September 2014 - California ACEP

lifeline
SEPTEMBER 2014
a forum for emergency physicians in california
Changing the
Conversation
Page 4
TABLE OF CONTENTS |
4
7
4
PRESIDENT’S MESSAGE
7
ADVOCACY UPDATE
MICRA
12 ANNOUNCEMENTS
13 UPCOMING MEETINGS & DEADLINES
14 CAREER OPPORTUNITIES
California ACEP
Board of Directors &
Lifeline Editors Roster
2014-15 Board of Directors
Michael Osmundson, MD, MBA, FACEP, President
Marc Futernick, MD, FACEP, President-Elect
Lawrence Stock, MD, FACEP, Vice President
Aimee Moulin, MD, FACEP, Treasurer
Chi Perlroth, MD, FACEP, Secretary
Thomas J. Sugarman, MD, FACEP, Immediate Past President
John O. Anis, MD, FACEP, Member-At-Large
Vikant Gulati, MD
Kevin Jones, DO
Jeffrey Leinen, MD, FACEP
Stephen Liu, MD, FACEP
John Ludlow, MD, CAL/EMRA Representative
Cameron McClure, MD, FACEP
Valerie Norton, MD, FACEP
Mark Notash, MD
Maria Raven, MD, MPH, FACEP
Vivian Reyes, MD, FACEP
Eric Snyder, MD, FACEP
Advocacy Fellowship
Aimee Moulin, MD, FACEP, Director
Carrieann Drenten, MD, Advocacy Fellow
Lifeline Medical Editor
Richard Obler, MD, FACEP, Medical Editor
Lifeline Staff Editors
Elena Lopez-Gusman, Executive Director
Ryan P. Adame, MPA, Deputy Executive Director
Lucia Romo, Education Coordinator
Kelsey McQuaid, MPA, Government Affairs Associate
Nathalie Nguyen, MA, Program Associate
SEPTEMBER 2014
Index of Advertisers
EGO
Page 8
EMA
Back Cover
EMMA
Page 6
IEPC
Page 6
Anaheim Regional Medical Center
Page 14
Commerce Printing Services
Page 10
Palo Alto Medical Foundation
Page 14
Petaluma Emergency Physicians
Medical Corporation
Page 14
San Francisco Emergency Medical Associates
Page 14
TeamHealth
Page 14
Watsonville Emergency Medical Group
Page 14
WELCOME new members!
Hiroko Akuzawa, Medical Student
Andrew J Berg, Medical Student
Ariel J Bowman
Stephanie V Brenman
Seth Brindis, MD
Elisabeth Brodeur
Troy Cashatt, MD
Stephanie Cham
Robert Colon, MD
Renee L DeNolf
Alexandra M Dyer, Resident
Daniel S Eum
Simone Gold, MD
Tifany Hoyne
Sandra Isnasious, Medical Student
Benjamin D Musser
Shamsher Samra, MD
Kathryn C Seiler, MD
Nicholas Selden
Veronica Solorio
Daniel Spicer, Medical Student OMS2
Sabrina M Tom
Mai-Linh N Tran
William W White, Jr
Nicholas Wilson
Jake Wilson
Charles K Yu
100% GROUPS
Central Coast Emergency Physicians
Front Line Emergency Care Specialists
Pacific Emergency Providers, APC
Emergent Medical Associates
Loma Linda Emergency Physicians
Tri-City Emergency Medical Group
Emergency Medicine Specialists of
Orange County
Napa Valley Emergency Medical Group
University of California, Irvine Medical
Center Emergency Physicians
Newport Emergency Medical Group, Inc
at Hoag Hospital
SEPTEMBER 2014 | 3
PRESIDENT’S MESSAGE |
Changing the
Conversation
My fellow emergency physicians, the battle lines are
being drawn and the forces are mobilizing against us
and against our patients:
There has been much concern over the
past decade about what many believe is a
national crisis of crowded and overloaded
hospital emergency departments and the
consequences for patient care and the ability
of EDs to respond to both individual and
By Michael Osmundson, mass casualty emergencies. Contributing to
the problem of ED crowding is a substantial
MD, MBA, FACEP
increase in emergency department utilization
among the U.S. population, which is often attributed to growing use
of emergency departments for nonurgent health problems. As a result,
many policy makers and health care providers believe that it is essential
to shift emergency department use for nonurgent health problems to
primary care providers in the community to relieve crowded emergency
departments, lower the costs of care and improve the quality of care.
