Making Good Learning Happen€¦ · MD Class of 2017 Current Residents Resident Spotlight...

Making Good Learning Happen

E M E R G E N C Y M E D I C I N E R E S I D E N C Y 2 0 1 4 A N N U A L R E P O R T

E M E R G E N C Y M E D I C I N E R E S I D E N C Y Making Good Learning Happen

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Making Good Learning Happen E M E R G E N C Y M E D I C I N E R E S I D E N C Y

From the Director

Department Head

The Institute

Residency Timeline

Chief Residents

MD Class of 2017

Current Residents

Resident Spotlight

Coordinators

New Faculty

Faculty Spotlight

Faculty

Crisis Program

Emergency Center Operations

Nursing Education

PA Residency

PA Class of 2015

Our Values

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New Faculty

Curriculum

Simulation

Ultrasound

Didactics

Habits of Lifetime Learning

Awards, Recognition, Honors

Regions Foundation EM Residency Funds

In Memory

Alumni Spotlight

EMS

Toxicology

Quality & Patient Safety Fellowship

Grants & IRB-Approved Studies

International Fellowship

Pediatric EM Fellowship

Publication & Presentations

EM Graduates

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2014 Teambuilding

• To train and mentor the next generation of highly competent, humanistic Emergency Physicians to be successful in any clinical setting and become leaders in Emergency Medicine.

Mission—Why we’re here:


From the Director

Welcome to the 2014 Regions Hospital Emergency Medicine Residency Program’s Annual Report! Each year we are excited to highlight many aspects of our program and share them with our staff at Regions, alumni, community partners, and friends throughout the country.

In thinking about highlighting updates from our program from the past year, I wanted to share with you our new Residency ‘Mission, Vision and Values’. Our Residency Leadership Team has been working hard on this, and we are excited to share it with you throughout this report!

We salute our residents who were involved in leadership activities in 2014:• Marc Ellingson (‘14) attended AAEM’s Scientific

Assembly in New York. • Katie Glasrud (‘15) presented at the CPC

competition held at the CORD Academic Assembly in New Orleans.

• Brittany Brindle (‘16) and Kayle Odegard (‘16) attended ACEP’s Leadership & Advocacy Conference in Washington, DC.

• Eric Ellingson (‘14) presented an ePoster at SAEM’s Annual Meeting in Dallas, TX.

• Amanda Miller (‘15) continues to serve as the AAEM/RSA representative.

• Aaron Ankeny (‘15) presented an ePoster at ACEP’s Research Forum in Chicago, IL.

• Joshua Peltier (‘15) led the HealthPartners team for the AIAMC National Initiative IV: Achieving Mastery of CLER.

• Amy Stoesz (‘15) traveled with faculty member, Won Chung, to Japan to participate in an educational and ambassadorial experience with physicians at Chubu Hospital in Okinawa. Amy also attended ACEP’s Scientific Assembly in Chicago as our EMRA representative.

We also congratulate our resident teams who participated in the SAEM 2014 EMRA Quiz Show (2nd place finish) and Sono-games (top 10 finish).

We also salute our faculty achievements for 2014:• RJ Frascone was presented the Michael J.

Copass EMS Medical Director Leadership Award at the 2014 Gathering of Eagles in Dallas, TX.

• Casey Woster (‘12) graduated from the Simulation Academy in Boston, MA and has joined our simulation education team.

• Bjorn Westgard received a NIH-funded research award to study components of metabolic syndrome in the Twin Cities’ Somali population.

Residency graduates can choose from five fellowships offered through our department and HealthPartners Institute for Education and Research (The Institute): medical toxicology, peds-EM, prehospital/EMS, quality and patient safety, and international emergency medicine.

We were fortunate to match another outstanding class of residents featured in this report. We are grateful for the support of our many residency partners and look forward to training the emergency medicine providers of the future. We are proud of our residents, faculty and alumni and hope you enjoy our annual update from St. Paul!

Cullen Hegarty, MDPROGRAM DIRECTOR

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Mission—Why we’re here:


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From the Department Head


Emergency Medicine continues to be a vibrant, innovative, ever changing specialty attracting bright passionate individuals to care for patients necessitating rapid emergency treatment. As Minnesota’s second busiest emergency department, Regions Hospital plays a critical role in providing quality emergency care throughout Minnesota and western Wisconsin communities.

Our vision is to be a center of excellence for emergency care, education and research. Our faculty continue to lead within the hospital and community. 2014 was another productive year for faculty and residents with multiple internal and external research grants/awards.

Our faculty are leaders in national and international specialty societies serving as academic peer reviewers, committee members, board members, and ABEM item and oral board exam writers. We welcomed Drs. Brad Barth (‘00), Kristi Grall, Shef Massey, Bjorn Peterson (‘12), Amy Walsh (‘14 fellowship), and Joe Walter (‘13).

Prior to the start of meetings in 2014 we offer kudos to faculty, residents or students going above and beyond. The information is aggregated from in-person stories, email thanks, and direct patient feedback. One of the brightest moments of 2014 was getting feedback of a third year emergency medicine resident doing a Surgical Intensive Care Unit rotation. A patient’s life was saved because the resident was prepared for plan B, C and D when plan A failed. Kudos!

Quality and operations continue to be a focus in our department for delivering impactful emergency care. Under the direction of Dr. Steve Stanfield and 2014 quality and patient safety fellow Ryan Bourdon, MD (‘14), the emergency medicine residents have led projects this year in sepsis, acute stroke care, point of care ultrasound, peer review and patient safety. Due to diligent methodical change leveraging nursing skills, laboratory and electronic health records, we have seen our mortality rate in sepsis dramatically drop.

Regions hospital based critical care research consortium is a leader in prehospital through ICU research trials. Recently our EMS, cardiology

and emergency department teams celebrated the successful resuscitation of a cardiac arrest placed on a CPR assist device, LUCAS™ for almost 3 hours with a cardiovascular procedure done while on the CPR device.

Congratulations to Dr. Carson Harris who retired in 2014. Your love for education, pneumonics, and mentorship have shaped our residency’s culture in many positive ways. We will miss your personality, style and relaxed approach to patient care in a sometimes chaotic environment. We were able to successfully recruit Dr. JJ Rasimas to join our team in a combined position of toxicology and psychiatry this year.

As 2014 comes to a close, infectious disease (EBOLA), disaster medicine, mental health care, patient experience, stroke, STEMI, and sepsis training all surface; but it is the education of learners and patient care together we deliver that brings our faculty the most satisfaction.

I look forward to a great 2015!

Kurt Isenberger, MDDEPARTMENT HEAD


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1993 Bob Knopp, MD 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 in 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.

1995Residency 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.

1996First class of 8 residents starts. The Class of 1999 included students from Creighton University, University of Colorado, Mayo Medical School, University of Minnesota, and University of North Dakota

1999Residency 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.

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

2003Residency receives a 5-year full ACGME accreditation.

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

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

Residency Timeline

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

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

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

2011Quality & Patient Safety Fellowship begins, under the direction of Drew Zinkel, MD; EM grad, Kara Kim, MD, is its first fellow. Toxicology fellowship expands to two fellows/year. HealthPartners takes over sponsorship of Pediatric-EM fellowship based at Minneapolis Children’s; fellows are now part of the Regions EM family.

2012International EM Fellowship, directed by Matt Morgan, MD, accepts its first fellow, Amy Walsh, MD. Emergency Medicine PA fellowship starts under the direction of Brad Hernandez, MD and Ann Verhoeven PA-C.

2013Dr. Felix Ankel, program director from 2001-2013, accepts the position of Vice President & Executive Director, Health Professional Education with the HealthPartners Institute for Education and Research. Dr. Cullen Hegarty is named program director. Dr. Hegarty, a 2001 program graduate, served as an assistant program director from 2004-2011, and associate program director from 2011-2013. EMS fellowship receives 3-year initial accreditation.

2014Dr. Aaron Burnett (‘10) is named program director for the EMS fellowship; Dr. Amy Walsh assumes the role of program director for the International fellowship. Dr. Sam Stellpflug (‘08) is appointed program director for the Med/Tox fellowship. Dr. Joe Arms takes over as fellowship director for Peds-EM.

• Our goal is to be a world-class residency program, which not only trains outstanding emergency physicians, but also helps define the future practice of emergency medicine through innovation, research and advocacy.

Vision—Where we’re headed:

Making Good Learning Happen E M E R G E N C Y M E D I C I N E R E S I D E N C Y E M E R G E N C Y M E D I C I N E R E S I D E N C Y Making Good Learning Happen

5At Regions, we have a progressive and dynamic educational curriculum that is focused on the core medical knowledge within our specialty as well as other evolving aspects of medicine such as research, quality and administration. We feel that the administrative and quality aspects of emergency medicine are so important in our training that we have dedicated Resident of the Day “ROD” shifts. These shifts are built into our ED schedule to allow longitudinal exposure to administrative EM at the departmental and hospital levels. This design has been a key component in setting residents up for success in their post-residency careers, excelling in a wide range of clinical settings (both academic and community), as well as in fellowship training and administrative positions.

Being able to care for critically ill patients is a hallmark of emergency medicine which is why we place a strong emphasis on critical care and procedural competence. There is a system of graduated responsibility starting as an active member of the critical care teams as a PGY-1 to the leader of the MICU team as a PGY-2 and leader of the SICU team both as a PGY-2 and PGY-3. In the SICU, emergency medicine residents are the only residents who provide 365 day coverage.

PGY-1 residents are active in the management of critically ill patients from day one of their residency, acting as the primary team member responsible for airway management in all of the medical resuscitation patients in the emergency department. As a PGY-2, residents manage the airway in all trauma patients and perform the majority of procedures on trauma and medical resuscitations within the emergency department. PGY-3 residents lead resuscitations in all medical arrests, serve as team leader on trauma team activations and supervise the majority of procedures performed in the emergency department.

Most importantly, a friendly and collaborative culture is the hallmark of our program. Residents, attending physicians, nursing and ancillary staff have an exceptionally collegial relationship. Shifts are fun and feedback is supportive. This makes the Regions Emergency Medicine Residency program a great place to train.

