UW EMERGENCY MEDICINE the Badger’s Den Badgers Den Sum… · UW Emergency Medicine Residency...

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U W E M E R G E N C Y M E D I C I N E 1 the Badger’s Den Class of 2016 Holly Caretta-Weyer What is your hometown and what is it known for? I'm from Racine, WI - known for Danish Kringle, which I have been known to bring to virtually all potlucks given my lack of cooking skills. Where did you go for undergrad and what was your degree? Marquette University - Honors B.S. degree in Biomedical Sciences. Where did you go to medical school? University of Wisconsin School of Medicine and Public Health for medical school - On Wisconsin! What hobbies will you be trying to keep up during residency? Watching movies, cheering on the Marquette Golden Eagles and Milwaukee Brewers, Jazzercise (don't judge me), cycling, and home decorating. How do you take your coffee? I am caffeine-free so I don't drink coffee or tea...I do enjoy a good vanilla bean cream-based frappuccino from Starbucks....or Babcock ice cream!! a newsletter highlighting the achievements, opportunities and activities of the UW Emergency Medicine Residency Publications, 2012- 2013 Congratulations for all the publications! Page 8 Class of 2013: CONGRATULATIONS Where they’re headed and what we’ll miss most about them Pages 5-6 The interns, Class of 2016 All about our new interns Pages 1-3, 5 Alumni highlight Mike Repplinger Page 1, 4 Opportunities Research, leadership and teaching opportunities Page 5 What’s New Retirements, new positions, births, marriages, Page 3 Resident Life Upcoming Social Events to look forward to in the next couple months Page 6 an occasional publication Issue No 1 - Summer 2013 Awards Congratulations! Page 7 Career Perspectives Sara Damewood &Alex Ebinger give their advice & experience on applying for fellowships Page 7 Alumni Highlight: Mike Repplinger One of UW EMRP’s first graduates, Michael Repplinger is now on faculty at UW and actively pursuing a niche in research which has proved to be very successful thus far. Questions provided by Elise ter Haar, PGY3 You've had a lot of success in your research - congratulations! How did you first become interested in research, and what do you enjoy most about the process? MR: Like many medical school applicants, I engaged in some research while I was an undergraduate, though this was mostly bench research. I had an excellent mentor at the time, Dr. John Richert, who got me interested in the research process (which was astounding since running the PCR and gel electrophoresis machines wasn’t really my cup of tea). However, it wasn’t until my second year of residency at UW that I became hooked. I was approached by the radiologists to help with a retrospective study looking at the use of MR pulmonary angiography to diagnose PE, basically providing clinical data extracted from Health Link. This led to an oral abstract presentation at the 2010 SAEM Annual Meeting. Sharing our findings with leaders in the field (D. Mark Courtney and Jeff Kline were in attendance) was both intimidating and exhilarating. Despite the bit of anxiety, I realized that I really enjoyed exchange of ideas and study results. cont page 4

Transcript of UW EMERGENCY MEDICINE the Badger’s Den Badgers Den Sum… · UW Emergency Medicine Residency...

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the Badger’s Den

Class of 2016Holly Caretta-WeyerWhat is your hometown and what is it known for? I'm from Racine, WI - known for Danish Kringle, which I have been known to bring to virtually all potlucks given my lack of cooking skills.

Where did you go for undergrad and whatwas your degree?

Marquette University - Honors B.S. degree in Biomedical Sciences.

Where did you go to medical school?

University of Wisconsin School of Medicine and Public Health for medical school - On Wisconsin!

What hobbies will you be trying to keep up during residency?Watching movies, cheering on the Marquette Golden Eagles and Milwaukee Brewers, Jazzercise (don't judge me), cycling, and home decorating.

How do you take your coffee?

