Overview of Mayo Clinic Rochester Emergency Medicine Residency Program

2. Unlimited Opportunities

3. Comprehensive Preparation
• Autonomy and responsibility
• Patient diversity
• Simulation
• Innovative curriculum
• Research
• Procedures
• EMS
• Quality electives

4. Mayo Clinic
• Rochester, MN
• Jacksonville, FL
• Scottsdale, AZ
• Mayo Clinic Health System (Iowa, Minnesota, and
Wisconsin)
• Mayo Clinic Network

5. Mayo Clinic
Saint Marys Hospital
Rochester, MN

6. Mayo Clinic
Florida Arizona
Mayo Clinic Health System
Iowa
Minnesota
Wisconsin

7. Training Objectives
• Clinical and academic excellence
• Can practice in any setting
• Leaders
• Advance Emergency Medicine internationally

8. The Residents

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

15. Interns during 2012 ACEP

18. Community EM

19. Academic EM

20. The Department

21. The Department
• Mayo and the Mayo Model of Care for every
single patient
• Incredible pathology
• Very sick patients
• Approximately 25% pediatric patients
• Excellence in cardiac, trauma, and sepsis
care

22. The Department
• No patient boarding
• Very high throughput and patient turnover
• Multitude of resources but no waste of them
• Mayo cost-effectiveness paradigm

23. Our Patients
• Diverse and high volume
• Approximately 80,000 patients per year
• 85% are from surrounding counties
• Bread and butter emergency medicine
• Increasing urban-type of population

24. The Department
• 61 ED beds
• Integrated observation unit
• High acuity
• 32% admission rate (adult)
• 13% ICU admission rate
• Innovative state-of-the-art department
being designed and opening in early 2015

25. The Department
• State-of-the-art equipment
• Online resources and medical records
• Ultrasound
• Difficult airway equipment
• Environment-controlled trauma bays
• Radiology adjacent to ED
• 256-slice CT scanners (3)
• MRI

26. Renovation

30. The Clinic

31. “the best interest of the patient is the
only interest to be considered”
- William J. Mayo, M.D.

32. Some Numbers
• 526,000 patients
• 132,000 hospital admissions
• 3,700 staff MDs and scientists
• 3,200 residents/fellows
• 169 medical students (50 per year)

33. Rochester Hospital
• One Hospital, 3 campuses
• One Emergency Department
• Number of beds > 2,100
• Most ICU beds in the United States
• We NEVER divert

34. Mayo Fellows Association
• Oldest residency association in the world
• Advocate for residents
• Liaison to MSGME
• Relocation resources
• Spouse/significant other support during
residency
• Abundance of planned activities for
family/spouse/significant other

39. The Program

40. Accreditation
• 5 year accreditation cycle as of 2011
• Maximum accreditation possible

43. Chair
Annie Sadosty, M.D.
• Brown University
• EM Residency
• University of Maryland
• Nationally-recognized educator
• Teaching Hall of Fame
• Previous Residency Program
Director

44. Program Director
James Colletti, M.D.
• Chicago Medical School
• EM/Peds Residency
• University of Maryland
• Director of AAEM Board Review
Course
• Teaching Hall of Fame

45. Leadership
• Team approach
• Diversity in training
• ACEP teaching fellowship
• Academically productive
• Nationally active
• Expertise in education

46. Faculty Teaching Awards
• 2012 Joe Lex Teaching Award.
• 2014 National Junior Teaching Faculty
• 2007 AAEM Young Educator Award
• 2005, 2006 ACEP National Emergency Medicine Faculty
Teaching Award
• 2004 Parker J. Palmer “Courage to Teach” Award, Honorable
Mention
• 2004, 2006 CORD Faculty Teaching Award
• 2004 CPC Competition Runner-Up
• 2003 Outstanding Faculty Award, Mayo School of Continuous
Professional Development
• Mayo Clinic Teacher of Year Hall of Fame

47. Faculty
• Major training programs represented
• National and world renowned experts
• Devoted to teaching
• Enthusiastic
• Approachable
• Responsive
• Very diverse

49. Residency Coordinator
Darcie Skoda

50. Integrated Pediatric EM
• 1 month in PGY-1
• Continuous exposure
• Approximately 20% pediatric shifts each per
month
• Corrects for seasonal variation
• Aim to mirror general community EM
practice

