This Masterclass will span a total of fifteen weeks. It opens with a Face-to-Face meeting, followed by a period of self-directed study with mentor contact and another Face-to-Face meeting. The Module is completed by three Face-to-Face Masterclass Days, with an examination at the end.
By covering a limited number of subjects in depth, the desired level can be achieved within a reasonable time frame. Participants will develop a change in approach and a meta-cognition, enabling them to apply this to other presentations that are not covered within this Masterclass.
The following table shows the time schedule according to which this Masterclass is organised:
|5 Sep 2017||Face-to-Face I: 5 Sep 2017||1. Goals of care|
|12 Sep 2017||2. Rapid Sequence Intubation|
|19 Sep 2017||3. Shock & sepsis|
|26 Sep 2017||4. Neurocritical care|
|3 Oct 2017||Face-to-Face II: 3 Oct 2017||--- CATCH-UP WEEK ---|
|10 Oct 2017||5. Critical paediatric toxicology|
|17 Oct 2017||6. Difficult airway|
|24 Oct 2017||7. Critical asthma|
|31 Oct 2017||8. Paediatric shock & sepsis|
|7 Nov 2017||--- CATCH-UP WEEK ---|
|14 Nov 2017||9. Upper gastrointestinal bleeding|
|21 Nov 2017||10. Critical toxicology|
|28 Nov 2017||11. Anaphylaxis|
|5 Dec 2017||12. Post-arrest care|
|12 Dec 2017||Face-to-Face III: 13-15 Dec 2017|
By following this schedule, all participants will have covered the same subjects for the Face-to-Face meetings. Also, this will prevent you from spending ‘too much’ time on one subject, while another might not get enough attention. Having said this, however, some subjects will require more time than others, depending on individual participants’ pre-existing knowledge and understanding. The suggested schedule intentionally has weeks without subjects to allow for catch-up and extra time if needed.
Face-to-Face I: Kickoff Meeting
- 5 September 2017
The first part of the Kickoff Meeting is specifically aimed at new participants. It will be used to discuss experiences and approaches to Continuing Professional Development. Tips and tricks will be given to be as efficient as possible during the self-study period. The desired level of knowledge and skills will be discussed and clarified with realistic examples. We hope to inspire you, and to give you ideas and suggestions on how to approach this Masterclass.
After this, expectations and aims of this Masterclass will be discussed, and you will meet your fellow participants. Advantages of forming study groups will be addressed, study groups can be formed and the mentors will be introduced. You will be given guidance as to where to start and where to find the study materials and literature.
Self-directed study & Mentoring
This Masterclass aims to guide, stimulate and challenge you, but is intentionally designed not to deliver significant amounts of ‘content’. There will only be a few lectures, and minimal reading materials supplied on Emergency Medicine topics. Instead, the majority of the EM-Masterclass will consist of self-directed study. Participants will be responsible for finding and studying their own appropriate sources of content. Importantly, this Masterclass does require a certain knowledge base. The difference in knowledge and skills with regards to Critical Care amongst Dutch EPs has proven to be larger than the differences with other Modules. Pay particular attention to your core knowledge and make sure it is up to a basic standard, before immersing yourself in the more controversial and challenging areas of Critical Care. During the Face-to-Face Meetings, we will further build on this knowledge and integrate it with your existing practice.
In this Study Guide, you will find learning outcomes, and case-based guidance for each subject. To get you started, we have listed some suggested resources at the end of each topic. While the Authors think these articles are important, they are not the only sources available to you, nor should you think that after reading them all, you will necessarily have all the knowledge you need. This literature list merely suggests a number of possible sources, and it is important to develop a way to select which sources are most helpful to you. Some of the suggested articles will be useful for more than one Case, and it is advisable to return to some of the basic articles when needed.
We estimate that an average of 10-15 hours per week will be necessary to obtain the desired level of knowledge and achieve the learning outcomes. However, because each participant will have different areas of strength and weakness, by necessity the effort that needs to be put in will vary from topic to topic.
Mentoring is a key aspect of this course. Each EM-Masterclass participant will be paired up with a mentor and one or two fellow mentees. The role of the mentor will be to guide, motivate, and challenge participants. We are very fortunate to have the commitment of a group of Emergency Physicians with extensive experience as educators. Most mentors are based overseas, so communication will be mostly internet-based. Mentor contact should be organised by mutual appointment, approximately once a week. Dynamic contact (e.g. via Skype®, Facetime®, Google Hangout® or telephone) will best suit interaction and lively discussions. Email can be a valuable addition if scheduling proves difficult, but will by its nature be more static.
Mentors will evaluate participants’ progress, may help set goals and deadlines, and will trigger stimulating conversation to enhance learning. They are available for any issue, question, or concern that may arise in the process of studying. Mentors will help participants achieve the learning outcomes, so participants’ level of knowledge going into the final Masterclass Days is as high as possible. Mentors can also be useful in helping participants fine-tune their approach to studying, so that it is effective and sustainable for the future of their careers as Emergency Physicians.
One thing needs to be emphasised in advance: whatever your expectations and goals with respect to this Masterclass − the more you put into it, the more you will get out of it!
To get the most out of the mentor contact, you will be supplied with a Dropbox® folder for your mentor group. You can use this to share your answers to the Cases from the Study Guide, a summary of your study notes, and/or useful resources (prior to mentor contact). This enables the mentor meetings to be more focussed and time-efficient, and will allow more time to integrate your knowledge and recognise areas of improvement. This embraces the concept of the ‘flipped classroom’ as described earlier.
Face-to-Face II: Masterclass Meeting
- 3 October 2017
Approximately halfway through the period of self-directed study, you will be able to catch up with fellow participants, find out how you are doing and get some guidance and motivation. Prior to the meeting, you will do a multiple-choice test, which will be used for discussion during the meeting. There will be some fun (yet educationally sound) activities to integrate and consolidate the knowledge you have gained over the past weeks, and we will provide you with some more tips and tricks. Lastly, we will introduce and practise the exam that will conclude the Masterclass.
Face-to-Face III: Masterclass Days
- 13-15 December 2017
- Sandton Hotel de Roskam
The Masterclass Days are designed to ‘play with’ and integrate the knowledge acquired during the study period. The aim is to stimulate a transformation in your approach and thinking about Emergency Medicine. One of the important goals will be to identify existing knowledge and incorporate this into meta-cognition.
A carefully selected international faculty will use a range of educational methods to ensure that the knowledge and skills you have gained in the previous weeks will be consolidated and incorporated. The outcome of the Masterclass Days is highly dependent on the quantity and quality of knowledge that participants bring to the day. The better you are prepared, the more you will gain.
There will be a test at the end of the Masterclass days. The format of this test will resemble an OSCE (objective structured clinical examination). Case-based questions in a face-to-face discussion with a Faculty member are the principal form of examination (‘viva’). Important issues need to be addressed by the candidate, including history taking, physical examination, further testing and management issues. Participants will be asked to justify their approach, and to discuss points of controversy, as previously done during the Masterclass.
This Masterclass will be exclusively in English. Most international Faculty members are from Australia and the United Kingdom, and therefore do not speak Dutch. Also, the speciality of Emergency Medicine is rapidly developing worldwide, using English as the primary language in literature and conferences. This Masterclass is an opportunity for Dutch Emergency Physicians to further enhance their skills in discussing medical topics in English.