Emergency Medicine Residency 2 0 1 1 A n n u A l R E p o R t

Learning in a Complex Adaptive System

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Letter from the Director .......................................................1

Department Head Update ..................................................2

Letter from the Chief Residents ........................................3

Resident Spotlight .................................................................3

Class of 2014 ..........................................................................4

Current Residents..................................................................5

Residency Presentations .....................................................5

Faculty Spotlight ....................................................................6

Residency Timeline ...............................................................6

Regions Faculty ......................................................................7

Coordinators ...........................................................................8

New Faculty ............................................................................8

Nursing Education .................................................................9

Emergency Center Operations ..........................................9

Physician Assistant Residency ........................................10

Crisis Program ......................................................................10

Habits of Lifelong Learning ................................................ 11

Didactic Curriculum ........................................................... 12

Ultrasound ............................................................................. 13

Simulation ............................................................................. 13

EMS ......................................................................................... 14

International Fellowship .................................................... 15

Pediatric EM Fellowship .................................................... 15

Toxicology.............................................................................. 16

Quality & Patient Safety Fellowship ............................... 17

In Memory............................................................................. 17

Regions Foundation EM Residency Fund ...................... 17

Medical Student Program ................................................. 18

Grants & IRB Approved Studies ...................................... 19

IME Awards .........................................................................20

Scholarly Activity ................................................................ 21

EM Graduates ..................................................................... 24

Contents>

Class of 2014

pRogRAM HistoRyRobert Knopp, MD founded the Regions Hospital Emergency Medicine Residency in 1994. Before arriving in St. Paul, he served as the residency director at Valley Medical Center in Fresno, CA for 17 years. The first class of residents at Regions began their training in 1996. Felix Ankel, MD, has been involved with the residency program since its inception and became residency director in July 2000. As of July 2011, the EM residency has graduated 108 residents from 39 medical schools who now practice in 20 states. Regions faculty are graduates of 13 different EM residencies.

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lEttER fRoM tHE DiREctoR

Welcome to the 2011 Regions Hospital Emergency Medicine Residency annual report. I am delighted to highlight some of our residency’s accomplishments from this past

year. Our activities center around our mission: to incorporate the Institute of Healthcare Improvement’s Triple Aim (quality, experience, and stewardship) into our daily practice. Our mission is guided by the Baldridge Educational Criteria for Performance Excellence (www.quality.nist.gov) and includes best practices in leadership, strategic planning, stakeholder focus, measurement, analysis, process management and results.

We salute our residents who were involved in leadership activities in 2011:

* Autumn Erwin (’11) continued her service on ACEP’s EMS Committee.

* Kara Kim (’11) co-presented “Quality: A New Academic Career” at CORD Academic Assembly and SAEM Annual Meeting. She also presented multiple posters at AAMC Integrating Quality Meeting and AIAMC Annual Meeting.

* Katie Davidson (’11) continued her work as associate medical director of the EMS Academy (www.ehs.net/emsacademy/), an intensive Emergency Medical Technician (EMT) and firefighter awareness program designed for low income youth ages 18-21.

* Clint Hawthorne (’12) continued to serve on the Board of Directors for the East Metro Medical Society.

* Kate Katzung (’12) continued her service as residency representative to the AAEM-RSA

* Tolu Oyewo (’13) serves as the resident representative of the HealthPartners IME EBAN Emergency Medicine project, focusing on healthcare disparities and ED pain management (www.ebanexperience.com).

We recruit resident applicants who extend their activities beyond clinical shifts and positively impact their environment. In 2011, residents were co-investigators on five grants and IRB-approved studies, co-authors of three peer-reviewed articles, and presenters of 10 regional and national scientific presentations.

Our residency is designed to operate as a complex adaptive system (www.plexusinstitute.org). We train our residents to manage the bridge between the rescue care of emergency medicine and the health of populations (www.improvingpopulationhealth.org). We complement the transfer of knowledge with the transfer of meaning in a connected environment with our extended residency community. Our yearly conference schedule includes an advocacy and ethics conference at the State Capitol, an institutional core competency conference, and an alumni day conference where our residents mine the wisdom of our graduates. The 2011 residency retreat focused on using web 2.0 to facilitate education, maximizing healthcare delivery education, quality program design, and integrating formalized resilience training. Residency graduates can now choose from five fellowships offered through our department and the IME: medical toxicology, peds-EM, prehospital/EMS, quality and patient safety, and international emergency medicine.

This year, we matched another competitive class of residents featured in this report. Our goal is to incorporate the highest level of professionalism and humanism into our interactions with patients and members of the healthcare team. We are grateful for the support of our many residency partners and look forward to training the emergency medicine providers of the future.

Felix Ankel, MD

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DEpARtMEnt HEAD upDAtE Kurt Isenberger, MD

The Regions Hospital Emergency Center continues to play a critical role in emergency care throughout the Twin Cities east metro and western Wisconsin com-

munities. This significant impact is made possible through the efforts of our dedicated staff and those we teach.

A mission of our department is to incorporate the IHI’s triple aim (quality, experience, stewardship) into our daily practice and guide our academic focus. 2011 was another productive year for our ED faculty, who continue to obtain internal and external research grants, present nationally and internationally and publish peer-reviewed manu-scripts, electronic publications and book chapters. Faculty are involved in leadership activities within the hospital and community. They have major involvement in national and international specialty societies serving as academic peer reviewers, committee members, board members, an ABEM item writer, and oral board examiners. We welcomed Dr. Aaron Burnett to our faculty.

Many faculty members received recognition for their work beyond the confines of our emergency department. Felix Ankel, MD was recognized for his outstanding contribu-tion to medical education with the 2012 Parker J. Palmer Courage to Teach award. Jessie Nelson, MD received the

2011 HealthPartners Excellence in Education award. Karen Quaday, MD received the 2011 HealthPartners Clinical Excellence in Specialty Care Award, and RJ Frascone, MD received the 2011 HealthPartners Excellence in Research award. Best research project, best clinical pathology case history presentation and analysis awards were given to our toxicology team of Sam Stellpflug, MD, Joel Holger, MD, and fellow Jon Cole, MD during the 2011 North American Academy of Clinical Toxicology conference.

Regions Hospital and HealthPartners are leaders in quality medical care. In 2011 we welcomed Kara Kim, MD (’11) as our first Quality and Patient Safety Fellow.

Drs. Kim and Drew Zinkel have been asked to present curriculum development in quality and patient safety for resident education nationally and internationally. Their interactive presentation “Quality, A New Academic Career” was presented at SAEM during the “best of CORD” session.

Our emergency center operations, nursing, crisis program, toxicology, EMS, ultrasound, simulation, sexual assault nurse examiner program, and research section continue to be strengths of our educational experience for both residents and medical students. We have a lot to be proud of in 2011. I look forward to leading the emergency depart-ment’s vision to be the center of excellence for quality emergency care, education and research in 2012.

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Dr. Oyewo was highly recruited into our residency, and we were delighted that she matched with us in 2010. After graduating from the University of Minnesota in 2005 with a Bachelor of Science in Biochemistry, Tolu entered Mayo Medical school in 2006.

As a medical student, Dr. Oyewo distinguished herself as a leader, contributor and scholar. She served as treasurer and president of the Mayo chapter of SNMA, partici-pated in a mission trip in Thomonde, Haiti through Project MediShare, was involved in more than 10 national scientific presentations, and was first author of four abstracts.

Dr Oyewo has continued with her leadership and service while a resident. She is a integral part of an emergency department EBAN team looking at health care disparities and acute pain management (www.ebanexperience.com). The EBAN Experience is a team-based collaborative that focuses on improving health disparities through com-munity dialogue, experiential education and quality improvement projects.

Dr. Oyewo is also the resident member of the Regions Hospital/IME team for the Alliance of Academic Medical Centers’ (AIAMC) National Initiative III - improving patient care through medical education (www.aiamc.org/ni-overview.php). The goal of NI-III is to develop teaching leadership and change organizational culture to suppport quality improvement initiatives.

Dr. Oyewo returned to Haiti in November with Project Medishare at Bernard-Mevs hospital in Port-au-Prince. She will undoubtedly continue to serve her patients and community well and leave her mark nationally in addressing healthcare disparities in the emergency department. We are fortunate that she is part of the Regions family.

REsiDEnt spotligHt: Adetolu Oyewo, MD>

Bjorn Peterson, MD x JR Walker, MD x Casey Woster, MDcHiEf REsiDEnts’ upDAtE

Here at Regions, we pride ourselves on our ability to evolve as the world of medicine changes. We have made a concerted effort to involve our residents in quality and performance improvement projects, and this exposure is critical with the growing focus on quality metrics and evidence based healthcare delivery. We also have an administrative curricu-lum that allows the ROD, or resident of the day, a chance to experience the administrative side of emergency medicine and the hospital as a whole. This too is critical to preparing to practice in our increasingly dynamic healthcare system.

We have expanded our educational opportunities with focused, “back to the basics” teaching at morning sign-out and by inviting more consultants to participate in Critical Case, our signature interactive teaching session during Thursday morning conference.

We are continuing the longitudinal integrated intern rotation involving anesthesia/ultrasound (affectionately known as “ultrasthesia”). We also have fantastic exposure

to Toxicology, Pediatric Emergency Medicine, Quality and EMS throughout our three years of training, as our program is affiliated with fellowships in each of these areas.

We also continue to have the excellent critical care experience that is a key component of our training – through 6 weeks in the SICU every year, 1 month in the MICU 1st and 2nd year, and caring for critically ill medical and trauma patients in the ED.

And, as always, we have lots of clinical exposure and great faculty teaching in an environment that is challenging yet supportive, helping us grow to provide excellent health care to our patients in the ED and to our community.

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clAss of 2014

Jenna LeRoy, MD

BS - Integrative Physiology - University of IowaMD - University of Iowa Interests: travel, volleyball, running, wakeboarding, snow skiing, rock climbing,

and cooking

Brian Roach, MD BA - Biology & Biomedical Studies - St. Olaf College MD - University of WisconsinAlpha Omega Alpha Honor Society Interests: camping, hiking, running, skiing,

golfing, fishing, traveling, piano, kayaking

Kelsey Shelton-Dodge, MDBA cum laude - Biochemistry - Rice UniversityMD - Mayo Medical SchoolInterests: cycling, SCUBA diving, international travel

Jason Van Valkenburg, MD BA - Biology - Concordia College - MooreheadMD - University of North DakotaGold Humanism Honor Society Interests: soccer, coaching, running,

hunting, water sports, and spending time with family

David Warren, MD, MPHBS - Zoology & Spanish - University of WisconsinMPH - Public Health Administration & Policy - University of Minnesota School of Public HealthMD - University of Texas - Houston

Sigma Delta Pi Honor Society (Spanish)Interests: outdoor activities, running, marathons, cooking,

home-brewing, international travel

Michael Bond, MD

BS - Chemical Engineering - University of Wisconsin-MadisonMD - University of MinnesotaAlpha Omega Alpha Honor SocietyInterests: running, swimming, biking,

basketball, weightlifting, spending time with his two daughters

Ryan Bourdon, MD BS - Mechanical Engineering - Michigan Technological University MD - University of WisconsinGold Humanism Honor SocietyInterests: wilderness backpacking, travel, running, cycling

Eric Ellingson, MDBA - Biology - Luther CollegeMD - University of MinnesotaAlpha Omega Alpha Honor SocietyPhi Beta Kappa Honor Society Interests: Triathlons, running, cycling,

downhill and xc skiing, backcountry snowshoeing, backpacking, traveling, kayaking, guitar, piano

Marc Ellingson, MD

BA magna cum laude - Chemistry - St. Olaf College MD - Creighton UniversityPhi Lambda Upsilon Honor Society (chemical studies)

Theta Alpha Kappa Honor Society (theological & religious studies)

Interests: Running, cycling, triathlons, backpacking, skiing, snowshoeing, traveling, photography, piano, singing

Kyle Holloway, MDBA - Psychology - St. John’s UniversityMD - University of MinnesotaInterests: mountain biking, trail building, road cycling, snow boarding, camping, trail running, traveling

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>The Regions Hospital Emergency Medicine Residency supplements the clinical learning experience with lectures, workshops and procedural skills labs that are open (space permitting) to all residents, faculty, students, alumni, nurses, physician assistants, consultants and others from our residency community to share and discuss new knowledge.

