AAEM Insights
Apr. 23, 2015

ER visits can help reduce opioid deaths with education,
rescue kits

Psych Central (opinion)
Emergency departments (ED) have the opportunity to play a key role in preventing opioid deaths by offering overdose education and explaining how one should respond while witnessing an overdose, according to a new study published in the Western Journal of Emergency Medicine. As part of this effort, ED’s also have the potential to equip patients with nasal naloxone rescue kits. The study is the first to demonstrate the potential positive outcome of ED-based opioid overdose prevention education and naloxone distribution to trained laypersons, patients, and their social network.More

Help us customize for you — Update your AAEM or AAEM/RSA profile!

Log into your account to let us know about any address, email, phone number updates, training & certification information, and professional practice work environment/setting information. Visit the AAEM member login or the AAEM/RSA member login today! Any problems logging in? Get in touch with us at info@aaem.org or 800-884-2236. 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

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

The Voice of AAEM — Read the latest issue of Common Sense

Browse the new online issue for these articles and more: “A Dark Day for the Independent Practice of Emergency Medicine,” “Moving the Meat: My Recovery From Burnout,” “The White Coat Investor — Tips for Young Physicians,” and “Women and the Work of the Academy: A No-Brainer.” Read the full issue online! More

LAST WEEK — Special Enrollment for the AAEM Health Insurance Exchange!

The Federal Government has announced there will be a special enrollment period this year for those who didn't realize they had to buy health insurance when they did their taxes. Learn more. Enrollment ends April 30! More

Medscape Physician Compensation Report 2015
Medscape (free login required)
Last year saw some modest good news for most physicians! More than 19,500 physicians in 25 specialties responded to this year's Medscape compensation survey and described their compensation, number of hours worked, practice changes resulting from healthcare reform, and how they have adapted to the new healthcare environment. More

With SGR repealed, replacement policy creates new priorities
The National Law Review
On April 16, President Obama signed into law, the “Medicare Access and CHIP Reauthorization Act of 2015” (MACRA), ending annual temporary patches and massive lobbying efforts since the late 1990s to prevent significant reimbursement cuts for physicians serving Medicare beneficiaries caused by the so-called Sustainable Growth Rate (SGR) formula. At the end, 392 Members of the U.S. House of Representatives and 92 Members of the U.S. Senate voted in favor of permanently replacing the Sustainable SGR formula in favor of a new system touted as promoting quality over volume.More

Doctors applaud SGR bill's malpractice protection
Medscape (free login required)
Medical groups are applauding the overwhelming vote in the U.S. Senate to prohibit plaintiffs from using a physician's performance on federal quality measures in a medical malpractice lawsuit. The provision included in the legislation to repeal the Medicare Sustainable Growth Rate (SGR) formula would stop plaintiffs from using a doctor's quality improvement performance as the sole basis for a medical liability lawsuit or to prove negligence.More

Emergency psychiatry experience, resident burnout, and future plans to treat publicly funded patients
Psychiatric Services
Adverse experiences with patient care in the emergency department during psychiatry residency appear to be linked to professional burnout and threaten to shape long-term plans regarding care for publicly insured patients.More

The McMaster Modular Assessment Program (McMAP): A theoretically grounded work-based assessment system for an emergency medicine residency program
Academic Medicine
By aligning theory-based assessment instruments with authentic EM work-based tasks, McMAP has changed the residency program's culture to normalize daily feedback. Next steps include determining how to handle "big data" in assessment and delineating policies for promotion decisions.More

The elusive incidental finding — Part 1
Diagnostic Imaging (free login required)
When patients come to the emergency room with chest pain and leave with advice to follow up for an unrelated lung nodule, will they get the requested imaging? Will that primary care doctor (if there is one) receive a copy of the emergency department (ED) discharge or radiology report? And if so, is the physician likely to remember to send the patient for additional tests months later? If you ask hospital-based radiologists, the answer to these questions is often a resounding and frustrated “no!”More

New synthetic drug 'flakka' triggers crazed behaviors
HealthDay News
A potent new designer drug called "flakka" is making headlines across the United States, driving many users into fits of screaming, naked rage accompanied by vivid hallucinations. Why naked? Because the drug sends body temperatures skyrocketing to as high as 106 degrees, which prompts users who have taken too much to rip away their clothes during sweating, delusional fits.More

How to talk to patients about advanced directives
By Joan Spitrey
April 16 has been designated as National Healthcare Decision Day. This movement came out of the passion and frustration of founder Nathan Kottkamp. As a member of several hospital ethics committees, he was repeatedly challenged with trying to interpret healthcare decisions for people who had no advanced directives. Anyone working in a hospital — especially a critical care area — can certainly relate. Although most healthcare providers would agree that all patients should have an advanced directive, they often shy away from having the conversation with their patients. More

After the incidental finding — Part 2
Diagnostic Imagin (free login required)
When patients have an incidental finding on their emergency department (ED) imaging study, each hospital has their own policy on how to handle it. But if the patient left the hospital without finding out about the incidental finding, is a making a phone call or sending a letter good enough? How do you know that the patient received the information and understands the importance?More

Doctors: We need to delay ICD-10 again
By Scott E. Rupp
This whole ICD-10 delay thing continues to bear some fruit, and there's still quite a bit of steam behind the effort. With rumors swirling that congressional leaders are finally ready to take action this year, many providers may not be sharing the joy, nor are they looking to celebrate. Healthcare Informatics recently commissioned a survey through QuantiaMD, and the results are not (ICD-10) friendly. Doctors are not backing down in their distaste for the mandate. More

Emergency coordinators improve pediatric readiness of EDs
Healio
Recent study findings suggest improvements have been made in the pediatric readiness of EDs across the United States, and the addition of pediatric emergency care coordinators has played an important role in these improvements. “The importance for EDs to maintain a state of readiness to care for children cannot be overemphasized because day-to-day readiness affects disaster planning and response and patient safety,” Marianne Gausche-Hill, M.D., of the department of emergency medicine at Harbour-University of California, Los Angeles, Medical Center, and colleagues wrote.More

EHR certification standards allow health IT design to evolve
EHR Intelligence
Health IT design and the development of EHR certification standards are dependent upon federal regulations, which need to address today’s physician needs as well as future demands in the healthcare industry. This is why the Stage 3 Meaningful Use proposed rule offers more flexibility for doctors and EHR developers who can now focus on meeting their medical establishment’s unique requirements.More