S 901 N. Washington Ave.
A Newsletter of the Society for
E Academic Emergency Medicine
M May/June 2005 Volume XVII, Number 3
PRESIDENT’S MESSAGE
The True Revolution in
Medical Education
My previous President’s
Message examined the current
state of flux in the medical educa-
tion system, with an appeal that
we consider applying the scientific
method a bit more liberally before
enacting such widespread
process change. Perhaps we are
Carey Chisholm, MD partially at fault through a relative
lack of outcomes data examining
exactly how well our graduates perform, and how we (EM)
collectively affect patient outcomes. There has been a very
promising growth of EM multi-center studies, many with our
members as PIs, that will shed further light in the future.
The process of education has become the scapegoat,
yet in the flurry of activity towards outcomes there is danger
in losing sight of the fact that process ultimately determines
much of the outcome. In reality the component that was
truly broken within medical education was process docu-
mentation. For the EM residency graduate, perhaps we can
share some of the blame since we as a specialty have never
clearly and concisely articulated what the “outcome” should
be. I realize that the Core Content1-2, replaced by the Model
of the Clinical Practice of Emergency Medicine3 (“The
Model”), have attempted to define the specialty of
Emergency Medicine and its practitioners’ knowledge and
skills sets. Unfortunately, “The Model” is overly complex (if
you don’t believe this, simply ask your faculty colleagues, or
your graduates how they use this, or even if they can
explain what it is). The recent integration of the core com-
petencies have added an additional component.4 The EM
community instead needs to step back, look at the end
product, define the crucial skill sets of a competent emer-
gency physician, and work backwards from there.
Residency curricula (process) should be disproportionately
weighted to assure that all graduates meet these crucial
skill sets. The required outcomes assessment would be
derived from these as well. And this shouldn’t be made
more difficult than it has to be. A recent internal survey con-
ducted of Indiana University housestaff revealed that paper-
work and administrative requirements (the most frequently
cited was mandated workhours reporting forms!) were
believed to be the largest source of stress during training! It
would appear that the “process” is interfering with the
desired “outcomes”. On the CORD list-serv a recently cir-
culated example of a chief complaint (chest pain) teach-
ing/assessment process was reported as being very favor-
ably received by the program’s RRC site reviewer. This was
an elaborate and eloquent multi-paged document that
(continued on page 45)
“to improve patient care by advancing research and education in emergency medicine”
Lansing, MI 48906-5137
(517) 485-5484
saem@saem.org
www.saem.org
Grant Writing Mentorship Initiative
Call for Grant Applications
Deadline: April 27, 2005
James Olson, PhD
Gary B. Green, MD, MPH
Richard E. Rothman, MD, PhD
Mark Angelos, MD
for the SAEM Research Committee
Call for Grant Applications: We are seeking submissions
of any nonfunded or complete but yet-to-be submitted grant
applications from EM faculty or fellows. Those who submitted
grant applications to SAEM or EMF but were not funded, as
well as unfunded or K award applicantions in progress are
encouraged. Those who submit an application can expect to
receive detailed (verbal) feedback and constructive criticism
that will strengthen their application and increase chances for
future funding, as well as an opportunity to directly interact
with a successful, experienced grant reviewer and/or grant
writer and principal investigator. To the extent possible, appli-
cations will be paired with expert reviewers according to the
type of submission and the subject matter. Applicants should
submit their grant application, including face sheets, abstract,
hypotheses, specific aims, previous work, methods, and
experimental design as well as copies of any previous reviews
(“pink sheets”). A cover letter should be included that briefly
details the application’s history of submission and deadline
for resubmission. Although the service may be further
expanded in the future, at present, applicants must attend the
SAEM Annual Meeting in order to participate in the grant writ-
ing mentoring initiative. Applicants should submit their mate-
rials electronically possible to saem@saem.org by April 27,
2005. For questions contact James Olson, at: (937) 395-8839
or james.olson@wright.edu.
One of the major goals of the SAEM Research Committee
is to help the membership identify and gain access to the
knowledge and skills needed to launch successful academic
careers. It is clear that obtaining independent research fund-
ing through NIH, CDC, or other agency is often a major step-
ping stone on the path towards a successful research career
as well as a common “bottleneck” in emergency medicine
academic career development. Recognizing this, the
Research Committee has undertaken several projects to aid
the membership in developing grantsmanship skills. These
efforts have included the development of a series of educa-
tional sessions at each of the past few SAEM Annual
Meetings, as well as ongoing development of a grant writing
mentorship initiative.
The mentorship project was started by the Research
Committee four years ago with the dual goals of “providing a
mechanism to assist in the review of grant applications writ-
ten by SAEM members,” as well as the “creation of an annu-
al forum where successful and aspiring grant writers could
(continued on page 2)
 Thanks – Opportunity – Thanks
I began my tenure as the SAEM
President with that message
(July/August 2004 SAEM Newsletter),
and this remains the one that I’d like
to leave with you in parting. You’ve
heard my predecessors say this
before, and I understand exactly what
they felt when they said that it has
been truly an honor and a privilege to
serve you in this capacity.
I first would like to thank all of the
members who have worked selflessly
and contributed to accomplishing this
past year’s Committee and Task Force
objectives. You are, after all, the rea-
son that SAEM is what it is. Your work
has been tremendous and very much
appreciated. Our Committee and Task
Force chairs deserve additional
recognition for their leadership and
tenacity in keeping members focused
on task and delivering timely results.
I’d like to recognize those mem-
bers who ran for office, submitted
grants, project proposals, manu-
scripts and abstracts…not only those
who were successful, but also those
who were not. Your additional effort
and interest is appreciated, and the
introspection and perspective that
accompanies this seemingly bad out-
come will hopefully serve as a future
window of opportunity for you. Those
who know only success soon fail to
value it, and perhaps have set their
personal goals and expectations too
low. Fear of failure is perhaps the
most frequent poison of creativity.
This year’s Board of Directors
deserves special praise. This is a truly
dedicated and diverse group of indi-
viduals who have the SAEM mission
and vision at heart. Their work has lit-
erally encompassed reading thou-
sands of pages, and averages 8 hours
per week. I want to thank them for
their patience, diligence and produc-
tivity.
Finally, I want to extend my heart-
felt thanks to the SAEM home office.
What dedication, efficiency and talent!
The small percentage of your SAEM
dues that support our operations is
the best bargain in all of organized
medicine! What a terrific group of
people! You have been wonderful to
work with. Thank you for making my
responsibilities so much easier.
Carey Chisholm, MD

New Emergency Medicine Residency Program Approved

During the February meeting of the Residency Review
Committee for Emergency Medicine, the new Georgetown
University/Washington Hospital Center emergency medi-
cine residency training program was approved. The pro-
gram is a 1-3 residency program and has been approved
for 8 residents per year. There are 45 full-time faculty at
the program. The residency director is Jeffrey Love, MD,
and the assistant residency program is Jonathan Davis,
MD. Mark Smith, MD, is the chair of the Department of
Emergency Medicine at Washington Hospital Center and
Georgetown University School of Medicine. More details
regarding the program can be found on the SAEM
Residency Catalog at www.saem.org. This new program
brings the total of approved emergency medicine residen-
cy programs to 132.

Grant Writing…(continued from page 1)

share lessons learned concerning the
‘art’ of grantsmanship.” The project was
successfully piloted during both the
2002 and 2003 Annual Meetings.
During a packed session at the 2002
Annual Meeting, the principal investiga-
tors of two previously unsuccessful
grant applications presented their work
and engaged in a dynamic, open dis-
cussion with a panel of expert reviewers
and the session audience. In May 2003,
three additional grant writers volun-
teered their applications. Each applica-
tion was first discussed in a small group
session with two assigned expert
reviewers and the applicant in order to
give the grant writer more detailed feed-
back. A separate open session was
then held with each of participating
reviewer/panelists providing a summary
of major “take home” points regarding a
different portion of the grant applica-
tion.
In 2004, we developed a model
which was extremely well received, and
which will be followed at this year’s
SAEM in NYC: Six to eight grants will be
reviewed in a wide range of areas
including basic science, clinical
research, education research and pub-
lic health. An initial Closed Individual
Review Session will be held on May 22
at 10:00-12:00 noon in which two expe-
rienced grant reviewers will be assigned
to each grant applicant, offering private
one-on-one in depth mentorship, with
specific feedback and direction on how
to improve their applications. On May
25 at 10:30-12:00 noon an Open
Interactive Session will be held in which
selected expert reviewers (and grant
applicants) serve as panelists using
excerpts from reviewed applications to
highlight grant writing pearls. As we
had last year, we expect lively interac-
tion between panelists and audience
during the Open Session, providing an
opportunity for broader dialogue con-
cerning knowledge and skills needed to
create a successful application. A new
addition to the open session this year
will be a brief follow-up report in which
previous program participants will
describe the impact the grant mentor-
ship program has had on their subse-
quent grant success and career devel-
opment.
The Grant Mentorship Workshop
Sessions have been well attended over
the past several years, and SAEM has
received extremely positive feedback
from both the open session attendees
and the grant writers whose applica-
tions were reviewed.

2
 2004 Year End Financial Report
Katherine L. Heilpern MD
Emory University
SAEM Secretary Treasurer
The SAEM Board of Directors is pleased to provide the Operating Budget Expenses
membership with a summary of the 2004 year end financial Journal: $494,701
report. The Society continues to demonstrate both financial Salaries and Wages: $317,585
growth and fiscal prudence. As in past years, revenues Administration: $202,828
exceeded expenses. For the past several years SAEM main- Annual Meeting: $196,278
tains a liquid reserve of approximately 6 months operating Newsletter: $44,243
expense. The excess revenue beyond the 6 month reserve is Other: $45,325
reinvested in the Research Fund, which in 2004 was TOTAL: $1,300,860
$250,000.
New for 2005, the Board of Directors will engage a CPA Research Fund (Non-Operating Budget) Revenues
firm to conduct an audit of the Society’s financials. This fur- Contributions: $150,200
ther demonstrates the Society’s commitment to a ‘best prac- SAEM contribution: $250,000
tices’ financial model for our organization and the members it Market Gain: $499,711
serves. TOTAL: $899,911

Operating Budget Revenues Research Fund (Non-Operating Budget) Expenses

Dues: $1,216,891 Grant Payments: $347,001
Annual Meeting: $478,795 TOTAL: $347,001
Journal: $303,481 At December 31, 2004 the Research Fund totalled
Other: $81,023 $3,749,711.
TOTAL: $2,080,190

Board of Directors Approves New 5-Year Plan

Carey D. Chisholm, MD
SAEM President
The Board of Directors approved the new 5-Year Plan at our March 5 meeting. This document replaces the prior plan that
expired at the end of 2004. The Board worked on this document during the late summer and fall through subgroups that includ-
ed input from past presidents of SAEM. An additional full day meeting in October allowed further discussion and concept explo-
ration. These areas were further developed and considered, and the final document is presented below. This document reflects
the Board's reaffirmation of SAEM’s mission and vision statements, but also represents a format departure from the preceding
document.
The strategic goals are organized under a conceptual framework of 5 major themes: Research, Education, Membership
Services, Advocacy, and Operations. Each theme has an overarching mission/goal followed by several objectives for the organ-
ization. This document will be used by the President-elect and the Board as a source of guidance as the annual committee and
task force objectives are developed, and will assist allocation of resources. You will note that many of the objectives are framed
with rather broad strokes. The Board believes that this permits needed flexibility to fully explore unanticipated opportunities or
developing needs without straying from our organizational mission and vision.
The Board welcomes any feedback or comments about the 5-Year Plan. As I’ve mentioned in prior President’s messages,
medical education and research are passing through turbulent times that will continue in the foreseeable future. We are hope-
ful that our mission and plan will serve SAEM well as its compass to chart our course through these challenging times.
5-Year Strategic Planning Goals and Objectives 2005 - 2010
Mission Statement: Our mission is to improve patient Objectives
care by advancing research and education in emergency 1. Promote communication among SAEM members,
medicine. leadership and staff to:
Vision Statement: Our vision is to promote ready ● Assure alignment of Society and members’ goals
access to quality emergency care for all patients, to advance ● Enhance organizational transparency
emergency medicine as an academic and clinical discipline, ● Ensure goal alignment with the mission of the
and to maintain the highest professional standards as clini- Society
cians, teachers, and researchers 2. Publications
Membership Services ● Maintain and continue to advance the quality of
Goal: Increase benefits of membership, and increase the the Society’s journal, Academic Emergency
number of members, by enhancing the impact of SAEM Medicine.
through the journal, website, meetings and value-added serv- ● Regularly review with membership the impact and
ices to members. opportunities provided by the SAEM Newsletter
3. Continue to evaluate and improve the Annual Meeting
and Regional Meetings for both EM and non-EM edu-
(continued on next page)

3
New 5-Year Plan…(continued from previous page)
cators and researchers.
4. Disseminate knowledge and enhance sharing of
accepted and novel educational and research
advances with regard to:
● educational methodologies
● curricula,
● resources (products, funding sources, collabora-
tive opportunities)
● academic mentorship
● operational and financial resources for academic
EDs
● national legislative issues that impact academic
health centers and academic EDs
5. Professional development: Assist faculty in develop-
ing the skills necessary for academic advancement
including didactic presentations, clinical teaching,
scholarly writing, grant applications, research
methodology and leadership skills.
6. Maintain and improve the website into an effective
means of communication, education, and resource
tool.
Advocacy
Goal: Advocate for education and research in emergency
care within medical schools, funding agencies (governmental
and non-governmental) and specialty organizations.
Objectives
1. Educate members about the advocacy process and
opportunities for involvement. Encourage members to
pursue leadership opportunities within their own aca-
demic centers, and develop relationships within the
house of medicine to solidify the academic presence
of EM.
2. Increase presence at government level discussions
for policy decisions, legislation, research funding, and
development of public health initiatives applicable to
emergency medicine, such as disaster management,
injury and illness prevention, and the effects of limited
access to health care.
3. Continue to advocate for academic emergency medi-
cine through the IOM report on The Future of
Emergency Care in the United States Health System.
● Prepare to advocate based upon findings for April
2006 release date
Education
Goal: Assure quality emergency medicine education for all
levels of medical training
Objectives
1. Define and support appropriate breadth and depth of
education for all levels in emergency medicine and
acute care medicine in North American accredited
medical schools
2. Assist in the development of a meaningful role for EM
educators in teaching clinical components of the cur-
riculum during the first two years of medical school
3. Advocate and support academic career paths in EM,
including advanced degree programs, fellowship
training and faculty development
4. Assist in developing and showcasing innovations and
innovators of emergency medical education.
● Member ship development
● Dissemination of member work
5. Assist educators in implementing ACGME initiatives
as applied to the unique environment of emergency
4
care
● RRC-EM program requirements
● Core competencies
● OSCE examinations
● White papers impacting education and training
6. Assist educators in developing validation and educa-
tional research methodologies that assess learner
outcomes.
Research
Goal: Improve the care of our future patients, by promot-
ing quality research in emergency medicine. This will be best
accomplished by supporting the development, productivity,
and career longevity of high-quality, independent, federally
funded investigators in emergency medicine.
Objectives
1. Further develop and grow the Research Fund
● Make the Research Fund self-sustaining by 2010
with an the addition of at least one annual grant.
2. Assess the success of the SAEM Grant Program.
● Develop an assessment tool for the SAEM Grant
Program which tracks the success of awardees
based on their subsequent ability to obtain inde-
pendent funding, publications, and promotion in
their individual career track.
3. Develop an assessment and tracking program for the
individual grant programs/applications.
4. Develop tools and programs to assist with the devel-
opment of quality independent investigators (i.e the
development of a mentoring network/system and
other educational products).
5. Promote the development of supportive environments
for developing researchers within a greater number of
departments/divisions of academic Emergency
Medicine.
6. Develop tools/programs to provide assistance and
education to Chairs/Division Chiefs for the develop-
ment of a department/division with successful
research programs.
7. Explore and develop methods to recruit potential
future physician-scientists at the undergraduate med-
ical education level into the academic Emergency
Medicine career path.
8. Explore and develop methods to recruit, educate, and
nurture potential future emergency medicine physi-
cian-scientists at the graduate medical education
level.
Operations
Goal: Ensure that the appropriate infrastructure exists to
support the activities of SAEM
Objectives
1. Maintain sufficient staff and expertise to ensure suc-
cess of the newsletter, conferences, website and jour-
nal.
2. Maintain sufficient staff to ensure success of the
research fund.
3. Ensure that financial responsibilities are described in a
brief policy manual for board members. Conduct an
annual review of the organization's finances and
financial policies, and periodically conduct a more
extensive audit.
4. Maintain appropriate legal protections in place for the
organization, Board and officers and for staff.
 Report of the Council of Academic Societies Spring Meeting
David P. Sklar, MD
University of New Mexico
SAEM Representative to CAS/AAMC
The Council of Academic Societies
Spring meeting was held in Tucson on
March 10-12, 2005 and the title was
“Tomorrow’s Doctors, Tomorrow’s
Cures: Envisioning the Future”.
Representatives from all member spe-
cialties convened to share visions and
possible approaches for the future
health care environment. Experts from
the fields of economics, health services,
workforce, basic and translational
research, and administration and lead-
ership development attempted to cre-
ate a coherent sense of the future of
health care over the next ten years and
the changes that would be necessary to
address the challenges of a growing
population of uninsured, increasing
costs, federal and state budgetary
deficits, growth in expensive technolo-
gies, and an aging population.
The AAMC has shifted its position on
the physician workforce to now recom-
mend a 15% increase in medical school
graduates by 2015, an elimination of the
GME cap, no recommendation about
preference of specialty versus primary
care, and efforts to address needs of
underserved areas and populations.
This will be accomplished through
increasing class sizes of some existing
medical schools, creating new medical
schools, growth in osteopathic school
graduates and maintenance of interna-
tional medical student training.
Implications for emergency medicine
residencies will be continued growth of
new programs and expansion of exist-
ing programs.
The most worrisome discussions
concerned the unsustainable growth of
health care spending including federal,
state, and private spending, in the con-
text of continuing federal budgetary
deficits. There was consensus that a
radically different health care delivery
system would emerge that would
involve coordinated, patient centered
care with shared electronic medical
records, use of a team of nurses, physi-
cians, social workers, and physician
assistants to address and manage
complex chronic disease and provide
easy access to acute care with incen-
tives for prevention, and possibly a sin-
gle payer system with incentives for
quality care and patient safety. The
skills for managing and adopting to
continued change in the health care
environment will need to be taught to
future physicians and will need to be
part of the skill set for all academic
medical leaders.
The implications for emergency
medicine include improvements in infor-
mation systems and integration with
chronic care systems, continued stress-
es over care of uninsured patients as
that system reaches a crisis point, con-
straints in reimbursement for care, con-
tinued and increasing demand for train-
ing opportunities for residents and
medical students, adoption of new
imaging modalities for emergency diag-
nostic work-ups, changing demograph-
ics with more elderly and nursing home
care, and interdisciplinary research
focused at fewer, powerhouse research
institutions but including multi-institu-
tional enrollment of patients, application
of evidence based approaches to med-
ical education and efforts at under-
standing how to get behavioral change
and implementation of evidence based
care algorithms rather than develop-
ment of more algorithms.
Finally, there was intensive discus-
sion about the possible adoption by
AAMC of recommendations for criminal
background checks for all medical stu-
dents. Opinion was very divided on this
issue, with one set of concerns focused
on the need to protect patients and get
out ahead of political solutions that
would be imposed by others outside of
medicine while another set of concerns
focused on potential negative affects on
disadvantaged applicants, who might
not have had access to good legal sup-
port and the cost of following up on
positive screening results without any
clear evidence that this would make
patient care safer. There was recogni-
tion that the present political climate
would probably put continued pressure
on all institutions to address the issue
regardless of the lack of any clear evi-
dence that it would improve patient
safety.
Jordan Cohen, who has led the
AAMC over the past ten years,
announced his retirement from the
Presidency of AAMC in a year and a
search committee has begun the
process of identifying a replacement.
Emergency Medicine continues to be
well represented at AAMC by represen-
tatives from CORD, SAEM, and AACEM
and has made great strides over the
past ten years in elevating the profile of
the specialty through the debates and
discussions that occur in organizations,
such as the Council of Academic
Societies during the spring meeting.

Policy and Position Statement Revisions

Carey D. Chisholm, MD
Indiana University
SAEM President
During your next visit to the SAEM web site, you may wish to glance through our organization’s Policies and Position state-
ments. Over the last half of 2004 the Board of Directors reviewed, updated, eliminated, revised or referred to a committee for
evaluation all of these items. This is the first systematic review of the policy and positions that characterize our operational
philosophies and organizational values. Each now carries a date of last review, and will undergo periodic reassessment on a
scheduled basis by future Boards.
SAEM Policies define internal operational guidelines that are not clearly articulated in the Constitution and Bylaws. They
assist the Board by providing an internal framework for decision-making that allows more consistency. They serve as “rules of
engagement” and improve fairness and openness in our operations.
SAEM Position Statements provide further elaboration of our organization’s values under our mission and vision statements.
The audience includes those external to our membership. Many of these are distinctive from other EM organizations, and define
our organization’s unique role within the EM community.
5

