Course Objectives
Required Clinical Experiences

COURSE OBJECTIVES

The following are the learning objectives for the Emergency Medicine clerkship. Students are expected to demonstrate proficiency in these areas in order to satisfactorily complete the rotation. In addition, the extent of a student's mastery of these objectives, will help guide the clinical /course evaluation and grade.

Course Objective	Mapped UCI School of Medicine Program Objective	Core Competency
EM-1. Develop an appropriate differential diagnosis for a variety of patient presentations.	A-3. Knowledge of basic clinical skills required to meet the skills objectives, including interviewing, physical diagnosis, communication and clinical reasoning processes	Knowledgeable
EM-2. Formulate a plan to safely make or rule out these diagnoses prior to disposition of the patient	A-3. Knowledge of basic clinical skills required to meet the skills objectives, including interviewing, physical diagnosis, communication and clinical reasoning processes	Knowledgeable
EM-3. Acutely evaluate and manage a wide range of symptoms and conditions	A-3. Knowledge of basic clinical skills required to meet the skills objectives, including interviewing, physical diagnosis, communication and clinical reasoning processes	Knowledgeable
EM-4. Describe the full extent and complexities of a patient’s past medical history and current social situation	B-1. The ability to competently conduct a medical interview and counseling to take into account patient health beliefs, patient agenda and the need for comprehensive medical and psychosocial assessment C-3. Sensitivity and awareness of diverse cultures, health beliefs and social factors impacting patient health and illness	Skillful Altruistic
EM-5. Manage timely patient evaluation, treatment, re-examination, and disposition	B-2. The ability to competently perform a complete and organ-system-specific examination including a mental health status examination	Skillful
EM-6. Assess patient understanding about workup and treatment, admission or discharge, and when appropriate, follow up and return precautions.	B-3. The ability to articulate a cogent, accurate assessment and plan, and problem list, using diagnostic clinical reasoning skills in all the major disciplines	Skillful
EM-7. Demonstrate a high level of professionalism and ethical behaviors throughout the rotation when interacting with other healthcare providers and patients	C-1. Honesty and integrity reflecting the standards of the profession, in interacting with colleagues, patients, families and professional organizations	Altruistic
EM-8. Demonstrate a caring bedside manner and provide clear explanations of the medical workup and treatments provided	D-2. A commitment to patient care and to the well-being of patients and colleagues	Dutiful
EM-9. Practice the key elements of efficient and productive communication with consultants.	B-6.The ability to function effectively within the context of complexity and uncertainty in medical care C-1. Honesty and integrity reflecting the standards of the profession, in interacting with colleagues, patients, families and professional organizations	Skillful Altruistic
EM-10. Students will communicate and collaborate effectively, both orally and in writing, with patients, patients’ families, colleagues, and interprofessional teams with whom physicians must exchange information in carrying out their responsibilities.	A-3. Knowledge of basic clinical skills required to meet the skills objectives, including interviewing, physical diagnosis, communication and clinical reasoning C-1. Honesty and integrity reflecting the standards of the profession, in interacting with colleagues, patients, families and professional organizations;	Knowledgeable Altruistic

REQUIRED CLINICAL EXPERIENCES

There are two levels of student responsibility that may be expected for a required clinical experience (case log):

Comprehensive Encounter
The student is the primary evaluator for this encounter. They will obtain the patient history, perform the physical examination, and discuss/develop differentials and management plans with the team. In the appropriate settings, the student will follow-up on the diagnostic workup, re-evaluate the patient, and contribute to disposition planning.

Focused Encounter
The student contributes to the care of the patient as part of the clinical team. This can include conducting a focused history or physical examination, reviewing and interpreting the diagnostic workup, performing or assisting with a procedure, or actively participating in an operative case.

Patient Type/Clinical Condition	Course Mapping	Program Mapping	Procedures/Skills	Clinical Setting(s)	Minimum Level of Student Responsibility	Alternative Clinical Experiences/Teaching Modules
Abdominal Pain	EM1 EM2 EM4 EM5 EM6 EM7 EM8 EM10	A3 B1 B2 B3 C1 C3 D2	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Ambulatory / Emergency Department	Comprehensive Encounter	Abdominal Pain Reading
Altered Mental Status	EM1 EM2 EM4 EM5 EM6 EM7 EM8 EM10	A3 B1 B2 B3 C1 C3 D2	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Ambulatory / Emergency Department	Comprehensive Encounter	Altered Mental Status Reading
Chest Pain (cardiac or not)	EM1 EM2 EM4 EM5 EM6 EM7 EM8 EM10	A3 B1 B2 B3 C1 C3 D2	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Ambulatory / Emergency Department	Comprehensive Encounter	Chest Pain Reading
Medical Resuscitation (including ALS run)	EM1 EM3 EM6 EM9	A2 A3 B3	Identify and observe initial management of acute medical patient, discuss diagnostic and treatment plan	Ambulatory / Emergency Department	Focused Encounter	Basic Resuscitation Reading
Neurologic Emergencies (CVA, ICH, etc.)	EM1 EM3 EM6 EM9	A2 A3 B3	Identify and observe initial management of neurologic emergency patient, discuss diagnostic and treatment plan	Ambulatory / Emergency Department	Focused Encounter	The Neurologic Examination in the Emergency Setting reading
Shortness of Breath	EM1 EM2 EM4 EM5 EM6 EM7 EM8 EM10	A3 B1 B2 B3 C1 C3 D2	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Ambulatory / Emergency Department	Comprehensive Encounter	Respiratory Distress Reading
Trauma	EM1 EM3 EM6 EM9	A2 A3 B3	Identify and observe initial management of trauma patient, discuss diagnostic and treatment plan	Ambulatory / Emergency Department	Focused Encounter	Trauma in Adults Trauma in Children Reading