Learning - the Regions Hospital Emergency Medicine Residency

Transcription

Emergency Medicine Residency
2011 Annual Report
Learning in a Complex Adaptive System
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Contents
Letter from the Director........................................................1
Pediatric EM Fellowship..................................................... 15
Department Head Update...................................................2
Toxicology.............................................................................. 16
Letter from the Chief Residents.........................................3
Quality & Patient Safety Fellowship................................ 17
Resident Spotlight..................................................................3
In Memory............................................................................. 17
Class of 2014...........................................................................4
Regions Foundation EM Residency Fund....................... 17
Current Residents..................................................................5
Medical Student Program.................................................. 18
Residency Presentations......................................................5
Grants & IRB Approved Studies....................................... 19
Faculty Spotlight.....................................................................6
IME Awards.......................................................................... 20
Residency Timeline................................................................6
Scholarly Activity................................................................. 21
Regions Faculty.......................................................................7
EM Graduates...................................................................... 24
Coordinators............................................................................8
New Faculty.............................................................................8
Nursing Education..................................................................9
Emergency Center Operations...........................................9
Physician Assistant Residency.........................................10
Crisis Program.......................................................................10
Habits of Lifelong Learning................................................. 11
Didactic Curriculum............................................................ 12
Ultrasound.............................................................................. 13
Simulation.............................................................................. 13
EMS..........................................................................................14
International Fellowship..................................................... 15
Class of 2014
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Program History
Robert Knopp, MD founded the Regions Hospital
Emergency Medicine Residency in 1994. Before
arriving in St. Paul, he served as the residency
director at Valley Medical Center in Fresno, CA for
17 years. The first class of residents at Regions
began their training in 1996. Felix Ankel, MD, has
been involved with the residency program since
its inception and became residency director in
July 2000. As of July 2011, the EM residency has
graduated 108 residents from 39 medical schools
who now practice in 20 states. Regions faculty
are graduates of 13 different EM residencies.
Letter from the Director
Felix Ankel, MD
W
elcome to the 2011 Regions Hospital Emergency Medicine
Residency annual report. I am delighted to highlight
some of our residency’s accomplishments from this past
year. Our activities center around our mission: to incorporate the
Institute of Healthcare Improvement’s Triple Aim (quality, experience,
and stewardship) into our daily practice. Our mission is guided
by the Baldridge Educational Criteria for Performance Excellence
(www.quality.nist.gov) and includes best practices in leadership,
strategic planning, stakeholder focus, measurement, analysis, process
management and results.
We salute our residents who were involved in leadership activities
in 2011:
* Autumn Erwin (’11) continued her service on ACEP’s EMS
Committee.
* Kara Kim (’11) co-presented “Quality: A New Academic Career”
at CORD Academic Assembly and SAEM Annual Meeting. She also
presented multiple posters at AAMC Integrating Quality Meeting
and AIAMC Annual Meeting.
* Katie Davidson (’11) continued her work as associate medical director
of the EMS Academy (www.ehs.net/emsacademy/), an intensive Emergency Medical Technician (EMT) and
firefighter awareness program designed for low income youth ages 18-21.
* Clint Hawthorne (’12) continued to serve on the Board of Directors for the East Metro Medical Society.
* Kate Katzung (’12) continued her service as residency representative to the AAEM-RSA
* Tolu Oyewo (’13) serves as the resident representative of the HealthPartners IME EBAN Emergency Medicine
project, focusing on healthcare disparities and ED pain management (www.ebanexperience.com).
We recruit resident applicants who extend their activities beyond clinical shifts and positively impact their environment.
In 2011, residents were co-investigators on five grants and IRB-approved studies, co-authors of three peer-reviewed
articles, and presenters of 10 regional and national scientific presentations.
Our residency is designed to operate as a complex adaptive system (www.plexusinstitute.org). We train our
residents to manage the bridge between the rescue care of emergency medicine and the health of populations
(www.improvingpopulationhealth.org). We complement the transfer of knowledge with the transfer of meaning in a
connected environment with our extended residency community. Our yearly conference schedule includes an advocacy
and ethics conference at the State Capitol, an institutional core competency conference, and an alumni day conference
where our residents mine the wisdom of our graduates. The 2011 residency retreat focused on using web 2.0 to facilitate
education, maximizing healthcare delivery education, quality program design, and integrating formalized resilience
training. Residency graduates can now choose from five fellowships offered through our department and the IME:
medical toxicology, peds-EM, prehospital/EMS, quality and patient safety, and international emergency medicine.
This year, we matched another competitive class of residents featured in this report. Our goal is to incorporate the
highest level of professionalism and humanism into our interactions with patients and members of the healthcare team.
We are grateful for the support of our many residency partners and look forward to training the emergency medicine
providers of the future.
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Department Head Update
Kurt Isenberger, MD
2011 HealthPartners Excellence in Education award. Karen
Quaday, MD received the 2011 HealthPartners Clinical
Excellence in Specialty Care Award, and RJ Frascone, MD
received the 2011 HealthPartners Excellence in Research
award. Best research project, best clinical pathology case
history presentation and analysis awards were given to
our toxicology team of Sam Stellpflug, MD, Joel Holger, MD,
and fellow Jon Cole, MD during the 2011 North American
Academy of Clinical Toxicology conference.
Regions Hospital and HealthPartners are leaders in quality
medical care. In 2011 we welcomed Kara Kim, MD (’11) as
our first Quality and Patient Safety Fellow.
Drs. Kim and Drew Zinkel have been asked to present
curriculum development in quality and patient safety for
resident education nationally and internationally. Their
interactive presentation “Quality, A New Academic Career”
was presented at SAEM during the “best of CORD” session.
T
he Regions Hospital Emergency Center continues to
play a critical role in emergency care throughout the
Twin Cities east metro and western Wisconsin communities. This significant impact is made possible through
the efforts of our dedicated staff and those we teach.
A mission of our department is to incorporate the IHI’s
triple aim (quality, experience, stewardship) into our daily
practice and guide our academic focus. 2011 was another
productive year for our ED faculty, who continue to obtain
internal and external research grants, present nationally
and internationally and publish peer-reviewed manuscripts, electronic publications and book chapters. Faculty
are involved in leadership activities within the hospital and
community. They have major involvement in national and
international specialty societies serving as academic peer
reviewers, committee members, board members, an ABEM
item writer, and oral board examiners. We welcomed Dr.
Aaron Burnett to our faculty.
Many faculty members received recognition for their work
beyond the confines of our emergency department. Felix
Ankel, MD was recognized for his outstanding contribution to medical education with the 2012 Parker J. Palmer
Courage to Teach award. Jessie Nelson, MD received the
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Our emergency center operations, nursing, crisis program,
toxicology, EMS, ultrasound, simulation, sexual assault
nurse examiner program, and research section continue
to be strengths of our educational experience for both
residents and medical students. We have a lot to be proud
of in 2011. I look forward to leading the emergency department’s vision to be the center of excellence for quality
emergency care, education and research in 2012.
Chief ResidentS’ UPDATE
Here at Regions, we pride ourselves on our ability to evolve
as the world of medicine changes. We have made a concerted
effort to involve our residents in quality and performance
improvement projects, and this exposure is critical with
the growing focus on quality metrics and evidence based
healthcare delivery. We also have an administrative curriculum that allows the ROD, or resident of the day, a chance to
experience the administrative side of emergency medicine
and the hospital as a whole. This too is critical to preparing to
practice in our increasingly dynamic healthcare system.
We have expanded our educational opportunities with
focused, “back to the basics” teaching at morning sign-out and
by inviting more consultants to participate in Critical Case,
our signature interactive teaching session during Thursday
morning conference.
Bjorn Peterson, MD x JR Walker, MD x Casey Woster, MD
to Toxicology, Pediatric Emergency Medicine, Quality and
EMS throughout our three years of training, as our program
is affiliated with fellowships in each of these areas.
We also continue to have the excellent critical care experience
that is a key component of our training – through 6 weeks in
the SICU every year, 1 month in the MICU 1st and 2nd year,
and caring for critically ill medical and trauma patients in
the ED.
And, as always, we have lots of clinical exposure and great
faculty teaching in an environment that is challenging yet
supportive, helping us grow to provide excellent health care
to our patients in the ED and to our community.
We are continuing the longitudinal integrated intern
rotation involving anesthesia/ultrasound (affectionately
known as “ultrasthesia”). We also have fantastic exposure
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resident Spotlight: Adetolu Oyewo, MD
Dr. Oyewo was highly recruited into our residency, and we were delighted that she
matched with us in 2010. After graduating from the University of Minnesota in 2005
with a Bachelor of Science in Biochemistry, Tolu entered Mayo Medical school in 2006.
As a medical student, Dr. Oyewo distinguished herself as a leader, contributor and
scholar. She served as treasurer and president of the Mayo chapter of SNMA, participated in a mission trip in Thomonde, Haiti through Project MediShare, was involved in
more than 10 national scientific presentations, and was first author of four abstracts.
Dr Oyewo has continued with her leadership and service while a resident. She is a
integral part of an emergency department EBAN team looking at health care disparities
and acute pain management (www.ebanexperience.com). The EBAN Experience is a
team-based collaborative that focuses on improving health disparities through community dialogue, experiential education and quality improvement projects.
Dr. Oyewo is also the resident member of the Regions Hospital/IME team for the
Alliance of Academic Medical Centers’ (AIAMC) National Initiative III - improving
patient care through medical education (www.aiamc.org/ni-overview.php). The goal of
NI-III is to develop teaching leadership and change organizational culture to suppport
quality improvement initiatives.
Dr. Oyewo returned to Haiti in November with Project Medishare at Bernard-Mevs hospital in Port-au-Prince. She will undoubtedly
continue to serve her patients and community well and leave her mark nationally in addressing healthcare disparities in the emergency
department. We are fortunate that she is part of the Regions family.