Number of lectures: 221

Hours of attendance: 5399 resident hours

Number of workshops: 48 workshops were taught to 32 rotating residents, 179 medical students and 21 PA students.

Number of labs: 34 residents participated in 10 procedural skills labs

Residency Presentations 2011

cuRREnt REsiDEnts

Class of 2012 Undergraduate Medical SchoolPeter Baggenstos, MD University of Notre Dame Morehouse School of MedicineEric Dahl, MD University of Minnesota University of MinnesotaTyler Ferrell, MD Brigham Young University Medical College of WisconsinClint Hawthorne, MD University of Iowa University of IowaKatherine Katzung, MD Montana State University University of MinnesotaBjorn Peterson, MD Bethel University Loma Linda UniversityJerome Walker, MD College of the Holy Cross University of MinnesotaBenjamin Watters, MD Wheaton College Loma Linda UniversityCasey Woster, MD Creighton University Creighton University

Class of 2013 Undergraduate Medical SchoolAmanda Carlson, MD University of Minnesota-Duluth University of MinnesotaJodi Deleski, DO University of Minnesota, University of Miami Nova Southwestern University COMZabrina Evens, MD University of Minnesota University of MinnesotaRebecca Gardner, MD University of Minnesota Temple UniversityGary Mayeux, Jr., MD St. John’s University Louisiana State UniversitySonali Meyer, MD University of Michigan University of MinnesotaAdetolu Oyewo, MD University of Minnesota Mayo Medical SchoolDarcy Rumberger, MD Lewis & Clark College University of FloridaJoseph Walter, MD University of Minnesota St. Louis UniversityWendy Woster, MD Arizona State University University of Minnesota

Class of 2014 Undergraduate Medical SchoolMichael Bond, MD University of Wisconsin University of MinnesotaRyan Bourdon, MD Michigan Technological University University of WisconsinEric Ellingson, MD Luther College University of Minnesota Marc Ellingson, MD St. Olaf College Creighton UniversityKyle Holloway, MD St. John’s University University of MinnesotaJenna LeRoy, MD University of Iowa University of IowaBrian Roach, MD St. Olaf College University of WisconsinKelsey Shelton-Dodge, MD Rice University Mayo Medical SchoolJason Van Valkenburg, MD Concordia College-Moorhead University of North DakotaDavid Warren, MD, MPH University of Wisconsin University of Texas-Houston

Eric Dahl, MD using latest presentation technology

1993 - Bob Knopp was hired to start the EM residency. Ready to return to Minnesota, Dr. Knopp left the residency he directed in Fresno for 17 years to work on the development of the Regions Hospital Emergency Medicine Residency. Lori Barrett is selected for coordinator. Lori had previously worked as the department head admin and EM office supervisor.

1995 - Residency receives a 3-year provisional accreditation by the ACGME-RRC for Emergency Medicine, and recruitment begins for the first class of eight residents. Approximately 200 applications were reviewed and 126 interviews were conducted.

1996 - First class of eight residents starts - The Class of 1999 included stu-dents from Creighton University, University of Colorado, Mayo Medical School, University of Minnesota, and University of North Dakota.

1999 - Residency receives full 3-year ACGME accreditation and graduates its first class. Of that first class of eight residents, seven continue to work and live in Minnesota. Pat Anderson joins the program as a program assistant.

2000 - Felix Ankel is named program director. Dr. Ankel, a graduate of the University of Wisconsin Medical School, completed his residency at the University of Illinois-Chicago and joined the faculty at St. Paul-Ramsey Medical Center in 1994.

2003 - Residency receives a 5-year full ACGME accreditation.

2004 - Jessie Nelson is selected for an Educational Fellowship and becomes the first faculty member for clinical simulation.

2005 - Medical Toxicology Fellowship is launched. EM grad, Matt Morgan, is selected as the first fellow.

2008 - Bob Knopp retires from clinical work. He continues to play an important role in resident education with his EKG lectures.

2009 - Residency receives a continued 5-year full ACGME accreditation.

2010 - EMS Fellowship starts, under the direction of RJ Frascone, with selection of EM grad, Aaron Burnett, as the first fellow.

2011 - Quality & Patient Safety Fellowship begins, under the direction of Drew Zinkel, with selection of EM grad, Kara Kim, as its first fellow.

Residency Timeline>

fAculty spotligHt: Michael Zwank, MD

Can Bucky Badger really be practicing emergency medicine at Regions? Indeed! Before entering medical school, Dr. Mike Zwank served as the Bucky Badger mascot for the University of Wisconsin. After finishing his residency at Boston Medical Center, where he served as chief resident, Dr. Zwank joined our faculty in August of 2006. He serves as the ultrasound education director and has been instrumental in developing the ultrasound curriculum and fostering resident scholarly activity.

Mike has a strong following of his ultrasound program - not surprising, since he has been a registered diagnostic medical sonographer since 2009. He instituted a longitudinal ultra-sthesia curriculum for the intern class, where residents intubate in the OR in the morning and perform bedside ultrasound exams in the ED in the afternoon over a 12-month period. He collaborates with HCMC in offering a bedside ultrasound course for medical students, and many senior residents choose to spend their elective time honing their bedside ultrasound skills with Mike. A recognized educator, he has been the recipient of both the Apple Award for medical student education, and the Faculty Teaching Award given by the residents.

Dr. Zwank oversees the residents’ scholarly projects. He actively engages residents and has developed a research assistant program for undergraduate and graduate students. He continually plans new projects and currently has five studies underway. Mike’s efforts this past year resulted in multiple articles and scientific presentations. We are certainly fortunate to have this Bucky Badger on board!

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2003 - Residency receives a 5-year full ACGME accreditation.

2004 - Jessie Nelson is selected for an Educational Fellowship and becomes the first faculty member for clinical simulation.

2005 - Medical Toxicology Fellowship is launched. EM grad, Matt Morgan, is selected as the first fellow.

2008 - Bob Knopp retires from clinical work. He continues to play an important role in resident education with his EKG lectures.

2009 - Residency receives a continued 5-year full ACGME accreditation.

2010 - EMS Fellowship starts, under the direction of RJ Frascone, with selection of EM grad, Aaron Burnett, as the first fellow.

2011 - Quality & Patient Safety Fellowship begins, under the direction of Drew Zinkel, with selection of EM grad, Kara Kim, as its first fellow.

Residency Timeline

REgions fAculty

Faculty Medical School ResidencyFelix Ankel, MD University of Wisconsin University of IllinoisKelly Barringer, MD Michigan State University Regions HospitalEmily Binstadt, MD, MPH Mayo Medical School Harvard AffiliatedAaron Burnett, MD SUNY - Syracuse Regions HospitalMary Carr, MD University of Michigan EM/IM Henry Ford HospitalWon Chung, MD, MS Albany Medical College Harvard AffiliatedRachel Dahms, MD University of Minnesota Indiana UniversityRJ Frascone, MD University of Minnesota FP - St. Paul-Ramsey Medical CenterBradley Gordon, MD Creighton University Regions HospitalPaul Haller, MD University of Minnesota IM - University of MinnesotaCarson Harris, MD University of Minnesota Brooke Army Medical CenterCullen Hegarty, MD University of Minnesota Regions HospitalKeith Henry, MD University of Arizona Regions HospitalBradley Hernandez, MD University of Iowa Regions HospitalJoel Holger, MD University of Minnesota IM - Abbott Northwestern Hosp.Kurt Isenberger, MD Medical College of Wisconsin Regions HospitalKory Kaye, MD University of South Dakota St. Vincent Medical Center -ToledoKevin Kilgore, MD University of North Dakota Ortho - Creighton UniversityPeter Kumasaka, MD University of Rochester Christ HospitalRichard Lamon, MD Loma Linda University FP - Loma Linda UniversityRobert LeFevere, MD Creighton University Regions HospitalMatthew Morgan, MD Chicago Medical School Regions HospitalJessie Nelson, MD University of Minnesota Regions HospitalKaren Quaday, MD Wayne State University EM/IM Henry Ford HospitalSamuel Stellpflug, MD University of Wisconsin Regions HospitalStephanie Taft, MD East Carolina University Regions HospitalBjorn Westgard, MD University of Illinois Urbana-Champaign Hennepin County Medical CenterAndrew Zinkel, MD University of Wisconsin University of IllinoisMichael Zwank, MD University of Wisconsin Boston Medical Center

2011 Faculty

cooRDinAtoRs

Staying connected with residents, alumni and colleagues is a pleasant challenge for us. The bulletin board between our offices was loaded with holiday pictures/cards which were replaced by baby announce-ments throughout the year. Numerous residency-sponsored events kept us in touch with alumni and allowed them the opportunity to meet and network with our current residents. Our website and Facebook fan page continue their popular-ity in the EM community, according to our usage stats. Many thanks to our alumni who contribute content and comments.

We attended the annual meeting of Emer- gency Medicine Association of Residency Coordinators (EMARC) in San Diego as part of the 2011 CORD Academic Assembly. It allowed us the opportunity to network with our coordinator colleagues throughout the country and share best practices. As a result, we’re using a web-based scheduling program for our residency interviews for the first time. So far, so good!

It was our pleasure to host 107 medical students from 13 medical schools, 32 rotating residents from 6 specialties and 5 EM residents from Hennepin County Medical Center who participated in our 2nd year swap.

Lori Barrett, Residency Manager Pat Anderson, Program Coordinator

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New Faculty 2011Aaron Burnett, MDUndergraduate: Boston University

Med School: State University of New York at Syracuse

Residency: Regions Hospital

Fellowship: EMS - Regions Hospital

Interests: EMS

Hobbies: bicycling, canoeing, listening to live music

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nuRsing EDucAtion Wendy Dahl, RN, BSN, PHN, CEN, CPEN, Decentralized Nurse Educator

> Emergency Center OperationsThe Regions Hospital Emergency Center is a Level I Adult and Pediatric Trauma Center located in St. Paul, MN, serving the east metropolitan Twin Cities area, including western Wisconsin. Today, the emergency department (ED) is comprised of 50,000 square feet of clinical space with 55 treatment rooms. An additional 8,000 square feet house a newly updated resident room, library, conference space and administrative offices.

The emergency department includes private rooms, in-department radiology suite, discharge pharmacy, waiting room and triage area, employee lounge and locker room, five care areas (pods), including an 11-bed care pod for our crisis/behavioral health patients.

