Lakeland Health Care

Emergency Medicine Residency

Program Director: Michelino Mancini, DO, FACOEP

Lakeland HealthCare offers an Osteopathic Emergency Medicine Residency. The goal of this program is to produce clinically outstanding emergency physicians in addition to molding professional, administrative and academic leaders. The mission of the residency echoes that of the Lakeland HealthCare system which is to be the leader in safe, high quality, patient-centered, compassionate, health related services. The program emphasizes integrity, respect and support for all people, accountability, learning and continuous improvement. 

  • 6 Positions Available for 2015
  • Applications to the program will be accepted via ERAS beginning July 2014
  • Interviews will be held October 2014 through December 2014 
  • Interviewees will not be ranked without proof of passing COMLEX II scores


The Emergency Medicine Residency Program at Lakeland HealthCare is a 4 year Osteopathic Residency that is fully accredited by the AOA and accepts new residents annually. Lakeland HealthCare's residency program is based in Southwest Michigan with campuses in Saint Joseph, and Niles Michigan. The majority of the program experience will occur at the Saint Joseph campus with some rotations at the Niles campus. In addition, residents will perform Trauma 1 rotations at Butterworth Spectrum Hospital in Grand Rapids, PICU at DeVos Chidrens Hospital in Grand Rapids, and Toxicology at Cook County Hospital in Chicago. Our residency program is strongly affiliated with Michigan State Universitys Statewide Campus System providing significant benefits and advantages associated with a nationally renowned university.

At Lakeland HealthCare residents can expect exposure to excellent and variable pathology at an ever growing pace of approximately 70,000 ER patient visits per year. This challenging program also offers a significant amount of in-house exposure to trauma, pediatrics, cardiology and critical care. Our dedicated and experienced faculty members are board certified or board eligible in Emergency Medicine. The program provides at least one and more commonly two attending physicians present on site 24 hours each day.

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Lakeland HealthCare continually strives to improve our facilities. We have recently expanded our Emergency Department in Saint Joseph to 40 rooms which include 4 trauma bays, an electronic patient tracking system, radiology services located within the department, and a 6 room observation treatment area. Our Niles Emergency Department expansion has been completed. 

Emergency Department Annual Statistics            Health System Data
  • 69,809 ED Visits
  • 339 Beds
  • 21% Pediatric Visits
  • 20 Surgery Suites
  • 20% Admisssions
  • 3 Cardiac Cath Labs
  • 40 rooms
  • 1,925 Deliveries annually
  • 6 room observation area
  • 12,708 Surgeries (inpatient and outpatient)

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Clinical Rotation Schedule OGME 1-4

Year 1

This first year is demanding, but provides residents with well-rounded experiences in both traditional internship rotations and emergency medicine. Residents will develop their core medical knowledge in order to formulate critical decisions in the Emergency Department. The program includes the following block rotations:

  • 6 Emergency Medicine
  • 2 Internal Medicine
  • 1 Pediatrics
  • 1 Cardiology
  • 1 Obstetrics/Gynecology
  • 1 General Surgery
  • 1 Anesthesiology 

Year 2

The second year will focus on expanding skills which will lead to efficiency in managing several patients including major trauma and medical resuscitations. In addition, residents will refine advanced life saving procedures. Rotations are as follows including Trauma at Butterworth Spectrum Hospital and Pediatric Intensive Care at Helen DeVos Childrens Hospital in Grand Rapids.

  • 7 Emergency Medicine
  • 1 Trauma 
  • 1 PICU  
  • 1 CCU/ICU 
  • 1 Orthopedics 
  • 1 Neurology /Neurosurgery (2 weeks each)
  • 1 Radiology/Ultrasound ED (2 weeks each)

Year 3

Year 3 is focused on improving the residents ability to manage patient flow in the Emergency Department and develop academic competency through supervising/teaching junior residents and students. The residents will also be introduced to EMS which will enable them to develop vital out-of-hospital communication skills. Rotations are as follows including one out-rotation at Cook County Hospital:

  • 7 Emergency Medicine
  • 1 Trauma (Butterworth Spectrum)
  • 1 CCU/ICU
  • 1 EMS
  • 1 Plastic/Hand Surgery (2 weeks each)
  • 1 Clinical Investigation
  • 1 Toxicology (Cook County Hospital)

Year 4

In the final year residents will refine the ability to problem-solve, perfect patient disposition, and provide efficient medical care. Each resident will be given time to examine their own personal academic interests through 2 months of electives. In addition, an administrative month will enable each resident to experience different supervisory roles required within an Emergency Department. 

