Position Statement on Emergency Medicine Definitions from the Canadian Association of Emergency Physicians

Emergency ultrasound (EUS) is now widely considered to be a “skill integral to the practice of emergency medicine.”1The Canadian Association of Emergency Physicians (CAEP) initially issued a position statement in 1999 supporting the availability of focused ultrasound 24 hours per day in the emergency department (ED).2

Download Full-text

Building and strengthening relationships between academic departments/divisions of emergency medicine and rural and regional emergency departments

CJEM ◽

10.1017/cem.2019.359 ◽

2019 ◽

Vol 21 (5) ◽

pp. 595-599 ◽

Cited By ~ 1

Author(s):

Aaron Johnston ◽

Kylie Booth ◽

Jim Christenson ◽

David Fu ◽

Shirley Lee ◽

...

Keyword(s):

Emergency Medicine ◽

Emergency Departments ◽

Academic Departments ◽

List Type ◽

Emergency Physicians ◽

Common Value ◽

Rural And Urban ◽

Canadian Association ◽

Rural Physicians ◽

Training Opportunities

ABSTRACTObjectivesMake recommendations on approaches to building and strengthening relationships between academic departments or divisions of Emergency Medicine and rural and regional emergency departments.MethodsA panel of leaders from both rural and urban/academic practice environments met over 8 months. Draft recommendations were developed from panel expertise as well as survey data and presented at the 2018 Canadian Association of Emergency Physicians (CAEP) Academic Symposium. Symposium feedback was incorporated into final recommendations.ResultsSeven recommendations emerged and are summarized below: 1)CAEP should ensure engagement with other rural stakeholder organizations such as the College of Family Physicians of Canada and the Society of Rural Physicians of Canada.2)Engagement efforts require adequate financial and manpower resources.3)Training opportunities should be promoted.4)The current operational interface between the academic department of Emergency Medicine and the emergency departments in the catchment area must be examined and gaps addressed as part of building and strengthening relationships.5)Initial engagement efforts should be around projects with common value.6)Academic Departments should partner with and support rural scholars.7)Academic departments seeking to build or strengthen relationships should consider successful examples from elsewhere in the country as well as considering local culture and challenges.ConclusionThese recommendations serve as guidance for building and strengthening mutually beneficial relationships between academic departments or divisions of Emergency Medicine and rural and regional emergency departments.

Download Full-text

Important returns on investment: an evaluation of a national research grants competition in emergency medicine

CJEM ◽

10.1017/s1481803500011994 ◽

2010 ◽

Vol 12 (01) ◽

pp. 33-38 ◽

Cited By ~ 4

Author(s):

Jaime Bawden ◽

Namdar Manouchehri ◽

Cristina Villa-Roel ◽

Eric Grafstein ◽

Brian H. Rowe

Keyword(s):

Emergency Medicine ◽

Research Funding ◽

Emergency Physicians ◽

Research Grants ◽

Annual Basis ◽

Canadian Association ◽

Additional Funding ◽

Study Completion ◽

Returns On Investment ◽

Median Amount

ABSTRACTObjective:We sought to examine scholarly outcomes of the projects receiving research grants from the Canadian Association of Emergency Physicians (CAEP) during the first 10 years of national funding (i.e., between 1996 and 2005).Methods:We sent email surveys to 62 emergency medicine (EM) researchers who received funding from CAEP. We focused our data collection on grant deliverables and opinions using a 1–7 Likert scale with regard to the value of the award.Results:Fifty-eight recipients responded to our survey. Grants were most commonly awarded to residents (21 [36%]), followed by senior (16 [28%]) and junior (13 [22%]) emergency staff. Twenty-six applicants from Ontario and 11 from Quebec received the majority of the grants. Overall, 51 projects were completed at the time of contact and, from these, 39 manuscripts were published or in press. Abstract presentations were more common, with a median of 2 abstracts presented per completed project. Abstract presentations for the completed projects were documented locally (23), nationally (39) and internationally (37). Overall, 19 projects received additional funding. The median amount funded was Can$4700 with an interquartile range of $3250–$5000. Respondents felt CAEP funding was critical to completing their projects and felt strongly that dedicated EM research funding should be continued to stimulate productivity.Conclusion:Overall, the CAEP Research Grants Competition has produced impressive results. Despite the small sums available, the grants have been important for ensuring study completion and for securing additional funding. CAEP and similar EM organizations need to develop a more robust funding approach so that larger grant awards and more researchers can be supported on an annual basis.

