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Emergency Medicine Residency

Three-Year Residency

Training leaders in Emergency Medicine since 1972

Pioneering resuscitation and acute care practices at a Level 1 Trauma Center

Serving our diverse communities

About the Program

About the program

Vision statement: Our vision is to develop emergency physicians that provide the complete spectrum of emergency care in diverse settings and communities while advancing the field of emergency medicine.

Mission statement: We provide residents with comprehensive training in an innovative, high-acuity setting. We endeavor to promote a culture of continuous improvement, collaboration, and excellence. We value diversity, equity, and inclusion in addition to engagement with our institution, specialty, and community.

Few programs offer hands-on critical care experience, resident autonomy, and access to state-of-the-art medical technology as the Emergency Medicine Residency at Hennepin. Launched in 1972, our program is the second-oldest in the U.S.—and still at the forefront of critical care education and training.

From day one, you will assume critical decision-making responsibilities in a supportive, collaborative, and fast-paced environment. You will interact with dedicated faculty and provide care to a diverse population that includes both urban and underserved individuals, as well as trauma patients from across Minnesota and neighboring states.

Your work in our Level I Trauma Center and the state’s largest and busiest Emergency Department will give you the clinical skills, acute care experience, and procedural confidence that make our graduates some of the most sought-after emergency professionals in the field.

Curriculum

About Our Curriculum

Academic Excellence, Cutting-Edge Technology, and Hands-On Experience

Since Dr. Ernie Ruiz founded our program more than 40 years ago, HCMC has offered physicians one of the most comprehensive Emergency Medicine experiences available. Our three-year curriculum delivers outstanding critical care experience in a high volume, fast-paced Level I Trauma Center. Our approach gives you hands-on learning opportunities early, working side-by-side with experienced professionals in a collaborative environment.

As an academic healthcare system, HCMC places strong institutional value on education and research. During rotations, Emergency Medicine residents experience ample protected time for didactics and conferences, to create a well-rounded learning environment.

We update our curriculum regularly to incorporate resident input, the latest research, and the newest techniques and equipment. Your education with Hennepin will include training with advanced technology such as emergency bedside ultrasound and hyperbaric medicine, as well as rotations in neurosurgery, MICU, PICU, and training in toxicology with the Minnesota Poison Control Center, run by HCMC.

Didactics

Didactics

Collaborative Learning and Individual Attention

The Emergency Medicine program offers a minimum of 5 hours of didactic experience per week. Our residents take advantage of stimulating conferences and study groups, online videos produced by our residents and faculty, and opportunities for one-on-one training and career mentoring.

The quality of discussion and caliber of cases makes our weekly Critical Care (STAB) conference one of the most popular conferences in the entire hospital, attended by residents and practitioners from EM as well as other disciplines and viewed online by clinicians around the country.

Our pioneering Research Volunteer  Program enables busy residents to undertake clinical projects while maintaining regular duties. Student volunteers, called RVs, staff the Emergency Department 24/7 to qualify and enroll patients in clinical studies. Our faculty and residents are actively involved in at least 20 research projects each year.

Didactic Opportunities

Weekly Conferences

  • Thursdays 7:30 am to 1 pm
  • Majority of conferences are recorded and available online

Includes:

  • Critical care (STAB) conference: A review and discussion of selected critical cases from the previous week
  • EM Core Content Curriculum covers key EM topics, given by faculty, PGY-3 residents or invited speakers, on both adult and pediatric topics.
    • There is initially a 12-month PGY-1 core content curriculum, covering foundational EM concepts.
    • This is followed by a 24-month senior resident curriculum, expanding on these foundational topics with additional focus on resuscitation and emerging literature, and incorporating additional intriguing topics.
  • EKG & Radiology curricula are also split by PGY level, with a 12-month introductory curriculum, followed by a more advanced 24-month senior resident curriculum.
  • Case-Based Learning and Improvement Conference (CBLI) where residents present cases and identify areas of future improvement in a collaborative and supportive environment.
  • Additional subcurricula include case-based learning & improvement (CBLI), toxicology, medicolegal, documentation, quality improvement, culturally responsive healthcare, “lessons from the specialists”, clinical practice variation, combined emergency medicine – internal medicine conference and more.
  • PGY-1 “Reading Group” meets weekly with faculty to review algorithmic approaches to common EM complaints from emergency management textbooks and other educational sources.

