Emergency Medicine Clerkship Objectives

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Objectives Linked ActivitiesLinked AssessmentsMcMaster Program Competencies

EM General Competencies

Emergency Medicine General Competencies

Demonstrate the ability to rapidly recognize and initiate basic management of acute life- or limb-threatening illness or injury

Clerkship Teaching Session: Abdominal Pain
Develop an approach to undifferentiated abdominal pain. Describe early management of abdominal pain.
Clerkship Teaching Session: Chest pain
By the end of the session you should be able to: Develop a differential diagnosis and choose appropriate initial tests and list early management strategies for: Adult Chest Pain; Pediatric SOB (shortness of breath) and wheeze.
Clerkship Teaching Session: Neurology
Develop a broad differential diagnosis to rule out life/limb threatening pathologies, consider early investigations and management for the following presentations: Headache; Altered mental status; Weakness. Know when to call the interventional stroke team.
Clinical Exposure: Managing Acute Illness in the ER
Large Group Session: Approach to Toxicology
Define basic concepts of toxicology. Review relevant pathophysiology. Develop a clinical approach to the poisoned patient. Discuss illustrative cases of typical scenarios.
Large Group Session: Approach to Trauma and Burns
Describe the roles of the trauma team members. Describe the ABCDE approach to the trauma patient. Know 5 diagnoses not to miss in the primary survey. Know the types of IV fluid to use in a trauma resuscitation. Describe the utility and limitations of investigations used in the primary survey. Use the “rule of 9’s” to calculate burn area percentage. Use the Parkland formula to estimate IV fluid requirements of a burn patient.
Large Group Session: Orientation to Emergency Medicine
Rotation road map, expectations, evaluation, approach to clinical decision rules, how ER docs think, charting, oral presentations in the ED, approach to the undifferentiated patient, prescriptions, when to call the coroner, mandatory reporting.
Large Group Session: Shock and Sepsis in the Emergency Department
Define shock and the various categories of shock. Describe the assessment and treatment of the different types of shock. Describe the definition, diagnosis, and management of sepsis.
Watching a Video: How Emerg Docs Think
Direct Observation Tool: Recognize a patient requiring urgent or emergent care, provide initial management and seek help
Logbook/Portfolio: Triage Shift Log
Log all patients triaged on the triage shift. The triage nurse with whom you completed this activity is to sign off on this activity at the end of your shift.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.
1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
1.5 Develop and carry out patient management plans
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

Describe a basic differential diagnosis including the significant worst-case diagnosis for every patient assessed.

Clerkship Teaching Session: Abdominal Pain
Develop an approach to undifferentiated abdominal pain. Describe early management of abdominal pain.
Clerkship Teaching Session: Chest pain
By the end of the session you should be able to: Develop a differential diagnosis and choose appropriate initial tests and list early management strategies for: Adult Chest Pain; Pediatric SOB (shortness of breath) and wheeze.
Clerkship Teaching Session: Neurology
Develop a broad differential diagnosis to rule out life/limb threatening pathologies, consider early investigations and management for the following presentations: Headache; Altered mental status; Weakness. Know when to call the interventional stroke team.
Clinical Exposure: Diagnosis in the ER
Large Group Session: Approach to Toxicology
Define basic concepts of toxicology. Review relevant pathophysiology. Develop a clinical approach to the poisoned patient. Discuss illustrative cases of typical scenarios.
Large Group Session: Approach to Trauma and Burns
Describe the roles of the trauma team members. Describe the ABCDE approach to the trauma patient. Know 5 diagnoses not to miss in the primary survey. Know the types of IV fluid to use in a trauma resuscitation. Describe the utility and limitations of investigations used in the primary survey. Use the “rule of 9’s” to calculate burn area percentage. Use the Parkland formula to estimate IV fluid requirements of a burn patient.
Large Group Session: Orientation to Emergency Medicine
Rotation road map, expectations, evaluation, approach to clinical decision rules, how ER docs think, charting, oral presentations in the ED, approach to the undifferentiated patient, prescriptions, when to call the coroner, mandatory reporting.
Large Group Session: Shock and Sepsis in the Emergency Department
Define shock and the various categories of shock. Describe the assessment and treatment of the different types of shock. Describe the definition, diagnosis, and management of sepsis.
Watching a Video: How Emerg Docs Think
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.
1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment

Demonstrate a basic systematic, prioritized approach to resuscitation and stabilization of emergencies.

Clerkship Teaching Session: Abdominal Pain
Develop an approach to undifferentiated abdominal pain. Describe early management of abdominal pain.
Clerkship Teaching Session: Chest pain
By the end of the session you should be able to: Develop a differential diagnosis and choose appropriate initial tests and list early management strategies for: Adult Chest Pain; Pediatric SOB (shortness of breath) and wheeze.
Clerkship Teaching Session: Neurology
Develop a broad differential diagnosis to rule out life/limb threatening pathologies, consider early investigations and management for the following presentations: Headache; Altered mental status; Weakness. Know when to call the interventional stroke team.
Clinical Exposure: Managing Acute Illness in the ER
e-Learning Module: Triage
Become familiar with the Canadian Triage and Acuity System (CTAS) prior to the triage shift in Emergency medicine clerkship.
Large Group Session: Approach to Toxicology
Define basic concepts of toxicology. Review relevant pathophysiology. Develop a clinical approach to the poisoned patient. Discuss illustrative cases of typical scenarios.
Large Group Session: Approach to Trauma and Burns
Describe the roles of the trauma team members. Describe the ABCDE approach to the trauma patient. Know 5 diagnoses not to miss in the primary survey. Know the types of IV fluid to use in a trauma resuscitation. Describe the utility and limitations of investigations used in the primary survey. Use the “rule of 9’s” to calculate burn area percentage. Use the Parkland formula to estimate IV fluid requirements of a burn patient.
Large Group Session: Orientation to Emergency Medicine
Rotation road map, expectations, evaluation, approach to clinical decision rules, how ER docs think, charting, oral presentations in the ED, approach to the undifferentiated patient, prescriptions, when to call the coroner, mandatory reporting.
Large Group Session: Shock and Sepsis in the Emergency Department
Define shock and the various categories of shock. Describe the assessment and treatment of the different types of shock. Describe the definition, diagnosis, and management of sepsis.
Watching a Video: How Emerg Docs Think
Logbook/Portfolio: Triage Shift Log
Log all patients triaged on the triage shift. The triage nurse with whom you completed this activity is to sign off on this activity at the end of your shift.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.
1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
1.5 Develop and carry out patient management plans
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.
1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making

Demonstrate a basic ability to distinguish seriously ill or injured patients from those with minor conditions.