William G. Barsan, MD epitomizes
what a leader in academic medicine
should be. His work has produced
many individual accomplishments and
accolades. However, it is the impact Dr.
Barsan has had on other medical
careers, and on the betterment of the
field of emergency medicine that distin-
guishes him as the recipient of the
SAEM Leadership Award.
Dr. Barsan graduated from the Ohio
State University College of Medicine in
1975. Like many other physicians of
this time, Dr. Barsan migrated to emer-
gency medicine after starting in another
field. He initially did a Surgery intern-
ship and a year of Radiology residency
at the University of Virginia prior to
becoming an Emergency Medicine res-
ident at the University of Cincinnati. Dr.
Barsan completed his emergency med-
icine training in 1979 and remained at
the University of Cincinnati for the next
13 years. During this formative time for
the Cincinnati program, Dr. Barsan
served as the Residency Program
Director and developed a curriculum
and training program that produced
many academic leaders and
researchers in emergency medicine.
He was also responsible for starting the
Hyperbaric Medicine program that has
grown to be a thriving division within
the Department of Emergency
Medicine.
The most important aspect of Dr.
Barsan’s career while at Cincinnati was
his development as a leader in
research. He began his research at a
time when there were few, academic
emergency medicine role models
focusing their careers in research. His
initial focus was on hemorrhagic shock
and cardiac arrest, but he developed a
strong interest and focus in ischemic
brain injury. He did pioneering work in
the development and implementation of
2005 Leadership Award
major local and national clinical stroke
trials. His leadership skills were recog-
nized by his research colleagues. He
has served as a Co-chair of the Pre-
Hospital Care: Stroke Diagnosis and
Treatment Decision/ Implementation
Task Force of the National Institute of
Neurological Disorders Stroke (NINDS),
Chair of the Incentives for Stroke
Treatment Task Force of the NINDS,
and Co-Chair of the NINDS Stroke
Symposium, “Improving the Chain of
Recovery for Acute Stroke in Your
Community.” Dr. Barsan’s hands-on
research and leadership has helped
make significant improvements in the
emergency care of patients with acute
stroke. In addition, his approach has
served as a model for others in emer-
gency medicine who seek to do inter-
disciplinary research.
Dr. Barsan was the lead editor of the
text, Emergency Drug Therapy (W.B.
Saunders, 1991) and an editor of
Rosen’s Emergency Medicine –
Concepts and Clinical Practice. He has
been a reviewer for all of the major
emergency medicine journals, as well
as JAMA. He has been on the Editorial
Board of Annals of Emergency
Medicine since 1999, and a Deputy
Editor since 2002.
Dr. Barsan’s contribution to the
growth of academic emergency medi-
cine has been equally important in the
organizations of emergency medicine.
He served on the Executive Council of
the University Association for
Emergency Medicine. He then went on
to serve on the SAEM Board of
Directors, and ultimately as President.
Importantly, Bill’s tenure on the SAEM
Board was during the transition and
development of the current Society.
His leadership skills and vision helped
shape SAEM’s growth and develop-
ment. He has also been an important
leader in ABEM serving as President
from 1998-1999.
In 1992, Dr. Barsan came to the
University of Michigan to develop from
scratch an academic emergency medi-
cine program. He became the Head of
the newly established Section of
Emergency Medicine under the
Department of Surgery. Under his lead-
ership, the section met all academic
and clinical benchmarks, leading to the
creation of the Department of
Emergency Medicine in 1999. This was
the first newly established department
6
at this university since 1982. Dr. Barsan
nurtured the educational, research and
clinical missions of the department. The
Department has grown from approxi-
mately 10 to 70 full-time faculty, includ-
ing Divisions of Pediatric Emergency
Medicine (including a Pediatric
Emergency Medicine Fellowship) and
Occupational Medicine. The residency
has transitioned from a 3 to a 4 year
program, and has grown from 18 to 56
residents. Because of Dr. Barsan’s sup-
port and vision, his faculty have suc-
cessfully obtained funding from the
NIH, the CDC, and the DOD. In addi-
tion, the Department now plays a
greater role in undergraduate medical
education at the university, with emer-
gency medicine being a required med-
ical student rotation. Dr. Barsan’s lead-
ership skills and expertise have been
recognized by the University, as he
serves on the Dean’s Advisory
Committee and the Finance Committee
of the Faculty Group Practice for the
University of Michigan Health System.
Most recently, Dr. Barsan’s exceptional
contributions were recognized with his
election to the Institute of Medicine.
William G. Barsan has the creden-
tials and accolades expected of a true
leader in his field. He advances the field
and his own department in an under-
stated way – a master negotiator who is
calm, consistent, and able to bring oth-
ers to his way of thinking without alien-
ating them. But, Dr. Barsan’s leader-
ship is best demonstrated by his daily
interactions to promote education and
the career development of others. He
makes time for medical students, resi-
dents, faculty, and colleagues in other
disciplines to serve as a mentor, advi-
sor, and confidant. Whether it is sharing
his formidable clinical skills and knowl-
edge in the ED, reviewing a faculty
member’s grant proposal, or advising a
resident on career plans, Dr. Barsan is
an approachable, in-touch leader
whose genuine love of his work and his
specialty excites and motivates others.
Over twenty-five years, his leadership
has created a wave of ideas, advances,
and inspiration that will help push aca-
demic emergency medicine forward for
at least the next twenty-five years.
Sue Stern, MD
Brian Zink, MD
University of Michigan
 2005 Hal Jayne Academic Excellence Award
The Hal Jayne Academic Excellence
Award is presented to “a member of
SAEM who has made outstanding con-
tributions to emergency medicine
through research, education and schol-
arly accomplishments.” Roger J.
Lewis, MD, PhD, is widely recognized
as an authority on the design and
analysis of clinical trials, biostatistics,
and the protection of human subjects.
Because his research and teaching are
broadly applicable, Dr. Lewis has made
outstanding contributions not only to
emergency medicine, but also to many
other disciplines and medical special-
ties.
Dr. Lewis graduated from Stanford
University in 1981 with BS degrees in
biology and physics. He then attended
the School of Medicine and the
Graduate School of Biophysics at
Stanford, receiving his PhD in
Biophysics in 1986 and his MD in 1987.
Dr. Lewis did an emergency medicine
residency at Harbor-UCLA Medical
Center in Torrance, California, from
1987-1990, and then joined the Harbor
faculty. He is currently a Professor of
Medicine at the David Geffen School of
Medicine at UCLA and the Director of
Research in the Department of
Emergency Medicine at Harbor-UCLA
Medical Center.
Dr. Lewis has made important con-
tributions to the development and
implementation of the protection of
human subjects in emergency medicine
research. In the early 1990’s, funding
for resuscitation research was threat-
ened by the absence of an accepted
method of obtaining, waiving, or defer-
ring informed consent in critical situa-
tions. Dr. Lewis played a major role in a
coalition of researchers tasked to
address this. Their work resulted in a
consensus statement published in
JAMA, and a revision of the federal reg-
ulations governing consent for resusci-
tation research.
In an application of this work, Dr.
Lewis served as the Chair of the Data
and Safety Monitoring Committee for
the first large multicenter clinical trial
utilizing a waiver of informed consent (a
study of cross-linked hemoglobin in the
treatment of hemorrhagic shock). The
trial was terminated early because of
adverse events in the treatment group,
and the interests of research subjects
were protected. Dr. Lewis has subse-
quently chaired the data and safety
monitoring committees of four other
large clinical trials.
Roger has authored or co-authored
over one hundred peer-reviewed
research papers, 25 textbook chapters
and review articles, and 20 editorials.
His collaboration with investigators in
emergency medicine and in other fields
has led to a number of important publi-
cations.
He was a key investigator in The
Pediatric Airway Management Project,
a study that compared bag-valve-mask
ventilation to endotracheal intubation in
prehospital pediatric airway manage-
ment. Among other contributions, Dr.
Lewis used an innovative Bayesian
decision approach to design and per-
form the interim data analyses that
allowed the study to continue. The
study found that intubation did not
improve (and might worsen) the out-
come of children requiring airway man-
agement in the field. The publication of
this work (JAMA, 2000) resulted in a
change in the American Heart
Association's national recommenda-
tions for prehospital airway manage-
ment in children.
An example of Dr. Lewis’s collabora-
tion with other specialties is a study of
electron beam computed tomography
(EBCT) for the detection of coronary
artery disease. Roger analyzed the
data in this multicenter study, and
devised a way of presenting the results
as nomograms of the probability of
multivessel CAD as a function of the
patient's age and EBCT results. These
nomograms, published in Circulation,
7
allowed the multivariate logistic regres-
sion results to be understandable and
clinically useful.
For many years, Dr. Lewis has taken
a lead role in educating emergency
physicians about biostatistics. He has
lectured at the SAEM Annual Meeting
every year since 1991, and has also
been an invited speaker at the ACEP
Scientific Assembly, the Emergency
Medical Services for Children Projects
Meeting, and the annual meetings of
several other medical and statistical
organizations.
Dr. Lewis’s involvement in academic
emergency medicine has included the
presidency of SAEM in 2002-2003. He
has been on the editorial board of
Academic Emergency Medicine, and is
a consulting reviewer for such diverse
journals as the Annals of Emergency
Medicine, Annals of Internal Medicine,
Biometrics, and the Journal of the
American Medical Association. He is
currently a member of the Healthcare
Research Dissemination and
Implementation Study Section of the
Agency for Healthcare Research and
Quality (AHRQ). This important com-
mittee is responsible for the peer review
of grant applications and the awarding
of federal funding. As a member of this
committee, Dr. Lewis helps to ensure
that grant applications related to emer-
gency medicine are evaluated fairly by
the review group.
Roger has been the mentor for
numerous students in the UCLA
Medical Student Thesis Program. He
has developed, implemented, and
obtained grant funding for fellowships
in Research and in Disaster Medicine at
Harbor-UCLA Medical Center. He has
guided and directed many residents
into academic emergency medicine,
and his knowledge and counseling
have furthered the careers of many fac-
ulty members.
Roger J. Lewis, MD, PhD, brings a
unique combination of clinical and sta-
tistical knowledge to emergency medi-
cine. I congratulate him on receiving
this year’s Hal Jayne Award for aca-
demic excellence.
Howard A. Bessen, MD
Harbor-UCLA Medical Center
 2005 Young Investigator Awards
Alan Jones graduated from Millsap’s
College in 1994 Magna Cum Laude with
a Bachelor’s Degree in Molecular
Biology. He graduated from the
University of Mississippi School of
Medicine Summa Cum Laude. He con-
tinued his stellar performance as a resi-
dent and chief resident at Carolinas
Medical Center, completing a research
fellowship in 2003. At the end of his res-
idency, he was honored with both the
Research Award and the Outstanding
Resident Award. Now, just 2 years into
his career as a full-time faculty member,
Alan has amassed an amazing list of
accomplishments.
In the past 24 months, Alan has pub-
lished 7 unique manuscripts as first
author. He has targeted circulatory
shock as his research focus—a topic
central to the essence of our specialty.
However, Alan endeavors to generalize
his message to emergency medicine
and to other specialties, having pub-
lished in five different journals (two with-
in emergency medicine and three out-
side of our field). The journals that have
published his seven papers have a
cumulative impact factor score of 25.
During this same time, Alan wrote a
Career Development Award that was
selected for funding in 2004-2005 by
the Emergency Medicine Foundation.
He is approximately three-quarters of
the way through completing this single
center study of the diagnostic sensitivi-
ty and specificity for intra-emergency
department hypotension for the predic-
tion of in-hospital death. When com-
pleted, the study will prospectively
enroll and track the outcomes of over
6,000 ED patients who are admitted to
the hospital.
Alan’s work has become progres-
sively more focused on testing patient-
oriented hypotheses that will change
care. His first work was a secondary
analysis which was largely descriptive,
examining the diagnostic significance of
(continued on next page)
Dr. Wang came to the University of
Pittsburgh in July 2000 after completing
his medical school training at UMDNJ-
Robert Wood Johnson and an EM resi-
dency at Christiana Care Health
System. Even at these early career
stages, Dr. Wang showed an inquisitive
nature coupled with the drive to create
knowledge, publishing 9 manuscripts
and garnering three research awards.
Henry began his career in Pittsburgh
by serving as a research fellow, com-
pleting not only the required Masters in
Public Health program, but additional
training, resulting in a Masters in Clinical
Research Design degree. He began his
formal University role as an Instructor of
Emergency Medicine, being promoted
to Assistant Professor within two years.
Dr. Wang’s investigative accomplish-
ments are remarkable. Dr. Wang had
zeal and focus from the beginning on
prehospital care, particularly paramedic
airway management. He created the
Prehospital Airway Collaborative
Evaluation (PACE) network within 18
months of arrival. This statewide multi-
centered group gathers information
from 40 EMS systems to help better
understand the first step in resuscitation
of seriously ill and injured patients. He
has learned and applied large data set
techniques to the problem, completing
his PACE data with evaluation of trauma
systems and paramedic training data-
bases. Additionally, he has collaborated
with others on the relationship of unin-
tended hypothermia and outcome, plus
the effect of ‘Do Not Resuscitate’ direc-
tives, on the care of trauma patients.
Dr. Wang has eagerly sought collab-
oration, including others from outside
our Department and the region. He has
developed a collegial, thoughtful
method of bringing disparate people
with talent together to better ask and
answer questions. Seasoned investiga-
tors struggle with this task, while Henry
sparkles with the opportunity. The
(continued on next page)
8
Jeffrey Perry, MD, MSc, is a rising
star in the Canadian emergency medi-
cine research community. He graduat-
ed from medical school at the University
of Ottawa in 1996. He then completed
residency training in Emergency
Medicine at the University of Manitoba
in 1999. Subsequent to that, Dr. Perry
successfully completed his Emergency
Medicine Research Fellowship at the
University of Ottawa and concurrently
obtained his Master of Science in
Epidemiology from the University of
Ottawa in 2002. At that time, Dr. Perry
competed for, and successfully won, a
Department of Emergency Medicine
New Investigator Award at the
University of Ottawa. This three-year
award gave Dr. Perry salary support and
ongoing mentoring to develop his career
as a young researcher.
Dr. Perry is now an Assistant
Professor in the Department of
Emergency Medicine and Associate
Scientist with the Clinical Epidemiology
Program of the Ottawa Health Research
Institute. Dr. Perry is on staff as a full
attending emergency physician at The
Ottawa Hospital. He participates in
monthly emergency medicine research
fellow meetings to provide feedback to
the physicians who are concurrently
undertaking a Master’s degree in
Epidemiology and a Fellowship in
Emergency Medicine Research.
During the past year, Dr. Perry has
received two substantial research
grants, one from the Canadian Institutes
for Health Research (CIHR) (the
Canadian equivalent of NIH) and anoth-
er from the Canadian Foundation for
Innovation/Ontario Innovation Trust
(CFI/OIT). In addition, he has been
awarded a Career Scientist Award from
the Ontario Ministry of Health and Long-
Term Care. Dr. Perry presented his study
results as plenary presentations at both
the Canadian Association of Emergency
Physicians Annual Conference in
(continued on next page)
Alan Jones… Henry Wang… Jeffrey Perry…
(continued from previous page) (continued from previous page) (continued from previous page)
non-traumatic hypotension in the pre- results are impressive: Four foundation Montreal in April 2004 and at the
hospital phase. He quickly moved grants early, followed by an SAEM Society for Academic Emergency
toward a more elegant but difficult study Research Training Grant in 2004 Medicine Annual Conference in
design of a prospective randomized (declined) and an AHRQ Clinical Orlando, Florida in May 2004. Dr. Perry
controlled trial of ultrasound as the Scientist Career Development Award has had eight peer reviewed publica-
diagnostic instrument to unmask the (KO8) to study out of hospital errors in tions and ten peer reviewed grants as
cause of undifferentiated hypotension. intubation. The latter award is the first principal investigator.
He then designed a more interventional, given of this kind for an emergency Dr. Perry’s CIHR grant is entitled
treatment-oriented protocol, in which physician doing EMS research. “Study to complete the derivation of a
patients will be randomized to receive Dr. Wang has a lengthy publication clinical decision rule to guide investiga-
an invasive versus non-invasive treat- record: 25 refereed scientific manu- tion for patients with an acute headache
ment algorithm for septic shock. This scripts, 30 abstracts, 2 text chapters to rule out non-traumatic subarachnoid
clinical trial is the basis of his K23 appli- and 11 other publications. One recent hemorrhage.” This is an ongoing multi-
cation, which is currently under review manuscript on the outcomes seen in center study with 7 Canadian study
at the National Institute of General traumatic brain injured patients cared sites to derive a clinical decision rule for
Medicine at the NIH. for by paramedics has allowed many to patients with a sudden severe
Alan has also contributed to our reconsider how we manage the respira- headache. To date, 75% of the required
knowledge within the Society for tory needs of these patients. sample size have been enrolled and he
Academic Emergency Medicine, having Researchers often work a decade or expects to complete this study in 2005.
authored and organized 3 didactic ses- two to identify a new need or idea, The CFI/OIT grant is entitled
sions in 2003 and 2004, and most Henry has done this in a few short “Improving Emergency Department
recently a State of the Art session which years. Care Using Information Technology”.
will examine new diagnostic tests for Henry has served as a reviewer for 4 This grant will allow Dr. Perry to deter-
undifferentiated shock to be presented journals (being recognized as an outstand- mine the impact of implementing new
in New York City this spring. For his ing reviewer for both Academic technology in processes of care/docu-
research effort, he has already received Emergency Medicine and Annals of mentation in the emergency depart-
two awards from the Society for Emergency Medicine), and as an AHA ments of The Ottawa Hospital and facil-
Academic Emergency Medicine includ- Scientific Evidence Reviewer. He has been itate further clinical decision rule
ing the Medcial Student Excellence in awarded Best Presentation honors at both research.
Emergency Medicine Award in 1999 and the SAEM and NAEMSP meetings. The Ontario Ministry of Health Career
in 2004, the Young Investigator Clinical Dr. Wang shares his expertise with Scientist award is a highly competitive
Science Oral Presentation Award. others. He is the central figure in our award which provides five years of
Alan deservedly earns the respect of residency journal club, an instructor at salary support to provide protected time
his peers and his patients. He is a our world renowned WISER Simulation to conduct Dr. Perry’s current research
warm, genuine, caring human being. Center, and a frequent lecturer. He also program. This funding is supplemented
Ultimately, he complements his chose to serve clinically at a site in need with funding from the Department of
research productivity with his integrity of trained emergency physicians willing Emergency Medicine and the Ottawa
as a consummate clinician and scientist. to care for an underserved and poor Health Research Institute.
We look forward to watching Alan’s population. He provides wonderful care, In conclusion, Jeff Perry is an out-
impact grow over the next decade and collegiality, and teaching in that chal- standing young clinical researcher who
feel confident that he will provide critical lenging setting. will make a name for himself nationally
evidence that will be read in journal We are grateful to have Henry Wang, and internationally and will bring honour
clubs across the country, and used in MD, MPH, MSCR: as a colleague in our to the specialty of Emergency Medicine.
real practice every day by academicians Department, as a leading EMS and
and community practioners, alike. Our emergency medicine investigator, and a Ian G. Stiell, MD
specialty, our colleagues and our wonderful role model. The SAEM recog- University of Ottawa
patients will benefit from his skill and nition is another reminder of his unique
dedication. ability and accomplishments.
Jeffrey A. Kline, MD Donald M. Yealy, MD
Carolinas Medical Center University of Pittsburgh
Medical Student Excellence Award
The SAEM Medical Student Excellence in Emergency Medicine Award is offered annually to each medical school in the United
States and Canada. It is awarded to the senior medical student at each school (one recipient per medical school) who best
exemplifies the qualities of an excellent emergency physician, as manifested by excellent clinical, interpersonal, and manual
skills, and a dedication to continued professional development leading to outstanding performance on emergency rotations. The
award, presented at graduation, conveys a one-year membership in SAEM, which includes subscriptions to the SAEM monthly
Journal, Academic Emergency Medicine, the SAEM Newsletter and an award certificate.
Announcements describing the program and applications have been sent to the Dean's Office at each medical school.
Coordinators of emergency medicine student rotations then select an appropriate student based on the student's intramural and
extramural performance in emergency medicine. The list of recipients will be published in the SAEM Newsletter.
Over 100 medical schools currently participate. Please contact the SAEM office if your school is not presently participating.

9
 Academic Emergency Medicine: 2004 Report
Michelle H. Biros, MD, MS, Editor in Chief
Jim Adams, MD, Senior Associate Editor
Dave Cone, MD Senior Associate Editor
The editors of Academic Emergency Medicine are pleased
to provide you with this journal report for 2004. This was the
eleventh year of publication for the journal, and while the look,
content, editors and contributors have changed over time, we
remain committed to the production of a high quality spoke-
piece for our academic and clinical specialty. This has been
a year of changes and growth for the journal, and as always,
we have benefited from your input. We welcome your ques-
tions, comments and suggestions -- please feel free to con-
tact any of the editors at any time.
During 2004, we received a total of 661 new submissions,
and 223 revisions, for a total of 884 processed manuscripts.
Our acceptance rate overall was 36.5%. Table One presents
more details of our manuscript statistics and compares this
year with previous years. The time to decision and turn
around times show a remarkable change in mid July 2004. At
that time, the journal initiated electronic manuscript submis-
sion through the Elsevier Editorial System (EES). This was the
result of over 18 months of development and customization of
the manuscript managing system. The impact of this new sys-
tem is beyond our expectations - authors find it easier to sub-
mit papers, reviewers and editors can get their work done
faster and more easily, and decisions can be made sooner.
We can track manuscripts easily through every step of the
submission and review process, and quickly provide informa-
tion regarding the status of individual reviews and manu-
scripts. While we still encounter a glitch or two, the system
has made manuscript processing and tracking much easier,
and the EES maintenance assistants are responsive, creative
and timely.
We continue to use HighWire as our provider for the elec-
tronic journal, which provides free access to several develop-
ing countries, allows tracking of the number of times that
AEM articles are cited or electronically read, and has allowed
us to expand our use of data supplements. In fact, this year
we published a series of peer reviewed articles in abbreviated
form, or abstracts of complete peer reviewed articles, with the
entire article available on line as a data supplement. This not
only provided us with more paper page space, but is also
allowed us to publish articles that would otherwise not fit into
the scope of established journal sections, or that would
appeal to a narrow segment of our readers. From Jan 1, 2004
to Dec 31, 2004, our electronic site was hit 1.1 million times.
The most frequently hit journal sections were Clinical
Investigations (114,000 hits), followed by Clinical Practice
(112,000 hits), Brief Reports (88,000 hits), Special
Contributions (87,000 hits), and Basic Investigations (38,000
hits). By tracking the number of hits we receive, we are able
to provide our readers with lists of the most frequently read
articles in any month, over the year (Table Two), or since the
beginning of the journal’s publication history. The most fre-
quently cited articles published in AEM, as of April 2005, are
listed in Table Three. We can also track on a monthly basis,
who is accessing the website. This year, we were accessed by
readers from over 80 countries and 160,000 individuals. Our
circulation has also increased, and numbers, and we now
have 6,245 subscribers. Our impact factor for 2003 was
1.844, the second highest among emergency medicine jour-
nals.
10
The editors of AEM believe that our journal has responsi-
bilities beyond the publication of excellent and relevant origi-
nal reports research. As a vehicle for the dissemination of
thoughts and visions of emergency medicine academicians,
educators and clinicians, we have the opportunity to call
attention to special concerns of our practice. With this in
mind, our annual AEM Consensus Conference was presented
on “Informatics and Technology in Emergency Care,” with the
purpose of critical education, provocative and thoughtful dis-
cussion, and creative development of research and educa-
tional initiatives surrounding this important concept. Led by
Dr. Jonathan Handler, this extremely popular conference was
held in conjunction with the SAEM Annual Meeting, and
attended by over 125 individuals. The proceedings of this
conference, as well as a series of articles written in response
to a call for papers on the topic, were published in the
November 2004 issue of AEM.
Our journal has been incredibly fortunate in the talent,
enthusiasm and dedication demonstrated by our editorial
board. In 2004, we added several new editors to complement
our ranks. We welcome Jim Miner, Chris Barton, Amy Kaji,
and Mark Mycyk to the editorial board. We are privileged to
have them among us, and look forward to their contributions.
We also most sincerely thank Mark Angelos, Charlene
Babcock-Irvin, Norm Christopher, Mike Schull and Rob
Vissers, long-standing editors who rotated off the board in
2004.
We also offer our sincere thanks to over 500 peer review-
ers, who submitted over 3,000 reviews during 2004. Without
the generous commitment of these dedicated individuals, our
journal’s quality would undoubtedly suffer. Our reviewers are
listed in the December 2004 issue. Special thanks to Annette
Adams, MPH, Amado A. Baez, MD, Adrienne Birnbaum, MD,
Jonathan Burstein, MD, Mark Courtney, MD, Douglas
Floccare, MD, MPH, Michelle Gill, MD, Lewis Goldfrank, MD,
Gregory Guldner, MD, David Guss, MD, Jonathan Handler,
MD, Mark Hauswald, MD, Jim Holmes, MD, Brian Holroyd,
MD, Gregg Husk, MD, Jeff S. Jones, MD, Amy Kaji, MD,
Gloria Kuhn, DO, PhD, Brooke Lerner, PhD, Keith Marill, MD,
Jim Miner, MD, Jim Niemann, MD, Alfred Sacchetti, MD, Terri
Schmidt, MD, Manish Shah, MD, Latha Stead, MD, Michael
Turturro, MD, Henry Wang, MD, and Scott Wilber, MD. Based
on their consistently thorough, timely and supportive reviews,
the editors have designated them as Outstanding Reviewers
for 2004.
Finally, the editors thank our go-to, get-things-done per-
son, Mary Ann Schropp; the SAEM board of directors (espe-
cially President Carey Chisholm) for continued and unwaver-
ing support of the journal though all of its continuous growing
pains, Kris McDermott, our Editorial Assistant and resident
EES expert, and Kathleen Seal, our Technical Editor and gen-
eral support person.
We hope our journal continues to serve your needs, and
that this report gives you a glimpse of our workings. Your
comments and ideas are very valuable to us, and we hope
you continue to help direct our vision. It has been an honor to
work with the editorial board, the reviewers, the authors and
our readers in 2004. We look forward to another exciting year
of continued growth and fruitful collaborations in 2005.
Table One: AEM MANUSCRIPT STATISTICS

Year Total # Manuscripts Accept rate Turn Around Time (Days)

processed (%) 1st decision Revision

2004 884 36.5% Jan – July 54.2 15.5

July- Dec 29.1 7.2

2003 827 32% 34 11

2002 736 39.5% 39 13

2001 595 37.5% 40 14.8

2000 578 39% 35.5 13.4

Table 2: MOST FREQUENTLY READ (From AEM site hits only; recalculated monthly)
(# of hits) Pat Croskerry, Marc Shapiro, Sam Campbell, Connie LeBlanc,
(4,199) Section: SPECIAL CONTRIBUTIONS Douglas Sinclair, Patty Wren, Michael Marcoux
Michael A Gibbs, Carlos A Camargo, Brian H Rowe, Robert A Profiles in Patient Safety: Medication Errors in the
Silverman Emergency Department
State of the Art: Therapeutic Controversies in Severe Mar 01, 2004 11: 289-299
Acute Asthma
Jul 01, 2000 7: 800-815 (2,085) Section: PROCEEDINGS
Steven J. Davidson, Frank L. Zwemer, Larry A. Nathanson,
(3,554) Section: CONCEPTS Kenneth N. Sable, Abu N.G.A. Khan
Stephen Schenkel Where's the Beef? The Promise and the Reality of Clinical
Promoting Patient Safety and Preventing Medical Error in Documentation
Emergency Departments Nov 01, 2004 11: 1127-1134
Nov 01, 2000 7: 1204-1222
(2,062) Section: SPECIAL CONTRIBUTIONS
(2,971) Section: SPECIAL CONTRIBUTIONS Eric Schwam
Phillip E. Mason, William P. Kerns B-type Natriuretic Peptide for Diagnosis of Heart Failure
Gamma Hydroxybutyric Acid (GHB) Intoxication in Emergency Department Patients: A Critical Appraisal
Jul 01, 2002 9: 730-739 Jun 01, 2004 11: 686-691

(2,870) Section: CLINICAL INVESTIGATIONS (1,953) Section: CLINICAL INVESTIGATIONS

Jim Edward Weber, Carl R. Chudnofsky, Michael Boczar,
Edward W. Boyer, Mark D. Wilkerson, Judd E. Hollander
Cocaine-associated Chest Pain: How Common Is
Myocardial Infarction?
Aug 01, 2000 7: 873-877
(2,818) Section: SPECIAL CONTRIBUTIONS
Kathleen A. Delaney
Bedside Diagnosis of Vertigo: Value of the History and
Neurological Examination
Dec 01, 2003 10: 1388-1395
(2,173) Section: SPECIAL CONTRIBUTIONS
Table 3 : MOST FREQUENTLY CITED, TOP 10 (to March 2005; calculated monthly)
citations to articles on this journal site from articles in HighWire-hosted journals.
Robert W. Derlet, John R. Richards, Richard L. Kravitz
Frequent Overcrowding in U.S. Emergency Departments
Feb 01, 2001 8: 151-155. Section: CLINICAL PRACTICE
(Cited 34 times)
JE Hollander, RS Hoffman, P Gennis, P Fairweather, MJ
DiSano, DA Schumb, JA Feldman, SS Fish, S Dyer, P Wax
Prospective multicenter evaluation of cocaine-associated
Nina Bacaner, Terry A. Kinney, Michelle Biros, Shelli Bochert,
Nadov Casuto
The Relationship among Depressive and Alcoholic
Symptoms and Aggressive Behavior in Adult Male
Emergency Department Patients
Feb 01, 2002 9: 120-129
(1,884) Section: CLINICAL INVESTIGATIONS
Taylor Cardall, Judd Glasser, David A. Guss
Clinical Value of the Total White Blood Cell Count and
Temperature in the Evaluation of Patients with Suspected
Appendicitis
Oct 01, 2004 11: 1021-1027
chest pain. Cocaine Associated Chest Pain (COCHPA)
Study Group
Jul 01, 1994 1: 330-339. Section: ARTICLES (Cited 21 times)
Vivek S. Tayal, Russell W. Riggs, John A. Marx, Christian A.
Tomaszewski, Robert E. Schneider
Rapid-sequence Intubation at an Emergency Medicine
(continued on page 30)

11
 Revisiting the List of Full Professors
Glenn Hamilton, MD
Wright State University
SAEM President Elect
In most academic medical centers the timing of the pro-
motion process matches that of the seasons. In the heat and
exuberance of late summer, the applicant reaches into the
dark recesses of their filing system to pull out historical doc-
uments and performance tallies to generate the list of accom-
plishments over the previous years and paste them into the
required format. During the fall, the brilliant hues of autumn
leaves are nearly matched by the colorful wordsmithing of
internal and external referees who often write with thesaurus
in hand. By winter time, the document and its accompanying
superlatives disappear into the hibernating mode of the
Promotions and Tenure Committee, the University Committee
and finally the President’s office. By spring time, with all the
gnashing and transformation that occur inside any chrysalis,
the hope of promotion appears.
It is important to look toward spring in anticipation of a
successful promotion process for each of you who have
applied. It’s also time to re-visit a very important document
for this Society and the specialty at-large……..the Full
Professor’s List.
When it was introduced approximately one year ago, I
commented more philosophically on its value. Now, after a
time in print, it’s important to address its usefulness for those
listed, as well as those aspiring to the list. This tally has been
shared with the leadership of the AAMC, the currently delib-
erating Institute of Medicine Committee on Emergency
Medicine, and in several Dean’s offices across the country. Its
purpose in those settings was to clearly demonstrate the
amazing and impossible to ignore growth of academic emer-
gency medicine over the last 15 years. This list has been a
12
source of names for those working to join its ranks, as outside
reviewers were sought for the promotion process. It has also
served as a source for senior authorship or geographic con-
tact of a senior leader in our specialty when specific clinical
referrals or academic insights were required. It likely has had
more uses than we might imagine, and we’re interested in
learning of additional applications.
Most importantly, it continues to serve as an ever-growing
pronouncement. A pronouncement of our specialty’s com-
mitment to academics, and clear recognition of each individ-
ual’s academic performance at the most important level, their
own university or institution.
So, as the time for promotion announcements sits just
around the seasonal corner, it’s a good time to review and
renew our interest in this list and recognize what it really
stands for……one measure of 35 years of constant effort on
behalf of patients and the science that surrounds our special-
ty. Please take the time to check out the names on the web
site and most importantly to make sure that it is up to date as
the new crop of promotion announcements rolls out over the
next few months.
To make the list more useful, it has been transformed into
two formats: a) alphabetical by last name and b) alphabetical
by institution. Whatever the format, we look forward to
encouraging each one of you to add your name to those who
have gone before you in the advancement of academic emer-
gency medicine.
The list of professors can be found at:
www.saem.org.download/professor.htm.
Pictured are the four emergency medicine
physicians who serve as Deans of U.S.
Medical Schools, taken at the recent spring
meeting of the Council of Deans. (L-R) John
Prescott, MD, West Virginia University,
James Scott, MD, George Washington
University, Vince Verdile, MD, Albany
Medical College, and Paul Roth, MD,
University of New Mexico.
 EMF/SAEM Medical Student Research Grant Recipients Selected
SAEM joins with the Emergency Medicine Foundation (EMF) to sponsor medical student research grants. These grants provide
$2,400 over a 3 month period for medical students to engage in research projects. This year multiple applications were reviewed
by representatives of the SAEM and EMF Grants Committee. Five projects were chosen for funding this year.

