BURN & FIRE PREVENTION NEWS A LETTER FROM THE CHAIR

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1 BURN & FIRE PREVENTION NEWS VOLUME 11, ISSUE 1 SPRING 2015 IN THIS ISSUE Letter from the Chair 2015 Burn Prevention Award Winner California Burn Foundations Unite Glass Fronted Gas Fireplace Update Teaching Fire Safety to Children Part 2 The Power of Partnerships National Scald Prevention Update Abstracts Made Concrete Burn Prevention Activities AMERICAN BURN ASSOCIATION 47th Annual Meeting April 21 24, 2015 CONTRIBUTORS Editor: Kelsey Viega Lucy Wibbenmeyer Karla Klas B. Daniel Dillard Angela Mickalide Thomas Flamm Rebecca Coffey Peg Carlson Sharon Gamache Nancy Trench Eileen McDonald Patricia Mieszala A LETTER FROM THE CHAIR Making Burn Prevention Hit Home Did you know that 73% of reported burn injury admissions occur in the home? 1 So how do we make burn prevention hit home? If you were one of the record-breaking numbers of people watching, posting, or tweeting this year s Super Bowl, you likely saw one strategy in action. An insurance company aired a commercial focused on preventable home injuries Karla S. (Ahrns) Klas and childhood deaths. It stirred extensive reactions along a wide-ranging continuum, from upsetting, disturbing, in the home. sad, and shocking to brilliant, provoking, resonated with me, highly effective, and hit home. So which is it, upsetting or brilliant? Effective or not? The answer is...it depends! The message that motivates one person to adopt safer preventative behaviors can alienate another. Differing ages, backgrounds, cultures, experiences, emotional triggers, and beliefs all come into play. How do we assimilate all of this into our burn prevention activities and educational materials for the public masses? We utilize carefully crafted safety messaging to educate people. We educate people in an 73% of reported burn injury admissions occur attempt to prevent burn injuries. We hope (and have data!) that education leads to overcoming the biggest challenge in injury prevention and public health as a whole: changing people s behavior. Come join us in the ongoing conversation about how to effectively make burn prevention hit home. Participate in the invigorating interactive Pro/Con discussion during the Tuesday afternoon Power of Partnerships workshop! Read on to learn more about the newly-launched National Scald Prevention Campaign, Glass-Fronted Gas Fireplace burn prevention initiative, the importance of partnerships, and best practices in educational messaging for children. Together we can find effective solutions to addressing the challenging issue of preventing burn injuries in the home. Yours in prevention, Karla S. (Ahrns) Klas, BSN, RN, CCRP Chair, ABA Burn Prevention Committee kahrns@med.umich.edu 1 C American Burn Association. (2014). National burn repository 2014 : report of data from pages 12 and 84. Chicago: American Burn Association. Statements and opinions expressed in the articles and communications herein are those of the author(s) and not necessarily those of the American Burn Association (ABA), the ABA disclaims any responsibility or liability for such material. The ABA does not guarantee, warrant, or endorse any product, service, company or firm that may be noted in this publication, and does not guarantee any claim made by the manufacturer of such product or service.

