ACEP has provided the following information to MOCEP, and we encourage you to participate in these initiatives. If you have any questions, please contact Ms. Loren Rives at ACEP, or Dr. Madeline Joseph or Dr. Kathleen Brown who serve as the ACEP Liaisons on the EIIC Advisory Board with any questions or clarifications.
The MOCEP Board of Directors held a Board Retreat July 22-23 in Columbia on the University of Missouri campus. The goal of the retreat was to identify priorities for the next two years and to evaluate current MOCEP activities and programs. We had a great turnout of board members and some additional members that were invited to attend as guests. I want to extend a big thank you to all that participated!
As it is July in Missouri, many of us are enjoying the predictably hot and humid days, county fairs, and the end of summer vacation. However, despite the rising thermostat, the MOCEP board of directors has not slowed down their work yet. At times it seems that we are playing a never ending game of “whack a mole” as new threats to the care of emergency medicine patients keep arising. The newest attack has come in the form of “avoidable ER visits.” If you have not already been confronted with this issue at your hospital, we can expect it to continue to spread over the course of the next year.
Written by Jorgen Schlemeier
Editorial note Correction: My last column I gleefully announced “Session has ended”; that was an error.
The Governor has called the legislature back twice since the “regular” session ended, first to allow the state to offer a special incentive to attract a steel plant in southeast Missouri, as well as re-open an aluminum plant in the same part of the state.
Written by Douglas Char, MD, FACEP
By 2050 Hispanics and Asians will triple, Blacks will double, and Whites will barely hold their own. As the U.S. becomes more ethnically and racially diverse, there is a need for healthcare systems and providers that can reflect and respond to an increasingly heterogeneous patient base. We serve people with different values, health beliefs and alternative perspectives about health and wellness.
Written by Evan Schwarz, MD, FACEP
More and more of the illicit opioids being sold contain fentanyl or fentanyl derivatives. The reasons for this are pretty simple: money and potency. Whether importing a kilogram of heroin or fentanyl, the risk is the same and the amount of space the drugs take up, gram for gram, are the same. The difference is that when compared to the same volume of heroin, fentanyl can be sold for much, much more money. So not only can a drug dealer make more money selling a kilogram of fentanyl than they can selling a kilogram of heroin, but many users prefer the fentanyl as it is more potent. As such, first responders and emergency personnel are at risk of being exposed to fentanyl and fentanyl derivatives when taking care of patients.
Originally posted on the CORD EM Blog, www.cordemblog.wordpress.com, August 2016
Submitted by Daniel Lakoff, MD and Christina Shenvi, MD, PhD, on behalf of the CORD Resilience Committee Resource Task Force
As residency leaders, keeping our residents healthy and teaching them to be resilient are top priorities. Because of the growing appreciation nationally of the importance of wellness and resiliency to residents and physicians, CORD created a Resilience Committee with our inaugural meeting in Nashville in March 2016.
Written by Kayla Donnawell, MD, PGY-3, Saint Louis University
Physician burnout is a problem that disproportionately affects Emergency Medicine Physicians. Burnout is “a syndrome characterized by a loss of enthusiasm for work (emotional exhaustion), feeling of cynicism (depersonalization), and a low sense of personal accomplishment.”1 In Medscape’s 2017 Lifestyle Report, 59% of EM physicians report burnout,2 an increase from 55% in the 2016 report.3 This growing problem has received devoted attention on multiple levels.