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NEW PHYSICIANS IN PRACTICE MEMBERSHIP PACKET

Created by: Megan Koenig, DO, MBA, MS Last Updated October 2014

ACOEP NEW PHYSICIANS IN PRACTICE MEMBERSHIP PACKET

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TABLE OF CONTENTS

Welcome Letter……………………………………………………………………………………………….pg 3

ACOEP Facts & Figures…………………………………………………………………………………….pg 4

National Conferences……………………………………………………………………………………….pg 5

Research Award and Grant Opportunities..……………………………………………………….pg 6

Publication Opportunities………………………………………………………………………...…...…pg 7

Political Action…………………………………………………………………………………………...……pg 9

Board Review………………………………….…………………………………………………………….pg 10

Emergency Medicine Board Certification Process…………………………………………....pg 11

Continuing Medical Education (CME)……………………………………………………………..pg 14

Certification of Added Qualification (CAQ’s)……………………………………………………pg 16

Fellowship…………………………………………………………………………………………………….pg 17

Member Benefits……………………………………………………………………………………………pg 18

I.T. Assistance in Using the ACOEP Website……………………………………….……………pg 19


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WELCOME LETTER

We would like to personally welcome you to the American College of Osteopathic Emergency Physicians New Physicians In Practice Committee This was a group created for all those physicians who have graduated from residency within the past five years to help each other traverse this major career transition in our lives. This group will support you through difficult job selection decisions, financial guidance, contract negotiation, work-‐life balance and more. The New Physicians in Practice Committee holds 2 meetings annually in conjunction with each of the Spring and Fall ACOEP Conferences. There is a Chair and Vice-‐Chair position assigned by the ACOEP Board. But the meetings and social events are open forums and anyone can join in the fun. Please feel free to come to any of the committee’s events! Sincerely, The ACOEP New Physicians In Practice Committee


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ACOEP FACTS & FIGURES

MISSION The American College of Osteopathic Emergency Physicians, founded in 1975, exists to support high quality emergency medicine care, promote and protect the interest of Osteopathic Emergency Physicians, insure the highest standards of postgraduate education, and provide leadership in research through the Foundation for Osteopathic Emergency Medicine, in a distinct unified profession. MEMBERSHIP

Membership Category (as of 5/2013) Number of Members

Full dues paying physicians 1540

Residents 1050

Students 1800

Fellows 402

Distinguished Fellows 21

Military physicians 15

Life members 18

Other (retired, associates, honorary, allied, etc) 27

ANNUAL DUES The ACOEP supports recent graduates by giving a discounted annual dues price after residency. It is important to remain a member of this College as it is the only governing body that supports Osteopathic EM Physicians first and foremost. Not to mention the benefits, discounts and connections you continually receive by being a dues paying member! Please see the ACOEP website for additional membership levels and dues fees. Active 1st year (post residency) member: $300.00 Active Beyond (2nd year post residency & beyond): $595.00 Associate/Retired Membership: $300.00 Resident Membership: $30.00 Student Membership: FREE


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NATIONAL CONFERENCES

FALL SCIENTIFIC ASSEMBLY Held annually (usually around September/October) in various locations. Every few years it is actually held in conjunction with the AOA and/or ACEP Conventions. This conference gives you the most bang for your buck when it comes to CME credits. COLLEGE EVENTS:

• General Membership & Committee Meetings • Fellowship Ceremony • New Physicians In Practice Committee Meeting • Resident Chapter and New Physicians Q&A Panel

FOEM COMPETITIONS: • Research Poster Competition • Clinical Pathological Case Competition • Oral Abstract Competition • Resident Research Paper Competition • 100% Program Challenge

UPCOMING LOCATIONS:

• Oct 1-‐23, 2015: Loew’s Portofino Bay Hotel (Orlando, Florida) • Oct 31-‐ Sep 5, 2016: San Francisco Hilton Hotel (San Francisco, California) • Fall 2017: Denver, Colorado

SPRING SEMINAR Held annually (usually in April) in various locations, usually alternates between Ft Lauderdale and Scottsdale. This is usually a smaller conference and every afternoon is free of any lecture programming so you are free to explore the area or just relax by the pool with friends. This is great conference to bring your family to. COLLEGE EVENTS:

• General Membership & Committee Meetings • EMS Session • COLA Review • New Physicians In Practice Committee Meeting

FOEM COMPETITIONS:

• Case Poster Competition UPCOMING LOCATIONS:

• Apr 1-‐6, 2015: Marriott Harbor Beach Resort (Ft Lauderdale, Florida) • Mar 28-‐Apr 2, 2016: Westin Kierland Resort and Spa (Scottsdale, Arizona)

• Spring 2017: Ft Lauderdale, Florida


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RESEARCH AWARD & GRANT OPPORTUNITIES

AWARD PROGRAMS FOEM Clinical Pathology Case (CPC) Competition: This exciting annual competition pits residents against faculty in diagnosing a difficult case. Residents submit the case without final diagnosis, and the faculty member is given a few weeks to develop a diagnosis. Both residents and faculty submit PowerPoint presentations. Each program must have a resident and faculty member in order to participate. One submission per residency program

• Each applicant pairing presents at the Fall Scientific Assembly • Fees: $100 per case submitted • Deadline for application: July 31st • Deadline for PowerPoint: September 30th • Top 3 presentations are awarded $500, $250, and $125, respectively for both

residents and faculty members GRANT PROGRAMS FOEM Young Investigator Research Grant

• Annually to 1 EM physician o Must be a recent graduate (5 years or less)

• Grant: $1,000-‐3,000 depending on scope/needs of the project FOEM Investigator Research Grant

• Annually to 1 established EM physician • Grant: $1,000-‐3,000 depending on scope/needs of the project

David A. Kuchinski Memorial Research Grant • Awarded at the discretion of the Board to a physician or educator conducting

research at an accredited institution • Grant: varying amounts depending on project

OTHER OPPORTUNITIES If you are interested in other ways to get involved with research as a Young Physician, there are opportunities to participate in senior paper evaluations, FOEM competition judging and research committee functions, all of which quality for CME credits.

For more information, please contact: Stephanie Whitmer

Assistant Executive Director 142 E. Ontario, Suite 1500 / Chicago, Il 60611

312-‐445-‐5712 / [email protected]


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PUBLICATION OPPORTUNITIES

Members are encourage to submit articles, case studies and other essays for consideration for publication at any of the following opportunities: THE FAST TRACK A quarterly magazine published by the ACOEP Resident and Student Chapters. Information can be found at acoep.org or through the following email: [email protected] THE PULSE A quarterly magazine published by the ACOEP. Information can be found at acoep.org/pulse.htm or through Erin Sernoffsky (312.445.5709 / [email protected]). WESTERN JOURNAL OF EMERGENCY MEDICINE (WestJEM) WestJEM has a partnership with ACOEP and offers the following: Publishing Opportunity

a. Free to submit for publication b. If accepted a fee of $300 is applied c. Free copy editing service

Department Sponsorship

a. An ER or residency program can purchase “department sponsorship” for $600 per year.

b. Hard copies of the Journal for your ER c. Allows unlimited submissions for publication d. Individual publication fees waived

Resident Abstract Competition

a. January of each year b. Top 3 winners will have full manuscripts published c. First place will have publishing fee waived

Information can be found at www.westjem.org.


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EMERGENCY MEDICINE PUBLICATION OPPORTUNITIES The following is a list of various Emergency Medicine publications as a source for you to use as you seek to get your research or cases published.

(The ACOEP does not personally endorse any of them, this is simply a list created by the Research Committee.)

Annals of Emergency Medicine:

www.annemergmed.com Go through the Editorial Manager

The Journal of Emergency Medicine:

www.journals.elsevier.com/the-journal-of-emergency-medicine Emergency Medicine Journal:

emj.bmj.com Academic Emergency Medicine:

onlinelibrary.wiley.com › ... › Emergency Medicine & Trauma American Journal of Emergency Medicine:

www.journals.elsevierhealth.com/periodicals/yajem International Journal of Emergency Medicine:

www.springer.com/medicine/...emergency+medicine/journal/ BMC Emergency Medicine:

www.biomedcentral.com/bmcemergmed Emergency Medicine:

www.emedmag.com Editorial Director : Maura Griffin email: [email protected]

