Academic Annual Report 2021-2022 - Final

Academic Annual Report, 2021-2022 MAINE MEDICAL CENTER GLICKMAN LAUDER FAMILY DEPARTMENT OF EMERGENCY MEDICINE

MICHAEL R. BAUMANN, MD, FACEP - PROFESSOR, GLICKMAN LAUDER FAMILY ENDOWED CHAIR OF EMERGENCY MEDICINE Welcome We are please to present this summary of our collective scholarly work. Taken together, the three components of our mission focus our energies on achieving national academic prominence through our contributions to education, leadership, and research while providing the highest quality clinical care and service to our patients and community. We have been fortunate to consistently enjoy success in these areas and look forward to an increasingly bright future as we continue our collective development as clinicians, educators, and scholars.

Mission, Vision, and Values W O R K I N G TO G E T H E R S O O U R C O M M U N I T I E S A R E T H E H E A LT H I E S T I N A M E R I C A In addition to providing clinical care, our faculty Mission, Vision, and Values and residents are regular volunteers at our local vaccination centers, helping our community to Maine Medical Center Mission remain healthy throughout the pandemic. Maine Medical Center is dedicated to maintaining and improving the health of the community it serves by: • Caring for our community • Educating tomorrow’s caregivers • Researching new ways to provide care. Department of Emergency Medicine Research & Quality Mission The Maine Medical Center Department of Emergency Medicine shall maintain a Division of Research and Quality with commitments to academic progress, achievement, and to clinical care that is safe, effective, patient-centered, timely, efficient, and equitable. The Division of Research and Quality shall strive to maintain a standard of excellence, ethics, and peer-recognition as a contributor to Emergency Medicine research, quality, and academics. Department of Emergency Medicine Research & Quality Vision The Maine Medical Center Department of Emergency Medicine will become a nationally recognized center for excellence in Emergency Medicine academics, research, and health care quality.

Education EDUCATING TOMORROW’S CAREGIVERS Emergency Medicine Education The Emergency Medicine residency training program at Maine Medical Center has continued to ourish over the last academic year. Despite COVID, our residency has seen unprecedented applications year over year and exemplary match results. In addition to our academic successes outlined below, our residents have continued to provide world class care to an increasing volume of patients with higher acuity illnesses and injuries in the emergency department. We are a three-year program and currently accept 10 resident physicians per intern class. Our annual applicant pool of medical students exceeds 1000, of which we interview approximately 120 and accept 10 through the National Resident Matching Program (NRMP). As per the NRMP, applicants matched at MMC have been above the 75th percentile of all applications nationally for Step 1 and Step 2 scores for 3 of the last 4 years. The same can be said for ΑΩΑ membership. This year’s incoming class will join us from medical schools across the United States, including Yale, Dartmouth, University of Colorado, University of Utah, University of Washington, Tufts University School of Medicine and Johns Hopkins. Our ABEM certi cation rate for our resident graduates remains at 100%. Our 5-year written boards pass rate is 95% and our oral boards pass rate is 100%. Historically, approximately 30% of our graduates have gone into academic positions (fellowship or faculty), well above the national average of 18% for 3-year programs, and this year 20% of our graduating seniors are entering traditional academic fellowships and one is doing a fellowship through the military. In addition, 35% of our graduates have stayed in Maine, an underserved area, and 65% have chosen to leave the area for practice or further training. Drs. Casey MacVane, MD, MPH and Timothy Fallon, MD have continued to provide leadership for our residency training program. In addition, Drs. Rachel Williams, MD, Lauren Wendell, MD and Patricia Weems, MD have provided additional support for the residency as Assistant Residency Directors each covering one class of the residency. The Ultrasound Fellowship program has enjoyed continued success this year and is poised to graduate two fellows in June. As noted in the pages that follow, our ultrasound group has been very academically productive and has matched a three new fellows who will begin in July 2022. The student clerkship also continues to be an area of success. Led by Drs. Wendell and Zimmerman, we have had many students from diverse medical schools participate in our clinical elective, with additional students participating in Research, Ultrasound and Toxicology electives. Our clerkships continue to ll nearly a year ahead of time, often with more than 50 applicants per block. Our wilderness medicine elective, which had been held in Utah, but is transitioning to a Maine based curriculum, is the oldest wilderness elective for medical students and attracts students from around the country. Our faculty regularly provide research mentorship and training for Tufts students completing the MD/MPH program, as well as for other health professions students. if if lf

Research RESEARCHING NEW WAYS TO PROVIDE CARE Emergency Medicine Research at Maine Medical Center The Department of Emergency Medicine at Maine Medical Center has a strong commitment to the advancement of knowledge within our specialty. We share a philosophy that emphasizes intellectual curiosity, evidence-based medicine, and improved patient outcomes based on strong science. Dr. Tania Strout, PhD, RN, MS serves as the Research Director, leading our efforts within Emergency Medicine. All academic faculty are expected to support resident research and are encouraged to invest in their own academic growth and achievement. As academic clinicians, we have a strong sense of responsibility to teach our medical students and residents the principles of original investigation, research ethics, and patient safety. Research within the Department is diverse and encompasses many domains with the addition of COVID clinical trials in the past year. Research accomplishments including publications, presentations and grants by faculty are detailed in this report. Caption

APPOINTMENTS AND PROMOTIONS New Faculty Appointments Drs. MacVane, Strout, and Baumann presented their Academic Promotions Peer Support Workgroup to a national audience at the Council of Residency Directors in Emergency Andrew Fried, MD: Appointment to Medicine annual meeting. Assistant Professor of Emergency Medicine, Tufts University School of David C. Mackenzie, MD: Promotion Tania D. Strout, PhD, RN, MS: Medicine from Assistant to Associate Professor Promotion from Associate to Full of Emergency Medicine, Tufts Professor of Emergency Medicine, Randy Kring, MD: Appointment to University School of Medicine Tufts University School of Medicine Clinical Assistant Professor of E m e r g e n c y M e d i c i n e , Tu f t s University School of Medicine Sandra Stevens, MD: Appointment to Clinical Assistant Professor of E m e r g e n c y M e d i c i n e , Tu f t s University School of Medicine Faculty Promotions Sara W. Nelson, MD, MHPE(c): Promotion from Assistant to Associate Professor of Emergency Medicine, Tufts University School of Medicine

HONORS, AWARDS, AND ACADEMIC ACHIEVEMENTS Awards Robert S. Anderson, MD: Maine Medical Center Institute for Teaching Excellence Award for Innovation in Teaching Doug Campbell, MD: Best New Speaker, Sugarloaf Winter Symposium Michelle Crispo, MD: Most Outstanding Speaker Award, Sugarloaf Winter Symposium Andrew Fried, MD: First Place Winner, ‘Sono Story Time’ Virtual SonoGames National Competition Jason Hine, MD: Most Practice Changing Lecture, Sugarloaf Winter Symposium John Martel, MD: The Ellen Gordon Award, Naval Postgraduate School/ Department of Homeland Security We are very proud of both Drs. Wood and Anderson, Matthew Sholl, MD: 2021 Maine Medical Center Marjorie A. Boyd, MD Award winners of two of this year’s MITE Academy Teaching Awards! Lauren T. Wendell, MD, MPH: Richard C. Chandler Mentorship Award, Maine Medical Center Department of Emergency Medicine Residency Program Samantha L. Wood, MD: Maine Medical Center Institute for Teaching Excellence Award for Educational Leadership and Mentoring

HONORS, AWARDS, AND ACADEMIC ACHIEVEMENTS Honors and Other Academic Achievements Robert S. Anderson, MD: ACGME Core Faculty, Maine Medical Center Emergency Medicine Residency Program Michael R. Baumann, MD: ACGME Core Faculty, Maine Medical Center Emergency Medicine Residency Program Andrew Fried, MD: ACGME Core Faculty, Maine Medical Center Emergency Medicine Residency Program David C. Mackenzie, MD: ACGME Core Faculty, Maine Medical Center Emergency Medicine Residency Program We are very proud of both Drs. Wood and Anderson, Mark Neavyn, MD: ACGME Core Faculty, Maine Medical Center Emergency winners of two of this year’s MITE Academy Teaching Medicine Residency Program Awards! Sara W. Nelson, MD, MHPE(c): ACGME Core Faculty, Maine Medical Center Emergency Medicine Residency Program Nathan W. Mick, MD: ACGME Core Faculty, Maine Medical Center Emergency Medicine Residency Program

