Foundations III

Foundations III

Foundations III is an advanced curriculum targeting PGY3/4 learners with a focus on the “Art of Emergency Medicine”.  F3 will cover topics that are crucial to daily EM practice but have traditionally been neglected within resident education (e.g. billing and coding, medicolegal pitfalls, decision-making capacity, wellness, etc).  This course includes 30 classroom meetings (50 min) led by a single instructor, including topic discussion and breakout activities.  Suggested paired asynchronous content is available for reference.  Content may also be used for resident self-study if the course is not officially implemented by their site leaders.

VIRTUAL CONFERENCE– For adapted use of this course in the virtual setting, please review our Virtual FoEM page.

Foundations III Meetings

Mouse over non-linked Asynchronous Resources for full title

Please make sure your session leaders review the Foundations III Instructor Guide prior to facilitating the meetings below.

MeetingUnit and SessionMeeting ResourcesAsynchronous Resources
1Personal Development: Physician Wellness I
1) Burnout and Resilience
2) Mindfulness
3) Develop Mindfulness Practices for the ED
4) Self-reflection
5) Practice Self-reflection
Teaching GuideSuggested Preparation
  • Annals Burnout
  • Mayo Burnout

Paired Resources
2Ethics: AMA and Capacity
1) Decision Making Capacity
2) Against Medical Advice

Teaching GuideSuggested Preparation
  • NEJM Article

Paired Resources
  • Annals: Refusal
  • Refusal of Care
  • Risk Management
3Special Populations: Care of the Psychiatric Patient in the ED
1) Initial Management of the Severly Agitated Patient
2) Medical Evaluation of the Potential Psychiatric Patient
3) Management of the Boarding Psychiatric Patient

Teaching GuideSuggested Preparation
Paired Resources
4Clinical Skills: Workplace Violence and Disaster Management
1) Mass Casualty Incidents (MCI) and Disasters
2) Active Shooter Situations
3) Workplace Violence

Teaching GuideSuggested Preparation
Paired Resources
5Clinical Skills: Rural EM and EMTALA
1) STEMI Management in Resource Limited Settings
2) EMTALA and Inter-hospital Transfers
3) Thrombolytics in STEMI
4) EMS Personnel
5) Limited Resource Medicine
Teaching GuideSuggested Preparation
Paired Resources
6Personal Development: The Job Hunt I
1) Practice Environments
2) The Application Timeline
3) Cover Letter and CV Development

Teaching GuideSuggested Preparation
  • MD Job Tips

Paired Resources
7Personal Development: Physician Mental Health Emergencies
1) Depression and Suicidality
2) Suicidality and Physician Impairment

Teaching GuideSuggested Preparation
Paired Resources
8Ethics and Clinical Skills: End of Life Care and Surrogacy
1) Understanding Advanced Care Planning Documents and Surrogacy
2) Goals of Care Discussions
3) End-of-Life Care

Teaching GuideSuggested Preparation
  • AD Myths
  • Opioid Infusions

Paired Resources
  • NEJM: Decision Makers
  • Living Wills and DNR
9Personal Development: Personal Finance I
1) Savings and Budgeting
2) Investing Basics
3) Renting or Buying your Residence

Teaching GuideSuggested Preparation
Paired Resources
10Special Populations: Analgesia Stewardship
1) The USA Opioid Epidemic and Pain Control in the ED
2) Communicating with Patients with Opioid Use Disorders
3) Opioid Withdrawal

Teaching GuideSuggested Preparation
Paired Resources
11Critical Care: Acute RV Failure
1) Right heart failure basics
2) Managing right heart failure

Teaching GuideSuggested Preparation
  • Review of Right Heart Failure in the ED

Paired Resources
12Non-Clinical Skills: Team Leadership and Conflict Resolution
1) Team Leadership basics
2) Working with advance practice providers
3) Basics of conflict management

Teaching GuideSuggested Preparation
Paired Resources
13Personal Development: Personal Finance II
1) Disability Insurance
2) Life Insurance
3) Student Loan Management

