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Archive for the ‘Students’ Category

4th Year Student Objectives and General Info

EMERGENCY MEDICINE CLERKSHIP

CLINICAL POLICY OVERVIEW
Clerkships require students to actively participate in the care of patients. Students are required to attend all clerkship activities and educational sessions.

Students are duty-bound to develop skills in providing care that is humanistic, grounded in the fundamentals of medical ethics, and performed to the highest standards of professionalism.

ELECTRONIC DIAGNOSIS & PROCEDURE TRACKER
To ensure adequate exposure to a variety of presenting complaints, we require that students log clerkship-specific diagnoses into our web tracking system, accessed through E-Value (www.e-value.net). The list of must-see diagnoses for this clerkship are listed on the back of this card Students are responsible for maintaining a procedure record and entering them into E-Value. All information requested must be completed. A list of school-wide core procedures and clerkship-specific procedures are listed on the back of this card.

CLERKSHIP OBJECTIVES: By the end of the clerkship, must:

Obtain an accurate history and physical focused on key problems
Recognize life or limb threatening problems
Monitor response to treatment
Make proper dispositions and follow up plans for the patient
Perform basic procedures; know the indications, contraindications
Be able to discuss preventable illness and injuries
Educate patients regarding their treatment and follow up plan
Develop skills to evaluate an undifferentiated patient in a culturally sensitive manner
Develop a differential diagnosis based on likely diagnoses and diagnoses not to miss
Develop a management plan for the evaluation (ED, inpatient or OPD as appropriate) using on line resources and discussion with the preceptor
Interpret common lab results and imaging studies; review with preceptor or radiology
Learn key topics in the educational core
Demonstrate effective use of information technology to solve patient problems, improve your knowledge base, develop case presentations
Effectively communicate with patients and family members utilizing translation services when needed
Be aware of your bias and promote a compassionate and non judgmental approach to all patients
Work collegially with the health care team
Present cases in an accurate, complete and concise manner which delineates the primary problem(s) and plan
Document your work in an accurate, organized manner that is appropriate to the level of care provided
Exhibit a strong work ethic: be punctual, conscientious and responsible for your patients
Exhibit honesty and integrity in patient care; complete all work discussed and report and document accurately
Practice ethical decision making
Be accountable; sign out all patients when you are taking a lunch break and at the end of the shift
Project a professional appearance
Be sensitive to cultural issues re: age, gender, culture, disability, etc.
Make an appropriate referral from the ED; in some cases this may involve calling a consultant for permission to overbook to a subspecialty clinic for an urgent follow up
Be sensitive to medication costs and resources available to your patient
Appreciate the role of emergency medicine in the community, as a safety net, and its impact on patient care

WORK SCHEDULE/HOURS
14 Shifts (8-12hours); 13 shifts for QHC/JCMC
Minimum 2 weekend, 2 night, 2 Fast Track
6 Required Didactic Sessions
1 Resident Conference Day (5hours)

IMPORTANT CONTACT INFORMATION:

Ombudspeople: Dr. Nathan Goldstein: nathan.goldstein@mssm.edu

Dr. Helen Fernandez: helen.fernandez@mssm.edu

Absences: Notify Clerkship Director(s), Clerkship Coordinator, Site Director and medstudentabsence@mssm.edu
Sites, transportation, housing & reimbursement: Judith Quintana
212-241-8752 judith.quintana@mssm.edu


MUST-SEE DIAGNOSES: These must be logged into E-Value
Abdominal Pain
Airway Management 
Altered Mental Status
Bleeding
Chest Pain
Dyspnea/SOB
Extremity Trauma
Fever
Fluid and Electrolyte Management
Hypotension
Urologic Disorders
Weakness

CORE PROCEDURES:
By graduation, students must successfully complete 3 of each of the following core procedures:
Dressing changes
EKG
Intradermal skin testing
Intravenous line placement
Nasogastric tube insertion
Obtaining peak flow measurements
Suture removal
Throat cultures
Urethral catheter placement & removal
(M and F)
Venipuncture

SUGGESTED PROCEDURES:
Arterial Blood Gas
Laceration Repair
Abscess I&D
Splinting
Bedside Ultrasound

KEY ROTATION CONTACTS

Clerkship Director/MSSM Site Director
Dr. Barbara Richardson
barbara.richardson@mssm.edu?212-241-2274?
Assistant Clerkship Director
Dr. Braden Hexom
bjhexom@yahoo.com
414-807-8228

Course Coordinator
Minerva Camacho
minerva.camacho@msnyuhealth.org

Site Directors
Dr. Sebastian Abdelnur, MSH-Queens
sabdelnur9@gmail.com                    
718-267-4390

Dr. Ravi Kapoor, Queens Hosp Center
ravikapoormd@gmail.com              
718-883-3070

Dr. Michael Silverman, Morristown Hosp
msilverman@pol.net                         
973-971-7926

Dr. Tim Walther, Elmhurst Hospital and Visiting Students
Timwalther@yahoo.com                  
718-334-3050

