TRAINING THE NEXT GENERATION OF LEADERS IN EMERGENCY MEDICINE Michigan Medicine has always excelled as a training ground for medical students, residents, and fellows in the specialty of emergency medicine (EM). In the past five years, every emergency unit that we staff—U-M’s Children’s Emergency Services, Mott Children’s Hospital, Hurley Medical Center in Flint, and University Hospital—has seen a steady upsurge in patient populations.That reality has given even more prominence and urgency to our educational mission, and we have expanded our programs accordingly. Since 2012, we have enlarged the four-year residency program to its current all-time-high enrollment of 64. Likewise, we have grown our fellowship training programs to include pediatric emergency medicine, critical care, ultrasound, and sports medicine. Data-driven, patient-centered innovation continues to be a hallmark of Michigan Medicine. Our new multidisciplinary co-training program for nurses, pharmacists, social workers, and physicians incorporates this institutional mind set. Our impact on the Medical School has been amplified by the addition of two assistant deans from our department, the appointment of Dr. Andrew Barnosky as one of four House Leads, and a significant number of EM faculty serving as mentors in the School’s innovative Doctoring Program. DRIVING NEW DISCOVERIES AND TREATMENTS THROUGH RESEARCH Research has long been a strength of EM, and recent years have seen impressive growth in our project portfolio. For two of the past three years, we have ranked first in the nation in NIH-funded emergency research. We can also claim the largest number of NIH-funded principle investigators of any EM depart- ment in the country. Our broad-scope strength in research has led to high-impact initiatives such as the CDC-funded Injury Center and the Michigan Center for Integrated Research in Critical Care (MCIRCC). Among many other notable research initiatives highlighted later in this report is the NETT Network, now the nation’s main coordinating center for clinical trials in emer- gency medicine. Another outstanding example is the Acute and Critical Care Research Support Unit, a center recently established within the University’s Institute for Health Policy Innovations. A generous gift from the Joyce and Don Massey Family Foundation is providing annual support for research in traumatic brain injury, including an annual Grand Challenge event that provides pilot grants to fund innovative studies on early-stage TBI interven- tions. In addition, in 2016, the department was awarded one of four NIH K12 Institutional Career Awards that creates a platform for transitioning junior EM faculty to independent careers in federally funded research. We also launched promising new initiatives such as the Emergency Critical Care Center (EC3), a unique model of care funded by the Massey Family Foundation that has transformed the treatment paradigm by placing an ICU within the emergency department. 5