2015 NEWSLETTER
BRIEFLY NOTED
EMERGENCY MEDICINE FACULTY
Adam Algren, MD
Angela Bogle, MD
Erica Carney, MD
Michael Christian, MD
Stefanie R. Ellison, MD
Steven Go, MD
Matthew C. Gratton, MD, Chair
Jeffrey L. Hackman, MD
Emily Hillman, MD
Thomas Hindsley, MD
P. Charles Inboriboon, MD
Heather Isom, MD
Nicole Kibbee, MD
Kevin O’Rourke, MD
Jay Reich, MD
Mark T. Steele, MD
Amy Stubbs, MD
Srikala Subramanian, MD
Christine Sullivan, MD
CLASS OF 2018
Michael Bambenek, MD – University of Minnesota,
Duluth MN
Jeff Beckett, MD – St Louis University
Jimmy DeMeo, DO – Lake Erie College of
Osteopathic Medicine, Erie PA
Nicholas Evans, MD – University of Arkansas, Little
Rock
Jason Hurt, MD – UMKC
Kathryn Ottman, MD – University of Iowa, Iowa City
Zack Petry, MD - St Louis University
Nicholas Smith, DO – Philadelphia College of
Osteopathic Medicine, Suwanee GA
Tony Toigo, DO – Arizona College of Osteopathic
Medicine of Midwestern University, Glendale AZ
Bryon Vogt, DO – Kansas City University of Medicine
and Biosciences
Nicholas Warren, MD – Charles E Schmidt College
of Medicine at Florida Atlantic University, Boca
Raton FL
STAFF
Jayna Ross, Education Coordinator
Karen Manley, Administrator
Nicole Johnson, Student Clerkship Coordinator
2015 PRACTICE LOCATIONS
John Buckner, MD – North Kansas City Hospital,
North Kansas City MO
Amy Doll, MD – St. Alexius Hospital, Bismarck ND
Josh Honeyman, DO – Essentia Hospital, Fargo ND
Dustin Keffer, DO – Shawnee Mission Medical
Center/Ransom Memorial Hospital, Shawnee
Mission KS and Ottawa KS
Chris Morrison, MD – Cox Medical Center,
Springfield MO
Emily Roth, MD – Via Christi Medical Centers,
Wichita KS
Grady Thiems, MD – Shawnee Mission Medical
Center, Shawnee Mission KS
Katie Thompson, DO – Mercy Hospital, Chicago
Vanessa Welbern, MD – Ocala Medical Center,
Ocala, FL
Derek Yarmer, MD – Hays Medical Center, Hays KS
A MESSAGE FROM THE CHAIRMAN
2015 AWARDS
ROBERT M. ELENBAAS, PHARMD RESEARCH
AWARD: Dustin Keffer, DO, and Vanessa
Welbern, MD, April 2015. Truman Medical Center,
Department of Emergency Medicine (chosen by
EM faculty)
RESIDENT OF THE YEAR: Grady Thiems, MD.
Truman Medical Center, Department of
Emergency Medicine (chosen by EM faculty)
RESIDENT TEACHING AWARD: Dustin Keffer, DO,
and Chris Morrison, MD, (chosen by medical
students rotating in department and rotating
residents)
HIGHEST IN-TRAINING EXAM SCORES BY PGY
CLASS: Emily Roth, MD, Elliott Fried, MD, and
Katherine Willet, MD.
FACULTY TEACHING AWARD 2015: Kevin O’Rourke,
MD (chosen by EM residents)
NURSING
Amy Peters, MBA, BSN, RN, Chief Nursing Officer
Lynette M. Wheeler, MSN, RN, FAAMA, FACCA,
FABC, Chief Nursing Officer at Truman Medical
Center-Lakewood
Gina Rosser, BSN, RN, Emergency Department
Director
Hannah Olson, RN, and Christina Fenwick, RN,
Nursing Education Coordinators
Marisa Laing, RN; Jennifer Humphreys, RN; Pam
Hinrichs, RN; Kara Flanders; RN, and Lyndsay
Wiese, RN, Clinical Team Managers
Jennifer Humphreys, RN, SANE Coordinator
Marian Hardin, long-time Unit Clerk Supervisor,
retired in 2014
2015 ORAL BOARD EXAM
We want to thank our 2015 examiners for sacrificing
their free time to help with the Mock Oral Board
practice.
Aaron Barksdale, MD (2009)
Doug Coe, MD (2007)
Jeff Hackman, MD (2004)
Jake Kesterson, MD
Joe McDonnell, MD (2004)
Sarah Sartain, MD (2012)
Hoda (Tavalali) Weiss, MD (2011)
Rebecca Weller, MD (2007)
The date for the 2016 exam is Thursday, March 10,
2016. Sign up now and avoid the rush! Contact Jayna
Ross (Jayna.ross@tmcmed.org).