Teaching GuideSuggested Preparation
Paired Resources
14Critical Care: Physiologically Unstable Intubations
1) Hypoxic Intubations
2) Hypotensive Intubations
3) Acidotic Intubations

Teaching GuideSuggested Preparation
Paired Resources
15Personal Development: Physician Wellness II (Errors and Second Victim)
1) Medical Errors
2) Second Victim Syndrome

Teaching GuideSuggested Preparation
  • Error Disclosure
  • Second Victim Syndrome

Paired Resources
  • ACEP Statement on Error Dislosure
  • Disclosure of Medical Error
  • Caring for the clinician after an adverse event
  • Debriefing Best Practices (CORD Wellness group)
  • Second Victim Rapid Response Team
16Personal Development: The Job Hunt II
1) The Job Interview
2) Contract Basics

Teaching GuideSuggested Preparation
  • Job Searches

Paired Resources
17Critical Care: The Critically Ill Vented Patient
1) Pre-intubation management
2) The Slowly Worsening Ventilated Patient
3) The Crashing Ventilated Patient

Teaching GuideSuggested Preparation
Paired Resources
18Special Populations: Geriatric Care
1) Introduction to geriatric care
2) Dementia in the ED
3) Diposition of the geriatric patient
4) High Risk Medications and Falls
Teaching GuideSuggested Preparation
Paired Resources
19Special Populations: Sex Based Crimes
1) Sexual Assault
2) Sex Trafficking

Teaching GuideSuggested Preparation
Paired Resources
20Critical Care: Cardiogenic Shock (LV)
1) Cardiogenic Shock
2) Left Ventricular Assist Devices

Teaching GuideSuggested Preparation
Paired Resources
21Non-Clinical Skills: Residents as Teachers

Teaching Guide
22Non-Clinical Skills: Billing and Efficient Documentation and Handoffs
1) Basics of billing and coding
2) Patient Handoffs

Teaching GuideSuggested Preparation
Paired Resources
23Critical Care: Advanced ACLS
1) Refractory Ventricular Fibrillation
2) Pseudo-PEA

Teaching GuideSuggested Preparation
Paired Resources
24Non-Clinical Skills: Bias in Medicine
1) Basics of bias in medicine
2) Gender bias

Teaching GuideSuggested Preparation
Paired Resources
  • Impact of Cognitive Stressors and Bias in the ED
  • Gender Bias and medical care
25Personal Development: Medical Malpractice
1) Epidemiology of medical malpractice and basic legal terminology
2) Risk Mitigation
3) Anatomy of a lawsuit

Teaching GuideSuggested Preparation
  • Factors Influencing Risk of Medical Malpractice

Paired Resources
  • Unnecessary Imaging
  • Culture of Medicine and Malpractice
26Clinical Skills: Patient Centered Communication and Breaking Bad News

Teaching Guide
27Clinical Skills: Child Abuse and Neglect

Teaching Guide
28Special Populations: Special Needs Children
1) Care of the Autistic Child
2) Care of the Child with Chronic Medical Conditions

Teaching Guide
29Special Populations: Transgender Patients and Domestic Violence
1) Overview of terminology and introduction to transgender medicine
2) Silicone Embolism Syndrome
3) Chest Binding

Teaching GuideSuggested Preparation
  • Beyond Bathrooms — Meeting the Health Needs of Transgender People
  • Reported Emergency Department Avoidance, Use, and Experiences of TransgenderPersons in Ontario, Canada

Paired Resources
30Special Populations: Working with Immigrant Patients
1) Appropriate use of language assistance
2) "Medical Spanish"

Teaching GuideSuggested Preparation
  • NEJM on use of translators
  • Best Practices for Improving Communication with limited english proficiency patients

Paired Resources
  • Laws regarding use of interpreters
  • White paper on use of interpreters to decrease health disparities
  • Informed consent for limited english proficiency patients
  • Uplanned ED return visits in limited english proficiency patients