Emergency Center figures for 2011:* 78,073 patient visits* 7.5 percent pediatric patients (age 16 or

under)* 9 percent behavioral health patients* 3273 trauma admissions* 709 trauma team activations* 24 percent admission rate* 55 percent of all hospital admissions come

from the ED

Richelle Jader, BSN, MHA, Administrative Director x Karen Quaday, MD, Operations Medical Director Michelle Noltimier, RN, BSN, Nurse Manager x Eric Peterson, MHA, BA, Sr Manager ED, Finance and Operations

Jeffrey Fritz, Support Services Manager

The Registered Nurses (RN’s) in the Emergency Department demonstrate an impressive commitment to education. Over 50% are baccalaureate prepared and many others are pursuing either a baccalaureate or master’s degree in nursing or other related health care field. Thirty six percent of the RN staff have a specialty certification in emergency nursing, pediatric emergency nursing, critical care nursing, SANE nursing or medical-surgical nursing; of those, eighteen percent hold 2 or more specialty certifications. A decentralized nurse educator coordi-nates orientation and education for the over 125 nurses, 22 paramedics, and 58 Emergency Room Technicians. New staff completes a comprehensive orientation program to ensure competence in their skills. Continuing education takes place in the classroom through posters, presentations, simulation and hands-on learn-ing. All nurses are certified in BCLS, ACLS, TNCC, and an advanced Pediatric Life Support Class such as PALS or ENPC. Many nurses have additional certifications in CATN, FCCS, PFCCS and other specialties.

Regions ED nurses teach other professionals in the community. Many nurses teach paramedic, EMT-basic and nursing students at the college level in didactic and clinical roles. We have nurses that provide education in the community for correct placement of child safety seats. Many nurses also provide education to

the Western Wisconsin area including online education, didactic and clinical time. ED Nurses are active in the Emergency Nurses Association (ENA), with several nurses that are currently holding or have held positions at the administration level of the local chapter including president, secretary and state representative.

Richelle Jader, BSN, MHA Karen Quaday, MD

Eric Peterson, MHA, BA Michelle Noltimier, RN, BSN Jeffrey Fritz

pHysiciAn AssistAnt REsiDEncy

Physician Assistants play an integral role in the management of patients in our busy Emergency Department and have since 1984. We currently have a staff of 21 PA’s representing 14 different University PA programs.

We are excited to offer the first EM PA residency program in Minnesota with the first class starting in July of 2012. The PA residents will work alongside physician residents, study the core curriculum, and participate in weekly conferences in addition to their clinical rotation schedule. We are offering 10 weeks of critical care training with opportunities for procedural experience during these rotations, during outreach hospital and rural hospital rotations, as well as simulation training.

With the rising volume of patients with increasingly complex medical problems, the benefit of advanced training for newly employed PAs has been recognized. The American College of Emergency Physicians (ACEP) and Society of Emergency Medicine Physician Assistants (SEMPA) are advocating the role of advanced training for PAs. We agree that residency training will allow PAs to refine their knowledge and skills, and to successfully

integrate into the specialty of emergency medicine at an accelerated rate compared to on-the-job training. Employers, physicians, and patients will benefit from PA residency trained providers and the training will lead to increased competence, confidence, and job satisfaction to the provider.

Brad Hernandez, MD, Medical Director x Ann Verhoeven, PA-C, Program Director

The Crisis Program, a psychiatric crisis intervention service in Regions Hospital Emergency Center, represents a unique collaboration between Regions Behavioral Health and the Emergency Department (ED).

An experienced, committed group of licensed independent clinical social workers staff the program 24 hours a day, seven days a week. This innovative and cost-effective program has been an integral part of the ED for more than 35 years and serves more than 6,000 patients annually. Approximately 60 percent of all patients who are evaluated by crisis social workers, in collaboration with ED medical providers, are not

hospitalized and instead return to the community with referrals for outpatient services. Psychiatric consultations are available in the ED 7 days a week during daytime hours.

Patients are seen for a variety of mental health issues including depression, psychosis, anxiety, and substance abuse. The crisis staff works closely with ED physicians, residents, physician assistants and nurses to provide comprehensive psychiatric and psychosocial assessments and to create discharge plans that maximize safety and stabilization in the community or in the hospital.

Crisis Program>

Maddy Cohen, MSW, LICSW, Manager, ED Crisis Program

Ann Verhoeven, PA-C and Brad Hernandez, MD

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HAbits of lifElong lEARning Brad Gordon, MD, Director, Residency Technology

Welcome to another year of lifetime learning!

In past years, I’ve advocated organizing your learning on the ‘tiers of knowledge’. Specifically, this means organizing how you receive new learning: ‘Cutting Edge’ = reading or review-ing journal articles, talking with experts; ‘Standard of Care’ = summarized abstracts, textbooks, blogs; ‘The Limits’ = know where to find what you need when you need it.

While some of you may have taken this advice to heart, I suspect some had the reaction: “Are you kidding me? I don’t have time to ‘plan my learning’”. No problem. To those of you in this boat, let me suggest non-structured methods of lifetime learning:

Engage in teaching - teaching others certainly causes re-learning and retention of knowledge. Maybe this is the year you’ll put on an inservice for nurses on how to use ultrasound for IV insertion, or sponsor a journal club at your house for your colleagues.

Read up after interesting, unusual or misadventure cases - certainly not a new approach, and highly advocated during residency. But it works for all ages.

Do follow ups - many of you are using an electronic health record - use it for your education! Keep a log or run a report of patients you saw... go back and find out what happened to them later. Even better - give them a call and ask.

Find a ‘sweet spot’ in your day for reflection and education - reading articles and journals can’t be done as you are going to bed. (Journal reading can be an efficacious form of proce-dural sedation!) Find that time in the day/eve/night when your brain is running at the right speed to digest what you are reading. You’ll find yourself engaging into your learning, rather than trying to force it.

With regard to our residency, we continue to grow our fam-ily. Metrics this year include 322 subscribers to EMRes, our residency mailing list. Over 500 have connected with us on Facebook. We’ve achieved the ‘century’ milestone with 100 residents graduating our program, not to mention the 29 in the residency right now. We have over 35 attending provid-ers who work full or part time at Regions. The collective wisdom of the above group is astounding!

Finally, I’ll draw your attention to the educational content from our program now available. At emres.regionsem.org, we have over 40 blog updates from the last few months.

Posts include critical case conference summaries, tidbits from morning reports, and other ‘bite sized’ updates. Also, links to related blogs on tox, EMS, trauma and ECG blogs are available. (some from Regions EM staff, some from Trauma, some from HCMC!) Enjoy browsing from time to time or sub-scribe to one of these blogs so that you never miss an update.

Until next year, happy learning!

Brad Hernandez, MD, Medical Director x Ann Verhoeven, PA-C, Program Director

Maddy Cohen, MSW, LICSW, Manager, ED Crisis Program 2011 Residency Retreat

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DiDActic cuRRiculuM Stephanie Taft, MD x Assistant Residency Director

Regions Emergency Medicine Residency Program offers residents a full spectrum of topics in emergency medicine based on The Model of the Clinical Practice of Emergency Medicine. This model is the basis of the content specifications of all examinations by the American Board of Emergency Medicine. The core curriculum is designed to repeat itself in its entirety on an 18-month basis.

Our residency also encourages experiences outside of the typical EM core content lecture. For example, Health-Partners Institute for Medical Education sponsors a Core Competency Conference Day which is a multi-disciplinary conference, focusing on the six core competencies. We have had numerous guest speakers from around the area and the country, including Georgia and Maine, covering topics such as wellness, preventive medicine in EM practice, and community orthopedics. In April, we held an Ethics and Advocacy Day in the Capitol building which included as speakers, presidents from two different health systems as well as a former US senator. In May, we held a joint HCMC and Regions Simulation Day at the University of Minnesota. At our alumni day conference in September, we hosted more than 15 graduates who shared their wisdom with our residents. In October, we held an Ortho Day taught by three orthopedic staff physicians, covering common ED injuries and providing the opportunity to practice procedures such as arthrocentesis. In November, residents participated in our yearly combined EM/Trauma Update co-sponsored by Hennepin County Medical Center, North Memorial Medical Center, Mayo Clinic and Regions.

The conference curriculum is set up to cover both the depth and breadth of emergency medicine through traditional as well as innovative and interactive means. Curriculum components include:

· Critical Case, a favorite of residents and faculty alike. Critical Case conference provides an interactive forum for discussion of a case of educational value. Case dis-cussion is focused not only on the content of the eventual diagnosis, but also on the decision-making process in evaluating critically-ill patients with limited immediate data. Cases are actual cases from the ED and are chosen by the chief residents.

· Core Content Lectures reinforce knowledge that is gained on clinical rotations as well as supplement the clinical experience. Lectures are given by faculty members who are experts in a core content area.

· Journal Club is held on a regular basis and facilitates discussion of two or three current practice-changing articles in emergency medicine.

· Joint Conferences are collaborative conferences held in conjunction with other departments such as radiology, trauma services, critical care and internal medicine to discuss related areas of interest.

· Small Group Sessions encourage interactive learning. Small group simulation days have been incorporated into the curriculum. Residents are divided into three groups and rotate through stations that may include case discussion, simulation or mini-lectures.

· Forensics includes a basic forensic medicine didactic curriculum that all residents receive. Additionally, residents are trained in sexual assault examinations.

Stephanie Taft, MD at CORD-AA 2011 Mary Brainerd speaks at Advocacy and Ethics Conference

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Stephanie Taft, MD x Assistant Residency Director ultRAsounD Michael Zwank, MD, RDMS x Peter Kumasaka, MD, Emergency Ultrasound Education

>

Emily Binstadt, MD, MPH x Cullen Hegarty, MD x Jessie Nelson, MD, Simulation Education & Research

Educational objectives:By the end of the third year of training, residents must demonstrate appropriate knowledge and skill in the use of ED ultrasound. Ultrasound applications that are mastered in emergency residency training are the trauma (FAST) exam, emergency echocardiography, abdominal aortic aneurysm, undifferentiated hypotension, early intrauterine pregnancy and procedural ultrasound including vascular access, thoracentesis, paracentesis, bladder identification, abscess location and others.

Description of clinical experience:Ultrasound education begins during orientation with a half-day didactic and hands-on instructional session. During the first year, the ultrasound experience is combined in the emergency department integrated (EDI) months. During the ultrasound/anesthesia (ultrasthesia) days of these months, the resident spends the morning intubating in the OR and the afternoon scanning in the ED, completing 10 modules that

encompass emergency ultrasound. Residents are encouraged to perform ultrasounds on any patients in the emergency department including those with normal anatomy and no pathology. Resident ultrasounds are supervised variably by the staff emergency attending, ultrasound director or senior residents. EM-2 and EM-3 residents are responsible for ultrasounds during all trauma team activations. An optional elective in the 3rd year is available to further ultrasound skills and knowledge.

Description of didactic experience:A lecture series covering basic ultrasound physics, focused assessment sonography for trauma (FAST) exam, emergency echocardiography, abdominal aortic aneurysm, undifferentiated hypotension and procedural ultrasound is covered over an 18-month core content curriculum. Lectures are supplemented with small group interactive sessions during specific conference days focused on a more interactive learning experience. For those that are interested prior to residency graduation, residents are given advice on setting up an ultrasound program and getting involved in their new position.

Evaluation process/feedback mechanisms:Residents receive feedback on ultrasound technique, image quality and trouble-shooting techniques by the supervising ED attending or senior resident. Additionally, ultrasound images are reviewed as part of the quality assurance initiative and feedback is given to the resident and faculty by the ultrasound director. Residents are given a semi-annual report of the number and type of ultrasounds they have done in the ED. This is reviewed during the semi-annual resident evaluation meetings with the program director. Residents are provided an ultrasound credentialing letter upon graduation.

