“Intellectual growth should commence at birth and cease only at death.” – Albert Einstein
Residents are excused from clinical duties every Wednesday morning to attend 5 hours of educational programming presented by EM faculty. Lectures and workshops are conducted by emergency medicine faculty, guest faculty, and EM residents from all levels of training.
COVID helped us discover that a hybrid-approach benefits the wellness for both faculty and resident learning, so we offer virtual conference via Microsoft Teams once a block.
The didactics curriculum includes:
Foundations of Emergency Medicine
This year-long flipped classroom curriculum providing level-specific content builds a comprehensive framework for understanding cardinal presentations, “can’t miss” diagnoses and essential management strategies within the EM Model of Clinical Practice.
Challenging Case Conference
This is a monthly conference during which challenging clinical cases are presented, engaging the audience to participate in analyzing the clinical problem and proposing alternative solutions and management strategies. The clinical cases include morbidity and mortality cases, as well as cases that were admitted in the ED observation units with surprising results. The sessions will review bounce backs, good saves, near misses, and provide opportunities to design and execute quality improvement projects.
Board Review Series In the weeks preceding the annual ABEM (American Board of Emergency Medicine) in-training exam, we have dedicated conference hours to review high-yield board examination content including high yield radiological images, ECGs, and visual diagnosis. The residents will also practice mock oral board examinations throughout the year run by EM attendings in preparation for the ABEM-certifying oral exam.
Longitudinal Experiential/Simulation Curriculum
The simulation and procedural curriculum is mapped using the ACGME (Accreditation Council for Graduate Medical Education) milestones to allow residents of all levels of training to participate in multi-disciplinary learning including Procedure skill labs, basic and advanced airway labs, simulation mock codes and resuscitations or variable case scenarios. The simulation curriculum also includes communication skill labs, where we teach our residents the ethics behind and skills of breaking bad news to patients and relatives, how to handle conflicts, and how to speak to consultants.
Our dedicated fellowship-trained ED PoCUS (Point of Care Ultrasound) team provides our residents with hands-on ultrasound scanning skills including the core content prescribed by the ACGME including E-FAST, aorta, cardiac, gallbladder, vascular, renal, etc. as well as advanced ultrasound techniques including regional anesthesia.
Visual Diagnosis Workshops
These sessions are run throughout the three academic years to teach the residents important EKG and radiology film reading skills. These sessions will be run by a variety of presenters including cardiologists, radiologists, EM attendings, and senior residents.
Joint lectures and workshops are held with other training programs within our network (e.g., trauma, radiology, internal medicine, family medicine, etc.).
Our program participates in several themed days annually hosted by our colleagues across the Delaware Valley including Toxicology Day, Ultrasound Day, Compassionate Care Day, EMS Day, etc.
Hands-on sessions full of active learning and high energy will replace a typical lecture-based conference day. This is when learning becomes fun! For example: using board games to teach multi-tasking skills, using Lego parts to help residents get to know their colleagues, etc.
Resident as Teacher
In addition to being a learner, we believe that all EM physicians should hone their teaching skills to benefit patients as well as junior learners. Sessions will occur annually to share methods of on-shift teaching techniques, didactics development, presentation skills, and how to give feedback.
Residents are given protected time to attend quarterly journal club which is hosted off-site by faculty members. Here residents and faculty spend time learning to read and critically appraise medical literature as well as have opportunities to spend time together away from the hospital. Joint meetings with other residency programs across the institution and Jefferson/Einstein network also occur at variable times throughout the year.
Throughout the 3-year program we have a “Career-Directed Curriculum.” This is a series of didactics which is specific for each year of residency, including topics such as CV workshop, interviewing success skills, job searching, and financial planning.
Our residents are provided with resources for asynchronous learning mapped to core content and calendar-driven topics to supplement their didactics attendance.