EMF/SAEM Medical Student Grants

Applicant: Amy R. Auerbach, BA, University of Maryland
Project: Access and Potential Use of Online Resources by ED Patients

Applicant: Meredith Chiaccio, BS, Thomas Jefferson University

Project: Can Arginase Activity Predict the Outcome of Vasoocclusive Sickle Cell Crisis

Applicant: Anne Finefrock, BS, MA, University of North Carolina at Chapel Hill
Project: Mental Status Screening in the Emergency Department: Study to Evaluate the Clinical Norms of the Quick
Confusion Scale

Applicant: Neil Masangkay, BA, University of Pennsylvania

Project: Rapidly Triggered Post-Ischemic Neuronal Apoptosis

Applicant: Johanna Moore, BA, Hennepin County Medical Center

Project: Oral Oxycodone Versus Intravenous Morphine for the Treatment of Pain Due to Pediatric Extremity Fractures in
the Emergency Department

SAEM 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 June 1 to be included in the July/August
issue.
Brooks F. Bock, MD, has accepted the
position of President of Harper
University Hospital and Hutzel
Women's Hospital. These two large
teaching institutions within the Detroit Management in the ED Setting."
Medical Center are affiliated with
Wayne State University, where Dr. Bock
has served as chair of the Department
of Emergency Medicine. Dr. Bock will
continue to serve as chair of the depart-
ment until June 30, 2005.
Gail D’Onofrio, MD, MS, Interim Chief
of the Section of Emergency Medicine
at Yale University and co-investigator
Linda Degritis, DrPH, Research
Director of the Section of Emergency
Medicine, have been awarded an RO1
from the National Institute of Alcohol
Abuse and Alcoholism for a five year
study totalling $3,461,863, with a first
year award of $718,388. The study is
entitled "Enhancing Emergency
Physician Performed Alcohol
Interventions in the ED."
Jerris R. Hedges, MD, MS, has
accepted the position of Vice Dean in
the School of Medicine at Oregon
Health & Sciences University. Dr.
Hedges has served as the chair of the
Department of Emergency Medicine
since 1997 and begins his new duties in
April. He will also continue his research
activities in emergency medicine.
Academic Announcements
Ula Hwang, MD, MPH, Mount Sinai Mark Reiter, MD, senior emergency
School of Medicine has received a medicine resident at the University of
Jahnigen Career Development award North Carolina at Chapel Hill, has been
for her project, "Geriatric Pain appointed Councillor on the AMA
Council on Legislation by the Chair of
the AMA Board of Trustees. The AMA
James J. Menegazzi, PhD, has
Council on Legislation makes recom-
received an $863,000 grant from the
mendations and sets priorities for all
National Heart, Lung, and Blood
federal legislative and policy matters for
Institute. The award funded under the
the AMA. Dr. Reiter will be represent-
RO1 mechanism, will support extensive
ing about 100,000 residents and fellows
study of the physiology of ventricular
fibrillation in a swine model. Dr. to the Council.
Menegazzi is Research Professor of Terri Schmidt, MD, has been appoint-
Emergency Medicine at the University ed Interim Chair of the Department of
of Pittsburgh. Emergency Medicine at the Oregon
Health & Science University, effective
The National Association of EMS
April 18, 2005. She is a Professor in the
Physicians recently held its annual elec-
Department of Emergency Medicine
tions. Robert O'Connor, MD,
and has served as the Vice Chair for
assumed the presidency. David Cone,
Academic Affairs since 1999.
MD, was elected president-elect; Ted
Delbridge, MD, was elected secre- Anna Waller, ScD, Associate Research
tary/treasurer; and Sandy Bogucki, Professor at the Department of
MD, PhD, Ritu Sahni, MD, and Brooke Emergency Medicine at the University
Lerner, PhD, EMT-P, were elected to of North Carolina at Chapel Hill, has
the Board of Directors. been awarded a $600,000 grant from
Health Research Services Admini-
Tammie Quest, MD, Assistant
stration entitled "Evaluation of the
Professor, Emory University, has
Emergency Severity Index for Pediatric
passed the board exam of the
Triage. The co-principal investigators
American Board of Hospice and
are: Deb Travers, MD, PhD, Assistant
Palliative Medicine. She is only the
Research Professor, Department of
third emergency physician in the U.S. to
Emergency Medicine, and Jessica
be certified by ABHPM, joining Robert
Katznelson, MD, Assistant Professor in
Zalenski, MD, at Wayne State
University, and Susan Stone, MD, at the the Departments of Pediatrics and
University of Southern California. Emergency Medicine.

13
 My Experiences as an SAEM EMS Research Fellowship Grant Recipient
Jonnathan Busko, MD, MPH, EMT-P
Carolinas Medical Center
Reflecting back on the past two
years of my EMS Fellowship Program at
Carolinas Medical Center, I find this
experience has uniquely prepared me
for a focused career in prehospital med-
icine. The SAEM EMS Research
Fellowship Grant made possible and
enhanced some enriching research and
educational experiences that will shape
my future practice.
The first year of fellowship training
focused on the basics of the EMS
administration and practice including
quality management, system oversight,
research fundamentals, provider educa-
tion, and field operations and response.
Over time, it became apparent that
additional unique opportunities would
present if I remained for a second year.
The Research Fellowship Grant afford-
ed me that opportunity.
The second year of fellowship train-
ing has provided a wide array of experi-
ences in EMS research, education,
service to organizations, and disaster
preparedness. A number of research
projects have been completed this year,
with additional projects still in progress.
I was fortunate to have one oral and two
poster presentations at the 2005
National Association of EMS Physicians
Annual Meeting. I am involved with an
ongoing collaborative project with the
John Belk School of Business at the
University of North Carolina-Charlotte
analyzing EMS system design models
to develop accurate call volume and
location forecasting using neural net-
works.
Two additional projects will extend
beyond the fellowship timeframe. The
first involves the analysis of expanded
scope first responder practice. During
my first year, I taught EMS providers
using previously developed curricula
and standard educational methodology.
Enhanced opportunities during the sec-
ond year allowed me to develop core
content, scope of practice, curricula,
and evaluation tools for classes. Thus,
the expanded scope project involves
the development of an evidence based
curriculum and skill set designed to
potentially improve initial prehospital
patient care prior to advanced life sup-
port arrival. An initial Pilot Program is
currently being operationalized and will
be evaluated during this next year. I
have also been the co-investigator of a
National Highway Traffic Safety
Administration-sponsored project to
develop a simulation-based quality
management tool for medical directors.
This involves the development and vali-
dation of clinical and operational patient
care simulations for education and
quality management purposes.
As an EMS fellow these past two
years, I have not only increased my
knowledge and understanding of EMS
and the related disciplines, but also had
the opportunity to provide service to the
supporting organizations. I have had
the pleasure of serving as the chair of
the SAEM EMS interest group, develop-
ing a didactic proposal on academic
EMS for the 2005 Annual Meeting and
formulating a survey of program direc-
tors to assess the current state of EMS
education in emergency medicine resi-
dencies. I have become involved in the
EMS Subspecialty Certification
Committee of the National Association
of EMS Physicians and remain active in
the Fellow and Fellowship Graduates
Committee.
Finally, there have been many unique
experiences in disaster preparedness
and management during my second
year. I am currently completing a grad-
uate certificate program in Community
Preparedness and Disaster
Management at the University of North
Carolina-Chapel Hill, culminating in a
certification as an Emergency Manager.
I have also been involved in the evalua-
tion and deployment phase of the
Carolinas Med-1 (mobile emergency
department) Project (www.caroli-
nasmed-1.org), the preparation of fed-
eral contract deliverables, and partici-
pation in all operational aspects of a
major Metropolitan Medical Response
System.
Overall, my experience as an EMS
fellow at Carolinas Medial Center has
been truly fantastic, and the SAEM EMS
Research Fellowship Grant clearly
enriched my second year, and I am
grateful to Medtronic Physio Control for
funding this important, long-standing
grant. I strongly encourage all prospec-
tive EMS fellows to apply for this grant,
as it facilitates unique and diverse
opportunities in the field of prehospital
medicine.

SAEM/ACMT Michael P. Spadafora Medical Toxicology Scholarship

Dr. Michael P. Spadafora was an academic emergency physician and medical toxicologist who was a member of SAEM and
the American College of Medical Toxicology (ACMT) and was dedicated to resident education. After his death in October 1999,
donations were directed to SAEM for the establishment of a scholarship fund to encourage Emergency Medicine residents to
pursue Medical Toxicology fellowship training. ACMT has graciously agreed to donate matching funds.
Two recipients will be chosen to attend the North American Congress of Clinical Toxicology (NACCT), which will be held
September 9-14, 2005 in Orlando. Each award of $1250 will provide funds for travel, meeting registration, meals, and lodging.
Any PGY-1 or 2 (or PGY-3 in a 4 year program) in an RRC-EM or AOA approved residency program is eligible for the award. The
deadline for application is May 1, 2005. Scholarship recipients will be announced at the annual SAEM and NACCT meetings.
Each recipient will also be required to submit a summary of the meeting for publication in the SAEM Newsletter and the ACMT
Newsletter. The articles of the inaugural recipients of the Scholarship, Dr. Lindgren and Dr. Ferguson are published in this issue
of the Newsletter.
Applications must be submitted electronically to saem@saem.org and include:
1. Curriculum Vitae of applicant
2. Verification of employment and letter of support from the applicant’s program director
3. Letter of nomination from an active member of SAEM and/or ACMT
4. 1-2 page essay describing the applicant’s interest and background in Medical Toxicology

14
 My Experiences as an SAEM Research Training Grant Recipient
Brian J. Blyth, MD
University of Rochester
I was asked to write this article to
comment on my experiences as a recip-
ient of the SAEM Research Training
Grant for the period of July 1, 2004
through June 30, 2006. This generous
award provides $75,000 in salary sup-
port annually for formal, full-time
research training for emergency medi-
cine fellows, resident physicians, or jun-
ior faculty. The terms of the grant stip-
ulate that the trainee’s department must
provide protected time for grant activi-
ties, allowing no more than 12 hours per
week for professional activities outside
of the research training program. Dr.
Sandra Schneider, Chair of the
Department of Emergency Medicine at
the University of Rochester, has gra-
ciously provided the necessary release
time. My training program is designed
to prepare for a career in translational
research in the neurosciences. A suc-
cessful translation of basic research
discoveries results in new drugs, treat-
ments, or methods for prevention for
patients. The NIH recognizes this as
their core mission and has published
guidance to achieve this in the “NIH
Roadmap,” which has the expressed
goal of accelerating medical discovery
to improve health. A successful transla-
tional research program requires four
major elements: a clinically relevant
research focus, proficiency in basic sci-
ence techniques and principles, famil-
iarity with clinical science and epidemi-
ological techniques, and the ability to
coordinate among investigators across
multiple disciplines.
The research training program I am
following consists of a formal didactic
program,as well as basic and transla-
tional research projects. The didactic
portion includes formal coursework in
several relevant disciplines including
neuroscience, molecular biology, genet-
ics, biostatistics, and epidemiology.
Additional courses in research ethics,
grant writing, and technology transfer
are also included. Finally, I will partici-
pate in a seminar on laboratory man-
agement sponsored by the Howard
Hughes Medical Institute. The neuro-
science, molecular biology, and genet-
ics courses are included as an in depth
overview of the latest concepts in gene
regulation and expression in the context
of the neurosciences. The biostatistics,
epidemiology, and ethics courses pro-
vide the background and skills needed
to conduct clinical trials and human
subjects research. The remaining
courses provide up to date insight into
the details of running a successful
research program.
The focus of the research portion of
my training program is brain injury.
Projects are underway to study both
ischemic and traumatic brain injury.
The primary research portion of the pro-
gram includes a bench project under
the mentorship of Dr. Howard Federoff,
a senior investigator at my institution.
Specifically, I am studying the effects of
egr-1, an immediate early gene with
neuroprotective effects in ischemic
brain injury. Previous investigators in
Dr. Federoff’s lab demonstrated that
egr-1 is protective against hypoxic
insult to cultured cortical neurons when
over expressed using a viral delivery
vector. My project is designed to deter-
mine the mechanisms by which this
neuroprotection is accomplished. In
addition to the over expression model
mentioned above, I am studying the
effects of ischemia in cultures made
from egr-1 knockout mice. The first
several months of the project were
devoted to developing a colony of
knockout mice sufficiently large enough
to support regular production of cortical
primary cultures. During this period I
learned and practiced techniques nec-
essary to conduct the proposed stud-
ies. These techniques include cloning,
the polymerase chain reaction, geno-
typing, western blotting and the prepa-
ration of murine primary cortical cul-
tures. Subsequently, I have performed
some studies of neuronal viability in egr-
1 null cultures. These viability studies
are nearly complete. Further studies to
elucidate relevant mRNA and protein
expression from these cultures are
planned in the near future.
The release time provided by the
SAEM Research Training Grant has also
allowed me to develop a significant col-
laboration with Dr. Jeffrey Bazarian, an
15
emergency medicine colleague at the
University of Rochester, to study mild
traumatic brain injury (mTBI).
Specifically, we are conducting a multi-
disciplinary translational research proj-
ect to develop surrogate serum markers
for the accurate diagnosis of mTBI.
Over the past year we have developed
and implemented a protocol to use a
relatively new MRI technology known as
diffusion tensor imaging (DTI) to detect
the axonal injury that is the predominant
structural aberration in mTBI. Several
mTBI patients have been scanned in an
ongoing pilot study funded by a com-
petitive intramural grant. I am a co-
investigator on an R 01 proposal sub-
mitted to the NIH for a larger study that
will compare the serum proteome of
mTBI patients with DTI identified axonal
injury to the proteome of uninjured con-
trol patients. Proteins unique to the
axonal injury proteome will be consid-
ered for development into clinically
applicable surrogate markers for mTBI.
This project spans many disciplines and
includes collaborators from radiology,
molecular biology, and neuropsycholo-
gy. Data from these studies will be
submitted in abstract form for presenta-
tion at the 2005 annual meetings of the
Society for Neuroscience and the
Society for Neurotrauma as well as the
2006 SAEM Annual Meeting. I also
anticipate, with my mentor’s guidance,
submitting an application for a Clinical
Investigator Award (K 08) from the NIH
in the near future.
I am deeply grateful to SAEM for the
opportunity provided by the Research
Training Grant. I feel that the release
time provided by this award has put a
career in academic research within
reach. Failure to secure significant
release time like that provided with this
award will substantially delay or even
extinguish the success of new faculty
interested in independently funded
research careers. I am also indebted to
the many colleagues and mentors that
have continually encouraged me. I
would like to specifically acknowledge
Dr. Sandra Schneider, Dr. Howard
Federoff, Dr. Jeffrey Bazarian, and Dr.
David Rempe.
 What is Educational Research: Getting Started in Educational Research
Gloria J. Kuhn, DO, PhD
Wayne State University
Chair, SAEM Educational Research
Subcommittee of the Research Committee
This is article is part two of an article entitled, “What is Educational Research?” Part one of this article was published in the
March/April 2005 issue of the SAEM Newsletter.
Academic faculty need to engage in
educational research for a number of
reasons: 1) We have a responsibility to
our students and colleagues to advance
the state of our knowledge so that
instruction can continually improve.
This responsibility is similar to that felt
by clinical researchers when they work
to improve the health of their patients
through research. 2) Promotion of aca-
demic faculty is still based upon publi-
cation of knowledge. Many faculty do
not regard teaching excellence and
innovation as scholarship until they are
made public in some form or forum so
that other scholars and educators have
access to them and can learn from the
efforts expended.[19] 3) Academic facul-
ty who do not achieve promotion are
viewed with suspicion by their col-
leagues in academia. They do not
achieve the respect, influence, or
resources accorded to their colleagues
who have achieved higher academic
status. 4) Whether working in the com-
munity or university setting the residen-
cy review committees expect and
demand that academic faculty will
engage in scholarly activity and this
translates to publication of articles in
the fields of basic science, clinical med-
icine, or educational research.
Educational research, as is true of
other types of research, involves five
stages. The first stage involves finding
a problem to study. Most researchers
find that it is best to conduct research in
areas with which they are most familiar.
As questions come to mind in the
course of daily work and teaching activ-
ities, they should fulfill two criteria: the
question of interest must be feasible to
study and the results of the study
should significantly contribute to knowl-
edge or to the improvement of practice.
The question needs to be of importance
and of relevance to others. The second
stage involves writing the proposal, the
third is conducting a pilot study, the
fourth is actually conducting the exper-
iment, and the final stage is writing the
report of the study. These five steps
should be familiar to all who conduct
any type of research.
A number of articles have been writ-
ten on the subject of planning and con-
ducting educational research. An arti-
cle by Eva[20] specifically considers
medical education research and gives
some examples. Shea[21] discusses in
some detail “good” research, the chal-
lenges encountered in certain projects,
and some areas ripe for future research.
Carline’s article[5] on funding of research
is an excellent place to start learning
about how to find money for an educa-
tional research project.
There are many textbooks on the
topic of educational research, but few
devoted to medical education research.
An exception is the International
Handbook on Medical Education and
Research edited by Norman.[22] As a ref-
erence text it can be of value as you
approach the design of a project. The
textbook by Campbell and Stanley is
also an excellent reference.[18]
One of the fundamental steps in
choosing a research question and
designing a study in any field is to
review the literature. For many physi-
cians who wish to conduct educational
research this may seem like a very diffi-
cult task. Physicians are introduced to
the medical literature while still in med-
ical school. During residency they
attend journal clubs that critically
review articles, they are expected to
independently read articles pertaining
to their patients, and major criticisms
are leveled at attending physicians who
“don’t keep up with the literature.” The
result is that doctors become familiar
with the medical literature, and are
taught to conduct literature searches on
medical subjects and to critically read
the medical literature. They also
become familiar with terminology and
sources of information. Importantly, it
takes time and effort to achieve this
competency.
By contrast, most physicians do not
even consider the body of educational
or medical education literature until they
enter academic medicine. Although
familiar with the National Library of
Medicine’s (NLM) databases, they are
not familiar with educational databases,
have never read the psychological liter-
ature, and don’t know much of the
16
vocabulary and terminology used by
educational researchers. Becoming
familiar with this literature is as impor-
tant for the person who wishes to con-
duct educational research as is the
medical literature to physicians propos-
ing to conduct clinical studies.
There are a number of journals
which are devoted to medical education
including, Academic Medicine,
Teaching and Learning in Medicine,
Medical Teacher, and Medical
Research. Becoming familiar with
these journals is of value for learning
what topics are of interest and will be
publishable, learning terminology, and
finding methods used in medical edu-
cation research. Skimming the table of
contents is a rapid start to finding areas
of interest and articles which may be of
value. Many medical specialty and
subspecialty journals sporadically pub-
lish articles pertaining to education of
their residents, medical students rotat-
ing on their service, or on faculty devel-
opment. Occasionally, they may pub-
lish articles concerning continuing med-
ical education of or behavior of their
practitioners. These articles may have
value depending upon the nature of the
research project being conducted.
There are numerous journals and
groups which are devoted to literature
on education. If you type “Journals on
Educational Research” into the search
engine “Google” you will find over
2,000,000 listings. Examples of these
listed journals/educational research
groups include Educational Research,
the journal of the American Educational
Research Association, the Australian
Educational Researcher, and education-
al journals from Britain.
The key question is, how valuable
are they? That depends on your inter-
ests and motivation. Finding literature
on a particular research question/topic
will require more work. A first step may
be to search the NLM using key words
or Medical Subject Headings (MESH)
terms that pertain to your area of inter-
est. Helpful studies may be found in the
medical education journals mentioned
or may be published in specialty and
(continued on next page)
What is Educational Research…(continued from previous page)
subspecialty journals. A very valuable
feature of Pubmed is the ability to click
on the link “related articles.” This
enables you to find other articles of
interest in the area you are reviewing.
After finding some pertinent articles,
searching the database “Web of
Knowledge/Web of Science” http://
www.isinet.com will allow you to con-
duct a “backward and forward” search
of the article. This database lists the
citations used by the author(s) of the
article you are searching and also lists
other articles that cited the article you
found of value. You need a subscrip-
tion to use this database but many
libraries subscribe, giving faculty
access. Ovid is another database that
can be searched. It is similar to
Pubmed but is not free. Its advantage
is that it contains full text of some arti-
cles. Many libraries subscribe to Ovid.
If you do not find any pertinent arti-
cles using Pubmed, Ovid, or Web of
Knowledge you can search other edu-
cational databases. The Educational
Resources Information Center (ERIC) is
funded by the government and has a
rich variety of articles and reports (over
440,000) pertaining to educational
research. You can find the site at
http://www.eric.ed.gov/. It is worth
your time to browse the site and see
what it has to offer. It can also be
accessed by going to your library site,
finding databases and looking for ERIC.
At first, searches may be difficult until
you become familiar with how to find
pertinent material. A note of caution is
in order: much of this material, unlike
the medical literature, is not peer
reviewed.
There are a number of books which
may help you. One of the most valu-
able is the Mental Measurements
Yearbook which lists numerous psy-
chological instruments which can be
used for educational research. You can
find this online at
http://www.unl.edu/buros/. It has over
4000 tests in their database which can
be searched either alphabetically or by
category. Some examples include the
Profile of Moods Measure, Coping with
Stress, or The Creative Reasoning Test.
This book gives the validity and reliabil-
ity of the instrument, contact informa-
tion, the uses of the test and cost to
purchase. While the online site requires
a subscription, your library can usually
supply you with access.
If you go to “Google” and type in
“Google scholar” you will be linked to a
site that is devoted to information on
scholarship. Google Scholar “enables
you to search specifically for scholarly
literature, including peer-reviewed
papers, theses, books, preprints,
abstracts and technical reports from all
broad areas of research. Use Google
Scholar to find articles from a wide vari-
ety of academic publishers, profession-
al societies, preprint repositories and
universities, as well as scholarly articles
available across the web.” (copied from
the website which was accessed
January, 2005). http://scholar.google.
com/scholar/about.html is a site with
answers to frequently asked questions
regarding Google Scholar.
There is another website which you
may find useful as you write your man-
uscript: www.refdesk.com. This site
will give you access to a free dictionary
and thesaurus as well as other informa-
tion.
Finally, and perhaps most helpful,
find a medical and/or university librari-
an. He or she can be a wealth of infor-
mation on helping you to find pertinent
literature, an elusive reference, or a host
of valuable databases. The library sub-
scribes to many online journals and
databases, all of which can be accessi-
ble to any faculty member.
Finding a mentor to guide you in
designing and carrying out a research
project will require some searching sim-
ilar to the searching done by clinicians
who are interested in performing clinical
research. Your own institution is likely
to have specialists in education and
research. The director of medical edu-
cation, an associate dean for faculty
affairs, or the director/associate dean of
faculty development at your institution
are all personnel who may be able to
help in your search. Other medical
departments in your institution may
have hired educational specialists who
would be interested in collaborating
with you. Members of specialty soci-
eties such as SAEM or CORD have
members who may want to work on a
project. The AAMC is starting a pro-
gram to develop medical education
researchers and as part of this effort the
society is working on beginning a men-
toring program. It is still in the early
stages of development. Finally, the
College of Education at your university
may have people who are looking for
opportunities to collaborate in medical
education projects.
17
It may be of interest to investigators
to look at what leaders in the field of
medical education feel are areas which
need investigation. Types of studies
and details of methodology are as var-
ied in education as they are in medi-
cine. Unfortunately, research methods
are rarely reported in the literature.
Despite the myriad possibilities of top-
ics for study, they can be categorized
into some broad areas. A meeting of
the Society of Directors of Research in
Medical Education, held in 2000, creat-
ed an agenda of critical topics for sys-
tematic reviews.[23] The most cited topic
was curricular design, which is interest-
ing considering the inherent difficulties
in performing this type of research.
Other topics needing systematic study
included learning and instructional
design, testing and assessment, and
outcomes of medical education.
Conclusion
Research in medical education has
accomplished a great deal over the last
30 years but must continue to build
upon this legacy. Funding needs to be
secured which would allow high quality
studies and long term research to be
conducted. Researchers need to col-
laborate so that multi-center studies
can occur. Large databases of informa-
tion about medical education (similar to
the databases of clinical medicine now
being compiled) and results of instruc-
tion and constructed learning environ-
ments need to be compiled and made
available to researchers. Periodic
overviews of the field such as that per-
formed by Bordage, Norman, and
Prystowsky need to be carried out so
that strengths and gaps in the field can
be assessed. More work needs to be
done in the areas of patient care out-
comes. As noted by Chen[24] the main
reason for medical education is to pro-
duce physicians who deliver high quali-
ty care, and we have not yet performed
the research needed to demonstrate
the link between education and delivery
of high quality medical care. Various
forms of medical education and learn-
ing environments must be studied to
determine which best assist providers
in the delivery of patient care.
Assessment of the quality of this care
must occur in the clinical setting.
Research into how to ensure that
providers engage in life-long learning,
and what effect this learning has in
(continued on next page)
 2005 New England Regional Meeting
The New England Research Directors (NERDS) have organ-
ized the 9th Annual New England Regional SAEM Meeting
which will take place on April 27, 2005. This year marks the
beginning of a new cycle of regional meetings as the meeting
has returned to Rhode Island Hospital and Brown University
which first hosted the event in 1994. The NERDS have suc-
cessfully handed off the regional meeting across all of the nine
residency programs in the New England Region. Each hosting
institution has maintained a format of posters, oral presenta-
tions and national keynote speakers that remains well
received. This year’s keynote address will be provided by both
Marc Shapiro, MD, and James Gordon, MD, MPA, on the
“Role of High Fidelity Medical Simulation in Advancing
Emergency Medicine in Undergraduate and Post-Graduate
Education." They will also orchestrate an afternoon ‘hands-
on’ workshop for meeting participants featuring both the
Laerdel SimMan and the Meti Human Patient Simulators. This
will provide participants, and others interested in establishing
simulators, a good opportunity to understand these educa-
tional assets and how they are best used in both medical
school and post-graduate training programs. As in past years,
the New England Regional SAEM Meeting will be held at the
Hoaglund Pincus Conference Center due to its central loca-
tion. Contact Gregory D. Jay MD, PhD, at gjay@lifespan.org
for further information.

What is Educational Research…(continued from previous page)

assisting them in maintaining compe-
tency, is vitally important both to physi-
cians and society.
References
1. Merriman Webster online
Dictionary. 2004.
2. Norman, G., C. Van Der Vleuten,
and D. Newble, Introduction and
Forward, in International Handbook
of Research in Medical Education,
G. Norman, C. Van Der Vleuten, and
D. Newble, Editors. 2002, Kluwer
Academic Publishers: Boston, MA.
p. ix.
3. Norman, G., Research in medical
education: three decades of
progress. Bmj, 2002. 324(7353): p.
1560-2.
4. Wartman, S.A., Revisiting the idea
of a national center for health pro-
fessions education research. Acad
Med, 2004. 79(10): p. 910-7.
5. Carline, J.D., Funding medical edu-
cation research: opportunities and
issues. Acad Med, 2004. 79(10): p.
918-24.
6. Goldstein, B., Where do we go from
here? Acad Med, 1994. 69(8): p.
625-27.
7. Wartman, S.A. and P.S. O'Sullivan,
The case for a national center for
health professions education
research. Acad Med, 1989. 64(6): p.
295-9.
8. Kaiser, J., The winners. Even in a
time of plenty, some do better than
others. Science, 2001. 292(5524): p.
1995-7.
9. Ericcson, K., Attaining Excellence
Through Deliberate Practice:
"Insights from the Study of Expert
Performance", in The Pursuit of
Excellence Through Education, M.
Ferrari, Editor. 2002, Lawrence
Erlbaum: Mahwah, NJ.
10. Davis, D.A., et al., Changing physi-
cian performance. A systematic
review of the effect of continuing
medical education strategies. Jama,
1995. 274(9): p. 700-5.
11. Oxman, A.D., et al., No magic bul-
lets: a systematic review of 102 tri-
als of interventions to improve pro-
fessional practice. Cmaj, 1995.
153(10): p. 1423-31.
12. Regehr, G., Trends in medical edu-
cation research. Acad Med, 2004.
79(10): p. 939-47.
13. Prystowsky, J.B. and G. Bordage,
An outcomes research perspective
on medical education: the predomi-
nance of trainee assessment and
satisfaction. Med Educ, 2001. 35(4):
p. 331-6.
14. Bordage, G., Reasons reviewers
reject and accept manuscripts: the
strengths and weaknesses in med-
ical education reports. Acad Med,
2001. 76(9): p. 889-96.
15. Norman, G.R. and S.I. Shannon,
Effectiveness of instruction in criti-
cal appraisal (evidence-based med-
icine) skills: a critical appraisal.
Cmaj, 1998. 158(2): p. 177-81.
16. ten Cate, O., What happens to the
student? The neglected variable in
educational outcome research. Adv
Health Sci Educ Theory Pract,
2001. 6(1): p. 81-8.
17. Thomas, J. and W. Rohwer,
Proficient Autonomous Learning:
Problems and Prospects, in
Cognitive Science Foundations of
Instruction, Rabinowitz, Editor.
18. Campbell, D. and J. Stanley,
Experimental and Quasi-
Experimental Designs for Research.
1963, Boston, MA: Houghton Mifflin
Co.
19. Nieman, L.Z., et al., Implementing a
comprehensive approach to man-
aging faculty roles, rewards, and
development in an era of change.
Acad Med, 1997. 72(6): p. 496-504.
20. Eva, K.W., Issues to consider when
planning and conducting educa-
tional research. J Dent Educ, 2004.
68(3): p. 316-23.
21. Shea, J.A., L. Arnold, and K.V.
Mann, A RIME perspective on the
quality and relevance of current and
future medical education research.
Acad Med, 2004. 79(10): p. 931-8.
22. Norman, G. and C. Van Der Vleuten,
eds. International Handbook of
Research in Medical Education.
2002, Kluwer: Boston, MA.
23. Wolf, F.M., J.A. Shea, and M.A.
Albanese, Toward setting a research
agenda for systematic reviews of
evidence of the effects of medical
education. Teach Learn Med, 2001.
13(1): p. 54-60.
24. Chen, F.M., H. Bauchner, and H.
Burstin, A call for outcomes
research in medical education.
Acad Med, 2004. 79(10): p. 955-60.

