PRESIDENT’S MESSAGE

InternationalAcademicEmergency

Medicine: SAEMand its Global View

The drafting of this messagecomes at a time when eachPresident realizes they are halfway through their term, theactivities and vision of the

President-Elect begin to ramp up, and a sharp awarenessappears that from here on, one is only coming out of thewoods rather than going in.

I recognize the last two President messages were ratherbrutal in the reading, but strategic vision and infrastructurerealities are by necessity tough topics to digest. If suchthings were easy, we wouldn’t devote our careers to themand rapidly move on to something more challenging.

In this message, the focus has been an area of highpersonal interest for many years……international academicemergency medicine. Some of you may recall I spent nearly12 years (1989-2001) shuttling back and forth to not-so-scenic northern China, while working on behalf of the ChinaMedical Board of New York City, Inc. in establishing anemergency medicine residency program at China MedicalUniversity in Shenyang, PRC. It was an intense, exhilaratingand frequently frustrating experience, but there was theluxury of a few million dollars in matched grant money thatallowed change to actually occur. The experiences with theChinese physicians and nurses who came to Ohio to trainwill be some of the most vivid memories of my academiccareer, and most satisfying.

With these experiences in mind, one of the earliest taskforces proposed to the Board of Directors was InternationalEmergency Medicine. Its rationale was the following:“International Emergency Medicine continues to grow inscope and activity. One of the significant shortcomings ininternational EM development is academic developmentincluding education and research. SAEM currently does nothave a documented strategy and plan for how it chooses torelate to international emergency medicine as a Society. Asthe requests for SAEM’s involvement in international EMactivities will continue for the foreseeable future, it isessential for the Society to chart its own course, one thatwill benefit international EM and allow the Society tomaintain its mission.” In March 2005, after considerablediscussion, this rationale and four accompanying objectiveswere accepted by the Board of Directors and assigned tothis new task force. Kumar Alagappan, MD, from Long

Glenn C. Hamilton, MD

(continued on page 27)

SAEM

Newsletter of the Society for Academic Emergency MedicineJanuary/February 2006 Volume XVIII, Number 1

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

(517) 485-5484saem@saem.orgwww.saem.org

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

New EM Residency ProgramApproved

During the September meeting of the Residency ReviewCommittee for Emergency Medicine a new residency programat the University of Florida, Gainesville was approved. Theresidency program director is Kevin L. Ferguson, MD, and theassociate residency program director is Richard W. Stair, MD.David Seaberg, MD, is the associate chair of the Departmentof Emergency Medicine. The program was approved for 8 res-idents per year.

The residency program will be a 1-3 program at theUniversity of Florida's main campus in Gainesville. ShandsHospital is the flagship hospital in the Shands Hospital systemand is a Level 1 Trauma Center, burn center, and tertiary refer-ral center for pediatrics, hyperbarics, and neonatology. TheUniversity of Florida, Gainesville program is the 135thapproved EM residency program.

CME Credit Available for PeerReviewers of Academic Emergency

MedicineThe Editors and Editorial Board of Academic EmergencyMedicine are pleased to announce that effective January 1,2006, peer reviewers will receive three Category I continuingmedical education credits for each peer review completed thatmeets the following criteria:

1. Received on or before the scheduled deadline time.2. Given a rating of 70 or higher (on a 1-100 scale) by the

Associate Editor in charge of the manuscript.

A maximum of 15 credits (five reviews) will be awarded to areviewer in each calendar year.

Accreditation Statement: This activity has been planned andimplemented in accordance with the Essential Areas and poli-cies of the Accreditation Council for Continuing MedicalEducation through the joint sponsorship of the Michigan StateUniversity College of Human Medicine and AcademicEmergency Medicine. The Michigan State University Collegeof Human Medicine is accredited by the ACGME to providecontinuing medical education for physicians.

ErratumIn the November/December issue of the SAEMNewsletter Dr. James Black was mistakenly identified asthe Best Presenter runner-up of the 2005 CPC FinalCompetition. Dr. Jeanette Ebarb from the University ofVirginia was selected as the Best Presenter runner-up.SAEM regrets the error.

Call for NominationsSAEM Special Recognition Award

Deadline: February 15, 2006Nominations are sought for a new award, developed by the Awards Committee, and approved by the Board of

Directors. This Special Recognition Award is designed to enable SAEM to recognize individuals who have made signifi-cant contributions in an area not typically recognized by the Society.

Nominees may be a physician or a non-physician, but must be a member of SAEM. Types of activities to be consid-ered are: humanitarian, international, political, or governmental service. The nominee's activities in these areas shouldbe in line with and reflective of the SAEM mission, which is “to improve patient care by advancing research and educa-tion in emergency medicine.”

The deadline for nominations is February 15, 2006. Nominations must be submitted electronically to saem@saem.organd will be reviewed by the Awards Committee. The Awards Committee will consider nominations each year, but theaward may not necessarily be awarded annually.

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Resident Group Discount Membership ParticipationSAEM would like to recognize and thank the residency programs that have elected to participate in the resident group discountmembership. These 73 programs bring 2,463 resident members to the Society. In 1995, the inaugural year of the ResidentDiscount Program, 41 residency programs participated, providing membership benefits to 1,126 residents. This program pro-vides residents with invaluable exposure to all facets of academic emergency medicine. Each resident member receives sub-scriptions to Academic Emergency Medicine and the SAEM Newsletter, plus a discounted registration fee to attend the AnnualMeeting. The participating programs are:

Akron General Medical CenterAlbany Medical CenterAlbert Einstein Medical CenterAllegheny General HospitalBaystate Medical CenterBeth Israel Deaconess Medical Center/Harvard AffiliatedBoston UniversityBrigham and Women's/Massachusetts General HospitalCase Western Reserve University/MetroHealth Medical

CenterChrist HospitalChristiana Care Health SystemCooper Hospital/University Medical CenterDuke UniversityEast Carolina UniversityEastern Virginia UniversityEmory UniversityGrand Rapids MERC/Michigan State UniversityHennepin County Medical CenterHenry Ford HospitalIndiana University Johns Hopkins UniversityLoma Linda UniversityLouisiana State University-Charity HospitalMaimonides Medical CenterMaricopa Medical CenterMedical College of VirginiaMedical College of WisconsinMichigan State University – KalamazooNew Jersey Medical School - UMDNJNew York Hospital - QueensNew York Methodist HospitalNorth Shore University HospitalNorthwestern UniversityOhio State UniversityOregon Health & Science UniversityPalmetto Richland Memorial HospitalPenn State/Hershey Medical Center

Regions HospitalResurrection Medical CenterSt. John Hospital and Medical CenterSt. Johns Oakland HospitalSt. Luke's-Roosevelt HospitalSt. Vincent Mercy Medical CenterStanford UniversityState University of New York at BuffaloState University of New York Health Science Center at

SyracuseStony Brook UniversityState University of New York Downstate/Kings County

HospitalSynergy Medical Education AllianceTexas Tech UniversityThomas Jefferson UniversityUniversity of Alabama at BirminghamUniversity of ArizonaUniversity of ArkansasUniversity of California, San DiegoUniversity of Chicago University of CincinnatiUniversity of ConnecticutUniversity of LouisvilleUniversity of MichiganUniversity of NebraskaUniversity of New MexicoUniversity of North CarolinaUniversity of Pennsylvania University of PittsburghUniversity of Virginia Wake Forest UniversityWayne State University/Detroit Medical CenterWayne State University/Sinai-Grace HospitalWilliam Beaumont HospitalWright State UniversityYale-New Haven Medical CenterYork Hospital

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Start Planning Your Trip to the Annual Meeting – May 2006Deb Houry, MD, MPHEmory UniversitySAEM Program Committee Chair

It’s not too early to start thinking about the 2006 AnnualMeeting. The Program Committee has been busy puttingtogether an amazing meeting for you and we hope that youare planning to attend.

Social EventsThis year’s banquet will be a wonderful opportunity for

SAEM members to network and socialize while getting to seepart of the city. We have selected the Exploratorium, a hands-on science museum with over 650 exhibits, as our venue.Attendees will have access to both floors of the museum andwill be able to make their own take-home souvenir at the pen-dulum paint exhibit.

We will also be bringing a taste of San Francisco to youthrough our “Streets of San Francisco” menu with NorthBeach, Chinatown, and Fisherman’s Wharf food stations.Some of the menu items include: antipasto, penne and fennelsausage, garlic braids, pad thai, sesame ginger eggplant,petite mu shu, seafood cakes, and clam chowder.

Tickets will be $85 per person and will include a SanFrancisco themed dinner, two drink tickets, round-trip trans-portation, and access to the Exploratorium. For those whowould like to bring their families to the event, we will offer $45discounted tickets for children under the age of 12. Mark yourcalendars now for Friday, May 19!

Plans are also underway for musical entertainment at ouropening reception and a wine tasting reception on the thirdnight of the meeting (May 20). We hope to offer group ticketsto an Oakland A’s game once the game schedule is finalized.We have also scheduled short coffee breaks each day to givemembers a chance to socialize.

Paper PresentationsThe abstract deadline is January 10 and we anticipate

another great year of abstract submissions. As in previousyears, no late abstracts will be accepted.

We are implementing a new category for abstracts called“late breaker sessions”. This will allow investigators who havenot finished data collection to present their results at ourmeeting instead of waiting another year to present at SAEM.For example, investigators on a clinical trial that completeddata collection in March previously would not have been ableto submit an abstract to our meeting. Researchers submittinglate breaker abstracts must complete data collection andanalysis by April.

Late breaker abstracts will be reviewed by the scientificsubcommittee based on the quality of methodology, prelimi-nary results, and anticipated timely completion of the study.These abstract submissions will be due at the same time asregular abstracts.

After reviewing all abstract submissions, we anticipate tosend out decision letters by February 15. The award cate-gories this year will include: medical student, resident, fellow,

young investigator, and faculty “best papers”. We will honorregional winners in these categories as well with award rib-bons placed on posters and an acknowledgement in theOnsite Program.

Didactic Sessions and WorkshopsOne of the biggest changes to our didactic schedule is a 15

minute break before our didactic lunch sessions. We will nolonger be offering seated, plated lunches. Instead, we havecontracted with the Marriott to provide a lunch cart with sand-wiches and snacks for sale outside the lecture rooms. SAEMmeeting attendees will no longer have to pre-register for lunchlectures and can opt to buy lunch from the hotel cart or froma neighboring restaurant. We will also provide a list of quicklunch spots within walking distance of the hotel. We expectthat this will increase the number of people

In addition, the Institute of Medicine report on The Futureof Emergency Care in the United States Health System shouldbe released in April. We plan to have a session dedicated tothis report with ample time to ask questions of IOM commit-tee members and to discuss how this may affect emergencymedicine.

Finally, the SAEM Research Committee worked in collabo-ration with members of the ACEP Research Committee andwill be holding a Grant Writing Workshop on the pre-day,Wednesday May 17. NIH staff will be leading sessions ongrant writing skills and how to improve your chances of get-ting funded, so this should be an invaluable opportunity forSAEM members to get tips from the experts.

Medical Students and Chief Residents ForumsInstead of hosting the Medical Student Symposium on a

pre-conference day, which conflicted with the CPCCompetitions in the past, we are hosting it on the third day ofthe Annual Meeting (May 20). Medical students are to be ableto get weekends off, so we have planned this symposiumaccordingly on a Saturday. In addition, many chief residentsparticipate in the Medical Student Residency Fair, but pro-gram directors have a difficult time releasing the chief resi-dents from clinical responsibilities for the entire meeting. Wehave moved the Chief Residents Forum to the last day of themeeting (May 21), one day following the Medical StudentSymposium.

Other upcoming deadlinesThe deadline for IEME Exhibit Submissions is February 16

and the photo submission deadline is February 24. Thesedeadlines are coming up soon, so plan accordingly.

As always, please feel free to contact me with questionsand suggestions for the Annual Meeting. Email is the easiestway to reach me: dhoury@emory.edu. I look forward to see-ing all of you in San Francisco!

Check out the Annual Meeting schedule of events, didactic session descriptions, and other details on the SAEM website.The online abstract submission brochure is also available on the website.

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Call for NominationsSAEM Elected Positions

Deadline: February 7, 2006Nominations are sought for the SAEM elections that will be held in the spring of 2006. The Nominating Committee willselect a slate of nominees based on the following criteria: previous service to SAEM, leadership potential, interpersonalskills, and the ability to advance the broad interests of the membership and academic emergency medicine. Interestedmembers are encouraged to review the appropriate SAEM orientation guidelines (Board, Committee/Task Force orPresident-elect) to consider the responsibilities and expectations of an SAEM elected position. Orientation guidelines areavailable at www.saem.org or from the SAEM office.

President-elect: The President-elect serves one year as President-elect, one year as President, and one year as PastPresident. Candidates are usually members of the Board of Directors.

Board of Directors: Two members will be elected to three-year terms on the Board. Candidates should have a trackrecord of excellent service and leadership on SAEM committees and task forces.

Resident Board Member: The resident member of the Board of Directors is elected to a one-year term. Candidates mustbe a resident during the entire term on the Board (May 2006-May 2007) and should demonstrate evidence of strong inter-est and commitment to academic emergency medicine. Nominations should include a letter of support from the candi-date’s residency director.

Nominating Committee: One member will be elected to a two-year term. The Nominating Committee develops the slateof nominees for the elected positions. Candidates should have considerable experience and leadership on SAEM com-mittees and task forces.

Constitution and Bylaws Committee: One member will be elected to a three-year term, the final year as the chair of theCommittee. The Committee reviews the Constitution and Bylaws and makes recommendations to the Board for amend-ments to be considered by the membership. Candidates should have considerable experience and leadership on SAEMcommittees and task forces.

The Nominating Committee wishes to consider as many candidates as possible and whenever possible will select morethan one nominee for each position. Nominations may be submitted by the candidate or any SAEM member.Nominations must be submitted electronically to saem@saem.org and must be submitted in the following format:

Nominations are sought for the following positions:

1. Name

2. Current academic position(s):• institution(s) • academic appointment(s) • other major administrative position(s), such as chair, director, dean, etc:

3. Non-SAEM career accomplishments, such as awards, grants, leadership positions, etc. (100 word limit):

4. SAEM service• member since: • list/date committee/task force/interest group membership• leadership roles within SAEM (and when):• committees/task forces/interest groups • elected positions (Board, Nominating Committee, C&B Committee) • list role in major contribution to SAEM products (e.g., author of X, developing Y, etc)

5. Personal statement of what the candidate wants to do for SAEM, if elected (300 word limit)• What have been your proudest accomplishments for SAEM? • What are your goals for advancing the Society? • What is your vision for the future of SAEM? • Which needs of the membership do you wish to address? • Personal comment to membership (optional)

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Committee and Task Force Selection Process BeginsDeadline: Feburary 15, 2006

James Hoekstra, MDWake Forest UniversitySAEM President-elect

Most of our annual planning for the 2006-2007 SAEM year,which begins each May, occurs during the winter months. Animportant component of this is the development of realisticobjectives for our committees and assignment of specialneeds projects to task forces.

The committees have an essential role in determining howwell SAEM progresses in our mission each year. The workeach year focuses on a number of specific objectives.Although ultimately assigned by the President-elect, theseobjectives are developed by soliciting ideas from the entiremembership, as well as current and prior committee chairsand members. The Board of Directors reviews these assign-ments, to assure coordination and resource allocation appro-priate to each task.

Task Forces (TF) are unique entities developed by thePresident-elect in cooperation with the Board of Directors toaddress a specific focused issue in a timely manner. SAEMrelies on task forces to deliver recommendations to the Boardor produce a time sensitive product for the organization. Atask force usually accomplishes its objectives within one totwo years from inception.

Why Should You Become a Committee or Task ForceMember?

● You believe in SAEM’s mission statement: “to improvepatient care by advancing research and education inemergency medicine”.

● You wish to assist in defining the future practice of yourspecialty. The academic mission is a special andunique pursuit, critical to the future of our specialty andthe patients we serve. We are responsible for trainingthe next generation of EM clinicians and academicians.We define the future practice of our specialty throughthe work of our members, both with SAEM activitiesand at our academic institutions. You have specialknowledge/skills or interests in a committee/TF workarea. Sometimes more junior members in the Societyare afraid to volunteer because they “lack expertise” inan area. However, if you have the time, are willing to

do the work, and have a passion for that area, you rep-resent exactly what a committee/TF really needs.

How Do I Get Assigned to a Committee/TF?● First, assess your ability to offer a realistic time com-

mitment. ● Second, review the current committee and task force

objectives. Where do your interests and experienceslie? What abilities or perspectives might you con-tribute?

● Third, everyone who desires appointment MUST com-plete the Committee/task force Interest Form, which isavailable online at www.saem.org. This includes cur-rently assigned members as well! Remember, commit-tee composition rotates regularly, with approximatelyone-third of the members turning over each year. Thisassures that all members who desire to participate cando so. While invariably disappointing to some mem-bers who are not reassigned, this practice has servedSAEM very well over the years and is a critical compo-nent of individual member development.Reassignment also is influenced by the chair’s evalua-tion of an individual’s productivity, timeliness, respon-sivity and overall contributions.

● Finally, when submitting your interest form, pleasemake a brief statement supporting your committeechoice. SAEM is a large organization, and I unfortu-nately do not know every member’s skills and talents.While performance record goes a long way for thosecurrently serving, the interest form will be a major fac-tor in appointment decisions for all members.

SAEM’s mission has never been more critical for the livesof our patient population. We are charged with defining thefuture practice of EM, both clinical practice and academics.The committees and task forces are central to the mission andgoals of the Society. We look forward to your volunteering thisyear. Please address specific questions about this process tothe SAEM office at saem@saem.org.

NOTE: SAEM members who wish to be considered for appointment to an SAEM committee in2006-2007 (May 2006-May 2007) must complete the online Committee Interest Form, which isavailable on the SAEM web site at www.saem.org. All interested members, whether currentlyserving on a committee or task force or not currently serving, must complete the Interest Formin order to be considered. The deadline to submit the Interest Form is February 15, 2006.Individuals must be current members of SAEM in order to serve on a committee or task force.Contact SAEM at saem@saem.org if you have any questions.

SAEM members are invited to submit proposed objectives for the 2006-07 committees and taskforces. Objectives should be concise, measureable, and relate directly to the SAEM mission.Send suggested objectives to saem@saem.org.

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Call For NominationsYoung Investigator Award

Deadline: December 15, 2006

In May 2006, SAEM will recognize a few young investigators who have demonstrated promise and distinction in theiremergency medicine research careers. The purpose of the award is to recognize and encourage emergency physi-cians/scientists of junior academic rank who have a demonstrated commitment to research as evidenced by academicachievement and qualifications. The criteria for the award includes:1. Specialty training and certification in emergency medicine or pediatric emergency medicine.2. Evidence of significant research collaboration with a senior clinical investigator/scientist. This may be in the setting of

a collaborative research effort or a formal mentor-trainee relationship. 3. Academic accomplishments which may include:

a. postgraduate training/education: research fellowship, master’s program, doctoral program, etc.b. publications: abstracts, papers, review articles, chapters, case reports, etc.c. research grant awardsd. presentations at national research meetingse. research awards/recognition

The candidate must have training and board certification in emergency medicine or pediatric emergency medicine. Criteriataken into consideration in determining the award recipient include prior research grant awards, publications, presentation, andother awards. Research grant awards are most highly weighted, especially if from federal or major foundation sources.Research publications will be weighted based on their quality and number. Publication in high impact or moderate impact jour-nals will be weighted higher than publications in low impact journals. Research presentations at national meetings and non-monetary awards will be given relatively less weight in the overall evaluation.