WEEKLY CONFERENCES
All alumni are invited to attend our weekly
conferences and socialize! Conferences are held
every Thursday. For specific details or to be added
to the conference schedule distribution list, please
contact Jayna Ross (Jayna.ross@tmcmed.org).
THE DEPARTMENT OF EMERGENCY
Medicine’s big news from the past year
includes the addition of two new faculty
members: Kevin O’Rourke, MD, who is
fellowship trained in Ultrasound; and
Erica Carney, MD, who is fellowship
trained in EMS. The department also
successfully implemented our most recent
throughput improvement project which
allowed us to add two advanced-practice
providers to bring our complement to
four. And we saw the publication of the
most peer-reviewed papers we have ever
had in a given year!
Throughput improved this year,
including a fairly dramatic decrease in
our “left without being seen” rate. We
continue as a level I trauma center and a
“STEMI” receiving center, with 24/7 cardiac catheterization laboratory availability. The 128-slice CT scanner in the ED
is doing quite nicely, thank you!
The residency program is thriving.
There are 11 residents per year in a 1, 2,
3 format. Amy Stubbs, MD, completed
her first year as program director. Dr.
Stubbs, along with Associate Program
Director Dr. Inboriboon, Assistant
Program Directors Drs. Hillman
and O’Rourke, and our indomitable
Education Coordinator Jayna Ross, did
an outstanding job. We graduated one
of our best classes “ever” and matched a
great group of new interns.
Dr. Hillman continues to run our
mandatory student EM clerkship. As
always, it is highly rated. The Emergency
Medicine Interest Group is the largest in the school. One of our medical
students, Megan Litzau, together with
Drs. Ellison and Hillman, won an SAEM
grant competition to support a one-day
emergency medicine simulation experience, which took place in February and
involved about 60 students. It was very
well-received and will be repeated this
coming year. Our student SimWars Team
placed second at the SAEM Great Plains
Regional meeting, an event we hosted in
September 2014.
The faculty remains academically
productive. We continue to be a site for
the EMERGEncy ID NET and are two
years into the DHHS funded “BARDA”
study (looking at influenza testing). We
continue with three fully funded study
nurses and have a number of other studies underway.
The faculty is also busy. Dr. Sullivan
has completed her first year as associate dean for graduate medical education and DIO (Designated Institutional
Official), and continues as vice chair of
the Residency Review Committee for
Emergency Medicine. Dr. Ellison continues as the associate dean for curriculum. Dr. Hackman is the chief medical
information officer for TMC. Dr. Steele
continues as the chief medical officer for
TMC, the executive medical director
of UPA (the faculty practice management plan), and was just appointed to
the position of chief operating officer
for TMC. Drs. Algren and Christian
continue to work as toxicology consultants at Children’s Mercy Hospital and
the Kansas Poison Control Center, and
Dr. Algren was appointed as chair of the
selection committee for the School of
Medicine. Dr. Inboriboon is the director
for international emergency medicine
studies and was just promoted to associate professor! Dr. Reich continues as the
EMS medical director for Kansas City
and is chief of the EMS section.
MATT GRATTON, MD
Professor and Chair, Emergency Medicine
Truman Medical Center
UMKC School of Medicine
We continue to appreciate the support
of our alumni. We still have several who
work clinical shifts as “moonlighters”
and several others who help administer the ever popular “mock” oral board
examinations. We all thank you for your
efforts. We always are looking for moonlighters, so if you are interested, give me
a call and let’s see what we can work out.
I can almost promise that you will enjoy
it, and I know that the residents will be
appreciative.
1
NEW FACULTY
CHIEF RESIDENTS
ADVANCED PRACTICE PROVIDERS
Adam Dobbins
2
Erica Carney, M.D.
Elliot Fried, M.D.
Melina Keithly, D.O.
Ravi J. Patel, D.O.
I am a Kansas City native. I was
born in Westport and attended the
University of Missouri-Kansas City
School of Medicine (six-year track).
I was fortunate enough to complete
the Emergency Medicine Residency at
UMKC, where I served as one of the
emergency medicine chiefs. I found my
love for emergency medical services and
attended an ACGME-accredited EMS
fellowship at Washington University in
St. Louis. I will be serving as the medical
director of the UMKC paramedic and
EMT schools, assistant medical director
of the Kansas City Fire Department,
and faculty at Truman Medical Center
in the Emergency Department. My
passions include disaster response (I
have an active role with MoDRS), and
urban search and rescue. I look forward
to sharing my passion for pre-hospital
and emergency care with the students,
residents, paramedics and fellow
co-workers. My husband and I enjoy
soccer, concerts, international travel and
barbeque. We are so happy to be back in
the great city of Kansas City!