2 2015 American Burn Association Burn Prevention Award Congratulations to Angela Mickalide, PhD, MCHES, for winning this year s prestigious 2015 American Burn Association Burn Prevention Award. Dr. Mickalide was nominated by several of her peers and here are just a few samples of Dr. Mickalide s remarkable work, monumental accomplishments and accolades in the field of burn prevention: During the past year alone, Dr. Mickalide has served as a key member of the Steering Committee for the National Scald Prevention Campaign (NSPC), the American Burn Association s Burn Prevention Committee (ABA BPC), and the National Fire Protection Association s Educational Messages Advisory Committee (EMAC). Dr. Mickalide has also been a crucial member of the ABA Burn Prevention Committee in developing education materials, training, evaluating tools, and generating research questions to advance the field of burn prevention. In addition, her work with the EMAC ensures that accurate, targeted, and consistent burn prevention and fire safety educational messages are available for multidisciplinary professionals and safety-focused organizations to use. This contributes significantly to the quality of safety-focused educational messages delivered around the world. For over 33 years, Dr. Mickalide has demonstrated a passionate and unsurpassable career in burn/injury prevention and public safety education. Simply stated, her dedicated service and sanguine personality are exemplary models Dr. Angela Mickalide for all to aspire to. The American Burn Association has benefited tremendously from Dr. Mickalide s vast experience, knowledge-base and contacts with other resource persons and groups. Likewise, other safety mission organizations have been made aware of and given the opportunity to use the burn prevention resources of the ABA through Dr. Mickalide s advocacy and networking. Congratulations Dr. Mickalide! California Burn Foundations Unite Patricia Mieszala, NFPA Education Section Past Chair, National Fire & Life Safety Consultant & Education Services Support services for burn survivors and their families, burn camps and retreats, and burn prevention education is a common focus for many burn foundations throughout the country. The dedicated efforts of staff members and many volunteers reach out to raise funds, educate children and adults to prevent burn injury, and assist those impacted by fire and burn injuries each year. Oftentimes they are working in partnership with hospital burn centers and local fire departments. An unprecedented, inaugural meeting took place on January 28-29, 2015 at the Children s Burn Foundation Office in Sherman Oaks, CA, uniting eleven burn foundations (Firefighters Burn Institute, Alisa Ann Ruch Burn Foundation, San Jose Firefighters Burn Foundation, Community Regional Medical Center, Bakersfield Firefighters, Grossman Burn Foundation, Firefighters Quest For Burn Survivors, Children s Burn Foundation, Fire Family Foundation, Fire & Burn Foundation, Burn Institute) from throughout the state of California. The California Burn Foundations Conference, hosted by Carol Horvitz, Executive Director, of the Children s Burn Foundation, and organized and facilitated by Jennifer Radics, MBA, Executive Director of the Alisa Ann Ruch Burn Foundation, was a unique opportunity for Executive Directors from burn foundations throughout the state to network and share information. Among the topics discussed during this two day event were: organizational structure, volunteer management, prevention community outreach, survivor programs, support services, marketing, fundraising, partnerships and collaborations. This was a long-awaited opportunity to brainstorm and collaborate on how this united front might benefit the people of California and the individual foundations. Left to right back row: Mike Feyh (Firefighter s Burn Institute), Marcus Whithorne (Grossman Burn Foundation), Tom Propst (Firefighters Quest For Burn Survivors), Susan Day (Burn Institute), Jeanne Terwilliger (Fire & Burn Foundation), Chris Bowles (Bakersfield Firefighter s Burn Foundation), Elaine Rojas (Firefighters Quest For Burn Survivors) Left to right front row: Robin McCarthy (Fire Family Foundation), Jim Aparico (San Jose Firefighters Burn Foundation), Jennifer Radics (Alisa Ann Ruch Burn Foundation), Pat Mieszala (Burn Concerns, Advisor), Carol Horvitz and Tanya Sorkin (Children s Burn Foundation) 2 AMERICAN BURN ASSOCIATION BURN & FIRE PREVENTION NEWS

3 FIREPLACE UPDATE: Glass Fronted Gas Fireplace Safety Standards Lucy Wibbenmeyer, MD, FACS, University of Iowa Hospitals and Clinics Armed with the results of multi-site study, the American Burn Association and the American Academy of Pediatrics have teamed up to help disseminate the new Glass Fronted Gas Fireplace Safety Standards. Seventeen burn centers in North America, representing less than one quarter of all pediatric centers, collaborated in a 5-year retrospective study that documented 402 injuries (average 80 per year) from contact with glass fronted gas fireplaces (J Burn Care Res 2015;36:240-5). The most common scenario involved a burn to the palm in a toddler. Approximately 7% of the children needed skin grafting and over 60% required rehabilitation. These burns occur when toddlers either fall into or touch the hot glass fronts, which reach temperatures that can cause instantaneous third degree burns. The glass fronts of these gas fireplaces reach temperatures that can