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This year we welcomed 362 FCEP members to Boca Raton Resort & Club on August 1-4, 2019 for FCEP's annual meeting and conference: Symposium by the Sea. Thank you to SBS Co-Chairs, Drs. Rene Mack and Shayne Gue, and our various planning committees for hosting an outstanding conference.
|Thank You for Attending Symposium by the Sea 2019!
Don't forget to complete your course evaluations here in order to obtain CME. Photos will be available for download soon!
Highlights from FCEP's Annual Board Meeting:
Dr. Adrian Tyndall handed over the President's Gavel to Dr. Kristin McCabe-Kline on August 1, 2019. We'd like to thank Dr. Tyndall for his year of service leading the college, and look forward to Dr. McCabe's ambitious goals.
- Dr. Damian Caraballo for receiving the Martin Gottlieb Advocacy Award
- Dr. Vidor Friedman for receiving the William Haeck Member of the Year Award
- Dr. Rajiv Bahl for graduating from FCEP’s Leadership Academy
Meet Your FCEP Board of Directors 2019-2020
Kristin McCabe-Kline, MD, FACEP
Palm Coast, FL
Sanjay Pattani, MD, MHSA, FACEP
Damian Caraballo, MD, FACEP
Aaron Wohl, MD, FACEP
Cape Coral, FL
Joseph Adrian Tyndall, MD, MPH, FACEP
Board of Directors:
(newly-elected officers in bold)
Rajiv Bahl, MD, MBA, MS
Lake Mary, FL
2022 (1st term)
Saundra Jackson, MD, FACEP|
Ponte Vedra, FL
2022 (1st term)
Matthew Beattie, MD
William Jaquis, MD, MSHQS, FACEP|
Fort Lauderdale, FL
ACEP Board of Directors
Daniel Brennan, MD, FACEP
2021 (2nd term)
Shiva Kalidindi, MD, MPH, MS(Ed.)|
2020 (1st term)
Jordan Celeste, MD, FACEP
Winter Park, FL
2021 (2nd term)
Gary Lai, DO, FACOEP|
Davie, FL 33326
2022 (2nd term)
Vidor Friedman, MD, FACEP
ACEP Board of Directors
Russell Radtke, MD|
2022 (2nd term)
Jesse Glueck, MD
2022 (1st term)
Danyelle Redden, MD, MPH, FACEP|
St. Petersburg, FL
2021 (2nd term)
Shayne Gue, MD
2022 (1st term)
Todd L. Slesinger, MD, FACEP, FCCM, FCCP|
Boca Raton, FL
2020 (1st term)
Erich Heine, DO
2021 (1st term)
Jill Ward, MD, FACEP|
2020 (2nd term)
Florida EM Resident Competition Results:
1st Place: Florida Atlantic University
2nd Place: Kendall Regional Medical Center
Case Presentation Competition (CPC):
Best Overall: Jackson Memorial Hospital
Best Presenter: Dr. Chandelle Raza, Mt. Sinai Medical Center
Best Discussant: Dr. Dennis Durso, Jackson Memorial Hospital
1st Place & Best Costume: North Florida Regional
2nd Place & Best Team Name: Kendall Regional Medical Center
3rd Place: Orlando Health
Research Poster Abstract Presentations:
Best Resident Abstract:
'End Tidal CO2 Measured Prospectively at ED Triage Performs Better than Standard Triage Vital Signs In Predicting In Hospital Mortality and ICU Admission' by Kirsten Kepple, MD, Orlando Health
Best Case Report:
'Successful Management of Severe Adolescent Bupropion OD with IV Lipid Emulsion Therapy' by Carly Muller, University of Miami
Best Medical Student Abstract:
'Aeromedical Rapid Sequence Intubation Using the King Vision Video Laryngoscope' by Linh Nguyen, Florida State University
Best Fellow Abstract:
'Uncommon Emergent Complications of a Common Pediatric Diagnosis' & 'Eye See What You Did There' by Dr. Thomas Ruffin
By Vidor Friedman, ACEP President
As fellow emergency physicians, I know you will want to join me in thanking your ACEP member colleagues who valiantly provided the best care possible in several US cities impacted this weekend by mass casualty incidents related to firearm violence. Our training served them well on the frontlines of treating the victims of these senseless acts.
