2007 Annual Report Program History
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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 admis- sions 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