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Emergency Medicine

The McMaster University Family Medicine/Emergency Medicine Program is a one-year program designed to provide physicians, who have completed a Family Medicine residency, with the specific competence to practice Emergency Medicine complete with leadership skills to assess, promote, and integrate emergency health services within the community.

Education is both didactic and hands on, with direct clinical exposure benefiting the patient in both the urban and community sites across Southern Ontario. The teaching hospitals used are organized by specialty, such as burn/trauma, oncology, pediatric trauma, and emergency psychiatry. The hospitals, both urban and community, offer emergency departments supported by comprehensive medical and surgical services. Overall, the sites offer a wide range of pathology.

Our approach to teaching encourages the development of competency in emergency medicine care for adults, children, elderly and special populations that commonly utilize Canadian emergency medical services. We utilize ongoing competency assessment and foster an environment of continued assessment and improvement. Evaluation and feedback is ongoing throughout training, through the use of a competency committee that collaborates with the learner to encourage specific structured learning off-shift to augment the clinical learning experience.

PROGRAM OVERVIEW

Simulation – The simulation curriculum offers at least 10 – 12 sessions per academic year. Residents will tackle complex medical cases and hone your skills in communication, leadership, and resource utilization skills. We are also working with the Pediatric Emergency group to implement a more robust pediatric simulation curriculum to ensure more exposure to challenging low frequency, high equity cases. Sessions are led by staff with simulation expertise and use high fidelity mannequins.

Tintinalli Rounds – These sessions are designed specifically to be more interactive and focus on clinical process opposed to significant time spent on pathophysiology.

Clinical Skills – Clinical skills sessions will occur throughout the year. Sessions will include a day in the anatomy lab practicing on cadavers, at least 4 simulation sessions with high fidelity mannequins, Ortho casting sessions and CT Head sessions.

Practice Orals – There will be regularly scheduled practice oral sessions throughout the academic year. During these sessions faculty will deliver a practice oral to you that will closely mimic the environment of the orals during your EM examination.

Written Examinations – You will be given a sample exam at least twice per academic year as well as a National In-Training Practice Exam that will be written in the Spring of your academic year.

Journal Club – The program runs monthly Journal Club sessions to assist in the development of the resident’s critical appraisal skills.

Ultrasound – You will be provided with an Ultrasound Boot-Camp in the fall of your academic year. This course includes a pre-course online, practical course and written exam. You will also have an advanced Ultrasound Day following your certification. This session will expose you to resuscitation and advanced ultrasound scans in a case based format, covering a condensed version of many advanced scans. There are remote virtual POCUS rounds with an optional and mandatory component.

Longitudinal Rounds (ECG) – weekly virtual rounds on ECG and cardiology based topics

Scholarly Work and Research Project – A program requirement is supported by the Department of Family Medicine and Division of Emergency Medicine to develop scholarly work such as research, teaching, interprofessional collaboration and teaching throughout the third-year program.

HOW TO APPLY

Applicants interested in applying to our CCFP(EM) program should visit the CaRMS website

SAMPLE SCHEDULE

Rotations may be tailored to your prior training and career goals, however, certain rotations are considered mandatory and must be completed. Rotations will include ICU, CCU, Surgery, Trauma, Orthopedics, Plastics and Emergency Medicine.

Please note: These are sample schedules. Communities and Academic Centers as well as rotation type can be modified.

Academic Activities
Emergency Medicine core content material is presented at the weekly academic half day. The academic half day takes place on Thursday mornings. Core content topics include radiology, examination preparation, bioethics, and administration.

In addition, there will be multiple Simulation Sessions with high fidelity simulators through the academic year. Finally, there is a day in the Anatomy Lab practicing procedures on cadavers.

Half day program includes:

  1. Tintinalli Rounds
  2. Procedural Skills Session
  3. Practice Oral Examination
  4. Practice Written Examination
  5. ECG rounds

Residents are required to attend monthly Journal Club. EMS rideouts will be performed during the Emergency Medicine block, 2 days.

Scholarly Work and Research Academic Project / Rounds
Residents are expected to complete a research project on evidence-based medicine skills, for which they will search databases, critically appraise the articles and present the material at a resident research day. This may take the form of a CQI/QA project; literature search or a formal research design study. It is expected that residents will display competence in preparing, practicing and evaluating evidence-based medicine. Other aspects of scholarly work including teaching, interprofessional collaboration and leadership are also included / considered.

Course in Ultrasound (US)
An Ultrasound Course following the National principles is offered in the early fall of the EM year. This course teaches the technical skills and didactic principles of Point of Care Ultrasound (POCUS). The remainder of the course is spent scanning volunteers to achieve the required number of scans. We have ample faculty available to assist with attaining the required scans for full certification if unable during the Course in Ultrasound. A second Advanced US Course will be completed in the spring of the EM year. There are longitudinal options for POCUS on Emergency Medicine blocks.

Social & Wellness
At the start of the academic year each resident is connected to a Faculty Mentor to support learning and career goals. There are many opportunities to engage with our Royal College colleagues, including several social events. In addition, the annual Resident Retreat is organized with EM Faculty.

CONTACT US

Program Director:
Dr. Erich Hanel
haneleg@mcmaster.ca

Assistant Program Director:
Dr. Liane-Shipp-Dey
liane.shipp-dey@medportal.ca

Program Coordinator:
Ms. Melissa Hymers
hymers@mcmaster.ca