The deadline for the submission of nominations is December 15, 2006, and nominations must be submitted electronicallyto saem@saem.org. (Do not send hard copies.) Nominations should include the candidate’s CV and a cover letter summar-izing why the candidate merits consideration for this award. Candidates can nominate themselves or any SAEM member cannominate a deserving young investigator. Candidates may not be senior faculty (associate or full professor) and must not havegraduated from their residency program prior to June 30, 1999.

The core mission of SAEM is to advance teaching and research in our specialty. This recognition may assist the careeradvancement of the successful nominees. We also hope the successful candidates will serve as role models and inspi-rations to us all. Your efforts to identify and nominate deserving candidates will help advance the mission of our Society.

Call for SubmissionsInnovations in Emergency Medicine

Education Exhibits

Deadline: Wednesday, February 16, 2006

The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for considerationof presentation at the 2006 SAEM Annual Meeting, May 18-21, 2006 in San Francisco, CA. Submitters are invited tocomplete an application describing an innovative new educational methodology that they have designed, or an inno-vative educational application of an existing product. The exhibit should not be used to display a commercial productthat is already available and being used in its intended application. Exhibits will be selected based on utility, originality,and applicability to the teaching setting. Commercial support of innovations is permitted but must be disclosed. IEMEexhibits will be published in a summer 2006 issue of Academic Emergency Medicine, as well as in the Annual Meetingon-site program. However, if submitters have conducted a research project on or using the innovation, the project maybe written up as a scientific abstract and submitted for scientific review in the appropriate subject category by theJanuary 10 deadline.

The deadline for submission of IEME Exhibit applications is Wednesday, February 16, 2006 at 5:00 pm EasternDaylight Time. Only online submissions using the form on the SAEM website at www.saem.org will be accepted. Forfurther information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801.

SAEM

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Call for NominationsDeadline: February 15, 2006

Nominations are sought for the Hal Jayne Academic Excellence Award and the Leadership Award. These awardswill be presented during the SAEM Annual Business Meeting in San Francisco during the 2006 Annual Meeting.Nominations for honorary membership for those who have made exceptional contributions to emergency medicine arealso sought. The Awards Committee wishes to consider as many exceptional candidates as possible. The awardsand criteria are described below:

Academic Excellence AwardThe Hal Jayne Academic Excellence Award is presented to an individual who has made outstanding contributions toemergency medicine through research, education, and scholarly accomplishments. Candidates will be evaluated ontheir accomplishments in emergency medicine, including:

1. Teaching● Didactic/Bedside● Development of new techniques of instruction or instructional materials● Scholarly works● Presentations● Recognition or awards by students, residents, or peers

2. Research and Scholarly Accomplishments● Original research in peer-reviewed journals● Other research publications (e.g., review articles, book chapters, editorials)● Research support generated through grants and contracts● Peer-reviewed research presentations● Honors and awards

Previous recipients of this award are: Tom Aufderheide, MD, William Barsan, MD, Charles Brown, MD, Steven Dronen,MD, Richard Edlich, MD, PhD, Lewis Goldfrank, MD, Glenn Hamilton, MD, Jerris Hedges, MD, MS, Judd Hollander,MD, Gabor Kelen, MD, Arthur Kellermann, MD, MPH, Roger J. Lewis, MD, PhD, John Marx, MD, James Niemann, MD,Emanuel Rivers, MD, James Roberts, MD, Ernest Ruiz, MD, Arthur Sanders, MD, Corey Slovis, MD, Ian Stiell, MD, andBlaine White, MD.

Leadership AwardThe Leadership Award is presented to an individual who has demonstrated exceptional leadership in academic emer-gency medicine. Candidates will be evaluated on their leadership contributions including:

1. Emergency medicine organizations and publications.2. Emergency medicine academic productivity.3. Growth of academic emergency medicine.

Previous recipients of this award are: William G. Barsan, MD, Louis Binder, MD, E. John Gallagher, MD, LewisGoldfrank, MD, Glenn Hamilton, MD, Jerris Hedges, MD, MS, Robert Knopp, MD, Ronald Krome, MD, Richard Levy,MD, Louis Ling, MD, James Niemann, MD, Peter Rosen, MD, Arthur Sanders, MD, David Sklar, MD, William Spivey,MD, Judith Tintinalli, MD, Joseph Waeckerle, MD, and David Wagner, MD.

Nominations may be submitted by the candidate or any SAEM member. Nominations should include a copy of thecandidate's CV and a completed application that includes the following: • Nominee’s Name (first name, middle initial, last name, earned degrees)• Date of Birth (month, day, year)• Primary Employment Position and Institution (include mailing address, phone and FAX numbers and email address):• Education (institutions, degrees, years, and major disciplines. Do not include honorary degrees)• Principal Honors and Awards Received• Major Leadership Positions Within SAEM• Major Non-SAEM National Leadership Positions, Societies and Boards• Person Nominating Award Candidate (include mailing address, phone and FAX numbers and email address• Statement on how this individual had a positive impact on academic emergency medicine and met the criteria for

this award (limited to 2 pages):Nominations must be sent electronically to saem@saem.org.

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Medical Student Interest Group Grant Recipients Alan E. Jones, MDCarolinas Medical CenterSAEM Grants Committee

SAEM is pleased to announce the selection of ten recipientsfor the Medical Student Interest Group Grant. Each grant pro-vides $500 to the institution for activities to assist in the devel-opment of interest groups for medical students exploring emer-gency medicine as a career choice. The Grants Committeereceived twenty-two proposals and each was reviewed by atleast three reviewers and prioritized based on their educationalmerit, potential impact, feasibility, institutional support andapplicant qualifications. The Board of Directors approved thefunding of the ten recommended proposals.

SAEM continues to receive a high number of superb appli-cations from medical student interest groups. Selection of recip-ients is a challenge for the Grants Committee. Thanks to gener-ous contributions by the membership to the Research Fund,SAEM has been able to provide support for an increasing num-ber of applicants over the past several years. We firmly believethat these grants will help secure the continued influx of out-standing students and future leaders into our specialty.Congratulations to this year’s recipients:

Boston UniversityPrimary Applicant: Stephanie ChuFaculty Co-Applicant: Judy Linden, MDProject: "Emergency Medicine: Street-style." The goal is tohave emergency medicine residents and physicians teach med-ical students how to properly stabilize a person in an emergencysituation until proper medical aid is available.

East Carolina UniversityApplicant: Michael A. LongFaculty Co-Applicant: Kori L. Brewer, PhDProject: Emergency Procedures Laboratory. This grant providesa special opportunity for medical students to directly performemergency surgical procedures on anesthetized animals andwitness, first hand, the clinical physiology initially learned withinthe classroom.

George Washington UniversityApplicant: Irina Jessica FoxFaculty Co-Applicant: Tenagne Haile-Mariam, MDProject: Disaster Response Preparedness. The goal of this proj-ect is to educate medical students about their role in disasterresponse using a lecture series, mock disaster situation drills,and an educational CD-ROM.

Loma Linda University Applicant: Sarah Jane Christian-KoppFaculty Co-Applicant: Lynda Daniel-Underwood, MDProject: “24/7 : Life in the ED”. The goal of this project is to pro-vide medical students with a series of six evening lectures withassociated skills labs in order to provide advanced knowledgeon common concepts encountered in emergency medicine andto foster mentor relationships.

Mayo ClinicApplicant: Thomas P. Warrington, Rebecca Johnson, Dr. AmadoAlejandro Báez Faculty Co-Applicant: Jennifer J. Hess, MD, and Gustavo E.Flores, MD

Project: Development of an EM Interest Journal Club andEvidence Based Medicine Web-portal. This project is directedtowards Latin American medical students. The primary objectiveof this project will be the development of an emergency medi-cine evidence-based medicine web portal and monthly journalclub designed by and directed to Mayo Clinic andIberoamerican University medical students. The project willinvolve the development and maintenance of a web-basedEnglish and Spanish emergency medicine and pre-hospital carejournal club directed to a medical student level audience.Volunteer faculty members from Mayo Medical School,Iberoamerican University, and members of the Latin AmericanAssociation for Cooperation in Emergency Medicine andDisasters will serve as moderators for the project.

New York UniversityApplicant: Irina BernescuFaculty Co-Applicant: Eric Legome, MD, and Adam Rosh, MDProject: A multi-disciplinary approach to examine how the roleand interactions of the emergency physician affects the treat-ment and legal consequences of the sexual assault survivor’svisit to the ED. The goal of this project is to assemble an emer-gency physician and other members from the community (policedepartment, district attorney, rape crisis) who will speak abouttheir interactions with sexual assault survivors and how theemergency physician has an integral role in various aspects ofthe case.

University of California - San FranciscoApplicant: Carley Maak, Jon Rosenson, Carina BairdFaculty Co-Applicant: Jeff Tabas, MDProject: Combined Cadaveric Advanced Procedures/Ultrasound course. The goal of this project is to provide medicalstudents with a course that focuses on instruction of eight emer-gent procedural techniques and a basic introduction to emer-gency ultrasound. Each course involves sessions on two con-secutive days, including a classroom portion and a separate labsection with the unembalmed cadavers and the ultrasoundmachines.

University of MarylandApplicant: Kenneth H. ButlerProject: The proposed project will offer students workshops in ablended educational technology environment. Blended simula-tion is the combination of the use of standardized patients andhuman patient simulators to provide students a richer, morecomplex learning experience than either technology can offer ona stand alone basis. Standardized patients offer the realism ofan actual patient encounter.

University of MichiganApplicant: Malika Fair, Anita VashiFaculty Co-Applicant: Laura Hopson, MD Project: “EM Day”. This project is intended for medical studentsand provides first hand experience from several areas withinemergency medicine including airway management, pre-hospi-tal services, flight medicine, and ultrasonography. Students willrotate through stations in which EM faculty and residents willteach and develop mentor relationships with the students.

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Board of Directors UpdateThe SAEM Board of Directors meets monthly, usually by

conference call. This report includes the highlights from theOctober and November conference calls.

The Board approved a Institutional Membership Programand a Young Physician Discount Program. Details are pub-lished in this issue of the Newsletter.

The Board approved the budget for the 2006 SAEM AnnualMeeting as proposed by the Program Committee. A ProgramCommittee update is published in this issue of the Newsletter.

The Board approved the application of the 2006 New YorkRegional Meeting, which will be held on April 8 in Syracuse,New York. The Board also approved the application of theSoutheastern Regional Meeting, which will be held on March24-25 in Greensboro, North Carolina. Calls for abstracts andfurther details are published in this issue of the Newsletter.

The Board approved the recommendations of the GrantsCommittee to fund ten Emergency Medicine Medical StudentInterest Group grants. Additional information on the grantrecipients is published in this issue of the Newsletter.

The Board approved revisions to the Satellite SymposiumGuidelines, which have been posted on the SAEM web site.The Board approved a survey of the medical students whoattended the 2005 Medical Student Symposium in New York.

The Board approved a check-signing policy, as recom-mended by the Finance Committee. The Board approved anEthics Committee proposal to develop ethics teachingresources for emergency medicine residencies.

The Board approved a Constitution and BylawsCommittee recommendation to propose some minor house-keeping-type amendments to the membership for considera-tion. The membership will have an opportunity to approve ordisapprove the amendments during the annual SAEM elec-tions, which will be held in the spring.

The Board appointed Dr. Clif Callaway to serve as theSAEM representative to the American Heart AssociationACLS Subcommittee.

The next meeting of the Board of Directors will be held onMarch 3 and March 4 during the CORD Academic Assemblyin Las Vegas.

Call for AEM ReviewersDeadline: March 22, 2006

SAEM members are invited to submit nominations to serve as peer reviewers for Academic Emergency Medicine. As anindicator of familiarity with the peer-review process, the medical literature, and the research process in general, peer-reviewers are expected to have published at least two peer-reviewed papers in the medical literature as first or second author.Some of these papers should be original research work. Other scholarly work or experience will be considered as evidenceof expertise (i.e., informatics experience demonstrated by network/database/desktop development).

AEM peer-reviewers are invited to review specific manuscripts based on their area(s) of expertise. Once a reviewer hasaccepted an invitation to review a manuscript, the reviewer is expected to complete the review within 14 days of receipt ofthe manuscript.

To provide feedback to reviewers, reviewers receive the consensus review from each manuscript that they review. Inaddition, each review is evaluated by the decision editor in the areas of timeliness, assessment of manuscript strengths andweaknesses, constructive suggestions, summarizing major issues and concerns, and overall quality of the review. Scoresare compiled in the AEM database. Each year the Editor-in-Chief designates Outstanding Reviewers for publicacknowledgment of excellent contributions to the peer-review process. Reviewers who consistently fail to respond torequests to review, who are unavailable to perform reviews, or who submit late or incomplete reviews may be dropped fromthe peer reviewer database at any time, at the discretion of the Editor-in-Chief.

Individuals interested in being considered for appointment as an AEM peer reviewer must send a letter of interestincluding areas of expertise as defined on the reviewer topic survey and a current CV. The reviewer topic survey can be foundat www.saem.org/inform/resurvey.htm. Most appointments as peer reviewer are for three years. All applications must besubmitted electronically to aem@saem.org by March 22, 2006.

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Wake Forest UniversityApplicant: Katie Steele, Bronwyn Young, Brett Bechtel, ChadScarboro, John McMullen, Stephanie CoxFaculty Co-Applicant: Henderson McGinnis, MD, and DavidManthey, MDProject: Advanced Procedures Lab Using a Cadaveric Model.This project will provide students interested in emergency med-icine the opportunity to become familiar and more comfortablewith various invasive procedures. The advanced procedures

skills lab for medical students is a unique offering. Medical stu-dents often find themselves at the end of a long line of peoplewaiting for a chance to perform a procedure. Through the lab,individualized instruction and supervision to the medical stu-dents will be offered while they perform the various proceduresin an environment with no harm or risk to patients. The hopethat this lab will increase the comfort and proficiency level ofmedical students interested in emergency medicine

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2005-06 Interest Group ObjectivesInterest groups are required to meet at least annually, during the SAEM Annual Meeting. At that time, each interest group isasked to develop objectives, and some are listed below for the benefit of members who may wish to participate. Additionalinterest group objectives will be published in future issues of the Newsletter. Members interested in joining an interest groupmay contact saem@saem.org and ask to be added to the interest group (and in most cases, subscribed to the interest group'slist-serv). Dues are $25 per year per interest group.

Triage Interest GroupChair: Gregory Almond, MD: Gregory.Almond@nychhc.org1. To bring researchers and educators together annually for a

collegial discussion related to triage.2. To develop educational materials related to triage.3. To discuss the various triage scales, including the

Emergency Severity Index (ESI), Canadian Triage Scale,Manchester Triage Score, Australian Score, and determine

if any objective evidence exists to allow recommendationof one.

4. To discuss potential multi-centered research projects relat-ed to the various triage scales, techniques, methodolo-gies, or outcomes.

5. To discuss multiple casualty incident triage and/or traumatriage hospital and pre-hospital.

6. To determine the advantages and disadvantages of anelectronic triage process as compared to traditional paper.

Palliative Medicine Interest Group Meeting ReportTammie Quest, MDEmory UniversityChair, SAEM Palliative Care Interest Group

There is continued interest and growing enthusiasm in thePalliative Medicine Interest Group with 18 attendees at themeeting held during the 2005 SAEM Annual Meeting and sixmembers not in attendance. The group reaffirmed the impor-tance and lack of attention emergency medicine has given tothis area by a paucity of research or education to properlyattend to the needs of patients and families that present to theED with serious chronic, progressive illness.

There was discussion regarding the growing number ofhospital based palliative medicine services in the U.S. andhow the emergency physician could best utilize this growingservice line with partnerships in clinical care, research, andeducation. A priority for initial research in palliative medicinein the ED was thought to be the development of ED appropri-ate measurement tools for pain and non-pain symptoms, aswell as quality of life measures. Educational initiatives includeincreased attention to clinical skills and competencies regard-ing ED communication skills (eg, goals of care and end-of-life

decision making), as well as pain and non-pain symptommanagement.

The Palliative Medicine Interest Group in the coming yearwould like to accomplish several initiatives that include: 1)SAEM Annual Meeting contributions in the form of anInnovation in Emergency Medicine Education Exhibit and/or adidactic session on palliative medicine research methodologyand tools; 2) the development of a web site for emergencyphysicians interested in ED based palliative medicineresearch, education and clinical skills; and 3) an EM CoreContent curriculum review of palliative medicine principlesand skills with an identification of important gaps. There isalso discussion of an ongoing initiative to craft a multi-sitepilot investigation that would focus on the identification ofpatients and families in the ED with palliative care needs.Anyone interested in joining the Palliative Medicine InterestGroup, or finding out more about this growing area, pleasecontact: Tammie Quest, MD, at: tquest@emory.edu

Medical Education Research Interest Group DevelopingChadwick Miller, MDWake Forest UniversityGloria Kuhn, DOWayne State University

The SAEM Education Research Subcommittee has decid-ed to begin an education research interest group. As all mem-bers of SAEM share a common desire to effectively and effi-ciently educate our residents and medical students, theimportance of education research is apparent to us. The pur-pose and rationale of developing an education research inter-est group are detailed below. If you are interested in becom-ing a member of this group, please reply tocmiller@wfubmc.edu with your name, contact info (address,phone number, email), and whether your information can beshared with other potential members as part of a member

directory. Dues will be collected at a later date and will besimilar to those for other SAEM interest groups. You may alsojoin through the annual duses invoice that was mailed inNovember.

Benefits and rationale for membershipEmergency medicine education is vastly understudied.

With a new emphasis on outcomes measurement from theACGME, many new reforms are being instituted in medicaleducation with little study into their effectiveness.

Furthermore, educational research in other specialties that(continued on next page)

Update from the International Interest GroupKris Arnold, MDBoston UniversityChair, SAEM International Interest Group

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perform “bedside teaching” in outpatient clinics or wards isunlikely to be applicable to our unique emergency departmentenvironment. Thus, emergency medicine would be wellserved by developing an efficient research group for the studyof effective education modalities.

An interest group will add needed structure to emergencymedicine education research. By allowing members to net-work, share ideas, and collaborate on multi-center trials, asynergistic relationship can be formed. Furthermore, such aninterest group can also work to develop a research agenda foremergency medicine to answer key questions in the medicaleducation process.

