Residency

Letter from Program Director

Cullen Hegarty, MD

Welcome to the Regions Hospital Emergency Medicine Residency Program website. Our residency program has a proud history of matching strong medical students and training them into outstanding emergency physicians.  At Regions Hospital we are excited to train compassionate, hard working residents who are eager to learn. We provide a friendly, educational atmosphere in which our residents can discover the breadth and depth of Emergency Medicine, while also pursuing their unique career pathways with mentorship and guidance.  Due to the experiences they have during their residency training at Regions, many of our residents match in fellowships or assume leadership positions early in their careers.  Our program is sponsored by the HealthPartners Institute for Medical Education and Research and started training residents in 1996.

Some highlights of training at Regions:

  • Early procedural experience – the PGY-I EM residents manage all of our medical airways, our PGY-II EM residents manage all of the trauma airways and our PGY-III EM residents are the team leaders during medical and pediatric codes and trauma team activations.  This provides a longitudinal experience caring for critically ill ED patients over 3 years.  In our residency we try to get our PGY-I and PGY-II residents as many resuscitative procedures as possible so they can achieve early procedural competency and then focus on teaching and supervising many procedures during their PGY-III year.
  • A focus on critical care – In addition to the critical care experiences in our ED, the residents get to experience 6 weeks of SICU each year, and 1 month in the MICU in the first two years.
  • Advanced sub-specialty training through exposure to our Regions Hospital/HealthPartners based fellowships in Medical Toxicology, EMS, Quality and Patient Safety, International Medicine and Pediatric Emergency Medicine.  Residents have varied opportunities such as the opportunity to be an Associate Director of an EMS service or with our Quality and Patient Safety team in order to accelerate their professional development.
  • Work in Regions Hospital Emergency Department – we have a critical role in emergency care throughout the Twin Cities, Western Wisconsin and the entire upper Midwest.  Regions is a Level 1 Adult and Pediatric Trauma Center, regional burn center and recognized heart and stroke center. It was the first level 1 Pediatric Trauma Center in the Midwest.  2012 ED data included ~79,000 visits with a 23% admission rate in an ED with 55 treatment rooms and 50,000 square feet of clinical space.
  • Learn in a Center of Excellence – Regions ED was the first academic medical center in the nation and the fourth hospital overall to qualify as an Emergency Center of Excellence. Eligibility for the Emergency Center of Excellence is based on the results of over 100 key performance indicators and compares hospitals on emergency department performance.
  • Experience a unique blend of a community, urban, and university based program all at one site.  Regions Hospital used to be St. Paul-Ramsey (County) Medical Center, and still functions in many ways as the County hospital for our area.  HealthPartners purchased the hospital in the 1990s and has made it the center of their forward thinking healthcare network.  All Regions EMD faculty have appointments with the University of Minnesota Department of Emergency Medicine.
  • Train in St. Paul, Minnesota.  Minnesotans are active, friendly people and the Twin Cities is a great place to live, work, and learn! The quality of living in the Twin Cities is second to none.
  • An emphasis on resident education and wellness which is supported by our ACGME resident survey results. We provide a positive, supportive learning environment.

We are a PGY1-3 residency with 10 residents per class.  To learn more about our program, check out our most recent annual report.

If you are a student interested in rotating with us at Regions, click this link to learn more about our student program and rotation opportunities in Emergency Medicine, Toxicology and Ultrasound.

If you have any questions that we can help you with, feel free to contact us!  I’ll close with a quote from some of our recent chief residents regarding their experience here at Regions, “We have an abundance of clinical exposure and great faculty teaching us in an environment that is challenging yet supportive, helping us grow to provide excellent health care to our patients in the ED and the community.”

We hope you enjoy the website and look forward to getting a chance to meet you!

Cullen Hegarty, MD
cullen.b.hegarty@healthpartners.com

Mission, Vision and Values

Mission—Why we’re here:

  • To train and mentor the next generation of highly competent, humanistic
    Emergency Physicians to be successful in any clinical setting and become leaders
    in Emergency Medicine.

