Opportunities
Research Forum Scavenger Hunt
This year the ACEP Research Forum will be hosting a “Research Forum Scavenger Hunt”. Everyone is invited to participate. The goal of the Research Forum Scavenger Hunt is to increase the visibility of the Research Forum, to increase exposure from the Scientific Assembly registrants, to show off the exciting emergency research being performed, and to have some fun. High scores will be eligible for prizes, including a Virtual ACEP subscription (a $250 value), $50 for the ACEP bookstore, or a one year membership to any ACEP Section.
To take part in the Scavenger Hunt, just show up at the Research Forum Posters either Monday or Tuesday (or both). Pick up a Scavenger Hunt Booklet, an answer sheet, and off you go. You will find answers to the questions on the posters in the Forum. Clues will be provided to help you along the way. Once finished, just turn in the answer key for your chance to win prizes. There are two Hunts each day, so play as often as you like for more chances to win.
There is exciting and practice-changing research being presented that will benefit all practitioners of emergency medicine, not just those interested in emergency medicine research. Please help us increase the visibility of this exciting research by participating in the Scavenger Hunt!
ASPR Emergency Medical Care Preparedness Meeting
All EMRA members are invited to attend the ASPR Emergency Medical Care Preparedness Meeting on Sunday, October 7 in Denver. Attendance is free and open to anyone but you do need to register to attend as seating is limited. Please contactDeb Fly if you are interested in attending.
Infection Prevention in Emergency Care: Strategies to Improve Practice
Join us in Denver for a one-day conference before Scientific Assembly (October 7, 2012) that will bring together emergency physicians, quality leaders, and policymakers to identify key issues in infection prevention in the ED. The conference includes nationally renowned keynote speakers and presentations of "best practice" case studies, and the development ofanEMresearch agenda. Registration is FREE; breakfast and lunch are included. To learn more visit http://edip.bwh.harvard.edu/conference/.
Call for Abstracts
The American College of Medical Toxicology is excited to announce the inaugural presentation of scientific abstracts at the 2013 Spring Conference, and invites submissions:
●Original clinical, basic science, or translational toxicology research
●Recently presented toxicology research from other meetings
●Hypothesis-driven toxicology case reports/series
Full details for formatting and submitting abstracts, pleasevisit theACMT Website
Deadline: November 15, 2012
Upcoming Events
EMRA MSGC/EMIG Rep Mixer
Denver, CO
October 6, 2012
EMRA Medical Student Forum
Denver, CO
October 7, 2012
EMRA Residency Fair
Denver, CO
October 7, 2012
EMRA Resident Forum
Denver, CO
October 8, 2012
EMRA Job Fair
Denver, CO
October 8, 2012
ACEP's Scientific Assembly
Denver, CO
October 8 - 11, 2012
EMRA Rep Council Meeting
Denver, CO
October 9, 2012
EMRA Fall Awards Reception
Denver, CO
October 9, 2012
EMRA Party
Denver, CO
October 9, 2012
ABEM Fall Oral Certification Exams
October 27 - 29, 2012
EMBRS Workshop
Dallas, TX
November 5 - 12, 2012
AMA House of Delegates Interim Meeting
Honolulu, HI
November 10 - 13, 2012
ABEM Qualifying Exams
November 12 - 18, 2012
SPONSORED MESSAGE:
/ Don't Miss This
As you all know, ACEP’s much-anticipated 2012 Scientific Assembly is right around the corner. We hope you’ll be able to join us in Denver from October 6-11. EMRA is hosting a long list of events guaranteed to educate and inspire you. Discover your ideal residency program, find a job, learn career- and life-management tools, have a blast with your friends -- you can do it all at the conference! Clickhere for a full schedule of events.
You will not want to miss EMRA’s legendary party! Please join us at Beta Nightclub in Denver on October 9 from 10:00 p.m. to 2:00 a.m. There’s no better way to unwind after a full day at Scientific Assembly.
EMRA Events at your Fingertips!
