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Mayo Clinic Emergency Medicine Program Overview
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- 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 SaintMarys Hospital Rochester, MN
- 6. Mayo Clinic FloridaArizona Mayo Clinic Health System Iowa Minnesota Wisconsin
- 7. Training Objectives •Clinical and academic excellence • Can practice in any setting • Leaders • Advance Emergency Medicine internationally
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- 10. Residents • Residentsare priority one • Their feedback shapes the program • Wellness is always considered • Education takes over service
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- 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
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- 31. “the best interestof 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
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- 40. Accreditation • 5year 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 JamesColletti, M.D. • Chicago Medical School • EM/Peds Residency • University of Maryland • Director of AAEM Board Review Course • Teaching Hall of Fame
- 45. Leadership • Teamapproach • 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 • Majortraining programs represented • National and world renowned experts • Devoted to teaching • Enthusiastic • Approachable • Responsive • Very diverse
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- 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 • Continuousexposure • 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 • Collaborativeapproach 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 • Nationallyrecognized 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 • Integratedto the Southeast Minnesota EMS Consortium • Integrated on-line medical control • Opportunities for BLS directorship • Opportunities for air EMS • Flying is not mandatory
- 64. Research • Protectedtime • Abundant resources available • Funding • Active research includes: • Chest pain • Syncope • Sepsis • EMS • Education
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- 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 • 3ED-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 • EMalways 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
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- 77. Rochester • Medium-sizedcity designed to live • Affordable housing • Safe • Great outdoors • Short commute • Close to Minneapolis and Chicago
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- 87. The NRMP doesnot 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 inviteyou to observe in the Emergency Department this afternoon. Please see Darcie. She will happily make the necessary arrangements for you.
Editor's Notes
- #19 50 percent of graduates go into Community EM (15 of 29 graduates) LePage – Great Falls, MT Andrew – Boise, ID Yang – Las Vegas, NV Rhagavan – Dallas, TX Irvin – Dallas TX McMahon, Omaha NE Dockham, Mankato, MN Callahan, Twin Cities, MN Copps, LaCrosse, WI Eberlein, LaCrosse, WI Luiskutty, Virginia Beach, VA Judson, Eglin AFB, Destin FL Kosiak, Souix Falls, SD Taylor, Souix Falls, SD
- #20 50 percent of graduates go into Community EM (15 of 29 graduates) LePage – Great Falls, MT Andrew – Boise, ID Yang – Las Vegas, NV Rhagavan – Dallas, TX Irvin – Dallas TX McMahon, Omaha NE Dockham, Mankato, MN Callahan, Twin Cities, MN Copps, LaCrosse, WI Eberlein, LaCrosse, WI Luiskutty, Virginia Beach, VA Judson, Eglin AFB, Destin FL Kosiak, Souix Falls, SD Taylor, Souix Falls, SD
- #25 Second busiest ED in state
- #28 Second busiest ED in state
- #29 Second busiest ED in state
- #30 Second busiest ED in state
- #42 Team approach Leader’s have trained at Mayo’s EM residency & other EM residencies Representation nationally & internationally All have either completed or are currently taking the ACEP teaching fellowship Research fellowship Active involvement in simulation, research, EMS, curricular design Multiple publications National Activity National Speakers ABEM National committees Project advisor for the ACEP teaching fellowship Service on the Editorial board or serving as a reviewer for EM journals
- #43 Team approach Leader’s have trained at Mayo’s EM residency & other EM residencies Representation nationally & internationally All have either completed or are currently taking the ACEP teaching fellowship Research fellowship Active involvement in simulation, research, EMS, curricular design Multiple publications National Activity National Speakers ABEM National committees Project advisor for the ACEP teaching fellowship Service on the Editorial board or serving as a reviewer for EM journals
- #53 30% Level I; 70% Level II
- #54 30% Level I; 70% Level II
- #55 30% Level I; 70% Level II
- #56 30% Level I; 70% Level II
- #57 20% of core curriculum taught at sim center 4 hour session/mo Sessions centered around a CC For Fever session, cases included Goal Directed Rx
- #58 30% Level I; 70% Level II
- #59 30% Level I; 70% Level II
- #60 30% Level I; 70% Level II
- #61 30% Level I; 70% Level II
- #62 30% Level I; 70% Level II
- #63 30% Level I; 70% Level II
- #65 30% Level I; 70% Level II
- #66 Residents have rotated in Mexico, Dominican Republic, Iceland, India, Japan, Taiwan, Korea, South Africa, Ireland, Chile
- #87 30% Level I; 70% Level II