In 2000 the medical centre began publishing the Western Journal of Emergency Medicine. Since 2001, the "U.S. News and World Report" has listed UC Irvine Health programs in urology, gynecology, geriatrics, cancer, digestive disorders, nephrology, orthopedics, and ear, nose & throat among the top 50 nationwide. In 2016, two UC Irvine Health specialties were included among the top 50 nationally: 40th for orthopedics and 41st for ear, nose and throat. It has the county's only Level I trauma center and its sole multiple-organ transplant center, and is the only hospital in the area offering a number of specialized surgeries. The medical center has been home to a number of firsts—including the first heart transplant in Orange County, the first implant on the West Coast of an insulin pump in a patient with diabetes, and a number of research breakthroughs involving therapy for cancer and other diseases.