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CONFERENCES

1. The Emergency Medicine Residency at UNM offers 5 hours per week of core conference from 11-4 on Wednesdays.
2. The content for the conferences are based on the Model of the Clinical Practice of Emergency Medicine (MCP) and on the ACGME Core Competencies
3. The 21 core content topics from the MCP are divided into 4 blocks each with a mixture of the larger and smaller topic areas:

4. The six ACGME core competencies and the Physician Tasks (from MCP) are used to develop learning objectives for these blocks as well as being included as axis of performance in all 4 blocks, during clinical rotations and formal assessments.

        a. ACGME Core Competencies
               1) Patient Care
               2) Medical Knowledge
               3) Professionalism
               4) Interpersonal and Communications Skills
               5) Systems Based Practice
               6) Practice Based Learning and Improvement

        b. Physician Tasks from MCP
               1) Pre hospital care
               2) Stabilization
               3) Focused H and P
               4) Modifying factors: age, gender, access, etc.
               5) Professional and Legal issues
               6) Diagnosis and Tests
               7) Treatment
               8) Pharmacology
               9) Reassessment
             10) Consultation
             11) Disposition
             12) Documentation
             13) Team management

5. The conference cycle coincides with the weeks of the month:
          a.  1st Wednesday: Written Board Review, ECG's, 2 hours of core material.
          b.  2nd Wednesday: Radiology, Toxicology, Peds Lectures, ED Administration.
          c.  3rd Wednesday: Simulation , Small group sessions.
          d.  4th Wednesday: Board Review, Hot Topics/New Literature, Research, Oral Board Review.
          e.  5th Wednesday: Resident Presentations & Teaching Skills, 1 hour core material, Global Health.
         
6. The small group sessions are when the classes break down by PGY I, II or III for a series of  focused learning sessions. The PGY I sessions will focus on core procedures. The PGY II sessions will be the Chair’s Ethics/Humanism/Legal and Literature series. The PGY III sessions will cover a variety of administrative, business and other topics relevant to the practicing physician.

7. The basic conference schedule is set 1 year in advance. The Chief Resident will work with the faculty for each conference to coordinate the scheduling and logistics of that particular day.

8. Resident lead presentations will not make up more than 10% of the total conference time, excluding Morbidity and Mortality case presentations where there is significant faculty participation.

Noon conference: lunch is served in this weekly opportunity for EM faculty, residents and community physicians to meet and discuss interesting and illustrative cases. Each case is presented as an unknown and a participant works through the case with the aid of his or her colleagues.  Cases which are flagged through the departmental quality improvement process, and morbidity and mortality cases are also discussed in this format.

Journal Club: Monthly journal club allows the residents and faculty to review the pertinent literature concerning a problem of relevance for Emergency Medicine. One faculty or resident is responsible for organizing the session, identifying the pertinent literature, and coordinating the discussion. When possible review of the way the problem has been handled at UNMH with chart reviews will be encouraged.

Meeting with the Residency Director: In an effort to keep in close touch with the residents, the assistant residency and residency director meet on a monthly basis with the HO1s and every other month with the HO2s & HO3s. As always, food is served. This is an opportunity to talk about problems which have arisen, discuss upcoming events and programs, and to consider potential changes in the residency program. This and other feedback mechanisms (see below) allow the program to be quite responsive to resident input.

Books: All incoming interns are provided with a new copy of Rosen’s Textbook of Emergency Medicine; Roberts and Hedges Procedures in Emergency Medicine; and several other texts including two ECGs books and an ultrasound book. Residents have access to a variety of books for loan from the residency office. These are often used for focused reading during specific rotations. All residents are provided membership in SAEM, EMRA and receive the journal Academic Emergency Medicine.

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