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Clinical Clerkship in Emergency Medicine

Department of Emergency Medicine

UP College of Medicine

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LEARNING OBJECTIVES Explain the principles of pre-hospital emergency care

Perform a rapid, appropriate and focused clinical

survey of patients presenting at the ED Appropriately triage patients presenting at the ED

Formulate logical initial differential diagnoses for EDpatients with common presenting complaints

Efficiently assist in performing resuscitative measuresto emergent and urgent patients

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LEARNING OBJECTIVES Rapidly and adequately interpret results of common

ED diagnostic tests

Formulate logical and cost-effective emergency therapeutic interventions

 Adequately perform simple emergency therapeuticinterventions

 Appropriately identify indications for specialty andsub-specialty consultation

Demonstrate a humane, professional and caringattitude to patients and co-workers

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DUTIES & RESPONSIBILITIES Obtain focused targeted history of the patient’s

complaint

Perform adequate and appropriate physicalexamination

Perform timely interventions to address the patient’simmediate problems

Refer all cases to emergency room consultants orER Residents on-duty 

Suggest adequate and cost-effective management

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DUTIES & RESPONSIBILITIES Assist and/or perform emergency room procedures

(i.e. NGT insertion, foley catheter insertion, IV insertion, intubation)

Retrieve laboratory/radiologic results Perform CPR and assist during resuscitation

Be a team player!

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Course Activities (2 weeks) Duties – every 3 days

DUTY – 7:30AM-4PM; 4PM-7:30AM

 Attendance; endorsement rounds

 Assist in management of ER patients

POST-DUTY 

PRE-DUTY-7:30AM-5PM

Triage – obtain CC:/vital signs/do primary survey/refer EMS- join activities of EMS resident rotator

 ACU- monitoring of critically ill patients

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CASE PRESENTATION Group report

Pick an interesting case managed by any member of thegroup during their tour of duty (i.e. medical, surgical,trauma, toxicological)

Format

Triage; Primary survey; resuscitation

Secondary survey; assessment

Diagnostics and therapeutic interventions

Case Discussion

Presented to a DEM consultant

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LECTURES Introduction to Emergency Medicine and Pre-hospital

Care

Triage/Approach to Emergency Care Introduction to Disaster Medicine

Introduction to Emergency Trauma Care

Introduction to Basic ECG

 ABG

Initial Management of Acute Poisoning

 Violence Against Women

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LECTURES Chief Resident’s Hour – every Wednesday 

ERO Hour – lectures on special topics

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PATIENT EDUCATION HOUR 15 -20 MIN presentation among relatives and patients

in the Emergency Room in coordination with thenursing service to conduct teaching sessions onrelevant topics in the care of emergency room patients

Hand and Personal Hygiene

Cough Etiquette

Fall Precautions Basic Wound Care

Care of Burn Wound

First Aid for Fractures and Sprains

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COURSE REQUIREMENTSProcedure Checklist Patient List

 Venipuncture (4)

IV Access (3)

 Arterial puncture (3)

NGT insertion (1)

Foley catheter insertion (M/F)

ECG /ABG/CXR 

 Wound dressing/suturing Monitoring

BLS/CPR 

 ACLS assist

 Airway/breathing problem (1)

Circulatory problem (1)

Trauma (2)

Toxicology (1)

Neurology (1)

Diabetic/endocrinology ER 

(2) Chest pain (2)

 Abdominal pain (2)

Generalized weakness (1)

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EVALUATION Clerk’s Evaluation Form

(3)

Case PresentationEvaluation (2)

End of rotationexamination

End of year examination

Lecture Evaluation

Rotation Evaluation

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ATTENDANCE Excused absence – official college activities, medical

certificate if absence due to sickness

Unexcused absence – if 3 or more

incomplete gradeMUST be made up 1:1

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GRADES Clinical performance - 65%

 Attendance - 10%

Case Presentation - 10% End of the rotation exam – 10%

End of the year exam - 5%

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SECURITY You are responsible for your things at the ED.

 You are provided lockers at the quarters

Eating is allowed at the but please clean up and don’tleave things lying around

Inform your RESIDENT always of your whereabouts.