Postgraduate Emergency Medicine

Clinical Curriculum

The specialty training requirements of the Royal College of Physicians and Surgeons are met by this Program.

The FIVE-YEAR CURRICULUM includes:

 

PGY 1

  • Emergency Medicine (HHS or SJH), 4 blocks
  • Internal Medicine, 2 blocks
  • General Surgery, 2 blocks
  • Pediatrics, 1 block
  • Pediatric Emergency Medicine, 1 block
  • Obstetrics and Gynecology, 1 block
  • Anesthesia, 1 block
  • Orthopedic Surgery, 1 block

 

PGY 2 (Junior Emergency Year)

  • Emergency Medicine (HHS or SJH), 11 blocks
  • Pediatric Emergency Medicine (MUMC or CHEO), 2 blocks
  • Longitudinal EMS Block
  • Ultrasound Horizontal

 

PGY 3 (Off-service/Consultation Year)

  • CCU/Cardiology, 1 Block
  • ICU/Critical Care, 3 Blocks
  • Pediatric ICU, 1 Block
  • Trauma, 1 Block
  • Community Emergency Medicine, 2 Blocks
  • Selectives1, 1 month each, total 4 Blocks

 

PGY 4/5

  • Emergency Medicine (HHS and SJH), 10 Blocks
  • Pediatric Emergency Medicine (MUMC, CHEO), 2 Blocks
  • Selectives2, 2 Blocks
  • Electives3, maximum 4 Blocks
  • Specialty Project4, 6 Blocks

1PGY3 selectives: Plastics, Orthopedics, Trauma, Emergency Psychiatry, Neurosciences, Consult Medicine, Family Med, OBGYN, Anesthesia

2PGY4/5 selectives: as above, or may be used as additional Emergency Medicine or Specialty Project time

3Electives: must be approved by the RPC, may be used as additional Specialty Project time

4Specialty Project: As per the Royal College of Physicians and Surgeons Specialty Training Requirements for Emergency Medicine.  The project must be a minimum of 6 months in length, and may be extended to up to 12 months, depending on the personal objectives of the resident.  A proposal for the project must be submitted to the RPC via the Program Director at least six months prior to commencement.  Examples include (but are not limited to): education, research/clinical epidemiology, administration/health care management, pre-hospital care, pediatrics, toxicology, critical care, trauma, and sports medicine.  Additional information about the specialty project is available on the Royal College Website.

While on-service, SHIFT-LOAD varies by PGY year.  Junior residents work an average of 14-16, ten-hour shifts per month.  Senior residents work an average of 14-16, eight-hour shifts per month

During PGY2, a six-month horizontal EMS CURRICULUM is undertaken.  Residents are exposed to all aspects of EMS administration and medical direction.  The curriculum includes ride-alongs/dispatch shadowing, quality assurance/improvement processes, EMS education, as well as written/oral final evaluation

Formal training in ULTRASOUND is provided to all program residents.  Junior residents become Emergency Department Echo, Level 1 (EDE1) certified, including collection of all practical imaging studies on dedicated “scanning days” with hired models, outside of clinical shifts.  Many, if not most staff are also EDE1 certified.  One of the clinical sites (St. Josephs Hospital), has a rigourous quality assurance program, providing over-reading of all bedside studies by fellowship-trained faculty.