Structure and timeline for development of the interestgroup

The structure of the education research interest group willfollow the guidelines for interest groups of SAEM. The cost ofmembership is determined and is $25 annually for SAEMmembers. (You must be a member of SAEM to be a memberof an interest group). The first interest group meeting is tenta-tively planned to take place during the 2006 SAEM AnnualMeeting in San Francisco. During this two hour meeting wewill hold elections, develop objectives, and hold a general dis-cussion session.

Sports Medicine Interest GroupDavid Berkoff, MDDuke University

SAEM has recently developed a new sports medicine inter-est group. We are excited about growing this group into aproductive and active section within SAEM. In starting out wemust first define our goals and enlist others with similar inter-ests to participate in the development of this group. We willhave a list-serv dedicated to the group soon and this will cre-ate an active forum for discussion and growth of the group. Ihope that current topics, research ideas, job related informa-tion and much more will be a part of the new list serve with alarge active group of members. The goals of this interestgroup are: 1. Promote awareness of sports medicine among emergency

physicians. We hope to increase the visibility of EMtrained primary care sports medicine doctors. There are agrowing number of EM trained physicians who have goneon to train in sports medicine. Additionally, many residentsgoing into EM have interests that may be developed withfurther training in sports medicine. Until there is a morevisible presence of EM/PCSM trained physicians, this willremain a difficult task.

2. Incorporate sports medicine lectures and procedural anddiagnostic techniques commonly used in sports medicineinto emergency medicine residency curricula and intonational emergency medicine meeting agendas. The mus-culoskeletal knowledge learned in a sports medicine fel-lowship augments the fundamentals needed to be a goodemergency physician. Sports medicine trained physiciansare uniquely suited to help educate both residents and

attendings in musculoskeletal care of patients.3. Implement sports medicine research within the emergency

department. Currently neither SAEM nor ACEP have adedicated category of online abstract submissions for thesubject “sports medicine.” This is one of few fellowshipsthat have a certification process (CAQ) and there is anabundance of sports medicine, event medicine, and EMrelated musculoskeletal research that needs to be done.Getting these topics presented at the regional and nation-al meetings will be important in the future.

4. Involve emergency medicine residents in event coverage.This is already being done, but can be expanded with thehelp of those physicians already working with team andmass participation event coverage.

5. Encourage emergency medicine residents to pursue sub-specialization in sports medicine. Of the nearly 70 primarycare sports medicine fellowships, approximately 60 are runthrough the family medicine departments. Although EMresidents are encouraged to apply for these family medi-cine spots, creating positions that are run through theemergency department with an EM/PCSM trained physi-cian will be important to the growth of this field in thefuture.I look forward to developing an active and productive inter-

est group with the help of everyone with a sports medicineinterest. Please email SAEM at saem@saem.org and let themknow you are interested in joining this interest group and wecan have a list-serv up and running soon.

I am writing this article not only to inform readers of activi-ties within the International Interest Group, but also, and prob-ably more importantly, to bring the general membership up todate on what is happening internationally with EmergencyMedicine.

There are now well over 50 countries in the world withgroups of physicians actively trying to develop EmergencyMedicine as a specialty and the overall quality of emergencyhealth care services for their fellow citizens. At the 3rdMediterranean Emergency Medicine Conference held thispast September in Nice, France there were over 1500 atten-dees from around the world. Not only does this mean that

Emergency Medicine is hot, but these physicians from coun-tries at various stages of development spent what, for them,is a lot of money for the opportunity to learn more about howthey can progress back home. There are now so many inter-national meetings around the world that meeting conflict isbecoming a major planning issue.

I monitored some of the sessions in which physicians fromdifferent countries presented capsule updates of the EMdevelopment status, including roadblocks and tips/tricks ofhow they have dealt with some of the problems on their pathstoward developing EM as a medical specialty. Sure, manyhad concerns about competition with other specialties or get-

Education Research Interest Group…(continued from previous page)

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ting the minister of health to recognize them or the ubiquitousissue of compensation for care rendered. But, those issueswere presented with the same spirit as one would talk of try-ing to find better management options for a recurring difficultclinical presentation – a challenge to be met as we continueour clinical care. It was an impressive experience to feel theenergy and excitement of these physicians and of their deter-mination. I am old enough to have dealt with some of theseissues in the US, so could directly empathize.

Consistently, training and education were high on the list ofconcerns. And they are looking for advice, ideas and, mostimportantly, for interaction with colleagues who have “beenthere, done that.” Specifically, they want to hear from US EMpractitioners. Although many of the presenters are still prac-ticing in EM models divided along the lines of medical spe-cialties and many of the leaders seeking a new model are,themselves, surgeons, anesthesiologists, cardiologists andother non-EM specialists, they are eagerly open to learn asmuch as they can about the US system in order to make theirown decisions about which aspects may be adapted to theirsituations.

Since I am not preaching to the choir in this piece, hope-fully, my next comments will not be stating too much of theobvious for the audience. Emergency health care is going tobe of increasing importance as a part of the global health sys-tem over the coming years. The WHO Burden of Disease sta-tistics demonstrate increasing tolls of death and disabilityfrom disorders with acute natural history phases amenable torelatively simple interventions that will mitigate disability anddeath. The agents to provide this care are already in place inmuch of the world. Unfortunately, most of them lack educa-tion in the principles of modern emergency health care.

I heard clearly from our international colleagues how muchthey would like to hear from us, to have our assistance, notour direction, but our partnership as consultants to providesuggestions and ideas regarding their development process.There is very little in the medical literature that helps providethem a development roadmap, at least not without amassinga small library, on topics such as training for physicians com-ing from other specialties, developing EMS systems, integrat-ing with other medical specialties, nursing training, architec-tural concerns and on and on with the topics we have all dealtwith in our work lives in one way or another. Among our rankswe have a treasure trove of expertise. I am hoping we will beable to share that expertise with our colleagues around theglobe with SAEM and this Interest Group as one vehicle.

At the Interest Group meeting last spring, we undertookseveral initiatives for this year in the hopes of both providingmore value to the members of the IG and of providing servic-es of value to students, residents and faculty in the US andaround the world.

We have polled residencies for information regardingInternational fellowships for US EM residency graduates inorder to update the list posted on the SAEM website. Wehave identified two new fellowships at Emory and theUniversity of Georgia and one revamped one at USC LosAngeles County Hospital. The total stands at 14 and growing.(see table)

In order to help our international colleagues, a number ofresidencies and hospitals sponsor observational fellowshipsfor non-US graduates. These vary quite a bit in structure andcontent. So far we have identified only around 10 such pro-

grams. These programs are a major service to our interna-tional colleagues, but they are hard for them to find. If youhave one or know of one, please send the information toSAEM so we can list it in a database we are putting togetherto publish on the web.

Preparation for going abroad to participate in a medicalactivity, whether teaching or delivering care, requires attentionto issues beyond standard tourist travel preparation. We arepreparing a section of our revised web site to be dedicated topreparation for international medical service. This site willprovide information on a number of important relevant topics.

Lastly and probably most importantly for the members isan agenda to build a pool of expertise available to assist ourinternational colleagues. Different groups have some specif-ic technical needs and some of the groups have some fund-ing to get help, usually not enough to pay transportation. Iwould like to see us develop a bank of experts willing at leastto engage in an email interaction with international colleaguesand, if warranted and interested, to go on-site to lecture orassist with development using their specific expertise. To thisend I am asking any of you willing to participate in such a pro-gram to send me an email at karnold@bu.edu with some infor-mation about your personal expertise/area of interest...teach-ing, administrative, prehospital, ethics, research, etc. At pres-ent I would envision this as a web page with names, institu-tion and topics. We would not post any email addresses forprivacy/spam reasons, but would either have requests cometo the SAEM office.

This is a really exciting year with a lot happening. Any ofyou who are not members of the International Interest Groupand are intrigued by all this, please come join us.

Table

International Emergency Medicine Fellowships andDirectors

Loma Linda University, Tamara Thomas, MD

University of Southern California, Jason Ruben, MD

George Washington University, Bobby Kapur, MD

Rush University, Jamil Bayram, MD

University of Illinois, Janet Lin, MD

Johns Hopkins University, Chayan Dey, MD, MPH

Harvard Universitiy, Mark Davis, MD

Bellevue/New York University, Peter Gordon, MD

University of Rochester, Katherine O'Hanlon, MD

Brown University, Lawrence Proano, MD

Emory University, Scott Sasser, MD

Long Island Jewish Medical Center, KumarAlagappan, MD

Alameda County Medical Center, David Adler, MD

Medical College of Georgia, Jim Wilde, MD, andHartmut Gross, MD

International Interest Group…(continued from previous page)

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Call for Abstracts 2006 Southeastern Regional

SAEM Meeting March 24-25, Grandover Resort,

Greensboro NC

The deadline for submission of abstracts isTuesday, January 10, 2006 at 5:00 pm EasternStandard Time and will be strictly enforced.Abstracts can be simultaneously submitted to theSAEM Annual Meeting, and the Southeast RegionalMeeting. Only electronic submissions via the SAEMonline abstract submission form will be accepted. Theabstract submission form and instructions are avail-able on the SAEM website at www.saem.org.

This year’s keynote address will be a first handreport from the front lines of the Hurricane Katrinaresponse effort in New Orleans from Peter DeBlieux.Our second day address will be Ellen Weber present-ing “The Secrets of Peer Review.” Other featured pre-sentations include Setting Your Sights on the Dean’sOffice, Bedside Teaching Pearls, Resident AssessmentTools, Fellowships in Emergency Medicine, andDatabase Pearls for Researchers (a CD database sam-pler will be given to participants). Workshops onabstract writing, as well as reading Ultrasound andAbdominal CT scans will be conducted. We expectover 90 research oral and poster sessions this year. Aspecial session devoted to medical students interest-ed in Emergency Medicine will be presented Saturday,March 25. This year’s meeting will be held at the beau-tiful Grandover Resort, Greensboro NC, with its awardwinning golf course, spa and tennis courts for partici-pants and family. Questions concerning the meetingmay be directed to the Program Chairman, David Clineat dcline@wfubmc.edu.

Call for AbstractsWestern Regional SAEM

Meeting March 18-19, 2006

Crowne Plaza Redondo Beach, Los Angeles, CA

The deadline for submission of abstracts isFriday, January 20, 2006. Abstracts can be simulta-neously submitted to the SAEM Annual Meeting andthe Western Regional Meeting. Only electronic sub-missions via the SAEM online abstract submissionform will be accepted. The abstract submission formand instructions are available on the SAEM website atwww.saem.org. Research and didactic sessions willbe presented at the meeting. Questions concerningthe meeting content can be directed to the ProgramChair, Deirdre Anglin, MD, at: anglin@usc.edu.

SAEM Membership as of 12-1-05Active - 2423 Associate - 232Resident - 2696 Fellow - 140

Medical Student - 412 Emeritus - 20Honorary - 5

TOTAL: 5,928

National Affairs Committee ReportAccess to Emergency Medical Services Act

The Access to Emergency Medical Services Act of 2005(HR 3875) was introduced in the House of Representativesthis fall. The bill addresses reimbursement for emergencyservices, medical liability reform and encourages hospitalsto move admitted patients out of the emergency depart-ment through incentives.

It is estimated that the average emergency physician pro-vides almost $150,000 in uncompensated care each year.HR 3875 authorizes an additional 10 percent payment fromMedicare for emergency care. This premium will help offsetuncompensated care by providing an additional 180 millionreimbursement nationwide.

The second part of the act would provide the same lia-bility protection to emergency physicians as that providedto public health officials. Legal action against public healthofficials are brought against the government and not thephysician. Furthermore, awards are paid from a federalfund and punitive damages are not allowed.

Lastly HR 3875 would reward hospitals that move admit-ted patients to their definitive destination with a 10% “pre-mium” of the usual Medicare payment for that visit. Thisshould alleviate overcrowding that many emergency depart-ments are experiencing.

HR 3875 could have a dramatic effect on academicemergency departments that are often acting as the safetynet for the community. Emergency physicians shouldreview the Access to Emergency Medical Services Act andif they agree with the content, should encourage their legis-lators to support the bill in Congress.

NIH Director’s Pioneer AwardThe National Institutes of Health (NIH) is seeking appli-

cants for the 2006 NIH Director's Pioneer Award Program.The program is open to scientists at all career levels and thePioneer Award supports individual scientists not researchprojects. The award gives recipients the "intellectual free-dom to pursue new research directions and highly innova-tive ideas that have the potential for unusually greatimpact." Applicants may come from any field of research,but must be interested in exploring biomedically relevanttopics and be willing to commit the major portion of theireffort to Pioneer Award research. In September 2006, NIHexpects to make five to ten new Pioneer Awards of up to$2.5 million in direct costs over a five-year period. The firstnine Pioneer Awards were made in 2004. Thirteen scientistsreceived awards in 2005. Applications may be submittedfrom January 15 - February 27, 2006. For more information:http://nihroadmap.nih.gov/pioneer

Academic AnnouncementsSAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of

interest to the SAEM membership. Submissions must be sent to saem@saem.org by February 1 to be included in theMarch/April issue.

Louise B. Andrew, MD, JD, received the James D. MillsAward for Outstanding Contributions to Emergency Medicineduring the ACEP Scientific Assembly in September.

Deirdre Anglin, MD, MPH, has been promoted to Professorof Clinical Medicine at the Keck School of Medicine at theUniversity of Southern California. Dr. Anglin becomes thesecond person so promoted in the history of the department.

The Department of Emergency Medicine at Wayne StateUniversity School of Medicine has established its third endow-ment - the Brooks F. Bock, MD, Endowed Professorship.Named after the first Chair of the Department, the endowmentwill support the Department's clinical research activities.Previously the Department established the MunuswamyDayanandan, MD, Endowed Chair and the Edward S.Thomas, MD, Endowed Professorship to support the Chairand the Department's basic science research, respectively.

Michael Bullard, MD, has been promoted to Professor ofEmergency Medicine at the University of Alberta.

Sean Bush, MD, has been promoted to Professor,Department of Emergency Medicine, Loma Linda University.Dr. Bush is recognized for his interest in toxinology.

Wendy Coates, MD, has been promoted to Professor ofClinical Medicine at the David Geffen School of Medicine atthe University of California, Los Angeles. This is a distinctionthat is given to approximately 5% of the clinical faculty at themedical school and its affiliate institutions in recognition oftheir outstanding contributions to teaching in their particulardisciplines at the local, regional, and national levels.

Gail D'Onofrio, MD, is the principal investigator of a $150,000grant from the Department of Health and Human Services,Office of Women's Health to enhance a program entitled,"Women's Heart Advantage." Dr. D'Onofrio is the chief ofEmergency Medicine at Yale University.

Timothy Erickson, MD, has been promoted to Professor ofEmergency Medicine at the University of Illinois. Dr. Ericksonis the emergency medicine program residency director andAssociate Head for Educational Programs.

Glenn C. Hamilton, MD, MSM, received the ACEP Award forOutstanding Contribution in Education during the ACEPScientific Assembly in September. Dr. Hamilton is Professorand Chair of the Department of Emergency Medicine at WrightState University and the president of SAEM.

Johns Hopkins University and its Office of Critical EventPreparedness and Response (CEPAR) has been awarded a$15 million grant to create the Department of HomelandSecurity University Center of Excellence for the Study of HighConsequent Preparedness and Response. Gabe Kelen, MD,the director of CEPAR, and Lynn Goldman, Professor ofEnvironmental Health Science, will be directors of the NationalCenter. The grant will include 9 states, 13 entities, and over90 investigators, including Thomas Terndrup, MD, who willserve as a site principal investigator at the University ofArkansas at Birmingham.

Gabe Kelen, MD, has been elected to the Institute ofMedicine of the National Academy of Sciences. Dr. Kelen isthe chair of the Department of Emergency Medicine at JohnsHopkins University and is the president of the Association ofAcademic Chairs of Emergency Medicine.

Nathan Kuppermann, MD, MPH, has been named the chairof the Department of Emergency Medicine at the University ofCalifornia, Davis. Dr. Kuppermann previously served asProfessor and Vice Chair for Research in the Department ofEmergency Medicine. Dr. Kuppermann has been a member ofthe emergency medicine faculty at the University since 1995and is the chair of the PECARN Steering Committee.

Marvin Leibovich, MD, has been named chair of theDepartment of Emergency Medicine at the University ofArkansas and will begin on January 1. Dr. Leibovich previ-ously served as chief of emergency medicine and medicaldirector of the emergency trauma department and theMedFlight helicopter service at Baptist Health Medical Centerin Little Rock.

Timothy J. Mader, MD, has been promoted to AssociateProfessor of Emergency Medicine (unmodified) at TuftsUniversity. Dr. Mader is the Associate Research Director forthe Department of Emergency Medicine at Baystate MedicalCenter in Springfield, Massachusetts.

The Department of Emergency Medicine at Mount SinaiSchool of Medicine has established a research fellowship pro-gram, which has received a two-year $120,000 grant from theState of New York. Lynne Richardson, MD, is the coordina-tor of this initiative and Elaine Rabin, MD, is the first fellow.

Eric Noji, MD, has been elected to the Institute of Medicine ofthe National Academy of Sciences. Dr. Noji is an emergencyphysician and medical officer with the U.S. Centers forDisease Control and Prevention in Washington, DC. There areonly 1,461 active members of the Institute of Medicine in theUnited States.

Brian J. O'Neil, MD, has been promoted to full professor inthe Department of Emergency Medicine at Wayne StateUniversity. He is the Research Director at the Wayne StateUniversity-affiliated emergency medicine program at WilliamBeaumont Hospital in Royal Oak, Michigan.

Paul E. Pepe, MD, received the ACEP Award for OutstandingContributions in EMS during the ACEP Scientific Assembly inSeptember. Dr. Pepe is the chair of emergency medicine atthe University of Texas Southwestern Medical Center.

Michael T. Rapp, MD, received the John G. WiegensteinAward for Outstanding Leadership during the ACEP ScientificAssembly in September. Dr. Rapp is clinical professor at theDepartment of Emergency Medicine at George WashingtonUniversity.

Emanuel P. Rivers, MD, has been elected to the Institute ofMedicine of the National Academic of Sciences. Dr. Rivers isthe Director of Research in Emergency Medicine and SurgicalCritical Care at Henry Ford Hospital in Detroit. Members of

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Opportunities for a Career that Combines Emergency Medicine and Public Health

Mucio Kit DelgadoCollege of Physicians & SurgeonsColumbia University

In considering future career paths in emergency medicine,fourth year medical students like me may already be contem-plating whether they might pursue additional training to carveout a niche within our broad specialty. One exciting area ofspecialization to consider is public health and health servicesresearch.