HONORS, AWARDS, AND ACADEMIC ACHIEVEMENTS Honors and Other Academic Achievements Dr. Nate Mick busy teaching with EM resident Nathan W. Mick, MD: Maine Medical Center Medical Staff President physician Dr. Ben Pare. Tania D. Strout, PhD, RN, MS: ACGME Core Faculty, Maine Medical Center Emergency Medicine Residency Program Tania D. Strout, PhD, RN, MS: Maine Medical Center Institute for Teaching Excellence (MITE) Academy, Master Educator Designation Rachel Williams, MD: ACGME Core Faculty, Maine Medical Center Emergency Medicine Residency Program Christina Wilson, MD: ACGME Core Faculty, Maine Medical Center Emergency Medicine Residency Program Samantha L. Wood, MD: Maine Medical Center Institute for Teaching Excellence (MITE) Academy, Fellow Designation

Grants Funded CLINICAL TRIALS, EDUCATIONAL RESEARCH, QUALITY IMPROVEMENT & INNOVATION Faculty Grant Funding Development of a UME-GME Multidisciplinary Curriculum in Wellbeing. Isha Agarwal, MD, PhD: Natalie V. Zucker Research Center Samir A. Haydar, DO, MPH; Elizabeth Hamilton, MD, MPH; for Women Scholars Award, Tufts University School of Katie Main, MD: MaineHealth Innovation Funding. The Medicine. Work Organization, Mental Health, and Adverse CAPE - Collapsable Aerosolized Particle Enclosure. Reproductive Health Outcomes Among Shift Workers. Robert S. Anderson, MD: West Health. Samir A. Haydar, DO, MPH: MaineHealth Innovation Emergency Medicine Geriatric Delirium Funding. The NavigatER ED Patient Quality Improvement Grant. Navigation Application. Michael R. Baumann, MD; Lauren T. Researching New Jeffrey Holmes, MD. Hearst Foundation Wendell, MD, MPH; Tania D. Strout, PhD, Ways to Provide Grant. The Maine Obstetric Medical RN, MS: National Institute on Drug Abuse Simulation Program. (NIDA). ED-INNOVATION - Emergency Care Department Initiated Buprenorphine Jeffrey Holmes, MD. USDA Russ Grant. Network Trial. Maine Ongoing Outreach Simulation Education (MOOSE). William Connolly, RN; Samir Haydar, DO, MPH; Jeffrey Mark J. Nevyn, MD: National Highway Traffic Safety Holmes, MD. MaineHealth Innovation Funding. The Rescue Administration Grant. Toxicology Consultant Services. Vac Emergency Airway Clearance Device. Timothy Fallon, MD & Kelly Balwdin, MD: Tufts University School of Medicine Innovations in Education Grant.

Grants Funded CLINICAL TRIALS, EDUCATIONAL RESEARCH, QUALITY IMPROVEMENT & INNOVATION Faculty Grant Funding Faculty Grant Funding - Grants In Review Sara W. Nelson, MD, MHPE(c); Carl A. Germann, MD, Isha Agarwal, MD, PhD: National Institute of Occupational MHPE; Lauren T. Wendell, MD, MPH; Tania D. Strout, Safety and Health (NIOSH). Work Organization, Mental PhD, RN, MS: Maine Medical Center Department of Medical Health, and Reproductive Outcomes Among Shift Workers Education Innovations Grant Program. Learning Empathy (K01). through the Patient Experience: A Curricular Innovation for Medical Students. Isha Agarwal, MD, PhD; Madeleine Puissant, MD, PhD; Tania D. Strout, PhD, J. Matthew Sholl, MD, MPH: Northern New Researching New RN, MS: Harvard ERC Pilot Project Grants. England Clinical and Translational Research Ways to Provide Physiologic Effects of Night Shift Work on Network. Implementation and Validation of Pregnant Workers. Field Assessment Stroke Triage for Emergency Destination (FAST-ED) in a Rural Care Isha Agarwal, MD, PhD; Madeleine EMS Region. Puissant, MD, PhD; Tania D. Strout, PhD, RN, MS: Maine Medical Center Mentored Rachel L. DiFazio, APRN, PhD, FAAN; Research Grants Program. Physiologic Judith Vessey, RN, PhD, FAAN; Tania D. Effects of Night Shift Work on Pregnant Strout, PhD, RN, MS: Betty Irene Moore Fellowship for Workers. Nurse Leaders and Innovators. Development of a Comorbidities Index for Pediatric Cerebral Palsy Patients. Rachel L. DiFazio, APRN, PhD, FAAN; Judith Vessey, RN, PhD, FAAN; Tania D. Strout, PhD, RN, MS: American Rachel J. Williams, MD. Health Resources & Services Academy for Cerebral Palsy and Developmental Medicine Administration (HRSA). EMS for Children Grant - EMS-C Grants Program. Development of a Comorbidities Index for Medical Director. Pediatric Cerebral Palsy Patients.

PEER REVIEW PUBLICATIONS Original Research Fried AM, Strout TD, Perron AD. Kwock J, Holmes J, et al. Patient Electrical Cardioversion for Atrial Transport in the Time of COVID-19: Agarwal I, Grossestreuer A, Joseph Fibrillation in the Emergency Using Healthcare Failure Mode and JW, Leventhal EL, Sanchez LD. Department: A Large, Single Center Effect Analysis with Simulation to Association of resident Experience. American Journal of Test and Modify a Protocol. Journal characteristics with patterns of Emergency Medicine. 2021; 42: of Maine Medical Center. 2021; 3(2). patient self-assignment. American 115-120. Journal of Emergency Medicine. Huyler A; MacVane CZ; Strout TD; 2021; 44: 112-115. Holmes J, Chipman M, Barbour T, et Perron AD. Outpatient Treatment of al. A Simulation Systems Testing Pulmonary Embolism: A Single-Center Barak-Corren Y, Agarwal I, Michelson Program Using HFMEA Methodology 4-Year Experience. American Journal KA, et al. Prediction of patient Can Effectively Identify and Mitigate of Emergency Medicine. 2021; disposition: comparison of computer Latent Safety Threats for a New On- 45:169-172. and human approaches and a Site Helipad. Joint Commission proposed synthesis. Journal of the Journal on Quality and Patient American Medical Informatics Safety. 2021: S1553-7250(21)00246-4. Association. 2021; 28(8):1736-1745. Korley FK, Durkalski-Mauldin V, SIREN-C3PO Investigators (Baumann, Strout). Early Convalescent Plasma for High-Risk Outpatients with COVID-19. New England Journal of Medicine. 2021; 385(21): 1951-1960.

PEER REVIEW PUBLICATIONS Original Research of 17822 Cardiac Cycles. Critical Barriers in the Advancement of Care Explorations. 2021; 3(6): e0439. Women Leaders in Emergency Kenny JE, Barjaktarevic I, Medicine: A Multi-Institutional Mackenzie DC, et al. Carotid Kring RM, Mackenzie DC, Wilson CN, Qualitative Study. Western Journal of Doppler ultrasonography correlates Rappold JF, Strout TD, Croft PE. Emergency Medicine. 2021; 22(6). with stroke volume in a human Ultrasound Guided Serratus Anterior model of hypovolemia and Plane Block (SAPB) Improves Pain Samuels-Kalow ME, Boggs KM, Cash resuscitation: analysis of 48570 Control in Patients with Rib RE, Herrington R, Mick NW, Rutman cardiac cycles. British Journal of Fractures. Journal of Ultrasound in MS, Venkatesh AK, Zabbo CP, Sullivan Anesthesia. 2021; 127(2): e60-e63. Medicine. 2022. doi: 10.1002/ AF, Hasegawa K, Zachrison KS, jum.15953. Online ahead of print. Camargo CA Jr. Screening for health- Kline JA, Adler DH, Alanis N . . . PMID: 35106815 related social needs of emergency Mackenzie DC, et al. Monotherapy department patients. Annals of Anticoagulation to Expedite Home Graham EM, Ferrel M, Wells KM, Egan Emergency Medicine. 2021; 77(1): Treatment of Patients Diagnosed with DJ, MacVane CZ, Gisondi MA, Burns 62-68. PMID: 33160720. Venous Thromboembolism in the BD, Madsen TE, Fix ML. Gender-based Emergency Department: A Pragmatic Effectiveness Trial. Circulation. Cardiovascular Quality and Outcomes. 2021; 14(7): e007600. Kenny JE, Barjaktarevic I, Mackenzie DC, et al. Carotid Doppler Measurement Variability in Functional Hemodynamic Monitoring: An Analysis

