cdn.ymaws.com · 2018-04-02 · 4 president’s message 6 president-elect's message 8 advocacy...

& SISTERS

BAND of BROTHERS

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lifeline SEPTEMBER 2017

4 PRESIDENT’S MESSAGE

6 PRESIDENT-ELECT'S MESSAGE

8 ADVOCACY UPDATE

11 EMERGENCY MEDICINE IN YOSEMITE

16 ANNOUNCEMENTS

17 UPCOMING MEETINGS & DEADLINES

18 CAREER OPPORTUNITIES

4

California ACEP Board of Directors & Lifeline Editors Roster2016-17 Board of DirectorsLawrence Stock, MD, FACEP, PresidentAimee Moulin, MD, FACEP, President-ElectChi Perlroth, MD, FACEP, Vice PresidentVikant Gulati, MD, Treasurer Vivian Reyes, MD, FACEP, SecretaryMarc Futernick, MD, FACEP, Immediate Past President John O. Anis, MD, FACEPJohn Coburn, MDCarrieann Drenten, MDKevin Jones, DOJohn Ludlow, MD, MBASujal Mandavia, MD, FACEP (At-Large)Valerie Norton, MD, FACEPLuke Palmisano, MD, MBA, FACEPMaria Raven, MD, MPH, FACEP Nicolas Sawyer, MDJames C. Tse, DO, CAL/EMRA PresidentLori Winston, MD, FACEP

Advocacy FellowshipAimee Moulin, MD, FACEP, Director

Lifeline Medical EditorRichard Obler, MD, FACEP, Medical Editor

Lifeline Staff EditorsElena Lopez-Gusman, Executive DirectorLauren Brown, Government Affairs AssociateMeri Thresher, Office AssistantKelsey McQuaid-Craig, MPA, Director of Policy and ProgramsLucia Romo, Membership and Education Coordinator

SEPTEMBER 2017 Index of Advertisers

ADVANCED 2017: California ACEPs Annual Assembly Page 14

California ACEP – Member Renewal Page 10

California Hospitalists/ Emergency Physicians Medical Group, Inc Page 18

CEP America Page 7

Emergency Groups’ Office Page 6

Emergency Medical Management Associates Page 5

Emergency Medical Specialists of Orange County Page 18

Emergency Medicine in Yosemite Page 11

Independent Emergency Physicians Consortium Page 5

Ohio ACEP Emergency Medicine Board Review Courses Page 6

St. Jude Medical Center, Fullerton Page 18

Ventura Emergency Physicians Page 18

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BAND of BROTHERS

THE MADDY FUND: Chapter Advocacy at the Local Level

2 | LIFELINE a forum for emergency physicians in california

TABLE OF CONTENTS |

Central Coast Emergency Physicians

Emergent Medical Associates

Emergency Medicine Specialists of Orange County

Front Line Emergency Care Specialists

Loma Linda Emergency Physicians

Napa Valley Emergency Medical Group

Newport Emergency Medical Group, Inc at Hoag Hospital

Pacific Emergency Providers, APC

Tri-City Emergency Medical Group

University of California, Irvine Medical Center Emergency Physicians

Alejandro Alonso, MDRyan Alward, MDAlejandro L. Avila

Moosa Azadian, MDRebecca Bishop, Resident Physician

Nicholas Dean Black, MDMitch Brown

Kendra R. Campbell, MDBrian Cheung, MD

Jennifer P. Cohen, MDJessie Davis, Resident Physician

Fairuz Despujos, MDGladys Devano

Andrea Dewing, MDRanvir Dhillon, MD

Darby D. Dickton, DONnaemeka Daniel Diribe, DO

Ryan P. Gibney, MS4

Andrew M. GlennMolly P. Hallweaver, MD

Walid Hamud-Ahmed, MDDaniel O. Hernandez

Thomas Hull, MDVicky HwangEvan Jackson

Lily Anne Jewett, MDPatrick Leaf, MD

Matthew J. Maynard, DOConor M. McWade, MD

Nicolette Metrusias, MDVictor Mori

Kenneth W. Mueller, Medical StudentMichi Nitahara, MD

Craig D. Nowadly, MDAlexis E. Perez Rogers, MD

Shane Petrites

Joseph PinizzottoJonatan A. Rojas

Daniel J. Rossie, MDSaema Said, MD

Jeffrey Sakamoto, MDBen J. Shannon-Alferes, MS4

Manpreet K. Singh, Medical StudentMaximiliano SobreroPhillip Summers, MD

Michael L. Tetwiler, MDGregory Veazey, MD

Thomas K. Vu, Medical StudentKatherine Vuchkov, MD

Ravi N. WettasingheLeigha Winters

Elaine Yu

WELCOME new members!

100% GROUPS

SEPTEMBER 2017 | 3

PRESIDENT’S MESSAGE |

By Larry Stock,MD, FACEP

Each President year can be seen as a link in a chain of Chapter work over more than four decades. It is time to hand the torch of leadership to our next President, Aimee Moulin, MD, FACEP. In 2012, California ACEP appointed Dr. Moulin as the

Director of the Advocacy Fellowship Program. As a former Advocacy Fellow, she worked with the California ACEP staff and lobbyist to create an optimal experience for each individual Fellow and has helped mentor and develop many of our current leaders.