Emergency physicians have significant contact with a sub-stantial vulnerable population of patients in our country whounderutilize primary care services and are at risk for compli-cations due to preventable illness. These include the unin-sured, underinsured, immigrants, homeless, persons withsubstance abuse problems and/or mental illness, and thosewho are apathetic about taking care of themselves. Thesepatients who may be least likely to participate in traditionalcommunity screening programs for common treatable illness-es such as depression comprise a disproportionately highnumber of patients who visit the emergency department.1

Thus the emergency department is a key component of thehealth care safety net, generating tremendous opportunitiesfor an increased role in public health activities.2 These activ-ities include the surveillance of presenting disease condi-tions,3 screening for preventable illnesses,4 providing coun-seling and education,5 and linking patients with appropriateservices such as health insurance and social work providers.6

However, it is well known that the emergency departmentsthat are the most likely to see the highest percentage of thesevulnerable individuals are also the busiest, with ancillary serv-ices already stretched thin. There has been much debate inAcademic Emergency Medicine as to which services can beprovided effectively without compromising the primary mis-sion of the emergency department to provide acute care.7 Itis within this area that much more research is needed todefine more clearly the public health role of the emergency

department.The SAEM Public Health Interest Group (PHIG) has been

extremely active in discussing and researching these issues.The PHIG encourages emergency physicians and other inves-tigators to develop projects that address the most significantpreventable threats to health laid out by Healthy People 2010,the government prevention agenda for the nation. There is anextensive database on the PHIG website that categorizes allthe current research projects by SAEM members by healthrisk.8 It is no surprise that due to the broad clinical scope ofemergency medicine, SAEM members are currently workingon projects to address almost every health risk targeted byHealthy People 2010. The range of projects is staggering,including projects such as injury prevention and control, rapidHIV testing, strategies to promote smoking cessation andreduce alcohol use, screening for depression and domesticviolence, increasing children’s health insurance enrollment,and patient education on chronic conditions such as asthma.

Unlike pursuing a fellowship in one of the accredited (ornon-accredited) sub-specialties, there is no one way to goingabout attaining further training in public health and healthservices research. Several members of the PHIG have com-pleted formal degrees in public health, most often at the mas-ter’s level. Currently, graduate training in public health can bepursued separately or in conjunction with numerous fellow-ships that are available in one of three ways (see table). Themost direct route is through an increasing number of emer-gency medicine fellowships specifically geared towards pub-lic health. A second option is to do a general research fel-lowship through an emergency medicine department with apublic health mentor and an affiliation with a school of publichealth. Finally, one can undertake one of the numerous fel-lowships outside departments of emergency medicine.

Fellowship training opportunities for EM public health /health services researchSpecific public health fellowships at EM programs (excludes international and disaster medicine fellowships)• Brown University (2): Preventive Health Interventions in Emergency Medicine Research Fellowship; Injury Prevention:

(http://www.brown.edu/Administration/Emergency_Medicine/emr/pages/fellowships.htm)• Emory University: Injury Control Fellowship (http://ww.sph.emory.edu/CIC/)• George Washington University: Health Policy Fellowship (http://www.gwemed.edu/helpolfel.htm)• Massachusetts General Hospital: EMNet Research Fellowship (http://www.emnet-usa.org)• Oregon Health Sciences University: Emergency Health Services Research Fellowship

(http://www.ohsu.edu/emergency/fellowship/research/index.htm),General research fellowships at EM programs with master’s level training in public health (excludes ones above)• Emory University (http://em.emory.edu/education/fellowships/)• Jacobi / Montefiore (http://www.jacobi-em.com/Fellowships.htm)• Johns Hopkins University: (http://www.hopkinsmedicine.org/emergencymedicine/Education/Fellowships)• Mt. Sinai (http://www.mssm.edu/emergmed/residency/fellowship.shtml)• UCLA-Harbor (http://www.emedharbor.edu/research.htm)• University of Utah (http://uuhsc.utah.edu/emresidency/fellow.htm)• Wayne State University/Detroit Medical Center (http://www.dmc.org/em/fellowship/clinical/goals/)Selected public health fellowship opportunities outside EM• Agency for Healthcare Quality Research: Training and Education (http://www.ahrq.gov/fund/training/trainix.htm)• American Medical Student Association: Washington Health Policy Fellowship (http://www.amsa.org/whpfp/)• Association of Schools of Public Health: Fellowships (http://www.asph.org/document.cfm?page=752)• Centers for Disease Control: Epidemiology Intelligence Service (http://www.cdc.gov/eis/)• National Center for Health Statistics/AcademyHealth Health Policy Fellowship (http://www.academyhealth.org/fellowships/index.htm)• Robert Wood Johnson: Clinical Scholar’s Program (http://rwjcsp.stanford.edu/). Offered at: UCLA, University of Michigan, University of

Pennsylvania, and Yale University.• RAND Corporation: Educational Opportunities (http://www.rand.org/about/edu_op/) • Veteran’s Administration and Research and Development program (http://www1.va.gov/resdev/resources/training.cfm#hsr)

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Most public health and health services research fellow-ships will include formal coursework in biostatistics, epidemi-ology, health management and policy, economics, and otherdisciplines relevant for the fellow’s research interests. But thekey to developing a career in academic emergency medicineis having a good mentor, of which there is no shortage withinthe SAEM PHIG. More information can be reached on theSAEM PHIG website at: http://www.saem.org/inform/public.htm.

References1. Kumar A, Clark S, Boudreaux ED, Camargo CA Jr. A multi-center study of depression among emergency departmentpatients. Acad Emerg Med 2004; 11(12):1284-9.

2. Irvin CB. Public Health Preventive Services, Surveillance,and Screening: The Emergency Department’s Potential. AcadEmerg Med 2000; 7(12):1421-3.

3. Hirshon JM. The Rational for Developing Public HealthSurveillance Systems Based on Emergency Department DataAcad Emerg Med 2000; 7(12):1428-32.

4. Rhodes KV, Gordon JA, Lowe RA. Preventive Care in theEmergency Department, Part I: Clinical Preventive Services –Are They Relevant to Emergency Medicine? Acad Emerg Med2000; 7(9):1036-41.

5. Wei HG, Camargo CA. Patient Education in the EmergencyDepartment. Acad Emerg Med 2000; 7(6):710-7.

6. Gordon JA, Billings J, Asplin BR, Rhodes KV. Safety NetResearch in Emergency Medicine: Proceedings of theAcademic Emergency Medicine Consensus Conference in the“Unraveling Safety Net” Acad Emerg Med 2001; 8(11):1024-9.

7. Irvin CB, Wyer PC, Gerson LW. Preventive Care in theEmergency Department, Part II: Clinical Preventive Services –An Emergency Medicine Evidence-based Review. AcadEmerg Med 2000; 1042-54.

8. SAEM Public Health Interest Group, Public Health Projectsin Emergency Medicine, 2000 – Present. Version 4.Accessible at:http://www.saem.org/inform/publichealth/hp2010em.pdf.

Opportunities…(continued from page 15)

the Institute make a commitment to involve themselves in thework of the Institute, which conducts studies and other activ-ities addressing a wide range of issues in medical science,health services, public health, and health policy. Dr. Riversalso received the ACEP Outstanding Contribution in ResearchAward during the Scientific Assembly in September.

David Tanen, MD, has assumed the duties of the EmergencyMedicine residency program in the Department of EmergencyMedicine at the Naval Medical Center in San Diego.Previously the position was held by Paul Pearigen, MD, whowas appointed as Executive Assistant to the Surgeon Generalof the Navy in August.

Tamara Thomas, MD, has been promoted to Professor,Department of Emergency Medicine, Loma Linda University.Dr. Thomas is recognized for her interest in international emer-gency medicine.

Deb A. Travers, RN, PhD, Research Assistant Professor ofEmergency Medicine at the University of North Carolina atChapel Hill has been inducted into the Academy of EmergencyNursing.

A computerized system developed by the University of NorthCarolina at Chapel Hill and North Carolina Division of PublicHealth experts to detect bioterrorism and infectius diseaseoutbreaks has received the 2005 Davies Award for PublicHealth. The system NC DETECT (North Carolina DiseaseEvent Tracing and Epidemiological Collection Tool) is intendedto help public health officials to quickly recognize when anoutbreak of infectious disease or a bioterror attack is under-way and launch containment efforts. The principal investiga-tor is Anna Waller, MD.

Peter Viccellio, MD, received the Colin C. Rorrie, Jr. Award forExcellence in Health Policy during the ACEP ScientificAssembly in September. Dr. Viccellio is Professor and ViceChair of the Department of Emergency Medicine at the StateUniversity of New York, Stony Brook.

Jacob Ufberg, MD, will be promoted to Associate Professorof Emergency Medicine at Temple University.

Suzanne R. White, MD, has been promoted to full professorin the Department of Emergency Medicine at Wayne StateUniversity. She is serves as the Medical Director of theRegional Poison Control Center, as well as the FellowshipDirector for the Medical Toxicology Program at Children'sHospital of Michigan.

Academic Announcements…(continued from page 14)

Call for AdvisorsThe SAEM Virtual Advisor Program

has been a tremendous success.Hundreds of medical students havebeen served. Most of them attendedschools without an affiliated EM resi-dency program. Their “virtual” advi-sors 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. Pleaseconsider mentoring a future colleagueby becoming a virtual advisor today.We have a special need for osteo-pathic emergency physicians toserve as advisors. It is a brief timecommitment – most communication

takes place via e-mail at your conven-ience. Informative resources and arti-cles that address topics of interest toyour virtual advisees are available onthe SAEM medical student website.You can complete the short applica-tion on-line at http://www.saem.org/advisor/index.htm. Please encourageyour colleagues to join you today as avirtual advisor.

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Intensive Grants Preparation WorkshopWednesday, May 17, 2006

Obtaining independent federal research funding is a critical step in achieving a successful academic research career in emer-gency medicine. Grant Mentorship Workshop sessions offered at past SAEM Annual Meetings have been well received andhave assisted past participants in securing subsequent grant funding. This new full-day Grants Preparation Workshop will sig-nificantly improve the potential for committed academic emergency physicians to obtain independent research funding by rap-idly developing their grant writing skills and providing detailed expert feedback on each participant’s draft grant applications.This expanded format will allow for integration of focused didactics, a newly developed series of writing exercises, and addi-tional time for one-on-one mentoring with the course faculty. Faculty includes highly experienced senior level EM grant writersand reviewers, as well as experts from the NIH.

The course is open to SAEM member faculty and fellows registered for the Annual Meeting who can submit a completed grantapplication draft (near-ready for submission or submitted but not funded) for review 30 days prior to the course. To ensure indi-vidual attention, enrollment is limited and there is a $100 course fee in addition to meeting registration fees (please use the onlineAnnual Registration Meeting Form that will be available at www.saem.org by January). For optimal matching of course facultywith participants and to allow adequate time for expert review of participants’ grant drafts, all draft grant applications (and cor-responding “pink sheets”) must be submitted to the SAEM office (via email at www.saem.org by April 15, 2006). Earlier sub-missions welcomed and encouraged.

7:30 am Registration and Continental Breakfast

8:00 am Introduction Richard Rothman, MD, PhD and Gary Green, MD, MPH, MBA; Johns Hopkins University

8:15 am Reading and Interpreting the Request for Proposals (RFP)Cindy Miner, PhD Chief, Science Policy Branch, National Institute of Drug Abuse, NIH

8:45 am Anatomy of a Grant: Common Pitfalls and How to Avoid ThemMark Angelos, MD, Ohio State University

9:15 am Strategic Planning: Allocating Time, Personnel, and Resources for Success Edward Bernstein, MD, Boston Univeristy

9:45 am Building an “Airtight Case” for FundingJohn Younger, MD, University of Michigan

10:15 am Break

10:30 am Workshop I: Specific Aims and Hypotheses: Writing a Concise and Captivating First PageRichard Rothman, MD, PhD, with Larry Melnicker, MD, MS, New York Methodist Hospital, and David Karras, MD,Temple University

11:30 am Workshop II: Organizing and Presenting Preliminary Data to be a Strong Marketing ToolGary Green, MD, MPH, MBA with Ramana Feeser, MD, Virginia Commonwealth University, Paul Tran, MD,University of Nebraska and John Duldner, MD, Akron General Medical Center

12:30 pm LUNCH SESSION: The Science of the Budget and the Art of Budget Justification Judy Shahan, BSN, MBA, Research Center Executive Director, Johns Hopkins University

1:15 pm Workshop III: Budget and Resources Practicalities: Calculating FTEs, %Effort and Indirect CostsJudy Shahan, BSM, MBA, Johns Hopkins University, and James Olson, PhD, Wright State University

2:00 pm Mock Study Section Edward Bernstein, MD, Grant (RO1) with NIDA reviewer

2:30 pm Break

2:45 pm Concurrent Study Section Sessions: All Course FacultyStudy Section A (Basic Science Grants)Study Section B (Clinical Research Grants)Study Section C (Health Services Research Grants)

4:00 pm Individual Mentoring with Primary Reviewers: All Course Faculty

5:30 pm Closing Comments

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ACADEMIC RESIDENTNews and Information for Residents Interested in Academic Emergency Medicine

Edited by the SAEM GME Committee

Medical Simulation in EM Training and BeyondBharath Chakravarthy, MDMount Sinai

What is simulation? It is defined as the act of mimicking areal object, event or process by reproduction or representa-tion, as of a potential situation or in experimental testing.Medical institutions throughout the country and world areresponding to the growing demands of technology, diseaseprocesses and standard of care by training their allied healthprofessionals in more sophisticated and risk free arenas,which include high fidelity simulation education. As a resi-dent, you have probably experienced some sort of simula-tion training. As technology evolves, it is very likely that thistechnology will help you keep up to date throughout yourcareer.

Medical simulation owes its roots to anesthesiology, whichwas the first group of physicians to implement the new tech-nology to train its members in the tools of their trade and inthe hopes to reduce errors in medicine. Simulation traininghas always been a part of emergency medicine in one formor another. The American Board of Emergency Medicineuses “patient scenarios” during its oral board examination,essentially a form of simulation. But high fidelity simulatorsare relatively new tools in resident education that are quick-ly becoming a popular and important resource for health pro-fessionals.

The history of medical simulation and the human patientsimulator owes its development to major events such asaeronautics and flight simulation. Military flight simulatorsproved that the use of simulation is cost effective and hasimplemented several hundred hours of mandatory trainingprior to actual flights. Furthermore, increased knowledge indiseases, the body and drugs supported the use of tech-nologies. The evolution in medical technologies as well asthe education, implementation and standardization in criticalmedical techniques as in BLS, ACLS, ATLS, and PALS certi-fication has enhanced the incorporation of simulation-basedlearning. Another historic event that ameliorated the use ofsimulation is the institution of core competencies in medicaleducation. Finally, and most importantly, the discovery ofhardware and software technologies has greatly facilitatedthe integration of physiology and pharmacology with diseaseprocesses in a real-life, risk free technology.

So what is the evidence behind simulation based educa-tion? Since computer simulation technology is in its infancyin terms of development and research there are no trials thatprove that it is effective in medical education and in decreas-ing errors. Many experts believe that high fidelity simulationand virtual reality training will indeed prove to be ethically,financially and educationally more sound than live patienttraining. There is ongoing research that is addressing thisvery issue. Many studies have proven that this form of learn-ing is more readily accepted amongst its students. Studiesin anesthesia showed that residents achieved clinical skills

more rapidly with the use of a simulator and software simu-lation using ACLS algorithms and showed greater retentionrates than traditional text book learning. In fact, no otherindustry has proven the validity or value of simulation edu-cation and training. Dr. Gaba, a pioneer in simulation edu-cation, is quoted as saying, “No industry in which humanlives depend on the skilled performance of responsible oper-ators has waited for the unequivocal proof of the benefit ofsimulation before embracing it.” The Council of ResidencyDirectors (CORD) has established the following recommen-dations for simulation.

1. Simulation is a useful tool for training residence and inascertaining competency. The core competencies mostconducive to simulation-based training are patient care,interpersonal skills, and systems based practice.

2. It is appropriate for performance assessment but thereis a scarcity of evidence that supports the validity ofsimulation in the use for promotion or certification

3. There is a need for standardization and definition inusing simulation to evaluate performance

4. Scenarios and tools should also be formatted and stan-dardized such that EM educators can use the data andcount on it for reproducibility, reliability and validity.

How can you implement this blossoming technology intoyour education and possibly your career? Simulators andsimulation comes in all shapes, sizes and budgets.

It is first important to target and tailor your educationalneeds to a particular group of individuals, whether they aremedical students, residents, attendings, nurses or a healthteam consisting of all of the above. Education can be insti-tuted on an individual level or on a team skills basis. Thesimulator can be used to look at core competencies, partic-ularly in the areas of patient care, medical knowledge, inter-personal skills/communication/professionalism, and system-based practice. The simulator can help regulate uniformityin patient experiences left up to chance during residency andcan help residents gain experience in procedures such asintubations, cardioversion, periocardiocentesis and thora-costomies. Debriefing sessions immediately after the simu-lation can help residents synthesize and integrate clinicalapplications. In reference to the core competency of com-munication the simulator maybe particularly useful in inter-acting with the “difficult patient” or delivering “bad news,” askill not always addressed in formal education.

Furthermore, simulator training is being used in residentassessment. Differing tools such as check lists, OSCE(Objective Scores Clinical Evaluation), and SEGUE (skillsneeded to set the stage, elicit information, give information,understand the patient, and end the encounter) are currentlybeing evaluated as assessment tools in simulation.

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Standardization in assessing residents and defining the con-cept of competence are a necessity in the future of simulatorassessment.

Crisis Resource Management, developed in the wake of theCrew Resource Management concept from aeronautics, is anarea of research and development that looks at the humanfactor of communication errors. The emergency departmentlends itself to a myriad of interactions between emergencyphysicians and staff, as well as between consult services andprivate physicians. This level of intricacy in communicationand teamwork is unique to the ED and can be reinforced andassessed within a simulator environment. ACLS, ATLS andPALS instruction lends itself readily to the high fidelity simula-tor. It can be used in the communication skills, teamwork andskills assessment.

Disaster management and training is another area that iscurrently relevant to emergency medicine preparedness andresearch. The simulator can mimic physiologic responses topotential biologic weapons. Defibrillation, antidotes, chestcompressions, and communication skills are likely more eas-ily assessed and performed in the simulator rather than inmock casualty scenarios using live actors.

The cost, overhead and maintenance of a high fidelity sim-ulator are high but it is likely a matter of when, rather than if,the use of this technology will be used in our current conceptof education and assessment.

2006 CPC CompetitionSubmissions Sought

Deadline: February 2, 2006

Submissions are now being accepted from emergencymedicine residency programs for the Semi-Final CPCCompetition to be held May 17, 2006, the day before theSAEM Annual Meeting in San Francisco. The deadline forsubmission of cases is February 2, 2006 with an entry feeof $250. Case submissions and presentation guidelines willbe posted on the CORD website at www.cordem.org and itis anticipated that online submission will be required.

Residents participate as case presenters, and programsare encouraged to select junior residents who will still be inthe program at the time of the Finals Competition, which willbe held during the 2006 ACEP Scientific Assembly, October15-18 in New Orleans. Each participating program selects afaculty member who will serve as discussant for anotherprogram’s case. The discussant will receive the caseapproximately 4-5 weeks in advance of the competition. Allcases are blinded as to final diagnosis and outcome.Resident presenters provide this information after comple-tion of the discussant’s presentation.