European Journal of Emergency Medicine:

http://journals.lww.com/euroemergencymed/pages/default.aspx


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POLITICAL ACTION

The ACOEP recognizes the need for more physician ambassadors who are experienced, trained and educated in health care policy to represent the osteopathic community and therefore recommend the following two ways to get active politically: DO DAY ON CAPITOL HILL This is the preeminent opportunity for residents to come to Washington, D.C. and lobby Members of Congress and their staff face-‐to-‐face. Prior to the event, participants will receive briefing materials on the key issues to be discussed. Once in Washington, osteopathic advocates will participate in a morning legislative briefing, attend scheduled meetings with Members of Congress and their staff, and report the results in a debriefing room. Participation in this event is important for members of the osteopathic community. The time you take off from your practice demonstrates the osteopathic community’s dedication to protecting and preserving the cornerstones of osteopathic medicine. This is a prime opportunity to educate Members of Congress and their staff about osteopathic medicine and communicate our positions on important health policy issues where legislation is crafted—Capitol Hill.

For more information, go to:

http://www.osteopathic.org/inside-‐aoa/events/Pages/do-‐day-‐on-‐capitol-‐hill.aspx HEALTH POLICY FELLOWSHIP The Osteopathic Heritage Health Policy Fellowship program is designed for osteopathic physicians who are preparing for leadership roles in the profession and positions of influence in health policy and individuals with a professional connection to the osteopathic profession. The program is offered by the Ohio University College of Osteopathic Medicine and the New York Institute of Technology through a collaboration of colleges (AACOM, AOA). The Fellows attend an intensive five-‐day academic orientation at NYIT before entering the regimen of nine three-‐day weekend seminars. Seminars are rotated among osteopathic colleges and the Washington, D.C. area. Between monthly seminars, Fellows complete reading, research, and writing assignments. Graduates of the program join a cadre of health policy experts from which the profession can draw to staff committees and task forces at the federal and state levels, testify on issues relevant to osteopathic medicine and education, and develop policy positions.

For more information, go to: http://www.oucom.ohiou.edu/hpf/index.htm


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BOARD REVIEW

Suggested resources for board review: LECTURES: ACOEP INTENSE REVIEW/ORAL BOARD REVIEW: Conveniently placed right before the certifying exams. (acoep.org) NATIONAL EMERGENCY MEDICINE BOARD REVIEW COURSE: Known as one of the best courses given, 3.5 days in Vegas. ( http://www.emboards.com/) OHIO ACEP EMR COURSE: Comprehensive Board review held in Ohio. Long Track, 5 days. Fast Facts. 3 days. (ohacep.org) BOOKS: CAROL RIVERS: Some consider this the gold-‐standard review book. It is a 2-‐volume text, 1300+ pages, covering 20 topics with 500+ pre-‐chapter Q&A. ($200, ohacep.org) MED-CHALLENGER: EM: 3 year membership to online portal and travel CD’s with Board Review, galleries, over 4000 Q&A’a, including CME credits. ($995, www.chall.com) EMERGENCY MEDICINE: A FOCUSED REVIEW OF THE CORE CURRICULUM: 22-‐chapter text with color images and 225 Q&A. ($ 89.99, www.aaem.org) FIRST AID FOR EMERGENCY MEDICINE BOARDS: Same outline format as the First Aid Series made so famous in medical school. ($65) QUESTIONS: 1200 QUESTIONS: Once you purchase the textbook of questions, you will receive a password to online access for additional Q&A. ($89) PEER VIII: Gold-‐Standard in preparation questions. 2 book, spiral bound set. PEER VIII just published in 2011, older versions available for cheaper. ($259, acep.org)


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EMERGENCY MEDICINE BOARD CERTIFICATION STEPS

(As defined at http://www.aobem.org) EM BOARD ELIGIBILTY & REQUIREMENTS After the completion of residency and six (6) months of practice in Emergency Medicine you may begin the application process for board certification. Each physician has a six (6) year time period to complete the certification process as outlined below. PART I COMPUTERIZED EXAMINATION This one-‐day exam is administered simultaneously to all candidates sitting for the exam at that time and includes content as it pertains to all disciplines of Emergency Medicine. Residents are permitted to take this exam while in the last year of residency. Part I requires a $1,100 fee and includes your application to the Board. (The ACOEP offers an Intense Review Course each January) PART II ORAL EXAMINATION Following successful completion of Part I, candidates will be notified of the date and time for the Oral Exam. The Oral Boards occur at a hotel in a few specified cities across the country. Throughout the day you will enter into various hotel rooms, where you will be presented with and work through six (6) cases. The final station is a visual diagnosis area, where you will interpret EKGs, radiologic imaging or slides. Part II requires an $800 fee.