I am caffeine-free so I don't drink coffee or tea...I do enjoy a good vanilla bean cream-based frappuccino from Starbucks....or Babcock ice cream!!

a newsletter highlighting the achievements, opportunities and activities of the UW Emergency Medicine Residency

Publications, 2012- 2013Congratulations for all the publications!Page 8

Class of 2013:CONGRATULATIONS Where they’re headed and what we’ll miss most about themPages 5-6

The interns, Class of 2016 All about our new internsPages 1-3, 5

Alumni highlightMike RepplingerPage 1, 4

OpportunitiesResearch, leadership and teaching opportunitiesPage 5

What’s New Retirements, new positions, births, marriages, Page 3

Resident LifeUpcoming Social Events to look forward to in the next couple monthsPage 6

an occasional publication Issue No 1 - Summer 2013

AwardsCongratulations!Page 7

Career PerspectivesSara Damewood &Alex Ebinger give their advice & experience on applying for fellowships Page 7

Alumni Highlight: Mike Repplinger One of UW EMRP’s first graduates, Michael Repplinger is now on faculty at UW and actively pursuing a niche in research which has proved to be very successful thus far. Questions provided by Elise ter Haar, PGY3

You've had a lot of success in your research - congratulations! How did you first become interested in research, and what do you enjoy most about the process?MR: Like many medical school applicants, I engaged in some research while I was an undergraduate, though this was mostly bench research. I had an excellent mentor at the time, Dr. John Richert, who got me interested in the research process (which was astounding since running the PCR and gel electrophoresis machines wasn’t really my cup of tea). However, it wasn’t until my second year of residency at UW that I became hooked. I was approached by the radiologists to help with a retrospective study looking at the use of MR pulmonary angiography to diagnose PE, basically providing clinical data extracted from Health Link. This led to an oral abstract presentation at the 2010 SAEM Annual Meeting. Sharing our findings with leaders in the field (D. Mark Courtney and Jeff Kline were in attendance) was both intimidating and exhilarating. Despite the bit of anxiety, I realized that I really enjoyed exchange of

ideas and study results. cont page 4

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What is the coolest job you’ve ever had?

Coolest job I ever had is definitely this one!  

Favorite travel destination -Sonoma Valley, CA - it is my now not-so-secret life goal to own a vineyard someday.

Jill CrosbyWhat is your hometown and what is it known for?

Bismarck, ND - Practically nothing. It is the state capital of ND.

Where did you go for undergrad and what was your degree?

University of Minnesota, Twin Cities, Physiology

Where did you go to medical school?

University of Minnesota, Twin Cities

What hobbies will you be trying to keep up during residency?

Working out, hanging out with my dog, camping, singing, watching movies, hitting the town with friends. Nothing fancy.

How do you take your coffee?

Depends. If I am drinking coffee socially, I take skim milk and Splenda. If I am drinking it to stay awake, I drink it black. Tea is always best without the frills.

What is the coolest job you’ve ever had?I have had surprisingly few jobs that actually pay. Babysitting was better than waitressing and working at my college rec center. I have high hopes that being a resident will be my coolest job ever...and that they will pay me.

Favorite travel destination -

Arches National Park in Utah was pretty cool, it had landscape similar to what I imagine it would be like on Mars. I really like Mexico for the art, food, language, and sunshine. I want to go to Italy next.

Russell (Rusty) JapiskeWhat is your hometown andwhat is it knownfor?

Norwich VT- Not having traffic lights andproducing lots of olympic

skiers (cross country, moguls, snowboarding and ski jumping).

Where did you go for undergrad and what was your degree?

University of Vermont, BSc Mechanical Engineering

Where did you go to medical school?

University of Rochester

What hobbies will you be trying to keep up during residency? Cross country skiing

How do you take your coffee? Black

What is the coolest job you’ve ever had?

Meteorological technician in Antarctica, which translates to lots of manual labor. Spent 6 weeks living out of an unheated tent at the coldest place in the world. We had summer temps (-10 to -40˚f).

Favorite travel destination - New Zealand

Meredith MastersWhat is your hometown and what is it known for?

Santa Monica, CA.Known for its beaches(including Muscle Beach), the Santa Monica Pier and some pretty nice sunsets.

Where did you go for undergrad and what was your degree?

University of California, Los AngelesB.S. in Microbiology, Immunology & Molecular Genetics B.A. In English

Where did you go to medical school?

Keck School of Medicine of the University of Southern California

What hobbies will you be trying to keep up during residency?

Playing soccer, riding horses (jumping), and cooking.  It would be nice to get back to playing guitar, albeit poorly.

How do you take your coffee or tea?

Either with lots of cream and sugar

What is the coolest job you’ve ever had?

I spent one of my college summers touring with Neil Young as a backup performer.

Favorite travel destination -

Visiting my family in Sydney, Australia

Jon MeisterWhat is your hometown and what is it known for?

