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Texas College of Emergency Physicians
October 2012 Update
Welcome to another exciting installment of the TCEP Monthly updates. We hope you enjoy this month's feature articles.
   Current Issues Facing ACEP and Various State Chapters
Dan Peckenpaugh, MD, FACEP

Several states have begun instituting cost saving measures to deal with healthcare budget concerns by limiting the state's Medicaid costs. For example:

  • Over the last few months, Washington (state) ED physicians responded to a state legislative agenda that attempted to decrease reimbursement for Medicaid ED patients. With the WCEP chapter leading the way, this initiative was overturned in the courts and eventually led to a compromise agreement that required ED physicians to help reduce Medicaid costs. WCEP developed and implemented a list of seven best practices, currently in a trial period. At this time, they are reporting significant success in decreasing Medicaid volumes by ED physician's adoption of a set of narcotics prescribing guidelines, among other initiatives.
  • Massachusetts passed an extensive health care reform in their state legislature. It ties health care spending to the change in the gross state product and forms several new commissions to oversee the reforms. It does not require doctors to join global payment systems or organizations. It relaxed requirements for Physician Assistants - PA's no longer require physician signatures for prescriptions, and it increases the numbers of PA's that a doctor may supervise.
  • Florida is limiting the number of reimbursable ED Medicaid visits. The common theme is that the states are taking health care payment reform into their own hands, using various techniques to accomplish their cost-saving goals. States also tend to notice each other's activity, and success stories in one state tend to start showing up in other states. TCEP is monitoring these various initiatives as well as the chapters' responses and success stories so that we can effectively and timely respond.
In other news:
  • ACEP has formed a task force to determine the actual cost of defensive medicine.
Drs. Troutman and Shah were accepted into the TMA Leadership College Class of 2013!

TCEP would like to offer congratulations to Gerad Troutman, MD and Parin Shah, MD for their acceptance into the TMA Leadership College Class of 2013. 

High Praise is extended to the TCEP Leadership and Advocacy Fellowship Program.  Gabe Rodriguez, MD, TLAF class of 2009, completed the TMA Leadership College last year.

ems_conference_imageTexas EMS Conference 2012
Austin Convention Center
November 11-14
Austin, Texas

Exhibit Hall Hours
Sunday 2pm - 7pm
Monday 11am - 6pm
Tuesday 8am - 11am

Click here to for more information or to register>>>   
   News From the TCEP Medical Student Committee

Melanie Stanzer, MSIII
Secretary-Editor, Medical Student Committee

Ann Qiu, MSII UTHSC-San Antonio
Medical Student Committee Liaison Member

TCEP At-Large Committee Member


Interested in more information on the TCEP Medical Student Committee? Are you a medical student looking for more resources on emergency medicine targeted to medical students? Check out the new Medical Student Resource link on the TCEP website!

As an added bonus this month we have an update on emergency medicine at the University of Texas Health Science Center at San Antonio from the perspective of medical student, Ann Qiu:

This is an exciting time to be a University of Texas Health Science Center at San Antonio (UTHSCSA) medical student pursuing a career in Emergency Medicine. In the last two years, the department has been reinvigorated with new faculty from across the country who are passionate aboutann_qui_pic teaching students and spreading enthusiasm for the practice of Emergency Medicine. This culminated on September 1st with the naming of Dr. Bruce Adams, formerly Chief of Medical Staff at the William Beaumont Army Medical Center at Fort Bliss, as Chief of the new Center of Emergency Medicine. Additionally, on September 22, the RRC/AGCME approved a new three year Emergency Medicine residency program here at UTHSCSA! Beginning next fall, the program will train a class of ten residents per year in San Antonio - complete with a level I trauma center and the preferred tertiary care referral center for a 22 county region of South/Central Texas. In 2014, the ED will move to a new state-of-the-art trauma center currently under construction at University Hospital. Applications for the program are now available on ERAS.

In the meantime, medical students here at UTHSCSA have unprecedented access to the Emergency Medicine faculty. The UTHSCSA Emergency Medicine Student Association has tripled in size to over 70 students in the last two years, and is now the biggest specialty interest group at the school. A formal mentorship program has been established that assigns faculty members as mentors to EMIG members, and many first and second year students are getting early exposure to the field by working shifts in the ED with their mentors. Outside of the ED, members are learning important skills by participating in EMIG sponsored ultrasound, intubation, suturing, and cadaver labs, along with ambulance ride-alongs thanks to a partnership with local EMS. Over the summer, the department hosted a Wilderness Medicine trip in which six EM faculty led a group of fifteen medical students through a three-day course at Lost Maples State Park. Additional trips are in the works, as is a Wilderness Medicine elective for fourth-year medical students. Finally, we are excited be sending a contingent of medical students to Denver this month for the ACEP Scientific Assembly and the EMRA medical student events. We look forward to representing our school, building a broader professional network and bringing back new ideas for our EMIG and TCEP in general.

If you are interested in learning more about Emergency Medicine at UTHSCSA please see the department website at http://surgery.uthscsa.edu/emergencymedicine or join the Facebook group ("UTHSCSA Emergency Medicine").

Students interested in the new residency program are also encouraged to contact the following people directly with any questions:

Program Director: Christopher McNeil, MD (mcneilc3@uthscsa.edu)
Associate Program Director: Gillian Schmitz, MD (schmitzg@uthscsa.edu)
Associate Program Director: Andrew Muck, MD (muck@uthscsa.edu)
Program Coordinator: Ms. Peggy Herring (herringp@uthscsa.edu)


 Contact Information
Phone: 800.TEX.ACEP
E-Mail: texacep@gmail.com
Web: http://www.texacep.org/
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