EMED301A

VISITING: Closed to visitors. TYPE OF CLERKSHIP: Required. DESCRIPTION: The Emergency Department (ED) provides a unique learning environment as patients often present with undifferentiated chief complaints and experience dynamic changes in their clinical state. Through this clinical exposure, medical students will develop an understanding of the initial approach, management, and treatment of the undifferentiated acutely ill or injured patient and patients with worsening of their chronic disease. Students will perform complaint-directed history and physical exams, develop an appropriately prioritized differential diagnosis, initiate management, and determine the disposition of patients. Additionally, students will be exposed to the impact of social factors that influence a patient's seeking care in the ED along with the structural shortcomings of our current healthcare systems. Students will work a mix of days, evenings, overnights, weekends and holidays as part of their 4 week rotations. In addition to the shift work (approximately 14-16 shifts) they will participate in didactics, web-based learning, simulation exercises, and case presentations. Students will have shifts in both the Adult and Pediatric ED and be assigned to work with a senior Emergency Medicine resident under the supervision of an Emergency Medicine attending. Students will be required to take the NBME Shelf Examination in Emergency Medicine. PREREQUISITES: None. PERIODS AVAILABLE: 1-12, full time for 4 weeks, 6 students per period from P1-P3, 10 students per period from P4-P12. CLERKSHIP DIRECTOR: Moises Gallegos, M.D., moisesg@stanford.edu. CLERKSHIP COORDINATOR: Maria Alfonso, 650-497-6702, malfonso@stanford.edu. REPORTING INSTRUCTIONS: Where: The students are notified prior to the first day of the clerkship; Time: TBA. CALL CODE: 2-Other, see comment for explanation. OTHER FACULTY: W. Dixon. LOCATION: SUMC.