18
 Interest Group Meetings in New York City
All SAEM interest groups are required to meet during the SAEM Annual Meeting. Many have elected to develop an agenda for
dissemination to the membership. All SAEM members are invited to attend the interest group meetings. Membership in the inter-
est groups is not required and there is no registration fee.
Saturday, May 21
Ethics, 5:00-6:00 pm
Contact Raquel Schears, MD: schears.rocky@mayo.edu
Sunday, May 22, 2005
Public Health Subcommittees, 12:00-1:00 pm
Contact: Carlos Camargo, MD, DrPH:
ccamargo@partners.org
Neurological Emergencies, 3:00-5:00 pm
Contact: Andy Jagoda, MD: andy.jagoda@mountsinai.org
Toxicology, 12:00-1:00 pm
Contact: Kennon Heard, MD: kennon.heard@uchsc.edu
Medical Student Educators, 4:00-5:00 pm
Contact: Lynda Daniel Underwood, MD:
LDaniel@ahs.llumc.edu
Monday, May 23, 2005
Health Services and Outcomes Research, 10:00-11:30 am
Contact: Shari Schabowski, MD: sschabowski@ccbh.org
Airway, 10:30-12:00 noon
Contact: Barry Brenner, MD, PhD: BrennerBarry@uams.edu
Clinical Directors, 12:00-1:00 pm
Contact: Frank Zwemer, MD:
frank_zwemer@urmc.rochester.edu
Palliative Medicine, 12:00-1:30 pm
Contact: Tammie Quest, MD: tquest@emory.edu
Public Health, 12:00-2:00 pm
Contact: Carlos Camargo, MD, DrPH:
ccamargo@partners.org
Diversity, 1:00-3:00 pm
Contact: Kevin Ferguson, MD: klferg@emergency.ufl .edu
Mentoring Women, 1:30-3:00 pm
Contact: Susan Promes, MD: prome001@mc.duke.edu
CPR/Ischemia/Reperfusion, 2:00-3:00 pm
Contact: Norm Paradis, MD: norman.paradis@uchsc.edu
Research Directors, 4:00-6:00 pm
Contact: David Karras, MD: karrasdj@tuhs.temple.edu
International, 4:00-6:00 pm
Contact: Jeff Smith, MD: jssmith@mfa.gwu.edu
Pediatric, 5:00-6:00 pm
Contact: Meta Carroll, MD: m-carroll1@northwestern.edu
Tuesday, May 24, 2005
Disaster Medicine, 9:00-10:00 am
Contact: Richard Schwartz, MD: rschwart@mail.mcg.edu
Evidence Based Medicine, 11:00-12:30 pm
19
Contact: Michael Brown, MD: brownm@msu.edu
Trauma, 1:30-2:30 pm
Contact: James Holmes, MD, MPH, jfholmes@ucdavis.edu
Patient Safety, 12:00-1:00 pm
Contact: Karen Cosby, MD: kcosby@ccbh.org
Geriatric, 12:00-1:30 pm
Contact: Manish Shah, MD: mnshah@earthlink.com
Simulation, 1:00-3:00 pm
Contact: John Vozenilek, MD: vozonline@ameritech.net
Ultrasound, 2:00-4:00 pm
Contact: Lawrence Melniker, MD: lam9004@nyp.org
Web Educator's Interest Group, 3:00-4:00 pm
Contact: Michael Gillam, MD:
gillam@gmail.com
EMS, 4:00-5:00 pm
Contact: Jonnathan Busko, MD: jbuskomd@yahoo.com
Uniformed Services, 4:30-5:30 pm
Contact: Robert Gerhardt, MD: robert.gerhardt@us.army.mil
Airway Interest Group
Agenda
1. Welcoming remarks and orientation to the committee and
structure
2. Thoughts about restructuring the committee, direction,
presentations, collaborations, research ideas
3. Report of Research Subcommittee, Barry Diner, MD
4. Report of Education Subcommittee, Michael Radeos, MD
5. Report of Program Subcommittee, Adrian Tyndall, MD
6. Presentation of potential collaborations.
7. Presentation of research ideas
8. Election of New Chairman
Mentoring Women Interest Group
On Monday, May 23 the Mentoring Women Interest Group will
meet from 1:30 – 3:00 pm. The interest group is delighted to
have Dr. William Barsan, Chair of Emergency Medicine at the
University of Michigan Health System will address the group
with a presentation entitled “Women in Academic Medicine.”
The interest group will then discuss plans for the upcoming
year and elect officers to continue the mission of mentoring
women in academic emergency medicine.
Palliative Medicine Interest Group
Are you or your residents troubled by the lack of core training
and research in pain management, end-of-life communication
skills, or the management of ‘suffering’ in the emergency
department? Do patients that present to the ED with a variety
of physical and non-physical complaints related to dementia,
cancer, heart failure or pulmonary disease frustrate residents
and faculty? Are you concerned about teaching your resi-
dents how to discuss end-of-life issues or disclose the death
of a loved one to a family? If so, you should consider check- First formed in 2004, the USIG strives to provide a forum for
ing out the Palliative Medicine Interest Group. This group is both military and other uniformed services academic emer-
principally concerned with defining educational and research gency physicians within the SAEM organization, as well as to
objectives for emergency medicine in the area of palliative promote cooperation among military EM training and
medicine. Palliative Medicine is the study and treatment of research programs. USIG also endeavors to recruit and
patients living with life-threatening or severe advanced illness involve military EM physicians into the academic environ-
expected to progress toward dying and where care is partic- ment, and promote SAEM membership within this unique
ularly focused on alleviating suffering and promoting quality of community. Non-military EM physicians and other interested
life. Major components are pain and symptom management, parties are welcome to attend and participate in USIG activi-
information sharing, advance care planning, and coordination ties.
of care, including psychosocial and spiritual support for
patients and their families. Save the date and time for Monday Ultrasound Interest Group
May 23 at 12:00-1:30 pm in the Madison Room. Meeting Agenda
1. Opening Remarks
Clinical Directors Interest Group 2. Interest Group Update
The Clinical Directors Interest Group will be meeting on May • US Image Bank
23 at 12:00-1:00 pm in the Morgan Room during the Annual • Research Consultation Service
Meeting. Key issues will be to determine leadership for the • World Congress
coming year, and to make decisions about on-going activities, 3. The State of PLUS
including the Clinical Directors' survey. The agenda will • Evidence-based Medicine applied to PLUS: 2000-
include: Review activities of the last year; election of new 2005
Chair/Co-Chair; Clinical Directors’ survey – next step; other 4. Didactics Sessions
academic activities; and other activities. • PLUS in Medical Resuscitation
• User Friendly Digital Archiving and Record Keeping
Diversity Interest Group • New Procedural Applications
The Diversity Interest Group (DIG) will hold its meeting on 5. Interest Group Awards
Monday May 23, from 1:00-3:00 pm. The DIG will be contin- • Excellence in Education
uing work from last year including a follow up report on the • Excellence in Research
Focus Group data from last year, developing a diversity con- 6. New Business
sult service, and assisting the Diversity in Curriculum Task • Introduction of Chair 2005-6: Chris Moore
Force in their efforts. There are two items of new business. • Election of Chair-elect for 2006-7
There was a request to revise the position statement written • Open floor for other new business
mostly by the DIG several years ago, and the DIG is sched-
uled to elect new officers this year. There will also be time International Interest Group
preserved for member items of business so please everyone Active Items
bring your ideas for the new officers to begin their work. 1. List-serv update – optimizing use
Discuss ongoing international projects
Geriatric Interest Group Enlist volunteers for short international assessment and
The Geriatric Interest Group will meet on Tuesday, May 24, teaching trips
from 12:00-1:30 pm in the Clinton Room. The geriatric oral Collaborate on international research
abstract presentations are scheduled to follow this meeting. 2. International faculty mentorship program
Our speaker is going to Dr. Sean Morrison from Mt. Sinai. Dr. 3. Primer for international EM resident rotations
Morrison is a nationally recognized leader and researcher in 4. Fellowship list-servs – Fellowship Director listserv
geriatrics and palliative care, with a particular interest in Fellows Listserv
detecting and managing pain in acute care hospitals and pain 5. Scholarships for international faculty
and symptom management in high risk and medically under- New Items
served populations. He has received many awards for his 1. Upcoming international meetings
research and is an excellent speaker. His talk will address 2. New York Symposium Update
pain management in the older adult patient. 3. New Fellowship programs
4. Proposals for didactic sessions 2006
International Interest Group 5. SAEM Task Force
The International Interest Group will meet on Monday, May 23 6. Additional items
from 4:00-6:00 pm in the Clinton Room. Annual meeting and 7. Elections: chair, vice-chair, secretary
elections 4:00-5:20 pm; educational session from 5:20-6:00 8. Items for SAEM meeting at ACEP (Washington, DC)
pm. Educational Session – Challenges in establishing EM res-
idencies abroad
Uniformed Services Interest Group
The Uniformed Services Interest Group will conduct a busi-
ness meeting on Tuesday, May 24 at 4:30 pm. The agenda will
include introductions, elections, and initial planning for the
launch of the Military Emergency Medicine Research
Collaboration (MEMREC).

20
 The 2005 NRMP Match in Emergency Medicine
Louis Binder, MD, Cleveland, Ohio
MetroHealth Medical Center/Cleveland Clinic/Case Medical School
The results of the 2005 NRMP Match became final on March 17, 2005. Emergency Medicine residency programs offered a total
of 1332 entry level positions (5.5% of total positions in all specialties). The following numbers (taken from the 2005 NRMP Data
Book) include information from all programs that entered the 2005 Match:

2003 2004 2005

Total # of NRMP positions 23,365 23,704 24,012
Overall % of positions unfilled 9% 8% 7.5%
Number of EM programs listed 125 129 132
(112 PG1, 13 PG2) (116 PG1, 13 PG2) (119 PG1, 13 PG2)
Total PG1/PG2 entry positions 1251 1295 1332
(1114 PG1, 137 PG2) (1151 PG1, 144 PG2) (1188 PG1, 144 PG2)
EM positions/total NRMP positions 5.4% 5.5% 5.5%
# EM programs with PG1 vacancies 17/112 (15%) 7/116 (6%) 6/119 (5%)
# unmatched EM PG1 positions 41/1114 (3.7%) 22/1151 (2%) 23/1188 (2%)
# EM programs with PG2 vacancies 4/13 (31%) 1/13 (8%) 1/13 (8%)
# unmatched EM PG2 positions 7/137 (5%) 2/144 (2%) 1/144 (0.7%)
Total # EM programs with vacancies 21/125 (17%) 8/129 (6%) 7/132 (5%)
Total # unmatched EM positions 48/1251 (3.8%) 24/1295 (2%) 24/1332 (2%)

Applicant Pool Data

Applicants who ranked only EM programs:

2003 2004 2005

US graduates 856 1014 1056
Independent applicants 300 360 324
Total applicants 1156 1374 1380

Applicants who ranked at least one EM program:

US graduates 1062 1146 1207

Independent applicants 433 360 481
Total applicants 1495 1506 1688

US seniors applying only to EM

Programs who went unmatched 36/856 (4.2%) 71/1014 (7.0%) 65/1056 (6.2%)

Independent applicants applying 114/300 (38%) 140/360 (39%) 117/334 (35%)

only to EM programs who went
unmatched

Percent of matched US seniors 856/12,037 (7.1%) 1014/13,572 (7.5%) 991/11,796 (8.4%)

who matched in EM residencies

Breakdown of filled EM positions by type of applicant:

2003 2004 2005

PG1 EM positions 1114 1151 1188
Filled by US graduates 859 (77%) 892 (77%) 950 (80%)
Filled by independent applicants 214 (19%) 237 (21%) 214 (18%)
Total filled 1073 (96%) 1129 (98%) 1164 (98%)
PG2 EM positions 137 144 144
Filled by US graduates 97 (71%) 119 (83%) 120 (83%)
Filled by independent applicants 33 (24%) 23 (16%) 24 (17%)
Total filled 130 (95%) 142 (99%) 144 (100%)

(continued on next page)

21
2005 NRMP Match…(continued from previous page)
Total EM positions 1251 1295 1332
Filled by US graduates 956 (76%) 1011 (78%) 1070 (80%)
Filled by independent applicants 247 (20%) 260 (20%) 238 (18%)
Total filled 1203 (96%) 1271 (98%) 1308 (98%)

** For PG1 filled entry positions (1308), 1070 were filled by US seniors, 89 were filled by US physicians, 94 by osteopathic physi-
cians, 44 by US international medical graduates, 6 by international medical graduates, 2 by Canadian physicians, and 3 by Fifth
Pathway graduates.

From these data, several conclusions can be drawn:

1. Emergency Medicine experienced an increase of 37 entry level positions in the 2005 Match over 2004 Match numbers (a 2.9%
increase), occurring from a combination of quota increases occurring in EM 1-3 and 1-4 programs, and three new programs in
the EM match. Emergency Medicine now comprises 5.5 percent of the total NRMP positions and 8.4% of matched US seniors
(both all time highs).

2. The overall demand for EM entry level positions increased substantially, from 52 additional US graduates ranking only EM
programs to 113 more US graduates and 182 more total applicants ranking at least 1 EM program in 2005, after similar levels
of growth of the applicant pool in 2004. The majority of this increase came from US seniors who ranked EM programs. This
growth in demand for EM positions far exceeded the increase in supply of positions. The excess applicant demand over and
above the size of the training base is 48 to 356 applicants (4% to 27% surplus), depending on how the parameters of the appli-
cant pool are determined.

3. The proportions of EM positions filled by US seniors versus Independent Applicants (US graduates, Osteopaths, and
International Medical Graduates) increased in 2005 compared with 2004. In 2005, 87% of EM entry positions were filled with
US graduates, compared with 85% in 2004.

4. An increase of 37 in the supply of EM entry level positions in 2005, coupled with an increase in demand by 52 to 182 appli-
cants and a higher proportion of EM positions filled by US seniors and US graduates, resulted in an equivalent fill rate for EM
programs in 2005 (98%). The cumulative effect of these three trends was also manifested by an equivalent number of unfilled
EM positions in the Match (24 in 2005, same as in 2004).

5. As a counterintuitive effect of these cumulative trends, the unmatched rate for US seniors going into EM dropped this year,
from 7.0% in 2004 to 6.2% in 2005, despite the increase in demand over supply. This likely reflects the impact of a higher fill
rate of positions by US seniors and US graduates. The unmatched rate of 6.2% for US seniors, and 39% for Independent
Applicants going into EM, continue to support the notion that most US seniors and Independent Applicants who apply will match
into an EM residency.

2006 Annual Meeting: Call for Abstracts

May 18-21, San Francisco, CA
Deadline: Tuesday, January 10, 2006
The Program Committee is accepting abstracts for review for oral and poster presentation at the 2005 SAEM Annual Meeting.
Authors are invited to submit original research in all aspects of Emergency Medicine including, but not limited to:
abdominal/gastrointestinal/genitourinary pathology, administrative/health care policy, airway/anesthesia/analgesia, CPR, car-
diovascular (non-CPR), clinical decision guidelines, computer technologies, diagnostic technologies/radiology, disease/injury
prevention, education/professional development, EMS/out-of-hospital, ethics, geriatrics, infectious disease, IEME exhibit,
ischemia/reperfusion, neurology, obstetrics/gynecology, pediatrics, psychiatry/social issues, research design/methodology/sta-
tistics, 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 strictly
enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submis-
sion form and instructions will be available on the SAEM website at www.saem.org in November. For further information 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 abstract form or
presented at a national medical scientific meeting prior to the 2006 SAEM Annual Meeting. Original abstracts presented at
national meetings in April or May 2006 will be 22 considered.
Abstracts accepted for presentation will be published in the May issue of Academic Emergency Medicine, the official journal of
the Society for Academic Emergency Medicine. SAEM strongly encourages authors to submit their manuscripts to AEM. AEM
will notify authors of a decision regarding publication within 60 days of receipt of a manuscript.

22
 SAEM 2006 Research Grants
Emergency Medicine Medical Student Interest Group Grants
These grants provide funding of $500 each to help support the educational or research activities of emergency medicine
medical student organizations at U.S. medical schools. Established or developing interest groups, clubs, or other med-
ical student organizations are eligible to apply. It is not necessary for the medical school to have an emergency medicine
training program for the student group to apply. Deadline: September 8, 2005.
Research Training Grant
This grant provides financial support of $75,000 per year for two years of formal, full-time research training for emergency
medicine fellows, resident physicians, or junior faculty. The trainee must have a concentrated, mentored program in spe-
cific research methods and concepts, and complete a research project. Deadline: November 3, 2005.
Institutional Research Training Grant
This grant provides financial support of $75,000 per year for two years for an academic emergency medicine program to
train a research fellow. The sponsoring program must demonstrate an excellent research training environment with a qual-
ified mentor and specific area of research emphasis. The training for the fellow may include a formal research education
program or advanced degree. It is expected that the fellow who is selected by the applying program will dedicate full time
effort to research, and will complete a research project. The goal of this grant is to help establish a departmental culture
in emergency medicine programs that will continue to support advanced research training for emergency medicine resi-
dency graduates. Deadline: November 3, 2005.
Scholarly Sabbatical Grant
This grant provides funding of $10,000 per month for a maximum of six months to help emergency medicine faculty at the
level of assistant professor or higher obtain release time to develop skills that will advance their academic careers. The
goal of the grant is to increase the number of independent career researchers who may further advance research and edu-
cation in emergency medicine. The grant may be used to learn unique research or educational methods or procedures
which require day-to-day, in-depth training under the direct supervision of a knowledgeable mentor, or to develop a knowl-
edge base that can be shared with the faculty member’s department to further research and education. Deadline:
November 3, 2005.
Emergency Medical Services Research Fellowship
This grant is sponsored by Medtronic Physio-Control. It provides $60,000 for a one year EMS fellowship for emergency
medicine residency graduates at an SAEM approved fellowship training site. The fellow must have an in-depth training
experience in EMS with an emphasis on research concepts and methods. The grant process involves a review and
approval of emergency medicine training sites as well as individual applications from potential fellows. Deadline:
November 3, 2005.
Further information and application materials can be obtained via the SAEM website at www.saem.org.

More Programs Participate in Resident Group Discounted Membership

In the November/December 2004 issue of the Newsletter Christ Hospital
SAEM reported on the many emergency medicine residen- East Carolinas University
cy programs that participate in the SAEM Resident Group Hennepin County Medical Center
Discounted Membership Program. This program allows Johns Hopkins University
all, or nearly all, of the residents in a program to become Maricopa Medical Center
members of SAEM at the discounted rate of $75 per resi- Mt. Sinai, New York
dent. The $75 membership fee provides a free subscrip- Ohio State University
tion to Academic Emergency Medicine and the SAEM St. Luke's Hospital, Pennsylvania
Newsletter, as well as a discounted registration fee to University of Alabama
attend the Annual Meeting, and the regular mailings of the University of Louisville
Society. There are now 73 emergency medicine residency pro-
Since the publication of the November/December grams who participate in the resident group discount pro-
Newsletter additional residency programs are now partici- gram, and in the past year that has accounted for 2200
pating in the program. The programs include: resident members in the Society.

23
 Ethical Conduct of Resuscitation Research
Academic Emergency Medicine Consensus Conference
May 21, 2005
8:00-8:45 Opening Remarks: A Historical Perspective
on the Final Rule for Conducting Research
using Exception from Informed Consent,
Michelle Biros, MD, MS
This session will also include an electronic
survey of the participants.
8:45-9:30 Panel: Update of Existing Research about
the Rules, Lynne Richardson, MD, Terri
Schmidt, MD, Roger Lewis, MD, PhD
This session will provide an overview of
research that has been published
on the effectiveness of the current rules.
9:45-11:15 Breakout Sessions: Protecting Subjects
11:15-12:00 Reports of Breakout Sessions
12:00-1:30 Lunch and Keynote Address
Traumatic Consent: Ethics and Emergency
Medical Research,
Glenn McGee, MD, The John A. Balint
Professor of Medical Ethics, Director of the
Center for Medical Ethics, Albany Medical
Center, Editor, the American Journal of
Bioethics
1:30-3:00 Breakout Sessions: Impact on Research
3:15-4:00 Reports of Breakout Sessions
4:00-4:30 Electronic Survey of Participants
4:30- 5:00 Closing and Consensus Process
Morning breakout sessions: Protecting Subjects
Communicating with communities
● What constitutes effective community consultation and
public disclosure?
● How is this measured?
● What is known about the best methods of community
consultation and notification?
● How should community consultation and public
disclosure address language barriers, ethnic minorities
and cultural diversity?
● What are the future research directions that should be
taken to further study the regulations?
Communicating with subjects
● What is known about whether or not emergency
department patients can ever give informed consent?
● Who can/should consent for subjects? (Patient,
surrogate?)
● Can research assistants adequately consent subjects?
● What is known about readability and subject
understanding of consent documents?
● What are the future research directions that should be
taken to further study the regulations?
Research without consent with subjects with diminished
capacity
● What if any, special safeguards should apply before
enrolling children into studies using exception to
informed consent?
24
● Can prisoners ever be enrolled?
● What special safeguards are needed for other special
groups (elderly people, persons with mental illness)?
● What are the future research directions that should be
taken to further study the regulations?
Determining how well the rules are currently protecting
subjects
● What is empirically known about whether or not the
current rules provide adequate protection of subjects in
resuscitation research?
● What is known about the best methods of community
consultation and notification?
● What are the future research directions that should be
taken to further study the regulations?
Afternoon breakout sessions: Impact on Research
Using the regulations in research
● What evidence exists that research is hindered by
these regulations?
● What evidence exists that research has successfully
used these regulations?
● What are the future research directions that should be
taken to further study the regulations?
Researchers understanding of the guidelines
● What is known about the direction that has been
provided to researchers about how and when to use
exception to consult?
● What more is needed to interpret the guidelines?
● What are the future research directions that should be
taken to further study the regulations?
Research conditions that qualify for exception to consent
● What is the definition of life-threatening condition?
● How is equipoise determined?
● What level of evidence is required before an
intervention can be tested?
● What is empirically known about whether or not the
current rules create undue barriers to performing
important resuscitation research?
● What are the future research directions that should be
taken to further study the regulations?
Issues related to IRBs Review
● How do IRBs balance the risk to subjects in the
proposed research with the potential benefit?
● What criteria should IRBs use in evaluating the
community consultation and public disclosure plan for
a study?
● What are the future research directions that should be
taken to further study the regulations?
The AEM Consensus Conference is designed to attract a
broad audience including resuscitation researchers, ethicists,
IRB members and regulators. The goals of this conference are
twofold. First, the conference is designed to provide an
(continued on page 25)
 2005 CPC Semi-Final Competition Participants Selected
This year 77 EM residency programs submitted cases for consideration of presentation at the 2005 CPC Semi-Final
Competition in New York City on May 21. The CPC Committee has selected 60 cases. There will be 6 simultaneous tracks
of CPC cases. A Best Presenter and Best Discussant will be selected from each track and the winners will compete at the
CPC Finals, which will be held on September 26 in Washington, DC. The CPC Competiton is sponsored by ACEP, CORD,
EMRA and SAEM.

Alameda County Medical/Highland General Hospital Oregon Health & Science University
Albany Medical Center Regions Hospital
Albert Einstein/Beth Israel, New York Resurrection Medical Center
Albert Einstein Medical Center, Philadelphia San Antonio Uniformed Services Health Education
Baystate Medical Center St. Lukes-Roosevelt
Beth Israel Deaconess Medical Center Stanford/Kaiser
Boston Medical Center State University of New York, Buffalo
Brown University State University of New York, Downstate/Kings County
Carolinas Medical Center Synergy/Michigan State University, Saginaw
Christiana Care Combined EM/IM Program Temple University
Christiana Care Thomas Jefferson University
Cook County Hospital UCLA-Olive View
Duke University UMDNJ-Robert Wood Johnson/Cooper Hospital
George Washington University University of Alabama
Harvard University University of California, Davis
Henry Ford Hospital University of California, Irvine
Indiana University University of California, San Diego
Lehigh Valley Hospital University of Cincinnati
Lincoln Medical & Mental Health Center University of Florida
Long Island Jewish Medical University of North Carolina
Maimonides Medical Center University of Pennsylvania
Maine Medical Center University of Pittsburgh
Mayo Clinic University of Rochester
Medical College of Georgia University of South Florida
Morristown Memorial Hospital University of Texas Southwestern
Mount Sinai Medical Center University of Virginia
Naval Medical Center, Portsmouth University of Washington/Madigan Army
Newark Beth Israel Medical Center Washington University, St. Louis
New York University/Bellevue William Beaumont Hospital
Northwestern University Yale-New Haven Hospital

Ethical Conduct…(continued from previous page)

overview of the current status of the regulations in order to
increase understanding of how the rules are currently working.
Secondly, this is a consensus conference with the goal of
developing consensus on the important issues for subjects
and researchers surrounding these regulations. Several
innovative methods will be used to develop consensus. Each
of the small groups will be asked to discuss and develop
consensus statements on broad questions. In addition, the
day will begin and end with participant surveys using
sophisticated electronic tools to gather and report participate
opinions in real time. The final product of the conference will
be a special issue of Academic Emergency Medicine
published in November, 2005. This conference is partially
funded by a special grant from Association of American
Medical Colleges (AAMC) and the Office of Research Integrity.
Interested people can register for the conference at
http://www.saem.org/meetings/05regisform.html. The regis-
tration fee is only $50 and includes lunch.

