Dr. Adam Szulewski

Program Director, Fellowship in Resuscitation and Reanimation 

Thank you for your interest in the Resuscitation and Reanimation Fellowship offered by the Department of Emergency Medicine at Queen’s University.

The fellowship program is the first of its kind in North America. Established in 2008, it brings together doctors from different backgrounds to advance their understanding of resuscitation medicine, crisis leadership, research and education.

The program combines clinical experience in resuscitation medicine, significant exposure to learning and teaching with simulation, as well as regular academic sessions from resuscitation medicine experts. The program is flexible and can be tailored to each candidate’s interests.

Our fellows are a highly motivated group of individuals from a variety of medical backgrounds. Our graduates have been successful in integrating and formalizing resuscitation medicine into their careers by pursuing clinical, academic and administrative roles related to resuscitation medicine.

Resuscitation is an emerging subspecialty in the field of life-saving medicine that focuses on improving patient care and patient outcomes. Combining a number of medical disciplines, such as emergency medicine, trauma, and critical care, the field of resuscitation medicine is on the cutting-edge of scientific advancement.

The Queen’s University Department of Emergency Medicine Fellowship in Resuscitation and Reanimation is the first training program in North America to offer fellowship training to physicians who want to focus on resuscitation medicine.

Established in 2008, the program brings together doctors from different backgrounds to advance their understanding of resuscitation medicine, crisis resource management, research, and education. Graduates of the fellowship program will lead the advancement of resuscitation medicine as a future subspecialty.

The program combines clinical experience in resuscitation medicine, significant exposure to learning and teaching with simulation, as well as regular academic sessions from resuscitation medicine experts. The program is flexible and can be tailored to each candidate’s interests.

Our fellows are a highly motivated group of individuals from a variety of medical backgrounds. Our graduates have been successful in integrating and formalizing resuscitation medicine into their careers by pursuing clinical, academic, and administrative roles related to resuscitation medicine.

We invite you to learn more about our program.  Please see our website for more information (http://resuscitationinstitute.org/fellowship/) and don’t hesitate to contact me directly if you have any questions.

Sincerely,

   Adam Szulewski MD, FRCPC, MHPE, PhD
    Assistant Professor, Department of Emergency Medicine, Queen’s University
    Program Director, Fellowship in Resuscitation and Reanimation
    PhD Candidate, School of Health Professions Education, Maastricht University
    Emergency, Trauma and RACE Team Physician, Kingston Health Sciences Centre
    adam.szulewski@queensu.ca

Dr. Susan Bartels

Program Director, Global Emergency Medicine Fellowship

Email Dr. Bartels

Overview

The Queen’s University Global Emergency Medicine Fellowship is designed to prepare future leaders in academic international emergency medicine by providing training in emergency disaster response, humanitarian aid, international research and emergency medical systems.

The two-year fellowship is tailored to a Fellow’s individual interests but is typically divided between a Masters of Public Health (MPH) degree, fieldwork, international emergency medicine training courses, research and clinical work as an attending physician in the emergency department.

Consideration will also be given to individuals completing some of the fellowship within their FRCPC residency. In this stream, Fellows will have the option to work clinically as residents within the Queen's University post-graduate program.

Masters of Public Health Degree

For Fellows who do not already hold an MPH degree, the Fellowship will include an MPH at Queen’s (or elsewhere as pre-arranged with the Program Director). Coursework for the degree will be taken throughout the two-year fellowship and will occur concurrently with clinical shifts, other academic courses and field experience abroad. For Fellow’s already holding an MPH degree, one-year fellowships may be considered.

International Curriculum

The international emergency curriculum includes a choice of courses within North America and abroad on a range of topics including:

1) Humanitarian/disaster response,
2) International study design/methodologies, and
3) Emergency medicine system development 

Fellows also participate in the monthly global health research lab meetings and in other global health activities at Queen’s University including those offered by the Office of Global Health (schedule permitting).