Vision—Where we’re headed:

  • Our goal is to be a world-class residency program, which not only trains
    outstanding emergency physicians, but also helps define the future practice of
    emergency medicine through innovation, research and advocacy.

Values—How we act:

  • Have a positive team atmosphere where students, residents, fellows, faculty and residency administrative personnel can work, learn, educate and deliver state of the art care
  • Meet or exceed all ACGME standards
  • Remain a dynamic residency through transparent feedback mechanisms and forward strategic planning
  • Recruit motivated, humanistic applicants with strong interpersonal skills
  • Advise and mentor residents to help them achieve their ideal jobs and fellowships through individualized pathways
  • Continue to involve residents in operations, administration, technology and quality as part of the core EM curriculum.
  • Focus on resident wellness to emphasize early in resident’s careers the importance of a work-life balance.
  • Provide a comprehensive residency curriculum, including clinical rotations, conferences, and procedural experiences, to prepare residents to successfully pass ABEM examinations and be highly competent to independently practice EM
  • Have conferences that are active, innovative, positive learning experiences using small groups, simulation and adult learning theories
  • Encourage resident and faculty scholarship
  • Strive for a career-long learning and collaboration pathway for our alumni
  • Be engaged contributors and partners to the Emergency Medicine Department, HealthPartners/Regions Hospital, the University of Minnesota Medical School and our community.
  • Foster open and honest relationships with our educational partners
  • Be humble, respectful, active members of the national EM residency network
  • Aim to improve the health of our population, improve the patient experience and affordability of care

Letter from the Chief Residents

Chief Residents 2016-2017

David Benjamin, MD
Jackie Kelly, MD
Alan Sazama, MD

Welcome to the Regions Emergency Medicine Residency Website!   We are excited to share with you some of the aspects of our program that make it unique.

First, the Emergency Department at Regions Hospital is the perfect blend of community, urban and academic medicine. Formerly St Paul Ramsey Medical Center, Regions Hospital is now the flagship facility within the HealthPartners Care Group. Because of its legacy as a county hospital, Regions continues its long-standing mission to provide care for immigrants and the impoverished, but has all of the resources you would expect at a privately owned hospital. This creates a unique blend of privately insured patients and under-served patients within the St. Paul metropolitan area, suburbs, 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 of people in the upper Midwest.

Second, we have a progressive and dynamic educational curriculum that is focused on the core medical knowledge within our specialty as well as other evolving aspects of emergency medicine such as education, research, quality and administration.  Our weekly dedicated conference time provides us with the opportunity to not only review key core content important for the practice of emergency medicine and passing our boards, but also to discuss cutting edge research in our field through journal club and our recently developed “Regions: RAP” an 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. As PGY3’s we have the opportunity to be the primary teachers for 3rd and 4th year medical students rotating through the emergency department as well as contribute to daily education of junior residents, rotating residents, and colleagues. Junior faculty shifts provide senior residents an opportunity to polish their ability to supervise, a skill that is often needed after residency. Quality and administration education is provided through our “Resident of the Day” shifts which are integrated into our ED months.  This curriculum design has been a key component in setting residents up for success in their post-residency careers, excelling in a wide range of clinical settings (both academic and community), as well as in fellowship training and administrative positions.
Third, being able to care for critically ill patients is a hallmark of emergency medicine which is why we place a strong emphasis on critical care and procedural competence. We spend a total of 26 weeks of our residency training in an ICU setting.  Each resident rotates in the MICU for 4 weeks in their PGY-1 and PGY-2 years, and 6 weeks each year (PGY-1, PGY-2 and PGY-3) in the SICU. There is a system of graduated responsibility starting as an active member of the critical care teams as a PGY-1 to the leader of the MICU team as a PGY-2 and leader of the SICU team both as a PGY-2 and PGY-3. In the SICU, emergency medicine residents are the only residents who provide 365 day coverage. This is a unique opportunity to gain procedural competence and work directly with our surgical and trauma attending staff physicians, building relationships that directly translate back to the trauma bay in the emergency department.

