The Genesys EM Residents along with their significant others, dogs, and other family members were joined by the program coordinator, the program director, and a few core faculty members at Tawas a couple weeks ago. They enjoyed playing on the beach, boating, camping, and eating some great BBQ. Enjoy the pictures above and below.
The Tawas retreat is an annual gathering in July, it's a way to have all the residents bond and welcome the new PGY-1 residents, who are already working hard in the Emergency Department and can always use some relaxation and fun in the sun!
Myles Jen Kin PGY4 and Meg Pelis PGY4 traveled to Cape Town, South Africa for 4 weeks to immerse themselves emergency medicine and paediatrics. Both rotated in government academic hospitals with Myles doing Emergency Medicine at New Somerset hospital and Meg rotating in the Pediatrics department at the large tertiary care center, Tygerberg Hospital. Their rotations were coordinated through the medical school and registrar programs at the University of Stellenbosch.
Myles rotated at New Somerset hospital near the VA Waterfront in Cape Town. The hospital has 400 in-patient beds, approximately 25 ED beds, and has an annual ED volume of about 43,000. The program does have residents (called registrars) that are not based at New Somerset but do spend multiple months rotating through the Somerset ED.
The pace was fast and the cases were exciting at Somerset! Everything from toxic ingestions (Gasoline, battery acid, benzene), stabbings, GSW, MI, HIV, TB, GI bleeds ,to the bread-and-butter ER cases like cough and URI showed up at their ED via walk-in and EMS. The residents and medical officers were supervised by three attendings (AKA consultants):Professor Roger Dickerson, Dr. David Fredericks, and Dr. Kirsten Cohen.
The registrars, consultants, and staff were a friendly, welcoming, passionate, and hard-working group of people that graciously accepted Myles into their department and made him feel at home. They took care of a very sick patient population with efficiency, speed, and compassion that was truly inspiring!
Meg spent her month rotating in different pediatric departments at the Tygerberg Medical Center campus. This tertiary care center contains all specialties imaginable including a full pediatric hospital and the medical school of the University of Stellenbosch. Meg rotated through the pediatric ED, urgent care, surgery center, ICU, and pulmonary units. Due to patient privacy regulations, similar to HIPAA, she wasn't able to take photos in the paediatric departments.
After their rotations, the pair traveled to Port Elizabeth, South Africa where Myles competed in Ironman South Africa and Meg worked as a physician in the medical tent. Before heading back to the US, Meg and Myles also managed to fit an amazing week-long safari in the Okavanga Delta in Botswana.
*Myles would like to thank everyone in the ED at New Somerset hospital for their hospitality and generosity, especially Drs. Fredericks and Dickerson and the fantastic medical officers/registrars! Meg would like to thank the paediatrics department at Tyberberg Hospital and Stellenbosch University.
In February, several of the Genesys EM residents worked with local police, EMS, and firefigthers to simulate difficult field situations. They rotated through stations including simulation of a car accident, airway management, extrication from a vehicle, and managing dangerous field situations (ie. patient with a gun). Michigan Survival flight landed to explain their equipment and capabilities. Lastly, there was a mass casualty simulation which required collaboration from all the different participants.
In March, a few residents participated in a SWAT raid simulation with the Oakland County SWAT team. The residents played "victims" with gun shot wounds and fake blood during the "active shooter" simulation. They were able to observe the SWAT protocols of active shooter and building raid with simulation rounds.
The faculty and residents of Genesys EM had another great year at the annual MSU/FAME research forum in Flint, Michigan. Dr. Virginia LaBond, our research director, gave the keynote address. Meg Pelis (PGY4) won “Resident Investigator of the Year” for her work on diagnosing appendicitis with ultrasound. John Vitali (PGY4) won best emergency medicine oral presentation for his project on injuries from falls from tree stands. In total, six residents (Mike Maruska PGY4, Lianne Moore PGY4, John Vitali PGY4, Sam Campbell PGY4, and Myles Jen Kin PGY4) gave oral presentations during the forum. The presentations were well attended by the residents, attendings, and faculty of GenesysEM.
Dr. Janssen, the Genesys Emergency Medicine Program Director, met with US Senator Gary Peters along with several other members of the health care community and the police chief of Flint to discuss ways Health Care Professionals can help identify victims of human trafficking.
Dr. Janssen reported that approximately 80 percent of people involved with human trafficking had come face-to-face with a health care provider during their victimization. Studies have also shown that more than 25 percent of victims had seen a health care provider six months prior to being freed.
"We have tons of opportunities to intervene," Dr. Janssen said. "I can tell you that across the board, we're pretty poor as health care providers at understanding this."
Just prior to graduating in June 2014, Sonbol Shahid-Salles, DO spent two weeks at the Federal Center for Disaster Preparedness Chemical, Ordinance, and Radiological (COBRA) training facility in Anniston, Alabama. The COBRA facility is the nation's only facility featuring civilian training exercises in a true toxic environment using chemical agents.