International Field Work

Up to four to five months may be spent working abroad.  Fieldwork is arranged by the Fellow and supervised by the fellowship director. Fellows should take a leadership role during field placements with each experience designed to increase their knowledge base and opportunity to practice acquired skills.

Research

Fellows are required to complete at least one research project during their fellowship (suitable for publication in a peer reviewed journal). Fellows may develop their own project or take an active role in an ongoing project at Queen’s University. Fellows will be strongly encouraged to write a global health-related grant throughout the course of their training.

Clinical Medicine

Clinical Medicine: In order to solidify their clinical skills, Fellows work part-time clinically in the emergency department of kingston General Hospital and at the Urgent Care Centre of Hotel Dieu Hospital. There is an expectation for Fellows to work an average of eight clinical shifts per six-week scheduling block. For those at the Faculty level, additional shifts may be picked up as timing permits when the Fellow is in Kingston. These additional shifts are remunerated at the departmental rate for clinical adjuncts. While working clinically, Fellows at the Faculty level supervise emergency medicine and off-service residents as well as medical students.

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@QemergGlobal

Global Emergency Medicine Faculty

Susan Bartels, MD, MPH, FRCPC
Program Director, International Emergency Medicine Fellowship
Clinician-Scientist, Queen’s University

Colleen Davison, BSc/HBOR, BEd (OCT), MPH, PhD
Epidemiologist, Department of Public Health Sciences, Queen’s University

Jennifer Carpenter, MD, FRCPC, CCFP, MSc
Director, Office of Global Health, Faculty of Health Sciences, Queen’s University

Eva Purkey, MD, MPH, CCFP, FCFP
Global Health Director, Department of Family Medicine, Queen’s University

Heather Aldersey, MS, PhD
Faculty Lead, International Centre for the Advancement of Community Based Rehabilitation, School of Rehabilitation Therapy, Queen’s University

Kieran Michael Moore, MD, CCFP(EM), FCFP, MPH,  DTM&H, FRCPC
Program Director of Public Health and Preventive Medicine
Professor of Emergency and Family Medicine, Queen's University

David Messenger, MD, MM, FRCPC, FCCP
Department Head, Department of Emergency Medicine, Queen’s University

Dr. Joey Newbigging          

Emergency Medicine POCUS Lead

POCUS is integral to modern emergency medicine practice and will be an integral part of resident training starting from week one. By third year we expect all residents to be competent and able to independently perform all types of diagnostic and procedural POCUS.

The emphasis on POCUS as an essential skill begins in our Summer Bootcamp Series. Every year all residents participate in a POCUS course on core applications (free fluid abdomen, subxiphoid cardiac, abdominal aorta, basic lung and first trimester pregnancy). This is followed with by-weekly 1:2 teacher:learner supervised scanning shifts.

In the summer of the PGY2 year, before the ICU rotation, residents complete a mini-horizontal central line POCUS course emphasizing repetitive deliberate practice in POCUS procedural needle guidance. Every year are 3-4 POCUS workshops for the entire residency program that feature advanced applications (eg. advanced cardiac, nerve blocks, gallbladder, DVT, renal etc). Senior residents are involved as instructors for these workshops.

All residents complete an Advanced POCUS rotation in their PGY2 or PGY3 year. This rotation consists of supervised scanning shifts with POCUS fellowship trained faculty. Residents will develop POCUS competence in gallbladder, advanced cardiac, lung, IVC, DVT, MSK, soft tissue, nerve blocks, vascular access and POCUS protocols. We have regular EM POCUS rounds, multidisciplinary QSonic POCUS rounds, a breakfast POCUS Journal Club and an annual Sonogames.

Residents will have ample opportunity to teach POCUS to other learners such as medical students and more junior residents. After gaining competence in core applications, they are eligible to challenge the CPOCUS Independent Practitioner examination (www.cpocus.ca). On completion of residency all residents will have a POCUS portfolio of all of their studies completed during residency. Both the Hotel Dieu Urgent Care Centre and Kingston General Hospital have POCUS machines with an assortment of probes to allow for ample practice while you are working clinically and are linked with image archiving and feedback software.

