Supplementary CME Fall/Winter 2016 CONTINUING EDUCATION

“Maintenance of Certification requires that the Paramedic

meet all Base Hospital administrative requirements

including completion and submission of forms and successfully complete

all Base Hospital CME requirements.”

Extract from Advanced Life Support Patient Care

Standards –Summer 2000(under review), Version 2.1

Completion deadline December 31, 2016

Registration will only be accepted via email to:

Email: CMEregistrar@socpc.ca

Sunnybrook Centre for Prehospital Medicine ▪ SUPPLEMENTARY CME ▪ 2016 3

Message from the Medical Directors Welcome to the supplemental CME catalogue for fall 2016. Please note that there are courses that require a minimum number of participants in order to run the session. Paramedics will be notified of this requirement in the confirmation email upon booking. It is the responsibility of each individual paramedic to ensure that he or she is compliant with Supplementary CME deadline of December 31, 2016. Sunnybrook will only be sending one reminder letter in 2016 to paramedics who have not completed their Supplementary CME. This final reminder letter to eligible paramedics will be sent in October, 2016. Failure to meet the deadline will result in administrative deactivation. You will find a range of educational events and opportunities that will challenge you, advance your knowledge and hopefully help your process in education as a paramedic. Knowing that each of you has your own learning style, this catalogue lists events that should fulfill everyone’s needs. There are courses sponsored by Sunnybrook as well as pre-approved “third party courses” (e.g. ACLS, PALS, NRP) which should satisfy you whether your interest is clinical, EMS leadership or research. For those of you who want to customize your educational program, we have increased the flexibility in choosing your own CME event. This can be almost anything you feel will enhance your abilities as a paramedic. There is a process outlined in this catalogue to ensure the Base Hospital approves your course of study in advance. Once you have reviewed your external CME options, apply for pre-approval using the form found here: Prehospital CME Approval Form Hopefully many of you attended or have heard from your colleagues about the “Mind of the Medical Director” day we held in December 2015. There were over 150 paramedics who attended, some from as far away as Ottawa. We had so much fun doing this and learned so much from the presentations prepared by your colleagues that we want to do this again. We are hoping to hold it in more places and at different times of the year. Consider this our personal invitation to watch for upcoming dates which will be communicated by the end of March 2016. Our overall goal is to create an environment for learning of your choice that will meet your needs. A key hallmark of all professions is active engagement in the pursuit of one’s own education. We hope the supplemental CME you choose this year will allow you to achieve that goal.

Dr. S. Cheskes Dr. P. Hoogeveen

Dr. M. Feldman Dr. R. Verbeek

4 Sunnybrook Centre for Prehospital Medicine ▪ SUPPLEMENTARY CME ▪ 2016 Frequently Asked Questions

What is CME? Continuing Medical Education allows paramedics to maintain and enhance their knowledge, skills and to learn about different clinical situations that occur less often in the field. Sunnybrook strives to provide essential courses and new learning opportunities for paramedics through CME. In order for CME credits to be allocated, the educational activity must enhance the clinical practice of paramedicine at the certification level of the paramedic.

Our continuing goal is to provide all paramedics an opportunity to self-direct their CME needs as much as possible. Our CME program provides a variety of options for paramedics to acquire all CME credits within the CME deadline.

How do I contact the Registrar? You may contact the Registrar for courses listed in the calendar via email at CMEregistrar@socpc.ca. Your inquiry will be directed to the most appropriate person.

What is the supplementary CME deadline for 2016? The deadline to acquire supplementary CME credits is December 31, 2016.

What happens if I do not complete my supplementary CME? Under section 0.Reg.257/00.S.8 (1-3) of the Ambulance Act and Section 6 of the ALS Patient Care Standard, paramedics who do not complete the CME requirement prescribed by Sunnybrook Regional Base Hospital are not eligible for annual certification, are subject to administrative deactivation and will be required to attend a mandatory make-up session in January 2017.

How do I register? Paramedics are scheduled on a first-come, first-served basis and must register for a course via email at CMEregistrar@socpc.ca within a minimum of 14 days prior to the course date.

Is there precourse material? Precourse material is included with some courses to meet the needs of various learners and maximize effectiveness of the learning opportunity. Precourse preparation is at the discretion of the learner and is not mandatory. The course material will be electronically mailed to your work email address.