The CPC Competition will be limited to 60 cases select-ed from the submissions. Approximately 80 submissionsare anticipated. A Best Presenter and Best Discussant willbe selected from each of the six tracks.

Winners of the semi-final competition will be invited toparticipate in the CPC Finals. A Best Presenter and BestDiscussant will be selected.

The CPC Competition is sponsored by ACEP, CORD,EMRA, and SAEM. If you have any questions, please con-tact CORD at cord@cordem.org or call 517-485-5484.

Resident Portfolio Submissions toAEM Invited

Academic Emergency Medicine has developed a journalsubsection for the publication of reflections and introspec-tion of experiences encountered by Emergency Medicineresidents during their training. The intent is to share howthe experience affected the personal growth and develop-ment of the resident as a professional. This self-reflectionis important to the ACGME Practice-Based Learning corecompetency, and reinforces life long learning attributes crit-ical to the successful practice of Emergency Medicine.

Portfolio submissions should be a maximum of fivepages, 15 references, and if desired, may include one tableor figure. Patient and colleague confidentiality must beassured. The submission should include an abstract thatplaces the experience into a professional development con-text (why the issue is important to emergency physiciansand educators, how it tested the author’s personal and pro-fessional development, and a “take home” point).

Each portfolio may undergo invited commentary fromindividuals with expertise in the identified area of discus-sion. These commentaries will be a maximum of two pagesin length, and will focus on “learning points” that the read-ership may consider. Primary authors must be anEmergency Medicine resident, or reflect an experienceencountered in the residency training environment by anEmergency Medicine residency graduate.

Please use the web-site link for submissions:http://ees.elsevier.com/acaeme/default.asp, and feel free tocontact the AEM Editorial Office with any questions:aem@saem.org , or 517-485-5484.

Medical Student Volunteers SoughtThe SAEM Program Committee is looking for energetic

medical students to work at the 2006 SAEM Annual Meetingin San Francisco on May 18-21. Students will work closelywith program committee members to help facilitate didacticsessions. Each student will be responsible for coordinatingevaluations and other administrative responsibilities.Working at the SAEM Annual Meeting provides studentswith a unique opportunity to familiarize themselves with thecurrent research and educational activities taking place inthe field of emergency medicine. In return for working at theAnnual Meeting all student volunteers will have their regis-tration fee waived. Interested medical students should sub-mit their name and contact information to the SAEM officeat saem@saem.org. Please write “Medical StudentVolunteer for Annual Meeting” in the subject line of the e-mail.

Medical Simulation…(cont. from previous page)

See the reports of the 2005 SpadaforaScholarship recipients on pages 20 and 21.Interested residents are encouraged to apply forthe 2006 Spadafora Scholarship. Watch fordetails in the next issue of the Newsletter.

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Spadafora Scholar Report: NACCT Meeting SummaryElizabeth Gray, MDNaval Medical Center San DiegoSpadafora Scholarship recipient

Through the generosity of theMichael P. Spadafora MedicalToxicology Scholarship, I had theopportunity to attend the NorthAmerican Congress of ClinicalToxicology in Orlando on September 9-14, 2005. The funds from the scholar-ship allowed me to register for two daysof pre-course symposia as well.

The first day’s pre-meeting sympo-sium was “The Handling of RadiationEmergencies,” conducted by the OakRidge National Laboratory REAC/TS(Radiation Emergency AssistanceCenter/Training Site) staff. Havingspent over a year of my life working,eating, and sleeping less than 500 feetaway from a reactor core on board anaircraft carrier, I find radiation safety tobe a subject near and dear to my heart.The lectures given by the REAC/TShealth physicist, Steve Sugarman, pro-vided valuable insights from a differentperspective than the clinical one cov-ered in textbooks of emergency medi-cine and clinical toxicology. Mr.Sugarman resurrected important basicscience knowledge regarding radioac-tive materials that had been dormant inmy mind since college chemistry class-es and applied this information in ahighly pragmatic manner to risk assess-ment and exposure reduction strate-gies. Perhaps the most important pointof this symposium is that irradiationalone does not constitute an immediatemedical emergency, and that otheremergent medical conditions (such astraumatic injuries) take precedenceover radiological conditions.

The second day’s pre-meeting sym-posium covered “The Dark Side ofPharmaceuticals” and covered topics

ranging from prescription opioid abuseto performance enhancing drugs insports to the toxicology of pharmaco-logic sexual enhancers. With the latterclass of medications becoming morefrequently prescribed and abused, thislecture covered important pharmacolo-gy information, especially focusing onphosphodiesterase-5 inhibitors, whilemaking liberal use of the double enten-dre and thus thoroughly entertained theassembled audience.

One of the high points of the entireconference was the medical toxicologyCPC competition. While all three caseswere interesting, the discussion of acase of cesium toxicity as a therapeuticmisadventure for alternative treatmentof malignancy was particularly out-standing.

The opening day of the conferenceincluded multiple lecturers from theCenters for Disease Control andPrevention, a platform session on acet-aminophen poisoning, and lectures ondrug safety. The CDC keynote lecturecovered the National BiomonitoringProgram for toxic chemicals and dis-cussed case studies related to dioxin,lead, and cotinine (a biomarker used fornicotine exposure). The second CDClecture covered current threat estimatesfor chemical and biological terrorism.The acetaminophen poisoning platformsessions included data from Betten etal on a shortened course of oral n-acetylcysteine for treatment of acuteacetaminophen poisoning. Lectures ondrug safety included a perspective onexploiting differences in CYP2D6 iso-mers to decrease the toxicity of addic-tive drugs and a review of recent post-marketing drug safety concerns. The

final lecture of the day was entitled “AnIntroduction to Toxinology” and cov-ered an enormous menu of deadlyAustralasian snake venoms.

In my application essay for theSpadafora scholarship, I discussed myappreciation for the often sordid histor-ical context of toxicologic events, andthus it was with great delight that Iattended the Toxicology Quiz Bowl onthe first evening of the conference andthe meeting of the Toxicology HistorySociety on the second evening of theconference. The Quiz Bowl coveredtoxicology trivia of clinical import andobscure historical relevance, as well asdelving into the role of poisonings inpop culture. The Toxicology HistorySociety meeting included lectures onthe Lambeth Poisoner, the appearanceof poisons in James Bond films, andtoxicology trivia in TV shows (mostly ofthe 60’s and 70’s, which at one pointresulted in an enthusiastic, if somewhatoff-key, rendering of the theme songs ofthese shows by the audience).

The conference as a whole was awonderful experience. I had the oppor-tunity to reconnect with colleaguesfrom other hospitals, meet leading toxi-cology researchers, and interact withphysicians at the forefront of public pol-icy for planning emergency response totoxicologic events. The research pre-sented in poster and abstract form wasfascinating and so diverse as to pre-clude describing it in limited space. Ifound the NACCT meeting to be inform-ative, highly collegial, and entertaining.I am most grateful for the funding pro-vided by the Spadafora Scholarshipthat enabled me to attend this confer-ence.

Nominations Sought: Resident Member of SAEM Board of DirectorsThe resident Board member is elected to a one-year term and is a full voting member of the SAEM Board of Directors. The

deadline for nominations is February 7, 2006.Candidates must be a resident during the entire one-year term on the Board (May 2006-May 2007) and must be a member

of SAEM. Candidates should demonstrate evidence of strong interest and commitment to academic emergency medicine.Nominations should include a letter of support from the candidate’s residency director, as well as completing the “mini-bio” thatis described on page 2 of this Newsletter. Nominations must be sent electronically to saem@saem.org. Candidates are encour-aged to review the Board of Directors orientation guidelines on the SAEM website at www.saem.org or from the SAEM office.

The election will be held via mail ballot in the Spring of 2006 and the results will be announced during the Annual BusinessMeeting in May in San Francisco.

The resident member of the Board will attend four SAEM Board meetings; in the fall, in the winter, and in the spring (at the2006 and 2007 SAEM Annual Meetings). The resident member will also participate in monthly Board conference calls.

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Biomonitoring, High Definition Poisoning and the Hotel Bar: The NACCT Henry Gresham, MDUniversity of MassachusettsSpadafora Scholarship recipient

This past September toxicologists,pharmacists and emergency medicineresidents headed to Orlando, Florida forthe North American Congress ofClinical Toxicology. As one of two recip-ients of the Michael Spadafora medicaltoxicology scholarship, I had the pleas-ure of attending as well.

This year’s conference began withthe NACCT keynote breakfast where Dr.James Pirkle of the CDC/Division ofLaboratory Sciences spoke about thestatus and future direction of thenational biomonitoring program. Thisprogram aims to monitor human expo-sure to environmental toxins throughmeasurement of substances or theirmetabolites in human specimens, suchas blood or urine. While this was notedas the “official” beginning of the confer-ence, many participants arrived thenight before to kick it off with the ACMTMedical Toxicology CPC Competition.Three very interesting cases were pre-sented this year. When the dust settled,Ann-Jeannette Geib, MD, a fellow fromthe Harvard/Boston Children’s programreceived the honor of best presenterand Michael Ganetsky, MD, a fellow atthe University of Massachusetts toxi-cology program, received the honor ofbest discussant.

As the conference rolled on, I haddifficulty choosing between the pletho-

ra of concurrent lectures such as the“Herbal and Dietary SupplementVigilance Symposium”, the “ACMTScientific Symposium: The Role of theImmune System in ToxicologicalResponse” and the “EAPCCTSymposium: Controversies in ClinicalToxicology”. One I found particularlyinteresting was the AACT “Year inToxicology” lecture given by PhilipEdelman, MD, PhD, entitled “NationalCounterterrorism: Current Chemicaland Biological Briefing.” He discussedthe significant changes in biologicaland chemical response capabilities aswell as the current risk of chemical orbiological threats to homeland security.

As always, it was a packed houseMonday night for another “historic”evening given by the Toxicology HistorySociety. Moderated by John Trestrail,several presenters led us througheverything from the plausibility of thepoisonings in all the James Bondmovies, to a world-wide graveyard tourof past famous toxicologists. Theevenings journey was capped off by theever so entertaining Timothy Ericksonwith a presentation titled “Televisionand Toxicology: High DefinitionPoisoning in Color and Black andWhite”.

Interesting abstracts were in abun-dance this year. A total of 305 were

selected for oral or poster presentation,representing the many aspects andareas of toxicology. Rather than includesome of the abstracts that caught myeye, I have chosen to share why I thinkall residents who are interested in toxi-cology should apply for the MichaelSpadafora scholarship next year. Yes,there are very fascinating lectures andsymposiums here; however, unlikemany conferences I have attended,some of the most educational experi-ences came in the halls between lec-tures, at the coffee shop across fromthe meeting rooms and in the hotel barwhen the day was done. It was therethat I was able to personally chat withthe “headline” lecturers, fellowshipdirectors, and world-renowned toxicol-ogists! And it is evident that they lovetheir job and are genuinely interested intalking with residents who are consider-ing toxicology. Attending this confer-ence was not only educational and reaf-firming of my chosen career path, it wasjust plain fun. So to the family ofMichael Spadafora, SAEM and ACMT,and all the toxicologists who journeyedto Orlando this year, I say thank you;and to all the future toxicologists….startworking on your application for thescholarship for next year.

New Institutional Membership Program Developed Catherine Marco, MDSAEM Board of Directors

The SAEM Board of Directors hasdeveloped two new dues reduction pro-grams to increase membership andparticipation in the Society. The firstprogram is the Institutional MembershipDues Discount. This program is similarto the very successful Group ResidentDues Discount that has been in exis-tence for 15 years.

The Institutional Membership DuesDiscount allows institutions to pay areduced annual dues fee if all facultyare, or become, members of SAEM.The regular annual dues are $365 foractive members and $350 for associatemembers. Under the InstitutionalDiscount, the annual dues are reducedto $300, a discount of nearly 20%. To

qualify for the institutional rate the chairor chief must provide a list of all faculty(and their contact information) and pro-vide payment for each of these facultymembers.

In addition, the Board has developeda Young Physician Discount that willallow recent residency graduates toreceive a substantial discount in theirannual SAEM dues. Rather than theusual $350 or $365 rate, dues for thefirst year after residency will be $185,and the second year after residencygraduation the dues will be $275. It willnot be until the third year after gradua-tion that the young emergency physi-cian will be asked to remit the full duespayment.

As always, SAEM membership con-tinues to provide valuable and tangiblebenefits including: a subscription to theJournal, Academic EmergencyMedicine; a subscription to the SAEMNewsletter; a deeply discounted regis-tration fee to attend the SAEM AnnualMeeting, and participation in theSociety's committees, task forces, andinterest groups.

The Board hopes to increase SAEMmembership by 500 in 2006.Institutions and newly minted residencygraduates are invited to join SAEM incontinuing to meet its mission "toimprove patient care by advancingresearch and education in emergencymedicine.

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AAMC Annual Meeting ReportDavid P. Sklar, MD University of New MexicoMarcus Martin, MDUniversity of VirginiaSAEM Representatives to the AAMC

The annual meeting of theAssociation of American MedicalColleges on November 4-9 featured thetheme “Beyond Boundaries.” Theboundaries might be geographic, scien-tific, specialty or professional, racial, orfinancial. Boundaries can be valuablein helping us define ourselves as we didwhen first creating the specialty ofEmergency Medicine, and boundariescan limit us as the restrictions on allow-ing emergency physicians from takingcritical care boards restricts the numberof physicians able to solve the work-force shortage in critical care.

The boundaries discussed at thejoint session sponsored by SAEM andAACEM involved limitations in our pres-ent health care system that have result-ed in crowded emergency departments,growing numbers of uninsured, increas-ing health insurance premiums, and apublic that wants the information andopportunity to change the system. TheWye River group led by Mr. Jon Comolaand Dr. Marcia Comstock shared theresults of their multi-year consensusbuilding process involving communi-ties, providers, and numerous stake-holders to find themes that politicalleaders could adopt and expect sub-stantial support as they attempted toaddress the current problems in thehealth care system. They said that peo-ple are yearning for a compelling visionof a new health care system to be artic-ulated by political leaders that wouldengage individuals in informed healthcare decision making and improvedhealth.

Dr. George Isham from Health-partners of Minneapolis and Dr. BrentAsplin followed with a presentation thatemphasized the small percentage ofpatients who result in a large proportionof the utilization of health careresources and the opportunities forcost savings and improvements in careif new systems and incentives for thisgroup could be developed. ED crowd-ing and hospital bed utilization could bereduced, if these patients could beidentified and case managed.

There were several presentationsabout the ways in which medical care isbeing outsourced overseas (radiologynight time preliminary readings,patients seeking surgery from less

expensive doctors in Thailand, Mexico,and India.) At the same time foreigntrained physicians are filling 25% of USresidency positions raising qualityissues and moral issues about theimplications of this brain drain in reduc-ing the availability of medical care indeveloping countries.

There were also presentations aboutthe potential for electronic medicalrecords and patient information sys-tems and thus reduce medical errorsfrom inadequate or incorrect informa-tion. Similarly information available topatients on the internet will change theexpectations and relationships betweendoctors and patients.

The CAS plenary session on“Enabling Medical Students andResidents with Disabilities” was moder-ated by Dr. Joel DeLisa. This sessionfocused on the premise that no quali-fied individual with a disability shall byreason of such disability be excludedfrom participation in programs. A rea-sonable modification to a programdepends on the individual, the disabili-ty, the program and the programrequirements. Reasonable modifica-tions may include physical modifica-tions of the facility, additional time onexams, quiet rooms, multimedia materi-al, interpreters, and note takers.Unreasonable modifications mayinclude those that fundamentally alterprograms, cause direct threat to healthor safety and/or involve retroactiveadjustments to performance. TheAAMC has developed a monograph on“Medical Students with Disabilities: AGeneration of Practice.” Other AAMCmonographs and publications of inter-est distributed during the meetingincluded “Compact Between ResidentPhysicians and Their Teachers,”“Training Future Physicians aboutWeapons of Mass Destruction: Reportof the Expert Panel on BioterrorismEducation for Medicals Students,” and“AAMC Legislative and RegulatoryUpdate.” These publications are avail-able by going to the AAMC website.

The joint CAS/GFP plenary sessionfeatured a discussion on market forcesand the safety net. The Americanhealth care system’s historic compacthas been to render care to the poorthrough the provision of the safety net.

The safety net is eroding as part of alarger nationwide set of problems.Health care expenditures are currentlyat $900 billion dollars and growingexponentially annually. By 2014 theannual health expenditure is expectedto be nearly 20% of the GDP and by2030, 33% of the GDP. The traditionalcost shifting to cover the cost ofuncompensated care and the healthcare system adaptations to these finan-cial pressures and the medical schoolreliance on faculty practice plans willlikely yield diminishing returns in thefuture. Maintaining margin and missionis becoming more difficult. New healthcare practice models including commu-nity-based case management modelsare emerging in some communities asan attempt to make health care workbetter and without bankrupting ourcountry. Academic health care centerscan lead the way in reform to controlcost and increase service. The Groupon Student Affairs-Minority AffairsSection program on cultural compe-tence education featured a discussionof the “The Tool for Assessing CulturalCompetence Training (TACCT) in thecurrent medical school curriculum.

Dr. Jordan Cohen, the retiring AAMCpresident, outlined the priorities for theorganization during his final address.These are: to reform the health caresystems, restore trust in ethical humanresearch, improve the continuum ofmedical education particularly continu-ing medical education for practicingphysicians, and increase the productionof physicians by increasing medicalschool class size (sixty three medicalschools already increased their enteringclass sizes). Dr. Cohen mentioned the2005-2006 medical school enteringclass is the largest on record at 17,004first time enrollment. Applicants tomedical school increased by 4.6%overall. Hispanic and Asian enrollmentincreased but black enrollment hasdeclined. Dr. Cohen further stressedthe priority of the AAMC and impor-tance to increase the diversity of thefuture health care workforce. It will beimportant for us to consider the impli-cations for emergency medicine educa-tion, research, and clinical care inregards to these priorities as outlinedby Dr. Cohen.

Call for PhotographsDeadline: February 24, 2006

Original photographs of patients, pathology specimens, gram stains, EKG’s, and radiographic studiesor other visual data are invited for presentation at the 2006 SAEM Annual Meeting in San Francisco, CA.Submissions should depict findings that are pathognomonic for a particular diagnosis relevant to thepractice of emergency medicine or findings of unusual interest that have educational value. Acceptedsubmissions will be mounted by SAEM and presented in the “Clinical Pearls” session and/or the “VisualDiagnosis” medical student/resident contest.

No more than three different photos should be submitted for any one case. Submit one glossy photo (5 x 7, 8 x 10, 11 x14, or 16 x 20) and a digital copy in JPEG or TIFF format on a disk or by email attachment (resolution of at least 640 x48). Radiographs and EKGs should also be submitted in hard copy and digital format. Do not send X-rays. The back ofeach photo should contain the contributor’s name, address, hospital or program, and an arrow indicating the top.Submissions should be shipped in an envelope with cardboard, but should not be mounted.

