Didactics

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The Department of Emergency Medicine at OSU has a strong academic history. Although it is impossible to replace hands-on experience, a variety of non-clinical formats are employed to complement this learning.
 

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IM Conferences

 
IM Tuesday Conference Block is Three hours of educational activity are held in a block on Tuesday afternoons following a housestaff lunch. Residents on elective and CPB months are free of clinical duties on Tuesday afternoons to attend this conference. Tuesday inpatient rounding schedules are adjusted so that residents can finish most of their clinical work by noon (similar to a weekend day). The content of the conference varies from session to session. Incorporated lectures include core topics in general and subspecialty medicine.
 

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IM Morbidity and Mortality

 
The OSUMC Internal Medicine Residency program has developed a nationally recognized innovation in morbidity and mortality conferences. The traditional conference has been replaced with a resident peer review conference where residents use the tools of medical error root cause analysis and quality improvement to identify and correct problems that led to suboptimal outcomes for our patients. An emphasis is placed on systematic problem solving and prevention rather than blame.
 

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EM Conferences

 
The Emergency Medicine lecture series takes place on Wednesday mornings. The traditional lecture sessions covering the core content of emergency medicine is augmented by several repeating conferences. We host a monthly multi-disciplinary trauma morbidity and mortality session that is regularly attended by colleagues which make up the multi-disciplinary trauma care team as well as staff from the medical examiner's office. Emergency Medicine M&M also occurs monthly, providing an opportunity to discuss difficult cases in a collegial and collaborative setting. During pediatric and adult ED follow-up, residents present interesting cases in an oral board format, allowing the opportunity to not only discuss the salient medical aspects of the cases but also to review and practice strategies for successful completion of the ABEM oral board exam.
 

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IM Grand Rounds

 
The Internal Medicine Grand Rounds weekly conference highlights recent advances in Internal Medicine and draws accomplished speakers and investigators from within the University as well as around the world. Topics range from comprehensive updates on common clinical problems to pioneering research in Internal Medicine. Faculty, trainees, medical students and community physicians attend.
 

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EM Presentations

 
All residents present one prepared lecture per year. These lectures are drawn from a variety of appropriate topics chosen at the beginning of each year. While these lectures are modeled after traditional one-hour PowerPoint presentations, an emphasis is placed on discussion and audience participation. Accordingly, residents are encouraged to be creative in their approach to presenting their topic. Recent examples include expert panels of both EM and non-EM faculty, and the use of social media to solicit real-time audience input.
 

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EM Reading Club

 
Part of our asynchronous curriculum, the reading club is currently undergoing a transformation. We currently use Access EM, a web-based curriculum that utilizes not only selections from many major EM and IM texts, but also multimedia tools, podcasts, and other educational modalities. Our goal was to create a curriculum that will be repeated every eighteen months so that topics are covered twice, once during the beginning of training, and a second time when the resident has more clinical experience in which to frame the material.
 

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EMS

Intern EMS Exercise
 
The EMS experience is directed by Dr. David Keseg and has recently been adapted in response to resident feedback. Residents learn the skills necessary to become an EMS director by completing assigned readings, ride-alongs, and attending EMS specific lectures throughout the residency program. Residents also deliver a lecture to EMS personnel in their second and third years. Additionally, the Department of Emergency Medicine houses the Ohio State University Center for EMS. Several faculty members serve as medical directors for local fire departments and Dr. Howie Werman is the medical director for MedFlight of Ohio. Third year residents are given the option to fly or ride along with MedFlight to fulfill part of the EMS requirements. More information about the EMS curriculum, including the list of requirements, can be found by clicking on the EMS link.
 

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Journal Club

 
EM Journal club typically occurs on the last Wednesday of each month, when residents and attendings gather to discuss journal articles over lunch. These sessions begin with a review of a basic research or statistical topic, followed by the presentation of three articles selected to address a particular clinical question. Journal club is attended by faculty with a wide variety of research and clinical interests, allowing residents to draw on multiple experiences and viewpoints as they learn to navigate the medical literature.
 
