EMERGENCY MEDICINE RESIDENCY 2016 ANNUAL REPORT

EMERGENCY MEDICINE RESIDENCY 2016 ANNUAL REPORT

Contents
01
INTRODUCTION
06
DEPARTMENTAL
03 From the Director
04 Department Head Update
05 The Institute
06 Residency Timeline
21 Grants and IRB Approved Studies
22 Publications and Presentations
24 Crisis Program
24 Emergency Center Operations
02
RESIDENTS
26 Medical Student Program
27 Nursing Education
08 Chief Residents’ Update
09 Current Residents
10 Class of 2019
12 Wellness Committee Spotlight
07
FELLOWSHIPS
28 Medical Toxicology
28 Emergency Medical Services (EMS)
03
FACULTY
13 Faculty Spotlight
14 New Faculty 016
15 Current Faculty
29 Quality Management &
Patient Safety
29 Pediatric Emergency Medicine
(Peds-EM)
29 International
29 Ultrasound
04
RESIDENCY
08
GRADUATES
16 PA Residency
17 Residency Awards, Recognition,
Honors
20 Alumni Spotlight
20 Coordinators
25 Regions Hospital Foundation
EM Residency Funds
30 EM Graduates
05
CURRICULUM
18 Didactics/Simulation
18 Procedural Training & Competency
19 EMS
19 Ultrasound
26 Residency Presentations
Orientation 2016

FROM THE
Director
Welcome to the 2016 HealthPartners Institute/
Regions Hospital Emergency Medicine
Residency Program’s Annual Report! In addition
to highlighting many aspects of our
program, we wanted to feature our work on
resident wellness.
What is resident wellness you may wonder? Is it
possible to have the word ‘resident’ and the word
‘wellness’ in the same sentence? Great questions.
Dictionary.com defines wellness as ‘the quality or state
of being healthy in body and mind, especially as the
result of deliberate effort’. Other definitions note that
wellness is more about thriving than simply surviving.
Our goal as a program is to work with the residents on
not only striving for more wellness during their residency
journey, but really understanding and incorporating
wellness and resiliency as a core foundation of a great,
long career in Emergency Medicine.
How are we doing this—by incorporating key topics in
our conference curriculum (the full range from burnout
and sleep deprivation to gratitude and happiness),
having a Chief Resident with wellness in their job
description, having a wellness committee and wellness
activities, having good discussions about wellness as
CULLEN HEGARTY, MD
Program Director
a focus area with residency meetings, and participating
in national efforts such as the Academic Life in
Emergency Medicine (ALiEM) Wellness Think Tank.
Even though we are ‘all in’ on being committed to
focusing on this important area of residency training,
we still have a lot to learn and look forward to growing
more in this area over the next few years.
As we reflect back on 2016, we were fortunate to match
another outstanding class of humanistic residents
featured in this report. We are grateful for the support
of our many residency partners and look forward to
training the emergency physicians of the future! We
are proud of our residents, faculty and alumni and
hope you enjoy our annual update from St. Paul!
03

Emergency Medicine Residency 2016 Annual Report
Department Head Update
There are so many exciting opportunities we can
accomplish with teamwork. Regions Hospital Emergency
Medicine Department works as a diverse
team. In 2016 our busy emergency department
concentrated on patient experience, patient flow,
quality, work place safety, education, research
and resiliency. We concentrate on including emergency
department residents, department staff and
research interns on projects. One of many highlights
this year was accepting the Minnesota
Hospital Association’s 2016 Innovation of the Year
in Patient Care Award for our “Street to Treat Stroke
Initiative” led by Drs. Jackie Kelly (‘17), Ryan Bourdon
(‘14), and Steve Stanfield.
Our team of educators is heavily involved with teaching
medical students from the University of Minnesota.
This year Drs. Brad Gordon (‘02) and Aaron Burnett
(‘10) were recognized for the many years of academic
progress and were promoted to Associate Professor.
Dr. Jessie Nelson (‘04) has accepted a role to lead
an education think tank for research development at
the University of Minnesota.
Together as a team we influence, lead, provide, and
care for each other and the patients we serve. The
future of emergency care and training is strong at
Regions Hospital.
Regions toxicology team continues to lead the
scientific community in innovative ideas and strategy
to assist in drug induced shock. Supported by both
internal and external grant support, Dr. Kate Katzung
(‘12), residency and fellowship grad, was recognized
for Best Platform Presentation at the 2016 American
College of Medical Toxicology meeting.
KURT ISENBERGER, MD
Department Head
Class of 2017 prepare for Vikings’ games
04

Emergency Medicine Residency 2016 Annual Report
The Institute
re
very
rships
OFFICE OF HEALTH PROFESSIONAL EDUCATION
SUPPORT THE TRAINING OF PRACTICE-READY CLINICIANS
The HealthPartners The Office of Institute is one of the largest medical research and education centers in the Midwest, and
uses Health research Professional and educational expertise Operations to help achieve the Triple Research Aim of improving health, experience and
affordability Education for our members, patients and the community.
Medical
Library
Residency
Programs
Simulation
Center
more than 450
active studies
at one time
The Institute’s Office of Health Professional Education (OHPE) maintains institutional accreditation for the
Regions Hospital Emergency Medicine residency program through the Accreditation Council for Graduate
Medical Education (ACGME). We are grateful for over 400 clinician educators that contribute to the training
of future health professionals within the HealthPartners system.
Regions
Hospital
Emergency
Medicine
OHPE services include:
• Experiential learning through the Regions Hospital Clinical Simulation Center
• Online resources available through the Regions Hospital Medical Library
• Educator community of practice (CoP) development for health professional educators, administrators
and programs
affiliated with:
• Coordination and support of resident physician and advanced practice clinician training
• Workforce modeling to help guide our graduate education system ensure the right number and
right mix for the future workforce
staff hold appointed
faculty teaching roles
2016 accomplishments include:
• Successful ACGME clinical learning environment review (CLER) visit
• Creation of a Family Medicine rural training track in Western Wisconsin
• Clinical Simulation Center reaccreditation Connect by the Society with for us!
Simulationin Health Care
twitter.com/HP_MedEd
• Engagement of over 140 community members attending the Clinician
Educator CoP event and follow-up Listening sessions to co-create the
facebook.com/healthprofessionaleducation
graduate education system of the future.
Connect with the
Office of Health Professional
Education
mededcommunity.com
@HP_Meded
Website: HealthPartnersOHPEcom
05

Emergency Medicine Residency 2016 Annual Report
RESIDENCY
Timeline
’93
Bob Knopp, MD was hired to start the EM residency. Ready to
return to Minnesota, Dr. Knopp left the residency he directed
in Fresno for 17 years to work on the development of the Regions
Hospital Emergency Medicine Residency.
Lori Barrett is selected for coordinator. Lori had
previously worked as the department head
admin and EM office supervisor.
’95
Residency receives a
3-year provisional accreditation
by the ACGME-RRC for Emergency
Medicine and recruitment begins
for the first class of eight residents.
Approximately 200 applications were
reviewed and 126 interviews were
conducted.
’96
First class of 8 residents starts.
The Class of 1999 included
students from Creighton
University, University of Colorado,
Mayo Medical School, University
of Minnesota, and University of
North Dakota.
Residency receives full 3-year
ACGME accreditation and graduates
its first class. Of that first class of
eight residents, seven continue
to work and live in Minnesota.
Pat Anderson joins the program
as a program assistant.
’00
Dr. Felix Ankel is named
program director. Dr. Ankel,
a graduate of the University of
Wisconsin Medical School,
completed his residency
at the University of
Illinois-Chicago and
joined the faculty at
St. Paul-Ramsey Medical
Center in 1994.
’05 ’09
’03
Residency
receives a
5-year full
ACGME
accreditation.
Jessie Nelson, MD is
selected for an Educational Fellowship
and becomes the first faculty
member for clinical simulation.
Medical Toxicology Fellowship
is launched. EM grad,
Matt Morgan, MD, is selected
as the first fellow.
’08
Dr. Bob Knopp retires from
clinical work.
Residency receives a continued
5-year full ACGME accreditation.

Emergency Medicine Residency 2016 Annual Report
’10
EMS Fellowship
starts, under
the direction of
RJ Frascone, MD, with selection of
EM grad, Aaron Burnett, MD, as the
first fellow.
’11
Quality & Patient Safety
Fellowship begins, under the
direction of Drew Zinkel, MD;
EM grad, Kara Kim, MD, is its
first fellow.
Toxicology Fellowship expands
to two fellows/year.
HealthPartners takes over
sponsorship of Pediatric-EM
fellowship based at Minneapolis
Children’s; fellows are now part
of the Regions EM family.
’12
International
Emergency Medicine PA
Residency starts under the
direction of Brad Hernandez,
MD and Ann Verhoeven PA-C.
EM Fellowship,
directed by Matt Morgan, MD,
accepts its first fellow, Amy
Walsh, MD.
’13
Dr. Felix Ankel, program director from
2001-2013, accepts the position of
Vice President & Executive Director,
Health Professional Education with
the HealthPartners Institute.
Dr. Cullen Hegarty is named
program director. Dr. Hegarty, a
2001 program graduate, served
as an assistant program director
from 2004-2011, and associate
program director from 2011-2013.
EMS Fellowship receives 3-year
initial accreditation.
’15
’14
Pat Anderson
retires; Amy
Koonce joins as
program coordinator.
EMS Fellowship has its first
ACGME site visit.
Dr. Aaron Burnett (‘10) is named
program director for the EMS
Fellowship.
Dr. Amy Walsh assumes the
role of program director
for the International
Fellowship.
’16
Dr. Sam Stellpflug
(‘08) is appointed
program director
for the Med/Tox
Fellowship.
Ultrasound Fellowship, under the
direction of Michael Zwank, MD,
RDMS, accepts its first fellow,
Jessica Greupner, MD (‘16).
EMS Fellowship receives continued
accreditation.
Dr. Joe Arms takes
over as Fellowship director
for Peds-EM.