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class of 2014
Michael Bond, MD
Jenna LeRoy, MD
BS - Chemical Engineering - University of
Wisconsin-Madison
BS - Integrative Physiology - University
of Iowa
MD - University of Minnesota
Alpha Omega Alpha Honor Society
Interests: running, swimming, biking,
basketball, weightlifting, spending time with his two
daughters
Ryan Bourdon, MD
BS - Mechanical Engineering - Michigan
Technological University
MD - University of Wisconsin
Gold Humanism Honor Society
Interests: wilderness backpacking, travel,
running, cycling
Eric Ellingson, MD
BA - Biology - Luther College
Phi Beta Kappa Honor Society
Interests: Triathlons, running, cycling,
downhill and xc skiing, backcountry snowshoeing,
backpacking, traveling, kayaking, guitar, piano
Marc Ellingson, MD
BA magna cum laude - Chemistry St. Olaf College
MD - Creighton University
Phi Lambda Upsilon Honor Society
(chemical studies)
Theta Alpha Kappa Honor Society (theological & religious
studies)
Interests: Running, cycling, triathlons, backpacking, skiing,
snowshoeing, traveling, photography, piano, singing
Kyle Holloway, MD
BA - Psychology - St. John’s University
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Interests: mountain biking, trail building,
road cycling, snow boarding, camping,
trail running, traveling
MD - University of Iowa
and cooking
Interests: travel, volleyball, running,
wakeboarding, snow skiing, rock climbing,
Brian Roach, MD
BA - Biology & Biomedical Studies St. Olaf College
MD - University of Wisconsin
Interests: camping, hiking, running, skiing,
golfing, fishing, traveling, piano, kayaking
Kelsey Shelton-Dodge, MD
BA cum laude - Biochemistry - Rice
University
MD - Mayo Medical School
Interests: cycling, SCUBA diving,
international travel
Jason Van Valkenburg, MD
BA - Biology - Concordia College Moorehead
MD - University of North Dakota
Gold Humanism Honor Society
Interests: soccer, coaching, running,
hunting, water sports, and spending time with family
David Warren, MD, MPH
BS - Zoology & Spanish - University of
Wisconsin
MPH - Public Health Administration &
Policy - University of Minnesota School
of Public Health
MD - University of Texas - Houston
Sigma Delta Pi Honor Society (Spanish)
Interests: outdoor activities, running, marathons, cooking,
home-brewing, international travel
Current Residents
Class of 2012
Peter Baggenstos, MD
Eric Dahl, MD
Tyler Ferrell, MD
Clint Hawthorne, MD
Katherine Katzung, MD
Bjorn Peterson, MD
Jerome Walker, MD
Benjamin Watters, MD
Casey Woster, MD
Undergraduate
University of Notre Dame
University of Minnesota
Brigham Young University
University of Iowa
Montana State University
Bethel University
College of the Holy Cross
Wheaton College
Creighton University
Class of 2013
Amanda Carlson, MD
Jodi Deleski, DO
Zabrina Evens, MD
Rebecca Gardner, MD
Gary Mayeux, Jr., MD
Sonali Meyer, MD
Adetolu Oyewo, MD
Darcy Rumberger, MD
Joseph Walter, MD
Wendy Woster, MD
Medical School
Morehouse School of Medicine
Medical College of Wisconsin
University of Iowa
Loma Linda University
Undergraduate
Medical School
University of Minnesota-Duluth
University of Minnesota, University of Miami University of Minnesota
St. John’s University
University of Michigan
Lewis & Clark College
Arizona State University
Nova Southwestern University COM
Temple University
Louisiana State University
Mayo Medical School
University of Florida
St. Louis University
Class of 2014
Undergraduate
Medical School
Michael Bond, MD
Ryan Bourdon, MD
Eric Ellingson, MD
Marc Ellingson, MD
Kyle Holloway, MD
Jenna LeRoy, MD
Brian Roach, MD
Kelsey Shelton-Dodge, MD Jason Van Valkenburg, MD David Warren, MD, MPH
University of Wisconsin
Michigan Technological University
Luther College
St. Olaf College
St. John’s University
University of Iowa
St. Olaf College
Rice University
Concordia College-Moorhead
University of Wisconsin University of Minnesota
University of Iowa
Mayo Medical School
University of North Dakota
University of Texas-Houston
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Residency Presentations 2011
The Regions Hospital Emergency Medicine Residency supplements
the clinical learning experience with lectures, workshops and procedural
skills labs that are open (space permitting) to all residents, faculty,
students, alumni, nurses, physician assistants, consultants and others
from our residency community to share and discuss new knowledge.
Number of lectures: 221
Hours of attendance: 5399 resident hours
Number of workshops: 48 workshops were taught to 32 rotating
residents, 179 medical students and 21 PA students.
Number of labs: 34 residents participated in 10
procedural skills labs
Eric Dahl, MD using latest presentation technology
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Faculty Spotlight: Michael Zwank, MD
Can Bucky Badger really be practicing emergency medicine at Regions?
Indeed! Before entering medical school, Dr. Mike Zwank served as the
Bucky Badger mascot for the University of Wisconsin. After finishing his
residency at Boston Medical Center, where he served as chief resident,
Dr. Zwank joined our faculty in August of 2006. He serves as the ultrasound
education director and has been instrumental in developing the ultrasound
curriculum and fostering resident scholarly activity.
Mike has a strong following of his ultrasound program - not surprising,
since he has been a registered diagnostic medical sonographer since 2009.
He instituted a longitudinal ultra-sthesia curriculum for the intern class,
where residents intubate in the OR in the morning and perform bedside
ultrasound exams in the ED in the afternoon over a 12-month period.
He collaborates with HCMC in offering a bedside ultrasound course for
medical students, and many senior residents choose to spend their elective
time honing their bedside ultrasound skills with Mike. A recognized
educator, he has been the recipient of both the Apple Award for medical
student education, and the Faculty Teaching Award given by the residents.
Dr. Zwank oversees the residents’ scholarly projects. He actively
engages residents and has developed a research assistant program for
undergraduate and graduate students. He continually plans new projects
and currently has five studies underway. Mike’s efforts this past year
resulted in multiple articles and scientific presentations. We are certainly
fortunate to have this Bucky Badger on board!
>
Residency Timeline
1993 - Bob Knopp was hired to start the EM residency. Ready to
return to Minnesota, Dr. Knopp left the residency he directed in
Fresno for 17 years to work on the development of the Regions
Hospital Emergency Medicine Residency. Lori Barrett is selected for
coordinator. Lori had previously worked as the department head
admin and EM office supervisor.
1995 - Residency receives a 3-year provisional accreditation by the
ACGME-RRC for Emergency Medicine, and recruitment begins for
the first class of eight residents. Approximately 200 applications
were reviewed and 126 interviews were conducted.
1996 - First class of eight residents starts - The Class of 1999
included stu-dents from Creighton University, University of Colorado,
Mayo Medical School, University of Minnesota, and University of
North Dakota.
1999 - Residency receives full 3-year ACGME accreditation and
graduates its first class. Of that first class of eight residents, seven
continue to work and live in Minnesota. Pat Anderson joins the
program as a program assistant.
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2000 - Felix Ankel is named program director. Dr. Ankel, a graduate
of the University of Wisconsin Medical School, completed his
residency at the University of Illinois-Chicago and joined the faculty
at St. Paul-Ramsey Medical Center in 1994.
2003 - Residency receives a 5-year full ACGME
accreditation.
2004 - Jessie Nelson is selected for an Educational
Fellowship and becomes the first faculty member for
clinical simulation.
2005 - Medical Toxicology Fellowship is launched.
EM grad, Matt Morgan, is selected as the first fellow.
2008 - Bob Knopp retires from clinical work. He continues
to play an important role in resident education with his
EKG lectures.
2009 - Residency receives a continued 5-year full ACGME
accreditation.
2010 - EMS Fellowship starts, under the direction of RJ
Frascone, with selection of EM grad, Aaron Burnett, as the
first fellow.
2011 - Quality & Patient Safety Fellowship begins, under
the direction of Drew Zinkel, with selection of EM grad,
Kara Kim, as its first fellow.
Regions Faculty
Faculty
Felix Ankel, MD
Kelly Barringer, MD
Emily Binstadt, MD, MPH
Aaron Burnett, MD
Mary Carr, MD
Won Chung, MD, MS
Rachel Dahms, MD
RJ Frascone, MD
Bradley Gordon, MD
Paul Haller, MD
Carson Harris, MD
Cullen Hegarty, MD
Keith Henry, MD
Bradley Hernandez, MD
Joel Holger, MD
Kurt Isenberger, MD
Kory Kaye, MD
Kevin Kilgore, MD
Peter Kumasaka, MD
Richard Lamon, MD
Robert LeFevere, MD
Matthew Morgan, MD
Jessie Nelson, MD
Karen Quaday, MD
Samuel Stellpflug, MD
Stephanie Taft, MD
Bjorn Westgard, MD
Andrew Zinkel, MD
Michael Zwank, MD
Medical School
Residency
Michigan State University
Mayo Medical School
SUNY - Syracuse
University of Michigan
Albany Medical College
University of Arizona
University of Iowa
University of South Dakota
University of Rochester
Chicago Medical School
Wayne State University
East Carolina University
University of Illinois Urbana-Champaign University of Wisconsin
University of Illinois
Regions Hospital
Harvard Affiliated
Regions Hospital
EM/IM Henry Ford Hospital
Harvard Affiliated
Indiana University
FP - St. Paul-Ramsey Medical Center
Regions Hospital
IM - University of Minnesota
Brooke Army Medical Center
Regions Hospital
Regions Hospital
Regions Hospital
IM - Abbott Northwestern Hosp.
Regions Hospital
St. Vincent Medical Center -Toledo
Ortho - Creighton University
Christ Hospital
FP - Loma Linda University
Regions Hospital
Regions Hospital
Regions Hospital
EM/IM Henry Ford Hospital
Regions Hospital
Regions Hospital
Hennepin County Medical Center
University of Illinois
Boston Medical Center
2011 Faculty
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Coordinators
Staying connected with residents, alumni
and colleagues is a pleasant challenge for
us. The bulletin board between our offices
was loaded with holiday pictures/cards
which were replaced by baby announcements throughout the year. Numerous
residency-sponsored events kept us in
touch with alumni and allowed them the
opportunity to meet and network with
our current residents. Our website and
Facebook fan page continue their popularity in the EM community, according to our
usage stats. Many thanks to our alumni
who contribute content and comments.
We attended the annual meeting of EmerLori Barrett, Residency Manager
gency Medicine Association of Residency
Coordinators (EMARC) in San Diego as part
of the 2011 CORD Academic Assembly. It allowed
us the opportunity to network with our coordinator
colleagues throughout the country and share best
practices. As a result, we’re using a web-based
scheduling program for our residency interviews
for the first time. So far, so good!
Pat Anderson, Program Coordinator
New Faculty 2011
It was our pleasure to host 107 medical students
from 13 medical schools, 32 rotating residents from
6 specialties and 5 EM residents from Hennepin
County Medical Center who participated in our
2nd year swap.
Aaron Burnett, MD
Undergraduate:
Boston University
Med School: State University
of New York at Syracuse
Residency: Regions Hospital
Fellowship: EMS - Regions
Hospital
Interests: EMS
Hobbies: bicycling, canoeing,
listening to live music
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Nursing Education
Wendy Dahl, RN, BSN, PHN, CEN, CPEN, Decentralized Nurse Educator
The Registered Nurses (RN’s) in the Emergency Department demonstrate an
impressive commitment to education. Over 50% are baccalaureate prepared and
many others are pursuing either a baccalaureate or master’s degree in nursing or
other related health care field. Thirty six percent of the RN staff have a specialty
certification in emergency nursing, pediatric emergency nursing, critical care
nursing, SANE nursing or medical-surgical nursing; of those, eighteen percent
hold 2 or more specialty certifications. A decentralized nurse educator coordinates orientation and education for the over 125 nurses, 22 paramedics, and 58
Emergency Room Technicians. New staff completes a comprehensive orientation
program to ensure competence in their skills. Continuing education takes place
in the classroom through posters, presentations, simulation and hands-on learning. All nurses are certified in BCLS, ACLS, TNCC, and an advanced Pediatric Life
Support Class such as PALS or ENPC. Many nurses have additional certifications
in CATN, FCCS, PFCCS and other specialties.
