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Critical Care Medicine Section Meeting at SA
Make plans to attend the Critical Care Medicine Section Meeting!
Tuesday, October 9, 2007
8:00 am - 9:30 am
Room 611, Convention Center
Be sure to check the schedule on site as meeting times and location could change.
This year’s agenda includes election of a new Chair-elect, as well as an opportunity to catch up with fellow Section members. The meeting will include reports from the Chair, Chair-elect, Newsletter Editor, EMRA-CCM Committee, SCCM-EM Section, as well as updates from ABEM, and the current status of the EM/CCM Physician Census and the CCM Fellowship database projects. The educational portion of Scientific Assembly runs from October 8-11. We hope to see everyone there. www.acep.org/sa
Chair-elect Election
Section members will be able to vote electronically. This is being made available to encourage greater participation in the voting process so that all section members, not just those that are present at the meeting can participate in the election. Those attending the Seattle section meeting will also be able to vote at the meeting, if they have not previously voted electronically. Electronic votes will be recorded to prevent double-voting.
As you know, we extended the deadline for receiving nominations. Three nominees have come forward for chair-elect. Their statements are included in this newsletter.
An electronic ballot will be emailed to all section members shortly after this newsletter is published and will include a deadline for its return. You will have 2 weeks to return the ballot.
Because we have received 3 nominations for chair-elect, it will be necessary for the winner to receive greater than 50% of the vote. This may require a second ballot, which will be sent if needed. Election results will be ratified during the section meeting at Scientific Assembly.
Chair-elect Candidate
Moving Onward
Lillian L. Emlet, MD
University of Pittsburgh Medical Center
Pittsburgh, PA
Individually, we change the landscape of critical care medicine. The numbers of physicians, residents, and students of Emergency Medicine (EM) interested in Critical Care Medicine (CCM) or pursue additional training in CCM continue to grow. This is due to two reasons: first, the growth and interest in EM as a primary specialty, and second, the logical and necessary component of EM that is CCM and vice versa. As we move onward, the goal for board certification is only one of the hurdles that we face as a specialty. As a Section, we need to rise to the challenge: in clinical excellence, research productivity, educational competency, and administrative efficiency.
My primary goal as Chair-elect will be to define the educational content of our discipline by leading an initiative to define what ideal fellowship training in EM-CCM entails. Defining curriculum first begins with a needs assessment, which will start with identifying the current state of EM-CCM fellowship training programs. I will develop a Task Force composed of members from the Society of Critical Care Medicine (SCCM), ACEP, Society for Academic Emergency Medicine (SAEM), and the Council of Residency Directors (CORD) to begin the process of developing consensus on educational goals, objectives, and methods to assess competency for EM-CCM training programs in the US. I plan to coordinate with national organizations, the Accreditation Council for Graduate Medical Education (ACGME) and American Board of Emergency Medicine (ABEM), to formally develop fellowship training program definitions. As graduate medical education shifts towards an outcomes-based method for assessing training programs, defining novel curriculum and accurately assessing clinical competency will be essential. I believe that EM-CCM will serve as a leader in this educational paradigm shift.
My other goal as Chair-elect is to strengthen our network of EM-CCM because a strong network will foster clinical, research, education, and administrative excellence. I intend to do this by providing more networking and leadership sessions at several national meetings by working with the SCCM Section of Emergency Medicine and the EMRA CCM Committee. I plan to support and work together with Julie Mayglothling on her important work with the EM-CCM Registry, as it serves 2 functions: documenting the continuous growth of EM-CCM, and providing a network of professional colleagues. I will expand and update our Section website with individuals available to be resources and mentors. As an extension of the Section website renovation, I intend to expand the links for topics within CCM by collaborating with the Section of Ultrasound and Section of Research.
Our individual achievements make a difference within the discipline of EM-CCM. I hope that my dedication to ACEP and this Section is evident as your Section Newsletter Editor. I worked this past year to provide interesting and useful articles for your clinical practice. Last year, ABEM approached the Section twice for assistance in providing information for their meetings regarding board certification with American Board of Surgeons (ABS), American Board of Internal Medicine (ABIM), and American Board of Anesthesiology (ABA). I have had the pleasure of working with David Huang and Tiffany Osborn in compiling supporting documents comparing training program content to assist ABEM in their negotiations. During my first year as faculty, I helped coordinate and re-organize the airway curriculum for the fellowship training program at my institution. I am completing my Master’s in Clinical Education, and as my academic interest is education, I will use my skills and resources to benefit EM-CCM through the section.
As the ACEP Section of CCM moves onward, we need to revisit the initial vision of our specialty. When we look at history as a guide, Peter Safar, MD and Ake Grenvik, MD defined CCM to encompass all care from prehospital presentation to post-resuscitation care in the ICU. Taking the path less traveled in EM-CCM has provided for me, an incredible journey thus far, and I hope to continue as your Section Chair-elect and define our curriculum for the future.
