September 2016

President’s Letter: Another Day, Another Overdose

As emergency physicians we have seen the scourge of opioids and the epidemic of drug abuse that is ravaging our community.  Despite the attention that has been paid to the issue nationally and our collaborative work on the topic in the ER is for Emergencies program, the hits keep coming.

This past month we saw one of the largest clinic closures in Washington history. The Seattle Pain Centers, run by Dr. Li, a pain specialist, were rapidly closed in response to Dr. Li losing his medical license due to the death of numerous patients under the clinics care, accusations of pill mill behavior, and patients being harmed. The state was prepared and engaged from the beginning to attempt to avoid a bonus of patients arriving in the emergency departments in crisis. While some have shown up, the numbers have been around 50 or less per day across the state. A tragic series of event, but a much needed step based upon the complaints filed.

Even with one clinic systems closure, the plague of opiates continues.  In response, we are working with the Washington State Medical Association and Washington State Hospital Association to engage together on finding creative solutions to this problem. We know that the legislature is looking for solutions and may be ready to once more mandate the practice of medicine. That is not likely to be a great solution and may lead to more regulatory headaches as we have seen in other states where legislatures practice medicine. 

Thus as we round into the fall and winter, I'm hopeful we can count on your engagement in the legislative process. Opiates will be center stage this session we believe, but that will not be all. There will be bills on surprise billing, care coordination, payment reform, and so much more. Your participation is key. I want to extend my appreciation early and often to you for the work you do on behalf of your patients, partners, and the practice of emergency medicine. 

As always, if I can be of any assistance, please do not hesitate to reach out to me.


Hon. Nathan Schlicher, MD, JD, FACEP
WA-ACEP President

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EM Day of Service in September

Sponsored by the Emergency Medicine Residents’ Association, the EM Day of Service is a specialty-driven event where emergency care providers identify community needs and volunteer to address those needs. ED groups or leaders can pick a date and decide where the needs are greatest and go into action! Just a few ideas are to host a food drive provide health screen checks at community events. Visit the EM Day of Service webpage to learn more and register.

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CMT’s Learning Collaborative: Addressing High ED Utilization in Washington is Sept. 12

Register for the Collective Medical Technologies “Learning Collaborative: Addressing High ED Utilization in Washington” Sept. 12 at the Seatac Convention Center. WA-ACEP, along with the Health Care Authority and the Washington State Hospital Association, is co-sponsoring the event. Registration is free.

Objectives for the Meeting:

  • Share promising and best practices around addressing high ED utilization, e.g. what is working and not working?
  • Specifically address important topics related to high ED utilization such as opiate addition or misuse, complex physical and behavioral health needs, etc.
  • Provide a forum for discussion and collaboration around community-based, shared care planning
  • Build community and provide networking opportunities for hospital and community providers and case managers to identify new ways to collaborate around this high-risk population

Register here.

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ED Directors: Don’t Miss the 2016 WA-ACEP Leadership Summit Nov. 2

ED Directors and Leaders are invited to attend the 11th Annual Emergency Medicine Leadership Summit Nov.2 at the The Conference Center at the Seattle Tacoma International Airport.  Conference registration is free for WA ED Directors and includes breakfast, lunch, reception, meeting materials and CME. We would like a representative from each ED in the state to attend.

EM Leadership Summit topics include:

  • How to Thrive as an Independent Group in the ACO Era
  • Best Practices in Dealing with New Hires: Creating a Positive Culture in Your Group
  • Methods for Utilizing PAs and NPs
  • How to Speak in Financial Terms to Your COO and CFO about Your ED’s Needs
  • Clinical Pathways

Register Online Today

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Financial Wellness Session Sept. 30

Join the AMA for a pre-annual meeting dinner and discussion on financial wellness
The American Medical Association is hosting a dinner and discussion, Strategies for Financial Wellness: A Roadmap for Physicians, on Friday, Sept. 30 at the Sorrento Hotel in Seattle. Register for this exclusive opportunity to learn more about strategies that will help your financial wellness, including navigating the employment contract process, preparing for your financial future and debt management. Registration is free for AMA members or $99 for non-members.

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Teleflex offers Free Cadaver Lab Sept. 27 at Harborview

Labs begin at 8:00am; the last session begins at 4:00pm.
New sessions begin every hour. Please allow approximately 1.5 hours to complete lab.
Sept. 27
WISH at Harborview Medical Center
WWAMI Institute for Simulation in Healthcare
Harborview Medical Center
908 Jefferson Street
Seattle, WA 98104
Ninth and Jefferson Building, Room 3NJB365

To learn more or to register visit

Products used in this lab will include:

  • Arrow® EZ-IO Intraosseous Vascular Access System
  • Laryngoscopy Products
  • LMA Supreme® Airway
  • Rusch® Airtraq™ SP Video Laryngoscope System

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WA-ACEP Members on the ACEP16 Agenda

If you’re heading to Las Vegas next month to attend ACEP16 Oct. 16-19, don’t miss these educational sessions highlighting WA-ACEP members.

