Tuesday, September 16, 2014

New! Online CME Now Available!

Introducing: Online CME from AAEM! 

Save Time

Earn CME credit anywhere, anytime! Available on Windows PC, Mac, iPhone, and Android - online learning optimized for your convenience.

Save Money

Special discounted CME rate for AAEM members. Members have the choice to view the content for free (with no CME certificate) or view the content with CME for a discounted price. Learn more about your viewing and certificate options.

Outstanding Content

AAEM brings you content from top clinician-educators in EM. The 2014 AAEM Scientific Assembly is the premier clinical conference in emergency medicine. Log-in today to view the 2014 Scientific Assembly online and save the date to join us in Austin in 2015!
  • Online videos feature both the speaker and the slide presentation simultaneously.
  • Streamlined website for easy navigation.
  • Save your spot and come back later to complete the full activity.

More on the way!

The 2014 AAEM Scientific Assembly is currently available, with more AAEM educational programs coming in the near future. Be sure to check back soon for more CME opportunities.

Keep the Benefits Coming
Thank you for being a member of AAEM and for your commitment to quality emergency medicine education. Plan ahead for 2015 and renew your AAEM membership today!
  • Use those left over CME funds to extend your AAEM membership into 2015.
  • Full voting multi-year memberships are now available for up to 10 years of membership but not to exceed your board certification date.
For more information or to extend your membership today, please contact us at (800) 884-2236 or email info@aaem.org.

Wednesday, September 10, 2014

Update from the President: Progress in California

I have recently participated in several media interviews where I raised AAEM's concerns regarding Tenet Health's plan to replace its independent emergency medicine, hospitalist, and anesthesiology groups in California with a national physician staffing company.

AAEM feels this would be highly disruptive to its hospitals and could compromise quality of care. These media interviews had much exposure in the local press and helped Tenet and the community to better understand our concerns. On September 5th, I participated in a conference call with Tenet Health leadership, an attorney for the Coalition for Quality Hospital Care, and the California ACEP President Dr. Osmundson. During the call, Tenet's leadership informed us they were no longer considering using one national physician staffing company for all of the involved California practices.

In addition, Tenet committed that they would begin contract renewal negotiations with the independent emergency medicine groups staffing its California hospitals, and attempt to partner with them to achieve their goals of better coordinating care across services. We are encouraged by these positive developments. We will continue to work closely with the involved independent emergency medicine groups and monitor this evolving process.

During the call, a position supported by California-ACEP (that it does not favor any physician group practice model over others) was erroneously attributed to AAEM as well (per a follow-up letter from Tenet). AAEM has always endorsed practice models based on fairness, transparency, financial equity, physician autonomy, and the best possible care of patients - qualities that we believe are exemplified by independent, local, democratic, physician-owned medical groups. AAEM responded with a follow-up letter to Tenet Health's Western Region CEO.

Take care,

Mark Reiter, MD MBA FAAEM
President, American Academy of Emergency Medicine

Wednesday, August 13, 2014

Message from the President: Coalition for Quality Hospital Care

Dear members,

I wanted to update you on an escalating issue of concern to our members in California and nationwide. As many of you know, AAEM has voiced its strong opposition to Tenet Health's plan to replace emergency medicine, anesthesiology, and hospitalist groups at up to 11 hospitals in California with one out-of-state physician staffing company, using the profitable emergency medicine contracts to eliminate their anesthesiology and hospitalist subsidies (see my recent President's Message on the topic).

In addition, on July 11, I sent a letter to Tenet on behalf of our organization detailing our concerns (PDF). The letter states that AAEM believes Tenet's plan is "bad for Tenet, bad for its hospitals, bad for its physicians, bad for its patients, and likely runs afoul of federal fee-splitting laws and California's corporate practice of medicine laws." If Tenet moves forward with its plan, other hospital networks may be emboldened to take a similar approach in other parts of the country as well.

The leaders of several groups affected by the current scheme have contacted AAEM and asked for our assistance. I have spoken at length with many of these physicians; have sent letters outlining AAEM’s concerns to the relevant hospital leaders, hospital boards, and medical staffs. Recently, a coalition of concerned physicians, the Coalition for Quality Hospital Care, has been formed and has contacted us for assistance - the Coalition seeks to inform as many physicians as possible about this issue and generate more support against Tenet's plan. The Coalition is not asking for monetary contributions - but requests that AAEM members show their support by joining the coalition. The larger the group voicing concern, the greater chance we have to defeat Tenet's plan.

