care, militaryand employment settings. The programis designed to provide outreach, screen-ing and education about alcohol’seffects on health for the general public.This year’s theme is “Alcohol andHealth, Where Do You Draw the Line?”and SAEM is proud to be a sponsor forthis year’s program joining many otherleading organizations across the coun-

try. And as a correlate, LAC+USC,Cooper Health System, Boston MedicalCenter, Denver Health, Yale, Universityof Connecticut, Charles Drew, theUniversity of New Mexico, the Universi-ty of Michigan, Howard University,Emory University, the University of Vir-ginia, the New England Medical Centerand Brown Medical School will collabo-rate to study screening and brief inter-vention in the ED setting.

The meeting concluded with discus-sion about some of the key issues forscreening and brief intervention (SBI).The major themes were:• Training – What can organizations doto develop and encourage training?• Dissemination – What mechanismsexist for disseminating information onSBI and SBI training?• UPPL (Uniform Individual Accident andSickness Policy Provision Law) – Whatare the next steps in organizing effortsto repeal UPPLs? This is the law thatstates that “insurers shall not be liablefor any loss sustained or contracted onconsequence of the insured’s beingintoxicated or under the influence of anynarcotic unless administered on theadvice of a physician” and thus allowsinsurers to deny payment for treatmentof alcohol-related injuries. • Billing – How can we provide informa-tion to physicians to increase theirunderstanding of using CPT codes tobill for SBI• Screening Day – What are we all doingnow – or could we do – to actively sup-port National Alcohol Screening Day?• Treatment – What can organizationsdo to advocate for more treatment andfor insurance parity?

In summary, I found the meeting tobe highly informative both about screen-ing and brief intervention and the role itwill increasingly play in emergencydepartments and the increasing role ofthe federal government to support thisactivity. I was also encouraged by theextensive roles played by many emer-gency physicians in setting the clinical,research, and educational agenda nec-essary to intervene on a significant pub-lic health matter.

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Call for Abstracts 7th Annual Mid AtlanticRegional SAEM Meeting

October 1, 2004Washington Hospital Center

Georgetown University Medical Center/Marriot Conference Center

Washington, DC

The Program Committee is now accepting abstracts forreview for oral and interactive poster presentations. Themeeting will take place Friday October 1, 2004; 8 am to 4pm The deadline for abstract submission is MondayAugust 2, 2004, by 3:00 pm EDT. Only electronic submis-sions via the SAEM online abstract submission form atwww.saem.org will be accepted. Acceptance notificationswill be sent in late August. All registration and HotelInformation will be published in the next newletter andavailable on line at SAEM website by May 15, 2004. Thesame successful format of all presentation in oral formatwith plenary paper allowed 15 minute presentations andstandard acceptances allowed 5 minutes for presention.All presentations will be made in powerpoint. there will beteaching, research and a large medical student residencyapplication session. All medical students from the Mid-Atlantic Region within a days drive are enouraged toattend.

Call for Abstracts14th Annual Midwest Regional

SAEM MeetingSeptember 9-10, 2004

The Wyndham Milwaukee Center HotelMilwaukee, Wisconsin

The Program Committee is now accepting abstractsfor review for oral and interactive poster presentations.The meeting will take place Thursday, September 9,2004, 6:30-8:30 pm, and Friday, September 10, 2004,8:00 am-4:00 pm at the Wyndham Milwaukee CenterHotel, 139 East Kilbourn Avenue, Milwaukee, WI53202.

The deadline for abstract submission is Friday, July9, 2004, by 3:00 pm EDT. Only electronic submissionsvia the SAEM online abstract submission form atwww.saem.org will be accepted. Acceptance notifica-tions will be sent in late July.

Registration forms are available from Dawn Kawa,Department of Emergency Medicine, Medical Collegeof Wisconsin, 9200 W. Wisconsin Avenue, FEH Room1870, Milwaukee, WI 53226 or dkawa@mcw.edu.

Registration Fees: Faculty--$75; Other health careprofessionals--$40; Fellows/residents/students--NoCharge. Late fee after Wednesday, September 1,2004: add $10. For questions or additional informa-tion, call 414-805-6452.

The SAEM Consult Service has along history beginning with the Societyof the Teachers of Emergency Medicine(founded by Gus Roussi in the late1970s). Its greatest activity was underthe guidance of Steve Dronen, MD,who chaired the Consulting Service formany years and provided over 70 con-sultations during the 1990s. The SAEMConsult Service is well prepared to offerits considerable capabilities to interest-ed parties in our specialty.

Although a variety of services areavailable, the primary foci have beenthe following:1. Establishment of an EM residency –

this consult is in advance of applica-tion to the ACGME and RRC-EM forconsideration of a new EM residen-cy. The consultation will assess thesuitability and potential of the site forresidency training and assist in thedevelopment of the program infor-mation forms required by theACGME. This service has beensuccessfully offered to more than 40programs in the last two decades.

2. “Mock” survey prior to RRC-EM sitesurvey – this service serves as apreparatory guide to residenciespreparing for their official site surveyby the RRC-EM. This is a usefulprocess for making sure the issuesof potential concern by the RRC-EMare addressed, and convincing insti-tutional administration of the bene-fits of EM and its continued support.There have been more than 40 ofthese consults in the last 20 years.

3. Research Consultation – this rela-tively new aspect of the servicehelps programs develop a researchprogram suitable to their environ-ment. Several sites have participat-ed in this type of consultation withappropriate guidance and net gainsin their research activity.

4. Faculty Development – EM remainsone of the few specialties thatrequires faculty development as partof its program requirements.Programs who are initiating or hav-ing difficulty in this area may requesta faculty development consultation

to assist in planning effective pro-grams for their faculty.

Consultations are done by experi-enced individuals who are ProgramDirectors, Academic Chairs, and/orRRC-EM Site Surveyors. Usually 1-2individuals participate in the consulta-tion depending upon the needs of theinstitution. The individuals are selectedwith input from the institution and theconsult service. Fees are $1,250 perindividual per day plus expenses. Anadditional $500 is paid to SAEM to sup-port the administrative aspects.

The 1980s and 90s were a time oftremendous growth for EM residencies.The Consult service played a significantrole in sustaining the quality of theseresidencies and assisting numerousProgram Directors in developing andcreating solutions to their problems.The SAEM Consult Service looks for-ward to assisting in residency or aca-demic development needs. Please con-tact me directly or through SAEM for fur-ther information and assistance.

Opportunities Available Through the SAEM Consult ServiceGlenn Hamilton, MDWright State UniversityChair, SAEM Consulting Service

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ACADEMIC RESIDENTNews and Information for Residents Interested in Academic Emergency Medicine

Edited by the SAEM GME Committee

Resident Conference: Getting the Most Out of the CurriculumEsther Chen, MDUniversity of Pennsylvaniafor the SAEM GME Committee

The Residency Review Committee-Emergency Medicine(RRC-EM) mandates that each residency training programshould provide at least 5 hours of “planned educational expe-riences,” each week. Emergency medicine (EM) residencyprograms must satisfy this requirement in ways that are bothstimulating and educational for a relatively diverse group thatincludes new residents still formulating their basic knowledgebase and experienced residents refining their skills for unsu-pervised practice. In order to see the different ways residen-cy programs are satisfying this requirement, we conducted anationwide informal e-mail survey of EM chief residents. Weused the results of this survey to construct the following guideto help residency program directors and chief residentsupdate or complement their educational curricula.

Core EM LecturesMost programs have a core emergency medicine lectureseries. A comprehensive list of potential topics may be foundin the Model of the Clinical Practice of Emergency MedicineCurriculum (http://www.cordem.org/download/practice.pdf).Depending on the length of residency training, this core set oflectures may be cycled every 1.5 years or 2 years. A few res-idencies organize their core content lectures by organ sys-tem, which may help residents coordinate their textbookreading with the lectures.

Journal Club/Evidence-based MedicineJournal clubs may use articles from the EM literature or majorjournals (NEJM, J Cardiology, JAMA) in other relevant disci-plines. Discussions may focus on methodology or impact onclinical practice. Methodology discussions may include defi-nitions of key biostatistics and epidemiology concepts (e.g.case-control study, sensitivity, specificity). Some programsmake journal club presentations available on the internet foreasy access. A variety of formats may be used:

a. Focus on an Article or Articles. The resident presents anarticle or articles, and a faculty member leads the dis-cussion of each article, using either his/her own PICOformat (Problem, Intervention, Comparison, Outcome) orthe McMaster University’s critical appraisal of the litera-ture guidelines.

b. Focus on a Clinical Question. Each month, different res-idents formulate clinical questions (e.g. the utility ofblood cultures in patients with pneumonia), search theliterature for answers, and present a summary of the evi-dence, followed by a brief discussion with faculty partic-ipation. Presentations should include a list of references.

c. Debates or Mock Trials. Friendly competitions can befun and motivate excellent discussions. Residents canbe assigned different sides of a clinical argument in a

debate or be forced to defend a point in a mock trial withevidence from the literature.

Interdepartmental Case ConferencesSince EM intersects and interacts with many other special-ties, interdepartmental case conferences are great opportuni-ties to exchange viewpoints and knowledge with differentdepartments and divisions. EM residents can present theemergency department (ED) course and residents from otherdepartments can present the hospital course. While Cardiol-ogy, Critical Care, Pediatrics, Trauma, Internal Medicine, andRadiology most commonly participate in such conferences,other departments can be included as well. Interdepartmen-tal conferences are a great way to help address the systems-based practice ACGME-defined core competency.

Morbidity and Mortality (M&M) ConferenceResidents present actual ED cases (either several similarcases on a single topic or 1-2 cases with different learningpoints) in which either management errors or unexpectedoutcomes occurred. The ensuing discussion should avoidadministrative or quality assurance issues and focus on theeducational aspects of the case. Using multimedia aids andinviting people directly involved in the case (e.g., patients,family members, and physicians from various departments)can improve the discussion.

ECG/Radiology/Procedure ConferenceSome conferences can teach and review basic skills such aselectrocardiogram (ECG) and radiographic interpretation, orcommon emergency department procedures (e.g., splinting,slit lamp exam, intubation). These should include didacticlectures reviewing important steps and concepts as well ashands-on laboratories in which residents can practice theseskills in a controlled setting. Various teaching formats may beused. Residency programs may distribute written guides oncertain topics (e.g., an ECG interpretation manual) or packetsof unknown cases for practice. Residents can collect in smallgroups and rotate through different stations, with each stationfocusing on a specific topic (e.g., wide complex arrhythmias,ischemia, toxic/metabolic ECG abnormalities). It may behelpful to recruit relevant specialists (e.g., radiologists for filminterpretation) to teach these sessions. Finally, wheneverinteresting films or ECG’s appear in the ED, faculty or chiefresidents may want to present them in conferences.

Textbook ConferencesChapter reading in either Tintinalli or Rosen textbooks arereviewed in a discussion format where important points fromthe chapter are highlighted. A fun way to encourage habitualtextbook reading is to set up a jeopardy contest between the

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junior and senior residents with questions based on theassignment.

Trauma ConferenceSeveral formats may be used for trauma conferences:

a. Presenting Video Tapes: Reviewing evaluating video-tapes of actual or simulated resuscitations can helpteach residents about being effective trauma leaders,using proper techniques, and allocating resourcesappropriately.

b. Trauma Stations: Residents can rotate through sta-tions that simulate different trauma scenarios. A facul-ty member at each station can evaluate each resi-dent’s competence as a trauma leader.

c. Mass Casualty Scenarios: Mock drills and discussionsof mass casualty scenarios can give residents practicein properly triaging and managing large groups ofpatients. Residents should be familiarized with theirinstitutions’ disaster protocols and procedures.

Medical ResuscitationsSince actual medical codes may not be frequent enough,mock adult and pediatric medical resuscitations should beperformed to give residents adequate experience. Resi-dents should be able to competently play various roles (e.g.code leader, airway manager) during these simulations.

Board ReviewsOral or written board review sessions may be conducted invarious formats: didactic lectures, visual diagnosis tests,quiz games asking Jeopardy-style questions, and mockwritten and oral board exams.

EMS Tape ReviewReviewing Emergency Medicine Services (EMS) audio-tapes can teach residents about prehospital transport andEMS protocols. Senior residents need to be familiar withcommon medical command issues such as refusal of trans-

port and medication approvals. If medical command audio-tapes are not easily accessible, mock scenarios can be dis-cussed.

Case ConferencesCase conferences involve discussing either the initial eval-uation and management or the follow-up inpatient/outpa-tient workup of actual ED patients. An appropriate variety ofpediatric, cardiology, critical care, and trauma cases shouldbe selected. Cases representing different scenarios (e.g.patients who bounce back to the ED 72 hours later) shouldbe selected as well.

Intern Survival SeriesSeveral programs have a specific series of lectures/labs forincoming interns during the first 1-2 weeks of their residen-cy. Didactics on the management of common chief com-plaints such as headache, dizziness, chest pain, and short-ness of breath are reviewed, along with radiographic andECG interpretation, and procedural skills. In addition, chiefresidents from off-service rotations should be invited tomeet the interns and discuss the expectations and educa-tional goals during those rotations.

Getting the Most Out of Attending StructuredConferencesThere are two ways to enhance your education fromattending conferences. The first is to simply be aware ofwhat the topics and speakers are for a given conferenceday. The second is to briefly prepare for conference. As anexample, if the topic is going to be pancreatitis, your learn-ing will be enhanced by reading a chapter on the topic priorto attending conference. Alternatively, you can review aparticular aspect of this topic, such as whether amylase orlipase represents a better screening test. With preparation,you will be better able to ask good questions at conference,as well as enhance the discussion.

