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2018 NEWSLETTER
2018 NEWSLETTER
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A MESSAGE FROM THE CHAIRMAN
We continue to provide “state-of-the-art, compassionate,
emergency care in an environment of academic excellence.”
And yes, that is our mission statement!
We continue to provide “state-of-the-art, compassionate, emergency care in an environment of academic excellence.” And yes, that is our mission statement!
After a change in our “provider-in-triage” process, we have had dramatic improvement in our “door-to-doc” time as well as our “left without being seen” rate and both have contributed to “best ever” patient satisfaction scores! Though we have been a STEMI center for many years, we are now a State Certi�ed STEMI Center, the �rst year that designation has been available in Missouri! Our Level I Trauma Center is busier than ever, too.
The residency program is outstanding. There are 11 residents per year in a 1, 2, 3 format. Amy Stubbs, M.D., the Program Director, Dr. Inboriboon, the Associate PD, and Drs. Hillman and O’Rourke, the Assistant PDs continue to do a great job training excellent residents. Amazingly, Dr. Stubbs has been PD for 4 years, now. It seems like just yesterday… Christina Mayne completed her �rst year as Residency Program Coordinator. Jayna Ross has transitioned into the Student Clerkship Coordinator role. They keep the Department moving along like a �nely oiled machine.
Dr. Hillman continues to run our mandatory Student EM Clerkship and now has help from Melanie Camejo, M.D. who is the Associate Clerkship Director. The Emergency Medicine Interest Group continues as the largest in the School. We continue to sponsor a one-day Emergency Medicine Simulation Experience for about 30 medical students each year as well as participate in the Great Plains Regional SAEM SimWars competition.
The faculty remains academically productive. We continue to be a site for the Emergency ID Net research group and, with the help of 3 full-time research coordinators, have several studies underway.
The faculty is also busy. Dr. Sullivan has completed her 4th year as Associate Dean for Graduate Medical Education and DIO (Designated Institutional Of�cial). Dr. Ellison the Associate Dean for Learning Initiatives. Dr. Hackman is the Chief Medical Information Of�cer for TMC and also the Chief Quality Of�cer. Dr. O’Rourke has had a great year improving ED Throughput as the ED Operations Director. Dr. Steele continues as the Chief Medical Of�cer for TMC and the Executive Medical Director of UHP (the faculty
practice plan) and has completed his 3rd year as Chief Operating Of�cer for TMC. Drs. Algren and Christian still work as toxicology consultants at Children’s Mercy Hospital and at the Kansas Poison Control Center and Dr. Algren continues as the Chair of the Selection Committee for the School of Medicine. Dr. Inboriboon is the Director for International Emergency Medicine Studies. Dr. Carney was appointed the EMS Medical Director for the City of Kansas City and is Chief of the EMS Section. Dr. Andrew Balk is the Director of Emergency Ultrasound.
Charlie Inboriboon, M.D. MPH was awarded a Fulbright Scholarship! He will be traveling to Thailand the �rst half of 2019 to teach and train EM physicians there, mainly in simulation related areas. Strong Work! (And more to follow elsewhere in this newsletter.)
Under the leadership of Paul Ganss, the Program Director and Dr. Carney, the Medical Director, the EMS Education Program thrives. The Paramedic Program continues its accreditation by the Commission on Accreditation of Allied Health Programs.
We continue to appreciate the support of our alumni. We still have several who work clinical shifts as “moonlighters” and several others who help administer the ever popular “mock” oral board examinations. We recently added Dr. Nick Smith and Dr. Jimmy DeMeo, both
graduates of the Class of 2018 to the roles of part-time staff docs. We all thank you for your efforts. We always are looking for moonlighters, so if you are interested, give me a call and let’s see what we can work out. I can almost promise that you will enjoy it and I know that the residents will be appreciative.
MATT GRATTON, MDProfessor and Chair, Emergency MedicineTruman Medical Center UMKC School of Medicine
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BRIEFLY NOTEDFACULTYAdam Algren MDAndrew Balk MDAngela Bogle MDMelanie Camejo MDErica Carney MDMichael Christian MDStefanie R Ellison MDSteven Go MDMatthew C Gratton MD, ChairJe�rey L Hackman MDEmily Hillman MDThomas Hindsley MDP Charles Inboriboon MDHeather Isom MDKevin O’Rourke MDMark T Steele MDAmy Stubbs MDSrikala Subramanian MDChristine Sullivan MD
ANCILLARY FACULTYMonica Gaddis PhDJeremy Hampton PharmD
PART-TIME FACULTYElliott Fried MDRyan Jacobsen MDHugh Ryan MDJake Ruthstrom MDJimmy DeMeo DONicholas Smith DOPaul Williams DO
MID-LEVEL PROVIDERSAdam Dobbins NPJennifer Humphreys NPLaura Gilbert PAAmy Siebes NPGeorge Varghese PA
CLASS OF 2021James Charles Arpin, MD - Saint Louis University
School of MedicinePatrick Michael Brown, DO - Western University of
Health Sciences College of Osteopathic Medicine of the Pacific, Pomona Campus
Matthew Wayne Cook, MD - University of Missouri Kansas City School of Medicine
Phi Kim Dinh, DO - University of North Texas Health Science Center Texas College of Osteopathic Medicine
Jarret William Gardner, DO - Kansas City University of Medicine & Biosciences College of Osteopathic Medicine
Abigail Laurel Halleron, MD - University of Louisville School of Medicine
Karl Frederick Hesson, MD - University of Texas Medical Branch School of Medicine
