Foundations I

About Foundations I | F1 Learning Pathways | Frameworks | F1 Course Schedule

About Foundations I

The Foundations I course is targeted towards junior Emergency Medicine learners. It provides a systems-based review of fundamental knowledge and can’t miss diagnoses within the EM Model of Clinical Practice (ABEM). Within a flipped classroom model, Learning Pathways provide content for independent study prior to 30 classroom meetings where 3 small group oral boards style cases are discussed with focused teaching points.

Foundations I Learning Pathways

Foundations Learning Pathways allow a variety of options for your independent study. Each pathway will cover the same weekly learning topics and is intended to take 1-2hr to complete. It is important for you to review all the assigned preparation materials prior to each Foundations Meeting. Specific Learning Pathway assignments for each unit of Foundations I can be found by system on the Foundations main page.

Foundations I Learners may choose from 3 different Learning Pathways:
Traditional Textbook- includes reading selections from Rosen’s OR Tintinalli’s
High-Yield Text- River’s Written Board Review book OR Tintinalli Manual
Multimedia- Hippo Videos AND FOAM resources

Take a moment to review the options described below. Decide what you think will work best for you but don’t hesitate to change your approach over time. Your Foundations Site Director should be able to help direct you towards options for accessing these resources, either through your institutional online library, provided by your residency or for purchase using CME funds.

Traditional Textbook
This pathway is best suited to learners who want all the details in plain text. It is important to note that you will not complete the entire textbook in a year. Rather, select pages with high-yield topics are intended to help establish fundamental knowledge. You should plan to build on this knowledge with additional reading as a more senior resident.

If you chose this pathway, you have the option of using either Rosen’s Emergency Medicine (8th Edition), Tintinalli’s Emergency Medicine (8th Edition). These two textbooks cover the same core content, Emergency Physicians tend to have a strong preference for one or another. Ask around, figure out what is available to you through your institution and then decide which is best for you.

High-Yield Textbook
The resources used in this pathway are more to the point. They are formatted to provide a general review of information rather than all the fine print. If you chose either of the books in this pathway, you will complete the entire book by the end of the year. Keep in mind that these will provide high yield summaries of information and not comprehensive knowledge. You should plan to build on this foundation with additional reading as a more senior resident.

Dr. Carol River’s Preparing for the Written Board Exam in Emergency Medicine (8th Edition), as the name suggests, is a bulleted review primarily intended for use prior to taking the board exam at the end of residency. It summarizes important concepts and may be used as a framework for core knowledge in our specialty. Similar to your worn out and heavily noted copy of First Aid for the USMLE Step 1, you may prefer to review this early, take additional notes from other resources and refer back to it at the end of residency. Registered Foundations Learners have generously been offered a 25% discount by Ohio ACEP (source of this text). You can visit their website for more details, but orders from Foundations participants should be made by phone (614-792-6506) to receive the discount.

Tintinalli’s Emergency Medicine Manual (7th Edition) is an alternate choice for the high-yield text pathway. It is formatted to be an introductory review as a smaller and more portable handbook.

Perhaps you’ve heard of Free Open Access Medical Education or “FOAMed”. The number of online resources available for reference and independent study of Emergency Medicine has grown exponentially in the last few years. This pathway was designed to provide specifically curated, level-appropriate resources for those of you who prefer videos, podcasts and blogs to traditional textbook options. Again, resources in this pathway will provide high yield summaries of information and not comprehensive knowledge. You should plan to build on this foundation with additional reading as a more senior resident.

This pathway heavily relies on educational videos created by Hippo Education. Although this is usually a paid resource, a collaboration between EMRA (Emergency Medicine Resident’s Association) and Hippo EM will allow free access for all Emergency Medicine PGY-1 residents. PGY2-4 residents can also get HippoEM access at a reduced rate ($189/yr). For either of these options, you must first register through EMRA. Memberships to EMRA may be provided by your residency or you may need to purchase them yourselves if you’d like to access the related resources. You can learn more details about accessing this content at the following site.

Foundations Frameworks

Frameworks, a supplementary curriculum for Emergency Medicine Foundations, focuses on teaching organized approaches to common clinical entities. The Frameworks curriculum aims to equip emergency medicine residents with cognitive scaffolding to efficiently work up and care for undifferentiated patients (eg “Approach to AMS”, “Approach to Stroke”, “Approach to Syncope”, etc).

