Transcription
2019 NEWSLETTER
A MESSAGE FROM THE CHAIRMANWe continue to provide “state-of-the-art, compassionate,emergency care in an environment of academic excellence.”And yes, that is our mission statement!Almost two years ago, we changed our“provider-in-triage” process, and wecontinue with “door-to-doc” times as wellas “left without being seen” rates thatare the “best ever” in the history of ourEmergency Department. Our MissouriState Certified STEMI Center and LevelI Trauma Center continue to treat morepatients than ever, too!The residency program is stilloutstanding. There are 11 residents peryear in a 1, 2, 3 format. Amy Stubbs,M.D., the Program Director, Dr.Inboriboon, the Associate PD and Drs.Hillman and O’Rourke, the AssistantPDs continue to do a great job trainingexcellent residents. Hard to believe thatDr. Stubbs has been PD for 5 years,now. Christina Mayne completed hersecond year as Residency ProgramCoordinator. Jayna Ross continues inthe Student Clerkship Coordinator role.Ms. Karen Manley will be retiring atthe end of August after serving as ourAdministrative Assistant for 11 years.She will be hard to replace!Melanie Camejo, M.D has takenover as the Director of our Student EMClerkship. The Emergency MedicineInterest Group continues as the largestin the School. We continue to sponsor aone-day Emergency Medicine SimulationExperience for about 30 medical studentseach year as well as participate in theGreat Plains Regional SAEM SimWarscompetition.The faculty remains academicallyproductive. We continue to be a site forthe Emergency ID Net research groupand, with the help of three full-timeresearch coordinators, have severalstudies underway.The faculty is also busy. Dr. Sullivantransitioned out of the Associate Deanfor Graduate Medical Education andDIO (Designated Institutional Official)position after 5 incredibly successfulyears and is now the Associate Deanfor Professional Development, a newposition created for her “very particularset of skills!” Dr Ellison continuesas the Associate Dean for LearningInitiatives. Dr. Hackman is the ChiefMedical Information Officer for TMCand the Chief Quality Officer. Dr.O’Rourke has had another great yearimproving ED Throughput as the EDOperations Director. Dr Steele hasbeen appointed to a new position asthe Executive Chief Clinical Officer(essentially a combination of CMO andCOO.) He continues as the ExecutiveMedical Director of our practice group.Drs. Algren and Christian still workas toxicology consultants at Children’sMercy Hospital and at the KansasPoison Control Center and Dr. Algrencontinues as the Chair of the SelectionCommittee for the School of Medicine.Dr. Inboriboon is the Director forInternational Emergency MedicineStudies. Dr. Carney is the EMS MedicalDirector for the City of Kansas City andis Chief of the EMS Section. Dr. AndrewBalk is the Director of EmergencyUltrasound. Tyler Haas, M.D. is a newfaculty member fresh from an EMSFellowship at Washington U and is theAssociate EMS Medical Director for theCity of KCMO.so if you are interested, give me a calland let us see what we can work out. Ican almost promise that you will enjoyit and I know that the residents will beappreciative.Charlie Inboriboon, M.D. MPH is justback from his Fulbright Fellowship inThailand. More to follow later in thenewsletter.Under the leadership of PaulGanss, the Program Director andDr. Carney, the Medical Director,the EMS Education Program thrives.The Paramedic Program continuesits accreditation by the Commissionon Accreditation of Allied HealthPrograms.We appreciate the support of ouralumni. We still have several who workclinical shifts as “moonlighters” andseveral others who help administerthe ever popular “mock” oral boardexaminations. Three graduates from theClass of 2019 are working as part-timersin the ED: Drs. Spencer, Norman andTran. Additionally, Dr. Michael Casneris working here and a couple of moregraduates are exploring their optionshere. We appreciate our moonlightersand are always on the lookout for more,MATT GRATTON, MDProfessor and Chair, Emergency MedicineTruman Medical CenterUMKC School of Medicine1
