MOCEP would like to welcome the new interns to the emergency medicine programs in Missouri.
Harry J. Monroe, Jr.
Director, Chapter and State Relations, ACEP
Over the years, I have worked with many lobbyists preparing for upcoming meetings. In some of those instances, the lobbyist would be gathering information to represent us himself in meetings of stakeholders or legislators or staff. In other instances, the legislator was preparing the client to give testimony at a legislative hearing.
Eight hours of training on medication-assisted treatment (MAT) is required to obtain a waiver from the Drug Enforcement Agency to prescribe buprenorphine, one of three medications approved by the FDA for the treatment of opioid use disorder. Providers Clinical Support System (PCSS)offers free waiver training for physicians to prescribe medication for the treatment of opioid use disorder.
Dear MOCEP members,
It is hard to believe, but this letter is the last I will be writing to you as president of the Missouri College of Emergency Physicians. The past two years have been quite eventful and passed by quickly. At the start of my term, I would never have anticipated the challenges we would face with unreasonable CME requirements, a push to legislate clinical practice, attacks on the value of emergency medicine, and attempts to drive patients away from the emergency department without regard for their well-being.
Written by Rebecca Hierholzer, MD, MBA, FACEP
While I was on staff at North Kansas City Hospital, two nurses Tammi and Cheri, had taken the SANE (Sexual Assault Nurse Examiner) training at another facility and wanted to start a program at North Kansas City Hospital. Upon speaking with the ED nursing director they were told they needed a physician to work with the program and were told to contact me. Once they explained what SANE was, I agreed to be the medical director. Cheri was the SANE educator for Missouri Coalition Against Sexual Assault (MoCASA) and I helped her in the training of additional nurses so that the program was fully staffed.
Matthew Gratton, MD, FACEP, was selected to receive the 2018 Missouri College of Emergency Physicians’ (MOCEP) Lifetime Achievement Award. He was nominated by Christine Sullivan, MD, FACEP, and Nicholas Smith, DO, both of University of Missouri – Kansas City School of Medicine. The award will be presented to Dr. Gratton at the MOCEP Annual General Membership Meeting on April 26, 2018, in Springfield, Mo. Continue Reading
Katrina Wade, MD, was selected to receive the 2018 Missouri College of Emergency Physicians’ (MOCEP) R.R. Hannas Physician of the Year Award. She was nominated by her peer, Cindy Bitter, MD, MPH, both of Saint Louis University. The award will be presented to Dr. Wade at the MOCEP Annual General Membership Meeting on April 26, 2018, in Springfield, Mo.
Christina Creel-Bulos, MD, was selected to receive the 2018 Missouri College of Emergency Physicians’ (MOCEP) R.R. Hannas Resident of the Year Award. She was nominated by her peer, Sonya Naganathan, from the Barnes-Jewish Hospital/Washington University Emergency Medicine Resident Program. The award will be presented to Dr. Creel-Bulos at the MOCEP Annual General Membership Meeting on April 26, 2018, in Springfield, Mo.
Patients routinely present to emergency departments seeking help with opioid withdrawal and — all too often — needing emergency resuscitation for opioid overdose. ED physicians are uniquely positioned to literally change the life trajectory of patients who present to a hospital due to opioid dependence, and can serve as a portal to bring high-risk patients into treatment. There is strong evidence to suggest that treatment of opioid misuse and dependence by physicians will significantly increase access to medication-assisted substance abuse treatment.[i] [ii]
Written by Evan Schwarz, MD, FACEP
Harm reduction is the idea that we want to try to keep drug users as safe as possible while they come to terms with their disease. It would be great if everyone were instantly ready to quit. However, we know it is not as easy as just wanting this and some people are going to continue to use drugs. Through harm reduction efforts, we try to decrease morbidity and mortality until the person is ready to stop using. Increasing access to naloxone is a form of harm reduction. When you’re not breathing, seconds count. While our EMS is fantastic, it still takes them at least a few minutes to get to the scene of an overdose. Even the best emergency system imaginable will not be as fast as a bystander with naloxone.