I grew up in Kansas City, Kansas
and completed my undergraduate
degrees in Biology (Neuroanatomy/
Physiology concentration) and History
(concentration 20th century U.S.) at
Northwestern University in Evanston,
IL near Chicago. I then completed my
medical degree at the University of
Southern California in Los Angeles.
I enjoy working with underserved
populations in urban areas and my
clinical area of particular interest
includes traumatic injuries. I selected
UMKC/Truman for residency based on
its strong mission to care for the people
of Kansas City and its long history and
excellent reputation for producing highly
competent clinicians. I am also very
impressed with UMKC’s staff attending
emergency physicians’ friendliness and
strong focus on resident education.
Outside of the hospital I enjoy college
football and the associated tailgating;
I cheer for USC (Fight on!) and
Northwestern (Go Cats!). I also enjoy
taking road trips, cycling, weight training,
reading (fiction and non-fiction), hiking,
alpine skiing, studying Spanish language,
and cheap bars with good happy hours.
I’ve spent the majority of my life in
Gilbert, Arizona. We relocated to Kansas
City from Southern California, where my
husband is from and I attended medical
school. I’ve enjoyed the last two years of
residency, and I’m both excited and sad
to be in my final year. Intern year was
busy with off-service rotations, learning
to manage patients in the Emergency
Department, and doing as many
procedures as possible. Second year was
a big jump. I was running my own pod
and managing the airway in critically ill
patients. My colleagues enjoy mentioning
the one time I accidentally hip-checked
a colleague to get to an airway. What
can I say, I’m pretty enthusiastic … and
who doesn’t love a good intubation? I am
excited for the new challenges of third
year. My chief role focuses mainly on the
ACLS education of our medical students.
I’m also looking forward to learning
more of the administrative aspects of the
department. I hope some the changes I
help implement this year will make the
program even stronger.
I grew up in Indiana, obtained my
bachelor’s degree in chemistry from
Butler University, and completed
medical school at the West Virginia
School of Osteopathic Medicine. My
wife is a neurology resident at KU, and
we are enjoying our time in Kansas City.
I am honored to be a chief resident for
the class of 2016. I have always sought
a leadership/ administrative role, and I
believe this will give me experience and
insight into medical administration.
Being a third-year, I am finally “seeing
the light at the end of the tunnel.” It
feels great to be where I am currently,
both academically and professionally,
and I could not be where I am without
the training, knowledge and experience
provided by TMC and staff. I look
forward to the opportunity to serve as
a chief resident and to further grow
professionally and academically.
My background is diverse,
starting academia at West
Virginia University where I
earned a degree in agriculture
education and a Master of
Science in Physiology. I
worked in upstate New York
in animal health, and then as
an instructor at Alfred State
College teaching animal science
and biological health sciences.
After following my wife to
Kansas City, I taught classes at
National American University,
William Jewell College, Johnson
County Community College
and the University of Kansas
(I hope those last three words
don’t get bleeped). I obtained a
Bachelor of Science in Nursing
in 2010 from William Jewell
College and am currently
working on a Ph.D. in Nursing,
completing coursework to
obtain my Master of Science
in Nursing and Family Nurse
Practitioner certification in
2013. I began at Truman in
2010, moving to the Emergency
Department after a short run on
med-surg. I was able to remain
in the department, transferring
to a nurse practitioner role
nearly two years ago. My wife
of almost 10 years is the curator
at the National Museum of Toys
and Miniatures, located on the
UMKC main campus, and we
have a three-year-old daughter,
Zoey.
Angie Hunter
I was born and raised in the
small town of Hamburg, Iowa,
with a huge graduating class
of 28. I attended Midland
Lutheran College in Fremont,
Nebraska for my undergrad
degree in chemistry. There, I
played basketball for 2 years.
After college, I worked at
Cargill, Inc. as an industrial
quality assurance chemist. In
2007, I attended Midwestern
University in Glendale,
Arizona, where I received my
Master of Medical Science in
Physician Assistant Studies.
My first job out of PA school
was an ER position in Hazard,
Kentucky. In April 2011, we
started our move closer to
home, landing in Decatur,
Illinois, where I worked in
general and vascular surgery. In
2013, we moved to Kansas City,
and I took a position in plastic
surgery at Children’s Mercy. I
joined the TMC team in Sept
2014 and am happy to be back
in the ER!
In my spare time, I enjoy
golfing, softball, spending time
with my black lab and my
husband. I also love watching
reruns of The Golden Girls
on the Hallmark Channel.
