Commitment .

Committed to the educational development of residents, our faculty provide a wealth of opportunities, teaching and mentorship to our program.

Publications .

Our faculty have a distinguished record of scholarly achievement as evidenced by an active publication record. Recent publications from the Georgetown University Hospital / Washington Hospital Center Emergency Medicine Faculty touch on all aspects of emergency medicine.

The Impact of Maryland’s Global Budget Payment Reform on Emergency Department Admission Rates in a Single Health System

Jessica E. Galarraga, MD, MPH, William J. Frohna, MD, and Jesse M. Pines, MD, MBA, MSCE

Acad Emerg Med. 2019 Jan;26(1):68-78. PMID: 29931705

Abstract: In 2014, the state of Maryland (MD) moved away from fee-for-service payments and into a global budget revenue (GBR) structure where hospitals have a fixed revenue target, independent of patient volume or services provided. We assess the effects of GBR adoption on emergency department (ED) admission decisions among adult encounters. We used hospital medical record and billing data from adult ED encounters from January 1, 2011, through December 31, 2015, with four MD hospitals and two District of Columbia (DC) hospitals within the same health system. We performed difference-in-differences analysis and calculated the effects of the GBR model on ED admission rates (inpatient and observation) using hospital fixed-effect regression adjusted for patient, hospital, and community factors. We also examined changes in the distribution of acuity among ED admissions with GBR adoption. The study sample included 1,492,953 ED encounters with a mean ED admission rate of 20.5%. The ED admission rate difference pre- and post-GBR was –1.14% (95% confidence interval [CI] = –0.89 to –1.40) for MD hospitals and –0.04% (95% CI = –0.24 to 0.32) for DC hospitals with a difference-in-differences result of –1.10% (95% CI = –1.34 to –0.86). This change was attributable to a –3.3% (95% CI = –3.54 to –3.08) decline in inpatient admissions and 2.7% (95% CI = 2.53 to 2.79) increase in observation admissions. Declines in admissions were observed primarily among mild-to-moderate severity of illness encounters with a low risk of mortality. Within the same health system, implementation of global budgeting in MD hospitals was associated with a decline in ED admissions—particularly lower-acuity admissions—compared to DC hospitals that remained under fee-for-service payments…

The Association Between Arterial Oxygen Tension and Neurological Outcome After Cardiac Arrest.

Johnson NJ, Dodampahala K, Rosselot B, Perman SM, Mikkelsen ME, Goyal M, Gaieski DF, Grossestreuer AV

Ther Hypothermia Temp Manag. 2017 Mar;7(1):36-41 PMID: 27383062 [PubMed – indexed for MEDLINE]

Abstract: A number of observational studies have evaluated the association between arterial oxygen tensions and outcome after cardiac arrest with variable results. The objective of this study is to determine the association between arterial oxygen tension and neurological outcome after cardiac arrest. A retrospective cohort analysis was performed using the Penn Alliance for Therapeutic Hypothermia registry. Adult patients who experienced return of spontaneous circulation after in-hospital or out-of-hospital cardiac arrest (OHCA) and had a partial pressure of arterial oxygen (PaO2) recorded within 48 hours were included. Our primary exposure of interest was PaO2. Hyperoxemia was defined as PaO2 > 300 mmHg, hypoxemia as PaO2 < 60 mmHg, and optimal oxygenation as PaO2 60-300 mmHg. The primary outcome was neurological function at hospital discharge among survivors, as described by the cerebral performance category (CPC) score, dichotomized into “favorable” (CPCs 1-2) and “unfavorable” (CPCs 3-5). Secondary outcomes included in-hospital mortality. A total of 544 patients from 13 institutions were included. Average age was 61 years, 56% were male, and 51% were white. A total of 64% experienced OHCA, 81% of arrests were witnessed, and pulseless electrical activity was the most common initial rhythm (40%). More than 72% of the patients had cardiac etiology for their arrests, and 55% underwent targeted temperature management. A total of 38% of patients survived to hospital discharge. There was no significant association between PaO2 at any time interval and neurological outcome at hospital discharge. Hyperoxemia at 12 hours after cardiac arrest was associated with decreased odds of survival (OR 0.17 [0.03-0.89], p = 0.032). There was no significant association between arterial oxygen tension measured within the first 48 hours after cardiac arrest and neurological outcome…

Awards and Recognition .

FACULTY OF THE YEAR

Energetic, dynamic, infatigable, ambitious, and supportive, this is the faculty member we want around all the time. They teach the art of medicine, negotiation, residency survival, and humanism. This is the faculty member we hope is on the schedule with us, the one that perks our spirits on the long ride into work. This individual is active in our education, a powerhouse of ideas regarding opportunities to further our careers, and a stellar example of what it means to be an emergency medicine physician both inside and outside of the department. Above all, this person consistently has the resident’s well being and interest high on their list of priorities and is always approachable.

