IU Student Electives
EMERGENCY MEDICINE

Course Listing: 93ZE72093ZE730, 93ZE990, 49ZE702, 49ZE705, 49ZE706, 02ZE701, 02ZE711, 02ZE721, 20ZE701, 45ZE703, 46ZE701, 53ZE701, 64ZE701, 71ZE713, 71ZE707, 82ZE711, 82ZE702, 84ZE703


93ZE720 EMERGENCY MEDICINE

Course dir:
Dr. Humbert

Assistant director:
Dr. Bart Bessinger

Course Coordinator:
Jim Graber

Other Faculty:
Dr. Alberto
Dr. Bartkus
Dr. Beckman
Dr. Billows
Dr. Boe
Dr. Bonney
Dr. Collins
Dr. Cooper
Dr. Doehring
Dr. Doll
Dr. Duncan
Dr. Finnell
Dr. Fletcher
Dr. Furbee
Dr. Gilkey
Dr. Heniff
Dr. Jones
Dr. Kao
Dr. McGrath
Dr. Messina
Dr. Minnigan
Dr. Miramonti
Dr. Nanagas
Dr. Olinger
Dr. Palmer-Smith
Dr. Peak
Dr. Pitre
Dr. Rodgers
Dr. Rood
Dr. Roumpf
Dr. Rusyinak
Dr. Terrell
Dr. Schaffer
Dr. Schlueter
Dr. Seupaul
Dr. Shufflebarger
Dr. Sloan
Dr. Snow
Dr. Stepsis
Dr. Strachan
Dr. Walthall
Dr. Weaver
Dr. Welch
Dr. Wermuth
Dr. Wilbur
Dr. Wood

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.

Hospital(s):
Wishard Memorial Hospital or Methodist Hospital (Indpls)
Availability:
June; Aug-Nov
Number of units:
1 Full Time
Max Students/Unit:
4
Prerequisites:
  • 4th year status at an LCME accredited university (Out-of-state students with approval of course director)

  • 4th year students at Indiana University must have completed the required clerkship and desire additional EM experience at a residency training site (requires special written approval from the course director)

Course components:
80% clinical; 20% didactic/skills sessions

Competency offered:
None


 

 93ZE730 EMERGENCY MEDICINE STUDENTS IN RESEARCH PROGRAM

Course dir:
Dr. C. Weaver

 

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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Hospital(s):
IUSOM
Availability:
All year
Number of units:
1 Full Time
Max Students/Unit:
10
Prerequisites:
3rd or 4th year status
Course components:
8
0% Research; 20% Lecture

Competency offered:
IV: Lifelong Learning


 

93ZE990 SPECIAL ELECTIVE IN EMERGENCY MEDICINE


 

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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49ZE702 EMERGENCY MEDICINE

Course dir:
Dr. P. Wilham

Other Faculty:

Dr. Cheng
Dr. Burke
Dr. Eich
Dr. Eshelman
Dr. Ezernack
Dr. Farley
Dr. Hammonds
Dr. Harris
Dr. Hart
Dr. Hollingsworth
Dr. Johantgen
Dr. Lucht
Dr. McGoff
Dr. McTurnan
Dr. Miller
Dr. Vonderohe
Dr. Gieselman
Dr. Solomito
Dr. Reske
Dr. Hale
Dr. Brunett
Dr. Neese
Dr. Trappe
Dr. Parikh

Description:

NOTE: THIS COURSE DOES NOT PARTICIPATE IN THE INITIAL MATCH. DETAILS OF THE ELECTIVE MUST BE SPECIALLY ARRANGED UNDER THE DIRECTION OF VALERIE BROWN, ELECTIVES COORDINATOR (PHONE 355-5381), E-MAIL: vbrown@ecommunity.com.   

The student will have clinical experience in the emergency room of a large community hospital. He/she will observe a significant number of diagnostic problems. These will include acute and chronic medical conditions. He/she will have the opportunity to participate in the initial examination and to formulate a preliminary diagnosis. Under supervision, the student will prescribe appropriate immediate treatment with supervision, the student will participate in procedures such as suturing, splint application, radiographic interpretations, etc. The clinical experience will be complemented by bedside discussions. Additional detailed information may be obtained by contacting Dr. Wilham.