  • 9 Emergency Medicine
  • 1 Critical Care/ICU
  • 2 Electives
  • 1 Administration

The most important component of an Emergency Medicine residency program is to provide a strong didactic curriculum that augments structured hands-on experiences. Our conference schedule (5 hours per week) provides vital educational exposure to the core curriculum of Emergency Medicine. All rotating residents are excused from clinical duties during these EM academic events. Each resident will be given direct supervision and mentoring, in order to achieve academic success.

Simulation:  Lakeland HealthCare has established a high fidelity simulation center that provides advanced clinical training for EM residents.  Simulation scenarios occur monthly to enhance the residents’ decision making skills and clinical reasoning.  Learners will also have the opportunity to become simulations trainers during the residency program.

As an affiliate of and training site for the Statewide Campus System of Michigan State University COM, additional mandatory participation in the statewide EM consortium education conferences occur monthly. The MSU Statewide Campus System provides specialized hands-on lab sessions yearly that include: 

  • Basic and Advanced Ultrasound  
  • Anatomy/Cadaver Procedure Labs  
  • Dental 
  • OMT
  • Advanced Slit Lamp Testing
  • HAZMAT Training
  • Ballistics
  • Advanced Airway Courses 
  • Simulation
  • Swine Labs

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Research Requirement
Each resident is required to complete at least one approve research project prior to residency commencement. Each resident will be assigned to a Research mentor at Lakeland. It is encouraged that the resident and mentor meet on a regular basis and review formulation of research questions, study design, IRB approval process, study implementation, data collection, data analysis and manuscript preparation and presentation over a two year period. Activities are assigned and monitored by the faculty research mentors. Each resident/mentor team will work to accomplish the pertinent questions related to the development of research as well as the ongoing project that the resident will choose to pursue. Each resident must complete the SCS online module "Research Training Course for Residents," by the end of the EM1 year.

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Bryan Staffin, DO, FACOEP (VP of Client Services for the Emergency Department)
Dr Bryan Staffin is a graduate of the Chicago College of Osteopathic Medicine. He completed his internship and Emergency Medicine Residency at CCOM in 1990. Dr Staffin has served the Osteopathic Emergency Medicine profession in a variety of roles. He has served on the American College of Osteopathic Physicians Board of Directors and the American Osteopathic Board of Emergency Medicine. Dr Staffin is the immediate past Secretary of the AOBEM. Currently, Dr Staffin is a Clinical Associate Professor of Emergency Medicine as well as Vice President of Client Services for Emergency Physicians Medical Group (EPMG) in Ann Arbor, Michigan. Dr Staffin's interests include ultrasonography, EMS and medical education.

Michelino Mancini, DO, FACOEP (Program Director)
Originally from Chicago, IL, Dr Mancini attended Midwestern University/Chicago College of Osteopathic Medicine (CCOM). He graduated in 2002 and entered CCOMs combined Emergency Medicine and Internal Medicine Residency program. After finishing his residency in 2007, he began practicing Emergency Medicine in Saint Joseph, Michigan at Lakeland HealthCare. He continued to pursue his academic goals by becoming an Emergency Medicine Core Faculty through CCOM when transferring to practice at Saint Anthony Medical Center in Indiana. Also through Midwestern University/CCOM Dr Mancini became a Clinical Assistant Professor of Internal Medicine and an Assistant Professor of the Topic of Medicine Course. Topic of Medicine Course.  Dr Mancini has also received an appointment as clinical assistant professor at MSUCOM. Dr Mancini has an interest in ultrasonography, sepsis and critical care.

