2023 - 2024 Leadership Academy Graduates EMRA

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Daniel M. Aloise, MD, Leadership Academy Fellow 2023 -2024

Lauren Rosenfeld.jpg Program: Mount Sinai Medical Center

Capstone Project: I am working on three projects, one of which is a quality improvement project to work to improve airway management by use of a checklist for each intubation which is ongoing. The third, which is nearly complete, is a patient satisfaction survey study which looked at who completed patient satisfaction surveys in the emergency department. Patient satisfaction surveys are increasingly utilized as a means to which physicians are assessed and even compensated. No prior studies looked at who actually fills out these surveys, nor the implications of these findings on physicians. We found that patients who are uninsured and come from lower socioeconomic backgrounds are less likely to complete patient satisfaction surveys. This indicates that these patients are inherently less influential on the feedback that dictates physician quality of care and compensation. Finally, the third paper, which is completed and submitted for publication, looked at night shift patient satisfaction surveys vs day shift. It was found that the night shift patient satisfaction surveys were significantly lower than those scored during the day, with 12% fewer promoters at night than during the day. Thus physicians who work at night are more likely to get worse patient satisfaction surveys, which may negatively influence their compensation and potentially their retention by hospitals. I have uploaded this manuscript as the other two are currently in progress.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? EMRA Leadership Academy is a stepping stone to learn about the various facets of leadership within out specialty. To me, Leadership Academy feels like a way to get backstage access to some of the greatest leaders in emergency medicine and to learn directly from them. Connections with other leaders who are motivated and interested in learning the same way you are is something that is very important to me.

Ian Brodka, MD, Leadership Academy Fellow 2023 -2024

Lauren Rosenfeld.jpg Program: University of Michigan

Capstone Title: Decrease Use of AMA Discharge in Emergency Patients

Capstone Project: Project is a QI project to lessen the number of patients that are discharged using traditional AMA procedures as there is limited to no proven benefit in discharging patients through this method. It becomes alienating towards the patient and does not offer any protection to the physician for anything that may happen. Having a detailed conversation with patients about risks/benefits and offering them alternatives to meet their needs and then documenting all of this well is the best solution and is not an AMA discharge at that point.

Project is currently working towards IRB approval in order to initiate a retrospective assessment of how often AMA discharge is used at one site in my program. After assessing this track record of how frequently it is used and how it is completed, next steps towards an improvement intervention can begin likely focusing on education and creating a template of needed information to cover with patient's and for physicians to document.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? This is a great opportunity to connect with others in various points in training, and learn from some of the leading names in the field of Emergency Medicine. Learning from these individuals has been a wonderful experience and will set you up for future success in any leadership endeavors you may find yourself in. Also a great first step to becoming involved with EMRA and seeing a little bit more of what the organization has to offer.

Grace Bunemann, DO, Leadership Academy Fellow 2023 -2024

Lauren Rosenfeld.jpg Program: Rush University Medical Center

Capstone Project: Interpretation Services in the ED: Role of In-Person vs. Virtual Interpreters and Quality Analysis/Improvement project investigating difference in work-ups and ED LOS in english speakers vs non-english speakers

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? Great way to meet other future leaders in EM field! EMRA Leadership academy is a great way to make connections across residency programs throughout the country.

Kathleen Cruz, DO, Leadership Academy Fellow 2023 -2024

Lauren Rosenfeld.jpg Program: Capital Health Medical Center

Capstone Project: Initiating a Medical Student Curriculum in a Community EM Program

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy?Leadership Academy was the stepping stone for getting involved in EMRA Leadership. It was a great learning experience, this program allowed me to build my confidence and step into leadership roles in residency and EMRA.

Lindsay Davis, DO, MPH, Leadership Academy Fellow 2023 -2024

Lauren Rosenfeld.jpg Program: Central Michigan University

Capstone Project: Created scenarios for the 2023 EMRA at ACEP academic assembly for the EMRA toxicology meeting. The simulation scenarios were on pediatric cannabis ingestion and pediatric super warfarin ingestion that were then submitted as case studies to the ACEP Toxicology simulation library for future simulation use. Both are currently under review and pending publication.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? This is a great opportunity to hear leaders in our field discuss leadership. These talks are likely a once in a life time opportunity to hear from these amazing leaders and glean even just a small bit of the incredible knowledge that have to share.