Monthly Conferences

Includes:

Social Journal Club

  • First Tuesday
  • A faculty member hosts residents to review current research and critique methodology over dinner; includes social time

High Fidelity Simulation

  • Each resident participates in 12 high acuity low-frequency SIM cases per academic year
  • Half pediatric and half adult resuscitation cases in a small group, learner level-specific format
  • Held in HCMC's Interdisciplinary Simulation and Education Center

Procedure Labs

  • Each resident completes two simulation-based procedure labs per year, 1:1 with an EM faculty member.
  • Ensures residents are proficient in resuscitative procedures as well as other common and uncommon EM procedures.

Peds METRO Conference

  • The Peds METRO conference takes place monthly and occurs at Masonic Children’s Hospital at the University of Minnesota faculty and residents from both institutions attend.
Faculty

About Our Faculty

Dedicated Faculty with a Passion for Critical Care
The Hennepin Faculty consists of thirty-six Emergency Medicine board-certified physicians. Our program is affiliated with the University of Minnesota and all faculty hold university appointments. In addition, our faculty hold multiple leadership positions at Hennepin Healthcare and play an integral role in our healthcare system’s operations.

Residency Program Leadership

Fellowship Program Leadership

Departmental Leadership

Executive Hospital Leadership

Areas of Expertise

From our comprehensive airway program to our cutting-edge ultrasound training, every day our faculty share their dedication and expertise in a variety of key disciplines.

Airway program:
Dr. Brian Driver
Dr. Robert Reardon

Cardiac arrest research:
Dr. Johanna Moore
Dr. Keith Lurie

Cardiology and ECG training:
Dr. Stephen Smith

Disaster preparedness:
Dr. John Hick

EMS:
Dr. Jeffrey Ho
Dr. Nicholas Simpson

Dr. Paul Nystrom
Dr. Gregg Jones

Hyperbaric medicine:
Dr. Stephen Hendriksen
Dr. Christopher Logue
Dr. Thomas Masters

Simulation:
Dr. Danielle Hart
Dr. Glenn Paetow
Dr. Rochelle Zarzar

International medicine:
Dr. Stephen Dunlop
Dr. Anst Gelin

Pediatrics:
Dr. Ashley Strobel
Dr. Albert Tsai

Research:
Dr. Brian Driver
Dr. James Miner
Dr. Johanna Moore
Dr. Michael Puskarich

Toxicology:
Dr. Ann Arens
Dr. Jon Cole
Dr. Travis Olives

Ultrasound training:
Dr. Anst Gelin
Dr. Andrew Laudenbach

Dr. David Plummer
Dr. Robert Reardon
Dr. Andrea Rowland-Fisher

Learn more about our faculty and their individual areas of expertise.

Regional & National Leadership Roles

Many faculty members have served in state and national organizations at all levels. Some examples of these include:

  • Senior Vice President for Hospital-Based Accreditation, Accreditation Council for Graduate Medical Education (ACGME)
  • President, Society for Academic Emergency Medicine (SAEM)
  • President, American Board of Emergency Medicine (ABEM)
  • Chair, Residency Review Committee for Emergency Medicine (RRC)
  • President Minnesota Chapter, American College of Emergency Physicians (ACEP)
  • Multiple ABEM examiners
  • Chair, ACEP Academic Affairs Committee
  • Editor-in-chief, Academic Emergency Medicine
  • Editorial Board, Journal of Emergency Medicine
  • Multiple Reviewers: Annals of Emergency Medicine, Academic Emergency Medicine, American Journal of Emergency Medicine, Journal of Emergency Medicine, JAMA, Hyperbaric Medicine
Rotation Schedule

Rotation Schedule and Descriptions

Our residents take an early and active role in patient care and obtain decision-making roles quickly. Within the Emergency Department, residents direct the initial stabilization of all critical patients, including trauma cases, and oversee all critical care. Residents manage all airway interventions, procedural sedation, orthopedic reductions, and other key procedures.

