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Program Overview

 

Dr. Jaelyn Caudle 

Message from the Program Director...

The Queen's Emergency Medicine Program is one of the oldest EM training programs in Canada. Our graduates include leaders at the forefront of academic clinical and subspecialty EM. With these individuals along with a bright energetic group of faculty and superb resident group, we provide one of the most comprehensive and diverse teaching programs in the country.  

Our program is committed to providing educational and clinical excellence. Upon completion of the program, graduates have specialist level skills in all aspects of emergency care and are well prepared for academic, advocacy and leadership roles in emergency medicine.

The program is rigorous, enjoyable and compassionate. We embrace diversity and teamwork and value the community we form with our patients, their families and our medical and allied health colleagues. We aim to create a culture of support and mentorship in which our residents enjoy working and learning.

I hope you will take this opportunity to learn more about our program.  If you have any questions about Queen's EM please do not hesitate to contact us.  I look forward to hearing from you.

 

Our residents have an opportunity to pursue electives in subspecialty/academic areas in Emergency Medicine at all stages of the residency program and discuss career planning early in their program with the Program Director and other faculty members.  Residents in our program have completed and are pursuing training in the following subspecialty areas in Emergency Medicine:

  • Trauma,
  • EMS
  • Administration
  • Research
  • Medical Education
  • Pediatric Emergency Medicine
  • International Emergency Medicine
  • Ultrasound
  • Critical Care Medicine
  • Toxicology
  • Sports Medicine
  • Medical Simulation
  • Emergency Medicine Ethics

Up to 12 months of training are available to residents to pursue the above academic and career interests.

Dr. Melanie Walker, PhD Epidemiology

Resident Research Director

The Department of Emergency Medicine values research and scholarly work.  There are numerous faculty members with graduate training in clinical epidemiology and several other faculty and administrators dedicated to support resident research. We also have a team of research nurses present in both Emergency Departments available to assist residents with clinical research projects.

Our Department has several established areas of research expertise which residents can readily become involved with and these include: Toxicology, Clinical Decision Rules, Injury Surveillance, Emergency Department Ultrasound, Procedural Sedation, Syndrome Surveillance, Trauma, and Medical Education.

All FRCPC Emergency Medicine residents have access to a novel online research training curriculum, which is completed in the first-year of the residency program. This eight module series covers topics including:

  • Developing a research question
  • Searching the literature
  • Critical appraisal skills
  • Study designs
  • Basic statistics
  • Clinical decision rules
  • Research resources at KGH and Queen’s University

Each module is followed by a tutorial session with an emergency medicine faculty member active in clincial research.

In the second year of the residency program, trainees complete a critically appraised topic on a research question of their choosing. Support is provided by faculty members and the resident writes up their project and presents it at our annual research day.

The senior years of the residency program offer the trainee the opportunity to reinforce their research knowledge and skills by developing their own research project, again supported by an emergency medicine faculty member. Residents will be supported with departmental funds to attend conferences to present their research work. There is also an option to take one or more elective blocks for research activities.

FRCPC residents will take the lead in organizing the department’s monthly Journal Club by selecting and presenting a recent article from the Emergency Medicine literaure. Journal Club sessions are hosted at faculty members homes and are always an engaging and enjoyable experience. Journal club provides an opportunity to practice the critical appraisal skills honed in the early years of residency and develop valuable teaching skills.

 

 

Dr. Louise Rang

While days off are always welcome, a "Wellness" program should be much more than this.  The Queen's Department of Emergency Medicine Professional Sustainability & Wellness Program encompasses the much bigger concepts of autonomy, belonging, competence and mastery, and purpose & engagement.  The program is designed to foster connections, allow for vulnerability, and provide dedicated time and instruction on the vital ingredients for a productive and satisfying career.

Resident sessions occur monthly during the academic day, and are based on the Wellness, Resilience and Performance in EM (WRaPEM.org) modules, with local adaptions.  Examples of topics covered are Personal Purpose & Meaning, Managing Conflict, Leadership Styles, Self-Care, Gender & Diversity, and Medical Error.

In addition, there are Department-wide events: one of the highlights is the Annual TMTL (There's More to Life...than Medicine!) afternoon in November, where staff and residents are invited to share a 10 min talk on something else they love to do.  Topics from past years include: how to restore a violin, cool sea creatures, how to love winter, best books to read, and raising Venus Fly Traps.  

Our program is proudly a work in progress and ideas from the ground are encouraged.  A dedicated budget and protected staff time means that we can usually find a way to make new initiatives work.