In addition, I am a Captain
in the U.S. Army Reserves
and am attached to the 325th
Combat Support Hospital in
Independence, Missouri, where
I recently served as a platoon
leader.
the multidisciplinary approach
and the clinical practice in
the Emergency Department.
I am currently pursuing the
Doctorate of Nursing Practice
from the University of Missouri
– Kansas City. My evidencebased research focused on the
effects of self-management on
pain and function in patients
with osteoarthritis.
My husband and I have 2
active boys. I enjoy going for
walks and attending my boy’s
sporting events.
George Varghese
Amy Siebes, APRN
I grew up in Kansas City and
completed my Bachelor of
Science in Nursing (BSN)
from the University of Kansas.
I earned a Master of Science
in Nursing (MSN) from
the University of MissouriKansas City as an adult nurse
practitioner - board certified.
I had previously worked in
Dallas, at NYU hospital, and
as a nurse practitioner in
family practice in Kansas City.
I enjoy the academic setting,
A graduate of The George
Washington University
Physician Assistant Program,
I’ve worked in emergency
medicine for the past 16
years in Maryland. Over that
time, I have seen emergency
departments get busier,
having to find creative ways
to address the increase in the
volume of patients. I witnessed
the transition from paper to
computerized charting – a bit
of a challenge for someone
who did not grow up with
computers. Along with these
changes came more protocols,
regulations, bench marks and
accountability. Yet despite these
many changes, one thing has
remained constant: the patients.
I keep focused by remembering
that patients are here because
they are ill and want to get well.
This thought motivates me even
today, serving as a reminder
that I remain an instrument
in the “wellness” of another
human being.
About 10 months ago, I
moved from Maryland to
Missouri, and began working
at TMC as one of the first
physician assistants in the
Emergency Department.
Working alongside enthusiastic
attendings, energetic residents
and efficient mid-level providers
has been an added bonus. I
say hats off to the nurses and
technicians in the department
who work hard to the benefit of
the patients.
Having made Lee’s Summit
home, my wife and I enjoyed
being part of Lee’s Summit 150year celebrations. In addition,
the proximity to his one and
only daughter, who is part
of UMCK’s six-year medical
program, is a plus.
3
EMS EDUCATION PROGRAM
IN JANUARY 2015, the Emergency Medical Services education
program saw its fourth cohort of paramedic students starting
their studies, led by lead instructor Erik Carlsen.
The Emergency Medical Technician program graduated
students in May, and in August, the fall group of EMT students
marked the 10th such class at UMKC. William Gulick
continues in his role as the Lead EMT Instructor for the fall
and winter programs.
June marked the start of the first EMT Academy, with a
capacity for 25 students. The pilot program was led by Donna
Olafson, and the first class of students graduated in August. The
program proved highly successful and will be repeated in 2016.
The Paramedic program continues in the Letter of Review
stage, part of its process for national accreditation. A site visit
is tentatively scheduled for early 2016.
Paul Ganss, the EMS program director, presented at the
National Association of EMS Educators annual meeting in
August, speaking on standardized patient use and simulation in
EMS education. In July, the program welcomed Dr. Erica Carney
as our new medical director, replacing Dr. Reich who remains in
his position as the EMS Section Chief. Dr. Carney is a graduate
4
of the UMKC School of Medicine and the UMKC/Truman
Emergency Medicine residency program, and completed her
EMS fellowship at Washington University in St. Louis.
EMS Education coordinated the second annual EMS Field
Day for the first-year emergency medicine residents, which was
hosted by the Riverside Fire Department. Residents practiced
EMS-related skills, completed the self-contained breathing
apparatus confidence course, climbed the aerial ladder,
and used rescue tools to dismantle cars in simulated rescue
scenarios. We would like to acknowledge Chief Fowlston,
Captain Taylor, and the members of the Riverside Fire
Department for making this day a success.
Finally this year, the program said farewell to our
International EMS Fellow, Dr. Chirakit Hengrasmee.
Hengrasmee completed the EMT and paramedic programs
at UMKC, as well as achieving American Heart Association
instructor status in both basic and advanced cardiac life
support. He has continued to assist in teaching the EMT and
2015 paramedic students in both the classroom and lab. With
this experience, Dr. Hengrasmee will return to Thailand to
start a paramedic education program at his medical school.
UPDATES
Jay Reich, M.D.
EMS Section Chief, EMS Medical Director
Erica Carney, M.D.
Medical Director, EMS Education Program,
Associate EMS Medical Director
Paul Ganss, MS, NRP, NCEE, CHSE
Director EMS Education Program
ED OPERATIONS
RESIDENCY PROGRAM
This is an exciting time to work in the
Emergency Department. Our partnership
between TMC and UPA, which added
two physician assistants to the team,
has been very successful. Since they
started working last fall, our left-withoutbeing-seen rate has been cut almost in
half. With the addition of Dr. Carney
this academic year, as well as a new
resident shift focused on teaching and
administrative functions, we expect
throughput to continue to improve.
