Three emergency department doctors push a patient down a hallway in a gurney.

Our story

Watch a brief video to learn more about our department and what we offer.

What we offer

We are proud to offer education at the undergraduate and postgraduate level, training the province's next generation of emergency medicine physicians.

Our department is committed to providing excellent patient care and promoting staff and learner safety by advancing equity, celebrating diversity, and integrating inclusion in academic and clinical emergency medicine spaces in Manitoba.

Continuing education and professional development

Ultrasound (postgraduate and CEPD ultrasound programs)

With the growing demand for bedside ultrasound utilization for both postgraduate and undergraduate trainees as well as for continuing professional development among staff physicians, the ultrasound section within the department of emergency medicine (DEM), led by Dr. Chau Pham, is an integral part of the academic curriculum for emergency residents and staff physicians.

Objectives

The ultrasound objectives and training modules are consistent with the Royal College in-training objectives, the national Canadian Point-of-Care Ultrasound Society (CPoCUS) guidelines, as well as the Canadian Association of Emergency Physician’s (CAEP) position statement. 

Curriculum

From the implementation of a formal postgraduate ultrasound curriculum in 2011, training in point-of-care-ultrasound (POCUS) continues to be a mandatory skill required for Royal College certification as well as a critical skill for Emergency Physicians to possess in order to improve patient care. The ultrasound curriculum has been designed to include two tracks, core and advanced. 

Modules

The postgraduate residency ultrasound curriculum has been designed to include two tracks, core and advanced.

Core modules for junior residents

Incoming junior residents (R1/2/CCFP-EMs/PEM fellows) undergo core ultrasound modules to prepare them for IP-core status in eFAST/Cardiac/Aorta/1st Trimester OBs. Junior residents culminate their training with a directly supervised 50 scans & IP exams course, ensuring exposure to pathology patients.

Advanced modules for senior residents

Senior residents (R3/4/5s) engage in advanced modules focusing on new POCUS applications for diagnosis (renal/bladder, gallbladder, DVT, ocular), resuscitation (advanced cardiac, pulmonary, IVC, EGLS/RUSH protocols), MSK (soft tissue, bones/joints), and needle guidance (ortho procedures, nerve blocks, foreign body, etc.). This curriculum operates on a two-year cycle, with R3/4 residents obtaining their CPoCUS IP-Resus certification biennially.

Pedagogical approach

The curriculum follows a flip-classroom model, integrated into residents' academic day sessions. Each module comprises a didactic portion with online and live lectures, followed by hands-on scanning practice on pathology and standardized models.

Quality assurance and mentorship

Ultrasound training modules are overseen by ERPs holding IP/TI/MI status, fellowship-trained specialists, or experts with a focused niche. Bi-monthly clinical POCUS vignettes, featuring real patient cases, are incorporated to provide teaching pearls with evidence-based medicine (EBM) and stimulate group discussions.

Apprentice-Instructorship program

Apprentice-Instructorship (AI) Program

Upon achieving their IP status, residents are expected to participate in the Apprentice-Instructorship (AI) program. AIs collaborate in team-teaching and are directly observed by faculty instructors as they assume leadership roles in guiding junior learners. This approach ensures the development of a robust cohort of Point-of-Care Ultrasound (POCUS) instructors committed to delivering high-quality teaching.

Advanced ultrasound elective and research

Interested residents are encouraged to engage in an advanced ultrasound elective to augment their skill set. They are also invited to participate in ultrasound research, presenting their findings at Resident Research Day and national conferences.

Continuing Professional Development (CPD) workshops

The ultrasound section, comprised of POCUS faculty instructors, offers quality CPD workshops and courses for staff physicians. These workshops have earned high praise from staff physicians for their organization, high instructor-to-learner ratio, and incorporation of pathology patients to simulate real-world clinical scenarios.

