Critical Care and Resuscitation
- Acute respiratory distress syndrome (ARDS)
- Hypothermia and hyperthermia
- Increased intracranial pressure
- Invasive and non-invasive monitoring
- Pharmacology
- Analgesics
- Pain management in critically ill children
- Inotropic agents
- Intubation medications
- Neuromuscular blocking agents
- Ssedatives
- Shock
- Post-operative chest tube function
- Respiratory failure
- Ventilatory management and interpretation of blood gases
Adolescent Medicine and Gynecology, and Obstetrics
- Abnormal uterine bleeding
- Amenorrhea
- Counseling adolescents who are sexually active
- Dysmenorrhea
- Eating disorders
- Pelvic inflammatory disease
- Pregnancy issues and high risk pregnancy
- Evaluation and initial management of abdominal pain in a pregnant patient
- Evaluation and initial management of vaginal bleeding in a pregnant patient and dysfunctional uterine bleeding
- Sexually transmitted diseases
- Straddle injuries
- Rape victims
- Vaginal foreign bodies
Allergy and Immunology
- Basic mechanisms of allergic disease
Immune deficiency states and immunologically-mediated disease processes- Anaphylaxis
- Asthma
- Atopic dermatitis
- Food allergy
- Laboratory tests – Pathology and Radiology / Nuclear Medicine
- Nasal allergy
- Sinusitis
- Urticaria
- Understanding and utilizing the appropriate pharmacologic agent
- Analgesics
- Anesthetics, topical
- Nerve blocks
- Pain management
- Paralyze a patient via rapid sequence induction
- Procedural sedation
- Understanding when it is appropriate to consult with anesthesiology
Behavioral and Developmental Pediatrics and Child Abuse
- Normal development and deviations from the normal, especially when injury is involved
- Common behavioral problems
- Social and psychological aspects of illness in children
- Consultation with mental health referrals
- Potential difficult situations when treating these patients
- Sedating an autistic child
- Identifying the source of crying or irritability
- Suspected victims of non-accidental trauma and their families
- Reporting suspected abuse
- Forensic interviewing and examination techniques
- Understanding the two legal systems, i.e. criminal and dependency
- Behavioral and developmental consequences of victimization in children who have been abused and/or neglected
- Community resources relating to children
- Blind and hearing impaired and their families
- Child abuse and neglect
- Daycare
- Educational resources
- Education for the special needs child
- Parent education and support
- Mental health resources
Cardiology and Cardiothoracic Surgery
- Arrhythmias
- Carditis
- Cardiomyopathy
- Chest pain
- Congenital heart disease
- Congestive heart failure
- Cyanosis
- Hypertensive emergencies
- Hypotension
- Pulmonary/mediastinal anomalies
- Shock
- Surgery and transplant
- Indications for cardiac surgery and treatment for post-operative complications
- Corrective surgery for congenital heart disease
- Medications used in patients undergoing cardiac/thoracic and transplantation procedures
- Syncope
- Normal dental development and care
- Indications for emergent dental consultation
- Indications for outpatient dental consultation
Dermatology and Burns
- Common pediatric rashes
- Fungal infections
- Lice
- Scabies
- Recognition of skin lesions indicative of systemic disease
- Burn management
- Admission to an inpatient ward or a burn unit
- Debridement
- Fluid resuscitation
- Salt-losing adrenal hyperplasia in the newborn
- Ambiguous genitalia
- Adrenal insufficiency
- Diabetes
- Pathophysiology
- Diagnosis and management
- Diabetes insipidus
- Hypocalcemia
- Hypoglycemia
- Hypothyroidism – congenital and acquired
Emergency Medical System and Transport Medicine
- Organization of local emergency medical systems
- Ore-hospital care
- Access
- Limitations of providers
- Transportation systems
- Availability of trauma centers and other centers capable of providing care for critically ill children
- How to arrange transport to another facility
- Physician responsibilities and Emergency Medical Treatment and Active Labor Act regulations (EMTALA, i.e. anti-dumping laws)
- Indications for fixed wing versus rotary wing transport vehicles