(The ACOEP offers an Oral Board Review Course each January) PART III CLINICAL EXAMINATION (NO LONGER REQUIRED IF BOARD PROCESS BEGAN AFTER SEPTEMBER 2013) Upon completion of Parts I and II, the candidate will be evaluated on the following:

A. Twenty (20) self selected charts, covering a minimum of five (5) dates within the past twelve (12) months, of patients treated by the candidate reflecting emergency care intervention as specified by the board.

B. Copies of emergency department physician’s schedules for the previous six (6) months for the emergency departments tended by the candidate, with a breakdown for specification of the candidate’s clinical practice time.

C. Copy of the candidate’s current AOA CME printout report verifying compliance with required emergency medicine hours (50 hours of EM for every full year following completion of residency).

D. A letter to the Board from the candidate’s Medical Staff Office verifying current privileges and good standing.

E. A copy of valid and unrestricted license in states which the applicant holds a license.


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CONTINUOUS CERTIFICATION IN EMERGENCY MEDICINE (CCEM) All physicians certified after January 1994 are required to recertify every ten (10) years through the following procedures (certification expires on December 31st of the tenth year) : PART I PROFESSIONAL STATUS Physicians must maintain a valid, unrestricted and unqualified medical license in the states where they practice, or in any one state if in active military practice. It is the individual physician’s responsibility to provide the AOBEM with a copy of his/her current licenses. Each physician must also maintain continuous membership in the AOA and compliance with the AOA’s Continuing Medical Education (CME) requirements, which is 50 hours per year of specialty CME. Diplomats are also required to supply attestation of communication and patient satisfactions skills on ten (10) separate patients. This is accomplished through any survey or method that your department or hospital currently uses as long as it addresses communication/listening skills, providing education/information, and showing empathy or concern for the patient. (A survey exists on the AOBEM website if your hospital doesn’t currently have a form of its own) PART II CONTINUOUS OSTEOPATHIC LEARNING ASSESSMENT (COLA) A COLA module involves reading assigned articles from the literature and then completing an online examination regarding those articles. COLA’s contain questions on emergency medicine core content categories. A list of references or areas of study available for each topic will be provided by the AOBEM. In order to be eligible to take the FRCE, each physician must take and pass a minimum of eight (8) COLA modules available over a ten (10) year period. Each candidate has a maximum of three (3) opportunities to pass each. A new COLA module is available each year and each COLA is only available for a three (3) year period. (The ACOEP offers a COLA review at each Spring Seminar to assist in this process)

PART III COGNITIVE ASSESSMENT (Previously referred to as Formal Re-‐Certification Examination –FRCE) This exam consists of two components; a computer based multiple-‐choice portion and an oral exam portion. Physicians are eligible to sit for this exam once Parts I, II, and IV are completed. Physicians are required to take this exam every ten (10) years to maintain certification. Physicians can take this exam as early as two (2) years prior to the expiration of certificate and three (3) years after the expiration of their certificate. Successful completion awards physicians with a certificate valid for another ten (10) years.


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PART IV PRACTICE PERFORMANCE (AKA “Component Four”) Each physician must complete this step twice in the ten (10) year cycle and submit the completed Practice Performance Form (found on the website) to AOBEM. One practice performance must be completed in the first five years and the second must be completed the second five years of certification. If the practice performance is not completed in year 1-‐5 then the physician will need to complete 3 practice performance activities in year 6-‐10 to qualify for the FRCE exams. The AOA will grant five (5) hours CME of Category 1-‐B credit for each practice performance module for a maximum of ten (10) hours over the ten (10) year certification cycle. No charts will need to be submitted. The process consists of four (4) steps as outlined below:

! STEP I: Identify a target area for clinical improvement. This should be a topic that is measurable for improvement and has recognized comparison data available.

