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| July 2013
From the President
Rick Robinson, MD, FACEP
another edition of EMphasis - the official publication of the Texas
College of Emergency Physicians. There has been considerable activity
within TCEP, Texas Emergency Medicine, and both state and national
government and legislative bodies in the two months since our last
edition. Dr. Fite provides a more detailed report of the 83rd Texas
Legislative session below. I would like to point out that in general
Emergency Medicine fared well during the recent legislative session.
Retention of tort reform and its practical protections for both patients
and providers, increases to Graduate Medical Education funding, and
increased penalties associated with assault of emergency services
personnel are but a few highlights of the legislative session that will
positively impact the delivery of quality emergency medical services to
the citizens of Texas. Many members of TCEP actively participated in
the success of these legislative actions. Mignon McGarry and her team
were once again instrumental to TCEP advocacy efforts by assuring we
kept our fingers on the pulse of the legislative issues and processes
during the recent session.
Speaking of effective advocacy...TCEP
was well represented in DC during the ACEP Leadership and Advocacy
Conference (LAC) May 19-22. Not only is LAC an outstanding educational
conference but it is also fertile ground in terms of advocacy training
opportunities for TCEP and national Emergency Medicine leadership.
During LAC we have direct contact with our representatives in the US
House and Senate. This allows our more experienced TCEP members to
further mentor the next generation of state and national leaders through
introduction and discussion of the most important health care issues of
our time. As we look toward the full implementation of the Affordable
Care Act perhaps no time in the history of Emergency Medicine have we
been challenged and encouraged to lead the House of Medicine to look to
the future of a health care delivery system that both eliminates gaps
and ensures access. It is comforting to know that TCEP members are
fully engaged in this process.
On the clinical front many TCEP
members worked to provide care and alleviate suffering in the aftermath
of recent mass casualty incidents. The industrial explosion in West,
Texas and the several tornadoes that destroyed communities across North
Central Texas brought the prehospital and emergency medical communities
together to provide much needed and appreciated care to those injured in
the wake of these disasters. TCEP commends all who continue to be the
front line heroes when our communities need you the most.
Assembly...or ACEP13 as it is called this year...is a few months away.
This year we once again meet in Seattle. TCEP will have seventeen
Councillors and twenty Alternate Councillors participating in ACEP
Council this year. TCEP is the third largest Chapter in ACEP and we
always bring a full house to the Council floor to ensure that issues
affecting our specialty and state are heard and debated with the best
interests of our members and patients in mind. Those of you
contemplating Council resolutions are encouraged to submit to ACEP
before the regular deadline of July 15. Those considering TCEP support
of your resolution should have ensured their delivery to TCEP
headquarters firstname.lastname@example.org by June 1 in order to allow the Board to review and respond prior to June 15.
next meeting of the TCEP Board will be held July 25-26 at ACEP
headquarters in the DFW area. We will review committee activities for
the prior quarter and conduct our annual strategic planning meeting at
that time. TCEP Board meetings are open to all members so join us if
your schedules permit. Those of you that are unable to attend can rest
assured that the Board and Committees will use EMphasis as a vehicle to
keep you posted regarding the status of the projects adopted for action
during the coming year.
To reiterate a point from the May
EMphasis, I want to take a moment to once again encourage all TCEP
members to contribute to the EMRA Legacy Initiative. This is the most
important documentary on Emergency Medicine ever produced. It
chronicles the history of our specialty through timeless images and
recollections of the founders of the one indispensible medical service
of the last half century. Pledging is easy and can be accessed through
the TCEP website home page. Thanks to all of you that have contributed
to date. I encourage those that have yet to contribute to visit the
TCEP website today and support this outstanding project.
It is a
source of personal pride to recognize another in a list of achievements
by one of TCEP's favorite sons Bobby Greenberg, MD FACEP. Dr. Greenberg
is a TCEP Past President and continues to remain active in TCEP and
ACEP projects. He is a well respected member of the Scott and White
faculty where he continues to train the next generation of Emergency
Physicians. He is also active within the Texas EMS community and the
Texas Medical Association House of Delegates. Dr. Greenberg was
recently awarded an Academic Excellence Achievement Award by the TMA at
its Annual Meeting in May. This is a prestigious award that is well
deserved. Congratulations Dr. Greenberg.
