Complex Case: Surgery and Trauma: Blunt Trauma

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, medication use, acuity indices).
2. Interpret signs, symptoms, and laboratory and other diagnostic test results.
3. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
4. Modify treatment plan based upon monitoring the patient’s response to initial therapy. 

Complex Case: Surgery and Trauma: Penetrating Trauma 

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, medication use, and acuity indices).
2. Interpret signs, symptoms, acuity indices, laboratory and other diagnostic results (e.g., pre-hospital care).
3. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
4. Select alternative routes of administration based upon patient-specific factors.
5. Modify treatment plan based upon patient’s response to initial therapy. 

Complex Case: Pediatrics - Sepsis and Resuscitation 

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, relevant acuity indices).
2. Interpret signs, symptoms, laboratory and other diagnostic and acuity results.
3. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
4. Select alternative routes of administration based upon patient-specific factors.
5. Summarize strategies for procurement, preparation, and administration of time-sensitive therapies.
6. Modify treatment plan based upon monitoring patient’s response to initial therapy. 

Statistics, Evidence-Based Medicine, and Research Design 

1. Given an excerpt from a study…Evaluate quality and appropriateness, with specific attention to study design, statistical analysis, internal/external validity, source of bias/confounders, and quality of conclusions and interpretation of graphs.
2. Explain why a statistical test is appropriate or not appropriate, based on the sample distribution, data type, and study design.
3. Interpret clinical and statistical significance for results from commonly used statistical tests.
4. Explain the strengths and limitations of different types of measures of central tendency (mean, median, and mode) and data spread (standard deviation, standard error of the mean, range, and interquartile range).
5. Evaluate odds ratio, risk/incidence rate, relative risk, number needed to treat, number needed to harm, and other risk estimates.
6. Assess whether the study applies to a specified patient population. 

 Complex Case: Seizures and Status Epilepticus  

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, relevant acuity indices, pre-hospital providers).
2. Evaluate medication-related problems based on presentation, history (e.g., pre-hospital providers), medication use, and laboratory data.
3. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
4. Summarize strategies for procurement, preparation, and administration of time-sensitive therapies.
5. Modify treatment plan based upon patient’s response to initial therapy. 

 Complex Case: Ischemic Stroke  

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, relevant acuity indices).
2. Evaluate medication-related problems based on presentation, history (e.g., pre-hospital providers), medication use, and laboratory data.
3. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
4. Summarize strategies for procurement, preparation, and administration of time-sensitive therapies.
5. Modify treatment plan based upon monitoring patient’s response to initial therapy. 

Complex Case: Cardiovascular: Acute Coronary Syndrome  

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, relevant acuity indices, pre-hospital providers).
2. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
3. Summarize strategies for procurement, preparation, and administration of time-sensitive therapies.
4. Assess applicability and limitations of published data and reports to care of patient.
5. Modify treatment plan based upon monitoring patient’s response to initial therapy. 

 Complex Case: Cardiovascular: Acute Decompensated Heart Failure  

1. Assess patient presentation based upon patient-specific signs, symptoms, acuity indices, laboratory and other diagnostic results.
2. Evaluate medication-related problems based on presentation, history (e.g., pre-hospital providers), medication use, and/or laboratory data.
3. Summarize strategies for procurement, preparation, and administration of time-sensitive therapies.
4. Modify treatment plan based upon monitoring patient’s response to initial therapy. 

 Complex Case: Cardiovascular - Dysrhythmia  

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, relevant acuity indices, pre-hospital providers).
2. Summarize strategies for procurement, preparation, and administration of time-sensitive therapies.
3. Modify treatment plan based upon monitoring patient’s response to initial therapy. 

Complex Case: Obstetric Emergencies  

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, relevant acuity indices) and best available evidence.
2. Interpret signs, symptoms, and laboratory and other relevant diagnostic test results.
3. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
4. Modify treatment plan based upon monitoring the patient’s response to initial therapy. 

