Faculty Directory

7/2007	EMTALA 13 resident learners one hour, developed and presented a didactic outlining the obligations of providers under the Emergency Medical Treatment and Active Labor Act, commonly known as EMTALA.
7/2007	Fatigue: What a resident needs to know 13 resident learners one hour, developed and presented a one hour presentation on fatigue, its impact on physicians and patients.
7/2007	Goals and Objectives 13 resident learners, developed and presented a didactic session explaining residency goals and objectives, their importance, and their workings within the ACGME.
6/2007	Introduction ot emergency medicine: International Emergency Medicine 15 medical students, developed and presented a one hour didactic session introducing 1st year medical students to the basics of international emergency medicine and the service it can provide to those in the world with non-US styled health systems.
2/2007	Preparation for the inservice exam 30 resident learners, review presentation for the inservice exam.
8/2006	ABEM Oral Exam Preparation: Baclofen Overdose in an 18yo 30 resident learners. Developed and implemented a didactic presentation on successful methods to passing the emergency medicine oral boards and combined the discussion with a medical baclofen overdose case.
8/2006	EKG's Ischemic Patterns One hour, 30 resident and student learners. Developed and implemented presentation on EKG ischemic patterns.
8/2006	PEAR Patient error and analysis review Didactic panel participant, one hour, 35 resident and student learners. Panel discussion regarding common physician errors and ways to avoid them.
8/2006	Pediatric Arrest - a simulated code 30 resident learners, one hour. Developed and implemented a pediatric mock code with participation of residents in the scenario.
7/2006	Gadgets & Gizmos Cadaver Lab: Common and Uncommon Emergency Medicine Procedures Developed and taught hands on procedural training for emergency medicine residents using cadavers to cover both common and uncommon procedures performed in the emergency department. Total learners 35 resident and student learners
6/2006	PEAR Contributing MD to panel of discussants on the PEAR didactic day. "Patient Error and Analysis Review (PEAR) conferences are designed to allow a breakdown of common errors in patient care encounters in an effort to teach learners the types of errors (slips, premature diagnostic closure, etc) that can occur.
5/2006	Cost effective care Developed and implemented didactic session covering common cost effective medicine issues encountered in the Emergency Department. Facilitated discussion of dilemmas the resident class has encountered.
5/2006	Ethical Dilemmas in Emergency Medicine Developed and implemented didactic session covering common approaches to everyday ethical dilemmas encountered in the Emergency Department. Facilitated discussion of dilemmas the resident class has encountered.
4/2006	Elder Abuse Developed and implememented didactic session that covered common and uncommon presentations of elder abuse, roles of the Emergency Medicine physician in detecting, treating, and preventing elder abuse. Approximately 35 total resident and student learners. One hour session.
4/2006	Intimate Partner Abuse Developed and implememented didactic session that covered common and uncommon presentations of intimate partner abuse, roles of the Emergency Medicine physician in detecting, treating, and preventing intimate partner abuse.
3/2006	Motor Intestinal Disorders Developed and implemented didactic session on common motor intestinal disorders encountered in the Emergency Department. Approximately 35 total resident and medical student learners for a total time of one hour.
3/2006	Simulation and Testing Session Assisted in development of, and implemented simulation and testing sessions designed to highlight ACGME core competencies in the context of Emergency Medicine. Approximately 35 total learners in one on one sessions, total time 16 hours.
1/2006	Jeopardy Developed and implemented question and answer session on core Emergency Medicine topics that covers common areas of testing on the ABEM inservice exam. Approximately 30 total residents and medical students for a one hour session.
12/2005	Mock Pediatric Code Developed and taught a mock pediatric code using simulator and small group leaders to run a code in front of the residents and medical students. Total learners approximately 35. Didactic lasted one hour.