Download Full-text

“The Future of Emergency Medicine” Inaugural address to the First Canadian EM Residents Workshop

CJEM ◽

10.1017/s1481803500007302 ◽

2000 ◽

Vol 2 (04) ◽

pp. 262-264 ◽

Cited By ~ 2

Author(s):

Isser Dubinsky

Keyword(s):

Emergency Medicine ◽

Emergency Services ◽

Emergency Physicians ◽

Inaugural Address ◽

Health Network ◽

Canadian Association ◽

The Future ◽

National Forum ◽

The University

On June 10 to 11 this year, the Residents’ Section of the Canadian Association of Emergency Physicians (CAEP-RS) held its first official national forum for future emergency physicians — the First Canadian EM Residents Workshop, in conjunction with CAEP 2000. To celebrate the event, the RS decided to invite a nationally recognized emergency medicine leader, advocate, and teacher to be the first to address the Annual Residents’ Dinner. We were grateful for the privilege of having Dr. Isser Dubinsky be that person. Dr. Dubinsky, currently Chief of Emergency Services at the University Health Network in Toronto, was asked to speak about “The Future of Emergency Medicine.” Dr. Dubinsky's speech, filled with warmth, wisdom, and humanity, is transcribed below. — Jason Frank, MD, Chair CAEP-RS

Download Full-text

MP003: AP or IP? Introduction of a new assessment of performance tool for point of care ultrasound

CJEM ◽

10.1017/cem.2016.144 ◽

2016 ◽

Vol 18 (S1) ◽

pp. S67-S67

Author(s):

P.R. Atkinson ◽

D. Lewis ◽

J. Fraser

Keyword(s):

Emergency Medicine ◽

Point Of Care ◽

Position Statement ◽

Point Of Care Ultrasound ◽

Entire Body ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Assessment Of Performance ◽

Canadian Association ◽

Assessment Of Practice

Introduction: Organizations including CAEP, CEUS, the International Federation for Emergency Medicine (IFEM) and the Canadian Association of Radiologists have all called for defined competency assessments for point of care ultrasound (PoCUS). Definitions of core indications vary. The requirement for ongoing assessment of performance and skills maintenance is often overlooked. We describe the introduction an IFEM approved Assessment of Practice (AP) tool across a PoCUS training program and for continued assessment. Methods: We completed a cross sectional survey and cohort study including the entire body of emergency medicine physicians at a tertiary hospital. Over a 3 year period, all practitioners were assessed for CAEP position statement defined core applications at baseline and again after 2 years using a published PoCUS AP tool. We describe the tool, its application and the performance assessment findings. Emergency physicians (EP) underwent AP following formal training including an approved course and a logbook documenting a variable number of scans. Results: 23 EPs completed training and underwent AP initially, with all 23 EPs completing further assessment within 3 years. Assessment of practice was completed for 1. Focused Diagnostic Ultrasound Assessment for AAA, eFAST, cardiac, early pregnancy; and 2. Focused Procedural Ultrasound Guidance for venous catheterization. All EPs demonstrated initial and continuing competency in these PoCUS modalities. Conclusion: The IFEM PoCUS curriculum promotes ongoing local assessment of performance. We successfully implemented this competency based approach and demonstrated feasibility, flexibility and utility in a Canadian emergency medicine program.

Download Full-text

Thrombolytic Therapy for Acute Ischemic Stroke: The CAEP Position Statement: another perspective

CJEM ◽

10.1017/s1481803500005509 ◽

2001 ◽

Vol 3 (03) ◽

pp. 180-182

Author(s):

Michael D. Hill ◽

Gordon J. Gubitz ◽

Stephen J. Phillips ◽

Alastair M. Buchan

Keyword(s):

Ischemic Stroke ◽

Thrombolytic Therapy ◽

Acute Ischemic Stroke ◽

Randomized Trials ◽

Recombinant Tissue Plasminogen Activator ◽

Position Statement ◽

Emergency Physicians ◽

Canadian Association ◽

Tissue Plasminogen ◽

Areas Of Concern

The cautiously-worded Position Statement recently issued by the Canadian Association of Emergency Physicians (see Appendix 1) regarding the use of intravenous recombinant tissue-plasminogen activator (tPA, alteplase) for acute ischemic stroke underscores the reality that many physicians in Canada have been reluctant to embrace this therapy. Much of the caution expressed in the CAEP document is related to 2 major areas of concern: evidence of efficacy (i.e., did tPA really “prove” itself in randomized trials?) and effectiveness (i.e., are the trial results generalizable to everyday practice?). While we support the development of documents that help to clarify controversial treatments, and agree with much of what is presented in the CAEP Position Statement, we offer the following comments.

