For Health Professionals
Research
The Emergency Medicine Research Department would like to welcome you to Christiana Care! We have a long tradition of supporting resident research projects and would like to answer a few questions regarding our program:
How much support will I have to get my scholarly activity done?
In a word, lots. From Day 1 you are assigned a research faculty mentor. This experienced faculty member meets with you at least twice yearly to go over your goals, ideas and progress. You also have access to 5 full-time EM Research Nurses who are able to assist you with planning your project, submitting to the IRB and collecting data. Finally, Christiana Care librarians are available to assist with literature searches and we have many tools available for writing your abstracts and manuscripts.
Do I have to do a scholarly project?
Well, yes. This is a requirement of all EM residents. However, all our residents were authors on the EMRA Antibiotic Guide, edited by one of our research faculty, Dr. Brian Levine. Further, many residents choose to submit their CPC case presentations to the Delaware Medical Journal and other publications. Finally, most of our residents choose to take their scholarly activity to the next level and present their abstracts at national meetings.
What are the major areas of research interest at Christiana Care?
Our faculty have a number of interests. They include Ultrasound (Dr. Paul Sierzenski and Dr. Michael Breyer), EMS (Dr. Ross Megargel), Infection Disease and Psychiatry (Dr. Brian Levine), Neurology/Stroke (Dr. Sierzenski), Overcrowding and Administration (Dr. Heather Farley) and Resident Education (Dr. Breyer and Dr. Farley).
How successful are residents at getting their projects accepted at national meetings?
Very! At this year's ACEP Research Forum in Seattle, Washington, Christiana Care EM residents presented 9 abstracts. More than 20 residents were involved with these projects. Christiana Care residents have also had presented multiple abstracts at the National Association of EMS Physicians (NAEMSP), Society for Academic Emergency Medicine (SAEM) and the World Congress on Ultrasound in Emergency and Critical Care Medicine.
What if I want more information about research at Christiana Care?
Feel free to contact Melissa Bollinger, RN, Manager of EM Research, at 302-733-4189, mbollinger@christianacare.org, or Michael Breyer, MD, Associate Program Director, at 302-733-1330, mbreyer@christianacare.org. We would be happy to answer any further questions you may have.
Emergency Medicine
Research Activities 2008-2009
Balls, A.,a, LoVecchio, F. D. O., Stapczynski, S. J. a., Mulrow, M., Levine, B., Berkely, R., et al. (2009). CLEAR: Central line emergency access registry: The CLEAR project protocol methods paper. American Journal of Emergency Medicine, 27(1), 119-122.
Balls, A., Kroeger, A., LoVecchio, F., Stapcyznski, S., Levine, B., Berkely, R., et al. (2008). Ultrasound use during central venous catheter placement: Results from the CLEAR (central line emergency access registry) database: 545. Academic Emergency Medicine, 15(5) (Supplement 1), S214-S215.
Barreto, A., Sharma, V., Lao, A., Schellinger, P. Amarenco, P. Sierzenski, P., Alexandrov, A.et al. (2009). Safety and dose-escalation study design of Transcranial Ultrasound in Clinical SONolysis for acute ischemic stroke: the TUCSON Trial. International Journal of Stroke 4, 42-48.
Barrett, M, Levine, B, Reed, J, Jasani, N. An Analysis of Resident Productivity: Correlation between Patients per Hour and Relative Value Units per Hour. Presented at SAEM, 2008; Washington , DC. Academic Emerg Med, 2008; 15 (s1): S132.
Barrett, M, Levine, B, Reed, J, Jasani, N. A Comparison of Resident Productivity: Patients per Hour and Relative Value Units per Hour for EM and EM/IM Residents. Presented at SAEM, 2008; Washington , DC. Academic Emerg Med, 2008; 15 (s1):S51.
Baty, G., Polan, D., Nichols, W., Kochert, E., Bollinger, M., Reed III , J. et al. (2008). Emergency physicians more accurately identify the potentially critical, posterior vessel wall needle-tip location by using a long-axis orientation for the ultrasound transducer [Abstract]. Annals of Emergency Medicine, 52(No. 4, Suppl.) S127.
