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  March 2013

From the President

Dan Peckenpaugh, MD, FACEP

dan_peckenpaugh_color_picThank you for joining us for another edition of the EMPhasis, updating Texas emergency physicians on the recent happenings in TCEP.

I am in the process of getting ready for a shift in the ED in Bedford where I have worked exclusively for almost 30 years, and find myself reminiscing. Thinking back on the days in those early years of my career makes me reflect about what, in some ways, were the golden years of emergency medicine. We could see patients without today's onerous documentation requirements, without Press Ganey breathing down our necks, without the myriad regulatory agencies micro-managing our every decision, without the ominous threat of legal action at practically every turn.

Today, we live in a different world than the one I inhabited a generation ago. There are a lot of those external forces that want something from us -- to control us, to regulate us, to restrict our ability to make a decent monetary return on the huge personal investment that each of us made to further our careers.

Some people look at this and become despondent, but I think it all depends on how you look at life in general. I am an optimist. I choose to look at and think of the positive side and, in doing so, realize the excellent long-term prospects and future of our specialty.

In so many ways, the world of emergency medicine is a better one than in those "golden years." And as a witness to both generations, I feel that I can say that because I have watched emergency medicine mature in my (rather long) career.

At the local level, emergency physicians have a level of mutual respect from our physician colleagues that I could never have imagined a generation ago. It is now common to have EM physicians in medical staff leadership positions made possible by this mutual respect as well as a testament to our leadership skills and management talent. Our specialty is attracting the best and brightest medical students, making EM is one of the most sought after residency positions available.

We have positioned ourselves in the public eye as not only the physicians that save their family members from medical disasters, but also as the safety net for medical care in the United States. Most recognize that we are the only things providing adequate medical care for many patients and they applaud us for our efforts. We should be proud of this reputation.

Emergency medicine has also positioned itself in an enviable position of prominence and influence that belies our relatively small number of members in the overall house of medicine. Our specialty contains a large number of highly dedicated, forward thinking, talented, selfless emergency physicians who spend enormous amounts of their time and expertise making sure that EM is recognized at the local, state and national levels. These individuals have made emergency medicine into a powerful force that is to be reckoned with.

All this makes me believe our future is bright. I believe that we and our leaders have demonstrated that we have what it takes to weather any storm the future can throw at us, and weather it better than any other medical specialty. I believe that we have the power to control our own destiny.

Yes, our EM forefathers blazed a trail for us - now it is our turn to take the torch and forge ahead to new destinations, to achieve new goals. (This is the part where the Star Trek aficionado says, "to boldly go where no man has gone before.")

What we need is continued support from you, our members, and all the emergency physicians who are not current members of our organization. There is strength in numbers and a lot of untapped talent out there just waiting to be utilized. We need your expertise, your talent, your time and your membership to help make emergency medicine the most influential of all the medical specialties at all levels. Please encourage any non-TCEP members to join us in our effort, to pool our resources, and to work together to achieve our mutual goals.

I would like to encourage each of you to think about what you would like your organization to be, how you would like it to look, what you would want it to stand for - and then join the effort toward molding it into the organization we want it to be.

In closing, I would like to thank each of you for allowing me to serve as your TCEP President for the past 12 months. I hope that I have met your expectations as your organization's representative. I hope that I achieved my personal goal in that capacity, which was simply "to make a difference." I suspect that time will tell.

During my time of reflection, I realized that this edition of EMPhasis would be the last time my mug shot will be on the cover of this publication. It has been a great journey. I wouldn't trade this last year for anything in the world.

I would like to ask this of each of you. Remember what got us to this point. Keep up the faith in our organization. Keep looking forward. Keep up the hard work and the dedication to our specialty. Emergency medicine's brightest moments are still ahead of us because we hold the future in our hands.

And as I depart the "oval office," I will be leaving you in the more-than-capable hands of my colleague, my vital resource, and my friend Dr. Rick Robinson. I am certain he will continue to lead TCEP in the right direction.

We will continue to keep you informed on the status of issues important to TCEP. You may contact our chapter office at 800-839-2237 for any question or you may contact me at danpeck@me.com.

As always, thank you for your continued support.

Dan Peckenpaugh, MD, FACEP
TCEP President

Members may have noted a new feature of TCEP distributed in the Chapter's February, 2013 Update.  The Texas EM Residency Spotlight debuted with a look at the Baylor College of Medicine (BCM) EM Program.  The article reviewed faculty and resident contributions to our specialty and featured a number of the TCEP leadership on staff at BCM.  TCEP members should stay tuned for additional Residency Spotlight articles to keep pace with the accomplishments of our Texas EM Programs and their faculty, fellows, residents, and students.  Texas EM Residency Program Directors should contact Nancy Davis at TCEP headquarters texacep@gmail.com to learn more about contributing an article highlighting your program and its team in a future issue.  This is a great opportunity for all Texas EM Programs to shine so get started today.

In This Issue:
2013 TCEP Annual Meeting
Government Relations Committee Report
Who is TEMPA?
2013 TCEP Board of Director's Nominations
News From Medical Student Committee
Welcome New TCEP Members
ACEP Committee Interest Now Open

2013 TCEP Annual Meeting

TCEP 2013 Annual Meeting April 11 - 14, 2013
The Westin Stonebriar Resort • 159 Legacy Dr., Frisco, TX 75034 

The Annual Meeting Planning Committee, based on feedback from those of you who have attended the meeting the last few years, has planned a great conference for 2013.  We will be presenting lectures on a variety of subjects that has been important to Texas physicians in the past year.

Join our National ACEP Past President, Angela Gardner, MD, FACEP, for an update on current issues facing emergency physicians.

We will again have the Ultrasound Lab where attendees will learn about ED ultrasound and receive hands on experience by professional ultrasound technicians.

We anticipate a great meeting that will be well attended, so sign up early! 

*Approved for 19 hrs of CME



Government Relations Committee Report


Diana Fite, MD, FACEP
Chair, Government Relations Committee

All readers of these reports please feel free to attend our Government Relations Committee meeting in Frisco during the TCEP Annual Meeting.  Our committee meeting will be held on Friday, April 12, immediately following the exhibitors' reception, in one of the hotel restaurants.  All of our committee members are expected to attend, but if you cannot because you are the one who has to work during annual meeting, at least make it a priority to attend one of the remaining First Tuesdays (April 2, May 7). 

Our First Tuesday in February was a wonderful success as far as getting a lot of emergency physicians to the Capitol.  We had a showing of a least forty-five emergency physicians, including some emergency medicine residents and medical students who are planning on becoming emergency physicians.  Thanks to scheduling the TCEP Board Meeting the day before, and also thanks to Dr. Fisher and Dr. Hoxhaj's Leadership program participants joining us, we were able to triple our usual numbers. 

