So You’re an EM Reg!

Jan 2009

Year 1

• PRIMARY EXAM• Short courses• Clinical skills - DOPS - RSI, Central lines, synchronised

cardioversion, Procedural

sedation

Candidate: Instructor:

Facility: Date:

Clinical Case description:

Procedure:

Number of times procedure done before: 0 1-4 5-9 >10

Complexity of case: Low Medium High

ABILITY SCORE (01-10)

Demonstrate understanding of indications, relevant anatomy and technique of procedure

Obtains informed consent including discussion of complications and their management

Demonstrates appropriate preparation pre-procedure

Appropriate analgesia or safe sedation

Technical ability

Aseptic technique

Seeks help where appropriate

Post procedural management (e.g. disposal of sharps, check XR, instructions to nurse, documentation)

Communication skills

Consideration of patient / professionalism

Overall ability to perform procedure

Overall Assessment (1-10)

Recommendations/ Comments:

Signature Candidate: Signature Instructor:

TONTO Š Assessment Candidate: Instructor:

Facility: Date:

Clinical Case:

Assessment

History: (key objectives obtained)

Examination : (key objectives obtained / missed)

Investigations:

Patient feedback:

Overall Assessment (1-10)

Recommendations/ Comments:

Signature Candidate: Signature In structor:

Year 2

• Short courses

• Audit and Research

• Thesis

Year 3

• Clinical cases - TONTOs

• Thesis - submission mid march and mid august

Year 4

• Exam preparation

• Management

EXAM

• MMED ends October 2009

• FCEM - passable

Short Courses

DATE COST Emergency Medicine Refresher

31/ 7 to 02/ 8 R550 day or R1800

Basic ED management 04 April R150 Emergency Radiology Course

18 April R750

Aviation Medicine 20- 24 April R3000 Regional Anaesthesia 05 J une R550 Immobilis ation 06 J une R550 Emergency Management of Severe Burns

20 J une, 5 Sep R 850

Wound Management 25 J uly R550 Advanced EC management Course

10 days 2 April to Nov

R5750

MIMMS/HMIMMS

• No disaster medicine in 2009

• MIMMS -2days

• HMIMMS - 2 days

April 6-9, 19-22 Oct

Undergraduate teaching

• 3rd Year Teaching• 28 April - 8:00-14:00 (covered by Me, Rescue and Comunications)• 29 April - 8:00-14:00 (need 6 people to do skills stations - CPR/ AED/

Choking/ Spinal Immobilisation/ Fracture Immobilisation)• 30 April - 8:00-14:00 (need 2 people to do Basic airway, Oxygen masks,

Nebulisations, BVM, Defib, Shock, Pt assessments cirtically ill)• • 4th Year Teaching• 8:00-16:00 are taught every Monday by the EMS Registrars. Covers ALS

CPR, Intubation and taught as practical handson sessions with simman. Always welcome extra hands to help.

• • 5th Year Teaching:• 12 Feb - 8:00-16:00 (need 3 people for whole day or 6 people for half day if

we split the day. Covers needle cric, surgical cric, CVP, Ext Jugs, Femoral, Intraosseous)

• 12 Mar - as above• 9 April -as above

Teaching

• Grand Ward Rounds - Friday C15 11am

• FEC 16,17 April

• M&Ms

• CME meetings - March and august

Conference

Management Skills

• Management course

• Senior Reg posts

Ultrasound

• Log book

• Short course

• 6 week rotation

• Final exam

Other reasons to be an EM reg

• UK rotations

• FIFA 2010

And then What?• Consultant Job Plan

• Emergency Medicine Structure