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 The goal of the rotation is to provide students with the clinical
skills and knowledge to appropriately evaluate all types of emergency
patients with an emphasis on treating the acutely ill and injured patient.
Rotation Objectives:
1. To improve the student's history taking skills, concentrating on the
chief complaint and recognizing the pertinent
historical points
2. To improve the student's focused physical exam and recognition of the
importance of each individual component.
3. To further develop student's oral presentation skills and differential
diagnosis utilizing an emergency medicine perspective.
4. To foster the student's ability to recognize the acuity of a patient's
illness and utilize the triage concept to concurrently manage and
disposition multiple patients.
5. To gain insight into the pathogenesis and appropriate management of the
common chief complaints of emergency department patients.
6. To improve the technical skills of common emergency department
procedures including airway management, intubation, wound care, fracture
management, splinting, intravenous access, ultrasound, electrocardiography,
and lumbar puncture.
7. To further develop the student's awareness of the team approach to emergency
care and the importance of developing strong working relationships with
paramedics, nurses, technicians, physicians, consultants, and ancillary
staff
8. To foster a strong work ethic and the importance of responsibility and
professionalism.
Clinical Experience and
Responsibilities:
Students work as
sub-interns and are expected to be the primary care givers, seeing patients
independently and taking initial histories and physical exams, managing the
patient's emergency department course, and, ultimately, their disposition.
Students work alongside emergency medicine residents and faculty for a
total of 16 12-hour clinical shifts in the adult emergency department and
trauma resuscitation unit. Students are responsible for keeping a case log
of patients seen and procedures performed.
Students will be
evaluated after each shift by the attending physician and senior resident
in the following areas: medical knowledge, problem solving, clinical
skills, interpersonal and communication skills, professionalism,
motivation/enthusiasm.
Academic Experience and
Responsibilities:
Students receive a total
of at least 14 hours of case-based didactics and conferences. The eight
areas of chief complaints covered in the curriculum are trauma, headache,
abdominal pain, chest pain, dyspnea, obstetrics
and gynecology, altered mental status, and toxicology. Students take part
in the residency lecture series, morning reports, and monthly journal club.
Student's academic
performance and evaluation will be based on their didactic participation, a
written test, and a written case review.
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