AAEM Insights
Apr. 16, 2015

Senate passes historic SGR repeal bill by vote of 92-8
MedPage Today
In a historic move, the Senate voted 92-8 to permanently repeal the sustainable growth rate (SGR) formula for physician reimbursement under Medicare. The Senate vote on H.R. 2, which passed the House on March 26, sends the bill to President Obama for his signature. The president has already indicated he would sign the bill. Members from both sides of the aisle praised the passage of the bill, known as the "Medicare Access and CHIP Reauthorization Act of 2015."More

Save the Date — AAEM Written Board Review Course

Join us in Orlando Aug. 18-21! Up to 27 lecture hours of intense review of EM board materials, taught by experienced emergency medicine faculty. This course is a comprehensive review of emergency medicine for all emergency physicians and is ideal for exam-takers or for physicians seeking quality review materials. Learn more! More

New Online CME in AAEM's Online Learning Library

Superb, AAEM-quality educational content with AMA PRA Category 1 Credits™ available. Online learning optimized for your convenience. Get started today with the 2014 Scientific Assembly or 2014 Written Board Review Course. Look for information about the 2015 Scientific Assembly coming soon!More

MEMC-GREAT 2015 — Registration Now Open!

Join us in Rome, Italy from Sept. 5-9, 2015, for the Mediterranean Emergency Medicine Congress in conjunction with the Italian GREAT Network Congress. Register for the congress, submit an abstract, and book your hotel! Look for more details to be announced soon. Register today!More

View the MOC Member-Survey Results

In February 2015, AAEM sent a message to our members with a survey regarding the Maintenance of Certification process. Those results are now available online. View the survey results.More

Study finds broad rise in medication use by those newly joining Medicaid
The New York Times
People newly covered by Medicaid drove a significant increase in prescription drug use in 2014, even as those with private commercial coverage filled fewer prescriptions and, over all, patients did not visit the doctor as often, according to a new report by the IMS Institute for Healthcare Informatics, which tracks the health industry. The report, released recently, offers a window into how consumers used their insurance in 2014, the first full year after millions of Americans gained coverage through the health care law, which expanded eligibility for Medicaid in many states and set up marketplaces where consumers could shop for insurance.More

The highest utilizers of care: Individualized care plans to coordinate care, improve healthcare service utilization, and reduce costs at an academic tertiary care center
Journal of Hospital Medicine
Individualized care plans developed by a multidisciplinary team and integrated with the existing healthcare workforce and EMR reduce hospital admissions, 30-day readmissions, and hospital costs for complex, high-utilizing patients. Journal of Hospital Medicine 2015. More

Impact of just-in-time and just-in-place simulation on intern success with infant lumbar puncture
Pediatrics
Simulation-based skill trainings are common; however, optimal instructional designs that improve outcomes are not well specified. We explored the impact of just-in-time and just-in-place training (JIPT) on interns' infant lumbar puncture (LP) success.More

7 job-search mistakes of new physicians
Medscape
Each year, tens of thousands of final-year residents and fellows start looking for their first job. They have to deal with thousands of job openings, decide what kind of job they want, focus on a particular offering, and negotiate a contract. This is a tough challenge for new physicians, who often have little background in the business of medicine.More

How Twitter can help predict emergency room visits
Medical Xpress
Twitter users who post information about their personal health online might be considered by some to be "over-sharers," but new research led by the University of Arizona suggests that health-related tweets may have the potential to be helpful for hospitals. Led by Sudha Ram, a UA professor of management information systems and computer science, and Dr. Yolande Pengetnze, a physician scientist at the Parkland Center for Clinical Innovation in Dallas, the researchers looked specifically at the chronic condition of asthma and how asthma-related tweets, analyzed alongside other data, can help predict asthma-related emergency room visits.More

Mental rehearsal helps ER clinicians best prepare for trauma patients
Health Canal
Author Dr. Chris Hicks states: For starters, you map out the course in your mind: what will it look like? What will I feel like? What obstacles should I anticipate? How can I manage these challenges? In the same way athletes mentally visualize races long before lacing up, doctors and other members of trauma resuscitation teams should map out mental blueprints, and then communicate their strategy to all team members involved in caring for patients, a new study suggests.More

5 reasons not to fear the scope of practice shift
Healthcare Finance News
A perfect storm is building in healthcare: retiring doctors, growing provider shortages, and the population shift toward longer life (and more chronic conditions). These concerns have driven some creative responses, and chief among is a change in what it means to be a "doctor" or a "nurse" by broadening caregiver roles and responsibilities.More

Pain management study reveals patient confusion about opioid addiction
Medical Xpress
Emergency department patients have misperceptions about opioid dependence and want more information about their pain management options, according to a new study from researchers at the Perelman School of Medicine at the University of Pennsylvania. The study, published online in the Annals of Emergency Medicine, found that patients seen in the emergency department for acute pain expressed a desire for better communication from physicians about their pain management options, along with discussion of the risks of opioid dependence.More

What can patients do in the face of physician conflict of interest?
Health Affairs Blog
Trust has always been essential to medical care. Of what use are the best communication skills, physician empathy, or clinical knowledge if patients don't trust the advice and information that their doctors give them? Even the most psychologically disturbed or misanthropic TV doctor — from Doc Martin to Gregory House — can always be trusted to put his patients first; this is precisely because this trustworthiness is so central to our understanding of being a physician.More

How telehealth is changing the lives of chronically ill patients
By Karen R. Thomas
Living with a chronic disease isn't just physically taxing; it takes an emotional toll as well. Millions of older Americans live with a chronic illness such as chronic obstructive pulmonary disease (COPD), diabetes or heart disease, and many suffer through their day-to-day care routines alone. For Vickie Stark, a COPD patient who is living on her own, daily life can be incredibly stressful. More

The best and worst states for doctors in 2015
Forbes
As the medical field continues to adapt to new technologies, regulations, and the needs of a changing population, personal finance site WalletHub took a look at which states provide the friendliest professional environments to white-coated professionals. At the top of the list? South Carolina, which claims the "least punitive" medical board in the country.More

Balancing theory with practice
Emergency Physicians Monthly
We constantly experience challenges in EMS trying to prove that our practices are evidence based and associated with better outcomes. Evidence based medicine is a generally good concept however it infrequently takes into consideration professional experience and clinical judgment. The scrutiny of prehospital practices are important but interpretation of literature should be cautious before changes are made that will impact on patient care.More

Patient safety simulation targets ED miscommunication
Emergency Physicians Monthly via MedPage Today
Though hard to believe, many (if not most) errors in the emergency department come as a result of communication errors, not technical mistakes. According to Boston Children's Hospital, an estimated 80 percent of the most serious medical errors in hospitals can be linked to miscommunication. Effective communication is especially critical in the emergency room, where time is limited, pressure is heightened, and decisions must be made dynamically as information changes from moment to moment.More