"July, July"

“The first day”

I’ll start this post by quoting an email from one of our former chief residents…

“Happy July.  The birds are singing, the bees are buzzing, the interns are crying. It’s all and all a wonderful time of year…”  — Rob Huang*

As you might guess, July is a special time in every resident’s life; full of new experiences, new responsibilities, and an emergency department at its busiest. New second-year residents are asked to now run traumas and medical codes.  New third-years are tasked with essentially “running the ED”, keeping tabs on the general flow, answering EMS calls, and making sure sick patients get seen as quickly as possible.  New second-years find themselves learning to manage multiple patients at one time while assuming more significant roles in trauma and airway management.  Interns (first-year residents) are getting to know each other, know Omaha, and get a feel for where they’ll be working most of their next three years.  All in all, a hugely exciting time for both the department and our program.  We’ve been blessed with an energetic new class, new program directors (who really have been with the residency since its inception), and a handful of new core faculty bringing fresh ideas and experiences to our education.  Erica, Chris, and I have already hit the ground running as new chiefs, and are surely in for our own roller coaster of highs and lows as the year goes by.

And so it goes.  More often than not, each patient we see is our first and only encounter with that particular person.  We are asked to interview and examine our patients to evaluate for the presence of an emergency condition, stabilize them, and ultimately get them the help they need, all within minutes, and whilst, at the same time, engaging the exact same process with multiple other patients.  So, change is indeed not a new concept to the ED physician.  For many of us, it is this aspect that drew us to the field of EM in the first place.   So with that, happy July, as we welcome the class of 2016, our new staff and PDs, and the new year, with all the exciting changes it hopes to bring.

*Disclaimer:  I’ve yet to see a first year resident actually bust out into tears over their new clinical responsibilities.  Is it different than medical school? Yes.  A huge step up in responsibility? Absolutely.  An amazing, formative year that you’ll never forget? You bet.

“July, July”

 

SAEM Atlanta 2013

Our intern class, upcoming chief residents, and a number of faculty all recently enjoyed a trip down to Atlanta, GA, site of this year’s annual meeting of the Society of Academic Emergency Medicine.  First year resident, Peter Anaradian, presented an awesome Clinical Pathologic Conference (CPC) on a unique ED presentation of hepatocellular carcinoma, while staff MD, Dr Aaron Barksdale was charged with deciphering a tough case highly suspicious for Paget-Schroetter disease.  2nd year resident, Nick Daniel, made his presence felt in the clinical photo submission contest, with a classic presentation of flexor tenosynovitis.   We were also fortunate to have medical student and future EM-cardiology-guru Andrew Keralis represent UNMC with his phenomenal abstract presentation, “Risk Stratification of Acute Chest Pain in an Emergency Setting: ST Segment Change on aVL Lead as a Predictor of Future MI”.   Great job, fellas!

Whilst our days in Atlanta were spent primarily filling our brains with an abundance of EM knowledge bombs by national leaders in our field, the evenings afforded us the chance to bond and discuss the day over delicious southern (and also brazilian?) cuisine and libations.    While this might have afforded us a few extra hours on the treadmill once back at home, I think we can all say that our experience in Atlanta was an awesome and worthwhile one.  Next up, ACEP Seattle!

Atlanta

Atlanta

Peter Anaradian at the CPC

Peter Anaradian at the CPC

Peter Anaradian after his CPC

Peter Anaradian after his CPC

Dr Barksdale after his CPC

Dr Barksdale giving his CPC response

Dr Barksdale after his CPC

Dr Barksdale after his CPC

Andrew Keralis

Andrew Keralis

Andrew Keralis

Andrew Keralis

Andrew Keralis and Dr Branecki

Andrew Keralis and Dr Branecki

Dr Daniel's case photo submission

Dr Daniel’s case photo submission

Erica, Andrew B, Kalin

Erica, Andrew B, Kalin

Cheese

Cheese

Chris, Peter

Chris, Peter

Andrew K, TJ, Linnaus

Andrew K, TJ, Linnaus

You rapscallions you.

You rapscallions you.

Meat-sweats.

Meat-sweats.

Chiefs representing at the Residency/Fellowship fair

Chiefs representing at the Residency/Fellowship fair

SAEM Residency/Fellowship Fair

SAEM Residency/Fellowship Fair

Hi!

Welcome… to the now OFFICIAL blog of the University of Nebraska Medical Center’s Emergency Medicine Residency Program!

For those of you new to who we are and what we do, our residency is comprised of 24 residents undergoing a three year training program in emergency medicine at a major joint academic/community medical center in Omaha, Nebraska.  As a recognized trauma center and national leader in fields such as transplant and oncologic care, our facilities attract a wide variety of patients and pathology from which we are fortunate to learn from each day.  Our involvement with various rural EDs across Nebraska afford us unique opportunities to support our local community, as well as witness a side of EM not always available to your typical residency program.

We are a close-knit, hard-working, hard-playing group with diverse backgrounds from all across the country with common goals of becoming excellent EM physicians and leaders.  Please take some time to explore our department/residency website and learn more about us at (http://www.unmc.edu/emergency/residency.htm).

ED_pic

Awesome UNMC ED video with cameos by staff Drs Muelleman and Hernandez!

I recognize there may be a variety of audiences that come across this page. All are welcome!  My hope continues to be that this might serve as a forum for students, residents, and alumni alike to keep in touch with the pulse of our residency, our city, and our specialty as a whole.  The site will be moderated by our 2013-2014 chief residents (myself, Chris Acker, and Erica Diede), as well as our PD/APD’s (Drs Claudia Barthold and Chad Branecki), with continuing contributions and thoughts from members and friends of the UNMC EM residency.  So with that, it begins…

Cheers,
TJ Welniak MD
Co-Chief Resident 2013-2014
UNMC Dept of Emergency Medicine