The Emergency Medicine specialty was born out of a need for physicians with a unique skill set to manage a vast array of patients with undifferentiated needs from non-urgent to emergent and everything in between. These EM physicians must be a patient advocate, must be able to communicate in many languages and cultures to meet the needs of patients and their families. As the health care system leaves more uninsured people the EM physicians maybe the only one to have contact with these patients. In scholarly activities the EM physician is also a researcher and a teacher.
The primary areas of treatment in the department are the C zone, our critical care / trauma area, the A zone which is primarily ambulatory patients, and the Pediatric Emergency Room. We also have a Fast Track and a Surgical Emergency Room Follow-Up Clinic, as well as a Psychiatric
Emergency physicians shall embrace patient welfare as their primary professional responsibility. They should respond promptly and expertly, without prejudice or partiality, to the need for emergency medical care. EM Physicians should respect the rights and strive to protect the best interests of their patients, particularly the most vulnerable and those unable to make treatment choices due to diminished decision-making capacity. They should communicate truthfully with patients and secure their informed consent for treatment, unless the urgency of the patient's condition demands an immediate response. Respecting patient privacy and disclosing confidential information only with consent of the patient or when required by an overriding duty such as the duty to protect others or to obey the law is also required of EM physicians. They should deal fairly and honestly with colleagues and take appropriate action to protect patients from health care providers who are impaired, incompetent, or who engage in fraud or deception. EM physicians should be able to work cooperatively with others who care for, and about, emergency patients as well as engage in continuing studies to maintain the knowledge and skills necessary to provide high quality care for emergency patients. They should act as responsible stewards of the health care resources entrusted to them and support societal efforts to improve public health and safety, reduce the effects of injury and illness, and secure access to emergency and other basic health care for all.
Most Emergency Medicine students will be rotating with the department for four weeks. The student will rotate through fourteen 12 hour shifts within that time period.
Time is split between the A, B and C zones. During the rotation you will gain experience in caring for critical and trauma patients and in addition other less critical undifferentiated patients.
Educationally, there are four mini-conferences a week which take place immediately after morning sign-out in the Trauma Resuscitation Bay. There is a weekly educational conference from 8:00am to 1:00pm for all faculty, residents, and students on a variety of topics and students are expected to attend.
The Clinical Faculty
The clinical faculty must provide direct supervision of the students for physical examinations, case presentations, and clinical procedures. All clinical write-ups or formal presentations must include a focused history and physical, problem list with its assessment, and a diagnostic and therapeutic plan. The clinical faculty must meet with each student for a formal one-on-one, complete an evaluation, and all University forms with appropriate comments and suggestions. Both the faculty member and the student must sign all forms. Students are required to keep a patient log and a procedure log. Deans and the Emergency Medicine Chairman will periodically inspect patient logs during sit visits to assure a reasonable case mix.
The educational core identifies the basic set of clinical presentations, procedures, and educational topics that would be covered or experienced during the rotation. There may be some variability in how this educational core is taught (reflecting the resources of each clinical site), however the principle teaching materials will be consistent across all training sites.