InformER MARCH 2021 Chairman’s Message James Ziadeh, MD Dear Friends and Colleagues, safe, too many people avoided Interim Chair EMERGENCY This past year has been incredibly chal- getting the emergency care they Emergency lenging for all of us in so many ways. needed, creating a unique pandemic Medicine

MED ICINE When COVID-19 first hit the shores of within a pandemic. Fortunately, I RESIDENCY the United States, I don’t think anyone believe we have turned the corner quite knew the impact it would have on and we have begun to see our nor- Opioid Partnership grant and in so many facets of our lives. From our mal mix of patients return albeit at a doing so, we are saving lives. lower volume. In reflecting back on personal lives to our professional ca- Our Geriatric Emergency Medicine the earliest days of the pandemic, reers and ultimately how we function as program, funded through a gener- what makes me most proud is how INSIDE THIS a society, this pandemic will fundamen- ous philanthropic gift from the Dan- our physicians, residents, APP’s, ISSUE: tally change how we do things in the tos family, has continued to evolve, nurses, and others pulled together future in ways that we likely can’t fully and in 2020 we achieved Level 2 to support one another through a Chairman’s 1 comprehend quite yet. In Southeastern Geriatric Accreditation through very difficult time. There are still Message Michigan, was espe- ACEP. Our goal is to continue grow- challenges ahead but with increas- Alumni Update 2 cially hard hit by the pandemic, effec- ing the program and the associated ing vaccine availability, there’s light tively shutting down all aspects of a Geriatric Emergency Medicine Fel- EM Education 3 at the end of the tunnel. normal operation. Hospitals throughout lowship with plans to reach level 1 PEM Fellowship 4 our health system and across south- Despite the clinical challenges that accreditation in the coming year. eastern Michigan were essentially con- the COVID pandemic presented, our Residents & One of the true highlights of this last 5 verted into COVID hospitals. In many Department has continued to focus Fellows year was the naming of our new ways this was predictable considering on all of our missions. We continue Emergency Center, now called the Milestones 6 the rapid spread of the virus. However, to develop new programs that sup- Stuart H. Blanck Emergency Center. the impact on our Emergency Centers port our most vulnerable patients. Through a substantial gift by Mr. was a bit unexpected. While everyone Our national struggle with the opi- Black, a local Michigan business was preparing for our EC’s to become oid epidemic has forced Emergency owner, he was honored with the overwhelmed with high acuity patients, Centers across the country to reex- naming rights to our EC. His gener- what we in fact saw was a dramatic amine how they approach not only ous gift, along with those of many drop in our volumes. Much of this vol- opioid utilization in emergency but others, will allow us to support the ume drop was likely fear driven in the also how to help manage patients clinical and academic missions of early days of the pandemic with pa- who present to our EC struggling our Department for years to come. tients actively avoiding hospitals in with opioid use disorder. I previous- hopes of preventing contact with COVID ly highlighted the work our Depart- Lastly, I want to thank our entire -19. Despite efforts to reassure our ment has done implementing an health care team for their commit- community that EC’s in the region were Alternatives to Opioids (ALTO) pro- ment to one another and to our gram. Through this endeavor, we patients and families who have en- have been successful in decreasing trusted us with their care. Also, opioid usage in the EC while effec- thank you to the Emergency Medi- tively addressing the comfort needs cine residency and faculty alumni of our patients. As an evolution of who have helped build a Depart- our commitment to the national ment with a legacy we can all be opioid epidemic, we recently insti- proud of. tuted a Medication-assisted treat- Regards, Jamie ment program through a Michigan

Alumni Update As an EM resident at Beaumont, I devel- as a Public Health Crisis” and “Creating a Culture of Anti- oped a deep appreciation for the social Discrimination in our Emergency Departments and Healthcare Institutions,” both of which were ultimately passed. Through and policy factors that influence our pa- tients’ health. The emergency depart- these resolutions we were excited for ACEP to reaffirm its com- mitment to recognizing and addressing the social determinants ment is the ultimate safety net, and we of health, resolve that ACEP use its voice to support members emergency physicians have the privilege who seek to reform discriminatory systems more broadly, and

