Certification Program in Emergency Medicine (1-year program)
Introduction
The Certification Program in Emergency Medicine (CPEM) is a 12-month competency-based training that aims to equip physicians working in emergency departments (EDs) with fundamental knowledge and clinical expertise in the care of patients who are severely ill or injured. It was developed by Emergency Medicine (EM) specialists from the Indus Hospital & Health Network (IHHN), Karachi and Brigham and Women’s Hospital – a teaching affiliate of Harvard Medical School Boston, USA – and launched in July 2018. It is now led by a diverse multinational faculty from the University of Pennsylvania, Philadelphia and IHHN.
Program Details
- Duration: 12 months
- Certificate / Diploma/ Degree: Certificate
- Mode of Education: Online didactics, online simulations, hands-on skills and simulations during workshops
- Classes in a Week: 1 per week online class
3 days for each in-person workshop - Duration of Class: 3 hours for online weekly class including simulation
7 hours (every 3 days) for the workshop - Timing: 4 pm – 4 pm (online)
9 am – 4 pm (in-person) - Examination: Pre-test, Mid-term, Post-test
Course Organizers
Department of Emergency Medicine, IHHN and Global EM University of Pennsylvania
Teaching Methodologies
- Google Classroom, video lectures on Ed Puzzle.
- Online Simulations: Affinity learning, Full code application, Virtual resuscitation room.
- In-person Workshops: Simple App, Resu Monitor App, Awesome Ultrasound Simulator App, Deep scope App. Rented/DIY task trainers for skills and simulations. Rented (or provided by partner) ultrasound machines for hands-on practice.
Program Objectives
By the end of 1 year of the certification program learners would be able to:
- Improve clinical management of critically ill patients in the Emergency Department.
- Practice life-saving procedures knowing their indications, contraindications and complications.
- Develop interest in Emergency Medicine-based research and produce scholarly work.
- Develop interest in Emergency Medicine-based research and produce scholarly work.
Participate in journal clubs and morbidity & mortality meetings to stay up-to-date on the latest advancements in Emergency Medicine.
Scope of Practice
- Doctors working in emergency rooms without any formal EM residency training.
- Medical graduates interested in pursuing EM as a career.
- Fellows of other specialties who are currently working as emergency doctors and want to improve their EM skills and contribute to capacity building in their own area of influence.
Certificate/Diploma/Course/Program Awarding Authority
Indus Hospital & Health Network, University of Pennsylvania
For More Information
Contact Number: Mon-Fri between 9:00 am to 4:00 pm at +92 21 35112709 EXT: 2033
E-mail: cpem@tih.org.pk
Eligibility Criteria
Doctors working in emergency rooms without any formal EM residency training.
How to Apply
“Registrations will open in May 2024” for Academic Session 2024-25. Apply online via the website.
Selected applicants will be sent a confirmation email with a link to pay the fees.
Qualification
MBBS or equivalent
Key Dates
- Tentative Closing Month: Registrations Close in December
- Tentative Start Month: January
Overview
Block | Topic | Key Skills/Procedures |
---|---|---|
1 | Cardiovascular | ACLS (Light), Echocardiogram, ECG Interpretation, Pericardiocentesis, Central Venous Catheter Placement, Ultrasound-Guided Intravenous Line Placement, Ankle-Brachial Indices, Pulsus Paradoxus |
2 | Pulmonary | Intubation, Mechanical Ventilation, Non-Invasive Positive Pressure Ventilation, Arterial Blood Gas, Chest Tube/Needle Deduplication Compression, Thoracentesis, Lung Ultrasound |
3 | Trauma | ATLS (light), FAST/e-FAST |
4 | Orthopedics, Immunology, Rheumatology, Dermatology | Arthrocentesis, Laceration Repair, Wound Care, Incision and Drainage, Procedural Sedation, Nerve Blocks, Splinting, Joint Reduction, Soft Tissue/Musculoskeletal Ultrasound, X-Ray Interpretation |
5 | Renal, Genitourinary, Gynecology | Foley Placement, Renal/Bladder/Pelvic Ultrasound, Lab Interpretation (Electrolytes) |
6 | Obstetrics, Gastroenterology | Also (Light), Emergency Delivery, Obstetrical Ultrasound, Nasogastric Tube Placement, Paracentesis, Abdominal Ultrasound |
7 | Pediatrics | PALS (Light), Intraosseous Line Placement, Pediatric Lumbar Puncture, Pediatric Intravenous Access, Pediatric Ultrasound, Pediatric X-Ray Interpretation |
8 | Neurology | NIHSS, Lumbar Puncture |
9 | Ophthalmology, Otolaryngology | Slit Lamp Exam, Foreign Body Removal, Peritonsillar Abscess Drainage, Nasal Packing, Lateral Canthotomy, Dental Block, Eye Ultrasound |
10 | Hematology, Oncology, Endocrinology | Lab Interpretation |
11 | Psychiatry and Toxicology | Chemical And Physical Restraints, ECG Interpretation |
12 | Infectious Diseases | Antibiotic Stewardship |
Curriculum Notes
- Blocks are four weeks long.
- Conferences are held on Thursdays for approximately 3-4 hours and led by a visiting faculty member virtually.
- Most sessions will have a recorded lecture/recorded lectures that participants must watch prior to the session in order to prepare for the session.
- Participants must complete the evaluations as directed at the end of the conference in order to log their attendance.
- The conferences in each block will be comprised of Didactics, Journal Club, Case-Based Learning, Imaging Review, Case Review, and Simulation, among others.
- PowerPoint slides, journal articles, and other study materials will be available in the Google Classroom approximately one week before the sessions.
- There will be opportunities for additional conference credit for leading journal club (1 credit), completing a reflective writing piece (may complete up to three, three-page write-ups throughout the year for 5 hours of conference credit each – must include a case presentation and discussion with references), developing a quiz (may develop one 10-question quiz for 2 hours of conference credit throughout the year), or completing a QI project (20 hours of conference credit).
- Participants are encouraged to log cases seen in the ED clinically during their training – at least one case per shift.
- Participants are encouraged to log all procedures (ultrasounds and other procedures) completed during the course; participants must adhere to local supervisory/credentialling protocols for performing procedures.
- Five times throughout the year, visiting faculty will be present for intensive in-person workshops/sessions (highlighted in the following curriculum).
- Students must attend at least 70% of the sessions to receive a certificate and score at least 70% or above average between the midterm and final examinations to receive a certificate.