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Overview of the Emergency Medicine Subinternship
Harbor-UCLA Medical Center, Department of Emergency Medicine, is a Level I Trauma Center. We see approximately 100,000 patients a year or 300 patients a day in the various "Emergency Departments". These patients present with a host of complaints ranging from the minor to acutely life threatening. There are 34 patient care areas, and 3 procedure areas in the Adult Emergency Department. This area is staffed 24 hours a day by an Emergency Medicine Attending, 2 senior Emergency Medicine Residents, 3 Junior Residents, 2 Interns and 8 nurses. The pediatric Emergency Department or Pediatric Critical Care Center (PCCC) has 12 patient care areas and is staffed by residents and faculty from the Department of Emergency Medicine and Pediatrics. Rotating students are encouraged to see patients with a host of medical and surgical complaints at a rate they feel comfortable with. Most see an average of 40-90 patients during their month.
During this elective you will also have the opportunity to spend one day working with our Emergency Department nursing staff. This will allow you to experience first hand another aspect of the "team approach" to medical care we practice at Harbor and gain a better understanding of exactly what critically important roles our nurses play. You will gain further experience in some procedures such as IV placement, blood drawing, arterial blood gas drawing, nasogastric tube and Foley catheter placement, and preparation of monitors, medicine pumps and preparing IV Medications. Students who are interested are invited to spend one 8 hour shift shadowing one of the Department of Emergency Medicine faculty members on a clinical shift. Students will listen to case presentations, participate in change of shift rounds and present a brief summary of an ED patient during teaching rounds. The learning objectives of this course are:
2. To implement and carry out a treatment plan for these patients. 3. To develop improved history and physical examination skills. 4. To provide an exposure to Emergency Medicine and Emergency Medicine physicians. 5. To gain further experience in and improve the techniques of wound care, suturing, resuscitation, IV’s, LP’s and other procedures. 6. To provide exposure to pre-hospital care and the paramedic system. Typical Weekly Schedule
7:00 - 8:00 am and 4:30 - 5:30pm daily
Thursdays 8:00 - 10:00 am
Thursdays and Fridays following conference
Fridays 8:00 - 11:00 Rotating students are scheduled for approximately 40 hours per week. Clinical Shifts are: 7:00 am - 5:00 pm, 1:00 pm - 11:00 pm or 11:00 pm -7:00 am.
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We
feel the best way to learn Emergency Medicine is through primary patient
care under supervision. You will evaluate patients, complete the workups
and perform various diagnostic and therapeutic maneuvers under the direct
supervision of the Department of Emergency Medicine residents and faculty.
Many critically ill patients are evaluated by a "team approach",
and students are an integral part of this team.
Harbor
is also a Paramedic Base Station and Paramedic Training Institute. During
this rotation you will have the opportunity to spend at least one day
with a local paramedic squad as a ride along observer. This is a fantastic
opportunity to see first hand how pre-hospital care is delivered in Los
Angeles County and how it is integrated with hospital care providers.
While in the Adult Emergency Department you will also have the opportunity
to interact with paramedic trainees and "listen in" on paramedic
calls when base hospital medical direction is required. 
1.
To become accomplished at performing a rapid and appropriate evaluation
of adult emergency patients.
Emergency
Department Teaching Rounds