Emergency Medicine Residency 2016 Annual Report
Residents
CHIEF RESIDENTS
David Benjamin, MD, Jackie Kelly, MD, Alan Sazama, MD
2016-2017 Chief Residents
Happy new year! We are excited to share with you
some of the aspects of our program that continue
to make it a great place to train.
We serve a unique blend of privately insured and
under-served patients within the St. Paul metropolitan
area and western Wisconsin. As a Level I
Adult and Pediatric Trauma Center, Heart Center,
Stroke Center and Regional Burn Center,
our hospital and emergency department provide
quality and specialized care to a large community.
Our didactic education provides us with the opportunity
to not only review key core content
important for the practice of emergency medicine,
but also to discuss cutting edge research in
our field through journal club and our recently
developed “Regions: RAP” hour where we delve
into the growing free open access medical education
community (FOAMed) to learn where to
find new content and how to critically appraise
and apply it.
Wellness has been a focus over the past year.
Clinical rotations continue to evolve to serve the
educational needs of our residents as well as to
promote a healthy work-life balance, e.g., traditional
6-week rotations have been split into two
3-week blocks.
Emergency medicine residents provide 365 day
coverage in the surgical ICU where seniors have
leadership responsibilities and all have exposure to
critically ill patients and opportunities to enhance
procedural skills. This is a unique opportunity
to work directly with our surgical and trauma
attending staff physicians, building relationships
that directly translate back to the trauma bay in
the emergency department.
PGY-1s actively manage critically ill patients
from day one of their residency, and are primarily
responsible for airway management in all medical
resuscitations in the ED. PGY-2 residents manage
the airway in all trauma patients and perform
the majority of procedures on trauma and medical
resuscitations within theED. PGY-3 residents
lead resuscitations in all medical arrests, serve as
team leader for the Trauma Team and supervise
the majority of procedures performed in the ED.
These opportunities, in combination with our
department’s high volume and acuity, provide
ample experience in caring for critically ill patients.
Wellness continues to be a priority during
shifts, as well. Our faculty are great role models
for how to provide quality care for our patients
and ourselves.
Lastly, and most importantly, a friendly and collaborative
culture is the hallmark of our program.
Residents, attending physicians, nursing
and ancillary staff have an exceptionally collegial
relationship. Shifts are fun and feedback is supportive.
Residents get together for social events
that include all ED staff; past gatherings have included
kickball, paddle-boarding and a trip to a
Halloween haunted house. Getting to know our
colleagues both on and off shift makes working
together even more fun.
We believe that our educational curriculum, critical
care experiences, and hospital administrative
systems are unique; this combined with excellent
support from our well-respected teaching faculty
and our focus on wellness makes the Regions
Emergency Medicine Residency program a great
place train.
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Emergency Medicine Residency 2016 Annual Report
CURRENT
Residents
Class of 2017 Undergraduate Medical School
David Benjamin, MD Bethel University University of Minnesota
Jennifer Bennett, MD University of Southern California Johns Hopkins University
Maria Bergstrand, MD College of St. Benedict University of Minnesota
Mark Bergstrand, MD St. John’s University University of Minnesota
Matthew Bogan, MD Iowa State University University of Minnesota
Peter Coenen, MD University of Wisconsin-Madison University of Wisconsin
Brian Hahn, MD University of Wisconsin-Madison Chicago Medical School
Jacqueline Kelly, MD St. Olaf College University of Minnesota
Noah Maddy, MD Hamline University University of Minnesota
Alan Sazama, MD University of Sioux Falls University of South Dakota
Class of 2018 Undergraduate Medical School
Allison Grace, MD University of Minnesota University of Wisconsin
Aaron Gronseth, MD University of St. Thomas Medical College of Wisconsin
Bradford Hansen, MD University of St. Thomas Loyola University
Matthew Jones, MD Santa Clara University University of Minnesota
Brian Mehus, MD University of Minnesota University of Minnesota
Steven Palm, MD University of Nebraska University of Minnesota
Callie Schnitker, MD University of Minnesota Drexel University
Hilary Simon, MD University of Southern California New York Medical College
Kevin Torkelson, MD Concordia College-Moorhead University of North Dakota
Zlata Vlodaver, MD University of Minnesota University of Minnesota
Class of 2019 Undergraduate Medical School
Sarah Baker, MD Loyola University Loyola University
Oliver Garrison, MD St. Olaf College University of Minnesota
Allison Knorzer, MD Appalachian State University Wright State University
Sarah Mott, MD University of Minnesota Creighton University
Enyioma Okechukwu, MD University of Michigan New York Medical College
Sara Schroeder, MD University of Wisconsin-Madison University of Minnesota
Kasey Theisen Sturm, MD Texas Tech University University of Minnesota
Priya Sury, MD Washington University at St. Louis University of Minnesota
Shannon Tomfohrde, MD University of Wisconsin-Madison University of Wisconsin
Robert Welborn, MD Coe College University of Iowa
Class of 2016
Class of 2017
9

Emergency Medicine Residency 2016 Annual Report
Sarah Baker, MD
BS - Psychology - Loyola
University
MD - Loyola University
Interests: Ultimate frisbee,
watersports and spending time
on the lake, visiting my brother in
CO for hiking and snowboarding,
checking out new breweries
in Minneapolis/St. Paul with my
hubby, hanging out with my
one-year-old nephew, and traveling! Most recently, I spent
six weeks working at a rural clinic in Bolivia and traveling/
backpacking South America.
Oliver Garrison, MD
BS - Economics - St. Olaf College
MD - University of Minnesota
Interests: True to mindset
of emergency medicine, I’m
interested in more activities than
I have time for. I love the Twin
Cities because I get the benefits
of a city (great food, music,
sports, events), but have access
to cross-country skiing, and
great outdoor running. I like music and film and I go to
a few concerts a year (preferably outdoor), and at home
when nobody’s listening I play the guitar and harmonica.
Creative projects are very fulfilling for me too, which
range from making podcasts and videos, to just working
on my car or making a picture frame for my living room.
Allison Knorzer, MD
BS - Biology - Appalachian State
University
MD - Wright State University
Interests: Playing basketball,
flag football, soccer, running,
hiking, horseback riding, snowboarding,
jump roping, being
a dog mom, baking, growing
orchids, traveling, coaching
basketball, photography.
Sarah Mott, MD
BS - Summa Cum Laude -
Psychology & Biology -
University of Minnesota
MD - Creighton University
Alpha Omega Alpha Honor
Society
Interests: I enjoy anything
that involves being outside
and active – running, cycling,
walking, hiking, water sports, or just hanging out by
one of the lakes. I grew up in Minnesota and am 100%
convinced we have the best summers in the country
(still trying to find something I like about winter besides
Christmas). Spending time with family and friends,
listening to music and attending concerts, beaches
and/or any body of water, mentoring youth, and dogs
bring me joy. And I really, really like to read.
Enyioma Okechukwu, MD
BS - Cellular & Molecular Biology
- University of Michigan
MD - New York Medical College
Interests: I enjoy various
outdoor activities like hiking,
and snowboarding. But being
a 3 sport athlete in high school,
I’m game for any activity that
gets me moving. I’ve always
loved reading but recently I’ve found I most enjoy online
experience blogs and think pieces. Having grown up/
gone to college in the Midwest at the University of
Michigan watching Big 10 football is Saturday tradition
during the fall months. Lastly, discovering new music/
artists and going to live shows is also a huge passion.
Sara Schroeder, MD
BS - Biology & Spanish -
University of Wisconsin-Madison
MD - University of Minnesota
Interests: I enjoy being active and
spending time with loved ones.
My large family gets together
often for meals and to cheer on
our favorite football and baseball
teams. I enjoy traveling across
the country to visit my extended
family and dream of doing more international travel. I
played softball and volleyball most of my life and enjoy
any activity that is outdoors. I grew up playing piano and
singing, and in medical school I was part of an a cappella
group called ‘The Smooth Obturators’.
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Emergency Medicine Residency 2016 Annual Report
Kasey Theisen Sturm, MD
BS - Biology - Texas Tech
University
MD - University of Minnesota
Interests: I enjoy traveling,
spending time with family and
friends (especially on a lake,
around a fire, or at various local
establishments), biking, trying new
restaurants, shopping, and crafts.
Priya Sury, MD
BA - Medical Anthropology,
Spanish - Washington University
in St. Louis
MSt - Study of Religions -
University of Oxford
MD - University of Minnesota
PhD (candidate) - Theology -
University of Oxford
Rhodes Scholarship
Gold Humanism Honor Society
Interests: I enjoy growing food in the garden and cooking
big meals for friends, family, and neighbors. I love
exploring locally and traveling internationally: favorite
travel experiences included hiking in Iceland, camping in
Patagonia, and volunteering on an eclectic organic farm
in Southern France.
Shannon Tomfohrde, MD
BS - Pharmacology &
Toxicology - University of
Wisconsin-Madison
MD - University of Wisconsin
Interests: I enjoy many
outdoor activities including
downhill skiing, hiking,
kayaking, and camping. I
also spend time reading
popular novel series,
watching the Green Bay Packers and Wisconsin
Badgers and enjoying live country music. I’ve recently
started back with ceramics, a skill I learned in high
school. I enjoy spending as much time as possible
with my friends and family, especially my five young
nieces and nephews.
Robert Welborn, MD
BA - General Science - Coe
College
AH - Education - Loyola
Marymount University
MD - University of Iowa
Interests: As a former collegiate
athlete, exercise and healthy
living are principals that keep
me grounded. That being
said, my wife and I love finding
new restaurants and ice cream shops to try. In my
time away from the hospital you can find me attempting
to teach my golden-doodle puppy not to dig holes in
the yard.
Class of 2019
Class of 2018 Class of 2019
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Emergency Medicine Residency 2016 Annual Report
Spotlights
WELLNESS COMMITTEE
1. Why did you volunteer to serve on the Wellness
Committee?
AG: The committee seemed like a great way to find
new ways to not only improve and boost morale, sense
of balance, and overall wellness within our residency
program but also among the entire department. We all
have room for establishing balance both at and away
from work, and not forgetting about our wellness can
help us do that.
AS: I was elected chief resident, specifically to the
Wellness and Quality chief role. I wanted to re-form
the committee to get a diverse set of opinions and
help with planning events to boost wellness within our
residency and department.
CS: I wanted my time in residency to be as enjoyable
and well-rounded as possible and I wanted to do the
same for my fellow residents. Residency has a way of
taking over our lives – for better or worse. I set a goal
for myself that I wanted to be able to look back on these
3 years and say that I not only survived and became a
great physician but that I had a great time doing it too.
Joining the wellness committee felt like the best way to
accomplish that goal.
2. Tell us about Committee activities this past year.
AG: Activities have varied quite a bit, which has made
for great involvement within the department and developing
relationships on a multidisciplinary basis. Events
have included community service projects at Ronald
McDonald House and Union Gospel Mission.
AS: We’ve made a concentrated effort to include all
disciplines in the department in a wide range of
activities including paddle boarding, kickball, movie
nights, and staff picnics/parties.
CS: We as a committee knew from the outset that we
wanted to plan diverse activities and try and be as
inclusive as possible. Looking back over the last year
I think it’s safe to say that we’ve accomplished our
goal and then some!
Callie Schnitker, Alan Sazama, Allie Grace;
not pictured: Jenni Bennett
3. What was the biggest surprise you had on this
committee?
AG: The interest from the department as a whole
in getting together for activities and to get to know
everyone has been a pleasant surprise. Even already
I have noticed a greater sense of camaraderie overall
which I believe is in large part attributable to these
events.
AS: I’ve been surprised by the willingness of the entire
department to spend time together outside of work.
Frequently on shift techs, coordinators, and nurses ask
me when the next wellness activity is going to be.
CS: The biggest surprise has been how enthusiastic
everyone in the department has been to participate in
these activities. I was expecting to have good turn out
from the residents and maybe some of the younger
nurses and ancillary staff but everyone, of all ages and
titles, has gotten behind these wellness events. We’ve
even had great turn out from people outside the department,
people bringing significant others, spouses and
children to these events – it’s been really great to see.
4. What do you think you’ll take with you when you
graduate?
AG: The Wellness Committee ideas and events have
really highlighted the benefit of getting to know
and enjoy your team. Teamwork in the Emergency
Department is crucial, so developing relationships will
improve patient care but also enjoyment and satisfaction
both at and away from work.
AS: This year has been great for department wellness.
I feel like my relationships with the support staff in our
department have grown not only because of the time
spent working here for the past 3 years but also due
to the time spent together outside of work. We work
better together taking care of patients in the ED
because we’re friends outside of work and trust each
other. Next year at my job in South Dakota I look
forward to developing similar camaraderie with the ED
staff because I do feel it has benefited patient care here.
CS: There are a lot of things that I’ll take from this
experience, but the biggest one is the importance of
connecting with your co-workers on a personal level.
I feel like there has been a huge change in the spirit
in the department over the last year and I credit a lot
of that to the wellness activities. It makes even the
hardest cases and shifts that much more enjoyable.
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Emergency Medicine Residency 2016 Annual Report
FACULTY SPOTLIGHT
Peter Baggenstos, MD
BJORN WESTGARD, MD, MA
I really appreciate the
attention to both mission
and margin; both need to be
present for an organization
to be effective. The organizational
culture at Regions also
puts a premium on providers
of different classifications
and specialties working well
together, which makes life
pleasant and is certainly
not present everywhere in
healthcare.
You did not take the standard/traditional route to becoming an ER
doctor. Talk us through your educational journey, and describe all of
the various roles that you currently have. I studied anthropology prior to
medicine as part of a dual degree program at the University of Illinois at
Urbana-Champaign, and I did fieldwork in Senegal in West Africa examining
the historical overlap between systems of healthcare and governance in
both traditional and allopathic medicine. In medical school, I gravitated
towards emergency medicine because of my personality and because of
all the social, political, and economic issues in the emergency department.
In training at Hennepin County Medical Center, I got exposure to and
experience with researching food and housing insecurity, and I continued
that focus on health disparities when I came to HealthPartners. I also got
interested and fellowship-trained in Hyperbaric and Undersea Medicine
because of its unique history and practice and unknown but robust
evidence base. I’m currently a staff emergency physician at Regions and
in the HP Valley Community Hospitals, I practice hyperbaric medicine, and
I work on research and quality improvement in both capacities. I sit on the
HealthPartners Institutional Review Board and Regions Hospital’s Equitable
Care Committee and work with non-profit organizations on healthcare
related issues in the community.
What do you enjoy best about working at Regions? Regions serves a
very diverse population of patients but benefits from the efficient business
operations HealthPartners. I really appreciate the attention to both mission
and margin; both need to be present for an organization to be effective.
The organizational culture at Regions also puts a premium on providers of
different classifications and specialties working well together, which makes
life pleasant and is certainly not present everywhere in healthcare. Though
our practice is incredibly diverse and challenging, most of the time we have
the right resources and colleagues available to provide exceptional care
for patients.
Tell us about your current research projects. My current primary research
study focuses on acculturation, social capital, and cardiometabolic disease
in the Somali community funded by the National Heart, Lung and Blood
Institute through HP and involves collaborators in the Somali community
and across the metro. I’ve also concentrated on public health disparities
that lead to ED visits and unreimbursed care, like neighborhood gaps
in healthy food availability or access to care, missed appointments, and
homelessness. I’ve also looked at clinical gaps, like disparities in pain
control and readmissions or improving dental care though better tools and
clinic vouchers.
The Annual Report this year has a wellness theme. Given your various
clinical and non-clinical duties, how do you stay well? Like many
emergency physicians, I thrive on organized chaos to some degree, but
more importantly, I try to put first things first. I love up my family and friends
everyday, and I believe that “the more we get together, the happier we’ll
be,” so I try to connect with everyone, especially patients. Working stressful
shifts puts us at higher cardiovascular risk, so I also try to exercise every
other day, eat healthy on shift and off, practice the professional skill of
napping, and spend time outdoors whenever possible, preferably sailing
or skiing. Life is short, so everyday we’ve got to find the time to smile,
dance, and have faith.
13

