1. Interactive Video-assisted Procedural Curriculum for Uncommon Emergency Medicine Procedures Chad Gorbatkin, MD; Jason Bothwell, MD; Ryan Walsh, MD Madigan Army Medical Center, Tacoma, WA Background Educational Objectives Junior resident expertise in clinical teaching Competence in performing uncommon procedures Familiarization with the location and use of equipment stocked in our own ED Mastery of uncommon procedures is essential in the practice of Emergency Medicine. Disclaimer: The views expressed are those of the authors and do not reflect the official policy or position of the Department of the Army, DOD, or the U.S. Government

2. Curricular Design Identify 52 uncommon procedures Identify highest quality instructional videos for each procedure Create spreadsheet with schedule and links for easy reference Assign junior resident instructors with a faculty supervisor Identify supplies including tissue and simulation equipment Teach and perform procedures at weekly morning report Continuous re-evaluation to optimize included procedures Awake Intubation Morning Report Interactive Video-assisted Procedural Curriculum for Uncommon Emergency Medicine Procedures Chad Gorbatkin, MD; Jason Bothwell, MD; Ryan Walsh, MD Madigan Army Medical Center, Tacoma, WA

3. Interactive Video-assisted Procedural Curriculum for Uncommon Emergency Medicine Procedures Chad Gorbatkin, MD; Jason Bothwell, MD; Ryan Walsh, MD Madigan Army Medical Center, Tacoma, WA

4. Procedure Morning Report Preparation Sheet Planned Date: Procedure to be done (Schedule available online): Learning Objectives: (1-3 things you want to teach about this procedure – your video and other didactics should cover all of them) 1) 2) 3) Video (choose one or more videos – examples for most are available on the schedule on sharepoint; if you use alternative video, please list on sharepoint site): Other didactics plan (Are you going to lecture off the cuff? Use powerpoint? Just rely on the video?): Simulation plan (Are you going to use a sim-man? Beef bones? Your own home-built apparatus? Practice on each other? Your attending / seniors may have suggestions): Practice: Ensure you are familiar with the procedure and have done it at least once, including using your planned simulator at least once. Contact your attending if you are having difficulties. Review: The back side of this sheet has several recommendations – review them for anything else you may want to put together in advance (a pre-quiz, etc). Interactive Video-assisted Procedural Curriculum for Uncommon Emergency Medicine Procedures Chad Gorbatkin, MD; Jason Bothwell, MD; Ryan Walsh, MD Madigan Army Medical Center, Tacoma, WA

5. Impact A hands-on, engaging, highly interactive learning session every Friday Resident instructor gains essential teaching and practical experience Learners (including Attendings) practice and perform uncommon procedures weekly in our own ER with our equipment Excellent review from residents via survey system REFERENCES Conclusions Druck J, MA Valley, SR Lowenstein 2009. Procedural skills during emergency medicine residency: are we teaching the right things? West J Emerg Med 10: 152-156. Kilian BJ, LS Binder, J Mrsden 2007. The emergency physician and knowledge transfer: continuing medical education, continuing professional development, and self-improvement. Acad Emerg Med 14: 1003-1007. Pediatric Jet Ventilation Morning Report Procedural morning report is an excellent addition to our curriculum Interactive Video-assisted Procedural Curriculum for Uncommon Emergency Medicine Procedures Chad Gorbatkin, MD; Jason Bothwell, MD; Ryan Walsh, MD Madigan Army Medical Center, Tacoma, WA