4th Year Medical Student Rotation Information

4 week Student Rotation:

Description: Consistent with the Residency Program’s home being comprised of three main clinical sites, (UIMC, Mercy and Masonic) the student rotation also is divided among the three sites. Each student will be assigned to rotate only through one site for the month, but is encouraged to visit and observe the other two sites if they are able while rotating. Exactly which site a student is assigned to is arbitrary and filled on a first come first serve basis. Opportunities to work with core faculty and to obtain CORD letters of recommendations are equal among the three sites.
The Instructional Features described below are universal regardless of what site you rotate through as a student. All students at all three sites during each four week period will come together on Conference Days for the core conference itself and the student oriented instructional activities. Through conference and instructional sessions, rotating students have the opportunity to interact with core faculty from all three sites.
 
Individual descriptions for each of the three sites below

University of Illinois Medical Center:
Prerequisites and Placement in the Curriculum

The 4 week Emergency Medicine elective at UIMC is open to all medical students who have completed their core rotations in Internal Medicine, General Surgery, Pediatrics,
OB-Gyne, and Psychiatry. Completion of the 4 week elective at UIH will fulfill the 4th year specialty rotation requirement. Cancellations for the first 3 blocks must be made at least 8 weeks before the rotation or students will receive an incomplete for the elective.

Purpose:
To introduce the student to the concepts and skills involved in Emergency Medicine. Students will be exposed to a variety of patients and be actively involved in their care.  They will gain experience in assessing patients, deciding on treatments, interpreting testing, and participating in minor surgical emergency procedures.

Competencies:
By the end of the rotation, the student shall be able to:

  1. Be able to perform rapid clinical assessments with attention to life threats
  2. Be able to perform a focused history and physical tailored to the patient's complaint
  3. Be able to formulate differential diagnoses, evaluation/treatment plans, and appropriate dispositions
  4. Be able to competently perform or participate in basic emergency procedures such as suturing, resuscitation, and orthopedic reductions
  5. Be able to effectively communicate and building rapport with patients, families, consultants and ED staff
  6. Be able to understand some the social and legal issues that impact emergency care

Instructional Features:
Students will work in the ED under the direct supervision of attendings and senior EM residents. Attendance at weekly EM residency conference is mandatory on Thursdays 7am-12 pm. Conference topics include grand rounds, specialty lectures, morbidity
and mortality cases, small group discussions, and literature reviews. An hour long workshop tailored specifically to the EM student (including ultrasound, suturing, patient simulator or case discussion) will follow conference.  In addition there will be periodic attending rounds featuring specialty topics or bedside teaching and directed EM readings on a variety of topics to be completed during the elective.

Assessment:
Clinical performance/conference participation will make up approximately 75% of the grade and a multiple choice final exam will account for about 25% of the grade.

Administrative Information:
Program Number ELEC 603
Location:UIMC
Program Director: Lisa Gehm, MD; Coordinator Jennifer Ytem
Telephone: (312)-413-7480
Duration: 4 weeks
Nights: yes
Weekends: yes
Students Accepted: 5
Housestaff Used as Faculty: yes
Lectures/Conferences/Faculty Contact: 7-13
Laboratory/Independent Study: reading required text
Outpatient : 30
Total H

 

Mercy Hospital and Medical Center:
Prerequisites and Placement in the Curriculum

Students must have completed all M3 Core clerkships (Medicine, Family Medicine, Obstetrics and Gynecology, Pediatrics, Psychiatry, and Surgery).

Purpose:
This elective will provide a broad exposure to the specialty of emergency medicine in this busy urban Level I trauma center. The emergency department is a full service department, treating a wide variety of patients – e.g., trauma, HIV, general medical, surgical, OB/Gyne, psychiatric, and pediatric (40%).