Clinical Exposure: Diagnosis in the ER
e-Learning Module: Emergency Medicine: Aids to Clinical Decision Making
By the end of this session students should be able to: Critically appraise at least one clinical decision rule or tool fully and be able to explain its application and limitations; Identify the role of clinical decision rules in the management of key disorders presenting to the emergency department; Discuss the role of clinical decision rules in ensuring judicious use or preventing misuse of certain outcomes, such as diagnostic test usage (e.g. PERC to decrease use of D-Dimer, or some of the Ottawa rules for decreasing X-rays); Deliver an effective oral presentation; Critique peers’ presentations and presentation style.
e-Learning Module: Triage
Become familiar with the Canadian Triage and Acuity System (CTAS) prior to the triage shift in Emergency medicine clerkship.
Large Group Session: Orientation to Emergency Medicine
Rotation road map, expectations, evaluation, approach to clinical decision rules, how ER docs think, charting, oral presentations in the ED, approach to the undifferentiated patient, prescriptions, when to call the coroner, mandatory reporting.
Watching a Video: How Emerg Docs Think
Clerkship Reflection Paper: Triage Experience
The goal of the reflective pieces is to introduce the concept of self-reflection and evaluation, with the aim of improving future practice. What knowledge did you take away from your Triage experience?
Direct Observation Tool: Recognize a patient requiring urgent or emergent care, provide initial management and seek help
Logbook/Portfolio: Triage Shift Log
Log all patients triaged on the triage shift. The triage nurse with whom you completed this activity is to sign off on this activity at the end of your shift.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.
1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment

Demonstrate a focused history and physical examination.

Clinical Exposure: Patient History & Physical Examination in the ER
Direct Observation Tool: Obtain a history and perform a physical examination adapted to the patient’s clinical situation
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.

Distinguish which conditions are life-threatening or emergent from those that are less urgent.

Clinical Exposure: Diagnosis in the ER
e-Learning Module: Triage
Become familiar with the Canadian Triage and Acuity System (CTAS) prior to the triage shift in Emergency medicine clerkship.
Clerkship Reflection Paper: Triage Experience
The goal of the reflective pieces is to introduce the concept of self-reflection and evaluation, with the aim of improving future practice. What knowledge did you take away from your Triage experience?
Logbook/Portfolio: Triage Shift Log
Log all patients triaged on the triage shift. The triage nurse with whom you completed this activity is to sign off on this activity at the end of your shift.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.
1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment

Demonstrate the ability to evaluate and initiate treatment of the undifferentiated patient.

Clinical Exposure: Diagnosis in the ER
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.
1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
1.5 Develop and carry out patient management plans

Describe the concept of triage and prioritization of care, including paraphrasing the use of Canadian Triage and Acuity Scale (CTAS). Recognize that certain groups of patients require a high index of suspicion for serious illness (e.g.,immunocompromised, chronic renal failure, transplant, extremes of age, intoxicated, and diabetes).

Clinical Exposure: Diagnosis in the ER
e-Learning Module: Triage
Become familiar with the Canadian Triage and Acuity System (CTAS) prior to the triage shift in Emergency medicine clerkship.
Clerkship Reflection Paper: Triage Experience
The goal of the reflective pieces is to introduce the concept of self-reflection and evaluation, with the aim of improving future practice. What knowledge did you take away from your Triage experience?
Logbook/Portfolio: Triage Shift Log
Log all patients triaged on the triage shift. The triage nurse with whom you completed this activity is to sign off on this activity at the end of your shift.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.
1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment

EM Medical Expert (presenting problem) Competencies:

Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):

Chest pain

Clerkship Teaching Session: Chest pain
By the end of the session you should be able to: Develop a differential diagnosis and choose appropriate initial tests and list early management strategies for: Adult Chest Pain; Pediatric SOB (shortness of breath) and wheeze.
Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Shortness of breath

Clerkship Teaching Session: Chest pain
By the end of the session you should be able to: Develop a differential diagnosis and choose appropriate initial tests and list early management strategies for: Adult Chest Pain; Pediatric SOB (shortness of breath) and wheeze.
Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Altered level of consciousness - including the recognition and management of acute stroke

Clerkship Teaching Session: Neurology
Develop a broad differential diagnosis to rule out life/limb threatening pathologies, consider early investigations and management for the following presentations: Headache; Altered mental status; Weakness. Know when to call the interventional stroke team.
Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Anaphylaxis / severe allergic reaction

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
e-Learning Module: Anaphylaxis
Be able to identify and define anaphylaxis. Know how to manage a patient with an acute anaphylactic reaction in the Emergency Depatment.
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Abdominal pain

Clerkship Teaching Session: Abdominal Pain
Develop an approach to undifferentiated abdominal pain. Describe early management of abdominal pain.
Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Loss of consciousness (syncope)

Clerkship Teaching Session: Chest pain
By the end of the session you should be able to: Develop a differential diagnosis and choose appropriate initial tests and list early management strategies for: Adult Chest Pain; Pediatric SOB (shortness of breath) and wheeze.
Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation

Shock - Recognize shock and predict underlying etiology (distributive, cardiogenic, hypovolemic, obstructive).