Brendan J. Kurtz, MD - University of Missouri Kansas City School of Medicine
Daniel Steven Thorsteinson, DO - Des Moines University College of Osteopathic Medicine
Matt R. Twillman, DO - Kansas City University of Medicine & Biosciences College of Osteopathic Medicine
Sean Michael Typher, MD - Creighton University School of Medicine
PRACTICE LOCATIONS 2018Michael H. Bambenek, MD, Emergency Care
Consultants, St. Paul, MinnesotaJe�rey M, Beckett, MD, VA Central Iowa, Des
Moines, IowaJimmy DeMeo, DO, Mosaic Life Care, St. Joseph,
MissouriNicholas Evans, MD, Mosaic Life Care, St. Joseph,
MissouriJason Hurt, MD, Saint Francis Medical Center, Cape
Girardeau, MissouriKathryn Ottman, MD, Liberty Hospital, Liberty,
Missouri
William Zachary Petry, MD, Saint Francis Medical Center, Cape Girardeau, Missouri
Paul A. Toigo Jr. DO, Mosaic Life Care, St. Joseph, Missouri
Nicholas J. Smith, DO, Mosaic Life Care, St. Joseph, Missouri
Bryon Keith Vogt, DO, Centerpoint, Independence, Missouri
Nicholas James Warren, MD, Liberty Hospital, Liberty, Missouri
2018 AWARDSROBERT M ELENBAAS PHARMD RESEARCH AWARD:
Paul Toigo, DO, April 2018. Truman Medical Center, Department of Emergency Medicine (chosen by EM Faculty)
RESIDENT OF THE YEAR: Bryon Vogt, DO Truman Medical Center, Department of Emergency Medicine (chosen by EM Faculty)
RESIDENT TEACHING AWARD: Jim DeMeo, DO (chosen by medical students rotating in department and rotating residents)
HIGHEST IN-TRAINING EXAM SCORES BY PGY CLASS: Nick Smith, DO, Wes Winn, MD, Ashley Borden, DO
FACULTY TEACHING AWARD 2017: Matthew Gratton, MD (chosen by EM residents)
UNIVERSITY OF MISSOURI-KANSAS CITY OUTSTANDING RESIDENT AWARD:Taylor Ne�, MD
2018 ORAL BOARD EXAMWe want to thank our 2018 examiners for sacrificing their free time to help with the Mock Oral Board practice:
Grady Thiems, MD (2015)Bill Featherston, MD (2006)Dennis Chinnock, MD (2006)Bryson Bowman, MD (2013)Tom Millard, MD (2007)Doug Coe, MD (2007)Jennifer Von Fintel, MD (2012)Chris Sullivan, MD (1988)Stefanie Ellison, MD (2000)Emily Hillman, MD (2011)
The date for the 2019 exam is Thursday, 3/7/2019. Sign up now and avoid the rush! ContactChristina Mayne ([email protected]).
NURSING POSITIONSAmy Peters MBA BSN RN is the chief nursing o¢cerat Truman Medical Centers.Gina Rosser BSN RN is our emergency departmentdirector.Our nursing education coordinators are HannahOlson RN and Christina Fenwick RN.Our current clinical team managers are Jennifer Wilson RN, Lisa Smith RN, Megan Carrol RN,Pam Hinrichs RN and Lindsay Wiese RN, andKyli Fink, RN.Marita Perez, RN SANE-A is our SANE coordinator.
WEEKLY CONFERENCES
All alumni are invited to attend our weekly conferences and socialize! Conferences are held every Thursday. For specific details or to be added to the conference schedule distribution list, please contact Christina Mayne ([email protected]).
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OPERATIONSED OPERATIONS
It has been a busy year serving as the Director of ED Operations. As a department, we cared for about 62,000 patients last year, of which 12,000 were admitted. We were on diversion for less than 18 hours the entire year and EMS rewarded us with 15,000 patients. In October, we changed the priorities of the Provider-in-Triage and our Left Without Being Seen dropped to less than 3%. For the year, we averaged 4.8% LWBS – a signi�cant accomplishment. Our Door-to-Doctor time also averaged 25 minutes for the year – another goal met. In the next year, the Operations Committee will continue to look for ways to decrease the length of stay for admitted and discharged patients.
The addition of Dr. Camejo and coverage provided by part-timers did a lot to help with department throughput, patient care and overall well-being of the attendings. We’ve been spoiled by the double coverage all day.
We have added some equipment to the department; including an OMFS dental abscess kit and DuCanto suction catheters, which have improved provider satisfaction and patient care. Suggested improvements to our electronic medical record have been made to limit the number of providers who die deaths by a thousand clicks.
It’s been a fun year and I look forward to working with everyone to accomplish more things in the next year.
Kevin O’Rourke, MDOperations Director and Assistant Program Director
RESIDENCY PROGRAM
Another exceptional year in the books for the UMKC Emergency Medicine Residency! Additional APP and faculty double coverage in the department, supported by Truman Medical Center, continues to improve the educational and clinical experience of our residents and our ability to care for the community we serve.
Some residency highlights from this past year include: • Our popular Annual Wellness Day, which included Dr. Rob Lam (2004) returning to discuss Post-residency wellness, followed by medical trivia and entertainment by the 5 and 2 Crew featuring Dr. Tony Toigo (2018) on guitar/vocals and Dr. Zack Petry (2018) on drums.
• A special holiday conference at Diastole including holiday themed didactics, a pot-luck lunch, and a musical gift from Drs. Kirk Roberts (1991), Sean Mark (2020) and Ashley Olson (2020).
• Hosting special guest and presenter at Senior Research day, the legendary Dr. Judith Tintinalli.
• EMS/Wilderness Day at Swope Park led by Drs. Tom Hindsley (2015), Tony Toigo (2018), Charlie Spencer (2019), and Liliya Kraynov (2019). Activities included a camp-out, a multi-casualty simulation, and evacuation demonstrations.
• Ladies’ night and Man day; both interestingly included ax-throwing.
Nothing like throwing sharp objects together to relieve stress and build camaraderie!
