Newsletter of the NatioNal associatioN of eMs PhysiciaNs®

NewsNewsApril was a difficult month in the United

States as we were rocked by significant tragedies in Boston and Texas. These events, while incredibly difficult, also show the best in people. As Mr. Rogers’ mother said to him when he was a child, “Look for the helpers.” As EMS professionals, we pride ourselves on being the helpers and we are proud that we are a key component of the nation’s readiness. As I saw the footage of bystanders pitching in in Boston, I also saw members of the EMS and Emergency Medicine community in key positions of leadership as the Prehospital and trauma system responded to bombing. Just a few days later, a devastating industrial explosion rocked West Texas and the EMS community was a key portion of the response. I heard firsthand accounts from NAEMSP® members of the magnitude of both the explosion and damage inflicted upon that community. In the future, I look forward to hearing about and learning from the lessons learned in such high impact responses. Today, I remain proud of the work performed by our colleagues and I am proud to be associated with “the helpers.”

Advocacy UpdateIn March, NAEMSP® members participated in, and NAEMSP® helped sponsor, EMS on the Hill Day. This annual event, organized by NAEMT, consisted of members of the EMS community participating in meetings and vis-its with their congressional delegation. The goal is to educate members of congress about EMS and EMS issues as well as put forth some specific “asks.” This year visitors asked

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In This Issue:

Are You In or Out? . . . . . . . . . . . . . . .2

ACGME Accredited EMS Fellowships . . . . . . . . . . . . . . . . . . . . .3

JEMS Board Members Present Street Medicine Society Award . . . . .3

NHTSA Releases National EMS Advisory Council Summary Report . .4

A Case Study – Spontaneous Uterine Rupture Chief Complaint: Abdominal Pain . . . . . . . . . . . . . . . . .5

EMS Calendar . . . . . . . . . . . . . . . . . .5

Medical Director Selected for Johnson County, Kansas EMS Program . . . . . . . . . . . . . . . . . . . . . . .6

CDC Unveils New NHSN Website . . .7

REACH Air Medical Services Receives FAA Approval for Global Positioning System (GPS) Routes in Oregon . . . . . . . . . . . . . . . . . . . . . .7

NAEMSP® Call for Abstracts 2014 . . .8

NAEMSP® Call for 2014-2016 Board of Director Nominations . . . . . .9

Nomination for NAEMSP® Awards . .10

NAEMSP®/Physio-Control EMS Medicine Medical Director Fellowship . . . . . . . . . . . . . . . . . . . . . 11

Welcome New Members . . . . . . . . .15

Vol. 22 No. 2

continued on page 2

President’s CornerRitu Sahni, MD, MPH

NAEMSP® President (2013-2015)

their members of congress to support the EMS Field Bill, support Veterans to EMTs legisla-tion and to join the EMS caucus. Although this year’s event faced some weather challenges, it appears to have been a success – as the EMS Field Bill has picked up new sponsors (includ-ing former NAEMSP® member Congressman Joe Heck from Nevada). Although EMS on the Hill Day has completed, advocacy never stops and it is important that many of you participate in advocacy throughout the year. The more those congressional members hear from us, the better we will be received. NAEMT has setup and manages “Capwiz” (http://capwiz.com/naemt/home/) – an easy method for learning who your member of congress is and how to send them infor-mation. Ideally, find out when your Senator or Representative is home and schedule an appointment. It turns out that is both easy and effective.

Speaking of the EMS Field Bill, leadership of promoting that important legislation has shifted from Advocates to EMS to NAEMT. They will be funding the effort and NAEMSP® has agreed to continue to support the bill and provide membership in their steering committee. This has led to some changes in Advocates in EMS, with NAEMT and NAEMSE pulling out of the coalition. This has provided an opportunity for rethinking Advocates’ priorities and actually creating a

The National Association of EMS Physicians® is an organization of physicians and other professionals partnering to provide leadership and foster excellence in out-of-hospital emergency medical services.

The NAEMSP® newsletter is designed to inform members of interesting developments in the field of EMS . Members are encouraged to send information which may be of interest to others reading this publication .

NAEMSP® News is the official newsletter of the National Association of EMS Physicians® (NAEMSP®) .

Opinions expressed in articles in NAEMSP® News are those of the authors and not necessarily those of NAEMSP® nor the editor of NAEMSP® News . Reproduction in whole or part is strictly forbidden without prior consent of the editor .

Copyright © 2013 . The National Association of EMS Physicians® .

