Department of Emergency Medicine COVID-19 Response

Dr. Ellison
Dr. Stefanie Ellison (ED Faculty) handing out masks to community.

TMC is following recommendations given by the CDC. Each provider has access to appropriate PPE while working in the emergency department. We are fortunate to have exemplary hospital leadership, including several who are emergency physicians. Our former Chair, in his role as Truman Medical Center’s Associate Chief Medical Officer, serves as the leader of the incident command center responsible for managing the hospital’s COVID-19 response. Dr. O’Rourke, our Associate Program Director is also the ED operations director and has been a key liaison between our residents and hospital leadership. Our department has hosted regular ED town halls with our Chair, hospital, and department leadership addressing our response to COVID-19. Our residents have the ability to submit anonymous questions and recommendations in advance. Our hospital sends daily email announcements regarding our COVID-19 response that are helpful and relevant.

COVID airway simulation
Drs. Subramanian and Krempels during a COVID airway simulation.

TMC has also been a community leader during this time. We are keenly aware that the patient population we serve has been disproportionately affected by COVID. To that end, TMC/UHP has sponsored multiple community testing sites, initiated a drive-up testing site, and our physicians have participated in multiple community events, including educational panels and mask distribution.

Due to the 2020 COVID-19 pandemic there was an increasing need to practice skills related to managing COVID-19 patients, especially airway management. Additionally, hospital-based respiratory therapists, nurses, and faculty needed experience practicing with unique management approaches.  Our department led the development of a curriculum that was piloted and reviewed by emergency medicine, anesthesia, and respiratory therapy. EM residents and faculty were able to get hands-on simulation airway practice to gain key skills in managing COVID-19 patients requiring intubation. We also created a variety of related educational videos demonstrating application of the approaches in our hospital environment using our equipment (intubation, PPE, etc). Since June we have returned to in person simulation training at our simulation center and have included COVID-19 patient management as part of our curriculum and will continue to

URM Visiting Student Scholarship

Our residency is committed to both promoting and supporting diversity and inclusion within the program. We are happy to announce our new scholarship for URM medical students that will be sponsored by our very own emergency department funds.

Eligibility Requirements:

  • Student must be pursuing a degree at an LCME-accredited medical school
  • Student must be in good standing in medical school.
  • Student must come from a background that is underrepresented in medicine that is defined as the following races/ethnicities: African-American, Hispanic, Native American, Pacific Islander/Native Hawaiian, Under-represented Asian
  • Student must be able to rotate for a 4 week block

Expenses covered:

  • Travel expenses to/from Kansas City
  • Housing expenses as mutually agreed upon
  • Other expenses as mutually agreed upon

Application Process:

  • Apply though VSAS/VSLO
  • Email Lara Maisch at maisch@tmcmed.org for URM scholarship application. Please include dates you wish to rotate in this email.
  • Submit a letter of intent including: a brief personal statement that includes some personal background, why you qualify for this scholarship, career plans, and any other relevant information. This should be submitted to Ms. Maisch when you submit the application form

COVID update: Unfortunately we are able to accept visiting medical students at this time in accordance with the AAMC recommendations regarding visiting medical students.  We will reinstitute this when possible.

Diversity, Equity and Inclusion

Drs. Steele, Gratton, Ellison, Stubbs and Algren kneel in a moment of silence in remembrance of the death of George Floyd
Drs. Steele, Gratton, Ellison, Stubbs and Algren kneel in a moment of silence in remembrance of the death of George Floyd.

The Emergency Medicine residency stands with both the University of Missouri-Kansas City (UMKC) and Truman Medical Center (TMC) in our commitment to supporting and expanding diversity, equity and inclusion within our community and our residency. Last year, a number of our faculty members and program leaders attended UMKC School of Medicine’s Diversity, Equity and Inclusion Retreat with the goal of engaging in critical conversations regarding supporting our trainees and recruiting diverse applicants.

To work towards that goal, our residency didactics  include teaching on diversity, equity and inclusion. Recent examples include lectures led by local university and hospital affiliate DEI leaders (hosted multiple throughout 2018-2019 AY) and case-based learning about racial bias and discrimination.  We also implemented a scholarship program for underrepresented minority (URM) medical students that will be starting 2021 once it is safe to do so.