Objectives:  

  • To become comfortable in performing a focused H&P.

  • To learn to formulate an initial diagnostic plan on emergency patients.

  • To participate in the care of more critically ill patients.

  • To perform procedures such as I&D, suturing, and splinting.

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Hospital(s):
Community Hospital (Indpls)
Availability:
All year
Number of units:
 1Full Time
Max Students/Unit:
2
Prerequisites:
4th year status only
Course components:
100% Clinical

Competency offered:
Unavailable 


 

49ZE705 EMERGENCY MEDICINE

Course dir:
Dr. Randall Todd

Other Faculty:

Dr. Corbett
Dr. Kistler
Dr. Olson
Dr. Stern
Dr. Russell
Dr. Mara
Dr. Boha
Dr. Ernsting
Dr. Hartman
Dr. Johnston
Dr. Stone
Dr. McDaniel
Dr. Overfelt
Dr. Dillman
Dr. Blank
Dr. Brown
Dr. Debikey
Dr. Godfrey
Dr. Bagwell
Dr. Antoine

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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Hospital(s):
St. Francis Hospital (Beech Grove and Indianapolis)
Availability:
All year
Number of units:
1-3 Full Time
Max Students/Unit:
4
Prerequisites:
3rd or 4th year status
; students must have completed Peds, Med, and Surg clerkships
Course components:
100% Clinical

Competency offered:
IX: Professionalism and Role Recognition


 

49ZE706 GENERAL EMERGENCY ROOM CARE

Course dirs:
Dr. M. Orme &
Dr. L. Profetta

Other Faculty:  
Dr. Jardina
Dr. Bick
Dr. Hughes
Dr. Young
Dr. Nevin
Dr. Lee
Dr. Bauwens
Dr. Hu
Dr. Tigchelaar
Dr. Kaufmann
Dr. Wilham
Dr. Michael
Dr. Connor
Dr. Goldman
Dr. Frudenthal
Dr. Lemme
Dr. Venis
Dr. Lathrop
Dr. Sharp
Dr. Swigart
Dr. Hendry
Dr. Aylton

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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Hospital(s):
St. Vincent Hospital (Indpls)
Availability:
All year
Number of units:
1-2 Full Time
Max Students/Unit:
8
Prerequisites:
4th year status only
Course components:
90% Clinical; 10% Reading

Competency offered:
None


 

02ZE701 EMERGENCY MEDICINE

Course dir:
Dr. Beve House

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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Hospital(s):
Fort Wayne Med Education Ctr (Lutheran Hosp)
Availability:
All year
Number of units:
 1 Full Time
Max Students/Unit:
1
Prerequisites:
3rd or 4th year status
Course components:
90% Clinical; 10% Lecture

Competency offered:
None


 

02ZE711 EMERGENCY AND TRAUMA CENTER MEDICINE

Course dir:
Dr. C. Steffy

Other Faculty:
Dr. G. Pollander

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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Hospital(s):
Professional Emergency Physicians (Ft. Wayne)
Availability:
All year
Number of units:
1-2 Full Time
Max Students/Unit:
2
Prerequisites:
3rd or 4th year status
Course components:
95% Clinical 5% Didactic

Competency offered:
None


 

02ZE721 EMERGENCY DEPARTMENT CLINICAL MEDICINE

Course dir:
Dr. K. Schaab

 

 

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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Hospital(s):
Fort Wayne Med Ed Ctr (St. Joseph's)
Availability:
All year
Number of units:
1 Full Time
Max Students/Unit:
1
Prerequisites:
4th year status
Course components:
90% Clinical 5% Lecture 5% Library

Competency offered:
None


 

20ZE701 EMERGENCY MEDICINE

Course dir:
Dr. D. Van Ryn

Other Faculty:
Dr. D. Miller
Dr. M. Brummer

 

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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Hospital(s):
Elkhart General Hospital
Availability:
All year
Number of units:
1 Full Time

Max Students/Unit:
1

Prerequisites:
3rd, or preferably, 4th year status. Interest in emergency medicine.
Course components:
90% Clinical; 10% Library

Competency offered:
None


 

45ZE703 GENERAL EMERGENCY CARE

Course dir:
Dr. F. Johnson

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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Hospital(s):
The Methodist Hospital, Inc.
Availability:
All year (Gary and Merrillville)
Number of units:
1 Full Time
Max Students/Unit:
1
Prerequisites:
4th year status only
Course components:
90% Clinical; 10% Lecture

