scholarly journals Clinical teaching in a busy emergency department: strategies for success

CJEM ◽  
2002 ◽  
Vol 4 (04) ◽  
pp. 286-288 ◽  
Author(s):  
Rick Penciner
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Medical Students ◽  
Medical Practice ◽  
Clinical Teaching ◽  
Emergency Medical ◽  
Strategies For Success

ABSTRACT Clinical teaching is an integral part of emergency medical practice. With the growing number of medical students and residents in the emergency department there are increasing expectations for clinicians to teach. But there are many challenges and obstacles to overcome when teaching in a busy department. By incorporating diverse strategies and techniques, we can become more effective and efficient emergency medicine teachers.

scholarly journals MP19: Identifying and transmitting the culture of emergency medicine through simulation

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S49-S49
Author(s):  
E. Purdy ◽  
C. Alexander ◽  
M. Caughley ◽  
S. Bassett ◽  
V. Brazil
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Medical Students ◽  
Participant Observation ◽  
Core Values ◽  
Recursive Method ◽  
Beliefs And Practices ◽  
Inductive Approach ◽  
Review Analysis ◽  
Document Review

Introduction: Simulation is commonly used in medical education. It offers the opportunity for participants to apply theoretical knowledge and practice non-technical skills. We aimed to examine how simulation may also help to identify emergency medicine culture and serve as a tool to transmit values, beliefs and practices to medical learners. Methods: We undertook a focused ethnography of a simulated emergency department exercise delivered to 98 third-year medical students. This ethnography included participant-observation, informal interviews, and document review. Analysis was performed using a recursive method, a simultaneous deductive and inductive approach to data interpretation.We undertook a focused ethnography of a simulated emergency department exercise delivered to 98 third-year medical students. This ethnography included participant-observation, informal interviews, and document review. Analysis was performed using a recursive method, a simultaneous deductive and inductive approach to data interpretation. Results: All 20 staff (100%) and 92 of 98 medical students (94%) participated in the study. We identified 7 core values – identifying and treating dangerous pathology, managing uncertainty, patients and families at the center of care, balancing needs and resources at the system level, value of the team approach, education as integral, and emergency medicine as part of self-identity – and 27 related beliefs that characterized emergency medicine culture. We observed that culture was transmitted during the simulation exercise. Conclusion: This study contributes to the characterization of the culture of emergency medicine by identifying core values and beliefs that are foundational to the specialty. Simulation facilitated cultural compression which allowed for ready identification of values, beliefs and practices and also facilitated transmission of culture to learners. This study expands understanding of the culture of emergency medicine and the role of simulation in the process of cultural exchange.

scholarly journals LO11: STAR-EM: An innovative summer research program for medical students in an urban Canadian academic emergency department

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S10-S11
Author(s):  
S. Friedman ◽  
D. Porplycia ◽  
J. Lexchin ◽  
K. Hayman ◽  
S. Masood ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Program Evaluation ◽  
Medical Students ◽  
Research Training ◽  
Project Work ◽  
Manuscript Preparation ◽  
Research Culture ◽  
Small Group Teaching ◽  
Scholarly Output

Innovation Concept: Research training programs for students, especially in emergency medicine (EM), may be difficult to initiate due to lack of protected time, resources, and mentors (Chang Y, Ramnanan CJ. Academic Medicine 2015). We developed a ten-week summer program for medical students aimed at cultivating research skills through mentorship, clinical enrichment, and immersion in EM research culture through shadowing and project support. Methods: Five second year Ontario medical students were recruited to participate in the Summer Training and Research in Emergency Medicine (STAR-EM) program at University Health Network, Toronto, from June - Aug, 2019. Program design followed review of existing summer research programs and literature regarding challenges to EM research (McRae, Perry, Brehaut et al. CJEM 2018). The program had broad emergency physician (EP) engagement, with five EP research project mentors, and over ten EPs delivering academic sessions. Curriculum development was collaborative and iterative. All projects were approved by the hospital Research Ethics Board (REB). Curriculum, Tool or Material: Each weekly academic morning comprised small group teaching (topics including research methodology, manuscript preparation, health equity, quality improvement, and wellness), followed by EP-led group progress review of each student's project. Each student spent one half day per week in the emergency department (ED), shadowing an EP and identifying patients for recruitment for ongoing mentor-initiated ED research projects. Remaining time was spent on independent student project work. Presentation to faculty and program evaluation occurred in week 10. Scholarly output included one abstract submitted for publication per student. Program evaluation by students reflected a uniform impression that course material and mentorship were each excellent (100%, n = 5). Interest in pursuing academic EM as a career was identified by all students. Faculty researchers rated the program as very effective (80%, n = 4) or somewhat effective (20%, n = 1) in terms of enhancing productivity and scholarly output. Conclusion: The STAR-EM program provides a transferable model for other academic departments seeking to foster the development of future clinician investigators and enhance ED research culture. Program challenges included delays in REB approval for student projects and engaging recalcitrant staff to participate in research.

