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Text Version   RSS   Subscribe   Unsubscribe   Archive   Media Kit   April 09, 2015


PEND Elimination — What it means to Virginia's emergency physicians!
Dear Emergency Medicine Colleagues:

I have only been VACEP president for a short period of time when EPs across Virginia won a great victory with the elimination of PEND. On March 27, 2015 Governor McAuliffe signed the budget without suggesting any amendments (1st time since 1998) and eliminated the practice of PENDing EP physicians charts. I was delighted to get your congratulatory emails (let's be honest I did very little to make this victory happen) but what struck me was that many of you were unaware of what the PEND practice was all about. I've plagiarized an excerpt from a 2013 VACEP explanation which I think does a nice concise job of it. Click here to read more from Dr. Sochor.
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Make A Difference and Improve your Advocacy/Leadership Skills
Join Virginia’s emergency physicians at ACEP’s Legislative Advocacy Conference and Leadership Summit, May 3-6, 2015. Connect with EM leaders while advocating for your specialty. Visit Virginia’s Senators and Representatives Tuesday, May 5 in small groups lead by two seasoned Virginia lobbyists. Details:

Physicians face a 21 percent cut in Medicare ... Please contact Senator's Kaine and Warner using VACEP’s Advocacy email request sent to you today.

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Oct. 2014

VACEP Supports PAC Information Gathering
“Thank you VACEP for your continued financial support of VPAP. The ER docs’ investment pays dividends to all who seek a window into Virginia politics,” wrote David Poole, Executive Director. The Virginia Public Access Project grew out of a joint effort by the state's five largest newspapers to track campaign contributions. VPAP connects emergency physicians with nonpartisan information about Virginia politics. VPAP has no “dog in any fight” but is a nonprofit dedicated to providing facts that help physicians reach their own conclusions. Track donations at
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Richmond emergency physician saves women from frozen pond
Richmond Times-Dispatch
Dr. Matthew Bartholomew, a trauma center physician in the VCU Medical Center for about 12 years before becoming a physician at St. Francis Medical Center in Midlothian, Virginia pulled a women from her submerged car after it crashed through a fence into a frozen pond. Read the amazing story.
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  Join the VEP Virginia Team!

VEP Healthcare has emergency medicine physician and PA/NP opportunities at our Virginia partner hospitals. VEP offers flexibility, a collaborative & dynamic group of physician colleagues, leadership opportunities, competitive salary and the opportunity become a shareholder in our provider-owned company. To apply, visit our website or email:

Visit EM Career Central this to find your next job in emergency medicine.

Physicians face a 21 percent cut in Medicare reimbursements
Medical Society of Virginia
The U.S. Senate failed to reach an agreement to repeal the sustainable growth rate (SGR) formula, allowing the most recent patch to expire March 31. Although Senate leaders say they plan to address this issue when Congress returns from its recess on April 13, this means that, for now, physicians still face a 21 percent cut in Medicare reimbursements.
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AAMC lowers physician shortage prediction by 40,600 in 10 years
The Washington Post
The Association of American Medical Colleges has revised its physician shortage down to 90,000 by 2025 because of revised population predictions and a small increase in the number of physicians. AAMC is asking Congress to raise the federal cap on medical residents at teaching hospitals by 3,000 annually. The government funds its share of training each U.S. physician (estimated at $145,000) ) via the Medicare program. AAMC represents all 141 US medical schools as well as 400 major teaching hospitals and health systems including 51 Department of Veterans Affairs medical centers.
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Council of EM Residency Directors Academic Assembly April 13-16, 2015 Phoenix, Arizona
Mid-Atlantic Medical Student Symposium & Residency Fair April 25, 2015 Las Vegas, Nevada
Emergency Department Directors Academy – Phase II April 26-30, 2015 Dallas, Texas
Legislative Advocacy Conference May 3-6, 2015 Washington, DC
SEMPA 360 May 3-7, 2015 Lake Buena Vista, Florida
VACEP Board of Directors May 15, 2015 Charlottesville, Virginia
ACEP Simulation-based Immersive Medical Training Course May 18-20, 2015 Phoenix, Arizona
8th Annual Joint MedStar — GW LLSA Conference May 26, 2015 Washington, DC
Virginia Academy of Physician Assistants 33rd Annual CME Conference July 26-31, 2015 Virginia Beach, Virginia
VACEP Board of Directors Sept. 11, 2015 Richmond, Virginia
ACEP15 Oct. 26-29, 2015 Boston, Massachusetts
Virginia EMS Symposium Nov. 11-15, 2015 Norfolk, Virginia
VACEP Board of Directors Dec. 11, 2015 TBA

Whether you are job hunting, need to be credentialed, or just trying to stay organized...
Meet your new best friend — the ACEP Portfolio Tracker.