Bauman, M.J., Nomura, J.T., Schofer, J.M., Resurreccion, D., Toulson, K., Reed, J., Sierzenski, P. (2009) Comparative extravasation rates of 1.75-inch and 2.5-inch ultrasound-guided peripheral vascular catheters. Annals of Emergency Medicine. Annals of Emergency Medicine, Vol. 54, Issue 3, Page S87).
Breyer, M., Sadosty, A., Biros, M. (2009) Emergency Medicine Grade, Standardized Letter of Recommendation, and Medical SchoolClass Rank Correlate Positively with Placement of an Interviewee on an Emergency Medicine Residency' s Rank Order List: 151. Academic Emergency Medicine (16, 4) (Sup 1, S63&hyhen;S64.
Breyer, M., Sadosty, A., Biros, M (2009) Class Ranking Systems Reported on the Medical Student Performance Evaluations Are Inconsistent or Unavailable: 125. Academic Emergency Medicine16, 4) (Sup 1, S53&hyhen;S54.
Breyer, M., Giordano, M., Tinjum, B., Getto, L., Rhodes, N., Bollinger, M., Sierzenski, P., O' Connor, R. Emergency Medicine Resident Performed Bedside Ultrasonography of the Gallbladder in Non-fasted Healthy Volunteers, Journal of Emergency Medicine, In Press, Corrected Proof, Available online 26 January 2009
Breyer, M., Jasani, N., Burgess, B., Levine, B., Bollinger, M., Reed, J. (2008)Do Emergency Medicine Faculty Members Agree Which Residency Candidacy Applicants Should Be Invited to Interview? Academic Emerg Med 15 (s1): S70.
Breyer, M., Bollinger, M., Burgess, B., Jasani, N., Levine, B., Reed, J. Do emergency medicine faculty members agree which residency candidacy applicants should be invited to interview? Research presented at the Annual Meeting of the Council of Residency Directors (CORD); February 29-March 1, 2008; New Orleans, LA.
Breyer M, Farley H, Bollinger, M. (2009) Conference Attendance Predicts Clinical Performance for First Year Emergency Medicine Residents. Academic Emergency Medicine. Volume 16 No 4 S1 S49
Daugharthy, J., Leech, S., Papa, L., Nickels, C., Nomura, J., Adhikari, S. (2009) Emergency Physicians Accurately Identify Regional Wall Motion Abnormalities on Echocardiopraphy. Academic Emerg Med. 16 S25.
Dean, A., Breyer, M., Ku, B., Pines, J., (2008)Emergency Ultrasound Usage Among Recent Emergency Medicine Residency Graduates of a Convenience Sample of 14 Residencies. Journal of Emergency Medicine. In Press: doi:10.1016/j.jemermed.2007.12.028
Farley, H., Buehler, G. (2009). An Assessment of Resident Training in Emergency Department Administration. Annals of Emergency Medicine (Vol. 54, Issue 3, Page S9)
Farley H, Canning J, Ahn J, DavisB, Reed J. (200( Emergency Department (ED) Patients 60 Years of Age and Older Report Lower Pain Scores. Acad Emerg Med; 16(4) Suppl 1:S86-87.
Farley H, Breyer M, Riesenberg LA, Bollinger M, Reed J. (2008)The Standardized Direct Observation Tool is a Useful Modality for Providing Feedback to Emergency Medicine Residents. Acad Emerg Med 15(5) Suppl 1:S53.
Farley, H., Lucas, R., Reed, J. (2008). Hourly patient arrivals predict the number of patients who leave without being seen. Annals of Emergency Medicine, Vol. 52, Issue 4, Page S131.
Farley, H., Lagerlund, A., Lake , A., Knox, E., Reed, J. (2008). Emergency department bed utilization practices affect effeciency measure. Annals of Emergency Medicine, Vol. 52, Issue 4, Page S112.
Farley, H., Canning, J., Ahn, J., Lake , A., Reed, J. (2008). Absence of racial disparities in emergency department analgesia administration. Annals of Emergency Medicine, Vol. 52, Issue 4, Page S101-S102.