25
ACADEMIC RESIDENT
News and Information for Residents Interested in Academic Emergency Medicine
Edited by the SAEM GME Committee
Teaching Procedural Skills in the Emergency Department:
See some, practice some, do some, teach some?
Paul E. Phrampus, MD
University of Pittsburgh
Senior emergency medicine residents may find teaching
procedural skills to junior residents part of their responsibili-
ties in the Emergency Department (ED). The Model of the
Clinical Practice of Emergency Medicine lists 53 major pro-
cedures that residents should become competent to perform
during their training tenure. Many methods may successful-
ly teach procedural skills including bedside teaching, simu-
lations, animal models, and computer teaching labs. The
purpose of this article is to describe some of the skills and
strategies needed to effectively teach procedural skills at the
bedside in the ED. Some may try to discredit the paradigm
of “See one, do one, teach one.” Perhaps if the model was
renamed “See some, practice some, do some, teach some”
it would be less criticized and might be more aligned with the
training emergency medicine residents receive.
Procedural skills are broken down into two principle com-
ponents: one didactic, the other psychomotor implementa-
tion. These are both integral to successfully teaching proce-
dural skills. The didactic component of a procedural skill is
oftentimes overlooked, or at least glossed over, in a busy ED.
Knowledge of the procedure must be mastered to allow for
an adequate weighing of the risks and benefits to afford an
appropriate discussion with the patient or family members
when obtaining informed consent. Additionally, a thorough
understanding of the procedure may contribute to success-
ful completion of the procedure. Senior residents should
discuss the procedure with the junior resident to augment
the junior’s knowledge base and gauge the level of supervi-
sion that will be required. At a minimum, the discussion
should include indications, contraindications, risks and ben-
efits, equipment set-up, and anatomical considerations for a
particular procedure. The appropriate time and place for a
discussion to review the procedure is a matter of style but
requires sensitivity toward the patient, acuity of the clinical
scenario, and technical aspects of the procedure. For exam-
ple, it might be appropriate to have a discussion with a resi-
dent about risk factors for infection during a wound closure,
but it may be disconcerting to the patient if the instructor
reviews anatomic landmarks in front of the patient before
placing a central line.
Break the procedure into steps and review the major
steps with all but the most experienced of trainees before
beginning the task. Emphasize proper equipment and force
the trainee to think through and pre-analyze the procedure in
detail from beginning to end, allowing the trainee to set up
more efficiently, and in a more organized fashion. Identify
the critical actions needed to successfully complete each
component step in the procedure.
Close observation of the trainee during the procedure is
26
critical. If there are glaring omissions or errors, or if the oper-
ator appears uncertain, it is best to stop and regroup. For
example, if the junior resident cannot connect a blade to the
laryngoscope handle, the intubation is delayed until some
remediation occurs. Careful consideration of the urgency of
the situation dictates if the trainee is allowed to proceed or if
stepping in and taking over the procedure is needed. If the
trainee sets up appropriately, but makes a simple omission
such as forgetting to have suction ready, the senior resident
can simply make a teaching point by saying, “I’ll turn on the
suction for you.” This technique works well and usually
makes a strong teaching point, but does not undermine the
confidence of the trainee.
Psychomotor skills are developed during the procedure.
It is tempting to take over the procedure at the first sign of
difficulty, but it is important to assist the trainee in develop-
ing procedural competency. Balance patient discomfort and
the potential for harm against the importance of success to
the trainee. If it becomes necessary to perform a portion of
the procedure, remember that the remaining parts of the pro-
cedure provide an important kinesthetic experience for the
trainee. For example, making a difficult venipuncture may be
required if a junior resident struggles during central line
placement, but the rest of the procedure has many tasks and
psychomotor experiences that the trainee will benefit from if
allowed to perform them. Improper technique must be cor-
rected immediately. Incorrect psychomotor skills can be
quickly learned if not identified and remediated.
There should be a thorough debriefing as close to the end
of the procedure as possible while the trainee is still mental-
ly engaged. Review things that the trainee performed well
and competently, as well as areas of needed improvement.
It is helpful during the debriefing to discuss options if things
did not go as planned. While a back up plan for a difficult
intubation is discussed before the procedure, discussing
alternatives to the usual lumbar puncture technique may be
held after the procedure has been successfully completed.
Teaching procedures to junior residents can be complex,
but remains a crucial task for senior residents. The following
steps are important:
1. Ensure the trainee has mastery of the required didactic
material
2. Break the procedure into component parts, review
each step
3. Closely observe the procedure balancing patient safe-
ty and comfort against training
4. Correct psychomotor errors when they occur
5. Debrief the resident, positively reinforcing successes,
correcting errors and discussing alternatives
 Guide for Students and Residents:
Getting the Most out of the Annual Meeting
Carey Chisholm, MD
Indiana University
SAEM President
Judd Hollander, MD
University of Pennsylvania
Program Committee Chair, 2005 Annual Meeting
One of the delights of the SAEM
Annual Meeting is that it serves as the
premier showcase for the latest
research developments within our spe-
cialty. This year over 500 abstracts
were accepted for presentation. The
material you see at the Annual Meeting
will be the basis of the manuscripts you
read in our journals over the next few
years, and the material referenced in
new text books up to 5 years from now.
This truly represents the “cutting edge”
of our specialty.
Oral Paper Presentations
Listed abstract titles for each topic
session are available in the brochure.
The abstract supplement to the May
issue of Academic Emergency Medicine
contains the full abstracts. You can use
those to decide whether or not the ses-
sion will be of interest to you. It is
somewhat possible to travel between 2
competing paper sessions, although
there may be up to 5-10 minutes differ-
ential in presentations depending on the
length of the discussion. Paper ses-
sions have a moderator who is tasked
with keeping the session on time, stim-
ulating discussion about the material
presented, and assuring that dialogue
from the questioners is professional and
constructive. Many students and resi-
dents are leery of going to the micro-
phone because they are afraid that their
question may be foolish. Try jotting
down a list of questions that come to
mind during a presentation, and then
see how often those are asked by more
seasoned veterans. You’ll learn that
your questions are not foolish at all!
However, if your question was not
answered and the topic of tremendous
interest to you, you should approach
the presenter at the end of the session
and ask…they are invariably delighted
by your interest. This is a great way for
you to meet some of the leading
researchers in the field.
Poster sessions are informal. You are
encouraged to browse (they are
arranged by topic). The poster presen-
ters are usually very willing to discuss
their work, and so it’s a great time to
network in a topic area. You may want
to look through the list of titles, circle
those of interest, and go up to the
poster discussant and say “would you
mind walking me through your work?”
They almost always are very happy to
give you a quick 30-60 second synop-
sis…you can then say “very interesting,
thank-you” and gracefully walk away if
you aren’t impressed, or use that as a
springboard to give them feedback, ask
further questions, etc. Contrary to
“urban legend”, the poster presenta-
tions are not the “second rate” research
material. And remember, receiving con-
structive critique is one of the major rea-
sons that the presenter attends the
meeting. If something is unclear to you,
let them know…they’ll need to address
that when they write the manuscript so
you are actually helping them with their
work. Moderated Poster sessions
incorporate a hybrid between the paper
session and the poster. The presenter
walks the group through their poster,
which is followed by a brief interactive
discussion, which is led by a moderator.
The Photography Exhibit & Visual
Diagnosis Contest (open to residents
and students with a nice prize for both)
and the Clinical Pearls photo cases are
always well done. Visit these in the
Exhibit Hall when other sessions of less
interest are in progress.
Didactic Sessions
These are designed for specific tar-
geted audiences, and you can usually
easily ascertain whether or not the ses-
sion will be of value. These sessions
are formally submitted to a subcommit-
tee of the Program Committee (PC) for
review of content, time and presenter(s).
Such submissions come from within the
PC, from individuals, or from SAEM
committees, task forces, or interest
groups. SAEM is exclusively responsi-
ble for all of the content at the Annual
Meeting, so you won’t find “canned”
talks prepared by a third party. Letting
your program director know about ses-
sions that you thought were of particu-
larly high quality is helpful…your PD
may wish to invite that speaker to your
residency to give Grand Rounds based
upon your recommendation.
27
Interest Group Meetings
Interest Groups (IG) are considered a
“grass roots” forum within SAEM for
members with similar interest areas.
Some are very structured and have
resulted in research collaborative net-
works or the creation of educational
products, while others are primarily net-
work facilitating. Consider sitting in on
any that are of interest to you. These
meetings are open to you, whether or
not you are a member of the IG. This,
again, is a great way to meet with oth-
ers who share your common interests.
Meeting times are listed in the brochure.
Committees and Task Forces
These are the work horses of our
organization. However, all of these are
open to the general membership, so
you may wish to attend any that are of
interest to you. Committees have long
term roles with annual objectives
assigned by the Board of Directors.
Task Forces are created for short term
(1-2 years) objectives…usually address-
ing a specific problem or opportunity.
In addition to the scientific content
each day, here are a few sessions that
may be of potential interest to you as a
resident participant. These are not
meant to be inclusive, but instead to
highlight the different venues available
for information exchange at the Annual
Meeting.
Sunday, May 22
● Plenary paper session: These
abstracts are selected to showcase
a sampling of some of the most
timely or interesting clinical and
basic science research submitted to
the Program Committee. This will
provide you with an idea of the for-
mat for oral paper
presentations…other sessions are
always smaller and more intimate as
this is the only scientific session
with no other concurrent activities.
● State of the Art sessions: Another
unique feature of the didactic ses-
sions at SAEM. This showcases an
issue of “translational
research/practice” in which we are
moving basic science concepts into
(continued on next page)
Guide for Students and Residents…(continued from previous page)
the clinical arenas, but still lack
adequate data with which to rec-
ommend a “standard of care”.
Future research needs are always
included.
● Several sessions this day will be
useful to the novice investigator:
Understanding diagnostic tests,
the NIH Roadmap, and The Top 10
Errors in EM Research (which
hopefully won’t contain any of our
work).
● This year SAEM is putting Registry
Data on Trial. This promises to be
a fun legal-style debate between
several of our brightest (and most
opinionated) experts in the area.
● Lunch sessions: these are pre-
registered at the cost of providing
the lunch (yes, that’s how much
convention hotels charge for
grub!). If you don’t eat (if you
haven’t paid) and want to unobtru-
sively stand in the back of the
room, you may wish to peek in on
one or two in order to see how the
session is handled. Don’t take
hand-outs if you haven’t paid
either, as the pre-registration num-
bers are used to determine copy-
ing needs. These often are inter-
active and lively.
● Opening reception: great chance
to grab a few appetizers and rub
shoulders with the organization
leadership and senior members of
the specialty.
Monday, May 23
● The Research Compliance
Luncheon Session will provide
valuable insights into those of you
thinking about a research career.
Those of you planning to look for
positions in departments without a
pre-existing research infrastruc-
ture might enjoy the session on
Clinical Research Units.
● Several outstanding educational
sessions are also planned for this
day.
● Several public health sessions
should be useful for those interest-
ed in this area of education and
research.
● Annual Business Meeting: Not as
dry as it sounds, with most of the
time spent on recognizing various
award recipients and announcing
election results.
● Two unique evening sessions are
also occurring – one on how to
make powerpoint presentations
and another on how to interact
with the media (so your colleagues
laugh with you, rather than at you
when you are quoted in the press
or featured in that short segment
on the evening news (“Local ER
doctor tells you how to avoid
water safety hazards…more at 6
o’clock”). Pre-registration is
required.
Tuesday, May 24
● The Breakfast with the Board is
specifically designed for students,
residents and junior faculty to
meet with the leadership in the
society. This is a unique opportuni-
ty to get free food and meet in a
social situation with the SAEM
leadership, when they are not busy
chatting with their friends and col-
leagues. Senior SAEM member-
ship should stay away from this
event – it is designed for our
newest members.
● More State of the Art Sessions,
including one on Space Medicine,
should provide insights not typi-
cally received in the ED.
● Banquet (limited registration):
Priced a bit above many residents'
budgets, but includes a wonderful
cruise around Manhattan and the
Statue of Liberty with music,
dancing and schmoozing.
Wednesday, May 25
● The Spivey lecture should be an
excellent session.
● The Grant Workshop, although
labeled Part 2 is actually designed
for those who did not attend Part
1. Part 1 is a private small group
session with the group of investi-
gators willing to subject them-
selves to frank (and sometimes
brutal criticism) to improve the
likelihood of getting funded. Part 2
is the public presentation of les-
sons learned (in a more conven-
tional toned down manner) so that
everyone else can learn from the
mistakes.
28
● Poster Sessions. Talk about a
chance to meet leading
researchers before going home.
The last day poster sessions are
potentially the best chance. Some
of the best is saved for last (to
keep you and them around). So
one-on-one conversations can
abound during this session.
Hopefully you’ll go home with a
renewed energy for asking questions
about what we do in the ED and for
the populations of patients that we
serve. How can we collectively do this
better? What opportunities are there
that haven’t been explored?
Final thoughts
One of the major reasons to attend
a scientific meeting is to network with
others. Our specialty is enriched by
the “cross pollination” with col-
leagues. Your EM colleagues here
don’t bite! In fact, most would be able
to tell you about their first SAEM meet-
ing. Don’t be a wallflower…introduce
yourself to those that you come in
contact with. If you attend an IG or
Committee/Task Force meeting, be
sure to introduce yourself to the chair.
When you engage in any meaningful
dialogue with a presenter, be sure to
introduce yourself. EM (especially
academic EM) is a small world. Even
if they don’t remember, it is always of
benefit to be able to say “I met you
back in New York in 2005 at the SAEM
meeting and….”. And remember, we
come here not as rivals, but as collab-
orators. The future of our field
depends upon our growth in collabo-
rations and networks. It all begins at
the Annual Meeting. You will be
amazed to find that whoever you con-
sider the most impressive person in
the field is willing to spend some time
chatting with you. Take advantage of
this great opportunity.

The SAEM Board of Directors meets
monthly usually by conference call, and
meets face-to-face during the SAEM
Annual Meeting, the ACEP Scientific
Assembly, and the March CORD
Meeting. This report includes the high-
lights from the February 8 conference
call and the March 5 meeting in New
Orleans (during the CORD Meeting).
The focus of the March Board meet-
ing was the review, revision and
approval of the 2005-06 committee and
task force objectives. The final version
of the objectives is published in this
issue of the Newsletter and will be the
roadmap of the Society's committee
and task force activities in the coming
year.
Also during the March meeting, the
Board approved the Nominating
Committee's proposed slate of nomi-
nees to fill the elected positions in
SAEM. The slate of nominees is pub-
lished in this issue of the Newsletter,
and an official ballot has been sent to all
members eligible to vote. The results of
the election will be announced during
the SAEM Annual Business Meeting on
Board of Directors Update
May 23 at 3:00-4:00 pm in New York
City.
The Board approved the Awards
Committee recommendations for the
2005 recipients of the Academic
Excellence Award, the Leadership
Award, and the Young Investigator
Awards. These awards will be present-
ed during the SAEM Annual Business
Meeting on May 23 and information on
the recipients is published in this issue
of the Newsletter.
The Board approved a proposal
from the Nominating Committee to
amend the membership of the
Nominating Committee. The proposal
has been included on the official ballot,
which has been sent to all members eli-
gible to vote. The proposal is also
included in this issue of the Newsletter.
The Board approved four satellite
symposium applications, which will be
held on conjunction with the Annual
Meeting in New York. Descriptions of
these symposia have been posted on
the Annual Meeting section of the
SAEM web site.
The Board approved the preliminary
2004 year-end financial report, which
indicated revenues of $1,984,989 and
operating expenses of $1,300,860. The
Research Fund realized revenues of
$150,200 (plus $354,894 in interest)
and expenses of $347,001. A more
detailed report on SAEM’s 2004
finances is published in this issue of the
Newsletter.
The Board approved the posting of
materials from the National Alcohol
Screening Day on the SAEM web site.
An announcement about these materi-
als is published in this issue of the
Newsletter.
The Board approved proposed revi-
sions to the SAEM Interest Group
Guidelines. The revised Guidelines
have been posted on the SAEM web
site.
The next meetings of the Board of
Directors will take place during the
SAEM Annual Meeting. The Board will
meet on the afternoon of May 21 and
the morning of May 25. All SAEM
members are invited to attend this, and
all meetings of the Board.

National Alcohol Screening Day Materials Available

The National Alcohol Screening Day (NASD) is a program
that offers health care providers the chance to educate
patients about alcohol's impact on health and to screen
their patients for alcohol problems. SAEM members may
download a NASD "kit" that includes the one-page NASD
screening form, which is a validated screening tool that
addresses the full range of alcohol use disorders from at-
risk drinking to dependence. Also included is the updated
NIAAA/NIH guide, "Helping Patients with Alcohol
Problems: A Health Practitioner's Guide," suggestions for
implementation and materials to educate patients about
the effects of alcohol on overall health. The materials are
available at: www.NationalAlcoholScreeningDay.org/
carprov/primary_alc.htm.
Providers are encouraged to incorporate screenings into
their everyday practice to increase early intervention and
recognition of at-risk drinking and alcohol dependence in
primary care patients.

Administrative Policy on Items for Consideration by the

Board of Directors
This policy was approved by the SAEM Board of Directors in March 2005.
The SAEM Board of Directors has four meetings per year and a conference call every month, unless there is a meeting that
month. Each meeting and conference call has an agenda drafted by the president and executive director. Materials are sent to
the Board for review. In order for the Board to review and provide due diligence on the issues before them, all materials and
agenda items must be sent to SAEM headquarters at least 30 days prior to the meeting or conference call. If an item is received
less than 30 days prior to the meeting or call, the executive committee will determine if this is a critical or time sensitive issue
that should be added to the agenda. There should be very few items that meet these criteria. All objectives have a due date
for the Board meetings and conference calls. Henceforth, those due dates will be 30 days prior to the board meeting or call for
which the item or policy will be placed on the agenda

29
Academic Emergency Medicine…(continued from page 11)
Residency: Success Rate and Adverse Events during a
Two-year Period
Jan 01, 1999 6: 31-37. Section: EDUCATION AND PRAC-
TICE (Cited 20 times)
Charlene Babcock Irvin, Peter C. Wyer, Lowell W. Gerson
Preventive Care in the Emergency Department, Part II:
Clinical Preventive Services--An Emergency Medicine
Evidence-based Review
Sep 01, 2000 7: 1042-1054. Section: SPECIAL CONTRIBU-
TIONS (Cited 18 times)
WD Rosamond, RA Gorton, AR Hinn, SM Hohenhaus, DL
Morris
Rapid response to stroke symptoms: the Delay in
Accessing Stroke Healthcare (DASH) study
Jan 01, 1998 5: 45-51. Section: ARTICLES (Cited 17 times)
JE Hollander, SM Valentine, GX Brogan
Academic associate program: integrating clinical emer-
gency medicine research with undergraduate education
Mar 01, 1997 4: 225-230. Section: ARTICLES (Cited 17
times)
Stephen D. Small, Richard C. Wuerz, Robert Simon, Nathan
Shapiro, Alasdair Conn, Gary Setnik
Midwestern Regional SAEM Research Conference
Monday, September 12, 2005
The Detroit Institute of Arts
The 2005 Midwestern Regional SAEM Research Conference will be sponsored by St. John Hospital and Medical Center
in Detroit. The Call for Abstracts will take place in July 2005. For questions or further information, contact Dr. Patricia
Nouhan: patricia.nouhan@stjohn.org.
Proposed Constitution and Bylaws Amendment
During the March 5 meeting of the Board of Directors, the
Board approved a proposed amendment changing the struc-
ture of the Nominating Committee. The amendment, if
approved by the membership, would decrease the number of
Nominating Committee members elected by the membership
from three to two. However, the Nominating Committee
membership would be increased by two additional members
(a past president and a committee/task force chair) selected
by the Board of Directors. Thus, the Nominating Committee
would be increased by one additional member.
A ballot has been sent to all active members of the Society
to vote on whether or not to approve the proposed amend-
ment. The results of the vote will be announced during the
Annual Business Meeting on May 23 at 3:00-4:00 pm in New
York.
The proposed amendment is published below for the ben-
30
Demonstration of High-fidelity Simulation Team Training
for Emergency Medicine
Apr 01, 1999 6: 312-323. Section: TEACHING CONCEPTS
(Cited 17 times)
JF Tucker, RA Collins, AJ Anderson, J Hauser, J Kalas, FS
Apple
Early diagnostic efficiency of cardiac troponin I and
Troponin T for acute myocardial infarction
Jan 01, 1997 4: 13-21. Section: ARTICLES (Cited 15 times)
Karin V. Rhodes, James A. Gordon, Robert A. Lowe
Preventive Care in the Emergency Department, Part I:
Clinical Preventive Services--Are They Relevant to
Emergency Medicine?
Sep 01, 2000 7: 1036-1041. Section: SPECIAL CONTRIBU-
TIONS (Cited 15 times)
SM Green, SG Rothrock, T Harris, GA Hopkins, W Garrett, T
Sherwin
Intravenous ketamine for pediatric sedation in the emer-
gency department: safety profile with 156 cases
Oct 01, 1998 5: 971-976. Section: ARTICLES (Cited 13
times)
efit of the entire membership. Proposed new wording is print-
ed in all caps. Wording that is proposed to be deleted is indi-
cated with strikeouts.
Proposed Amendment
Article VI, Section 3: Nominating Committee. The
Nominating Committee shall consist of the President-elect, as
chair; the Immediate Past President; a member of the Board
of Directors elected for a one-year term by the Board; TWO
ADDITIONAL MEMBERS SELECTED BY THE BOARD OF
DIRECTORS, ONE FROM THE PAST PRESIDENTS AND ONE
FROM THE COMMITTEE/TASK FORCE CHAIRS, FOR ONE
AND TWO YEAR TERMS RESPECTIVELY; and three elected
TWO members who may not be members of the Board of
Directors, ELECTED BY THE MEMBERSHIP. The last shall
serve staggered two year terms.
 2005-06 Task Force Objectives
Geriatrics Task Force: Chair, Lowell Gerson, MD,
lgerson@neoucom.edu
Rationale: The aging population will be a significant
responsibility of emergency medicine in the foreseeable
future. Research and educational programs in geriatric
emergency medicine are very important for the Society to
foster.
1. Develop the SAEM/ACEP consensus conference for
2006 on geriatrics, including development of
research agenda. Due: October 15, 2005
2. Draft a proposal for a foundation interested in geri-
atrics to support new resources for educational cur-
riculum and training materials regarding the emer-
gency care of the elder person. Due: December 1,
2005
3. Develop new resources for educational curriculum
and training materials on the emergency care of the
elder person. Due: February 1, 2006
4. Develop one article on this ongoing work for the
SAEM Newsletter. Due: April 1, 2006
Industry Relations Task Force: Chair, Debra Diercks, MD,
dbdiercks@ucdavis.edu
Rationale: Currently, SAEM has a relatively limited
engagement with industry, eg. there are no industry-relat-
ed exhibitors at the Annual Meeting. To assure the
Society is maximizing the potential for research and edu-
cation support for its members, the Board has supported
creating this Task Force.
1. Prepare a report for the Board thoroughly discussing
the pros and cons of SAEM having a potential relation-
ship with industry. The report (due December 1, 2005)
should include:
a. a historical perspective as to why SAEM’s current
position exists
b. a status review of industry relationships with other
specialties
c. identified arenas in which SAEM may engage with
industry
d. categories of industry (eg. pharmaceutical, medical
devices, simulators) with which SAEM may engage.
e. Practical recommendation as to how this engage-
ment may be accomplished. These may be linked
for obj. 1c and 1d above.
2. Review the current policies of the Society specific to
SAEM’s relationship with industry and make recom-
mendations with regard to continuing or changing the
policy. Due February 1, 2006
Institute of Medicine IOM Report Task Force: Chair, Carey
Chisholm, MD, cchisholm@clarian.org
Rationale: The primary purpose of this task force will be
to assist the Board in anticipating and assisting in
Institute of Medicine (IOM) activities in advance of the
IOM report and to guide the Society’s response to the
report through recommendations to the Board of
Directors. Their report is anticipated for release in early
2006.
1. To participate in a briefing by one or two of the current
IOM EM Committee members at the 2005 Annual
Meeting.
31
2. To serve as alternates for Board members in terms of
attendance at important IOM functions related to this
committee. Due: as necessary
3. To serve as reviewers of any preliminary documents cir-
culated by the IOM that would be made available to
the Society. Timeliness and shared commentary with
the Board is essential. Due: as requested
4. To assist the Board in strategizing about the best ways
to respond and utilize pertinent content items of the
IOM Report for the benefit of academic emergency
medicine. Due: January 1, 2006, and when report
released.
International Task Force: Chair, Kumar Alagappan, MD,
kalagapp@lij.edu
Rationale: International emergency medicine continues
to grow in scope and activity. One of the significant
short-comings in international EM development is aca-
demic development, including education and research.
SAEM currently does not have a strategy and plan for
how to relate to international EM as a Society. As the
requests for SAEM’s involvement in international EM
activities will continue for the foreseeable future, it is
essential for the Society to chart its own course, one that
will benefit international EM and allow the Society to
maintain its mission.
1. Survey the range of international activities being
offered by US based EM organizations currently.
Due: October 1, 2005.
2. Make specific report to the Board on pros and cons
of potential activity in international relations that are
consistent with the Society’s mission. Due:
December 1, 2006.
3. After Board review and response on objective #2,
draft a position statement for Board review describ-
ing the potential perspective roles of SAEM in
advancing international academic emergency med-
icine. Due: April 1, 2006.
4. Draft article discussing objectives #1-3 for the
SAEM Newsletter, Due: April 1, 2006
Technology in Medical Education – Simulators Task Force:
Chair, James Gordon, MD, jgordon3@partners.org
Rationale: The incorporation of medical simulator
devices, especially human mannequins, has rapidly
accelerated in the last few years as a viable alternative for
teaching and evaluating competencies in our specialty.
There are literally dozens of simulator centers being
developed at academic medical centers. It is important
for SAEM to take an active role in this unique tool for
medical education, both for the benefit of its membership
and to establish emergency medicine as an important
contributor to the development and use of this unique
training tool.
1. To list the equipment necessary to establish a sam-
ple basic entry-level turnkey simulator laboratory,
including costs, for an emergency medicine site.
This would include the potential teaching activities
such a laboratory would support, and a timetable
for implementing such a laboratory, Due: October
1, 2005
2. To develop basic elements and criteria for a consul-
(continued on next page)
Task Force Objectives…(continued from page 25)
tation service in the development and/or enhance-
ment of a simulation laboratory for emergency med-
icine training programs. This service may be web-
based, and would focus on equipment assessment,
educational programs, maintenance expectations,
and their associated costs. Due: December 1,
2005.
3. To develop two documents for Board review and
potential publication. One summarizes the educa-
tional research supporting this teaching technique,
and the settings in which it may be used. The other
outlines potential directions for a research agenda
in emergency medical education utilizing the simu-
lator. Due February 1, 2006.
4. Write an introductory article for the Newsletter refer-
enced to the literature outlining how simulators are
being used to enhance undergraduate and graduate
medical education with an emphasis in emergency
medicine. Due: March 1, 2006.
5. The development of a simulator case library to be
made available to the members who are developing
their own simulator cases. An anticipated number
of 50-80 cases will be assembled and made avail-
able for distribution. Due: May 1, 2006.
Women in Academic Emergency Medicine Task Force:
Chair, Kathleen Clem, MD, clem0002@mc.duke.edu
2005-06 Committee Objectives
Awards Committee: Chair, William Barsan, MD,
wbarsan@umich.edu
1. Develop recommendations for the Board on a stan-
dardized means of identifying and nominating Awards
Committee members. Due: September 1, 2005
2. Identify two new potential academic award themes for
the Society to recognize; one individual, one program-
matic. Make recommendations for the Board consider-
ation, including theme, criteria for award, and nature of
recognition. Due: November 1, 2005
3. Request and review nominations for the Young
Investigator Award and recommend recipients to the
Board. Due: February 1, 2006
4. Request and review nominations for the Academic
Excellence and Leadership Awards and recommend
recipients to the Board. Due: February 1, 2006
Constitution and Bylaws Committee: Chair, Craig
Newgard, MD, newgardc@ohsu.edu
1. Review the Constitution and Bylaws to ensure consis-
tency with Society’s activities and internal functions.
Propose amendments to the Board for review and
approval. Due: January 1, 2006
2. Respond to specific requests from the Board regarding
potential changes in the Constitution and Bylaws over
the course of the year.
Development Committee: Chair, Brian Zink, MD,
bzink@umich.edu
1. Evaluate 2004-05 fundraising activities with regard to
success rates (perceived and actual) of current efforts.
To include donor recognition event at Annual Meeting,
silent auction, mail solicitations, and others. Due:
September 1, 2005
32
Rationale: Higher percentages of women are graduating
from medical school than ever in the past. The numbers
of women going into emergency medicine or academic
emergency medicine have not kept the same pace. As
part of our continued diversity effort, the recruitment and
retention needs of women in academic emergency medi-
cine should be explored.
1. Write an article for the Newsletter on faculty devel-
opment opportunities in academic medicine with a
unique focus on women. Due: October 1, 2005
2. Create a document for the Board that defines and
describes the unique recruitment, retention, and
advancement needs for women in academic emer-
gency medicine. This includes exploring a variety of
services for background information to define these
needs, e.g. ELAM, AAMC, Due: December 1, 2006
3. Make recommendations to the Board based on the
information in Objective #1 as to how SAEM may
encourage and support women in their academic
careers. Due: December 1, 2006
4. Prepare a presentation on objectives #2 and 3
above to be submitted to the Program Committee
as a potential didactic presentation at the Annual
Meeting. A request will be made of the AACEM
leadership to present separately to their annual
meeting. Due: February 1, 2006
2. Identify current and potentially new areas for revenue
enhancement for the Society for Board review. This
process will include a survey of Past-Presidents,
Committee, and Task Force Chairs, IG Chairs for their
ideas. Due: November 1, 2005
3. Identify specific potential donors for “keystone” level
gifts, and work with the Board to identify specific aca-
demic programs or themes they would consider fund-
ing. Due: November 1, 2005
4. Identify potential sponsors and donors within industry,
foundations, and other non-member sources for Board
review. Due: January 1, 2006
Ethics Committee: Chair, Raquel Schears, MD,
schears.rocky@mayo.edu
1. Develop recommendations for the Board on means to
effectively distribute the “Ethics Teaching Resources
for EM Residencies”, when completed. These are
avenues and approaches beyond potential publication
in AEM. Due: September 1, 2005
2. Assist the Board in developing mechanisms to distrib-
ute the findings of the 2005 AEM consensus confer-
ence on Research Integrity. This includes implementa-
tion as appropriate. Due: November 1, 2005
3. Revise the three SAEM Policies regarding relationships
with Industry into a comprehensive single policy.
Share with the Industrial Relations Task Force for
review and the Board for approval. Due: February 1,
2006
4. Complete documents for Board review on specific
ethics topics: “Publication ethics and issues”,
Teacher-learner relationships”, “Academic dishonesty
issues”. Due: April 1, 2006
(continued on next page)
Committee Objectives…(continued from previous page)
Faculty Development Committee: Chair, Theodore
Christopher, MD, NChristopher@chmca.org
1. Develop a series of didactic proposals on academic
skills development for submission to the 2006 Annual
Meeting. At least one session should target each of
senior, mid-career, junior level development needs.
Due: September 1, 2005
2. Work with the Consultation Service to develop a pro-
posal to the Board for a Faculty Development consul-
tation. Due: November 1, 2005
3. Develop a proposal to the Board for creating an
Academic Leadership Skills Course to be sponsored
by SAEM, and potentially 1 or 2 other organizations.
This is to be a Senior level course directed at individu-
als interested in moving from a Mid-Career level to
Chair/Dean’s office/EM leadership position. Due:
December 1, 2005
4. Take “Skill sets for Clinician-Teachers”, developed in
2004-05 objectives by GME Committee, and create an
educational tool to assist faculty in learning and devel-
oping them. This may be a paper, presentation, or
other mechanism. Due: February 1, 2006
5. Create a recommended text based library with an
annotated bibliography for Faculty Development to
assist in training faculty in specific academic and
administrative skills. Due: April 1, 2006
Finance Committee: Chair, Frank Zwemer, MD,
frank_zwemer@urmc.rochester.edu
1. Respond to the findings of the external audit process
with recommendations to the Board. Due: September
1, 2005
2. Initiate the annual SAEM budget planning with the
Executive Director and Secretary-Treasurer in anticipa-
tion of an end-of-calendar year presentation to the
Board. Due: October 1, 2005
3. Review the structure and reporting mechanisms of
SAEM’s investment and non-operational funds, and
make recommendations as necessary. Due:
December 1, 2005
4. Review the current financial goals of investment funds
and make recommendations for the next 5-year goals.
Due: February 1, 2006
GME Committee: Chair, Douglas McGee, DO,
mcgeed@einstein.edu
1. Continue to coordinate the Resident Section of the
SAEM Newsletter, including soliciting, selecting, and
editing of quality articles in a timely manner. Ensure 2-
3 articles throughout year oriented toward important
resident issues/topics. Due: September 1, December
1, 2005 and March 1, 2006
2. Plan and organize the authorship and writing schedule
for a document to assist residents seeking a career in
academic emergency medicine. Due: October 1, 2005
Complete initial draft, February 1, 2006; Final draft,
May 1, 2006
3. Create a presentation referenced to Objective #2 on
seeking a career in academic emergency medicine for
residents. This will be distributed to residency pro-
grams and Regional meetings. Due: March 1, 2006
33
Grants Committee: Chair, Clifton Callaway, MD,
callawaycw@upmc.edu
1. Coordinate the grant application reviews with the assis-
tance of expert reviewers within the Society.
Recommend a prioritized recipient list to the Board for
the following grants and fellowship: Research Training,
Institutional Research Training, Scholarly Sabbatical,
EMS Research Fellowship, Medical Student Interest
Group, and EMF/SAEM Medical Student Research.
Due: Varies by grant program
2. Review the criteria and application process for the EMS
project grants. Due: September 1, 2005
3. Establish resource for frequently asked grant-related
questions and grant-writing tips on the website. Due:
November 1, 2005
4. Work with Research Committee to determine criteria
and assess impact of SAEM grant program for 1999 to
2003 recipients. Due: December 1, 2005
5. Review the mechanism and timeline of the current
Grant Review procedure. Develop a status report for
the Board with recommendations for improvement.
February 1, 2006
National Affairs Committee: Chair, Michael Baumann,
MD, baumam@mmc.org
1. Review the recently approved AAMC initiative plan with
the AAMC representatives, and make recommenda-
tions to the Board on mechanisms for implementing it.
Due: September 1, 2005
2. Monitor legislative and regulatory issues pertinent to
academic emergency medicine. Write 1-2 articles on
select topics for the Newsletter. Due: October 1, 2005,
February 1, 2006
3. Generate a list of options for the Board regarding tar-
geted advocacy roles (i.e. issues, opportunities,
actions) in specific national institutions important to
academic emergency medicine. These institutions
include the AHRQ, NIH, CDC, DHHS and others. Due:
November 1, 2005
4. Work with the AAMC representatives to develop a draft
program for the AAMC Annual Fall Meeting 2006.
Submit summaries of these events to the Newsletter.
Due: 1 month post-meeting
5. Serve as a resource for the IOM Task Force. This activ-
ity may include reviews, recommendations, and written
materials, as requested. Due: Dependent on IOM
timetable
Nominating Committee: Chair, President-elect
1. Review and assess the efficacy of the new “mini-bio”
approach for the Nominating Committee review, and
voter information. Make recommendations to the
Board for continued improvements, as necessary. Due:
September 1, 2005
2. Review and assess the success of the three new com-
mittee/task force evaluation forms instituted in early
2005. Make recommendations to the Board for con-
tinued improvements, as necessary. Due: November
1, 2005
3. Develop a slate of recommended nominees for the fol-
lowing elected positions in 2006: Board officers,
(continued on next page)
Committee Objectives…(continued from previous page)
Board of Directors, Nominating Committee, and
Constitution and Bylaws Committee. To be submitted
to the Board for approval. Due: March 1, 2006
Program Committee: Chair, Deborah Houry, MD,
dhoury@emory.edu
1. Review the feedback from the 2005 Annual Meeting,
and present the report to the Board with recommenda-
tions for improvement and change. Due: July 1, 2005
2. Plan 2006 Annual Meeting. This includes presenting
budget (Nov. 1, 2005) and quarterly progress reports
by the Chair to the Board. Due: July, September,
November 2005 and March, 2006
3. As part of quarterly reports, the Chair will be updated
by the Board on current academe-related themes of
interest to the Society. These themes may be consid-
ered for incorporation into Annual Meeting activities.
Due: Dates as Objective #2
4. Hold conference call between Program Committee
leadership, Board liaison, and 2005-06 Regional meet-
ing directors to discuss relationship options, including
the regional meeting orientation session. Due:
October 1, 2005
5. Make recommendations to the Board as to whether a
distinct Awards Ceremony should be established and
held at the Annual Meeting, beginning 2006. Due:
November 1, 2005.
6. Incorporate planned media-oriented publicity as part of
Annual Meeting development. Due: March 1, 2006
7. Review and update the Annual Meeting operating man-
ual created in 2005. Due: April 1, 2006
Research Committee: Chair, James Olson, PhD,
james.olson@wright.edu
1. Develop recommendations and a content outline for
establishing both a Research and Scholarly Work
development consultation program for emergency
medicine programs. These will be reviewed by the
Board prior to any notice of availability. Due: January
1, 2005
2. Maintain and update the website for listing emergency
medicine researchers with federal grant funding, foun-
dations or large-scale industry support. Define criteria
for inclusion on this listing. Due: November 1, 2005
3. Develop 1 day Applied Grantsmanship and Grant
Review Course for consideration as 2006 Annual
Meeting Pre-meeting course. Develop appropriate
advertising for the course. Due: December 1, 2005
4. Serve as a resource for the IOM Task Force. This activ-
ity may include reviews, recommendations, and written
materials, as requested. Due: Dependent on IOM
timetable
5. Continue guidance and relationship with Educational
Research Subcommittee.
34
Educational Research Subcommittee: Chair, Gloria Kuhn,
DO, PhD, gkuhn@med.wayne.edu
1. Determine the feasibility of a Researcher in Education
Interest Group within the Society. Due: November 1,
2005
2. Design and develop a curriculum for educating aca-
demic emergency physicians in conducting education-
al research. Plan to submit as an IEME proposal for
the 2006 Annual Meeting. Due: February 1, 2006
3. Develop a listing of educational resources for the sub-
ject of educational research for posting on the
Societies’ web site. Due: January 1, 2006
4. Develop criteria and a guide to assist in writing a grant
request in the field of educational research. Plan to
share with membership through SAEM Newsletter.
Due: May 1, 2006
Undergraduate Education Committee: Chair, Cherri
Hobgood, MD, hobgood@med.unc.edu
1. Facilitate ideas for the Board as to how SAEM can
propagate and implement the recently complete MS4
curriculum document, including work with other EM
organizations. Due: September 1, 2005
2. Work with the Program Committee on assessing and
improving the Medical Student Pre-Day at the Annual
Meeting. Due: November 1, 2005
3. Develop a proposal for evaluating the effectiveness and
impact of the Virtual Advisor Program. Due:
November 1, 2005
4. Development of informational materials on ‘Emergency
Medicine as a Potential Career Choice’ for medical
students. Develop a potential distribution plan to
under-represented minority medical students, tradi-
tionally African-American Medical schools, and EM
undergraduate educators in medical schools. Due:
December 1, 2005
5. Monitor continued development and implementation of
Undergraduate Question Databank by subcommittee.
Due: over course of year
Consultation Service: Chair, Wallace Carter, MD,
wac9010@nyp.org
1. Review the current structure and function of the SAEM
Consultation Committee, and make recommendations
to the Board to improve its visibility. Due: November 1,
2005
2. Review the satisfaction with current consultations serv-
ices. Make recommendations to the Board for addi-
tional consultations and means of continuing to
improve their quality as well as impact. Due: January
1, 2006
3. Work with the Faculty Development and Research
Committees on developing new consultations in both
these areas, as requested. Due: over course of year
 2005 Slate of Nominees
The Board of Directors has approved the slate of nominees developed and proposed by the Nominating Committee. A ballot
has been mailed to all eligible SAEM members and completed ballots must be returned by mail with a postmark no later than
May 14, 2005. Results of the election ballot will be compiled at the SAEM office and announced during the SAEM Annual
Business Meeting on May 23 at 3:00 pm-4:00 pm. All members are urged to participate in the election and attend the Annual
Business Meeting. The slate of nominees is as follows:

