2022 - 2023 Leadership Academy Graduates EMRA

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Christopher P. Ahlering, MD, Leadership Academy Fellow 2022 -2023

Christopher Ahlering.jpg Program: Saint Louis University

Capstone Project: My capstone project was a case report detailing a rare complication of emergency tube thoracostomy. Within the report I also collected and presented data regarding other, more common complications of emergency tube thoracostomies and how to prevent them.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? This program is an valuable resource that gives insight into how some of the biggest leaders in emergency medicine think, organize, and work to perfect the craft of the practice of emergency medicine. During this program, you will hear from and have discussions with some of the most renowned names in the specialty, and you will work to hone your skills as not just a physician, but also as a leader. These skills are essential to the practice of emergency medicine.

Arthur Broadstock, MD, FAWM, Leadership Academy Fellow 2022 -2023

Arthur Boradstock.jpg Program: University of Cincinnati

Capstone Project: I helped create an educational resource titled "Hit the Box" which is a repository of oral-boards style cases that is meant to be delivered to residents on shift during times of boarding to teach skills like task switching and task prioritization which may not be utilized due to low patient volumes. These cases are carried out alongside normal patient care duties. After completing an HPI and physical exam, testing is ordered and the results of these tests are revealed to the learner in a delayed fashion, which allows the learner to integrate new data into their simulated patient case to guide diagnostic or therapeutic decisions. Integrating these data and continuing these simulated cases alongside true patient care helps simulate task saturating and multi-tasking, which can often be lost during times of low patient volumes due to ED boarding.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? The Leadership Academy is a fantastic program that provides you with valuable insights from leaders across the entire spectrum of emergency medicine. Having the opportunity to learn from peers and faculty lecturers in this setting is motivating and deepened my perspective on training in and practicing emergency medicine. It has been very exciting to meet the new generation of leaders within this specialty and to imagine the impact each class will have on the landscape of emergency medicine.

Nadeem El-Kouri, MD, MPH, Leadership Academy Fellow 2022 -2023

Nadeem El-Kouri.jpg Program: Oklahoma University - Tulsa University School of Community Medicine

Capstone Project: According to the US Center for Disease Control and Prevention (CDC), 30-50% of antibiotic use in hospitals is unnecessary or inappropriate. The COVID-19 pandemic further complicates antibiotic use leading to greater initiation of empiric antibiotics. The result is antibiotic overuse and increased duration of unnecessary therapy. Vancomycin is a drug of last resort, primarily relegated to the treatment of MRSA which may be started empirically in acute circumstances. De-escalating vancomycin can mean waiting on MRSA culture results, which may take up to 96 hours. Nares screening for Methicillin-Resistant Staphylococcus A aureus (MRSA) is shown to possess high negative predictive value (NPV) for ruling out suspected MRSA pneumonia, intra-abdominal infections, and bacteremia. This pre-post study examines the impact of vancomycin therapy de-escalation due to absence of MRSA colonization detected via PCR assay of nares swabs.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? It is a great opportunity to hear lessons learned but nationally and internationally renowned leaders in our field. The curriculum helps us to stand on the shoulders of giants instead of trying to re-invent the wheel about proven leadership techniques and methods.

Bronwyn Finney, MD, Leadership Academy Fellow 2022 -2023

Bronwyn Finney.jpg Program: University of Cincinnati

Capstone Project: I helped created a voluntary, longitudinal in-training exam preparation curriculum. It occurs biweekly leading up to the annual exam in February and consists of completing a question set prior to a resident-led discussion on a various topics within emergency medicine including question review, a focused high-yield quick hit and completing novel questions together as a small group to encourage discussion. We are performing a qualitative review based on resident feedback as well as evaluation of score change for those who chose to participate.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? It was a great experience to enjoy longitudinal engaging lectures from some leading names in our field. It was great to engage with others in the program and culminate in a final project.

Taylor Huizenga, DO, Leadership Academy Fellow 2022 -2023

Program: Corewell Health Lakeland

Capstone Project: HIV and syphilis testing in the emergency department. Our emergency departments treat patients presenting for STD/STI evaluation daily, yet our rate of HIV and syphilis testing among these patients is low. The CDC, IDSA and the US preventative services task force recommend testing adolescents and young adults at risk for HIV, which includes patients presenting for STD testing. The goal of this project was to increase HIV and syphilis testing in patients presenting for STD/STI evaluation. We created an orderset that included the appropriate initial HIV and Syphilis screening. We educated residents, attendings, and nursing staff on the importance of testing and how to discuss testing with patients. We also created processes for follow up on positive results and tracking positive screens. Currently the project is in the data gathering stage where we are monitoring rates of testing. This project helped me develop communication, delegation, and motivational skills. I am thankful for the opportunity to be part of the team that developed this project.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? EMRA's leadership academy is a great community for resident leaders to learn from each other. Every resident who wants to be involved in EMRA committees or leadership should consider this program.

Tara Knisely, MD, MPH, Leadership Academy Fellow 2022 -2023

Tara Knisely.jpg Program: Ascension Genesys Hospital

Capstone Project: I am doing a randomized clinical trial in our ED looking at whether the administration of calcium prior to the initiation of Cardizem for Afib RVR prevents hypotension. It is still ongoing and I am excited to see the results when we are completed!

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? Do it! There are some great speakers, valuable lessons, and fun capstone projects that you can do. It provides valuable networking and helps to develop your leadership skills so you can be an even better leader in the future!

Michael Sobin, MD, Leadership Academy Fellow 2022 -2023

Michael Sobin.jpg Program: William Beaumont University Hospital

Capstone Project: Quality Improvement project evaluating aspects of gamification, competition, and leadership in preparation for the Emergency Medicine ITE.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? A great experience for networking and learning the skills necessary to become leaders in emergency medicine.

Mitchell McMurray, MD, Leadership Academy Fellow 2022 -2023

Mitchell McMurray.jpg Program: University of Louisville Emergency Medicine Residency

Capstone Project: Increasing X-waiver participation and knowledge of local addiction care resources throughout the UofL Emergency Medicine residency

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy Highly recommend!

Bryan Rosenberg, MD, Leadership Academy Fellow 2022 -2023

Bryan Rosenberg.jpg Program: Georgetown University Hospital

Capstone Project: I created an administration and leadership track for my residency program and will be its first participant!

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? It was an awesome learning experience! You will be surprised by the amount of tips and tricks you get that help you during your every day experience as a resident!

Lauren Rosenfeld, MD, MA, Leadership Academy Fellow 2022 -2023

Lauren Rosenfeld.jpg Program: George Washington University

Capstone Project: Aim to increase "Intellectual Humility" within our community of physicians, residents, medical students, techs, nurses, and patients.

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? An amazing opportunity to engage in powerful conversations with rising leaders across the country and develop skills that help to grow in our professional and personal lives. I would without a doubt recommend the Leadership Academy to anyone who has a chance to participate!

Allison Turpen, DO, Leadership Academy Fellow 2022 -2023

Program: Sunrise Health GME

Capstone Project: Improving Verbal Patient Hand-offs from EM to IM Residents

What would you tell future EMRA leaders about your experience in EMRA's Leadership Academy? I gained a lot of valuable tools that I can use not just in a higher leadership capacity, but also for the day to day of working as an Emergency Medicine Physician. I would recommend this program to all residents.

2022 - 2023 Leadership Academy Graduates