Regions Emergency Medicine Residency Felix Ankel, MD

History n Accreditation 1995, 1999, 2003, 2009 n 99 graduates 1999-present n 128 residents 1996-present

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

99 graduates 1999-present n 67 Minnesota: 15 Regions, 11 EPPA, 7 Fairview-U, 6 North, 5 Abbott, 5 HealthEast, 5 United, 4 Duluth, 2 Waconia, Shakopee, Brainerd, Rochester, New Ulm, Princeton n 31 out of state: SD 5, NE 3, IA 4, ND 3, CO 2, IN 2, WI 2, MT 2, WA 2, CA, NH, NY, OR, UT, VA n 17 Academic: 15 Regions, Wishard, Mayo n 14 Hybrid: 7 Fairview-U, 6 North, Mercy-Iowa City n 67 Community n 9 Fellows (3 toxicology, faculty development, critical care, simulation, informatics, ultrasound, EMS)

128 residents ( present) 38 medical schools n 45 U of M n 8 UND n 7 MCW, Iowa, USD, Mayo n 5 Creighton n 4 UW n 2 Nebraska, Loyola, Indiana, Kansas, Chicago Med School, Colorado, Loma Linda, SLU n SUNY-Buffalo, Des Moines, Nevada, Vermont, Penn, Hawaii, East Carolina, Arizona, Utah, Michigan State, SUNY-Syracuse, VA-COM, UCSF, Dartmouth, Yale, Tufts, Cincinnati, Morehouse, Florida, Nova-COM, Temple, LSU

30 Faculty (13 Different EM Residencies) n Regions x 15 n Henry Ford x 2 n Harvard Affiliated x 2 n Illinois x 2 n HCMC n Brooke Army n St Vincent’s n Christ n Indiana n Boston Medical Center n Grand Rapids n Michigan n Resurrection

Residency Strategic Plan /28/05 n SWOT analysis n Conferences n Simulation n Mentorship n Administrative curriculum n Scholarly activity n Individualization of educational experience n Integration with U of M n Integration with twin city hospitals n National presence

n ED-I rotation (EM, Anes, EMS) n 3 new ultrasound machines n EM-3 Peds anesthesia n New ED n Cards/Hospitalist rotation n Fellowship development (EM-Peds, EMS, International)

Residency Strategic Plan /21/010 n SWOT analysis n Review of strategic plans of department, hospital, IME, and healthplan n Outcomes (quality) n Knowledge translation (web 2.0 and work with librarians) n Procedural competency n Non-clinical training (longitudinal admin) n Benchmarks and scorecards n Resources (wellness and resilience)

Program review 2010 n Residency coordination n Resident support n Social work staff n Faculty supervision n Progressive responsibility n Residency leadership n EMS n Cardiology rotation n Ortho rotation n Admin rotation n Anesthesia rotation n Education vs service n Research n Plastics rotation

n 10 interns n New procedural skills lab n EMS fellow, EM-peds sponsorship n Quality, international fellowship approval n ROD, MSOD – longitudinal admin experience n Night float block n Hudson selective pilot n Quality teams n Recruitment boom

Thoughts n Caring for patients vs. treating patients n Complex vs. complicated system n Wisdom of Crowds, James Surowiecki n The Culture Code, Clotaire Rapaille n The Foucault Reader, Paul Rabinow (Ed.) n Drive, Dan Pink

Questions to consider n Web 2.0 –Consolidate and optimize current on line interactive resources n Longitudinal admin experience –Determine strengths and areas to tweak n QI program design –Review, discuss progress and recommend improvement n Wellness and resilience –Develop plan to maintain and improve current wellness and resilience

Questions to consider