Dr. Chris Evans

The Department of Emergency Medicine is proud to contribute to the leadership, ongoing development, and exemplary clinical care provided by the Trauma Program at Kingston Health Science Centre (KHSC).

As one of only eleven lead trauma centers for the province of Ontario, KHSC plays a critical role in the resuscitation, definitive care, and rehabilitation of patients suffering major trauma within south-eastern Ontario.

The program anchors the South-Eastern Ontario Regional Trauma network, which provides leadership, education, and injury prevention activities to a large geographic area spanning Trenton to the Campbellford to the west, Brockville to the east, and Bancroft to the north, in addition to serving the Indigenous communities including Attawapiskat and Fort Albany.

Dr. Chris Evans is the Medical Director of the program, and several other Departmental aculty members participate on the Trauma Team Leader (TTL) call roster, providing expert resuscitative care to seriously injured adults and children. Emergency Medicine residents from the FRCPC and CCFP-EM residency programs take call in the role of Trauma Team Captain, supervised by the Attending TTL, providing them with a unique clinical experience, unavailable at many training programs.

In addition to clinical activities, the Trauma program offers many learning opportunities to faculty and trainees from across the Faculty of Health Sciences including ATLS and TNCC courses, monthly grand rounds and case reviews, trauma resuscitation training in the Queens Clinical Simulation Centre, and advanced procedural training in REBOA and Resuscitative Thoracotomy, amongst others.

Several Emergency Medicine faculty are active in trauma research and we are fortunate to have members with expertise in areas including trauma systems, prehospital care, traumatic cardiac arrest, medical simulation, and education.

 

For enquires related to the Trauma program, please contact Dr. Chris Evans: c.evans@queensu.ca

 

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

Our residents have many opportunities to attend conferences and are given a stipend of $500.00 per year.   Residents are also given full funding to attend conferences in North America where they have been invited to present their research.  Many conferences, workshops, and other leadership opportunities are available at Queen's and these include:

QCARE
The Queen’s Conference on Academic Residency Education (QCARE) is an annual two-day conference that takes place in May for all first year residents. Attendance is mandatory, thus residents are released from service responsibilities for those two days. The vision for QCARE is to provide education on the CanMEDS non-medical expert competencies in a practical, innovative, and engaging manner. The two days include plenary speakers and smaller group workshops.

Residents as Teachers
The Residents as Teachers Program, offered through Postgraduate Medical Education, is designed to enhance the teaching ability of self-selected residents. The focus is to enrich residents’ knowledge and skills in medical education, allowing them to become better educators. Oral communication skills are specifically addressed in session on small group teaching, large group teaching, giving feedback, teaching clinical skills, one-minute preceptor, and teaching in the Simulation Lab.

 

Head Residents
A Head and Senior Resident Workshop is offered in May to all residents in these leadership positions. In particular, sessions on leadership and conflict management address effective and appropriate management, administration, and leadership skills.  Our Head Resident is an elected resident who is a full member of the Residency Program Committee (RPC). In this role, s/he is responsible for bringing the concerns of other residents to RPC meetings.

Queen’s University Emergency Medicine is at the forefront of clinical research and education. We proudly retain some of Canada’s first emergency medicine physician specialists and benefit from their wisdom, knowledge and expertise. With these individuals, and a bright, energetic group of new faculty and superb resident group, we are able to provide one of the most comprehensive and diverse teaching programs in the country.
 
We are a major research centre, with a very active and well-funded group of primary and collaborative investigators. The faculty team has a considerable range of secondary interests that are complementary to emergency medicine.  We have physicians in our faculty who have Master’s degrees in Medical Education and in Clinical Epidemiology, fellowships in medical toxicology, critical care, ED bedside ultrasound, public health and disaster planning and expertise in sports medicine. Our department boasts an internationally recognized Injury Research Group and can provide opportunities in international health, cruise ship medicine, pre-hospital care and high-level administrative responsibilities. Some faculty members have focused their secondary interests on clinical procedures and best practice protocols.

We offer a flexible schedule with plenty of elective time to pursue and realize your personal interests and career goals. Despite the rigorous academic schedule, your colleagues have traditionally enjoyed spending time together outside of the hospital during social events or through such activities as cycling, windsurfing, golf, kayaking, triathlons and a range of winter sports.

Our small size fosters close working relationships with physicians and staff in all specialties and sub-specialties within the system. Moreover, the ability to interact with the small group of professionals time and again enhances our strong sense of community and family.