Welcome From Our Program Director

Dietrich Jehle, MD, FACEP, RDMS

Welcome to the Grand Strand Emergency Medicine Residency Program! The primary goal of our program is to teach well-rounded physicians to provide outstanding emergency medical care in an efficient and compassionate manner in order to prepare them for lifelong careers in emergency medicine.

Grand Strand Medical Center is a 369-bed acute care hospital located in Myrtle Beach, South Carolina. The Emergency Department houses an Accredited Chest Pain Center, Advanced Primary Stroke Center, Children's Center and the busiest trauma center in South Carolina.

Our Emergency Medicine faculty provide high-quality patient care with years of experience in emergency medicine including clinical toxicology, trauma ultrasound, environmental envenomation, shark attacks, and aeromedical services. Each is dedicated to educating and mentoring residents through didactic, clinical, and research experiences.

Grand Strand Medical Center has a state of the art Simulation Center. The simulation curriculum aids residents in mastering skills in a safe and interactive environment.

We are excited to have academic affiliations with both the University of South Carolina and Edward Via College of Osteopathic Medicine (VCOM). With these affiliations, faculty and residents have access to library resources and support as well as the opportunity to assist with teaching medical students from each institution.

The training that our residents will receive is extraordinary with outstanding didactics and excellent procedural experience. I invite you to learn more about our emergency medicine program by visiting the following links: Strengths and Recent Accomplishments along with the Faculty, Current Residents, Conference Schedule, Scholarly Activity, Benefits and Frequently Asked Questions.

We are thrilled to have the opportunity to build a new Emergency Medicine program in this community, which allows us to provide superb medical training and patient care. We look forward to having residents help lay this program's foundation for years to come.

Thank you for considering Grand Strand Medical Center's Emergency Medicine residency program.

Dietrich Jehle, MD, FACEP, RDMS
Emergency Medicine Program Director,
Grand Strand Medical Center

List of leadership and faculty

Dietrich Jehle, MD, FACEP, RDMS

Dr. Jehle graduated from the University of Virginia School of Medicine in 1979 and completed his residency at the University of Pittsburgh in 1982. Dietrich assisted with the development of the Emergency Medicine Residency at Allegheny General Hospital in Pittsburgh, PA in 1982 and relocated to Buffalo, NY to develop a new Emergency Medicine Residency Program which began in 1994. He served as Vice Chairman of the Department of Emergency Medicine at State University of New York at Buffalo, was the Clinical Director of the Department of Emergency Medicine at Erie County Medical Center (ECMC) for 17 years, was a Tenured Professor of Emergency Medicine and became the Associate Medical Director for the hospital in 2008. Dr. Jehle was the 2008 recipient of the Distinguished Physician’s Award for ECMC. In 2009, he was selected as a voting member of the Board of Directors for the Erie County Medical Center. Dr. Jehle was appointed a Board Examiner for the American Board of Emergency Medicine, served on the Board of the New York Chapter of the American College of Emergency Physicians, was a grant reviewer for the Small Business Innovation and Research Program for the National Institute of Health. Dietrich was selected as a Trauma Site Surveyor for both New York and Illinois. In addition to his significant contributions to the use of ultrasound in Emergency Medicine, he has also been involved in research involving resuscitation, airway management, investigating motor vehicle crashes and bringing new technologies to emergency medicine. For 27 years, Dr. Jehle has provided supervision of medical care for game day guests for the Buffalo Bills and has been the on-field airway physician for Buffalo Bills home games. The American College of Emergency Physicians presented Dietrich with the National Teaching Award in 2000 and the Emergency Ultrasound Award in 2001. In 2007, Buffalo Business First awarded him the “Health Care 50” Award and The Buffalo News acknowledged him as “Buffalo Outstanding Citizen of 2009” for his lifesaving efforts in a highway crash that he witnessed. In 2010, NYACEP presented him the "Advancing Emergency Care" award.

Dr. Jehle has co-authored several leading textbooks on emergency bedside ultrasonography, including “Ultrasound in Emergency Medicine,” the first text in its field in 1995. In 2003, he co-edited “Ultrasonography in Trauma: The FAST Exam” which was published by the American College of Emergency Physicians. He published the first study on the use of ultrasonography in blunt abdominal trauma by emergency physicians in the United States and the first emergency medicine study of the use of bedside ultrasound to evaluate gallbladder, aortic, renal and first trimester pregnancy pathology. In 2011, Dietrich edited the first emergency eye ultrasound text. In his role as Director of Emergency Ultrasonography, his group created a full time emergency ultrasound fellowship at SUNY at Buffalo in the 1990s. Academic emergency physicians from all over the United States and Canada have participated in the UB mini-fellowship in bedside sonography over the last 25 years.