In closing I want to
recognize what surely represents a loss for Texas. Brent King, MD FACEP
is stepping down as Chairman of Emergency Medicine at the University of
Texas at Houston. Dr. King is one of the most important figures in
Academic Emergency Medicine. He is well known nationally and
internationally as a leader in both clinical and administrative
circles. His vision and leadership have been responsible for placing at
least 150 Emergency Medicine Residency Trained and Board
Eligible/Certified Emergency Physicians into the workforce since I first
met him as an intern in that program in 2000. Most of the graduates of
that program remain in Texas serving the citizens of their
communities. A number of those graduates are now training the new faces
of Emergency Medicine. I was honored to be asked to speak to those in
attendance at the recent 20th anniversary reception of the UT-Houston
Emergency Medicine Program. As I prepared my address two things came to
mind that best describe that program. These are family and
leadership. Dr. King created and maintains an environment that feels
like family. In true family fashion over the years he also mentored
many people that went on to positions of leadership within their groups,
their hospitals, their professional societies, and - most important -
their communities. Many of them are active in TCEP and ACEP as well
as County Medical Societies and the TMA. The true breadth and depth of
Dr. King's legacy may not be fully realized until he has been gone from
Texas for a while. In the meantime I wish him the very best in his new
position as Chief Medical Officer at AI DuPont Children's Hospital in
Wilmington, Delaware. Vaya con dios amigo.
Wishing you all the very best until we meet again on the pages of EMphasis.
Rick Robinson, MD, FACEP
Texas College of Emergency Physicians
|In This Issue:
|2013-2014 Board of Directors
|Government Relations Committee Report
|Senate Bill No. 1191 - Relating to Care Provided to a Sexual Assault Survivor in an Emergency Department in Texas
|News From the Practice Enhancement Committee
|Long Live Texas!
|Medical Student Committee Recap of the 2012-2013 Academic Year
|Importance of Regionalization of Mentorship
|Welcome New TCEP Members
|Calendar of Events
2013-2014 TCEP Board of Directors
>>>View their information here>>>
Rick Robinson, MD, FACEP
Bruce Moskow, MD, FACEP
Angela Siler Fisher, MD, FACEP
Shkelzen Hoxhaj, MD, FACEP
IMMEDIATE PAST PRESIDENT
Dan Peckenpaugh, MD, FACEP
BOARD OF DIRECTORS
Shannon Bagwell, MD, FACEP
Carrie de Moor, MD, FACEP
Heidi Knowles, MD, FACEP
Heather Owen, MD, FACEP
Patty Short, MD, FACEP
Tim Taylor, MD, FACEP
Christine Tracy, DO
Gerad Troutman, MD
Jim Coles, CAE
Nancy Davis NATIONAL ACEP
2525 Wallingwood Bldg 13A
Austin, Texas 78746
PO BOX 619911
Dallas, TX 75261-9911
Government Relations Committee Report
Diana Fite, MD, FACEP
Chair, Government Relations Committee
The Legislative session is over for another two years!! Why would I
think this is good news when there were bills that we support that did
not get passed yet? Because virtually anything can happen during a
legislative session and there may be bills that we do not like that can
be passed or amendments added to bills at the last minute that we do not
like that can pass. With 5000 to 6000 bills filed per session, even
with computers watching for key words in the bills, things can be
missed. And much work goes on in between sessions. Bills that did not
go through are re-worked and coalitions for support are formed, or
sometimes the same end-points can be achieved in other manners, such as
rule changing through state departments.
For this report, I am
going to give you some of the highlights that our lobbyist thinks are
important and also that the TMA (Texas Medical Association) lobbyist
team thinks are important about this last session. In future reports, I
will go into more detail about some individual bills that I think
affect us directly as physicians in general and most importantly, as
We were pleased that two bills filed to
repeal the driver responsibility program (HB 104 and HB 790) did not
pass. They would have taken away much of the funding for the trauma
HB 2426/SB 1754 did not pass. These bills had to do with
allowing multiple organizations to standardize training and certifying
of EMT's and paramedics other than the currently utilized Commission on
Accreditation of Allied Health Education Programs (CAAHEP) and the
National Registry of EMT's (NREMT). This would have created multiple
standards in Texas while most of the United States and the U.S. military
adhere to the existing single national standard. We were opposed to
There were several vaccine-related bills that passed
that the TMA was in strong support of but that do not affect us
directly. A bill that the TMA supported regarding efficiency of the
state immunization registry (physicians would "opt-out" rather than "opt-in") did not pass.