Third-year residents put their clinical training, communication skills, and team leadership into practice with the year-long "Pit Boss" role. This invaluable opportunity allows PGY3's to supervise junior residents, PAs and students, and coordinate Emergency Department operations.

PGY-1

PGY-1 residents provide care to all non-critical patients in the Emergency Department. Residents, evaluate the patient and formulate a diagnostic workup and management plan. PGY-1 residents present every patient to a senior resident or faculty, and procedures are performed with an appropriate level of supervision.

Undersea and Hyperbaric Medicine (HBO) / Ultrasound / Pediatric Intensive Care Unit (PICU) 
The first week of this rotation is Hyperbaric Medicine, allowing PGY-1 residents to learn the basics of Undersea and Hyperbaric medicine as well as dive with patients in our state-of-the-art hyperbaric chamber.

The second week is spent with dedicated EM ultrasound techs and ultrasound faculty, allowing for the development and refinement of basic and advanced bedside ultrasound skills.

The subsequent two weeks of this rotation are spent in the Pediatric ICU, giving residents the opportunity to care for sick children and obtain increased experience and comfort with procedural skills in this population. 

Medical ICU
During one of the most highly praised off-service rotations, residents will work on a team with a second year EM resident and critical care fellows and attendings. Call is every fourth night and opportunities for acute care, resuscitations, and invasive procedures abound.

General and Trauma Surgery
At HCMC, general surgery is trauma surgery. Residents take trauma call every fourth night with the surgical team. Residents care for trauma cases as well as emergent and elective surgery patients, both on the floor and in the Surgical ICU. There is ample opportunity for invasive procedures during this rotation.

Toxicology / EMS /Ultrasound / Specialty Clinics and QI
TOXICOLOGY: One and a half weeks is spent in the Minnesota Poison Control Center, learning various aspects of emergency toxicology through didactic and experiential learning activities. The MN Poison Center provides support for Minnesota, North Dakota, and South Dakota.

EMS: An understanding of Hennepin EMS dispatch and ground services is acquired and includes an ambulance ride-along and an optional air medical experience.

ULTRASOUND: Another week is spent with dedicated EM ultrasound techs and ultrasound faculty, allowing for the development and refinement of basic and advanced bedside ultrasound skills.

SPECIALTY CLINICS: Several half-day specialty clinic experiences have been developed, where procedures and management strategies important to emergency care are emphasized.

QUALITY IMPROVEMENT: Quality Improvement (QI) principles are learned and the resident has time to work on their class QI project. 

OB/GYN
The majority of time in this rotation is spent on labor and delivery, where residents are supervised by OB/GYN senior residents and attendings. Responsibilities include managing acute obstetrical concerns in patients greater than 20 weeks gestation, as well as patients in labor through delivery. 

PGY-2

PGY-2 residents exercise more independence and are responsible for primary patient evaluation and managing non-critical and semi-critical patients. PGY-2 residents initiate evaluation and treatment independently, with oversight from senior residents and faculty. PGY-2 residents assist PGY-3 residents in managing critically ill or injured patients and perform procedures commensurate with their level of training, under close supervision by PGY-3 residents and faculty. Efficiency, departmental flow, and task-switching skills grow significantly during this year.

North Memorial Medical Center Emergency Department
Residents broaden their experience with different patient populations and operating procedures during this rotation. There is ample opportunity to undertake procedures and manage critically ill patients.

