Medical Student Opportunities
Thank you for your interest in University Hospitals Center for Emergency Medicine's Medical Student opportunities.
Interested Case Western Reserve University SOM students can contact Ms. Dildred Houston to learn how to apply.
We ask that non-CWRU visiting students DO NOT contact departments directly. If you have any questions, please email the visiting student coordinator, Erin Zawolowycz, at Erin.Zawolowycz@uhhospitals.org.
Emergency Medicine & Intensive Care
- EMMD 4000A: Emergency Medicine Acting Internship (University Hospitals)
DESCRIPTION: This acting internship will allow the student to learn about the different facets of the specialty of Emergency Medicine. This elective will include intensive, inpatient experiences featuring primary patient care responsibility and direct reporting relationships with faculty and upper level residents. The student will be supervised by an Emergency Medicine faculty member at all times. The student will review and learn procedures and resuscitative skills necessary for management of the emergently ill and undifferentiated patient. There will be a combination of clinical time and educational conferences. The student is encouraged to investigate one topic of interest in-depth for discussion and presentation. PREREQUISITE: Completion of Medicine, Surgery, and Ob/Gyn Core Clerkships. NOTE: Students enrolled in EMMD 4000A cannot also be enrolled in EMMD 4002A.
- EMMD 4002A: Emergency Medicine (University Hospitals)
DESCRIPTION: The student will learn to perform primary and secondary assessments and will be exposed to basic emergency medicine skills including: Airway management, Cardiac Defibrillation, Primary Patient Assessments, Wound Repair, Fracture Splinting, Triage of patients, and diagnostic work-ups of complex medical patients. Primary care and acute emergent patient problems are evaluated and treated in this high volume, practice. The student will learn to prioritize diagnostic testing in a timely and cost efficient manner. OBJECTIVE: The student will be exposed to all aspects of emergency care in an Urban Academic Hospital. DUTIES: The student will work in concert with the E.D. attending at all times, and will participate in the initial evaluation and management of the patient as the student's skills allow. PREREQUISITES: Completion of Medicine, Surgery, and Ob/Gyn Core Clerkships. NOTE: Students enrolled in EMMD 4002A cannot also be enrolled in EMMD 4000A.
- EMMD 4003A: EMS & Critical Care Transport (University Hospitals)
Description: The Department of Emergency Medicine at University Hospitals Case Medical Center offers an Emergency Medical Services (EMS) and Critical Care Transport rotation for fourth-year medical students. Providing medical direction for four local EMS agencies, University Hospitals Critical Care Transport, and University Hospitals MedEvac, the Department of Emergency Medicine will be able to provide the student with a wide range of pre-hospital opportunities. The rotation can be tailored to each student's interests. Multiple opportunities exist for protocol review, quality assurance/quality improvement, and continuing medical education for pre-hospital providers. Exposure to hospital emergency management and disaster medicine activities may also be available. Objective: To provide the student with an overview of pre-hospital medicine. Prerequisites: Completion of third-year core clerkships. Students must be under 6-feet tall and 200 pounds to fly.