Medical Student Excellence AwardEstablished in 1990, the SAEM Medical Student Excel-

lence in Emergency Medicine Award is offered annually toeach medical school in the United States and Canada. It isawarded to the senior medical student at each school (onerecipient per medical school) who best exemplifies the quali-ties of an excellent emergency physician, as manifested byexcellent clinical, interpersonal, and manual skills, and a ded-ication to continued professional development leading to out-standing performance on emergency rotations. The award,presented at graduation, conveys a one-year membership inSAEM, which includes subscriptions to the SAEM monthlyJournal, Academic Emergency Medicine, the SAEM Newslet-ter and an award certificate.

Announcements describing the program and applicationshave been sent to the Dean's Office at each medical school.Coordinators of emergency medicine student rotations thenselect an appropriate student based on the student's intramu-ral and extramural performance in emergency medicine. Thelist of recipients will be published in the SAEM Newsletter.

Over 100 medical schools currently participate. Pleasecontact the SAEM office if your school is not presently partici-pating.

Residency Vacancy ServiceThe SAEM Residency Vacancy Service wasestablished more than ten years ago to assistresidency programs and prospective emergencymedicine residents. The Residency Vacancy Serviceis posted on the SAEM website at www.saem.org.Residency programs are invited to list theirunexpected vacancies or additional openings bycontacting SAEM. SAEM monitors and updates thelistings. Prospective emergency medicine residentsare invited to review these listings and contact theresidency programs to obtain further information.Listings are deleted only when the residencyprogram informs SAEM that the position(s) are filled.

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The 2004 NRMP Match in Emergency MedicineLouis Binder, MDMetroHealth Medical Center

The results of the 2004 NRMP Match became final on March 18, 2004. Emergency Medicine residency programs offered a totalof 1295 entry level positions (5.5% of total positions in all specialties). The following numbers (taken from the 2004 NRMP DataBook) include information from all programs that entered the 2004 Match:

2002 2003 2004Total # of NRMP positions 22,916 23,365 23,704Overall % of positions unfilled 10% 9% 8%Number of EM programs listed 125 125 129

(112 PG1, 13 PG2) (112 PG1, 13 PG2) (116 PG1, 13 PG2)Total PG1/PG2 entry positions 1211 1251 1295

(1073 PG1, 138 PG2) (1114 PG1, 137 PG2) (1151 PG1, 144 PG2) EM positions/total NRMP positions 5.3% 5.4% 5.5%

# EM programs with PG1 vacancies 9/1148 (8%) 17/112 (15%) 7/116 (6%)# unmatched EM PG1 positions 20/1073 (2%) 41/1114 (3.7%) 22/1151 (2%)

# EM programs with PG2 vacancies 2/13 (15%) 4/13 (31%) 1/13 (8%)# unmatched EM PG2 positions 5/138 (4%) 7/137 (5%) 2/144 (2%)

Total # EM programs with vacancies 11/125 (9%) 21/125 (17%) 8/129 (6%)Total # unmatched EM positions 25/1211 (2%) 48/1251 (3.8%) 24/1295 (2%)

Applicant Pool Data

Applicants who ranked only EM programs:

2002 2003 2004US graduates 858 856 1014Independent applicants 276 300 360Total applicants 1134 1136 1374

Applicants who ranked at least one EM program:

US graduates 1126 1062 1146Independent applicants 438 433 360Total applicants 1564 1495 1506

US seniors applying only to EMPrograms who went unmatched 56/858 (6.5%) 36/856 (4.2%) 71/1014 (7.0%)

Independent applicants applying 145/276 (53%) 114/300 (38%) 140/360 (39%)only to EM programs who went unmatched

Percent of matched US seniors 858/11,915 (7.2%) 856/12,037 (7.1%) 1014/13,572 (7.5%) who matched in EM residencies

Breakdown of filled EM positions by type of applicant:

2002 2003 2004PG1 EM positions 1073 1114 1151Filled by US graduates 866 (81%) 859 (77%) 892 (77%)Filled by independent applicants 186 (17%) 214 (19%) 237 (21%)Total filled 1052 (98%) 1073 (96%) 1129 (98%)

PG2 EM positions 138 137 144Filled by US graduates 113 (82%) 97 (71%) 119 (83%)Filled by independent applicants 21 (15%) 33 (24%) 23 (16%)Total filled 134 (97%) 130 (95%) 142 (99%)

(continued on page 27)

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Total EM positions 1211 1251 1295Filled by US graduates 979 (81%) 956 (76%) 1011 (78%)Filled by independent applicants 207 (17%) 247 (20%) 260 (20%)Total filled 1186 (98%) 1203 (96%) 1271 (98%)

** For PG1 filled entry positions (1129), 892 were filled by US seniors, 72 were filled by US physicians, 100 by osteopathic physi-cians, 47 by US international medical graduates, 11 by international medical graduates, 4 by Canadian physicians, and 3 by FifthPathway graduates.

From these data, several conclusions can be drawn:

1. Emergency Medicine experienced an increase of 44 entry level positions in the 2004 Match over 2003 Match numbers (a 3.5%increase), occurring from a combination of quota increases occurring in EM 1-3 and 1-4 programs, and several new programsin the EM match. Emergency Medicine now comprises 5.5 percent of the total NRMP positions and 8.4% of matched US sen-iors (both all time highs).

2. The overall demand for EM entry level positions increased by 129 (applicants ranking at least 1 EM program position) to 238(applicants ranking only EM programs) positions, after no growth of the applicant pool in 2000 and 2001, and only modestgrowth in 2002. The majority of this increase came from US seniors who ranked only EM programs on their rank order list(158 additional students in this category). The excess applicant demand over and above the size of the training base is 248to 324 applicants (20% to 26% surplus), depending on how the parameters of the applicant pool are determined. Last year,the excess applicant demand data were 131 to 244 applicants (10% to 20% surplus).

3. A increase of 44 in the supply of EM entry level positions in 2004, coupled with an increase in demand by 129 to 238 appli-cants, resulted in an increased fill rate for EM programs in 2004 (98.1%), compared with 96% in 2003. The growth of demandover supply was also manifested by a decreased number of unfilled EM positions in the Match (24 in 2004, compared with46 in 2004 and 25 in 2002).

4. The proportions of EM positions filled by US seniors versus Independent Applicants (US graduates, Osteopaths, and Interna-tional Medical Graduates) remained the same in 2004 compared with 2003. In 2004, 85.4% of EM entry positions were filledwith US graduates, compared with 86% in 2003.

5. Overall, the increase in applicant demand for EM training positions exceeded the increase in the supply of these positions,even with several new EM programs and quota increases in many existing programs in this year’s Match. This resulted in adecreased number of unmatched positions, a decrease in the number of programs with unmatched positions, and an increasein the number of unmatched applicants (7.0% in 2004, versus 4.2% in 2003), creating more of a “seller’s market” for EM posi-tions than has been the case over the past few years. The unmatched rate of 7.0% for US seniors going into EM in 2004(5.8% in 2003) and 39% for Independent Applicants going into EM support the notion that most US seniors and Inde-pendent Applicants who apply will match into an EM residency.

2004 NRMP Match (Continued)

Call for AdvisorsThe inaugural year for the SAEM

Virtual Advisor Program was a tremen-dous success. Almost 300 medicalstudents were served. Most of themattended schools without an affiliatedEM residency program. Their “virtual”advisors served as their only link to thespecialty of Emergency Medicine.Some students hoped to learn moreabout a specific geographic region,while others were anxious to contact

an advisor whose special interestmatched their own.

As the program increases in popu-larity, more advisors are needed. Newstudents are applying daily, and over100 remain unmatched! Please con-sider mentoring a future colleague bybecoming a virtual advisor today. Wehave a special need for osteopathicemergency physicians to serve asadvisors. It is a brief time commitment

– most communication takes place viae-mail at your convenience.Informative resources and articles thataddress topics of interest to your virtu-al advisees are available on the SAEMmedical student web site. You cancomplete the short application on-lineat http://www.saem.org/advisor/index.htm. Please encourage your col-leagues to join you today as a virtualadvisor.

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Interest Group Meetings in OrlandoAll SAEM interest groups are required to meet during the SAEM Annual Meeting. Many have elected to develop an agenda fordissemination to the membership. All SAEM members are invited to attend the interest group meetings. Membership in the inter-est groups is not required and there is no registration fee.

Airway Interest Group MeetingMay 18, 2004 (9:00-11:00 am)

The Airway Interest Group meeting will be divided into twoparts. The first part will be both educational and an effort topresent cutting edge research or ideas for the purpose ofgroup collaboration on future studies. All individuals with aninterest in airway research are invited to attend.

Part 1: This year as part of our Program Subcommittee we willpresent "Asthma Education in the ED," the results of an inter-national consensus conference (30 minutes). It will cover thecontent of asthma education, feasibility of doing this in an EDsetting, and research and future directions. We will then havethe presentation of four preliminary studies for possible groupcollaboration. Each of these will last 6-7 minutes with a briefquestion and answer session. These presentations will besubmitted and selected by the Research Subcommittee.Please submit these to bdiner@emory.edu. Due to time con-sideration, there will be only four presentations. The otherprojects would be handed out to the attendees at the meeting.

Part 2: Reports from the subcommittees:a. Research: Barry Diner, MD, will present one "easy" projectfor collaboration not requiring much, if any, funding and theother more elaborate, long range requiring funding. b. Education: Michael Radeos, MD, MPH, will present areasto collaborate in asthma education, both research and prom-ulgating best practices for emergency medicine. c. Program: Adrian Tyndall, MD, will present concepts to pres-ent next year at the SAEM Annual Meeting, both to the SAEMmembership at large, as well as to the Airway Interest Group.

Clinical Directors Interest GroupMay 17, 2004 (3:00-4:00) pm

CPR Reperfusion Interest Group MeetingMay 17, 2004 (1:00-2:00 pm)

1. Introduction Norman Paradis MD2. Activities and Projects – Old Business

- Review of previous initiatives.- PULSE Initiative and status of consortium

3. Hot topics and State-of-the-Art discussion4. New Business

- Proposals for upcoming sessions- Other new projects

Disaster Medicine Interest GroupMay 17, 2004 (10:00-11:30 am)

1. Welcome2. Review of prior minutes3. Educational sessions4. Integration of Disaster Medicine Training into EM Resi-

dency and Medical School Curricula-Sharing of ideas5. Use of list service6. Open forum7. Adjournment

EMS Interest GroupMay 17, 2004 (2:00-3:00 pm)

1. Introductions2. Define interest group goals3. Elect chair for coming year4. Discuss EMS fellowship curricula development5. Review NAEMSP Research Agenda6. Open forum

Ethics Interest GroupMay 18, 2004 (8:00-9:30 am)

1. Introductions2. Old Business: Follow up on EM intra-professional dating

survey3. New Business: Where do we go from here?4. Discussions on major topic areas:

a. Research: The Ethics Research Agenda for Emer-gency Medicine1. Provider/researcher foci2. Resident/student foci3. Patient/consumer foci4. Systemic/policy foci

b. Education/Teaching1. Ethics and Humanities: Teaching Ethics using liter-ature, film, and developing a resource for EM teachers (MikeBurg, MD)2. The Core Competencies: What are we doing toevaluate professionalism, cultural competency and ethics in EMlearners?3. Submitting proposals for the 2005 SAEM AnnualMeeting4. Election of new Interest Group Chair

5. Adjourn

Evidence-Based Medicine Interest Group MeetingMay 18, 2004 (12:00-1:00 pm)

Business1. Announcement of chair for 2004-05, Michael Brown, MD2. Membership report, Peter Wyer, MD 3. List-serv and SAEM website transition, Dr. Yeh Activities and Projects (Old Business)4. Evidence-Based Medicine Journal Club Luncheon, Eddy

Lang, MD5. SAEM online course, Charlene Irvin, MD6. Rational clinical examination project, Dr. Newman 7. Consultancy for EM programs (survey results), Michael

Brown, MDForward Plans, Meetings and Perspectives (New Business)8. Undergraduate EBM Proposal (SAEM 2005), Dr. Ismach 9. Practice-based learning proposal (SAEM 2005), Dr.

Brown for Dr. Gerhardt10. Other new projects

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Geriatric Interest Group MeetingMay 16, 2004 (12:00-1:00 pm)

1. Introduction2. Interest Group chair's report3. Program: Adam Golden, MD, a geriatrician from Orlando

Regional Healthcare, who has interests in EM geriatriceducation curriculum and geriatric medication issues isthe invited speaker and will present a short program.

4. Objectives for the coming yeara. Discussion of possible collaborative research projects

among Interest Group membersb. Submission of a didactic session proposal for the 2005

SAEM Annual Meetingc. Discussion of an update and possible autumn presen-

tation of the Emergency Care of the Elder Personcourse

d. Discussion regarding the use of the AGS/HartfordFoundation/EMF resident research funds.

Goal Directed Therapy Research Interest GroupMay 17, 2004 (2:00-3:30 pm)

Health Services and Outcomes Research Interest GroupMeetingMay 17, 2004 (2:30-4:00 pm)

1. Development of didactic proposals for the 2005 SAEMAnnual Meeting a. The role of Emergency Medicine in health services

researchb. Common pitfalls in outcomes research in Emergency

Medicinec. Resources for outcomes and health services research

training and education for the emergency physician2. Development of a consultation service for outcome and

health services research protocol and grant applicationreviews.

3. Election of Interest Group chair

International Interest Group MeetingApril 17, 2004 (4:00-5:30 pm)

1. Active Itemsa. List-serv update optimizing useb. International faculty mentorship program

2. New Itemsa. Upcoming international meetingsb. New Fellowship programsc. Fellowship Directors list-servd. Proposals for didactic sessions 2005e. Scholarships for international faculty

3. Additional items4. Elections

Medical Student Educators Interest Group MeetingMay 17, 2004 (3:00-5:30 pm)

In an effort to better support medical student educators in theirendeavor to develop the best Emergency Medicine education,the interest group will offer a 2.5 hour session. This sessionwill consist of an educational component (topic to beannounced). It will be followed by an annual business meet-ing. Previous members and anyone interested in medical stu-dent education are invited.