The Regions Hospital Emergency Medicine Residency has a robust group of faculty with strong interests in simulation-based education. We have worked to integrate simulation and small-group learning as an important part of the residency curriculum. Simulation is also used to augment medical student and faculty education, to address systems-based barriers to quality care and to analyze communication issues.

Several residents are pursuing simulation-based projects for their scholarly activity requirements this year, and we look forward to mentoring more residents in this area in the future. Dr. Nelson continues to work with HealthPartners Clinical Simulation, and Drs. Hegarty and Binstadt continue as co-directors of emergency medicine and trauma for the University of Minnesota SimPORTAL.

Simulation

Clinical Simulation & Learning Center

Resident Ultrasound Experience

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EMs

Regions EMS is proud of our affiliation with Regions Hospital Emergency Medicine Residency, and we would like to highlight some of the accomplishments of the past year.

Resident Rotation:Emergency Medicine residents complete a 15-day longitudinal rotation in EMS during their intern year. In 2011, we developed a new G1 EMS curriculum. Our residents provide patient care in the streets with urban fire based services (St. Paul Fire), volunteer/paid on-call services (White Bear Lake), police/medic services (Cottage Grove Public Safety) and hospital based units (Lakeview Ambulance). Emergency Medical Dispatch fundamentals are stressed during shifts at the Ramsey County Communications Center. Residents also spend time in the East Metro Medical Resource Con-trol Center (MRCC), which serves as the nerve center for MCI management and on-line medical control in the East Metro. Unique opportunities include air medical transport with Life Link III and shifts with the National Ski Patrol at Afton Alps Ski Resort. In the classroom, residents are integrated as active educators during critical case reviews, simulation based critical thinking labs, and, new in 2011, cadaver labs at the University of Minnesota. Additional opportunities are available for residents to educate students at the EMT-Basic (St. Paul Fire EMS Academy) and Paramedic (Inver Hills Community College) level.

Associate Medical Directorship:Residents with a particular interest in EMS may elect the EMS Associate Medical Director (AMD) program for their scholarly project. This program was restructured in 2010 to create a more formalized approach to better prepare graduates for EMS fellowships. In addition to increased exposure to prehospital patient care, residents are tasked with learning the administrative and legislative founda-tions of EMS. Residents in the AMD program have the opportunity to attend the MN EMS Medical Directors conference and to participate in original research.

2011 Associate EMS Medical Directors:Clint Hawthorne, MD (’12), St. Paul FireBen Watters, MD (’12), National Parks ServiceBjorn Peterson, MD (’12), Maplewood FireZabrina Evens, MD (’13), St. Paul FireDarcy Rumberger, MD (’13), St. Paul Fire EMS AcademyJodi Deleski, MD (’13), St. Paul Fire

EMS Fellowship:Beginning in August 2010, Regions EMS began offering a 1-year Prehospital Medicine/EMS fellowship. In August 2011, Dr. Aaron Burnett became the first graduate of our fellowship. We are excited to announce that Dr. Bjorn Peterson has been selected as our next fellow beginning August 2012. A board certification examination for Pre-hospital Medicine/EMS is expected to be available in 2013.

Event Medicine:EM residents regularly have the opportunity to participate in mass gathering medicine under the medical direction of Regions EMS. In 2011, our residents provided medical coverage at the Stillwater Marathon and Warrior Dash extreme terrain 5K. Residents staffed the critical care section of the finish line medical tent at the Twin Cities Marathon. The MN State Fair draws tens of thousands of visitors daily, and Regions EM residents were on-site prov-ing care. Residents also provide medical coverage to fans during events at the Xcel Energy Center, including MN Wild NHL hockey games.

Research:Our EMS research activities are enriched by and open to the participation of our residents. In 2011, Dr. Autumn Erwin (Brogan) presented an oral presentation at SAEM on identification of prehospital sepsis. Dr. Casey Woster had posters presented at both SAEM and NAEMSP on his work in video laryngoscope use by prehospital providers. Dr. Ben Watters co-authored a case report on laryngospasm after prehospital ketamine administration to a patient in excited delirium, and Dr. Zabrina Evens is a member of our research team conducting a field trial of video laryngo-scopes for prehospital intubation.

RJ Frascone MD, Medical Director x Aaron Burnett MD, Assistant Medical Director David Waltz EMT-P, EMS Program Director x Shonette Doggett, Manager of EMS Education and Injury Prevention

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The PEM Fellowship at Children’s Hospitals and Clinics of Minnesota received sponsorship from HealthPartners Institute for Medical Education in July 2011. Prior to this the PEM fellowship was sponsored by the University of Minnesota and has trained numerous PEM physicians. The Emergency Department staff at Children’s is comprised of 35 PEM physicians, 6 PEM Fellows, 16 pediatric nurse practitioners and six trauma service physician assistants/nurse practitioners. This makes-up the largest pediatric-emergency trained staff in the region. This staff covers the Emergency Depart-ments in both the Minneapolis & St Paul hospitals, where a combined 88,000 patients were seen in 2011. Children’s is currently a designated Level-3 trauma center and received a 17 million dollar grant from United Health Care to become a Level-1 trauma center at the Minneapolis campus.

PEM fellowship is designed to complete all core require-ments in two years. Fellows who have previously completed an EM residency operate on a two-year curriculum. Those who have a Pediatric residency function as a junior faculty in third year and have 75% protected research time to complete their scholarly activities. Besides spending time in ED, clinical rotations include Toxicology, Sedation, Anesthe-sia, PICU and Radiology. Outpatient and Inpatient pediatric service, NICU/Delivery room rotations are required for EM trained fellows. Scholarly activities by PEM fellows include retrospective and prospective studies as well as QI projects. All PEM fellows attend Emergency Medicine Basic Research Skills workshop conducted by ACEP. Currently, there are 33 ongoing studies in the ED, eight of these are grant funded. There were numerous presentations and publications by PEM fellows and faculty in 2011. The didactic curriculum includes monthly educational meetings at Children’s (Minneapolis and St. Paul) and Regions Hospitals. They include PEM chapter/board review, core lectures, Simula-tions, resuscitation case reviews, combined EM/PEM critical case conference, journal club and inter hospital pediatric case conferences. (www.regionsem.org/fellowships)

Pediatric PublicationsChamberlain MC; Reid SR; Madhok M. Utilization of Emergency Ultrasound in Pediatric Emergency Departments. Pediatr Emerg Care. 2011 Jul;27(7):628-32.

Madhok M, Scribner-O’Pray M, Teele M. Managing pediatric pain in minor injuries. Contemporary Pediatrics, 2011 Jun ePub: www.modernmedicine.com

Nadler OA, Finkelstein MJ, Reid SR. How Well Does Serum Bicarbonate Concentration Predict the Venous pH in Children Being Evaluated for Diabetic Ketoacidosis? Pediatr Emerg Care: 2011 Oct 27(10):907-910.

Ricke TL. Incidence and Recognition of Elevated Triage Blood Pressure in the Pediatric Emergency Department. Pediatr Emerg Care. 2011 Oct 27(10):922-27.

Halverson KA, Milner D. Implementation of Point-of-Care Testing in the Emergency Department: A Study on Decreased Throughput Times for Patients Being Seen for Rapid Group A Strep Testing. Point of Care: The Journal of Near-Patient Testing & Technology. 10(3):116-119, September 2011.

Pediatric Emergency Medicine Fellowship>

intERnAtionAl fEllowsHip Matt Morgan, MD, Fellowship Director

We are pleased to announce that Amy Walsh, chief resident at the Iowa emergency medicine residency, was accepted as our first fellow to begin in August, 2012. As a fellow Amy will be doing 6-7 months of international field work, will be pursuing a Masters of Development Practice at the University of Minnesota, and will complete an otherwise rigorous pro-gram in our fellowship. Activities rounding out the program

include a publishable project, research into global toxicology, and completion of the Health Emergencies in Large Popula-tions course. Additionally she will join our physician group and begin her practice of emergency medicine. Amy brings international experience from her travels and work in Tanzania, Haiti, and Israel. We are looking forward to what should be a productive and rewarding couple of years.

Elizabeth Placzek, DO, Leena Sastry, MD, Annalisa Rudser, MD, Olufunmilayo Salami, MD, Jennifer Longo, MD and Manu Madhok, MD, MPH

toxicology

The Toxicology Service at Regions Hospital, an integral section of the Emergency Medicine Department, focuses on education, research and clinical evaluations of toxicology patients. The toxicology educational service provides quar-terly interdisciplinary conferences (critical care, pediatrics, nephrology), a weekly toxicology journal club, adverse drug reaction, and herbal and toxicology chapter reviews. Other educational events during the year included forensic toxi-cology case review, toxicology “field trips” to the University of Minnesota Arboretum to learn about toxic plants; an “Herbal Outing” to the cultural markets in the Twin Cities; and an annual toxic mushroom hunting trip at a rural park.

The Toxicology Service is the home base for the Medical Toxicology Fellowship sponsored by the HealthPartners Institute of Medical Education and the Hennepin Regional Poison Center. We serve as a major training station for the fellows and play an active role in their education. To supplement the education of residents, fellows and students, the toxicology service uses a computer-controlled mannequin for case simulations. New cases are revised and developed throughout the year. The close relationship with the Hennepin Regional Poison Center allows us to share in the educational roles of the Poison Center, participating in their weekly and monthly case conferences and toxicology didactic sessions. During 2011 the clinical toxicology service rotation included 3 pediatric emergency medicine fellows, 14 emergency medicine residents from Regions; 5 medical students from Minnesota, New York, and Wisconsin; 2 Psychiatry PA Residents; 1 Psychiatry resident;

1 Pediatric resident; and more than 24 PharmD candidates Members of Regions toxicology education and clinical service were involved in more than 20 formal presentations at local, regional and national conferences, local colleges and community hospital grand rounds in Minnesota and Wisconsin in 2011. Our faculty has participated regularly in the toxicology training of critical care fellows, internal medicine residents, and physician assistants. International presentations at the Fourth International Congress on Acute Care in Cochabamba, Bolivia are examples of our range in providing toxicology educational activities.

The toxicology consultation service is relatively active and provides 30 or more formal consultations per month at Regions. In addition, we continue to provide informal educational consults, telephone consults, and consults on pediatric patients at the Minnesota Children’s Hospitals and Clinics in Minneapolis and St. Paul. Our service also evaluates inpatients at Regions for herbal-drug and herbal-disease state interactions and provide recommendations. Our toxicology clinic received multiple referrals to evaluate new patients with acute, subacute and chronic toxicologic exposures.

Members of the toxicology service participated in toxicology-related clinical and benchtop research. Our research focuses on the treatment of toxin-induced shock with high-dose insulin as an inotropic treatment, and induced hypothermia for the treatment of severe carbon monoxide poisoning. During 2011, The Tox team

presented at meetings of the Society for Academic Emergency Medicine, North American Congress of Clinical Toxicology, and the Mediterranean Emergency Medicine Congress in Kos, Greece. Toxicology faculty and former fellow won awards for Best Young Investigator, Best CPC presentation, and Best CPC analysis at the NACCT annual meeting in Washington D.C.

Overall, we are a very active service with energetic and dedicated professionals with a passion for teaching and providing quality care, as well as expanding and contributing to toxicology knowledge through research.