and the burden of caring for the most recognize that emergency departments and related institutions vulnerable in our society. It isn’t long must integrate frameworks of anti-discrimination. We also co- before we become painfully aware of sponsored “ACEP Membership and Leadership,” which empha- how many of our patient’s problems sizes the importance of diversity in our organizations and in their leadership, and directs ACEP to create a plan to improve James Maloy, MD need more than we can offer as individu- als— when a patient suffers from pov- ACEPs own diversity and to present an annual diversity report Class of 2020 to the council. erty, unstable housing, addiction, vio- lence, food insecurity, lack of health insurance, or a host of oth- I was also proud to personally cosponsor a resolution advo- er factors, so much of our technologically advanced medical care cating for Medicare-for-All (written by and supported by many feels more like a wet band-aid on deeper problems. Further- members of the Michigan local chapter), which generated an more, we emergency physicians find ourselves disempowered important discussion and I believe moves the needle forward by for-profit insurance companies, an economic recession, regu- on that important issue, despite falling short of passing. latory and reimbursement issues, and many other challenges I’m excited for what the next year will bring. Through the sec- that make it harder to care for our patients. Now more than ond year of the fellowship, I’ll finish my Masters Degree in Pub- ever, emergency physicians need to have a seat at the table to lic Health and am currently exploring office placement oppor- shape health policy and advocate for public health. tunities to work with the US Congress, a thinktank, or another That’s why I’m so excited in my current role as a fellow in health advocacy organization. policy at the George Washington University Department of I’m so grateful for my Beaumont education and how it pre- Emergency Medicine in Washington, D.C. It has been a challeng- pared me to advocate for patients, both inside the walls of the ing first several months in Washington with an unstable, ever ED and outside of them. I hope to excite more Beaumont resi- changing political environment. We’ve all had to adapt our lives dents to get more involved in the arenas of health policy and to social distancing requirements and virtual meetings, and the public health! same has held true in the world of policy and advocacy. -James Maloy The 2020 ACEP Council meeting was virtual this year but was

very productive. The ACEP council is the legislative body of the American College of Emergency Physicians, and it sets the na- tional agenda for the organization for the coming year. I previ- ously had the honor of participating on the council as a resident as an alternate councilor thanks to the mentorship of two of Beaumont’s many excellent faculty members committed to ad- vocacy and to education, Dr. Michael Gratson and Dr. Bradford Walters. This year, I served as one of four councilors from the local DC chapter. Given the national conversation regarding po- lice brutality and structural racism (with our own back yard often center stage) and the toll those things take on public James Maloy is a current fellow in Health Policy. As a resident, he was highly involved in advocacy efforts to ensure access to personal protective equipment health, we felt ACEP had a responsibility to take a stand. The DC for Emergency Center workers during the COVID-19 pandemic. He is currently chapter authored two resolutions, “Addressing Systemic Racism pursuing a Master of Public Health degree in Health Policy at GWU, while work- ing clinically at the VA Medical Center and United Medical Center in DC.

P A G E 2 Emergency Education Updates

The COVID-19 pandemic has disrupted nearly every aspect of life, and medical education has been no ex- ception. Despite the challenges that this pandemic has brought, our faculty, trainees, and program manag- ers have been nimble to maneuver residency education in our ever-changing world.

We recently finished up a completely virtual interview season where recruitment and selection presented a unique challenge for us and our medical students. Without visiting rotations and in-person tours, we relied heavily on online resources, social media, and virtual meet and greets to provide information to prospective applicants. On the upside, without the cost and time burden associated with travel, we conducted a record- breakingThe Department number of ofinterviews. Emergency We continue to attract highly competitive applicants and expect a very suc- cessfulMedicine match at this Beaumont coming Healthweek! continues to rack up educational Throughaccomplishments. all of the challenges associated with the pandemic, our department has remained steadfast in our Danielle Turner- commitmentOur students, to medical residents, education. fellows, With the decline in patient surges and increasing access to COVID-19 vaccination, we are adjusting to a new normal. Our medical students have returned to the department and Lawrence, MD and faculty are frequent pre- we will welcome rotating students in late summer. Our versatile and resilient EM residents, some of whom EM Residency weresenters displaced at regional early in and the national pandemic to areas of greatest need within our hospital, have returned to their Program Director premeetings.-COVID curriculum I encourage and rotations.you to We continue to host weekly didactics via Zoom which accommodates individualizedperuse the listsfaculty of podiumsmall group instruction while prioritizing small group in-person procedure labs. OUWB Assistant Dean of M3/M4 While adjusting to our new normal, we are also working to innovate within our training program to ensure Career Advising that our residents continue to receive cutting edge EM training. Our growing educational emphasis on health care disparities has become a pillar within our program. We will soon be completing the 3rd year of

our longitudinal health care disparities curriculum, run by Dr. Payal Shah. In addition, our Diversity, Equity and Inclusion committee, led by Dr. Ronny Otero, is placing a greater spotlight on issues of racial and social disparities, as well as making them a priority moving forward.

I would like to conclude by thanking our faculty and graduates for their continued support of our training programs. Your mentorship, contributions, and donations have been invaluable to meet the challenges we face in providing medical education in emergency care. We appreciate our entire EM family who has selflessly been at the frontline of medicine providing exceptional care for our communities. -DTL

Please Join Me!!!