Correspondence and inquiries should be sent directly to:

NAEMSP® Executive Office, P . O . Box 15945-281, Lenexa, KS 66285-5945913-895-4611; 800-228-3677; Fax: 913-895-4652Email: info-NAEMSP@goAMP.com; Website: www.NAEMSP.org

Articles for inclusion in the newsletter must be submitted by email (Word) . To submit material for publication, contact the editor by telephone or email .

NAEMSP® News Editor, Joseph DeLucia: 314-422-1244 . Email: jlinde001@att.net

NAEMSP® Staff Contact, Stephanie Newman, Email: snewman@goAMP.com

NAEMSP® NEWS 2 JUNE 2013

Are You In or Out?

October 2013 approaches with the first ever subspecialty boards for emergency medical services. Many NAEMSP®

members are eligible to take the boards. The application deadline for 2013 is June 30, 2013. The boards will not be offered again until 2015.

Those taking the boards this year are beginning to prepare. The question is how? How are you going to prepare, and what are you going to study?

There is no bank of questions for this particular exam. Writers of the exam are the only ones who know what questions could be asked. They assuredly are not talking. We therefore have to rely on the guidelines we’ve been given. Those guidelines include:

y Content will be based upon the core curriculum that has been published on the ABEM website and in PEC

y Weighting percentages for the main four categories of knowledge are defined

y The four-volume NAEMSP® text is the main reference

y Other texts that could commonly be used by EMS practitioners might also be a source of content

y The exam questions are derived from material available in published texts only and won’t come from position papers, published peer-reviewed papers, etc.

ACEP and NAEMSP® have jointly established an EMS Medicine subspecialty board review course in order to assist their members in preparing for this important examination. A faculty of nearly 30 notable leaders from the world of EMS has assembled over the past six months to review the core curriculum of EMS, summarize it in a series of lectures with the express purpose of creating a complete review of the core curriculum of EMS Medicine. This group of gifted lecturers and content experts comprise the faculty for three examination prep courses. The courses will be held Sept. 6-8 in Las Vegas (EMS World Expo), Sept. 20-22 in Atlanta and Oct. 11-13 in Seattle just prior to the ACEP scientific assembly.

Each course will run over three days, providing 16 hours of content eligible for CE credit. The format will be the afternoon of day one, all day on day two and the morning of day three to maximize the learning experience and minimize hotel time. The entire gamut of the core curriculum will be addressed. The course is designed for those with significant basic familiarity with EMS medicine. This course will provide a rapid overview of the entire core curriculum of EMS Medicine. Completion of the course will provide the attendee with a supercharged immersion in this material.

This is an exciting time for EMS and the future of our subspecialty. We hope you are seriously considering sitting for the exam this fall. Registration for the Las Vegas and Atlanta courses is now open. Visit the NAEMSP website for details.

By Michael Levy, MD, FACEP, FACP

continued from page 1

President’s Corner

broader coalition. NAEMSP® remains committed to Advocates and its goals and currently holds the Presidency of the organization – with Scott Bourn filling the role.

Marching toward a SpecialtyRemember that deadlines for applying for the first round of testing are approaching fast! Please check the ABEM website for eligibility criteria and for application materials. We have successfully piloted our Board Prep Course and registration is now open. I look forward to meeting and announcing the newly Board Certified EMS Physicians at the January meeting!

Once again, it is my hope that NAEMSP® will be seen as the unquestioned lead authority in the field of EMS.

NAEMSP® NEWS 3 JUNE 2013

JEMS Board Members Present Street Medicine Society AwardBy Gregory R. Frailey, DO, FACOEP

Journal of Emergency Medical Services (JEMS) Editorial Board member Mike McEvoy, PhD, RN, CCRN, REMT-P, and JEMS Medical Director Edward T. Dickinson, MD, NREMT-P, FACEP, presented the 2013 Dr. John P. Pryor Street Medicine Society award to Gregory R. Frailey, DO, highlighting his neverending service and enthusiasm in EMS. Ten innovators in EMS were also recognized by JEMS and Physio-Control, Inc., for their contributions to professionalism in 2012. JEMS Online, March 9, 2013

ACGME Accredited EMS FellowshipsBy Brian Clemency, DO

At the February 2012 meeting of the Residency Review Committee for Emergency Medicine, the first ACGME EMS Fellowships were accredited. Some of these programs have been granted retroactive approval, which will allow their

2012-2013 fellows to be eligible to take the EMS boards through the fellowship pathway. This is another important step in the growth of EMS as a subspecialty.