President-elect Candidates
Current Academic Position(s):
Institution(s): Wake Forest University Health Sciences
Academic Appointment(s): Professor and Chairman, Department of Emergency Medicine
Major Career Accomplishments: I graduated from the University of Michigan Medical School and was
residency trained in Emergency Medicine at the University of Cincinnati. I was appointed to the faculty
at Ohio State University from 1988-2003, where I was also Associate Dean for Clinical Education. I was
recruited to Wake Forest University in January 2003, where I am presently Professor of Emergency
Medicine and Chairmain of the Department of Emergency Medicine.
My area of expertise is emergency cardiology and the care of patients with acute coronary syndromes.
In my early career I was a funded researcher in cardiac resuscitation, CPR, and ischemia/reperfusion. I
James Hoekstra
am presently funded and actively involved in clinical research on the diagnosis and management of
patients with acute coronary syndromes and risk stratification of patients with chest pain. My research
includes the ED use of serum markers of cardiac ischemia, short-stay protocols for the diagnosis of ACS, and the use of novel
therapies for NonST Elevation MI. I am on the executive committee of the multi-center collaborative Emergency Medicine
Cardiac Research and Education Group and I have served on multi-center clinical trial steering committees for the EMCREG,
EARLY, RESCUE ACS, EARLY ACS, CRUSADE, and ACUITY trials.
SAEM Service:
•Member since 1984
•Leadership roles within SAEM:
Board of Directors (2002-present); Chairman: National Affairs Task Force; BOD Committee Liaison: National Affairs
Committee, Financial Development Committee, Development Committee; Interest Group BOD Liaison: Ultrasound,
Web Educators, Ischemia/Reperfusion, Toxicology, Airway; SAEM Representive to the Council of Academic
Societies.
•Committee/task force/interest group membership:
Undergraduate Education Committee (1997); Pharmaceutical and Biotechnology Liaison Committee (1993); National
Affairs Task Force (1997-2002); SAEM Representative to the ACEP Governmental Affairs Committee (1999-2001);
Nominating Committee (2003)
•List role of major contribution to SAEM Products:
As Chairman of the National Affairs Committee, I was instrumental in authoring numerous position statements on legislative
and regulatory issues. In addition, I organized 4 NAC presentations/sessions at the Annual Meeting. As CAS Representative,
I have authored or coauthored 6 Newsletter articles on AAMC and CAS updates. As a Board member, I have authored
or coauthored numerous position statements, strategic plans, and Newsletter articles on an ad hoc basis. As CAS
Representative, I have organized and/or presented 6 different SAEM educational programs at the AAMC. As a Board mem-
ber, I organized and moderated the industry relations round table at the 2004 Annual Meeting.
Most Important Contributions to SAEM: My leadership experiences in SAEM have centered around SAEM’s relationships with
other specialty societies, the AAMC, CAS, industry, and the federal government. In almost every aspect of my work with SAEM,
I am representing SAEM’s views, or the views of academic emergency medicine to some other organization. This includes
everything from EM presentations at AAMC to partnerships with ACEP on issues of mutual interest to liaison relationships with
industry. I am most proud of this role because I believe SAEM’s contributions to the research and education mission cannot be
achieved in a vacuum. We must reach out to funding agencies, our colleague societies, industry, and legislators to fully achieve
our potential. I am happy to participate in those activities.
Personal statement of what the person wants to do for SAEM, if elected: Through my SAEM committee involvement and
Board membership, I have learned a great deal about the mission and direction of SAEM. I have also learned a great deal about
the limitations of SAEM. I believe SAEM is poised on the brink of expansion from its role as a faculty development and research-
fostering organization to the visible and recognizable voice of academic emergency medicine. This transformation involves
opening our doors to the AAMC, NIH, CDC, AHRQ, foundations, and industry to partner in national research and educational
initiatives. It also includes increasing our visibility in national affairs to foster the growth of academic emergency medicine pro-
grams and the stability of academic emergency medicine funding sources. It also includes partnering with ACEP, AAEM, and
other specialty societies on issues of common interest. These goals cannot be achieved without some investment in the SAEM
administrative infrastructure, and attention to the visibility of SAEM at the national level. SAEM’s fund raising, industry relations,
and revenue strategies will need to be re-assessed in order to accomplish some of these goals. The end result should be a
stronger society, and a stronger voice for academic emergency physicians. I welcome the opportunity to participate in this
growth as SAEM President.

35
 Current Academic Position(s):
Institution(s): University of Michigan
Academic Appointment(s): Associate Professor (with tenure)
Other major administrative position(s): Associate Chair for Education, Department of Emergency
Medicine; Admissions Executive Committee, University of Michigan Medical School; University
Committee for the Use and Care of Animals (UCUCA)
Major Career Accomplishments: The focus of my career, and resulting accomplishments, center
around 1) research, 2) education, and 3) advancement of our academic Society, SAEM. For the past
decade, my research has focused on the development and evaluation of novel resuscitation strategies
in the setting of shock/trauma. I have received extensive funding from the Department of Defense. My
Susan A Stern, MD laboratory's work has been part of a driving force to question current resuscitation protocols and re-eval-
uate trauma care standards. In addition, during a recent supported sabbatical, I assisted the Naval
Medical Research Center in the development and implementation of a new large animal brain injury model. I came to University
of Michigan in 1993 to help build a new residency program, and was intimately involved in all parts of that process, culminat-
ing in my appointment as Associate Chair for Education. I have had the honor of serving in multiple capacities, including a half-
decade on the BOD, and as Chairperson of the Program Committee (2 years). In these roles I have led or been part of the devel-
opment of several program innovations, as outlined below, which I believe have significantly contributed to the advancement of
SAEM - the major academic voice for EM.
SAEM Service:
•Member since 1987
•Leadership roles within SAEM:
Board of Directors (2000-present); Chair, Program Committee (1998-2000); National Coordinator SAEM Regional Meetings
(2001-2004); Co-Chair, Annual Meeting/Program Committee Task Force (2002-2003); SAEM Representative to EMF Board of
Directors (2003-2004); Board Liaison to the Grants Committee, Program Committee, Research Committee, Critical Care
Task Force, Fellowship Training Task Force, CPR/Ischemia/Reperfusion, Neurological Emergencies, Research Directors,
Toxicology, and Trauma Interest Groups.
•Committee/task force/interest group membership:
Fellowship Training Task Force (2003-2004); Program Committee (1995-2000); Education Committee (1994-1995); Reviewer,
Academic Emergency Medicine (1994-present). I have also been a member of the Trauma, CPR/Ischemia-Reperfusion, and
Neurological Emergencies Interest Groups
•List role of major contribution to SAEM Products:
Member of working group that developed the current Research Fund Mission, Vision, and Strategic Plan. Authored a
document submitted to the Institute of Medicine (IOM) on behalf of SAEM that used resuscitation research to illustrate and
outline the importance of basic science research in emergency medicine. As Chair of the Program Committee (PC) was
responsible for: oversight of scientific abstracts, didactic proposals, IEME exhibits, Medical Student Symposium, and the
Chief Residents Forum; developed abstract scoring system and awards process; developed Visual Diagnosis Exhibit.
Fellowship TrainingTask Force - participated in the development of the fellowship website. Coordinated a session on business
aspect of health system management at the 2004 Annual Meeting. Developed/revised the Regional Meeting Guidelines. As
a member of the Board for the past 5 years, I have participated in development of several policies, guidelines, and Board ini-
tiated projects; Authored an article for the Resident section of the SAEM newsletter on the importance and advantages of fel-
lowship training; developed and participated in several SAEM Annual Meeting didactic sessions.
Most Important Contributions to SAEM: My most important contributions have been as Board member and Chair of the
Program Committee (PC). As a 5-year Board member, I worked to develop policies and programs across a broad range of SAEM
activities, including development of the current mission, vision, and strategic plan for the SAEM Research Fund. I served as
liaison to numerous Committees, Task Forces, and Interest Groups, assisting SAEM in meeting its goals and objectives, and
conveying membership perspective to the BOD. As PC Chair, I impacted one of the most visible and important products of
SAEM, the Annual Meeting. I was PC Chair during a time of tremendous growth in the AM; consequently the PC, under my
leadership, implemented several major innovations (outlined above). As PC Chair, I worked with SAEM members with diverse
interests and goals. It was this experience, in part, that has made me an effective member of the SAEM BOD.
Personal statement of what the person wants to do for SAEM, if elected: SAEM has been quite effective in advancing aca-
demic EM by addressing educational and public healthcare issues, fostering EM research, and cultivating the careers of aca-
demic EPs. Despite these successes, our mission is threatened by scarcity of resources, increasing administrative hurdles, and
a healthcare system in critical condition. Ensuring ongoing academic advancement of EM and delivery of the highest quality
care to our patients requires: 1) promotion of academic EPs to local and national leadership positions within our medical edu-
cation system; 2) greater involvement in development of national healthcare policy; 3) enhanced support for research; 4) sup-
port for development of novel educational methods for our changing practice environment. If elected, I will advance program-
ming for leadership and faculty development, explore all options for expansion of the Research Fund, investigate mechanisms
to recruit and develop more physician-scientists within EM, enhance our involvement and visibility in national affairs, and pro-
mote development and scientific evaluation of improved educational methodologies. I believe this is the best way to further
SAEM's mission, promote the growth of our diverse faculty, and produce national leaders over the broad range of disciplines
which touch the borders of our profession. Only then will we ensure SAEM remains an effective voice for academic EM.

36
 Board of Directors Candidates
Current Academic Position(s):
Institution(s): University of Pennsylvania School of Medicine, Hospital of the University of
Pennsylvania, The Children’s Hospital of Philadelphia
Academic Appointment(s): Associate Professor of Emergency Medicine, Department of Emergency
Medicine; Associate Professor of Pediatrics, Department of Pediatrics, Division of Emergency
Medicine.
Other major administrative position (s): Director, Pediatric Emergency Medicine Education,
Department of Emergency Medicine
Major Career Accomplishments: For the past 8 years I have served as faculty liaison between an aca-
demic emergency medicine program and a children's hospital emergency department, integrating clini-
Jill Baren cal care, resident/fellow education, and research. I was named to the Department of Pediatrics Teaching
Honor Role awarded to the top 20 physicians at the
Children's Hospital of Philadelphia, and have received with my division colleagues, the "Excellence in and Commitment to
Resident Teaching," award 6 of the last 8 years. I received the Department of Emergency Medicine Annual Resident Mentoring
Award this past year. Within the last 4 years I have been awarded grants from the Emergency Medicine Foundation as a co-
investigator on a Center of Excellence Grant and from the Robert Wood Johnson Foundation, focusing on asthma. I have been
an appointed member of the pediatric sub-board of the American Board of Emergency Medicine for the last 4 years. I was cho-
sen as a consultant to the National Institute of Child Health and Human Development for my expertise in pediatric emergency
medicine research ethics and have served as past consultant for the Maternal and Child Health Bureau, The National Highway
Traffic Safety Administration and the Emergency Medical Services for Children Program.
SAEM Service:
•Member since 1990
•Committee/task force/interest group membership:
Chair, Pediatric Interest Group (1999-2002); Nominating Committee (2002-2004); Pediatric Task Force (1995-1997);
Fellowship Training Task Force (2003-2004); Program Committee (1997-1998); National Affairs Committee (2004-2005);
Pediatric Interest Group (1997-2005); Airway Interest Group (1995-2004); Airway Interest Group, Chair Pediatric
Subcommittee (1995-1997); Ethics Interest Group (2004-2005); Abstract Reviewer, Annual Meetings (1995- 2 0 0 2 ) ;
Academic Emergency Medicine, Editorial Board (1999-2005); Academic Emergency Medicine, Associate Editor (2003-2005)
•List role of major contribution to SAEM Products:
As part of the Pediatric Task Force, led effort to develop and conduct pediatric emergency medicine education survey of EM
program directors. Organized “Responsible conduct of research series” for Annual Meeting. In the process of developing a
Responsible Conduct of Research curriculum for SAEM members. Developed a proposed method (Advocacy Network Plan)
for notifying members about important legislation or political developments that affect the practice of Emergency Medicine.
Planning committee of Academic Emergency Medicine Consensus Conference, Ethical Conduct of Resuscitation Research.
Author of Pediatric emergency medicine education in emergency medicine training programs manuscript: Academic
Emergency Medicine 7:774-778, July 2000
Most Important Contributions to SAEM: During my 3 years as chair of the Pediatric Interest Group, there was an increase in
the number of didactic sessions related to pediatric emergency medicine at the Annual Meeting. The group attracted members
from other pediatric organizations, and provided long distance mentoring and network opportunities for EM residents interest-
ed in PEM fellowships. As a member of the National Affairs Committee, I led the objective to develop an Advocacy Network
Plan, to disseminate important legislative and political issues to our members. The Board of Directors recently accepted this
plan. I have been a didactic speaker for several resident education and faculty development session pertaining to pediatric
emergency medicine. I coordinated last year's Responsible Conduct of Research lectures at the Annual Meeting as part of a
grant from the AAMC and Office of Research Integrity. The content of these sessions is being developed into a curriculum for
SAEM members.
Personal statement of what the person wants to do for SAEM, if elected: We must develop strong partnerships with fund-
ing agencies to increase our recognition as the premier EM research organization and should strive to educate diverse federal
and private agencies about our research agenda. We should increase communication with other specialty organizations and
invite collaboration on projects that are important to our members.
What is your vision for the future of SAEM: SAEM should continue as a major source of grant support, particularly research
and educational methodology training grants for junior faculty, residents and fellows. Faculty development sessions should be
high priority at the Annual Meeting with expansion to address the unique educational needs that have arisen since the enact-
ment of the teaching and documentation rules and the resident work restrictions.
Which needs of the membership do you wish to address: SAEM members have a great need for communication and col-
laboration. When local resources are exceeded, we need to be user-friendly and offer solutions. We are diverse in our interests
and should allow those interests to flourish without losing common ground.
Personal Comment to the membership: There is great satisfaction in being involved in organized EM. I have benefited
immensely from the mentoring, collegial relationships and research collaboration that 14 years of SAEM membership has given
me. As a Board member I hope to create and strengthen programs that will provide others with the same experience.

37
 Current Academic Position(s):
Institution(s): Eastern Virginia Medical School
Academic Appointment(s): Chairman and Program Director, Department of Emergency Medicine,
Eastern Virginia Medical School (Program Director since 1990; Chairman since 1992)
Major Career Accomplishments: Parker J. Palmer "Courage to Teach" (Program Director) Award,
ACGME (2005); Residency Director of the Year Award, EMRA, (2003); President, Association of
Academic Chairs of Emergency Medicine (2002-2003)
SAEM Service:
•Member since 1990
•Committee/task force/interest group membership:
Frank Counselman
Chair, Faculty Development Committee (2003-present); Financial Development Committee (2002-
present); Program Committee, (1999-2001); Annual Meeting Abstract Reviewer (1999-present);
Moderator, Medical Student Forum, Annual Meeting (May 2001); Moderator, Medical Student Forum,
Annual Meeting (May
2000); Inservice Exam Survey Committee (1995-1996); Educational Committee, National Consensus Group on Clinical Skills,
(1993-1994); Graduate Medical Education Subcommittee (1991-1992)
Most Important Contributions to SAEM: I have had the privilege of serving on several SAEM committees over the years. On
each, I have tried to fulfill my responsibilities and act in the best interest of the Society.
Personal statement of what the person wants to do for SAEM, if elected: It is an incredible honor to be nominated for the
Board. If elected, I would work toward: working closely with the other EM professional organizations to advance our
specialty and avoid duplication of effort; assist in making the organization responsive to the needs of all EM physicians involved
in education; supporting and expanding the SAEM Research Fund; continuing to promote the importance of EM residency train-
ing; and to support the mission of the Society.