1. Educational component (1.5 hours): topic to beannounced

2. Business Meeting (1 hour)a. Review of last year's activitiesb. Election of new officersc. Growth of groupd. Ideas for next year's educational program.

Mentoring Women Interest Group MeetingMay 16, 2004 (4:00-5:30 pm)

1. Reaffirm interest group objectives2. Mentorship form3. Elect chair for coming year4. Plans for the future5. Open forum

Neurologic Interest Group Meeting May 18, 2004 (2:30-4:30 pm)

1. Business meeting - election2. FERNE update3. Stroke Centers Designation and the Impact on Emer-

gency Medicine: What is the impact of developing strokecenters on the practice of emergency medicine? a. Introduction and overview, Andy Jagoda, MDb. American Stroke Association, Ellen Magnes, PhD

• What they know?• What they want and why?

c. JCAHO (Joint Commission), TBA• What are the guidelines? • How are they derived?• Why were they derived?

d. SAEM, Jim Adams, MD• What is the perspective of academic emergency

physicianse. National Association of EMS Physicians, Robert

O'Conner, MD• What would a protocol look like?• Triage?

f. ACEP, Brian Hancock, MD• What is the College's view/position?• What activities has the College undertaken?

g. Questions and Answers

Palliative Care Interest Group MeetingMay 17, 2004 (2:00-3:30 pm)

1. Introduction to Palliative Care2. Creation of a Strategic Plan for the Palliative Care in

Emergency Medicine Interest Group3. Project plan for 2004-2005

a. Researchb. Educationc. Administrative

4. Election of Interest Group chair

Patient Safety Interest Group MeetingMay 16, 2004 (12:00-1:00 pm)

1. Identification of interest group membersa. Duesb. Contact information, updating membership list

2. Governance - election of chair3. Development of objectives for 2004-05

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a. Prepare a Newsletter article on research opportunitiesrelated to patient safety?

b. Collaborate with other professional societies and disci-plines on patient safety as needed.

c. Develop didactic session proposal for 2005 AnnualMeeting

d. Refine curriculum and teaching materialse. Other?

4. General discussion/current research efforts5. Assignments and adjournment

Pediatric Emergency Medicine Interest Group MeetingMay 17, 2004 (1:30-3:00 pm)

1. Welcome and Introduction2. Business Meeting

a. Review and development of annual objectivesb. Governance, leadershipc. Election of chair

3. Didactic proposal discussion4. Brief presentation: The Ethical Conduct of Research

Involving Children, Norm Christopher, MD5. Announcements

Public Health Interest GroupMay 16, 2004 (12:00-2:00 pm)

1. Welcome, introduction2. Review of first year

a. Membershipb. Votes (decisions, insurance)c. Public health databased. NHTSA/SAEM coursee. Committees

3. Healthy People 2010, Steps4. Development of annual objectives5. Governance, election of chair(s)6. Other business, announcements

Research Directors Interest GroupMay 17, 2004 (3:00-4:00 pm)

1. Report of the research directors’ survey working group2. Development of an EM research resource website3. Other tools for enhancing communication and pooling

resources4. Discussion of future goals and objectives

Simulation Interest Group MeetingMay 17, 2004 (2:00-4:00 pm)

The Simulation Interest Group was created to promote the useof simulation of all types for education in Emergency Medicine.The group also fosters collaboration in educational researchand provides a forum for discussion of issues of clinical com-petency assessment. This year the meeting will include aneducational update from Paul Phrampus, MD, of the Universi-ty of Pittsburgh regarding the use of simulation for difficult air-way instruction and competency assessment. The InterestGroup will review its progress on the editorial process for thesimulation scenario library. Elections will be held for theoffices of chair. Nominations are open until May 10. To nom-inate someone please e-mail the name of the nominee towilliam.bond@lvh.com. The Interest Group meeting is open toall SAEM members.

1. Membership update / introduction of new members.(10 minutes)2. Progress report on the simulation scenario library. (Voze-

nilek, Bond, McLaughlin)(30 minutes)• Review of the template for scenarios• Review of the scenario scoring rubric• Review of the editorial process

3. Educational update: Clinical Competency Assessment.(P. Phrampus)(15 minutes with 15 minutes for discussion)

4. Update on interactions with other simulation organiza-tions (10 minutes)• Society for Medical Simulation (J. Gordon)• Simdot (W. Bond)

5. Future directions (roundtable)(30 minutes)• Use of the website / library to facilitate multi-centerresearch• How to incorporate more VR into the group• Other simulation technology developments

6. Election of new officers. (15 minutes)

Toxicology Interest GroupMay 17, 2004 (4:00-5:00 pm)

TraumaMay 18, 2004 (2:30-3:30 pm)

Triage Interest Group MeetingMay 17, 2004 (12:00-1:00 pm)

1. Election of chair2. Triage Research Projects3. Didactic Session for 20054. Other business

Ultrasound Interest GroupMay 18, 2004 (2:00-5:00 pm)

1. Introduction and Year in Review2. Educational Presentations on novel uses of Ultrasound in

Emergency Medicinea. Christine Irish: Pneumothoraxb. Paul Sierzenski: Hand and Tendon USc. Anthony Dean: CHF and wet lungd. Mike Blaivas: Ocular US

3. Pitfalls with Ultrasound Manuscripts (Mike Blavis)4. Community Ultrasound Survey Results (Chris Moore)5. Development of didactic proposals for the 2005 SAEM

Annual Meeting (Larry Melniker)6. Sonographic Outcome Asseesment Protocol Report

(Larry Melniker)7. Election of Interest Group chair8. ACEP Ultrasound Section meeting (John Kendall)

Web Educators Interest GroupMay 17, 2004 (2:00-4:00 pm)

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2004 SAEM Proposed Constitution and Bylaws AmendmentsThe Constitution and Bylaws Commit-tee, chaired by Linda Spillane, MD,carefully reviewed the SAEM Constitu-tion and Bylaws and proposed 17amendments for the consideration ofthe membership this year. The amend-ments range from minor wordingchanges that clarify, but don't changethe meaning of the text, to an amend-ment that allows for the development ofa separate Awards Committee.

The proposed amendments were sub-mitted to the Board of Directors forreview and approval. After Boardapproval a ballot was developed. Theballot was mailed to the active membersof the organization by April 8. Ballotsare required to be completed andreturned, with a postmark of no laterthan May 8, 2004 in order to be consid-ered. Following the May 8 deadline theballots will be counted and the results ofthe ballot will be announced during theAnnual Business Meeting, which will beheld on May 18 at 11:00-12:00 in Orlan-do. All SAEM members are invited toattend the Annual Business Meeting.

The proposed amendments are pub-lished below for the benefit of the entiremembership. Proposed new wording isprinted in boldface. Wording that is pro-posed to be deleted is indicated withstrikeouts.

PROPOSED AMENDMENTS

Establishment of an Awards Committee:The C&B Committee proposes that anAwards Committee be established.Currently the C&B requires that theNominating Committee develop theslate of candidates for the elected posi-tions, as well as select the recipients ofthe SAEM awards (Academic Excel-lence, Leadership, and Young Investiga-tor). To establish an Awards Committeethe following amendment is proposed:

1. Bylaws: Article VI, Section 3: TheNominating Committee will also pro-vide recommendations to the Boardof Directors for Society awards.

Clarifying the Annual Business Meeting:The C&B Committee recommendswording changes that clarifies the Annu-al Business Meeting.

2. Bylaws: Article III, Section 1: Busi-ness items presented as informa-tional or for vote by active members

shall include, but not be limited to:transaction of other business whichmay come before the membership,and a "State of the Society" addressby the President and announce-ment of the results of the electionof officers and committee mem-bers and any amendments. Wheredictated by the Constitution andBylaws. Where dictated by theConstitution and Bylaws, theSociety shall be governed by a plu-rality of eligible members voting.The President of the Society shallpreside over the meeting and theSecretary-Treasurer will circulateagenda items to the membership 30days or more before the annualbusiness meeting. The chairs of theConstitution and Bylaws Committeeand Nominating Committee will pre-side over the respective parts of theAnnual Meeting.

Clarifying the Role of the NominatingCommittee: Traditionally the Board hasapproved the slate of nominees pro-posed by the Nominating Committee,however the C&B does not require thisaction. The C&B Committee recom-mends that the following sentence beadded to the Bylaws:

3. Bylaws: Article VI, Section 3: Theslate of nominees selected by theNominating Committee shall beapproved by the Board of Direc-tors prior to distribution to themembership for consideration.

Clarifying the Role of the Secretary-Treasurer: The C&B Committee recom-mends a number of amendments thatwould clarify the role of the Secretary-Treasurer, specifically those functionsthat are assigned to the Secretary-Trea-surer, but are more appropriately han-dled by the SAEM Executive Director.

4. Bylaws: Article II, Section 11: TheSecretary-Treasurer in conjunctionwith the President shall beresponsible keep a true completeand correct record of for the agen-da proceedings of the annual busi-ness meeting and meetings of theBoard of Directors. The Secretary-Treasurer shall oversee the finan-cial accounts and records of theSociety. The Executive Directorshall keep a true, complete andcorrect record of meetings of theBoard of Directors and preserve

documents belonging to the Society,and issue notice of the annual busi-ness meeting and meetings of theBoard of Directors. The administra-tive staff of the Society shall keep anaccount of the Society with its mem-bers and maintain a current registerof members with dates of their elec-tion to membership and preferredmailing address. The Secretary-Treasurer shall be responsible forreporting unfinished businessrequiring action from previous meet-ings of the membership or Board ofDirectors and in conjunction with thePresident shall be responsible forthe agenda of the annual businessmeeting and meetings of the Boardof Directors. The administrative staffof the Society shall collect the dueskeep an account of the Societywith its members and maintain acurrent register of members withdates of their election to member-ship and preferred mailingaddress. The administrative staffof the Society shall collect thedues of the Society. The Secre-tary-Treasurer shall make disburse-ments of expenses, and oversee thefinancial accounts and records ofthe Society.

5. Constitution: Article VII, Section 2:The Secretary-Treasurer ExecutiveDirector shall mail the proposedamendments to the membership atleast 30 days prior to that meeting.

6. Bylaws: Article II, Section 8: A finalnotice of time and place of suchmeetings shall be sent to all mem-bers of the Board by the Secretary-Treasurer at least via theExecutive Director at least 7 daysbefore the meeting. Six members ofthe Board of Directors will constitutea quorum. Agenda items for Boardmeetings may originate from anymember of the Society and are sub-mitted for review to either the Secre-tary-Treasurer or the ExecutiveDirector no fewer than 30 daysbefore the meeting date.

7. Bylaws: Article III, Section 3: A finalnotice of the time, place, and pro-gram of the annual assembly meet-ing shall be sent to all members ofthe Society by the Secretary-Trea-surer Executive Director at least30 days before the meeting.

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8. Bylaws: Article III, Section 4: Suchmeetings shall be convened by thePresident, Board of Directors, andProgram Committee Chair and pub-licized at least 30 days in advanceby the Secretary-TreasurerExecutive Director.

Amending Wording Regarding Resi-dent/Fellow and Medical Student Mem-bership: The C&B Committee recom-mends deleting some of the wordingregarding the definition of resident/fel-low and medical student membership.The proposed changes have no effecton the criteria or status of these mem-bers.

9. Constitution: Article III, Section 2:(3) Candidates for resident/fellowmembership must be residents orfellows in good standing. This cate-gory of membership shall apply onlyto residents or fellows currentlyenrolled in a training program. andan individual's membership in thiscategory expires on the last day ofthe calendar year of his or herenrollment in the program. The indi-vidual may then be eligible for mem-bership in another category. (4)Candidates for medical studentmembership must be medical stu-dents who have an interest in emer-gency medicine. Medical studentmembership expires on the last dayof the calendar year in which themember is no longer enrolled as amedical student. The individual maythen be eligible for membership inanother category.

Deleting the Requirement that the Pres-ident-Elect Serve on All Committees:

The C&B Committee recommends thatthe C&B be amended to no longerrequire that the President-Elect serve asan ex-officio member of all committees.

10. Bylaws: Article II, Section 10: ThePresident-Elect shall serve as chairof the Nominating Committee. andex-officio member of all committees.

Minor Wording Changes: The C&BCommittee has proposed a number ofminor wording changes for considera-tion by the membership.

11. Constitution: Article II, Section 2: (4)serving in an academic capacity todevelop and promote further themost appropriate improved meas-ures for the of care of for the acute-ly ill or injured patient,

12. Constitution: Article III, Section 3:All members may have the privilegeof the floor and of serving on thestanding and ad hoc committees,task forces, and interest groups ofthe Society.

13. Bylaws: Article II, Section 9: ThePresident may appoint taskforces with specified goals. ThePresident shall appoint a Board liai-son to each committee, task force,and interest group. The Presidentmay appoint task forces with speci-fied goals.

14. Bylaws: Article III, Section 3: TheSociety shall sponsor an annual sci-entific and educational meeting orassembly to meet its purpose andobjectives.

15. Bylaws: Article VI, Section 3: It shallbe the task of this committee to

select candidates a slate of officersto fill the naturally occurring vacan-cies on the Board of Directors andelected positions on the standingcommittees of the Society not other-wise designated and provided for bythese Bylaws.

16. Bylaws: Article II, Section 9: It shallbe the duty of the President to seethat the rules of order and decorumare properly enforced in all delibera-tions of the Society, to set the agen-da for each Board meeting, and tosign the approved minutes of eachmeeting, and to execute all docu-ments which may be required for theSociety, unless the Board of Direc-tors shall have expressly authorizedsome other person to perform suchexecution.

17. Bylaws: Article I, Section 1: Applica-tion Process. Aapplications formembership forms may beobtained from the Society Head-quarters. The Applicant must returnthe completed application forms andsupporting letters to the ExecutiveDirector. The qualifications of appli-cants for membership will bereviewed by the Executive Directorand Secretary-Treasurer Approvalof applicants by the ExecutiveDirector and Secretary-Treasurershall constitute election to one of themembership categories, effectiveimmediately.

