Undergraduate Clerkship Rotation

Undergraduate Program | Orientation | Objectives | Lectures | Download Forms 

Preclerkship 1st & 2nd Year:

Early Exposure Elective
  • Two-week summer elective in emergency medicine in Med I & II 
Experiential Learning:
  • Opportunity for job shadowing for short periods of time outside of regular curricular time in Med I & II

Clerkship 3rd Year:

 

The Emergency Medicine rotation is a four-week Core rotation.  It is part of a 12-week block with Internal Medicine CTU and Medicine Selective.  The EM rotation includes:

  • The first day of the rotation begins with an Orientation to the rotation. It is followed by Resus Day, a simulation based day for Intro to ACLS and the Emergency Approach to trauma.
  • Students will have 14-15 clinical shifts at one of six emergency departments in Winnipeg (Health Sciences Centre, St. Boniface Hospital, Seven Oaks Hospital, Concordia Hospital, Grace General Hospital and Victoria General Hospital).
  • The goal is to have the student with one primary preceptor for at least 50% of their shifts.
  • Students learn function as part of the multidisciplinary ED team.
  • Students will have the opportunity to assess and learn to manage patients with common presentations to the ED as outlined in their ECP.  Students will also have the opportunity to assist and perform common procedures.
  • Students have the option of participating in an EMS (ambulance) ride along to gain prehospital experience.
  • Students will also participate in one ambulatory medicine clinic a week, comprising referrals made from the ED to provide ambulatory experience and continuity of care.
  • Every Thursday afternoon is protected time for student Academic half day.  Two hours are designated to UGME topics and two hours are designated to rotation-specific topics.  Half-day topics run for the entire 12 weeks.   

Emergency topics include:

  • Two-hour Procedural Skills Lab (with Internal Medicine)
  • Shock
  • CNS Emergencies
  • Emergency Approach to Acute Abdominal Pain
  • Emergency Approach to Toxicology
  • ECG sessions (with Internal Medicine)  

Clerkship 4th Year:

  • Students may do electives in emergency medicine to further expand on clerkship objectives.
  • Electives must be a minimum of 2 weeks in length; specific sites may be requested.
A Word on Charting

It is very important that you make clear legible notes of your assessments and orders on the patient's chart. Always indicate your name and your status as a clinical clerk. Clearly record the history and physical examination instructions on the chart. If you need write orders, stamp a separate order sheet with the patient’s name, and write the orders on it. Also record the time the patient was discharged or referred, and the follow-up plan. This is a medico legal document and its importance cannot be over emphasized. If it was not written, then it was not done. Your orders must indicate who your supervising physician is, and the supervising physician should counter sign your orders as soon as is practical. 

 

Tips for a Safe and Enjoyable Rotation

Dos and Don’ts in the Emergency Department 

1. Always discuss every case with the Attending Emergency Physician (or a delegated Resident).
2. Always examine the patient’s vital signs carefully.
3. Always consider the most serious possible condition(s) first. Make the diagnosis of the most probable condition only after ruling out the most

serious possibilities.
4. Always review X-rays and ECGs with the Attending Physician.
5. Beware of intoxicated patients. They are often sicker or more seriously injured than they may seem.
6. Don’t ignore the advice of a nurse. If s/he is concerned about the status of a patient, you should be.
7. Don’t be a hero. Always alert the Attending Physician when you have a sick or potentially sick patient.
8. Don’t lose track of the patients you are caring for. Before picking up any new patient, review what is going on with the ones you are currently dealing with.

In general, Clinical Clerks should not be dealing with more than 1 or 2 patients at a time.
9. Don’t discharge any patient until all the appropriate lab studies are back and the patient’s disposition has been reviewed with the Attending Emergency Physician or a delegated Senior Resident.

10. If you observe these rules and are courteous, caring and honest, you should do well in your Emergency Medicine rotation.

 

Best of luck!