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Large Group Session: Shock and Sepsis in the Emergency Department
Define shock and the various categories of shock. Describe the assessment and treatment of the different types of shock. Describe the definition, diagnosis, and management of sepsis.
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Seizure

Clerkship Teaching Session: Neurology
Develop a broad differential diagnosis to rule out life/limb threatening pathologies, consider early investigations and management for the following presentations: Headache; Altered mental status; Weakness. Know when to call the interventional stroke team.
Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Cardiorespiratory arrest

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Simulations: Cardiac Arrest Workshop
Learn and demonstrate proper BLS (basic life support) skills. Learn importance of CPR in ACLS algorithms and demonstrate effective CPR. Describe the functions of the zoll machine (defibrillation, synchronized cardioversion and pacing). Learn proper lead and pad placement and safe defibrillation.
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
Simulation Completion: Cardiac Arrest workshop
Learn and demonstrate proper BLS (basic life support) skills. Learn importance of CPR in ACLS algorithms and demonstrate effective CPR. Describe the functions of the zoll machine (defibrillation, synchronized cardioversion and pacing). Learn proper lead and pad placement and safe defibrillation.
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Headache

Clerkship Teaching Session: Neurology
Develop a broad differential diagnosis to rule out life/limb threatening pathologies, consider early investigations and management for the following presentations: Headache; Altered mental status; Weakness. Know when to call the interventional stroke team.
Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Minor trauma / MSK injuries (including fracture / dislocation/ sprain). Explain the ABCDE approach to major and minor trauma, identify resuscitative priorities and recognize injuries which require acute management.

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
e-Learning Module: Trauma
Understand the ABCDE approach to the management of the trauma patient. Recognize types of shock in the trauma patient (i.e. hypovolemic/hemorrhagic and obstructive shock). Identify resuscitative priorities and recognize life threatening injuries that require immediate management. Describe the roles of the members of the trauma team.
Large Group Session: Approach to Trauma and Burns
Describe the roles of the trauma team members. Describe the ABCDE approach to the trauma patient. Know 5 diagnoses not to miss in the primary survey. Know the types of IV fluid to use in a trauma resuscitation. Describe the utility and limitations of investigations used in the primary survey. Use the “rule of 9’s” to calculate burn area percentage. Use the Parkland formula to estimate IV fluid requirements of a burn patient.
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Abnormal behavior (psychosis, delirium, intoxication, violence).

Clerkship Teaching Session: Neurology
Develop a broad differential diagnosis to rule out life/limb threatening pathologies, consider early investigations and management for the following presentations: Headache; Altered mental status; Weakness. Know when to call the interventional stroke team.
Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Construct a differential diagnosis for abnormal behaviour including psychosis, delirium, substance use or withdrawal, intoxication.

Describe strategies for verbal de-escalation of an agitated patient and the safe use of chemical and physical restraints.

Illustrate an approach to a patient presenting with a toxidrome including safety assessment, differential diagnosis and addictions management (alcohol, benzodiazepines and opioids).

Head injury - minor

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Fever

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Large Group Session: Shock and Sepsis in the Emergency Department
Define shock and the various categories of shock. Describe the assessment and treatment of the different types of shock. Describe the definition, diagnosis, and management of sepsis.
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Dizziness / vertigo

Clerkship Teaching Session: Neurology
Develop a broad differential diagnosis to rule out life/limb threatening pathologies, consider early investigations and management for the following presentations: Headache; Altered mental status; Weakness. Know when to call the interventional stroke team.
Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Preceptor Evaluation: Emergency Medicine Daily Evaluation
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Cardiac dysrhythmias. Synthesize ACLS (Advanced Cardiovascular Life Support) algorithms, recognize unstable ACLS states and use ACLS algorithms to guide treatment.

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Simulations: Cardiac Arrest Workshop
Learn and demonstrate proper BLS (basic life support) skills. Learn importance of CPR in ACLS algorithms and demonstrate effective CPR. Describe the functions of the zoll machine (defibrillation, synchronized cardioversion and pacing). Learn proper lead and pad placement and safe defibrillation.
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
Simulation Completion: Cardiac Arrest workshop
Learn and demonstrate proper BLS (basic life support) skills. Learn importance of CPR in ACLS algorithms and demonstrate effective CPR. Describe the functions of the zoll machine (defibrillation, synchronized cardioversion and pacing). Learn proper lead and pad placement and safe defibrillation.
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Vaginal bleeding - pregnant

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Poisoning

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Large Group Session: Approach to Toxicology
Define basic concepts of toxicology. Review relevant pathophysiology. Develop a clinical approach to the poisoned patient. Discuss illustrative cases of typical scenarios.
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Burns - minor / major

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Large Group Session: Approach to Trauma and Burns
Describe the roles of the trauma team members. Describe the ABCDE approach to the trauma patient. Know 5 diagnoses not to miss in the primary survey. Know the types of IV fluid to use in a trauma resuscitation. Describe the utility and limitations of investigations used in the primary survey. Use the “rule of 9’s” to calculate burn area percentage. Use the Parkland formula to estimate IV fluid requirements of a burn patient.
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Urinary symptoms

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Neck and back pain

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

Eye pain (including red eye)

Clinical Exposure: EM Medical Expert (presenting problems)
Demonstrate an approach to patients presenting to the ED with the following problems listed below (including basic differential diagnosis, initial investigations, and initial treatments)
e-Learning Module: Red Eye
In this module you'll learn about the approach to the red eye.
Clerkship Multiple Choice Question Exam: EM Medical Expert (presenting problem)
Demonstrate an approach to patients presenting to the ED with the following problems (including basic differential diagnosis, initial investigations, and initial treatments):
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

EM Medical Expert (technical skills performed) Competencies:

Demonstrate competency in performing the following procedural skills (including indications, contraindications):

1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

Suturing simple laceration

Clinical Exposure: Procedural Skills in the ER
Demonstrate competency in performing the following procedural skills (including indications, contraindications).
Simulations: Suture workshop
Wound care procedural skills. Wound assessment, focused history and physical. Geography of the wound. Wound preparation. Local anaesthetics. Infiltration technique. Cleansing. Wound closure. Sutures.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
Simulation Completion: Suture workshop
Wound care procedural skills. Wound assessment, focused history and physical. Geography of the wound. Wound preparation. Local anaesthetics. Infiltration technique. Cleansing. Wound closure. Sutures.
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

Perform wound cleansing and simple dressing.

