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Registration/check-in begins at 1:30 pm. The program begins at 2:00 pm. Forget to RSVP? Online registration is now closed, but you can register on-site!
Life After Residency Retreat: Thriving Beyond Medicine
September 19-20, 2019
Sirata Beach Resort
St. Pete Beach, FL
View the Program Here
See you tomorrow at Sirata Beach Resort for "Thriving Beyond Medicine!"
The second annual National Physician Suicide Awareness Day was yesterday, September 17.
This day is an opportunity to commemorate colleagues lost to suicide while raising awareness about the issue that claims the lives of more than 300 physicians every year. It's time to break down the stigma, open the conversation, decrease consequences associated with seeking help, and check in on each other more frequently.
|National Physician Suicide Awareness Day 2019
Learn more about National Physician Suicide Awareness Day (#NPSADay) on CORD's website here
Below are some resources that were shared online yesterday:
"Physician-Friendly States for Mental Health: A Review of Medical Boards" Research Project by Pamela Wible, MD and Arianna Palermini, OMS2
Report and Recommendations on Physician Wellness and Burnout, adopted as policy by the Federation of State Medical Boards in April 2018
"What I've learned from my tally of 757 doctor suicides" by Pamela Wible
"Why do so many doctors kill themselves, and what's being done about it?" by Carrie Cochran,
Maren Machles, Vik Narayan and Patrick Terpstra
Below are key points from the article "Hepatitis A Hits Florida Hard" by Christine Sexton at the News Service Florida:
Hepatitis A is striking Florida in a more deadly fashion than in other states:
The CDC recommends that 80% of the at-risk population (homeless people and drug users) be vaccinated to stop the spread of the virus. In Florida, about 491,000 people are considered at-risk; 392,000 of them must be vaccinated to reach the recommended 80%.
- 40 people in Florida have died from the virus, giving the state a 1.3% fatality rate compared to the national average of 1%
- 78% of cases in Florida have required hospitalization compared to 60% nationally. Florida Surgeon General Scott Rivkees estimates the virus has resulted in $180 million in hospital charges
- Florida has had 2,540 reported cases this year of hepatitis A, including 78 last week, according to the latest data
According to Rivkees, nearly 205,000 people in Florida have been vaccinated against the virus. While Rivkees stressed the role county health departments are playing, data shows that private health providers are taking the lead on vaccinations. County health departments have administered 85,556 vaccinations, according to the DOH website.
Full Schedule Here
- Monroe County on Sept. 23 at 10:30 am in Marathon
- Alachua County on Sept. 23 at 1:00 pm in Gainesville
- DeSoto County on Sept. 23 at 1:30 pm in Arcadia
- Citrus County on Sept. 23 at 2:00 pm in Inverness
- Union County on Sept. 23 at 2:00 pm in Lake Butler
- Gulf County on Sept. 23 at 4:00 pm in Port St. Joe
- Bradford County on Sept. 23 at 4:30 pm in Starke
- Franklin County on Sept. 23 at 6:00 pm in Apalachicola
- Indian River County on Sept. 24 at 9:00 am in Vero Beach
- Walton County on Sept. 25 at 9:00 am in DeFuniak Springs
- Holmes County on Sept. 25 at 10:30 am in Bonifay
- Washington County on Sept. 25 at 11:45 am in Chipley
- Brevard County on Sept. 25 at 2:00 pm in Cape Canaveral
- Putnam County on Sept. 25 at 2:00 pm in Palatka
- Jackson County on Sept. 25 at 2:15 pm in Marianna
You may have already heard about Purdue Pharma reaching a tentative settlement with 23 states and more than 2,000 cities and counties last Wednesday. Florida Attorney General Ashley Moody backed this settlement, calling it "historic." On Sunday, Purdue Pharma filed for bankruptcy protection, and the global news media is closely watching how this will unfold.
|Opioid-Related News & Updates
Catch up on other recent developments, news stories and more below:
"The rise and fall of an Eagle Scout's deadly fentanyl empire" by Claire Galofaro and Lindsay Whitehurst, Associated Press, Sept. 15, 2019
"Deadly fentanyl bought online from China being shipped through the mail" by Scott Pelley, CBS News, Sept. 15, 2019
"Reducing Barriers to Treatment for Patients with Opioid Use Disorder" by Jeffrey Davis, ACEP Regs and Eggs, Sept. 5, 2019
"Emergency Physicians Urge Policymakers to Remove Obstacles to Treatment for Opioid Use Disorder" by ACEP, Sept. 4, 2019
"Women and Opioids: The Unseen Impact" by healthywomen.org, Aug. 28, 2019
Learn about how you can make a difference for OUD patients now through one of our webinars:
Implementing Warm Hand-Offs Between EDs and Treatment Providers for Patients with Opioid Use Disorder—free until Nov. 30, 2019
Safe Opioid Prescribing for Acute Pain—$25 for FCEP & FHA members
Tuesday, September 24, 2019
1:00-2:00 pm EST | Free
Speakers: Sarah Wakeman, MD and Ali Raja, MD, MBA
Hosted by American Hospital Association's (AHA) Physician Alliance
To improve the health of patients struggling with addiction, learn how one program engages patients at multiple points of care through an in-house addiction team and clinic — all working in coordination with emergency department staff.