Emergency department burden of constipation in the US from 2006 to 2011
American Journal of Gastroenterology
Although constipation is typically managed in an outpatient setting, there is an increasing trend in the frequency of constipation-related hospital visits. The aim of this study was to analyze trends related to chronic constipation in the United States with respect to emergency department visits, patient and hospital characteristics, and associated costs.
Data is no less secure even as HIPAA enforcement is here
By Lindy Benton
The headlines are endless and ever-growing: Healthcare data is at risk. Exposure is happening because a scourge of people worldwide is illegally trying to benefit from the information; because of improper protection of sensitive information; or because of some other sort of breach. However, despite continued efforts to address security loopholes across the sector, simply "taking action" to mitigate damage is not an effective strategy, and it won't work long term.
Pulmonary embolism risk scoring could guide treatment, ease burden on EDs
Medical Xpress
An analysis led by University of Cincinnati (UC) emergency medicine researchers shows that a simplified severity scoring tool for pulmonary embolism could be used in emergency departments to guide treatment decisions and, ultimately, ease the burden placed on emergency departments and hospitals.


Doctors make house calls on rablets carried by Houston firefighters
It seems like every firefighter you ask can rattle off examples of 911 calls that didn't come even close to being life-threatening. "A spider bite that's two or three weeks old," says Jeff Jacobs. "A headache, or a laceration," says Ashley Histand. Alberto Vela remembers another call from a woman who said, "This medicine's not working; now you need to take me to the hospital so I can get a different medication."
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Emergency physicians urge colleagues to help prevent gun violence
Medical Xpress
In an editorial posted online in the Annals of Emergency Medicine, two practicing emergency medicine physicians from the University of California, Davis, and Brown University — both thought leaders at the forefront of finding solutions to the public health crisis of gun violence — urge their colleagues to take direct action to protect the health and safety of patients and communities. Their editorial follows the Feb. 24 call to action by eight health professional organizations, including the American College of Emergency Physicians, and the American Bar Association, to reduce firearm injuries and deaths in the U.S. — unprecedented support that suggests mobilization to prevent firearm violence may be underway.
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New pediatric surgical centers and EM requirements
Task Force for Children's Surgical Care
Specialized pediatric fellowship emergency physicians are required 24/7 365. This would affect many centers. ACEP is actively in talks with ACS about this document. No EM physicians were on their panel.
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Practitioners not waiting for telemedicine laws
Health News Florida
It was 1964. The New York World's Fair. And a young Tony Napolitano saw his first video phone at the Bell Telephone pavilion. The boy marveled that people could connect visually from remote locations. Fast forward to 2015. Napolitano, now a pediatric neonatologist, is about to make this connection an ordinary part of practicing medicine at All Children’s Hospital in St. Petersburg.
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Preventing domestic violence one step at a time
By Jessica Taylor
Vice President Joe Biden spoke at the National Conference on Health and Domestic Violence recently, and he stated that domestic violence is a public health epidemic. Biden made attendees — including doctors, nurses, social workers, etc. — aware that even though we've come a long way in the fight against domestic violence, we have to keep making sure we're working harder than ever for prevention and intervention. Of course, it takes a little bit of time to recognize domestic violence, and it's important for healthcare professionals to know the signs.
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Emergency medical info: There's an app for that
People with allergies, bleeding disorders and other medical conditions have long used medical ID bracelets, wallet cards or other tangible objects to alert physicians caring for them in an emergency. A Bronx, New York, physician says she has a better idea: cell phone apps. These can be accessed by physicians or other medical personnel and the apps are automatically downloaded on some cell phones' operating systems or are low-cost apps for purchase on others.
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Providers can't sue state Medicaid agencies over rates, Supreme Court rules
Modern Healthcare
Private healthcare providers cannot sue state Medicaid agencies over low reimbursement rates, the U.S. Supreme Court decided in a 5-4 decision (PDF), reversing a lower court's ruling. Providers had argued in a case, Armstrong v. Exceptional Child Center Inc., that suing over low rates is sometimes the only way to enforce federal payment requirements. Otherwise, low rates could lead to fewer providers agreeing to participate in Medicaid and thus less access to care for Medicaid patients, some had argued.
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