2007 Annual Report Program History

Quality Care Quality Education

Regions Hospital Emergency Medicine Residency Program 2007 Annual Report Program History

Robert Knopp, MD founded the As of July 2007, the EM residency Contents Regions Hospital Emergency has graduated 72 residents from 25 Medicine Residency in 1994. Before medical schools who now practice arriving in St. Paul, he served 17 in 15 states. Regions faculty are Letter from the Director...... 1 years as the residency director at graduates of 14 different EM Department Head Update...... 2 Valley Medical Center in Fresno, residencies. California. The first class of residents Emergency Center Operations...... 3 at Regions began their training in Didactic Curriculum...... 4 1996. Felix Ankel, MD has been involved with the residency program Ultrasound...... 5 since its inception and became Toxicology...... 6 residency director in July 2000.

Simulation...... 7

Class of 2010...... 7

Habits of Lifelong Learning...... 8

Chief Residents Update...... 9

HealthPartners IME...... 10

Residency Presentations...... 10

New Faculty...... 10

Coordinators...... 11

Medical Student Program...... 11

Emergency Medical Services...... 12

Nursing Education...... 13

Crisis Program ...... 13

Awards...... 14

Current Residents...... 15

EM Faculty ...... 16

Publications...... 17

EM Graduates ...... 20 The class of 2010 Program History Letter from the Director

It’s a pleasure are involved in leadership activities, We have solidified our partnership to present the locally and nationally. with the Department of Emergency 2007 Regions • Tara O’Connell (’09) has been Medicine at the Facultad de Medicina Hospital an instrumental force in the de la Universidad Central in Quito, Emergency Association of Independent Ecuador. Martin Klinkhammer (’07) Medicine Academic Medical Centers’ spent a month during his senior year Residency National Initiative: Improving educating EM residents of Quito with annual report Patient Care Through Graduate Drs. Carson Harris, Matt Morgan (’05) and share our accomplishments over Medical Education (www. and Christopher Obetz (’03). In the the past year. aiamc.org). This has facilitated fall of 2007, we hosted two visiting Ecuadorian EM residents for a month. We have remained steadfast in broadening our residency’s focus our residency’s mission since it’s to incorporate national patient In 2007 we welcomed additions to inception: to provide and promote safety and quality initiatives. our faculty and residents. Our resi- excellence in patient care and • Kelly Barringer (’08) is serving on dency leadership now includes Drs. education. Our residency efforts are SAEM's GME committee. Rachel Dahms, Cullen Hegarty, guided by the Baldridge Educational • Lane Patten (’07), authored a Matthew Morgan, and Stephanie Taft Criteria for Performance Excellence chapter in the new edition of the as assistant residency directors. Drs. (www.quality.nist.gov.) These include SAEM's Academic Career Guide Henry Ortega and Sam Reid, both best practices in the following while on the GME committee. fellowship-trained pediatric emer- areas: leadership, strategic planning; • Beth Wicklund (’07) continued to gency physicians, have joined our student, stakeholder, and market serve on the editorial board of EM residency faculty. focus; measurement, analysis, and Practice and spent a month as a We matched another competitive knowledge management; workforce medical news intern with ABC. class of residents featured in this focus; process management; and • Sandy Fritzlar (’07) continued to report. We are grateful for the support results. serve on the board of directors of of so many residency partners and Our residency benefits from the lead- the HealthPartners Institute for feel fortunate for the opportunity to ership and vision of our department Medical Education. train the next generation of emergency head, Brent Asplin, MD, MPH. Dr. • Jon Shultz (’08) continued his medicine practitioners. Quality care Asplin brings a wealth of experience service as board member of and quality education go hand in to our department from his national AAEM-RSA. hand. It is an honor to be part of a work with the Institute of Medicine’s healthcare community where patient • Joey Charles (’08), a member of report on the future of emergency care and education are in the forefront. ACEP’s Education Committee, care, incorporating the goals of the was selected to attend the IOM reports into our residency cur- ACEP advocacy conference in riculum, clinical operations and Washington, DC. research programs. Felix Ankel, MD • Emily Mason (’07) received the Director, Regions Hospital We actively recruit resident appli- University of Minnesota’s Arnold Emergency Medicine cants that wish to contribute to P. Gold Humanism and Excellence Residency Program emergency medicine beyond clinical in Teaching Award. shifts. We salute our residents that

1 Department Head Update

The Regions director of informatics for Regions size of the emergency department. emergency Hospital, and recently completed a As we go through the construction department K-22 Research Career Award from process, one of our key goals is to (ED) had the National Library of Medicine. make sure we are building more than another suc- During the past two years, Dr. Karen just a new building. Using the talents cessful year in Quaday played an important role as of the more than 300 dedicated 2007, and one Chief of Staff for Regions Hospital. professionals who work in our of the most We also welcomed Drs. Emily department, we are committed to important reasons for this success Binstadt, Matt Morgan, Stephanie building a better emergency care was the many contributions of our Taft, Jason Gengerke and Keith system for tomorrow. I believe we residency training program. The Henry to the faculty. Dr. Binstadt is have the right people and the right program continues to be a cornerstone focusing on simulation curriculum organization to make this a reality, for clinical excellence and academic development and Dr. Morgan and Dr. and I look forward to our progress productivity in the department, and Taft are assistant program directors during the coming year. I am honored to be associated with for the residency. In addition, we Best wishes for a successful 2008. it. Each year I enjoy meeting with had excellent achievements in our our residency program applicants. clinical toxicology, ultrasound, EMS, It is exciting to see that emergency research, simulation, operations medicine continues to attract the best and sexual assault nurse examiner and brightest medical students to the programs. Brent Asplin, MD, MPH specialty. This fact bodes well for Department Head Regions Hospital is in the middle of the future of our specialty and for the Emergency Medicine a major expansion that will triple the future of emergency care.

One reason I enjoy meeting with applicants is the opportunity to highlight the many accomplishments of the faculty physicians at Regions. In 2007, Dr. Robert Knopp and Dr. Cullen Hegarty were honored by HealthPartners Medical Group for outstanding achievements in clinical care and teaching. Dr. Felix Ankel served on the Alliance of Independent Academic Medical Centers’ (AIAMC) national initiative to improve patient care through graduate medical education. Dr. Brad Gordon was named the medical

