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Submit a Nomination — GLAAEM Board of Directors Election

Learn more and submit a nomination.

  Posted: February 8, 2018

Call for At-Large Critical Care Medicine Section Board Member

Learn more and submit a nomination.

  Posted: February 28, 2018

Submit a Nomination — CAL/AAEM Board of Directors Election

Learn more and submit a nomination.

  Posted: February 28, 2018

Women in EM T-Shirt Fundraiser

Designed by the AAEM Women in Emergency Medicine Committee. The sales of this t-shirt will benefit the activities and projects of the WiEM Committee.

Learn more & order!

 

  Posted: March 1, 2018

Nominations Now Open: 2018 DVAAEM Board of Directors

Learn more and submit a nomination.

  Posted: March 6, 2018

AAEM Commends ABEM’s Announcement of Alternative ConCert™ Exam

Read the full press release.

  Posted: March 12, 2018

Letter Refuting Merit Badge Requirements Available

The American Board of Emergency Medicine (ABEM) and the American Osteopathic Board of Emergency Medicine (AOBEM) will now provide letters of support that may be submitted to hospital administrators to forego the mandatory completion of short courses or additional certifications (“merit badges”) often needed for hospital privileges. See press release for more information.

  Posted: March 19, 2018

Call for Volunteers - Assist in Finishing the StatPearls Project

Dear Medical Educators:

Twenty years ago, we worked together to create eMedicine© a free online library used by millions of health professionals. Recently, the founders of eMedicine© began StatPearls, a new, international collaboration to further improve medical education.

We are writing to invite you to join us in finishing the StatPearls project. To date, more than five thousand health professionals are completing a peer-reviewed PubMed (National Library of Medicine) indexed database of 17,000 summary articles and 150,000 multiple choice questions with four teaching points, pictures, or a video classified to each specialty area of medicine, surgery, dentistry, pharmacy, nursing, allied health, and basic science. Questions and articles are selected by editors-in-chief for use by each specialty. The completed learning management system allows:

  • Publication of updatable peer-reviewed, books, apps, and online continuing education indexed in PubMed for GME scholarly credit.
  • Users to customize, assign, score, and track web-based or printable assessments with the option to modify existing questions or develop private or shared question banks.
  • Users have free access to the online database, and unlimited CME/CE will only be $24.95 a year.
  • Authors and editors have free access, free CME/CE for updating content annually, and a free eBook.

Please consider a brief time commitment to this academic project. When you go to www.statpearls.com, you will see how easy it is to write, edit, and peer review content. Together we can provide free online access and affordable continuing medical education.

Sincerely,

Scott Dulebohn, MD

Associate Professor, Neurosurgery, ETSU
StatPearls, Managing Editor
727.289.9796

  Posted: March 28, 2018

Save the Date: HPEM Symposium & Advocacy Day

Learn more.

  Posted: March 28, 2018

Nominations Extended — CAL/AAEM Board of Directors Election

Learn more and submit a nomination.

  Posted: April 5, 2018

Introducing the New AAEM Logo

Member Resources

New Look. Same Values.

The Story Behind AAEM's New Logo

AAEM is excited to debut a new logo and tagline. Learn more.

  Posted: April 8, 2018

2018 Election Results

AAEM is pleased to announce the following results:

 

President-Elect: Lisa Moreno-Walton, MD MS MSCR FAAEM

Secretary-Treasurer: Jonathan S. Jones, MD FAAEM

At-Large Directors: 

Kevin Beier, MD FAAEM

Terrence M. Mulligan, DO MPH FIFEM FACEP FAAEM FACOEP FNVSHA HPF

Thomas Tobin, MD MBA FAAEM

YPS Director

Jennifer Kanapicki Comer, MD FAAEM

  Posted: April 9, 2018

Thank you for Another Great Scientific Assembly

Thank you to speakers, planning committee members, leadership, and attendees for making AAEM18 another great Scientific Assembly. Recorded sessions will be available on AAEM Online this summer. Self-report links for CME will be emailed out in 14 days. Save the date for our 25th Annual Scientific Assembly in Las Vegas - March 2019.

  Posted: April 12, 2018

IFEM Curriculum and Education Committee Survey

Over the past year the IFEM Curriculum and Education Committee has embarked on a project assessing leadership training curricula within EM training programs, national EM societies and international EM societies.  