Chief Residents U P D A T E

Katie Glasrud, MD

Josh Peltier, MD

Samantha Kealey, MD


CLASS OF 2017

David Benjamin, MDBS - Summa Cum Laude - Biochemistry/Molecular Biology - Bethel University

MD - University of Minnesota

Alpha Omega Alpha Honor Society

Personal Interests: Physical activity and team sports, camping, hiking, canoeing, road trips and international travel

Jennifer Bennett, MD BA - Summa Cum Laude - Biological Sciences - University of Southern California

MD - Johns Hopkins University

Personal Interests: research, basic German, traveling, two-time marathon finisher, downhill skiing, Vinyasa yoga, baking, pottery wheel-throwing

Maria Bergstrand, MDBA - Cum Laude - Biology/ Psychology - College of St Benedict


Personal Interests: golf, tennis, water sports, cooking

Mark Bergstrand, MDBA - Biochemistry - St John’s University


Personal Interests: sailing, SCUBA diving, water-skiing, alpine skiing, tennis, playing alto and soprano saxophone

Matthew Bogan, MD BSE - Mechanical Engineering - Iowa State University



Personal Interests: playing, reading and spending time with 2 young sons, outdoor activities, exercising, home improvement, building and repair projects

Peter Coenen, MDBS - Spanish and Medical Microbiology - University of Wisconsin-Madison

MD - University of Wisconsin

Phi Beta Kappa Nat’l Honor Society

Personal Interests: competitive cross-country skiing, including participation in the American Birkebeiner Ski Race every year since 2002 with elite status since 2009

Brian Hahn, MD BS - Biochemistry - University of Wisconsin-Madison

MD - The Chicago Medical School

Eagle Scout

Personal Interests: football, baseball, golf, camping and reading

Jacqueline Kelly, MDBA - Mathematics, Exercise Science - St Olaf College

MA - Exercise Physiology - University of Minnesota


Gold Humanism Honor Society

Personal Interests: running, yoga, biking, coaching, cooking

Noah Maddy, MDBA - Biology - Hamline University

BS - Anthropology - Hamline University




Personal Interests: foot races of various distances, from 5K to marathon and adventure racing

Alan Sazama, MDBS - Exercise Science, Chemistry - University of Sioux Falls

MD - University of South Dakota


Personal Interests: golf, flag football, basketball, softball, reading, theology, personal fitness, movies, following the Green Bay Packers

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Class of 2015



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Peter Coenen, MDBS - Spanish and Medical Microbiology - University of Wisconsin-Madison

MD - University of Wisconsin

Phi Beta Kappa Nat’l Honor Society

Personal Interests: competitive cross-country skiing, including participation in the American Birkebeiner Ski Race every year since 2002 with elite status since 2009

Current Residents

Aaron Ankeny, MD University of Nebraska University of South DakotaSean Boley, MD Vassar College Pennsylvania State UniversityKatherine Glasrud, MD University of Minnesota-Morris University of MinnesotaAmanda Karlen, MD Linfield College University of HawaiiSamantha Kealey, MD University of Minnesota University of MinnesotaShaun Kennedy, MD University of Minnesota New York Medical CollegeAmanda Miller, MD Westmont College University of VermontJoshua Peltier, MD University of Minnesota-Duluth University of MinnesotaAmy Stoesz, MD Bethel University University of MinnesotaAshley TeKippe, MD Luther College University of Iowa

Class of 2015 Undergraduate Medical School

Edgar Austria, MD University of Kansas University of KansasBrittany Brindle, MD Concordia College-Moorhead University of MinnesotaKendal Farrar, MD Carleton College Dartmouth UniversityMaria Goertz, MD Wheaton College University of MinnesotaJessica Greupner, MD Gustavus Adolphus College University of ColoradoNathaniel LaFleur, MD Creighton University American UniversitySakib Motalib, MD University of Kentucky University of KentuckyKayla Odegard, MD University of Minnesota-Duluth University of North DakotaElizabeth Roeber, MD Minnesota State University-Moorhead University of South DakotaJill Schuld, MD University of Wisconsin-Milwaukee Medical College of Wisconsin


David Benjamin, MD Bethel University University of MinnesotaJennifer Bennett, MD University of Southern California Johns Hopkins UniversityMaria Bergstrand, MD College of St. Benedict University of MinnesotaMark Bergstrand, MD St. John’s University University of MinnesotaMatthew Bogan, MD Iowa State University University of MinnesotaPeter Coenen, MD University of Wisconsin-Madison University of WisconsinBrian Hahn, MD University of Wisconsin-Madison Chicago Medical SchoolJacqueline Kelly, MD St. Olaf College University of MinnesotaNoah Maddy, MD Hamline University University of MinnesotaAlan Sazama, MD University of Sioux Falls University of South Dakota


Class of 2015 Class of 2016 Class of 2017



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What got you interested in coming to Regions for your EM residency training?Ever since knowing emergency medicine was my future path, I have been interesting in pursuing a sports medicine fellowship. In interviewing for residencies I was interested in going to a place that supported and promoted my interests and this is exactly what I found at Regions. Not only were there connections to work at the Minnesota Wild hockey games and assist as the airway physician for the Minnesota Vikings, but I found the support to seek out new opportunities within the community, such as becoming a team physician for an area high school, participating in mass sporting event coverage, assisting with ski patrol at Afton Alps, and so many more opportunities too long to list here.

You have been able to create and participate in some great Sport Medicine activities during your three years at Regions. Tell us about them and how you were able to get them set up.Over the past 3 years, I have had the opportunity to step out into the community and get involved with many different sports medicine activities. During my intern year, with the help of Dr. Hegarty and many sports medicine contacts in the area, I was able to begin organizing the opportunity to be the team physician for an area high school. During the next months and with the help of HealthPartners and Regions Emergency Department, I developed documentation and obtained supplies and malpractice coverage to begin volunteering in the community. Since then I have been providing medical coverage both on-field and in the training room with high school athletes, working closely with the athletic trainer and athletic director to provide sports medicine care.

In addition to working with my area high school routinely, I have had the opportunity to assist with many other events in the Twin Cities area. Through Regions EMS, I have been able to gain experience with mass events while working the critical care tent during the Twin Cities Marathon and working Red Bull’s Crashed Ice. This past summer, I also assisted with covering the Schwan’s USA Soccer Cup with thousands of athletes competing in this international tournament.

What are your future plans for incorporating Sports Medicine into your career?After completing my sports medicine fellowship at the University of Utah, my plans are to combine my passions of both sports and emergency medicine into one career. Long term I would like to have a sports medicine clinic 1-2 days per week, continue as team physician for 1-2 teams (depending on the level of competition I decide to pursue) and continue to be affiliated and working in the emergency department for many years to come.

R E S I D E N T S P O T L I G H T ASHLEY TEKIPPE, MD

Working a Vikings game


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New Faculty 2 0 1 4

Bradley Barth, MDUndergraduate: University of Minnesota

Med School: University of Minnesota

Residency: Regions Hospital

Hobbies: guitar

Sheffey Massey, DOUndergraduate: University of Wisconsin-Eau Claire

Med School: Des Moines University

Residency: POH Medical Center - Pontiac, MI

Hobbies: running, music, family time

Kristi Grall, MD, MHPEUndergraduate: University of Wisconsin-Eau Claire

Med School: Medical College of Wisconsin

Residency: William Beaumont - Royal Oak, MI

Fellowship: Medical College of Wisconsin Medical Education

Graduate: University of Illinois- Chicago

Interests: medical education, curriculum development, distance running

There’s nothing better than hearing from our grads. We especially like reconnecting at our Alumni Day Conference in September. This year, we introduced teleconferencing into Alumni Day; current residents had a chance to hear directly from grads, Trent Thorn (‘06) in Utah and Zabrina Evens (‘13) in Florida. Numerous residency-sponsored events allow alumni the opportunity to meet and network with our current residents. We generally have a presence at CORD, SAEM and ACEP - all opportunities for our graduates to stay connected.

We attended the annual meeting of Emergency Medicine Association of Residency Coordinators (EMARC) in New Orleans as part of the 2014 CORD Academic Assembly. It allowed us the opportunity to network with our coordinator colleagues throughout the country and share best practices. We also attended the residency fairs at SAEM in Dallas and ACEP in Chicago. Please look us up if you find yourself at any of those meetings in 2015; we’re always up for an evening out!

We welcomed Amy Lillibridge Sadowski in November. Amy is a former coordinator for the Med-Peds residency at the University of Minnesota and is taking over for Pat Anderson, who will retire in February.

Lori Barrett, Manager, Residency & Education (top left) Pat Anderson, MD, Program Coordinator (top right)

Amy Lillibridge Sadowski, Program Coordinator (bottom)

Coordinators


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What brought you to Regions to work as a faculty with the EM residency?As a medical student, I interviewed with Bob Knopp in 1988 when he was residency director in Fresno. I was impressed with his integration of humanism into emergency medicine training and care and wanted to be part of an EM residency that was built on humanistic principles from the ground up.

What were the highlights for you about being the PD here for your 10+ years?The people - the residents that could go anywhere in the country and chose to train with us, the faculty that went out of their way to make the residency patient-focused and resident-friendly, the nurses, techs, clerks and all the other members of the health care team that provided such a supportive atmosphere that facilitated a team-oriented approach to patient care.

This environment allowed Regions to take the traditional line of care where rescue care is on one end and population health is on the other and bend it into a circle where rescue care and population health meet. The ED is the health care canary in the coalmine, and our residents are learning in this intersection. Being in this area allowed our ED to be a true learning organization where we learned from our environment and allowed us to build programs such as the first EM based quality and patient safety fellowship in the country and the first EM PA residency in the state.

Tell us about your new role with the HP IE+R.HealthPartners Institute for Education and Research provides leadership for research and graduate health professions education within the HealthPartners family of care. In addition to being the VP for health professions education at HP, I am the ACGME designated institutional official (DIO) for Regions hospital, and an assistant dean for faculty affairs at HealthPartners with the University of Minnesota Medical School. In these roles, I partner with learners, clinician-educators, care delivery systems, and health professions schools to provide a community model of education within the Institute for Health Care Improvement “triple aim” framework.

