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

We continue to strive to be an academically driven family medicine/emergency medicine training program. We look forward to receiving applications from all candidates who seek to learn through our enhanced program

Curriculum

The program continues to strive for excellence in the area of emergency medicine with EM offerings in our London based tertiary care hospitals as well as community teaching sites around London. To this end we offer a community emergency medicine block as well as an anesthesia-emergency medicine hybrid block both in community settings. There are two required emergency medicine blocks in the London ED’s.

Other required blocks include Pediatric emergency medicine (which is done locally at the Children’s Hospital of Western Ontario emergency department), CCTC (the critical care trauma centre at Victoria Hospital), Coronary Care (which can be done in London or surronding code-STEMI sites), Hand and Upper Limb (done at St Joseph’s Hospital London) and Orthopedics hybrid (done in conjunction with urgent care and sports medicine).

We also require a POCUS ultrasound block which is a block devoted to ultrasound use in the emergency department, during which scanning for common ED applications will be taught by our ultrasound faculty. Residents will be scheduled to be part of the ultrasound teaching team and will practice and perform bedside ultrasound with the team instructor during the ultrasound block. Priority will be given to skill acquisition in all areas of ED ultrasound.

Our program encourages self-directed horizontal learning through contacts with ophthalmology, thoracic surgery, radiology, anesthesia, community emergency medicine, family medicine, EMS time and pediatrics. We will also help facilitate a block of elective time in an area of interest to the resident. Previous opportunities include trauma in Baltimore, South Africa or Toronto as well as Toxicology, EMS, advanced ultrasound and more time in emergency medicine.

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. In addition, we will be requiring residents to remain active in family medicine with the Centre of Medical Practice Education modular sessions held every 6 to 8 weeks. There will also be occasional social rounds, journal club and sessions around FOAM and e-learning featuring emergency medicine podcasts and bloggers. Residents will be required to present at grand rounds annually.

Return of Service Spots:

The CCFP-EM program at Western will have 10 spots in the upcoming 2019 match. Two of these will be Return Of Service positions.  One will be funded by the community of Windsor, Ontario and the other will be funded by the community of Sarnia, Ontario.  Each position will carry with it the obligation to the community as per a separate contract. All residents in the program will have the same opportunities available. The return of service resident will be provided flexibility to have part of their training in Windsor or Sarnia if they so wish.

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.