— Peter Cunningham, Ph.D. Senior Fellow and Director of
Quantitative Research Center for Studying Health System Change
The Centers for Medicare & Medicaid Services (CMS) has been
strengthening our collaborations with states in order to reduce
costs, improve the patient experience, and improve the health of the
populations we serve. As beneficiaries gain coverage as a result of
the Affordable Care Act, utilization of services across the health care
system is likely to increase, and states and CMS share a strong interest
in reducing unnecessary hospital emergency department (ED) usage.
— Cindy Mann, Director CMS, Center for Medicaid and CHIP Services
Emergency department overuse: $38 billion in wasteful health care
spending. 67 million, or more than half of the 120 million annual
emergency visits, are potentially avoidable.
— National Quality Forum Publication
Statements like these are ubiquitous in both the lay press and
in the conversations being had in state and national legislative
houses, in policy makers’ offices and in the “think tanks” that
support the decision making process. The most dangerous parts
4 | LIFELINE a forum for emergency physicians in california
of these statements
are they: 1) are false;
2)
inform
policy
decisions that will limit
our
patients’
access
to needed emergency
department (ED) services;
3) threaten our ability to fund
our practices and maintain
an adequate safety net for our
communities; and 4) limit our
influence in shaping health care
reform decisions.
The idea that over 56% of patients are in
our EDs inappropriately doesn’t mesh with
our experience of the work we do. While we
can’t argue with the cost of the care we provide,
we can certainly challenge the misperceptions of
the value of emergency medicine to the population
as a whole.
We had a great example of the danger of such erroneous views
and the misguided policy decisions they inform within the last two
years in Washington State. Seeking to reduce costs and targeting
perceived inappropriate use of the emergency department by
Medicaid patients, Washington Medicaid decided to refuse to pay
for care provided in the EDs for a whole host of diagnoses. Policy
makers in the state ignored the facts that emergency physicians
are required to provide the care (EMTALA) and that many of the
diagnoses on the list were potentially catastrophic conditions (Chest
Pain, Abdominal Pain). While Washington ACEP was successful in
getting these policies changed (with the help of National ACEP and
Emergency Medicine Action Fund), the rhetoric that drove these
policy decisions remain ingrained in the discussion on controlling
costs and health care reform.
The most maddening aspect of these erroneous beliefs is that they
persist despite robust literature that shows they are not true.
• Few ED visits are truly nonurgent, according to the most
• EDs are often the only medical facilities in a community that
are open 24 hours a day, seven days a week.
• EDs are a major source of primary health care in the community,
treating a broad range of health problems.
• Despite recent increases in utilization, hospital EDs represent a
relatively small part of the U.S. health care system in terms of
both utilization and costs.
• Reducing the use of EDs for nonurgent health problems may
generate much lower cost savings than is commonly assumed.
These points underscore a fundamental misunderstanding in
the debate on emergency medicine’s role in contributing to
healthcare reform: that emergency physicians are in a central role
in a community's health care delivery system. As such, we have
tremendous opportunity to contribute to effectively delivering on
the triple aim of healthcare reform: better population health, at
reduced cost, and with a better patient experience.
We need to shift the debate away from emergency physicians
being perceived as part of the problem, to emergency physicians
recognized as an essential part of the solution to delivering
effective healthcare reform. When policy makers and legislators sit
down to write healthcare policy, they do so with the mindset that
emergency physicians are essential to the execution of this policy.
The thought in their heads before they put pencil to paper should
not be “how to I keep patients out of the ED,” but “how can I ensure
that I have emergency physicians buy-in to make sure this works.”
WHY NOW?
There are two important windows that are open right now: 1)
healthcare is central to the national conversation; and 2) healthcare
reform policy is being written as we speak. We need to change the
debate before these windows close. If we are successful, we can
work with policy makers to insure policy implementation increases
access and effectiveness for our patients. If we are unsuccessful, we
will face a future where we are unable to deliver needed care to our
patients because of misguided policy implementations.
credible national data. Most ED visits are neither clearly
nonurgent, nor truly emergencies.
• Increases in ED visits reflect a more general increase in the
demand for ambulatory care, and it should be emphasized that
physician office visits have increased at an even higher rate
than ED visits.