- Transport physiology
- Knowledge of emergency medical services skills and emergency medical services protocols
- Altitude illness
- Diving injuries and management of barotrauma
- Electrical injuires
- Hypothermia
- Heat related injuries
- Submersion incidents
- Drowning
- Near-drowning
- Acute and chronic abdominal pain
- Constipation
- Acute and chronic diarrhea
- Upper and lower gastrointestinal bleeding
- Conjugated and unconjugated hyperbilirubinemia
- Jaundice in the neonate
- Liver transplantation and small bowel transplantation
- Short gut syndrome
- Vomiting
Genetics, Metabolism and Molecular Medicine
- Common inborn errors of metabolism and their presentations
- Glycogen storage diseases
- Lysosomal storage diseases
- Organic & fatty acid defects
- Phenylketonuria
- Urea cycle defects
- Down syndrome and other genetic syndromes
- Metabolic emergencies and management in the emergency department
- Genetic therapies
- Fasting physiology
- Basic principles of molecular diagnosis
- PCR for infectious diseases
Hematology and Oncology
- Anemia
- Bleeding and bruising
- Bone marrow failure
- Aplastic anemia
- Neutropenias
- Disseminated intravascular coagulation (DIC)
- Hemophilia patients and recognition of emergent complications of hemophilia
- Sickle cell disease and recognition of sickle cell crisis
- Indications for tranfusion and appropriate choice of blood product
- Benign and malignant tumors
- Fever and neutropenias
- Tumor lysis syndrome
- Bite wounds
- Cost effective use of the microbiology lab
- Common infectious disease disorders
- Fever
- Kawasaki disease
- Hospital infection control including emphasis on hand washing
- Opportunistic infections indicative of an underlying immune defect
- Apnea
- Cyanosis
- Fluid and electrolyte management in the neonate
- Maternally transmitted infectious diseases
- Jaundice of the newborn
- Meconium aspiration
- Necrotizing enterocolitis
- Neonatal seizures
- Neonatal sepsis
- Ventilator management
- Urological emergencies
- Hernias
- Hydroceles
- Hypospadias
- Phimosis, paraphimosis, balanitis
- Undescended testes
- Botulism
- Guillain-Barre syndrome
- Headaches and migraines
- Hypertonia
- Hypotonia
- Increased intracranial pressure
- Myelomeningocele
- Myopathies
- Neurocutaneous lesions
- Seizures including febrile seizures
- Spinal cord lesions
- Brain and spinal tumors
- Brain tumors
- Neurosurgical emergencies
- Head trauma
- Intracranial bleeds
- Increased intracranial pressure
- Spinal cord injury
- Ventilation
- Immobilization
- Glucocorticoids
- Headaches
- Hydrocephalus and shunts
- Conjunctivitis
- Ocular emergencies
- Periorbital versus orbital cellulitis
- Ocular manifestations of systemic disease
- Extremity anatomy to accurately assess musculoskeletal complaints and physical findings
- Fractures or dislocations reduction management and complications
- Growth plate injuries
- Hand and wrist injuries
- Limping child
- Limb and back pain
- Vascular complications of extremity injury
- Compartment syndrome
- Ear trauma
- Auricular hematomas
- Epistaxis
- Fractures
- Sinusitis
- Otitis media
- Surgical airway see also Anesthesiology
- Tracheostomy care
- Upper airway obstruction
- Cost-effective approach to ordering tests
- Difference between sensitivity and specificity of a test
- Interpretation of common blood tests
- Basic knowledge of abdominal, cervical, and thoracic anatomy and common surgical conditions pertaining to each area
- Abdominal mass
- Acute surgical abdomen at all ages
- Fluid and electrolyte management of surgical patient
- Differentiate between incarcerated hernia, reducible hernia, and a hydrocele by history and examination
- Pyloric stenosis
- Common drug reactions
- Drug interactions
- Cardiac, renal, or hepatic disease impact on drug administration and ability to make proper adjustments
- Wounds or lacerations that may be repaired by the emergency medicine physician, but requires plastic surgery follow-up
- Wounds or lacerations requiring plastic surgery
- Auricular lacerations
- Complex lacerations over the face/lip
- Nasal ala lacerations
- Complications of laceration repair and appropriate discharge and follow-up instructions
- Family responses to illness or death