Fourth, PGY-1 residents are an active member in the management of critically ill patients from day one of their residency. PGY-1 residents are the primary team member responsible for airway management in all of the medical resuscitation patients in the emergency department and play a critical role in learning important procedures such as central line placement, fracture management, suturing, and chest tube placement. It is not uncommon for our new interns to intubate a patient on July 1st. As a PGY-2, residents manage the airway in all trauma patients and perform the majority of procedures on trauma and medical resuscitations within the emergency department. PGY-3 residents lead resuscitations in all medical arrests, serve as team leader on Trauma Team Activations and supervise the majority of procedures performed in the emergency department.  These experiences, in combination with our department’s high volume and acuity, give us ample experience in caring for critically ill patients throughout our training.

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, not punitive. We find adult learners thrive in this professional environment.

We truly 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 makes the Regions Emergency Medicine Residency program a great place to further your medical training. We would be happy to share more about our program and answer any questions you might have about our unique, collaborative approach to resident education. Please get in touch if you want to find out more!  Thanks for visiting!

Curriculum

Our curriculum is progressive in nature. Please browse detailed explanations of each year’s curriculum by selecting a year below.

Sample Block Schedules

Coming Soon:

Rotations

First Year Curriculum

Second Year Curriculum

Third Year Curriculum

Clinical Simulation

Contacts:

Emily Binstadt, MD, MPH, Senior Staff, Director of Medical Simulation-Based Education and Research

Jessie Nelson, MD , Senior Staff Physician

Casey Woster, MD, Senior Staff Physician

HealthPartners Simulation Center for Patient Safety

Available Equipment:

High-Fidelity Full-Body Mannequins 

Adult

  • HPS from METIT
  • MegaCode Kelly from LaerdalT
  • Tough Kelly from LaerdalT

Pediatric

  • Pedia-Sim from METIT

Computer Based Task Trainer 

  • CathSim AccuTouch® from Immersion MedicalT
    IV access trainer
  • Endoscopy AccuTouch® from Immersion MedicalT 
    • Bronchoscopy
    • Flexible Sigmoidoscopy
    • Colonoscopy

Standard Task Trainers

  • AirSim from METIT
  • Joint Models for injection and arthrocentesis

Topics:

Introduction to Crisis Resource Management (CRM) 
CRM, adapted from crew resource management training in aviation, deals with the non-technical skills in critical medical situations: teamwork, communication, situation awareness, leadership, anticipation, etc. Emergency department nurses and technicians also participate in this portion of the day.

Toxicology (Tox) 
Toxicology scenarios using the adult and pediatric mannequins for the residents and students on the toxicology rotation.

Pediatric Critical Care (PCC) 
Critical care scenarios using the Pedia-Sim high-fidelity mannequin. Focus on differences between adult and pediatric anatomy and physiology, pediatric critical care diagnostic and therapeutic strategies.

Rapid Sequence Induction/Airway Workshop (RSI) 
Aimed at the G-1 resident on the anesthesia rotation, this workshop focuses on the difficult airway and the use of airway adjuncts such as the iLMA and Combitube.

Procedural Sedation (PS) 
The HPS and Pedia-Sim mannequins will be used in scenarios dealing with procedural sedation. Learners include the anesthesia G-1 and the G-1 and G-2 on pediatric emergency department rotations.

Medical Student Workshop (MSW) 
Medical and Trauma Resuscitation workshop for 3rd and 4th year medical students on their EM rotations. Facilitated by EM G-2 and G-3 and utilizing Adult HPS.

Research and Scholarly Activity.

