Higher Training and Advanced Discussion
Five discussions on evidence, difficult treatment decisions and specialist referral.
For: Higher emergency medicine trainees and experienced clinicians.
Use the order below as a starting point. Select, reorder or repeat sessions to match the group’s experience and your department’s priorities. Send each learner-preparation link before the session and check the lesson’s review status and local guidance.
5 sessions in the suggested sequence. The timings below come from each lesson; paired practice may need additional time.
Journal club: LoDED and safe early discharge
Examine the LoDED study and discuss where its findings can inform local chest-pain practice.
Journal club: HALT-IT and treatment transfer
Appraise HALT-IT and consider when evidence from one setting should change practice in another.
Upper gastrointestinal bleeding: decisions under pressure
Discuss competing priorities and escalation in upper gastrointestinal bleeding.
ECMO in the ED: recognise the option and make the referral
Use the referral cases to discuss specialist advice, uncertainty and practical constraints.
Tick bites and Lyme disease: a UK approach
Discuss how exposure, timing and uncertainty affect assessment and follow-up. This lesson also suits early-career clinicians.
Choose one change to try after each session. At the next meeting, discuss what happened and what you would do differently.
Read the educator’s guide for preparation, small-group discussion and feedback.