For the 2017-2018 academic year, there will be a Framework included within Learning Pathway assignments for each unit of the Foundations I curriculum. Your Site Director may make these required or optional and may or may not review them during Foundations Meetings. Regardless, we encourage you to review this content on your own and even reference them while on ED shifts. For more information about Foundations Frameworks, and for access to all Frameworks for independent study, please review the dedicated Frameworks webpage.

Foundations I Course Schedule for Learners

Below you will find the core schedule for Foundations I. Keep in mind, your program may be making significant changes from the standard schedule and your Foundations Site Director will provide you with a detailed schedule for your institution (dates with specific units for your site). Note that the core schedule below includes paired Frameworks for each unit and suggested Rosh Review mini-tests for each unit (these may or may not be required by your site).

Block 1

MeetingUnitGeneral TopicsSpecific TopicsPaired FrameworkRosh Mini-Test
0OrientationCourse ReviewFoundations Overview, Intro to Oral Boards Cases
1GI IGI Bleeding, Esophageal and Stomach DisordersGI Bleed, Esophageal Do, PUD, PerforationApproach to Nausea and VomitingFOUNDATIONS I (F1) UNIT 01- GI I
2GI IIAcute Abdomen, AnorectalAcute Abdomen, Anorectal DisordersApproach to the Surgical AbdomenFOUNDATIONS I (F1) UNIT 02- GI II
3GI IIIBiliary, Liver, GI InfectionsDiarrhea, Biliary Disease, Hepatitis, Cirrhosis, PancreatitisApproach to JuandiceFOUNDATIONS I (F1) UNIT 03- GI III
4Pulm INon-infectious Pulmonary DiseaseHemoptysis, PTX, Asthma, COPD, ARDS, PE, CyanosisApproach to HypoxemiaFOUNDATIONS I (F1) UNIT 04- Pulm I
5Pulm IIInfectious Pulmonary DiseasePneumonia, TB, Effusion, Aspiration, Abscess, EmpyemaApproach to Emergent Airway ManagementFOUNDATIONS I (F1) UNIT 05- Pulm II
6Cards IDysrhythmiasDysrhythmias, PacemakersApproach to Tachycardia and
Approach to Bradycardia
7Cards IIACS, CHFACS, CHF, CardiomyopathyApproach to Syncope and
Approach to CHF
8Cards IIIValvular disease, CarditisPeri/Myocarditis, Valvular Disease, EndocarditisApproach to Cardiac Arrest and
Approach to Shock
9VascularDissection, Aneurysm, DVT & HTNDissection/Aneurysm, DVT, HTNApproach to HTN in the EDFOUNDATIONS I (F1) UNIT 09- Vasc

Block 2

MeetingUnitGeneral TopicsSpecific TopicsPaired FrameworkRosh Mini-Test
10Trauma IGeneral Traumatic InjuriesShock, TBI, Spine, Peds, Thoracic, Abdominal, Pelvic, ExtremitiesTraumatic Head Bleed and
Chest Trauma and
Abdominal Trauma
11Trauma IISpecialized Traumatic InjuriesEye Trauma, Nasal Trauma, Facial Trauma, Dental Emergencies, Pelvic FracturesPelvic Trauma and
Vascular Extremity Injury
12Trauma IIISpecialized Traumatic InjuriesElectrical, Rhabdo, Burns, Trauma in Pregnancy, Penetrating Trauma, Blast InjuriesChest TraumaFOUNDATIONS I (F1) UNIT 12- Trauma III
13Peds IPediatric Resuscitation, Neonatal EmergenciesPeds Resus, Neonatal Disorders, Congenital Heart DiseaseApproach to the Sick NeonateFOUNDATIONS I (F1) UNIT 13- Peds I
14Peds IIPediatric Pulm, Pediatric InfectionsPeds Airway, Peds Infections, Acute Airway ObstructionApproach to the Febrile NeonateFOUNDATIONS I (F1) UNIT 14- Peds II
15Peds IIIOther Pediatric Emergencies, Child AbusePeds Seizure, Shunts, GI/GU, Child AbuseApproach to Pediatric Abdominal PainFOUNDATIONS I (F1) UNIT 15- Peds III
16HEENTEye, Ear, Nose & Throat EmergenciesEar Infection, Hearing Loss, Eye Infections, Eye Inflammation, Eye Pain, Vision Loss, Eye Meds, ENT InfectionsApproach to Vision LossFOUNDATIONS I (F1) UNIT 16- HEENT

