4 PRESIDENT’S MESSAGE
6 ADVOCACY UPDATE
12 GUEST ARTICLE
16 ANNOUNCEMENTS
17 UPCOMING MEETINGS & DEADLINES
18 CAREER OPPORTUNITIES
6
California ACEP Board of Directors & Lifeline Editors Roster2017-18 Board of DirectorsAimee Moulin, MD, FACEP, PresidentChi Perlroth, MD, FACEP, President-ElectVivian Reyes, MD, FACEP, Vice PresidentVikant Gulati, MD, FACEP, TreasurerSujal Mandavia, MD, FACEP, SecretaryLawrence Stock, MD, FACEP, Immediate Past PresidentReb Close, MD, FACEPJohn Coburn, MDCasey Dart, MDCarrieann Drenten, MDDoug Gibson, MD, FACEPKevin Jones, DOJohn Ludlow, MD, MBA, FACEPKaren Murrell, MD, MBA, FACEPLuke Palmisano, MD, MBA, FACEPMaria Raven, MD, MPH, FACEP Nicolas Sawyer, MDLori Winston, MD, FACEP
Advocacy FellowshipAimee Moulin, MD, FACEP, Director
Lifeline Medical EditorRichard Obler, MD, FACEP, Medical Editor
Lifeline Staff EditorsElena Lopez-Gusman, Executive DirectorKelsey McQuaid-Craig, MPA, Director of Policy and ProgramsLucia Romo, Membership and Education CoordinatorLauren Brown, Government Affairs AssociateMeri Thresher, Office Assistant
NOVEMBER 2017 Index of Advertisers
California ACEP – Member Renewal Page 14
California Hospitalists/ Emergency Physicians Medical Group, Inc Page 18
Emergency Groups’ Office Page 13
Emergency Medical Management Associates Page 13
Emergency Medical Specialists of Orange County Page 18
Emergency Medicine in Yosemite Page 15
Emergency Physicians Management Page 18
Independent Emergency Physicians Consortium Page 5
Ohio ACEP Emergency Medicine Board Review Courses Page 11
St. Jude Medical Center, Fullerton Page 18
Ventura Emergency Physicians Page 18
12
BURNED OUT? Just Say No & Teach Others Well
2 | LIFELINE a forum for emergency physicians in california
TABLE OF CONTENTS |
2017 LEGISLATIVE
REVIEW
Central Coast Emergency Physicians
Emergent Medical Associates
Emergency Medicine Specialists of Orange County
Front Line Emergency Care Specialists
Loma Linda Emergency Physicians
Napa Valley Emergency Medical Group
Newport Emergency Medical Group, Inc at Hoag Hospital
Pacific Emergency Providers, APC
Tri-City Emergency Medical Group
University of California, Irvine Medical Center Emergency Physicians
Jasjit Adlakha
Ashley Advincula
Yom Alemante
Samuel I. Decker
Drusia Dickson
Ghadeer Doman
Eric M. Frendt
Peter Hanna
Elisee Jionang Dapeu
Tamara Julius
Melanie Koppula
Igor Krivitskiy
Jonathan Bryan Lee, Medical Student
Eric Y. Leung
Justin Meyer
Brandon Perkovich
Eric S. Pittman, MD
Adam Sykes
Lily Vartanyan, Medical Student
Andrew Wynn
Lisa Yee
WELCOME new members!
100% GROUPS
NOVEMBER 2017 | 3
PRESIDENT’S MESSAGE |
By Aimee Moulin, MD, FACEP
Our Chapter has worked to improve systems of care for patients with
psychiatric illness. California ACEP has advocated for your ability to
make clinical decisions about patients with psychiatric illness so that
you can do what’s right for your patients. The Chapter has worked to
update the outdated LPS Act. We’re pushing to break down the barriers
to transferring mental health patients: supporting the creation of an
online psychiatric bed registry to help match patients to resources and
working to open up psychiatric facilities to patients will all types of
insurance.
So it was with much trepidation that we have followed the AnMed Health case that fined a South Carolina hospital under the Emergency Medical Treatment and Active Labor Act, otherwise known as EMTALA. EMTALA requires hospitals that accept Medicare to provide appropriate medical screening and treatment to stabilize the patient’s condition.
The mere whisper of an EMTALA violation strikes fear in every emergency physician and administrator. On top of that, add the frustration and legal mine–field of our antiquated laws governing involuntary treatment and this particular case has been especially fraught.
The struggle to find an inpatient bed at a designated psychiatric facility is something we all share. Decades of cuts to inpatient and outpatient services have taken their toll on our mental healthcare system. California has lost 25% of
inpatient psychiatric beds since 1995. As of 2016, California had 1 bed for every 5,886 people. 1 Nationally there has been a steady increase in emergency department (ED) visits by patients with mental health diagnosis; 10% of all ED visits are for psychiatric illness and almost 2% of all visits result in a transfer to an inpatient psychiatric hospital. 2, 3
The mismatch of the need for mental healthcare services and available resources places us, and our patients, in an impossible situation every day, every shift.
IMPOSSIBLE SITUATIONS
4 | LIFELINE a forum for emergency physicians in california
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The South Carolina based AnMed health system settled with the Office of Inspector General for $1.295 million for failing to appropriately screen and stabilize psychiatric patients presenting to their ED. The case involves 36 patients with serious mental illness, including suicide and homicidal ideations. These 36 patients, in the opinion of the treating emergency physician, needed inpatient psychiatric treatment at a facility equipped to treat patients on an in-voluntary basis. However, the state-run inpatient psychiatric facility designated to accept patients on an involuntary basis did not have enough beds to meet the demands of the community. Patients meeting criteria for involuntary hospitalization waited in the AnMed Health ED for an open bed. Sound familiar…?