Emergency Medicine Residency 2016 Annual Report
Faculty
NEW FACULTY 2016
Ryan Bourdon, MD
Undergraduate: Michigan
Tech University
Med School: University of
Wisconsin
Residency: Regions Hospital
Fellowship: Regions Hospital
Quality Management &
Patient Safety
Interests: Quality improvement.
In my free time, I enjoy cycling,
traveling and backpacking.
Theresa Gunnarson, MD,
MBA
Undergraduate: Carleton
College
Med School: University of
Minnesota
Residency: Regions Hospital
Interests: Rural health care
delivery systems, finding ways
to provide health care in areas
with limited resources.
Kari Haley, MD
Undergraduate: University of
Minnesota
Med School: Medical College of
Wisconsin
Residency: Medical College of
Wisconsin
Fellowship: Regions Hospital EMS
Interests: EMS. When I’m not working,
I enjoy spending my time with
my husband and two kids, being
outdoors whenever possible.
Jenna LeRoy, MD
Undergraduate: University of Iowa
Med School: University of Iowa
Residency: Regions Hospital
Fellowship: Regions Hospital Medical
Toxicology
Interests: Toxicology.
Personal Interests: cooking, rock climbing,
skiing, wakeboarding, traveling.
Ashley TeKippe, MD
Undergraduate: Luther College
Med School: University of Iowa
Residency: Regions Hospital
Fellowship: University of Utah
Sports Medicine
Interests: Sports medicine.
Personal interests include
canoeing, skiing, golfing, running,
basketball, flag football.
2016 Faculty
14

Emergency Medicine Residency 2016 Annual Report
Faculty Medical School Residency
REGIONS-BASED
Felix Ankel, MD University of Wisconsin University of Illinois
Kelly Barringer, MD Michigan State University Regions Hospital
Emily Binstadt, MD, MPH Mayo Medical School Harvard Affiliated
Ryan Bourdon, MD University of Wisconsin Regions Hospital
Charles Bruen, MD UT Southwestern at Dallas EM/IM Hennepin County Medical Center
Mary Carr, MD University of Michigan EM/IM Henry Ford Hospital
Won Chung, MD, MS Albany Medical College Harvard Affiliated
Rachel Dahms, MD University of Minnesota Indiana University
RJ Frascone, MD University of Minnesota FP - St. Paul-Ramsey Medical Center
Bradley Gordon, MD Creighton University Regions Hospital
Kristi Grall, MD Medical College of Wisconsin William Beaumont - Royal Oak, MI
Cullen Hegarty, MD University of Minnesota Regions Hospital
Keith Henry, MD University of Arizona Regions Hospital
Bradley Hernandez, MD University of Iowa Regions Hospital
Kurt Isenberger, MD Medical College of Wisconsin Regions Hospital
Kory Kaye, MD University of South Dakota St. Vincent Medical Center -Toledo
Kevin Kilgore, MD University of North Dakota Ortho - Creighton University
Peter Kumasaka, MD University of Rochester Christ Hospital
Robert LeFevere, MD Creighton University Regions Hospital
Jenna LeRoy, MD University of Iowa Regions Hospital
Matthew Morgan, MD Chicago Medical School Regions Hospital
Jessie Nelson, MD University of Minnesota Regions Hospital
Michael Paddock, DO AT Still University/Kirksville COM Cook County
Karen Quaday, MD Wayne State University EM/IM Henry Ford Hospital
Stephen Stanfield, MD University of South Carolina Palmetto Health Richland Hospital
Samuel Stellpflug, MD University of Wisconsin Regions Hospital
Ashley TeKippe, MD University of Iowa Regions Hospital
Bjorn Westgard, MD University of Illinois Urbana-Champaign Hennepin County Medical Center
Andrew Zinkel, MD University of Wisconsin University of Illinois
Michael Zwank, MD University of Wisconsin Boston Medical Center
Faculty Medical School Residency
COMMUNITY-BASED
Bradley Barth, MD University of Minnesota Regions Hospital
Aaron Burnett, MD SUNY - Syracuse Regions Hospital
Eric Dahl, MD University of Minnesota Regions Hospital
Theresa Gunnarson, MD University of Minnesota Regions Hospital
Paul Haller, MD University of Minnesota IM - University of Minnesota
Kari Haley, MD Medical College of Wisconsin Medical College of Wisconsin
Samantha Kealey, MD University of Minnesota Regions Hospital
Eric Ling, MD Northwestern University Hennepin County Medical Center
Sheff Massey, DO Des Moines University POH Medical Center - Pontiac MI
Mark Newman, MD University of Nebraska Thomas Jefferson University
Levon O’hAodha, MD University of Minnesota University of Michigan
Joshua Peltier, MD University of Minnesota Regions Hospital
Bjorn Peterson, MD Loma Linda University Regions Hospital
Brian Peterson, DO Chicago COM Resurrection Medical Center
Martin Richards, Jr, MD University of Minnesota Regions Hospital
Nabil Salama, MD Des Moines University COM Resurrection Medical Center
Amy Walsh, MD, MDP University of Minnesota University of Iowa
Joseph Walter, MD St Louis University Regions Hospital
Casey Woster, MD Creighton University Regions Hospital
Wendy Woster, MD University of Minnesota Regions Hospital
15

Emergency Medicine Residency 2016 Annual Report
PA RESIDENCY
Brad Hernandez, MD, Medical Director
Ann Verhoeven, PA-C, Program Director
Christie Eck, Program Coordinator
Physician Assistants are an essential part of the
staffing of the Regions Hospital Emergency
Department. PAs were introduced here in 1983
and the number of PA staff has grown with the
increasing census. We currently have 21 PA full
time staff representing 11 different PA programs.
The PA staff participate in the care for patients of
all levels of acuity and are the preceptors for PA
students rotating from 10 different PA programs.
The HealthPartners Institute/Regions Hospital
EM PA Residency Program has now graduated
four classes of residents. We continue to collaborate
with the MD residency in offering an
18-month training program providing PAs the
knowledge and skills to practice with increased
competence, confidence, and job satisfaction. The
Class of 2017 began in June of 2016. This fifth
class of EM PA residents completed their orientation
and advanced life support training courses
with the EM MD Class of 2019.
The Class of 2016 was the first to complete a longitudinal
rotation at Lakeview Hospital where
they gained experience in a single provider covered
emergency department. They were thefirst
to trial an ED based orthopedics procedure
rotation, which includes shifts with plastic surgery
and with Tria Orthopedics. James Frederick (‘16)
completed an international elective rotation in
Tonga and Michael Cavanaugh (‘16) completed a
wilderness medicine rotation.
Awards as selected by PA residents:
Faculty Teaching
• 2016 Marc Newman, MD
• 2015 Joseph Walter, MD
• 2014 Michael Zwank, MD
PA Staff Teaching
• 2016 Ross Huelster, PA-C
• 2015 Dan Texidor, PA-C
PA Residency Graduates:
• Chadd Allen ’14 – Baylor University Medical
Center – Dallas, TX
• Garrett Brady ’13 – Sacred Heart Medical
Center – Eugene, OR
• Michael Cavanaugh ’16 – Mercy Regional
Medical Center - Durango, CO
• Brita Dahlquist ’15 – Abbott NW Hospital –
Minneapolis, MN
• James Frederick ’16 – Regions Hospital –
St. Paul, MN
• Stephani Seymour ’15 – Regions Hospital –
St. Paul, MN
• Libby Shern ’14 – Regions Hospital –
St. Paul, MN
• Abby Willaert ’13 – University of
St Catherine PA School – St. Paul, MN
PA Resident Class of 2017
16
Autumn Pattee
BA, Biology, College of St. Benedict
Graduate, Physician Assistant Studies,
Samuel Merritt University
Personal Interests: running with
rescue pup outside, exploring
restaurants in the area with husband,
paddle boarding on the many lakes
in the area, yoga, biking, traveling &
learning about other cultures.
Lauren Webb
BS, Biology with Biomedical
Concentration, U of Wisconsin La Crosse
Graduate, Physician Assistant Studies,
Des Moines University
Personal Interests: camping, traveling,
biking, trying new restaurants with
fiancé, snuggling and watching
movies, taking dog out for walks and
to the dog park.

