EMERGENCY MEDICINE

Core Curriculum

The core curriculum at SIU was developed to create a robust learning experience that prepares its residents to be successful practitioners and leaders in the field of emergency medicine. Didactic, simulation, bedside teaching, and clinical experiences are all intertwined to provide our residents with a strong foundation that will serve them well in their future careers. The curriculum is dynamic and always evolving to keep up to date with the most recent practicing trends.

Clinical Rotations

Clinical Rotations Rotations at SIU are arranged in a matter to mirror the increasing clinical responsibilities of the matriculating resident. The first year is dedicated to familiarize residents with the two clinical sites and to provide a good foundation in the basic procedural skills required of the emergency medicine physician. Year two provides clinical experiences that strengthen each resident's abilities in the critical care setting both in adult and pediatric populations, and the final year of residency is dedicated to understanding and mastering patient flow in the emergency department. All residents work 10 hour shifts. Break down on shifts per month by year are as follows:

- R1s work 19 shifts per month
- R2s work 18 shifts per month
- R3s work 17 shifts per month

EM1

Rotation

Site

Time

Orientation/ED MMC/SJH 1 Month
ED MMC/SJH 4 Months
Peds EM SJH 1 Month
Trauma Surgery MMC 1 Month
Adult ICU MMC/SJH 2 Months
Anesthesia/Cardiology/US MMC 1 Month
Procedures (Pastics/Ortho) MMC 1 Month
OB/GYN SJH 1 Month

EM2

Rotation

Site

Time

ED MMC/SJH 6 Month
Peds EM/EMS SJH 1 Months
Trauma Surgery/SICU MMC/SJH 1 Month
Adult ICU MMC/SJH 2 Month
Pediatric Critical Care SJH 1 Month
Stroke/Optho MMC 1 Month

EM3

Rotation

Site

Time

Orientation Teaching/ED MMC/SJH 1 Month
ED MMC/SJH 7 Months
Trauma Surgery/SICU MMC/SJH 1 Month
Pediatric Critical Care SJH 1 Month
Elective MMC/SJH 1 Month

 

Core Education Activities

The core curriculum at SIU Emergency Medicine includes a wide variety of didactic sessions every Thursday of each month.  Core faculty present topic sessions using both tradition and "flipped classroom" models to review the core content of Emergency Medicine based on the Model of Clinical Practice. Resident grand rounds, short topic presentations, asynchronous learning, and written board review are also regular components of the curriculum.  Residents also present patient case and morbidity and mortality conferences on a monthly basis. Integrated with Thursday didactics are our sim-interactive hours. Usually occupying 2-3 hours of the didactic day, these sessions are meant to provide more active learning experiences through simulation, procedure labs, small groups sessions, professional development labs, and oral boards. Journal club and our evidence based medicine curricula activities are held once a month usually during the third week of every month. Below are just some of the highlights of some of the learning activities our residency has to offer. Want to know what a typical month is like in our core curriculum? Take our interactive Google calendar out for a spin!

 

Core Topic Sessions

The foundation of knowledge our residents gain are through their clinical rotations and work. To ensure our residents cover the EM Model of Clinical Practice, core faculty presents topics throughout each month to solidify our residents knowledge base. These topics are based off a 18 month rotating curriculum of topics that coincide with an ongoing reading list streamer. Although some lectures are presented in the traditional didactic format, many of these core sessions are case based in a "flipped classroom" format to help residents apply the knowledge they have obtained through their reading list streamer. These sessions also provide a platform to discuss the practical nuances of patient care pertaining to these core topics.

Small Group Sessions

One of the strengths of having a smaller class size is the ability to run small group learning sessions during didactic conference days. These sessions are meant to be more interactive and are lead by core faculty members. Small group sessions are on most occasions year directed including medical knowledge based groups (EKG's, medical imaging interpretation, etc), procedure based groups (difficult airway, cardiac pacing, pericardiocentesis, ultrasound etc), clinical based groups (working with midlevel providers, quality and patient safety projects, chart reviews etc), and non-clinical based groups (career planning, financial planning, medical malpractice, etc). More information on the ultrasound, and procedural experiences can be found by clicking on the respective underlined links.

Asynchronous Learning

Today there are multiple resources available for resident learning outside the walls of the conference room.  Each month residents have select articles, lectures or podcasts that are reviewed outside of conference time and then discussed as a group at the end of the month.

Written Board Review

The written board review sessions at SIU are subject base and complement the multiple board review resources our residents have access to. Subject reviews and written questions are discussed during conference sessions. Most recently these written board review sessions are held in competition style pitting class versus class. With forever evolving rules, this newly adapted style has created yet another fun interactive didactic experience for our residents. A lot of learning goes on when candy is at stake!!!

Oral Board Review

One of the most anxiety provoking tests an EM physician will undergo during their career is the experience of taking care of a make believe patient at the Chicago O'Hare Marriott. Integrated into our sim-interactive hours are oral boards practice sessions. Using the tried and true method of training "behind the wall of folders", our faculty work through simulated oral boards cases during these sessions given real time feedback on test taking strategies. These cases not only prepare you for what ultimately leads towards board certifications, but also helps to provide a systematic framework towards approaching any patient whether simulated in oral boards or seen in the real world.

Case Conference & Morbidity & Mortality

One of the most highly rated sessions on our didactic calendar are our resident case conferences and morbidity & mortality presentations. During these sessions our residents present to their colleagues and staff interesting cases. With over 120,000 patient care visits in our system, the pathology our residents are exposed to continue to feed these conferences with great teachable moments. Morbidity & mortality conferences allow for a safe and supportive learning environment for our residents and staff to go over tough cases and learn from common diagnostic, cognitive, and system errors. We are firm believers at SIU that unexpected outcomes do happen and they are some of the best learning experiences.

Journal Club & Evidence Based Medicine

Residents lead monthly Journal Club sessions which review recent articles pertinent to the practice of Emergency Medicine as well as seminal or landmark articles from the past that have effected our practice today.  Statistics and evidenced based medicine topics are also discussed. Journal clubs at SIU are hosted by the core faculty usually outside the usual conference venues to provide an informal and fun social atmosphere (sometimes during a holiday celebration!).

 

"The Fifth Thursday"

On occasion a calendar month can extend to contain a fifth Thursday that allows us to plan for a "non-traditional" day of conference. These conference days usually involve a field trip of sorts to explore an EM related experience to help broaden our residents knowledge and understanding of their craft as well as provide team building experiences between residents, medical students, and our pre-hospital community partners. Past events have included a Ballistics Day with the Springfield Police Department, EMS Day with Riverton EMS, Fire Day with the Springfield Fire Department, and our own SIU MedWars Wilderness Race hosted at our own Chair's ranch.