John Detherage III, MD, Leadership Academy Fellow 2023 -2024

John Detherage III Program: Allegheny General Hospital

Capstone Project: QA project retrospective chart review

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? TThe Leadership Academy was a wonderful experience and helped sharpen my leadership schools. LA gave me a unique opportunity to hear from, converse with, and ask questions to national renowned leaders in emergency medicine I would have otherwise never had the chance to see/meet. Will serve as a great stepping stone from being an EMRA leader to becoming involved with ACEP as an attending. You also interact with peers at ACEP and meet other current EMRA and future ACEP leaders. Highly recommend this program.

Jasmin Millon, MD, Leadership Academy Fellow 2023 -2024

Jasmin Millon, MD Program: Hennepin Healthcare

Capstone Project: Minority Med Connect, a network for international medical graduate (IMG) medical students who are underrepresented in medicine (URiM). We offer sessions lead by URiM faculty and IMG residents including an EM bootcamp to prepare for audition rotations, ERAS application guidance throughout the application season and support for students participating in the SOAP process. Future sessions will include workshops and educational sessions geared towards students at every stage of the URiM IMG medical student experience.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? This has been a great opportunity to learn from a variety of leaders across the specialty of Emergency Medicine and develop my own skills as a leader.

Mukund Mohan, MD, Leadership Academy Fellow 2023 -2024

Mukund Mohan, MD Program: Staten Island University Hospital

Capstone Project: My capstone project really grew into both a research paper and into an administrative project. It started with the idea of EMS redirection at our facility, and how patients would sometimes have to "bypass" our emergency department due to volume. Our hospital is in a unique location on Staten Island, as one of 3 EDs, therefore, if patient's bypass our ED due to our volume, and vice versa come to ours because another hospital is busy, then soon we too will be busy. However, this comes at a negative to the patient, who might have to be transferred back to their facility for continuity of care, or who's care might be suboptimal because the specialist that has been managing their care is only available at a different hospital.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? Loved my experience in Leadership Academy! The in - person sessions where you can meet with everyone really helps with the online sessions putting a face to the names. The speakers are excellent and provide an array of discussions on various topics.

Kelly-Ann Mungroo, DO, Leadership Academy Fellow 2023 -2024

Kelly-Ann Mungroo, DO Program: Staten Island University Hospital Emergency Medicine

Capstone Project: GUIDE-IT (Group US-guided IV Didactics and Education Interdisciplinary Training): Introduction of an interdisciplinary ultrasound-guided IV placement training program. Every day, residents in our department find themselves placing many US-guided IVs, as a result new and traveling nurses in our department. To combat this, I developed a program consisting of short sessions of residents teaching nurses US-guided IV placement, outside of clinical hours. The nurses are then encouraged to practice during the clinical shifts, with residents available to help if needed. The program has so far established a number of nurses comfortable with US-guided IVs, and are able to help their nursing colleagues. Not only has this reduced the burden on residents, but has garnered better relationships amongst residents and nurses.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? This past year I've learned so much from some of the most influential minds in Emergency Medicine. The meetings were incredibly thought-provoking, and I learned not just about what it means to be a leader, but a lot about myself and the kind of leader I want to be.

Paige Reinfeld, MSc, DO, Leadership Academy Fellow 2023 -2024

Paige Reinfeld, MSc, DO Program: Nuvance Health

Capstone Project: Pregnancy, Breastfeeding, and Parenting in Residency: Making a Cultural Change
-created institutional GME policies towards lactation protection and parenting leave policies
-internal parenting mentorship program creation
-creation of a "Slack" workspace for parent residents hospital system wide to collaborate
-presentation at CORD in 2022 and 2023 highlighting these changes and other program based support initiatives created
-JEDI-AAEM Mentorship Webinar Series “Having a Baby as an EM Physician” (7/2023 Recording)
-EMRA*CAST podcast released 1/2024 highlighting creating a supportive program

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? Great experience overall and excellent advice from all the speakers!

Austin Schoeffler, MD, Leadership Academy Fellow 2023 -2024

Austin Schoeffler, MD Program: University Hospitals Cleveland Medical Center

Capstone Project: My project, entitled "Care in a Box", is aimed at enhancing the continuum of care for pregnant women identified within the emergency department without an established OB/GYN provider or prenatal follow-up. This innovative initiative seeks to provide comprehensive support by offering these women a specialized care box. Within this box, recipients find a QR code facilitating convenient scheduling of appointments with an OB/GYN provider, ensuring timely and essential prenatal care. Additionally, the care box includes information about an AI-powered app designed to address questions and concerns related to pregnancy, providing valuable insights and guidance. To further empower expectant mothers, the box contains foundational prenatal information, valuable coupons for prenatal vitamins, and a blood pressure cuff for at-home monitoring, promoting proactive health management. By combining technology, essential resources, and personalized support, "Care in a Box" not only addresses immediate healthcare needs but also strives to foster a comprehensive and empowering approach to maternal care for those in need.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? Our monthly meeting were inspiring and very informative. Would recommend to anyone interested in developing their leadership skills further.