Time is running out for these physician groups. Tenet plans to meet with the chief executives of its California hospitals on August 31st to address this issue and then a decision is expected shortly thereafter. If you would like to show your concern about Tenet's plan, please take a moment and join the coalition at www.coalitionforqualitycare.com. Thank you for your continued attention to this issue.

Mark Reiter MD MBA FAAEM
President, American Academy of Emergency Medicine

Wednesday, August 6, 2014

Fluids used in Fluid Resuscitation: "There's Nothing Normal About Normal Saline"


David Farcy, MD FAAEM FCCM, Chairman, Department of Emergency Medicine at Mount Sinai Medical in Miami Beach, Florida, speaks with Peter DeBlieux, MD FAAEM, Professor of Medicine at Louisiana State University Health & Science Center in New Orleans.

In this episode, Drs. Farcy and DeBlieux discuss the fluids used in fluid resuscitation including isotonic crystalloids and albumin.

Leave your comments below!

Monday, August 4, 2014

Top 5 Reasons to Review for Oral Boards with AAEM


1. Course format simulates, as closely as possible, the oral board certification exam.

2. One-on-one examiner to participant encounters — just like on exam day.

3. Same great course offered in six locations to reduce travel time and cost to participants.

4. Reasonably priced — lunch included each day for all course participants. Breakfast included each day for those who stay at the course site hotel

5. Practice both single AND multiple patient case encounters.
  • On ABEM exam day, you'll be tested on seven patient encounters: five single patient cases and two multiple patient cases.
  • Over the two days of the AAEM course you will participate in 12 single-case encounters and four multiple-case encounters. That's nine extra case encounters to help you feel confident! 

Thursday, July 24, 2014

We Asked and You Responded - And Then Some


View from the Podium

When we asked via Twitter and email for your input on the 2015 AAEM Scientific Assembly in Austin, Texas (scheduled for February 28–March 4), nearly 40 people responded and gave us more than 75 possible topics and speakers. Now it’s up to the Scientific Assembly Subcommittee to make the hard decisions: what tracks, what topics, what speakers?

Although I was in charge putting together the Scientific Assembly from 2001 through 2006, as AAEM surged to the forefront of education in emergency medicine, a lot has changed since then. New young educators from the third generation of emergency physicians have burst onto the education stage, demonstrating new ways of teaching and learning. The Free Open Access Medical Education (FOAMed) movement has quickly assumed a major role in the day-to-day — and sometimes hour-to-hour — education of emergency practitioners. Shorter didactic session times have become the norm. Adult learning principles such as “Flipping the Classroom” are now common.

Wednesday, July 9, 2014

Tenet Wants Emergency Physicians to Subsidize the Rest of the Hospital

Mark Reiter, MD MBA FAAEM
AAEM President

AAEM President’s Message: Tenet Wants Emergency Physicians to Subsidize the Rest of the Hospital

Tenet Health, one of the largest hospital networks in the country with 49 hospitals, recently put the contracts out for bid at 11 of its hospitals in California, to replace their emergency medicine (11), anesthesiology (11), and hospitalist (5) groups. Currently, most of the hospitalist contracts and some of the anesthesiology contracts include a subsidy from Tenet, while most of the emergency medicine contracts generate enough revenue through collected professional fees to be entirely self-supporting and quite profitable. According to some of the local groups involved, Tenet made it clear to the large contract management groups (CMGs) it is soliciting that it is looking for a no-subsidy arrangement for all 27 contracts (three specialties at 11 hospitals). Essentially, Tenet wants the profits from the emergency medicine contracts to cover its losses on the hospitalist and anesthesiology contracts. As only the largest CMGs can even hope to staff 27 new contracts at once, it looks like many local emergency medicine, anesthesiology, and hospitalist groups will be tossed out. This situation parallels the hospital-CMG joint ventures I wrote about a few months ago, since it is another attempt by hospitals — like CMGs — to feast on the professional fees of emergency physicians.

In the past, the quality of the care provided by a medical group was of paramount important to the hospital. But for Tenet Health, a for-profit hospital network, it appears that minimizing expenses and maximizing profit trumps everything else. Tenet earned a profit of $387 million in the first quarter of 2014. Perhaps by destroying the medical practices at 11 hospitals, Tenet will be able to cut its hospitalist and anesthesiology subsidies by a few million dollars in future quarters and make its investors happy. Of course, many of these groups have served their hospitals and their communities well for decades and built strong, productive relationships with their medical and nursing staffs. I’ve been told that many hospital CEOs are very supportive of their local medical groups, but the decision to put the contracts out for bid was made at Tenet’s headquarters in Dallas. Tenet’s corporate executives are not so easily swayed by simply providing excellent care — not when there is a chance to squeeze out more profit for investors and corporate officers.