I would really encourage any of our TCEP members to come to one of the First Tuesdays.  I will be at all of them, as will our staff executives, Jim Coles and Nancy Davis.  Our lobbyist and/or her staff will be there.  Other physicians from your county medical society will be there. Just let Nancy Davis know you are coming (texacep@gmail.com or 1-800-TEX-ACEP) and she will get you registered with the Texas Medical Association.  We meet at 7:00 am in the TMA building first floor which is located at 401 West 15th.  If you live too far away to drive in that morning, the TMA has a block of rooms reserved at the Doubletree Suites Hotel in Austin next to the Capitol and across the street from the TMA Building.  Their phone number is 512-478-7000 and you cannot make the reservations on line because it will show as full.  You must call and ask for the "TMA First Tuesday" block.  We will let you know what to do and get you to the Capitol building.  You will increase your chance of meeting your actual Senator and Representative if you make an appointment in advance.  But meeting with the health care staff person is really every bit as important as the member because the staff people are usually the ones you make the recommendations to the legislator based on input from constituents.  A breakfast snack and a lunch will be provided by the TMA.  And bring your white coat because we want the legislators to know that physicians are there and care what happens with the legislative process.

Just call me or e-mail me if you are thinking about attending but have any hesitation.  We all need to know how the legislative process works so we can work with it and not have the governmental process control our practices.

Our two main legislative priorities for this session are preservation of our tort laws, especially pertaining to our "willful and wanton" clause protection for emergency care; and advocating for the ability to hold and transfer psychiatric patients who are suicidal or homicidal in the ED without having to wait on permission and a warrant from a judge or justice of the peace (HB 245).

Our lobbyist is monitoring other bills that will be of importance to our members, particularly bills that will affect freestanding emergency departments, bills that try to affect our ability to balance bill, and working with the TMA in supporting financing for more residency positions (GME, or graduate medical education, funding) and returning our Medicaid payments to cover emergency care appropriately and cover what Medicare does not pay in "dual eligible" patients. 

As we always remind our TCEP members, we would appreciate you working one shift per year to give to EMPACT (the political action committee for the Texas College of Emergency Physicians).  And larger donations are appreciated, of course.  We need to fund EMPACT so that we can give donations to legislators, particularly those in positions of importance to our issues or who have helped us out with our bills or with support of our agenda.  Our reports emphasize the importance of having a strong voice when it comes to legislation that affects us so directly.  We have to help legislators get elected who understand our issues and help us advocate for our patients.  EMPACT needs money to accomplish this. Please send your check to TCEP or call 1-800-TEX-ACEP with your credit card information.  You can donate with credit card deductions monthly or quarterly if that is helpful.  And you have to renew your donation on a yearly basis.  Please call me (713-301-3564) or e-mail me (dianafite@mail.com) or call our executive director, Jim Coles (1-800-TEX-ACEP) or e-mail him (texacep@gmail.com), if you wish to discuss any of the information in this report.


Who is TEMPA?

bruce_moskowBruce Moskow, MD, FACEP

Texas ACEP works closely with a number of the many Texas Emergency Medicine organizations to achieve common goals. During this Texas legislative season, Texas Emergency Medicine Practice Alliance  is one of our unofficial partners in lobbying the state. Since TEMPA may be unfamiliar to you, EMPHASIS asked TEMPA for the following description of its activities:

The Texas Emergency Medicine Practice Alliance is a public policy collaboration among many of the ED physician groups in Texas, of all sizes. We focus on advocacy efforts in the Texas Legislature and administrative agencies, emphasizing non-clinical aspects of Emergency Medicine practice, and particularly reimbursement. TEMPA began as a collective of groups concerned about fair reimbursement and balanced billing issues, and those subjects remain the core of our efforts. Our model is the EDPMA, Emergency Department Practice Management Association, which functions in much the same manner at the federal level. Membership is voluntary and is open to groups, billing services, and ED-affiliated vendors. We have no paid staff, no office, and a voluntary dues structure. TEMPA coordinates its lobbying efforts to achieve minimal overlap with Texas ACEP lobbying and the maximum effectiveness for both.

TEMPA is committed to strengthening the practice of Emergency Medicine as a part of the healthcare delivery system and to maintaining the financial viability of ED practice into the future.


2013 TCEP Board of Director's Nominations

Board of Director's Nominees

Fisher2_picAngela Siler Fisher, MD, FACEP

Professional Positions/Education and Certifications

Texas Tech University Health Sciences Center School of Medicine class of 2001.

Current Positions:

  • Secretary, TCEP Board of Directors 2012-present
  • Creator and Director, TCEP Mentors Program; 2011-present
  • Creator and Director, TCEP Medical Student Leadership Initiative; 2010- present
  • Creator and Co-Director, TCEP Leadership and Advocacy Fellowship Program 2008-present
  • Member, TCEP Government Relations Committee; 2007-present
  • Advisor, TCEP Residency Visit Program 2006- present
  • Chair, TCEP Membership Committee 2006- present

  • Member, Emergency Department Benchmarking Alliance Data and Metrics Sub-Committee; 2013-present
  • Chair, Academy of Women in Academic Emergency Medicine Regional Advisory Committee; 2012-present
  • Chair, American College of Emergency Physicians Membership Committee; 2011-present
  • Member, Texas Medical Association Committee on Emergency Medical Services and Trauma; 2011- present
  • Vice Chair, TEXPAC 6th Senate District; 2009- present
  • Program Chair, Texas Medical Association Emergency Medicine CME Program for TexMed; 2007- 2012
  • Delegate, Harris County Medical Society to TMA HOD; 2013-present
  • Member, Harris County Medical Society Emergency Medicine Committee; 2008- present
  • Co-director, Harris County Medical Society Joint Business of Medicine Elective for Baylor College of Medicine and UT- Houston Medical School; 2008- present

Tell us about your involvement in TCEP.

It has been my distinct pleasure to serve with TCEP since my return to Texas, post - residency, in 2006.  The most central of my efforts with TCEP has been the engagement of our members in organized medicine to ensure a strong voice for our emergency patients. 

With the help of many emergency physicians, residents, medical students and staff,  I created and implemented our EM Futures: Engaging Members, Developing Leaders Program which has correlated to a more than 70% growth in TCEP membership since it's inception 6 years ago. 

EM Futures is comprised of four individual initiatives targeting specific membership subgroups (medical students, residents, young physicians and leaders) while integrating the components into a coherent effort.  The goals of EM Futures are increasing visibility of the specialty, membership recruitment and retention and leadership development.  With more than 40 residency visits and 5 medical school visits (plus an additional 9 planned this year) supported by our database of more than 100 TCEP leaders and mentors along with our newest recruits, our 60 Leadership and Advocacy Fellows, TCEP has experienced unprecedented involvement and participation by its members ensuring the very best emergency care for all Texans!   

I am proud to have been a part of this amazing initiative that has now been accepted as the national strategy to recruit and retain ACEP members.

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

A wise mentor once stated to me that great things happen at the nexus of what we enjoy doing, what we are good at doing, and what is worth doing.  It is at this confluence that one's job becomes a life passion leading to a long and fulfilling career in medicine.  I am fortunate to have found my life passion- engaging and developing young leaders- and will continue to provide the support and resources to ensure the success of our next generation of TCEP leaders as a member of the TCEP Board of Directors.

Please provide a brief description of family, community and professional activities, and hobbies.

