Regions Emergency Medicine Residency October 27, 2004 Felix Ankel, MD

PAPEEMCE Provide and promote excellence in emergency medicine care and education n Patient centered n Resident centered n Team oriented n Transparency n Professionalism n Knowledge n Skills n Attitudes n Core competencies n Contribution to specialty

History n Accreditation 1995, 1999, 2003 n 45 graduates 1999-present n 72 residents 1996-present

45 graduates 1999-present n 26 Minnesota: 6 Regions, 4 North, 3 Eppa: 2 Fairview-U, 2 Waconia, 2 Duluth, 2 Abbott, 2 Shakopee, 2 Fellows, Healtheast, Brainard n 19 out of state: CO x2, IN x 2, IA x 2, SD x 2 Neb, CA, MS, OR, NH, Alaska, MT, WA, NC, CA, WI n 9 Academic: 6 Regions, Wishard, Madigan, University of Iowa n 7 Hybrid: 4 North, 2 Fairview-U, Mercy-Iowa city n 27 Community n 3 Fellows (faculty development, critical care, simulation)

72 residents ( present) n 26 U of M, n 5 USD, UND, Mayo n 4 Creighton, n 3 MCW n 2 Nebraska, Loyola, IU, UW, Iowa n Finch, SUNY-Buffalo, SLU, Des Moines, Nevada, Vermont, Penn, Hawaii, East Carolina, Arizona, Colorado, Kansas, Utah

29 Faculty (16 Different EM Residencies) n Regions x 6 n Henry Ford x 2 n Michigan x2 n U of Illinois n Pitt n Virginia n Mass General n HCMC n Maryland n Brooke Army n St Vincent’s n UCSF/Fresno n Christ n New Mexico n Cincinnati n Indiana

Rotations (4 weeks blocks) n Year 1: ED 3.3, SICU 1.3, Ortho 1.3, MICU 1, Cards 1, OB 1, Mpls Kids 1, Anesthesia 1, Plastics 1, EMS 1 n Year 2: ED 6.3, SICU 1.3, EMS 1, North 1, MICU 1, St Paul kids 1.3, Tox/Adm 1 n Year 3: ED 9.2, SICU 1.3, elective 1.5, St Paul Kids 1

Selected residency areas n Habits of life long learning n Evaluation and feedback n Tutorials n Anatomy lab n Procedure lab n Communication n Simulation n Mentorship and advising n Fellowship

2003 retreat n Staff n Patient population n 24-hour social workers n Learning environment n Early airway n Scrub color n EBM teaching n “Rural” experience n Peds airways n SICU n Cafeteria

n One month rotation to 4 week rotation n Incr Saint Paul kids exposure 26% n Move EMS from EM-2 to EM-1 n Move Tox from EM-3 to EM-2 n Incr Nurse midwife from 1 to 2 week n SICU, ortho, pediatric airway n BEST, virtual admin curriculum n Scrub color, cafeteria, EBM n EMREL, education asst, annual report, newsletter n Simulation n Shakopee pilot

2004 Program Review n n Residency Coordination, Accessibility & Responsiveness n n Resident Responsibility, Independence (3rd year only) n n Resident Responsibility, Resuscitations (3rd year only) n n ED Social Work Staff, Quality n n Resident Responsibility, Progression n Rotation Rating, OB n Rotation Rating, Orthopedics n Rotation Rating, Administration n Rotation Rating, Cardiology n ED Research

Future directions n Central repository of educational resources n Individualization of educational experience –mentorship, elective, project n Core competencies n Simulation n Collaboration n Mentorship n Leadership