St. Charles, Illinois, a suburb of Chicago.  St. Charles is located on the Fox River and is known for its paddle boats and parks along the river.

Where did you go for undergrad and whatwas your degree?

UW Madison (2007). Degree is in genetics (CALS)

Where did you go to medical school? Kansas City University of Medicine and Biosciences

What hobbies will you be trying to keep up during residency?

I’d love to keep up water skiing and playing on the lake - if the weather ever cooperates!

How do you take your coffee? Black.

What is the coolest job you’ve ever had?

Research coordinator on the downtown Chicago Northwestern Medical campus.  The job required overnight stays, but you couldn’t beat my lakefront office for air shows and Navy Pier fireworks. Favorite travel destination - Nashville, TN.  I am not a huge fan of country, but I love music and Nashville is always a blast.

Jamie Santistevan (Ruiz)What is your hometown and what is it known for?

Albuquerque, NM where we are known for our delicious red and green chile! Our state question is "Red or Green?", which you will hear any time you order a meal at a New Mexican restaurant.

Where did you go for undergrad and whatwas your degree? University of New Mexico - Biology.

Where did you go to medical school? University of New Mexico

What hobbies will you be trying to keep up during residency? Rock climbing, bicycling and running. I would like to try kayaking too.

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How do you like your coffee? with cream & Splenda

What is the coolest job you’ve ever had? With New Mexico's Wildlife Conservatory, where I got to go camping and hiking in some of the prettiest areas of our state documenting endangered species of cactus!

Favorite travel destination - Nepal, where I backpacked for two weeks through the Himalayas!

Bryce SnowWhat is your hometown and what is it known for?

I'm kind of a nomad, but birthplace is Golden, CO best known as the home of Coors.

Where did you go for undergrad and what was your degree?

University of Texas and University of Utah; Biomedical Engineering

Where did you go to medical school?University of Utah School of Medicine

What hobbies will you be trying to keep up during residency?

Playing soccer, remaining active with biking, skiing, hiking, making friends with someone who own a boat and staying happily married.

How do you take your coffee? As chocolate!  Not a coffee drinker but I enjoy a good cup of coco or herbal tea.

What is the coolest job you’ve ever had? 4th year medical student.  Or teaching English on the Black Sea in southern Russia.

Favorite travel destination - Anywhere I haven't been, I love discovering new places.  I also think everyone should visit India and Tahiti at least once in their lifetime.

Barrett ShoultsWhat is your hometown and what is it known for?

Warrenville, IL.

It is known as the home of John Maynard Woodworth, the first Surgeon General of the United States. Most importantly, however, it is home

to the Two Brothers Brewing Company.

Where did you go for undergrad and what was your degree?

University of Illinois at Chicago , B.S. in Biological Sciences and Psychology.

Where did you go to medical school?I attended medical school at the University of Illinois at Rockford.

What hobbies will you be trying to keep up during residency?

Camping, hiking, and wilderness survival. I'm also an avid hockey player and fan.

How do you take your coffee? or tea...Black drip coffee during the winter, iced with cream in the summer. Honestly I'm more of a Monster guy.

What is the coolest job you’ve ever had?I was a member of an internationally traveling theater company. I also was sent as a missionary to Spain for two summers in a row.

Favorite travel destination:The Canary Islands are absolutely beautiful and have a great climate. During the summer Northern Canada and Alaska are also quite beautiful and have great wildlife.

Matthew Tyl What is your hometown and what is it known for? Downers Grove, IL. Knownfor producing A-list celebrity and former Bond girl Denise Richards. You're welcome.

Where did you go for undergrad and what was your degree?

University of Illinois Urbana Champaign in Molecular and Cellular Biology

Where did you go to medical school?

University of Illinois Chicago

What hobbies will you be trying to keep up during residency?

Sports- watching and playing (poorly), watching entire seasons of shows on netflix during days off, and eating- often combined with the above two.

How do you take your coffee? BlackWhat is the coolest job you’ve ever had?

Building poker tables and selling them on e-bay.

Favorite travel destination -Ruth's Chris steakhouse

Alex WadeWhat is your hometown and what is it known for?

