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Visiting Medical Student Clerkships

Emergency Medicine (Minnesota)

Description

The clerkship in emergency medicine is a four-week clinical rotation in the Mayo Clinic Hospital - Saint Marys Campus Emergency Department. Our facility is a tertiary care and Level 1 Trauma Center that cares for 80,000 patients annually. This clerkship is intended for students in the final year of undergraduate medical training. Students are integral members of the emergency department team, and will evaluate and treat patients in the adult acute care areas of the emergency department over the course of 15 clinical shifts. Nonclinical responsibilities include a simulation and case-based interactive curriculum moderated by emergency medicine (EM) faculty, an ultrasound session, and a self-directed electrocardiography curriculum.

Objectives

At the end of the Emergency Medicine clerkship, you will be able to:

  1. Perform and summarize a problem-oriented history and physical examination
  2. Formulate a differential diagnosis for an undifferentiated patient with a given chief complaint
  3. Identify immediate life-threats for given chief complaints
  4. Propose a treatment plan for a given chief complaint and working diagnosis
  5. Alleviate suffering through therapeutic interventions
  6. Demonstrate and perform the basic EM procedures
  7. Identify and implement basic life-saving maneuvers in critically ill patients
  8. Embody professionalism in every clinical encounter

Activity outline

  • Attendance requirement. Full attendance is required for both clinical shifts and nonclinical educational sessions. Any missed experiences due to deficiencies in attendance will need to be made up in order to successfully complete the rotation.
  • Clinical competence requirement. You will acquire clinical competency through independent but supervised patient care in a high acuity, high volume setting. You will see patients in an independent but supervised fashion and develop a differential diagnosis and treatment plan.
  • Simulation sessions. You will participate in two simulation-based interactive sessions focusing on the management of trauma and shock, led by EM faculty
  • Breakout sessions. You will participate in an EM faculty-led, case-based interactive session focused on EM point-of-care ultrasonography led by EM/ultrasound faculty. 
  • Procedural competency requirement. You will perform a minimum number of laceration repairs, IV placement, blood draws, and Foley catheter placements. Procedural sessions with our phlebotomy and urology technician colleagues will be scheduled and are mandatory.
  • ECG curriculum. You will complete an asynchronous and self-directed module focused on a pragmatic approach to ECG interpretation in the emergency department
  • NBME ACE in EM. You will complete the NBME end of clerkship examination.

Method of evaluation

The clerkship in emergency medicine is graded on a Pass/Fail basis and is clearly indicated on the final evaluation. Daily resident and EM faculty end-of-shift evaluations and performance on the NBME ACE in EM will comprise the majority of the overall evaluation. Interactions during educational sessions and input from nursing and ancillary staff will be considered.