2019-2020 SAEM BYLAWS COMMITTEE CANDIDATE STATEMENTS
Candidate statements are listed in alphabetical order.
Nikhil Goyal, MD
Henry Ford Wyandotte Hospital
Henry Ford Health System, Detroit, Michigan
I completed a combined residency in emergency medicine (EM) and internal medicine (IM) at Henry Ford Hospital in Detroit in 2006. Currently, I am ABMS-certified in EM, IM and clinical informatics. My primary academic appointment is clinical associate professor of internal medicine and emergency medicine at Wayne State University. On a national level, I serve as chair of the Accreditation Council for Graduate Medical Education (ACGME) Transitional Year Review Committee and section editor for technology in emergency medicine at WestJEM. I am the program director of the Henry Ford Hospital combined EM/IM and combined EM/IM/critical care residency programs and was recently appointed director of medical education of Henry Ford Wyandotte Hospital. My research has focused on medical education outcome assessment and using technology in health care. Within SAEM, I am chair of the SAEM Web Evolution Committee and have been a member of that committee since 2009. I was honored to be invited by SAEM to participate in the 2018 Strategic Planning Session and have been involved in the SAEM Taskforce on Digital Innovation. I am also member of the SAEM External Collaboration Committee, was part of the writing group for the 2012 Academic Emergency Medicine (AEM) Consensus Conference on education research and was selected as one of four outstanding peer reviewers for Academic Emergency Medicine Education and Training (AEM E&T) in 2017.
Bylaws are the guardrails that establish structure and process yet provide sufficient freedom to innovate and grow. They ensure fairness and transparency and they focus SAEM’s board of directors on our mission to lead the advancement of academic emergency medicine. Working with the ACGME and with our institutional policies has helped me understand the importance of using unambiguous language and making explicit efforts to convey the spirit of the law. Our bylaws may not address every contingency, but they should provide guidance to our board and our membership.
If elected, I would like to work with the members of the committee and the board to examine our rules regarding conflicts of interest. It may be useful to clarify whether a conflicted member may participate in a discussion of the matter under consideration (permitted under VIII.3 but perhaps not under VIII.2 or IX.2.h). Additionally, we should establish a process for adjudication of apparent conflicts. I would also like to explore whether our bylaws should incorporate the diversity, equity, and inclusion principles espoused in the SAEM Statement on Diversity and Inclusion.
Thank you for your consideration. I am committed to helping our Society be the premier organization for developing academic leaders in emergency medicine education and research.
James H. Paxton, MD, MBA
Department of Emergency Medicine
Wayne State University/Detroit Medical Center
I received both my my master’s degree in business administration (2004) and the doctor of medicine (2005) degree from the University of Cincinnati, prior to completing emergency medicine (EM) residency at Henry Ford Hospital (Detroit, MI). I have been on faculty at Wayne State University (WSU) School of Medicine since completing residency, and am currently completing my second, three-year term as chair of the WSU Institutional Review Board (IRB), in addition to serving as the director of clinical research at Detroit Receiving Hospital. Since joining SAEM in 2009, I have been quite active in the SAEM Research Committee and SAEM Grants Committee. During this time, I have served as chair or co-chair of multiple subcommittees, including the Simulation Academy Novice Research Grant (SANRG), Education Research Grant (ERG), Research Learning Series (RLS), Advanced Research Methodology Evaluation and Design (ARMED), New Grants Development, and the Waiver of Informed Consent (WIC).
Over the last 10 years, I have developed a profound appreciation for the importance of SAEM to the national and international emergency medicine community. This organization represents a wonderfully diverse group of health professionals who have all agreed to work together to support and advance the practice of emergency medicine. The bylaws for SAEM help to provide structure for that collaborative effort, but this document is more than just the rules by which our non-profit corporation functions. The bylaws preserve the guiding wisdom of our predecessors, and represent the product of 30 years of shared history, purpose, and hard work by SAEM members. But they cannot be immutable. While we must maintain the integrity of these rules and regulations, progressive organizations like SAEM must sometimes change. If elected to the SAEM Bylaws Committee, I will review proposed changes to the bylaws for their, “potential merits, adverse consequences and legal implications.” This is an awesome responsibility, but one that I believe will afford me a rewarding opportunity to contribute to the present and future success of our organization. If elected, I hope to balance the need for consistency and tradition in our bylaws with the need for revisions that reflect the changing needs and expectations of our members. It is important that we achieve this often elusive balance between too much, and too little, change. As a member of the SAEM Bylaws Committee, my primary goal will be to ensure that SAEM’s bylaws continue to reflect the true nature of our current constituency while providing an enduring blueprint for future success.