Saudi Board Program

 Emergency Medicine

Definition

Emergency medicine is the branch of specialty practice that is concerned with the management of a broad spectrum of acute illnesses and injuries in all age groups. The specialist in emergency medicine is foremost a clinician who uses highly developed clinical skills to care for patients with acute and often undifferentiated medical problems, frequently before complete clinical or diagnostic information is available. The specialist in emergency medicine is an academic and community resource, providing leadership in the administration of emergency departments (EDs), emergency medical systems and programs, and the conduct of relevant research and education. He/she assumes these roles with the goal of advancing knowledge and improving individual and/or community health outcomes.

History

The Saudi Board of Emergency Medicine (SBEM) program is a substantial residency-training program that is considered the largest emergency program in the region, includes residents from the Gulf Cooperation Council (GCC) countries (more than 70 residents), and is the largest joint program in Saudi Arabia. In addition, it is one of a number of Saudi Commission for Health Specialties (SCFHS) programs that collaborate with the Omani Medical Specialty Board (OMSB) with respect to examination preparation and certification through the SCFHS examination department. The SBEM program began October 2001 by enrolling 4 residents and was mainly established at King Fahad National Guard Hospital Dr. Musaad Alsalman was the first chairman of the program, and Dr. Abdullah Alhudaib was the first program director. Emergency medicine now extends over the central, eastern, southern, and western regions of the kingdom.

Goals and Objectives

Upon completion of training, a resident is expected to be a competent specialist in emergency medicine, capable of assuming a consultant’s role in the specialty. The resident must acquire a working knowledge of the theoretical basis of the specialty, including its foundations in the basic medical sciences and research. The specialist emergency physician employs pertinent methods of prioritization, assessment, intervention, resuscitation, and further management of patients to the point of transfer. Appropriate procedural and pharmacotherapeutic maneuvers are central to these abilities.

The specialist emergency physician possesses organizational skills in the ED and disaster management and the ability to interface with and play a leadership role in the development and organization of emergency medical services and pre- 7 SAUDI BOARD EMERGENCY MEDICINE CURRICULUM hospital care. The specialist emergency physician possesses the knowledge, skills, and attitudes required to provide effective patient-centered care and service to a diverse population with respect to age, gender, culture, ethnicity, and ethics. The specialist emergency physician has the ability to incorporate these perspectives into research methodology, data presentation, and analysis.

General training requirements

1. Admission into the program is in accordance with the Commission Training Rules and Regulations.

2. Trainees shall abide by the training regulations and obligations established by the SCFHS.

 3. Training is a full-time commitment. Residents shall be enrolled in fulltime, continuous education for the entire duration of the program.

 4. Training is to be conducted in institutions accredited for training by the SBEM.

5. Training shall be comprehensive and include emergency, inpatients, and ambulatory care.

6. Trainees shall be actively involved in patient care with gradual progression of responsibility.

Structure of training program

 a) This is a structured four-year postgraduate training program in emergency medicine, which is divided into two parts: junior residency (the first 2 years) and senior residency (the final 2 years). 8 SAUDI BOARD EMERGENCY MEDICINE CURRICULUM

 b) The junior years are designed to provide training in the practice of core emergency medicine in emergency rotation, together with rotations in selected specialized fields.

c) During the senior residency years (R3 & R4), after passing the PART 1 EXAM, residents are allocated to various subspecialties in emergency medicine in addition to approximately 6 rotations per year training in the ED. This is arranged through the regional training committee.

d) Residents are required to complete the allocated rotations satisfactorily for a given year and pass the end-of-year evaluation exam (Unified Emergency Promotion Examination) before passing from academic one year to the next.

 e) The sequence of the rotations will be under the direction of the regional training committee.

f) After successful completion of all program requirements throughout the four-year training period and obtaining the Final In-Training Evaluation Report (FITER), candidates will receive a training completion certificate issued by the regional supervising training committee. The candidate will then be eligible to undertake the Final Saudi Board Certification Examination in emergency medicine.

 g) Successful candidates in the “Final Certification Exam” will receive the "Saudi Board in Emergency Medicine" certificate.

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