Where do you see medical education heading?I think it is an exciting time to be in medical education. Medical education is moving away from hierarchies towards networks, from time-based to competency-

based systems, and from individual to team care. The successful clinician of tomorrow will need to be resilient, manage complexity, and manage context as much as master knowledge and procedures. The involvement of patients and their families in medical decision-making will be key. The #FOAMed and rhizomatic learning movements (the community is the curriculum) may be prescient of some of these changes.

What do you do in your free time?Free time is family time. Our new 7mo old son Atticus keeps us on our toes and brings us joy. We like to travel and visit family and friends.

F A C U L T Y S P O T L I G H T FELIX ANKEL, MD

2014 Faculty


Felix Ankel, MD University of Wisconsin University of IllinoisKelly Barringer, MD Michigan State University Regions HospitalEmily Binstadt, MD, MPH Mayo Medical School Harvard AffiliatedMary 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 HospitalKristi Grall, MD Medical College of Wisconsin William Beaumont - Royal Oak, MICullen 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 HospitalRobert 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 HospitalStephen Stanfield, MD University of South Carolina Palmetto Health Richland 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

Faculty Medical School Residency

FACULTY

Bradley Barth, MD University of Minnesota Regions HospitalAaron Burnett, MD SUNY - Syracuse Regions HospitalEric Dahl, MD University of Minnesota Regions HospitalPaul Haller, MD University of Minnesota IM - University of MinnesotaEric Ling, MD Northwestern University Hennepin County Medical CenterSheff Massey, DO Des Moines University POH Medical Center - Pontiac MIMark Newman, MD University of Nebraska Thomas Jefferson UniversityLevon O’hAodha, MD University of Minnesota University of MichiganBjorn Peterson, MD Loma Linda University Regions HospitalBrian Peterson, DO Chicago COM Resurrection Medical CenterMartin Richards, Jr, MD University of Minnesota Regions HospitalAmy Walsh, MD, MDP University of Minnesota University of IowaJoseph Walter, MD St. Louis University Regions HospitalCasey Woster, MD Creighton University Regions HospitalWendy Woster, MD University of Minnesota Regions Hospital

Faculty Medical School Residency

Joseph Arms, MD University of Minnesota Children’s Hospitals and Clinics of MNPatrick Carolan, MD Medical College of Wisconsin Children’s Hospital of CincinnatiPaul Zenker, MD Tulane University/Louisiana State Children’s Hospitals and Clinics of MN University

Faculty Residency Fellowship

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ME M E R G E N C Y M E D I C I N E R E S I D E N C Y Making Good Learning Happen

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E M E R G E N C Y M E D I C I N E R E S I D E N C Y Making Good Learning HappenMaking Good Learning Happen E M E R G E N C Y M E D I C I N E R E S I D E N C Y

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The Crisis Program at Regions Hospital Emergency Center, represents a successful collaboration between the Emergency Department and Regions Behavioral Health Department.

Psychiatric crisis intervention and assessment services are provided by an experienced, skilled group of licensed independent clinical social workers (LICSW) staffing the program 24/7. We provide a patient centered and trauma informed model of care. Patients are seen for a variety of mental health issues including suicidal behavior, depression, psychosis, anxiety, post traumatic stress ,domestic violence and substance

abuse. The crisis staff work closely with ED physicians, residents, physician assistants, nurses, ERTs and case managers, to provide comprehensive psychiatric and psychosocial assessments and to create discharge plans that maximize safety and stabilization in the community or in the hospital.

This innovative and cost-effective program has been an integral part of the ED for more than 35 years and serves more than 7,500 patients annually. Approximately 60 percent of all patients evaluated return to the community with referrals for outpatient services.

Maddy Cohen, MSW, LICSW u Manager, ED Crisis Program CRISIS PROGRAM

The 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, and five care areas (pods), including an 11-bed care pod for our crisis/behavioral health patients.

E M E R G E N C Y C E N T E R O P E R A T I O N S

Emergency Center figures for 2014:• 79,666 patient visits• 6.0% pediatric patients (< 16)• 9.0% mental health patients• 3550 trauma admissions• 730 trauma team activations• 24% admission rate• 55% of all hospital admissions

come from the ED

Richelle Jader, BSN MHA - Administrative Director

Karen Quaday, MD Operations Medical Director

Michelle Noltimier, BSN, MBA Nurse Manager

Jeff Fritz Manager ED Operations

In 2014, areas in which we focused our work included:• Improving the care of the mental health

patient in the ED• Reducing avoidable ED visits• Multidisciplinary SIM education• Narcotic prescribing• Culture of Patient Safety• Core Measures (STEMI, CAP, Stroke, Sepsis)• Intentional Rounding• Observation Status• Workplace Violence Protocols• Employing Pharmacists in the ED• Workflow processes to decrease Length

of Stay and Improve Patient Experience


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This has been an exciting year for the education of the Emergency Department with 40 new staff and recruitment of a second clinical educator. We are changing our approach to education, and are developing more inter-professional education with the residents and providers. Our simulation education now includes the resident-of-the-day, which has been a huge success. We completed a large scale disaster drill with our prehospital partners, and learned many things from this exercise. We added a Code Sepsis to our department to continue to improve the care we provide for our septic patients, thereby improving outcomes. With the risk of infectious diseases ever increasing, we expanded the training for staff to include all job classes in donning and doffing full PPE, including the use of PAPR’s. Wow, it has been a busy year!

The Emergency Department continues to lead the hospital with the largest percentage of specialty certified nurses. Currently, 40% of our nurses hold at least one specialty certification, and many hold two or more. The range of specialty certifications, which includes CEN, CPEN, CCRN, CMC, ANCC-BC, SANE-A, CFRN and PCCN, demonstrates an impressive array of knowledge.

Several staff members were nominated for awards which included nursing leadership, nurse of the year and preceptor of the year. These nurses exemplify professionalism and dedication to their field.

2015 is looking bright for the ED at Regions Hospital. We are ready to face the challenges that a new year has to bring in this ever dynamic environment!

Nursing Education U P D A T E

Wendy Dahl, RN, MSN, PHN, CEN, CPEN u Decentralized Nurse Educator

Bradley Hernandez, MD u Keith Henry, MD u Kevin Kilgore, MD u Kristi Lamb

The Regions Hospital Emergency Medicine Department has a long tradition of educating medical students. Rotations hosted at Regions include: essentials of clinical medicine (ECM) for 1st and 2nd year students, core required EM clerkship through the University of Minnesota Medical School, advanced EM clerkship, and elective bedside ultrasound and toxicology experiences. Students rotating through the Regions ED have the opportunities to do ride-alongs in EMS, participate in workshops in orthopedics, eye, simulation and toxicology and attend the Thursday didactic sessions along with the residents. During their clinical shifts they participate in trauma team activations, code blue resuscitations and are able to evaluate patients across the entire spectrum of acuity.

In 2014, Regions Hospital hosted a total of 122 medical students from 21 different medical schools. This included 46 in the advanced course, 18 learning bedside ultrasound, 3 on toxicology, 40 taking the core rotation, and 15 on ECM.

If you are 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 Kristi Lamb at 651-254-5298 or Lori Barrett at 651-254-3666. Applications are being accepted for the 2015-16 academic year through the Visiting Student Application Service (https://services.aamc.org/20/vsas/).

Medical Student Program


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The Regions Hospital/Health Partners Institute for Education and Research EM PA Residency Program continues to be a leader in the state and the country. There are a rapidly growing number of EM PA residency/fellowship programs. Ours was the first in Minnesota. We are excited to have our 2nd class of residents graduate in December of 2014. Our goal is that residency-trained PAs will have increased competence, confidence, and job satisfaction, and go on to become leaders in their future employment. We know that the PA residents we are training will greatly improve the health care we provide to our community.

This year we had a split starting date for the new resident class of 2015, in order to align with the differing graduation dates of our residency candidates. The residents completed orientation together in combination with the EM MD class of 2017. They attend weekly conferences and have off-service rotations with the MD residents as well as study the same core curriculum. Chadd Allen and Libby Shern (Class of 2014) participated in the first annual American Academy of Emergency Medicine (AAEM) EMPA Challenge Bowl at the AAEM 20th Annual Scientific Assembly and won! We continue to be actively promoting post-graduate EM PA training at the national level. Ann Verhoeven, PA-C is a member of the Society for Emergency Medicine Physician Assistants (SEMPA) Residency/Fellowship committee that established recommended guidelines for EM PA residency/fellowship programs.