As part of our project, we kindly ask you to complete this 5 minute survey to further inform the committee. Data will be presented at the ICEM Conference in Mexico City this June. Please choose one of the links below.  If you have any questions, please feel free to email me at any time.  We ask that you complete the survey by 15 May.

Take the survey.

  Posted: April 17, 2018

Take the Survey: ABMS Seeks Feedback on Continuing Board Certification

The American Board of Medical Specialties (ABMS) is currently working on an initiative for the future state of physician certification. Continuing Board Certification: Vision for the Future is a collaborative effort to assess the current state of continuing board certification, and to envision a framework that is relevant and meaningful to physicians, patients, hospitals and health systems.

This ‘Vision Initiative’ is led by a Commission comprised of a diverse group of physicians, professional medical organizations, national specialty and state medical societies, hospitals and health systems, educators, patients, and the general public. Today, the Commission is seeking feedback from as broad an audience as possible regarding the current and future state of continuing board certification and would like your input.

ABMS is encouraging all stakeholders in healthcare today to participate in this process, as it provides them an opportunity for their voice to be heard. The survey will remain open until May 11th and can be accessed here:

ABMS greatly values your comments and support.

  Posted: April 24, 2018

Cast Your Vote - 2018 CAL/AAEM Board of Directors Election

Voting is now open for the California Chapter Division of AAEM (CAL/AAEM) board of directors. Learn more and cast your ballot.

  Posted: April 27, 2018

Mediterranean Academy of Emergency Medicine Congress (MAEMC 2018)

 

The Department of Emergency Medicine at the American University of Beirut
In partnership with the Mediterranean Academy of Emergency Medicine (MAEM)

Mediterranean Academy of Emergency Medicine Congress (MAEMC 2018)

September 13-16, 2018
American University of Beirut

Registration fees:

  • Early bird registration: USD 50 for physicians and USD 30 for non-physicians (nurses, residents, EMTs) - before July 31st, 2018
  • Regular Registration fees: USD 80 for physicians and USD 50 for non-physicians (nurses, residents, EMTs) 

USD 400 if you wish to claim CME Certificate with AMA Category 1 CreditsTM from the American Academy of Emergency Medicine (AAEM)

Free registration for Medical and Nursing students with valid student ID and separate registration fees apply for workshops.

 

 

Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Academy of Emergency Medicine (AAEM) and the Mediterranean Academy of Emergency Medicine (MAEM).  The American Academy of Emergency Medicine is accredited by the ACCME to provide continuing medical education for physicians. 

Credit Designation Statement
The American Academy of Emergency Medicine designates this live activity for a maximum of 24.5 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

 

 

  Posted: May 31, 2018

AAEM Written Board Review Course - Early Bird Registration Ends July 14

Learn more and register.

  Posted: June 13, 2018

AAEM Fall Oral Board Review Courses - Registration Now Open

Learn more and register.

  Posted: June 13, 2018

NEW Course - ED Management Solutions: Principles and Practice

The ED Management Solutions Course is a live two-day event that brings together current and future medical directors. Not a medical director, but interested in operations management? This course is for you too! Topics covered are both timely and cutting edge. The first day will focus on the fundamentals of operations and then you will dive deeper into emergency department management and leadership on day two.

Learn more and register!

  Posted: June 13, 2018

AAEM Signs on to Price Transparency Letter to CMS

The American Academy of Emergency Medicine, AAEM, along with many other medical associations signed on to a letter sent to the Center for Medicare & Medicaid Services (CMS) Administrator, Seema Verma regarding price transparency. Read the letter.

  Posted: June 26, 2018

Advances in Cancer Immunotherapy™ - Boston, MA

September 27, 2018, 4:30pm-9:00pm | Madison, WI
Radisson Hotel Madison

Advances in Cancer Immunotherapy is jointly provided by Postgraduate Institute for Medicine and the Society for Immunotherapy of Cancer (SITC), in collaboration with the American Academy of Emergency Medicine and the Association of Community Cancer Centers.