• This trend is demonstrated in all OECD countries and isn’t
a US-only problem the role of EDs has evolved over the past
several decades. EDs are on the front lines of communities’
preparedness efforts and responses to natural disasters, other
mass casualty events, and public health emergencies.
• EDs have become the true provider of — last resort for
uninsured people and other patients who are unable to afford
other medical providers in the community.
WHY US?
It’s reasonable to ask: Isn’t this a national problem and as such
shouldn’t it be a national ACEP issue? National ACEP is definitely
working on this, and we will benefit from their efforts. But most
of the policy decisions are being made at the state level (as we
saw in Washington) and thus we must work to change the minds
of California’s policy makers and legislators. California ACEP has a
long history of influence in state policy and legislative process. As
we have seen many times in the past, California leads the rest of
the country in healthcare delivery evolution. By targeting California
policy makers and legislators, we can influence examples being
set for the rest of the country. We have an opportunity and a
responsibility to reshape the debate locally. Our efforts in California
will be complimentary to the national efforts.
SEPTEMBER 2014 | 5
PRESIDENT’S MESSAGE |
HOW?
The Board is investigating ways to redirect our PR and education
efforts to target state policy makers and legislators. The goal of this
campaign will be to reframe emergency physicians as part of the
solution (instead of the problem) and central to effective execution
of healthcare reform policy.
WHAT CAN YOU DO?
We all need to make sure we contribute to the effort to reframe
emergency physicians as a central part of the solution. We need
to be careful that we don’t contribute to the misinformation.
Instead of complaining about patients that don’t belong in
our EDs we need to underscore that we serve a central role in
population health management and we will continue to work in
our patients' and communities' best interests. We need to identify
the barriers to delivery that contribute to wasteful spending and
ineffective treatment plans. We need to work to provide solutions
that increase the value of our efforts. It is most important that we
see ourselves as a key part of the solution and work to ensure the
success of those solutions.
This will mean that our practice will certainly change in the years
ahead. That we will be asked to take responsibility for expanded
aspects of the healthcare delivery model. We must accept this
added responsibility willingly and wear the mantle of "Healthcare
Reformer" proudly. In this way we will protect our practice and we
will take better care of California’s patients. n
BIBLIOGRAPHY
1. “Nonurgent Use of Hospital Emergency Departments”, Statement of
Peter Cunningham, Ph.D. Senior Fellow and Director of Quantitative
Research Center for Studying Health System Change Before the
US Senate Health, Education, Labor and Pensions Committee
Subcommittee on Primary Health and Aging Hearing on — Diverting
Nonurgent Emergency Room Use: Can It Provide Better Care and Lower
Costs?, May 11, 2011
2. Mann, C “Reducing Nonurgent Use of Emergency Departments
and Improving Appropriate Care in Appropriate Settings” CMCS
Informational Bulletin, CMS, January 16, 2014
3. “Reducing Emergency Department Overuse: A $38 Billion Opportunity”,
National Quality Forum, November, 2010
4. “Reducing Avoidable Emergency Department Visits”, Robert Wood
Johnson Foundation, September, 2013
5. “Fast Stats-Emergency Department Visits”, CDC.gov
Independent Emergency Physician Group + Multiple
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At IEPC (Independent Emergency Physicians Consortium),
we provide an umbrella of strength for shared best clinical
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An independent emergency
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925.855.8505 | www.iepc.org
6 | LIFELINE a forum for emergency physicians in california
Southern California
JOB OPPORTUNITIES
•
Excellent Opportunities for
Emergency Physicians
• Very Competitive Compensation
• Pleasant Work Environment
• Hospitals include Arcadia Methodist &
Glendale Memorial (Top heart programs).
• Available practice settings in the Greater
Los Angeles area.
Contact Debbie Corn for more information
(909) 634-3172 or email CV to dcorn@emmamd.com
| ADVOCACY UPDATE
A
R
C
I
M
By Elena Lopez-Gusman & Kelsey McQuaid, MPA
On November 4, 2014, voters will
be asked to weigh in on Proposition 46, a costly ballot measure
that will make it easier and more
profitable for lawyers to sue doctors, community health clinics
and hospitals, resulting in billions in increased health care
costs annually.
government health care costs by “hundreds
of millions of dollars annually.”
critical state and locally provided services
that so many count on.
We know that these increased costs would
reduce funding available for vital state and
local government services like police, fire, social services, parks, libraries and the list goes
on. This is just another example of trial attorneys pulling money directly out of the health
care delivery system and our communities to
line their own pockets.
