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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.

 


University of Nevada Residency in Emergency Medicine | 901 Rancho Lane Suite 135 | Las Vegas, Nevada 89106