A survey of California ED directors found patients were waiting in ED’s over 24 hours.4 Length of stay for psychiatric patients are significantly longer than for non-psychiatric patients with similar dispositions.5 Not surprisingly, closures of inpatient psychiatric beds have a measurable impact on nearby ED’s.6 It leads to an impossible situation that regularly plays out in EDs.
What is less familiar is that the AnMed Health System did have inpatient psychiatric services and an on-call psychiatrist. Yet the hospital didn’t make these resources available to help take care of their ED patients, even though patients in this case waited between six to thirty-eight days to be transferred. The EMTALA violation was for failing to use available hospital resources (i.e. psychiatry consultation) in the stabilization of psychiatric patients. AnMed Health did not admit liability under the settlement deal.
This case has raised a lot of questions. By citing the hospital for not obtaining psychiatric consults, some have argued this calls into question an emergency physician’s ability to medically screen and stabilize psychiatric patients. However, this case seems more to do with what obligations a hospital has to making its consultants available to emergency physicians who request them, rather than to suggest that an emergency physician is not qualified to medically screen and stabilized psychiatric patients. It also raises the question of what obligations a hospital has to provide consultation when they have telepsychiatry available.
Our broken mental healthcare system has placed emergency physicians in impossible situations. Clearly the status quo is not acceptable. We need solutions and resources to provide care for our patients will mental illness.
What do you think about the AnMed Health case? What solutions have you found to do your best to provide mental health care in the midst of a system that we all know if failing our patients and us? Post your thoughts on California ACEP’s social platform, ConnectED, by logging in at californiaacep.org. n
Thank you
REFERENCES
1. Lowe S. California's Acute Psychiatric Bed Loss. California Hosptial Association. 2017.
2. Capp R, Hardy R, Lindrooth R, Wiler J. National Trends in Emergency Department Visits by Adults With Mental Health Disorders. The Journal of emergency medicine. 2016;51(2):131-135.e131.
3. National Hospital Ambulatory Medical Care Survey: 2014 Emergency Department Sum-mary Tables, tables1,4,15,25,26. In: National Center for Heatlh Statistics DoHaHS, ed. Atlanta GA: Centers for Disease Control and Prvention; 2017.
4. Stone A, Rogers D, Kruckenberg S, Lieser A. Impact of the mental healthcare delivery sys-tem on california emergency departments. The western journal of emergency medicine. 2012;13(1):51-56.
5. Zhu JM, Singhal A, Hsia RY. Emergency Department Length-Of-Stay For Psychiatric Visits Was Significantly Longer Than For Nonpsychiatric Visits, 2002-11. Health affairs (Project Hope). 2016;35(9):1698-1706.
6. Nesper AC, Morris BA, Scher LM, Holmes JF. Effect of Decreasing County Men-tal Health Services on the Emergency Department. Annals of emergency medicine. 2016;67(4):525-530.
NOVEMBER 2017 | 5
ADVOCACY UPDATE |
Author Tim Madden
2017 was largely a successful year for the California ACEP advocacy team. We sponsored three bills, two of which were signed by the Governor.
One of the main policy areas we focused on was improving care for our mental health patients. After our tough battle with AB 1300 (Ridley-Thomas) in 2015-16, which attempted to make significant changes to the mental health laws in California, we took a step back and changed our approach. We met with numerous stakeholder groups to more closely listen to their view of the mental health system and explore places we could partner to make changes. This led to our introduction of AB 451 (Arambula) and AB 1119 (Limόn) which are detailed below.
California ACEP continues to make strides forward in deepening our relationships with key stakeholder groups to make improvements to the broken mental health care system.
Our focus going into 2018 will continue to be around mental health care but we will also be exploring other policy avenues to improve emergency care.
2017 LEGISLATIVE REVIEW
6 | LIFELINE a forum for emergency physicians in california
CALIFORNIA ACEP SPONSORED BILLSAB 40 (Santiago) – Governor Signed Bill
AB 40 would allow health information technologies to integrate with and automatically query the Controlled Substances Utilization Review and Evaluation System (CURES) on behalf of a registered provider. This means a summary of a patient’s opioid prescription history could be included directly in an electronic health record for you to access without having to take cumbersome step of separately logging in to manually check CURES.
AB 451 (Arambula) – Bill Held in Senate Appropriations
AB 451 would address two barriers to care emergency physicians encounter when trying to transfer patients with emergency psychiatric conditions:
• Emergency physicians report acute psychiatric hospitals routinely ask for the insurance status of a patient before determining if they will accept the transfer, despite the fact that this violates the spirit, if not the letter, of current law.
• A survey of emergency physicians in California revealed that, almost universally, hospitals require patients to be on a 5150 hold or they will not accept transfer of that patient from the ED. There is no such mandate in law.
AB 451 would improve patient access to emergency psychiatric transfers. This bill would require psychiatric hospitals which do not have an ED, to accept higher level psychiatric transfers, regardless of the patient's ability to pay, and states that hospitals may not require a patient to be on a 5150 hold as a condition of accepting a patient transfer. The bill is eligible to be heard again in 2018.
AB 1119 (Limon) – Governor Signed Bill
AB 1119 clarifies that providers do not need to obtain patient consent
to share mental health information for treatment purposes in an
emergency.
While both the Health Insurance Portability and Accountability Act
(HIPAA) and the even more protective California laws, the Lanterman
Petris Short (LPS) Act and the Confidentiality of Medical Information Act
(CMIA), allow providers to share patient information in an emergency
for treatment purposes, there is confusion on the part of many
providers who have interpreted the law to require patient consent.
