2019 ANNUAL REPORT Contents
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A DECADE OF Advocacy EMERGENCY MEDICINE RESIDENCY 2019 ANNUAL REPORT Contents 01 INTRODUCTION 06 DEPARTMENTAL 03 From the Director 21 Grants and IRB Approved Studies 04 Department Head Update 22 Publications and Presentations 05 The Institute 24 Crisis Program 06 Residency Timeline 24 Emergency Center Operations 26 Medical Student Program 27 Nursing Education 02 RESIDENTS 08 Chief Residents’ Update FELLOWSHIPS 09 Current Residents 07 10 Class of 2022 28 Emergency Medical Services (EMS) 12 Resident Spotlight 28 Medical Toxicology 29 Pediatric Emergency Medicine (Peds-EM) FACULTY 03 29 Quality Management & Patient Safety 14 New Faculty 2019 29 International 14 Faculty Spotlight 29 Ultrasound 15 Current Faculty 04 RESIDENCY 08 GRADUATES 13 Coordinators 20 Alumni Spotlight 16 PA Residency 30 EM Graduates 17 Residency Awards, Recognition, Honors 25 Regions Hospital Foundation EM Residency Funds 05 CURRICULUM 18 Didactics/Simulation 18 Procedural Training & Competency 19 EMS 19 Ultrasound 26 Residency Presentations Orientation 2019 FROM THE Director elcome to the 2019 HealthPartners Institute/Regions Hospital Emergency Medicine Residency Program’s Annual Report. We have had another great year of providing outstanding clinical care, performing im- portant research, and educating the next generation of emergency physicians, and are excited to share all that we have been up to in this Annual Report. WOne area we wanted to highlight this year was health care advocacy, specifically highlighting the work of one of our residents, Dr. Tracy Marko (‘21), faculty member, Dr. Drew Zinkel, and alumni, Dr. Kate Katzu- ng (‘11). We hope that you enjoy learning more about CULLEN HEGARTY, MD their interest and efforts in advocacy, and as a pro- Program Director gram we are proud to be associated with these fine physicians. Our program is always looking to innovate and im- that we take a lot of pride in is that our mission state- prove in order to be the best training environment for ment continues to emphasize that we are training the residents in emergency medicine. In 2019 we contin- next generation of humanistic emergency physicians. ued to make changes based on looking at the future of medicine as well as responding to feedback from As always, we continue to be grateful for the support our faculty and residents. One area of our program of our residency partners and are proud to highlight that we updated was our mission, vision and values the opportunities we are blessed to be given. Enjoy statements. Even though we made changes to reflect our annual update from St. Paul! our current work and learning environment, one thing Teambuilding 3 Emergency Medicine Residency 2019 Annual Report Department Head Update Our faculty achievements were recognized this year by academic promotions (Associate Professor Dr. Emily Binstadt), professional associations (NAEMSP Ronald B. Steward award to Dr. RJ Frascone) and Ris- ing Stars in medicine (Drs. Charles Bruen, Eric Ling, and Casey Woster). We also had an opportunity to feature emergency medicine in an interview with Mpls. St. Paul Magazine. We are fortunate to add palliative care and emer- gency specialist Dr. Callie Schnitker (’18) to our Re- gions-based faculty this year. We are excited to bring her energy to our education and patient care team. Our emergency faculty are supported through an amazing team in the Critical Care Research Center (CCRC). Through the help of the CCRC, there are 25 funded studies ongoing at Regions. Regions Hospital is building bridges within our com- munity in a coordinated effort to help in the opioid Advocating for the Hands-Free law crisis our country faces. We are identifying patients with addiction and doing our best through education and reduction of opioid prescribing in our depart- Regions Emergency Department is Aiming High and ment. Our compassionate care is reflected in this pa- Accelerating into 2020! The ground work was laid in tient letter sent to us: “To all that were in involved in 2019 for accelerating our work in outstanding patient my care. I thank you from the bottom of my heart for experience, safe and timely care, and supporting our saving my life. I am so glad I did not lose my life to a emergency team in every way. A recent patient ex- heroin overdose. Everyone was attentive, caring and perience comment provides a great example of what non-judgmental. You didn’t make me feel like a ter- it’s like to take care of patients at Regions: “Every sin- rible person. Thank you for giving me my life back.” gle person who cared for me was respectful and pro- fessional. Every one. My nurse and