Regions ED nurses teach other professionals in the community. Many nurses
teach paramedic, EMT-basic and nursing students at the college level in didactic
and clinical roles. We have nurses that provide education in the community for
correct placement of child safety seats. Many nurses also provide education to
the Western Wisconsin area including online education, didactic and clinical time. ED Nurses are active in the Emergency Nurses
Association (ENA), with several nurses that are currently holding or have held positions at the administration level of the local
chapter including president, secretary and state representative.
>
Emergency Center Operations
The Regions Hospital Emergency Center is a Level I Adult and Pediatric
Trauma Center located in St. Paul, MN, serving the east metropolitan
Twin Cities area, including western Wisconsin. Today, the emergency
department (ED) is comprised of 50,000 square feet of clinical space
with 55 treatment rooms. An additional 8,000 square feet house a newly
updated resident room, library, conference space and administrative offices.
The emergency department includes private rooms, in-department
radiology suite, discharge pharmacy, waiting room and triage area,
employee lounge and locker room, five care areas (pods), including an
11-bed care pod for our crisis/behavioral health
patients.
Emergency Center figures for 2011:
* 78,073 patient visits
* 7.5 percent pediatric patients (age 16 or
under)
* 9 percent behavioral health patients
* 3273 trauma admissions
* 709 trauma team activations
* 24 percent admission rate
* 55 percent of all hospital admissions come
from the ED
Michelle Noltimier, RN, BSN
Richelle Jader, BSN, MHA
Karen Quaday, MD
Eric Peterson, MHA, BA
Jeffrey Fritz
Richelle Jader, BSN, MHA, Administrative Director x Karen Quaday, MD, Operations Medical Director
Michelle Noltimier, RN, BSN, Nurse Manager x Eric Peterson, MHA, BA, Sr Manager ED, Finance and Operations
Jeffrey Fritz, Support Services Manager
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Physician Assistant Residency
Physician Assistants play an integral role
in the management of patients in our busy
Emergency Department and have since
1984. We currently have a staff of 21 PA’s
representing 14 different University PA
programs.
We are excited to offer the first EM PA
residency program in Minnesota with the
first class starting in July of 2012. The PA
residents will work alongside physician
residents, study the core curriculum, and
participate in weekly conferences in
addition to their clinical rotation schedule.
We are offering 10 weeks of critical care
training with opportunities for procedural
experience during these rotations, during
outreach hospital and rural hospital
rotations, as well as simulation training.
With the rising volume of patients with
increasingly complex medical problems, the benefit of
advanced training for newly employed PAs has been
recognized. The American College of Emergency Physicians
(ACEP) and Society of Emergency Medicine Physician
Assistants (SEMPA) are advocating the role of advanced
training for PAs. We agree that residency training will allow
PAs to refine their knowledge and skills, and to successfully
Ann Verhoeven, PA-C and Brad Hernandez, MD
integrate into the specialty of emergency medicine at
an accelerated rate compared to on-the-job training.
Employers, physicians, and patients will benefit from
PA residency trained providers and the training will lead
to increased competence, confidence, and job satisfaction
to the provider.
Brad Hernandez, MD, Medical Director x Ann Verhoeven, PA-C, Program Director
>
Crisis Program
The Crisis Program, a psychiatric crisis intervention service
in Regions Hospital Emergency Center, represents a unique
collaboration between Regions Behavioral Health and the
Emergency Department (ED).
An experienced, committed group of licensed independent
clinical social workers staff the program 24 hours a day, seven
days a week. This innovative and cost-effective program has
been an integral part of the ED for more than 35 years and
serves more than 6,000 patients annually. Approximately
60 percent of all patients who are evaluated by crisis social
workers, in collaboration with ED medical providers, are not
hospitalized and instead return to the community with referrals
for outpatient services. Psychiatric consultations are available
in the ED 7 days a week during daytime hours.
Patients are seen for a variety of mental health issues including
depression, psychosis, anxiety, and substance abuse. The crisis
staff works closely with ED physicians, residents, physician
assistants and nurses to provide comprehensive psychiatric and
psychosocial assessments and to create discharge plans that
maximize safety and stabilization in the community or in the
hospital.
Maddy Cohen, MSW, LICSW, Manager, ED Crisis Program
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Habits of Lifelong Learning
Welcome to another year of lifetime learning!
In past years, I’ve advocated organizing your learning on the
‘tiers of knowledge’. Specifically, this means organizing how
you receive new learning: ‘Cutting Edge’ = reading or reviewing journal articles, talking with experts; ‘Standard of Care’ =
summarized abstracts, textbooks, blogs; ‘The Limits’ = know
where to find what you need when you need it.
While some of you may have taken this advice to heart, I
suspect some had the reaction: “Are you kidding me? I don’t
have time to ‘plan my learning’”. No problem. To those of
you in this boat, let me suggest non-structured methods of
lifetime learning:
Engage in teaching - teaching others certainly causes
re-learning and retention of knowledge. Maybe this is the
year you’ll put on an inservice for nurses on how to use
ultrasound for IV insertion, or sponsor a journal club at your
house for your colleagues.
Read up after interesting, unusual or misadventure cases certainly not a new approach, and highly advocated during
residency. But it works for all ages.
Do follow ups - many of you are using an electronic health
record - use it for your education! Keep a log or run a report
of patients you saw... go back and find out what happened to
them later. Even better - give them a call and ask.
Brad Gordon, MD, Director, Residency Technology
Find a ‘sweet spot’ in your day for reflection and education reading articles and journals can’t be done as you are going
to bed. (Journal reading can be an efficacious form of procedural sedation!) Find that time in the day/eve/night when
your brain is running at the right speed to digest what you
are reading. You’ll find yourself engaging into your learning,
rather than trying to force it.
With regard to our residency, we continue to grow our family. Metrics this year include 322 subscribers to EMRes, our
residency mailing list. Over 500 have connected with us on
Facebook. We’ve achieved the ‘century’ milestone with 100
residents graduating our program, not to mention the 29 in
the residency right now. We have over 35 attending providers who work full or part time at Regions. The collective
wisdom of the above group is astounding!
Finally, I’ll draw your attention to the educational content
from our program now available. At emres.regionsem.org,
we have over 40 blog updates from the last few months.
Posts include critical case conference summaries, tidbits
from morning reports, and other ‘bite sized’ updates. Also,
links to related blogs on tox, EMS, trauma and ECG blogs are
available. (some from Regions EM staff, some from Trauma,
some from HCMC!) Enjoy browsing from time to time or subscribe to one of these blogs so that you never miss an update.
Until next year, happy learning!
2011 Residency Retreat
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Didactic Curriculum
Stephanie Taft, MD x Assistant Residency Director
Regions Emergency Medicine Residency Program
offers residents a full spectrum of topics in emergency
medicine based on The Model of the Clinical Practice of
Emergency Medicine. This model is the basis of the content
specifications of all examinations by the American Board
of Emergency Medicine. The core curriculum is designed
to repeat itself in its entirety on an 18-month basis.
Our residency also encourages experiences outside of
the typical EM core content lecture. For example, HealthPartners Institute for Medical Education sponsors a Core
Competency Conference Day which is a multi-disciplinary
conference, focusing on the six core competencies. We have
had numerous guest speakers from around the area and
the country, including Georgia and Maine, covering topics
such as wellness, preventive medicine in EM practice, and
community orthopedics. In April, we held an Ethics and
Advocacy Day in the Capitol building which included as
speakers, presidents from two different health systems as
well as a former US senator. In May, we held a joint HCMC
and Regions Simulation Day at the University of Minnesota.
At our alumni day conference in September, we hosted
more than 15 graduates who shared their wisdom with our
residents. In October, we held an Ortho Day taught by three
orthopedic staff physicians, covering common ED injuries
and providing the opportunity to practice procedures such
as arthrocentesis. In November, residents participated in
our yearly combined EM/Trauma Update co-sponsored by
Hennepin County Medical Center, North Memorial Medical
Center, Mayo Clinic and Regions.
The conference curriculum is set up to cover both the depth
and breadth of emergency medicine through traditional
as well as innovative and interactive means. Curriculum
components include:
· Critical Case, a favorite of residents and faculty alike.
Critical Case conference provides an interactive forum
for discussion of a case of educational value. Case discussion is focused not only on the content of the eventual
diagnosis, but also on the decision-making process in
evaluating critically-ill patients with limited immediate
data. Cases are actual cases from the ED and are chosen
by the chief residents.
· Core Content Lectures reinforce knowledge that is
gained on clinical rotations as well as supplement
the clinical experience. Lectures are given by faculty
members who are experts in a core content area.
· Journal Club is held on a regular basis and facilitates
discussion of two or three current practice-changing
articles in emergency medicine.
· Joint Conferences are collaborative conferences held
in conjunction with other departments such as radiology,
trauma services, critical care and internal medicine to
discuss related areas of interest.
· Small Group Sessions encourage interactive learning.
Small group simulation days have been incorporated
into the curriculum. Residents are divided into three
groups and rotate through stations that may include case
discussion, simulation or mini-lectures.
· Forensics includes a basic forensic medicine didactic
curriculum that all residents receive. Additionally,
residents are trained in sexual assault examinations.
12
Stephanie Taft, MD at CORD-AA 2011
Mary Brainerd speaks at Advocacy and Ethics Conference
ultrasound
Michael Zwank, MD, RDMS x Peter Kumasaka, MD, Emergency Ultrasound Education
encompass emergency ultrasound. Residents are encouraged
to perform ultrasounds on any patients in the emergency
department including those with normal anatomy and no
pathology. Resident ultrasounds are supervised variably
by the staff emergency attending, ultrasound director or
senior residents. EM-2 and EM-3 residents are responsible
for ultrasounds during all trauma team activations. An
optional elective in the 3rd year is available to further
ultrasound skills and knowledge.
Description of didactic experience:
Resident Ultrasound Experience
Educational objectives:
By the end of the third year of training, residents must
demonstrate appropriate knowledge and skill in the use of
ED ultrasound. Ultrasound applications that are mastered in
emergency residency training are the trauma (FAST) exam,
emergency echocardiography, abdominal aortic aneurysm,
undifferentiated hypotension, early intrauterine pregnancy
and procedural ultrasound including vascular access,
thoracentesis, paracentesis, bladder identification, abscess
location and others.
