Program Overview

General Overview

Existing residents please connect to your own portal at westernccfpem.com for uptodate information and announcements as well as useful links to the blogs and other learning tools.

Welcome to the CCFP-EM program at Western University in conjunction with London Health Sciences Centre and surrounding hospitals.

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The current Program Director is Dr. Munsif Bhimani (@munsifio). He is assisted by Dr Chris Poss. Dr. Daniel H Grushka is the enhanced skills director in Family Medicine and is overseeing all third year programs. Our administrative assistant is Susan Pierson. Please direct all enquiries to her at susan.pierson@lhsc.on.ca.

Our Division of Emergency Medicine and Department of Family Medicine offer one year of specialty training in Emergency Medicine through our unique CCFP/EM Residency training program. 

  • Upon successful completion of our dynamic, well structured, and faculty-supported year, the candidate will receive a CCFP Certificate of Special Competence in Emergency Medicine equivalent to the CCFP-EM
  • We strive to foster leaders in Emergency Medicine and Community Medicine with exposure to pre-hospital, administrative and academic Emergency Medicine.
  • Training at Western University will involve a single stream that is combined urban and regional with rotations in the urban and community sites associated with Western. There will be some choice in site selection. There is also a formal elective block available in an area of interest of the resdients choosing.

Thursday mornings are protected academic time throughout the year.

The first several months into the program begins with "summer school" which is are combined practical hands-on sessions with the FRCP residents on various topics such as use of monitors, casting, lines, and nerve blocks.  

September onwards residents are expected to attend each Thursday morning Chief Rounds (radiology cases, EKG's), Grand Rounds or Journal Club, and Core Content teaching sessions.  Also noon "brown bag lunch" teaching is mandatory with the following occurring on the Thursday lunch hour. Please grab your lunch quickly or bring it with you.

  1. Noon hour "Tintinalli Rounds" with several experienced ER staff moderating pertinent topics  
  2. MiniSIM simulation teaching of ACLS/ acute presentations/ procedural skills.

High fidelity simulation occurs once a month on a separate schedule.

About ultrasound, it is our aim to ensure all residents are IP certified by the end of the year in point of care ultrasound. Western is a leader in ultrasound with most staff physicians certified and we offer a robust program to support, teach and offer ongoing quality assurance to residents.  A day-long introductory ER ultrasound course (EDE) is offered by dedicated staff, including financial support for supervision and testing.

Acknowledging the extension of our program from Family Medicine, we promote connectivity during the year to Family Medicine by:

  1. allowing residents the opportunity to work with Dr Bhimani, Program Director, in his Family Practice
  2. appoint PGY-3 residents to do Family Medicine Teaching in the Family Med Clinical Teaching Units
  3. engage PGY-3 residents in the Family Medicine Practicum, practical skills family medicine simulation and teaching exercise
  4. we also allow resident directed exercises in Family Med to allow that connectivity to foster in a self directed manner.

A research project is mandated during our PGY-3 year. We encourage residents to take on small but interesting projects with the guidance of our research leaders. The project is presented at both emergency medicine and family medicine research days and has always been very interesting and enlightening for our CCFP-EM residents who have won quite a few research awards at these events and gone on to publish their research. Residents are provided with exemplary research mentorship during the year.

The program provides each resident the ultrasound independent practitoner course (CEUS IP equivalent), an enhanced Airway Course, APLS or PALS, and the guiding textbook, Tintinalli. If residents have completed the CEUS  IP equivalent course, they are offered advanced ultrasound training in cardiac US, critical care US, vascular US or advanced EDE-2 and EDE-3 equivalent exposures which can be tailor made to their specific learning needs. Please note some of these courses are funded through London offerings only as Western University does offer all these courses locally whereby they are subsidized. 

EMS rideouts will be available during the ultrasound/emergency medicine block to gain exposure to pre-hospital care.

Our Mentorship program will place a motivated staff physician with each incoming resident for role modeling, support, and act as a sounding board for any work/personal/career issues that may arise during the busy year.

ACLS and ATLS are mandatory before beginning the EM year.