ACEP has spent years working on initiatives that relate to our mission of being an advocate for our patients and promoting public health and safety as it relates to gun violence. As part of an ongoing process, I wanted to update you on what ACEP is doing around this issue:
With 40,000 members, it is often difficult to find a consensus on divisive issues, filled with many faceted and nuanced elements. But I believe we can find the common ground where we, as emergency physicians, can all agree on finding some solutions to the threat gun violence poses to our nation’s public health and safety.
- Our Firearm Safety and Injury Prevention policy statement, which was revised and approved by the Council in 2013, originated in the mid-1980s and evolved over time. It has been a long-standing, adopted position of the College, created by a representative body of our membership, and not an emotional or political reaction to a singular event.
- Per a 2018 Council resolution, the Public Health & Injury Prevention Committee is considering any updates to our policy statement that reflect current research and literature. Those updates should be finalized and sent to the Board for review in September.
- ACEP also supports further research and legislation to address effectiveness and ramifications of Gun Violence Restraining Orders (GVRO) and Extreme Risk Protection Orders (ERPO).
- A resolution has been submitted to the Council for consideration and will be discussed at the 2019 Council Meeting Oct. 25-26.
- A Council Survey has been developed about a variety of different policy positions on gun injury prevention. We are following a process similar to that done by the American College of Surgeons. Results should be available by the Council meeting this October.
- ACEP's High Threat Casualty EMS Subcommittee recently recommended several action items that go beyond our current policy statement. Per our established process, our Board will be considering these recommendations as possible changes to our policy and our advocacy agenda.
- A compilation of resources for physicians impacted by active shooter mass casualty incidents is available on the ACEP website.
- EMF has partnered on research grants and ACEP made a contribution to the American Foundation for Firearm Injury Reduction in Medicine (AFFIRM) — a non-profit organization founded and led by emergency physicians working to end the epidemic of gun violence through research, innovation and evidence-based practice.
Surprise billing is the most important issue facing emergency physicians today. The decisions being made in Washington, DC could have a far greater impact on how we care for our patients than even the Emergency Medical Treatment and Labor Act (EMTALA) did in 1986. The viability of the profession and America's emergency care safety net is at risk.
Yesterday, ACEP hosted a town hall on "Surprising Billing August Recess Advocacy." If you missed the presentation, view it here or download a PDF of slides here.
Now is the time to make your voice heard with legislators. Please take this opportunity to:
Use the ACEP members-only surprise billing federal advocacy toolkit to guide you in communications with legislators. Contents include talking points, template social media posts, and other resources to help advocate for your position. Your voice is critical as we advocate on Capitol Hill on this important and evolving issue.
- Schedule a meeting with your legislators during the August congressional recess. Find your Representative here and find your Senators here.
- Ask your legislator to support HR 3502, The "Protecting Patients from Surprise Medical Bills Act," introduced by Reps. Raul Ruiz (D-Calif.) and Phil Roe (R-Tenn.), and weigh in to raise the alarm on the dangers of the current benchmarking proposal under consideration in the Senate.
- Share ACEP's one-pager and infographic to advocate for independent dispute resolution (IDR).
- Help spread the word about Out of the Middle, ACEP's lead consumer advocacy campaign, among your patients.
- Join the 911 Network. This ACEP grassroots advocacy group helps you lend your voice to the cause of thousands of emergency physicians and millions of patients.
- View ACEP's publicly available surprise billing advocacy materials, such as press releases, polls and more here.
- Sign the group pledge. If you are part of a practice group, consider signing a pledge to adopt best practices for engaging in good faith contract negotiations with insurers and supports patients during their care and through the billing process.
By The News Service of Florida
Florida had 81 new hepatitis A cases reported last week, as state Surgeon General Scott Rivkees declared a public health emergency because of the virus, newly released numbers show. The 81 cases reported from July 28 to Saturday increased to 2,123 the number of hepatitis A cases reported in the state this year.