EMRA is going mobile at Scientific Assembly! Download theEMRA Guidebook app on your smartphone and plan your conference day -- no more missed meetings or schedule mix-ups. Guidebook allows you to create personalized schedules, browse exhibitors, access maps, and find up-to-the-minute conference and trade show information. Compatible with iPhones, iPads, iPod Touches and Android devices, it's the one app you won't want to experience Denver without. Simply download "Guidebook" from your provider's app store and search for "EMRA."
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Legislative Corner
Exciting News for emergency medicine researchers!
After years of advocacy from the emergency medicine community, the NIH has now created an new office – the Office of Emergency Care Research (OECR). This office will create a “home” for emergency medicine research, and serve to coordinate and foster basic, clinical and translational research training for the emergency setting.
Fairness in Reimbursement Sought from CMS
In part due to the changes of healthcare reform, there are a multitude of changes coming which will have an impact on physician reimbursement. After identifyingtransitions of care as a major area of wasteful spending due to avoidable complications and hospital readmissions, the federal government has sought to improve care coordination to smooth patients' transitions from one setting of care to another (i.e. hospital to nursing home). Emergency physicians have been heavily involved in discussions about how to incentivize improved transitions of care. Despite this participation, ACEP does not support the current CMS proposal, which would only incentivize primary care providers for “transitional care management,” rather than all providers, including specialists, who make efforts to enhance coordination of care. An additional area in which ACEP is seeking fairness in reimbursement is related to a provision of the ACA (Sec. 1202) which will raise reimbursement rates for certain providers seeing Medicaid patients. As part of the draft regulation, this increase in rates will be applied to primary care providers and 40 specialties and related subspecialties – including pediatric emergency medicine – but not emergency medicine providers themselves. However, emergency medicine reimbursement codes are included in the provision. This creates the paradox that providers trained in primary care fields, but working in an ED, would receive higher rates of reimbursement than their emergency medicine-trained colleagues.ACEP seeks to maintain fairness by including emergency physicians as part of the pool of physicians eligible for the proposed payment adjustment.
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Residency News
Physician Based Triage
A physician based triage system may turn out to be more efficient and of better quality than traditional nursing based triage systems. Researchers Burström et al. examined three different models of triage in three separate Swedish emergency departments(ED): one model was physician led, while the other two were nurse first and either physician or junior physician as second line. Physician led triage resulted in a shorter median length of stay, lower rates of patients leaving before treatment, lower rates of unscheduled return in 24 hours, and lower overall patient mortality within 7 days. Check out the articlehere to read more about the study.
Is Longer Always Better?
Termination of in-hospital cardiac arrest efforts depends on a number of factors and conditions with no accepted standard for how long or short efforts should be focused. A recent article featured in the Lancet details an observation study that that showed patients at the hospitals with the longest attempts at resuscitation had higher rates of return of spontaneous circulation (ROSC) as well as better survival to hospital discharge. The study examined 64,339 patients at 435 US hospitals from 2000 to 2008 and found patient in hospitals in the longest quartile for resuscitation efforts (25 - 28 minutes) had better ROSC and hospital discharge rates. The authors did not recommend or specify any particular range for clinicians to follow at this time. While the study examined an exhaustive number of arrests, critics point out the results are purely observational with limited scope to inference a causal relationship between time and outcome of resuscitation efforts. Additionally, the study was only able to examine endpoints of ROSC and hospital discharge numbers. Any indication of neurological status or other post arrest outcomes would require significant further study. Check out the articlehere to read more about what the authors found.
Corticosteroid Therapy in Asthma: A Comparison of Biomarker, Symptomatic and Physician based Adjustments
Inhaled corticosteroids are a mainstay in asthma treatment for reducing airway hypersensitivity, inflammatory edema, and mucus secretion. Methods of adjusting corticosteroid dosing for patients vary, however, with no current consensus. Calhoun et al. examined if adjustments of inhaled corticosteroid therapy based on exhaled nitric oxide or day-to-day symptoms is superior to guideline-informed, physician assessment–based adjustment in preventing treatment failure in adults with mild to moderate asthma. In examining 342 adults with mild to moderate asthma for nine months, researchers found no significant difference in time to treatment failure between the three methods of corticosteroid administration. Biomarker based nitric oxide measurement adjustment, symptom based adjustment, and physician assessment based adjustment showed no significant difference in time to failure. These results have significant implications for guidelines for corticosteroid use in asthma patients and what management protocols should be enacted. Check out the articlehere to see the results the authors found.