I am fortunate to have the full, unwavering support of my husband, Brandon, and two beautiful children, Siler and Harmon.  I am also fully supported by my emergency medicine team at Baylor College of Medicine and Ben Taub General Hospital with whom I have the pleasure of serving in the roles of associate chief of operations and public affairs and medical director. They are truly my friends and family and have long since been more than just co-workers.  I enjoy running and am currently training for my next half marathon and traveling with my family, friends, and colleagues to new and exciting places.

fitzJuan Fitz, MD, FACEP

Professional Positions/Education and Certifications

Medical School:

Graduated from Texas Tech HSC 1986.

Positions Held:

  • Spectrum Health Grand Rapids, Michigan EM Residency 1986-1989
  • Staff Physician Covenant Medical Center Lubbock, Texas
  • Medical Director Covenant Ambulance Service
  • Co-Medical Director Chest Pain Center Covenant Medical Center
  • Clinical Faculty and  EM Advisor Texas Tech HSC Lubbock, Texas.
  • Staff the emergency department at Covenant and also have medical students from Texas Tech do their EM rotations at Covenant. I also advise students as to the carreer in EM.
  • Teach nurse practitioner students and PA students from Texas Tech during their EM rotation.
  • Media spokesperson for Covenant.

Tell us about your involvement in TCEP.

Have been involved with TCEP since 1991 and have served 2 terms as a TCEP Board Member.
Have served as both a Councilor and Alternate Councilor from Texas to ACEP.
Have served on the Legislative Committee for more than 10 years and have enjoyed every moment of it. Testified at Congressional Committees on behalf of TCEP explaining our legislative issues.
Have had the honor to serve on the EMS Committee, Education and Practice and Reimbursement Committees.
Represented TCEP at the TMA First Tuesday meetings and lectured at the TexMed Annual Meetings and TCEP Annual meetings.

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

As a Director I would continue to support our legislative goals and continue to defend our tort reform.

I would work closely with other Board Members to promote TCEP and continue to increase our membership and find ways to offer more benefits to our members.

Find ways to communicate more effectively with our members.
Legislative issues are always on our radar and will continue to work with TCEP and other organizations to promote and defend many of our past accomplishments.

I believe the pressing issues will continue to be tort reform. Every year we have to be ready to defend what we have accomplished. We must stand ready to defend it for the sake of our physicians and our patients.

Reimbursement also is important. We as emergency physicians should be paid what we are worth. We are the only specialty that is available 24/7/365. We treat everybody.

Graduate medical education is very important and we must secure more funding for our Texas medical students being able to find a place to train and to be able to offer more EM residency positions.

Please provide a brief description of family, community and professional activities, and hobbies.

Originally from El Paso now living in Lubbock. My brother, daughter and grandchildren also reside in Lubbock. Believing in close family ties we spent a lot of time together enjoying our company.

Past president of the Lubbock Crosby Garza County Medical Society and still active with the organization.  Chair of the Lubbock Crosby Garza Centennial Celebration Committee. Established an adopt a medical student program. Chair of the public relations committee and alternate delegate to the Texas Medical Association.

Involved with Texas Tech Health Science Center by being an active clinical professor for the school and for medical students interested in emergency medicine.

Member of the Texas Medical Association. Past Chair of the EMS Trauma Committee of the Texas Medical Association. Delegate and alternate delegate to the Texas Medical Association.

Member of the American College of Emergency Physicians. Member of the Public Relations Committee, Emergency Practice Committee. Past member of the Steering Committee, past chair of a reference committee, past chair of Air Medical Section.

Spokesperson for ACEP. Past recipient of ACEP Heroes of Emergency Medicine. Spokesperson for Genetech and ACEP Stroke Awareness Program. Spokesperson for the ACEP Report Card Program for the Hispanic media and community.

Previous Assistant Medical Director for Covenant Emergency Department, recipient of the Excellence Award from Covenant Health System. Board Member of Covenant Health Partners. Member of the Qualtiy Review Committee for Covenant Health Partners and member of Credentials Committee for Covenant Medical Center and Covenant Health Partners. Past chair for Preventing Teenage Physical Abuse sponsored by Covenant and Women's Protective Services.

Medical Director for El Paso Community College EMT/Paramedic Program for past seventeen years.

Past few years have been working on trying to establish an Emergency Medicine Program in Lubbock.

On my free time I enjoy my time with my family. Enjoy golf, skiing, luge and cycling.

heidiHeidi Knowles, MD, FACEP

Professional Positions/Education and Certifications

Medical School:
University of Texas Health Science Center - Houston;  graduation: June 7, 2003

Current Positions held:
I am the Medical Director for the EMS education program at Trinity Valley Community College.  I also hold part time staff physician positions at several hospitals across Texas, from rural community hospitals to Level 1, academic trauma centers.  I love the variety and teaching that a career in emergency medicine allows.

Tell us about your involvement in TCEP.

  • Board of Directors Young Physician Representative 2012-2013
  • Leadership and Advocacy Fellow 2010
  • Membership, Bylaws and Education Committees
  • Co-Coordinator for the TCEP Residency Visit Program 2011-2013

In addition to participation in TCEP, I have served as a member of several ACEP Committees, including the Tellers and Credentials Committee (2011 to current), Young Physicians Section Steering Committee (2012 to current), Membership Committee (2010 to current) and Reference Committee (2010).

I work to represent TCEP on a state level by active participation in the Texas Medical Association's Young Physician Section, serving as Delegate in the upcoming year.  I also serve as a TexPAC Vice Chair for Senate District 3.

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

I feel fortunate to have discovered the value of active involvement with TCEP, and in my role as the Young Physician Representative I have tried to spread this enthusiasm.  I encourage as many people as possible to jump in and get involved because I think active participation is fundamental to protecting our role in the care of our communities.

The goals of TCEP must be to remain vigilant in the upcoming days to speak to the protection of our tort law, to ensure access to care for all individuals and to protect the integrity and value of emergency medicine as a whole.  We are the safety net for our communities... we must embrace this and encourage our members to act as advocates, both for our specialty as well as our patients. 

Please provide a brief description of family, community and professional activities, and hobbies.

I am married to Michael Ely, a chiropractor who provides me with an alternative and balanced view of healthcare.  Together, we remain active in the local Kiwanis Club where we serve as Co-Chairs for the Sponsored Youth Committee (2009 to current).  In this role, we work directly with the high school Key Club students, teaching leadership and the importance of community involvement.  I also serve on the local Henderson County United Way Board of Directors (2010 to current), an amazing organization whose main goal is to build a better, stronger community.  This board allows me the opportunity to help many individuals by raising funds for programs that provide assistance to the patients we see every day in the emergency department.  In my free time, I enjoy camping, fishing and traveling.

heatherHeather Owen, MD, FACEP

Professional Positions/Education and Certifications

University of Texas Medical Branch, Doctorate of Medicine, May 2005

As a community physician with Emergency Medicine Consultants, I work full time in a community hospital setting.  I am Vice President of the Medical Staff at Texas Health Presbyterian of Allen.  

Tell us about your involvement in TCEP.

