Weekly and Monthly Activities
Academic Conference occurs from 0800 – 1230 on each Wednesday except holidays. We review our weekly reading the first 30 minutes and the remaining time is spent in didactics that include case presentations and lectures by residents and staff. Residents are also provided access to a popular EM online board review program, The EM Rosh Review, that includes assigned quizzes and reviews that parallel the assigned readings. Guest lecturers and combined lectures with other programs and specialties are featured each month. Many conference sessions are arranged in an alternative format, including simulation, small-group discussion, and oral board format. Highlighted conferences include: Morbidity and Mortality Conference, Military Unique Curriculum Conference, Combined Specialty Conference, and occasional Visiting Professors. Assigned readings are from Rosen’s Emergency Medicine: Concepts and Clinical Practice, 8th edition; Tintinalli’s EM Comprehensive Study Guide, 7th ed; selected landmark articles and other important cutting edge literature. Graduating residents will have read each of these definitive texts in emergency medicine in their entirety prior to graduation.
Journal Club is a relaxed monthly gathering held at a faculty member’s home where residents learn to read and critically appraise the literature, utilize evidence-based medicine in practice, and develop knowledge about how to design and implement clinical studies. It also affords an opportunity for staff and residents to interact and socialize outside of the department.
Simulation training is conducted at the NMCP Simulation Center; a state-of-the-art facility utilizing several adult and pediatric computerized simulation manikins. The lab is used to challenge a resident’s ability to manage complex resuscitation scenarios. Our program is committed to exposing residents to advanced techniques and procedures in order to improve patient care and to prepare the next generation of Emergency Medicine Physicians utilizing state of the art high fidelity mannequins to augment resident training and fill gaps in practical experience.
Vivarium/Life Support Procedures/Cadaver labs are where emergency medicine procedures are discussed, demonstrated, and performed. These labs add the advantage of conducting infrequently performed, yet critical procedures (transvenous pacemaker insertion, thoracotomy, pericardiocentesis, hemostatic agent use, trephination, and DPL, among others) in lifelike models.
Quarterly and Annual Activities
Orientation marks the beginning of the residency. This 4-week block is dedicated to the introduction of military EM as a unique specialty. New residents are introduced to core EM topics through didactic lectures, simulation training, PALS/ACLS/ATLS certification courses, and clinical orientation shifts in the ED. Organizational team building days and the annual program director’s dinner, the Augtoberfest, provide an opportunity for resident wellness, team bonding, and family introduction to the NMCP EM group.
Mock oral boards are conducted quarterly in lieu of conference. This provides familiarization with the oral board format, which must be mastered in order to pass the board exam after graduation. This format can be quite different from day-to-day practice, and conducting practice exams four times per year prepares our residents for confident success.
Cadaver Lab occurs twice a year and allows for the discussion, practice, and refinement of emergency procedures on a human model. Emphasis is on resuscitative procedures, but nearly every procedure that is performed in the ED can be practiced during this event.
Promotion Boards are conducted at the end of each academic year prior to advancement to the next level of training. This unique assessment is designed to coach the resident to meet the emergency medicine core curriculum for each year group, including scholarly activity such as research and publications.
Every year the PGY 2 residents attend the REBIL Course (Research & Evidence Based Medicine Introductory Learning Course) held midway through the EM2 year. This course was designed to ensure our residents incorporate scientific inquiry into their practice of humanistic patient care. Broad evidence based medicine and basic research topics provide a foundation for residents to build upon in the following years of training. REBIL provides a relaxed, collegial format and social activities, permitting time for class bonding. The Resident as Educator Seminar, held during the REBIL Course, prepares our residents for increased responsibility as the primary educators for the junior residents as well as the rotating interns, medical students, Independent Duty Corpsman and other visiting trainees.
Graduating seniors attend Operation CAPSTONE near the end of their training. Borrowed from the Army’s concept of operational adaptability, operation CAPSTONE is a progressive initiative preparing EM graduates for the myriad of professional, operational and tactical situations faced by our present and future military Emergency Physicians. This experience is the ultimate culmination to the 48 month EM residency training; tackling the broad themes of Operational/Tactical EM, HADR (Humanitarian Assistance and Disaster Relief), and Military Professionalism, by immersing the graduating EM resident class in challenging realistic operational scenarios. Team bonding social activities serve as the last hurrah for the graduating class.