Expansion 2009

2 Emergency Center Operations

The Regions Hospital Emergency gross-square-foot area to serve the four stabilization rooms and up to Center is a Level I Trauma Center needs of an estimated 85,000 patients 40 exam rooms. Plans also include a located in St. Paul, Minnesota, annually. The Emergency Center dedicated general radiology room and serving the east metropolitan Twin remodel will be rolled out in several CT imaging facilities. Cities area, including western phases. In 2009, the Emergency Richelle Jader, BSN, MHA Wisconsin. Today, the emergency Center will see the addition of a new Director department (ED) is comprised of ambulatory entrance encompassing almost 19,200 square feet of clinical a welcome center/waiting room, Jon Henkel, BSN, BHA Nurse Manager space with 49 treatment rooms. There an 8-bed fast track care area, a 10- is also an additional 8,000 square feet bed critical care area and an 11-bed Won Chung, MD, MS that house a library, conference space behavioral health unit. Clinical Director and Assistant and support service offices. Department Head When the expansion is complete, the Jeff Fritz, The latest approximate Emergency Emergency Center will consist of up Support Services Manager Center figures are as follows: to 68 exam rooms, including a 12- • 67,000 patient visits per year bed clinical decision unit (where it is determined whether the patient will • 11 percent pediatric patients (age be admitted or discharged elsewhere), 16 or under) • 3,100 trauma admissions • 730 trauma team activations each year • 23 percent admission rate • 60 percent of all hospital admissions come from the ED

According to projected growth estimates, the Emergency Center will serve an additional 20,000 to 25,000 patients annually by 2015. Since the current operating space best serves about 60 percent of today’s emergency need, a significant expansion of the Emergency Center is crucial. The ED, according to current plans, will have a 45,000- Teambuilding, class of 2010

3 Didactic Curriculum

Regions Hospital offers residents a topics. Those who participated in • Joint Conferences are full spectrum of topics in emergency 2007 include: James Adams, MD, collaborative conferences medicine based on the Model of Feinberg School of Medicine, held in conjunction with other the Clinical Practice of Emergency Northwestern University; Mark departments such as radiology, Medicine. The core curriculum is Steele, MD, Truman Medical trauma services, and critical care designed to repeat itself in its entirety Centers; Michelle Biros, MD, to discuss related areas of interest. on an 18-month basis. As there are Hennepin County Medical Center; Recently we’ve begun a quarterly several modalities of learning, the Patrick Holland, MD, Good joint emergency medicine- internal didactic curriculum is set up to cover Samaritan Hospital, Puyallup, WA. medicine conference. both the depth and breadth of emer- • Core Content Lectures reinforce • Small Group Sessions: To gency medicine through traditional as knowledge which is gained on encourage active learning small well as innovative and interactive clinical rotations as well as sup- group days have been incorporated means. Curriculum components plement the clinical experience. into the curriculum on a monthly include: Lectures are given by faculty basis. Residents are divided • Critical Case is a favorite of resi- members who are experts in a into 3 groups and rotate through dents and faculty alike. Critical core content area. stations which may include case Case provides an interactive • Journal Club is held on a regular discussion, simulation, or mini- forum for discussion of a case of basis and three to four recent lectures. educational value. Case discussion practice-changing articles are Matthew Morgan, MD is focused not only on the content discussed. Journal Club is lead Assistant Residency Director of the eventual diagnosis but also by an expert reviewer with the on the decision-making process aid of a departmental research in evaluating critically ill patients methodologist and statistician. with limited immediate data. This conference has been extended to 90 minutes from 1 hour in the last year to facilitate more in-depth discussion. • Grand Round presentations in 2007 included: Pediatric Head Injury - Samuel Reid, MD, Children’s Hospital and Clinics of St. Paul and Beyond Clinical Emergency Medicine: Tips for Meaningful Hospital and Community Engagement - Laresa DeBoer, MD, Ridgeview Hospital, Waconia, MN. • Visiting Professor Series Speakers external to the program are invited to speak on research or clinical

4 Ultrasound

Ultrasound has proven invaluable to the emergency physician, and Regions Hospital Emergency Depart- ment (ED) is committed to training our residents on how to use this important tool. Residents trained at Regions use ultrasound machines to help diagnose and treat critically ill patients who come to the ED for care. During the three-year residency, residents learn to use ultrasound in specific emergency applications, such as emergency echocardiography, assessment of the abdominal aorta, evaluating the trauma patient utiliz- ing the focused assessment with sonography in trauma (FAST) exam, and diagnosing and treating the patient with undifferentiated hypotension. In addition, ultrasound is used teaching is supplemented and rein- immediate feedback on ultrasound to aid in procedures such as vascular forced through clinical teaching and technique, image quality, and trouble- access, thoracentesis, paracentesis, direct application in the ED. This shooting techniques by the supervis- foreign body identification, localiza- hands-on experience begins in the ing emergency department faculty. tion and extraction, abscess identifi- first year, where one-on-one tutori- Additionally, ultrasound images are cation and treatment, among others. als with the ultrasound faculty focus reviewed as part of the quality assur- on familiarization with the machine, ance initiative, and the ultrasound Didactic experience: Ultrasound how to obtain and recognize quality director provides feedback to the education is undertaken in several images, and the protocols utilized resident and faculty. Residents are formats. Didactics are presented in with the applications. These sessions given a quarterly report showing the a lecture series conducted over 18 allow the faculty to teach the basics, number and type of ultrasounds they months. These lectures cover topics as well as more advanced techniques have performed in the ED, which is related to basic ultrasound physics of different ultrasound applications. reviewed during the semi-annual resi- and “knobology”, the FAST exam, This experience is enhanced by dent evaluation meeting with the pro- emergency echocardiography, weekly teaching sessions that are gram director. At the completion of abdominal aortic aneurysm evalua- open to all residents, yet provide residency, documentation is provided tion, examination of undifferentiated individualized instruction. Residents from the program director for future hypotension, and procedural ultra- are also encouraged to perform ultra- emergency ultrasound credentialing. sound. Prior to residency graduation, sounds on patients indicated by pre- Kurt Isenberger, MD residents are given advice on setting sentation while working their clinical up an ultrasound program in their shifts in the ED. Peter Kumasaka, MD new jobs. Michael Zwank, MD Evaluation process and feedback Emergency Ultrasound Education Clinical experience: The didactic mechanisms: Residents receive

5 Toxicology

Regions toxicology service is Members of Regions toxicology In addition, the toxicology service dedicated to providing education on service were involved in more than members participate in toxicology- toxicology topics and consultations 20 formal presentations in 2007 at related clinical and benchtop to the emergency department regional conferences, local colleges research. This past year the research (ED), hospital units and clinics 24 and community hospital grand focus has been on projects involving hours a day, 365 days a year. As rounds in Minnesota and Wisconsin. management of toxin-induced shock a major educational partner in the Presentations at a national conference and a multi-center study on cyanide’s Medical Toxicology Fellowship of the Society of Hospital Medicine role in smoke inhalation injury, and Program, the toxicology service is and grand rounds at the Ecuadorian several case presentations at national an active component in educating Emergency Medicine Program emergency medicine and toxicology the program fellows through formal in Quito were examples of the meetings. A textbook chapter on and informal learning activities. The expanding educational role of the pediatric ingestions was published in ongoing educational activities of the toxicology service. the British pediatric text Advances toxicology service include quarterly in Paediatrics. 2007 proved to be a The toxicology service averages interdisciplinary conferences, a very busy and fulfilling year for the approximately 30 formal weekly toxicology journal club, toxicology service. consultations a month, in addition adverse drug reaction, herbal reviews to informal educational consults and Carson R. Harris, MD and toxicology chapter reviews. telephone consults. Ten emergency Director, Toxicology Consult To augment the education of medicine residents, four students, Service residents, fellows and students, the one physician assistant student and Kristin Engebretsen, PharmD toxicology service uses a computer 12 PharmD candidates rotated on the Clinical Toxicologist controlled mannequin for weekly toxicology service this year. Others case simulations. New cases are who rotated on the service included revised and developed throughout pediatric emergency medicine fellows the year. Several multidisciplinary and one psychiatry resident. conferences involving the surgery, cardiology, and psychiatry departments took place in 2007.