Leadership in national POCUS education

The emergency medicine department at UM is recognized as a key leader in national POCUS education. The CPD courses offered by the ultrasound section cover a wide range of topics, including:

  • IP-core certification course
  • IP-resuscitation certification course
  • IP-diagnostic certification course
  • IP-MSK certification course
  • EGLS course
  • Palliative/oncology course
  • Soft tissue and foreign body workshop
  • Peripheral and central line workshop

Expansion and impact

The ultrasound program continually expands its offerings in knowledge and skill training, research, scholarly work, and CPD. Residents and staff physicians attest that the ultrasound training has significantly boosted their confidence in image generation and their ability to apply POCUS safely, thereby enhancing the standard of care for their patients.

Professional sustainability and wellness

Within the emergency medicine department, the High Performance Physician (HPP) course and the FRCP Mentorship have played complimentary roles in the professional sustainability and wellness program of our staff and residents. 
 

High Performance Physician (HPP) course

Objective:

The primary aim of the HPP course is to equip medical trainees and staff with essential mental skills and strategies. These have been proven effective in minimizing the impact of human factors on performance, optimizing psychological readiness for tasks, and enhancing overall well-being.

Course evolution:

Initiated in 2012 within the emergency medicine department, HPP has expanded to various departments including family medicine, surgery, internal medicine, pediatrics, anesthesia, obstetrics/gynecology, radiology, and the cardiac sciences. This expansion reflects a commitment to addressing the diverse needs of medical professionals across specialties.

Tailored support:

HPP is meticulously designed to support learners in meeting the rigorous demands of their residency programs. It offers practical strategies tailored to help physicians navigate both professional challenges and personal well-being effectively.

Expert leadership:

Led by renowned experts in the field, Drs. Jason Brooks and Aman Hussain, the HPP instructors bring a wealth of experience and knowledge to the program, ensuring high-quality training and mentorship.

Mentorship benefits:

The HPP mentorship program fosters rich mentoring relationships that benefit both mentors and mentees. Beyond individual growth, these relationships have positive ripple effects, benefiting departments, institutions, the medical organization, and the broader specialty community.

Professional sustainability and wellness

Objective:

The Professional Sustainability and Wellness Committee is dedicated to advancing the department's vision of long-term professional sustainability and wellness for both emergency medicine faculty and residents.

Benefits for team functioning:

The committee's efforts aim to yield numerous benefits, including improved team function, enhanced conflict management, and ultimately, better patient care and quality improvement.

Gratitude and wellness initiatives:

Initiatives promoting gratitude and wellness play a pivotal role in fostering workplace civility. These efforts are invaluable as they cultivate solidarity among team members, bolster psychological resilience, and sustain a healthy work morale.

Solidarity for enhanced care:

A team that operates in solidarity is better positioned to provide superior patient care. By sharing a common vision and mission, team members can effectively collaborate towards achieving optimal patient outcomes.

Department Research

The Department of Emergency Medicine is committed to fostering and developing emergency medicine research locally, provincially and through both national and international collaborations.

Strengths

Directed by Dr. Murdoch Leeies, the Department of Emergency Medicine is developing particular strengths in the fields of COVID-19, health equity, pre-hospital emergency medicine, geriatric emergency medicine, ultrasound and critical care research. Our efforts have resulted in a multitude of peer-reviewed publications, poster presentations and funding awards. 

Please consider a charitable donation to support innovative emergency medicine research at the University of Manitoba.

Achievements

Our achievements include:

  • Our growing emergency medicine research program has produced over 100 publications in the last three years.
  • A novel evidence-based medicine curriculum for EM trainees featuring enhanced critical appraisal and structured literature searching skills, quality improvement and implementation science modules as well as educational scholarship and knowledge translation content.
  • A burgeoning department of collaborative clinician investigators working with national and international research networks, including CAEP and the Canadian COVID-19 Emergency Department Rapid Response Network.

Areas of innovation

Critical care medicine

Many of our faculty members have sub-specialty training in critical care medicine.

These intensivists leverage their unique positions to explore the management and care of critically ill patients as they transition from the pre-hospital setting, through the emergency department and on to the intensive care unit.

Emergency medicine’s critical care medicine subspecialty committee actively meets to identify gaps in our current knowledge and practices. They also facilitates both research and quality improvement initiatives in these areas.

