Emergency Medicine Clerkship Curriculum: An Update and Revision
David E. Manthey MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorDouglas S. Ander MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorDavid C. Gordon
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorTom Morrissey MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorScott C. Sherman MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorMichael D. Smith MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorDiane Rimple MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorLorraine G. Thibodeau MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authoron behalf of Clerkship Directors in Emergency Medicine (CDEM) Curriculum Revision Group
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorDavid E. Manthey MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorDouglas S. Ander MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorDavid C. Gordon
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorTom Morrissey MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorScott C. Sherman MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorMichael D. Smith MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorDiane Rimple MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorLorraine G. Thibodeau MD
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authoron behalf of Clerkship Directors in Emergency Medicine (CDEM) Curriculum Revision Group
From the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Emory School of Medicine (DSA), Atlanta, GA; the Division of Emergency Medicine, Department of Surgery, Duke University (DCG), Durham, NC; the Department of Emergency Medicine, University of Florida–Jacksonville (TM), Jacksonville, FL; the Department of Emergency Medicine, Rush Medical College (SCS), Chicago, IL; the Department of Emergency Medicine, MetroHealth Medical Center (MDS), Cleveland, OH; the Department of Emergency Medicine, University of New Mexico (DR), Albuquerque, NM; and the Department of Emergency Medicine, Albany Medical Center (LGT), Albany, NY.
Search for more papers by this authorClerkship Directors in Emergency Medicine (CDEM) Curriculum Revision Group members are listed in Appendix A.
Abstract
In 2006, the latest version of a national curriculum for the fourth-year emergency medicine (EM) clerkship was published. Over the past several years, that curriculum has been implemented across multiple clerkships. The previous curriculum was found to be too long and detailed to cover in 4 weeks. As well, updates to the Liaison Committee on Medical Education (LCME)’s form and function document, which guides the structure of a clerkship, have occurred. Combining experience, updated guidelines, and the collective wisdom of members of the national organization of the Clerkship Directors in Emergency Medicine (CDEM), an update and revision of the fourth-year EM clerkship educational syllabi has been developed.
ACADEMIC EMERGENCY MEDICINE 2010; 17:638–643 © 2010 by the Society for Academic Emergency Medicine
Supporting Information
Data Supplement S1. Specific disease entities list by organ system.
Data Supplement S2. EM clerkship procedural curriculum.
Data Supplement S3. LCME standards for educational (ED) program addressed by the syllabus.
Please note: Wiley Periodicals Inc. is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.
Filename | Description |
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ACEM_750_sm_DataSupplementS1e.pdf23 KB | Supporting info item |
ACEM_750_sm_DataSupplementS2e.pdf29 KB | Supporting info item |
ACEM_750_sm_DataSupplementS3e.pdf71.9 KB | Supporting info item |
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References
- 1 The Macy Foundation Report [letter]. Ann Emerg Med. 1995; 26: 238–9.
- 2 Burdick P, Jouriles NJ, D’Onofrio G, Kass LE, Mahoney JF, Restifo KM. Emergency medicine in undergraduate education. Acad Emerg Med. 1998; 5: 1105–10.
- 3 Shepherd S, Zun L, Mitchell J, et al. A model preclinical, clinical, and graduate educational syllabus in emergency medicine for medical students and rotating residents. Ann Emerg Med. 1990; 19: 1159–66.
- 4 Manthey DE, Coates WC, Ander DS, et al. Report of the Task Force on National Fourth Year Medical Student Emergency Medicine Syllabus Guide. Ann Emerg Med. 2006; 47: e1–7.
- 5 Wald DA, Manthey DE, Lin M, Ander DS, Fisher J. Clerkship directors in emergency medicine: statement of purpose. Acad Emerg Med. 2008; 15: 856–9.
- 6 American Association of Medical Colleges (AAMC) Liaison Committee on Medical Education (LCME). Functions and Structure of a Medical School: Standards for Accreditation of Medical Education Programs Leading to the M.D. Degree. Available at: http://www.lcme.org/standard.htm. Accessed Mar 8, 2010.
- 7 Coates WC. An educator’s guide to teaching emergency medicine to medical students. Acad Emerg Med. 2005; 12: 129e1–4.
