Emergency Medicine Department Newsletter

[Pages:21]Emergency Medicine

Department

Newsletter 2013-2014

Department of Emergency Medicine Update

What a great honor to be

able to write our first Department of Emergency Medicine update! It has been an incredibly intense year, as we continue our evolution from a small program to a more enriched and robust program, having secured no less than three national awards this past year! It was wonderful to be able to close the year with an amazing DEM Celebration, with guests ranging from our CEO and our Dean to police and fire chiefs to hospitalists and surgeons to many front line staff from the ED and other services. Some have dubbed the event `Madison's party of the year!'

? but that could have just been because Brownson was on the dance floor.

This past year, many of our faculty and residents have seized opportunities to develop and grow along with our program. As many of you know by now, Dr. Mary Westergaard has taken over after Dr. Janis Tupesis as our Residency Program Director, freeing up Dr. Tupesis to pursue academic development and global health efforts on behalf of the department. Dr. Brian Sharp has expanded his administrative portfolio to include residency program leadership, in addition to medical director of The Amer-

ican Center. Dr. Andy Lee has taken a lead role on administrative matters ranging from FCA to patient experience.

Dr. Jamie Hess has jumped in and grabbed the reins of our medical student programs as clerkship director. Dr. Vanessa Tamas has joined Drs. Michael Lohmeier & Michael Mancera in a more formal leadership role in prehospital care. Dr. Karen Serrano has transitioned to join our faculty in order to expand all her efforts on behalf of our educational programs. Both Dr. Josh Ross and Dr. Sara Damewood are well poised to accept first fellows in medical simulation and point

of care ultrasound, respectively. Meanwhile, Drs. Ryan Wubben, Louis Scrattish, & Mike Abernethy are welcoming their third Medflight fellow, while applying for formal accreditation of our UW Medflight program. Dr. Mike Repplinger is ready to start as our first Assistant Professor on the tenure track, and Dr. Mike Pulia secured a $50,000 research grant. Drs. Jeff Pothof & Josh Ross, along with Drs. Andy Lee, Jim Svenson, Allan Mottram, & Ryan Wubben, deserve special mention for drafting our department's many new policies & procedures. While they are focusing on all policies small and big, Drs. Michael Kim & Dr. Janis Tupesis are finalizing our academic promotion process. Dr. Michael Kim is spearheading our newly minted, not yet active, Tenure & Promotions Committee.

Our graduating seniors are taking next steps in professional development with five of the eight pursuing fellowships in critical care, preventive health, medical simulation, & toxicology. Two current residents, Drs Holly Caretta-Weyer & Sam Zidovetski were both accepted to the Harvard Macy Program for Postgraduate Trainees: Future

Academic Clinician Educators. Many residents have served as leaders in various capacities through our Global Health program, including Dr. Matt Anderson's successful advocacy to secure educational resources for trainees in Africa. Residents also earned positive attention with receiving several UWHC QI awards this year at the Resident Improvement Symposium in April. Drs. Ryan Thompson and Mark Brownson teamed up to win "Best Poster" for UWHC Quality and Safety. Additionally, Dr. Haleh Van Vliet was chosen to attend the AAPHM Palliative Conference. Also congratulations to Dr. Van Vliet along with Drs. Meredith Masters and Scott Fruhan for securing three seats on WACEP Board. Last, but not least, Dr. Morgan Wilbanks was made President of the UWHC Housestaff Association and Dr. Masters was selected to sit on AAEM Education Committee. Very, very impressive residents!

As we focus on growing our academic programs, our clinical activity continues to grow, outpacing all other local Emergency Departments. This growth has led to cramped conditions. Thanks to the generosity of Dr. Jim Berbee & Karen Walsh we are in the process of planning for a significant ED

expansion. Next year this time, we'll have moved into new administrative office space and will be poised to launch a new emergency department. Given all the growth, we are looking for a few good men (and women) to join our team.

Next to the residents, alumni are the most important part of our program. We hope all of you are similarly proud of all that has happened this past year. Please keep in touch and let us know all the good work you are doing (continue reading to hear a few updates from our alumni).

Azita Hamedani, MD, MPH Department Chair Associate Professor, Emergency Medicine

Residency Update

It is hard to believe that it is

time to profile our residency program again in the Emergency Medicine newsletter! Two words come to mind to describe the last academic year ... growth and progress. We have welcomed in our first class of 12 residents, expanded our clinical program to include the William S. Middleton Veterans Memorial Hospital Emergency Department and made academic inroads on many fronts. This is truly a landmark moment and will make us one of the largest and most diverse residency programs at UW Health and in the State of Wisconsin.

