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Injury Control and Emergency Health Services
Section Newsletter
Spring 2010

Position Announcement with Marshfield Clinic


National Children’s Center for Rural & Agricultural Health & Safety

National Farm Medicine Center,

Marshfield, Wisconsin


The National Children’s Center for Rural & Agricultural Health & Safety (NCCRAHS), Marshfield Clinic Research Foundation, has initiated a search for a Project Scientist to serve as a key staff member with excellent opportunities for career growth.  The Project Scientist will be responsible for directing and managing selected projects affiliated with NCCRAHS.  The Project Scientist will work closely with the Principal Investigator regarding Center priorities and is expected to acquire additional leadership responsibilities over time. 


Major responsibilities include:

  • Oversee NCCRAHS project activities working with internal and external project collaborators.
  • Develop project timelines, organize and facilitate study meetings, and monitor project progress.
  • Prepare funding agency and IRB reports.
  • Participate in strategic planning for childhood agricultural safety initiatives.
  • Serve as a spokesperson and liaison at national conferences and advisory board meetings.


The position requires a PhD or equivalent degree in public health, education, agricultural safety or a related field with an emphasis in child development and/or occupational safety plus a minimum of three years work experience in agriculture or a pediatric injury prevention field.  

Community Information

Marshfield Clinic is a multi-specialty group practice with 775 physicians in 41 locations.  Its main campus is located in Marshfield, a welcoming community of 20,000 in central Wisconsin.  Marshfield provides an excellent environment for raising a family with exceptional primary and secondary schools, as well as recreational opportunities surrounded by rural landscapes.

The University of Wisconsin Agricultural Research Station and USDA Institute for Environmentally Integrated Dairy Management are located in Marshfield, providing collaborative research opportunities along with the University of Wisconsin (Wood County) and Mid-State Technical College. 


For more information please contact: Marlene Stueland, Manager, National Farm Medicine Center, Marshfield, WI  54449.   Phone: (800) 662-6900 or E-mail:




Marshfield Clinic is an Equal Opportunity/Affirmative Action Employer M/F/D/V


New Book on CDCs EIS

Author Mark Pendergrast has published a new book entitled Inside the Outbreaks, which provides a history of the Epidemic Intelligence Service of the Centers for Disease Control and Prevention. According to Mark, the book covers (among many other topics) the development of the CDC efforts to prevent violence and injuries. Additional information can be found at: .

New Book by ICEHS Member Anara Guard

Longtime active ICEHS member Anara Guard has published a new book entitled The Sound of One Body. Excerpts from her book and information on how to obtain a copy can be found at . Below is a description of the book taken from Anara’s website:


The four stories in this compact, haunting collection mark the debut of a unique voice in fiction. A step made at the wrong time; a morning drive with an ever-more circuitous route; a barside conversation that reveals a little too much; Anara Guard's fiction is a window into the kaleidescope of incremental actions that carry the greatest consequences. Powerful, arresting, and insightful, "The Sound of One Body" is a universe distilled, a vision of compassion amidst darkness that is not to be missed.

Graduate Occupational Safety and Health Training Opportunities

Masters' and Doctoral Training Opportunities

Midwest Center for Occupational Health and Safety Education and Research Center

University of Minnesota


The mission of the Midwest Center for Occupational Health and Safety (MCOHS) Education and Research Center (ERC) is to ensure a Center of Excellence that provides: 1) cutting-edge interdisciplinary academic and research training to prepare exceptional leaders who make significant contributions to the field of occupational health and safety; and 2) continuing education to prepare occupational health and safety professionals to address current and emerging threats to the nation's workforce. This ERC, one of 17 nationwide, was designed in response to a mandate of the National Institute for Occupational Safety and Health -- to provide an adequate supply of qualified personnel to carry out the purposes of the Occupational Health and Safety Act and reduce the national burden of work-related injury and illness. The MCOHS provides graduate degree programs, continuing education and outreach activities, and serves as a regional resource for industry, labor, federal, state, and local government agencies, agriculture, and other interested parties.


Graduates are prepared to assume positions in various institutions including academic institutions, corporate and industrial settings, health agencies, and health care facilities. Tuition and stipends are available to eligible applicants.


For more comprehensive information, visit:


~Sue Gerberich

Career Opportunity with AAA

AAA Foundation for Traffic Safety Director of Research


Career Opportunity – Transportation Safety; Public Health; Research and Development


The AAA Foundation for Traffic Safety – the not-for-profit research affiliate of AAA – is seeking a Director of Research to join its team.  Located in downtown Washington, D.C., conveniently accessible via public transportation, the Foundation works on enhancing traffic safety by conducting research and developing educational products. This senior management position would have responsibility to plan, manage, and direct research and development projects, ensure the quality of Foundation research, foster collaboration with other organizations, and represent the Foundation before national organizations and the media. 


Requirements: At least eight years of experience and a graduate level degree (PhD preferred) in a relevant field, such as transportation safety, highway engineering, human factors, statistics, or public health (PhD preferred). Knowledge of research methodologies and analysis techniques. Familiarity with national and state traffic safety data. Ability to manage multiple projects, both independently and with a team.  Excellent communication skills.


Competitive salary and benefits available.


If interested, send cover letter and resume to or HR c/o AAA Foundation for Traffic Safety, 607 14th St. N.W. Suite 201, Washington, D.C. 20005.  

