2022 - 2023 Leadership Academy Graduates
Christopher P. Ahlering, MD, Leadership Academy Fellow 2022 -2023
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.
Arthur Broadstock, MD, FAWM, Leadership Academy Fellow 2022 -2023
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.
Nadeem El-Kouri, MD, MPH, Leadership Academy Fellow 2022 -2023
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.
Bronwyn Finney, MD, Leadership Academy Fellow 2022 -2023
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.
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.
Tara Knisely, MD, MPH, Leadership Academy Fellow 2022 -2023
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!
Michael Sobin, MD, Leadership Academy Fellow 2022 -2023
Program: William Beaumont University Hospital
Capstone Project: Quality Improvement project evaluating aspects of gamification, competition, and leadership in preparation for the Emergency Medicine ITE.
Mitchell McMurray, MD, Leadership Academy Fellow 2022 -2023
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
Bryan Rosenberg, MD, Leadership Academy Fellow 2022 -2023
Program: Georgetown University Hospital
Capstone Project: I created an administration and leadership track for my residency program and will be its first participant!
Lauren Rosenfeld, MD, MA, Leadership Academy Fellow 2022 -2023
Program: George Washington University
Capstone Project: Aim to increase "Intellectual Humility" within our community of physicians, residents, medical students, techs, nurses, and patients.
Allison Turpen, DO, Leadership Academy Fellow 2022 -2023
Program: Sunrise Health GME
Capstone Project: Improving Verbal Patient Hand-offs from EM to IM Residents