Extensive hands-on chemical and biological incident training took place in the facilities Advanced Responder Training Complex (ARTC) which included an industrial park complex with simulated offices, medical clinic, restaurant, maintenance facility, biomedical laboratory, and a calibration laboratory. This complex provided a realistic training environment to exercise the skills acquired during training.
Dr. Shahid-Salles coursework included: How to respond to Chemical, Biological, Radiological and Nuclear (CBRNe) attacks, Respiratory Protection, Hospital Emergency Response Training for MCI's, Healthcare leadership for MCI's, Advanced Radiologic Incident Operations (ARIO), and Pandemic Planning and Preparedness, to name a few.
During the 2014 American College of Osteopathic Emergency Physicians (ACOEP) Scientific Assembly Dr. Alan Janssen won the Educator of the year award and two graduates, Drs. Brad Chappell and Mike Chapman became fellows in the college.
Alan Janssen DO, FACOEP-D, FAAEM, FACEP won the Janice A. Wachtler Educator of the Year Award at the annual ACOEP Scientific Assembly in Las Vegas on October 13, 2014. The award recognizes the "momentous and immeasurable influence our educators have upon the lives of students, the residents, and physicians they teach, and the patients they serve.
From the ACOEP: "Dr. Janssen DO FACOEP-D has set the bar high for his residents at Genesys Regional Medical Center and is recognized for his educational creativity, ensuring that his residents achieve the goals of the program as well as their personal and professional goals. He brings that special educational curiosity to his teaching that makes education fun, whether it is through the lectures he routinely provides to his peers, or motivating his residents to investigate a question they have during patient care. This special spark, that special something, that excites the learner to open their mind to discover the world beyond them and then give back to those who follow behind. "
While at ACOEP Scientific Assembly Genesys graduates Drs. Brad Chappell and Mike Chapman became fellows of the American College of Osteopathic Emergency Physicians. Congratulations!
The firefighters and paramedics of Independence Township Fire Department were kind enough to host the Genesys Emergency Medicine Residency program for a day of confined space rescue training with their highly regarded Search & Rescue team.
confined space, machinery rescue, and wide area searches. The team responds to numerous calls during the year throughout the state of Michigan with the team being deployed as recently as September 2014 for a Tornado that tore through a community in southern Michigan. The Independence Township Search and Rescue team has also been deployed to disasters in other states in coordination with FEMA and DMAT Search and Rescue teams.
Tara Byrne, Chief Resident and PGY4, spent a month in the southwestern desert on a Wilderness Medicine rotation. The rotation is hosted by the Division of Wilderness, International and Improvisational Medicine at the University of New Mexico. The group of attendings, residents and medical students spent a month in the deserts of New Mexico, Colorado, California and Arizona learning how to take care of acutely ill patients in remote areas, under difficult environmental conditions, and lacking medical equipment.
The rotation begins in Albuquerque at the University of New Mexico with classroom and simulation days on different Wilderness Med scenarios. There was also instruction on various litter carrying, improvised airway techniques, and a hyperthermia lab.
A hypothermia lab was conducted on Sandia Peak. Mild hypothermia was induced and then various re-warming techniques were implemented (space blankets, candle and plastic bag, exercise, BAIR hugger, buddy system, alcohol). In the end, skin to skin contact worked the best and alcohol clearly worsened symptoms.
On Cabezon Peak, outside of Albuquerque, New Mexico students learned survival training. Labs included orienteering, fire starting, animal trapping, shelter building, and methods of water collection.
The rotation included time in Durango and Silverton Colorado where students learned avalanche search and rescue, mountain sickness lectures, building snow shelters. An introduction to rock climbing lecture was conducted in the incredible Joshua Tree National Park in Joshua Tree, California. The class also made its way to San Diego, California for instruction on marine medicine at the Scripps Institute.
GenesysEM had a fantastic group of presenters at the Annual Michigan State University Flint Area Medical Education Research Forum on April 2, 2014. Eight residents from our program gave oral presentations on their research projects including Sean Abraham (PGY4), Walker Foland (PGY4), Ryan Sturm (PGY4), Nathan Prescott (PGY4), Chris Moore (PGY4), Meg Pelis (PGY3), and Rachel Warby (PGY4).
Genesys swept the awards panel with Meg Pelis taking home 1st place prize in the Emergency Medicine presentations as well as the coveted 2nd place overall award! To top it off, the Genesys resident presenters landed 8 of the top 10 presentations overall! Walker Foland and Core Faculty member, Dr. Virginia Labond, took home the Resident Researcher of the Year Award and the Faculty Researcher of the Year Award, respectively.
On the other side of the table, our very own Core Faculty member Dr. Shannon Viviano represented Genesys as an oral presentation judge while senior Sonbol Shahid-Salles (PGY4) constituted part of the panel of judges for the poster presentations. It was a great year for Genesys at FAME and we are aiming to trump it next year!