Current Academic Position(s):

Institution(s): Medical College of Ohio
Academic Appointment(s): Clinical Professor, Department of Surgery, Division of Emergency
Medicine, Medical Collegeof Ohio; Attending Physician, St. Vincent Mercy Medical Center, Toledo,
Ohio
Major Career Accomplishments: My research areas of interest include ethical issues, resuscitation,
and pain management. I have presented over 30 research abstracts at national, state, and local research
meetings. I have been the recipient of numerous grant awards in the research areas of ethics, pain man-
agement, and resuscitation, and have mentored numerous medical students and residents in Emergency
Medicine Research. I have received several research awards, including: Blue Ribbon Research
Excellence Award, Mercy Health Partners Research Symposium, Toledo, Ohio, 2002, , Distinguished
Catherine Marco Alumni Award, Johns Hopkins University Emergency Medicine, 2001, Residency Director's Faculty
Award, St. Vincent Mercy Medical Center, 2001, Physician Excellence in Research Award, St. Vincent
Mercy Medical Center, Toledo, Ohio, 2003, and Best Poster, Midwest SAEM Research Meeting, 2004. I have published exten-
sively in the Emergency Medicine literature. I have published over 130 manuscripts, including scientific journals, major text-
book chapters, and other publications. I have enjoyed serving as Associate Editor for Academic Emergency Medicine since
2003, and have served as manuscript reviewer for 12 scientific journals.
SAEM Service:
•Member since 1990
•Committee/task force/interest group membership:
Constititution and Bylaws Committee (2002-present); Chair, Constitution and Bylaws Committee (2004-2005); Ethics
Committee (1997-present); Chair, Ethics Committee (2001-2003); I worked on the development of the SAEM Code of
Conduct, SAEM Guidelines on Decision Making Capacity, and the SAEM Guidelines on Relationships with Biomedical
Industries.
•Related to SAEM committee work:
I have published several manuscripts, including: Marco CA: Guidelines for Research in Cooperation with Biomedical
Industry Organizations. Acad Emerg Med 2001; 8:756; Marco CA, Larkin GL, and Silbergleit R: Filming of Patients
in Academic Emergency Departments. Acad Emerg Med 2002; 9:248-251; Hamilton, G, Marco CA: Emergency Medicine
Education and Health Care Disparities. Acad Emerg Med 2003; 10: 1189-92.
Personal statement of what the person wants to do for SAEM, if elected: SAEM has grown in size and impact over the past
16 years from an early start to its current status as an international organization of significant impact on academic pursuits in
emergency medicine. The annual functions of SAEM continue to influence the goals and aspirations of academic emergency
physicians, including the Annual Meeting, publications, specifically Academic Emergency Medicine, research awards, policies,
and educational resources. The long list of individuals who benefit from services provided by SAEM include emergency med-
icine faculty, residents, medical students, and numerous others. Much of SAEM's continued and growing strength will come
from continued improvement of existing programs. Yearly evaluations of these programs and feedback from members and
attendees provide valuable information leading to improvements every year. Yet there remains room for growth in numbers and
influence. In the future, I would like to assist the Board of Directors to set objective goals of improved outreach and attendance
at the Annual Meeting, at regional meetings, and increased utilization of SAEM's web-based resources, and expanded circula-
tion of SAEM publications. Most importantly, SAEM should continue to serve its members through improved quality and scope
of meetings, publications, research funding, information, and educational resources.
38
 Current Academic Position(s):
Institution(s): Stony Brook University
Academic Appointment(s): Professor of Emergency Medicine
Other major administrative position(s): Vice Chairman for Research, Member of Junior Faculty
Development Committee, Member of local IRB
Major Career Accomplishments: Dr Singer has had an extensive research career. His main focus areas
are wound healing and pain management. Dr. Singer has authored over 140 publications including sev-
eral in the New England Journal of Medicine and JAMA. He has developed several important wound out-
come measures and animal models for lacerations and burns. His research supported the introduction
of tissue adhesives in the USA. He has also received significant funding for his research both from the
Adam Singer private sector and from national foundations, such as EMF.
SAEM Service:
•Member since 1992
•Committee/task force/interest group membership:
Program Committee (1999-2002, 2003-2004); Grants Committee (2002-2003); Nominating Committee (2003-2005);
Membership Survey Task Force (2004-2005)
•Leadership roles within SAEM:
Chair, Scientific Sub-committee (2002); Chair, Grants Committee (2003); Associate Editor, AEM (1999-2005);
Nominating Committee; Author of multiple studies in AEM; Helped develop the current scoring system for SAEM
abstracts; Helped develop database for tracking of grants and reviewers.
Most important contributions to SAEM: Dr Singer has contributed greatly to the research efforts of SAEM. He was awarded
the first Resident Academic Achievement Award and the Junior Investigator Award. He has presented extensive original
research at the SAEM Annual Meetings and has contributed to the advancement of emergency medicine research by playing
an active role in the Program Committee and as the Chair of the Grants Committee. Dr. Singer has also contributed to the
regional SAEM by serving as a member of the Program Committee for the NY SAEM. Dr. Singer is also helping to organize the
NY EM Research Collaborative Group. Dr. Singer has also helped educate many emergency physicians and students through
several books that he is edited including "Emergency Medicine Pearls" and "Lacerations and Acute Wounds: An Evidence
Based Guide".
Personal statement of what the person wants to do for SAEM, if elected: My goals to advance SAEM include: develop a
specific SAEM Research Award to recognize the efforts of EM researchers; increase industry funding of EM researchers through
the SAEM Research Fund; develop forums for the career development and advancement of middle to senior level emergency
physicians as well as more junior faculty; and cultivate the collaboration of emergency researchers with other researchers in
other fields and countries.
What is your vision for the future of SAEM: To increase the membership in terms of numbers and involvement and to improve
the quality and funding opportunities for emergency medicine research and education.
Which needs of the membership do you wish to address: Greater involvement and understanding of SAEM and its officers;
enhance funding for junior researchers; help give direction for the career development of mid level and more senior SAEM mem-
bers.
Nominating Committee Candidates
Current Academic Position(s):
Institution(s): Northwestern University
Academic Appointment(s): Professor
Other major administrative position(s): Department Chairman
Major Career Accomplishments: My major accomplishments include achieving departmental status at
Northwestern University, being part of a great faculty and wonderful residency, and enabling a first rate
research program with federal and private funding; serving as Vice Chair at Brigham and Women's
Hospital and being a founding faculty member of the Harvard Affiliated Emergency Medicine Residency;
serving as Chair of Emergency Medicine at Wilford Hall Medical Center in the United States Air Force;
serving in a leadership role for Academic Emergency Medicine; working as an Editor of Rosen's
Jim Adams Principles and Practice of Emergency Medicine; serving on the SAEM Board of Directors.
SAEM Service:
•Member since 1988
•Committee/task force/interest group membership:
Board of Directors (1999-2004); Secretary-Treasurer (2003-2004); Ethics Committee (1991-1999); Chair, Ethics
Committee (1995-1999); Government Affairs Committee (1993); Moderator, Scientific Sessions (1995-2004); Reviewer,
Research Abstracts (1995-2005); Member, multiple interest groups; Senior Associate Editor, Academic Emergency Medicine;
Frequent speaker, contributor to conferences; Author of documents on professionalism, ethics.
Most important contributions to SAEM: Having the privilege to serve on the board of directors of SAEM and also serve the
journal, Academic Emergency Medicine, have allowed me to work with the best minds in the specialty. I have helped adminis-
trate, manage, and enable the dissemination of the work of thought leaders in emergency medicine. It remains rewarding to
advance the work of friends and colleagues. I believe that my most important contribution has been to facilitate, enable, and
disseminate the work of SAEM members while advancing professionalism, along with science and education.
What are your goals for advancing the society? It is all about recruiting, retaining, and advancing the many talented people
in academic emergency medicine. Cultivating talented residents, inspiring talented junior faculty, and augmenting the powerful
contributions of senior faculty are the goals. We must inspire people to join our ranks by ensuring that we are ourselves per-
39
sonally fulfilled and professionally inspired. We must develop junior faculty through formal training and supportive mentorship.
Professional friendships are a gift. The senior faculty can be given a voice through the journal and through national and inter-
national networks. Building these higher level networks, facilitating connection to federal funding agencies, and promoting
national and international collaboration will advance both society and its members.
What is your vision for the future of SAEM? The best and brightest are choosing our specialty, so we must nurture research
and teaching skills, we must facilitate growth of academic skills, we must continue to advance scientifically. We must be able
to inspire the future leaders of healthcare. SAEM continue to advance as a premier research society, an assembly of innovative
educators, and a college of thought leaders. This requires financial support, so we must continue to develop grants and awards.
Success also depends on adherence to the ethics of the society, so continuous affirmation of our professional standards is
required. Growth also requires training the leaders, so development of even more highly advanced educational programs for sci-
entists, educators, and administrators is needed.
Which needs of the membership do you wish to address? Advanced academic research skills; clinician educator develop-
ment; administrative and Leadership skill development
Personal comment to membership: I find SAEM service satisfying on every level. It is a personal pleasure to work with won-
derful friends and colleagues. The work of SAEM is intellectually fascinating, creative, and challenging. In the end, it also ben-
efits society. Hopefully, good ends are reached for individuals in need.

Current Academic Position(s):

Institution(s): Regions Hospital, Saint Paul Minnesota
Academic Appointment(s): Assistant Professor of Emergency Medicine, University of Minnesota
Other major administrative position(s): Director, Regions Emergency Medicine Residency
Major Career Accomplishments: CORD Faculty teaching award (1999); Outstanding Peer Reviewer
Academic Emergency Medicine (2003)
SAEM Service:
•Member since 1990
•Committee/task force/interest group membership:
Board of Directors (2001-2002); Undergraduate Education Committee (1996-2001; Chair, 1999-2001);
Felix Ankel Faculty Development Committee (2004-present); SAEM/CORD Joint Task Force on the Model
Curriculum of Emergency Medicine (2003-present); International Affairs Committee (1991-1994); Chair,
Web Page Task Force (2004-present)
Most important contributions to SAEM: Residency consultant (2002-present); Presenter, SAEM virtual advisor program, 26th
annual AAMC meeting (2001); SAEM medical student web page (1999-2001); Author, "10 Things To Do Before Applying To An
Emergency Medicine Residency" on SAEM medical student home page; Chair, Web Page Development Task Force (2004-pres-
ent); SAEM/CORD Joint Task Force on the Model Curriculum of Emergency Medicine (2003-present); AEM reviewer (1997-pres-
ent); AEM editorial board (2000-2003); Board of Directors (2001-2002); Undergraduate Education Committee (1996-2001, Chair,
1999-2001)
What are your goals for advancing the society? My goal for advancing SAEM is to bring the society to the forefront in trans-
lating best knowledge into best care.

Current Academic Position(s):

Institution(s):Summa Health System, Akron, OH
Academic Appointment(s): Professor of Clinical Emergency Medicine, Northeastern Ohio Universities
College of Medicine, Rootstown, Ohio
Other major administrative position(s): Program Director of the Department of Emergency Medicine
Major Career Accomplishments: My most significant accomplishment to date has been the develop-
ment of an online testing tool useful to both residents and residencies. This year alone over 25,000
online tests will be administered. This accomplishment led to my being awarded the CORD Impact
Award in 2003. Other accomplishments include spearheading the development of an SAEM-sponsored
academic emergency elective resource useful to residents. In 1994 I obtained an MBA degree from Case
Michael Beeson Western Weatherhead School of Management. In 2000 I was awarded the ACEP National Faculty
Teaching Award.
SAEM Service:
•Member since 1994
•Committee/task force/interest group membership:
Chair, GME Committee (2001-2004); GME Committee member (2000-2001, 2004-2005); Resident Support Task Force
(1999-2000); Uniting Research and Education Task Force (2001)
Most important contributions to SAEM: My most important contributions to SAEM revolve around my desire to increase the
visibility of graduate medical education and its need for education research as a strong interest and driving force of SAEM. I
have contributed significant time and interest to the GME Committee over the last 5 years, resulting in quality newsletter arti-
cles, a resource for residencies that enables the easy tailoring of an academic EM elective for a resident, as well as promoting
the development of GME Committee members as they fulfilled committee objectives.
What are your goals for advancing the society? If elected to the Nominating Committee, I hope to do more than develop
the yearly list of candidates for the various elected positions within SAEM. I hope to work within the Nominating Committee to
develop lists of potential candidates early on in their SAEM careers, compiling results of committee and task force work, as well
as evaluations of committee chairs.

40
What is your vision for the future of SAEM? My vision for the future of SAEM includes broadening the reach of its member-
ship. There are many emergency medicine physicians who clinically teach medical students and residents who are not mem-
bers. As a medical society, we need to identify reasons that would compel many of these individuals to want to join and par-
ticipate. Much of this can be done through greater collaborative efforts that lead to faculty development and research-foster-
ing efforts.
Which needs of the membership do you wish to address? I will represent emergency medicine educators, and will bring an
increased focus on the need for quality medical education research efforts through collaboration and identification of potential
funding sources.
Personal comment to membership: I am a 1985 emergency medicine residency graduate from Akron City Hospital. I
obtained an MBA degree following residency training. I have been the Program Director at Summa Health System since 1994.
Since then I have contributed to the specialty through my involvement with SAEM and CORD, most recently serving on the
CORD Board of Directors. I am an Oral Examiner for ABEM. My professional goals include the development of resources for
educators that eliminate duplication of effort, and result in greater consistency in our ultimate product and pride- the resident
graduate. If elected to the Nominating Committee I will work hard to identify those individuals who will bring energy to the var-
ious elected positions.
Current Academic Position(s):
Institution(s):MetroHealth Medical Center; Case Western Reserve University
Academic Appointment(s): Associate Program Director and Director of Education; Department of
Emergency Medicine, MetroHealth Medical Center; Professor of Emergency Medicine, Case Western
Reserve University
Major Career Accomplishments: Attained rank of Professor of Emergency Medicine - first to do so in
three medical schools. Eleven years as Assistant and Associate Dean for Education and Student Affairs.
Recipient of the major institutional teaching award at 2 medical schools. Numerous leadership roles in
Emergency Medicine and medical education, including ABEM (examiner), RRC-EM, AMA (Section on
Medical Schools), the Pathway Education Program (Chair of Advisory Board), National Youth Leadership
Louis Binder Forum (Board of Advisors), the Liaison Committee on Medical Education (Faculty Fellow), and the
Harvard Macy Scholars Program. Associate Editor, Academic Emergency Medicine (1994-2000).
Academic Leadership Award (2001).
SAEM Service:
•Member since 1982
•Committee/task force/interest group membership:
Board of Directors (1990-1995); President (1993-1994); Undergraduate Education Committee; Long Range Planning
Process; Membership Survey Task Force (2004-present); Constitution and Bylaws, Undergraduate Education Consulting
Service, Regional Research Symposia, Educational Curriculum Subcommittee, Model Curriculum in Emergency Medicine for
students and rotating residents, Nominations, CME, Publications, Leadership development. Scientific abstract reviewer
(1996-present), Annual Meeting Moderator (1987, 1991, 1996-2002); Director of SAEM Consultation Service (1998-2001).
Most important contributions to SAEM: My various leadership activities as above, and the outcomes of these activities that
have resulted in SAEM programs and processes that have grown and been used by our members to this day.
Personal statement of what the person wants to do for SAEM, if elected: My interest in the Nominating Committee stems
from my 17 years of involvement in the leadership of SAEM. The Society has been fortunate to attract young, capable, and
energetic leaders into its leadership positions. Much of this success in leadership recruitment and development has stemmed
from the active role that past and current SAEM leaders have taken in cultivating and mentoring leadership candidates. Election
to the Nominating Committee would allow me the opportunity to continue to contribute to SAEM in using my experience, con-
nections, and seniority to contribute to this ongoing priority.

Constitution and Bylaws Committee Candidates

Current Academic Position(s):
Institution(s):Yale University
Academic Appointment(s): Associate Professor of Emergency Medicine and Public Health
Other major administrative position: Chief, Division of EMS
Major Career Accomplishments: I completed my medical training at Columbia University, and my EM
residency and EMS fellowship training at the Medical College of Pennsylvania, where I was the fortunate
recipient of the 1994-95 SAEM/Physio-Control Fellowship in EMS grant. My fellowship experience real-
ly launched my interest in academic EM, and after serving as faculty at MCP for several years, I moved
to Yale University in 1999, where I currently serves as EMS fellowship director, EMS Division chief, and
area EMS medical director. I hold a joint appointment at Yale's public health school, where I direct a
Dave Cone course on disaster management. I am very active in EM and EMS education, having trained six EMS fel-
lows, and served as thesis advisor to several PA and MPH students. I also teach at a graduate disaster
management program in Drammen, Norway, and recently completed the European Master in Disaster Medicine program. I man-
age to remain active in EMS research, and was honored to receive the Best Cardiac Arrest Resuscitation Research Presentation
at the NAEMSP Annual Meeting in January 2003.
SAEM Service:
•Member since 1992
•Committee/task force/interest group membership:
41
 EMS Committee (1994-1997); Publications Committee (1997-1998); Outcomes Research Interest Group (1997-1999); EMS
Research Task Force (2000-2001); Nominating Committee (2000-2002); Program Committee (2002-2004); Nominating
Committee (2000-2002); Newletter editor (1998-present); AEM Associate Editor (1999-present); AEM Senior Editor (2001-
present); Steering Committee, AEM Consensus Conferences (2002, 2003 and 2005); First author of AEM peer review tem-
plate.
Most important contributions to SAEM: I believe that my primary contributions have been through two of SAEM's publica-
tions. First, I have served as newsletter editor since 1998, helping organize and craft the society's internal communications.
Second, I have served as Associate Editor, and then Senior Associate Editor, of SAEM's journal since 1999. This has given me
the opportunity to get involved in a number of SAEM activities. I have been active in the peer review process for Academic
Emergency Medicine, served as first author of the journal's peer review template, and presented this template and several other
didactic sessions at the Annual Meeting peer review workshops. I have helped guide the development and implementation of
three of AEM's annual consensus conferences, and now coordinate all of the journal's activities at the Annual Meeting, as well
as all journal correspondence submissions.
What are your goals for advancing the society? The Constitution and Bylaws Committee conducts an annual review of these
documents, ensuring that they maximize the ability of the Society to meet its objectives and advance its vision. By focusing on
the "structure" and "process" of the Society, we can hopefully maximize the "outcomes" in terms of the Society's work prod-
ucts, service to members, and advancement of the academic aspects of emergency medicine.
What is your vision for the future of SAEM? SAEM continues its growth as the leader in education and research in emer-
gency medicine. A number of new technologies, such as simulation and distributed learning, present opportunities in both
research and education for our specialty, and I believe the Society must help its members assume leadership roles in these and
other aspects of academic EM.
Which needs of the membership do you wish to address? Many of the Society's formal objectives (such as "sponsoring
forums for the presentation of peer-reviewed scientific and educational investigations") help serve the needs of the members
while simultaneously advancing SAEM's vision. Ensuring that the constitution and bylaws help facilitate such win/win functions
must be a key function of this committee.
Current Academic Position(s):
Institution(s): Duke University
Academic Appointment(s): Associate Clinical Professor
Other major administrative position: Program Director for Emergency Medicine Residency Program;
Course Director for Duke University’s Capstone Course
Major Career Accomplishments: I am a clinician educator. I believe in sharing my talents and time to
promote and grow our specialty. I'm one of those people who is never happy with the status quo and
hence, constantly looking for ways to improve myself and the specialty of emergency medicine. I have
dedicated my career to expanding the knowledge of medical students, residents and my emergency
medicine colleagues. My biggest accomplishment to date would have to be the development of the EM
Susan Promes Residency at Duke. In addition to adding a residency program, I've had the opportunity to contribute to
the specialty through writing chapters for numerous textbooks as well as editing textbooks. I lecture
nationally to emergency medicine audiences. I write for Journal Watch and through that endeavor I am able to share informa-
tion with others. I enjoy planning educational activities and have played an active role in the SAEM Annual Meeting for the past
several years from reviewing abstracts, selecting courses to helping plan the Chief Residents Forum and Medical Student
Symposium. I have won the Teacher of the Year award from Alameda County Medical Center - Highland General Hospital
Residency Program and have been recognized for my leadership roles on multiple occasions.
SAEM Service:
•Member since 1987
•Committee/task force/interest group membership:
Didactic Sub-committee, Program Committee (1998-present); Medical Student Symposium, Program Committee (2001-pres-
ent); Chief Residents Forum, Program Committee (2004-present); GME Committee (2004-present); Ultrasound Interest Group
(1996-present); Mentoring Women Interest Group (2003-present); Residency Consulting Service (2003-present); Overseeing
the development and implementation of the 2005 Medical Student Symposium and Chief Residents Forum.
Most important contributions to SAEM: My most important contributions to SAEM are through the development of educa-
tional programs for medical students, residents and faculty. I am a Residency Director and my heart lies in education. I have
a passion for education and direct my energies in that venue. Over the years of my involvement in the Medical Student
Symposium (two years as chair), I have helped to grow the attendance in that program. I'd like to think I have had a role along
with all the other committee members in the success of the Annual meeting over the past several years. I have reviewed course
proposals and abstracts and served as a judge for the Annual meeting. I helped select top-notch programs for inclusion in the
meeting. Lastly, as one of the founders of the Mentoring Women Interest group, I helped develop a forum for women in aca-
demic emergency medicine to come together and mentor one another.
Personal Statement of what the person wants to do for SAEM, if elected: If elected to the Constitution and Bylaws com-
mittee, I will spend the next three years learning as much as I can about the organization with the hope of serving on the Board
of Directors in the future. As a committee member, I can contribute the most is in areas of organizational process and fairness.
I am known for my attention to detail and problem solving which will serve me in this position.
As mentioned previously, I am a Residency Director and day to day deal with issues surrounding education of residents and
medical students. I enjoy sharing my knowledge and experience with others. I see SAEM continuing to grow and our Annual
meeting expanding with not only research presentations but also more workshops for the clinician educators to support their
development, career longevity and productivity. I see the development of more formal mentoring opportunities for our mem-
42
bers. Most importantly I see myself working hard to fulfill the needs of the membership. One thing that you can count on from
me is that I promise to be diligent in my responsibilities and responsive to the membership.

Resident Member of the Board Candidates

Current Academic Position(s):
Institution(s): University of North Carolina, PGY-1 EM Resident
Other major administrative position(s): Minor Trauma/Urgent Care administrative committee member
Major Career Accomplishments: I am a first year resident at the University of North Carolina. My
research interests are in medical student and resident education. I am currently working on a research
project for a web based teaching tool for EKG interpretation. I graduated in the top third of my medical
school class last year and am a member of Alpha Sigma Nu, an honor society comprised of graduates
who distinguish themselves in scholarship, loyalty and service. I held many leadership positions in med-
ical school, including my role as president of the local chapter of the American Medical Women's
Association (AMWA). Last year I was the recipient of the Father Fahey Scholarship for academic achieve-
Gillian Rickmeier ment, leadership, and service. Prior to medical school, I worked on a NATO project involving medical
planning and defense against bioterrorism. I received a Top Secret clearance from the Department of
Defense and had several publications. I was the primary author on "Biological Warfare Human Response Modeling", (Military
Operations Research Society, 2001) and was awarded the best presentation in my working group at a national meeting and
nominated for the Barchi award by the Military Operations Research Society.
SAEM Service:
•Member since 2003
Most important contributions to SAEM: As a new member to the field of emergency medicine, my contributions to SAEM are
my interest in the specialty and my dedication to enhancing the future of emergency medicine. My desire to pursue this posi-
tion and commitment to involve new members provides representation from emergency medicine residents and gives a voice
to those who will help direct the future of SAEM. Furthermore, my research project is meant to address an issue brought before
the SAEM Board in 2002 regarding physician competence in EKG interpretation. I plan to be involved in gathering data, design-
ing the survey and teaching tool, recruiting volunteer participants, data analysis, feedback analysis, manuscript preparation and
presentation. My goal is ultimately to highlight areas of resident weakness, design a teaching tool that will improve the diag-
nostic and possible clinical decision making involving the use of EKGs, and attempt a standardization of resident skill level in
EKG interpretation.
Personal Comment to the membership: My goals for next year are to help advance the society by maintaining its primary
mission: improving patient care through the advancement of education and research in emergency medicine. As a resident
member of the board, I would like to recruit other residents and medical students to become involved in the various commit-
tees, task forces, and interest groups to help influence the future of healthcare policy and decision-making. Specifically, I'd like
to continue to build the SAEM mentor program, medical student symposium and resident forum. Coming from a medical school
without an EM residency, I understand the challenges in finding a preceptor and making successful career decisions. As the
field of emergency medicine is growing exponentially, the future of SAEM is largely dependent on the interest, participation, and
leadership of its newer members. My background in education and research has stimulated me to become more involved and
I'd like to apply that experience to endorse new proposals, allocate financial and staff resources, and create new goals and
objectives to fulfill the mission of SAEM.
Current Academic Position(s):
Institution(s): Naval Medical Center San Diego, PGY-3 EM Resident
Major Career Accomplishments: I attended Officer Indoctrination School in 1997 and won the
Lieutenant Thomas Eadie, United States Navy (Retired), Congressional Medal of Honor, Award, for
achieving the highest combined grade point average of academics and military readiness in the class. I
graduated from MCP Hahnemann School of Medicine in 2001 and won the Lippincott, Williams & Wilkins
Award for Excellence in the Preclinical Curriculum as well as a scholarship for academic performance
during my second year. I then completed a transitional year internship at Naval Medical Center San
Diego, serving as the Vice President or the intern class. After internship I served as a General Medical
Officer for the United States Marine Corps, deploying to Iraq in support of Operations Enduring & Iraqi
Joel Schofer Freedom. I have served on the board of directors of the American Academy of Emergency Medicine
(AAEM) Resident Section for four years and am currently the President of the Resident Section and a
member of the main AAEM board of directors. In 2003 I was the Editor-In-Chief of a textbook for medical students interested
in emergency medicine, AAEM's Rules of the Road for Medical Students, containing over 40 chapters and 400 pages.
SAEM Service:
•Member since 1998
Most important contributions to SAEM: I have been a member since medical school and look forward to making many impor-
tant contributions to SAEM. I have been very involved in the development of the AAEM Resident Section and would now like
to shift my focus and energy to SAEM and the development of its resident membership.
Personal Comment to the membership: I would like to bring my enthusiasm and productivity to SAEM. I have been one of
the most productive members of the AAEM Resident Section board of directors and would suggest three improvements that
would allow SAEM to better serve its resident members. As the academic society of EM, I feel that SAEM is perfectly posi-
tioned to create the definitive board review source for EM residents. Other academic societies in other specialties (American
College of Physicians, American Academy of Pediatrics, etc.) provide this service for its residents and I believe SAEM should
43
as well. This would offer a tremendous service to its current members and entice more residents to join the organization. I also
believe that SAEM needs to update and upgrade its website and would look forward to making SAEM.org an easier to use and
more complete reference for all members. Finally, SAEM has the potential to really develop its resident membership and I would
propose that a Resident & Student Section be created. In my opinion, there is not a lot of opportunity for residents or students
to become involved in SAEM and creating a resident section would dramatically improve this opportunity.
Current Academic Position(s):
Institution(s): East Carolina University, Brody School of Medicine, Pitt County Memorial Hospital, PGY-
1 EM Resident
Major Career Accomplishments: Prior to Medical School, I worked five years in Washington, DC as a
Legislative Assistant for California Representative Anna Eshoo, a member of the House Committee on
Commerce including the primary authorizing House subcommittee for Healthcare, the Subcommittee on
Health. I drafted and helped pass legislation to fund the Department of Health and Human Services
(HHS), the National Institutes of Health (NIH), the National Science Foundation (NSF) and other federal
agencies involved in healthcare policy and research. I also helped California constituents (such as
Stanford University, Intel, Apple, small business owners and private citizens) access millions in federal
Lance Scott research dollars. Academically, I attended the University of Notre Dame (BA, 1992, Government and
International Studies) and the University of North Carolina School of Medicine at Chapel Hill. Significant
awards include the Isaac Hall Manning Award presented to the senior medical student who best exemplifies "outstanding schol-
arship, character, leadership, initiative and original investigative work." Also the SAEM Excellence in Emergency Medicine
Award presented to the senior student who best exemplifies the qualities of an excellent emergency physician. I first authored
the peer-reviewed publication, "An Analysis of EMT-Paramedic Verbal Reports to Physicians in the Emergency Department
Trauma Room." Prehospital Emergency Care. 6(1):167, April/May 2003.
SAEM Service:
•Member since 2004; I presented "Lumbar Puncture Utilization on Adults in the Emergency Department Suspected of Having
Meningitis," at the 2004 SAEM Southeast Regional Conference in Chapel Hill, North Carolina. The project won SAEM's Best
Student Presentation Award.
Personal Comment to the membership: I want to do for SAEM what I did professionally for five years - namely, help SAEM
navigate the federal system to bring more dollars into Emergency Medicine and implement public policy changes that will
advance Emergency Medicine as an academic and clinical discipline. By working with the SAEM National Affairs and
Development Committees, I believe I can significantly expand funding opportunities for the SAEM Research Fund as well as
specific opportunities for individuals seeking federal funds. In addition, I feel that SAEM should advocate more assertively on
specific reform issues that uniquely affect academic departments - for example, NIH Extramural Grant Reform and Graduate
Medical Education (GME) funding. Finally, I will focus on four specific Resident issues during my tenure including career devel-
opment enhancement, expanding curriculum in Ultrasound and Critical Care, quality of life challenges such as Violence in the
Workplace and ethical issues such as Racial Disparities in Healthcare. I look forward to learning from Members of the Board
and contributing what I can to rapidly advance SAEM goals.

Advertising Positions Available at Annual Meeting

SAEM is again offering an opportunity to advertise in the on-site program. The Annual Meeting will be held
May 22-May 25 in New York City and will attract approximately 1,800 academic emergency physicians.
A limited amount of space is being set aside for the position available section and only academic posi-
tions available will be accepted. The deadline for receipt of ads at the SAEM office is May 1, 2005. Ads
should be sent to Elizabeth@saem.org.
The following ad requirements and prices are available for the on-site program:
Classified line ads (100 words maximum):
$100 (contact SAEM member)
or $125 (non-SAEM member)
Quarter page ads: 31⁄2” wide x 43⁄4” deep $300
Half page ads:
71⁄2” wide x 43⁄4” deep or
31⁄2” wide x 93⁄4” deep $350
Full page ads: 71⁄2” wide x 93⁄4” deep $450
A typesetting fee ($25-$50) will be charged if the quarter, half, or full page ads are not camera-ready.