Prop. 46 is being disguised by the trial lawyer sponsors as a measure that will “increase
patient safety,” but we know it’s really just
about seeking change to current law that
will allow proponents to file more medical
lawsuits against health care providers.
Prop. 46 was written by trial attorneys for trial
attorneys – not for the patients of California
who will be forced to pay, plain and simple.
At a time when the Affordable Care Act is encouraging the previously uninsured to seek
coverage, increasing health care costs will
push those people out of the market.
That’s just how Prop. 46 will impact state
and local government costs. An independent
study estimates that this proposition will
increase health care costs across all sectors
by almost $10 billion annually. How does
that affect patients throughout California? It
translates to about $1,000 per year in higher health care costs for a family of four. For
many families, that’s the difference between
being able to afford groceries or health care
each month.
If the trial lawyers get their way, medical
lawsuits and payouts will skyrocket and
someone will have to pay the price.
California’s non partisan Legislative Analyst
has taken a close look at Prop. 46 and concluded that it could increase state and local
As physicians, it is our job to provide care
for and protect our patients - but Prop. 46
does just the opposite. Taxpayers across the
state will be on the hook for hundreds of millions of dollars in increased state and local
government costs each year and could lose
If you haven’t signed up to oppose
Prop. 46, please visit NoOn46.com and
join the coalition today – the price to our
patients is too great to risk it.
As we forge ahead to Election Day, please
take action and get involved in the No on
Prop. 46 campaign. To find out more information about the issue and how you can
help educate your colleagues, patients and
neighbors, visit NoOn46.com today. n
SEPTEMBER 2014 | 7
SAVE
THE
DATE
2015 Conferences
APRIL 21, 2015
LEGISLATIVE LEADERSHIP CONFERENCE // Sacramento
JUNE 12, 2015
ANNUAL ASSEMBLY // Los Angeles/Universal City
8 | LIFELINE a forum for emergency physicians in california
You’ve invested in your career.
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search our opportunities nationwide.
St. Joseph Hospital in Eureka
• Annual ED patient volume of 36,000 at this state-of-the-art facility
• Scribe and Hospitalist services also available
El Centro Regional Medical Center near San Diego
• 50,000-annual-patient-volume ED with 20 beds plus
6 Fast-Track beds
• ABEM or ABOEM certified required
St. Joseph’s Medical Center near Sacramento
• 23-bed ED with an annual volume of 51,800 moderate-to-high
acuity patients
• Cardiac excellence and great specialty backup coverage at this ED
Ridgecrest Regional Hospital in Ridgecrest
• 17,000-volume ED with advanced practice clinician coverage
• Very manageable case load with excellent nursing and support
Delano Regional Medical Center in Delano
• 11-bed ED with annual patient volume of 25,000
• 12-hour physician shifts
TeamHealth offers excellent support and resources to help our
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TeamHealth physician, you’ll enjoy:
• Competitive compensation
• Paid professional liability insurance with tail coverage
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TeamHealth Institute
• Career growth opportunities
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For more information, please contact Patricia Peña Sam
P: 925.251.6937
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,
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SAN JOAQUIN PHYSICIAN
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CEMAF
Donors
ANNOUNCEMENTS |
The California Emergency Medicine Advocacy Fund
(CEMAF) has transformed California ACEP’s advocacy efforts from primarily legislative to robust
efforts in the legislative, regulatory, legal, and
through the Emergency Medical Political Action
Committee, political arenas. Few, if any, organization
of our size can boast of an advocacy program like California
ACEP’s; a program that has helped block Medi-Cal provider
rate cuts, stop the $100 million raid on the Maddy EMS
Fund, and fight for ED overcrowding solutions – and that’s
just the last year! The efforts could not be sustained without the generous support from the groups listed below,
some of whom have donated as much as $0.25 per chart to
ensure that California ACEP can fight for emergency medicine. Thank you to our 2012-13 contributors (in al-
phabetical order):
•
•
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•
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Acute Care Medical Group of Orange County
Alvarado Emergency Medical Associates
Antelope Valley Emergency Medical Associates
Beach Emergency Medical Associates
Berkeley Emergency Medical Group
Centinela Freeman Emergency Medical Associates
Central Coast Emergency Physicians
CEP America
Chino Emergency Medical Associates
Culver City Emergency Medical Group
Downey Acute Care Medical Group
EMP Management Group
Front Line Emergency Care Specialists
Hollywood Presbyterian Emergency Medical
Associates
Intercommunity Emergency Medical Group
Mills Peninsula Emergency Medical Group
Montclair Emergency Medical Associates
Napa Valley Emergency Medical Group
Orange County Medical Associates
Pacific Emergency Providers
Pacifica Emergency Medical Associates
Riverside Emergency Physicians
San Dimas Emergency Medical Associates
San Francisco Emergency Medical Associates, Inc.