Competencies:
By the end of the rotation, the student shall be able to:

  1. Perform a focused patient history and physical exam;
  2. Develop a differential diagnosis and generate a treatment plan for common
    presentations, with emphasis on the development of life threats;
  3. Perform primary patient management for a wide variety of patient complaints;
  4. Develop skills in simultaneous patient management, lab oratory, radiographic and EKG interpretation;
  5. Understand and initiate basic resuscitation, airway, and stabilization techniques;
  6. Perform basic emergency room procedures such as suturing, wound care, splinting, venipuncture, chest compressions, basic airway techniques;
  7. Develop skills in organization, team work, and patient physician relations;
  8. Generate acceptable patient charting of ED visit.

Instructional Features:
Students will work one-on-one with teaching attendings and senior emergency medical residents. The student will work a total of 40-50 clinical hours per week (12-15 shifts/month). Each shift will be for 12 hours and will run from 7:00 am to 7:00 pm or 7:00 pm to 7:00 am. Schedules are developed by the Chief Resident and will be provided to the student prior to the beginning of the rotation. Orientation is MANDATORY prior to first shift. Departmental and student conference attendance is MANDATORY and are generally on Thursdays from 8:00 a.m. to 2:00 p.m. In addition, the student is expected to do assigned reading, complete workbook assignments, attend informal student conferences, and complete a final examination.

Assessment:
25% of the grade is based on conference attendance, 25% on the final examination, and 50% is based on clinical performance as evaluated by the Emergency Medicine faculty.

Administrative Information:
Program Number: ELEC 603
Location: AIMMC
Program Director: T. Rittenberry, M.D., Rose Sturghill-Bradford (coordinator),
<mailto:rose.sturghill-bradford@advocatehealth.com>rose.sturghill-bradford@advocatehealth.com
Telephone: 773/296-7066
Duration: 4 Weeks
Night Call: Yes
Weekends: Yes
Students Accepted: Min. 4 Max. 6
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 6
Laboratory/Independent Study: 0
Outpatient: 40
Inpatient: 0
Total Hours /Week: 45

 

Advocate Illinois Masonic Medical Center:
Prerequisites and Placement in the Curriculum

Open to all 4th year medical students who have successfully completed their core rotations in Internal Medicine, Pediatrics, General Surgery, and Ob/Gyne.

Purpose:
The students will spend time working up cases and performing some definitive
treatment under the direct supervision of senior residents and attending Emergency
Medicine faculty members. They will gain experience in examining and treating multiple
patients, and in x-ray as well as EKG interpretation. They will also be exposed to
treatment of patients with complex medical problems. All students will be instructed in
the outpatient management of minor surgical emergencies. Students will be exposed to
Emergency Medical Systems, disaster planning, and referral problems. They will learn
about the emergency department management of suicidal patients, victims of sexual
assault, substance abuse, and abused children and adults.

Competencies:
The major objectives are to introduce students to:

  1. The concepts and skills involved in the specialty of emergency medicine;
  2. The management of major trauma and life-threatening medical emergencies;
  3. Some experience in rapid clinical assessment and critical decision making;
  4. Problems in triage prioritization and management of patient load;
  5. Techniques of communication with patients under stress;
  6. Experience in resuscitative skills;
  7. Experience in some minor surgery;
  8. Understanding of some social and medico-legal problems unique to emergency departments.

Instructional Features:
Formal educational experience will include one hour of lectures and conferences per week specifically oriented to the student level, and participation in the residents' grand rounds, specialty lectures, morbidity and mortality conferences, and literature reviews (5 hours per week).

Assessment:
Completion of a multiple-choice final examination is required of each student.

Administrative Information:
Program Number: ELEC 603
Location: MHMC
Program Director: W. Eilbert, M.D. <mailto:weilbert@uic.edu>weilbert@uic.edu, Julie
Mendez (coordinator) <mailto:jmendez@mercy-chicago.org>jmendez@mercy-chicago.org
Telephone: 312-567-2150
Duration: 4 Weeks
Night Call: Varies
Weekends: Yes
Students Accepted: Min. 1 Max. 5
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 5
Laboratory/Independent Study: 0
Outpatient: 40
Inpatient: 0
Total Hours /Week: 45

TEXT:
Selected chapters are given to students to read and study from during the rotation

Note: Clinical electives at Advocate hospitals (ACMC, AIMMC, ALGH) are only available
to students from LCME and AOA accredited institutions.