Other educational endeavors during the year included bi-monthly forensic toxicology case review, and toxicology “field trips” to the University of Minnesota Arboretum to learn about toxic plants. Regions’ 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 Ecuadorian EM residents, and toxicology didactic sessions. Twin Cities, September 2007

6 Simulation Class of 2010 Aaron Burnett, MD The Emergency Medicine Residency during residency conference days at • State University Program added to its simulation Regions. of New York at faculty with the arrival of Emily Syracuse College of The new monthly conference small Binstadt, MD, MPH in 2007. Dr. Medicine group/experiential learning format Binstadt comes to Regions from • 2007 SAEM has incorporated adult and pediatric Boston where she served as the excellence in simulation cases into conference emergency medicine assistant medical director for the days. Optional pre-conference simu- award STRATUS center for medical simula- lation cases teach core EM cases and • EMT since the age of 18 tion. She joins Cullen Hegarty, MD crisis resource management com- • Hobbies include bicycling & canoeing and Jessie Nelson, MD to give the munication, teamwork and leadership - completed a 2 day, 46 mile canoe residency a strong simulation educa- principles. In-situ trauma team cases trip down the length of the Battenkill tion group. River in Vermont. in the ED have been another new Our simulation group continues to area for the simulation group. integrate simulation technology into Nathaniel Curl, MD Dr Nelson continues in her role staff, resident and student education. • University of Iowa as the physician educator at the One big change compared to 2006 College of Medicine HealthPartners Simulation Center, is that the majority of the simulation • Member of AOA and Dr. Hegarty and Dr. Binstadt education happens at Regions • Former Colorado were named co-directors of Hospital. We are still using the camp counselor and emergency medicine and trauma for HealthPartners Simulation Center percussionist the new University of Minnesota as well as a new simulation space at • Hobbies include SimPORTAL. the University of Minnesota for both outdoor sports, cooking, fine arts. resident and student education, but Cullen Hegarty, MD have added more simulation teaching Assistant Residency Director Aaron Feist, MD • University of North Dakota School of Medicine • Volunteered in Cameroon after graduating from medical school. • Hobbies include cooking new and exotic foods, reading, exercising, traveling both abroad and domestically,

Tara O'Connell, MD ('09) AIAMC National Initiative Meeting, Washington, DC

7 Leah Gapinski, MD • University of Iowa Habits of Lifelong Learning College of Medicine The Regions emergency medicine During 2007, Regions ED completed • A former volunteer residency strives to implement its first year in a fully-computerized prison chaplain, she slept under the a culture and infrastructure of state. Continued optimization statue of Dr. Michael lifetime learning through access to is now the name of the game. DeBakey during outside knowledge, archival of our Through ongoing optimization of Tropical Storm Allison in 2001 residency’s collective wisdom and the Epic system, we’re striving • Volunteered in Guatemala during translation of knowledge into clinical for easier and faster. We installed senior year of medical school practice. improved processes for electronic • Hobbies include tennis, cooking. disc documentation, handling sign- The residency has a growing archive golf, rock climbing, and hiking. outs for extended-stay patients, of downloadable educational improved lab and ECG reports and conferences. The Emergency improved handling of transferred Shani Go, MD Medicine Residency Electronic patients. As experience is one of • The Chicago Library (EMREL) archives life’s best teachers, use of the EMR Medical School conference videos from October provides residents with the ongoing • Member of AOA 2003 to the present. There are opportunity to learn from their • St John’s Ambulance approximately 320 videos spanning experience when following up on Brigade “crusader” five years. Digital access allows in Vancouver, BC their patients. anytime viewing of this valuable • Hobbies include store of wisdom. Through these tools, the residency hockey, skating, music, movies and invests in an infrastructure that works television, the outdoors, traveling. In 2007 Regions Hospital Medical to support one of the primary ideals: Library underwent extensive learning is a lifeline skill that must be remodeling. The new space contains Nicole Stoik, MD cultivated, rather than a single stop both physical journal storage, and • University of Iowa within the career of medicine. College of Medicine new computer workstations to access Brad Gordon, MD • 2007 SAEM the vast selection of subscription- excellence in based electronic content. This is now Director, Residency Technology emergency medicine a comfortable, quiet place to read up award on a particularly challenging case, as • Collegiate athlete it is open 24/7 to staff and residents. who competed in leagues for coed flag football, basketball and The EMRes email distribution list is volleyball, women’s indoor soccer, the core electronic connection tool and coed dodgeball for our residents, staff and alumni. • Hobbies include training for and The list added 90 members last competing in triathlons, traveling, year to a total of 227 members. We playing club soccer, watching movies, are now using EMRes to link our reading, and spending time with friends and family. residency applicants to our collective wisdom, allowing them to have a feel for the real Regions experience.

8 Heather Sutherland, MD Letter from the Chief Residents • Medical College of Wisconsin It’s been an exciting year as chief • Continued presence in education. • Member of AOA residents as we strive to continue the Residents continue to help tradition of clinical and educational educate the community through • Hobbies include rock climbing, excellence. We have continued to HealthPartners EMS and also mountain biking, work at increasing resident engage- further experiences at the road biking, fishing, ment both in our emergency depart- University of Minnesota. camping, hiking, volleyball, water ment and throughout the community. • Regions emergency medicine skiing, alpine and nordic skiing, A few significant examples of our residents continue to have ultimate frisbee, backpacking accomplishments in 2007 include: a national presence with • A major change to the Regions publications in national journals, Gregory Vigesaa, DO emergency department (ED) participation on national • Virginia College resident schedule from eight-hour committees and presentation of of Osteopathic to 10-hour shifts. This change research at national meetings. Medicine facilitates better patient care with • Member of VCOM We are able to succeed with the less hand-offs and more overlap at Honor Society strong support, encouragement and high-volume times. • Hobbies include leadership of our residency program playing and • Continued presence at St. Paul staff. We look forward to continuing watching sports, traveling, and Children’s, in addition to selective to strengthen our presence and spending time with family and rotations at several community showcasing excellence in emergency friends hospitals. medicine training and patient care • An increased number of residents over the coming year. Brent Walters, MD participating in a resident switch Kelly Barringer, MD • University of with Hennepin County Medical Minnesota Medical Center, providing the opportunity Ben Peake, MD School to experience a different academic Sam Stellpflug, MD • Former genetics setting. 2007-2008 Chief Residents counselor • Expanded collaboration within • Hobbies include the hospital with a well-attended hiking, skiing, combined conference with internal traveling, snorkeling, golf, football, softball, basketball, reading. medicine and the ED. • Increased diversity of core conference education, including the interactive nature of conference with small groups and the use of simulation.