Santa Cruz Emergency Physicians
Sherman Oaks Emergency Medical Associates
South Coast Emergency Medical Group, Inc.
Tarzana Emergency Medical Associates
Tri-City Emergency Medical Group
Valley Emergency Medical Associates
Valley Emergency Physicians
Valley Presbyterian Medical Associates
West Hills Emergency Medical Associates
12 | LIFELINE a forum for emergency physicians in california
2015 ANNUAL ASSEMBLY LOCATION
• Hilton Los Angeles/Universal City on Friday, June 12, 2015
CALIFORNIA ACEP SPONSORED CONFERENCES
• Legislative Leadership Conference, April 21, 2015 (Sacramento, CA)
• Annual Assembly, June 12, 2015 (Los Angeles, CA)
ENDURING MATERIALS - ONLINE CME
Patient Safety Risk Solutions* Enduring Materials - Webinar
Info: www.psrisk.com
• Treating Stroke in the ED; and the Standard of Care Is...
SonoSim* Enduring Materials - Computer Software (Modules)
Info: (310) 315-2828
www.sonosim.com
• SonoSim® Ultrasound Training Solution Aorta/IVC: Core Clinical Module
• SonoSim® Ultrasound Training Solution Bladder: Core Clinical Module
• SonoSim® Ultrasound Training Solution FAST Protocol: Core Clinical Module
• SonoSim® Ultrasound Training Solution Fundamentals of Ultrasound: Core Clinical Module
• SonoSim® Ultrasound Training Solution Intestinal/Biliary: Core Clinical Module
• SonoSim® Ultrasound Training Solution Musculoskeletal: Core Clinical Module
• SonoSim® Ultrasound Training Solution Ocular: Core Clinical Module
• SonoSim® Ultrasound Training Solution Rapid Ultrasound in Shock: Core Clinical Module
• SonoSim® Ultrasound Training Solution Soft Tissue: Core Clinical Module
• SonoSim® Ultrasound Training Solution Vascular Access: Core Clinical Module
*Approved for AMA PRA Category I CreditsTM
| CALIFORNIA ACEP UPCOMING MEETINGS & DEADLINES
For more information on upcoming meetings, please e-mail us at info@californiaacep.org; unless otherwise noted,
all meetings are held via conference call.
SEPTEMBER 2014
SEPTEMBER 2014
1st
Labor Day
Chapter Office Closed
2nd
Reimbursement Committee
Conference Call
10th
CHA EMS/Trauma Meeting
Sacramento, CA
17th
EMSA Commission Meeting
San Diego, CA
19th
Practice Management Committee
Conference Call
30th
Last Day for Governor to Sign Bills
OCTOBER 2014
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Council Delegation Subcommittee A
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Conference Call
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Emergency Medical Services Committee
Conference Call
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Member Services Committee
Conference Call
9th
Government Affairs Committee
Conference Call
10th
Council Delegation
Conference Call
25-26
ACEP Council Meeting
Chicago, IL
27-30
ACEP 14
Chicago, IL
NOVEMBER 2014
4th
Election Day
4th
Reimbursement Committee
Conference Call
11th
Veterans Day
Chapter Office Closed
19th
Chapter Board of Directors
Sacramento, CA
19th
Member Town Hall
Sacramento, CA
21st
Practice Management Committee
Conference Call
27th-28th
Thanksgiving Holiday
Chapter Office Closed
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SEPTEMBER 2014 | 13
CAREER OPPORTUNITIES |
ANAHEIM REGIONAL MEDICAL CENTERS
PALO ALTO MEDICAL FOUNDATION
NORTHERN CALIFORNIA: Anaheim Regional Medical
Center’s well established ED Physician group has an
immediate part time / full time opportunity for a Board
Certified or Board eligible Emergency Physician. We
have a busy, high acuity department with 44,000 annual
visits; we have a "state of the art" Critical Care Center with
computerized tracking system and physician order entry.
