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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.  As teaching and administrative responsibilities increase throughout training residents are afforded a shift reduction in the PGY 2 and PGY 3 years.

- 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 2 Months
Anesthesia/US MMC 1 Month
Pastics / Orthopedics MMC 1 Month
OB/GYN SJH 1 Month

 

EM2

Rotation

Site

Time

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

 

EM3

Rotation

Site

Time

Orientation Teaching / ED MMC/SJH 1 Month
ED MMC/SJH 7 Months
Trauma Surgery / SICU MMC 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.  Resdients are protected from most clinical duties to attend conferences.  Core faculty present topic sessions using both traditional and "flipped classroom" models to review the core content of Emergency Medicine based on the Model of Clinical Practice. Resident grand rounds, case conferences, morbidity & mortality, short topic presentations, asynchronous learning, and written board review are also regular components of the curriculum. During most weeks residents are divided into smaller learning groups for two hours during our simulation and interactive curriculum.  These sessions are meant to provide more active learning experiences through simulation, procedure labs, professional development labs, and oral boards. We are excited to be implementing Emergency Medicine Foudnations into our small group sessions this year as well.

 

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 12 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 held during the months leading up to the annual In-Training Exam.  SIUEM provides Rosh Review for all residents.  Supplemental board review sessions with core faculty are held during the evenings immediately prior to the exam.

Oral Board Review

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 Confrence & Morbidity & Moralality

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 conference venues to provide an informal and fun social atmosphere (sometimes during a holiday celebration)!

 

Extracurricular Experiences

The role of the Emergency Physician extends beyond the ED.  Residents partake in several special activities each year to heighten their exposure to EMS, fire, law enforcement and wilderness medicine. 

During the orientation month all residents participate in EMS Day at the Riverton Fire Department where they are educated on the compostion and function of an EMS system and then learn the basics of prehospital care such as immobilization and extrication in addition to air and ground transport vehicles.

SIUEM Wars occurs every August at Chairman Dr. Griffen's house.  This annual event is organized and run by senior EM residents.  Fellow residents face-off in competition as they navigate many different wilderness EM challanges.

Law Enforcement Day will return to our curriculum this winter at the Springfield Police Department Academy.  Residents will be educated on firearms safety, ballistics, hemorrhage control and active shooter / mass casualty events.

Each Spring Springfield Fire Department creates several scenarios during our annual Fire Day that allow our residents to better understand the role Firefighters play in emergency response and patient care.  Residents breaching techniques to enter structures, undergo confined space maneuvers while wearing full turnout gear, run hose through elevated structures and learn ropes techniques for patient extrication.

In addition to these formalized acticivities residents interested in pre-hospital care or other community involvement may seek out other experiences.  In recent years residents have served as assistant medical directors for EMS agencies, instructed military personnel during combat life saver cadaver labs and taught critical care transport courses to local medics.