What happens if I’ve registered for a course but am unable to attend? Contact the Registrar immediately as cost recovery fees might be applied if the space is unable to be filled prior to the commencement of the course.

Is a deposit required? No deposit is required; however, you will be liable for an administration cost once registration is confirmed and you cancel in less than two weeks of the course date.

I am a newly-certified ACP. Do I need to complete a Supplementary CME course this year? Newly certified ACPs are not required to complete supplementary CME requirements for the year of initial certification.

Can I complete my CME through Sunnybrook Regional Base Hospital if I am certified under a different base hospital in Ontario? Only Sunnybrook ACPs can attend courses offered in this calendar; however, other BHPs can, at their discretion, accept CMEs completed at Sunnybrook for CME hours to meet requirements for annual certification.

Sunnybrook Centre for Prehospital Medicine ▪ SUPPLEMENTARY CME ▪ 2016 5

May I take a CME activity not outlined in the CME Calendar? CME credit approval must be obtained from Sunnybrook Base Hospital prior to attending the desired program/event. If the CME is taken without prior approval, CME credits may or may not be granted.

Are certain courses pre-approved? A pre-approved list of courses can be found under the External Course/Education Activity section.

Can I attend CME offered by other Base Hospitals? Opportunities exist for Paramedics to attend CME delivered by another Base Hospital. Submission of a completion/ participation certificate by the respective BH will be required to enable Sunnybrook to award CME credits.

Can I be reimbursed for registration fees for external courses? Sunnybrook does not reimburse paramedics for any fees related to completion of CME credits.

How can I obtain pre-approval for external course/educational activity to use towards my Supplementary CME requirements? If the event is not pre-approved, provide as much information as possible on the External Course/Educational Activity Pre-approval Form, found here: Prehospital CME Approval Form

Include any supporting documents (course syllabus, completion certificate etc.). Your request will be reviewed and an appropriate amount of CME credit will be given.

Information to provide: a. Course name, date, location and contact hours (usually listed in the course brochure) b. Outline of learning objectives c. Describe how the CME enhances your clinical practice of paramedicine at your certification level The test for CME credit allocation is – "does the educational activity enhance the clinical practice of paramedicine at the certification level of the paramedic?" In your application, pay particular attention to answering this question.

How many CME credits will I be awarded for activities requiring pre-approval? For 2016, Sunnybrook will only be awarding 12 CME credits for all external learning activities evaluated and approved for CME. Depending on content, the number of credits may or may not equal the hours actually spent completing the specified CME. Sunnybrook is the only organization authorized to allocate CME credits. Proof of attendance and successful completion will be required to receive credit for all educational endeavours. Approval will be granted only after determining the relevancy to (a) paramedic’s scope of practice and (b) congruence with the Base Hospital’s learning objectives expectation.

What happens if I choose a CME event without pre-approval? If you choose to take a CME activity without pre-approval, you risk not receiving CME points if the activity does not meet Sunnybrook’s CME requirements. You will be required to submit the learning objectives here: Prehospital CME Approval Form On the form, explain how the educational activity enhances the clinical practice of paramedicine at your certification level.

What do I submit for proof of completion to earn my CME credits? After event completion, you are required to submit proof of attendance to the registrar CMEregistrar@socpc.ca. It may be in the form of a certificate or letter from a course coordinator.

6 Sunnybrook Centre for Prehospital Medicine ▪ SUPPLEMENTARY CME ▪ 2016 External Course/Educational Activities Pre-approved for 12 CME Credits

• ACLS • PALS • NRP

Conferences Sunnybrook Regional Base Hospital encourages paramedics to attend conferences related to the practice of paramedicine.

Conferences will be approved for CME credits through the external course/educational activity pre-approval process. Sunnybrook does not cover costs for registration or attendance. On completion of the course, submit your certificate of attendance to CMEregistrar@socpc.ca

In-class Courses ALS Skills Review (Minimum of 6 persons enrolled required for the course to run) The overall goal for this course is to provide paramedics with an opportunity to solidify and improve their proficiency in a variety of ALS skills, both the more common as well as the high-acuity low-frequency skills. These skills will then be incorporated into some practical scenarios so that they become integrated in a prehospital setting. These scenarios will provide an opportunity to review clinical decisions being made during the progress of the call.