Newtown, Pennsylvania.   George Washington briefly made Newtown his headquarters during the Revolutionary War. A scene in the film "Signs" was filmed in Newtown. Also hometown of Miss Teen USA 2000, Jillian Parry (who was a cheerleader at our high school while I was captain of the football team).

Where did you go for undergrad and what was your degree? Duke, BA in History

Where did you go to medical school?Duke. I also went to law school at Duke.What hobbies will you be trying to keep up during residency? "Hiking with my weimaraner, Jake. Learning Portuguese before the 2016 Summer Games in Rio.  Cooking.  Gladiator runs.

How do you take your coffee?Lots of cream, lots of sugar. cont page 5 " " "

What’s NewRetirements & Moving onDale GerdesJoe ClineTom Meyer

New facultyBrian PattersonMichael ManceraChristopher VaughnAndrew LeeVanessa TamasKathleen WalshAshley Brown - MedFlight fellow

Recent BirthsLiam Sanderson, 9/16/12Rosemary Tillman, 3/11/13Sydney Joy Ahrens, 5/31/13

Recent MarriagesMegan Gussick & Zac Clark, May 4Mike Lohmeier & Tara Zeigler, June 8

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cont from page 1, Faculty HighlightWhile the research process can be fraught with tedious tasks, I truly enjoy the challenge of devising a method of testing a hypothesis and anticipating obstacles.

Do you anticipate focusing further on imaging, or do you have other plans for your research on the horizon?MR: For the near future, I will be focusing on imaging research, particularly the use of MRI to diagnose appendicitis. However, there are many components to this seemingly narrow topic. Most know of my pilot grant which funds the imaging costs to directly compare CT with MRI to diagnose appendicitis. However, I was also awarded a career development grant (K-award) recently through the NIH, which will allow me to add depth to my research agenda. Working with Dr. Karen Serrano, a UW-EMRP alumna, I plan to test the ability to perform our MRI imaging protocol at Beloit Memorial Hospital. We will be paying close attention to the process of image acquisition to assess for possible barriers to broader implementation. Additionally, I am working with a health economist at UW to do a cost-effectiveness analysis of multiple imaging strategies for the evaluation of appendicitis using a decision tree model. I’m also planning to work with our new research assistant to survey all the EDs in Wisconsin, primarily to assess how many have access to CT, US, and MRI, including their hours of availability. We also will compare this to the state’s population density to assess what proportion of the state has access to these technologies. As you can see, all of these components are related to imaging research, but perhaps not in the way that you would initially imagine.

What made you stay in Madison after residency?MR: I had two primary reasons for staying. First, I wanted to continue my education in research methodology and biostatistics. So, during my Chief

Resident year, I worked with Azita and our radiology colleagues to devise a mentoring and funding plan for me to start the Graduate Program in Clinical Investigation offered through UW’s Institute for Clinical and Translational Research. Last semester, I defended my master’s thesis and have since continued on to the doctoral program. Secondly, my wife, Amber, graduated law school at the same time that I graduated residency and took a position with the Supreme Court of Wisconsin. Plus, what’s not to love about Madison?

Anything you miss about being a resident now that you're an attending?MR: I think my biggest adjustment from being a resident to being an attending was realizing how much responsibility you take on when you’re the attending. There’s so much more than clinical decision making: attendings ensure that the care delivered by EM residents is optimal, supervise procedures for all residents, take transfer calls, screen all EKGs, and keep an eye on patient flow through the ED and waiting room. Ultimately, you find a practice style that works for you and allows you to enjoy all the other perks of being an attending. Just know, as Harry Truman famously said, “the buck stops here!”

What has changed most about UW EM since you started here?MR: When I was in training, a bulk of the faculty were pure clinicians – focused primarily on the clinical care of patients with a lesser emphasis on the other components of academic medicine. While I truly enjoyed my training and learned an immense amount, our current residents are benefitting from a much larger array of fellowship-trained, subspecialized academicians. We now have a robust ultrasound faculty, an increasing number of quality-focused physicians, and have invested in several researchers among our ranks. Our pediatric faculty has grown and we have a clinical toxicologist. All of these hires have occurred during my tenure at UW. As a bit of trivia, I remember being in the

“old” ED – an experience shared by only four of the remaining faculty!