exceed 1300 F (704 C), over 6 times higher than the temperature causing a full thickness burn in less than one second. Moreover, the fireplaces remain hot up to one hour after they are extinguished. Secondary to public pressure, new standards have been adopted by the American National Standards Institute (ANSI). Although voluntary, ANSI standards have great influence on building codes throughout the nation. The Consumer Products Safety Commission believes the standards will be effective in reducing glass-fronted The glass fronts of gas fireplaces can reach temperatures that can exceed 1300 F (704 C), over 6 times higher than the temperature causing a full thickness burn in less than one second. fireplace door injuries. The safety standards became effective January 2015 and require that new glass-fronted fireplace screens: Be installed with a protective barrier if the glass front temperature exceeds 172 F. Increased safety messaging in the installation manual regarding the hot glass front. Although a huge step forward, these standards will do little to decrease these injuries due to the large number of previously installed fireplaces. Without a call for retrofitting, these injuries will occur unabated. As burn professionals we need to continue to document these injuries, in particular the mechanistic detail that they are coming from the hot glass front. Without such detail, the CPSC is unable to track them accurately in their database. We need to continue to provide education regarding the dangers that the hot glass fronts pose to our patients and communities. Hospital websites and social media have already been used and are effective tools. Possible teaching tips and helpful sites follow. As burn surgeons, we were some of the first health care professionals to bring this problem into the public consciousness. Now we need to put our efforts into improving the safety environment for our children. Health Professional Teaching Tips Ask all families with children beginning to become mobile if they have a gas fireplace in their home If they have one, make sure to purchase and install a safety barrier (available from the manufacturer of their fireplace) to use at all times for your gas-burning fireplace Be aware that toddlers and young children are at significant risk for burns from the hot glass front if the fireplace is burning Make sure supervision and awareness continues for gas fireplaces at resorts or when visiting another home Helpful Websites: To download the Glass Front Fireplace Safety Practice Poster at right, visit: AMERICAN BURN ASSOCIATION BURN & FIRE PREVENTION NEWS 3

4 Teaching Fire Safety to Children Age 3 to 5 Part 2 Peg Carson, Education Specialist, Carson Associates, Inc., Nancy Trench, Assistant Director, OSU Fire Protection Publications, and Sharon Gamache, Program Director, Safety Education Consultant (formerly Director of High-Risk Outreach Programs, NFPA) The following list gathered in September, 2014, is made up of developmentally-appropriate materials and curricula that are available for teaching young children and their families to be safe from fire. Fire Safety for Young Children OSU has developed a curriculum using developmentally appropriate practices specifically for 3, 4 and 5 year old children. The curriculum is fifteen lessons delivered by the early childhood educators with a firefighter classroom visit and a fire station tour. It is based on the nationally recognized eight common fire safety messages for young children. The curriculum has been pilot tested and implemented in a school system with 48 early childhood classrooms. The curriculum uses classroom instructional materials to promote play and selfdiscovery to develop a context for teaching and learning fire safety. LNTB Preschool Program The NFPA Learn Not to Burn (LNTB) Preschool Program, updated in 2014, integrates literacy, movement, music, and dramatic play to provide a developmentally appropriate learning experience for preschool-aged children. Five lessons tap into varied learning styles to teach the most appropriate fire safety behaviors for children 3-5. All materials required to teach the lessons, including teacher information, family letters, videos, songs, and handouts are available for free download. Play safe be safe! Is a fire-safety education program developed by BIC Corporation in cooperation with educators and fire safety experts. Online educational games and activities are available on the website in English, Spanish and French. Multimedia classroom kit including DVD, card game, activity boards and a Resource Book is available for only the cost of shipping and handling. New components of the program are the following: Prevention 1st Mikey Makes a Mess, a storybook in English and Spanish, provides safety education in a fun, engaging story book. It can also be read online with or without narration, in English and Spanish. Help Mikey Make It Out, a teaching game online at Prevention 1st s teaches children what to do when the smoke alarm sound. It is available as a free app. After the Fire: The Teachable Moment helps children and their classmates, their teachers and families deal with fears created by a home fire incident and teaches fire safety and fire prevention. Age-appropriate teaching modules, reading lists and take-home materials in English and Spanish are available as a free download. Safe Kids Worldwide - Start Safe Fire: A Fire and Burn Safety Education Program for Preschoolers