To practice skills in the recognition of acute life-threatening conditions and exacerbation of serious disease while participating in the ED care-giving and resuscitative team response in a strictly supervised setting.
Apply knowledge of pathophysiology learned throughout the clerkships in understanding root causes of life threats (e.g. hypoxia, acidemia, hypovolemia, sepsis). Become familiar with the use of equipment involved in the stabilization and resuscitation of patients (e.g. mechanical airway, c-collar, and defibrillator). Understand the role of the Emergency Department in the community health care delivery system. Have exposure to principles of triage, medical toxicology, and emergency medical services. Gain insight into principles of risk management as it relates to probability of disease and patient disposition. Be aware of the ethical responsibilities of a physician in times of refusal of treatment, inability to consent, or need for higher level of service.
Important aspects of this experience include:
- An expectation to rule out most immediate life threats first (non-probabilistic)
- Managing multiple patients time-efficiently to the level of ability
- A hands-on experience with acute laceration repair and fracture splinting
- Practicing focused problem-based histories, physical exams and oral presentations
- A concerted effort to limit resource utilization appropriately
- Collaboration with community physicians in the discharge planning and follow-up
- Exposure to Emergency Medicine residency training
- Students are assigned 14, 8 hour clinical shifts distributed over days, evenings and nights, including two weekends and at least four overnight shifts. Students have the option of doing one of these shifts with an EMS provider, which can be either Lifeflight of Maine (helicopter transport) or ground EMS. In the ED students are expected to see patients primarily and present directly to the Attending(s) or supervising PGY-3 Emergency Medicine Resident on duty. Students assist attending faculty is writing notes and deciding on orders to be placed. Students are expected to keep their patients, the ED care team and the patient's Primary Care Provider updated on all results of therapies, tests, consults and disposition planning. There is an emphasis on patient education by students.
- Students are required to attend a mandatory orientation session at the beginning of the month as well as a day that includes a procedure workshop and high-fidelity simulation for medical students (held during the first week). In addition, students are required to attend relevant lectures as part of the Emergency Medicine Residency didactics, held on Wednesday mornings.
- Schedules are provided during the mandatory orientation session on the first weekday of the month.
- Additional experiences include an evidence based medicine presentation on an EM-related topic usually in the last week of the month and optional participation in residency-related activities such as journal club or interdisciplinary symposia.
- All students are expected to be present from the first weekday of the rotation until the last weekday. No credit shall be given for partial months unless previously approved by the course director.
- Housing within walking distance of the hospital is provided for all TUSM students and extramural students on a first come, first serve basis.
A cumulative grade is determined by collation of specific feedback from the Attending staff. Grades of Honors, High Pass, Pass, Fail, and Incomplete are given based upon a student's attitude, attendance, and performance. This includes participation in case discussions, the quality of student presentation, ability to render effective care, and professionalism while on duty. A Standardized Letter of Evaluation (SLOE) may be requested from the department.
An application must be submitted through our online application page. Due to the high volume of requests for the rotation we also require a supplemental application, which is specific to our department.
For more information please contact Ann Cross, Medical Education Program Specialist (207) 662-7142 and Lauren Wendell, M.D., Medical Student Education Director (207) 662-7054.