PEER REVIEW PUBLICATIONS Original Research Maine Medical Center. 2021; 3(1): mortality for patients admitted with Article 8. COPD? Journal of General Internal Ngo TB, . . . Neavyn M, et al. SARS- Medicine. 2021; 36(9): 2656-2662. CoV-2 Seroprevalence and Drug Use Antkowiak PS, Stenson BA, Strout TD, PMID: 33409886. in Trauma Patients from Six Sites in et al. A retrospective multistate the United States. medRxiv. 2021; analysis: Do regional football games Han PKJ, Strout TD, Gutheil C, 11:2021.08.10.21261849. doi: impact emergency department Germann C, King B, Ofstad E, 10.1101/2021.08.10.21261849. patient volume. Journal of the Gulbrandsen P, Trowbridge R. How PMID: 34401892. American College of Emergency Physicians Manage Medical Physicians Open. 2021; 2(5)e12551. Uncertainty: A Qualitative Study and Cameron-Burr KT, Conicella A, Conceptual Taxonomy. Medical Neavyn MJ. Opioid Use and Driving Tripp D, Janis J, Jarrett B, Lucas FL, Decision Making. 2021; 41(3): Performance. Journal of Medical Strout TD, Han PKJ, Stumpf I, 275-291. PMID: 33588616 Toxicology. 2021; 17(3):289-308. doi: Hutchinson RN. How well does the 10.1007/s13181-020-00819-y. PMID: surprise question predict 1-year 33403571. Tavakolikashi M, Hallen S, Zelaya- Floyd M, White P, Varaklis K, Van der Kloot T, Perron AD, Wilson E, Bing- You R. Using design thinking to spread iPACE™: an interprofessional medical education innovation in an academic medical center. Journal of

PEER REVIEW PUBLICATIONS Original Research of Cannabis: A Crispo MM, Strout TD, Munzig LM, Scoping Review. Lerwick PA. A ‘good death’ during Han PKJ, Scharnetzki E, Anderson E, Journal of coronavirus disease 2019: outdoor DiPalazzo J, Strout TD, et al. Medical terminal extubation facilitates safe Epistemic Beliefs: Relationship to Toxicology. 2022 family presence for a dying patient. Future Expectancies and Quality of (Accepted, in Journal of Pain and Symptom Life in Cancer Patients. Journal of press, Research- Management. 2021; 61(1): Pain and Symptom Management. based). 1264-1274. PMID: 33137421. 2022; 63(4): 512-521. Clinical Fried AM, Mackenzie DC. A 66-Year- Wentzell K, Vessey JA, Laffel L, Reviews, Case Old Woman with Hypoxia and Shock. Strout TD. Assessing Diabetes Reports & Chest. 2021; 159(5):e349-e352. PMID: Distress in Emerging Adults: Images 33965161. Development and Validation of the Problem Areas in Diabetes – Anderson RS, et al, Eds. Emergencies Emergency Adult Version. Canadian in the Older Adult. Emergency Journal of Diabetes. 2022. Medicine Clinics of North America. (Accepted, in press). 2021; 39(2): 243-452. Wolf LA, Strout TD, et al. Role and Pontius EA, Anderson RS. Physical Training of Emergency Department Therapy, Occupational Therapy, and Charge Nurses: A Mixed Methods Speech Language Pathology in the Analysis of Processes, Needs, and Emergency Department: Specialty Expectations. Journal of Emergency Consult Services to Enhance the Care Nursing. 2022 (Accepted, in press, of Older Adults. In: Anderson RS Jr. et Research-based). al. (Eds). Emergency Medicine Clinics of North America. 2021; 39(2): Kazor EE, Greene K, Zacharia J, 419-428. Tormoehlen L, Neavyn M, Carriero S. The Potential Proconvulsant Effects

PEER REVIEW PUBLICATIONS Clinical Reviews, Case Reports & Bauman W, Wilson C, Croft P. Rehberg J, et al. Woman with Chest Images Woman with Right Upper Quadrant Wall Bruising. Annals of Emergency Pain. Annals of Emergency Medicine. Medicine. 2021 (Accepted, in press). Fling N, Fried AM. Young Man 2021 (Accepted, in Press). with Swollen Knee. Annals of Schlichting E, Welter C, Schaeffer T, Emergency Medicine. 2021; 78(1): Iyer M, Bachur R, Wang V, Hsu D, Strout TD. Serotonin Syndrome 56. Mistry RD . . . Mick N, et al. Associated with Vilazodone Overdose Maintenance of Certification in a 22-month-old Treated with Hansen JN, Hine J, Strout TD. Pediatrics: Pediatric Emergency Dexmedetomidine. Journal of COVID-19 and preeclampsia with Medicine (PEM): The New Part 3 Emergency Medicine. 2021; 60(2): severe features at 34-weeks Maintenance of Certification Option. e19-e21. PMID: 33158691. gestation. American Journal of Pediatr Emerg Care. 2021; 37(6): Emergency Medicine. 2021; 329-333. PMID: 34009897 39:252.e3-252.e5 PMID: 33008706. Huyler A, Mackenzie D, Wilson CN. Woman with Unilateral Facial Swelling. Annals of Emergency Medicine. 2021; 77(6): e109-e110. PMID: 34030783 Huyler A, Mackenzie D, Wilson C. Lung Abscess Diagnosed by Ultrasound. Clinical and Experimental Emergency Medicine. 2021 (accepted, in press).

PEER REVIEW PUBLICATIONS Clinical Reviews, Case Reports & Textbook Germann CA: Urologic Disorders In: Images Chapters Marx JA, Hockberger RS, Walls RM (eds) Rosen’s Emergency Medicine: Strout TD, Baumann MR, Wendell Fried A. Shoulder Pain. In: Tintinalli Concepts and Clinical Practice. 10th LT. Understanding ED buprenorphine J, et al. (Eds.). Tintinalli’s Emergency Edition 2020, Elsevier/Saunders, initiation for opioid use disorder: a Medicine: A Comprehensive Study Phila, PA. guide for emergency nurses. Journal Guide, 9th Ed. (In Press). of Emergency Nursing. 2021; 47(1): Neavyn M, Yip L (Eds.). 139-154. PMID: 33390217 Fried A. Joints and Bursae. In: Pharmacology, Overdoses & Tintinalli J, et al. (Eds.). Tintinalli’s Poisonings. In: Irwin & Rippe’s Roche AM, Klingel K, Toth K, et al. Emergency Medicine: A Textbook of Intensive Care Medicine, Spontaneous Coronary Artery Comprehensive Study Guide, 9th Ed. 9th Ed. Dissection in the Setting of COVID-19 (In Press). Pandemic-Related Stressors: A Case Report. Cureus. 2022; 14(3): e23069. Payonk EA, Williams RJ. More than just gastritis: An unusual presentation of strangulated transmesenteric hernia in a pediatric patient. American Journal of Emergency Medicine. 2021; 46. PMID: 33541742. Wolak JP. Chronic Brain Failure. In: Anderson RS Jr. et al. (Eds). Emergency Medicine Clinics of North America. 2021; 39(2): 307-322.

PEER REVIEW PUBLICATIONS Other Peer Review Publications Strout TD, Baumann MR, Wendell LT, Hawk K, D’Onofrio G. In Reply to Routsolias and Mycyk. Journal of Emergency Nursing. 2021; 47(4): 527-529. (Editor Letter). Hein C, Chessa F, Leclerc A, Mailloux P, Polly R, Rose-Norfleet E, Strout TD, Tooker J, Wipfler M. MMC Wellbeing and Peer Support Program. Journal of Maine Medical Center. 2021; 3(2): Article 17. (White Paper)