Emergency Medicine Residency 2016 Annual Report
RESIDENCY AWARDS, RECOGNITION, HONORS
Star Award - resident teacher selected
by medical students
2016 Sakib Motalib, MD
2015 Joshua Peltier, MD
2014 Ryan Bourdon, MD
2013 Zabrina Evens, MD, Gary Mayeux, MD
2012 Peter Baggenstos, MD
2011 Kara Kim, MD
2010 Aaron Feist, MD, Gregory Vigesaa, DO
2009 Adina Connelly, MD,
Danielle Jackson, MD
2008 Samuel Stellpflug, MD
2007 Sandy Fritzlar, MD
2006 Nathan Anderson, MD,
Martin Richards, Jr., MD,
John Travnicek, MD, Melissa Tschohl, MD
2005 Keith Henry, MD
2004 Robert LeFevere, MD
2003 Lynn Howard, MD
2002 John Bonta, MD
2001 Cullen Hegarty, MD
Apple Award - faculty teacher selected
by medical students
2016 Robert LeFevere, MD,
Samuel Stellpflug, MD
2015 Samuel Stellpflug, MD
2014 Kevin Kilgore, MD
2013 Kara Kim, MD
2012 Cullen Hegarty, MD
2011 Samuel Stellpflug, MD
2010 Rachel Dahms, MD
2009 Keith Henry, MD
2008 Cullen Hegarty, MD, Kevin Kilgore, MD
2007 Joel Holger, MD, Peter Kumasaka, MD,
Michael Zwank, MD
2006 Jeahan Hanna, MD
2005 Rachel Dahms, MD, Robert LeFevere, MD
2004 Cullen Hegarty, MD
2003 Kevin Kilgore, MD
2002 Felix Ankel, MD
2001 Paul Haller, MD
Felix Ankel Faculty Teaching Award - EM
faculty teacher selected by residents
2016 Keith Henry, MD, Michael Zwank, MD
2015 Kelly Barringer, MD, Rachel Dahms, MD,
Cullen Hegarty, MD
2014 Mary Carr, MD, Rachel Dahms, MD
2013 Cullen Hegarty, MD
2012 Samuel Stellpflug, MD
2011 Michael Zwank, MD
2010 Bradley Hernandez, MD
2009 Keith Henry, MD
2008 Cullen Hegarty, MD
2007 Rachel Dahms, MD, Jeahan Hanna, MD
2006 Robert Knopp, MD
2005 Felix Ankel, MD
2004 Karen Quaday, MD
2003 Carson Harris, MD
2002 Scott Cameron, MD
2001 Robert Knopp, MD
2000 Joel Holger, MD
Nurse Educator Award - EM nurse
teacher selected by residents
2016 Dominic Ehman, RN
2015 Frank Mitchell, RN
2014 Heather Nelson, RN
2013 Daniel Sedlacek, RN
2012 Donald B0rock, RN
2011 Kevin Guenard, RN
2010 Clarice Marsh, RN
2009 Angela Hoeppner, RN
2008 Andrew Hebdon, RN
2007 Lawrence Cochran, RN
2006 Tom Peterson, RN, Karen Poor, RN
2005 Donovan Taylor, RN
2004 Mary Healy, RN
Excellence in EMD Researchs
2016 Jill Schuld, MD
2015 Katherine Glasrud, MD
2014 David Warren, MD, MPH
2013 Gary Mayeux, MD
2012 Eric Dahl, MD, Casey Woster, MD
2011 N Kolja Paech, MD
2010 Nathaniel Curl, MD
2008 Tara O’Connell, MD
2007 Emily Mason, MD, Ben Peake, MD
2006 Scott Donner, MD
2005 Sandy Fritzlar, MD
2004 Kurt Isenberger, MD
2003 S. Wade Barnhart, MD, Christopher
Obetz, MD
2002 Randall Hofbauer, MD
2001 Frank Coughlin, MD
2000 Paul Satterlee, MD, Paul Jewett, MD
1999 Kevin Sipprell, MD, James Parker, MD
Ian Swatez Teaching Award - faculty
teacher from outside EM selected
by residents
2016 David Dries, MD
2015 Avi Nahum, MD
2014 Bruce Bennett, MD
2013 Kealy Ham, MD, James Risser, MD
2012 Bret Haake, MD
2011 Eric Korbach, MD
2010 Julie Switzer, MD
2009 Azhar Ali, MD
2008 David Dries, MD
2007 Eric Korbach, MD, Henry Ortega, MD
2006 David Lee, MD
2005 Bruce Bennett, MD
2004 Raj Sarpal, MD
2003 William Mohr, MD
2002 Mari Goldner, MD
2001 David Dries, MD
2000 Ian Swatez, MD
Off Campus Faculty Teaching Award
2016 - Eric Dahl, MD, Paul Zenker, MD
Robert Knopp Humanism Award
2016 Jill Schuld, MD
2015 Shaun Kennedy, MD
2014 Ryan Bourdon, MD
2013 Jodi Greenlaw, DO
2012 Eric Dahl, MD
2011 Katharine Davidson, MD
2010 Heather Ellsworth, MD
2009 Tara O’Connell, MD
2008 Mark Connelly, MD
2007 Emily Mason, MD
2006 Martin Richards, Jr., MD
2005 Keith Henry, MD,
Jon Hokanson, MD
Excellence in EMS Award
2016 Brittany Brindle, MD
2015 Samantha Kealey, MD,
Joshua Peltier, MD
2014 Jason Van Valkenburg, MD
2013 Zabrina Evens, MD
2012 Bjorn Peterson, MD, Benjamin
Watters, MD
2011 Katharine Davidson, MD
2010 Aaron Burnett, MD
2009 Owen Anderson, MD
2008 Joey Peterson, MD,
Jonathan Shultz, MD
2007 Heidi Lako, MD
Carson R Harris Toxicology Award
2016 Jacqueline Kelly, MD
2015 Sean Boley, MD
2014 Jenna LeRoy, MD
2013 Jenna LeRoy, MD
2012 Zabrina Evens, MD,
Rebecca Gardner, MD
2011 Katherine Katzung, MD
2010 Heather Ellsworth, MD
Mark Bernas Advocacy Award
2016 Sakib Motalib, MD
2015 Amy Stoesz, MD
2014 David Warren, MD, MPH
2013 Adetolu Oyewo, MD
2012 Adetolu Oyewo, MD
2011 Autumn Erwin, MD
2010 Autumn Erwin, MD
17

Emergency Medicine Residency 2016 Annual Report
Curriculum
Kristi Grall, MD, Rachel Dahms, MD
Assistant Residency Directors
Didactics/Simulation
This year we have “spiced” up our didactic
learning a bit at Regions in the hopes
of encouraging regular participation. We
are now in the middle of a very heated
“Conference Cup” where four teams
of faculty and residents are competing
against each other with their conference
attendance hours and speaking points.
At last count Hufflepuff was in the lead,
followed closely by Ravenclaw and
Griffindor. Sadly, Slitherin continues to
pull up behind. Check in on our Facebook
page or websites for current rankings. We
continue to be committed to innovative
education, adding cutting edge technology to
bring in nationally and internationally recognized
speakers through the use of interactive remote
meeting applications. We have developed a novel
FOAMed curriculum for learning evidence
based medicine that incorporates instructional
technology media including podcasts, blogs,
social media and podcasts, which has become a
favored alternative to journal club. We incorporate
monthly small group/simulation conference
days, using simulation or case-based materials as
a basis of active learning. Our weekly ‘critical
case’ conference continues to be our signature
conference, using real-life cases for discussion,
inviting consultants to provide insight where
appropriate. Once per month our critical cases
have a pediatric focus, with participation by our
Peds-EM fellows and faculty.
Other conference time is dedicated to core content,
journal club, QI, joint collaborative conferences
with other departments, and our monthly
grand rounds series. Other innovative ideas we’ve
incorporated, include adding discussions of relevant
podcasts to critical cases, using games to
make core topics enjoyable, and live chats with
our alumni throughout the US and even Australia.
Procedural Training & Competency
Procedural education is based on the need to enter
future practice comfortable and competent in
performing a broad variety of invasive and noninvasive
procedures. Procedural competency matters
the most in procedures that are complex, high
risk, and must be performed immediately to reduce
the risk to life or limb.
Historically, most procedural exposure happens
at the patient’s bedside under faculty supervision.
The emergency department, intensive care units,
and off-service rotations provide an opportunity
for residents to become competent in performing
procedures in a clinical setting. Working with
different faculty in different specialties, residents
are exposed to varied techniques and approaches
to patient care. Bedside teaching also allows for
direct and immediate feedback on performance
at the bedside under the watchful eyes of faculty.
Each year, every resident completes a structured
full-day simulated procedure lab, led by EM faculty,
which provides a chance to get hands-on experience
with invasive procedures. Common procedures,
such as central line placement or epistaxis
management, are refined; residents also perform
rare and high-stakes procedures such as thoracotomy
cricothyroidotomy, pericardiocentesis, and
shoulder dystocia delivery.
18

Emergency Medicine Residency 2016 Annual Report
EMS
EM residents are introduced to the subspecialty
of pre-hospital medicine early in their intern year
with a longitudinal rotation occurring during their
integrated ED months. Residents experience prehospital
medicine by participating in patient care
with EMS providers in urban, suburban and rural
agencies, experiencing fire-based, volunteer/paid
on-call, third service, and police-paramedic EMS
delivery systems. Optional air medical exposure is
offered via Life Link III air ambulance. Residents
also spend time shadowing operators at the Ramsey
County Emergency Communications Center and
the East Metro Medical Resource Control Center
(“East Metro MRCC”), which serves as the nerve
center for on-line medical control for services under
the medical direction of Regions EMS.
Regions EMS Event Medicine
Our residents partner with our EMS providers by
providing on-site medical control for Minnesota
Wild NHL hockey games, the MN State Fair, the
Summer Set Music Festival and the Twin Cities
Marathon. Regions EMS provides on-site EMS
coverage for events at the Xcel Energy Center, CHS
Field in downtown St. Paul, and the Roy Wilkins
Auditorium.
Resident Associate EMS Medical
Directorship
Residents with a particular interest in operational
EMS may choose the Associate EMS Medical Directorship
(AMD) for their required scholarly project.
This unique program allows motivated residents to
gain an in-depth understanding of operational, administrative
and educational aspects of pre-hospital
medicine and the unique role of the EMS medical
director. Residents completing the EMS-AMD program
are uniquely positioned to competitively apply
for EMS fellowships.
2016 Associate EMS Medical Directors:
• Peter Coenen, MD (’17)
• Steven Palm, MD (’18)
• Kevin Torkelson, MD (’18)
Ultrasound
We focus on the ACEP recommended core uses
of bedside ultrasound including but not limited to
FAST, early pregnancy, AAA, cardiac, renal, biliary,
venous, soft tissue, ocular, thoracic and procedural
guidance. Education begins during the intern orientation
of the first weeks of residency and is enhanced
by using a state of the art ultrasound simulator
in our dedicated Sim Lab. We recognize that
point of care ultrasound is both a procedure (obtaining
the image) and a cognitive process (understanding
the benefits/pitfalls of ultrasound and how
to interpret the data into the clinical scenario). To
that end, we incorporated dedicated lecture time,
online resources, and reading references to emphasize
the didactic learning of the different protocols.
19

Emergency Medicine Residency 2016 Annual Report
ALUMNI SPOTLIGHT
Peter Baggenstos, MD
What brought you to Regions for your EM residency training? I wanted
to be involved in a residency that would specifically fit my needs. I felt that
this program placed a strength in evidenced based medicine, empowered
residents to conduct research, and provided independence so that we
could each craft our own personal practice of patient care with appropriate
guidance.
Tell us about your job with EPPA at Methodist Hospital—what are your
favorite aspects of the job and the ED at Methodist? I work for the
HealthPartners system at Methodist Hospital in St Louis Park. I am currently
involved in the Emergency Medicine educational component of the
Creekside Family Practice Residency Rotation. My favorite aspects include
the diverse patient population, the integration of our patient care with the
local medical systems (improves continuity of care) and my colleagues.
PETER BAGGENSTOS, MD
My favorite aspects [of ED at
Methodist Hospital] include
the diverse patient population,
the integration of our patient
care with the local medical
systems (improves continuity
of care) and my colleagues.
Rumor has it that you did a little reality TV last year. How did you decide
to do that, and what did you learn from your experience on Survivor?
I was a contestant on Survivor filmed in Cambodia. I sent in a video and
they liked what they saw! What did I learn? Everything! Don’t take life
seriously. Reality TV is hardly real, but really entertaining.
The Annual Report this year has a wellness theme. Given all of the
excitement you’ve had in your life over the past few years, how do you
stay well? Personal wellness is an essential base for us as ED physicians.
It is mental, physical, spiritual, and emotional. I explore my own personal
wellness through travel, spending time with my new son Thatcher and
wife Yleana, and hitting the weight room. An appropriate balance of
individual time, family time, and professional time. It’s a battle we ED
practitioners will have for the rest of out lives!
Coordinators
There’s nothing better than hearing from our
grads, and we love to stay connected. We especially
like our Alumni Day Conference in September.
This year, we had a “suite” outing at Target Field.
Even though we were rained out, we had a great
time in our suite, and a visiting medical student
from Arizona got to attend the Twins make-up
game the following day. Featured speakers for
conference the following day were Emily Mason
(‘07), Heather Ellsworth (‘10) and Katie Glasrud
(‘15). We also connected with Darcy (Rumberger)
Denegre (‘13) in Colorado and Nate LaFleur (‘16)
in Texas, who shared their experiences remotely.
Jenna LeRoy (‘14) has agreed to take the lead on
development of an Alumni Association.
We attended the annual meeting of Emergency
Medicine Association of Residency Coordinators
(EMARC) in Nashville as part of the 2016 CORD
Academic Assembly and SAEM in New Orleans
Lori Barrett, Manager,
Residency & Education
Amy Koonce,
Program Coordinator
with our intern class. Dinners during SAEM and
ACEP are a great way to stay connected. Grads,
let us know if you’re attending 2017 SAEM in
Orlando or ACEP in Washington, DC.
It was our pleasure to host 112 medical students
from 20 medical schools, 29 rotating residents and
9 fellows from 5 specialties. As of this printing,
we’ve interviewed 117 stellar applicants and look
forward to another great match.
20