44
President’s Message…(continued from page 1)
describes how we teach and measure
competency of residents in the care of
patients with chest pain. My suspicion
is that a document of that length and
complexity will not be read by residents
or faculty alike. Excellent process doc-
umentation, but without practicality for
the end users. As a specialty, we
should be able to articulate the out-
comes measures for a successful prac-
titioner’s care of a patient with chest
pain in a page or less.
One of my predecessors, Roger
Lewis, challenged our organization to
“raise the bar” of EM educational
research5 … and perhaps even more so
than basic science and clinical
research. We are truly in our early
stages of exploration. The myriad of
systems changes should provide a fer-
tile field for research in this area. By
succinctly articulating the critical cogni-
tive and technical skill sets that our
graduates must possess, our educa-
tional researchers will be able to identi-
fy valid outcome measurements that
correlate with competency. Without
these, we risk simply layering addition-
al process measurement and documen-
tation (how our programs teach and
measure the core competencies) with-
out attaining the theoretic goal of assur-
ing competent graduates.
In the interim, our specialty should
carefully examine the risk-benefits of
alterations in our training process
(requirements). The analogy to a new
medication is reasonable;… what does
the new educational requirement
replace, how will it help to assure com-
petency in a critical outcome, what are
it’s side effects (e.g. additional docu-
mentation), and what are its unintended
adverse reactions (post-marketing sur-
veillance)? As I mentioned in my previ-
ous message, it’s time to tackle the
question of duration of training. This
should be defined by the desired end-
product, a set of clearly and concisely
articulated cognitive and technical skills
for our graduates. Once defined, we
can decide how long it will take to train
a resident in those skills. This becomes
the finite time table of training. ANY
additional mandated educational com-
ponents MUST be balanced with an
identical reduction in another (or an
expansion of the duration of training).
This is a dramatic departure from our
historical practice of simply adding
layer upon layer. When the process
leading to the desired outcome has not
been carefully validated, our specialty
should reward and allow creativity.
Instead of a “one size now applies to
all”, encourage programs to pilot train-
ing strategies, or provide several poten-
tial options from which they may
choose.
For those who are not directly
involved in student or resident curricula
implementation, you may wonder if and
how this affects you. Keep watch! The
ABMS assessment of practice perform-
ance requirement will apply to all of us.6
My prediction is that we will turn to sim-
ulation technology in the very near
future (I would guess that we’re about
1-2 hardware generations and 3-4 soft-
ware generations away from the neces-
sary technology) to assure that we have
maintained (and continued to develop)
our cognitive and technical skills. The
annual airline pilot cockpit simulator
model may not be so far fetched of an
idea. Simulation technology would
appear to be a ripe field for research
and development for a number of our
current and future faculty.
SAEM members have a tremendous
opportunity to contribute to the future
of medical education. Educational
research targeting validation of compe-
tency measurement is desperately
needed. The interface with the IT com-
munity can transfer much of the
process documentation to paperless,
automatically stored databases, there-
by allowing more efficient use of the
time spent by residents and educators
45
alike. Simulators will soon become one
of the most widespread tools for edu-
cation process as well as for competen-
cy verification for all levels (student
through veteran practitioner).
So what’s the revolution? It starts
with the application of the scientific
method to our educational processes.
Where it goes from there lies with all of
us.
References
1. Anonymous. Core Content for
Emergency Medicine. American
College of Emergency Physicians.
American Board of Emergency
Medicine. Society for Academic
Emergency Medicine Ann of Emerg
Med. 20(8):920-34, 1991 Aug
2. Allison EJ Jr. Aghababian RV. Barsan
WG. Graff JG. Janiak BD. Kramer DA.
Perina DG. Robinson WA. Strange GR.
Core content for emergency medicine.
Task Force on the Core Content for
Emergency Medicine Revision. Ann of
Emerg Med. 29(6):792-811, 1997 Jun.
3. Hockberger RS. Binder LS. Graber MA.
Hoffman GL. Perina DG. Schneider SM.
Sklar DP. Strauss RW. Viravec DR.
Koenig WJ. Augustine JJ. Burdick WP.
Henderson WV. Lawrence LL. Levy DB.
McCall J. Parnell MA. Shoji KT.
American College of Emergency
Physicians Core Content Task Force II.
The model of the clinical practice of
emergency medicine. Annals of
Emergency Medicine. 37(6):745-70,
2001 Jun.
4. Chapman DM. Hayden S. Sanders AB.
Binder LS. Chinnis A. Corrigan K.
LaDuca T. Dyne P. Perina DG. Smith-
Coggins R. Sulton L. Swing S.
Integrating the accreditation council for
graduate medical education core com-
petencies into the model of the clinical
practice of emergency medicine. Acad
Emerg Med. 11(6):674-85, 2004 Jun.
5. Lewis RJ: Educational Research: Time
to Reach the Bar, Not Lower It. Acad
Emerg Med 2005 12: 247-248
6. ABMS home page. http://www.
abms.org/MOC.asp 2005
 ABEM Requests Suggestions for Lifelong Learning and Self-Assessment
Readings
A cornerstone of ABEM's new EMCC program is the concept
of Lifelong Learning Self-Assessment (LLSA), which is devel-
oped to promote continuous learning on the part of ABEM
diplomates. ABEM facilitates this learning by identifying an
annual set of readings to guide diplomates in self-study of
recent Emergency Medicine (EM) literature. You can have a
voice in the identification of these readings.
ABEM welcomes and requests that EM organizations and
ABEM diplomates submit suggestions for readings. As a
result of these efforts, over the past three years, ABEM has
received a significant number of recommended quality read-
ings. There is concern, however, that the number of suggest-
ed readings may naturally diminish over time as organizations
and individuals are increasingly busy.
Developing high-quality LLSA tests is dependent on high-
quality readings.
ABEM urges SAEM and its members to participate actively in
the selection of LLSA readings. As the publisher of EM’s aca-
demic journal and a leading academic organization in EM,
SAEM is in a uniquely positive position to identify important,
high quality readings.
Submission Criteria for LLSA Readings
ABEM has established the following criteria for LLSA read-
ings:
1. Focused on recent advances or current clinical knowledge
in Emergency Medicine;
2. Clinically oriented in content;
3. Drawn from peer-reviewed EM journals, peer-reviewed
journals from related primary specialty fields, textbook
chapters, or updated practice guidelines;
4. Published in printed or electronic form within the immedi-
ate five years preceding the LLSA test in which it will be
used;
5. Related to either the designated content areas for a given
year (approximately 50%), or to the remaining content
areas (approximately 50%) of the EM Model "Listing of
Conditions."
Content of the 2007 LLSA Test
Although readings for the second LLSA test in 2006 have
already been selected, ABEM welcomes reference sugges-
tions for future LLSA tests from the larger EM community on
an ongoing basis.
Currently, ABEM is soliciting readings for the 2007 LLSA test,
for which the designated content areas will be Signs,
Symptoms, and Presentations and Psychobehavioral
Disorders. ABEM will select approximately 50% of the read-
ings for the 2007 LLSA from these two designated areas,
while approximately 50% of the test content will be drawn
from the remaining content areas of the EM Model Listing of
Conditions.
How to Submit Recommendations for LLSA Readings
For each reference submitted, ABEM must receive the follow-
ing two items:
1. Lifelong Learning and Self-Assessment Reference
Form
Complete an LLSA Reference Form for each reference that
you recommend to ABEM. Be sure to provide all request-
ed information for each reference, including the article title
completely written out, the journal name, etc. Do not use
abbreviations. Do not alter the form in any way, except to
add the requested information in the space provided. The
LLSA Reference Form is available from ABEM and may
also be downloaded as an MS Word document from the
ABEM website, www.abem.org. The form can be comput-
er-printed or typewritten.
2. One Paper Copy of the Article, Chapter, or Other Text
One paper copy of the article, chapter, or other text for
which you have submitted a reference must be mailed or
faxed to ABEM to be considered for inclusion. Electronic
copies of readings cannot be accepted due to copyright
restrictions.
References received by June 1, 2005, will be considered
for inclusion in the 2007 LLSA module. Materials submitted
after that date will be considered in the future.
Recommendations may be submitted via fax or mail: FAX:
517.332.3943; Mail: LLSA References, American Board of
Emergency Medicine, 3000 Coolidge Road, East Lansing, MI
48823
If you have specific questions or comments regarding the
process for recommending references for the LLSA compo-
nent of the EMCC program, please contact Timothy J. Dalton,
Examination and Evaluation Project Specialist, at the ABEM
office, telephone 517.332.4800. If you have questions of a
more general nature regarding LLSA or about the overall
EMCC program, please contact Robert C. Korte, Ph.D.,
Senior Psychometrician.

Call for Advisors

The SAEM Virtual Advisor Program
has been a tremendous success.
Hundreds of medical students have
been served. Most of them attended
schools without an affiliated EM resi-
dency program. Their “virtual” advi-
sors served as their only link to the
specialty of Emergency Medicine.
Some students hoped to learn more
about a specific geographic region,
while others were anxious to contact
an advisor whose special interest
matched their own.
As the program increases in popu-
larity, more advisors are needed. New
students are applying daily. Please
consider mentoring a future colleague
by becoming a virtual advisor today.
We have a special need for osteo-
pathic emergency physicians to
serve as advisors. It is a brief time
commitment – most communication
takes place via e-mail at your conven-
ience. Informative resources and arti-
cles that address topics of interest to
your virtual advisees are available on
the SAEM medical student website.
You can complete the short applica-
tion on-line at http://www.saem.org/
advisor/index.htm. Please encourage
your colleagues to join you today as a
virtual advisor.

46
FACULTY POSITIONS
OHIO: The Ohio State University - Assistant/Associate or Full Professor.
Established residency training program. Level 1 Trauma center. Nationally rec-
EMERGENCY MEDICINE
ognized research program. Clinical opportunities at OSU Medical Center and Academic Positions
affiliated hospitals. Send curriculum vitae to: Douglas A. Rund, MD, Professor
and Chairman, Department of Emergency Medicine, The Ohio State University, Available in the
146 Means Hall, 1654 Upham Drive, Columbus, OH 43210, email
Dailey.1@osu.edu, or call (614) 293-8176. Affirmative Action/Equal
Department of Emergency Medicine
Opportunity Employer. of
PENNSYLVANIA: University of Pittsburgh: Full-time emergency medicine fac- Allegheny General Hospital, Pittsburgh, PA
ulty positions are available at the Instructor through Associate Professor levels.
Candidates must be residency trained and board certified/prepared in emer-
gency medicine. We offer career opportunities as a clinician-investigator or cli- Practice Emergency Medicine in Western Pennsylvania’s
nician-teacher. Our faculty have local, national and international recognition in
research, teaching and clinical care. The ED serves a primarily adult population Most Dynamic Emergency Department
with a volume of approximately 50,000 per year, and is a Level I trauma center
with both toxicology and hyperbaric medicine treatment programs housed with-
in our Department. Salary is commensurate with experience. For further infor- ✩ Emergency Medicine Residency Training Program
mation write to: Donald M. Yealy, MD, Vice Chair, Department of Emergency
Medicine, University of Pittsburgh School of Medicine, 230 McKee Place, Suite
✩ Level I Trauma Center
500, Pittsburgh, PA 15213. The University of Pittsburgh is an Affirmative Action, ✩ Level I HAZMAT Receiving Facility
Equal Opportunity Employer.
✩ 20% Pediatrics
THE UNIVERSITY OF UTAH Health Sciences Center has a position available in
the Division of Emergency Medicine for a residency-trained physician with an ✩ Medical Toxicology Treatment Center
interest in academics and residency training to start the summer of 2005. The ✩ Fellowships - EMS, Sports Medicine, Administration, Research,
University of Utah is the primary medical teaching and research institution in the
state. The E.D. has a census of 33,000 visits annually and is an ACS-certified Toxicology, Patient Safety
Level-1 Trauma Center. The Division of Emergency Medicine runs the AirMed
helicopter service, two regional EMS systems, and the Utah Poison Control
✩ Salary Commensurate with Experience
Center. Additionally, we are starting the first Emergency Medicine Residency
program in Utah in July 2005 with eight residents. Candidates must be board Contact:
certified/prepared and have a demonstrated interest in research and education. Fred Harchelroad, M.D.
Competitive salary with excellent benefits package. The University of Utah is via Michelle Malsch, Executive Asst.
an EEO/AA employer and encourages applications from women and minorities.
Send CV to Erik D. Barton, M.D., M.S., Chief, Division of Emergency Medicine, (412) 359-3961
1150 Moran Eye Center, 175 N. Medical Drive East, Salt Lake City, UT 84132; mmalsch@wpahs.org
801-581-2730; fax 801-585-6699; erik.barton@hsc.utah.edu.
WASHINGTON, DC: Washington Hospital Center (WHC), Georgetown ✩✩ West Penn Allegheny Health System, an Equal Opportunity Employer ✩✩
University Hospital (GUH), Franklin Square Hospital (FSH), and Union
Memorial Hospital (UMH) in the Washington, D.C. – Baltimore, MD corridor
seek physicians board-certified or residency-trained in emergency medicine to
join their faculty. WHC is the largest Washington, DC hospital, seeing more than
67,000 annual visits; GUH is a renowned academic institution; and FSH and
UMH emergency departments in Baltimore are very busy. Contact Mark Smith,
MD, FACEP, Chairman of Emergency Medicine, at 202-877-0808, fax 202-877-
University of Pittsburgh
2468 or write to him at the Washington Hospital Center, Department of The Department of Emergency Medicine offers fellowships
Emergency Medicine, 110 Irving Street, NW, Washington, D.C. 20010. in the following areas:

• Toxicology
• Emergency Medical Services
• Research
• Education

Enrollment in the Graduate School is a part of all fellowships

with the aim of obtaining a Master’s Degree. In addition,
intensive training and interaction with the nationally-known
faculty of the Department of Emergency Medicine, with
The SAEM Newsletter is mailed every other month to approxi- experts in each domain, is an integral part of the fellowship
mately 6000 SAEM members. Advertising is limited to fellowship experience. Appointment as an Instructor is offered and fel-
and academic faculty positions. The deadline for the lows assume limited clinical responsibilities in the
July/August issue is June 1, 2005. All ads are posted on the Emergency Department at the University of Pittsburgh
SAEM website at no additional charge. Medical Center and affiliated institutions. Each fellowship
offers the experience in basic and/or human research and
Advertising Rates: teaching opportunities with medical students, residents and
Classified ad (100 words or less) other health care providers. The University of Pittsburgh is an
Contact in ad is SAEM member $100 Equal Opportunity Employer, and will welcome candidates
Contact in ad non-SAEM member $125 from diverse backgrounds. Each applicant should have an
Quarter page ad (camera ready) MD/DO background or equivalent degree and be board certi-
3.5" wide x 4.75" high $300 fied or prepared in emergency medicine (or have similar
To place an advertisement, email the ad, along with contact per- experience). Please contact Donald M. Yealy, MD, University
son for future correspondence, telephone and fax numbers, of Pittsburgh, Department of Emergency Medicine, 230
billing address, ad size and Newsletter issues in which the ad is McKee Place, Suite 500, Pittsburgh, PA 15213 to receive
to appear to: Elizabeth Webb at elizabeth@saem.org information.

47

www.ecu.edu www.uhseast.com
Associate Residency Director
ECU Emergency Medicine at the Brody School of Medicine is
recruiting for an Associate Residency Director for one of the oldest
and premier emergency residencies in the country, with 12 EM and
two EM/IM residents per year. Academic rank of assistant to full pro-
fessor depends on qualifications and experience. Tenure-track or
clinical-track appointments available, depending on academic inter-
est. Pitt County Memorial Hospital is a 740-bed Level I trauma cen-
ter, with 70,000 ED and urgent care visits per year. Greenville is a
family-oriented community with a major 24,000 student university.
This is an excellent opportunity to join a rapidly-growing emergency
department in eastern North Carolina, just ninety minutes from the
Atlantic Ocean. The university excels in the arts, music, theater,
and dance, so there are exceptional cultural opportunities.
We offer competitive compensation commensurate with qualifi-
cations and excellent fringe benefits. Screening will remain open
until filled. We encourage you to visit our website at
www.ecu.edu/ecuem to learn more about our department and the
requirements for this position.
Please submit letter of interest, CV, and three letters of reference
to: Herbert G. Garrison, MD, MPH, Professor and Interim Chair,
Department of Emergency Medicine, The Brody School of Medicine
at East Carolina University, 600 Moye Boulevard, Greenville, North
Carolina, 27834, Phone 252-744-4757; Fax 252-744-5014
You may also apply online by using ECU OneStop on the main
ECU page: www.ecu.edu. ECU is an EEO/AA employer and accom-
modates individuals with disabilities. Applicants must comply with
the Immigration Reform and Control Act. Proper documentation of
identity and employability required at the time of employment.
Current references must be provided upon request.
48
Section of Emergency Medicine
Yale University School of Medicine
Associate Section Chief
The Section of Emergency Medicine at Yale University School of
Medicine is seeking to fill the position of Associate Section Chief at the
Associate Professor level. The candidate should be an experienced cli-
nician with demonstrated excellence in administrative and interperson-
al skills. In conjunction with the Chief, he/she will assist with the over-
all mission of the Section, to excel in clinical practice, education, and
research. Responsibilities will include oversight and direction of clini-
cal operations, in conjunction with the Medical Director of the
Emergency Department, specifically the development and monitoring
of quality measures.
Candidates must be board certified in Emergency Medicine, obtain
licensure in Connecticut, have a minimum of 7 years of experience with
significant administrative responsibility within a Section or Department
of Emergency Medicine in an academic setting. The successful candi-
date will also have significant administrative experience, as well as
demonstrated leadership skills and a strong commitment to medical
education and clinical excellence.
Yale New Haven Hospital is the primary practice site. It is a level I
trauma center with approximately 70,000 adult ED visits per year. In
addition, a satellite ED on the Connecticut shoreline with an annual
census of approximately 10,000 adult and pediatric patients per year.
Rank and salary will be commensurate with education, training and
experience. 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 letter via fax at (203) 785-4480, email
jamie.petrone@yale.edu, or mail 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.
 -ARCH
!PRIL!DPDF

0-

mind-stretching.
heart-pounding.
opportunity-rich.

Work among the BEST!

Jackson Health System, the premier South Florida integrated
health system, is a 1597-bed tertiary care center affiliated with
the University of Miami School of Medicine. We offer virtually
unlimited opportunities to test and advance your talents along
with one of the best benefit programs found anywhere
including 100% employer-paid retirement, 29 paid personal
leave days, health/dental/life and much more!

Attending Physician
Due to our recent expansion we have a number of full-time
opportunities available within our Emergency Care Center for
Florida licensed MDs with board certification in Emergency
Medicine or residency trained in Emergency Medicine and
current/future core faculty responsibilities. Competitive
salary/benefits. Sovereign immunity.

For more information, please contact:

Jackson Health System
Tom McGlynn, Recruitment Services
1611 NW 12th Ave, Park Plaza West, Ground Level, Suite 1
Miami, FL 33136
Phone: 305-585-7142; Fax: 305-585-7824
tmcglynn@um-jmh.org

www.um-jmh.org
EOE, M/F/D/V

Brigham and Women's

Hospital
Harvard Medical School
Full-time academic faculty position. Includes excellent academ-
ic support, appointment at Harvard Medical School, unparalleled
research opportunities, competitive salary, and an outstanding
comprehensive benefit package.
Brigham and Women’s Hospital is a major Harvard affiliated
teaching hospital, level I trauma center, and the base hospital for
the four year ACGME accredited Brigham and Women’s
Hospital/Massachusetts General Hospital Harvard Affiliated
Emergency Medicine Residency Program. The Department of
Emergency Medicine cares for over 54,000 ED patients per year,
and the 43 bed ED includes a 10 bed ED Observation Unit, a 5
bed rapid assessment cardio/neuro unit and an advanced infor-
matics system. The department is also home to STRATUS, a
comprehensive medical simulation training center. The depart-
ment has a robust International Emergency Medicine Program
and offers international EM fellowships.
The successful candidate must have successfully completed a
four year residency training program in emergency medicine or a
three year program followed by a fellowship, and be board pre-
pared or board certified in emergency medicine. Interest and
proven ability in Emergency Medicine research and teaching are
essential. Please send inquiries and CV to Ron M. Walls, MD,
FACEP, Chairman Department of Emergency Medicine Brigham
and Women’s Hospital 75 Francis Street, Neville House Boston,
Massachusetts 02115. E-mail rwalls@partners.org
BWH is an Equal Opportunity/Affirmative Action Employer

49
 CHIEF PEDIATRIC EMERGENCY
MEDICINE
The Department of Pediatrics at Women’s &
Children’s Hospital in Buffalo, NY, seeks a Chief
of Pediatric Emergency Medicine who can lead a
strong pediatric emergency medicine program in
areas of clinical medicine, medical education and
research. This position will lead both the
Pediatric Emergency Medicine Division and
the Hospital’s Emergency Medicine
Department. The Hospital is a private, not for
profit, 313 bed full service pediatric and women’s
hospital (majority of beds are pediatric with about
60 designated for women) and is a Level I region-
al, pediatric trauma center. The Emergency
Department has 30 beds and had 42,000 visits in
2003. The Division has 12 full time faculty, and
an ACGME fellowship program. Qualifications:
MD, BC in Pediatric Emergency Medicine,
demonstrated track record in leading and manag-
ing, committed to teaching and research. For
additional information, contact:
Diane Alston
(602)234-3890
dalston@FaheyAssociates.com
The University of Texas Medical Branch at Galveston
Faculty Position, Emergency Medicine
The University of Texas Medical Branch (UTMB) is a world-
renowned complex, home to Texas’ oldest medical school.
Located 50 miles southeast of Houston on Galveston Island, UTMB
is a health care system that offers patients from the state, nation
and world a comprehensive approach to quality care. Services
range from primary care to the specialized diagnostic and treat-
ment resources found only at the nation’s largest teaching,
research, and clinical care centers.
The University of Texas Medical Branch is seeking a full time
Emergency Medicine Faculty Physician who is BE/BC in
Emergency Medicine. This position offers opportunities for clinical
care, teaching of housestaff and students, and research in an aca-
demic medical center.
The Emergency Department has approximately 78,000 visits
per year and is a certified Level 1 Trauma Center. Radiology and
Clinical Laboratory provide dedicated and continuous support to
this area. UTMB serves as the lead trauma facility for a ten-coun-
ty region of southeast Texas. Two helipads are located adjacent to
the Emergency Room to accommodate air ambulance and off
shore vehicles, including the U.S. Coast Guard. The Emergency
Department also has an active telemedicine program.
Please submit your resume to: Brian Zachariah, MD, MBA, FACEP,
bszachar@utmb.edu,Medical Director - Division of Emergency
Medicine, 301 University Boulevard, Galveston, TX 77555-1173,
409-772-1425, www.utmb.edu/er
UTMB is an equal opportunity affirmative action employer m/f/d/v.
Women, minorities, veterans and individuals with disabilities are
encouraged to apply.
50
St. Vincent’s Mercy Medical Center in Toledo, Ohio is cur-
rently seeking candidates for the position of
Clinician/Faculty within the Department of Emergency
Medicine. Candidates must be residency trained in
Emergency Medicine and board certified. The Emergency
Medicine residency program was established in 1974 and is
a fully accredited three-year program with 12 positions per
year. Providing an excellent experience for residents, the
ED is a high-acuity facility with 59,000 visits per year; this
hospital is a Level I trauma center with special recognition
as a pediatric trauma center. The program is also recog-
nized for training within the LifeFlight program, the
region’s first emergency aeromedical service. A highly
appealing package is offered which includes competitive
remuneration, excellent benefits, and equity ownership eli-
gibility within an established, democratic group.
For additional information please contact:
Amy Spegal
Premier Health Care Services
(800) 726-3627, ext. 3682
aspegal@phcsday.com
fax: (937) 312-3683
The University of Texas Southwestern Medical
Center and the Parkland Health and Hospital
System in Dallas
Seeking Additional Emergency
Medicine Faculty
With rapidly evolving support from numerous NIH,
CDC, HRSA, DOD grants, the Emergency Medicine
program at UT Southwestern and Parkland
Hospital in Dallas is expanding with additional posi-
tions for ABEM board-certified/eligible faculty inter-
ested in research, ultrasound, human simulation,
clinical education, injury prevention, and/or
weapons of mass effect. We offer excellent
salary/benefits packages commensurate with
experience and academic rank. UT Southwestern is
an equal opportunity employer. Candidates should
submit letters of interest and CV’s to:
Paul E. Pepe, MD, MPH, Professor and Chair,
Emergency Medicine, UT Southwestern, 5323
Harry Hines Blvd, Dallas, Texas 75390-8579.
Phone (214) 648-4812, or email:
paul.pepe@utsouthwestern.edu
 2005 AACEM Annual Meeting and Workshop
Saturday, May 21
Annual AACEM Meeting (attendance limited to AACEM members and AACEM guests)
7:30 am Continental Breakfast
8:00-8:05 am Welcome to new members and recognition of members in transition
8:05-9:05 am Levy International Health Presentation: "The Development and Current State of Emergency Medicine
in Iceland" by Jon Baldursson, MD, Medical Director, Emergency Department, Landspitali University
Hospital, Reykjavik, Iceland
9:05-9:35 am "Discussion of Academic Benefit, Opportunities, and Challenges of International Health and
Emergency Medicine," Discussants: Sandra Schneider, MD, Robert Shesser, MD, and William
Whitlake, MD
9:35-10:00 am Break
10:00-11:15 am "Between Rocks and Hard Places: Leadership Challenges of Chairs in Medical Schools and Affiliated
Teaching Hospitals," by Robert Dickler, Senior Vice-President, Council of Teaching Hospitals,
Association of American Medical Colleges. Discussants: Chuck Emerman, MD, Brent King, MD, and
Ed Michelson, MD
11:15-12:00 noon General Session/Open Discussion
AACEM Annual Business Meeting (AACEM members only)
12:00-1:30 Annual Business Meeting: Lunch, Elections, etc.
1:30-5:00 pm AACEM New and Future Chairs of Emergency Medicine Workshop
AACEM New and Future Chairs Workshop
The AACEM Workshop is open to all AACEM and SAEM members. The registration fee is $100. Make checks payable to
AACEM and send to: 901 North Washington, Lansing, MI 48906. For more infomration or questions call 517-485-5484 or
saem@saem.org

The Business Aspects of Health System Management: Physicians

Role in Health System Leadership, Paul Taheri, MD, MBA, and David Butz, PhD, University
of Michigan Health System
1:30-2:30 The Basic Business Model of a Health System
In this session, we introduce the concept that health care is a “high-fixed cost” industry, and we
describe some clinical and financial implications. We describe many ways to gauge costs – total, aver-
age, fixed/variable/marginal, avoidable/sunk, opportunity costs, and variable direct/fixed direct/indi-
rect. We parse costs for specific diagnoses and principle procedures to show how costs accrue over
the course of a patient’s hospital stay, and how activities such as pharmacy and lab contribute to
costs.
2:30-3:30 Operations Management and Finance
We explain how hospitals and physicians can leverage their fixed assets to better serve their patients
and themselves. We discuss the importance of throughput in settings with high fixed costs, and we
discuss conventional mechanisms for improving operational performance: reducing flow time, attack-
ing bottlenecks, and eliminating unnecessary buffers. We then discuss the adverse impact that vari-
ability has on operations, and we identify tools that providers can use to manage variability. From a
financial perspective, we introduce the time value of money, present value, and return on investment
and other financial perspectives.
3:45-5:00 Integrating Business Principles into the Delivery of Care and Physician Leadership
This session provides a physician perspective on the lessons learned to this point, elaborating on how
a different mindset for clinicians can both improve the quality of care and markedly reduce costs. To
manage and lead a well-functioning clinical operation, physicians need straightforward managerial
principles, along with good data. We discuss simple and inexpensive measures that well-informed cli-
nicians can take even under the status quo to achieve win-win changes. Specific examples include
“flexing” the ICU and improving operating room throughput.

51
 Society for Academic
S Emergency Medicine
PRESORTED
A Newsletter of the Society for 901 N. Washington Avenue
STANDARD
U.S. POSTAGE
E Academic Emergency Medicine Lansing, MI 48906-5137 PAID
M GRAND RAPIDS MI
PERMIT # 1

Board of Directors Editor

Carey Chisholm, MD David Cone, MD
President David.Cone@yale.edu
Glenn Hamilton, MD
President-Elect Executive Director/Managing Editor
Mary Ann Schropp
Katherine Heilpern, MD
saem@saem.org
Secretary-Treasurer
Donald Yealy, MD Advertising Coordinator
Past President Elizabeth Webb
Leon Haley, Jr, MD, MHSA elizabeth@saem.org
James Hoekstra, MD
Jeffrey Kline, MD “to improve patient care by
Maria Raven, MD
Robert Schafermeyer, MD advancing research and
Susan Stern, MD education in emergency
Ellen Weber, MD medicine”

The SAEM newsletter is published bimonthly by the Society for Academic

Emergency Medicine. The opinions expressed in this publication are those of the
authors and do not necessarily reflect those of SAEM.

S Call for Didactic Proposals

A 2006 Annual Meeting
May 18-21
E San Francisco, CA
M
The Program Committee is inviting proposals for didactic sessions for the 2005 Annual Meeting. This year the
ProgramCommittee would like to emphasize proposals on educational research methodology and leadership develop-
ment (including advancement within academic departments, medical schools and national organizations). Didactic pro-
posals may be aimed at medical students, residents, junior faculty and/or senior faculty. The format may be a lecture,
panel discussion, or workshop. The Program Committee will also consider proposals for pre- or post-day workshops or
multiple sessions during the Annual Meeting aimed at in-depth instruction in a specific discipline.
Didactic proposals must support the mission of SAEM (to improve patient care by advancing research and education
in emergency medicine) and should fall into one of the following categories:
• Education (educational research methodology, education methodology, improving the quality of education, enhanc-
ing teaching skills)
• Research (research methodology, improving the quality of research)
• Career Development
• State-of-the-Art (presentation of cutting-edge basic science or clinical research that has important implications for
further investigation or the future practice of emergency medicine, not a review of the literature or a summary of clin-
ical practice)
• Health Care Policy and National Affairs
The deadline for submission is Thursday, September 8, 2005 at 5:00 pm Eastern Daylight Time. Only online
submissions will be accepted. To submit a proposal, complete the online Didactic Submission Form at www.saem.org.
For additional questions or information, contact SAEM at saem@saem.org or call 517-485-5484 or send a fax to
517-485-0801.