2018-2019 M3/M4 Course Syllabi
Emergency Medicine
COURSE NUMBER:
24 01 03
TITLE:
ELECTIVE AI - EMERGENCY MEDICINE -ICE
The AI - Emergency Medicine is designed to provide students with the opportunity to perform the primary evaluation of Emergency Department patients. Working directly with faculty and senior residents, the AI will experience a wide spectrum of Emergency Department patient management.
PREREQUISITES:
26920371 (FAMILY MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26963371 (PSYCHIATRY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

Must be a fourth year student.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
4 wks
DIRECTOR:
Robbie Paulsen
paulsere@ucmail.uc.edu
513-558-5281
MSB, 1654
ADMINISTRATIVE SUPPORT PERSON:
Kim Regan
Kimberle.Regan@uc.edu
513-558-8996
MSB, 1654
INSTRUCTOR:
Emergency Faculty
SITE(S):
UC Health Medical Center
MAX ENROLL:
10 
ROTATIONS:
Rotation Dates Max
1 07/02/2018 - 07/27/2018 10
2 07/30/2018 - 08/24/2018 10
3 08/27/2018 - 09/21/2018 10
4 09/24/2018 - 10/19/2018 10
5 10/22/2018 - 11/16/2018 0
6 11/26/2018 - 12/21/2018 0
7 01/02/2019 - 01/25/2019 0
8 01/28/2019 - 02/22/2019 2
9 02/25/2019 - 03/22/2019 2
10 03/25/2019 - 04/19/2019 2
11 04/22/2019 - 05/17/2019 2
12 05/20/2019 - 06/30/2019 8

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
10 or 12 hour shifts (7am-7pm, 7pm-7am, 3pm-10pm)
REPORT 1ST DAY:
MSB 1452 8:00 am

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Patient Presentation--Learner
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
ORIENTATION:
Dr. Robbie Paulsen (Elective Director)
TEACHING:
60% Attending Physician
40% Senior Resident
FEEDBACK:
Elective director
ASSESSMENT:
FINAL GRADE:
70% Clinical work performance evaluations
20% Case management problem(s)
10% Participation
GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

1.   Learn to care for a very diverse group of patients with a wide spectrum of acute problems.

2.   Demonstrate teamwork necessary for delivery of care in the emergency department.

Curricular Resources :
The current reading materials provided contain selected chapters from Emergency Medicine:  An Approach to Clinical Problem Solving (Hamilton, Sanders, Strange, Trott).  These readings cover the initial approach to trauma, abdominal pain, chest pain, coma and altered mental status, and asthma, as well as basic cardiopulmonary resuscitation and general toxicology.  In addition, students are given a handout detailing the essentials of the verbal case presentation.
Knowledge/Skills:

1.   Gain experience as primary physician caring for acutely ill patients from admission to discharge from Emergency Department.

2.   Gain experience in evaluating and treating a broad variety of emergent and non-emergent diseases.

3.   Gain understanding of basic operation and organization of a large city Emergency Department.

4.   Complete a Didactic Reading program covering five core knowledge base topics in Emergency Medicine and pass a written examination on the topics.

5.   Perform routine literature searches and discuss literature reviewed with faculty.

6.   Discuss cost-effective issues involved in medical decision making, involving the entire spectrum of socio-economic factors seen in the patient population.

7.   Discuss risk-benefit issues and ethical consideration integral to an emergency department.

8.   Address measures that ensure proper follow-up and further care for patients.

Main Course Topics :

Trauma

Resuscitation

Lacerations

Chest pain

Abdominal pain

Toxicology

Altered mental status

Objectives:
Other Resources - Audiovisuals:
Procedural videos, laceration repair, central line insertion
Other Resources - Computer resources:
Clerkship primer
Other Resources - Other :
EKG Teaching File
Procedures:
N/A

SAMPLE WEEK

Monday:
7:00AM 7:30AM Rounding in ED
7:30AM 8:00AM Morning Report
8:00AM 6:00PM Emergency Dept 8 am - 7 pm (12 hrs)
Tuesday:
7:00AM 7:30AM Rounding in ED
7:30AM 8:00AM Morning Report
8:00AM 10:00AM Didactic
10:00AM 6:00PM Emergency Depart 10 am - 7 pm (12 hr)
Wednesday:
8:00AM 12:00PM Grand Rounds
1:00PM 6:00PM Emergency Dept 1 pm - 7 pm (12 hr)
Thursday:
7:00AM 7:30AM Rounding in ED
7:30AM 8:00AM Morning Report
8:00AM 6:00PM Emergency Dept 8 am - 7 pm (12 hr)
Friday:
10:00AM 6:00PM Emergency Dept 8 am - 10 pm (10 hr)
SCHEDULE NOTE:

Schedule Notes

7 shifts precepted by faculty (day and night)

7 shifts precepted by fourth year resident (day and night)

15 total shifts during elective with a final exam

In addition to clinical shifts, students are encouraged to attend the five hours of weekly Grand Rounds (they are excused from their clinical shift if they coincide), as well as the daily one half hour Morning Report held at 7:30 am

Generally 3 weekend shifts out of 15 shifts

Students guaranteed at least one day off every 7 day week

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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