Clinical Exposure: Procedural Skills in the ER
Demonstrate competency in performing the following procedural skills (including indications, contraindications).
Simulations: Suture workshop
Wound care procedural skills. Wound assessment, focused history and physical. Geography of the wound. Wound preparation. Local anaesthetics. Infiltration technique. Cleansing. Wound closure. Sutures.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
Simulation Completion: Suture workshop
Wound care procedural skills. Wound assessment, focused history and physical. Geography of the wound. Wound preparation. Local anaesthetics. Infiltration technique. Cleansing. Wound closure. Sutures.
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

Local anesthetic infiltration

Clinical Exposure: Procedural Skills in the ER
Demonstrate competency in performing the following procedural skills (including indications, contraindications).
Simulations: Suture workshop
Wound care procedural skills. Wound assessment, focused history and physical. Geography of the wound. Wound preparation. Local anaesthetics. Infiltration technique. Cleansing. Wound closure. Sutures.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
Simulation Completion: Suture workshop
Wound care procedural skills. Wound assessment, focused history and physical. Geography of the wound. Wound preparation. Local anaesthetics. Infiltration technique. Cleansing. Wound closure. Sutures.
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

Perform basic airway maneuvers (head tilt, chin lift, jaw thrust, oral/nasal airway insertion, BMV)

Clinical Exposure: Procedural Skills in the ER
Demonstrate competency in performing the following procedural skills (including indications, contraindications).
Simulations: Airway workshop
Describe airway anatomy. Recognize a patient in respiratory distress. Recognize a patient who’s airway is at risk. Employ basic airway interventions on a mannequin. Demonstrate definitive airway management on a mannequin.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
Simulation Completion: Airway workshop
Describe airway anatomy. Recognize a patient in respiratory distress. Recognize a patient who’s airway is at risk. Employ basic airway interventions on a mannequin. Demonstrate definitive airway management on a mannequin.
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

Place patient on oxygen (nasal prongs, non rebreather mask)

Clinical Exposure: Procedural Skills in the ER
Demonstrate competency in performing the following procedural skills (including indications, contraindications).
Simulations: Airway workshop
Describe airway anatomy. Recognize a patient in respiratory distress. Recognize a patient who’s airway is at risk. Employ basic airway interventions on a mannequin. Demonstrate definitive airway management on a mannequin.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
Simulation Completion: Airway workshop
Describe airway anatomy. Recognize a patient in respiratory distress. Recognize a patient who’s airway is at risk. Employ basic airway interventions on a mannequin. Demonstrate definitive airway management on a mannequin.
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

12 lead EKG (15 lead optional)

Clerkship Teaching Session: ECG Workshop
Clinical Exposure: Procedural Skills in the ER
Demonstrate competency in performing the following procedural skills (including indications, contraindications).
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

Cardiac monitor lead placement and the use of a cardiac defibrillator for pacing / cardioversion / defibrillation.

Clinical Exposure: Procedural Skills in the ER
Demonstrate competency in performing the following procedural skills (including indications, contraindications).
Simulations: Cardiac Arrest Workshop
Learn and demonstrate proper BLS (basic life support) skills. Learn importance of CPR in ACLS algorithms and demonstrate effective CPR. Describe the functions of the zoll machine (defibrillation, synchronized cardioversion and pacing). Learn proper lead and pad placement and safe defibrillation.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
Simulation Completion: Cardiac Arrest workshop
Learn and demonstrate proper BLS (basic life support) skills. Learn importance of CPR in ACLS algorithms and demonstrate effective CPR. Describe the functions of the zoll machine (defibrillation, synchronized cardioversion and pacing). Learn proper lead and pad placement and safe defibrillation.
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

Peripheral IV start

Clinical Exposure: Procedural Skills in the ER
Demonstrate competency in performing the following procedural skills (including indications, contraindications).
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

Apply an extremity plaster splint

Clinical Exposure: Procedural Skills in the ER
Demonstrate competency in performing the following procedural skills (including indications, contraindications).
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

Place patient on pulse oximeter

Clinical Exposure: Procedural Skills in the ER
Demonstrate competency in performing the following procedural skills (including indications, contraindications).
Simulations: Airway workshop
Describe airway anatomy. Recognize a patient in respiratory distress. Recognize a patient who’s airway is at risk. Employ basic airway interventions on a mannequin. Demonstrate definitive airway management on a mannequin.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
Simulation Completion: Airway workshop
Describe airway anatomy. Recognize a patient in respiratory distress. Recognize a patient who’s airway is at risk. Employ basic airway interventions on a mannequin. Demonstrate definitive airway management on a mannequin.
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

CPR (Cardiopulmonary resuscitation)

Clinical Exposure: Procedural Skills in the ER
Demonstrate competency in performing the following procedural skills (including indications, contraindications).
Simulations: Cardiac Arrest Workshop
Learn and demonstrate proper BLS (basic life support) skills. Learn importance of CPR in ACLS algorithms and demonstrate effective CPR. Describe the functions of the zoll machine (defibrillation, synchronized cardioversion and pacing). Learn proper lead and pad placement and safe defibrillation.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
Simulation Completion: Cardiac Arrest workshop
Learn and demonstrate proper BLS (basic life support) skills. Learn importance of CPR in ACLS algorithms and demonstrate effective CPR. Describe the functions of the zoll machine (defibrillation, synchronized cardioversion and pacing). Learn proper lead and pad placement and safe defibrillation.
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

Demonstrate an approach to airway management including predictors of difficult airway and use of airway adjuncts and prioritization of airway interventions.

1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.

EM Medical Expert (technical skills interpretation) Competencies:

Demonstrate competency in performing the following interpretive skills:

12-lead ECG — myocardial infarction.

Clerkship Teaching Session: ECG Workshop
Clinical Exposure: Interpretive skills in the ER
EM Medical Expert technical skills interpretation.
Clerkship Multiple Choice Question Exam: EM Medical Expert (technical skills interpretation)
Demonstrate competency in performing the following interpretive skills
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice

Cardiac monitor rhythm analysis.