Farley H., Canning J., Ahn J., Lake A., Reed J (2009) Gender-based disparities in emergency department analgesia administration. Academic Emergency Medicine16 (4) Suppl 1:S83
Farley, H., Choy, H., Ellicott, A., Mascioli, S., Reed, J., Weintraub, W., Reese, C.L. (2009). Utilization of the situation-background-assessment-request, companion phones, and cell phones improves communication with consultants in the emergency department. Annals of Emergency Medicine, Vol. 54, Issue 3, Page S52.
Farley, H., Hines, D., Ross, E., Massucci, J., Alders, V., Reed, J., T, Sweeney, T., Jasani, J., Reese, C., (2009).A Lean-Based Triage Redesign Process Improves Door-to-Room Times and Decreases Number of Patients at Triage. Annals of Emergency Medicine Vol. 54, Issue 3, Page S96
Fox, N., Johsnon, S., Gagliano, N., Passarello, B., Resurreccion, D., Reed, J. (2009). Team training: A tool to improve resident teamwork and communication. American College of Surgeons, Chicago, IL.
Gagliano, N., Passarello, B., Johnson, S., Fox, N., Resurreccion, D., Moore, C., Woods, P., Pirrung, J., Laskowsi Jones, L. (2008) "Implementation of a Team Training Program for Trauma Care: The BETTER (Bringing Enhanced Team Training to the Emergency Room) Initiative". Annals of Emergency Medicine Volume 52, Issue 4, Pages S107-S107
Goodgame, B., Nomura, J., Baty, G., Nichols, W., Reed, J., & Sierzenski, P. (2009). Ultrasound research participation can alter physician perception and practice: 61. Academic Emergency Medicine, 16(4) (Sup 1), S29.
Hong, R., Sierzensk,P., Bollinger, M., Durie, C., O' Connor, R. (2008) Does the simple triage and rapid treatment method appropriately triage patients based on trauma injury severity score? Am J Disaster Med. Sep-Oct;3(5):265-71
Hosmane, V.Mustafa,N., Reddy, V., Reese, C., DiSabatino, A., Kolm, P., Hopkins, J.(2009). Survival and neurologic recovery in patients with ST-segment elevation myocardial infarction resuscitated from cardiac arrest. Journal of the American Collegeof Cardiology 53, 409-415.
Levine, B., Jasani, N., Nichols, W., Reed, J., Mink, J., Powell, J., Sierzenski, P. (2009) Ultrasound Guidance Reduces Adverse Events During Femoral Vein Central Venous Cannulation. (Abstract). Poster Presentation, Mid-Atlantic Regional Meeting of Society of Academic Emergency Medicine, Newark , DE.
Lucas, Ray, Farley, H., Twanmoh, J., Urumov, A., Olsen, N., et al. (2009). Emergency department patient flow: The influence of hospital census variables on emergency department length of stay. Academic Emergency Medicine, 16(7), 597-602. doi:10.1111/j.1553-2712.2009.00397.x
Massucci, J., McGinnis-Hainesworth, D., Resurreccion, D., Megargel, R., O' Connor, R.E. (2008). Gender disparities in the rate of bystander CPR. Pre-hospital Emergency Care, Vol.12 (No. 1, pages 95-139).
Massucci, J.L., Farley, H., Laskowski Jones, L., Knox, E., Alders, V., Toulson, K., Reed, J., Sweeney, T., Jasani, N., Reese, C.L. (2008). Reduction in emergency department fast track length of stay. Annals of Emergency Medicine, Vol. 52, Issue 4, Page S111.
Matthews, P., Nichols, W., Durie, C., McGinnis-Hainsworth, D., Hypes, S., Reed, James III , Schofer, J., Megargel, R. Admission Rates for Walk-In Patients Differ between Suburban and Urban Emergency Departments While Admission Rates for EMSArrivals Show No Significant Difference. (Abstract). American Collegeof Emergency Physicians, Boston , MA. October 2009.
Matthews, P., Durie, C., Hypes, S., McGinnis-Hainsworth, D., Reed III , J., & Megargel, R. (2008). Comparison of emergency department patient admission rates by mode of arrival: Were emergency department transports indicated or was the public "crying wolf?" [Abstract]. Annals of Emergency Medicine, 52(No. 4, Supplement) S153-S154.