I have been actively involved in TCEP since residency.  Initially serving as the Candidate Member, I have had the priviledge of serving on the TCEP Board of Directors since 2006.  Representing TCEP and its members is a responsiblility I take very seriously and find highly rewarding both personally and professionally.  While serving on the TCEP BOD, I have enjoyed representing the College on both a local and national level.  For example, I have represented the College and its members at ACEP Scientific Assembly, ACEP Legislative and Advocacy Conference, and TMA First Tuesdays.   I serve on the TCEP Medical Education committee and also as a mentor to upcoming leaders. Additionally, I am the ACEP State Representative for the Pediatric Readiness Program. 

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

In a time of so many uncertainties, our mission is still the same- as Emergency Medicine physicians we will continue to provide the best possible care for all of our patients. We will face trying times as the Affordable Care Act is implemented and will be called upon to help our patients navigate a changing healthcare system. This is an excellent opportunity for TCEP to reach out to our members and provide up to date information and resources to support you and your patients.

Legislative issues will demand our close attention. I will work diligently to fight for those issues that protect our practice environment and the patients we treat. These issues will certainly include protecting our tort laws- a lifelong campaign, advocating for better resources for our patients as well as sustaining Medicare reimbursements. I will continue to work with ACEP, TCEP and TMA to lobby and support our concerns.

If elected, my goals for my next term on the Board of Directors are to represent the members of TCEP through alliances with other organizations and political activism. As a community practicioner representing the majority of Texas emergency medicine physicians, I will continue to bring our issues to TMA, TCEP and ACEP. Additionally, I want to make TCEP a better resource for our members. I will create a more comprehensive website with resources to help you with your practice. I envision improving outreach to our members to better identify what our members need from TCEP.

Please provide a brief description of family, community and professional activities, and hobbies.

I work full time in a community hospital in the Dallas area.  I am actively involved in my community and my hospital.  I thoroughly enjoy my clinical time, but am further fulfilled by my involvement in organized medicine. Very early in my medical career I was introduced to organized medicine and immediately felt a passion for devoting my time and efforts to the betterment of our specialty and profession.  I have served in state and national offices throughout my career.  When I became involved with TCEP in residency, I felt the greatest reward by advocating for the issues most important to me and my patients.  I continually increase my activities both locally and nationally.  In addition to my active involvement in TCEP and TMA, I serve on the Dallas County Medical Society Public Health Committee (2008-current) as well as the ACEP Public Health and Injury Prevention (2007-current).

When not working, I enjoy spending time with my family.  I have three precious children, Morgan (4y), Delaney and Dylan (2y) who are the light of my life and fill my days with joy.

Board of Director's Young Physician Nominees

Chet_SchraderChet Schrader, MD

Professional Positions/Education and Certifications

  • University of Kansas School of Medicine - May 2006
  • Currently, Associate Medical Director - Baylor Medical Center Carrollton
  • Director of Quality & Data - John Peter Smith Hospital
  • Staff Physician - Baylor University Medical Center

Tell us about your involvement in TCEP.

Having moved to the state of Texas in 2010, I am relatively new the TCEP.  I am a graduate of the TCEP Leadership and Advocacy Fellowship which I completed in 2011. I have also participated in the Government Relations Committee and the Technology Committee.

Prior to my move to Texas, I was actively involved in the Missouri College of Emergency Physicians serving as the ACEP 911 Network State Leader - this involved meeting with Missouri Candidates and determining NEMPAC support, arranging hospital visits, and delivering campaign checks.

My participation in ACEP consists of 5 years on the Federal Government Affairs Committee.  I was named to the ACEP Poison Control Centers Task Force in January 2010.  I have also completed a 1 month Internship at the Washington, DC ACEP office. 

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

My primary goal as a Director would be to effectively advocate for emergency physicians who are new to their practice.  I feel as the YPS Director I should represent the voice of the newest generation of emergency physicians.  Additionally, as an emergency physician who attended a medical school with little exposure to emergency medicine, I would like to see growth of the TCEP Mentor's database - as there is a unique role YPS physicians can serve to mentor medical students with an interest in Emergency Medicine.

One particular topic I would like to see TCEP advocate strongly for this year is the right to impose a medical hold on psychiatric patients in the ED.  Too often, I've seen physicians, staff, security and even police officers refuse to detain an individual who had previously attempted suicide.  I think, with support from our psychiatric colleagues, we could develop policy to enable our physicians to protect our staff & our patients from harm.

The most pressing issue facing Emergency Physicians in the next three years is the implementation of the ACA by 2014.  With increased Medicaid enrollment and decreased Medicaid reimbursement, patients are going to be more likely to seek care in Emergency Departments.  Already crowded EDs will experience higher volumes of patients stressing an already strained system.  Other issues that are pertinent to Texas emergency physicians include delegation vs autonomy of NPs/PAs, continued attempts to erode portions of the Texas Liability Reform and, as mentioned before, the issue of Medicaid reimbursement levels.

Please provide a brief description of family, community and professional activities, and hobbies.

Married to my beautiful wife Ashley.  We have four children - Cadence, 7, Jamison, 4, Zeke, 4, & Elijah, 3 - who serve as my primary hobby. 

Faithfully attend church at Watermark Community Church.

My interest in public health and disparities has lead me to return to school where I am currently completing my MPH. 

My hobbies include spending time with family, traveling and sports.

troutman1Gerad Troutman, MD

Professional Positions/Education and Certifications

Texas Tech University Health Sciences Center School of Medicine - 2007


TCEP Physician Liaison to the Medical Student Committee - Assist and aid in the direction of the committee as it carries out goals set forth by the TCEP Board.  I worked closely with the students to establish the first Medical Student Track in 2012, and helped gain EMRAs support in 2013 and aided in turning it into a regional affair.
TCEP EMS Committee - New Member - Recently joined and wish to help develop education for Texas EMS Directors to meet the requirements of TMB Rule 197.
TCEP Leadership and Advocacy Fellow - 2011-2012


ACEP Emergency Medicine Practice Committee Member - Directed by the ACEP board to review, edit, and provide feedback on various ACEP policies, white papers, and other duties as needed.
ACEP Alternate Councilor 2012 - I was able to sit as a Councilor on the second day and vote on resolutions and new ACEP leadership.


TMA House of Delegates Member for YPS - Represent the Young Physicians Section at the House of Delegates to vote and assist in establishing TMA policy important to our group.
TMA Leadership College - Current - A year long program sponsored by the TMA to provide skills to future leaders for the TMA/AMA.


Texas Tech School of Medicine Lubbock - Emergency Medicine Student Clerkship Director & Emergency Medicine Interest Group Advisor - I provide direct mentorship to all students in Lubbock interested in EM as a career, establish all logistics for student and outside resident rotations in our department, and oversee the EM Interest Groups direction.
UMC EMS Medical Director - 911 Transport Provider for the city and county of Lubbock, TX with 41,000 call volume; approximately 130 ALS Providers
Lubbock Fire Department Medical Director - 911 ALS First Responder Organization for Lubbock, TX.  Over 350 EMT providers and 50 ALS providers.

Tell us about your involvement in TCEP.