Photo submissions must be accompanied by a brief case history written as an “unknown” in the following format: 1) chiefcomplaint, 2) history of present illness, 3) pertinent physical exam (other than what is depicted in the photo), 4) pertinentlaboratory data, 5) one or two questions asking the viewer to identify the diagnosis or pertinent finding, 6) answer(s) andbrief discussion of the case, including an explanation of the findings in the photo, and 7) one to three bulleted take homepoints or “pearls.”

The case history must be submitted on the template posted on the SAEM website at www.saem.org and must be sub-mitted electronically. The case history is limited to no more than 250 words. If accepted for display SAEM reserves theright to edit the submitted case history. Submissions will be selected based on their educational merit, relevance to emer-gency medicine, quality of the photograph, the case history and appropriateness for public display. Contributors will beacknowledged and photos will be returned after the Annual Meeting. Academic Emergency Medicine (AEM), the officialSAEM journal, may invite a limited number of displayed photos to be submitted to AEM for consideration of publication.SAEM will retain the rights to use submitted photographs in future educational projects, with full credit given for the con-tribution.

Photographs must not appear in a refereed journal prior to the Annual Meeting. Patients should be appropriately masked.Submitters must attest that written consent and release of responsibility have been obtained for all photos EXCEPT forisolated diagnostic studies such as EKGs, radiographs, gram stains, etc. Photos will be returned upon request. If photosare not requested to be returned, they will be destroyed one year after submission.

SAEM

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AAMC Annual Meeting and SAEMRobert Schafermeyer, MDCarolinas Medical CenterSAEM Board of Directors

Some members of SAEM haveattended and participated in variousactivities at the AAMC annual meetingthrough organizational appointment,based on their position within an aca-demic medical center or school of med-icine, or based on a position within thehospital. For many other academicemergency physicians, they may onlybe aware of the name of the organiza-tion. To only know the name of theorganization is to miss out on thepotential educational and advocacyroles that the AAMC offers. I won’t gointo a lot of detail about the structure ofthe AAMC as other SAEM leaders havedone in past articles.

However, it is important to under-stand that the main governing groupsinclude the Council of AcademicSocieties (CAS), and SAEM is a mem-ber. We have two representatives thatparticipates in their business meeting,along with representatives from AACEM

and CORD. There is the Council ofDeans and Emergency Medicine nowhas four deans who can participate inthis division. The Council of TeachingHospitals is where CEOs, COOs, CFOs,and senior medical directors partici-pate. Again, SAEM has some participa-tion as medical directors. There are twoother important divisions, theOrganization of ResidentRepresentatives and the Organizationof Student Representatives. All of thesetogether compose the group that electsthe board of the AAMC.

The other component of the AAMC isthat it has “groups” that represent avariety of academic interests. Forexample, they have groups on businessaffairs, educational affairs, faculty prac-tice, institutional advancement, residentaffairs, etc. Each of these groups has abusiness meeting and educationalmeetings to discuss common problemsor to provide advocacy and leadership

skills to their attendees or to discussquality of education or quality of patientcare. The AAMC also has an AMA sec-tion of medical schools and they repre-sent the concerns of the academicmedical colleges within the AMA.

I had the opportunity to participate inthis year’s AAMC meeting inWashington, DC. While it was not myfirst time to attend the AAMC meeting,it was the first time that I was therewhen I had an opportunity to participatein the educational aspects of the meet-ing. For faculty or residents, whetheryou are at the early stages of yourcareer or, like me, towards the latterpart of your career, there are alwayscourses of interest. I was particularlypleased with the opportunity to attendthe co-sponsored session by AACEMand SAEM on the “Implications forAcademic Medicine and AcademicEmergency Medicine Findings from the

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Call for Papers2006 AEM Consensus Conference

Deadline: March 1, 2006

The 2006 Academic Emergency Medicine ConsensusConference will be held on May 17, the day before the 2006SAEM Annual Meeting in San Francisco. Original papers aresought to accompany the conference proceedings, which willbe published in the November 2006 issue of AEM. This issueof the journal will be solely dedicated to the conference topic.

The conference theme will be “The Science of Surge.” Theconcept of surge extends to two areas, daily surge and disas-ter surge – multifaceted and multidisciplinary concepts thatare intrinsically inter-related, but not overlapping. The con-sensus conference will focus almost exclusively on definingthe scientific parameters of surge capacity. The conferencewill review current scientific knowledge, current understand-ing of surge, and current understanding of the inter-relation-ships of the two main concepts. The conference will bedesigned and conducted to reach consensus on:

• Definitions of primary concepts• How the two concepts should/could overlap• Determining important areas of discovery• Determining potential methodological approaches • Determining appropriate metricsThe major goal of the conference will be to set the research

agenda for emergency medicine for the scientific explorationof surge capacity. The conference will determine a plan foradvocacy (means to communicate the importance of this areaas a research endeavor to related disciplines, policy makers,and funding agencies), and will also identify potential fundingsources with an interest in this area.

Original contributions describing relevant research or con-cepts in this topic will be considered for publication in theNovember 2006 special topics issue of AEM if received byWednesday, March 1, 2006. All submissions will undergopeer review by guest editors and reviewers with specialexpertise in this area. If you have any questions, please con-tact David C. Cone, MD, at david.cone@yale.edu or 203-785-4710. The SAEM Newsletter and the AEM and SAEM web-sites will carry additional information about the upcomingConsensus Conference.

Call for AbstractsNew York State SAEM Regional Meeting

April 8, 2006Genesee Grande Hotel & Conference Center

Syracuse, NYThe program committee is now accepting abstract

submissions for oral presentations for the 6th AnnualNew York State SAEM Regional Meeting. The meetingwill be held on April 8, 2006 and all accepted work willbe presented orally. The deadline for abstract sub-mission is Tuesday, January 10, 2006. Only elec-tronic abstract submissions using the SAEM onlineabstract submission form at www.saem.org will beaccepted. Acceptance notification will be sent in earlyMarch.

The meeting’s didactic presentations will focus onthe importance of preexisting databases and multi –center networks in Emergency Medicine Research.There will be specific programming for medical stu-dents interested in Emergency Medicine. For moreinformation, contact James M Callahan, MD, at calla-haj@upstate.edu. CME credits will be offered throughthe Continuing Medical Education Office of the SUNY– Upstate Medical University.

Registration Fees: Early Registration (Before March15, 2006) Attendings and Faculty $50; Residents,Fellows, Nurses and Paramedics $25; MedicalStudents must register, but there is no registration fee.Conference Registration Forms may be obtained fromthe Department of Emergency Medicine, SUNYUpstate Medical University, 750 E. Adams Street,Syracuse, NY 13210.

Newsletter SubmissionsWelcomed

SAEM invites submissions to the Newsletter pertain-ing to academic emergency medicine in the followingareas: 1) clinical practice; 2) education of EM residents,off-service residents, medical students, and fellows; 3)faculty development; 4) politics and economics as theypertain to the academic environment; 5) generalannouncements and notices; and 6) other pertinent top-ics. Materials should be submitted by e-mail tosaem@saem.org. Be sure to include the names and affil-iations of authors and a means of contact. All submis-sions are subject to review and editing. Queries can besent to the SAEM office or directly to the Editor atdavid.cone@yale.edu.

Call for Abstracts10th Annual New EnglandRegional SAEM Meeting

March 30, 2006 Shrewsbury, Massachusetts

The New England Regional Program Committee isnow accepting abstracts for review for oral and posterpresentations. The deadline for abstract submis-sion is Tuesday, January 10, 2006 at 5:00 p.m.Eastern Standard Time. Only electronic submissionsvia the SAEM online abstract submission form atwww.saem.org will be accepted. Acceptance notifica-tion will be sent mid-February 2006. Abstracts can besimultaneously submitted to the SAEM AnnualMeeting and the New England Regional Meeting.Questions concerning the meeting can be directed tothe Program Chairperson, Linda C. Degutis, MD, atlinda.degutis@yale.edu.

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Chief Resident ForumSunday, May 21, 2006

Chief residency is a demanding and highly responsible position, however little formal and structure preparation is available priorto becoming a chief resident. New chief residents typically have not had the benefit of training in essential administrative,academic, and leadership skills. This one-day course will include a variety of sessions covering administrative and academictopics relevant to new chief residents. Talks and small group discussions will be led by experienced program directors and pastchief residents. All sessions will include ample time for questions. In addition, a lunch session and coffee breaks will provideopportunities for chiefs from different programs to meet and exchange ideas. The small group discussion sessions will alsoallow for interaction with workshop faculty and former chief residents.

At the completion of this course, participants will be able to understand basic characteristics of good leadership, managementtechniques, administration and problem solving concepts; have learned successful scheduling and back-up techniques;become aware of common pitfalls faced by chief residents; learned effective communication techniques; had the opportunity todiscuss potential ethical dilemmas that may arise during the chief resident year; and learned time management techniques.

All chief residents registered to attend the Annual Meeting are invited to register for the special Chief Resident Forum.Enrollment is limited and the fee is $100, in addition to the basic Annual Meeting registration fee. To register for the ChiefResident Forum use the online Annual Meeting registration form, which will be available in December.

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

8:00-8:45 So You’re Chief Resident: What Does That Mean?, Stephen Playe, MD, Baystate Medical CenterThis session will discuss the various roles and requirements of chief residents

8:45-9:45 Leadership and the Management Role, Robert Hockberger, MD, Harbor-UCLA Medical CenterThis session will describe the scope of authority and responsibility of the chief resident and explainleadership theories focusing particularly on action-centered leadership.

9:45-10:00 Break

10:00-10:45 Time Management, Tom Cook, MD, Palmetto Health Richland HospitalAt the end of this session, participants will be able to develop realistic goals given their time constraints,will recognize the importance of “To-Do” lists, and describe effective time management principles.

10:45-12:00 pm Developing a Schedule, Brigitte Baumann, MD, Cooper University Hospital/UMDNJ-RWJMS at Camden, Sheryl Heron, MD,Emory University School of Medicine,Stephen Hayden, MD, UCSD Medical CenterThis discussion will review the RRC requirements for scheduling in EM, will outline the principles ofscheduling (equity and minimization of the disruption of the circadian rhythm), and will providemechanisms for dealing with sudden changes and illness.

12:00-1:30 Lunch Session

1:30-2:15 Effective Communication, Richard Lanoix, MD, St. Luke's-Roosevelt Hospital CenterCommunication is a key element to the success of any leader. During this session, participants will learnhow to build effective communication networks, be provided with a communications “skills set” requiredto manage staff, and receive instruction on how to emerge as a positive intermediary between facultyand residents.

2:15-3:00 Professional Growth and Success as a Chief Resident, Jill Baren, MD, University of PennsylvaniaThis session will illustrate strategies for successful career development and maintenance of balancewhile serving as chief resident.

3:00-3:15 Break

3:15-4:00 Ethics and Professionalism, James Adams, MD, Northwestern UniversityAs chief resident, you may confront a new series of ethical dilemmas. This session will highlight ethicaland confidential issues that involve other residents and describe how to set professional examples for others.

4:00-5:00 Lessons Learned, Brigitte M Baumann, MD (Moderator) Cooper University Hospital/ UMDNJ-RWJMSat Camden, Dana Buchanan DO, Cooper University Hospital/UMDNJ-RWJMS at Camden, Chris BureshMD, University of Iowa, Lisa Hile MD, Darnall Army Community Hospital, Michael Odinet, MD, LouisianaState University Charity Hospital

Panel discussion of former chief residents

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SAEM Medical Student SymposiumSaturday, May 20, 2006

The Medical Student Symposium is intended to help medical students understand the residency and career options that existin emergency medicine, evaluate residency programs, explore research opportunities, and select the right residency. At thecompletion of the session, participants will: 1) know the characteristics of good emergency physicians and the "right" reasonsto seek a career in this specialty, 2) have a better understanding of the application process with regard to letters of recommen-dation, personal statement, planning the 4th year, etc., 3) consider factors important in determining the appropriate residency,including geographic locations, patient demographics, length of training, etc., 4) understand the composition of an emergencymedicine rotation and what to expect while they are rotating in the ED, 5) discuss the skills needed to get the most out of youreducational experience in the ED rotation, 6) Identify the standard sources of information in the field of emergency medicine, 7)have an appreciation of various career paths available in Emergency Medicine, including academics, private practice, and fel-lowship training, and 8) discover current areas of research in Emergency Medicine. To register for the Symposium, use the onlineAnnual Meeting registration form at www.saem.org, which will be available in December.

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

8:15-9:00 How to Select the Right Residency for You, Frank Counselman, MD, Eastern Virginia Medical SchoolAn overview of EM residency programs will be discussed. Important factors to consider in the selection processsuch as length of training, geographical location, patient demographics, and academic vs. clinical setting will bereviewed. The speaker will also discuss the difference between allopathic and osteopathic programs.

9:00-9:15 Getting Good Advice, Jamie Collings, MD, Northwestern University One of the keys to any successful career is getting and following good advice. How do you choose the rightadvisor(s) and use their wisdom to help you succeed? What do you do when your medical school doesn't havean EM residency program? What resources about the various programs are available to you?

9:45-10:30 Navigating the Residency Application Process and Interview Tactics, Peter DeBlieux, MD, Louisiana StateUniversity-Charity HospitalThis session will provide students with tips on how to prepare their ERAS application, how and when tosuccessfully interview, and how to follow-up with top programs.

10:30-11:15 Getting the Most Out of your Clerkship, Gus Garmel, MD, Stanford University/KaiserThis session will provide valuable tips for getting the most from your EM clerkship. Specific topics will include:appropriate educational goals for an EM rotation, how to prepare for your rotation to make the most of your EDexperience, recommended textbooks and references, and considerations when deciding when and where to doyour EM rotation.

11:15-1:00 pm Lunch with Program Directors1:00-1:30 Medical Student Performance Evaluation (MSPE: The Dean's Letter), Kate Heilpern, MD, Emory University

The speaker, an emergency physician and dean, will review the components of the MSPE. Medical school deansadapt the MSPE template to prepare your dean's letter. What is the MSPE? What is the role of the MSPE in theresidency process? How can you take a proactive role in your MSPE?

1:30-2:15 Career Paths and Prospects in Emergency Medicine, E. Herbert Hern, MD, Highland Hospital This session will include the variety of career paths available in emergency medicine, including private practice,academics, and dual training (EM-IM and EM-Peds), as well as fellowship training.

2:30-3:30 Small Groups: Balancing Act, Susan Promes, MD, Duke University, Betsy Datner, MD, University ofPennsylvaniaThis session will discuss how to optimize your career and personal life.

Financial Planning, David Overton, MD, Michigan State University-Kalamazoo This session will include practical tips on financial issues and will address issues such as how to put together abudget and what to do with medical student loan debt.

Optimizing your 4th year, Steve McLaughlin, MD, University of New MexicoThis session will include recommendations for making the most of your senior year, including information aboutEM and other electives, research experieince, and when to take your Board exams.

Medical Schools without EM Residencies, Bob Leschke, MD, Medical College of WisconsinThe session will help guide medical students from medical schools without EM residencies through thecomplicated maze that leads to a residency and career in EM. The session will specifically address how thisprocess differs from those students with an EM residency at their medical schools.

3:30-3:45 Closing Comments, M. Chris Decker, MD, Medical College of Wisconsin

4:00-6:00 Residency Fair - All EM residency programs will be invited to participate. During the 2005 Annual Meeting 90programs attended.

Island Jewish Medical Center was recruited to Chair thecommittee and he helped to assemble a wide range oftalented and highly experienced task force members to assistSAEM in helping it “chart its own course” in internationalwaters.

This President’s message is about the productivity to dateof just one of the task forces and committees who are workingdiligently on behalf of the membership and academicemergency medicine. This group is highlighted, not onlybecause of my long standing personal interest, but becauseof their impressive productivity to date, and most importantly,because the information they are supplying to both the Boardand the membership will have long term consequences forSAEM and how it relates to the rest of the world.

The objectives for the task force were straightforward andeven cautious in their scope. The BOD required a clearunderstanding of what was going on in this arena from theperspective of other societies and institutions before makinga decision about how SAEM might best contribute. Theobjectives as published in the May 2005 Newsletter were:1. Survey the range of international activities being offered by

US based EM organizations currently.2. Make a specific report to the Board on the pros and cons

of potential activity in international relations that areconsistent with the Society’s mission.

3. After Board review and response on objective #2, draft aposition statement for Board review describing thepotential roles of SAEM in advancing international,academic, emergency medicine.

4. Draft an article discussing objectives # 1, 2 and 3 for theSAEM Newsletter.A progress report on these objectives will be part of this

message, but first another important event has occurred thatunder-scores the necessity of SAEM paying ever more closeattention to this topic. That event was the ThirdMediterranean Congress in Emergency Medicine held in Nice,France in early September, 2005. This conference wasdeveloped primarily by the American Academy of EmergencyMedicine (AAEM) and the European Society for EmergencyMedicine with support and sponsorship to a varying degreeby a number of other societies and organizations includingSAEM. Our Society sponsored a well received four-hourresearch track. SAEM also co-sponsored a small booth that Ihad the opportunity to staff during the meeting.

It was during this time that a significant revelation occurredregarding SAEM and its global view. That is, the rest of theworld wasn’t waiting for this Society to decide how, when, orwhere we wanted to contribute. They were moving forwardwith their training programs, involvement in their academicmedical institutions, and research development. With over1,400 attendees, and 60 countries represented andpresenting, it was clear emergency medicine was on themove. I discovered 35 countries had recognized EmergencyMedicine as a specialty and witnessed South America hadliterally exploded in terms of its emergency medicine relatedactivity. Nice was a lovely town and of course, there was therequisite travel time after the conference, but the “junket”aspects of this international experience paled in comparisonwith the recognition of just how much emergency medicinewas growing up around us and how other US basedorganizations were clearly defining both a presence and rolein this important worldwide development. Sobering eventsindeed for one who imagined he had some sense of the pulse

and growth in our specialty throughout the world.Freshly chastened from the International Congress, I read

the first report of the International Task Force, presented tothe BOD in late September 2005, with great interest. Thisdocument was developed specifically to answer objective #2,a “pros and cons” based description of potential activity forthe Society. In twelve pages, a group of experiencedindividuals had identified six areas related to academicemergency medicine in which SAEM may find it beneficial toprovide a leadership role. Each had several optional actions tobe considered. The major areas included: 1. Faculty development and mentoring2. International distance learning3. International research4. Curriculum implementation5. International rotations for medical students and residents6. International EM fellowships

The Board deliberated for a considerable length of timeand intently questioned both Dr. Alagappan and the Boardliaison to the task force, Robert Schafermeyer, MD. The list ofpros clearly was longer than the list of cons and the Boardapproved the task force moving forward to develop aresponse to objective #3, a listing and eventual positionstatement regarding both short term and long term activitiesSAEM could pursue on behalf of its potential interest ininternational emergency medicine.

