Clerkship Directors in Emergency Medicine, spring 2013 newsletter. A voice for medical student educators.

1. A V O I C E F O R
M E D I C A L S T U D E N T E D U C A T O R S
Spring 2013
1
There’s An
App For That!
Rahul Patwari
discusses a Read by
QxMD, a
flipboard
for
Medical
Journals
Page 5
CDEM was formed in 2008 and is comprised of medical student educators who are
committed to enhancing medical student education within our specialty.
President’s Message
Sorabh Khandelwal, our
fearless leader, talks
about where we are and
where we are going.
Page 1
Journal Club
From the amazing blog
“Academic Life in EM”
created by
Michelle Lin,
Javier Benítez reviews
the concept of
“Information
Management”.
Page 3
Atlanta Here We Come!
Check out all of the
amazing events we
have planned at the
Annual Meeting!
Page 2
An Update on our
National Exams
Corey Heitz
summarizes the status
of:
A. The CDEM Exam
B. The NBME Exam
C. All of the above!
Page 4
Want to Get Involved?
Contact us to submit to
the newsletter, join a
committee, or any other
way you’d like to get
involved.
Page 6
A Quarterly Newsletter Issue 1 - Spring 2013
The Voice of
President’s Message: Not Bad… So Far
Sorabh Khandelwal, MD
At first glance, this title may suggest
a half glass full mentality. To the
contrary, it is simply meant to imply
that CDEM is only in its infancy with
respect to what it can and will
achieve. It’s amazing to see all that
CDEM has accomplished since the
organization’s inception in 2008. Even
prior to joining SAEM as its first
Academy, CDEM was active in
developing content that changed the
way that EM medical student
educators interfaced with students.
The list of accomplishments is truly
spectacular – EM Clerkship Primer,
educational sessions and a track at
CORD, educational sessions at
SAEM, acceptance into the Alliance
for Clinical Education (ACE),
standardized curricula, SAEM Tests,
CDEM self study modules, DIEM
cases, and most recently working
together with the NBME to create the
EM Advanced Clinical Examination.
We have been recognized as the
national and international experts
with EM medical student education.
The International Federation For
Emergency Medicine (IFEM) uses
CDEM content for its globally
available EM clerkship.
None of these accomplishments
could have happened without the
vision of CDEM leadership and
the dedication and commitment
of our membership.
CDEM is still young. Find out what
is in store for our future on page 5...

2. T H E V O I C E O F C D E M
2
Spring 2013
Thursday, May 16
Annual Business Meeting
• 8:00 - 9:00 am
CDEM Business Meeting
• 9:00 - 11:00 am
2013 CORD Annual Meeting
“Can’t Miss” Topics.
This session will focus on the SLOR
update, the NBME exam, and
Milestones for Medical Students. Dr.
Michael Beeson will update the group
on Milestones at 10:30am.
• 11:00 - 12:00 pm
CDEM Initiatives Fair.
This will be a networking session
with participants discussing CDEM
self-study modules, social media, the
newsletter, and the National M4
Examination.
Friday, May 17
CDEM Sponsored Sessions
•8:00 - 8:50 am
Educational Portfolio: Your Secret
Weapon for Promotion
International E-F combined (6th floor)
• 9:00 - 9:50 am
Good to Great: Effective Feedback to
Learners with Difficulties
International E-F combined (6th floor)
Friday, May 17
Program Evaluation, Assessment
and Improvement Workshop
We are excited to present the Program
Evaluation, Assessment and
Improvement Workshop. This session
will be led by Hugh Stoddard, M.Ed.,
Ph.D. and Assistant Dean for Medical
Education at Emory University
School of Medicine. This session will
give participants (both program
directors and clerkship directors) the
tools and knowledge necessary to
assess their program. Participants
will be taught what the LCME and
ACGME is looking for when
evaluating programs. Learners will
be able to work with our guest
speaker on program evaluation,
assessment, and improvement.
David Manthey, Michelle Lin & Lorraine
Thibodeau having fun at CORD Academic
Assembly 2013 in Denver.
SAEM in Atlanta
The Program Committee is excited to present an outstanding
lineup for the SAEM Annual Meeting in 2013.
Nicholas Kman, MD - Academic Assembly Program Committee Co-Chair