The Emergency Medicine residency continues to “perk
along,” as Dr. Gratton likes to say. We recently celebrated the
outstanding graduating class of 2015 with a dinner party for
faculty, residents and their families at Brio on the Plaza. We
are enjoying getting to know our new PGY-1s, the class of 2018,
and are appreciating mentoring the PGY2s and PGY3s as they
transition into their new roles/responsibilities. Thanks to the
support of Truman Medical Center in 2014, we were able to
establish funding for an additional residency position, allowing
us to match 11 residents for the 2017 and 2018 classes. Over the
next few years this will bring our total resident complement
to 33, which will afford us more flexibility in scheduling and
ultimately better care for our patients.
Despite overall volume decreasing
slightly compared to the prior year, more
patients were seen by physicians, nurse
practitioners or physician assistants.
Also, those patients were seen, on
average, 35 minutes sooner than the
year before. This improvement, along
with other initiatives, has resulted in
significantly better patient satisfaction
scores.
You will read more about Dr. Carney,
Ms. Hunter and Mr. Varghese elsewhere
in the newsletter. They are excellent
additions to our group. The part-time
physicians who work with us remain
an integral part of our staffing. They
bring a unique perspective to training
our residents, especially since they work
elsewhere most of the time. Give me a
call if you’d like to be a part of that!
Jeff Hackman, M.D.
Operations Director
I am happy to say I not only survived but thoroughly
enjoyed my first year as the program director. Though I have
much to learn, having top-notch residents, supportive and
dedicated faculty, and the guidance of Dr. Sullivan, our superb
prior Program Director, made the transition much easier. We
are so fortunate to have the leadership team of Dr. Charlie
Inboriboon, Dr. Emily Hillman and Dr. Kevin O’Rourke; they
are all uniquely talented educators with a true passion for
teaching and mentoring residents. I would be remiss not to
mention the outstanding support our program receives from Dr.
Gratton and Ms. Jayna Ross who truly “runs” the residency.
Our enduring goal is to innovate our curriculum while
also maintaining our strong traditions. Resident and faculty
feedback is invited and valued. We continue to increase
simulation experiences utilizing the state-of-the-art UMKC
Clinical Training Facility for both case-based and procedural
training. Adult learning is the buzzword right now, and we
strive to incorporate small group, interactive and case-based
learning into our curriculum in addition to traditional teaching
methods. The additions last year of Dr. O’Rourke as our
Ultrasound Director and Dr. Monica Gaddis as our Research
Director truly enhanced our residency curriculum; the residents
unanimously praised their contributions.
Our residents continue to receive outstanding clinical
training at our three teaching sites: Children’s Mercy, St. Luke’s
Hospital and TMC. For most, the majority of their time is still
spent at TMC. We continue to emphasize residents as teachers
and even added a “teaching shift” to our schedule this year. It
consists of an extra PGY3 during high-volume times who can
focus on mentoring and teaching our students and rotating
residents, allowing the other residents to focus more on patient
care and throughput. Our residents have ongoing teaching
opportunities, including in our EMS training program, as
ACLS instructors and through our highly rated student
clerkship. Other unique resident experiences over the last year
included an EMS “Field Day,” which involved multiple hands
on activities; participation in a mock disaster at KCI Airport;
and providing on-site medical care at “Rockfest,” one of the
largest outdoor music festivals in the country (which also made
for a very interesting day in the ED, as well).
And though residency remains a very busy time, our team
continues to be a tight-knit, social group that manages to enjoy
the occasional Royals game, happy hour or the proverbial postshift beer(s).
As always, our residents really appreciate and enjoy getting
to know our alumni who have helped out with didactics, mock
oral boards and clinical shifts. Our faculty truly enjoys catching
up with you, too. Thanks so much to all of you!
I am so proud of our program’s growth and accomplishments,
and I look forward to another excellent year!
Amy Stubbs, M.D., Program Director
P. Charles Inboriboon, M.D.
Associate Program Director
Emily Hillman, M.D.
Clerkship Director and Assistant Program Director
Kevin O’Rourke, M.D.