At UMKC SOM, there is a very active Office of Diversity, Equity and Inclusion (DEI) led by Tyler K. Smith, MD, MPH. The UMKC SOM Office of DEI has instituted a regular newsletter highlighting important initiatives, providing faculty development, as well as resources for our learners. In June 2020, the Office of DEI began a series of student, trainee, faculty, and staff forums to facilitate dialogues necessary to support and promote a safe place for difficult discussions. The new Stay Woke Spotlight in the UMKC Office of DEI newsletter highlights students, residents, faculty and staff that make an impact on diversity, equity, and inclusion at the UMKC School of Medicine (SOM).  Last year, the SOM created a system for online mistreatment reporting and recently linked QR codes to the form for posting in highly visible locations to facilitate its use. There is also a DEI committee where medical students and residents hold leadership roles. We currently have an EM resident serving on our TMC diversity, equity and inclusion committee. Additionally, TMC/UHP was just named the 2020 Champion of Diversity by the Greater KC Chamber of Commerce.

Our residency program and Department welcome all and does not discriminate or tolerate discrimination against any member of our community on the basis of gender identity/expression, sexual orientation, age, religious beliefs, race/ethnicity, citizenship, relationship status, parental status or disability. We are continuously working on reducing barriers for  URM in medicine learners, creating a safe and supportive learning environment, and recruiting and keeping a diverse group of residents and faculty.

Truman Diversity, Equity and Inclusion Website

UMKC School of Medicine Diversity, Equity and Inclusion

 

 

 

Mayor appoints faculty, alumni to Kansas City Health Commission

From left: Erica Carney, Joseph Lighter, Austin Strassle

Three members of the UMKC community with expertise in emergency medicine and public health have been appointed by Mayor Quinton Lucas to the Kansas City Health Commission.

Erica Carney, M.D., was appointed co-chair of the commission, which provides oversight for the city’s Community Health Improvement Plan and fosters collaborative community efforts in the wider metropolitan area. Lucas said Carney’s work had been instrumental in the city’s response to COVID-19 and collaboration with area health providers.

Carney is a graduate of the UMKC School of Medicine’s innovative six-year B.A./M.D. program, an assistant professor in emergency medicine, an emergency care physician at Truman Medical Centers and the medical director of emergency medical services for the City of Kansas City.

“I was fortunate enough to complete my emergency medicine residency at UMKC, where I served as one of the emergency medicine chiefs,” Carney said. “I found my love for emergency medical services after responding to the Joplin tornado.”

Carney said her areas of interest included improving survival rates for out-of-hospital heart attack patients from lower socioeconomic ZIP codes, improving health care for people who need and use the system the most, and improving public safety, including response to disasters and special situations such as COVID-19.

“The best defense to the unknown is a united front in the name of public protection, and I truly feel that our region is leading the way,” Carney said.

The mayor also appointed to the commission Joseph Lightner, Ph.D., M.P.H., assistant professor and director of the Bachelor of Science in Public Health Program at the UMKC School of Nursing and Health Studies, and Austin Strassle, a housing stabilization specialist at Truman who earned his bachelor’s degree in urban studies/affairs from UMKC in 2016.

Lightner has helped launch the School of Nursing’s undergraduate public health degree and worked to involve undergraduates in innovative research bringing fitness and nutrition programs to area schools. In his research and outreach, Lightner has collaborated with community groups and institutions including Kansas City schools and the city’s Parks and Recreation Department and Health Department.

Strassle, who also has a master’s in city/urban, community and regional planning from the University of Kansas, has worked for three and a half years at Truman as a mental health caseworker. He also was the leader of a successful community campaign to get the Kansas City Council to ban the use of conversion therapy on minors by licensed medical practitioners.

The mayor, in making his appointments, said it was important to have “experts in outreach to at-risk communities” on the commission, along with “medical professionals with specialties in trauma, infectious disease treatment, pediatric and prenatal care; supporters for survivors of domestic violence; advocates for residents of nursing homes and other long-term care facilities; educators; long-time community health reformers; and more.”