Emergency Medicine Residency 2016 Annual Report
GRANTS AND IRB-APPROVED STUDIES:
Burnett AM. Radant T, Halvorsen L. Community paramedics and community health workers partner to reduce
disparities in cardiovascular and diabetes care. Medtronic HealthRise Grant. 2016-2018.
Katzung K, Engebretsen KM, Holger JS, Leroy J, Boley S, Orozco B, Stellpflug SJ. Cerebral oxygenation in a
blinded randomized trial of insulin, norepinephrine, and epinephrine in propranolol-induced cardiac toxicity.
(2014-present). Medical Toxicology Foundation (MTF) Innovative Research Grant
Katzung K, Engebretsen KM, Holger JS, Leroy J, Boley S, Orozco B, Stellpflug SJ. Cerebral oxygenation in a
blinded randomized trial of insulin, norepinephrine, and epinephrine in propranolol-induced cardiac toxicity.
(2014-present) HealthPartners Institute.
Frascone RJ, Burnett AM. Prehospital Tranexamic Acid Use for Traumatic Brain Injury Source (2014-2016):
National Heart Lung and Blood Institute, US Army Medical Research and Material Command. Site investigator
and co-investigator.
Frascone RJ, Burnett AM. Bispectral Index as a Proxy for Cerebral Perfusion During Prehospial CPR (2014-2015).
Metropolitan Emergency Service Board.
Frascone RJ, Burnett AM. Intraosseous Pressure Monitoring in Surgical Intensive Care Unit Patients. (2014-2015)
Vidacare, Inc.
Greupner JT, Zwank MD, Woster CM, Kumasaka PG. Optic Nerve Sheath Diameter In Trauma Patients
Hernandez BS, Hansen BC. Oral Rapidly Dissolving Olanzapine for Acute Primary Headache in the Emergency
Department Setting: A Feasibility Trial. (2016-present).
LeRoy JM, Engebretsen KM, Olives TD, Boley S, Thomas A, Stellpflug SJ. Effect of Methylene Blue on Mortality
in a Porcine Model of Amlodipine Toxicity. (2015-present) HealthPartners Institute.
LeRoy JM, Engebretsen KM, Olives TD, Boley S, Thomas A, Stellpflug SJ. Effect of Methylene Blue on Mortality
in a Porcine Model of Amlodipine Toxicity. (2015-present). Emergency Medicine Foundation (EMF) EMBRS grant.
Masters TC, Hendriksen S, Westgard BC, Walter JW, Logue CJ. The use of hyperbaric oxygen therapy for central
retinal artery occlusion. HCMC.
McCoy M, Walter JW, Orwig D, Jordan V, Odland M. Sudden sensorineural hearing loss treatment outcomes. HCMC.
Hendriksen S, Menth NL, Westgard BC, Cole JB, Walter JW, Masters TC, Logue CJ. Hyperbaric oxygen therapy for
the prevention of arterial gas embolism in food grade hydrogen peroxide ingestion. HCMC.
Westgard BC. Using Systems Science Methods to Study Cardiac Risk in the Somali Community (2014-2019).
National Heart, Lung, and Blood Institute. Principle investigator.
Willenbring BA, Identification of the Mechanism Buproprion Induced Neurological and Cardiovascular Toxicity.
(2016-present). AACT Junior Investigator Award.
Zwank MD. EHR-based Decision Support for Pediatric Acute Abdominal Pain in Emergency Care. Site-Investigator.
Sandi Wewerka (PI), Zwank MD (Co-I). Biomarker Levels as A predictor of Concussion Severity OUTcomes
(BLACOUT). (2015–present). HealthPartners Institute.
Zwank MD, Garrison OF, ThiesenSturm KA. Peripheral Internal Jugular Vein (‘Peripheral IJ’) Access in Patients
Identified as Difficult Intravenous Access.
Zwank MD, Gronseth AD. Outcome of Anticoagulated Patients Admitted to Regions Hospital with Head Trauma.
21

Emergency Medicine Residency 2016 Annual Report
PUBLICATIONS & PRESENTATIONS
Bold: faculty/staff
Bold italics: residents/fellows
Publications
Lin M, Joshi N, Grock A, Swaminathan A, Morley EJ, Branzetti
J, Taira T, Ankel F, Yarris LM. Approved Instructional Resources
Series: A National Initiative to Identify Quality Emergency Medicine
Blog and Podcast Content for Resident Education. J Grad
Med Educ. 2016 May;8(2):219-25.
Ten Cate O, Hart D, Ankel F, Busari J, Englander R, Glasgow N,
Holmboe E, Iobst W, Lovell E, Snell LS, Touchie C, Van Melle E,
Wycliffe-Jones K; International Competency-Based Medical Education
Collaborators..Entrustment Decision Making in Clinical
Training. Acad Med. 2016 Feb; 91(2):191-8.
Ernest EV, Brazelton TB, Carhart ED, Studnek JR, Tritt PL, Philip
GA, Burnett AM. Prevalence of Unique Pediatric Pathologies
Encountered by Paramedic Students Across Age Groups. Prehosp
Disaster Med. 2016 Aug; 31(4):386-91.
Yannopoulos D, Bartos JA, Martin C, Raveendran G, Missov E,
Conterato M, Frascone RJ, et al. Minnesota Resuscitation Consortium’s
Advanced Perfusion and Reperfusion Cardiac Life Support
Strategy for Out-of-Hospital Refractory Ventricular Fibrillation.
J Am Heart Assoc. 2016 Jun 13; 5(6).
Garcia S, Drexel T, Bekwelem W, Raveendran G, Caldwell E,
Hodgson L, Wang Q, Adabag S, Mahoney B, Frascone R, et
al. Early Access to the Cardiac Catheterization Laboratory for
Patients Resuscitated From Cardiac Arrest Due to a Shockable
Rhythm: The Minnesota Resuscitation Consortium Twin Cities
Unified Protocol. J Am Heart Assoc. 2016 Jan; 5(1).
Zwank M, Bourdon R. Risk of a contaminated urine specimen
linked to high BMI. J Fam Pract. 2016 Feb; 65(2):84, 139.
Cole JB, Moore JC, Nystrom PC, Orozco BS, Stellpflug SJ,
Kornas RL, Fryza BJ, Steinberg LW, O’Brien-Lambert A,
Bache-Wiig P, Engebretsen KM, Ho JD. A prospective study of
ketamine versus haloperidol for severe prehospital agitation. Clin
Toxicol. 2016 Aug; 54(7):556-62.
Nelson ZJ, Stellpflug SJ, Engebretsen KM. What Can a Urine
Drug Screening Immunoassay Really Tell Us? J Pharm Pract. 2016
Oct; 29(5):516-26.
DeLuca LA Jr, Walsh P, Davidson DD Jr, Stoneking LR, Yang
LM, Grall KJ, Gonzaga MJ, Larson WJ, Stolz U, Sabb DM,
Denninghoff KR. Impact and feasibility of an emergency department-based
ventilator-associated pneumonia bundle for patients
intubated in an academic emergency department. Am J Infect Control.
2016 Sep 21.
Stoneking LR, Waterbrook AL, Garst Orozco J, Johnston D, Bellafiore
A, Davies C, Nuño T, Fatás-Cabeza J, Beita O, Ng V, Grall
KH, Adamas-Rappaport W. Does Spanish instruction for emergency
medicine resident physicians improve patient satisfaction
in the emergency department and adherence to medical recommendations?
Adv Med Educ Pract. 2016 Aug; 7:467-73.
Javedani PP, Ratnabalasuriar R, Grall KJ. Spontaneous Compartment
Syndrome of the Thigh in the Absence of Trauma. J Emerg
Med. 2016 Jul; 51(1):70-2.
Waterbrook AL, Pritchard TG, Lane AD, Stoneking LR, Koch
B, McAtee R, Grall KH, Min AA, Prior J, Farrell I, McNulty
HG, Stolz U. Development of a novel sports medicine rotation
for emergency medicine residents. Adv Med Educ Pract. 2016 Apr
21; 7:249-55.
Grall KH, Panchal AR, Chuffe E, Stoneking LR. Feasibility
of Spanish-language acquisition for acute medical care providers:
novel curriculum for emergency medicine residencies. Adv
Med Educ Pract. 2016 Feb; 8(7):81-6.
Haley KB, Lerner EB, Guse CE, Parrallo RG. Effect of System-Wide
Interventions on the Assessment and Treatment of
Pain by Emergency Medical Service Providers. Prehop Emerg
Care. 2016 May; 20(6):752-758.
Love JN, Ronan-Bentle SE, Lane DR, Hegarty CB. The
Standardized Letter of Evaluation for Postgraduate Training:
A Concept Whose Time Has Come? Acad Med. 2016 Nov;
91(11):1480-1482.
Pittman MA, Yarris LM, Lall MD, Smith JL, Wills CP,
Ufberg JW, Hegarty CB, Love JN. Do Emergency Medicine
Residency Graduates Feel Prepared To Manage Closed Fractures
After Training? Acad Emerg Med. 2016 Aug. [Epub ahead
of print]
Hart D, McNeil MA, Hegarty C, Rush R Jr, Chipman J,
Clinton J, Reihsen T, Sweet R. Literature Evidence on
Live Animal Versus Synthetic Models for Training and
Assessing Trauma Resuscitation Procedures. J Spec Oper Med.
Summer 2016; 16(2):44-51.
Jones MJ, Hernandez BS, Janis GC, Stellpflug SJ. A case of
U-47700 overdose with laboratory confirmation and metabolite
identification. J of Clin Toxicol. 2016 Aug; 55 (1): 55-59
Chan TM, Grock A, Paddock M, Kulasegaram K, Yarris
LM, Lin M. Examining Reliability and Validity of an Online
Score (ALiEM AIR) for Rating Free Open Access Medical Education
Resources. Ann Emerg Med. 2016 Dec; 68(6):729-735.
Gosselin S, Hoegberg LC, Hoffman RS, Graudins A, Stork
CM, Thomas SH, Stellpflug SJ, Hayes BD, Levine M,
Morris M, Nesbitt-Miller A, Turgeon AF, Bailey B, Calello
DP, Chuang R, Bania TC, Mégarbane B, Bhalla A,
Lavergne V. Evidence-based recommendations on the use of
intravenous lipid emulsion therapy in poisoning. Clin Toxicol.
2016 Dec; 54(10):899-923.
Cole JB, Stellpflug SJ, Smith SW. Refractory Hypotension
and “Ventricular Fibrillation” With Large U Waves After Overdose.
JAMA Intern Med. 2016 Jul 1; 176(7):1007-9.
Cole JB, Moore JC, Nystrom PC, Orozco BS, Stellpflug
SJ, Kornas RL, Fryza BJ, Steinberg LW, O’Brien-Lambert A,
Bache-Wiig P, Engebretsen KM, Ho JD. A prospective study
of ketamine versus haloperidol for severe prehospital agitation.
Clin Toxicol. 2016 Aug; 54(7):556-62.
Levine M, Hoffman RS, Lavergne V, Stork CM, Graudins
A, Chuang R, Stellpflug SJ, Morris M, Miller-Nesbitt A,
Gosselin S; Lipid Emulsion Workgroup. Systematic review of
the effect of intravenous lipid emulsion therapy for non-local
anesthetics toxicity. Clin Toxicol. 2016 Mar; 54(3):194-221.
Hendriksen SM, Menth NL, Westgard BC, Cole JB, Walter
JW, Masters TC, Logue CJ. Hyperbaric oxygen therapy for the
prevention of arterial gas embolism in food grade hydrogen
peroxide ingestion. Am J Emerg Med. 2016 Dec 14. [Epub ahead
of print]
Schuld JC, Volker ML, Anderson SA, Zwank MD. Postsplinting
x-rays of nondisplaced hand, wrist, ankle, and foot fractures
are unnecessary. Am J Emerg Med. 2016 Aug; 34(8):1625-6.
22