PA Residency U P D A T E

Brad Hernandez, MD, Medical Director u Ann Verhoeven, PA-C, Program Director Christie Eck, Program Coordinator

Brita DahlquistUndergraduate: University of Minnesota-Duluth

Graduate: St. Louis University

Personal Interests: travel, outdoors, photography, music, leadership, volunteering

Stephani SeymourUndergraduate: College of St. Benedict

Graduate: Augsburg College

Personal Interests: cross country skiing, biking, running, hiking, camping and pretty much doing anything outdoors

PA Class of 2015

PA Residency Graduates:Chadd Allen, PA-C ‘14 - Baylor Medical Center - Dallas, TXGarrett Brady, PA-C ‘13 - Sacred Heart Medical Center - Eugene, OR Libby Shern, PA-C ‘14 - Regions Hospital - St. Paul, MN Abby Willaert, PA-C ‘13 - Regions Hospital - St Paul, MN


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Bjorn Peterson, MD Undergraduate: Bethel University

Med School: Loma Linda University


Fellowship: Regions Hospital EMS

Hobbies: family, travel, EMS, web design and development, skiing

Joseph Walter, MDUndergraduate: University of Minnesota

Med School: St Louis University


Fellowship: HCMC Hyperbaric Medicine

Hobbies: racquetball, board games, disc golf, cooking, travel, SCUBA diving

Amy Walsh, MD, MDPUndergraduate: University of Missouri

Med School: University of Minnesota

Residency: University of Iowa

Graduate: University of Minnesota

Fellowship: Regions Hospital International Medicine

Hobbies: bicycling, hiking, running, camping

New Faculty 2 0 1 4

• Have a positive team atmosphere where students, residents, fellows, faculty and residency administrative personnel can work, learn, educate and deliver state of the art care

• Meet or exceed all ACGME standards

• Remain a dynamic residency through transparent feedback mechanisms and forward strategic planning

• Recruit motivated, humanistic applicants with strong interpersonal skills

• Advise and mentor residents to help them achieve their ideal jobs and fellowships through individualized pathways

• Continue to involve residents in operations, administration, technology and quality as part of the core EM curriculum

• Focus on resident wellness to emphasize early in residents’ careers the importance of a work-life balance

• Provide a comprehensive residency curriculum, including clinical rotations, conferences, and procedural experiences, to prepare residents to successfully pass ABEM examinations and be highly competent to independently practice EM

• Have conferences that are active, innovative, positive learning experiences using small groups, simulation and adult learning theories

• Encourage resident and faculty scholarship

• Strive for a career-long learning and collaboration pathway for our alumni

• Be engaged contributors and partners to the Emergency Medicine Department, HealthPartners/Regions Hospital, the University of Minnesota Medical School and our community

• Foster open and honest relationships with our educational partners

• Be humble, respectful, active members of the national EM residency network

• Aim to improve the health of our population, improve the patient experience and affordability of care

Values—How we act:

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Procedural Competency

Procedural education is based on the need to enter future practice comfortable and competent in performing a broad variety of invasive and noninvasive procedures in order to care for patients. Procedural competency matters the most in procedures that are complex, high risk, and must be performed immediately to reduce the risk to life or limb.

Historically, most procedural exposure happens at the patient’s bedside under faculty supervision. The emergency department, intensive care units, and off-service rotations provide opportunities for residents to become competent in performing procedures in a clinical setting. Working with different faculty in different specialties, residents are exposed to varied techniques and approaches to patient care. Bedside teaching also allows for direct and immediate feedback on performance at the bedside under the watchful eyes of faculty.

Each year, every resident completes a structured full-day simulated procedure lab, which provides a chance for the resident to get hands-on experience with invasive procedures. Common procedures, such as central line placement or epistaxis management, are refined; residents also perform rare and high-stakes procedures such as thoracotomy cricothyroidotomy, pericardiocentesis, and shoulder dystocia delivery. Faculty instructors lead and facilitate the lab, guiding the discussion and performance of the procedures.

CurriculumRachel Dahms, MD u Assistant Residency Director


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 used to augment medical student and faculty education, to address systems-based barriers to quality care and to analyze communication issues within the ED and with other hospital partners. Several residents have completed simulation-based projects for their scholarly activity requirement, and we look forward to mentoring more residents in the future.

Emily Binstadt, MD, MPH u Jessie Nelson, MD u Casey Woster, MD, Simulation Education & Research SIMULATION

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Our basic conference curriculum covers the full spec-trum of topics in emergency medicine, based on The Model of the Clinical Practice of Emergency Medicine. We incorporate at least one small group/simulation conference day per month, exemplifying learning theory by using simulation or case-based materials as a basis of learning. In addition to the dedicated small group days, faculty use interactive learning on more standard conference days through audience response systems, and SMART® technology. Our weekly ‘critical case’ conference continues to be our signature conference, using real-life cases for discussion. Once per month our critical cases have a pediatric focus, with participation by our Peds-EM fellows and faculty.

Other conference time is dedicated to core content sessions, journal club, quality improvement, joint collaborative conferences with other departments at Regions, and our monthly grand rounds series. Other innovative ideas incorporated into conference include adding discussions of popular and relevant podcasts to our critical cases and live chats with our alumni from Utah and Florida. We are excited to be making good learning happen!

Kristi Grall, MD, MHPE u Assistant Residency DirectorDidactics

Bedside ultrasound has a strong history in the ED at Regions Hospital with all bedside ultrasounds ordered in the electronic medical record are automatically linked to the patient chart and available for viewing similar to CT scans and x-rays.

Resident ultrasound education is aimed at providing a strong base from which a resident can determine where ultrasound is most useful in their own practice of medicine. We focus on the ACEP recommended core uses of bedside ultrasound including but not limited to FAST, early pregnancy, AAA, cardiac, renal, biliary, venous, soft tissue, ocular, thoracic and procedural guidance. Education begins during the intern orientation the first weeks of residency.

The clinical ultrasound education experience is emphasized during the first year of residency when it is a key part of the ED-Integrated rotation. During designated days of those months, interns are assigned to ‘ultrasthesia’ days, where they spend the mornings in the operating room performing intubations and the afternoons in the ED performing ultrasounds, sometimes spent with an ultrasound faculty and other times spent independently scanning.

Ultrasound Michael Zwank, MD, RDMS u Peter Kumasaka, MD, Emergency Ultrasound Education


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What causes us to change our practice? This the heart of professional lifetime learning.

When I asked (via the EMRES email list) for the collective wisdom on this topic, I got some nice thoughts from a handful of you that I’ve paraphrased below:• when the preponderance of evidence has shifted• when trainees are constantly challenging me• when a trusted expert or an admired peer (particularly if this person is leading a system wide change)• when forced by a system protocol change

Perhaps the most blunt (from a senior physician who’s trained many of us): “I am quite uncertain what influences me to change.”

While there are many uncertainties in how we change, a common theme emerged among most responses; our peers, trainees and staff strongly influence how we practice. We are social learners, like it or not. In fact, it is easy to see this in our language used to judge our care quality in the terms ‘community standard’ or ‘standard of care’. Our standards are not primarily by RCTs: they are driven by the community adoption of a common practice. In absolute terms: “never be the first or last to do anything”.

To that end, I conclude that enhancing your connection to a learning community is a very effective way of improving the effectiveness of your learning and therefore your professional practice.

My prescription for 2015 lifetime learning is (trumpet fanfare) … Evaluate your learning community interactions and the community itself. Do you have a community? If you do, are you a passive follower within the community … or do you engage in conflict and seek uncertainty? If you’re not connecting with others and they aren’t challenging you, find people who will (respectfully) tell you that you’re wrong.

Did I hear someone ask for specific examples? I think so. Critically read an article that was mentioned in a podcast and decide for yourself. Ask a question of a speaker during or after a CME session you’ve attended. Work some shifts with trainees, and encourage them to question your wisdom. Discuss cases with EMS or nurses and encourage them to question your wisdom. And the most humbling specific example of all: become the local ‘trusted expert’ on a topic that interests you and try to change the behavior of your colleagues.

In closing, many of you know I spend the majority of my time doing non-clinical work. I am constantly asked, usually by non-clinicians, ‘how I keep up on all this’. For the first 5–10 years it wasn’t really clear to me that I was keeping up, and I’m still in no way the sharpest clinical knife in our ED drawer. However, I now respond that my immersion in a complex system of learning (specifically the residency environment) forces me to breakdown and rebuild my clinical practice constantly. And so … somehow … my amazing colleges seem to think I’m keeping up. So that’s good enough for me.

Thanks to all those who shared their learning wisdom with me.

Habits of Lifetime Learning Brad Gordon, MD, MS u Director, Residency Technology


Star Award - resident teacher selected by medical students2014 Ryan Bourdon, MD2013 Zabrina Evens, MD, Gary Mayeux, MD2012 Peter Baggenstos, MD2011 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 students2014 Kevin Kilgore, MD2013 Kara Kim, MD2012 Cullen Hegarty, MD2011 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

Felix Ankel Faculty Teaching Award - EM faculty teacher selected by residents2014 Mary Carr, MD, Rachel Dahms, MD2013 Cullen Hegarty, MD 2012 Samuel Stellpflug, MD2011 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 teacher selected by residents2014 Heather Nelson, RN2013 Daniel Sedlacek, RN2012 Donald B0rock, RN2011 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 Research2014 David Warren, MD, MPH2013 Gary Mayeux, MD2012 Eric Dahl, MD, Casey Woster, MD2011 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 teacher from outside EM selected by residents2014 Bruce Bennett, MD2013 Kealy Ham, MD, James Risser, MD2012 Bret Haake, MD2011 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 Award2014 Ryan Bourdon, MD2013 Jodi Greenlaw, DO2012 Eric Dahl, MD2011 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 Award2014 Jason Van Valkenburg, MD2013 Zabrina Evens, MD2012 Bjorn Peterson, MD, Benjamin Watters, MD2011 Katharine Davidson, MD2010 Aaron Burnett, MD2009 Owen Anderson, MD2008 Joey Peterson, MD, Jonathan Shultz, MD2007 Heidi Lako, MD

Carson R Harris Toxicology Award2014 Jenna LeRoy, MD2013 Jenna LeRoy, MD2012 Zabrina Evens, MD, Rebecca Gardner, MD2011 Katherine Katzung, MD2010 Heather Ellsworth, MD

Mark Bernas Advocacy Award2014 David Warren, MD, MPH2013 Adetolu Oyewo, MD2012 Adetolu Oyewo, MD2011 Autumn Erwin, MD2010 Autumn Erwin, MD

RESIDENCY AWARDS, RECOGNITION, HONORS


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Advocate ($1000+)Dorothy Bernas

Sponsor ($100+) Gail DrexlerGary David

The Mark Bernas Endowment was established in 1998 after the death of EM resident, Mark Bernas. It’s purpose is to provide long term financial resources for the Mark Bernas Emergency Medicine Resident Learning Center/Library and educational projects.