Description of clinical experience:
Ultrasound education begins during orientation with a
half-day didactic and hands-on instructional session. During
the first year, the ultrasound experience is combined in the
emergency department integrated (EDI) months. During the
ultrasound/anesthesia (ultrasthesia) days of these months,
the resident spends the morning intubating in the OR and the
afternoon scanning in the ED, completing 10 modules that
>
A lecture series covering basic ultrasound physics,
focused assessment sonography for trauma (FAST) exam,
emergency echocardiography, abdominal aortic aneurysm,
undifferentiated hypotension and procedural ultrasound
is covered over an 18-month core content curriculum.
Lectures are supplemented with small group interactive
sessions during specific conference days focused on a more
interactive learning experience. For those that are interested
prior to residency graduation, residents are given advice
on setting up an ultrasound program and getting involved
in their new position.
Evaluation process/feedback mechanisms:
Residents receive feedback on ultrasound technique, image
quality and trouble-shooting techniques by the supervising
ED attending or senior resident. Additionally, ultrasound
images are reviewed as part of the quality assurance initiative
and feedback is given to the resident and faculty by the
ultrasound director. Residents are given a semi-annual report
of the number and type of ultrasounds they have done in
the ED. This is reviewed during the semi-annual resident
evaluation meetings with the program director. Residents are
provided an ultrasound credentialing letter upon graduation.
Simulation
The Regions Hospital Emergency Medicine Residency has a
robust group of faculty with strong interests in simulationbased education. We have worked to integrate simulation and
small-group learning as an important part of the residency
curriculum. Simulation is also used to augment medical
student and faculty education, to address systems-based
barriers to quality care and to analyze communication issues.
Several residents are pursuing simulation-based projects for
their scholarly activity requirements this year, and we look
forward to mentoring more residents in this area in the future.
Dr. Nelson continues to work with HealthPartners Clinical
Simulation, and Drs. Hegarty and Binstadt continue as codirectors of emergency medicine and trauma for the University
of Minnesota SimPORTAL.
Clinical Simulation & Learning Center
Emily Binstadt, MD, MPH x Cullen Hegarty, MD x Jessie Nelson, MD, Simulation Education & Research
13
ems
Regions EMS is proud of our affiliation
with Regions Hospital Emergency
Medicine Residency, and we would like
to highlight some of the accomplishments
of the past year.
Resident Rotation:
Emergency Medicine residents complete
a 15-day longitudinal rotation in EMS
during their intern year. In 2011, we
developed a new G1 EMS curriculum.
Our residents provide patient care in the
streets with urban fire based services
(St. Paul Fire), volunteer/paid on-call
services (White Bear Lake), police/medic
services (Cottage Grove Public Safety) and
hospital based units (Lakeview Ambulance). Emergency
Medical Dispatch fundamentals are stressed during shifts
at the Ramsey County Communications Center. Residents
also spend time in the East Metro Medical Resource Control Center (MRCC), which serves as the nerve center for
MCI management and on-line medical control in the East
Metro. Unique opportunities include air medical transport
with Life Link III and shifts with the National Ski Patrol
at Afton Alps Ski Resort. In the classroom, residents are
integrated as active educators during critical case reviews,
simulation based critical thinking labs, and, new in 2011,
cadaver labs at the University of Minnesota. Additional
opportunities are available for residents to educate
students at the EMT-Basic (St. Paul Fire EMS Academy)
and Paramedic (Inver Hills Community College) level.
Associate Medical Directorship:
Residents with a particular interest in EMS may elect the
EMS Associate Medical Director (AMD) program for their
scholarly project. This program was restructured in 2010
to create a more formalized approach to better prepare
graduates for EMS fellowships. In addition to increased
exposure to prehospital patient care, residents are tasked
with learning the administrative and legislative foundations of EMS. Residents in the AMD program have the
opportunity to attend the MN EMS Medical Directors
conference and to participate in original research.
2011 Associate EMS Medical Directors:
Clint Hawthorne, MD (’12), St. Paul Fire
Ben Watters, MD (’12), National Parks Service
Bjorn Peterson, MD (’12), Maplewood Fire
Zabrina Evens, MD (’13), St. Paul Fire
Darcy Rumberger, MD (’13), St. Paul Fire EMS Academy
Jodi Deleski, MD (’13), St. Paul Fire
14
EMS Fellowship:
Beginning in August 2010, Regions EMS began offering a
1-year Prehospital Medicine/EMS fellowship. In August
2011, Dr. Aaron Burnett became the first graduate of our
fellowship. We are excited to announce that Dr. Bjorn
Peterson has been selected as our next fellow beginning
August 2012. A board certification examination for Prehospital Medicine/EMS is expected to be available in 2013.
Event Medicine:
EM residents regularly have the opportunity to participate
in mass gathering medicine under the medical direction
of Regions EMS. In 2011, our residents provided medical
coverage at the Stillwater Marathon and Warrior Dash
extreme terrain 5K. Residents staffed the critical care
section of the finish line medical tent at the Twin Cities
Marathon. The MN State Fair draws tens of thousands of
visitors daily, and Regions EM residents were on-site proving care. Residents also provide medical coverage to fans
during events at the Xcel Energy Center, including MN Wild
NHL hockey games.
Research:
Our EMS research activities are enriched by and open to
the participation of our residents. In 2011, Dr. Autumn
Erwin (Brogan) presented an oral presentation at SAEM on
identification of prehospital sepsis. Dr. Casey Woster had
posters presented at both SAEM and NAEMSP on his work
in video laryngoscope use by prehospital providers. Dr.
Ben Watters co-authored a case report on laryngospasm
after prehospital ketamine administration to a patient in
excited delirium, and Dr. Zabrina Evens is a member of our
research team conducting a field trial of video laryngoscopes for prehospital intubation.
RJ Frascone MD, Medical Director x Aaron Burnett MD, Assistant Medical Director
David Waltz EMT-P, EMS Program Director x Shonette Doggett, Manager of EMS Education and Injury Prevention
International Fellowship
Matt Morgan, MD, Fellowship Director
include a publishable project, research into global toxicology,
and completion of the Health Emergencies in Large Populations course. Additionally she will join our physician group
and begin her practice of emergency medicine. Amy brings
international experience from her travels and work in
Tanzania, Haiti, and Israel. We are looking forward to what
should be a productive and rewarding couple of years.
We are pleased to announce that Amy Walsh, chief resident
at the Iowa emergency medicine residency, was accepted as
our first fellow to begin in August, 2012. As a fellow Amy
will be doing 6-7 months of international field work, will be
pursuing a Masters of Development Practice at the University
of Minnesota, and will complete an otherwise rigorous program in our fellowship. Activities rounding out the program
>
Pediatric Emergency Medicine Fellowship
The PEM Fellowship at Children’s Hospitals and
Clinics of Minnesota received sponsorship from
HealthPartners Institute for Medical Education
in July 2011. Prior to this the PEM fellowship was
sponsored by the University of Minnesota and has
trained numerous PEM physicians. The Emergency
Department staff at Children’s is comprised of 35
PEM physicians, 6 PEM Fellows, 16 pediatric nurse
practitioners and six trauma service physician
assistants/nurse practitioners. This makes-up the
largest pediatric-emergency trained staff in the
region. This staff covers the Emergency Departments in both the Minneapolis & St Paul hospitals,
where a combined 88,000 patients were seen in
2011. Children’s is currently a designated Level-3
trauma center and received a 17 million dollar grant
from United Health Care to become a Level-1 trauma
center at the Minneapolis campus.
Elizabeth Placzek, DO, Leena Sastry, MD, Annalisa Rudser, MD,
Olufunmilayo Salami, MD, Jennifer Longo, MD and Manu Madhok, MD, MPH
PEM fellowship is designed to complete all core requirements in two years. Fellows who have previously completed
an EM residency operate on a two-year curriculum. Those
who have a Pediatric residency function as a junior faculty
in third year and have 75% protected research time to
complete their scholarly activities. Besides spending time in
ED, clinical rotations include Toxicology, Sedation, Anesthesia, PICU and Radiology. Outpatient and Inpatient pediatric
service, NICU/Delivery room rotations are required for EM
trained fellows. Scholarly activities by PEM fellows include
retrospective and prospective studies as well as QI projects.
All PEM fellows attend Emergency Medicine Basic Research
Skills workshop conducted by ACEP. Currently, there are
33 ongoing studies in the ED, eight of these are grant funded.
There were numerous presentations and publications by
PEM fellows and faculty in 2011. The didactic curriculum
includes monthly educational meetings at Children’s
(Minneapolis and St. Paul) and Regions Hospitals. They
include PEM chapter/board review, core lectures, Simulations, resuscitation case reviews, combined EM/PEM critical
case conference, journal club and inter hospital pediatric
case conferences. (www.regionsem.org/fellowships)
Pediatric Publications
Chamberlain MC; Reid SR; Madhok M. Utilization of
Emergency Ultrasound in Pediatric Emergency
Departments. Pediatr Emerg Care. 2011 Jul;27(7):628-32.
Madhok M, Scribner-O’Pray M, Teele M. Managing pediatric
pain in minor injuries. Contemporary Pediatrics, 2011 Jun
ePub: www.modernmedicine.com
Nadler OA, Finkelstein MJ, Reid SR. How Well Does Serum
Bicarbonate Concentration Predict the Venous pH in
Children Being Evaluated for Diabetic Ketoacidosis?
Pediatr Emerg Care: 2011 Oct 27(10):907-910.
Ricke TL. Incidence and Recognition of Elevated Triage
Blood Pressure in the Pediatric Emergency Department.
Pediatr Emerg Care. 2011 Oct 27(10):922-27.
Halverson KA, Milner D. Implementation of Point-of-Care
Testing in the Emergency Department: A Study on Decreased
Throughput Times for Patients Being Seen for Rapid Group
A Strep Testing. Point of Care: The Journal of Near-Patient
Testing & Technology. 10(3):116-119, September 2011.
15
Toxicology
The Toxicology Service at Regions Hospital, an integral
section of the Emergency Medicine Department, focuses on
education, research and clinical evaluations of toxicology
patients. The toxicology educational service provides quarterly interdisciplinary conferences (critical care, pediatrics,
nephrology), a weekly toxicology journal club, adverse drug
reaction, and herbal and toxicology chapter reviews. Other
educational events during the year included forensic toxicology case review, toxicology “field trips” to the University
of Minnesota Arboretum to learn about toxic plants; an
“Herbal Outing” to the cultural markets in the Twin Cities;
and an annual toxic mushroom hunting trip at a rural park.
The Toxicology Service is the home base for the Medical
Toxicology Fellowship sponsored by the HealthPartners
Institute of Medical Education and the Hennepin Regional
Poison Center. We serve as a major training station for
the fellows and play an active role in their education.
