Emergency Medicine Clerkship
Director: Simranjit S. Gill, D.O., Clerkship Director, Emergency Medicine; Assistant Professor, Emergency Medicine
Clerkship Description: The Emergency Medicine Clerkship provides the medical student with an in-depth exposure to Emergency Medicine as a specialty and career choice. They will interact with a wide variety of undifferentiated patients and problems, with a goal of improving the students’ skill in acute care decision-making, a beneficial skill for all physicians. In addition to clinical duties, there is a reading and didactic component. Simulation exercises and small-group discussions/didactics comprise the majority of the educational curriculum, while reading assignments from supplemental materials complete the educational experience. The rotation responsibilities include participation in >100 hours of clinical encounters during the four-week rotation, attendance at four teaching/simulation sessions, attendance at Resident Didactic Conferences, and completion of the written examination.
Topics covered in the curriculum each block include but are not limited to:
- Orientation
- Introduction to Emergency Medicine, including the Approach to the Undifferentiated Patient Basic Airway techniques
- Advanced airway techniques
- Dysrhythmia recognition and management
- Procedural instruction on basic and advanced airway management, central line placement, and ultrasound.
- Approach to a patient with Dyspnea, Chest Pain, Abdominal Pain, Altered Mental Status, Trauma, Shock, and Toxic Exposure.
Students will also be exposed to topics of discussion that are within the core curriculum for emergency medicine residents. One-on-one preceptorship is provided by clinical faculty, emergency medicine residents and academic faculty, each uniquely suited to introduce the broad domain of emergency medicine. This guided activity provides experience with a wide variety of clinical problems and their management. There is active participation in patient care through preliminary workup and presentation to the preceptor, after the student has had the opportunity to formulate their provisional diagnosis and plan.
Boonshoft SOM Educational Objectives/Competencies
Code |
What competencies will this unit address? |
Foundational Knowledge – Medical Knowledge |
|
1.1 |
Master fundamental biomedical concepts, terms, processes, and system interactions |
Foundational Knowledge – Medical Knowledge |
|
1.2 |
Describe the determinants of health |
Foundational Knowledge – Medical Knowledge |
|
1.3 |
Utilize evidence in making clinical decisions |
Application – Patient Care (Clinical Skills) |
|
2.1 |
Conduct patient interviews and physical examinations |
Application – Patient Care (Clinical Skills) |
|
2.2 |
Diagnose patient health problems |
Application – Patient Care (Clinical Skills) |
|
2.3 |
Propose evidence-based health maintenance and therapeutic treatments |
Integration – System-Based Practice |
|
3.1 |
Connect knowledge of patient populations and health delivery processes in making diagnoses and therapeutic recommendations |
Integration – System-Based Practice |
|
3.2 |
Advocate for the humane, just, safe and prudent care of persons |
Integration – System-Based Practice |
|
3.3 |
Adapt to the complex economic and social structure of health care delivery |
Human Dimension – Personal and Interpersonal Professional Development Goals |
|
4.1 |
Reflect upon one’s personal strengths and weaknesses to make changes in one’s behavior |
Human Dimension – Personal and Interpersonal Professional Development Goals |
|
4.2 |
Find one’s own meaning in medicine |
Human Dimension – Personal and Interpersonal Professional Development Goals |
|
4.3 |
Take care of oneself |
Human Dimension – Personal and Interpersonal Professional Development Goals |
|
4.4 |
Deliver effective patient presentations and document accurately in the medical record |
Human Dimension – Personal and Interpersonal Professional Development Goals |
|
4.5 |
Communicate and work effectively with others |
Human Dimension – Personal and Interpersonal Professional Development Goals |
|
4.6 |
Demonstrate leadership skills in a variety of settings |
Caring/Valuing – Professionalism Goals |
|
5.3 |
Value and behave in a manner consistent with the highest ethical standards of the profession |
Learning How to Learn – Practice-Based Learning |
|
6.3 |
Appropriately utilize evidence-based resources to address uncertainty in medicine and gaps in knowledge/skills |
Clerkship-Level Objectives
Code |
What are the clerkship-level objectives for this course? |
Boonshoft SOM Objectives |
---|---|---|
LO1 |
Frame a patient encounter in an organized fashion, reinforcing etiology, pathophysiology, clinical manifestations, diagnostic strategies and therapeutic interventions. |
1.1, 2.1 |
LO2 |
Explain disease specific treatment strategies and associated prognosis and complications. |
1.1, 2.1 |
LO3 |
Evaluate and manage patients’ presenting clinical problems, including: (abdominal pain; altered mental Status; chest pain; neurologic complaints (e.g. dizziness, weakness); acute intoxication, overdose or withdrawal; dyspnea; extremity injury; gastrointestinal complaint; headache; obstetric or gynecologic complaint, or major trauma. |
1.1, 2.1 |
LO4 |
Develop a hierarchy of differential diagnoses based on the initial patient presentation to include the most likely and most threatening. |
1.1, 2.1, 2.2 |
LO5 |
Recognize immediate life-threatening illnesses. |
1.1, 2.1, 2.2 |
LO6 |
Apply the fundamentals of adult care to coordinate the care of acutely ill patients |