If you could only pick one favorite meal at one favorite restaurant in Madison, what are you having and where?MR: Oh, you know me too well! Our restaurant selections in Madison are phenomenal, especially in light of its moderate size (Wikipedia says it’s the 81st largest city in the US). It’s hard for me to pick just one meal, but I would say that my favorite restaurant is L’Etoile, at least for dinner. Their menu changes with the seasons. Several honorable mentions would include The Blue Marlin, Harvest, Tempest, 43 North, Johnny Delmonico’s, A Pig in a Fur Coat, and Sardine. Feel free to ask me anytime about the Madison culinary scene!

Do you have any advice for the graduating residents?MR: The first six months out on your own will be a period of growth. This is true regardless of where you graduate from (ask any of the attendings). Be confident, but humble; know your limitations, but trust your instincts. Remember that consultants can be incredibly helpful, but this can be heavily dependent on the time of day (or night). Above all, enjoy your well-deserved position as an attending emergency physician. Not many people touch as many lives and derive as much satisfaction from our jobs as we do!"

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Kerry Ahrens

Kerry Ahrens, Leo, like most of her colleagues, recognized that what makes UW EM great is it’s people. During an away medical school elective at UW, she found the staff and the residents were fun to work with. During her residency she noted that the diversity and acuity of the medical problems presented by our patients provides excellent preparation for the developing ED resident. This coming year, Kerry will be fairly close by, as she has taken a job in Oshkosh working for BayCare.

Alex Ebinger

Alex Ebinger, Pisces, was drawn to Madison from Iowa City because of the quality of the faculty and residents here at UW EM. He is excited about the changes happening in the program as he sees it getting "better and better." This summer, Alex will start a Sports Medicine Fellowship in Salt Lake City, UT. He will be preparing for a career that matches his interests and still allows him to care for a variety of injury and illness patterns.

Brian Eiche

Brian Eiche, Sagittarius, is a lifelong Badger. He knew he wanted to be in Madison since it is a wonderful place to live, work, and raise a family. The collegiality and excellent work ethic of the staff and the residency leadership at UWEM made him confident in his choice. Next year he will work primarily at Columbia St. Mary's hospital, and will divide his remaining time between his growing family, connecting with his Milwaukee relatives, and enjoying the brews and the baseball that make the Brew City famous.

Class of 2013Congratulations. We’ll miss you.

OpportunitiesMedical student simulations sessions - Josh Ross & Mary WestergaardHospital-wide committees needing resident reps: UWHA rep - Elise ter Haar PGY3 Education Committee: Katy Oksuita Research Committee - Mike KimAdministration Track - Brian SharpEducation Track - Nestor RodriguezGlobal Health Opportunities - Janis Tupesis

EMRA activities - rep Dave Tillman PGY2Simulation Interest Group - Josh RossED Hospital Committees - Jeff PothofPA student lectures - Kevin WyneEMIG liaisons - Jeff PothofMedical student Mentorship - Mark Brownson PGY2EMS/Prehospital activities - Mike LohmeierVolunteer Events - Carrie Harvey PGY3Badger’s Den contributions - Elise ter Haar PGY3

Class of 2013 We’ll miss you

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Cont, Congratulations

Matt NewstedMatthew Newsted, Gemini, was attracted to UW EM for it’s young reputation for graduating strong residents and its presence in a fantastic city. For those seeking an active social environment with many outdoor opportunities, Madison is a great setting. This summer, Matt will be taking a job in Great Falls, Montana. For this avid outdoorsman, the Rockies will offer the perfect setting for fishing, hiking, hunting, and his first time Emergency Medicine position as a full-fledged attending.

Class of 2013!!!

Chris PainterChris Painter, Taurus, was impressed with the advocacy focus and the drive to be great exhibited by our program and division leadership. He notes that the Med Flight experience is both unique and invaluable and when combined with Madison as a setting and the fun faculty and fellow residents, "there is not a better program." Chris is still negotiating contracts, as he is working to ensure that his first job will aligns with his long term career goals. He will focus on both clinical education and clinical excellence.

