Alumni Letter

Dear UMKC Emergency Medicine Alumni,

Since 1973, the UMKC Emergency Medicine residency program has continued to educate and train emergency medicine physicians to provide comprehensive medical care and has fostered physician leaders in academic and community programs across this country. From this solid foundation, our current program faculty and residents continually strive to meet this high standard that has been set by our predecessors; ex traditione, exellentia.

One of our goals as a residency program is to foster our alumni connections and expand our alumni network to promote the strength and continued growth of our residency program.  It’s always enjoyable to reconnect at national/state meetings or in Kansas City and we look forward to being able to connect again in person after COVID-19.

We would also like to thank the many alumni that have contributed to our didactics through guest lectures (Dr. Bob Edmonds –Evidence Based Resuscitation and Dr. Brandon Elder- Wilderness Medicine), career panels (Dr. Tom Millard, Dr. Taylor Neff, Dr. Anne Jacobsen, Dr. Brian Freeman, Dr. Jennifer von Fintel and Dr. Matt Lockwood) and Mock Oral Boards.

We would also like to thank our alumni for their continued financial donations to the residency program. The funds are used to help cover the cost of our annual emergency procedure lab for our residents as well as numerous wellness initiatives.

Please continue to share alumni updates and if you have not already, please take the time to engage with us on FacebookInstagram, or Twitter (@umkcEM).

Thanks for reading and continued best wishes,

Amy Stubbs MD, Program Director, UMKC Truman Emergency Medicine Class of 2006

Ultrasound

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The residency program provides a robust ultrasound experience for every resident. You will have a dedicated two-week ultrasound rotation during your intern year immersing in the basics of emergency ultrasound as well as a continued longitudinal exposure throughout your first year. The rotation is led by our expert, ultrasound fellowship trained faculty. More importantly, you will continue to utilize and practice ultrasound throughout the course of your residency. Upon completion of your residency will feel comfortable with and know how to incorporate point of care ultrasound in your daily clinical practice.

The department has two cart-based point-of-care ultrasound machines to allow for residents and faculty to regularly perform exams. Throughout your residency you will become proficient at all eleven of the ACEP recommended imaging modalities. With the benefit of having two fellowship-trained faculty, you will also have significant experience with advanced ultrasound applications as well.

All EM faculty are credentialed to perform point of care ultrasound by the institution, which enables our ED physicians to make critical clinical decisions based on their own exams and deliver state of the art care to our patients.

 

 

 

 

 

Kansas City

Kansas City Skyline at night

Kansas City is a large metropolitan area of > 2 Million (across the two-state area) It offers many big-city amenities and experiences, yet still manages to keep a small-town feel. It’s not uncommon for our residents to own a home with a yard but still benefit from training at a busy trauma center at an urban hospital. Our primary training site, Truman Medical Center, is located in the heart of the city, surrounded by multiple popular entertainment districts. Residents live all over the metropolitan area as there are many affordable options including: downtown condos, mid-town apartments, or suburban homes.

We are home to three professional sports teams, including the 2020 Super Bowl champions, The Kansas City Chiefs! KC is also looking forward to hosting the 2023 NFL Draft! KC is well-known really great barbecue; we also have a vibrant restaurant scene including multiple James Beard Award winning Chefs. Every fall, KC hosts the largest barbecue contest and celebration in the world.

For those desiring a more low-key Midwest lifestyle, just a 20-minute drive in nearly any direction will get you there. The KC metro area is home to some of the best school districts in the nation. No matter your interest – shopping, dining, music, art, sports, boating, camping, or even the rodeo – our city has much to offer. But, don’t just take our word for it; four KC area cities were recently ranked among the best to live in the US. National Geographic also named Kansas City as a top destination for 2019. Many of our graduates find that they like KC so much they stay and work here. Already planning to move here? Click here for things you must know before you move the KC or here to plan a visit. For a list of annual events in KC, click here.

 

Neighborhoods

Country Club Plaza
The Kansas City Country Club Plaza decked out for the holidays. Multiple residents enjoy living in this walkable entertainment/shopping district, which is about 10 minutes from TMC.

Entertainment districts

Kauffan Center for the Performing Arts
EM Residents exploring the city safely. Pictured is the Kauffman Center for Performing Arts

Music/Theatre

KC celebrates the 2020 Super Bowl champion Kansas City Chiefs!

Professional Sports

Food & Drink

Art

History

Other Events/Activities

Residency: Resident Life

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Residents at work

We strive to make learning fun, not just in the ED but also during resident conferences. Our most highly rated conferences are procedural/skills days, simulation conferences, and our month-long cadaver lab. Over the last few years, our conference days have evolved to include more simulation and small-group sessions targeted to each PGY class (each class splits up for separate activities planned just for them). At least quarterly, our didactics are focused on wellness-related or non-traditional topics. (see Wellness section for further details).We also have game-themed conferences dedicate to Board Review.  Residents prepare for the In-Training Exam via Jeopardy, Cash Cab, charades, etc.

We focus on graduated responsibility, allowing residents to build their clinical and leadership skills over time. PG-2 and PG-3 residents run their own “pod” on a shift with PG-3s also having additional administrative responsibilities, such as taking transfer calls and signing EKGs. PG-1s begin the year by acclimating to the ED and seeing patients all over the department; they transition to running their own pod by the end of the year. To allow ample time for documentation, sleep, and other activities, shifts are 8 hours. Typical shift numbers in a four-week block: PG-1 16-18, PG-2 19-21, PG-3 17-19.

Our senior residents embrace their role as departmental teachers and mentors. Residents advocated for the implementation of a resident teaching shift, which began in 2015.  As a teaching shift resident, our PGY3s work closely with interns and students, with an emphasis on learning, as opposed to moving large patient volumes.  Our residents are very involved with medical student education. The emergency medicine interest group (EMIG) is the largest interest group at UMKC School of Medicine. Our residents help train the EMIG members to compete in SimWars competitions and regularly give lectures and host workshops for the interest group.

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Residents outside of work

We feel strongly that residents should be able to have a life outside of work and strive to keep schedules reasonable. When not working, our residents enjoy spending time together. Favorite activities include attending Royals, Chiefs, or Sporting KC games, playing Pickleball, or hitting up local bars. Our residents enjoy gathering up their four-legged friends and meeting at local dog parks. Regularly planned gatherings include an annual intern welcome party, and an annual farewell party for the PGY3s, both hosted by some of our outstanding attendings.  Our interns also host monthly parties during the month that they are on their Anesthesia rotation.  These provide great opportunities to get to know our colleagues and staff.

Interest Group

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UMKC is unique in that it offers the 6-year BA/MD program, which facilitates early clinical experience to a variety of skills and specialties through a myriad of interest groups. The Emergency Medicine Interest Group (EMIG) is one of UMKC’s largest and most active interest groups with around 120 active members. We strive to model our interest group with the vivacious spirit of EM.

Partnering with one of the oldest residency programs in the country, our EMIG’s raison d’être is maintaining an equilibrium between theoretical classroom learning and more practical, hands-on learning. For instance, our highlight meeting of the fall semester includes a visit from the Lifeflight Eagle crew explaining the ins and outs of EMS in-flight before a field trip to the helipad to discuss the technical side of accepting a patient from the team.  Our monthly meetings always promise students a trifecta of pizza, an opportunity to win our shadowing raffle, and an exposure to a variety of EM topics such as toxicology, radiology, Pediatric Emergency Medicine, and many more. Additionally, the University Health Truman Medical Center Emergency Department involves students in many departmental research activities.

Our interest group also offers hands-on experience with one of our highlight events, the annual Emergency Medicine Skills Conference. Students can expect to work closely with residents and faculty to master skills in airway management, suturing, establishing IV/IO access, lumbar puncture, EMS, ultrasound, and chest tubes.

UMKC’s EMIG is also highly active in SimWars. During SimWars practices, students are guided by EM faculty and residents through practice Emergency Medicine cases using a high fidelity mannequin as the patient. We train intensively for two months of the year which allowed our teams to compete in the annual Society for Academic Emergency Medicine’s (SAEM) Regional Meeting. UMKC EMIG won first place in 2016, and hosted the competition in 2014. The UMKC/TMC Emergency Medicine faculty and residents pride themselves on the collegial and collaborative support provided to EMIG as it will remain an active interest group, continuing to offer students guidance and exposure to the specialty in their medical school careers.

Follow us on Instagram!  umkc_emig
For more information, please contact us at emig.umkc@gmail.com!

Visiting Student Rotation

Overview

Thank you for your interest in our visiting student elective. We truly enjoy having visiting students rotate in our department. Our visiting students are highly anticipated by our faculty and residents. Many of our current residents first experienced our program through a visiting student rotation. We recruit heavily from our competitive extern pool. Go to https://med.umkc.edu/em/student-clerkship/ to read about our clerkship. Be sure to explore our website, including the history of our program and our resident curriculum.

