IU School of Medicine Student Portal

2024-2025 Electives

93KZ710 — PEDIATRIC EMERGENCY MEDICINE

Description:

Medical students will spend 16 (sixteen) shifts in the Riley Hospital for Children Emergency Department. They will be scheduled for a combination of day, evening, and overnight shifts.The student will be expected to evaluate patients in a logical, efficient manner utilizing a problem-oriented approach. For each patient, the student will generate an appropriate differential diagnosis; recognize and rule-out potentially life- threatening problems; develop a plan for management, stabilization, and work-up. Each patient will be staffed directly with one of the Riley Emergency Department staff physicians, a pediatric emergency fellow, or, occasionally, an upper level emergency/pediatrics resident. This elective will also help the student develop key procedural skills including but not limited to lumbar puncture, central line placement, peripheral IV placement, procedural sedation, bladder catheter placement, and airway management. Medical students recognize indications for, and arrange as indicated: admission, transfer, outpatient follow-up; use consultants and resources (for example, poison control center, medical records, Child Protective Services, etc.) appropriately. In addition to seeing patients in the emergency department, the medical student will be responsible for completing five online modules centered around common diagnoses in the pediatric emergency department setting. They will also be required to complete a portfolio assignment reflecting on their experiences during the elective. Students will also attend the monthly Pediatric Emergency Medicine simulation session, and have the opportunity to participate in journal clubs.

Learning Objectives

• 1) Produce a concise problem focused history and physical) Synthesize H&P data to generate an appropriate differential diagnosis and assessment and management plan (PC1)
• 2) Describe management priorities for critically ill and injured children) Apply the principles of PALS/APLS and ATLS as appropriate (MK4)
• 3) Develop knowledge of indications, complications, and techniques of common ED procedures including: airway management (bag-mask ventilation, rapid sequence intubation), procedural sedation, vascular access,/fluid resuscitation (IV placement, central lines, IO lines, arterial lines), CPR, lumbar puncture, bladder catheterization, splinting, suturing, regional anesthetic blocks, foreign body removal, and pain management (PC4)
• 4) Discuss competency in the review and interpretation of radiographic studies, laboratory studies, and EKGs (PC3)
• 5) Describe the basic principles of pediatric trauma and trauma evaluation (MK4)
• 6) Perform effectively within the team atmosphere of the ED: Communicate professionally and effectively with all members of the healthcare team, including residents, EM faculty, ED Unit Secretary, RTs, RNS, ED Care Techs, and our many, many consultants (ICS1, SBP1)
• 7) Recognize appropriate indications for reporting suspected abuse, work effectively with Child Protection Services and convey appropriate information to all involved persons (P3)
• 8) Demonstrate accurate, timely, and legally appropriate charting: careful documentation of history, exam, procedures, medications, test results, medical decision-making, consultations, disposition, and discharge instructions (ICS4)

Assessment

Clinical Performance Evaluation Form; The student will be evaluated via three methods: direct observation from ED staff, completion of online pediatric emergency modules, and completion of patient logs. The medical student’s clinical performance will lead to a summative evaluation that will be produced by the course director, using feedback collected from attendings and fellows who have worked with the student. Midway through the clerkship, the rotating medical student will have the option of a face-to-face assessment with the clerkship director to discuss his or her performance.

Activities

The medical student will be assigned to complete 16 (sixteen) shifts in the Riley Emergency Department. In addition to seeing patients in the emergency department, the medical student will be responsible for completing five (5. online modules centered around common diagnoses in the pediatric emergency department setting. The medical student will also complete shift logs to document the various presentations and diagnoses of their patients. Also, the medical students will be invited to emergency medicine grand rounds. Finally, the medical student will be an integrated team member in the monthly simulations for the pediatric residents during their pediatric EM residency block. The medical student will have an opportunity to fulfill a competency requirement, specifically by completing a portfolio centered on the Social and Community Contexts of Healthcare in the Pediatric Emergency Department setting.

Enrollment Information

Prerequisites: 4th Year status

Availability with Max Students per Rotation:

Duty Hours: 32

Time Distribution: 90% Clinical, 10% Library/Research

Elective Type Category: AC - Advanced Clinical

Notes and Enrollment Information:

THIS ELECTIVE PARTICIPATES IN OPEN ENROLLMENT

Third Year Elective? No

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description: We do not have teams, but the students will work with nurses and social workers. Nursing care and input, and social work assistance are vital for many patients in the Emergency Department. The student will be expected to learn to work collaboratively with all members of the ED team throughout each shift.

Service Learning Included: None