Marcel Émond

CAEP Research Gave Me a Good StartEmond_Marcel

As a previous recipient of a CAEP (Canadian Association of Emergency Physicians) Research Grant, I would like to tell you how important it is to ensure that this award continues. I believe this grant helps young researchers and should be supported by CAEP members and others.

At the beginning of my research career, in 2002, I received a research grant from the CAEP for a project entitled ‘’Clinical predictive factors for a concomitant fracture in patients with anterior shoulder dislocation’’. I believe this grant helped me building my research program and my team. It also allowed me to write my very first publication in a peer reviewed journal1 and complete my Masters thesis in clinical research at Université Laval in Québec. I was still a resident at that time, and it was encouraging to get supported by our national association.

The work done on the project that was funded by CAEP was the basis of a shoulder dislocation rule in ED and has lead to subsequent derivation and validation phases. Moreover, my first research project funded by CAEP has evolved to international collaboration. In the past few years, myself and Dr. Hendey at University of California in San Francisco have worked in parallel in order to establish a clinical decision rule for the use of pre and post reduction radiograph for patients with anterior shoulder dislocation in the emergency department. We were able to demonstrate a decreased use of radiographs pre-reduction of 30% and of 80% post-reduction. The refinement of this Québec decision rule for radiography in shoulder dislocation led to another publication in a peer-reviewed journal in 20092. We are now in the process of validating the clinical decision rule, which could allow a better use of radiological resources in the emergency department.

Predictive tools like clinical decision rules are an important part of my research program. In the years following the CAEP grant, I initiated and participated in many other projects, which led to other publications and scientific collaboration.  Since 2004, I hold and share over $5 million in research grants. I am a principal investigator, co-investigator and collaborator on various projects pertaining to the development of clinical decision rules and health care delivery with teams of international renown. He has specific training in health care benchmark and recursive partitioning analysis, a technique that is essential to the development of clinical decision rules.

I currently lead a Canadian Institute of Health Research (CIHR) funded team, the Canadian Emergency Department Team Initiative (CETI), which aims to address the existing gap between current knowledge on decline of mobility among previously independent seniors following minor injuries and ED practice and out-patient health resources. The CETI includes seven Canadian universities, 10 participating ED sites and international experts. More recently, in 2012, I received funding from a CIHR operating grant for a study, which seeks to complete the derivation of a clinical decision rule to predict functional decline among independent elders seen for minor injuries in the emergency department. The later includes new avenues of biomarkers and functional assessment to allow better delivery care to elders.

I could say “THAT CAEP research grant did give me a very good start!”

Thanks! I hope every future resident in EM research gets one!

1. Emond M, Le Sage N, Lavoie A, Rochette L.
Clinical factors predicting fractures associated with an anterior shoulder dislocation. Acad Emerg Med. 2004 Aug;11(8):853-8.2 Emond M, Le Sage N, Lavoie A, Moore L.
Refinement of the Quebec decision rule for radiography in shoulder dislocation. CJEM 2009 Jan;11(1):36-43.

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