Photography Display ContributorsSAEM would like to thank the following individuals who contributed to this year's Clinical Pearls and Visual Diagnosis Contestentries. It is a significant commitment of time and intellect to develop the ever-popular Photo Display, which once again will bepresented at the SAEM Annual Meeting in the Exhibit Hall, along with the poster and Innovations in Emergency Medicine Edu-cation Exhibits.

Opeolu AdeoyeAlexander Baer,MDKismet BaldwinKeith Bricking, MDDavid Bryant, DOSusie Chiang, DOGreg Christiansen, DORichelle Cooper MD, MSHSAdam Corrado, MDLibby Crenshaw, MDNahla Darkazally, MD

Nikhil GoyalRaj Guharoy, MDBarry Hahn, MDKenneth Heng, MDJennifer Hess, MDCarl Hsu, MDAndy Hsu, MDYanick Isaac, MDLeslie Iverson, ARNP-MPHKerin Jones, MDKevin Joseph

Chien-Chang Lee, MDTiffany McCallaMichael MenchineEdward Michelson, MDRakesh Mistry, MDRisa Moriarity, MDRobert Moskowitz, MDSergey Motov, MDCharles MuntanIra NemethFloriano Putigna, DO

Martin Reznek, MDChristopher Russi, DOMary Ryan, MDMichael Schmidt, MDScott Sherman, MDCarl Skinner, MDStephen Small, MDAmy Stromwall, MDJonathan Valente, MDDavid VegaMuhammas Waseem, MD

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2004 Slate of NomineesThe Board of Directors has approved the slate of nominees developed and proposed by the Nominating Committee. A ballot hasbeen mailed to all eligible SAEM members. Results of the election ballot will be compiled at the SAEM office and announcedduring the SAEM Annual Business Meeting on May 18 at 11:00 am-12:00 noon. All members are urged to participate in the elec-tion and attend the Annual Business Meeting. The slate of nominees is as follows:

Specific Prior SAEM Activities:• Established predecessor SAEM Consultation Service (1981)• Chair, AAMC Liaison Committee (1989-1994)• Received Hal Jayne Academic Excellence Award (1986); Academic Leadership Award (1991)• Established first Regional Research Meeting (1990)• Chair, Education Committee (1998-1999)• Board of Directors (1989-1990, re-elected 2001)• Reactivated Consultation Service (2002-present)• Chair, Under-Represented Minority Task Force (2001-2003)• Industrial Relations Focus Group (2004)Brief CV: Emergency Medicine and I have grown up together. Departing the University of Michigan Med-ical School (1973), I trained in Internal Medicine, then was Chief Resident Denver General EM Program(1977-1979) and served the University of Cincinnati EM Program as Education Director 1979-1982.

Since 1982 Chair (present) and Program Director (1982-1990) at Wright State SOM, having trained over 230 EM residents. Aca-demic activities include funded research for NASA and private foundations, three textbooks and over 75 articles/chapters, facili-tating EM in Australia and China, and helping develop over 25 residency programs. I've been Director of the Office of ClinicalResearch and President of the Practice Plan for WSU SOM.Perspective on SAEM Important Issues:

• Establish active and successful financial management/development programs • Expand proactive engagement activities with membership, EM organizations, and established medicine, ie, the NIH,

AAMC, IOM• Expand our educational offerings and involvement at all training levels• Establish Academic Leadership Skills Workshops for future leaders in EM• Create Simulator Skills and Use Task Force to promote new technology• Promote Diversity Curriculum for EM• Sustain SAEM's strengths: Annual Meeting, AEM, Task Force/Committee Structure, Regional Meetings and Membership.

Specific Prior SAEM Activities: My first SAEM meeting was as a resident in 1990; I was hooked! • Board of Directors (2000-present)• Fellowship Task Force (2003-2004)• Representative - EMF Board of Directors (2003-2004)• Co-Chair, Annual Meeting/Program Committee TF (2002-2003)• National Coordinator, SAEM Regional Meetings (2001-present)• Chair - Program Committee (1998-2000)• Member, Program Committee (1995-1998)• Member, Education Committee (1994-1995)• Young Investigator's Award (1998)Brief CV: I am an Associate Professor with tenure at the University of Michigan. After attending CaseWestern Medical School, I completed an EM Residency (1987-91) and Research Fellowship (1991-93) at

the University of Cincinnati. My research focus is Trauma/Resuscitation, and is funded by the Department of Defense. I reviewfor AEM, Annals of EM, Resuscitation, and AIBS. At University of Michigan, I served as Education Coordinator (1994-00) duringthe building phase of the EM Residency, and am on the medical school Admissions Executive Committee. Perspective on SAEM Important Issues: While SAEM has effectively advanced academic EM, our mission is threatened bydwindling resources and a healthcare system in crisis. Ensuring ongoing academic advancement of EM and delivery of the high-est quality care requires: 1) further promotion of academic EPs to local and national leadership positions; 2) enhanced researchefforts and funding; and 3) support for development of educational methods/curricula to meet our changing practice environment.We will reach these goals only by continually developing our most valuable resource, our members. As President, I will empha-size leadership and faculty development (aka "member development"), expand the SAEM Research Fund, and enhance nation-al affairs activities. I would be honored to be your President.

Glenn C Hamilton,

MD

President-elect Candidates

Susan A Stern, MD

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Specific Prior SAEM Activities: I am a current member of the Board of Directors (2002-2005). PastSAEM activities include election to the Constitution and Bylaws Committee (1999-2002), selection to theProgram Committee (1999-00), Chair of the Medical Student Forum (1999-2000), member of EducationCommittee (1996-1998) and member of the Patient-Physician Communication Task Force (1994-1996). Brief CV: I am Vice Chair for Academic Affairs, Department of Emergency Medicine, and Emory Schoolof Medicine. I hold a dual appointment as Assistant Dean for Medical Education and Student Affairs. Igraduated from the University of Virginia and received my medical degree from Emory School ofMedicine. I trained at Temple School of Medicine and am board certified in emergency medicine andinternal medicine. I have been an active educator with a focus on novel curriculum design, teachingmethodologies and evaluation. I am the recipient of teaching awards at Emory and the ACEP NationalFaculty Teaching Award. Through CDC funding, my primary research focus addresses ED recognitionand management of emerging infectious diseases.

Perspective on SAEM Important Issues: Our research and educational accomplishments have made SAEM an academicforce, and our growth and recognition reflects that course. Our vision must be forward thinking and strategic. This includes: stew-ardship of current funds; philanthropic development, including exploring opportunities to develop research and educational rela-tionships with industry; development and recognition of our educators; growth of our research funds; enhanced, active partner-ship with other emergency medicine societies and national education and research organizations.

Specific Prior SAEM Activities: I have been a member of the SAEM Pharmaceutical and Biotechnolo-gy Liaison Committee, Undergraduate Education Committee, National Affairs Committee, and the Nom-inating Committee. In addition, I have been on the Board of Directors for two years. As a part of myBoard duties, I have been the liaison to the National Affairs Committee, the Financial Development Com-mittee, and numerous interest groups. In addition, I am a SAEM representative to the Council of Acad-emic Societies. Brief CV: I graduated from the University of Cincinnati Emergency Medicine Residency. I am presentlyChairman of the Department of EM at Wake Forest University. My areas of expertise include cardio-vascular emergencies and acute coronary syndromes, including clinical research on ACS and the treat-ment of chest pain in the ED. Perspective on SAEM Important Issues: Through my Board membership, I have learned a great dealabout the mission and direction of SAEM. I believe we are poised on the brink of expansion from a fac-ulty development and research-fostering organization to the visible and recognizable voice of academic

emergency medicine. This transformation involves opening our doors to the NIH, CDC, AHRQ, foundations, and industry toincrease our research endowment and partner in national research initiatives. It also includes increasing our activity in nationalaffairs to foster the growth of academic emergency medicine programs. I am especially excited to spearhead the enhancementof our relationships with industry, with the goal of increasing our research funds, and increasing the number of fellows we sup-port. I welcome the opportunity to participate in SAEM's growth as Secretary/Treasurer.

Secretary/Treasurer Candidates

Katherine L Heilpern,

MD

James W Hoekstra,

MD

Specific Prior SAEM Activities: SAEM Pharmaceutical and Biotechnology Liaison Committee (1991-1993); SAEM Research Committee, (1996-2001), Subcommittee chair for research; didactic program (1999-2001); SAEM Program Committee (1999-2000); Chair SAEM Research Committee (2001-2004);Abstract reviewer for SAEM Meeting: (1996-2003); Program session moderator at SAEM Annual Meet-ings: (1996, 1998, 1999, and 2001); Abstract Presentations each year at SAEM Meeting: (1994, 1996-2003); Lecture presentations at SAEM Annual Meetings: (1998, 1999, 2001 and 2003); Associate Edi-tor: Academic Emergency Medicine (1999-present.); SAEM Grants: SAEM Institutional Research Train-ing Grant Award. Principal Investigator: "Studies in Reactive Oxygen Species and Heart Reperfusion."Society of Academic Emergency Medicine, 7/1/03-6/30/05.Brief CV: University of Utah Medical School, Salt Lake City, UT (1978-1982); Wright State University,Dayton, OH. Residency in Emergency Medicine (1982-1985); University of Pittsburgh, Pittsburgh, PA.Fellowship in Critical Care Medicine (1985-1987); Present position: Professor and Vice Chair for

Research, Department of Emergency Medicine, The Ohio State University. Research interests: Myocardial ischemia and reper-fusion, cardiac arrest, research fellowship trainingPerspective on SAEM Important Issues: Advanced research training of fellows and junior faculty, including degree programs;Research Mentorship within the academic research setting; Interdisciplinary collaborative research partnerships within medicalschools and between SAEM and other research societies; Broader educational initiatives to educate faculty and fellows regard-ing research training and research support opportunities, particularly from federal and national foundation sources; Membershipeducation to facilitate promotion and tenure within the University system.

Board of Directors Candidates

Mark G Angelos, MD

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Specific Prior SAEM Activities: I have reviewed abstracts for 10 consecutive years and reviewed SAEMgrants intermittently for four years in total. I am now serving my second year as Scientific SubcommitteeChair of the Program Committee. I was a member of the Research Committee for 8 consecutive years,where I served as chair of two subcommittees. I was elected to the Nominating Committee 2001-2003. Idirected the SAEM Mid-Atlantic regional meeting in Charlotte in 2001. Since 2001, I have been on theEditorial Board of Academic Emergency Medicine and Associate Editor for two years. In 1996, I servedon a task force related to academic development.Brief CV: I graduated from the Medical College of Virginia in 1990. I completed my residency in emer-gency medicine and a research fellowship at Carolinas Medical Center in 1994 where I have sinceremained on faculty. My research interest is diagnosis and consequences of pulmonary embolism. I amprincipal investigator on two grants from NIH/NHLBI.Perspective on SAEM Important Issues: I would bring the perspective of someone who understands

the struggle to succeed as a researcher in emergency medicine. My specific aims for SAEM are: 1) Promulgate a position thatpublication quality as opposed to quantity should drive promotion and tenure; 2) Provide a framework to establish a mentor net-work for young faculty; 3) Re-evaluate our methodology of the grant review process; 4) Implement the use of press releases topublicize our research at the Annual Meeting; 5) Develop guidelines for "release time buy-out" for EM researchers.

Specific Prior SAEM Activities: SAEM member for 15 years. Research Committee (1991-1993); Pro-gram Committee (1996-2001); Chair, Scientific Subcommittee of Program Committee (2000-2001); Con-stitution and Bylaws Committee (2000-2003); Chair, Constitution and Bylaws Committee (2002-2003);Task Force on Federal Funding of Emergency Medicine and Disaster Medicine Research (2002-2003);SAEM representative to the Emergency Medicine Foundation Board of Trustees (2001-2003); Chair, Fel-lowship Training Task Force (2003-2004).Brief CV: BS, Juniata College (1985); MD, University of Pittsburgh (1990); PhD, Wayne State University(1996); Sarnoff Medical Student Research Fellow, Ohio State University (1988-1989); EmergencyMedicine Residency, University of Pittsburgh (1990-1993); Emergency Medicine Research Fellow, WayneState University (1993-1995); Assistant Professor of Emergency Medicine, Wayne State University (1995-1997); Assistant Professor of Emergency Medicine, University of Pennsylvania (1997-present); FacultyMember, Neuroscience Graduate Group, University of Pennsylvania (2002-present); Chair, ACEPResearch Section (1999-2000); Chair, ACEP Scientific Review Committee (2002-present); NIH-K08

Award (1995-2000); NIH R01 Grant (2000-present).Perspective on SAEM Important Issues: As a Board member, I would work towards enhancing the quality and quantity ofbench, clinical, health services, and educational research within the specialty of Emergency Medicine. Specifically, I would liketo see SAEM facilitate the expansion of research-training opportunities for Emergency Medicine residents and residency gradu-ates. I also believe it is critical that we recruit research-oriented medical students into our specialty. Finally, I think we need todo a better job of convincing our own leadership and members that research training is critical to achieving the overall goal ofadvancing Emergency Medicine as an academic specialty and improving emergency medical care.

Specific Prior SAEM Activities: A member of SAEM since 1989, I served on SAEM Program Commit-tee, 1993-1995, and National Affairs Task Force from 1996-2000. I've served as the chair of the Nation-al Affairs Committee from 2002-2004. I am a supporter of the SAEM Research Fund.Brief CV: Clinical Professor of EM and Pediatrics and Associate Chair, Department of EmergencyMedicine at Carolinas Medical Center. I was EM Residency Program Director from 1982-1991 and a pastEMS regional medical director. During 22 plus years of academic practice, I have been involved in resi-dent education, clinical research, and patient care. Appointed by ABEM to help lead development ofrequirements and testing for pediatric emergency medicine and served as sub-board chair, 1994-1996;oral board examiner. Served on ACEP Board of Directors and served as president from 2000-2001 andhelped promote health policy and practice issues, importance of EM residency training, and promoted thespecialty internationally.Perspective on SAEM Important Issues: SAEM serves us well with educational development and withpromotion of research excellence. I believe that current health policy issues, budget deficits and regula-tory changes in education make it essential that SAEM serve as the voice of academic emergency med-

icine. We can't assume that some one else understands our issues, will protect our patients and residents, and fund essentiallife-saving research needed. We must be "at the table" with the key organizations such as AAMC, ACGME, AHRQ, NIH, IOM,etc.