Emergency Medicine Residency 2016 Annual Report
Abstract Presentations
Benjamin DE, Hernandez BS. Innovative Non-Clinical Emergency
Medicine Curriculum for Medical Students. Poster presentation
at SAEM Great Plains Regional Meeting, Iowa City, IA,
September 2016.
Bennett JL, Goertz MK, Bourdon MT. Incidental Pulmonary
Nodules In The Emergency Department: A Potential Opportunity
To Improve Patient Safety. Poster presentation; MMCGME Quality
Forum. Minneapolis, MN, May 2016 and SAEM Great Plains
Regional Meeting, Iowa City, IA, September 2016.
Bourdon RT, Stanfield SC, Burnett AM, Kelly JT, Marsh C,
Droegemueller C. Decreasing Time from Patient Arrival via Emergency
Medical Services to CT Imaging and TPA Administration
for Suspected Acute Ischemic Stroke Patients. Poster Presentation at
ACMQ Annual Meeting, Washington, DC, April 2016, MMCGME
Quality Forum, Minneapolis, MN, May 2016 (award for best poster),
and IHI Quality Forum, Orlando FL, December 2016.
Farrar K, Cicolello K, Zwank MD. Impact of EMR Discharge
Notifications on Rates of Patient Follow Up and Treatment of
Hypertension: A Retrospective Cohort. Oral presentation; SAEM
Annual Meeting, New Orleans, LA, May 2016.
Debaty G, Frascone RJ, et al. Gasping during cardiopulmonary
resuscitation is associated with a higher likelihood of one year survival
after cardiac arrest. Poster Presentation; AHA ReSuscitation
Science Symposium, Anaheim, CA, November 2016.
Moore J, Holley J, Debaty G, Robinson A, Segal N, Lick M,
Lick C, Frascone RJ, et al. Head up position lowers intracranial
pressure in a human cadaver model of cardiopulmonary resuscitation.
Poster Presentation; AHA ReSuscitation Science Symposium,
Anaheim, CA, November 2016.
Gordon BD, Bernard K, Isenberger KM, Zwank MD. (2016).
Patterns of Use of Cervical Spine Decision Rules Installed in EHR
Imaging Order. Oral presentation, SAEM Annual Meeting, New
Orleans, LA, May 2006.
Grall KJ, Barrett LJ, Koonce AE, Hegarty CB. Is Virtual Grand
Rounds a Good Option for Resident Conferences? Poster presentation
at CORD Academic Assembly, Nashville, TN, March 2016.
Grall KJ, Paddock MT, Hegarty CB, Hahn BA, Bogan MT,
Wong M, Walter JW. RegionsRAP: Implementation of a Novel
Journal Club Format Incorporating Instructional Technology. Poster
presentation at CORD Academic Assembly, Nashville, TN, March
2016.
Williams B, Terwilliger A, Williams B, Robertson B, Gurliacci R,
Miller C, Haley KB, et al. Impact of Learning Environment on Paramedic
Student Critical Thinking. Poster Presentation; NAEMSE
Prehospital Care Research Forum, Fort Worth, TX, August 2016.
Hegarty CB, Barringer KW, Nelson JG, Wong M, Binstadt
ES. ABCs of Team Leadership: Using Shift Card Data to Guide
Future Education. Poster presentation at CORD Academic
Assembly, Nashville, TN, March 2016.
Kelly JT, Stellpflug SJ, Isenberger KM, Zwank MD. Patient
Satisfaction Surveys: Rising Importance, Limited Reliability. Abstract
presented at AAEM Scientific Assembly, Las Vegas, NV, Feb. 2016.
Hernandez BS. Are the top EM applicants declining to interview
earlier in 2015: A review of declined invitations from 2013-2015.
Poster presentation at CORD Academic Assembly, Nashville, TN,
March 2016.
Larsen TA, Hernandez BS, Roeber EJ, Dries DJ, Willett S. Eliminating
the preventable occurrence of right mainstem intubation in
the pediatric trauma patient. Pediatric Trauma Society, 34rd Annual
Meeting, Nashville, TN, November, 2016.
LaFleur NA. Do Emergency Department Blood Cultures Influence
Antibiotic Therapy in Patients Diagnosed with Sepsis? Oral
presentation; SAEM Annual Meeting, New Orleans, LA, May 2016.
Nelson JG, Schnitker CK, Simon HM, Wewerka S, Mischel-
Abramowski E. Cost-Effectiveness of Physician Incentives for
Resident Feedback. Poster presentation (awarded best faculty
poster presentation); SAEM Great Plains Regional Meeting, Iowa
City, IA, September 2016 and ACEP Research Forum, Las Vegas
NV, October 2016.
Schuld JC, Volker ML, Anderson SA, Zwank MD. Postsplinting
x-rays of nondisplaced hand, wrist, ankle, and foot fractures
are unnecessary; Oral presentation; SAEM Annual Meeting,
New Orleans, LA, May 2016.
Walter JW, Minnihan RE, Westgard BC, Hendriksen S, Masters
TC, Logue CJ. Prospective Study of Mucosal Atomizer Device
Use On Myringotomy Patency. Poster presentation at Undersea
and Hyperbaric Medicine Society Annual Scientific Meeting, Las
Vegas, NV, June 2016.
Hendriksen S, Westgard BC, Walter JW, Masters TC, Logue CJ.
Case series of patients with central retinal artery occlusion with
the diagnosis confirmed with bedside ultrasound. Poster presentation
at Undersea and Hyperbaric Medicine Society Annual
Scientific Meeting, Las Vegas, NV, June, 2016.
Masters TC, Hendriksen S, Westgard BC, Walter JW, Logue CJ.
Fluorescence microangiography to guide management of nonhealing
wounds. Poster presentation at Undersea and Hyperbaric
Medicine Society Annual Scientific Meeting, Las Vegas, NV, June,
2016.
Woster CM,Motalib S, Pasquarella J, Wewerka S, Zwank M.
Placement of a Cervical Collar Increases the Optic Nerve Sheath
Diameter in Healthy Adults. Oral presentation; SAEM Great
Plains Regional Meeting, Iowa City, IA, September 2016.
Zwank MD, Hahn BA. Provider Compliance With the Steps of
a Checklist During Central Venous Catheter Insertion is Highly
Variable. Poster presentation; SAEM Great Plains Regional Meeting,
Iowa City, IA, September 2016.
Zwank MD, Variability in Quantity and Quality of Point-of-Care
Ultrasounds Performed by Core Faculty at a Teaching Hospital.
Oral presentation (awarded best faculty oral presentation); SAEM
Great Plains Regional Meeting, Iowa City, IA, September 2016.
Other Presentations
Barringer KW (Moderator), Nelson JG (Panelist). Educational
research, you may already be doing it. SAEM Annual Meeting,
New Orleans, LA, May 2006.
Burnett AM, Peterson BK. Development and Implementation
of a Pre-Hospital Stroke Code System. Invited presentation;
Minnesota Department of Health-Minnesota Stroke Conference.
Minneapolis, MN. June 2016.
LeFevere RC. The Disaster: Life Threatening On Ice Emergencies.
Tria Orthopedics 19th Annual Orthopaedics and Sports
Medicine Conference, Bloomington MN, February 2016.
Walter JW. So You Wanna Be a 21st Century Learner? Oral
presentation at Minnesota ACEP Chapter Emergency Medicine
Leadership Summit. Bloomington, MN, November, 2016.
Walter JW. Emergent HBO: Where’s Your Enthusiasm? Oral
Presentation at Healthpartners Emergency Medicine & Trauma
Update. Bloomington, MN, October, 2016.
23

Emergency Medicine Residency 2016 Annual Report
CRISIS PROGRAM
The Crisis Program at Regions Hospital Emergency Center,
represents a successful collaboration between the Emergency
Department and Regions Mental Health Department.
Psychiatric crisis intervention and assessment services are
provided by an experienced, skilled group of licensed independent
clinical social workers (LICSW) staffing the program
24/7. We provide a patient centered and trauma informed
model of care. Patients are seen for a variety of mental health
issues including suicidal behavior, depression, psychosis,
anxiety, post traumatic stress, domestic violence and substance
abuse. The crisis staff work closely with ED physicians,
residents, physician assistants, nurses, ERTs and case managers,
to provide comprehensive psychiatric and psychosocial
assessments and to create discharge plans that maximize
safety and stabilization in the community or in the hospital.
EMERGENCY CENTER OPERATIONS
The Regions Hospital Emergency Center is a Level I Adult
and Pediatric Trauma Center located in St. Paul, MN, serving
the east metropolitan Twin Cities area, including western
Wisconsin.
Richelle Jader, BSN
MHA - Administrative Director
Karen Quaday, MD
Operations Medical Director
Ryan Aga, RN, BSN,
MSNNurse Manager
Jeff Fritz,
Manager ED Operations
In 2016, our work included:
■ Improving the care of the mental health patient in in the the ED ED
■ Multidisciplinary SIM education
■ Narcotic prescribing
■ Just Culture/Culture of of Patient Safety
■
■ Core Measures (STEMI, CAP, Stroke, Sepsis) Sepsis)
■
■ Intentional Rounding
■
■ Staff
Staff
Safety
Safety and
and
Workplace
Workplace
Violence
Violence
Protocols
Protocols
■ Staff resiliency room
■ Staff resiliency room
■ ED Residency training (MD, PA, RN)
■ ED Residency training (MD, PA, RN)
■ Refining our flow processes; namely Split Flow
■ Refining our flow processes; namely Split Flow
■ Patient Experience training and coaching
■ Patient Experience training and coaching
The Regions Hospital Emergency Center includes:
The Regions Hospital Emergency Center includes:
24
PRIVATE
ROOMS
PRIVATE
ROOMS
EMERGENCY CENTER
EMERGENCY CENTER
50,000
Sq. Ft.
50,000
of Clinical Space
Sq. Ft.
of Clinical Space
55
TREATMENT ROOMS
55
TREATMENT ROOMS
+8,000
+8,000
An additional
8,000 sq. ft. houses
the resident room, library,
An conference additional space and
8,000 administrative sq. ft. houses offices.
the resident room, library,
conference space and
administrative offices.
EMPLOYEE LOUNGE
AND LOCKER ROOM
EMPLOYEE LOUNGE
AND LOCKER ROOM
5
CARE AREAS
(Pods)
CARE AREAS
(Pods)
Newly-remodeled
11-BED
Newly-remodeled
11-BED
CARE POD
for crisis/ behavioral
health patients.
CARE POD
for crisis/ behavioral
health patients.
DISCHARGE
PHARMACY
DISCHARGE
PHARMACY
WAITING ROOM
AND TRIAGE AREA
WAITING ROOM
AND TRIAGE AREA
87,500
PATIENT VISITS
6.6%
6.6%
PEDIATRIC PATIENTS (< 16)
9.0%
MENTAL HEALTH PATIENTS
3560
TRAUMA ADMISSIONS
IN-DEPARTMENT
RADIOLOGY SUITE
IN-DEPARTMENT
RADIOLOGY SUITE
2016 EMERGENCY CENTER STATS
2016 EMERGENCY CENTER STATS
87,500
PATIENT VISITS
PEDIATRIC PATIENTS (< 16)
9.0%
MENTAL HEALTH PATIENTS
3560
TRAUMA ADMISSIONS
700
TRAUMA TEAM
700
ACTIVATIONS
TRAUMA TEAM
ACTIVATIONS
24%
ADMISSION RATE
24%
ADMISSION RATE
55%
OF ALL HOSPITAL
55%
ADMISSIONS COME FROM
THE ED
OF ALL HOSPITAL
ADMISSIONS COME FROM
THE ED

