1. OUWB School of Medicine EM Clerkship Orientation

2. Leadership Clerkship Director Troy Site Director Clerkship Coordinator
EM residency director
Department Chair

3. Leadership Clerkship Director Amy Smark, MD amy.smark@beaumont.edu
Cell:
Office:
Spectralink:

4. Leadership Troy Site Director Shanna Jones, MD
Cell:

5. Leadership Clerkship Coordinator Takesha Shelton

6. Leadership EM Residency Program Director Ryan Fringer, MD

7. Leadership
EM System Chair
Terry Kowalenko

8. Orientation Folder Clerkship Guidelines Student didactic schedule
EM Resident Grand Rounds schedule
Student Clinical Shift Schedule
Patient/Procedure Log sheets
Troy Information
End of Rotation Forms

9. Medical Student Website
Beaumontem.com
Follow the EM clerkship link
Policies
Schedules
Online lectures
Contact information
Useful links

10. Grades

11. Grades Your overall grade is based on the following:
Clinical evaluations
End of Rotation exam
OSCE
Participation/Attendance

12. Grades Clinical Shift evaluations End of Rotation Exam
We use the OUWB clinical eval
You are expected to have at least one eval for every shift you work
This also serves as attendance
will be a composite of all evals
End of Rotation Exam

13. Grades Exam NBME SHELF for OUWB clerkship students
Administered at OU
Departmental Exam for outside students, 2nd rotation
Must contact Takesha Shelton to take during the last week of your rotation

14. Grades OSCE Participation/attendance
Administered at the Troy Clinical skills center
Participation/attendance
Completion of all clinical shifts
Participation in student didactic, lab, and SIM sessions
Attendance at EM Resident didactics

15. Grades We follow the OUWB grading requirements Pass:
Must earn “meets expectations” on composite clinical evaluation
Must pass the NBME (or departmental) exam
Must pass the EM OSCE
Must attend all required clerkship didactic/lab activities
Must complete all required shifts

16. Grades High Pass Complete everything for pass PLUS
Earn either an “above expectations” on your composite clinical eval OR
Earn ≥80th percentile on the NBME exam or ≥85% on the departmental exam
Attend >50% of the optional resident grand rounds

17. Grades Honors Fulfill all Pass requirements plus:
Must earn Exceeds Expectations on Composite Clinical evaluation
Must achieve ≥80th %ile on the EM SHELF or ≥85% on the departmental exam.
Must have attended all the resident grand rounds

18. didactics

19. Didactics On-line lectures Discussion Sessions Procedure Lab
SIM session (advanced students)
Are all REQUIRED to pass the rotation
If a scheduled session, take precedence over clinical shifts

20. Online Lectures Self-directed/asynchronous learning
Access on the student website
These are required for review
They will correlate with the discussion sessions

21. Discussion Sessions Required Participation
Case based review of online lectures
Make sure to review lecture correlating with discussion session Prior to attending
Participation counts and is noted

22. Student Presentation
You will need to prepare a short, 5-10 min presentation on an interesting patient. Please provide a handout on the case to your fellow students
This will take place after the discussion sessions
Please sign up for your presentation time

23. Procedure Lab REQUIRED for ALL students
Surgical Learning Institute, 3rd Floor, South Tower
Using Task Trainers
Lumbar Puncture
Central Venous Line
Airway/intubation
Suturing
Splinting
Ultrasound

24. SIM Simulation session in SLC Required for advanced students
Review pre-scenario information prior to scheduled time
Be PROMT. If you are late, you will not be allowed to participate.

25. EM Resident Grand Rounds
Thursday mornings;
ABW basement (location will vary, will be noted on your schedule)
Please sign in with chief resident
These are optional
Required for High Pass or Honors

26. Clinical shifts

27. Clinical Shifts You will have 14-15 scheduled shifts
Variety of modules:
A, B, CD, Peds
Variety of times
Morning, afternoon, nights, weekends
Procedure shift
Will work with an EC tech to get IV starts, foley catheters, EKGs and more.

