December 2015 - California ACEP

lifeline
DECEMBER 2015
a forum for emergency physicians in california
PEDIATRIC
Merry-Go-Rounds
Page 10
TABLE OF CONTENTS |
4
10
4
PRESIDENT’S MESSAGE
6
ADVOCACY UPDATE
10 GUEST ARTICLE
12 PERSONAL STORY
16 ANNOUNCEMENTS
17 UPCOMING MEETINGS & DEADLINES
2015 ACEP
Council Review
PEDIATRIC
Merry-Go-Rounds
California ACEP
Board of Directors &
Lifeline Editors Roster
2014-15 Board of Directors
Marc Futernick, MD, FACEP, President
Lawrence Stock, MD, FACEP, President-Elect
Aimee Moulin, MD, FACEP, Vice President
Chi Perlroth, MD, FACEP, Treasurer
Vikant Gulati, MD, Secretary
Michael Osmundson, MD, MBA, FACEP, Immediate Past President
John O. Anis, MD, FACEP
Rodney Borger, MD, FACEP, At-Large
Kevin Jones, DO
Stephen Liu, MD, FACEP
John Ludlow, MD, MBA
Cameron McClure, MD, FACEP
Valerie Norton, MD, FACEP
Mark Notash, MD, FACEP
Maria Raven, MD, MPH, FACEP
Vivian Reyes, MD, FACEP
Eric Snyder, MD, FACEP
Sybil Zachariah, MD, CAL/EMRA President
Advocacy Fellowship
Aimee Moulin, MD, FACEP, Director
John Coburn, MD, Advocacy Fellow
Nicolas T. Sawyer, MD, MBA, Advocacy Fellow
Lifeline Medical Editor
Richard Obler, MD, FACEP, Medical Editor
Lifeline Staff Editors
Elena Lopez-Gusman, Executive Director
Ryan P. Adame, MPA, Deputy Executive Director
Lucia Romo, Education Coordinator
Kelsey McQuaid, MPA, Government Affairs Associate
18 CAREER OPPORTUNITIES
DECEMBER 2015
Index of Advertisers
Anaheim Regional Medical Center
Page 18
Emergency Groups’ Office (EGO)
Page 11
Emergency Medical Management Associates (EMMA)
Page 9
Emergency Medicine in Yosemite
Page 14
Emergency Medical Society of Orange County
Page 18
Emergency Physicians Management
Page 18
Independent Emergency Physicians Consortium (IEPC)
Page 9
Kaiser Permanente
Page 18
MMC Emergency Physicians Medical Group
Page 18
Newport Emergency Medical Group
Page 18
Ohio ACEP Emergency Medicine Board Review Courses
Page 14
Salinas Valley Memorial Healthcare
Page 18
Sharp Grossmont Hospital
Page 18
St. Jude Medical Center
Page 18
WELCOME
Derin D Allard
Roger Baril
Joshua J Baugh MD
Crystal N Brown MD
new members!
Jonathan B Cooper-Sood MD
Shahrouz S Dadfarin MD
Cherlin Johnson MD
Stephanie Lauw MD
Evan Laveman
Aaron G Pannier MD
Vineet Sharma
Daniel E Sotelo Leon
Kyle Suen
100% GROUPS
Central Coast Emergency Physicians
Loma Linda Emergency Physicians
Tri-City Emergency Medical Group
Emergent Medical Associates
Napa Valley Emergency Medical Group
Emergency Medicine Specialists of
Orange County
Newport Emergency Medical Group, Inc
at Hoag Hospital
University of California, Irvine Medical
Center Emergency Physicians
Front Line Emergency Care Specialists
Pacific Emergency Providers, APC
DECEMBER 2015 | 3
PRESIDENT’S MESSAGE |
By Marc Futernick,
MD, FACEP
2015 ACEP Council Review
I just returned from Boston where I attended ACEP’s annual Council and Scientific Assembly. The
Council is our Colleges legislative body, which is made up of representatives from all 53 ACEP
Chapters plus ACEP Sections, and other interested organizations like EMRA and CORD. Ideally,
the Council decides what ACEP should do, and the Board and staff have the task of strategizing
and executing the plan. As you get closer to ACEP, the incredible scope of activities and initiatives
becomes apparent. The Council’s job is to determine the direction this giant ship should be heading.
Most members have never attended Council to see our democracy
in action. It is an interesting and valuable experience, and it’s one of
the benefits of joining the California ACEP Board. As a Director of our
large and powerful state chapter, serving as a Councillor affords you a
significant voice in one of the most influential advocacy organizations
in medicine.
I think the format of the meeting is very effective in its ability to clearly
communicate the will of the Council. It is methodical and detail
oriented, as well as open, spontaneous, and, at times, rather spirited.
Each state chapter is allotted one Councillor for every 100 members,
which is yet another reason to make sure that you renew your
membership and help make our California voice even larger. Past
Presidents of the College also get to join the delegation
and provide “counsel” in that they may speak on the
floor, although they do not vote (unless named
as a Councillor). Each section of ACEP is
also afforded representation, as well
as the Emergency Medicine
Residents Association, the
Society of Academic
Emergency
Medicine, and the Council of Residency Directors. In all there were
375 Councillors this year, a number that continues to steadily rise.
California boasts 28 Councillors, plus our dedicated Alternates, two
Past ACEP Presidents - Drs. Richard Stennes and Larry Bedard - and
one Past ACEP Council Speaker - Dr. Mike Bresler - all three of whom
are also past Chapter Presidents; we boast the largest delegation each
year, thanks to all of you who support us.
Council is held on Saturday and Sunday, just prior to Scientific Assembly,
and also includes the election of the next in line for President, the new
Board of Directors members (staggered 3 year terms), and the Council
Speaker and Vice Speaker, who run the meetings. Although I don’t
have as much experience as many members of our delegation (which
included about 15 past chapter or national presidents), I think Kevin
Klauer has done a terrific job as Speaker the past 2 years, keeping the
meeting lively and (somewhat) entertaining, but also moving along
at a good pace.
Here is how it actually works. Individual Councillors, state chapters,
and ACEP sections are able to submit resolutions to the Council in
advance of the meeting. These are all analyzed by ACEP staff, and
that information is sent out to all of the Councillors, including costs of
implementation, feasibility, previous actions taken or in process, as well
as general background information on the topic.
This compendium is quite extensive and there are
usually about 40 resolutions. This is circulated to all
of the Councillors by e-mail and group discussion is
encouraged prior to the meeting to clarify, optimize,
or simply debate the suggested action.
The live Council process begins on Saturday when we break into
sections to have detailed open discussion of each resolution. The
section meetings are run by selected leaders, and the Councillors
may go between the meetings to express their thoughts on any of
the resolutions. Specifics are debated, sometimes including detailed
word-smithing. At the end of the day, the Council leadership makes
suggestions for various amendments to the resolutions, as well as
recommendations for adoption or rejection based upon the apparent
will of the Councillors from the day’s discussion.
On Sunday morning, all the Councillors meet together to discuss each
resolution. Fortunately, many are adopted or rejected by unanimous
consent based on the earlier day’s testimony. Only the contentious
issues are debated (for the most part). These resolutions can be
amended, reworked, or significantly altered on the fly, based on
the will of the Council, who votes for each change and then for the
final resolution. In this manner, the nitty gritty of specific wording is
addressed, as well as the overall concept and intent of the action to
be taken. It can be an arduous process, but everyone is afforded the
opportunity to speak, and then a decision is made by the entire body.
I apologize for the lengthy explanation of the process, but I find it
interesting and effective; hopefully knowing more about how it works
will induce more members to get involved. The resolutions begin with
commendation awards and memorials, and it is nice to have a few
minutes to recognize so many selfless and worthwhile contributions
on the part of emergency physicians.
The first section of debated resolutions relate to the bylaws and
rules of the organization. A resolution was adopted that will double
EMRA’s respesentation from 4 to 8 Councillors based on the increased
size of the Council since they were granted 4 members many years
ago, and based on pure numbers the resident membership overall
would command many more seats. Another resolution attempts to
tackle the problem of unethical expert witness testimony against
emergency physicians by allowing ACEP to censure non-members
when their review of expert testimony is found to be unethical, as
well as to report these physicians directly to their medical specialty
society and medical board.
In the Practice section, the California Chapter sponsored a resolution
asking ACEP to work directly with the American College of Radiology to
create best practice guidelines for the timely communication of critical
imaging findings, and this was adopted. Other adopted items included
enabling access to epinephrine for anaphylaxis outside of health care
settings, asking ACEP to work directly with other stakeholders to
endorse and facilitate the use of ketamine for analgesia in the ED, the
creation
of
drug
detox guidelines,
and education about
and advocating for a
national registry for POLST forms
(Physician Orders for Life-Sustaining
Treatments). One interesting area of debate
was about the linking of financial reimbursement to
patient experience surveys, which is becoming more common at the
individual and group levels. This issue was referred to the ACEP Board
for further evaluation, but there was plenty of sentiment in the room
that financial incentives related to patient satisfaction scores may be
inappropriate, and potentially harmful, in the ED setting.
The final section of resolutions is in the area of Advocacy and Public
Policy. Again, California’s sponsored resolution, which would create
and promote standard information for Health Information Exchanges,
was adopted. Other notable adopted resolutions involved addressing
drug shortages, electronic nicotine delivery devices, health care
integration and care coordination, proper reimbursement for ED
Ultrasound, and the promotion of drug take-back programs.
As you can see from this quick overview, the breadth of areas
addressed at the Council is impressive, and also included other
important issues, including: fair payment, GMEC funding, continuous
certification, ED boarding, and telemedicine in the ED. The process
is open, allowing individuals to advocate for action by the College
on items of importance to practicing emergency physicians. The best
way to affect change in our practice environment is to support those
advocating for you, and to get personally involved.