- EMMD 4006A: Resuscitation Elective (University Hospitals)
Description The rapid identification, diagnosis, and management of acutely ill patient are the hallmarks of effective resuscitationists. Care provided in the first hours of an ICU-bound patient can significantly impact their course. Therefore, physicians must have a firm grasp on the resuscitation science that underlies their daily practice. This elective will serve as an introduction to critical care principles that are most likely to impact the care provided to the undifferentiated critically ill patient. This elective will serve as an opportunity that could open a pathway to a future in critical care or merely enhance the quality care provided to future critically ill ED patients. The foundation of the elective is the clinical resuscitation shifts in which the student will pair with a resident that is free of other clinical responsibilities to observe, participate, and advance the care of patients presenting to the ED in critical condition. The Resus Team will support the initial resuscitation as directed by the primary ED team. Even if no opportunity exists to provide initial hands on care, the Resus Team should observe the resuscitation as many lessons can be learned by mindfully reflecting on others' practice in the resuscitation bay. Once the patient is dispositioned the Resus Team should continue to advance the care of the patient through providing ongoing intensive care to the patient, even accompanying them to their ICU destination and following their clinical course in that ICU. By providing continued individualized bedside care the Resus Team has an unparalleled opportunity to observe pathophysiology unfold over the course of the patient's course. Team members should keep a log of their resuscitations and follow-up on these patients regularly, both via chart review and in-person, allowing further reflection on the ways the initial resuscitation has downstream consequences on patients' courses. As with most electives, there is a direct correlation between the individual effort and educational reward; therefore, there is a considerable amount of self-motivation required, which will presumably necessitate patrolling the ED for interesting and worthwhile clinical cases. The trigger cases include a predetermined list of medical scenarios such as septic shock, cardiac arrest, and intra-cerebral hemorrhage as well as any additional clinical case which the team may find interesting. There is great educational opportunity in following each patient from beginning to end without the additional distractions created by standard clinical care. This four-week elective builds on the clinical focus of being present for intensive resuscitations with more longitudinal follow-up of critically ill patients, but allows for more varied experiences to provide a broader perspective on acute resuscitative sciences including review of primary literature, working with and leading interprofessional teams, and development of evidence-based education on topics in the domain of Emergency Critical Care. In addition to the resuscitation shifts there will be 2-4 meetings each week with faculty to connect evidence-based clinical care with the underlying pathophysiology of various disease states. Practical skill sessions will also be emphasized including point-of-care ultrasound and an opportunity to orient with a resuscitation nurse. All learners will be required to submit a blog post on some aspect of Resuscitation/Emergency Critical Care (to be published on the Emergency Department's Free Open Access Medical Education website, thelandofem.com). Finally, the elective provides opportunities to further personalize the experience such as rounding in the ICU's with EM-Intensivists, pre-hospital critical care transport shifts, attending ICU team didactics/journal clubs, and participating in ICU/resuscitation-specific meetings across the health system. Goals: 1. Develop an enhanced expertise in the underlying pathophysiologic principles underlying critically ill patients presenting to the ED. 2. Aspire to provide the most cutting-edge, evidence-based care to critically ill patients. 3. Aim to become a model leader in bedside resuscitations. Learning Objectives: By the end of the Resuscitation elective, learners should be able to: 1. Describe the pathophysiologic mechanisms underlying patients presenting in shock. 2. Articulate a rapid diagnostic approach to patients in shock. 3. Incorporate the use of point of care ultrasonography into the assessment of critically ill patient. 4. Compare options for resuscitation utilizing crystalloids, colloids, and vasoactive drugs. 5. Describe the causes of respiratory failure. 6. Compare options to support patients in respiratory failure based on the cause. 7. List evidence-based interventions that maximize outcomes for patients in cardiac arrest. 8. Discuss an evidence-based approach to the care of patients with sepsis. 9. Recognize the downstream consequences of inappropriate resuscitation efforts on patients' hospital course. 10. Value interprofessional team members in the acute resuscitation of critically ill patients. 11. Develop and answer clinical questions in an evidence-based manner related to the practice of EM-Critical Care and acute resuscitation. 12. Recognize the habits of effective resuscitation leadership.
- EMMD 4007A: Emergency Ultrasound Elective (University Hospitals)
Description: The Emergency Ultrasound Elective will serve as an introduction to the principles of emergency ultrasound. This elective is an opportunity for the student to learn the skills of image acquisition and interpretation within the context of the clinical scenario. The student will learn the indications for imaging for a given patient, obtain the hands on skills of scanning, and understand how the ultrasound information plays a part in the overall management of the patient at the bedside. -The rotation consists of 5 eight hour clinical shifts per week with the ultrasound faculty or ultrasound fellow in the Emergency Dept. The student will also work closely with the resident on ultrasound rotation. -Thursday mornings are reserved for ultrasound didactics. Didactics consist of chapter reading or Journal Club assigned weekly. In addition, there will be QA review, where the student will participate in reviewing the scans performed in the dept. Archived images will be presented to the fellow, resident, and student for interpretation as well. -The student will be expected to review 30 min. long ultrasound podcasts daily, in addition to the chapter reading or articles assigned for the week. The student should keep a log of the various modalities scanned during their shifts and ensure that a min. of 10 of the core types have been performed (cardiac, aorta, FAST, biliary, renal, thoracic). These are some of the main categories required and most commonly utilized during Emergency Medicine residency training. Interesting scans will be reviewed during didactics. All learners will be required to present a case during one of the didactic sessions at end of their rotation. Prior Emergent Care Clerkship preferred.