Date Course Location

Thurs, Sept 8 ALS Skills Review Tam Heather Curling Club 730 Military Trail, Toronto

Advanced ECG Interpretation The goal of this course is to provide enhanced knowledge of 12 and 15 lead ECG interpretation to build on the paramedic’s pre-existing knowledge base. Participants will review anatomy and physiology of the heart’s electrical system and blood supply and correlate this information into 12 Lead interpretations. Participants will learn STEMI equivalents and STEMI imposters to assist in decreasing the number of false positives and increase the number of false negatives going to the PCI centre.

Date Course Location

Wed, Sept 14 Advanced ECG Interpretation Peel Regional Paramedic Services Tomken Reporting Station 6825 Tomken Road, Mississauga

Thur, Sept 22 Advanced ECG Interpretation Halton Region Paramedic Services 1179 Bronte Road, Oakville

Tues, Oct 11 Advanced ECG Interpretation Tam Heather Curling Club 730 Military Trail, Toronto

Tues, Nov 22 Advanced ECG Interpretation Tam Heather Curling Club 730 Military Trail, Toronto

Sunnybrook Centre for Prehospital Medicine ▪ SUPPLEMENTARY CME ▪ 2016 7

Advanced Prehospital Life Support (APLS): Beyond the Guidelines Instructional Plan The goal of this course is to provide new and updated information regarding the assessment, recognition and management of patients experiencing an acute coronary syndrome (ACS) or cardiac arrest events that might require alternate care. Patients experiencing these syndromes frequently have comorbid illnesses that complicate determining a differential diagnosis and corresponding effective treatment plan. There is also a population of patients presenting with cardiac manifestations that require prehospital management beyond current algorithmic guidelines.

This course will take the learner through current treatment modalities including chemical and electrical therapies, case studies of atypical cardiac arrests and hands-on application activities.

Date Course Location

Tues, Sept 13 APLS – Beyond the Guidelines Tam Heather Curling Club 730 Military Trail, Toronto

Wed, Oct 5 APLS – Beyond the Guidelines Peel Regional Paramedic Services Tomken Reporting Station 6825 Tomken Road, Mississauga

Mon, Oct 17 APLS – Beyond the Guidelines Simcoe County Buildings 1110 Highway 26, Midhurst

Fri, Dec 02 APLS – Beyond the Guidelines Tam Heather Curling Club 730 Military Trail, Toronto

The Pediatric Patient – Common Emergencies The overall goal of this course is to increase paramedic comfort and confidence when attending to pediatric populations and their caregivers. Pediatric patients encompass a small portion of a paramedic’s overall call volume and have anatomic, physiologic and pathophysiologic attributes that are unique from adults. This combination can lead to paramedic anxiety and uncertainty during these situations.

Using a variety of learning techniques, this course will help paramedics improve their clinical approach to young patients and review some of the common injuries and illnesses present in pediatric populations.

Date Course Location

Fri, Oct 21 The Pediatric Patient – Common Emergencies Tam Heather Curling Club 730 Military Trail, Toronto

Wed, Nov 02 The Pediatric Patient – Common Emergencies Peel Regional Paramedic Services Tomken Reporting Station 6825 Tomken Road, Mississauga

Mon, Nov 21 The Pediatric Patient – Common Emergencies Simcoe County Buildings 1110 Highway 26, Midhurst

Thurs, Dec 15 The Pediatric Patient – Common Emergencies Tam Heather Curling Club 730 Military Trail, Toronto

8 Sunnybrook Centre for Prehospital Medicine ▪ SUPPLEMENTARY CME ▪ 2016 Sick, Drugs This course is a review of common recreational and street drugs encountered by paramedics, information on emerging trends in drug misuse, a review of pharmacology and the complications resulting from intentional and unintentional misuse of over-the-counter medication plus some treatments that might be used in the field. The presentation starts with a review of the autonomic nervous system and toxidromes in general. Approach to the patient and the prehospital and in-hospital management will be discussed. The session integrates a presentation from a police officer of a local drug unit.

Date Course Location

Mon, Oct 31 Sick, Drugs Tam Heather Curling Club 730 Military Trail, Toronto

Wed, Nov 23 Sick, Drugs Peel Regional Paramedic Services Tomken Reporting Station 6825 Tomken Road, Mississauga

Mon, Dec 12 Sick, Drugs Simcoe County Buildings 1110 Highway 26, Midhurst

Wed, Dec 21 Sick Drugs Sunnybrook Regional Base Hospital 77 Brown’s Line Suite 100, Toronto

Approach to the Difficult Airway This session is designed to review the foundational understanding and approach to patients who may potentially present to the paramedic with a difficult airway. Included in this course are practice skill stations for the Bougie, needle cricothyrotomy and a review of tracheostomy tubes. Scenarios will then incorporate some of these approaches and decisions in managing a potentially difficult airway in a prehospital clinical environment.