 

MedEd/SIM Fellowship

New! We are excited to offer Medical Education Fellowship Training. This 1 or 2-year non-ACGME fellowship program is designed for those interested in a career in academic emergency medicine and seeking to build skills in teaching, curriculum development, leadership and mentoring, simulation-based education, and medical education research. 2-year fellows will complete a Master of Health Professions Education (MHPE) degree (Graduate Certificate for 1-year fellows).

Program Mission:

To foster the professional growth and development of future emergency medicine academicians and simulationists through a robust curriculum and formalized mentorship that ideally leverages the strengths of the organization, its people, and the fellow.

Goals (summary, selected):

After completion of the fellowship program, the fellow will be able to:

  • Explain the theoretical basis, benefits and limitations of clinical and non-clinical teaching, including simulation-based medical education.
  • Deliver effective clinical and non-clinical theory-based instruction to both large and small groups.
  • Effectively use a variety of technologies to teach, learn, and communicate.
  • Provide leadership that is evidence-based and reflective of the fellows’ inherent skillset
  • Develop and execute educational research that contributes to the advancement of health professions education and patient care.

 

Dimensions

There are 4 key dimensions to the program outlined below. The following will assist the fellow in developing skills that fall under each dimension: The Master of Health Professions Education (MHPE) degree coursework, participation in fellowship didactics, attendance at select regional and national workshops and conferences, and experiential learning through projects and mentorship in TMC Dept EM and UMKCs simulation center.

  • Teaching Skills, Theory, and Educational Principles
  • Educational Research Methodology
  • Educational Program Administration & Leadership
  • Simulation-Based Medical Education Theory, Practice
Program Highlights/Benefits
  • Competitive fellowship salary. Additional stipend above University’s PGY-4/5 salary.
  • Full-time employment benefits as a fellow at the University of Missouri-Kansas City School of Medicine
  • Faculty Appointment in the TMC Department of Emergency Medicine.
  • Clinical shifts at the teaching sites of the UMKC Emergency Medicine Residency Program: Truman Medical Centers and Children’s Mercy Hospital.
  • Protected non-clinical time for the fellowship curriculum with an average of 8-10 shifts per month
  • Funded Master of Health Professions Education (MHPE) degree (certificate for 1-year fellow).
  • Funded registration and travel to select regional and national simulation conferences during each year of the program.
  • $1,000 yearly stipend for continuing medical education.
  • Internal and external moonlighting permitted.
  • Potential for additional funded registration and travel for regional or national abstract or didactic presentations.
  • Robust mentoring and feedback, including regular contact with fellowship directors and program mentors.

Candidates must have graduated in good standing from an ACGME-accredited emergency medicine (EM) residency program and must be board-certified or board-eligible in EM.

Application Process

Please contact Emily Hillman, MD and Melanie Camejo, MD for questions or more information. Qualifications include Board Certified or Board Eligible in Emergency Medicine (residency trained at an ACGME-approved program), must have graduated in good standing, and a strong interest in academic emergency medicine career.

 Applicants are asked to provide:

  1. Curriculum vitae with contact information for three references. At least one reference should be a member of residency program leadership.
  2. A letter of recommendation
  3. A statement outlining reasons for pursing a combined Medical Education/Simulation Fellowship. No longer than 250 words.

Applicants will be invited to interview during September or October. We will extend a match offer in Nov-Dec. Applicants must be accepted into the UMKC Masters of Health Professions Education (MHPE) Program to start the fellowship. There is one fellowship position available for the current application season.

Fellowship Leadership

Emily Hillman, M.D.
Assistant Professor Emergency Medicine
Fellowship Director and Assistant EM Residency Program Director
Medical Director Clinical Training Facility-UMKC SOM

Melanie Camejo, M.D.
Assistant Professor Emergency Medicine
Associate Fellowship Director and EM Student Clerkship Director

Wellness

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Our residents and faculty have developed a wellness curriculum to face the unique challenges involved in emergency medicine training. We have aimed to substantiate wellness by incorporating it into regular and dedicated conference time. Our wellness activities focus on service, resiliency, and career development, and will continue to grow with creative ideas to support and empower residents.

