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RESUSCITATOR WAYNE STATE UNIVERSITY VOLUME 3, ISSUE 2 SCHOOL OF MEDICINE DEPARTMENT OF EMERGENCY MEDICINE LETTER FROM THE CHAIR INSIDE THIS ISSUE: Right Where We Should Be lab has not only been re-built, but is flourishing thanks to Jon Sullivan, The preparation of our annual Anthony Lagina, Rita Kumar, RED SHOE 2 Departmental review for the Thomas Sanderson and their University each year renders an DIARIES teams. With the grant performance opportunity to reflect upon where trends seen below, we are clearly we are, where we have been and on track to be one of the top- CLASS OF 2014 4 where we are going. This year, as I ranking Academic Departments of made the presentation to the Dean EM. and Directors at the SOM, I was particularly proud of what we have WSU DEM Grant Performance CLASS OF 2011 5 accomplished. $1,800,000 $1,600,000 GRADUATES A few years ago, as new Chair, I $1,400,000 remember the significant $1,200,000 $1,000,000 challenges that faced our research $800,000 ED CRITICAL 8 team. Three of our four tenured $600,000 CARE $400,000 faculty had retired. Our remaining $200,000 ROTATION senior investigator, Rob Zalenski, $‐ had nobly decided to devote the 2007 2008 2009 2010 Suzanne R. White, MD, ULTRASOUND 10 remained of his career to the Many of our research Chair UPDATES important specialty of palliative advancements have resulted from care. The good news was that we fruitful collaborations with the had a number of shining stars in Center for Molecular Medicine and grow and prosper under the MEDICAL 12 our ranks. Rob Welch, then Genetics, Cardiovascular Research leadership of Cynthia Aaron, STUDIES IN Associate Professor became NIH Institute, Physical Medicine and Susan Smolinske, Matt Hedge, POLAND funded, took on the role of Clinical Rehabilitation, and Physiology. Drs. Lydia Baltarowich and our newer Research Director, and moved to John Flack and Karin Przyklenk faculty members, Bram Dolcourt PALLIATIVE 14 full Professor. He truly put us on the have provided senior level and Keenan Bora. The Poison CARE MEETING map with the NIH Neurologic mentorship at critical points along Center now covers the entire Emergencies Treatment Trials the way. I believe that we are on the state and our fellows are gaining Network Grant Award. We were brink of realizing our vision of national recognition through then able to recruit Brian O’Neil as having our own EM clinical research their research and leadership Associate Chair for Research along network that launches therapeutic activities. Under the leadership with his clinical research team. He investigator initiated trials of Rob Zalenski and Kevin and Rob have taken us to a new prompted by novel discoveries McDonald we saw the field of SPECIAL POINTS high water mark in terms of palliative care achieve ABMS OF INTEREST: made in our own emergency externally funded investigations medicine basic science research recognition, a palliative care and publications; we are now service evolve at SGH, and the laboratory. Emergency Medicine Grand averaging 38 peer-reviewed first palliative care fellowship Rounds, Every Thursday, publications annually. Phil Levy, The growth in our educational program launch at the DMC. Rose Fernandez and Rob Sherwin arena has been equally impressive. Under Gloria Kuhn’s leadership, Detroit Receiving & who were all junior faculty at the The size of our faculty has we continue to offer state of the Sinai-Grace Hospitals time have been instrumental to our increased as have our activities. We art CME courses on subject research success. Recently, Phil continue to offer a superb, highly areas such as EM Wellness, ACEP Scientific Assembly and Rose were both promoted to AAMC-ranked EM fourth year Domestic Violence, Technology in October 15-18, 2011 Associate Professor and Rob was elective; in fact, EM is second only Education, and Critical Care in Reception on October 16th named the Director of Clinical to internal medicine in specialty the ED. Our residency leaders, Research at SGH. As our choice of graduating WSU students. Bob Wahl, Melissa Barton, Kerin at 6:30PM San Francisco, Department’s first Robert Wood Our medical student leadership Jones, Marc-Anthony Velilla, California Johnson Scholar, Phil recently team, Sarkis Kouyoumjian, Trifun Michelle Lall, Scott Derstine, received a $1.9 M NIH grant to Dimitrijevski, Ciara Barclay- Bram Dolcourt, Scott Freeman Midwest Regional SAEM study Vitamin D and hypertensive Buchanan, Jacob Manteuffel, Amy and Erik Olsen continue to Meeting, November 6-7, heart disease. Similarly, Rose was Smark and Elizabeth Bascom, are maintain a pipeline of highly 2011, Toledo, Ohio recently awarded $1 M by the to be commended for their sought-after graduates. AHRQ to utilize simulation to study dedication. Our toxicology patient safety. Our basic science fellowship and service continues to (continued on page 7) DRH/SG Combined Journal Club, December 13, 2011 RESUSCITATOR Page 2 RED SHOE DIARIES It is hard to believe that as well. It is in the balance don’t know many people, ask another academic year has between the two that the your fellow house officers, come and gone. When my difficulty lies. nurses or attendings for parents used to tell me that It is not as though residency some ideas. It is important time goes by much more is impossible. Hundreds of to decompress. quickly as one ages, I thought thousands have gone before The pressure a resident that they were crazy. Well, you and your residency experiences is tremendous, they were right. (The directors work tirelessly to but not entirely unique. Your physicist wanna-be that I am make sure that not too much attendings have all gone just hopes that my personal is asked of you. Where I through it and other mass has not increased so have observed a change, professions have significant much over the years that I however, is an increasingly stresses as well. It is have warped the space-time prevalent attitude that important to keep your eye continuum enough to actually medicine is a job, not a on the prize. After residency Philip A. Lewalski, M.D. speed my perception of profession. There are no you will embark on one of the Assistant Professor time!) I want to address this clocks in medicine. You are most rewarding and Editor-in-Chief edition’s editorial to the in- serving the needs of the important careers that exists. coming interns. To those of patients and in the ED they It is truly a calling and you that have graduated and do not follow a schedule. vocation. In how many other work in a teaching Admittedly, one of the professions can you touch After residency environment, perhaps you graduating classes did your fellow man and woman, can share this with your present me with the “When I help them and possibly cure you will embark residents. Hopefully the rest was a resident” awards, but I them? This reality is what of you will be reminded fondly will try not to dwell on the keeps us on track and on one of the of those 1,095 days of fact that things are easier in coming back to the hospital residency (1,096 if you were some ways now. (There were in spite of bureaucracies, most rewarding lucky enough to earn another no “caps” on call, no days off politics and long hours. It is and important day of training from a leap- on Surgery and a lot more also important to remember year) where you were forged hours in the ED—288 hours that we, your attendings, are careers that into the strong, competent per month as PGY 1’s.) here for you as well. We are emergency physician that you Conversely, you will have here to educate you, guide exists. It is truly are today. challenges that I did not— you, to push you past your To our wide-eyed, bushy- learning a computer system comfort level and to answer a calling and that takes physicians any questions you may have. tailed new interns I offer the vocation. following bits of wisdom. You increasingly away from the Even if you feel that you can are about to embark on an bedside, Dragon Voice do it alone and we “old- Recognition and time timers” couldn’t possibly awesome journey that is both frightening moments. On the extremely rewarding, yet benchmarks. I acknowledge know what things are like that I cannot fully understand now and what you are going other hand, you will also develop often terrifying. You have friendships that will last a been honored with the ability what it is like to have to learn through, remember Mark these technical applications Twain’s observation. “When I lifetime and have some crazy, and the opportunity to learn fun times as well. I am one of the greatest while working to become a was a boy of 14, my father competent physician. As was so ignorant I could hardly confident that all of you can professions in the world, but succeed as I am sure that Dr. if the thought of that Oscar Wilde wrote, “I am not stand to have the old man young enough to know around. But when I got to be Wahl and Dr. Barton have responsibility doesn’t scare selected residents with the two you at least a little bit, than everything.” 21, I was astonished at how much the old man had most important attributes you are either much braver When your duty is finished necessary to become excellent than I or deluding yourself. and you have done your learned in 7 years.” We do know what you are Emergency Physicians—and the So, how does one survive reading (yes, I said it), then it only things we can’t teach you— three grueling years of is time to use your recreation experiencing and we can help.