IU Student Electives
EMERGENCY MEDICINE
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EMERGENCY MEDICINE |
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This elective does not participate in the initial senior match. Description: Students will be assigned to rotate at either the Wishard or the Methodist Emergency Departments (although preferences will be attempted to be honored, students will be equitably distributed across both sites). Both facilities function as Level 1 trauma centers with large, diverse patient populations and serve as the clinical training sites for our EM residency. Wishard sees 100,000 patients/year who are primarily adults with medical or traumatic complaints. In addition, Wishard sees critically ill and injured children. The Methodist EMTC sees approximately 95,000 patients/year with 20% of that number being pediatric. There is an emphasis on focused patient evaluations and discriminate test ordering for a broad spectrum of illnesses and injuries. Principles of triage, prioritization, clinical decision-making, and multi-tasking are emphasized. The students assume primary responsibility for their patients, who are staffed by Board Certified EM faculty and upper level EM residents. Exposure to the key elements of many other aspects of Emergency Medicine (Medical Toxicology, Out of Hospital Care) is possible. The clinical experience (45-55 hours per week) is supplemented by a structured didactic series covering the more common disease entities encountered in the ED setting. A suture lab focusing on wound closure techniques is included in the didactic series. Objectives: To learn the fundamental approach to caring for patients with urgent and emergent medical conditions. To improve the ability to perform a focused history, physical examination and management plan for patients presenting with unselected illnesses and injuries. To gain exposure to the fundamental concepts of resuscitation for patients in all age groups with either medical illness or injury. |
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EMERGENCY MEDICINE STUDENTS IN RESEARCH PROGRAM |
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Description: This elective is intended to promote research and evidence-based medicine education to medical students. The program provides on-line didactics, assigned readings and tests to insure that the students gain an understanding of basic clinical research principles, research ethics, and evidence-based medicine. In addition to lecture and reading requirements, students will cover a designated number of 6-hour shifts in the emergency departments of Methodist and Wishard hospitals to recruit and enroll patients into clinical research studies. It represents a unique opportunity to allow medical students to directly participate in the performance of clinical research, while also providing them with an education on basic research methodology and research ethics. Objectives: · To provide the student with a "hands-on" experience in performing clinical research by actually participating in the conduct of that research · To educate medical students on the basic concept and methodologies of clinical research studies · To promote the students' knowledge of clinical research ethics · To introduce and/or reinforce the basic principles of evidence based medicine |
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93ZE740 |
ELECTIVE IN EMS |
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SPECIAL ELECTIVE IN
EMERGENCY MEDICINE |
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Description: The student should refer to the
section of the Preface entitled "Special Electives" for information
concerning the availability of elective opportunities especially designed to
meet his/her needs and interests. The "Special Electives" section
will also identify the procedures for arranging and scheduling special
elective courses. |
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EMERGENCY MEDICINE |
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Description: NOTE: THIS COURSE PREFERS 15 DAYS NOTICE FROM START DATE TO DROP OR ADD. WILL ALLOW LAST MINUTE ADDS. The medical student will spend most of his/her time in the Emergency Department caring for both medical and surgical emergencies. One or two Emergency Department staff physicians (all board-eligible or board-certified in Emergency Medicine) will be present to staff each patient encounter. A great variety of cases will be seen by the medical student: i.e., lacerations, burns, fractures, multiple trauma, acute myocardial infarctions, as well as a broad spectrum of medical surgical and pediatric emergencies. Special emphasis will be directed toward those areas of medicine that are unique to emergency medicine: toxicology, pre-hospital care, environment emergencies, resuscitation, and disaster management. The medical student will initially take a history and examine the patient. The staff physician and student will then discuss the case emphasizing pertinent historical and physical findings, formulating a differential diagnosis, and initiating a plan for work-up and treatment. The physician-student team will also decide upon any further treatment modalities and the disposition of each case. This may include writing preliminary admission orders to the hospital. At the completion of the elective, the medical student should have a better understanding of the philosophy, function, and capabilities of a community emergency department treating over 40,000 cases yearly. The medical student should have a sound approach to the initial diagnosis and treatment of most life-threatening conditions as well as many acute illnesses seen in other out-patient settings and have gained an appreciation for the specialty of Emergency Medicine. The student will work approximately 45 hours a week in the Emergency Department with some clinical activities scheduled for evening and weekend hours. Objectives: To evaluate EM patients and come up with a differential diagnosis, plan for lab and radiology evaluation, refinement of differential, and plan for disposition and treatment. To learn/improve suturing, splinting and other procedural skills. |
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GENERAL EMERGENCY
ROOM CARE |
