Mayo Clinic's Emergency Department sees more than 80,000 patients annually. It serves as a local department and regional referral center for close to 1 million people in the region. The vast majority of every shift is spent practicing "bread and butter" emergency medicine, as well as medical, pediatric and trauma resuscitations intertwined with challenging and complex medical issues.
The goal of the point-of-care emergency ultrasound education at Mayo Clinic is to train residents to be competent in diagnostic and procedural ultrasound that prepares them for independent practice in any clinical setting. State-of-the-art equipment and workflow solutions support both basic and advanced emergency ultrasound applications.
Currently, all residents have a half-month introductory rotation as first-year residents and the option for an in-depth, focused monthlong advanced experience as third-year residents. These months provide time for direct, hands-on learning with one of the emergency ultrasound faculty and individualized study through active scanning, as well as text and interactive media. In addition, a robust quality assurance program provides constant feedback for scans done during regular clinical shifts.
As part of their didactic curriculum, residents also receive quarterly ultrasound teaching led by Mayo Clinic faculty and guest presenters from around the country. Residents have taken advantage of opportunities for research and quality improvement within the area of emergency ultrasound, which has translated into numerous abstract presentations and peer-reviewed publications.
International emergency medicine
Mayo Clinic is an international leader in medicine. Residents have the opportunity to join faculty on international emergency medicine projects, including those in Haiti, Chile, Sweden, Japan, Kenya, Nepal and Tanzania, to name a few countries. All international rotations are reviewed and sponsored by the Mayo International Health Program. The supportive environment, institutional leadership and well-connected faculty make our program the ideal place to become a leader on international emergency medicine.
In addition to practicing emergency medicine in a high-acuity setting, with 12 percent of admitted patients going to an ICU setting, residents are required to spend at least five months working in Mayo Clinic's cutting-edge ICUs. Mayo Clinic's campus in Rochester, Minnesota, features approximately 200 ICU beds housed in several surgical, medical and mixed ICUs as well as a dedicated neurologic ICU and pediatric ICU. An extracorporeal membrane oxygenation (ECMO) team is available 24 hours a day and can be called to the Emergency Department.
In addition to attending daily rounds and conferences and actively caring for patients with critical illnesses in the ICU, emergency medicine residents attend a two-day intensive care boot camp in surgical critical care featuring skill labs as well as didactics in preparation for running the surgical ICU in the PGY-2 year.
Emergency Medical Services (EMS)
Residents have the opportunity to train in Mayo Clinic Medical Transport, which serves southeastern Minnesota, western Wisconsin and northern Iowa. Senior residents receive direct EMS administration experience through medical control for both Mayo One and the regional EMS system.
Anuradha Luke, M.D., one of the emergency medicine attending physicians, is medical director of Gold Cross Ambulance Service, Emergency Ground Medical Transport, Mayo Clinic Medical Transport. In addition, Dr. Luke is medical director for the Emergency Medicine Paramedic Program through Mayo School of Health Sciences.
Aug. 17, 2016