Clerkship Objectives
Our emergency medicine clerkship objectives are aligned with ACGME milestones
Patient Care
- Assess a patient’s ABCs and performs basic interventions
- Elicit and communicate a reliable comprehensive patient history and perform a physical exam
- Determine the need for diagnostic studies
- Demonstrate understanding of diagnostic testing principles
- Construct a list of potential diagnoses based on the patient’s chief complaint and initial assessment
- Describe the different classifications of pharmacologic agents
- Consistently ask patients for drug allergies
- Describe basic resources available (e.g., follow-up care, rehabilitation, transfer centers)
- Describe basic patient education plans
- Identify the need for patient re-evaluation
- Manage a single patient amidst distractions
- Identify indications for a procedure and pertinent anatomy and physiology
- Perform basic therapeutic procedures (e.g., suturing, splinting)
Medical knowledge
- Demonstrate scientific knowledge of common presentations and conditions
- Demonstrate knowledge of treatment of common conditions
- Identify types of clinical reasoning errors within patient care, with substantial guidance
Practice-based learning and improvement
- Demonstrate how to access and use available evidence
- Demonstrate an openness to performance data (feedback and other input)
Systems-based practice
- Demonstrate knowledge of common patient safety events and knowledge of how to report patient safety events
- Demonstrate knowledge of basic quality improvement methodologies and metrics
- Demonstrate knowledge of care coordination Identifies key elements for safe and effective transitions of care and hand-offs Demonstrates knowledge of population and community health needs and disparities
- Identify key components of the complex health care system (e.g., hospital, skilled nursing facility, finance, personnel, technology)
- Describe basic health payment systems, including (e.g., government, private, public, uninsured care) practice models
Professionalism
- Demonstrate professional behavior in routine situations and in how to report professionalism lapses
- Demonstrate knowledge of the ethical principles underlying patient care
- In routine situations, perform tasks and responsibilities with appropriate attention to detail
- Respond promptly to requests and reminders to complete tasks and responsibilities
- Recognize, with assistance, the status of one’s personal and professional well-being
Interpersonal and communication skills
- Use language and nonverbal behavior to reflect respect and establish rapport while accurately communicating one’s own role within the health care system
- Identify common barriers to effective communication (e.g., language, disability) with insight gained through an assessment of patient/family expectations coupled with an understanding of their health status and treatment options, adjusts one’s communication strategies
- Respectfully request a consultation using language that reflects the values all members of the healthcare team
- Receive feedback in a respectful manner
- Accurately document information in the patient’s record and safeguard patient personal information
- Communicate through appropriate channels as required by institutional policy (e.g., patient safety reports, cell phone/pager usage)
Course Details
What are the requirements to complete this rotation?
- Students need to complete 14 clinical shifts (12 hour shifts), including 3 overnights, and 2 weekends.
- Students will complete a case or topic presentation to be given at the end of the rotation
- Students will attend weekly conference, and didactic sessions
What are student responsibilities?
- Students are expected to read the orientation overview and expectations packet
- Students are expected to arrive on time for the start of the shift, and participate in sign-out
- Students should wear scrubs and have a hospital ID visible at all times
- Students are expected to interview and exam patients, and participate in patient care
- Students should complete the attendance and procedure log on shift
- Students should ask at least one resident and attending per week to complete an evaluation form
Evaluations
How are students evaluated?
- 90% is based on a composite from clinical evaluations.
- 5% is based on the end-of-rotation topic or case presentation
- 5% is based on professional behavior while working clinically (showing up on time, properly dressed, appropriate behavior), and professional behavior as a student (completing requirements on time, showing up to required activities).