1. Regions Emergency Medicine Residency October 25, 2007 Felix Ankel, MD

2. History n Accreditation 1995, 1999, 2003 n 72 graduates 1999-present n 99 residents 1996-present

3. 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

4. 72 graduates 1999-present n 43 Minnesota: 9 Regions, 5 Fairview-U, 5 North, 5 EPPA, 4 Abbott, 2 HealthEast, 2 Waconia, 3 Duluth, 4 United, 2 Shakopee, Brainerd, Mayo n 26 out of state (15): SD 4, NE 3, IA 3, CO 2, IN 2, WI 2 ND 2, MS, OR, NH, AK, MT, WA, UT, VA n 11 Academic: 9 Regions, Wishard, Mayo n 11 Hybrid: 5 Fairview-U, 5 North, Mercy-Iowa City n 49 Community n 5 Fellows (faculty development, critical care, simulation, informatics, toxicology)

5. 99 residents (1996 - present) 25 medical schools n 34 U of M, n 8 UND n 6 USD, Mayo, MCW, Iowa n 4 Creighton, UW n 2 Nebraska, Loyola, Indiana, Kansas, Chicago Med School n SUNY-Buffalo, SLU, Des Moines, Nevada, Vermont, Penn, Hawaii, East Carolina, Arizona, Colorado, Utah, Michigan State, Albany, VA-COM

6. 28 Faculty (14 Different EM Residencies) n Regions x 9 n Henry Ford x 2 n Harvard Affiliated x 2 n Pittsburgh n HCMC n Illinois n Brooke Army n St Vincent’s n UCSF/Fresno n Christ n New Mexico n Indiana n Boston Medical Center n Grand Rapids

7. Rotations (4 weeks blocks) n Year 1: ED 3.7, SICU 1.3, Ortho 1, MICU 1, Cards 1, OB 1, Mpls Kids 1, Anesthesia 1, Plastics 1, EMS 1 n Year 2: ED 7.3, SICU 1.3, North 1, MICU 1, St Paul Kids 1.3, Tox/Adm 1 n Year 3: ED/ St Paul kids 9.7, SICU 1.3, Elective 1, Selective 1

8. 2003-2004 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

9. 2004-2005 n Ortho rotation n Selective n NCS, U of M procedure lab n Conferences (guest speakers, cath conference, board review, “you decide”) n Simulation n 2 sides to 3 teams n Pilot switch with HCMC n Admin experience n Rotation liaisons to class meetings

10. Residency Strategic Plan 2005-2010 4/28/05 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

11. 2005-2006 n Ultrasound workshops, EPIC, Relationship with hospitalists, Admin education, Pt based scheduling n Micro to macro: Integration with U of M, twin cites hospitals n EM education to EM delivery education: EMR, flow, quality, pt satisfaction n Rotation CQI throughout year n Leadership experiences: residents on national committees, society and editorial boards n Mentorship n Anatomy lab, procedure lab n 3 chief residents, off-service residents n Combined conferences, guest speakers, alumni engagement n Increased selective site, formalized Ecuador elective n Focus on ED teaching and feedback

12. 2006-2007 n Conference changes –Move to Thursdays –Increase critical case to 90 minutes –Increase simulation time during conf –Pre-conference sim sessions n Structured ultrasound workshops n Schedule change from teams to sides, 10-hr shifts n Doctors Dahms, Morgan and Taft assume roles as Asst. PDs n Incorporation of Peds-EM faculty (Ortega & Reid) into Residency n Hosting of Ecuadorian EM residents n EM/FM combined residency discussions n E-portfolio application submission to ACGME n Specialized interview days

13. Program review 2007 n Residency coordination n Social work n Resident responsibility and independence n Residency leadership n SPC ED rotation n Admin rotation n ED Call Room n ED Equipment n Ultrasound n Research

14. Themes n Bedside teaching/microskills faculty assessment cards n Merging residency & quality movement n Merging residency & patient satisfaction movement

17. Questions to consider