Kathleen WalshKathleen Walsh, Pisces, was trained initially as an internist at UW, and completed a Geriatric Medicine Fellowship at UCLA. Moonlighting in EDs during her residency sparked her interest to pursue EM, and she moved back to Wisconsin for community emergency employment. Her interest in teaching (and her history as a high school science teacher) kept the academic bug going, and she started residency here at UW. She knew that the program would be a great springboard into academic EM. This coming year, Kathleen will begin her position as the Education Director for the VA ED and will also continue as faculty for the UW ED."

by Dave Tillman

Class of 2016, cont. from page 3

Alex Wade, cont

What is the coolest job you’ve ever had? Playing football for the Cincinnati Bengals Favorite travel destination - Langenfeld, Germany.  A small town halfway between Dusseldorf and Cologne where I lived for a few months before medical school. Close second: Vieques, Puerto Rico.  Where else in the U.S. can you walk to a white sand beach with clear blue water and wild horses playing in the dunes?

Morgan Wilbanks What is your hometown and what is it known for?

Birmingham, AL -- Home to many important events during the Civil Rights Movement, great barbecue, a booming craft beer scene, and two American Idol winners.

Where did you go for undergrad and what was your degree?

University of Alabama, French

Where did you go to medical school? UAB School of Medicine

What hobbies will you be trying to keep up during residency?

Running, reading, outdoor sports. I've always wanted to play ice hockey.

How do you take your coffee? or tea... Freshly ground and in large quantities.

What is the coolest job you’ve ever had?

I was recently a chorus member in Birmingham Opera's production of The Magic Flute.

Favorite travel destination: Europe. I'm about to leave on an eastern european backpacking trip that will take me through Prague, Budapest, Vienna, Munich, Salzburg, and Ljubljana.

Sam ZidovetzkiWhat is your hometown and what is it known for?

Venice, CAKnown for Venice Beach (Surfing and Baywatch)

Where did you go for undergrad and what was your degree?

USC for undergrad, got a degree in neuroscienceWhere did you go to medical school?USC Keck School of MedicineWhat hobbies will you be trying to keep up during residency?

Staying warm, traveling to interesting places, spending time with new friends, just started downhill skiing hope to keep at it, Saveabrain.org

How do you take your coffee?

Trenta purple eye with an added shot, which is Starbucks language for lots of caffeine

What is the coolest job you’ve ever had?

Riding down thousand year old streets of Jerusalem in an ambulance

Favorite travel destination - Anywhere with a beach

_________________________________________

Social Events/Wellness Annual Women’s Dinner (July 10)

Alumni Weekend: Alumni BBQ (Sept 6) Badger’s Game (Sept 7)

Residency Retreat (Sept 19)

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Applying for a fellowship - advice and perspectivesQ&A with Sara Damewood & Alex Ebinger

Sara Damewood, MD is currently our Emergency Ultrasound Director for the UW EM Residency. She did her residency training at Albany Medical Center Emergency Medicine residency program, and completed her ultrasound fellowship in 2010. Alex Ebinger, MD, who is graduating from UW Residency this year, will be starting The University of Utah’s Sports Medicine Fellowship this July. They agreed share their experiences and give us some advice about the application process.

How did you prepare to be a good applicant?

SD: I made a real effort to get involved with the ultrasound sections at ACEP and SAEM.  I also did a project on teaching US to medical students that was presented at ACEP and then published in AEM.  This helped me to get my name out there so people in my niche started to recognize me, which can be very useful as you start establishing your career.

Outside of going to programs for interviewing, I arranged visits to three programs that I was interested in so I could get a better sense of how ultrasound was being used in their ED. I shadowed each of the US directors for a half shift and actually sat in on QA at one program. I found it very helpful to see the programs in person.

AE: I did a sports med rotation early in my 3rd year. I had researched in orthopedic surgery while in medical school and part of my initial research here at UW was in sports medicine. I also volunteered to cover a number of athletic events. 

What is the timeline for application/interview?

SD: There is no formal match for ultrasound and it tends to be a very informal interview process. Last year, all of the fellowship programs decided to offer positions on 11/1, which was a big change (for the better) from how things were done the year I applied - it was mass pandemonium before!

There is a great website for people wanting to do an EM US fellowship: www.eusfellowships.com, which lists all of the US fellowship programs and has useful information on each program. The website also allows applicants to save their applications to the site and apply to the programs they choose through the website.

AE: Applications were accepted on a rolling basis, depending on the program's needs. I believe it will be changing to a more standardized system in the next year or two. Applications were due by early fall, with interviews (for me) beginning in August, all through November.

Did you match for your fellowship?