Dear Colleagues,

My year of service as the Chapter’s President is nearing the end. It has been a true honor and one of the joys of my life to be involved with great people working on a critical mis-sion. Our staff, led by Executive Director Elena Lopez-Gusman, and our Board of Directors have worked diligently to advocate for our members and our patients in the legislative, regulatory, legal, and political realms.

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As an Associate Professor of Emergency Medicine at UC Davis and longtime California ACEP Board member, Dr. Moulin is uniquely qualified and prepared to lead the Chapter. Her work on emergency care for patients with mental health problems, care coordination in the ED, and innovations in pre-hospital care are just a few highlights of her comprehensive understanding of emergency medicine’s challenges in California. Dr. Moulin has abundant positive energy, intelligence, and a can-do/failure-is-not-an-option attitude. As a clinician, researcher, and teacher she is an emergency physician in the finest sense. The Chapter will be in excellent hands with my friend Aimee Moulin as President.

FINAL THOUGHTSFrom Shakespeare's Henry V, 1598:From this day to the ending of the world,But we in it shall be remembered-We few, we happy few, we band of brothers;For he to-day that sheds his blood with meShall be my brother;

Shakespeare was writing about the Battle of Agincourt (1415) between a small band of English soldiers led by Henry V and the French military. Morale in the English line as they looked upon the overwhelming force of heavily armored, highly skilled French knights must have been extremely low. King Henry, rising to the occasion, spoke words of encouragement that rallied the English troops and carried them to a victory.

In 2001, HBO’s TV Series Band of Brothers (Easy Company, 506th Regiment, 101st Airborne) based on Stephen E. Ambrose’s book about WWII, used interviews with Easy Company Veterans. The central character, Major Richard Winters, recalls being asked by his grandson if he was a hero during the War. He answers, “I wasn’t a hero, but I served in a Company of heroes”.

Every minute of every day emergency physicians lead our emergency department (ED) teams, in EDs big and small, to save lives and reduce suffering. Most work in situations where the patient demand out-strips the resource supply, conditions are suboptimal, and expectations for performance keep rising. We work holidays, nights, and weekends, when others are relaxing or are asleep secure in their beds.

We provide our communities eternal vigilance, professionalism, and confidence that someone is always at the ready. We take responsibility. No one is ever turned away. We solve complex problems and rule out dreaded fears. We provide care and caring. You guys are my heroes. Thank you for what you do every day. Be good to yourselves because we each deserve to be healthy and happy. Thank you for allowing me the honor of serving you. n

Larry Independent Emergency Physicians Consortium696 San Ramon Valley Blvd., Ste. #144, Danville, CA 94526

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SEPTEMBER 2017 | 5

PRESIDENT-ELECT’S MESSAGE |

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Ohio ACEP Emergency Medicine Board Review Courses

By Aimee Moulin, MD, FACEP

As we gather in Pasadena this month for our Chapter’s 46th annual meeting, ADVANCED 2017, it is time for us as colleagues and members to celebrate. We have just concluded another banner year of Chapter achievement: not only have we worked hard to defend emergency physicians and patients in the Legislature, but we’ve launched an exciting new online community called CONNECTED.

As exciting as this past year has been, it is imperative that we as a Chapter come together in the coming year to continue to advance the practice of emergency medicine.

Having served in Chapter leadership for a number of years now, I can tell you that our team – our Board, our Past Presidents, our staff, and you – is one that can tackle just about any challenge. Together we have already proven the most effective Chapter within the College and have five decades of legislative, legal, and regulatory victories to prove it. Together we have built the largest and most effective political action committee and advocacy fund of any specialty society. Together in Pasadena, we will celebrate our leaders past and present, our outstanding awards recipients, and a fantastic educational program. n

I am honored to lead and look forward to another year of great success for our Chapter.

WELCOME TO PASADENA


We do too.

Leaders challenge convention and turn ideas into action.

Whether your leadership goals are large or small, CEP America will be there with you every step of your journey.

DO YOU KNOW A LEADER WHEN YOU SEE ONE?

DOWNLOAD YOUR OWN LEADERSHIP GROWTH GUIDE AT: go.cep.com/LeadwithUs

OWN YOUR CAREER

GOING TO SAEM17?

VISIT US AT BOOTH #211 FOR FUN PRIZES.

ADVOCACY UPDATE |

THE MADDY FUND: Chapter Advocacy at the Local LevelBy Elena Lopez-Gusman & Kelsey McQuaid-Craig, MPA

BACKGROUND

The Maddy Fund was established

to reimburse providers, hospitals,

and emergency medical services for

uncompensated care. Funding of the Maddy

Fund was initially provided through the

passage of SB 12 (Maddy). The law permits

counties to levy an additional penalty upon

every fine, penalty, or forfeiture imposed

and collected by the courts in violation of

Typically when we write about the Chapter’s advocacy efforts, we talk about actions taken in the legislative arena, but we also advocate at the local level.