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Description: Students rotating through the St. Vincent Emergency Department will have the opportunity to evaluate patients with an array of injuries and illnesses in the setting of a busy community hospital. St. Vincent cares for over 52,000 patients per year in the main emergency department, drawing patients from all specialties of medicine, including pediatrics, orthopaedics, internal medicine, otolaryngology, ophthalmology, psychiatry, surgery and obstetrics/gynecology. Of note, students will have a breadth of exposure to cardiology patients, as the Care Group-- the state's largest cardiology group-- is associated with St. Vincent. The fourth-year elective experience is focused on thorough patient evaluation and formulation of initial diagnostic testing and treatment plan. Students work one-on-one with board-certified emergency physicians. They will have a chance to interact directly with consultants and other providers who help care for patients in the ED, including social workers and clergy. The experience will strengthen clinical skills, as well as improve communication proficiency and the ability to multitask. Students will be expected to work a variety of clinical shifts, including some overnights. |
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PEDIATRIC EMERGENCY
MEDICINE |
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Description: The goal of this rotation is to develop the ability of the senior student to triage, evaluate, and manage children with a broad range of medical and surgical problems with varying levels of acuity. The rotation is based in an urban referral pediatric emergency department. Patients will include those from birth to 18 years of age who live in the area, as well as those referred to this tertiary care hospital emergency department for higher levels of care. The medical students will work closely with other team members, including pediatric residents, emergency room attendings, subspecialists, nurses, and support staff to triage and care for patients who present to the pediatric emergency room. |
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EMERGENCY MEDICINE |
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Description: The objective of the emergency medicine clinical rotation is to provide the senior student with meaningful exposure to the principles and practices of high quality emergency care. The clinical practice of emergency medicine includes patients of every age group with problems ranging from child abuse to cardiac arrest and from trauma to intoxication. The technique of rapid but thorough patient assessment will be taught with emphasis on the management of the acutely ill or injured patient. The student will have an opportunity to interact with the emergency care team at many levels including: attendance at medical education conferences, paramedic and EMT training and in-service, advanced cardiac and trauma life support programs, as well as ongoing emergency department educational presentation. Goal: Introduce the medical student to emergency medicine. |
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EMERGENCY AND TRAUMA
CENTER MEDICINE |
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Description: The student will work directly with a board-certified Emergency Medicine physician in the Emergency Department setting. Emphasis is on developing skills necessary for the rapid assessment and treatment of multiple patients having a variety of medical and surgical illnesses, both minor and life-threatening. |
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EMERGENCY DEPARTMENT
CLINICAL MEDICINE |
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Description: The objective of the emergency medicine clinical rotation is to provide the senior student with meaningful exposure to the principles and practices of high quality emergency care. The clinical practice of emergency medicine includes patients of every age group with problems ranging from child abuse to cardiac arrest and from trauma to intoxication. The technique of rapid but thorough patient assessment will be taught with emphasis on the management of the acutely ill or injured patient. The student may have an opportunity to interact with the emergency care team at many levels including: attendance at medical education conferences, paramedic and EMT training and in service, advanced cardiac and trauma life support programs, as well as ongoing emergency department educational presentations. |
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EMERGENCY MEDICINE |
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Description: This course is designed to provide on-site rotation with emergency trained physicians in a community-based hospital Emergency Department. A student can expect exposure to multiple patient volume, care of blunt and penetrating trauma, acute medical illness in adult and pediatric patients and industrial medicine. If the student is in the fourth year and has some experience, greater responsibility and freedom can occur. Housing is available if necessary. Goals: This course will provide interested students with exposure to Residency trained career Emergency Medicine physicians in a busy community practice. |
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GENERAL EMERGENCY
CARE |
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Description: The clinical experience is unlimited in an emergency department with a service flow of more than 100 patients daily. The student will have the opportunity to evaluate patients in all disciplines. He/she will take care of history, physical exams and observe many procedures. He/she will be able to order and interpret laboratory studies and x-rays. Experience will be gained in EKG, cardiac monitoring and life threatening emergencies. Lecture experience consists of attendance at regularly scheduled conferences of the hospital teaching program. |
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EMERGENCY MEDICINE
AT LAPORTE HOSPITAL |
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Description: The student will do initial emergency care of patients in an active community emergency department. He/she will have full time supervision by our emergency department physicians and in addition will enjoy the participation of a full complement of specialists in our emergency department. We expect the student to work with enthusiasm and guarantee this to be a positive learning experience. |
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EMERGENCY MEDICINE |
