Foundations II

About Foundations II | F2 Learning Pathways | Frameworks | F2 Course Schedule

About Foundations II

The Foundations II course is targeted towards senior Emergency Medicine learners.   It provides a systems-based review of complex diagnoses and critical care management within the EM Model of Clinical Practice (ABEM).  Within a flipped classroom model, Learning Pathways provide content for independent study prior to 30 classroom meetings where 2 small group oral boards style cases are discussed with focused teaching points.

Foundations II Learning Pathways

Foundations Learning Pathways allow a variety of options for your independent study.  Each pathway will cover the same weekly learning topics and is intended to take 1-2hr to complete.  It is important for you to review all the assigned preparation materials prior to each Foundations Meeting.  Specific Learning Pathway assignments for each unit of Foundations II can be found by system on the Foundations main page.

Foundations II Learners may choose from 2 different Learning Pathways:

  • Text-based- mixed readings from “Critical Care Medicine”, Harwood-Nuss AND primary literature
  • Multimedia- FOAM resources with optional supplement of Hippo Videos

Take a moment to review the options described below.  Decide what you think will work best for you but don’t hesitate to change your approach over time.  Your Foundations Site Director should be able to help direct you towards options for accessing these resources, either through your institutional online library, provided by your residency or for purchase using CME funds.  If your site makes use of EM Coach, you may also use that to prepare in advance of Foundations Meetings.

Text-Based Pathway
This pathway is best suited to learners who want all the details in plain text.  This pathway will provide selected pages from multiple text-based resources with the goal of establishing a deeper understanding of selected critical care or advanced topics.  Reading sources will include “Critical Care Medicine: Principles of Diagnosis and Management” (Joseph Parrillo, 5th Edition- NEW), Harwood-Nuss’ Clinical Practice of Emergency Medicine (6th Edition) and selected primary literature.  Your Foundations Site Director should be able to help direct you towards options for accessing these resources, either through your institutional online library, provided by your residency or for purchase using CME funds.

Multimedia Pathway
Perhaps you’ve heard of Free Open Access Medical Education or “FOAMed”.  The number of online resources available for reference and independent study of Emergency Medicine has grown exponentially in the last few years.  This pathway will be composed of open access web content and is designed to provide specifically curated, level-appropriate resources for those of you who prefer videos, podcasts and blogs to traditional text-based options.  Keep in mind, resources in this pathway often provide high yield summaries of information and may not be comprehensive.  You should plan to build on this foundation with additional reading as needed.

HippoEM videos will also be paired for each unit; however, these are not required to complete the LP assignment.  They are intended to be a supplement for those learners who enjoy and benefit from this resource.  HippoEM is a paid resource, although you can get a reduced rate ($189/yr) if you have an EMRA membership.  Memberships to EMRA or subscriptions to Hippo may be provided by your residency or you may need to purchase them yourselves if you’d like to access the related resources.  You can learn more details about accessing this content at the following site.

Foundations Frameworks

Frameworks, a supplementary curriculum for Foundations of Emergency Medicine, focuses on teaching organized approaches to common clinical entities.  The Frameworks curriculum aims to equip emergency medicine residents with cognitive scaffolding to efficiently work up and care for undifferentiated patients (eg “Approach to AMS”, “Approach to Stroke”, “Approach to Syncope”, etc).

Frameworks are an optional part of the Foundations II course.  Regardless, we encourage you to review this content on your own and even reference them while on ED shifts.  For more information about Foundations Frameworks, and for access to all Frameworks for independent study, please review the dedicated Frameworks webpage.

Foundations II Course Schedule for Learners

Below you will find the core schedule for Foundations II.  Keep in mind, your program may be making significant changes from the standard schedule and your Foundations Site Director will provide you with a detailed schedule for your institution (dates with specific units for your site).  Note that the core schedule below includes suggested but optional Frameworks for each unit and suggested Rosh Review mini-tests for each unit (these may or may not be required by your site).

Block 1

MeetingUnitGeneral TopicsRosh Mini-TestOptional Paired Framework
0OrientationFoundations Overview, Intro to Oral Boards Cases
1GI IGI Bleeding, Liver Failure, PUD, Bowel Obstruction, Acute AbdomenFOUNDATIONS II (F2) UNIT 01- GI IAbdominal Imaging, Approach to Nausea and Vomiting
2GI IIPancreatic Disease, Biliary DiseaseFOUNDATIONS II (F2) UNIT 02- GI IIApproach to Jaundice
3Pulm IRespiratory Failure, Intubation, Vent MangementFOUNDATIONS II (F2) UNIT 03- Pulm IApproach to Emergent Airway Management
4Pulm IIPulmonary Embolism, Hemoptysis, Pulmonary MalignancyFOUNDATIONS II (F2) UNIT 04- Pulm IIApproach to Hypoxemia
5Pulm IIIPulm Infections, Pleural Effusion, ARDSFOUNDATIONS II (F2) UNIT 05- Pulm IIIApproach to Emergent Airway Management
6Cards ISyncope, Narrow Complex ArrhythmiasFOUNDATIONS II (F2) UNIT 06- Cards IApproach to Syncope, Tachyarrhythmia, Bradyarrhythmia
7Cards IIMyocardial Infarction, Wide Complex Arrhythmias, Cardiac ArrestFOUNDATIONS II (F2) UNIT 07- Cards IIApproach to Cardiac Arrest, Approach to Undifferentiated Shock
8Cards IIICardiovasular Devices, Heart FailureFOUNDATIONS II (F2) UNIT 08- Cards IIIApproach to CHF
9VascDisorders of CirculationFOUNDATIONS II (F2) UNIT 09- VascApproach to HTN in the ED