PEER REVIEW PUBLICATIONS Published Abstracts Lesser A, . . . Anderson RS Jr., et Relationship Between Markers of Runkle A, Sholl M, Strout T, Martel J. al. Piloting a Toolkit for Delirium Emergency Department Crowding and Impact of a Statewide Protocol Detection and Management at Four Physician Wellbeing. Annals of Change on Prehospital Management Emergency Departments. Annals of Emergency Medicine. 2021; 78(4): of Bronchiolitis: a Pre-Post Analysis. Emergency Medicine. 2021; 78(4): s61. Academic Emergency Medicine. 2021; s131. 28(Suppl 1):S9-S398. PMID: 33945188. Kring R, Mackenzie DC, Wilson C, Hansen J, Sholl J, Martel J, Strout Rappold J, Strout TD, Croft PE. Hamilton E, Nelson SW. WildRIDE: T. Community Based Prehospital Care Ultrasound Guided Serratus Anterior Wilderness Resident Interactive Project: Providing a Low-Barrier-to- Plane Block Improves Pain Control in Didactic Experience. Western Journal Access Care Model for Those Patients with Rib Fractures. Annals of of Emergency Medicine. 2022; Experiencing Homelessness in an Emergency Medicine. 2021; 23(Suppl 1): s42. Urban Environment -Annals of 78(4):s230. Emergency Medicine. 2021; 78(4): S161. McUmber H, Rehberg J, Fling N, Haydar F, Hyde K, Strout TD, Haydar SA. Acceptability of a Novel Smartphone Application as a Patient Engagement Tool in the Emergency Department. Annals of Emergency Medicine. 2021; 78(4): s. 145-146. Dibiase J, Hein C, Strout TD, Haydar SA, Hyde K. Examining the

Research Presentations Local Research Presentations Lauren T. Wendell, MD, MPH. The Creation of a Standardized Direct Observation Assessment Tool and its Implementation in the Fourth Year Emergency Clerkship. MaineHealth Lambrew Research Retreat. May 2022. Heidi Roche, MD; Timothy Fallon, MD. RISE-EM, Resident Instruction in Social Emergency Medicine Curriculum. MaineHealth Lambrew Research Retreat. May 2021. Heidi Roche, MD; Timothy Fallon, MD. RISE-EM, Resident Instruction in Social Emergency Medicine Curriculum – Phases I and II. MaineHealth Lambrew Research Retreat. May 2022. Elizabeth Hamilton, MD; Sara Nelson, MD. WildRIDE: Wilderness Resident Interactive Didactic Experience. MaineHealth Lambrew Research Retreat. May 2021. Christine Hein, MD; Samir Haydar, DO, MPH; Tania D. Strout, PhD, RN, MS; Jessica DiBaise. Examining the Relationship Between Markers of Emergency Department Crowding and Physician Wellbeing. MaineHealth Lambrew Research Retreat. May 2021. Isha Agarwal, MD, ScD; Casey MacVane, MD, MPH; Madeleine Puissant, MD, PhD; Megan Fix, MD; Tania D. Strout, PhD, RN, MS. Scheduling Practices of US Emergency Medicine Residency Programs for Pregnant Residents. MaineHealth Lambrew Research Retreat. May 2022. Isha Agarwal, MD, ScD; Casey MacVane, MD, MPH; Madeleine Puissant, MD, PhD; Megan Fix, MD; Tania D. Strout, PhD, RN, MS. Scheduling Practices of US Emergency Medicine Residency Programs for Pregnant Residents. New England Regional Society for Academic Emergency Medicine Meeting. Worcester, MA. April 2022.

Research Presentations National Research Presentations Robert S. Anderson Jr., MD. Piloting a Toolkit for Delirium Detection and Management at Four Emergency Departments. American College of Emergency Physicians Research Forum. October 2021. Samir A. Haydar, DO, MPH; Tania D. Strout, PhD, RN, MS. Acceptability of a Novel Smartphone Application as a Patient Engagement Tool in the Emergency Department. American College of Emergency Physicians Research Forum. Boston, MA. October 2021. John N. Hansen, MD; John Martel, MD, PhD; Tania D. Strout, PhD, RN, MS. Community Based Prehospital Care Project: Providing a Low-Barrier-to-Access Care Model for Those Experiencing Homelessness in an Urban Environment. American College of Emergency Physicians Research Forum. Boston, MA. October 2021. Christine Hein, MD; Samir Haydar, DO, MPH; Jessica DiBiase; Tania D. Strout, PhD, RN, MS. Examining the Relationship Between Emergency Department Crowding and Physician Wellbeing. American College of Emergency Physicians Research Forum. Boston, MA. October 2021. Elizabeth Hamilton, MD; Sara Nelson, MD. WildRIDE: Wilderness Resident Interactive Didactic Experience. Council of Residency Directors in Emergency Medicine Scientific Assembly. April 2021. Lauren T. Wendell, MD, MPH. Creating a Virtual Elective for Medical Students: Practical Tips from Three Institutions. Society for Academic Emergency Medicine Annual Meeting. May 2021.

Research Presentations National Research Presentations Heidi Roche, MD; Timothy Fallon, MD. RISE-EM, Resident Instruction in Social Emergency Medicine Curriculum. Council of Residency Directors in Emergency Medicine Scientific Assembly. March 2021. Timothy Fallon, MD; Carl Germann, MD, MPHE, Robert Anderson, MD, Tania Strout PhD, RN, MS. The Research Escape Hunt. Council of Residency Directors in Emergency Medicine Scientific Assembly. March 2022. Heidi Roche, MD; Timothy Fallon, MD. RISE-EM, Resident Instruction in Social Emergency Medicine Curriculum – Phases I and II. Society for Academic Emergency Medicine Annual Meeting. May 2022. Jewell C, Golden A, Lauren Wendell, MD, Pasirstein M, et al. Impact of a Dedicated Teaching Resident Role During Emergency Medicine Residency. Society for Academic Emergency Medicine Annual Meeting. New Orleans, LA. May 2022. Isha Agarwal, MD, ScD; Casey MacVane, MD, MPH; Madeleine Puissant, MD, PhD; Megan Fix, MD; Tania D. Strout, PhD, RN, MS. Scheduling Practices of US Emergency Medicine Residency Programs for Pregnant Residents. Society for Academic Emergency Medicine Annual Meeting. New Orleans, LA. May 2022. Lauren T. Wendell, MD, MPH. The Creation of a Standardized Direct Observation Assessment Tool and its Implementation in the Fourth Year Emergency Clerkship. Council of Residency Directors in Emergency Medicine Scientific Assembly. March 2022. CB Haley, D Mckelvy, David C. Mackenzie, MD. Growth and Globalization of Scholarship in Point of Care Ultrasound. Society for Academic Emergency Medicine Annual Meeting. May 2021. JE Kenny, David C. Mackenzie, MD. A Wearable Doppler Monitor Correlates with Stroke Volume in a Human Model of Hemorrhage and Resuscitation: An Analysis of 48570 Cardiac Cycles and 10 Corrected Flow Time Equations. Military Health Research Symposium. Kissimmee, FL. August 2021.

Research Presentations National Research Presentations Mark Neavyn, MD: Cannabis as a cause of seizures: A Scoping Review. North American Congress of Clinical Toxicology, October 2021. Jeffrey Holmes, MD: Using Healthcare Failure Mode and Effect Analysis with Simulation to Modify and Test Protocols: Patient Transport in the time of COVID 19. International Meeting of Simulation in HealthCare, January 2021. Jeffrey Holmes, MD: Simulation-based Testing of a New Helipad Using an Iterative Failure Mode and Effects Analysis Framework. International Meeting of Simulation in HealthCare, January 2021. Jeffrey Holmes, MD: A Novel Telesimulation Program Improves Neonatal Resuscitation Skills in a Rural Hospital.  International Pediatric Simulation Society. September 2021. Jeffrey Holmes, MD: Simulation-Based Outreach Program Improves Rural Hospital Team Confidence in Neonatal Resuscitation. International Pediatric Simulation Society, International Pediatric Simulation Society, September 2021. Jeffrey Holmes, MD: A Novel Telesimulation Program, Maine Ongoing Outreach Simulation Education (MOOSE), Improves Adherence to NRP in a Rural Hospital.  American Academy of Pediatrics (AAP) 2021.  Jeffrey Holmes, MD: A Novel Telesimulation Program, Maine Ongoing Outreach Simulation Education (MOOSE), improves adherence to Neonatal Resuscitation Program (NRP) in a Rural Hospital.  IMSH Society for Simulation in Health Care, 2022. Jeffrey Holmes, MD: A Simulation-Based Outreach Program Improves Rural Hospital Team Confidence in Neonatal Resuscitation. IMSH Society for Simulation in Health Care, 2022.  RM Kring, DC Mackenzie, CN Wilson, J Rappold, TD Strout, PE Croft. Serratus Anterior Plane Block Improves Pain Control in Patients with Rib Fractures. American College of Emergency Physicians Research Forum. Boston MA, October 2021.