Agency for Healthcare Research and Quality Announcements


More Than Half of All Hospital Procedures Are Done Outpatient


Nearly 58 percent of the surgeries performed in hospitals were done as outpatient procedures, according to a recent report from the Agency for Healthcare Research and Quality.


In outpatient surgery – also called ambulatory or same-day surgery – patients normally require hospital care for less than 24 hours. These operations are increasingly being used because advances in surgical technology and anesthesia enable surgeons to perform many operations formerly limited to inpatient care.


The federal agency's analysis of data available from 28 States found that in 2007:

·         Charges for outpatient procedures were seven times lower than for inpatient ones. The average hospital charge for an outpatient procedure was $6,100 in 2007, compared with $39,900 for an inpatient procedure.

·         Hospital outpatient surgery charges totaled $55.6 billion, compared with $259 billion for inpatient surgeries.

·         Colonoscopies and resulting biopsies were the most frequently performed outpatient procedure (18 percent of all ambulatory procedures), followed by upper gastrointestinal endoscopies and related biopsies (11 percent), lens and cataract procedures (5.5 percent), and diagnostic cardiac catheterization (4 percent).


These findings are based on data described in Hospital-Based Ambulatory Surgery, 2007. The report uses statistics from 28 states that provide data to the Healthcare Cost and Utilization Project State Ambulatory Surgery Databases and their corresponding State Inpatient Databases. These databases provide information on hospital-based ambulatory and inpatient surgeries performed in short-term, acute care hospitals.



Patients Admitted to Hospitals on a Weekend Wait for Major Procedures


According to another  recent report from AHRQ, of the 8 million patients who were admitted to U.S. hospitals on weekends in 2007, approximately one-third received major procedures on the day of admission.  In comparison, patients who were admitted on weekdays received 65 percent of all major procedures on their first day in the hospital.


Patients were approximately 2.5 times more likely to be admitted on weekends because of emergencies such as heart attack, stomach bleeding, fractures or internal injuries than patients hospitalized on a weekday (28 percent versus 11 percent).  In addition, 65 percent of patients admitted on a weekend were initially seen in hospital emergency departments, compared with 44 percent of weekday-admitted patients.


The analysis also found that:


·         Sixty-four percent of heart attack patients admitted on a weekend had a major cardiac procedure — such as angioplasty or heart bypass surgery — performed by the second day of their hospitalization, compared with 76 percent of heart attack patients admitted on a weekday.


·         In comparison to weekday admissions, a smaller share of weekend admissions received treatment on the day of admission for back surgery (35 percent versus 90 percent); angina (23 percent versus 37 percent); gallbladder removal (23 percent versus 32 percent); and hernia repair (54 percent versus 68 percent).


·         Weekday admissions were often planned in advance: 99 percent of admissions for osteoarthritis and 93 percent of those for back problems occurred on weekdays.


·         About 2.4 percent of patients admitted on a weekend died in the hospital, compared with 1.8 percent of patients admitted on a weekday.


These findings are based on data described in Characteristics of Weekday and Weekend Hospital Admission.  The report uses statistics from the 2007 Nationwide Inpatient Sample, a database of hospital inpatient stays that is nationally representative of inpatient stays in all short-term, non-federal hospitals. The data are drawn from hospitals that comprise 90 percent of all discharges in the United States and include all patients, regardless of insurance type, as well as the uninsured.


Hospital Charges For the Uninsured Up Substantially


The amount that hospitals charge the uninsured for inpatient care grew by 88 percent between 1998 and 2007, according to another recent AHRQ report.  After adjusting for inflation, the average charge for an uninsured hospital stay increased from $11,400 in 1998 to $21,400 in 2007.


The analysis found that:


·         From 1998 to 2007, the number of uninsured hospital stays increased by 31 percent, which far exceeds the 13 percent overall increase in hospital stays during the period.


·         The percentage of uninsured hospital stays increased the most in the South, rising from 5.8 percent to 7.5 percent.  In contrast, in the Midwest, the percentage of uninsured hospital stays declined from 4.7 percent to 4.0 percent.


·         The top reason uninsured patients were hospitalized was for childbirth. In 2007, roughly a quarter of a million uninsured women gave birth in hospitals. This was followed by depression and bipolar disorder (94,300); chest pain with no observed cause (77,000); skin infections (which more than doubled from 31,000 to 73,300); and alcohol-related disorders (66,600).


These findings are based on data described in Trends in Uninsured Hospital Stays, 1998-2007.  The report also uses statistics from the 2007 Nationwide Inpatient Sample.

                                                                                                                                     ~P. Hannah Davis

A Note on Transportation Issues from APHA

APHA Initiatives on Transportation and Public Health

As we all appreciate, our health is profoundly affected by our transportation decisions and options. Limited opportunities for physical activity, higher exposure to poor air quality, higher incidences of adult and childhood obesity and greater prevalence of asthma and cardiovascular disease are a few of the inequities brought by poor transportation policies.

As part of our effort to enhance crosscutting activity and knowledge among various APHA members and sections, APHA is developing advocacy materials and helpful information related to the links between transportation and public health. If anyone is interested in learning more about this initiative, sharing success stories or lessons learned, or establishing a new Forum on Transportation and Public Health, please reach out to us!

Interested members are asked to contact Eloisa Raynault at