Letter from Program Director

Cullen Hegarty, MD

Welcome to the Regions Hospital Emergency Medicine Residency Program website. Our residency program has a proud history of matching strong medical students and training them into outstanding emergency physicians.  At Regions Hospital we are excited to train compassionate, hard working residents who are eager to learn. We provide a friendly, educational atmosphere in which our residents can discover the breadth and depth of Emergency Medicine, while also pursuing their unique career pathways with mentorship and guidance.  Due to the experiences they have during their residency training at Regions, many of our residents match in fellowships or assume leadership positions early in their careers.  Our program is sponsored by the HealthPartners Institute and started training residents in 1996.

Some highlights of training at Regions:

  • Early procedural experience – the PGY-I EM residents manage all of our medical airways, our PGY-II EM residents manage all of the trauma airways and our PGY-III EM residents are the team leaders during medical and pediatric codes and trauma team activations.  This provides a longitudinal experience caring for critically ill ED patients over 3 years.  In our residency we try to get our PGY-I and PGY-II residents as many resuscitative procedures as possible so they can achieve early procedural competency and then focus on teaching and supervising many procedures during their PGY-III year.
  • A focus on critical care – In addition to the critical care experiences in our ED, the residents get to experience 6 weeks of SICU each year, and 1 month in the MICU in the first two years.
  • Advanced sub-specialty training through exposure to our HealthPartners Institute/Regions Hospital-based fellowships in Medical Toxicology, EMS, Quality and Patient Safety, International Medicine and Pediatric Emergency Medicine.  Residents have varied opportunities such as the opportunity to be an Associate Director of an EMS service or with our Quality and Patient Safety team in order to accelerate their professional development.
  • Work in Regions Hospital Emergency Department – we have a critical role in emergency care throughout the Twin Cities, Western Wisconsin and the entire upper Midwest.  Regions is a Level 1 Adult and Pediatric Trauma Center, regional burn center and recognized heart and stroke center. It was the first level 1 Pediatric Trauma Center in the Midwest.  2012 ED data included ~79,000 visits with a 23% admission rate in an ED with 55 treatment rooms and 50,000 square feet of clinical space.
  • Learn in a Center of Excellence – Regions ED was the first academic medical center in the nation and the fourth hospital overall to qualify as an Emergency Center of Excellence. Eligibility for the Emergency Center of Excellence is based on the results of over 100 key performance indicators and compares hospitals on emergency department performance.
  • Experience a unique blend of a community, urban, and university based program all at one site.  Regions Hospital used to be St. Paul-Ramsey (County) Medical Center, and still functions in many ways as the County hospital for our area.  HealthPartners purchased the hospital in the 1990s and has made it the center of their forward thinking healthcare network.  All Regions EMD faculty have appointments with the University of Minnesota Department of Emergency Medicine.
  • Train in St. Paul, Minnesota.  Minnesotans are active, friendly people and the Twin Cities is a great place to live, work, and learn! The quality of living in the Twin Cities is second to none.
  • An emphasis on resident education and wellness which is supported by our ACGME resident survey results. We provide a positive, supportive learning environment.

We are a PGY1-3 residency with 11 residents per class.  To learn more about our program, check out our most recent annual report.

If you are a student interested in rotating with us at Regions, click this link to learn more about our student program and rotation opportunities in Emergency Medicine, Toxicology and Ultrasound.

If you have any questions that we can help you with, feel free to contact us!  I’ll close with a quote from some of our recent chief residents regarding their experience here at Regions, “We have an abundance of clinical exposure and great faculty teaching us in an environment that is challenging yet supportive, helping us grow to provide excellent health care to our patients in the ED and the community.”

We hope you enjoy the website and look forward to getting a chance to meet you!

Cullen Hegarty, MD

Mission, Vision and Values

Mission—Why we’re here:

  • To educate, mentor and inspire the next generation of humanistic emergency physicians to excel in any clinical setting and prepare them as leaders in Emergency Medicine.

Vision—Where we’re headed:

  • Our goal is to be a world-class residency program, which educates
    outstanding emergency physicians and helps define the future practice of emergency medicine through innovative education, research, advocacy and quality improvement.