MO-102 Quiet Leadership: Introverts in an Emergency Medicine Extroverted World
Monday, October 17, 09:00 AM - 09:50 AM
Faculty: Diane M. Birnbaumer, MD, FACEP; ACEP Board Member and WA-ACEP Past President Christopher S. Kang, MD, FACEP
What does leadership look like in emergency medicine? Based on the inspirational best-seller by Susan Cain, this presentation will take a close look at introverted and extroverted leadership in emergency medicine. The presenters will discuss and debate different types of leadership. They will speak to emotional intelligence, self-awareness and genuine leadership focusing on expectations of the ED and the hospital community. Find out who you are as a leader and recognize the beauty of different types of leadership

TU-247 Double Jeopardy: Risk in Psychiatric EM
Tuesday, October 18, 12:30 PM - 01:20 PM
Faculty: WA-ACEP President Nathaniel R. Schlicher, MD, JD, FACEP; Leslie S. Zun, MD, FACEP

WE-326 RAPID FIRE: Understand "The Standard of Care"
Wednesday, October 19, 09:00 AM - 09:25 AM
Faculty: Nathaniel R. Schlicher, MD, JD, FACEP

WE-366 The New Frontier of Criminal Liability
Wednesday, October 19
12:00 PM - 01:00 PM
Faculty: Nathaniel R. Schlicher, MD, JD, FACEP
Providers are coming under increasing threat of criminal litigation for their actions in the care of their patients. We will explore a case-based study of current issues in criminal liability including pill mill legislation, liability for assault in the care of psychiatric patients, and negligent homicide in the place of medical malpractice.

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Avoid Airway Catastrophes on the Extremes of Minute Ventilation

Emergency airways commonly involve challenges of tube placement and oxygenation before and during the procedure. There are a handful of instances, however, when the issue is ventilation and, more specifically, extremes of minute ventilation. Minute ventilation is the amount of air the patient moves in one minute; it is a product of the ventilatory rate and tidal volume (minus dead-space ventilation). Read more

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When to Use Fluoroquinolones in Pediatric Patients

The best questions often stem from the inquisitive learner. As educators, we love—and are always humbled—by those moments when we get to say, “I don’t know.” For some of these questions, some may already know the answers. For others, some may never have thought to ask the question. For all, questions, comments, concerns, and critiques are encouraged. Welcome to the Kids Korner. Read more

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Calendar of Events

Pediatric Emergency Medicine 2016
The Sick and Injured Child
September 28, 2016
Courtyard Marriott, Tacoma, WA

Oct. 15-18, 2016
Las Vegas, NV

2016 Emergency Medicine Leadership Summit
Wednesday, Nov. 2, 2016
The Conference Center at Seattle Tacoma International Airport
Register Online

37th Annual Current Concepts in Emergency Care
Dec. 4-9, 2016
Wailea Marriott, Maui
Register and learn more

35th Annual Emergencies in Medicine Conference
Feb. 26-March 2, 2017
Hyatt Centric Park City Hotel
Park City, UT
Register and learn more

2017 WA-ACEP Summit to Sound
April 26-28
Bell Harbor Conference Center
Seattle, WA
A conference room block has been arranged at The Edgewater for the 2017 Summit to Sound.
The Edgewater
2411 Alaskan Way, Pier 67
Seattle, WA 98121
Special conference rate: $229.00 – Waterside Room. Reservations must be made by March 27, 2017 to qualify. WA-ACEP Dedicated Hotel Website.

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WA-ACEP JobWatch

Check out the WA-ACEP JobWatch page for new opportunities in Mason County and Pullman.

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Like WA-ACEP on Facebook and follow us on Twitter @WashingtonACEP

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Washington ACEP Board

Nathan Schlicher, MD, JD FACEP
John Matheson, MD, FACEP
Past President
Patrick Solari, MD, FACEP
President Elect
Liam Yore, MD, FACEP

Cameron Buck, MD, FACEP
Russ Carlisle, MD, FACEP
Jaime Delcampo, MD, FACEP
Raul Garcia, DO, FACOEP
Jamie Jenkins, MD, FACEP
Catharine Ryan Keay, MD, FACEP
Brian Livingston, MD, FACEP
Gregg Miller, MD, FACEP
Susan Stern, MD
Jennifer L’Hommedieu Stankus, MD, JD, FACEP
Julianna Yu, MD

Stephen Anderson MD FACEP
Past President (Non voting)
Enrique Enguidanos, MD, FACEP
Past President (Non voting)
Christopher Kang MD FACEP
Past President (Non Voting)
Justin Bacon, DO
Resident Liaison
Sabiha Barot, DO
Resident Liaison

2001 Sixth Avenue
Suite 2700
Seattle, WA 98121

(206) 441-9762 ext. 3038



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