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  1. Article ; Online: How to assess and manage ulcerative colitis exacerbations in the emergency department.

    McCurdy, Jeffrey / Nath, Avik / Rosenberg, Hans

    CJEM

    2023  Volume 25, Issue 3, Page(s) 190–192

    MeSH term(s) Humans ; Colitis, Ulcerative/diagnosis ; Colitis, Ulcerative/therapy ; Emergency Service, Hospital
    Language English
    Publishing date 2023-02-01
    Publishing country England
    Document type Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-023-00461-x
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  2. Article ; Online: Experiences, perspectives, and advice for using virtual interviews in post-graduate trainee selection: a national survey of CCFP (EM) program directors.

    Leppard, Jennifer / Nath, Avik / Cheung, Warren J

    CJEM

    2022  Volume 24, Issue 5, Page(s) 498–502

    Abstract: Objective: Due to the COVID pandemic, restrictions were put in place mandating that all residency interviews be transitioned to a virtual format. Canadian CCFP(EM) programs were among the first to embark on this universal virtual interview process for ... ...

    Abstract Objective: Due to the COVID pandemic, restrictions were put in place mandating that all residency interviews be transitioned to a virtual format. Canadian CCFP(EM) programs were among the first to embark on this universal virtual interview process for resident selection. Although there have been several recent publications suggesting best practice guidelines for virtual interviews in trainee selection, pragmatic experiences and opinions from Program Directors (PDs) are lacking. This study aimed to elicit the experiences and perspectives of CCFP(EM) PDs after being amongst the first to conduct universal virtual interviews in Canada.
    Methods: A 17-item online survey was created and distributed to all CCFP(EM) PDs (n = 17). It explored the virtual interview format employed, perceived advantages and disadvantages of a virtual configuration, confidence in determining a candidate's rank order, and PD preference for employing a virtual interview format in the future. It also elicited practical advice to conduct a smooth and successful virtual interview day.
    Results: The survey response rate was 76.5% (13/17). Nine respondents (69.2%) agreed that the virtual interview format enabled them to confidently determine a candidate's rank order. With respect to preference for future use of virtual interviews, 23.1% agreed, 38.5% disagreed and 38.5% neither agreed nor disagreed. Inductive thematic analysis of free text responses revealed themes related to virtual interview advantages (time, financial, and resource costs), disadvantages (difficulty promoting smaller programs, getting a 'feel' for candidates and assessing their interpersonal skills), and practical tips to facilitate virtual interview processes.
    Conclusion: Once restrictions are lifted, cost-saving advantages must be weighed against suggested disadvantages such as showcasing program strengths and assessing interpersonal skills in choosing between traditional and virtual formats. Should virtual interviews become a routine part of resident selection, the advice suggested in this study may be considered to help optimize a successful virtual interview process.
    MeSH term(s) COVID-19/epidemiology ; Canada ; Emergency Medicine/education ; Humans ; Internship and Residency ; Surveys and Questionnaires
    Language English
    Publishing date 2022-05-30
    Publishing country England
    Document type Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-022-00312-1
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  3. Article ; Online: Competency based medical education (CBME) in CCFP(EM) programs.

    Nath, Avik / Yadav, Krishan / Chagnon, Nicolas / Cheung, Warren J

    CJEM

    2022  Volume 24, Issue 6, Page(s) 599–605

    Abstract: Introduction: It is postulated that implementation of Competency by Design (CBD) in Royal College of Physicians and Surgeons of Canada (RCPSC) programs has helped enhanced skills programs in emergency medicine (CCFP(EM)) move towards a more competency- ... ...

