Emergency Medicine 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
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.
About Our Curriculum
Academic Excellence, Cutting-Edge Technology, and Hands-On Experience
Since Dr. Ernie Ruiz founded our program more than 50 years ago, Hennepin 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, Hennepin 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.
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 and Quality Improvement Program enables busy residents to undertake clinical projects while maintaining regular duties. Student volunteers, called RQIs, 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.
- Thursdays 7:30 am to 1 pm
- Majority of conferences are recorded and available online
- 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 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.
Social Journal Club
- First Tuesday (This date can vary during interview season.)
- A faculty member hosts residents to review current research and critique methodology over dinner; including social time
- Journal Club also periodically takes place during the Thursday morning block of conferences.
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
- 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.
About Our Faculty
Dedicated Faculty with a Passion for Critical Care
The Hennepin Faculty consists of forty-two 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
- Dr. Glenn Paetow, Program Director, Emergency Medicine Residency; Medical Director, Interdisciplinary Simulation and Education Center
- Dr. Travis Olives, Program Director, Emergency Medicine/Internal Medicine Residency
- Dr. Erin Karl, Associate Program Director, Emergency Medicine Residency; Director of Medical Student Clerkship in Emergency Medicine
- Dr. Adam Rieves, Associate Program Director, Emergency Medicine Residency
- Dr. Rebi Nahum, Associate Program Director, Emergency Medicine and Emergency Medicine/Internal Medicine Residencies
Fellowship Program Leadership
- Dr. Gregg Jones, Program Director, Emergency Medical Services (EMS) Fellowship, ACGME accredited
- Dr. Tom Masters, Program Director, Undersea and Hyperbaric Medicine Fellowship, ACGME accredited
- Dr. Andera Dreyfuss, Program Director, Emergency Ultrasound Fellowship
- Dr. Glenn Paetow, Program Director, Medical Education & Simulation Fellowship
- Dr. Johanna Moore, Program Director, Emergency Medicine Research Fellowship
- Dr. Stephen Dunlop, Program Director, International Medicine, and Global Health Fellowship
- Dr. James Miner, Chief of Emergency Medicine
- Dr. Robert Reardon, Assistant Chief of Emergency Medicine
- Dr. Jeffrey Ho, Vice Chair of Operations, Emergency Medicine
- Dr. Thomas Wyatt, Senior Medical Director of Emergency Services
- Dr. Laura Schrag, Medical Director, Emergency Medicine
- Rochelle Zarzar, Assistant Medical Director, Emergency Medicine
- Dr. Jon Cole, Medical Director, Hennepin Regional Poison Center and Minnesota Poison Control System
- Dr. Nick Simpson, Medical Director, HCMC Emergency Medical Services
- Dr. Christopher Logue, Medical Director, Center for Hyperbaric Medicine
- Dr. Michael Puskarich, Research Director, Emergency Medicine
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.
Cardiac arrest research:
Dr. Johanna Moore
Dr. Keith Lurie
Cardiology and ECG training:
Dr. Stephen Smith
Dr. John Hick
Dr. Nicholas Simpson
Dr. Alec Bunting
Dr. Gregg Jones
Dr. Aaron Robinson
Medical Education and Simulation:
Dr. Erin Karl
Dr. Glenn Paetow
Dr. Adam Rieves
Dr. Stephen Dunlop
Dr. Anst Gelin
Dr. Andrea Dreyfuss
Dr. Nick Sausen
Dr. Ashley Strobel
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 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 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.
There are six Emergency Medicine blocks in the PGY-1 year.
Undersea and Hyperbaric Medicine (HBO) / 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 subsequent three 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.
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 Hennepin, 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 / QI /Social EM
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: A week is spent with dedicated EM ultrasound techs and ultrasound faculty, allowing for the development and refinement of basic and advanced bedside ultrasound skills.
QUALITY IMPROVEMENT: Quality Improvement (QI) principles are learned and the resident has time to work on their class QI project.
SOCIAL EMERGENCY MEDICINE: Time is spent at the Hennepin County jail and local detox facilities as well as with our current Social Emergency Medicine fellow.
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.
Children’s Minnesota Minneapolis Campus Pediatrics/Ultrasound/Palliative Care/Resuscitation
CHILDREN’S MPLS: Residents rotate for two weeks to Children’s Minnesota-Minneapolis Campus. Children’s Minneapolis is staffed with high-quality board-certified pediatric emergency medicine physicians. This experience allows residents the opportunity to see a broad range of pediatric patients.
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.
PALLIATIVE CARE: During this week of the rotation, residents spend time on the Palliative Medicine service at Hennepin. The aim of the rotation is to teach new techniques to aid communication with patients, provide the tools to formulate a treatment plan for common end-of-life symptoms, and increase the residents’ comfort level when talking about goals of care with patients with serious illness.
RESUSCITATION: Residents also spend time in the Stabilization Room to familiarize themselves with the basics of resuscitation.
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 grew significantly during this year.
There are five Emergency Medicine blocks in the PGY-2 year.
North Memorial Health 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.
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.
Hennepin 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 / Children’s Minnesota Minneapolis Campus Pediatrics
Residents have the unique opportunity to explore an EM subspecialty that may be of interest in their PGY-2 year. All of Hennepin’s fellowship programs (Undersea and Hyperbaric Medicine (HBO), Emergency Medical Services (EMS), Toxicology, Ultrasound, Global Health, Critical Care, Simulation/Education, Research, and Social Emergency Medicine) offer two-week selective experiences. We also have a two-week administrative selective.
The second two weeks of the rotation are spent at Children’s Minnesota-Minneapolis Campus. Children’s Minneapolis is staffed with high-quality board-certified pediatric emergency medicine physicians. This experience allows residents the opportunity to see a broad range of pediatric patients.
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.
U of MN 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.
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.
This rotation is a 4-week period in which residents rotate in the Hennepin County Medical Center emergency department working on critical care and orthopedic skills. PGY-2 residents assist with the care and management of orthopedic injuries, facilitating the sedation and splinting of fractures as well as management of reductions throughout the department. Additionally, they work on critical care and resuscitation skills as the primary caregiver in the stabilization room. They are responsible, under the direct supervision of faculty and PGY-3 residents, for the initial history and physical examination of critically ill or injured patients as well as developing the treatment plan and leading the multidisciplinary team.
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.
There are eleven Emergency Medicine blocks in the PGY-3 year.
U of MN 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.
MICU/Children’s Minnesota Minneapolis Campus Pediatrics
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.
The second two weeks of the rotation are spent at Children’s Minnesota-Minneapolis Campus. Children’s Minneapolis is staffed with high-quality board-certified pediatric emergency medicine physicians. This experience allows residents to continue the opportunity to see a broad range of pediatric patients.
Choose a four-week selective in rural emergency medicine, critical care, EMS, global health, radiology, research, toxicology, simulation/education, global health, critical care 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.
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.
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 and Quality Improvement Internship’ enables busy residents to undertake clinical projects while maintaining regular duties. Student volunteers, called RQIs, 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.
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. We have 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.
Your application must include: all required components of ERAS including at least one departmental, group, or clerkship director standardized letter of evaluation (SLOE) from an EM rotation.
- Submission: You must submit your application through the Electronic Resident Application System (ERAS). Hennepin Healthcare participates in the National Resident Matching Program (NRMP).
- Interviews: Applicants selected to interview will be notified via email. Interviews are generally held on Mondays, Tuesdays, and Wednesdays from late October through late December.
- We accept USMLE Step 1 or COMLEX Level 1 passing scores. However, please note we require applicants to submit a USMLE Step 2 score.
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.