For Medical Students
Essentials of Clinical Medicine - Acute Care Section
Essentials of Clinical Medicine (ECM) is a required medical school course for all students. During the end of the first year and fall and winter of their second year, students rotate through 4 sections: Inpatient, Outpatient, Long-term care and Acute Care.
The Department of Emergency Medicine manages the 4-week long Acute Care section. While the students are in Acute Care, they spend one afternoon per week in a local Emergency Department with a focus on the process of care and patient assessment.
Students also participate in three skills sessions:
- Emergency Medicine Skills (IV, Suturing, Airway): A 2-hour session with the hands-on opportunity to suture, learning about and practicing starting IV, and basic airway management.
- Ultrasound: An introduction focusing on training for IV access and the FAST exam.
- Simulation: Students have the opportunity to assess and treat 3 emergency room cases using high fidelity simulation and/or standardized patients. The focus is on patient assessment and communication skills.
EMMD 7500: Emergency Medicine
The student will have the opportunity to work with Emergency medicine faculty and residents. Under their supervision, the student is expected to act as the primary physician for Emergency Department (ED) patients, including initial assessment, performance of minor procedures, interpretation of lab and x-ray, and preparation for admission to inpatient services. The student will also have the opportunity to observe critical resuscitations.
EMMD 7512: Bedside Ultrasound for the Clinician
This 4-week elective will introduce students to bedside ultrasound. Bedside ultrasound is best learned at the bedside. Students will learn basics of ultrasound and will perform clinical ultrasounds in the Emergency Departments of UMMC - Fairview, HCMC and Regions Hospital. While individual lectures, individual reading and online instruction will play a role in the learning, the majority of the rotation will be spent in the emergency departments at Fairview, Regions Hospital and Hennepin County Medical Center. Bedside teaching will be facilitated by the course directors, Drs. Reardon and Zwank as well as ultrasound fellows, ultrasound technicians and emergency medicine residents.
- The student will perform a minimum of 75 ultrasound scans. The specific goals include 25 FAST ultrasound exams, 25 cardiac ultrasound exams and 25 other ultrasound exams which can include but are not limited to aorta, OB, vascular, ocular or procedure guidance. If the student is present for an entire exam performed by another individual or assists in the performance of an exam, they may take credit for that exam. All studies will be carefully recorded and logged.
- A written pre-test will be given as well as a written and hands-on post-test.
Emergency Ultrasound by Ma, Mateer & Blaivis (McGraw Hill 2nd Edition 2008)
Youtube.com (keyword: HQMEDED)
Competencies and Objectives
- Understand the basic physics and principles of application
- Begin developing an ability to acquire standard images and to recognize pathology related to the following core applications:
- FAST (Focused Assessment with Sonography in Trauma) as it relates to trauma and undifferentiated hypotension
- Cardiac as it relates to tamponade and gross cardiac function
- Aorta/AAA as it relates to undifferentiated hypotension
- Identification of early intrauterine pregnancy via transabdominal sonography
- Cannulation of blood vessels under ultrasound guidance
- Become familiar with other common applications such as biliary, urinary tract, deep venous thrombosis of the extremity, soft-tissue/musculoskeletal, thoracic, ocular and procedural guidance
- Develop an understanding of the limitations of bedside ultrasound
- Review of ultrasound studies performed by student
- Post-test (hands-on and written)
EMMD 7521: Research in Emergency Medicine
This course provides an introduction to Emergency Medicine Research. Students will initiate or participate in a research project under the direct supervision of Emergency Medicine clinician-researchers. Didactic research conferences will also be available.
EMMD 7571: Clinical Toxicology and Emergency Medicine
This course offers the student the opportunity to be involved in the initial stages of providing critical care to the patient with serious, sometimes life-threatening medical problems. The student will develop understanding of the application of certain procedural principles of critical care and the fundamentals of Clinical Toxicology. These include drug overdoses, acute alcohol intoxication and withdrawal syndromes, antidotes, toxic inhalations, some environmental toxins, indications for hemoperfusion/ dialysis, street drug problems and principles of pediatric poisonings.
EMMD 7600: Advanced Emergency Medicine- Career Track
This course is designed for medical students interested in pursuing a career in Emergency Medicine. Students will rotate at either Hennepin County Medical Center or Regions Hospital. Both institutions are Level I Trauma Centers and support independent Emergency Medicine residencies.