Abbott Northwestern Hospital Emergency Department
Abbott-Northwestern (ANW) is the largest private hospital in the Twin Cities. It is home to the 'Minneapolis Heart Institute', one of the world's leading heart institutes, and is the busiest cardiac center in the upper Midwest. ANW is also one of six comprehensive stroke centers in the Twin Cities. The hospital treats many complex medical patients including heart transplantation and ventricular assist device recipients.

The rotation provides residents the opportunity to expand their approach to the high acuity patient as well as provide exposure to an additional community Emergency Medicine experience. Residents also develop competency in working with scribes to provide and document patient care.

Neurosurgery
HCMC operates a Level I Trauma Center widely recognized for outstanding neurosurgical care. PGY-2 residents handle all Emergency Department and hospital consults and diagnose and treat neurosurgical emergencies from across the Twin Cities and the state. As patients with significant neurosurgical injuries are often also critically ill or injured, both critical care and neuroimaging interpretation skills can be expected to grow tremendously during this rotation.

EM Subspecialty PGY-2 Selective 
Residents have the unique opportunity to explore an EM subspecialty that may be of interest in their PGY-2 year. All of HCMC’s fellowship programs (Undersea and Hyperbaric Medicine (HBO), Emergency Medical Services (EMS), Toxicology, Ultrasound, Simulation/Education, and Research) offer two-week selective experiences. We also have a two week administrative selective.

General and Trauma Surgery
Residents will be part of a team comprised of a chief surgical resident and two interns, handling all Emergency Department and hospital consults, as well as evaluating and admitting all trauma patients while on call, and co-managing SICU patients. We also have a two week administrative selective.

Pediatrics/EM
PGY-2 residents rotate for two weeks at the University of Minnesota Masonic Children’s Hospital Emergency Department (UMCH ED). The UMCH ED, staffed with high-quality board-certified pediatric emergency medicine physicians, allows residents the opportunity to see a broad range of pediatric patients, from those with acute injuries or illnesses to those with chronic and rare conditions.

Medical ICU
EM PGY-2 residents serve as the senior resident on MICU teams. Responsibilities include providing and overseeing care for all critically ill patients on their team, often supervising both an EM intern and a medical student. The call is every fourth night.

PGY-3

PGY-3 residents in the "Pit Boss" role evaluate and manage all patients in their team center within the Emergency Department. PGY-3 residents supervise all patient care delivered by medical students, physician assistants, and junior residents, and provide care directly to a small number of patients. Supervision of care includes verifying important aspects of the patient’s history and physical examination and being involved in all diagnostic and therapeutic management decisions made by junior residents, PAs, and students. This also includes supervising procedures, triaging patients on arrival to the team center, managing overall patient flow, teaching other trainees, and providing medical control to Hennepin EMS. Faculty supervise PGY-3 residents.

Pediatrics

PEDIATRICS: Residents continue their experience at the University of Minnesota Masonic Children’s Hospital Emergency Department (UMCH ED) with shifts in the pediatric ED spread throughout their PGY-3 year.

CARDIOLOGY MICU /:  In this cardiology rotation, residents act as cardiology consultants for the entire hospital. In the PGY-3 year, our residents serve as the Senior MICU admitting resident overnight for two weeks.  This role includes a significant amount of autonomy, responsibility, and active resuscitation.

Selectives
Choose a selective in community or rural emergency medicine, critical care, EMS, global health, radiology, research, toxicology, simulation/education or another pre-defined subject. Or, create your own selective with program director approval. Two international selective slots are available annually, with resident salary and benefits included.

emergency staff gurney

Testimonials

“Hennepin really stuck out as a program where I would get incredible training and a great education from leaders in the field. The pit boss role here at Hennepin is an unmatched opportunity that will truly prepare you to manage an emergency department right out of residency. But even more so, the people here create a hardworking and fun environment that will help mold you into a great ED doc.”

What Sets Us Apart?