As you would expect, a lot of legislation
regarding Medicaid was filed, but most did not pass. We do not yet
have any change in Medicaid paying 40% less for emergency department
services that they deem to be diagnosed as non-emergency conditions, a
rule that has been on the books for years but was only implemented in
the past two years. At least funding for the Medicare deductible for
patients who are covered by Medicaid was reinstituted.
one of our TCEP priority bills, HB 245, regarding allowing emergency
physicians to initiate a psychiatric hold for up to 24 hours in the ED
rather than having to wait for a warrant from the judge or justice of
peace, did not pass. Neither did an alternate bill, SB 937, which
provided for a hold up to 4 hours. However, we did form some important
coalitions this time around and also found where some opposition cropped
up (rural facilities) that will be worked with during the interim
before trying again next session.
The TMA worked with Senator
Jane Nelson on SB 406 regarding scope of practice issues and were
pleased to have this bill pass. The bill was a negotiation between
physicians and nurse practitioners and physician assistants to allow the
NP's (now called APRN's which stands for advanced practice registered
nurses) and PA's to prescribe or order drugs, including certain
controlled substances, and devices, but under a physician's supervision,
in hospital and hospice settings.
SB 1193 introduced by
Senator Donna Campbell, who works as an emergency physician, along with
HB 2348 by Representative John Zerwas, an anesthesiologist, involved
removing confidentiality of complaints to the Texas Medical Board, under
the premise that we should be able to confront our accusers, as in
court, and not have confidential complaints made against us. These
bills did not pass. TCEP did not actually take a stand on these bills
one way or the other because there was significant division of opinion
among members. Some felt that this would hurt our tort reform and more
cases would go to the courtroom than work through the TMB, while other
TCEP members supported this concept of removing confidentiality of
HB 1376 required hospital-owned freestanding
emergency departments (FSEDs) that bill patients at emergency department
rates to advertise as emergency departments and post a conspicuous
notice that they bill rates like a hospital emergency department so that
patients do not think they are in an urgent care facility or that they
will be billed less because the facility is not part of a hospital. We
saw no reason to oppose this bill and it did pass. SB 413 involved
reversing the prohibition of FSEDs from providing nonemergency care
(such as Botox injections or routine flu shots). It did not pass.
822 involved prohibition of silent PPO's, which meant stopping the
practice of PPO networks selling, leasing, or sharing other PPO
agreements that a physician may have made at some point in time for a
more discounted rate under certain circumstances would now be available
in multiple circumstances not agreed upon by the physician. This bill
SB 830 allowed telemedicine to replace having an
on-site or on-call physician respond at level IV trauma centers in
counties of 50,000 or less. TCEP opposed this legislation and it did
HB 1803 passed and will allow the TMB to issue our
DPS certifications every 2 years instead of annually, along with our
medical license renewals. This will circumvent the backlog DPS has been
having which delayed many physicians from getting their DPS certificate
renewals on time and caused some physicians to actually not be able to
work in the emergency department until their renewal came through.
1, which was the budget bill, nearly restored the GME (graduate medical
education) funding which was lost last session. Funding for mental
health and women’s health care was also nearly restored, as was funding
for medical school loan repayment programs.
We did not get to
weigh in on SB 1191, which requires emergency departments to comply with
minimum standards for emergency services provided to sexual assault
victims, meaning we will resume the care that we provided in the past by
having the forensic evidence kits available and performing the exams,
or providing for a sexual assault nurse exam (SANE), in every
department, rather than transferring the victims to a facility
specifically set up to provide SANE care. This bill passed and will go
into effect September 1, 2013. We will have more information on this
for our members soon.
Probably the best news from this session
is that this marked the tenth anniversary of liability reform and the
tort laws still stand untouched at this time. TCEP will remain vigilant
in protecting and preserving our tort laws.
