institutional systems, governance and physician participation in institutional management, and policy making. His research has focused extensively on interorganizational arrangements in the health care sector and includes studies of integrated health care systems, public–private partnerships, physician–organization arrangements, and multihospital systems. His recent publications have appeared in Health Services Research, The Milbank Quarterly, Medical Care Research and Review, Administrative Science Quarterly, and Journal of Health and Social Behavior.

Paul D. Blanc, M.D., M.S.P.H., is a professor of medicine and Endowed Chair in Occupational and Environmental Medicine in the Division of Occupational and Environmental Medicine at the University of California–San Francisco. He is a member of the Toxic Air Contaminant Scientific Review Panel of the California Air Resources Board and associate medical director of the California Poison Control System, San Francisco Division. Dr. Blanc is board certified in occupational medicine and internal medicine and holds a certificate of added qualifications in medical toxicology. His current research interests are in the epidemiology of occupational lung disease and occupational toxicology, especially in terms of pulmonary responses. He has authored several reports based on poison control surveillance.

Dennis Emerson, R.N., B.S., is a nurse in the emergency department of Saint Luke’s Regional Medical Center in Boise, ID. He has served as an emergency department nurse for 23 years and was a nurse at the Idaho Poison Control Center for 8 years. Mr. Emerson is an active member of the Emergency Nurses Association and former member of the Pediatric Resource Group. He is an instructor for three courses: Emergency Nursing Pediatric Course, Trauma Nurse Core Course, and Advanced Cardiac Life Support. He is a Certified Poison Information Specialist and an instructor in hospital operations training for hazardous material exposure.

Jerris R. Hedges, M.D., is professor and chair, Department of Emergency Medicine, Oregon Health and Science University, Portland. He is internationally recognized for his contributions to the development of emergency medicine as a scientific discipline. His book, Clinical Procedures in Emergency Medicine, helped define the discipline and set the standard for evidence-based practice texts addressing clinical procedures. Dr. Hedges’ research broadly encompasses the field, and his work on transcutaneous cardiac pacing in the early 1980s helped introduce that modality into daily emergency practice. His evaluations of Oregon trauma care have helped clarify the impact of systems of trauma care on clinical outcomes.

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