Resident Didactic Conference and Grand Rounds

In line with ACGME requirements we hold a monthly M&M conference during EM Grand Rounds. Case referral comes from our Emergency Department Quality Assessment Committee. Residents and/or faculty present cases that focus on teaching points related to cognitive and diagnostic errors, transitions of care, documentation, and procedural competency.

Promotion of peer-to-peer discussion during protected time is important in our training program. Residents will often share topics in large and small group forums related to well-being, mental health, and achieving resiliency. EM Chief residents will also hold resident-only town halls to touch base with peers, check-in from a wellness and training perspective, and bring forward feedback to the residency administration.

Our residents receive robust training and didactics in PEM given that we house a PEM fellowship within our department. PGY1’s and 2’s spend a dedicated month during their first two years on PEM, and focus their didactics on pediatric emergency medicine teaching. The EM residency and PEM fellowship also join for various efforts such as PEM/PICU interesting case conference lead by a PEM fellow/EM resident and the pediatric intensivist, pediatric M&M, common PEM procedures lab, and simulation in neonatal and pediatric patient populations.

This is a joint case conference lead by an EM PGY2 and one of our faculty, Dr. David Berger who oversees the PGY2 resuscitation rotation. The residents on this rotation have the important role of overseeing all critical care happening in our department. They then bring interesting cases related to cardiac care in our ED back to the residency group during EM Grand Rounds.

Over the course of each academic year, we hold four procedural labs for training in various emergency medicine related procedures. This includes, general EM procedures, PEM procedures, difficulty airway management, and common orthopedic emergencies procedures. Our residents have access to our state-of-the-art simulation learning institute to get hands-on practice for required procedures.

Delivering multidisciplinary critical care is something our residents become very familiar with. We often partner with our ICU colleagues and invite our medical intensivists to present at EM Grand Rounds on topics pertinent to delivering joint patient care. Topics like acid-base metabolic review and ventilator management are essential to the sickest patients our resident manage.

When looking at and reviewing patient care, medical-legal review is important for future practice once our residents leave training. We focus on the handling of inquiry, preparing for deposition, discussion of necessary documentation, and case discussion during these didactic sessions.