Oak Hill EM Clerkship

Patient Care

 

During the fourth year EM rotation the student will individually take care of non-critical patients under direct faculty supervision.  This will stimulate their critical thinking, assess their knowledge and skills, and allow them to make clinical decisions affecting patient care.

 

Specific Learning Objectives

 

1. Obtain an accurate problem-focused history and physical exam

2. Recognize immediate life-threatening conditions

3. Patient management skills

   1. Develop a list of possible differential diagnosis 

   2. Develop an evaluation and treatment plan

   3. Reassess the patients after the interventions had been made

   4. Develop appropriate disposition and follow up plans.

4. Health Education for the Patient

   1. Educate patients on safety and provide anticipatory guidance regarding patient chief complaint or diagnosis

   2. Educate patient on the discharge planning and ensured comprehension by the patient

 

Medical Knowledge

 

The student should develop differential diagnosis list of the potential life threatening conditions and likelihood of disease.  Students should demonstrate knowledge of basic diagnostic modalities and interpretation of results.  Students should discuss the risk stratification and pretest probabilities based on the chief complaint and patient presentation.

 

Specific Learning Objectives

 

1. Develop a differential diagnosis when evaluating patients with no specific diagnosis

   1. Prioritize likelihood of diagnoses based on patient presentation and acuity

   2. List the most emergent diagnoses.

2. Develop diagnostic plan based on differential diagnoses.

3. Develop a management plan for the patient with both an undifferentiated complaint and a specific disease process.

 

Self-Directed Learning and Lifelong Improvement

 

Practice-based learning can be demonstrated through systematically evaluating patient care and population features; teaching other students and health care professionals; and applying knowledge gained from a systematic evaluation of the medical literature, including study design and statistical methodology.

 

Specific Learning Objectives

 

Effectively use available information technology, including reviewing medical record and other educational resources, to optimize patient care and improve their knowledge base.

 

Interpersonal and Communication Skills

 

Students must demonstrate interpersonal and communication skills that result in effective information exchange and interaction with patients, family members, and health care providers.

 

Specific Learning Objectives

 

1. Humanistic qualities

   1. Effectively communicate with patients, and family members

   2. Demonstrate a compassionate and nonjudgmental approach when caring for patients.

2. Presentation skills:

   1. Present cases in an organized, complete, and concise fashion;

   2. Effectively communicate with faculty, residents and other healthcare providers.

 

Professionalism

 

Professionalism should be viewed as an academic virtue, not just an expected set of behaviors. Students should learn to reflect on their professionalism during clinical rotations and learn from faculty role models.

 

Specific Learning Objectives

 

1. Work ethic:

   1. Always show up on time and ready to work

   2. Exhibit honesty and integrity in patient care.

   3. Demonstrate genuine interest

   4. Demonstrate compassion 

2. Practice ethical decision-making

3. Professional behavior:

   1. Exercise accountability

   2. Maintain a professional appearance

   3. Be sensitive to cultural issues (age, sex, culture, disability, etc.)

   4. Work in a collegial manner with other members of the health care team

   5. Maintain patient confidentiality

   6. Conference attendance  

   7. Procedure reporting

   8. Completion of the Quizzes

   9. Completion of the Video

 

Systems-Based Practice

 

Specific Learning Objectives

 

1. Recognize when patients should be appropriately referred to the emergency department (ED)

2. Develop appropriate follow-up plans for patients being discharged from the ED

3. Recognize the role of EM in the community, including access to care and its impact on patient care.

4. Understand the indications, cost, risks, and evidence behind commonly performed ED diagnostic studies and therapies.