Committee Service Departmental Committees Rebecca B. Bloch, MD: Geriatric ED Rebecca B. Bloch, MD: RDU Patients Evidence-based Guideline Committee, Maine Medical Center Robert S. Anderson, MD: Geriatric Committee, Maine Medical Center Department of Emergency Medicine, Emergency Medicine Clinical Department of Emergency Medicine, Member Transformation Project Committee, Member Physician Leader Michelle Crispo, MD: ED Palliative Rebecca B. Bloch, MD: Night-shift Care Council, Maine Medical Center Michael R. Baumann, MD: Clinical Workgroup, Maine Medical Center Department of Emergency Medicine, Competency Committee, Maine Department of Emergency Medicine, Chair Medical Center Department of Member Emergency Medicine, Member Michael R. Baumann, MD: Emergency Medicine Research Committee, Maine Medical Center Department of Emergency Medicine, Member Michael R.Baumann, MD: Faculty Education Committee, Maine Medical Center Department of Emergency Medicine, Member Rebecca B. Bloch, MD: PE Evidence- based Guideline Committee, Maine Medical Center Department of Emergency Medicine, Member.

Committee Service Departmental Committees Andrew Fried, MD: Clinical Carl A. Germann, MD, MHPE: Clinical Competency Committee (Ultrasound Competency Committee, Maine Michael Bohanske, MD: Critical Care Fellowship), Maine Medical Center Medical Center Department of Procedure Reorganization Project Department of Emergency Medicine, Emergency Medicine, Member Team, Maine Medical Center Member Department of Emergency Medicine, Carl A. Germann, MD, MHPE: Member Andrew Fried, MD: Program Education Committee, Maine Medical Evaluation Committee (Ultrasound), Center Department of Emergency Michelle Crispo, MD: ED Palliative Maine Medical Center Department of Medicine, Member Care Council, Maine Medical Center Emergency Medicine, Member Department of Emergency Medicine, Chair Timothy Fallon, MD: Clinical Competency Committee, Maine Medical Center Department of Emergency Medicine, Chair Timothy Fallon, MD: Program Evaluation Committee, Maine Medical Center Department of Emergency Medicine, Chair Andrew Fried, MD: Clinical Competency Committee (Residency), Maine Medical Center Department of Emergency Medicine, Member

Committee Service Departmental Committees Christine L. Hein, MD: Emergency Christine L. Hein, MD: Emergency Services Service Line Leadership Medicine/Cardiology Chemistry Carl A. Germann, MD, MHPE: Council, Maine Medical Center Committee, Maine Medical Center Medical Education Community of Department of Emergency Medicine, Department of Emergency Medicine, Practice, Maine Medical Center Member Member Department of Emergency Medicine, Chair Christine L. Hein, MD: Emergency Medicine Residency Wellbeing Samir A. Haydar, DO, MPH: Quality Committee, Maine Medical Center Improvement Committee, Maine Department of Emergency Medicine, Medical Center Department of Member Emergency Medicine, Chair Samir A. Haydar, DO, MPH: MD-RN Collaboration Committee, Maine Medical Center Department of Emergency Medicine, Member Samir A. Haydar, DO, MPH: Emergency Medicine Research Committee, Maine Medical Center Department of Emergency Medicine, Member Christine L. Hein, MD: ED Operations Leadership Committee, Maine Medical Center Department of Emergency Medicine Member

Committee Service Departmental Committees Casey Z. MacVane, MD, MPH: Night- Casey Z. MacVane, MD, MPH: shift Workgroup Committee, Maine Emergency Medicine Research Christine L. Hein, MD: Emergency Medical Center Department of Committee, Maine Medical Center Medicine/Orthopedics Collaboration Emergency Medicine, Member Department of Emergency Medicine, Committee, Maine Medical Center Member Department of Emergency Medicine, Casey Z. MacVane, MD, MPH: Member Justice, Diversity, Equality & John Martel, MD, PhD: RDU Task Inclusion Committee, Maine Medical Force, Maine Medical Center Jeffrey Holmes, MD: Emergency Center Department of Emergency Department of Emergency Medicine, Medicine Research Committee, Maine Medicine, Member & Faculty Mentor Member Medical Center Department of Emergency Medicine, Member David C. Mackenzie, MD: Clinical Competency Committee, Maine Medical Center Department of Emergency Medicine, Member Casey Z. MacVane, MD, MPH: Case Review Committee, Maine Medical Center Department of Emergency Medicine, Member Casey Z. MacVane, MD, MPH: Clinical Competency Committee, Maine Medical Center Department of Emergency Medicine, Member

Committee Service Departmental Committees Department of Emergency Medicine, Maine Medical Center Department of Co-Chair Emergency Medicine, Member John Martel, MD, PhD: Urgent Care Plus Task Force, Maine Medical Sara W. Nelson, MD, MHPE(c): Amber Richards, MD: Pediatric Center Department of Emergency Clinical Competency Committee, Emergency Medicine Education Medicine, Member Maine Medical Center Department of Committee, Maine Medical Center Emergency Medicine, Member Department of Emergency Medicine, Nathan W. Mick, MD: Patient Co-Chair Complaints/Service Recovery Sara W. Nelson, MD, MHPE(c): Committee, Maine Medical Center Program Evaluation Committee, Department of Emergency Medicine, Member Nathan W. Mick, MD: ED Operations Leadership Committee, Maine Medical Center Department of Emergency Medicine Member Nathan W. Mick, MD: Emergency Services Service Line Leadership Council, Maine Medical Center Department of Emergency Medicine, Member Sara W. Nelson, MD, MHPE(c): Medical Education Community of Practice, Maine Medical Center

Committee Service Departmental Committees Amber Richards, MD: Nighshift J. Matthew Sholl, MD, MPH: Workgroup Committee, Maine Emergency Medical Services Amber Richards, MD: Pediatric Medical Center Department of Committee, Maine Medical Center Emergency Department Committee, Emergency Medicine, Member Department of Emergency Medicine, Maine Medical Center Department of Chair Emergency Medicine, Member J. Matthew Sholl, MD, MPH: Division of Emergency Medical Services J. Matthew Sholl, MD, MPH: Code Amber Richards, MD: Division of Committee, Maine Medical Center Review Committee, Maine Medical Emergency Medical Services Department of Emergency Medicine, Center Department of Emergency Committee, Maine Medical Center Chair Medicine, Co-Chair Department of Emergency Medicine, Member Amber Richards, MD: Emergency Department High Five Committee, Maine Medical Center Department of Emergency Medicine, Member Amber Richards, MD: Palliative Care Committee, Maine Medical Center Department of Emergency Medicine, Member Amber Richards, MD: RDU Task Force, Maine Medical Center Department of Emergency Medicine, Member

Committee Service Departmental Committees Tania D. Strout, PhD, RN, MS: EM Center Department of Emergency Academic Promotions Peer Support Medicine, Member & Faculty Mentor J. Matthew Sholl, MD, MPH: Shock Committee, Maine Medical Center Committee, Maine Medical Center Department of Emergency Medicine, Abby Weems, MD: Clinical Department of Emergency Medicine, Chair Competency Committee, Maine Member Medical Center Department of Tania D. Strout, PhD, RN, MS: Emergency Medicine, Member Tania D. Strout, PhD, RN, MS: Justice, Diversity, Equality & Faculty Education Committee, Maine Inclusion Committee, Maine Medical Medical Center Department of Emergency Medicine, Member Tania D. Strout, PhD, RN, MS: Clinical Competency Committee, Maine Medical Center Department of Emergency Medicine, Member Tania D. Strout, PhD, RN, MS: Program Evaluation Committee, Maine Medical Center Department of Emergency Medicine, Member Tania D. Strout, PhD, RN, MS: Emergency Medicine Research Committee, Maine Medical Center Department of Emergency Medicine, Chair

Committee Service Departmental Committees Rachel Williams, MD: Pediatric Rachel Williams, MD: EM SLOE Education Committee, Maine Medical Committee, Maine Medical Center Rachel Williams, MD: Clinical Center Department of Emergency Department of Emergency Medicine, Competency Committee, Maine Medicine, Co-Chair Member Medical Center Department of Emergency Medicine, Member Rachel Williams, MD: EM Residency Christina Wilson, MD: Clinical Leadership Committee, Maine Competency Committee (Residency), Rachel Williams, MD: Nightshift Medical Center Department of Maine Medical Center Department of Workgroup Committee, Maine Emergency Medicine, Member Emergency Medicine, Member Medical Center Department of Emergency Medicine, Member Rachel Williams, MD: Sabbatical Workgroup, Maine Medical Center Department of Emergency Medicine, Member Rachel Williams, MD: Faculty Education Committee, Maine Medical Center Department of Emergency Medicine, Member Rachel Williams, MD: Emergency Medicine Research Committee, Maine Medical Center Department of Emergency Medicine, Member