Clinical Exposure: Interpretive skills in the ER
EM Medical Expert technical skills interpretation.
Simulations: Cardiac Arrest Workshop
Learn and demonstrate proper BLS (basic life support) skills. Learn importance of CPR in ACLS algorithms and demonstrate effective CPR. Describe the functions of the zoll machine (defibrillation, synchronized cardioversion and pacing). Learn proper lead and pad placement and safe defibrillation.
Clerkship Multiple Choice Question Exam: EM Medical Expert (technical skills interpretation)
Demonstrate competency in performing the following interpretive skills
Preceptor Evaluation: Emergency Medicine Daily Evaluation
Simulation Completion: Cardiac Arrest workshop
Learn and demonstrate proper BLS (basic life support) skills. Learn importance of CPR in ACLS algorithms and demonstrate effective CPR. Describe the functions of the zoll machine (defibrillation, synchronized cardioversion and pacing). Learn proper lead and pad placement and safe defibrillation.
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice

Chest radiograph interpretation.

Clerkship Teaching Session: Radiology in Emergency Medicine
To learn how to approach common imaging in the emergency department. A review of: Salter Harris Classification; MSK Xrays (shoulder, elbow, wrist, ankle, foot); C-spine xrays; CXR; Abdominal Xray; FAST U/S; CT Head
Clinical Exposure: Interpretive skills in the ER
EM Medical Expert technical skills interpretation.
Clerkship Multiple Choice Question Exam: EM Medical Expert (technical skills interpretation)
Demonstrate competency in performing the following interpretive skills
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice

Extremity radiograph interpretation.

Clerkship Teaching Session: Radiology in Emergency Medicine
To learn how to approach common imaging in the emergency department. A review of: Salter Harris Classification; MSK Xrays (shoulder, elbow, wrist, ankle, foot); C-spine xrays; CXR; Abdominal Xray; FAST U/S; CT Head
Clinical Exposure: Interpretive skills in the ER
EM Medical Expert technical skills interpretation.
Clerkship Multiple Choice Question Exam: EM Medical Expert (technical skills interpretation)
Demonstrate competency in performing the following interpretive skills
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice

C- spine radiograph interpretation.

Clerkship Teaching Session: Radiology in Emergency Medicine
To learn how to approach common imaging in the emergency department. A review of: Salter Harris Classification; MSK Xrays (shoulder, elbow, wrist, ankle, foot); C-spine xrays; CXR; Abdominal Xray; FAST U/S; CT Head
Clinical Exposure: Interpretive skills in the ER
EM Medical Expert technical skills interpretation.
Clerkship Multiple Choice Question Exam: EM Medical Expert (technical skills interpretation)
Demonstrate competency in performing the following interpretive skills
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice

Identify the presence of acute hemorrhage on CT head and delineate the types of acute intracerebral hemorrhage.

1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice

Pulse oximetry.

Clinical Exposure: Interpretive skills in the ER
EM Medical Expert technical skills interpretation.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
Simulation Completion: Airway workshop
Describe airway anatomy. Recognize a patient in respiratory distress. Recognize a patient who’s airway is at risk. Employ basic airway interventions on a mannequin. Demonstrate definitive airway management on a mannequin.
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice

Urinalysis.

Clinical Exposure: Interpretive skills in the ER
EM Medical Expert technical skills interpretation.
Clerkship Multiple Choice Question Exam: EM Medical Expert (technical skills interpretation)
Demonstrate competency in performing the following interpretive skills
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice

EM Collaborator Competencies:

Emergency Medicine Collaborator

Establish and maintain effective working relationships with colleagues and other health care professionals.

e-Learning Module: Triage
Become familiar with the Canadian Triage and Acuity System (CTAS) prior to the triage shift in Emergency medicine clerkship.
Large Group Session: Intro to EMS (Emergency Medical Services)
By the end of the session you should be able to: List the scope of practice for emergency responders (fire, paramedics); Describe the purpose of the Regulated Health Professions Act; Give a definition of “delegated act” with respect to paramedicine; Describe the difference between on-line and off-line medical direction; List the elements for termination of resuscitation in the field.
Clerkship Reflection Paper: Triage Experience
The goal of the reflective pieces is to introduce the concept of self-reflection and evaluation, with the aim of improving future practice. What knowledge did you take away from your Triage experience?
Logbook/Portfolio: Triage Shift Log
Log all patients triaged on the triage shift. The triage nurse with whom you completed this activity is to sign off on this activity at the end of your shift.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
7.1 Work with other health professionals to establish and maintain a climate of mutual respect, dignity, inclusion, ethical integrity, and trust
7.3 Communicate with other health professionals in a responsive and responsible manner that supports the maintenance of health and the provision of healthcare in individual patients and populations
7.4 Demonstrate the ability to consult with and to other health professionals
7.5 Work with physicians and other colleagues in the health care professions to promote understanding, manage differences, and resolve conflicts

Describe the role of other health professionals in the management of the patient in the ED.

e-Learning Module: Triage
Become familiar with the Canadian Triage and Acuity System (CTAS) prior to the triage shift in Emergency medicine clerkship.
Large Group Session: Intro to EMS (Emergency Medical Services)
By the end of the session you should be able to: List the scope of practice for emergency responders (fire, paramedics); Describe the purpose of the Regulated Health Professions Act; Give a definition of “delegated act” with respect to paramedicine; Describe the difference between on-line and off-line medical direction; List the elements for termination of resuscitation in the field.
Clerkship Reflection Paper: Triage Experience
The goal of the reflective pieces is to introduce the concept of self-reflection and evaluation, with the aim of improving future practice. What knowledge did you take away from your Triage experience?
Logbook/Portfolio: Triage Shift Log
Log all patients triaged on the triage shift. The triage nurse with whom you completed this activity is to sign off on this activity at the end of your shift.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
7.2 Use the knowledge of one’s own role and the roles of other health professionals to appropriately assess and address the health care needs of the patients and populations served
7.4 Demonstrate the ability to consult with and to other health professionals

Categorize skill sets and scopes of practice of prehospital providers and identify where situations require on-scene treatment versus urgent transportation.

