Residents should be able to identify issues in problem solving, decision making and patient management from the perspective of a small and medium-sized community hospital emergency department practice.
- Residents should have family physician/emergency physicians from community hospitals as role models.
- Residents should be able to identify and apply the four principles of Family Medicine to emergency department practice.
- Residents should know the core content of emergency medicine through reading a standard text (e.g. Tintinalli or Rosen) and supplementary references. Residents should read through a textbook (e.g., Tintinalli or Rosen) over the course of the year using the topics scheduled for each block’s seminars as a “reading schedule”.
These interactive seminars are led largely by community family physician/emergency physicians. The teacher’s role is to choose issues, within the general topics assigned for that seminar, that are common and problematic from his/her experience in a community hospital emergency medicine practice. The seminar format will vary depending on the teacher’s preference. If the teacher requests your input/participation or assigns specific reading, this will be distributed to you no later than 2 weeks in advance. It is expected that all participants will have read the material circulated or self-identified resources (eg. from texbooks, websites etc) before the seminar day. The goal is that the seminar discussion concentrates on specific “problem” issues identified by the teacher/residents, as opposed to basic concepts. Specifically, these rounds should address: “What kinds of problems and decision-making are common in small and medium-sized emergency medicine practice with limited resources?”
Attendance at these rounds is mandatory. Permission to have time off to attend the rounds during most rotations (e.g. Emergency Medicine, ICU, Anesthesia, Orthopedics, Plastics, CHEO) has been obtained. The annual schedule has been sent to the coordinators in those rotations and have been forwarded to those making call/shift/work schedules so that conflicts should be avoided. However, it is imperative to check when each rotations duty rosters are published that residents ensure that no conflict has slipped through. It is also wise to send a reminder to the rotation coordinator well in advance, at the same time as submitted vacation and education day requests. If necessary, residents should make individual arrangements to trade time with residents in other programs who may have similar needs to attend their program’s core rounds. Please use tact when explaining the need to be away from the ward/department to staff and other residents and do this well in advance of the day involved. If you are coming in from out-of-town for the seminars, please don’t drive if you are tired.
Summary Of Other Teaching Rounds
Department of Family Medicine Rounds
Objectives: Third year residents should maintain their perspectives and attitudes regarding the practice of Family Medicine developed in their core Family Medicine training. Department of Family Medicine Grand Rounds are held Tuesdays at 12:30-13:30h at the Haynes Hall, 115 Clarence Street, Seminar Room. Please consider attending whenever your schedule allows.
Department of Emergency Medicine Core Content Seminars
Schedule available on the Queen’s Department of Emergency Medicine Website
Objectives: The resident should know selected topics in emergency medicine at the level of a tertiary care academic program in Emergency Medicine. Attendance at these weekly seminars is mandatory when a resident is on an Emergency Medicine rotation in Kingston and encouraged when on another service. Arrangements have been made with all rotations (except ICU) to allow attendance although residents should check with their supervisor(s) first, and offer to cover the other residents when they have similar core rounds to attend. Out-of-town rotation schedules and distances may preclude attendance. Please do not drive if you are tired. The seminars cover selected topics in Emergency Medicine and are led by staff emergency physicians. Specific topics or questions are usually assigned to individuals who are on the Kingston Emergency Medicine service that block.
Department of Emergency Medicine Grand Rounds
Schedule available on the Queen’s Department of Emergency Medicine Website
Objectives: The residents will prepare and present a critical appraisal of an Emergency Medicine topic from the perspective of family medicine or a community hospital. This objective is specific to presentations made by CCFP-EM residents and is in addition to the general objectives for Grand Rounds set by the Department of Emergency Medicine.
Attendance at these weekly rounds is mandatory when a resident is on a Kingston Emergency Medicine rotation and encouraged when on another service. Arrangements have been made with all rotations (except ICU) to allow this, however you should check with your supervisor first, and offer to cover the other residents when they have similar core rounds to attend. Out- of-town rotation schedules and distances may preclude attendance. Please don’t drive if you are tired.
Department of Emergency Medicine Junior Resuscitation Rounds
Objectives: The resident should be able to encourage, support and lead discussions on common and life-threatening conditions that may be faced by Clinical Clerks, Nurses and PGY1-2 residents during training or on entry into primary care practice. The resident should demonstrate teaching methodologies for continuing medical education in Emergency Medicine. A Royal College senior resident or CCFP-EM resident will lead the teaching of these rounds.
Department of Emergency Medicine Senior Resuscitation Rounds
Objectives: to practice the medical decision making, application of knowledge and procedural skills, resource organization and utilization, team communication and leadership skills in high-fidelity simulated scenarios involving advanced resuscitation. These rounds are led by CCFP-EM and FRPC-EM PGY3-5 residents only. Attendance at these weekly rounds is mandatory when a resident is on a Kingston Emergency Medicine rotation and encouraged when on another service. Arrangements have been made with all rotations (except ICU) to allow this, however you should check with your supervisor first, and offer to cover the other residents when they have similar core rounds to attend. Out- of-town rotation schedules and distances may preclude attendance. Please don’t drive if you are tired.
Department of Emergency Medicine Journal Club
Objectives: The resident should demonstrate critical appraisal skills (developed in the core two years of Family Medicine training) applied to the Emergency Medicine literature.
These evening rounds are held every block at an Attending Emergency Physician’s home. As the resident’s call schedule permits, these rounds should be attended when on other rotations in Kingston, as well as when you are in the Emergency Department. The schedule is distributed by the Department of Emergency Medicine and, like all Department of Emergency Medicine rounds, is on the Departmental website.
Department of Emergency Medicine Administrative Rounds
Objectives: These rounds focus on prehospital care, other emergency medical services, medicolegal, ethical issues, and administrative issues for emergency services and departments.