Evaluated Competencies

Professionalism

Educational Objectives - Direct observation of the student during the clinical encounters and daily interactions in the clinical arena will allow assessment of professionalism. Taking personal responsibility for the care of one’s own patients is likely the ultimate hallmark of professionalism in EM. Work ethic, timeliness, respect, ethical behavior.

Method of Evaluation - Students will receive daily written evaluations of their performance by attendings or senior residents. This will provide daily (formative) feedback and allow the identification (and remediation) of weakness. Final summative evaluations will be based on daily evaluation sheets, performance in small group conferences, simulated patient encounters and the final examination. Completion of final examination will contribute to the final grade.

Patient Care

Educational Objectives - Direct patient encounters provide the bulk of patient care assessment. Students will hone history and physical exam skills as well as gain practice developing/implementing diagnostic and therapeutic plans. Students will manage multiple patients simultaneously and learn the importance of prioritization and multi-tasking. Shifts in the trauma/medical resuscitation area will expose students to the initial evaluation and stabilization of the undifferentiated (yet critical) patient. Procedure labs and skills labs will help the student become adept at common emergency procedures.

Method of Evaluation - Students will receive daily written evaluations of their performance by attendings or senior residents. This will provide daily (formative) feedback and allow the identification (and remediation) of weakness. Final summative evaluations will be based on daily evaluation sheets, performance in small group conferences, simulated patient encounters and the final examination. Completion final examination will contribute to the final grade.

Medical Knowledge

Educational Objectives - This will be assessed in all areas of the rotation. Patient encounters afford opportunities to assess (and teach) recognition of acutely ill patients, initial stabilization strategies and development of differential diagnoses and treatment strategies. Small group discussions and simulated patient encounters give the opportunity to work on problem solving skills in a controlled environment. Written tests give insight into the student’s fund of medical knowledge.

Method of Evaluation - Students will receive daily written evaluations of their performance by attendings or senior residents. This will provide daily (formative) feedback and allow the identification (and remediation) of weakness. Final summative evaluations will be based on daily evaluation sheets, performance in small group conferences, simulated patient encounters and the final examination. Completion of final examination will contribute to the final grade.

Practice-Based Learning

Educational Objectives - Journal club sessions give the student the opportunity to learn to critically evaluate the literature and employ the techniques of evidence-based medicine to patient care. Daily care of patients involves using IT resources (Physician Portal, PACS, Allscripts, EKG Tracemaster, etc.) to access both new and old patient information, and thus tailor diagnostic and treatment plans.

Method of Evaluation - Students will receive daily written evaluations of their performance by attendings or senior residents. This will provide daily (formative) feedback and allow the identification (and remediation) of weakness. Final summative evaluations will be based on daily evaluation sheets, performance in small group conferences, simulated patient encounters and the final examination. Completion of final examination will contribute to the final grade.

Interpersonal and Communication Skills

Educational Objectives - These are extremely important to the effective practice of emergency medicine. Communication skills with patients will be assessed thorough direct observation of patient encounters. Communication skills with colleagues will be learned and assessed through direct observation and daily case presentations. Students will be given continuous formative feedback during the rotation. The students will ultimately present a formal patient presentation/case write-up, which will allow assessment of both verbal and written communication skills. Journal club presentations will allow practice and assessment of these skills in a less formal venue.

Method of Evaluation - Students will receive daily written evaluations of their performance by attendings or senior residents. This will provide daily (formative) feedback and allow the identification (and remediation) of weakness. Final summative evaluations will be based on daily evaluation sheets, performance in small group conferences, simulated patient encounters and the final examination. Completion of final examination will contribute to the final grade.

Systems-Based Practice

Educational Objectives - Educational Objectives: Students facilitate patient care in the clinical setting and learn to access needed support services for clinical care. Students also integrate into the health-care team. Making cost effective diagnostic and therapeutic decisions, recognizing and initiating treatment of emergency cases, considering patient and family preferences in plans, and considering treatment options, recognizing and appropriately treating pain, recommending and promoting health maintenance and disease prevention is integral to Emergency Medicine. As a part of functioning as an integral part of the healthcare team, students utilize the talents of consultants appropriately.

Method of Evaluation - Students will receive daily written evaluations of their performance by attendings or senior residents. This will provide daily (formative) feedback and allow the identification (and remediation) of weakness.