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Description: The student will be exposed to a variety of Emergency Department patients. The student may see appropriate patients under the direction of a board certified Emergency physician and may perform history and physicals, write orders, and perform other procedures such as suturing intubation, chest tubes, etc. as approved by the physician. The Emergency Department is a Level II trauma department with a patient load of around 57,000 patients/year. Pertinent written material will be provided to the student. Students are encouraged to attend all hospital noon conferences. The student may also follow the Emergency physician to all in-house cardiopulmonary arrests. Patient load is increased during the months of May through October. |
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EMERGENCY MEDICINE: CLINICAL
IMPLICATIONS IN HOSPITAL AND PRE-HOSPITAL CARE |
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Description: NOTE: COURSE MAY BE DROPPED/ADDED WITHIN 15 DAYS OF THE BEGINNING OF THE ELECTIVE MONTH. An introduction to the total impact of emergency medicine and pre-hospital care as it relates to a mid-sized community and its referral base. The experience will include active involvement in the clinical care of emergency medical and trauma problems as well as the training and supervision of personnel involved in pre-hospital emergency care. Participation in emergency services development and control committees at the hospital and county level will be included. Helicopter transport of critically ill patients may also be requested by the student. |
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EMERGENCY MEDICINE
IN THE COMMUNITY HOSPITAL |
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Description: Students will be required to be present in the Emergency Department 40 hours per week. The clinical aspects of emergency medicine will be emphasized and supervision will be individualized for each student. |
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ELECTIVE IN
EMERGENCY MEDICINE |
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Description: This elective will involve the student seeing patients in the Emergency Department. The students will be responsible, in some cases, for the initial history and physical and development of a proposed diagnostic/treatment plan with presentation of the case to a staff physician. In other cases, student will shadow an Emergency Department physician and learn while they work through cases together. The mix will be dependent on the abilities of the student, the stability of the patient and the disease process, and the needs of the overall department. Close supervision will be provided by experienced ED physicians interested in teaching. This course will allow the student to meet the level 3 BCS requirement in Adult/Pediatric History and PE skills, focused examinations, evaluation of the trauma patient, evaluation for unstable neck injuries, evaluation of the drug overdosed/ unconscious/ or unstable patient, examination of acute cardiac respiratory and abdominal diseases, examination of eye injuries, tonometry, and illnesses anterior to the lens, learning appropriateness of lab, EKG, and x-ray ordering and evaluation of those results. Procedures will include local and regional anesthesia , simple suturing, use of Dermabond, splinting, pelvic exam, adult and pediatric conscious sedation, reduction of simple fractures and dislocations, I/D of superficial abscesses, and insertion of ng's and urinary catheters. As cases present, the student may have an occasional opportunity for chest tube insertion, intubations, diagnostic and therapeutic joint aspirations, and lumbar puncture. |
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EMERGENCY MEDICINE |
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Description: This rotation will allow the senior medical student to actively participate in the care of medical and trauma patients presenting to a busy community emergency department. The student will have active involvement with the initial assessment, diagnosis, treatment (including procedures), and disposition of these patients, working on a one-on-one basis with the Emergency Department Staff. This Emergency Department receives a wide variety of medical and trauma complaints and this experience should offer broad exposure to the practice of emergency medicine. Exposure to pre-hospital emergency medical systems will be available, and emphasis on this or other aspects of emergency care can be given depending on the student's interests and/or career goals. Elective may be taken in sequence with other Evansville area courses. |
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EMERGENCY MEDICINE |
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Description: The student will actively participate in the activities of a 56,000 visit Emergency Department and work with and under the supervision of a full-time emergency medicine staff. He/she will examine patients, perform diagnostic procedures and work with the staff during treatment and disposition of patients. This will be done with emphasis on student taking responsibility for the patient's care. The student will also be exposed to the pre-hospital care including telemetry and a ride-along program with paramedics. The department has undergone significant remodeling and now has 31 patient rooms. Seven of these rooms are devoted to a Fast Track for less acute problems, which the student would be exposed to. The Emergency Department also has an increased emphasis on trauma, as the hospital is developing a Level II Trauma Center for Evansville. Because of this emphasis on trauma, it is expected that the Emergency Department will be seeing more traumatic cases, for which the student would be actively involved. The Emergency Department also offers an eight-bed observation chest pain clinic which gives the student the opportunity to follow the patient from the Emergency Department through the observation and through discharge, all within 24 hours. Members of the physician staff are emergency medicine residency trained and can offer career guidance in the field of emergency medicine. This elective is conducted at Deaconess Hospital, Inc. a 300 bed hospital and may be taken in sequence with any other elective offered at the Evansville Center for Medical Education. |
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EMERGENCY ROOM
MEDICINE |
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Description: The course objective is to familiarize the medical student with triage/physical examination/history taking as well as procedural skill under direct supervision in the emergency room setting. |
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