CAREER/CLINICAL ELECTIVES

APPLICATIONS FOR THE 2020-2021 ACADEMIC YEAR

CAN BE SUBMITTED STARTING MARCH 2, 2020 VIA VSAS.
*ACCEPTANCES WILL BE SENT OUT BEGINNING MID APRIL.

*Re COVID-19: After review of the recommendations from the Coalition for Physician Accountability and their support from the AAMC and ACGME, our School of Medicine has reached the very difficult decision of suspending any visiting students from rotating with us for the 2020-2021 academic year. -updated 5/17/20

Apply for our electives by searching for Emergency Medicine in 'University of Colorado SOM' on VSAS.

The Department of Emergency Medicine at Denver Health Medical Center (DHMC) and the University of Colorado offers two four-week rotations in Emergency Medicine for Senior Medical Students.  The educational purpose of these rotations is to provide the student with an in-depth exposure to the discipline of Emergency Medicine. EMED 8006 is our Career Track rotation for students applying to Emergency Medicine residency. EMED 8005 is a clinical elective for non-EM-bound students interested in more exposure to emergency care.

Career Track Elective (EMED 8006)

Offered May through December

This rotation is specially designed for the senior medical student who has decided on emergency medicine as a career and will be applying to emergency medicine residencies. You will be fully integrated into the ED care teams at two Level 1 trauma hospitals (Denver Health Medical Center and University of Colorado Hospital) and experience emergency medicine across multiple practice and patient environments. Students will be expected to function as a sub-intern and be supervised by our outstanding senior residents and faculty to gain familiarity with the unique approach to the emergency patient, the evaluation of the acutely ill and injured, and the concepts of resuscitation. In addition to the outstanding clinical and didactic learning opportunities the Career Track Elective also includes:

  1. Career Advising: Students will receive career advising through conversation with residents and faculty as well as informal advising get-togethers during month including a social dinner at our clerkship director’s home.

  2. Clinical Advising: Each student will work multiple shifts with senior residents and faculty to foster the development of working relationship, ongoing clinical feedback and mentorship.

  3. Additional Exposures: Students will participate in workshops/exposures in sub-specialties of emergency medicine such as EMS and US.

Dates for our 4-week rotations for the 2020-2021 academic year are:

  • 6/22/20 - 7/17/20* (cancelled secondary to COVID-19 pandemic)

  • 7/20/20 - 8/14/20* (cancelled secondary to COVID-19 pandemic)

  • 8/17/20 - 9/11/20* (cancelled secondary to COVID-19 pandemic)

  • 9/14/20 - 10/9/20* (cancelled secondary to COVID-19 pandemic)

  • 10/12/20 - 11/6/20* (cancelled secondary to COVID-19 pandemic)

  • 11/9/20 - 12/4/20* (cancelled secondary to COVID-19 pandemic)

 

The objectives, clinical experience, responsibilities, and didactic opportunities of the rotation are outlined below.

Goals and Objectives for Knowledge and Skills
  1. Advance the ability to identify acutely ill patients and respond quickly and appropriately to their needs, the foundations of ED resuscitation.

  2. Improve history taking and physical diagnosis skills, learning to incorporate all relevant information and develop a focused problem-oriented approach.

  3. Hone ability to generate effective and efficient diagnostic, therapeutic, and disposition plans, incorporating appropriate testing and consultation as necessary, and arranging continuing health care whenever possible.

  4. Sharpen documentation skills in order to convey clear, concise, and internally consistent records.

  5. Improve diagnostic vocabulary and gain further insight into the pathogenesis and clinical manifestations of various illnesses.

  6. Improve technical and procedural skills, including (but not limited to) simple and advanced intravenous access, airway management, fracture and dislocation care, wound and abscess care, foreign body removal, lumbar puncture, electrocardiography, and bedside ultrasound.

  7. The quest to continuously enhance the human connection, communication, and interaction between physicians, patients, and patients' families.

  8. Understand that outstanding emergency care is a coordinated team effort consisting of paramedics, nurses, technicians, emergency physicians, pharmacists, consultants, and ancillary staff.

  9. To see beyond the patient's clinical problems into the moral, ethical, legal, social, and economic issues of emergency care in the context of the patient communities we serve.

  10. Understand the critical role safety-net hospitals play in the care of disadvantaged, at-risk, and vulnerable patient populations.