The 23 accredited programs are:

Beth Israel Deaconess Medical Center Program

Central Michigan University College of Medicine Program

Denver Health Medical Center Program Ohio State University Hospital Program

HealthPartners Institute for Education and Research Program

Los Angeles County-Harbor-UCLA Medical Center Program

North Shore-Long Island Jewish Health System Program

Ohio State University Hospital Program

Orlando Health Program

San Antonio Uniformed Services Health Education Consortium Program

SUNY Upstate Medical University Program

University at Buffalo School of Medicine Program

University Hospital Inc Program

University of California (San Francisco) School of Medicine Program

University of Florida College of Medicine Program

University of Massachusetts Medical School Program

University of New Mexico School of Medicine Program

University of Texas Health Science Center at Houston Program

University of Texas School of Medicine at San Antonio Program

University of Virginia Medical Center Program

Washington University/B-JH/SLCH Consortium

Western Michigan University School of Medicine Program

NAEMSP® NEWS 4 JUNE 2013

NHTSA Releases National EMS Advisory Council Summary Report

The National Highway Traffic Safety Administration’s (NHTSA) Office of Emergency Medical Services (EMS) released a summary report of recommendations made by the National EMS Advisory Council (NEMSAC) to both NHTSA and other federal EMS leaders. The report combines information from numerous NEMSAC documents and advisories and provides the council with a single resource for effectively communicating its recommendations to all EMS stakeholders.

The report, an overview of NEMSAC’s advisories and recommendations from 2010 through mid-2012, focuses on three areas of priority outlined by the council: EMS safety, evidence-based EMS and performance-based funding and reimbursement.

NHTSA has already made progress on several of the recommendations, including: working on a formal strategy to create a culture of safety in EMS, funding a three-year project to improve the statewide implementation of evidence-based guidelines and facilitating a project aimed at improving the quality of data available to NHTSA and other EMS organizations.

Since the 1960s, NHTSA has provided tools and resources for improving EMS systems nationwide. NEMSAC serves as an essential channel for input from the EMS community to NHTSA and its federal partners. The recommendations outlined in the summary report are based on this input and presented to NHTSA to assist the agency in fostering an efficient and effective EMS system that improves patient outcomes.

The NEMSAC was chartered by the Secretary of Transportation in 2007 to provide advice and guidance to the Department and to the Federal Interagency Committee on EMS (FICEMS) on matters relating to EMS.

The Summary Report can be downloaded here: http://www.nhtsa.gov/staticfiles/nti/pdf/811705.pdf

For more information about the current NEMSAC membership or upcoming meetings, visit www.EMS.gov/NEMSAC.htm.

U.S. Department of TransportationOffice of Public Affairs

1200 New Jersey Avenue, SEWashington, DC 20590

www.dot.gov/briefing-room.html

News

ExEcutivE OfficE Staff LiStiNg

Executive Director, Jerrie Lynn Kind

Association Manager / Grants Project Manager, Stephanie Newman

Meeting Planner, Megan Finnell

Administrative Assistant, Diane Conner

The NAEMSP® Executive Office staff and email address information is listed below for your reference .

General email address to reach staff: info-NAEMSP@goAMP.com

NAEMSP® NEWS 5 JUNE 2013

The 911 call alarms. A 22-year-old female in the third trimester of pregnancy awakens from sleep with severe

lower abdominal pain. EMS arrives to see a pale, young female who appears in pain. Vitals are HR 116, B/P 85/52 and RR 18. She denies any recent trauma, nausea, vomiting, contractions, vaginal bleeding or loss of fluid. The pain started suddenly and is constant in the bilateral lower quadrants.

A rapid assessment is done. The arriving EMS crew is BLS. They deliberate whether to wait for arrival of an ALS crew or transport. Repeat vitals are HR 108, B/P 72/48 and RR 16. The BLS crew decides on emergent transport. It is a short transport time to the closest hospital with obstetrical capabilities. During transport, it was noted that the patient’s BP continued to decrease as well did her level of consciousness. A pre-hospital radio report to the ED allowed a resuscitation room to be prepared.

In the ED, a bedside ultrasound revealed fetal bradycardia and free fluid in the peritoneal cavity. The OB team took the patient directly to the OR. There they discovered two liters of blood in the patient’s abdomen and a ruptured uterus along a previous C-section scar. Unfortunately, the placenta had separated from the uterus during this event, and the pregnancy was lost. The patient underwent a hysterectomy and received a transfusion of two units of blood before transferring to the observation unit where she made an uneventful recovery.

DiscussionThis case illustrates an uncommon but deadly cause of abdominal pain in the pregnant patient where both the mother and child are at risk. Spontaneous uterine rupture occurs in less than 1 percent of pregnancies in the developed world. There are

no pathognomonic findings of uterine rupture, but acute onset of low abdominal pain or contractions in a pregnant female with or without vaginal bleeding is the most common presentation. Hypotension, tachycardia and decreased level of consciousness, as above, are ominous findings.