9 New Faculty 2007 The HealthPartners Institute for Emily Binstadt, MD, MPH Medical Education (IME) • Undergraduate: Duke University The Regions Hospital Emergency development; and medical library • Medical School: Medicine Residency is a Health- services. In addition, the IME partners Mayo Medical Partners Institute for Medical with Metropolitan State University School Education (IME) residency training in the Simulation Center for Patient • Residency: Harvard program. The IME was created in Safety. The Simulation Center uses Affiliated 1996 to provide an innovative computerized mannequins, virtual • Fellowship: Education & Simulation structure to lead the organization's reality and other advanced teaching Technology – Harvard educational efforts. Today, the IME techniques to prepare health profes- • Interests: Medical simulation, partners with academic institutions; sionals for high-intensity clinical education and ethics provides an innovative environment experiences. The IME has a for- for health provider education and mal affiliation agreement with the Jason Gengerke, MD is an advocate for education that University of Minnesota that guides • Undergraduate: measurably improves patient care. the educational relationship between South Dakota State University The IME focuses on five aspects of the two organizations. Regions emer- medical education: undergraduate and gency medicine staff enjoy faculty • Medical School: University of Iowa graduate medical education; nursing appointments within the depart- • Residency: Michigan education; allied health professional ment of emergency medicine at the State-Grand Rapids education; continuing professional University of Minnesota. • Interests/Hobbies: orthopedics, toxicology, airway managment, emergency department efficiency, fishing, kayaking, archery, movies

Keith Henry, MD Residency Presentations 2007 • Undergraduate: Northern Arizona The Regions Hospital Emergency Medicine Residency supplements the clinical University learning experience with lectures, workshops and procedural skills labs which • Medical School: are open (space permitting) to all residents, faculty, students, alumni, nurses, University of Arizona physician assistants, consultants and others from our residency community to • Residency: Regions share and discuss new knowledge. Hospital Number of lectures: 203 conference hours • Interests/Hobbies: medical student education, ethics, palliative care, Hours of attendance: 5076 resident hours of attendance travel, golf Number of workshops: 49 workshops were taught to 27 rotating residents and 118 medical students and PA students.

Number of labs: 27 residents participated in 18 procedural skills labs

10 Matthew Morgan, MD Coordinators • Undergraduate: Southwest Missouri We continued to focus on connecting We had a very good year hosting State with residents, alumni and colleagues medical students for both core and • Medical School: in 2007. Numerous residency- advanced rotations. These rotations Chicago Medical sponsored events occurred through- are coordinated through our office School out the year, keeping us in touch with and resulted in the generation of • Residency: Regions Hospital alumni and allowing them to meet 34 letters of recommendation for • Fellowship: Regions Hospital and network with our current resi- residency positions. It was great Toxicology dents. As members of the Emergency getting to know these students, and • Interests/hobbies: residency education, Medicine Association of Residency we wish all of them much success in toxicology, guitar, travel Coordinators (EMARC), we attended their future residencies. the annual meeting in Orlando. Lori Henry Ortega, MD Lori Barrett was elected vice-chair of the execu- • Undergraduate - University of tive committee of EMARC. She and Manager, Residency & Education California-Berkeley Dr. Ankel presented a communica- Pat Anderson • Medical School: Oregon Health tions session to coordinators and pro- Education Program Assistant Sciences University gram directors as part of the CORD • Residency: University of Wisconsin Academic Assembly. Pediatrics • Fellowship: Pediatric Emergency Medicine Columbus Children's Hospital/The Ohio State University • Interests/hobbies: injury prevention, sepsis, running, fly fishing

Sam Reid, MD • Undergraduate: St. Olaf College • Medical school: University of Minnesota Twin Cities Lori Barrett and • Residency: University of Minnesota Pat Anderson • Fellowship: Children's Hospital of St. Paul • Interests/hobbies: dehydration, head Medical Student Program injury, running

Our department continues to Excellence in Education award for Stephanie Taft, MD be heavily involved in medical 2007. He was named as co-chair • Undergraduate: student education with our core of the curriculum committee at the North Carolina EM, advanced EM, and toxicology University of Minnesota Medical State University rotations. Dr. Hegarty continues School. • Medical School: in his role as Director of Medical East Carolina Rachel Dahms, MD Student education for all EM courses University through the Department of EM Cullen Hegarty, MD • Residency: Regions Hospital at the University of Minnesota, Kevin Kilgore, MD • Interests/hobbies: residency education, and received the HealthPartners trauma, reading, travel

11 EMS

Since 1997, the emergency medicine Associate Medical Directorship Another type of associate medical residents have participated in a As part of a scholarly project, directorship offered through EMS rotation in Emergency Medical residents in the G2 or G3 year is with Inver Hills Community Services (EMS). Residents also have can choose an associate medical College’s paramedic program. This an opportunity to participate in an directorship with EMS. Residents resident participates in quality associate medical directorship or interested in pursuing an EMS career assurance for run reviews, creates elective rotation in EMS. may choose this project in order to and delivers curriculum and acts as experience the reality of dealing with an advisor to the paramedic students Resident Rotation various issues in medical direction and the program itself. Emergency medicine residents partic- under the guidance of the EMS EMS Elective ipate in a four-week rotation in EMS medical directors. Residents are in their G1 year. Residents participate typically assigned to one service in Emergency medicine residents may in ride-alongs with various services. order to allow them the opportunity elect a rotation in EMS during the For example, residents spend time to build a relationship with the G3 year. Components of this rotation with dual-role services (St. Paul service. Residents provide feedback are variable, based primarily on the Fire), single-tier services (Lakeview on questions, quality assurance and resident’s specific interest, including EMS), police/medic services (Cottage critical case review education. research and teaching. Grove Public Safety) and volunteer/ RJ Frascone, MD paid on-call services (White Bear 2007 Associate Medical EMS Medical Director Lake Fire). Residents also spend time Directors Koren Kaye, MD in the Medical Resource Control • Dr. Adina Miller, Lakeview EMS Co-Medical Director Center at Regions Hospital and the • Dr. Owen Anderson, St. Paul Fire St. Paul Fire Communication Center. Josh Salzman And, finally, many residents take • Dr. Duncan McBean, St. Paul Fire EMS Program Manager part in helicopter ride-alongs with • Dr. Danielle Jackson, St. Paul Fire Shonette Doggett LifeLink III. • Dr. Jon Shultz, National Park EMS Education Manager Service - St. Croix National In addition to medical direction Scenic Riverway specific assignments, residents are integrated as active educators within our program and participate in a multitude of training events. Such events include Advanced Cardiac Life Support for hospital and pre-hospital providers, Pediatric Advanced Life Support, and ALS/ BLS CME, and other teaching opportunities existing within the paramedic program at Inver Hills Community College.