Competency offered:
None


 

46ZE701 EMERGENCY MEDICINE AT LAPORTE HOSPITAL

Course dir:
Dr. Houston

Other Faculty:
Dr. Iwinski
Dr. N. Painter
Dr. M. Painter
Dr. J. Anderson
Dr. Pursel

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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Hospital(s):
LaPorte Hospital
Availability:
All year
Number of units:
1-2 Full Time
Max Students/Unit:
1
Prerequisites:
3rd and 4th year status
only
Course components:
80% Clinical; 10% Lecture; 10% Library

Competency offered:
None


 

53ZE701 EMERGENCY MEDICINE

Course dir:
Dr. Slaughter

Other Faculty:
Dr. Stone
Dr. Madden
Dr. Ray
Dr. Burrell
Dr. Adams
Dr. Conger
Dr. Repetto
Dr. Park
Dr. Flint
Dr. Willis
Dr. Cabott
Dr. Maniurski
Dr. Reichmuth

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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Hospital(s):
Bloomington Hospital
Availability:
All year
Number of units:
1 Full Time
Max Students/Unit:
1
Prerequisites:
4th year status only
Course components:
90% Clinical; 5% Lecture; 5% Library

Competency offered:
None


 

64ZE701 EMERGENCY MEDICINE: CLINICAL IMPLICATIONS IN HOSPITAL AND PRE-HOSPITAL CARE

Course dir:
Dr. Samara Kester


 

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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Hospital(s):
Porter Memorial Hospital (Valparaiso)
Availability:
All year
Number of units:
1-3 Full Time
Max Students/Unit:
2
Prerequisites:
3rd or 4th year status; must have completed the Internal Medicine, Surgery, and Pediatric clerkships.
Course components:
90% Clinical: 10% Lecture

Competency offered:
None


 

71ZE713 EMERGENCY MEDICINE IN THE COMMUNITY HOSPITAL

Course dir:
Dr. M. Walsh

Other Faculty:
ER staff

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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Hospital(s):
Memorial Hospital (South Bend)
Availability:
All year
Number of units:
1 Full Time
Max Students/Unit:
1
Prerequisites:
3rd or 4th year status
Course components:
100% Clinical

Competency offered:
None


 

71ZE707 ELECTIVE IN EMERGENCY MEDICINE

Course dir:
Dr. G. Roslund

Other Faculty:
E.M.
Staff

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 abcesses, 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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Hospital(s):
St. Joseph's Medical Center (South Bend)
Availability:
All year
Number of units:
1 Full Time
Max Students/Unit:
2
Prerequisites:
3rd or 4th year status
Course components:
100% Clinical

Competency offered:
II: Basic Clinical Skills


 

82ZE711 EMERGENCY MEDICINE

Course dir:
Dr. C. Erickson

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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Hospital(s):
St. Mary's Medical Center (Evansville)
Availability:
All year
Number of units:
1-2 Full Time
Max Students/Unit:
2
Prerequisites:
4th year status
Course components:
90% Clinical 5% Lecture 5% Library

Competency offered:
None


 

82ZE702 EMERGENCY MEDICINE

Course dir:
Dr. Stevenson

Other Faculty:
Dr. Burnley
Dr. Crockett
Dr. Cure
Dr. Fouts
Dr. Gest
Dr. Kelley
Dr. Mohammadi
Dr. Peters
Dr. Taylor

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 prehospital 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 an 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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Hospital(s):
Deaconess Hosp (Evansville)
Availability:
All year
Number of units:
1 Full Time
Max Students/Unit:
2
Prerequisites:
3rd or 4th year status
Course components:
90% Clinical; 5% Lecture; 5% Library

Competency offered:
None


 

84ZE703 EMERGENCY ROOM MEDICINE

Course dir:
Dr. Leach 

Other Faculty:
 Staff

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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Hospital(s):
Union Hospital (Terre Haute)
Availability:
All year
Number of units:
1-3 Full Time
Max Students/Unit:
2
Prerequisites:
4th year status only
Course components:
85% Clinical; 10% Lecture; 5% Library

Competency offered:
None