Regions Emergency Medicine Residency Retreat October 27, 2011 Felix Ankel, MD

History n Accreditation 1995, 1999, 2003, 2009 n 108 graduates 1999-present n 138 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

108 graduates 1999-present n 69 Minnesota: 15 HealthPartners, 10 EPPA, 9 United, 6 Fairview-U, 6 North, 5 Abbott, 5 HealthEast, 5 Duluth, 2 Waconia, Shakopee, Rochester, New Ulm, Princeton, Park-Nicollet n 38 out of state: 6 SD, 4 IA, 3 WA, 3 CA, 2 ND, 2 NE, 2 CO, 2 IN, 2 WI, 2 MT, 2 UT, NH, NY, OR, VA, CT, PA, AK, TX n 16 Academic: 14 Regions, Wishard, Mayo n 14 Hybrid: 7 Fairview-U, 6 North, Mercy-Iowa City n 73 Community n 13 Fellows (3 toxicology, 2 critical care, 2 EMS, faculty development, simulation, informatics, ultrasound, international, quality & pt safety)

138 residents ( present) 39 medical schools n 48 U of M n 9 UND n 8 Iowa, Mayo n 7 MCW, USD, n 6 UW, Creighton n 2 Nebraska, Loyola, Indiana, Kansas, Chicago Med School, Colorado, Loma Linda, SLU n SUNY-Buffalo, Des Moines-COM, 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, UT-Houston

29 Faculty (13 Different EM Residencies) n Regions x 14 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 /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 2011 n 3 most important aspects of the program n Strengths of the residency n Areas of focus n What should the residency continue doing? n What should the residency stop doing? n What should the residency start doing? n Specific rotation comments n Other comments

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

n Plastics moves from PGY1 to PGY2 n Tox moves from PGY2 to PGY1 n Shift schedule moves to 9-hours n Eliminate single EM resident/pod overnight. n ROD checklist development n Quality project refinement n Patient satisfaction reports to residents n Resident lounge renovation n Methodist added as community site n No overnight intern call on SICU or Ortho

Thoughts n Caring for patients vs. treating patients n Complex Adaptive Systems (CAS), “Boids” n Wisdom of Crowds, James Surowiecki n Drive, Dan Pink n Edgeware, Brenda Zimmerman

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