Haely Studebaker, MD, Leadership Academy Fellow 2023 -2024

Haely Studebaker, MD Program: University of Louisville

Capstone Project: I am currently conducting a study obtaining and comparing auscultatory recordings on patients presenting to the emergency department with acute and chronic respiratory conditions (e.g. chronic obstructive

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? The EMRA leadership academy is a wonderful opportunity to learn leadership strategies and techniques from leaders within emergency medicine. It’s also an incredible opportunity to network with other emergency medicine physicians across the country.

Morgan Sweere, MD, MPH, Leadership Academy Fellow 2023 -2024

Morgan Sweere, MD, MPH Program: University of Florida Jacksonville

Capstone Project: The premise of my capstone project was to revive a portion of the EM Resident publication, EM Power, which focuses on leadership in emergency medicine. This section highlights leaders in the field and tries to glean leadership and career advice that can be dissemenated to trainees. My ultimate goal for this project personally was to create something that was living and could be passed on after my time in the leadership academy to further impact residents to come. Through working on this project, I have been able to interview leaders such as Sandy Schneider and Dan Dworkis, with a long list of interviewees to come. My hope in this new section of the publication is for residents to be inspired but also to see what is possible and to learn skills they can carry forward into their careers.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? EMRA Leadership Academy is a stepping stone to learn about the various facets of leadership within out specialty. To me, Leadership Academy feels like a way to get backstage access to some of the greatest leaders in emergency medicine and to learn directly from them. Connections with other leaders who are motivated and interested in learning the same way you are is something that is very important to me.

Kay Nicole Tipton, DO MS, Leadership Academy Fellow 2023 -2024

Kay Nicole Tipton, DO MS Program: UNC Health Southeastern

Capstone Project:

Improving Resident Knowledge and Confidence in Critical "Code" Scenarios

“Code” situations in hospitals generally encompass urgent or emergent circumstances that require rapid mobilization of resources. In the Emergency Department at UNC Health Southeastern, this encompasses a wide range of situations from trauma codes to behavioral rapid responses. A survey was completed by emergency medicine residents at our program regarding their knowledge of code scenarios and their confidence in leading these scenarios. This survey indicated a subjective lack of knowledge and confidence regarding many of these scenarios prompting the creation of this curriculum.

The curriculum was designed as a longitudinal curriculum which encompasses educators from different fields in the hospital with the goal of increasing learner knowledge of the appropriate time to call codes, the resources mobilized when a code is called, and increasing learner confidence as team leaders. Although there are didactic portions to the curriculum, the curriculum utilized multiple active learning modalities including team-based learning, case-based learning, and simulation.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? The EMRA leadership academy is a fantastic experience for any emergency medicine resident, but especially those interested in a leadership position within the field of emergency medicine. Leadership can be difficult and emergency medicine is a constantly evolving field and by bringing in well-known Emergency Medicine leaders to discuss topics including feedback, mentorship, and multiple others this course helps you navigate those topics.

Lulu Weindruch, DO, Leadership Academy Fellow 2023 -2024

Lulu Weindruch Program: Baylor University Medical Center

Capstone Project: Created a survey to evaluate medical student's experiences and opinions on shadowing in the Emergency Department

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? The Leadership Academy was a great opportunity to hear from and get advice from leaders in EM and also network with others who are interested in making a difference in our specialty.

Olivia Williams DO, Leadership Academy Fellow 2023 -2024

Kelly-Ann Mungroo, DO Program: Ochsner Medical Center

Capstone Project: Implemented a change in our department for placing cardiology consults for NSTEMI. No ED consultation (ie consultation done after admission to hospital medicine) to cardiology for NSTEMI patients with no active chest pain, no EKG evidence of developing STEMI, and no evidence of cardiogenic shock. We will measure the following:

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? Leadership Academy is an amazing way to get involved with EMRA and hear from incredible leaders in Emergency Medicine!

2023 - 2024 Leadership Academy Graduates