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 (email@example.com) or call our executive director, Jim Coles (1-800-TEX-ACEP) or e-mail him (firstname.lastname@example.org), if you wish to discuss any of the information in this report.
Senate Bill No. 1191 - Relating to Care Provided to a Sexual Assault Survivor in an Emergency Department in Texas
Bruce Moskow, MD, JD, FACEPThe 83rd Texas Legislature passed Senate Bill 1191, which has several provisions that affect the care of sexual assault survivors in emergency departments in the State of Texas. It is effective September 1, 2013. There are several provisions that may affect TCEP members and this article is intended to briefly review those sections.
Section 1. Subsection (a) suggests that any emergency department in the State of Texas would need to provide a plan for approval to the Department of State Health Services, at their request, providing services to sexual assault survivors. This is a change from the current law, which is that regional centers, with SANE nurses, are to provide forensic exams. It is more of a reversion to the old way of treating assault victims, which is that they could be treated at the institution at which they arrive.
Section 2 of this Act provides that the survivor can either be transferred to a regional center or the care must be available at every emergency department in Texas. If the patient is to be transferred there are a number of requirements for stabilization, privacy, and antibiotic prophylaxis.
Section 2 (b-1) adds a new wrinkle that may affect emergency physicians in Texas. It states a person may not perform a forensics examination on a sexual assault survivor unless the person has the basic training described by Section 323.0045 or the equivalent education and training. Section 323.0045 indicates that any person who is going to do a forensics examination must have at least basic forensic evidence or collection training or the equivalent education. It goes on to say that a person that completes a continuing medical or nursing education course in forensic evidence collection that is approved or recognized by the appropriate licensing board is considered to have basic sexual assault forensic evidence training for purposes of this chapter.
This is the section that may give TCEP members the most problems. It is unclear if the basic physician education is going to be considered as appropriate, or whether there will be an additional level needed to prove the basic forensic training. The section also indicates that CME would be appropriate, but that CME would have to be approved by the "appropriate licensing board". To date the Texas Medical Board has not put out any guidelines in this area. Therefore it is somewhat unclear as to whether being a physician in the Emergency Department is enough, whether Board certification is enough, or whether additional CME is going to be required.
The Texas College of Emergency Physicians is pursing inquires with the Texas Medical Board about licensing for CME and with the Department of State Health Services as to any additional requirements that they will be imposing. Also as of this time, the Texas College of Emergency Physicians is investigating co-sponsoring CME training, which we expect will be in compliance with the statute, and for which TCEP members will be able to get a significant discount as current members.
More to follow in next month's EMphasis as the rules and CME requirements become clearer.
News From the Practice Enhancement Committee
Rob Dickson, MD, FACEP
Chair Practice Enhancement Committee
Practice Enhancement Committee: Summer 2013 update
Greetings to all of our EP colleagues! As we enter the most revered summer misery season (Hurry labor day!) I want to take this opportunity to update you on some of the goings on at your college.
The legislative session is just finished and there was a lot of activity that concerns EP practices. I will not bore you with my recantation of the highlights but instead encourage you to follow Dr. Fite's updates or the TMA website for a synopsis.
I have just returned from the PSR leadership conference in Washington DC. Dr. Vidor Friedman, ACEP board member from Florida updated attendees on the recently published Rand report on the role of EP's in our rapidly evolving health care system. As leaders in the specialty I encourage everyone to take a look at this paper. As Dr. Friedman stated so well at the conference, "It confirms to the American public what EP's have known all along"!
Here are the 4 main take home points:
- The ED is an important source of admissions in the US hospital system
- ED's are being utilized more due the complex nature of workups required in patients with worrisome symptoms
- The main reason patients with non- urgent complaints attend the ED is a lack of timely primary care options elsewhere
- ED's may be playing a role in preventing hospital admissions
I have included a link below and encourage everyone to give it a look and please repeat its findings to anyone who will listen! As leaders in our health care system we need to be advocates for not only our patients but for our specialty's role in shaping what the new system will look like.
