1 Regions Emergency Medicine ResidencyOctober 26, 2005 Felix Ankel, MD

2 History Accreditation 1995, 1999, 2003 54 graduates 1999-present81 residents 1996-present

3 54 graduates 1999-present 32 Minnesota: 7 Regions, 4 North, 4 EPPA, 4 Abbott, 4 Fellows, 2 Fairview-U, 2 Waconia, 2 Duluth, 2 Shakopee, 2 Healtheast, Brainerd 22 out of state (16): SD 3, CO 2, IN 2, IA 2, NE 3, CA, MS, OR, NH, AK, MT, WA, NC, CA, WI, OH 11 Academic: 7 Regions, Wishard, Madigan, University of Iowa, Case Western 7 Hybrid: 4 North, 2 Fairview-U, Mercy-Iowa City 33 Community 5 Fellows (2 faculty development, critical care, simulation, informatics, toxicology)

4 81 residents (1996 - present) 26 medical schools28 U of M, 7 UND 6 USD, Mayo 4 Creighton, 3 MCW, UW 2 Nebraska, Loyola, IU, Iowa, Kansas Finch, SUNY-Buffalo, SLU, Des Moines, Nevada, Vermont, Penn, Hawaii, East Carolina, Arizona, Colorado, Utah, Michigan State

5 30 Faculty (16 Different EM Residencies)Regions x 7 Henry Ford x 2 Michigan x2 Maryland x 2 Pittsburgh Virginia Harvard Affiliated HCMC U of Illinois Brooke Army St Vincent’s UCSF/Fresno Christ New Mexico Cincinnati Indiana

6 Rotations (4 weeks blocks)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 Year 2: ED 6.3, SICU 1.3, EMS 1, North 1, MICU 1, St Paul kids 1.3, Tox/Adm 1 Year 3: ED/ St Paul kids 9.7, SICU 1.3, Elective 1, Selective 1

7 2003-2004 One month rotation to 4 week rotationIncr Saint Paul kids exposure 26% Move EMS from EM-2 to EM-1 Move Tox from EM-3 to EM-2 Incr Nurse midwife from 1 to 2 week SICU, ortho, pediatric airway BEST, virtual admin curriculum Scrub color, cafeteria, EBM EMREL, education asst, annual report, newsletter Simulation Shakopee pilot

8 2004 Program Review Residency Coordination, Accessibility & Responsiveness Resident Responsibility, Independence (3rd year only) Resident Responsibility, Resuscitations (3rd year only) ED Social Work Staff, Quality Resident Responsibility, Progression Rotation Rating, OB Rotation Rating, Orthopedics Rotation Rating, Administration Rotation Rating, Cardiology ED Research

9 Area of focus 2004 retreat Admin rotation Ortho rotation OB rotationCards rotation Extending selective to other hospitals

10 Residency Strategic Plan 2005-2010 4/28/05SWOT analysis Conferences Simulation Mentorship Administrative curriculum Scholarly activity Individualization of educational experience Integration with U of M Integration with twin city hospitals National presence

11 Program review 2005 Residency coordination, accessibilityED Social Work Overall Program rating Residency support staff Residency responsibility, resuscitation Admin rotation Ortho rotation OB rotation ED research Ultrasound

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

13 Future directions Central repository of educational resourcesIndividualization of educational experience mentorship, elective, project Core competencies Simulation Collaboration Mentorship Leadership

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

15 Selected residency areasHabits of life long learning Evaluation and feedback Tutorials Anatomy lab Procedure lab Communication Simulation Mentorship and advising Fellowship

16 Questions to consider