To supplement the education of residents, fellows and
students, the toxicology service uses a computer-controlled
mannequin for case simulations. New cases are revised
and developed throughout the year. The close relationship
with the Hennepin Regional Poison Center allows us
to share in the educational roles of the Poison Center,
participating in their weekly and monthly case conferences
and toxicology didactic sessions. During 2011 the clinical
toxicology service rotation included 3 pediatric emergency
medicine fellows, 14 emergency medicine residents from
Regions; 5 medical students from Minnesota, New York, and
Wisconsin; 2 Psychiatry PA Residents; 1 Psychiatry resident;
1 Pediatric resident; and more than 24 PharmD candidates
Members of Regions toxicology education and clinical
service were involved in more than 20 formal presentations
at local, regional and national conferences, local colleges
and community hospital grand rounds in Minnesota and
Wisconsin in 2011. Our faculty has participated regularly
in the toxicology training of critical care fellows, internal
medicine residents, and physician assistants. International
presentations at the Fourth International Congress on Acute
Care in Cochabamba, Bolivia are examples of our range in
providing toxicology educational activities.
The toxicology consultation service is relatively active
and provides 30 or more formal consultations per month
at Regions. In addition, we continue to provide informal
educational consults, telephone consults, and consults on
pediatric patients at the Minnesota Children’s Hospitals
and Clinics in Minneapolis and St. Paul. Our service also
evaluates inpatients at Regions for herbal-drug and herbaldisease state interactions and provide recommendations.
Our toxicology clinic received multiple referrals to evaluate
new patients with acute, subacute and chronic toxicologic
exposures.
Members of the toxicology service participated in
toxicology-related clinical and benchtop research. Our
research focuses on the treatment of toxin-induced
shock with high-dose insulin as an inotropic treatment,
and induced hypothermia for the treatment of severe
carbon monoxide poisoning. During 2011, The Tox team
presented at meetings of the Society for
Academic Emergency Medicine, North
American Congress of Clinical Toxicology,
and the Mediterranean Emergency Medicine
Congress in Kos, Greece. Toxicology faculty
and former fellow won awards for Best Young
Investigator, Best CPC presentation, and Best
CPC analysis at the NACCT annual meeting in
Washington D.C.
Overall, we are a very active service with
energetic and dedicated professionals with
a passion for teaching and providing quality
care, as well as expanding and contributing
to toxicology knowledge through research.
Sam Stellpflug, MD, Heather Ellsworth, MD, Kristin Engebretsen, PharmD, and
Carson Harris, MD (not pictured, Ashley Brown, PharmD and Ben Orozco, MD)
16
Carson Harris, MD, FACEP, FAAEM, Director, Toxicology Education & Services
Kristin Engebretsen, PharmD, DABAT, Clinical Toxicologist
Quality and Patient Safety Fellowship
Medical Quality Management and Patient Safety
Our inaugural Medical Quality Management and Patient
Safety Fellowship began in July with the appointment of
Kara Kim, MD (’11) as its first fellow. Kara is currently
practicing as an emergency physician, actively involved
in several quality projects at Regions Hospital as well as
within the HealthPartners Family of Care, and working
towards completion of an Executive Masters in Business
Administration at the University of Minnesota Carlson
School of Management. She will complete and publish a
major project and will become certified in medical quality
by the American Board of Medical Quality by the end
of her fellowship. Kara was actively involved in quality
improvement and patient safety education as a resident,
creating an education program which guides our residents
through the completion of their own quality projects. She is
an asset to our department and a champion for improving
the quality of care we provide to our patients.
Drew Zinkel, MD, EMD Quality Director
In Memory of James J Cicero, MD
James J Cicero, MD - 1938-2011
Dr. James Cicero, whose vision of starting an Emergency Medicine Residency at Regions was realized
with the first class of residents entering in 1996, began his career at St. Paul-Ramsey Medical Center
(now Regions Hospital) as a staff physician in the ED in 1974. He was appointed Associate Chief of
Emergency Medicine in 1977, Acting Chief from 1981-83 and Chief from 1983 to 1995.
Dr. Cicero graduated from Northwestern University Medical School in 1963. Prior to his work at
Regions Hospital, he served as captain in the United States Army in Munich, Germany. After completing his service, he moved to River Falls where he served on the staff of the River Falls Medical Clinic
and was later appointed medical director at the Minnesota State Prison at Stillwater.
An innovative administrator, he began hiring physician assistants to augment staffing in the Emergency Department in 1984.
Regions ED now has a staff of 21 PAs and a PA residency training program approved to start in 2012. He also developed the first
urgent care at Regions, known as ReadyCare, in 1985 and led the ED through its first construction of a new Emergency Center,
which opened in 1995, shortly before his retirement.
An avid golfer, author and community activist, he served on boards of the Union Gospel Mission, the River Falls Area Hospital,
and the First Covenant Church in River Falls. Jim also participated in several mission trips with the Good News Project.
>
Regions Hospital Foundation EM Residency Funds
L134 - Emergency Medicine
Residency Education
Gifts to this fund allow the residency
to educate future emergency practitioners by funding programs such as
our procedural skills lab, international
rotations, specialty conferences, and
much more. In 2011, this fund provided assistance to three residents to
attend national and regional meetings.
Regions Circle ($10,000+)
Regions Hospital Emergency
Medicine Physicians
Advocate ($1,000+)
Felix & Lisa Ankel
Robert & Jenny LeFevere
Kevin & Abbie Smith
Jeffrey & Sarah Young
Builder ($500+)
Bradley & Karine Hernandez
Jeffrey & Laurie Geddes
Sponsor ($100+)
Nathaniel & Deanna Curl
Katharine Davidson
Bradley & Laura Gordon
Kelly & Jeff Rhone
Jonathan Shultz
Scott Thielen
Robert Zeleznikar
E009 - Mark Bernas Endowment
The Mark Bernas Endowment was
established in 1998 after the death of
EM resident, Mark Bernas. It’s purpose is to provide long term financial
resources for the Emergency Medicine
resident learning center and educational projects.
Advocate ($1000+)
Dorothy Bernas
Sponsor ($100+)
Gary Collins
Karen Lushine
Kevin & Lisa Sipprell
17
Medical Student Program
Regions Emergency Medicine Department continues to
have a strong interest and commitment to medical student
education. Rotations hosted at Regions include our core,
required EM clerkship through the University of Minnesota
Medical School, our advanced EM clerkship, our toxicology
course, and a new elective bedside ultrasound experience.
Our core rotation consistently gets top reviews from University of Minnesota students. The highlights of the rotation include the outstanding supervision, education, and
feedback to the students from our senior residents, their
experience in our weekly resident conferences, and the
weekly student focused educational workshops, including a
simulation resuscitation workshop. This rotation allows our
senior residents to experience daily teaching and supervision, and allows the students a chance to have a close working relationship with our EM residents.
The advanced rotation is our sub-internship experience for
students from the University of Minnesota as well as other
US medical schools. Highlights of this advanced rotation
include direct supervision by EM faculty, EMS, ultrasound,
and EKG education and experiences, and an informal session with Dr. Ankel focused on the Emergency Medicine
residency application process.
Students taking the toxicology rotation here get a well
rounded tox experience with our clinical toxicology service.
During their four weeks they get to experience ED consults,
inpatient consults and rounds on the toxicology inpatient
consultation service, time
at the Poison Control
Center, and outstanding
small group educational
sessions.
18
Our newest EM elective
is bedside ultrasound for
the clinician—a rotation
hosted by Dr. Mike Zwank
from Regions and Dr. Rob
Reardon from HCMC.
Students taking this elective get to spend time with
an ultrasound technician
learning the ins and outs
of the ultrasound machine,
have focused reading on
ultrasound and its EM
application, and plenty
of hands-on, supervised
ultrasound time in the ED.
Thanks to the efforts of Dr. Keith Henry, as of 2011, we
have expanded and integrated clinical instruction into
the first and second year medical school curriculum at
the University of Minnesota School of Medicine. The
Essentials of Clinical Medicine course introduces early
medical students to acute care medicine and to the acute
care decision-making skill set. Through an innovative mix
of workshops, didactic learning sessions, and real time
emergency department site observations, early medical
students are introduced to acute care/emergency medicine,
and to its essential role and function within the modern
health care system.
In 2011, Regions Hospital hosted a total of 107 students
from 13 medical schools, with 38 of them taking the
advanced course. Dr. Hegarty continues in his role as clerkship director for all EM courses through the department of
EM at the University of Minnesota in addition to his roles
as co-chair of the University of Minnesota Medical School
Twin Cities campus curriculum committee, and chair of the
clinical education committee at the Medical School.
If interested in learning more about our student rotation
opportunities, check the ‘student program’ link on our
website (http://www.regionsem.org/student-program)
or call Lori Barrett at 651-254-3666. Applications
are being accepted for the 2012-2013 academic year
through the Visiting Student Application Service
(https://services.aamc.org/20/vsas/).
Student Eye Workshop
Cullen Hegarty, MD x Keith Henry, MD x Kevin Kilgore, MD x Lori Barrett, C-TAGME
Grants and IRB Approved Studies
Burnett AM, Isenberger KM, Zwank MD, Salzman J, Wewerka SS.
National Institute of Neurological Disorders and Stroke Neurological
Emergencies Treatment Trials Network. Platelet Oriented Inhibition
in New TIA and Minor Ischemic Stroke (POINT) Trial. (2011-2017) Carr ME, Engebretsen K. HealthPartners Research Foundation
Discovery Grant. Identification of Therapeutic Blood and Urine
Tetrahydrozoline Levels in Adults. (2010-2011)
Chung WG. Bush Medical Fellowship. Business Innovations Applicable
to Medicine. Carlson School of Business Executive MBA Program.
(2009-2011)
Chung WG, Salzman JG, Wewerka SS, Koenekamp D, Frascone RJ.
HealthPartners Research Foundation Discovery Grant. Use of the
Emergency Severity Index by RNs and EMS Providers. (2009-2011)
Erwin AM, Frascone RJ, Holger J, Burnett AM, Salzman JG, Wewerka
SS. HealthPartners Research Foundation Discovery Grant. Examining
the Feasibility of Sepsis Diagnosis in the Prehospital Environment.
(2009-2011)
Frascone RJ, Wewerka SS, Salzman J. International Association of
Fire Fighters Burn Foundation. The Effect of Fire Fighter SCBA Use
on Carboxyhemoglobin Values During the Overhaul Phase of Fire
Fighting. (2009-2012)
Biros M, McGonigal M, Larkins MV, Frascone RJ, Snyder B. National
Institute of Neurologic Disorders and Stroke. Neurological Emergency
Treatment Trials (NETT) Network. (2010-2015)
Hegarty CB, Peterson BK, Dahl EJ. Emergency Medicine Residency
Program Interviewee Survey. (2010-2011)
Nelson JG, Salzman J., Wewerka SS., Burnett A, Woster C, Frascone RJ.
HealthPartners Research Foundation Internal Grant. Emergency
Medicine Evaluation of Video Laryngoscopes in Simulation.
(2009-2011)
Institute for Medical
Education (IME)
The Regions Hospital Emergency Medicine
Residency is sponsored by the HealthPartners
Institute for Medical Education (IME). The
IME was created in 1996 to provide an innovative structure to lead the organization’s health
professional educational efforts. Today, the
IME partners with academic institutions, provides an innovative environment for healthprovider education and is an advocate for
education that measurably improves patient
care. The IME provides professional education
through undergraduate and graduate medical
education, nursing education, allied health
professional education, continuing professional development, medical library services
and clinical simulation programs.
