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Emergency Medicine

Students rotate with emergency medicine physicians in the ER for eight hour shifts.These shifts vary between day, evening and night shifts. Students work approximately 15 clinical shifts during the rotation. Students spend one shift (8-10 hrs) with Athens Regional EMS in addition to the 14 clinical shifts. This course also includes an online component. Athens Campus students interact with MCG students at locations all over the state in online discussions. These discussions start with a weekly prompt and include a post from each student and thoughtful responses to their classmates.   

Required Text: Introduction to Clinical Emergency Medicine (S.V. Mahadevan and Gus Garmel) ISBN-10: 0521747767 or Tintinalli’s Emergency Medicine, a study Guide, 7thedition (available through Access Medicine)

Learning Objectives:

  • Expeditious assessment of a patient presenting to the Emergency Department
  • Test ordering skills
  • Recognition of Life and Limb threatening emergencies
  • ABCDs of resuscitation
  • Initial management, appropriate consults, disposition and follow ups
  • Interpersonal skills and Professionalism
  • Minor procedural skills (suturing, Incision and drainage, splinting, FB removal)
  • Universal Precaution

Duration: 4 weeks

Site Clerkship Director: Sam Kini, M.D.(skini@uga.edu

Grading: 

  •  Clinical Performance -  70%
  •  Shelf Exam - 20%
  •  Online Curriculum - 10%

Academic Half Day: Wednesday 9:30 am-12:00 PM 

Academic Half Days include lectures, case discussions, simulation and rapid fire “EM Pearls.”

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  • Emergency Medicine Advanced Clinical

    The Emergency Medicine Advanced Clinical Exam content outline includes:

    General Principles including ethics and patient safety - 1%–5%

    Organ Systems * - 95%–99%

    • Immunologic Disorders (Diseases of the Blood) - 5%–10%
    • Mental Disorders (Diseases of the Nervous System) - 10%–15%
    • Cardiovascular Disorders - 15%–20%
    • Diseases of the Respiratory System - 10%–15%
    • Nutritional and Digestive Disorders - 10%–15%
    • Gynecologic Disorders - 1%–5%
    • Renal, Urinary, Male Reproductive Systems - 5%–10%
    • Obstetric Disorders - 1%–5%
    • Disorders of the Skin - 1%–5%
    • Disorders of the Musculoskeletal System and Connective Tissue - 5%–10%
    • Endocrine and Metabolic Disorders - 5%–10%

    * A subset of items across the organ system section includes content that focuses on resuscitation/ trauma (~15%) and environmental/toxicologic disorders (~15%)

    Physician Tasks

    • Promoting Health and Health Maintenance - 1%–5%
    • Understanding Mechanisms of Disease - 5%–10%
    • Establishing a Diagnosis - 25%–35%
    • Applying Principles of Management - 45%–55%
  • Sites

    All sites are tentative.

  • Competency Based Objectives

    Medical Knowledge

    • Describe the current approach to the emergent treatment of patients with acute coronary syndrome, respiratory emergencies and altered mental status 
    • Describe the pathophysiology of shock and the appropriate treatment modalities used to care for the patient in shock 
    • Demonstrate knowledge of common emergency conditions and their initial treatment including patients with abdominal pain and GI complaints, chest pain, respiratory distress, neurologic insult, trauma and burns, acute infections, poisonings, and environmental emergencies 

    Patient Care: 

    • Describe the initial first steps involved in treating a life-threatening emergency 
    • Explain the concept of triage and how to prioritize attention to patients based on their medical need 
    • Describe the special circumstances which arise during times of disaster, both man-made and natural 
    • Describe appropriate indications for the use of Emergency Medical Services and the limitations of these services 
    • Explain the approach to the initial diagnosis and treatment of undifferentiated acutely ill or injured patient 
    • Describe the EMTALA law and how that affects the treatment of patients in the Emergency Department 

    Practice-Based Learning: 

    • Demonstrate appropriate response to constructive feedback 
    • Identify areas for personal improvement and devise strategies for accomplishing this improvement 

    Communication Competencies: 

    • Demonstrate appropriate communication skills in the critique of work by colleagues 

    Professionalism: 

    • Demonstrate professional behavior in communication with colleagues and timely completion of assignments 

    Systems-Based Practice  

    • Describe the role of the various members of the multidisciplinary team • Discuss the importance of the team approach to the care of the acutely ill or injured patient