Mayo Clinic Emergency Medicine Program Overview

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Overview of Mayo Clinic Rochester Emergency Medicine Residency Program

Transcript of Mayo Clinic Emergency Medicine Program Overview

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Unlimited Opportunities

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Comprehensive Preparation

• Autonomy and responsibility

• Patient diversity

• Simulation

• Innovative curriculum

• Research

• Procedures

• EMS

• Quality electives

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Mayo Clinic

• Rochester, MN

• Jacksonville, FL

• Scottsdale, AZ

• Mayo Clinic Health System (Iowa, Minnesota, and Wisconsin)

• Mayo Clinic Network

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Mayo Clinic

Saint Marys HospitalRochester, MN

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Mayo Clinic

Florida Arizona

Mayo Clinic Health SystemIowaMinnesotaWisconsin

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• Clinical and academic excellence• Can practice in any setting• Leaders• Advance Emergency Medicine internationally

Training Objectives

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The Residents

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• Residents are priority one• Their feedback shapes the program• Wellness is always considered• Education takes over service

Residents

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Interns during 2012 ACEP

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Community EM

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Academic EM

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The Department

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The Department

• Mayo and the Mayo Model of Care for every single patient

• Incredible pathology• Very sick patients

• Approximately 25% pediatric patients

• Excellence in cardiac, trauma, and sepsis care

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The Department

• No patient boarding

• Very high throughput and patient turnover

• Multitude of resources but no waste of them

• Mayo cost-effectiveness paradigm

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Our Patients

• Diverse and high volume

• Approximately 80,000 patients per year

• 85% are from surrounding counties

• Bread and butter emergency medicine

• Increasing urban-type of population

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• 61 ED beds

• Integrated observation unit

• High acuity

• 32% admission rate (adult)

• 13% ICU admission rate

• Innovative state-of-the-art department being designed and opening in early 2015

The Department

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• State-of-the-art equipment

• Online resources and medical records

• Ultrasound

• Difficult airway equipment

• Environment-controlled trauma bays

• Radiology adjacent to ED

• 256-slice CT scanners (3)

• MRI

The Department

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Renovation

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The Clinic

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“the best interest of the patient is the only interest to be considered”

- William J. Mayo, M.D.

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Some Numbers

• 526,000 patients

• 132,000 hospital admissions

• 3,700 staff MDs and scientists

• 3,200 residents/fellows

• 169 medical students (50 per year)

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Rochester Hospital

• One Hospital, 3 campuses

• One Emergency Department

• Number of beds > 2,100

• Most ICU beds in the United States

• We NEVER divert

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Mayo Fellows Association

• Oldest residency association in the world

• Advocate for residents

• Liaison to MSGME

• Relocation resources

• Spouse/significant other support during residency

• Abundance of planned activities for family/spouse/significant other

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The Program

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Accreditation

• 5 year accreditation cycle as of 2011

• Maximum accreditation possible

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ChairAnnie Sadosty, M.D.

• Brown University

• EM Residency• University of Maryland

• Nationally-recognized educator

• Teaching Hall of Fame

• Previous Residency Program Director

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Program DirectorJames Colletti, M.D.

• Chicago Medical School

• EM/Peds Residency• University of Maryland

• Director of AAEM Board Review Course

• Teaching Hall of Fame

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Leadership

• Team approach

• Diversity in training

• ACEP teaching fellowship

• Academically productive

• Nationally active

• Expertise in education

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Faculty Teaching Awards

• 2012 Joe Lex Teaching Award.

• 2014 National Junior Teaching Faculty

• 2007 AAEM Young Educator Award

• 2005, 2006 ACEP National Emergency Medicine Faculty Teaching Award

• 2004 Parker J. Palmer “Courage to Teach” Award, Honorable Mention

• 2004, 2006 CORD Faculty Teaching Award

• 2004 CPC Competition Runner-Up

• 2003 Outstanding Faculty Award, Mayo School of Continuous Professional Development

• Mayo Clinic Teacher of Year Hall of Fame

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Faculty

• Major training programs represented

• National and world renowned experts

• Devoted to teaching

• Enthusiastic

• Approachable

• Responsive

• Very diverse

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Residency Coordinator

Darcie Skoda

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Integrated Pediatric EM

• 1 month in PGY-1

• Continuous exposure

• Approximately 20% pediatric shifts each per month

• Corrects for seasonal variation

• Aim to mirror general community EM practice

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Trauma

• Continuous exposure

• Adult and Pediatric Level I Trauma Center

• Very busy

• Base for Southern Minnesota Regional Trauma Advisory Committee (SMRTAC)

