Teaching Schedule

November 29, 2018 - UH Aud A

0800-1700 Toxicology Workshop

 

 

Royal College Emergency Medicine

London Emergency Medicine Looks Forward to Welcoming CaRMS Candidates

The UWO FRCP Emergency medicine program and current residents are
getting ready to host the CaRMS applicants who have been selected for
interviews. Current residents and faculty will host a "Welcome to
London" get together on the evening of Wednesday Feb 4th for the
candidates. Interviews commence at 8 am Thursday Feb 5th. Those
candidates interviewing in the afternoon will be taken on a whirlwind
tour of London's hospitals and other points of interest in the morning.
Candidates interviewed in the morning will have the opportunity to take
the tour in the afternoon.

Interviewees can find an abundance of information about Emergency
Medicine in London, the UWO Emergency Medicine program and some great
links for the city itself on this webpage. If they have any further
questions don't hesitate to email the program director at

 or feel free to email any of the residents.

Good luck, travel safe and we look forward to meeting you!

Research Opportunities

Resident Research Opportunities

As one of the program goals is for residents to be capable of and enthusiastic for scholarly pursuits in emergency medicine, scholarly activities are a mandatory component of the program. In addition to this, scholarly pursuits in education are encouraged and supported by the program. Residents are each expected to present one project at the annual Resident Research Day in the spring of each year. In order to encourage quality work, residents may present project proposals, work in progress or completed work at the annual Resident Research Day.

Residents are supported in the scholarly endeavours in a number of ways. It is hoped that a resident will choose one larger project early in his/her residency that can be developed and completed over 3 to 5 years. This may be a research topic or may be a project in Medical Education, Emergency Medical Services or Medical Administration. Dr. Jon Dreyer is a faculty member who is designated as resident research coordinator however it is expected that each resident will have their own advisor. Kristine VanAarsen and Melanie Columbus work in the research office and are excellent resources for project design and clinical epidemiology. Royal college residents are expected to present their research findings at a national level conference, most often the annual Canadian Association of Emergency Physicians conference, and are provided with a $1500 stipend to cover conference costs.

Finally, there are monthly journal clubs which cover both current and classic emergency medicine topics. The focus of these evenings is on critical appraisal and improving clinical epidemiology knowledge.

Royal College Program - Evaluation

Resident Assessment

In addition to regular rotation assessments, residents are expected to track each patient that they see while on their emergency medicine rotations. The purpose of this is to act as a reminder for discussion at the end of shift daily evaluations. Residents go over the cases that they have seen with their most responsible consultant in order to highlight strengths and weaknesses. 

Individual residents meet with the program director in a formal way once every six months to review progress. Of course, more frequent, less formal meetings take place regularly should issues arise. Additionally, the program director meets with the residents as a group on a regular basis over breakfast to allow the residents to gang up on the program director and make suggestions for program improvement/change in a group format. A more formal meeting between residents and the residency training committee is held each year at the annual resident retreat.

Formal assessments also involve the annual Canadian In Training Examination (CITE), American Board of Emergency Medicine In-Training Examination and our "popular" Annual Mock Orals. The Mock Orals are in January/February of each year and is set up to emulate a real Royal College oral exam experience. Each resident cycles through two rooms with two examiners per room. Following the exam, residents and faculty get together over beer and munchies to debrief and provide the "ideal" answers to the questions - and take abuse from the residents!

 

Resident Support

 

There are a number of ways in which the residents are supported financially. At the beginning of their residency, each resident is provided with the most current issue of Emergency Medicine by Rosen. Each resident receives $750.00 per year to use for academic purposes. This may be for deferral of conference expenses or may be for purchase of textbooks or other learning tools. In addition to this, residents who have scholarly projects accepted for presentation (poster or podium) at national meetings, will receive an additional $1 000.00 per project.In addition, residents have the LHSC airway course, ACLS instructors course and EDE ultrasound course (among many others) covered by the division. There is additional support available for residents seeking fellowships or graduate degrees in other cities, which involve meeting with the residency training committee and the division chair.

