PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Open to all 4th year medical students who have successfully completed their core rotations in Internal Medicine and Surgery. From July through December, this rotation is reserved for students going into ER medicine.
PURPOSE: The goal of this elective shall be exposure and experience to all aspects of urban/suburban emergency care.
• To introduce students to the complex specialty of emergency medicine;
• Management of life threatening emergencies including: major trauma, cardiopulmonary arrest, myocardial infarction and cardiac dysrhythmias, intracranial hemorrhage and shock;
• To prioritize treatment of critical patients where rapid management is needed;
• To give experience in rapid clinical assessment and critical decision making;
• Experience in minor surgery and wound repair;
• Exposure to all levels of patients ranging from neonates to the elderly;
• Exposure to all types of cases: ortho, medical, surgical, ob/gyne, peds and psych;
• Experience in building rapid patient rapport and communication with patients and families under stress;
• To familiarize students with pre-hospital care and field management;
• To give an understanding of the social and medicolegal problems unique to emergency departments.
INSTRUCTIONAL FEATURES: In this rotation students will gain frontline experience in treatment of emergency patients. They will provide initial evaluation, then develop a diagnostic workup and treatment plan. They will gain experience in management of multiple simultaneous patients, x-ray interpretation and EKG interpretation. Students may perform procedures such as suturing, splinting, endotracheal intubation and lumbar puncture –all under the supervision of an attending physician. Immediate feedback is always available from senior level residents and attending physicians. This elective provides an end less array of patients with complex medical problems. There is 24 hour attending coverage providing constant teaching at bedside. This results in a unique learning experience. When possible, students may gain pre-hospital care experience by riding with the paramedics in Advanced Life Support Ambulances, as well as be exposed to Emergency Medical System and disaster planning.
Assessment: An NBME is given the afternoon of the final Friday of the rotation.
Program Number: ELEC 363
Program Directors: Greg Richardson
Email: [email protected]
REQUIREMENTS HOURLY BREAKDOWN PER WEEK**
Duration: 4 Weeks
Night Call: Special*
Students Accepted: 2
Coordinator: Catherine Clark
Housestaff Used as Faculty: No
Lectures/Conferences/Faculty Contact: Varies
Laboratory/Independent Study: No
Total Hours /Week: 40
*Half of time spent on nights, half on days; flexible schedule
**Flexible according to student interests and needs; about 25% of patients get admitted. Faculty contact is one-on-one and tailored to student experience.
Students should arrive between 8:30 AM and 9:00 AM. Please see Catherine Clark, the Student Coordinator, at the Dept of Medical Education, 1st floor Room 1042, at St. Francis Hospital, 355 Ridge Ave., Evanston, IL 60202. The office telephone number is (847) 316-3111.