- 8 Berman N, Fall LH, Smith S, et al. Integration strategies for using virtual patients in clinical clerkships. Acad Med. 2009; 84: 942–9.
- 9 Nguyen HB, Daniel-Underwood L, Van Ginkel C, et al. An educational course including medical simulation for early goal-directed therapy and the severe sepsis resuscitation bundle: an evaluation for medical student training. Resuscitation. 2009; 80: 674–9.
- 10 Friedrich MJ. Practice makes perfect: risk-free medical training with patient simulators. JAMA. 2002; 288: 2808.
- 11 Nara N, Beppu M, Tohda S, Suzuki T. The introduction and effectiveness of simulation-based learning in medical education. Intern Med. 2009; 48: 1515–9.
- 12 American Association of Medical Colleges (AAMC). The AAMC Project on the Clinical Education of Medical Students. Available at: http://www.aamc.org/meded/clinicalskills/. Accessed Mar 8, 2010.
- 13 American Council of Graduate Medical Education. ACGME Outcome Project. Available at: http://www.acgme.org/outcome. Accessed Mar 8, 2010.
- 14 Swing SR. Assessing the ACGME general competencies: general considerations and assessment methods. Acad Emerg Med. 2002; 9: 1278–88.
- 15 Hobgood C, Promes S, Wang E, Moriarity R, Goyal D, Council of Emergency Medicine Residency Directors. Outcome assessment in emergency medicine--a beginning: results of the Council of Emergency Medicine Residency Directors (CORD) emergency medicine consensus workgroup on outcome assessment. Acad Emerg Med. 2008; 15: 267–77.
- 16 King RW, Schiavone F, Counselman FL, Panacek EA. Patient care competency in emergency medicine graduate medical education: results of a consensus group on patient care. Acad Emerg Med. 2002; 9: 1227–35.
- 17 Croskerry P. The cognitive imperative: thinking about how we think. Acad Emerg Med. 2000; 7: 1223–31.
- 18 Wagner MJ, Thomas HA Jr. Application of the medical knowledge general competency to emergency medicine. Acad Emerg Med. 2002; 9: 1236–41.
- 19 Varkey P, Karlapudi S, Rose S, Nelson R, Warner M. A systems approach for implementing practice-based learning and improvement and systems-based practice in graduate medical education. Acad Med. 2009; 84: 335–9.
- 20 Jouriles NJ, Emerman CL, Cydulka RK. Direct observation for assessing emergency medicine core competencies: interpersonal skills. Acad Emerg Med. 2002; 9: 1338–41.
- 21 Kalet A, Pugnaire MP, Cole-Kelly K, et al. Teaching communication in clinical clerkships: models from the Macy initiative in health communications. Acad Med. 2004; 79: 511–20.
- 22 Goldie J, Dowie A, Cotton P. Teaching professionalism in the early years of a medical syllabus: a qualitative study. Med Educ. 2007; 41: 610–7.
- 23 Shumway JM, Harden RM. AMEE Education Guide 25. The assessment of learning outcomes for the competent and reflective physician. Med Teacher. 2003; 25: 569–84.
- 24 Van Der Vlugt TM, Harter PM. Teaching procedural skills to medical students: one institution’s experience with an emergency procedures course. Ann Emerg Med. 2002; 40: 41–9.
- 25 Barsuk JH, McGaghie WC, Cohen ER, O’Leary KJ, Wayne DB. Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit. Crit Care Med. 2009; 37: 2843–4.
- 26 Peckler B, Schocken D, Paula R. Simulation in a high stakes clinical performance exam. J Emerg Trauma Shock. 2009; 2: 85–8.
- 27 Bokken L, Rethans JJ, Van Heurn L, Duvivier R, Scherbpier A, Van Der Vleuten C. Students’ views on the use of real patients and simulated patients in undergraduate medical education. Acad Med. 2009; 84: 958–63.
- 28 McLaughlin SA, Hobgood C, Binder L, Manthey DE, SAEM Undergraduate Education Committee for 2004–2005. Impact of the Liaison Committee on Medical Education requirements for emergency medicine education at U.S. schools of medicine. Acad Emerg Med. 2005; 12: 1003–9.