BRIEFLY NOTEDFACULTYAdam Algren MDAndrew Balk MDAngela Bogle MDMelanie Camejo MDErica Carney MDMichael Christian MDStefanie R Ellison MDSteven Go MDMatthew C Gratton MD, ChairTyler Haas MDJeffrey L Hackman MDEmily Hillman MDThomas Hindsley MDP Charles Inboriboon MDHeather Isom MDKevin O’Rourke MDMark T Steele MDAmy Stubbs MDSrikala Subramanian MDChristine Sullivan MDANCILLARY FACULTYMonica Gaddis PhDJeremy Hampton PharmDPART-TIME FACULTYJeffrey Beckett, MDMichael Casner, MDElliott Fried, MDRyan Jacobsen, MDJared Norman, DOHugh Ryan, MDJake Ruthstrom, MDNicholas Smith, DOCharles Spencer, MDAnthony Toigo, DOKevin Tran, DOPaul Williams, DOMID-LEVEL PROVIDERSAdam Dobbins, NPJennifer Humphreys, NP2OPERATIONSAmy Siebes, NPJacqueline Still, NPGeorge Varghese, PACamille Williams, NPRiley Williams, M.D. – University of Kansas Schoolof MedicineHunter Winstead, M.D. – University of IllinoisCollege of MedicineNURSING POSITIONSAmy Peters MBA BSN RN is the Chief NursingOfficer at Truman Medical Centers.Gina Rosser BSN RN is our Emergency Departmentdirector.Our Nursing Education Coordinators are:Hannah Olson MBA, MSN, RN and ChristinaFenwick BSN, RN.Our current Clinical Team Managers are:Jennifer Wilson BSN, RN, Lisa Smith BSN, RN,Megan Carrol BSN, RN, Pam Hinrichs MSN, RN,and Lindsay Wiese BSN, RN.PRACTICE LOCATIONS 2019Amanda Augustine, M.D. – Mercy Healthcare, St.Louis, MissouriJosef R. Beauvais, M.D. – Sutter Solano MedicalCenter, Vallejo, CaliforniaClarence J. Dye M.D. – Mercy Healthcare, Rogers,ArkansasKristoph Haak, M.D. – Southern ColoradoEmergency Medicine Associates, Pueblo,ColoradoLiliya Kraynov, M.D. – Oregon Health & ScienceUniversity, Portland, OregonTaylor L. Neff, M.D. – Lawrence Memorial Hospital,Lawrence, KansasJared Norman, D.O. – Centerpoint Medical Center,Independence, MissouriGrace D. Ortman, M.D. – Chicago, IllinoisCharles T. Spencer III, M.D. – Kansas City VAMedical Center, Kansas City, MissouriKevin Tran, M.D. – Centerpoint Medical Center,Independence, MissouriWesley W. Winn, M.D. – Mosaic Life Care, St.Joseph, MissouriDeborah Gilburn, MSN, RN is our SANE Coordinator.CLASS OF 2022Cody Baker, M.D. – University of Arkansas forMedical Sciences College of MedicineChristopher Erikson, D.O. – Kansas City Universityof Medicine & Biosciences College of OsteopathicMedicineRyan Krempels, M.D. – Creighton University Schoolof MedicinePeter Lampe, M.D. – Creighton University School ofMedicineJonathan Lyons, D.O. – Kansas City University ofMedicine & Biosciences College of OsteopathicMedicineBrian Opferman, M.D. – Stritch School of Medicine,Loyola University of ChicagoNathaniel Rider, M.D. – Texas Tech University HealthSciences Center School of MedicineJeremy Serreyn, D.O. – Kansas City University ofMedicine & Biosciences College of OsteopathicMedicineMatthew Whitton, M.D. – Texas Tech UniversityHealth Sciences Center School of Medicine2019 AWARDSROBERT M ELENBAAS PHARMD RESEARCH AWARD:Liliya Kraynov, M.D., May 2019. Truman MedicalCenter, Department of Emergency Medicine(chosen by EM Faculty)RESIDENT OF THE YEAR: Charles Spencer,M.D. Truman Medical Center, Departmentof Emergency Medicine (chosen by EM Faculty)RESIDENT TEACHING AWARD: Charles Spencer,M.D. (chosen by medical students rotating indepartment and rotating residents)CMH EM RESIDENT OF THE YEAR: Taylor Neff, M.D.(chosen by CMH Pediatric EM Faculty)HIGHEST IN-TRAINING EXAM SCORES BY PGY CLASS: Wesley Winn, M.D. (PGY3), Jim O’Brien,M.D. (PGY2), Matthew Cook, M.D. (PGY1)MOST IMPROVED ITE SCORE: Ben Cross, M.D.