12 Nursing Education

The registered nurses (RN) in the Continuing education takes place in Our nurses are active in the Regions Hospital emergency depart- the classroom, on the Regions Emergency Nurses Association, our ment (ED) demonstrate an impressive Emergency Nursing website, through professional organization. Three of commitment to education. Twenty- posters, presentations and on-the spot the nursing staff members hold posi- nine percent of the RN staff have education. All nurses are certified in tions within the administration of the obtained a specialty certification in ACLS and TNCC. Many nurses have local chapter, including president, emergency and/or critical care nurs- additional certification in ENPC, secretary and state representative. ing; four percent are master’s pre- PALS, CATN, and other specialties. We are excited to be involved in the pared; and 10 percent are actively upcoming annual national conference Regions ED nurses teach other pro- pursuing either their baccalaureate or in Minneapolis in 2008. fessionals and the community. Many master’s degrees. of our emergency medicine nurses Karen Poor, RN, MN, CEN, CCNS A clinical educator and clinical nurse teach paramedic and nursing students Clinical Nurse Specialist specialist coordinate education for at the college level in didactic and more than 100 nurses, 25 paramedics clinical roles. Our nurses also pro- and 40 emergency room technicians. vide education to children on injury New staff complete a core course to prevention through the ENCare establish a baseline knowledge of program. We provide education to emergency nursing at Regions and a nurses from our western Wisconsin comprehensive orientation process affiliates via classes, online education to ensure competence on the floor. and clinical time.

Crisis Program

The Crisis Program, a psychiatric integral part of the ED for over 34 and to create discharge plans that crisis intervention service housed in years and serves over 5500 patients maximize safety and stabilization the Emergency Center at Regions yearly. in the community or the hospital. Hospital, provides psychiatric Approximately 60% of all patients Patients are seen for a variety of assessments, crisis counseling, and who are evaluated by crisis social mental health issues, including referral for patients experiencing workers return to the community. depression, psychosis, anxiety, emotional crises, stressful situations substance abuse, and domestic Maddy Cohen, MSW, LICSW or psychiatric problems. An violence. The crisis staff works Supervisor, Crisis Program experienced, committed corps of closely with ED physicians, clinical social workers staffs the physician-assistants, and nurses to program 24 hours a day, 7 days a provide comprehensive psychiatric weeks. This innovative and cost- and psychosocial assessments effective program has been an

13 Residency Awards/ Recognition/Honors

Star Award - resident teacher selected by medical Excellence in EMD Research students 2007 Emily Mason, MD, Ben Peake, MD 2007 Sandy Fritzlar, MD 2006 Scott Donner, MD 2006 Nathan Anderson, MD, Martin Richards, Jr., MD, 2005 Sandy Fritzlar, MD John Travnicek, MD, Melissa Tschohl, MD 2004 Kurt Isenberger, MD 2005 Keith Henry, MD 2003 S. Wade Barnhart, MD, Christopher Obetz, MD 2004 Robert LeFevere, MD 2002 Randall Hofbauer, MD 2003 Lynn Howard, MD 2001 Frank Coughlin, MD 2002 John Bonta, MD 2000 Paul Satterlee, MD, Paul Jewett, MD 2001 Cullen Hegarty, MD 1999 Kevin Sipprell, MD, James Parker, MD Apple Award - faculty teacher selected by medical Ian Swatez Teaching Award - faculty teacher from students outside EM selected by residents 2007 Joel Holger, MD, Peter Kumasaka, MD, Michael 2007 Eric Korbach, MD, Henry Ortega, MD Zwank, MD 2006 David Lee, MD 2006 Jeahan Hanna, MD 2005 Bruce Bennett, MD 2005 Rachel Dahms, MD, Robert LeFevere, MD 2004 Raj Sarpal, MD 2004 Cullen Hegarty, MD 2003 William Mohr, MD 2003 Kevin Kilgore, MD 2002 Mari Goldner, MD 2002 Felix Ankel, MD 2001 David Dries, MD 2001 Paul Haller, MD 2000 Ian Swatez, MD Faculty Teaching Award - EM faculty teacher selected by residents Robert Knopp Humanism Award 2007 Rachel Dahms, MD, Jeahan Hanna, MD 2007 Emily Mason, MD 2006 Robert Knopp, MD 2006 Martin Richards, Jr., MD 2005 Felix Ankel, MD 2005 Keith Henry, MD, Jon Hokanson, MD 2004 Karen Quaday, MD 2003 Carson Harris, MD 2002 Scott Cameron, MD 2001 Robert Knopp, MD

Nurse Educator Award - EM nurse teacher selected by residents 2007 Lawrence Cochran, RN 2006 Tom Peterson, RN, Karen Poor, RN 2005 Donovan Taylor, RN 2004 Mary Healy, RN

14 Current Residents

Class of 2008 Undergraduate Medical School Luke Albrecht, MD University of Minnesota-Morris University of Minnesota Kelly Barringer, MD Brigham Young University Michigan State University Joey Charles, MD University of North Dakota University of North Dakota Mark Connelly, MD St. John’s University University of Minnesota Ben Peake, MD North Dakota State University Mayo Medical School Jonathan Shultz, MD University of Wisconsin-Eau Claire University of Kansas Natasha Srb, MD University of Minnesota University of North Dakota Samuel Stellpflug, MD Marquette University University of Wisconsin Paul Travnicek, MD South Dakota State University University of South Dakota

Class of 2009 Undergraduate Medical School Owen Anderson, MD University of North Dakota Medical College of Wisconsin Christopher Dillon, MD University of Notre Dame University of Wisconsin Joseph Dolan, MD Iowa State University University of Iowa Danielle Jackson, MD Macalester College University of Minnesota A. Duncan McBean, MD University of Pennsylvania University of Minnesota Adina Miller, MD Gustavus Adolphus College University of Minnesota Tara O’Connell, MD California Polytechnic State U University of Minnesota Charis Thatcher, MD Brigham Young University Medical College of Wisconsin Scott Thielen, MD Ithaca College University of Minnesota

Class of 2010 Undergraduate Medical School Aaron Burnett, MD Boston University SUNY at Syracuse Nathaniel Curl, MD Truman State Univesity University of Iowa Aaron Feist, MD University of Minnesota University of North Dakota Leah Gapinski, MD Quincy University University of Iowa Shani Go, MD University of British Columbia Chicago Medical School Nicole Stoik, MD Princeton University University of Iowa Heather Sutherland, MD Utah State University Medical College of Wisconsin Gregory Vigesaa, DO North Dakota State University Virginia COM Brent Walters, MD University of Minnesota University of Minnesota

