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

Prerequisite: None

Who should enroll in this elective?

• Students who are considering Emergency Medicine as a career
• Students who are entering an allied field
• Students who are interested in gaining exposure to medical and surgical diagnoses and work on their history and physical taking, diagnostic acumen and procedural skills

Clinical sites

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

Description

This is an introductory 2-week elective that seeks to introduce the student to the field of Emergency Medicine. As an introductory elective, the student will be expected to gain a broad understanding of the core principles, foundational knowledge, and essential skills relevant to the specialty through encounters with a diverse range of medical and surgical cases, from fast-track to critically ill. Students will gain this experience through a hands-on, problem-based approach to the immediate recognition and treatment of acute disorders spanning the entirety of medicine, surgery, pediatrics, gynecology, and psychiatry. Students will have direct patient care and management responsibility under close supervision by attending faculty. The elective’s comprehensive curriculum includes clinical shifts at all four of our emergency care sites. The 2-week Emergency Medicine Introductory elective or Surgery-Related elective is a pre-requisite for the 4-week Emergency Medicine Advanced elective.

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 Department
2. Practice emergency assessment and management of high acuity and undifferentiated patients
3. Think critically about “most dangerous first” differential diagnoses
4. Learn to take concise histories, perform physical exams and devise appropriate patient care plans, taking into account medical and social factors
5. Practice key procedures including IV placement, point-of-care ultrasound, abscess I&Ds, laceration and wound care
6. Gain insight into the interdisciplinary nature of this specialty and how our clinicians interact with other medical disciplines to provide comprehensive patient care
7. Explore the option of emergency medicine as a career choice

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 total of six 8-hour shifts per two-week block that may include evenings, overnights and weekends
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. Take ownership of your patients and follow and re-evaluate their patients through final disposition. This includes following up on labs, imaging tests and consultant recommendations while communicating with their preceptors and working efficiently within an ED team
5. Attend all mandatory orientation activities
6. Participate in all activities, including resident conference every Wednesday and Lewin Morning Reports
7. Be an active participant in the direct care of patients being followed by the team, as dictated by the resident/attending

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 feedback on your clinical skills

Didactic program

Lewin Morning Report: 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. 

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 2 x SIM Cases (usually Mondays but can vary)	LMR	Resident Conference 8AM-1PM	LMR
Week 2	LMR	LMR	Resident Conference 8AM-1PM	LMR

Method of Evaluation

Each faculty preceptor is expected to complete an end-of-shift evaluation form for each clinical shift (via COMET), which will be visible to the student. 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. Active participation in mandated conferences and lectures is also expected.

Scheduling Information

Duration: 2 weeks
Months Offered: All months except for July
Student point of contact before start of elective: Ellie Pena, Ellie.Pena@NYULangone.org 
On day 1, students report to: Bellevue Hospital (462 First Avenue) for morning report at 8am, which will take place in the Bellevue command center
Students Per Period: 8