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| October 27, 2016 |
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VACEP Fellows Dr. Joran Sequeira (left) and Dr. Cameron Olderog raise their credential cards to cast their vote.
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Thirty-one resolutions were voted on by 392 emergency physicians gathered in Las Vegas at ACEP16. The two-day Council meeting carefully considered many issues impacting the practice of emergency medicine.
Resolutions that were covered, included:
- study patient care by senior/late career physicians,
- diversity,
- Free standing emergency centers,
- threat of boarding and overcrowding,
- payment for ultrasounds,
- treatment of substance use disorder, and
- numerous leadership issues.
To see the complete list of resolutions, click here.
| | NEWS FROM VACEP AND VIRGINIA |
VACEP President Dr. Mark Sochor and Council member Dr. Stephen Wolf share a moment with EM students and residents.
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Dr. Bob O’Connor is joined by emergency physicians form the U.S. Air Force and Navy
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The changing face of emergency medicine was evident during the annual UVA/VACEP annual resident reception held at the Mandalay Bay Resort.
Medical students from Liberty University’s new DO program, emergency physicians serving in the military and residents came together at UVA/VACEP’s 2nd annual reception.
ACEP’s Council is very much aware of filling the leadership roles with physicians to better represent the total membership. One challenge shared was a majority of female ER physician leaders contacted were not interested in engaging in the leadership positions available at ACEP.
ACEP is not alone in the quest to engage more volunteers in the organization.
Dr. Perina (third from left) joins Dr. Michelle Lynch, Dr. Brian Dawson and Bob Ramsey at the annual UVA/VACEP Resident Reception.
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Incumbent Board member Dr. Debra G. Perina, MD, FACEP was re-elected to the ACEP Board of Directors. Dr. Perina ran on a platform of better communication with strong efforts to improve state chapters use of ACEP’s resources.
Chairman of the Board, Dr. Bob O’Connor was unsuccessful in his bid for ACEP President-Elect.
Dr. Paul Kivela, MD, MBA, FACEP was elected. Dr. Kivela is managing partner of Napa Valley Emergency Medical Group and medical director of Medic Ambulance in Vallejo, California.
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VEP Healthcare has emergency medicine physician and APC opportunities at our Virginia partner hospitals. VEP offers flexibility, a collaborative & dynamic group of physician colleagues, leadership opportunities, competitive salary and the opportunity to become a shareholder in our provider-owned company. To apply, visit our website or email: recruiting@valleyemergency.com
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Cerner Ambulatory Practice Management
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Specialty Practice Management is a complete front- and back-office solution that offers a rapid return on your investment and improved satisfaction among your staff. Practices with 10 or fewer providers turn to this comprehensive solution to manage self-pay accounts and eliminate the common mistakes that prevent or delay insurance reimbursement.
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Dr. Sequeira, with help from by Drs. Lo and Jake O’Shea, focuses on mental health as her Fellow project.
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VACEP leaders were at the table to influence the writing of guidelines for screening and assessing psych patients prior to admittance to state hospitals. Evidence-based decisions were widely acceptable during the reviewing process.
“We’re making excellent progress partnering with those concerned with good patient care in this process," stated Dr. Joran Sequeira.
EM Painline
Dr. Cameron Olderog, VACEP’s Leadership and Advocacy Fellow is working on a project to improve Virginia’s ED physician treatment of chronic pain patients. VACEP will be linking EMPainline to VACEP’s website as a "tool kit" and a new resource emergency physicians can use in the treatment of pain.
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Virginia Department of Health
The State Board of Health has updated the Virginia Regulations for Disease Reporting and Control, and these updates go into effect on Oct. 20, 2016. We rely on you to identify and report conditions of public health concern and encourage you to consider the impact your patients’ health may have on the larger community. In that way, you and the Virginia Department of Health (VDH) partner to control the spread of disease in Virginia. VDH is available to assist you in the management of conditions of public health concern and to investigate and control disease in the community.
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| | NEWS FROM ACEP AND OTHER IMPORTANT PARTNERS |
The Virginia’s Military Medics and Corpsman Pilot Program (MMAC) believes that healthcare is the fastest growing employment sector, that medics and corpsmen have extremely relevant, real-world experience from their extensive military education and training — these individuals can help fill many gaps in healthcare workforce needs.
In the past several months the group has reached many milestones and received constructive input that is actively shaping our program. Some key updates include:
- The program is on track to be fully operational and accepting applications starting Dec. 1, 2016 — the goal is to facilitate the hiring 150 former medics and corpsmen by July 2018.
- The MMAC Memo of Agreement/General Scope of Practice has been vetted by the appropriate state agencies. The document was submitted to our PHS for their review and is pending their approval.
- In September, they held our first update with Secretary of Veterans and Defense Affairs, John Harvey and held the first meeting with our Partner Healthcare Systems (PHS). They received a great deal of productive feedback, ideas and detailed reviews of our draft policies, processes and procedures.
- They have briefed the Virginia Military Advisory Council, which was comprised of the commanders of each military installation in the Commonwealth, legislators, state officials and others involved in military affairs statewide. Key staff from the installations with medical facilities were also specially invited to attend.
In addition to these updates, the group has created a new video to share with individuals who may be interested in the program. If you should know anyone who is interested in the program, please have he/she email mmac@dvs.virginia.gov.
