Careers in Emergency Medicine

From the Chair

Sullivan “Sully” Smith, MD, FACEP 

Sullivan Smith Annual Meeting

The Section of Careers in Emergency Medicine Annual Meeting will be held:

Tuesday, October 27, 2015
8:00am – 10:00am
Boston Convention and Exhibit Center
Room 207 

Light breakfast will be served


As always we will honor our Longevity and Tenure Award Recipients:

  • Marvin A. Wayne, MD, FACEP with 41 years - received this award for the longest active career in emergency medicine.Pins
  • Michael T. Fabrizio, DO working 39 years - received this award for the longest tenure in the same emergency department.

There are many certificates for others who have significant tenure and longevity achievements.

I am very proud to tell you that beginning this year, Careers Section award winners will receive a pin along with their certificate. The professionally designed pin is suitable to wear on your jacket or lab coat lapel. In addition to giving pins to this year's award recipients I would like to deliver a pin to previous award recipients.

Affiliate Membership

In June, I attended a meeting at ACEP headquarters in Dallas to discuss affiliate membership. Attendees represented many different interests within ACEP. I was asked to represent the Careers Section. As some of you probably remember, last year's Council directed the Board to investigate affiliate membership and the potential ramifications of establishing (or not) a new affiliate membership category. The discussion was engaging and even at times entertaining. I represented the position that we should do our best to engage all physicians who practice emergency medicine, regardless of their board certification. After all, it is often a less experienced and or non-emergency medicine trained physician who practices in a smaller, often rural setting where resources are scarcer and help is miles down the road. We owe it to the patients in need who present for emergency care in those settings to afford as much support as we can. There were of course some who disagreed. Some felt that affiliate membership would cheapen the value of their membership. Others felt that the additional members would strengthen our footprint, particularly when it comes to the political arena. The financial implications of a predictably reduced rate for affiliate member dues could potentially be offset by a smaller number of active members who might leave ACEP over their objections over the affiliate membership category. ACEP staff attempted to reach out to the physicians who might be interested in and eligible for affiliate membership. Unfortunately, there is no good database available to reach these physicians and the return rate for the survey which was sent was dismal and of little use. At the end of the day, there is little useful information upon which a consensus could be developed. In short, there is more to come, so stay tuned.

New awards

As we discussed last year, here are 4 proposed new awards and some suggested selection criteria for the Section to consider and discuss:

  • Valor award: given to an emergency physician who despite the existence of imminent personal danger intelligently performs acts to the benefit of others
  • Achievement award: given to an emergency physician who performs community service, improving the perception of ACEP or state chapter
  • Commendation award: given to an emergency physician who whose acts or performance bring credit to or are highly recognized by or on behalf of ACEP or state chapter
  • Service award: given to an emergency physician who provides leadership or time to build strategic bonds on behalf of ACEP with other organizations or the public

Resolution to ACEP Council

Dr. Enrique Enguidanos, past Washington ACEP President, has approached me about a retirement and career change resolution. In particular, he along with the Washington Chapter are sponsoring a council resolution asking ACEP to explore how to best support ACEP members who are approaching career changes, especially retirement, in order to make those transitions as smooth as possible. I have signed on as a co-sponsor. He will attend the meeting to discuss his ideas directly with the section membership. Here is a copy of his proposed resolution:

Draft Resolution on Transitions out of Medical Practice

Whereas Emergency Medicine is now in its 5th decade as a formal medical specialty, and
Whereas more of our members are approaching transitions out of their clinical careers in medicine, and
Whereas much work/literature on transitions has focused on transitions into new positions, but literature on transitions out of old positions is very limited, and
Whereas our specialty would benefit tremendously by fostering the cumulative knowledge of our members and leaders as they transition beyond their clinical careers, and
Whereas we owe it to our members, and to ourselves, to maximize our life quality after clinical practice,
Resolved, that ACEP dedicate resources towards the study and education of how best to transition out of careers in Emergency Medicine, including consideration of possible options such as:
- Lectures dedicated to this topic
- Information Paper
- Focus Group Reports
- Section dedicated to this issue (and/or subsections of existing sections)

ICD 10 Changes

Lastly, and as a point of personal privilege, I hope that each of you are paying very close attention to the new ICD 10 changes and the downstream implications. Unspecified codes, which are frequently unavoidable in our work environment, will be associated with significant reductions in reimbursement in the near future. If you have not already done so, take the time to familiarize yourself with ICD 10 and its ramifications for emergency medicine. ICD 10 has the real potential to be a real game changer having significant negative reimbursement consequences.

I look forward to discussing these topics and especially to seeing all of you at the section meeting.

Boston bound!
Sullivan “Sully” Smith

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