and Their Families is a program designed to teach preschoolers and their families about fire and burn safety at home. All of the Start Safe: Fire resources incorporate the latest information and techniques for teaching young kids about fire and burn safety. Preschool teachers and fire safety professionals helped develop these tools and use them throughout the country, but anyone can download, watch and learn from videos, printed materials, online games and other resources. The Sesame Street Fire Safety Program has been updated since the very popular original in the 1990s. A 16-page Family Guide has been added along with the Educators Kit 48- page Educators Guide, 8-page coloring book and a songs and stories audio CD. Content, characters, and graphics have been refreshed based on input from subject matter experts. Print files are available for organizations that are able to make copies for distribution. Resources: education-programs/learn-not-to-burn/learn-not-to-burnpreschool-program and programs/after-the-fire/ toolkits/ready/cd 4 AMERICAN BURN ASSOCIATION BURN & FIRE PREVENTION NEWS

5 Use developmentally appropriate education Child development is how children grow and develop. It is defined as the biological, psychological and emotional changes from birth to the end of adolescence. A child s growth can be measured through social, physical, and cognitive developmental milestones. Child development impacts how children learn. Physical development includes large motor skills like learning to walk, skip and jump. Small motor skills are using a spoon, coloring with a marker and turning a door knob. Developing social skills, like sharing and the awareness of other peoples feelings, are other milestones. Examples of cognitive development are building vocabulary and problem solving. Understanding these developmental benchmarks is critical to helping young children learn. The interrelation of these development milestones is also valuable. For example, we must be mindful of a preschool child s very limited attention span, and realize that a scared child cannot listen well, or remember what she is hearing. Understanding child development helps us comprehend why our choices are so critical when it comes to teaching young children. The language we use, the messages we choose, our posture and tone of voice, and of course the materials we present combine to make or break the learning opportunity. Recent studies at Oklahoma State University (OSU) compared the knowledge and abilities needed to accomplish fire safety skills with child development milestones. By looking at them together, we can effectively assess age appropriateness and teaching and learning methods that are best matched to key fire safety messages for young children. These are examples of the ways this inquiry has updated a common fire safety messages just by incorporating vocabulary that is more understandable for young children and using appropriate teaching methods: Preschoolers do not know the word plan that is used in the message, Make and Practice a home escape plan. But, Young children do understand the word, map and the meaning of fire drill. Using words children know works best. For example, say, make a home escape map. Practice your family fire drill. Four-year-old children may have the small motor skill to turn on a water faucet in a sink, but they do not have the cognitive capability to tell the difference between the hot water and the cold water. Therefore, cool a burn with cool water is not a message that four year olds can master on their own. This message is further complicated because not all faucets work the same and not all cold water is plumbed to the right hand side of a sink. Five years olds begin to know the right side from the left. Stop drop and roll (SD&R) is a fire safety skill commonly presented to elementary age students that is beyond the mastery of most preschoolers. Not until age 5 can a child follow directions with three parts and do it in the proper sequence and SD&R is a least a three part sequence. That s why SD&R is not a priority for children under age 5. Yes, children can repeat the slogan, SD&R, but they do not understand how and when to SD&R and they frequently demonstrate their lack of understanding with confusion about SD&R and the other fire safety message, crawl low under smoke. If a preschool teacher decides to teach SD&R remember these early childhood education best practices: 1. Repeat the lesson several times over several days. Reinforce it a few weeks later. 2. Children must practice this skill and will need adults to help them. 3. Ensure there is enough room for all of the children to practice preschool children can t wait in line for their turn 4. Outside viewing a fire truck is probably not a good place to learn this skill. The ground is rough, dirty, and not appropriate for this activity. Choose the classroom or gym. Dr. Jean Piaget promoted the concept that children are active builders of knowledge. Effective fire safety teaching uses this concept. OSU recommends teaching the messages in this sequence to capitalize on children building their knowledge: 1. Recognize a firefighter as a helper and friend. 2. Stay away from hot things that hurt. 3. Cool a burn with cool water. 4. Tell a grown-up if you find matches or lighters. Never touch! 5. Stop, drop, and roll if your clothes catch on fire. 6. Know the sound and purpose of a smoke alarm. 7. Practice a fire drill using your escape map. 8. Crawl low under smoke. Parents and caregivers are a big part of fire safety for young children. Recent studies have confirmed that most children up to age 11 do not wake up when smoke alarms beep. Adults responsible for children need to know that the family fire drill must include who will wake the children and help them escape. The time to escape a home fire is often only 2-3 minutes. Properly placed working smoke alarms and a family fire drill are critical. Help parents install a smoke alarm in every bedroom, outside each sleeping level and on every floor. Be part of planning and practicing the family fire drill in homes of children. AMERICAN BURN ASSOCIATION BURN & FIRE PREVENTION NEWS 5