IM Journal clubs take several formats. One format focuses on an in-depth analysis of a single article using the McMaster’s EBM format. The intent of this journal club is to teach skills of critical appraisal. The second format is a current literature potpourri. In this format, residents break into small groups, read several timely articles and summarize them for their colleagues. The intent of this format is to help residents remain abreast of the current literature. Lastly, we have a “rapid” fire journal club in our outpatient clinic that reviews a select group of recent journals and how they will impact on our practice of medicine.
 

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Skills Lab

Skill Lab
 
We are lucky at OSU to have access to the state of the art Clinical Skills Center, and take advantage of this resource monthly during our skills labs. Coordinated and led by senior resident/faculty pair, skills lab sessions make use of both high- and low-fidelity simulators, animal and cadaveric models, volunteer patients, and occasionally even each other to review and practice EM-relevant skills. We are also fortunate to have non-EM colleagues who are often willing to lend their expertise to these activities.
 
Recent skills labs have included the following:
 
  • Obstetrics: Residents reviewed and practiced first trimester ultrasound on a phantom model, as well as third trimester ultrasound on a pregnant volunteer. A station covering both normal and complicated deliveries was led by an OB/GYN faculty member with an interest in education.
  • ENT: Epistaxis treatment was discussed and then practiced using a low-fidelity model. Drainage and treatment of auricular hematomas was reviewed with the use of a cadaveric model. Finally, residents were given the opportunity to perform nasopharyngoscopy on a volunteer under the direction of a speech therapist and ENT resident.
  • Airway: Residents gained familiarity with a variety of adjunct/rescue airway devices and technique using both mannequins and cadavers, all under the direction of experienced EM faculty.
 
IM has special Tuesday afternoon sessions that allow further coaching of clinical and procedural skills using simulation tools, models, and standardized patients/clinicians. Popular sessions have included a multidisciplinary approach to breast cancer and breast cancer detection and a communication skills workshop focusing on patient communication and patient handoffs.
 

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EM Small Group Discussions

 
EM residents are divided into 4 small group discussions with two EM attendings as facilitators. The small groups are made up of residents from all levels and meet monthly for a two-hour session. Topics are usually selected based on resident requests and have included oral board review, end of life care in the ED, ventilator management (including several residents being "treated" with non-invasive positive pressure ventilation), and mock EMS base station calls.
 
We highly value our small group sessions for multiple reasons. The small group format emphasizes a personal approach to education that we regard highly at Ohio State. We firmly believe that, as adult learners, residents should have a certain amount of control over what they learn, and the small group format affords us this curricular latitude. There is no set small group curriculum; groups are encouraged to be creative in their exploration of the nuances of emergency medicine. Additionally, residents are able to draw not only on the experiences of faculty members, but also work collaboratively to teach one another, enhancing our "residency family" environment.
 

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IM Morning Report

 
One case from an inpatient service is presented at each of these popular conferences. A program director or other attending physician and the chief resident facilitate an in-depth discussion about the presentation, physical exam, differential diagnosis, diagnosis, and patient management of a particular disease process. The application of evidence-based medicine is role modeled, including a focused question of the day. This highly educational conference remains a favorite among housestaff.
 

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IM Intern Report

 
The current interns present a case and with one of the program directors facilitate an in-depth discussion geared towards the needs of the interns. This is a popular conference among the interns and allows each of them the opportunity to expand their differential diagnosis and management plans as well as become comfortable with presentations to a group of their peers.
 

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IM Ambulatory Noon Conference

 
Housestaff gather between outpatient clinics or continuity clinics daily at noon (except Tuesdays). They are introduced to a variety of outpatient patient care topics, such as hypertension management, outpatient diabetic care, the approach to evaluation of headache in an outpatient setting, etc.
 
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