SD: No

AE: Yes, and register for the NRMP. 

How did fellowship prepare you for your current career?

SD: Most US fellowships focus on the fellow having protected time to get scans in (1200 required at Hopkins) and to teach residents. So, the fellowship helped me master my ultrasound skills and my bedside teaching skills. I was also required to prep lectures on each US indication, handy to have now!

How do you anticipate your fellowship will impact your career?

AE: I wanted to have another specialized skill set to complement my EM background. I have a passionate interest in sports and find the work to be very rewarding and the patients extremely pleasant. EM and sports are very similar yet very different, and I hope to be able to bring some of sports into the ED. I hope that the combination of these specialties will further increase my workplace happiness and allow me a longer, more fruitful career in medicine.

Would you do anything differently, looking back?

SD: I don't think so.

AE: Starting earlier is always a good idea. Find out early on what the process is for applying. Some places have strict requirements that, if you know you need to go there, you will obviously need to have accomplished. Try and submit your initial application as early as possible. This will also require letters of recommendation, so have people in mind and try to ask them early!

" " " by Elise ter Haar

Awards/Recognition:UW SimWars, Resident Champion team: Alex Ebinger, Matt Newsted, Kerry Ahrens, Carrie Harvey, Dave Tillman, Megan Gussick

AOA Inductee, elected by Class of 2013, MS4Kerry Ahrens MD

Wiscon-SIM, EMRA/SAEM SimWars 2013 - made it to the semi-finals. Ryan Thompson, Haleh Van Vliet, David Tillman, Mark Brownson

ACEP Chair of the Year, 2012Azita Hamedani, MD

2013 Emergency Medicine Annual Awards

Trauma Award - Surgery ResidentAngela Gibson, MD Trauma Award – EM ResidentKerry Ahrens, MD Excellence in Scholarship – FacultyMichael Pulia, MD Excellence in Clinical Care – FacultyMary Westergaard, MD Excellence in Leadership & Service - FacultyJeffrey Pothof, MD WACEP Award for Excellence in Scholarship – Kathleen Walsh, DO Excellence in Clinical Care – ResidentAlexander Ebinger, MD Excellence in Leadership & Service - ResidentBrian Eiche, MD Excellence in Pediatrics – ResidentMegan Gussick, MD Excellence in Teaching - FacultyNestor Rodríguez, MD Excellence in Teaching - ResidentRobert Redwood, MD EM Nursing Appreciation AwardDeb Anderson, RN & Leigh Hermanson, RN EM EDC Appreciation AwardSaby Cordoba EM Tech Appreciation AwardBrandon Bendall EM Outstanding Consultant AwardSam Steiner, MD EM Off-Service Faculty Teaching AwardJohn Ketzler, MD

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Publications 2012-2013Publications:Serrano K, Westergaard R. Diagnosis and Management of Acute HIV in the Emergency Department. Emergency Medicine Reports. Vol 33; Num 16.

Hoffman B, Nurnberg D, Westergaard M. Focus on abnormal air: diagnostic ultrasonography for the acute abdomen. European Journal of Emergency Medicine. 19:284-291.

Serrano K, Tupesis J. Small Bowel Obstruction from Potato and Broccoli Phytobezoar Mimicking Mesenteric Ischemia. JEM. Vol 44:1.79-81.

Liu S, Hamedani A, Brown D, Asplin B, Camargo C. Established and Novel Initiatives to Reduce Crowding in Emergency Departments. West JEM. 2012:11.

Broder JS, Hamedani AG, Liu SW, Emerman CL.  Emergency Department Contrast Practices for Abdominal/Pelvic CT – a National Survey and Comparison with the American College of Radiology Appropriateness Criteria.  2012.  J Emerg Med.  (accepted for publication).

Cesarz JL, Steffenhagen AL, Svenson J, Hamedani AG. Emergency department discharge prescription interventions by emergency medicine pharmacists.  2012.  Annals of Emergency Medicine May 24.

Walsh, K, Krall LS, Ross JC, Hamedani AG. A 9-year-old boy with exertional syncope.  Journal of Emergency Medicine.  2012:  1-6

Schuur JD, Brown MD, Cheung D, Graff L, Griffey RT, Hamedani AG, Kelly JJ, Klauer K, Phelan M, Sierzenski PR, Raja AS.  Assessment of Medicare’s imaging efficiency measure for emergency department patients with atraumatic headache.  Annals of Emergency Medicine.  2012.