Block 3

MeetingUnitGeneral TopicsSpecific TopicsPaired FrameworkRosh Mini-Test
17IDInfectious EmergenciesSepsis, Tetanus, Malaria, Rabies, Zoonotic Infection, Warfare Agents, Legionella, AIDSAproach to Fever in the HIV PatientFOUNDATIONS I (F1) UNIT 17- ID
18Neuro IBrain EmergengiesStroke, Seizure, Coma, AMS, Vertigo, Headache, MeningitisApproach to AMS
Approach to Stroke
Approach to Vertigo
19Neuro / MSKNerve and MSK EmergengiesArthritis, Tendonitis, Back Pain, MSK Infections, Compartment Syndrome, Neuromuscular, Neuropathy, Spinal CordApproach to Weakness, Approach to SyncopeFOUNDATIONS I (F1) UNIT 19- Neuro/MSK
20OrthoTraumatic Orthopedic InjuriesUpper Ext, Pelvis, Hip, Knee, Lower Leg, Ankle, Foot FOUNDATIONS I (F1) UNIT 20- Ortho
21Tox IToxidromes and Poisoning ITox Eval, TCA, Li, Sedatives, Phenothiazines, Phenytoin, Opioids, Clonidine, Alcohols, Cocaine, Amphetamine, Hallucinogens, ASAApproach to the Poisoned Patient/ Toxicologic ResuscitationFOUNDATIONS I (F1) UNIT 21- Tox I
22Tox IIToxidromes and Poisoning IIAPAP, Fe, HC, Caustics, OP, Mushrooms, CN, Dig, BB, CCB, CO, Mercury, SulfonylureaApproach to ToxidromesFOUNDATIONS I (F1) UNIT 22- Tox II
23EnvironmentalEnvironmental ExposuresHeat/Cold Exposure, Bites/Stings, Altitude Sickness, Submersion, RadiationApproach to Hypothermic ResuscitationFOUNDATIONS I (F1) UNIT 23- Enviro

Block 4

MeetingUnitGeneral TopicsSpecific TopicsPaired FrameworkRosh Mini-Test
24Renal / GURenal and Male Gentiourinary DisordersAKI, CRF, HD Complications, Renal Transplant, UTI, Kidney Stones, Penile/Urethral DisordersApproach to Male Pelvic PainFOUNDATIONS I (F1) UNIT 24- Renal/GU
25GYNOvarian and Uterine Disease, Gyn InfectionSTIs, ID, Ovarian Disease, Vaginal Bleeding, Sexual AssaultApproach to Female Pelvic PainFOUNDATIONS I (F1) UNIT 25- Gyn
26OBPregnancy EmergenciesPregnancy Complications- Medical, Surgical, Complicated DeliveriesApproach to Vaginal BleedingFOUNDATIONS I (F1) UNIT 26- OB
27Endo / MetabolicEndocrine, Metabolic and Nutritional DisordersFluids and Electrolytes, Acid-Base Disorders, Hypo/Hyperglycemia, Hypo/Hyperthyroid, Adrenal Insufficiency/Crisis Approach to Hyperglycemia/InsulinFOUNDATIONS I (F1) UNIT 27- Endo/Met
28Heme / OncHematologic Emergencies, Emergent Complications of MalignancyBleeding Disorders, Sickle Cell, Anemia, Transfusions, Anticoagulation Reversal, Malignant Obstruction and Effusions, Hypercalcemia, SIADH, Tumor Lysis, Hyperviscosity, Adrenal Insufficiency, ImmunosuppressionApproach to Sickle Cell CrisisFOUNDATIONS I (F1) UNIT 28- Heme/Onc
29PsychPsychiatric EmergenciesAgitation, Psychosis, Depression/SI, Bipolar, Anxiety/Panic, Somatoform, Eating Disorders, Intoxication/Withdrawl, Delirium/DementiaApproach to the Agitated PatientFOUNDATIONS I (F1) UNIT 29- Psych
30Immuno / DermImmune System Disorders, Skin EmergenciesRaynaud, Reiter, Scleroderma, SLE, Allergic Reactions, Drug Reactions, Dermatitis, Skin Infections, Drug RashApproach to the Undifferentiated RashFOUNDATIONS I (F1) UNIT 30- Immuno/Derm

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