I want to thank you for your membership, and for the honor and
privilege of representing your interests. Please share your thoughts
and concerns with us. We encourage your
direct engagement with the chapter. n
Marc
DECEMBER 2015 | 5
ADVOCACY UPDATE |
Legislative
Year in Review
The first year of the two year legislative session ended in September and the deadline for Governor Brown
to act on legislation was in October. This year the Chapter took official positions on more than 70 bills! We
had tremendous success on a number of bills, as described below.
There are still a number of high profile bills and issues that were held over until next year, let alone the
new bills that will be introduced in 2016. The Chapter was busy defending emergency medicine in the
legislature this year, and there is still more work to be done in 2016!
CALIFORNIA ACEP TRACKED LEGISLATION
AB 53 (C. Garcia) – Support – This bill establishes
requirements for securing children under the age of 2 in
rear-facing child seats in vehicles. The bill was signed by
the Governor.
report. We asked to clarify first responders did not include
emergency physicians. The author took our amendment.
The bill was later held on the Assembly Appropriations
Committee Suspense File.
AB 59 (Waldron) – Support – This bill would expand
implementation of Laura’s Law by requiring counties to
implement the program if they have available funding. The
bill was held in the Assembly Judiciary Committee.
AB 319 (Rodriguez) – Support – This bill would
require schools to provide comprehensive cardiopulmonary
resuscitation (CPR) and automatic external defibrillators
(AED) training to students as part of a physical education
or other course required for high school graduation. The
bill was held on the Assembly Appropriations Committee
Suspense File.
AB 172 (Rodriguez) – Support – This bill would
increase the penalties for assault and battery committed
against a physician, nurse, or other health care worker in the
emergency department. The bill was vetoed by the Governor.
AB 174 (Gray) – Support – This bill would appropriate
$1.2 million from the General Fund to the Regents of the
University of California for allocation to the University
of California, Merced’s San Joaquin Valley Program in
Medical Education (PRIME). The bill was held on the Senate
Appropriations Committee Suspense File.
AB 225 (Melendez) – Oppose – This bill would
reduce the use of gun violence restraining orders by making
the penalty for a false claim a felony. The bill was held in the
Assembly Public Safety Committee.
AB 299 (Brown) – Support if Amended – This bill
would require first responders to drownings to fill out a
AB 366 (Bonta) – Support – This bill was originally
drafted to increase Medi-Cal provider rates to Medicare
levels. The bill was gutted in the Assembly Appropriations
Committee to instead conduct a study looking at provider
rates and access to care. The bill was held on the Senate
Appropriations Suspense File.
AB 430 (Hernandez) – Oppose Unless Amended
– This bill would require a LEMSA to do an independent
assessment of the trauma system once every five years. We
asked for an amendment to have the assessment done once
every 10 years. The author’s office indicated they would take
our amendment prior to the bill being held on the Assembly
Appropriations Committee Suspense File.
6 | LIFELINE a forum for emergency physicians in california
AB 510 (Rodriguez) – Support – When introduced,
this bill would require the Office of Emergency Services
to conduct a comprehensive review of California’s 911
communications system. It was later amended to instead
use historical empirical call data to determine the most
efficient way to route 911 calls. The bill was held in the
Senate Energy, Utilities, and Communications Committee.
AB 521 (Nazarian) – Watch (Original position was
Oppose) – This bill would require an HIV test be offered to
any patient in the emergency department who had blood
drawn. The bill was placed on the Assembly Appropriations
Suspense File for its high cost. The Appropriations
Committee did pass the bill but included amendments
limiting the offering of the HIV test only when the patient
in the emergency department who had blood drawn was
admitted into the hospital. We continued to work with the
author and he agreed to a further amendment that the
offering of the test would occur after the patient leaves the
emergency department and has been admitted into the
hospital. The bill was vetoed by the Governor.
AB 533 (Bonta) – Oppose – This bill would prohibit
balance billing for out-of-network non –emergency
services, establish a payment of 100% of Medicare for out
of network non-emergency services, and establish an IDRP.
We were able to have emergency services exempted from
the bill. We continued to be strongly opposed due to the
precedence of the solution in AB 533 and the impact the
bill would have on on-call physicians. The bill did not pass
off the Assembly Floor when it came back for concurrence.
AB 579 (Obernolte) – Oppose – This bill would
allow for free standing emergency departments. The bill
was sponsored by CHA. The bill was never heard in Assembly
Health so it is now a two year bill.
AB 604 (Olsen) – Oppose – When introduced, this
bill would permit individuals to ride motorized skateboards,
traveling upwards of 20 miles per hour, in bike lanes. We
felt there were insufficient safety requirements to protect
against increased speeds and close proximity to motor
vehicles. At the end of session, the bill was amended to
include a helmet requirement and an age restriction. The
bill was signed by the Governor.
AB 611 (Dahle) – Oppose – This bill would allow
boards other than the Medical Board to access the CURES
database when a board is investigating one of its licensees
for suspected drug abuse. The bill was never heard in
committee.
AB 637 (Campos) – Support – This bill allows a nurse
practitioner or a physician assistant to sign a completed
Physician Orders for Life Sustaining Treatment form. The bill
was signed by the Governor.
AB 679 (Allen) – Support – This was an end of session
gut and amend bill to extend by an additional six months
the deadline for physicians to sign up for CURES. The bill was
signed by the Governor.
AB 741 (Williams) – Support – This bill would
expand the definition of social rehabilitation facility to
include residential facilities that provide services to children
or adolescents with a mental illness. The bill was held in the
Senate Human Services Committee.
AB 768 (Thurmond) – Support – This bill prohibits
the use or possession of smokeless tobacco products on the
playing field of a baseball stadium during a professional
baseball game or practice. The bill was signed by the
Governor.
AB 791 (Cooley) – Support – This bill would create
the opportunity for Medi-Cal patients to securely complete
an online advance health care directive form, print and sign
the form, and upload the signed form to be displayed to
authorized users. The bill was held in the Assembly Health
Committee.
AB 847 (Mullin) – Support – This bill would require
the California Department of Health Care Services to submit
a proposal to participate in the federal demonstration
programs to improve mental health services. The bill was
held in the Senate Health Committee.
AB 850 (Ridley-Thomas) – Oppose – This bill
would require hospitals to take certain steps to address
situations where a patient presents in the hospital with
any symptoms of illness consistent with a virulent aerosol
transmissible disease, such as the Ebola virus. These steps
include isolating the patient and providing personal
protection equipment (PPE) and a powered air purifying
respirator (PAPR). This bill was never heard in the policy
committee.
AB 858 (Wood) – Support – This bill would add
marriage and family therapists to the list of health care
professionals covered at a federally qualified health center
(FQHC) or rural health clinic (RHC). This bill was vetoed by
the Governor.
AB 861 (Maienschein) – Support – This bill would
require the Department of Health Care Services (DHCS)
to apply to the federal Secretary of Health and Human
Services (HHS Secretary) for a competitive federal grant
under the Protecting Access to Medicare Act of 2014, if
the Department received a planning grant to develop the
proposal. If California received the competitive federal
grant, the bill would require participating counties to direct
a portion of the funds freed up by the enhanced federal
funding toward providing supportive housing for homeless
with mental illness. This bill was vetoed by the Governor.
AB 911 (Brough) and SB 787 (Bates) –
Oppose Unless Amended – These bills would allow
for a freestanding emergency department at the site of
Saddleback Memorial – San Clemente. Both bills were held
in their respective Health Committees. We are still working
with the author and other stakeholders on this topic.
AB 1027 (Gatto) – Oppose – This bill would allow a
health insurer to disclose information to a consumer about
contracted rates for a procedure, upon request. The bill was
held in the Assembly Health Committee.
AB 1086 (Dababneh) – Support – This bill would
require Knox-Keene regulated health care service plans
to honor assignment of benefit agreements, allowing
payments to go directly to providers and removing patients
from the process when these agreements are in place. The
bill was held in the Assembly Health Committee.
AB 1162 (Holden) – Support – This bill would
require tobacco cessation services to be a covered benefit
under the Medi-Cal program. This bill was vetoed by the
Governor.
AB 1177 (Gomez) – Oppose (Original position
was Oppose Unless Amended) – This bill eliminates the
requirement for clinics to have a written transfer agreement
with a local hospital. We have been working with the
author and sponsor, Planned Parenthood, on our proposed
amendments. CMA also offered amendments to take portions
of the existing written transfer agreement template created
by the Department of Public Health. CMA’s amendments were
taken, but we still had concerns and moved to an Oppose
position. The bill was signed by the Governor.
AB 1193 (Eggman) – Support – This bill would
require counties to go through an “opt out” process as it
relates to implementing Laura’s Law. The bill was held on
the Assembly Appropriations Suspense File.
AB 1194 (Eggman) – Support – The bill allows for
an individual to consider available relevant information
about the historical course of the person's mental disorder
when determining if a person is a danger (criteria for a
"5150" involuntary hold), if that individual concludes
that the information has a reasonable bearing on the
determination. The bill was signed by the Governor.
AB 1223 (O’Donnell) – Watch (Original position
was Oppose) – This bill would have allowed patients being
transported to the emergency department to be taken to
an alternate destination if it was determined the patient
had a “minor injury”. The bill would have also allowed
clinics accepting uninsured patients with “minor injuries” to
apply to the Maddy Fund for reimbursement. The bill was
significantly amended to define wall time and removed
both of the provisions mentioned above. The bill was signed
by the Governor.
