Goals and Objectives

This rotation is designed for the student interested in emergency medicine as a career. As emergency medicine has grown into it’s role as a medical specialty it has become clear that there are certain attributes and skills needed to assure success and satisfaction in this field. While all physicians need training in the handling of basic medical emergencies, this is generally covered in the standard 4th year emergency medicine rotation. Students interested in making a career of emergency medicine need exposure to other aspects of life as an emergency physician. These include the rigors of shift work, the communication skills necessary for transference of care, the skill set needed to make rapid patient dispositions, the importance of concise ED case presentations, the ability to manage patients simultaneously and the appropriate use of consultation services. This rotation also provides opportunities to gain advice on how to plan for residency; evaluation of programs, the application process, interviewing, internship survival, etc.

This rotation affords students the opportunity to:

1) Practice recognition of sick-vs-not sick patients.

2) Refine skills in stabilization of acute life threatening emergencies.

3) Enhance skills at developing (complaint-based) differential diagnoses.

4) Experience the continuum of initial evaluation, stabilization, treatment and disposition of the acutely ill or injured patient.

5) Foster understanding of the complimentary interactions between the Emergency Department (ED) and the rest of the health care system.

6) Refine ED case presentation skills.

7) Develop a mini-mentorship relationship with an academic emergency physician Curriculum Shift schedules - Schedules will be modeled after the EM intern schedules.

Students will perform a mix of 10 and 12-hour shifts (mix of days, nights and weekends). The schedules will be selected so that students spend at least a minimum number of shifts with selected educational faculty. Expectations include making expedited, efficient and appropriate presentations, differentiating accurately between sick and not-sick patients, creating well rounded differential diagnosis lists and forming, as well as, supporting a plan of evaluation and treatment. Students will be expected to prepare a formal case presentation in the third week of the rotation. This case will be accompanied by a formal written ED-chart. The students will be required to present the case at a conference during the third week of the rotation in front of educational staff, residents and Attendings. They will then field questions on the case. Efficiency, conciseness and completeness of the presentation, charting and handling of the question session will be graded. Active participation in our monthly journal club is expected.

Examinations - Students will continue to take the multiple choice “end-of-rotation” test as administered to all required clerkship rotators.

Instructional Labs - Students will participate in procedure labs to learn and refine skills in suturing/wound management, airway management, splinting, central venous access, ultrasound, etc. These labs will involve the use of hi-fidelity simulation mannequins.

Simulated Patient Encounters - Students will get the opportunity to develop diagnostic and treatment plan skills in simulated patient encounters. Some of these will take place in small group sessions with oral board type cases. Some will take place using hi-fidelity patient simulators. The cases will cover commonly encountered high-risk patient complaints such as chest pain, short of breath, altered level of consciousness, multiple trauma, etc

Course Faculty and Staff

Course Director(s):	Robyn Hoelle MD
Course Staff:	Beth Magyari

Course Materials

Tintinalli's Emergency Medicine - A Comprehensive Study Guide, 6th edition (provided for the student); Lecture Powerpoint Presentations available on the intranet; Emergency Medicine’s Top Clinical Problems (provided for the student) O. John Ma & David Cline. Emergency Medicine Manual 6th Ed. 2004.McGraw Hill. Copy provided for use during rotation. Bound Readings: Sub-I students will be given a copy of reading including:

1) History of emergency medicine as a specialty

2) Proper ED case presentation technique

3) Preparing for residency/choosing a residency/interviewing

4) Opportunities in EM (fellowships, etc)

5) ED charting

6) Other

Additional Information

This is the rotation to take if you want to be evaluated as a potential candidate for Emergency Medicine residency training. Students requesting a standardized letter of recommendation (SLOR) for EM-residency applications should enroll in this rotation. This rotation fulfills all the requirements of, and substitutes for, the standard “required 4th year emergency medicine rotation”. Student will be tasked with patient care responsibilities and be expected to function at the Sub-I level. This rotation does not fulfill The “sub-internship” requirement of the 4th year. You must still complete a “sub-internship” in Family Medicine, Internal Medicine or Pediatrics.

Classes Offered

You are already signed up for this course. You may sign up for a different period in the same course, but be sure to give your request a different priority than any other request for this course. If you're not sure about where this course is in your schedule, go there and see.

Period	Length	Credits
Period 1	4 weeks July	4
Period 2	4 weeks August	4