This is a substantial barrier to effective care in the emergency
department where patients are in crisis and timely consent is not
always possible. Different interpretations mean some health records
are incomplete and others aren’t released to emergency physicians at
all. AB 1119 provides much-needed clarity.
Prop 56 Allocation for Increased Medi-Cal Payments
There was a significant battle between the Governor, the Legislature, and physician led stakeholder groups around how money raised through Proposition 56 (Tobacco Tax increase) should be used. The Governor, in his initial budget proposal in January, essentially stole the estimated $1.3 billion in expected Prop 56 revenue for benefit expansion under the Medi-Cal program, rather than increased provider payments as mandated by the initiative. The CMA threatened to sue the Governor for violating the language of Proposition 56, which eventually led to an agreement.
The agreement between CMA, the Governor, and the Legislature is to use $465 million for increasing primary care provider rates, of which $325 million would be for physician provider supplemental payments and $140 million for dental provider supplemental payments, for the current budget year. The Legislature agreed to keep in place $700 million of Prop 56 funds to be used for general Medi-Cal purposes as the Governor proposed.
There was also language that could result in to up to an additional $800 million in the 2018-19 budget year, if there are positive changes in the state’s fiscal condition. This language is rather vague and may not realistically lead to any increased supplemental payments.
Prop 56 Allocation for GME Funding
Prop 56 allocated $40 million to training new primary care and emergency physicians, yet the Governor’s budget directed these needed funds towards the general UC budget. There are currently only 17 emergency medicine residencies in California and more residency slots are needed to meet the workforce shortage.
The Legislature responded by directing the monies into the Song Brown program which can only be accessed by primary care residencies. We worked with residency directors to draft language that would allow emergency medicine residencies to qualify for these funds. Unfortunately, the final budget deal allocated $33 million of Proposition 56 monies to only primary care residencies through the Song Brown program.
CALIFORNIA ACEP SUPPORTED BILLSAB 6 (Lackey) – Bill held in Senate Rules Committee
AB 6 would require the Commissioner of the California Highway Patrol (CHP) to appoint a drugged driving taskforce to develop policies to
NOVEMBER 2017 | 7
address the issue of driving under the influence of drugs, including
prescription drugs. The language of the bill was included in a budget
trailer bill, which was signed into law.
AB 74 (Chiu) – Governor Signed Bill
AB 74 requires the Department of Housing and Community
Development to establish the Housing for a Healthy California Program,
which will award grants to help fund interim and long-term housing.
AB 175 (Chau) – Bill held in Senate Appropriations Committee
AB 175 would require manufacturers to submit the package or label of
a marijuana product to the Bureau of Marijuana Control for approval to
ensure it is childproof and is not attractive to children.
AB 210 (Santiago) – Governor Signed Bill
AB 210 authorizes counties to establish a multidisciplinary personnel
team that facilitates linkage of homeless adults, children, and families
to housing and supportive services.
AB 350 (Salas) – Governor Vetoed Bill
AB 350 would amend the Control, Regulate, and Tax Adult Use of
Marijuana Act (AUMA) to specify that a marijuana product is deemed
appealing to children if it is in a shape normally associated with candy,
such as an animal or fruit.
AB 501 (Ridley-Thomas) – Governor Signed Bill
AB 501 authorizes the State Department of Social Services to license a
short-term residential treatment center to operate as a children’s crisis
residential center.
AB 508 (Santiago) – Governor Signed Bill
AB 508 eliminates a licensing board’s ability to fine or deny licensure
of a health care practitioner if they are in default on a United States
Department of Health and Human Services education loan.
AB 583 (Wood) – Bill held in Assembly Appropriations Committee
AB 583 would extend the operation of the Emergency Medical Air
Transportation Act until 2030, providing funding to augment Medi-Cal
reimbursement rates.
AB 595 (Wood) – Bill held in Assembly Appropriations Committee
AB 595 would require any entity that intends to merge with or acquire a
health care service plan or health insurer to receive prior approval from
the respective regulator, the Department of Managed Health Care or
the Department of Insurance. Proposed mergers or acquisitions would
be required to meet certain criteria, including improved access to care
and not adversely affecting competition.
AB 727 (Nazarian) – Governor Signed Bill
AB 727 clarifies that counties may spend Mental Health Services Act
(MHSA) funds on housing assistance for children and adults who have
a serious mental illness.
AB 782 (Acosta) – Failed Assembly Revenue and Taxation Committee
AB 782 would create a state income tax deduction for the amounts
paid for health insurance and transportation costs associated with
seeking medical care.
AB 917 (Arambula) – Bill held in Assembly Appropriations Committee
AB 917 would require the Board of Governors of the California
Community Colleges and the Trustees of the California State University,
and encourages the Regents of the University of California, to adopt a
policy on student suicide prevention.
AB 989 (Cooper) – Held under submission
AB 989 would create a state income tax deduction for a contribution
made to a health savings account (HSA) in conformity with federal law.
AB 1136 (Eggman) – Bill held in Senate Health Committee
AB 1136 would require the State Department of Public Health to
solicit a grant under the 21st Century Cures Act to develop a real-
time, electronic database of beds in acute psychiatric facilities, crisis
stabilization units, residential community mental health facilities, and
residential substance use disorder treatment facilities.
AB 1140 (Obernolte) – Hearing cancelled by author
AB 1140 would create a state income tax deduction for a contribution
made to a health savings account (HSA) in conformity with federal law.
8 | LIFELINE a forum for emergency physicians in california
AB 1315 (Mullin) – Governor Signed BillAB 1315 establishes the Early Psychosis Detection and Intervention Fund, consisting of public and private funding, to expand access to evidence-based early psychosis detection and intervention services.
