The DEM has been chosen for the next Endowed Chair in the Academy of Medical Educators. The chair will be endowed for five years for $500,000 (half from the DEM, and half from the Academy), and the interest will support special projects. The Academy will select the recipient from our existing Academy members.

The DEM would like to welcome Dr. Maria Raven, who will be joining the faculty in July as an Assistant Professor, based clinically at Moffitt. Maria is currently an Assistant Professor in the Department of Emergency Medicine at Bellevue Hospital Center/NYU School of Medicine, where she completed her EM residency and the NYU/CDC Fellowship in Medicine and Public Health Research. She practices clinically at Bellevue and conducts research focused on high cost, heavy-users of the health care system. She has lived in New York City for 10 years with her husband and her two children, Max, five, and Sophie, almost three. Maria was born in Tucson, AZ, and went to college at UC Berkeley where she was a history major. After college, she worked at the UCSF AIDS Health Project for a year before moving to Portland where she completed the joint MD/MPH program. After a decade in New York City, Maria and her family look forward to their move back to the Bay Area this summer and to getting a dog. She loves health policy, reading semi-dark novels or non-fiction (just finished Just Kids and The Road), travel, art, music, being outdoorsandspending time with her family. She is overjoyed that the parks in the Bay Area actually have grass, and is excited to be able to go to PeetsCoffee at least twice a day as she takes her cappuccinos very seriously.

The DEM would also like to welcome Dr. David Thompson, who will be joining the faculty as an SFGH Assistant Clinical Professor, effective July 1. Dr. Thompson received his undergraduate degrees from University of San Francisco majoring in Psychology and B.A. in Education from the Brown University. He received his MD at Albert Einstein College of Medicine and then completed an MPH program at Harvard School of Public Health. He is currently finishing his Residency Program at Denver Heath. In addition to receiving excellent clinical training, Dr. Thompson has been trained in research methods through his master's degree and has demonstrated a track record of productivity in academic writing and emergency medicine research. By the end of this academic year he will have 6 academic writing projects completed and have given 2 national presentations. He comes across as highly self-motivated and can contribute in diverse areas of academic medicine. He is a member of American College of Emergency Physicians and American Academy of Emergency Medicine since 2007. Dr. Thompson is interested in developing a research career and pursue outside grant funding for investigation, always while continuing to practice and teach. The two areas he is most interested in investigating are characterizing shock states using bedside testing and traumatic brain injury. Dr. Thompson will play an important role in developing the program emphasizing Neuro-critical emergencies at San Francisco General Hospital. His personal interests are Snowshoeing, Snowboarding, Rock Climbing, Road Biking, Backpacking, Banjo, and International Cuisine.    

Notes from the Chair 

Report on Steering Committee actions:

The Steering Committee is the advisory committee that shapes departmental policy; its members are Drs. Yeh, Fee, Sporer, Barton, Weber, Promes, Hendey, and Callaham. All faculty are encouraged to provide feedback or discuss issues with them at any time.

In the last 2 months the committee agreed to extend Tracy Salkowitz's contract through the end of the year to continue the momentum of the strategic planning from last fall's retreat, including developing further communications tools beyond the monthly newsletter. The committee also decided to add a 0.4 FTE research assistant position to assist Sarika and deal with the ever-increasing research workload. Dr. Weber is working with the research faculty in a detailed process to develop a thorough overview of the needs of both research faculty and the department, and a strategy for integrating the two.

The committee decided to move forward with supporting the Tanzania rotation as our official department global health initiative for residents and faculty. The committee approved uniform guidelines for Academic Support Funds (ASF) for UCSF DEM faculty, after a survey of other institutions. Based on the survey model, each full time faculty member will receive $5000 a year for academic support, will receive a computer (and support), and group membership in SAEM. (Half time will receive $2500). The funds can be used for any expenditure approved by UCSF regulations, and unused funds will roll over into the next fiscal year. Expenditures above and beyond this amount (for example to travel to present original research) should be covered by other sources of funding, or will be reviewed by the chief of service on a case by case basis.