Committee Service Departmental Committees Emergency Medicine, David Mackenzie, MD: Sabbatical Member Development Committee, Member Christina Wilson, MD: Clinical Competency Committee (Ultrasound David Mackenzie, MD: Fellowship), Maine Medical Center Ultrasound Fellowship Department of Emergency Medicine, Program Evaluation Member Committee, Maine Medical Center Christina Wilson, MD: Ultrasound Department of Fellowship Program Evaluation Emergency Medicine, Committee, Maine Medical Center Member Department of Emergency Medicine, Member David Mackenzie, MD: Clinical Competency Samantha Wood, MD: Case Review Committee (Ultrasound Committee, Maine Medical Center Fellowship), Maine Department of Emergency Medicine, Medical Center Co-Chair Department of Emergency Medicine, Kate W. Zimmerman, DO: Division of Member Emergency Medical Services Committee, Maine Medical Center David Mackenzie, MD: Clinical Department of Emergency Medicine, Competency Committee (Residency), Member Maine Medical Center Department of Emergency Medicine, Member Kate W. Zimmerman, DO: Emergency Medicine Research Committee, Maine Medical Center Department of

Committee Service Institutional Committees Dignity Guideline Committee, Maine Education Committee, Maine Medical Medical Center, Chair Center, Member Michael Baumann, MD: Maine Medical Center Research Institute Timothy Fallon, MD: Documentation Carl Germann, MD, MPHE: Maine Promotions Committee, Member Accuracy QI Committee, Maine Medical Center Institute for Teaching Medical Center, Member Excellence (MITE) Academy, Maine Michael Baumann, MD: Master Medical Center, Fellow Facility Plan, Maine Medical Center, Timothy Fallon, MD: Resident Physician Leader Wellness Committee, Maine Maine Medical Center Graduate Medical Michael Baumann, MD: CTIC, Maine Medical Center, Member Rebecca Bloch, MD: Peer Support Program, Maine Medical Center, Member Rebecca Bloch, MD: MaineHealth Emergency Medicine Workgroup, Maine Medical Center, Member Michelle Crispo, MD: Code Committee, Maine Medical Center, Member Michelle Crispo, MD: MaineHealth/ Maine medical Center Death with

Committee Service Institutional Committees Christine Hein, MD: Diversity, Equity, Steering Committee, Maine Medical & Inclusion Steering Committee, Center, Member Carl Germann, MD, MPHE: Visting MaineHealth, Member Student Diversity Scholarship Christine Hein, MD: Diversity, Equity, Committee, Maine Medical Center, Christine Hein, MD: Diversity, Equity, Inclusion VP Search Committee, Member & Inclusion Steering Committee, MaineHealth, Member Maine Medical Center, Member Christine Hein, MD: Provider Health Christine Hein, MD: Council of & Resiliency Committee, Maine Christine Hein, MD: Women Wellbeing Directors, Maine Medical Medical Center, Chair Physician Leaders in Medicine Center, Chair Christine Hein, MD: Diversity, Equity, & Inclusion Committee, Maine Medical Center, Member Christine Hein, MD: Medical Onboarding Committee, Maine Medical Center, Member Christine Hein, MD: Chief Medical Officer’s Council, Maine Medical Center, Standing Member Christine Hein, MD: Annual Implementation Plan Development Committee, Maine Medical Center, Care Team Wellbeing Executive Sponsor

Committee Service Institutional Committees Jeffrey Holmes, MD: Vascular Access Jeffrey Holmes, MD: Hannaford and Quality Committee, Maine Simulation Center SSIH Accreditation Christine Hein, MD: MaineHealth Medical Center, Member Application Committee, Maine Medical Group Strategy & Growth Medical Center, Member Committee, Member Jeffrey Holmes, MD: Hannaford Simulation Center 3-Year Strategic Casey Z. MacVane, MD, MPH: Christine Hein, MD: MaineHealth Plan Committee, Maine Medical Graduate Medical Education Research Medical Group Board, Member Center, Member & Education Committee, Maine Medical Center, Member Christine Hein, MD: Department of Radiology Chair Search Committee, Maine Medical Center, Member Christine Hein, MD: Governance Committee, MaineHealth Medical Group, Chair Christine Hein, MD: Communication About Error Steering Committee, Maine Medical Center, Member Jeffrey Holmes, MD: Quality and Safety Collaborative, MaineHealth, Member Jeffrey Holmes, MD: Central Line Insertion Committee, Maine Medical Center, Member

Committee Service Institutional Committees Sara Nelson, MD: Maine Medical Tania D. Strout, PhD, RN, MS: Center Institute for Teaching MaineHealth Institutional Review Casey Z. MacVane, MD, MPH: Excellence (MITE) Academy, Maine Board, Maine Medical Center, Member Critical Care Fellowship Governance Medical Center, Fellow Committee, Maine Medical Center Tania D. Strout, PhD, RN, MS: Department of Critical Care Tania D. Strout, PhD, RN, MS: Maine Scientific Review Committee, Maine Medicine, Member Medical Center Institute for Teaching Medical Center, Member Excellence (MITE) Academy, Maine Casey Z. MacVane, MD, MPH: Medical Center, Master Educator Graduate Medical Committee to Review Clinical Competency Committee Appeals, Maine Medical Center, Member Casey Z. MacVane, MD, MPH: Graduate Medical Education Diversity, Equity, & Inclusion Committee, Maine Medical Center, Member Casey Z. MacVane, MD, MPH: Peer Support Program, Maine Medical Center, Member Casey Z. MacVane, MD, MPH: Maine Medical Center Institute for Teaching Excellence (MITE) Academy, Maine Medical Center, Fellow

Committee Service Institutional Committees Tania D. Strout, PhD, RN, MS: Maine Medical Center Council of Research Leaders, Maine Medical Center, Member Tania D. Strout, PhD, RN, MS: Maine Medical Center Academic Affairs Diversity, Equity & Inclusion Council, Maine Medical Center, Co-Chair Tania D. Strout, PhD, RN, MS: Provider Health & Resiliency Committee, Maine Medical Center, Member Lauren T. Wendell, MD: Maine Medical Center Wellbeing Committee, Member Samantha Wood, MD: Maine Medical Center Institute for Teaching Excellence (MITE) Academy, Maine Medical Center, Fellow

Committee Service Tufts University School of Medicine Tania D. Strout, PhD, RN, MS: Lauren T. Wendell, MD: Advanced Committees Committee on Oversight, Tufts Clerkship Directors Committee, Tufts University School of Medicine, University School of Medicine, Casey Z. MacVane, MD, MPH: Member Member MaineTrack Admissions Committee, Tufts University School of Medicine, Lauren T. Wendell, MD: MaineTrack Lauren T. Wendell, MD: EM Advising Member Admissions Committee, Tufts Committee, Tufts University School of University School of Medicine, Medicine, Member Casey Z. MacVane, MD, MPH: Member Admissions Committee – Subcommittee for URM Applicants, Tufts University School of Medicine, Member Casey Z. MacVane, MD, MPH: Admissions Committee – Subcommittee to Revise Admissions Process to Mitigate Bias, Tufts University School of Medicine, Member Tania D. Strout, PhD, RN, MS: Clinical Advancement & Promotion Committee (CLINPAC), Tufts University School of Medicine, Member

Committee Service Tufts University School of Medicine University School of Medicine, Samantha Wood, MD: Faculty Committees Member Grievance Committee, Tufts University School of Medicine, Michael R. Baumann, MD: Christine Hein, MD: MaineTrack Member MaineTrack Admissions Committee, Threads Steering Committee, Tufts Tufts University School of Medicine, University School of Medicine, Sara W. Nelson, MD: MaineTrack Member Member Admissions Committee, Tufts University School of Medicine, Peter Croft, MD: Curriculum Christine Hein, MD: MaineTrack Member Committee, Tufts University School of Threads Steering Committee, Tufts Medicine, Member University School of Medicine, Sara W. Nelson, MD: Curriculum Member Committee, Tufts University School of Carl A. Germann, MD, MPHE: Medicine, Member Capstone Committee, Tufts University School of Medicine, Member Carl A. Germann, MD, MPHE: Celebration Committee, Tufts University School of Medicine, Member Carl A. Germann, MD, MPHE: Diversity Scholarship Committee, Tufts University School of Medicine, Member Carl A. Germann, MD, MPHE: McKusick Planning Committee, Tufts