During the month, students participate in direct patient care under the supervision of attendings and senior residents. Emergency Medicine faculty and chief residents give approximately 12-15 hours of lecture per month. We have now moved all of our course material to Canvas but unfortunately, visiting students are not able to access this website. Instead, they are given a google document that has all of the information that can be found on Canvas in an email prior to the start of the rotation. In the google document, there are objectives for each major chief complaint that may be encountered while in the department as well as helpful links and texts. During the rotation, students have laptops that they can use while on shift to access the google documents as well as review patient charts and document electronically.

We hope you find the following information helpful as you consider rotating with us. If you are interested in doing a rotation in the Emergency Medicine department, please follow this link for general information: UMKC School of Medicine Visiting Student ElectivesStudents from outside institutions must apply for this rotation through Visiting Student Application Service (VSAS).

Changes Related to COVID

In following the recommended guidelines, visiting students will be allowed to rotate starting after July 22nd, 2021. It is recommended that students have 1 SLOE from their home EM program and 1 SLOE from an away/visiting rotation. Students should apply through VSAS, please see below for more details.

Students will be provided with appropriate PPE for their rotation. Students will still be able to see patients with no restrictions as long as they are wearing proper PPE. If there are any questions, please contact the Clerkship Director or Clerkship Administrator.

Clinical Experience

Visiting students will spend all of their clinical time at University Health Truman Medical Center, the primary training site of our Emergency Medicine residency. University Health Truman Medical Center is a Level 1 Trauma Center with 62,000 adult patient visits per year. Students participate in direct patient care under the supervision of attendings and senior residents. Five days per week, students benefit from the presence of an additional “teaching resident”, whose primary goal is to take the student’s learning experience to the next level.

Students work an average of 12 eight-hour shifts, including one 6-hour nursing shift. There is ample opportunity to see and perform a variety of procedures. We encourage our students to be active in the care of their patients, and we expect students to present patients directly to faculty.

Didactics

Our monthly didactic series include a variety of group case-based discussions, traditional didactics and time in our medical skills simulation lab. Our program leadership, chief residents and fellowship-trained faculty contribute to didactics. We also encourage our visiting students to attend our weekly resident conferences. On months where the residency will host procedural simulations, the cadaver lab and other unique opportunities, we urge visiting students to take full advantage of these additional learning opportunities. It also gives us a chance to further showcase our residency program.

We utilize the flipped classroom approach for many of our didactics. Students are expected to spend on average 8-10 hours per week in self-directed study. The iPads are available to facilitate this learning. Please click here for more detailed information regarding our monthly student didactic series.

Evaluation & Grading

Final grades are based on a combination of clinical performance (55%) and National Board of Medical Examiner’s Advanced Clinical Exam (NBME ACE; 45%) performance. At the conclusion of each clinical shift, your faculty member will provide you with direct 1:1 feedback, and you will be provided a clinical performance evaluation (1-4 scale). Using the laptops, faculty members electronically submit student evaluations at the end of each shift. The scores are averaged at the conclusion of the month. We pay for visiting students to take the NBME ACE exam while rotating with us. If the exam has already been taken at an outside institution, we request the exam score and will incorporate it into your final grade.

Course Availability

Students are accepted for rotation April-December. There are a limited number of available spots and some months (October- December) are not available every year. Visiting students are screened and scheduled based on availability and competitiveness. If you are interested in rotating early (April/May) please reach out to the clerkship director and coordinator directly.

Rotation Application

Applications are accepted through VSAS. Students from outside institutions must apply for this rotation through Visiting Student Application Service (VSAS). Please follow this link for general information: UMKC School of Medicine Visiting Student Electives. Applications are generally reviewed in late March or early April of each year, and spots are generally offered through June. (Rarely are additional spots offered after June). Only complete applications will be reviewed (they must include a USMLE Step 1 score). D.O. students are encouraged to apply. We are not able to accept international medical students unless your institution has a pre-existing written agreement with UMKC.

Residency Interviews

Our visiting students are automatically granted interviews. We also plan to write a Standardized Letter of Evaluation (SLOE) for our externs. This is facilitated by our advising system whereby we link our visiting students up with a faculty (PD or APD) and chief advisor. We generally offer interviews in July and August for our visiting externs. If a visiting student is rotating during November or December we attempt to accommodate them into our residency interview schedule while here.