 Complex Case: Endocrine  

1. Interpret signs, symptoms, laboratory and other diagnostic and acuity results.
2. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
3. Select alternative routes of administration based upon patient-specific factors.
4. Modify treatment plan based upon monitoring patient’s response to initial therapy.
5. Develop education, discharge and follow-up care plans based upon patient- and disease specific factors to improve adherence and continuity of care. 

 Complex Case: Headache 

1. Evaluate medication-related problems based on presentation, history (e.g., pre-hospital providers), medication use, and laboratory data.
2. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
3. Modify treatment plan based upon monitoring patient’s response to initial therapy.
4. Develop education, discharge and follow-up care plans based upon patient- and disease specific factors to improve adherence and continuity of care. 

 Complex Case: Psychiatry  

1. Interpret signs, symptoms, laboratory and other diagnostic and acuity results.
2. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
3. Select alternative routes of administration based upon patient-specific factors.
4. Modify treatment plan based upon monitoring patient’s response to initial therapy.
5. Assess applicability and limitations of published data and reports to care of patient. 

Complex Case: Toxicology: Adult  

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, relevant acuity indices).
2. Develop therapeutic and monitoring plans based on medication-related, patient- and disease-specific information, and laboratory data.
3. Interpret signs, symptoms, and laboratory and other relevant diagnostic test results.
4. Evaluate policies and processes for availability of essential drugs (e.g., drug shortages) and emergency preparedness.
5. Summarize strategies for procurement, preparation, and administration of time-sensitive therapies.
6. Modify treatment plan based upon monitoring patient’s response to initial therapy. 

 Complex Case: Toxicology: Pediatric  

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, relevant acuity indices).
2. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
3. Summarize strategies for procurement, preparation, and administration of time-sensitive therapies.
4. Modify treatment plan based upon patient’s response to initial therapy. 

 Complex Case: Hematology  

1. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
2. Modify treatment plan based upon monitoring the patient’s response to initial therapy.
3. Develop discharge and follow-up care plans based upon patient- and disease specific factors to improve adherence and continuity of care. 

Complex Case: Hepato-gastrointestinal  

1. Interpret signs, symptoms, laboratory and other diagnostic and acuity results.
2. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
3. Select alternative routes of administration based upon patient-specific factors.
4. Modify treatment plan based upon monitoring patient’s response to initial therapy. 

 Complex Case: Infectious Diseases: Sepsis 

1. Develop therapeutic and monitoring plans based on medication-related, patient- and disease-specific information, laboratory data, and available evidence.
2. Summarize strategies for procurement, preparation, and administration of time-sensitive therapies.
3. Modify treatment plan based upon patient’s response to initial therapy and stewardship guidelines
4. Evaluate medication use protocols for adherence to evidence-based guidelines.
5. Identify principles of quality assurance and continuous quality improvement (e.g., RAC, MUE). 

 Complex Case: Outpatient Infectious Diseases 

1. Interpret signs, symptoms, and laboratory and other relevant diagnostic test results.
2. Develop therapeutic and monitoring plans based on medication-related problems, patient- and disease-specific information, and laboratory data.
3. Develop discharge and follow-up care plans based upon patient- and disease specific factors and public health recommendations to ensure continuity of care. 

Complex Case: Oncology 

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, laboratory data).
2. Summarize strategies for procurement, preparation, and administration of time-sensitive therapies.
3. Modify treatment plan based upon monitoring the patient’s response to initial therapy. 

 Complex Case: Pulmonary 

1. Identify initial management in medical emergencies using available patient-specific information (e.g., age-related, risk factors, relevant acuity indices).
2. Summarize strategies for procurement, preparation, and administration of time-sensitive therapies.
3. Adjust patient-centered care plan based upon response, monitoring and patient-specific information.
4. Identify adverse drug events and medication errors in emergency medicine.
5. Evaluate protocols for adherence to evidence-based guidelines to assure safe and cost effective medication use and optimal resource allocation.