11/2005	Disaster Drill Training - What to Expect One hour session for approximately 30 residents in which I developed and implemented. Session reviewed the LLUMC disaster plan, the residents role in that plan, and their future responsibilities as Emergency Medicine Physicians to develop workable plans in their future post residency positions.
10/2005	ABEM Oral Exams - What to expect and how to prepare 2 hour session on the fundamentals necessary to pass the ABEM oral exams required for board certification. In conjuncture with Dr. Greg Guldner developed and implemented practice oral exams with real time examples in front of the group followed by small group practice sessions. Total learners approximately 30.
8/2005	Airway Lab Developed and taught difficult airway laboratory using small groups of residents and students. Total didactic session time was 2 hours, total students and residents who went through 4 different stations was approximately 35.
8/2005	Mock Pediatric Code Developed and taught a mock pediatric code using simulator and small group leaders to run a code in front of the residents and medical students. Total learners approximately 35. Didactic lasted one hour.
7/2005	Cadaver Lab Developed and taught hands on procedural training for Emergency Medicine residents using cadavers to cover both common and uncommon procedures performed in the Emergency Department. Total learners: 35, 4 hours of small group instruction time.
7/2005	Normal Labor & Delivery - Complications of Labor & Delilvery Developed and taught one hour didactic on normal labor and delivery and common complications that can occur during labor/delivery. Total EM resident learners and medical students approximately 40. Didactic concluded with a simulation in which a resident MD had to deliver a shoulder dystocia and then a breech presentation on a mannequin.
10/2004	ABEM Oral Board Preparation Presented one hour of information to residents and medical students on the American Board of Emergency Medicines Oral Board testing process. Provided example simulations for more realistic training.
10/2004	ABEM Oral Board Preparation Testing Review One hour of didactic time reviewing correct answers and methods for practice oral board case testing the previous week. Audience included faculty, residents, and medical students.
10/2004	Disaster Drill Debriefing - What did we do right and what could we have done better? One hour didactic session presented to faculty, residents, and medical students. The disaster drill from the previous week was reviewed from a systems based practice viewpoint. The group interjected potential ways to improve the LLUMC Emergency Departments possible response to a biological weapons attack in our community.
9/2004	Pediatric Grand Rounds: International Medicine - Afghanistan Invited speaker for one hour pediatric grand rounds. Reviewed health care challenges facing the people of Afghanistan and Loma Linda's commitment to the people there. Faculty, pediatric residents, and medical students were the target audience.
9/2004	Selecting Quality Residents: The Emergency Medicine Experience Invited speaker for the program directors retreat. Presented the mechanism used by the Emergency Medicine Residency Program to select and recruit high quality residents that will meet the institutions mission.

Interactive Teaching

7/2007	Gadgets and Gizmos: Cadaver Lab 5 hours, 35 resident learners. Developed and implemented a cadaver lab session in which common and uncommon emergency department procedures were taught to residents in training
6/2007	Emergency Medicine Facts: The Final Jeopardy Challenge 2 hours, 30 resident and student learners. Developed and implemented a jeopardy style game using the core curriculum for emergency medicine.
4/2007	Chief complaint conference 30 residents and student learners, one hour session. Developed and implemented a panel discussion on commmon presenting chief complaints to the emergency department, their diagnostic work up and treatment.
4/2007	Gadgets and Gizmos Lab: BIPAP and Difficult Airway Techinques 30 resident and student learners, facilitated small group sessions reviewing alternative airway techniques for patients unable to be intubated using traditional methods.
3/2007	Emergency medicine facts: Jeopardy Challenge 30 resident and student learners, 2 hrs. Developed and implemented a series of jeopardy style games using the core curriculum of emergency medicine as the material.
2/2007	simulated adult arrest Developed and implemented a mock cardiopulmonary arrest for 30 resident and student learners. Code, debrief and discussion lasted one hour.
1/2007	Radiology: How to read a foot xray 30 resident learners, one hour, facilitated the presentation of how to read a foot xray.