AB 1264 (Medina) – Support – This bill would allow
the purchaser or lessee of a new motor vehicle, model year
2017 or later, to voluntarily register an emergency medical
contact in the VinECON database at the point of sale.
Hospitals would be able to access the VinECON database to
assist in contacting the agent, surrogate, or family member
of a victim of a motor vehicle accident. The bill was held in
the Assembly Transportation Committee.
AB 1300 (Ridley-Thomas) – Co-Sponsor – This
bill would make a number of changes to the laws regarding
5150 holds. These changes include authorizing emergency
physicians to write and release 5150 holds. The bill was held
on the Assembly Appropriations Suspense File. Subsequent
to that action there have been a number of stakeholder
meetings to discuss various concerns with the bill.
AB 1305 (Bonta) – Support – This bill prohibits
any individual with family coverage to have a maximumout-of-pocket limit or deductible that is more than the
maximum-out-of-pocket limit or deductible limit for
individual coverage under the health plan contract. This bill
was signed by the Governor.
AB 1386 (Low) – Support – This bill would allow an
authorized entity to receive a prescription for an epinephrine
auto-injector and to use it during an emergency situation.
DECEMBER 2015 | 7
ADVOCACY UPDATE |
The bill would also provide liability protections. The bill was
held in the Assembly Business and Professions Committee.
AB 1396 (Bonta) – Support if Amended – This bill
would increase the California Tobacco Tax to $2.00 per pack
and allocate funding to different funds, including the Breast
Cancer Fund and California Children and Families First Trust
Fund. Due to the direct effect that smoking-related diseases
have on California’s emergency departments, we ask that SB
591 be amended to allocate a portion of the funds to the
Maddy Fund. The bill was held in the Assembly.
AB 1434 (McCarty) – Support – This bill would
close the existing loophole that allows Anthem Blue Cross
and Blue Shield to choose their regulator and would make
the DOI the sole regulator for PPO products. The bill was
held in the Assembly Revenue and Taxation Committee.
AB 1485 (Patterson) – Oppose Unless Amended
- This bill would prohibit the Department of Health Care
Services (DHCS) from using the location of a radiologist as
a condition of approving Medi-Cal provider enrollment or
reimbursement for radiology services provided to MediCal beneficiaries undergoing imaging procedures, if the
radiologist meets certain requirements. We asked to have
vague intent language taken out and the author amended
the bill to remove that language. The bill ended up not
being heard in the Assembly Appropriations Committee.
SB 4 (Lara) – Support – This bill requires undocumented
individuals under 19 years of age enrolled in Medi-Cal to be
enrolled in full scope Medi-Cal benefits. The bill was signed
by the Governor.
SB 19 (Wolk) – Support – This bill creates a 5
year electronic POLST registry pilot program under the
supervision of EMSA. Through work with various interested
parties, EMSA will set up various pilot programs to make
POLST information available electronically and sharable
between different providers and networks within a specific
geographic region. The bill was signed by the Governor.
SB 22 (Roth) – Support – This bill would establish the
California Medical Residency Training Fund, which would
establish and fund residency positions located in medically
underserved areas of California. The bill was held on the
Senate Floor.
SB 131 (Cannella) – Support – This bill would
appropriate $1.8 million from the General Fund to the
Regents of the University of California for allocation to
the University of California, Merced’s San Joaquin Valley
Program in Medical Education (PRIME). The bill was held on
the Senate Appropriations Committee Suspense File.
SB 137 (Hernandez) – Support – This bill requires
a health plan or insurer to make available a provider
directory, which includes information on contracting
providers, including those accepting new patients. This bill
prohibits a provider directory from including information
on a provider that does not have a current contract with
the plan or insurer. The bill was signed by the Governor.
SB 289 (Mitchell) – Support – This bill would
requiring health plans to reimburse contracted physicians
and non-physician health care providers for telephonic and
electronic patient management services. The bill was held
on the Senate Appropriations Suspense File.
SB 140 (Leno) – Support – This bill would add
electronic cigarettes (e-cigarettes) to the definition of
a tobacco product in the Stop Tobacco Access to Kids
Enforcement (STAKE) Act and extend current restrictions
and prohibitions against the use of tobacco products to
electronic cigarettes. The bill was held in the Assembly
Governmental Organization Committee.
SB 296 (Cannella) – Support – This bill would create
a set of statewide Medi-Cal service billing documentation
requirements for providers of specialty mental health
services, reducing time providers spend on paperwork. The
bill was held in the Senate.
SB 145 (Pan) – Watch (Original position was
Oppose) – This bill would have restricted the practice of
emergency medicine by stating that if a patient in the
emergency department has a blood alcohol level of .08 or
higher they could not be discharged or transferred from
the emergency department. We worked closely with the
author’s office to propose amendments to remove any
reference to a blood alcohol level. We changed our positon
to Watch. The bill was gutted at the end of session to renew
the Robert F. Kennedy Farm Workers Medical Plan.
SB 151 (Hernandez) – Support – This bill would
raise the minimum legal smoking age from 18 to 21; and
conform existing law regarding the purchasing, selling,
and enforcement of tobacco and tobacco products to
reflect the new age limit. The bill was held in the Assembly
Governmental Organization Committee.
SB 243 (Hernandez) – Support – This bill would
raise Medi-Cal provider rates to Medicare levels. The bill was
held on the Senate Appropriations Suspense File.
SB 260 (Monning) – Support – This bill would
require County Organized Health Systems (COHS) to be
licensed under the Knox-Keene, affording COHS patients the
same appeal rights as other Medi-Cal patients. The bill was
held in the Assembly.
SB 275 (Hernandez) – Oppose Unless Amended
– This bill would require data being reported to OSHPD
by healthcare facilities on patient encounters to include
physician identifier information. We asked the author to
de-identify the physician information. We had multiple
meetings with the author’s office and stakeholders. No
commitments were made by the author to include our
amendment. The bill was held in the Assembly Health
Committee.
SB 277 (Pan) – Support – This bill removes the
religious exemption for mandatory vaccines for school
children. The bill was signed by the Governor.
8 | LIFELINE a forum for emergency physicians in california
SB 299 (Monning) – Support – This bill exempts
health care providers submitting a Medi-Cal provider
application package from the current notarization
requirements, if that provider enrolls electronically. The bill
was signed by the Governor.
SB 323 (Hernandez) – Oppose – This bill would
permit nurse practitioners (NP) to practice independently,
if the NP has met specified requirements, including
possessing liability insurance and national certification. The
bill was defeated in the Assembly Business and Professions
Committee.
SB 482 (Lara) – Oppose – This bill would require
prescribers to consult the Controlled Substances Utilization
Review and Evaluation System (CURES) prior to prescribing
a Schedule II or III drug to a patient for the first time and
delayed implementation of this requirement until the
Department of Justice (DOJ) certified that the CURES
database is ready for statewide use. The bill was held in the
Assembly.
SB 483 (Beall) – Oppose – This bill would define
observation services as only lasting 24 hours and would
define observation units. In the Senate Health Committee
the Committee pushed amendments into the bill
saying observation units would not include emergency
departments. This amendment helped address some of our
concerns, but not enough to remove our opposition. The
bill was later held on the Senate Appropriations Committee
Suspense File.
SB 518 (Leno) – Support – This bill would recognize
the Trauma Recovery Center at San Francisco General Medical
Center, University of California, San Francisco as the State
Pilot Trauma Recovery Center (State Pilot TRC) and require
the California Victim Compensation and Government Claims
Board to use the extremely successful Integrated Trauma
Recovery Services model developed by the State Pilot TRC
when it awards grants to trauma recovery centers. The
bill was held on the Assembly Appropriations Committee
Suspense File.
SB 538 (Block) – Oppose – This bill would provide
an expansion of the scope of practice for naturopathic
doctors. Specifically, this bill would allow NDs to prescribe
Schedule V drugs and drugs that are not classified on the
DEA schedule, without physician supervision. The bill died
in the Assembly Appropriations Committee.
SB 591 (Pan) – Support if Amended – This bill would
increase the California Tobacco Tax to $2.00 per pack and
allocate funding to different funds, including the Breast
Cancer Fund and California Children and Families First Trust
Fund. Due to the direct effect that smoking-related diseases
have on California’s emergency departments, we ask that SB
591 be amended to allocate a portion of the funds to the
Maddy Fund. The bill was held in the Senate.
SB 614 (Leno) – Support – This bill would require the
Department of Health Care Services (DHCS) to establish a
program for certifying peer and family support specialists
(PFSS) and to allow DHCS to seek any federal waivers or
state plan amendments to implement the certification
program. The bill was held in the Assembly.
SB 658 (Hill) – Watch (Original position was Oppose
Unless Amended) – The intent of the bill is to reduce
barriers for businesses placing AEDs in their business.
Specifically, the bill removes the requirement for businesses
to have a medical director. As originally drafted, the bill
eliminated the immunity provisions for physicians who
may be involved with the placement of the AED. We felt
the immunity provisions were still important because a
business may still want to have a physician involved. The
author accepted our amendment to add the immunity
language back into the bill. We moved to a Watch position.
The bill was signed by the Governor.
SB 738 (Huff ) – Support – This bill provides that an
authorizing physician and surgeon will not be subject to
professional review, be held liable in a civil action, or be the
subject of criminal prosecution for issuing a prescription or
order for an epinephrine auto-injector, unless the physician
or surgeon's issuance constitutes gross negligence or willful
or malicious conduct. The bill was signed by the Governor.
ABX2 6 (Cooper) and SBX2 5 (Leno) –
Support – These bills would add electronic cigarettes
(e-cigarettes) to the definition of a tobacco product in the
Stop Tobacco Access to Kids Enforcement (STAKE) Act and
extend current restrictions and prohibitions against the use
of tobacco products to electronic cigarettes. The bills remain
in the healthcare special session.