Finally, it is the goal of Chris Barton and myself to try to implement the first payments under our new incentive plan this summer. The exact incentive pool is not yet known (being dependent on our annual fiscal performance) but we hope to try to reward the faculty for their extra efforts. So, start thinking in what areas you performed beyond expectations this past year, for discussion at your annual review.  

Congratulations to Hemal Kanzaria for being accepted as a participant in the Yale/Stanford Johnson & Johnson Global Health Scholars Program. The program selects the most promising residents and career physicians, primarily from Yale and Stanford, to rotate to one of six carefully selected sites overseas. The Program focuses on building educational capacity with these partners. Hemal's six week rotation will be in South Africa.   

We are happy to announce that the   2011-12 Chief Residents are Caitlin Bilotti and Eric Silman. Congratulations!

Welcome residency Class of 2015!:

• Alexa Bisinger, Stanford University
• Raphael Falk, Mount Sinai
• Scott Fischette, UC San Francisco
• Sean Kivlehan, New York Medical College
• Johnson Kwan, Albany Medical College
• Jennifer Lanning, University of Chicago
• Ross Levin, Georgetown University
• Brian Resler, New York Medical College
• Julian Villar, Emory University
• Nathan Wilson, University of Michigan
• Lauren Wooley, University of Maryland
• Cynthia Zamora, UC San Francisco     

• Preston Maxim - Advancement to HS Associate Clinical Professor, Step 4, in the Department of Emergency Department, SFGH.

For more important meeting and event dates, see the newfaculty Google calendar: http://www.google.com/calendar/embed?src=f5b8l06u05kngi6sarkt7hlk6k%40group.calendar.google.com&ctz=America/Los_Angeles&pvttk=0e86d14ff3686bc08aa593b683dd59e1  

Dr. Michelle Biros from Hennepin will be giving Grand Rounds at UCSF Fresno on April 14. 

The 2011 Resident Retreat is on April 7-8, 2011 in Truckee, CA. 

The 2011 Medical Student Education Awards event is on May 10, 2011 at Park Chow from 5-7 pm.

Publications

Maak CA, Tabas JA, McClintock DE. Should Acute Treatment with Inhaled Beta Agonists be Withheld from Patients with Dyspnea Who May Have Heart Failure? J Emerg Med. 2011 Feb;40(2):135-45. (Dr. Tabas mentored the UCSF medical student who was first author).

Gupta M, Schriger DL,Tabas JA. The Presence of Outcome Bias in Emergency Physician Retrospective Judgments of the Quality of Care. Ann Emerg Med. 2011 Jan 10. [Epub ahead of print].

Chung-Esaki H,Tabas J, Goldschlager N. ST-segment elevation in a patient receiving flecainide. Arch Intern Med. 2011 Jan 10;171(1):11-3. (Dr. Tabas mentored the UCSF EM resident who was first author).

Quinn, JV, McDermott, DA. ECG Findings in Emergency Department Patients with Syncope.  Accepted for publication to Academic Emergency Medicine, 2011.

Quinn JV,McDermott D, Rossi J, Stein J, Kramer N. Randomized controlled trial of prophylactic antibiotics for dog bites with refined cost model. West J Emerg Med. 2010 Dec;11(5):435-41.

Quinn J, McDermott D. ECG criteria of the San Francisco Syncope Rule.  Ann Emerg Med. 2011 Jan;57(1):72-3.

Mohr NM, Moreno-Walton L, Mills AM, Brunett PH, Promes SB. Generational Influences in Academic Emergency Medicine: Teaching and Learning, Mentoring, and Technology (Part I).; on behalf of the Society for Academic Emergency Medicine Aging and Generational Issues in Academic Emergency Medicine Task Force.Acad Emerg Med. 2011 Feb;18(2):190-199. doi: 10.1111/j.1553-2712.2010.00985.x.

Mohr NM, Smith-Coggins R, Larrabee H, Dyne PL, Promes SB. Generational Influences in Academic Emergency Medicine: Structure, Function, and Culture (Part II). on behalf of the Society for Academic Emergency Medicine Aging and Generational Issues in Academic Emergency Medicine Task Force. Acad Emerg Med. 2011 Feb;18(2):200-207. doi: 10.1111/j.1553-2712.2010.00986.x.

