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Emergency Medicine/Internal Medicine Combined Elective - EMER 547


May be taken during the 4th quarter of the third year after completion of both Core Internal Medicine, Core Surgery


University of Maryland Medical Center

Description and Goals:

The Emergency Medicine/Internal Medicine Combined Elective is an opportunity for medical students to experience rotations in both departments and gain some insight into the clinical work of dually trained EM/IM physicians.  

Students will spend 2 weeks in the Emergency Department working clinical shifts with our Emergency Medicine Faculty.  During this time they will be supervised by Emergency Medicine faculty and residents taking care of patients in the Emergency Department.  They will have 6-7 clinical shifts over that two week period which will include morning, evening, overnight, and weekend shifts. Students will receive a lecture series in the first week of the rotation and will have several lab experiences, including a procedure lab, simulation lab, suture lab, splint lab, and ultrasound lab. Students on emergency medicine rotations at other sites also receive this lab and didactic experience. In addition to traditional didactic lectures and labs, students are also exposed to newer educational technologies, such as online lectures and interactive educational blogs.


The other 2 weeks will be spent with the Internal Medicine Faculty rotating with the Critical Care Consults service.  The students will be supervised by the Intensive Care faculty and fellows.  The educational content will feature clinical exposure to critically ill patients with a wide variety of medical problems, but also occasionally serious surgical disease, major trauma, psychiatric illness, and pregnancy.  In addition to the consults, after being taught the proper techniques, they will be exposed to and perform medical procedures such as thoracentesis, paracentesis, central venous catheter insertion, lumbar puncture, and chest tubes.  Additional learning pertaining to critical care topics will occur via online modules, review of pertinent literature, and small group discussions.  During this 2 weeks, students will attend IM Morning Report and Grand Rounds.

During the Emergency Medicine rotation, the goals and objectives are as follows

  1. Become familiar with the initial evaluation, assessment and stabilization of patients who present with urgent and emergent medical, surgical, obstetric and gynecologic, and traumatic conditions. 
  2. Manage patients in a timely manner, follow their emergency department course, and deciding on an appropriate disposition. 
  3. Become exposed to and be expected to perform a variety of invasive and noninvasive procedures that are done in the emergency department. Examples include but are not limited to arterial lines, arterial punctures, central lines, suturing, chest tubes, lumbar punctures, IV lines, nasogastric tubes, Foley catheters, airway management, and medical and trauma resuscitation codes. 
  4. Practice his/her history and physical exam skills, the formulation of a differential diagnosis, work up and treatment plan 
  5. Interact and communicate with Emergency Department team of physicians, nurses, ancillary staff and consultants in other specialties in a professional manner.

During the Critical Care Consults rotation, the goals and objectives are as follows:

  1. Perform timely initial comprehensive assessments of patients, including evaluations for procedures requested by the consulting service.
  2. Perform a thorough system-based evaluation of critically ill patients and manage their complex array of medical problems in a detailed an organized fashion.
  3. Follow patients on the consultation service, leaving meaningful recommendations at appropriate intervals for referring services.
  4. Cogently present patient care data during attending rounds with the critical care attending.
  5. Learn appropriate techniques for the performance of the above-mentioned medical procedures.
  6. Communicate effectively as a consultant with the referring physician to optimize patient care and safety.
  7. Interact courteously with requesting physicians.

Number of Students:


Time of Year Available:

Academic weeks 1-48


Monday through Friday - Yes
Evenings - Yes
Weekends - Yes
Call - No

Emergency Department will be shift work with morning, evening, overnight, and weekend shifts.  Critical Care Consults will be Monday - Friday from 8am-5:30pm.

Faculty Responsible:

George Willis
Director of Undergraduate Medical Education
(410) 328-8025

Administrative Contact:

Angela Taylor
(410) 328-8025 

Additional Information:

Grading is by letter grade: Honors, A, B, C, D, F.  Grades will be based on evaluations by faculty and residents.    The students will be evaluated by both the EM faculty and residents as well as the IM faculty on the Critical Care Consults service.  The grades between the two services will be combined and a final composite grade will be assigned based on the above letter grade scale.  


Last Revision: July 1, 2014