3. T H E V O I C E O F C D E M
Spring 2013
3
“Keeping up with the
literature these days is quite
a daunting task. Medical
information has increased
exponentially over the past
few decades and continues
to do so. We spend a great
deal of time and energy
memorizing information
which soon may become
obsolete (see this excerpt
from the book The Half-Life
of Facts by Arbesman).
Expecting physicians to
keep a busy practice AND
keep up with all the most
current literature is
impractical. By the time
textbooks are published, the
information is already a few
years old and this puts us at
risk of not practicing the
most up to date and best
evidence practice. We also
know that with the
increasing volume of
information there has been
new development on
statistics on how to
evaluate this vast amount
of data. Most physicians are
not properly equipped with
the necessary statistical
skills or time to analyze this
vast amount of information.
So how DOES a practicing
physician keep up with the
most current, evidence-
based medicine (EBM)?”
In his post on Academic Life
in EM on April 22, 2013,
Javier Benitez reviews a
2005 Academic Medicine
article by Drs. Slawson and
Shaughnessy: Teaching
evidence-based medicine:
should we be teaching
information management
instead? They “propose that
physicians should learn
how to manage information
instead of becoming experts
in EBM. The authors point
out that having physicians
read the literature using the
traditional EBM approach is
time consuming, not patient
oriented, and often too
impractical to be applied at
the point of care.
Furthermore, it is
unrealistic to expect that all
physicians expertly conduct
critical appraisals of all the
literature.
In contrast, information
management "focuses on
using currently available
information tools to remain
up to date with new valid
information that is relevant
to the care of patients and is
accessible while taking care
of patients."
Check out the rest of the
post at http://
academiclifeinem.blogspot.
com/2013/04/learning-
information-management-
instead-ebm.html
Slawson DC, et al. Teaching
evidence-based medicine: should
we be teaching information
management instead?Acad Med.
2005 Jul;80(7):685-9. PMID
15980087
Journal
Club
From the amazing blog
“Academic Life in EM”
created by Michelle Lin,
Javier Benítez reviews the
concept of “Information
Management”.
Check out a recent
publication by
CDEM members
Paul Y. Ko,
Aaron W. Bernard,
Stacey L. Poznanski,
Robert Cooney,
Sorabh Khandelwal &
Michelle Lin.
This review, sponsored by
the Alliance for Clinical
Education, highlights
selected medical education
articles published in
emergency medicine
journals typically not read by
clinician educators in other
specialties.
Journal Watch From ACE
(Alliance for Clinical
Education): Annual Review
of Medical Education
Articles in Emergency
Medicine, 2010-2011
http://www.tandfonline.com/
doi/abs/
10.1080/10401334.2013.772
003.
Reproduced with permission.
Information overload by
verbeeldingskr8 on Flickr

4. T H E V O I C E O F C D E M
4
Spring 2013
Good instructional design includes objectives, a
curriculum, and an assessment tool. In 2006, CDEM
developed the EM Curriculum Guide (revised in 2010)
complete with goals and objectives. Subsequently, our
curriculum went live on www.cdemcurriculum.org.
Now, we have an assessment tool to match!
In 2011, we released a 50 question, multiple choice
examination covering the topics of the EM M4
curriculum. Last year, this examination was revised and
a second version was released. Together, these exams
constitute freely accessible, nationally available, 50-
question multiple choice exams that assess the EM M4
curriculum topics, found on www.cdemcurriculum.org.
The table below compares the two versions of the exams
in terms of difficulty level (percent correct) and point
biserial correlation (a measure of discriminatory value;
USMLE and other licensing exams use 0.15 as a target
number. Easy questions tend to be less discriminatory.)
Data is shown from exams administered since July 2012.
National EM
M4 Exam
Version
Average score
(SD)
average rpb
Version 1 80.9 (3.85) 0.217
Version 2 72.1 (3.95) 0.196
FAQs
Do students taking it earlier in the year score higher?
Question performance did not change on version 1
between the first 1,000 students taking it in academic
year 2012-2013 and the second 1,000 students.
Where should passing scores be set?
While the NBME exams are scored differently, many
institutions use a “2 standard deviations below the
mean” rule to determine pass/fail cutoff. This rule is
being used by many clerkships for the National EM M4
Exam.
What upcoming changes are expected?
• Question revisions on Version 2 to improve
performance of some low-rpb question (and one
negative rpb)
•Addition of “sample items” for performance before
inclusion into the scored exam
•Demographic data gathering for more fine-grained
data reporting (EM-bound vs non-EM bound, etc.)
Tell me about the NBME exam?
The NBME released a 100-question, 2-form, multiple
choice Advanced Clinical Examination in April 2013.
This will be free for the first year to any who use it. The
NBME does not recommend the test be used for high
stakes assessment until performance data can be
analyzed. The exam covers the suggested curriculum
topics as well as other important EM topics.
Clerkship Assessments: An Update
Corey Heitz, MD

