Foundations III

Foundations III

Foundations III is an advanced curriculum targeting PGY3/4 learners with a focus on the “Art of Emergency Medicine”. F3 provides a mix of critical care sessions and 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, care of vulnerable populations, 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 independent study if F3 is not officially implemented by your program leadership.

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

Selected topics within F3 are appropriate for any level learner.

Paired assessments for selected F3 units are now available to programs who have Rosh Review or PEER subscriptions.

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

MeetingUnit & 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 Guide

Guided Meditation
Suggested Preparation
Paired Resources
2Ethics: AMA and Capacity
1) Decision Making Capacity
2) Against Medical Advice


Teaching Guide

Suggested Preparation
Paired Resources
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 Guide

Suggested 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 Guide

Suggested 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 Guide

Suggested Preparation
Paired Resources
6Personal Development: The Job Hunt I
1) Practice Environments
2) The Application Timeline
3) Cover Letter and CV Development

Teaching Guide

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


Teaching Guide

Suggested 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 Guide

Learner Activity
Suggested Preparation
Paired Resources
9Personal Development: Personal Finance I
1) Savings and Budgeting
2) Investing Basics
3) Renting or Buying your Residence

Teaching Guide

Learner Activity
Suggested 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 Guide

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


Teaching Guide

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

Teaching Guide

Suggested Preparation
13Personal Development: Personal Finance II
1) Disability Insurance
2) Life Insurance
3) Student Loan Management

Teaching Guide

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

Teaching Guide

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


Teaching Guide

Suggested Preparation
Paired Resources
16Personal Development: The Job Hunt II
1) The Job Interview
2) Contract Basics


Teaching Guide

Suggested Preparation
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 Guide

Suggested 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 Guide

Suggested Preparation
Paired Resources
19Special Populations: Sex Based Crimes
1) Sexual Assault
2) Sex Trafficking


Teaching Guide

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


Teaching Guide

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


Teaching Guide
Learner Reference
22Non-Clinical Skills: Billing and Coding
1) Overview of Documentation and Billing
2) Review of 2023 E/M Coding Guidelines
3) Practice Documentation and Coding

Teaching Guide

Suggested Preparation

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


    Teaching Guide

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


    Teaching Guide

    Suggested Preparation
    Paired Resources
    25Personal Development: Medical Malpractice
    1) Epidemiology of medical malpractice and basic legal terminology
    2) Risk Mitigation
    3) Anatomy of a lawsuit

    Teaching Guide

    Suggested Preparation
    Paired Resources
    26Clinical Skills: Patient Centered Communication and Breaking Bad News




    Teaching Guide

    27Clinical Skills: Child Abuse and Neglect
    1) Non-Accidental Trauma - History and Exam
    2) NAT - Medical Decision Making and Resource Utilization


    Teaching Guide

    Suggested Preparation
    Paired Resources
    28Special Populations: Special Needs Children
    1) Care of the Autistic Child
    2) Care of the Child with Chronic Medical Conditions


    Teaching Guide

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

    Teaching Guide

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


    Teaching Guide

    Suggested Preparation
    Paired Resources
    31Non-Clinical Skills: Patient Handoffs
    1) Introduction & Best Practice Analysis
    2) Review Standardized Handoff Tools
    3) Handoff Practice Cases

    Teaching Guide

    Paired Resources