My original involvement with TCEP began with my participation as a Leadership and Advocacy Fellow.  This experience has taught me how to navigate TCEP and ACEP and how to develop and continue to grow leadership skills.  I really enjoy medical education and showing medical students how awesome our specialty is.  I quickly found my niche in the "Medical Student Committee".  Since this was a committee for only students, I was asked to be their general physician liaison.  Last year, I helped them develop the Medical Student Track at the annual meeting and gave a lecture at that series.  It was extremely popular with over 100 in attendance.  This year, I assisted the committee in securing EMRA's support, and we have developed the program into a regional affair with nationally regarded speakers.  Recently, I became involved with EMS as a medical director and have agreed to work with the EMS Committee on developing courses and education to aide Texas EMS Medical Directors in meeting the requirements of the new TMB Rule 197.

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

As the young physician board member, one of my largest goals is to continue to learn how to navigate our system and identify and hone my leadership skills.  I remain particularly interested in the transition of medical students into EM residents.  I intend to continue to work very closely with the medical student committee in developing subsequent student tracks at our annual meeting.  I would also like to see the Medical Student Leadership Initiative continue to grow and advance.  I believe now is an exciting time to be involved with Emergency Medicine Advocacy.  I have made visits to Austin during the last two months to advocate for medicine; I have also been to Washington DC during the last three years to advocate with ACEP for issues facing Emergency Physicians.  I believe it is very important to make certain not only medicine, but Emergency Medicine, is at the table as legislation is developed.

Please provide a brief description of family, community and professional activities, and hobbies.

I am married to Ashley Troutman who is a Chemical Engineer with BP.  We have one son, Cash Troutman, who is almost two years old.  We have been involved with a service organization, Lions Club International for over 10 years and are currently members of Hub City Lions Club.  Our biggest hobby is traveling.  We have flown out of Lubbock for 18 straight months.  We have visited almost every major city in the US and soon wish to start making more International Travel.  We also enjoy fine dining and enjoying "tasting menus" at the best restaurants in America.  I enjoy interacting with medical students, especially those interested in Emergency Medicine, and assisting them with their goals to become an Emergency Physician.

Board of Director's Candidate Nominees

AnthonyJamesAnthony James, MD

Professional Positions/Education and Certifications

Texas A&M University College of Medicine Class of 2007

Scott & White Hospital- Emergency Medicine Resident Physician 2011- present

Tell us about your involvement in TCEP.

To date, my involvement has been as a resident physician member.

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

My goal as a TCEP Board Member would be to represent the interests of Emergency Medicine physicians in Texas from the viewpoint of a physician in training.

Care Act, large numbers of new patients will seek care in the Emergency Departments across Texas. Emergency Departments will need to continue working toward ever more efficient models of patient care to manage larger patient volumes. Another pertinent issue facing Emergency Medicine in the next three years will be finding novel ways to provide optimal health care in a climate of finite, and potentially declining, resources. Lastly, efforts must be continued to protect our exemplary Tort laws.

Please provide a brief description of family, community and professional activities, and hobbies.

I have been married to my wife, Elizabeth, for seventeen years. We have four beautiful children, Jonathan, Sophia, Preston, and Nicholas. The vast majority of my time is devoted to work and family, but I also enjoy restoration projects on our 100 year old home, reading, gardening, and numismatics (coin collecting). As a medical student, I served a two year term on the Board of Directors for the student run Health Clinic (Martha's Clinic) and helped secure a grant in the amount of $20,000 from the American Association of Medical Colleges (AAMC) and the Pfizer Medical Humanities Initiative (PMHI). Other leadership roles have included serving a 3 year term as treasurer for my church, being a member of the Texas A&M University College of Medicine admissions committee (2004-2007), and a certified ATLS instructor at Scott and White Hospital.

tracy2Christine Tracy, DO

Professional Positions/Education and Certifications

I graduated from Des Moines University College of Osteopathic Medicine in May of 2011.

Currently JPS Resident in Emergency Medicine.

Junior Administrative chief:  attend monthly chief's meeting as the Emergency Medicine Residency representative to discuss issues and updates with the Chiefs of other residency programs; attend faculty/department meetings; resident-faculty liaison

Junior Academic chief: schedule and teach procedure lab for rotating medical students; making the monthly schedule for rotating medical students; ensuring that resident conference didactics adhere to scheduled times

Sepsis Committee Resident Liaison - developing sepsis guidelines for acute patient care in the ED; ongoing quality improvement.

Trauma Task Force Committee member - development and augmentation of trauma activation guidelines; ongoing quality improvement and chart review

Stroke Task Force Committee member - development and augmentation of acute stroke guidelines; ongoing quality improvement and chart review

Tell us about your involvement in TCEP.

I have a rich background in organized medicine as evident in my involvement with professional groups during undergraduate and medical schools. Along with my proud TCEP membership, I stay current with issues in emergency medicine by reading TCEP publications such as the EMphasis, and attending the annual meeting; however I am now in my second year of residency and feel ready to pursue more of an active role. As junior chief, I exhibited qualities and skills, such as attention to detail, excellent listening ability and interpersonal communication as liaison between faculty, residents and staff, that I believe will aide me greatly as I become more actively involved with TCEP and its members.

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

It is my desire to have a more active role in TCEP and its mission as it continues to promote excellence in emergency care through education, policy development and its commitment to the professional interests of its members. I intend to acquire more knowledge and experience with policy making and change. I am also interested in resident education and recruitment in regards to active participation and involvement in such policy changes.

There are a myriad of issues that EM physicians are facing and will continue to face, such as emergency department overcrowding and boarding, healthcare affordability, opioid abuse and access to care. But from a young physician's perspective, there are specific issues that will most certainly provide a challenge to those of us freshly graduated into this specialty over the coming three years. For example, the gradual transition of the patient to a customer is a concept that is not taught in medical education. The implications that this concept of "customer satisfaction" has with overall physician satisfaction as it mandates how physicians interact with their patients and influences clinical decision making and quality of patient care, is yet to be determined. In addition, with the healthcare reform and reimbursement changes currently and on the horizon, this will no doubt have a major impact on those of us who graduate with significant debt burden accrued through medical education.

Please provide a brief description of family, community and professional activities, and hobbies.

I am the eldest sibling in my immediate family and the first one of my family to graduate from college and medical school. I was raised in the Fort Worth area with my father as a local minister and was often involved with local community outreach, city food pantry collections, short term mission trips and fundraising. I became more involved with professional activities during undergraduate and medical school as I joined the Premedical Society, EMRA, Emergency Medicine Club, to name a few. I am a current member of TMA, EMRA and TCEP/ACEP. I enjoy outdoor activities such as hiking, deep sea fishing and kayaking. I enjoy photography, specifically portrait, aerial and landscape photography.

Board of Director's Medical Student Nominees

TCEP_BOD_Picture__Brian_MillerBrian Miller, MSIII

Professional Positions/Education and Certifications

Medical School: UT Health Science Center at Houston- Graduation May 2014
Former UT Houston EMIG Vice President (2011-2012)

Tell us about your involvement in TCEP.

I became involved as a member of TCEP as a 1st year medical student in early 2011. Attending ACEP Scientific Assembly in 2012 with the TCEP delegation inspired me to increase my involvement and take a more active role in TCEP's efforts to support medical students and voice their needs and concerns.

