NewsWatch

December 2017

President Letter

Dear Colleagues

As the weather turns colder, we begin to prepare for the holiday season and the end of 2017. Even though our emergency departments tend to get even busier than usual this time of year, it is nice to take a step back and look at all we have accomplished in the past few months.

The Washington Chapter of ACEP had very successful ACEP conference at the end of October.  Current Past-President Nathan Schlicher received the Collin C. Rorrie Jr Award for Excellence in Health Policy, which was well-deserved!  Steve Anderson was re-elected to the ACEP Board of Directors, where he will continue his outstanding leadership.  The Washington Chapter sponsored a successful resolution on family leave, and our resident liaisons from the UW EM Residency, Sabiha Barot and David Cheever, presented resolutions on climate change and its impact on emergency medicine, to the ACEP and EMRA council.  A hearty congratulations to the Washington members who achieved Fellow status within the college, which is a great honor.  Our state was also well-represented by members lecturing and presenting their research.  Members even stayed around Washington, DC to lobby our congressional leaders!

On November 10th, we hosted the Washington ACEP Leadership Summit at the Conference Center at SeaTac.  It was a great day of informative lectures, including a visit from ACEP Legislative Director Laura Wooster, who updated us on the national ACEP legislative agenda.

Washington ACEP continues to take an important leadership role on many legislative issues, including balance billing and the opioid epidemic.   We continue to work with the Washington State Medical Association and other physicians group to support fair coverage and maintain access to emergency care for our patients, as well as supporting fair reimbursement for our emergency physicians.  WA ACEP leaders continue to serve on the Washington State Opiate task force, encouraging common sense solutions and care coordination to battle the opioid epidemic.

As the days get shorter and we get busier during the holidays, I hope that we all can take a moment to consider the things that we are grateful for this year.  I know that I am grateful for the opportunity to practice emergency medicine, to truly impact the lives of people every day, to work with great colleagues (doctors and nurses and staff) who brighten my day and make me a better doctor, to be blessed with a wonderful wife and family, and to live in a great place surrounded by such natural beauty.  I believe that gratitude is the antidote to burnout, and I hope that all of our members have much to be grateful for this year.

Wishing all our Washington ACEP members Happy Holidays, and may you have even more to be grateful for in 2018!

Sincerely,

Patrick Solari, MD FACEP
WA-ACEP President
patricksolari@gmail.com

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The Doctor

By John Matheson, MD, FACEP

A copy of Sir Luke Fildes’ 19th century painting, The Doctor, hangs in my office.  I find it inspiring and grounding.  In it, we see a physician keeping vigil at the bedside of a young patient while concerned parents anxiously look on.  Interestingly, it does not appear that he is actively intervening.  Instead, he is practicing watchful waiting.

This physician did not have the benefits of today’s technology and medical advancements.  In reality, there likely was little he could do to help his patient physically.  But, his presence was important, nevertheless.  He could provide compassion and comfort for the patient and the parents.

I am grateful to practice medicine in an age of evidence based medicine and of readily available interventions to reverse disease processes, prolong life, and provide relief from pain and discomfort.  I would not choose to go back to the era depicted by Fildes in which all one could do was hope, and when the available treatments often were more harmful than beneficial.

However, with all of our advances, I fear we sometimes deemphasize (or worse, forget) the important role we play in providing hope, compassion, and empathy.  This role remains central to our mission as caregivers.  Technology undisputedly increases our ability effectively to care for our patients, but it also has the potential to create a distance between us and those for whom we care.  The physician depicted in the painting did not have to worry about electronic medical records, productivity metrics, length-of-stay, Press Ganey scores, or core measures.  He could focus entirely on his patient and his patient’s needs.  We, on the other hand, face numerous distractions that remove us both physically and emotionally from our patients. 

I feel genuinely privileged to be a physician and to care for patients in their hours of need.  I keep this image in my office to remind me that even with all of the resources available to me, often, the most important offerings I have are compassion and my presence, both physically and emotionally.  Distractions frequently are unavoidable, and metrics are not going away.  They have a purpose and a place.  But let us not allow them to diminish the responsibility we have to treat our patients with compassion or to keep us from our promise to know them, care for them, and ease their way.

John Matheson, MD, FACEP, Past President of WA-ACEP, is the Emergency Department Chair and Medical Director Chair of the Medical Staff Quality Committee at Kadlec Regional Medical Center.