While objective #3 was being fulfilled, the task forcecompleted its assignment #1 which was a survey ofinternational activities currently being offered by US basedEM organizations. This document has only arrived before theBoard recently, but is most informative in terms of recentactivities by other EM groups. For example, if one goes to theACEP web site, under the membership section of“international emergency medicine”, an international strategicplan is posted. Its objective is that “quality EMS andemergency medical care programs are implemented worldwide and that ACEP is recognized as a world leader inemergency medicine training and education.” The strategicelements are clearly outlined and there is much to be gleaned,especially involving the membership activities of the“international emergency medicine section.” The breadth anddepth of their involvement is most impressive and clearlyshows an active commitment on the part of ACEP tointernational emergency medicine. Some of those areasoverlap into regions that traditionally might have beensupplied by SAEM. In the last two years, ACEP has eitherparticipated in or endorsed at least 13 international meetingsheld throughout the world from Italy and France to India andTurkey to Argentina and Mexico.

Examining AAEM, once again there is a clear commitmentas they have been the major US co-sponsor of theMediterranean Congress on Emergency Medicine (the thirdone in Nice) and are continuing to develop more sponsorshipactivities with a European Congress on Emergency Medicineand looking toward additional roles in South America. AAEMis reported as having sponsored or endorsed 16 internationalmeetings in 2004-2005 and the first Intra-AmericanConference on Emergency Medicine is planned for BuenosAires in April 2006. ACEP is also a co-sponsor of this meeting.

The National Association of EMS Physicians (NAEMSP)and the Council of Emergency Medicine Residency Directors(CORD) have more focused activities as part of their mission,

President’s Message…(continued from page 1)

(continued on next page)

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but both have actively participated in a variety of internationalactivities with didactic and research abstract presentations.This includes inviting international presentations at their ownmeetings as well as running specific tracks withininternational events.

So, with all these strategic plans and active involvementscircling around SAEM and the globe, how can we bestparticipate now that we’ve chosen to do so? That questionwill soon stand before the Board for its discussion anddeliberation. Importantly, we are not “so far behind” that itwould be useless for us to consider moving in this direction.SAEM remains recognized as one of the world leaders inemergency medicine education and research, and wouldcertainly be welcome as a partner in any endeavor in which itwould choose to participate. As the Board moves to addressthis important issue and acknowledge what’s going on in therest of the world, it would be important to hear from the

membership regarding SAEM’s involvement in this realm. Yourviews and opinions are not completely clear.

The single question on international relations in the recentSAEM membership survey, stated “EM is relativelyunderdeveloped in many nations. SAEM should increasefinancial and member effort in promoting EM education andresearch outside of north America”. Of those who responded,200 were in agreement and 161 were not. That’s not exactlya mandate and yet the world is not waiting for us.

As my last two President messages were rather directive intheir informational content, perhaps this time and with thistopic we might get some opinions flowing. You are welcometo respond to SAEM at saem@saem.org or me directly atglenn.hamilton@wright.edu. We look forward to yourcomments.

Next time, a subject long dear to my heart, but troubled byevents, Faculty Development.

President’s Message…(continued from page)

EMF Grants AvailableThe Emergency Medicine Foundation (EMF) grant applications are available on the ACEP web site at www.acep.org. From thehome page, click on “About ACEP,” then click on “EMF,” then click on the “EMF Research Grants” link for a complete listing ofthe downloadable grant applications. The funding period for all grants is July 1, 2006 through June 30, 2007, unless otherwisenoted.

EMF Directed Research Reducing Medical Errors AwardThis request for proposals specifically targets research that isdesigned to reduce medical errors in the ED setting. Althoughall clinical proposals will be considered, the highest prioritywill be given to proposals that directly evaluate interventionsto reduce medical errors and utilize quantitative outcomemeasures to assess effectiveness. Proposals may focus onspecific patient populations, disease processes or hospitalsystem components. Studies that propose to only identifyerrors without a plan to evaluate outcomes or investigateinterventions will not be considered. Applicants may apply forup to $100,000 in funding. The funds will be disbursed semi-annually over the two-year cycle. Deadline: December 19,2005. Notification: April 25, 2006.

ENAF Team GrantThis request for proposals specifically targets research that isdesigned to investigate the topic of ED overcrowding.Proposals may focus on a number of related areas, including:definitions and outcome measures of ED overcrowding, caus-es and effects of ED overcrowding, and potential solutions tothe problem of ED overcrowding. The applicants must provideevidence of a true collaborative effort between physician andnurse professionals and must delineate the relative roles ofthe participants in terms of protocol development, data col-lection, and manuscript preparation. A maximum of $20,000will be awarded. Deadline: December 19, 2005. Notification:April 25, 2006.

Resident Research Grant A maximum of $5,000 to a junior or senior resident to stimu-late research at the graduate level is available. Deadline:December 19, 2005. Notification: April 25, 2006.

Career Development GrantA maximum of $50,000 to EM faculty at the instructor orassistant professor level who need seed money or releasetime to begin a promising research project is available.Deadline: December 19, 2005. Notification: April 25, 2006.

Riggs Family/Health Policy Research GrantBetween $25,000 and $50,000 for research projects in healthpolicy or health services research topics is available.Applicants may apply for up to $50,000 for a one- or two-yearperiod. The grants are awarded to researchers in the healthpolicy or health services area who have the experience toconduct research on critical health policy issues in EM.Deadline: January 9, 2006. Notification: April 25, 2006.

Research Fellowship GrantThis grant provides a maximum of $75,000 to EM residencygraduates who will spend another year acquiring specificbasic or clinical research skills and further didactic trainingresearch methodology. Deadline: January 9, 2006.Notification: April 25, 2006.

Medical Student Research GrantThis grant is sponsored by EMF and the SAEM. A maximumof $2,400 over 3 months is available for a medical student toencourage research in emergency medicine. Deadline:February 13, 2006. Notification: April 25, 2006.

AAMC Annual Meeting…(continued from page 6)

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Wye River Group - Policy Blueprint forHealth Care” and the second presenta-tion “Epidemic of Care: Facing theFuture Demands for Health Care.” Dr.Sklar and Dr. Martin describe these ses-sions in more detail in their article,which is published in this issue of theNewsletter.

The presentations for chief medicalofficers reviewed patient safety andclarifying the rolls and responsibility forresidents given the current regulationsand patient expectations. The Group forInstitutional Advancement discussedissues of accountability and reputationmanagement when you’re under thepublic microscope, as well as hospitalsafety, quality improvement, the mythsand truths of major gift fundraising,improving access to leadership, devel-oping effective messages for difficult

issues, and many other programs. The innovations in medical educa-

tion exhibits allowed attendees achance to see what various specialties,academic medical centers, and com-mercial vendors are doing to enhanceeducation of medical students, resi-dents, faculty, and the use of simulatortechnology was well represented in theexhibit area. There were also many edu-cational sessions for the Group forStudent Affairs including the why andhow of integrating simulation through-out the medical school curriculum.

The AAMC also presents a leader-ship forum where the challenges for theupcoming year are addressed and akeynote speaker shares their sense ona specific topic. They also hold focussessions on items such as Institute forImproving Clinical Care, Transforming

Care for the Sudden Critical Illness:Medical Emergency Teams and theInstitute for Improving MedicalEducation as well.

The other Groups provided educa-tional sessions such as EducationalTechnology: Services andOrganizational Models; Virtual Patients;Proactive Strategies for the At-RiskStudent in the Residency MatchProcess; Clinical Skills Education,Dialogue for Development and manyothers.

So if you have the opportunity toattend the session next year in Seattle,in November, I would encourage you toconsider it, particularly if you wish toexpand your educational horizons andrepresent the face of EmergencyMedicine amongst the leaders ofAcademic Medicine.

Residency Vacancy ServiceThe SAEM Residency Vacancy Service was established to assist residency programs and prospective emergencymedicine residents and is posted on the SAEM website at www.saem.org. Residency programs are invited to list theirunexpected vacancies or additional openings by contacting SAEM. Prospective emergency medicine residents are invitedto review these listings and contact the residency programs to obtain further information. Listings are deleted only whenthe residency program informs SAEM that the position(s) are filled.

The SAEM Newsletter is mailed every other month to approxi-mately 6000 SAEM members. Advertising is limited to fellowshipand academic faculty positions. The deadline for theMarch/April issue is February 1, 2006. All ads are posted onthe SAEM website at no additional charge.

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 contact per-son for future correspondence, telephone and fax numbers,billing address, ad size and Newsletter issues in which the ad isto appear to: Elizabeth Webb at elizabeth@saem.org

RESEARCH DIRECTORLOMA LINDA UNIVERSITY

The Department of Emergency Medicine in the Loma LindaUniversity School of Medicine is seeking a qualified academicphysician for the position of Research Director. This individualwill qualify for an appointment at the Associate Professor or Professor level in the School of Medicine. Responsibilities will include management of department research activities and afocus on being a resource for junior faculty. A track record ofresearch using various research designs is expected, as isexperience with various statistical applications. Clinicalresponsibilities will be scaled to allow for a pursuit of a varietyof research-related activities, including teaching, writing,development of specific projects, and collaboration with otherdepartments on campus. Past experience will include extensiveinteractions with IRB processes and grant applications. Keylong-term goals are the successful development of junior facultyand increasing integration of clinical research activities with basic science investigations. The department provides all emergency services for Loma Linda University Medical Center and Children’s Hospital.

Send resumes in confidence to: William A. Wittlake, MD, FACEP, Chair Dept. of Emergency MedicineLoma Linda University Medical CenterLoma Linda, California 92354E-mail to Darci Nevatt, Administrative Assistant dnevatt@ahs.llumc.edu; Phone 909-558-7171, Fax 909-558-0121

30

FACULTY POSITIONSMORRISTOWN MEMORIAL HOSPITAL (MMH) IN MORRISTOWN, NJ:Seeking a PEM fellow for a 2 -year program starting in July 2006. MMH has aChildren's hospital with 50-60 full-time pediatric specialists and residencies inEM and pediatrics. The PEM Dept is a 16-bed unit with an annual volume of20,000 patients. Morristown, NJ is located in Morris County, 40 minutes fromNew York City. Candidates may be trained in emergency medicine or pediatrics.Contact Mark Mandell, Chief of EM, Morristown Memorial Hospital, 100Madison Ave, Morristown, NJ 07960 or by email at jobs@emamd.com.

NEW ENGLAND: Ivy League, established Emergency Medicine ResidencyProgram. This independent group of BC/BE physicians seeks faculty dedicated toproviding cutting edge education, research and clinical care in Clinical,Clinician Educator, Cardiac Care, Critical Care, Simulation, Ultrasound andPediatrics. Brand new 51,000 sq ft ED/ Level 1 Trauma Center. Competitivesalary plus outstanding benefits. Please contact Andrea Light, e-mail CValight@teedco.com

UNIVERSITY OF PITTSBURGH: Full-time emergency medicine faculty nontenure and tenure positions are available at the Instructor through Professor lev-els. Candidates must be residency trained and board certified/prepared in emer-gency medicine. We offer career opportunities as a clinician-investigator or cli-nician-teacher. Our faculty have local, national and international recognition inresearch, teaching and clinical care. The ED serves a primarily adult populationwith a volume of approximately 50,000 per year, and is a Level I trauma centerwith both toxicology and hyperbaric medicine treatment programs housed with-in our Department. Salary is commensurate with experience. For further infor-mation write to: Donald M. Yealy, MD, Vice Chair, Department of EmergencyMedicine, University of Pittsburgh School of Medicine, 230 McKee Place, Suite500, Pittsburgh, PA 15213. The University of Pittsburgh is an Affirmative Action,Equal Opportunity Employer.

UNIVERSITY OF CALIFORNIA, IRVINE: Department of Emergency Medicine isseeking a Clinical Instructor for July 2006. UCI Medical Center located inOrange County is a Level I Trauma center with a 46,000 ED census. This two-year fellowship will include formal public health education leading to an MPHdegree coupled with training in injury prevention with a traffic safety focus.Completion of an ACGME accredited Emergency Medicine Residency isrequired prior to start. Salary is commensurate with the level of clinical work.Send CV, statement of interest, and three letters of recommendation to: ShahramLotfipour, MD, MPH at Department of Emergency Medicine, Route 128-01, UCIMedical Center, 101 City Drive, Orange, CA 92868, or e-mail to SHL@uci.edu,(714)456-2326. The University of California, Irvine is an equal opportunityemployer committed to excellence through diversity.

UC SAN DIEGO: Department of Emergency Medicine is offering a one-yearACGME accredited fellowship in Hyperbaric Medicine. The curriculumincludes training in all indications for HBO therapy, and exposure to the localdiving community, weekly dive clinics, Scripps Institute of Oceanography divingprogram, and the San Diego Regional Poison Center. The fellowship includes ahalf-time faculty position in EM with competitive salary. Applicants must begraduates of an approved 4-year EM residency, or have at least one year of post-graduate experience after a PGY1-3 program. Research is an integral compo-nent of the fellowship. Applicants should send a cover letter and CV to: KarenB. Van Hoesen, MD, Director, 200 W. Arbor Drive, San Diego, CA 92103-8676,e-mail: kvanhoesen@sbcglobal.net

UNIVERSITY OF NORTH CAROLINA – CHAPEL HILL: Department ofEmergency Medicine, 4 tenure-track or fixed term physicians, research faculty,or administrative faculty. Rank/salary commensurate with experience. UNCHospitals is a 665-bed Level I Trauma Center. The Emergency Department sees44,000 high acuity patients per year, is active in regional EMS, ACLS/ATLS/BTLSeducation and has an aeromedical service. Send CV to Edward Jackem, MBA,Department of Emergency Medicine, CB #7594, Chapel Hill, NC 27599-7594.(919) 966-9500. FAX (919) 966-3049. UNC is an Equal Opportunity/ADAEmployer.

UNC- CH, Department of Emergency MedicineFaculty Appointment Advertisement

UNC-Chapel Hill, 4 tenure-track or fixed termphysicians, research faculty, or administrativefaculty. Rank/salary commensurate with experience.UNC Hospitals is a 665-bed Level I Trauma Center.The Emergency Department sees 44,000 high acuitypatients per year, is active in regional EMS,ACLS/ATLS/BTLS education and has anaeromedical service. Send CV to Edward Jackem,MBA, Department of Emergency Medicine, CB#7594, Chapel Hill, NC 27599-7594. (919) 966-9500. FAX (919) 966-3049. UNC is an EqualOpportunity/ADA Employer.

Dept Contact: Ed Jackem, Business Administrator,phone: 966-9500

Email: EJackem@med.unc.edu

Dept webpage:http://www.med.unc.edu/wrkunits/2depts/emergmed/

HR facilitator: Tracee Dorcelien,Tracee_Dorcelien@med.unc.edu, phone: 843-1400

University of Pittsburgh Medical Center

Department of Emergency Medicine offers fellowshipsin the following areas:

• Toxicology• Emergency Medical Services• Research• Education

Enrollment in the Graduate School is a part of allfellowships with the aim of obtaining a Master’s Degree.In addition, intensive training and interaction with thenationally-known faculty of the Department ofEmergency Medicine, with experts in each domain, is anintegral part of the fellowship experience. Appointmentas an Instructor is offered and fellows assume limitedclinical responsibilities in the Emergency Department atthe University of Pittsburgh Medical Center andaffiliated institutions. Each fellowship offers theexperience in basic and/or human research and teachingopportunities with medical students, residents and otherhealth care providers. The University of Pittsburgh is anEqual Opportunity Employer, and will welcomecandidates from diverse backgrounds. Each applicantshould have an MD/DO background or equivalent degreeand be board certified or prepared in emergencymedicine (or have similar experience). Please contactDonald M. Yealy, MD, University of Pittsburgh,Department of Emergency Medicine, 230 McKee Place,Suite 500, Pittsburgh, PA 15213 to receive information.

To make a donation to theSAEM Research Fund

* Use the online form athttps://www.periwinkle.net/saem/research.htm

* Send check payable to SAEM Research Fund to SAEM, 901 North Washington Avenue, Lansing, MI 48906

* Contact SAEM via phone (517-485-5484) or email(saem@saem.org)

100% of all contributions go directly to the Research Fund.All administrative costs are paid by SAEM.

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

31

University of Florida/Jacksonville

We are actively recruiting Board Certified or BoardEligible Emergency Medicine Physicians in an excitingopportunity to expand our EDs in Jacksonville &Tampa/Orlando area. At our Jacksonville ED, we havea volume of over a 90,000 patient visits per yearincluding Trauma patients. In the Orlando-Tampa area,a community-based hospital, we have a 24,000 squarefoot emergency department, 45,000 patient visits peryear. In addition to a competitive salary, we offer thefull range of University of Florida state benefits thatinclude health, life, disability insurance, vacation &sick leave, 403B retirement plan with immediatevesting, and sovereign immunity occurrence medicalliability insurance. Individuals will be appointed at therank of Assistant Professor or Associate Professor. Ifyou are interested in this opportunity please fax (904) 244-5666 or e-mail your letter of interest and CVto Dr. Kelly Gray-Eurom, Department of EmergencyMedicine, University of Florida/Jax Kelly.gray-eurom@jax.ufl.edu. This position isavailable immediately. EOE/AA Employer.

Brigham and Women’s Hospital/Harvard Medical School

The Department of Emergency medicine at Brigham and Women’sHospital is currently seeking two full time academic emergencyphysicians to join the faculty. We are specifically seeking a facultymember with sub-specialty training and expertise in emergencyultrasound to lead an established and growing emergency ultrasoundprogram. Both positions include excellent academic support includingaccess to grant writing and statistical analysis, academic appointment atHarvard Medical School, unparalleled research opportunities, competitivesalary, and an outstanding comprehensive benefit package.

Brigham and Women’s Hospital is a major Harvard affiliated teachinghospital, level I trauma center, and the base hospital for the four yearACGME accredited Harvard Affiliated Emergency Medicine ResidencyProgram. The Department of Emergency Medicine cares for over 54,000ED patients per year, and the 43 bed ED includes a 10 bed EDObservation Unit, a 5 bed rapid assessment cardio/neuro unit and anadvanced informatics system. The department is also home to STRATUS,a comprehensive medical simulation training center. The department hasa robust International Emergency Medicine Program and offersinternational EM fellowships.

The successful candidates must have successfully completed a fouryear residency training program in emergency medicine or a three yearprogram followed by a fellowship, and be board prepared or certified inemergency medicine. Interest and proven ability in Emergency Medicineresearch and teaching are essential.

Please send inquiries and CV to Ron M. Walls, MD, FACEP, ChairmanDepartment of Emergency Medicine Brigham and Women’s Hospital 75Francis Street, Neville House Boston, Massachusetts 02115. E-mailrwalls@partners.org

BWH is an Equal Opportunity/Affirmative Action Employer

Emergency Medicine Faculty PositionThe Department of Emergency Medicine at the Boston

University School of Medicine (BUSM)) seeks academicfaculty members. Positions are available at BostonMedical Center (BMC) which is a Level 1 Trauma Centerwith 130,000 visits annually. The Department of EMserves as an independent academic department withinBUSM and BMC.