15 Faculty

Faculty Medical School Residency/Fellowship Felix Ankel, MD University of Wisconsin University of Illinois Brent Asplin. MD, MPH Mayo Medical School University of Pittsburgh/University of Michigan Robert Wood Johnson Clinical Scholars Program Emily Binstadt, MD, MPH Mayo Medical School Harvard Affiliated/Harvard Education & Simulation Technology Mary Carr, MD University of Michigan EM/IM Henry Ford Hospital – Detroit/HCMC Forensic Medicine Won Chung, MD, MS Albany Medical College Harvard Affiliated Rachel Dahms, MD University of Minnesota Indiana University RJ Frascone, MD University of Minnesota FP - St. Paul-Ramsey Medical Center Jason Gengerke, MD University of Iowa Michigan State University-Grand Rapids Bradley Gordon, MD Creighton University Regions Hospital/University of MN Nat’l Library of Medicine Health Informatics Paul Haller, MD University of Minnesota IM - University of Minnesota Carson Harris, MD University of Minnesota Brooke Army Medical Center Cullen Hegarty, MD University of Minnesota Regions Hospital Keith Henry, MD University of Arizona Regions Hospital Bradley Hernandez, MD University of Iowa Regions Hospital Joel Holger, MD University of Minnesota IM - Abbott Northwestern Hosp. Kurt Isenberger, MD Medical College of Wisconsin Regions Hospital Kory Kaye, MD University of South Dakota St. Vincent Medical Center -Toledo Kevin Kilgore, MD University of North Dakota Ortho - Creighton University Robert Knopp, MD University of Minnesota Valley Medical Center, UCSF-Fresno Peter Kumasaka, MD University of Rochester Christ Hospital - Chicago Richard Lamon, MD Loma Linda University FP - Loma Linda University Robert LeFevere, MD Creighton University Regions Hospital Barbara LeTourneau, MD, MBA University of Minnesota Hennepin County Medical Center Alda Moettus, MD, JD University of Minnesota University of New Mexico Matthew Morgan, MD Chicago Medical School Regions Hospital/Regions Hospital Med/Tox Jessie Nelson, MD University of Minnesota Regions Hospital/Regions Hospital Education Henry Ortega, MD Oregon Health Sciences Peds University of Wisconsin/PEM Columbus Children's Hospital Karen Quaday, MD Wayne State University EM/IM Henry Ford Hospital – Detroit Samuel Reid, MD University of Minnesota Peds University of Minnesota/PEM Children’s Hospital, St. Paul Stephanie Taft, MD East Carolina University Regions Hospital Michael Zwank, MD University of Wisconsin Boston Medical Center

16 2007 Faculty

Boldface: faculty

Publications Boldface italics: residents Articles Binstadt ES, Walls RM, White BA, Holger JS, Engebretsen KM, Handel DA, Sklar DP, Hollander JE, Nadel ES, Takayesu JK, Barker Fritzlar SJ, Patten LC, Harris CR, Asplin BR, Hedges JR; Institute of TD, Nelson SJ, Pozner CN. A Flottemesch TJ. Insulin versus Medicine/Association of American Comprehensive Medical Simulation vasopressin and epinephrine to treat Medical Colleges Panelist Group; Education Curriculum for Emergency beta-blocker toxicity. Clin Toxicol Society for Academic Emergency Medicine Residents Ann Emerg Med. 2007 May;45(4):396-401. 2007 Apr, 49(4):495-504.e11 Medicine; Association of Academic Colletti JE, Kothori S, Jackson Chairs in Emergency Medicine Flottemesch TJ, Gordon BD, Jones DM, Kilgore KP, Barringer K. Panel. Executive summary: the SS. Advanced statistics: developing An Emergency Medical Approach Institute of Medicine report and a formal model of emergency to Neonatal Hyperbilirubinemia. the future of academic emergency department census and defining Emergency Medicine Clinics of medicine: the Society for Academic operational efficiency. Acad Emerg North America. November 2007, Emergency Medicine and Association Med. 2007 Sep;14(9):799-809 25(4);1117-1135. of Academic Chairs in Emergency Medicine Panel: Association of Frascone RJ, Jensen JP, Kaye K, Johnson NC, Holger JS. Pediatric American Medical Colleges annual Salzman JG. Consecutive field trials acute otitis media: the case for meeting. Acad Emerg Med. 2007 using two different intraosseous delayed antibiotic treatment. J Emerg Mar;14(3):261-7. devices. Prehosp Emerg Care. 2007 Med. 2007 Apr; 32(3):279-84. Apr-Jun;11(2):164-71. Asplin BR, Magid DJ. If you want Salzman JG, Page DI, Kaye K, to fix crowding, start by fixing your Salzman JG, Frascone RJ, Stetham N. Paramedic student hospital. Ann Emerg Med. 2007 Godding BK, Provo TA, Gertner E. adherence to the National Standard Mar;49(3):273-4. Implementing emergency research Curriculum recommendations. requiring exception from informed Prehosp Emerg Care. 2007 Oct- consent, community consultation, and Dec;11(4):448-52. public disclosure. Ann Emerg Med. 2007 Oct;50(4):448-55