Carson Harris, MD, FACEP, FAAEM, Director, Toxicology Education & ServicesKristin Engebretsen, PharmD, DABAT, Clinical Toxicologist

Sam Stellpflug, MD, Heather Ellsworth, MD, Kristin Engebretsen, PharmD, and Carson Harris, MD (not pictured, Ashley Brown, PharmD and Ben Orozco, MD)

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toxicology

Carson Harris, MD, FACEP, FAAEM, Director, Toxicology Education & ServicesKristin Engebretsen, PharmD, DABAT, Clinical Toxicologist

Dr. James Cicero, whose vision of starting an Emergency Medicine Residency at Regions was realized with the first class of residents entering in 1996, began his career at St. Paul-Ramsey Medical Center (now Regions Hospital) as a staff physician in the ED in 1974. He was appointed Associate Chief of Emergency Medicine in 1977, Acting Chief from 1981-83 and Chief from 1983 to 1995.

Dr. Cicero graduated from Northwestern University Medical School in 1963. Prior to his work at Regions Hospital, he served as captain in the United States Army in Munich, Germany. After complet-ing his service, he moved to River Falls where he served on the staff of the River Falls Medical Clinic and was later appointed medical director at the Minnesota State Prison at Stillwater.

An innovative administrator, he began hiring physician assistants to augment staffing in the Emergency Department in 1984. Regions ED now has a staff of 21 PAs and a PA residency training program approved to start in 2012. He also developed the first urgent care at Regions, known as ReadyCare, in 1985 and led the ED through its first construction of a new Emergency Center, which opened in 1995, shortly before his retirement.

An avid golfer, author and community activist, he served on boards of the Union Gospel Mission, the River Falls Area Hospital, and the First Covenant Church in River Falls. Jim also participated in several mission trips with the Good News Project.

In Memory of James J Cicero, MD James J Cicero, MD - 1938-2011

QuAlity AnD pAtiEnt sAfEty fEllowsHip

Medical Quality Management and Patient SafetyOur inaugural Medical Quality Management and Patient Safety Fellowship began in July with the appointment of Kara Kim, MD (’11) as its first fellow. Kara is currently practicing as an emergency physician, actively involved in several quality projects at Regions Hospital as well as within the HealthPartners Family of Care, and working towards completion of an Executive Masters in Business Administration at the University of Minnesota Carlson

School of Management. She will complete and publish a major project and will become certified in medical quality by the American Board of Medical Quality by the end of her fellowship. Kara was actively involved in quality improvement and patient safety education as a resident, creating an education program which guides our residents through the completion of their own quality projects. She is an asset to our department and a champion for improving the quality of care we provide to our patients.

Drew Zinkel, MD, EMD Quality Director

L134 - Emergency Medicine Residency EducationGifts to this fund allow the residency to educate future emergency practi-tioners by funding programs such as our procedural skills lab, international rotations, specialty conferences, and much more. In 2011, this fund pro-vided assistance to three residents to attend national and regional meetings.

Regions Circle ($10,000+) Regions Hospital Emergency Medicine Physicians

Advocate ($1,000+) Felix & Lisa Ankel Robert & Jenny LeFevere Kevin & Abbie Smith Jeffrey & Sarah Young

Builder ($500+) Bradley & Karine Hernandez Jeffrey & Laurie Geddes

Sponsor ($100+) Nathaniel & Deanna Curl Katharine Davidson Bradley & Laura Gordon Kelly & Jeff Rhone Jonathan Shultz Scott Thielen Robert Zeleznikar

E009 - Mark Bernas EndowmentThe Mark Bernas Endowment was established in 1998 after the death of EM resident, Mark Bernas. It’s pur-pose is to provide long term financial resources for the Emergency Medicine resident learning center and educa-tional projects.

Advocate ($1000+) Dorothy Bernas

Sponsor ($100+) Gary Collins Karen Lushine Kevin & Lisa Sipprell

Regions Hospital Foundation EM Residency Funds>

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MEDicAl stuDEnt pRogRAM

Regions Emergency Medicine Department continues to have a strong interest and commitment to medical student education. Rotations hosted at Regions include our core, required EM clerkship through the University of Minnesota Medical School, our advanced EM clerkship, our toxicology course, and a new elective bedside ultrasound experience.

Our core rotation consistently gets top reviews from Uni-versity of Minnesota students. The highlights of the rota-tion include the outstanding supervision, education, and feedback to the students from our senior residents, their experience in our weekly resident conferences, and the weekly student focused educational workshops, including a simulation resuscitation workshop. This rotation allows our senior residents to experience daily teaching and supervi-sion, and allows the students a chance to have a close work-ing relationship with our EM residents.

The advanced rotation is our sub-internship experience for students from the University of Minnesota as well as other US medical schools. Highlights of this advanced rotation include direct supervision by EM faculty, EMS, ultrasound, and EKG education and experiences, and an informal ses-sion with Dr. Ankel focused on the Emergency Medicine residency application process.

Students taking the toxicology rotation here get a well rounded tox experience with our clinical toxicology service. During their four weeks they get to experience ED consults, inpatient consults and rounds on the toxicology inpatient consultation service, time at the Poison Control Center, and outstanding small group educational sessions.

Our newest EM elective is bedside ultrasound for the clinician—a rotation hosted by Dr. Mike Zwank from Regions and Dr. Rob Reardon from HCMC. Students taking this elec-tive get to spend time with an ultrasound technician learning the ins and outs of the ultrasound machine, have focused reading on ultrasound and its EM application, and plenty of hands-on, supervised ultrasound time in the ED.

Thanks to the efforts of Dr. Keith Henry, as of 2011, we have expanded and integrated clinical instruction into the first and second year medical school curriculum at the University of Minnesota School of Medicine. The Essentials of Clinical Medicine course introduces early medical students to acute care medicine and to the acute care decision-making skill set. Through an innovative mix of workshops, didactic learning sessions, and real time emergency department site observations, early medical students are introduced to acute care/emergency medicine, and to its essential role and function within the modern health care system.

In 2011, Regions Hospital hosted a total of 107 students from 13 medical schools, with 38 of them taking the advanced course. Dr. Hegarty continues in his role as clerk-ship director for all EM courses through the department of EM at the University of Minnesota in addition to his roles as co-chair of the University of Minnesota Medical School Twin Cities campus curriculum committee, and chair of the clinical education committee at the Medical School.

If interested in learning more about our student rotation opportunities, check the ‘student program’ link on our website (http://www.regionsem.org/student-program) or call Lori Barrett at 651-254-3666. Applications are being accepted for the 2012-2013 academic year through the Visiting Student Application Service (https://services.aamc.org/20/vsas/).

Student Eye Workshop

Cullen Hegarty, MD x Keith Henry, MD x Kevin Kilgore, MD x Lori Barrett, C-TAGME

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gRAnts AnD iRb AppRovED stuDiEs

Burnett AM, Isenberger KM, Zwank MD, Salzman J, Wewerka SS. National Institute of Neurological Disorders and Stroke Neurological Emergencies Treatment Trials Network. Platelet Oriented Inhibition in New TIA and Minor Ischemic Stroke (POINT) Trial. (2011-2017)

Carr ME, Engebretsen K. HealthPartners Research Foundation Discovery Grant. Identification of Therapeutic Blood and Urine Tetrahydrozoline Levels in Adults. (2010-2011)

Chung WG. Bush Medical Fellowship. Business Innovations Applicable to Medicine. Carlson School of Business Executive MBA Program. (2009-2011)

Chung WG, Salzman JG, Wewerka SS, Koenekamp D, Frascone RJ. HealthPartners Research Foundation Discovery Grant. Use of the Emergency Severity Index by RNs and EMS Providers. (2009-2011)

Erwin AM, Frascone RJ, Holger J, Burnett AM, Salzman JG, Wewerka SS. HealthPartners Research Foundation Discovery Grant. Examining the Feasibility of Sepsis Diagnosis in the Prehospital Environment. (2009-2011)

Frascone RJ, Wewerka SS, Salzman J. International Association of Fire Fighters Burn Foundation. The Effect of Fire Fighter SCBA Use on Carboxyhemoglobin Values During the Overhaul Phase of Fire Fighting. (2009-2012)

Biros M, McGonigal M, Larkins MV, Frascone RJ, Snyder B. National Institute of Neurologic Disorders and Stroke. Neurological Emergency Treatment Trials (NETT) Network. (2010-2015)

Hegarty CB, Peterson BK, Dahl EJ. Emergency Medicine Residency Program Interviewee Survey. (2010-2011)

Nelson JG, Salzman J., Wewerka SS., Burnett A, Woster C, Frascone RJ. HealthPartners Research Foundation Internal Grant. Emergency Medicine Evaluation of Video Laryngoscopes in Simulation. (2009-2011)

Quaday KA, Gordon BD, Salzman J. A Retrospective Descriptive Study of MRI Use in an Academic Emergency Department. (2011-2012)

Cole JB, Stellpflug S, Holger JS, Engebretsen K. HealthPartners Research Foundation Internal Grant. High Dose Insulin Dosing Study in Toxic Cardiogenic Shock. (2010-2011)

Zwank MD, Walker JR. Improving Patient Comfort in the Emergency Department. (2010-2011)

Zwank MD. Emergency Department Patient Knowledge and Physician Communication Regarding Computed Tomography Scans. (2010-2011)

Zwank MD. Impact of CT on Diagnosis of Kidney Stones. (2011-2012)

Zwank MD, Paech NK. Medical Screening Protocols. (2011)

Institute for Medical Education (IME)The Regions Hospital Emergency Medicine Residency is sponsored by the HealthPartners Institute for Medical Education (IME). The IME was created in 1996 to provide an innova-tive structure to lead the organization’s health professional educational efforts. Today, the IME partners with academic institutions, pro-vides an innovative environment for health-provider education and is an advocate for education that measurably improves patient care. The IME provides professional education through undergraduate and graduate medical education, nursing education, allied health professional education, continuing profes-sional development, medical library services and clinical simulation programs.

The IME has a formal affiliation agreement with the University of Minnesota that guides the educational relationship between the two organizations. Regions Hospital emergency medicine staff enjoy faculty appointments within the department of emergency medicine at the University of Minnesota, and contrib-ute to the teaching of medical students and residents in HealthPartners and University residency programs.

