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The goal of the Emergency Medicine conference series is to cover the Core Content of the American Board of Emergency Medicine (ABEM) as outlined in their Model of Clinical Practice. The core content is covered over a 24 month cycle, enabling it to be covered twice in the 4-year residency format. Formal didactics occur every Friday morning. Residents have this time protected from clinical activity during most of their rotations. We utilize a variety of formats to cover the content, including lectures, small group discussions, simulation labs, anatomy labs and evidence based reviews. A brief description of each is listed below:
EM1's have a 4-week long orientation prior to the start of their full time clinical obligations. It is structured to help residents become familiar with basic concepts of EM practice. In addition to supervised shifts in the ED, EM1s have a focused conference series, which addresses basic medical topics, such as chest pain, toxidromes, airway management and sepsis, basic procedural skills, such as splinting, suturing and ultrasound, as well as miscellaneous topics, such as charting, billing and coding, professionalism and communication skills.
These full day sessions are held twice a month and are focused around a chief complaint. They are designed to not only cover focused diagnoses, but to teach residents to learn how to approach patients with various complaints. As we all know, patients don't usually come in and tell us what is wrong with them.
Hour 1: A faculty led didactic session, which focuses on the approach to a patient with a specified chief complaint. They cover differentials, use of ancillary tests and how these tests can narrow your differential.
Hours 2 and 3: Residents rotate through small group stations, which are focus on certain diagnoses. These faculty run these sessions are interactive discussions which use patient cases as well as simulation sessions to illustrate the salient points.
Hour 4 : A resident-led discussion which answers focused questions with evidence based medicine approach. Residents present short synopses of articles and discuss how they may change clinical practice.
Hour 5: Consisting of Grand Rounds, Case Conferences, and Chairman's Hour.
Mortality and Morbidity Conference
A one hour M&M conference is held every other month to discuss cases where patient outcomes have been suboptimal. The format involved a systems based approach, which analyzes not only medical errors in judgement and decision making, but also contributing factors such as teamwork and communication, availability of departmental and institutional resources and societal factors. These sessions are used to help make recommendations to remedy deficits that are identified.
Core Lecture Series Resident
EM 2 and EM 3 residents are required to prepare lectures covering core content topics in emergency medicine. EM 2 residents present a 30-minute talk and EM 3 residents present a 60-minute talk. All residents are provided with one-on-one faculty assistance for content, slide preparation and lecture skill. EM 4 residents are required to present a 60-minute talk on an area of interest from their FAST topic.
The ultrasound curriculum is composed of both lectures and skills sessions. A total of four full-days of ultrasound content is covered during the 24 month period. This curriculum is designed to supplement the ultrasound experience residents obtain during their ultrasound rotations in their 1st and 2nd years as well as while they are working in the emergency department.
This series of lectures is a joint-led conference between the Deparments of Emergency Medicine and Trauma Surgery. These conferences take place every other month.
This series of lectures, which occur five times a year, is focused on teaching residents the basics of searching and reading the medical literature.
Reviews are held annually for both oral and written examination. All residents are able to participate in simulated oral boards cases with faculty during conference time. Additionally, graduating residents are invited to a supplemental session to enhance their experience. Additionally, a full-day interactive session of high-yield content is held shortly prior the annual In-Service Exam. Residents are also invited to attend voluntary review sessions, which are held outside of conference time.
Grand Rounds lectures occur every 6 weeks. Experts in the field of Emergency Medicine are invited to discuss their areas of interest.
This conference, held ten times a year, is devoted to the discussion of patients with interesting and/or difficult management problems that may involve deceptive presentations. Cases are presented by EM 1 residents and are discussed by Dr. Kelen.
In addition to the use of simulation for small group teaching, all residents participate in a year-long simulation curriculum with case-based teaching focused to their year of training. Residents voluntarily sign up for these sessions during the year and work through cases with dedicated faculty. The department has its own simulator training site, as well as use of the state-of-the-art Simulation Center, which opened in 2008.
The Johns Hopkins Department of Emergency Medicine Residency Program