Robert Nolan, DO (Director, St. Joseph Emergency Department)
Dr. Robert Nolan attended Michigan State University College of Osteopathic Medicine, graduating in 2003. In 2006, he completed his Emergency Medicine Residency through the military at Madigan Army Medical Center in Fort Lewis, Washington. Upon completion of his residency, Dr Nolan continued practicing Emergency Medicine at CRDAMC in Fort Hood, Texas, where he developed into an established academic physician by becoming an Assistant Emergency Medicine Residency Program Director. While at Fort Hood, Dr Nolan was the recipient of multiple Faculty of the Year awards. In addition, Dr. Nolan received numerous military honors including the Bronze Star while performing active service in Iraq. Dr. Nolan has a strong research background, winning a Research Excellence Award through MSUCOM and is very active in publishing. His interests include mass-casualty preparation, ultrasonography and medical education.

Matthew Hysell, MD
Dr. Matthew Hysell has been a longtime Michigan native born in Midland, Michigan. He completed his medical education by graduating from the University of Michigan Medical School. After graduating in 2002, he continued his training at the University of Michigan/Saint Joseph Mercy HealthCare System Emergency Medicine Residency program. Dr Hysell began practicing Emergency Medicine at Lakeland HealthCare since graduating in 2006. He has published numerous Emergency Medicine articles found within the Handbook of Emergency Medicine. Dr Hysell is currently the ACLS Director at Lakeland HealthCare. His interests include stroke management in which he is an active member of Lakeland's Stroke Committee.

Jereme Long, DO
Dr. Jereme Long attended Kansas City University of Medicine and Biosciences, completing his
degree in 2006.   In 2009, he completed an Emergency Medicine residency with the US Army at Carl R. Darnall Army Medical Center in Fort Hood, Texas.  Dr. Long then continued to serve in the US Army as an Emergency Medicine physician at Brian Allgood Army Medical Center in Seoul, South Korea.  He joined the Emergency Medicine Department at Lakeland HealthCare in 2012 and became a core faculty member of the EM Residency program in 2013.  Dr. Long’s medical interests are Ultrasound and Wilderness Medicine.  He is currently serving as faculty chair of the residency’s ultrasound training program.

Christopher Trigger, MD
Dr. Trigger was born and raised in Flint, Michigan. He completed his undergraduate degree at Grand Valley State University, and attended the University of Illinois at Chicago College of Medicine. After graduating from medical school in 2006, he completed a residency in Emergency Medicine at the University of Illinois Hospital in Chicago. During his residency, Dr. Trigger became interested in Sports Medicine after covering several local sporting events. This experience led him to apply for a Primary Care Sports Medicine Fellowship at the University of Pittsburgh Medical Center, which he completed in 2010. Since arriving at Lakeland, Dr Trigger has taken on the role of Medical Director of the Ironman Steelhead Triathlon and 2012 Senior PGA Championship. Dr. Trigger's interests include sports medicine, critical care and mild traumatic brain injuries. 

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Lakeland HealthCare
Graduate Medical Education
1234 Napier Ave
Saint Joseph MI 49085
phone: 269.982.4941
fax: 269.985.4526

Dr Michelino Mancini, Program Director,
Michele Borre, Medical Education Coordinator,
Tori Lucker, Administrative Assistant,

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Statewide Campus System of Michigan State University COM
New Innovations

American Osteopathic Association
American College of Osteopathic Emergency Physicians
American College of Emergency Physicians
Michigan College of Emergency Physicians
Society of Academic Emergency Medicine

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For medical students interested in rotating with us, please contact Michele Borre to submit your ER rotation request.

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We are extremely pleased that you are interested in Lakeland HealthCares Emergency Medicine Residency Program. We are proud of our program and all of the outstanding educational opportunities it offers. With the abundance of resources provided by our strong affiliation with MSUCOM and dedicated faculty we believe our residency will be an excellent training experience for you.

Applications are accepted via the Electronic Residency Application Services (ERAS) website. Please visit to submit your application.

Please do not hesitate to contact us about any questions regarding application to the program. You may contact the Program Coordinator, Michele Borre via email at or Program Director, Michelino Mancini DO at


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