Jeffrey A Kline, MD

Robert W Neumar,

MD, PhD

Robert W

Schafermeyer, MD,

PhD

36

Specific Prior SAEM Activities: Member (1988-present); Chair, Ethics Committee (1990-1992 and2003-2004); Helped guide development of SAEM Professionalism in Emergency Medicine document;Developed the Ethics Curriculum for Emergency Medicine residencies (available on the SAEM website);Lecturer, SAEM Annual Meeting (e.g., professionalism and end-of-life issues); Associate editor, Academ-ic Emergency Medicine.Brief CV: Professor and Academic Vice-Chair of Emergency Medicine at Oregon Health & SciencesUniversity; Medical director for regional transporting EMS agency; Research focus: EMS research including the PADTrial and development of the Neely conference on EMS Triage, end-of-life issues including developmentof AHA consensus statement on prehospital DNR orders for 2005 and federal guidelines on exceptionfrom consent in resuscitation research.Perspective on SAEM Important Issues: Foster the SAEM mission by promoting research and educa-

tion in emergency medicine; Advance the science of resuscitation while protecting research subjects; Train the next generationof emergency physicians to be highly professional, technically competent, compassionate providers of emergency care; Fosteracademic advancement of women in emergency medicine. I am excited about the opportunity to run for a Board position atSAEM and hope to serve the Board, our membership and our patients who are some of the most vulnerable people in our coun-ty. The Society is ideally suited to promoted excellence in emergency care and to promote the interests of our patients and soci-ety.

Specific Prior SAEM Activities: Chair, Program Committee 2000-2003 Annual Meetings; ProgramCommittee member 1996-99; Co-authored and won AAMC grant for Responsible Conduct of Researchseries, being presented at 2004 Annual Meeting; Airway Interest Group; Program Committee Task Force. Brief CV: Clinical Professor of Medicine, Clinical Director, Emergency Department, UCSF; BC EM, IM.Consulting Editor, Annals of Emergency Medicine. Research: asthma, peer review, ED utilization. Mem-ber of MARC.Perspective on SAEM Important Issues: My primary goals for serving on the SAEM Board are to accel-erate research development in our specialty and increase SAEM's role in health policy. Although SAEMhas been instrumental in increasing the number of emergency physicians funded in research, only a lim-ited number of members have achieved this goal, much EM research is still conducted at single institu-tions, and many funded researchers publish in other specialties. We should ask our members what moreSAEM can do to involve them in funded and significant research in EM. I believe SAEM should develop

a research agenda and provide organizational support to allow more members to participate in multicenter collaborations, result-ing in practice and policy advances. We should also establish a greater variety of ongoing educational opportunities, includingvisiting fellowships with a mentor, and SAEM-sponsored CME courses on statistics, research design, funding, educational theo-ry. As an educational and research-based society, whose members daily witness the failures of our health care system, SAEMis pivotally positioned to offer credible testimony on problems and solutions. SAEM must accept this responsibility by organizingspecific research projects on policy questions, and by pro-active discussions with legislators.

Specific Prior SAEM Activities: Multiple presentations at national and regional meetings: 2001, 2003;Kwon, Raven, Chiang, et al., Emergency Physicians' Perspectives on Smallpox Vaccination AEM 200310: 599-605. Brief CV: I am a 3rd year resident in the NYU/Bellevue EM residency. After graduating from UC Berke-ley, I interned with the UCSF AIDS Health Project, and then completed my MD and MPH at OHSU. Cur-rently, I actively advocate for residents as a member of the NYU House Staff Council executive commit-tee and the Graduate Medical Education Committee. Given my interest in Public Health and policy, I amdeveloping a health policy component to my department's didactic curriculum, and speaking city-wide onbehalf of Physicians for a National Health Program (PNHP). Perspective on SAEM Important Issues: SAEM can increase the numbers and improve preparednessof residents who desire academic careers. We must determine what resources are lacking, increaseaccess to funding opportunities, and most importantly, develop creative ideas to spur resident interest.

SAEM should be a valuable resource for residents' education about public health issues and the role these issues play both dur-ing residency and throughout their career. My objectives are to develop a SAEM resident member focus group to determinewhich issues in academic EM are most pertinent to resident members. Personally, I would concentrate on public policy, forminga resident section addressing issues such as insurance and access. Additionally, I would develop a Health Policy Database forresidents, with links to relevant web-sites and a catalogue of presentations residents can access to offer relevant health policylectures at their sites.

Terri Schmidt, MD

Ellen J Weber, MD

Resident Member of the Board Candidates

Maria Raven, MD

37

Specific Prior SAEM Activities: Like most residents, my involvement in SAEM to date consists ofattending the Annual Meeting and reading SAEM literature. My interest in SAEM has been stirred by sev-eral of my mentors who are closely involved with SAEM.Brief CV: As a second year EM Resident at the University of Pittsburgh, I presently serve as a FlightPhysician for STAT MedEVAC and Medical Command Physician for the City of Pittsburgh EmergencyMedical Services. My teaching interests began at the Center for EM, where I serve as a Clinical Instruc-tor for CPR, EMT-B, EMT-P, CCEMTP, ACLS, AMLS, BTLS, and Pediatric BTLS. I also serve as CourseFaculty for the University of Pittsburgh Department of Surgery ATLS courses. Presently, my areas ofresearch interest include: errors in prehospital care and the efficacy of BLS resuscitation in the prehospi-tal arena. I was President of the American Medical Student Association at the University of PittsburghSchool of Medicine (2000-2001). I also served as the Region III Trustee for AMSA (2000-2001), workingon both the Board of Directors and Board of Trustees.

Perspective on SAEM Important Issues: SAEM strives to provide residents the opportunity to lead our field as academiciansand educators. As residents, we are frequently called upon to teach and research topics that are unique to Emergency Medicine.These skills must be learned and are areas of our residency education that require improvement. I will focus on this as your res-ident SAEM Board member. Moreover, I will help prepare our resident members to assume leadership roles in the future.

Specific Prior SAEM Activities: I have been an SAEM member for four years.Brief CV: I graduated from the MCP Hahnemann School of Medicine in 2001 and completed a transition-al internship at Naval Medical Center San Diego (NMCSD). After internship I deployed in support of Oper-ation Iraqi Freedom, serving as a Battalion Surgeon for the United States Marine Corps. I then began myresidency at NMCSD in 2003. I have numerous publications, the most notable of which is a textbook formedical students interested in Emergency Medicine entitled, “Emergency Medicine: AAEM's Rules of theRoad for Medical Students. The Guide for a Career in Emergency Medicine.” I served as Chief Editor ofthis text, which is comprised of over 50 chapters and 400 pages and was recently reviewed in AcademicEmergency Medicine (Acad Emerg Med 2004 11: 325). I am currently the Vice President of the AAEMResident Section and have served both as its Student Representative and Secretary/Treasurer. I main-tain membership in ACEP, EMRA, and the AMA. My honors include membership in Phi Beta Kappa andAlpha Omega Alpha.

Perspective on SAEM Important Issues: If elected to the SAEM Board of Directors, I will serve with unparalleled dedicationand drive. During my time on the AAEM Resident Section Board I have been extremely productive and wish to bring this sameproductivity to SAEM. My specific focus will be on improving the services we provide to our resident and student members.Improvements in the student and resident websites would be my first priority.

Jon Rittenberger, MD

Joel M Schofer, MD

38

Michael S Beeson,

MD

Specific Prior SAEM Activities: I began my SAEM service in 1990 as a resident member to the Edu-cation Committee. I served as a both member and sub-committee chair for several years. I am the cur-rent Chair of the Undergraduate Education Committee (2001-2004). I led the development of the SAEMVirtual Advisor Program and revision of the medical student website. As a member of the Education-Research Task Force (2002-2004), I was involved in designing the Educational Research Track for the2003 and 2004 Annual Meetings. I was appointed as an SAEM representative to the multi-organizationaltask force for a standardized EM curriculum.Brief CV: I have been Director of Education at Harbor-UCLA since 1992 and have been recently appoint-ed by the dean of the School of Medicine as Chair of the Acute Care College at UCLA, where I am anAssociate Professor of Medicine. I am a graduate of Case-Western Reserve University School ofMedicine and completed my EM training in 1991 at Allegheny General in Pittsburgh. I am a reviewer forAcademic Emergency Medicine and an Item Writer for the ABEM Certification Examination.Perspective on SAEM Important Issues: I would be honored to serve SAEM as a member of the Nom-inating Committee. I would like to foster the advancement of all forms of scholarship of our membersand improve the potential for extramural funding for researchers in basic science, clinical, and educa-tional fields. It is my hope that we can reach out to students and residents to introduce the brightest toconsider a career in academic emergency medicine.

Specific Prior SAEM Activities: Graduate Medical Education Subcommittee (1991-1992); EducationCommittee (1992-1994); In-Service Exam Survey Committee (1995-1996); Program Committee (1999-2001); Moderator/Program Director, SAEM Medical Student Forum (2001); Financial Development Com-mittee (2002-present); Chairman, Faculty Development Committee (2003-present).Brief CV: Distinguished Professor and Chairman, Department of EM, Eastern Virginia Medical School(EVMS), Norfolk, VA (1992-present); Program Director, EM Residency, EVMS (1990-present); B.S.University of Notre Dame (1979); M.D., EVMS, Norfolk, VA (1983); Residency, Emergency Medicine,EVMS (1986). I have served as: Chairman, ACEP Academics Affairs Committee (1999-2001); Immedi-ate Past-President, Association of Academic Chairs of Emergency Medicine (2002-2003); EditorialBoard, Emergency Medicine (1999-present); ABEM Item Writer (2003-present); and Reviewer for Annalsof Emergency Medicine and American Journal of Emergency Medicine.Perspective on SAEM Important Issues: If elected, I will bring to the position my hard earned experi-ence and sincere desire to further the mission of SAEM.

Constitution and Bylaws Committee Candidates

Specific Prior SAEM Activities: SAEM GME Committee (2000-2001 as member, 2001-2004 as Chair-man); Resident Support Task Force (1999-2000).Brief CV: Program Director, Emergency Medicine Residency at Summa Health System, Akron, Ohio(1994- present); Professor of Clinical Emergency Medicine, Northeastern Ohio Universities College ofMedicine; MD, The Ohio State University College of Medicine (1982); EM Residency- Akron City Hospi-tal (now Summa Health System) (1982-1985); MBA, Case Western Reserve University (1994); ABEMDiplomate, 1986, 1996; Oral Examiner for ABEM; ACEP National Faculty Teaching Award (2000); CORDImpact Award (2003).Perspective on SAEM Important Issues: SAEM is a dynamic, evolving organization. The Bylaws mustreflect the Society's activities and internal functions. However, there must be attention to detail so thatinadvertent effects do not occur with Bylaws changes. I have learned that time after time reference ismade to "What do the Bylaws say about that?" It is vitally important that the Bylaws reflect our currentactivities. I am very proud of being nominated to the Constitution and Bylaws Committee. I have workedhard on other committees that I have been a member of, and will do so with the Constitution and BylawsCommittee. If elected I will work diligently at knowing the details of the Constitution and Bylaws, as wellas the implications of suggested change. I appreciate the consideration of the membership for this posi-tion.

Nominating Committee Candidates

Wendy C Coates, MD

Francis L Counsel-

man, MD

39

Specific Prior SAEM Activities: My current academic commitments include serving on the EditorialBoard for Academic Emergency Medicine, a subcommittee chair for the SAEM Research Committee, andalso a member of the SAEM Trauma Interest Group. In January 2003, I was awarded the SAEMResearch Training Grant and am currently finishing my first year of this grant.Brief CV: My medical career began when I entered the University of Alabama School of Medicine andgraduated with honors in 1994. I completed the UC Davis EM Residency Program in 1997, and servedas Chief Resident during 1996 - 1997. I am board certified in Emergency Medicine and currently I am anAssistant Professor in the Division of Emergency Medicine at the UC Davis School of Medicine. I serveas a reviewer for Annals of Emergency Medicine. I am also the recipient of the John Mitchell Award in2003 for Outstanding Paper in the Journal of Emergency Medicine. I have a research interest in the trau-ma with a special focus in pediatric trauma. In addition to my involvements in academia, I have alsoserved as the Medical Coordinator for the US Olympic Track and Field Trials in 2000 and will do so againin July, 2004.

Perspective on SAEM Important Issues: I have personally benefited a great deal from SAEM and wish to give something back.I would like to expand SAEM's role in developing further support in the area of trauma, specifically pediatric trauma. I do nothave a large number of other commitments and feel I could give my service to the committee my full attention.

Specific Prior SAEM Activities: I have been a member of SAEM for 18 years. I joined the public HealthTask Force in 1998, and served as chair from 1999-2001. I am also a member of the EBM interest groupand am the course director for the first on-line EBM course held this spring. Brief CV: My current position is Research Director and Assistant Vice Chief, Department of EmergencyMedicine, St. John Hospital and Medical Center, and Assistant Clinical Professor, Wayne State Universi-ty School of Medicine. I attended the University of Michigan School of Engineering and Medical School,followed by residency training at the University of Cincinnati. I also completed a research fellowship whileat the University of Cincinnati. I currently serve on the Board of Trustees for St. John Hospital and Med-ical Center, as an associate editor for Academic Emergency Medicine, and as an ABEM oral board exam-iner. Perspective on SAEM Important Issues: I am honored to be nominated for this position.