The department has a nationally recognized, well-established residency program with academic facultyappointments through BUSM. BMC is the medical controland academic base for Boston EMS. In addition, we havean active research section with particular focus on publichealth, administration, EMS and cardiovascularemergencies. Candidates must be ABEM board certified oreligible and must demonstrate a commitment to thetraining of emergency medicine residents. Competitivesalary with an excellent benefits package.

Further information contact: Jonathan Olshaker MD,Professor and Chair, Department of Emergency Medicine,Boston Medical Center, 1 BMC Place, Boston MA 02118-2393. Tel: 617-414-5481; Fax: 617-414-7759; E-mail:olshaker@bu.edu. An Equal Opportunity/AffirmativeAction Employer.

Division of Emergency Medicine Fellowship

The Division of Emergency Medicine at the University ofUtah School of Medicine in Salt Lake City, Utah offers atwo-year Research Fellowship in Emergency Medicine,effective July 2005. The University of Utah is the primarymedical teaching and research institution in the state. Thisprogram allows for concentrated training and experience inresearch to prepare the fellow for a career in academicemergency medicine. Successful completion of thefellowship will include a Masters of Science in PublicHealth (MSPH) degree. Participants will be given a juniorfaculty position in the Division of Emergency Medicine;however, clinical responsibilities will be limited. Areas ofresearch can be performed in a variety of emergencymedicine-related fields, including basic science, EMS,injury control, pediatrics, toxicology, trauma, etc.Compensation for this program is very competitive andincludes all educational fees and expenses.

Applications must be completed by February 1, 2005. Ifyou are interested in applying or need more information,please contact:

Erik D. Barton, M.D., M.S., FACEPDivision Chief and Fellowship DirectorUniversity of Utah School of Medicine

1150 Moran Bldg, 175 N Medical Drive E, Salt LakeCity, UT 84132

(801) 581-2417, Fax: (801) 585-6699erik.barton@hsc.utah.edu

32

FACULTY POSITIONPEDIATRIC EMERGENCY MEDICINE

UNIVERSITY OFFLORIDA/JACKSONVILLE

The Department of Emergency Medicine seeks a full-timefaculty for the Division of Pediatric Emergency Medicine(PEM). Candidates must have excellent clinical andmanagement skills, interests in teaching and research, andbe MD/DO, BC in PEM. Shands Jacksonville, a 625 bed,Level I Pediatric Trauma Center, serves as a regionaltertiary care hospital. The Department currently includes 5PEM faculty, 6 PEM fellows, 24 EM faculty, and 50 EMresidents. This position includes a dual appointment withthe Department of Pediatrics. The ED has an annualcensus of 100,000, including a pediatric volume of 27,000,and is the PEM training site for the Pediatric, FamilyMedicine, and Emergency Medicine resident programs.The position will be offered at the tenure or non-tenurelevel of Assistant /Associate Professor. In addition to acompetitive salary, we offer the full range of University ofFlorida state benefits that include health, life, disabilityinsurance, vacation & sick leave, 403B retirement plan withimmediate vesting, and sovereign immunity occurrencemedical liability insurance. Send (or fax 904-244-5666) allinquiries and CV to: Dr. Steven Godwin, Search Chairman,Department of Emergency Medicine, 655 West 8th Street,Jacksonville, FL 32209. Please refer to LP#. TheUniversity of Florida is an Equal Opportunity Institution.

DEPARTMENT OF EMERGENCY MEDICINEEMS FELLOWSHIP

The University of Cincinnati seeks candidates for a one- or two-yearfellowship in Emergency Medical Services. The fellowship provides aneducational format to acquire the foundation of skills and knowledgerequired to become a specialist in prehospital emergency medicine.Fellowship training will enable the physician to proficiently conduct allaspects of EMS system medical direction, including treatment ofclinical problems, management of the EMS system as a communityhealth resource, education of the public and EMS system personnel,supervision of EMS personnel delivering medical care, and medicalleadership. The EMS experience is obtained through medical directionof the Cincinnati Fire Department and participation in the divisions ofthe Emergency Medicine Special Operations Institute. Fellows will alsobe proficient at the entry level in clinical research.

Clinical experience is derived from an adult emergency room whichis the regional level I trauma center with more than 90,000 visitsannually and the second busiest pediatric emergency department inthe country (83,000 annual visits). Candidates should have completedresidency training in emergency medicine, and must be eligible forBoard Certification by ABEM. Interested candidates should submitletter of interest and CV to Donald Locasto, MD, Director, EMSFellowship, University of Cincinnati, Department of EmergencyMedicine, PO Box 670769, Cincinnati OH 45267-0769; phone (513)558-5281; email donald.locasto@uc.edu. For additional informationgo to the EMS website at http://www.ucemergencymedicine.org/prehospital.asp

DEPARTMENT OF EMERGENCY MEDICINETOXICOLOGY FELLOWSHIP

The University of Cincinnati seeks candidates for a two-yearfellowship in medical toxicology consisting of inpatient andoutpatient clinical consultation, environmental and occupationaltoxicology, regional poison center experience, laboratory andclinical research and experience in hyperbaric medicine. Threemedical toxicologists serve as faculty. Clinical experience isderived from an adult emergency room which is the regional levelI trauma center with more than 90,000 visits annually and thesecond busiest pediatric emergency department in the country(83,000 annual visits). NIOSH and EPA have headquarters inCincinnati and a NIOSH medical toxicologist is involved in trainingthe fellow. The fellow takes call for the poison center, conductsinpatient and outpatient toxicologic consultations, and learns to usehyperbaric medicine for carbon monoxide poisoning and otherindications for which it is used. The option exists to obtainadditional training in occupational medicine leading to Boardeligibility. Candidates should have completed residency training inemergency medicine, pediatrics, internal medicine, or occupationalmedicine, and must be eligible for Board Certification in one ofthese specialties. Submit letter of interest and CV to Curtis P.Snook, MD, Director, Toxicology Fellowship, University of Cincinnati,Department of Emergency Medicine, PO Box 670769, Cincinnati OH45267-0769; phone (513) 558-5281; emailsnookcp@ucmail.uc.edu.

Emergency Medicine FELLOWSHIPS inProvidence, Rhode Island

The Department of Emergency Medicine at Brown Medical School is pleased tooffer Post-Graduate Fellowship Training opportunities. Our two fellowshipprograms include a Masters in Public Health degree from Brown Medical School.Fellows will serve clinically in the role of a junior attending working 880 clinicalhours per year. Our faculty have extensive experience in research and have achievedfederal and private foundation funding approximately $3M.

Fellowship Opportunities:Two Year Programs:

• Geriatrics • Medical Simulation• Injury Prevention Center• Disaster and Emergency Medical Services • Preventive Health• International Emergency Medicine

One Year Program:• Emergency Ultrasound Fellowship

Closely aligned Brown Medical School affiliated institutions where fellows workclinically include Rhode Island Hospital, Hasbro Children’s Hospital, The MiriamHospital and Memorial Hospital. The combined ED volume of Brown MedicalSchool’s affiliated EDs is 190,000 visits/year. Our new Emergency Department atRhode Island Hospital opened in April 2005. RIH is our leading training institutionand the state’s only Level 1 Trauma Center.

If you would like to be considered for any of these fellowship positions, please senda letter and CV to:

Robert H. Woolard, MD, PresidentUniversity Emergency Medicine Foundation

593 Eddy Street, Potter 2Providence, RI 02906

Phone: 401-444-5141 or send email to: CCarriere@lifespan.org

33

OREGON HEALTH & SCIENCE UNIVERSITY

PROFESSOR & CHAIRDEPARTMENT OF EMERGENCY

MEDICINESCHOOL OF MEDICINE

The School of Medicine of the Oregon Health &Science University is recruiting candidates for theChair of the Department of Emergency Medicine.The successful candidate will be board certified bythe American Board of Emergency Medicine andpossess outstanding clinical skills, excellence inscholarly activity and a proven record of adminis-trative leadership. Additionally the candidate musthave a strong commitment to medical student andresident education. OHSU has a strong basic sci-ence research program, an organized faculty prac-tice, a large graduate studies program and a nation-ally recognized curriculum reform program formedical students. Candidates should forward a letterof interest and a current curriculum vitae to theattention of Drs. Edwin Everts and SharonAnderson at lockartn@ohsu.edu.

OHSU is an affirmative action equal opportunity employer.

DEPARTMENT OFEMERGENCY MEDICINE

MASSACHUSETTSGENERAL HOSPITAL

A Major Teaching Affiliate of Harvard Medical School

The Department of Emergency Medicine at Massachusetts GeneralHospital is seeking candidates for faculty positions at all academiclevels. Special consideration will be given to those with anestablished track record in clinical or laboratory research and acommitment to excellence in clinical care and teaching. Academicappointment is at Harvard Medical School and is commensuratewith scholarly achievements. MGH is an equal partner in the 4-year BWH/MGH Harvard Affiliated Emergency Medicine ResidencyProgram. The ED at MGH is high volume, high acuity level 1 traumaand burn center for adult and pediatric patients. The annual visitvolume is >76,000. The successful candidate will join a faculty of28 academic emergency physicians in an academic departmentwith active research and teaching programs, as well as fellowshipprograms in research, administration, and medical simulation.Candidates must have completed at least 4 years of residency plusfellowship training in Emergency Medicine. Inquiries should beaccompanied by a curriculum vitae and may be addressed to:David F. M. Brown, MD, FACEP, Vice Chairman, Department ofEmergency Medicine,

Massachusetts General Hospital, Bulfinch 105, 55 Fruit StreetBoston, Massachusetts 021114; e-mail: dbrown2@partners.org

Massachusetts General Hospital is an equalopportunity/affirmative action employer.

Emergency MedicineAcademic

University Physician Associates, the faculty practice planfor the University of Missouri-Kansas City School ofMedicine, is recruiting for faculty physicians in theDepartment of Emergency Medicine. Opportunities existat the Assistant or Associate Professor level for residency-trained and board-eligible or board-certified emergencyphysicians to join a growing department. A fully-accredited EM residency was established in 1973 andcurrently accepts 9 residents per year. Truman MedicalCenter, the primary clinical site, is undergoing anextensive ED renovation that will nearly double itscapacity and create a modern, state-of-the-art facility.Research areas of focus and/or need include EMS, medicalsimulation, asthma, cardiovascular disease, andultrasound. University Physician Associates offerscompetitive salary and benefits. Contact: Robert A.Schwab, MD, Professor and Chair, Department ofEmergency Medicine, 2301 Holmes Street, Kansas City,Missouri 64108. Robert.Schwab@tmcmed.org.

An Equal Opportunity Employer

34

The Department of Emergency Medicine at Scott & White Memorial

Hospital and Clinic is seeking BC/BE Emergency Physicians with

excellent clinical, teaching and other academic skills. This Level I Trauma

department evaluates and treats 55,000+ patients annually. We maintain

a fully accredited Emergency Medicine Residency Program and have an

excellent faculty development plan that includes the ACEP Teaching

Fellowship. Scott & White is currently designing and building a new

"State of the Art" Emergency Department in our new Center for

Advanced Medicine to be completed in 2006. Academic Faculty

appointment is through Texas A&M University Systems Health Science

Center College of Medicine.

Scott & White is a Physician Directed Healthcare System that includes

S&W Clinic with over 500 physicians, S&W Hospital with 465 beds, and

S&W Health Plan with 180,000+ members. Scott & White offers an

outstanding compensation package, which begins with a competitive

salary, a comprehensive insurance package, and a generous retirement

plan. Please contact or send your CV to: Paul Golden, Director of

Physician Recruiting, Scott & White Clinic, 2401 S. 31st, Temple, TX.

76508. E-mail drrpfg@swmail.sw.org toll free (800) 725-3627. For

more information visit our web site at www.sw.org

Scott and White is an equal opportunity employer.

Central TexasEmergency Medicine

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Lehigh Valley HospitalPennsylvania

Needs 2 More Emergency Medicine PhysiciansJoin 41 EM physicians and 12 PAs evaluating over113,000 patients at the three local sites of 750-bedLehigh Valley Hospital in Eastern Pennsylvania(www.LVH.org). Must be EM Residency trained.Collegial group salaried by multispecialty physiciangroup of LVH, with good mix of experience and greatopportunity for advancement. Electronic: medicalrecords, physician order entry, documentation, radiol-ogy, etc. Level I Trauma, Regional Burn Center, 18fully-accredited training programs, including one inEmergency Medicine, plus 700 medical student rota-tions annually. Eligibility for faculty appointment atPenn State/Hershey. Emergency Medicine Institute.Competitive salary and robust benefits including fully-funded family healthcare, 3 forms of pension (2 paidfor by us), 5 weeks of PTO plus one week of CME with$4,500 annually, etc. LVH located in the beautifulLehigh Valley, with 700,000 people, excellent subur-ban public schools, safe neighborhoods, 10 collegesand universities, moderate cost of living, one hournorth of Philadelphia and 90 minutes west of NYC.Email CV to carol.voorhees@LVH.com. Phone (610)402-7008.

Yale UniversitySchool of Medicine,

Section ofEmergency Medicine

MEDICAL DIRECTOR

The Section of Emergency Medicine at Yale University School ofMedicine is currently seeking a Medical Director to oversee the clini-cal operations in the Yale-New Haven Hospital ED, an urban, Level Itrauma center with approximately 70,000 visits per year. The Directorwill join a well established multidisciplinary leadership group with acommitment to continuous quality improvement, providing efficientcare and improving patient and staff satisfaction. The leadershipteam’s Performance Improvement initiatives are facilitated by a fulltime Six Sigma Black Belt coordinator.Candidates must be Emergency Medicine trained and board certified.

The successful candidate must demonstrate excellence in clinical,interpersonal and administrative skills.For more information, contact Dr. Gail D’Onofrio at (203) 785-4404 or

gail.donofrio@yale.edu. To apply, please forward your CV and coverletter via fax at (203) 785-4580, email: jamie.petrone@yale.edu, ormail at Yale University School of Medicine, Department of Surgery,Section of Emergency Medicine, 464 Congress Ave, P.O. Box 208062,New Haven, CT 06519-1315.Yale University is an affirmative action, equal opportunity employer

and women and members of minority groups are encouraged to apply.

35

Director, Academic AffairsDepartment of EM

Newark Beth Israel Medical Center

We are searching for an emergency medicinephysician experienced in research, academics,and grant writing with a track record of refereedpublications to assume a key leadership role inour department. We are looking for an enthusi-astic, energetic individual who is 5-10+ yearspost-EM residency graduation and desires anopportunity to lead a team of talented, dedicat-ed residency faculty and be part of anEmergency Department committed to scholar-ship, clinical excellence, community service,and humanistic values. An MS or MPH wouldbe a very desirable plus. Please contact or for-ward your CV/letter of interest to MarcBorenstein, MD, Chair, Department of EM,Newark Beth Israel Medical Center, 201 LyonsAve, Newark, NJ 07112, phone, 973-926-7562,e-mail, mborenstein@sbhcs.com.

Yale UniversitySchool of Medicine,

Section ofEmergency Medicine

OFFICE OF EMERGENCY PREPAREDNESS MEDICAL DIRECTOR

The Section of Emergency Medicine at Yale University School of Medicineis currently seeking a board certified, experienced emergency physician toprovide leadership in disaster medicine to the Yale New Haven HealthSystem, a nationally recognized integrated health system throughout theState of Connecticut. The Office of Emergency Preparedness (OEP) is a des-ignated Center of Excellence and a federally designated emergency pre-paredness center covering New England and collaborating with New YorkCity and other geographic locations nationally and internationally.The Director of OEP will also hold a faculty appointment in the Section of

Emergency Medicine at Yale University and will provide clinical coverage inthe Yale New Haven Hospital ED, an urban Level I Trauma Center withapproximately 70,000 visits per year.A successful candidate must demonstrate experience in disaster pre-

paredness, excellence in teaching and administrative skills, and a desire towork with a range of institutions and professionals in the field of disasterpreparedness.For more information, contact Dr. Gail D’Onofrio at (203) 785-4404 or

gail.donofrio@yale.edu. To apply, please forward your CV and cover lettervia fax at (203) 785-4580, email: jamie.petrone@yale.edu, or mail at YaleUniversity School of Medicine, Department of Surgery, Section of EmergencyMedicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315.Yale University is an affirmative action, equal opportunity employer and

women and members of minority groups are encouraged to apply.

Board of DirectorsGlenn Hamilton, MDPresident

Jim Hoekstra, MDPresident-Elect

Katherine Heilpern, MDSecretary-Treasurer

Carey Chisholm, MDPast President

Jill Baren, MDLeon Haley, Jr, MD, MHSAJeffrey Kline, MDCatherine Marco, MDRobert Schafermeyer, MDLance Scott, MDEllen Weber, MD

EditorDavid Cone, MDDavid.Cone@yale.edu

Executive Director/Managing EditorMary Ann Schroppsaem@saem.org

Advertising CoordinatorElizabeth Webbelizabeth@saem.org

“to improve patient care byadvancing research andeducation in emergencymedicine”

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

authors and do not necessarily reflect those of SAEM.

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

PRESORTEDSTANDARD

U.S. POSTAGEPAID

GRAND RAPIDS MIPERMIT # 1

SAEM

Newsletter of the Society for Academic Emergency Medicine

Future SAEM Annual Meetings2006 May 18-21, San Francisco Marriott, CA

2007 May 16-19, Sheraton Hotel, Chicago, IL

2008 May 29-June 1, Marriott Wardman ParkHotel, Washington DC

2009 May 14-17, Sheraton New Orleans, New Orleans, LA

Call for Abstracts2006 Annual Meeting

May 18-21San Francisco, CA

Deadline: Tuesday, January 10, 2006

The Program Committee is accepting abstracts for review for oral and poster presentation at the 2006 SAEM AnnualMeeting. Authors are invited to submit original research in all aspects of Emergency Medicine including, but not limitedto: abdominal/gastrointestinal/genitourinary pathology, administrative/health care policy, airway/anesthesia/analgesia,CPR, cardiovascular (non-CPR), clinical decision guidelines, computer technologies, diagnostic technologies/radiology,disease/injury prevention, education/professional development, EMS/out-of-hospital, ethics, geriatrics, infectious dis-ease, IEME exhibit, ischemia/reperfusion, neurology, obstetrics/gynecology, pediatrics, psychiatry/social issues,research design/methodology/statistics, respiratory/ENT disorders, shock/critical care, toxicology/environmental injury,trauma, and wounds/burns/orthopedics.

The deadline for submission of abstracts is Tuesday, January 10, 2006 at 5:00 pm Eastern Time and will be strict-ly enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstractsubmission form and instructions will be available on the SAEM website at www.saem.org in November. For furtherinformation or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801.

Only reports of original research may be submitted. The data must not have been published in manuscript or abstractform or presented at a national medical scientific meeting prior to the 2006 SAEM Annual Meeting. Original abstractspresented at national meetings in April or May 2006 will be considered.

Abstracts accepted for presentation will be published in the May issue of Academic Emergency Medicine, the officialjournal of the Society for Academic Emergency Medicine. SAEM strongly encourages authors to submit their manu-scripts to AEM. AEM will notify authors of a decision regarding publication within 60 days of receipt of a manuscript.

SAEM