RESIDENTS REPORT

The emergency medicine (EM) residents of St. Joseph’s Medical Center (SJMC) won second place on April 1, 2022, at the SIMposium competition during the Society of Academic Emergency Medicine Western Regional Conference held at Stanford University. Other contenders included EM resident teams from Stanford University, UC Davis, Kaweah Health, and Kaiser Permanente Central Valley. Teams

competed in the management of simulated patient encounters designed around the theme of “Tech Failures”.

During the first round, the SJMC team successfully managed and resuscitated a patient with an LVAD failure and concomitant GI bleeding. Other cases included failures of different medication pumps as well as having completely no electricity in the building. The SJMC team advanced with Stanford to the finals, managing a pediatric patient in DKA with failure of his insulin pump and subsequent cerebral edema.

Despite their expert management, the SJMC team narrowly lost in the final round but took home the second-place award and the respect of their regional peers. The SJMC team consisted of EM residents

Drs. Kandria Ledesma, Manny Lopez, and Juliana Thong. Additionally, Drs. Kim “Ivy” Pham and Kyle Hill drafted and submitted a case of a van inhabitant that sustained carbon monoxide and cyanide after an electric fire. Drs. Matthew Kiefer and Yasmin Soltanian, Emergency Medicine Faculty at SJMC, were advisors to the resident team.

Two Internal Medicine resident physicians, Dr. Solomon Badejoko and Dr. Parampreet Singh from St. SJMC Internal Medicine residents Joseph’s Medical Center, Stockton, CA attended the recent American College of Cardiology Annual Scientific Session & Expo in Washington DC from April 2-4, 2022. This meeting attracted thousands of cardiology experts from all over the world. Dr. Badejoko and Dr. Singh gave a complex case poster presentation, titled “Long Lost Micra Leadless Pacemaker Found in the Right Pulmonary Artery”. The supervising electrophysiologist was Dr. Rashaad Chothia. Based on their literature review, this is the first published

case of a successfully retrieved Micra leadless pacemaker, 12 weeks after dislodgment and embolization. Also, there are no standard guideline for retrieving such late embolized pacemaker. Moreover, the novel “double-snare technique” was used in order to reduce the risk of collateral cardiac damage. These data make their presentation quite compelling. Micra is one of the smallest leadless pacemakers presently. It is inserted at the right ventricular apex through percutaneous cardiac catheterization.

St. Joseph’s Medical Center is excited to share they have two new specialties in the GME program. The neurology program will be training four residents per year and will have rotations at both UC Davis and another Dignity Health facility, Mercy Medical Group. The urology program will train two residents per year and will have rotations at the VA Sacramento, Sutter Gould, Kaiser Roseville and Manteca/Modesto. In July 2022, there is a projected total of 132 total residents in St. Joseph’s GME program. In addition to urology and neurology, the program also includes anesthesiology, emergency medicine, family medicine, internal medicine, and psychiatry.

Since 1932, every Spring San Joaquin Class of 2022 General Surgery residents General Hospital has graduated competent medical residents with a high level of specialty medical education. San Joaquin General Hospital sponsors three residency programs: General Surgery, Internal Medicine, and Family Medicine. All residency programs are fully accredited by the Accreditation Council for Graduate Medical Education. The residency programs provide community-based education, with comprehensive training in inpatient and outpatient services and procedural skills, serving a very diverse San Joaquin County patient population. Medical physicians seeking a specialty through education at San Joaquin General see a wide range of medical conditions. The Hospital trains medical graduates with advanced medical technologies such as robotic surgery and state-of-the-art medical science practices. The Hospital’s residency programs are affiliated with the University of California, Davis Medical Center. Hospital residents also receive training and education through Dignity Health- St. Joseph’s Hospital and UCSF Medical Center. The Graduate Medical Education program is overseen by Sheela Kapre, MD, SJGH Designated Institutional Officer and Chief Medical Officer. The intent of the Hospital’s Graduate Medical Education program is to bring experienced specialty physicians to work in the communities of San Joaquin County. Many of the physicians practicing locally were trained at San Joaquin General Hospital. The general surgery class of 2022 features: Danielle Berera, MD, who has received a Surgical Critical Care Fellowship at Stanford University. Ying "Benjamin” Tan, MD, who has received a Minimally Invasive Surgery fellowship at the Cleveland Clinic Florida and Ariel Rodgers, MD, who has received a Burn Surgery fellowship at University of Utah.

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