Values—How we act:

  • Provide a positive team atmosphere where students, residents, fellows, faculty and residency administrative personnel can work, learn, educate and deliver state of the art care in a healthy work environment.
  • Meet or exceed all ACGME standards while prioritizing a resident centered education to service balance.
  • Remain a dynamic residency through transparent feedback mechanisms and forward strategic planning.
  • Recruit motivated, humanistic applicants with strong interpersonal skills who will be engaged contributors to the Regions Hospital Emergency Medicine Department, HealthPartners Institute, University of Minnesota Medical School and our community.
  • Advise and mentor residents to help them achieve their ideal jobs and fellowships through individualized residency pathways and promote lifelong learning.
  • Promote resident involvement in operations, administration, technology, advocacy, ethics and quality as part of our EM curriculum.
  • Focus on resident wellness and the importance of a healthy work-life continuum.
  • Provide a comprehensive residency curriculum to prepare residents to successfully pass ABEM examinations and independently practice EM in any setting.
  • Offer innovative conferences in a positive learning environment using small groups, simulation and adult learning theories.
  • Have collaborative relationships with our hospital and community educational partners with emphasis on EM focused educational goals and objectives.
  • Be humble, respectful, active members of the national EM residency network thru involvement in CORD, SAEM, AAEM and ACEP
  • Aim to improve the health of our population, the patient experience and the affordability of patient centered care.

Letter from the Chief Residents

Chief Residents 2019 – 2020

Max Beck, MD

Zach Finn, MD

Andrea Weiers, MD

We are excited to share with you some of the many aspects of our program that continue to make Regions a great place to train.

We serve a unique blend of under-served and privately-insured patients within the St. Paul metropolitan area, greater Minnesota, and western Wisconsin. As a Level I Adult and Pediatric Trauma Center, Heart Center, Stroke Center, and Regional Burn Center, our hospital and emergency department provide quality and specialized care to a large and diverse community.

On day one of residency, our residents are exposed to critically ill patients and advanced procedures. Immediate advanced responsibilities allow our residents to develop their clinical acumen, resuscitation skills, and procedural competencies over all three years of residency. Interns manage all of the medical airways, meaning you could be intubating, placing central lines, or otherwise taking care of the sickest patients in the department on your first shift as an ER resident. We gain further experience in critical care by providing 24/7 year-round coverage in the Surgical ICU with extensive Medical ICU coverage as well.

We continue to emphasize wellness in our clinical rotations as well as our lives outside of the hospital. Our leadership is constantly seeking resident feedback and using this feedback to improve our clinical rotations, making them as beneficial to our learning as possible. We have also made broad department-wide documentation requirement changes designed to not only improve patient care, but drastically decrease post-shift charting time. Most of our residents now have their notes complete and can leave the hospital immediately following sign-out after our shifts. Our wellness committee plans regular gatherings for residents, attendings, nurses, and ancillary staff which promotes the already collegial relationship amongst the ED staff. Past gatherings have included overnight resident retreats, Halloween parties, kickball, Whirlyball, residency-funded basketball and soccer leagues, numerous department-wide volunteer experiences,  and many more. And in case you missed the headline news, our most recent intern class is the SAEM Dodgeball Tournament Champions!

We believe that our unique location, extensive critical care experience, and focus on resident wellness, combined with our experienced faculty, are just a few of the many features that make the Regions Emergency Medicine Residency Program a great place to train.

Clinical Simulation


Emily Binstadt, MD, MPH, Senior Staff, Director of Medical Simulation-Based Education and Research

Jessie Nelson, MD , Senior Staff Physician

Casey Woster, MD, Senior Staff Physician

HealthPartners Simulation Center for Patient Safety

Available Equipment:

High-Fidelity Full-Body Mannequins 


  • HPS from METIT
  • MegaCode Kelly from LaerdalT
  • Tough Kelly from LaerdalT


  • Pedia-Sim from METIT

Computer Based Task Trainer 

  • CathSim AccuTouch® from Immersion MedicalT
    IV access trainer
  • Endoscopy AccuTouch® from Immersion MedicalT 
    • Bronchoscopy
    • Flexible Sigmoidoscopy
    • Colonoscopy

Standard Task Trainers

  • AirSim from METIT
  • Joint Models for injection and arthrocentesis


Introduction to Crisis Resource Management (CRM) 
CRM, adapted from crew resource management training in aviation, deals with the non-technical skills in critical medical situations: teamwork, communication, situation awareness, leadership, anticipation, etc. Emergency department nurses and technicians also participate in this portion of the day.

Toxicology (Tox) 
Toxicology scenarios using the adult and pediatric mannequins for the residents and students on the toxicology rotation.

Pediatric Critical Care (PCC) 
Critical care scenarios using the Pedia-Sim high-fidelity mannequin. Focus on differences between adult and pediatric anatomy and physiology, pediatric critical care diagnostic and therapeutic strategies.