(PGY-3)FACULTY TEACHING AWARD 2019: Melanie Camejo,M.D. (chosen by EM residents)2019 SOCIETY FOR ACADEMIC EMERGENCYMEDICINE TEACHING AWARD: Taylor Neff, M.D.OUTSTANDING ACHIEVEMENT IN ULTRASOUNDAWARD: Wesley Winn, M.D.OUTSTANDING EMS PRESENTATION AWARD: AshleyBorden, D.O.GOLD HUMANISM HONOR SOCIETY: Clarence Dye,M.D.2019 ORAL BOARD EXAMWe want to thank our 2019 examiners forsacrificing their free time to help with the MockOral Board practice:Doug Coe, M.D. (2007)Ralph Schutz, M.D. (1987)Tim Stebbins, M.D. (2010)Kathryn Miner, D.O. (2019)Andrew Russell, M.D. (2013)Brian Freeman, D.O. (2017)David Biller, M.D. (2012)Jeff Hackman M.D. (2004)Lindsay Schwartz D.O. (2017)The date for the 2020 exam is Thursday, March 5,2020. Sign up now and avoid the rush! ContactChristina Mayne (christina.mayne@tmcmed.org).WEEKLY CONFERENCESAll alumni are invited to attend our weekly conferencesand socialize! Conferences are held every Thursday.For specific details or to be added to the conferenceschedule distribution list, please contact ChristinaMayne (christina.mayne@tmcmed.org).ED OPERATIONSRESIDENCY PROGRAMIt has been another busy year forEmergency Medicine. As a department,we cared for nearly 61,000 patients lastyear, of which 11,600 were admitted.We were on diversion for 13 hours theentire year and EMS rewarded us with14,800 patients. We continually to utilizeAPPs as a Provider-in-Triage and ourLeft Without Being Seen was 2.7%. Themedian time to being seen by a providerwas 11 minutes. In the next year, theOperations Committee will continueto look for ways to decrease the lengthof stay for admitted and dischargedpatients.I simply cannot believe I am writingmy 5th update for the ED newsletter;sometimes I still feel like I just graduated.Alas, time is marching on, but ourteam feels really fortunate to have theseyoung enthusiastic residents to keep usenergized and challenged. Operationalimprovements, more faculty hours(double covered night shifts!), and everevolving didactics provide an exceptionaleducational and clinical experiencefor our residents, in turn allowing forexcellent clinical care for the communitywe are proud to serve.The addition of Dr. Haas to thefaculty and shift coverage by part-timerswill allow us to expand faculty doublecoverage nearly to 24/7/365.We have added a new Ultrasoundmachine to the department and havebeen billing for our ultrasound exams.Residents continue to suggestimprovements to Cerner to limit thenumber of providers who die deaths bya thousand clicks and improve residentsatisfaction.It has been a fun year and I lookforward to working with everyone toaccomplish more things in the next year.Kevin O’Rourke MDDirector of ED Operations andAssistant Program DirectorSome residency highlights from thispast year include: Our popular Annual Wellness Day:this year our wellness crew planneda Winter Wilderness theme, whichincluded an overnight stay in Westonand guest speakers; Dr. Brandon Elder(2016) and Dr. Dan Kalin from UNMCspeaking on environmental emergencies. Hosting special guest and presenterat Senior Research day, icon of EM,Dr. Amal Mattu. He was genuinelyimpressed with the quality of our seniorprojects! Incorporating even more wellnessinto our didactics including book cluband service projects. See the wellnesssection for more details! Ladies’ night and Man day:TopGolf and a baby shower for theladies. Guns, soccer, gambling, and beerfor the guys (yes this was all in one day). Checkout our Facebook,Instagram, and Twitter (@umkcEM)accounts to keep up on all the latesthappeningsThe quality and commitment of ourfaculty and residents continues to be atremendous source of inspiration andpride for me.The residents so appreciate learningfrom our alumni and communitypartners who have participated indidactics, panel discussions, Mock OralBoards, and clinical shifts. Many thanksto you and our tireless, dedicated facultyand staff who proudly carry on ourUMKC-EM tradition.Amy Stubbs, MDProgram DirectorP. Charles Inboriboon, MDAssociate Program DirectorEmily Hillman, MDMedical Director Simulation – UMKC Clinical Training FacilityAssistant Program Director, and MedEd/SIM Fellowship DirectorKevin O’Rourke, MDDirector of ED Operations andAssistant Program Director Multiple faculty and residentstraveled to ACEP (San Diego) andCORD (Seattle) conferences together;both were excellent professionaldevelopment and camaraderie buildingopportunities!3