James F Holmes Jr,

MD

Charlene Irvin, MD

Report of the Council of Academic Societies Spring MeetingDavid P. Sklar, MDUniversity of New MexicoSAEM Representative to the AAMC

The Council of Academic Societies (CAS) met in SantaMonica, California from March 11-14, 2004. Representativesfrom SAEM, CORD and AACEM joined representatives fromother academic societies to address improvement in the qual-ity of our clinical, educational, and research programs. Speak-ers such as Nobel Prize winner David Baltimore, PhD; ThomasGarthwaite, MD, Director and Chief Medical Officer of the LosAngeles Department of Health Services; and Carolyn Clancy,MD, Director of AHR, provided provocative challenges for theparticipants to utilize the creativity that usually is applied to sci-entific questions to quality improvement. In education, theAAMC has convened a subcommittee of Deans to re-examinemedical education and look at what changes should be insti-tuted to bring medical education into line with priorities forhealth care improvement in the health care system. With thecore competencies, the line between educators, health servic-es researchers and managers has begun to blur as studentsand residents are being required to demonstrate competencein practice-based learning and improvement. In addition, thecurrent emphasis on medical error and patient safety requiresa change in emphasis in the educational programs for medicalstudents, residents, and practicing physicians. For emergencymedicine, this coincides with recent attention to barriers toaccess, patient satisfaction, and medical error. Our work inthis area is already being utilized by other specialties that arebeginning to address these issues. Emergency Medicine hasalso been out in front of other specialties in defining a corecontent, surveying practicing physicians, and developing a

Model of Practice that draws from the survey which is used bythe RRC of Emergency Medicine in assessing residency pro-grams and ABEM in testing graduates. Because most of ushave lived under this system for our entire careers, we do norealize how unique it is and how valuable it is as an examplefor other specialties. As we go toward competency-basededucation and evaluation, we will find that having a model ofpractice allows us a way to assess competency that is notdefined for other specialties.

Outside of the formal discussions and presentations therewere many informal discussions that suggested that financialbelt tightening was occurring in many states due to reductionsin Medicaid and other state resources. NIH will also see a flat-tening of its budget and after years of substantial increasesthis will lead to increased competition for grants. There willprobably also be increasing governmental scrutiny of NIHgrants to assure that money is being used as it was intended.As state Medicaid budgets tighten and medical school supportis reduced, clinical practice will come under increased pres-sure and this may impact emergency care and support of aca-demic emergency medicine. As a Society, we will need to bevigilant to any departments or divisions of emergency medi-cine that may fall victim to this worsening economic pressureand provide support.

The AAMC will hold its annual meeting in Boston, Massa-chusetts, from November 5-10, 2004 and the Council of Acad-emic Societies will meet next year in Tucson, Arizona, March10-13, 2005.

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Solicitation of Readings for ABEM Future Lifelong Learning and Self-Assessment Test

A cornerstone of ABEM’s new EMCC program is the con-cept of Lifelong Learning and Self-Assessment (LLSA). Theprimary goal of LLSA is to promote continuous learning on thepart of ABEM diplomates. ABEM will facilitate this learningwithin the context of LLSA by identifying an annual set of read-ings to guide diplomates in self-study of recent EmergencyMedicine (EM) literature.

ABEM has sought to involve the EM community-at-large inthe LLSA process by inviting EM organizations and ABEMdiplomates to make suggestions for readings to the ABEMBoard of Directors. For the 2005 LLSA to be developed nextyear the Board received over 125 suggestions collectivelyfrom ACEP, SAEM, CORD, AAEM, and a number of individualABEM diplomates.

Submission Criteria for LLSA ReadingsThe Board has determined that readings used for the LLSAtests should meet the following criteria:1. Focus on recent advances or current clinical knowledge in

Emergency Medicine;2. Be clinically oriented in content;3. Be drawn from peer-reviewed EM journals, peer-reviewed

journals from related primary specialty fields, textbookchapters, or updated practice guidelines;

4. Be published in printed or electronic form within the imme-diate five years preceding the LLSA test in which it will beused;

5. Relate to either the designated content areas for a givenyear (50%), or to the remaining content areas (50%) of theEM Model “Listing of Conditions.”

Content of LLSA Test in 2006Although readings for the first LLSA test in 2004 have

already been selected, the Board welcomes reference sug-gestions for future LLSA tests from the larger EM communityon an ongoing basis. Currently, ABEM is soliciting readings forthe 2005 LLSA test, for which the designated content areaswill be Traumatic Disorders and Cutaneous Disorders.

ABEM will select 50% of the readings for the 2005 LLSA testfrom these two designated areas, while the remaining 50% oftest content will be drawn from the remaining content areas ofthe EM Model “Listing of Conditions.”

How to Submit Recommendations for LLSA Readings

For each reference submitted, ABEM must receive the fol-lowing two items:

1. Complete an LLSA Form for each reference that you rec-ommend to the Board. Be sure to provide all requestedinformation for each reference, including the article titlecompletely written out, the journal name, etc. Do not useabbreviations. Do not alter the form in any way, except toadd the requested information in the space provided. TheLLSA Reference Form is available from ABEM and mayalso be downloaded as an MS Word document from theABEM website. The form can be computer-printed or type-written.

2. Provide one paper copy of the article, chapter or other textfor which you have submitted a reference must be mailedor faxed to ABEM in order to be considered for inclusion.Electronic copies of references cannot be accepted due tocopyright restrictions.

References received by June 1, 2004, will be consideredfor inclusion in the 2005 LLSA module. Materials submittedafter that date may be considered for future LLSA tests. Rec-ommendations may be submitted via fax to (517) 332-3943 ormail to LLSA References, American Board of EmergencyMedicine, 3000 Coolidge Road, East Lansing, MI 48823. Ifyou have specific questions or comments contact Timothy J.Dalton, Examination and Evaluation Project Specialist, at(517) 332-4800.

Important Notice to Current and Former ABEM DiplomatesEmergency Medicine Continuous Certification (EMCC) willbegin in 2004.

All diplomates who want to maintain their certification withABEM beyond the current expiration date must participate fullyin the EMCC program.

Effective 2004, the licensure requirement for all diplomates willchange. Diplomates will be required to continuously maintaina current, active, valid, unrestricted, and unqualified license inat least one jurisdiction in the United States, its territories, orCanada, and in each jurisdiction in which they practice.Inactive medical licenses voluntarily held by physicians are incompliance with the Policy on Medical Licensure.

Physicians eligible for ABEM recertification under current ruleswill maintain eligibility under EMCC. The written recertification

examination as it currently exists will be offered for the lasttime on November 2, 2003.

A special option will be available only from 2004-2006 for for-mer diplomates to regain their diplomate status through partic-ipation in EMCC. Former diplomates must begin their partici-pation in EMCC in 2004 to take advantage of this option.

A full description of EMCC including details of diplomates’ par-ticipation requirements are available on the ABEM websitehttp://www.abem.org. Questions should be directed to:American Board of Emergency Medicine, 3000 CoolidgeRoad, East Lansing, MI 48823, or call 517-332-4800 oremcc@abem.org.

41

President’s Message (Continued)

and importance’ – in a manner parallel to that noted in emer-gency medicine. Many of you volunteer time and expertise togain experience, skills and become ‘part of something’. Thatsomething – whether it is as a committee, task force, or inter-est group member, or an appointed or elected leader in SAEM– is improving emergency medicine and care for you and oth-ers, most of whom you will never meet. The latter includesthose cared for by physician far away from your site who heardyour conversation or lecture, who worked with you in SAEM, orwho read your abstract. It includes those who will be cared forby the current and future emergency physicians, armed withbetter knowledge and skills. It includes those whose life is bet-ter because you and SAEM participated in a larger process –a solo SAEM effort, a joint effort SAEM and other medical

organizations, a research initiative, a community or govern-mental program aided by SAEM and its members.

Thanks for working with me (and us) over the past year. Ihad the honor of seeing and overseeing all of SAEM, watchingmany of you contribute and take advantage of this specialopportunity pool. When I step back, I realize that I have gottenmore from SAEM – based on real opportunities to improve myabilities – than I gave. I am confident that I will stay engagedwith SAEM, and that SAEM – like all of emergency medicine –will continue to offer you (and me) more opportunity.

That ends it – my message, my messages, and my yeartenure as President.

this issue of the Newsletter, and a Callfor Grants for next year's grants is alsopublished in this issue of the Newsletter.This approach of supporting researchtraining and research fellowships toenhance research skills is based on thesimple and well-substantiated conceptthat a concentrated research trainingperiod early in a physician’s careertranslates in to increased success andproductivity as a researcher down theline. Because we want the researcherto choose his or her area of focus andpassion, the Research Fund traininggrants are mostly non-directed. TheEMS Research Fellowship (supportedby Medtronic) and Neuroscience Fel-lowship (supported by AstraZeneca) areoffered in specific fields, but the traineecan choose a wide range of projects ineach of these areas. Although theResearch Fund is young, we arealready seeing the fruits of our support,as the fellows who have been supportedcontribute to the new knowledge inemergency medicine, and go on tocareers as successful physician scien-tists.

The mechanisms for building theResearch Fund are also simple. Thebiggest donor to the Fund is the parentorganization. SAEM has contributedhundreds of thousands of dollars to theFund over the past five years, including$250,000 in 2003. It makes sense thatonce the other major initiatives of the

organization, the Annual Meeting andthe journal are paid for, excess rev-enues are invested in a manner consis-tent with the basic mission of the Soci-ety – to improve patient care by advanc-ing research and education in emer-gency medicine. The other majorsource of funds is contributions fromdedicated SAEM members and friendswho value the simple mission of theorganization and purpose of theResearch Fund. Last year we raised arecord amount of money from SAEMmembers and friends. This year’sdonors (so far) are published in thisissue of the Newsletter. We are alsobuilding our relationships with industry,foundations and other possible fundingsources, but always with the simplerequest for undirected funds that will beused to support research training fellow-ships. Donors know that SAEM has asimple 100% rule for contributions:100% of donations to the ResearchFund are used to support the traininggrants. SAEM takes care of all admin-istrative costs. And although dealingwith the IRS is never simple, it will heart-en donors to know that your contributionis 100% tax deductible. Contributing issimple – a check made out to the SAEMResearch Fund can be sent to SAEM at901 N. Washington Avenue, Lansing,MI, 48906, or even simpler, you canmake a credit card donation through oursecure website at www.saem.org.

A simple thank you is all that most ofour generous donors expect for theircontribution to the SAEM ResearchFund. SAEM would like to extend that“thank you” in the form of a specialResearch Fund Donor/Past President’sReception that will be held during theAnnual Meeting in Orlando on theevening of May 17. Research Funddonors are invited to attend this recep-tion, share a glass of wine and someconversation with SAEM Past Presi-dents, and the current Board of Direc-tors, and listen to a brief presentationfrom John Marx, MD, SAEM Presidentin 1997-1998. Dr. Marx promises he willmake simple remarks.

Your ED work, academic career, andlife outside medicine may seem crazyand complex. There is beauty in sim-plicity, and this is an opportunity toembrace and promote simplicity. TheSAEM Research Fund has a simple, butnoble mission, a simple mechanism –training grants – for developingresearch and education in our field, anda simple contribution process. Sup-porting the SAEM Research Fund issimply a great way to nurture the aca-demic future of emergency medicine.We look forward to your continuing sup-port, and hope to see you at theResearch Fund Donor/Past President’sReception on May 17.

SAEM Research Fund (Continued)

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FACULTY POSITIONSMICHIGAN: Michigan State University – Kalamazoo Center for Medical StudiesThe Department of Emergency Medicine is seeking a Director of PediatricEmergency Medicine to serve as academic faculty for our emergency medicineresidency program. Candidates must be BC/BP in emergency medicine, as wellas BC/BP in pediatrics or pediatric emergency medicine. This exciting opportu-nity involves outstanding compensation and benefits, protected academic time,and a delightful university community in which to live and work. Please contact:David Overton MD, MBA, Michigan State University - Kalamazoo Center forMedical Studies, 1000 Oakland Drive, Kalamazoo, MI 49008

NEW JERSEY: UMDNJ (Newark) – Come in on the ground floor at a major med-ical school and university hospital. We're planning to start an EM Residency andhave faculty opportunities for Emergency Physicians at ALL LEVELS, includingResidency Director, EMS Director and Director of Clinical Operations. The EDhas an annual volume of 72,000, including 2,700 level I trauma patients.Competitive compensation and benefits package including on-site fitness and-child care centers. For information please contact Ronald Low, MD, MS, at 973-972-7882. UMDNJ-University Hospital is an AA/EOE, M/F/D/V. Visit us on theweb at www.TheUniversityHospital.com.

OHIO: The Ohio State University - Assistant/Associate or Full Professor.Established residency training program. Level 1 Trauma center. Nationally rec-ognized research program. Clinical opportunities at OSU Medical Center andaffiliated hospitals. Send curriculum vitae to: Douglas A. Rund, MD, Professorand Chairman, Department of Emergency Medicine, The Ohio State University,146 Means Hall, 1654 Upham Drive, Columbus, OH 43210, emailDailey.1@osu.edu, or call (614) 293-8176. Affirmative Action/EqualOpportunity Employer.

OREGON: The Oregon Health & Science University, Department of EmergencyMedicine is conducting an ongoing recruitment campaign for talented facultymembers. Entry-level clinical faculty members at the instructor and assistantprofessor level. Preference given to those with fellowship training (especially inpediatric emergency medicine) or equivalent experience. Knowledge of emer-gency medicine as a faculty discipline is expected. Please submit a letter ofinterest, CV, and the names and phone numbers of three references to: JerrisHedges, MD, MS, Professor & Chair, OHSU Department of EmergencyMedicine, 3181 SW Sam Jackson Park Road, CDW -EM, Portland, OR 97239-3098.