Weichenthal L, Hendey G: The Effect of Mandatory Nurse Ratios on Patient Care in an Emergency Department. Journal of Emergency Medicine  2011;40:76-81. 

Chinnock B, Gomez R, Hendey G: Peritoneal Fluid Cultures Rarely Alter Management in Patients with Ascites. Journal of Emergency Medicine

 2011;40(1):21-21. 

Lung D, Lynch K, Agrawal S, Armenian P, Banh K:  Adult Female With Rash on Lower Extremities.  Images. Annals of Emergency Medicine

2011;57(3):307-311.

Presentations/Lectures

Marc Shalit, Geoff Stroh and Danielle Campagne along with UCSF Fresno Residents, Marc Jacoby, Jacoby Allen, Kevin Lunny and Kurt Bruggeggman presented at the National Park Service, national EMS meeting that is occurring March 13-17, in Tulsa, Ok.  Multiple topics were presented including: 

• Tactical EMS
• Paramedic Protocols
• American Heart Association 2010 updates
• Pediatric and Neonatal Resuscitation
• CQI in the National Park Service
• Literature Review presentation on: Prehospital cooling/Compressions through Shock/CPR without ventilation

Kenny Banh: LIFE: Longitudinal Integrated Fresno Experience (UCSF SOM Class of 2013, San Francisco CA 2011) 

Kenny Banh: Sexual Assault in the Emergency Department (California State University Fresno, Fresno CA 2011)

Prasanthi Ramanujam: Probabilistic Linkage Of Emergency Medical Services Records And Statewide Emergency And Patient Discharge Data. Western Regional Research Forum, SAEM February 24-26, 2011.

Cynthia Zamora, B.S.: The Impact Of Fear Of Discovery On Latino Immigrants' Presentations To The Emergency Department. Western Regional Research Forum, SAEM February 24-26, 2011.

SAEM Abstracts

The following abstracts have been accepted for presentation at the SAEM Annual Meeting in June:

Weber, E, Mason, S, Freeman, J, Coster, J. Impact Of England's Four Hour Emergency Throughput Target On Quality Of Care And Resource Use (Plenary Presentation).  

Bilotti, CP,Stein, JC, Tabas, J,Wang, RC.The Effect of Saline Infusion on Unembalmed Cadavers as Central Venous Catheterization Training Models: An Educational Study.

Chen EH, Baumann BM, Matsuura AC, Decker C, Glaspey LJ, Spewock C, Hollander JE, Mills AM.The impact of radiologic imaging on the management of ED patients with acute abdominal pain.

Baumann BM, Mills AM, Shofer F, Smith NM, Glaspey LJ, Spewock C, Chen EH.Pregnancy status affects analgesia administration in pelvic pain patients.

Baumann BM, Mills AM, Smith N, Glaspey LJ, Shofer F, Spewock C, Chen EH.Discharge status improves timeliness of analgesia administration.

Kanzaria HR, Srebotnjak T, Maselli J, McCulloch C, Auerbach AD, Hsia RY. Risk Factors For Closure Of California Emergency Departments, 1998-2008.

Hsia RY, Shen Yu-Chu. Are Safety-net Hospitals At Higher Risk Of Closing Their Emergency Departments Than Non-safety Net Hospitals?

Westphalen A, Wang R, Hsia RY, Maselli J, Gonzalez R. Radiological Imaging Of Patients With Suspected Urinary Tract Stones: National Trends, Diagnoses, And Predictors.

Duong, D, Oyama, L, Narang, A, Atema, A, Smith,JL, Spector, J. Attitudes of Medical Students on their Instruction of the Emergency Medicine Oral Case Presentation.

Newgard CD, Kampp M, Nelson M, Zive D, Bulger E, Rea T, Liao M, Sherck J, Hsia R, Fleischman R, Heineman J, Barton E, Daya M, Kuppermann N. Deciphering the Predictive Value and Use of "EMS Provider Judgment" in Out-of-Hospital Triage: A Multi-site, Mixed Methods Assessment.

Quinn, JV, McDermott, DA. ECG Findings in Emergency Department Patients with Syncope.