Over the years, California ACEP has dedicated advocacy resources to establishing and renewing the Maddy Emergency Medical Services Fund (Maddy Fund). These efforts continue outside of the Legislature and into your communities.


the Vehicle Code. Each county may elect to assess up to $2 per $10 in fines, penalties, or forfeitures for purposes of supporting emergency medical services. This portion of the fund has no sunset date, however counties who did not elect to create a Maddy Fund under this authorizing statute prior to 1991 are no longer eligible to do so. Approximately $50 million is generated throughout the state annually by the 49 counties who have implemented this portion of the Maddy Fund.

The passage of SB 1773 (Alarcón) in 2006 enacted Government Code §76000.5 to allow county boards of supervisors to levy an additional penalty of $2 for every $10 upon every fine, penalty, or forfeiture imposed and collected by the courts involving a violation of the Vehicle Code. SB 1773 (Alarcón) also allocated 15% of the funds collected for pediatric trauma care – known as “Richie’s Fund”. Richie’s Fund is the only source of funding for pediatric trauma. The SB 1773 portion of the Maddy Fund was reauthorized in 2016 and will sunset on January 1, 2027, unless continued by the Legislature by passage of future legislation. Approximately $50 million is generated annually by this portion of the Maddy Fund. Over 30 counties have implemented this portion of the Maddy Fund – some of which have implemented both portions of the fund, others who have only implemented this provision.

As you well know, despite the implementation of the Affordable Care Act (ACA), visits to the ED are up, and millions of Californians remain uninsured. Millions more remain underinsured by Medi-Cal, making it difficult to adequately finance the emergency care system. The Maddy Fund is critical to maintaining access to quality emergency care for all Californians.

MADDY FUND ALLOCATION

SB 612 enacted Health and Safety Code Section 1797.98a which specifies a maximum 10% of these revenues can be used for administration of the funds by the counties.

The remaining 90% is allocated as follows:

• 58% to physicians who provide emergency services and care to patients who have no insurance coverage or who are unable to pay for their emergency care including the undocumented;

• 25% to hospitals providing disproportionate trauma and emergency medical services;

• 17% to counties for EMS purposes as determined by the county.

SB 1773 also specifies that by law a maximum 10% of these revenues can be used for administration of funds. An additional 15% is dedicated to pediatric trauma care. The remaining 75% is then distributed as above (58% to physicians, 25% to hospitals, 17% to local EMS).

COUNTY ADVOCACY

California ACEP was recently successful in convincing the Sacramento County Board of Supervisors to implement the SB 1773 portion of the Maddy Fund. We’ve engaged in discussions with Sacramento County for over 10 years, but were recently successful due to a change in county leadership, clarification by the State Controller about how fines and penalties are distributed, and the continued persistence of local emergency physicians, like Dr. Doug Brosnan.

In July 2017, the Sacramento County Board of Supervisors voted to implement the second half of the Maddy Fund. The Courts have asked to delay implementation until January 2018 to better align with a software update they are currently undergoing. Based on historical data, we are hopeful that the Board’s action will result in additional Maddy Fund revenues in excess of $2 million. This will be a major investment in Sacramento’s emergency care safety net!

In late August, a Chapter member approached us for help implementing the Maddy Fund in Imperial County. Imperial County has one of the highest uninsured rates in the state

and, unlike neighboring counties, has not implemented the Maddy Fund. We’ve just started participating in discussions with stakeholders and are committed to our advocacy efforts…for however long it takes.

Additionally, we’ve noticed a vast variation in how much money counties collect and how much is disbursed to physicians, hospitals, and emergency medical services. We are comparing historical data to get a better understanding of counties’ behavior and policies and, if we discover that these variations are as a result of something improper, we will be engaging in more local advocacy to ensure that these dollars go to their intended recipients and strengthen the emergency care system.

Ultimately, the key to strengthening the Maddy Fund is our partnership with you. If you notice changes to your reimbursement, or think that the county isn’t paying out its full share, please let the Chapter office know. We’ll work with you to ensure that Maddy Funds are being spent on their intended purpose.

Similarly, if you’re in a county that has not fully implemented both portions of the Maddy Fund, let us know. We’re here to help you establish these funds. Despite the implementation of the ACA, California still has millions of uninsured residents and that will only get worse if Congress repeals or alters Medicaid expansion under the ACA.

With leadership and help from Drs. Perlroth, Fenton, Pao, Jones, Richard, Ludlow, and Sugarman, California ACEP is currently working on a tool kit to help our members hold their county accountable and fully establish the Maddy Fund. We will be announcing more details about the release of the toolkit in the months to come. n

If you have any questions, please contact us at [email protected] or by calling the Chapter office at (916) 325- 5455.

SEPTEMBER 2017 | 9

IS IT TIME TORENEW?

OH DEER!

CHECK YOURMEMBERSHIP INFO

AT ACEP.ORG

IS IT TIME TORENEW?

OH DEER!

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AT ACEP.ORG

JANUARY 10 – 13, 2018

Sponsored byYosemite Medical Education Foundation (YMEF)

Co-sponsored by California ACEPAmerican College of Emergency Physicians California Chapter

Join our 40TH ANNUAL EMERGENCY MEDICINE IN YOSEMITE

January 11 – 14, 2017

Just added: EMRAP Live From Yosemite: January 13th at 7:20 AM, Jessica Mason, M.D.