The IME has a formal affiliation agreement
with the University of Minnesota that guides
the educational relationship between the two
organizations. Regions Hospital emergency
medicine staff enjoy faculty appointments
within the department of emergency medicine
at the University of Minnesota, and contribute to the teaching of medical students and
residents in HealthPartners and University
residency programs.
Quaday KA, Gordon BD, Salzman J. A Retrospective Descriptive Study
of MRI Use in an Academic Emergency Department. (2011-2012)
Cole JB, Stellpflug S, Holger JS, Engebretsen K. HealthPartners
Research Foundation Internal Grant. High Dose Insulin Dosing Study
in Toxic Cardiogenic Shock. (2010-2011)
Zwank MD, Walker JR. Improving Patient Comfort in the Emergency
Department. (2010-2011)
Zwank MD. Emergency Department Patient Knowledge and Physician
Communication Regarding Computed Tomography Scans. (2010-2011)
Zwank MD. Impact of CT on Diagnosis of Kidney Stones. (2011-2012)
Zwank MD, Paech NK. Medical Screening Protocols. (2011)
Drew Zinkel, MD and Kara Kim, MD
19
Residency Awards, Recognition, Honors
Star Award - resident teacher selected by
medical students
2011 Kara Kim, MD
2010 Aaron Feist, MD, Gregory Vigesaa, DO
2009 Adina Connelly, MD, Danielle Jackson, MD
2008 Samuel Stellpflug, MD
2007 Sandy Fritzlar, MD
2006 Nathan Anderson, MD, Martin Richards, Jr., MD,
John Travnicek, MD, Melissa Tschohl, MD
2005 Keith Henry, MD
2004 Robert LeFevere, MD
2003 Lynn Howard, MD
2002 John Bonta, MD
2001 Cullen Hegarty, MD
Apple Award - faculty teacher selected by
medical students
2011 Samuel Stellpflug, MD
2010 Rachel Dahms, MD
2008 Cullen Hegarty, MD, Kevin Kilgore, MD
2007 Joel Holger, MD, Peter Kumasaka, MD, Michael Zwank, MD
2006 Jeahan Hanna, MD
2005 Rachel Dahms, MD, Robert LeFevere, MD
2003 Kevin Kilgore, MD
2002 Felix Ankel, MD
2001 Paul Haller, MD
Faculty Teaching Award - EM faculty teacher
selected by residents
2011 Michael Zwank, MD
2010 Bradley Hernandez, MD
2007 Rachel Dahms, MD, Jeahan Hanna, MD
2006 Robert Knopp, MD
2005 Felix Ankel, MD
2004 Karen Quaday, MD
2003 Carson Harris, MD
2002 Scott Cameron, MD
2001 Robert Knopp, MD
2000 Joel Holger, MD
Nurse Educator Award - EM nurse teacher
selected by residents
2011 Kevin Guenard, RN
2010 Clarice Marsh, RN
2009 Angela Hoeppner, RN
2008 Andrew Hebdon, RN
2007 Lawrence Cochran, RN
2006 Tom Peterson, RN, Karen Poor, RN
2005 Donovan Taylor, RN
2004 Mary Healy, RN
20
Excellence in EMD Research
2011 N Kolja Paech, MD
2010 Nathaniel Curl, MD
2008 Tara O’Connell, MD
2007 Emily Mason, MD, Ben Peake, MD
2006 Scott Donner, MD
2005 Sandy Fritzlar, MD
2004 Kurt Isenberger, MD
2003 S. Wade Barnhart, MD, Christopher Obetz, MD
2002 Randall Hofbauer, MD
2001 Frank Coughlin, MD
2000 Paul Satterlee, MD, Paul Jewett, MD
1999 Kevin Sipprell, MD, James Parker, MD
Ian Swatez Teaching Award - faculty teacher
from outside EM selected by residents
2011 Eric Korbach, MD
2010 Julie Switzer, MD
2009 Azhar Ali, MD
2008 David Dries, MD
2007 Eric Korbach, MD, Henry Ortega, MD
2006 David Lee, MD
2005 Bruce Bennett, MD
2004 Raj Sarpal, MD
2003 William Mohr, MD
2002 Mari Goldner, MD
2001 David Dries, MD
2000 Ian Swatez, MD
Robert Knopp Humanism Award
2011 Katharine Davidson, MD
2010 Heather Ellsworth, MD
2009 Tara O’Connell, MD
2008 Mark Connelly, MD
2007 Emily Mason, MD
2006 Martin Richards, Jr., MD
2005 Keith Henry, MD, Jon Hokanson, MD
Excellence in EMS Award
2011 Katharine Davidson, MD
2010 Aaron Burnett, MD
2009 Owen Anderson, MD
2008 Joey Peterson, MD, Jonathan Shultz, MD
2007 Heidi Lako, MD
Toxicology Award
2011 Katherine Katzung, MD
2010 Heather Ellsworth, MD
Mark Bernas Advocacy Award
2011 Autumn Erwin, MD
2010 Autumn Erwin, MD
Scholarly Activity
Peer Reviewed Articles:
Hwang U, Weber EJ, Richardson LD, Sweet
V, Todd K, Abraham G, Ankel F. A Research
Agenda to Assure Equity During Periods
of Emergency Department Crowding. Acad
Emerg Med 2011 Dec; 18(12):1318-1323.
Burnett AM, Anderson CP, Zwank MD.
Laboratory-confirmed gonorrhea and/
or chlamydia rates in clinically diagnosed
pelvic inflammatory disease and cervicitis. Am J Emerg Med. 2011 Oct 24. [Epub
ahead of print]
Carr ME, Evidence Collection beyond the
72 hour rule—Letter to the Editor. Journal
of Forensic Nursing. 2011 March; 7(1):
49-50.
Carr ME, Engebretsen KM, Ho BM,
Anderson CP, Tetrahydrozoline (Visine ®)
concentrations in serum and urine during
therapeutic ocular dosing: A necessary
first step in determining an overdose. Clin Toxicol. 2011 Oct; EPub.
Ellsworth H. Articles You Might Have
Missed. J Med Toxicol. 2011 Jun;7(2):
172-174.
Engebretsen KM, Kaczmarek KM ,
Morgan J, Holger JS. High-dose Insulin
Therapy in Beta-blocker and Calcium
Channel-blocker Poisoning. Clin Toxicol
2011;49:277-283.
Frascone RJ, Russi C, Lick C, Conterato M,
Wewerka SS, Griffith KR, Myers L, Conners
J, Salzman JG. Comparison of prehospital insertion success rates and time to
insertion between standard endotracheal
intubation and supraglottic airway. Resus
2011, 82:1529-1536.
Aufderheide TP, Frascone RJ et al.
Standard cardiopulmonary resuscitation
versus active compression-decompression
cardiopulmonary resuscitation with
augmentation of negative intrathoracic
pressure for out-of-hospital cardiac
arrest: a randomized trial. Lancet 2011,
377:301.
Hegarty C, Binstadt E. Neurogenic Shock
Simulation Case. MedEdPORTAL; 2011.
Available from: www.mededportal.org/
publication/9054.
Ronan-Bentle SE, Avegno J, Hegarty CB,
Manthey DE. Dealing with the difficult
student in emergency medicine. Int J
Emerg Med. 2011 Jun 29;4:39.
Holger JS, Stellpflug SJ, Cole JB, Harris
CR, Engebretsen KM. High dose insulin:
consecutive case series in toxin-induced
cardiogenic shock. Clin Toxicol 2011
Aug;49(7):653-8.
Kilgore, KP. Penile Fracture: ED and
Intraoperative Photos make Clear the
Injury. http://www.EMedHome.com;
Weekly Clinical Case, June 24, 2011
Kilgore, KP. What happened to the
PICC line? http://www.EMedHome.com;
Weekly Clinical Case, May 27, 2011
Kilgore, KP. This Abdominal Finding
was Incorrectly Attributed to Trauma.
http://www.EMedHome.com; Weekly
Clinical Case, April 29, 2011
Cole JB, Stellpflug SJ, Lintner CP. What
Toxicity May Result from the Xenobiotic
Responsible for the Finding on This Plain
Film? Answer: Reduced Iron, Found in
Heating Pads and Instant Hand Warmers,
May Result in Elevated Serum Iron Concentrations. J Med Toxicol 2011 August; ePub.
Stellpflug SJ, Fritzlar SJ, Cole JB, Engebretsen KM, Holger JS. Cardiotoxic overdose treated with intravenous fat emulsion
and high-dose insulin in the setting of
hypertrophic cardiomyopathy. J Med
Toxicol. 2011 Jun;7(2):151-3. Response
to Letter to the Editor J Med Toxicol. 2011
Aug 27. [Epub ahead of print]
Cole JB, Stellpflug SJ, Ellsworth H,
Harris CR. Reversal of quetiapineinduced altered mental status with physostigmine: a case series. Am J Emerg Med.
2011 Jul 28. [Epub ahead of print]
Stellpflug SJ, Roth EB, Richards ME.
Unique configuration of the four-lumen
oesophagogastric tamponade tube
(Minnesota tube) for the control of
massive upper GI bleeding. Emerg Med J.
2011 Oct;28(10):908.
Stellpflug SJ. Transaminitis: the lab test
that has inflammation…. J Med Toxicol.
2011 Sep;7(3):252-3.
Bold: faculty
Bold italics: residents/fellows
Zwank MD. Ultrasound-guided catheterover-needle internal jugular vein catheterization. Am J Emerg Med. 2011 Oct 25.
[Epub ahead of print]
Non-Peer Reviewed Articles:
Hernandez BS. Don’t Assume the Worst,
Minnesota Monthly, October 2011;94(10):
Taft S. Core Tox for EM Docs: Cyanide
Toxicity. ACEP Toxicology Section
Newsletter. December 2011.
Book Chapters:
Ankel F. Aortic Dissection. In Marx,
Hockberger, Walls et al (Eds.) Rosen’s
Emergency Medicine Concepts and
Clinical Practice (pp 1088-89). Mosby
(Philadelphia), 2011.
Haller PR, Ruiz E. Leg Injuries. In
Tintinalli, Stapczynski, Ma et al (Eds.)
Tintinalli’s Emergency Medicine: A Comprehensive Study Guide 7th Edition (pp 18231825). McGraw-Hill (New York), 2011.
Haller PR. Compartment Syndrome.
In Tintinalli, Stapczynski, Ma et al (Eds.)
Tintinalli’s Emergency Medicine: A Comprehensive Study Guide 7th Edition (pp 18801883). McGraw-Hill (New York), 2011.
Nelson JG, Hemphill, RR. Clotting Disorders. In Tintinalli, Stapczynski, Ma et al
(Eds.) Tintinalli’s Emergency Medicine:
A Comprehensive Study Guide 7th Edition
(pp 1470-1475). McGraw-Hill (New York),
2011.