17 Knopp R. Medical Education- Peake B, Barringer K, Flottemesch National & International -professionalism. Letter to the T, Marini J, Fuerstenberg J, Dries D, Presentations Editor. N Engl J Med. 2007 Feb Holger J. Insulin is an inotrope in a Albrecht L, LaVelle B, Nelson 8;356(6):640. severe sepsis model. Shock 2007; 27 J: Increasing Rural Emergency (supplement1): 8 (abstract). Presented Diner BM, Carpenter CR, O’Connell Department Nurses’ Confidence in at Thirtieth Annual Conference on T, Pang P, Brown MD, Seupaul RA, Resuscitation Skills. Panel discussion Shock, Baltimore, Maryland, June Celentano JJ, Mayer D for the KT- at Emergency Nurses’ Association 2007. CC Theme IIIa Members. Graduate Scientific Assembly, Salt City UT, September 2007. Medical Education and Knowledge Book Chapters, Monographs & Translation: Role Models, Electronic Publications Ankel F and Barrett L: Five Easy Information Pipelines, and Practice Harris CR, Morgan MW. Pieces: Collaborative Residency Change Thresholds. Acad Emerg Med Dangerous Drug and Poison Management. CORD Academic November 2007, 14(11):1008-1014. Ingestions. In David TJ (ed): Recent Assembly, Orlando FL, March 2007. Advances in Paediatrics 24. London, Scientific Presentations Ankel F. Residency Directors UK: The Royal Society of Medicine Perspective (Panel). AIAMC National Engebretsen KM, Holger JS, Marini Press Ltd, 2007. JJ. High dose insulin in multiple drug Initiative: Improving Patient Care overdose. Clinical Toxicology 2007; Hegarty C, Nelson J (2007). Stab Through GME, Washington DC, 45(6):622 (abstract). Poster presented To Neck. MedEdPORTAL: http:// 2007. at North American Congress of services.aamc.org/jsp/mededportal/ Asplin BR: The Institute of Clinical Toxicology, New Orleans, retrieveSubmissionDetailById. Medicine’s Reports on Emergency LA, October, 2007. do?subId=528 care: What’s Next?/Improving Patient Harris CR, Richards ME: Acute Kilgore, KP. Deep Frostbite Flow in the ED. Guest Speaker, 14th Barium Carbonate Toxicity. Injury: Thrombolysis?.http://www. Annual Hot Topics in Emergency Clinical Toxicology 2007; 45(6):614 EMedHome.com; Weekly Clinical Medicine, Duck Key, FL, 2007. (abstract). Poster presentation at 2007 Case, Feb. 16, 2007. Asplin BR: Faculty Are From Venus, North American Congress of Clinical Kilgore, KP. Antibiotics or Right to Chairs Are From Mars: Perfecting Toxicology Annual Meeting, New the OR?. http://www.EMedHome. the ‘Ask’. 2007 CORD Academic Orleans LA, October 2007. com; Weekly Clinical Case, Jun. 15, Assembly, Orlando, FL, March 2007. Harris CR, Shultz JF: High-Dose 2007. Harris CR: Overdose Management: Insulin in Multi-drug Overdose. Kilgore, KP. Acute Diplopia - Critical Decision-Making in Poster presentation at 4th Imaging Required? http://www. Toxicology. Society of Hospital Mediterranean Emergency Medicine EMedHome.com; Weekly Clinical Medicine. Dallas TX, May 2007. Congress, Sorrento Italy, September Case, Oct. 5, 2007. 2007. Harris CR: Evaluation of Patten LC, Ankel F. Making the the Poisoned Patient and Gut Nelson J: Using Simulation to Decision: Academics vs. Community Decontamination. Emergency Educate Rapid Response Team Practice. In Handel D and McGee Medicine Grand Rounds, Hospital Members and Troubleshoot D (Eds), Emergency Medicine An Eugenio Espejo, Quito Ecuador, Rapid Response Systems. Poster Academic Career Guide 3rd Edition February 2007. presentation at National Patient 2007 (pp 5-6) Lansing, MI, Society Safety Foundation Annual Meeting, for Academic Emergency Medicine. Washington DC, May 2007.

18 Nelson J, LaVelle B: Applying McBeth BM, Flottemesch TJ, Holger, J, Frascone, RJ, Richards Educational Theory to Simulation: Ling, L, McNamera, R, Ankel FA: M, Poor, K: U.S. Department A Rookie’s Guide to Teaching with HealthPartners Research Foundation of Defense Research Grant No. Simulation. Workshop presented at Internal Grant: Substance Use in W81XWH-04-C-0022: Evaluation of the 2007 International Meeting for Emergency Medicine Training an Inspiratory Impedance Threshold Simulation in Healthcare, Orlando Programs by Resident Report (2005- Device (ITD) in the Emergency FL, January 2007. 2007) Department for the Treatment of Hypotension (2004-2007). Nelson J, LaVelle B: They Don’t Lurie, KG, Frascone, RJ, Kaye All Code: Using Simulation to K, Dries D, Asplin BR, Hodgson Holger JS, Frascone RJ, Richards Train Rapid Response Teams. D, Jensen J, Griffith K, Salzman J, M. Department of Defense: Workshop presented at the 2007 Smith J: National Heart, Lung and Evaluation of an Inspiratory International Meeting for Simulation Blood Institute: The ResQ Trial: Threshold Device (ITD) in the in Healthcare, Orlando FL, January, Comparison of conventional CPR Emergency Department for the 2007. to ACD-CPR plus an ITD and to Treatment of Hypotension. (2005- conventional CPR plus an ITD on 2007) LaVelle B, Nelson J: Practice survival from out-of-hospital cardiac Outside the Comfort Zone: High- Biros, MH, Holger JS, Asplin arrest. (2004-2008) Fidelity Simulation Training Makes BR, McGonigal M, Larkins, Rapid Response Teams More Gordon BD: National Library of MV, Frascone, RJ, Snyder BD, Skilled and Comfortable in Roles. Medicine, K-22 Career Development Nelson, AF. National Institute of Presented at the Society of Critical Award: Real-Time Monitoring of Neurological Disorders and Stroke: Care Medicine’s 36th Critical Care Emergency Department Crowding. Neurological Emergencies Treatment Congress, Orlando FL, February (2004-2007) Trials (NETT) Network. (2006 2007. – 2011) Harris CR (PI), Flottemesch O’Connell TA. Resident Perspective. TJ, Morgan MW, Ekstrom Isenberger KM, Gordon BD: AIAMC National Initiative: RM, Bruzek, R: HealthPartners HealthPartners Research Foundation Improving Patient Care Through Research Foundation Internal Grant: Internal Grant: Utilization of Lactate, GME, Washington DC, 2007. Medication Errors in the Emergency BNP, and D-Dimer in Computerized Department. (2004-2007) Physician Order Entry Sets (2006- Grants and Funded Studies: 2008). Borron S, Harris CR, Engebretsen Asplin BR: Agency for Healthcare KM, Morgan M: EMD Morgan MW, Holger JS, Research and Quality, K-08 Career Pharmaceuticals: Cyanide’s Role in Engebretsen KM, Kinnan MR, Development Award: ER Crowding: Smoke Inhalation Study (CRISIS-1) Stellpflug SJ, Vigesaa GS. Causes and Consequences (2002- (2006-2007) HealthPartners Research Foundation 2007) Internal Grant. High Dose Insulin in Holger JS (PI), Peake B, Barringer Engebretsen KM (PI), Holger JS, Dihydropyridine Overdose. (2007- K, Marini J, Dries D, Fuerstenber Morgan M, Thorn T. HealthPartners 2008) J. HealthPartners Research Research Foundation Internal Grant: Foundation Internal Grant: High Travnicek PA, Hegarty CB: Institute Determining Intracellular Mechanism Dose Insulin in Septic Shock. (2006- of Medical Education Resident of Insulin Inotropy In Myocardial 2007) . Grant: Using the Eschmann Through Depression. (2006-2007) an ILMA for Airway Control (2006- 2007)