MSV
The Medical Society of Virginia (MSV) and MSV Foundation (MSVF) elected new presidents, officers and directors during its annual meeting from Oct. 13 to 16 at the Hotel Roanoke and Conference Center in Roanoke, VA. The MSV Political Action Committee (MSVPAC) elected new directors.
In a history-making moment for a state medical association, Bhushan H. Pandya, M.D., a gastroenterologist from Danville, was installed as MSV’s first ever physician of Indian origin as President. During his presidency, Dr. Pandya intends to focus on increasing physician engagement and enhancing physician satisfaction.
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Ohio ACEP
Ohio ACEP’s Emergency Medicine Board Review courses offer a comprehensive review for physicians preparing for a certification, recertification or inservice exam. Many physicians and advanced practice providers who treat urgent medical conditions attend our course for continuous certification and a review of the core content of emergency medicine. This premier board review course is attended by hundreds of physicians each year.
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| EVENT |
DATE |
LOCATION |
| EMS Symposium |
Nov. 9-13, 2016 |
Norfolk, VA |
| Ohio ACEP EM Board Review Course |
Feb. 9-13, 2017 |
Irvine, CA |
| VACEP Winter Annual Meeting |
Feb. 10-12, 2017 |
Hot Springs, VA |
| | NEWS FROM AROUND THE INDUSTRY |
Kaiser Health News via NPR
Nearly 1 in 5 children each year suffers a psychiatric illness, according to research estimates. But a national shortage of medical specialists and inpatient facilities means that many still go untreated — despite national efforts to improve mental health care.
New research is driving home the consequences. Scientific abstracts presented recently, at the annual meeting of the American College of Emergency Physicians, offer insights into how frequently patients with mental health issues land in the emergency room — often because opportunities to intervene earlier are missed.
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By Lynn Hetzler
 Occupational stress is ubiquitous in the workplace today, and it presents major challenges to health and safety on the jobsite. Emergency departments are notoriously high-pressure environments, but health scientists have never established the specific organizational stressors that affect workers in the ED. However, a new literature review in Emergency Medical Journal investigated occupational stress in the emergency department.
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Becker's Hospital Review
Today, half of doctors, nurses and healthcare administrators say they are burned out, with 30 percent of primary care doctors aged 35 to 49 years stating they expect to leave the profession. While this raises the specter of a physician shortage in the coming years, of equal concern, it means that many of the providers working today may be depressed, overwhelmed and exhausted — while still seeing patients.
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in-Training
Don’t let the system fool you. You’ll get many different, often contradictory, pieces of advice as you go through your training. The choices never end: which specialty to choose, how to study, where to practice, what to do with your free time.
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EurekAlert
Elder abuse affects approximately 1 in 10 older adults in the United States and has far-reaching negative effects on physical and mental health. Victims of elder abuse, like other vulnerable populations, tend not to receive routine care from a primary care physician and often depend on the emergency department. With over 23 million emergency department visits by older adults annually, the emergency department is an important setting to identify elder abuse and initiate interventions to ensure patient safety and address unmet care needs.
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The Washignton Post
The situation wasn’t unusual for Stanford, California, emergency physician Suzanne Lippert: The patient before her was a woman in her 60s suffering from severe depression, who said she had a plan to take her own life. The problem for Lippert: No inpatient bed was immediately available, so the woman would have to temporarily wait in the Stanford Hospital emergency room as a “boarder.”
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By Jessica Taylor
 The Centers for Disease Control and Prevention confirmed 50 cases this year of acute flaccid myelitis, or AFM, in 24 states as of Aug. 31 — nearly double the number from 2015 when 21 cases were reported for the whole year. Health officials nationwide are worried that the rising number of cases of the mysterious, polio-like illness could reach the level of 2014, when AFM paralyzed 120 children. In any case, it's never too early for health practitioners to be alert for symptoms of AFM.
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The Washington Post
When a provocative study showed that expanding Medicaid increased trips to the emergency room two years ago, some supporters of health reform were disappointed and hoped that it would prove to be only a temporary spike.
After all, the findings — based on Oregon's expansion of Medicaid in 2008 — challenged the key assumption that low-income people who gained insurance coverage would go to primary care doctors instead of relying on emergency rooms.
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Scientific American
Veterinarians know this opioid as a powerful elephant sedative. Security hawks know it too, thanks to its apparent use by the Russian government to put down a hostage crisis in 2002 (yes, really). But in the past year more U.S. doctors and paramedics are getting first-hand knowledge about the deadly effects of carfentanil from users who have overdosed on it.
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Forbes (opinion)
The Physicians Foundation recently released its findings from this year’s biennial physician survey. What surprised us the most, or should we say amazed us, were the 10,170 physicians who took the additional time to send us commentaries that filled more pages than in Gone with the Wind. That act alone demonstrates how strongly physicians feel about what is happening today to the practice of medicine. We will close our remarks with a sampling of theirs.
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The Lake Country Echo
Critically injured patients in rural communities are less likely to be treated at trauma centers than their urban counterparts, a U.S. study suggests.
Rural patients are also roughly twice as likely to die before they ever reach hospitals, researchers report in JAMA Surgery.
"Seriously injured patients have better outcomes when treated in major trauma centers and that time matters for certain patients," said lead study author Dr. Craig Newgard of Oregon Health and Science University in Portland.
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Medscape (free login required)
Clinicians working in the emergency department can play an active role in counseling patients about the safe storage of firearms, which could help reduce the number of gun-related injuries and deaths, according to experts here at the American College of Emergency Physicians 2016 Scientific Assembly.
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