January 14th at 7:20 AM, Mel Herbert, M.D.*, EMRAP Founder *Schedule permitting

Registration is now open online at www.yosemitemef.org

Early Bird c loses November 15, 2016

Come participate in a unique experience: fabulous lectures, special features, afternoon Park Ranger hikes, a mini-TED non-medical program over Wednesday brunch, Wednesday dinner and reception,

Thursday and Friday evening cocktail receptions and entertainment.

Sponsored by Yosemite Medical Education Foundation (YMEF)

________________________________ Co-sponsored by California ACEP

American College of Emergency Physicians California Chapter

YOSEMITE

MEDICAL

EDUCATION

FOUNDATION

EMERGENCY MEDICINE IN YOSEMITE2 0 1 8“This activity has been planned and implemented in accordance

with the Essential Areas and policies of the Accreditation Council

for Continuing Medical Education through the joint providership of

the Center for Emergency Medical Education and Yosemite Medical

Education Foundation.”

“The Center for Emergency Medical Education is accredited by the

Accreditation Council for Continuing Medical Education to provide

continuing medical education for physicians.”

The Center for Emergency Medical Education designates this live

activity for a maximum of 14.00 AMA PRA Category 1 Credits™.

Physicians should claim only the credit commensurate with the extent

of their participation in the activity.

Approved by the American Osteopathic Association for 14.00 credits of

AOA Category 2-A CME credit Physicians should claim only the credit

commensurate with their extent of their participation in the activity.

SEPTEMBER 2017 | 11

WEDNESDAY, JANUARY 10TH (Majestic Solarium – formerly Ahwahnee Solarium)

8:30 AM Brunch “Two Unique Journeys Through Emergency Medicine”

Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much moreJerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large

1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby)

5:30 - 6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD and a number of the Trailblazers of Emergency Medicine

6:30 PM Dinner (Yosemite Lodge Cliff Falls Room)

7:00 - 7:15 PM Welcome and Introductions: Ron Crowell, MD

7:15 - 8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production”

8:00 - 9:30 PM Musical Entertainment: TBD

THURSDAY, JANUARY 11 TH (Yosemite Lodge Cliff Falls Room)

7:20 - 7:50 AM James Manning MD: Update on “Where is Cardiac Resuscitation Headed?

An Endovascular/Extracorporeal Horizon” (1/2 Hour CME)

7:50 - 8:20 AM Paul Auerbach, MD: “Leadership and Where Emergency Medicine Should Lead” (1/2 Hour CME)

8:20 - 8:50 AM Ramin Tabatabai, MD: “Managing the Unstable AFIB Patient” (1/2 Hour CME)

8:50 - 9:20 AM Claritza Rios, MD: “Opiod Update: Pain Manangement in the Midst of an Opiod Epidemic.” (1/2 Hour CME)

9:20 - 9:50 AM Arian Nachat, MD: “Interdisciplinary Approach to Pain Management: Expanding your Arsenal” (1/2 Hour CME)

9:50 - 10:20 AM BREAK: Visit Exhibitors & Sponsors (Yosemite Valley Lodge Bar)

10:00 AM Guest Program: (Yosemite Valley Lodge Bar)

Judith Crowell, MD, Dermatologist: Final Edition - “Part VII, How to Invest Intelligently in Your Ongoing Beauty”

10:20 - 10:50 AM Christian Tomaszewski, MD: “Cardiac Toxins: Beyond ACLS” (1/2 Hour CME)

10:50 - 11:20 AM Julie Sullivan MD: “The Acute Breast in the ED: What can and cannot be done and the pitfalls to avoid.” (1/2 Hour CME)

11:20 - 11:50 AM Dan Imler, MD: “The Febrile Infant: Update 2017” (1/2 Hour CME)

11:50 - 12:20 PM Veronica Tucci, MD/Nidal Moukaddam, MD: “Medical Clearance: Bridging the Great Divide” (1/2 Hour CME)

1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: (Yosemite Lodge Bar)

Vernal Falls (Meet in Happy Isles parking lot)

5:30 - 5:45 PM Annie Hoffman, Painter: Introduction of the Artist (Yosemite Lodge Cliff Falls Room)

5:45 - 6:30 PM Pepper Trail, PhD: "Voyage to The Origin of Species: Reminiscences of Charles Darwin (in Person)."

6:30 - 7:15 PM Paul Amstutz, Ranger: “Amazing Climbing Feats in Yosemite: Alex Honnold’s Free Climb of El Cap and the Ascent of the Dawn Wall”

7:15 - 7:45 PM Shane Hendrin, Navaho Metalsmith: “My Family’s 300 Years in the West”

EMERGENCY MEDICINE IN YOSEMITEJANUARY 10 – 13, 2018


FRIDAY, JANUARY 12TH (Yosemite Lodge Cliff Falls Room)

7:20 - 7:50 AM Veronica Tucci, MD/Nidal Moukaddam, MD: “I hate you, why don't you get better already?