Drew Zinkel, MD and Kara Kim, MD

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REsiDEncy AwARDs, REcognition, HonoRs

Star Award - resident teacher selected by medical students2011 Kara Kim, MD2010 Aaron Feist, MD, Gregory Vigesaa, DO2009 Adina Connelly, MD, Danielle Jackson, MD2008 Samuel Stellpflug, MD2007 Sandy Fritzlar, MD2006 Nathan Anderson, MD, Martin Richards, Jr., MD, John Travnicek, MD, Melissa Tschohl, MD2005 Keith Henry, MD2004 Robert LeFevere, MD2003 Lynn Howard, MD2002 John Bonta, MD2001 Cullen Hegarty, MD

Apple Award - faculty teacher selected by medical students2011 Samuel Stellpflug, MD2010 Rachel Dahms, MD2009 Keith Henry, MD2008 Cullen Hegarty, MD, Kevin Kilgore, MD2007 Joel Holger, MD, Peter Kumasaka, MD, Michael Zwank, MD2006 Jeahan Hanna, MD2005 Rachel Dahms, MD, Robert LeFevere, MD2004 Cullen Hegarty, MD2003 Kevin Kilgore, MD2002 Felix Ankel, MD2001 Paul Haller, MD

Faculty Teaching Award - EM faculty teacher selected by residents2011 Michael Zwank, MD2010 Bradley Hernandez, MD2009 Keith Henry, MD2008 Cullen Hegarty, MD2007 Rachel Dahms, MD, Jeahan Hanna, MD2006 Robert Knopp, MD2005 Felix Ankel, MD2004 Karen Quaday, MD2003 Carson Harris, MD2002 Scott Cameron, MD2001 Robert Knopp, MD2000 Joel Holger, MD

Nurse Educator Award - EM nurse teacherselected by residents2011 Kevin Guenard, RN2010 Clarice Marsh, RN2009 Angela Hoeppner, RN2008 Andrew Hebdon, RN2007 Lawrence Cochran, RN2006 Tom Peterson, RN, Karen Poor, RN2005 Donovan Taylor, RN2004 Mary Healy, RN

Excellence in EMD Research2011 N Kolja Paech, MD2010 Nathaniel Curl, MD2008 Tara O’Connell, MD2007 Emily Mason, MD, Ben Peake, MD2006 Scott Donner, MD2005 Sandy Fritzlar, MD2004 Kurt Isenberger, MD2003 S. Wade Barnhart, MD, Christopher Obetz, MD2002 Randall Hofbauer, MD2001 Frank Coughlin, MD2000 Paul Satterlee, MD, Paul Jewett, MD1999 Kevin Sipprell, MD, James Parker, MD

Ian Swatez Teaching Award - faculty teacherfrom outside EM selected by residents2011 Eric Korbach, MD2010 Julie Switzer, MD2009 Azhar Ali, MD2008 David Dries, MD2007 Eric Korbach, MD, Henry Ortega, MD2006 David Lee, MD2005 Bruce Bennett, MD2004 Raj Sarpal, MD2003 William Mohr, MD2002 Mari Goldner, MD2001 David Dries, MD2000 Ian Swatez, MD

Robert Knopp Humanism Award2011 Katharine Davidson, MD2010 Heather Ellsworth, MD2009 Tara O’Connell, MD2008 Mark Connelly, MD2007 Emily Mason, MD2006 Martin Richards, Jr., MD2005 Keith Henry, MD, Jon Hokanson, MD

Excellence in EMS Award2011 Katharine Davidson, MD2010 Aaron Burnett, MD2009 Owen Anderson, MD2008 Joey Peterson, MD, Jonathan Shultz, MD2007 Heidi Lako, MD

Toxicology Award2011 Katherine Katzung, MD2010 Heather Ellsworth, MD

Mark Bernas Advocacy Award2011 Autumn Erwin, MD2010 Autumn Erwin, MD

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REsiDEncy AwARDs, REcognition, HonoRs scHolARly Activity

Excellence in EMD Research2011 N Kolja Paech, MD2010 Nathaniel Curl, MD2008 Tara O’Connell, MD2007 Emily Mason, MD, Ben Peake, MD2006 Scott Donner, MD2005 Sandy Fritzlar, MD2004 Kurt Isenberger, MD2003 S. Wade Barnhart, MD, Christopher Obetz, MD2002 Randall Hofbauer, MD2001 Frank Coughlin, MD2000 Paul Satterlee, MD, Paul Jewett, MD1999 Kevin Sipprell, MD, James Parker, MD

Ian Swatez Teaching Award - faculty teacherfrom outside EM selected by residents2011 Eric Korbach, MD2010 Julie Switzer, MD2009 Azhar Ali, MD2008 David Dries, MD2007 Eric Korbach, MD, Henry Ortega, MD2006 David Lee, MD2005 Bruce Bennett, MD2004 Raj Sarpal, MD2003 William Mohr, MD2002 Mari Goldner, MD2001 David Dries, MD2000 Ian Swatez, MD

Robert Knopp Humanism Award2011 Katharine Davidson, MD2010 Heather Ellsworth, MD2009 Tara O’Connell, MD2008 Mark Connelly, MD2007 Emily Mason, MD2006 Martin Richards, Jr., MD2005 Keith Henry, MD, Jon Hokanson, MD

Excellence in EMS Award2011 Katharine Davidson, MD2010 Aaron Burnett, MD2009 Owen Anderson, MD2008 Joey Peterson, MD, Jonathan Shultz, MD2007 Heidi Lako, MD

Toxicology Award2011 Katherine Katzung, MD2010 Heather Ellsworth, MD

Mark Bernas Advocacy Award2011 Autumn Erwin, MD2010 Autumn Erwin, MD

Peer Reviewed Articles:Hwang U, Weber EJ, Richardson LD, Sweet V, Todd K, Abraham G, Ankel F. A Research Agenda to Assure Equity During Periods of Emergency Department Crowding. Acad Emerg Med 2011 Dec; 18(12):1318-1323.

Burnett AM, Anderson CP, Zwank MD. Laboratory-confirmed gonorrhea and/or chlamydia rates in clinically diagnosed pelvic inflammatory disease and cervici-tis. Am J Emerg Med. 2011 Oct 24. [Epub ahead of print]

Carr ME, Evidence Collection beyond the 72 hour rule—Letter to the Editor. Journal of Forensic Nursing. 2011 March; 7(1): 49-50.

Carr ME, Engebretsen KM, Ho BM, Anderson CP, Tetrahydrozoline (Visine ®) concentrations in serum and urine during therapeutic ocular dosing: A necessary first step in determining an overdose. Clin Toxicol. 2011 Oct; EPub.

Ellsworth H. Articles You Might Have Missed. J Med Toxicol. 2011 Jun;7(2): 172-174.

Engebretsen KM, Kaczmarek KM , Morgan J, Holger JS. High-dose Insulin Therapy in Beta-blocker and Calcium Channel-blocker Poisoning. Clin Toxicol 2011;49:277-283.

Frascone RJ, Russi C, Lick C, Conterato M, Wewerka SS, Griffith KR, Myers L, Conners J, Salzman JG. Comparison of prehospi-tal insertion success rates and time to insertion between standard endotracheal intubation and supraglottic airway. Resus 2011, 82:1529-1536.

Aufderheide TP, Frascone RJ et al. Standard cardiopulmonary resuscitation versus active compression-decompression cardiopulmonary resuscitation with augmentation of negative intrathoracic pressure for out-of-hospital cardiac arrest: a randomized trial. Lancet 2011, 377:301.

Hegarty C, Binstadt E. Neurogenic Shock Simulation Case. MedEdPORTAL; 2011. Available from: www.mededportal.org/publication/9054.

Ronan-Bentle SE, Avegno J, Hegarty CB, Manthey DE. Dealing with the difficult student in emergency medicine. Int J Emerg Med. 2011 Jun 29;4:39.

Holger JS, Stellpflug SJ, Cole JB, Harris CR, Engebretsen KM. High dose insulin: consecutive case series in toxin-induced cardiogenic shock. Clin Toxicol 2011 Aug;49(7):653-8.

Kilgore, KP. Penile Fracture: ED and Intraoperative Photos make Clear the Injury. http://www.EMedHome.com; Weekly Clinical Case, June 24, 2011

Kilgore, KP. What happened to the PICC line? http://www.EMedHome.com; Weekly Clinical Case, May 27, 2011

Kilgore, KP. This Abdominal Finding was Incorrectly Attributed to Trauma. http://www.EMedHome.com; Weekly Clinical Case, April 29, 2011

Cole JB, Stellpflug SJ, Lintner CP. What Toxicity May Result from the Xenobiotic Responsible for the Finding on This Plain Film? Answer: Reduced Iron, Found in Heating Pads and Instant Hand Warmers, May Result in Elevated Serum Iron Concen-trations. J Med Toxicol 2011 August; ePub.

Stellpflug SJ, Fritzlar SJ, Cole JB, Enge-bretsen KM, Holger JS. Cardiotoxic over-dose treated with intravenous fat emulsion and high-dose insulin in the setting of hypertrophic cardiomyopathy. J Med Toxicol. 2011 Jun;7(2):151-3. Response to Letter to the Editor J Med Toxicol. 2011 Aug 27. [Epub ahead of print]

Cole JB, Stellpflug SJ, Ellsworth H, Harris CR. Reversal of quetiapine- induced altered mental status with physo-stigmine: a case series. Am J Emerg Med. 2011 Jul 28. [Epub ahead of print]

Stellpflug SJ, Roth EB, Richards ME. Unique configuration of the four-lumen oesophagogastric tamponade tube (Minnesota tube) for the control of massive upper GI bleeding. Emerg Med J. 2011 Oct;28(10):908.

Stellpflug SJ. Transaminitis: the lab test that has inflammation…. J Med Toxicol. 2011 Sep;7(3):252-3.

Zwank MD. Ultrasound-guided catheter-over-needle internal jugular vein cath-eterization. Am J Emerg Med. 2011 Oct 25. [Epub ahead of print]

Non-Peer Reviewed Articles:Hernandez BS. Don’t Assume the Worst, Minnesota Monthly, October 2011;94(10):

Taft S. Core Tox for EM Docs: Cyanide Toxicity. ACEP Toxicology Section Newsletter. December 2011.

Book Chapters:Ankel F. Aortic Dissection. In Marx, Hockberger, Walls et al (Eds.) Rosen’s Emergency Medicine Concepts and Clinical Practice (pp 1088-89). Mosby (Philadelphia), 2011.

Haller PR, Ruiz E. Leg Injuries. In Tintinalli, Stapczynski, Ma et al (Eds.) Tintinalli’s Emergency Medicine: A Compre-hensive Study Guide 7th Edition (pp 1823-1825). McGraw-Hill (New York), 2011.

Haller PR. Compartment Syndrome. In Tintinalli, Stapczynski, Ma et al (Eds.) Tintinalli’s Emergency Medicine: A Compre-hensive Study Guide 7th Edition (pp 1880-1883). McGraw-Hill (New York), 2011.

Nelson JG, Hemphill, RR. Clotting Disor-ders. In Tintinalli, Stapczynski, Ma et al (Eds.) Tintinalli’s Emergency Medicine: A Comprehensive Study Guide 7th Edition (pp 1470-1475). McGraw-Hill (New York), 2011.

Presentations:Bandiera G, Ankel F. Transitions in Resi-dency Education. Presented at Interna-tional Conference on Resident Education. Quebec City, Quebec, September 2011.

Ankel F, Hemphill R, Zinkel A. Deliber-ate Practice and Reflection to Address Cognitive Error. Presented at International Conference on Resident Education. Quebec City, Quebec, September 2011.

Ankel F. A Guide to the Application Pro-cess. Presented at AMSA Midwest Medical Student Symposium. Chicago, IL, May 2011.

Bowman S, Brooks C, Ankel F, Tupesis J. Program director discussion panel, EMRA Midwest Medical Student Symposium. Chicago, IL, May 2011.

Bold: facultyBold italics: residents/fellows

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scHolARly Activity

Ankel F, Shearer P. Retreats: Make Sure Your Time Together is Well Spent. Pre-sented at CORD Academic Assembly, San Diego, CA, March 2011.

Overton D, Ankel F, Petera T, Carter W. Surviving the RRC: Mock Site Visit and RRC Meeting. Presented at CORD Academic Assembly, San Diego, CA, March 2011.

Burnett AM, Salzman J, Segal N, Frascone RJ, McKnite S. Potential Nega-tive Effects of Epinephrine on Carotid Blood Flow and ETC02 during Active Compression-Decompression CPR utiliz-ing an Impedance Threshold Device. Presented at American Heart Associa-tion Resuscitation Science Symposium. Orlando, FL. November 2011.