Shifts are 9-10 hours long with double coverage during peak
hours. We offer a competitive salary based on productivity
and paid malpractice.
Are you a well trained enthusiastic Urgent Care physician,
experienced in the full breadth of acute medical care,
preferably with ER or high acuity Urgent Care experience?
Interested physicians E-mail your CV and references
to vijay4@aol.com, amit4ten@aol.com, or call us at
714-999-5112.
Send CV to: www.pamfmdjobs.org or fax: 650-691-6193.
SAN FRANCISCO EMERGENCY
MEDICAL ASSOCIATES
NORTHERN CALIFORNIA: Excellent opportunity to live
and work in one of America’s finest areas. Become a valued
member of our established, independent, democratic,
physician-owned emergency medicine group at a multihospital system with outstanding facilities. Immediate
opening for BC/BE residency trained physician in San
Francisco. Our team in the Northern California wine region
also needs a physician with leadership experience. Excellent
compensation/benefits, with partnership track.
Please email your CV to HYPERLINK
"mailto:pimgltl@att.net" pimgltl@att.net.
To advertise with Lifeline and to take advantage
of our circulation of over 3,000 readers, including
Emergency Physicians, Groups, and Administrators
throughout California who are eager to learn about what
your business has to offer them, please contact us at
info@californiaacep.org or give us a call at (916) 325-5455.
14 | LIFELINE a forum for emergency physicians in california
Palo Alto Medical Foundation (PAMF) has a full time
opportunity available for a BC/BE Lead Urgent Care
Physician to join our Medical Group at the San Carlos center.
Share holder track positions offer a very competitive salary
guarantee plus incentive and a generous benefit package
leading toward full partnership following 24 months of
employment.
PETALUMA EMERGENCY PHYSICIANS
MEDICAL CORP
NORTHERN CALIFORNIA: Opening for Full Time BC/BE ER
Physician in Northern California.
Want to work in Wine Country? Please give a call and send
CV in confidence. Loren Fong, MD, FACEP
Phone: 219-576-3387 Email: hlfmd@sbcglobal.net
THE WATSONVILLE EMERGENCY
MEDICAL GROUP
MONTEREY BAY AREA: The Watsonville Emergency
Medical Group has a full time position available at our
community hospital. We are a single group, single hospital,
fully democratic group at our hospital for over 30 years. We
are a well respected group and serve on most committees
at the hospital. The shifts are 8-9 hours with daily PA
support. Rapid full partnership is available based on hours
worked. Must be BC/BE in emergency medicine. New adult
hospitalist and pediatric hospitalist programs started this
past year with Lucille Packard Hospital/Stanford affiliation.
We believe in flexible scheduling to enjoy the redwoods and
surfing in beautiful Santa Cruz County on your time off.
Contact (831) 239-1487 or (831) 728-2787
Email: jdwalther27@gmail.com
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for an IT list:
LoREoF okffersinthegfollowing California providers
EM
Allan Hancock College
Mike DeLeo, EMT – Course Coordinator
800 S. College, Santa Maria, CA 93454
Phone: (805) 878-6259
Fax: (805) 922-5446
Email: Mikedeleo52@msn.com
Web: www.hancock.cc.ca.us
American Medical Response (AMR)
Ken Bradford, Operations
841 Latour Court, Ste D, Napa, CA 94558-6259
Phone: (707) 953-5795
Email: ken.bradford2@gmail.com
A Work Safe Environment
Steve Bristow, EMTP
3140 Aldridge Way, El Dorado Hills, CA 95762
Phone: (925) 708-5377
Email: worksafeenvironment@yahoo.com
Web: www.worksafeenvironment.com
California EMS Academy
Nancy Black, RN, Course Coordinator
1170 Foster City Blvd #107, Foster City, CA 94404
Phone: (866) 577-9197
Fax: (650) 701-1968
Email: nancy@caems-academy.com