Accolades for 2017-2018 include: • Dr. Taylor Neff (2019) received the UMKC Outstanding Resident award
• Dr. Jeff Beckett (2018) received the SAEM Teaching Award
• Dr. Amanda Augustine (2019) was elected as Vice-president of the UMKC Housestaff Council
• Dr. Jim DeMeo (2018) was appointed advisor to the American Osteopathic Association’s Bureau of Emerging Leadership which represents all osteopathic medical students, residents and new physicians in practice. He was also appointed as a member of the Standards Review Coalition– American Osteopathic Association; serving as the sole resident responsible for reviewing the current accreditation standards of osteopathic medical schools.
Checkout our Facebook, Instagram, and Twitter (@umkcEM) accounts to keep up on all the latest happenings
The quality and commitment of our faculty and residents continues to be a tremendous source of inspiration and pride for me. Never has that been more evident than during our recent 10-year RRC Site Visit. Our whole team pitched in for this event and it was a pleasure to be able to highlight all the great things
we have accomplished. Special thanks to Ms. Mayne and Ms. Ross for their tireless preparation and dedication.
As always, the residents love getting to know our alumni who have participated in didactics, panel discussions, Mock Oral Boards, and clinical shifts. Our faculty really enjoys catching up with you too. Thanks so much to all of you for helping us carry on our tradition!
Amy Stubbs, MD, Program DirectorP. Charles Inboriboon, MD, Associate Program DirectorEmily Hillman, MD, Clerkship Director and Assistant Program Director Kevin O’Rourke, MD, Ultrasound Director and Assistant Program Director
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NEWSWORTHY UPDATESDr. Go Appointed To Special Purpose Exam Oversight CommitteeThe Federation of State Medical Boards and National Board of Medical Examiners have appointed Steven Go, M.D., professor of emergency medicine, to serve on a newly formed Special Purpose Examination (SPEX) oversight committee. The committee will manage a special purpose exam for physicians who currently hold, or who have previously held, a valid, unrestricted license to practice medicine in a United States or Canadian jurisdiction.
It is responsible for a wide range of exam topics, such as selecting appropriate testing methods; evaluating and approving blueprints, objectives, and test material formats; adopting test polices, and oversight of a research agenda and other uses of the exam. The SPEX is provided for physicians seeking licensure reinstatement or reactivation, or those
involved in disciplinary proceedings that determine a need for evaluation. The oversight committee is a new group that assumes the responsibilities of the governing and program committees of the Post-Licensure Assessment System.
Dr. Go’s appointment of�cially began in January 2018. His new role is a continuation of his interest in medical student and physician competency assessment and credentialing issues. He is also serving on the United States Medical Licensing Examination management committee that is responsible for all USMLE step examinations. In addition, Go has also served as a board member for the National Board of Medical Examiners.
Matthew Gratton, MD, FACEP, Receives MOCEP’s Lifetime Achievement AwardMatthew Gratton, MD, FACEP, was selected to receive the 2018 Missouri College of Emergency Physicians’ (MOCEP) Lifetime Achievement Award. He was nominated by Christine Sullivan, MD, FACEP, and Nicholas Smith, DO, both of University of Missouri – Kansas City School of Medicine.
Dr. Gratton is Professor and Chair of the Department of Emergency Medicine at Truman Medical Center/University of Missouri – Kansas City School of Medicine. He is a graduate of Saint Louis University School of Medicine, and completed his residency program at Truman Medical Center.
“Leader, role model, mentor, devoted and commitment” are just a few words used to
describe Dr. Gratton by his nominators. His devotion to emergency medicine for more than 35 years can be seen in the hundreds of students and residents he has mentored in his career. However, his efforts don’t end there. He has been instrumental in the development of clinical, teaching and scholarship skills of faculty members that have led to their promotion within the School of Medicine. He was also instrumental in obtaining research support and development for residents and faculty; and through his vision for the department, has implemented mid-level providers and provides ongoing mentoring to ensure outstanding patient care.
Dr. Gratton’s efforts extend outside of the School of Medicine, and include serving as an advocate for emergency medical services (EMS) system within Kansas City, including as Medical Director for the city based ambulance system for a number of years, and spearheading the development of a paramedic training program. He served as a US Navy Reserve
of�cer for 31 years during which time he has provided emergency care to our military in the United States, Japan and Iraq. Among his military honors includes the Legion of Merit and recipient of the Bronze Star.
It is the honor of MOCEP to provide our inaugural Lifetime Achievement Award to an outstanding emergency department physician. Criteria to be nominated for this award require the nominee to be a MOCEP member who has at least 25 years of service to emergency medicine, has devoted their professional life to the improvement of this specialty, and has played an active role in MOCEP.
Dr. Erica Carney Appointed as the EMS Medical Director for Kansas City, Missouri
Taylor Ne�, MD won the 2018 Housesta� Council Outstanding Resident AwardThis is a peer nominated award given to residents and fellows who demonstrate excellence in clinical care as well as collegiality and collaboration between
Dr. Steven Go
Dr. Matt Gratton
Dr. Erica Carney
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departments. Dr. Neff’s nomination commented on his positive attitude and his commitment to putting patients �rst. The nomination went on to say what a pleasure it was to work with him in the Truman ICU and CMH ER. The nominator felt that Dr. Neff was “most deserving of this recognition.”