In 2014, we endeavored to establish an endowment to support education in the Department of Emergency Medicine at Beaumont – Royal Oak. Due to the generosity of our faculty, graduates, staff and community members, our trainees have access to the proceeds of a $300k+ endowment. Our residents and fellows have benefited from this endowment in many ways. Our chief residents attend an annual chief residents’ fo- rum. Several fellows have attended national meetings to present their scholarly activity. And, importantly, we have used this endowment to support the well-being of all of our trainees.

The last 12 months have been extraordinarily difficult. In fact, we just passed the 1-year anniversary of our first COVID-19 patient at Beaumont Health. This pandemic has also taken a toll on personal and institutional finances. Despite these challenges, we are embarking on an effort to raise our endowment to $500,000. By reaching this goal, we will be better able to provide opportunities for our residents and fellows in future

Ryan Fringer, MD years.

Director of GME So, please join me in our pursuit of a $500,000 endowment. If you have never contributed to this fund, please consider doing so at this time. If you have completed your pledge from several years ago, please con- OUWB Associate sider making another pledge. Finally, there are many individuals who have made continuing or annual contri- Dean of Medical butions, and we thank you for your level of commitment. Education Donations can be made at our secure website foundation.beaumont.org by directing your gift to “Emergency Medicine Education Endowment Fund”

- Ryan Fringer P A G E 3 PEM Fellowship

This has been a year of change and growth for our PEM Fellowship. We are in the middle of our eighth year running. I have moved into the interim PD role as of 2020, with Lauren Adams and Dan Nguyen as co-APDs. We are a strong team with different backgrounds, making a solid framework for new directions and ongoing great training. Our new PEM division director is Whitney Minnock, who also directs our PEM simulation. Kurt Filips and Joseph Benjamin com- plete our strong PEM force here at Beaumont. We continue to have six fellows total, with two in each class. Four of these are on specialized fellowship tracks, creating additional niche training in simulation, education, disaster, and administration. Some academic highlights are the upcoming spring regional PEM/EM confer- Maggie Menoch, MD ence “Lessons learned during a Pandemic”, as well a QI site for Pediatric Disaster Prepared- ness Quality Collaborative (PDPQC) through EMS-IIC. Recent past research accomplishments Interim Program include a BCBS of Michigan research grant on child anaphylaxis comparison rates in metro Director Detroit, publications on cardiac warning signs in pediatric syncope and pediatric CT use for PEM Fellowship abdominal trauma. Our PEM graduates span from Tampa to Dallas, Loma Lin da to Springfield, New Orleans to Dayton, and nearby in Flint, Michigan. Our future goals are continued growth of our scholarly activity with an increase in our project en- deavors, broadening our depth of QI/advocacy/diversity arms of training, and to recruit and train great PEM doc- tors serving our community. We truly cherish our resident and fellow alumni and can’t wait to reconnect in person at future conferences! -Maggie

PEM Fellows—Paul Patek, Hazel Jeong, Ashima Goyal, Sandal Saleem, Dharshana Krishnaprasadh, Jatinderpal Goyal Faculty Farewell

Beaumont EM Residency would like to congratulate Dr. Ray Jackson on his retirement in 2020. “Ray-J” came to Beaumont In 1991 and served as educational faculty for nearly 30 years. He was EM Residency Program Director from 1991-1994 and research director for another decade. RJ was an ac- complished researcher and mentored many faculty and residents in the development of their careers. He continued to teach residents while working night shifts in the ED and is recognized as being the go- to person for EBM. Ray was an accomplished member of the EM community. He served on the ACEP educational program committee and the Michigan ACEP Board of Directors. He was one of the early oral examiners for the ABEM Boards and administered over 40 exams during his term as an examiner. Ray’s retirement plan is to enjoy time with family, move to Royal Oak with his partner Kathleen, and Ray Jackson, MD travel the world which will include many more motor home ski trips. If you would like to keep in touch EM Faculty with Ray and follow his many adventures, find him on Instagram @rjerdoc. Thank you Ray J. for your many years of service and insightful lectures up through your last day!

