Clinical Clerkship in Emergency Medicine Department of Emergency Medicine UP College of Medicine

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 ED patients with common presenting complaints Efficiently assist in performing resuscitative measures to emergent and urgent patients

LEARNING OBJECTIVES
Rapidly and adequately interpret results of common

ED diagnostic tests Formulate logical and cost-effective emergency therapeutic interventions Adequately perform simple emergency therapeutic interventions Appropriately identify indications for specialty and sub-specialty consultation Demonstrate a humane, professional and caring attitude to patients and co-workers

DUTIES & RESPONSIBILITIES

Obtain focused targeted history of the patients

complaint Perform adequate and appropriate physical examination Perform timely interventions to address the patients immediate problems

Refer all cases to emergency room consultants or

ER Residents on-duty Suggest adequate and cost-effective management

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!

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

CASE PRESENTATION
Group report Pick an interesting case managed by any member of the group 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

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

LECTURES
Chief Residents Hour every Wednesday
ERO Hour lectures on special topics

PATIENT EDUCATION HOUR

15 -20 MIN presentation among relatives and patients

in the Emergency Room in coordination with the nursing service to conduct teaching sessions on relevant 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

COURSE REQUIREMENTS
Procedure Checklist
Venipuncture (4) IV Access (3) Arterial puncture (3)

Patient List

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)

EVALUATION
Clerks Evaluation Form Lecture Evaluation Rotation Evaluation

(3) Case Presentation Evaluation (2) End of rotation examination End of year examination

ATTENDANCE
Excused absence official college activities, medical

certificate if absence due to sickness Unexcused absence if 3 or more incomplete grade MUST be made up 1:1

GRADES
Clinical performance

- 65% Attendance - 10% Case Presentation - 10% End of the rotation exam 10% End of the year exam - 5%

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 dont

leave things lying around Inform your RESIDENT always of your whereabouts.