PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Student must be an M4
PURPOSE: This elective will provide a broad exposure to the specialty of emergency medicine in this busy urban Level I trauma center. The emergency department is a full service department, treating a wide variety of adult patients – e.g. trauma, cardiac and respiratory pathology, infectious disease, OB/GYN, orthopedics.
COMPETENCIES: By the end of the rotation, the student shall be able to:
• Perform a focused patient history and physical exam;
• Develop a differential diagnosis and generate a treatment plan for common presentations, with emphasis on the development of life threats;
• Perform primary patient management for a wide variety of patient complaints;
• Develop skills in simultaneous patient management, lab oratory, radiographic and EKG interpretation;
• Understand and initiate basic resuscitation, airway, and stabilization techniques;
• Perform basic emergency room procedures such as suturing, wound care, splinting, venipuncture, chest compressions, basic airway techniques;
• Develop skills in organization, team work, and patient physician relations;
• Generate acceptable patient charting of ED visit.
INSTRUCTIONAL FEATURES: : Students will work one-on-one with teaching attendings an d senior emergency medical residents. The student will work a total of 40-50 clinical hours per week (12-15 shifts/month). Each shift will be for 12 hours and will run from 7:00 am to 7:00 pm or 7:00 pm to 7:00 am. The schedule will be finalized on the day of orientation according to a pre-determined template. Students will have the opportunity to change a limited number of shifts to accommodate interviews, etc. Orientation is MANDATORY prior to first shift. Departmental and student conference attendance is MANDATORY and are generally on Thursdays from 8:00 a.m. to 2:00 p.m. In addition, the student is expected to do assigned reading, complete workbook assignments, attend informal student conferences, and complete a final examination.
ASSESSMENT: Students receive written evaluations by attendings and residents for each clinical shift, departmental input and end of elective NBME. The NBME is held the afternoon of the final Friday of the rotation. Skill/SIM sessions are formative sessions that will not be graded. Both ongoing and midterm feedback is provided during the rotation.
Program Number: ELEC 363
Site Director: Terry Chiganos, M.D.
Coordinator: Tara Murphy
Email: [email protected]
Duration: 4 Weeks
Night Call: Yes
Students Accepted: Min. 0 Max. 2-3
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 6
Laboratory/Independent Study: 0
Total Hours /Week: 45
Students receive reporting instructions via email from the site coordinator approximately one week before start of rotation.
It is very important to follow all instructions and have all prerequisites fulfilled in a timely manner in order to insure your rotation will not be cancelled.