ABX2 7 (Stone) and SBX2 6 (Monning) –
Support – These bills would remove many (but not all)
exemptions in existing law that allow tobacco smoking
in certain indoor workplaces and expand the prohibition
on smoking in a place of employment to include owneroperated businesses. The bills remain in the healthcare
special session.
ABX2 8 (Wood) and SBX2 7 (Hernandez)
– Support – These bills would raise the minimum legal
smoking age from 18 to 21; conform existing law regarding
the purchasing, selling, and enforcement of tobacco and
tobacco products to reflect the new age limit; and clarify
that these provisions are not intended to prohibit a local
government from imposing a more restrictive legal age to
purchase or possess tobacco products. The bills remain in
the healthcare special session.
____________________________________
The Chapter monitors and works on hundreds of
bills each year. If you have any questions about
the legislation mentioned here, or in general,
please email us at [email protected]. n
Southern California
JOB OPPORTUNITIES
•
Excellent Opportunities for
Emergency Physicians
• Very Competitive Compensation
• Hospitals include Arcadia Methodist &
Glendale Memorial (Top heart programs).
• Available practice settings in the Greater
Los Angeles area.
Contact Debbie Corn for more information
(909) 634-3172 or email CV to [email protected]
DECEMBER 2015 | 9
GUEST ARTICLE |
PEDIATRIC
Merry-Go-Rounds
This article has been re-printed and edited with the permission of Dr. Dieckmann.
VOLUME 6 ISSUE 3, JULY, 2015
By Ron Dieckmann MD, MPH, VEP Director of Pediatrics
Professor Emeritus of Emergency Medicine and Pediatrics, UCSF
VEPeds Vignettes:
CURIOUS CASE RECORDS of KIDS in VEP EDs
Sudden collapse in a young girl
A 7 year old girl is brought to the ED by 911 because of sudden
collapse while playing soccer. The child’s initial field rhythm was
ventricular tachycardia, which converted to normal sinus rhythm after
a single defibrillation at 2 watt secs/kg. In the ED, the child was alert
with normal signs. The exam was normal, and no cardiac murmur
was heard. Her ECG is shown below. The child was transferred to a
pediatric ICU and discharged the following day on a beta blocker.
Congenital Long QT Syndrome
Editor’s Note
Sudden collapse in children and adolescent athletes is a rare but
highly dramatic event. In young patients without congenital cardiac
disease who have been previously well but experience sudden
syncope, seizures or cardiac arrest, there is a limited differential
diagnosis. In the ED, there are three major etiologies to consider:
Congenital Long QT Syndrome (LQTS), hypertrophic cardiomyopathy
(HOMC), and Brugada Syndrome. The history, physical exam and
ECG will usually distinguish between these possibilities. In this child,
who had a negative toxicology screen and normal electrolytes, the
ECG findings strongly support the diagnosis of LQTS. These three
conditions are all potentially life threatening, but the patient may be
completely unaware that a time bomb is ticking away.
10 | LIFELINE a forum for emergency physicians in california
LQTS is a usually autosomal dominant hereditary disorder characterized
by prolonged ventricular repolarization and prolongation of the QT
interval on ECG and episodes of polymorphic ventricular tachycardia.
Syncope and sudden death are major risks. There are three main
genotypes. LQTS can also be acquired through electrolyte disorders,
by poisoning or exposure to a multitude of drugs, and with increased
intracranial pressure. The ECG is characteristic, often showing
markedly prolonged QT interval, but an exertional ECG may be
necessary to unmask the abnormality in a child with a normal rest
ECG. Treatment with beta blockers is highly effective for the most
common genotypes, along with exercise modification, and avoidance
of medications known to prolong QT. An implantable cardioverterdefibrillator (ICD) may be indicated in high-risk patients.
Hypertrophic cardiomyopathy (HOCM)
HOCM is the most common cause of sudden death in athletes. It is
usually idiopathic but may have an autosomal dominance pattern of
inheritance. Family history is often positive for syncope and sudden
death. The exam shows a harsh systolic murmur similar to aortic
stenosis. The murmur increases with standing or expiration and
decreases with squatting. Ventricular dysrhythmias are the usual cause
of death. Treatment is with beta blockers, calcium channel blockers or
an ICD.
Brugada Syndrome
Brugada syndrome is a genetic syndrome or channelopathy
associated with sudden death from ventricular dysrhythmias in young
and otherwise healthy children, adolescents and adults who have
structurally normal hearts. The diagnosis is made by ECG. There are
three primary types. Dysrhythmic events and symptoms typically
occur at night, while resting or sleeping, when febrile, and after large
meals, but rarely during exercise. The exam is usually normal and ECG
is distinct (see below), which shows a pseudo right bundle branch
block pattern in V1 and V2. The only effective treatment is an ICD. n
Questions Corner
Do dystonic reactions indicate overdose of a medication?
No. 70 % of dystonic reactions occur when the child has had a correct dose of medicine. Drugs in the ED that most commonly cause
dystonia are antiemetics (e.g., metoclopramide), antipsychotics (e.g., haloperidiol), antiepileptics (e.g., phenytoin), and sedatives (e.g.,
lorazepam). These can be terrifying experiences for the child and parent, and the actual mechanism still remains unclear. Fortunately,
there is a highly effective treatment that is readily available in all EDs—the H1 antagonist diphenhydramine (Benadryl). Administer the
dose at 1 mg/kg IV ideally, but the drug can be given PO or IM if a slower onset of action is acceptable.
Be sure to consider other possibilities of apparent dystonia, such as conversion reaction, deep space abscesses in the neck, seizures,
meningitis and recreational drug abuse.
Clinically trained team
Billing management services
All of our clients are references
Reimbursement coding by registered nurses
C O N TA C T
Andrea Brault M.D., MMM, FACEP
(877)346-2211, ext. 278 | [email protected]
180 Via Verde Suite 100 | San Dimas, California 91773
DECEMBER 2015 | 11
Lois
PERSONAL STORY |
Dr. Norton treated Lois in August of 2013 and graciously agreed
to have her account published.
During my ER shift today, in room 10, there was a thin homeless
woman. She was covered in a film of grime, but she had a smile. “My
feet hurt, doctor,” she told me. “I’ve been walking a lot, looking for
sanctuary. The government has been trying to steal my creativity for
years, but I’ve been guarding my poems. They want to kill me for my
poems, but I won’t let them.”
She was holding a small notebook with a beautiful flowery cover, in
shades of pink and magenta. She was writing on the creamy pages
in small, neat cursive. As far as I could tell, it was her only possession
that was not filthy.
“That’s so cool that you write poetry,” I told her. “That will be your
legacy.”
“Yes!” She beamed. “How nice that you understand!”
I examined her. Her feet were sore and blistered, but nothing more.
She looked healthy, and at peace. “Do you want to see our psychiatric
team?” I asked her.
“Oh, no, I don’t need them,” she replied. “I’m fine.”
“Would you like a shower?”
“That would be great!”
“Would you like a meal?”
“That would be lovely.”
“Would you like something for pain, for your feet?”
“That would be wonderful.”
“Is there anything else we can do for you?”
“No, that sounds just perfect. That’s all I need.”
“It was nice to meet you. You are a beautiful soul,” I said, and turned
to go.
“Doctor, would you like me to read you a poem?”
“I would like that more than anything, but I have patients waiting to
see me. Maybe I’ll come back in a bit, after I get caught up, and you
could read me one then?”
“Would you like me to write one for you while you go see those other
patients?”
“That would be fantastic if you would write a poem for me! Thank you
so much.”
“Do you want to pick a topic, or should I just look into your soul?”
“I would love it if you would look into my soul,” I said, and I meant it.
Thirty minutes later, she passed me in the hall as she was walking with
a nurse to the discharge area.
“Doctor,” she smiled, “Here is the poem I wrote for you.”
12 | LIFELINE a forum for emergency physicians in california
THE
POET
She handed me an unblemished, creamy page, torn from her
notebook.
On it was this poem:
For Mercys Foot Doctor
Today a foot doctor approached me
She seemed to have a halo that
said you at this moment are
the exact right company
We talked a little bit about
my legacy
And I said I hope in the
future for the doctor and
the patient it can be a
great game of candy
kiss monopoly called
a glory story of poetry
Of course she admired my
filthy dirt
She said congradulations you
have been promoted to
Grade A Self Worth
She said simply all you
need is a shower
And you will have unlimitless
Candy kiss flower power
By Lois August
At the bottom of the page it said:
“I will be seeking Sanctuary
Until the right person shows
me my gods mercy.”
“This is a great poem,” I told her. “You have made my day.”
And then I showed the poem to the nurses, and I put it in my pocket,
and I told the people whom I love most about it. I read it to my family
at dinner. And then I said to them, “I have the best job in the world.”. n
THE OHIO ACEP EMERGENCY
MEDICINE BOARD REVIEW COURSE 2016
FEBRUARY
Newport Beach Marriott Hotel & Spa
Newport Beach, California
February 8 - 12, 2016
FOR MORE INFORMATION ON LOCATIONS & ACCOMMODATIONS: WWW.OHACEP.ORG/EMRHOTEL
COMPREHENSIVE.
RELEVANT.