! STEP II: Collect and review data points from ten 10 patient charts from the targeted area of study. The clinician may choose patient charts from his/her practice group, but a minimum of 3 charts must be his/her own encounters.

! STEP III: Compare these data points to evidence based guidelines to identify areas for improvement. Next, develop and implement a practice performance improvement program (ie. an educational component, personal reminder or change in the process).

! STEP IV: After implementation of the process improvement plan, review at least 10 new charts of the target area to measure and analyze the effects of the change to evaluate for improvement.

Physicians not compliant with above procedures will have to re-enter the certification process in its entirety.

ALL CORRESPONDENCE OR INQUIRES SHOULD BE FORWARDED TO:

A.O.B.E.M. 142 E. Ontario, Chicago, Illinois 60611

aobem.org


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CONTINUING MEDICAL EDUCATION (CME)

All members of the American Osteopathic Association (AOA) are required to participate in the Continuing Medical Education (CME) program. The AOA sets a three (3) year time frame, which is the same for everyone. The current cycle is 2013-‐2015 and ends December 31st, 2015. Members will have 5 months from this date to fulfill the requirements. One hundred and twenty (120) credits of CME are required for membership in the AOA within each three-‐year (3) cycle. Of this total, thirty (30) CME credits must be obtain in Category 1-‐A and the remaining ninety (90) credit hours may be satisfied with either Category 1-‐A, 1-‐B, 2-‐A, or 2-‐B credits. Members who obtain one hundred and fifty (150) credits or more will be given a certificate of excellence in CME. All directions and forms needed to submit CME credit hours can be found on the AOA webpage. CATEGORY 1-A Credits granted at formal education programs sponsored by an AOA accredited CME sponsor and are limited to:

-‐ Attendance at formal face-‐to-‐face programming/conferences which cover any of the seven Core Competencies (OMT, medical knowledge, patient care, interpersonal/communication skills, professionalism, practice-‐based learning and improvement, systems-‐based practice)

-‐ Speaking/teaching in a formal didactic format -‐ Formal delivery of education to students, interns, residents and staff of AOA

approved healthcare facilities -‐ Grand rounds (when submitted as a series of at least three programs) -‐ Judging Clinical Case Presentations or Research Poster Presentations (up to

max of 10 credits) -‐ Interactive Online CME will be awarded only for conferencing which includes

both an online pre and post test and allows participant to ask questions in real-‐time (max 9 credits, excess of 9 can be applied to 1-‐B, 2-‐A or 2-‐B)

-‐ Recertification of life support classes (ie. BLS, ACLS, ATLS) (max 8 credits) CATEGORY 1-B Credits granted for the following:

-‐ Publications, inspections, examinations and committee meetings -‐ Preceptoring at an AOA approved education program (max of 60 credits) -‐ Taking a recertification examination or obtaining a certification of added

qualification (15 credits awarded for passing a recert) -‐ Participation in hospital staff activities, educational lectures, and lecturing at

a hospital/institution when it relates to osteopathic students/interns/residents

-‐ Allopathic medical education is only approved when there is essentially no Osteopathic equivalent


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-‐ Reading of the Journal of the American Osteopathic Association or other Osteopathic Journals and passing of the respective CME quiz with minimum grade of 70% (2 credits). Non Osteopathic Journals qualify under Category 2-‐B.

-‐ Test construction committee work (ie. NBOME, inservice exam, certifying exams)

-‐ Administering oral or practical exams (10 credits per exam, max 10) -‐ Writing of test items is worth 1 credit each (max 10 credits) -‐ Development of clinical cases and submission to NBOME is worth 2 credits

each (max 20 credits) -‐ Non-‐ interactive Online CME will be awarded to audio/video programs that

are available on demand and not in real time

CATEGORY 2-A Formal educational programs that are AMA accredited, AAFP approved, internationally recognized sponsor or AOA sponsored that do not meet the 1-‐A faculty/hours requirement CATEGORY 2-B Credits awarded for:

-‐ Reading of other medical journals (non Osteopathic) and passing of the associated quiz successfully (1/2 credit for each article)

-‐ Preparation and presentation of scientific exhibits at a county, regional, state or national professional meeting (10 credits per exhibit)