E009 - Mark Bernas Endowment

Donations to the Emergency Medicine Residency fund (L134) play a critical role in program and resident development. We were able to send residents to regional and national meetings:

L134 - Emergency Medicine Residency Education

• Marc Ellingson (‘14) to AAEM Scientific Assembly• Katherine Glasrud (’15) to CORD for a CPC presentation• Ryan Bourdon (’14) to Part 2 of ACEP Teaching Fellowship• Joshua Peltier (’15) to AIAMC Annual Meeting• Eric Ellingson (’14) to SAEM for abstract presentation• Brittany Brindle (‘16) & Kayla Odegard (‘16) to ACEP Leadership & Advocacy• Aaron Ankeny (’15) to ACEP Research Forum for an abstract presentation

EM Residency Funds U P D A T E

Regions Circle ($5,000+)Regions Hospital Emergency Medicine Physicians

Advocate ($1,000+)Rob (‘04) & Jenny LeFevereKevin (‘07) & Abbie SmithJeff (‘99) & Sara YoungPaul Travnicek (‘08)Sandy (Fritzlar) Buckman (‘07)

Builder ($500+)Cullen Hegarty (‘01)Brad (‘01) & Karine HernandezBob Knopp

Sponsor ($100+)Owen Anderson (‘09)Nate Curl (‘10)Katie Davidson (‘11)Laresa DeBoer (‘02)

Heather Ellsworth (‘10)Cynthia Kelmenson (‘03)Jillian Smith (‘11)Stephanie Taft (‘04)Scott Thielen (‘09)Ben Watters (‘12)Casey (‘12) & Wendy (‘13) Woster

Known for his sense humor and outstanding knowledge base, Bob Dahms defined a large part of himself by his career at St. Paul-Ramsey and then Regions. As a Family Medicine resident at St. Paul-Ramsey, he would often moonlight in the ED. He joined the full time staff upon graduating in 1972 and spent the next 35 years doing what he did best - sharing his medical expertise with everyone around him.

He delighted in the teamwork and interactions with the incredible staff here, and took intense satisfaction from being involved in medical education, in particular teaching residents, students, nurses, techs, medics, and others. At one time he was the local area expert on rabies and lightning injuries, and was named a Top Doc in emergency medicine by Mpls-St Paul magazine three years in a row.

Dr. Dahms retired from clinical practice in 2007 to enjoy life at his cabin in Walker, MN. An avid fisherman, card player and trivia buff, Bob leaves a legacy of stories and jokes to be shared by his family and many friends.

In Memory of Robert D Dahms, MD 1945-2014


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What brought you to Regions for your EM residency training?I chose Regions as I wanted a blend of experience. Few places as seamlessly give the combination of an inner city Level I Trauma Center while at the same time existing within a health system such as HealthPartners with a focus on throughput, patient satisfaction, and quality measures. While these metrics have become the norm throughout the country, Regions, as part of HealthPartners, stood at the forefront of this change. That and I always really enjoyed talking to Felix Ankel.

What were the highlights of your time at Regions as a resident?The annual trip to Lambeau (Vikings vs Packers) was always one of the biggest highlights of my years at Regions, and I thank Kurt (Isenberger ‘04) and Rob (LeFevere ‘04) for always making that happen. In second year, having Felix ask me the night of the holiday party if I wanted to go to Ecuador with him the next day to check out an away elective in Quito was obviously amazing. Lastly, the camaraderie of going out for breakfast after a rough night shift or out for a beer after an evening shift often times with the staff was always great, I still miss the Liffey; they don’t make Irish bars like that in Virginia.

Tell us about your current job, especially your work in education.I’ve been working in the Hampton Roads, Virginia area for the 7 and a half years since graduation. I started at a job in Portsmouth, Virginia working for TeamHealth immediately after residency. I eventually switched from there about four years ago to Emergency Physicians of Tidewater (EPT), a democratic group of about 80 physicians that runs 7 EDs in Hampton Roads, as well as the residency for Eastern Virginia Medical School (EVMS) in Norfolk. Five months ago after winning clinical faculty of the year 2 years in a row, I was promoted to academic faculty (9 positions) within the group. I’m still learning the ropes, but am enjoying the challenge of developing medical student and resident lectures, and really enjoy the chance to go back to relearn the basics behind some of the medicine I’ve been practicing for the last 8 years. I also hopefully am bringing some of the collegiality between attendings and residents that was such a part of my residency at Regions with me to Norfolk, VA.

Anything else we should know?While I’ll always miss my friends and family back in the Midwest, life in Virginia has been good and I’m happy to be back involved in a residency program again. Also, it has been great living within a block of the Chesapeake Bay, being able to pick up freshly caught salmon, tuna, and rockfish on the way home from work at a nearby fresh fish market. Last summer I took a 5 day surf camp with my two children, Lucy (10) and Gabe (7) and discovered that ,while I am now a Virginian, I will never be a surfer. I continue to enjoy making it back to the Midwest at least once a year to help Kurt Isenberger cheer on the Packers.

A L U M N I S P O T L I G H T MARTIN KLINKHAMMER, MD


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EM Resident EMS ExperienceRegions Hospital EM residents are introduced to the subspecialty of pre-hospital medicine early in their intern year. Residents’ exposure to prehospital medi-cine begins with a 15 day longitudinal rotation in EMS occurring during their integrated ED months. During this time, residents experience prehospital medicine by participating in patient care with EMS providers in urban, suburban and rural agencies. Residents gain exposure to fire-based, volunteer/paid on-call, third service, and police-paramedic EMS delivery systems. Air medical exposure is offered via Life Link III air ambulance which includes fixed and rotor wing critical care transport. Shifts at the Ramsey County Emer-gency Communications Center introduce residents to principals of Emergency Medical Dispatch, “the first first responders”. Residents also spend time shad-owing operators at the East Metro Medical Resource Control Center (“East Metro MRCC”), which serves as the nerve center for on-line medical control for ser-vices under the medical direction of Regions EMS.

Opportunities are also available for resident partici-pation in mass gathering medical operations. Regions Hospital EM residents assisted St. Paul Fire Depart-ment personnel in providing on-site medical care at the Red Bull Crashed Ice event, the Twin Cities Marathon, and the Minnesota State Fair. In the class-room, residents serve as instructors during advanced procedure human cadaver labs at the University of Minnesota medical school for our affiliated EMS providers. During didactic sessions such as critical case reviews and critical thinking labs, residents serve as educators and simulation facilitators. Through our partnership with Inver Hills Community College, res-idents work with EMS students during case reviews, patient encounter simulations, and procedure labs.

Resident Associate EMS Medical DirectorshipResidents with a particular interest in operational EMS may choose the Associate EMS Medical Directorship (AMD) for their required scholarly project. This unique program allows motivated residents to gain an in-depth understanding of operational, administrative and educational aspects of pre-hospital medicine, and the unique role of the EMS medical director. Residents completing the EMS-AMD program are uniquely positioned to competitively apply for EMS fellowships.

2014 Associate EMS Medical Directors:• Samantha Kealey, MD (’15)• Joshua Peltier MD (’15)• Amy Stoesz, MD (‘15)• Elizabeth Roeber, MD (’16)• Brittany Brindle, MD (’16)• Peter Coenen, MD (’17)

ACGME Accredited EMS FellowshipRegions Hospital EMS has offered a one-year EMS fellowship since 2010, allowing graduates to sit for the certification exam in EMS offered by the American Board of Emergency Medicine. Graduates include: Aaron Burnett, MD (‘11), current fellowship program director, Bjorn Peterson, MD (‘13), assistant EMS medical director, Eric Ernest, MD (‘14), medical director for the Bellevue Fire Department, and assistant medical director of Creighton EMS Education. Dr. Christopher Ward, current EMS fellow, is a graduate of the Lehigh Valley Residency in Pennsylvania with prior experience as a paramedic in both the Allina and HealthEast organizations.

ResearchRegions Hospital EMS continues to have a strong interest in advancing the science of pre-hospital medicine through research. In 2014 we were successful in publishing peer reviewed manuscripts in the American Journal of Emergency Medicine, Prehospital Emergency Care, and the Journal of Surgical Research. We continue to partner with the Regions Hospital Critical Care Research Center on a number of ongoing projects including several large-scale multi-center trials.

EMS U P D A T E

Ralph J Frascone, MD, Medical Director u Aaron Burnett, MD, Assistant Medical Director Bjorn Peterson, MD, Assistant Medical Director u David Waltz, EMT-P, Program Director

Tia Radant MA, EMT-P, Education Manager


2014 Graduation Dinner


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The Regions Hospital Clinical Toxicology Service and the Twin Cities Medical Toxicology Fellowship (a joint venture between HealthPartners/Regions and the Minnesota Poison Control System) had an eventful 2014. We said farewell-in-retirement to Dr. Carson Harris at the beginning of the year. Dr. Harris is the reason that the service and the fellowship exist at Regions, and we couldn’t thank him enough for his years of service, his wisdom, his consistency, his excellence, and his dedication. He will be missed and will be irreplaceable. The annual toxicology excellence award for our Regions EM residency has been named in Carson’s honor, and that first aptly named award was handed by Carson himself to then-EM-G3 Jenna LeRoy at graduation. Dr. Sam Stellpflug took over as director of the service.

Kristin Engebretsen, PharmD, has continued her fantastic work clinically and academically. She had previously been recognized as a Diplomat of the American Board of Applied Toxicology (DABAT), a high honor for a PharmD Toxicologist, but this year she took over as president of ABAT. In addition to that, she was promoted to Professor within the University of Minnesota College of Pharmacy. This is a well deserved honor and is a testament to the amazing body of work that she has developed thus far in her career. Congrats Kristin!

The Tox Service and Fellowship continue to strive to provide excellent education to fellows, residents, medical students, pharmacy students, and PA residents. These learners are the life-blood of what we do, and we look forward to the continued opportunity to share tox with them. Research continues to be a focus as well. The program continues work on several projects both at Regions and in conjunction with centers around the country, and that work is aided by multiple grants, both from HealthPartners and from national organizations. Along with the research comes publications, something our group as also enjoyed participating in. The national and international exposure that comes from this has been bolstered by the group also getting the opportunity to provide education in the form of invited lectures nationally, regionally, and locally.