Committee Service Regional Committees Kate W. Zimmerman, DO: Maine Kate W. Zimmerman, DO: LifeFlight Stroke Alliance, System Manager of Maine Clinical Practice Rebecca B. Bloch, MD: The Committee, Member Opportunity Alliance, Board of Kate W. Zimmerman, DO: EMS for Directors, Member Children, Maine Chapter, Member Kate W. Zimmerman, DO: Northern New England Resuscitation Academy, Rebecca B. Bloch, MD: The Kate W. Zimmerman, DO: Maine EMS Member Opportunity Alliance, Board of Quality Improvement Committee, Directors, Quality Improvement Sub- Member Committee, Chair Tania D. Strout, PhD, RN, MS: New England Research Directors’ Committee, Member Kate W. Zimmerman, DO: Maine EMS Board, Associate State Medical Director, Ex-officio member Kate W. Zimmerman, DO: Maine EMS, Medical Direction and Practices Board, Associate State Medical Director, Co-Chair Kate W. Zimmerman, DO: Trauma Advisory Committee, System Manager

Committee Service Regional Committees Amber Richards, MD: LifeFlight of Jeffery Holmes, MD: Maine EMS Maine Pediatric QAPI Committee, Advisory Committee, Member Kate W. Zimmerman, DO: Northern Member New England EMS Guidelines Matthew Sholl, MD, MPH: New Committee, Member Amber Richards, MD: LifeFlight of England EMS Council, Member Maine QAPI Committee, Member Kate W. Zimmerman, DO: New Matthew Sholl, MD, MPH: Medical England Council of EMS, Member Amber Richards, MD: LifeFlight of Direction and Practices Board, Chair Maine Clinical Practice Committee, John Martel, MD, PhD: Maine EMS/ Member Maine Board of Emergency Medical Services, Hospital Representative John Martel, MD, PhD: Maine EMS/ Maine Board of Emergency Medical Services, Emergency Physician Representative John Martel, MD, PhD: Maine EMS Rules Committee, Member John Martel, MD, PhD: Maine EMS Labor Committee, Member Amber Richards, MD: LifeFlight of Maine Leadership Committee, Member

Committee Service Regional Committees Rachel William, MD: EMS for Children of Maine, Medical Director Matthew Sholl, MD, MPH: LifeFlight of Maine Clinical Practices Rachel William, MD: New England Committee, Member Pediatric Emergency Care Coordinator Matthew Sholl, MD, MPH: Maine EMS Trauma Advisory Committee, Member Mark Neavyn, MD: Medical Advisory Committee, Maine Board of Pesticide Matthew Sholl, MD, MPH: Maine EMS Control, Member Stroke Advisory Committee, Member Matthew Sholl, MD, MPH: Maine EMS Community Paramedicine Committee, Member Matthew Sholl, MD, MPH: Maine EMS QI Committee, Member Matthew Sholl, MD, MPH: Maine EMS Labor Committee, Member Rachel William, MD: Medical Direction and Practice Board, Maine EMS, Pediatric Representative Member

Committee Service National Committees Track, Council of Residency Directors Matthew Sholl, MD, MPH: NASEMSO, in Emergency Medicine, Track Co- National Prehospital Model Guidelines Robert S. Anderson, MD: American Chair Committee, Trauma Section, Member Academy of Emergency Medicine, Geriatric Interest Group, Member Matthew Sholl, MD, MPH: National Matthew Sholl, MD, MPH: NASEMSO, Association of State EMS Officials – National Prehospital Model Guidelines Rebecca B. Bloch, MD: American Medical Director’s Council, Chair Committee, Editing Group, Member College of Emergency Physicians, Women in Emergency Medicine Matthew Sholl, MD, MPH: National Matthew Sholl, MD, MPH: Technical Interest Group, Member Association of EMS Physicians – Expert Panel, National Highway Wilderness Medicine Subcommittee, Transportation Safety Administration, Michelle Crispo, MD: American Member EMS Scope of Practice Model Review College of Emergency Physicians Request Palliative Medicine Section, Member Matthew Sholl, MD, MPH: National Association of EMS Physicians – Tania D. Strout, PhD, RN, MS: Equity Michelle Crispo, MD: American Operational Medicine, Member & Inclusion Committee, Society for Academy of Hospice and Palliative Academic Emergency Medicine, Medicine Emergency Medicine Matthew Sholl, MD, MPH: Committee Member Section, Member for Tactical Emergency Casualty Care, Protocol Committee Member Tania D. Strout, PhD, RN, MS: Equity Timothy Fallon, MD: Social Media & Inclusion Committee – Resources & Committee, Council of Residency Matthew Sholl, MD, MPH: NASEMSO, Products Subcommittee, Society for Directors in Emergency Medicine, National Prehospital Model Guidelines Academic Emergency Medicine, Member Committee, Resuscitation Section, Member Chair Casey Z. MacVane, MD, MPH: Academic Assembly Best Practices

Committee Service National Committees Tania D. Strout, PhD, RN, MS: Rachel Williams, MD: National Emergency Nurses’ Association Association of State EMS Officials Tania D. Strout, PhD, RN, MS: Tania Research Advisory Council, Emergency Medicine for Children D. Strout, PhD, RN, MS: Equity & Emergency Nurses’ Association, Chair Committee, Member Inclusion Committee – Education Subcommittee, Society for Academic Lauren T. Wendell, MD: Council of Timothy Fallon, MD: Social Media Emergency Medicine, Member Residency Directors in Emergency Committee, Council of Emergency Medicine, ASC-EM Committee, Medicine Residency Directors, Tania D. Strout, PhD, RN, MS: Member Member Academy for Diversity, Equity & Inclusion in Emergency Medicine, John Martel, MD, PhD: Writing Kate Zimmerman, DO: National Society for Academic Emergency Group, National Association of EMS Association of EMS Officials, Medical Medicine, Member Physicians Operational EMS Group, Directors Council, East Member Representative Tania D. Strout, PhD, RN, MS: Academy for Diversity, Equity & John Martel, MD, PhD: Society for Kate Zimmerman, DO: National Inclusion in Emergency Medicine – AcademicEmergency Medicine, Association of EMS Officials, Trauma LGBTQIA+ Committee, Society for Emergency Medicine Transmissible Managers Committee, Member Academic Emergency Medicine, Infectious Diseases and Epidemics Member (EMTIDE), Member Kate Zimmerman, DO: National Association of EMS Physicians, Tania D. Strout, PhD, RN, MS: John Martel, MD, PhD: Society for Operations/Fireground Committee, Academy for Women in Emergency Academic Emergency Medicine Member Medicine, Society for Academic Climate Change and Health Interest Emergency Medicine, Member Group, Member

Committee Service National Committees David C. Mackenzie, MD: Society for Academic Emergency Medicine Kate Zimmerman, DO: National Sonogames Organizing Committee, Association of EMS Physicians, Women Member in Medicine Committee, Member David C. Mackenzie, MD: Society of Kate Zimmerman, DO: National Clinical Ultrasound Fellowships Association of Veterinary EMS, Annual Meeting, Lightning Talks, Division of Education, Member Curator Mark Neavyn, MD: ACMT Education Committee, Planning Committee for Methamphetamine Pre-symposium at ACMT Scientific Assembly, Member Christine Hein, MD: Collaborative for Healing and Renewal in Medicine (CHARM Network), Member Jeffrey Holmes, MD: Society for Simulation in Healthcare, Emergency Medicine Section, Member Sara W. Nelson, MD: AAMC Committee on Educational Affairs, Member

Educational Lectures Fried A. Lung Ultrasound Panel Discussion. Sugarloaf Winter Symposium. Sugarloaf, Maine. March 2022. Regional Invited Lectures & Presentations Fried A. Ultrasound Guided IV Access. Maine General Crispo MC. Putting #2 First in Your Palliative Care Patient: Medical Center. Augusta, ME. Treatment of Constipation and Obstruction in Your Palliative Care Patient. Maine Medical Center Hospice and Fried A. Pass the Pointer. Maine General Medical Center. Palliative Care Core Conference. March, 2021. Augusta, ME. Crispo MC. Communication for End-of-Life Patients. Maine Fried A. Pneumothorax and the Lung Point Sign. Miles Medical Center Emergency Medicine Advanced Practice Emergency Medicine Faculty Conference. Maine. Providers. January, 2021. Fried A. Ultrasound Guided IV Access. Portland Point of Crispo MC. Moral Distress. MaineHealth Intensive Care Care Ultrasound Course. Portland, ME. 2021. Nursing Conference. March 2021. Fried A. Point of Care Ultrasound in Pregnancy. Portland Crispo MC. The Gift of Gab: Navigating Code Status Point of Care Ultrasound Course. Portland, ME. 2021. Conversations. Tufts University School of Medicine Capstone Speaker Series. April 2021. Fried A. Rapid Response for Rapid Breathing. Portland Point of Care Ultrasound Course. Portland, ME. 2021. Fallon T. Cognitive Approach to the Surgical Airway. Virtual Sugarloaf EM Winters Symposium. March 2021. Fried A. Fascia Iliaca Compartment Block. Miles Emergency Medicine Faculty Conference. Maine. Fallon T. Slit Lamp Exam for the Emergency Medicine Provider. Virtual Sugarloaf EM Winters Symposium. March Fried A. Ultrasound Guided IV Access. Maine Medical 2021. Center Emergency Medicine Ultrasound Bootcamp. Portland, ME. 2021. Fried A. Not Just a Stab in the Dark. Sugarloaf Winter Symposium. Sugarloaf, Maine. March 2022.

