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10 06, 2018

IDEA Series: Implementing an Integrative Longitudinal Online Ultrasound Curriculum

2018-06-06T09:33:25+00:00

The Problem

Idea Series LogoEmergency ultrasound (EUS) has quickly become a fundamental aspect of emergency medicine (EM) residency training. While still relatively novel to the field, there has been a significant focus on curriculum development in accordance with the core ultrasound application guidelines set forth by the American College of Emergency Physicians (ACEP).1 Currently, there is no consensus on the optimal approach to EUS education that will provide learners with true clinical competence post-matriculation. Furthermore, a recent survey demonstrated that there is conflict between what ACEP guidelines consider to be competence in EUS and resident opinion on the matter.2 One potential identified issue with our current model is the focus on early ultrasound learning in junior EM residents with a lack of ongoing EUS education in senior years.
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3 06, 2018

IDEA Series | Chopped EM: A ‘Palatable’ Way to Teach a Challenging Topic to EM Residents

The Problem

idea series teaching residents quality improvement

Psychiatric and substance use disorder complaints comprise up to 12% of all Emergency Department (ED) visits.1–3 These conditions can present in a multitude of ways, making it essential for emergency physicians (EPs) to be aware of nuanced diagnostic characteristics of psychiatric illnesses in order to provide timely and appropriate care for these patients.

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1 02, 2018

IDEA Series: Trapped as a Group, Escape as a Team | Applying Gamification to Team-Building Skills

2018-02-02T11:33:46+00:00

The Problem

idea series teaching residents quality improvementProviding high-quality healthcare in the busy, often chaotic world of EM requires teamwork. Team members must overcome varied levels of training, expertise, and conflicting personalities to function as a unit. Effective teamwork and collaboration, particularly in high-stakes, high-acuity environments, can improve patient outcomes and the cost of care.1,2 Although the Accreditation Council of Graduate Medical Education (ACGME) includes “interpersonal and communication skills” (ICS) as a core competency, there is no consensus as to how to effectively teach these skills. Further, military literature identifies “trust” as critical to effective communication within teams.3 To improve trust, communication, and collaboration, authors suggest a training that is safe, low-stakes, high-impact, and dynamically engaging.
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30 11, 2017

IDEA Series: Using Gamification to Reinforce Toxicology

2017-11-28T23:40:32+00:00

The Problem

idea series using gamification to reinforce toxixcologyEarly recognition of a patient presenting with a toxidrome is essential to providing high-quality emergency care. Learners are often first exposed to this topic, however, in one comprehensive grouping, which makes it challenging to learn the nuances that distinguish one toxidrome from another. Both learners and experienced clinicians alike often employ rote memorization (and sometimes suboptimal mnemonics) to differentiate these presentations. This can make it difficult to convert the details into long-term memory.
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2 11, 2017

IDEA Series: Intern Olympics, a Capstone Competition

2017-11-01T22:19:02+00:00

The Problem

Idea Series LogoEmergency medicine (EM) interns begin residency with variable clinical, procedural, and interprofessional skills. Residency leadership can find it challenging to ensure that a new class cohesively transitions into a program and community. Following a 4-week “Intern Boot Camp,” a capstone competition, “Intern Olympics,” was held to emphasize key knowledge and skills for interns. 

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21 09, 2017

IDEA Series: Teaching ECGs through a Written Competition

2017-11-01T22:03:01+00:00

The Problem

Idea Series LogoECG interpretation is a cornerstone of Emergency Medicine (EM). It requires both rapid identification of life-threatening abnormalities and fastidious attention to detail. This pairing can intimidate some junior learners, and identifying an effective and engaging method for teaching ECGs is important to resident education. We report a teaching method that addresses this problem with an annual residency ECG competition.

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1 09, 2017

IDEA Series: Video Review as an Experiential Model for Difficult Airway Education

2017-12-18T17:25:42+00:00

The Problem

Idea Series LogoDifficult airways, including those that are edematous, burned, soiled, or traumatic, pose one of the greatest procedural challenges for emergency physicians. Furthermore, unanticipated difficult airways represent 5-15% of intubations in the ED. Emergency medicine residents gain experience with difficult airways largely through hands-on practice while caring for critically ill patients. The relatively low frequency of complex intubations, however, necessitates an educational model that extends beyond the ED and can be shared with multiple learners.
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