NEWSWORTHY UPDATESDye and Gratton Inducted into the GoldHumanism Honor SocietyOn January 26, 2019 Casey Dye, M.D. aPGY3 resident in Emergency Medicineand Matt Gratton, M.D. the Chair ofEmergency Medicine, both at UMKCSchool of Medicine were inducted intothe UMKC SOM Chapter of the GoldHumanism Honor Society. Membersare nominated and elected by theSociety “in recognition of exemplaryservice, integrity, clinical excellence andcompassion.” Congratulations to both!wellness on an individual, institutional,and national level. Dr. O’Brien specificallywill be involved in a podcast series,research projects, and will develop anational wellness curriculum as a resourcefor programs looking to bolster wellnessSteve Go, M.D.Jim O’Brien, M.D.initiatives.Steve Go, M.D. Continues with 21 Years ofService with the NBME!Matt Gratton, M.D., Casey Dye, M.D.Dr. Jim O’Brien Appointed to the ALiEMWellness Think TankFor the 2019-2020 academic year Dr.O’Brien, our program’s resident WellnessChair, was selected to join the AcademicLife in Emergency Medicine’s WellnessThink Tank. He will join a team aimingto improve and advocate for physician4Dr. Go starts his 21st year of servicewith the National Board of MedicalExaminers. He currently serves onthe Board of Directors, which helpsset policy and direction for NBME’smany initiatives worldwide. He isalso a member of the United StatesMedical Licensing Examination(USMLE) Management Committee,which is responsible for policy, standardsetting, and direction for all three Stepexams that all physicians must passto practice in the United States. Hewas recently appointed as Chair of anThe goal of his educational projectfocused on improving resident educationthrough enhancing active learning andfeedback. The timing could not havebeen better as Thai residency programswere transitioning from traditional timebased training to competency basedtraining with the adoption of milestonesand entrustable professional actions(EPAs). During the fellowship, heshared his experiences and the skills heacquired as part of the UMKC/TrumanMedical Center emergency medicineresidency leadership.Interdisciplinary Review Committeeresponsible for secondary review andapproval of Step 3 items. Finally,he serves on the Special PurposeExamination (SPEX) ManagementCommittee, which oversees a jointNBME and Federation of State MedicalBoards (FSMB) exam for physiciansseeking licensure reinstatement orreactivation after some period ofprofessional inactivity, or physiciansinvolved in disciplinary proceedings inwhich a state board determines the needfor evaluation.He ran workshops for Thai residencyand fellowship programs on how toincorporate milestones and EPAsinto training programs, includingdeveloping workplace-based assessmentsand utilizing a clinical competencycommittee. He worked with his hostinstitution to perform a comprehensiveprogram assessment and improvementplan in preparation for their WorldFederation of Medical Education(WFME) site visit. The programreceived one of the highest evaluationscores in Thailand by the WFME.Charlie Inboriboon, M.D. Completed FulbrightFellowship in Thailand!To encourage the transition fromtraditional lectures to more activeforms of learning, he co-hosted aworkshop on incorporating activelearning strategies into didactics at theAnnual Meeting of the Thai College ofEmergency Physicians. He also workeddirectly with Thai emergency medicineeducators to teach residents and medicalstudents through the use of simulation,procedure workshops, and small groupdiscussion.Dr. Charlie Inboriboon recentlycompleted a Fulbright Fellowship toThailand. He was one of three USScholar recipients for the academicyear. During his stay, he was hosted byChulalongkorn’s emergency medicineprogram and was supported by theThai College of Emergency Physicians(TCEP).Jesal Amin, M.D., Charlie Inboriboon, M.D.,Jim O’Brien, M.D.Dr. Inboriboon reports that living and workingin Thailand for six months was an amazinglearning experience. He developed a muchdeeper understanding and appreciation for adultlearning theory and how it applies