If possible, establish two large bore IVs and begin fluid resuscitation after ensuring delivery is not imminent. Additionally, perform cardiotocographic or fetal heart rate monitoring if so equipped. A ruptured uterus commonly causes fetal distress to be evidenced by bradycardia or decelerations. As in this case, a BLS crew must weigh the time required for arrival of ALS backup versus length of transport time to hospital in a patient with such concerning exam findings.

Pre-Hospital UltrasoundGiven the rapidity with which a surgical diagnosis was made in the ED with bedside ultrasound (fetal distress and free peritoneal blood), one might question if a pre-hospital ultrasound would have utility in cases like this. While the data is limited, EMS ultrasound has proved feasible, especially in cardiac and lung examinations. In future studies, it may be prudent to include abdominal and fetal ultrasound examination techniques for evaluation of their effectiveness.

This crew did a great job of recognizing a very sick patient and transporting her to an appropriate level of care quickly. The patient was in the operating room less than one hour after symptom onset. While the patient’s pregnancy was unfortunately lost, she was able to walk out of the hospital three days later to recover at home with her family. In the future, ultrasound may help EMS providers offer an even higher level of pre-hospital diagnosis and care.

a caSE Study – Spontaneous uterine Rupture

chief complaint: abdominal painBy Matthew Noland, MD

Be sure to check out the most updated version of the EMS Calendar at www.NAEMSP.org.

EMSCalendar

NAEMSP® NEWS 6 JUNE 2013

Johnson County Med-Act and the Department of Emergency Management

and Communications have joined with eight local fire departments to select Ryan Jacobsen, M.D., as its first full-time medical director.

Dr. Jacobsen will assume the duties of director for the Johnson County Emergency Medical Services Medical Direction Program on June 3.

“I’m deeply grateful for the opportunity to serve in this new role,” he said. “EMS providers in Johnson County have always provided outstanding patient care, and my hope is that I am able to assist the EMS system in continuing that tradition of excellence.”

A 2006 graduate of the University of Kansas School of Medicine, he is currently an attending physician at the Truman Medical Center and Children’s Mercy Hospital, both in Kansas City, Mo. Dr. Jacobsen is also the associate EMS medical director for the Kansas City, Mo., Fire Department and an assistant professor of emergency medicine at the University of Kansas City School of Medicine.

Prior to medical school, he served as a paramedic in Iowa City, Iowa, and in Johnson County, Kan.

“Dr. Jacobsen is an ideal person to be the first full-time EMS system medical director. He began his career as a paramedic in Johnson County and has experience as an EMS medical director. He brings the talent and enthusiasm the system needs to make EMS in Johnson County second to none,” Ted McFarlane, Chairman of the EMS System Advisory Committee and chief of the Johnson County Medical Action (Med-Act) Department, said.

The medical direction program will serve multiple county and fire agency EMS responders. The program was established to enhance the benefits of having a patient-centered, coordinated, pre-hospital system for the delivery of emergency medical services by all agencies that may serve a patient.

According to McFarlane, Dr. Jacobsen will provide a single voice in the community to improve patient care. As the point man for the program, he will coordinate with the hospitals and the medical community to ensure that the delivery of care is seamless and appropriate.

In establishment of the program, Johnson County Government and eight fire departments in the county intend to adopt an interlocal cooperation agreement

Medical Director Selected for Johnson County, Kansas

EMS Program

Medical Director Selected for Johnson County, Kansas

EMS Program

By William F. Toon, Ed.D. NREMT-P

Ryan Jacobsen, M.D.

that will create an advisory board and executive committee to provide oversight for the program, and that will establish a cost-sharing model to fund the program among the participants.

“This efficiency will pay dividends,” McFarlane added. “The delivery of patient care will also be more effective with a collaborative approach to training and procedures. EMS is a team effort and this program optimizes the value of the team.”

NAEMSP® NEWS 7 JUNE 2013

By Anna Blair, VP Business Relations and Development

REACH AIR MEDICAL SERVICES RECEIVES FAA APPROVAL FOR GLOBAL POSITIONING SYSTEM (GPS) ROUTES IN OREGON

First EMS Helicopter Provider to Offer this Service to the Oregon Coast

SANTA ROSA, Calif. – April 19, 2013 – REACH Air Medical Services (REACH) is pleased to announce approval from the FAA to use its own GPS approaches and routes, directly to hospitals and landing sites in western Oregon. REACH is the first Helicopter Emergency Management Service (HEMS) program to commit assets to serve the Oregon Coast and Willamette Valley. These areas are often inundated with weather that cannot be negotiated by visual flight alone. In 2000, REACH was the first air ambulance company in the United States to receive this type of approval for routes in its northern California response area.