- Depression
- Psychoses
- Psychotropic drugs
- Suicidal and homicidal tendency
- Endocrine, neurologic, systemic disease as causes of psychiatric illness
- Differentiate between disease states and variants of normal
- Imaging characteristics of common abnormalities and diseases
- Imaging modalities
- Computed tomography
- Fluoroscopy
- Radiography
- Magnetic resonance imaging
- Nuclear scintigraphy
- Real time ultrasound and doppler ultrasound
- Dermatomyositis
- Juvenile rheumatoid arthritis
- Mixed connective tissue disease
- Reactive arthritis
- Scleroderma
- Spondyloarthropathies
- Systemic lupus erythematosus
- Acute toxicologic exposures
- Dermatologic
- Ingestions
- Inhaled exposures
- Antidotal treatment
- Observation versus decontamination
- Type of decontamination
- Indications for peritoneal dialysis, hemodialysis, and hemoperfusion
Trauma – Emergency Medicine, Critical Care, and Surgery
- Traumatic injury and complications of the injury
- Complications of traumatic injury after the initial survey
- Knowing Advanced Trauma Life Support (ATLS) instruction
- Airway assessment and managing complications
- Excessive bleeding
- Disruption of the airway
- Obstruction
- Breathing and managing complications
- Pneumothorax
- Hemothorax
- Flail chest
- Circulation and managing complications
- Poor perfusion
- Shock
- Vascular compromise
- Neurological status in all ages
- Extremity assessment by exposing the patient, while addressing the environment
- Airway assessment and managing complications
Weapons of Mass Destruction (WMD) Management of Biological, Chemical, and Radiation Hazards
- Biological WMD
- Chemical WMD
- Disaster preparedness
- Nuclear WMD/radiation injuries
- Utilization of the hospital system to provide care in the event of a WMD attack
Other/Miscellaneous
- Administrative
- Managing the clinical emergency department
- Administrating the emergency department
- Managerial skills
- Regulatory groups
- Scheduling divisional shifts
- Quality assurance issues
- The financial side of the emergency department
- Basics of the budget and understanding payments
- Billing and elements of successful quality improvment
- Scheduling divisional shifts
- Managing the clinical emergency department
- Career Planning
- How to look for a job
- Choosing the right job for the person
- How to read a contract
- How to ensure benefits/adequate malpractice insurance
- Child Advocacy
- Role of the emergency medicine physician within the community
- Protecting children from abuse and neglect
- Developing long-life skills
- Anticipating advancement
- Continuing education
- Evaluation of published information
- Maintaining skills and knowledge
- Medical Ethics
- Clinical Trials and phases of evaluation of new treatments I, II, III
- Death and dying and decisions regarding
- Autopsy
- End of life issues
- Resuscitation
- Understanding and determining competence for decision-making
- Hippocratic oath
- Informed consent
- Self-treatment or treatment of ones own family
- When to ask for an ethics committee consultation
- Health Care Economics and Cost Containment
- Differences between
- Health maintenance organizations
- Managed care
- Medicaid
- Medicare
- Private insurance
- Principles of health care financing
- Pnderstanding costs, charges, cost-shifting
- Differences between
- Navigating the medico-legal system
- Professional organizations
- Structure, function, and benefits
- Referral calls
- Research methodology
- Basics of research design
- Case control studies
- Cohort studies
- Meta-analysis
- Randomized clinical trials
- Power and sample size calculations
- Retrospective vs. prospective
- Knowledge of basic statistical methods
- Sensitivity and specificity
- Parametric and non-parametric tests
- Regression
- Ability to conduct a retrospective or prospective study to completion
- Ability to critically review journals and presentations
- Basics of research design
- Teaching/Examination
- Developing effective teaching methods
- Bedside teaching
- Large group teaching
- Small group
- Ream building strategies
- Developing lecture style teaching methods
- Preparation for board certification
- Developing effective teaching methods