7.2 Use the knowledge of one’s own role and the roles of other health professionals to appropriately assess and address the health care needs of the patients and populations served

EM Communicator Competencies:

Emergency Medicine Communicator

Demonstrate the ability to present a patient case in a clear, concise, and complete manner.

Clinical Exposure: Communication Skills in the ER
Large Group Session: Orientation to Emergency Medicine
Rotation road map, expectations, evaluation, approach to clinical decision rules, how ER docs think, charting, oral presentations in the ED, approach to the undifferentiated patient, prescriptions, when to call the coroner, mandatory reporting.
Watching a Video: How to present in the Emergency Department
How to present a patient history in an organized manner.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
3.1 Solicit and respond to feedback from peers, teachers, supervisors, patients, families, and members of health care teams regarding one’s knowledge, skills, attitudes and professional behaviours
3.2 Integrate feedback, external measures of performance and reflective practices to identify strengths, deficiencies, and limits in one’s knowledge, skills, attitudes and professional behaviours
3.3 Set learning and improvement goals
3.7 Use information technology and information systems to optimize patient care
3.8 Obtain and use information about individual patients and their caregivers, populations of patients, or communities with which patients identify to improve care
6.9 Perform administrative and practice management responsibilities commensurate with one’s role, abilities, and qualifications

Practice effective communication including the use of empathy, non-verbal communication and respectful counseling with patients and their families.

Clinical Exposure: Communication Skills in the ER
Preceptor Evaluation: Emergency Medicine Daily Evaluation
4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds
4.2 Participate in the education of patients, families, students, trainees, peers and other health professionals
4.3 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics

Demonstrate thorough, clear, and concise documentation and charting.

Clinical Exposure: Communication Skills in the ER
Large Group Session: Orientation to Emergency Medicine
Rotation road map, expectations, evaluation, approach to clinical decision rules, how ER docs think, charting, oral presentations in the ED, approach to the undifferentiated patient, prescriptions, when to call the coroner, mandatory reporting.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
3.6 Locate, appraise, and incorporate evidence from research related to patients’ health problems and the provision of healthcare
3.7 Use information technology and information systems to optimize patient care
4.5 Maintain comprehensive, timely, and legible medical records

Provide clear discharge instructions for patients, including return to care instructions and ensure appropriate follow-up care.

Clinical Exposure: Communication Skills in the ER
Preceptor Evaluation: Emergency Medicine Daily Evaluation
1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes
1.9 Provide health care services to patients, families, and communities aimed at preventing health problems or maintaining health
4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds
4.2 Participate in the education of patients, families, students, trainees, peers and other health professionals
4.3 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics

EM Manager Competencies:

Emergency Medicine Manager

Demonstrate a basic understanding of the way the ED works (basic functioning, referrals, role of other health professionals).

Clinical Exposure: Emergency Medicine Manager
Clerkship Reflection Paper: Triage Experience
The goal of the reflective pieces is to introduce the concept of self-reflection and evaluation, with the aim of improving future practice. What knowledge did you take away from your Triage experience?
Logbook/Portfolio: Triage Shift Log
Log all patients triaged on the triage shift. The triage nurse with whom you completed this activity is to sign off on this activity at the end of your shift.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
6.6 Coordinate patient care within the health care system relevant to a variety of clinical specialties
7.6 Participate in different team roles and appropriately apply leadership skills to establish, develop, and continuously enhance team function.

EM Advocate Competencies

Emergency Medicine Advocate

Demonstrate effective advocacy for patient comfort (including pain management, basic needs).

Clinical Exposure: Emergency Medicine Advocate
Clerkship Reflection Paper: Giving Bad News / Advocacy
The goal of the reflective pieces is to introduce the concept of self-reflection and evaluation, with the aim of improving future practice. It may be difficult to reflect on the breaking bad news piece if you did not have a chance to witness such an event. You may then want to focus on some other aspect of difficult communication with patients/families, such as end of life care or advance directives. Advocacy reflection opportunities are abundant in the ED. There are a myriad of challenges in taking care of patients, such as discharge planning, home supports, language/cultural barriers, accessing timely diagnostic tests or consultations, socioeconomic problems, etc. You can choose to reflect and write upon any of these or other experiences and how it impacted your care on your patients.
1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient

Demonstrate an awareness of the underlying psychosocial and socioeconomic problems that may precipitate an ED visit.

Clinical Exposure: Emergency Medicine Advocate
Clerkship Reflection Paper: Giving Bad News / Advocacy
The goal of the reflective pieces is to introduce the concept of self-reflection and evaluation, with the aim of improving future practice. It may be difficult to reflect on the breaking bad news piece if you did not have a chance to witness such an event. You may then want to focus on some other aspect of difficult communication with patients/families, such as end of life care or advance directives. Advocacy reflection opportunities are abundant in the ED. There are a myriad of challenges in taking care of patients, such as discharge planning, home supports, language/cultural barriers, accessing timely diagnostic tests or consultations, socioeconomic problems, etc. You can choose to reflect and write upon any of these or other experiences and how it impacted your care on your patients.
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.

EM Scholar Competencies:

Emergency Medicine Scholar

Demonstrate an ability to access various educational resources available to enhance patient care.