my doctors were calming and comforting, listened carefully to my anx- ious worries, and following the results of thorough testing, reassured me by discussing everything with me. Regions Hospital is sterling. I am so grateful.” We look forward to the opportunity provided by the Fred C. and Katherine B. Andersen Foundation to grow our emergency department to even better meet the needs of the community, which includes 4 additional state of the art resuscitation rooms and an 8-10 bed care unit. The additional space will support our partnerships with community hospitals in the care of out-of-hospital cardiac arrest patients, as well as the growing emergency medicine geriatric popu- lation. Regions is the first Minnesota hospital to be accredited as a Geriatric Emergency Department by the American College of Emergency Medicine. KURT ISENBERGER, MD Department Head 4 Emergency Medicine Residency 2019 Annual Report The Institute OFFICE OF HEALTH PROFESSIONAL EDUCATION SUPPORT THE TRAINING OF PRACTICE-READY CLINICIANS Care The HealthPartnersThe Oce ofInstitute Office of Health Professional Education (OHPE) supports the clinical learning Delivery environmentHealth Professional at HealthPartners byOperations providing accreditation, resourcesResearch and support for the training of many health professions.Education We work with program leaders, clinician educators and community schools to educate Partnerships more than 700 residents and fellows and 1200 medical and advanced practice clinician students across our health system. The Institute sponsors graduate medical education residencies and fellowships as well as Advanced Practice Fellowship training programs. In addition to our sponsored programs, we partner with the University of Minnesota and Hennepin Health to train residents and fellows in 25 specialties. more than 450 MedicalHere are aResidency few examples of collaborationSimulation with our training programsactive studies to support HealthPartners’ learning Library organizationPrograms over the past year.Center at one time • New resident and fellow orientation sessions were provided for Institute-sponsored trainees and all incoming residents and fellows from affiliate institutions. We welcomed 145 new residents and fellows from 25 specialties over 7 days in June and July. • The Institute was selected as one of nine institutions in the country to participate in a national collaborative with the ACGME on quality improvement and healthcare disparities. This is an 18-month initiative to determine best practices in delivering health equity education. • TheRegions Rural Track Family Medicine Residency Program began training its first resident at Amery and Westfields Hospitals. • HospitalHealthPartners’ new Dermatology Residency program recruited its first class of residents, taking Emergencytwo residents per year. Residents train at Methodist and Regions Hospitals, as well as Park Nicollet and HealthPartners clinics. Medicine a liated with: We are honored to contribute to health and well-being of members, patients and community by training the future clinician workforce. To learn more about OHPE watch our overview video: https://youtube/ 4kXNF_wFS5U sta hold appointed faculty teaching roles Connect with us! Connect with the Office of Health Professional twitter.com/HP_MedEd Education facebook.com/healthprofessionaleducation mededcommunity.com @HP_Meded Website: HealthPartnersOHPE.com Residents on the House floor 5 Emergency Medicine Residency 2019 Annual Report RESIDENCY Timeline Bob Knopp, MD was hired to start the EM residency. Ready to ’93 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. Residency receives a First class of 8 residents starts. 3-year provisional accreditation The Class of 1999 included by the ACGME-RRC for Emergency students from Creighton Medicine and recruitment begins University, University of Colorado, for the first class of eight residents. ’96 Mayo Medical School, University Approximately 200 applications were of Minnesota, and University of ’95 reviewed and 126 interviews were North Dakota. conducted. Residency receives full 3-year Pat Anderson joins the program ACGME accreditation and graduates as a program assistant. its first class. Of that first class of eight residents, seven continue to work and live in Minnesota. Dr. Felix Ankel is named program director. Dr. Ankel, ’03 a graduate of the University of ’00Wisconsin Medical School, Residency Jessie Nelson, MD is completed his residency receives a selected for an Educational Fellow- at the University of 5-year full ship and becomes the first faculty Illinois-Chicago and ACGME member for clinical simulation. joined the faculty at accreditation. St. Paul-Ramsey