consideration of the effect of polypharmacy and co-morbidity on the presenting complaint. This modulewill be available to residency programs as an ‘‘asyn-chronous educational session’’ via the Council ofEmergency Medicine Residency Directors (CORD)website as well as to practicing emergency physiciansvia the SAEM and American College of EmergencyPhysicians (ACEP) websites.

8 The Emergency Informatics TransitionCourse: A Flexible, Online Course in HealthInformatics for Emergency MedicineClinicians and TraineesMichael Wadman, William Hersh, JeffreyNielson, James McClayUniversity of Nebraska, Oregon Health &Science University, Akron City Hospital

Increasing emphasis on health information technology(HIT) as a mechanism to control costs and increasequality in health care is accelerating the diffusion ofmore advanced health information systems into emer-gency medicine. This has created an increased demandfor informatics-trained emergency physicians to pro-vide clinical input. In response to this need we part-nered with the American College of EmergencyPhysicians (ACEP) to adapt an existing informatics edu-cational program to emergency medicine. The Ameri-can Medical Informatics Association (AMIA) 10X10program is an effort to provide formal informaticstraining to 10,000 clinicians by 2010. Our first AMIA-ACEP 10X10 Emergency Informatics Transition Coursematriculated 37 emergency physicians this fall. This 12week online course is an adaption of the Oregon Health& Science University (OHSU) introductory informatics10X10 course where students complete weekly assign-ments and participate in online discussions. At the endof the course they meet face-to-face at the ACEP Scien-tific Assembly where they present their projects anddiscuss common themes. The online design of thecourse proved adaptable for a widely varied enrollment.The first class contained students from the UnitedStates and four other countries, both large urban andsmall rural hospitals, and both new and experienced cli-nicians. Extensive input from the students will assist usin further refining this annual course to better meet theneeds of emergency clinicians. We will demonstrate thedesign of this course, which we believe offers inter-ested residents and fellows in emergency medicine aflexible opportunity to advance their informatics train-ing.

9 The ED of the Future: an InterdisciplinaryGraduate Course in Healthcare DesignDavid Cowan, Ellen Yi-Luen Do, MarilynMargolis, Craig Zimring, Jeremy AckermanGeorgia Institute of Technology, EmoryUniversity, Perkins + Will Architects

Six faculty members from Georgia Institute of Technol-ogy, Emory University School of Medicine, Emory

Healthcare, and Perkins + Will created and taught aone-semester course titled ‘‘The Emergency Depart-ment of the Future’’. The goals of the course were toprovide an environment for students to be exposed tothe unique challenges of healthcare design, to experi-ence and learn techniques for successful interdisciplin-ary design, and to create innovations with impact.Twenty graduate students representing five disciplines(architecture, health systems, human-computer interac-tion, computer science, and systems engineering) par-ticipated in this class. The course included a series ofdidactic lectures covering a wide range of issues includ-ing architectural design of hospitals and emergencydepartments, observation techniques for working envi-ronments, electronic medical records, and patient-cen-tered care. Lecturers included emergency physicians,nurses, architects, human-computer interactionresearchers, and design specialists. Students developedproblem statements along with prototype design solu-tions through these lectures, direct observation, andinteraction with course faculty. The resulting projectsinclude a mobile triage chair that takes vital signs,equipment sliders for easy functional transformation,an integrated lighting design, as well as patient assis-tants for self registration, communication, environmen-tal control, and discharge support. The developedprojects have generated ideas to improve emergencycare that may be implementable commercial productsas well as fundable projects for future research. Thefinal presentation open house attracted over a hundredvisitors from local and national healthcare facilities andindustry. This presentation will highlight the structureand organization of the course as well as the resultingprojects.

10 Teamwork Training for InterdisciplinaryApplicationsBev Foster, Carol Durham, Susan Sawning, Ka-ren Frush, Gwen Sherwood, Cherri Hobgood,Susan Promes, Donald Woodyard, David HollarUniversity of North Carolina School of Nursing,University of North Carolina School of Medi-cine, Duke University

Safe healthcare delivery in the emergency departmentis a team sport. Medical educators seek efficient andeffective methods to teach and practice teamwork skillsto all levels of interdisciplinary learners with the goal ofenhancing communication, insuring smooth clinicaloperations, and improving patient safety. We present anew interdisciplinary, health professions teamwork cur-riculum, modified from TeamSTEPPS, that is efficient,effective, and can be delivered using multiple teachingmodalities. This flexible curriculum structure beginswith a brief didactic core designed to orient the learn-ers to team concepts and invest them in the rationalefor focusing on teamwork skills. This is followed by oneof four additional instructional modalities: traditionaldidactic, interactive audience response didactic, low-fidelity simulation (role play), and high-fidelity patientsimulation. Each of these additional modalities can beutilized singly or in combination to enhance the

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