Clinic Department

Emergency Medicine

Emergency Medicine Courses

Emergency Medicine

Emergency Medicine Electives

MS IV CLERKSHIP

It is a required rotation coordinated by the Internal Medicine Department at PSM.

Pre-Requisite:  3rd year Clinical Clerkship
Site: San Lucas Hospital and Damas Hospital (Emergency Room)
Course Coordinator: Jorge Gutierrez, MD and Staff, San Lucas Hospital
Jorge Guzman, MD and Staff, Damas Hospital
Duration: 4 weeks
Student per Period: 8
 

Course Description: The goal of this rotation is to learn the principles of addressing the undifferentiated emergency patient, acquiring the skills to recognize truly ill patients requiring further inpatient management from those who can be treated and discharged. The course will familiarize the student with Emergency and Admission Room procedures consisting of: history, physical examination, diagnostic measures, treatment when needed (emergency or otherwise) and disposition of case (home, hospitalization, outpatient clinics, office care).

Objectives of Emergency Rotation:

1. Understand concept of Emergency ABC’s.

2. Understand initial evaluation of the undifferentiated Emergency Medicine patient, and stabilization of acutely ill patients, functioning as part of Emergency Department team.

3. Acquire skills to approach traumatic injuries with priority to life threatening problems, but also to common, less acute injuries.

4. Understand structure and functions of EMS systems.

5. Sharpen procedure skills.

6. Recognize limitations of Emergency Department, establishing appropriate consult and referral skills.

Clinical Responsibility

1.  You should report to the Emergency Physician (EP) on the first day of your rotation. You will be given a brief introduction to the Emergency Department (ED) and its operation.

2. You will work under the direct supervision of the on duty EP. Students will assess patients and present their clinical findings; analysis and management plan to the EP.

3. Orders for diagnostic tests or therapy need to be discussed with and approved by the EP.

4. Your history and physical findings are recorded on the Emergency Department chart. It is necessary that the record is clear and concise.

5. Students will observe specialty and sub-specialty consultations and treatment in cases where such services are indicated.

6. Students, at all times, should behave in a professional manner. This includes the wearing of proper attire and identifying nametag, appropriate communication with patient’s relatives, attention to the patient’s safety and confidentiality, and the practice of good infection control techniques.
    

Rotation Schedule (will be devided in 12 hours shift)

1. Schedule will be four consecutive weeks. Schedule will be given at the beginning of the clerkship for San Lucas Hospital schedule will be divided from 8:00 am to 12 midnight (7 days a week).

2. All students (Damas and San Lucas) must attend to the Emergency Residency Program Academic Activity that will be held every Thursday from 8:00 am to 2:00 pm at HESL Emergency lecture room. Students will actively participate in such academic activity as it is an interactive one.

3. Only students post night shift will be excused from this activity. Attendance is mandatory and will be added to the final evaluation. After the academic activity students will resume their clinical shifts.

Academic Activity Module

9 AM -  3 PM

Student Evaluation

Each course coordinator and their staff will evaluate the student based on knowledge, clinical performance, and professional behavior using standard PSM grading forms.
Each course coordinator will complete the evaluation of your performance over the four weeks you were with him/her or other faculties in the department, and then will send your evaluation to this office at the end of the clerkship. We will copy the preceptor's evaluation and forward it to the Registrar.

Rotation Evaluation

Your responsibility is to evaluate the clerkship site and faculty as well as the academic activity at the end of your clerkship. Your rating of the educational quality of the site and of the precepting you received is important to those who will follow you. You will also evaluate each individual academic activity and lecturer every week.

Self Instructional Module

This module is available for our students since July 1st. 2008. Students are required to read five (5) book chapters from Introduction to Emergency Medicine Textbook. It is strongly recommended that students read and get familiarized with all their educational resources..



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PEDIATRIC EM

Course Description: The goal of this rotation is to learn the principles of addressing the undifferentiated Pediatric patient, acquiring the skills to recognize truly ill patients requiring further inpatient management from those who can be treated and discharged. The course will familiarize the student with Emergency and Admission Room procedures consisting of: history, physical examination, diagnostic measures, treatment when needed (emergency or otherwise) and disposition of case (home, hospitalization, outpatient clinics, office care).

Objectives of Emergency Rotation

1. Understand concept of Emergency ABC’s.

2. Understand initial evaluation of the undifferentiated Emergency Medicine patient, and stabilization of acutely ill patients, functioning as part of Emergency Department team.

3. Acquire skills to approach traumatic injuries with priority to life threatening problems, but also to common, less acute injuries.

4. Understand structure and functions of EMS systems.

5. Learn procedural skills and perform them.

6. Recognize limitations of Emergency Department, establishing appropriate consult and referral skills.

Clinical Responsibility

1. You should report to the Emergency Physician (EP) on the first day of your rotation. You will be given a brief introduction to the Emergency Department (ED) and its operation.

2. You will work under the direct supervision of the on duty EP. Students will assess patients and present their clinical findings; analysis and management plan to the EP.

3. Orders for diagnostic tests or therapy need to be discussed with and approved by the EP.

4. Your history and physical findings are recorded on the Emergency Department chart. It is necessary that the record is clear and concise.

