|Emergency Medicine Weekly Conference|
Wednesday (8 am - 12 pm)
2nd Floor, Meads Hall
|Grand Rounds Lectures|
EM Core Content Lectures
Problem Based Learning
Difficult Case Conference
Academic Research/Project Showcase Ethics Conference
EBM "Hot Topics"
|Board Preparation - Mock Oral Boards|
Morbidity & Mortality
Patient Care Quality and Safety
Small Group Series
- Faculty cover the ED so that residents are released to attend conference
- The majority of lecture instruction is lead by EM faculty
- Our conference room is equipped with state of the art AV presentation equipment including audience response tools, as well as the ability to stream to our associated ED sites and record for later viewing
- Residents have access to a comprehensive medical library and electronic resources as they prepare their lecture materials
|Hands-On Learning Activities|
|Advanced Airway Lab|
Advanced Wound Care Lab
EMS Extrication Workshop
Tactical Medicine Workshop
Central Line Course
Ultrasound Boot Camp
Physician Self Defense Course
Monthly (first Wednesday of each month), grand rounds lectures are given by experts in certain fields of emergency medicine. Often, the invited speakers are of national prominence in their field of interest. Category 1 CME credits usually available.
EM Core Content Lectures
One hour lecture presented by E.M. faculty or resident focuses on topics in The Model of the Clinical Practice of Emergency Medicine, formerly the Core Content. The lectures are designed to improve the resident’s clinical fund of knowledge on the daily practice of emergency medicine.
Evidence Based Medicine (EBM) Lectures: Hot Topics
Pertinent clinical topics, often those that are controversial, are reviewed from an evidence based medicine perspective.
Our residents give a 30 minute conference presentation each year. As interns, they give a problem based learning conference wherein they attempt to answer a single, relevant question related to patient care using literature review and the principles of evidence based medicine (see below for more details). In the second year, they progress to a “difficult case conference,” which involves presenting a case with either a significant diagnostic dilemma, or critical care case with multiple important decision points (see below for more details). In the third year, residents present a Senior Resident Conference, where they present a state of the art lecture on a clinical topic or problem in emergency medicine. Thus, in their three years our residents progress from learning to answer a single clinical question well, to using those skills to make critical decisions and develop clinical reasoning, to being able to describe and create an evidence-based, clinically informed approach to entire populations of patients, informed by their growing clinical experience.
Practice-based Learning and Improvement (PBLI) Case Conference
PGY-1 residents present a clinical question of interest
illustrated by an initial case presentation, followed by a presentation of
the supporting or conflicting literature about the topic, and concluding
with practice recommendations based on the available evidence. An example topic
would be, "Should tamsulosin be prescribed in patients with kidney
Difficult Case Conference
PGY-2 resident present difficult cases via two formats, “CPC” and “critical care conference.”
Clinical Pathological Conference (CPC) allows the resident to present a case wherein the diagnosis was difficult, usually either a common presentation of an uncommon disease or an uncommon presentation of a common disease. The process of diagnostic reasoning and testing is discussed.
Critical Care Conference involves the resident leading a discussion of a case of critical illness, moving through the care of that patient step by step, noting the key decision points throughout that patient’s course. The resident evaluates the literature and recommendations behind the choices made, and follows the patient’s course through the end of the hospitalization
Our journal club occurs throughout the year during conference protected time. Residents learn how to interpret the medical literature by reviewing articles chosen by the faculty as well as learning about research methodologies and design.
Both written and oral board preparation occurs throughout the year. Residents have monthly reading assignments from an EM textbook that correlates with our monthly conference topics. We also hold Oral Board Workshops several times throughout the year to provide practice and instruction on taking the big test. Every spring, our department puts on a Mock Oral Board Course for the residents with EM faculty serving as examiners. Residents learn the oral board process and get to practice individual cases while being evaluated on their performance.
Appreciative inquiry sessions are held several times throughout the year, and are an opportunity for group professional reflection. These sessions involve open discussions of the meanings and challenges inherent in the practice of medicine. Residents are given a chance to openly discuss moments of affirmation, the inevitable doubts that come with the process of medical training, and together envision ways to build fulfilling, successful careers.
Morbidity and Mortality Conference
M/M conference focuses on peer-reviewed clinical cases where possible morbidity and/or mortality occurred. These cases involve group discussion on the outcome and a brief review on the subject area. M/M conference includes an ongoing evaluation of our performance with regard to measures of patient care quality, and also provides guidance for dealing with issues such as patient complaints and risk management.
Small Group Series
Every two months, faculty members lead small group discussions on a relevant topic. These topics generally involve either the “art of medicine,” i.e. ways to handle difficult patient interactions, or new and controversial topics in the field of medicine, i.e. payment reform and value-based care.
Cases in which patients return to the ED within 72 hours are reviewed and discussed.
Systems-Based Practice Interdepartmental Conference
These jointly sponsored conferences are a reflection of the outstanding interdepartmental relationships that exist at our residency and medical center. During these joint educational sessions, discussion occurs from participants of both involved departments (i.e., EM/Trauma, EM/IM, etc) on clinical issues of controversy and treatment recommendations that exist in the care of these commonly shared patients. These shared conferences are developed to further our education in the ACGME core competency area of systems-based practice.
Academic/Research Project Showcase
Every year, residents and select faculty have the chance to present their academic work during residency conference. A panel of faculty judges give their views of the projects and suggestions for future directions, and the best resident presentation wins a cash prize.
Simulation training at Wake Forest is taken to a higher level. We incorporate the high-tech gadgets from our state-of-the-art Simulation Center into case-based training in the ED itself. This way, learners can experience simulation training in an environment that is contextually relevant. We also invite nursing, radiology, pharmacy, EMS, and other specialty services (trauma, OB/GYN) to join us during simulation training. This helps establish fantastic communication and relationships with our colleagues. Low-fidelity simulation training is also provided during which there is an emphasis on therapeutic approach, medical theory, decision mapping and pathophysiology.
Residents are taught and practice important invasive emergency procedures (cricothyrotomy, central line, thoracotomy, etc.) on fresh cadavers in the medical school’s anatomy lab under the direct supervision of EM faculty. These sessions are scheduled bi-monthly to accommodate each resident's work schedule.
Periodically, various procedure labs (e.g. difficult airway, suturing, vehicular rescue techniques, etc.) are taught throughout the academic year to offer education in specific procedures important to the practice of emergency medicine.