Preceptors: May Li, MD, Masashi Rotte, MD and Amy Bass, MD 
Contact: Ellie Pena, Ellie.Pena@NYULangone.org
Telephone: 212-263-8684

Prerequisites: NYU Students may register for this elective after completion of their core clerkships as well as the two-week Emergency Medicine elective (Emergency Medicine Introductory elective or Emergency Medicine Surgery-related elective (SRE). Exceptions to this will be made ONLY by the Emergency Medicine director of undergraduate medical education.

Who should enroll in this elective?

Students who are considering Emergency Medicine as a career

Clinical sites

Tisch/Kimmel Hospital, NYU Brooklyn, Bellevue Hospital, Cobble Hill stand-alone ED

Description

This is an advanced 4-week elective that seeks to build on emergency medicine knowledge and experiences gained from the 2-week Emergency Medicine Introductory elective or the 2-week Emergency Medicine Surgery-Related elective (SRE). As an advanced elective, the student will be expected to serve at the level of an Emergency Medicine sub-intern and will be directly involved in patient care under the close supervision of a senior resident or faculty member. The student will gain a deeper understanding of the core principles, foundational knowledge, and essential skills relevant to the specialty. Students will gain experience evaluating and treating a mix of acute medical and surgical disorders, ranging in acuity from fast-track to critically ill. In addition to the patient care responsibilities, there will be dedicated didactic lectures, ultrasound workshops, SIM sessions and conferences.

Objectives of the Elective

By the end of this elective, through daily contact with patients and didactics, you will:

1. Gain a deeper understanding of the field of Emergency Medicine, building on your pre-clerkship and clerkship experiences, through exposure to a broad array of clinical problems, reflective of what is seen in a busy Emergency Room
2. Expand your skills in simultaneously caring for multiple patients with acute disorders
3. Devise and implement appropriate patient care plans and see patients through to disposition
4. Apply evidence-based emergency medicine in the clinical setting
5. Gain insight into the interdisciplinary nature of this specialty and how our clinicians interact with other medical disciplines to provide comprehensive patient care
6. Ensure your choice of emergency medicine as a career and receive a necessary Standard Letter of Evaluation (SLOE) for your residency application

Key Responsibilities of the Student While on Elective

By enrolling in this introductory elective, you have agreed to:

1. Participate in at least 35 contact hours of education each week. You will be scheduled for a variety of 8-hour shifts over days, evenings, nights and weekends, as is experienced by Emergency Medicine residents and faculty
2. Provide communication of any excused absences to the Office of Student Affairs (excused absence form) and to the elective coordinator, in a timely fashion
3. Arrive in a timely fashion to all locations to which you are assigned
4. Attend all mandatory orientation activities
5. Participate in all activities, including clinical shifts in Emergency Department, didactic lectures, ultrasound workshops, SIM sessions and conferences
6. Be an active participant in the direct care of patients being followed by the team, as dictated by the resident/attending
7. Prepare a case presentation at the completion of the rotation

Key Responsibilities of the preceptor/residents/faculty while you are on Elective

By accepting your enrollment in this introductory elective, the department has agreed to:

1. Clearly communicate their expectations of you
2. Maintain a supportive clinical learning environment 
3. Ensure that you have access to a broad case mix and clinical experience  
4. Provide the education necessary for you to gain an understanding of the patients and pathology reflective of this specialty
5. Provide end-of-shift and mid-clerkship feedback on your clinical skills

Didactic Program

Case-based sessions

• Approach to Altered Mental Status
• Approach to Shortness of Breath
• Approach to Trauma
• Approach to Arrhythmias
• Approach to GI Bleeding

Lewin Morning Reports

• This is a morning “grand rounds” teaching session led by toxicology and other academic faculty with resident and student participation. Virtual and in-person options.

Toxicology session 

• Date varies per month 

Ultrasound hands-on session

• Date varies per month 

Wednesday Resident Conference

• Weekly resident conference that is attended by faculty, residents and students and includes lectures, small groups, journal clubs and simulations. Content covers evidence-based topics relevant to EM and varies weekly.

Weekly schedule

	Monday	Tuesday	Wednesday	Thursday	Friday
Week 1	Orientation SIM sessions • CVL • Airway	Case-based learning sessions with faculty leadership	Resident Conference 8AM-1PM	LMR	LMR
Week 2	LMR	LMR	Resident Conference 8AM-1PM	LMR	Mid-clerkship feedback
Week 3	LMR	LMR	Resident Conference 8AM-1PM	LMR	LMR
Week 4	LMR	LMR	Resident Conference 8AM-1PM	LMR	Final case

Method of Evaluation

Students are evaluated based on a combination of clinical, participation and didactic components of the clerkship. There is a mid-clerkship evaluation halfway through the clerkship where students meet individually with a member of the UME division. Clinical feedback/evaluation: Each faculty preceptor is expected to complete an end-of-shift evaluation form for each clinical shift (via COMET).

In order to give students personalized guidance and feedback, they are also paired with individual faculty mentors with whom they will work at least 4 clinical shifts.  While our faculty are skilled at giving on-shift feedback, we encourage students to engage with their preceptors and remain proactive about receiving feedback in real time. Didactics: Active participation in mandated conferences and lectures is expected. There is a required case presentation at the end of the elective. 

Scheduling Information

Duration: 4 Weeks
Months Offered: July - October
Student point of contact before start of elective: Ellie Pena, Ellie.Pena@NYULangone.org
On day 1, students report to: Bellevue Hospital Adult Emergency Dept. (Emergency Department conference Room- 1st floor), 8AM
Students Per Period: 12

Note: For this specific elective, visiting student applications will be processed through AAMC’s Visiting Student Learning Opportunities (VSLO) program. The VSLO Application Service (aka VSAS) enables students to browse and apply for this elective.