Presentations:
Bandiera G, Ankel F. Transitions in Residency Education. Presented at International Conference on Resident Education.
Quebec City, Quebec, September 2011.
Ankel F, Hemphill R, Zinkel A. Deliberate Practice and Reflection to Address
Cognitive Error. Presented at International
Conference on Resident Education. Quebec
City, Quebec, September 2011.
Ankel F. A Guide to the Application Process. Presented at AMSA Midwest Medical
Student Symposium. Chicago, IL, May 2011.
Bowman S, Brooks C, Ankel F, Tupesis J.
Program director discussion panel, EMRA
Midwest Medical Student Symposium.
Chicago, IL, May 2011.
21
Scholarly Activity
Ankel F, Shearer P. Retreats: Make Sure
Your Time Together is Well Spent. Presented at CORD Academic Assembly,
San Diego, CA, March 2011.
Overton D, Ankel F, Petera T, Carter W.
Surviving the RRC: Mock Site Visit
and RRC Meeting. Presented at CORD
Academic Assembly, San Diego, CA,
March 2011.
Burnett AM, Salzman J, Segal N,
Frascone RJ, McKnite S. Potential Negative Effects of Epinephrine on Carotid
Blood Flow and ETC02 during Active
Compression-Decompression CPR utilizing an Impedance Threshold Device.
Presented at American Heart Association Resuscitation Science Symposium.
Orlando, FL. November 2011.
Chung WG, Frascone RJ, Salzman J,
Koenkamp D, Wewerka S.. Inadequate
Baseline And 6-month Retention Of
The Emergency Severity Index By
Experienced Emergency Department
Registered Nurses. Acad Emerg Med.
2011:18(5):S34. Poster presentation,
SAEM Annual Meeting, Boston, MA,
June 2011.
Cole JB, Ellsworth H, Engebretsen
KM, Stellpflug SJ. Failure of High Dose
Insulin and Intravenous Fat Emulsion in
2 patients with Poison-Induced Cardiogenic Shock. Clin Toxicol 2011. Poster
presentation, North American Congress
of Clinical Toxicology, Washington DC,
September 2011.
Topeff JM, Ellsworth H, Wilhite L, Bangh
SA, Edwards EM, Cole JB. A Case Series
of Symptomatic Patients, Including One
Fatality, Following 2-CE Exposure. Clin
Toxicol 2011. Poster presentation, North
American Congress of Clinical Toxicology, Washington DC, September 2011.
22
Topeff JM, Cole JB, Edwards EM, Bangh
SA, Ellsworth H. The Use of Intravenous
Fat Emulsion as an Adjunct to Standard
ACLS in a Patient in Cardiopulmonary
Arrest after 2-CE Use. Clin Toxicol 2011.
Poster presentation, North American
Congress of Clinical Toxicology,
Washington DC, September 2011.
Lintner CP, Ellsworth H, Hess JM, Kwon
SK, Cole JB. Vancomycin Toxicity in
a Neonate Successfully Treated with
Exchange Transfusion. Clin Toxicol 2011.
Olives TD, Ellsworth H, Stellpflug SJ,
Cole JB. Surreptitious Steroid Ingestion Resulting in Factitious Cushing’s
Syndrome: Sometimes Sendouts Make
the Diagnosis. Clin Toxicol 2011. Poster
September 2011.
Cole JB, Lloyd RM, Ellswoth H, Stellpflug
SJ, Bangh SA. Medical Child Abuse
with Ipecac: a Variant of Maunchausen
Syndrome by Proxy. Clin Toxicol 2011.
Cole JB, Ellsworth H, Orozco BS,
Anderson DL, Bangh SA. Methanol
Exposure in a Toddler with 3-Methylcrotonyl CoA Carboxylase Deficiency. Clin
Ellsworth H, Lintner CP, Rudser AK,
Cole JB. A Tale of Two Blue Babies. Clin
Moser KL, Cole JB, Bangh SA, Ellsworth
H, Stellpflug SJ. Lead Pellet Embedded
in the C2 Vertebra of a Child: A Clinical Dilemma. Clin Toxicol 2011. Poster
September 2011.
Ellsworth H, Topeff JM, Olives TD, Cole
JB. A Recipe For Disaster: Detectable
Digoxin Concentration After An Isolated
Ingestion of Milkweed. Clin Toxicol 2011.
Congress of Clinical Toxicology, Washington DC, September 2011.
Kwon SK, Ellsworth H, Lintner CP, Cole
JB. Amanita Pantherina Ingestion Result-
ing in Status Epilepticus and Death. Clin
Hughes KA, Ellsworth H, Kwon SK,
Lintner CP, Cole JB, Keyler DE. Prairie
Rattlesnake Envenomation: A Poison
Center’s 5-Year Experience. Clin Toxicol
2011. Poster presentation, North
Kwon SK, Ellsworth H, Lintner CP,
Stellpflug SJ, Cole JB. Massive Amantadine Overdose Resulting in Status
Epilepticus and Death. Clin Toxicol 2011.
Ellsworth H, Engebretsen KM,
Hlavenka LM, Kim AK, Cole JB, Harris
CR, Stellpflug SJ. A Cost Comparison
of Fomepizole and Hemodialysis in the
Treatment of Methanol and Ethylene
Glycol Toxicity. Clin Toxicol 2011. Poster
September 2011.
Engebretsen KM. Using the ToxIC
Registry to Investigate the Bedside
Diagnosis and Treatment of Serotonin
Syndrome. Clin Toxicol 2011. Poster
September 2011.
Cole JB, Engebretsen KM, Hlavenka L,
Adams AB, Ellsworth H, Anderson CP,
Stellpflug SJ, Holger JS. 10 U/kg/hr of
High Dose Insulin is superior to 1 U/
kg/hr in a Blinded, Randomized, Controlled Trial in Poison-Induced Cardiogenic Shock. Clin Toxicol 2011. Platform
September 2011.
Erwin A, Salzman J, Wewerka S,
Burnett A, Frascone RJ. Can Paramedics
Accurately Diagnose Sepsis And Severe
Sepsis In The Field. Acad Emerg Med.
2011:18(5):S23. Oral presentation, SAEM
Annual Meeting, Boston, MA, June 2011.
Bold: faculty
Bold italics: residents/fellows
Mahoney B, Frascone RJ, et al. Use of an
impedance threshold device with active
compression decompression cardiopulmonary resuscitation improves survival with
good neurologic function following cardiac
arrest from non-traumatic etiologies. Oral
presentation, European Resuscitation Council Congress, Valletta Malta, October, 2011.
Wayne M, Tupper D, Swor R, Frascone RJ,
Mahoney B, et al. Improvement of long-term
neurological function after sudden cardiac
death and resuscitation: impact of CPR
method and post-resuscitation care. Oral
presentation, European Resuscitation Council Congress, Valletta Malta, October, 2011.
Frascone R, Wayne M, Mahoney B, et al.
Active compression decompression cardiopulmonary resuscitation and augmentation of negative intrathoracic pressure
is neuro-protective in patients with an
out-of-hospital cardiac arrest. Oral presentation, European Resuscitation Council
Congress, Valletta Malta, October, 2011.
Frascone RJ, Salzman J, Wewerka S.
Frequency of Organ and Tissue Donation
in Out-of-Hospital Cardiac Arrest Patients.
Acad Emerg Med 2011 May; 18:S1. Poster
presentation, SAEM Annual Meeting,
Boston, MA, June 2011.
Frascone RJ, Aufderheide TP et al. Treatment of Out-Of-Hospital Cardiac Arrest
with an Impedance Threshold Device
and Active Compression Decompression
Cardiopulmonary Resuscitation Improves
Survival with Good Neurologic Function.
Prehospital Emergency Care, January/
March 2011, 15(1). Oral presentation,
National Association of Emergency
Medical Physicians, Bonita Springs, FL,
January 2011.
Harris CR, Brown A. Spice drug abuse: A
Case Series and Review of Synthetic Cannabinoid Intoxication. Oral presentation, The
6th Mediterranean Emergency Medicine
Congress, Kos, Greece. September 2011.
Hegarty C, Taft S, Ankel F, Gordon B,
Raghunandan S: Residency Applicant
Communication Preferences and use of
Social Media in Residency Application.
A Pilot Study. Acad Emerg Med 2011;18:
Suppl 1 S203. Poster presentation, CORD
Academic Assembly, San Diego, CA. March,
2011 and SAEM Annual Meeting, Boston,
MA, June 2011.
North American Congress of Clinical Toxicology, Washington DC, September 2011.
de la Torre M, Kim KS, Barringer KW.
Integrating Quality Improvement with
Resident Education. Poster presentation,
AAMC 2011 Integrating Quality Meeting,
Chicago, IL. June, 2011. and IHI 23rd
Annual National Forum on Quality
Improvement in Health Care, Orlando, FL.
December 2011.
Zinkel AR, Kim KS, Ankel F: Utilization
of non-clinical shifts to educate residents
and medical students on clinical quality
initiatives in real time: Poster presentation,
AAMC 2011 Integrating Quality Meeting,
Chicago, IL, June, 2011.
Kilgore KP. Dreams Lost - the Impaired
Physician. Oral presentation, University
of North Dakota School of Medicine
November 4, 2011.
Nelson J, Woster C, Burnett A,
Salzman J, Wewerka S, Frascone RJ.
Direct Comparison Of Video Laryngoscopes In Simulated Difficult Intubations.
Acad Emerg Med. 2011:18(5):S34. Poster
presentation, SAEM Annual Meeting,
Boston, MA, June 2011.
Nelson JG, Go SJ, Anderson CJ. Using
Electronic Medical Records (EMR) To
Assess Learner Practice Change As a Result
of an Educational Intervention: Results
of a Feasibility Study. Acad Emerg Med.
2011:18(5):S1. Poster presentation, CORD
Academic Assembly, San Diego, CA.
March, 2011.
Nelson, J. Wewerka, S. Salzman, J.
Burnett, A. Woster, C. Griffith, K.
Frascone, RJ. Evaluation of four different
video laryngoscopes in a simulated
difficult airway scenario: the EMESIS trial.
Prehosp Emerg Care. 2011;15(1):133.
Poster presentation, National Association
of Emergency Medical Physicians, Bonita
Springs, FL, January 2011. Stellpflug SJ, Cole JB, Isaacson BA,
Lintner CP, Bilden EF. Atropine Eye
Drop Ingestion Treated with High-Dose
Physostigmine. Clin Toxicol 2011. Poster
September 2011.
Setzer SC, Cole JB, Kwon SK, Stellpflug SJ,
Ellsworth H. Ondansetron Toxicity in
a Toddler Resulting in Tachycardia,
Altered Mental Status, and QTc Prolongation. Clin Toxicol 2011. Poster presentation,
Zinkel AR, Kim KS. Quality: A New
Academic Career. Presented at CORD
Academic Assembly, San Diego,CA.