Emergency Medicine Residency 2016 Annual Report
Regions Hospital Foundation
EM Residency Funds
L134 - EMERGENCY MEDICINE RESIDENCY EDUCATION
Donations to the Emergency Medicine Residency fund (L134) play a critical role in program and resident development.
We were able to send residents to regional and national meetings:
AAEM
Jackie Kelly (’17) presented abstract
ACEP Leadership and Advocacy Conference
Maria Goertz (’16)
Kendal Farrar (’16)
Jenni Bennett (’17)
ACEP Scientific Assembly
Alan Sazama (’17)
Callie Schnitker (’18) presented abstract
Hilary Simon (’18) presented abstract
Elective rotation in Zambia
David Benjamin (’17)
MMA Day at the Capitol Conference
Kendal Farrar (’16)
SAEM Great Plains Regional Meeting
David Benjamin (’17) presented abstract
Callie Schnitker (’18) presented abstract
Hilary Simon (’18 ) presented abstract
IHI Conference
Jackie Kelly (‘17) presented abstract
$1,000+
ADVOCATE
Rob LeFevere (‘04)
Kevin Smith (‘07)
Paul Travnicek (‘08)
Jeff (‘99) & Sara Young
$500+
BUILDER
Cullen Hegarty (‘01)
Brad (‘01) & Karine
Hernandez
Bob Knopp
Ann Schapiro (‘05)
$100+
SPONSOR
Owen Anderson (‘09)
Felix & Lisa Ankel
Scott Donner (‘06)
Aaron Feist (‘10)
Kurt Isenberger (‘01)
Cynthia Kelmenson (‘03)
Emily Mason (‘07)
Amanda Miller (‘15)
Jim (‘99) & Anne Parker
Jon Shultz (‘08)
Jillian Smith (‘11)
John Travnicek (‘06)
Joe Wahlberg (‘06)
Ben Watters (‘12)
E009 - MARK BERNAS ENDOWMENT
The Mark Bernas Endowment was established in 1998
after the death of EM resident, Mark Bernas. It’s purpose
is to provide long term financial resources for the Mark
Bernas Resident Learning Commons (connected to our
resident room) and our visiting professor lecture series.
Mark’s mother, Dorothy, is an integral part of our residency
family, participating in our Advocacy Day Conference,
as well as our graduation, where she presents the Mark
Bernas Advocacy Award to the resident who has demonstrated
dedication and leadership in advocating for the
health of our community.
$1,000+
ADVOCATE
Dorothy Bernas
Sandy Buckman (‘07)
$100+
SPONSOR
David Warren (‘14)
25

Emergency Medicine Residency 2016 Annual Report
RESIDENCY PRESENTATIONS 2016
RESIDENCY PRESENTATIONS 2016
The Regions Hospital
Emergency Medicine Residency
supplements clinical
learning experience
with lectures, workshops
and procedural skills
labs that are open (space
permitting) to all residents,
faculty, students, alumni,
nurses, physician assistants,
consultants and
others from our residency
community to share and
discuss new knowledge.
NUMBER OF LECTURES
NUMBER OF LECTURES
259
HOURS OF ATTENDANCE
HOURS OF ATTENDANCE
4975
resident hours
resident hours
1361
faculty hours
faculty hours
NUMBER OF
WORKSHOPS
NUMBER OF
WORKSHOPS
78
WORKSHOPS
ATTENDED WORKSHOPS BY
ATTENDED BY
151
medical students, and
medical students, and
24
PA students
PA students
NUMBER OF LABS
NUMBER OF LABS
30
6
residents fellows
residents fellows
and
and
2
PA residents
PA residents
participated in
participated in
12
procedural skills labs
procedural skills labs
MEDICAL STUDENT PROGRAM
MEDICAL STUDENT PROGRAM
The Regions Hospital Emergency Medicine
Department has a long tradition of educating medical
students. Rotations hosted at Regions include:
essentials of clinical medicine (ECM) for 1st and 2nd
year students, core required EM clerkship through the
University of Minnesota Medical School, advanced
EM clerkship, and elective bedside ultrasound and
toxicology experiences. Students rotating through the
Regions ED have the opportunities to do ride-alongs
in EMS, participate in workshops in orthopedics, eye,
simulation and toxicology and attend the Thursday
didactic sessions along with the residents. During
their clinical shifts they participate in trauma team
activations, code blue resuscitations and are able to
evaluate patients across the entire spectrum of acuity.
OUR NUMBERS IN 2016
OUR NUMBERS IN 2016
Core:
Toxicology:
Core:
Toxicology:
29
3
Advanced:
Essentials of
Advanced:
Essentials of
43
Clinical Medicine:
Clinical Medicine:
17
Beside Ultrasound:
Beside Ultrasound:
20
TOTAL
TOTAL
112 from 20 medical schools
112 from 20 medical schools
If you are interested in learning more about our student rotation opportunities, check the ‘student program’ link on our website
If (http://www.regionsem.org/student-program) you are interested in learning more about our or call student Kristi Lamb rotation 651-254-5298 opportunities, or check Lori the Barrett ‘student at 651-254-3666. program’ link Applications our website are
(http://www.regionsem.org/student-program) being accepted for the 2017-18 academic year or through call Kristi the Lamb Visiting at 651-254-5298 Student Application or Lori Service Barrett at (https://services.aamc.org/20/vsas/).
651-254-3666. Applications are
being accepted for the 2017-18 academic year through the Visiting Student Application Service (https://services.aamc.org/20/vsas/).
26

Emergency Medicine Residency 2016 Annual Report
Nursing
EDUCATION
Wendy Dahl, RN, MSN, PHN, CEN, CPEN
Cristina Santos, RN, CPEN
Decentralized Nurse Educators
62
NEW EMPLOYEES
31
RN’S
2
PARAMEDICS
11
NURSE RESIDENCY
GRADUATES
26
ERT’S
Wendy Dahl, RN, MSN, PHN,
CEN, CPEN, Decentralized Nurse
Educator
159
32%
AA
60%
BS
8%
MASTER’S-PREPARED
NURSES
27%
CFN CERTIFICATION
14%
CPEN CERTIFICATION
12%
CCRN, SANE_A, CFRN, TCRN,
RN-BC, PCN OR PCCN
Cristina Santos, RN, CPEN,
Decentralized Nurse Educator
NURSE SPEAKERS:
Ryan Aga presented at Minnesota Hospital Association, HP Emergency Medicine Trauma Update and
Ancker School of Nursing’s 50th anniversary celebration
Polly Rabe presented at the Cornerstones Emergency Nursing Conference
HONORS:
Ryan Aga, was nominated for Nurse Leader of the Year by the March of Dimes demonstrating his
commitment to the profession of emergency nursing.
27

Emergency Medicine Residency 2016 Annual Report
Fellowships
Medical Toxicology
The Regions Hospital Clinical Toxicology Service
and the Twin Cities Medical Toxicology Fellowship
(a joint venture between HealthPartners/
Regions and the Minnesota Poison Control System)
had a great 2016. We graduated Drs. Jenna
LeRoy and Travis Olives and welcomed Drs. Ben
Willenbring and Amelia Burgess, who joined 2nd
year fellows Abby Montague and Sean Boley (‘15).
The Tox Service and Fellowship continue to strive
to provide education to fellows, residents, medical
students, pharmacy students, and PA residents. These
learners are why we do what we do, and we look
forward to continued work with them. Research
continues to be a focus for as well. We have several
ongoing projects both at Regions and in conjunction
with medical centers around the country, and
that work is aided by multiple grants from Health-
Partners and from national organizations. Publications
continue to be a focus as well, and in 2016 the
group produced multiple manuscripts and published
abstracts. The national and international exposure
that comes from this work has been bolstered by invitations
to lecture nationally, regionally, and locally.
Toxicology fellows: Ben Willenbring, Abby Montague,
Sean Boley; not pictured: Amelia Burgess
Emergency Medical Services (EMS)
Regions Hospital EMS has offered a oneyear
EMS fellowship since 2010, allowing
graduates to sit for the certification exam
in EMS offered by the American Board of
Emergency Medicine. Dr. Aaron Burnett
(’11) is the State of MN EMS Medical
Director, Dr. Eric Ernest (’14) was recently
appointed the State of Nebraska EMS
Medical Director, Dr. Chris Ward (’15) is
medical director for Lakes Region EMS
in Minnesota and Drs. Peterson (’13) and
Haley (’16) serve as Assistant Medical
Directors with Regions EMS.
28

Emergency Medicine Residency 2016 Annual Report
Quality Management &
Patient Safety
Fellow, Ryan Bourdon, MD (‘14), has completed the
fellowship as well as the University of St. Thomas’
Health Care Master’s in Business Administration
program. Ryan worked on quality improvement
projects related to patient reported outcomes, stroke,
sepsis, and operations. He has involved several residents
in these ongoing projects. Ryan has stayed
on at Regions as the Associate Medical Director of
Quality and will focus on quality education as well
as supporting the Medical Director of Quality. The
fellowship curriculum includes topics in medical
quality management and patient safety from both
the delivery of care perspective as well as the health
plan perspective. The curriculum is flexible based
on career goals. If you would like more information
or have interest in applying to the fellowship, please
contact Dr. Andrew Zinkel, fellowship director, at
andrew.r.zinkel@healthpartners.com.
Pediatric Emergency Medicine
(Peds-EM)
The Pediatric Emergency Medicine fellowship program
at Children’s Hospital and Clinics of Minnesota
has been training PEM physicians since 1988. The
Children’s Hospital of Minnesota- Minneapolis campus
is certified by the American College of Surgeons
as a Level 1 pediatric trauma center. The program
has nine PEM fellows supported by 40 PEM physicians
and 16 ED-based pediatric nurse practitioners.
This comprises the largest pediatric-emergency
trained staff in the region. The pediatric emergency
department at Children’s Hospitals and Clinics of
Minnesota has a combined annual volume of 90,000
patients, with outreach services in Chaska, Woodbury
and Plymouth. Children’s Hospitals has a comprehensive
research department with research staff supporting
the fellowship program; producing several
publications annually. The fellowship enjoys immense
support from faculty who provide weekly lectures, a
formalized ultrasound training program, a simulation
program among other core educational activities.
International
The program focuses on preparing fellows to develop
emergency medical systems and provide medical education
in international settings. Amy Stoesz (‘15), current
second year fellow, continues her work on human
rights and sex trafficking. Monthly education sessions
are helping us build relationships with other colleagues
in the Twin Cities and addressing topics that are critical
to the practice of global health. We are taking advantage
of Regions’ other fellowships to gain perspectives on
Global EMS and Global Toxicology. We have an existing
relationship with the Global Emergency Care Collaborative,
an organization that has a training program for
local providers in Uganda. We have partnered with the
University of Minnesota’s Global Health Pathway to enhance
educational opportunities for our fellows and are
partnering with the HealthPartners International clinic
to allow for more international and social medicine
research opportunities. In addition to working clinical
shifts, we actively participate in multiple annual education
events with Mano a Mano in Bolivia.
Ultrasound
Our first ultrasound fellow, Jessica Greupner (‘16) started
in September and continues to strengthen the emergency
ultrasound program.This fellowship will provide the fellow
with an excellent experience to take forward into academics
or community practice. Fellows will become familiar
with an effective collaborative approach to bedside
ultrasound and will be able to take this forward, becoming
a valuable asset in whatever setting they land. Program
Director, Michael Zwank, MD, RDMS, co-chairs the
Regions Hospital Point-of-Care Ultrasound Committee
which is a multi-department committee that oversees all
point-of-care ultrasound throughout the hospital. Our
ED has a collaborative working relationship with radiology
and cardiology and our fellow will learn both in the
ED and in the echo lab and radiology suite.
29