In August of 2018, we had our first service day at Jewish Vocational Services where we assembled furniture for incoming refugee families. Our second, in May 2019, was at The Kansas City Assessment and Triage Center, a local mental health crisis center. We held conference there, revamping their courtyard with flowers, vegetables and picnic tables. While giving back to our community we reflected on the social adversity of our patients and became familiar with a disposition resource available to us in the ER.

Residents and faculty participated in various extra-curricular activities throughout the year including trivia and outings with furry friends. Our running enthusiasts also successfully completed their 3rd annual “Brew to Brew”, a 44-mile relay between Kansas City and Lawrence, KS. This year we had nice weather, no delays, and some did enjoy a brew or two at the end of the course.

Throughout the year, we host wellness days that offer guest speakers, field trips, book clubs, career information, and financial education; all ideas from residents wanting to better our program. The Wellness Committee manages department awards, shout-outs, “Saves of the Month” and miscellaneous gifts in efforts to recognize those who go above and beyond.  Ultimately, we aim to sustain a positive, open environment for all residents to feel welcome and fulfilled.

Attempting to keep our faculty and residents well during the 2020 pandemic has been both fulfilling and a challenge.  We strived to instill the importance of mindfulness and healthy habits by incorporating and practicing mindfulness, good sleep hygiene and exercise into daily life.  During our lockdown period we utilized zoom conferencing for our spring wellness conference.  We did yoga with a mindfulness session and had some of our talented residents host a cooking class for our department.

Wellness Curriculum
  • Intern Welcome Week
  • Service Days (spring and summer)
  • Career Workshop
  • Resiliency Day
  • Post In-Training Exam Festivity
  • Book Club
  • Healthy habits
  • Mindfulness and Exercise
  • Miscellaneous outings, consultant mixers, gift giving, awards
Resources

McNabney Lectureships

Mattu, AmalMay 9, 2019
“Everyday Leadership: Secrets of Great Minds through the Ages”
Amal Mattu MD
Professor and Vice Chairman of Emergency Medicine
University of Maryland School of Medicine
Tintinalli, JudithApril 5, 2018
“Serendipity. A Persian Fairy Tale: Wonderful Things You Weren’t Looking For”
Judith Tintinalli MD MS
Professor and Chairman Emeritus
Department of Emergency Medicine
University of North Carolina School of Medicine
Weiss, Eric A.May 25, 2017
“Improvised Medicine”
Eric A Weiss MD FACEP
Professor of Emergency Medicine, Stanford University School of Medicine
Schneider, SandyMay 26, 2016
“Balance for the Unbalanced”
Sandy Schneider MD
Professor of Emergency Medicine, Hofstra Northwell School of Medicine
Director, EM Practice, American College of Emergency Physicians
Attending Physician, John Peter Smith Hospital
Kirsch, ThomasApril 30, 2015
“Ebola 2014—The Timeline and Impact of Interventions in Liberia”
Thomas D Kirsch MD MPH
Johns Hopkins School of Medicine and the Bloomberg School of Public Health
Director, Center for Refugee and Disaster Response
Hoffman, JeromeMay 22, 2014
“Over-Diagnosis: A Modern Epidemic”
Jerome R Hoffman MD MA
Professor Emeritus of Medicine and Emergency Medicine
UCLA School of Medicine
Rosen, PeterMay 3, 2013
“Reflections on Emergency Medicine”
Peter Rosen MD FACS, FACEP, FAAEM
Senior Lecturer on Medicine, Harvard Medical School
Fowler, RayMay 31, 2012
“The Past, Present, and Future of Cardiopulmonary Resuscitation”
Ray Fowler MD FACEP
Professor or Emergency Medicine, Surgery, Health Professions, and Emergency Medical Education
Chief of EMS Operations
Co-Chief in the section on EMS, Disaster Medicine, and Homeland Security
The University of Texas Southwestern Medical Center
Attending Emergency Medicine Faculty, Parkland Memorial Hospital
Garza, Alexander G.May 5, 2011
“Black Swans and Wicked Problems: Dealing with Risk in the Modern World”
Alexander G Garza MD MPH
Assistant Secretary for Health Affairs and
Chief Medical Officer for the Department of Homeland Security
Crosby, KarenSeptember 23, 2010
“Lessons From Patient Safety”
Karen Crosby MD
Assistant Professor, Department of Emergency Medicine
Cook County (Stroger) Hospital, Rush Medical School
Chicago, Illinois
Waeckerle, JosephMay 7, 2009
“Physician Burnout”
Joseph F Waeckerle MD
Chief Medical Officer, Office of Homeland Security, State of Missouri
Medical Officer, Kansas City Division of the FBI, Kansas City, Missouri
Moran, GregoryMay 15, 2008
“Methicillin-Resistant Staphylococcus Aureus Infections”
Gregory Moran MD
Clinical Professor of Emergency Medicine
UCLA School of Medicine
Los Angeles, California
McNamara, RobertNovember 21, 2006
“Lessons from the Founders of Emergency Medicine: Patient Care and Beyond”
Robert McNamara MD
Professor and Chair of Emergency Medicine
Temple University School of Medicine
Philadelphia, Pennsylvania

