Mark Angelos, MD
Chair, Department of Emergency Medicine
It is my great pleasure to lead this team of highly skilled and dedicated professionals who aim to integrate the missions of clinical care, education and research in order to improve and personalize emergency care. After over 30 years of clinical, educational and research experience in the provision of emergency medical care, I have substantial experience to help lead the department into the future, but I do this together with my emergency care colleagues. Currently, we have a number of departmental initiatives including updating and modernizing these web pages, while we continue to support our exceptionally strong medical student activities. Other initiatives include improving our own wellness, growing clinical research programs and geriatric emergency care, improving educational translation, diversity enhancements and faculty development, as well as other areas as they are identified.
Eric Adkins, MD
Vice Chair for Clinical Affairs, Department of Emergency Medicine
It is truly an exciting time to be a member of the outstanding team in emergency medicine here at The Ohio State University. We are a committed to delivering compassionate, high quality, evidence based and personalized care to the many patients that seek treatment from our team members every day. The breadth and scope of our clinically offerings, the reach of our department's clinical footprint, the expertise of our faculty and the future growth that is planned here at OSU is certainly unique and exciting. We are fortunate to work in an environment where students, residents, attendings and nursing staff work collaboratively toward a shared vision of excellence. A brief summary of our clinical operations is as follows:
The Abercrombie and Fitch Emergency Department at The Ohio State University Wexner Medical Center is located in the heart of one of the largest university campuses in the country and serves as the point of entry for OSU's University Hospital, the James Cancer Hospital, the Ross Heart Hospital and the Harding Psychiatric Hospital. We are an academic Level 1 Trauma Center, Joint Commission Accredited Comprehensive Stroke Center, ABA Accredited Burn Center, Level Cardiovascular Emergency Program and regional STEMI referral center. Our emergency department, which was fully renovated and significantly expanded in 2014 and 2015, now has more than 105 treatment spaces and is almost two football fields in length, making it one of the largest and best equipped academic emergency departments in the country. We enjoy a high acuity, high complexity, tertiary care patient population with an expected annual census of almost 80,000 patients this year. Located at the base of a new 21-story Cancer and Critical Care Tower, our new emergency department also contains the first fully integrated cancer/oncology emergency department with 15 treatment spaced dedicated to our patients with hematologic and oncologic emergencies.
Our inner city community hospital at OSU East is a model of emergency department clinical efficiency and manages over 54,000 patients annually. Supervised and managed by our faculty, this clinical site serves as an outstanding pathophysiology complement to our tertiary care setting for our trainees, and increasingly has tertiary care services such as its own STEMI, stroke and sepsis programs. Our Clinical Decision Unit is a national best practice example for the care of emergency department based observation patients, and offers numerous care protocols to manage patients that require more time and resources to determine their ability to be discharged or need for inpatient admission. Our hyperbaric oxygen (HBO) unit (lead by three board certified emergency medicine faculty members) is one of only two centers in the state of Ohio that offers 24/7 access to HBO services for patients with emergent indications such as carbon monoxide poisoning, necrotizing fasciitis and air embolism. Our AfterHours clinics at Martha Morehouse and Gahanna provide both traditional urgent care services as well as many resources usually found exclusively in the emergency department setting. These unique and innovative ambulatory clinics are run and managed by our faculty and helps provide critical access to a wide range of services that benefit the University Health Plan and the University community.
As you can see, Ohio State is an exciting place to learn and practice emergency medicine. We (as a department and medical center) are thriving, growing and expanding our reach at a time where others are challenged to succeed. While we have outstanding facilities, impressive scope to our clinical operations and opportunities for education and practice, what truly sets us apart are the amazing people that work here. We are proud Buckeyes that are passionate about our community, our team and our University. If you similarly share a passion for pushing boundaries and defining the future of our specialty in emergency medicine, please consider joining us.
Jeffrey Caterino, MD
Vice Chair for Research, Department of Emergency Medicine
Research is one of the Department of Emergency Medicine's core missions. The research mission allows for engagement of faculty, fellows, residents, students and research staff. We have built a strong and sustainable clinical research program which receives funding from NIH, foundation, and industry sources. Our infrastructure includes a research nurse manager, four research coordinators and three research assistants, as well as biostatistics and study design assistance.
The clinical research group has received NIH funding in multiple areas. Dr. Caterino's R01-funded work is in the area of developing novel diagnostics for urinary tract infection in older adults. The group also successfully participates in several large-scale NIH research consortia. Dr. Terndrup is co-PI of the Ohio consortia for the PETAL (Prevention and Early Treatment of Acute Lung Injury) Network. Drs. Caterino and Terndrup are co-PIs in Ohio State's neurologic study groups - NETT and StrokeNet. The department also participates as a study site for several R01 trials in syncope, respiratory infection and suicide prevention, among others. Additional areas of funding and interest include resuscitation, prehospital and stroke.
The department has a long standing laboratory research effort initially lead by Dr. Charles Brown from 1985-1995 and subsequently led by Dr. Angelos. Since 1995, we have trained a variety of research fellows and graduate students, three of whom obtained their PhD and three who obtained their master's degree while working in our laboratory. Current investigators include Andy Chen, PhD, an NIH-funded investigator, and Mahmoud Khan, PhD. We currently have two large, well-resourced laboratories located in the Davis Heart Lung Research Institute. Our laboratory research program focuses on cardiac injury.