ESSENTIAL
COURSE AGENDA
February 8 - Day 1 (7 am - 8:05 pm)
Orientation/Test Taking Psychology
Endo, Metabolic & Nutritional Disorders I & II
Renal/GU Emergencies
Hematologic Disorders
Infectious Disorders I & II
Cardiovascular Disorders I & II
ECG Review
February 9 - Day 2 (7:30 am - 7:10 pm)
Nervous System Disorders
Cardiovascular Disorders III & IV
Geriatrics
Cutaneous Disorders I & II
Abdominal & Gastrointestinal Disorders I & II
Ear, Nose , Throat & Dental Disorders
Comprehensive Rapid Review
February 11 - Day 4 (7 am - 7:10 pm)
e-Learning Review (Trauma Focus)
Pediatric Medical Illnesses I & II
Pediatric Surgical Illnesses
Pediatric Rapid Review
Rapid Fire Board Prep II
Oncologic Emergencies
Musculoskeletal Illnesses
Obstetrical Disorders
Psychobehavioral Disorders
Emergency Medicine Immersion Rapid Review
February 12 - Day 5 (7 am - 5:25 pm)
e-Learning Review (Pediatrics Focus)
Female Urogenital Disorders
Toxicologic Emergencies I & II
Thoracic Respiratory Disorders I & II
Toxicologic Emergencies III
Toxicology Rapid Review
Thoracic Respiratory Disorders III
Clinical Pharmacology I & II
February 10 - Day 3 (7:30 am - 7:15 pm)
Traumatic Disorders
Traumatic Disorders C-Spine
Ocular Emergencies
Pelvic, Back & Lower Extremity
Musculoskeletal Injuries
Rapid Fire Board Prep I
Environmental Emergencies I & II
Ultrasound in EM
Upper Extremity Musculoskeletal & Hand Injuries
Trauma & Environmental Rapid Review
TRUSTED FACULTY
REGISTRATION INCLUDES
Eric Adkins, MD, FACEP, MSc
Thoracic Respiratory Disorders I-III
COURSE MATERIAL
• Extensive Daily Course Syllabus. A powerful, comprehensive tool for review.
Printed and electronic web-based versions provided.
Brian Browne, MD, FACEP
Cutaneous Disorders I & II
Ken Butler, DO, FACEP
Ear, Nose, Throat and Dental Disorders, Pelvic, Back &
Lower Extremity Musculoskeletal Injuries
Ann Dietrich, MD, FACEP
E-Learning Review
• Pre, Post & Daily Tests totaling over 400 questions.
• Key Facts (50+ pages) to reinforce key concepts of Emergency Medicine. Covering
26 topics this is the perfect tool for every stage of your review process.
• Online access to Ohio ACEP’s Pharmacology/Toxicology Case Studies workbook
with 60 cases for review.
ONLINE STIMULI & E-LEARNING WEB SITE (WWW.OHACEP-ELEARNING.ORG)
Fred Hustey, MD, FACEP
Endocrine, Metabolic & Nutritional Disorders I & II
Colin Kaide, MD, FACEP, FAAEM
Renal/GU Emergencies, Hematologic Disorders
Randall King, MD, FACEP
Orientation, Test Taking Psychology, Traumatic Disorders
C-Spine, Musculoskeletal Illnesses, Rapid Reviews
Nicholas Kman, MD, FACEP
Environmental Emergencies I & II
• Web access to 1,400+ full color diagnostic photos, radiographs and ultrasounds,
complete with case questions organized into 23 categories.
• Case questions e-mailed periodically to guide your studies before attending
the course.
ADDITIONAL REVIEW OPPORTUNITIES
• Focused, team led rapid review and
.
• Faculty reviews of select cases and images from Ohio ACEP’s online stimuli Web site.
COURSE EXTRAS
Joseph Martinez, MD, FACEP, FAAEM
Abdominal & Gastrointestinal Disorders I & II,
Comprehensive Rapid Review, Ocular Emergencies
Amal Mattu, MD, FACEP
Cardiovascular Disorders I-IV, ECG Review, Nervous
System Disorders, Geriatrics
Michael McCrea, MD, FACEP, FAAEM
Pregnancy Disorders, Psychobehavioral Disorders,
Urogenital Disorders
Ryan Mihata, MD, MPH, CPE, FACEP
Clinical Pharmacology I & II
Michael Omori, MD, FACEP
Infectious Disorders I & II
Laura Sells, MD, FAAP, FACEP
Pediatric Medical Illnesses I & II, Pediatric Surgical
Illnesses, Pediatric Rapid Review
Ramin Tabatabai, MD, FACEP
Oncologic Emergencies
Jerry Tasset, MD, PhD, FACEP
Toxicologic Emergencies I-III, Toxicologic Rapid Review
Howard Werman, MD, FACEP
Upper Extremity Musculoskeletal & Hand Injuries,
Trauma & Environmental Emergency Rapid Review
Sandra Werner, MD, RDMS, FACEP
Traumatic Disorders, Rapid Fire Board Prep I & II,
E-Learning Review, Ultrasound in Emergency Medicine
• A continental breakfast will be available to those staying at the hotel.
• Complimentary Wi-Fi access in guest rooms at the hotel.
WHO SHOULD ATTEND?
Residents preparing for an inservice or qualifying exam!
Individuals looking for a comprehensive review of Emergency Medicine!
Advanced practice providers who treat urgent medical conditions!
Those seeking a valuable CME resource!
CME ACCREDITATION
These activities have been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation
Council for Continuing Medical Education through the joint providership of the American College of Emergency Physicians and
Ohio ACEP. The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.
THE OHIO ACEP EMERGENCY MEDICINE BOARD REVIEW
The American College of Emergency Physicians designates this live activity for a maximum of 50 AMA PRA Category 1 Credits™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American College of Emergency Physicians for a maximum of 50 hours of ACEP Category I credit.
WWW.OHACEP.ORG/EMREVIEW
CEMAF
Donors
ANNOUNCEMENTS |
The California Emergency Medicine Advocacy Fund
(CEMAF) has transformed California ACEP’s advocacy efforts from primarily legislative to robust
efforts in the legislative, regulatory, legal, and
through the Emergency Medical Political Action
Committee, political arenas. Few, if any, organization
of our size can boast of an advocacy program like California ACEP’s; a program that has helped block Medi-Cal provider rate cuts, stop the $100 million raid on the Maddy
EMS Fund, and fight for ED overcrowding solutions – and
that’s just the last year! The efforts could not be sustained
without the generous support from the groups listed below, some of whom have donated as much as $0.25 per
chart to ensure that California ACEP can fight for emergency medicine. Thank you to our 2014-15 contributors
CALIFORNIA ACEP SPONSORED CONFERENCES
• Emergency Medicine in Yosemite*, January 13-16, 2016
Yosemite, CA
• The Ohio ACEP Board Review*, February 8-12, 2016
Newport Beach, CA
(in alphabetical order):
•
•
•
•
•
•
•
•
•
•
•
•
Alvarado Emergency Medical Associates
Antelope Valley Emergency Medical Associates
Beach Emergency Medical Associates
Berkeley Emergency Medical Group
CEP America
Chino Emergency Medical Associates
Coastline Emergency Physicians Medical Group
Culver City Emergency Medical Group
Eden Emergency Medical Group
EMP Management Group
Grossmont Emergency Medical Group
Hollywood Presbyterian Emergency Medical
Associates
• Mills Peninsula Emergency Medical Group
• Montclair Emergency Medical Associates
• Napa Valley Emergency Medical Group
• Orange County Emergency Medical Associates
• Pacific Emergency Providers
• Pacifica Emergency Medical Associates
• Riverside Emergency Physicians
• San Dimas Emergency Medical Associates
• San Francisco Emergency Medical Associates, Inc.
• Sherman Oaks Emergency Medical Associates
• South Coast Emergency Medical Group, Inc.
• Tarzana Emergency Medical Associates
•TeamHealth
• Tri-City Emergency Medical Group
• Valley Emergency Medical Associates
• Valley Emergency Physicians
• West Hills Emergency Medical Associates
16 | LIFELINE a forum for emergency physicians in california
ENDURING MATERIALS - ONLINE CME
SonoSim®* Enduring Materials - Computer Software (Modules)
Info: (310) 315-2828
www.sonosim.com
• SonoSim® Ultrasound Training Solution Aorta/IVC: Core Clinical Module
• SonoSim® Ultrasound Training Solution Bladder: Core Clinical Module
• SonoSim® Ultrasound Training Solution FAST Protocol: Core Clinical Module
• SonoSim® Ultrasound Training Solution Fundamentals of Ultrasound: Core Clinical Module
• SonoSim® Ultrasound Training Solution Intestinal/Biliary: Core Clinical Module
• SonoSim® Ultrasound Training Solution Musculoskeletal: Core Clinical Module
• SonoSim® Ultrasound Training Solution Ocular: Core Clinical Module
• SonoSim® Ultrasound Training Solution Rapid Ultrasound in Shock: Core Clinical Module
• SonoSim® Ultrasound Training Solution Soft Tissue: Core Clinical Module
• SonoSim® Ultrasound Training Solution Vascular Access: Core Clinical Module
*Approved for AMA PRA Category I CreditsTM
| CALIFORNIA ACEP UPCOMING MEETINGS & DEADLINES
For more information on upcoming meetings, please e-mail us at [email protected]; unless otherwise noted,
all meetings are held via conference call.
DECEMBER 2015
10th at 10 am
11th at 10 am
Government Affairs Committee
Conference Call
Member Services Committee
California Call
24th – Jan. 1st
Winter Holiday
Chapter Office Closed
31st
FACEP Application Deadline
DECEMBER 2015
SUN
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14th at 10 am
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Practice Management Committee
Conference Call
12th at 9 am
Reimbursement Committee
Conference Call
13th – 16th
22nd at 10 am
Member Services Committee
Conference Call
FEBRUARY 2016
4th
Board of Directors Meeting
Sacramento, CA
8th – 12th
Ohio Chapter Board Review Course
Newport Beach, CA
FEBRUARY 2016
SUN
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DECEMBER 2015 | 17
CAREER OPPORTUNITIES |
ANAHEIM, CALIFORNIA: Anaheim Regional Medical Center’s Democratic ED
Physician group has immediate part time/full time positions available for BC /
BE Emergency Physicians. We have a busy, high acuity department with 44,000
annual visits. Shifts are 9-10 hours long with night shift/holiday differential
and double coverage during peak hours. We offer a competitive salary, paid
malpractice and full partnership opportunities.
