Orientation

Scheduled the first Monday of your rotation. Attendance is mandatory. Four weeks prior to the start of your clerkship you will be emailed site-specific instructions.

Clinical

As the ED is open 24/7, students can expect to work weekends, holidays, and night shifts.

Please review the Work Hours Policy for Required Clerkships for guidelines on medical student staffing in the ED. 

In order to best accommodate shift trades and stay within UW School of Medicine work hours policy you must request approval for any shift trades 2 business days before the day of the scheduled shift you want to trade out of. Our office is closed on the weekends and holidays, so please keep this in mind when requesting a shift exchange. In an emerency situation where you cannot reach our office, please email the Clerkship Director.  

HMC/UWMC (MED EM 606)

Fourteen shifts total:

  • 4 x 8 hour shifts at UWMC. Shift times will be 6am-2pm, 2pm-10pm, and 10pm-6am.
  • 10 x 8 hour shifts at HMC, comprising 3 trauma and 7 medicine shifts.  Shift times will be 6am-2pm, 2pm-10pm, and 10pm-6am.
  • Students should complete a chart for each patient. When reporting to an attending, students can chart in the patient chart. When reporting to a senior resident, students should complete the Medical Student Documentation form without patient identifiers, print in ED, and review with the resident.

HMC Student Role on Trauma Shifts:

Please review this page which outlines the student role on a trauma shift.

WWAMI

Please contact your site administrator for details.

IV CEX

During your clerkship you will have a IV Clinical Evaluation Exercise (CEX). You will be taught to start an IV and then have a chance to perform it. During one of your first ED shifts, please ask a nurse to walk you through placing an IV. Then complete the IV CEX form and send it to the Clerkship Manager. IV CEX Form here.

Required Reading and Labs

Our clerkship teaching involves WWAMI wide online content and discussion board. Seattle area students will additionally have skills and case labs.

CDEM M4 Approach To

Students are required to read the CDEM M4 Approach To: Abdominal Pain, Altered Mental Status, Cardiac Arrest, Chest Pain, GI Bleed, Headache, Poisonings, Shortness of Breath, Shock, Trauma, and Sepsis

Ultrasound

Toxicology

HMC/UWMC, Swedish, & VA Puget Sound

Skills/Case Labs:  Held the first and second (usually) Wednesday of the clerkship from 8am-12pm at the Harborview campus. Meet at HMC WISH, the 3rd floor of the Ninth and Jefferson Building (NJB).

Attendance and participation in the above is mandatory. Failure to attend labs without an excused absence, watch lectures, or participate in discussion board will result in "fail" for final grade. We do not allow absences from labs or lectures for residency interviews.

Orientation, Lab, and Exam Dates 

Online Discussion Board

The online discussion is via Yammer. Yammer is very similar to Facebook, but only open to the UW community. You will receive an invitation to join your specific EM Clerkship group in Yammer at the beginning of the clerkship. Please review the Yammer Usage Policy very carefully. It is very important to use HIPAA-appropriate language and be mindful of patient privacy concerns. When you are on Yammer, on the left-hand side of the page there is a heading called "Groups". Please be sure to only post in your specific Clerkship Group, not "All Company".

Clinical Exploration Posts

At the end of week 2, each student will look up a question regarding a patient they saw in the ED. You will write up a brief report using at least 3 references and post it to the online discussion board YammerYour Clinical Exploration must be posted by the 2nd Friday of the clerkship.

You are also required to respond to two other posts/comments on Yammer on your own or others’ Clinical Explorations by the 3rd Friday of the clerkship.

Bioethics Essay

There are many ethical dilemmas faced in the ED on a daily basis, such as in this clerkship bioethical reading. Pick one such situation you encountered during your EM clerkship and describe what you learned from it. You may prewrite your bioethics essay, 500 words maximum, then copy and paste into Yammer. Your bioethics essay must be posted by the 3rd Wednesday of the clerkship.

You are also required to respond to two other posts/comments on Yammer on your own or others’ bioethical essays by the 4th Wednesday of the clerkship.

LCME Required Experiences

There are five patient presentations and two procedures required for clerkship LCME uniformity. Please note these below and do your best to see a patient in each category early in your clerkship.

You will log your required experiences via E*Value, identifying which of these patient presentations and procedures were completed (hopefully all of them). This is required for you to receive a grade in the course. If you are unable to suture during your rotation, please use the NEJM website as an alternative method to complete this requirement, and for all other required experiences, please review the subject materials on the CDEM Curriculum website.

Patient Presentations

  1. Abdominal pain

  2. Altered mental status

  3. Chest pain

  4. Shortness of breath

  5. Headache 

Procedures

  1. Laceration repair

  2. Peripheral IV Start