Rapid Sequence Induction/Airway Workshop (RSI) 
Aimed at the G-1 resident on the anesthesia rotation, this workshop focuses on the difficult airway and the use of airway adjuncts such as the iLMA and Combitube.

Procedural Sedation (PS) 
The HPS and Pedia-Sim mannequins will be used in scenarios dealing with procedural sedation. Learners include the anesthesia G-1 and the G-1 and G-2 on pediatric emergency department rotations.

Medical Student Workshop (MSW) 
Medical and Trauma Resuscitation workshop for 3rd and 4th year medical students on their EM rotations. Facilitated by EM G-2 and G-3 and utilizing Adult HPS.

Research and Scholarly Activity

(details coming soon)

Resident Projects

Current Research

Scholarly Activity

Application Information

Program Application

We participate in the Electronic Residency Application Service (ERAS) and National Resident Matching Program (NRMP). Applications are submitted through your medical school dean’s office or the Education Commission for Foreign Medical Graduates (ECFMG). Please contact your medical school student affairs or dean’s office or the ECFMG for instructions. Applications will not be accepted through the mail.

  • Regions Hospital offers 11 PGY-1 positions.
  • Our program participates in the National Resident Matching Program (NRMP).

A complete application includes:

  • Transcript from your medical school
  • Dean’s letter
  • Three letters of recommendation (Usually from physicians and ideally include two from an emergency medicine physician)
  • A copy of your USMLE Step 1 (required for all applicants), and USMLE Step 2 (when available) 
  • Letter of recommendation from your Program Director (if applicable)

Application deadline

November 15, 2020

If you have questions about our residency you can also call us at 651-254-3666 or 651-254-5091 or e-mail us.

Interview Day

A description of what would happen on your interview day at Regions

  • Interviews are variably scheduled on Wednesday and Friday.
  • Applicants begin with a brief meeting with the Program Coordinator who gives a description of the day, hands out an itinerary, an interview packet, and information about the Twin Cities.
  • Applicants attend a video presentation and meet with an Assistant Program Director (APD) for a program overview.
  • Applicants meet with the Program Director, an APD, and one resident individually.
  • Each applicant has the opportunity to observe in the ED (unless s/he has rotated here) and spends time talking to faculty, residents, students and PA’s on duty.
  • All applicants have lunch together with other EM residents.
  • All applicants meet with the Residency Manger to review benefits.
  • At the day’s end, the Residency Coordinator will meet with the applicant for any final questions. An interview feedback survey will be distributed after the completion of the day.

Directions to Regions Hospital

From the East

Take I-94 west to 12th St. exit. Turn right on Jackson at top of ramp. Regions Hospital is to your right. Turn right into first drive.

From the West

Take I-94 east to 10th Street exit (the first hospital as you exit is St. Joseph’s – go past it!). Go east on 10th to Wabasha (2 blocks)- turn left. Go one block to 11th Street – turn right. Follow 11th Street to Jackson (3 blocks). Turn left (north) on Jackson 1 block – Regions Hospital is to your right. Turn right into first drive.

From the North

Take I-35E south to the University Ave. exit. Stay on frontage road (12th St.) – Regions Hospital is on your right. Turn right at light (Jackson) and right again into first drive.

From the South

Take I-35E north to 11th St. exit. Stay on 11th St. to Jackson (6 blocks). Turn left (north) on Jackson 1 block. Regions Hospital is on the right. Turn right into first drive.

Map to our location:

Team Leadership Curriculum

Information about team leadership best practices, team leadership feedback forms, and team leadership lectures and literature.
ABC’s of Team Leadership in Emergency Medicine
A PDF of the iBook text. This is the comprehensive review of the literature and discussion on how we came up with our team leadership feedback and evaluation form.
Team Leadership Feedback and Evaluation Form
Front side of the ABC’s of Team Leadership Feedback and Evaluation Form
Team Leadership Feedback and Evaluation Form: side 2
Back of the ABC’s of Team Leadership Feedback and Evaluation Form
The ABCs of Team Leadership – SAEM
Cullen gave a presentation at SAEM on the ABCs of Team Leadership. Watch it!

Conference Cup

Making conference attendance and participation a little more interesting. Season 1 runs August 1, 2016-May 31, 2017. May the best team win!!
Intro to Conference Cup
Description of the Conference Cup challenge started in August 2016.
Commissioner’s Commentary
Occasional updates on the state of the competition.
Need to see a picture of the current standings in the Conference Cup? Want to examine the prior history to look for trends? This is the place.

GME Toolkit