Interested physicians E-mail your CV and references to [email protected],
[email protected] or call us at 714-999-5112.
CENTRAL COAST: MMC Emergency Physicians Medical Group at Marian
Regional Medical Center-Santa Maria-seeking a qualified BC/BE Emergency
Physician to join a stable, independent, single hospital, democratic group.
Partnership opportunity available in this well-supported ED with growing
census of >80,000 visits/year. New hospital/new ED opened in 2012. Practice
alongside experienced colleagues at a STEMI receiving center, a Level III Trauma
Center and a certified Stroke Center that offers 24/7 in-house hospitalists,
OB laborists and intensivists in addition to a NICU, peds hospitalists and FP
residents. Live on the beautiful Central Coast, anywhere from San Luis Obispo to
Santa Ynez/Solvang, with easy commutes to work and easy access to beaches/
mountains/wine country along with all types of outdoor recreation. This is the
job your residency director told you to find.
For more details, contact David Ketelaar, MD at [email protected]
Phone (805) 440-0837
FULLERTON, CALIFORNIA: Join our ED team in beautiful north OC at St Jude
Med Ctr. Our 36 bed state of the art ED serves >60K pts/yr with 54 hrs MD, 44
hrs PA and 100% scribe coverage per day, 9 hr shifts. We have held this stable
contract for >36 years, have excellent back-up, 24hr in house Critical Care, OB,
neonatologist and hospitalists. We are a STEMI receiving center and “Advanced
Comprehensive Stroke Center” and provide excellent compensation with night
differential. EM BC/BE mandatory.
Interested physicians send CV to [email protected]
LOS ANGELES-CULVER CITY: Southern California Hospital at Culver City Rare
opportunity to join a Westside LA ER group. Group seeks BC/BE emergency
physician to work Part-Full Time as an independent contractor. Excellent
compensation with malpractice paid. Nine hour shifts with PA double coverage.
90% nights already covered! Remodeled ER, Computerized Charting and PACS!
Email CV and references to [email protected]. Phone 951-898-0823.
NEWPORT BEACH, CALIFORNIA: Newport Emergency Medical Group (NEMG)
is accepting applications for an Emergency Physician position which will open
in September, 2015. NEMG provides Emergency Physician staff for the Hoag
Hospitals in Newport Beach and Irvine. Extremely stable group practicing at
Hoag for 34 years. New group members gain financial and scheduling parity
after three years. Competitive reimbursement.
Contact Ray Ricci, MD at [email protected].
To advertise with Lifeline and to take advantage of our circulation of over
3,000 readers, including Emergency Physicians, Groups, and Administrators
throughout California who are eager to learn about what your business has
to offer them, please contact us at [email protected] or give us a call
at (916) 325-5455.
18 | LIFELINE a forum for emergency physicians in california
NORTHERN & CENTRAL CALIFORNIA: Kaiser Permanente is looking for
excellent BE/BC Emergency Medicine physicians interested in full time or less
than full time position with dynamic physician group throughout Northern and
Central California.
The Permanente Medical Group, Inc. offers:
• Competitive salary
• Recruitment bonus
• Mortgage loan program (approval required)
• Comprehensive benefits package, including excellent retirement plans
• Malpractice insurance coverage
• Cutting-edge technology
TPMG, Inc. allows you to combine a medical practice of which you can be proud
and a quality of life you deserve.
To apply, send your curriculum vitae to
Narlyn Villaruel at [email protected]
or call (800) 777-4912. http://physiciancareers-ncal.kp.org
RIVERSIDE, CALIFORNIA: PARKVIEW MEDICAL CENTER: Great opportunity
to join a 14 year ER group. Group seeks BC/BE Emergency Physician to work
Part/Full Time as an independent contractor. Excellent Top Tier Compensation
based on productivity with malpractice paid. Ten hour shifts with MD double
coverage and 12 Hour PA. Computerized equitable shift scheduling. Efficient
Computerized Charting and PACS! Soon to break ground on New Emergency
Department.
Email CV and references to [email protected] | Phone (951) 898-0823
SAN DIEGO, CALIFORNIA: Grossmont Emergency Medical Group has an
immediate opportunity for a Board Certified or Board Prepared emergency
physician. Both part time and full time positions are available in busy, high acuity
department with annual visits >100K. Emergency Department is in new "state of
the art" Critical Care Center with computerized tracking system and physician
order entry. Shifts are 8 hours with 88 physician hours /60 mid-level provider
hours of coverage daily. Come live and work in America's Finest City.
E-mail CV and references to [email protected]
SANTA CRUZ/MONTEREY BAY/SALINAS, CALIFORNIA: Salinas Valley
Memorial Healthcare System’s (SVMHS) well-established democratic emergency
medicine group is seeking part-time/full-time applicants to staff a busy, high
acuity emergency department with approximately a 60K annual volume (STEMI/
Stroke receiving hospital). SVMHS is located in Salinas, California but most of
our physicians/PAs live in Santa Cruz area or Monterey/Carmel. We use EMR/
CPOE with assistance of medical scribes. Must be BC/BE Emergency Medicine.
Competitive salary/benefits. 2-year partnership track with FT employment.
Enjoy where you work, enjoy where you play!
Interested applicants please send your CV to [email protected]
SOUTHERN CALIFORNIA – ORANGE COUNTY: Full time and part time
independent contracting emergency physicians needed for high volume, high
acuity practices. Chest Pain Center, Stroke Center, Pediatric Level II trauma
center - large independent group with forty years of clinical excellence for two
acute care facilities. Expanding group needs BC/BE emergency physicians and
pediatric emergency physicians. Excellent compensation, malpractice paid,
scribes, midlevel providers, 8 – 9 hour shifts, excellent call panel coverage.
Email CV and references to [email protected], fax to 714-543-8914
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Lisa
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Paramedic
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2075 Allston
Way,
Berkeley,
CA
94704
2075
Allston
AllstonWay,
Way,Berkeley,
Berkeley,CA
CA94704
94704
Allan Hancock
Hancock College
College
2075
Allston Way,
2075 Allston
Way, Berkeley,
Berkeley,CA
CA94704
94704
Phone:
Phone: (510) 809-3646
809-3646
Hancock
College
Allan
Hancock
College
American
Health
Education,
Inc
Mike
Mike DeLeo,
DeLeo, EMT
EMT–– Course
CourseCoordinator
Coordinator
Phone:
(510)
809-3646
809-3646
628-5876
Fax;
(866)
628-5876
Mike
EMT
–– Course
Mike
DeLeo,
EMT
Course
Coordinator
PerryS.
Hookey,
EMT-P
800
800
S.DeLeo,
College,
College,
Santa
Santa
Maria,
Maria,Coordinator
CA
CA93454
93454
Fax;
(866)
628-5876
628-5876
Email: [email protected]
[email protected]
Email:
[email protected]
800
S. College,
College,
Santa
800
S.