In January 2016, Dietrich transitioned to a warmer climate to assume the role of the Emergency Medicine Residency Director for the Emergency Medicine Residency Program at Grand Strand Medical Center and Clinical Professor of Surgery at the University of South Carolina. He resides in Myrtle Beach with his wife and has four grown children. Dr. Jehle serves as a Board Member for the South Carolina Chapter of the American College of Emergency Physicians.

Dietrich is particularly a proud of the enthusiasm for teaching from the faculty, great group of residents, diverse patient population at Grand Strand Medical Center, our practice at the busiest trauma center in South Carolina, excellent times to the vessel opening for STEMIs, research support, conducive environment for GME and our location at the beach in the second fastest growing community in the United States.

Caylyne Arnold DO, MS

Dr. Caylyne Arnold joined Grand Strand Emergency Medicine Residency as Clinical Faculty in 2019. She completed residency at Medical College of Georgia/Augusta University, where she served as Chief Resident in 2015. Following residency, she and her husband, Dr. Dylan Arnold, were stationed in San Diego, where he completed his HPSP commitment to the US Navy. She worked as a nocturnist at a busy tertiary care center for several years, and subsequently cultivated her passion for academic medicine as Clinical Faculty at the Navy’s EM residency program at Naval Medical Center San Diego. She met her husband at Lake Erie College of Osteopathic Medicine – Bradenton, where they both graduated in 2012. Originally from a small town in northeastern Indiana, she attended Butler University in Indianapolis where she graduated in 2007 with a B.S. in both Chemistry and Biology followed by a Master of Science degree in Biological Sciences from Purdue University in 2008. In addition to bedside teaching, she has a special interest in simulation. She is an active member of FeminEM. She and her husband welcomed their second child earlier this year and are thoroughly enjoying the coastal lifestyle of Myrtle Beach.

Dylan Arnold, DO

Dr. Dylan Arnold was born and raised in Virginia Beach, Virginia and graduated from the University of Virginia in 2008. He then attended Lake Erie College of Osteopathic Medicine in Bradenton, Florida and subsequently completed Emergency Medicine Residency at the Medical College of Georgia in 2015. He obtained his Fellowship in the Academy of Wilderness Medicine in 2019.

Dr. Arnold served with the US Navy from 2015-2019 as an Assistant Program Director at the Naval Medical Center in San Diego, California. During that time, he was part of a damage control surgery team that supported the Pacific Fleet and augmented the White House Medical Unit. He spent a month in Laos as a physician and gym partner for President Barack Obama.

He is joining the faculty at Grand Strand in 2019 as an Assistant Program Director. In medicine, he enjoys medical education, wilderness medicine, and debating the evidence supporting t-PA use. Additionally, he enjoys spending time outdoors with his son, the beach, sailing, basketball and reading sci-fi/fantasy. His wife, Dr. Caylyne Arnold, is also an emergency physician and clinical faculty at Grand Strand Medical Center.

Paul Bomar, MD

Dr. Paul Bomar graduated from the Medical University of South Carolina and joined Grand Strand Medical Center in 2017 after completing his residency at Virginia Tech Carilion in Roanoke, VA. As a core faculty member at Grand Strand, he focuses on resident and medical student education, curriculum development, and simulation. Outside of work, he enjoys sailing, scuba diving, cooking, traveling with his husband, and hiking with their 3 dogs.

Scott Gutovitz, MD

Scott Gutovitz joined the Core Faculty in 2016 as the EM Research Director. He grew up in Kansas as a proud Jayhawk and attended the University of Kansas School of Medicine. Then finished EM Residency and a Research Fellowship at Orlando Health. Dr. Gutovitz has worked in both academic and community settings, as well as internationally in New Zealand. His family loves the beach and they have resettled here so he may pursue his passion of resident education and clinical research in EM. His other past interests include skydiving (225 jumps), home improvement projects, and coin collecting.

Dean Johnson, MD

Dean Johnson has been involved in resident education since graduating his residency at the University of Pittsburgh in 1995. Originally from Wisconsin, he grew up in Virginia and has lived on the East Coast his entire life. Formerly a medic, physicist and engineer, he has interests in EMS, systems engineering tools for medicine, and medical education. Working formerly in Pennsylvania and Maryland, he joined the Grand Strand Emergency Medicine residency as it was forming and has been excited to watch it grow!

When he is not trying to educate himself to stay ahead of his residents, he enjoys spending time with his family (including 7 pets!), reading and riding bikes.

Sarah Kleist, MD

Dr. Sarah Kleist is a combined board-certified emergency medicine physician and pediatrician at Grand Strand Medical Center. She was born and raised outside Baltimore, Maryland and obtained her undergraduate degree in biochemistry from Messiah College. She completed her medical school and her combined Emergency Medicine and Pediatric Residency at the University of Maryland Medical Center in Baltimore, Maryland. During that time, she served as Chief Resident and House Staff Association President.

