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Resident Didactic Conference/Grand Rounds

EXCEPTIONAL EMERGENCY MEDICINE TRAINING

Four hours of every Thursday morning are dedicated for residents to attend and participate in didactic conference. Residency leadership strives to provide a variety of opportunities to engage all resident learners with a focus on interactive education. Our residency participates in EM Foundations, which is an interactive flipped-classroom curriculum to provide fundamental didactics. In addition, a variety of speakers, including guest lectures from outside the institution, multi-disciplinary conferences, mock oral boards, our very own SimWars and internal Clinical Pathologic Case (CPC) competitions keep conference fresh, fun and interactive.


Resident Didactic Conference/Grand Rounds

Four hours of every Thursday morning are dedicated for residents to attend and participate in didactic conference. Residency leadership strives to provide a variety of opportunities to engage all resident learners with a focus on interactive education. Our residency participates in EM Foundations, which is an interactive flipped-classroom curriculum to provide fundamental didactics. In addition, a variety of speakers, including guest lectures from outside the institution, multi-disciplinary conferences, mock oral boards, our very own SimWars and internal Clinical Pathologic Case (CPC) competitions keep conference fresh, fun and interactive. 

Emergency Medicine Foundations

Foundational EM knowledge is taught in a variety of ways. Having a strong Emergency Medicine foundation is critical to becoming a fantastic Emergency Medicine clinician. While there are various ways to achieve this, one that our residents benefit from is the use of EM Foundations. This is a national curriculum designed to create a standard for EM education. It approaches learning in two ways. First as a guided independent review of EM core content. Secondly, with flipped-classroom case-based learning which is used for active learning in a small group setting. This allows the learner to develop roots through independent learning, then cement and challenge what was learned through small groups and finally verify their knowledge via a focused assessment.

The Foundations curriculum addresses not only different learning styles but also different learning levels. PGY1s review fundamental knowledge with Foundations 1, while PGY2s are challenged with advance topics in Foundations 2 and PGY3s solidify knowledge and shape their clinical practice via Foundations 3.
 


Didactic Topics

In line with ACGME requirements we hold a monthly M&M conference during EM Grand Rounds. Case referral comes from our Emergency Department Quality Assessment Committee. Residents and/or faculty present cases that focus on teaching points related to cognitive and diagnostic errors, transitions of care, documentation, and procedural competency.  

Promotion of peer-to-peer discussion during protected time is important in our training program. Residents will often share topics in large and small group forums related to well-being, mental health, and achieving resiliency. EM Chief residents will also hold resident-only town halls to touch base with peers, check-in from a wellness and training perspective, and bring forward feedback to the residency administration.  

Our residents receive robust training and didactics in PEM given that we house a PEM fellowship within our department. PGY1’s and 2’s spend a dedicated month during their first two years on PEM, and focus their didactics on Pediatric Emergency Medicine teaching. The EM Residency and PEM fellowship also join for various efforts such as PEM/PICU interesting case conference lead by a PEM fellow/EM Resident and the Pediatric Intensivist, Pediatric M&M, common PEM procedures lab, and simulation in neonatal and pediatric patient populations.

This is a joint case conference lead by an EM PGY2 and one of our faculty, Dr. David Berger who oversees the PGY2 Resuscitation rotation. The residents on this rotation have the important role of overseeing all critical care happening in our department.  They then bring interesting cases related to cardiac care in our ED back to the residency group during EM Grand Rounds.  

Over the course of each academic year, we hold four procedural labs for training in various Emergency Medicine related procedures. This includes, General EM Procedures, PEM Procedures, Difficulty Airway management, and Common Orthopedic Emergencies Procedures. Our residents have access to our state-of-the-art Simulation Learning Institute to get hands-on practice for required procedures.  

Delivering multidisciplinary critical care is something our residents become very familiar with. We often partner with our ICU colleagues and invite our medical intensivists to present at EM Grand Rounds on topics pertinent to delivering joint patient care. Topics like acid-base metabolic review and ventilator management are essential to the sickest patients our resident manage.   

When looking at and reviewing patient care, medical-legal review is important for future practice once our residents leave training. We focus on the handling of inquiry, preparing for deposition, discussion of necessary documentation, and case discussion during these didactic sessions.  

 

Simulation

A quarterly simulation curriculum will take place in our dedicated simulation learning institute. It will provide the opportunity to safely practice skills to mastery and have exposure to rare, once in a lifetime simulated cases. This will be a venue for both individual and team-based learning. As a senior resident it will also serve as a way to hone teaching skills. 

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Evidence Based Medicine Curriculum

Evidence based medicine is incorporated into more than one facet of didactics including grand rounds and journal club. Journal club is an integral part of our residency where residents have the opportunity to present and participate in discussing up to date literature and research studies. Journal club is held monthly and is hosted by one of our faculty members. In addition to journal club, residents are funded to attend the SAEM meeting during their intern year.


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