Emergency Medicine Residency 2016 Annual Report
EMERGENCY MEDICINE GRADS
Class of 1999
Chanah DeLisle, MD - United Hospital - St. Paul, MN
Craig Grorud, MD - Park Nicollet - Minneapolis, MN
Amy Kolar, MD - North Memorial Medical Center -
Robbinsdale, MN
James Parker, MD - St. Francis Hospital - Shakopee, MN
Jason Roth, MD - St. Anthony Hospital - Denver, CO
Kevin Sipprell, MD - Ridgeview Hospital - Waconia, MN
Jeffrey Young, MD - Mercy Hospital - Coon Rapids, MN
Robert Zeleznikar, MD, PhD - University of Minnesota Medical
Center- Minneapolis, MN
Class of 2000
Bradley Barth, MD - Lakeview Hospital - Stillwater, MN
Mark Bernas, MD - Deceased
Mary (Fehringer) Drake, MD - Bozeman Deaconess Hospital -
Bozeman, MT
Theresa Gunnarson, MD - St Croix Hospital - St Croix Falls, WI
Paul Jewett, MD - University of Minnesota Medical Center -
Minneapolis, MN
Hal Minnigan, MD, PhD - Wishard Hospital - Indianapolis, IN
Paul Satterlee, MD - Abbott Northwestern Hospital -
Minneapolis, MN
Jeffrey Vespa, MD - North Memorial Medical Center -
Robbinsdale, MN
Class of 2001
Cheri Audrain-Schroeder, MD - Fairview Southdale Hospital -
Edina, MN
Frank Coughlin, MD - Bryan LGH Medical Center - Lincoln, NE
Susan (Zola) Cullinan, MD - Mayo Health Systems -
Eau Claire, WI
Cullen Hegarty, MD - Regions Hospital - St. Paul, MN
Bradley Hernandez, MD - Regions Hospital - St. Paul, MN
Karen Lushine, MD - Essentia-St. Mary’s Hospital - Duluth, MN
John Seidner, MD - Elliot Hospital - Manchester, NH
James Wood, MD - Kaiser Permanente Northwest -
Portland, OR
Class of 2002
Marny Benjamin, MD - Methodist Hospital - St. Louis Park, MN
John Bonta, MD - Bryan LGH Medical Center - Lincoln, NE
Laresa DeBoer, MD - Ridgeview Hospital - Waconia, MN
Bradley Gordon, MD - Regions Hospital - St. Paul, MN
Randall Hofbauer, MD - Deceased
Patrick Holland, MD - Good Samaritan Hospital - Puyallup, WA
Phelps Johnson, MD, PhD - Essentia-St. Mary’s Hospital -
Duluth, MN
Class of 2003
Kendal Baker, MD - Hancock Regional Hospital - Greenfield, IN
S. Wade Barnhart, MD - Good Samaritan Hospital - Puyallup, WA
Lynn Howard, MD - Essentia-St. Mary’s Hospital - Duluth, MN
Cynthia Kelmenson, MD - Medical Center of Aurora - Denver, CO
Christopher Obetz, MD - Abbott Northwestern Hospital -
Minneapolis, MN
Christopher Russi, DO - Mayo Clinic St. Mary’s Hospital -
Rochester, MN
Peter Tanghe, MD - North Memorial Medical Center -
Robbinsdale, MN
Clark Williams, MD - Mercy Hospital - Dubuque, IA
Class of 2004
Tanya (Kleven) Decker, MD - St. Luke’s Hospital -
Cedar Rapids, IA
Jon Fuerstenberg, MD - Abbott Northwestern
Hospital - Minneapolis, MN
Kurt Isenberger, MD - Regions Hospital - St. Paul, MN
Robert LeFevere, MD - Regions Hospital - St. Paul, MN
Jessie Gillund Nelson, MD - Regions Hospital -
St. Paul, MN
Kelly Rhone, MD - Avera McKennan Hospital -
Sioux Falls, SD
Stephanie Taft, MD - East Carolina University/Vidant
Medical Center - Greenville, NC
Class of 2005
Jared Friedman, MD - Avera McKennan Hospital -
Sioux Falls, SD
Keith Henry, MD - Regions Hospital - St. Paul, MN
Jonathan Hokanson, MD - Abbott Northwestern
Hospital - Minneapolis, MN
Nicholas Johnson, MD - Abbott Northwestern
Hospital - Minneapolis, MN
Todd Joing, MD - Fairview-Southdale Hospital -
Edina, MN
Darren Manthey, MD - Avera Queen of Peace
Hospital - Mitchell, SD
Matthew Morgan, MD - Regions Hospital - St. Paul, MN
Ann Schapiro, MD - Catholic Health Systems -
Buffalo, NY
Nicole Stethem, MD - Avera McKennan Hospital -
Sioux Falls, SD
Class of 2006
Nathan Anderson, MD - United Hospital - St. Paul, MN
Scott Donner, MD - United Hospital - St. Paul, MN
Jeffrey Geddes, MD - United Hospital - St. Paul, MN
Elizabeth Godin, MD - University of Minnesota Medical
Center - Minneapolis, MN
Martin Richards, Jr, MD - Hudson Hospital - St. Paul, MN
Trenten Thorn, MD - Lakeview Hospital - Bountiful, UT
John Travnicek, MD - Avera McKennan Hospital -
Sioux Falls, SD
Melissa Tschohl, MD - University of Minnesota Medical
Center - Minneapolis, MN
Joseph Wahlberg, MD - United Hospital - St. Paul, MN
Class of 2007
Sandy (Fritzlar) Buckman, MD - United Hospital -
St. Paul, MN
Roseann Ekstrom, MD - Fairview Northland Medical
Center- Princeton, MN
Martin Klinkhammer, MD - Emergency Physicians of
Tidewater - Virginia Beach, VA
Heidi Lako-Adamson, MD - Sanford Hospital - Fargo, ND
Joseph Madigan, MD - United Hospital - St. Paul, MN
Emily Mason, MD - Infinity Healthcare -
Chippewa Falls, WI
Lane Patten, MD - North Memorial Medical Center -
Robbinsdale, MN
Kevin Smith, MD - United Hospital - St. Paul, MN
Beth Wicklund, MD - Methodist Hospital -
St. Louis Park, MN
30

Emergency Medicine Residency 2016 Annual Report
Class of 2008
Luke Albrecht, MD - New Ulm Medical Center - New Ulm, MN
Kelly Barringer, MD - Regions Hospital - St. Paul, MN
Mark Connelly, MD - North Memorial Medical Center -
Robbinsdale, MN
Joey (Peterson) Duren, MD - United Hospital - St. Paul, MN
Ben Peake, MD - University of Minnesota Medical Center -
Minneapolis, MN
Jonathan Shultz, MD - St. Luke’s Hospital - Duluth, MD
Natasha (Srb) Carlson, MD - University of Minnesota Medical
Center - Minneapolis, MN
Samuel Stellpflug, MD - Regions Hospital - St. Paul, MN
Paul Travnicek, MD - Port Macquarie Base Hospital -
New South Wales, Australia
Class of 2009
Owen Anderson, MD - Methodist Hospital - St. Louis Park, MN
Adina (Miller) Connelly, MD - North Memorial Medical
Center - Robbinsdale, MN
Christopher Dillon, MD - Mercy Hospital - Coon Rapids, MN
Joseph Dolan, MD - Methodist Hospital - St. Louis Park, MN
Tara (O’Connell) Gruba, MD - Hoag Hospital - Laguna Beach, CA
Danielle Jackson, MD - Cedar Park Regional Medical Center -
Austin, TX
A. Duncan McBean, MD - St. Joseph Medical Center -
Bellingham, WA
Charis Thatcher, MD - Valley Hospital - Spokane, WA
Scott Thielen, MD - Fairview Ridges Hospital - Burnsville, MN
Class of 2010
Aaron Burnett, MD - Hudson Hospital - Hudson, WI
Nathaniel Curl, MD - Genesis Health System - Bettendorf, IA
Heather Ellsworth, MD - St. Luke’s Magic Valley - Twin Falls, ID
Aaron Feist, MD - Community Medical Center - Missoula, MT
Leah Gapinski, MD - United Hospital - St. Paul, MN
Shani Go, MD - Northwest Hospital - Seattle, WA
Nicole (Stoik) Dockter, MD - United Hospital - St. Paul, MN
Gregory Vigesaa, DO - Sanford Hospital - Fargo, ND
Brent Walters, MD - Fairview Southdale Hospital - Edina, MN
Class of 2011
Autumn (Erwin) Brogan, MD - Mayo Clinic Health Systems -
Rochester, MN
Catherine Carlson, MD - Carolinas HealthCare - Charlotte, NC
Katharine Davidson, MD - Providence Hospital & Alaska
Native Medical Center, Anchorage, AK
Alexander Gerbig, MD - Swedish Medical Center - Edmonds, WA
Kara (Kim) Tomlinson, MD - St. John’s Hospital - Maplewood, MN
N. Kolja Paech, MD - California Emergency Physicians -
Sacramento, CA
Eric Roth, MD - Kaiser Permanente Northwest - Portland, OR
Jillian Smith, MD - St. Francis Hospital - Hartford, CT
Timothy Sullivan, MD - Bozeman Deaconess Hospital -
Bozeman, MT
Class of 2012
Peter Baggenstos, MD - Methodist Hospital - St. Louis Park, MN
Eric Dahl, MD - Westfields Hospital - New Richmond, WI
Tyler Ferrell, MD - Mercy Hospital - Coon Rapids, MN
Clint Hawthorne, MD - Iowa Health - Des Moines, IA
Katherine Katzung, MD - Abbott Northwestern Hospital -
Minneapolis, MN
Bjorn Peterson, MD - Lakeview Hospital - Stillwater, MN
Jerome Walker, MD - Fairview Ridges Hospital - Burnsville, MN
Benjamin Watters, MD - Marcus Daly Memorial Hospital -
Hamilton, MT
Casey Woster, MD - Lakeview Hospital - Stillwater, MN
Class of 2013
Amanda Carlson, MD - Essentia Health-St. Mary’s -
Duluth, MN
Zabrina Evens, MD - Halifax Health - Daytona Beach, FL
Rebecca Gardner, MD - Unity Hospital - Fridley, MN
Jodi Greenlaw, DO - Mercy Hospital - Coon Rapids, MN
Gary Mayeux, MD - Abbott Northwestern Hospital -
Minneapolis, MN
Sonali Meyer, MD - Mercy Hospital - Coon Rapids, MN
Adetolu Oyewo, MD - Piedmont Newnan Hospital -
Newnan, GA
Darcy (Rumberger) Denegre, MD - Mercy Regional Medical
Center - Durango, CO
Joseph Walter, MD - St. Croix Falls Medical Center -
St. Croix Falls, WI
Wendy Woster, MD - Hudson Hospital - Hudson, WI
Class of 2014
Michael Bond, MD - North Memorial Medical Center -
Robbinsdale, MN
Ryan Bourdon, MD - Regions Hospital Quality Mgmt.
& Safety Fellowship - St. Paul, MN
Kelsey Echols, MD - United Hospital - St. Paul, MN
Eric Ellingson, MD - United Hospital - St. Paul, MN
Marc Ellingson, MD - Abbott Northwestern Hospital -
Minneapolis, MN
Kyle Holloway, MD - United Hospital - St. Paul, MN
Jenna Leroy, MD - Regions Hospital Medical
Toxicology Fellowship - St. Paul, MN
Brian Roach, MD - Fairview Ridges Hospital - Burnsville, MN
Jason Van Valkenburg, MD - Sanford Hospital - Fargo, ND
David Warren, MD, MPH - Fairview Lakes Medical Center -
Wyoming, MN
Class of 2015
Aaron Ankeny, MD - Fairview Southdale Hospital -
Edina, MN
Sean Boley, MD - Regions Hospital Med/Tox Fellowship -
St. Paul, MN
Katherine Glasrud, MD - United Hospital - St. Paul, MN
Amanda Karlen, MD - Fairview Ridges Hospital -
Burnsville, MN
Samantha Kealey, MD - Amery Medical Center - Amery, WI
Shaun Kennedy, MD - St John’s Hospital - Maplewood, MN
Amanda Miller, MD - North Memorial Medical Center -
Robbinsdale, MN
Joshua Peltier, MD - Lakeview Hospital - Stillwater, MN
Amy Stoesz, MD - Regions Hospital International Medicine
Fellowship - St. Paul, MN
Ashley TeKippe, MD - Univ. of UT Sports Medicine
Fellowship - Salt Lake City, UT
Class of 2016
Edgar Austria, MD - Unity Hospital - Fridley, MN
Brittany Brindle, MD - New Ulm Medical Center -
New Ulm, MN
Kendal Farrar, MD - Methodist Hospital - St. Louis Park, MD
Maria Goertz, MD - Fairview Southdale Hospital - Edina, MN
Jessica Greupner, MD - Regions Hospital Ultrasound
Fellowship - St. Paul, MN
Nathaniel LaFleur, MD - Cedar Park Regional Medical
Center - Austin, TX
Sakib Motalib, MD - Georgetown Univ. Ultrasound
Fellowship - Washington, DC
Kayla Odegard, MD - Altru Health - Grand Forks, ND
Elizabeth Roeber, MD - Sanford Hospital - Fargo, ND
Jill Schuld, MD - Aurora Healthcare - Elm Grove, WI
31

640 Jackson Street
St. Paul, MN 55101
(651) 254-3666
www.regionsem.org
Regions Hospital is certified
as a Level I Trauma Center
for adults and for children
serving Minnesota and
western Wisconsin for more
than 130 years.
A private, nonprofit, teaching hospital,
Regions (www.regionshospital.com) provides
outstanding care in women’s health, heart,
cancer, surgery, orthopaedics, neuroscience,
burn, emergency care and more. Regions is part
of the HealthPartners (www.healthpartners.com)
family of health care companies that serves
1.25 million medical and dental health plan
members nationwide.