Chung WG, Frascone RJ, Salzman J, Koenkamp D, Wewerka S.. Inadequate Baseline And 6-month Retention Of The Emergency Severity Index By Experienced Emergency Department Registered Nurses. Acad Emerg Med. 2011:18(5):S34. Poster presentation, SAEM Annual Meeting, Boston, MA, June 2011.

Cole JB, Ellsworth H, Engebretsen KM, Stellpflug SJ. Failure of High Dose Insulin and Intravenous Fat Emulsion in 2 patients with Poison-Induced Cardio-genic Shock. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicology, Washington DC, September 2011.

Topeff JM, Ellsworth H, Wilhite L, Bangh SA, Edwards EM, Cole JB. A Case Series of Symptomatic Patients, Including One Fatality, Following 2-CE Exposure. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicol-ogy, Washington DC, September 2011.

Topeff JM, Cole JB, Edwards EM, Bangh SA, Ellsworth H. The Use of Intravenous Fat Emulsion as an Adjunct to Standard ACLS in a Patient in Cardiopulmonary Arrest after 2-CE Use. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicology, Washington DC, September 2011.

Lintner CP, Ellsworth H, Hess JM, Kwon SK, Cole JB. Vancomycin Toxicity in a Neonate Successfully Treated with Exchange Transfusion. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicology, Washington DC, September 2011.

Olives TD, Ellsworth H, Stellpflug SJ, Cole JB. Surreptitious Steroid Inges-tion Resulting in Factitious Cushing’s Syndrome: Sometimes Sendouts Make the Diagnosis. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicology, Washington DC, September 2011.

Cole JB, Lloyd RM, Ellswoth H, Stellpflug SJ, Bangh SA. Medical Child Abuse with Ipecac: a Variant of Maunchausen Syndrome by Proxy. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicology, Washington DC, September 2011.

Cole JB, Ellsworth H, Orozco BS, Anderson DL, Bangh SA. Methanol Exposure in a Toddler with 3-Methylcro-tonyl CoA Carboxylase Deficiency. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicol-ogy, Washington DC, September 2011.

Ellsworth H, Lintner CP, Rudser AK, Cole JB. A Tale of Two Blue Babies. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicol-ogy, Washington DC, September 2011.

Moser KL, Cole JB, Bangh SA, Ellsworth H, Stellpflug SJ. Lead Pellet Embedded in the C2 Vertebra of a Child: A Clini-cal Dilemma. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicology, Washington DC, September 2011.

Ellsworth H, Topeff JM, Olives TD, Cole JB. A Recipe For Disaster: Detectable Digoxin Concentration After An Isolated Ingestion of Milkweed. Clin Toxicol 2011.Poster presentation, North American Congress of Clinical Toxicology, Washing-ton DC, September 2011.

Kwon SK, Ellsworth H, Lintner CP, Cole JB. Amanita Pantherina Ingestion Result-

ing in Status Epilepticus and Death. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicol-ogy, Washington DC, September 2011.

Hughes KA, Ellsworth H, Kwon SK, Lintner CP, Cole JB, Keyler DE. Prairie Rattlesnake Envenomation: A Poison Center’s 5-Year Experience. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicol-ogy, Washington DC, September 2011.

Kwon SK, Ellsworth H, Lintner CP, Stellpflug SJ, Cole JB. Massive Amanta-dine Overdose Resulting in Status Epilepticus and Death. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicology, Washington DC, September 2011.

Ellsworth H, Engebretsen KM, Hlavenka LM, Kim AK, Cole JB, Harris CR, Stellpflug SJ. A Cost Comparison of Fomepizole and Hemodialysis in the Treatment of Methanol and Ethylene Glycol Toxicity. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicology, Washington DC, September 2011.

Engebretsen KM. Using the ToxIC Registry to Investigate the Bedside Diagnosis and Treatment of Serotonin Syndrome. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicology, Washington DC, September 2011.

Cole JB, Engebretsen KM, Hlavenka L, Adams AB, Ellsworth H, Anderson CP, Stellpflug SJ, Holger JS. 10 U/kg/hr of High Dose Insulin is superior to 1 U/kg/hr in a Blinded, Randomized, Con-trolled Trial in Poison-Induced Cardio-genic Shock. Clin Toxicol 2011. Platform presentation, North American Congress of Clinical Toxicology, Washington DC, September 2011.

Erwin A, Salzman J, Wewerka S, Burnett A, Frascone RJ. Can Paramedics Accurately Diagnose Sepsis And Severe Sepsis In The Field. Acad Emerg Med. 2011:18(5):S23. Oral presentation, SAEM Annual Meeting, Boston, MA, June 2011.

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Mahoney B, Frascone RJ, et al. Use of an impedance threshold device with active compression decompression cardiopulmo-nary resuscitation improves survival with good neurologic function following cardiac arrest from non-traumatic etiologies. Oral presentation, European Resuscitation Coun-cil Congress, Valletta Malta, October, 2011.

Wayne M, Tupper D, Swor R, Frascone RJ, Mahoney B, et al. Improvement of long-term neurological function after sudden cardiac death and resuscitation: impact of CPR method and post-resuscitation care. Oral presentation, European Resuscitation Coun-cil Congress, Valletta Malta, October, 2011.

Frascone R, Wayne M, Mahoney B, et al. Active compression decompression car-diopulmonary resuscitation and augmen-tation of negative intrathoracic pressure is neuro-protective in patients with an out-of-hospital cardiac arrest. Oral pre-sentation, European Resuscitation Council Congress, Valletta Malta, October, 2011.

Frascone RJ, Salzman J, Wewerka S. Frequency of Organ and Tissue Donation in Out-of-Hospital Cardiac Arrest Patients. Acad Emerg Med 2011 May; 18:S1. Poster presentation, SAEM Annual Meeting, Boston, MA, June 2011.

Frascone RJ, Aufderheide TP et al. Treat-ment of Out-Of-Hospital Cardiac Arrest with an Impedance Threshold Device and Active Compression Decompression Cardiopulmonary Resuscitation Improves Survival with Good Neurologic Function. Prehospital Emergency Care, January/March 2011, 15(1). Oral presentation, National Association of Emergency Medical Physicians, Bonita Springs, FL, January 2011.

Harris CR, Brown A. Spice drug abuse: A Case Series and Review of Synthetic Canna-binoid Intoxication. Oral presentation, The 6th Mediterranean Emergency Medicine Congress, Kos, Greece. September 2011.

Hegarty C, Taft S, Ankel F, Gordon B, Raghunandan S: Residency Applicant Communication Preferences and use of Social Media in Residency Application. A Pilot Study. Acad Emerg Med 2011;18: Suppl 1 S203. Poster presentation, CORD

Academic Assembly, San Diego, CA. March, 2011 and SAEM Annual Meeting, Boston, MA, June 2011.

Kilgore KP. Dreams Lost - the Impaired Physician. Oral presentation, University of North Dakota School of Medicine November 4, 2011.

de la Torre M, Kim KS, Barringer KW. Integrating Quality Improvement with Resident Education. Poster presentation, AAMC 2011 Integrating Quality Meeting, Chicago, IL. June, 2011. and IHI 23rd Annual National Forum on Quality Improvement in Health Care, Orlando, FL. December 2011.

Nelson J, Woster C, Burnett A, Salzman J, Wewerka S, Frascone RJ. Direct Comparison Of Video Laryngo-scopes In Simulated Difficult Intubations. Acad Emerg Med. 2011:18(5):S34. Poster presentation, SAEM Annual Meeting, Boston, MA, June 2011.

Nelson JG, Go SJ, Anderson CJ. Using Electronic Medical Records (EMR) To Assess Learner Practice Change As a Result of an Educational Intervention: Results of a Feasibility Study. Acad Emerg Med. 2011:18(5):S1. Poster presentation, CORD Academic Assembly, San Diego, CA. March, 2011.

Nelson, J. Wewerka, S. Salzman, J. Burnett, A. Woster, C. Griffith, K. Frascone, RJ. Evaluation of four different video laryngoscopes in a simulated difficult airway scenario: the EMESIS trial. Prehosp Emerg Care. 2011;15(1):133. Poster presentation, National Association of Emergency Medical Physicians, Bonita Springs, FL, January 2011.

Stellpflug SJ, Cole JB, Isaacson BA, Lintner CP, Bilden EF. Atropine Eye Drop Ingestion Treated with High-Dose Physostigmine. Clin Toxicol 2011. Poster presentation, North American Congress of Clinical Toxicology, Washington DC, September 2011.

Setzer SC, Cole JB, Kwon SK, Stellpflug SJ, Ellsworth H. Ondansetron Toxicity in a Toddler Resulting in Tachycardia, Altered Mental Status, and QTc Prolonga-tion. Clin Toxicol 2011. Poster presentation,

North American Congress of Clinical Toxi-cology, Washington DC, September 2011.

Zinkel AR, Kim KS. Quality: A New Academic Career. Presented at CORD Academic Assembly, San Diego,CA. March, 2011 and SAEM Annual Meeting, Boston, MA. June, 2011.

Zinkel AR, Kim KS, Ankel F: Utilization of non-clinical shifts to educate residents and medical students on clinical quality initiatives in real time: Poster presentation, AAMC 2011 Integrating Quality Meeting, Chicago, IL, June, 2011.

Zwank MD, Gross EA, Hughes MJ, Castle DJ, Miller AC, Hughes WP, Anderson CP. Agreement Between Physician and CT Scan in High Energy Mechanism Stable Trauma Patients. Ann Emerg Med. 2011; 58(4):S271-S272. Poster presentation, ACEP Scientific Assembly Annual Meeting San Francisco CA. Oct 15-18, 2011.

Paech NK, Zwank MD. Laboratory Screen-ing of Depressed or Suicidal Patients Is Unnecessary. Ann Emerg Med. 2011; 58(4):S320-321. Poster presentation, ACEP Scientific Assembly Annual Meeting San Francisco CA. Oct 15-18, 2011.

Zwank MD, Carlson CG Anderson CP. Correlation Between Internal Jugular Vein Dimensions and Congestive Heart Failure. Acad Emerg Med 2011;18:S1. Oral presentation, SAEM Annual Meeting, Boston, MA, June 2011.

Zwank MD, Leow M, Anderson CP. Emergency Department Patient Knowl-edge And Physician Communication Regarding Computed Tomography (CT). Poster presentation, SAEM Annual Meet-ing, Boston, MA, June 2011.

Zwank MD, Burnett AM, Anderson CP. Laboratory Confirmed Gonorrhea And Or Chlamydia Rates In Clinically Diag-nosed PID And Cervicitis. Acad Emerg Med. 2011:18(5):S321. Poster presentation, SAEM Annual Meeting, Boston, MA, June 2011.

Zwank MD. Bedside Ultrasound for the Hypotensive Patient. IEME presentation, SAEM Annual Meeting, Boston, MA, June 2011.