Queen’s EM is a POCUS forward program with a faculty culture that emphasises POCUS use in all aspects of patient care. 

Dr.  Sarah Maxwell

Dr. Maxwell graduated from the University of Toronto medical school and completed her residency in Anaesthesiology at Queen's University in 2020.  She is excited to be the inaugural POCUS fellow and would like to use her POCUS training to improve patient care in the perioperative period and focus on ultrasound guided regional anesthesia.  After her fellowship, she is interested in translating skills learned to be an educator for all things POCUS for trainees at Queen's University. 

Dr. Damon Dagnone

Program Director in QEM Medical Education Fellowship

Email Dr. Dagnone

The Queen’s University Medical Education Fellowship in Emergency Medicine (EM) is designed to prepare future EM leaders to become educational champions and scholars in medical education. Our program provides a positive, safe and inclusive environment to grow & learn as a developing clinician educator amongst a diverse group of accomplished faculty leaders & mentors in medical education .

The 1-year hands-on fellowship, combined with the Queen’s University Master of Health Professions Education (MHPE) degree, is tailored to candidates designing a customized training experience in their choice of teaching & learning environments.

The curriculum is organized across a diverse array of medical education training experiences and will be comprised of: core curricular teaching experiences, desired selective areas, and a focused area of concentration for research & scholarly work.

Desired outcomes of the fellowship include providing a foundational experience to become an expert medical educator, a research scholar, and a collaborative leader within Emergency Medicine in Canada.

I invite you to learn more about the Medical Education Fellowship program in Emergency Medicine and if you have any questions, please do not hesitate to contact myself & our office for more information. 

J Damon Dagnone MD FRCPC MSc MMEd

Program Director, QEM Medical Education Fellowship

@Damonjdd1

The fellowship will typically last 12 months with start dates decided between the fellow and the program director. The fellowship is tailored to a Fellow’s individual interests and the time will be divided between Master’s degree coursework, education scholarship projects, teaching responsibilities, fellowship program structured educational sessions, and clinical work in the emergency department. Potential Fellows can begin the Medical Education Fellowship during the latter stages of their FRCPC training (Core/TTP), immediately following certification in the FRCPC or CCFP-EM programs, or following a period of EM independent practice. 

To summarize, the fellowship year would be comprised of the following activities:

• Clinical Work: ~ 8 EM shifts per month (50% FTE) locally or regionally
• Master’s Degree Course Work (recommended start date prior to fellowship)
• Monthly Core Curriculum*
• Focused Area Research & Scholarship
• Core Teaching Selectives:
  1. EM Grand Rounds & Core Rounds
  2. Simulation (In-Situ/ CPD/Jr&Sr ResuscRds/OSCEs +)
  3. Undergraduate Instruction (clinical skills, core content +)
  4. Other (Journal Club, Airway Curriculum, Nightmares Course, NRC & other special events)

Monthly Core Curriculum  

In addition to course requirements for the MHPE degree (or equivalent), the fellowship curriculum will be comprised of numerous domains within medical education and delivered by educational champions within the Department of Emergency Medicine at Queen’s University. Topics will be presented monthly and include: 

1. EM Curricular Innovations & Design Practices
2. EM Clinical Teaching at the Bedside
3. Small and Large Group Didactic Teaching
4. Coaching and Feedback
5. Simulation & Procedural Skills Training
6. Competency-based Assessment
7. Accreditation Systems
8. Inter-professional Education
9. Educational Research Methodology and Scholarship
10. Cognitive Psychology in Medical Education
11. EM Faculty Development
12. Program Evaluation

Master of Health Professions Education Degree (MHPE) 

For Fellows who do not already have an MHPE, MMEd, or equivalent degree, the fellowship will include enrollment in the MHPE degree at Queen’s (or at another academic institution as pre-arranged with the fellowship Program Director). Coursework for the degree may be started prior to the Fellowship with an aim to complete the degree during the fellowship, or may be started during the fellowship and completed beyond the end of the fellowship. Coursework is mostly virtual and may occur concurrently with clinical shifts, scholarship work, and teaching and learning responsibilities. 

