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To address doctor shortages, some states focus on residencies
MedPage Today
Last year, 369 students graduated from Iowa medical schools, but at least 131 of them had to finish their training elsewhere because Iowa had only 238 residency positions available. The story was the same for at least 186 students who graduated from Missouri medical schools and 200 who studied at Tennessee schools. States such as New York, California, Massachusetts, and Pennsylvania were happy to take them — all four states took in more residents than students they trained.
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AAEM NEWS


EM Day of Service — Join the Movement!
As emergency physicians, residents, nurses, physician assistants, and medical students, we are servant leaders in our communities. We care and advocate for our patients while working clinically. We also respond to the call to give back to the communities we serve. The EM Day of Service was created with this essential concept in mind. The EM Day of Service is a specialty-driven event where emergency care providers identify community needs and volunteer to address those needs. Learn more & sign-up.
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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 info@aaem.org or 800-884-2236 by Aug. 27, 2015. Learn more!
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PRODUCT SHOWCASE
  Merck Manual/AAEM Video Project

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 — Register by Sept. 1!
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!
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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.
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New Podcasts — Critical Care, Operations Management, and Legal & Policy
New episodes of all AAEM podcast series are now available!
  • 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?
Access all three series at: www.aaem.org/publications/podcasts

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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.
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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.
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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!
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HEALTHCARE POLICY NEWS


2 years into Obamacare, Only 1 state still has more than 20 percent uninsured
Los Angeles Times
When the Affordable Care Act took effect in October 2013, there were 14 states in which more than 1 in 5 adults lacked health insurance; today only Texas remains, according to data released. At the other end of the scale, only five states' populations were so well-insured in 2013 that fewer than 1 in 10 adult residents lacked insurance. Today, more than half the states have achieved that goal.
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Congress mulling mental health reform bills
MedPage Today
Could 2015 be the year for major mental health reform legislation? Mental health provider groups and advocates certainly seem to hope so. Legislators in both houses of Congress — and from both sides of the aisle — have introduced two similar pieces of mental healthcare reform legislation that would, among other things, improve access to care for mental health patients on Medicaid and clarify what personal health information mental health providers may disclose under the Health Insurance Portability and Accountability Act (HIPAA).
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NATIONAL NEWS


Titanium rings tough to crack in emergencies
NPR
When the patient showed up in the emergency department, he was hurting. He'd taken a nice long soak in a warm tub, and a few hours later his fingers swelled enough to trap his ring. Now that finger was painful and swollen. The ring needed to come off, since restricted blood flow can lead to tissue death in the finger, which is about as fun as it sounds.
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FDA approves OxyContin for kids 11 to 16
USA Today
The U. S. Food and Drug Administration has approved the powerful narcotic painkiller OxyContin for children as young as 11. While physicians who treat young cancer patients hailed the approval, others expressed concern that prescribing OxyContin to children could put them at risk for addiction. OxyContin, an extended-release version of the painkiller oxycodone, has gained notoriety in recent years because of its frequent abuse. People addicted to painkillers crush the pills so that they can be snorted or injected, producing a powerful high.
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Physician score cards cut resource use in pediatric ER
HealthDay News via Doctors Lounge
An intervention that provides comprehensive physician feedback on practice patterns relative to peers can reduce resource use in the pediatric emergency department, without compromising efficiency or quality of care, according to a study published online Aug. 10 in Pediatrics. Shabnam Jain, M.D., M.P.H., from the Emory University School of Medicine in Atlanta, and colleagues developed a tool for comprehensive physician feedback on practice patterns relative to peers and examined its impact.
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Healthcare workers' influenza vaccination: Motivations and mandatory mask policy
Occupational Medicine
The new mask-wearing policy was a motivation for vaccination but also offered an alternative to non-compliant HCW. Concerns about vaccine safety and efficiency and self-interest of health care workers are still main determinants for influenza vaccination acceptance. Better incentives are needed to encourage vaccination amongst non-physician HCW.
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Time to revisit benchmarks for physician pay
FierceHealthFinance
It's time to overhaul the current use of the work relative value units to determine how physicians are paid, argues an article in the most recent issue of HFM Magazine. "Because of the way the data for these benchmarks are gathered and the manner in which the benchmarks typically are applied in compensation formulas, there is a built-in 'benchmark creep' that defies the financial realities of individual medical practices," write Darin Libby and Dave Wofford of ECG Management Consultants in San Diego. "As a result, physician compensation levels tend to increase more rapidly than the professional fees that they generate."
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Pediatric mental health visits to ED soar
Medscape (free login required)
Pediatric mental health–related visits to a large British Columbia children's hospital emergency department (ED) rose significantly during the past decade, following similar trends reported in the United States, new research shows. The trend underscores the increased utilization of the ED as a safety net when mental heath services are not otherwise accessible, as well as shortcomings of EDs in stemming this increase, according to the authors.
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Docs get flexibility on ICD-10, leaving questions for hospitals
Hospitals & Health Networks
We almost made it unscathed. We've upgraded, tested, trained and upgraded again. We rewrote reports and interfaces and assessed financial risks. While cautious, many organizations were coming to grips with the ICD-10 gaps they needed to fill by Oct. 1. Then came the announcement: "CMS and AMA Announce Efforts to Help Providers Get Ready for ICD-10." The agreement was a response to requests from the provider community and allows for flexibility in the "claims auditing and quality reporting process" as the medical community builds experience with the new ICD-10 code set, according to the release.
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Study looks at mobile device use in emergency department patients
iMedicalApps
New media is a form of educational material that can be created or demanded instantly with the use of mobile devices such as smart phones, tablets or computers. It is important to distinguish that “new media” is typically only available on smartphones rather than on basic cell phones, which do not allow for web browsing or downloading apps.
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    How to tackle America's physician shortage (FORTUNE)
Epinephrine recommended, even if anaphylaxis unconfirmed (Medscape (free login required))
The changing face of medical education: Big data, self-paced learning (MedPage Today)
Study casts doubt on assumptions about hospital 'frequent fliers' (MedPage Today)
More hepatitis C cases being seen in urban ERs (HealthDay News)

Don't be left behind. Click here to see what else you missed.


 



AAEM Insights
Colby Horton, Executive Vice President of Publishing, 469.420.2601
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Jessica Taylor, Senior Medical Editor, 202.684.7169   
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