  11. To help develop responsibility, maturity, and poise that will serve the student throughout their professional life.​

Clinical Experience and Responsibilities

The clinical experience takes place in the Emergency Departments at Denver Health Medical Center (DHMC) and the University of Colorado Hospital (UCH), both of which are core training sites for the Denver Health Residency in Emergency Medicine. 

 

Each month, fourteen students will participate in this clinical experience with shifts distributed between DHMC and UCH and exposures involving adult as well as pediatric emergency care.

The Denver Health Medical Center Emergency Department including the Pediatric Emergency Department and Urgent Care Center, and the Adult Urgent Care Center at Denver Health is the only Level 1 Trauma Center (ACS) in the city of Denver and treats approximately 120,000 patients per year. DHMC is the critical safety-net hospital for the city and county of Denver, and is also the base hospital for the Denver Department of Health and Hospitals Paramedic Division. The University of Colorado Hospital is a Level 1 Trauma Center (ACS) in Aurora, CO, located on The University of Colorado Anschutz Medical Campus. UCH is a clinical and academic center of excellence in the Rocky Mountain Region and its Emergency Department treats approximately 100,000 patients per year. 

 

The student, as the primary care giver, evaluates and provides the necessary emergency care for patients who present to these Emergency Departments under the supervision of Emergency Medicine Residents and Attending Physicians.

Didactic Curriculum and Opportunities

There are numerous core and optional opportunities for formal didactic education during this rotation.  The conferences include:

  1. Weekly Morbidity and Mortality (M&M) conference followed by resident educational conference occurring every Wednesday: 1st/3rd/5th Wednesdays of each month are at DHMC,  2nd/4th Wednesdays at UCH

  2. A monthly splint and suture lab

  3. Weekly Medical Student Core Lectures every Monday morning specifically tailored for Senior Medical Student education

  4. Daily Student/Intern Teaching Rounds at the start and end of every shift with the Attending Emergency Physician

Evaluation

Following the end of the rotation, each student receives a written evaluation. This course is formally pass-fail, however the evaluations and assessments collected from residents and faculty are used to compile a final assessment. This is a composite evaluation based on the comments made by the Attending Staff and Emergency Medicine Residents as well as the results of the end-of-rotation Exam. Copies of this evaluation are sent to the Student's Medical School, made available to the Student, and kept on file in the Emergency Medicine Offices. We provide a SLOE for all rotators. The areas that are specifically evaluated include:

  1. History and Physical exam skills

  2. Medical fund of knowledge

  3. Ability to generate an appropriate ddx

  4. Clinical judgment and plan formulation

  5. Emergency recognition and management

  6. Relationship and communication with patients & staff

  7. Responsibility/motivation

  8. Professionalism

Application Process and Requirements

Applications for electives are accepted via VSAS. Please find us under ‘University of Colorado SOM’ (EMED 8006) starting March 2nd 2020. We highly encourage interested students to apply as early as possible to secure desired dates since rotation slots tend to fill far in advance.

Application requirements:

  • Complete all requested information on the VSAS application as above

  • Please additionally complete and submit a short essay: In 400 words or less please tell us about an experience that shaped your decision to pursue Emergency Medicine.

    • Please submit this under Essay Question on your VSAS application. Essays may alternatively be emailed directly to Dr. Montano at Manuel.Montano@denverem.org

Clinical Elective (EMED 8005)

Offered January through May

  • EMED 8005 = Denver Health Medical Center

This rotation is designed for the senior medical student applying to non-EM residencies such as primary care, internal medicine, or other specialties who wants to gain exposure to emergency medicine in a high volume safety-net hospital setting. You will work with and learn from EM attendings and senior EM residents at Denver Health Medical Center.  Students will gain familiarity with the unique approach and initial management of the undifferentiated sick patient, as well as concepts of resuscitation. This course is pass-fail.

Questions?

If you have questions regarding the information presented here or regarding our electives in general, please contact us! Thank you for your interest, we look forward to reviewing your application to rotate with us!

Taryn Mackey

Medical Student and Intern Clerkship Coordinator
Denver Health Residency in Emergency Medicine

Taryn.Mackey@dhha.org

Manuel Montano, MD

Clerkship Director

Director of Medical Student and Intern Education

Denver Health Residency in Emergency Medicine

Staff Physician, Denver Health Medical Center

Assistant Professor of Emergency Medicine

University of Colorado School of Medicine

Manuel.Montano@denverem.org

Denver Health Residency in Emergency Medicine

777 Bannock Street, MC #0108

Denver, Colorado 80204

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