SB 189 (Bradford) – Governor Signed Bill
SB 189 creates specific waiver provisions for workers’ compensation coverage for professional corporations, worker-owned cooperatives, and closely-held family businesses. Last year, a bill inadvertently removed the ability for certain professional organizations, such as medical corporations, from waiving the requirement for physician to have workers’ compensation coverage. SB 189 corrects this problem.
SB 323 (Mitchell) – Governor Signed Bill
SB 323 authorizes a federally qualified health center (FQHC) or rural health clinic (RHC) to enroll as a Drug Medi-Cal certified provider, expanding access to alcohol and addiction treatment.
SB 374 (Newman) – Governor Signed Bill
SB 374 requires large group, individual, and small group health insurance policies to provide mental health and substance use disorder benefits in compliance with federal law. The bill would also authorize the Insurance Commissioner to issue guidance to health insurers regarding compliance.
SB 456 (Pan) – Bill held in Assembly Appropriations CommitteeSB 456 would allow federally qualified health centers (FQHC) and rural health clinics (RHC) to enter into an agreement with an entity to provide services that follow the patient.
SB 489 (Bradford) – Governor Signed Bill
SB 489 extends the timeline for hospitals and emergency physicians to bill for emergency medical treatment for injured workers from 30 days to 180 days. This bill was necessary due to a drafting error in a workers’ compensation reform bill from 2016.
SB 566 (McGuire) – Bill held in Senate Energy, Utilities and Communications Committee
SB 566 would require a telecommunications provider to notify the Office of Emergency Services (OES) via email whenever there is a 911 outage in a rural area. OES would be responsible for notifying
emergency services in the county affected by the outage.
SB 663 (Nielsen) – Governor Vetoed Bill
SB 663 would specify that a package or label of marijuana products is attractive to children if it has characteristics resembling a commercially sold candy, food, or beverage. Existing law already prohibits marketing marijuana products to children. This bill came forward after the state was slow in issuing regulations to provide guidance on what constituted marketing to children. Governor Brown vetoed the bill stating the regulations are being drafted and legislation is not needed.
SB 687 (Skinner) – Governor Vetoed Bill
SB 687 would extend the Attorney General’s review and oversight of nonprofit hospital transactions to include a nonprofit hospital’s attempts to eliminate or reduce emergency medical services.
SB 792 (Wilk) – Held in Assembly Local Government Committee
SB 792 would create the Measure B Oversight Commission and require the Commission to submit reports on Los Angeles County’s trauma network and Measure B Funds. Measure B was approved by Los Angeles County voters in 2002 and raises approximately $250 million annually to fund the County’s 14 trauma centers.
The bill was not heard in the Assembly but is eligible to be heard in January of 2018.
CALIFORNIA ACEP OPPOSED BILLSAB 334 (Cooper) – Held in Senate Public Safety Committee
AB 334 would authorize a health care provider to perform a sexual assault forensic medical examination if the alleged victim is unconscious or incapacitated. While we support efforts to increase access to sexual assault examinations that preserve time-sensitive evidence, we expressed concerns this bill did not include liability protections for the health care providers completing the exam when a victim cannot consent. We worked closely with the author and sponsor and were able to remove this language from the bill, changing the focus. With this amendment, we moved to a neutral position.
AB 820 (Gipson) – Held in Assembly Health Committee
AB 820 would establish a task force to develop a report evaluating community paramedics taking patients with mental health conditions to alternate destinations rather than the ED. Although the bill language only contemplated establishing a task force, the real goal of the bill
NOVEMBER 2017 | 9
was to expand the scope of practice of community paramedics to allow them to make determinations in the field as to whether a patient should go directly to psychiatric facility without going to the ED first. We attend numerous meetings with the author, sponsor, and Assembly Health Committee Members to convey our concerns that we need scientific, statistically validated data on best practices that maintain patient safety. The bill was never heard in the Assembly Health Committee. AB 820 is eligible to be heard in January 2018.
AB 859 (Eggman) – Governor Vetoed Bill
AB 859 would lower the standard of proof for elder abuse from “clear and convincing” to a “preponderance of evidence”. This bill would allow attorneys to circumvent California’s landmark Medical Injury Compensation Reform Act (MICRA). The Elder Abuse and Dependent Adult Civil Protection Act (EADACPA) has already been used by plaintiff attorneys to qualify for higher limits on attorney fees and damages for pain and suffering. Lowering the standard of proof for EADACPA cases will only increase attempts to circumvent MICRA.
The Governor vetoed the bill stating “intentional destruction or concealment of evidence, known as spoliation, is illegal… Accordingly, I don't believe changing the standard of proof is warranted.”
AB 1560 (Friedman) – Remains on Senate Floor
AB 1560 would have allowed physicians to supervise up to 18 of any combination of physician assistants, nurse practitioners, and certified nurse midwives. This dramatic expansion essentially rendered meaningless the supervision requirement, compromising patient safety. The bill stalled on the Senate Floor due to ongoing concerns with the change in supervision.
SB 419 (Portantino) – Failed in Senate Business and Professions Committee
SB 419 was initially introduced to prohibit prescribing oxycodone to persons under the age of 21. After significant opposition the bill was amended to require practitioners to educate patients on the dangers of certain pain medications when prescribing those medications to minors, as well as require the minor to see a pain management specialist before any subsequent pain medication is prescribed. We remained in opposition when the bill failed to pass the Senate Business and Professions Committee.
SB 746 (Portantino) – Never heard in Senate Education Committee
SB 746 would authorize a licensed doctor of chiropractic (DC), naturopathic doctor (ND), or nurse practitioner (NP) to perform a physical examination that is required for participation in an interscholastic athletic program.