School of Medicine Faculty (Charlie Inboriboon, MD) Receives Fulbright U.S. Scholar AwardPholaphat Charles Inboriboon, MD, receives Fulbright U.S. Scholar Award to Thailand for Enhancing Emergency Medicine Education Through Active Learning and Enhanced Feedback
The U.S. Department of State and the J. William Fulbright Foreign Scholarship Board are pleased to announce that Pholaphat Charles Inboriboon, MD of the University of Missouri Kansas City School of Medicine and Truman Medical Centers has received a Fulbright U.S. Scholar Program award to Thailand in
Emergency Medicine. Dr. Inboriboon will teach at Chulalongkorn University as part of a project to enhance emergency medicine education through incorporating active learning into the didactic curriculum, developing online learning resources, and enhancing
individual learner feedback. Dr. Inboriboon is one of over 800 U.S. citizens who will teach, conduct research, and/or provide expertise abroad for the 2018-2019 academic year through the Fulbright U.S. Scholar Program. Recipients of Fulbright awards are selected on the basis of academic and professional achievement as well as record of service and demonstrated leadership in their respective �elds.
The Fulbright Program is the �agship international educational exchange program sponsored by the U.S. government and is designed to build lasting connections between the people of the United States and
the people of other countries. The Fulbright Program is funded through an annual appropriation made by the U.S. Congress to the U.S. Department of State. Participating governments and host institutions, corporations, and foundations around the world also provide direct and indirect support to the Program, which operates in over 160 countries worldwide.
Fulbrighters address critical global issues in all disciplines, while building relationships, knowledge, and leadership in support of the long-term interests of the United States. Fulbright alumni have achieved distinction in many �elds, including 59 who have been awarded the Nobel Prize, 82 who have received Pulitzer Prizes, and 37 who have served as a head of state or government.
Judith Tintinalli, MD MS Guest of Honor at Resident Research DayOn April 5th our senior residents all presented their research projects. Dr. Tintinalli was guest of honor and speaker as well as one of the judges of the event.
Dr. Tintinalli is a professor and founding chair of the Department of Emergency Medicine at the University of North Carolina at Chapel Hill. She also is an adjunct professor in the Department of Health Policy and Management in the School of Public Health, and in Medical
Journalism in the School of Journalism and Mass Communications at the University of North Carolina. She received her medical degree from the Wayne State University School of Medicine. She completed residency training and received her Master’s in Clinical Research Design and Statistical Analysis from the University of Michigan.
Dr. Tintinalli was president of the American Board of Emergency Medicine (1989-1990), was the founding president of the Council of Emergency Medicine Residency Directors and was chair of the Liaison Residency Committee (forerunner of the Accreditation Council for Graduate Medical Education-sponsored Residency Review Committee). She is editor in chief of the world’s largest selling emergency medicine textbook, “Tintinalli’s Emergency Medicine,” now developing the ninth McGraw Hill edition. The seventh edition received the Best Surgical Book of 2011 title from the British Medical Association.
Dr. Taylor Ne�
Dr. Inboriboon
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The residents had excellent presentations and 6 had abstracts accepted to the UMKC annual Vijay Babu Rayudu Quality and Patient Safety Day. Tony Toigo, D.O. won the Elenbaas Award for best project. Dr. Tintinalli generously signed and “personalized” a copy of Tintinalli’s Emergency Medicine for each resident and presented them at a dinner after the presentations.
Gary Gaddis, MD PhD was awarded the “Order of the International Federation of Emergency Medicine” Dr. Gaddis was a long time Professor of Emergency Medicine at the UMKC School of Medicine who practiced at St. Luke’s. He was the inaugural Missouri/St. Luke’s Endowed Chair of Emergency Medicine and was intimately involved with research and clinical care. He worked with multiple EM residents on
scholarly products and taught statistics and study design to our residents. He presently is a Professor of Emergency Medicine at Washington University in St. Louis.
The International Federation of Emergency Medicine Awards the Order of the IFEM (FIFEM) to an “individual who is a member of an IFEM member organization who has demonstrated an extensive and continuous commitment to the specialty of Emergency Medicine in their own country and has made signi�cant contributions to supporting the development/advancement of the International Federation for Emergency Medicine.”
Another Truman Medical Center/ UMKC EM Graduate “Makes Good:” Robert Muelleman, M.D. Elected President of the American Board of Emergency MedicineOver the summer, Dr. Muelleman was elected President of ABEM. He is the 2nd TMC/UMKC SOM Emergency Medicine graduate to be elected to, arguably, the highest post in Emergency Medicine in the USA, joining Mark Steele who was president some years ago.
Currently, he is Professor and past-Chair of Emergency Medicine at the University of Nebraska Medical Center. He has been a director on the American Board of Emergency Medicine since 2011. He was a member of the ACGME Emergency Medicine Residency Review Committee from 2005-2011, and chaired the committee from 2009-2011.
Other facts: Medical school: University of Nebraska Medical Center 1980-4.EM residency: Truman Medical Center 1984-7.Research Fellowship: Truman Medical Center 1987-8.Assistant Professor EM: UNMC 1988-93Associate Professor EM, Research Director: Truman Medical Center 1993-98.Section Chief EM: UNMC 1998-2006.Founding Chair EM: UNMC 2006-16. 70 peer reviewed publications.
We wish Dr. Muelleman well in this new post and know that ABEM is being led by one of the best!
MEDWARS 2018
Thomas Hindsley, MDI am pleased to relate that we have had another successful year at the Medical Wilderness Adventure Race series. This past March we sent a team of 3 EM-bound UMKC students (Jordann Dhuse, Maggie Kirwin, and Allie Reinbold) to the Mid-Atlantic MedWAR in Newport News, Virginia. The “HAPE Apes” ran a 15-mile race of orienteering, mountain biking, and canoeing, completing wilderness medicine scenarios and knowledge questions along the way, and came in 5th place out of over 20 teams. This is a tremendous accomplishment, and demonstration of the strength of our School of Medicine & EM Residency. Be sure to congratulate these future EM docs on representing us so well in competition!