PENNSYLVANIA: Penn State University College of Medicine & Hershey MedicalCenter – Department of Emergency Medicine is seeking to add experiencedacademic emergency physicians to our internationally known faculty. We areseeking faculty to supplement our research and educational missions and par-ticipate with our newly approved PENN STATE EMERGENCY MEDICINE RESI-DENCY. Physicians must be board certified with some academic experience.Faculty rank will be commensurate with experience. Confidential inquiry toKym Salness, M.D. (Chair) or Christopher J. DeFlitch, M.D. (Vice-Chair),Department of Emergency Medicine, P.O. Box 850 (H043), Hershey, PA 17033,Phone (717) 531-8955 or email cdeflitch@psu.edu or www.pennstateemergen-cymedicine.com. AAEOE. Women and minorities are encouraged to apply.

The SAEM Newsletter is mailed every other month toapproximately 6000 SAEM members. Advertising is lim-ited to fellowship and academic faculty positions. The

deadline for the July/August issue is June 1, 2004. Allads are posted on the SAEM website at no additionalcharge.

Advertising Rates:

Classified ad (100 words or less)

Contact in ad is SAEM member $100Contact in ad non-SAEM member $125

Quarter page ad (camera ready)

3.5” wide x 4.75” high $300

To place an advertisement, email the ad, along with con-tact person for future correspondence, telephone and faxnumbers, billing address, ad size and Newsletter issuesin which the ad is to appear to: Carrie Barber at carrie@saem.org

43

Newark Beth Israel Medical CenterAn Affiliate of the St. Barnabas Health Care System

Department of Emergency Medicine

Director of Academic AffairsWe are searching for an emergency medicine physicianexperienced in research, academics, grant writing, and res-idency administration to assume a key leadership role in ourdepartment. We are looking for an enthusiastic, energeticindividual who is 5-10+ years post-EM residency graduationand desires an opportunity to lead a team of talented, ded-icated faculty and be part of an Emergency Departmentcommitted to scholarship, clinical excellence, communityservice, and humanistic values. An MS or MPH and/orexpertise in medical toxicology or ultrasound would be avery desirable plus. Academic appointment at the MountSinai School of Medicine. Applicant must be able to quali-fy at the Associate Professor or Professor level. This posi-tion carries a very competitive compensation package andample protected time commensurate with experience andseniority. Please contact or forward your CV/letter of inter-est to Marc Borenstein, MD, Chair, Department of EM,Newark Beth Israel Medical Center, 201 Lyons Ave, Newark,NJ 07112, phone - (973) 926-7562, e-mail - mboren-stein@sbhcs.com.

Take Pride. Take Ownership. Deliver Excellence.Patients 1st.

Pediatric EM Faculty Position

Penn State's Milton S. Hershey Medical Center, Department of Emer-gency Medicine and Penn State Children's Hospital in Hershey, PA isseeking a Pediatric Emergency Medicine academic faculty to join theEmergency Medicine faculty. The applicant should be trained in pedi-atric emergency medicine and would have the opportunity for dualappointments in the Department of Emergency Medicine, and Pedi-atrics. As the only Children's Hospital between Pittsburgh andPhiladelphia, with a Level 1 Pediatric trauma center, we train highquality residents in the Penn State Emergency Medicine and Pediatricresidencies, as well as students from the Penn State College ofMedicine. With a growing census of 46,000 per year, 23% of whichare complex and routine pediatric patients, we are expanding our fac-ulty and space dedicated to Pediatric Emergency Medicine. TheDepartment of Emergency Medicine also boasts of a strong ultra-sound, ground EMS, areomedical helicopter and observational medi-cine programs. There is an outstanding and expanding 15-person,faculty group. This opportunity combines comprehensive universityhealth care, a medical school, an attractive small community lifestyle,excellent schools, and fabulous recreational and cultural opportunitiesin south central Pennsylvania. There are ample opportunities for clin-ical research, if interested. Contact Kym A. Salness, M.D., FACEP,Chair or Christopher J. DeFlitch, M.D., Vice-Chair, Department ofEmergency Medicine (H043), PO Box 850, Hershey, PA 17033 -phone (717) 531-8955 or e-mail at cdeflitch@psu.edu. The PennState University Milton S. Hershey Medical Center is an affirmativeaction/equal opportunity employer. Women and minorities are encour-aged to apply.

AcademicEmergencyPhysician

Exciting position for anexperienced, residency trained,board certified/ preparedemergency physician to join the

faculty of the Department of Emergency Medicine, afull academic department of the Mount Sinai School ofMedicine in New York City.

The Mount Sinai School of Medicine is a leader inmedical education and research. The hospital is a 900bed tertiary center with an annual ED census of over70,000. The EM residency is fully accredited.Academic rank commensurate with qualifications.

Please submit confidential letter and C.V. to: CarolBarsky MD, Director and Vice Chair, Department ofEmergency Medicine, Mount Sinai School ofMedicine, Box 1149, One Gustave L. Levy Place,New York, NY, 10029. Fax (212) 427-2180.

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EMERGENCY MEDICINEAcademic Positions

Available in the

Department of Emergency Medicineof

Allegheny General Hospital, Pittsburgh, PA

Practice Emergency Medicine in Western Pennsylvaniaís

Most Dynamic Emergency Department

Emergency Medicine Residency Training Program

Level I Trauma Center

Level I HAZMAT Receiving Facility

20% Pediatrics

Medical Toxicology Treatment Center

Fellowships - EMS, Sports Medicine, Administrative, Research

Salary Commensurate with Experience Contact:

Fred Harchelroad, M.D.

(412) 359-3961

aghemadmin@wpahs.org

!! West Penn Allegheny Health System, an Equal Opportunity Employer !!

Department of Emergency MedicineUniversity of Florida/Jacksonville

We are actively recruiting a Board Certified or BoardEligible Emergency Medicine Physician in an excitingopportunity to expand our Department at a community-based hospital in the greater Orlando-Tampa area.Newly renovated 24,000 square foot emergencydepartment, 33 patient care bays including a 7 bedminor care area, 3 x-ray suites, a radiology viewingarea, ample work space, and a large waiting area, thatserves a growing volume of 45,000 patient visits peryear. In addition to a salary line of approx. $120 perhour, we offer the full range of University of Floridastate benefits that include health, life, disabilityinsurance, vacation & sick leave, 403B retirement planwith immediate vesting, and sovereign immunityoccurrence medical liability insurance. Individuals willbe appointed at the rank of Clinical Assistant Professoror Clinical Associate Professor. Interested? Mail yourletter of interest and CV to Dr. Kelly Gray-Eurom,Dept. of Emer. Med. University of Florida HealthSciences Center, 655 W. 8th Street, Jacksonville,Florida 32209. Anticipated start date of 7/1/04 orsooner. EOE/AA Employer.

DIRECTOR OF INFORMATION TECHNOLOGY

The Department of Emergency Medicine at Johns Hopkins Universityis seeking a full time faculty to serve as the Director of InformationTechnology. The University and the Johns Hopkins Medicine Centerfor Information Services, a highly sophisticated informatics program,have joined with EM to make IT development a major Institutionalpriority. Responsibilities include oversight of IT programs at our 3hospitals (180,000 total visits annually), our research programs, as wellas the medical student and resident programs. The successfulcandidate is expected to develop and foster a fellowship in medicalinformatics.

Faculty development in research and scholarship will be supported asappropriate. Interested physicians should be residency-trained andboard prepared in emergency medicine. Johns Hopkins Hospital is afull service ED, Level I trauma center, and the State pediatric traumacenter. EM is an autonomous academic department within the Schoolof Medicine.

Interested candidates may respond in confidence toMichael VanRooyen, M.D., Associate Professor and Vice Chair,Department of Emergency Medicine, Johns Hopkins University, Suite6-100, 1830 E. Monument St., Baltimore, MD 21287.mvanrooy@jhmi.edu.

Johns Hopkins University is an equal opportunity employer.

!! West Penn Allegheny Health System, an Equal Opportunity Employer !!

Emergency Medicine Residency Training Program

Level I Trauma Center

Level I HAZMAT Receiving Facility

20% Pediatrics

Medical Toxicology Treatment Center

Fellowships - EMS, Sports Medicine, Administrative, Research

Salary Commensurate with Experience

!! !!

Contact:

Fred Harchelroad, M.D.

(412) 359-3961

aghemadmin@wpahs.org

!! !!

The Johns Hopkins Disaster Medicine Fellowship is a joint program of the Johns Hopkins University Office of Critical EventPreparedness and Response (CEPAR) and the Johns HopkinsUniversity School of Medicine, Department of EmergencyMedicine.

The JHU Disaster Medicine Fellowship seeks to develop academic,clinical and administrative skills relevant to disaster preparednessand response. This is a one-year fellowship with an optional two-year track that includes a Masters of Public Health (MPH) degree.

Specific opportunities include institutional, regional, andinternational disaster preparedness activities; participation in multi-jurisdictional training exercises and actual critical event response;research, including publication and grant writing; and educationalinitiatives relevant to the advancement of disaster medicine.

Send a letter of interest, a brief personal statement, and a CV to:Gary B. Green, M.D., MPH, Fellowship DirectorOffice of Critical Event Preparedness and Response Department of Emergency Medicine 201 N. Charles St., Suite 1400Baltimore, MD 21202ggreen@jhmi.edu

The Mount Sinai HospitalDepartment of Emergency Medicine

Associate Director

We are seeking an experienced emergency physician to assume the role ofAssociate ED Director in our high-volume (~75,000), medical school basedpractice. The Mount Sinai Hospital is one of two main sites for our fullyaccredited, 36-resident, training program. Our mission embodies a firmcommitment to excellence in patient care, education and research.

The clinical leadership team is physician-led and includes Nursing,Administrative Support, IT and Finance. The Emergency Department lead-ership is highly regarded in both the hospital and medical school and is rep-resented on all major committees.

The position includes a competitive salary, an academic MSSM appoint-ment, administrative space, and support.

If interested in becoming part of a dynamic team and prepared to bring inno-vative management to a progressive department, please send your letter ofinterest and curriculum vitae to:

Carol Leah Barsky, MD, Director and Vice Chair, Department ofEmergency Medicine, 1 Gustave Levy Place, Box 1149, NY, NY 10029, Tel:(212) 241-7403, Fax: (212) 427-2180, Email: carol.barsky@mssm.edu

We are an equal opportunity employer.

45

The University of WashingtonMedical Center

(UWMC)

The University of Washington seeks a physician to join itsfaculty in the Division of Emergency Medicine in theDepartment of Medicine at the University of WashingtonMedical Center. This full-time position requires directpatient care, teaching and supervision of medical studentsand housestaff, participation in EM resident didactics, andthe expectation for productivity in scholarly activities. Theapplicant must be BC/BE in emergency medicine. The suc-cessful candidate will be appointed as full-time faculty inthe Division of EM. The appointment will be at the rank ofassistant or associate professor depending on backgroundand qualifications. Appointment will be in the physician/sci-entist (research emphasis) pathway, or physician/teacher(patient care/teaching emphasis) pathway.

Applicants should submit a curriculum vitae and statementof career goals to: Kathleen Jobe, MD, Medical Director,Emergency Department, Box 356123, Seattle, WA 98195-6123. The University of Washington is building a culturallydiverse faculty and strongly encourages applications fromfemale and minority candidates. The University is an EqualOpportunity/Affirmative Action employer. Deadline forinquiries is July 30, 2004.

The Department of Emergency Medicine of New York MedicalCollege is recruiting a Residency Director for our established, fullyaccredited thee-year training program.

Metropolitan Hospital Center, located in Manhattan, New York,serves as the program’s primary site with a census of 75,000 visits.Other affiliated hospitals include Westchester Medical Center, OurLady of Mercy Medical Center and Harlem Hospital. Each providesa diverse clinical experience for our residents.

Applicants must have a minimum of three years post EmergencyMedicine residency training experience in academics and adminis-tration. The applicant must be enthusiastic about the administrationand education of Emergency Medicine backed by excellent organi-zational and communication skills, interpersonal relations and theability to evolve to the program to the next level. Academic rankcommensurate with qualifications. We are an equal opportunityemployer fostering diversity in the workplace.

Qualified applicants should submit their CV and confidential letter ofinterest to:

Gregory Almond, MD, MPH, MSChairman New York Medical CollegeDepartment of Emergency MedicineMetropolitan Hospital Center1901 First Avenue Room 2A19New York, NY 10029

46

Fellowship OpportunitiesCritical Care/Resuscitation or Disaster Medicine

Fellowship Co-Directors: Thomas Terndrup, M.D. E-mail tterndrup@uabmc.eduJason Begue, M.D. E-mail jbegue@uabmc.edu

Institution: University of Alabama at Birmingham Fellowship Length: 1 year. Number of Positions: 1 each. Salary: negotiable, competitive.Deadline for Applications: Rolling, No DeadlineEligibility: Completion of residency training in Emergency MedicineEM Critical Care/Resuscitation. The Department of Emergency Medicine at UAB is seeking a physician resi-dency trained in Emergency Medicine (EM) for its one year Critical Care/Resuscitation Fellowship. The trainingprogram was developed and is run by the DEM with the intent of training emergency physicians, but is highly mul-tidisciplinary. The objectives of this program are three-fold; (1) learn advanced critical care and resuscitation tech-niques with a concentration on their application to critically ill patients in the emergency department, (2) receivetraining in clinical or fundamental research, and (3) conduct clinical or bench research in resuscitation or criticalcare. Join a multidisciplinary team of investigators from EM, Cardiology, Trauma, and the Joint Health Scienceswho will provide mentorship and training. Funded research is supported by NHLBI and HRSA. Degree seekingcandidates will require 24 months of training.The program is very flexible depending on the individual training needs. Currently it consists of directed rotationsthrough various critical care units to include surgical, medical, trauma/burn, neonatal, neurological, and hearttransplant, with faculty from other programs serving as facilitators. In additional, opportunity is available for train-ing in various specialty areas (i.e. echocardiography, advanced airway techniques). UAB also has tremendousresources for conducting both clinical and basic science research and training.Disaster Medicine Research Fellowship. We are seeking applicants for our fifth research fellowship positionin Disaster Medicine within the Center for Emergency Care and Disaster Preparedness (CECDP) in the Departmentof Emergency Medicine. The CECDP is a multidisciplinary research and service center established in 1999 andreceives broad support from ~50 faculty members, and funding from AHRQ, FEMA, Department of HomelandSecurity, CDC, and others. Appropriate training in research methodology, operational experiences, publication andgrant preparation are provided. Excellent collaborative research opportunities and advanced training is providedwith other investigators at UAB. Candidates must be physicians and those who are eligible or board-certified inEmergency Medicine are preferred. Experience in coordinating multi-disciplinary conferences and research proj-ects preferred. Other formal educational opportunities at UAB are available. Engagement in complimentary clin-ical and educational activities in Emergency Medicine are desirable. Most fellows have completed a single year,but the duration is flexible and compensation is competitive.Interested parties are encouraged to send a current curriculum vitae to:Thomas E. Terndrup, M.D., Professor and Chairman, Department of Emergency Medicine, Director,UAB Center for Emergency Care and Disaster PreparednessThe University of Alabama at Birmingham, Department of Emergency Medicine,619 19th Street South, Birmingham, Al 35249-7013 E-mail (preferred): tterndrup@uabmc.edu, Fax: 205.975.4662, Phone: 205.975.9358

The 5 Most-Frequently-Read Articles of AEM – March, 2004Most-read rankings are recalculated at the beginning of the month. Rankings are based on hits received by articlesarchived on AEMJ.org.

