Case conference (Bi-weekly - 2-3 hour)
Faculty, RPPEO Quality and education staff, AFC trainees and medical directors, will present cases captured by quality review process at RPPEO. The AFC trainees will be responsible to review and prepare cases, present cases, and provide their analysis and opinion. Fellows will become familiar and use relevant concepts such as just culture, root cause analysis, and components of patient safety and versed in the applicable basic life support and advanced life support ministry of health standards for paramedicine in Ontario.
Online medical consultation rounds (Weekly - 1 hour)
Faculty, AFC trainees, Base Hospital Physicians and Medical Directors will present online consultations identified by peer review process discussing potential changes to systems (Medical directives, educational needs etc).
Senior Medical Team Meeting (SMT) RPPEO (Monthly)
Faculty, RPPEO leadership, and AFC trainees review of provincial and other regulatory management material. Trainees are responsible to present and discuss issues providing understanding of good communication and meeting etiquette.
Research meeting RPPEO (Monthly)
Faculty, RPPEO staff, paramedics, Medical Directors and AFC trainees, review of current research projects.
Provincial Medical Advisory meeting (4 times a year)
Provincial MDs, Directors BHs, paramedic reps, Ontario Associate Paramedic Chiefs (OAPC) reps, Education subcommittee and Data Quality Management (DQM) subcommittee reps, PTM trainees. Review of Medical directives and provide advice to the Ontario Ministry of Health.
Quality of Care Advisory Committee meeting (Bi-monthly)
Faculty, RPPEO staff, Paramedic Service representatives, Paramedics, colleges and external stakeholders meet every two months to discuss quality of care issues, education and certification issues, act as an advisory panel to the base hospital, and provides an open forum for dialogue across the region.
National Medical Directors and Operational Directors meeting (Bi-weekly- Thursday)
All provinces and territories MDs meeting to review national issues with guest speakers around important National topics (example offload delay).
PTM Journal Club (Monthly - 2 hour)
Faculty, RPPEO staff, paramedics, Medical Directors and AFC trainees present and discuss 2-3 relevant PTM peered-reviewed manuscripts or articles, posting of summaries on the EM Ottawa Blog site.
Academic sessions (Bi-weekly - 1.5-2 hours)
Teaching Faculty reviews of a specific topic with PTM AFC trainees (e.g. QI, research, Medical Directives, Legal, Just culture, HEMS, educational methodology etc.) Please find attached the academic sessions (Appendix 4) over a 12-month period with local faculty and guest speakers.
EMS Block – (1-month program)
EMS block for PGY3 residence (local and elective) plus paediatric fellows participate in a month of EMS education coordinated and run by the Fellows. Didactic sessions, table tops exercises and practical skills are reviewed. Including clinical experiences at Boot -camp an opportunity for residents to become paramedics for a day in simulation (see EMS Month Template documents)
Clinical ED shift experiences (maximum of 8 clinical shifts per month in the ED)
The AFC trainee will be assigned clinical shifts in the ED. These assignments will be in every area of the department and includes resuscitation care, emergent care, observation care, and urgent care. Each shift will be supervised by a dedicated staff physician if trainee is not in independent practice. This will ensure that the trainee will be exposed to a broad spectrum of disease state and complications while maintaining a safe clinical environment for both the trainee and patients. Trainees will have to opportunity to interact with Paramedics real time during shifts.
Online Medical Consultation (3-5 shifts/month each 12 hours)
PTM AFC trainees will onboarded using OMCAT and supported with peer review by faculty to provide online medical consultation to paramedics in the Eastern Region of Ontario (9 services 1500 paramedics). They will be on-call 12 hours shifts (days and nights) 3-5 shifts/month answering on average 5-8 calls/shift. Faculty will support trainees real-time to ensure safe and prompt feedback while on call. Trainees will be required to keep a logbook of all consultations which is reviewed by PD.
NAEMSP Medical Directors course
AFC trainees are required to attend and participate in the National Association of Emergency Medicinal Services Physicians (NAEMSP) Medical Director course occurs annually prior to the NAEMSP Conference. This provides an international perspective of PTM.
Professionalism Day/Wellness Retreat
Annual half day incorporating professionalism session in the morning followed by an afternoon of curling with other fellowship programs.
Just Culture/Reliability Management course
Trainees will attend a longitudinal Just culture/high reliability course. Reliability Management System provides the structure for seeing, understanding, and managing organizational risk. By integrating and harmonizing programs and practices, each element of the RMS is measured and monitored, providing an auditable standard of evaluation for sustainable performance. This learning will be applied case conference and reviews. High Reliability Organization and Collaborative Just Culture.
Other courses/Electives
To improve upon their knowledge and skills as an educator the trainee will participate in and organize courses and educational opportunities to teach others. Self-directed learning allows AFC trainees to pursue areas of interest and those which require more attention. Data is available to support system change and evidenced based practices. Electives are also available that can be tailored to trainees learning goals and interest, and at the discretion of the AFC program director.
Administration project
The trainee will have, on average, one protected administration day per week. The trainee will identify at least one administration project early on in the AFC (example developing Terms of reference, SWOT assessments etc). A Faculty will be assigned as a main mentor. The trainee will present their work for review and also provide feedback on other AFC trainee’s work.
Educational projects
The trainee will support and create CME curriculum both for mandatory paramedic content as well as elective paramedic CME using the RPPEO Learning Management platform. These topics will be established at the beginning of the year and trainees will create short online videos to populate content for paramedics.
Scholarly project
The trainee will have, on average, one protected research day per week. The trainee will identify at least one scholarly project early on in the AFC. Projects are typically research, quality improvement, or program development. A Faculty will be assigned as a main mentor. The trainee will present their work for review and also provide feedback on other AFC trainee’s work. The trainee will participate at the monthly PTM journal club assigned within the AFC curriculum.