As part of an effort here at your college to keep members informed on issues that affect their practices, we encourage members to become involved and share their expertise with others in the college. I have the pleasure to introduce one of these members in this issue of the Emphasis. Dr. Zachary Goldman is a practicing EP with Questcare partners in the Dallas area. Dr. Goldman's administrative interests are billing and coding. He's done a review on billing and coding of lacerations for this issue of the Emphasis and we welcome his contributions to the practice enhancement committee.
Thanks to all for your participation in TCEP and please send me any suggestions or submissions for upcoming issues of the Emphasis.
My name is Zachary Goldman and I am an Emergency Physician and Director of Billing and Documentation for Questcare Partners, a Democratic group based in Dallas, Texas. I practice in Lewisville and Flower Mound, Texas. After completing residency a few years ago, I felt as though my training was excellent when it came to diagnosis and treatment of the Emergency Medicine patient, but was lacking when it came to quality documentation. To that end, I have focused my attention on becoming more proficient in Emergency Medicine documentation by attending many conferences (including ACEP) and working with leaders in the field of EM documentation. With the help of TCEP, I am hoping to sit on various ACEP Committees on the leading edge of documentation. My goal is to provide physicians with concrete and tangible information to help improve documentation and reimbursement in the Emergency Department.
I want to focus this article on lacerations. This common procedure performed many times a year can influence billing and reimbursement greatly when properly documented. The three key components for laceration repair documentation are length, location, and complexity.
Providers are historically poor at estimating length of laceration so my first recommendation is to actually measure the length of the laceration to increase RVU production. The usual break down is greater than 2.5cm and then again greater the 7.5cm (see table below).
***RVUs below might not correspond to your specific practice but the general increase is consistent***
|Simple ≤ 2.5
|Inter ≤ 2.5
The second important point is location, location, location. There are significant RVU differences if you are talking about the forehead vs. the lip vs. ear vs. extremity, etc. Instead of just stating laceration to the head make sure to list the specific anatomic location as this can increase the RVUs for that procedure.
RVU impact on location of laceration repair:
****RVUS below might not correspond to your specific practice but the general increase is consistent***
13 cm scalp laceration about 3.12 RVUs
13 cm facial laceration about 4.18 RVUs…33% increase
Finally, the complexity of the repair greatly impacts the RVU value. The key to this is simply document what you do. Even a simple repair that needs extensive decontamination will increase the complexity. See the key points below that differentiate laceration complexity. The key to all of this is to document what you do to receive the correct compensation for the work performed.
Clarification on the distinction of laceration repair:
- Single layer, no particulate, no contamination
- Two layers, or single layer with particulate and/or contamination
- Two layers with particulate and or contamination or MDs documentation of what made the repair complex: wound edge revision, undermining, removal of necrotic tissue or macerated wound edges, extension for exploration
These are the key words and phrases the coders look for in determining the complexity of the laceration. Please review the table above with laceration lengths and also see RVU differences associated with complexity.
Long Live Texas!
Gerad Troutman, MD
TCEP Young Physician Board Member
University Medical Center, Lubbock, TX
We all know that Texas is a GREAT place to practice medicine, but there are many opportunities for improvements and many precious situations to protect. TCEP strives to keep the Emergency Medicine physician voices of Texas heard, and the Texas Medical Association helps magnify that voice to our citizens and lawmakers. With near 50,000 members, the TMA is one of the most well organized, well respected medical associations in our country and has advocated for physicians and our patients on many important matters including tort reform, reimbursement, and access to care. Effective organizations require stellar leadership; developing a pipeline of leaders has become a goal of many organizations including TCEP and the TMA.
TCEP has had an excellent track record with our Leadership and Advocacy Fellowship and has seen other states model after our program. Many of our board members are past fellows (yours truly included), and many have gone on to become committee members/chairs at the national level and have promoted to leadership positions within their practices. The TMA has its own program called the TMA Leadership College (TMALC), now recruiting for its fourth class.
I was fortunate to serve in the TMALC this past year. This program was excellent; filled not only with real world leadership didactic learning opportunities, but also with opportunities to interact with current and past TMA leaders. I met classmates from varied specialties throughout the state creating a foundation for networking. I had the opportunity to visit multiple committees and councils and gained an appreciation and understanding of the inner workings of the organization. Our classes were filled with interactive skill sessions on topics including conflict resolution, building effective teams, and media training. This program has proven to be immensely useful for not only my professional practice, but also for future leadership opportunities in organized medicine.