28. Clinical Shifts You are required to complete all of your shifts
Unexcused absences will NOT be tolerated
If you have an unexcused absence, you will be required to make up 2 shifts for every one you miss
If it is noted that you have missed multiple, you will not pass the rotation
Shifts are 10 hours
1st 8 hrs to pick up new patients, last 2 hours for dispo

29. Clinical Shifts Shift Swaps Must be mutually agreed upon
Must still have 10 hours off between shifts
Must be approved by Dr Smark
Must be made at least 3 days ahead of scheduled shift
Keep in mind, not all “open” spots on the schedule are open, they may be filled with other learners

30. Clinical Shifts Sign in book-Module A
Wear your white coat, scrubs, name badge
Bring your stethoscope!
Be interested
Stay busy
Track your patients progress
Follow up on studies, results
Understand the plan

31. Beaumont Hospital-Royal Oak
EC Modules

32. Module A Critical Care Module 9 Cat 1 Beds Sickest patients
Get Involved!
Additional Cat 2 beds

33. Module B 23 Category 2 beds All capable of cardiac monitoring
(+) hallway beds; marked as “x” bed

34. Modules C/D Cover modules C and D
Common work area in the walk-through of C
All charts come to the area C rack

35. Pediatric EC
Staffed by general EM docs as well as fellowship trained Peds EM docs
2 pediatric critical care beds
Significant pediatric trauma starts in the Trauma room, bed 3

36. Patient Care

37. Patient Care Grab a chart from the Available for Provider rack
Eventually will be chartless and new patients will only be denoted by on the EPIC dashboard
Currently in place in the PEDS EC

38. Patient Care Chart Cover sheet with CC and vitals
Have patient stickers
EKG/EMS sheets
ECF info

39. Patient Care Orange Bin Charts PRIORITY pts
Let resident/attending know you are seeing them
Significantly abn vital signs
Abn EKG
Time dependant CC

40. Presentations
Make sure to staff at least 2 patients directly with attending physicians
Remaining cases may be with resident or attending

41. Presentations Concise Organized Include your differential diagnosis
Present your assessment/plan

42. Documentation You will complete a medical student note in EPIC
You will be expected to enter your orders for cosign by the resident or attending on the case

43. Follow up and Disposition
Make sure to follow up on all studies and results
Re-evaluate your patients!!
Make sure to update the staff with results and discuss progression of/change in plan
Be a part of the disposition
Call consultants

44. Procedures IVs, foleys, EKGs, will be supervised by RNs or techs
Remaining procedures will be supervised by the EM residents/Attendings
Be Assertive/Proactive in doing procedures
SIM/Procedure Lab counts towards required
Required Procedure list
Foley
IV start
ABG
Intubation
Central line LP
Lac repair
EKG
FAST exam

45. Clinical Shift evaluations
It is your responsibility to hand out on every shift!
This gives us a well-rounded evaluation of your clinical performance as well as proves attendance

46. WBH-Troy

47. WBH-Troy You will have at least 3 shifts at the Troy site
You will work directly with EM attendings
Troy Site Director is Dr Shanna Jones
Map/instructions are included in your orientation packet

48. Computer Access You MUST have EPIC access prior to your first shift
If you have problems with access, please contact Monica Demres or Lori Kurkowski in UGME

49. Kaizen For OUWB clerkship students only
During your EM clerkship, you will be completing a day with the Kaizen team.
This is a part of your OUWB Curriculum, not part of the EM curruiculum.
It is not evaluated under EM
This is REQUIRED and only occurs 2 days of the month. You will be assigned one of these dates and MUST attend. There is no make-up for this requirement.

50. Midclerkship eval

51. Midclerkship Eval
Students are required to meet with Dr Smark for their mid-clerkship evaluation
We will discuss your performance to date as well as any concerns

52. Advanced Rotations Advanced EM Advanced Peds EM
Must have 1st completed a core EM rotation

53. Advanced EM Your month will focus more in the critical care areas
Will have additional U/S time
Will scan with residents on U/S rotation
Will attend an u/s review session with u/s staff
Can do an EMS ride along shift
Will take place of one of your regular shifts of your choosing. Must let Dr Smark know which shift you are dropping.
Give EMS providers eval to sign for attendance
You will complete the departmental exam

54. Advanced Peds EM You will rotate exclusively in our Peds EC
Will work with our Peds EM staff, fellows
Will attend the Peds EM grand rounds
Will take an end of rotation written exam

55. Rotation pearls

56. Rotation Pearls Be assertive!
Focus on areas that may be different from your intended speciality
Be sure to follow up/re-eval your patients
Know the results
Be involved in the plan
Be efficient-do not spend more than 20 minutes in a room
Do not disappear on shift

57. Orientation completion

58. Orientation Completion
Please sign and turn in the orientation completion form
By signing this, you understand the rotation expectations, grading and required activities
Please contact Dr Smark for any questions

59. The end