Area of Dedicated Focus & Research Scholarship 

It is expected that fellows will select one specific aspect of medical education to serve as an area of concentration.  Fellows  will be partnered with a faculty supervisor with specific expertise in the Fellow’s desired area, and then design supplemental activities to facilitate the development of additional expertise and competence. 

Fellows are required to complete at least one research project (generally in their focus area) during their fellowship and have it submitted for publication in a peer-reviewed journal. Fellows will be encouraged to develop their own project(s) and will also have opportunities to participate in ongoing faculty projects at Queen’s University with the fellowship program faculty. Fellows will be strongly encouraged to write a medical education-related grant throughout the course of their training and are expected to do deliver a presentation at a relevant conference (eg. Canadian Association of Emergency Physicians, Canadian Conference on Medical Education, International Conference on Medical Education, etc.) 

Clinical Medicine

During the 12-month fellowship period, Fellows will work either as EM senior residents (eg. Core & Transition to Practice stages) or as an attending physician either at a regional hospital within the department of emergency medicine, or as an attending physician within the emergency department at the Kingston Health Sciences Centre (KHSC - Kingston General Hospital and Urgent Care Centre of Hotel Dieu Hospital sites). While working clinically, fellows will be responsible for supervising emergency medicine trainees, off-service residents, and  medical students based on their level of experience & training. 

Fellows are expected to work an average of approximately 8 clinical shifts per month to maintain their clinical skills. Additional shifts and/or working in an alternate location may be considered and needs to be approved by the fellowship Program Director.

For practicing EM physicians already working in community emergency departments, strong consideration will be given to facilitating clinical work outside of the Kingston area. 

Assessment, Evaluation & Feedback

The Fellowship Program Director will meet with Fellows regularly (no less than monthly) throughout the year and complete a periodic performance assessment (based on all available performance data) on a quarterly basis. Fellowship program faculty will assess Fellows’ teaching/instructional performance, along with trainee evaluations, and all data will be collated electronically (using the Elentra IT platform) following each session.

For Fellows who are post-EM certification working clinical shifts within the KHSC Department of Emergency Medicine,  clinical evaluations will be facilitated by the Department of Emergency Medicine Head. For Fellows still completing their residency training, clinical evaluations will be tabulated by a designated EM faculty physician to assist ongoing Competence Committee performance reviews.

Description of the Ideal Candidate(s)

1. FRCPC EM path

1. Candidates will be recent graduates of the FRCPC program, or approaching their final year of residency training (Transition to Practice stage).
2. Candidates will have enrolled in the MHPE program at Queen’s University prior to application, or an equivalent Masters program at another institution.

• Candidates will have a detailed personal letter of intent and identified faculty referees from their training program (program director AND a 2^nd established faculty educator) outlining their potential for a career in medical education.

1. Candidates will demonstrate excellent communication, interpersonal, and teaching skills.
2. Candidates will have demonstrated both advanced competency in EM clinical skills and time management to navigate an enriched schedule of fellowship activities.

2. CCFP EM training path 

1. Candidates will have certification in CCFP-EM and have practiced full-time in an emergency department setting for 1 year or more.
2. Candidates will have enrolled in the MHPE program at Queen’s University prior to application, or an equivalent Masters program at another institution.

• Candidates will have a detailed personal letter of intent and identified faculty referees from their training program (previous program director AND 2^nd established faculty educator) outlining their potential for a career in medical education.

1. Candidates will have approval by their EM Department Head to continue working at a 50% FTE clinical capacity in their current community emergency department.
2. Candidates will demonstrate excellent communication, interpersonal, and teaching skills.
3. Candidates will have demonstrated both advanced competency in EM clinical skills and time management to navigate an enriched schedule of fellowship activities.

Dr. J. Damon Dagnone

jdd1@queensu.ca / @Damonjdd1