Substantial responsibility and autonomy

Our residents take an early and active role in patient care and obtain decision-making roles quickly. Within the Emergency Department, residents direct the initial stabilization of all critical patients, including trauma patients. As part of our program, you will manage all airway interventions, procedural sedation, orthopedic reductions, and other key procedures.

Hands-on leadership roles. 

Third-year residents put their clinical training, communication skills, and team leadership into practice with a year-long "Pit Boss" role. This invaluable opportunity allows you to direct patient care while overseeing Emergency Department operations and supervising junior residents and learners. In year two, residents attain significant leadership roles in the MICU and supervise medical students in off-service rotations.

Integrated technology. 

Like our facility, our curriculum integrates the latest techniques and technologies. You will learn and utilize our many bedside ultrasounds, advanced airway equipment, hyperbaric chamber, interdisciplinary simulation and education center, and other state-of-the-art tools as part of your daily routine.

Collaboration and teamwork.

From the weekly critical care conference to day-to-day work in the Emergency Department, residents interact with providers from numerous departments and specialties. We maintain a long tradition of cooperative, non-hierarchical teamwork that leads to a great learning environment and exceptional patient care.

Active research support.

Our pioneering Research Volunteer Program enables busy residents to undertake clinical projects while maintaining regular duties. Student volunteers, called RVs, staff the Emergency Department 24/7 to qualify and enroll patients in clinical studies. Our faculty and residents are actively involved in at least 20 research projects each year.

Diversity.

We believe that having a diverse physician workforce is an asset in caring for a diverse patient population. In recognition of this, the Department of Emergency Medicine Diversity Committee consists of faculty and residents that meet regularly to discuss promoting diversity in our faculty and residencies, reflect on unconscious bias, and examine systemic issues that impact the care of our patients.

Our Emergency Medicine Diversity Committee's Statement on the Death of George Floyd

We, the Emergency Medicine Diversity Committee of Hennepin Healthcare, stand in solidarity with our colleagues, patients, and neighbors across the Twin Cities and the greater metropolitan area after the death of George Floyd. This is yet another violent death that unequivocally should never have happened.

As Emergency Medicine providers, we have witnessed first-hand the unjust impact of systemic inequity upon communities of color. These past months we have once again seen the disproportionate impact of disease in these communities during the COVID-19 pandemic.

We condemn the actions that led to the death of George Floyd. We support the call to reform the power structures that perpetuate inequality. We commit ourselves to create a space that is safe and inclusive for our colleagues, patients, and community.  We will continue to have difficult discussions surrounding the privilege that many of us have enjoyed. We promise to listen to the communities who have been speaking for so long but have gone unheard.

We commit to working for equity and justice for our community, regardless of color, race, gender, or socioeconomic background, and will remain steadfast to this commitment after crowds subside and hashtags are no longer trending.

Application Requirements

Your application must include: all required components of ERAS including one standardized letter of evaluation (SLOE) from an EM rotation, preferably a departmental, group or clerkship director SLOE.

Process

  1. Submission: You must submit your application through the Electronic Resident Application System (ERAS). Hennepin Healthcare participates in the National Resident Matching Program (NRMP).
  2. Interviews: Applicants selected to interview will be notified via email. Interviews are generally held on Tuesdays and Wednesdays from early November through mid-January.

About Our Facility

The Emergency Department is located within the main HCMC campus, which spans five city blocks in downtown Minneapolis. We handle cases and situations of various complexity, from day-to-day urgencies, and emergencies to disaster response. We also provide the entire spectrum of care for injured patients, from pre-hospital care and transport through rehabilitation.

Contact

Hirschboeck-Mary-contact

Mary Hirschboeck

Residency Coordinator
612-873-5645
[email protected]

Hennepin Healthcare
701 Park Avenue, Mail Code 825
Minneapolis MN 55415

contact photo only breanna ordiway em/im residency coordinator

Breanna Ordiway

Residency Coordinator

612-873-4906
[email protected]

Hennepin Healthcare
701 Park Avenue, Mail Code 825
Minneapolis MN 55415

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