She joined the faculty at Grand Strand in 2019 working in both the adult and pediatric emergency departments. Dr. Kleist is committed to resident education, providing quality patient care, and improving the lives of children in Myrtle Beach and the surrounding communities.

In her spare time, Dr. Kleist and her husband spend their time enjoying the beach, traveling, and scuba diving.

Jarratt Lark, MD

Dr. Jarratt Lark earned his BS in Biology with distinction in Marine Biology from Duke University. He attended medical school at Vanderbilt University and completed his Emergency Medicine residency training at the University of Cincinnati. He was the winner of the Emergency Medicine Foundation residency Research Award for use of antioxidants during HBO therapy.

Dr. Lark has been an active member of the medical staff at Grand Strand Medical Center since completing his residency in 1992. He is the Director of Environmental Medicine specializing in environmental toxicology, venomous snake bites, jellyfish stings, stingray envenomations, shark bites and other animal bites.

In the community, Dr. Lark is very involved as the Director of Field Hospital Myrtle Beach Marathon since its inception, Medical Control for Alligator Adventure Reptile Park, Member of Board of Visitors for the Burroughs and Chapin Center for Marine and Wetland Studies at Coastal Carolina University. Recently, he has received the Frist Humanitarian Award at Grand Strand Medical Center in 2016 and Volunteer of the Year for the Myrtle Beach Marathon, also, in 2016.

When he is not working, Dr. Lark enjoys fishing, hunting, boating, cooking, travel, and spending time with his wife, Janet (an Internist), and their three daughters.

Thomas Martel, MD

Dr. Martel has been an active member of the medical staff at Grand Strand Medical Center since completing his residency in 1991.

He serves as a core faculty member, assistant facility director, and as the EMS medical director for the city and county. His areas of interest and research include EMS STEMI and sepsis care.

Gerry O’Malley, DO

Dr. O’Malley was born and raised in New York City and is a life-long Yankees fan. He received his B.S. in Biological Sciences from SUNY at Stony Brook and his Doctor of Osteopathic Medicine degree from the New York College of Osteopathic Medicine, spent his osteopathic internship at St. Barnabas Hospital in the Bronx (just two subway stops away from Yankee stadium) and then moved to Philadelphia for one year of general surgery training before settling on emergency medicine at Albert Einstein Medical Center in North Philadelphia. After residency, Dr. O’Malley served on active duty with the US Navy in Okinawa, Japan, Portsmouth, Virginia and aboard the USS Bataan. Dr. O’Malley completed a fellowship in Medical Toxicology at the University of Colorado/Rocky Mountain Poison Center then continued to serve as a Naval Medical Officer until he resigned his commission in 2002 and returned to Philadelphia to become the Director of Research at Albert Einstein Medical Center’s ED and then in the ED at Thomas Jefferson University Hospital.

Dr. O’Malley is a Full Professor at the Sidney Kimmel School of Medicine, where he still teaches 1st and 2nd year medical students; a Clinical Professor in the Department of Surgery at the University of South Carolina School of Medicine and the Director of the Division of Toxicology at Grand Strand Medical Center. Dr. O’Malley is a Distinguished Senior Editorial Reviewer for Annals of Emergency Medicine and provides peer review services for a number of other journals. Dr. O’Malley is the recipient of numerous teaching and research awards, is widely sought after for lectures and has authored over 85 peer-reviewed scientific articles and book chapters.

When not practicing emergency medicine and toxicology, Dr. O’Malley enjoys playing with his two Scottish Terriers, Tara and Percy and hosting a toxicology-themed website and podcast, called The PoisonBoy podcast.

Rika O’Malley, MD, FACEP

Rika O’Malley is originally from Osaka, Japan. She graduated from The Osaka Medical College and served as the Chief Intern in the Postgraduate Japanese Physician Training Program at the United States Naval Hospital in Okinawa, Japan. After internship, she trained as a resident at the Senri Critical Care Medical Center in Osaka for 2 years. During residency, Rika met and married ‘another O’Malley’ (Dr. Gerald O’Malley) and immigrated to the United States. During her first several years living in the U.S., Rika enjoyed the time she dedicated to take care of her family and raise their children while her husband served in the U.S Navy. Rika returned to medical practice, first as a pediatric resident. She could not, however give up on pursuing her original love in emergency medicine and decided to reenter the match in the middle of her pediatric residency. She completed her emergency medicine residency and medical toxicology fellowship at Albert Einstein Medical Center in Philadelphia. After practicing in various hospital settings, she developed an interest in medical simulation and educational administration. She completed the ACEP Teaching Fellowship and served as the Director of Simulation Education and Assistant Residency Program Director at Albert Einstein Medical Center in Philadelphia, creating numerous hands-on and didactic training courses and simulation training models. She has been an instructor at the AAEM Oral Board Review Course for over 10 years. Her areas of interest include curriculum development, medical simulation especially low-cost and low-resource simulation, and anything that requires logistical skills.