Stuart P. Swadron, Maria I. Rudis, Kian Azimian, Paul Beringer, Diana Fort, Michael OrlinskyA Comparison of Phenytoin-loading Techniques in the Emergency DepartmentAcad Emerg Med Mar 01, 2004 11: 244-252. (In "CLINICAL INVESTIGATION")

John J. Cienki, Lawrence A. DeLuca, Natalie DanielThe Validity of Emergency Department Triage Blood Pressure MeasurementsAcad Emerg Med Mar 01, 2004 11: 237-243. (In "CLINICAL INVESTIGATION")

Siu Fai Li, Jessica Henderson, Eitan Dickman, Robert DarzynkiewiczLaboratory Tests in Adults with Monoarticular Arthritis: Can They Rule Out a Septic Joint? Acad Emerg Med Mar 01, 2004 11: 276-280. (In "CLINICAL PRACTICE")

Pat Croskerry, Marc Shapiro, Sam Campbell, Connie LeBlanc, Douglas Sinclair, Patty Wren, Michael MarcouxProfiles in Patient Safety: Medication Errors in the Emergency DepartmentAcad Emerg Med Mar 01, 2004 11: 289-299. (In "SPECIAL CONTRIBUTIONS")

Michael A Gibbs, Carlos A Camargo, Brian H Rowe, Robert A SilvermanState of the Art: Therapeutic Controversies in Severe Acute AsthmaAcad Emerg Med Jul 01, 2000 7: 800-815. (In "SPECIAL CONTRIBUTIONS")

Log onto www.aemj.org and start taking advantage today!

11112222333344445555

Newsletter Submissions WelcomedSAEM invites submissions to the Newsletter pertaining

to academic emergency medicine in the following areas:1) clinical practice; 2) education of EM residents, off-serv-ice residents, medical students, and fellows; 3) facultydevelopment; 4) politics and economics as they pertain tothe academic environment; 5) general announcementsand notices; and 6) other pertinent topics. Materialsshould be submitted by e-mail to saem@saem.org. Besure to include the names and affiliations of authors and ameans of contact. All submissions are subject to reviewand editing. Queries can be sent to the SAEM office ordirectly to the Editor at david.cone@yale.edu.

Keep Your Membership MailingsComing!

Be sure to keep the SAEM office informed of changes inyour address, phone or fax numbers, and especially youre-mail address. SAEM sends infrequent e-mails tomembers, but only regarding SAEM issues or activities.SAEM does not sell or release its mailing list or e-mailaddresses to outside organizations. Send updated infor-mation to carrie@saem.org

47

2004 AACEM Annual Meeting and WorkshopSaturday, May 15, 2004

Annual AACEM Educational Session (attendance limited to AACEM members and an AACEM member guest)7:00 am Continental Breakfast

7:30 am Review of Schedule; Introductions

8:00 am Keynote Speaker - Michael O'Connor, MDMichael O'Connor is the Chair of the first Department of Emergency Medicine in Canada and is the Chair of theEmergency Medicine Program Committee for the Royal College of Physicians and Surgeons of Canada (a body thatfulfills RRC and ABEM roles for Emergency Medicine). He will provide an overview of the development of academicemergency medicine in Canada. He will address the challenges for the future and related strategies for the develop-ment of academic emergency medicine in Canada.

9:15 am Moderated Topics (speakers)Faculty Incentives and Rewards - Frank Pettyjohn, MDFaculty Evaluation - Waste of Time or Motivational Tool? - Sandra Schneider, MDDifficult Faculty Member - Arthur Kellermann, MD, MPHStrategies for Aging Faculty Members - Norman Christopher, MDCare and Feeding of the Dean - Barry Brenner, MDAlternative/Innovative Programs for Support of the Academic Department - Robert Shesser, MDPreserving the Academic Mission in Difficult Fiscal Times - Brooks Bock, MDEstablishing Endowments - Why and How - Francis Counselman, MD

11:30 am Brief Late-Breaking Topic Presentation

Annual AACEM Business Meeting (AACEM members only)12:00 pm Annual Business Meeting - Lunch

AACEM New and Future Chairs of Emergency Medicine WorkshopAACEM is pleased to offer the New and Future Chairs Workshop on May 15, 2004 in Orlando. This program has recruited

Emergency Medicine exemplar leaders who will discuss critical issues that can contribute to becoming a successful academic chairand leader in Emergency Medicine. An informal gathering will immediately follow the last session.

1:30-2:30 pm Leadership Principles and Skills: how to be a successful chair and leader and avoid failure, John Marx, MD,Carolinas Medical Center and Glenn Hamilton, MD, Wright State UniversityThis leadership session is focused on models of chair successes and ways to avoid failures. The philosophy ofdepartmental leadership (e.g., "lead by example", "lead by consensus") and the role of other departmental leaderssuch as residency program director, vice-chair, operations chief will be discussed. Group dynamics and personalitytypes; institutional hierarchy; serving as a "change leader" and overcoming institutional inertia; and conflict resolu-tion techniques are just some of the content areas to be explored.

2:30-3:30 pm Advancing Emergency Medicine in Medical Schools/Hospitals/Practice Plans: Insights/Advice, LewisGoldfrank, MD, Bellevue Hospital Center and Brooks Bock, MD, Wayne State UniversityIn this session, negotiating principles, development of allies, neutralizing enemies, use of institutional resources, anddeveloping an academic base will be discussed. The session presenters are experienced Emergency Medicine lead-ers who will share their experiences and lessons.

3:30-4:30 pm Business and Finance: how to assure a successful bottom line, Jerris Hedges, MD, MS, Oregon Health andScience University and Nicholas Benson, MD, MBA, East Carolina UniversityIn this session, mission based administration, faculty incentive/bonus plans, and budget negotiations will be dis-cussed. This session will build on the experience of these physician leaders in their respective departments andmedical schools

4:45-5:30 pm Informal gathering of participants.

All SAEM members and others are invited to attend this Workshop. The registration fee is $100 (refundable to AACEM membersafter verification of attendance). To register, send an email to saem@saem.org stating you would like to attend the Workshop andindicate your method of payment. Checks should be made payable to AACEM and mailed to 901 N. Washington Ave., Lansing, MI48906.

48

SAEM 2005 Research GrantsEmergency Medicine Medical Student Interest Group GrantsThese grants provide funding of $500 each to help support the educational or research activities of emergency medicinemedical student organizations at U.S. medical schools. Established or developing interest groups, clubs, or other medicalstudent organizations are eligible to apply. It is not necessary for the medical school to have an emergency medicine train-ing program for the student group to apply. Deadline: September 9, 2004.

Research Training Grant This grant provides financial support of $75,000 per year for two years of formal, full-time research training for emergencymedicine fellows, resident physicians, or junior faculty. The trainee must have a concentrated, mentored program in spe-cific research methods and concepts, and complete a research project. Deadline: November 4, 2004.

Institutional Research Training GrantThis grant provides financial support of $75,000 per year for two years for an academic emergency medicine program totrain a research fellow. The sponsoring program must demonstrate an excellent research training environment with a qual-ified mentor and specific area of research emphasis. The training for the fellow may include a formal research educationprogram or advanced degree. It is expected that the fellow who is selected by the applying program will dedicate full timeeffort to research, and will complete a research project. The goal of this grant is to help establish a departmental culture inemergency medicine programs that will continue to support advanced research training for emergency medicine residencygraduates. Deadline: November 4, 2004.

Scholarly Sabbatical Grant This grant provides funding of $10,000 per month for a maximum of six months to help emergency medicine faculty at thelevel of assistant professor or higher obtain release time to develop skills that will advance their academic careers. Thegoal of the grant is to increase the number of independent career researchers who may further advance research and edu-cation in emergency medicine. The grant may be used to learn unique research or educational methods or procedureswhich require day-to-day, in-depth training under the direct supervision of a knowledgeable mentor, or to develop a knowl-edge base that can be shared with the faculty member’s department to further research and education. Deadline: Novem-ber 4, 2004.

Emergency Medical Services Research FellowshipThis grant is sponsored by Medtronic Physio-Control. It provides $60,000 for a one year EMS fellowship for emergencymedicine residency graduates at an SAEM approved fellowship training site. The fellow must have an in-depth trainingexperience in EMS with an emphasis on research concepts and methods. The grant process involves a review and approvalof emergency medicine training sites as well as individual applications from potential fellows. Deadline: November 4,2004.

Further information and application materials can be obtained via the SAEM website at www.saem.org.

SAEM Medical Student SymposiumSusan B. Promes, MDDuke University SAEM Program Committee

Each year at the Society of Academ-ic Emergency Medicine (SAEM) AnnualMeeting, SAEM hosts a Medical Stu-dent Symposium for individuals interest-ed in pursuing a career in emergencymedicine. The Symposium is a daylongevent and is followed by an EmergencyMedicine Residency Fair where themedical students have an opportunity tomeet representatives from the variousresidency programs across the country.The Medical Student Symposium andResidency Fair have really gained pop-ularity over the years. In May, 2003 inBoston, there were more than 150 med-ical students in attendance from all overthe country. The majority of students

were in their third year of medicalschool. The program began in themorning with an overview lecture onhow to select the right residency pro-gram. Picking a residency is a personalchoice and it is very important that thestudent is a good match for the programthey choose. Nationally recognizedspeakers presented lectures to the stu-dents on topics such as Getting GoodAdvice, Navigating the Residency Appli-cation Process, Getting the Most out ofYour EM Clerkship and many more.The students were able to have lunchwith Residency Directors from acrossthe country and “pick their brains.”Unfortunately, I am not sure the stu-

dents or the faculty got to eat muchbecause they were so engrossed inconversation! The day closed with aResidency Fair where the studentscould peruse the tables and get infor-mation from representatives from 75 EMresidency programs that participated.The 2004 Medical Student Symposiumwill be held on May 15 in Orlando at theWyndham Palace Resort and Spa. Theprogram is appropriate for medical stu-dents at any level of training. If youhave any questions about the program,please contact the SAEM office atsaem@saem.org.

Board of DirectorsDonald Yealy, MDPresident

Carey Chisholm, MDPresident-Elect

James Adams, MDSecretary-Treasurer

Roger Lewis, MD, PhDPast President

Valerie DeMaio, MDLeon Haley, Jr, MD, MHSAGlenn Hamilton, MDStephen Hargarten, MD, MPHKatherine Heilpern, MDJames Hoekstra, MDSusan Stern, MD

EditorDavid Cone, MDDavid.Cone@yale.edu

Executive Director/Managing EditorMary Ann Schroppmschropp@saem.org

Advertising CoordinatorCarrie BarberCarrie@saem.org

“to improve patient care byadvancing research andeducation in emergencymedicine”

The SAEM newsletter is published bimonthly by the Society for Academic EmergencyMedicine. The opinions expressed in this publication are those of the authors and donot necessarily reflect those of SAEM.

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

PresortedStandard

U.S. PostageP A I D

Lansing, MIPermit No. 485NEWSLETTER

Newsletter of the Society for Academic Emergency Medicine

SAEM NEWSLETTER

The Program Committee is inviting proposals for didactic sessions for the 2005 Annual Meeting. This year the ProgramCommittee would like to emphasize proposals on educational research methodology and leadership development (includ-ing advancement within academic departments, medical schools and national organizations). Didactic proposals may beaimed at medical students, residents, junior faculty and/or senior faculty. The format may be a lecture, panel discussion,or workshop. The Program Committee will also consider proposals for pre- or post-day workshops or multiple sessionsduring the Annual Meeting aimed at in-depth instruction in a specific discipline.

Didactic proposals must support the mission of SAEM (to improve patient care by advancing research and education inemergency medicine) and should fall into one of the following categories:

• Education (educational research methodology, education methodology, improving the quality of education, enhanc-ing teaching skills)

• Research (research methodology, improving the quality of research) • Career Development• State-of-the-Art (presentation of cutting-edge basic science or clinical research that has important implications for

further investigation or the future practice of emergency medicine, not a review of the literature or a summary of clin-ical practice)

• Health Care Policy and National Affairs

The deadline for submission is Thursday, September 9, 2004 at 5:00 pm Eastern Daylight Time. Only onlinesubmissions will be accepted. To submit a proposal, complete the online Didactic Submission Form at www.saem.org.For additional questions or information, contact SAEM at saem@saem.org or call 517-485-5484 or send a fax to 517-485-0801.

Call for Didactic Proposals2005 Annual Meeting

May 22-25, 2005New York, New York