5. Students will observe specialty and sub-specialty consultations and treatment in cases where such services are indicated.

6. Patients cannot be discharged without being evaluated by the EP.

7. Students, at all times, should behave in a professional manner. This includes the wearing of proper attire and identifying nametag, appropriate communication with patient’s relatives, attention to the patient’s safety and confidentiality, and the practice of good infection control techniques.

Rotation Schedule

If an EM residency program starts under PSM EM Department, this scheduling will change to include 12 hr shifts, weekends and night shifts.
   1.   Schedule will be given at the beginning of the clerkship.

   2.    Attend the EM academic activity every Thursday from 8:00 –
         12:00.


Student Evaluation

Each course coordinator will evaluate the student based on medical knowledge, clinical performance, and interpersonal and communications skills using standard PSM grading forms.
Each course coordinator will complete the evaluation of your performance over the four weeks you were with him/her or other faculties in the department, and then will send your evaluation to this office at the end of the clerkship. We will copy the preceptor's evaluation and forward it to the Registrar.

Faculty and Rotation Evaluation
Your responsibility is to evaluate the clerkship site and faculty at the end of your clerkship. Your rating of the educational quality of the site and of the precepting you received is important to those who will follow you.



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Emergengy Medicine(Sub Internship)

1. Discuss and apply concepts of Emergency ABC’s.
2. Establish the initial evaluation of the undifferentiated Emergency Medicine patient, and stabilization of acutely ill patients, functioning as part of Emergency Department team.
3. Acquire skills to approach traumatic injuries with priority to life threatening problems, but also to common, less acute injuries.
4. Discuss and describe functions of the EMS systems.
5. Sharpen procedure skills.
6. Achieve competency in case presentations to consultants
7. Present case, topics in lecture journal in our academic activity
    

Clinical Responsibility

1.  You should report to the Emergency Physician (EP) on the first day of your rotation. You will be given a brief introduction to the Emergency Department (ED) and its operation.
2. You will work under the direct supervision of the on duty EP. Students will assess patients and present their clinical findings; analysis and management plan to the EP.
3. Orders for diagnostic tests or therapy need to be discussed with and approved by the EP.
4. Your history and physical findings are recorded on the Emergency Department chart. It is necessary that the record is clear and concise.
5. Students will observe specialty and sub-specialty consultations and treatment in cases where such services are indicated.
6. Students, at all times, should behave in a professional manner. This includes the wearing of proper attire and identifying nametag, appropriate communication with patient’s relatives, attention to the patient’s safety and confidentiality, and the practice of good infection control techniques.
    

Rotation Schedule

1. Schedule will be for four consecutive weeks and will be given at the beginning of the clerkship.

Student Evaluation

Student’s evaluation is based on knowledge, clinical performance, and personal traits using standard PSM grading forms.
Course coordinator will complete the evaluation of your performance over the four weeks you were with him/her or other faculties in the department, and then will send your evaluation to this office at the end of the clerkship. We will copy the preceptor's evaluation and forward it to the Registrar.

Rotation Evaluation
Your responsibility is to evaluate the clerkship site and faculty at the end of your clerkship. Your rating of the educational quality of the site and of the precepting you received is important to those who will follow you.



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Hyperbaric Medicine

Course Description: This elective rotation in Emergency Medicine is designed to present to medical students (MS) the world of hyperbaric medicine; what it is; and for what it is used? The MS will directly work with the attending physician in charge of the chamber which is the largest in PR and the Caribbean. They will have the opportunity to evaluate, follow-up and design treatments to a wide variety of patients that use the hyperbaric chamber.

The MS will also be on-call for any diver emergency during the rotation period. They are encouraged to get involved in any ongoing research project and will prepare and
present a 30-45 minutes lecture in any topic related to Emergency Medicine and Hyperbaric treatments.


Evaluation

The direct supervisors will evaluate the student based on their knowledge, clinical performance, interpersonal and professional skills using standard PSM evaluation forms. Immediate Feedback is encouraged. This evaluation form will then be forwarded to the EM Department Coordinator.



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Air in Medical Transport

Course Description: This elective rotation in Emergency Medicine is designed to expose the interested medical students (MS) to the care of critically ill patients in flight. The MS will always work under direct supervision of the EM specialist as an addition to the flight crew team, will learn the basics of air medical transport and will prepare and present a 30-45 mins. lecture in any topic related to Emergency Medicine and EMS especially in Air Medical Transport

Evaluation

The direct supervisors will evaluate the student based on their knowledge, clinical performance, interpersonal and professional skills using standard PSM evaluation forms. Immediate Feedback is encouraged. This evaluation form will then be forwarded to the EM Department Coordinator.



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Research in Emergency Medicine

Course Description: This elective rotation in Emergency Medicine is designed to present to the medical students (MS) the field of Emergency Research. The Medical Students will work directly with the faculty (PI) and learn all aspects of research from IRB to final publication-presentation.

Evaluation

The direct supervisors will evaluate the student based on their knowledge, interpersonal and professional skills. An abstract must be presented to the course coordinator with the specifics of each research, using standard PSM evaluation forms. Immediate Feedback is encouraged. This evaluation form will then be forwarded to the EM Department Coordinator.