Dr. Victoria Cespedes
victoria_cespedes@hotmail.com


Written by reuben

July 21st, 2010 at 4:09 am

Posted in Students

Letters of Reference for Med Students

For Sinai students, I write the Departmental letter which is co-signed
by Andy Jagoda. Additionally the Sinai students have been told to
select
one other Attending with whom they have worked closely and ask for a
letter.
For visiting students, Tim writes the evaluations. He has written
letters for some students, but if he does not know them well, then
they
may ask for a letter from a faculty member with whom they have worked
a few shifts.  Certainly a system in which a student works many shifts
with a faculty member would be best but not possible to achieve in our
complex system.  Any student requesting a letter should meet with you
and forward to you:
ERAS sheet with AAMC applicant number
CV
personal statement
We can also provide performance data on the student at the end of the
Block when the data is in.  Use the SLOR on the saem.website.
For Sinai students, I write the Departmental letter which is co-signed by Andy Jagoda. Additionally the Sinai students have been told to select one other Attending with whom they have worked closely and ask for a letter.
For visiting students, Tim writes the evaluations. He has written letters for some students, but if he does not know them well, then they may ask for a letter from a faculty member with whom they have worked a few shifts.  Certainly a system in which a student works many shifts with a faculty member would be best but not possible to achieve in our complex system.  Any student requesting a letter should meet with you and forward to you:
ERAS sheet with AAMC applicant number
CV
personal statement
We can also provide performance data on the student at the end of the  Block when the data is in.  Use the SLOR on the saem.website.
Barbara

Written by reuben

July 14th, 2010 at 9:48 pm

Posted in Students

EM Clerkship Expectations and Laminated Cards

Message from Dr. Barbara Richardson
 
 
Dear Faculty and Residents:
 
You are receiving this e mail because it explains laminated green cards coming your way via Suzi (for Tim to distribute to all attendings who teach students in ED along with this e mail), site directors for distribution to your attendings with the following e mail and to house staff who will find the green card in your Sinai mailbox.
 
MSSM will be audited by LCME within a year, and will query staff on what the objectives of the EM clerkship are and what the students are expected to know/do/learn. Similar to the development of the badge cards for JCAHO, the Clerkship Directors at Sinai got together to produce cards for each clerkship, using a similar format modeled after a successful program at Case-Western who was recently surveyed. The goal is for students, residents and Attending to be on the same page regarding expectations. Orientation was today; they start tomorrow. Please distribute these to your Attendings.  They were costly and time consuming to produce so please ask people NOT to randomly discard them (I cannot easily replace them). I have chosen the lovely lime color to provide contrast, better visibility for the small font size we needed, and to stand out from other disposable pocket items.
 
Please note:
1. These are the expectations of the fourth year students rotating through EM. 
2. If there are those who are not keeping up, the site director needs to know to provide some guidance before end of clerkship.
3. The “Must See: diagnoses are at least one of each per student per rotation. The core procedures are what a student is required to do for graduation, the
suggested are additional we are requiring for the clerkship. NGT, foleys, were deleted from our required because they are covered in Surgery, OB. Intradermal skin tests and throat cultures get done in clinic and Peds but if a student needs to do more and the opportunity arises, they can do them in the ED.
 
For your information, the following students have expressed interest in EM: 
Block I   MSSM: Raphael Falk, Daniel Chien, Joseph Freedman
          Visiting: Jessica Murphy, Kevin Tierney, Sammy Yu
 
Finally just an easy concept for teaching at the bedside from CCF, 2001:
 
ASK  What do you think is going on (if they have not already given their differential) or what led you to that conclusion?
TELL Teach a general rule (what they did well, what they could improve, be specific)
ASK  What do they take away from this conversation? What do they want to investigate further, read up on, etc.
 
Thanks for your attention to great teaching and have a terrific summer.
Best
Barbara R
 
Thanks to Minerva for emailing to MSSM faculty; mailing cards to JCMC, QHC, Morristown
Thanks to Suzi for e mail forward to residents and carried acrds to Tim W
Thanks to Alex (student) who carried cards to Dr Lee for Dr Abdelnur 7/6

Written by phil

July 14th, 2010 at 7:54 pm

Posted in Students

September 2009 Student Rotators

Raashee Sood, Jefferson Medical College

Raashee Sood, Jefferson Medical College

Liju Philip, SUNY Downstate

Liju Philip, SUNY Downstate

Comfort Amoh-Tonto, George Washington SOM

Comfort Amoh-Tonto, George Washington SOM

Lydia Sahlani, University of Toledo (Ohio)

Lydia Sahlani, University of Toledo (Ohio)

Murtaza Akhter, Northwestern SOM

Murtaza Akhter, Northwestern SOM

Written by tim

September 5th, 2009 at 12:05 am

Posted in Students

August 2009 Medical Students

Written by tim

August 5th, 2009 at 5:21 am

Posted in Students

Rotating Students: July 2009

Written by reuben

July 9th, 2009 at 8:41 pm

Posted in Students

MS IV Students

Written by phil

September 16th, 2008 at 3:40 pm

Posted in Students