Program Organizers

  • Elizabeth Buchbinder, MD – Dana-Farber Cancer Institute
  • David F. McDermott, MD – Beth Israel Deaconess Medical Center
  • Virginia Seery, MSN, RN, ANP-BC – Beth Israel Deaconess Medical Center

Learn about Immunotherapy from the EPs Perspective

Each session includes information that you need for your practice of emergency medicine. SITC has worked closesly with AAEM leadership to ensure that each topic addresses the needs of the emergency physician.

Learn more and register!

  Posted: July 6, 2018

Advances in Cancer Immunotherapy™ - Madison, WI

September 6, 2018, 4:30pm-9:00pm | Madison, WI
Radisson Hotel Madison

Advances in Cancer Immunotherapy is jointly provided by Postgraduate Institute for Medicine and the Society for Immunotherapy of Cancer (SITC), in collaboration with the American Academy of Emergency Medicine and the Association of Community Cancer Centers.

Program Organizers

  • Christian Capitini, MD – University of Wisconsin Carbone Cancer Center
  • Zachary S. Morris, MD – University of Wisconsin School of Medicine and Public Health
  • Anne Wolvin, RN – University of Wisconsin Carbone Cancer Center

Learn about Immunotherapy from the EPs Perspective

Each session includes information that you need for your practice of emergency medicine. SITC has worked closesly with AAEM leadership to ensure that each topic addresses the needs of the emergency physician.

Learn more and register!

  Posted: July 6, 2018

Neurocritical Care Medicine Approved as Subspecialty


Read AAEM's letter of support. (PDF)

 

The American Board of Medical Specialties (ABMS) has approved subspecialty certification in Neurocritical Care (NCC). NCC is co-sponsored by the American Board of Anesthesiology (ABA), the American Board of Emergency Medicine (ABEM), the American Board of Neurological Surgery, and the American Board of Psychiatry and Neurology (ABPN). Physicians certified by these four boards who meet the eligibility criteria for NCC will have the opportunity to become certified in NCC.

The medical subspecialty of Neurocritical Care is devoted to the comprehensive multisystem care of the critically ill patient with neurological diseases/conditions. The ultimate goal of NCC is to provide optimal care to a unique patient population that simultaneously requires expert management of acute nervous system illness and trauma while integrating all other aspects of critical care medicine.

There will be two pathways to certification in NCC: a training pathway and a time-limited practice pathway. The practice pathway will start at the time the first exam is offered. Eligible pathway criteria will be posted on the ABEM website by the end of 2018. ABPN will develop and administer the examination; physicians will submit applications to their primary certifying board. The first examination is expected to take place in either 2020 or 2021.

NCC becomes the tenth subspecialty available to ABEM-certified physicians along with Anesthesiology Critical Care Medicine, Emergency Medical Services, Hospice and Palliative Medicine, Internal Medicine-Critical Care Medicine, Medical Toxicology, Pain Medicine, Pediatric Emergency Medicine, Sports Medicine, and Undersea and Hyperbaric Medicine. ABEM-certified physicians also have pathways to subspecialty certification in Addiction Medicine and Clinical Informatics (through the American Board of Preventive Medicine), Brain Injury Medicine (through ABPN), and Surgical Critical Care (through the American Board of Surgery).

 

Read the news release on ABEM's website.

 

  Posted: July 11, 2018

The High Cost of Healthcare: Patients Experience Greater Cost-Shifting and Reduced Coverage in Exchange Markets 2014-2018

New research conducted for PFC by Avalere, “The High Cost of Healthcare: Patients Experience Greater Cost-Shifting and Reduced Coverage in Exchange Markets 2014-2018,” shows that patients are experiencing higher premiums and sharp increases in patient out-of-pocket costs for health plans on exchange markets, and increasingly being offered narrow or restrictive health networks that cover between 34% and 66% fewer providers. Patients are paying more for less coverage, while doctors are being paid about the same, and insurance companies are showing record profits. And, these insurance plans with small, specialist deficient networks and high out-of-pocket costs can put patients at greater risk for receiving surprise bills, especially in an emergency when patients rely on insurance most.

The research highlights what patients across the country are experiencing with their healthcare plans – patients are paying more and getting less coverage. Regulations around network adequacy have not kept pace, but doctors and patients can end surprise bills while ensuring long-term access to quality healthcare and ending the surprise insurance gap.

Learn more and read the summary and full report.