 

MedWars 2018

MedWars 2018I am pleased to relate that we have had another successful year at the Medical Wilderness Adventure Race series.  This past March we sent a team of 3 EM-bound UMKC students (Jordann Dhuse, Maggie Kirwin, and Allie Reinbold) to the Mid-Atlantic MedWAR in Newport News, Virginia.  The “HAPE Apes” ran a 15-mile race of orienteering, mountain biking, and canoeing, completing wilderness medicine scenarios and knowledge questions along the way, and came in 5th place out of over 20 teams.  This is a tremendous accomplishment, and demonstration of the strength of our School of Medicine & EM Residency.  Be sure to congratulate these future EM docs on representing us so well in competition!

Thomas Hindsley, MD

Judith Tintinalli, M.D. M.S. Guest of Honor at Resident Research Day

The Class of 2018 and Dr. Tintinalli
The Class of 2018 and Dr. Tintinalli

On April 5th our senior residents all presented their research projects.  Dr Tintinalli was guest of honor and speaker as well as one of the judges of the event.

Dr. Tintinalli is a professor and founding chair of the Department of Emergency Medicine at the University of North Carolina at Chapel Hill. She also is an adjunct professor in the Department of Health Policy and Management in the School of Public Health, and in Medical Journalism in the School of Journalism and Mass Communications at the University of North Carolina. She received her medical degree from the Wayne State University School of Medicine. She completed residency training and received her Master’s in Clinical Research Design and Statistical Analysis from the University of Michigan.

Dr. Tintinalli was president of the American Board of Emergency Medicine (1989-1990), was the founding president of the Council of Emergency Medicine Residency Directors and was chair of the Liaison Residency Committee (forerunner of the Accreditation Council for Graduate Medical Education-sponsored Residency Review Committee). She is editor in chief of the world’s largest selling emergency medicine textbook, “Tintinalli’s Emergency Medicine,” now developing the ninth McGraw Hill edition. The seventh edition received the Best Surgical Book of 2011 title from the British Medical Association.

The residents had excellent presentations and 5 had abstracts accepted to the UMKC annual Vijay Babu Rayudu Quality and Patient Safety Day.  Tony Toigo, D.O. won the Elenbaas Award for best project.  Dr Tintinalli generously signed and “personalized” a copy of Tintinalli’s Emergency Medicine for each resident and presented them at a dinner after the presentations.

Gary Gaddis, M.D. PhD was awarded the “Order of the International Federation of Emergency Medicine”

Gaddis, GaryDr Gaddis was a long time Professor of Emergency Medicine at the UMKC School of Medicine who practiced at St Luke’s.  He was the inaugural Missouri/St Luke’s Endowed Chair of Emergency Medicine and was intimately involved with research and clinical care. He worked with multiple EM residents on scholarly products and taught statistics and study design to our residents.  He presently is a Professor of Emergency Medicine at Washington University in St. Louis.

The International Federation of Emergency Medicine Awards the Order of the IFEM (FIFEM) to an “individual who is a member of an IFEM member organization who has demonstrated an extensive and continuous commitment to the specialty of Emergency Medicine in their own country and has made significant contributions to supporting the development/advancement of the International Federation for Emergency Medicine.”