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

As the medical student member on the BOD, I would continue the strong emphasis on increasing membership especially among medical students.  As the future leaders of emergency medicine it is imperative that we focus on preparing medical students to advocate for EM on the local, state and national levels.  It is my goal to develop a close relationship between medical students, EM residents, and the young emergency physicians of TCEP.  By building this relationship, it is my hope to establish not only a unified voice for the newest generation of emergency physicians, but also a continual system of mentorships.

One of the most pressing issues facing emergency physicians is the impact of the implementation of the Affordable Care Act (ACA) in 2014.  With ED visits predicted to increase from levels already causing overcrowding, our current system will be even further taxed.  Additionally, the preservation of GME funding for emergency medicine residencies is important in order to ensure there are an adequate number of board certified emergency physicians in the profession to help satisfy the growing demand.  As new Medicare payment mechanisms are implemented and Medicaid funding is strained, it is crucial that TCEP/ACEP work to ensure fair reimbursement for emergency services rendered and continued access to care for our patients.  Finally, the defense against assaults on our current tort law in Texas is critical to ensure the continued availability of emergency and on-call physicians.

Please provide a brief description of family, community and professional activities, and hobbies.

I have been married to my wonderful wife Katie for the last 1.5 years.  As an EMT throughout college, I continue to have a strong interest in all things EMS related.  For the past 3 years I have been a BLS instructor and have lead classes with our EMIG for undergraduate pre-med students in an effort to highlight the field of emergency medicine.  My hobbies outside of medicine include watching/attending Texas A&M football games, cooking, backpacking/camping, and traveling.

michaelMichael Pandya

Professional Positions/Education and Certifications

The University of Texas Medical School at Houston - Anticipated Graduation May 2014


TCEP Medical Student Committee (MSC) At Large Member - UT Houston
  • Helped Organize TCEP Outstanding Medical Student Award, including drafting of clarifying documents and promoting award to clerkship directors
  • Coordinated TCEP MSC efforts with EMRA to enhance database of 4th-year away rotations,
  • Assisted with MSC website redesign and content development.
TCEP Medical Student Track (MST) Coordinator - Lead a team of students in developing and implementing TCEP and EMRA program for Medical Students attending the 2013 Annual Meeting
TCEP EMS Committee - New Member: anticipate helping to develop training criteria for Texas EMS medical directors compliant with TMB Rule 197
Website working group: heading up group charged by TCEP Board of Directors to evaluate the functionality and provide recommendations for strategic redesign of the TCEP website


Houston Global Health Collaborative - Collaborating to ADVANCE Global Health Conference - Program Committee - Inaugural conference for global health initiatives geared toward encouraging collaboration among faculty and students across disciplines. Working on interdisciplinary student team developing and coordinating conference events
Memorial Hermann Children's Hospital Pediatric QI Initiative to Reduce Asthma Re-admissions - student driven initiative; currently coordinating implementation of initial phase with pediatric department

Tell us about your involvement in TCEP.

Over the past year and a half, I have been involved with the TCEP Medical Student Committee, first, as a Liaison from TTUHSC - Lubbock, and now, as an At Large member from UT Houston.   While at TTUHSC, I expanded our schools involvement with TCEP and organized a large contingent to attend the first Medical Student Track (MST). After the Annual Meeting last year, I designed, distributed, and analyzed a survey to obtain feedback about the MST. Overall, our results showed the MST was an overwhelming success! I was excited to use that information forward into this year when I was selected to lead the planning committee for the MST. I also pursued projects with the MSC including developing the TCEP Outstanding Medical Student Award, expanding the EMRA away-elective database, and developing the committee webpage. Additionally, I have attended the TCEP Board of Director meetings in the past year and was charged by the Board to lead an initiative to evaluate the functionality and strategic position of our organizations website.

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

As the medical student board member, my goals are to represent the student physician perspective, advocate for student educational initiatives, and expand opportunities for student involvement in organized emergency medicine. I also want to further understand organized medicine to continue developing my leadership skills. I transferred from Texas Tech University HSC School of Medicine to UT-Houston last year, in order to be closer to my wife. The unique experience of attending two schools has given me a strong understanding of the concerns students have across the state. A pressing issue which pertains to medical students in Texas is graduate medical education. As many are aware, the growth of medical school class seats has far outpaced the growth of residency positions. I am excited to see the expansion of emergency medicine residencies in Texas and I hope we will have ample opportunity to advocate for more. Finally, the MSC has made a significant impact on the role of students in organized medicine in our state. I hope to bring more attention to the great work of our students to the board and to foster continued support for our efforts.

Please provide a brief description of family, community and professional activities, and hobbies.

I am married to Kemly Philip-Pandya, to a beautiful MD/PhD student at UT Houston. We recently adopted an adorable puppy named Bella. When I am not on rotations, I enjoy spending my time outdoors with Bella or working with EMS.  Currently, I am working on a project studying outcomes following pre-hospital administration of hydroxocobalamin for fire-associated cyanide poisoning. I also enjoy teaching CPR classes and assisting with the EMT training courses at my alma mater, Rice University. My wife and I spend our time volunteering together, particularly on projects related to global and border health.  We also enjoy exploring the exotic cuisine in Houston and traveling across the globe. 

ronnie_Kuo_RenRonnie Kuo Ren

Professional Positions/Education and Certifications

Baylor College of Medicine, Class of 2015


BCM EMIG Liaison to TCEP Student Committee, 2013-Present

BCM Emergency Medicine Interest Group (EMIG)

BCM EMIG Skills Coordinator, 2011-Present
  • Coordinate and teach basic EM clinical skills courses (phlebotomy, sutures, airway management, etc) for over 70 BCM students per year participating in Ben Taub Emergency Center Work Study Program.
  • Coordinate and teach BCM's curriculum phlebotomy course for 2nd year medical students.
American Heart Association ACLS/BLS Instructor for BCM for Students, Faculty, and Staff

Rice University Emergency Medical Services

Clinical Preceptor for Rice University EMT Basic & Advanced Courses, 2011-Present
  • Clinical supervisor for EMTs in training in the emergency department
  • Served as a member of Rice EMS Education Oversight Committee for 3 years until 2012.

Public Health

Co-Founder of VaxNation
  • Worked with a team of medical students and programmers to develop a web application that improves access to vaccinations for children with inconsistent medical care
  • Co-authored the winning proposal for the HDI competition

Tell us about your involvement in TCEP.

This year, I had the pleasure of becoming BCM EMIG's Liaison to TCEP Student Committee. I quickly involved myself in many of its activities and look forward to everything TCEP can accomplish in the coming years. Having attended the TCEP Bod annual meeting this year in Austin, I was able to gain a firsthand experience in the roles and responsibilities of a TCEP Director and feel confident in my ability to handle challenges faced by TCEP.

My current TCEP project involves coordinating with Michael Pandya, another committee member from UTHSC-Houston, to look for ways to redesign the student section of the TCEP website. Today, an organization's online presence is as critical as its physical presence. We're examining ways to make the website more user-friendly so that it can better deliver quality content and attract the new wave of emergency physicians.

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

With the introduction and evolution of Patient Protection and Affordable Care Act (PPACA), it has become increasingly important for Emergency Medicine to be represented in all levels of the government. As a gatekeeper for all other healthcare fields, Emergency Medicine stands apart from the rest of the medical field. Many EM physicians are concerned that the state is increasing access to care without properly addressing physician reimbursement for by-nature expensive Emergency Medicine.  Policymakers must be made aware of this in their decision making.