-‐ Certificate of added certification (15 credits) -‐ Home study/reading of medical textbooks (5 credits) -‐ Viewing non-‐osteopathic medical video/audio -‐ Internet CME (journals or lectures) -‐ Physician Administrative training or faculty development -‐ Courses in medical economics, risk management, quality assessment

More specific questions can be answered at: www.osteopathic.org

[email protected] 1-‐800-‐621-‐1773 Ext 8262


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CERTIFICATION OF ADDED QUALIFICATION (CAQ’S)

A Certificate of Added Qualification (CAQ) constitutes a modification of a general certificate or certificate of special qualification to reflect additional training of at least one (1) year in length and satisfactory completion of a certifying examination in that field. The training required for added qualifications must incorporate a specific and identifiable body of knowledge within the broader practice of the general specialty. Certification of added qualification requires maintenance of valid general or special qualification’s certification from which the added qualification was modified. Certificates read, “Certified in Emergency Medicine with Added Qualification in (added field).” Examples of CAQ fields below: EMERGENCY MEDICAL SERVICES (EMS)

• One (1) year of training in an AOA Approved EMS Fellowship • Application to the AOBEM by November 1st of the year prior to exam

o Application fee of $600.00 • Written Examination offered once per year

o at least 150 questions over three (3) hours MEDICAL TOXICOLOGY

• Two (2) years of training in an AOA Approved Medical Toxicology Fellowship • Application to the AOBEM by November 1st of the year prior to exam

o Application fee of $600.00 • Written Examination offered once per year

o at least 150 questions over three (3) hours SPORTS MEDICINE

• One (1) year of training in an AOA Approved Sports Medicine Fellowship • Letter of recommendation from program director • Eligible six (6) years from completion of fellowship • Application submitted to the Sports Medicine Conjoint Examination Committee

o Application fee of $50.00 • Written Examination offered no less than once every two (2) years

o Exam fee of $750.00 o Half-day exam consisting of 200 multiple choice questions

CRITICAL CARE

• Diplomats who complete two (2) years of critical care training in an AOA Approved Critical Care Fellowship may sit for the AOBIM Critical Care CAQ

PEDIATRIC & HOSPICE/PALLIATIVE CARE (pending)


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FELLOWSHIP

This honorary title is granted upon recommendation of an Active, Associate, Honorary and Life Members in the College by a current Fellow. The ACOEP Board of Directors is responsible for granting recognition of this title. Criteria for the nomination includes:

• Current certification in emergency medicine by AOA or AOBEM. • Continuous membership in ACOEP for 5 years prior to nomination. Resident

membership is included in this 5-‐year period. • Documented attendance at 2 ACOEP General Membership Meetings in the 5

year period prior to application. Only the member's signature on the attendance sheet for the membership meeting will be accepted as proof of meeting attendance.

• Attendance at 2 ACOEP-‐sponsored national CME meetings in the 5-‐year period prior to application for Fellowship (these may include: ACOEP's Intense Review; COLA Essentials (2002-‐2008 only); Oral Board Review, New Frontiers in Toxicology; or the Scientific Assembly)-‐you must be a registered participant to utilize for this qualification.

• Publication of scientific articles or reference materials in the field of emergency medicine, in nationally peer-‐review periodicals with references to the publication in which the article was published.

• Past or present membership on an ACOEP Committee. • Past or present membership on the ACOEP Board of Directors. • Faculty appointment in Emergency Medicine at an accredited College of

Osteopathic Medicine or College of Medicine accredited by the AOA or AMA, respectively.

• Active involvement in the leadership and education in EMS, including but not limited to:

o EMT, First Responder, EMD, and/or paramedic training o Working as a Medical Director of a Community EMS System o Participation in local disaster planning and implementation

• Emergency Medicine Residency Program Director or faculty member. • Advanced academic degree or fellowship training. • Having made a significant contribution to the specialty of emergency

medicine in the osteopathic profession.

More information can be found at: http://www.acoep.org/fellowship.htm


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MEMBER BENEFITS

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Documents

Young Physicians Group - acoep.org · yearsitisactuallyheldinconjunctionwiththe !AOAand/or!ACEP!Conventions.This! ... OHIOACEPEMRCOURSE:Comprehensive!Board!review!held!in!Ohio.!Long!Track,!