Royal College Program - Elective Opportunities

There is one block of elective time in the PGY2 year and a total of twelve blocks of elective time in the PGY3 through PGY5 years. These twelve blocks of electives generally are taken toward the end of the residency, however the program allows the flexibility to insert elective time at any point in the PGY3 to PGY5 years. These electives have been used for a variety of purposes, both to round out education to enhance areas of interest or optimize knowledge and skills in areas or perceived weakness. Some examples of popular electives are described below.

 

ELECTIVES AT HOME (WESTERN)

Critical Care Ultrasound

Learn advanced skills and practice these procedures as a member of the critical care team.  Extensive hands-on learning is provided in a setting of expert oversight.  These skills honed in the critical care center can be transferred to one’s emergency medicine practice readily.

 

Senior Emergency Department Ultrasound

A new and evolving elective where residents learn advanced skills pertinent to emergency patients (ie. Gallbladder assessment) Extensive hands-on learning is provide in a setting of expert oversight.  These skills can then be used readily in the emergency department in diagnosistics & management.

 

Electrophysiology

Residents learn from world-renowned electrophysiologists while involved in clinical care of inpatient & new consults for patients with arrhythmias.  This elective comes with extensive departmental teaching and offers both inpatient and outpatient experience in the managemernt of arrythmias.

 

Research

Residents can use this month as dedicated time to work on their research projects.  The ability to take time away from busy clinical duties in invalubable with the packed schedules residency provides.  So, whether this time is spent travelling the continent disseminating the work they’ve done so far during the spring-time conference season, or used to gather data and crunch numbers; it’s another perk of the program.

 

Opthalmology

Details coming soon!

 

Repeat Core Rotations

Many residents chose to repeat certain core rotations to gain further experience with procedures and increase their knowledge in that area.  Examples include: further pediatric emergency medicine exposure, critical care, anesthesiology and trauma rotations.

 

EXTERNAL ELECTIVES

Toxicology

This elective allows the resident to get concurrent experience in Clinical Toxicology at either the Poison Control Centre at the Hospital for Sick Children in Toronto and/or NYU Bellevue Hospital in New York City. In Toronto, the resident on-call will take calls from Poison Control nurses, and direct the management of toxicologic cases that come through this large Poison Control Centre. The resident is backed up by a board-certified medical toxicologist to discuss cases as they come in. In addition, the resident attends weekly rounds at the Hospital for Sick Children in Toronto, and is occasionally responsible for a case presentation and discussion.

 

The elective in New York City provides residents the opportunity to receive teaching from one of the most established Clinical Toxicology centres in North America. Responsibilities include daily attendance at emergency morning rounds at Bellevue Hospital, followed by call-backs and teaching at the New York City Poison Control Centre.  Residents are eligible to receive some support for travel and accommodation from the program for this elective.

 

Trauma

Residents have sought out increased trauma acuity and volume.  Although the resident may choose to pursue further trauma in other cities in Canada and the United States, most recently residents have attended Cape Town, South Africa. Here an elective experience has been negotiated with Stellenbosch University and Tygerberg Hospital. During this one or two month elective, the resident acts as a member of the Trauma Team in the Princess of Wales Trauma Unit. The hospital is a teaching hospital Level 1 (equivalent) trauma centre for the northern suburbs or the Western Cape. It is a trauma only emergency unit, separate from other other hospital emergency units. Here, the resident sees a wide variety of penetrating trauma at one of the world's busiest trauma centres. This popular elective allows residents exposure to a high volume of trauma not normally seen in Canadian centres. Residents are eligible to receive some support for travel and accommodation from the program for this elective.

 

MISCELLANEOUS ELECTIVES

Residents are encouraged to use elective time towards areas of interest. Residents looking to pursue further training in subspecialty areas of emergency medicine are encouraged to try and incorporate some of their subspecialty training into their elective time. Residents in the past have used this time toward certification in critical care, sports medicine, EMS, ultrasound and advanced degrees in medical education, clinical epidemiology, tropical medicine and health administration. Other opportunities exist and are generally supported by the program committee.