SB 786 (Mendoza) – Never heard in Senate Health Committee SB 786 would require the Department of Health Care Services to deny an
application for a new alcoholism or drug abuse recovery or treatment
facility, if the proposed location would result in overconcentration of a
residential area. This measure only furthers the stigma of addiction at
a time when more addiction treatment services are needed. SB 786 is
eligible to be heard in January of 2018.
CALIFORNIA ACEP OPPOSE UNLESS AMENDED BILLS
AB 1250 (Jones-Sawyer) - Failed to Pass Senate
AB 1250 threatened the health care safety net by placing barriers on
contracting for physician services at county hospitals, by establishing
specific standards for the use of personal services contracts by
counties. Aimee Moulin, MD, President of California ACEP, spoke at a
press conference outlining the dangers of the bill. Despite failing to
pass out of the Senate, the bill is eligible to be heard in 2018.
AB 1650 (Maienschein) – Held in Assembly Appropriations Committee
AB 1650 would authorize the expansion of scope for community
paramedics to provide medical services, including post-discharge
follow up services for patients recently discharged from the hospital,
therapy for TB testing, hospice rapid response service, as well as case
management services and linkage to nonemergency services for
frequent EMS system users.
We met with the author and sponsor multiple times and requested
there be more structure placed into the bill including, but not limited to:
training, statewide protocols, and scope of program that more accurately
reflects the pilot programs currently evaluating the safety of these
practices. The bill was held in the Assembly Appropriations Committee.
SB 487 (Pan) – Never heard in senate Business and Professions Committee
SB 487 would prevent medical staff from imposing a maintenance
of certification requirement on physicians and surgeons in order to
maintain hospital or clinical privileges at a public hospital. The bill
would also limit hospital committee voting rights on issues impacting
patient care to physicians who spend 50% or more of their time
providing direct patient care.
Due to varied physician responsibilities, especially at academic centers,
we requested amendments to change the voting rights threshold to a
figure that was lower than 50%. The bill was never heard in committee
but is eligible to be heard in January of 2018. n
10 | LIFELINE a forum for emergency physicians in california
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As we have advanced the discourse externally about the collective pressures we face, we are simultaneously paving a path for students and residents who enter the workforce that will hopefully look different than the highly regulated and micromanaged medical world we currently practice in. But collective work is not enough. As individual attendings and seasoned physicians, we must mirror balance in our professional lives. To defend against burnout and physician abuse, we must teach our new physicians the art of saying no. Helping our new residency graduates and medical students recognize these abusive work environments, prioritize their happiness and values so that they can avoid pitfalls is
essential. In order to do so, we must recognize the role we as attending’ play in perpetuating physician abuse and burnout. We are part of the problem.
”You cannot teach what you do not know,” so the saying goes. As attending physicians, many of us are still learning how to say no. When we graduate residency many of us are straddled with considerable debt from student loans. We are used to working long hours that are out of our control. For a finite time, shorter for some trainees than others, we are beholden to hospital schedulers, program directors, and ACGME requirements. However, this period passes, even during the longest training process. Then, one is left with life after training.
This is the life we have worked hard for, made promises to our significant others and family that it would be better. However, if one does not prioritize the things that matter to you outside of medicine, create boundaries, by saying no to unreasonable requests, it will not be better. This is where the dream is deferred, and many of us find ourselves hopeless and disappointed. Mastering the art of no is important for physician well-being.
There are many of us out in practice, those who are seasoned, who have not yet figured out how to create professional boundaries for themselves. Our residents and students look to us for mentorship and leadership. We sit on hospital boards and committees but do not speak up. If we do not continually advocate for ourselves, they are left uncertain of their capability to do it. In my work with those in training, many are overwhelmed by the culture of negativity that surrounds us. While we continue to practice heroic measures in our fields, we are clinical innovators; we are academically astute, and the work-life balance perils in our personal lives are blatantly apparent. This generation of upcoming future physicians needs us to stand up and be accountable. While, as mentioned, there
BURNED OUT? Just Say No & Teach Others Well
Without question, the interconnectivity created by social media is a plus
when it comes to talking about physician burnout, suicide and policies
affecting our practice of medicine. We are no longer in independent silos
with the surgeons suffering in one corner and pediatricians elsewhere. Physicians
are no longer isolated contemplating if what they are experiencing is just unique to
them. We are developing collective voices. It is incredible to believe a profession that
requires some of the top academic performers and minds of any field is struggling
with basic concepts of control, equity and justice in the workplace — but we are.
Author Bande Virgil, MD
GUEST ARTICLE |
12 | LIFELINE a forum for emergency physicians in california
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are many collective improvements, on a daily basis we falter in the decisions for personal wellness that we fail to make. It is a disservice to our profession and those behind us.
Residents who work with physicians who have an antiquated perspective of extreme self-sacrifice become indoctrinated in a negative culture. The expression of professional success has long been sacrificing one’s well-being for patient care or medical service. We criticize our colleagues who recognize their need for rest, who prioritize special moments in the lives of their family members. We continue to make it difficult for mothers who are working, fathers who want to spend time with a newborn. These are physician culture issues as much as they are institutional problems. Therefore, it is imperative that we stop affirming this malignant perspective and say no. While those who choose to work in this manner make a decision to do so, others should not
feel bullied or pressured into a physician-led culture such as this.