12/2006	Chief Complaint Conference: A Case Based Approach to EM 30 resident and student learners. Developed and implemented a small group panel discussion of common chief complaints of patients presenting to the emergency department.
12/2006	Chief complaint conference: A case based approach to emergency medicine 30 resident and student learners, one hour. Developed and implemented a panel discussion of common chief complaints presenting to the emergency department, including their diagnostic workup and treatment.
11/2006	Physician Errors - a Journal Club 50 resident and significant others, 3 hour discussion. Assisted with facilitation of discussion in holiday journal club on the topic of physician errors and the ethical obligations involved when they occur.
8/2006	LLU Emergency Medicine Residency Match Mentoring for Rotating Extern Discussed advantages and disadvantages of careers in the field of Emergency Medicine with rotating externs from Texas Tech University Health Science Center & University of Michigan. Presented LLU EM residency program to non-Loma Linda University medical students. Reviewed selection criteria and match process with individiual medical students. Met with 2 rotating externs over 2 hours.
4/2006	Emergency Medicine Resident Semi Annual Evaluations Provided face to face formal feedback to 13 PGY 1 residents. Specific strengths and weaknesses in the ACGME core competencies were reviewed and when necessary plans for improvement were made. Total meeting time 13 hours.
11/2005	Drill Simulation Instructor Instructed Emergency Medicine residents and medical students in the response to a mock terrorist attack. Individual residents and students were assigned roles, given real time problems to solve, and asked to troubleshoot system based issues that arise with mass casualty incidents. Total learners 15, simulation time 3 hours.
10/2005	ABEM Mock Oral Exams Implemented mock oral exams for resident physicians over a 2 day period. Total time approximately 16 hours of one on one testing and instruction for approximately 35 residents. Testing data was then extrapolated to meet ACGME core competency data requirements.
10/2005	EM resident professionalism mentoring Met with 2 EM residents to discuss specific development in the professionalism core competency. Total time 2 hours, 20 residents involved. Discussed evaluations, plans for improvement, and resources for personal and professional development.
10/2005	Emergency Medicine Resident Career Mentoring Met with 11 PGY3 EM residents to discuss their career planning for after residency. Total time 11 hours.
10/2005	Emergency Medicine Resident Semi Annual Evaluations Provided face to face formal feedback to 11 PGY 3 residents. Specific strengths and weaknesses in the ACGME core competencies were reviewed and when necessary plans for improvement were made. Total meeting time 12 hours.
10/2005	Emergency Medicine Resident Semi Annual Evaluations Provided face to face formal feedback to 13 PGY 1 residents. Specific strengths and weaknesses in the ACGME core competencies were reviewed and when necessary plans for improvement were made. Total meeting time 13 hours.
10/2005	LLU Emergency Medicine Residency Match Mentoring for Medical Students Discussed advantages and disadvantages of careers in the field of Emergency Medicine with individual medical students. Presented LLU EM residency program to non-Loma Linda University medical students at the American College of Emergency Physicians Scientific Assembly national meeting in San Francisco. Reviewed selection criteria and match process with individiual medical students. Met with 35 total students over 3 hours.
7/2005 - 6/2006	Emergency Medicine Attending Physician - Assistant Professor of Emergency Medicine Individual and small group bedside teaching to Emergency Medicine, Internal Medicine, Psychiatry, Pediatric, Obstetrics & Gynecology resident physicians rotating in the adult and pediatric emergency departments. Teaching based upon the ACGME core curriculum. Additionally, I taught individual medical students rotating through the emergency department. In addition to bedside teaching I assisted in direct observation and evaluation of both emergency medicine resident physicians and medical students, providing contemporaneous feedback for their development. Extensive interaction with every emergency medicine resident, Extensive to moderate interaction with all off service residents and medical students.
