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The student will spend the rotation in the Emergency Department at Good Samaritan Hospital in Vincennes, Indiana. The student will be working one on one with an ED staff physician. The student will be expected to perform an initial history and physical, and present their findings to the attending physician. The case will be discussed and progress to formulating a differential diagnosis, initiating a plan for workup of the patient, along with treatment and disposition. The student will be expected to take part in various types of emergency cases including fast-track, common ED cases, critically ill, and surgical and trauma cases. A major emphasis will be placed on the uniqueness and limitations of a rural emergency department. Good Samaritan Hospital is a Level III Trauma center and certified primary stroke center and has 24-hour availability of a cardiac cath lab. The ED has 4 trauma rooms, 16 medical beds, and 3 fast-track beds. At the end of the rotation, the student will have developed an appreciation for the skill set required in a rural ED for diagnosis and management of acute illness and life-threatening conditions.

Elective Details:

Primary Contact for Add/Drops: Heather LeBrun (thelects@iu.edu)

Director: Lance Payton, M.D.

Campus: Terre Haute

Location: Good Samaritan - Vincennes

Learning Objectives

  • 1) Produce a concise complaint-directed history and physical (PC1)
  • 2) Synthesize H&P data to generate a case specific differential diagnosis (PC2)
  • 3) Development of appropriate case management plans (PC3)
  • 2) Presenting cases in a clear and concise fashion (ISC5)
  • 3) Demonstrating the understanding of the use and interpretation of commonly ordered diagnostic studies (MK4)
  • 4) Develop knowledge of indications, complications, and techniques of common ED procedural skills (PC5)
  • 5) Discuss the unique environment of the Emergency Department, with a specific focus on rural health and the rural ED; understand the advantages and advanced capabilities for acute conditions as well as the limitations and hindrances for management of chronic conditions; knowledge of limitation of resources in rural departments (SBP5)
  • 6) Describe the basic principles of trauma and the trauma evaluation (MK3)
  • 7) Perform as a member of the Trauma Team and participate in trauma cases (SBP1)
  • 8) Recognize immediately life-threatening conditions; describe management priorities for critically ill and injured patients; understand proper disposition and outpatient follow-up plans (PC3)


  • Clinical Performance Evaluation Form; (Clinical Observation)

Enrollment Information

Prerequisites: 3rd or 4th year status

Availability with Max Students per Month:


Duty Hours: 40-50

Time Distribution: 90% Clinical; 10% Lecture/Seminar

Elective Type Category: AC - Advanced Clinical

Notes and Enrollment Information:

Add/Drop Contact Person: Heather LeBrun (thelects@iu.edu) THIS ELECTIVE DOES NOT PARTICIPATE IN THE INITIAL SENIOR MATCH Contact Person for ADD/DROP - Heather LeBrun (thelects@iu.edu)

Third Year Elective? Yes

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: None

Service Learning Included: None