Countertransference and medical decision-making (1/2 Hour CME)

7:50 - 8:50 AM Graham Billingham MD: “ED Malpractice and Emerging Risk: Latest Update” (1 Hour CME)

8:50 - 9:50 AM Dan Imler, MD: “What’s New with Pediatric Sedation” (1 Hour CME)

9:50 - 10:20 AM BREAK: Visit Exhibitors & Sponsors (Yosemite Valley Lodge Bar)

10:00 AM Guest Program (Yosemite Valley Lodge Bar)

Martha Chessie: “An Introduction to Basket Weaving”

10:20 - 10:50 AM Ramin Tabatabai MD: "Eliminating Barriers for Clinicians seeking mental health support” (1/2 Hour CME)

10:50 - 11:20 AM Marko Duic, MD: "The Principles of Physics as applied to ED Patient Flow" (1/2 Hour CME)

11:20 - 12:20 PM Christian Tomaszewski, MD: “Diagnostic Errors: Strategies to Avoid” (1 Hour CME)

1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Yosemite Falls Trail (Meet in Trailhead parking lot)

5:30 - 6:15 PM Paul Auerbach, MD: “Disaster Response: Preparing and Responding. From Mega-disasters to Your Home.” (1 Hour CME) (Yosemite Lodge Cliff Falls Room)

6:15 - 7:00 PM Vik Gulati, MD: “Virtual Reality: The next frontier”

7:00 - 7:45 PM Lauren Brush, Mechanical Engineer: “Automobile Design: Past, Present & Future: A Woman Entering a Man’s World”

SATURDAY JANUARY 13TH (Yosemite Lodge Cliff Falls Room)

7:30 - 8:30 AM Tsuyoshi Mitarai, MD: "Ultrasound as a Stethoscope to care for patients with Circulatory Shock" (1 Hour CME)

8:30 - 9:00 AM Dara Kass, MD: “Update: First Trimester Vaginal Bleeding” (1/2 Hour CME)

9:00 - 9:30 AM Dara Kass, MD: “Update: Current Diagnosis and Treatment of Acute and Chronic Pancreatitis” (1/2 Hour CME)

9:30 - 10:00 AM BREAK (Yosemite Lodge Cliff Falls Room)

10:00 - 10:30 AM Claritza Rios, MD: “Palliative Care: Goals of Care discussion: A primer for the busy EM physician:” (1/2 Hour CME)

10:30 - 11:00 AM Angela Lumba-Brown, MD: “Pediatric Traumatic Brain Injury: ED Management” (1/2 Hour CME)

11:00 - 11:30 AM David Schriger, MD: “The Rush from Judgment” (1/2 Hour CME)

11:30 - 12:00 PM David Schriger, MD: “The Emergent Shoulder, A Case Review” (1/2 Hour CME)

12:00 - 1:15 PM Buffet Lunch: Onsite only (Yosemite Lodge Cliff Falls Room)

12:30 - 1:15 PM David Paradis, MD: “Emergency Physician Up Close and Personal: The Year I climbed Shasta, Rainier and Denali”

Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”

Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large

• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD

and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD

2018 Emergency Medicine in Yosemite January 10 – 13, 2018

_________________________________________________________________________________________

Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP

“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”

“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”

The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.

Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD

Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD

YMEF CME FACULTY






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YMEF CME FACULTY

Paul Auerbach, MD Graham Billingham, MD Marko Duic, MD Dan Imler, MD Dara Kass, MD Angela Lumba-Brown, MD James Manning, MD Tsuyoshi Mitarai, MD

Nidal Moukaddam, MD Arian Nachat, MD Claritza Rios, MD David Schriger, MD Name Withheld Ramin Tabatabai, MD Christian Tomaszewski, MD Veronica Tucci, MD

YMEF CME FACULTY

SEPTEMBER 2017 | 13

GENERAL SESSION

8:00 am - 9:00 am Continental Breakfast/ Early AM Networking

9:00 am - 9:10 am Introduction & Overview PRESENTERS: Jorge Fernandez, MD and Lawrence Stock, MD, FACEP

9:10 am - 9:40 am Talk 1: Keynote PRESENTER: Paul Kivela, MD, MBA, FACEP

9:40 am - 10:00 am Lightning Series: Take 1PRESENTERS: John Costumbrado, MD; Moosa Azadian, MD; and Jessica Rainey, MD

12:00 pm - 1:20 pm Lunch and Awards PRESENTERS: Vivia Reyes, MD, FACEP and Lawrence Stock, MD, FACEP

3:20 pm - 3:40 pm Talk 10: Human Trafficking and Being A Leader PRESENTER: Carrieann Drenten, MD

3:40 pm - 4:00 pm Lightning Series: Take 4PRESENTERS: Allen Chang, MD; Kevin Jones, DO; and Fred Dennis, MD, MBA, FACEP

4:00 pm - 5:30 pm Farewell and Happy Hour

EMPOWERED: Attending Physician Track10:00 am - 10:20 am Talk 2: Turning Off the Faucet: Bleeding & New Anticoagulants

PRESENTER: Tarlan Hedayati, MD, FACEP

10:20 am - 10:40 am Break

10:40 am - 11:00 am Talk 3: 5150 Remixed: Psych Boarding & Ways to Fix It PRESENTER: Marc Futernick, MD, FACEP

11:00 am - 11:20 am Talk 4: Antibiotic Stewardship; Why EM Should Be Leading PRESENTER: Larissa May, MD, FACEP

11:20 am - 11:40 am Talk 5: “Why Wait? File A Complaint!” CA Medical Board PRESENTER: Greg Guldner, MD, FACEP