March, 2011 and SAEM Annual Meeting,
Boston, MA. June, 2011.
Zwank MD, Gross EA, Hughes MJ, Castle
DJ, Miller AC, Hughes WP, Anderson CP. Agreement Between Physician and CT
Scan in High Energy Mechanism Stable
Trauma Patients. Ann Emerg Med. 2011;
58(4):S271-S272. Poster presentation,
ACEP Scientific Assembly Annual Meeting
San Francisco CA. Oct 15-18, 2011.
Paech NK, Zwank MD. Laboratory Screening of Depressed or Suicidal Patients
Is Unnecessary. Ann Emerg Med. 2011;
58(4):S320-321. Poster presentation,
ACEP Scientific Assembly Annual Meeting
San Francisco CA. Oct 15-18, 2011.
Zwank MD, Carlson CG Anderson CP.
Correlation Between Internal Jugular
Vein Dimensions and Congestive Heart
Failure. Acad Emerg Med 2011;18:S1.
Oral presentation, SAEM Annual Meeting,
Boston, MA, June 2011. Zwank MD, Leow M, Anderson CP.
Emergency Department Patient Knowledge And Physician Communication
Regarding Computed Tomography (CT).
Poster presentation, SAEM Annual Meeting, Boston, MA, June 2011.
Zwank MD, Burnett AM, Anderson CP.
Laboratory Confirmed Gonorrhea And
Or Chlamydia Rates In Clinically Diagnosed PID And Cervicitis. Acad Emerg Med.
2011:18(5):S321. Poster presentation,
SAEM Annual Meeting, Boston, MA, June
2011.
Zwank MD. Bedside Ultrasound for the
Hypotensive Patient. IEME presentation,
SAEM Annual Meeting, Boston, MA,
June 2011.
23
Emergency Medicine Grads
24
Name
Medical School
Current Location
Luke Albrecht, MD ‘08
Nathan Anderson, MD ‘06
Owen Anderson, MD ‘09
Cheri Audrain-Schroeder, MD ‘01 Kendal Baker, MD ‘03
Stephen Wade Barnhart, MD ‘03 Kelly Barringer, MD ‘08
Bradley Barth, MD ‘00
Marny Benjamin, MD ‘02
Mark Bernas, MD ‘00
John Bonta, MD ‘02
Autumn Erwin Brogan, MD ‘11 Sandy Fritzlar Buckman, MD ‘07 Aaron Burnett, MD ‘10
Catherine Carlson, MD ‘11
Adina Miller Connelly, MD ‘09
Mark Connelly, MD ‘08
Frank Coughlin, MD ‘01
Susan Zola Cullinan, MD ‘01
Nathaniel Curl, MD ‘10
Katharine Davidson, MD ‘11
Laresa DeBoer, MD ‘02
Tanya Kleven Decker, MD ‘04
Chanah DeLisle, MD ‘99
Christopher Dillon, MD ‘09
Joseph Dolan, MD ‘09
Scott Donner, MD ‘06
Joey Peterson Duren, MD ‘08
Mary Fehringer Drake, MD ‘00
Roseann Ekstrom, MD ‘07
Heather Ellsworth, MD ‘10
Aaron Feist, MD ‘10
Jared Friedman, MD ‘05
Jon Fuerstenberg, MD ‘04
Leah Gapinski, MD ‘10
Jeffrey Geddes, MD ‘06
Alexander Gerbig, MD ‘11
Shani Go, MD ‘10
Elizabeth Godin, MD ‘06
Bradley Gordon, MD ‘02
Craig Grorud, MD ‘99
Tara O’Connell Gruba, MD ‘09
Theresa Gunnarson, MD ‘00
Cullen Hegarty, MD ‘01
Keith Henry, MD ‘05
Bradley Hernandez, MD ‘01
Randall Hofbauer, MD ‘02
Jonathan Hokanson, MD ‘05
Patrick Holland, MD ‘02
Lynn Howard, MD ‘03
Kurt Isenberger, MD ‘04
Danielle Jackson, MD ‘09
Paul Jewett, MD ‘00
Nicholas Johnson, MD ‘05
Medical College of Wisconsin University of Nevada
Indiana University
Indiana University
Michigan State University
Loyola University
University of Nebraska
Mayo Medical School
SUNY at Syracuse
University of Colorado
University of Iowa
University of Cincinnati
University of Iowa
University of Kansas
University of Nebraska
Medical College of Wisconsin University of North Dakota
Mayo Medical School
University of Iowa
Chicago Medical School
Medical College of Wisconsin Creighton University
University of Arizona
University of Iowa
University of Hawaii
Medical College of Wisconsin University of Minnesota
St. Louis University
New Ulm Medical Center - New Ulm, MN
United Hospital - St. Paul, MN
EMS/Wilderness Medicine Fellowship - University of Utah
Fairview Southdale Hospital - Edina, MN
Hancock Regional Hospital - Greenfield, IN
Good Samaritan Hospital - Puyallup, WA
Regions Hospital - St. Paul, MN
St. John’s Hospital - Maplewood, MN
Methodist Hospital - St. Louis Park, MN
Deceased
Bryan LGH Medical Center - Lincoln, NE
International Medicine Fellowship - Loma Linda University, CA
Critical Care Fellowship - University of Pittsburgh, PA
North Memorial Medical Center - Robbinsdale, MN
Bryan LGH Medical Center - Lincoln, NE
Luther Midelfort Hospital - Eau Claire, WI
Trinity Medical Center - Bettendorf, IA
Elmendorf Air Force Base - Anchorage, AK
Ridgeview Hospital - Waconia, MN
St. Luke’s Hospital - Cedar Rapids, IA
St. Francis Hospital - Shakopee, MN
Mercy Hospital - Coon Rapids, MN
Bozeman Deaconess Hospital - Bozeman, MT
Fairview Northland Medical Center - Princeton, MN
Toxicology Fellowship - Regions Hospital - St. Paul, MN
Community Medical Center - Missoula, MT
Avera McKennan Hospital - Sioux Falls, SD
Abbott Northwestern Hospital - Minneapolis, MN
University of Minnesota Medical Center - Minneapolis, MN
Park Nicollet - Minneapolis, MN
Hoag Hospital - Irvine, CA
St. Mary’s Hospital - Duluth, MN
Deceased
Good Samaritan Hospital - Puyallup, WA
Cedar Park Regional Medical Center - Austin, TX
Phelps Johnson, MD, PhD ‘02
Medical College of Wisconsin Todd Joing, MD ‘05
Cynthia Kelmenson, MD ‘03
University of Pennsylvania
Kara Kim, MD ‘11
Martin Klinkhammer, MD ‘07
Mayo Medical School
Amy Kolar, MD ‘99
Heidi Lako-Adamson, MD ‘07
Robert LeFevere, MD ‘04
Karen Lushine, MD ‘01
Joseph Madigan, MD ‘07
Darren Manthey, MD ‘05
Emily Mason, MD ‘07
A. Duncan McBean, MD ‘09
Hal Minnigan, MD, PhD ‘00
Matthew Morgan, MD ‘05
Finch University
Jessie Gillund Nelson, MD ‘04
Christopher Obetz, MD ‘03
N. Kolja Paech, MD ‘11
UC San Francisco
James Parker, MD ‘99
Mayo Medical School
Lane Patten, MD ‘07
Ben Peake, MD ‘08
Mayo Medical School
Kelly Rhone, MD ‘04
Martin Richards, Jr, MD ‘06
Eric Roth, MD ‘11
Dartmouth University
Jason Roth, MD ‘99
University of Colorado
Christopher Russi, DO ‘03
Des Moines University
Paul Satterlee, MD ‘00
Ann Schapiro, MD ‘05
SUNY at Buffalo
John Seidner, MD ‘01
University of Vermont
Jonathan Shultz, MD ‘08
University of Kansas
Kevin Sipprell, MD ‘99
Jillian Smith, MD ‘11 Tufts University
Kevin Smith, MD ‘07
University of Iowa
Natasha Srb, MD ‘08
Samuel Stellpflug, MD ‘08
Nicole Stethem, MD ‘05
Nicole Stoik, MD ‘10
University of Iowa
Timothy Sullivan, MD ‘11
Yale University
Stephanie Taft, MD ‘04
East Carolina University
Peter Tanghe, MD ‘03
Charis Thatcher, MD ‘09
Scott Thielen, MD ‘09
Trenten Thorn, MD ‘06
University of Utah
John Travnicek, MD ‘06
Paul Travnicek, MD ‘08
Melissa Tschohl, MD ‘06
Jeffrey Vespa, MD ‘00
Loyola University
Gregory Vigesaa, DO ‘10
University of Virginia COM
Joseph Wahlberg, MD ‘06
Brent Walters, MD ‘10
Clark Williams, MD ‘03
University of Wisconsin Beth Wicklund, MD ‘07
University of Minnesota James Wood, MD ‘01
Mayo Medical School
Jeffrey Young, MD ‘99
Robert Zeleznikar, MD, PhD ‘99
Fairview-Southdale Hospital - Edina, MN
Medical Center of Aurora - Denver, CO
Quality & Patient Safety Fellowship - Regions Hospital - St. Paul, MN
Emergency Physicians of Tidewater - Norfolk, VA
Sanford Hospital - Fargo, ND
Sanford USD Medical Center - Sioux Falls, SD
Sacred Heart Hospital - Eau Claire, WI
St. Joseph Medical Center - Bellingham, WA
Wishard Hospital - Indianapolis, IN
California Emergency Physicians - Sacramento, CA
St. Francis Hospital - Shakopee, MN
St. Anthony Hospital - Denver, CO
Mayo Clinic St. Mary’s Hospital - Rochester, MN
Catholic Health Systems - Buffalo, NY
Elliot Hospital - Manchester, NH
St. Luke’s Hospital - Duluth, MD
Ridgeview Hospital - Waconia, MN
St. Francis Hospital - Hartford, CT
Mercy Medical Center - Des Moines, IA
Fairview Ridges Hospital - Burnsville, MN
Fairview Ridges Hospital - Burnsville, MN
Lakeview Hospital - Bountiful, UT
Sanford Hospital - Fargo, ND
Mercy Hospital - Dubuque, IA
Kaiser Permanente Northwest - Portland, OR
Mercy Hospital - Coon Rapids, MN
25
Emergency Medicine Residency
640 Jackson Street
St. Paul, MN 55101
(651) 254-3666
www.regionsem.org
Regions Hospital is certified as
a Level I Trauma Center for adults
and for children serving Minnesota
and western Wisconsin for more
than 130 years.
A private, nonprofit, teaching hospital, Regions
(www.regionshospital.com) provides outstanding
care in women’s health, heart, cancer, surgery,
orthopaedics, neuroscience, burn, emergency care
and more. Regions is part of the HealthPartners
(www.healthpartners.com) family of health care
companies that serves 1.25 million medical and
dental health plan members nationwide.

Learning - the Regions Hospital Emergency Medicine Residency

Transcription

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