NEWSWORTHY UPDATES
Dr. Gary Gaddis Dr. Muelleman
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DEPARTMENT UPDATESCHIEF RESIDENTS
Taylor Ne�, MDI was born and raised in a rural area outside of Wichita, KS. After high school, I attended The University of Kansas majoring in microbiology. During my time in college I worked at a local hospital as an admissions representative in the emergency department where I found my love for emergency medicine. Additionally, while at KU in Lawrence I met a cool girl named Bre in Spanish class and convinced her to marry me. I continued my medical training at The University of Kansas School of Medicine at a satellite campus in Wichita, KS. During my 4th year of medical school I was able to spend a month rotating through Truman’s emergency department.
During that time, I was thrilled to experience �rsthand the passion for emergency medicine found here. As a student and subsequent interviewee I
was astounded at how welcomed I felt at Truman. After interviewing across the Midwest, I could not shake the feeling that Truman is where I belong. My time as a resident has only continued to solidify that Truman is an excellent place to train. I am thrilled that I will be serving as a Chief Resident this year. Speci�cally, I am excited about the opportunity to be involved in the residency program development, teaching junior residents, and assisting in medical student education. When not at the hospital, my wife and I enjoy being outdoors. One of our favorite pastimes is camping and boating at any lake we can get to. We are thoroughly excited to be living in Kansas City not only because of all the activities the city provides, but also because it is not dif�cult to escape to the countryside or to the lake.
Kevin Tran, MDWhile I was born in southern California, I claim Texas as my true heritage. I moved there from a young age and never realized how Texan I was until I left for residency. I spent my formative years in Houston where I attended Rice University as an undergraduate and UT-Houston subsequently for medical school. Admittedly, Emergency Medicine was not on my radar at all and I had actually applied for a residency in OB/GYN. However, I slowly recognized that EM was what I was meant to do and revoked my application for OB/GYN late in the game. After medical school, I ended up at the University of Cincinnati as a preliminary Internal
Medicine resident. During my �rst intern year, I was �nally able to apply for an Emergency Medicine residency and ultimately matched here at UMKC. With my sister in town, who has been here since her Pediatrics residency and now works as an attending at Children’s Mercy, Kansas City already felt like home. Fortunately, my wife was also able to join me in Kansas City as she is now in her second year as a Family Medicine resident at Research Medical Center. We’ve loved our time in Kansas City and have made a lot of wonderful friends. When not working, I enjoy watching movies, playing bar trivia, and exploring the city and restaurants.I was extremely humbled and honored to have been selected as Chief resident this year. I know I have large shoes to �ll and hope to continue the tradition of giving my all to improve an already outstanding residency program.
Amanda Augustine, MDI was born and raised in St. Louis, MO
and moved to Kansas City in 2010 to attend the UMKC School of Medicine BA/MD program. At the end of medical school, I couldn’t imagine leaving Kansas City and the Truman Emergency Medicine Program. I knew that I would receive the best EM training at Truman, with broad exposure to trauma and a variety of pathology. We also have a talented and energetic group of
attendings and residents that make you feel welcome as soon as you walk into the department. This year, I am ecstatic to be able to serve the program as a chief resident. I look forward to becoming more heavily involved in medical student education, resident recruitment, and program development. Outside of the work, I enjoy exploring everything that Kansas City has to offer. Even after living here for nearly a decade, I continue to discover new and exciting experiences within the city. I love attending sporting events of all types, First Fridays, and taking my two small dogs to the park.
Dr. Taylor Ne�
Dr. Amanda Augustine
Dr. Kevin Tran
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DEPARTMENT UPDATESNEW ADVANCED PRACTICE PROVIDER
Jennifer Humphreys, APRN, FNP-C I grew up in Northwest Missouri and attended college at Missouri Western State University in St. Joseph, MO. I completed my Associate of Science degree in Legal Studies and Bachelor of Science degree in Political Science before returning to college and completing my BSN in Nursing. I went on to obtain my MSN as a Family Nurse Practitioner and graduated in August 2016.
I worked at Mosaic Lifecare in St. Joseph as a Registered Nurse in the Emergency Department before coming to Truman Medical Center in 2013. While at Truman I have worked as an ED RN, ED CTM, KC SANE Manager, and I have been working PRN as an APRN. I am currently employed full time as an ED provider at the University of Kansas Health System, Great Bend Campus.
I live in a small town north of St. Joseph with my family. I have 4 children ages 20, 18, 14, and 11 that keep me very busy when I am not at work.
I have enjoyed my years here at Truman Medical Center, and I am excited to be returning as a full time APRN.
PROMOTIONS
Michael Weaver, MD has been promoted to Clinical Professor of Emergency Medicine at UMKC School of Medicine Dr. Weaver graduated from one of the �rst classes of the UMKC School of Medicine in 1977 and then completed an Internal Medicine Residency in 1980. He became the �rst Chair of the Department of Emergency Medicine at St. Luke’s Hospital and held that responsibility for many years. He also founded and was president of a private emergency medicine group that now staffs all of the St. Luke’s Health System Hospitals. He has been Board Certi�ed in Emergency Medicine since 1986.
A few highlights of his CV include: Dr. Weaver is the Vice President for Clinical Diversity for the St. Luke’s Health System since 2007. He is Director of the Sexual Assault Center since 1981 and of the St. Luke’s System SANE (sexual assault nurse examiner)
Program since 2002. He has become an expert in sexual assault through all this work and an expert on diversity, enhanced by programs at Harvard Medical School and through the American Hospital Association.
He has taught locally, regionally, nationally, and internationally and has consulted for the Department of Justice and Department of Defense and the American College of Emergency Physicians, amongst others. His clinical expertise is demonstrated by his appointments on the Missouri Board of Health (2007 – present) and to the Governor’s Advisory Council on EMS (1988 – 1996.) Additionally he has been named the “Physician of the Year” by Missouri Emergency Nurses Association, the Missouri EMS Association and has received the “Visionary Award” from the International Association of Forensic Nurses. He was recently co-editor of a three volume text on Sexual Assault.