Suicide Summit 2019
Sponsored by FADAA with support from Magellan Complete Care and PsychU
Wednesday, September 25, 2019
9:30 am to 3:30 pm
Rosen Plaza Hotel in Orlando, FL
Registration fee: $20
This summit brings together key stakeholders with the goal of developing a blueprint for an improved behavioral health system of care and suicide prevention in Florida.
Key topics to be discussed include:
- The current landscape of suicide prevention in Florida
- Snapshots of innovative suicide prevention initiatives in Florida
- Introduction to an evaluation of the National Zero Suicide
- Model across learning healthcare systems
- Strategies to integrate innovative practices, funding methodologies and policy
Wednesday, September 25, 2019
8:00 am – 4:30 pm
Marriott Orlando Downtown
400 W Livingston St., Orlando, FL
Hosted by: AdventHealth, Federal Bureau of Investigations (FBI) and the Department of Energy
You are invited to participate in a terrorist weapons of mass destruction (WMD) tabletop exercise (TTX) called "Stolen Thunder" on Wednesday, September 25. The exercise will present a training scenario that involves terrorists attempting to acquire and use weapons of mass destruction (WMD). The event allows leaders from all responding and stakeholder organizations to exercise their crisis and consequence management capabilities in a no-fault setting.
View Flyer | Learn More
Thursday, September 26, 2019
2:00-3:00 pm EST | Free
Speakers: Ronald Chambers, MD, FAAFP and Jennifer Cox
Hosted by American Hospital Association's (AHA) Hospitals Against Violence
While health care systems have focused efforts on the identification and immediate response of victims, there remains a lack of models for long-term, integrated care of these same individuals — a component arguably just as important for sustained recovery and movement from victimization to survivorship. The Medical Safe Haven clinic provides a coordinated warm-hand access model of care for victims and survivors of human trafficking to receive full spectrum trauma-informed primary medical care and mental health services. Common issues ranging from prenatal care to PTSD management to pediatric care and more will be presented and discussed.
Join the Volusia County Medical Society for their next event on physician wellness in October:
Presentation of LifeBridge Physician Wellness Tool Kit
Wednesday, October 9 from 8:00-3:00 pm
Mayo Clinic in Jacksonville, FL
Free event, funded by The Physicians Foundation
The LifeBridge Physician Wellness Toolkit will be presented by Bryan Campbell, Tenna Wiles and Belinda Clare. Other discussions will center around best practices of existing programs, upcoming trends in physician wellness, and next steps for expansion.
For more information, contact Bryan Campbell at firstname.lastname@example.org, or 904-353-7536.
The Health Resources and Services Administration (HRSA) seeks information about measuring access to health care in rural communities. This request for information (RFI) seeks to identify the needs of rural communities, how to meet those needs, and what HHS policy changes can address those needs.
Read the RFI Here
Comments are due on October 9, 2019 by 11:59 p.m. EST. Responses must be provided via email to email@example.com and must reference "Rural Access to Health Care Services RFI" in the title.
The EMLRC is requesting presentations for its 46th annual Clinical Conference, CLINCON. We are seeking dynamic and challenging clinical content geared towards the EMS/emergency medicine community.
The conference will provide:
If you are interested in submitting an application to present at CLINCON 2020, please complete this online application or email the PDF version to Niala Ramoutar, Director of Education, at firstname.lastname@example.org by October 31, 2019.
- "Pre-cons:" workshops before the conference (4 or 8 hours)
- General & Breakout Sessions (45-55 minutes)
- Skills Labs (90-120 minutes)
Save the date for CLINCON 2020: July 8-11, 2020 at the DoubleTree by Hilton—Universal in Orlando, FL. Learn More
31st Annual Emergency Medicine Days
January 27-29, 2020
Hotel Duval in Tallahassee, FL
Stay tuned for more information
Interested in attending a Regular Session day in Tallahassee? Apply to be a "Doctor of the Day!"
The Doctor of the Day program delivers a vital professional service to the members of the Florida Legislature while giving physicians access to real-time politics. When not taking care of staff members who may need medical assistance, the Doctor of the Day may sit with his sponsoring chamber and local delegation, attend committee meetings or visit legislators' offices.
Learn More | Download Registration Form
Questions? Contact FCEP CEO Beth Brunner at email@example.com.