Sean Russell, REACH President said, “We are proud to have made this investment, which will allow us to provide our hospital partners and the communities we serve with the enhanced ability of GPS approaches and routes. These enhancements will ultimately allow us to provide patient access and care where historically, there has not been the option of air ambulance due to certain weather conditions.”

A GPS navigation receiver in the helicopter uses data from five global positioning satellites simultaneously to pinpoint its position in three-dimensional space, with an accuracy of 100 feet.

The eight hospitals REACH currently has specific approaches for are: North Lincoln Hospital (Lincoln City), Salem Hospital (Salem), Good Samaritan Regional Medical Center (Corvallis), Pacific Communities Hospital (Newport), Tillamook County General Hospital (Tillamook), River Bend Hospital (Eugene), Peace Harbor Hospital (Florence) and Oregon Health and Science University (Portland).

According to Dr. Larry Mullins, CEO of Samaritan Health Services, “(We are) excited about REACH’s plans to use low-level GPS routes to transport patients to and from our hospitals in Benton and Lincoln counties. This process will decrease weather-related delays and reduce ground transportation time to enable safe, efficient and timely transport of patients to the most appropriate facility for their condition.”

cdc unveils New NHSN WebsiteCenters for Disease Control and Prevention (CDC) sent this bulletin on Feb. 19, 2013, at 3:12 p.m. EST

Today, CDC unveiled its redesigned National Healthcare Safety Network (NHSN) website. Intuitive and simple to navigate, the new NHSN site offers users and visitors:

y Clear enrollment instructions

y One-stop information pages for each facility type (e.g., acute care page has links to all protocols, trainings, manual chapters, analysis tools, etc.)

y Easy access to user updates/newsletter and Centers for Medicare and Medicaid rule information

y Direct links to the NHSN application log-in page

y A new “About NHSN” page

We hope this update will better meet NHSN user needs and also make it easier for visitors to learn about NHSN and its value to the healthcare system. Please direct any feedback you have to nhsn@cdc.gov. Please use “website feedback” in the subject line.

NAEMSP® NEWS 8 JUNE 2013

Call for Abstracts 2014National Association of EMS Physicians®

Jan. 16-18, 2014JW Marriott Starr Pass Resort & SpaTucson, Ariz.

Call for Abstracts and Submission RulesgENERaL iNfORMatiONThe National Association of EMS Physicians® is calling for abstracts to be presented at the NAEMSP® 2014 Annual Meeting in Tucson, Ariz. Authors are urged to submit original work involving EMS or resuscitation research. The full spectrum of research will be considered including basic science, clinical, epidemiological, health services, operational, economic and educational studies. Physicians, research scientists, out-of-hospital care providers and administrators are all encouraged to participate.

All abstracts will be peer reviewed in a blinded fashion by NAEMSP® Research Committee members. Abstracts will be selected for oral or poster presentation. The exact numbers in each category will be determined by the number of submissions, time and space limitations at the meeting venue, etc.

Oral presentations will be 10 minutes, followed by five minutes for discussion. Some posters will be displayed electronically while some will remain in the traditional printed format; on submission please indicate whether you would be interested in presenting electronically if your project is selected for a poster. A moderated session will supplement both the print and electronic poster displays.

Awards will be given for Best Scientific Presentation, Best Poster Presentation, Best Resident/Fellow Presentation, and Best EMS Professional Presentation. In addition, ZOLL will sponsor the Best Cardiac Arrest Presentation, and the National Disaster Life Support Foundation (NDLSF) will sponsor an award for Best Disaster Research. Awards will be presented at the Awards Luncheon at the Annual Meeting.

All accepted abstracts will be published in Prehospital Emergency Care (PEC), the official journal of NAEMSP®. Manuscript submission to PEC is encouraged but not required. Research submitted for consideration may not have been published previously, though prior presentation within 90 days of the meeting is acceptable.

aBStRactS MuSt BE SuBMittEd ELEctRONicaLLy through the dedicated submission site. To submit an abstract, visit NAEMSP®’s website at www.NAEMSP.org. The website will officially open in mid-June 2013.

★ ★ ★ dEadLiNE: friday, aug. 16, 2013 ★ ★ ★

tHE aBStRact dEadLiNE iS fRiday auguSt 16 2013. Abstracts must be received electronically by 12:00 p.m. Eastern Daylight Time, on Friday, Aug. 16, 2013. No exceptions will be granted.

Questions can be directed to the NAEMSP® Executive Office at 800-228-3677 or by email at info-NAEMSP@goAMP.com.