Ryan Jacobsen, MD has been promoted to Clinical Associate Professor of Emergency Medicine at UMKC School of Medicine.Dr. Jacobsen graduated from the UMKC/TMC Emergency Medicine Residency in 2009 and he stayed to work here and was appointed an Assistant Professor of Emergency Medicine. Additionally, he worked in the ED at Children’s Mercy Hospital. While full time here from 2009 to 2013 he was an outstanding physician in every way. Clinically, he was excellent. His resident and medical student evaluations were outstanding
and he was voted the “Emergency Medicine Teacher of the Year” four times in a row by the EM residents. He conducted research and had national presentations. Additionally, he worked as an Associate EMS Medical Director for the KCMO EMS System.
In 2013 he left to pursue his dream job, that of the EMS Medical Director for Johnson County MedAct and the Johnson County EMS System. He agreed to stay on here and at CMH in a part-time capacity as a staff physician. He continues to teach residents, medical students and pediatric EM Fellows. During this time he has successfully applied for and passed the �rst National Certifying Examination for the Subspecialty of EMS and became Board Certi�ed in that in 2015. He has continued to do some research and he has become involved in State and National positions. He was recently voted the Kansas EMS Physician of the Year by the Kansas EMS Association.
Dr. Michael Weaver
Dr. Ryan Jacobsen
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EMERGENCY MEDICINE CLERKSHIP
This year we welcomed Dr. Melanie Camejo to our leadership team as the Associate Clerkship Director. Our department continues to provide students with a strong clinical and non-clinical learning experience- our clerkship is rated very positively by our rotating medical students. We continue to utilize iPads to promote independent, just-in-time mobile learning- the iPad implementation and related research project has been presented nationally at the annual Council of Residency Directors (CORD) in Emergency Medicine meetings in 2016 and 2018. Our clerkship non-clinical offerings continue to evolve and expand. We are now offering multiple simulation and case-based activities, both of which are highly rated by students. For 2018-2019 our goals include: increasing the frequency of direct observations of student clinical encounters and adding an evidence-based medicine and free-open access medicine (FOAM) portion to our curriculum.
Follow us on Instagram! umkc_emig
EMERGENCY MEDICINE INTEREST GROUP
The emergency medicine interest group (EMIG) remains one of the largest and most active interest groups at the UMKC School of Medicine with approximately 120 members. We continue to recruit 1-2 UMKC EMIG students per year to our residency program and we currently have 5 UMKC graduates in our residency program. Faculty and residents continue to contribute to regularly held EMIG workshops, SimWars training, and our annual EMIG procedural conference.
The EMIG SimWars competition team remains active. In a SimWars competition, teams comprised of students work together to manage simulated emergencies. The students have 8 minutes to assess, diagnose, manage and disposition their patient.
The team competes each Fall at the regional SAEM Great Plains Meeting. In 2016 the team won 1st place at the regional conference.
This year we continue to work to strengthen our EMIG’s hold as the largest, most active interest group
at the school of medicine! For more information or if you are interested in being a guest alumni lecturer or contributing to our annual conference contact us at: [email protected].
Emily Hillman, MDClerkship DirectorMelanie Camejo, MDAssociate Clerkship Director
Fo�ow us on In�agram!
umkc_emig
Dr. Melanie Camejo
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ALUMNI UPDATES
Paul Williams (2017) has been living the dream in his hometown. Recently, he purchased a house and will be marrying Kate by the end of this year. He is working at a Mayo af�liated hospital and has recently been granted permission to do some shifts back at Truman. We are excited to have you back as an attending!
Bob Edmunds (2016) deployed to Afghanistan with the Air Force from October 2017 to April 2018. In his free time he has presented on several episodes of The Skeptic’s Guide to Emergency Medicine.
Lance Hoffman (2001), reports that he has been practicing EM in Fremont, Nebraska at Fremont Health Medical Center for about 4 years now. His wife Heidi continues to work as an inpatient nurse on the Heart and Vascular unit at Nebraska Medicine in Omaha. Their son Alex will be starting his senior year of high school soon and is looking at undergraduate universities. He plays trombone and is one of the marching band drum majors. Their other son Conrad will be starting 8th grade and plays the saxophone. He loves watching reruns of The Of�ce and mastering any video game he can. Mark Vaughan (1999) is Medical Director of the Auburn Medical Group (Family Medicine) and serves on the Board of Sutter Independent Physicians IPA. He is also in pre-production for
EMS EDUCATION PROGRAM
The UMKC EMS Education program continues to serve the community by providing competent, entry- level Emergency Medical Technician (EMT) and Paramedic candidates to the EMS system in the Kansas City region and beyond. The UMKC Paramedic program was proudly awarded accreditation by the Commission on Accreditation of the Allied Health Professions (CAAHEP) on July 2, 2016.
The Paramedic program is being facilitated by Lead Instructor Bill Gulick. Our EMT program continues to thrive under Lead Instructor Virginia Wilson. Both have experience as EMS Educators and multiple years of varied professional experience. Ms. Wilson is also in charge of clinical coordination.
In June, Instructors and students from the Paramedic program again traveled to Hutchinson, Kansas to take part in the Hutchinson Community College Paramedic Field Operations. This two-day event puts paramedic students from multiple programs together in teams to respond to simulated calls and multiple victim incidents.
The EMS Education program continues to work with our clinical partners including Truman Medical Centers, Research Medical Center, Liberty Hospital, and �eld agencies American Medical Response, Excelsior Springs Fire Department, Grandview Fire Department, Pleasant Hill Fire Protection District, and Riverside Fire Department to provide valuable practical experience to our EMT and Paramedic
students. The education provided by these af�liates and their staff is essential to the successful outcomes for our students and greatly appreciated. In 2017, we displayed our simulation and training ambulance at the Missouri EMS Expo in Branson where Dr. Carney has annually participated in the “EMS Physicians Lightening Rounds.”