Chair-elect Candidate
David A. Farcy, MD
Director of Emergency Medicine Critical Care
Mount Sinai Medical Center
Miami Beach, FL
The Critical Care Medicine Section is the fastest growing section of ACEP and the past leadership has been exemplary at addressing issues that are relevant to all emergency physicians. If elected I will continue fighting for our right to board certification. I will also strive to improve the care of critical patients in our emergency departments through development of educational grants.
I have been involved with this section for the past 5 years. I am the immediate past president of the EMRA critical care committee. I currently divide my time between the Emergency Department and the Intensive Care Unit which gives me unique insight into how advances in critical care effect both departments.
I believe that to achieve our goals we need to reach out to all specialties at a grass roots level. A little about me; I am originally from France but have been in the US for more than 20 yrs. I served in the US Air Force for 4 years. I completed my EM residency at Maimonides Medical Center, in Brooklyn NY and my Critical Care Fellowship at Shock Trauma Center, in Baltimore MD. I am the Director of Emergency Department Critical Care at Mount Sinai, in Miami Beach Florida and I am a member of the core Faculty of the emergency medicine residency. I appreciate your support and your vote.
Chair-elect Candidate
Robert L. Levine, MD
University of Texas Health Science Center
Houston, TX
I would like to nominate myself for the position as Chair-Elect for the Critical Care Section of the American College of Emergency Physicians. As a residency trained Emergency Medicine Physician with Critical Care Fellowship training and boards, and 20 years experience teaching, writing, and working in the field, having served in the same position for the Society of Critical Care Medicine, I think I can bring significant experience to the position.
As one of the original Emergency Medicine-Critical Care Medicine physicians trained in the United States, I worked with Norm Abramson and others on a white paper for ACEP to try and establish a pathway for critical care certification for Emergency Medicine physicians. Now, more than 15 years later, our numbers have increased and the rational for certification has become more compelling. First, the establishment of the Leapfrog Criteria documented for the first time the profound shortage of critical care specialists in the US. This can be seen in the development of electronic, remote ICU’s as a means to provide true intensivist coverage for understaffed units. Next, the further development of subspecialty critical care boards such as neurocritical care boards for neurologists and others that, in the past, did not work in acute care areas points out that the need is great. The first priority of our group has been, since I trained in critical care, to become board eligible for subspecialty boards in critical care. While the European option exists, it is neither optimal, nor proper for our superbly trained EM-CCM physicians to be forced to take European boards to become subspecialty boarded. I believe we need to continue to push for certification through the different boards of the American Colleges and especially, through our own board.
However, subspecialty certification is only one component of what our group needs to pursue and will come as part of an evolution in our specialty and training. I believe it is time for Emergency Medicine to develop fellowship training programs, in critical care medicine. We need to develop the numbers of physicians working in the field, teaching critical care, working as both clinical and bench investigators in critical care to warrant our own boards. For the past years, neurointensivists developed training programs, fellowships, research programs, etc in neurocritical care. As an outcome of this, they are looking forward to their first board. We must follow this pathway as well. Critical Care is part of Emergency Medicine and as such, we need to develop and define what excellence and expertise is for our specialty.
If elected, I hope to continue the excellent work our group has been doing and work with the college to promote Emergency Medicine based critical care training as well as subspecialty certification for EM physicians.
Greetings
Margaret Montgomery, RN, MSN
I would like to introduce myself as the new staff liaison for the Section of Critical Care Medicine. Glo Thompson, who has served as the staff liaison, retired in June and I am pleased to be appointed to work with the section. As a member of the Emergency Medicine Practice Department at national ACEP in Dallas for over 7 years, I also serve as the staff liaison for two other sections; Democratic Group Practice and Hyperbaric Medicine. Among my other duties, I serve as staff liaison for the Emergency Medicine Practice and Public Health and Injury Prevention Committees.
As an RN who worked in ICU more than a few years ago I appreciate the opportunity to work with the Critical Care Medicine Section members and be more informed about the issues confronting emergency physicians in critical care and the many advances that are occurring in the field. The Section has enjoyed tremendous growth and has a very energetic and motivated leadership. I am looking forward to working with you as the section continues to pursue the section goals and projects.
You can contact me at criticalcare.section@acep.org or 800-798-1822, ext. 3230 if you have any questions or I can be of assistance.
This publication is designed to promote communication among emergency physicians of a basic informational nature only. While ACEP provides the support necessary for these newsletters to be produced, the content is provided by volunteers and is in no way an official ACEP communication. ACEP makes no representations as to the content of this newsletter and does not necessarily endorse the specific content or positions contained therein. ACEP does not purport to provide medical, legal, business, or any other professional guidance in this publication. If expert assistance is needed, the services of a competent professional should be sought. ACEP expressly disclaims all liability in respect to the content, positions, or actions taken or not taken based on any or all the contents of this newsletter.