Equity, diversity and inclusion

Our department recognizes the importance of supporting research that enhances equity, diversity and inclusion in emergency medicine.

The Disrupting Racism in Emergency Medicine (DRiEM) research program is one way we are working to improve Manitoba’s emergency departments, by understanding and then designing evidence-based strategies to mitigate racism in emergency medicine.

Additional research includes examining the impact of enhanced data collection of equity-relevant sociodemographic variables as a part of the emergency medicine medical record.

We are also proud to support an interdisciplinary Equity, Diversity & Inclusion committee led by Dr. Murdoch Leeies and Dr. Carmen Hrymak. The committee works to identify gaps in knowledge and service, followed by recommendations for best practices, lecture series and educational modules to enhance health equity, diversity and inclusion in emergency medicine.

Geriatric emergency medicine

Emergency departments are frequently used by Canada's frail, elderly population without adequate support or discharge planning. This means they often experience ongoing complications that result in repeat visits to the emergency department and unplanned hospitalizations.

Dr. Alecs Chochinov and Dr. Malcolm Doupe have an international program of research exploring the ways in which acute health care facilities, allied services and community-based care options can be aligned more effectively to help older adults live successfully in the community.

Patient and stakeholder engagement activities have been designed to help ensure that transitions from the emergency department to home are meaningful to patients. They are also planned to consider their biomedical, mental and social needs, along with those of their informal caregivers. Combined, these efforts help ensure a positive impact on older people's health and wellness.

Patient and community engagement

Understanding the lived experience of individuals and their communities is critical to informing the services available and how they are delivered.

We are currently seeking participants for patient advisory teams to act as partners in the development of research questions that are important to you as well as the design of research studies to answer those questions.

To take part as either a patient or a community partner, please contact us.

Pediatric emergency medicine

The department has strong ties with the department of pediatrics and child health through both co-education and research.

Cross-appointed to the department, Dr. Terry Klassen is a national leader in pediatric emergency medicine.

He has mobilized many efforts in improving clinical outcomes in knowledge translation and in advancing innovative approaches to randomized controlled trials. Dr. Klassen co-founded Pediatric Emergency Research Canada (PERC) in 1995 and the Pediatric Emergency Research Network (PERN) in 2009. These networks promote collaborative research through multicentre studies.

Dr. Klassen also built the first-of-its-kind national knowledge mobilization network in pediatric emergency medicine, TRanslating Emergency Knowledge for Kids (TREKK). This network seeks to bring the most up-to-date information in pediatric medicine to general emergency departments across Canada, where the majority of acutely ill children are seen.

In 2021, Dr. Klassen was awarded a Tier 1 Canada Research Chair in Clinical Trials.

Pre-hospital emergency medical systems

The department is proud to support international leaders in pre-hospital emergency medicine services like Dr. Rob Grierson, Dr. Erin Weldon and Dr. Doug Martin.

Emergency medicine research in pre-hospital care has led to the implementation of novel protocols helping Manitobans beat national benchmarks in access to definitive care for heart attacks as well as deliver life-saving interventions to patients sooner in their course of illness, whether they are accessing emergency services in cities or remote resource-limited settings.

Trauma

Our department is home to emergency medicine specialists with expertise in trauma care who work at the provincial trauma referral centre, the Health Sciences Centre, as trauma team leaders and in referring locations across Manitoba.

Emergency medicine researchers collaborate with other interdisciplinary members of the trauma team to investigate important questions relevant to trauma care.

Many emergency medicine specialists also contribute to the implementation of best practices in trauma care and ongoing critical appraisal and knowledge mobilization through committee work and an interdisciplinary Trauma Journal Club.

Toxicology

Dr. Wesley Palatnick is one of the forebearers of emergency medicine in Manitoba and is internationally recognized for his work in the field of toxicology. He has contributed numerous articles, book chapters, lectures and significant publications that have changed the way we all practice today.

Dr. Palatnick serves as one of two clinical toxicologists providing on-call consultations for the entire province of Manitoba. Thousands of patients have benefitted from his remarkable clinical expertise, compassionate care and tireless efforts.

Ultrasound

Our department is home to an innovative emergency medicine ultrasound program with national leaders in ultrasound education.