Growth. With the intern class, we started 2013 with 28 residents in our program. It is a far cry from our early days when we could fit the entire residency in one minivan! With residents sitting

Janis, Tupesis, MD Associate Professor, Emergency Medicine Director of Academic Development Director of Global Health Programs, EM

on each other's laps in the residency lounge, we have outgrown our current administrative space and look forward to our impending move to the UBOB Building. The residents list of demands has finally been met ? more computers, flat screen TVs, dining area, fridge! By this time next year, we should be reporting from our new digs.

The 2013-2014 residency recruiting season was an incredibly successful one! We continue to recruit a large volume of highly qualified applicants; this year we had approximately 800 applicants for 12 residency spots. A special thanks to Drs. Sam Zidovetzki and Morgan Wilbanks for organizing this year's pre-interview dinners. Feedback from the applicants was that it was one of the most pleasant gatherings of the entire interview season for them. Thank you to everyone who hosted applicants in their home and for your continued excellent turn out at the preinterview dinners. Please go to the UW Residency website to find out more about these wonderful additions to our program (. edu/residents). Listed here are the 2014 Interns:

Daniel Berhanu, Northwestern University The Feinberg School of Medicine Clark Brewer, Medical College of Wisconsin Christopher Ford, Medical College of Wisconsin Kristen French, University of

Colorado School of Medicine Brian Jennett, University of Iowa Roy J. and Lucille A. Carver College of Medicine Michele Luhm Vigor, Vanderbilt University School of Medicine Thomas Miller, University of Pittsburgh School of Medicine Brooke Moungey, University of Wisconsin School of Medicine and Public Health Shashank Ravi, University of Wisconsin School of Medicine and Public Health Nikolai Schnittke, Tufts University School of Medicine Nicholas Wilkie, University of Vermont College of Medicine Patrick Yegian, University of Massachusetts Medical School

Progress. The last academic year has been one of significant innovation, accomplishment and programmatic development. Under the leadership of Dr. Allan Mottram, we have seamlessly integrated our PGY-2 and PGY-3 residents at the WMS VA Emergency Department. It has been a wonderful training environment - giving the residents the ability to practice in a different administrative environment, see a unique and diverse patient population and take on a valuable senior resident leadership role. We have expanded paired coverage in the UW Emergency Department to keep pace with our ever-expanding clinical volume. Senior residents will have more active roles in supervision and oversight of medical students and junior

residents along with increased opportunities for educational aWnidll Saadnmdeirnsoisnt,rMatDive leadership. WPGiYth2 the help of Drs. Josh Ross, Mary Westergaard, Brian Sharp and Louis Scrattish ? our clinical simulation program continues to grow.

Our PGY-1 class did a remarkable job at the SAEM's "Sim Wars" ? losing by only a few votes to the eventual national champion, made up entirely of senior residents. Whispers were heard from the judges ... "I can't believe that those guys are only interns!" Drs. Sara Damewood, Jamie Hess, Chris Vaughn and Dana Resop continue to build

the future of ultrasound at UW is incredibly bright. The Emergency Medicine Program continues to be a leader in Global Health at UW (article later in this edition). This academic year, five residents continued our involvement at Black Lion Hospital in Addis Ababa, Ethiopia, JFK Hospital in Monrovia, Liberia and Komfo Anyoke Teaching Hospital in Kumasi, Ghana.

Under the direction of Drs. Nestor Rodriguez and Jamie Hess, the didactic curriculum continues to flourish. This year we have added peer led reading groups, online boards review curriculum using Rosh Review, a

Early in my intern year I realized that I needed a little bit of structure with respect to my learning plan. At the same time, I wanted to find a way to incorporate all of the asynchronous learning that I was doing already (e.g. podcasts, blogs, etc). When we realized that there wasn't any existing curricula like this, we decided to make our own - "The Wisconsin Model" was born.

a powerhouse Ultrasound Program. With the improved content and structure of the clinical rotation, the increased faculty involvement and the ability to save/review all scans on QPath ?

longitudinal research curriculum, resident led "ultrasound case of the month" ? to name a few! We continue to attract national leaders in Emergency Medicine to our Grand Rounds lecture series.

This year, we were able to host a robust list of visiting Grand Rounds speakers, including:

Ivetta Motola, MD Mark Mycyk, MD Jessie Pines, MD John Wilson, MD Chris Colwell, MD Mike Winters, MD Kinjal Sethuraman, MD Eric Nadel, MD Baruch Krauss, MD Jen Wiler, MD Carey Chisholm, MD Shan Liu, MD Megan Fix, MD Walter, Eppich, MD

Still, the monumental change is simple, yet significant: Division to Department. As we change letterhead, business cards and recruiting materials to reflect the change ? we look forward to a bright future! I am incredibly excited to be turning the program over to Dr. Mary Westergaard's capable hands ? I know that she will do an amazing job! I am incredibly proud of how far and how fast our program has developed. I would like to thank each and every one of you as you have been instrumental in making it all happen. On Wisconsin!