Royal College Program - Past Graduates

Royal College Residency Training Program Past Graduates

  • 2016 - Christopher Lee - ___________, Vancouver B.C.
  • 2016 - Meghan Garnett - Thunder Bay Regional Health Sciences Centre
  • 2016 - Natalie Cram - Rockyview General Hospital & Foothills Medical Centre, Calgary A.B.
  • 2016 - Sean Doran - London Health Sciences Centre
  • 2015 - Kate Hayman - University Health Network, Toronto, O.N.
  • 2015 - Morgan Riggan - Poison Control Centre, New York City
  • 2015 - Bourke Tillmann - London Health Sciences Centre
  • 2014 - Justin Ahn - Royal Columbian Hospital, Vancouver, B.C. 
  • 2014 - Justin Yan - Ottawa General Hospital & London Health Sciences Centre
  • 2013 - Sameer Mal - London Health Sciences Centre
  • 2013 - Joel Krause - Niagara Health System, St. Catherine's, O.N.
  • 2013 - Ryan Arbeau - London Health Sciences Centre
  • 2013 - Danny Peterson - Alberta Health Services, Calgary A.B.
  • 2012 - Matt Davis - London Health Sciences Centre
  • 2012 - Ali Meiwald - London Health Sciences Centre
  • 2011 - Cimi Achiam - Royal Columbian Hospital, Vancouver, B.C.
  • 2011 - Karalyn Church - London Health Sciences Centre
  • 2011 - Heather Hames - London Health Sciences Centre
  • 2010 - Jan Trojanowski - Vancouver General Hospital, Vancouver, B.C.
  • 2010 - Chris Martin - Royal Victoria Hospital, Barrie, ON
  • 2009 - Rob Arntfield - London Health Sciences Centre
  • 2009 - Dave Oullette - London Health Sciences Centre
  • 2008 - Mike Peddle - London Health Sciences Centre
  • 2008 - Kris Lehnhardt - George Washington University, Washington D.C.
  • 2007 - Adam Dukelow - London Health Sciences Centre
  • 2007 - Ian Ball - Kingston General Hospital
  • 2006 - Wanda Millard - London Health Sciences Centre
  • 2005 - Becca Mallin - St. Joseph's Hospital, Hamilton, ON
  • 2005 - Abdullah Al-Ghamdi - Dhahran, Saudi Arabia
  • 2004 - Laura Price - London Health Sciences Centre
  • 2004 - Colin Bullard - Doctors Hospital, Nassau, Bahamas
  • 2004 - Jehangir Meer - Oshawa General Hospital
  • 2003 - Terry Skoretz - London Health Sciences Centre
  • 2003 - Ted Everson - London Health Sciences Centre
  • 2002 - Drew Thompson - London Health Sciences Centre
  • 2002 - Andrew Jones - London Health Sciences Centre
  • 2001 - Phil Moran - Oshawa General Hospital, New York General Hospital, Oshawa ON
  • 2000 - Dawn Giffin - London Health Sciences
  • 2000 - Michael Lewell - London Health Sciences Centre
  • 1999 - Derrick Pringle - London Health Sciences Centre
  • 1998 - Michael Hatcher - St. Joseph's Hospital, Hamilton, ON
  • 1998 - Keith Donovan - London Health Sciences Centre
  • 1997 - Karen Woolfrey - St. Joseph's Hospital, Hamilton, ON
  • 1996 - David Petrie - Queen Elizabeth II, Health Sciences Centre, Halifax, NS
  • 1996 - Scott Anderson - London Health Sciences Centre
  • 1995 - George Kovacs - Queen Elizabeth II, Health Sciences Centre, Halifax, NS
  • 1993 - Pauline Paine - St. Joseph's Health Care
  • 1992 - Dave Murphy - London Health Sciences Centre

Royal College Program - Outline

Clinical Rotations

In June 2011 at our annual residency retreat, a topic of discussion was our current rotation curriculum. Through discussion and broad input from residents and faculty, the rotation schedule was revised. The following is a suggested rotation template but, other than the PGY1 year, there is great flexibility in scheduling to allow for maximum use of elective time. For example, much of the elective time is put at the end of the residency but may be spread out or clumped in order to accomplish specific goals, such as Master's degrees or fellowships.