You’ve Got to Hand It to Them: Assessing Final Year Medical Students Knowledge of Hand Anatomy and Pathology

2016 ◽  
Vol 21 (03) ◽  
pp. 388-394 ◽  
Author(s):  
Cormac Weekes Joyce ◽  
Shazrinizam Shaharan ◽  
Kate Lawlor ◽  
Melanie Elizabeth Burke ◽  
Michael John Kerin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
General Practice ◽  
Medical Students ◽  
Medical School ◽  
Upper Limb ◽  
Teaching Module ◽  
Musculoskeletal Anatomy ◽  
Practice Of Medicine ◽  
Before And After

Background: Knowledge of hand anatomy and pathology is important for final year medical students as it frequently appears in examinations as a short case or in a written paper. Studies have shown that doctors in the Emergency Department have a deficient grasp of musculoskeletal anatomy secondary to a lack of dedicated teaching in medical school. Methods: A questionnaire was handed out to 111 final year medical students. Students were asked to fill it out before and after dedicated upper limb teaching sessions during their rotation. The questionnaire consisted of an anatomical and pathological component. Students were tested on basic anatomy and pathology of several common upper limb conditions. Results: There was a significant improvement in the medical students knowledge after the dedicated hand teaching. The identification of the carpal bones showed the most improvement overall. Conclusions: Basic musculoskeletal knowledge is essential to the practice of medicine. The majority of medical students gravitate towards a career in general practice or emergency medicine and good knowledge of upper limb anatomy is important. We have piloted a new interactive dedicated upper limb teaching module and have shown that there has been a significant improvement in students knowledge.

scholarly journals Virtual COVID-19 Clinical Teaching Session:

2020 ◽  
Vol 8 ◽  
pp. 1-5
Author(s):  
Jessica Allman ◽  
Mohamad Moussa ◽  
Shivam Shah ◽  
Madison Rectenwald ◽  
Casey Pollard ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Online Learning ◽  
Medical Students ◽  
Clinical Education ◽  
Clinical Teaching ◽  
Clinical Skills ◽  
Learning Opportunities ◽  
The Novel ◽  
Interactive Approach ◽  
Hands On

The novel SARS-CoV-2 virus, or COVID-19, has caused a pandemic in the past year that has significantly impacted the health care system and medical education. This virus has uniquely impacted Emergency Medicine, as many COVID-19 patients suffer from acute respiratory distress or failure and require emergent stabilization. While physicians, residents, and medical students would all benefit from hands-on training on the medical management and stabilization of COVID-19 patients, this is not feasible due to risk of transmission and spread of the virus. Students have missed countless hours of hands-on clinical education because of the shift to online learning or emergency remote learning due to these concerns. A PowerPoint presentation was given via Webex by Emergency Medicine physicians and residents to medical students in hopes of bridging this gap. The lecture presented information on diagnosis, clinical management, and clinical course of COVID-19 positive patients in the Emergency Department. Students were able to engage with Emergency Medicine physicians and ask questions in real time. A pre-session survey and post-session survey were administered via Google Forms to assess students’ confidence in six different domains. There was significant improvement in all six domains of the survey when comparing the pre-session and post-session survey confidence intervals with a p<0.05 being statistically significant. It was found that storytelling of patient management was an effective way to demonstrate clinical skills critical for physicians such as advocating for patients. This presentation highlights the utility and effectiveness of an interactive approach to the virtual education of medical students during the COVID-19 pandemic while adhering to online learning and social distancing formats. In addition, this model can be applied to substitute for other clinical learning opportunities that are not currently available to students due to the pandemic.

scholarly journals Comorbid patient with bronchopulmonary pathology: focus on microcirculation disorders

2020 ◽  
Vol 22 (12) ◽  
pp. 93-96
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Medical Practice ◽  
Respiratory Diseases ◽  
Diagnosis And Treatment ◽  
General Medical Practice ◽  
Causes Of Mortality ◽  
The Common ◽  
National Congress ◽  
Circulatory Disorders

