title: Off-service resident education in the emergency department: outline of a national standardized curriculum.
abstract: Although many residency programs mandate at least one rotation in emergency medicine (EM), to the best of our knowledge, a standardized curriculum for emergency department (ED) rotations for "off-service" residents has not been developed. As a result, the experiences of these residents in the ED tend to vary during their rotations. To design an off-service EM curriculum, we adopted Kern's six-step approach to curriculum development as a conceptual framework. The resulting program encompasses clinical experience and didactic sessions through which residents are trained in core topics and skills. This knowledge will be applicable in the clinical settings in which residents will continue to train and ultimately practice their specialty. It is flexible enough to be applicable and implementable without being limited by resource availability or faculty strengths.
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Chad S
authors.initials: CS
authors.lastname: Kessler
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Evie G
authors.initials: EG
authors.lastname: Marcolini
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Gillian
authors.initials: G
authors.lastname: Schmitz
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Charles J
authors.initials: CJ
authors.lastname: Gerardo
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Glenn
authors.initials: G
authors.lastname: Burns
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Brian
authors.initials: B
authors.lastname: DelliGatti
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Marco
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: David E
authors.initials: DE
authors.lastname: Manthey
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Deborah
authors.initials: D
authors.lastname: Gutman
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Jobe
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Bradley N
authors.initials: BN
authors.lastname: Younggren
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Ted
authors.initials: T
authors.lastname: Stettner
authors.affiliation: From the Department of Emergency Medicine, University of Illinois-Chicago School of Medicine (CSK), Chicago, IL; the Departments of Emergency Medicine and Surgical Critical Care, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center (EM), Baltimore, MD; the Department of Emergency Medicine, Wilford Hall Medical Center (GS), Lackland AFB, TX; the Division of Emergency Medicine, Duke University (CJG), Durham, NC; the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences (GB), Bethesda, MD; the Department of Emergency Medicine, University of North Carolina (BD), Chapel Hill, NC; the Department of Emergency Medicine, University of Toledo College of Medicine (CAM), Toledo, OH; the Department of Emergency Medicine, Wake Forest University School of Medicine (DEM), Winston-Salem, NC; the Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University (DG), Providence, RI; the Division of Emergency Medicine, Department of Medicine, University of Washington (KJ), Seattle, WA; the Department of Emergency Medicine, Madigan AMC (BNY), Ft. Lewis, WA; the Department of Emergency Medicine, Emory University (TS), Atlanta, GA; and the Department of Emergency Medicine, UC Davis Medical Center (PES), Sacramento, CA.
authors.forename: Peter E
authors.initials: PE
authors.lastname: Sokolove
mesh_terms: D003479:Curriculum / Q000592:standards*; D004521:Educational Measurement / Q000379:methods; D004635:Emergency Medicine / Q000193:education*; D004636:Emergency Service, Hospital; D006040:Goals; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D017145:Models, Educational; D020380:Needs Assessment; D013664:Teaching Materials; D014481:United States