Sample rotations for each of the post graduate years 1 through 5 years are as follows :

PGY1

  • General Surgery : 1 block adult, 1 block pediatric
  • Adult Emergency Medicine: 3 blocks
  • Emergency Ultrasound: 1 block
  • Pediatric Emergency Medicine: 1 block
  • Obstetrics and Gynecology: 1 block in community (Windsor)
  • Internal Medicine : 1 block team medicine, 1 block urgent medicine/consultation clinic
  • Psychiatry: 1 block emergency psychiatry
  • Anesthesiology: 2 blocks

PGY2

  • Critical Care: 2 blocks
  • Coronary Care: 2 blocks
  • Adult Emergency Medicine: 4 blocks
  • Neurosciences: 1 block inpatient neurology / urgent neurology clinic
  • Orthopedics: 1 block trauma, 1 block emergency orthopedics / sports medicine
  • Extremity: 1 block hand and upper limb clinic / plastic surgery
  • Electives: 1 block

PGY3

  • Adult Emergency Medicine: 6 blocks
  • Pediatric Emergency Medicine: 2 blocks
  • Pediatric Critical Care: 2 blocks
  • Trauma: 1 block LHSC Trauma service
  • Electives: 2 blocks

PGY4

  • Adult Emergency Medicine: 6 blocks
  • Pediatric Emergency Medicine: 1 block
  • Pre-hospital / EMS rotation: 1 block
  • Toxicology: 1 block
  • Elective: 4 blocks

PGY5

  • Adult Emergency Medicine: 6 blocks
  • Pediatric Emergency Medicine: 1 block
  • Electives: 6 blocks

Note: 1 block = 4 weeks; total of 13 blocks per 1 year

 

EMS Rotations & Rideouts

All FRCP residents will have an EMS orientation in July of their PGY1 year. Minimum of 4 EMS rideouts per academic year during the five year residency. CSA approved foot wear is necessary, while on shift. Helmets, visors are provided. You should also bring PPE consumables (N95 masks,gloves,gowns, safety eye wear). Objectives, resources and rideout log for EMS rotations can be found here.

London 

Residents can setup rideouts by contacting Al Hunt (Thames EMS Duty Manager) at ahunt@thamesems.com.  The dates, hours, EMS crew and calls attended should be recorded by the resident and submitted to Susan Pierson.

Windsor

Contact Paul Bradford paul.bradford@sympatico.ca  

Sarnia

Forms to be completed for each resident taking part in the program prior to your rotation.
   
Contact:
Steve Robinson, A-EMCA
Operations Supervisor
Emergency Medical Services Department
County of Lambton
phone:519-344-9469
fax: 519-383-7706
Email: steve.robinson@county-lambton.on.ca

 

Elective Opportunities

Internal and external electives available throughout the course of the residency program. Most elective opportunities are supported by the residency training committee provided they enhance the resident's education.

Click here for more information about available electives.

 

Fellowships

  • Sports Medicine
  • Critical Care
  • Anesthesia
  • Pediatrics
  • Pre-Hospital
  • Trauma
  • Toxicology
  • Ultrasound

 

Advanced Degrees

  • Master's in Business Administration
  • Master's in Medical Education
  • Master's in Health Administration
  • Master's in Clinical Epidemiology
  • Diploma in Tropical Medicine and Hygiene (London School of Hygiene and Tropical Medicine)

 

London Hospitals

Residents will have rotations at all three local hospitals during their training.

London Health Sciences Centre:

  • Victoria Hospital
  • University Hospital

St. Joseph's Health Centre

Royal College Chief Rounds

Chief Resident Rounds

These practical sessions in emergency medicine are designed to cover a number of areas outside the didactic, knowledge based, core content sessions. These rounds are organized, scheduled and may be presented by the current Chief Residents. These practical sessions cover areas such as x-ray and CT rounds, ECG interpretation, emergency medicine skills (e.g. casting, cricothyrotomy and thoracotomy), exam preparation skills, and skills in clinical epidemiology.

Four times per year, there is a radiology session taught by a staff radiologist in which interesting x-rays and CTs are presented to emergency medicine residents to provide core skills in image interpretation as well as learning about rare and interesting findings. In addition, there have been guest lecturers from electrophysiology, the sexual assault center, dentistry, pediatrics, public health and the London police department, to provide additional unique learning opportunities for the residents.