Ultrasound Director and Assistant Program Director
5
UPDATES
SCHOLARLY ACTIVITY
EMERGENCY MEDICINE STUDENT CLERKSHIP UPDATE
Emily Hillman, M.D., Clerkship Director
The Emergency Medicine Clerkship has just received a face-lift. As of June 1, 2015,
personal electronic devices (iPads) are the primary method of course delivery. Each
student receives an iPad at the start of the clerkship. iPads can be used during clinical
care to review patient records and chart electronically. The course textbook, along
with a variety of applications and helpful bookmarks, can be accessed during patient
care. Using the iPads, faculty members electronically submit student evaluations
at the end of each shift. Students access the clerkship’s iTunesU course to view its
contents and more than 50 pre-loaded videos on common emergency medicine
problems and procedures. As medical education moves more and more toward
e-learning, we hope this change in our clerkship will improve students’ experience
and knowledge gains.
W. KENDALL MCNABNEY, M.D.,
PROFESSORSHIP LECTURE
Our ninth McNabney professorship
lecture was held on April 30, 2015. The
keynote speaker was Thomas D. Kirsch,
M.D., M.P.H. Dr. Kirsch is the director
of the Center for Refugee and Disaster
Response, Johns Hopkins School of
Medicine and the Bloomberg School
of Public Health. Dr. Kirsch’s lecture
was titled, “Ebola 2014—The Timeline
and Impact of Interventions in Liberia.”
The presentation was well-attended by
students, residents, faculty and many
outside guests – and all experienced
an outstanding session. Afterward, Dr.
Kirsch joined the Senior Emergency
Medicine Residents and Staff for a
reception and dinner.
All alumni will continue to be invited
to this annual event
6
EMERGENCY MEDICINE INTEREST GROUP
Did you know the emergency medicine interest group (EMIG) is now the largest
interest group at the UMKC School of Medicine? This past year was a big year for our
EMIG. A number of EMIG students are actively involved in departmental research
projects. In September 2014, the student SimWars team placed 2nd at the SAEM
Great Plains Regional Meeting (Drs. Hillman and Ellison were the faculty sponsors).
In addition to attending regularly scheduled monthly meetings, the students
participated in MedWars (a wilderness medicine competition in Augusta, Georgia,
where Dr. Hindsley served as faculty sponsor), played the roles of victims in the citywide disaster drill at KCI airport, and had a special Lifeflight presentation on medical
air transport.
On February 7, EMIG hosted a large emergency medicine skills conference that
was grant-funded by SAEM. More than 60 medical students participated in 16
sessions that were led by instructors consisting of EM faculty members, residents,
EMS instructors and a nurse practitioner. Students rotated through a wide variety
of skills stations, including airway, lumbar puncture, ultrasound, EMS, IV/IO access,
suturing, and trauma surveys. In April, our interest group was featured as the “interest
group of the month” in EMRA’s southeast regional newsletter. This year, we plan to
host the 2nd annual skills conference and continue to strengthen EMIG’s hold as the
largest, most active interest group at the School of Medicine.
RECENT PRESENTATION AND publication topics from faculty and residents include ED
operations, resident and student education, EMS, toxicology and infectious disease.
Our faculty were the primary authors for several articles in the recently published
“Emergency Medicine Series” in Missouri Medicine. We currently have multiple,
ongoing studies in the areas of education, hand-off communication, EMS, infectious
disease and trauma – several of which are grant funded.
Due to our department’s ongoing involvement with EMERGEncy ID Net, an
emergency department–based emerging infections sentinel network, we have
had the opportunity to work on several large, multi-center, grant-funded trials in
the past few years. Currently, we are concluding data entry and analysis from the
Biomedical Advanced Research and Development Authority (BARDA) influenza
study, a multi-center trial funded by Department of Health and Human Services
(DHHS) to determine the best testing and treatment strategies for influenza.
Multiple interdisciplinary teams have worked together to prepare for this complex
study, including ED research, nursing, laboratory and IT. TMC was afforded the
opportunity to use a new, rapid and highly accurate influenza test that will improve
patient care and real-time disease surveillance. We look forward to contributing to
forthcoming publications from the information obtained in this large study.
Our residents are actively involved in several of the above studies, and our
graduating PGY-3 residents recently presented their projects on Senior Research Day.
They did an outstanding job! Dr. Dustin Keffer and Dr. Vanessa Welbern were both
awarded the Elenbass Award for the most exceptional presentations. A well-received
PGY-1 case report presentation was commenced in 2014-2015, and the PGY-1 class
recently presented their case reports during our didactic time. Dr. Katie Willet was
awarded the Gaddis Case Report Award for her outstanding presentation. We are
expecting several abstracts and publications based on the residents projects from
2014-2015.
The addition of Monica Gaddis, Ph.D., to our faculty in 2014-2015 as research
director greatly enhanced our ongoing projects and Journal Club. We look forward to
another productive year with her continued involvement in our departmental studies,
and we greatly appreciate all of the contributions she made to our faculty and resident
research this past year.