Respiratory diseases are highly prevalent, represent one of the leading causes of mortality worldwide and are characterized by high levels of comorbidity, which all creates certain difficulties for their diagnosis and treatment. The common link in pathogenesis of respiratory diseases and concomitant pathologies are micro-circulatory disorders. It was that issue the symposium "Comorbid Patient with Bronchopulmonary Pathology: Focus on Microcirculation Disorders" was dedicated to. It was held within the framework of online XXX National Congress on Respiratory Diseases (October 27–30). Leading pulmonologists of Russia made pre-sentations at the symposium: Professor V.I. Trofimov (St. Petersburg), professor I.I. Nestorovich (St. Petersburg), employee of the Department of General Medical Practice of the FSBEI of HE “acad. I.P. Pavlova First St Petersburg SMU" O. A. Lazovskaya (St. Petersburg), employee of the Inpatient Emergency Department of the Research Institute of Surgery and Emergency Medicine of the FSBEI of HE “acad. I.P. Pavlova First St Petersburg SMU" A.A. Lebedeva (St. Petersburg).

scholarly journals The choice of the method of patients triage in the system of emergency medicine

2021 ◽  
Vol 22 (2) ◽  
pp. 17-24
Author(s):  
L. T. Mirvarisova ◽  
Kh. E. Anvarov
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Medical Care ◽  
Medical Care System ◽  
Emergency Medical ◽  
Number Of Patients ◽  
Care System

For the timely provision of a full-fledged volume of emergency medical care, it is necessary to triage patients admitted to the emergency department. The article highlights the tool for the prompt and adequate prioritization of the growing number of patients for the provision of emergency medical care, corresponding to the features of the emergency medical care system in Uzbekistan, during which the opinions of experts working in the emergency medicine system were actively accepted.

scholarly journals Shiftwork and emergency medical practice

CJEM ◽  
2002 ◽  
Vol 4 (06) ◽  
pp. 421-428 ◽  
Author(s):  
Jason R. Frank ◽  
Howard Ovens
Keyword(s):  
Emergency Medicine ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Medical Practice ◽  
Well Being ◽  
Emergency Physicians ◽  
Negative Effects ◽  
Essential Component ◽  
Emergency Medical ◽  
Physician Health

ABSTRACTShiftwork has numerous negative effects on workers, but it is an essential component of the demanding 24/7 practice of emergency medicine. We conducted a systematic literature review to characterize the effects of shiftwork on physician health, well-being and practice, and to describe rational strategies to mitigate its impact on Canadian emergency physicians.

scholarly journals Breadth of Emergency Medical Training in Pakistan

2013 ◽  
Vol 28 (2) ◽  
pp. 179-183 ◽  
Author(s):  
Janet Y. Lin ◽  
Saroosh Ahmed ◽  
Caroline Brander
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Medical Care ◽  
Chart Review ◽  
Medical Training ◽  
University Hospital ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Medical Education And Training ◽  
Medical Discipline

AbstractIntroductionEmergency medical care in Pakistan has not been a priority of medical education and training because of the country's need to address its lack of primary care. Resources and trained personnel are scarce. Despite these challenges, the value of emergency medical care is gaining attention. The objective of this study was to explore the breadth of Emergency Medicine training in Pakistan through an analysis of an Emergency Medicine residency in a teaching hospital. The Aga Khan University Hospital in Karachi is a teaching institution with the only Emergency Medicine residency program in the region. It was started in 2000, led by US-trained physicians, and it laid the foundation for Emergency Medicine in the country.MethodsThe study was conducted over a four-week period in January of 2009. Data collection consisted of three components: (1) a survey of the Emergency Department and hospital services; (2) a survey of the Emergency Medicine training curriculum; and (3) a retrospective chart review of every tenth patient seen in the Aga Khan Emergency Department from December 1-14, 2008.ResultsThe training program is similar to that of the US models. Of the 153 patients selected for the chart review, the majority presented with GI complaints. Of these, 51 (33%) were admitted to the hospital; 20% (n = 15) left against medical advice; the remaining 57% (n = 87) were discharged.Discussion/ConclusionThe hospital admitted patients with complaints that were expected in the region. Although Aga Khan University Hospital is a pioneer in establishing Emergency Medicine as an official medical discipline in the region, the hospital's obstetrics and gynecology, trauma, toxicology and prehospital services training do not meet current curriculum standards set forth by the Society of Academic Emergency Medicine and the Council of Emergency Medicine Residency Directors. Nevertheless, the review provides a snapshot of the development of Emergency Medical Services in a developing nation. This information may assist other nations that are interested in developing such programs.LinJY, AhmedS, BranderC. Breadth of emergency medical training in Pakistan. Prehosp Disaster Med. 2013;28(2):1-5.

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