FCEP/FEMF invites you to our new and improved Payment Reform conference:
Emergency Medicine Reimbursement & Innovation Summit
February 27-28, 2020
Approved for AMA PRA Category CreditsTM
Join us and other industry leaders for expert discussions on:
Stay tuned for more information
- Creating the efficient ED
- Federal & state issues impacting EM
- Use of telehealth and partnering with hospitals
and much more
UPCOMING FCEP & EMLRC EVENTS
|SEPT. 19-20, 2019
||Life After Residency Retreat | Learn More
||St. Pete Beach
|OCT. 22-24, 2019
||EMS Advisory Council & Constituent Group Meetings | Learn More
|NOV. 11, 2019
||FCEP Committee Meetings
||EMLRC in Orlando
|NOV. 12, 2019
||FCEP Board Meeting
||EMLRC in Orlando
|JAN. 27-29, 2020
||Emergency Medicine Days | Learn More
||Hotel Duval in Tallahassee
|FEB. 27-28, 2020
||Emergency Medicine Reimbursement & Innovation Summit | Learn More
To see the full calendar, click here.
Medscape (free login required)
In a recent Medscape poll, pediatricians were less likely to say they made diagnostic errors every day (11%) and emergency medicine doctors were more likely, at 26%. In between were physicians in family medicine (18%), general practice (22%), and internal medicine (15%). Poll questions were posed after Medscape reported results from a study in the Journal of General Internal Medicine that suggested that physicians tend to underestimate how often they make diagnostic errors.
Brigham and Women's Hospital via EurekAlert
Investigators from Brigham and Women's Hospital have analyzed whether the "surprise" question, which elicits a clinician's overall clinical impressions about a patient, can help emergency clinicians identify older patients at greatest risk of death. Worded as, "Would you be surprised if this patient died in the next month?" this question was required of emergency clinicians treating patients at Maine Medical Center. Investigators found a strong correlation — if a physician or physician assistant answered that they would not be surprised, the patient was twice as likely to die in the next month.
MedPage Today (opinion)
Fred N. Pelzman, MD, writes, "In healthcare, especially, things don't always follow the clock. We have early morning hours, we have late evening hours, we have weekends where we see patients, and lots of patient care is often required after the last doctor has left the office. What you've got is doc around the clock. Care never ends."
Emergency physicians see their share of patients who end up in trouble because of opioid use. But those doctors say there are obstacles to providing patients optimal care in the emergency department. To better treat patients for opioid use disorder, the American College of Emergency Physicians urged policymakers to take three specific steps that would remove obstacles to care. The national medical society that represents emergency medicine physicians spoke out as the Department of Health and Human Services compiles a report to Congress on treating opioid use disorder.
Becker's Hospital Review
A Memphis hospital is seeing uninsured emergency department visits drop under a new model that aims to help chronically ill patients navigate the safety-net system. The model, called ONE Health, has helped coordinate care and connect 224 repeat ED or inpatient hospital users to social services, according to healthcare journalist Bara Vaida, whose article was published by Health Affairs. Under the nurse-led model, Regional Health directs high-ED users to benefits through the Supplemental Nutrition Assistance Program and subsidized housing through the Department of Housing and Urban Development, among other services.
MedPage Today (opinion)
Edwin Leap, MD, writes, "We have created a system where shadowing is expected for acceptance in professional schools even as some hospitals make it very difficult (or impossible) to shadow. In some instances, it's about concerns over privacy. In others, it's simply that the number of people who desire to shadow is so large that it's very difficult to get a time slot. And in others, it's that there are medical, PA, or nurse practitioner students and residents rotating through the hospitals as part of their graduation requirements. In other words, it's just dang crowded."
HealthDay via Medical Xpress
Opioid use at three months after an emergency department visit where opioids were prescribed for acute pain is relatively low and not necessarily tied to opioid misuse, according to a study published in the August issue of Academic Emergency Medicine. The researchers found that 47 patients (9%) reported they had consumed opioids in the previous two weeks. Of those patients, 34 (72%) reported continued use for their initial pain, nine patients (19%) reported continued use for new unrelated pain, and four (9%) reported continued use for another reason.
Taylor & Francis Group via Science Daily
Men and ethnic minorities are less likely to wear cycle helmets and more likely to suffer from head and neck injuries in accidents, according to new research published in Brain Injury. The study, looking at over 70,000 U.S. cyclists' injuries from 2002-2012, found only 22% of the adult population (21% of males, 28% of females) and 12% of the younger riders who suffered these types of injuries, used helmets while riding a bicycle.
The American Journal of Emergency Medicine via MDLinx
Researchers sought to assess the recent aggregate trends in the emergency department visit rates and charges between 2010 and 2016 using data from the National Emergency Department Sample, comprising approximately 30 million annual patient visits. Observations revealed an increase in the number of ED visits from 128.97 million to 144.82 million between 2010–2016.
In an age when you can order virtually anything online, it is not always so easy to book a same-day appointment with a physician — especially with the click of a mouse. That leaves some younger people going to the ER for routine care. According to ZocDoc's new survey of 1,028 Americans, 73% of respondents think it's easier to go to the ER than to get a doctor's appointment.
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