Research Network

EMERGEncy ID NET: An Emergency Department-Based Emerging Infections Sentinel Network

Acute infectious disease presentations among many at-risk patient groups (e.g., uninsured, homeless, those with chronic illness and recent immigrants) are frequently seen in emergency departments. Therefore EDs may be useful sentinel sites for infectious disease surveillance. TMC ED Research has been involved since the inception of EMERGEncy ID Net in 1995, established  in cooperation with the National Center for Infectious Disease and CDC as part of the CDC’s strategy to expand and complement existing disease detection and control activities. EMERGEncy ID NET was also developed to be a mechanism for rapidly responding to new diseases or epidemics.

EMERGEncy ID NET, is an interdisciplinary, multicenter, ED-based network focused on the investigation of emerging infectious diseases.. The network is based at 11 university-affiliated, urban hospital EDs with a combined annual patient visit census of more than 900,000. Data are collected during ED evaluation of patients with specific clinical syndromes, and are electronically stored, transferred, and analyzed at a central receiving site. Multiple abstracts and publications have resulted from this collaborative network and its ongoing studies.

Sponsor: Olive View-UCLA Education and Research Institute (ERl)
Principal Investigator at UCLA Olive View: David Talan, MD, Principal Investigator
Site Investigator at TMC: Mark Steele, MD
Lead Sub-investigator at TMC: Amy Stubbs, MD
http://emergencyidnet.org/

Research Coordinators may be contacted at 816-404-5087

40th Reunion

40th Reunion at Kemper Museum of Modern Art--May 4, 2013
40th Reunion at Kemper Museum of Modern Art–May 4, 2013
40th Anniversary of the Founding of the Emergency Medicine Residency Program:

 

W. Kendall McNabney, M.D., Peter Rosen, M.D. (Speaker) and Matt Gratton, M.D.
W. Kendall McNabney, M.D., Peter Rosen, M.D. (Speaker) and Matt Gratton, M.D.

The Residency Program was founded in 1973 by W. Kendall McNabney, M.D. and its first class began with 3 intrepid residents.  40 years later we celebrated.

 

On May 3rd the McNabney Lectureship was given by Peter Rosen, M.D. one of the founding fathers of emergency medicine in the U.S.  In addition to founding other residency programs, he was the founding editor of one of the classic textbooks of emergency medicine, now known as “Rosen’s Textbook of Emergency Medicine.”

 

On May 4th, an anniversary party was held at the Kemper Museum of Modern Art and was attended by 5 of the 6 chairs of EM here at UMKC School of Medicine and University Health Truman Medical Center.  The band, whose name remains uncertain, comprised of 5 “ER Docs”, 4 of whom are graduates of our program, played until late.  Comments from the prior chairs are included:

 

W Kendall McNabney, MD (1970-1986)

 

W. Kendall McNabney, M.D. at the reunion
W. Kendall McNabney, M.D. at the reunion

Forty years later I would like to say I was visionary and just knew that emergency medicine was the wave of the future and that it would attract the best medical students, coming out of the best medical schools and contribute to the best environment for meaningful life-saving patient care and be one of the best models for medical education and acute-care research. But the truth is: In 1970, as a surgeon returning from Vietnam, I was hired to develop a trauma care program at Kansas City General Hospital (“by the way that includes the ER”)!  Hospital administrators liked to say the ER was the front door to the hospital and then staff it with veteran RNs and new interns who rotate every month and internal “moonlighting” by residents. Truman Medical Center (nee KCGHMC) in 1970 was taking off with new leadership and a new medical school partner. They were ready for change and were supportive of virtually everything I wanted.  It was a great personal ride and for 16 years I enjoyed that ride. However, I also knew that I was holding back tremendous talent for leadership, reference the names who followed me as Chair. To have stepped aside in 1986 and know what followed in emergency medicine and EMS at TMC-UMKC, I guess I was visionary. Congratulations on the 40 years! Since I am now a consumer of health care, I am counting on you for another 20 or so!

 

William A Robinson, MD (1986-1996)

The most rewarding aspect of being in a mentor role is to see the accomplishments of the individuals whom you have had the honor to provide some modicum of guidance. In that regard, the Truman Medical Center Emergency Medicine Program has provided me with an endless source of rewards as I watch with pride the accomplishments and contributions of all of you and realize that I was lucky enough to be a part of it.  To those of you I have known and those of you who have come later, thank you for upholding the strong tradition of competence and integrity started by Dr. McNabney and fostered by those of us who followed.

