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Resident Interviews

Program: Regions Hospital/HealthPartners Institute for Medical Education

Location: St. Paul, MN

Years: 3

Class Size: 9

Resident Responding: Martin Klinkhammer M.D., Chief Resident

Date of Response: August 2006

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1. What makes your program different from other programs, or what made you choose your program? 

        Regions is a blend of county and community in a collaborative environment with a great relationship between the faculty and the residents.  I felt that it was a place in which I could become an excellent clinician and would prepare me for a career in either academic or community practice, in either an urban or rural location. 

2.  If not answered above, what's the best aspect of your program?  

The relationship with faculty.


3.  Are there any major upcoming changes to your program? 
 

Our program is benefiting from an update to our ultrasound curriculum.  It is further benefiting from close relationships with reciprocity between us and Hennepin county, and to some respects Mayo's Emergency medicine program as well, having interdepartmental conferences, and in the case of Hennepin swap rotations there.

4.  Is there anything you would change about your program if you could? 

I would prefer that there be one more month of elective at some point during the residency allowing for a greater degree of self directed learning.

5.  How much are you responsible for blood draws, putting in IVs, etc.?  

Only to the extent that you want to do it, we never have to do this unless the nurses are unable to after having tried 2-4 times, and then it's usually either putting in a central line, an IO, or using the Ultrasound fo PIV insertion.

6.  Do you learn mostly from attendings, other residents, or textbooks? Does this vary when you do off-service rotations?  

Both in the ED and on other services in the hospital, primarily learn from attendings.  Upper level residents are available for guidance if so desired, but you are directly reporting to the attendings in all years.

7.  How does EMed rank in your hospital's hierarchy?  

It's the main residency program, we have University of Minnesota surgery, OB, and medicine residents rotate through the hospital, but we're the only residency based in the hospital, so Emergency medicine ranks very high in the hospital's hierarchy. 

8.  What are the perks that your school provides (PDAs, textbooks, conference fees, meal tickets, etc.)? 

        100$ for books as a G1, 300$ as a G2, 100$ as a G3, also provides meal card to be used at any time, yearly limit of roughly 1000$.  Pays to go to SAEM for all the G1 residents.  The book money can be spent on a PDA or PDA program.

9.  How do you rate your rotations outside of the emergency department? 

        In general very well, low amount of scut work, and high percentage of time with direct attending interaction.

10.  What's the best elective you've done? 

        Haven't done one yet, though will likely be doing one this winter as an international elective in Ecuador.

11.  How much does your program focus on research? 

Research is available for those who want to do it, there are multiple research projects active in the department, but honestly it isn't viewed as a residency priority probably and I would say that this would be a weaker area here if there is one. 

12.  What do you love and hate most about the city you're in? 

I love St. Paul and the twin cities for their parks and outdoor activities.  Lots of lakes, rivers, running and biking trails.  I also enjoy the food, there are many good residents.  The winters are probably the only detractor of the twin cities, that and they are a long way from an ocean, otherwise there aren't a lot of down sides to the twin cities.

13.  Please describe your typical month in terms of work hours and days off. 

Typical month of a 28 day cycle is 21 shifts in the ED, they're 8 hour shifts for the G2 and 3s, 9 hour shifts for the G1s.  Typically 1 full weekend a month off, 1 week of the shifts is a week of nights.  Schedule is built into a circadian rhythm so there are no crack back shifts (8 hours off and then back on). 

14.  How much time do you spend off-duty with the other residents? 

Probably on average I spend around 1-4 hours a week with residents outside the hospital, I'm married with a daughter, some people spend more than that.  We'll often go out for breakfast with staff after night shifts, often go out for a drink with residents and or staff after an evening shift.

15.  Do you have any international experience?

Residents from Regions have rotated in the past to New Zealand and elsewhere, currently I am planning a rotation to Quito, Ecuador, as part of my elective, and this is a rotation that the residency hopes to make a regular occurrence (1-3 residents rotating down there every year).  This elective will include medical Spanish immersion experience along with work in the major public teaching emergency Dept. in Quito.

16.  What are your plans after residency? 

Undecided.

17.  How prepared do you feel? 

Well prepared, feel comfortable managing airway and codes with progressive responsibility in the ED, beginning managing the airway as a first year resident.

18.  Is there anything you'd like to tell us that we haven't asked? 

Not really, good questionnaire. 

19.  Do you have any advice for current applicants, or is there anything you wish you'd known when you were applying?

Be sure to attend the social gatherings offered by the residency and try your best to get a feel for the interaction between residents and staff, and go where you feel comfortable.

 

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