11:40 am - 12:00 pm Lightning Series: Take 2PRESENTERS: Kimberly Schertzer, MD, FACEP; Susanne Spano, MD, FACEP; and Ryan Pedigo, MD

1:20 pm - 1:40 pm Lightning Series: Take 3PRESENTERS: Melody Glenn, MD; Viveta Lobo, MD; and Linda Herman, MD, FACEP

1:40 pm - 2:00 pm Talk 6: Tweaking the EMR in A Disaster: A Case Study PRESENTER: Ian P. Brown, MD, FACEP

2:00 pm - 2:20 pm Talk 7: Mindfulness Matters: Using mindfulness to relieve pain and anxiety with patients PRESENTER: Paula Whiteman, MD, FACEP

2:20 pm - 2:40 pm Talk 8: Hot Stuff: Single Payer, EM, and California ACEP PRESENTERS: Lawrence Stock, MD, FACEP and Wesley Fields, MD, FACEP

2:40 pm - 3:00 pm Break

3:00 pm - 3:20 pm Talk 9: Cutting Edge Tech & 21st Century Learning PRESENTERS: Paul Juhn and Tarlan Hedayati, MD, FACEP

ADVANCED 2017 is California ACEP’s annual conference. This one-day conference will empower members through diverse lectures on topics from clinical to policy to wellness and leadership.

Westin Pasadena 191 N Los Robles Ave., Pasadena, California 91101 | Phone: (626) 792-2727

California ACEP Annual Assembly

SATURDAY, SEPTEMBER 23, 2017

For more information Contact: [email protected] | 916.325.5455

Medical Student Registration

Phisician Registration

Resident Registration

Price: $49

Regularly: $179 Member Price: $149

Price: $49

MATCHED: Medical Student Track

10:00 am - 11:00 am Ask the Experts -EM Program Directors Panel DiscussionPRESENTER: Tomer Begaz, MD, Caitlin Bailey, MD

11:00 am - 11:15 am Lightning Lecture: Myths and Truths about EM ResidencyPRESENTER: Linda Herman, MD, FACEP

11:15 am - 11:30 am Lightning Lecture: Emergency Medical Services and Mass Casualty ResponsePRESENTER: Melody Glenn, MD

11:30 am - 11:45 am Lightning Lecture: Community EMergency Medicine from an Academic EM PerspectivePRESENTER: Al’Ai Alvarez, MD

11:45 am - 12:00 pm Lightning Lecture: So you think you are interested in global health?PRESENTER: Matthew Waxman, MD, DTMH

12:00 pm - 1:20 pm Break, Awards & Lunch

1:30 pm - 2:30 pm “Low Stress” Mock InterviewsPRESENTERS: Tomer Begaz, MD and Caitlin Bailey, MD

2:30 pm - 3:30 pm Residency & Fellowship FairHarbor UCLA, Highland, Kaweah Delta, Kern, LLUMC, Stanford, UC Davis, UC Irvine, UCLA, Reagan/Olive View, UCSD, UCSF, UCSF Fresno, USC

SIMULATED: Resident Track10:00 am - 12:00 pm SIMULATED: Morning Rounds

PRESENTERS: Ian Julie, MD, FACEP; Joshua Hui, MD, MSCR, FACEP; and Leslie Oyama, MD, FACEP

1:20 pm - 3:20 pm SIMULATED: Final Rounds and AwardsPRESENTERS: Ian Julie, MD, FACEP; Joshua Hui, MD, MSCR, FACEP; and Leslie Oyama, MD, FACEP

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Emergency Physicians and California ACEP. The American College of Emergency Physicians is accredited by the ACCME to provide continuing medical education for physicians.

The American College of Emergency Physicians designates this live activity for a maximum of 4.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ADVANCED 2017 has been approved by the American College of Emergency Physicians for a maximum of 4.25 hour(s) of ACEP Category I credit

BRN: California ACEP is approved by the California Board of Registered Nursing for 4.25 contact hours, Provider Number 15059.

ADVANCED 2017: CALIFORNIA ACEP’S ANNUAL ASSEMBLY

September 23, 2017, The Westin Pasadena, Pasadena, CA www.californiaacep.org

CALIFORNIA ACEP CO-SPONSORED CONFERENCES

40th Annual Emergency Medicine in Yosemite January 10-13, 2018 Yosemite, CA http://www.yosemitemef.org/

Ohio ACEP Emergency Medicine Board Review Course February 1-5, 2018 San Diego Marriott La Jolla http://www.ohacep.org/aws/OACEP/pt/sp/cme_oralboard

The California Emergency Medicine Advocacy Fund (CEMAF) has transformed California ACEP’s advocacy efforts from primarily legislative to robust efforts in the legislative, regulatory, legal, and through the Emergency Medical Political Action Committee, political arenas. Few, if any, organization of our size can boast of an advocacy program like California ACEP’s; a program that has helped block Medi-Cal provider rate cuts, lock in $500 million for the Maddy EMS Fund over the next 10 years, and fight for ED overcrowding solutions! The efforts could not be sustained without the generous support from the groups listed below, some of whom have donated as much as $0.25 per chart to ensure that California ACEP can fight on your behalf. Thank you to our 2016-17 contributors (in alphabetical order):

