Emergency Medicine

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M25/814 Clinical Emergency Medicine, Barnes Jewish Hospital

Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This rotation offers practical experience in the evaluation and management of acutely sick and injured patients. Students will function as sub-interns, initially evaluating their assigned patients and developing a plan for further diagnostic studies and therapy. They will report to a senior level resident or an attending physician.

The student can expect to get an opportunity to perform a wide variety of procedural skills such as suturing, splinting, peripheral and central venous access, and cardiopulmonary resuscitation. Shifts will be eight hours and students will rotate between day, evening and night shifts, including weekend shifts, in order to gain maximum exposure to all types of emergencies. A core content of lectures will be provided.

Students will gain an understanding of prehospital care by doing a ridealong shift with the St. Louis Fire Department EMS. Students will also have a shift with the toxicology attendings and residents and will gain knowledge of the basics of ultrasound during their time in the department. Students interested in EM will be doing 1:1 shifts with a single attending during their last two weeks of the rotation.

Students desiring a letter of recommendation from Dr. Michael Mullins, Director of Research, or any other EM attending should take this WUMS IV Emergency Medicine rotation. Students will be scheduled for required weekend and overnight shifts and changes will not be allowed to the schedule unless approved prior to the start of the rotation by the course coordinator.

Please be advised that there is a limit of days off while on this rotation during interview season; otherwise, students should arrange to take the elective at a different time during the year. Days off during the rest of the year will conform to university policy. Days off should be requested from Mary Hummert at least two weeks prior to the beginning of the rotation for scheduling purposes.

Schedule of Elective Intervals
Weeks 1-4: June 20, 2016 -July 17, 2016
5-8: July 18, 2016 – August 14, 2016
9-12: August 15, 2016 – September 11, 2016
13-16: September 12, 2016 – October 9, 2016
17-20: October 10, 2016 – November 6, 2016
21-24: November 7, 2016 – December 4, 2016
25-28: December 5, 2016 – January 15, 2017
29-32: January 16, 2017 – February 12, 2017
33-36: February 13, 2017 – March 12, 2017
37-40: March 13, 2017 – April 9, 2017
41-44: April 10, 2017 – May 7, 2017

Student Time Distribution
Outpatient 80%; Conferences/Lectures 20%; Primary Care 40%; Subspecialty Care 60%

Major Teaching Responsibility
Attendings and senior residents (PGY 3 & 4)

Patients Seen/Weekly
~5 per shift

On Call / Weekend Responsibility
Evenings and weekends; no on call

M25/843 Medical Toxicology

Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This rotation offers practical experience in the evaluation and management of the acutely ill poisoned patient. Students will function as subinterns and either report to the senior resident, fellow, or directly to the toxicology attending.Students will gain familiarity and experience evaluating and treating patients who have intentionally and unintentionally overdosed on medications or illicit drugs, been envenomated (such as by spiders, snakes, or other reptiles), or been exposed to toxic substances or chemicals. Students will also gain experience in administering antidotes and learning to properly decontaminate someone after an ingestion or exposure.

There are no overnight or weekend shifts. Daily activities start in the morning and are generally concluded by the early afternoon. A core content of lectures will be provided. The students will also be assigned small projects during their rotation that will enhance their experience particularly in environmental and occupational toxicology.

Opportunities to increase their experience with occupational toxicology also exist during this rotation; those with this interest can ask for further information during their rotation. Students will also have the opportunity to go to the Missouri Poison Center and evaluate patients in the outpatient toxicology clinic.

Students desiring a letter of recommendation from one of the toxicology attendings (who are also Emergency Medicine and Internal Medicine attendings) or interested in Emergency Medicine or Medical Toxicology should take this elective. Also, students considering other specialties such as Pediatrics or Internal Medicine should consider this rotation as they will be responsible for evaluating these patients as part of their inpatient or outpatient practice.

Please be advised that there is a limit of days off while on this rotation during interview season; otherwise, students should arrange to take the elective at a different time during the year. Days off should be requested from Mary Hummert at least two weeks prior to the beginning of the rotation for scheduling purposes. Students should receive a course guide just prior to their rotation. However if they do not, they can page the toxicology pager at (314) 672-0284 to determine when and where to meet for rounds.

Schedule of Elective Intervals
Weeks 1-4: June 20, 2016 -July 17, 2016
5-8: July 18, 2016 – August 14, 2016
9-12: August 15, 2016 – September 11, 2016
13-16: September 12, 2016 – October 9, 2016
17-20: October 10, 2016 – November 6, 2016
21-24: November 7, 2016 – December 4, 2016
25-28: December 5, 2016 – January 15, 2017
29-32: January 16, 2017 – February 12, 2017
33-36: February 13, 2017 – March 12, 2017
37-40: March 13, 2017 – April 9, 2017
41-44: April 10, 2017 – May 7, 2017

Student Time Distribution
Inpatient 70%; Outpatient 10%; Conferences/ Lectures 20%; Subspecialty Care 100%

Major Teaching Responsibility
Toxicology Faculty

Patients Seen/Weekly
12

On Call / Weekend Responsibility
None

M25/863 Emergency Medicine

Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This rotation will focus on ultrasound and all of its many applications and uses in the Emergency Department. Students will participate in the performance of bedside ultrasound of patients in the Emergency Department. Common applications of Emergency Ultrasound include the FAST exam, pelvic ultrasound, Abdominal Aortic Aneurysm (AAA), vascular access, renal, gallbladder, and DVT. In general, the student will be in the Emergency Department during weekdays to perform these exams.Students will not be involved in direct patient care during this rotation. Students will have access to a lecture bank of the common applications. In addition, the student will meet with the Ultrasound Director 1-2 times/wk to review images and have direct hands-on instruction. At the end of the rotation the student should have gained the knowledge of basic Emergency Ultrasound including its indications and applications; as well as becoming more adept at the performance of ultrasound.

Schedule of Elective Intervals
Weeks 1-4: June 20, 2016 -July 17, 2016
5-8: July 18, 2016 – August 14, 2016
9-12: August 15, 2016 – September 11, 2016
13-16: September 12, 2016 – October 9, 2016
17-20: October 10, 2016 – November 6, 2016
21-24: November 7, 2016 – December 4, 2016
25-28: December 5, 2016 – January 15, 2017
29-32: January 16, 2017 – February 12, 2017
33-36: February 13, 2017 – March 12, 2017
37-40: March 13, 2017 – April 9, 2017
41-44: April 10, 2017 – May 7, 2017

Student Time Distribution
Outpatient 80%; Conferences/Lectures 20%; Primary Care 40%; Subspecialty Care 60%

Major Teaching Responsibility
Attendings

Patients Seen/Weekly
25

On Call / Weekend Responsibility
None