P A G E 4 P A G E 5 Beaumont EM Residents & Fellows WELCOME CLASS OF 2023 RESIDENTS & FELLOWS Ali Abou-Alaiwi, MD University of Toledo College of Medicine Sarah Dalton, MD Case Western Reserve University School of Medicine Dema Fawaz, MD University of Michigan Medical School John Frawley, MD Medical College of Wisconsin Mayank Gupta, MD Michigan State University College of Human Medicine Liza Khalil, MD Wayne State University School of Medicine Michael Muradian, MD Medical College of Wisconsin An Nguyen, MD Western Michigan University Homer Stryker MD SOM Hamzeh Omar, MD Oakland University William Beaumont School of Medicine Eric Pai, MD Oakland University William Beaumont School of Medicine Thomas Ryan, MD University of Colorado School of Medicine Liza Shaw, MD Indiana University School of Medicine Michael Sobin, MD Medical College of Wisconsin Rochelle Versalle, MD Michigan State University College of Human Medicine

PEDIATRIC EM FELLOWSHIP Jatinderpal Gosal, MD Pediatric Residency, Saint Louis University School of Medicine, MO Ashima Goyal, MD Pediatric Residency, Beaumont Hospital, Royal Oak, MI

GERIATRIC EM FELLOWSHIP Rebecca Fisher, MD Emergency Medicine Residency, Beaumont Hospital, Royal Oak, MI

EM ULTRASOUND FELLOWSHIP Steven Johnson, DO Emergency Medicine Residency, Northwell Health, Manhasset, NY

Class of 2020 Virtual Graduation

Where did they go? EM Residents Maisa Alafyouni, MD Team Health Special Ops Travel Medicine (staring in NY) EM Residency Graduates Trevor Eckenswiller, DO Beaumont Health, Troy, MI David Eisenbrey, MD McLaren Flint and Fenton, MI Chad Epley, MD UT Southwestern Medical Center, Dallas, TX Rebecca Fisher, MD Beaumont Health EM Geriatrics Fellowship, Royal Oak, MI Noah Halpern, MD Mercy Hospital of Buffalo, NY Kristin Kahale, MD St. Jude Medical Center, Fullerton, CA Marie Kotenko, MD JFK Medical Center, West Palm Beach, FL James Maloy, MD Health Policy Fellowship, George Washington University, DC Erica Marburger, MD Deaconess Hospital System, Evansville, IN Kelly Patel, MD St. Vincent’s Medical Center, Bridgeport, CT Adriana Porto & Dhritiman Gurkha Renzhong Ran, MD Abbot Northwestern Hospital, Minneapolis, MN PEM Fellowship Graduates Elisha Rowland, MD Veterans Administration, Long Beach, CA Steven Sonnamaker, MD St. Alexius Medical Center, Bismarck, MD Nadine Talia, MD Clinical Research Fellowship Univ. of Pittsburgh Medical Center, PA

Pediatric EM Fellows Dhritiman Gurkha, MD Dayton Children’s Hospital, Dayton, OH Adriana Porto, MD Baptist Health South Florida, Miami, FL

EM Ultrasound Fellow Mina Altwail, MD , Flint, MI Mina Altwail, MD EM Ultrasound Fellow ship Graduate Milestones

We love hearing from our Alumni! Please consider sharing alumni milestones or interesting stories for future issues. Send to [email protected]. Congratulations on all of the recent Royal Oak Emergency Medicine appointments

Dr. Danielle Turner-Lawrence, OUWB Assistant Dean for M3/M4 Career Advising Dr. Margaret Menoch, Interim Pediatric EM Fellowship Program Director Dr. Lauren Adams, Pediatric EM Fellowship Associate Program Director Dr. Dan Nguyen, (Class of 2015), Pediatric EM Fellowship Assistant Program Director Dr. Rebecca Fisher, (Class of 2020), EM Geriatric Fellowship Dr. Ryan Fringer, OUWB Associate Dean of Medical Education

Graduation Class of 2020

Thank you to our graduation guest speaker Dr. Patrice Barish (Class of 1987)! Dr. Renzhong Ran—In-Training Exam High Score Dr. Trevor Eckenswiller—Resident Leadership Award Dr. Kristin Kahale —Undergraduate Medical Education Teaching Award Dr. Trevor Eckenswiller—Nurse’s Choice Award Dr. Marie Kotenko— PEM Service Award Dr. Noah Halpern—Research Award Dr. Miriam Bukhsh—Adrenaline Award (Resuscitation) Dr. Renzhong Ran—EM Ultrasound Award Dr. Adriana Porto—PEM Professionalism Award Dr. Dhritiman Gurkha—PEM Patient Care Award

Dr. Sandal Saleem—PEM Outstanding Achievement Dr. Abigail Brackney—Lawrence R. Schwartz Faculty Devotion Award Dr. Dan Nguyen—Royal Oak Distinguished Attending Award & PEM Golden Apple Teaching Award Dr. Andrew Pressman —Troy Distinguished Attending Award Dr. Kelly Levasseur—PEM Mentor Award

THANK YOU TO ALL OF OUR EMERGENCY HEALTH CARE HEROES! STAY SAFE & HEALTHY!

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Emergency Medicine Residency | 3601 W. 13 Mile Road, Royal Oak, MI 48073 Phone: 248-898-2001| Fax: 248-898-2017 | Email: [email protected] www.beaumontem.com Page 6