Emergency Medicine Pathway Introduction Sites and Personnel Goals and Objectives Description of Pathway Pathway Summary Table Textbooks and Learning Resources Evaluation Other

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Introduction

The fourth-year student interested in Emergency Medicine is best served by rotating in Emergency Medicine clerkships offered at medical centers that have EM residency programs. Additional electives are suggested in those fields that offer the student experience in diagnostic skills.

The Department of Emergency Medicine feels strongly that the fourth year should be an enriching experience for all medical students. We encourage students interested in Emergency Medicine to use elective time to explore areas of interest as well as supplement those areas felt to be in need of additional attention.

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Pathway Director:
Drexel University COM
Mark Saks, M.D., M.P.H.
245 N. 15th Street, Suite 2108 NCB
Philadelphia, PA 19102
(215) 762-2374 phone
(215) 762-7985 fax
msaks@drexelmed.edu

Associate Pathway Director, Site Coordinators and Teaching Sites:

Site	Associate Directors	Site Coordinator
HUH Fitzgerald Mercy MHOP all except AGH & York	Mark Saks, M.D., M.P.H. Drexel University College of Medicine 245 N. 15th Street, Suite 2108 NCB Philadelphia, PA 19102 (215) 762-2368 Phone msaks@drexelmed.edu	Judy Elsesser (215) 762-2374 Phone (215) 762-1302 Fax
AGH	Ankur Doshi, M.D. Allegheny General Hospital 320 E. North Avenue Pittsburgh, PA 15212 (412) 359-6180 Phone adoshi@wpahs.org	Jeff Reed (412) 359-6671 Phone
York	Noelle A. Rotondo, D.O. York Hospital Department of Emergency Medicine 1001 S. George Street York, PA 17405 (717) 851-5064 Phone nrotondo@yorkhospital.edu	Wanda Tucker (717) 851-5064 Phone

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Goals and objectives are collective as indicated within the Description of Pathway section under each rotation description.

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Click here for a summary table of the Emergency Medicine Pathway.

Rotations Required of All Students
Neurology
Internal Medicine Subinternship

Rotations Required of Students Interested in Emergency Medicine
Emergency Medicine (four weeks)
At clinical sites utilized by the Department of Emergency Medicine, student evaluations will be based upon daily reports by clinical faculty. Learning opportunities are afforded through bedside teaching, morning report, departmental conferences and medical student didactic conferences. Special didactic sessions for medical students will address issues unique to Emergency Medicine such as resuscitation, wound care, toxicology and pediatric emergencies.

Objectives of Emergency Medicine Rotation.
By the end of the rotation, the student will be able to:

• Recognize signs and symptoms of patients with unstable medical conditions;
• Initiate appropriate initial treatment of unstable patients;
• Provide initial care and evaluation of patients with acute trauma;
• Care for acute soft tissue and orthopedic injuries;
• Manage patients with acute environmental and toxicologic conditions;
• Initiate appropriate initial testing of emergent patients and understand limitations of testing in the ED;
• Evaluate and care for emergent patients with primary or concomitant psychiatric illness;
• Understand tenets of caring for patients with other acute medical conditions.

Additionally, the student should become familiar with the workings and organization of an Emergency Medicine residency program, including conferences, teaching rounds and research activity.

Required Critical Care Rotation
Objectives of Critical Care Rotation.
To become familiar with the care of critically ill patients, including pathophysiology, invasive monitoring, and advanced procedural techniques in the critical care setting.

Additional Suggested Electives
Emergency Medicine (four weeks) [ideally at a different site with an EM residency]
Objectives of Emergency Medicine Rotation.

• Give the student some basis upon which to compare different EM training programs.
• There is a greater variety among the existing residency formats for training in EM than for most specialties. Programs may be three or four years, some begin in PGY-1, others in PGY-2. They vary widely in the amount of time spent in emergency settings and the "off-service" rotations. They also vary in teaching activities and conferences. By gaining firsthand exposure to a second residency program, the student will be able to make more informed decisions regarding his priorities in selecting a training site.

Diagnostic Radiology (four weeks)
Objectives:
To become familiar with, and gain experience in, common diagnostic radiograph interpretation. Particular attention should be paid to the interpretation of those studies commonly obtained in the ED including the chest, axial skeleton and extremities.

Cardiology (four weeks)
Cardiology with emphasis on EKG interpretation.
Objectives:

• Gain experience in the interpretation of EKGs. Special attention should be paid to the recognition of acute infarction, ischemia and dysrhythmias;
• Become familiar with the acute care of patients with chest pain and/or suspected ischemic cardiac disease;
• Recognize clinical signs of valvular and other cardiac diseases.

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To be announced.

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To be announced.

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Resources

1. Curriculum and Advisory Committee:
   All students are encouraged to review your elective selections and their relationship to Emergency Medicine. In addition, students are strongly encouraged to discuss strategy for the NRMP, including the process for selecting programs, interviewing and prioritizing the rank order. If you have no established relationship with a member of the department, you may contact one of the members of the departmental Curriculum and Advisory Committee:
   Richard Hamilton, M.D., Chair, DUCOM (215) 762-2368
   Residency Director, HUH (215) 762-8680
   Course and Pathway Director, Assistant Residency Director, Emergency Medicine Subinternship, DUCOM (215) 762-2368
2. SAEM Residency Listing:
   The Society for Academic Emergency Medicine maintains a listing on the World Wide Web of all residency programs, as well as opportunities for medical students to rotate at many of these sites.
   The URL is: http://www.saem.org/ResidencyCatalogue/catalog/contents.html
3. Department of Emergency Medicine
   More information can be found on the department's Web site at: http://www.drexelmed.edu/emergency_medicine/

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