Toxicology Sam Stellpflug, MD

Director, Toxicology Education & ServicesProgram Director, Medical Toxicology Fellowship

Kristin Engebretsen, PharmD, DABATClinical Toxicologist

JJ Rasimas, MD, PhDClinical Toxicologist

Mushroom hunt with Carson Harris, MD

Toxicology Fellows: Jenna LeRoy, MD, Travis Olives, MD, Rebecca Gardner, MD

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Medical Quality Management and Patient Safety

Our newest fellow, Ryan Bourdon, MD (‘14), began the first year of his two year fellowship in July of this year. Ryan chose the two year option which is combined with the University of St. Thomas’ Health Care Master’s in Business Administration. Ryan recently completed the American College of Emergency Physicians Teaching Fellowship in which his project was to revamp our residency quality and patient safety curriculum. Ryan’s current fellowship projects are involved in the areas of patient reported outcomes and the creation of a geriatric-friendly emergency department. He is also working with the Metro Minnesota Council of Graduate Medical Education Executive Quality Committee.

The fellowship curriculum has been updated for this academic year and includes topics in medical quality management and patient safety from both the delivery of care perspective as well as the health plan perspective. If you would like more information or have interest in applying to the fellowship, please contact Dr. Andrew Zinkel, fellowship director, at [email protected].

Quality and Patient Safety Fellowship Drew Zinkel, MD u Fellowship Director


Burnett AM. Acute Stroke or Transient Ischemic Attack treated with Aspirin or Ticagrelor and Patient Outcomes (SOCRATES Study) (2014-2015). AstraZenica. Site primary investigator.

Burnett AM, Frascone RJ. Sub-Dissociative Ketamine for the Management of Acute Pediatric Pain (2012-2014) HealthPartners Institute for Education and Research Grant.

Frascone RJ, Burnett AM. Prehospital Tranexamic Acid Use for Traumatic Brain Injury Source (2014-2016): National Heart Lung and Blood Institute, US Army Medical Research and Material Command. Site investigator and co-investigator.

Frascone RJ, Burnett AM. Bispectral Index as a Proxy for Cerebral Perfusion During Prehospial CPR (2014-2015). Metropolitan Emergency Service Board.

Frascone RJ, Burnett AM. Intraosseous Pressure Monitoring in Surgical Intensive Care Unit Patients. (2014-2015) Vidacare, Inc.

Gordon BD. Impact of Health Information Exchange Network on Clinical Decision Making in an Urban Emergency Department (2013-2014). HealthPartners Institute for Education and Research. Principle investigator.

Katzung KG, Engebretsen KM, Holger JS, LeRoy JM, Boley SP, Stellpflug SJ. Effect of Norepinephrine on Cerebral Oxygenation in a Porcine Model of Propranolol Toxicity After Maximization of High Dose Insulin (HDI) Therapy. (2014) HealthPartners Research Foundation.

Kaye KL. ED Dental Vouchers. HealthPartners Institute for Education and Research. Principle investigator.

Westgard BC. Using Systems Science Methods to Study Cardiac Risk in the Somali Community (2014-2019). National Heart, Lung, and Blood Institute. Principle investigator.

Zwank MD. Progesterone for the Treatment of Traumatic Brain Injury - ProTECT III. (2010-2014) National Institute of Health. Site-investigator.

Zwank MD, Burnett AM, Isenberger KM, Haake B. Platelet-Oriented Inhibition in New TIA (POiNT). (2012-present) National Institute of Health. Site investigator and co-investigators.

Zwank MD. Antihypertensive Treatment of Cerebral Hemorrhage II (ATACH-II) (2014-present) Site-investigator.

Zwank MD. Ambulatory Post-Syncope Arrhythmia Protection Feasibility Study. Zoll. Principle investigator.

Zwank MD. Does Internal Jugular Vein Collapse Predict Low Central Venous Pressure? HealthPartners Institute for Education & Research. Principle investigator.

GRANTS AND IRB-APPROVED STUDIES:


Drs. Drew Zinkel and Ryan Bourdon


I N T E R N AT I O N A L F E L L O W S H I P Amy Walsh completed her fellowship this summer and has taken on the role of fellowship director. Amy Stoesz as been accepted to begin the program in July 2015. We will customize the program to match Amy’s interest in human rights and human trafficking. Our fellowship program has an existing relationship with the Global Emergency Care Collaborative, an organization that has an exciting training program for local providers in Uganda and programs in development in Uganda and Kenya. We are active participants in multiple annual education events with Mano a Mano in Bolivia. Fellows also participate in a scholarly project and clinical

shifts. The fellowship programming focuses on preparing fellows to develop emergency medical systems and provide medical education in international settings.

Amy Walsh, MD, MDP u Fellowship Director


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Drs. Drew Zinkel and Ryan Bourdon

The Pediatric Emergency Medicine fellowship program at Children’s Hospital and Clinics of Minnesota has been training PEM physicians since 1988. The Children’s Hospital of Minnesota- Minneapolis campus is certified by the American College of Surgeons as a Level 1 pediatric trauma center. The program has eight PEM fellows supported by 40 PEM physicians and 16 ED-based pediatric nurse practitioners. This comprises the largest pediatric-emergency trained staff in the region. The pediatric emergency department at Children’s Hospitals and Clinics of Minnesota has an annual volume of 90,000 patients between the two campus, with outreach services in Chaska, Woodbury and Plymouth. Children’s ED is among the top 5 busiest pediatric EDs in the country. In July, 2014, Joe Arms, MD, started as Program Director. Children’s Hospitals has a comprehensive research department with research staff supporting the fellowship program. Faculty and fellows have numerous presentations at regional and national meetings. (www.regionsem.org/fellowships)

PEDIATRIC EMERGENCY MEDICINE FELLOWSHIP Joe Arms, MD u Fellowship Director


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PUBLICATIONSAbdel-Hamid T, Ankel F, et al. Public and health professionals’ misconceptions about the dynamics of body weight gain/loss. Syst Dyn Rev 2014; 30, 58-74.

Pillow MT, Hopson L, Bond M, Cabrera D, Patterson L, Pearson D, Sule H, Ankel F, et al. Social media guidelines and best practices – recommendations from the Council of Residency Directors (CORD) social media taskforce. West J Emerg Med. 2014; 15(1):26-30.

Burnett A, Frascone R, Wewerka S, Kealey S, Evens Z, Griffith K, Salzman J. Comparison of success rates between two video laryngoscope systems used in a prehospital clinical trial. Prehosp Emerg Care. 2014; 18(2):231-238.

Burnett, AM, Engebretsen KM, Panchal D. The Administration of Pre-hospital Ketamine for Chemical Restraint does not Prolong On-Scene Times Compared to Haloperidol Based Sedation. Australasian Journal of Paramedicine, 2014.

Ernest E, Burnett A, Frascone RJ. High index of suspicion. Recognizing & managing traumatic neck injuries. JEMS. 2014 Apr;39(4):50-4.

Carr M, Thomas A, Atwood D, Muhar A, Jarvis K, Wewerka S. Debunking Three Rape Myths. Journal of Forensic Nursing Dec 2014 10(4).

Frascone RJ, Salzman JG, Ernest EV, Burnett AM. Use of an Intraosseous Device for Invasive Pressure Monitoring in the Emergency Department. Am J Emerg Med. 2014 Jun;32(6): 692.e3-4.

Frascone RJ. The risk versus benefit of LUCAS: is it worth it? Anesthesiology. 2014 Apr;120(4):797-8.

Debaty G, Segal N, Matsuura T, Fahey B, Wayne M, Mahoney B, Frascone RJ, Lick, C., Yannopoulous, D. Hemodynamic Improve- ment of a LUCAS 2 Automated Device by Addition of an Impedance Threshold Device in a Pig Model of Cardiac Arrest. Resus, 2014, Dec;85(12): 1704-7.

Selker HP, Udelson JE, Massaro JM, Ruthazer R, D’Agostino RB, Griffith JL, Sheehan PR, Desvigne-Nickens P, Rosenberg Y, Tian X, Vickery EM, Atkins JM, Aufderheide TP, Sayah AJ, Pirrallo RG, Levy MK, Richards ME, Braude DA, Doyle DD, Frascone RJ, et al. One-year outcomes of out-of-hospital administration of intravenous glucose, insulin, and potassium (GIK) in patients with suspected acute coronary syndromes (from the IMMEDIATE [Immediate Myocardial Metabolic Enhancement During Initial Assessment and Treatment in Emergency Care] Trial). Am J Cardiol. 2014 May 15;113(10):1599-605.

Grall KH, Hiller K, Stoneking, LR. Analysis of the evaluative components on the Standard Letter of Recommendation (SLOR) in Emergency Medicine. West J Emerg Med. 2014 Jul;15(4):419-23.

Min AA, Stoneking LR, Grall KH, Spear-EllinWood K. Implemen-ta-tion of the Introductory Clinician Development Series: an optional boot camp for Emergency Medicine interns. Adv Med Educ Pract. 2014 Aug 25;5:275-9.

Grall KH, Stoneking LR, DeLuca LA, Waterbrook AL, Pritchard TG, Denninghoff KR. An innovative longitudinal curriculum to increase emergency medicine residents’ exposure to rarely encountered and technically challenging procedures. Adv Med Educ Pract. 2014 Jul 17;5:229-36.

Hegarty CB, Lane DR, Love JN, Doty CI, DeIorio NM, Ronan-Bentle S, Howell J. Council of Emergency Medicine Residency Directors Standardized Letter of Recommendation Writers’ Questionnaire. J Grad Med Educ. 2014 Jun;6(2):301-6.

Holger JS, Engebretsen KM, Stellpflug SJ, Cole JB, Kerns W 2nd. Critical care management of verapamil and diltiazem overdose with a focus on vasopres-sors: a 25-year experience at a single center [editorial]. Ann Emerg Med. 2014;63(1):91-2. [Comment in: Ann Emerg Med. 2014;63(1):93. Comment in: Ann Emerg Med. 2013 Sep,62(3):252-8.]

Nelson JG and Zhu DW. Atrial flutter with 1:1 conduction in undiagnosed Wolff-Parkinson-White Syndrome. J Emerg Med. 2014 May;46(5):e135-40.