(details coming soon)

Resident Projects

Current Research

Scholarly Activity

Application Information

Program Application

We participate in the Electronic Residency Application Service (ERAS) and National Resident Matching Program (NRMP). Applications are submitted through your medical school dean’s office or the Education Commission for Foreign Medical Graduates (ECFMG). Please contact your medical school student affairs or dean’s office or the ECFMG for instructions. Applications will not be accepted through the mail.

  • Regions Hospital offers 10 PGY-1 positions.
  • Our program participates in the National Resident Matching Program (NRMP).

A complete application includes:

  • Transcript from your medical school
  • Dean’s letter
  • Three letters of recommendation (Usually from physicians and ideally include two from an emergency medicine physician)
  • A copy of your USMLE, COMLEX, or National Board scores (Part I and II)
  • Copies of abstracts and articles cited in CV (bring to interview)
  • Our residency follows the CORD/EMRA guidelines for bibliographic citations
  • Letter of recommendation from your Program Director (if applicable)

Application deadline

November 1, 2017

If you have questions about our residency you can also call us at 651-254-3666 or 651-254-5091 or e-mail us.

Interview Day

A description of what would happen on your interview day at Regions

  • Interviews are variably scheduled on Monday and Friday.
  • Applicants begin with a brief meeting with the Program Coordinator who gives a description of the day, hands out an itinerary, an interview packet, and information about the Twin Cities.
  • Applicants attend a video presentation and meet with an Assistant Program Director (APD) for a program overview.
  • Applicants meet with the Program Director, an APD, and one resident individually.
  • Each applicant has the opportunity to observe in the ED (unless s/he has rotated here) and spends time talking to faculty, residents, students and PA’s on duty.
  • All applicants have lunch together with other EM residents.
  • All applicants meet with the Residency Manger to review benefits.
  • At the day’s end, the Residency Coordinator will meet with the applicant for any final questions. An interview feedback questionnaire is handed out at this time.

Directions to Regions Hospital

From the East

Take I-94 west to 12th St. exit. Turn right on Jackson at top of ramp. Regions Hospital is to your right. Turn right into first drive.

From the West

Take I-94 east to 10th Street exit (the first hospital as you exit is St. Joseph’s – go past it!). Go east on 10th to Wabasha (2 blocks)- turn left. Go one block to 11th Street – turn right. Follow 11th Street to Jackson (3 blocks). Turn left (north) on Jackson 1 block – Regions Hospital is to your right. Turn right into first drive.

From the North

Take I-35E south to the University Ave. exit. Stay on frontage road (12th St.) – Regions Hospital is on your right. Turn right at light (Jackson) and right again into first drive.

From the South

Take I-35E north to 11th St. exit. Stay on 11th St. to Jackson (6 blocks). Turn left (north) on Jackson 1 block. Regions Hospital is on the right. Turn right into first drive.

Map to our location:

Team Leadership Curriculum

Information about team leadership best practices, team leadership feedback forms, and team leadership lectures and literature.
ABC’s of Team Leadership in Emergency Medicine
A PDF of the iBook text. This is the comprehensive review of the literature and discussion on how we came up with our team leadership feedback and evaluation form.
Team Leadership Feedback and Evaluation Form
Front side of the ABC’s of Team Leadership Feedback and Evaluation Form
Team Leadership Feedback and Evaluation Form: side 2
Back of the ABC’s of Team Leadership Feedback and Evaluation Form
The ABCs of Team Leadership – SAEM
Cullen gave a presentation at SAEM on the ABCs of Team Leadership. Watch it!

Conference Cup

Making conference attendance and participation a little more interesting. Season 1 runs August 1, 2016-May 31, 2017. May the best team win!!
Intro to Conference Cup
Description of the Conference Cup challenge started in August 2016.
Commissioner’s Commentary
Occasional updates on the state of the competition.
Scoreboards
Need to see a picture of the current standings in the Conference Cup? Want to examine the prior history to look for trends? This is the place.

GME Toolkit

TBD