  Posted: July 11, 2018

Breaking News: Due Process Legislation to Protect EP's Introduced in Congress

 

H.R. 6372

Dear AAEM Members,

Today, U.S. Congressman Chris Collins (R-New York) introduced federal legislation to protect due process rights for emergency physicians. This was the result of countless meetings with Members of Congress and staff on Capitol Hill, made possible by the tireless work of many leaders in the Academy and by many of you, who took the time to participate in and offer support to our advocacy efforts.

AAEM has worked closely with Congressman Collins’ office over the last several months, and is especially appreciative of the great leadership they have demonstrated on this issue. AAEM would also like to acknowledge Representatives Raul Ruiz (D-CA) and Pete Sessions (R-TX) who are also backing this effort. Now is the time to bring even more focus and energy to this effort, and we need your help to engage your Members of Congress and ask them to join this fight.

Here is a link to AAEM’s press release, and a link to the press release from Congressman Collins. In the coming days, we will follow up with materials including a sample letter that can be addressed to Members of Congress including the official bill number and text once it has been publicly posted via the Library of Congress website.

For over 25 years, AAEM has supported fair and equitable practice environments necessary to allow the specialist in emergency medicine to deliver the highest quality of patient care. We believe such an environment includes provisions for due process and this legislation is an important step in that direction.

Thank you again for your membership and critical support, and we will keep you updated on further developments as things progress in Congress.

David A. Farcy, MD FAAEM FCCM
President, AAEM

 

  Posted: July 16, 2018

International Scholarship Program Applications for AAEM19 Now Open!

 

Deadline to submit: Sunday, September 30, 2018 at 11:59pm CT

Learn more and apply.

  Posted: August 2, 2018

Vote Now — TNAAEM Board of Directors Election

 

Deadline to vote: August 17, 2018 at 11:59pm CT

Read the candidate statements and cast your ballot.

  Posted: August 2, 2018

Submit a Nomination — AAEMi Board of Directors Election

 

Deadline to submit: August 30, 2018 at 11:59pm CT

Learn more and submit a nomination.

  Posted: August 2, 2018

2018 EM Day of Service - Give Back!

As emergency physicians, residents, nurses, physician assistants, and medical students, we are servant leaders in our communities. We care and advocate for our patients while working clinically. We also respond to the call to give back to the communities we serve. The EM Day of Service was created with this essential concept in mind. The EM Day of Service is a specialty-driven event where emergency care providers identify community needs and volunteer to address those needs.

Join like-minded EM colleagues from around the country to participate in the EM Day of Service!

Who should join the movement?

While driven by EM residents and medical students, all emergency healthcare providers are invited to participate! Emergency physicians, PA's nurses, paramedics and others involved in the emergency care of patients are encouraged to volunteer in communities across the country.

What should we do and where?

  • Volunteer in your own community. Decide where the needs are greatest and go into action! Here are some ideas to get you started:
  • Host a food drive
  • Help with a construction project (build, paint, remodel) for a community building or a family in need
  • Provide health screen checks at local health fairs
  • Pick up trash in a neighborhood or clean a highway
  • Prepare and serve meals at your local shelter or help with projects, anything from helping with construction to discussing healthcare issues with inhabitants
  • Prepare food for a food delivery service that aids the disabled, severely ill or elderly
  • Visit nursing home residents. Read, play music, participate in their events, lead fun activities
  • Mow or rake lawns for the elderly or disabled
  • Clean up a park or community gathering spot

When is EM Day of Service?

• Pick a day - any day or several days - in September every year! Plan your service time anytime between September 1 and September 30

• By choosing several days during the month, this will help you manage clinical hours and volunteer hours. Perhaps some work while others volunteer and vice-versa. It's up to you to determine the most efficient scheduling of your volunteer project

How to participate?

It's free - all you need to do is register!

  • Tell us who you are by REGISTERING HERE
  • Once we receive your registration, you will receive a promotional packet containing the EM Day of Service logos, fill-in-the-blank fliers, and press release you can customize to send to media outlets, community organizations and your institution.

As soon as you are registered, be sure to use social media to get the word out! Use #emdayofservice to start the buzz!