ELEctRONic SuBMiSSiON RuLES1. Abstracts must be submitted electronically through the dedicated submission site.

2. Submissions must be received at the NAEMSP® Executive Office by 12:00 p.m. EDT on Friday, Aug. 16, 2013. Late submissions will not be considered.

3. To ensure blinding, no identifying information should appear in the abstract.

4. The abstract must include:

a. Statement of purpose or hypothesis, with brief introductory material as needed.

b. Statement of methods to clearly demonstrate how the study was carried out; include such information as design, setting, participants/subjects, interventions/observations, etc.

c. Summary of results presented in sufficient detail to support conclusion, with brief mention of statistics used (p values, confidence intervals, etc) to reach conclusions.

d. Statement of conclusions reached, with important limitations stated if needed.

e. Word Count Limit: 350 words

5. In order to be considered for an award, a PDF of the poster presentation is due by 5:00 p.m. EDT on Dec. 28, 2013.

NAEMSP® NEWS 9 JUNE 2013

National association of EMS physicians® (NaEMSp®)

Call for 2014-2016 Board of Director Nominations Theodore R. Delbridge, MD, MPH – Immediate Past President

The Nominations Committee is conducting the Call for Nominations for the 2014-2016 Board of Directors slate. The positions that will be elected by the membership in 2013 are: three Physician Members-at-Large positions and one Professional Member-at-Large position. The individuals elected for the offices will each serve a two-year term.

The criteria for the open positions are listed below. This information will assist you in recommending for nomination the best candidate for the office. The ability to offer more than one candidate for each office is dependent upon receiving a sufficient number of nominations for each office from the membership.

You may recommend yourself or another NAEMSP® member for Board of Directors nomination by completing the electronic submission form. A representative sample of a candidate’s biography, which will appear on the ballot, can be downloaded from the nomination submission site. All recommendations MUST BE RECEIVED BY July 15, 2013, to be considered for the slate of candidates.

Recommendations should be submitted electronically to NAEMSP®’s Executive Office through the link located on the NAEMSP® website. The nominee will receive an email acknowledgement of receipt of the Recommendation for Nomination form within two (2) business days of receipt. If such acknowledgement is not received within that time frame, please contact the NAEMSP® Executive Office at 913-895-4611. The slate of candidates will be compiled by the Nominations Committee and reviewed by the Board of Directors.

caNdidatE cRitERia aNd pOSitiON dEScRiptiONS

The affairs of the Association are governed, supervised and controlled by the Board of Directors. The authority delegated to the Board requires that it set policies and make relevant decisions on behalf of the Association’s membership; therefore, Board Members should be the most knowledgeable about the activities and needs of the Association’s members. The Board’s duties include:

y Ensuring that the needs of the membership are met

y Approving and evaluating plans and policies of the Association

y Budgetary approval and control

y Monitoring and reviewing financial objectives

y Long-term strategic planning

MEMBER-at-LaRgE (three positions available)

Nominee must be a Physician member in good standing of NAEMSP®

Prior ad hoc committee/task force involvement preferred

Ability to commit to the Board of Directors for a two-year term and act as peer representative of the membership

pROfESSiONaL MEMBER-at-LaRgE (One position)

Nominee must be a professional member in good standing of NAEMSP®

Prior committee/task force involvement preferred

Ability to commit to the Board of Directors for a two-year term and act as peer representative of the membership

NAEMSP® NEWS 10 JUNE 2013

Nomination for NAEMSP® AwardsDue Date: October 1, 2013

Candidate’s Name:____________________________________________________________________________________

Address: _____________________________________________________________________________________________

____________________________________________________________________________________________________

Telephone: ______________________________________ Fax:________________________________________________

Email: ______________________________________________________________________________________________

Your Name: _________________________________________________________________________________________

Telephone: ______________________________________ Email: _____________________________________________

NOMiNatiON fOR tHE fOLLOWiNg aWaRd: Ronald D. Stewart Award This award is given annually to a person who has made a lasting, major contribution to the EMS community nationally. This is often considered a lifetime achievement award. Recent recipients have included Dr. Daniel Storer, Dr. Mickey Eisenberg, Jim Page, Dr. Jon Krohmer, Dr. Edward Cain, Dr. Roger White, Dr. William Jermyn, Dr. Daniel Spaite, Dr. Debra G. Perina, William E. Brown, Jr. and Jeff J. Clawson.

