164th Saturday Summit: ASHWAMEGH Year 2 : 29th April 2023: Clinical Rotations in PG Training Program in EM across 3 Years ~ 36 Months ~ 1000 Days

    

   The All India Institute of Medical Sciences, Nagpur

   Emergency Medicine Faculty Development Program

ASHWAMEGH SESSION

By

 Professor Dr. Praveen Aggarwal 

29th April 2023

The PG Program Development Session of  ASHWAMEGH Focused on 

Clinical Rotations in PG Training Program in EM across 3 Years ~ 36 Months ~ 1000 Days

EM is a dynamic field. 

Standardized clinical experiences are the core foundation of PG Education.

Having a clear timetable on what departments to rotate the EM Residents and charting clear objectives of learning in each rotation is important so that a resident gets a fruitful training experience.

Creating a balance in rotations is key. Assessment of the completion of the objectives of the rotation is equally important.

Open ended questions were answered.

Discussion was also held on various aspects of the scenarios.

Some Facts about Emergency Medicine 

Emergency Medicine is NOT CRITICAL CARE MEDICINE

Emergency Medicine is not MEDICAL EMERGENCIES

There is no concept by NMC called ED-ICU. ICU Beds in ED are Holding beds for the ICU Team till ICU Beds become available if they are Full. ED ICU Beds are under control of ICU not ED Specialists.

The Operation Theater in ED is only for Life Saving Surgeries like Life Threatening Trauma Bleed, Thoracotomy, Traumatic Thorax & Abdomen Exploration in Unstable Patients only.

Acute Life Saving Vascular Injury Repair is for ED OT.

Elective Surgeries like Gall Bladder, Appendectomy, Ex- Lap, Fracture repair and many where patients are not actively dying don’t need the ED Operating Room.

Emergency Medicine Faculty Need to have a firm understanding of Operations Management.

A Stagnant ED is not an ED for Post Graduate Training nor is an ED which is No Process Management System or Processes Written, Regulated and accounted.

About ASHWAMEGH:

ASHWAMEGH will teach key methods of Training , Clinical Leadership, Management of Emergency and Trauma Centers, Academic Research, Education Tools and Strategies as well provision of Quality Patient Care using Global Benchmarks. ASHWAMEGH will also encourage networking and bonding between the founding faculties coming from Anesthesia, Medicine, Surgery , Orthopedics and Pulmonary Medicine into Academic Emergency Medicine. ASHWAMEGH is Very engaging and will enhance the skills of teachers as they transit with their base knowledge to a specialty which demands "Timing, Precision & Knowledge". EM Specialists have a demanding work pattern which works a via  brain which can Multi-Task and make splint second decisions based on process systems which are in place. These systems are developed via a deep understanding of process management of the specialty which transcends all specialties. ASHWAMEGH Fellows will also have the phenomenal opportunity to interact with National as well as International Leaders of Academic Emergency Medicine.

ASHWAMEGH is being held in partnership with the WHO Collaborating Center for Emergency and Trauma in South East Asia.