• Catchment population close to 900,000

• Low mortality

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Trauma

• Collaborative approach with surgery

• Joint Curriculum designed by EM

• Odd/Even day role definition

• All airways managed by EM

• Monthly multidisciplinary conferences• Video review• Joint Trauma Conference

• Team training

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Donald Jenkins, M.D.Director, Mayo Trauma CenterPresident, Eastern Association for the Surgery of Trauma

Henry Schiller, M.D.Director, Division of Trauma, Critical Care, and General Surgery

Stephanie Heller, M.D.Program Director, General Surgery Residency Program

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Simulation• Nationally recognized pioneer and authority in

high-fidelity simulation

• Accounts for 20% of didactic curriculum (four hours per month)

• Innovative training• Communication• Information utilization• Chief complaint based

• Highest rated educational experience among residents

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EM-1 Curriculum• EM/Peds EM 5 months

• Orthopedic trauma 1 month

• Anesthesia/Psychiatry 1 month

• EMS/US 1 month

• Pediatric EM 1 month

• Obstetrics 1 month

• SICU 1 month

• ICU 1 month

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EM-2 Curriculum

• EM/Peds EM 6 months

• Critical Care Selective 1 month

• Hand 1 month

• SICU 1 month

• PICU 1 month

• Research 1 month

• Elective 1 month

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EM-3 Curriculum

• EM/Peds EM 9 months

• Selective 1 month

• Elective 1 month

• Emergency Ultrasound 1 month

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Integrated Curriculum

• Administration

• Continuous Quality Improvement

• Toxicology

• Ultrasound

• Research

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EMS

• Integrated to the Southeast Minnesota EMS Consortium

• Integrated on-line medical control

• Opportunities for BLS directorship

• Opportunities for air EMS

• Flying is not mandatory

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Research• Protected time

• Abundant resources available

• Funding

• Active research includes:• Chest pain• Syncope• Sepsis• EMS• Education

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International EM

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International Experiences

• Mayo International Health Program Scholars• Sangil Lee• Donald Zimmer• Elliott Tenpenny• Tim Snelson• Richard Lee• Reinier van Tonder• Ayman Yassa• Arun Raghavan

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International Locations

• Ghana

• Vietnam

• South Africa

• Sweden

• Canada

• Norway

• Denmark

• Japan

• Papua

• Mexico

• Dominican Republic

• Ireland

• Chile

• Nepal

• Haiti

• Singapore

• Haiti

• Cameroon

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Ultrasound

• 3 ED-based US machines

• Ultrasound fellowship trained faculty

• Real-time and off-line review

• Comprehensive didactic curriculum

• Hands-on lab sessions with patient models

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Intern Academy

• Intern Boot Camp

• Introduction to critical EM skills

• Run by the residents for the residents

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Central Line Workshop

• One day workshop for the interns

• Extensive practical and simulated training

• Incorporates latest evidence-based medicine

• Mayo-wide certification

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Airway

• EM always manages the airway on medical and trauma patients

• Yearly airway workshop by Dr. Richard Levitan

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Compensation / Benefits

• Vacation and trip policy• 3 weeks vacation • Trip attendance• Presentations

• Personal iPad provided

• Computer resources

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Rochester

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Rochester

• Medium-sized city designed to live

• Affordable housing

• Safe

• Great outdoors

• Short commute

• Close to Minneapolis and Chicago

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Unlimited Opportunities

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The NRMP does not allow programs to initiate contact with candidates after the interview, however we are happy to respond to your communications after the interview day

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Inquiries

James Colletti, M.D. - Residency Director

Darcie Skoda - Residency Coordinator

Daniel Cabrera, M.D. - Associate Director

Eric Boie, M.D. - Assistant Director

Anuradha Luke, M.D. - Assistant Director

Kharmene Sunga, M.D. - Assistant Director

Mayo Emergency Medicine Residency ProgramMayo School of Graduate Medical Education

200 First Street SWRochester, MN 55905

(507) 255-2192

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We enthusiastically invite you to observe in the Emergency Department this afternoon.

Please see Darcie. She will happily make the necessary

arrangements for you.