Overview for Residents

In 2015, Temple’s Department of Emergency Medicine introduced the Content Expert Program (CEP). The program’s objectives are:
1) to promote resident education in core clinical topics;
2) to train residents in performance improvement (PI) methodology;
3) to harvest the incredible brain trust of our front-line providers (you, the residents) in order to improve our processes;
4) to advance the care of our patients by reviewing and continuously applying best practices in the form of clinical guidelines and an up-to-date educational curriculum.

The residents are the lifeblood of our department. In your position as an EM resident at Temple, you have valuable insight into processes that can be improved and ways we can advance the care and safety of our patients. This program will pair each resident with a faculty advisor on a core Content Area for which they will together become our department’s ‘expert.’ You will be responsible for updating the department on the latest thinking in your Content Area, and you will recommend updates as appropriate to our department’s approach to your assigned topic.

Frequently Asked Questions

What’s my Content Area?
A list of available topics was distributed by the chief residents before the start of the academic year, for you to rank your preferences. Using a lottery system, the topics were assigned and an email was sent out with your assigned topic area. This list will also be posted on the Temple EM Residency website (link). Please check with the chief residents if you are unsure of your assigned Content Area.

Am I working on this by myself?
No! You are expected to be the main driver, but you will meet with faculty advisors to develop the questions you want to address within your Content Area. You will also work with the department’s PI advisors (Rick Martin, Kraftin Schreyer and Wayne Satz) to develop a performance improvement project within your Content Area. In future years, you may be paired with another resident as well.

What is meant by “deliverables”? Do I have to turn something in?
Twice a year (q 6 months) you will turn in a 1-2 page Word document that includes:
1) a summary of the latest literature within your Content Area (you may focus this on a particular clinical question of your choosing)
2) a brief analysis of our current department protocols/guidelines and any recommended changes or new guidelines you would like to propose
3) an update on your progress developing and carrying out a performance improvement project (rough sketch at first is fine, with data and conclusions expected as the project matures)

You will work with your faculty advisor to create this summary, which will be submitted to the CEP Oversight Committee. You are not required to present this summary in person, but the committee will let you know when your summary is being reviewed if you would like to attend. Members of that committee may reach out to you with questions or to arrange further discussion on developing guidelines or advancing your performance improvement project.

When am I scheduled to turn in this assignment?
A schedule has been developed and will also be available on the Temple EM Residency website (link). If you do not know when your updates are due, please ask the Chief Residents for help finding this.

October 2015 will be the first due date. If you are scheduled in August or September 2015, you’re off the hook until your next due date.

Will I present my topic to the residents or faculty as a whole?
The hope is that you will become the “go-to” person for your Content Area. You should chime in or lead the discussion on morning rounds when your topic comes up. There will be opportunities during Thursday conference to periodically update the residents on the latest thinking in your Content Area, and to gather your co-residents’ feedback on your performance improvement project.

What do I get out of this?
By the end of your residency, you will be able to claim expertise in your clinical area, and you will understand how to do performance improvement. This experience and expertise will make you marketable to employers, and will make you more valuable to your institution. You will be prepared to provide the best possible care to patients, and you will have an academic portfolio to launch an academic career if that is your chosen path.

Ok, where do I begin?
1) First, find out which Content Area you have been assigned.
2) Next, go to our ED Handbook (available on MedHost ‘links’ tab under ‘ED Guidelines’) and the white Important ED Memos binder (near prescription printer in Red Zone) and search for department protocols relevant to your topic.
3) Discuss with your faculty advisors and together brainstorm ideas for specific questions/issues within your Content Area that you could address, to the benefit of the department. If you can’t think of topics, email Dan del Portal or Mike DeAngelis for suggestions.
4) Make a timeline with your faculty advisor to ensure that your update will be ready to submit no later than the 15th of the month that you have been assigned.

Schedule of Updates Due to CEP Oversight Committee

The 1-2 page summary document is due by the 15th of your scheduled month(s) to allow the CEP Oversight Committee time to review. Please email it to Daniel.delPortal@tuhs.temple.edu. The oversight committee will meet at the end of the month and will follow up with you about any proposed guidelines and with feedback on your PI project. Relevant findings may be discussed at conference and/or department faculty meeting.

Please see schedule below – find your name and mark your calendars!

October

Cardiac Arrest- DeAngelis/Garg, Scott Beaudoin

Sepsis- Martin, Alli Zanaboni

Ultrasound-guided IV Access- Costantino, Mark Magee

 

November

OB/GYN Emergencies: Single Page and Beta Book- Sammon, Gabby Guez

GI Bleed- Martin, Alyssa Green

Chest Pain/Acute Coronary Syndrome- Naples, Kelly Goodsell

Anticoagulant Reversal- del Portal, Alyssa Karl

 

January

Procedural Sedation Schwell, Evan Kingsley

Hypertension- Karras, Shireen Khan

Infectious Disease: HIV- Garg, Lindsay Davis

Post-Intubation Care- Fisher, Jess Patterson

Kimon Ioannides- TBD

Jessi Jackson- TBD

Efrat Rosenzweig- TBD

 

February 

Awake Intubation/Critical Airway- Healy, Evan Suzuki

Pulmonary Embolus: Age Adjusted D-Dimer- Costantino, Melanie Ruiz

Palliative Care- Siegel, Jonathan Talmud

Urinary Tract Infection- Ufberg, James Squadrito

Adria Simon- TBD

Danielle Thompson- TBD

 

March 
Traumatic Hemo/Pneumothorax- Gibbons, Dov Brandis

Subarachnoid Hemorrhage- Healy, Katie Daves

Toxicology- D’Orazio, Jenna Otter

Nerve Blocks- Gibbons, Nick Tyner

Richard Wroblewski- TBD

Alexei Adan- TBD

 

April

EMS: Tranexamic Acid (TXA)- Bryan / Yeh, Andrea Blome

Endocrine: Hypoglycemia and Long Acting Insulins- Naples, Megan Algeo

Status Epilepticus- Gentile, Cara Kanter

Amanda Bates- TBD

Deena Wasserman- TBD

James Murrett- TBD

 

May

Respiratory Failure and Post-Intubation Care- Fisher, Alveena Dawood

DVT- Repanshek, Brian Cohagan

Jessica Fujimoto- TBD

Marc Leshner- TBD