There is nothing more troubling than watching a senior physician who has lost grip and control over the most precious commodity of their own time. Work does not define you unless that is your choice. We can all pursue excellence and be the best physicians we can for our patients but still take care of ourselves. It is a difficult balancing act but one that matters as much as completing
charts and attending CME. It is the great juggling task of our profession. The more we as attendings and seasoned physicians model this behavior, normalize balance and disavow the culture where physician personal needs are unimportant the easier it will be to transform the landscape of medicine from the external pressures we face. We must humanize the way in which we work as colleagues and physicians if not for our own benefit, then let’s do it for those behind us. n
This article was originally posted on KevinMD, FemInEM, and the Medelita blog.
Bande Virgil, MD is a board certified pediatrician with several years of practice in private settings and hospital-based medicine, as well as medical missions abroad. She is an assistant professor of clinical pediatrics and works with both residents and medical students. Dr. Virgil has a strong commitment to her family, married with two young children. She's also a writer and public speaker who is committed to normalizing the experiences of parenting, discussing the challenges, offering hope and solutions in her powerful words. You can read more of her work at her blog TheMommyDoc.com.
NOVEMBER 2017 | 13
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Thursday and Friday evening cocktail receptions and entertainment.
Sponsored by Yosemite Medical Education Foundation (YMEF)
________________________________ Co-sponsored by California ACEP
American College of Emergency Physicians California Chapter
YOSEMITE
MEDICAL
EDUCATION
FOUNDATION
EMERGENCY MEDICINE IN YOSEMITE2 0 1 8
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Wednesday, January 10th (Majestic Solarium – formerly Ahwahnee Solarium) • 8:30 AM Brunch: “Two Unique Journeys Through Emergency Medicine”
Richard Stennes, MD, Past President California Chapter, Past President ACEP, Board Member ABEM and so much more Jerry Hoffman, MA MD, Professor of Medicine Emeritus, UCLA School of Medicine, Anchor Member of the Rick and Jerry show (EMA) and Skeptic at Large
• 1:00 PM Ranger Guided Group Hike with Paul & Karen Amstutz: Mirror Lake (Meet in The Majestic Yosemite Hotel Lobby – formerly Ahwahnee Lobby • 5:30-6:30 PM Reception It’s A Party In Honor of Billy Mallon, MD
and a number of the Trailblazers of Emergency Medicine • 6:30 PM Dinner (Yosemite Lodge Cliff Falls Room) • 7:00-7:15 PM Welcome and Introductions: Ron Crowell, MD • 7:15-8:00 PM Ryan McGarry, MD: “The Making of ‘Code Black,’ the TV production” • 8:00-9:30 PM Musical Entertainment: TBD
2018 Emergency Medicine in Yosemite January 10 – 13, 2018
_________________________________________________________________________________________
Sponsored by Yosemite Medical Education Foundation (YMEF) Co-Sponsored by California ACEP
“This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Yosemite Medical Education Foundation.”
“The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.”
The Center for Emergency Medical Education designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American Osteopathic Association for 14.00 credits of AOA Category 2-A CME credit Physicians should claim only the credit commensurate with their extent of their participation in the activity.
Paul Auerbach, MD - Graham Billingham, MD - Marko Duic, MD - Dan Imler, MD - Dara Kass, MD - Angela Lumba-Brown, MD - James Manning, MD - Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD - Arian Nachat, MD - Claritza Rios, MD - David Schriger, MD - Name Withheld - Ramin Tabatabai, MD - Christian Tomaszewski, MD - Veronica Tucci, MD
YMEF CME FACULTY
Paul Auerbach, MD Graham Billingham, MD Dan Imler, MD Dara Kass, MD Angela Lumba-Brown, MD James Manning, MD Tsuyoshi Mitarai, MD
Nidal Moukaddam, MD Arian Nachat, MD Claritza Rios, MD David Schriger, MD Name Withheld Ramin Tabatabai, MD Christian Tomaszewski, MD Veronica Tucci, MD
YOSEMITE MEDICAL EDUCATION FOUNDATION FACULTY
Registration is open online atwww.yosemitemef.orgEarly Bird closes November 22, 2017
Join our 40th AnnualJoin our 40th Annual
NOVEMBER 2017 | 15
SAVE THE DATE
California ACEP’s Legislative Leadership Conference (LLC) Tuesday, April 17, 2018 | Sacramento, CA
CALIFORNIA ACEP CO-SPONSORED CONFERENCES
40th Annual Emergency Medicine in Yosemite January 10-13, 2018 Yosemite, CA http://www.yosemitemef.org/
Ohio ACEP Emergency Medicine Board Review Course February 1-5, 2018 San Diego Marriott La Jolla http://www.ohacep.org/aws/OACEP/pt/sp/cme_oralboard
The California Emergency Medicine Advocacy Fund (CEMAF) has transformed California ACEP’s advocacy efforts from primarily legislative to robust efforts in the legislative, regulatory, legal, and through the Emergency Medical Political Action Committee, political arenas. Few, if any, organization of our size can boast of an advocacy program like California ACEP’s; a program that has helped block Medi-Cal provider rate cuts, lock in $500 million for the Maddy EMS Fund over the next 10 years, and fight for ED overcrowding solutions! The efforts could not be sustained without the generous support from the groups listed below, some of whom have donated as much as $0.25 per chart to ensure that California ACEP can fight on your behalf. Thank you to our 2016-17 contributors (in alphabetical order):
• Alvarado Emergency Medical Associates• Antelope Valley Emergency Medical Associates• Beach Emergency Medical Associates• Berkeley Emergency Medical Group • Centinela Freeman Emergency Medical Associates• CEP America• Chino Emergency Medical Associates• Coastline Emergency Physicians Medical Group• Culver Emergency Medical Group• Eden Emergency Medical Group • Hollywood Presbyterian Emergency Medical Associates• Las Cruces Emergency Medical Associates• Los Alamos Emergency Medical Associates• Mills Peninsula Emergency Medical Group• Montclair Emergency Medical Associates• Napa Valley Emergency Medical Group• Orange County Emergency Medical Associates• Pacific Coast Emergency Medical Associates• Pacific Emergency Providers• Pacifica Emergency Medical Associates• Riverside Emergency Physicians• San Dimas Emergency Medical Associates• Sherman Oaks Emergency Medical Associates• South Coast Emergency Medical Group, Inc.• Tarzana Emergency Medical Associates• TeamHealth• Temecula Valley Emergency Physicians, Inc.• US Acute Care Solutions• Valley Emergency Medical Associates• Valley Presbyterian Emergency Medical Associates• VEP Healthcare, Inc.• Vikant Gulati, MD, FACEP• West Hills Emergency Medical Associates
CEMAF ANNOUNCEMENTS |
16 | LIFELINE a forum for emergency physicians in california
For more information on upcoming meetings, please e-mail us at [email protected]; unless otherwise noted, all meetings are held via conference call.