If you don’t see her in the office, you will find her at her kitchen experimenting with new handmade medical simulation models and trainers and attempting to train her three gorgeous but misbehaving Scottish Terriers.

She is joining Grand Strand Medical Center in 2020 and looking forward to making medical education more fun.

Jonathan Pangia, DO

Dr. Jon Pangia currently serves as the Clinical Chair of Emergency Medicine as well as the System Medical Director for Hospitalist Medicine and Emergency Medicine at several hospitals in the Southeast including Grand Strand Health. Prior to this position, he has been the Emergency Medical Director at Grand Strand Medical Center, Emergency Medical Director at a busy suburban trauma center in NY, emergency physician at a small island hospital off the coast of MA, and a locums nocturnist emergency physician at a busy rural hospital in central NY. He served our communities as the Medical Director for over 5 professional and volunteer Fire Departments and Rescue Squads. He served our country as a public health volunteer in the United States Peace Corps battling the atrocious infant mortality rate in Africa. He continues to serve our profession on the Board of Directors for the South Carolina chapter of the American College of Emergency Physicians. All of the above has granted Dr. Pangia unique expertise in low-resource medical care, inter-professional collaboration, risk management, and diagnostic efficiency.

Dr. Pangia’s training began as an Emergency Medical Technician and Firefighter over 25 years ago. Since then, he earned his degree from Touro University College of Osteopathic Medicine, emergency medical training at Albert Einstein Medical Center, and currently completing his MBA at Kellogg School of Business of Northwestern University.

Dr. Pangia’s love for those who have committed themselves to the practice of medicine is overshadowed only by the love for his wife and 4 children. When his colleagues and family allow him, he also enjoys kiteboarding, holding a Class C skydiving License, holding a current Private Pilot license, and running approximately 20 miles a week.

Enrique Pena, MD

I was born in Colombia and moved to the US nineteen years ago. I completed college in Florida before moving to the Midwest to attend the University of Wisconsin in Madison for medical school. I then finished four years of Emergency Medicine training at the Long Island Jewish Hospital in New York and stayed an extra year for Emergency Ultrasound fellowship at the North Shore University.

I am interested in all aspects of point-of-care ultrasound especially cardiac and procedures. I enjoy teaching and developing curriculum for emergency ultrasound.

Mark Plexousakis, DO

Dr. Plexousakis went to medical school on Long Island, New York at the New York College of Osteopathic Medicine. He completed a 5 year residency in emergency medicine and family practice in the Bronx, New York at St. Barnabas Hospital Regional Trauma Center.

Dr. Plex and his wife, Dr. Fowler (an EM physician at Grand Strand) and their two young kids moved to the Myrtle Beach area about two years ago. They love spending time outside boating and going to the beach. Clinically, Drs. Plex and Fowler both enjoy the diversity and challenging pathology of the department immensely.

Radley Short, MD

Radley Short joined Grand Strand Medical Center in 2016 after graduating residency from the University of Pittsburgh Medical Center. He attended medical school at Georgetown University and received his undergraduate degree from Boston College. He currently serves as the Facility Medical Director and Chairman of the Emergency Department, and is part of the core faculty for Grand Strand's Emergency Medicine Residency Program. Outside of work, he enjoys spending time with his wife and three kids on the beach or on the waterway, and also tries to keep up with the residents and other hospital staff on the basketball court.

Casey Wilson, MD, RDMS

Casey Wilson, MD RDMS joined the Emergency Medicine faculty as a Clinical Assistant Professor in 2018, after completing her residency training at Johns Hopkins Hospital. She serves as the Director of Emergency Ultrasound.

During her final year of residency, Dr. Wilson was a Focused Advanced Specialty Training (FAST) fellow in Emergency Ultrasound. She received her Registered Diagnostic Medical Sonographer (RDMS) certificate in 2016.

Dr. Wilson's interests include procedural ultrasound, with a specific focus in ultrasound-guided regional anesthesia. She has experience in app development, website design, and an interest in utilizing emerging technology and social media in resident education. Additional interests include geriatrics and physician wellness.

Contact us

Emergency Medicine Coordinators

Shannon Papazian, C-TAGME


Ann Stuart Zakhary, RN


Renee Bentley, MBA


Emergency Medicine Co-Chief Resident

Dr. Matt Talbott


Emergency Medicine Co-Chief Resident

Dr. Vishal Shah