CCFP-EM

Munsif Bhimani

Program Director

Munsif.Bhimani@lhsc.on.ca

CCFP-EM

Dr. Chris Poss

Assistant Program Director

Susan Pierson

Program Administrator

Susan.Pierson@lhsc.on.ca

Program Goals

The CCFP-EM Program at Western is designed to provide an enhanced skills experience in emergency medicine to graduates of accredited family medicine programs. We strive to teach academic emergency medicine to these residents in conjunction with the Department of Family Medicine and the Division of Emergency Medicine. Rotations take place in an academic and non-academic (community setting).

Our objectives are

  • to provide training in higher acuity emergency medicine
  • to provide connectivity to family medicine
  • to provide experiences in critical care and coronary care relevant to emergency care
  • to provide experiences in community emergency medicine and rural medicine
  • to provide experiences in paediatric emergencies geared to a family medicine practitioner interested in emergency care
  • to allow an exposure to the scholarly and academic aspects of emergency medicine
  • to allow some research development in emergency care
  • to participate in the academic aspects of emergency medicine

Curriculum

The objectives are developed and achieved through the following methods:

  • rotations in
    • emergency medicine
    • community emergency medicine
    • paediatric emergency medicine
    • critical care
    • coronary care
    • emergency medicine + anesthesia hybrid
    • emergency medicine + orthopaedics hybrid
    • emergency medicine + hand/upper limb
  • Simulation Exercises
    • both low fidelity and high fidelity simulation is conducted at various locations including the Fanshawe College EMS Sim Lab
  • Academic Full Day
    • this is a once a week day of teaching in conjunction with the Division of Emergency Medicine and includes grand rounds, core academic seminar series
  • Summer School
    • the residents have a summer full of introduction to emergency medicine teaching
  • Airway Day
    • held once a year this is a state of the art course on airway management by airway experts
  • Cadaver Labs
    • held four times a year. Residents are taught to do chest tubes, cricothryrotomies and canthotomies on cadavers
  • POCUS and advanced POCUS applications run throughout the year and teach POCUS skills to the resident
  • Tintinalli Rounds which are held monthly to nom over a chapter of Tintinalli, a standard textbook of emergency medicine
  • Social rounds which cover aspects of real life practice like billing, accounting and starting practice
  • Transition to Practice curriculum
    • this covers things like documentation, patient safety and risk management

Other experiences offered on request are

  • ophthalmology
  • thoracics
  • trauma
  • South Africa trauma
  • New York toxicology
  • Hospital for sick children (HSC) Pediatrics experience
  • ORNGE and EMS experiences
  • Additional experiences are available in regional hospitals on special request.

Evaluations include daily and monthly evaluations. All residents have a mentorship committee which includes a clinical mentor, non-clinical mentor and a research supervisor. Both the resident and the mentor receive training in the goals and expectations of mentorship at both levels, depending on the type of mentor. Residents have regular meetings with the program director, the mentors and the competence committee which oversees successful completion of competencies.

 

The program routinely accepts 1-3 return of service (ROS) positions in collaboration with communities in the area.

Research Opportunities

Our program continues to hold a high standard of research productivity. Our residents have previously presented at CAEP and SAEM. All residents will be assisted through a research project with the selection of a research advisor. Their research will be presented at resident research day. Research acumen will be an asset for our program.

Academic Days

The program now also requires residents to participate in a full teaching day on Thursdays with various rounds weekly, grand rounds, core seminar series, simulation activities and resident directed learning modules scheduled during this time.

Selection Criteria

All family medicine residents interested in a focused career in emergency medicine are encouraged to apply to the CCFP-EM program at Western. Our selection team will be looking for residents who have been successful during their FM residency, satisfactorily completing their FM time. Electives in London, Ontario and associated regional hospitals are highly encouraged. Research acumen will be an asset for our program as will emergency medicine preparedness as evidenced by electives in EM and attendance at conferences and courses in EM. Participation in other EM related activities will be viewed favourably by the selection committee.

Program Strengths

  • The CCFP-EM program at Western promotes a high level of academic and scholarly exercises including research, grand rounds presentation and participation actively in SIM (simulation) and POCUS (point of care ultrasound) exercises.
  • Residents will be evaluated and provided with formative feedback on all rotations.  More specifically, during your emergency medicine rotations, every shift will be evaluated and a summative report will be filed and reviewed by the program director.

In preparation for the CCFP/EM exam, formal sessions will be conducted by staff in the form of MOCK Orals and Written exams throughout the year, including constructive tips and feedback.

Training Sites

Clinical experience is gained at the London Health Sciences Centre which includes the Children’s Hospital of Western Ontario. The London Health Sciences Centre also operates as a regional Trauma Referral Centre. It is also the Base Hospital for the Prehospital Care Program. London has both Basic and Advanced Life paramedics in the field that are under on-line and off-line medical control. Rotations also occur at St. Joseph’s Health Centre which runs an urgent care center.

There are opportunities for interprovincial and international electives while training in the program. Past residents have done electives in other provinces in Canada, the United States and around the world. These electives need to be arranged by the residents with approval of the residency training committee. In general, there is not financial support for residents in these electives.