6/2005	EM Resident Progressive Responsibility Roundtable Developed and implemented a roundtable discussion between the EM PGY1, PGY2, and PGY3 classes which addressed work duty responsibilities. Each class discussed the duties they assummed as they progressed to the next year of training. Emphasis was placed on specific "pearls of wisdom" the upcoming class could use, as well as discussion of resources available to them to enhance their learning.
6/2005	Megacode Simulation Session Implemented a megacode simulation on an adult patient for each member of the PGY 1 class over 8 hours. The 13 participants underwent one on one testing and mentoring during the code.
6/2005	Procedural Competency Testing Developed and implemented procedural competency testing for 12 graduating resident physicians to ensure competency in rarely performed but clinically important Emergency Medicine procedures. Developed and built the simulation models for pericardiocentesis and diagnostic peritoneal lavage that were used in the testing.
3/2005	Emergency Medicine Resident Career Mentoring Met with one PGY3 EM residents to discuss their career planning for after residency. Assisted in development of CV and job search strategy. Resident physician successfully found position in the local community.
3/2005	Gadgets & Gizmos - Opthalmology Developed and assisted with implementation of "Gadgets and Gizmos" Ophthalmology course. Laboratory hands on training with common Ophthalmological equipment provided to approximately 22 EM residents and LLUMC medical students. 1.5 hours of training.
3/2005	International EM Liason for visiting physician Assisted Chief of ICU - Sir Run Run Shaw Hospital Hanzhou China - in his visit to LLUMC. Met and discussed Emergency Medicine models in the US and world. Gave specifics on the LLUMC ED operation for educational purposes.
3/2005	International EM Liason for visiting physician Assisted Dr. Chin - Sir Run Run Shaw Hospital Hanzhou China - in his visit to LLUMC. Met and discussed Emergency Medicine models in the US and world. Gave specifics on the LLUMC ED operation for educational purposes.
3/2005	Pediatric Mock Code - Problem Based Learning Instructor
1/2005	Journal Club Mentor Loma Linda University representative mentor for Riverside County Regional Medical Center Emergency Department journal club. Journal club reviewed a number of ABEM LLSA papers. 30 total learners for 3 hours.
1/2005	Pediatric Mock Code - Problem Based Learning Instructor Pediatric mock code instructor for 30 emergency medicine residents and medical students for one hour. Developed case, assigned roles, led code debriefing, discussed key points regarding underlying disease treatment.
12/2004	Chief Residents Case Conference Faculty mentor for case based chiefs conference given to EM faculty, residents, and medical students. 30 total learners for one hour session.
11/2004	Chief Residents Case Conference Faculty mentor for case based chiefs conference given to EM faculty, residents, and medical students. 30 total learners for one hour session.
11/2004	Disaster Drill Simulation Instructor Instructed Emergency Medicine residents and medical students in the response to a mock biological attack. Individual residents and students were assigned roles, given real time problems to solve, and asked to troubleshoot system based issues that arise with mass casualty incidents. Total learners 30, simulation time 4 hours.
11/2004	Emergency Medicine Residency Match Mentoring for Medical Students Discussed advantages and disadvantages of careers in the field of Emergency Medicine with individual medical students. Reviewed match process, tips for successful residency searches, applying, interviewing and matching. 18 medical students were met with on an individual basis. Total time spent with 18 medical students was 25 hours. None of the 18 medical students I met with had to scramble for a position.
10/2004	ABEM Oral Board Prep Small Group Session Developed and led small group problem based learning cases in the American Board of Emergency Medicine Oral Board Case style to 25 residents. Groups ran concurrently over the course of one hour.
10/2004	ABEM Oral Board Preparation - Individual Resident Sessions Developed and led problem based learning cases in the American Board of Emergency Medicine Oral Board Case style. Individual testing and teaching sessions for thirty residents was accomplished. Thirty residents total participated over a total of 15 hours.
10/2004	International EM Liason for visiting physician Assisted Dr. Tak Shiga in his visit to LLUMC. Met and discussed Emergency Medicine models in the US and world. Gave specifics on the LLUMC ED operation for educational purposes.