As patient access to care is being addressed, attention needs to go to efforts to improve ED overcrowding. While PPACA in theory will divert many uninsured patients away from the ED, patient perception of emergencies will continue to draw patients in. Therefore, more efforts need to be placed into solutions that can help address this continuing problem.

In order to tackle many of the issues facing EM, the shortage of board-certified EM physicians, especially in under-served, rural areas, must be addressed first and foremost. Over the last few decades, ACEP and its chapters have worked hard to establish a standard for emergency care. Now, the challenge is to maintain it in a stretched playing field. It is clear that more funding is needed for physician training, but there is also a need to incentivize physicians to practice in under-served areas.

In more established areas, the ED is recognized as the unofficial central hub of a general hospital. It adopted the role of hospital triage, responsible for filling many of the beds in every department. On the other hand, the Institute of Medicine recently released a report detailing that hospitals, on a daily basis, experience both overcrowding and under-utilization of beds. To address this inefficiency, EM must take the leading voice of change as a focus point of the hospital system.

As the representative student member of the board, my goal will be educational and representative. I look forward to learning from the years of experience of the members currently on the board. In addition, I will help ensure that future physicians are aware of the issues that we face and that their voices are well represented within TCEP. I look forward to contributing to that voice as we continue to protect the interests of emergency physicians in Texas.

Please provide a brief description of family, community and professional activities, and hobbies.

Since moving from Japan at age of 10, I've been proud to call Houston my home. A mechanical engineer by education, I became interested in design and love to discuss solutions to do things better. This passion led me to design a surgical tool for minimally invasive vascular surgery and to participate and win in health design competitions like Institute of Medicine's Go Viral to Improve  Health Challenge and IDEO's 24hr Design Challenge.

I was first drawn to Emergency Medicine by the rush of excitement I experienced as an EMT. I am interested in EM now because it challenges physicians to not only deliver quality care, but timely, efficient care as well. I appreciate the weight it places on effectiveness of healthcare delivery in all aspects, from medicine to finance. I firmly believe that EM, as a safety net for medicine in the U. S., should have a leading voice in shaping the coming healthcare changes. If elected to TCEP Board of Directors as a student member, I will strive to ensure that the interests of future emergency physicians are well represented as the field continues to grow.

My other hobbies include painting, working out, and spending time with my family and friends.

as_photoArchana Shah

Professional Positions/Education and Certifications

Texas Tech University Health Sciences Center School of Medicine
Graduation date: 2015

Positions Held:

  • EMIG President 2012-2013
  • Organized Summer 2012 and Academic Year 2012-13 EM Preceptorships for MS2s, MS3s: Scheduling 7 12-hour shifts for 14-20 students per preceptorship and conducting orientation to review clinical encounters including access to PowerChart
  • Coordinated EM Elective: 6 academic lectures, 6 skills workshops; and Suture Clinic
  • Conducted Wilderness Medicine Weekend Workshop in conjuction with International Medicine Club: TTUHSC International Wilderness Adventure: The Great Race 2013
  • Set up EM shadowing for MS1s and MS2s

Tell us about your involvement in TCEP.

I joined TCEP this past year and would like to become more active in the organization as a medical student.  Our school does not have an EM Residency program so our EMIG has been working to increase awareness and participation in EMIG and TCEP within our organization.

Convey to us your goals as a Director and what you see as the pressing issues facing Emergency Physicians in the next three years.

I would like to increase cross-collaborations among EMIGs throughout the state - for example, we are hosting a weekend workshop which includes a competitive race.  It would be a great way for our organizations to interact by sending teams to compete in such an event.

Please provide a brief description of family, community and professional activities, and hobbies.

My husband, Neil Patel, is a healthcare consultant at Chartis.  I am also the TTUHSC SOM chapter president of American Medical Women Association and vice-president of Student National Medical Organization.  I enjoy running, dancing and yoga.

News From TCEP Medical Student Committee

Melanie Stanzer, MSIV
TCEP Medical Student Committee

The Medical Student Committee has been working hard to introduce and instill interest in organized emergency medicine to medical students. Our focus for this semester to achieve this goal is the Medical Student Leadership Initiative (MSLI).

Our MSLI dates for this month are as follows:

  • University of Texas Medical Branch: 3/13/2013 at noon
  • Texas Tech University Health Science Center at El Paso: 3/15/2013 at noon
  • Baylor College of Medicine: 03/19/2013
  • Texas College of Osteopathic Medicine: 3/21/12 at noon
  • University of Texas Health in Houston: 3/25/13 at noon
We are continuously looking for enthusiastic panelists, so if you work in close proximity to one of these medical schools and would like to donate some of your time to speak about your involvement in emergency medicine, we would love to have you! Please contact cordellcunningham@gmail.com. 

Students don’t forget to register for the Annual Meeting at http://www.texacep.org/ for an exciting Medical Student Track on April 13,2013 geared for you!

Students Get Engaged in Exciting Projects at UNTHSC-Texas College of Osteopathic Medicine

Briana Tully, OMSI, TCOM
EMIG President

Joseph Godwin, OMSI, TCOM
EMIG Vice-President

Briana_TullyAt the UNTHSC Texas College of Osteopathic Medicine (TCOM) the mission for our Emergency Medicine Interest Group (EMIG) is to introduce and promote emergency medicine by bolstering interest and supporting students on their path to becoming EM physicians.  Equally important, we strive for all of our members to leave medical school with an appreciation of the variety of providers in emergency care. Throughout the year, the TCOM EMIG hosts numerous activities and speakers to give our members a glimpse of the many rewards and challenges that lay ahead, should they choose emergency medicine as their field of practice.

On a continuous basis, EMIG members have the opportunity to shadow attending EM physicians at Texas Health Resource Harris Methodist Hospital, a primary stroke center and level II trauma center in Fort Worth. Members can also ride along with MedStar EMS's Advanced Practice Paramedics responding to critical 911 calls as well as scheduled house-calls to frequent 911 callers enrolled in MedStar's Community Health Program. This exposes our members to emergency medicine in the field with experienced pre-hospital providers while simultaneously fostering appreciation for the social work aspects involved in serving the diverse populations of Ft. Worth.

The fall semester was packed full of varied skill and learning workshops that included suturing, ultrasound, and intubation practice, as well as a Lunch-and-Learn series which focused on capnography as a valuable diagnostic tool. Additionally, we enjoyed hosting chairman of the American Board of Disaster Medicine, Martin E. Thornton, D.O., a 1982 TCOM graduate. Dr. Thornton presented an overview of his work in disaster medicine and the many opportunities it has provided him to serve the public.

Joseph_GodwinIn November, we were excited to have PHI's Air Medical MED-8 helicopter land on our campus to help mark the beginning of our new EMIG Flight Ride-out Program. This drew quite a crowd of students and faculty alike as the crew explained their duties, equipment, and relationship with medical director Roy Yamada, M.D., FACEP. Our new program gives members the opportunity to fly along with a flight RN and a paramedic to observe critical care flight EMS up close and personal. 

