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Emergency Medicine Clerkship Listing*

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EMED 308A. Bedside Ultrasound (SUMC)     Open to Visitors
Diagnostic bedside ultrasound (US) has become increasingly utilized and useful in multiple medical specialties, with emergency medicine in the forefront of its use. This rotation is designed to introduce bedside ultrasound to the clinical medical student, and provide more in-depth and hands-on familiarity with bedside US for a variety of modalities. These skills will better equip students to use these techniques right at the bedside of any patient in the emergency room or on the floors with greater facility and confidence. It will enhance patient diagnosis and management, procedural guidance, and patient satisfaction. It may even save a life! Primary emphasis will be on developing competent technical skills to enhance image acquisition and interpretation. The applications as defined by the American College of Emergency Medicine will be the main focus. A goal for a minimum number of ultrasound scans will be 25 per application including, eFAST, thoracic, renal, RUQ, aorta, limited ECHO and IVC, first trimester pelvic, DVT, orbital, MSK. Other advanced ultrasound applications will also be introduced (Testicular, airway, bladder, nerve blocks). Students will obtain US images in the Stanford emergency department and will have all imaging formally reviewed by an US fellowship trained emergency medicine faculty. Images will be obtained during work shifts, when one of the US EM faculty are working in the ED, during when students will scan appropriate patients and review images with the faculty member onsite. They will also have scan shifts, when an US EM faculty will teach/scan with the student in the emergency department, this is a 1:1 session. Students will attend Bedside US didactics offered by an US EM faculty member every Thursday morning, followed by 4 hours of QA review of Ultrasound scans performed in the ED. Students will have access and be expected to participate in online and computer based learning that will be provided for them as well. A multiple choice test will be given at the end of the rotation. This clerkship requires prior approval by Clerkship Director. Please contact Dr. Deborah Kimball at drdeb@stanford.edu if interested in taking the clerkship.
Prereq: Complete pre-clinical training.
Periods Avail: 3-12 for 2 or 4 weeks. 2 students per period.
Reporting Instructions: Where: TBA; Time: 8:00 am.
Units: 3 or 6     DropCode:     Call Code: 0
Director: Deborah Kimball, M.D.
Other Faculty: K. Anderson, L. Gharahbaghian, V. Lobo, P. Perera, C. Poffenberger, and S. Williams.
Coord: Hienock Habte (650-736-8842), habte@stanford.edu

EMED 313A. Emergency Medicine Clerkship (SUMC, SCVMC, KPMC)   S1   Open to Visitors
Overall Description: During this 4-week, multi-site selective, medical students will develop critical skills in the rapid evaluation and management of undifferentiated and acutely ill patients in three unique emergency department settings: Stanford University Medical Center (SUMC), Santa Clara Valley Medical Center (SCVMC), and the Kaiser Permanente Santa Clara Medical Center (KPMC). At each of these sites, rotators will work directly with an emergency medicine attending. With this high level of mentorship and guidance, learners will gain confidence assessing and resuscitating the incredible spectrum of patients presenting at each of the three clinical sites. Clinical Duties: Students will work thirteen 8-hour clinical shifts (7 at SUMC, 3 at SCVMC, 3 at KPMC) during the rotation. Rotators will have the opportunity to play an integral role on the care team, learning to take full responsibility in ensuring their patients receive high quality emergency care. Students will lead the initial assessment of each patient, performing complaint-directed history and physical exam, developing a focused differential diagnosis, and then designing and implementing a targeted care plan with input and support from the attending physician. Students will also learn essential communication skills, acting as the primary contact between the care team, patients, patient’s families, consultants and hospital staff. Educational Curriculum: Throughout the rotation, students will have access to a number of supporting educational events outside of the emergency department. Students will attend weekly core curriculum conference with the Stanford/Kaiser Emergency Medicine residents, as well as a monthly journal club. Rotators will also have dedicated, student oriented educational sessions focused on bedside ultrasound, laceration repair, orthopedic injury management, and ECG interpretation, as well as a series of interactive, faculty-led, case discussions. The rotation culminates in a final written exam and an immersive, student-only simulation session held at Stanford’s innovative Center for Immersive and Simulation Based Learning. Visiting students ONLY accepted periods 12-6, pre-approval is required only for visiting students for periods 12-6. Pre-approval dates are as follows: Periods 1-3 (March 19-23), Period 4-6 (June 19-23), and Period 12 (December 1-5). Please contact clerkship coordinator Maria Alfonso (malfonso@stanford.edu) to inquire about pre approval process and materials needed for submission.
Prereq: All students must have completed core clerkships in medicine, surgery, Ob/Gyn and pediatrics are required. Stanford medical students must also have completed MED 313A. Exceptions only at the discretion of the clerkship director, on a case by cases basis.
Periods Avail: 1-12, full-time for four weeks. Visiting students accepted periods 12-6 only. Maximum 12 students per period. No adjustments in dates. No students may be added less than one week prior to start of each rotation.
Reporting Instructions: Where: 900 Welch Road Suite 350; Time: Coordinator will email details one week prior to the first day of the rotation block. Students are responsible for their own transportation to and from the 3 different sites.
Units: 6     DropCode:     Call Code: 2 (No call, but a mixture of at least 3 overnights and/or weekend shifts during the EMED block)
Director: Peter Acker, M.D. at packer@stanford.edu, Jessica Ngo, M.D. at jngo@stanford.edu and Nounou Taleghani, M.D. at nounou@stanford.edu.
Other Faculty: Emergency Dept Faculty.
Coord: Maria Alfonso (650-497-6702), malfonso@stanford.edu