Web: www.caems-academy.com
California EMS Education and Training
Eric Spoonhunter, EMTP, Program Director
PO Box 1146, Bishop, CA 93515-1146
Phone: (888) 519-8890
Fax: (888) 519-8479
Email: espoonhunter@mac.com
Web: www.cemset.org
Compliance Training
Jason Manning, EMS Course Coordinator
3188 Verde Robles Drive, Camino, CA 95709
Phone: (916) 429-5895
Fax: (916) 256-4301
Email: Kurgan911@comcast.net
CSUS Prehospital Education Program
Derek Parker, Program Director
3000 State University Drive East, Napa Hall, Sacramento, CA
95819-6103
Office: (916) 278-4846
Mobile: (916) 316-7388
Email: dparker@csus.edu
Web: www.cce.csus.edu
ETS – Emergency Training Services
Mike Thomas, Course Coordinator
3050 Paul Sweet Road, Santa Cruz, CA 95065
Phone: (831) 476-8813
Toll-Free: (800) 700-8444
Fax: (831) 477-4914
Email: mthomas@emergencytraining.com
Web: www.emergencytraining.com
Fast Response School of Health Care Education
Erick Weldon, Director of Academics
2075 Allston Way, Berkeley, CA 94704
Phone: (510) 809-3648
Fax; (866) 628-5876
Email: eweldon@fastresponse.org
Web: www.fastresponse.org
Loma Linda University Medical Center
Lyne Jones, Administrative Assistant
Department of Emergency Medicine
11234 Anderson St., A108, Loma Linda, CA 92354
Phone: (909) 558-4344 x 0
Fax: (909) 558-0102
Email: LJones@ahs.llumc.edu
Web: www.llu.edu
Medic Ambulance
Perry Hookey, EMTP, Education Coordinator
506 Couch Street, Vallejo, CA 94590-2408
Phone: (707) 644-1761
Fax: (707) 644-1784
Email: perry@medicambulance.net
Web: www.medicambulance.net
Napa Valley College
Gregory Rose, EMS Co-Director
2277 Napa Highway, Napa CA 94558
Phone: (707) 256-4596
Email: grose@napavalley.edu
Web: www.winecountrycpr.com
NCTI – National College of Technical Instruction
Lawson E. Stuart, RN, CEN, EMT-P
Lena Rohrabaugh, Course Manager
333 Sunrise Ave Suite 500, Roseville, CA 95661
Phone: (916) 960-6284 x 105
Fax: (916) 960-6296
Email: jlcasa@caltel.com
Web: www.ncti-online.com
Oakland Fire Department
Sheehan Gillis, EMT-P, EMS Coordinator
47 Clay Street, Oakland, CA 74607
Phone: (510) 238-6957
Fax: (510) 238-6959
Email: sean@baycj.com
Web: http://www.oaklandnet.com/fire/
PHI Air Medical, California
Graham Pierce, Course Coordinator
801 D Airport Way, Modesto, CA 95354
Phone: (209) 550-0884
Fax: (209) 550-0885
Email: gpierce@philhelico.com
Web: http://www.phiairmedical.com/
Riggs Ambulance Service
Greg Petersen, EMT-P, Clinical Care Coordinator
100 Riggs Ave, Merced, CA 95340
Phone: (209) 725-7010
Fax: (209) 725-7044
Email: Gregp@riggsambulance.com
Web: www.riggsambulance.com
Rocklin Fire Department
Chris Wade, Firefighter/Paramedic
4060 Rocklin Road, Rocklin, CA 95677
Phone: (916) 625-5311
Fax: (209) 725-7044
Email: Chris.Wade@rocklin.ca.us
Web: www.rocklin.ca.us
Rural Metro Ambulance
Brian Green, EMT-P
1345 Vander Way, San Jose, CA 95112
Phone: (408) 645-7345
Fax: (408) 275-6744
Email: brian.green@rmetro.com
Web: www.rmetro.com
Santa Rosa Junior College Public Safety
Training Center
Bryan Smith, EMT-P, Course Coordinator
5743 Skylane Blvd, Windsor, CA 95492
Phone: (707) 836-2907
Fax: (707) 836-2948
Email: medic9001@comcast.net
Web: www.santarosa.edu
WestMed College
Brian Green, EMT-P
5300 Stevens Creek Blvd., Suite 200, San Jose, CA 95129-1000
Phone: (408) 977-0723
Email: jonesds777@hotmail.com
Web: www.westmedcollege.com
Search for upcoming courses: http://cms.itrauma.org/CourseSearch.aspx
EMREF is a proud sponsor of California ITLS courses.
Please call 916.325.5455 or
E-mail Lucia Romo: lromo@californiaacep.org for more information.
lifeline
California Chapter, American
College of Emergency Physicians
1121 L Street, Suite 407
Sacramento, CA 95814
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