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EMERGENCY MEDICINE FOUNDATION PROGRAM
Annual Report 2019-2020
DEPARTMENT OF EMERGENCY MEDICINE
RAWALPINDI MEDICAL UNIVERSITY
HOLY FAMILY HOSPITAL
RAWALPINDI
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EMERGENCY MEDICINE FOUNDATION PROGRAM
ANNUAL REPORT
Batch-1(2019-2020)
Department of Emergency Medicine Rawalpindi Medical University, Pakistan
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Rawalpindi Medical University Faculty
EMERGENCY MEDICINE FOUNDATION PROGRAM
Prof. Muhammad Umar Vice Chancellor
Rawalpindi Medical University
Prof. Jahangir Sarwar Khan Project Director EMFP
Rawalpindi Medical University
Dr.Usman Qureshi Associate Professor of Surgery
lead Educational Supervisor EMFP
Dr.Abdul Naeem Assistant Professorof Emergency Medicine
Coordinator & supervisor EMFP
Dr. Saima Ambreen Associate Professor of Medicine
Educational Supervisor EMFP
Dr. Faryal Azhar Assistant Professor of Surgery
Educational Supervisor EMFP
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RMU EMFP Supervisors
Dr. Aimen Malik
Clinical Supervisor
Dr. M. Mujeeb Khan
Clinical Supervisor
Dr. NidaAnjum
Clinical Supervisor
Dr. Sadia Waheed
Clinical Supervisor
Dr .Najia Mahmood
Clinical Supervisor
Dr. M. Hafeez
Clinical Supervisor
Dr. Madhia Etisham
Clinical Supervisor
Dr Naureen Chaudri
Clinical Supervisor
Dr. Ramla Ghanzafar
Clinical Supervisor
Dr. Naeem Liaquat
Clinical Supervisor
Dr. Humera Nasim
Clinical Supervisor
Dr. Munazzah Aziz
Clinical Supervisor
Dr. Zahid Minhas
Clinical Supervisor
Dr. Yasir Iqbal
Clinical Supervisor
Dr. Sarosh Afzal Farooqi
Clinical Supervisor
Dr. Tayyab SaeedAkhtar
Clinical Supervisor
Dr. Aqsa Naseer
Clinical Supervisor
Dr. Maryam Barkat
Clinical Supervisor
Dr. Salman Shafiq
Clinical Supervisor
Dr. Raheel Ahmed
Clinical Supervisor
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Emergency Medicine Foundation Program (EMFP) is a joint venture of Royal college of
Emergency Medicine (RCEM), UK and Rawalpindi Medical University (RMU), Pakistan. Main
objective of the foundation program is to improve the standards of Emergency Department by
providing quality training to emergency physician. Memorandum of Understanding was sign
between two institutes and the program was launched in July-August 2019 for the period of one
year. Training site was decided to be Emergency Department of Holy Family Hospital,
Rawalpindi. 14 supervisors were nominated from the faculty of RMU and were two train-the-
trainers workshops were conducted by RCEM. 28 trainees were inducted for one year training
program. Most of inductees were from RMU and allied hospital while others were from different
institutions or clinics.
EMFP curriculum for trainees and their assessment guidelines were published by RCEM.
Supervisor’s course guidelines and assessment methodologies were accessible. With the
launched of program, teaching and training was started. NHS eportfolio was activated for EMFP
trainees and supervisors and RCEM learning resources were accessible to trainees for updated
and integrated learning. Monthly webinars were conducted by RCEM for trainees and
supervisors to discuss their difficulty in the training and development.
28 trainees were inducted that worked in Emergency Department of Holy Family hospital,
Rawalpindi for one year training program.
Train The Trainer’s Workshops
Two train the trainers workshops were carried out by Royal College of Emergency Medicine to
make sure quality supervision of trainees. First workshop was on 18-19 June 2019 and
supervisors were trained about EMFP curriculum, educational & clinical supervision, eportfolio
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and effective feedback mechanism. RCEM team consisted of Dr. Jason Long, Dr.Ayyaz Abbasi
and Ms.Emily Beet. Second workshop was conducted on 17-18 December 2019 with RCEM
compromises of Dr. Emma Fernandez, Dr.Amanda Farrow and Dr.Ayyaz Abbasi. RMU team gave
feedback over the training program and highlighted the deficient areas especially in WPBAs and
eportfolio.
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Train The Trainers Workshops
Syndicate Hall, Rawalpindi Medical University
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EMFP Teaching & Training
Overall trainees were satisfied with teaching and training program. Teaching was in the form of
contact and clinical sessions. Core knowledge was delivered on weekly contact session while
professionalism, clinical skills and case handling were discussed in clinical sessions. Contact
sessions were conducted by senior RMU faculty and clinical program was carried Emergency
Medicine Foundation Program (EMFP) is a joint venture of Royal college of Emergency Medicine
(RCEM), UK and Rawalpindi Medical University (RMU), Pakistan. Main objective of the
foundation program is to improve the standards of Emergency Department by providing quality
training to emergency physician. Memorandum of Understanding was sign between two
institutes and the program was launched in July-August 2019 for the period of one year. Training
site was decided to be Emergency Department of Holy Family Hospital, Rawalpindi. 14
supervisors were nominated from the faculty of RMU and were two train-the-trainers
workshops were conducted by RCEM. 28 trainees were inducted for one year training program.