6 The Power of Partnerships Tom Flamm, IAFF Burn Fund Coordinator The International Association of Fire Fighters is divided into sixteen districts. Three of the districts are in Canada, while the remaining thirteen are in the United States. All IAFF Charitable Foundation Burn Fund Coordinators are active/or retired fire fighters in good standing with their local affiliates and are all American Burn Association members. Since the creation of this position in late 2009, the mission and responsibilities of this group has evolved immensely. The District Coordinators uphold the long standing tradition of supporting IAFF members, their families, and their communities affected by burn trauma. Coordinators assist in organizing, facilitating, and supporting our members efforts and participation in burn prevention, awareness, fire safety, burn care, research, and survivor support activities while improving the quality of life for burn survivors across North America. They work closely with the IAFF Coordinator in Washington D.C. on many initiatives within the organization. In addition, these coordinators have been instrumental in creating a peer support program designed specifically for fire fighters and their families, with incredible assistance from the Phoenix Society for Burn Survivors. These coordinators assist with the fire fighter information being requested for the National Burn Registry to monitor Fire Fighter burn injuries. They recommend input for the First Responder Guide to Burn Injury Assessment and Treatment book (which was just updated with the help of the ABA and our Medical Advisory Board). Coordinators are responsible for collaboration with their local burn hospitals, local burn foundations, and their regional burn camps. Many of the coordinators are extremely active within their own local camps. The IAFF also sponsors the annual International Burn Camp held in the Washington D.C. area. A camper and counselor from each burn camp in the U.S. and Canada are invited to attend, all expenses paid. A special thank you to the American Burn Association for their partnership! Coming soon to the ABA Prevention website... A special task force of the ABA Burn Prevention Committee has been charged with compiling a list of large databases that may be helpful in epidemiologic or prevention research. It includes national, state and local resources that are ripe for use in secondary data analysis. The fact sheet lists the database, the web site and a brief description of the database. Take some time and browse this list, the ideas are endless. It provides a rich resource for collaboration with other researchers throughout the country. Upcoming Prevention-Related Training Since we are ever-expanding our professional network, here is a list of relevant upcoming prevention-related events and conferences: May 31 June 3: Principles and Practice of Injury Prevention, The Johns Hopkins, Baltimore, MD June 4 5: Demonstrating Impact with Mixed-Methods Program Evaluation, The Johns Hopkins, Baltimore, MD June 22 25: National Fire Protection Association Conference & Expo, Chicago, IL July 29 August 1: Safe Kids Worldwide Childhood Injury Prevention Convention, Washington D.C. September 9 12: American Association for the Surgery of Trauma Annual Meeting, Las Vegas 6 AMERICAN BURN ASSOCIATION BURN & FIRE PREVENTION NEWS

7 NATIONAL SCALD PREVENTION CAMPAIGN UPDATE: It Can Happen in a Flash with a Splash! B. Daniel Dillard, NSPC Coordinator Despite the fact that for decades burn injury incidence and severity have been on the decline, scalds remain a serious problem especially to very young children and older adults. In fact, between 2007 and 2013, the proportion of burn center admissions due to scald burns increased from 29.8% to 33.7%. Seventy percent of all burn injuries sustained by children 4 and under are from scalds. The American Burn Association Prevention Committee urges all ABA members to join us in the National Scald Prevention Campaign (NSPC) to reduce scald incidence. Under the leadership of the International Association of Fire Fighters, and in partnership with SafeKids Worldwide, the International Association of Fire Chiefs, the Federation of Burn Foundations and the ABA Prevention Committee, campaign materials have been created and can be accessed at Nearly all of the NSPC assets have been developed so that local, regional and even national organizations can co-brand by inserting their own logo. These assets include: Updated and referenced fact sheets; educational infographics; presenter s PowerPoint; educational video; video PSA s; social media posts; and tools for linking to other websites. Join the Campaign by visiting and using the tools provided there to reach your own constituency via social