TCEP has a voice, but that voice is magnified when echoed with the TMA. We need more Emergency Medicine physicians involved with our state organizations so that we are always heard loud and clear. Please consider joining the TMA if you are not already a member, and please consider applying for the TMALC if you are a young physician and have interest in leadership roles in organized medicine. More information including application can be found at this website: http://www.texmed.org/leadership/
Gerad Troutman, MD
Ije Akunyili, MD, MPA
Vice-Speaker of the Council
Emergency Medicine Residents' Association (EMRA)
Medical Center Emergency Physicians, Houston TX
Baylor College of Medicine
It was a great pleasure to meet so many of our Texas members at the EMRA SAEM meeting in Atlanta Georgia. Our EMRA representative council meeting was productive with passionate debates from our program representatives. We discussed resolutions ranging from GME funding for graduate education to the use of the term "doctor" by non-physicians in the emergency department and streamlining paramedic license requirements for emergency medicine residents.
EMRA was also proud to co-sponsor the TCEP Annual meeting in Frisco, TX. The medical student track brought together over one hundred medical students from Texas and surrounding states for a highly enriching meeting. EMRA values its partnerships with TCEP and Texas remains a strategic ally in our regional meeting efforts.
Advocacy is important to EMRA. Most of us chose Emergency Medicine for our unique mandate to take care of any patient that comes through our departments' doors. To fulfill this unique role we need to continue our strong advocacy efforts. This year alone, EMRA donated fifty thousand dollars to the Emergency Medicine Action Fund (EMAF) to support its wide reaching advocacy efforts.
EMRA's commitment to education is unrelenting. We have also donated fifty thousand dollars to the Emergency Medicine Fund (EMF). EMF's funds go directly towards sponsoring original research by emergency medicine residents and faculty. We continue to fund travel scholarships to our conferences and provide a yearly sponsorship for ten EMRA members to the Emergency Department Director's Academy (EDDA).
I want to use this opportunity to welcome all our new TCEP and EMRA resident members especially those who may be joining a Texas residency program from out of state. Take advantage of all the benefits of your TCEP and EMRA memberships. As always, contact me with any questions or feedback you may have. Our goal is to remain an organization that is attentive and responsive to the needs of all of our members.
Medical Student Committee Recap of the 2012-2013 Academic Year
Daryn Donathan, MSII
Chair, Medical Student Committee
been a very busy year for the TCEP Medical Student Committee (MSC).
Being the first full academic year of the committee's existence, my
Co-Chair Michael Yip, UTMB MSIII, and I had the challenge of developing
and solidifying committee goals to best reflect the needs of Texas
medical students pursuing Emergency Medicine. As the academic year (and
our tenure as Chairs) come to a close, I am proud to share some of our
accomplishments this year.
able to establish representation on the committee from each of the nine
Texas medical schools through the Liaison and At-Large positions. This
was the most fundamental objective of the MSC, as developing
opportunities/resources for medical students is an obsolete notion
without an established avenue for dissemination. We conducted monthly
conference calls during which all members were updated on current
projects and opportunities were presented for members to work on new
projects. Liaisons were also able to provide updates from their
respective Emergency Medicine Interest Group (EMIG), allowing them to
share accomplishments and be exposed to new ideas and opportunities for
their EMIG. Additionally, each medical school was given the opportunity
to publish an EMphasis article in which they could publicly share their
accomplishments. Effectively, all nine EMIGs in the state collaborated
monthly to optimize the experiences of their respective students.
Medical Student Leadership Initiative (MSLI) was another unprecedented
accomplishment for the MSC this year. The MSLI was designed to
introduce the benefits of being involved in organized Emergency
Medicine. The meeting consists of a short PowerPoint presentation
explaining the different organizations (the so-called "Alphabet Soup" of
organized EM) and benefits of membership, followed by a panel of local
EM physician leaders who field questions regarding EM. In its first
year (2011-2012) the MSLI was limited to the Houston-Galveston area
(BCM, UT-H, and UTMB). This year the MSC piloted the expansion of the
program to all medical schools in Texas. We were able to achieve this
at 6 of 9 schools. Informal feedback from students has been
overwhelmingly positive. The most popular portion of the MSLI has been
the expert panel which consisted of various local and state physician
leaders from different areas of expertise, including academic and
community physicians. Additionally, we were fortunate enough to have at
least one TCEP Board of Director member at all but one of the panels.
