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The department of Emergency Medicine has been a leader at MMC in simulation education for over nine years. It has a robust simulation curriculum that is evidence based, has clear objectives, advanced debriefing techniques and formal evaluation of resident performance. We currently devote one grand round session per month to engage in simulation education at the Hannaford Center for Safety, Innovation and Simulation.
Every month our residents engage in simulated patient encounters that focus on the “topic of the month” (e.g. cardiovascular, infectious disease). These cases are chosen to focus on both high risk and rare disease presentations. Additional topics include death notification, end of life discussions, EMTALA, leaving against medical advice, child abuse, and crisis resource management.
Procedural Skills Workshops: With the support of the procedural skills lab, task trainers, and dedicated teaching faculty, residents learn procedures including but not limited to spinal puncture, intraosseous insertion, central line insertion, basic and advanced airway techniques, tube thoracostomy, transcutaneous pacing, transvenous pacing, pericardiocentesis, and procedural sedation and analgesia.
Three times a year residents undergo a “mock” oral board examination that mimics the physical setting and format of their oral board certification exam.
Ultrasound: Every month the residents engage in formal emergency ultrasound education that incorporates task trainers to teach FAST exam, thoracic ultrasound, bedside emergent echocardiography, vascular access, pelvic ultrasound in first trimester pregnancy, and ultrasound guided procedures.
Intern Bootcamp: To ensure a basic skill level in common emergency medicine procedures, new interns engage in an “intern bootcamp” session at the Hannaford Center for Safety, Innovation and Simulation, where they are taught skills such as splinting wound repair and spinal puncture.