• Alvarado Emergency Medical Associates• Antelope Valley Emergency Medical Associates• Beach Emergency Medical Associates• Berkeley Emergency Medical Group • Centinela Freeman Emergency Medical Associates• CEP America• Chino Emergency Medical Associates• Coastline Emergency Physicians Medical Group• Culver Emergency Medical Group• Eden Emergency Medical Group • Hollywood Presbyterian Emergency Medical Associates• Las Cruces Emergency Medical Associates• Los Alamos Emergency Medical Associates• Mills Peninsula Emergency Medical Group• Montclair Emergency Medical Associates• Napa Valley Emergency Medical Group• Orange County Emergency Medical Associates• Pacific Coast Emergency Medical Associates• Pacific Emergency Providers• Pacifica Emergency Medical Associates• Riverside Emergency Physicians• San Dimas Emergency Medical Associates• Sherman Oaks Emergency Medical Associates• South Coast Emergency Medical Group, Inc.• Tarzana Emergency Medical Associates• Temecula Valley Emergency Physicians, Inc.• US Acute Care Solutions• Valley Emergency Medical Associates• Valley Presbyterian Emergency Medical Associates• VEP Healthcare, Inc.• Vikant Gulati, MD• West Hills Emergency Medical Associates

CEMAF ANNOUNCEMENTS |


For more information on upcoming meetings, please e-mail us at [email protected]; unless otherwise noted, all meetings are held via conference call.

| CALIFORNIA ACEP UPCOMING MEETINGS & DEADLINES

SEPTEMBER 2017

SUN MON TUES WED THURS FRI SAT

1 2

3 4 5 6 7 8 9

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

OCTOBER 2017


1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

NOVEMBER 2017


1 2 3 4

5 6 7 8 9 10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30

SEPTEMBER 2017

1st Legislation Fiscal Deadline

4th Labor Day HolidayChapter Office Closed

12th at 9:00 AM Reimbursement CommitteeConference Call

15th End of 2017 Legislative Session

18th Legislative Interim Recess Begins

22nd at 10:00 AM Chapter Board of Directors MeetingPasadena, CA

23rd ADVANCED 2017: California ACEP Annual AssemblyThe Westin Pasadena, Pasadena, CA

29th California POLST Task Force

OCTOBER 2017

13th Council Subcommittee MeetingConference Call

19th at 10:00 AM Government Affairs Committee (GAC)Conference Call

20th Full Council Delegation MeetingConference Call

21st-22nd CMA House of DelegatesAnaheim, CA

27th-28th ACEP CouncilWashington, DC

29th-November 1 ACEP17Washington, DC

NOVEMBER 2017

7th at 9:00 AM Reimbursement CommitteeConference Call

7th CAPP Board Meeting Sacramento, CA

16th Board of Directors MeetingSacramento, CA

23rd-24th Thanksgiving HolidayChapter Office Closed

SEPTEMBER 2017 | 17

To advertise with Lifeline and to take advantage of our circulation of over 3,000 readers, including Emergency Physicians, Groups, and Administrators throughout California who are eager to learn about what your business has to offer them, please contact us at [email protected] or give us a call at (916) 325-5455.

DOWNTOWN LOS ANGELES: Emergency Physician needed. $350,000 + incentive per year, malpractice paid, half days, half nights. ABEM ABOEM with experience. Present core group average 23 yrs tenure. 36,000 annual visits, paramedic receiving (no peds) STEMI Stroke, physician coverage 36-40 hrs/day, NP & PA coverage 12-20 hrs/dayFAX CV to 213 482 0577 or call 213 482 0588 or [email protected]

FULLERTON, CALIFORNIA: Join our ED team in beautiful north OC at St Jude Med Ctr. Our 36 bed state of the art ED serves >70K pts/yr with 54 hrs MD, 44 hrs PA and 100% scribe coverage per day, 9 hr shifts. We have held this stable contract for >36 years, have excellent back-up, 24hr in house Critical Care, OB, neonatologist and hospitalists. We are a STEMI receiving center, “Advanced Comprehensive Stroke Center” and provide excellent compensation with night differential. Partnership track available. EM BC/BE mandatory. Send CV to [email protected]

SOUTHERN CALIFORNIA OPPORTUNITIES:• Tustin, CA - Orange County - 73-bed community hospital, 8-bed ER,

paramedic receiving, low volume. 10 x 24hr = $240,000/yr + incentive

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

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

FAX CV to 213 482 0577 or call 213 482 0588 or email [email protected]

SOUTHERN CALIFORNIA – ORANGE COUNTY: Full time and part time independent contracting emergency physicians needed for high volume, high acuity practices. Chest Pain Center, Stroke Center, Pediatric Level II trauma center - large independent group with forty years of clinical excellence for two acute care facilities. Expanding group needs BC/BE emergency physicians and pediatric emergency physicians. Excellent compensation, malpractice paid, scribes, midlevel providers, 8 – 9 hour shifts, excellent call panel coverage.Email CV and references to [email protected], fax to 714-543-8914

VENTURA CALIFORNIA: New hospital under construction and scheduled to open in the fall of 2017. Central coast of California and 70 miles from LAX. Positions available in two facilities for BC/BE emergency physician. STEMI Center, Stroke Center with on-call coverage of all specialties. Teaching facility with residents in Family Practice, Surgery, Orthopedics and Internal Medicine. Admitting hospital teams for Medicine and Pediatrics. Twenty-four hour OB coverage in house and a well established NICU. Physician’s shifts are 9 hrs and 12 hours of PA/NP coverage. All shifts and providers have scribe services 24/7. Affiliated hospital is a smaller rural facility 20 minutes from Ventura in Ojai. Malpractice and tail coverage is provided. New hires will work days, nights, weekends and weekdays. Send resume to Alex Kowblansky MD FACEP at [email protected]

CAREER OPPORTUNITIES |


Looking for an ITLS course?