| CALIFORNIA ACEP UPCOMING MEETINGS & DEADLINES
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NOVEMBER 2017
7th at 9:00 AM Reimbursement CommitteeConference Call
10th Veterans DayChapter Office Closed
16th Board of Directors MeetingSacramento, CA
23rd-24th Thanksgiving HolidayChapter Office Closed
DECEMBER 2017
6th CHA Behavioral Health Conference
7th at 10 AM Government Affairs Committee (GAC)Conference Call
25th-January 1 Winter HolidaysChapter Office Closed
JANUARY 2018
3rd Legislature Reconvenes
9th at 9 AM Reimbursement CommitteeConference Call
12th Policy Deadline for Fiscal Bills
15th Martin Luther King, Jr DayChapter Office Closed
18th at 10 AM Government Affairs Committee (GAC)Conference Call
31st House of Origin Deadline
NOVEMBER 2017 | 17
To advertise with Lifeline and to take advantage of our circulation of over 3,000 readers, including Emergency Physicians, Groups, and Administrators throughout California who are eager to learn about what your business has to offer them, please contact us at [email protected] or give us a call at (916) 325-5455.
DOWNTOWN LOS ANGELES: Emergency Physician needed. $350,000 + incentive per year, malpractice paid, half days, half nights. ABEM ABOEM with experience. Present core group average 23 yrs tenure. 36,000 annual visits, paramedic receiving (no peds) STEMI Stroke, physician coverage 36-40 hrs/day, NP & PA coverage 12-20 hrs/dayFAX CV to 213 482 0577 or call 213 482 0588 or [email protected]
FULLERTON, CALIFORNIA: Join our ED team in beautiful north OC at St Jude Med Ctr. Our 36 bed state of the art ED serves >70K pts/yr with 54 hrs MD, 44 hrs PA and 100% scribe coverage per day, 9 hr shifts. We have held this stable contract for >36 years, have excellent back-up, 24hr in house Critical Care, OB, neonatologist and hospitalists. We are a STEMI receiving center, “Advanced Comprehensive Stroke Center” and provide excellent compensation with night differential. Partnership track available. EM BC/BE mandatory. Send CV to [email protected]
LOS ANGELES – CULVER CITY: Southern California Hospital at Culver CityRare opportunity to join a Westside LA ER group. Group seeks BC/BE emergency physician to work Part-Full Time as an independent contractor. Excellent compensation with malpractice paid. Nine hour shifts with 11 hours of PA double coverage. 90% nights shifts are covered by night doctors. A complete ED refurbishment has been completed with an ER rebuild and expansion in the future. Computerized Charting and PACS! Email CV and references to [email protected] Phone 951-898-0823.
RIVERSIDE, CA – PARKVIEW MEDICAL CENTER: Great opportunity to join a 15-year ER group. Group seeks BC/BE Emergency Physician to work Part/Full Time as an independent contractor. Excellent Top Tier Compensation based on productivity with malpractice paid. Ten hour shifts with MD double coverage and 12 Hour PA. Computerized equitable shift scheduling. Efficient Computerized Charting and PACS! A brand new ER expansion is under construction and it will quadruple the size of the ER.Email CV and references to [email protected] | Phone (951) 898-0823
SOUTHERN CALIFORNIA – ORANGE COUNTY: Full time and part time independent contracting emergency physicians needed for high volume, high acuity practices. Chest Pain Center, Stroke Center, Pediatric Level II trauma center - large independent group with forty years of clinical excellence for two acute care facilities. Expanding group needs BC/BE emergency physicians and pediatric emergency physicians. Excellent compensation, malpractice paid, scribes, midlevel providers, 8 – 9 hour shifts, excellent call panel coverage.Email CV and references to [email protected], fax to 714-543-8914
SOUTHERN CALIFORNIA OPPORTUNITIES:• Tustin, CA - Orange County - 73-bed community hospital, 8-bed ER,
paramedic receiving, low volume. 10 x 24hr = $240,000/yr + incentive
• East Los Angeles - 120-bed community hospital urgent care (non paramedic receiving) volume 700/mo. Guarantee $100/hr.
• Norwalk, CA - 60-bed hospital. 500-600 patient/mo. Paramedic receiving. $110/hr.
