The Modular Active Learning Curriculum for Emergency Medicine (MALCEM) consists of weekly literature and video modules that correspond to the emergency medicine core curriculum. One module (50-80 pages) is assigned per week. Residents are expected to come ready to discuss the topical material and will be evaluated on their individual performance. Core faculty and residents participate in a transactional group learning discussion that is moderated by a trained faculty moderator with other core and clinical faculty providing clinical commentary.

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After the modular discussion, a high-fidelity patient care simulation based upon the skills or critical decisions related to each module is presented. These integrated simulations are done in a group feedback environment with each resident or core faculty providing feedback to the simulation participants. In this way, the resident knowledge base is built from self-learning to group learning to experiential learning in a sequence designed to maximize retention and optimize utility.

A plenary lecture end the didactic sessions. Plenary lectures include institutional topics, outside speakers, resident presentations, resident-led board review, or faculty presentations. Individual residents provide at least one plenary lecture per year in the second or third year.

Journal clubs, mortality and morbidity, and grand rounds presentations round out the educational experience.