In addition to our laboratory and clinical research programs, we have a core group of faculty educators in our department who are engaged in educational research and have a strong track record of publication in this area. Dr. Sorabh Khandelwal and Dr. Nick Kman are focused on medical student education and Dr. Dan Martin and Dr. Diane Gorgas together with the residency leadership team are examining teaching methods in residency learning. Dr. David Bahner, a world-recognized expert in ultrasound education, has published multiple studies in this area. These areas represent important areas of research for our specialty.
There is ample opportunity for trainees to participate in research. The department accepts up to one research fellow a year into our SAEM-approved fellowship. The goal is to provide appropriate mentorship to allow the fellow to complete an advanced degree and to be competitive for NIH K08 or K23 funding upon graduation. For 2016, the residency has instituted tracks including a research track. Residents selecting this track will be mentored with the goal of understanding research methodology and study design, design and complete a research project, and be introduced to grant applications. Upon completion, they will be ready to pursue research fellowships if desired and/or be able to design and conduct trials independently. Other residents and medical students are able to participate in research projects in any of the areas described above.
The future of research in the Department of Emergency Medicine is bright. We are strongly committed to growing this mission over the next years in conjunction with the College of Medicine's goal to increase our research standing. We will do this by expanding our base of research faculty, ensuring the success of those faculty and increasing involvement of trainees in the research mission.
Diane L. Gorgas, MD
Vice Chair for Academic Affairs
As the Vice Chair of Academic Affairs here at Ohio State, I have the privilege of overseeing faculty recruitment, development, and retention. The cornerstone of Ohio State's excellence in education, research, and clinical services is the strength of our faculty. The faculty is a diverse group of skilled clinicians, who share a passion for academic emergency medicine, which translates into a creative and energetic education group, a national presence in clinical research, and an outstanding local, regional, and national reputation in clinical care. Diversity is a core value of our faculty, and of the university and college of medicine. Serving on the college of medicine's Diversity Counsel and leading the subcommittee examining disparities of care here at the medical center, we are a department deeply committed to eliminating disparities of care and are widely recognized throughout the medical center as thought leaders in this area, and national leaders in the development of curriculum in health care disparities education. As the executive director of the Office of Global Health at Ohio State, the opportunities afforded to both trainees and faculty within global health, public health, or health care administrative interests in low income countries are limitless. It is through this lens that the Department of Emergency Medicine focuses its efforts to deliver quality, sustainable, affordable emergency care beyond the geographic limits of central Ohio, and truly act as catalysts for change in the world.
Daniel Martin, MD
Vice Chair for Education, Department of Emergency Medicine
Our education mission within the Department of Emergency Medicine here at The Ohio State University has grown immensely in size and impact since the start of our residency program in 1982. Over half of our faculty are clinical educator faculty and are committed to education at a variety of levels. This includes education and teaching at the medical student level in our College of Medicine, residency and fellowship education and faculty development. At all levels, our goal is to strive for excellence through state-of-the-art innovation and scholarship and to disseminate this expertise throughout our specialty of emergency medicine. We want to add value to our students, residents, fellows and faculty so they in turn can add value to others in emergency medicine and ultimately to our patients and to our specialty. We want to provide our learners with limitless academic and educational opportunities.
Several of our faculty members are supported by our College of Medicine at multiple levels and have been active at scholarship dissemination nationally and internationally. This includes significant leadership positions in many areas of our new curriculum, ranging from assistant dean to expert educator, portfolio coaches and clerkship directors. Several of these faculty members have created curricula, developed innovations and have presented education scholarship at a variety of national forums ranging from SAEM to CORD to the AAMC. Several have been recognized by our College of Medicine with prestigious awards such as "The Courage to Teach Award" and "Professor of the Year." Our education impact is palpable as the specialty of emergency medicine has become one of the most popular specialties among graduating students. Our students not only experience elective third year and required fourth year rotations in emergency medicine at our multiple sites, but they also have the opportunity to experience Advanced Topics in Emergency Medicine (ATEM) and Honors Ultrasound. These advanced longitudinal curricula are designed to bridge the gap between medical student education and residency experiences. During these advanced experiences, our students get the opportunity to participate in required scholarship and lectures.
Our residency now includes our three-year categorical programs with a recent expansion to 14 residents per year as well as our new Emergency Medicine/Internal Medicine Residency program which began in July of 2013. Our residency program leadership has had considerable national impact with representation and involvement in many organizational areas such as ABEM, CORD, ACEP, SAEM and the ACGME. Residents have the opportunity to gain exposure to a variety of clinical problems at multiple sites. Their training also emphasizes education and teaching excellence by teaching students and residents at the bedside, in our skills lab and through lectures. They can also choose specific areas of concentration to begin to prepare for any future career paths. Many choose to complete fellowships and gravitate toward academic careers and leadership positions.
After residency training, our department and our medical center offer a number of important fellowships. Emergency Medicine Residency graduates have completed fellowship training in areas such as toxicology, pediatric emergency medicine, ultrasound, administration, critical care, sports medicine and research. Recent fellowships just developed include EMS and medical education.
The most exciting feature of these education areas are the collaboration and facilitation between them. Our fellows provide teaching and education to our residents and our residents have a curriculum regarding the education of our students. In fact, our Emergency Medicine ATEM students participate in a tiered mentorship program designed to provide mentorship to first and second year students. Meanwhile our committed education faculty provides education expertise and innovation at every educational level. Limitless education and academic opportunity provides a maximal impact and a positive influence on the specialty of emergency medicine.