1.1 |
LO7 |
Demonstrate a systematic, yet focused, approach to undifferentiated patients utilizing sound skills in gathering and synthesizing components of the history and physical exam. |
2.1, 4.4 |
LO8 |
Demonstrate appropriate ordering and interpretation of common diagnostic tests and procedures as part of an evaluation and management plan. |
2.2 |
LO9 |
Formulate diagnostic reasoning, and justify therapeutic decision-making. |
1.3, 2.2, 2.3 |
LO10 |
Monitor the response to therapeutic interventions with frequent reassessment of patients. |
2.3 |
LO11 |
Develop a disposition plan for patients to include education and ensured comprehension of an outpatient treatment plan. |
2.3 |
LO12 |
Demonstrate clear and concise oral presentations and written documentation reflecting a systematic approach to adult patients. |
2.1, 4.4 |
LO13 |
Apply the indications and contraindications for basic procedural skills. |
2.3 |
LO14 |
Perform basic procedural skills (e.g. attach a cardiac monitor and pulse oximeter; obtain a 12-lead ECG; basic airway maneuvers; place intravenous line and start IV fluid infusion; suture placement). |
2.3 |
LO15 |
Identify the social determinants of health for a specific patient, and develop a plan to coordinate care to include community resources to try to improve the health of the individual. |
1.2, 3.1, 3.2 |
LO16 |
Consider patient, physician, and system barriers to successfully negotiate treatment plans and patient adherence; and identify strategies that may be used to overcome these barriers. |
1.2, 3.1, 3.2 |
LO17 |
Identify the role of each team member to the care of the patient, and call on interdisciplinary resources to provide optimal and comprehensive care. |
3.3a 4.5, 4.6 |
LO18 |
Establish professional relationships and effectively communicate with patients, their families, instructors, colleagues and staff. |
4.1, 4.3, 4.5, 4.6 |
LO19 |
Work effectively with the broad, interdisciplinary team in patient care and appropriately incorporate their unique care skills. |
4.1, 4.3, 4.5, 4.6 |
LO20 |
Demonstrate the ability to act with honesty/integrity and compassion while maintaining ethical duties and a nonjudgmental approach to patients and others. |
5.3 |
LO21 |
Demonstrate the ability to act in a manner that is dependable, dedicated and punctual, while maintaining a professional appearance. |
5.3 |
LO22 |
Demonstrate the ability to act with patience, altruism and equanimity, with sensitivity to cultural issues. |
4.1, 4.6 |
LO23 |
Recognize when additional information is needed to care for the patient and demonstrate ongoing commitment to self-directed learning. |
6.3 |
LO24 |
Demonstrate effective skills in navigating the medical literature and available information technology to answer clinical care questions. |
6.3 |
LO25 |
Demonstrate the ability to acquire and soundly manage knowledge, identify knowledge deficiencies and create a plan for knowledge gains |
4.2, 6.3 |
LO26 |
Demonstrate the ability to seek out and listen to feedback on performance, accept it positively, and respond to it constructively by improving performance. |
4.5, 4.3, 4.1 |
Required Clinical Experiences
Clerkship/Clinical discipline |
Patient type/Clinical condition |
Clinical setting |
Level of student responsibility |
---|---|---|---|
Emergency Medicine |
Neurocognitive Disorders |
Emergency Dept. |
Full Participation |
Emergency Medicine |
Chronic Respiratory Illness |
Emergency Dept. |
Full |
Emergency Medicine |
Psychiatric Condition |
Emergency Dept. |
Full |
Emergency Medicine |
Diabetes |
Emergency Dept. |
Full |
Emergency Medicine |
Cardiovascular disease |
Emergency Dept. |
Full |
Emergency Medicine |
Infection |
Emergency Dept. |
Full |
Emergency Medicine |
Toxicological Condition (e.g. intentional or unintentional overdose) |
Emergency Dept. |
Full |
Emergency Medicine |
Abdominal pain |
Emergency Dept. |
Full |
Emergency Medicine |
Acute Neurologic condition |
Emergency Dept. |
Full |
Emergency Medicine |
Major Trauma Resuscitation |
Emergency Dept. |
Moderate Participation |
Emergency Medicine |
Headache |
Emergency Dept. |
Full |
Emergency Medicine |
Obstetrical or gynecologic condition |
Emergency Dept. |
Full |
Emergency Medicine |
Geriatric |
Emergency Dept. |
Full |
Emergency Medicine |
Pediatric |
Emergency Dept. |
Full |
Emergency Medicine |
Extremity Injury |
Emergency Dept. |
Full |
Emergency Medicine |
Critical Care |
Emergency Dept. |
Moderate |
Clerkship/Clinical Discipline |
Procedures/Skills |
Clinical setting |
Level of student responsibility |
Emergency Medicine |
Attach cardiac monitor/pulse oximeter |
Emergency Dept. |
Fully performed the procedure |
Emergency Medicine |
Obtain 12 lead ECG |
Emergency Dept. |
Fully performed |
Emergency Medicine |
Perform basic airway maneuvers |
Emergency Dept. |
Fully performed |
Emergency Medicine |
Peripheral IV line placement |
Emergency Dept. |
Fully performed |
Emergency Medicine |
Suture placement |
Emergency Dept. |
Fully performed |
Observation: Student is observing encounter
Moderate Participation: Student completes the History and Physical (either complete or focused) and participates in the differential diagnosis. (*Student directly interacts with the patient)
Full Participation: Student completes History and Physical (either complete or focused), participates in the differential diagnosis, and then completes a therapeutic treatment plan, which can include documentation.
For Procedures:
Observation
Assisted in the procedure
Fully performed the procedure