Bold: facultyBold italics: residents/fellows

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EMERgEncy MEDicinE gRADs

Name Medical School Current LocationLuke Albrecht, MD ‘08 University of Minnesota New Ulm Medical Center - New Ulm, MNNathan Anderson, MD ‘06 University of Minnesota United Hospital - St. Paul, MNOwen Anderson, MD ‘09 Medical College of Wisconsin EMS/Wilderness Medicine Fellowship - University of UtahCheri Audrain-Schroeder, MD ‘01 University of Nevada Fairview Southdale Hospital - Edina, MNKendal Baker, MD ‘03 Indiana University Hancock Regional Hospital - Greenfield, INStephen Wade Barnhart, MD ‘03 Indiana University Good Samaritan Hospital - Puyallup, WAKelly Barringer, MD ‘08 Michigan State University Regions Hospital - St. Paul, MNBradley Barth, MD ‘00 University of Minnesota St. John’s Hospital - Maplewood, MNMarny Benjamin, MD ‘02 Loyola University Methodist Hospital - St. Louis Park, MNMark Bernas, MD ‘00 University of Minnesota DeceasedJohn Bonta, MD ‘02 University of Nebraska Bryan LGH Medical Center - Lincoln, NEAutumn Erwin Brogan, MD ‘11 University of Minnesota International Medicine Fellowship - Loma Linda University, CASandy Fritzlar Buckman, MD ‘07 Mayo Medical School United Hospital - St. Paul, MNAaron Burnett, MD ‘10 SUNY at Syracuse Regions Hospital - St. Paul, MNCatherine Carlson, MD ‘11 University of Colorado Critical Care Fellowship - University of Pittsburgh, PAAdina Miller Connelly, MD ‘09 University of Minnesota North Memorial Medical Center - Robbinsdale, MNMark Connelly, MD ‘08 University of Minnesota North Memorial Medical Center - Robbinsdale, MNFrank Coughlin, MD ‘01 University of South Dakota Bryan LGH Medical Center - Lincoln, NESusan Zola Cullinan, MD ‘01 University of North Dakota Luther Midelfort Hospital - Eau Claire, WINathaniel Curl, MD ‘10 University of Iowa Trinity Medical Center - Bettendorf, IAKatharine Davidson, MD ‘11 University of Cincinnati Elmendorf Air Force Base - Anchorage, AKLaresa DeBoer, MD ‘02 University of Minnesota Ridgeview Hospital - Waconia, MNTanya Kleven Decker, MD ‘04 University of North Dakota St. Luke’s Hospital - Cedar Rapids, IAChanah DeLisle, MD ‘99 University of Minnesota St. Francis Hospital - Shakopee, MNChristopher Dillon, MD ‘09 University of Wisconsin Mercy Hospital - Coon Rapids, MNJoseph Dolan, MD ‘09 University of Iowa Methodist Hospital - St. Louis Park, MNScott Donner, MD ‘06 University of Kansas United Hospital - St. Paul, MNJoey Peterson Duren, MD ‘08 University of North Dakota North Memorial Medical Center - Robbinsdale, MNMary Fehringer Drake, MD ‘00 University of Nebraska Bozeman Deaconess Hospital - Bozeman, MTRoseann Ekstrom, MD ‘07 University of Minnesota Fairview Northland Medical Center - Princeton, MNHeather Ellsworth, MD ‘10 Medical College of Wisconsin Toxicology Fellowship - Regions Hospital - St. Paul, MNAaron Feist, MD ‘10 University of North Dakota Community Medical Center - Missoula, MTJared Friedman, MD ‘05 University of South Dakota Avera McKennan Hospital - Sioux Falls, SDJon Fuerstenberg, MD ‘04 Mayo Medical School Abbott Northwestern Hospital - Minneapolis, MNLeah Gapinski, MD ‘10 University of Iowa United Hospital - St. Paul, MNJeffrey Geddes, MD ‘06 University of North Dakota United Hospital - St. Paul, MNAlexander Gerbig, MD ‘11 University of Minnesota St. John’s Hospital - Maplewood, MNShani Go, MD ‘10 Chicago Medical School St. John’s Hospital - Maplewood, MNElizabeth Godin, MD ‘06 Medical College of Wisconsin University of Minnesota Medical Center - Minneapolis, MNBradley Gordon, MD ‘02 Creighton University Regions Hospital - St. Paul, MNCraig Grorud, MD ‘99 University of North Dakota Park Nicollet - Minneapolis, MNTara O’Connell Gruba, MD ‘09 University of Minnesota Hoag Hospital - Irvine, CATheresa Gunnarson, MD ‘00 University of Minnesota St. Mary’s Hospital - Duluth, MNCullen Hegarty, MD ‘01 University of Minnesota Regions Hospital - St. Paul, MNKeith Henry, MD ‘05 University of Arizona Regions Hospital - St. Paul, MNBradley Hernandez, MD ‘01 University of Iowa Regions Hospital - St. Paul, MNRandall Hofbauer, MD ‘02 University of Minnesota DeceasedJonathan Hokanson, MD ‘05 University of Minnesota Abbott Northwestern Hospital - Minneapolis, MNPatrick Holland, MD ‘02 University of Hawaii Good Samaritan Hospital - Puyallup, WALynn Howard, MD ‘03 University of Minnesota St. Mary’s Hospital - Duluth, MN Kurt Isenberger, MD ‘04 Medical College of Wisconsin Regions Hospital - St. Paul, MNDanielle Jackson, MD ‘09 University of Minnesota Cedar Park Regional Medical Center - Austin, TXPaul Jewett, MD ‘00 St. Louis University University of Minnesota Medical Center - Minneapolis, MNNicholas Johnson, MD ‘05 Creighton University Abbott Northwestern Hospital - Minneapolis, MN

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Phelps Johnson, MD, PhD ‘02 Medical College of Wisconsin St. Mary’s Hospital - Duluth, MNTodd Joing, MD ‘05 University of Minnesota Fairview-Southdale Hospital - Edina, MNCynthia Kelmenson, MD ‘03 University of Pennsylvania Medical Center of Aurora - Denver, COKara Kim, MD ‘11 University of Minnesota Quality & Patient Safety Fellowship - Regions Hospital - St. Paul, MNMartin Klinkhammer, MD ‘07 Mayo Medical School Emergency Physicians of Tidewater - Norfolk, VA Amy Kolar, MD ‘99 Creighton University North Memorial Medical Center - Robbinsdale, MNHeidi Lako-Adamson, MD ‘07 University of North Dakota Sanford Hospital - Fargo, NDRobert LeFevere, MD ‘04 Creighton University Regions Hospital - St. Paul, MNKaren Lushine, MD ‘01 University of Minnesota St. Mary’s Hospital - Duluth, MNJoseph Madigan, MD ‘07 University of Minnesota United Hospital - St. Paul, MNDarren Manthey, MD ‘05 University of Minnesota Sanford USD Medical Center - Sioux Falls, SDEmily Mason, MD ‘07 University of Wisconsin Sacred Heart Hospital - Eau Claire, WIA. Duncan McBean, MD ‘09 University of Minnesota St. Joseph Medical Center - Bellingham, WAHal Minnigan, MD, PhD ‘00 University of Minnesota Wishard Hospital - Indianapolis, INMatthew Morgan, MD ‘05 Finch University Regions Hospital - St. Paul, MNJessie Gillund Nelson, MD ‘04 University of Minnesota Regions Hospital - St. Paul, MNChristopher Obetz, MD ‘03 University of Minnesota Abbott Northwestern Hospital - Minneapolis, MNN. Kolja Paech, MD ‘11 UC San Francisco California Emergency Physicians - Sacramento, CAJames Parker, MD ‘99 Mayo Medical School St. Francis Hospital - Shakopee, MNLane Patten, MD ‘07 University of Minnesota North Memorial Medical Center - Robbinsdale, MNBen Peake, MD ‘08 Mayo Medical School University of Minnesota Medical Center - Minneapolis, MNKelly Rhone, MD ‘04 University of South Dakota Avera McKennan Hospital - Sioux Falls, SDMartin Richards, Jr, MD ‘06 University of Minnesota Regions Hospital - St. Paul, MNEric Roth, MD ‘11 Dartmouth University St. John’s Hospital - Maplewood, MNJason Roth, MD ‘99 University of Colorado St. Anthony Hospital - Denver, COChristopher Russi, DO ‘03 Des Moines University Mayo Clinic St. Mary’s Hospital - Rochester, MNPaul Satterlee, MD ‘00 University of South Dakota Abbott Northwestern Hospital - Minneapolis, MNAnn Schapiro, MD ‘05 SUNY at Buffalo Catholic Health Systems - Buffalo, NYJohn Seidner, MD ‘01 University of Vermont Elliot Hospital - Manchester, NHJonathan Shultz, MD ‘08 University of Kansas St. Luke’s Hospital - Duluth, MDKevin Sipprell, MD ‘99 University of Minnesota Ridgeview Hospital - Waconia, MNJillian Smith, MD ‘11 Tufts University St. Francis Hospital - Hartford, CTKevin Smith, MD ‘07 University of Iowa Mercy Medical Center - Des Moines, IANatasha Srb, MD ‘08 University of North Dakota University of Minnesota Medical Center - Minneapolis, MNSamuel Stellpflug, MD ‘08 University of Wisconsin Regions Hospital - St. Paul, MNNicole Stethem, MD ‘05 University of South Dakota Avera McKennan Hospital - Sioux Falls, SDNicole Stoik, MD ‘10 University of Iowa United Hospital - St. Paul, MNTimothy Sullivan, MD ‘11 Yale University Fairview Ridges Hospital - Burnsville, MNStephanie Taft, MD ‘04 East Carolina University Regions Hospital - St. Paul, MNPeter Tanghe, MD ‘03 University of Minnesota St. John’s Hospital - Maplewood, MNCharis Thatcher, MD ‘09 Medical College of Wisconsin Regions Hospital - St. Paul, MNScott Thielen, MD ‘09 University of Minnesota Fairview Ridges Hospital - Burnsville, MNTrenten Thorn, MD ‘06 University of Utah Lakeview Hospital - Bountiful, UTJohn Travnicek, MD ‘06 University of South Dakota Avera McKennan Hospital - Sioux Falls, SDPaul Travnicek, MD ‘08 University of South Dakota Avera McKennan Hospital - Sioux Falls, SD Melissa Tschohl, MD ‘06 University of Minnesota University of Minnesota Medical Center - Minneapolis, MNJeffrey Vespa, MD ‘00 Loyola University North Memorial Medical Center - Robbinsdale, MN Gregory Vigesaa, DO ‘10 University of Virginia COM Sanford Hospital - Fargo, NDJoseph Wahlberg, MD ‘06 University of Minnesota United Hospital - St. Paul, MNBrent Walters, MD ‘10 University of Minnesota Methodist Hospital - St. Louis Park, MNClark Williams, MD ‘03 University of Wisconsin Mercy Hospital - Dubuque, IABeth Wicklund, MD ‘07 University of Minnesota Methodist Hospital - St. Louis Park, MNJames Wood, MD ‘01 Mayo Medical School Kaiser Permanente Northwest - Portland, ORJeffrey Young, MD ‘99 University of Minnesota Mercy Hospital - Coon Rapids, MNRobert Zeleznikar, MD, PhD ‘99 University of Minnesota University of Minnesota Medical Center - Minneapolis, MN

Regions Hospital is certified as a Level I Trauma Center for adults and for children serving Minnesota and western Wisconsin for more than 130 years.

A private, nonprofit, teaching hospital, Regions (www.regionshospital.com) provides outstanding care in women’s health, heart, cancer, surgery, orthopaedics, neuroscience, burn, emergency care and more. Regions is part of the HealthPartners (www.healthpartners.com) family of health care companies that serves 1.25 million medical and dental health plan members nationwide.

Emergency Medicine Residency640 Jackson StreetSt. Paul, MN 55101(651) 254-3666www.regionsem.org