EMED 313C. Emergency Medicine Clerkship (SCVMC)   S1   Closed to Visitors
Students receive extensive exposure to the full range of contemporary emergency medicine at Santa Clara Valley Medical Center and act as the primary provider to patients presenting for emergency care. Students are expected to manage all aspects of patient care, including initial patient assessment, procedures, specialty consultation, and disposition. The rotation offers significant opportunity for enhancing procedural skills. Completion of the rotation requires 15 9-hour shifts (7am-4pm; 3pm-12am; 11pm-730am) and attendance at all Stanford EM conferences and medical student lectures.
Prereq: The following core clerkships are REQUIRED for enrollment: surgery, medicine, pediatrics, and ob/gyn. Please contact clerkship director for exceptions prior to adding the course.
Periods Avail: P7-11 only, full-time for four weeks. 2 students per period.
Reporting Instructions: Where: SCVMC (call 1 week prior) [Visitors call Jennifer Bogan (408-885-6298) 2 weeks prior. Will need to provide proof of PPD and malpractice insurance.] Time: Clerkship director to coordinate.
Units: 6     DropCode:     Call Code: 2 (weekends as part of regular schedule).
Director: Al'ai Alvarez, M.D. (Email: alai.alvarez@stanford.edu)
Other Faculty: Staff
Coord: Jennifer Bogan (408) 885-6298, SCVMC.

EMED 313D. Emergency Medicine Clerkship (KPMC)   S1   Closed to Visitors
This rotation focuses on the clinical practice of Emergency Medicine. The 4 week rotation consists of 14 clinical shifts in the emergency department. There are no required supplemental didactic sessions. Orientation will occur on the first day of the rotation in the Kaiser GME office (Dept. 384 MOB, Susan Krause). Please arrive at 0900 on Monday morning in the GME office for paperwork and photo ID, unless otherwise notified. An orientation video and a copy of “An Introduction to Clinical Emergency Medicine, Mahadevan/Garmel”, will be provided by the GME office for use during the rotation. Faculty will orient medical students to the Emergency Department after your meeting in the GME office. Clinical shifts will consist of approximately 14 8-10 hour shifts, which will be a mix of daytime, evening, overnight, and weekend shifts. Students will usually work 1:1 with an EM attending to maximize learning. Each patient seen by the student is presented to an EM attending staff physician. Students should present each patient upon completing history and physical examination in a timely fashion. EM residents will give daily informal lectures at 4pm, which students are encouraged to attend when on shift.
Prereq: Surgery 300A, Medicine 300A, Obstetrics & Gynecology 300A and Pediatric 300A, passing score USMLE I (and II if taken) on first attempt. For visiting students, core clerkships must be completed with passing grades in Internal Medicine, Surgery, Pediatrics, and OB/GYN.
Periods Avail: 7-11, full-time for four weeks. 2 students maximum per period.
Reporting Instructions: Where: Kaiser Permanente Medical Center Emergency Department, Santa Clara, CA; Time: TBA. Prior to first shift - report to GME office, Homestead Medical Office Building at 710 Lawrence Expressway, Dept 384.
Units: 6     DropCode:     Call Code: 2
Director: Alice Chao, M.D.
Other Faculty: Staff
Coord: Susan Krause (408-851-3836) 710 Lawrence Expressway, Dept 384, Santa Clara.

EMED 398A. Clinical Elective in Emergency Medicine (SUMC, SCVMC, KPMC)     Open to Visitors
Provides an opportunity for a student in the clinical years to have an individualized clinical experience in one of the fields of Emergency Medicine. The quality and duration of the elective will be decided by both the student and a faculty preceptor in the Department of Emergency Medicine. Please note: Students cannot add 398A clerkships directly to their fishbowl schedules through the regular shuffles. Please contact Caroline Cheang in the Office of Medical Student Affairs at cheang@stanford.edu or 650-498-7619 with the faculty preceptor’s name and email address to add this clerkship.
Prereq: Core clerkships in medicine, surgery and pediatrics. Passing score USMLE I (and II if taken) on first attempt.
Periods Avail: 1-12.
Reporting Instructions: Where: TBA (designated faculty preceptor); Time: TBA
Units: 1     DropCode:     Call Code: 0
Director: Nounou Taleghani, M.D., Ph.D. at nounou@stanford.edu.
Other Faculty: Emergency Medicine Dept Faculty.
Coord: Maria Alfonso (650-497-6702), malfonso@stanford.edu

* "S1"=Selective Clerkship Category I (Basics in Clinical Care)
"S2"=Selective Clerkship Category II (Subinternship)

 

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