E LEARNING IN EM: CONCEPT NOTE

INTRODUCTION:
The Post-Graduate Fellowship Program in Emergency Medicine at Max Healthcare consists of a two-year curriculum that is divided into 24 clinical modules that will cover the breadth of emergency medicine.
At the successful conclusion of the program, the graduating fellows will be able to practice independently within emergency departments as well-trained physicians, ands they will receive a “Certificate of Completion” from the RRIEM at the George Washington University, with the university hologram on it.
The Department of Emergency Medicine at the George Washington University was the seventh academic Emergency Medicine Department in the United States. The Department has extensive experience in training health care practitioners and non-medical personnel throughout the U.S. and across the globe. The Department sponsors a broad range of clinical, educational, research, and consulting initiatives in the areas of Emergency Medicine and Emergency Management.
The Department of Emergency Medicine at MAX is committed to service excellence in patient care and education, expansion of Emergency Medicine's practice through the development of new programs and configurations, and the creation of new knowledge in this field in Indian context. The Department is committed to improving the Emergency Services for the local community as well as providing a multitude of services throughout the nation.
Curriculum
The fellowship program will focus on a specific clinical module topic each month. Each day the fellows will receive a clinical case presentation with a case-based education power point presentation that will last approximately two and a half hour four day in a week, and each afternoon the residents will round on patients in the emergency department with faculty. One day a week, the fellows will have a journal club article reviews, simulation exercises, guest speakers from senior consultants and departmental audit.
In addition to the overall curriculum structure, each fellow will be assessed by the consultants by filling up of evaluation forms for power point presentation, monthly evaluation, bed side evaluation form.
Each module will begin with a pre-test to gauge the fellows’ academic knowledge on the clinical topics, and each module will end with a post-test to measure the fellows’ level of comprehension and mastery of the materials during the module session. The Society for Academic Emergency Medicine (SAEM) and the Council of Emergency Medicine Residency Directors (CORD) have developed a “Model Curriculum for Emergency Medicine”, and this model curriculum will serve as a basis for the fellowship program’s modular topics.
The following table describes the curriculum details for the 24-month fellowship program:
Month Module
1
Airway, ACLS & Resuscitation
2
Shock & Critical Care
3
Cardiology 1
4
Pulmonary
5
Gastroenterology
6
Trauma 1
7
Pediatrics 1
8
Orthopedics
9
Soft Tissue Injuries & Wound Management
10
Neurology
11
Infectious Diseases
12
Endocrine & Metabolism Disorders
13
Vascular Disorders
14
Obstetrics & Gynecology
15
Genitourinary
16
Cardiology 2
17
Trauma 2
18
Pediatrics 2
19
Toxicology
20
ENT & Ophthalmology
21
Hematology & Oncology
22
Immunology & Inflammatory Disorders
23
Psychiatry/Ethics/Administration
24
EMS & Disaster Medicine

PROJECT PLAN:
Fundamental components of this program will include:
Lectures on the modular topic of the month
Journal article discussions
Grand rounds
Morbidity and mortality (M&M) conferences
Procedures and skills tutorial
Presentations by the fellows
An interactive E learning portal will be created with restricted access to the fellows and faculties involved in this program. Later on the access can be given to others on subscription basis.
Each module will be available as tutorial, interactive case scenarios, procedural videos, Imaging etc. After going through a particular module each fellow can take a test ( Post Test ) which will evaluate on the same. The collective grades will be put as score in the same portal which will be reviewed periodically.
Faculties will have access to the same material to help them refreshing their knowledge. In addition they will be able to add teaching scenarios with approval from the moderator.
A First aid resources for doctors Not in academic emergency medicine will also be created as a separate section to ensure good practice in Emergency Medicine in India.
TIMELINES:
Finalisation of Concept: March 2009
Pilot at Max Healthcare: April 2009
Nationwide launch: July 2009


Key Persons involved:

DR SUBROTO DAS
DR TAMORISH KOLE
DR SATINDER KAUR
DR VENUGOPAL P P
DR JEFF SMITH

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