Date Course Location

Wed, Oct 19 Approach to the Difficult Airway Peel Regional Paramedic Services Tomken Reporting Station 6825 Tomken Road, Mississauga

Tues, Nov 15 Approach to the Difficult Airway Halton Region Paramedic Services 1179 Bronte Road, Oakville

Sunnybrook Centre for Prehospital Medicine ▪ SUPPLEMENTARY CME ▪ 2016 9

Prehospital Trauma Management The goal of this course is to provide paramedics with the knowledge and understanding of a variety of traumatic soft and hard tissue injuries and strategies to establish/improve and maintain airway patency, ventilation and circulation while controlling external hemorrhage and managing the patient’s pain in the prehospital environment, which can differ from emergency department treatments.

Areas of focus include traumatic injuries, burns and pain.

Date Course Location

Mon, Sept 26 Prehospital Trauma Management

Simcoe County Buildings 1110 Highway 26, Midhurst

Thurs, Nov 10 Prehospital Trauma Management

Tam Heather Curling Club 730 Military Trail, Toronto

Thurs, Nov 17 Prehospital Trauma Management

Halton Region Paramedic Services 1179 Bronte Road, Oakville

Wed, Dec 07 Prehospital Trauma Management Peel Regional Paramedic Services Tomken Reporting Station 6825 Tomken Road, Mississauga

Simulated Patient Care Workshop (Minimum of 6 persons enrolled required for the course to run)

This workshop provides paramedics with the opportunity to practice a wide variety clinical assessment and procedural skills on a simulated patient. Paramedics will learn to utilize the Global Rating Scale (GRS) to provide structured feedback to peers. All participants will have an opportunity to function in a variety of roles such as the patient, partner, lead paramedic and the facilitator in multiple clinical cases.

Date Course Location

Tues, Nov 08 Simulated Patient Care Workshop Peel Regional Paramedic Services Tomken Reporting Station 6825 Tomken Road, Mississauga

10 Sunnybrook Centre for Prehospital Medicine ▪ SUPPLEMENTARY CME ▪ 2016 The Mind of the Medical Director This CME provides the paramedic an opportunity to spend a day with the medical directors. Discussion and presentations inlcude emerging trends in research, evidence-based care and other topics of interest. Paramedics are encouraged to ask medical questions during the medical director panel discussion. Other topics are delivered by guest speakers throughout the day.

Date Course Location

Wed, Sept 28 The Mind of the Medical Director

Simcoe County Buildings Council Chambers 1110 Highway 26, Midhurst

Tues, Nov 29 The Mind of the Medical Director

Halton Region Paramedic Services Administration Building, Auditorium 151 Bronte Road, Oakville

Medical Director Panel Discussion

Presentation at CME

Sunnybrook Centre for Prehospital Medicine ▪ SUPPLEMENTARY CME ▪ 2016 11

Trauma Care: Bullet Wounds and Blast Injuries - A Different Perspective This lecture-based CME will be primarily from the experience from Dr. Homer Tien. The day will cover topics from wound ballistics, blast injuries and their treatment. It will also include talks on hemostatic dressings and tranexamic acid from guest speakers with expertise in this field.

Dr. Homer Tien, Chief Medical Officer, Ornge Dr. Tien joined Ornge as the Chief Medical Officer in 2015 from Toronto’s Sunnybrook Health Sciences Centre where he is the Medical Director for the Tory Regional Trauma Centre, Canada’s largest trauma centre. Previously he was a Colonel in the Canadian Armed Forces, having served with both conventional and Special Operations Forces in Afghanistan, the former Yugoslavia, the Golan Heights and Myanmar. Dr. Tien has had a distinguished career as a frontline military physician who has worked in combat zones, a well-regarded mentor within the Forces, a researcher in the field of trauma surgery, and as an educator at the University of Toronto. His accolades include the Order of Military Merit, the Queen’s Diamond Jubilee Medal and the Major Frederick Banting Chair in Military Trauma Research.

Date Course Location

Tues, Sept 20 Trauma Care: Bullet Wounds and Blast Injuries - A Different Perspective

To be determined