Clinical Certification Program in Emergency Medicine (CPEM-C)

The CPEM-C is a 12-month, twelve-block training program in Emergency Medicine designed to provide fundamental knowledge and supervised clinical experience in the provision of emergency care. Didactic sessions will be the same as those for the CPEM-D program, and will be taught by a combination of national and international faculty. Each block is 4-5 weeks long and is composed of lectures, case reviews, review sessions, journal club, and image review. The initial course will run from July 2018-June 2019.

The CPEM-C program will also include simulation sessions that will be held after the didactic sessions every week after the first week of every block. This program will also include clinical supervision of cases and procedures by visiting faculty and the completion of case and procedure logs. Trainees will be evaluated by written examinations at six months and twelve months respectively. Additionally, they will receive routine clinical feedback as well as structured feedback from the Program Director after every three months.   

Goals

  • To encourage interest and participation in the practice of Emergency Medicine in Pakistan.
  • To improve the emergency care of patients in Pakistan.
  • To provide clinical training to serve as a foundation for a career in the practice of Emergency Care and to pass along that knowledge to subsequent trainees.

  Objectives

Medical Knowledge

  • Trainees must be able to demonstrate understanding of physiology and patho-physiology of the body as found in complex emergency situations.
  • Trainees must justify investigations of symptoms and/or diseases, including, but not limited to laboratory and radiographic investigations, and provide appropriate interpretations and subsequent actions in the context of complex emergency situations.
  • Trainees must demonstrate knowledge of established and evolving medical knowledge, as well as the application of this knowledge to emergency care.

Patient Care and Procedural Skills

  • Trainees must provide patient care that is effective and appropriate as well as compassionate for the treatment of disease and the promotion of health in the context of complex emergency situations.
  • Trainees must demonstrate competence in history-taking and physical and mental examinations of patients of all ages and genders requiring emergency medical care.
  • Trainees must interpret and integrate signs and symptoms as well as other relevant biological, social, ethnic, psychological, and familial factors to formulate further management strategies and properly sequence critical actions in the context of complex emergency situations.
  • Trainees must be able to competently obtain consent for and to perform all essential procedures for emergency care as appropriate and supported in the clinical context.
  • Trainees must complete the required procedure log.

Interpersonal and Communication Skills

  • Trainees must demonstrate interpersonal, oral and written communication skills that result in the effective exchange of critical information with patients and their families, including but not limited to, sensitive topics, end-of-life issues, death, and medical errors.
  • Trainees must demonstrate interpersonal, oral and written communication skills that result in the effective exchange of critical information with other health professionals through activities including, but not limited to, clear, concise, and accurate medical records, interactions with consulting services, patient hand-off/rounds, and admissions and referrals.
  • Trainees must demonstrate competence in oral presentation skills and instruction by leading at least one case review.

Professionalism

  • Trainees must demonstrate flexibility and commitment to carrying out professional responsibilities in emergency situations.
  • Trainees must work with colleagues and patients in an honest, respectful, compassionate, and non-discriminatory manner.
  • Trainees must demonstrate a commitment to ethical principles and act in such a manner as to be an example of his/her profession at all time.
  • Trainees must demonstrate habits of punctuality, timeliness, and orderliness.

Systems-based Practice

  • Trainees must demonstrate awareness about the larger context and system of health care and the ability to call on additional resources effectively, when needed in the emergency setting.
  • Trainees must strive to practice emergency care in a cost-effective manner.

Eligibility Criteria

  • Only medical officers and residents of the emergency department at TIH or at sponsoring partner institutions.
  • Minimum 2 years of experience working as a medical officer.