9/2004	ABEM Oral Board Preparation - Individual Junior Faculty Sessions Developed and led problem based learning cases in the American Board of Emergency Medicine Oral Board Case style. Individual testing and teaching sessions for 2 junior faculty was accomplished for a total of 3 hours.
8/2004	Cadaver Procedural Lab Developed, organized, and taught 30 residents essential emergency medicine skills lab performed on cadavers. Small group sessions lasted 5 hours.
8/2004	Cadaver Procedural Lab - Medical Student Session Developed, organized, and taught three medical students essential emergency medicine skills lab performed on cadavers. Small group session lasted one hour.
8/2004 - 8/2005	Emergency Medicine Medical Student Career Mentoring Discussed advantages and disadvantages of careers in the field of Emergency Medicine with an interested medical student for one hour. Discussed personal experience and satisfaction with the field. Provided guidance regarding independent outside sources of literature and web sites available for further investigation of careers in EM.
- not entered -	Simulated Trauma Resuscitation 30 resident and student learners, 2 hours. Developed and implemented a simulated trauma resuscitation which was run by small groups of residents/students. Debriefing and tips for improvement were given.

Administrative Teaching Roles

3/2007 - 9/2007	Acting Residency Director - Emergency Medicine Performed all duties required of residency program director while Dr. Greg Guldner, the previous program director, was deployed to Iraq with the US army.
7/2006 - 2/2007	Associate Residency Director - Emergency Medicine As associate residency director I was responsible for supporting the residency director in meeting ACGME requirements for emergency medicine training. A limited list of responsibilities include: didactic preparation, scheduling, development, resident block schedules and emergency department schedules, monitoring of work duty hour violations, direct supervisor of the class of 2005, 2007, 2008, 2010. Residency committees: Academic advisory group, residency leadership executive committee, residency leadership committee, residency well being committee, residency promotions committee, residency recruiting and selections committee, residency curriculum and outcomes project committee.
9/2005	Associate Program Director - Department of Emergency Medicine - Resident Recruitment Video revisions Reviewed previous resident recruitment video shown to emergency medicine applicants on their interview day. Wrote an updated script, shot additional video of new faculty and educational curriculum, and recruited professional voice-over artist for narration. Video was edited by myself and was well received by the 2004-2005 applicants on their interview day.
7/2005 - 6/2006	Associate Program Director - Department of Emergency Medicine - Didactic Coordinator As the emergency medicine didactic coordinator I developed and implemented a schedule that covers the core curriculum of Emergency Medicine. Session are 5 hours each week. Formats include simulations, "gadgets and gizmos" labs in which equipment function and use is taught, Ultrasound labs, journal clubs, as well as traditional lectures. My duties include recruiting physicians to teach, coordinating curriculum to build upon previously learned skills, and providing logistical support for educators on the days of their sessions
7/2005	Associate Program Director - Department of Emergency Medicine - Intern Didactic Coordinator Assisted chief residents in development of didactic curriculum for incoming PGY1 class. Provided specific background on past didactic sessions taught to incoming classes and the feedback given by those classes to residency leadership. Assisted in providing scheduling guidelines for the educational sessions.
7/2005 - 6/2006	Associate Program Director - Department of Emergency Medicine - Off service physician coordinator Developed work duty hour and scheduling guidelines for non-emergency medicine residents rotating in the LLUMC emergency department. Provided direction and oversight to chief residents as they developed the monthly ED shift schedule. Reviewed the schedule to ensure educational goals and objectives were meeting residency guidelines. Oversaw any emergency changes that occasionally became necessary due to illness or family emergencies. At the conclusion of the month evaluations of resident performance was gathered and collated. A final evaluation was given to the rotating resident and the respective program director. This administrative teaching role was repeated monthly. Off service physicians rotating in the emergency department include physicians from the following departments: Ob/Gyn, Preventive Medicine, Psychiatry, Internal Medicine, and Pediatric Emergency Medicine Fellows.