Going into the winter break, the EMIG hosted an EMRA panel which included chief-residents from both Parkland and JPS. They answered questions regarding emergency medicine practice, the match, and factors that they perceive residencies look for in an applicant. Members especially enjoyed the ability to ask individualized questions regarding the residency acceptance process.

Thus far in the spring semester, EMIG and the Pediatric Club co-hosted Daniel Guzman M.D., FACEP, who is a pediatric emergency medicine physician at Cook Children's and director of Cook's Teddy Bear Transport Team. He discussed the path he took to become a pediatric EM specialist and the many challenges and rewards that it has provided him. Most recently, we had the pleasure of having speaker Jeff Beeson D.O., R.N., L.P., a TCOM alumnus and medical director for both MedStar EMS and Ft. Worth's Emergency Physician Advisory Board. He discussed how he transitioned from a basic EMT to flight nurse/Paramedic to now providing physician oversight of an EMS system that serves 880,000 people in the greater Fort Worth area.

True to the form of TCOM's dedication to geriatric medicine, EMIG members will begin volunteering in our new Vial of Life program. This program allows patients to store their medical information in an accessible place for EMS personnel to reference in an emergency. At the UNTHSC Patient Care Center, our members will be providing geriatric patients with a Vial of Life kit consisting of a medical information sheet, a refrigerator-door storage container for the document, and a decal for their residence front door that alerts EMS crews where to go to find the potentially life-saving information. Our student doctors will get to sharpen their documentation and focused history skills by working with patients and their PCP's to accurately log allergies, medications, and past medical history. Most importantly, they will need to analyze the question "What would EMS and I need to know if this patient were alone and unconscious?"

Additional activities planned for this year will include a central line lab and a pre-ACLS seminar for second year students who desire to hone their EKG and pharmacology knowledge prior to taking their first ACLS course this summer. In mid-March, the TCOM EMIG is teaming up with Brookhaven College's Paramedic program to have their paramedic students teach our future doctors a skill or two. We hope to see our goal of fostering interdisciplinary cooperation and mutual respect for all providers manifest itself by having mixed EMIG member/medic student crews run simulated traumatic-arrest and transport scenarios.

As the semester comes to an end, current OMS-II's will take over the library to prepare for board exams and the transition into rotations, while elected first years will take over the reins of the EMIG this May. We are eagerly looking forward to another great year within the TCOM EMIG for the 2013-2014 school year.

UTHSCSA Students Kick Off First TCEP Medical Student Leadership Initiative of the Year

Ann Qui, MSII, UTHSCSA MSC Liaison

Mark Huber, MSI, UTHSCSA At-Large Committee Member

Ann_QiuThis month, the University of Texas Health Science Center at San Antonio Emergency Medicine Interest Group held a Medical Student Leadership Initiative (MSLI) event. The goal of the event was to raise awareness about TCEP, EMRA, and ACEP and to get medical students involved in professional organizations on both a statewide and national levels. We were very fortunate to have two established emergency physicians, Dr. Schmitz and Dr. Taylor, come speak to us about the benefits of getting involved.

Dr. Gillian Schmitz is an associate program director for the new UTHSCSA emergency medicine (EM) residency program that will see its first class this year. She is nationally recognized in EMRA and with her involvement in other professional organizations she was able to provide students with valuable perspectives from an academic standpoint.

Mark_HuberDr. Tim Taylor is a TCEP Board of Directors member and community EM physician. He also founded Proscribe, a company providing medical scribes for physicians in hospitals, emergency departments, urgent care centers, and clinics throughout Texas and California. Furthermore, he is the president of Emergency Physicians Affiliates, an EM management and staffing company that contracts with hospitals all around San Antonio. Dr. Taylor shared some insight into what it was like to work in the community, a perspective that we as students at a health science center do not often get the chance to see.

Both physicians shared their thoughts about the advantages of joining TCEP as a medical student, including the many opportunities within these organizations to learn about various facets of EM. An abundance of resources are available from these organizations ranging from information on the residency application process to political topics relating to the future of the specialty. Although it may seem from their names that these organizations are geared solely to residents or practicing physicians, we quickly learned that there are just as many resources for medical students who are exploring EM and want to get involved. Dr. Schmitz and Dr. Taylor also shared their personal experiences and involvement with these organizations and how they have benefitted from not only the online resources and newsletters, but more importantly, from the many opportunities to meet and network with other motivated inspirational EM physicians from all over the country. Their advice inspired us as students to strongly consider joining TCEP and getting involved early on. Rather than limiting ourselves to the opportunities that present themselves within our schools and immediate communities, we can explore opportunities in EM on the national level and learn first hand from the brightest leaders in the field.

The format of the MSLI event was an open Q&A discussion with Dr. Schmitz and Dr. Taylor. As students, we really appreciated the opportunity to pick their brains about EM, from their views on the different practice settings to their thoughts on the future of EM. We are so privileged to have these two motivated physicians in our community and truly appreciate that they made time to come speak to us, despite their busy schedules. We hope to continue getting the word out to our fellow classmates about TCEP and other student-friendly professional organizations through future events like the MSLI!



Welcome New TCEP Members

George P Abraham, MD
Gency S Abraham
Neal Agarwal, MD
Kim N Aldy
Judith Brown
Vasco Cheuk, MD
Emily Cooper
Samantha Debold
Stephanie K Depaepe
Roy Joseph Dileo, MD
Austin T Folley, MD
Patrick R Fraser
Lindsey M Haney
Lael Hubbard
Norma Islam
Steven M Maher
Adam Mankowski
Joseph M Martin
Amber Mock
Jacob P Mumm
John D Ngo
Christopher Noel
Miguel A Palacios
Jonathan Purcell, MD
Miles Raizada
Erica L Richardson, MD
Austin T Smith
Derek A Smith
Sarah E Strot
Paul Sundberg
Christopher N Sweat
Gerard R Tiffault, MD
Christopher D Vera
Patrick S Zelley, MD


ACEP Committee Interest Now Open

Committee interest for FY 2013-14 is now open. Various ACEP publications will outline the process for members and information is also on the ACEP Web site. Members interested in serving on a committee, and who are not currently serving on a national committee, must submit a completed committee interest form and CV by May 17, 2013. The CV and any letters of support from the chapter can be attached to the online form (preferred), emailed to me at mfletcher@acep.org, or mailed to me at ACEP headquarters. Chapter input is invaluable to this process. If you have personal knowledge of the level of commitment and talent exhibited by the interested member, please consider submitting a letter of support.

The online application form is available here.  You will be asked for your log in and password if you are not currently logged into ACEP.org.

The committee selection process will occur in mid-June and applicants will be notified by the end of July. Members chosen to serve on committees will serve a minimum of one year, beginning with the committee’s organizational meeting held during the Scientific Assembly in Seattle, October 14-17, 2013. (Funding is not provided to attend the organizational meeting.)

2013 Calendar of Events



Texas College of Emergency Physicians
2525 Wallingwood Drive, Bldg. 13A | Austin, Texas 78746
Phone: 512.306.0605 | Toll Free: 800.TEX.ACEP | Fax: 512.329.8943

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