    Abstract Introduction: It is postulated that implementation of Competency by Design (CBD) in Royal College of Physicians and Surgeons of Canada (RCPSC) programs has helped enhanced skills programs in emergency medicine (CCFP(EM)) move towards a more competency-based residency. The objectives of the study were to identify major competency-based medical educational (CBME) components of CCFP(EM) programs across the country; and determine how programs are delivering these components.
    Methods: After a rigorous development process (expert content development, and pilot testing), a survey questionnaire was administered to all 17 CCFP(EM) program directors using a modified Dillman technique. Questions were structured and framed using the core components framework of CBME. The final survey included a total of 44 questions under six sections.
    Results: There was a 100% response rate. Only 65% of programs currently map their program's curriculum to an explicit outcomes-based framework. All but one program plan to map their program's curriculum to Core Professional Activities that were released by the College of Family Physicians of Canada (CFPC) in May 2021. In 35% of programs, a curriculum is organized around developmental competencies that support resident progression. Individual coaches or a coaching team follow residents longitudinally in 65% of programs. In 81% of programs, the program meets with a resident at regular, pre-defined intervals to discuss their progression. In terms of assessment: data from direct observations are incorporated 94% of the time; 29% of programs have specific criteria for advancement; and all programs have a Competence Committee. With the introduction of CBD in RCPSC programs, 71% of program directors felt there was less understanding of the unique needs of CCFP(EM) residents.
    Conclusion: This study summarizes the current state of CBME in CCFP(EM) programs. While many components of CBME are incorporated, further development and innovation is needed to fully adapt CBME to a 1-year training program.
    MeSH term(s) Canada ; Clinical Competence ; Competency-Based Education ; Curriculum ; Education, Medical ; Emergency Medicine/education ; Humans ; Internship and Residency ; Physicians
    Language English
    Publishing date 2022-07-24
    Publishing country England
    Document type Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-022-00345-6
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  4. Article ; Online: Just the facts: how to assess a patient presenting to the emergency department with syncope.

    Rosenberg, Hans / Nath, Avik / Thiruganasambandamoorthy, Venkatesh

    CJEM

    2021  Volume 23, Issue 3, Page(s) 286–290

    MeSH term(s) Emergency Service, Hospital ; Humans ; Syncope/diagnosis ; Syncope/etiology
    Language English
    Publishing date 2021-03-10
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-021-00095-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Resident recruitment in the COVID-19 era: factors influencing program ranking by residents applying to a family medicine-emergency medicine training program.

    Leppard, Jennifer / Nath, Avik / Cheung, Warren J

    CJEM

    2021  Volume 23, Issue 6, Page(s) 842–846

    Abstract: Objective: The COVID-19 pandemic has created numerous unique challenges for the recruitment of prospective trainees. Cancellation of visiting electives and in-person interviews created challenges for programs to showcase elements that have been shown to ...

    Abstract Objective: The COVID-19 pandemic has created numerous unique challenges for the recruitment of prospective trainees. Cancellation of visiting electives and in-person interviews created challenges for programs to showcase elements that have been shown to influence applicants' program selection, including geographical considerations and program collegiality. Novel strategies have been recommended and employed to facilitate candidate recruitment, but it is unclear how influential such strategies are on candidates' program ranking. It is also unclear what factors influence program selection among CCFP(EM) candidates. We sought to evaluate the impact of novel recruitment strategies on applicants' ranking of the University of Ottawa CCFP(EM) program and determine factors which were most influential in applicants' first-choice program selection.
    Methods: An online survey was distributed to all candidates (n = 127) who applied to the University of Ottawa CCFP(EM) program. The survey instrument included 33 items. Respondents were asked to rate on a 3-point scale how influential specific recruitment strategies were on their ranking of our program and the influence of different training factors on their selection of first-choice program.
    Results: The survey response rate was 27% (34/127). Recruitment strategies rated as most positively influential included virtual one-on-one meetings with program directors (100%), virtual Q&A sessions (77.8%), virtual communication with chief residents (73.3%), and a mailed personalized recruitment package (72.2%). The top factors influencing applicants' first-choice program selection included: collegiality between faculty and residents (96.4%); level of responsibility given to residents (96.4%); support within the program (96.4%); and procedural opportunities within the program (96.3%).
    Conclusion: Facilitating virtual personal interaction with program leadership is highly influential in how CCFP(EM) candidates rank programs. CCFP(EM) candidates value characteristics of a training program over the geographical location and available amenities. Program leaders should consider these findings when recruiting prospective candidates.
    MeSH term(s) COVID-19 ; Emergency Medicine/education ; Family Practice ; Humans ; Internship and Residency ; Pandemics ; Prospective Studies ; SARS-CoV-2
    Language English
    Publishing date 2021-08-26
    Publishing country England
    Document type Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-021-00177-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: New challenges and mitigation strategies for resident selection during the coronavirus disease pandemic.

    Rosenberg, Hans / Nath, Avik / Leppard, Jennifer / Syed, Shahbaz

    CJEM

    2020  Volume 22, Issue 6, Page(s) E14

    MeSH term(s) COVID-19/epidemiology ; Canada/epidemiology ; Humans ; Internship and Residency ; Pandemics ; Personnel Selection/organization & administration ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-22
    Publishing country England
    Document type Letter
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1017/cem.2020.454
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A novel transition to practice curriculum for CCFP(EM) programs.