Educational Lectures Annie Huyler, MD: Soft Tissue Ultrasound. Maine General Hospital, Augusta, ME. Regional Invited Lectures & Presentations Annie Huyler, MD: Musculoskeletal Ultrasound. Maine MacVane CZ. Clinical Competency Committee Best General Hospital, Augusta, ME. Practices. Maine Medical Center Faculty Development Conference, September 2021. Annie Huyler, MD: Ultrasound Credentialing Course. Midcoast Hospital, Brunswick, ME. MacVane CZ. Emergency Medicine: Right For Us But is it Right For You?. Tufts University School of Medicine, Boston, Annie Huyler, MD: Portland POCUS Course. Portland, ME. Massachusetts, September, 2021. Amber Richards, MD: Neonatal Emergencies. Virtual Nelson SW. But What Will They Learn? Crafting Specific Sugarloaf EM Winter Symposium. March 2021. and Measurable Educational Objectives. Tufts University School of Medicine Faculty Development Lecture Series. December 2021. Nelson SW. LLSA Review: Acute Spinal Cord Compression. Virtual Sugarloaf EM Winter Symposium. March 2021. Matthew Sholl, MD, MPH: Maine EMS 2021 Protocol Update Webinars, Virtual Sessions, October 2021. Matthew Sholl, MD, MPH: Maine EMS 2021 Protocol Hospital Update. Annie Huyler, MD: COVID-19. Sugarloaf EM Winter Symposium. March 2022.

Educational Lectures Josh Rehberg, MD: POCUS Course. Maine General Hospital, Augusta, ME. Regional Invited Lectures & Presentations Mark Neavyn, MD: Toxicology for the EMS Provider, Amber Richards, MD: Proper Midcoast Hospital EMS. Brunswick, ME. Pediatric Preparation Prevents Pandemonium: Tips and tricks for pediatric and neonatal critical care in the ED. John Hansen, MD: Portland POCUS Course. Portland, ME. Virtual Sugarloaf EM Winter Symposium. March 2021. John Hansen, MD: Bluewater POCUS Course. Portland, ME. Amber Richards, MD: Pediatric Care for the EMS Clinician, Maine EMS Conference, Hosted by Maine EMS, John Hansen, MD: BORSTAR Ultrasound Training Course. Virtual, March 5, 2021. Portland, ME. Kate Zimmerman, DO: Tufts Medical School Disaster Christine Hein, MD: Seeking Balance.  MaineHealth Medicine & Emergency Preparedness Course, Virtual. Provider Leadership Development Fellowship ECHO, Subject Matter Expert, October 2021. Kate Zimmerman, DO: Maine EMS Protocol Updates for EMS Clinicians and Medical Directors, 2021. Virtual. Christine Hein, MD: Mythbusters in Medicine, Wellness isn’t for the Faint of Heart. MidCoast Mental Health Kate Zimmerman, DO: Operational K9 Medicine Course for Specialists Meeting, October, 2021. EMS Clinicians & K9 Handlers, Portland Police Department, Portland, ME. Christine Hein, MD: A Framework for Professional Fulfillment.  Lincoln Health Management Committee, Josh Rehberg, MD: AAA – Surveilling the Bomb; Maine October 2021. General Hospital; August, 2021. Christine Hein, MD: Mythbusters in Medicine, Wellness Josh Rehberg, MD: Portland POCUS Course. Portland, ME. isn’t for the Faint of Heart. American College of Emergency Physicians Maine Chapter Meeting, July 2021.

Educational Lectures Christine Hein, MD: American Board of Emergency Medicine LLSA Review.  Emergency Medicine Winter Regional Invited Lectures & Presentations Symposium, (Virtual), March 2021. Christine Hein, MD: Peer Support Training for Healthcare Christine Hein, MD: Introduction to Organizational Providers.  Spectrum Healthcare Partners, June 2021. Improvement Strategies to Reduce Provider Burnout – Part 2. Southern Maine Health Care, February 2021. Christine Hein, MD: Another Covid Casualty; Shining a Light on the State of Wellbeing in Medicine. Geisel School Christine Hein, MD: Introduction to Organizational of Medicine, Dartmouth-Hitchcook Medical Center Grand Improvement Strategies to Reduce Provider Burnout – Part Rounds, May 2021. 1. Southern Maine Health Care, January 2021. Christine Hein, MD: Shining a Light on the State of Christine Hein, MD: Strategies to Address Healthcare Provider Wellbeing.  Maine Society of Eye Surgeons and Provider Burnout. Spectrum Healthcare Quality Physicians, May 2021. Improvement Meeting, January 2021. Christine Hein, MD: Covid-19 Crisis Response:  Measures Christine Hein, MD: Covid-19 Crisis Response, Measures to to Address Mental Health and Wellbeing.  PenBay Medical Address Healthcare Worker Mental Health. Maine Medical Center Grand Rounds, April 2021. Association, Committee on Physician Quality, January 2021. Christine Hein, MD: Addressing Mental & Physical in Christine Hein, MD: Covid-19 Crisis Response:  Measures Health Healthcare Providers During Covid-19 & Beyond.  to Address Mental Health and Wellbeing.  Tufts University Bluewater Health Medical Directors’ Meeting, Invited School of Medicine Virtual UME Content, March 2021. Speaker, March 2021. Jeffrey Holmes, MD: Improving Pediatric Acute Care Christine Hein, MD: Addressing Mental & Physical Health Through Simulation, Stephens Memorial Hospital, May in Healthcare Providers During Covid-19 & Beyond.  Mid 2021. Coast Hospital Medical Staff Dinner, Invited Speaker, March 2021.

Educational Lectures Christina Wilson, MD: Ultrasound evaluation of joints and tendons. Portland Point of Care Ultrasound Course. Regional Invited Lectures & Presentations Christina Wilson, MD: Obstetric ultrasound for the family John Martel, MD, PhD: Pediatric Psychiatric Crisis During practitioner. Maine General Hospital Point of Care the Twindemics of Loneliness and COVID-19. Pediatric Care Ultrasound Course. Conference for EMS Providers. Christina Wilson, MD: Cardiac ultrasound for the family Tania D. Strout, PhD, RN, MS: Exploring Social Justice and practitioner. Maine General Hospital Point of Care Health Equity. Maine Children’s Cancer Program. Ultrasound Course. Scarborough, ME. Christina Wilson, MD: POCUS of the heart. Redington- Rachel Williams, MD: Teeny Tiny Terrors. Sugarloaf Winter Fairview Point of Care Ultrasound Course. Symposium. Christina Wilson, MD: Ultrasound evaluation for deep vein Rachel Williams, MD: Proper thrombosis. Redington-Fairview Point of Care Ultrasound Pediatric Preparation Prevents Pandemonium: Tips and Course. tricks for pediatric and neonatal critical care in the ED. Sugarloaf Winter Symposium. Christina Wilson, MD: Ultrasound evaluation in patients with shortness of breath. Sugarloaf Winter Symposium. Rachel Williams, MD: Maine EMS Pediatric Case Review. Maine EMS Week. David Mackenzie, MD: Portland POCUS Course. Rachel Williams, MD: Maine EMS 2021 Protocol Update David Mackenzie, MD: Introduction to Ultrasound. Maine Webinars, Virtual Sessions, October 2021. General Hospital Department of Family Medicine. Christina Wilson, MD: DVT Ultrasound. Portland Point of David Mackenzie, MD: Ultrasound Workshop. Reddington- Care Ultrasound Course. Fairview Hospital.