EMRA's Job Fair
While you’re at Scientific Assembly, you won’t want to miss EMRA’s Job Fair on Monday, Oct. 8 from 5:00-7:00 p.m. at the Colorado Convention Center, Mile High Ballroom 3. Find your dream job -- and givetop employers the opportunity to find you!
Medical Student News
EMRA's Residency Fair
Don’t forget to check out EMRA’s bigger-than-ever Residency Fair at Scientific Assembly. Join us from 3:00-5:00 p.m. on Sunday, Oct. 7 at the Colorado Convention Center, Mile High Ballroom 2. Learn more abouttop residency programs from across the nation, and discover which one is the best fit for you.
The much-anticipated Medical Student Forum at Scientific Assembly runs from 8:00 a.m. to 2:00 p.m. on Sunday, Oct. 7. Learn invaluable interview and match process tips, learn how to manage your student loans, and increase your career satisfaction -- all while networking with fellow students and experts in the emergency medicine field.
Become an advocate!
A friendly message from EMRA’s medical student council legislative coordinator, Kevin Blythe:
The implementation of health care reform is upon us, and there is no better time to get involved in advocacy. The ultimate result of reform will determine how we practice, how we are compensated, and how we are able to positively impact the lives of our patients. This is why it is important to stay up-to-date on the issues that are being discussed in legislatures around the country that will impact our future careers. As a medical student and future physician, your experiences and knowledge can be used to advocate for your patients, your future profession, and yourself.
I encourage you to refer toEMRA's Advocacy Resource page for policy articles, sample lectures, and ideas about how to get involved. Another excellent resource is ACEP's 911 Network. Members receive periodic email summaries regarding events in Congress that impact the field of emergency medicine. If you are interested in joining, please contact me at . For those of you already involved -- help inspire others! Submit any opinion pieces, policy papers, or summaries of your EMIG advocacy-related activities to . I would love to share the wonderful work that you do with others across the country. Please do not hesitate to contact me with any questions or comments you have about advocacy or legislative issues.
We want you to “like” us
Please join us onFacebook to keep up with everything that EMRA has to offer. Learn about our events; read the latest emergency medicine news; enter our contests; and network with fellow emergency medicine students, residents and alums. Just search “Emergency Medicine Residents’ Association” and press “Like.” There’s no easier way to stay in the loop!
Start your search here
EMRA Matchis your database Mecca for EM residencies throughout the country. Guess what? As a member, you get all-access to this search engine anytime, anywhere. Enjoy!
Submit to EM Resident
We want to hear your voice...on paper. EM Resident is EMRA’s award-winning, bi-monthly magazine publication. Every issue proudly contains four to five medical student articles, and yours should be one of them! Opinions to voice or observations to make? Life lessons or advice to share? Let EM Resident be your podium. No word length minimum or topic limitations; just your voice on paper! Clickhere to view previously published issues. We accept articles all year round, so send your writings to . Oh, and a photo of yourself, too.
Chief Editors:
Cameron Decker, MD / Suzanne Bryce, MD
President-Elect / Co-Chief Editor
Baylor College ofMedicine / Vanderbilt University
Rep Council Corner Editor: / Legislative Corner Editor:
Matt Rudy,MD / Alison Haddock, MD
Vice Speaker of the Council / Legislative Advisor
Washington Univ. in St. Louis / Tacoma Emergency CarePhysicians
Contributing Authors
Austin Dennard, Student Editor
Hashim Zaidi / Rachel Inbanathan
James Hartline / Theresa Tran
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