Download Full-text

CAEP 2015 Academic Symposium: Recommendations for University Governance and Administration for Emergency Medicine

CJEM ◽

10.1017/cem.2016.22 ◽

2016 ◽

Vol 18 (S1) ◽

pp. S18-S25 ◽

Cited By ~ 3

Author(s):

David Petrie ◽

Anil Chopra ◽

Alecs Chochinov ◽

Jennifer D. Artz ◽

Michael Schull ◽

...

Keyword(s):

Emergency Medicine ◽

Good Governance ◽

Local Environment ◽

Essential Elements ◽

Current Status ◽

Emergency Physicians ◽

Canadian Association ◽

Academic Units ◽

Research And Education ◽

Exceptional Patient

AbstractObjective1) To identify the strengths and challenges of governance structures in academic emergency medicine (EM), and 2) to make recommendations on principles and approaches that may guide improvements.MethodsOver the course of 9 months, eight established EM leaders met by teleconference, reviewed the literature, and discussed their findings and experiences to arrive at recommendations on governance in academic units of EM. The results and recommendations were presented at the annual Canadian Association of Emergency Physicians (CAEP) Academic Symposium, where attendees provided feedback. The updated recommendations were subsequently distributed to the CAEP Academic Section for further input, and the final recommendations were decided by consensus.ResultsThe panel identified four governance areas of interest: 1) the elements of governance; 2) the relationships between emergency physicians and academic units of EM, and between the academic units of EM and faculty of medicine; 3) current status of governance in Canadian academic units of EM; and 4) essential elements of good governance. Six recommendations were developed around three themes, including 1) the importance of good governance; 2) the purposes of an academic unit of EM; and 3) essential elements for better governance for academic units of EM. Recommendations included identifying the importance of good governance, recognizing the need to adapt to the different models depending on the local environment; seeking full departmental status, provided it is mutually beneficial to EM and the faculty of medicine (and health authority); using a consultation service to learn from the experience of other academic units of EM; and establishing an annual forum for EM leaders.ConclusionAlthough governance of academic EM is complex, there are ways to iteratively improve the mission of academic units of EM: providing exceptional patient care through research and education. Although there is no one-size-fits-all guide, there are practical recommended steps for academic units of EM to consider.

Download Full-text

Building a national organization of future emergency medicine physicians

CJEM ◽

10.1017/s1481803500003948 ◽

1999 ◽

Vol 1 (02) ◽

pp. 132

Author(s):

Jason R. Frank

Keyword(s):

Emergency Medicine ◽

Family Medicine ◽

Royal College ◽

Training Programs ◽

Emergency Physicians ◽

National Organization ◽

New Family ◽

Canadian Association ◽

Family Medicine Residents

Resident interest in emergency medicine (EM) is on the rise. Each year, postgraduate matches add to the ranks of Canadian EM residents, and the Canadian Association of Emergency Physicians (CAEP) Residents’ Section (RS) continues to expand. The numbers are inspiring. This year, 16 residents accepted Royal College EM postgraduate year-1 (PGY-1) slots. Many more began their CCFP(EM) PGY-3 year, and this doesn’t include the residents who matched separately to EM training programs in Quebec. At the same time, the Canadian Resident Matching Service (CaRMS) matched about 433 new Family Medicine residents and 63 new Pediatrics residents. A significant number of these groups will also go on to develop interests and skills in EM.