2/2005 - 6/2005	Associate Program Director - Department of Emergency Medicine - Didactic Coordinator As the emergency medicine didactic coordinator I developed and implemented a schedule that covers the core curriculum of Emergency Medicine. Session are 5 hours each week. Formats include simulations, "gadgets and gizmos" labs in which equipment function and proper technique is taught, Ultrasound labs, journal clubs, as well as traditional lectures. My duties include recruiting physicians to teach, coordinating curriculum to build upon previously learned skills, and providing logistical support for educators on the days of their sessions.
2/2005 - 6/2005	Associate Program Director - Department of Emergency Medicine - Resident Scheduling Developed work duty hour and scheduling guidelines for emergency medicine residents rotating in the LLUMC emergency department. Provided direction and oversight to chief residents as they developed the monthly ED shift schedule. Reviewed the schedule to ensure educational goals and objectives were meeting residency guidelines. Oversaw any emergency changes that occasionally became necessary due to illness or family emergencies. This administrative teaching role was repeated monthly.
10/2004 - 2/2005	Acting Program Director - Department of Emergency Medicine Provided residency leadership during the temporary deployment of the primary program director, Dr. Greg Guldner, with the United States Army. Implemented ACGME program requirements, interfaced with the house staff office on issues related to residency training, oversaw the residency budget, ensured compliance with work duty hours, actively recruited medical students for the 2004-2005 incoming EM class, addressed necessary advancement and remediation issues with residents, and directed the residency coordinator in specific tasks.
10/2004 - 2/2005	Acting Program Director - Department of Emergency Medicine - Chair EM Residency Recruiting and Selections Committee Interviewed medical students applying to the emergency medicine residency program. Evaluated the applicants according to the emergency medicine resident selection guidelines and institutional mission. Led the committee in creating a rank order list of all interviewed applicants for the NMRP match list. Over 100 applicants interviewed and ranked by the selections committee.
10/2004 - 2/2005	Acting Program Director Department of Emergency Medicine - Resident Scheduling Developed work duty hour and scheduling guidelines for emergency medicine residents rotating in the LLUMC emergency department. Provided direction and oversight to chief residents as they developed the monthly ED shift schedule. Reviewed the schedule to ensure educational goals and objectives were meeting residency guidelines. Oversaw any emergency changes that occasionally became necessary due to illness or family emergencies. This administrative teach role was repeated monthly.
9/2004 - 10/2005	Associate Program Director - Department of Emergency Medicine - Applicant Reviewer Reviewed medical students applying by ERAS to the emergency medicine residency program. Evaluated the applicants according to the emergency medicine resident selection guidelines and institutional mission. Categorized the applicants into groups the selections committee would give priority to interviewing. Over 400 applicants reviewed in detail.
7/2004 - 10/2005	Associate Program Director - Department of Emergency Medicine - Didactic Coordinator As the emergency medicine didactic coordinator I developed and implemented a schedule that covers the core curriculum of Emergency Medicine. Session are 5 hours each week. Formats include simulations, "gadgets and gizmos" labs in which equipment function and use is taught, Ultrasound labs, journal clubs, as well as traditional lectures. My duties include recruiting physicians to teach, coordinating curriculum to build upon previously learned skills, and providing logistical support for educators on the days of their sessions.
7/2004 - 6/2005	Associate Program Director - Department of Emergency Medicine - Grand Rounds Coordinator As the emergency medicine grand rounds coordinator I developed and implemented a grand rounds didactic schedule that supplemented the already running emergency medicine didactic schedule. Experts in various fields of emergency medicine were brought to speak on their select topics. Specialists included representatives from the American Academy of Emergency Medicine, American College of Emergency Medicine, and the University of Southern California.