CURRENT GRANTS
Steele MT, Stubbs A. Continuation of
an “Emergency Department Emerging
Infections Sentinel Network” Center
for Disease Control and Prevention
and the Olive View – UCLA Medical
Center $9,000, funded 2014 to 2015.
Principal site investigator.
Steele MT, Stubbs A. Influenza
diagnosis, treatment and surveillance
with Xpert Flu, Jan 2013 to Jan
2016. John Hopkins University with
Biomedical Advanced Research and
Development Authority (BARDA).
Total award $600,000 over 3 years;
year I $154,000. Principal site
investigator.
Steele MT, Stubbs A. Smoking
Intervention with Trauma Patients
in the Emergency Department.
EMERGEncy ID Net. $8500. Funded
2014. Principal site investigator.
Litzau M, Ellison S, Hillman E,
Manguvo A. Emergency Medicine
Procedural Simulation Conference:
A High Quality Experience for the
Novice to Expert Learner. $500 SAEM
Grant
Inboriboon C, Hillman E. Use of
Internet and Smartphone Resources
by physicians in the management of
emergent patients: A High-fidelity
simulation study. $2,000 Internal ED
Research Committee Grant
PEER-REVIEWED PUBLICATIONS
Arvind V, Hasegawa K, Basior J,
Crandall C, Healy M, Inboriboon
PC, Sullivan A, Camargo C. Race/
ethnicity and asthma management
among adults presenting to the
emergency department. Respirology.
Aug 2015, 20(6):994-7.
O’Rourke K, Kibbee N, Stubbs A.
Ultrasound for the Evaluation of Skin
and Soft Tissue Infections. Missouri
Med. May/June 2015. 112(3) 134-137
Bogle A, Go S. Breaking Bad: Deathtelling in the Emergency Department.
Missouri Med. 2015;112(1):12-16
Barksdale A, Hackman J, Bonham
A, Gratton M. Cardiology Clinic
Follow-Up Did Not Decrease Return
Visits to the ED for Chest Pain
Patients. Am J Emerg Med 2014; (32):
1208-1211
Sullivan C, Inboriboon C, Bridgford
S. Transitions in Care: When Words
Can Save Lives. Missouri Med. 2015;
112(3):129-133.
Algren DA, Christian MR. Buyer
Beware: Pitfalls in Toxicology
Laboratory Testing, Missouri Med.
Vol. 112, pp. 206-210, 2015.
Pauley, KA, Sandritter TL, Lowry
JA, Algren DA. Evaluation of
an Alternative N-Acetylcysteine
Regimen in Pediatric Patients,
Journal of Pediatric Pharmacology
and Therapeutics. Vol. 20, pp. 178-85,
2015.
Algren, DA, Ashworth A. Acute
Acepromazine Overdose: Clinical
Effects and Toxicokinetic Evaluation.,
Journal of Medical Toxicology. Vol. 11,
pp. 121-3, 2015.
Steele MT, Walsh I. Infectious Disease/
CDC Update on Emerging Infections
from the Centers on Disease Control
and Prevention Severe Respiratory
Illness Associated with Entervirus
D-68-Missouri and Illinois, 2014. Ann
Emerg Med. 2015:65:334-335.
7
SCHOLARLY ACTIVITY
Inboriboon PC, Pearson A, David,
Cooney R, Bond M, Nomura J,
Hayes A, Rosh A, Husain A, et al.
Recommendations from the Council
of Residency Directors (CORD) Social
Media Committee on the Role of
Social Media in Residency Education
and Strategies on Implementation.
West J Emerg Med. (e-published prior
to print)
Stubbs AM, Steele MT. “Infectious
Disease/CDC Update. Update on
emerging infections: news from the
Centers for Disease Control and
Prevention. Comment on MMWR
Notes from the Field: Heartland Virus
United States 2012-2013.” Ann Emerg
Med 2014 Sep; 64(3):314-5.
Go S. Posterior Stroke. Missouri Med.
2015;112(3):192-96.
Dugas AF, Rothman RE on behalf of
the National Emergency Department
Influenza Consortium (Mark T. Steele,
M.D., Principal site investigator).
Clinical Decision Guideline for
Influenza Testing in the Emergency
Department. AEM 2015;22(S1):S390.
Dugas AF, Rothman RE on behalf of
the National Emergency Department
Influenza Consortium (Mark T. Steele,
M.D., Principal site investigator).
Clinical Utility of Rapid MolecularBased Influenza Testing. AEM.
2015;22(S1):S390-S391.
Dugas AF, Burkom H., DuVal A,
Rothman R. National Emergency
Department Influenza Consortium
(Mark T. Steele, M.D., Principal site
investigator). Utility and Acceptability
of Influenza Surveillance amongst
Emergency Providers. International
Society for Disease Surveillance
8
Conference, Philadelphia, PA,
December 2014. Journal of Public
Health Informatics. 2015;(1):e71.