Royal College Emergency Medicine Program

Contact Information

Program Director

Dr. Rob Sedran

Assistant Program Director

Dr. Matt Davis

Administrative Staff

Susan Pierson


Important Dates

  • Interview Date for new Candidates: Jan 30, 2012
  • CaRMS Match Date: TBA

 

Applications

Applications from new graduates of Canadian medical schools are accepted only through the CaRMS application process. For persons interested from outside the country with their own sources of funding, applications can be made through the Office of Postgraduate Education at the Faculty of Medicine and Dentistry at the University of Western Ontario. Physicians in practice wishing to return to a residency position may inquire directly through the program director.

Entry may be considered through a return of service contract from the Ministry of Health and Long Term Care (MOLTHC). Additionally, for Canadians practicing in the US, the MOHLTC has a repatriation program that may allow entry to complete training in Emergency Medicine, thus allowing eligibility to write the Royal College certification examination. As of December 2002, the program is not currently accepting applications from internationally sponsored graduates


Prerequisites

Prerequisites for application to any training program through the CaRMS match may be obtained at the CaRMS website.


Objectives

Program goals are as follows:

The residency program in Emergency Medicine at the University of Western Ontario endeavors to direct the education of residents in Emergency Medicine with the goal of producing emergency physicians who are:

  • expert in the clinical practice of emergency medicine,
  • capable of and enthusiastic for scholarly pursuits in emergency medicine,
  • capable of fulfilling leadership roles in emergency medicine locally, nationally and internationally,
  • lifelong independent learners,
  • eligible to sit the examinations leading to certification in emergency medicine by the Royal College of Physicians and Surgeons of Canada.

Royal College Program - Current Residents

Royal College Program - Current Residents

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Royal College Program - Academic Sessions

Weekly Academic Half Day (Thursdays, Sept - June)

0800-0900 - Senior/Chief Rounds

0900-1000 - Grand Rounds

1000-1200 - Core Teaching

For updated schedule please see the EM London Calendar.

 

Core Teaching (Rosen's Based)

These weekly teaching sessions are specifically designed for Royal College residents. The core knowledge areas in emergency medicine are covered through a series of 140 two-hour sessions that cycle through a four-year curriculum. These seminars are designed to cover the breadth and depth of the knowledge areas of emergency medicine and are based on chapters from Rosen's. There are specific objectives developed for each and every one of these 140 sessions to guide the residents preparation for these sessions. These sessions are presented for the most part by consultant emergency physicians, and occasionally from experts in other fields.

 

Senior/Chief Rounds

These practical sessions in emergency medicine are attended by both Royal College and CCFP-EM residents. They are deisgned to cover a number of areas outside the didactic, knowledge based, core content sessions. These rounds are organized and scheduled by the chief residents, but are presented by any of the senior residents. Guest speakers are often invited to present these rounds including specialists in electrophysiology, dentistry, and nurses from the local sexual assault centre.

These sessions focus on practical EM skills. They are often case based and cover areas such as x-ray and CT reading, ECG interpretation, emergency medicine procedures (ie. casting, surgical airways, thoracotomy), exam preparation skills and clinical epidemiology/statistics.

 

Grand Rounds

These rounds are open to all emergency medicine department staff. Although usually presented by staff physicians or guest speakers, residents in PGY2-PGY5 will present one grand rounds topic per year. These presentations are an opportunity for residents to improve their skills in seminar facilitation and critical appraisal of current EM literature. These resident-lead presentations are supervised and attended by a consultant whose purpose is to provide feedback to the resident in their preparation for and presentation of the grand rounds.

 

SIM Teaching

We are very happy to have Dr. Karen Woolfrey as the Simulation Program Director as of September 2015. With assistance from many of the other emergency department staff we have regular high fidelity teaching sessions.

Simulation teaching takes place in the afternoons from 1300-1600 during our monthly academic full-days. Please see the EM London Calendar for scheduled dates.

Additional (optional) simulation based learning sessions take place during the spring as the Sim Team prepares for the annual competition at CAEP and occasionally through our morning Chief Rounds.

 

Summer School (Thursdays, July & August)

During the summer months, regular core, senior rounds, and grand rounds are suspended. As a result, weekly acaedmic half days are organized and usually presented by the chief residents. The content of these lectures is very similar to the Senior/Chief Rounds presented during the year. Material selected is usually of a practical nature and presented in an interactive fashion. Both Royal College and CCFP-EM residents particpate in these weekly half-days.