IU School of Medicine Student Portal

Elective Title: 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.

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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)

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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.Each shift, the student will be evaluated by one of the Riley Emergency Department physicians using an online standardized form through E*Value. The medical student’s clinical performance will lead to a summative evaluation that will be produced by the course director. Midway through the clerkship, the rotating medical student will have a face-to-face assessment with the clerkship director to discuss his or her performance. The online modules will contain questions that will augment the medical student’s clinical assessment).

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Enrollment Information

Prerequisites: 4th Year status

Availability with Max Students per Month:

Apr	May	June	July	Aug	Sept	Oct	Nov	Dec	Jan	Feb	Mar
2	2	2	1	1	1	1	1	2	2	2	2

Duty Hours: 32

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

Elective Type Category: AC - Advanced Clinical

Notes and Enrollment Information:

Add/Drop Contact Person: Jim Graber (jamgrabe@iu.edu)

Third Year Elective? No

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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