Santa
Maria,
CA93454
93454
7300B
Amador
Plaza Maria,
Road, CA
Dublin,
CA 94568
Phone:
(805)
878-6259
878-6259
Email:
[email protected]
Email:www.fastresponse.org
[email protected]
Web:
www.fastresponse.org
878-6259
Phone:
(805)
878-6259
Phone:
(800)
483-3615
Fax:
(805)
922-5446
922-5446
Web: www.fastresponse.org
www.fastresponse.org
(805)
922-5446
Fax:
922-5446
Email:
[email protected]
Linda University
UniversityMedical
MedicalCenter
Center
Loma
Loma Linda
Email:
Email:
[email protected]
[email protected]
LomaJones,
Linda
University
Medical
Linda
UniversityAssistant
MedicalCenter
Center
Email:
[email protected]
Email:
[email protected]
Web:www.hancock.cc.ca.us
www.americanhealtheducation.com
Lyne
Administrative
Assistant
Lyne
Administrative
Web:
www.hancock.cc.ca.us
Jones,
Administrative
Assistant
Lyne
Administrative
Assistant
www.hancock.cc.ca.us
Web: www.hancock.cc.ca.us
Department
Department ofof Emergency
EmergencyMedicine
Medicine
American
MedicalResponse
Response(AMR)
(AMR)
American Medical
Department
Department
ofof Emergency
Emergency
Medicine
Medicine
11234
11234
Anderson
Anderson
A108,
Loma
92354
AndersonSt.,
St., A108,
Loma Linda,
Linda, CA 92354
Medical
Response
(AMR)
American
Medical
Response
(AMR)
Ken Bradford,
Operations
Bradford, Operations
Operations
11234
11234
Anderson
Anderson
St.,
A108,
A108,
Loma
Loma Linda,
Linda, CA 92354
92354
Phone:
Phone: (909) 558-4344
558-4344 xx 00
Bradford,
Operations
Ken
Bradford,
Operations
841
Latour Court,
Court, Ste
841 Latour
Ste D,
D, Napa,
Napa, CA
CA94558-6259
94558-6259
94558-6259
Phone:
(909)
558-4344
558-4344 xx 00
Fax:
(909)
558-0102
558-0102
841 Latour
Latour Court,
Court,
Ste
841
Ste D,
D, Napa,
Napa, CA
CA94558-6259
94558-6259
Phone:
953-5795
Phone: (707) 953-5795
Fax: (909)
558-0102
558-0102
Email:
Email:
[email protected]
[email protected]
[email protected]
(707) 953-5795
Phone:[email protected]
953-5795
Email:
Email:
[email protected]
[email protected]
Email:
Email:www.llu.edu
[email protected]
[email protected]
Web:
www.llu.edu
Email: [email protected]
Email:
[email protected]
Web: www.llu.edu
www.llu.edu
A Work Safe Environment
Environment
Medic
Ambulance
Medic Ambulance
Work
Safe
Environment
A
SafeEMTP
Environment
Steve Bristow,
Bristow,
EMTP
Medic
Ambulance
Ambulance
Perry
Hookey,
EMTP,
Education
Perry
Hookey,
EMTP,
EducationCoordinator
Coordinator
James
Pierson,
EMT-P
Bristow,
EMTP
Steve
Bristow,
EMTP
3140
Aldridge
3140 Aldridge
Way, El
AldridgeWay,
El Dorado
DoradoHills,
Hills,CACA95762
95762
PerryCouch
Hookey,
EMTP,
Education
Coordinator
Perry
Hookey,
EMTP,
Education
Coordinator
506
Couch
Street,
Vallejo,
CA
506
Vallejo,
CA94590-2408
94590-2408
3140 Aldridge
Aldridge
Way,
3140
Way, ElEl Dorado
DoradoHills,
Hills,CACA95762
95762
Phone:
(925)
708-5377
708-5377
Phone:
506
Couch
Vallejo,
CA
94590-2408
506
Couch
Street,
Vallejo,
CA
94590-2408
Phone: (707) 644-1761
644-1761
(925) 708-5377
Phone:[email protected]
708-5377
Email:
Email:
[email protected]
[email protected]
644-1761
Phone:
(707)
644-1761
Fax:
(707)
644-1784
644-1784
Email:
[email protected]
Email:
[email protected]
Web: www.worksafeenvironment.com
www.worksafeenvironment.com
644-1784
Fax:
(707)
644-1784
Email:
Email:
[email protected]
Email: [email protected]
[email protected]
www.worksafeenvironment.com
Web: www.worksafeenvironment.com
Email:www.medicambulance.net
[email protected]
Email:
[email protected]
California
EMS
Academy
California
EMS
Academy
Web:
www.medicambulance.net
Compliance
Training
California
EMS
Academy
California
EMS
Academy
www.medicambulance.net
Web:
www.medicambulance.net
Nancy
Black,
Course
Coordinator
Nancy
Black, RN,
RN,EMS
Course
Coordinator
Jason Manning,
Course
Coordinator
Napa
Napa Valley
Valley College
College
Nancy Foster
Black,
RN,
Course
Coordinator
Nancy
Black,City
RN,Blvd
Course
Coordinator
1170
City
#107,
Foster
CA
1170
Blvd
#107,
Foster City,
City,95709
CA94404
94404
Valley
College
Napa Valley
College
3188 Foster
Verde Robles
Drive,
Camino,
CA
Gregory
Rose,
Co-Director
Gregory
EMS
Co-Director
Rose, EMS
1170
Foster
City
Blvd
#107,
Foster
City,
CA
94404
1170
Foster
City
Blvd
#107,
Foster
City,
CA
94404
Phone:
(866) 429-5895
577-9197
577-9197
Gregory
Rose,
EMS
Gregory
Rose,
EMSCo-Director
Co-Director
Phone: (916)
2277
Napa
Highway,
Napa
2277
Napa
Highway,
Napa CA
CA 94558
94558
(866)
577-9197
Phone:
577-9197
Fax:
(650)
701-1968
701-1968
2277
Napa
Highway,
Napa
2277
Napa
Highway,
Napa CA
CA 94558
94558
Fax: (916) 256-4301
Phone:
Phone: (707) 256-4596
256-4596
(650)
701-1968
Fax:
701-1968
Email:
Email:
[email protected]
Phone:[email protected]
(707) 256-4596
256-4596
Email: [email protected]
[email protected]
Email:
Email:
[email protected]
[email protected]
Email:
[email protected]
Email:
[email protected]
Web: www.caems-academy.com
www.caems-academy.com
Email:
[email protected]
Email:www.winecountrycpr.com
[email protected]
Web:
www.winecountrycpr.com
www.caems-academy.com
Web:
CSUSwww.caems-academy.com
Prehospital Education Program
Web: www.winecountrycpr.com
www.winecountrycpr.com
Compliance
Training
Compliance
Training
Derek
Parker, Program
Director
NCTI
Instruction
NationalCollege
CollegeofofTechnical
Technical
Instruction
NCTI –– National
Technical
Instruction
Compliance
Training
Compliance
Training
Jason
Manning,
EMS
Coordinator
Manning,
EMSCourse
Course
Coordinator
NCTI Rohrabaugh,
––E.
National
College
ofofTechnical
National
College
TechnicalInstruction
Instruction
3000 State
University
Drive East,
Napa Hall, Sacramento, CA Lawson
Lena
Course
Stuart,
CEN,
EMT-P
Lawson
E.
Stuart,RN,
RN,
CEN,Manager
EMT-P
Manning,
EMS
Course
Coordinator
Jason
Manning,
EMS
Course
Coordinator
3188
Verde
Drive, Camino,
Camino,CA
CA95709
95709
3188
Verde Robles
Robles Drive,
Lawson
E.
RN,
CEN,
EMT-P
Lawson
E. Stuart,
Stuart,
RN,
CEN,
EMT-P
95819-6103
333 Sunrise
Ave Suite
500,
Roseville, CA 95661
Lena
Rohrabaugh,
Course
Manager
Rohrabaugh,
Course
Manager
3188
Drive, Camino,
Camino,CA
CA95709
95709
3188 Verde
Verde
Robles
Drive,
Phone:
429-5895
(916)Robles
429-5895
Rohrabaugh,
Course
Manager
Lena
Rohrabaugh,
Course
Manager
Office:
(916)
278-4846
Phone:
(916)Ave
960-6284
x 105
333
Sunrise
Ave
Suite500,
500,
Roseville,CA
CA95661
95661
333
Sunrise
Suite
Roseville,
Phone:
429-5895
(916)
429-5895
Fax:
256-4301
(916)
256-4301
333
Ave
Suite500,
500,
Roseville,CA
CA95661
95661
333
Sunrise
Ave
Suite
Roseville,
Mobile:
(916)
316-7388
Fax: Sunrise
(916)
960-6296
960-6284
xx 105
Phone:
(916)
960-6284
105
Fax:
256-4301
(916)
256-4301
Email:
[email protected]
Email:
[email protected]
960-6284 xx 105
Phone:
(916)
960-6284
105
Email:
Email:
[email protected]
960-6296
Fax:
(916)
960-6296
Email:
[email protected]
Email: [email protected]
[email protected]
960-6296
Fax:
960-6296
Web: www.cce.csus.edu
CSUS
PrehospitalEducation
EducationProgram
Program
CSUS
Prehospital
Web:(916)
www.ncti-online.com
Email:
[email protected]
Email:
[email protected]
CSUS
Prehospital
Education
Program
CSUS Parker,
Prehospital
Education
Email:www.ncti-online.com
[email protected]
Email:
[email protected]
Derek
Program
Director
Program
Director Program
Web:
www.ncti-online.com
Oakland
Fire Department
EMS Academy
Parker,
Program
Director
Derek
ProgramDrive
Director
www.ncti-online.com
3000
State
University
East,
CACA Web: www.ncti-online.com
3000
State
University
Drive
East,Napa
NapaHall,
Hall,Sacramento,
Sacramento,
Sheehan Gillis,
EMT-P,
EMS Coordinator
Fire Department
Department
Oakland
Fire
Nancy
Black,University
RN, Course
Coordinator
3000
State
University
Drive
East,
Napa
Hall,
Sacramento,
CA
3000
State
Drive
East,
Napa
Hall,
Sacramento,
CA
95819-6103
95819-6103
FireEMT-P,
Department
Oakland
Fire
Department
47 Clay Street,
Oakland,
CACoordinator
74607
Sheehan
Gillis,
EMS
Gillis,
EMT-P,
EMS
Coordinator
1170 Foster City Blvd #107, Foster City, CA 94404
95819-6103
95819-6103
Office: (916) 278-4846
278-4846
Gillis,
EMT-P,
Sheehan
Gillis,
EMT-P,EMS
EMS
Coordinator
Phone:
238-6957
47
Clay(510)
Street,
Oakland,
Oakland,
CA
CACoordinator
74607
74607
Phone:(916)
