Cheema, Baljit

Chu, Simon

Davies, Ffion

Gutierrez, Camilo E.

Lim, Rodrick

Valani, Rahim

Yock-Corrales, Adriana

English

Scholarship@Western

Western University Scholarship@Western Paediatrics Publications Paediatrics Department 3-1-2021 The International Federation of Emergency Medicine pediatric emergency medicine supplement to the model curriculum for emergency medicine specialists Rahim Valani University of Toronto Simon Chu The University of Adelaide Baljit Cheema University of Cape Town Ffion Davies University Hospitals of Leicester NHS Trust Camilo E. Gutierrez The George Washington University School of Medicine and Health Sciences See next page for additional authors Follow this and additional works at: https://ir.lib.uwo.ca/paedpub Citation of this paper: Valani, Rahim; Chu, Simon; Cheema, Baljit; Davies, Ffion; Gutierrez, Camilo E.; Lim, Rodrick; and Yock-Corrales, Adriana, "The International Federation of Emergency Medicine pediatric emergency medicine supplement to the model curriculum for emergency medicine specialists" (2021). Paediatrics Publications. 2628. https://ir.lib.uwo.ca/paedpub/2628 Authors Rahim Valani, Simon Chu, Baljit Cheema, Ffion Davies, Camilo E. Gutierrez, Rodrick Lim, and Adriana Yock-Corrales This editorial is available at Scholarship@Western: https://ir.lib.uwo.ca/paedpub/2628 Vol.:(0123456789)Canadian Journal of Emergency Medicine (2021) 23:145–146 https://doi.org/10.1007/s43678-020-00029-z1 3COMMENTARYThe International Federation of Emergency Medicine pediatric emergency medicine supplement to the model curriculum for emergency medicine specialistsRahim Valani1 · Simon Chu2,3 · Baljit Cheema4 · Ffion Davies5 · Camilo E. Gutierrez8 · Rodrick Lim6 · Adriana Yock‑Corrales7 on behalf of The International Federation of Emergency Medicine, Pediatric Emergency Medicine Special Interest Group (PEMSIG)Received: 9 August 2020 / Accepted: 16 August 2020 / Published online: 4 January 2021 © Canadian Association of Emergency Physicians (CAEP)/ Association Canadienne de Médecine d’Urgence (ACMU) 2020Keywords Pediatric · Curriculum · International · Delphi · CompetenciesPediatric Emergency Medicine (PEM) is a subspecialty that bridges the domains of emergency medicine and general pediatric medicine. Several countries have specific fellow-ship training programs designed to train PEM specialists from a general emergency medicine background and/or from a general pediatric medicine background. The majority of children around the world who require emergency care are seen by general emergency medicine specialists in high-income countries and a variety of generalist physicians in low- and middle-income countries (LMIC). This variability in pediatric care across the globe highlights the importance of having a minimal competency standard that can easily be achieved and is universally accepted [1].In some countries, the national general emergency physi-cian’s curriculum does not clearly define the specific knowl-edge, skills, and attributes to assess and manage common pediatric presentations. With the endorsement of the Inter-national Federation of Emergency Medicine (IFEM) Core Curriculum and Education Committee, the PEM special interest group (PEMSIG) created a supplement to highlight how the general learning outcomes in the Model Curriculum could be tailored to pediatric patient care, and to clarify the differences in managing this particular population (the full supplement is available at https ://www.ifem.cc/curri cula-for-emerg ency-medic ine/). This document may be of particular use for those developing emergency training programs in LMIC, where there may be considerable gaps in the provi-sion of emergency care for children [2].While most emergency physicians will have exposure to pediatric patients during their training, incorporation of these additional pediatric skills and competencies will ide-ally translate into better care for children presenting with emergency conditions. On the other hand, pediatric trainees may have the opportunity to rotate through the emergency department and can harness their exposure to trauma and resuscitation management to build on their acute care skills. The purpose of this document is to establish a basic curricu-lum geared towards clinicians and emergency practitioners when treating children.A three-phase Delphi technique model was used to develop the objectives. The Delphi technique was chosen for developing this supplement because it was the most effi-cient way to achieve consensus. The project was designed so that a broad range of opinion could be sampled, with each  * Rahim Valani  r.valani@utoronto.ca1 Department of Medicine, University of Toronto, Toronto, ON, Canada2 Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia3 Lyell McEwin Hospital, Elizabeth Vale, SA, Australia4 Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa5 University Hospitals of Leicester, Leicester, UK6 Pediatric Emergency Department, Children’s Hospital/London Health Sciences Centre, Schulich School of Medicine, London, ON, Canada7 Servicio de Emergencias, Hospital Nacional de Niños “Dr. Carlos Saenz Herrera”, San José, Costa Rica8 Global Health Programs, Division of Emergency Medicine, Children’s National Hospital, Emergency Medicine George, Washington University School of Medicine and Health Sciences, Washington, DC, USA146 Canadian Journal of Emergency Medicine (2021) 23:145–146Vol.:(0123456789)1 3contributor given equal weighting. The final step was map-ping the knowledge, skills, and professional competencies to align with the IFEM Model Curriculum for Emergency Medicine Specialists. Under each relevant heading on the educational outcomes and learning objectives, pediatric-specific comments were added to align with the master docu-ment. The final product was reviewed by the IFEM Core Curriculum and Education Committee.Notably, during the second phase, several members brought up such skills as ultrasound, stating that point-of-care use is common and is a required objective in their region. While many fellowship programs require compe-tency in ultrasound, the core committee felt that this would not be achievable in many resource-scarce communities and, therefore, we added the clarification that it is recommended but not essential. In keeping with the core principle of this document, the goal is a set of competencies that would be achievable globally, and hence establishes a minimal stand-ard. There are other skills that should be part of advanced training but this was not the goal of this particular document, which is why skills such as ultrasound competency are not included.The overall aim of the supplement is to assist trainees, preceptors, administrators, and faculty with a framework that defines the minimum learning outcomes in PEM. It is by no means an exhaustive list of knowledge, skills, and attitudes required for specialized pediatric emergency management as many regions do not have the required resources for a com-prehensive program. Establishing a competency threshold that is achievable across regions, within the constraints of local resources, enables the best possible care for pediatric patients. The curriculum is developed by IFEM PEMSIG and endorsed by the board of the Canadian Association of Emergency Physicians.Acknowledgements We would like to thank the Board of CAEP for endorsing this supplement.Funding This research received no specific grant from any funding agency, commercial or not-for-profit sectors.Compliance with ethical standards Conflict of interest The authors declare no conflict of interest.References 1. IFEM PEMSIG. International Standards of Care for Children in Emergency Departments. https ://www.ifem.cc/wp-conte nt/uploa ds/2016/03/Inter natio nal-Stand ards-for-Child ren-in-Emerg ency-Depar tment s-V2.0-June-2014.pdf. Accessed 24 Oct 2020 2. Duke T, Cheema B. Paediatric emergency and acute care in resource poor settings. J Paediatr Child Health. 2016;52:221–6. 

The International Federation of Emergency Medicine pediatric emergency medicine supplement to the model curriculum for emergency medicine specialists

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The International Federation of Emergency Medicine pediatric emergency medicine supplement to the model curriculum for emergency medicine specialists

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