to medicaleducation. Living in a country as a non-nativespeaker increased his empathy for his patientsin the United States and an even greaterappreciation for his medical colleagues thatimmigrated to the US to train. It also reinforcedhis experience that emergency medicinephysicians share a common bond regardless ofborders. Working at Truman also helped himshare practical experiences with EM physiciansworking in resource-limited environments.During his stay, two of our emergency medicineresidents (Drs. Jesal Amin and Jim O’Brien)and a medical student (Deven Bhatia) assistedhim with several educational activities. Heguest instructed at six training institutions inThailand, the first EM residency program inLaos, and at the Mongolian National Universityof Medical Sciences. He plans to continuecollaborating with these institutions and hopesto build formal ties between UMKC and theseinstitutions.Dr. Inboriboon, Students, and Residents in Thailand!5
DEPARTMENT UPDATESCHIEF RESIDENTSAshley Olson, D.O.I was born and raised in the NWsuburbs of the Twin Cities in Minnesota.I attended The College of St. Scholasticain Duluth, MN for undergrad majoringin Biology/Pre-med with a minorin American Sign Language. Aftergraduating college I married my highschool sweetheart, Riley, and we beganour life together in Blaine, MN. Iworked as a scribe for a company calledEmergency Physicians ProfessionalAssociation for 3 years prior to beingaccepted into medical school at KCUMBhere in Kansas City. I have alwaysenjoyed teaching and working withstudents, which prompted me to apply forKCUMB’s anatomy fellowship betweenmy second and third years of medicalschool. In the fellowship, I conductedresearch and taught first and second yearmedical students in anatomical lectures6and gross dissections in the cadaverlab. During this time, my husband andI were fortunate enough to expand ourfamily of our four-legged, furry OldeEnglish Bulldogge child Sarge, to ourfirst human baby Hunter Gordon! Wehave now been recently blessed with oursecond child, Aurora Rose, born July 1st!Balancing residency with two childrenas well as a rambunctious bulldog hasbeen challenging but the program hereat Truman is truly a family-oriented one.My husband and I are so thankful wewere able to stay here in Kansas City;it is a beautiful place with an endlesssupply of amazing restaurants and bars aswell as fun activities for adults and kidsalike. In addition to sampling the localcuisine and adult beverages, I try to keepup with my love for singing and acting,staying active with sand volleyball andrunning, maintaining my pop culturereferences with trivia nights, andpracticing patience by hanging out withmy boisterous toddler and newborn!Ashley Borden, D.O.courses, she began her medical educationin 2013 at the University of NorthTexas - Texas College of OsteopathicMedicine. She planned to enter thefield of Emergency Medicine from theonset, and enthusiastically matched withUMKC in 2017. Though she is now aphysician, she will always be a LiberalArts major at heart. She enjoys theater,musical theater, literature, playing piano,traveling, and spending time with herfriends and family.Ben Cross, M.D.I was beyond thrilled when I matchedinto my top-ranked spot here at Truman/UMKC in 2017, and still feel an immensesense of gratitude after two full years!I was born and raised in Arvada, CO,where I grew up loving the outdoors,Ashley Borden, DO joined the UMKCEmergency Medicine residency programin 2017 after moving from Texas. Shegrew up in San Antonio, TX, and laterattended Texas A&M University whereshe received a B.A. degree in English,with a minor in Theater Arts, and aPost-Baccalaureate Teaching Certificate.She spent five years working as a highschool English teacher, and was alsoinvolved in the school’s extra-curriculartheater arts produc
the Executive Chief Clinical Officer (essentially a combination of CMO and COO.) He continues as the Executive . UMKC School of Medicine. 2 3 BRIEFLY NOTED OPERATIONS ED OPERATIONS It has been another b