EMREF offers the following California providers list:

Please call 916.325.5455 or E-mail Lucia Romo: [email protected] for more information.EMREF is a proud sponsor of California ITLS courses.

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

American Medical Response (AMR)Ken Bradford, Operations841 Latour Court, Ste D, Napa, CA 94558-6259Phone: (707) 953-5795Email: [email protected]

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

Compliance TrainingJason Manning, EMS Course Coordinator3188 Verde Robles Drive, Camino, CA 95709Phone: (916) 429-5895 Fax: (916) 256-4301 Email: [email protected]

CSUS Prehospital Education ProgramDerek Parker, Program Director3000 State University Drive East, Napa Hall, Sacramento, CA 95819-6103Office: (916) 278-4846 Mobile: (916) 316-7388 Email: [email protected]: www.cce.csus.edu

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

Loma Linda University Medical Center tnatsissA evitartsinimdA ,senoJ enyL

Department of Emergency Medicine11234 Anderson St., A108, Loma Linda, CA 92354Phone: (909) 558-4344 x 0 Fax: (909) 558-0102 Email: [email protected]: www.llu.edu

Medic AmbulanceJames Pierson, EMT-P506 Couch Street, Vallejo, CA 94590-2408 Phone: (707) 644-1761 Fax: (707) 644-1784Email: [email protected]: www.medicambulance.net

Napa Valley CollegeGregory Rose, EMS Co-Director2277 Napa Highway, Napa CA 94558Phone: (707) 256-4596Email: [email protected] Web: www.winecountrycpr.com

NCTI – National College of Technical InstructionLena Rohrabaugh, Course Manager333 Sunrise Ave Suite 500, Roseville, CA 95661Phone: (916) 960-6284 x 105 Fax: (916) 960-6296Email: [email protected] Web: www.ncti-online.com

Oakland Fire DepartmentSheehan Gillis, EMT-P, EMS Coordinator 47 Clay Street, Oakland, CA 74607Phone: (510) 238-6957Fax: (510) 238-6959 Email: [email protected]: http://www.oaklandnet.com/fire/

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

Rocklin Fire DepartmentChris Wade, Firefighter/Paramedic

Phone: (916) 625-5311Fax: (209) 725-7044Email: [email protected]: www.rocklin.ca.us

Rural Metro AmbulanceBrian Green, EMT-P1345 Vander Way, San Jose, CA 95112Phone: (408) 645-7345Fax: (408) 275-6744Email: [email protected]: www.rmetro.com

ytefaS cilbuP egelloC roinuJ asoR atnaSTraining CenterBryan Smith, EMT-P, Course Coordinator5743 Skylane Blvd, Windsor, CA 95492Phone: (707) 836-2907 Fax: (707) 836-2948Email: [email protected] Web: www.santarosa.edu

WestMed CollegeBrian Green, EMT-P5300 Stevens Creek Blvd., Suite 200, San Jose, CA 95129-1000Phone: (408) 977-0723 Email: [email protected] Web: www.westmedcollege.com

American Health Education, Inc

7300B Amador Plaza Road, Dublin, CA 94568Phone: (800) 483-3615Email: [email protected]: www.americanhealtheducation.com

Verihealth/Falck Northern California

2190 South McDowell Blvd, Petaluma, CA 94954Phone: (707) 766-2400Email: [email protected] Web: www.verihealth.com

Ken Bradford, Training Coordinator

3401 Crest Drive, Rocklin, CA 95765

Perry Hookey, EMT-P

PHI Air Medical, CaliforniaGraham Pierce, Course Coordinator 801 D Airport Way, Modesto, CA 95354Phone: (209) 550-0884 Fax: (209) 550-0885Email: [email protected] Web: http://www.phiairmedical.com/

lifelineCalifornia Chapter, American College of Emergency Physicians

1121 L Street, Suite 407Sacramento, CA 95814

PRSRT STDUS POSTAGE

PAIDCPS

The course physicians have trusted for 33 years!

August 19 - 23, 2017 (Columbus, Ohio) October 9 - 13, 2017 (Columbus, Ohio)

February 1 - 5, 2018 (San Diego, California)

August 24 - 26, 2017 (Columbus, Ohio)

Ohio ACEP in partnership with

in February 2018 in San Diego, CA!

www.ohacep.org | (614) 792-6506

Ohio ACEP Emergency Medicine Board Review Courses

Approved for AMA PRA Category 1 Credits TM.

FULL COURSE FAST FACTS COURSE

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