Emergency Medicine

Emergency Medicine Clerkship

Clerkship Goals & General Objectives

The student will have the opportunity to learn the approach to undifferentiated, acutely ill or acutely injured patients who present to the emergency department for care. The overall goal of the Emergency Medicine Clerkship is the mastery of the basic core competencies that are essential for practice as a competent physician focused on the AAMC competencies. The Emergency Medicine Clerkship will focus on these competencies in the context of the delivery of emergency care regardless of the student’s career focus, and include the following:

  • recognition of the role of the emergency physician in the health care delivery system
  • development of an organized and systematic approach to the care of the acute patient who presents to the emergency department with an undifferentiated chief complaint
  • acquisition of a body of knowledge and clinical reasoning skills necessary for the formation of an initial differential diagnosis and treatment plan focused on immediate life threats
  • development of medical decision-making skills necessary to integrate limited assessment data findings and determine the sick vs non-sick, stable vs non-stable patient and to implement a plan for treatment
  • development of clinical reasoning skills necessary to identify the actual reason for the patient’s presentation to the emergency department
  • ability to deliver emergent care in a team-based environment
  • ability to perform minor and life-saving procedures under supervision or with simulation
  • integration of concepts of emergency medicine into personal and professional growth as a physician

Core Clerkship Learner Objectives

Upon completion of the three-week Emergency Medicine Clerkship, the student will be able to do the following to the satisfaction of the supervising emergency medicine faculty:

  1. Recognize patients with immediately life threating conditions regardless of etiology and institute appropriate initial therapy
    • collect an appropriate complaint-directed and focused history
    • perform an accurate complaint-directed and focused physical examination
    • generate a reasonable initial and subsequent differential diagnosis and problem list
    • identify and prioritize a patient’s problems
    • perform routine technical procedures
  2. Communicate effectively, both orally and in writing, with patients, patients’ families, colleagues, and other members of the health care team with whom emergency medicine physicians must exchange information while carrying out their responsibilities
    • present a case in a clear, organized and efficient manner
    • document patient care information in the medical record
  3. Demonstrate an understanding of the use and interpretation of commonly ordered diagnostic studies
    • use the concepts of pre-test probabilities and diagnostic testing
    • interpret the results of commonly used diagnostic procedures
    • formulate a basic plan for diagnostic evaluation
  4. Develop and assist with implementation of appropriate case management plans
    • outline an initial course of management for patients with serious conditions requiring critical care
    • formulate plans for patients who presents with multiple undifferentiated problems
  5. Establish effective physician/patient relationships
    • establish rapport with patients
    • use vocabulary appropriate for patients
    • assess patients’ understanding
    • use appropriate listening skills
    • show empathy and compassion
    • demonstrate respect for the individuality, values and rights of all patients
  6. Demonstrate understanding of the principles of health promotion, disease prevention and patient education
    • list health risk factors for patients based on age, gender, medical history and social history
    • counsel patients about signs and serious effects of harmful personal behaviors and habits
  7. Further develop his/her professional role as a physician
    • demonstrate self-directed learning and self-assessment
    • attend promptly and prepare for all activities
    • show respect for patient confidentiality
    • show respect for patients, colleagues, peers and ancillary health care workers
    • behave in a morally and ethically appropriate manner

Contact

Lori Ramsey
Administrative Coordinator
Phone: 330.325.6588
Email: lramsey@neomed.edu

Department Chair

Nicholas J. Jouriles, M.D.
Phone: 330.325.6588
Email: jourilesn@usacs.com

Department of Emergency Medicine

College of Medicine at NEOMED