Joing S, Strote S, Caroon L, Wall C, Hess J, Roline C, Oh L, Dolan B, Poutre R, Carney K, Plummer D, Reardon R. Ultrasound-Guided Peripheral IV Placement. New England Journal of Medicine. 2012 Jun 21;366(25):e38.

G. Rebella. 50 Years ago in the Journal of Pediatrics: The Emergency Clinic-A Study in Its Role in a Teaching Hospital. The Journal of Pediatrics; Jan 2012; 160(1)164.

Sharp B, Schermer CR, Esposito TJ, Omi EC, Ton-That H, et al (2012) Alcohol Withdrawal Syndrome in Trauma Patients: A Prospective Cohort Study. J Trauma Treat 1:128. doi:10.4172/2167-1222.1000128.

Mottram AR, Page RL. Advances in Resuscitation. Circulation. 2012 Aug; 126 (8): 991-1002.

Valerie A Carroll, Louis Scrattish. Chapter 32: Emergency Psychiatric Services for Patients Who are Homeless: Special issues and Considerations. Ed. Leslie Zun. Psychiatric Emergencies: An Emergency Physicians Handbook. Cambridge Press, Cambridge, UK. 2012.

Pulia MS, Sielaff A, Calderone M.  Postherpetic Pseudohernia. Annals of Emergency Medicine. 2012;60:11.

Bhakti Hansoti MBchB, Kate Douglass MD, MPH, Janis Tupesis MD, et al Guidelines for Safety of Trainees Rotating Abroad: Consensus Recommendations from the Global Emergency Medicine Academy of the Society for Academic Emergency Medicine, Council of Emergency Medicine Residency Directors, and the Emergency Medicine Residents' Association.  Academic Emergency Medicine.  Volume 20, Issue 4: 413-420.  April, 2013.

Tupesis J, Van Dyk N.  Evaluation and management of the pre-hospital difficult airway.  The Difficult Airway.  Editors: Glick, Ovassapian.  253-170.  Springer Medical.  2013.

Hexom B, Calvello E, Babcock C, Fowler R, Theodosis C, Sirleaf J, Kotlyar S, Tupesis J.  A Model for Emergency Medicine Education in post-conflict Africa.  African Journal of Emergency Medicine.  2012: August.

Tupesis J,  Babcock C, Kapur B, Alagappan K, Hexom B, Char D.  Optimizing Global Health Experiences in Emergency Medicine Residency Training Programs: A Consensus Statement from the Council of Emergency Medicine Residency Directors 2011 Academic Assembly.  International Journal of Emergency Medicine.  2012, 5:43.

Aklilu Azazh, Heidi Busse, Peter Rankin, Sisay Teklu, Janis Tupesis, Ryan Wubben, Assefu Woldestadkik, Girma Tefera.  Strengthening Emergency Medicine by Building Human and Institutional Capacity at Addis Ababa University/Tikur Anbessa Hospital.  Emergency Physicians International.  Issue #9.  Fall, 2012.  Pages 22-24

Sheeser, JM and Wyne KT.  "Soft Tissue Emergencies", Chapter in Minor Emergencies: Splinters to Fractures.  Philip Buttaravoli and Stephen Leffler, eds.  3rd Edition.  Saunders, 5 Jul 2012.

Wyne KT, Soltys JN, O'Keefe MF, Wolfson D, Wang HE, Freeman K. King LTS-D use by EMT-intermediates in a rural prehospital setting without intubation availability. Resuscitation 2012 Jul; 83(7):e160-1. Epub 2012 Apr 3.

Lohmeier, M.; Sineff, S.; “Upper Extremity Fractures”, Chapter in Essentials of Emergency Imaging, Lewiss R, Shah K, eds. Lippincott, Williams & Wilkins, Philadephia, PA. 2012

Badger’s Den contributorsElizabeth ter Haar, MD — EditorDavid Tillman, MD — Assistant EditorJanis Tupesis — Faculty Editor Katy Oksuita - Production

A big thanks to all the residents and faculty who made this newsletter possible: All the new interns, all the graduating seniors, Mike Repplinger, Alex Ebinger, Sara Damewood, and Stacy Poznanski.