Block 2

MeetingUnitGeneral TopicsRosh Mini-TestOptional Paired Framework
10Trauma IChest Trauma, Head and Neck TraumaFOUNDATIONS II (F2) UNIT 10- Trauma ITraumatic Head Injury
Chest Trauma
11Trauma IIPediatric Trauma, Trauma in Pregnancy, Abdominal TraumaFOUNDATIONS II (F2) UNIT 11- Trauma IIAbdominal Trauma
12Trauma IIIMulti-System Trauma, Skull and Spine Injuries, Mass Casualty IncidentsFOUNDATIONS II (F2) UNIT 12- Trauma IIIPelvic Trauma,
Extremity Vascular Injury
13Peds INeonatal Disorders, Peds GI diseaseFOUNDATIONS II (F2) UNIT 13- Peds IApproach to the Sick Neonate,
Approach to the Febrile Neonate,
Approach to Peds Abdominal Pain
14Peds IICongential Heart Disease, Peds Neurologic DisordersFOUNDATIONS II (F2) UNIT 14- Peds IIApproach to the Sick Neonate
15Peds IIIPediatric Airway Emergencies, Peds Intubation, Peds ArrestFOUNDATIONS II (F2) UNIT 15- Peds III
16HEENTHEENT Infections, Adult Airway ObstructionFOUNDATIONS II (F2) UNIT 16- HEENTApproach to Vision Loss

Block 3

MeetingUnitGeneral TopicsRosh Mini-TestOptional Paired Framework
17IDAIDS, Opportunistic Disease, Uncommon Infectious DiseaseFOUNDATIONS II (F2) UNIT 17- IDAproach to Fever in the HIV Patient
18Neuro IStroke, Brain and Spine Infections, Altered Mental StatusFOUNDATIONS II (F2) UNIT 18- Neuro IApproach to AMS
19Neuro IINeuromuscular and Spinal DisordersFOUNDATIONS II (F2) UNIT 19- Neuro IIApproach to Weakness
20OrthoTraumatic Orthopedic InjuriesFOUNDATIONS II (F2) UNIT 20- Ortho
21Tox IAlcohol, Street/Recreational Drugs, Common OverdosesFOUNDATIONS II (F2) UNIT 21- Tox IApproach to the Poisoned Patient/ Toxicologic Resuscitation
22Tox IIToxic Bradycardia, Classic ToxidromesFOUNDATIONS II (F2) UNIT 22- Tox IIApproach to Toxidromes
23EnvironmentalHeat/Cold Injuries, Altitude Sickness, Electrical InjuriesFOUNDATIONS II (F2) UNIT 23- EnviroApproach to Hypothermic Resuscitation

Block 4

MeetingUnitGeneral TopicsRosh Mini-TestOptional Paired Framework
24RenalRenal Failure, Male Genitourinary DiseaseFOUNDATIONS II (F2) UNIT 24- RenalApproach to Testicular Pain
25OB/GynComplications of Pregnancy and Delivery, GYN InfectionsFOUNDATIONS II (F2) UNIT 25- OB.GYNApproach to Female Pelvic Pain, Approach to Vaginal Bleeding
26Endo IEndocrine Disease- Glucose, Fluid and ElectrolytesFOUNDATIONS II (F2) UNIT 26- Endo IApproach to Hyperglycemia/Insulin
27Endo IIEndocrine Disease- EndocrinopathiesFOUNDATIONS II (F2) UNIT 27- Endo II
28Heme/Onc IThrombocytopenia, Anemia, Transfusion ReactionsFOUNDATIONS II (F2) UNIT 28- Heme.Onc I
29Heme/Onc IISickle Cell, Coagulation DisordersFOUNDATIONS II (F2) UNIT 29- Heme.Onc IIApproach to Sickle Cell Crisis
30ImmunoAllergic Reactions, Transplant ComplicationsFOUNDATIONS II (F2) UNIT 30- ImmunoApproach to the Undifferentiated Rash