Quaday KA, Salzman JG, Gordon BD. Magnetic resonance imaging and computed tomography utilization trends in an academic ED. Am J Emerg Med. 2014;32:524–528.

Stellpflug SJ, Kealey SE, Hegarty CB, Janis GC. 2-(4-Iodo-2, 5-dimethoxyphenyl)-N-[(2-methoxyphenyl)methyl]ethana-mine (25I-NBOMe): clinical case with unique confirmatory testing. J Med Toxicol. 2014;10(1):45-50.

Cole JB, Stellpflug SJ, Engebretsen KM. Asystole Immedi-ately following intravenous fat emulsion for overdose. J Med Toxicol. 2014; Sep;10(3):307-10.

Stellpflug SJ, Cole JB, Lavonas EJ. The poison pen: how confident are we about iocane? J Med Toxicol. 2014 Jun;10(2):249-50.

Zwank MD, Ho BM, Gresback D, Stuck LH, Salzman JG, Woster WR. Does computed tomographic scan affect diagnosis and management of patients with suspected renal colic? Am J Emerg Med. 2014 Apr;32(4):367-70.

Zwank MD, Dummer BW, Danielson LT, Haake BC. Lacunar stroke in a teenager after minor head trauma: case report and literature review. J Child Neurol. 2014 Sep;29(9):NP65-8.

Zwank MD, Leow M, Anderson CP. Emergency department patient knowledge and physician communication regarding CT scans. Emerg Med J. 2014 Oct;31(10):824-6.

ELECTRONIC PUBLICATIONSAnkel F, Smith A. Expert respondent. Compassion fatigue, in “The case of the not so humorous humerus”. In Chan, Thoma and Lin (Ed) Medical Education in Cases: Volume 1 (1st Edition). 2014 San Francisco CA; Academic Life in Emergency Medicine.

Roach B, Echols K, Burnett A. Excited Delirium and the Dual Response: Preventing In-Custody Deaths. FBI Law Enforcement Bulletin. July, 2014. http://leb.fbi.gov/2014/july/excited-delirium-and-the-dual-response-preventing-in- custody-deaths

Ernest E, Burnett A, Frascone RJ. High index of suspicion: Recognizing and managing traumatic neck injuries. Journal of Emergency Medical Services. April, 2014: 50-54. http://www.jems.com/article/patient-care/recognizing-and- managing-traumatic-neck

BOOK CHAPTERSAnkel F. Aortic Dissection. In Marx, Hockberger, Walls et al (Eds.), Rosen’s Emergency Medicine, Concepts and Clinical Practice 8th Edition. (pp 1124-1128) Philadelphia PA: Mosby/Elsevier 2014.

Katzung K, Ankel F (2014). What do Program Directors look for in an Applicant? In Kazzi et al (Eds.) AAEM/RSA’s Rules of the Road 2nd Edition. Milwaukee WI. AAEM 2014.

Ling EW, Hart DE. Hypothermia. In Wolfson et al (Eds) Harwood-Nuss Clinical Practice of Emergency Medicine, 6th edition. Philadelphia PA. Wolters Kluwer 2014.

Ling EW. Drowning (Submersion Injuries) In Wolfson et al (Eds) Harwood-Nuss Clinical Practice of Emergency Medicine, 6th edition. Philadelphia PA. Wolters Kluwer 2014.

Stellpflug S, Kerns W II. Antidotes in Depth (A17): High Dose Insulin Therapy. In: Goldfrank L et al (eds) Goldfrank’s Toxicologic Emergencies 2014.

Stellpflug SJ, Harris CR. Benzodiazepines. In Wolfson et al (Eds) Harwood-Nuss Clinical Practice of Emergency Medicine, 6th edition. Philadelphia PA. Wolters Kluwer 2014.

PUBLICATIONS AND PRESENTATIONSBold: faculty/staff

Bold italics: residents/fellows


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Stellpflug SJ, Harris CR. Barbiturates. In Wolfson et al (Eds) Harwood-Nuss Clinical Practice of Emergency Medicine, 6th edition. Philadelphia PA. Wolters Kluwer 2014.

Orozco B, Stellpflug SJ. Muscle Relaxants and Other Sedative Hypnotic Agents. In Wolfson et al (Eds) Harwood-Nuss Clinical Practice of Emergency Medicine, 6th edition. Philadelphia PA. Wolters Kluwer 2014.

SCIENTIFIC PRESENTATIONSIsenberger K, Stuck L, Ankeny A, Westgard B, Shirley C. Association of Missed Outpatient Appointments and Emergency Department Visits and Inpatient Admissions. Poster presentation. ACEP Research Forum, Chicago IL, October 2014.

Burnett A, Panchal D, Griffith K, Frascone RJ, Engebretsen Kristin. Prehospital ketamine does not prolong on-scene time compared to haloperidol when used for chemical restraint. Prehosp Emeg Care. 2014;18(1):142. Poster presentation. National Association of EMS Physicians Annual Meeting, Tucson AZ, January 2014.

Burnett A, Peterson B, ``, Griffith K, Frascone RJ. Cadaver Labora-tory Experience for Teaching Prehospital Procedures to EMS Fellows. Poster presentation. NAEMSP Annual Meeting. Tucson AZ, January 2014.

Burnett AM, Salzman J. Public-Private Partnership to Develop a Community Paramedic Program to Decrease CHF Readmissions. Poster presentation. Institute for Healthcare Improvement 26th Annual National Forum. Orlando Florida. December 2014.

DePompolo A, Burnett A, Cutler G, Wewerka S, Morris A, Kharbanda A. Implementation of a Pediatric Prehospital Pain Management Protocol. Poster presentation. Pediatric Academic Societies Annual Meeting Vancouver BC, Canada. May 2014.

Yannopolous D, Matsuura T, Wayne M, Mahoney B, Frascone RJ, et al. Evaluation of the Hemodynamic Synergy Between an Impedence Threshold Device and the LUCAS 2 Automated CPR Device in a Pig Model of Cardiac Arrest. Prehospital Emergency Care. Jan-Mar 2014, 18(1):131. Poster presentation. Poster presentation. National Association of EMS Physicians Annual Meeting, Tucson AZ, January 2014.

Gardner R, Laes J, Feyma T, Cole J, Stellpflug S. Pediatric bupropion overdose mimics clinical brain death. Clin Toxicol 2014;52:766. Absttract #185. Poster Presentation. North American Congress of Clinical Toxicology, New Orleans LA, October 2014.

Gordon, BD, Salzman, J, Bernard K, Whitebird R. Health Infor- mation Exchange Frequently Changes Emergency Physician Management Plan (poster presentation) American College of Emergency Physicians Research Forum. Chicago IL, October 2014.

Yang L, Sabb D, Munzer B, Gonzaga J, Grall K, Denninghoff K, DeLuca L. Incidence of Ventilator-Associated Pneumonia Compared to Ventilator-Associated Events in the ED. Presented at Society for Critical Care Medicine Annual Congress, San Francisco CA, January 2014.

Grall KH, Fiorello A, Griffith M, Meislin H. “Milestones Residency Assessment Tracking (MRAT) A Cross-Platform, Moblie, Web-App for Bedside Evaluations of Emergency Medicine Residents Using Milestones.” Accreditation Council of Graduate Medical Education. National Harbor, MD. Feb-Mar 2014 and Council of Residency Directors – Emergency Medicine. New Orleans LA. Mar-Apr 2014.

Peterson BK, Glasrud KJ, Stellpflug SJ, Engebretsen KM, Salzman JG, Frascone JR, Burnett AM. Prehospital ketamine for chemical restraint: administered dose versus intubation rate [abstract]. Prehosp Emerg Care. 2014;18(1):142. Poster presen-tation. National Association of EMS Physicians Annual Meeting, Tucson AZ, January 2014.

Westgard BC. Morbidity & Mortality in Necrotizing Soft Tissue Infections (NSTIs): Hyperbaric Oxygen Versus Standard Therapy in Two Urban Hospitals. Undersea and Hyperbaric Medicine Society Annual Meeting. St Louis MO, June 2014.

Westgard BC, Warren DJ. Hotspots of Triple Aim Opportunity: Identifying Geographic Clusters of Potentially Preventable Emer-gency Department Visits and Costs, 2014; 64(4):S85-S86. Poster presentation. ACEP Research Forum, Chicago IL, October 2014.

Zwank MD, Ellingson MT, Dummer BW, Ford CJ, Stuck LH, Ellingson EL. Ultrasound Evaluation for Jugular Venous Distention in Patients with Dyspnea. Abstract – SAEM Annual Meeting, Dallas, TX, May 14, 2014.

Zwank M, Kennedy S, Stuck L, Gordon BD. Default Versus Open Text Narcotic Prescription Writing in the Emergency Department Electronic Medical Record. Oral presentation. Society of Academic Emergency Meeting Annual Meeting, Dallas TX, May 2014.

INVITED PRESENTATIONSAnkel F. Program director survival stories. International Conference of Residency Education (ICRE), Toronto, Canada, 2014.

Ankel F. Entrustment decision-making. Association of Medical Educators of Europe (AMEE) conference, Milan, Italy 2014.

Ankel F (panel moderator), Promes S, Barrett L (panelist). Milestones one year in-what we’ve learned so far. CORD Academic Assembly New Orleans LA, Mar-Apr, 2014.

Ankel F. Finding the right mentor. CORD Academic Assembly, New Orleans LA, Mar-Apr 2014.

Ankel F, Dahms RA (panelists). FOAMed and social media for EM educators. CORD Academic Assembly, New Orleans, LA Mar-Apr 2014.

Ankel F. GME funding 2.0.: 2014 and beyond. AIAMC Annual Meeting, San Diego, CA, March 2014.

Barrett LJ. Interview Season (panelist). EMARC New Coordi-nators Workshop. CORD Academic Assembly, New Orleans LA, Mar-Apr 2014.

Barrett LJ. Web 2.0 – Resources for Coordinators (panelist). EMARC Track, CORD Academic Assembly, New Orleans LA, Mar-Apr 2014.