Most of inductees were from RMU and allied hospital while others were from different
institutions or clinics.
EMFP curriculum for trainees and their assessment guidelines were published by RCEM.
Supervisor’s course guidelines and assessment methodologies were accessible. With the
launched of program, teaching and training was started. NHS eportfolio was activated for EMFP
trainees and supervisors and RCEM learning resources were accessible to trainees for updated
and integrated learning. Monthly webinars were conducted by RCEM for trainees and
supervisors to discuss their difficulty in the training and development.
Patient safety
Patient safety is given prime importance in the emergency department, similarly each trainee
is also provided safe working environment. Identification of vulnerable patient is carried out
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ED stay. EMFP trainees are bound to discuss each case with seniors fellows before discharge.
End of shift handover is mandatory step to ensure continuity of care. 24 hours consultant
supervision in ED is available for smooth and safe working.
Training Protocols
EMFP is an organized training program under direct supervision of its clinical and educational
supervisors. Trainees are inducted according to Rawalpindi Medical University induction
procedure i.e. advertisement, applications, scrutiny, selection, interview and induction.
Introduction to one year trained program and their aims & development plans are discussed in
orientation session. Trainees are monitored and accessed by EMFP supervisors. Trainee’s
capabilities are graded according to EPAs (Entrustable Professional l Activities). WPBA
(Formative and summative), DOPs are carried out throughout training period. Trainees have
mandatory educational supervisors meeting to discuss their concerns and update them for
their program and short comings. 360˚ degree evaluation is done by multi source feedback
mechanism. Structured training report and end of Programme report are generated annually
and discussed with each trainee about the performance.
Educational supervision
An educational contract signed by educational supervisor and trainee is necessary part of
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documentation. This contract makes education supervisor responsible for ensuring his/her
trainees have clear understanding about the course, training methodology, developmental
needs and competencies to be achieved. Regular meetings ease the trainees to discuss their
concern with positive outcome.
Clinical supervision
24 hours clinical supervision is provided to EMFP trainee. All clinical supervisors have been
trained by RECM train the training workshops. Annual supervision schedule of CSs is provided
and is work in organized accordingly. Trainee’s clinical skills and professional development are
accessed and recorded according to competency level. Clinical supervisors provide positive
feedback during the daily WPBAs and identify the trainees that need extra support. Such cases
are discussed with respective education supervisor followed by ES meeting to sort out
trainee’s issues and difficulties. In case of difficulty for CS, ES and EMFP incharge look into the
matter to way out the challenge.
Working environment
Respectable and safe working environment provided to the trainee with access to life
essentials, learning facilities and contact details of their supervisors. Trainees are provided on
monthly bases for their monthly work rota in ED, core knowledge and skill development
activities along with their work place based assessment schedule.
Escalating trainees concerns
Trainees are divided in groups and their group leaders are chosen for better communication of
their mates. All the trainees have to access to RMU EMFP head office to bring any issue they
face while induction, training and during evaluation. Depending upon nature of issue,
appropriate feedback is given either individually as in group.
Supporting trainees
‘’ Trainee in difficulty’’ is one of the important concern that has been identified, discussed in
webinar and incorporated in RMU teaching. Clinical supervisors regularly monitor and access
trainees for their progress and identify their problems. Then ES meeting with trainee is aimed
to provide appropriate support and maintain quality training.
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Management concerns
20% trainee and 16% of supervisors experience management issues during induction and
registration phase. Up to 10% faced problems in the 1st quarter, mainly clashes of EMFP session
with their work station duties at the same time. Some faced communication issues among
trainees and supervisors. 5% trainees faced difficulties in finding the classroom and their
respective supervisor. 10% trainees had financial problems and were happy with the financial
assistance provided by RMU. Support from management team was 100% with positive results.
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RCEM Support
Trainees were satisfied with the support of RCEM in foundation program. They considered RCEM
learning resource and webinars were the best achieving 98% and 94 % satisfaction level
respectively. 93% trainees were happy with RCEM communication and 90% with technical
support. e-portfolio was most difficult task for both trainees & supervisors inspite of webinars
and hands on workshop
EPRP – End of Program Review Panel
EPRP is the final authority to decide for EMFP certification. Decision of awarding the certificate
depends upon the ES and CS annual report, multisource feedback, personal development plan,
trainee’s progression evidences and achieving desired EPA levels. The meeting is jointly
conducted by RCEM & RMU team and final outcome is declared.
EPRP is the final authority to decide for EMFP certification. Decision of awarding the certificate
depends upon the ES and CS annual report, multisource feedback, personal development plan,
trainee’s progression evidences and achieving desired EPA levels. The meeting is jointly
conducted by RCEM & RMU team and final outcome is declared.
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Supervisor Appraisals
At end of year training, educational and clinical supervisors were reviewed for their professional
development and reflection on the supervisory skills.
These annual appraisal meetings were jointly conducted by RCEM & RMU team and final
outcome was declared as RCEM-EMFP educational or clinical supervisor. These meetings took
place online due to travel restriction. The scope of appraisal meeting focused mainly on
development as supervisors that with key components as
Ensure safe and effective patient care through training
Establish and maintain an environment for learning
Teach and facilitate learning
Enhance learning through assessment
Support and monitor educational progress
Guide personal and professional development
Continued professional development as an educator