Clinical Exposure: Emergency Medicine Scholar
e-Learning Module: Emergency Medicine: Aids to Clinical Decision Making
By the end of this session students should be able to: Critically appraise at least one clinical decision rule or tool fully and be able to explain its application and limitations; Identify the role of clinical decision rules in the management of key disorders presenting to the emergency department; Discuss the role of clinical decision rules in ensuring judicious use or preventing misuse of certain outcomes, such as diagnostic test usage (e.g. PERC to decrease use of D-Dimer, or some of the Ottawa rules for decreasing X-rays); Deliver an effective oral presentation; Critique peers’ presentations and presentation style.
Large Group Session: Orientation to Emergency Medicine
Rotation road map, expectations, evaluation, approach to clinical decision rules, how ER docs think, charting, oral presentations in the ED, approach to the undifferentiated patient, prescriptions, when to call the coroner, mandatory reporting.
e-Learning Module Completion: Emergency Medicine: Aids to Clinical Decision Making
By the end of this session students should be able to: Critically appraise at least one clinical decision rule or tool fully and be able to explain its application and limitations; Identify the role of clinical decision rules in the management of key disorders presenting to the emergency department; Discuss the role of clinical decision rules in ensuring judicious use or preventing misuse of certain outcomes, such as diagnostic test usage (e.g. PERC to decrease use of D-Dimer, or some of the Ottawa rules for decreasing X-rays); Deliver an effective oral presentation; Critique peers’ presentations and presentation style.
3.7 Use information technology and information systems to optimize patient care
3.9 Continually identify, analyze, and implement new knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes

Demonstrate a basic ability to self-guide professional development, including identifying and addressing learning needs.

Clinical Exposure: Emergency Medicine Scholar
Preceptor Evaluation: Emergency Medicine Daily Evaluation
3.3 Set learning and improvement goals
3.4 Identify and perform learning activities that address one’s gaps in knowledge, skills, and/or attitudes
3.5 Understand principles of continuous quality improvement and how to incorporate them into practice improvement

Demonstrate an understanding of the concepts of evidence-based medicine and best practice guidelines and how they relate to patient care in the ED.

Clinical Exposure: Emergency Medicine Scholar
e-Learning Module: Emergency Medicine: Aids to Clinical Decision Making
By the end of this session students should be able to: Critically appraise at least one clinical decision rule or tool fully and be able to explain its application and limitations; Identify the role of clinical decision rules in the management of key disorders presenting to the emergency department; Discuss the role of clinical decision rules in ensuring judicious use or preventing misuse of certain outcomes, such as diagnostic test usage (e.g. PERC to decrease use of D-Dimer, or some of the Ottawa rules for decreasing X-rays); Deliver an effective oral presentation; Critique peers’ presentations and presentation style.
Large Group Session: Orientation to Emergency Medicine
Rotation road map, expectations, evaluation, approach to clinical decision rules, how ER docs think, charting, oral presentations in the ED, approach to the undifferentiated patient, prescriptions, when to call the coroner, mandatory reporting.
e-Learning Module Completion: Emergency Medicine: Aids to Clinical Decision Making
By the end of this session students should be able to: Critically appraise at least one clinical decision rule or tool fully and be able to explain its application and limitations; Identify the role of clinical decision rules in the management of key disorders presenting to the emergency department; Discuss the role of clinical decision rules in ensuring judicious use or preventing misuse of certain outcomes, such as diagnostic test usage (e.g. PERC to decrease use of D-Dimer, or some of the Ottawa rules for decreasing X-rays); Deliver an effective oral presentation; Critique peers’ presentations and presentation style.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
3.9 Continually identify, analyze, and implement new knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes

Employ the use of clinical decision rules and distinguish between patients who would be excluded from these rules and who could benefit from their use. Examples of these rules include: Risk stratification of PE (PERC, Wells, YEARS, Geneva); Head injury (Canada CT Head Rules, PECARN); C-Spine (Canada C-Spine Rules, Nexus criteria); MSK (Ottawa ankle, knee rules).

2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare

EM Professional Competencies:

Emergency Medicine Professional

Recognize and accept one’s limitations and know when to ask for help.

Clinical Exposure: Emergency Medicine Professional
Large Group Session: Emergency Medicine Debriefing Session
An end of rotation ethics and debriefing session that will review the following: rotation debriefing, ethical scenarios (capacity, consent), critical incident stress debriefing, breaking bad news, burnout and physician wellness.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
3.1 Solicit and respond to feedback from peers, teachers, supervisors, patients, families, and members of health care teams regarding one’s knowledge, skills, attitudes and professional behaviours
3.2 Integrate feedback, external measures of performance and reflective practices to identify strengths, deficiencies, and limits in one’s knowledge, skills, attitudes and professional behaviours
8.3 Develop the ability to use self-awareness of knowledge, skills, and emotional limitation to seek help appropriately
8.4 Demonstrate awareness and acceptance of different points of view

Be reliable and responsible in fulfilling obligations.

Clinical Exposure: Emergency Medicine Professional
e-Learning Module: Ethical Decision Making in Emergency Medicine
By the end of the session learners should be able to: Understand and recognize core ethical principles (autonomy, beneficence, non-maleficence, justice) as they relate to emergency medicine. Develop an approach to recognizing and responding to ethical issues in clinical practice using a decision-making framework. Describe broad ethical and legal principles underlying informed consent and capacity. Be familiar with CPSO policy on mandatory reporting. Participate in a group based End of Rotation Debriefing session. Have an opportunity to discuss and reflect on any difficult or stressful clinical scenarios while on your rotation.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
5.1 Demonstrate accountability to patients, society, and the profession
5.11 Demonstrate trustworthiness and reliability that makes colleagues feel secure when one is responsible for the care of patients

Take the appropriate measures to protect oneself from illness and injury.

Clinical Exposure: Emergency Medicine Professional
Large Group Session: Emergency Medicine Debriefing Session
An end of rotation ethics and debriefing session that will review the following: rotation debriefing, ethical scenarios (capacity, consent), critical incident stress debriefing, breaking bad news, burnout and physician wellness.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
8.1 Demonstrate healthy coping mechanisms to respond to stress

Demonstrate honesty and integrity in patient care.