    Nath, Avik / Cheung, Warren J / Leppard, Jennifer / Perry, Jeffrey J

    CJEM

    2021  Volume 23, Issue 3, Page(s) 394–397

    Abstract: We implemented a novel transition-to-practice curriculum incorporating four new processes to prepare CCFP(EM) residents for independent practice. These elements were: 1) explicit sequencing of competency progression; 2) establishment of coaching teams; 3) ...

    Abstract We implemented a novel transition-to-practice curriculum incorporating four new processes to prepare CCFP(EM) residents for independent practice. These elements were: 1) explicit sequencing of competency progression; 2) establishment of coaching teams; 3) establishment of independent shifts; and 4) implementation of a transition-to-practice seminar series. Exit surveys of residents rated the new curriculum highly with 15/17 (88.2%) residents reporting they felt prepared for independent practice. All residents rated competency progression, coaching teams, independent shifts and transition-to-practice series favourably. This framework can be used by other 1-year enhanced skills or other fellowship programs to prepare their residents for independent practice.
    MeSH term(s) Curriculum ; Emergency Medicine/education ; Humans ; Internship and Residency ; Surveys and Questionnaires
    Language English
    Publishing date 2021-03-12
    Publishing country England
    Document type Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-020-00046-y
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  8. Article ; Online: COVID-19 and its impact on CCFP(EM) residency training.

    Nath, Avik / Hunchak, Cheryl / Smith, Sheila / Fedwick, Jason / Hanel, Erich / Rogers, Peter

    CJEM

    2021  Volume 23, Issue 5, Page(s) 581–584

    MeSH term(s) COVID-19 ; Emergency Medicine/education ; Humans ; Internship and Residency ; SARS-CoV-2 ; Surveys and Questionnaires
    Language English
    Publishing date 2021-05-22
    Publishing country England
    Document type Editorial
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-021-00149-0
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  9. Article: New challenges and mitigation strategies for resident selection during the coronavirus disease pandemic

    Rosenberg, Hans / Nath, Avik / Leppard, Jennifer / Syed, Shahbaz

    CJEM

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #857324
    Database COVID19

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  10. Article: Describing CCFP(EM) programs in Canada: A national survey of program directors.

    Nath, Avik / Yadav, Krishan / Perry, Jeffrey J

    CJEM

    2018  Volume 21, Issue 2, Page(s) 274–282

    Abstract: Objectives: Enhanced skills training in emergency medicine through the Canadian College of Family Physicians, CCFP(EM), has existed since the 1980s. Accreditation standards define what every program "must" and "should" have, yet little is known on what ... ...

    Abstract Objectives: Enhanced skills training in emergency medicine through the Canadian College of Family Physicians, CCFP(EM), has existed since the 1980s. Accreditation standards define what every program "must" and "should" have, yet little is known on what is currently done across Canada. Our objectives were to 1) describe major components of CCFP(EM) programs and 2) determine how curricular components are taught.
    Methods: After a rigorous development process (expert content development, cognitive reviews, and pilot testing), a survey questionnaire was administered to all 17 CCFP(EM) program directors using a modified Dillman technique.
    Results: All (17/17) program directors responded. Programs are similar in core clinical rotations conducted and provide ultrasound courses for basic skills (trauma, abdominal aortic aneurysm, intrauterine pregnancy). Variation exists for offering independent ultrasound certification (77%), advanced scanning (18%), and protected time for scanning (53%). All programs utilize high fidelity simulation. Some programs use in situ simulation (18%) and carry out a simulation boot camp (41%). Most centres require an academic project, which is a quality assurance project (53%) and/or a critical appraisal of the literature (59%). Publication or national conference presentations are required by 12% of programs. Competency-based curricula include simulation for rare procedures (88%), direct observations (65%), and a "transition to practice" curriculum (24%). All programs maintain strong connections to family medicine.
    Conclusion: This study demonstrates the diverse structures of CCFP(EM) programs across Canada. Programs have similar clinical rotations, ultrasound, and simulation requirements. Variation exists in administrative structure and financial resources of programs, academic project requirements, and programs' competency-based curricula.
    MeSH term(s) Canada ; Competency-Based Education ; Curriculum ; Emergency Medicine/education ; Faculty, Medical ; Humans ; Internship and Residency ; Societies, Medical ; Surveys and Questionnaires
    Language English
    Publishing date 2018-06-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2059217-6
    ISSN 1481-8035 ; 1481-8035 ; 1488-1543
    ISSN (online) 1481-8035
    ISSN 1481-8035 ; 1488-1543
    DOI 10.1017/cem.2018.374
    Database MEDical Literature Analysis and Retrieval System OnLINE

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