Paul Ganss, MS, NRP, NCEE, CHSEDirector EMS Education ProgramErica Carney, MDEMS Medical Director
Dr. Erica Carney and Paul Ganss at this year’s Missouri EMS Conference and Expo.
Dr. Carney (far right) with Residents and Students at Airport Disaster Drill.
ALUMNI
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the completion of the �rst season of the medical drama web series, Medicine Woman (http://vaughanmd.com/medicinewoman/), following the release of the two-part pilot. Ted Sibley (2012) was appointed to 2 new academic positions over the past year; Adjunct Assistant Professor for both the University of Minnesota and Wisconsin and Preceptor for all rotations in the ED at United Hospital in St. Paul. Also, his family has added #5 this past year to the family - Andrew Jose Sibley (pictured above).
Ralph Schutz (1987) will be retiring from clinical research/practice on August 31st of this year. With the added time, he hopes to attend (and drag along Dr. Emory) to more EM conferences at TMC (Ralph, we look forward to having you).
David Prickett (1981) and his wife, Vicki are moving to Lava Hot Springs, ID to be new grandparents. Congratulations!
ACCOLADES
Thanks to Brian Freeman (2017), Anne Jacobsen (2013), Matt Lockwood (2011), and Tom Millard (2007) for participating in our annual community EM panel. Thanks to Dr. Fried (2016) for his community EM tales and his talk on the business side of EM. Thank you to Christine Sullivan (1988) , Stefanie Ellison (2000), Bill Featherston 2006), Denny Chinnock (2006), Tom Millard (2007), Doug Coe (2007), Emily Hillman (2011), Jennifer VonFintel (2012), Bryson Bowman (2013) and Grady Thiems (2015) for helping with oral boards.
DEAR UMKC EMERGENCY MEDICINE ALUMNI,
Since 1973, the UMKC Emergency Medicine residency program has continued to educate and train emergency medicine physicians to provide comprehensive medical care and has fostered physician leaders in academic and community programs across this country. From this solid foundation, our current program faculty and residents continually strive to meet this high standard that has been set by our predecessors; ex traditione, exellentia.
One of our goals as a residency program is to foster our alumni connections and expand our alumni network to promote the strength and continued growth of our residency program. Over the last year we alumni have had the opportunity to catch up at the MOCEP’s Annual Reception at the Scienti�c Assembly. In addition, we would like to thank the many alumni that have contributed to our didactics through guest lectures, career panels, and oral board
preparation. We would also like to thank our alumni for their continued �nancial donations to the residency program.
Many of you �lled out our recent resident survey and some of your updates are included. If you are interested in contributing an update, then please email [email protected]. Take a look at our Website or follow us on Facebook, Instagram, or Twitter (@umkcEM).
Facebook: UMKC Truman Medical Center EM ResidencyInstagram: umkc.emTwitter: @umkcEM
Thanks for reading the Newsletter and continued best wishes,
Charlie Inboriboon, MDAssociate Program DirectorAmy Stubbs, MDProgram Director, Class of 2006
ALUMNI
Andrew Jose Sibley
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CURRENT GRANTS“Assessment of Biomarkers in Children
with Brown Recluse Spider (Loxosceles Reclusa) Envenomation”. Katarine B. Richardson Foundation Award. Children’s Mercy Hospital. Amount Funded: $50,000. PI: Jennifer Lowry. Co-investigators: Algren DA, Christian MR, Handel L, Thornton S.
Screening, brief intervention, and referral to treatment for alcohol/drug use (SBIRT). SAMHSA-funded grant awarded to multiple departments at UMKC-SOM including Emergency Medicine Residency. Co-Site investigator, Stubbs A. Total award: $859,979 over three years, to begin September 2016.
Continuation of an “Emergency Department Emerging Infections Sentinel Network” Center for Disease Control and Prevention and the Olive View – UCLA Medical Center, $8,000. Mark T. Steele, MD, principal site investigator 2017/2018 projected.
Clinical evaluation of the Xpert® Xpress �u/RSV assay and Xpert Xpress �u assay on the GeneXpert® Xpress System in a CLIA-waived environment, protocol 224. Projected: $30,499. Sponsor: Cepheid. Mark T. Steele, MD, principal site investigator
A pragmatic trial designed to evaluate a new critical pathway for treatment of patients with acute bacterial skin and skin structure infections. Projected $226,240. Sponsor: Allergan. Mark T. Steele, MD, principal site investigator.
PEER REVIEWED PUBLICATIONSChristian MR, Sergel MJ, Mycyk MB,
Aks SE. Comparison of high-�delity medical simulation to short-answer written examination in the assessment of Emergency Medicine residents in Medical Toxicology. Missouri Medicine. November 2017, 114(5): 396-9.
Christian MR, Lowry JA, Algren DA, Thornton SL, Deng S, Garg U. Do rapid comprehensive urine drug screens change clinical management in children? Clinical Toxicology. November 2017; 55(9): 977-80.
(METRIQ collaborator- Inboriboon).Thoma, Brent, et al. Individual Gestalt Is Unreliable for the Evaluation of Quality in Medical Education Blogs: A METRIQ Study. Annals of Emergency Medicine. Sept. 2017; 70(3):394-401.
Santibanez S, Fischer L, Krishnadasan A, Sederdahl B, Merlin T, Moran GJ, Talan DA, for the EMERGEncy IDNET Study Group (Mark T. Steele, MD, principal site investigator). EMERGEncy ID NET: Review of a 20-year multi-site emergency department emerging infections research network. OFID. Oct. 2017; 4(4).