Clinical Exposure: Emergency Medicine Professional
e-Learning Module: Ethical Decision Making in Emergency Medicine
By the end of the session learners should be able to: Understand and recognize core ethical principles (autonomy, beneficence, non-maleficence, justice) as they relate to emergency medicine. Develop an approach to recognizing and responding to ethical issues in clinical practice using a decision-making framework. Describe broad ethical and legal principles underlying informed consent and capacity. Be familiar with CPSO policy on mandatory reporting. Participate in a group based End of Rotation Debriefing session. Have an opportunity to discuss and reflect on any difficult or stressful clinical scenarios while on your rotation.
Large Group Session: Emergency Medicine Debriefing Session
An end of rotation ethics and debriefing session that will review the following: rotation debriefing, ethical scenarios (capacity, consent), critical incident stress debriefing, breaking bad news, burnout and physician wellness.
e-Learning Module Completion: Ethical Decision Making in Emergency Medicine
By the end of the session learners should be able to: Understand and recognize core ethical principles (autonomy, beneficence, non-maleficence, justice) as they relate to emergency medicine. Develop an approach to recognizing and responding to ethical issues in clinical practice using a decision-making framework. Describe broad ethical and legal principles underlying informed consent and capacity. Be familiar with CPSO policy on mandatory reporting. Participate in a group based End of Rotation Debriefing session. Have an opportunity to discuss and reflect on any difficult or stressful clinical scenarios while on your rotation.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
5.2 Demonstrate compassion, integrity, and respect for others

Demonstrate sensitivity to cultural issues (e.g., age, sex, culture, disability).

Clinical Exposure: Emergency Medicine Professional
e-Learning Module: Ethical Decision Making in Emergency Medicine
By the end of the session learners should be able to: Understand and recognize core ethical principles (autonomy, beneficence, non-maleficence, justice) as they relate to emergency medicine. Develop an approach to recognizing and responding to ethical issues in clinical practice using a decision-making framework. Describe broad ethical and legal principles underlying informed consent and capacity. Be familiar with CPSO policy on mandatory reporting. Participate in a group based End of Rotation Debriefing session. Have an opportunity to discuss and reflect on any difficult or stressful clinical scenarios while on your rotation.
e-Learning Module Completion: Ethical Decision Making in Emergency Medicine
By the end of the session learners should be able to: Understand and recognize core ethical principles (autonomy, beneficence, non-maleficence, justice) as they relate to emergency medicine. Develop an approach to recognizing and responding to ethical issues in clinical practice using a decision-making framework. Describe broad ethical and legal principles underlying informed consent and capacity. Be familiar with CPSO policy on mandatory reporting. Participate in a group based End of Rotation Debriefing session. Have an opportunity to discuss and reflect on any difficult or stressful clinical scenarios while on your rotation.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
5.5 Demonstrate sensitivity and responsiveness to a diverse patient population, including all dimensions of diversity such as those that are included in human rights legislation and federal and provincial law.
5.8 Balance personal values and beliefs with professional and societal ethics

Maintain a professional appearance.

Clinical Exposure: Emergency Medicine Professional
Preceptor Evaluation: Emergency Medicine Daily Evaluation
5.12 Present oneself professionally to patients, families, and members of the health care team

Demonstrate compassion and nonjudgmental approach to all patients.

Clinical Exposure: Emergency Medicine Professional
Preceptor Evaluation: Emergency Medicine Daily Evaluation
5.2 Demonstrate compassion, integrity, and respect for others

Protect information provided by or about patients, keeping it confidential, and divulge it only with the patient’s permission except when otherwise required by law.

Clinical Exposure: Emergency Medicine Professional
e-Learning Module: Ethical Decision Making in Emergency Medicine
By the end of the session learners should be able to: Understand and recognize core ethical principles (autonomy, beneficence, non-maleficence, justice) as they relate to emergency medicine. Develop an approach to recognizing and responding to ethical issues in clinical practice using a decision-making framework. Describe broad ethical and legal principles underlying informed consent and capacity. Be familiar with CPSO policy on mandatory reporting. Participate in a group based End of Rotation Debriefing session. Have an opportunity to discuss and reflect on any difficult or stressful clinical scenarios while on your rotation.
e-Learning Module Completion: Ethical Decision Making in Emergency Medicine
By the end of the session learners should be able to: Understand and recognize core ethical principles (autonomy, beneficence, non-maleficence, justice) as they relate to emergency medicine. Develop an approach to recognizing and responding to ethical issues in clinical practice using a decision-making framework. Describe broad ethical and legal principles underlying informed consent and capacity. Be familiar with CPSO policy on mandatory reporting. Participate in a group based End of Rotation Debriefing session. Have an opportunity to discuss and reflect on any difficult or stressful clinical scenarios while on your rotation.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
5.4 Demonstrate respect for patient confidentiality, privacy and autonomy
5.7 Demonstrate the application of ethical principles to commonly encountered ethical issues such as the provision or withholding of care, confidentiality, informed consent, and including compliance with relevant laws, policies, and regulations

Demonstrate ethical decision making.

Clinical Exposure: Emergency Medicine Professional
e-Learning Module: Ethical Decision Making in Emergency Medicine
By the end of the session learners should be able to: Understand and recognize core ethical principles (autonomy, beneficence, non-maleficence, justice) as they relate to emergency medicine. Develop an approach to recognizing and responding to ethical issues in clinical practice using a decision-making framework. Describe broad ethical and legal principles underlying informed consent and capacity. Be familiar with CPSO policy on mandatory reporting. Participate in a group based End of Rotation Debriefing session. Have an opportunity to discuss and reflect on any difficult or stressful clinical scenarios while on your rotation.
Large Group Session: Emergency Medicine Debriefing Session
An end of rotation ethics and debriefing session that will review the following: rotation debriefing, ethical scenarios (capacity, consent), critical incident stress debriefing, breaking bad news, burnout and physician wellness.
e-Learning Module Completion: Ethical Decision Making in Emergency Medicine
By the end of the session learners should be able to: Understand and recognize core ethical principles (autonomy, beneficence, non-maleficence, justice) as they relate to emergency medicine. Develop an approach to recognizing and responding to ethical issues in clinical practice using a decision-making framework. Describe broad ethical and legal principles underlying informed consent and capacity. Be familiar with CPSO policy on mandatory reporting. Participate in a group based End of Rotation Debriefing session. Have an opportunity to discuss and reflect on any difficult or stressful clinical scenarios while on your rotation.
Preceptor Evaluation: Emergency Medicine Daily Evaluation
5.7 Demonstrate the application of ethical principles to commonly encountered ethical issues such as the provision or withholding of care, confidentiality, informed consent, and including compliance with relevant laws, policies, and regulations