19 Emergency Medicine Grads

Name & Class Medical School Current Location Nathan Anderson, MD ‘06 University of Minnesota United Hospital – St Paul, MN Cheri Audrain-Schroeder, MD ‘01 University of Nevada Fairview-Southdale Hospital - Edina, MN Kendal Baker, MD ‘03 Indiana University Hancock Regional Hospital - Greenfield, IN Stephen Wade Barnhart, MD ‘03 Indiana University North Memorial Medical Center - Robbinsdale, MN Bradley Barth, MD ‘00 University of Minnesota St. Joseph’s Hospital - Maplewood, MN Marny Benjamin, MD ‘02 Loyola University Methodist Hospital - St. Louis Park, MN Mark Bernas, MD ‘00 University of Minnesota Deceased John Bonta, MD ‘02 University of Nebraska Bryan LGH Medical Center - Lincoln, NE Frank Coughlin, MD ‘01 University of South Dakota Bryan LGH Medical Center - Lincoln, NE Susan Zola Cullinan, MD ‘01 University of North Dakota Luther Midelfort Hospital - Eau Claire, WI Laresa DeBoer, MD ‘02 University of Minnesota Ridgeview Hospital - Waconia, MN Tanya Kleven Decker, MD ‘04 University of North Dakota St. Luke’s Hospital - Cedar Rapids, IA Chanah DeLisle, MD ‘99 University of Minnesota St. Francis Hospital - Shakopee, MN Scott Donner, MD ‘06 University of Kansas University of Minnesota Medical Center – Minneapolis, MN Mary Fehringer Drake, MD ‘00 University of Nebraska Bozeman Deaconess Hospital - Bozeman, MT Roseann Ekstrom, MD, PharmD ’07 University of Minnesota Minneapolis, MN Jared Friedman, MD ‘05 University of South Dakota Avera McKennan Hospital – Sioux Falls, SD Sandy Fritzlar, MD ’07 Mayo Medicla School United Hospital – St Paul, MN Jon Fuerstenberg, MD ‘04 Mayo Medical School ER/Critical Care, Abbott Northwestern Hospital – Minneapolis, MN Jeffrey Geddes, MD ‘06 University of North Dakota Altru Hospital – Grand Forks, ND Elizabeth Godin, MD ‘06 Medical College of Wisconsin University of Minnesota Medical Center – Minneapolis, MN Bradley Gordon, MD ‘02 Creighton University Regions Hospital - St. Paul, MN Craig Grorud, MD ‘99 University of North Dakota Minneapolis, MN Theresa Gunnarson, MD ‘00 University of Minnesota St. Mary’s Hospital – Duluth, MN Cullen Hegarty, MD ‘01 University of Minnesota Regions Hospital - St. Paul, MN Keith Henry, MD ‘05 University of Arizona Regions Hospital – St. Paul, MN Bradley Hernandez, MD ‘01 University of Iowa Regions Hospital - St. Paul, MN Randall Hofbauer, MD ‘02 University of Minnesota Singing River Hospital System – Ocean Springs, MS Jonathan Hokanson, MD University of Minnesota Abbott Northwestern Hospital – Minneapolis, MN Patrick Holland, MD ‘02 University of Hawaii Good Samaritan Hospital - Puyallup, WA Lynn Howard, MD ‘03 University of Minnesota St. Joseph’s Medical Center - Brainerd, MN Kurt Isenberger, MD ‘04 Medical College of Wisconsin Regions Hospital - St. Paul, MN Paul Jewett, MD ‘00 St. Louis University University of Minnesota Medical Center - Minneapolis, MN Nicholas Johnson, MD ‘05 Creighton University Abbott Northwestern Hospital – Minneapolis, MN Phelps Johnson, MD, PhD ‘02 Medical College of Wisconsin St. Mary’s Hospital - Duluth, MN Todd Joing, MD ‘05 University of Minnesota Fairview-Southdale Hospital - Edina, MN Cynthia Kelmenson, MD ‘03 University of Pennsylvania Medical Center of Aurora - Denver, CO Martin Klinkhammer, MD ’07 Mayo Medical School MaryView Medical Center – Portsmouth, VA Amy Kolar, MD ‘99 Creighton University North Memorial Medical Center- Robbinsdale, MN Heidi Lako-Adamson, MD ’07 University of North Dakota MeritCare Hospital - Fargo, ND Robert LeFevere, MD ‘04 Creighton University Regions Hospital - St. Paul, MN Karen Lushine, MD ‘01 University of Minnesota St. Mary’s Hospital - Duluth, MN Joseph Madigan, MD ’07 University of Minnesota United Hospital – St. Paul, MN Darren Manthey, MD ‘05 University of Minnesota Sioux Valley Hospital – Sioux Falls, SD

20 Name & Class Medical School Current Location Emily Mason, MD ’07 University of Wisconsin Sacred Heart Hospital – Eau Claire, WI Hal Minnigan, MD, PhD ‘00 University of Minnesota Wishard Hospital - Indianapolis, IN Matthew Morgan, MD ‘05 Chicago Medical School Regions Hospital - St Paul, MN Jessie Gillund Nelson, MD ‘04 University of Minnesota Regions Hospital - St. Paul, MN Christopher Obetz, MD ‘03 University of Minnesota Abbott Northwestern Hospital - Minneapolis, MN James Parker, MD ‘99 Mayo Medical School St. Francis Hospital - Shakopee, MN Lane Patten, MD ’07 University of Minnesota North Memorial Medical Center – Robbinsdale, MN Kelly Rhone, MD ‘04 University of South Dakota Bryan LGH Medical Center - Lincoln, NE Martin Richards, Jr, MD ‘06 University of Minnesota United Hospital – St. Paul, MN Jason Roth, MD ‘99 University of Colorado St. Anthony Hospital - Denver, CO Christopher Russi, DO ‘03 Des Moines University Mayo Clinic – Rochester, MN Paul Satterlee, MD ‘00 University of South Dakota Abbott Northwestern Hospital - Minneapolis, MN Ann Schapiro, MD ‘05 University at Buffalo SUNY Catholic Health Systems – Buffalo, New York John Seidner, MD ‘01 University of Vermont Elliot Hospital - Manchester, NH Kevin Sipprell, MD ‘99 University of Minnesota Ridgeview Hospital - Waconia, MN Kevin Smith, MD ’07 University of Iowa Mercy Hospital – Des Moines, IA Nicole Stethem, MD ‘05 University of South Dakota Avera McKennan Hospital – Sioux Falls, SD Peter Tanghe, MD ‘03 University of Minnesota Fairview Ridges Hospital - Burnsville, MN Trenten Thorn, MD ‘06 University of Utah Lakeview Hospital – Bountiful, UT John Travnicek, MD ‘06 University of South Dakota Avera McKennan Hospital – Sioux Falls, SD Melissa Tschohl, MD ‘06 University of Minnesota University of Minnesota Medical Center – Minneapolis, MN Jeffrey Vespa, MD ‘00 Loyola University North Memorial Medical Center- Robbinsdale, MN Joseph Wahlberg, MD ‘06 University of Minnesota St. John’s Hospital – Maplewood, MN Clark Williams, MD ‘03 University of Wisconsin Mercy Hospital – Dubuque, IA Stephanie Taft, MD ‘04 East Carolina University Regions Hospital – St. Paul, MN Beth Wicklund, MD ’07 University of Minnesota Methodist Hospital – St. Louis Park, MN James Wood, MD ‘01 Mayo Medical School Kaiser Permanente Northwest - Portland, OR Jeffrey Young, MD ‘99 University of Minnesota Elmendorf Air Force Base - Anchorage, Alaska Robert Zeleznikar, MD, PhD ‘99 University of Minnesota University of Minnesota Medical Center- Minneapolis, MN

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