Regions Emergency Regions Emergency Medicine ResidencyMedicine Residency

Felix Ankel, MDFelix Ankel, MD

HistoryHistory Accreditation 1995, 1999, Accreditation 1995, 1999,

2003, 20092003, 2009 99 graduates 1999-present99 graduates 1999-present 128 residents 1996-present128 residents 1996-present

Mission:PAPEEMCEMission:PAPEEMCEProvide and promote excellence in Provide and promote excellence in

emergency medicine care and emergency medicine care and educationeducation

Patient centeredPatient centered Resident focusedResident focused Team orientedTeam oriented TransparencyTransparency ProfessionalismProfessionalism KnowledgeKnowledge SkillsSkills AttitudesAttitudes Core competenciesCore competencies Contribution to specialtyContribution to specialty

99 graduates 1999-99 graduates 1999-presentpresent

67 Minnesota: 15 Regions, 11 EPPA, 7 Fairview-U, 6 67 Minnesota: 15 Regions, 11 EPPA, 7 Fairview-U, 6 North, 5 Abbott, 5 HealthEast, 5 United, 4 Duluth, North, 5 Abbott, 5 HealthEast, 5 United, 4 Duluth, 2 Waconia, Shakopee, Brainerd, Rochester, New 2 Waconia, Shakopee, Brainerd, Rochester, New Ulm, PrincetonUlm, Princeton

31 out of state: SD 5, NE 3, IA 4, ND 3, CO 2, IN 2, 31 out of state: SD 5, NE 3, IA 4, ND 3, CO 2, IN 2, WI 2, MT 2, WA 2, CA, NH, NY, OR, UT, VA WI 2, MT 2, WA 2, CA, NH, NY, OR, UT, VA

17 Academic: 15 Regions, Wishard, Mayo17 Academic: 15 Regions, Wishard, Mayo 14 Hybrid: 7 Fairview-U, 6 North, Mercy-Iowa City14 Hybrid: 7 Fairview-U, 6 North, Mercy-Iowa City 67 Community67 Community 9 Fellows (3 toxicology, faculty development, critical 9 Fellows (3 toxicology, faculty development, critical

care, simulation, informatics, ultrasound, EMS)care, simulation, informatics, ultrasound, EMS)

128 residents (1996 - 128 residents (1996 - present)present)

38 medical schools38 medical schools 45 U of M45 U of M 8 UND8 UND 7 MCW, Iowa, USD, Mayo7 MCW, Iowa, USD, Mayo 5 Creighton5 Creighton 4 UW4 UW 2 Nebraska, Loyola, Indiana, Kansas, Chicago Med 2 Nebraska, Loyola, Indiana, Kansas, Chicago Med

School, Colorado, Loma Linda, SLUSchool, Colorado, Loma Linda, SLU SUNY-Buffalo, Des Moines, Nevada, Vermont, SUNY-Buffalo, Des Moines, Nevada, Vermont,

Penn, Hawaii, East Carolina, Arizona, Utah, Penn, Hawaii, East Carolina, Arizona, Utah, Michigan State, SUNY-Syracuse, VA-COM, UCSF, Michigan State, SUNY-Syracuse, VA-COM, UCSF, Dartmouth, Yale, Tufts, Cincinnati, Morehouse, Dartmouth, Yale, Tufts, Cincinnati, Morehouse, Florida, Nova-COM, Temple, LSU Florida, Nova-COM, Temple, LSU

30 Faculty (13 Different EM 30 Faculty (13 Different EM Residencies)Residencies)

Regions x 15Regions x 15 Henry Ford x 2Henry Ford x 2 Harvard Affiliated Harvard Affiliated

x 2x 2 Illinois x 2Illinois x 2 HCMCHCMC Brooke ArmyBrooke Army

St Vincent’sSt Vincent’s ChristChrist IndianaIndiana Boston Medical Boston Medical

CenterCenter Grand RapidsGrand Rapids MichiganMichigan ResurrectionResurrection

Residency Strategic Plan Residency Strategic Plan 2005-20102005-2010

4/28/054/28/05

SWOT analysisSWOT analysis ConferencesConferences SimulationSimulation MentorshipMentorship Administrative curriculumAdministrative curriculum Scholarly activityScholarly activity Individualization of educational experienceIndividualization of educational experience Integration with U of MIntegration with U of M Integration with twin city hospitalsIntegration with twin city hospitals National presenceNational presence

2009-20102009-2010 ED-I rotation (EM, Anes, EMS)ED-I rotation (EM, Anes, EMS) 3 new ultrasound machines3 new ultrasound machines EM-3 Peds anesthesiaEM-3 Peds anesthesia New EDNew ED Cards/Hospitalist rotationCards/Hospitalist rotation Fellowship development (EM-Peds, Fellowship development (EM-Peds,

EMS, International)EMS, International)

Residency Strategic Plan Residency Strategic Plan 2010-20152010-2015

4/21/0104/21/010 SWOT analysisSWOT analysis Review of strategic plans of department, Review of strategic plans of department,

hospital, IME, and healthplanhospital, IME, and healthplan Outcomes (Outcomes (qualityquality)) Knowledge translation (Knowledge translation (web 2.0web 2.0 and work and work

with librarians)with librarians) Procedural competencyProcedural competency Non-clinical training (Non-clinical training (longitudinal adminlongitudinal admin)) Benchmarks and scorecardsBenchmarks and scorecards Resources (Resources (wellness and resiliencewellness and resilience))

Program review 2010Program review 2010 Residency coordinationResidency coordination Resident supportResident support Social work staffSocial work staff Faculty supervisionFaculty supervision Progressive Progressive

responsibilityresponsibility Residency leadershipResidency leadership EMSEMS

Cardiology rotationCardiology rotation Ortho rotationOrtho rotation Admin rotation Admin rotation Anesthesia rotationAnesthesia rotation Education vs serviceEducation vs service ResearchResearch Plastics rotationPlastics rotation

2010-20112010-2011 10 interns10 interns New procedural skills labNew procedural skills lab EMS fellow, EM-peds sponsorshipEMS fellow, EM-peds sponsorship Quality, international fellowship approvalQuality, international fellowship approval ROD, MSOD – longitudinal admin ROD, MSOD – longitudinal admin

experienceexperience Night float blockNight float block Hudson selective pilotHudson selective pilot Quality teamsQuality teams Recruitment boomRecruitment boom

ThoughtsThoughts Caring for patients vs. treating patientsCaring for patients vs. treating patients Complex vs. complicated systemComplex vs. complicated system Wisdom of Crowds, James SurowieckiWisdom of Crowds, James Surowiecki The Culture Code, Clotaire RapailleThe Culture Code, Clotaire Rapaille The Foucault Reader, Paul Rabinow (Ed.) The Foucault Reader, Paul Rabinow (Ed.) Drive, Dan PinkDrive, Dan Pink

Questions to considerQuestions to consider Web 2.0Web 2.0

– Consolidate and optimize current on line Consolidate and optimize current on line interactive resourcesinteractive resources

Longitudinal admin experienceLongitudinal admin experience– Determine strengths and areas to tweakDetermine strengths and areas to tweak

QI program designQI program design– Review, discuss progress and recommend Review, discuss progress and recommend

improvementimprovement Wellness and resilienceWellness and resilience

– Develop plan to maintain and improve Develop plan to maintain and improve current wellness and resiliencecurrent wellness and resilience

Questions to considerQuestions to consider