MOCEP is in the process of improving our website by adding an online directory viewable to members only. You should have received an email from the website system explaining that your password had been reset. Please use this new password provided to log in to the MOCEP.org site and update your profile. You can add your photo, subspecialty and additional information.
The deadline for the Bill Jermyn MOCEP Advocacy Grant for residents is December 15. The goal of this grant is to encourage Emergency Medicine Residents to become active in the legislative activities of MOCEP and provide them with knowledge to advocate on behalf of Emergency Medicine in the future.
So it’s finally that time of year. The leaves are falling, the thermometers are dropping, and the heaters are being turned on. Unfortunately, this also means toxicity or fires from either faulty heaters or using inappropriate heat sources. What does this mean for the emergency physician? It means you need to worry about carbon monoxide (CO) and cyanide toxicity.
Written by: Kevin Baumgartner PGY-III, Washington University in St. Louis
As emergency physicians, we’re all too familiar with the opioid epidemic. And unfortunately, we’re getting all too familiar with treating opioid overdoses: some shifts, it seems our classic A-B-Cs take a backseat to “N” for “Narcan.” Some of our overdose patients require advanced airway management, prolonged observation, or a trauma workup, but most do just fine with supportive care and naloxone.
Written by Ken Milne, MD, and Chris Carpenter, MD
“I fell into a burnin’ ring of fire / I went down, down, down / And the flames went higher
And it burns, burns, burns / The ring of fire, the ring of fire”
Ring of Fire – Johnny Cash
This month we are going to talk about physician burnout. Our job is emotionally demanding as we often manage multiple patients and families on the worst day of their lives in a pressure cooker where the clock is always ticking to see the next patient and keep the waiting room empty while also assuming the role of transcriptionist (with our complex billing-driven EMR), primary care physician, psychiatrist and addiction specialist.
Mindfulness meditation has been shown to be help people manage stress and to help maintain attentional focus. Dr. John Paul Minda and Dr. Ken Milne at the University of Western Ontario, along with Dr. Diane Birnbaumer at Harbor UCLA Medical Center are conducting a research study on the effects of mindfulness meditation and psychological well-being among emergency practitioners. Enrollment in the study will commence in early 2018.
A study comparing the effectiveness of two pharmacologically distinct medications used to treat opioid use disorder – a buprenorphine/naloxone combination and an extended release naltrexone formulation – shows similar outcomes once medication treatment is initiated, according to a news release from the National Institute of Drug Abuse (NIDA). Among active opioid users, however, it was more difficult to initiate treatment with the naltrexone. Study participants were dependent on non-prescribed opioids: 82 percent of them on heroin, and 16 percent on pain medications. The research, published in The Lancet,1 was conducted at eight sites within the NIDA Clinical Trials Network (NIDA CTN). NIDA is part of the National Institutes of Health.
Even though the weather is beginning to cool down in Missouri as we have entered the fall season, the work at MOCEP is just starting to heat up! Even though we are off cycle with my quarterly president’s message, I wanted to provide you with a brief update on our work as we confront Anthem’s new policy on denying “non-emergent” emergency department visits.
Written By Gary Gaddis MD PhD, Professor, Emergency Medicine, Washington University in St. Louis
School of Medicine
One of the occupational hazards of being an emergency physician is “burnout.” A “burned out” physician has often begun to hate their job, and dreads going in for their next shift. To be a “burned out” physician is not good for patients, physicians’ families, and especially physicians. Much has been written about the topic of burnout, and it is said that over 70% of emergency physicians either suffer from it sometime in their career, or have it now.
ACEP Fellowship was first established in 1982 to honor members who made special contributions to the College and the specialty of emergency medicine. Requirements for Fellow Status include Active membership status for three continuous years; board certification by ABEM, AOBEM, or ABP certification for pediatric emergency physicians; and additional service to the specialty. Missouri is proud to announce that we have 11 new Fellows and one successful renewal.