Keith Neely Outstanding Contribution to EMS Award This award is presented to an active or past member of NAEMSP® (physician or non-physician) who has provided significant leadership to the association. Recent recipients have included Lawrence Brown, EMT-P, Dr. Ray Fowler, Dr. Rick Hunt, Dr. Ted Delbridge, Dr. Jullette Saussy, Dr. David Persse, Beth Adams, Dr. Robert O’Connor, Dr. Douglas Kupas, Dr. Brian Schwartz, Dr. James J. Menegazzi and E. Brooke Lerner.

Friends of EMS Award This award is presented to an individual who has been an advocate to further NAEMSP®’s mission nationally through influencing or implementing public policy. The award is typically given to a governmental individual or organization, EMS organization, or congressional leader. Recent recipients have included Mr. Robert Niskanen, the Laerdal Family, Dr. Jeff Runge (NHTSA administrator), Drew Dawson (NHTSA EMS Chief) and Dr. Richard Carmona (Former U.S. Surgeon General) and Dan Kavanaugh (EMSC), Susan McHenry (NHTSA), William Ball (GM OnStar), Gary Freeman (ZOLL Medical Corporation), Dr. Richard C. Hunt (National Center for Injury Prevention and Control) and Kevin McGinnis.

REaSON fOR NOMiNatiON (attach separate page if necessary):

Please submit form by October 1, 2013 to: NAEMSP®, Attn: Stephanie Newman at SNewman@goAMP.com or Fax: 913-895-4652

NAEMSP® is also soliciting applications for the EMS Fellowship Recognition Awards. Criteria for this recognition, and submission forms, are available on the NAEMSP® website under Fellowships. Submissions are due by Oct. 1, 2013.

NAEMSP® NEWS 11 JUNE 2013

Online Application Period Opens 7/1/13

NAEMSP®/ PHYSIO-CONTROL EMS MEDICINE MEDICAL DIRECTOR FELLOWSHIP

APPLICATION AND SELECTION PROCESS INFORMATION

PURPOSE: To select the single best candidate to receive a 12 month, $80,000 EMS Fellowship

Award annually. TIMELINE: Open application process 01 July (approximately) Close applications 01 October @ 5:00 pm central time Notification of award 01 November (approximately) Awardee announcement of fellowship site

required 15 December

First award to begin 01 July 2014 SELECTION COMMITTEE: Formed annually by the NAEMSP® President with approval of the

Board of Directors to include four (4) previous Physio-Control EMS Fellows and one (1) NAEMSP® Board Member.

2014 Award Selection Committee Members Kevin Mackey NAEMSP Board representative Ronald Pirrallo Chair, 1991 Theodore Delbridge 1992 David Persse 1993 Christian Martin-Gill 2009 ELIGIBILITY: Expectation that the applicant will meet all qualifications for American Board of

Emergency Medicine (ABEM) EMS subspecialty certification upon completion of the Fellowship.

1. Diplomate in good standing of any American Board of Medical Specialties (ABMS) member

board or be a graduate of an ACGME accredited residency and eligible to take an ABMS member board-certifying examination at the anticipated commencement of fellowship.

2. The physician must be in compliance with the ABEM Policy on Medical Licensure. Licenses

must be valid, full, unrestricted and unqualified, except for current residents of ACGME accredited programs who may possess an educational or temporary license.

3. Member in good standing of NAEMSP®. 4. Intended enrollment in an ACGME approved EMS Medicine Fellowship Program.

Page 1 of 4

NAEMSP® NEWS 12 JUNE 2013

Online Application Period Opens 7/1/13

APPLICATION PACKET: All items must be completed and received through the NAEMSP® electronic submission web-based format prior to review.

1. Curriculum Vitae 2. Three letters of Recommendation a. One from the Residency Training Program Director or equivalent. b. Two additional letters that address the applicant’s qualifications as a potential EMS fellow

and the applicant’s potential for leadership as an EMS subspecialist. 3. Fellowship Interrogative (See Appendix A) 4. Signed Application Attestation Statement (See Appendix B) OVERVIEW OF APPLICATION PROCESS: Each applicant will be judged based on his/her

potential for a career as an EMS medical director and to become a national leader in EMS. 1. The Award is designated for the successful applicant and dispersed to the fellowship

program the awardee chooses for training. The awardee may apply to any ACGME -accredited EMS fellowship program to complete his or her training.

2. Once the awardee is selected, he or she will have until 15 December to be accepted into and commit to an ACGME-accredited EMS fellowship program.

3. If for any reason the awardee is unable to or cannot be accepted into an ACGME-accredited EMS fellowship program by 15 December, the Award will be forfeited and an alternate applicant will be selected.

USE OF AWARD DOLLARS: 1. Award is for 12 months of contiguous training. 2. Award will be issued 01 July for $80,000 to the host Fellowship Program. 3. Award is intended to support the Fellow’s education and training costs.

a. No funds may be used for facilities and administrative costs (“indirects”). b. No funds may be used for mentorship salary, secretarial support, equipment, or vehicle costs. c. Funds may be used for educational travel expenses.