Global Health Update

We are pleased that the

University of Wisconsin Global Health programs have had another incredible year! Our work in Ethiopia, through the Emergency Medicine Training Initiative, thrives as faculty and residents continue to build our professional relationships with residents and healthcare practitioners in Ethiopia through education. Two of our residents participated in clinical electives in Ethiopia this year (See their articles below). We are also proud to announce that in October 2013 the first Emergency Medicine Residents in the history of the Federal Democratic Republic of Ethiopia graduated after three years of training!

Throughout the year, Dr. Janis Tupesis engaged in several trips to Ethiopia volunteering at Addis

Ababa University and serving as findings from the conference

academic/clinical attending in

have recently been submitted

the emergency department.

for publication in The Lancet! In

In November 2013, he and

May, the SAEM annual meeting

Dr. James Svenson travelled to

in Atlanta, Georgia held a con-

Capetown, South Africa to par-

sensus conference titled "Global

ticipate in Emergency Medicine

Health and Emergency Care: A

Society of South Africa's aca-

Research Agenda" to establish

demic conference along with 500 research priorities for global

other health care providers with

health. Dr. Tupesis chaired the

the goal to shape emergen-

Education session and

cy care in Africa. While

many faculty members

there, Dr. Tupesis pre-

participated!

sented a didactic proposal

Throughout the

entitled Developing Resi-

year, the University of

dency Training Programs

Wisconsin staff had

Globally ? The Good, The

five publications in

Bad and The Ugly, and had

Academic Emergency

the chance to present our

Medicine relating to

own "Wisconsin Model"

global health and were

of iTunesU curriculum development and implemen-

Janis, Tupesis, MD Director of Academic

editors/authors in the African Federation of

tation at the conference's Development

Emergency Medicine's

poster session. Consensus Director of Global first text book: AFEM

Health Programs, EM

Associate Professor,

Emergnecy Medicine

Handbook of Acute and Emergency Care. Dr. Svenson also engaged in clinical and teaching endeavors in both Ethiopia and Liberia. In September, Dr. Mike Abernethy traveled to Cuba to the DevelopingEM conference in Havana and explored new directions in medical education and how to enhance medical education as it interacts with information technology. DevelopingEM is a group that aims to enhance medical care to underserved regions of the world through the sharing of information and this September, Dr. Abernethy will travel to Salvador, Brazil for this year's DevelopingEM conference.

It's fair to say that another exciting year in Global Health can be expected as residents and faculty continue to pursue interests world-wide in an effort to strengthen educational opportunities, enhance coordination of healthcare services and partner with various institutions to develop quality emergency care throughout the world.

Medical Student Update

It's been a busy year for the

emergency medicine student rotations. Last July, we began implementation of a new simulation-based curriculum for our advanced rotators. We eliminated student lectures altogether, replacing them with simulation experiences where students have the opportunity to put their newly-acquired skills and knowledge to the test using realistic clinical scenarios. The results have been overwhelmingly positive; anonymous end-of-rotation evaluations showed that all students recommend simulation-based training

for future rotators. In addition, the self-reported compliance with assigned readings increased significantly. Next year, we're looking forward to adding and refining the cases, as well as offering specialty-specific cases for postmatch day students going into various specialties. Implementation of the new curriculum could not have been accomplished without the commitment of Drs. Ross, Damewood, Vaughn, Scrattish and Sharp. Thank you all for your dedication and enthusiasm!

It is hard to believe that Niki

Dr. Mary Westergaard and Dr. Jamie Hess together at the 2013 Annual Faculty retreat.

Mary Westergaard, MD Residency Program Director Assistant Professor, Emergency Medicine

Hagen has been the student coordinator for only one year. Her dedication, skills, and compassion in working with students were pivotal in ensuring a successful experience for all our rotators, especially those who have just matched into emergency medicine. Katy Oksuita remains an important source of knowledge and advice for students and faculty alike, and her ongoing support for the clerkship is greatly appreciated.

The Resident Mentor Project is in full swing, pairing fourth year UW and visiting students with EM residents for structured mentoring during this critical time in their careers. Drs. David Tillman, Meredith Masters, and Holly Caretta-Weyer have taken the resident lead this year for the project, and we are grateful

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