AAEM Insights
Jul. 9, 2015

Should there be a dress code for doctors?
Medical Xpress (opinion)
If you live near a hospital, you've probably seen the sight: a young physician in loose blue scrubs, standing in line at the grocery store. You can't help but wonder if the young physician is lost. After all, it appears that he or she belongs in an emergency room – not the dairy section. The oversized bottoms, dangling bright orange pajama knot, deep V-neck and beeper ensemble not only look out of place, but lead to a slew of thoughts. Is he coming from or going to a shift? Could her clothes carry some sort of hospital microbe? What detritus has the outfit picked up on public transit or in line at the ATM that will track back to an operating room or patient? Has the American trend toward casual attire gone too far? More

Aug. 18-21: Unmatched Prep for Written Boards — Register today!

Join us for the AAEM Written Board Review Course in Orlando this 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 those taking the Qualifying Exam & ConCert Exam or for physicians seeking quality review materials. Learn more!More

NEW: 2nd Edition of the Written Board Review book

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!More

Did you miss us in Austin? Dig into AAEM15 Online!

The 2015 Scientific Assembly is now available online! FREE access for members — or — a special discounted CME rate. AAEM brings you content from top clinician-educators in EM, now available on your computer or mobile device. Log-in to the Online Learning Library and get started today! 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.More

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.More

AAEM Signs AllTrials Campaign Petition

AAEM signed the AllTrials petition calling for all past and present clinical trials to be registered and their full methods and summary results reported. Read more on the AllTrials website to learn more about the campaign: www.alltrials.net/find-out-more/all-trials/. 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! More

Gun laws in health systems vary by state
HealthLeaders Media
There's a federal law banning guns from schools. But when it comes to hospitals, it's up to the state. Leaders in the healthcare world react to the recent Supreme Court decision to back the Affordable Care Act in a challenge over its subsidies. Nurse to patient staffing ratios are good for nurses. But what about safety?More

Addressing violence in the healthcare workplace
Hospitals & Health Networks
Workers in healthcare and social assistance settings are five times more likely to be victims of nonfatal assaults or violent acts than the average worker in all other occupations, according to the Bureau of Labor Statistics. Nurses in the emergency department are disproportionately victims of workplace violence according to the Emergency Department Violence Surveillance Study, conducted by the Emergency Nurses Association, which found that 55.6 percent of nurses reported they had experienced physical violence, verbal violence or both. Furthermore, the study found that 57.6 percent of nurses surveyed rated the safety of their ED as a 5 out of 10 or lower.More

Free-standing ERs eye lobbying to win state approval for growth
Modern Healthcare
Free-standing emergency room operators are exploring how to win state regulatory approval to expand their facilities nationwide despite opposition from hospitals. The biggest operator is Lewisville, Texas-based Adeptus Health, which owns the First Choice chain of free-standing emergency rooms. Since going public in June 2014, Adeptus stock has tripled. The company opened seven new ERs in the first quarter of this year, bringing its total to 63 centers. Most are in Texas, which in 2010 became the first state to allow ERs to operate without a hospital affiliation. More

Eye injuries caused by fireworks doubled in last 3 years
USA Today
As adults and children reach for Fourth of July staples like sparklers, firecrackers and Roman candles, ophthalmologists are warning to use caution or skip the fireworks altogether. In the past three years, eye injuries caused by fireworks have more than doubled, according to the annual fireworks injury report issued last Friday by the U.S. Consumer Product Safety Commission. More

Should you be concerned about the 'weekend effect?'
Emergencies happen 24/7 — so why is it when we are admitted to a hospital on a weekend, the care we receive might not be exactly the same as the care we are given during a standard work week? This is the question that many studies and researchers have attempted to evaluate in the past. The bottom line is that the weekend effect exists, is complicated and multifactorial, and there is not one simple answer. At least some of the previous explanations from researchers for the “weekend effect” are related to lower staffing levels (nurses), fewer available specialists, as well as lack of readily available imaging and so-called interventional-type services offered during a typical “work” day from 9-5.More

Kill workflow inefficiencies to combat clinician burnout
HealthLeaders Media
Time spent on needlessly laborious or unnecessary tasks can silently ratchet up job dissatisfaction rates among physicians and nurses. Healthcare is an industry where seconds count, and not just in the case of saving lives. Imagine the simple act of walking down the hall to collect a piece of paper from a printer. "It might only be an additional 30 seconds each time, but if [clinicians] visit that printer 20 times in a day, that's an extra ten minutes daily," says John Jenkins, M.D., vice president and executive medical director of the primary care collaborative at Cone Health in Greensboro, North Carolina. More

Assuring hospital emergency care without crippling competition
Health Affairs Blog
Hospital emergency departments (EDs) occupy a critical position in the American healthcare system, bearing responsibility for the most urgent acute care cases, while serving as a provider of last resort for many without insurance coverage. Emergency healthcare also functions as a conspicuous exception to the general principle of market exchange, whereby services are voluntarily bought and sold.More

Body temperature not an accurate indicator of serious bacterial infection
“Temperature is an inaccurate marker of serious bacterial infection in children presenting to the emergency department with fever and reliance on magnitude of fever to guide further evaluation will result in misclassification of both serious bacterial infections and self-limiting illnesses,” Sukanya De, MBBS, M.D., Ph.D., of the University of Sydney, Australia, and colleagues wrote. “Low grade fever does not rule out serious bacterial infection at any age. Although high fever warrants careful evaluation, it does not per se rule in serious bacterial infection.”More

Tablets and portals may not be a hit, but wearables show promise
By Scott E. Rupp
It seems patient engagement efforts may require more work if the latest survey holds true. According to a study published in the Journal of the American Medical Informatics Association, giving patients access to portals and tablets "does not have a great impact on their understanding of their care and treatment." The hypothesis, according to FierceMobileHealthcare, was that tablets and apps would result in greater knowledge of team members' names and roles, planned tests and procedures, medications and higher patient activation. More