Abraham FM, Talan DA, Krishnadasan A, Citron DM, Paulick AL, Anderson LH, Goldstein JC, Moran GJ for the EMERGEncy ID NET Study Group (Mark T. Steele, MD, principal site investigator). Clostridium dif�cile Infection Amond U.S. Emergency Department Patients with Diarrhea and No Vomiting. Ann Emerg Med.Jul. 2017; 70(1):19-27.
SCHOLARLY ACTIVITY2017-2018 year was another productive year for ED research. The
faculty and residents had multiple publications, abstracts, and
presentations over the course of the year. Ongoing projects include
the areas of: infectious disease, clinical operations, EMS, and
resident education; several of which are grant funded. Please see the
full list of studies for further details.
We continue to be active members in EMERGEncy ID Net: A CDC funded emergency department–based emerging infections sentinel network. Urinary and soft-tissue infection pathogens are current studies.
Our residents continue to do a scholarly project and our graduating PGY-3 residents recently presented their projects on Senior Research Day, with special guest Dr. Judith Tintinalli who also spoke on “Serendipity.” Dr. Tony Toigo won the Elenbass Award for the most exceptional presentation. All the seniors did an outstanding job and six had abstracts accepted at the UMKC Annual Vijay Babu Rayudu Quality and Patient Safety day. “Are Women diagnosed with ACS Under-triaged?” by Drs. Amy Stubbs, Jason Hurt, Monica Gaddis and Sal Rios MS-6 was awarded outstanding student presentation. Our PGY-1 class also develops a case report for presentation at an annual “Case Report Day” that began in the 2014-2015 academic year. Dr. Ashley Borden was awarded the Gaddis Case Report Award for 2018 for her excellent presentation on Fitz-Hugh
Curtis Syndrome. Additionally, Dr. James Tiehen (2020) presented on the Effect of Relaxed Firework Legislation on Fireworks Injuries 2004-2014 at the annual EAST Scienti�c Assembly.
Happily, Dr. Monica Gaddis continues to enhance and guide our scholarly activities and Journal Club. She has had a very busy year helping us in addition to presenting at multiple international EM conferences. We have also had the good fortune to add Ms. Lori Wilkerson as a third study coordinator; they provide support for IRB submissions, study enrollment, and all things research. UMKC Emergency Medicine Interest Group students continue to assist in several departmental studies. We look forward to another productive year with their continued involvement and greatly appreciate all the contributions made to our faculty and resident research this past year.
Monica Gaddis, PhDED Research DirectorAmy Stubbs, MDProgram Director
Arnold L, Sullivan C, Okah F. “A Free-Market Approach to the Match: A Proposal Whose Time Has Not Yet Come?” Academic Medicine. 2018; Jan 93(1):16-19.
BOOK CHAPTERSAlgren DA., Chapter 105, Drugs of
Abuse in Tintinalli’s Emergency Medicine Manual. 8th edition, November 2017. McGraw Hill.
Algren DA., Chapter 114, Metals and Metalloids in Tintinalli’s Emergency Medicine Manual. 8th edition, November 2017. McGraw Hill.
Gratton MC, Bogle A: Peptic Ulcer Disease and Gastritis. In Tintinalli JE, Kelen GD, Stapczynski JS (eds): Emergency Medicine: A Comprehensive Study Guide, 9th ed., McGraw-Hill, 2017, (e-published prior to print.)
Go S., Chapter 57: Complications of Urological Procedures and Devices. In: Cydulka RK, Fitch MT, et al (editors). Emergency Medicine Manual, 8th ed., McGraw-Hill, 2018: 316-318.
Go S., Chapter 140: Headache. In: Cydulka RK, Fitch MT, et al (editors). Emergency Medicine Manual, 8th ed. Mc Graw-Hill, 2018: 759-764.
Go S., Chapter 141: Stroke Syndromes and Spontaneous Subarachnoid Hemorrhage. In: Cydulka RK, Fitch MT, et al (editors). Emergency Medicine Manual, 8th ed. Mc Graw-Hill, 2018: 765-774.
Go S., Chapter 144: Acute Vertigo. In: Cydulka RK, Fitch MT, et al (editors). Emergency Medicine Manual, 8th ed. Mc Graw-Hill, 2018: 784-791.
Go S., Chapter 149: Eye Emergencies. In: Cydulka RK, Fitch MT, et al (editors). Emergency Medicine Manual, 8th ed. Mc Graw-Hill, 2018: 7813-825.
Go S., Chapter 152: Oral and Dental Emergencies. In: Cydulka RK, Fitch MT, et al (editors). Emergency Medicine Manual, 8th ed. Mc Graw-Hill, 2018: 838-844.
Go S., Chapter 163: Neck Injuries. In: Cydulka RK, Fitch MT, et al (editors). Emergency Medicine Manual, 8th ed. Mc Graw-Hill, 2018: 897-908.
Stubbs, AM. Neck and Back Pain. In: Tintinalli’s Emergency Medicine Manual 8e. Ch. 177. Eds. Rita K. Cydulka, et al. New York, NY: McGraw-Hill, 2017.
WEBSITEHillman E., CORD Student Advising
Task Force Advising Resources. Co-authored numerous resources as member, vice-chair, and chair of this national task force. Resources are available on the CORD website. They are high-quality resources for students and their EM advisors and are all endorsed by major EM organizations including CORD, CDEM, AAEM and EMRA. Available at: https://www.cordem.org/communities/committees/advising-student-comm/
UMKC School of Medicine2411 Holmes StreetKansas City, MO 64108www.med.umkc.edu
Truman Medical Centers2301 Holmes StreetKansas City, MO 64108www.trumed.org
Emergency Medicine is the annual publication of the UMKC School of Medicine Department of Emergency Medicine. Visit med.umkc.edu/em/ for more information.
© 2018 TMC/UMKC/ED Newsletter/34150/10-2018
