Geriatric Emergency Medicine
Dr. Don Melady
Geriatric emergency medicine activities continue to be a strong part of SREMI. Dr. Don Melady leads local, national and international projects related to education, knowledge translation, quality improvement and leadership. He also works closely with Dr. Jacques Lee and Dr. Shelley McLeod on multiple research projects pertaining to geriatric emergency medicine (EM).
The SREMI clinical fellowship in Geriatric EM, the only one of its kind in Canada, welcomed two fellows this year. One graduate, Dr. Rebecca Schonnop, will now be leading Geriatric EM programmes at the Royal Alexandra Hospital in Edmonton; the other, Dr. Lorraine Lau, will be doing the same in Montreal. Of note, Dr. Schonnop won a 2020 CAEP junior investigator grant for her qualitative research project on why we miss delirium in the ED and also won a 2020 Saul and Esther Baker Award in recognition of her excellent and outstanding contributions in the care of older patients. There are now SREMI fellowship graduates in leadership roles in six provinces across the country. Our first fellow, Dr. Audrey-Anne Brousseau, has led care transformation at the Université de Sherbrooke which has become the first accredited Geriatric ED in Canada. We are awaiting our first international fellow, Dr. Ranjeev Kumar from Singapore, whose arrival has been delayed by ten months due the global COVID-19 pandemic. The fellowship’s reputation is now attracting EM residents as electives from across the country, this year we have five residents completing electives with us. Additionally, we are very pleased to announce that Dr. Thom Ringer has joined the SREMI team to collaborate with Dr. Melady in further developing our Geri EM offerings.
Dr. Melady continues his national projects, as co-chair of the CAEP Geri EM committee which is producing a policy statement for CAEP on care of older patients in Canadian EDs. Outside of Canada, he works with the American Geriatric ED Collaborative where he led the creation of its website; a series of international webinars (with monthly attendance of around 200); and system interventions at UCSD, San Francisco hospitals, the Mayo Clinic, and the Veterans Administration. Many international teaching activities (Costa Rica, Chile, Turkey, Argentina) were curtailed this year because of COVID; but he presented virtually at the annual conferences for the European Society of Emergency Medicine and American College of Emergency Physicians. After four years as the chair of the Geriatric EM Committee at the International Federation of Emergency Medicine, he has been appointed the chair of its Clinical Practice Committee, responsible for coordinating educational material and projects across all areas of practice, including geriatric care, to support EM systems around the world. With an American co-author, Dr. Melady has a contract with Cambridge University Press to write a book: Creating a Geriatric ED, the practical guide. It is scheduled for publication in August 2021.
Dr. Melady would like to thank Ms. Penny Rubinoff and Bill and Cathy Graham for their generous support towards the Geriatric Emergency Medicine Program at SREMI.