Pasco and Pinellas counties continued to lead the state with 368 and 333 cases, respectively. Monroe County reported its first case to the state last week. Meanwhile, Volusia County had the largest number of newly reported cases last week with 11, according to a News Service of Florida analysis of the data. Volusia has reported 190 cases this year. Pasco County reported an additional 10 cases, and Brevard and Palm Beach counties reported increases of seven cases.
Florida DOH has established a website for providers and the public to access Hepatitis A information. Access Here
On Monday, August 5, 2019, the National Association of Attorneys General submitted a letter to Congress, urging them to pass HR 2482, the Mainstreaming Addiction Treatment (MAT) Act, and to eliminate unnecessary burdens on buprenorphine prescribing imposed by the DATA Act of 2000. Florida Attorney General Ashley Moody was one of the 37 state attorney generals to sign the letter.
Read it Here
October 22-24, 2019
Renaissance World Golf Village Resort
500 South Legacy Trail, St. Augustine, FL 32821
The EMS information table will be opened on Tuesday, October 22, 2019 and the Advisory Council meeting will be held on Thursday, October 24, 2019 at 9:00 a.m. Meeting material will be posted on the EMS website prior to the meeting dates.
Please make hotel reservations by calling 1-800-468-3571 or by reserving a group rate here. The deadline for reservations is September 23, 2019. The group conference rate of $149 is reserved under group CODE "EMOEMOA." You must guarantee your reservation with a major credit card. Cancellation within 72-hours of arrival will result in a penalty charge equal to one night's lodging plus taxes. Check-in time is at 4:00 p.m.
If you have any questions, please contact Bonnie Anderson at: (850) 558-9544 or by email at: Bonnie.Anderson@flhealth.gov.
View and download them for free here. Save the date for next year's event: July 8-11, 2020 at the DoubleTree by Hilton–Universal in Orlando, FL.
The EMS report cards for VF witnessed cardiac arrest survival are in, and the results are dismal. Many large U.S. cities average less than 10%. Yet, there is hope: Seattle and King County, WA report over 60% survival — among the highest in the world. Why is this? What can your community do to improve?
The Florida Resuscitation Academy teaches high-performance CPR to EMS personnel, hospitalists and local health care providers through a free, one-day training program. This course will transform the way you think about and manages cardiac arrests. View Agenda Here
There are five upcoming sessions in Florida:
- Highlands County: August 15
- Monroe County: August 16
- Walton County: August 21
Contact Brittany Myers at firstname.lastname@example.org or 386-462-1551 x105 for more information.
Subscribe to Florida PEDReady's weekly newsbrief, the PE2ARL: Pediatric Emergency Education, Advances, Resources & Literature. Brush up on your pediatric emergency education in just 10 minutes a week!
Subscribe to the PEDReady PE2ARL Here
FCEP members must opt-in to receive updates
Interested in contributing? Contact Dr. Phyllis Hendry at email@example.com for more information.
Per HB 851 passed in Florida's 2019 Legislative Session, all healthcare providers must complete 1-hour of CME on human trafficking as part of their existing hours. EMLRC has an online course that satisfies this requirement.
Human Trafficking and Emergency Medicine
By Danyelle Redden, MD, MPH, FACEP
$20 | 2.0 hours of CME
Accredited by ACCME, FBON, FEMS
Take it Now
Implementing Warm Hand-Offs Between EDs & Treatment Providers for Patients with Opioid Use Disorder
By Aaron Wohl, MD, FACEP; Mark Stavros, MD, FACEP; Nancy McConnell, MSW, MCAP, CRPS-A; Chief Judge Frederick J. Lauten
Produced in collaboration with FADAA
1.5 hours | 1.5 CME
Accredited by ACCME | FBON | FEMS | FPA | CAPCE
Audience: Anyone (if you do not have a license #, type in n/a)
Free & available until November 30, 2019
Patients suffering from opioid use disorder (OUD) present unique and unprecedented challenges to emergency care providers, who are on the front lines of this national opioid epidemic. This webinar discusses misconceptions about treatment and the disease itself; introduces the concept of warm hand-offs between EDs and treatment providers; reviews legal issues surrounding opioid overdose cases; and talks about the important role of peer specialists in recovery.