2019 Recipient

Munish Goyal, MD

2018 Recipient

Lou Asaro, MD

2017 Recipient

Jon Davis, MD

2016 Recipient

Rahul Bhat, MD

2015 Recipient

Susie O’Mara, MD

2014 Recipient

Sangeeta Wood, MD

JUNIOR FACULTY OF THE YEAR AWARD

Starting a new job at an unfamiliar place can be daunting, but some people shine through from their first steps through the door. As a group, we wanted to recognize the new faculty member who has put in the extra effort not only to become part of the clinical culture of our ED’s, but also part of the fabric of the residency. This award goes to the faculty member whose first year at the program has been marked by enthusiasm and dedication to our education and well-being during their first year at the program.

2019 Recipient

Diana Ladkany, MD

2018 Recipient

Hasan Chaudhary, MD

2017 Recipient

Eric Leroux, MD

2016 Recipient

Anantha Mallia, DO

2015 Recipient

Kate Kellogg, MD

2014 Recipient

Julie Vieth, MD

OFF SERVICE FACULTY OF THE YEAR AWARD

A good deal of our education comes from outside our own department, especially during our second year in the form of taking care of the sickest of the sick, delivering the “most beautiful” of babies, and all the injured patients who were just “minding their own business.” As a group, we wanted to recognize the off service faculty who step up to the plate and take the time to educate us. Influential, informative; this person is a superb teacher. They treat us like their own, for better or for worse, and we cannot imagine a residency without their efforts.

2019 Recipient

Laura Johnson, MD (MedStar Trauma)

2018 Recipient

Taher Lashkeri, MD (INOVA Fairfax)

2017 Recipient

Laura Johnson, MD (MedStar Trauma)

2016 Recipient

David Friedman, MD (Peds EM, Shady Grove)

2015 Recipient

Robert Larkin, MD (MedStar Montgomery ED)

2014 Recipient

Allen Roberts, MD (MGUH MICU)

CLINICAL TEACHER OF THE YEAR AWARD

Bridging basic science, bedside teaching, and the latest studies, this faculty member is an exceptional teacher both in deed and word. They lead us by granting autonomy when we are ready for it, and filling the gap when we think we are. Calm, collected, patient, we know we will be thinking of something they taught us when we are out and on our own one day soon. This person is able to teach the ability to reason and find information in addition to providing the information itself.

2019 Recipient

Hasan Chaudhary, MD

2018 Recipient

Jake Isserman, MD

2017 Recipient

Ethan Booker, MD

2016 Recipient

Munish Goyal, MD

2015 Recipient

Rahul Bhat, MD

2014 Recipient

Rahul Bhat, MD

MENTOR OF THE YEAR AWARD

Seasoned and experienced, this person is one of the most supportive and trusted members of the faculty. They are our most trusted guide and confidant. This individual contributes to the spirit of the program on a day to day basis. They ground us when we are trying to do too much and lifts our thoughts when we hit the bottom. A wealth of good advice and good attitude, we want to be like this faculty member when the time comes to mentor students or other residents.

2019 Recipient

Beth Pontius, MD

2018 Recipient

Sangeeta Wood, MD

2017 Recipient

Janet Smereck, MD

2016 Recipient

Sangeeta Wood, MD

2015 Recipient

Sangeeta Wood, MD

2014 Recipient

Julie Vieth, MD

SPEAKER OF THE YEAR AWARD

Giving a good presentation is difficult. To be relevant, to be insightful but not complex, and to impact our daily practice requires so much skill. When subjects are boring, this person brings them to life. This award goes to the faculty member whose didactic presentations are energetic, organized, well researched and memorable.

2019 Recipient

Joelle Borhart, MD

2018 Recipient

Susie O’Mara, MD

2017 Recipient

Liz Delasobera, MD

2016 Recipient

Joelle Borhart, MD

2015 Recipient

Joelle Borhart, MD

2014 Recipient

Joelle Borhart, MD

NURSE OF THE YEAR AWARD

The nurse of the year award recognizes a nurse who is committed to providing thorough, compassionate, patient focused care in the midst of the extremely busy and crowded setting of our emergency departments. Residents and Faculty feel that this nurse exemplifies what it means to practice medicine together as an interdisciplinary team and hope to recognize their dedication to helping our team function safely and efficiently in order to provide the absolute best care for our patients. 

2019 Recipient

Matthew Donovan, RN