Subspecialty-trained experts in emergency medicine ultrasound lead research, which encompasses both the clinical use of ultrasound as well as novel educational methods to ensure expertise and access to cutting-edge diagnostics, exist in emergency medicine settings across Manitoba.

Manitoba Emergency Medicine Research, Educational Scholarship & Quality Improvement Symposium

The annual Manitoba Emergency Medicine Research, Educational Scholarship & Quality Improvement Symposium (MB EM RESQI Symposium) is an opportunity to share and celebrate the scholarly work produced by staff, trainees and collaborators in the Department of Emergency Medicine.

RESQI Symposium

The symposium was held on Tuesday, June 13, 2023. Thank you to all who participated!

Explore the tabs to learn more about this important annual event.

Program at a glance

Tuesday, June 13, 2023

09:00 AM
Opening remarks
Dr. Murdoch Leeies
Director of Research, Department of Emergency Medicine

09:05 AM
Keynote address: Failing Better”
Dr. Sara Gray, MD FRCPC MPH

10:05 AM
"Brain-based Definition of Death and Evidence based Criteria for its Determination after Arrest of Circulation or Neurologic Function in Canada"
Presented by: Dr. Owen Mooney, MD FRCPC

10:20 AM
"AIRMAN 2, A prospective observational study comparing outcomes before and after the introduction of an intubation protocol during the COVID‐19 pandemic"
Presented by Dr. Holly Black, MD FRCPC

10:35 AM
BREAK

10:50 AM
“Patterns of Change in Prehospital Spinal Motion Restriction”
Presented by: Neil MacDonald, MPhil, ACP

11:05 AM
"Inequities in organ and tissue donation and transplantation for sexual orientation and gender identity diverse people: A scoping review" Presented by: Dr. Carmen Hrymak, MD FRCPC

Resident podium presentation

11:20 AM
"Intubation practices and outcomes for patients with suspected or confirmed COVID-19: a national observational study by the Canadian COVID-19 Emergency Department Rapid Response Network"
Presented by Dr. Muzeen Ismath, PGY-4 FRCPC EM Resident
Supervisor: Dr. Murdoch Leeies

11:35 AM
"The Impact of a Novel National, Vertical Mentorship Program on Personal and Professional Perspectives of Women in Emergency Medicine: A Qualitative Survey"
Presented by: Dr. Isabella Menchetti,PGY-2 FRCPC EM Resident (Ottawa)
Supervisor: Dr. Chau Pham

11:50 AM
"A survey of a novel procedural palliative medicine point-of-care ultrasound course"
Presented by: Dr. Darla Palmer, PGY-5 FRCPC EM Resident
Supervisor: Dr. Chau Pham

12:05 PM
BREAK
Poster presentations to follow

Poster presentations

“Intravenous Diltiazem for Supraventricular Tachycardia: Success of CCBs versus adenosine for chemical conversion of supraventricular tachycardia”
Presented by: Dr. Marissa Antoniuk PGY-1 FRCPC EM Resident
View poster (.pdf)

“Reduced-dose vs. 10-unit insulin dosing in hyperkalemic ED patients”
Presented by: Dr. Chris Dutka PGY-1 FRCPC EM Resident
View poster (.pptx)

“The (Perceived) Structural Barriers to Opioid Agonist Therapy”
Presented by: Dr. Christie McLaren PGY-1 FRCPC EM Resident
View poster (.pdf)

“Acetazolamide as an Adjunct for Volume Control: To pee, or not to pee”
Presented by: Dr. Juan Mohadeb PGY-1 FRCPC EM Resident
View poster (.pdf)

“Inhaled Isopropyl Alcohol in the Emergency Department: A non-invasive therapy for the management of nausea and vomiting”
Presented by: Dr. Dakoda Herman PGY-1 FRCPC EM Resident
View poster (.pdf)

“Improving Flow in the Emergency Department by Giving ERPs Direct Access to RR4 Booking Software for Plastic Surgery Consults”
Presented by: Dr. Christian Palaschuk PGY-2 FRCPC EM Resident
View poster (.pptx)