Download Full-text

Executive summary of the CAEP 2014 Academic Symposium: How to make research succeed in your department

CJEM ◽

10.1017/cem.2015.59 ◽

2015 ◽

Vol 17 (3) ◽

pp. 328-333 ◽

Cited By ~ 10

Author(s):

Ian G. Stiell ◽

Jennifer D. Artz ◽

Jeffrey Perry ◽

Christian Vaillancourt ◽

Lisa Calder

Keyword(s):

Emergency Medicine ◽

Best Practices ◽

Leadership Education ◽

Teaching Hospitals ◽

Diagnostic Tools ◽

Emergency Physicians ◽

Executive Summary ◽

Medicine Research ◽

Canadian Association ◽

Funding Opportunities

AbstractThe vision of the recently created Canadian Association of Emergency Physicians (CAEP) Academic Section is to promote high-quality emergency patient care by conducting world-leading education and research in emergency medicine. The Academic Section plans to achieve this goal by enhancing academic emergency medicine primarily at Canadian medical schools and teaching hospitals. It seeks to foster and develop education, research, and academic leadership amongst Canadian emergency physicians, residents, and students. In this light, the Academic Section began in 2013 to hold the annual Academic Symposia to highlight best practices and recommendations for the three core domains of governance and leadership, education scholarship, and research. Each year, members of three panels are asked to review the literature, survey and interview experts, achieve consensus, and present their recommendations at the Symposium (2013, Education Scholarship; 2014, Research; and 2015, Governance and Funding).Research is essential to medical advancement. As a relatively young specialty, emergency medicine is rapidly evolving to adapt to new diagnostic tools, the challenges of crowding in emergency departments, and the growing needs of emergency patients. There is significant variability in the infrastructure, support, and productivity of emergency medicine research programs across Canada. All Canadians benefit from an investigation of the means to improve research infrastructure, training programs, and funding opportunities. Such an analysis is essential to identify areas for improvement, which will support the expansion of emergency medicine research. To this end, physician-scientist leaders were gathered from across Canada to develop pragmatic recommendations on the improvement of emergency medicine research through a comprehensive analysis of current best practices, systematic literature reviews, stakeholder surveys, and expert interviews.

Download Full-text

31. The birth of a new specialty: The history of emergency medicine in Canada

Clinical & Investigative Medicine ◽

10.25011/cim.v30i4.2791 ◽

2007 ◽

Vol 30 (4) ◽

pp. 44 ◽

Cited By ~ 2

Author(s):

R. Elyas

Keyword(s):

Emergency Medicine ◽

Royal College ◽

Emergency Departments ◽

Clinical Medicine ◽

Task Force ◽

Family Physicians ◽

Care Providers ◽

Emergency Physicians ◽

Canadian Association ◽

History Of

Modern day emergency rooms across Canada have almost completely transformed over the past 30 years; perhaps more so than any other specialty. Before the 1970’s, it was primarily general practitioners working on a part-time basis who ran our emergency departments. Some hospitals used interns and residents as first-line emergency care providers, often under the direction of a surgeon or internist. Emergency Medicine has evolved into a highly sophisticated and respected medical specialty that extends beyond clinical medicine, into both research and academia. The appeal of Emergency Medicine is so great that it is now one of the most sought after specialties in the annual CaRMS match. The success story of Emergency Medicine is characterized by the tireless efforts and determination of its founders across the country. They fought for adequate and supervised care of the acutely ill or traumatized patient, believing in a special body of knowledge that should be available to physicians who spend most, if not all, their time in Emergency Departments. In 1977, these founders formally united and The Canadian Association of Emergency Physicians was born. A few years later, in 1980, Emergency Medicine was finally designated as a free-standing specialty by the Royal College of Physicians and Surgeons of Canada. Meanwhile, the College of Family Physicians of Canada also sought to establish a parallel route for Emergency Training of Family Physicians, feeling that Emergency Medicine lay within the realm of Family Medicine. The result was that both colleges established Emergency Medicine training programs that exist until this day. Using journals, archives, a survey, and interviews, the paper will trace the history of the professionalization of Emergency Medicine in Canada. Johnson R. The Canadian Association of Emergency Physicians. The Journal of Emergency Medicine 1993; 11:362-364. Reudy J, Seaton T, Walker D, Rowat B, Cassie J. Report of the Task Force on Emergency Medicine: RCPSC Accreditation Section, 1988. Walker DMC. History and Development of the Royal College Specialty of Emergency Medicine. Annals Royal College of Physicians and Surgeons of Canada 1987; 20:349-352.

Download Full-text