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Schlicher Receives the 2017 ACEP Health Policy Award

Immediate Past WA-ACEP President Nathan Schlicher, MD, JD, MBA, FACEP, received the Collin C. Rorrie Jr Award for Excellence in Health Policy Oct. 28 during ACEP17 in Washington, DC.  Dr. Schlicher currently works at St. Joseph’s Medical Center, and lives in Gig Harbor with his wife Dr. Jessica Schlicher, and their three children (David, Juliette, and Henry). He serves as the Regional Director of Quality Assurance for the emergency departments of the Franciscan Health System and the Associate Director of the TeamHealth Patient Safety Organization. He attended law school and then medical school at the University of Washington before completing an EM residency at Wright State in Dayton Ohio. He recently completed his Masters in Business Administration with an emphasis in Health Care. He is board certified in emergency medicine.

Many WA-ACEP members know Dr. Schlicher for his work spearheading the “ER for Emergencies” program when the state planned to deny ER services to Medicaid patients. His leadership in this effort continue to save the state money by making health care more efficient. He created and has edited four editions of a textbook on the importance of advocacy by physicians, “The Emergency Medicine Advocacy Handbook.” He currently serves as the First Vice President of the Washington State Medical Association. He has previously served as Legislative Advisor on the Board of Directors of the Emergency Medicine Residents’ Association. He also spent a year in the Washington State Senate, representing the 26th District. He continues to work with interested parties on health policy topics including renewed focus on the opiate and mental health crises affecting the state.

He has been recognized for his leadership multiple times including the South Sound Business Journal’s 40 under 40 Award, Washington State Chapter of the American College of Emergency Physicians Guardian of Emergency Medicine Award, Pacific Lutheran University Outstanding Recent Alumni Award, and the American Medical Associations Leadership in Excellence Award.

The Colin C. Rorrie, Jr, PhD Award for Excellence in Health Policy is presented to an individual who has made a significant contribution to achieving the health policy objectives of the College and/or who has demonstrated outstanding skills, talent, and commitment as an administrative or political leader.

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Stephen Anderson, MD, FACEP Reelected to ACEP Board

(From left) Alison Haddock, MD, FACEP; Anderson;
Jon Mark Hirshon, MD, PhD, MPH, FACEP; and Aisha T. Liferidge, MD, FACEP

Past WA-ACEP President, Stephen Anderson, MD, FACEP was reelected to the ACEP Board of Directors Oct. 28 during the ACEP17 Council Meeting in Washington, DC. Dr. Anderson was first elected to the Board in 2014.  As WA-ACEP President, Dr. Anderson was the media point person for the state's Medicaid crisis – successfully fighting with Dr. Schlicher to protect the prudent layperson standard. During ACEP17, John Rogers, MD, FACEP, of Macon, Georgia, was elected 2017–2018 President-Elect; Gary R. Katz, MD, MBA, FACEP was elected Vice Speaker; and John G. McManus, Jr., MD, MBA, FACEP was named Speaker. Other Board Members elected with Anderson were: Alison Haddock, MD, FACEP; Jon Mark Hirshon, MD, PhD, MPH, FACEP (re-elected); and Aisha T. Liferidge, MD, FACEP.

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New Two-Day Format at 2018 WA-ACEP Summit to Sound

Join WA-ACEP May 31-June 1 at the Bell Harbor Conference Center in Seattle for the 2018 Summit to Sound. We understand our members are busy so we tightened up the schedule and moved to a two-day meeting format without losing any of the important content. Take a look at the agenda and register today.

This activity has 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 the Washington Chapter American College of Emergency Physicians. The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American College of Emergency Physicians designates this live activity for a maximum of 11.25 AMA PRA Category 1 Credit(s)™.  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 11.25 hours of ACEP Category I credit

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Washington ACEP Board

Patrick Solari, MD,FACEP
President
Liam Yore, MD, FACEP
President Elect
Cameron Buck, MD, FACEP
Secretary/Treasurer
Nathan Schlicher, MD, JD, MBA, FACEP
Past President

Directors:
Jonathan Alke, MD
Elizabeth Borock, MD
Jaime Delcampo, MD, FACEP
Raul Garcia, DO, FACOEP
Carl Heine, MD, FACEP
Jamie Jenkins, MD, FACEP
Catharine Ryan Keay, MD, FACEP
Brian Livingston, MD, FACEP
Gregg Miller, MD, FACEP
Matthew Sisk, MD
Susan Stern, MD
Jennifer L’Hommedieu Stankus, MD, JD, FACEP
Thomas Tobin, MD
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
David Cheever, MD
Resident Liaison



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