52. Trauma
• Continuous exposure
• Adult and Pediatric Level I Trauma Center
• Very busy
• Base for Southern Minnesota Regional
Trauma Advisory Committee (SMRTAC)
• Catchment population close to 900,000
• Low mortality

53. Trauma
• Collaborative approach with surgery
• Joint Curriculum designed by EM
• Odd/Even day role definition
• All airways managed by EM
• Monthly multidisciplinary conferences
• Video review
• Joint Trauma Conference
• Team training

54. Donald Jenkins, M.D.
Director, Mayo Trauma Center
President, Eastern Association for the Surgery of Trauma
Henry Schiller, M.D.
Director, Division of Trauma, Critical Care, and General Surgery
Stephanie Heller, M.D.
Program Director, General Surgery Residency Program

55. Simulation
• Nationally recognized pioneer and authority in
high-fidelity simulation
• Accounts for 20% of didactic curriculum (four
hours per month)
• Innovative training
• Communication
• Information utilization
• Chief complaint based
• Highest rated educational experience
among residents

57. EM-1 Curriculum
• EM/Peds EM 5 months
• Orthopedic trauma 1 month
• Anesthesia/Psychiatry 1 month
• EMS/US 1 month
• Pediatric EM 1 month
• Obstetrics 1 month
• SICU 1 month
• ICU 1 month

58. EM-2 Curriculum
• EM/Peds EM 6 months
• Critical Care Selective 1 month
• Hand 1 month
• SICU 1 month
• PICU 1 month
• Research 1 month
• Elective 1 month

59. EM-3 Curriculum
• EM/Peds EM 9 months
• Selective 1 month
• Elective 1 month
• Emergency Ultrasound 1 month

60. Integrated Curriculum
• Administration
• Continuous Quality Improvement
• Toxicology
• Ultrasound
• Research

62. EMS
• Integrated to the Southeast Minnesota EMS
Consortium
• Integrated on-line medical control
• Opportunities for BLS directorship
• Opportunities for air EMS
• Flying is not mandatory

64. Research
• Protected time
• Abundant resources available
• Funding
• Active research includes:
• Chest pain
• Syncope
• Sepsis
• EMS
• Education

65. International EM

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

67. International Locations
• Ghana
• Vietnam
• South Africa
• Sweden
• Canada
• Norway
• Denmark
• Japan
• Papua
• Mexico
• Dominican
Republic
• Ireland
• Chile
• Nepal
• Haiti
• Singapore
• Haiti
• Cameroon

68. Ultrasound
• 3 ED-based US machines
• Ultrasound fellowship trained faculty
• Real-time and off-line review
• Comprehensive didactic curriculum
• Hands-on lab sessions with patient
models

69. Intern Academy
• Intern Boot Camp
• Introduction to critical EM skills
• Run by the residents for the residents

70. Central Line Workshop
• One day workshop for the interns
• Extensive practical and simulated
training
• Incorporates latest evidence-based
medicine
• Mayo-wide certification

71. Airway
• EM always manages the airway on
medical and trauma patients
• Yearly airway workshop by Dr. Richard
Levitan

73. Compensation / Benefits
• Vacation and trip policy
• 3 weeks vacation
• Trip attendance
• Presentations
• Personal iPad provided
• Computer resources

74. Rochester

77. Rochester
• Medium-sized city designed to live
• Affordable housing
• Safe
• Great outdoors
• Short commute
• Close to Minneapolis and Chicago

86. Unlimited Opportunities

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

88. Inquiries
James Colletti, M.D. - Residency Director
Darcie Skoda - Residency Coordinator
Daniel Cabrera, M.D. - Associate Director
Eric Boie, M.D. - Assistant Director
Anuradha Luke, M.D. - Assistant Director
Kharmene Sunga, M.D. - Assistant Director
Mayo Emergency Medicine Residency Program
Mayo School of Graduate Medical Education
200 First Street SW
Rochester, MN 55905
(507) 255-2192

89. We enthusiastically invite you
to observe in the Emergency
Department this afternoon.
Please see Darcie. She will
happily make the necessary
arrangements for you.