media, website links, and educational presentations. Encourage your network to share the posts. Scald Prevention is a cause that needs to go viral. The ABA is counting on you to help! Abstracts Made Concrete Eileen McDonald, Johns Hopkins University This is the first of what we hope to be a series of brief articles on the abstract process, from conception to construction to submission and review. Our goal is to educate and inform ABA membership and encourage and facilitate their participation in all aspects of the ABA. The word abstract is an adjective, a verb and a noun and each definition has relevance to creating an effective conference abstract. As a noun, abstract is a summary of the contents of a book, article, or in this context, a research study or prevention program. High quality conference abstracts highlight the most relevant aspects of the proposed work by identifying: 1) the problem being addressed or question being asked; 2) the methods or approaches used; 3) the results; and 4) the implications or conclusions of the work. A study underway or a half-completed project will make a poor abstract (and ultimately conference presentation) because the author will not be able to fully address all four points. As a verb, abstract means to consider something theoretically or separately from something else. While not compulsory, effective abstracts, especially of behavior change or prevention programs, will have a theoretical frame. Theories help both predict and explain behavior and include constructs that focus on interpersonal (e.g., individual characteristics), intrapersonal (e.g., processes between and among family, peers, friends) and community level (e.g., social rules, social networks, policies and laws) factors. A strong abstract offers a rationale for selecting the focus of change. Underpinning behavior change or prevention programs with a theoretical framework or selected theoretical constructs is evidence of a best practice approach and communicates to the abstract reviewer that the author is a consummate professional. Finally, as an adjective, abstract is defined as existing in thought or as an idea but not having a physical or concrete existence. Conference abstracts are more likely to be reviewed favorably by reviewers when their relevance to the conference target audience is crystal clear. It is always a good idea to carefully consider the appropriateness and relevance of the proposed work to the audience who will be attending the conference. By considering all three definitions of the word and applying them appropriately, abstract authors will increase their chances of being selected to participate as a presenter at future ABA meetings. Appropriate and relevant abstracts are the foundation upon which interesting, engaging and meaningful professional conferences are built. AMERICAN BURN ASSOCIATION BURN & FIRE PREVENTION NEWS 7

8 ABA Burn Prevention Schedule Monday, April 20 Wednesday, April 22 Firefighters SIG: 12:00 5:00 p.m. Williford C Sunrise Symposium: Outreach and Burn Prevention: Does it Work? 6:30 7:45 a.m. Boulevard B Epidemiology SIG: 3:00 5:00 p.m. Williford A Burn Camp SIG: 3:00 6:00 p.m. Marquette Federation of Burn Foundation SIG: Collaboration & Networking in the Digital Age 5:00 8:00 p.m. Boulevard A Tuesday, April 21 Burn Prevention SIG: The Power of Partnerships 8:00 a.m. 1:00 p.m. Williford A Burn Prevention Workshop: Pro/Con Debates on the use of graphic photos and burn survivors in prevention education 3:30 5:00 p.m. Boulevard B Firefighter Course I: Affects and Treatment of Carbon Monoxide and Related Incidents and an Update on Flame Retardant Chemicals 10:00 a.m. 12:00 p.m. Boulevard Thursday, April 23 Sunrise Symposium: Senior Burn Prevention 6:30 7:45 a.m. Williford C Firefighter Course II: Usage and Care of Thermal Imaging Cameras 10:00 a.m. 12:00 p.m. Boulevard Changing Places: 4:15 5:30 p.m. Waldorf Friday, April 25 Lunch Symposium: Burn Camp and Ethical Implications of Patients Smoking on Oxygen 12:15 1:45 p.m. Boulevard C People s Choice Poster Burn Prevention Booth This year s prevention posters will be on display and all are welcome to vote on their favorite poster for the People s Choice Award. Drop by, check out all the prevention posters and cast your vote! The booth will also have members from the prevention committee there to answer questions and provide information on the world of burn education and prevention. The burn prevention booth will be an exciting place to visit at this year s ABA. Not only are we conveniently located by the food and beverages but we ll be sharing a new interactive fire safety app that visitors will have the opportunity to check out. STOP, DROP and ROLL on over to the Burn Prevention booth and try to find all the fire hazards. You ll be entered to win a fabulous prize drawing, just for trying. Our team is committed to making your stop worthwhile. Coming in 2016 A new annual Burn Prevention/Epidemiology Best Paper Award Set to launch with the 2016 ABA Annual Meeting abstract submissions, this award will recognize original research studies which may address any single burn or fire prevention problem, a specific population, multiple etiologies, or epidemiology. Physicians, non-physicians, and students from all disciplines are encouraged to apply. The award recipient will receive an honorarium and an engraved plaque. SEE YOU AT THE BOOTH IN CHICAGO!

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