Burnett AM, Salzman J. Partnering with fire based emergency services to reduce hospital utilization. Institute for Healthcare Improvement 26th Annual National Forum. Orlando FL, December 2014.

Dahms RA. CORD Academic Assembly, New Orleans LA, April 2, 2014.

Engebretsen KM. Vasopressors in toxin induced CV shock. American Academy of Clinical Toxicology (AACT)- North American Congress of Clinical Toxicologists International Toxicology Conference, New Orleans LA, October 2014.

Engebretsen KM. Gastrointestinal decontamination. European Association of Poison Control Centres and Clinical Toxicolgoists (EAPCCT), Brussels Belgium, May 2014.

Engebretsen KM. Critical care (panelist). American College of medical Toxicology (ACMT)- National Midyear Meeting. Tucson AZ, March 2014.

Frascone RJ. New Skills With Drills. Medical Directors Gathering of EAGLES Conference, Dallas TX, February 2014.

Hegarty CB, Love JN. Introduction to the SLOE and how to write a good one. CORD Academic Assembly, New Orleans LA, April 2, 2014.

Isenberger KM. Emergency Psychiatry Boarding. Fifth Annual National Update on Behavioral Emergencies. Scottsdale AZ, December 2014.

Nelson JG. ACEP Simulation-based Immersive Medical (SIM) Training Course. Tampa FL, Mar-Apr 2014.

Stellpflug SJ. Hot, Tachy, Crazy. Co-keynote speaker for the ACEP Toxicology Section Meeting. American College of Emergency Physicians (ACEP) Scientific Assembly, Chicago IL, October 2014.

Stellpflug SJ. Assessment and Evaluation of the Tox Patient. Society of Hospital Medicine Annual Meeting, Las Vegas NV, March 2014.


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RESIDENCY 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 Methodist Hospital - St. Louis Park, MNCheri Audrain-Schroeder, MD ‘01 University of Nevada Fairview Southdale Hospital - Edina, MNPeter Baggenstos, MD ‘12 Morehouse School of Medicine Methodist Hospital - St. Louis Park, 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 Lakeview Hospital - Stillwater, MNMarny Benjamin, MD ‘02 Loyola University Methodist Hospital - St. Louis Park, MNMark Bernas, MD ‘00 University of Minnesota DeceasedMichael Bond, MD ‘14 University of Minnesota North Memorial Medical Center - Robbinsdale, MN John Bonta, MD ‘02 University of Nebraska Bryan LGH Medical Center - Lincoln, NERyan Bourdon, MD ‘14 University of Wisconsin Regions Hospital Quality & Pt. Safety Fellowship - St. Paul, MN Autumn (Erwin) Brogan, MD ’11 University of Minnesota Mayo Health Systems - Rochester, MNSandy (Fritzlar) Buckman, MD ‘07 Mayo Medical School United Hospital - St. Paul, MNAaron Burnett, MD ‘10 SUNY at Syracuse Hudson Hospital - Hudson, WIAmanda Carlson, MD ‘13 University of Minnesota Essentia-St Mary’s Hospital - Duluth, MNCatherine Carlson, MD ’11 University of Colorado Carolinas HealthCare - Charlotte, NCAdina (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 Mayo Health Systems - Eau Claire, WINathaniel Curl, MD ‘10 University of Iowa Genesis Health System - Bettendorf, IAEric Dahl, MD ‘12 University of Minnesota Westfields Hospital - New Richmond, WIKatharine Davidson, MD ’11 University of Cincinnati United Hospital - St. Paul, MNLaresa 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 United Hospital - St. Paul, 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, MNMary (Fehringer) Drake, MD ‘00 University of Nebraska Bozeman Deaconess Hospital - Bozeman, MTJoey (Peterson) Duren, MD ‘08 University of North Dakota United Hospital - St. Paul, MNKelsey Echols, MD ‘14 Mayo Medical School United Hospital - St. Paul, MNRoseann Ekstrom, MD ‘07 University of Minnesota Fairview Northland Medical Center - Princeton, MNEric Ellingson, MD ‘14 University of Minnesota St. John’s Hospital - Maplewood, MNMarc Ellingson, MD ‘14 Creighton University Abbott Northwestern Hospital - Minneapolis, MNHeather Ellsworth, MD ‘10 Medical College of Wisconsin St. Luke’s Magic Valley - Twin Falls, IDZabrina Evens, MD ‘13 University of Minnesota Halifax Health - Daytona Beach, FLAaron Feist, MD ‘10 University of North Dakota Community Medical Center - Missoula, MTTyler Ferrell, MD ‘12 Medical College of Wisconsin Mercy Hospital - Coon Rapids, MNJared Friedman, MD ‘05 University of South Dakota Avera McKennan Hospital - Sioux Falls, SDJon Fuerstenberg, MD ‘04 Mayo Medical School Abbott Northwestern Hospital - Minneapolis, MNRebecca Gardner, MD ‘13 Temple University Regions Hospital Medical Toxicology Fellowship - St Paul, 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 Northwest Hospital - Seattle, WAElizabeth Godin, MD ‘06 Medical College of Wisconsin University of Minnesota Medical Center - Minneapolis, MNBradley Gordon, MD ‘02 Creighton University Regions Hospital - St. Paul, MNJodi Greenlaw, DO ‘13 Nova Southeastern University Mercy Hospital - Coon Rapids, MNCraig Grorud, MD ‘99 University of North Dakota Park Nicollet - Minneapolis, MNTara (O’Connell) Gruba, MD ‘09 University of Minnesota Hoag Hospital - Laguna Beach, CATheresa Gunnarson, MD ‘00 University of Minnesota Essentia-St. Mary’s Hospital - Duluth, MNClint Hawthorne, MD ‘12 University of Iowa Iowa Health - Des Moines, IACullen 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, WAKyle Holloway, MD ‘14 University of Minnesota St. John’s Hospital - Maplewood, MNLynn Howard, MD ‘03 University of Minnesota Essentia-St. Mary’s Hospital - Duluth, MNKurt 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, MN


29


Name Medical School Current LocationNicholas Johnson, MD ‘05 Creighton University Abbott Northwestern Hospital - Minneapolis, MNPhelps Johnson, MD, PhD ‘02 Medical College of Wisconsin Essentia-St. Mary’s Hospital - Duluth, MNTodd Joing, MD ‘05 University of Minnesota Fairview-Southdale Hospital - Edina, MNKatherine Katzung, MD ‘12 University of Minnesota Abbott Northwestern Hospital - Minneapolis, MNCynthia Kelmenson, MD ‘03 University of Pennsylvania Medical Center of Aurora - Denver, COKara Sellung Kim, MD ’11 University of Minnesota St. John’s Hospital - Maplewood, MNMartin Klinkhammer, MD ‘07 Mayo Medical School Emergency Physicians of Tidewater - Virginia Beach, VAAmy 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, MNJenna Leroy, MD ‘14 University of Iowa Regions Hospital Medical Toxicology Fellowship - St. Paul, MNKaren Lushine, MD ‘01 University of Minnesota Essentia-St. Mary’s Hospital - Duluth, MNJoseph Madigan, MD ‘07 University of Minnesota United Hospital - St. Paul, MNDarren Manthey, MD ‘05 University of Minnesota Kootenai Health - Coeur d’Alene, IDEmily Mason, MD ‘07 University of Wisconsin Sacred Heart Hospital - Eau Claire, WIGary Mayeux, MD ‘13 Louisiana State University Abbott Northwestern Hospital - Minneapolis, MNA. Duncan McBean, MD ‘09 University of Minnesota St. Joseph Medical Center - Bellingham, WASonali Meyer, MD ‘13 University of Minnesota Mercy Hospital - Coon Rapids, MNHal 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, MNAdetolu Oyewo, MD ‘13 Mayo Medical School Emory University - Atlanta, GAN. 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, MNBjorn Peterson, MD ‘12 Loma Linda University Lakeview Hospital - Stillwater, MNKelly Rhone, MD ‘04 University of South Dakota Avera McKennan Hospital - Sioux Falls, SDMartin Richards, Jr, MD ‘06 University of Minnesota Hudson Hospital - Hudson, WIBrian Roach, MD ‘14 University of Wisconsin Fairview Ridges Hospital - Burnsville, MNEric Roth, MD ’11 Dartmouth University St. John’s Hospital - Maplewood, MNJason Roth, MD ‘99 University of Colorado St. Anthony Hospital - Denver, CODarcy Rumberger, MD ‘13 University of Florida Mercy Regional Medical Center - Durango, 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, MNKevin 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 Parkview Medical Center - Pueblo, COScott 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 Port Macquarie Base Hospital - New South Wales, AustraliaMelissa Tschohl, MD ‘06 University of Minnesota University of Minnesota Medical Center - Minneapolis, MNJason Van Valkenburg, MD ‘14 University of North Dakota Sanford Hospital - Fargo, NDJeffrey Vespa, MD ‘00 Loyola University North Memorial Medical Center - Robbinsdale, MNGregory Vigesaa, DO ‘10 University of Virginia COM Sanford Hospital - Fargo, NDJoseph Wahlberg, MD ‘06 University of Minnesota United Hospital - St. Paul, MNJerome Walker, MD ‘12 University of Minnesota Fairview Ridges Hospital - Burnsville, MNJoseph Walter, MD ‘13 St. Louis University St. Croix Regional Medical Center - St. Croix Falls, WIBrent Walters, MD ‘10 University of Minnesota Methodist Hospital - St. Louis Park, MNDavid Warren, MD, MPH ‘14 University of Texas-Houston Fairview Lakes Medical Center - Wyoming, MNBenjamin Watters, MD ‘12 Loma Linda University Marcus Daly Memorial Hospital - Hamilton, MTBeth Wicklund, MD ‘07 University of Minnesota Methodist Hospital - St. Louis Park, MNClark Williams, MD ‘03 University of Wisconsin Mercy Hospital - Dubuque, IACasey Woster, MD ‘12 Creighton University Lakeview Hospital - Stillwater, MNWendy Woster, MD ‘13 Unviersity of Minnesota Hudson Hospital - Hudson, WIJames 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.

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

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