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How to tackle America's physician shortage
Since the Affordable Care Act (ACA) was enacted in 2010, 16.4 million Americans have entered the healthcare system. This record number of insured individuals applies tremendous pressure on an already stretched system, but it also creates opportunities for innovation. The population of newly insured patients includes many who are living close to the poverty line. The rate of low-wealth Americans who are now insured increased by 13 percent while a Gallup poll found that low-wealth Americans were more likely to struggle with chronic conditions such as diabetes, obesity, depression and high blood pressure.
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NEW: Comprehensive Review — 2nd Ed. Written Board Review
This comprehensive text will help prepare you for: Emergency medicine qualifying exam (formerly the “written boards”), Emergency medicine annual resident in-service exam, and the ConCert Exam. It includes over 200 color images, 225 question practice in-service examination, and 24 chapters written by experts in the field. Special member pricing, order today!
Pending Application: Certificate of Excellence in ED Workplace Fairness
AAEM strongly supports fair working practices for emergency physicians. Consequently, it will certify excellence in the ED workplace if ED physician employees are guaranteed the following five workplace conditions: due process, financial transparency, financial equity, political equity and no post-contractual restrictions. Pending application: Kaweah Delta / CEP America – Visalia, California. Emergency physicians are encouraged to contact AAEM (anonymously if desired) to report a listed group that they believe is not in compliance along with an explanation. Learn more.
Exceptional EM Education — Join us at MEMC-GREAT 2015!
Learn about the Pre-Congress Course Options
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! Learn more about MEMC-GREAT competitions.
Help create “How-To” videos of >100 common procedures. These will be made available for free around the world in multiple languages on Merck Manuals websites and apps.
CLICK HERE to learn more.
Lend Your Voice — Join AAEM & AAEM/RSA Advocacy Day!
AAEM and AAEM/RSA are heading to Capitol Hill to be a voice for emergency physicians. Join us on Sept. 29, 2015, for a full day of Hill activities. Start off with a “Lobbying 101” session and then meet face-to-face with lawmakers under the expert direction of our lobbying firm, Williams & Jensen. We need your support! Register today!
New Podcasts — Critical Care, Operations Management, and Legal & Policy
New episodes of all AAEM podcast series are now available!
Access all three series at: www.aaem.org/publications/podcasts
- Medical Staff v. Avera Marshall: A New Source of Physician Due Process Rights
- Surgical Airway: Preparedness and Making the Decision
- Common ED Operations Myths - What myths are we facing & what are the best practices to follow?
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Registration now open! — AAEM Fall Oral Board Review Course
Join us for the highly recommended Oral Board Review Course! NEW hands-on simulation practice. Be confident on exam day — prepare with the experts for the new format. Learn more and register.
NQF Call for Committee Members — Your Chance to Represent AAEM!
The National Quality Forum (NQF) currently has a call out for nomination of committee members for pediatric measures. Nominees should possess relevant knowledge and/or proficiency in process and outcome quality measurement and/or clinical expertise in the evaluation, treatment, diagnostic studies, imaging, interventions, or procedures associated with child health across multiple care settings. If you are interested in representing AAEM,
please contact the office at email@example.com or 800-884-2236 by Aug. 27, 2015. Learn more!
Congress considering changes to meaningful use requirements
A bill to relax meaningful use requirements for ambulatory surgery centers has passed the Senate and now awaits a vote by the House of Representatives.
The Electronic Health Fairness Act of 2015 (S 1347) is sponsored by Senator Johnny Isakson (R-GA) was first introduced on May 15 and has seen little activity until July 30 when it was referred to the Senate Committee on Finance where it received an amendment.
HIE critical to emergency medicine, but info lacking in ERs
Health Data Management
Care standards and protocols to support data exchange in emergency department electronic health records need to be developed, including workflow optimizations and pushing of important information to the clinician through “flags” in the EHR.
Those are among the recommendations from an emergency physician-led workgroup on how to maximize the value of health information exchange in emergency departments. The five primary and seven secondary recommendations were published online recently in Annals of Emergency Medicine.
Study casts doubt on assumptions about hospital 'frequent fliers'
Super-utilizers are the frequent fliers of the healthcare system, whose serious illnesses send them to the hospital multiple times every year and cost the system hundreds of thousands of dollars annually. Figuring out how best to address these patients' needs and reduce their financial impact on the healthcare system is a subject of intense interest among policymakers. Now a new study has found that, in contrast to the notion that "once a super-utilizer, always a super-utilizer," many patients who use healthcare services intensely do so for a relatively brief period of time.
More hepatitis C cases being seen in urban ERs
New research reveals high rates of hepatitis C infection among intravenous drug users and baby boomers seen in urban emergency departments.
And three-quarters of those who tested positive for the potentially deadly virus did not know they were infected, the researchers added.
"Given skyrocketing rates of injection heroin use around the country, we expect the already high rates of hepatitis C infection to explode," said study author Dr. Douglas White, from Highland Hospital in Oakland, California.
How Google Glass could save lives in the hospital ER
The Huffington Post
Google suspended commercial production of Google Glass in January, despite copious media attention, largely because few normal consumers saw a compelling reason to buy the $1,500 computerized eyewear.
But not everyone thinks Google Glass is useless. Major hospitals have been experimenting with the use of Google Glass since the first prototype was released in 2013.
The latest evidence for Glass's utility in the medical field is a study by a team at the UMass Memorial Medical Center in Worcester, which has used Google Glass to help diagnose and treat patients arriving at the hospital ER with symptoms of poisoning.
Epinephrine recommended, even if anaphylaxis unconfirmed
Medscape (free login required)
Do not hesitate to use epinephrine for possible anaphylaxis, even in the absence of proof that patients' symptoms are the result of an allergic reaction, experts agree.
"Epinephrine in appropriate doses is safe, and there are no absolute contraindications for its use in treating anaphylaxis," according to a consensus statement prepared by an expert panel of emergency physicians and allergists.
Officials expand efforts to end legionnaires' disease outbreak
The New York Times
New York City and state officials continued to step up efforts to thwart the spread of Legionnaires’ disease, even as an outbreak of the airborne illness in the South Bronx appeared to be waning.
At a news conference at the city Office of Emergency Management, Mayor Bill de Blasio said that 108 people have been infected since the onset of the outbreak in July — up from a tally of 101. But the new diagnoses were made several days ago, the mayor said. He expressed optimism that diagnoses and emergency room visits were declining.
The changing face of medical education: Big data, self-paced learning
Two years ago, the American Medical Association said medical education needed a shakeup, citing "gaps between how medical students are trained and how health care is delivered," and put up $11 million to fund experiments in closing those gaps.
Now that effort is beginning to bear fruit.
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