Life After Residency Retreat
September 19-20, 2019
Sirata Beach Resort
St. Pete Beach, FL
2:00-4:00 pm: Presentations & Workshops
4:00-5:00 pm: EMRA Quiz Show
5:00-6:30 pm: Welcome Reception with Sponsors
6:30-8:30 pm: Dinner, sponsored by Envision
8:30-11:00 pm: After Party, sponsored by TeamHealth
8:00-2:00 pm: Presentations & Workshops
Learn More & Register Now
UPCOMING FCEP & EMLRC EVENTS
|SEPT. 19-20, 2019
||Life After Residency Retreat | Learn More
||St. Pete Beach
|JAN. 27-29, 2020
||Emergency Medicine Days
To see the full calendar, click here.
With 56 new cases of hepatitis A reported statewide in the week since the last reporting period, the Florida Surgeon General declared a public health emergency, allowing health officials to test and treat people suspected of carrying the virus. The number of reported hepatitis A cases in Florida in 2019 rose to 2,034 as of July 27, up from the 1,978 cases reported on July 20, the Florida Department of Health said.
By Lynn Hetzler
From 2006 through 2016, emergency departments treated 64,686 children younger than 5 years old for injuries related to personal care products, according to the results of a new study. That works out to about one child every two hours. Many consumers are already aware of the dangers posed by cleaning products, batteries and household poisons, but are often unaware of the hazards posed by personal care products. The results of this study shed light on the special threat common cosmetics may pose to small children.
In recent decades, healthcare providers have developed several alternatives to traditional physician office and emergency room visits, including urgent care centers, retail clinics, telemedicine, and app-driven home health visits. Survey data collected from more than 5,000 University of California Irvine employees shows patients make rational choices of care settings based largely on medical condition severity and patient characteristics, according to an analysis published in Health Services Research.
The Associated Press
U.S. drug overdose deaths had been most common in Appalachia and other rural areas in recent years, but they are back to being more concentrated in big cities, according to a government report. The Centers for Disease Control and Prevention found that both urban and rural overdose death rates have been rising, but the urban rate shot up more dramatically after 2015. That probably is due to a shift in the current overdose epidemic, said Dr. Daniel Ciccarone, a drug policy expert at the University of California, San Francisco.
By Scott E. Rupp
Healthcare lobbyists made their way back into the limelight recently when several major groups took to the U.S. Senate to speak passionately about removing the two-decade-old ban on unique national patient identifiers. These health information management leaders told members of Congress that the use of federal funds to adopt such a nationwide identifier would allow collaboration between the U.S. Department of Health and Human Services and the private sector. Additionally, the groups assert that this federal funding is crucial for identification solutions that may reduce medical errors and protect patient privacy.
There is no question these call centers make life easier for the doctor; having somebody screen the calls, answer easy questions, and only call you for important issues is a great boon. But that boon comes at a cost: the people staffing the call centers are not doctors. They are often experienced nurses, but that is not the same thing. So deciding what is important and what can wait can be a problem.
New York City's Mount Sinai Medical Center Emergency Department is one of a growing number of medical centers nationwide that is specializing in geriatric emergency medicine. What does that mean? In practice, these are emergency rooms with care services designed specifically for older patients, including separate and customized physical spaces, enhanced support staff, and comprehensive diagnosis and treatment plans modified specifically for the elderly. The goal is to refine treatment to ensure more older patients are able to go home after visiting the ER instead of beginning a hospital stay.
Emergency Medicine News
Most everyone in medicine knows the statistics: About half of all physicians are dealing with professional burnout, and the situation is even worse for emergency physicians, who have a burnout rate of about 65%. An increasing number of hospitals, however, are investing in clinician and staff wellness from the top down by naming chief wellness officers and charging them with implementing evidence-based interventions to promote clinician well-being.
7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063