4. Prior to dispersal of funds, host fellowship program must submit a 12 month budget to NAEMSP® for final approval.

AWARDEE REQUIREMENTS AND EXPECTATIONS: 1. Attend the NAEMSP® Annual Meeting. 2. Maintain NAEMSP® membership in good standing. 3. Provide 6 and 12 month progress reports that can be shared with the industry sponsor. 4. Visit the industry sponsors, at their invitation, for a mutually educational exchange of ideas

and information. 5. Upon graduation, become ABEM EMS subspecialty certified.

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NAEMSP® NEWS 13 JUNE 2013

SAMPLE - DO NOT COPY OR DISTRIBUTE – Online Application Period Opens 7/1/13 05152013

APPENDIX A

NAEMSP®/PHYSIO-CONTROL EMS MEDICINE MEDICAL DIRECTOR FELLOWSHIP

INTERROGATIVE

Instructions: Please answer the following 9 questions using 300 words or less for each.

Introspection

1. Why do you wish to receive this Award?

2. Why are you the most qualified to receive this Award?

3. What will you do if you don't receive this Award?

Character

4. Which of your attributes will make you an effective EMS Physician?

5. What are the most important values you demonstrate as a potential national EMS leader?

Vision

7. Where do you see yourself 5 years from now?

8. How do you plan to achieve this station?

Open Forum

9. Anything else you would like to share with the Selection Committee?

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NAEMSP® NEWS 14 JUNE 2013

SAMPLE - DO NOT COPY OR DISTRIBUTE – Online Application Period Opens 7/1/13 05152013

APPENDIX B

NAEMSP®- PHYSIO-CONTROL EMS MEDICINE MEDICAL DIRECTOR FELLOWSHIP

APPLICATION ATTESTATION STATEMENT

Print Full Name: ________________________________________

I attest that at the time of entrance into the EMS Fellowship:

1. I am a Diplomate in good standing of an American Board of Medical Specialties (ABMS) Member Board or will be a “Board Eligible” graduate of an ACGME accredited residency.

2. I comply with the ABEM Policy on Medical Licensure. Licenses must be valid, full, unrestricted and unqualified including educational or temporary licenses.

3. I am a member in good standing of NAEMSP®.

4. I agree to attend an ACGME accredited EMS Fellowship Program.

Signature: _____________________________

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NAEMSP® NEWS 15 JUNE 2013

Allyson Borgstedte, DO

Kevin R. Brown, MD, MPH, EMT-P

Nabil El Sanadi, MD, MBA, FACEP

Mark Eliot

Frederick E. Fowler, BS, MSP, EMT-P

Scott C. French, MD

David J. Hambright, NREMT-P

Herbert Hern, MD, MS

Jeffrey W. Hinshaw, MS, PA-C, NREMT-P

Steven H. Katz, MD

Emily G. Kidd, MD

George M. Kiss, MD

David Malmud, MD

Diane Miller

Joshua Mularella, DO

Steven J. Parrillo, DO, FACOEP, FACEP

Frederic K. Passmann, MD

Jay H. Reich, MD

James Rowley, MD, EMT-P

Jose V. Salazar, MPH, NREMT-P

William F. Toon, EdD, NREMT-P

David Wampler, PhD

Michael Steven Westrol, MD, EMT

Welcome New Members

assistant Medical directorclinton Memorial Hospital

Wilmington, Ohio

Full-time leadership opportunity as Assistant Medical Director for our ED team at Clinton Memorial Hospital in Wilmington, Ohio . This position will oversee EMS . The hospital supports a 33,500-volume, 20-bed ED that provides 24 hours of physician coverage and 24 hours of APC coverage each day . Clinton Memorial has a wide range of radiology services, including interventional radiology, and offers a variety of services away from the main campus, such as Home Care, Occupational Health, Family Practice Residency Program, Outpatient Rehabilitation, System-Owned Physician Practices in Family Medicine, and Neurology . Specialty back-up includes Cardiology, CT, General Surgery, Gynecology, Neurology, OB/GYN, Orthopedics, Ultrasound, Urology, Wound Care, and Pediatrics . Documentation is performed using MedHost . Physicians receive competitive compensation along with paid professional liability insurance with tail coverage . Requirements are board certified or prepared in Emergency Medicine or a primary care specialty, Internal Medicine or Family Medicine .

contact information

aMaNda duNcaNp or Toll-free (888) 926-0134f (865) 560-7084E Amanda_Duncan@teamhealth.com