Emergency Medicine

Department:

 Family Medicine

Specific Location:

Elizabethton, TN
more info

Instructor:

Jon Metter, M.D.

Responsible Faculty:

Joe Florence, MD

Rural Programs Director

Contact Person:

Carolyn Sliger, MSEH

sliger@etsu.edu

423-439-6737

Initial Meeting-Place and Time:

 Erwin Hospital, Sycamore Hospital, Le Conte Hospital, Livingston

Periods Offered:

 all

Maximum Students per Period:

 1 per site

Goal:

 The course is designed to provide experience in the approach to medical and surgical emergencies in an emergency room setting of a rural community hospital.

Objectives:

 At the conclusion of this  rotation the student should be able to:

• take histories, examine patients, order and interpret x-rays and other tests involved in establishing a diagnosis

• plan and carry out treatment and disposition of patients, which may involve admission or referral to an appropriate clinic or other facility for follow-up

Course Outline:

 The student will be under direct supervision of the emergency physician staff. An important emphasis is placed on the ability to make decisions on a limited database, which is often required in the emergency situation. The student will learn first-hand the care of patients with acute medical problems such as coronary occlusions and diabetic emergencies, and acute trauma and other surgical emergencies. Emphasis is placed on the immediate care of patients, controlling hemorrhage, maintaining an open airway, and resuscitation when necessary. Experience will be offered in the treatment of many acute and semi-acute problems such as wounds and infections (including suturing, incision and drainage, and splinting and casting of fractures), pulmonary dysfunction, acute hemorrhagic disorders, acid-base and other fluid abnormalities, etc.

Methods of Instruction and Distribution of Student's Time
Methods of Instruction % Time
Case-based learning
Conference (informal topic centered meeting)
Directed study block (instructor assigns topic)
Exams
Laboratory: type?
Lectures (Instructor formally speaks before a group on a subject)
Observation
Patient care activities:
  Inpatient
  Outpatient

100
  Other: (describe)
Preceptorship
Review
Self-directed learning- (student sets the topic)
Web-based course material
Other:

Methods of Evaluation:

 Topics and skills identified under the objectives will be observed during patient encounters, informally evaluated, discussed, and feedback provided to the student at these times. The attending(s) will evaluate the student's performance at the end of the elective, using the standardized evaluation form. Students will be evaluated based upon level of participation and enthusiasm by preceptors, as well as feedback given for performance.

Proposed Rotation Schedule:

 Forty hours per week in flexible schedule to be arranged.

# of hours per week the student is expected be involved in this rotation:

 40

Housing

Mileage

 reimbursed

Per-diem