“Fentanyl Test Strip Distribution in the Emergency Department: Expanding access to harm reduction with a take-home drug testing tool”
Presented by: Dr. Stephen Kesselman PGY-2 FRCPC EM Resident
View poster (.pptx)

"Nurse Initiated Naloxone in the Emergency Department"
Presented by: Dr. Luke Brueton-Campbell PGY-2 FRCPC EM Resident
View poster (.pptx)

"Insulin Sliding Scale Standard Order Sheet for Non-Critically Ill Patients at HSC"
Presented by: Dr. Devon Johnstone PGY-2 FRCPC EM Resident
View poster (.pptx)

“Personal amplification devices for older people; Addressing hearing-based communication barriers in the Emergency Department”
Presented by: Dr. Kerri Onotera PGY-2 FRCPC EM Resident
View poster (.pptx)

“Improving ACP Status Documentation in LAU Patients: How the development of an ACP Status LAU Order Set could improve patient care”
Presented by: Dr. Emily Stoneham PGY-2 FRCPC EM Resident
View poster (.pptx)

Acknowledgements

The Department of Emergency Medicine gratefully acknowledges the participation following :

Dr. Mona Hegdekar

Dr. Mona Hegdekar is an Assistant Professor with the University of Manitoba and and Emergency Physician at St. Boniface Hospital. She completed medical school at the University of Manitoba, and then residency at Dalhousie University.

Initially practising both rural family practice and emergency across the country, she returned to Manitoba to practice emergency medicine exclusively.

During her 5 years as DEM undergraduate director, she was involved in bringing simulation and ultrasound to the medical student curriculum. She remains actively involved in undergrad as well as postgraduate teaching and mentorship.

She also has an interest in quality improvement for patientcare and is currently co-lead for the provincial PERT protocol initiative.

Finally, for the last several years, she has been the research site director for the National Canadian Syncope Risk Score Trials.


Dr. Aman Hussain

Dr. Hussain's research program attempts to fulfill his research mission which is, to serve those who serve.

Spanning prehospital emergency medical services, high risk/high stress occupations, workplace learning, health professions education, and kinesiology, his research is qualitative, focusing on ongoing professional development.

He has completed research projects on adult learning in high performance coaching contexts, the process of ‘becoming’ emergency medicine physicians, and prehospital ongoing professional development of emergency medical services (EMS) personnel.


Dr. Holly Black

Dr. Holly Black is a recent graduate of the Manitoba FRCPC residency program with interests in research, medical education, health administration.

She is currently completing a masters degree in Health Administration to understand the complex social, political and finical factors affecting health outcomes and how to better contribute to meaningful change as a clinician.

She is an emergency physician at HSC and St Boniface Hospital, and is also a STARS transport physician and VECTRS physician. In her free time she loves to hang out with her cat Kenny, garden and travel.


Special Thanks to Dr. Murdoch Leeies, Department of Emergency Medicine director of research.

Awards

Best Staff Research, Educational Scholarship and/or Quality Improvement project
Dr. Carmen Hrymak

Best Resident Research, Educational Scholarship and/or Quality Improvement project
Dr. Muzeen Ismath

Best Critical Appraisal Project
Dr. Dakoda Herman

Best Quality Improvement Project Proposal
Dr. Kerri Onotera

Community and partners

Manitoba Emergency Medicine Research Advancement Fund

In the emergency department, every second counts.

That’s why we’re working hard to stay at the leading edge of research that can help save lives and keep Manitobans healthy and active.

You can help.

In 2021, the Manitoba Emergency Medicine Research Advancement Fund was created to support the development of novel research in emergency medicine conceived of, designed by and conducted with Manitoban emergency medicine investigators.

Your generosity will directly support University of Manitoba Emergency Medicine students, educators and researchers to develop new work to better care for Manitobans in need of emergency medical care.

Make a gift

Events

Faculty and staff

Contact us

Emergency Medicine
S203 Medical Services Building
750 Bannatyne Avenue 
University of Manitoba (Bannatyne campus)
Winnipeg, MB R3E 0W2 Canada

204-272-3060