5. T H E V O I C E O F C D E M
Spring 2013
5
A Flipboard for
Medical Journals!
Read by QxMD is a
free application
available on iPhone
and iPad which
interfaces with your library’s proxy
system providing you with access to
journals via a sleek interface. After
downloading, it asks you to create
an account which includes entering
your institution and specialty. It then
presents you with the relevant
journals within that speciality for
you to follow. You have full access to
the abstracts. If your institution’s
library subscribes to those journals
then you can also download the
PDFs, share them via email or even
start a collaborative discussion.
More information can be found at
their web site:
http://www.qxmd.com/apps/read-
by-qxmd-app
The app can be downloaded from the
iTunes app store:
https://itunes.apple.com/us/app/
read-personalized-medical/
id574041839?mt=8
Feel free to find me online at
@rahulpatwari on Twitter.
There’s an App for That!
Rahul Patwari, MD
President’s Message:
Not Bad… So Far
Sorabh Khandelwal, MD
continued from page 1...
While there are many future
directions for growth, I would like to
highlight two key areas. Over the next
several years, we would like to
develop new content that is
interactive and available anytime,
anywhere. The CDEM self-study
modules will be revised and could be
made available in different formats
such as iBooks and iTunesU. CDEM
has become global and could
continue its international impact. The
second area for growth involves
strengthening our current
relationships and building new ones.
This past year, we formed a new
relationship with EMRA while
continuing to enhance our
relationships with SAEM and CORD.
These relationships will bring
wonderful opportunities for our
members. A perfect example of the
fruits of these relationships is the new
SAEM Education Research Grant
offered to SAEM members to fund a
medical education research project.
The success of our organization
depends on the continued
engagement of our members. Stay
involved. Join committees. Help one
another. Send us your ideas. The
intended consequence…you will
contribute to the ever-changing
education of those that deliver
emergency care. The unintended
consequence of all this effort…you
will make friendships that will last a
lifetime.
I hope these newsletters will serve to
inform our membership as to the
wonderful happenings in CDEM,
provide some educational content,
and highlight some of our talented
members. Many thanks to all the
initial contributors and a special
thank you to Dr. Stacey Poznanksi
(Chair, CDEM Communications
Committee), Melissa McMillian
(Administrator, CDEM) and Kara
Welch (EM Clerkship Coordinator at
SUNY Upstate) for their effort in
getting this newsletter completed.

6. T H E V O I C E O F C D E M
6
Spring 2013
In Appreciation
The following committees work hard every day to make CDEM a truly phenomenal
academy. Consider joining a committee today!
Board
Jonathan Fisher - Past President
Sorabh Khandelwal - President
Lorraine Thibodeau - President-Elect
Emily Senecal - Secretary
Josh Wallenstein - Treasurer
Jennifer Avegno - Member at Large
Rakesh Engineer - Member at Large
Nicholas Kman - Member at Large
Corey Heitz - Member at large
For more details contact:
cdem@saem.org
SAEM
2340 S. River Road #208
Des Plaines, IL 60018, USA
Phone: 847-813-9823
Fax: 847-813-5450
community.saem.org
Our Mission
• To advance the education of medical students as it pertains to the
specialty of emergency and acute care medicine.
• To serve as a unified voice for EM clerkship directors and medical
student educators on a national level.
• To provide a forum for EM clerkship directors and medical
student educators to communicate, share ideas, and generate
solutions to common problems.
•To foster undergraduate medical education research and provide a
platform for collaboration.
•To foster the professional development and career satisfaction of
EM clerkship directors and medical student educators.
• To foster relationships with other organizations
to promote medical education.
Academic Assembly -
CDEM Program
Committee
Nicholas Kman (Co-Chair)
Nicholas.kman@osumc.edu
Michael Smith (Co Chair)
msmith2@metrohealth.org
Doug Franzen
Marianne Haughey
Kathy Hiller
Julianna Jung
Torrey Laack
David Manthey
Sundip Patel
Laurie Thibodeau
Laura Thompson
Michael Van Meter
David Wald
Grant Wei
Kathleeen Wittels
Alliance for Clinical
Education (ACE)
ACE Executive Committee
Dave Wald
ACE General Council
Douglas S. Ander
Jonathan Fisher
Sorabh Khandelwal
David Wald
Communications Committee
David Cheng
Leslie Zun
Publications Committee
Paul Ko
Research Committee
Jonathan Fisher
Ted Gaeta
Communications
Committee
Stacey Poznanski (Chair)
stacey.poznanski@gmail.com
Melissa McMillian
Kara Welch
Awards Committee
Latha Ganti Stead (Chair)
latha.stead@gmail.com
Kathy Hiller
David Cheng
William Goldenberg
Michael Takacs
Maria Ramos
NBME Task Force
Dave Wald (Chair)
david.wald@tuhs.temple.edu
Doug Franzen
Corey Heitz
Jonathan Fisher
Kathy Hiller
Emily Senecal
Luan Lawson-Johnson
Shahram Lotfipour
Kim Askew
SAEM EMIG - Grant
Review
Nicole DeIorio (Chair)
deiorion@ohsu.edu
David A. Wald
Matthew Tews
Corey Heitz
Doug Ander
Melissa Marinelli
SAEM Program
Committee
Sarah Ronan-Bentle
Med Student Symposium
Josh Wallenstein
Todd Guth
Innovations
Laurie Thibodeau
SLOR Task Force -
CDEM Representatives
Nicole Deiorio
Sarah Ronan-Bentle
Testing Workgroup
Emily Senecal (Co-Chair)
Corey Heitz (Co-Chair)
esenecal@partners.org
Douglas S. Ander
Kim Askew
Linda Druelinger
Matt Emery
Jonathan Fisher
Katherine Hiller
Laura R. Hopson
Luan Lawson
Leslie C. Oyama
Mark Saks
John Sarko
Michael D. Smith
Gregory J. Tudor
Charles Worrilow
Collette M Wyte
Leslie Zun