1. Emergency Medicine Clerkship
An Introduction
Joshua Silverberg, MD

2. The Website http://www.emresidency.net/

3. s

4. The Requirements
Be present for all the clinical shifts you are assigned
If you are unable to make it please contact me
Case Presentation
Wednesday Conference
Friday Follow up rounds
Test
The test covers common subjects in emergency medicine.
There are more esoteric topics that may be covered. If they are not covered they will be removed from the test.

5. Look Good on Your Shifts
Be courteous and professional to everyone
Be on time
Own your patients
Sign out all of your patients
Do your procedures (if possible)
Ask the residents about the attendings style

6. Evaluations There are evaluation sheets in your packet and online
Give them to all of the attendings (and residents if you think they have something to say) that you work with at Jacobi
At Montefiore they have an app on their phone – ask them to fill it out

7. Resident Educational Activities
Wednesday Conference
Usually on the 4th floor of building one from 8a-12pm on Wednesdays
Once a month it is at the SIM center (IMSAL)
Intermittently at Weiler
Friday follow up rounds
Friday at 8a-9a in the ED conference room.

8. Sites Jacobi – 2 weeks Montefiore – 2 weeks Einstein (Optional)
If you want to go to Einstein for a shift contact Dr Restivo at

9. Jacobi Roles Attending – pretty self explanatory Pre-Attending Chief
4th year resident – cases are presented to the 4th year by the other residents
Chief
3rd year resident - they run the side of the ED. They distribute the patients.
Junior
PGY1 and PGY2 – see most of the patients primarily

10. The Jacobi ED West - Surgical side East - Medical side
Urgent Care/Fast Track
The areas are color coded
East- Pink/Blue
West – Green/Yellow
Grey – Urgent Care

11. The Monte ED The ED is divided by acuity West – High acuity side
East- (North/South) – moderate acuity sides
Fast Track – Low acuity

12. Montefiore Schedule Six 12 hour shifts Pair up with an attending
Three attendings start at 7
Three attending start at 11
One in Urgent Care starts at 10:30

13. Jacobi Schedule Pick a track Go to all shifts listed on the schedule
If you need to swap a shift please me
If your track lists you in urgent care and there is no student in one of the other patient care areas then you should go to the other patient care area.

14. Schedule Divide the group in half
Half start at Montefiore
Half start at Jacobi
Discuss amongst yourselves which track you want
If you need any special considerations talk to me

15. Your Grade
Evaluations – the bulk of your grade will come from this because it tells me how well you do on shift.
The test will help you if you do amazingly and hurt you if you do poorly.
The presentation is pass/fail

16. Study Material Websites/Blogs/FOAMed Podcasts Books
.com/
bootcamp/
Podcasts
Emergency Medicine for Students
EM Basic
Books
Rosen’s
Tintinalli
Review books

17. Remember… These resources are not typically Peer reviewed
There will be a lot of opinions

18. Suture Workshop Goals Practice your technique Learn to set up
Learn when to remove sutures

19. History
Blood Loss
Mechanism
Contamination
Time
Co-morbidities  Td

20. Physical
Pulses
ROM
Strength
Sensation
Fully visualize the wound

21. Supplies Anesthesia Materials Lidocaine Syringe
18g needle – for drawing up the medication
25g needle – for administering the medication
Materials
Suture Kit
4x4s
Suture material
Antibiotic ointment
Tape

22. Supplies Safety Irrigation Light Sterile gloves Mask Mayo Stand
Flowing water or NS
Light

23. Suture Types Name Filament Type Absorbability Ethilon (Nylon)
Monofilament
Non-absorbable
Vicryl
Polyfilament
Absorbable
Silk
Prolene(polypropylene)
Chromic Gut

24. Material Size Size Use 6.0 Face 5.0 Face/Neck 4.0
Head, Limbs, Neck, Trunk, Mucosa
3.0
Limbs, Trunk,
2.0
High tension wounds
Chest Tubes

25. Duration by Anatomic Location
Day
Face
3-5
Limbs
7-10
Trunk
7-14
Hands and feet
10-14
Joints
Scalp

26. Suturing Technique

27. Contact Information