3. Conclusion

2.10.11. Defining learning objectives

312 Essentials of Accident and Emergency Medicine

2.10.12. Defining rotation objectives

2.10.13. Communication skills and leadership qualities

2.10.14. Administration and management skills

ment skills to our trainee to deal with all these issues.

evidence-based practice.

repeated frequently.

department.

There must be clearly defined learning objectives. All the topics should be taught in such a way that there are clear learning objectives which are conveyed and taught at the end of the teaching session. The learning objectives must include the local policies and protocols and

All rotations in emergency medicine have some objectives and goals. These objectives are defined on the basis of specialty requirement. With the passage of time and by the feedbacks provided by the trainee and the faculty, program evaluation committee and the clinical competency committee give their recommendations to improve the curriculum and the program. These recommendations must be forwarded to the Program Director who with his team should take necessary steps to improve the program. This is a dynamic process and must be

Emergency medicine teaching is incomplete without the communication and leadership skills. The nature of the specialty demands high level of communication skills from the trainee. The difficulty of work environment, the pressure of work and the dynamics of clinical work expect from the physician to be an expert in averting any issues or problems which arise at shop floor. Looking at the diversity of problems and conditions which are expected to use emergency department as a gateway to the hospital, lack of good communication skills and leadership qualities will add on the disposition time of patient and would add to length of the stay in the

These skills are important to be taught during the training program. We have seen that the emergency departments are getting bigger and busier all over the world. Emergency departments are used more and more as walk-in facility where patients come to get opinion about their problems and issues. Lack of rapidly expanding primary care setup, readily access to health information on internet and social media, improving public awareness about health are the reasons for more patients visiting emergency department. They need quick answer to their questions and they visit the emergency department with expectations and fixed ideas. This leads to overcrowding in the department. With the overcrowding, we face problems of space, delay and increased length of stay, diagnostic and therapeutic errors, improper disposition and unnecessary investigations. Thus, it is important that we teach administrative and manage-

Strong administrative and management qualities help the candidates to deal with issues of overcrowding, bed crisis, long waiting time, complaints and litigations and difficult and aggressive patients. This skill will help physicians to find out solutions for the problem.

To establish a good teaching program, all the important aspects of teaching and training need to be addressed. The trainer needs to be trained to deliver the best emergency medicine training and expertise to the trainer. It requires lot of faculty development programs and training of the trainer. Different tools need to be developed to keep a strict eye on the quality of the program so that timely interventions are done if there is any deficiency in the outcome.