7/2004	Associate Program Director - Department of Emergency Medicine - Intern Didactic Coordinator Assisted chief residents in development of didactic curriculum for incoming PGY1 class. Provided specific background on past didactic sessions taught to incoming classes and the feedback given by those classes to residency leadership. Assisted in providing scheduling guidelines for the educational sessions.
7/2004 - 6/2005	Associate Program Director - Department of Emergency Medicine - Off service rotation liason Coordinated off service elective rotations and liasoned with off service directors when necessary for the EM class of 2005.
7/2004 - 6/2005	Associate Program Director - Department of Emergency Medicine - Pediatric Forum Resident Presentation Coordinator As the pediatric forum resident presentation coordinator I worked in conjuncture with Dr. Kent Denmark to develop resident physician teaching skills. I coordinated PGY 2 resident physician didactic scheduling, assisted in mentoring and arranging additional mentors, and providing formal feedback to resident physicians after their presentation.
7/2004 - 10/2004	Associate Program Director - Department of Emergency Medicine - Resident Scheduling Developed work duty hour and scheduling guidelines for emergency medicine residents rotating in the LLUMC emergency department. Provided direction and oversight to chief residents as they developed the monthly ED shift schedule. Reviewed the schedule to ensure educational goals and objectives were meeting residency guidelines. Oversaw any emergency changes that occasionally became necessary due to illness or family emergencies. This administrative teaching role was repeated monthly.
7/2004 - 6/2005	Associate Program Director - Department of Emergency Medicine - Web Site Coordinator Evaluated monthly the EM residency web site to ensure all links were current and working and that data was still up to date. Submitted revisions to webmaster when appropriate. Yearly reviewed competitors web sites to ensure Loma Linda EM remained on the cutting edge of EM education.
7/2004	Tattoo Removal Liason Participated in the tattoo removal program when scheduled physicians had to cancel. Publicized program among EM attending staff and resident physicians to encourage additional physician participation.
6/2004 - 7/2005	Associate Program Director - Department of Emergency Medicine - Off service physician coordinator Developed work duty hour and scheduling guidelines for non-emergency medicine residents rotating in the LLUMC emergency department. Provided direction and oversight to chief residents as they developed the monthly ED shift schedule. Reviewed the schedule to ensure educational goals and objectives were meeting residency guidelines. Oversaw any emergency changes that occasionally became necessary due to illness or family emergencies. At the conclusion of the month evaluations of resident performance was gathered and collated. A final evaluation was given to the rotating resident and the respective program director. This administrative teaching role was repeated monthly. Off service physicians rotating in the emergency department include physicians from the following departments: Ob/Gyn, Preventive Medicine, Psychiatry, Internal Medicine, and Pediatric Emergency Medicine Fellows.

Instructional Prep of New Material

6/2007	Emergency Medicine Wilderness Toxicology elective Developed an emergency medicine elective that facilitates resident learning of wilderness medicine and encounters with venomous animals in the world.
4/2007	EM reimbursement in emergency medicine elective Assisted in the development of an elective designed to teach emergency medicine residents the key components of coding and billing in emergency medicine
5/2005	Pediatric Emergency Medicine Nursing Clinical & Administrative Skills Elective Developed and assisted in the implementation of a new Pediatric Emergency Medicine residency elective that focuses on nursing/physician professional relationships and PEM administration.
2/2005 - 3/2005	Megacode Simulation Session Developed and implemented a megacode simulation session for EM residents and LLUMC medical students. Total learners 25, one hour.
9/2004	Core Competency Evaluation Video Assisted in the production of a video simulated patient encounter for training and standardizing attending physicians in evaluating the EM core competencies.
3/2004	Pediatric Mock Code Simulations Developed and implemented pediatric mock code scenarios with models and mannequins for both teaching simulations and assessment of ACGME outcome measures. Pediatric mock codes have been successfully implemented into the new EM didactic schedule.