Questions? Need Help? Contact us at emdayofservice@emra.org

 

  Posted: August 29, 2018

2018 National Physician Suicide Awareness Day

National Physician Suicide Awareness Day
Shine a Light. Speak its name.
September 17, 2018

In order to address the issue of physician suicide, the Council of Emergency Medicine Residency Directors (CORD), in collaboration with AAEM, ACEP, ACOEP, EMRA, RSA, RSO and SAEM have come together to annually dedicate the 3rd Monday in September as National Physician Suicide Awareness (NPSA) Day.

Vision Zero
Estimates are that up to 400 physicians per year take their own lives with the relative risk for suicide being 2.27 among women and 1.41 among men higher than the general population. Each physician suicide is a devastating loss affecting everyone - family, friends, colleagues and up to 1 million patients per year. It is both a very personal loss and a public health crisis. Vision Zero calls on individuals, residency programs, health care organizations and national groups to make a commitment to break down stigma, increase, open the conversation, decrease the fear of consequences, reach out to colleagues, recognize warning signs and learn to approach our colleagues who may be at risk.  Let us challenge each other as individual, community, institutional and organizational to make changes to reach zero physician suicides.

Suicide can be prevented. Be the one to be there. 
Shed light on this issue and change the culture of medicine to save lives.NPSA lapel pins will available for purchase in late August. Proceeds of sales will be donated to foundations who support this initiative.

Visit the CORD website for more information and to download the NPSA Day logo.

 

Learn more about other AAEM Wellness activities and suicide awareness campaigns.

 

  Posted: September 6, 2018

AAEM19 Competition Submissions Now Open

Opportunities for AAEM Members

Photo Competition

Photographs of patients, pathology specimens, Gram stains, EKGs, and radiographic studies or other visual data may be submitted. Your submission should depict clear examples of findings that are relevant to the practice of emergency medicine or findings of unusual interest that have educational value. If your submission is accepted, you must mount it for viewing.

No more than three different photos may be submitted for any one case. Deadline to submit: October 17, 2018 at 11:59pm CT.

Learn more and submit today.

 

17th Annual Open Mic Competition

Open Mic is a proud tradition within AAEM, where attendees have the unique opportunity they have always wanted to speak at a national meeting. This open-floor format allows 16 "new voices" to be heard and evaluated by education committee members and conference attendees.

Registered Open Mic participants will have an opportunity to present a 25-minute lecture (20 minutes for presentation, 5 minutes for questions) on any topic of their choosing. The top two speakers will be invited to give a formal presentation at the 2020 Scientific Assembly in Phoenix, AZ.

10 slots are filled in advance - 6 slots available onsite. Visit the website to learn more.

 


Opportunities to Share with Colleagues

Young Physicians Section Poster Competition

This competition is designed to recognize outstanding research achievements by young physicians in emergency medicine.

Members of AAEM YPS and AAEM members who meet the YPS membership criteria (up to seven years post-residency) are eligible to submit their research for a poster competition. All posters will be displayed at the Scientific Assembly in Las Vegas. The top three posters will be awarded an honorarium (1st Place $1,000, 2nd Place $500, 3rd Place $250), a plaque and will be highlighted on AAEM’s social media pages.

Learn more.

 

21st Annual AAEM & Journal of Emergency Medicine Resident and Student Research Competition

This competition is designed to recognize outstanding research achievements by residents and students in emergency medicine.

The top 8 abstracts will be selected for oral presentation at AAEM19. All other abstract submissions are invited to display their research as a poster. The presenter of the oral abstract judged to represent the most outstanding research achievement will receive a $3,000 honorarium, while second and third place will receive $1,500 and $500 honoraria, respectively.

Learn more.

 

AAEM/RSA & Western Journal of Emergency Medicine Population Health Research Competition

This is designed to showcase medical student and resident research specifically in areas that affect the health of populations of patients in and around the ED.

The top six abstracts submitted by students and residents will be selected for oral presentation at AAEM19. The top three abstracts will be highlighted on AAEM's social media pages and honored with plaques.

Learn more.