We have created a short survey through which students can provide
objective and subjective feedback regarding their respective MSLI.
Students may access the survey here. If you haven't yet, please take a
few minutes to complete it so the MSC can continue to improve the MSLI
in the future.
Medical Student Track at the 2013 TCEP Annual Meeting was another great
success. The day included engaging lectures from state and national
leaders, including Dr. Angela Fisher, Dr. Todd Berger, and Dr. Angela
Gardner. Towards late morning, students were given the opportunity to
walk around the Residency Fair and visit representatives from each of
the current civilian EM residencies in Texas. The day ended with two
panels, one of which was tailored to applying and matching to
residencies, while the other served to answer more general questions
regarding Emergency Medicine as a specialty. A survey has also been
created for the Medical Student Track, which can be accessed by students
at Medical Student Track Survey. Please take a minute to provide
feedback so the MSC may continue to improve the medical student
experience at the TCEP Annual Meeting.
like to thank our faculty advisors, Dr. Angela Fisher and Dr. Gerad
Troutman, for their guidance and support, as well as the TCEP Board of
Directors for approving and supporting the committee's projects during
the past year. I would also like to thank each of the MSC Liaison and
At-Large members. It was through your efforts and hard work that the
MSC was able to achieve continued success this year.
would like to formally introduce the new MSC Executive Leadership:
Co-Chairs Ronnie Ren, BCM MSII, and Archana Shah, TTUHSC-Lubbock MSII;
Secretary-Editor Miles Raizada TTUHSC-Lubbock MSIII. We are confident
they will continue to develop and improve the MSC during the next year
and we look forward to see it grow.
Importance of Regionalization of Mentorship
Andrabi, MS IV, Baylor College of MedicineAngela Siler Fisher, MD, FACEP
Medical Student Leadership
Initiative Director & At-Large Member TCEP Medical Student Committee
Associate Chief for Operations & Public Affairs, Baylor College of Medicine
Medical Director Ben Taub General Hospital Emergency Department
has experienced unprecedented growth and participation, now surpassing
the 1800 membership mark with greater than 1100 active members coupled
with candidate resident and medical student members. As the third
largest state chapter, we are excited to increase our representation of
Texas Emergency Physicians in the American College of Emergency
Physicians council with the expansion to 17 counselors in October 2013.
our EM Futures program as the main reason for our marked membership
growth and engagement of young leaders. This nationally recognized
innovative program focuses on recruiting and engaging members across the
EM career spectrum. This has helped fulfill goals such as increasing
the visibility and publicity of emergency medicine as a specialty,
opportunities for networking, leadership development, and mentorship all
the while increasing membership participation. The implementation and
continued commitment to the EM Futures program is critical to membership
growth and emphasizes the importance of regionalization of mentorship.
mentorship program is the backbone of the EM Futures program. This
program provides for opportunities to gain advice, shadowing, networking
opportunities and mentorship for medical students, residents, and young
physicians who are members of TCEP. Although there are proper channels
for setting up elective rotations, having a mentor advocate in a program
of interest ensures additional support and resources. The database is
organized by region according to the Texas Emergency Medicine Task Force
regions and simultaneously serves as a source of speakers for TCEP
Residency Visits and Medical Student Leadership Initiative meetings.
This helps connect individuals regionally and develop a group of people
that function as a resource for medical student and resident activities.
It will formalize TCEP's strong history of nurturing its members to
their full potentials and creating a culture of leadership and advocacy
More information and starter kits pertaining to implementing these programs in your region is available at www.ACEP.org/ChapterMarketing
Welcome New TCEP Members
Joseph Jenkins, MD
William Frank Peacock, MD, FACEP
Franklin Rivers, Jr, MD, FACEP
Anita Rohra, MD
Angela Ruth Rountree, MD, FACEP
Timothy Ruttan, MD
Navdeep Singh Sekhon, MD
Tim Vu, MD, FACEP
Radosveta Wells, MD
Calendar of Events