 

Mark T Steele, MD (1996-2000)

My Chair tenure covered a period of relative stability and academic productivity for the department, but was a time of significant transition and volatility for the hospital and University.  I assumed the role of Interim Chair after my good friend and mentor, Bill Robinson, announced that he would be stepping down and relocating to Bozeman, Montana. Just prior to this, the long time CEO of TMC, Dr. James Mongan, who in his later years here was also serving as Dean of the School of Medicine, also announced that he would be leaving to become the CEO of Massachusetts General Hospital. Dr. Andy Anderson was recruited to replace him.  Dr Anderson was a three-star General form the US Air Force. After his arrival, unrest quickly ensued and before I knew it, he was relieved from his duties as Dean by the Chancellor of the University and then he initiated actions to remove three department chairs from their positions who were allegedly instigators of the insurrection. As you might imagine, this was quite an eye- opener for this new young Chair. After some uncomfortable and unpleasant times over the course of a couple of years, Dr. Anderson and the involved Chairs moved on and the decision was made to once again separate the positions of CEO and Dean. During this period, I had the honor of being elected President of the TMC Medical Staff.  I was in this role when Mr. John Bluford, our current CEO, came on board with the hospital. Because Mr Bluford was not a physician, the hospital needed a Medical Director. Long story short, I got pegged for the new position and, as a result, had to resign my position as departmental Chair.   Also noteworthy during my tenure was the passage and implementation of new federal legislation, referred to as the Balanced Budget Act of 1996, which created new economic realities and pressures for academic medical centers and significantly changed documentation and resident supervision requirements. I would also highlight the promotion of Bob Schwab to Vice Chairman of the department and the recruitment of John Ma to the faculty–both future Chairs of the department.

 

Robert A Schwab, MD (2000-2006)

My tenure as Chair was marked by expansion – first, as we expanded the faculty so that we could move into the era of double-coverage, then as we expanded the resident complement, and finally as we designed and built a significantly larger physical plant for emergency services.   Faculty recruitment was (and probably remains) a difficult task that involved patching together full-time and part-time local faculty to fill the clinical schedule, as well as trying to identify complementary talents that enabled us to meet our clinical, educational, research, and service missions.  Expansion of the residency provided more flexibility for curricular innovations as well as meeting educational/service needs.  The physical plant expansion was a collaborative effort among TMC and UMKC administration, TMC Foundation, our faculty and staff, and the construction folks.  In the end, I think we got a facility (clinical, administrative, and educational) that will serve the department well.  Of course, it won’t be long until more space is needed, but that is a sign of progress and not a cause for disappointment.

 

O John Ma, MD (2006-2007)

My favorite memories during my years (1998-2006) at Truman Medical Center revolve around several special individuals: Linda Bell and Marian Hardin, two ED clerks who always helped keep the “rhythm” of my shifts going smoothly; Beth Boone, an incredibly talented and resourceful nurse; Jayna Ross, the most dedicated person at TMC; Mark Hoffmann, a tremendously gifted and fun-loving resident; Jeff Glaspy, a colleague who has become one of my closest friends; and Robert Schwab, who remains my mentor and trusted friend. Many thanks for your influence on my life and career.

 

Matthew C Gratton, MD (2007-present)

I am just beginning my seventh year as Chair.  I am happy to say that the pleasure outweighs the pain.  If I live long enough, I may be able to complete my “Ten-Year Plan” modeled on one of my “old” mentors, Dr Bill Robinson.  The world of Emergency Medicine in Kansas City, Missouri, has changed in the last 40 years in multiple ways:  AIDS (didn’t exist when EM started), Legionnaires’ Disease, Toxic Shock, PCI for Myocardial Infarction, thrombolytics for stroke, bombs and bioterrorism (OK, they existed, but now we train for them), organized EMS system (at least in Kansas City, Missouri), Truman Medical Center and the list goes on.  The ED continues to expand:  65,000+ visits per year, 30 residents, 19 (count them, 19) faculty, plus some part-timers.  Some faculty triple-coverage!  A new logo and motto: “ex traditione, exellentia” – look it up.  We now have a new EMS Section with EMT and Paramedic training programs.  Some things never change:  great residents who keep the old faculty young; outstanding faculty; excellent support staff; interested medical students.  I am proud to help us all uphold the tradition of excellence that began with our founding chair, Dr McNabney.  And always remember:  “It’ll get better when we move into the new building!”

Mark Steele, M.D., Matt Gratton, M.D., W. Kendall McNabney, M.D., Peter Rosen, M.D., William Robinson, M.D., Robert Schwab, M.D.
Mark Steele, M.D., Matt Gratton, M.D., W. Kendall McNabney, M.D., Peter Rosen, M.D., William Robinson, M.D., Robert Schwab, M.D.