Emergency Medicine

Sites: BIDMC
Director(s): Katharyn Atkins, Nicole Dubosh, Jason Lewis
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: BIDMC - BI-Deaconess Medical Center (5)
Open to Exclerks: US/Canadian
Description: This course is designed to provide exposure to Emergency Medicine under the supervision of full-time faculty. Emphasis will be placed on the use of an Emergency Medicine approach to patient care, with attention directed towards the recognition and management of life-threatening problems. Students will function as Emergency Medicine subinterns and will be expected to develop the ability to identify acutely ill patients and respond quickly and appropriately to their needs. Development of technical and procedural skills will be encouraged, including airway management, wound care, suturing, lumbar puncture, fracture and dislocation care, abscess incision and drainage, nasogastric intubation, arthrocentesis, slit lamp exam, femoral venipuncture, and arterial puncture. This course will also include lectures from the BIDMC Harvard Affiliated Emergency Medicine Residency, divisional lectures, medic rounds, weekly presentations, simulation sessions and case conferences. Prehospital care experience will be provided through local ambulance services. The option to work with nurses to learn such skills as I.V. placement, catheter placement, patient triage (and others) will also be offered. During the baseball season, students may participate in providing medical control and first aid at Fenway Park. Students will also learn about the use of ultrasound in the emergency department.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The constant presence of emergency medicine faculty allows for the bedside teaching with the integration of evidence based medicine and fundamentals of anatomy and physiology relevant to each case. In addition, student have numerous weekly didactic experiences including simulation, M&M, and core topics.
Grade Criteria:
Honors with Distinction: Outstanding clinical performance on a majority of shifts as reported on feedback forms. In addition, the final presentation is reviewed by the course directors. Honors: Outstanding clinical performance on some of shifts as reported on feedback forms. Satisfactory: Average clinical performance on shifts as reported on feedback forms. Unsatisfactory: Students with significant concerns raised on feedback forms.