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Emergency Medicine Sub-Intern Electives
EM 308 Course
Jesse Pines , MD
Subinternship Director
Hospital of the University of Pennsylvania
O: 215-662-4050
B: 202-577-5084
pinesjes@uphs.upenn.edu
This is a 4 week course designed for upper level students with particular interest in improving their emergency medicine skills. During this rotation particular emphasis will be placed on refining history taking and physical examination skills, developing focused approaches to chief complaints, improving interpersonal skills particularly in communicating laboratory results and diagnostic concerns with patients, and improve diagnostic test ordering.
Over the 4 weeks the students will work 16 clinical shifts. These will include days, evenings, nights, and weekend shifts. During these shifts they will work independently when initially evaluating patients. They will then present their patients and their treatment plans to the senior emergency medicine residents or attendings on duty at that time.
Included in these shifts will be an opportunity to visit the Delaware Valley Poison Center and to work with the departmental paramedics and improve intravenous access skills and obtaining electrocardiograms. Procedural skills, EKG interpretation, situational ethical scenarios, ultrasound lectures, and small group discussions are included to provide a broader foundation to core emergency medicine.
At the end of the rotation, students will present a 15-minute discussion based upon a patient they have seen to the other rotating students and the course coordinator. Final evaluation will be based upon faculty evaluations and the case presentation.
EM 400 Course
This is a 4 week specialized course in Emergency Medicine designed for upper level students who are interested in advancing their skills in emergency medicine. It is expected that students will have already taken emergency medicine electives above and beyond core/required clinical emergency medicine rotations.
During the rotation students will work clinical shifts, be responsible for elements of patient care with direct supervision by the emergency medicine faculty, and will work one-on-one with attending faculty. Emphasis will be placed on focused, intensive history taking and physical examinations, generating differential diagnoses, and directing appropriate ED evaluations and diagnostic investigations. Students will take on clinical shifts that will cover day, evening, and overnight hours.
Procedural skills, EKG interpretation, situational ethical scenarios, ultrasound lectures, and small group discussions are included to provide a broader foundation to core emergency medicine. Evaluations will be based on faculty feedback and small group participation.
