Emergency Medicine

 

M4 Emergency Medicine Elective for Visiting Students

 

SETTING

The Nebraska Medical Center is located in Omaha, Nebraska with a metropolitan population of approximately 784,463 individuals.  It is one of two trauma centers for the area.  The emergency department (ED) has 33 beds and an 8 bed 24 hour outpatient clinical decision making unit to serve an annual patient census of approximately 50,000 patients.  The ED is staffed by American Board of Emergency Medicine certified physician at all times.  Physician Assistant or Certified Nurse Practitioner coverage is present for 12 hours of the day.
 

CLINICAL ROLE AND RESPONSIBILITIES

Emergency medicine is a time-dependent specialty that demands the immediate decision-making and timely actions necessary to prevent death or further disability for patients in health crises.   It is practiced as patient-demanded and continuously available care for a patient population that is unrestricted and presents with a full spectrum of episodic, undifferentiated physical and behavioral conditions.

 

The student’s responsibility in the ED is to serve as the primary caregiver to the patient in conjunction with other ED staff members and the supervision of the attending physician on duty.   The physician assistants and certified nurse practitioners will not supervise or evaluate medical students performing a clerkship in the ED.  Students are discouraged from serving only in an information-gathering role.  Students will be expected to perform a directed history and physical examination, formulate appropriate differential diagnoses, and institute a clinically indicated evaluation and treatment plan after discussion with the attending physician.  This responsibility will also include abstracting information from the patient’s medical record, serially monitoring the patient for changes in clinical status, and keeping the patient informed during the course of their ED evaluation.  Procedures that need to be performed on a medical student’s patient will be completed by the student under the supervision of the attending physician, unless the attending physician determines that a higher level of expertise is required in order to safely complete the procedure.

As the primary physician practicing under the direction of our ED staff your educational goals and objectives are as follows:

 

COURSE GOALS

Overall Goal: The development of the student’s clinical skills, including the diagnosis and management of life-threatening conditions in the undifferentiated patient with a secondary emphasis on basic procedural skills.

Goals:

  1. The student will be able to perform a directed, problem-focused history and physical examination.

  2. The student will formulate a differential diagnosis addressing urgent and emergent conditions consistent with history and physical examination findings.

  3. The student will demonstrate proficiency in basic patient care and monitoring procedures.

  4. The student will become proficient in basic wound management.

  5. The student will become proficient in basic splinting/immobilization techniques.

This is an experience at the University Hospital in which you will participate in the operation of an emergency department in a large community by full-time faculty of the College of Medicine.  This clerkship will allow students direct patient contact under the supervision of an attending physician. In addition, the rotation includes wound care and suturing lab, extremity injury and immobilization lab, required reading (textbooks may be borrowed at no cost) and a post-test. Paramedic squad observation will also be required. For further information contact Kelly Deerson at email address kdeerson@unmc.edu

 

REQUIRED DOCUMENTATION

As space is extremely limited, only current US (osteopathic or allopathic) M4 students interested in pursuing a career as an emergency physician will be considered.  The College of Medicine DOES NOT accept requests from students attending foreign medical schools.  Click here for more information for visiting students.

 

Please contact:

Sue Pope, Program Coordinator
Office of Admissions & Students
University of Nebraska College of Medicine
986585 Nebraska Medical Center
Omaha, NE 68198-6585
Phone 402 559 4169
Fax: 402 559 6840
E-mail: spope@unmc.edu
 

HOUSING AND TRANSPORTATION

The visiting student is responsible for arranging housing and transportation during the clerkship.  Housing and transportation will not be provided by The Nebraska Medical Center, nor will a stipend be distributed by The Nebraska Medical Center for these or other expenses.

 

PARKING

Students are strongly encouraged to purchase a parking permit during the month they are performing the rotation.   The cost of the parking permit is $11 for the month.  Once you have campus parking, you will be assigned a parking lot and allowed to park in the patient/visitor garage without risking getting a violation for all shifts that end past 8:30pm.

 

MEALS

The visiting student is responsible for providing his or her own meals.  The hospital cafeteria may be utilized at the student’s expense.  A variety of grocery stores and restaurants are located near the institution.  You will not be permitted to leave the campus during the middle of your shift.

 

RESIDENCY INTERVIEWS

Visiting students planning on applying to, or currently applying to, the emergency medicine residency at this institution will be granted a resident candidate interview during their visiting clerkship if so desired.  A fully completed residency application must be received for consideration in the NRMP Match.  However, visiting students may complete this application process after their visiting clerkship and the residency candidate interview during their clerkship.  Please let contact Tammi Erickson, Residency Coordinator at the beginning of your rotation if you wish to interview while completing your rotation.