FAX CV to 213 482 0577 or call 213 482 0588 or email [email protected]
VENTURA CALIFORNIA: New hospital under construction and scheduled to open in the fall of 2017. Central coast of California and 70 miles from LAX. Positions available in two facilities for BC/BE emergency physician. STEMI Center, Stroke Center with on-call coverage of all specialties. Teaching facility with residents in Family Practice, Surgery, Orthopedics and Internal Medicine. Admitting hospital teams for Medicine and Pediatrics. Twenty-four hour OB coverage in house and a well established NICU. Physician’s shifts are 9 hrs and 12 hours of PA/NP coverage. All shifts and providers have scribe services 24/7. Affiliated hospital is a smaller rural facility 20 minutes from Ventura in Ojai. Malpractice and tail coverage is provided. New hires will work days, nights, weekends and weekdays. Send resume to Alex Kowblansky MD FACEP at [email protected]
CAREER OPPORTUNITIES |
18 | LIFELINE a forum for emergency physicians in california
Looking for an ITLS course?
EMREF offers the following California providers list:
Please call 916.325.5455 or E-mail Lucia Romo: [email protected] for more information.EMREF is a proud sponsor of California ITLS courses.
Search for upcoming courses: http://cms.itrauma.org/CourseSearch.aspx
American Medical Response (AMR)Ken Bradford, Operations841 Latour Court, Ste D, Napa, CA 94558-6259Phone: (707) 953-5795Email: [email protected]
EMS AcademyNancy Black, RN, Course Coordinator1170 Foster City Blvd #107, Foster City, CA 94404Phone: (866) 577-9197Fax: (650) 701-1968Email: [email protected]: www.caems-academy.com
Compliance TrainingJason Manning, EMS Course Coordinator3188 Verde Robles Drive, Camino, CA 95709Phone: (916) 429-5895 Fax: (916) 256-4301 Email: [email protected]
CSUS Prehospital Education ProgramDerek Parker, Program Director3000 State University Drive East, Napa Hall, Sacramento, CA 95819-6103Office: (916) 278-4846 Mobile: (916) 316-7388 Email: [email protected]: www.cce.csus.edu
ETS – Emergency Training ServicesMike Thomas, Course Coordinator3050 Paul Sweet Road, Santa Cruz, CA 95065Phone: (831) 476-8813 Toll-Free: (800) 700-8444 Fax: (831) 477-4914 Email: [email protected]: www.emergencytraining.com
Loma Linda University Medical Center tnatsissA evitartsinimdA ,senoJ enyL
Department of Emergency Medicine11234 Anderson St., A108, Loma Linda, CA 92354Phone: (909) 558-4344 x 0 Fax: (909) 558-0102 Email: [email protected]: www.llu.edu
Medic AmbulanceJames Pierson, EMT-P506 Couch Street, Vallejo, CA 94590-2408 Phone: (707) 644-1761 Fax: (707) 644-1784Email: [email protected]: www.medicambulance.net
Napa Valley CollegeGregory Rose, EMS Co-Director2277 Napa Highway, Napa CA 94558Phone: (707) 256-4596Email: [email protected] Web: www.winecountrycpr.com
NCTI – National College of Technical InstructionLena Rohrabaugh, Course Manager333 Sunrise Ave Suite 500, Roseville, CA 95661Phone: (916) 960-6284 x 105 Fax: (916) 960-6296Email: [email protected] Web: www.ncti-online.com
Oakland Fire DepartmentSheehan Gillis, EMT-P, EMS Coordinator 47 Clay Street, Oakland, CA 74607Phone: (510) 238-6957Fax: (510) 238-6959 Email: [email protected]: http://www.oaklandnet.com/fire/
Riggs Ambulance ServiceGreg Petersen, EMT-P, Clinical Care Coordinator100 Riggs Ave, Merced, CA 95340Phone: (209) 725-7010Fax: (209) 725-7044Email: [email protected]: www.riggsambulance.com
Rocklin Fire DepartmentChris Wade, Firefighter/Paramedic
Phone: (916) 625-5311Fax: (209) 725-7044Email: [email protected]: www.rocklin.ca.us
Rural Metro AmbulanceBrian Green, EMT-P1345 Vander Way, San Jose, CA 95112Phone: (408) 645-7345Fax: (408) 275-6744Email: [email protected]: www.rmetro.com
ytefaS cilbuP egelloC roinuJ asoR atnaSTraining CenterBryan Smith, EMT-P, Course Coordinator5743 Skylane Blvd, Windsor, CA 95492Phone: (707) 836-2907 Fax: (707) 836-2948Email: [email protected] Web: www.santarosa.edu
WestMed CollegeBrian Green, EMT-P5300 Stevens Creek Blvd., Suite 200, San Jose, CA 95129-1000Phone: (408) 977-0723 Email: [email protected] Web: www.westmedcollege.com
American Health Education, Inc
7300B Amador Plaza Road, Dublin, CA 94568Phone: (800) 483-3615Email: [email protected]: www.americanhealtheducation.com
Verihealth/Falck Northern California
2190 South McDowell Blvd, Petaluma, CA 94954Phone: (707) 766-2400Email: [email protected] Web: www.verihealth.com
Ken Bradford, Training Coordinator
3401 Crest Drive, Rocklin, CA 95765
Perry Hookey, EMT-P
PHI Air Medical, CaliforniaGraham Pierce, Course Coordinator 801 D Airport Way, Modesto, CA 95354Phone: (209) 550-0884 Fax: (209) 550-0885Email: [email protected] Web: http://www.phiairmedical.com/
lifelineCalifornia Chapter, American College of Emergency Physicians
1121 L Street, Suite 407Sacramento, CA 95814
PRSRT STDUS POSTAGE
PAIDCPS
The course physicians have trusted for 33 years!
Ohio ACEP in partnership with
in February 2018 in San Diego, CA!
www.ohacep.org | (614) 792-6506
Ohio ACEP Emergency Medicine Board Review Course
February 1 - 5, 2018
San Diego, California
Approved for AMA PRA Category 1 Credits TM.