Matthews, P., Durie, C., Hypes, S., McGinnis-Hainsworth, D., Reed III , J., & Megargel, R. (2009). Walk-in patients presenting to an urban emergency department are admitted to the hospital less frequently than walk-in patients at a suburban emergency department [Abstract]. Prehospital Emergency Care, 13(1) 147.
Matthews, P., McGinnis-Hainsworth, D., Durie, C., Megargel, R. (2008). Public access defibrillators: Are they used by the "layperson" public? An observational study from Delaware." Pre-hospital Emergency Care, Vol. 12 (No. 1, pages 95-139).
Nomura, J., Sierzenski, P., Bauman, M., Schofer, J., Bollinger, M. (2009) Model for Ultrasound Research Participation Can Alter Physician Perception and Practice. Academic Emergency Medicine 16:S278
Nomura, J. T., Sierzenski, P. R., Nace, J. E., & Bollinger, M. (2008). Cross sectional survey of ultrasound use for central venous catheter insertion among resident physicians. DelawareMedical Journal, 80(7), 255-259.
Nomura, J.T., Goodgame, B.R., Bauman, M.J., Schofer, J.M., Bollinger, M., Reed, J., Sierzenski, P. (2009). Performance of an ultrasound-guided thoracentesis teaching model. Annals of Emergency Medicine, Vol. 54, Issue 3, Page S34.
Passarello, B., Levine, B., Zlupko, G., Angeline, S., Reed, J., & Jasani, N. (2009). ED super users: Pain protocol implementation reduces emergency department visits: 355. Academic Emergency Medicine, 16(4) (Sup 1), S145. doi:10.1111/j.1553-2712.2009.00391.x
Salinski, E., Breyer, M., & Nichols, W. (2009). Emergency medicine interns rate lectures given by physicians higher than lectures given by non-physicians during orientation month: 98. Academic Emergency Medicine, 16(4) (Sup 1), S43. doi:10.1111/j.1553-2712.2009.00391.x
Salinski, E., Breyer, M., & Nichols, W. (2009). Emergency medicine interns rate simulation sessions as the most useful lecture type during orientation month: 84. Academic Emergency Medicine, 16(4) (Sup 1), S38. doi:10.1111/j.1553-2712.2009.00391.x
Sheets, T., Passarello, B., Canning, J., Nichols, W., Reed, J. III . Value of SDOT for Medical Students Rotating Through Emergency Medicine. (Abstract).
Poster Presentation, Council of Emergency Medicine Residency Directors Academic Assembly, Las Vegas , NV. March 2009.
Poster Presentation, Mid-Atlantic Regional Society of Academic Emergency Medicine, Hershey , PA. October 2008.
Sierzenski, P., Kochert, E., Mink, J., Cook, D., Nichols, W., Reed, J. III , Nomura, J. Time to Identify Needle Tip Location is Independent of Ultrasound Transducer Orientation and Physician Level of Training. (Abstract). Poster Presentation, Mid-Atlantic Regional Meeting of Society of Academic Emergency Medicine, Newark , DE. March 2009.
Sierzenski, P., Polan, D., Baty, G., Nichols, W., Kochert, E., Bollinger, M. Reed, J. (2008). Junior emergency medicine residents demonstrate improved accuracy for the identification of a central venous needle-tip with a long-axis ultrasound transducer orientation [Abstract]. Annals of Emergency Medicine, 52(No. 4, Suppl.) S50.
Sierzenski, P. R., Baty, G., Polan, D., Nichols, W., Kochert, E., Bollinger, M., Reed, J. (2008). Long-axis orientation of the ultrasound transducer is more accurate for the identification and determination of vascular access needle-tip location Annals of Emergency Medicine, 52(No. 4, Suppl.) S170.
Sierzinski, P., Hong, R., Bollinger, M., Lake, A., Durie, C., Resurreccion, D., O' Connor, R.E. (2008). Use of VeriChip for access to patient medical history verification significantly decreases emergency care charges among critically injured patients in a randomized, blinded, prospective mass casualty scenario. Annals of Emergency Medicine, Vol. 15, (No. 5, Suppl.).
Thompson S, Breyer M, Bollinger M. (2009) Emergency Medicine Residents Cannot Predict Their Scores During a Mock Oral Boards Session with Their Own Faculty Members. Academic Emergency Medicine. Volume 16 No 4 S1 S54