 

  Posted: September 6, 2018

Statement on Surviving Sepsis Campaign (SSC) Hour-1 Bundle

AAEM recognizes and acknowledges the statement released by SCCM and ACEP expressing concern over the release of the Surviving Sepsis Campaign (SSC) Hour-1 Bundle patient care guidelines. AAEM is in agreement that prompt, early recognition with early initiation of treatment of sepsis is a crucial aspect of care; however, AAEM is concerned that the guideline has not been reviewed by stakeholder organizations including emergency medicine, infectious disease, and others. AAEM hopes this step can be done as soon as possible, but at this time we cannot support and in fact oppose this Bundle until it is reviewed using a multidisciplinary approach involving other organizations. At this time we recommend that hospitals in the United States do not implement the Hour-1 Bundle.

  Posted: September 12, 2018

Advances in Cancer Immunotherapy™ - Indianapolis, IN

October 25, 2018, 4:30pm-9:00pm | Indianapolis, IN
Sheraton Indianapolis Hotel at Keystone Crossing

Advances in Cancer Immunotherapy is jointly provided by Postgraduate Institute for Medicine and the Society for Immunotherapy of Cancer (SITC), in collaboration with the American Academy of Emergency Medicine and the Association of Community Cancer Centers.

Program Organizers

  • Shadia I. Jalal, MD – Indiana University Health
  • Anya Kjeldsen, RN BSN OCN – Melvin and Bren Simon Cancer Center
  • Theodore F. Logan, MD – Indiana University Simon Cancer Center

Learn about Immunotherapy from the EPs Perspective

Each session includes information that you need for your practice of emergency medicine. SITC has worked closely with AAEM leadership to ensure that each topic addresses the needs of the emergency physician.

Learn more and register!

  Posted: September 22, 2018

Advances in Cancer Immunotherapy™ - Minneapolis, MN

October 27, 2018, 8:00am-12:30pm | Minneapolis, MN
Doubletree by Hilton Minneapolis - University Area

Advances in Cancer Immunotherapy is jointly provided by Postgraduate Institute for Medicine and the Society for Immunotherapy of Cancer (SITC), in collaboration with the American Academy of Emergency Medicine and the Association of Community Cancer Centers.

Program Organizers

  • Arkadiusz Dudek, MD, PhD – University of Minnesota, HealthPartners Cancer Care Center
  • Monique Giordana, PharmD, BCOP – Regions Hospital
  • Balkrishna Jahagirdar, MBBS – Regions Hospital

Learn about Immunotherapy from the EPs Perspective

Each session includes information that you need for your practice of emergency medicine. SITC has worked closely with AAEM leadership to ensure that each topic addresses the needs of the emergency physician.

Learn more and register!

  Posted: September 22, 2018

Advances in Cancer Immunotherapy™ - Seattle, WA

November 3, 2018, 8:00am-12:30pm | Seattle, WA
Renaissance Seattle Hotel

Advances in Cancer Immunotherapy is jointly provided by Postgraduate Institute for Medicine and the Society for Immunotherapy of Cancer (SITC), in collaboration with the American Academy of Emergency Medicine and the Association of Community Cancer Centers.

Program Organizers

  • Andrew Coveler, MD – Fred Hutchinson Cancer Research Center
  • Nora Disis, MD, FACP – University of Washington
  • Doreen M. Higgins, RN BSN OCN – University of Washington

Learn about Immunotherapy from the EPs Perspective

Each session includes information that you need for your practice of emergency medicine. SITC has worked closely with AAEM leadership to ensure that each topic addresses the needs of the emergency physician.

Learn more and register!

  Posted: September 22, 2018

Advances in Cancer Immunotherapy™ - New York, NY

November 15, 2018, 4:30pm-9:00pm | New York, NY
Millennium Hilton New York One UN Plaza

Advances in Cancer Immunotherapy is jointly provided by Postgraduate Institute for Medicine and the Society for Immunotherapy of Cancer (SITC), in collaboration with the American Academy of Emergency Medicine and the Association of Community Cancer Centers.

Program Organizers

  • Sacha Gnjatic, PhD – Icahn School of Medicine at Mount Sinai
  • Mark G. Klang, MS, RPh, BCNSP, PhD – Memorial Sloan-Kettering Cancer Center
  • Susan F. Slovin, MD, PhD – Memorial Sloan-Kettering Cancer Center

Learn about Immunotherapy from the EPs Perspective

Each session includes information that you need for your practice of emergency medicine. SITC has worked closely with AAEM leadership to ensure that each topic addresses the needs of the emergency physician.

Learn more and register!

  Posted: September 22, 2018