Conferences are held at both the Jacobi and the Montefiore sites. The Emergency Medicine Core Curriculum is covered during Wednesday conferences at Jacobi and schedules have been designed to optimize attendance. Each topic covered in the core curriculum is given a priority. Priority1 lectures are repeated each year, priority 2 lectures are repeated every 2 years and priority 3 every 3 years. Inaddition to the core curriculum, there are multiple site-specific lectures available throughout the week.
These conferences happen every Friday and are usually organized by the EM-3 on an elective rotation with a faculty member according to a schedule of assignments. This is a case-based, interactive conference which will be done in oral-boards format. Ideal cases should be challenging and interesting and it is the resident's responsibility to ensure that interesting cases are available. The first case is presented in 20 minutes to an assigned EM-4 who has to figure out the case by asking the EM-3 pertinent questions. Another resident will be assigned as scribe. The second case willbe presented for 40 minutes to the entire audience again in oral boards format,where the onus is on the audience to get information from the presenter. For both cases, the presenting resident should make every effort toprovide any related imaging studies/EKG, history and physical, differential diagnosis, management issues, any interesting educational points or information about the patient’s outcome. The attending will direct the discussion around the cases.
Trauma rounds are held every other week at core conference in Building #1, 4th Floor Auditorium. This is an interdepartmental conference provided jointly by the ED staff and the Dept. of Surgery. Challenging trauma cases are selected and presented by the ED staff with follow-up operative and post-op course provided by the surgical service. One EM-4 Resident, with the help of Dr. Gruber, will be responsible for choosing interesting cases in conjunction with the Trauma Service and for collecting relevant materials for presentation of the case. The Super Senior may ask another resident who was involved in the case to be present at rounds if their schedule permits or present the cases themselves. Selected cases should be forwarded to theconference chief at least 1 week in advance to the lecture. The Super Senior will prepare a 1-2 page summary of the cases discussed and the main teaching points made and submit itto Dr. Gruber within 1 week of the conference. Slides need to be in PowerPoint(.ppt) format.
Mortality and Morbity Rounds
M&M will be held every month. A Super Senior and Attending will be assigned to choose cases and provide a presentation and discussion of relevant quality improvement issues. Cases may be drawn from Jacobi, Montefiore, or North Central Bronx. Good sources of cases for this conference are the attendings involved with quality improvement (Dr. Elsner or Dr.Schechter). Any cases encountered in clinical practice at either site may be used in which a patient’s adverse outcome may have been related to emergency department management (triage,diagnosis, therapy and disposition). The resident will prepare a one page summary of the issues and recommendations that were discussed and submit this to Dr. Elsner.
Evidence Based Medcine/Journal Club
EBM / Journal Watch will be held one per month during conference. One EM-2 resident will work with an Attending to present recently published articles. EBM is an evidenced based approach to answer specific questions relevant to clinical practice. Residents should make arrangements to meet with their preceptor at least one month in advance oftheir presentation to select a question for research and to develop astrategy. The resident will present 1-2 articles relevant to the clinical question and the attending will direct discussion concerning the article’s pertinence to EM.