(866) 278-4846
577-9197
Office:
278-4846
Mobile:
Mobile:(916)
(916) 316-7388
316-7388
47
Street,
Oakland,
Clay
Oakland,CA
CA74607
74607
Fax:
(510)
238-6959
Phone:
(510)
238-6957
238-6957
Fax:
(650)
701-1968
Mobile:[email protected]
(916)
Mobile:
(916) 316-7388
316-7388
Email:
Email:
[email protected]
Phone:
(510)
238-6957
238-6957
Email:
[email protected]
Fax:
(510)
238-6959
238-6959
[email protected]
Email:www.cce.csus.edu
[email protected]
Email:
[email protected]
Web:
www.cce.csus.edu
Fax:
(510)
238-6959
238-6959
Web:
http://www.oaklandnet.com/fire/
Email:
Email:
[email protected]
[email protected]
www.caems-academy.com
www.cce.csus.edu
Web: www.cce.csus.edu
Email:
[email protected]
Email:http://www.oaklandnet.com/fire/
[email protected]
ETS – Emergency
Emergency Training
TrainingServices
Services
Web:
http://www.oaklandnet.com/fire/
Emergency
Services
Emergency
Training
Services
Web: http://www.oaklandnet.com/fire/
http://www.oaklandnet.com/fire/
ETS –Thomas,
Emergen
cy Training
Services
Mike
Course
Coordinator
Mike
Thomas,
Course
Coordinator
Mike Thomas,
Thomas,
Course
Coordinator
Thomas,
Course
Coordinator
Mike
Course
Coordinator
3050
Paul Sweet
3050
Paul
Road,
Santa Cruz,
Cruz, CA
CA 95065
95065
3050
Sweet
Road,
Cruz, CA
CA 95065
95065
3050 Paul
Paul
CA
Paul
Sweet
Road, Santa Cruz,
95065
Phone:
(831)
476-8813
476-8813
Phone:
(831)
476-8813
Phone: (831)
476-8813
Toll-Free:
(800)
700-8444
Toll-Free:
(800)
700-8444
Toll-Free:
(800)
700-8444
Toll-Free:
700-8444
Fax:
(831)(800)
477-4914
477-4914
Fax: (831)
477-4914
(831)
477-4914
Email:
[email protected]
Email:
[email protected]
Email:
[email protected]
Email::www.emergencytraining.com
[email protected]
Email
[email protected]
Web:
www.emergencytraining.com
Web: www.emergencytraining.com
www.emergencytraining.com
Medical,California
California
PHI
PHI Air
Air Medical,
Medical,
PHI
PHI Air
Air Medical,
Medical,California
California
Pierce,
Course
Coordinator
Graham
Course
Coordinator
Graham Pierce,
Pierce,
Course
Coordinator
Graham
Pierce,
Course
Coordinator
Graham
Pierce,
Course
Coordinator
801 DD Airport
AirportWay,
Way,
Way,Modesto,
Modesto,
Modesto,
CA
CA95354
95354
95354
801
Airport
CA
801 DD Airport
Airport 550-0884
Way,
801
Way, Modesto,
Modesto,CA
CA95354
95354
Phone:
Phone:(209) 550-0884
Phone:
(209)
550-0884
550-0884
550-0885
Fax:
(209)
550-0885
Fax:
(209)
550-0885
550-0885
Email: [email protected]
Email:
[email protected]
Email:
[email protected]
Email:http://www.phiairmedical.com/
[email protected]
Web:
http://www.phiairmedical.com/
Web: http://www.phiairmedical.com/
http://www.phiairmedical.com/
Ambulance
Service
Riggs
Riggs Ambulance
AmbulanceService
Service
Riggs
Ambulance
Ambulance
Service
Greg
Petersen,
EMT-P,
Clinical
Petersen,
EMT-P,Service
ClinicalCare
CareCoordinator
Coordinator
Greg
Clinical
Care
Coordinator
Petersen,
EMT-P,
Clinical
Care
Greg
Petersen,
EMT-P,
CareCoordinator
Coordinator
100
Riggs Ave,
CA
100 Riggs
CA 95340
95340
Riggs
Ave, Merced,Clinical
100
Riggs
Ave,
Merced,
CA
95340
100
Riggs
CA
95340
Phone:
725-7010
Phone:(209) 725-7010
Phone:
(209)
725-7010
725-7010
Fax:
(209)
725-7044
725-7044
Fax:
(209)
725-7044
725-7044
Email:
Email: [email protected]
[email protected]
Email:
[email protected]
Email:www.riggsambulance.com
[email protected]
Web:
www.riggsambulance.com
Web: www.riggsambulance.com
www.riggsambulance.com
Rocklin
Fire
Department
Rocklin Fire
FireDepartment
Department
Rocklin
Fire
Department
Fire
Department
Chris
Wade,
Firefighter/Paramedic
Chris
Wade,
Firefighter/Paramedic
Wade,
Firefighter/Paramedic
Chris
Wade,
Firefighter/Paramedic
Chris
Wade,
Firefighter/Paramedic
4060 Rocklin
Rocklin,CA
4060
Rocklin Road,
Rocklin
Road, Rocklin,
CA 95677
95677
4060 Rocklin
Rocklin 625-5311
Road, Rocklin,
4060
Rocklin,CA
CA95677
95677
Phone:
Phone:(916) 625-5311
(916)
625-5311
Phone:
625-5311
725-7044
Fax: (209) 725-7044
725-7044
Fax: (209)
725-7044
Email:
[email protected]
Email:
[email protected]
[email protected]
Email:
[email protected]
Email:
[email protected]
Web: www.rocklin.ca.us
www.rocklin.ca.us
www.rocklin.ca.us
Web: www.rocklin.ca.us
Rural Metro
Metro
Ambulance
Rural
MetroAmbulance
Ambulance
Rural
Metro
Ambulance
Rural
Metro
Ambulance
Brian
EMT-P
Brian Green,
Green,
EMT-P
EMT-P
Brian
Green,
EMT-P
Brian
Green,
EMT-P
1345
1345 Vander
Vander
95112
VanderWay,
Way, San
San Jose,
Jose, CA
CA 95112
95112
1345 Vander
Vander Way,
1345
San Jose, CA 95112
95112
Phone:
645-7345
Phone:(408) 645-7345
Phone:
(408)
645-7345
645-7345
Fax: (408) 275-6744
275-6744
Fax: (408)
275-6744
275-6744
Email:
Email:
[email protected]
[email protected]
Email:
[email protected]
Email:
[email protected]
Web: www.rmetro.com
www.rmetro.com
Web: www.rmetro.com
www.rmetro.com
Santa
Rosa
Junior
College
Public
Safety
Santa Rosa
RosaJunior
JuniorCollege
CollegePublic
PublicSafety
Safety
Santa Rosa
Junior
Rosa
JuniorCollege
CollegePublic
PublicSafety
Safety
Training
Center
Training
Center
Training
Center
Training
Center
Bryan
Bryan Smith,
Smith,EMT-P,
EMT-P,Course
CourseCoordinator
Coordinator
Course
Coordinator
BryanSkylane
Smith,
Course
Bryan
Smith,EMT-P,
EMT-P,
CourseCoordinator
Coordinator
5743
CA
95492
5743
Blvd,
Windsor,
CA
95492
Skylane
Blvd,Windsor,
5743
Skylane
Windsor,
CA
5743
Skylane
Blvd,
Windsor,
CA95492
95492
Phone:
836-2907
Phone:(707) 836-2907
(707)
836-2907
Phone:
836-2907
Fax:
(707)
836-2948
836-2948
836-2948
Fax: (707)
836-2948
Email:
[email protected]
Email:
[email protected]
Email:www.santarosa.edu
[email protected]
Email:
[email protected]
Web:
www.santarosa.edu
www.santarosa.edu
Web: www.santarosa.edu
WestMed
WestMed College
College
WestMed
WestMed
College
Brian
Green,
EMT-P
Brian
Green,College
EMT-P
EMT-P
BrianStevens
Green,
EMT-P
Brian
Green,Creek
EMT-P
5300
Stevens
5300
Suite
200,
San
CA
95129-1000
Stevens
CreekBlvd.,
Blvd.,Suite
Suite200,
200,San
SanJose,
Jose,CA
CA95129-1000
95129-1000
5300
Stevens
Creek
Blvd., Suite
Suite200,
200, San Jose, CA
CA95129-1000
95129-1000
5300
Stevens
Phone:
977-0723
Phone:(408) 977-0723
977-0723
Phone:[email protected]
(408) 977-0723
Email:
Email:
[email protected]
Email:
[email protected]
Email:
[email protected]
Web: www.westmedcollege.com
www.westmedcollege.com
www.westmedcollege.com
Web: www.westmedcollege.com
www.westmedcollege.com
Verihealth/Falck Northern California
Ken Bradford, Training Coordinator
2190 South McDowell Blvd, Petaluma, CA 94954
Phone: (707) 766-2400
Email: [email protected]
Web: www.verihealth.com
Search
upcoming courses:
courses:http://cms.itrauma.org/CourseSearch.aspx
http://cms.itrauma.org/CourseSearch.aspx
Search for
for upcoming
http://cms.itrauma.org/CourseSearch.aspx
upcoming courses:
courses:http://cms.itrauma.org/CourseSearch.aspx
http://cms.itrauma.org/CourseSearch.aspx
Search for upcoming
EMREF
EMREF is
isaaproud
proudsponsor
sponsorofofCalifornia
CaliforniaITLS
ITLScourses.
courses.
EMREF is
EMREF
isaaproud
proudsponsor
sponsorofofCalifornia
CaliforniaITLS
ITLScourses.
courses.
Pleasecall
call916.325.5455
916.325.5455or
Please
call
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Please
or
Please
Please call
call916.325.5455
916.325.5455or
E-mail
Romo:
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for
information.
E-mail
Lucia
Romo:
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information.
E-mail Lucia Romo: [email protected] more information.
E-mail
E-mail Lucia Romo:
Romo:[email protected]
[email protected] more information.
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lifeline
PRSRT STD
US POSTAGE
California Chapter, American
College of Emergency Physicians
PAID
CPS
1121 L Street, Suite 407
Sacramento, CA 95814
OHIO ACEP
EMERGENCY MEDICINE
BOARD REVIEW COURSE
THE OHIO ACEP EMERGENCY MEDICINE BOARD REVIEW
OHIO ACEP IS
EXCITED TO ANNOUNCE A
NEW DATE & LOCATION
IN PARTNERSHIP WITH
CALIFORNIA ACEP!
February 8 - 12, 2016
Newport Beach, CA
Approved for AMA PRA Category 1 Credits TM.
February 8 - 12, 2016 (Newport Beach, California)
www.ohacep.org
(614) 792-6506
COMPREHENSIVE.
RELEVANT.
ESSENTIAL.