Dugas A, Burkom H., Rothman R.
National Emergency Department
Influenza Consortium (Mark
T. Steele, M.D., Principal site
investigator).Real-time laboratorybased influenza surveillance with
Xpert Flu. International Society for
Disease Surveillance Conference,
Philadelphia, PA, December 2014.
Journal of Public Health Informatics.
2015;7(1):e20.
Arshad M, Khan S. Biased and Infected:
The Masquerading HSV Infection.
EM Resident. 2015 April/May; 42 (2).
Thompson K, Khan S. Cracked: A
Review of Basilar Skull Fractures. EM
Resident. 2015 Feb/March; 42 (1).
Hall J, Khan S. Small Bugs with Big
Bites. EM Resident. 2014 Oct/Nov; 40
(11).
Hall J, Khan S. When Patients Lie.
Emergency Physicians Monthly. 2014
Sept; 21 (9): 12-17.
Hall J, Khan S. Thoracic Aortic
Dissection: A Clinical Review. EM
Resident. 2014 Aug/Sept; 40 (10):
25-27.
ABSTRACTS
Christian MC, Lowry JL, Thornton
SL, Algren DA, Garg U. Do Rapid
Comprehensive Urine Drug Screens
Change Clinical Management in
Children? Clinical Toxicology. 2014
Aug; 52(7)697-698.
Algren DA, Christian MC.
Thrombophlebitis Associated
with Concentrated Fomepizole
Administration. Clinical Toxicology.
2014 July; 52(7)759-760.
HAPPENINGS
Ellison S, Ruehter V, Garavalia
L, Graham M, McCunniff M,
Amari-Vaught E. Interprofessional
Education: A Two-Year Curriculum
and the University of Missouri-Kansas
City Health Professional Schools.
(e-Published).
BOOK CHAPTERS
Gratton M, Bogle A. Peptic Ulcer
Disease and Gastritis. In Tintinalli
JE, Kelen GD, Stapczynski JS
(eds): Emergency Medicine: A
Comprehensive Study Guide. 8th ed.,
McGraw-Hill, 2014, (e-published prior
to print)
Reich J, Stinton A. Behavioral Health
Emergencies. In Brice J, Cone D,
Delbridge T, and Myers B, (eds):
Emergency Medical Services: Clinical
Practice and Systems Oversight 2015.
John Wiley & Sons, Inc., Hoboken,
NJ, (e-published prior to print).
Michael C, Algren A. Iron. In
Harwood-Nuss’ Clinical Practice of
Emergency Medicine- 6th edition, pp.
1428-1431 2014. Lippincott Williams
& Wilkins, Philadelphia, PA, Wolfson,
A., (ed)
Algren A, Michael C. Chemical
Warfare Agents. In Harwood-Nuss’
Clinical Practice of Emergency
Medicine- 6th edition, pp. 1482-1488
2014. Lippincott Williams & Wilkins,
Philadelphia, PA, Wolfson, A., (ed)
Ellison S. Sudden Cardiac Death in
Adolescents. In Primary Care: Clinics
in Office Practice. 2015 Mar; 42(1):5776. 2015 Elsevier Inc.
ON-LINE
Inboriboon PC, Jetanalin P. Fournier’s
Gangrene. 5 Minute Consult. Wolters
Kluwer Health, Philadelphia, PA,
2015.
Jetanalin P, Inboriboon PC. Diffuse
Ideopathic Skeletal Hyperostosis.
5 Minute Consult. Wolters Kluwer
Health, Philadelphia, PA, 2015.
Khan S, Arshad M. Hyphema. 5 Minute
Consult. Domino FJ (Ed). Wolters
Kluwer Health, Philadelphia, PA,
2015.
Khan S, Quantia MD. Being Your Own
Physician. December, 2014.
Khan S, Quantia MD. Being Your
Family’s Physician. December, 2014.
Khan S, Quantia MD. Shaking Hands
with Patients. December, 2014.
Khan S, Quantia MD. Medical Ethics:
Matters of Money. August, 2014.
Khan S, Quantia MD. Three Cases of
Medical Ethics. August, 2014.
Khan S, Quantia MD. Medical Ethics:
Patient Referrals. August, 2014.
Airport Disaster Drill
Wilderness Medicine Competition (Med Wars)
Hazmat Training
Skills Lab
EDITORIALS
Gratton M. Updates in Emergency
Medicine: 2015. Missouri Med. 2015;
112:3 179-180.
BOOK
Khan S. The Ultimate Emergency
Medicine Guide: The only book
you need to succeed. Charleston:
Createspace, 2015.